Medtronic MiniMed 1510 620G/630G/640G/670G Insulin Delivery Pump User Manual Users manual
Medtronic MiniMed, Inc. 620G/630G/640G/670G Insulin Delivery Pump Users manual
Contents
Users manual
MiniMed™ 640G
System User Guide
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MiniMed™ 640G
System User Guide
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Copyright & trademarks
©2014 Medtronic MiniMed, Inc. All rights reserved.
CareLink™, Guardian™, Bolus Wizard™, Enlite™, MiniLink™, Dual Wave™, Square Wave™, MiniMed™, and
SmartGuard™ are trademarks of Medtronic MiniMed, Inc.
Bayer™ is a trademark of Bayer.
Humalog™ is a trademark of Eli Lilly and Company.
NovoLog™ and NovoRapid™ are trademarks of Novo Nordisk A/S.
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Contacts:
Africa: Medtronic Africa (Pty) Ltd.
Tel: +27 (0) 11 677 4800
Australia: Medtronic Australasia Pty.
Ltd.
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Tel: 1800 777 808 (customer help)
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or +65 6436 5000
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24-Stunden-Hotline: 0800 633333
Fax Allgemein: +41 (0)318680199
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Serbia: Epsilon
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Fax: +381 11 311 5554
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or +65 6436 5000
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24-h pomoč: 386 51 316 560
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Slovakia, s.r.o.
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HelpLine: +421 26820 6986
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Help line: +358 400 100 313
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Toll Free: +886.0800.005.285
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Tel: +662 232 7400
Turkiye: Medtronic Medikal Teknoloji
Ticaret Ltd. Sirketi.
Tel: +90 216 4694330
USA: Medtronic Diabetes Global
Headquarters
Tel: +1-800-646-4633
24 Hour HelpLine:
+1-800-826-2099
To order supplies:
+1-800-843-6687
Ukraine: Med EK Service Ltd.
Tel: +380 44 545 7705
United Kingdom: Medtronic Ltd.
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Österreich: Medtronic Österreich
GmbH
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24 – Stunden – Hotline:
0820 820 190
Česká republika: Medtronic Czechia
s.r.o.
Tel: +420 233 059 401
Non-stop help line:
+420 233 059 059
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Contents
■ Before you begin
3Using this user guide
4Emergency kit
5User safety
5 Indications
6 Contraindications
6General warnings
8 General precautions
10 Adverse reactions
10 Notice
12 Keeping track of your system information
13 Insulin guidelines
13 Consumables
14 Optional devices
15 Accessories
15 Ordering supplies and accessories
■ First steps
19 Your pump
20 Using the buttons
21 About batteries
22 Inserting the battery
23 Removing the battery
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24 Getting to know your pump
24 Entering your startup settings
26 Unlocking your pump
26 Home screen
28 Status bar
31 Status screens
32 Using the Menu screen
34 Scroll bar
34 Power modes
35 If you remove your pump
■ Basal
39 Basal rate
40 Basal insulin settings
41 Max Basal Rate
41 Basal patterns
42 Adding a new basal pattern
46 Editing, copying, or deleting a basal pattern
46 Changing from one basal pattern to another
47 Temporary basal rates
47 About Temp Basal rates
48 Starting a Temp Basal rate
49 Preset Temp basal rates
52 Canceling a Temp Basal or Preset Temp basal rate
52 Viewing your basal information
54 Stopping and resuming your insulin delivery
■ Bolus
59 About bolus deliveries
59 Bolus types
60 Bolus type example
61 Bolus delivery options
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62 Bolus settings
63 Max Bolus
64 Bolus Increment
64 Bolus Speed
65 Bolus Wizard
65 Understanding your Bolus Wizard settings
66 Setting up the Bolus Wizard feature
69 Changing your Bolus Wizard settings
71 Turning off the Bolus Wizard feature
71 About active insulin
72 Bolus Wizard warnings
73 Normal bolus
73 Delivering a Normal bolus with the Bolus Wizard
75 Delivering a Normal bolus using Manual Bolus
76 Square Wave bolus
76 Turning on or off Square Wave bolus
77 Delivering a Square Wave bolus with the Bolus Wizard
78 Delivering a Square Wave bolus using Manual Bolus
79 Dual Wave bolus
79 Turning on or off Dual Wave bolus
79 Delivering a Dual Wave bolus with the Bolus Wizard
81 Delivering a Dual Wave Bolus using Manual Bolus
82 Easy Bolus
83 Understanding Easy Bolus step sizes
