Medtronic MiniMed 2007D Implantable Insulin Pump System Patient Manual
© 2003, Medtronic MiniMed. All rights reserved. Medtronic MiniMed™ is a trademark of Medtronic MiniMed Dual Wave™ is a trademark of Medtronic MiniMed Square Wave™ is a trademark of Medtronic MiniMed Steri-strip® is a registered mark from 3M Aventis® is a registered mark from Aventis Pharmaceutical Genapol® is a registered mark from Aventis Pharmaceutical Luer Lok® is a registered mark from BD and Co. This device is protected under one or more of the following U.S.
i Table of contents CHAPTER 1 The Medtronic MiniMed 2007D Implantable Insulin Pump System . . . . . . . . . . . . . . . . . . . . 1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Medtronic MiniMed help line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Description of the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Medication reservoir . . . . . . . . . . . . .
ii Table of contents Alarms and messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 CHAPTER 3 Implanting the Medtronic MiniMed 2007D Pump System . . . . . . . . . . . . . . . . . . . . . 9 Hospitalization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Pre-operative procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Implantation procedures . . . . . . . . . . . . . . . . . .
Table of contents Stop a temporary basal rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Personal events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Preset events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Additional events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
iv Table of contents Pump alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Alarm feedback . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Pump low battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Depleted pump battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 System error . . . . . . . . . . . . . . . . . . . . . . . .
Table of contents Blood glucose monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 Conventional insulin supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 Physician’s instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 PPC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 Maximum dosages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Table of contents List of figures Figure 1: The Implantable Insulin Pump ................................................................2 Figure 2: Interior of the Implantable Insulin Pump ................................................3 Figure 3: Side Port Catheter ....................................................................................4 Figure 4: Personal Pump Communicator (PPC) .....................................................
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1 The Medtronic MiniMed 2007D Implantable Insulin Pump System CHAPTER 1 Introduction This manual is a reference guide for both you and your support network of family and friends. It is important that other people in your support network know how to use the Medtronic MiniMed 2007D Implantable Insulin Pump System, so they can be of assistance if the need arises. Throughout the manual you will see note comments which provide important information about the Medtronic MiniMed 2007D System.
2 Table of contents Description of the system The Medtronic MiniMed 2007D Implantable Insulin Pump System (see Figure 1) is an "open-loop" system, which means you must test your blood glucose in accordance with the method and frequency recommended by your physician. Based on the results of your blood glucose testing, you can program the Pump with desired rates of delivery by using the Personal Pump Communicator (PPC).
Table of contents The Pump has six major components: the medication reservoir, the pumping mechanism, the antenna, the microelectronics, the battery, and the tone transducer. Figure 2 shows the interior of the Pump. Figure 2: Interior of the Implantable Insulin Pump Medication reservoir The medication reservoir holds the insulin and is refilled with a special syringe through the Pump fill port.
4 Table of contents microelectronics also store pump specifications and programming history information in its memory. Battery The battery supplies power to the pumping mechanism and microelectronics. It is a lithium carbon mono-fluoride battery specially designed for the Implantable Insulin Pump. Tone transducer The tone transducer is a Pump safety feature. It emits audible beeps to confirm your Pump is operating properly. It also alerts you when your Pump needs attention.
Table of contents Personal Pump Communicator (PPC) The Personal Pump Communicator (PPC) is a hand-held device which allows you to send commands to your Pump and receive Pump information using (RF telemetry) radio waves. The PPC is 8.9 cm (3.5 inches) long, 7.0 cm (2.8 inches) wide and 2.0 (0.8 inches) thick and weighs 115 grams (4.06 ounces). The PPC uses one AA (1.5) volt alkaline battery as the main power source. The PPC has an easy-to-read screen.
6 Table of contents • Suspend the Pump • Record Personal Events • Program an Automatic Off Your PPC also stores important information in its memory (120 days of data).
7 CHAPTER 2 Safety features Pump safety features Safe telemetry Your Pump will respond only to telemetry commands from your PPC. Your Pump will not change when exposed to electromagnetic fields, such as microwave ovens, garage door openers, airport security systems, television or video remote controls. Alarms The most important safety feature of your Pump is its self-checking circuitry.
