Medtronic MiniMed 508 User Manual

User ’s Guide

Introduction to the
model 508 insulin pump

- - - - - - - - - - - - - - - - - - -

1

Let’s Get Started! - - - - - - - - - - - - - - - - - - - - - - - - - - - -

2

In Preparation for Your Pump Start - - - - - - - - - - - - - - -

2

Becoming Familiar With Your Pump - - - - - - - - - - - - - - - -

5

Buttons - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

6

Liquid Crystal Display (LCD) - - - - - - - - - - - - - - - - - - - -

6

Turn Your Pump Over - - - - - - - - - - - - - - - - - - - - - - - -

7

Main Programming Screens - - - - - - - - - - - - - - - - - - - - -

8

Setup I - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

8

Setup II - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

9

508 Quick Start Guide - - - - - - - - - - - - - - - - - - - - -

11

Verifying & Setting the Time and Date: - - - - - - - - - - - -

12

Setting Your Basal Rate - - - - - - - - - - - - - - - - - - - - - - -

14

Reviewing Your Profiles - - - - - - - - - - - - - - - - - - - - - - -

16

The Reservoir and Infusion Set - - - - - - - - - - - - - - - - -

17

Changing the Reservoir and Infusion Set - - - - - - - - - - -

18

Reservoir Placement - - - - - - - - - - - - - - - - - - - - - - - -

18

To Remove the Reservoir Converter - - - - - - - - - - - - - -

20

To Reinstall the Reservoir Converter - - - - - - - - - - - - -

21

Sof-set and Reservoir Change - - - - - - - - - - - - - - - - - -

22

Silhouette and Reservoir Change - - - - - - - - - - - - - - - -

24

Installing the Reservoir and Infusion Set - - - - - - - - - -

26

Removing the Reservoir and Infusion Set - - - - - - - - - -

28

Table of Contents

This device is protected under one or more of the following U.S.
Patents:
[US]4,562,751 [US]5,050,764 [US]5,376,070
[US]4,678,408 [US]5,080,653 [US]5,399,823
[US]4,685,903 [US]5,097,122
Other U.S. and/or foreign patents may be pending.

D9195742-011 9/01

M

edtroni

c

M

iniMe

d

Northridge, CA 91325
USA
800-826-2099 • 818-576-5555 (24-hour Help Line)
800-843-6687 (To order supplies)
www.minimed.com

0678

0459

Priming the Pump - - - - - - - - - - - - - - - - - - - - - - - - - - -

29

Bolus - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

31

Setting A Normal Bolus - - - - - - - - - - - - - - - - - - - - - -

31

Stopping and Restarting Your Pump - - - - - - - - - - - - - -

32

To Stop or Put Your Pump in ‘Suspend’ - - - - - - - - - - - -

32

To Restart Your Pump - - - - - - - - - - - - - - - - - - - - - - -

33

Prime History and Use - - - - - - - - - - - - - - - - - - - - - - - -

34

Reservoir Volume and Low Volume Alert

- - - - - - - - - -

35

Initial Pump Settings - - - - - - - - - - - - - - - - - - - - - - - - -

37

Basal Rates: why and how - - - - - - - - - - - - - - - -

41

Q & A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

41

Setting the Maximum Basal Rate - - - - - - - - - - - - - - - - -

44

Setting Your Basal Rate - - - - - - - - - - - - - - - - - - - - - - -

45

Personal Delivery Patterns - - - - - - - - - - - - - - - - - - - - -

47

To Turn Personal Delivery Patterns ON - - - - - - - - - - - -

47

To Set Personal Delivery Patterns - - - - - - - - - - - - - - -

47

Setting a Temporary Basal Rate - - - - - - - - - - - - - - - - -

49

Verifying Delivery - - - - - - - - - - - - - - - - - - - - - - - - -

50

Stopping or Resetting a Temporary Basal Rate - - - - - -

51

Verifying the Change - - - - - - - - - - - - - - - - - - - - - - - -

52

Insulin Boluses: why and how - - - - - - - - - - - - -

53

Q & A

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

53

Setting the Maximum Bolus Limit - - - - - - - - - - - - - - - -

55

Reviewing Bolus History

- - - - - - - - - - - - - - - - - - - - - - -

56

Variable Bolus

- - - - - - - - - - - - - - - - - - - - - - - - - - - - -

57

Setting A Normal Bolus - - - - - - - - - - - - - - - - - - - - - - -

58

Square Wave Bolus Option

- - - - - - - - - - - - - - - - - - - - -

59

Dual Wave Bolus Option

- - - - - - - - - - - - - - - - - - - - - - -

60

Audio Bolus - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

62

To Turn Audio Bolus Feature On - - - - - - - - - - - - - - - -

62

To Set an Audio Bolus - - - - - - - - - - - - - - - - - - - - - - -

63

Daily Totals and History - - - - - - - - - - - - - - - - - - - - - - -

64

Clocks and Alarms - - - - - - - - - - - - - - - - - - - - - - - -

65

Changing the Time Display - - - - - - - - - - - - - - - - - - - - -

65

Setting the Beep Volume - - - - - - - - - - - - - - - - - - - - - -

66

Reviewing Your Alarms - - - - - - - - - - - - - - - - - - - - - - - -

67

Setting the Automatic Off - - - - - - - - - - - - - - - - - - - - -

68

Alarm Type - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

69

Other Useful Features - - - - - - - - - - - - - - - - - - - - -

71

Using The Remote Programmer - - - - - - - - - - - - - - - - -

71

Using the Remote Programmer to Deliver a Bolus - - - -

74

Using the Remote Programmer
to Suspend/Restart the Pump - - - - - - - - - - - - - - - - - -

