Medtronic MiniMed 1510 620G/630G/640G/670G Insulin Delivery Pump User Manual 5

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MP6025958-022 / A
WARNING: If you receive a critical error on your pump, the
following screen displays and the pump sirens.
Immediately disconnect from your insulin pump and discontinue
use. Contact your local representative for assistance.
Remember, your body still needs insulin while your pump is
removed. It is important that you consult your healthcare
professional to determine an alternate method of receiving insulin
while your pump is removed.
Alarms
An alarm warns you that the pump detected
something that prevents insulin from being
delivered. It is important that you respond to an
alarm.
WARNING: Do not ignore your pump
when it has an alarm because all
insulin delivery is stopped, which may
lead to high blood glucose and
ketoacidosis.
When an alarm occurs:
Display: The pump displays a notification with a red icon and instructions.
Notification light: The red notification light blinks twice, followed by a pause, in a
continuous repeating pattern. The notification light is shown in Using the buttons,
on page 20.
200
Chapter 12
MP6025958-022 / A
Audio: Depending on your Audio Options settings, the pump emits an alarm tone,
a continuous three-pulse-and-pause vibration pattern, or both the alarm tone and
vibration.
Alerts
An alert makes you aware of a situation that may
require your attention. An alert is less serious than
an alarm.
When an alert occurs:
Display: The pump displays a notification with a
yellow icon and instructions.
Notification light: The red notification light on your pump blinks once, followed
by a pause, then blinks once again in a continuous repeating pattern. The
notification light is shown in Using the buttons, on page 20.
Audio: Depending on your Audio Options settings, the pump either beeps or
vibrates in a continuous three-pulse-and-pause pattern, or does both.
To clear an alert, press and then make a selection. If you do not respond to an
alert, the pump beeps every five minutes or every fifteen minutes, depending on
the alert. Some alerts will also escalate to a loud emergency siren after ten
minutes. For more information, see Alarm and alert escalation, on page 247.
Note: If an alert occurs when you are in a screen other than the Home
screen, the alert message may appear after you return to the Home
screen.
Alarms, alerts, and messages
201
alarms, alerts, and messages
If you do not respond to an alarm, after ten minutes the alarm tone escalates to a
loud emergency siren. For more information, see Alarm and alert escalation, on
page 247.
■
You must resolve the underlying problem that triggered the alarm. In most cases,
you clear an alarm by pressing and then you make a selection. In some cases,
however, clearing the alarm does not fix the underlying problem. The alarm
repeats until the underlying problem is fixed.
MP6025958-022 / A
Messages
A message informs you about the status of your
pump or if you need to make a decision.
When a message occurs:
Display: The pump displays a notification with a
blue icon and instructions.
Notification light: Does not illuminate or blink.
Audio: Depending on the message, the pump emits a message tone, an alert
tone, or no tone. Depending on your Audio Options settings, you may hear a tone,
feel a one-pulse-only vibration, or hear a tone and feel a vibration.
You clear the message by pressing
and make a selection.
Pump alarms, alerts, and messages
The following table lists the most common or serious alarms, alerts, and messages
related to your pump. The table also explains the meaning, consequences, and the
reasons why these notifications appear, and provides steps for problem resolution.
EA
Title and text
Explanation
EL
Active Insulin cleared
Any Active Insulin amount
has been cleared.
An alarm has
cleared your active
insulin amount.
Your active insulin
amount is now at
0 units.
Next steps
• Select OK to clear the alarm.
• The active insulin tracked prior to
pump restart is not included in
new Bolus Wizard calculations.
Consult your healthcare
professional for how long you
need to wait after active insulin is
cleared before you can rely on
the active insulin calculation of
your Bolus Wizard
• You can check Daily History for
the time and amount of your last
bolus. For more information, see
Daily History, on page 121.
202
Chapter 12
MP6025958-022 / A
Title and text
Explanation
Next steps
Auto Suspend
You have not
pressed any buttons
during the time
specified in the
Auto Suspend
settings.
• To clear the alarm and resume
basal insulin delivery, select
Resume Basal.
The pump battery
does not have
enough power.
• Select OK to clear the alarm.
Insulin delivery
suspended. No buttons
pressed within time set in
Auto Suspend.
• Remove the old battery and
insert a new AA battery.
For details, see About batteries, on
page 21.
Battery not compatible.
See User Guide.
• To clear the alarm, remove the
incompatible battery.
pump is not
compatible.
• Insert a new AA battery. For
ED
Bolus not delivered.
Bolus entry timed out
before delivery. If bolus
intended, enter values
again.
The battery that you
inserted into the
Bolus values
entered, but bolus
LE
was not delivered
within 30 seconds.
Bolus stopped
Cannot resume bolus or
cannula fill. XX.XXX of
YY.YYY U delivered.
ZZ.ZZZ U not delivered. If
needed, enter values
again.
The battery power
was exhausted
while a bolus or Fill
Cannula was in
progress.
compatible battery types, see
About batteries, on page 21.
• Select OK to clear the alert.
• If bolus delivery was intended,
check your BG, re-enter bolus
values and deliver bolus.
• Note the amount of insulin not
delivered.
• Replace the AA battery.
• Select OK to clear the alarm.
• Deliver the remaining bolus
amount if needed.
Alarms, alerts, and messages
203
alarms, alerts, and messages
Insert a new AA battery.
■
Battery failed
• Check your BG and treat as
necessary.
MP6025958-022 / A
Title and text
Explanation
Next steps
Cannot connect device
• You may be trying
to connect a
device that is not
compatible with
your pump.
• Select OK to clear the alert.
This device is
incompatible with your
pump. See User Guide.
• You are trying to
connect a
transmitter to your
pump but another
transmitter is
already wirelessly
connected to your
pump.
Check settings
Startup Wizard settings
complete. Check and set
up your other settings.
Critical pump error
• If you are replacing your
transmitter, make sure that you
first delete the old transmitter
from your pump before you try
to connect your new transmitter.
Only one transmitter can be
connected to your pump. For
details, see Deleting the
transmitter from your pump, on
page 181.
• Select OK to clear the alert.
Delivery stopped. Pump
not working properly.
Stop using pump.
Remove infusion set from
body. Consider other
insulin treatment. See
User Guide.
Some settings have
been cleared or
reverted to factory
default values.
• Check the list of devices that are
compatible with your pump in
Optional devices, on page 14.
Your pump has
encountered a
critical error.
• Review any settings that you
have not already set in Startup
Wizard and re-enter the values, if
necessary.
The pump is not able to deliver
insulin. Remove your infusion set
and stop using your pump.
• Consider another form of insulin
delivery.
• Check your BG, and treat as
necessary.
• Write down the error code that
appears on the alarm screen.
• Call your local representative for
assistance with your pump.
204
Chapter 12
MP6025958-022 / A
Title and text
Explanation
Next steps
Delivery limit exceeded
You have attempted
to deliver more
insulin than
expected based on
your Max Bolus and
Max Basal settings.
• Check your BG.
You had the Fill
Cannula screen
displayed for
15 minutes.
• To proceed and fill the cannula,
select Fill.
The battery was
removed from the
pump.
• Insert a new AA battery.
Delivery stopped. Check
BG. See User Guide for
more information.
Insert battery
Delivery stopped. Insert a
new battery now.
• Continue to monitor your BG.
• If you do not need to fill the
cannula, select Done to skip this
process.
• The alarm clears when you insert
a new battery.
ED
• The pump powers off after
10 minutes unless you insert a
new battery.
Alarms, alerts, and messages
205
alarms, alerts, and messages
Select Fill to fill cannula
or select Done if not
needed.
• Check Bolus History and
reevaluate your need for insulin.
■
Fill Cannula?
• Select Resume Basal.
MP6025958-022 / A
Title and text
Explanation
Next steps
Insulin flow blocked
Your pump has
detected that the
basal or bolus
insulin flow was
blocked.
• Check your blood glucose.
Consider checking ketones and
take an injection if needed.
Check BG. Consider
injection and testing
ketones. Change reservoir
and infusion set.
• Remove your infusion set and
reservoir.
• Select Rewind to start the new
reservoir process using a new
infusion set and reservoir.
If a bolus delivery was in progress
when the alarm occurred:
• Check the Daily History screen for
the amount of bolus already
delivered before the pump
alarmed.
ED
206
Chapter 12
• Consider delivering remaining
bolus, if the bolus insulin was not
included in an insulin injection.
MP6025958-022 / A
Title and text
Explanation
Next steps
Insulin flow blocked
Your pump has
detected that the
insulin flow was
blocked and there is
no insulin in the
reservoir.
• Check your blood glucose.
Consider checking ketones and
take an injection if needed.
• Remove your infusion set and
reservoir.
• Select Rewind to start the new
reservoir process using a new
infusion set and reservoir.
■
Check BG. Consider
injection and testing
ketones. Estimated 0 U
insulin in reservoir.
Change reservoir and
infusion set.
when the alarm occurred:
• Check the Daily History screen for
the amount of bolus already
delivered before the pump
alarmed.
ED
• Consider delivering remaining
bolus, if the bolus insulin was not
included in an insulin injection.
Alarms, alerts, and messages
207
alarms, alerts, and messages
If a bolus delivery was in progress
MP6025958-022 / A
Title and text
Explanation
Next steps
Insulin flow blocked
Your pump has
detected the insulin
flow was blocked
while filling the
cannula.
• Check your blood glucose.
Consider checking ketones and
take an injection if needed.
Fill Cannula stopped.
Remove infusion set from
body. Change reservoir
and infusion set.
• Remove your infusion set and
reservoir.
• Select Rewind to start the new
reservoir process using a new
infusion set and reservoir.
If a fill cannula was in progress
when the alarm occurred:
• Check the Daily History screen for
the amount of bolus already
delivered before the pump
alarmed.
ED
208
Chapter 12
• Consider delivering remaining
bolus, if the bolus insulin was not
included in an insulin injection.
MP6025958-022 / A
Title and text
Explanation
Next steps
Insulin flow blocked
Your pump has
detected the insulin
flow was blocked
while filling the
tubing. Possible
connection issue
between the tubing
and reservoir.
• Remove the reservoir and select
Rewind to restart the fill tubing
process.
Fill Tubing stopped.
Remove reservoir and
select Rewind to restart.
• Disconnect tubing from reservoir.
• If this alarm occurs again, use a
new infusion set.
If a fill tubing delivery was in
progress when the alarm occurred:
• Check the Daily History screen for
the amount of bolus already
delivered before the pump
alarmed.
Loading incomplete
You pressed
Remove reservoir and
select Rewind to restart
loading.
after loading began.
Low battery Pump
The battery in the
pump is low on
power.
Replace battery soon.
• Consider delivering remaining
bolus, if the bolus insulin was not
included in an insulin injection.
• Remove the reservoir to start
again.
• Select Rewind and follow the onscreen instructions.
• Select OK to clear the alert.
• Replace the AA battery as soon
as possible. Otherwise, insulin
delivery stops, and the Replace
Battery Now alarm occurs.
• If the pump is delivering a bolus
or filling the cannula, wait until
delivery is complete to replace
battery.
Alarms, alerts, and messages
209
alarms, alerts, and messages
• Continue following the steps
displayed on the pump using the
same infusion set and reservoir.
■
• Be sure tubing is not crimped or
bent.
MP6025958-022 / A
Title and text
Explanation
Next steps
Low reservoir
Your reservoir is low
on insulin,
according to the
number of hours or
units set in the Low
Reservoir Reminder.
• Select OK to clear the alert.
A pump error has
occurred, and you
need to restart your
pump. Your backup
settings have been
lost, but your
current settings are
unchanged.
• Select OK to restart your pump.
Your current settings are
unchanged. Only your backup
settings are lost.
XX hours remaining.
Change reservoir.
or:
XX units remaining.
Change reservoir.
Manage settings error
Delivery stopped. Backup
settings cleared from
Manage Settings. Current
settings are working
properly. Select OK to
restart. See User Guide.
3X.X U. Did you see drops
at the end of tubing?
210
Chapter 12
• If you do not change the
reservoir after you receive this
alert, you will receive a second
Low reservoir alert when the
insulin level reaches half of your
original alert amount. For more
details, see Low Reservoir
reminder, on page 132.
ED
Max Fill reached
• Change the reservoir soon.
