Medtronic MiniMed Veo Paradigm System User Manual

Imagine a world...
MiniMed® Veo
A Step-by-Step Guide
Believe in better control
Paradigm™ System
Imagine a world...
Where you can exercise whenever you want and
not have to carb load or worry about hypos.
R
Where you can eat what you want, when you want,
without planning.
R
Where you can have one needle every 3 days
as opposed to 12 needles.
*
R
Where you can worry less about hypos overnight, and know
that your pump will look after you when you need it most.
Imagine the possibilities with the MiniMed® Veo™ system.
A system designed to give you BETTER CONTROL.
Come and join our world and be part of the possibility...
Believe in better control
2
INTRODUCING THE MINIMED® VEO™ SYSTEM
Contents
Introducing the MiniMed® Veo™ System 6
• MiniMed® Veo™ System Overview 8
• Menu & Menu Options 10
• Operation Mode and Key Alarms 12
Infusion Set and Reservoir 14
• MiniMed® Reservoirs and Infusion Sets 16
• Inserting the Infusion Set and Filling the Reservoir 18
• Fill the Infusion Set Tubing 20
• Insertion of the Medtronic Quick-set™ Infusion Set 21
• Insertion of the Medtronic Silhouette™ Infusion Set 23
Basal and Bolus 25
• Setting the Basal Rate 27
• Medtronic Bolus Wizard™ Calculator 29
• Setting the Missed Bolus Reminder 32
• Temporary Basal Rate 34
• Express Bolus 35
Continuous Glucose Monitoring (CGM) 36
• Insertion of Sensor 38
• Starting a Sensor 41
• Key CGM Alarms 42
• Trend Graphs 43
• Alerts and Glucose Limits 45
• Predictive and Rate of Change Alerts 47
• Low Glucose Suspend (LGS) 49
Optional Extras 51
• Bayer Contour® Link Meter 51
• Medtronic CareLink® Therapy Management Software 52
• Personalise Your Pump 53
For further information on a specic topic, please refer to the highlighted chapters in the MiniMed® Veo™ User Guide.
3
44
A step-by-step guide to using the Paradigm® Veo™
Your HCPs' Contact Details
Staying in touch with your Healthcare Professionals (HCPs)
Your Endocrinologist:
Phone number:
Email:
Your Diabetes Educator:
Your Diabetes Centre:
Address:
Phone number:
Email:
Medtronic Diabetes 24-hour Toll Free: 1800 777 808
Please note: In contacting the Diabetes Toll Free, your personal and health information may be disclosed to an operator located outside Australia.
www.medtronic-diabetes.com.au
www.medtronic-diabetes.co.uk
5
INTRODUCING THE MINIMED® VEO INSULIN PUMP
Introducing the MiniMed® Veo™ Insulin Pump
The key elements in managing your diabetes with insulin pump therapy
BATTERY
COMPA RTMENT
RESERVOIR
COMPARTMENT
TRANSFER GUARD
RESERVOIR VOLUME
EXPRESS BOLUS
RESERVOIR
ESCAPE
to prior screen
& SENSOR
BATTERY STATUS
ACT
conrm information or menu selection
TUBING CONNECTOR INFUSION SETMINILINK™ TRANSMITTER
EASY BOLUS/ SCROLL UP
BACKLIGHT/ SCROLL DOWN
66
Refer to Chapter 3 in the MiniMed® Veo™ User Guide
A step-by-step guide to using the Paradigm® Veo™
Getting Started
Thank you for choosing Medtronic Diabetes as a partner in managing your diabetes. Whether you are just starting pump therapy or upgrading from a previous model, this step-by-step guide is designed to help you understand the basic operation of the MiniMed® Veo™ System. It is intended to be used in conjunction with the guidance of a Healthcare Professional. Please consult your Healthcare Professional before making any therapy adjustments. For full product details, please refer to the MiniMed® Veo™ User Guide and Instructions for Use for each system component.