75

Child Block Activation - - - - - - - - - - - - - - - - - - - - - - - -

76

Setting Your Insulin Concentration

- - - - - - - - - - - - - - -

77

Pump Function Evaluation Options - - - - - - -

79

Self Test - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

79

Lead Screw Rotation Test

- - - - - - - - - - - - - - - - - - - - - -

81

Pump Care and Maintenance - - - - - - - - - - - - - -

83

Batteries - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

83

Low Battery & Vibration - - - - - - - - - - - - - - - - - - - -

83

To Remove the Battery Carrier - - - - - - - - - - - - - - - - -

84

To Install New Batteries - - - - - - - - - - - - - - - - - - - - - -

85

Installation of the Spring Belt Clip

- - - - - - - - - - - - - - -

86

Pump Care

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

87

If Your Pump is Dropped - - - - - - - - - - - - - - - - - - - - -

87

If Your Pump Becomes Submerged in Water - - - - - - - -

88

Exposure to Extreme Temperatures - - - - - - - - - - - - - -

89

Cleaning Your Pump - - - - - - - - - - - - - - - - - - - - - - - -

90

X-Rays, MRI’S and CT Scans - - - - - - - - - - - - - - - - - - - -

90

Remote Programmer Care and Maintenance - - - - - - - -

91

Installation of the Battery - - - - - - - - - - - - - - - - - - - -

91

If Your Remote Programmer is Dropped - - - - - - - - - - -

91

If Your Remote Programmer
Becomes Submerged in Water - - - - - - - - - - - - - - - - -

92

Exposure to Extreme Temperatures - - - - - - - - - - - - - -

92

Cleaning Your Remote Programmer - - - - - - - - - - - - - -

92

FCC Notice for the Remote Programmer - - - - - - - - - - -

93

Pump User Safety Information - - - - - - - - - - - - -

95

Caution - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

95

Indications - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

95

Contraindications - - - - - - - - - - - - - - - - - - - - - - - - - - -

95

Warnings - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

96

Precautions - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

97

General - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

97

Infusion Sets and Sites - - - - - - - - - - - - - - - - - - - - - -

99

Hypoglycemia - - - - - - - - - - - - - - - - - - - - - - - - - - -

100

Hyperglycemia and Diabetic Ketoacidosis (DKA) - - - -

101

Adverse Reactions - - - - - - - - - - - - - - - - - - - - - - - - - -

102

Hyperglycemia and Diabetic Ketoacidosis (DKA) - - - -

102

Hypoglycemia - - - - - - - - - - - - - - - - - - - - - - - - - - -

103

Site Infection/Abscesses - - - - - - - - - - - - - - - - - - - -

103

Troubleshooting:
Alarms and Screen Messages

- - - - - - - - - - - - -

105

Error Messages

- - - - - - - - - - - - - - - - - - - - - - - - - - - -

105

Error Restart Procedure - - - - - - - - - - - - - - - - - - - - -

105

Alarm Messages

- - - - - - - - - - - - - - - - - - - - - - - - - - - -

106

Alarm Restart Procedure - - - - - - - - - - - - - - - - - - - -

106

Troubleshooting & Diabetes
Management Issues

- - - - - - - - - - - - - - - - - - - - - - -

109

Blood Glucose Monitoring - - - - - - - - - - - - - - - - - - - - -

109

Low Blood Glucose - Hypoglycemia - - - - - - - - - - - - -

111

Problems & Solutions - - - - - - - - - - - - - - - - - - - - - -

111

Prevention and Treatment Tips - - - - - - - - - - - - - - - -

112

Hyperglycemia and Diabetic Ketoacidosis – DKA - - -

113

High Blood Glucose Problems & Solutions - - - - - - - -

113

Sick Day Management - - - - - - - - - - - - - - - - - - - - - - -

116

Infusion Sets and Infusion Sites - - - - - - - - - - - - - - - -

118

Skin Site Selection - - - - - - - - - - - - - - - - - - - - - - - -

118

Problems & Solutions - - - - - - - - - - - - - - - - - - - - - -

119

Daily Living, Lifestyle Activities - - - - - - - - - - - - - - - - -

120

Temporary Removal Guidelines - - - - - - - - - - - - - - - -

121

Physical Activity

- - - - - - - - - - - - - - - - - - - - - - - - - - - -

122

Pump Overview - - - - - - - - - - - - - - - - - - - - - - - - - - -

125

Pump Specifications - - - - - - - - - - - - - - - - - - - - - - - - -

125

Memory - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

127

Safety Features - - - - - - - - - - - - - - - - - - - - - - - - - - - -

128

Factory Settings - - - - - - - - - - - - - - - - - - - - - - - - - - -

130

Icon Table

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

131

Glossary - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

133

Index - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

139

Check Point Answers - - - - - - - - - - - - - - - - - - - - - -

145

1

Introduction to the model

508 insulin pump

Whether you are beginning pump therapy for the first time, or
upgrading from a previous model, we are pleased that you have cho­sen Medtronic MiniMed as your partner to help you gain better con­trol of your diabetes. We believe that the combination of state-of-the­art technology with simple, menu-driven programming will provide
many benefits.

