Paradigm MMT-511 User Manual

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Paradigm™ Infusion Pump

Model MMT-511

User Guide

This product is covered by U.S. Patent Nos. 6,551,276 and 6,554,798. Other U.S. and/or foreign patents may be pending.

Bolus Wizard

is a registered trademark of Medtronic MiniMed.

Dual Wave™ is a trademark of Medtronic MiniMed.

Easy Bolus™ is a trademark of Medtronic MiniMed.

Square Wave™ is a trademark of Medtronic MiniMed.

BD Logic™ is a trademark of Becton, Dickinson and Company

Energizer

Glucagon Emergency Kit

Paradigm

is a registered trademark of Eveready Battery Company.

is a registered trademark of Eli Lilly and Company.

is a registered trademark of Medtronic MiniMed.

Paradigm Link™ is a trademark of Medtronic MiniMed.

The Link™ is a trademark of Becton, Dickinson and Company (Canada only)

Quick-serter

Quick-set

Silhouette

is a registered trademark of Medtronic MiniMed.

Sof-set

is a registered trademark of Medtronic MiniMed

U.S., international, and foreign patent applications are pending.

D9195890-015 040705

Important Safety Information Regarding Your

Paradigm Insulin Infusion Pump (includes all models)

Avoid Immersing Your Pump In Water

Although it is unlikely that water damage will occur if your pump is splashed or briefly dunked, you should avoid immersing your Paradigm infusion pump

in water. To swim or participate in other water activities, always disconnect from your Paradigm pump and reconnect after water play.

If you inadvertently submerge your pump in water, dry the pump quickly using a soft, clean towel and verify that it is working properly by selecting “self test” from the pump’s Utilities Menu. If you believe that water has entered your pump or you observe any other possible pump malfunction, please check your blood glucose, treat high blood glucose (if necessary) with an injection and contact our 24-Hour Help Line at 1-800-MINIMED (1-800-646-4633) for further assistance. Symptoms of high blood glucose include fatigue, excessive thirst and nausea. You should 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 Paradigm 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 with an associated pump error alarm. In most cases, exposure to high levels of ESD will trigger the pump’s E-13 alarm although, under certain circumstances, high level ESD exposure can cause E-44, Bolus Stopped or Max Delivery alarms. High levels of ESD are more likely in situations where the relative humidity is very low, such as inside a heated building during the winter in areas where it is cold outside.

If your pump experiences an E-13 or other error alarm, press the “ESC” and “ACT” buttons to clear the alarm. If you are unable to clear the alarm by pressing “ESC” and “ACT”, you may need to remove and replace the pump’s battery to clear the alarm. After clearing the alarm, you should always verify that your pump is set to the correct date and time and that all other settings (basal rate, max basal and bolus limits, etc.) are programmed to the desired values, since the software reset could erase your previously programmed settings. Please see the Alarms and Alerts section of this User Guide for more details regarding what to do if your pump displays an error alarm or other alert message.

Please contact our 24-Hour Help Line at 1-800-MINIMED (1-800-646-4633) to report any error alarms or other problems that occur with your pump.

Table of Contents

• • • • • •

Chapter 1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

For your records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Availability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Emergency kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

Pump and user guide conventions . . . . . . . . . . . . . . . . 4

Your pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Installing the battery the first time. . . . . . . . . . . . . . . . 6

Home screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Modes of operation . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Normal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Special . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Attention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

Pump buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Main menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Bolus menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

Suspend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

Basal menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14

Prime menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14

Utilities menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14

Initial pump settings . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Basal rate information . . . . . . . . . . . . . . . . . . . . . . . .16

Meal boluses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16

Correction bolus . . . . . . . . . . . . . . . . . . . . . . . . . . . .16

Blood glucose targets . . . . . . . . . . . . . . . . . . . . . . . . 16

Chapter 2

Getting Started . . . . . . . . . . . . . . . . . . . . . . . . 17

Reservoir and infusion sets . . . . . . . . . . . . . . . . . . . . . 17

Preparing your pump for use . . . . . . . . . . . . . . . . . . . 18

Setting the time and date . . . . . . . . . . . . . . . . . . . . . 18

Installing the reservoir . . . . . . . . . . . . . . . . . . . . . . . 21

Removing the reservoir . . . . . . . . . . . . . . . . . . . . . . . 22

Rewinding the pump . . . . . . . . . . . . . . . . . . . . . . . . . 22

Verifying insulin type . . . . . . . . . . . . . . . . . . . . . . . . 23

Changing insulin type . . . . . . . . . . . . . . . . . . . . . . . . 24

Manual Prime . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

Priming with fixed prime . . . . . . . . . . . . . . . . . . . . . 30

Reviewing the prime history . . . . . . . . . . . . . . . . . . . 32

How to wear the pump . . . . . . . . . . . . . . . . . . . . . . . . 33

Chapter 3

Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Checking pump status. . . . . . . . . . . . . . . . . . . . . . . . . 35

Chapter 4

Bolus Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Delivering a normal bolus. . . . . . . . . . . . . . . . . . . . . . 39

Dual/Square bolus . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Square wave bolus . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Delivering a square wave bolus . . . . . . . . . . . . . . . 42

Normal bolus during a square wave bolus . . . . . . 44

Dual wave bolus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Delivering a dual wave bolus . . . . . . . . . . . . . . . . . 46

Delivering an express bolus . . . . . . . . . . . . . . . . . . . . 49

When square/dual wave bolus option is off . . . . . . . 49

When square/dual wave bolus option is on . . . . . . . 50

Maximum bolus limit (max bolus) . . . . . . . . . . . . . . . 50

Setting the maximum bolus limit . . . . . . . . . . . . . . 50

Easy bolus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Setting up easy bolus . . . . . . . . . . . . . . . . . . . . . . . . 53

Delivering an easy bolus . . . . . . . . . . . . . . . . . . . . . . 55

Bolus history. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

Chapter 5

Basal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Basal menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

What are start and stop times? . . . . . . . . . . . . . . . . . 61

Delivering a basal . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Maximum basal rate (max basal) . . . . . . . . . . . . . . . . . 64

Setting max basal rate . . . . . . . . . . . . . . . . . . . . . . . 64

Temporary basal rate (temp) . . . . . . . . . . . . . . . . . . . . 65

How does it work? . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Delivering a temporary basal rate . . . . . . . . . . . . . . 66

Verifying temporary basal delivery . . . . . . . . . . . . . 67

Canceling a temporary basal rate . . . . . . . . . . . . . . . 68

Personal basal patterns . . . . . . . . . . . . . . . . . . . . . . . . 69

Turning on personal basal patterns . . . . . . . . . . . . . 70

Delivering personal basal patterns . . . . . . . . . . . . . . 71

Selecting a pattern . . . . . . . . . . . . . . . . . . . . . . . . . . 73

Basal review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74

Standard basal rates . . . . . . . . . . . . . . . . . . . . . . . 74

Chapter 6

Suspend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

Suspending the pump . . . . . . . . . . . . . . . . . . . . . . . . . 78

Resuming pump delivery . . . . . . . . . . . . . . . . . . . . . . . 79

iii

Chapter 7

Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

Setting the alert type. . . . . . . . . . . . . . . . . . . . . . . . . . 82

Using Auto-off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

Stop auto off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Reviewing the alarms . . . . . . . . . . . . . . . . . . . . . . . . . 85