83 Setting up Easy Bolus
84 Delivering a bolus using Easy Bolus
85 Preset Bolus
85 Setting up and managing Preset Bolus deliveries
87 Delivering a Preset Bolus
88 Stopping a bolus delivery
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■ Reservoir and infusion set
93 Setting up the reservoir and infusion set
107 Disconnecting and reconnecting your infusion set
■ Meter
111 About your compatible Bayer meter
112 Wirelessly connecting your pump and meter
112 Setting up Remote Bolus
112 Deleting a meter from your pump
■ History and events
117 History
117 Summary screen
118 Understanding the Summary screen
121 Daily History
122 Alarm History
122 Using Sensor Glucose Review
124 ISIG History
124 Event Markers
■ Reminders
129 Personal reminders
130 Bolus BG Check reminder
131 Missed Meal Bolus reminder
132 Low Reservoir reminder
133 Set Change reminder
133 Calibration reminders
■ General settings
137 Airplane Mode
138 Audio Options
139 Auto Suspend
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139 Block Mode
140 Carb Unit
141 Display Options
141 Language
142 Managing your pump settings
145 Self Test
146 Sensor Demo
148 Time and date
■ Setting up Continuous Glucose Monitoring
151 Understanding Continuous Glucose Monitoring (CGM)
152 SmartGuard
152 Home screen with CGM
155 Understanding glucose settings
156 High settings
157 Low settings
167 Turning on the Sensor feature
167 Setting up the High Settings
171 Setting up the Low Settings
174 Manually resuming basal delivery during a suspend by sensor event
175 Wirelessly connecting your pump and transmitter using Auto Connect
178 Wirelessly connecting your pump and transmitter using Manual Connect
181 Deleting the transmitter from your pump
181 Inserting the sensor
182 Connecting the transmitter to the sensor
182 Starting the sensor
183 Calibrating your sensor
184 Setting up Auto Calibration
185 Where to enter your calibration BG meter reading
186 When to calibrate
186 Guidelines for calibrating
187 Disconnecting the transmitter from the sensor
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187 Removing the sensor
187 Turning off Sensor Settings
■ Using continuous glucose monitoring
191 The sensor graph
192 Identifying rapid changes in sensor glucose
193 Silencing Glucose Alerts
■ Alarms, alerts, and messages
199 About alarms, alerts, and messages
200 Alarms
201 Alerts
202 Messages
202 Pump alarms, alerts, and messages
216 CGM (sensor) alarms, alerts, and messages
225 CareLink alert and message
■ Troubleshooting
229 Troubleshooting pump issues
230 What is a Check Settings alarm?
230 My pump is asking me to rewind
230 I dropped my pump
231 I cannot get to the Manage Settings screen
231 My pump display times out too quickly
231 Where is my pump status screen?
232 My pump is asking me to enter my settings
234 Troubleshooting sensor issues
234 My pump cannot find the sensor signal
236 Calibration not accepted
236 Why does the SmartGuard suspend by sensor icon on my Home screen
appear gray?
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■ Maintenance
241 Cleaning your pump
242 Cleaning your transmitter
242 Storing your pump
243 Storing your transmitter
■ Product specifications and safety information
247 Product specifications
247 Alarm and alert escalation
248 Altitude range
248 Audio frequency
249 Backlight
249 Basal delivery
250 BG Target
250 BG meter value
250 Bolus delivery
251 Bolus Wizard feature default settings
251 Bolus Wizard feature specifications
254 Carb ratios
254 Delivery accuracy
255 Easy Bolus
255 Environmental conditions
256 Filling the infusion set and cannula
256 Infusion pressure
256 Insulin delivery default settings
257 Insulin sensitivity factor
257 Low Reservoir reminder
258 Max Bolus
258 Normal bolus
258 Occlusion detection
259 Percent temp basal
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259 Program safety checks
259 Pump dimensions
259 Pump memory
259 Pump weight
260 Sensor default settings
262 Guidance and manufacturer's declaration
268 Wireless communication
268 Quality of service
269 Radio frequency (RF) communications specifications
269 Data security
270 Icon table
■ Appendix A: End user software license agreement
273 End user software license agreement
■ Glossary
■ Index
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before you begin
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Before you begin
This user guide is designed to help you understand the operation of your
MiniMed™ 640G system. Work closely with your healthcare professional when
starting insulin pump therapy.