There are three main sections to this user’s guide:

•A‘Quick Start’ guide is available beginning on page 11. It

has been designed to get you up and pumping!

•Following the ‘Quick Start’ guide, you will find more

detailed information on specific programming features and
more advanced options.

•Adetailed troubleshooting guide and glossary are also

included.

Throughout, you will find

NEED TO KNOW

facts, and Checkpoints
included in the margins and at the end of many sections. These are
cues for you to check your understanding.

answers can be found in the Checkpoint answers section.

This user’s guide is designed to help you learn to use your pump,
however, working with your health car e pr ofessional will speed your
familiarity with the pump and pump therapy.

Welcome

Please bring the following items with you to your pump start:

•One (1) Medtronic MiniMed pump, remote programmer and

all the supplies that came in your pump box

•Two or three (2-3) extra Medtronic MiniMed reservoir

syringes and infusion sets (Sof-set®, Silhouette™, etc.)

•Three or Four (3-4) tape patches (IV3000*, Polyskin, etc.)

•Insulin

•Any questions that you have from your "homework"

Coming prepared will help make your pump start a comfortable
learning experience. Do not hesitate to call your Medtronic
MiniMed representative or your health care professional if you have
any questions during your preparation for your pump start.

Let’s Get Star ted!

IN PREPARATION FOR YOUR PUMP START

The Medtronic MiniMed 508 has been designed to be very simple to
learn and most pump wearers find the time spent learning how to
operate their pump enjoyable! However, valuable time will be lost to
both you and your health care team if you have not become familiar
with your pump prior to your pump start.

Pump Start "Homework"

Along with your pump, remote programmer (where applicable) and
supplies, you have received:

•This user’s guide with ‘Quick Start’ guide

•Programming and Alarm Cards

With your pump in hand, watch the video and review the user’s
guide and ‘Quick Start’ guide. After doing this you should come to
the pump start comfortable with the following basic functions:

•Using the SEL button to move through the pump screens

•Using the ACT button to choose a pump feature

•Changing the Time and Date on the pump

•Delivering a Bolus

•Stopping the pump by placing the pump in Suspend and

then restarting the pump

•Setting three (3) Basal Rates and changing them

•Setting a Temporary Basal Rate and then canceling it

•Filling a Medtronic MiniMed reservoir syringe, attaching an

infusion set to the syringe and priming the tubing (use tap
water or a bottle of saline - no need to waste insulin!)

•Inserting the syringe into your pump and delivering a Prime

to take up "slack" in the system

3

Welcome

Welcome

2

NEED TO KNOW

ALWAYS TREAT YOUR DIABETES FIRST!!!

As you start pump therapy REMEMBER:

Your pump uses only fast acting, R egular insulin. This means you do not
have longer-acting insulin in your body. Without insulin your blood
glucose will rise and you could experience diabetic ketoacidosis
(DKA), which could result in hospitalization.

If your insulin delivery is interr upted for any reason, you must be pre­pared to replace the missed insulin injection immediately.

The quickest way to do so is to

TAKE AN INJECTION OF REGULAR

INSULIN.

* IV3000 is a trademark of Smith & Nephew

Becoming Familiar With Your Pump

Take a look at your pump.

The pump is small, lightweight and has a large, backlit liquid crystal
display (LCD).

The pump is also smart - storing
approximately 90 days worth of
data in memory. With the Com­Station, you will be able to connect
your pump to a computer to ‘down­load’ this stored information.

Keep an emergency kit with you at all times.

This kit should include:

•Fast-acting glucose tablets

•Blood glucose monitoring supplies, urine ketone monitoring

supplies

• Regular insulin & insulin syringe with directions from your

health care professional regarding how much insulin to take

•An extra infusion set and Medtronic MiniMed reservoir

•Dressing and adhesive

•Extra batteries (MMT-104)

•508 programming and alarm cards

Let another family member or friend know where this is kept.

Please refer to the Pump User Safety Information section on page 95
for more information on pump therapy including troubleshooting
and diabetes management issues.

5

Welcome

Welcome

4

NEED TO KNOW

‘Press’ means to push and release
the button being used.

Blinking words or numbers, seen in
an ‘outline fashion’, indicate infor­mation that can be changed.

BLINKING

Information that cannot be
changed is printed on the screen
in whole, black characters.

NORMAL

TURN YOUR PUMP OVER

•Look at the reservoir compartment window. This window

lets you see how much insulin remains in the syringe.

•Apply pressure to the top of the case and pull open the

reservoir compartment door.

•Find the mechanical driver arms

and lead screw,
reservoir converter and
the Luer neck lever.

Y ou will put insulin into a special syringe called a r eservoir. The Luer
neck lever holds the reservoir in position. The driver arms will be fit
over the squared-off end of the reservoir plunger. The driver arms are
connected to the driver block which moves insulin through the reser­voir and tubing and into your body.

Welcome

7

Welcome

BUTTONS

Four buttons let you program all of the pump’s features and options.