Daily totals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86

Reviewing the daily totals . . . . . . . . . . . . . . . . . . . . . . 87

Block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88

Setting up block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88

Setting the time and date . . . . . . . . . . . . . . . . . . . . . . 90

Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93

Setting the language . . . . . . . . . . . . . . . . . . . . . . . . . . 93

RF options (remote control) . . . . . . . . . . . . . . . . . . . . 94

Adding an RF ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94

Deleting an RF ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96

Reviewing the RF ID codes . . . . . . . . . . . . . . . . . . . . . 98

Clear pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

Clearing pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100

Selftest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

Chapter 8

Remote Control . . . . . . . . . . . . . . . . . . . . . . . 107

Using your remote control . . . . . . . . . . . . . . . . . . . . 108

Remote control buttons . . . . . . . . . . . . . . . . . . . . . 108

Waking up your pump . . . . . . . . . . . . . . . . . . . . . . . 109

Deliver an easy bolus. . . . . . . . . . . . . . . . . . . . . . . . . 110

Suspend/resume the pump . . . . . . . . . . . . . . . . . . . 110

Installing a new remote battery . . . . . . . . . . . . . . . . 111

Cleaning your remote control . . . . . . . . . . . . . . . . . 112

If the remote control is dropped. . . . . . . . . . . . . . . . 112

If the remote control falls in water. . . . . . . . . . . . . . 112

Chapter 9

Troubleshooting & Care . . . . . . . . . . . . . . . . . 113

Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

My pump has a no delivery alarm . . . . . . . . . . . . . 113

What happens if I leave the battery out too long? . 114

What is a check settings alarm? . . . . . . . . . . . . . . . 115

I submerged my pump in water . . . . . . . . . . . . . . . 115

My screen appears distorted . . . . . . . . . . . . . . . . . . 116

Pump maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . 117

Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117

Installing a new pump battery . . . . . . . . . . . . . . 117

Cleaning your pump. . . . . . . . . . . . . . . . . . . . . . . . . . 119

Storing your pump. . . . . . . . . . . . . . . . . . . . . . . . . . . 119

Precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120

Avoiding extreme temperatures . . . . . . . . . . . . . . . 120

Avoiding dunking the pump in water . . . . . . . . . . 120

Special circumstances . . . . . . . . . . . . . . . . . . . . . . . . 120

If the pump is dropped . . . . . . . . . . . . . . . . . . . . . . 120

Chapter 10

User Safety . . . . . . . . . . . . . . . . . . . . . . . . . . 123

Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

Contraindications. . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

Warnings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124

Diabetic ketoacidosis (DKA) . . . . . . . . . . . . . . . . . . 124

Hypoglycemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124

Skin infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124

Reservoir and infusion sets . . . . . . . . . . . . . . . . . . 125

X-rays, MRIs and CT scans . . . . . . . . . . . . . . . . . . . 125

General precautions . . . . . . . . . . . . . . . . . . . . . . . . . . 125

Precautions - hypoglycemia. . . . . . . . . . . . . . . . . . . . 127

Precautions - hyperglycemia . . . . . . . . . . . . . . . . . . . 128

Precautions - infusion sets and sites . . . . . . . . . . . . . 129

Adverse reactions. . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Hyperglycemia and diabetic ketoacidosis (DKA) . . 130

Hypoglycemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

Site infection/abscesses . . . . . . . . . . . . . . . . . . . . . . 131

Notice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132

Insulin pump and remote control . . . . . . . . . . . . . 132

Chapter 11

Alarms and Alerts . . . . . . . . . . . . . . . . . . . . . 135

Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

E (Error) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136

Off no power . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136

Auto off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137

Empty reservoir . . . . . . . . . . . . . . . . . . . . . . . . . . 137

No reservoir . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137

No delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138

Motor error . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138

Batt out limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138

Max delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139

Button error . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139

Check settings . . . . . . . . . . . . . . . . . . . . . . . . . . . 139

Bolus stopped . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140

Failed batt test . . . . . . . . . . . . . . . . . . . . . . . . . . . 140

Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141

Low battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141

Low reservoir . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141

Message in Alarm History . . . . . . . . . . . . . . . . . . . . 142

Chapter 12

Pump Specifications . . . . . . . . . . . . . . . . . . . . 143

Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143

Alarms and error messages . . . . . . . . . . . . . . . . . . 143

Backlight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143

Insulin delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144

Block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144

Delivery accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . 144

Displacement accuracy . . . . . . . . . . . . . . . . . . . . . . 144

Drive motor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144

Dual wave bolus . . . . . . . . . . . . . . . . . . . . . . . . . . . 144

Easy bolus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145

Infusion pressure . . . . . . . . . . . . . . . . . . . . . . . . . . 145

Insulin concentration/type . . . . . . . . . . . . . . . . . . . 145

Normal bolus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145

Occlusion detection . . . . . . . . . . . . . . . . . . . . . . . . 146

Personal basal delivery patterns . . . . . . . . . . . . . . . 146

Power supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146

Prime function . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147

Program safety checks . . . . . . . . . . . . . . . . . . . . . . 147

Pump size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147

Pump weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147

Remote control . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147

Reservoir . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147

Square wave bolus . . . . . . . . . . . . . . . . . . . . . . . . . 148

Temporary basal rate . . . . . . . . . . . . . . . . . . . . . . . 148

Time and date display . . . . . . . . . . . . . . . . . . . . . . . 148

Water tight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148

Factory default settings . . . . . . . . . . . . . . . . . . . . . . . 149

Icon table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153

vii

viii

Chapter 1

Introduction

• • • • • •

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-the-art technology and the simple, menu-driven programming of the Paradigm pump will provide many benefits.

This User Guide is designed to help you use your pump; however, working with your healthcare professional is strongly recommended for your safety and to simplify your familiarity with the pump and pump therapy.

For your records

The pump serial number is located on the back of your pump. Please enter the serial number, purchase date, and pump start date in the table below.

Serial Number Purchase Date

Pump start date:

Assistance

Medtronic MiniMed provides a 24-hour help line for assistance in the United States. The help line is staffed with technicians who are trained in the set-up and operation of the Paradigm pump and are able to answer pump-related questions. When calling the help-line, please have your pump and serial number available. The help-line telephone number is also on the back of your pump.

24-hour Product Help-line if calling from inside the United States

if calling from outside of the United States

Web site www.minimed.com

800.646.4633 (800-MiniMed)

818.576.5555

Availability

The Paradigm insulin pump and its components are available through Medtronic MiniMed and from authorized distributors.

2 Chapter 1

Emergency kit

Keep an emergency kit with you at all times to make sure that you always have necessary supplies. This kit should include:

■

Fast-acting glucose tablets

■

Blood glucose monitoring supplies

■

Urine ketone monitoring supplies

■

Short acting insulin and insulin syringe with directions from your healthcare professional regarding how much insulin to take

■

An extra Paradigm infusion set and Paradigm reservoir

■

Dressing and adhesive

■

Extra AAA Alkaline and A23 batteries (Energizer recommended)

■

Paradigm Quick Reference Card

■

Glucagon Emergency Kit

Inform a family member, co-worker, and/or friend where this emergency kit is kept.

Please refer to Chapter 10, User Safety for more information on pump safety.

Introduction 3

Pump and user guide conventions

The following terms and icons are used to describe the pump in this User Guide.

“Press” means to push and release the button.

“Hold” means to push and maintain pressure on the button.

Flashing words or numbers on the screen indicate information

that can be changed in the pump.

Information that cannot be changed appears on the screen in characters that do not flash.

“Select” means to use the arrow buttons to access a pump feature.

Buttons and screen names are always uppercase; for example, ESC and HOME.

A note is additional, helpful information.

The word “CAUTION,” warns you of a potentially hazardous situation which, if not avoided, may result in minor or moderate injury to the user or damage to the equipment.

The word “WARNING,” alerts you about a situation which, if not avoided, could result in death or serious injury. It may also describe potential serious adverse reactions and safety hazards.