Getting Started
Understanding the basics
For this section, you will need the:
MiniMed® Veo™ insulin pump
MiniMed® Veo™ User Guide
www.medtronic-diabetes.co.uk/gettingstarted
The MiniMed® Veo™ insulin pump shown in purple.
7
GETTING STARTED
e MiniMed® Veo™ Insulin Pump
A patient-friendly insulin pump
With the MiniMed® Veo™ pump:
You only need to press a few buttons to make appropriate selections and adjustments.
Simple on-screen instructions help with the infusion set and reservoir changes.
An easily accessible backlight illuminates the pump’s screen in the dark.
Large, clear text makes all on-screen information easy to read.
Inserting the infusion set is straightforward and virtually painless.
In this section, we’ll explain technical terms, give you practical assistance, and make sure you feel as comfortable as possible using the MiniMed® Veo™ pump from day one.
* Information contained herein does not replace the recommendations of your Healthcare Professional (HCP). Please refer to the User Manual and your healthcare team for more information. When using an insulin pump, check your blood glucose a minimum of 4 times per day.
The MiniMed® Veo™ pump is discrete and can be easily attached to your waistband.
8
Refer to Chapter 3 in the MiniMed® Veo™ User Guide
Breakdown of the Buttons
GETTING STARTED
Getting Started
Simple buttons for simple use
The buttons on the MiniMed® Veo™ insulin pump are designed to make it simple and eective to manage your MiniMed® Veo™ pump.
EXPRESS BOLUS to set a Bolus
RETURN to prior screen
ACT to conrm information or menu selection
SCROLL UP
SCROLL DOWN
NOTE: The MiniMed® Veo™ insulin
pump buttons will be referred to throughout the brochure using the icons shown to the right.
ACT
Refer to Chapter 3 in the MiniMed® Veo™ User Guide
9
GETTING STARTED
Menus and Menu Options
MAIN MENU
BOLUS
SUSPEND
SENSOR
CAPTURE EVENT
BASAL
RESERVOIR + SET
UTILITIES
Navigation
ACT
Press the to get to the sub-menus.
Press the screen to return to the MAIN MENU.
Scroll bar (appears on the right of the screen when more screen text is available).
Press screen text.
Press
1. Displays only when the Bolus Wizard™ feature is o.
2. Displays only when the Bolus Wizard™ feature is on.
button from the MAIN MENU
button from a submenu
to scroll down to view additional
to scroll back up.
When using Low Suspend Features, the Graph Timeout Feature should not be set to "NONE".
Note: All screens are samples
only. Actual screens depend on the current active functions. Blue Arrows (
) indicate submenus.