1. The SEL (Select) button will scroll through the screens. You

will have about seven seconds to view each screen. If you
wish to view the screen for longer periods, continue to hold
the SEL button after each press.

2. The ACT (Activate) button will activate programming

changes you wish to make. You will
always hear a single beep after you
have successfully activated a change.

3. The UP and DOWN arrows will

change the number to the value of
your choice. UP scrolls the number
higher and DOWN scrolls the number lower.

• The UP arrow lets you set an audio bolus.

• The DOWN arrow lets you turn the backlight on or off.

LIQUID CRYSTAL DISPLAY (LCD)

The pump has a unique LCD which combines both text and icons to
notify you of all operations, alerts and alarms. Take a moment to
become familiar with all the parts of the LCD. The LCD also has a
backlight to help you see the pump in low light conditions.

6

1. What button must be pressed to activate a change?

______

Find:

a. The battery compartment located on the lower left side of the

pump case.

b. The toll-free Medtronic MiniMed Clinical Services Help Line

number.
______________________

8.8.Z

AM

PM

PROG

SETUP

TEMP
BASAL

BOLUS

TOTAL

PROF:
HIST:

U
H

........

88:88

S

A
B

#1

S

A
B

Alarm Type
RF Device

Personal Delivery Patterns

Future Applications
Low Battery Indicator
Reservoir Volume

Welcome

Welcome

9

8

MAIN PROGRAMMING SCREENS

SETUP I

AM

PM

03:02

8.6.0

AM

PM

BOLUS

HIST:

U

11 .N .LAST

12:00

+.5.+

PPRROOGG

SSUUSSPPEENNDD

++.+

TEMP

BASAL

U
H

........

++:++

8.0.0

AM
PM

PROG

BASAL
PROF:

U
H

11 NOW

88:88

2.

AM
PM

PROG

BEEP8VO L

++:Hr

8.2.0

AM
PM

PPRROOGG

SSEELLFFTTEESSTT

++:Hr

06.0

TOTAL

U

TTOODDAAYY.

HIST:

---- ..PRIME

SETUP8I

SETUP8II

8.8.Z

AM

PM

SET.TIME

83:06

SETUP

EXIT8888

1.0.0

AM
PM

BOLUS

HIST:

U

MAXIMUM8

12:00

O.FF

AM
PM

BOLUS

HIST:

U

AUDIO8M

12:00

32.0

AM
PM

PROG

BASAL

PROF:

U
H

MAXIMUM8

88:88

O.FFn

AM
PM

PROG

BASAL

PROF:

U
H

PATTERNS

88:88

O.FFn

AM
PM

PROG
BASAL

PROF:

U
H

BLOCK8

88:88

HIST:

---- .ALARM9

Off

RF.DEV.

TYPE..

8.0.0

AM
PM

PROG

DISPLAY

12:Hr

1.0.0

AM
PM

PROG

INSULIN

12:HU

SETUP II

SETUP

EXIT8888

1. Time of Day

2. Bolus 3. Suspend

4. Basal Rate

5. Temporary Basal Rate 6. Daily Totals

7. Prime & Low
Reservoir Volume

8. Set Up I

1. Set Time and Date

2. Automatic Off

3. Beep Volume

4. Self Test 5. Set Up II

6. Set Up I Exit

1. Variable Bolus

2. Maximum Bolus

3. Maximum Basal Rate

4. Alarm Review

5. Radio Frequency Device

6. Audio Bolus

7. Basal Patterns

8. Alarm Type

9. Child block

10. Time Display

11. Insulin Concentration

13. Set Up II Exit

SETUP8I

12. Set up I

SETUP8II

9. Set Up II

8.0.0

AM
PM

PROG

AUT0--0FF

++:Hr

0FF

AM
PM

BOLUS

HIST:

U

VARIABLE

12:00

11

Quick Start

10

508 Quick Start Guide

The following guidelines are basic instructions to get you started
using your pump. Please refer to the detailed instructions in this
user’s guide regarding additional options including various bolus
and basal rates.

Welcome

7. The time and date that you just set will be displayed.

13

Quick Start

12

Quick Start

WHY IS THE TIME AND DATE NECESSARY?

✗ The time shown on your clock is used to time the insulin

delivery of your basal rate(s) and to monitor other pump
operations.

✗ The date is used to sort the long term data stored in the

pump’s memory.

✗ This stored information can be downloaded to a computer

for you or your health care professional to use in assisting
you in your glucose control goals.

NEED TO KNOW

The 508 does not have an On/Off
button. As soon as you install bat­teries, the pump will be On and the
current time will be shown on the
window display.

8.8.Z

AM

PM

04DEC99

84:07

Verifying & Setting the Time and Date

Why:

Sets the time and date for your specific area.

Where:

SET UP I on the SET TIME screen.

How:

1. From the TIME OF DAY screen, press SEL to SET UP I then

press ACT. You will see the SET
TIME screen. Press ACT, “PROG
HOURS” will appear.

2. Use the arrows to select the hour,

then press ACT. The screen will
say “PROG MINUTES”.

3. Use the arrows to select the min-

utes and press ACT. The screen
will say “PROG YEAR”.

4. Use the arrows to select the year

and press ACT. The screen will
say “PROG MONTH”.

5. Use the arrows to select the

month and press ACT. The
screen will say “PROG DAY”.