4 Chapter 1

Your pump

Take a look at your pump.

battery compartment

tubing connector

display screen

buttons

reservoir

compartment

The pump is smart. It remembers your settings and stores a record of its actions.

Turn your pump on its side.

Look at the reservoir compartment window. This window lets you see the reservoir. You can also find the approximate remaining reservoir volume by looking at the STATUS screen.

The reservoir compartment only accepts the Paradigm reservoirs. The reservoir and tubing connector are inserted into the compartment.

reservoir

window

Introduction 5

Installing the battery the first time

The Paradigm pump uses a AAA alkaline battery. As a safety measure, Medtronic MiniMed has designed the pump to only accept a NEW battery. The pump is very particular, if you insert a used battery, an alarm will be triggered.

If your batteries have been in a cold place, (i.e., your car in the winter), allow the battery to warm to room temperature (up to 30 minutes) before inserting into the pump.

CAUTION: It is highly recommended that you use an AAA alkaline

Energizer battery. Do not use a carbon zinc battery in the pump.

1. Use the edge of a coin and unscrew the battery cap in a counter-

battery cap

clockwise manner. Insert a new AAA alkaline battery. Insert the

o-ring

battery

battery with the negative (-) symbol going into the battery compartment first. Check the label on the back of the pump to make sure you are inserting the battery correctly.

2. Replace the battery cap by inserting the cap into the pump,

turning it clockwise until it is fully closed.

6 Chapter 1

3. Numbers will appear on the pump screen as the pump turns on. Then the following screen will appear.

MiniMed

4. If this does not happen:

a. Check to see if the battery is inserted properly. If the battery

has been installed backwards, discard the battery and install a NEW battery.

b. If the battery is inserted properly and your pump still does

not turn ON, try a new battery (repeat steps 1 through 4).

c. If the pump is still not ON, call the 24-hour Product Help-

line.

5. The software version screen will appear and then the HOME screen.

MiniMed

6. You can now explore your pump by pressing the buttons and scrolling through the menus. Refer to Chapter 2: Getting

Started for instructions for programming your pump for use.

If you perform the Rewind function, program your pump or the Check Settings alarm will occur.

Introduction 7

Home screen

The HOME screen serves as the start-

MiniMed

ing point to access the programming screens by pressing ACT, or to access the STATUS screen by pressing ESC.

Area below the line

is blank.

The word MiniMed is always ON when the pump is running. When “MiniMed” does not appear, the pump is not running.

Modes of operation

There are three modes of pump operation: Normal, Special and Attention.

Normal

In the Normal mode, the word MiniMed

This area

will not have

MiniMed

appears without

circles.

Special

The Special mode indicates certain features have been activated. Programming of other features is still allowed when the pump is in the Special mode.

These circles indicate Special mode.

The open circles will appear on top of all the screens until the pump is returned back to Normal mode or the Attention mode is triggered.

MiniMed

8 Chapter 1

The following features or alarms turn on the open circles:

■

Dual/square wave bolus delivery

■

Basal patterns A or B

■

Temporary basal delivery

■

Block

■

Low reservoir

■

Low battery

Attention

Solid circles appear when insulin

MiniMed

delivery has stopped. This will happen if operator interaction is required, an alarm warning is

These circles indicate Attention mode.

received, or when the pump is suspended. Alarm text; such as, Empty Reservoir will appear on the screen if activated. The warnings will be explained on the screen

when programming buttons are pressed. Use the to view all of the instructions on the screen. Press ESC and then ACT to clear

the alarm. Until the alarm is cleared, the pump is not delivering insulin.

Solid circles indicate that INSULIN DELIVERY HAS BEEN STOPPED.

The pump will beep/vibrate periodically when in the Attention or Special modes to remind you of the condition. The beep/vibrate frequency varies depending on the alarm.

Introduction 9

The screens that will display solid circles are:

■

Suspend

■

Empty Reservoir

■

Rewind

■

Insulin Type

■

Prime

■

Alarms

■

Errors

■

No Reservoir

■

Check Settings

Pump buttons

Five buttons are used to program and access the pump features.

UP and

DOWN buttons

EXPRESS BOLUS

ESC button

ACT button

button

■

The UP and DOWN buttons have several functions.

✒ They allow you to scroll through the menus for entry

choices.

✒ When a numerical entry is required, these buttons allow

you to change the number to the value of your choice.

scrolls the number higher and scrolls the

number lower.

10 Chapter 1

■

From the HOME screen, the and buttons have

special functions:

✒ The button lets you set an Easy Bolus.

✒ The button lets you turn the backlight On or Off.

■

The ESC button is used to move backwards in the menu structure. Use this button to back out of an unintentional menu selection.

■

The ESC button is used to view the STATUS screen from the HOME screen.

■

Press the ACT button to select or activate menu items. You will hear a beep or feel a vibration after you have successfully activated a change.

■

The EXPRESS BOLUS button provides a shortcut to the bolus set-up screens.

The pump screen text shown in this User Guide might not exactly match the text on your pump screen. Please follow the instructions on your pump screen. If you have any questions call the 24hour Product Help-line.

Introduction 11

Main menu

When you press ACT from the HOME screen, the Main menu will appear.

MiniMed

MAIN MENU

Bolus

Suspend

Basal

Prime

ACT

MiniMed

BOLUS MENU

Set Bolus

Bolus History

Max Bolus

Dual/Square Bolus Easy Bolus

MiniMed

SUSPEND

Press ACT to Stop Pump

MiniMed

BASAL MENU

Set/Edit Temp Basal

Set/Edit Basal Basal Review

Max Basal Rate Patterns

MiniMed

PRIME MENU Rewind Manual Prime* Fixed Prime

Prime History

Utilities

* Manual Prime is only displayed as part of the rewind process.

12 Chapter 1

ACT

MiniMed

UTILITIES MENU

Alarm Daily Totals Block

Time/Date Language

RF Options Clear Pump Selftest

Five lines of text is always viewable on your pump screen. The top line will always display the word “MiniMed.” The lines that follow identify the name of the menu and the choices/information available in that menu.

If there are more choices available in a menu than permitted by the five-line screen size, a scroll bar will appear on the right side of the display. You will

Basal Prime

Utilities

MiniMed

MAIN MENU

scroll

bar

need to use the and buttons to move through the menu choices.

The choices which appear on the Main menu graphic on the previous page show all the choices available in each of the Main Programming menus.

You will not see items printed in gray unless you use the and

buttons to scroll through the menus.

Bolus menu

The Bolus menu is used to give a meal bolus for food and to program a correction bolus for high blood glucose.

Suspend

The Suspend function will stop all insulin deliveries (Basal, Bolus, and Fixed Prime) programmed into your pump. You must resume your pump for Basal insulin delivery to restart.

WARNING: A Bolus and Fixed Prime will not restart automatically,

and will need to be reprogrammed.

Introduction 13

Basal menu

Use the Basal menu to program a continuous amount of insulin 24 hours-a-day. Your basal rate is the amount of insulin required to maintain your target glucose values when you are not eating. Your healthcare professional will calculate this rate for you.

Prime menu

Use the Prime menu to fill the infusion set with insulin before use.

Utilities menu

The utilities menu allows you to customize your pump. Utility features that can be set for your personal lifestyle are:

■

Alarms

■

Daily Totals

■

Block

■

Time/Date

■

Language

■

RF Options

■

Clear Pump

■

Selftest

14 Chapter 1

Initial pump settings

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

If your pump start is to take place in your healthcare 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 contact your healthcare professional to determine your basal rate and bolus amounts. This may require making an appointment to review your blood glucose logs in order for your healthcare professional to make an accurate determination.

Enter your settings in the tables on the next page and onto the Quick Reference Card provided. This card is designed to fit into your wallet or pocket, so it is always with you.

