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
Pump refill procedure
76
Refill the Pump
1. Use the IN refill syringe containing 20 ml of degassed insulin, at room
temperature.
2. Enter the Pump by passing the refill needle with the attached IN refill syringe
through the 18 gauge guide needle. Pull back slightly (approximately 2 mm)
on the 18 gauge needle to allow the refill needle to enter the Pump and
actuate the inlet valve (see Figure 13).
3. Open the stopcock. Maintain downward pressure on the IN refill syringe to
ensure the inlet valve in the Pump remains open. Allow the Pump to draw in
insulin until the fluid level stops moving. Close the stopcock.
4. Remove the IN syringe and prepare for aspiration without expelling any fluid
by pulling back on the plunger until it locks. Re-enter the Pump, open the
stopcock and withdraw 2 ml in order to activate the negative pressure safety
feature of the Pump.
OPTIONAL
Use this step only if the
plunger is not moving
during the fill of the
reservoir.
With the refill needle
pointing down, vent the
syringe head space by
pulling back firmly on the
plunger until the second
sealing ring on the black
rubber cap passes beyond
the vent hole (see Figure
14).
Figure 14: Venting the Medtronic MiniMed refill syringe