8 Table of contents PPC safety features Programming sequence In order to send a command to your Pump, your PPC must be properly positioned nearby and a series of programming steps must be followed. Maximum dosage limits Your doctor will program maximum dose limits into your PPC. The programmed maximum basal rate and bolus amount will protect you from an insulin overdose, in the event of a programming mistake. Alarms and messages Your PPC prompts you with many easy-to-read messages on the screen.
9 CHAPTER 3 Implanting the Medtronic MiniMed 2007D Pump System Hospitalization You will be admitted to the hospital to have your Medtronic MiniMed 2007D Implantable Insulin Pump surgically implanted and stabilized. Your Pump System will also be programmed and tested prior to your leaving the hospital.
10 Table of contents Implantation procedures The Surgeon will make an incision through your skin and create a “pocket” in which to place the Pump. The Pump is then inserted under the fatty tissue just beneath your skin. The Surgeon will then secure the Pump in your tissue to prevent movement. A very small opening will be made in your abdominal muscle wall through which the Surgeon will thread the Side Port Catheter into your peritoneal cavity.
Table of contents Follow-up Before you leave the hospital, your doctor will schedule an appointment for your first follow-up office visit. Your healthcare team will also keep in close contact with you during the first few weeks following implantation. Frequent adjustments in your insulin delivery are often required for several weeks following implantation. NOTE: ALWAYS keep your PPC with you. During office visits, a member of the healthcare team will check the status of your Pump.
12 Table of contents port through the inside of the shorter needle. The doctor or nurse will then empty unused insulin from the Pump and refill it with new Aventis, HOE 21 PH U-400 insulin.
13 CHAPTER 4 Programming your Pump Introduction You will program your Implantable Insulin Pump with your PPC. The PPC transmits information by (RF telemetry) radio waves to your Pump. With your PPC you can: • Deliver an immediate, square wave or dual wave insulin bolus to compensate for meals.
14 Table of contents results of your blood sugar tests to determine the appropriate dose of insulin to be delivered by your Pump. PPC screen icons Your PPC has an easy-to-read dot matrix liquid crystal display (LCD). The main PPC screen displays the time (12hr. or 24hr. format), month, day, and a variety of icons. The type and purpose of these icons are as follows: Icon Description The bell icon is displayed when the PPC receives a RF telemetry message from the Pump.
Table of contents PPC buttons PPC programming information is entered using four buttons: Buttons Description SEL Means SELECT. The SEL button allows you to step through and view each of the option screens. ACT Means ACTIVATE. The ACT button activates programming changes you wish to make. As a safety check, you must press ACT to complete any programming changes. You will always hear a single beep after you have successfully activated a change.
16 Table of contents Main programming screen The Main programming screen is used to program features you will use every day, such as a Meal Bolus or Basal Rate, or putting your Pump in the Suspend mode. Programming a bolus Using the PPC, you can program the Pump to deliver a bolus of insulin whenever you need it.
Table of contents Set an immediate bolus (Variable Bolus option is “off”) 1. From the Time/Date screen, press SEL until the “BOLUS” screen is displayed. The Time and Date will be flashing, and the last bolus is displayed. 08:23 Jan 02 BOLUS IMM 10 U EXT __U PROG __ 2. Press ACT and “SET BOLUS” appears, and the dashes or previous bolus under “IMM” start flashing. SET BOLUS IMM __U 3. Use the and buttons to enter an immediate bolus amount. 4. Press ACT and the screen shows “CONFIRM IMM.
18 Table of contents Set an immediate bolus (Variable Bolus option is “on”) 1. From the Time/Date screen press SEL until the “BOLUS” screen is displayed. The last bolus value programmed and the Time and Date will be flashing. 08:23 Jan 04 BOLUS IMM _ _U EXT _ _U __ 2. Press ACT and “SET BOLUS TYPE” appears. Use the “NORMAL.” and buttons to choose SET BOLUS TYPE NORMAL 3. Press ACT and “IMM” appears with the dashes underneath flashing. 4.