Using this user guide
This user guide contains valuable information about using your new insulin pump.
To help you find the information you need, you can use the table of contents at
the beginning of the user guide and the index at the end of the user guide. There
is also a glossary of terms, which starts on page 277.
The following table describes certain terms, conventions, and concepts used in this
user guide.
Convention What it means
Select To activate a screen item, accept a value, or initiate an action.
Select and
hold
To perform an action using your pump screen, press the Select
button and hold until the action is complete.
Press To push and then release a button.
Press and
hold
To push and keep pressure on a button.
Bold text To indicate screen items and buttons. For example, "Select Next to
continue."
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Convention What it means
Note Note: A note provides helpful information.
Caution Caution: A caution notifies you of a potential
hazard which, if not avoided, may result in minor
or moderate injury or damage to the equipment.
WARNING WARNING: A warning notifies you of a
potential hazard which, if not avoided, could
result in death or serious injury. It may also
describe potential serious adverse reactions and
safety hazards.
Emergency kit
Keep an emergency kit with you at all times to make sure that you always have
necessary supplies. Tell a family member, co-worker, or friend where you keep your
emergency kit.
It is important that you test your blood glucose (BG) more frequently while you are
traveling. The routine hassle of travel, including stress, changes in time zones,
schedules and activity levels, meal times and types of food, can all affect your
diabetes control. Be extra attentive to monitoring your BG frequently, and be
prepared to respond if needed.
Your emergency kit should include these items:
• Fast-acting glucose tablets.
• Blood glucose monitoring supplies.
• Urine or blood ketone monitoring supplies.
• Extra MiniMed-compatible infusion set and MiniMed reservoir.
• Extra new AA lithium or alkaline batteries, or fully charged NiMH batteries.
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• Insulin syringe and fast-acting insulin (with dosage instructions from your
healthcare professional).
• Wallet card (packaged with your pump accessories).
• Adhesive dressing.
• Glucagon emergency kit.
WARNING: Do not use the Bolus Wizard™ to calculate a bolus for a
period of time after giving a manual injection of insulin by syringe
or pen. Manual injections are not accounted for in the active insulin
amount. Therefore, the Bolus Wizard could prompt you to deliver
more insulin than needed. Too much insulin may cause
hypoglycemia. Consult with your healthcare professional for how
long you need to wait after a manual injection of insulin before you
can rely on the active insulin calculation of your Bolus Wizard.
For details on pump safety, see User safety, on page 5.
User safety
Indications
MiniMed 640G system
The MiniMed 640G system is indicated for the continuous delivery of insulin, at set
and variable rates, for the management of diabetes mellitus in persons requiring
insulin. In addition, the system is indicated for continuous or periodic monitoring
of glucose levels in the fluid under the skin, and detecting possible low and high
glucose episodes. When using a sensor and transmitter, the pump displays
continuous sensor glucose values and stores this data so that it can be analyzed to
track patterns and improve diabetes management. This data can be uploaded to a
computer for analysis of historical glucose values.
The continuous sensor glucose values provided by the MiniMed 640G system are
not intended to be used directly for making therapy adjustments. Rather, they
provide an indication that a confirmation fingerstick measurement may be
required. All therapy adjustments should be based on measurements obtained
using a home blood glucose monitor and not based on the value displayed by the
pump.
■ before you begin
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Contraindications
Pump therapy is not recommended for people who are unwilling or unable to
perform a minimum of four blood glucose tests per day.
Pump therapy is not recommended for people who are unwilling or unable to
maintain contact with their healthcare professional.
Pump therapy is not recommended for people whose vision or hearing does not
allow recognition of pump signals and alarms.
General warnings
Pump
The pump is not suitable for use in the presence of a flammable anesthetic
mixture with air, oxygen, or nitrous oxide.
Never rely on the pump beeps or vibrations alone to navigate through the pump
screens or menus because this may result in incorrect menu selection or setting.
Do not rely on preset pump alarms or reminders alone to prompt you to check
your blood glucose. Set additional reminders on other devices, such as your cell
phone, to avoid forgetting to check your blood glucose.