6. Use the arrows to select the day

and press ACT.

8.8.Z

AM

PM

SET.TIME

83:06

8.8.Z

AM

PM

HOURS

833:06

8.8.Z

AM

PM

MINUTES

84:0066

PROG

PROG

0.99

AM

PM

YEAR

84:07

PROG

0.12

AM

PM

MONTH

84:07

PROG

0.04

AM

PM

DAY

84:07

PROG

15

Quick Start

14

Quick Start

1. Which of the four buttons moves you to the BASAL screen?

___________

2. Which of the four buttons sets the program you are select-

ing? ___________

3. Which of the four buttons selects the number value?

___________

NEED TO KNOW

It is recommended that you set
these features with the assistance
of your health care professional.

#2

Setting Your Basal Rate

Why:

Provides a continuous amount of insulin 24 hours a day.

Where:

Main Menu on the BASAL RATE screen.

How:

1. From the TIME OF DAY screen, press

SEL until you see the BASAL RATE
screen, then press ACT. The first basal
rate always starts at midnight - this
time cannot be changed.

2. Use the arrows to select your basal

rate. Press ACT.

3. To add another basal rate, use the

arrows to select your start time. The
start time for the second basal rate is
the end time for the first basal rate.
Press ACT .

4. Use the arrows to select a basal rate.

Press ACT .

5. Follow this process to set additional

rates as necessary.

6. When all rates have been set, press

ACT. The total amount of insulin
delivered as a basal rate for the day
will appear on the screen.

8.0.0

AM
PM

PROG

BASAL
PROF:

U
H

11 NOW

88:88

8.00.4

AM

PM

PROG
BASAL

PROF:

U
H

1

12:00

8.+.+

AM

PM

PROG
BASAL

PROF:

U
H

2

6:00

8.0.8

AM

PM

PROG
BASAL

PROF:

U
H

2

6:00

1.16.8

BASAL

TOTAL

U

24.HOURS

17

Quick Start

The Reservoir and Infusion Set

The Medtronic MiniMed system includes the Medtronic MiniMed
pump, reservoir syringe and infusion set. The Medtronic MiniMed
pump is intended for use with the Medtronic MiniMed reservoir
syringe, Model 103. Medtronic MiniMed also provides a variety of
infusion sets to appeal to different types of people. Medtronic
MiniMed also provides a variety of
infusion sets to appeal to different
types of people. The sets to be used
with the Medtronic MiniMed pump
and the Medtronic MiniMed model 103
reservoir include the following:

•Polyfin®Bent Needle Infusion
sets

•Sof-set®Infusion sets

•Silhouette®Infusion sets

•Quick-set™Infusion sets

All infusions sets are available with a disconnect feature. Please refer
to the Instructions for Use found with the reservoir and infusion set
you have chosen for detailed information.

NEED TO KNOW

Remember the reservoir syringe is
specifically designed for use with
the Medtronic MiniMed pump.

Do not use other syringes as they
may not provide you with accu­rate insulin delivery.

16

Quick Start

Reviewing Your Profiles

Why:

Confirms that basal rates are entered correctly.

Where:

Main Menu on the BASAL RATE screen.

How:

1. From the TIME OF DAY screen, press

SEL until you see the BASAL RATE
screen. You will see the current basal
rate on the screen in units per hour.

2. Use the arrows to review the other basal rates you have set.

Example:

Profile 2:
What time does it begin?
What is the rate?

After you have reviewed all of your programmed basal rates, the
total amount of insulin to be delivered as basal rate during the 24
hour day will be shown.

After a few seconds, the pump will then return to the TIME OF DAY
screen.

8.0.4

AM
PM

PROG

BASAL
PROF:

U
H

11 NOW

88:88

8.0.8

AM

PM

PROG
BASAL

PROF:

U
H

2

06:00

16.8

BASAL

TOTAL

U

24 HOURS8

19

Quick Start

18

Quick Start

Changing the Reservoir and Infusion Set

Why:

It is important that you change the infusion set at least every 2-3
days. Rotating the site will help to avoid any problems with your skin,
or with your infusion site. Also, the insulin will absorb best when you
change the set regularly. For complete information, refer to the
Instructions for Use that come with your reservoir and infusion set.

RESERVOIR PLACEMENT

There are two methods of installing the reservoir in your pump.
These are the Short Reservoir method and the Full or Long Reservoir
method. Please discuss with your health care professional which is
right for you.

The Short Reservoir Method:

•Allows the Luer connection to be almost completely hidden
inside the pump.

•The maximum reservoir volume is 150 units (U-100).

•Uses the reservoir converter to hold the reservoir neck in

place inside the pump. (Reservoir converter must be used or
inaccurate insulin delivery may result.)

NOTE: All pumps are shipped from Medtronic MiniMed in the Short
Reservoir Method.

The Full Reservoir Method:

•Allows the Luer connection to be outside the reservoir
compartment.

•Maximum reservoir volume is 300 units (U-100).

•Does not use the reservoir converter.

Reservoir Converter

1. Which reservoir method is installed at Medtronic MiniMed?

2. Which reservoir method is used when the required reservoir

volume is 300 units (U-100)?_______________

3. What special task needs to be performed to use the Full

Reservoir Method?_____________________

NEED TO KNOW

IMPORTANT

Always change the infusion set
and the reservoir at the same time
to insure adequate priming and
accurate insulin delivery.