Table of contents Set a Square Wave bolus A Square Wave Bolus is delivered evenly over a time period you set, from 30 minutes to 4 hours. A Square Wave Bolus is useful during long meals, high fat meals, or if you have gastroparesis. During a Square Wave Bolus, your Basal Rate insulin continues to be delivered. To access Square Wave Bolus you must first turn the Variable Bolus feature "ON" in the SET UP II menu. 1. From the Time/Date screen press SEL until the “BOLUS” screen is displayed.
20 Table of contents 7. Use the and buttons to enter a time duration that you would like the Square Wave Bolus to last. SET BOLUS IMM _ _U EXT 4.0U 02:00 8. Press ACT and the screen shows “CONFIRM EXT” asking you to confirm the extended bolus and time duration. CONFIRM IMM EXT _ _U 4.0U 02:00 9. If the numbers you entered are correct, press ACT to confirm them. These values will now be programmed into the Pump.
Table of contents Set a Dual Wave bolus Variable Bolus Option Must be “ON.” The Dual Wave Bolus allows you to deliver an Immediate Bolus immediately followed by a Square Wave Bolus. 1. From the Time/Date screen press SEL until the “BOLUS” screen is displayed. The last bolus value programmed will be shown and the Time and Date will be flashing. 08:23 BOLUS IMM _ _U PROG Jan 04 EXT _ _U __ 2. Press ACT and “SET BOLUS TYPE” appears. 3. Use the SET BOLUS TYPE and buttons to choose “DUAL”. DUAL 4.
22 Table of contents 10. Press ACT and the screen shows “CONFIRM” asking you to confirm the immediate bolus, extended bolus, and time duration. CONFIRM IMM 2.0U EXT 2.0U 02:00 11. If the numbers you entered are correct, press ACT to confirm them. These values will now be programmed into the Pump. If any number is not correct, wait for the screen to return to Time/Date and then repeat this procedure to enter the correct values. 12. Place the PPC near the Pump to complete the programming.
Table of contents Suspend mode Suspend Mode allows you to cancel bolus programming. In suspend mode the pump will still deliver a basal rate of approximately 0.2u/hr. 1. From the Time/Date screen press SEL until the “SUSPEND PUMP” screen is shown. SUSPEND PUMP 2. Press ACT. 3. Place the PPC near the Pump to complete the programming. When communication finished the Pump will beep 3 times. is 4. All four segments of the insulin delivery icon will be displayed.
24 Table of contents 2. Press ACT and “1” appears to the right of “A” indicating that you will now program the first Basal Rate “1” in Basal Delivery Pattern “A.” The Basal Rate is flashing. 3. Use the and SET RATE BASAL RATE: A 1 00:00 0.2U/H SET RATE BASAL RATE: A 00:30 2 _ _U/H buttons to enter a new Basal Rate. 4. Press ACT and the screen displays “SET RATE,” indicating you will now program a start time for Basal Rate “2” The time is flashing. 5.
25 Table of contents Set multiple basal rates 1. From the Time/Date screen press SEL until the “BASAL RATE” screen is displayed. Basal Delivery Pattern “A” and the current Basal Rate appear. The word “NOW” also appears and is flashing. BASAL RATE: A NOW 00:00 0.2U/H 2. Press ACT and “1” appears to the right of “A” indicating you will now program Basal Rate “1” in Basal Delivery Pattern “A.” The Basal Rate is flashing. 3. Use the and SET RATE BASAL RATE: A 00:00 1 0.
26 Table of contents 10. The screen will calculate and briefly display the total daily Basal insulin from the Basal Rates you have programmed. 24 HOUR TOTAL 4.8U NOTE: To set multiple basal profiles in the other patterns (A, B, C), select the pattern in Setup II menu and follow the above procedure. Set a temporary basal rate A Temporary Basal Rate is often used when a brief change in basal delivery is required, for example during exercise. 1.