Introduction 15

Basal rate information

Basal Rate Number Start Time Units per Hour

Most people will only have one basal rate when starting pump therapy.

Meal boluses

Carbohydrate Ratio:

1.0 unit of insulin for ______ grams of carbohydrate

Correction bolus

1.0 unit of insulin will lower blood glucose by approximately _______ mg/dl(mmol/l)

Blood glucose targets

Before Meals: between ____ and____mg/dl(mmol/l)

2 hours after meals: less than ________mg/dl(mmol/l)

Bedtime: between ____ and____mg/dl(mmol/l)

2-3 a.m.: more than _______mg/dl(mmol/l)

16 Chapter 1

Chapter 2

Getting Started

• • • • • •

This chapter will guide you through the set-up procedures to get your pump ready to use. Make sure you have read Chapter 1,

Introduction and are familiar with all the pump features.

Do not continue with this section unless you have watched your video and completed your pump start training.

Reservoir and infusion sets

WARNING: For your protection the model 511Paradigm infusion

pump has undergone extensive testing to confirm appropriate operation when used with Paradigm reservoirs and Paradigm infusion sets manufactured or distributed by Medtronic MiniMed. 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.

The Medtronic MiniMed Paradigm infusion system (MMT-511) includes the Paradigm pump, reservoir and infusion sets. The Paradigm pump is intended for use with a Paradigm reservoir and Paradigm infusion sets. Medtronic MiniMed provides a variety of Paradigm infusion sets to fit your different needs.

Refer to the Instructions for Use included with the Paradigm reservoir and infusion sets you have chosen for detailed information.

Preparing your pump for use

This section guides you through the procedures that you need to complete to prepare your pump for use. You will need the following items:

■

Paradigm Pump

■

Insulin

■

Paradigm Infusion Set

■

Paradigm Reservoir

These procedures are sequential. Perform the following procedures in order.

Setting the time and date

1. From the HOME screen, press ACT. Press the button to

select Utilities. Press ACT.

MiniMed

MAIN MENU

Basal Prime

Utilities

2. Press the button to select Time/Date. Press ACT.

MiniMed

UTILITIES MENU

Daily Totals

Block

Time/Date

18 Chapter 2

3. Press the and button to select your preferred time

format. Press ACT.

MiniMed

TIME/DATE SETUP

12 Hour Setup

24 Hour Setup

If you have selected the 12 Hour Setup, when pressing the

and buttons the AM/PM will change. Make sure that the desired time indicator is displayed.

4. Press ACT to program the time and date.

MiniMed

TIME/DATE SET

12:00 PM 1JAN2001

Press ACT to change

5. Press the and buttons to set the hour. Press ACT.

MiniMed

SET HOUR

10:12 PM

Getting Started 19

6. The minutes will flash. Press the and buttons to set

the minutes. Press ACT.

MiniMed

SET MINUTE

10:12 PM

7. The year will flash. Press the and buttons to set the

current year. Press ACT.

MiniMed

SET YEAR

2001

8. The month will flash. Press the and buttons to set the

month. Press ACT.

MiniMed

SET MONTH

9. The day will flash. Use the and buttons to select the

day. Press ACT.

MiniMed

SET DAY

20 Chapter 2

10. The time and date will be shown.

MiniMed

TIME SET AT

10:12 PM

18NOV2001

11. Press the ACT button to return to the UTILITIES menu.

Installing the reservoir

If using the pump for the first time, remove the shipping cap from the reservoir compartment before installing the reservoir.

To install a reservoir into your pump or replace an empty reservoir you will access the PRIME menu to rewind the pump. The pump will prompt you through the following steps:

■

Remove empty reservoir

■

Rewind — moves the drive arm back to the starting point inside the reservoir compartment, so a new reservoir can be installed.

■

Install new reservoir

■

Select insulin type

■

Preparing to prime — pump finds the back of reservoir.

■

Manual prime

■

Insert set into body

■

Fixed prime

The following procedures must be followed in order. The pump will prompt you through these procedures.

Getting Started 21

Removing the reservoir

1. Remove the infusion set from your body or disconnect the tubing from the infusion site.

2. Using a counter-clockwise motion, unscrew the tubing

connector from the pump with a 1/2 turn.

3. Pull the reservoir and the connector away from the pump.

4. Dispose of your used reservoir and infusion set in a safe

manner.

Rewinding the pump

WARNING: Always disconnect the infusion set from your body

before inserting or removing the reservoir from the pump.

1. From the HOME screen, press ACT. Select Prime.

MiniMed

MAIN MENU

Suspend Basal

Prime

2. Make sure the reservoir is removed from the pump. Press ACT

and Rewind will be selected.

MiniMed

PRIME MENU

Rewind

Fixed Prime Prime History

22 Chapter 2

WARNING: Never rewind the pump while it is connected to your

body or contains a reservoir. Never insert the reservoir into pump while it is connected to your body.

3. Press ACT and the REWIND screen will appear.

MiniMed

REWIND

Disconnect from Body Press ACT to Rewind

4. Press ACT to rewind.

5. The pump will now rewind.

MiniMed

REWINDING

Wait for Notification

6. Once finished, the pump will beep three times and the screen will change to the INSULIN TYPE screen.

Verifying insulin type

Make sure that you select the Insulin Type prescribed to you by your medical doctor.

MiniMed

INSULIN TYPE

User-fill

U100u

U50u

Getting Started 23

7. Use the and buttons to select your reservoir type/insu-

lin concentration. Press ACT.

8. Use the button to select Yes and press ACT to verify insulin

type. To change the insulin type, select No and press ACT, or press ESC to return to the INSULIN TYPE screen.

MiniMed

VERIFY INSULIN TYPE

Yes

9. If the MANUAL PRIME screen appears go to step 14 on the next page.

U100

WARNING: Do not change your Insulin Type without consulting with

your medical doctor. Make sure that you select the Insulin Type that you are currently using. Proper selection of insulin concentration is necessary for accurate insulin delivery.

Changing insulin type

The pump knows if you have changed your insulin type. For example: If you have been using an Insulin Type of U100 and select U50, the pump will know that you have changed your Insulin Type. The following screens will appear:

MiniMed

24 Chapter 2

INSULIN

CHANGE!

10. Press ESC to return to the INSULIN TYPE screen to change your Insulin Type if you have selected the wrong insulin type.

11. Press ACT to continue.

MiniMed

Consult your

physician before

changing insulin

therapy.

12. Press ESC to return to the INSULIN TYPE screen or if you have consulted with your physician press ACT to verify the insulin change.

MiniMed

VERIFY INSULIN CHANGE

Yes

U100

13. Select Yes to verify the insulin change. Press ACT. Select No if you do not wish to change your insulin type.

14. The MANUAL PRIME screen will appear.

MiniMed

MANUAL PRIME

Disconnect from Body

Insert/Lock Reservoir

Hold ACT to Prime

WARNING: The pump must be rewound prior to inserting the new

reservoir. Failure to disconnect and rewind the pump could result in an accidental infusion of insulin.

15. Be sure the infusion set is disconnected from your body.

Getting Started 25

16. Fill the reservoir with your insulin. Refer to the Instructions for Use provided with the reservoir.

WARNING: Your pump will not accurately deliver insulin if air

bubbles are present in the reservoir or infusion set. Take care to remove air bubbles when filling your reservoir and priming your infusion set.

17. Attach the tubing connector to the top of the filled reservoir as described in the instructions that came with the reservoir.

18. Once the tubing connector is securely in place, insert the reservoir into the top of the pump case.

19. Once the reservoir is inserted, rotate the tubing

battery cap

connector approximately 1/2 turn clockwise until seated. When seated, the tubing connector should be

tubing connector

ESC

ACT

aligned horizontally as shown in graphic.