Standard Luer sets are not compatible with the MiniMed 640G insulin pump.
MiniMed reservoirs and MiniMed-compatible infusion sets are specifically designed
for use with the MiniMed 640G insulin pump. Do not modify your MiniMed
reservoir or MiniMed-compatible infusion set.
Only use U100 insulin that has been prescribed by your healthcare professional for
use with an infusion pump. Do not put any other drugs or medications inside your
reservoir for use with this pump.
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.
Do not insert the reservoir in the pump if you did not rewind your pump. Doing
so could result in an accidental infusion of insulin.
While the infusion set is connected to your body, do not unscrew or retighten the
tubing connector on the reservoir.
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Do not use the MiniLink™ transmitter (MMT-7703) with the MiniMed 640G insulin
pump as this device does not communicate with this insulin pump.
Do not modify this product, as modification could result in a safety hazard.
Do not use your pump if the screen appears broken or unreadable. In some
instances, impact to the pump can damage the screen while the buttons continue
to function. If the screen is broken or unreadable, do not press any buttons.
Remove the pump and begin using your backup insulin plan per the direction of
your healthcare professional. If the pump is accidentally programmed while the
screen is broken or unreadable, this could result in high or low blood glucose
levels. If your screen is damaged, contact the 24 Hour HelpLine or your local
representative to arrange for shipment of a replacement pump.
Exposure to magnetic fields and radiation
WARNING: Keep the pump away from magnetic fields and avoid
direct contact with any magnets.
If you are going to have an X-ray, MRI, diathermy treatment, CT scan, or other type
of exposure to radiation, take off your pump, sensor, transmitter, and meter before
entering a room containing any equipment of this kind. The magnetic fields and
radiation in the immediate vicinity of this equipment can make your devices
nonfunctional or damage the part of the pump that regulates insulin delivery,
possibly resulting in over delivery and severe hypoglycemia.
Do not expose your pump to a permanent magnet, such as pump cases that have
a magnetic clasp. Exposure to a permanent magnet may interfere with the motor
inside the pump.
Reservoir and infusion sets
Only use reservoir and infusion sets manufactured by Medtronic Diabetes. The
pump has undergone extensive testing to confirm appropriate operation when
used with compatible reservoirs and infusion sets manufactured or distributed by
Medtronic Diabetes. We cannot guarantee appropriate operation if the pump is
used with reservoirs or infusion sets offered by third parties. We are not
responsible for any injury or malfunctioning of the pump that may occur in
association with such use.
■ before you begin
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Only use U100 insulin that has been prescribed by your healthcare professional for
use with an infusion pump. Do not put any other drugs or medications inside your
reservoir for use with this pump.
For additional warnings related to the reservoir and infusion set, refer to the user
guides provided with those devices.
Sensor
While there is no evidence of an Enlite™ sensor breaking in a patient’s body, if you
suspect that sensor breakage has occurred, do not attempt to remove the sensor
yourself. Contact your healthcare professional for assistance in removing the
sensor.
For warnings related to the sensor, refer to the user guide provided with that
device.
Transmitter
Keep the transmitter away from children. This product contains small parts and
may pose a choking hazard.
For warnings related to the transmitter, refer to the user guide provided with that
device.
Meter
For warnings related to compatible Bayer™ meters, refer to the user guide
provided with that device.
General precautions
Although the pump has multiple safety alarms, it cannot notify you if the infusion
set is leaking or the insulin has lost its potency. It is essential, that you test your
blood glucose levels at least four times per day. If your blood glucose is out of
range, check the pump and the infusion set to ensure that the necessary amount
of insulin is being delivered.
Waterproof capabilities
At the time of manufacture and when the reservoir and tubing are properly
inserted, your pump is waterproof. It is protected against the effects of being
underwater to a depth of up to 3.6 meters (12 feet) for up to 24 hours.
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If the pump is dropped, hit against a hard object, or otherwise damaged, the
waterproof characteristics of the outer casing of the pump may be compromised.
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.
If you believe that water has entered your pump or you observe any other
possible pump malfunction, check your blood glucose, and treat high blood
glucose as necessary, using an alternative source of insulin. Contact your local
representative for further assistance. Always contact your healthcare professional if
you experience excessively high or low blood glucose levels or if you have any
questions about your care.