Table of contents Stop a temporary basal rate 1. From for the Time/Date screen press SEL until the displayed. “TEMP BASAL” screen is SET DURATION TEMP BASAL 00:30 1.5U/H 2. Press ACT and “SET DURATION” will appear with the time flashing. 3. Press the button until the time is set to dashes, then press ACT. 4. Place the PPC near the Pump to complete the PPC COMMUNICATING programming. 5. When the communication is finished, “SET AMOUNT” will appear with the dashes flashing.
28 Table of contents 1. From the Time/Date screen, press SEL until the “SET PERSONAL EVENTS” screen is displayed. EVENT __ 2. Press ACT and the screen will change to “SET EVENT” with “MEAL” flashing. 3. Use the and buttons to select the event you want to enter: MEAL, SNACK, SICK, EXERCISE, A, B, C. SET EVENT MEAL 4. Press ACT and the time will appear flashing. 5. Use the and buttons to enter the time that the event occurred. 6.
Table of contents 2. Press ACT, place the PPC near the Pump. History data will be transferred to the PPC. PPC COMMUNICATING 3. The screen will automatically change to “MED REMAINING.” The amount of insulin in the Pump reservoir is reported in units. MED REMAINING 7263U 4. Press SEL and the screen will change to “INSULIN TOTAL.” The amount of Basal Rate and Bolus insulin delivered is reported for the day indicated. 5. Press the button to review insulin delivery rates for other days. 6.
30 Table of contents Pump setup This screen permits access to other Pump “SETUP” features. These features are normally programmed for you by your doctor or nurse. To reach the “SETUP PUMP” menu, press SEL until the “SETUP PUMP” screen is displayed, then ACT to access the SETUP screens. Time and date The time and date settings must be correct. The PPC uses the time and date to calculate your total daily insulin and display Pump history. 1.
Table of contents Auto off “AUTO OFF” sets an alarm on your PPC to remind you if you have not programmed your Pump recently. The “AUTO OFF” alarm can be set between 1 and 16 hours. To turn off the "AUTO OFF" program set the time to dashes. 1. From the “SETUP PUMP” screen, press ACT then SEL. 2. The screen will display “AUTO OFF” with flashing dashes. Press ACT. and buttons to select the number of hours before an Auto Off alarm occurs. AUTO OFF _ _ HRS 3. Use the 4. Press ACT.
32 Table of contents 2. Press the and buttons to select the type of alarm you want, then press ACT. SET PPC ALARM TYPE LOW/HIGH/VIBRATE 3. The screen will now display “SET ALARM FEEDBACK.” This setting should always be “ON”. Press ACT. SET ALARM FEEDBACK ON/OFF 4. Place the PPC near the Pump. When the communication is completed, the PPC will change to “SELF TEST” and then timeout to the Time / Day screen.
Table of contents The PPC will sound a long changing tone. The PPC will vibrate. The PPC will beep once. The PPC screen displays all possible icons and numbers. 5. If your PPC and Pump “pass” the Self Test, the display will change to “PPC PASSED/ PUMP PASSED.” After several seconds, the screen will change back to the Time/Date screen. PPC PUMP PASSED PASSED Basal delivery patterns The PPC allows you to program three different basal delivery patterns (A, B, C). Pattern A is preset at the factory.
34 Table of contents NOTE: The PPC will automatically return to the Time/Date screen. Press SEL until the “BASAL RATE” screen is displayed. The pattern you have selected will appear on this screen. Initialize PPC to pump This screen initializes your PPC to your Pump. Your doctor will normally perform this programming for you. Contact your doctor if you need to have your PPC replaced. Pump Setup II “SETUP II” is another programming menu.
Table of contents Pump Setup II The “SETUP II” screen allows you to program additional features into your PPC. Your doctor will normally program “SETUP II” features for you. 1. From the “SETUP” screen, press SEL until the “SETUP II” screen is displayed. Turn on the audio bolus feature The “AUDIO BOLUS” feature allows you to deliver a bolus without looking at the PPC screen. There are two step sizes you can select, 0.4U and 0.8U. With each press of the button, the PPC will beep one time (0.
