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
Warnings and precautions
82
Diagnostic ultrasound
The Medtronic MiniMed 2007D Implantable Insulin Pump System has been
tested during diagnostic ultrasound procedures. These procedures have no effect
on Pump performance. However, patients should be instructed to test the Pump
function (e.g., self test) after such procedures to determine that the Pump and
PPC are operating properly. If the system is not performing correctly, contact
Medtronic MiniMed.
Ultrasound therapy
The Medtronic MiniMed 2007D Implantable Insulin Pump System should not be
exposed to therapeutic ultrasound procedures such as lithotripsy. Exposure to
ultrasound therapy may damage the Pump, and not be immediately apparent.
Diagnostic radiation
The Medtronic MiniMed 2007D Implantable Insulin Pump System has been
tested during diagnostic radiation procedures, such as Computed Tomography
and X-ray. These procedures have no effect on Pump performance. However,
patients should be instructed to test the Pump function (e.g., self test) after such
procedures to determine that the Pump and PPC are operating properly. If the
system is not performing correctly, contact Medtronic MiniMed.
Elevated anti-insulin antibodies
The results of clinical investigations suggest a small population of patients may
develop anti-insulin antibodies when using the Medtronic MiniMed 2007D
Implantable Pump System and U-400 insulin. Patients with multiple autoimmune
disorders may be more susceptible to developing high titers of anti-insulin
antibodies, which in turn may cause symptoms. There was no correlation
between length of exposure to the study drug and the resultant titer of anti-insulin
antibodies. Elevated levels of anti-insulin antibodies alone have been proven not
to interfere with diabetes management using continuous intraperitoneal insulin
infusion with this system.