Electrostatic discharge
Although your MiniMed 640G insulin pump is designed to be unaffected by typical
levels of electrostatic discharge (ESD), very high levels of ESD can result in a reset
of the pump's software and a pump error alarm. After clearing the alarm, verify
that your pump is set to the correct date and time and that all other settings are
programmed to the desired values because the software reset could erase your
previously programmed settings.
For more information on pump alarms, see Pump alarms, alerts, and messages, on
page 202. For more information on re-entering your pump settings, see My pump
is asking me to enter my settings, on page 232. If you are unable to re-enter your
pump settings, or otherwise believe there is a problem with your pump, contact
your local representative.
Avoid extreme temperatures
Exposure to extreme temperatures can damage your device, which can adversely
affect safety and effectiveness of your device. Avoid the following conditions:
1. Avoid exposing your pump to temperatures above 40 °C (104 °F) or below 5
°C (41 °F) because this may damage your device.
2. Insulin solutions freeze near 0 °C (32 °F) and degrade at high temperatures. If
you are outside in cold weather, wear your pump close to your body and
cover it with warm clothing. If you are in a warm environment, take measures
to keep your pump and insulin cool.
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3. Do not steam, heat, sterilize, or autoclave your pump. Exposure to high
temperatures may damage your device.
Lotion, sunscreen, and insect repellent
Some skin care products, such as lotion, sunscreen, and insect repellents, can
cause damage to plastics, which is a material used in your pump case. After using
such products, be sure to wash your hands prior to handling your pump. If you
get any skin care products or insect repellents on your pump, wipe them off as
soon as possible with a damp cloth and mild soap. For instructions on cleaning
your pump, see Cleaning your pump, on page 241.
Infusion sets and sites
For precautions related to the infusion sets and sites, refer to the user guides
provided with those devices.
Sensor
For precautions related to the sensor, refer to the user guide provided with that
device.
Transmitter
For precautions related to the transmitter, refer to the user guide provided with
that device.
Meter
For precautions related to compatible Bayer™ meters, refer to the user guide
provided with that device.
Adverse reactions
For adverse reactions related to the sensor, refer to the user guide provided with
that device.
Notice
Radio Frequency (RF) communication
This device complies with the United States Federal Communications Commission
(FCC) and international standards for electromagnetic compatibility.
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This device complies with Part 15 of the FCC Rules. Operation is subject to the
following two conditions: (1) This device may not cause harmful interference, and
(2) this device must accept any interference received, including interference that
may cause undesired operation.
These standards are designed to provide reasonable protection against excessive
radio frequency interference, and prevent undesirable operation of the devices
from unwanted electromagnetic interference.
This equipment has been tested and found to comply with the limits for a Class B
digital device, pursuant to Part 15 of the FCC rules. These limits are designed to
provide reasonable protection against harmful interference in a residential
installation. This equipment generates, uses, and can radiate radio frequency
energy and, if not installed and used in accordance with the instructions, may
cause harmful interference to radio communications. However, there is no
guarantee that interference will not occur in a particular installation. If this
equipment does cause harmful interference to radio or television reception, which
can be determined by turning the equipment off and on, the user is encouraged
to try to correct the interference by one or more of the following measures:
• Reorient or relocate the receiving antenna.
• Increase the separation between the equipment and the receiver.
This device can generate, use, and radiate radio frequency energy and, if installed
and used in accordance with the instructions, may cause harmful interference to
radio communications. If the device does cause interference to radio or television
reception, you are encouraged to try to correct the interference by one or more of
the following measures:
• Decrease the distance between the transmitter and the insulin pump to 1.8
meters (6 feet) or less.
• Decrease the distance between the meter and the insulin pump to 1.8 meters
(6 feet) or less.
• Increase the separation between the transmitter and the device that is
receiving/emitting interference.
If other devices that employ radio frequencies are in use, such as cell phones,
cordless phones, and wireless networks, they may prevent communication
between the transmitter and the insulin pump. This interference does not cause
■ before you begin
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any incorrect data to be sent and does not cause any harm to your devices.
Moving away from, or turning off, these other devices may enable communication.
If you continue to experience RF interference, please contact your local
representative.