36 Table of contents Use audio bolus in the Main Menu NOTE: When an immediate bolus is being delivered, the button will be disabled. From the Time/Date screen press button. Each time the button is pressed the PPC will beep one or two times, depending upon the step size set (0.4U or 0.8U). 1. Count the number of beeps to determine how much insulin you want to program. The bolus SET BOLUS IMM amount delivered is determined by the step 12U size and the number of times the button is pressed.
Table of contents 4. Place the PPC near the Pump and complete the communication. 5. If “ON” was chosen, the Variable Bolus PPC COMMUNICATING option will appear in the Main Menu / Bolus screen. Set a maximum bolus Your doctor will decide if you should use this feature. Setting a maximum bolus amount will minimize the chance of you over-delivering insulin in case you make a programming mistake. 1. From the “SETUP II” menu, press SEL until the “MAX BOLUS” screen is displayed. MAX BOLUS __U 2.
38 Table of contents Set a maximum basal rate Your doctor will decide if you should use this feature. Setting a maximum basal rate will protect you from over-delivering insulin in case you make a programming mistake. 1. After setting a maximum bolus, the “MAX BASAL” screen appears with the maximum basal rate flashing. 2. Use the and buttons to enter a maximum basal rate (0.2U/h to 35.0U/h), then press ACT. SET MAX BASAL RATE 0.2U/H 3. Place the PPC near the pump and complete the communication.
Table of contents Personal event To activate this feature located in the Main Menu it must be "ON." 1. From the "SET UP II" screen, press SEL until the "PERSONAL EVENTS" screen is displayed. PERSONAL EVENTS OFF SET PERSONAL EVENTS OFF 2. Press ACT and the "SET PERSONAL EVENTS" screen is displayed and "OFF" is blinking. 3. Use the ▲ and ▼ buttons to select "ON" or "OFF." Press ACT. 4. Place the PPC near the Pump and complete the communications. The PPC screen will change to "PUMP SET UP.
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41 CHAPTER 5 Alarms and messages The Medtronic MiniMed 2007D Implantable Insulin Pump System is equipped with various alarms and messages that ensure the correct function of the system. The pump alarms The Implantable Insulin Pump has an alarm system which beeps when an error condition occurs. The beeps are audible through the skin and alert you that the Pump needs attention.
42 Table of contents The PPC alarms The PPC has three types of alarms, audible or vibrate alarms and visual alarms. This chapter will describe, for each alarm condition, which screen message appears. Some alarms can be cleared by pressing SEL then ACT. The difference between these alarms will be explained later in this chapter. Two audible or vibrate alarm types are used: Alarm type 1 If the PPC is set to “vibrate”, the vibrator will be turned on for 3 seconds every minute until the condition is cleared.
Table of contents Pump alarms Alarm feedback The Alarm Feedback function allows you to verify the Pump and the Pump beeper are operating normally. When Alarm Feedback is programmed “YES,” the Pump will beep on each of the first five Pump strokes: • Following a change in the delivery regimen, for example when completing a meal Bolus and then changing to a Basal Rate. • After the Alarm Feedback function is programmed “YES.” Alarm Feedback will stay on until programmed back to “NO.
44 Table of contents System error The Implantable Insulin Pump has a sophisticated self-monitoring system that continuously checks for circuit faults. If the Pump detects a circuit error, it will beep and then automatically shut itself off. When this occurs, you must switch to your alternative insulin therapy established between you and your doctor. Notify your doctor immediately of the System Error.
Table of contents PPC alarms The PPC offers a choice of two alarms, audible and vibrate. In addition, a screen message appears indicating the type of alarm condition that occurred. PPC low battery If the PPC main battery (AA 1.5 volt alkaline) energy is low, the following alarm display will appear: PPC display Type of alarm PPC LOW BATTERY 1 You can clear this message by pressing SEL and then ACT, and then continue programming. There should be sufficient energy in the battery for at least 24 hours.