20. Make sure the following screen is showing on the pump. Press ACT if the screen is not visible.

MiniMed

MANUAL PRIME

Disconnect from Body

Insert/Lock Reservoir Hold ACT to Prime

26 Chapter 2

WARNING: Improper placement of the reservoir may result in inac-

curate delivery of insulin. Check to make sure the tubing connector is locked onto the reservoir and the pump case correctly, before connecting to the infusion set quick release.

If you have already connected the infusion set quick release, disconnect BEFORE correcting the reservoir placement.

Once the tubing connector is seated properly, do not partially unscrew and re-tighten the tubing connector while the infusion set is connected to your body.

Getting Started 27

Manual Prime

1. Make sure that the infusion set is disconnected from your

pump to your body.

MiniMed

MANUAL PRIME

Disconnect from Body

Insert/Lock Reservoir Hold ACT to Prime

2. Hold ACT to Prime. The pump will prepare to prime and will beep six times.

If you let go of the ACT button, either hold down ACT again to continue or press ESC to repeat the entire “Rewind” procedure.

MiniMed

PREPARING TO PRIME

Hold ACT

3. Continue to hold the ACT button until you hear a second set of six beeps.

WARNING: DO NOT continue until you hear the second set of beeps

and the screen from step 4 appears. Call the 24-hour Product Help-line for assistance.

28 Chapter 2

4. After the second set of six beeps, the number of units used will count up on the screen and begin filling the tubing with insulin. The pump will beep every two seconds.

MiniMed

PRIMING - HOLD ACT

ESC if done

0.0

5. Hold the ACT button until insulin droplets form at the infu- sion set tip.

MiniMed

PRIMING - HOLD ACT

ESC if done

10.6

6. When droplets form at the tip of the infusion set and you do not have any bubbles in your infusion set, release the ACT button and press ESC. Your Manual Prime is complete. Fixed Prime will automatically be selected in the Prime Menu for two minutes.

MiniMed

PRIME MENU

Rewind Manual Prime

Fixed Prime

7. Insert your infusion set per the Instructions for Use provided with the set.

8. If you have NOT performed steps 4, 5, and 6, do not attach the infusion set connection to the pump tubing.

Getting Started 29

Priming with fixed prime

Fixed priming provides a pre-determined volume for priming the infusion set soft cannula after the introducer needle is removed. Fixed prime is used after the infusion set has been inserted into your body and the quick release connected to the pump. A Fixed Prime is also used if you have disconnected your quick release and you need to reprime the infusion set.

Refer to your Instructions for Use, for the type of infusion set you are using, for approximate priming volumes. (Priming volumes vary depending on type of infusion set you are using.)

The fixed prime cannot exceed the maximum bolus amount you have set.

1. If two minutes have passed, the HOME screen will appear. (Go to step 3 if two minutes have not passed.) Press ACT from the HOME screen, to get back to the PRIME menu. Select Prime from the Main menu. Press ACT.

MiniMed

MAIN MENU

Suspend Basal

Prime

2. Select Fixed Prime. Press ACT.

MiniMed

PRIME MENU

Rewind

Manual Prime

Fixed Prime

30 Chapter 2

Manual Prime will ONLY appear in the Prime menu after you have performed “Rewind” when changing your reservoir. The Manual Prime feature will not reappear once Fixed Prime, or the Prime Menu has been exited.

3. The prime amount will flash. Use the and buttons to

set the prime. Press ACT.

If a Fixed Prime has been performed previously, the following screen will automatically default to the last entered prime amount.

MiniMed

FIXED PRIME

0.5

4. Once the prime has begun, the PRIME DELIVERY screen will count up the units as they are delivered.

MiniMed

PRIME DELIVERY 6:26PM

0.3

5. A “beep” will sound when priming is complete.

Getting Started 31

If you need to stop a Fixed Prime, select Suspend, and then Resume.

Reviewing the prime history

Review the prime history to see the primes you have delivered.

The prime amounts are not counted into your daily total quantity of insulin.

1. From the HOME screen, press ACT. Press the button to

select Prime. Press ACT.

MiniMed

MAIN MENU

Basal

Prime

Utilities

2. Press the to select Prime History. Press ACT.

MiniMed

PRIME MENU

Rewind Fixed Prime

Prime History

32 Chapter 2

3. Use the and buttons to review the primes. The “F” at

the end of the line indicates a fixed prime. An “M” indicates a manual prime.

MiniMed

PRIME HISTORY 21FEB 08:09P

21FEB 08:07P 22.1M 21FEB 06:51A

.5F

F (fixed prime)

M (manual prime)

4. Press ESC button to exit.

How to wear the pump

A holster is provided with your pump. The holster is designed to fit on your belt or waistband, where you can access it easily. Using the holster helps protect your pump from impact and scratches.

Other cases to hold your pump are available through Medtronic MiniMed.

Getting Started 33

34 Chapter 2

Chapter 3

Status

• • • • • •

Checking pump status

The different operations of the Paradigm pump can be easily reviewed by accessing the STATUS screen.

1. From the HOME screen, press ESC to show the STATUS

screen. Use the and

button to scroll and view all of the information.

The STATUS screen to the right is a sample of what you will see on the screen. The “XX” indicate the software version number.

STATUS 9:28A U100u

Temp Basal 0.1U/H

Last Bolus N

Basal 3: 0.5U/H Units Remaining: 30U Battery: Normal Thur 22 FEB 2001 S/N# 000542 VER X.XX X.00 OB OB

MiniMed

Duration 0:30 Time left 0:05

6:29A 22 Feb

9.2U

The following list is information that appears on the STATUS screen. All this information will not appear all the time or at the same time.

■

Time and date (always present)

■

Insulin type (always present)

■

Status of pump (examples: Rewind, Suspended, Low Reservoir)

■

Bolus delivered by type: Square (S), and Dual (D)

■

Basal pattern: A or B

■

Special basal messages, such as, temporary basal with total units, duration, and time left.

■

Last bolus delivered, type (‘S’-Square, ‘N’-Normal, ‘D’-Dual), units delivered, and time and date of delivery.

■

Current programmed basal rate (present, but not active if temporary basal is being delivered).

■

Units remaining in reservoir (always present [insulin may remain after counter reaches zero])

■

Battery Status: Normal, Low, or Off (always present)

■

Special settings will display, if set to On. Auto Off, Block: On, and Remote: On.

■

The serial number and software version of the pump (always present).

36 Chapter 3

Chapter 4

Bolus Menu

• • • • • •

During a bolus delivery most pump features are disabled until after the bolus has been delivered. Suspend and the STATUS screen are always available.

The Paradigm pump can be programmed to deliver different types of boluses:

■

Normal Bolus - Delivers a bolus to cover current needs.

■

Square Wave Bolus - Delivers a bolus evenly over a period of time, from 30 minutes to 8 hours.

■

Dual Wave Bolus - Delivers a normal bolus followed by a square wave bolus.

Additional bolus features are available for your safety and convenience:

■

Express Bolus - The EXPRESS BOLUS button is a short-cut to the Bolus Type Menu.

■

Maximum Bolus Limit (Max Bolus) - A feature you set that limits the units delivered for a single bolus. The range is 0.0-

25.0 units. Factory setting is 10.0 Units.

■

Easy Bolus - the EASY BOLUS button is used to deliver a normal bolus without looking at your pump. This feature is programmed using the Bolus Menu/Easy Bolus option.

■

Bolus History- The Bolus History allows you to review and verify your bolus deliveries.