Bolus MENU
1
Set Bolus Use Bolus Wizard Manual Bolus
2
2
Set Bolus
Bolus History Bolus Setup
Bolus Wizard Setup
Edit Settings
Wizard Carb Units Carb Ratios BG Units Sensitivity BG Target
Active Ins Time
Review Settings
Max Bolus
Max Bolus Setup
Scroll Step
Scroll Step Setup
Dual/Square Bolus
Off On
Easy Bolus
Off On/Set
BG Reminder
Off On
Missed Bolus Reminder
Off On/Set
SUSPEND
Press ACT to Stop Pump
3. Displays only when the sensor is communicating with the pump.
4. Displays if Sensor is on.
SENSOR MENU
3
Calibrate
Enter BG
Alert Silence
4
O
Hi Alerts
Lo Alerts
Hi and Lo Alerts
All Sensor Alerts
Link to Sensor
4
New Sensor
Reconnect Old Sensor
Find Lost Sensor
Turn O Sensor
Transmtr ID
Edit Settings
Sensor
Glucose Alerts
Glucose Limits
Lo Repeat
Hi Repeat
5
5
Predict Alert
Rate Alerts
Low Suspend
Cal Repeat
Cal Reminder
Auto Calibrate
BG Units
Transmtr ID
Weak Signal
Graph Timeout
Sensor Demo
Calibration Hist Sensor Alert History Review Settings Turn O Sensor
5. Displays if Glucose Alerts feature is on.
4
4
4
4
CAPTURE EVENT
Enter BG Insulin marker Meal marker Exercise marker Other
Getting Started
History BG Units Carb Units
Basal MENU
Set/Edit Temp Basal
Set Duration
Cancel Temp Basal
Select Patterns
7
8
Basal Review
Basal Setup
Set/Edit Basal
Set Basal Rate 1
Max Basal Rate
Patterns
Off
On
Temp Basal Type
Insulin Rate
Percent of Basal
RESERVOIR + SET
Reservoir Setup Fill Tubing
9
Fill Cannula History
Getting Started
Status Screens
6
UTILITIES MENU
Lock Keypad Alarm
Alarm History Alert Type Auto-Off Low Resv Warning
Insulin Units Time
Daily Totals
Daily Average Calculate AUC History
Time/Date
12 Hour Setup 24 Hour Setup
Alarm Clock
Off On / Set
Device Options
PC Connect Meters Remotes Other Devices
Block
Off On
Selftest
10
User Settings
Save Settings Restore Settings11 Clear Settings History
Capture Option
Off On
Language
Press the button to go to the PUMP AND SENSOR STATUS screens.
PUMP STATUS SCREEN
STATUS U100
Last Alarm: 24APR 11:30 LoBat Active ins: 1.050U Last Bolus N 3.800U 9:07 24 MAR Basal 1: 0.15U/H Reservoir Started: 23APR, 12:44 Units left: 144.0U Time left: > 24 hours BG Reminder in 2:04h Meter: On Battery: Normal Auto O - 12HR Fri 25 APR 2008 S/N# 123456 Paradigm 554 VER X.XX X.X
SENSOR STATUS SCREEN
SENSOR STATUS
Next Cal: 08:30 Sensor Age: 2d 3h Sensor Isig: 25.97 Transmtr Batt: Good Transmtr Ver: 1.1 Transmtr ID: 2111111 Pump S\N#: 123456
6. Displays if Capture Option is turned on in Utilities Menu.
7. Displays only after setting Temp Basal.
8. Displays only when the Patterns feature is on.
9. Displays only after a rewind.
10. Displays only when you hold
11. Displays only after the patient settings have been saved.
and press
ACT
.
GETTING STARTED
Operational Modes
The 3 Operational Modes
Press so you can review the reason for the empty circle.
to view the status screen
Normal Mode
The pump operates normally.
Special Mode
Indicates special circumstances: low battery, low reservoir, temporary basal, etc.
Attention Mode
Administration of insulin is s†opped.
ACT
to view alarm type to take
Press action.
12
Refer to Chapters 10 and 13 in the MiniMed® Veo™ User Guide
Key Alarms
Getting Started
THE SCREEN INDICATES THE REASON FOR THE ALARM
ACT
and
Press
to clear the alarm.
Empty Reservoir
CHANGE THE RESERVOIR immediately.
Weak Battery
REPLACE THE AAA BATTERY immediately.
No Delivery
BLOCKAGE DETECTED: insulin delivery stopped. Check blood glucose and ketone levels.
Failed Batt Test
CHECK SETTINGS BATTERY VOLTAGE INADEQUATE Install a new battery.
Bolus Stopped
CHECK Bolus HISTORY Reprogram Bolus with the amount of insulin not delivered.
Suspend
ACT
Press
to stop pump. Suspend stops all insulin delivery, including the current Basal, any Bolus or Fill Cannula deliveries that are in progress.
Refer to Chapters 10 and 13 in the MiniMed® Veo™ User Guide
13
Infusion Set and Reservoir
GETTING CONNECTED
A Unique Connection
Medtronic has developed a range of infusion sets and reservoirs designed for your MiniMed® Veo™ insulin
pump. They have one key element in common:
The MiniMed® patented connector – A unique interface between your MiniMed® infusion set and reservoir. The patented and leak-proof connector builds on our experience of traditional Luer lock systems, with additional benets for you.
