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 8 Adverse reactions
Adverse reactions
In clinical studies, adverse reactions associated with the Medtronic MiniMed
2007D Implantable Pump included hypoglycemia, diabetic ketoacidosis,
hyperglycemia, skin erosion, infection, abnormal healing, elevated anti-insulin
antibodies, intestinal obstruction, post-operative discomfort and pain. Pump
System malfunctions in order of frequency and seriousness include, insulin
aggregation resulting in insulin under-delivery, Catheter occlusion or tissue
overgrowth, premature depletion of the Pump battery, and failure of Pump
electronics. Adverse events associated with the use of U-400 insulin are
described in the package insert accompanying the insulin medication.
Prevention
The majority of adverse reactions in patients using the Medtronic MiniMed
2007D Implantable Pump System can be prevented by teaching patients
dependable blood glucose monitoring. The patient plays a significant role in
diagnosing and correcting Pump System performance problems. Should Pump
performance change, the patient would be able to detect a change in blood
glucose levels.
Patients should be instructed to contact their physi-
cian’s office, if they experience unresolvable difficul-
ties with the Pump System. Patient visits and
diagnostic procedures may be necessary to correct
these conditions.
!
WARNING