You have exceeded
the number of units
expected to fill the
tubing. By now,
insulin should be at
the end of the
tubing.
• When the pump restarts, follow
instructions on the pump display.
• If the pump was delivering a
bolus or filling the cannula, check
Daily History and evaluate your
need for insulin.
• Consider saving your current
settings. For details, see Saving
your settings, on page 142.
• If you see drops at the end of
the tubing, select Yes.
• If you do not see drops, select
No.
• Follow instructions displayed on
the pump.
MP6025958-022 / A
Title and text
Explanation
Next steps
Max Fill reached
You have exceeded
the number of units
expected to fill the
tubing. By now,
insulin should be at
the end of the
tubing.
• Remove the reservoir.
There is no reservoir
in the pump or the
reservoir is not
properly locked into
place.
• Select Rewind.
The internal power
source in your
pump is unable to
charge. Your pump
is operating on the
AA battery only.
• Select OK to clear the alert.
4X.X U. Remove reservoir
and select Rewind to
restart New Reservoir
procedure.
Power error detected
Delivery stopped. Record
your settings by
uploading to CareLink or
write your settings on
paper. See User Guide.
AA battery was removed
for more than 10 min or
power was lost. Select OK
to re-enter time and date.
• When prompted, ensure that
your reservoir is inserted and
properly locked into place.
EA
Power loss
• Ensure that your reservoir is filled
with insulin.
Your pump battery
has been out for
more than
ten minutes, and
your pump has lost
power. You must
reset your time and
date.
• Check your BG and treat as
necessary.
• Record your settings as soon as
possible because your AA battery
may not last long.
• Call your local representative for
assistance with your pump.
• Select OK to go to the Time &
Date screen.
• Enter the current time, time
format, and date.
Alarms, alerts, and messages
211
alarms, alerts, and messages
Rewind before loading
reservoir.
• Select Rewind to restart the new
reservoir procedure.
■
No reservoir detected
• Check if you still have insulin in
the reservoir. If you do, you can
continue using the same
reservoir.
MP6025958-022 / A
Title and text
Explanation
Next steps
Pump error
Your pump
encountered an
error and will
restart. Your pump
settings will return
to factory default
values.
• When the pump restarts, follow
instructions on the pump display.
Delivery stopped. Current
settings cleared. Pump
restart needed. Select OK
to restart and then reenter your settings. See
User Guide.
• After restart, check settings and
re-enter values as needed.
• If you recently saved backup
settings in Manage Settings, use
Restore Settings.
• If the pump was delivering a
bolus or filling the cannula, check
Daily History and reevaluate your
need for insulin.
• If this alarm recurs frequently,
write down the error code
displayed on the alarm screen
(you can also find it in your
Alarm History) and contact your
local representative for assistance
with your pump.
Pump error
A pump error has
occurred, you need
to restart your
pump.
Delivery stopped. Settings
unchanged. Pump restart
needed. Select OK to
restart. See User Guide.
• Select OK to restart your pump.
• If the pump was delivering a
bolus or filling the cannula, check
Daily History and reevaluate your
need for insulin.
• If this alarm recurs frequently,
write down the error code
displayed on the alarm screen
(you can also find it in your
Alarm History) and contact your
local representative for assistance
with your pump.
212
Chapter 12
MP6025958-022 / A
Next steps
Pump error
Your pump
encountered an
error but a restart is
not necessary. The
issue is resolved.
Your settings are
not changed.
• Select OK to resume basal
delivery.
Your pump has
encountered a
problem and has
restarted. Your
settings have not
been changed.
• Select OK to continue.
Battery life is low
and will be
exhausted within 30
minutes.
• Select OK to clear the alert.
Delivery stopped. Settings
unchanged. Select OK to
continue. See User Guide.
Pump restarted
Battery life less than 30
minutes. To ensure insulin
delivery, replace battery
now.
• If this alarm recurs frequently,
write down the error code
displayed on the alarm screen
(you can also find it in your
Alarm History) and contact your
local representative for assistance
with your pump.
ED
Delivery stopped. Settings
unchanged. Select OK to
continue. See User Guide.
Replace battery
• If the pump was delivering a
bolus or filling the cannula, check
Daily History and reevaluate your
need for insulin.
• If the pump was delivering a
bolus or filling the cannula, check
Daily History and re-evaluate your
need for insulin.
• If this alarm recurs frequently,
write down the error code
displayed on the alarm screen
(you can also find it in your
Alarm History) and contact your
local representative for assistance
with your pump.
• Replace the AA battery.
Alarms, alerts, and messages
213
alarms, alerts, and messages
Explanation
■
Title and text
MP6025958-022 / A
Title and text
Explanation
Next steps
Replace battery now
Insulin delivery has
stopped due to low
power. Battery was
not replaced after
the Low battery
Pump alert.
Replace the battery immediately to
resume insulin delivery. For details,
see Removing the battery, on
page 23.
Your reservoir level
is estimated at
0 units.
• Select OK to clear the alert.
A normal bolus
delivery has been
• Check the message to see how
much of the bolus was actually
Delivery stopped. Battery
must be replaced to
resume delivery.
Reservoir estimate at 0 U
To ensure insulin delivery,
change reservoir.
Resume bolus?
XXX of YYY U delivered.
Resume delivery of
ZZZ U?
interrupted because
the pump battery
was removed. If it is
within 10 minutes
since this
interruption, you
• Change the reservoir now.
delivered.
• To cancel remaining amount of
bolus, select Cancel.
ED
• To resume remaining amount of
bolus, select Resume.
can resume this
bolus.
Resume Dual bolus?
XX of YY U delivered.
Resume delivery of ZZ U
for XX:XX hr?
The Square portion
of Dual Bolus
delivery has been
interrupted. If it is
within 10 minutes
since this
interruption, you
can resume this
bolus.
214
Chapter 12
• Check the message to see how
much of the Dual Wave bolus
was actually delivered.
• To cancel remaining amount of
bolus, select Cancel.
• To resume remaining amount of
bolus, select Resume.
MP6025958-022 / A
Title and text
Explanation
Next steps
Resume Dual bolus?
The Now portion of
a Dual Wave bolus
delivery has been
interrupted because
the pump battery
was removed. If it is
within 10 minutes
since this
interruption, you
can resume this
bolus.
• Check the message to see how
much of the Dual Wave bolus
was actually delivered.
The Square Wave
bolus delivery was
interrupted. If it is
within 10 minutes
since this
interruption, you
can resume this
bolus.
• Check the message to see how
much of the Square Wave bolus
was actually delivered.
The pump has
detected that a
button has been
pressed for an
unusually long time.
• Select OK to clear the alarm.
XX of YY U delivered.
Resume delivery of ZZ U
now, and AA U Square for
XX:XX hr?
Stuck button
Button pressed for more
than 3 minutes
• To cancel remaining amount of
bolus, select Cancel.
• To resume remaining amount of
bolus, select Resume.
• If this alarm occurs again, contact
your local representative for
assistance with your pump.
If you are unable to clear the
alarm:
• Consider another form of insulin,
because your pump is not
delivering insulin.
• Check your BG and treat as
necessary.
• Contact your local representative
for assistance with your pump.
Alarms, alerts, and messages
215
alarms, alerts, and messages
XX of YY U delivered for
XX:XX hr. Resume delivery
of ZZ U for XX:XX hr?
• To resume remaining amount of
bolus, select Resume.
■
Resume Square bolus?
• To cancel remaining amount of
bolus, select Cancel.
MP6025958-022 / A
Title and text
Explanation
Next steps
Wrong key pressed
Wrong button
selected while
unlocking the
pump.
• Select OK to clear the alert.
Try again
• Try to unlock the pump. Select
the highlighted key when
prompted.
For more information, see
Unlocking your pump, on page 26.
CGM (sensor) alarms, alerts, and messages
The following table lists the most common or serious alarms, alerts, and messages
related to your sensor glucose readings, as well as the status of your transmitter
and sensor. The table also explains the meaning, consequences, and the reasons
why these notifications appear, and provides steps for problem resolution.
Title and text
Explanation
Alert before high
Your SG value is
approaching your
specified high limit.
ED
Sensor glucose
approaching High Limit.
Check BG.
Alert before low
Sensor glucose
approaching Low Limit.
Check BG.
216
Chapter 12
Alert on high XXX mg/dL
High sensor glucose.
Check BG.
Next steps
• Select OK to clear the alert.
• Check your BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
Your SG value is
approaching your
specified low limit.
• Select OK to clear the alert.
Your SG value is at
or above your
specified high limit.
• Select OK to clear the alert.
• Check your BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
• Check your BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
MP6025958-022 / A
Title and text
Explanation
Next steps
Alert on low XXX mg/dL
Your SG value is at
or below your
specified low limit.
• Select OK to clear the alert.
Your SG value is at
or below your
specified low limit,
and the pump has
suspended insulin
delivery due to a
Suspend on low or
Suspend before low
event.
• Select OK to clear the alert.
Low sensor glucose.
Check BG.
Basal delivery resumed at
XX:XX after suspend by
sensor. Check BG.
Your pump is
resuming basal
insulin delivery after
a Suspend on low
or Suspend before
low event occurred.
• Select OK to clear the alert.
Your pump is
resuming basal
insulin delivery after
a Suspend before
low or a Suspend
on low event
occurred, because
you have turned off
the Suspend before
low or the Suspend
on low feature.
• Select OK to clear the alert.
Low settings change
caused basal to be
resumed at XX:XX. Check
BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
ED
Basal delivery resumed
Basal delivery resumed
• Check your BG.
alarms, alerts, and messages
Low sensor glucose.
Insulin delivery suspended
since XX:XX. Check BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
■
Alert on low XXX mg/dL
• Check your BG.
• Check your BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
• Check your BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
Alarms, alerts, and messages
217
MP6025958-022 / A
Title and text
Explanation
Next steps
Basal delivery resumed
Your pump is
resuming basal
insulin delivery two
hours after a
Suspend before low
or Suspend on low
event occurred.
• Select OK to clear the alert.
Your pump is
resuming basal
insulin delivery two
hours after a
Suspend before low
or Suspend on low
event occurred.
• Your pump has resumed basal
insulin delivery; however, your SG
value is still at or below your low
limit.
Maximum 2 hour suspend
time reached. Check BG.
Basal delivery resumed
Maximum 2 hour suspend
time reached. SG is still
under Low limit. Check
BG.
Place pump close to
transmitter. Select OK to
resend BG to transmitter.
The transmitter was
unable to receive
the calibration BG
meter readings from
the pump.
Chapter 12
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
• Select OK to clear the alert.
• Check your BG.
• Follow instructions from your
healthcare professional and
continue to monitor your BG.
BG not received
218
• Check your BG.
• Move your pump and transmitter
closer together.
• Select OK. Your pump tries again
to send your BG to your
transmitter for sensor calibration.
MP6025958-022 / A
Next steps
Calibrate now
A BG meter reading
is needed
immediately to
calibrate your
sensor so that you
can continue
receiving sensor
glucose readings.
• Take a BG meter reading and
enter for calibration. After you
receive a Calibrate now alert, it
takes up to 15 minutes after you
calibrate for your pump to
receive SG values. For details, see
Calibrating your sensor, on
page 183.
Check BG and calibrate
sensor.
• If you are unable to calibrate
now, you can use the Snooze
feature. Set the desired time, and
select Snooze. If you do not
calibrate before the Snooze time
is up, the Calibrate Now alert
occurs again.
Calibration not accepted
Recheck BG and calibrate
sensor.
ED
Your system was
unable to use the
BG meter readings
you entered to
calibrate your
sensor.
LE
• Wash and dry hands thoroughly.
See Guidelines for calibrating, on
page 186.
• Enter a new BG meter reading for
calibration as instructed in
Calibrating your sensor, on
page 183. If you receive a
Calibration not accepted alert on
your second calibration, a
Change sensor alert occurs.
• Call your local representative if
you have questions.
Alarms, alerts, and messages
219
alarms, alerts, and messages
Explanation
■
Title and text
MP6025958-022 / A
Title and text
Explanation
Next steps
Cannot find sensor
signal
The pump has not
received a signal
from the
transmitter.
• Disconnect and reconnect your
transmitter and sensor.
Disconnect and reconnect
transmitter, then select
OK. Notice if transmitter
light blinks.