Caution: Changes or modifications to the internal RF transmitter or
antenna not expressly approved by Medtronic could void the user's
authority to operate this insulin delivery system.
Directive 1999/5/EC
Medtronic declares that this product is in conformity with the essential
requirements of Directive 1999/5/EC on Radio and Telecommunications Terminal
Equipment.
For additional information, contact Medtronic MiniMed at the address or phone
number provided on the back cover.
For Canada only
This device complies with Industry Canada licence-exempt RSS standard(s).
Operation is subject to the following two conditions: (1) this device may not cause
interference, and (2) this device must accept any interference, including interference
that may cause undesired operation of the device.
Le présent appareil est conforme aux CNR d'Industrie Canada applicables aux
appareils radio exempts de licence. L'exploitation est autorisée aux deux conditions
suivantes : (1) l'appareil ne doit pas produire de brouillage, et (2) l'appareil doit
accepter tout brouillage radioélectrique subi, même si le brouillage est susceptible
d'en compromettre le fonctionnement.
Keeping track of your system information
The serial number (SN) is located on the back of your pump. If you are using the
belt clip, you need to remove the belt clip to view the serial number. It also
displays in your Pump status screen. For more details on the status screens, see
Status screens, on page 31. For future reference, enter the serial number of your
pump and the purchase date in the following table:
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Pump serial number and purchase date
Serial Number:
Purchase Date:
Insulin guidelines
WARNING: Never start on insulin until directed by your healthcare
professional. Doing so could result in an unintended delivery of
insulin, which may cause hypoglycemia.
The pump is intended for use with U100 insulin. The following insulins have been
tested by Medtronic Diabetes and found to be safe for use with the MiniMed 640G
insulin pump:
•Humalog™
• NovoLog™
• NovoRapid™
Before using different insulin with this pump, check the insulin label to make sure
the insulin can be used with the pump.
Consumables
The pump uses disposable (single-use) MiniMed reservoirs and infusion sets for
insulin delivery.
WARNING: Only use reservoir and infusion sets manufactured by
Medtronic Diabetes. The pump has undergone extensive testing to
confirm appropriate operation when used with compatible
reservoirs and infusion sets manufactured or distributed by
Medtronic Diabetes. We cannot guarantee appropriate operation if
the pump is used with reservoirs or infusion sets offered by third
parties and therefore we are not responsible for any injury or
malfunctioning of the pump that may occur in association with such
use.
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•Reservoirs – Use only Medtronic reservoirs. For the MMT-1512 pump model,
use the MMT-326A, 1.8 ml (180-unit) reservoir.
Look on the back of your pump for your model number.
For the MMT-1712 pump model, use either the MMT-332A, 3.0 ml (300-unit)
reservoir or the MMT-326A, 1.8 ml (180-unit) reservoir, depending on your
insulin needs.
•Infusion sets – Medtronic Diabetes provides a variety of infusion sets to fit
your needs. Contact your healthcare professional for help in choosing an
infusion set. Change your infusion set every two to three days per your
infusion set manufacturer's instructions.
Optional devices
•Compatible Bayer blood glucose meter – The 640G system comes with a
compatible Bayer blood glucose meter. It wirelessly connects to your pump,
allowing you to send BG meter readings to your pump. The Remote Bolus
feature allows you to use your meter to start a bolus on your pump. You can
also use this meter to upload system data to your diabetes management
software using the USB port on your computer. For more details, see your
meter user guide.
Note: The compatible Bayer meter may not be available in all
countries.
•Guardian™ 2 Link transmitter (MMT-7731) – used with your pump for
Continuous Glucose Monitoring (CGM). A device that connects to a glucose
sensor. The transmitter collects data measured by the sensor and wirelessly
sends this data to monitoring devices.
•Enlite glucose sensor (MMT-7008) – used with your pump for CGM. The
small part of the continuous glucose monitoring system that you insert just
below your skin to measure glucose levels in your interstitial fluid. The sensor
is a single-use device.
•CareLink™ USB (MMT-7306) – used to upload system data to the diabetes
management software using a USB port on your computer.
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Accessories
The following accessories may be used with your MiniMed 640G system.
•Belt clip (ACC-1599) – used to wear the pump on your belt. Also, you can use
the tip of the belt clip to open the battery compartment on your pump.
