User's Manual
Table Of Contents
- Table of contents
- List of figures
- CHAPTER 1 Description
- CHAPTER 2 Indications and contraindications
- CHAPTER 3 Personal Pump Communicator (PPC)
- CHAPTER 4 Pump implantation
- Preprogramming and pre-testing the Pump
- CHAPTER 5 Pump refill procedure
- CHAPTER 6 Explanting the Pump System
- CHAPTER 7 Warnings and precautions
- CHAPTER 8 Adverse reactions
- CHAPTER 9 System alarms and messages
- Pump alarms
- Alarm feedback
- Pump low battery
- Depleted pump battery
- System error
- Pump self test fail
- PPC low battery
- PPC alarms
- Low reservoir
- Empty reservoir
- Telemetry communication error
- Initialize alarm
- PPC not initialized
- Battery replacement
- Initialize to factory defaults
- Pump stopped
- Pump suspended
- Auto off
- Hourly maximum exceeded
- Pump alarm table
- Pump alarms
- CHAPTER 10 Troubleshooting Pump System under-delivery
- CHAPTER 11 Technical specifications
- APPENDIX A Label information symbol dictionary
- APPENDIX B Implant worksheet
- APPENDIX C Refill form
- APPENDIX D Precautions and general procedures
- APPENDIX E Pump rinse procedure
- APPENDIX F Side Port Catheter flush procedure
- Supplies and solutions
- Preparing for the procedure
- Flushing the Side Port Catheter
- Program minimal basal rate
- Remove insulin and fill with rinse buffer
- Equilibrate and pull rinse buffer through system
- Flush side port catheter
- Remove rinse buffer and fill with insulin
- Equilibrate and pull insulin through system
- Remove guide needles and record refill amount
- Program new basal rate
- Remove rinse buffer from catheter
- APPENDIX G Stroke volume measurement
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CHAPTER 5 Pump refill procedure
Introduction
Initial appointments for Pump Refills should be made with patients at the time of
implantation. Subsequent appointments should be made in advance, normally
during each refill procedure. The Pump stores approximately 6,000 units of insu-
lin medication and typically requires a refill every two to three months. In order
to maintain the physical stability of the insulin, the Pump must be refilled at a
maximum interval of no more than 90 days. The PPC will display warning mes-
sages to alert the patient of calculated low or emptied reservoir volumes.
The low reservoir message will appear when the PPC calculates that 800 (2 ml)
or fewer units of insulin medication remain in the Pump. The empty reservoir
message will appear when the PPC calculates that 400 or fewer units (1 ml) of
insulin remain. The time to medication depletion depends upon the insulin deliv-
ery rate of the Pump.
The Pump refill procedure should always be sched-
uled in advance of PPC “low reservoir” or “empty
reservoir” messages.
!
WARNING