• See if the light on your
transmitter blinks when
connected to the sensor. You
may need this information for
troubleshooting later.
• Select OK. Your pump searches
for your sensor. If your pump
receives a signal from your
sensor, you do not need to do
anything else. If your pump does
not receive a signal from the
sensor, another message appears
to let you know.
Change sensor
Insert new sensor and
Start New Sensor.
Change sensor
Second calibration not
accepted. Insert new
sensor.
Change sensor
Sensor not working
properly. Insert new
sensor.
220
Chapter 12
You selected No in
the Check sensor
insertion message,
indicating that your
sensor is not fully
inserted.
• Select OK to clear the alert.
This alert occurs
when you receive
two Calibration not
accepted errors in a
row.
• Select OK to clear the alert.
Sensor signal is no
longer reliable.
• Select OK to clear the alert.
• Change your sensor. For details,
see your sensor user guide.
• After you change your sensor,
refer to Starting the sensor, on
page 182.
• Change your sensor. For details,
see your sensor user guide.
• Change your sensor. For details,
see your sensor user guide.
MP6025958-022 / A
Title and text
Explanation
Next steps
Check connection
The pump fails to
detect the
transmitter and is
unable to receive
sensor signal.
• Select OK to clear the alert.
Ensure transmitter and
sensor connection is
secure, then select OK.
• If your sensor is fully inserted,
select Yes. If your sensor is not
fully inserted, select No.
■
• If your sensor was not fully
inserted, insert a new sensor.
Transmitter signal
has not been
received for
30 minutes during
or after initialization.
Lost sensor signal
Move Pump closer to
transmitter. May take
15 minutes to find signal.
• Move your pump closer to your
transmitter. It can take up to
15 minutes for your pump to
start communicating with your
transmitter.
ED
• Select OK to clear the alert.
Low battery transmitter
Recharge transmitter
within 24 hours.
Medical device
CALL FOR EMERGENCY
ASSISTANCE. I have
diabetes.
The battery in the
transmitter needs to
be recharged within
24 hours.
• Select OK to clear the alert.
Your pump is
suspended due to
low SG, and you
have not responded
to the alarm within
10 minutes.
• Select Dismiss.
• Recharge your transmitter as
soon as possible.
• Immediately call for emergency
assistance.
Alarms, alerts, and messages
221
alarms, alerts, and messages
• If you still cannot connect your
sensor, see My pump cannot find
the sensor signal, on page 234.
MP6025958-022 / A
Title and text
Explanation
Next steps
No calibration occurred
The transmitter was
unable to receive
the calibration BG
meter readings from
the pump.
• Select OK to clear the alert.
Confirm sensor signal.
Calibrate by XX:XX.
• Check the status bar on your
pump to ensure that your pump
has a signal from your sensor. If
there is no sensor signal, see My
pump cannot find the sensor
signal, on page 234.
• Calibrate again by the time
shown on the pump screen to
ensure you continue SG
monitoring.
No calibration occurred
Confirm sensor signal.
Check BG again to
calibrate sensor.
The transmitter was
unable to receive
the required
calibration BG from
the pump.
• Select OK to clear the alert.
• Take another BG meter reading
and calibrate again.
Calibration is
required by the
system for SG
values to resume.
"Calibration
required" appears
on your sensor
graph.
Possible signal
interference
There may be
interference from
• Move away from other electronic
devices. It can take up to
Move away from
electronic devices. May
take 15 minutes to find
signal.
another electronic
device that is
affecting the
communication
between your
pump and
15 minutes for your pump to
start communicating with your
transmitter.
transmitter.
222
Chapter 12
• Select OK to clear the alert.
MP6025958-022 / A
Title and text
Explanation
Next steps
Rise Alert
Your SG value has
been rising as fast
or faster than your
preset Rise Alert
Limit.
• Select OK to clear the alert.
Sensor alert
occurred when Alert
Silence is on.
• Select OK to clear the alert.
Sensor glucose rising
rapidly.
• Check the Alarm History screen
to see which alerts were silenced.
For more information about
accessing the Alarm History
screen, see Alarm History, on
page 122.
• Select the alert to open the
Alarm Detail screen.
ED
• Take action based on the
selected alert.
Sensor connected
If new sensor, select Start
New. If not, select
Reconnect.
Insert new sensor.
• If you have connected a new
sensor, select Start New Sensor.
The sensor has
been used for
6 days (144 hours).
It has reached the
end of its useful life.
Change your sensor. For details,
see your sensor user guide.
Sensor expired
The transmitter has
detected that you
have connected a
sensor. The pump
needs to know if
this is a new sensor
or if you have
reconnected your
old sensor.
• If you have reconnected a sensor
you have been using, select
Reconnect Sensor.
• In either case, a "warm-up"
messages appears on your Home
screen, and you are prompted to
calibrate your sensor. Your pump
starts receiving your SG values
again after the two-hour
initialization is complete.
Alarms, alerts, and messages
223
alarms, alerts, and messages
Check Alarm History for
silenced alerts.
• Follow instructions from your
healthcare professional.
■
Sensor alert occurred
• Monitor trend and glucose level.
MP6025958-022 / A
Title and text
Explanation
Next steps
Sensor signal not found
The pump has still
not received a
signal from the
transmitter.
When you reconnected the
transmitter to the sensor, did you
see a blinking green light on the
transmitter?
Did transmitter light blink
when connected to
sensor?
• Select Yes or No and follow the
instructions on the screen.
Sensor signal not found
See User Guide.
After multiple
attempts, the pump
failed to detect the
transmitter and is
unable to receive
sensor signal.
• Select OK to clear the alert.
• Repeat the connection process.
Remove the transmitter from the
sensor for about ten seconds,
and then reconnect it to the
sensor.
• It can take up to 15 minutes for
your pump to find the sensor
signal.
• Move your pump closer to your
transmitter to improve reception.
• Make sure you are away from
any electronic devices that might
cause interference, such as
cellular phones and other
wireless devices.
• If your pump still cannot find the
sensor signal, call your local
representative for assistance.
SG value not available
If problem continues, see
User Guide.
The sensor signals
are either too high
or too low.
• Select OK to clear the alert.
• You do not need to change the
sensor. If the alert persists, test
your transmitter with the tester.
Refer to your transmitter user
guide for instructions on testing
the transmitter.
224
Chapter 12
MP6025958-022 / A
Title and text
Explanation
Next steps
Suspend before low
Your SG value is
falling. Insulin
delivery is
suspended
according to your
Suspend before low
setting and your SG
is approaching your
specified low limit.
• Select OK to clear the alert.
Your SG value is at
or below the low
limit you specified.
• Select OK to clear the alert.
Transmitter battery
depleted
The battery in the
transmitter needs to
• Select OK to clear the alert.
Recharge transmitter now.
be recharged. SG
values are not
recorded or
transmitted until
you recharge
transmitter.
Delivery stopped. Sensor
glucose approaching Low
Limit. Check BG.
• Check your BG. If necessary, treat
your BG as directed by your
healthcare professional.
ED
• Recharge your transmitter.
CareLink alert and message
The following table lists the most common or serious alarms, alerts, and messages
related to CareLink. The table also explains the meaning, consequences, and the
reasons why these notifications appear, and provides steps for problem resolution.
Alarms, alerts, and messages
225
alarms, alerts, and messages
Delivery stopped. Sensor
glucose XXX mg/dL.
Check BG.
■
Suspend on low
• Check your BG. If necessary, treat
your BG as directed by your
healthcare professional.
MP6025958-022 / A
Title and text
Explanation
Next steps
Connect Device?
The CareLink USB
software is
attempting to
connect to your
pump in
preparation for data
download.
• Select Yes to allow connection,
only if you are expecting or
performing a data download.
The download of
pump data is taking
• Select OK to clear the alert.
Device with SN
 is trying
to connect to your pump.
Allow connection?
Download slow
Insulin delivery not
affected. CareLink
download may take
longer than usual. Select
OK to continue. See User
Guide.
longer than
expected. Data will
not be affected.
226
Chapter 12
If no selection is made, the
screen will timeout after 30
seconds and will automatically
reject the request.
• Wait for the data to finish
downloading.
• If problem still persists or if there
• Select No to deny connection.
is no progress in download, call
your local representative for
assistance.
MP6025958-022 / A
troubleshooting
MP6025958-022 / A
MP6025958-022 / A
■
This chapter contains procedures and information to help you understand and
address conditions that might occur with your pump.
For a list of alarms, alerts, and messages that may appear on your pump, see Pump
alarms, alerts, and messages, on page 202.
Troubleshooting pump issues
WARNING: If you receive a critical error on your pump, the
following screen displays and the pump sirens.
Immediately disconnect from your insulin pump and discontinue
use. Contact your local representative for assistance.
Remember, your body still needs insulin while your pump is
removed. It is important that you consult your healthcare
professional to determine an alternate method of receiving insulin
while your pump is removed.
Troubleshooting
229
troubleshooting
Troubleshooting
MP6025958-022 / A
What is a Check Settings alarm?
This alarm occurs when a condition causes your pump to reset to factory settings.
You see this alarm after your pump guides you through re-entering the Startup
Wizard settings.
The Check Settings alarm is letting you know that other settings may have been
cleared or reverted to factory default values. Review any settings that you have not
already set in Startup Wizard and re-enter the values, if necessary.
My pump is asking me to rewind
WARNING: Make sure the infusion set is disconnected from your
body before you rewind your pump or fill the infusion set tubing.
Never insert the reservoir into the pump while the tubing is
connected to your body. Doing so could result in an accidental
infusion of insulin, which may cause low BG.
You always rewind your pump when changing the reservoir. Rewinding returns the
piston in the reservoir compartment to its starting position. It is normal for your
pump to ask you to rewind anytime you must remove and replace the reservoir,
such as when resolving an Insulin Flow Blocked alarm or addressing a problem
loading the reservoir.
I dropped my pump
Caution: If your pump has been dropped or you suspect your pump
is damaged, carefully inspect your pump to ensure there are no cracks
before exposing your pump to water.
Do the following:
1.
Check that all connections are still tightly in place.
2.
Check the display, button area, and pump case for cracks or damage.
3.
Check the infusion set, including the tubing connector and tubing for cracks
or damage.
4.
Review the status screen, basal rates and other pump settings.
5.
Perform the Self Test procedure by going to:
230
Chapter 13
MP6025958-022 / A
Menu > Utilities > Self Test
For details, see Self Test, on page 145.
6.
If the Self Test does not complete successfully, or if you are concerned about
your pump, call your local representative for assistance and check your BG.
I cannot get to the Manage Settings screen
■
If you go to Menu > Utilities > Manage Settings, a message appears telling you
that the feature is not normally accessible and to consult your user guide. To
access the Manage Settings screen:
Menu > Utilities > Manage Settings
2.
Simultaneously press and hold and
for about two seconds. The Manage
Settings screen appears. For more information, see Managing your pump
settings , on page 142.
My pump display times out too quickly
Your pump display times out after 15 seconds by default in order to conserve
battery power. You can increase this setting up to three minutes. Go to Menu >
Utilities > Display Options, and then adjust the Backlight setting as desired. For
more information, see Display Options, on page 141.
Note: Be aware that using a longer Backlight time causes your pump to
use more battery power. When your pump battery is low, the timeout for
the backlight on your pump screen is automatically reduced.
Where is my pump status screen?
1.
To go to the Status screen, highlight and select the status bar at the top of
your Home screen.
Troubleshooting
231
troubleshooting
1.
MP6025958-022 / A
17:00
BG
110
mg/dL
Active Insulin
Bolus
1.0 U
Basal
The Status screen appears.
2.
From the Status screen, you can select the type of status information you
want to view. For example, to see a quick status of your pump and recent
insulin deliveries, go to Quick Status. For details, see Status screens, on page 31.
My pump is asking me to L
enter my settings
Certain pump errors can clear your settings and return them to their factory
default values. This also happens if you intentionally clear your settings. Do not
clear your settings unless directed to do so by your healthcare professional.
If you have saved your settings using the Save Settings option, you can restore
them using the Restore Settings option. If you restore your settings, ensure the
restored settings match the settings prescribed most recently by your healthcare
professional.
The Startup Wizard appears automatically when your pump restarts. The wizard
guides you through entering the following information. Be sure to have these
values ready when you begin.