MiniMed

BOLUS MENU

Set Bolus

ACT

MiniMed

SET BOLUS

--.-

MiniMed

BOLUS TYPE MENU Normal Bolus Square Wave Bolus Dual Wave Bolus

Bolus History

Max Bolus

Dual/SquareBolus

Easy Bolus

ACT

MiniMed

BOLUS HISTORY

Last

11NOV 10 NOV

12:00P 11:50A

12:00P

12.4N

18.7S

20.5N

MiniMed

MAX BOLUS SETUP

0-25

10.0

MiniMed

DUAL/SQUARE OPTION

Off

MiniMed

EASY BOLUS OPTION Off

On/Set

* The SET BOLUS screen is the default Bolus screen. If Dual/Square is ON the BOLUS TYPE MENU screen will appear.

38 Chapter 4

Delivering a normal bolus

1. From the HOME screen, press ACT. Bolus will be selected. Press ACT.

MiniMed

MAIN MENU

Bolus

Suspend Basal

2. The Set Bolus option will be selected. Press ACT.

MiniMed

BOLUS MENU

Set Bolus

Bolus History

Max Bolus

3. The dashes for the Set Bolus amount will flash. Use the

and buttons to set the desired bolus amount. Press

ACT.

MiniMed

SET BOLUS

2.0

Bolus Menu 39

4. The bolus will be delivered now. A beep or vibration will occur at the start and end of the bolus. As the bolus is delivered, the amount will count up, until the entire bolus has been delivered.

MiniMed

BOLUS DELIVERY

12:30PM

0.1

Dual/Square bolus

When you turn the Dual/Square Bolus feature ON, new options will appear when you select Set Bolus.

1. From the HOME screen press ACT. Bolus will be selected. Press

ACT.

MiniMed

MAIN MENU

Bolus

Suspend Basal

2. Select Dual/Square Bolus. Press ACT.

MiniMed

BOLUS MENU

Bolus History Max Bolus

Dual/Square Bolus

40 Chapter 4

3. Select ON. Press ACT.

MiniMed

Dual/Square Option

Off

4. Repeat these steps to turn OFF this feature if desired.

Square wave bolus

The square wave bolus can be used for insulin delivery when you have eaten a long meal, with extended snacking, or if you have delayed digestion of food. By extending the bolus delivery over a period of time, the insulin is more likely to be available to match your individual needs.

➤

What can I do if I want to eat more food than the square wave bolus I have programmed will cover?

If you need additional insulin, the Paradigm pump will let you program a normal bolus during a square wave delivery. The normal bolus will interrupt the square wave that is being delivered. The square wave delivery will continue once the normal bolus delivery is finished.

The square and dual wave boluses are optional. You may want to explore these options after you become familiar with the basic functions of your pump. It is important that you consult with your healthcare professional before using these features.

Bolus Menu 41

Delivering a square wave bolus

A square wave bolus delivers a bolus evenly over a period of time, from 30 minutes to 8 hours.

During a Square Wave Bolus other programming cannot be accomplished, except for a Normal Bolus and Suspend.

1. From the HOME screen press ACT. Bolus will be selected. Press

ACT.

MiniMed

MAIN MENU

Bolus

Suspend

Basal

2. Set Bolus will be selected. Press ACT.

MiniMed

BOLUS MENU

Set Bolus

Bolus History

Max Bolus

3. Select Square Wave Bolus. Press ACT.

MiniMed

BOLUS TYPE MENU

Normal Bolus

Square Wave Bolus

Dual Wave Bolus

42 Chapter 4

4. The SET SQUARE BOLUS screen will appear. The bolus

amount will flash. Use the and buttons to set the

bolus. Press ACT.

MiniMed

SET SQUARE BOLUS

--:--

--.-

5. The duration will flash in the upper left corner. Use the

and buttons to set the length of the delivery. Press ACT.

MiniMed

SET DURATION

00:30

Square

6. The BOLUS DELIVERY screen will show the square bolus units as they are delivered, starting from zero up to the amount programmed.

MiniMed

Bolus Delivery

5:00PM

Square

0.6

0.0

7. After 30 seconds, the pump will return to the HOME screen. If you would like to check the progress of your Bolus delivery, press ESC to view the STATUS screen.

Bolus Menu 43

Normal bolus during a square wave bolus

Use this feature if you need additional insulin. You can program a normal bolus during the delivery of a square wave bolus. The normal bolus will interrupt the square wave bolus that is being delivered. The square wave delivery will continue once the normal bolus delivery is finished.

1. From the HOME screen, press ACT. Suspend will be selected. Select Bolus. Press ACT.

MiniMed

MAIN MENU

Bolus

Suspend Basal

2. Set Bolus will be selected. Press ACT.

MiniMed

BOLUS MENU

Set Bolus

Bolus History

Max Bolus

3. The screen will now show that a square wave bolus is in

progress. Press ACT.

MiniMed

SQUARE: Set

Delivered Time Left

ACT to Program

0.6U

0.2U

1:29

44 Chapter 4

4. The bolus amount will flash. Use the and buttons

to set the bolus. Press ACT.

MiniMed

SET BOLUS

5.0

5. The BOLUS DELIVERY screen will appear and will display the units as they are delivered.

MiniMed

BOLUS DELIVERY

12:30PM

Normal

6. Once the Normal Bolus has been delivered, the pump will beep/vibrate once and return to the BOLUS DELIVERY screen.

MiniMed

BOLUS DELIVERY

1:10PM

Square

0.1

0.3

7. After 30 seconds, the pump will return to the HOME screen. If you would like to check the progress of your Bolus delivery, press ESC to view the STATUS screen.

Bolus Menu 45

Dual wave bolus

A dual wave bolus is a combination of a normal bolus and a square wave bolus. Programming a dual wave bolus will deliver an immediate bolus followed by another bolus delivered evenly over a period of time, from 30 minutes to 8 hours.

➤

What is the advantage of the dual wave bolus? This bolus option is useful for meals that contain both rapidly and

slowly absorbed carbohydrates. Example: Fruit and crackers followed by pasta. This option meets both immediate and extended insulin needs.

Delivering a dual wave bolus

1. From the HOME screen, press ACT. Bolus will be selected. Press ACT.

MiniMed

MAIN MENU

Bolus

Suspend

Basal

2. Set Bolus will be selected. Press ACT.

MiniMed

BOLUS MENU

Set Bolus

Bolus History Max Bolus

46 Chapter 4

3. Select Dual Wave Bolus. Press ACT.

MiniMed

BOLUS TYPE MENU

Normal Bolus

Square Wave Bolus

Dual Wave Bolus

4. The SET DUAL BOLUS screen will appear. The bolus amount

will flash. Use the and buttons to set the immediate

bolus amount for the Normal bolus. Press ACT.

MiniMed

SET DUAL BOLUS

Dual Now

5. The SET SQUARE BOLUS screen will appear. The bolus

amount will flash. Use the and buttons to set the

bolus. Press ACT.

MiniMed

SET SQUARE BOLUS

--:--

Dual

5.0

4.4

Bolus Menu 47

6. The duration icon will flash. Use the button to set the

length of the delivery, in 30 minute increments. Press ACT.

MiniMed

SET DURATION 00:30

Dual

7. The BOLUS DELIVERY screen will appear, showing you the

number of units of insulin as they are delivered.

MiniMed

BOLUS DELIVERY

1:32PM

Dual

4.4

0.1

8. Once the immediate bolus delivery is completed, the screen

will automatically show you the progress of the extended square bolus delivery. You will notice that “Square” appears in the bottom of the screen.

MiniMed

9. After 30 seconds, the pump will return to the HOME screen. If

you would like to check the progress of your bolus delivery, press ESC to access your pump’s STATUS screen.

48 Chapter 4

BOLUS DELIVERY

1:32PM

Square

0.0

Delivering an express bolus

The EXPRESS BOLUS button is a short-cut to the Bolus Type menu.