#3

Luer
Lock

Reservoir
Neck

Luer
Lock

21

Quick Start

20

Quick Start

TO REINSTALL THE RESERVOIR CONVERTER

(Used in the Short Reservoir Method)
If the reservoir converter is not in place, reinstall the converter by fol­lowing these steps:

1. Open the reservoir compartment by gently pulling open the

reservoir compartment door.

2. Insert the reservoir converter tool in the reservoir converter.

3. Insert the converter horizontally between the marked slots

in reservoir compartment.

4. Check that the flat edge is facing toward the battery com-

partment.

5. Turn the reservoir converter tool clockwise until the convert-

er is securely in place.

TO REMOVE THE RESERVOIR CONVERTER

(The converter is not used with the Full Reservoir Method.)

1. Open the reservoir compartment by gently pulling open the

reservoir compartment door.

2. Place the reservoir converter tool over the reservoir converter.

3. Turn the tool counter-clockwise until the converter is dis-

lodged.

4. Save it in a safe place for possible future use.

Reservoir

Converter

Reservoir
Converter
Tool

Flat Edge of
Reservoir
Converter

Reservoir
Converter
Tool

Reservoir
Compartment
Door

Battery
Compartment

13. Load the Sof-set into Sof-serter with tubing between the

prongs.

14. Push the Sof-set down until it clicks into place.

15. Program pump to deliver a 5.0 unit prime bolus to “take up

the slack.” Set the reservoir volume amount.

16. Watch to see insulin exit the introducer needle.

17. Clean the site with alcohol or IV Prep.

18. While holding the Sof-set wings, remove the white tab and

needle guard.

19. Position the Sof-serter on the site and press the ACT button.

20. While holding the Sof-set wings, gently remove the

Sof-serter and slide it off the blue needle hub.

21. Place Sof-set tape over the blue needle hub.

22. Holding the wings, give the blue hub ¼ turn and remove.

Discard using proper needle disposal products.

23. Program 0.5 unit prime bolus to fill cannula.

24. Check your blood glucose level 3 hours later.

23

Quick Start

22

Quick Start

SOF-SET AND RESERVOIR CHANGE

1. Wash your hands.

2. Gather a new reservoir, Sof-set, alcohol swab or site prep

(e.g. IV Prep), Sof-serter, and insulin vial.

3. Discard old set and reservoir: pull off set at site first, then

remove reservoir.

4. Cycle the syringe. Fill new reservoir with 2-3 days worth of

insulin plus 25 extra priming units.

5. Remove the filling needle from the reservoir after purging

air bubbles.

6. Open the Sof-set package and attach the reservoir to infusion

set. Make sure the connection is tight!

7. Manually prime the infusion set by pressing slowly on the

plunger until you see a drop of insulin come out of the Sof­set introducer needle.

8. Clear away air bubbles from tubing.

9. Open reservoir compartment door, pull driver arms up

(towards you) and slide driver block to the far right of the
case.

10. Place reservoir in pump with numbers facing upwards.

11. Lower the driver arms so that one arm is on each side of the

reservoir plunger.

12. Close the reservoir compartment door.

13. Program pump to deliver a 5.0 unit prime bolus to “take up

the slack.” Set the reservoir volume amount.

14. Watch to see insulin exit the introducer needle.

15. Clean site with alcohol or IV Prep.

16. Remove the front half of the back paper from the white

adhesive tape. Remove the plastic protective cap from the
needle.

17. While using the index finger to hold back the forward flap

of the white adhesive, insert the Silhouette at a 30° angle.
(Talk with your health care professional about any changes
to your individual angle of insertion.)

18. Carefully smooth out the front half of the backing paper

onto the skin.

19. Remove the introducer needle. Put one finger just in front of

the see-through window to keep Silhouette in place and
with your other hand, press gently the side clips with two
fingers while simultaneously withdrawing the introducer
needle.

20. Remove the back side of the backing paper and smooth out

the white adhesive tape to make sure good skin contact is
achieved.

21. Connect site side of infusion set to the tubing side of the

infusion set. Program 1.0 unit prime to fill the cannula.

22. Check your blood glucose level 3 hours later.

25

Quick Start

24

Quick Start

SILHOUETTE AND RESERVOIR CHANGE

1. Wash your hands.

2. Gather new reservoir, Silhouette, alcohol swab, and insulin

vial.

3. Discard old set and reservoir: pull off set at site first, then

remove reservoir.

4. Cycle the syringe. Fill new reservoir with 2-3 days worth of

insulin plus 25 extra priming units.

5. Remove filling needle from the reservoir after purging air

bubbles.

6. Open Silhouette package. The Silhouette has two pieces:

"site" (with adhesive and needle) and the tubing. Attach
reservoir to infusion set. Make sure connection is tight!

7. Manually prime the infusion set by pressing slowly on the

plunger until you see a drop of insulin come out of the
Silhouette introducer needle.

8. Clear away air bubbles from tubing.

9. Open reservoir compartment door, pull driver arms up

(towards you) and slide driver block to the far right of the
case.

10. Place reservoir in pump with numbers facing upwards.

11. Lower the driver arms so that one arm is on each side of the

reservoir plunger.