•
Time format, time, and date
•
Carb unit
•
Active Insulin Time
232
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MP6025958-022 / A
•
Basal patterns
After you enter your pump settings, you have the option of entering the following
Bolus Wizard settings:
•
Carb ratio or Exchange ratio
•
Insulin sensitivity factor
•
BG target
■
To enter your pump settings:
Begin entering your settings by selecting your language. Click Next to go to
each new screen.
2.
When the Select Time Format screen appears, select a 12-hour or a 24-hour
time format.
3.
When the Enter Time screen appears, adjust the setting to the current time. If
you are using a 12-hour clock, be sure to specify AM or PM.
4.
When the Enter Date screen appears, adjust the Year, Month and Day to the
current date.
5.
When the Select Carb Unit screen appears, select Grams or Exchanges as the
unit your pump uses to display carbohydrate information.
6.
When the Active Insulin Time screen appears, enter the Duration.
For details, see About active insulin, on page 71.
7.
Enter your first basal rate by entering the End time and the Rate. You can
enter more basal patterns after you complete the startup wizard.
For details, see Adding a new basal pattern, on page 42.
After you complete your basal pattern, a screen appears to allow you to
review your basal information.
8.
When the message appears asking if you want to setup the Bolus Wizard
settings, do one of the following:
•
Select Yes to continue entering your settings, then continue to the next
section.
•
Select No if you do not want to enter your Bolus Wizard settings. A
message appears letting you know that your settings are complete. Select
OK to continue using your pump.
Troubleshooting
233
troubleshooting
1.
MP6025958-022 / A
To enter your Bolus Wizard settings:
1.
When your pump shows a list of settings for the Bolus Wizard, make sure you
have the values you need before continuing.
2.
Depending on the Carb Unit you set earlier, either the Carb Ratio or the Exch
Ratio screen appears. Enter your carb ratio or exchange ratio by entering the
End time and the Rate. You can adjust your carb or exchange ratio at any
time.
For details, see Changing your carb or exchange ratio, on page 69.
3.
When the Edit Sensitivity screen appears, enter your insulin sensitivity factor
by entering the End time and the mg/dL per unit. You can adjust your insulin
sensitivity factor at any time.
For details about entering insulin sensitivity factors, including how to set
multiple time periods, see Changing your insulin sensitivity factor, on page 70.
4.
When the BG Target screen appears, enter your BG Target range by entering
the End time and your Lo (low) and Hi (high) limits. You can adjust your BG
Target ranges at any time.
For details, see Changing your Bolus Wizard BG target, on page 70.
A message appears confirming that your setup is complete.
5.
Select Next to display the Home screen, and continue using your pump.
Troubleshooting sensor issues
My pump cannot find the sensor signal
If your pump cannot find the sensor signal after you connect your sensor and
transmitter, follow the instructions on the pump screen to troubleshoot the issue
as described below.
If your pump finds the sensor signal at any time during troubleshooting, your
pump beeps or vibrates, and "Warm up" appears on your sensor graph. It can take
up to two hours for your sensor to warm up.
234
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MP6025958-022 / A
Note: If you are using Alert Silence and currently have all sensor alerts
silenced, your pump does not display the troubleshooting screens. Any
glucose alerts you received are displayed in the Alarm History screen.
1.
Make sure your setup meets the following requirements:
•
Your transmitter is fully charged.
You have only one transmitter connected to your pump.
Delete the current transmitter that is connected to your pump before
continuing. For details, see Deleting the transmitter from your pump, on
page 181.
•
Your transmitter is placed next to your pump.
•
Your transmitter is reconnected to the pump, if your pump has been
recently reset. For details, see Wirelessly connecting your pump and
transmitter using Auto Connect, on page 175.
•
The Airplane Mode is turned off on your pump.
•
You have applied the tape correctly, as instructed in the sensor user
guide.
2.
Disconnect the transmitter from the sensor for at least 10 seconds.
3.
While the light on the transmitter is blinking, reconnect the transmitter with
the sensor to restart communication and select OK on the pump to
acknowledge the alert.
4.
Depending on whether the light blinked when you connected the transmitter
to the sensor, select Yes or No on your pump and do one of the following:
Troubleshooting
235
troubleshooting
•
■
If both lights on the charger are off, your transmitter is fully charged. For
details, see your transmitter user guide.
MP6025958-022 / A
•
If the transmitter light did not blink, you need to charge your transmitter.
When your transmitter is charged, start your sensor. For details, see
Starting the sensor, on page 182.
•
If your transmitter light blinked, but you still have no sensor signal,
continue to the next step.
5.
Move your pump closer to your transmitter and select OK. It can take up to
15 minutes for your pump to find the sensor signal.
6.
If your pump still cannot find the sensor signal, make sure you are away from
any electronic devices that might cause interference, such as cellular phones
and other wireless devices, and select OK.
7.
If you have gone through all the troubleshooting steps on your pump screen,
and your pump still cannot find the sensor signal, or if your sensor graph
displays "Sensor signal not found. See User Guide," call your local
representative for assistance.
Calibration not accepted
Calibration not accepted alert occurs when one of the following happens:
•
System was unable to use the BG meter readings you entered to calibrate
your sensor.
•
System rejects two calibrations in a row from the same sensor.
•
The transmitter was unable to receive the calibration BG meter readings from
the pump due to failed sensor signal.
For details on when and how to calibrate your sensor, see Calibrating your sensor,
on page 183.
Why does the SmartGuard suspend by sensor icon on my Home screen
appear gray?
The SmartGuard suspend by sensor icon appears gray
on the Home screen
when either the Suspend on low or Suspend before low feature is unavailable. The
suspend features may be unavailable due to the following conditions:
•
236
A suspend event has occurred recently.
Chapter 13
MP6025958-022 / A
After a Suspend before low or Suspend on low event occurs, there is a period
of time when the suspend functionality is unavailable. This time will vary
depending on whether or not you respond to the suspend event. Typically,
the suspend features will be unavailable for 30 minutes after your basal insulin
delivery is resumed. For details, see When Suspend before low is unavailable, on
page 159 or When Suspend on low is unavailable, on page 162.
No SG values are available.
■
•
SG values may be unavailable because:
Your pump is in Airplane Mode.
For more information, see Airplane Mode, on page 137.
•
Sensor calibration is required.
For details on when and how to calibrate your sensor, see Calibrating your
sensor, on page 183.
•
Your pump has lost connection to the sensor.
Move your pump closer to the sensor. For more details, see My pump
cannot find the sensor signal, on page 234.
•
The sensor glucose value received was outside the expected range and
was not displayed.
Select OK to clear the alert. If the issue continues, you may need to
replace the sensor.
If the issue persists, call your local representative for assistance.
Troubleshooting
237
troubleshooting
•
MP6025958-022 / A
238
Chapter 13
MP6025958-022 / A
maintenance
MP6025958-022 / A
MP6025958-022 / A
■
maintenance
Maintenance
Read your warranty statement included with your pump for information about
what is covered during your warranty period.
Cleaning your pump
Caution: Never use organic solvents, such as lighter fluid, nail polish
remover, or paint thinner to clean your pump. Never use lubricants
with your pump. When cleaning your pump, be sure to keep the
reservoir compartment dry and away from moisture.
Make sure you have the following supplies ready for cleaning your pump: three or
four small, clean, soft cloths, a mixture of water with a mild detergent, clean water,
70% alcohol, and a few clean cotton tips and cotton balls.
To clean your pump:
1.
Dampen a cloth with water mixed with a mild detergent.
2.
Using the cloth, wipe the outside of the pump.
3.
Dampen a clean cloth with water and wipe to remove any detergent residue.
4.
Dry with a clean cloth.
5.
Wipe your pump with a 70% alcohol wipe for disinfection.
6.
Using a dry clean cotton tip, remove any battery residue from the battery cap.
7.
Using a dry clean cloth, remove any battery residue from the battery
compartment opening.
Maintenance
241
MP6025958-022 / A
Cleaning your transmitter
Always refer to your transmitter user guide for instructions on cleaning the
transmitter.
Storing your pump
Storage mode allows you to safely place your pump in storage while not in use.
Note: If you place your pump in storage mode, it is important to insert a
new AA battery for 8 to 12 hours every six months to recharge the
internal power source.
WARNING: Active insulin is now cleared. Any active insulin tracked
prior to the pump entering storage mode is not included in any
new Bolus Wizard calculations.
Placing your pump in storage mode:
1.
Remove the AA battery from the pump. For details, see Removing the battery,
on page 23.
Note: When you remove the battery, your pump issues an Insert
Battery alarm for 10 minutes or until you place your pump into
storage mode.
2.
Press and hold
until your screen turns off.
Caution: Store your pump at room temperature. While in
storage, the pump should never be exposed to temperatures
above 35°C (95°F).
Waking your pump from storage mode
1.
242
Insert a new AA battery into your pump. For details, see Inserting the battery,
on page 22.
Chapter 14
MP6025958-022 / A
A Pump Error message appears.
2.
Select OK.
Your pump displays a Power Loss alarm.
3.
Select OK.
The Time & Date screen appears.
Enter the current Time, Time Format and Date.
5.
Select Save.
■
4.
6.
Select OK.
Make sure that all of your settings, such as basal rate, are set as desired. If you
need to, reapply your last saved settings by using the Restore Settings option
as instructed in Restoring your settings, on page 143.
Storing your transmitter
Always refer to your transmitter user guide for instructions on storing your
transmitter.
Maintenance
243
maintenance
Your pump displays an Active Insulin Cleared alert.
MP6025958-022 / A
244
Chapter 14
MP6025958-022 / A
product specifications and safety information
MP6025958-022 / A
MP6025958-022 / A
Product specifications
This section provides detailed information on product specifications.
Alarm and alert escalation
The following alerts may escalate to a siren:
• Alert before high
• Alert before low
• Alert on high
• Check connection
• Lost sensor signal
• No calibration occurred
• Alert on low
• Possible signal interference
• Basal delivery resumed
• Rise Alert
• BG not received
• Sensor expired
• Calibration not accepted
• Sensor signal not found
• Calibrate now
• SG value not available
• Cannot find sensor signal
• Suspend before low (only if Alert before low is on)
• Change sensor
• Transmitter battery depleted
Product specifications and safety information
247
product specifications and safety information
This chapter provides detailed product specifications and safety information.
■
Product specifications and safety
information
MP6025958-022 / A
Minutes from
Audio
Audio and
alarm or
Vibration
vibration
alert
Audio
Audio and vibrate
Vibrate
Audio
Audio and vibrate
Vibrate
Audio
Audio and vibrate
Vibrate
Audio
Audio and vibrate
Vibrate
Audio
Audio and vibrate
Vibrate
Audio
Audio and vibrate
Vibrate
Audio and vibrate
Audio and vibrate
Audio and vibrate
Audio and vibrate
Audio and vibrate
Audio and vibrate
Audio and vibrate
Audio and vibrate
Audio and vibrate
Audio and vibrate
Audio and vibrate
Audio and vibrate
10
Siren and vibrate
Siren and vibrate
ED
Siren and vibrate
Note: The Medical device alarm sirens immediately.
Altitude range
•
Pump operating range is from 70.33 kPa (10.2 psiA) to 106.18 kPa (15.4 psiA)
•
Storage range is from 49.64 kPa (7.2 psiA) to 106.18 kPa (15.4 psiA)
Audio frequency
The following table lists the various audible tones and their corresponding
frequencies:
Tone name
Frequency tolerance (+/- 1%)
Alarm
1655 Hz followed by 3310 Hz
Alternate Alarm
1850 Hz
Siren (escalated alarm)
1655 Hz, followed by 3310 Hz
Alert
934 Hz
248
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MP6025958-022 / A
High Sensor Glucose
1312 Hz, followed by 1410 Hz, 1500 Hz, 1619 Hz,
1722 Hz
Low SG
1722 Hz, 1619 Hz, 1500 Hz, 1410 Hz, 1312 Hz
Lost SG
1485 Hz, followed by 1395 Hz, 1320 Hz, 1395 Hz
Message tone
1655 Hz
Reminder tone
934 Hz
Fill tubing tone
1850 Hz
Bolus delivery cancellation tone
1485 Hz, followed by 1655 Hz and 1485 Hz
Loading complete tone
934 Hz
Reservoir loading in progress
tone
1850 Hz
Easy Bolus activation
1045 Hz
Easy Bolus step 1 increment
1175 Hz
Easy Bolus step 2 increment
1320 Hz
Easy Bolus step 3 increment
Easy Bolus step 4 increment
Easy Bolus step 5 increment
product specifications and safety information
Frequency tolerance (+/- 1%)
■
Tone name
1395 Hz
1570 Hz
1760 Hz
Backlight
Type
LED (Light-emitting Diode)
Time out
15 seconds (default), 30 seconds, one minute,
three minutes
Time out when battery is low
15 seconds (default), 30 seconds
Basal delivery
Delivery rate range
0 to 35 units per hour or the Max Basal Rate
amount, whichever is lower.
