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
85
Precautions
Emergencies and the use of conventional insulin supplies
Physicians should advise patients who are implanted with the Medtronic
MiniMed 2007D Implantable Insulin Pump System how to deal with emergency
conditions such as hyperglycemia and hypoglycemia. Patients should always
carry conventional insulin supplies with them, including insulin and a means to
inject it, in the event of impaired insulin delivery by the Pump System. Delivery
of insulin can become impaired due to a failure of a Pump and/or PPC, or a
Catheter occlusion. Replacement of the Pump, PPC or Catheter may be required.
Physicians should review the Pump replacement and Catheter clearing
procedures in this Physicians Manual
PPC reliability requirements
The PPC is a sensitive electronic device, and can incur physical damage. If the
PPC is dropped or receives an impact patients should be instructed to
immediately perform a SELF TEST to check the displays for proper operation. If
the PPC does not display correctly, a replacement PPC is required. Patients
should initiate alternative diabetes management until a replacement PPC is
received.
The PPC housing is not watertight and it may malfunction if immersed in water.
“Condensing humidity” conditions such as steam rooms should also be avoided,
because condensation can also damage the PPC’s microelectronics. If either
situation occurs, contact Medtronic MiniMed immediately and arrange for the
repair or replacement of the PPC. If the PPC is accidentally splashed, sprayed or
immersed, remove excess moisture with a soft towel and then place the PPC in a
warm place to thoroughly dry. When dry, perform a “SELF TEST.” If the PPC
does not display correctly, call Medtronic MiniMed to replace the device.
Maximum dosages
The physician can program specific limitations to insulin Basal Rates and Bolus
amounts, as well as total daily insulin usage. These limitations provide some
control of patients’ ability to program their insulin regimens, and to avoid
overdosing.