46 Table of contents Empty reservoir When the Pump calculates that less than 400 units (1 ml) of insulin remain in its reservoir, the following display will appear: PPC display Type of alarm Pump alarm EMPTY RESERVOIR 1 In 24 hours if no PPC communication You can clear this message by pressing SEL and ACT, and then continue programming. The PPC Medication Remaining function reads calculated values only, and there may still be some insulin left in the Pump reservoir.
Table of contents Battery replacement If the PPC main battery (AA 1.5V alkaline) has been replaced or the PPC recognizes the “PUMP STATUS” needs to be checked, the following message is displayed: PPC display Type of alarm CHECK PUMP STATUS 1 Place the PPC near the pump, then press SEL and ACT. Allow the communication to complete. NOTE: If while programming the Pump, the PPC goes blank, the PPC beeps six times and then the "CHECK PUMP STATUS" message appears, the PPC (AA 1.
48 Table of contents Auto off If the “AUTO OFF” time interval elapses, the following message is displayed: PPC display Type of alarm AUTO OFF PUMP PUMP SUSPENDED 1 The Pump will initiate the internal alarm sequence of four beeps every minute for 5 minutes, then double-beep 4 times every minute for 10 minutes, then repeating the pattern. The alarm is cleared by pressing SEL and ACT, place the PPC near the Pump. The PPC will communicate with the Pump to reset the "Auto Off" duration.
Table of contents Personal Pump Communicator messages Display screen message Message meaning or action required AUTO OFF PUMP PUMP SUSPENDED Auto Off time interval has elapsed. Pump operation is suspended. BOLUS 0.0 u A bolus has been programmed and is being delivered. CHECK PUMP STATUS The PPC battery has been replaced. The PPC needs to check the Pump status. EMPTY RESERVOIR The PPC has recognized the Pump has 400 units (1 ml) or less insulin remaining in its reservoir.
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51 CHAPTER 6 Warnings and precautions Warnings Electrotherapy The Medtronic MiniMed 2007D Implantable Insulin Pump System has been tested with electrosurgical cutting tools, electrocoagulation, and cardiac defibrillation medical equipment. Typical use of this type of device has not affected the Pump. However, after such procedures you should test the Pump function (e.g., program “SELF TEST”) to determine that the Pump and PPC are operating properly.
52 Table of contents are operating properly. If the system is not performing correctly, contact your doctor. Therapeutic radiation The Medtronic MiniMed 2007D Implantable Insulin Pump System has been tested with therapeutic radiation. These procedures have no effect on the Pump. However, it is recommended not to focus therapeutic levels of radiation directly over the pump. After such procedures, you should test the Pump function (e.g.
Table of contents Reservoir level warnings Have your Pump refilled before the reservoir is empty. Alarms in the PPC will alert you to low and depleted reservoir levels. For more information on alarms and messages, see Chapter 5. If the low reservoir alarm sounds and you do not have a refill appointment scheduled within two weeks, call your doctor immediately to schedule a refill.
54 Table of contents and the function of your Pump System (see “Pump and Catheter Under-delivery” on the previous pages). If you have any questions about an activity you are planning, you should contact your doctor for advice. This device may experience communication interruptions when operated at or near some airport facilities. This will not affect the operation of the pump, and it will continue delivery of insulin per previously programmed levels.
Table of contents you will need to replace your PPC. For more information on the “SELF TEST” procedure, see Chapter 6, Warnings and Precautions. Maximum dosages Your doctor may program specific limits for your Basal Rate and Meal Bolus. These maximum limits provide a regimen specific to your needs. Battery change Carry a fresh AA 1.5-volt alkaline battery with you at all times.
56 Table of contents 3. Position the PPC near the Pump. 4. When programming is complete, the PPC will beep and the display will automatically return to the Time/Day screen. The message “PUMP SUSPENDED” will be displayed. The Pump will deliver a basal rate of approximately 0.2 U/h. In addition to the procedure above, review with family members the proper procedure for administering glucagon. It is important to closely monitor blood sugar levels on refill days.