Max Basal Rate default
2 units per hour
Product specifications and safety information
249
MP6025958-022 / A
Basal patterns
Maximum of 8 patterns. Each pattern covers a
24 hour period and can have up to 48 rates. Rates
are set in 30 minute increments.
Basal pattern names
Fixed names: Basal 1, Basal 2, Basal 3, Basal 4, Basal 5,
Workday, Day Off, Sick Day
Increments
• 0.025 units per hour for basal amounts in the
range 0 to 0.975 units
• 0.05 units per hour for basal amounts in the range
1 to 9.95 units
• 0.1 units per hour for basal amounts of 10 to
35 units
BG Target
Maximum targets
Range
60 to 250 mg/dL
Default value for High BG
targets and Low BG targets
None
BG meter value
The most recent BG value received from the meter. If you are using a compatible
Bayer meter, this value appears on the Home screen when the Sensor feature is
off. This value also appears in the Bolus Wizard screen when setting up a bolus.
Expiration
12 minutes
Range
20 to 600 mg/dL
Bolus delivery
Bolus Speed options
• Standard: 1.5 units/minute
• Quick: 15 units/minute
Bolus programming increments
• 0.025 units
• 0.05 units
• 0.1 units
250
Chapter 15
MP6025958-022 / A
Fluid delivered/stroke
• 0.25 μL (microliter) for 0.025 unit pump stroke
• 0.5 μL for 0.05 unit pump stroke
• 2.0 μL for 0.2 unit pump stroke
Bolus Wizard feature default settings
Default
Limits
Increments
Carb units
grams
Insulin to carb (or
exchange) ratio
None
1–200 g/u
(0.075–15.0
u/exch)
0.1 g/u for 1–9.9 g/u;
1 g/u for ratios of 10 g/u to
200 g/u
(0.001 u/exch for
0.075–0.099 u/exch
0.01 u/exch for 0.10–9.99 u/exch;
0.1 u/exch for 10–15 u/exch)
Insulin Sensitivity
Factor
None
5–400 mg/dL
1 mg/dL
BG Target
None
60–250 mg/dL
1 mg/dL
Active Insulin
Time
6 hours
2 to 8 hours
15 minutes
EA
Bolus Wizard featureR
specifications
There are four different formulas the Bolus Wizard feature uses to estimate a bolus,
depending on your current BG. The following formulas apply only when the carb
units are in grams.
1.
If your current BG is greater than your High BG Target, the Bolus Wizard
feature subtracts active insulin from the BG correction estimate, then adds this
to the food estimate to get the total bolus estimate. However, if the result of
subtracting active insulin from BG correction estimate is a negative number
(less than zero), the total bolus estimate is based only on the food estimate.
Product specifications and safety information
251
product specifications and safety information
■
Item
MP6025958-022 / A
(food estimate)
total bolus
estimate =
(correction estimate)
C-D
- active insulin
where: A = food (grams)
B = carb ratio
C = current BG
D = High BG Target
E = insulin sensitivity
Food estimate:
Carb grams ÷ Carb ratio = Units of insulin
Correction estimate:
(Current BG - High BG Target) ÷ Insulin sensitivity - Active insulin = Units of
insulin
Total bolus estimate:
Food estimate + Correction estimate = Units of insulin
2.
If your current BG is less than your Low BG Target, the Bolus Wizard feature
adds the BG correction estimate to the food estimate to get the total bolus
estimate.
(food estimate)
total bolus
estimate =
(correction estimate)
C-D
where: A = food (grams)
B = carb ratio
C = current BG
D = Low BG Target
E = insulin sensitivity
Food estimate:
Carb grams ÷ Carb ratio = Units of insulin
Correction estimate:
(Current BG - Low BG Target) ÷ Insulin sensitivity = Units of insulin
Total bolus estimate:
252
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MP6025958-022 / A
Food estimate + Correction estimate = Units of insulin
3.
If your current BG is between or equal to your High or Low BG Target, the
total bolus estimate is based only on the food estimate.
(food estimate)
food (grams)
■
total bolus
estimate =
carb ratio
Carb grams ÷ Carb ratio = Units of insulin
Note: When the current BG is below the Low BG Target, an active
insulin amount is not considered in the Bolus Wizard feature
calculations.
Total bolus estimate = Food estimate
4.
If you do not enter a BG, the total bolus estimate is based only on the food
estimate.
Following are some notes about using the Bolus Wizard:
•
If a Dual Wave bolus is less than the estimate due to the Max Bolus limit or a
change that you make, the Square portion is reduced first.
•
Based on the Active Insulin Time setting you choose, your pump keeps track
of how much insulin is still active in your body. This is shown as Active Insulin
or Act. Ins. on the Home screen, Bolus screen, Manual Bolus screen, Preset
Bolus, and Daily History screens. This prevents stacking of insulin, and lowers
the chances of hypoglycemia.
•
The Bolus Wizard feature may utilize your current BG measurement,
carbohydrate consumption, and active insulin to calculate your estimated
bolus.
•
Active Insulin Curve
Product specifications and safety information
253
product specifications and safety information
Food estimate:
MP6025958-022 / A
Active Insulin Curve
100%
90%
8 Hour
80%
7 Hour
6 Hour
5 Hour
% Insulin Remaining
70%
4 Hour
3 Hour
2 Hour
60%
50%
40%
30%
20%
10%
0%
Time (hours)
Graph adapted from Mudaliar and colleagues, Diabetes Care, Volume 22,
Number 9, Sept. 1999, page 1501.
Carb ratios
Maximum ratio settings
Range
1 to 200 grams/unit
0.075 to 15 units/exch
Delivery accuracy
•
Delivery accuracy: ±5%.
•
All Normal boluses are delivered within 50 minutes ±3 seconds at Standard
rate (75 units, at 1.5 units per minute), and within 5 minutes ±3 seconds at
Quick rate (75 units, at 15 units per minute).
•
The maximum infusion pressure generated and the occlusion threshold
pressure is 86.12 kPa (12.49 psi). The bolus volume generated is 0.01225 mL.
•
The following is a representative delivery accuracy curve.
254
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MP6025958-022 / A
Trumpet Curve for MMT−1511/1512
25
20
10
■
product specifications and safety information
Percent Error [%]
15
−5
−10
−15
−20
10
30
20
40
50
60
Overall Error
Maximum Error
Minimum Error
70
80
90
100
Observation Window [Minutes]
Easy Bolus
Allows user to set up and deliver a Normal Bolus when the pump is in Sleep
Mode. This is done using the and with the help of audio and vibration cues.
Audio mode range
0 to 20 increments or Max Bolus limit, whichever
comes first
Vibrate mode range
0 to 20 increments or Max Bolus limit, whichever
comes first
Default step size
0.1 unit
Adjustable step size
0.1 to 2 units per increment up to Max Bolus limit
Environmental conditions
•
Pump operating temperature range is from 5°C (41°F) to 40°C (104°F).
•
Air pressure range is from 10.2 psi to 15.4 psi (700 hPa to 1060 hPa).
Product specifications and safety information
255
MP6025958-022 / A
•
Operating humidity range of the case: 20% to 90%.
This requirement exceeds IEC 60601-1, subclause 7.9.3.1 (30% to 75%).
Filling the infusion set and cannula
•
The cannula can be filled from 0.025 units to 5.1 units, in increments of
0.025 units.
•
The standard fill rate is 1.5 units per minute.
The quick fill rate is 15 units per minute.
•
When filling the tubing, a warning occurs at 30 units, and thereafter at every
10 units.
•
Insulin used to fill the infusion set is recorded in the Daily History.
Infusion pressure
The maximum infusion pressure and occlusion pressure is 86.12 kPa (12.49 psi).
Insulin delivery default settings
Bolus settings
EA
Item
Default setting
Limits
Increments
Bolus Wizard
feature:
Off
Easy bolus:
Off
Easy bolus step
size:
0.1 U
0.1 U to 2 U
Bolus increment:
0.10 U
0.025 U
0.05 U
EL
0.10 U
Dual/Square
bolus:
Off
Max bolus:
10 U
0 to 75 U (per
single bolus)
Bolus BG Check
Reminder:
Off
0:00 to 5:00
0:30
256
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MP6025958-022 / A
Basal settings
Limits
Increments
Max Basal Rate
2 U/h
0–35 U/h
0.025 U for
0.025–0.975 U/h
0.05 U for 1.00–9.95 U/h
0.1 U for rates of 10.0 U/h
or more
Basal Rate
0.000 U/h
0.000 U/h to Max
Basal Rate setting
0.025 U for
0.025–0.975 U/h
0.05 U for 1.00–9.95 U/h
0.1 U for rates of 10.0 U/h
or more
Temp Basal Type
Percent
Percent, Rate
N/A
Temp Basal
Percent
100%
0-200%
5%
Temp Basal Rate
Current basal
rate
0.0 U/hr to Max
Basal Rate
ED
0.025 U for
0.025–0.975 U/h
0.05 U for 1.00–9.95 U/h
0.1 U for rates of 10.0 U/h
or more
Insulin sensitivity factor
Maximum settings
Default
None. Insulin sensitivity is set during Startup of the Bolus
Wizard.
Range
5 to 400 mg/dL/unit
Low Reservoir reminder
The values are based on displayed amount, not actual amount.
Product specifications and safety information
257
product specifications and safety information
Default setting
■
Item
MP6025958-022 / A
Alert
Alert range
Increment
type
Default
value
Time
First reminder occurs at 2 to 24 hours. Second
reminder occurs one hour before empty. The
30 min
8 hours
1 unit
20 units
second reminder is automatic and cannot be
changed by the user.
Units
First reminder occurs at 5 to 50 units. Second
reminder occurs at 50 percent of the
remaining specified amount. The second
reminder is automatic and cannot be changed
by the user.
Max Bolus
Range
0 to 75 units
Default
10 units
Normal bolus
Range is 0.025 to 75 units of insulin, and limited by the Max Bolus setting.
Occlusion detection
When occlusion is detected, the Insulin flow blocked alarm occurs. The occlusion
alarm is triggered by an average of 2.23 units of missed insulin (standard bolus) or
1.97 units of missed insulin (quick bolus). The MiniMed pump is intended for use
with U100 insulin. This table shows occlusion detection for four different situations
when using U100 insulin.
Rate
Minimum time
Average time
Maximum time
before alarm
before alarm
before alarm
bolus delivery (10 units at
standard speed)
71 seconds
95 seconds
136 seconds
bolus delivery (10 units at
quick speed)
9 seconds
10 seconds
14 seconds
basal delivery (1.0 u/h)
2.00 hours
2.50 hours
3.80 hours
basal delivery (0.025 u/h)
123.38 hours
142.03 hours
178.33 hours
258
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MP6025958-022 / A
Percent temp basal
The default value is 100 percent of basal programming.
Range
0 to 200%
Default
100% of basal programming
Increment
5%
■
A single fault condition will cause the pump to suspend insulin delivery. Maximum
infusion with a single fault condition is 0.2 units.
Pump dimensions
The MMT-1512 pump dimensions in inches are approximately
2.1 width x 3.34 length x 0.96 depth.
The MMT-1512 pump dimensions in centimeters are approximately 5.3 width x 8.5
length x 2.44 depth.
The MMT-1712 pump dimensions in inches are approximately
2.1 width x 3.78 length x 0.96 depth.
The MMT-1712 pump dimensions in centimeters are approximately 5.3 width x 9.6
length x 2.44 depth.
Pump memory
User settings and pump history are stored in non-volatile memory which will retain
data. The memory size will hold 90 days of pump history before it becomes full
and has to be written over. This means that at any time the user can review a
maximum of 90 days of history.