When square/dual wave bolus option is off

1. From the HOME screen, press the button.

MiniMed

SET BOLUS

--.-

2. The dashes for the Set Bolus amount will flash. Use the

and buttons to set the bolus. Press ACT.

MiniMed

SET BOLUS

0.6

3. The BOLUS DELIVERY screen will appear, showing you the

number of units of insulin as they are delivered.

MiniMed

BOLUS DELIVERY

12:30PM

0.1

Bolus Menu 49

When square/dual wave bolus option is on

1. From the HOME screen, press the button.

2. The Bolus Type menu will appear.

MiniMed

BOLUS TYPE MENU

Normal Bolus

Square Wave Bolus Dual Wave Bolus

3. Select the desired bolus type. Press ACT. The screen that

appears will be different, depending on the type of bolus you selected. Program your desired settings.

Maximum bolus limit (max bolus)

A maximum bolus limit sets a safety limit for the amount of insulin that can be delivered in a single bolus.

It’s important to discuss this feature with your healthcare professional to decide on the maximum bolus amount of insulin that can be delivered at one time. The Maximum Bolus Limit can be set from 0.0 to 25.0 units. The factory setting is 10.0 units.

Setting the maximum bolus limit

1. From the HOME screen, press ACT. Bolus will be selected. Press ACT.

MiniMed

MAIN MENU

Bolus

Suspend Basal

50 Chapter 4

2. Select Max Bolus. Press ACT.

MiniMed

BOLUS MENU

Set Bolus

Bolus History

Max Bolus

3. The current maximum bolus will flash. Use the and

buttons to set the maximum amount and press ACT.

MiniMed

MAX BOLUS SETUP 0-25

10.0

Bolus Menu 51

Easy bolus

When using vibrate mode, Easy Bolus is limited to 20 steps or maximum bolus, whichever comes first.

An Easy Bolus is an optional way to deliver a bolus without looking

at your pump. With each press of the button, you increase the bolus amount by a set amount, called a “step.” Prior to deliver-

ing an Easy Bolus, you program how many units of insulin will equal each step. The maximum number of steps depends on the Easy Bolus step size and the maximum bolus. For example: If the maximum bolus is set to 15 units and the step size amount is set to .5, the number of steps is 30.

Example of an Easy Bolus with step amount set at 0.5 units

Total # Steps = 4

Total # Button Presses = 4

1 Step = 0.5 units

0.5

1.0

Total # Units

1.5

Once the step amount is set, you are ready to program an Easy Bolus. From the HOME screen, with each press of the button,

you will hear a beep or feel a vibration for each step being

52 Chapter 4

programmed. Each beep is a different tone. This makes it easy for you to count the beeps, which equal the number of steps you have programmed for your easy bolus delivery.

You can set the step at a level between 0.1 to 2.0 units. Set the step to a number that is convenient to use and easy to multiply. Your pump is programmed at the factory with the easy bolus feature turned ON, and the step is set at 0.5 units.

Setting up easy bolus

Turns ON Easy Bolus and sets the step size. Easy Bolus is set to ON at the factory.

1. From the HOME screen, press ACT. Bolus will be selected.

MiniMed

MAIN MENU

Bolus

Suspend Basal

2. Press ACT.

3. Use the and buttons to select Easy Bolus. Press ACT.

MiniMed

BOLUS MENU

Max Bolus Dual/Square Bolus

Easy Bolus

Bolus Menu 53

4. On/Set will be selected. Press ACT.

MiniMed

EASY BOLUS OPTION

Off

On/Set

If you do not wish to set the Easy Bolus Option, use the button

and select OFF. Press ACT. If your Easy Bolus is turned off, you will not be able to use your Remote Control to deliver a bolus.

5. The unit value will flash. The default is 0.5 units. Use the

and buttons to set the value to be used as the “step” for the

Easy Bolus.

MiniMed

EASY BOLUS ENTRY

0.5

6. Press ACT. The screen will return to the Bolus menu. Your Easy Bolus step amount has now been programmed.

54 Chapter 4

Delivering an easy bolus

The feature is used to easily deliver a Normal Bolus. To deliver

other types of boluses, use the Main menu or the button.

Practice using this feature while looking at the pump.

1. From the HOME screen, press the button. The “step”

amount will appear.

MiniMed

SET EASY BOLUS

0.5

2. Press the button the number of times needed to deliver

your bolus amount. Each time you press the button, the units increase by the “step” amount. For a step size of 0.5 units, the

button is pressed twice and the screen will display 1.0

units. At each press of the button, the pump will sound a

different tone so you can keep track of the number of but-

ton presses.

MiniMed

SET EASY BOLUS

1.0

Bolus Menu 55

Pressing the or ESC button will cancel the programming.

3. Press ACT when the desired bolus amount is reached. The pump will beep or vibrate back the amount you just selected.

4. Count the beeps or vibrations. If this amount is correct, press ACT to start the bolus delivery. The BOLUS DELIVERY screen will appear.

MiniMed

BOLUS DELIVERY

1:32PM

Normal

5. The BOLUS DELIVERY screen will display the units being delivered. When the total amount of the programmed bolus has been delivered, a beep will sound or a vibration will be felt.

0.1

Bolus history

The Bolus History provides a record of the last 24 delivered boluses.

➤

What was the amount of my last bolus? Review the BOLUS HISTORY screen to verify the amount of your

bolus deliveries.

➤

Why should I review my bolus deliveries? Comparing your bolus deliveries to your blood glucose records

helps you and your healthcare professional identify your optimal bolus amount(s).

56 Chapter 4

1. From the HOME screen, press ACT. Bolus will be selected. Press ACT.

MiniMed

MAIN MENU

Bolus

Suspend

Basal

2. Select Bolus History. Press ACT.

MiniMed

BOLUS MENU

Set Bolus

Bolus History

Max Bolus

3. The BOLUS HISTORY screen will appear. Use the and

buttons to review your recent bolus deliveries.

MiniMed

BOLUS HISTORY

Last 11NOV

11NOV

05:30P 01:05P

06:30P

5.0N

6.0S

4.8N

The above screen indicates the following: Date of delivery, time of delivery, units delivered, and type of bolus delivered (‘S’- Square, ‘N’-Normal, ‘D’-Dual).

Bolus Menu 57

58 Chapter 4

Chapter 5

Basal

• • • • • •

Basal rate is the amount of insulin that the body needs to maintain target glucose values without food.

The basal rate should account for approximately one half of the body’s total daily insulin requirements. Your pump mimics your pancreas by delivering insulin continuously over 24 hours.

You can set your insulin pump to change rates during the day to match your needs. Some people only use one rate, while others find they need more. Your needs depend on your lifestyle and insulin requirements.

Once set, these individual basal rates create your complete basal pattern and are repeated every 24 hours.

Basal menu

The menu choices that appear on the BASAL MENU screens will change if a temporary basal rate has been set or if the Patterns Option has been turned ON.

MiniMed

BASAL MENU

Set/Edit Temp Basal

*Select Patterns

Set/Edit Basal

Basal Review

ACT

MiniMed

SET DURATION

--:--

Temp

MiniMed

SELECT PATTERN Standard 48.0U Pattern A 32.0U Pattern B

---.-U

MiniMed

SET BASAL RATE

12:00A

MiniMed

STANDARD

1) 12:00A

2) 06:30A

3) 08:30A

--.

6.2

0.0

9.8 U

U/H U/H

U/H

Max Basal Rate

Patterns

* Select Patterns will appear on the menu if the Patterns feature is turned ON.

60 Chapter 5

ACT

MiniMed

MAX BASAL RATE

MiniMed

PATTERNS OPTION

off

What are start and stop times?