12. Close the reservoir compartment door.

4. Push down firmly on the reservoir Luer neck so that it fits

snugly in place. Do not press on the reservoir plunger or
barrel.

5. Slide the two driver arms toward the reservoir so they rest

on either side of the squared-end of the reservoir plunger.
Push both arms so that the end of the plunger is firmly
between them.

6. Close the reservoir compart-

ment door.

Is the door closed properly? If you can’t close the door, the reservoir
may be inserted incorrectly. Improper insertion of the reservoir may
result in inaccurate delivery of insulin. Check to be sure the Luer
neck lever is down and the reservoir is inserted correctly – then try
again.

27

Quick Start

INSTALLING THE RESERVOIR AND INFUSION SET

Follow the directions on page 18. After this is complete, follow these
steps to correctly insert the reservoir and infusion set into your
pump.

1. Open the reservoir compartment door.

2. Lift up on the two driver arms and slide them to the end of

the lead screw (away from the luer neck lever). Lift up the
silver-colored Luer neck lever.

3. Align the reservoir neck with the reservoir converter (for the

short reservoir method ) or with the silver-colored Luer neck
lever (for the full reservoir method), and insert it into the
pump.

26

Quick Start

Why should the reservoir’s milliliter markings face outward?
_______________________________________________

Luer Neck
Lever

Driver
Arms

Reservoir Neck

Reservoir
Neck

Reservoir Converter

Driver
Arms

Squared-off End
of Plunger

NEED TO KNOW

Before inserting the reser voir into
the pump, rotate the reservoir so
the milliliter markings on the reser­voir face outward. This allows you
to look through the pump’s reser­voir compartment window to see
how much insulin is left in the
reservoir.

#4

Reservoir
Compartment
Door

29

Quick Start

28

Quick Start

REMOVING THE RESERVOIR AND INFUSION SET

To remove the used infusion set and reservoir, follow these steps:

1. Using clean (aseptic) technique, remove the infusion set

from your body following the directions on the infusion set.

2. Open the reservoir compartment by gently pulling open the

reservoir compartment door.

3. Pull the driver arms forward and slide them to the end of

the lead screw. Lift up the silver-colored Luer neck lever and
gently pull out the used reservoir.

Dispose of your used reservoir and infusion set. Prepare a new set
and follow the procedures for priming and insertion.

Priming the Pump

Why:

Makes certain that insulin delivery is continuous by removing

any air in the tubing or “slack” in the pump mechanics.

Where:

Main Menu on the PRIME screen.

How:

1. From the TIME OF DAY screen, press

SEL until you see the PRIME screen.
The screen will display “PRIME” and
“HIST”.

2. Press ACT to see “PROG PRIME” and

the value dashes.

3. Use the arrows to program a 5.0 unit

prime.

4. Press ACT. The screen will display “RES VOL”. Use the

arrows to program reservoir volume.

5. Press ACT .

Insulin droplets will form at the infusion set needle tip indicat-

ing the reservoir and tubing are properly inserted.

You are now ready to insert the infusion set. Please follow the direc­tions on page 22 or in the Instructions For Use.

8..5.0

AM

PM

PROG

BASAL

PROF:

U

H

PRIME

88:88

HIST:

---- ..PRIME

Luer
Neck
Lever

Driver Arms

Reservoir
Compartment
Door

31

Quick Start

30

Quick Start

After inserting a new reservoir and infusion set, what must you do to
make sure delivery is uninterrupted? _________________________

Bolus

SETTING A NORMAL BOLUS

Why:

Provides an immediate amount of insulin to cover current

needs.

Where:

Main Menu on the BOLUS screen.

How:

1. From the TIME OF DAY screen, press

SEL until you see the BOLUS screen.

2. Press ACT. The dashes for units will

blink, letting you know you can
change this number.

3. Use the arrows to select the bolus

amount you want. Press ACT.

8.0.6

AM

PM

BOLUS

HIST:

U

11 .N .LAST

12:00

++.+

AM
PM

BOLUS

HIST:

U

.NORMAL

12:00

PROG

8.0.6

PM

BOLUS

U

DELIVERY

83:45

TIP

Some pump users have told us that it is easy to use the following
steps to Prime the set:

1. From the PRIME screen press ACT, then press the DOWN

arrow - this will automatically set a prime for the maximum
bolus amount.

2. Watch for insulin to appear at the end of the infusion set.

When it appears, stop the prime by placing the pump into
Suspend.

3. Insert the infusion set and restart the pump.

#5

TO RESTART YOUR PUMP

Why:

Restarts pump basal delivery.

Where:

Main Menu on the SUSPEND screen.

How:

Press SEL and then ACT. Your pump
will beep once and return to the TIME
OF DAY screen. The current time will be
displayed and your pump will resume
your basal insulin delivery.

33

Quick Start

32

Quick Start

Stopping and Restarting Your Pump

TO STOP OR PUT YOUR PUMP IN ‘SUSPEND’

Why:

Stops all delivery (basal and bolus) by the pump.

Where:

Main Menu on the SUSPEND screen.

How:

1. From the TIME OF DAY screen, press SEL until you see the

SUSPEND screen. The screen will blink.

2. Press ACT. This will stop your pump. The pump will beep

three times and you will see “STOPPED” and the time it
stopped.