Pump weight
The mass of the MiniMed 640G insulin pump (MMT-1512) is approximately 91.9
grams.
The mass of the MiniMed 640G insulin pump (MMT-1712) is approximately 95.7
grams.
Product specifications and safety information
259
product specifications and safety information
Program safety checks
MP6025958-022 / A
Sensor default settings
High sensor settings
Item
Default
Limits
Increments
setting
High SG alert
limit
250 mg/dL
100 to 400 mg/dL
5 mg/dL
Alert before high
Off
Alert on high
Off
Time before high
15 minutes
5 to 30 minutes
5 minutes
Rise Alert
Off
Rise Limit
Two up
arrows
• 1up arrow
(1 mg/dL/min)
• 2 up arrows
(2 mg/dL/min)
• 3 up arrows
(3 mg/dL/min)
• Custom limit
(1.0 to 5.0 mg/dL/min)
High Snooze
Item
1 hour
Default
5 minutes to 3 hours
5 minutes
Low sensor settings
Limits
Increments
setting
Low SG alert
limit
60 mg/dL
50 to 90 mg/dL
5 mg/dL
Suspend before
low
Off
Suspend on low
Off
Alert before low
Off
Alert on low
Off
Low Snooze
20 minutes
5 minutes to 1 hour
5 minutes
260
Chapter 15
MP6025958-022 / A
Low sensor settings
Item
Default
Limits
Increments
setting
Resume basal
alert
Off
■
product specifications and safety information
Product specifications and safety information
261
MP6025958-022 / A
Guidance and manufacturer's declaration
Guidance and Manufacturer's Declaration - Electromagnetic Emissions
The MiniMed 640G insulin pump is intended for use in the electromagnetic
environment specified below. The customer or the user of the MiniMed insulin
pump should make sure that it is used in such an environment.
Emissions Test
Compliance
RF emissions
• 6 dB and 99%
Bandwidths: Pass
Test: 47 CFR Part 15,
Subpart C Section
15.247(a)(2)/RSS-210
FHSS– DAOO-705,
DTS-KDB 558074,
ANSI C63.4, RSS-Gen,
FCC Part 15 Section
15.109, Class B/ANSI
c63.4 (2009)
• Maximum Output
Power: Pass
RF emissions
Class B
EN55011 (2009)+A1
RTCA DO 160G (2010)
20.5 and 21.5
ARIB STD-T66
262
Chapter 15
• TX Spurious
Emissions: Pass
• Power Spectral
Density: Pass
Complies
Complies
The MiniMed insulin pump must emit
electromagnetic energy in order to
perform its intended function. Nearby
electronic equipment may be
affected.
Electromagnetic Environment Guidance
The MiniMed insulin pump is suitable
for use in all establishments,
including domestic and those directly
connected to the public low-voltage
power supply network that supplies
buildings used for domestic purposes.
MP6025958-022 / A
Guidance and Manufacturer's Declaration - Electromagnetic Immunity
The MiniMed 640G insulin pump is intended for use in the electromagnetic
environment specified below. The customer or the user of the MiniMed insulin
pump should assure that it is used in such an environment.
Immunity Test
±15 kV air
IEC 61000-4-2
Electrical fast transient/
burst
±2 kV for power
supply lines
IEC 61000-4-4
±1 kV for input/
output lines
Surge
±1 kV line(s) to
line(s)
IEC 61000-4-5
±30 kV air
(<5% relative
humidity)
For use in a typical
domestic, commercial,
or hospital
environment.
Not applicable
Requirement does not
apply to this battery
powered device.
ED
Not applicable
Requirement does not
apply to this battery
powered device.
Not applicable
(>95% dip in UT
Requirement does not
apply to this battery
) for 0.5 cycle
powered device.
±2 kV line(s) to
earth
Voltage dips, short
interruptions and
voltage variations on
power supply lines
Electromagnetic
Environment Guidance
<5% UT
IEC 61000-4-11
Power frequency
(50/60 Hz) magnetic
field
IEC 61000-4-8
400 A/m
(continuous
field at 60
seconds)
400 A/m
4000 A/m (short
duration at 3
seconds)
4000 A/m
Power frequency
magnetic fields should
be at levels
characteristic of a
typical location in a
typical commercial or
hospital environment.
Note: UT is the a.c. mains voltage prior to application of the test level.
Product specifications and safety information
263
product specifications and safety information
±8 kV contact
Compliance
Level
■
Electrostatic discharge
(ESD)
IEC 60601 Test
Level
MP6025958-022 / A
Guidance and Manufacturer's Declaration - Electromagnetic Immunity
The MiniMed 640G insulin pump is intended for use in the electromagnetic
environment specified below. The customer or user of the MiniMed insulin pump
should assure that it is used in such an electromagnetic environment.
Immunity
Test
IEC 60601
Level
Compliance
Level
Electromagnetic Environment
Guidance
Portable and mobile RF
communications equipment should
be used no closer to any part of the
MiniMed insulin pump, including
cables, than the recommended
separation distance calculated from
the equation applicable to the
frequency of the transmitter.
264
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MP6025958-022 / A
Guidance and Manufacturer's Declaration - Electromagnetic Immunity
The MiniMed 640G insulin pump is intended for use in the electromagnetic
environment specified below. The customer or user of the MiniMed insulin pump
should assure that it is used in such an electromagnetic environment.
IEC 61000-4-3
80 MHz to
800 MHz
10 V/m
80 MHz to
800 MHz
10 V/m
800 MHz to
2.5 GHz
10 V/m
800 MHz to 6
GHz
Recommended separation distance
d = [12/E1] P 80 MHz to 800 MHz
d = [23/E1] P 800 MHz to 6 GHz
Where P is the maximum output
power rating of the transmitter in
watts (W) according to the
transmitter manufacturer and d is the
recommended separation distance in
meters (m).
EA
EL
Field strengths from fixed RF
transmitters, as determined by an
electromagnetic site surveya, should
be less than the compliance level in
each frequency rangeb.
Interference may occur in the vicinity
of equipment marked with the
following symbol:
Note: At 80 MHz and 800 MHz, the higher frequency range applies.
Note: These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption, and reflection from structures, objects and people.
Note: The table is per IEC (EN) 60601-1-2 Edition 3.
Product specifications and safety information
265
product specifications and safety information
10 V/m
■
Radiated RF
MP6025958-022 / A
Guidance and Manufacturer's Declaration - Electromagnetic Immunity
The MiniMed 640G insulin pump is intended for use in the electromagnetic
environment specified below. The customer or user of the MiniMed insulin pump
should assure that it is used in such an electromagnetic environment.
aField
strengths from fixed transmitters, such as base stations for radio (cellular/
cordless) telephones and land mobile radios, amateur radio, AM and FM radio
broadcasts and TV broadcast cannot be predicted theoretically with accuracy. To assess
the electromagnetic environment due to fixed RF transmitters, an electromagnetic site
survey should be considered. If the measured field strength in the location in which
the MiniMed insulin pump is used exceeds the applicable RF compliance level above,
the insulin pump should be observed to verify normal operation. If abnormal
performance is observed, additional measures may be necessary, such as re-orienting or
relocating the MiniMed insulin pump.
bOver
the frequency range 150 kHz to 80 MHz, field strengths should be less than 10
V/m.
266
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MP6025958-022 / A
Recommended separation distances between the MiniMed 640G insulin
pump and common household radio transmitters
Household RF
Transmitter
Frequency
Recommended
Separation
Distance (meter)
Recommended
Separation
Distance (inch)
Cordless Household
2.4 GHz
0.3
12
Cordless Household
5.8 GHz
0.3
12
TDMA-50 Hz (cell phone)
1.9 GHz
0.3
12
TDMA-50 Hz (cell phone)
800 MHz
0.3
12
PCS (cell phone)
1.9 MHz
0.3
12
DCS (cell phone)
1.8 MHz
0.3
12
GSM (cell phone)
900 MHz
0.3
12
GSM (cell phone)
850 MHz
0.3
12
CDMA (cell phone)
800 MHz
0.3
12
Analog (cell phone)
824 MHz
0.3
12
CDMA (cell phone)
1.9 MHz
0.3
12
2.4 GHz
39.5
802.11g
2.4 GHz
39.5
802.11n
2.4 GHz
39.5
Bluetooth 500 kb/s
2.4 GHz
0.1
3.93
ZigBee 250 kb/s
2.4 GHz
0.1
3.93
Telephones
Product specifications and safety information
product specifications and safety information
802.11b
■
WiFi Networks
267
MP6025958-022 / A
Recommended separation distances between portable and mobile RF
communications equipment and the MiniMed 640G insulin pump
The insulin pump is intended for use in an electromagnetic environment in which
radiated RF disturbances are controlled. The customer or user of the MiniMed
insulin pump can help prevent electromagnetic interference by maintaining a
minimum distance between portable and mobile RF communications equipment
(transmitters) and the MiniMed insulin pump as recommended below, according to
the maximum output power of the communications equipment.
Rated maximum output
power of transmitter (W)
Separation distance according to the frequency of
transmitter (m)
80 MHz to 800 MHz
800 MHz to 6 GHz
d=1.2 P
d=2.3 P
0.01
0.12
0.23
0.1
0.38
0.73
1.2
2.3
10
3.8
7.3
12
23
ED
100
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in meters (m) can be estimated using the equation applicable to
the frequency of the transmitter, where p is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.
Note: At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
Note: These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
Wireless communication
Quality of service
The CGM transmitter and MiniMed insulin pump are associated as part of an
802.15.4 network for which the pump functions as the coordinator and the CGM
transmitter as an end node. In an adverse RF environment the MMT-1512/1712
pump will assess channel changing needs based on "noise" levels detected during
268
Chapter 15
MP6025958-022 / A
an energy scan. The pump will perform the energy scan if after 10 minutes no
CGM transmitter signal has been received. If the channel change occurs the pump
will send beacons on the new channel.
product specifications and safety information
In normal operation the CGM transmitter will transmit a packet every 5 minutes
and retransmit the packet if the data is corrupted or missed.
Radio frequency (RF) communications specifications
Utilizes the IEEE 802.15.4 protocol with the proprietary data format.
Pump frequency
2.4 GHz; proprietary Medtronic protocol; range up to
1.8 meters (6 feet).
Maximum output
power (EIRP)
-1.59 dBm
Operating frequencies
2420 MHz, 2435 MHz, 2450 MHz, 2465 MHz, 2480 MHz
Bandwidth
5 MHz which is allocated channel bandwidth per the IEEE
protocol
Data security
The MiniMed 640G insulin pump is designed to only accept radio frequency (RF)
communications from recognized and linked devices (you must program your
pump to accept information from a specific device).
The MiniMed 640G system ensures data security via proprietary means and ensures
data integrity using error checking processes, such as cyclic redundancy checks.
Product specifications and safety information
■
The CGM transmitter will initiate a channel search when beacon detection fails on
the associated channel. The search will be conducted across all five channels.
When the beacon is located the transmitter will rejoin on the identified channel.
Upon re-association any missed packets (up to 10 hours) will be transmitted from
the CGM transmitter to the pump.
269
MP6025958-022 / A
Icon table
Follow instructions for use
Manufacturer
Date of manufacture (year - month)
Use by (year - month)
Catalogue number
Device serial number
Storage temperature range
Storage humidity range
Magnetic Resonance (MR) unsafe
Type BF equipment (protection from electrical shock)
Radio communication
Pump: Protected against the effects of continuous immersion in water (12
feet or 3.6 meters for 24 hours).
Signifies compliance with Australian EMC, EME and Radio communications
requirements
Signifies compliance with Industry Canada EMC and Radio communications
requirements
This symbol means that the device fully complies with MDD 93/42/EEC (NB
0459) and R&TTE Directive 1999/5/EC.
270
Chapter 15
MP6025958-022 / A
appendix a: end user software license agreement
MP6025958-022 / A
MP6025958-022 / A
■
End user software license agreement
NOTICE TO USER: Certain portions of software contained in this product may be
covered by the GNU General Public License, Version 2 or Version 3 (“Open Source”),
which can be obtained through the GNU web site at www.gnu.org/copyleft/
gpl.html. The source code for any Open Source can be obtained, for a nominal fee
to cover the cost of shipping and media, by contacting Medtronic MiniMed, Inc.,
Director of Software Development, 18000 Devonshire Street, Northridge, CA
91325-1219, USA, tel: +1-866-948-6633.