•Activity guard (ACC-1520) – used if you are active in sports, or if a child is
wearing the pump. Using the activity guard prevents the reservoir from being
rotated or removed from the pump.
•Skins – used to personalize the look of your pump. Skins are decorative
overlays. Your pump is designed to have skins attached to the back of the
pump and the front of the belt clip. Skins also provide additional protection
against surface scratches.
Ordering supplies and accessories
To order supplies or accessories, contact your local representative.
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First steps
This chapter gives you an overview of your pump so you can become familiar with
the buttons and screens. Read this entire chapter to understand the basic features
and initial setup before using your pump to deliver insulin.
Your pump
The following illustration shows the different parts of your pump. The reservoir,
with the tubing connector attached, is inserted into the reservoir compartment.
battery compartment
screen
reservoir compartment
buttons
tubing connector
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Using the buttons
Caution: Do not use sharp objects to press the buttons on your
pump. Using sharp objects can damage your pump.
The following picture shows the buttons, the notification light, and the light sensor
on your pump. The notification light flashes when your pump has an alarm or
alert. The notification light is not visible unless flashing.
The keypad has a backlight that lights up the buttons when in use.
menu
select
right
down
left
notification
light
back
up
light sensor
Note: Do not cover the light sensor with your finger while using your
pump. Covering the light sensor may adjust the brightness on the screen
when brightness is set to Auto. See Display Options, on page 141 for more
information.
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The following table describes how to use the buttons.
To do this: Follow these steps:
Scroll up or down a menu or
list, or increase or decrease the
value of a setting.
Press the or buttons.
Select an item on a screen or
menu.
Press the , , , or buttons to select the
desired item, and then press the button.
Enter a value into a field. Press the , , , or buttons to select the
desired field, and then press the button. The field
you select flashes. Press the or buttons to
enter the desired value, and then press the
button.
Return to the previous screen. Press the button.
Display the Menu screen. Press the button.
Display the Home screen. When you are on any screen other than the Home
screen, press and hold the button for about one
second.
Put the pump in sleep mode. Press and hold for about two seconds.
Wake up the pump. Press any button.
About batteries
The pump requires one new AA (1.5 V) battery. For best results, use a new AA
lithium (FR6) battery. The pump also accepts an AA alkaline (LR6) or a fully charged
AA NiMH (HR6) nickel-metal hydride rechargeable battery.
Caution: Do not use a carbon zinc battery in your pump.
Note: Do not use cold batteries because the battery life may incorrectly
appear as low. This can cause a Battery Failed alarm on your pump. Allow
cold batteries to reach room temperature before you insert them in your
pump.
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Inserting the battery
Your pump does not ship with the battery cap on. The battery cap is located in
the pump box, separate from the pump.
To insert the battery:
1. Insert the new or fully charged AA battery, making sure to insert the negative
end (−) first. After you insert the battery, the positive end (+) is visible.
2. Use the belt clip to tighten the battery cap.
Caution: Do not overtighten or undertighten the battery cap.
Overtightening the battery cap can cause damage to your pump
case. Undertightening the battery cap will prevent the pump from
recognizing the new battery. Turn the battery cap clockwise until
the cap is aligned horizontally with the pump case, as shown in
the following example.
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3. If this is the first time you have inserted a battery in your pump, the Startup
Wizard begins. For more information about the Startup Wizard, see Entering
your startup settings, on page 24. If this is not the first time you have inserted
a battery into your pump, the Home screen appears and the pump resumes
your basal delivery.
Removing the battery
Caution: Do not remove the battery unless you are inserting a new
one, or if you are storing your pump. Your pump cannot deliver
insulin while the battery is removed. After removing an old battery, be
sure to replace it with a new battery within 10 minutes to clear the
Insert battery alarm and avoid a Power loss alarm. If power loss
occurs, you must re-enter your time and date settings.
To remove the battery:
1. Before removing a battery from your pump, clear any active alarms or alerts.
2. Use the belt clip to loosen and remove the battery cap.
Note: Use your belt clip to remove and retighten the battery cap. If
the belt clip is unavailable, you may use a coin.
3. Remove the battery.
4. Dispose of old batteries according to local disposal requirements.
5. After removing your battery, wait until the Insert Battery screen appears
before inserting a new battery.
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If you are removing the battery to place your pump in storage, see Storing
your pump, on page 242 for more information.