Note: Successful pumping relies on proper infusion
set management. Changing your infusion set every 2 to 3 days may help ensure the eectiveness of your therapy.
Use it right and use it in good health.
Change your infusion set every 2 to 3 days.
click! - Two parts, one interface, a secure t.
INFUSION SET
14
RESERVOIRMINIMED® SILHOUETTE™
TUBING CONNECTOR
Refer to Chapter 5 in the MiniMed® Veo™ User Guide
MINIMED® QUICKSET™
INFUSION SET
TRANSFER GUARD
Getting Connected
Infusion Set & Reservoir
Understanding Infusion Set and Reservoir
For this section, you will need:
Reservoir
Infusion Set
Serter (optional)
Insulin
MiniMed® Veo™ insulin pump
The MiniMed® Veo™ insulin pump shown in pink.
15
GETTING CONNECTED
Medtronic MiniMed® Reservoirs
Simplicity and Security
TRANSFER GUARD SNAPS ONTO INSULIN VIAL OR PEN CARTRIDGE for secure and stable reservoir
lling.
NEEDLE INCORPORATED INTO TRANSFER GUARD
to help prevent injury.
PREASSEMBLED AND READY TO USE for fast,
ecient reservoir lling.
SILICONE MEMBRANE seals the reservoir when the
Transfer Guard is removed to help prevent leakage.
ROUNDED SHAPE helps eliminate air bubbles to
promote consistent insulin delivery.
16
ERGONOMIC DESIGN makes it easy to grab the
connector for secure handling.
VENTS are built into the connector, so they are
replaced every time you change your infusion set.
CONNECTER FITS SECURELY on both the reservoir
and the MiniMed® Veo™ pump, providing a leak­proof connection - click!
AIRTIGHT SEAL for reliable insulin delivery when
connected to reservoir.
Refer to Chapter 5 in the MiniMed® Veo™ User Guide
GETTING CONNECTED
Medtronic MiniMed® Infusion Sets
Choice and Flexibility
MiniMed® Quick-set™ infusion set
Soft cannula set
90 degree insertion angle
MiniMed® Quick-serter™ insertion device for consistent insertion depth
At-site tubing disconnection
Cannula length: 6 or 9mm
MiniMed® Silhouette™ infusion set
Soft cannula set
20-45 degrees variable insertion angle
MiniMed® Sil-serterTM insertion device for controlled insertion depth
At-site tubing disconnection
Cannula lengths: 13 or 17mm
MiniMed® Sure-T® infusion set
Steel needle set
90 degree insertion angle
Tubing disconnection 10 cm from infusion site
Additional adhesive for increased security
Cannula lengths: 6, 8 or 10mm
Is the Quick-set™ right for you?
Due to its versatile design and straight 90 degree insertion angle, you may like the Quick-set if you are of average to heavier build.
Infusion Set & Reservoir
Is the Silhouette™ set right for you?
Due to its low prole and adjustable insertion depths, the Silhouette set is a good choice for babies, during pregnancy or if you are an active lean adult or child.
Is the Sure-T® set right for you?
Due to its very thin, steel needle and dual adhesives, the Sure-T® set is ideal for children of normal to heavier build. This set may also appeal to you if you are pregnant, simply prefer the steel needle set or are allergic to Teon® cannulas.
MiniMed® Mio® infusion set
All-in-one infusion set and insertion device
90 degree angle
Soft cannula
At-site tubing disconnection
Rigid box can be carried and stored anywhere
Cannula lengths: 6 or 9 mm
Available in three colours: blue, pink and clear
Refer to Chapter 5 in the MiniMed® Veo™ User Guide
Is the Mio® set right for you?
Due to its 90 degree angle and soft cannula, this set is suitable for both children and adults of average to heavier build.
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