End user software license agreement
273
appendix a: end user software license agreement
End user software license
agreement
MP6025958-022 / A
274
Appendix A
MP6025958-022 / A
glossary
MP6025958-022 / A
MP6025958-022 / A
■
glossary
Glossary
active insulin
Bolus insulin that has been delivered by the pump and is
still working to lower your blood glucose levels.
active insulin adjustment
The amount of insulin that is subtracted from your BG
correction bolus to account for the active insulin that is
tracked by the Bolus Wizard.
Active Insulin Time
A Bolus Wizard setting that lets you set the length of
time that bolus insulin is tracked as active insulin.
Activity Guard
An attachment that can be used to ensure that the
reservoir stays secure during activity, or when the pump
is worn by a child.
Airplane Mode
A feature that temporarily stops your device from
communicating wirelessly.
alarm
An audible beep or vibration with a message to inform
you that the pump is no longer delivering insulin. Alarms
require immediate action.
Alarm History
A feature that stores information about recent alarms
and alerts.
alert
An audible beep or vibration with a message to inform
you of a situation that may require your attention.
Alert before low
An alert that occurs when you are approaching your low
sensor glucose value.
Alert Limits
The values that you set to determine when low and high
glucose alerts are triggered.
Glossary
277
MP6025958-022 / A
Alert on low
An alert that occurs when your sensor glucose value
reaches or falls below your low limit.
Auto Suspend
An alarm that you set to suspend insulin delivery and
trigger an alarm if no buttons are pressed for a specified
period of time. Clearing the alarm resumes insulin
delivery.
Awake mode
A state in which the pump screen is on. Unless you are
actively using another screen, your Home screen appears.
basal insulin
Insulin that is continuously delivered by the pump to
meet your individual insulin needs between meals and
during sleep.
basal pattern
A set of one or more basal rates that covers a 24-hour
period.
basal rate
The amount of continuous basal insulin that you
program your pump to automatically deliver per hour.
BG
Abbreviation for blood glucose. See blood glucose.
BG Targets
The high and low values to which your blood glucose is
corrected when using the Bolus Wizard.
Block Mode
A feature that restricts the ability to change all settings.
You can still perform certain functions, such as
suspending insulin delivery, reviewing history, testing
your pump, or clearing alarms and alerts.
blood glucose (BG)
Refers to glucose (sugar) that is present in the blood,
commonly measured by a blood glucose meter.
blood glucose meter
A device that measures glucose levels in the blood.
Bolus BG Check reminder
A reminder that you set just after you program a bolus.
The reminder notifies you to check your blood glucose
when the time period that you specified has passed.
bolus insulin
Insulin used to cover an expected rise in glucose levels
from carbohydrates, or to lower a high blood glucose
value down to your target range.
Bolus Speed
A feature that lets you choose the speed at which your
device delivers bolus insulin.
278
Glossary
MP6025958-022 / A
A feature that uses your individual Bolus Wizard settings
to calculate an estimated bolus amount based on the BG
values and carbs that you enter. These settings include
Carb Ratio, Insulin Sensitivity Factor, BG Target Range,
and Active Insulin Time.
calibrate
The process of using a meter blood glucose reading to
calculate sensor glucose values.
Calibration reminder
A reminder you can set to let you know when your next
calibration is due.
cannula
Short, thin, and flexible tube placed in the tissue below
the skin. Insulin is delivered through the cannula into the
body.
carb ratio
The number of grams of carbohydrates covered by one
unit of insulin. The carb ratio is used to calculate bolus
amounts.
carb unit
The unit of measure for carbohydrates, either grams (g)
or exchanges (exch).
CGM
Abbreviation for continuous glucose monitoring. See
continuous glucose monitoring.
continuous glucose
monitoring (CGM)
A monitoring tool that uses a glucose sensor placed
below the skin to continuously measure the amount of
glucose in your interstitial fluid.
correction bolus
Insulin used to lower a high blood glucose value down
to your target range.
Daily History
A feature that displays the actions that you performed
using your device.
Dual Wave™ Bolus
A type of bolus that provides a dose of insulin delivered
as a combination of a Normal Bolus followed by a
Square Wave Bolus.
Easy Bolus™
A feature that lets you deliver a Normal Bolus in preset
increments using only audio or vibrate confirmation.
Event Marker
A feature that allows you to record events, such as blood
glucose readings, injections, carbohydrates, and exercise.
Glossary
279
■ glossary
Bolus Wizard
MP6025958-022 / A
exchange ratio
The number of insulin units that are needed to cover
1 carbohydrate exchange. The exchange ratio is based
on your individual needs and is used to calculate bolus
amounts.
food bolus
A dose of insulin you give to cover an expected rise in
glucose levels from carbohydrates.
High limit
The value you set to determine when the pump will
alert you of a high sensor glucose condition.
infusion set
Tubing that connects to the reservoir on one end, and
has a needle or cannula on the other end, that you
insert into your body. Insulin travels from the pump
through the infusion set into your body.
infusion site
The location on the body where the infusion set is
inserted.
insulin sensitivity factor
The amount that blood glucose is reduced by one unit
of insulin. The insulin sensitivity factor is used to
calculate correction bolus amounts.
interstitial fluid
The fluid that surrounds the cells in the body.
ISIG
The signal created by the sensor that is used to calculate
your sensor glucose value. Typically used by Medtronic
technical support representatives when troubleshooting.
lock
A pump feature that prevents accidental button presses.
Low limit
The value you set to determine when the pump will
alert of a low sensor glucose condition, and also used for
determining if insulin delivery should be suspended.
Manual Bolus
A feature that allows you to enter and deliver a dose of
insulin in the amount that you have determined is
necessary.
Max Basal Rate
A feature that allows you to set the maximum amount
of basal insulin that can be delivered per hour.
Max Bolus
A feature that allows you to set the maximum bolus
amount that can be delivered in one dose.
meter
A term for any blood glucose meter.
280
Glossary
MP6025958-022 / A
A reminder that a bolus was not delivered during time
periods that you specify, often set around your meal
times.
Normal Bolus
A type of bolus that provides an entire dose of insulin
immediately.
notifications
All notifications are designed to get your attention and
convey different types of information. They include
alarms, alerts, reminders, and messages.
occlusion
A blockage or crimp of the cannula or tubing that
prevents proper insulin flow.
piston
The part of the insulin pump that engages the reservoir
and moves insulin through the tubing.
Power save mode
A state in which your pump is fully functional, but the
screen goes dark to save power. You can set how long it
takes for your screen to enter power save mode by
changing the Backlight setting.
Preset Bolus
A feature that allows you to set up and save a bolus for
specific meals or snacks that you frequently eat or drink.
Preset Temp Basal
A feature that allows you to set up and save temporary
basal rates for repeated use.
Rate alert
■ glossary
Missed Meal Bolus
reminder
An alert that notifies you if your sensor glucose value has
been rising or falling faster than the Rise Limit or Fall
Limit that you have set.
reminder
A type of notification that you can set to help you
remember to do something.
reservoir
The small container that you fill with insulin and insert
into your delivery device.
Resume basal alert
An alert that can be set to occur when your pump has
automatically resumed basal insulin delivery after a
Suspend before low or Suspend on low event because
your sensor glucose values have met the necessary
criteria. This alert will always occur if basal insulin delivery
has resumed because the two hour maximum suspend
time has elapsed.
Glossary
281
MP6025958-022 / A
Rewind
A feature used when changing a reservoir. It returns the
piston to its starting position and allows a new reservoir
to be placed into the pump.
sensitivity
See insulin sensitivity factor.
sensor (glucose sensor)
The small part of the continuous glucose monitoring
system that you insert just below your skin to measure
glucose levels in your interstitial fluid.
sensor glucose (SG)
Refers to glucose (sugar) that is present in the interstitial
fluid and is measured by a glucose sensor.
Set Change reminder
A reminder that you can set to change your infusion set.
SG
Abbreviation for sensor glucose. See sensor glucose.
Sleep mode
A state in which your pump is fully functional, but the
screen is dark. Your pump automatically enters sleep
mode when you have not pressed any buttons for about
two minutes.
SmartGuard™
A feature that can automatically stop and resume insulin
delivery based on your sensor glucose values and low
limit.
Square Wave™ Bolus
A bolus delivered evenly over a specified time period.
Suspend before low
A feature that suspends insulin delivery when the sensor
predicts sensor glucose value is approaching your low
limit.
Suspend Delivery
This feature stops all insulin delivery until you resume it.
Only the basal insulin restarts when delivery is resumed.
Suspend on low
A feature that suspends insulin delivery when your
sensor glucose value reaches or falls below your low
limit.
Temp Basal Rate
(temporary basal rate)
A feature that allows you to temporarily increase or
decrease your current basal rate for a duration of time
that you specify.
transfer guard
The plastic piece that comes attached to the reservoir. It
is used to connect the reservoir to the insulin vial while
filling the reservoir with insulin.
282
Glossary
MP6025958-022 / A
transmitter
A device that connects to a glucose sensor. The
transmitter collects data measured by the sensor and
wirelessly sends this data to monitoring devices.