Getting to know your pump
This section shows you how to navigate through the screens and menus on your
pump. It also helps you learn how to enter information and view the status of your
pump.
Entering your startup settings
Your pump has a Startup Wizard that begins when you insert your battery for the
first time. The Startup Wizard guides you through setting the language, the time
format, the current time, and the current date.
Note: Use this procedure when you are entering your settings for the
first time. If this is not the first time you are entering your pump settings,
and your pump is asking you to re-enter your settings, see My pump is
asking me to enter my settings, on page 232.
To use the Startup Wizard:
1. The Startup Wizard begins after the Welcome screen appears. When the
Language screen appears, select your language.
2. When the Select Time Format screen appears, select a 12 hour or a 24 hour
time format.
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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. Select Next.
4. When the Enter Date screen appears, adjust the Year, Month and Day to the
current date. Select Next.
A message confirms that your initial setup is complete, and then the Home
screen appears.
After you enter your initial settings, see the following sections in this chapter
to become familiar with the buttons and screens on your pump.
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Unlocking your pump
Your pump automatically locks when entering sleep mode. When you wake up
your pump from sleep mode, you must unlock your pump before navigating away
from the Home screen. When you press menu or select , you will be shown a
screen asking you to unlock your pump. Press the highlighted button to unlock
your pump.
The pump will take you to your selected screen after you press the correct button.
If you press an incorrect button, the following screen appears and you will need to
select OK to return to your Home screen and try again.
After your pump is unlocked, it will remain unlocked until you re-enter sleep
mode. For information about the different power modes, or to put your pump to
sleep, see Power modes, on page 34.
Home screen
The Home screen appears by default after you change the battery, when you wake
the pump from sleep mode, and when you are not actively using another screen.
You can navigate to the Home screen from any other screen by pressing and
holding the button for about one second.
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To see what your Home screen looks like if you use a sensor, see Home screen with
CGM, on page 152.
17:00
Bolus Basal
110
mg/dL
Active Insulin 1.0
U
BG
current time
status bar
bolus delivery
options
basal delivery
options
active insulin
amount
BG meter readings
The following items appear on your Home screen:
Item Description
Status bar Displays icons that show a quick status of your pump system. For more
information, see Status bar, on page 28. By selecting the status bar you
can access more detailed status screens. For more information, see Status
screens, on page 31.
Current
time
Displays the current time of day. For details on setting the time, see Time
and date, on page 148.
BG meter
readings
If you have taken a BG meter reading using your compatible Bayer meter
or manually entered a BG meter reading within the last 12 minutes, the
BG meter reading appears on the Home screen.
You can enter your BG meter reading manually using the Event Markers
feature, or when you use the Bolus Wizard to deliver a bolus. For details
on using the Bolus Wizard, see Bolus Wizard, on page 65. For details on
entering events, see Event Markers, on page 124.
Active
Insulin
Displays the amount of bolus insulin the pump estimates is still working
to lower your blood glucose levels. For more details on active insulin, see
About active insulin, on page 71.
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Item Description
Bolus Allows you to access your bolus delivery options, and provides access to
all of your insulin settings. For details about entering your bolus settings
and delivering bolus insulin, see the Bolus chapter on page 59.
If you have not set up the Bolus Wizard and Preset Bolus features, you
only have access to Manual Bolus from this screen. For details about
setting up the Bolus Wizard feature, see Bolus Wizard, on page 65. For
details about setting up the Preset Bolus feature, see Preset Bolus, on
page 85.
Basal Allows you to access your basal delivery options, and provides access to
all of your insulin settings. For details about entering your basal settings
and delivering basal insulin, see the Basal chapter on page 39.
To access all of your basal options from this screen, you must have set up
a Preset Temp basal rate. For details about setting up Preset Temp basal
rates, see Preset Temp basal rates, on page 49.
Status bar
The status bar appears at the top of the Home screen to provide a way for you to
quickly check the status of your system. The status bar contains the icons that are
described in the following table, along with the current time. For information on
viewing detailed status screens, see Status screens, on page 31.
Icon Icon name What it means
Battery The charge level of your pump battery. The color and
the fill level of the icon indicate the status. When your
battery is full, the icon is solid green. As your battery
life is used, the icon changes, as shown in the following
example. For more details about batteries, see About
batteries, on page 21.
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