Why would you stop your pump?

•You may want to stop your pump when you are
changing your infusion set.

•You may want to stop a bolus, go swimming or
play contact sports. For the best results discuss
these times with your health care professional.

+.5.+

PM

STOPPED

83:54

NEED TO KNOW

Your pump will beep three times
every fifteen minutes to remind
you it has stopped insulin deliv­ery. The screen will also show
"-S- STOPPED” when suspended.

NEED TO KNOW

If you stopped your pump while it
was in the middle of delivering any
bolus – it will NOT be resumed.
You may need to program a new
one.

If your pump is in Suspend, what should you think about?

___________________________

#6

Reservoir Volume and

Low Volume Alert

Why:

Provides a ‘sound’ or ‘vibration’ when the insulin level in the

reservoir reaches 20 Units and again at 10 Units.

Where:

Main Menu on the PRIME screen.

How:

1. To get to the PRIME screen, follow the steps on page 34. Use

the arrows to record the amount of insulin in the reservoir.

2. Press ACT. The Low Volume Alert is now activated and the

Prime feature will begin. The screen will show “PRIME”
along with the amount being delivered.

3. Every time you install a new reservoir, you should reset the

reservoir volume.

35

Quick Start

Prime History and Use

Why:

Provides a method of delivery:

•To fill the Sof-set cannula after removing the introducer

needle

•To deliver a small bolus just prior to reconnecting the QR

®

•To conduct the 7.2 unit bolus test while disconnected from

your pump

•To take up slack between the reservoir plunger and the driv-

er arms after putting in a new reservoir.

Where:

Main Menu on the PRIME screen.

How:

1. From the TIME OF DAY screen, press

SEL until you see the PRIME screen.
The screen will display “PRIME” and
“HIST”.

2. Use the arrows to review the past

nine Prime uses, beginning with the
most recent.

3. To set a Prime, press ACT. The words

“PROG PRIME” will appear with
blinking dashes. Use the arrows to
set the Prime amount.

4. Press ACT . “RES VOL” (r eservoir

volume) will appear with either
dashes (if it is a new reservoir) or the
amount of insulin remaining in your
reservoir.

34

Quick Start

NEED TO KNOW

Prime is used only when the insulin is
not being delivered into your body.

The Prime amounts are not counted into
your daily total amount of insulin.

Do not use the Prime feature to fill a new
infusion set – follow the Instructions For
Use.

HIST:

---- ..PRIME

8.2.0

AM

PM

HIST:

U

11P.03NOV

85:20

++.+

PROG

U

PRIME

+++

PROG

RES VOL

U

Low Volume Alert Activation:

• The alert will first occur when 20 units of insulin are left in

the reservoir.

• Alert sounds at the time triggered, at 30 and 60 seconds

later.

• “LO VOLUME” appears on the screen for 60 seconds.

• Low Volume icon remains on the screen until the reservoir is

replaced and a new value is set.

•Sequence repeats again

when the reservoir vol­ume reaches 10 Units.

36

Quick Start

NEED TO KNOW

• This is an OPTIONAL feature. You
may bypass it by pressing ACT
when the dashes to enter volume
appear. Doing so means the fea­ture is not set and you will not
receive an alert when the insulin
volume is low.

• Each time you set a Prime, the
current reservoir amount will
appear.

• T o clear the LOWVOL alert, Press
SEL – then replace the reservoir
and enter the new amount of
insulin in the reservoir.

• Press ACT from the TIMEOF DAY
screen to see how much insulin
remains according to the amount
you set.

• You can change the reservoir
volume amount when you change
the reservoir, do a reconnect
prime or self-test.

Initial Pump Settings

This is the information you will need on the day that you begin using
your pump with insulin.

• If your pump start is going to take place in your health care pro­fessional’s office, you will be given the settings that day.

• If your pump start is going to take place in another location, make
sure to get in touch with your health care professional to determine
your basal rate and bolus amounts. This may require making an
appointment to review your blood glucose logs in order to make an
accurate determination.

37

Quick Start

Basal Rate Information

Most people require only one basal rate in the beginning.

Basal Rate #1 Time: _____ Units per Hour: _____

Additional Rates:
Basal Rate #2 Time _____ Units per Hour: _____
Basal Rate #3 Time _____ Units per Hour: _____
Basal Rate #4 Time _____ Units per Hour: _____

Meal Boluses

Carbohydrate Ratio: 1.0 unit of insulin for _____ grams of
carbohydrates.

Correction Bolus

1.0 unit of insulin will lower blood glucose by approximate­ly _____ mg/dl.

Blood Glucose Targets

Before Meals between _____ and _____ mg/dl.
2 Hours after Meals between _____ and _____ mg/dl.
Bedtime between _____ and _____ mg/dl.
2-3 A.M. between _____ and _____ mg/dl.

LO

VOLUME

10:55

Treatment of Hyperglycemia

Correction Bolus Guidelines

My insulin sensitivity factor is _____ mg/dL
Formula for determining insulin sensitivity factor:

1500 = _____mg/dL

Total Daily Dose of Insulin Amount that 1.0

unit of insulin will
decrease BG

(See your health care professional about this formula.)

HIGH

blood sugars

LOW

blood sugars

Please tear out and fold the following cards and carry them with you at all

times.

38

Quick Start