■ glossary
Glossary
283
MP6025958-022 / A
284
Glossary
MP6025958-022 / A
index
MP6025958-022 / A
MP6025958-022 / A
■
Index
accessories 15
active insulin
about 71
adjustment 71
clearing settings 144
Home screen 26
injection warning 71
viewing amount 27
Active Insulin cleared alert 202
Active Insulin Time
about 66
changing 71
Airplane Mode
setting up 138
status bar 29
using 137
Alarm History 122
alarms
about 199
audio options 201
Auto Suspend 203
Battery failed 203
Battery not compatible 203
Bolus not delivered 203
Bolus stopped 203
CGM 216
Critical pump error 204
Delivery limit exceeded 205
emergency siren 201
Fill Cannula? 205
Insert battery 205
Insulin flow blocked 206, 207, 208, 209
Loading incomplete 209
Manage Settings error 210
Max Fill reached 210, 211
No reservoir detected 211
notification light 200
overview 200
pump 202, 225
Pump error 212, 213
Pump restarted 213
red icon 200
Replace battery 213
Replace battery now 214
sensor 216
siren 201
Stuck button 215
Alert before high SG setting 156
Alert before low
about 160
summary screen 120
Alert on high SG setting 156
Alert on low
about 163
summary screen 120
Alert Silence 193
alerts
about 199
Active Insulin cleared 202
audio options 201
BG not received 218
Calibrate now 219
Calibration not accepted 219
Cannot connect device 204
Index
287
index
MP6025958-022 / A
Cannot find sensor signal 220
CGM 216
Change sensor 220
Check connection 221
Check settings 204
Download slow 226
Lost sensor signal 221
Low battery Pump 209
Low battery transmitter 221
Low reservoir 210
No calibration occurred 222
notification light 201
overview 201
Possible signal interference 222
pump 202, 225
Reservoir estimate 214
Rise alert 223
sensor 216
Sensor alert occurred 223
Sensor expired 223
Sensor signal not found 224
SG value not available 224
silencing 193
Transmitter battery depleted 225
yellow icon 201
areas, for inserting infusion set 103
arrows, trend 192
audio
options 33
settings 138
silencing 193
vibrate 29
auto connect 175
Auto Suspend alarm 203
awake mode 34
backlight
battery use 21
setting up 141
basal
about 39
current delivery 52
288
Index
daily delivery amount 118
delivery 39
history 117, 118
Home screen 26
Max Basal Rate 41
patterns 41
Preset Temp basal rate 49
rate 39
settings 40
summary 117
Temp Basal 47
basal patterns
about 42
adding 46
changing 46
deleting 46
example 42
battery
about 21
alarm 203, 205, 213, 214
alert 209
belt clip 23
compartment location 19
disposal 23
inserting 22
removing 23
replacing 22
status bar icon 28
types 21
Battery failed alarm 203
Battery not compatible alarm 203
belt clip
part number 15
remove battery cap 23
BG
Home Screen 26
sensor calibration 185
BG meter readings
average 119
manual high 120
manual low 120
meter high 120
meter low 119
summary 119
MP6025958-022 / A
bolus types
DualWave 60
examples 60
Normal 59
Square Wave 60
Bolus Wizard
Active Insulin Time 66
BG target 66
Carb ratio 65
Dual Wave 79
Exchange ratio 65
High BG warning 72
injection warning 71
Insulin Sensitivity Factor 65
Low BG warning 72
Max Bolus Exceeded warning 73
Normal bolus 73
Square Wave 77
warnings 72
CD
■ index
BG not received alert 218
BG target
Bolus Wizard 66
setting up 70
Block Mode
status bar 31
using 139
blood glucose
Home screen 26
sensor calibration 185
bolus
about 59
daily delivery amount 118
delivery speed 63
history 117, 118
increment setting 63, 64
Max bolus 62
reminders 131
setting delivery speed 63
settings 62
summary 117, 118
types 59
Bolus BG Check reminder, about 130
bolus deliveries
about 59
Bolus Wizard 61, 65
delivery rate 63
Dual Wave 79
Easy Bolus 62, 82
Manual Bolus 61, 75
Max Bolus setting 62
Normal bolus 73, 75
options 61
Preset Bolus 61, 85
resume message 214, 215
Square Wave 76
stopping 88
types 59
Bolus not delivered alarm 203
Bolus stopped alarm 203
calibrate
error 220, 221
sensor 183
when to 186
Calibrate now alert 219
calibration
guidelines 186
icon 30
Calibration not accepted alert 219
Calibration reminder 133
Cannot connect device alert 204
Cannot find sensor signal alert 220
cannula alarm 205
carb ratio 69
Carb Units 140
CareLink Personal Software 124
Change sensor alert 220
Check connection alert 221
Check settings alert 204
cleaning
pump 241
transmitter 242
Index
289
MP6025958-022 / A
clearing
active insulin 144
pump settings 143
Connect Device message 226
connecting pump, transmitter
automatically 175
manually 178
connection, failure 178
Consumable
infusion set 13
reservoir 13
continuous glucose monitoring
about 151
airplane mode 137
alarms 216
alerts 216
calibrating sensor 183
connecting pump, transmitter 175
examples 164
High Settings 156
home screen 152
Low Settings 157
messages 216
sensor feature, turning on 167
sensor glucose reading 191
sensor graph 191
settings 155
correction estimate 251, 252
Critical pump error 204
example 60
Manual bolus 81
resume message 214, 215
setting up 79
Daily History 121
date
changing 148
Startup Wizard 24
delivery
stop bolus 33
suspend all 33
Delivery limit exceeded alarm 205
Download slow alert 226
Dual Wave 60
about 79
Bolus Wizard 79
290
Index
Easy bolus
about 82
Manual bolus 84
setting up 83
step size 83
electromagnetic emissions 262
Electromagnetic environment 267, 268
electromagnetic immunity 263
emergency
kit 4
siren 201
emergency kit 4
emissions 262
event markers
about 124
blood glucose 125
exercise 125
food 125
injection 125
setting up 124
exchange ratio 69
Fill Cannula? alarm 205
food estimate 251, 252, 253
glucose alerts, silencing 193
graph, sensor 191
High BG, Bolus Wizard warning 72
High Limit SG setting 156
High Settings
about 156
entering 167
MP6025958-022 / A
icons
Home Screen 28
sensor status 152
SmartGuard 155, 159, 162
suspend by sensor 155
infusion set
about 93
best insertion sites 103
disconnect Quick-set 107
fill cannula alarm 205
fill tubing 101
inserting 103
reconnect Quick-set 107
reservoir alarm 209
reservoir and tubing 33
reservoir removal 93
rotating sites 104
setting up 93
type 13
Insert battery alarm 205
inserting
infusion set 103
reservoir 99
sensor 181
insulin
basal 39
basal patterns 41
bolus 59
flow blocked alarm 206, 207, 208, 209
icon 29
Max Fill reached alarm 210, 211
settings 33
insulin delivery
Block Mode 139
resuming 54, 163, 174
stopping 54, 88
suspending 54, 139, 158, 161
Insulin flow blocked
alarm 206, 207, 208, 209
Insulin Sensitivity Factor
about 65
setting up 70
ISIG
view 124
language
changing 141
starting 24
light, red 200
Loading incomplete alarm 209
Lost sensor signal alert 221
Low battery Pump alert 209
Low battery transmitter alert 221
Low BG, Bolus Wizard warning 72
Low limit 158
Low Reservoir
alert 132, 210
reminder 132
Low Settings
about 157
entering 171
examples 164
Index
291
■ index
history
about 117
menu 33
pump settings, viewing 145
summary 117
Home Screen
about 26
active insulin amount 26
basal delivery 26
blood glucose reading 26
bolus delivery 26
CGM, with 152
display 21
sensor glucose 152
sensor glucose reading 152
sensor graph 152
sensor status icons 152
status bar 26
time 26
trend arrows 152
MP6025958-022 / A
maintenance 241
Manage Settings error alarm 210
managing, pump settings 142
Manual bolus
Dual Wave 81
Easy bolus 84
Normal bolus 75
Square Wave 78
Max Basal
alarm 205
rate 40
Max Basal Rate
setting 41
Max Bolus
alarm 205
exceeded 73
setting 62
warning 63
Max Fill reached alarm 210, 211
Menu screen
about 32
accessing 32
audio options 33
display 21
event markers 33
history 33
insulin settings 33
reminders 33
reservoir and tubing 33
sensor settings 33
suspend delivery 33
utilities 33
messages
about 199
audio options 202
blue icon 202
CGM 216
Connect Device 226
continuous glucose monitoring 216
overview 202
pump 202, 225
Resume bolus 214
Resume Dual bolus 214, 215
Resume Square bolus 215
sensor 216
Sensor connected 223
Missed Meal Bolus reminder 131
modes
Block 139
power 34
mute alerts 193
292
Index
No calibration occurred alert 222
No reservoir detected alarm 211
Normal bolus
about 73
Bolus Wizard 73
delivery 73
example 60
Manual bolus 75
resume message 214
notification light 200, 201
notifications 31
ordering supplies 15
patterns, basal
about 42
adding 46
changing 46
copying 46
deleting 46
example 42
personal reminder 129
Possible signal interference alert 222
power save mode 34
Preset Bolus
about 85
changing 86
deleting 86
delivering 87
MP6025958-022 / A
Quick-set infusion set
disconnecting 107
reconnecting 108
quick status 31
rate, basal
about 39
Preset Temp 40
Temp 40, 47
rate of change arrows 152
red light 200, 201
reminders
about 129
Bolus BG Check 130
Calibration 133
Low Reservoir 132
Menu screen 33
Missed Meal Bolus 131
Personal 129
Set Change 133
remote bolus 62, 112
Replace battery alarm 213, 214
reservoir
about 93
compartment image 19
inserting 99
Loading incomplete alarm 209
Low Reservoir alert 210
Max Fill reached alarm 210, 211
Menu screen 33
No reservoir detected alarm 211
ordering 15
plunger rod 97
removal 93
Reservoir estimate at 0 U 214
setting up 93
transfer guard 97
type 13
Reservoir estimate alert 214
restoring, pump settings 143
Resume basal alert 163, 164
Resume bolus message 214
Resume Dual bolus message 214, 215
■ index
Dual Wave 85
renaming 86
setting up 85
Square Wave 85
Preset Temp Basal rate
about 40
starting 51
Preset Temp basal rate
about 49
editing 50
managing 49
setting up 49
previous screen 21
pump
alarms 202, 225
alerts 202, 225
buttons 20
cleaning 241
connecting, transmitter 175, 178
connection status 29
deleting, transmitter 181
messages 202, 225
navigation 24
notification light 20
overview 19
parts illustration 19
rewinding 94
settings 232
storing 242
unlocking 26
Pump error alarm 212, 213
Pump restarted alarm 213
pump settings
clearing 143
managing 142
restoring 143
saving 142
specifications 247
viewing history 145
Index
293
MP6025958-022 / A
Resume Square bolus message 215
resuming suspended delivery 54, 163, 174
return to previous screen 21
RF communications 267, 268
Rise Alert
responding to 223
SG setting 157
summary screen 120
Rise Limit SG setting 157
saving
power 34
pump settings 142
screen
Active Insulin Time 71
Airplane Mode 138
Alarm History 122
Audio Options 139
Auto Suspend 139
Basal Pattern Setup 46
BG Check 130
BG Target 70
Block Mode 140
Bolus Increment 64
Bolus Speed 64
Bolus Wizard Setup 66, 71
Carb Ratio 69
Carb Unit 140
Display Options 141
Dual/Square Wave 77
Easy Bolus 83
Enter Date Screen 25
Enter Time 25
Event Markers 124
Exchange Ratio 69
Fill Cannula 106
Fill Tubing 102
Home Screen 26, 152
Language 24, 141
Low Reservoir 133
Manual bolus 75
Max Bolus 63
294
Index
Missed Meal Bolus 131
New Reservoir 95
Personal reminder 129
Preset Bolus Setup 86
Preset Temp Setup 50
Select Time Format 24
Self Test 146
Sensitivity 70
Sensor Demo 147
Sensor Glucose Review 122
Sensor Settings 167
Set Change 133
Summary 117
Suspend Delivery 54
Temp Basal 48
Time and Date 148
Welcome screen 24
scroll bar 21, 34
select 21
sensor
airplane mode 137
alarms 216
alerts 216
BG not received alert 218
calibrating 183, 186
calibration alert 219
calibration icon 30
connecting, transmitter 182
disconnecting, transmitter 187
expired alert 223
feature, turning off 187
feature, turning on 167
graph 152
inserting 181
life icon 30
messages 216
pair 175, 178
removing 187
settings 33, 167
signal alert 220
starting 182
status icons 152
MP6025958-022 / A
Square Wave 60
about 76
Bolus Wizard 77
example 60
Manual bolus 78
resume message 214, 215
setting up 76
starting
sensor 182
Startup Wizard
about 24
re-entering settings 232
using 24
status bar
about 28
Airplane Mode 29
audio mode 29
battery 28
Block Mode 31
CGM, with 152
CGM, without 26
Connection icon 29
icons 28
insulin amount 29
sensor calibration 30
sensor life 30
time 26
status screens
about 31
notifications 31
pump 31
quick status 31
sensor 31
settings review 32
stopping
bolus 88
insulin delivery 54
storage mode 242
Stuck button alarm 215
summary screen
about 117
basal 118
BG meter readings 119
bolus 118
■ index
summary 120
trend arrows 152
wireless connection 175, 178
Sensor alert occurred
responding to 223
Sensor connected message 223
Sensor Demo 146
Sensor expired alert 223
sensor glucose
arrows 192
graph 191
high settings 156
history 191
low settings 157
review 122
rise alert 223
sensor alert occurred 223
sensor graph
about 191
trend arrows 192
Sensor signal not found alert 224
serial number, pump 12
Set Change reminder 133
settings
basal 40
bolus 62
Bolus Wizard 65
CGM 155
low SG 157
product specifications 247
startup 24
troubleshooting 229
SG average 120
SG Std. Dev. 120
SG value not available alert 224
silencing alerts 193
siren 201
sleep mode 35
SmartGuard
about 152
icon 155, 159, 162
summary 121
Index
295
MP6025958-022 / A
overview 118
total carbs 118
total daily dose 118
viewing 117
supplies, ordering 15
Suspend before low
about 158
examples 164, 165, 166
unavailable 159
suspend by sensor
icon 155
Suspend on low
about 161
examples 166
unavailable 162
suspended delivery, resuming
automatically 163
manually 54, 174
suspending insulin delivery 54, 139, 158, 161
unavailable
Suspend before low 159
Suspend on low 162
unlocking 26
utilities 33
viewing history, pump settings 145
wireless connection
automatic 175
failure 178
manual 178
temp basal rate
about 47
percent 47
preset 40
rate 47
starting 48
types 47
Time before high SG setting 156
time, current changing 148
transmitter
communication 29
connecting, pump 175, 178
deleting, from pump 181
signal alert 220
Transmitter battery depleted alert 225
trend arrows 192
troubleshooting 229
tubing
filling 101
image 19
Max Fill reached alarm 210, 211
296
Index
MP6025958-022 / A
■ index
Index
297
MP6025958-022 / A
298
Index
MP6025958-022 / A
MP6025958-022 / A
6025958-022_a
MP6025958

---

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