Table of contents Hypoglycemia The best method for identifying hypoglycemia is testing your blood sugar levels. Establish a protocol with your doctor for identifying and treating symptoms of hypoglycemia to avoid an insulin reaction. Pump pocket infection Pump pocket infection, although rare, occurs around the Pump implantation site. If you notice pain, redness, or swelling in the area of your Pump, contact your doctor immediately. Pump pocket infections may require the removal of your Pump.
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59 CHAPTER 7 Important Self-Care Having a Medtronic MiniMed 2007D Implantable Insulin Pump System is only one aspect of an overall management program to treat your diabetes. There are many other requirements for achieving near normal blood glucose levels. This manual presents general information regarding blood glucose monitoring, meal planning, exercise and other issues concerning your implantable Pump.
60 Table of contents Meal plan You will always receive some basal insulin from your Implantable Insulin Pump. When you program a meal bolus, this will be in addition to your basal rate. As with any insulin therapy, it is recommended that you keep some form of fast-acting sugar with you at all times to treat hypoglycemia. If you have any questions concerning your meal plan and insulin therapy, discuss them with your healthcare team as they are your best source of information.
Table of contents Medtronic MiniMed information card Your doctor will give you a Patient Emergency Information Card when you receive your Pump System. It provides information about your Pump, as well as important phone numbers in case of a medical emergency. Carry Your Information Card With You At All Times. It is also recommended that you wear a bracelet or necklace indicating that you have an implantable insulin Pump.
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63 PPC Care and Maintenance CHAPTER 8 Installing/replacing the main battery PPC Battery life is estimated to be approximately 4 weeks. Only AA 1.5 volt alkaline battery is recommended for use with the PPC. To replace the PPC Main Battery: 1. Locate the battery door on the back of the PPC. 2. Slide the locking bar to the left. 3. Push the middle part of the PPC box (under the battery door) and lift by gently pulling up the battery door to unlatch. 4. Remove the old battery, noting the polarity.
64 Table of contents 12. Allow the communication to complete. PPC COMMUNICATING NOTE: When the PPC displays “PPC LOW BATTERY,” you can clear the message and continue programming. There should be sufficient energy in the battery to communicate with the Pump. If while programming the PPC goes blank, the PPC beeps six times and then the "CHECK PUMP STATUS" message appears, the PPC (AA 1.5v alkaline) battery needs to be replaced. For instructions, see "Installing/Replacing the Main Battery" in this Chapter.
Table of contents Cleaning the outer surface of your PPC • If necessary, use a slightly damp cloth and mild soap to clean the outside of the PPC. Do not use a wet cloth or dip the PPC in any liquid. Moisture may harm the PPC’s electrical components. • Never use organic solvents or harsh detergents to clean the PPC. • Always completely dry the PPC after cleaning. • Never spray any cleaning solutions directly onto the PPC, especially the keyboard panel.
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67 CHAPTER 9 Technical specifications Implantable Insulin Pump (MMT-2007D) Component Performance Specification Diameter 8.1 cm (3.2 inches) Thickness 2.0 cm (0.8 inches) Reservoir Volume 13 ml to 15 ml Weight - Empty 131 gm (4.6 ounces) Insulin - Concentration Aventis HOE 21 PH U-400 Stroke Volume 0.42 to 0.58 µl per stroke 0.17 to 0.23 units per stroke Basal Rate 0.2 to 35.0 units per hour (U/h) Basal Patterns 3 Patterns of up to 48 basal rates each Meal Bolus 0.2 to 25.
68 Table of contents Personal Pump Communicator (MMT-3160) Component Performance Specification Height 2.0 cm (0.8 inches) Length 8.9cm (3.5 inches) Width 7.0 cm (2.8 inches) Weight 115 gm (4.0 ounces) Main Power Source 1.
Table of contents Side Port Catheter MMT- 4027 Length Proximal: 11.8 ± 1.3 cm (4.7 ± 0.5 inches) Distal: 17.8 ± 0.7 cm (7.0 ± 0.3 inches) MMT- 4024 Length Proximal: 11.8 ± 1.3 cm (4.7 ± 0.5 inches) Distal: 10.2 ± 0.4 cm (4.0 ± 0.
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