Start and stop times are the times that one basal rate stops and the next basal rate starts.

It is recommended that you record your basal rates on paper. For best results, discuss setting or changing your basal rate(s) with your healthcare professional.

Basal Rate 2

start #2

Basal Rate 1

Basal Rate 3

start #1

stop #1

Midnight *12 a.m

00:00

* Basal Rate 1 start time cannot be changed — only the rate. Basal

Rate 1 always starts at 12 a.m. or 00:00 depending on the time format selected.

■

The start time of one basal rate is the stop time of the

7:00 a.m.

stop #2

3:00 p.m.

15:00

start #3

stop #3

12:00 p.m.

00:00

previous one — giving you continuous basal insulin over 24 hours.

■

You cannot set a start time for one basal rate to overlap the next basal rate. The addition of a new basal rate will erase any basal rates that follow.

Basal 61

Delivering a basal

It is recommended that you set basal rates with the assistance of your healthcare professional.

1. From the HOME screen, press ACT. Select Basal. Press ACT.

MiniMed

BASAL MENU

Bolus

Suspend

Basal

2. Select Set/Edit Basal. Press ACT.

MiniMed

BASAL MENU

Set/Edit Temp Basal

Set/Edit Basal

Basal Review

3. The basal rate will flash indicating that it can be changed. Use

the and buttons to set Basal Rate 1. Press ACT.

MiniMed

SET BASAL RATE 1 12:00A

Basal Rate 1

62 Chapter 5

4. The screen will change to Basal Rate 2. The start time for rate 2 will flash. If you require only one basal rate, press ACT again.

MiniMed

SET START TIME 2

--:--

--.

Basal Rate 2

5. The screen will show the current rate and the 24-hour total. After 30 seconds, the screen will return to the HOME screen.

MiniMed

BASAL RATE

Current Rate 0.6U/H

Started #1-12:00A 24 Hr. Total 14.4U

6. If you need to program additional basal rates, continue to set the rate and time. Each basal rate will be identified by a number (Basal Rate 1, Rate 2, Rate 3, etc.).

Press ACT after you have finished. The screen will show the current rate and the time it started, as well as the daily total. The pump will return to the HOME screen after 30 seconds.

Basal 63

Maximum basal rate (max basal)

■

A maximum basal rate is a safety limit for the amount of basal insulin that is able to be delivered per hour.

■

It’s important to discuss your maximum basal rate with your healthcare professional.

Setting max basal rate

The Max Basal Rate sets the maximum basal rate (units/hour) that the pump will deliver. This maximum rate will apply to every basal rate that is set, including a temporary basal rate.

Your pump is programmed at the factory with a maximum basal setting of two (2.0) units per hour. A maximum basal rate of up to

35.0 units per hour can be set. Discuss with your healthcare professional what your limit should be. You CANNOT set a maximum basal rate that is less than any of the currently programmed basal rates – this includes patterns and temporary basal rates.

1. From the HOME screen, press ACT. Select Basal, then press ACT.

MiniMed

MAIN MENU

Bolus

Suspend

Basal

64 Chapter 5

2. Select Max Basal Rate. Press ACT.

MiniMed

BASAL MENU

Set/Edit Basal

Basal Review

Max Basal Rate

3. The maximum basal rate will flash. Use the and

buttons to change the rate. Rate range is 0.0 to 35.0 u/h. Press ACT.

MiniMed

MAX BASAL RATE

Temporary basal rate (temp)

Provides a temporary change to programmed basal rates to match a change in short-term insulin requirements. Temporary basal rates offer an easy way to meet situations that may affect your insulin needs.

Two examples of when a temporary basal rate would be used are:

■

The stress of illness can elevate your blood glucose. Setting a higher temporary basal rate can help to meet this rise in blood glucose.

■

Setting a lower temporary basal rate when you exercise may help prevent exercise-related hypoglycemia.

The Basal Patterns feature may be more appropriate for longer periods of increased or decreased activity.

Basal 65

How does it work?

■

While it is active, a temporary basal rate overrides all other basal rate programming. When the temporary basal delivery is completed, your pump will return to the basal rate that is currently programmed.

■

The temporary basal rate is delivered only once. It does not repeat. If you want another temporary basal rate, you must program the temporary basal rate delivery again.

Delivering a temporary basal rate

1. From the HOME screen, press ACT. Select Basal. Press ACT.

MiniMed

MAIN MENU

Bolus

Suspend

Basal

2. SET/EDIT TEMP BASAL will be selected. Press ACT.

MiniMed

BASAL MENU

Set/Edit Temp Basal

Set/Edit Basal Basal Review

3. The duration will flash. Use the and buttons to set the

desired basal duration (30 minutes to 24 hours). Press ACT.

MiniMed

SET DURATION

--:--

Temp

--.

66 Chapter 5

4. The temporary basal rate will flash. Use the and but-

tons to set the desired basal rate. Press ACT.

MiniMed

SET EDIT TEMP BASAL

03:30

Verifying temporary basal delivery

The pump will beep/vibrate three times every hour while delivering temporary basal rate. You can also verify that a temporary basal rate is delivering by checking the STATUS screen.

1. From the HOME screen, press ESC to access the STATUS

screen. Use the and buttons to scroll through the

information. Once you have completed your review, press ESC to return to the HOME screen.

This shows Temporary Basal is active at 0.6 U/H.

Basal rate that would have been delivered if not for the Temporary Basal rate.

MiniMed

STATUS 7:07A U100u

Temp Basal 0.6 U/H

Duration 0:30 Time left 0:24

Last Bolus N 3.8U

9:07A 11 NOV

Basal 1: 0.8 U/H

Units Remaining: 128U Battery: Normal

Tue 11NOV2000

S/N# 000000

In the example above the Temp Basal is programmed for 0.6 u/h for 30 minutes. The time left is 24 minutes, this indicates that 6 minutes have elapsed.

Basal 67

Canceling a temporary basal rate

Cancels a temporary basal rate and returns to the programmed basal rate delivery.

1. From the HOME screen, press ACT. Select Basal. Press ACT.

MiniMed

Bolus

Suspend

Basal

2. Select Cancel Temp Basal. Press ACT.

Set/Edit Temp Basal

MAIN MENU

MiniMed

BASAL MENU

Cancel Temp Basal

Set/Edit Basal

3. You can verify that a temporary basal rate has been stopped by checking the status screen. The words “Temp Basal” will not appear on the status screen. From the HOME screen, press ESC.

MiniMed

STATUS 2:12P U100u Last Bolus N 3.8U

This is now the basal rate.

9:07A 11 NOV

Basal 1: 0.8 U/H

Units Remaining: 128U

Battery: Normal Remote: On

Tue 11NOV2000

S/N #000000

68 Chapter 5

Personal basal patterns

The personal basal patterns feature is optional for pump users. You may want to explore this option after you become familiar with the basic functions of your pump. It is important that you consult your healthcare professional before using this feature.

Personal basal patterns allow you to establish different sets of basal rates in order to match different needs, such as:

■

Do your sleep patterns change?

■

Do weekday and weekend activities change?

Before you are able to use this feature and set different personal basal patterns, you must first turn ON the Patterns Option.

■

You can set up to three different patterns (Standard, A and B).

■

Each pattern must have at least one basal rate set or it will

not be accepted as a pattern.

■

Keep a paper copy of the pattern(s) and basal rate(s) you have

programmed with you at all times.

■

For best results discuss this option with your healthcare

professional.

Basal 69

Turning on personal basal patterns

Your pump is programmed at the factory with this feature turned OFF. Discuss what uses and settings are best for you with your healthcare professional.

New selections will appear in the basal menu when you turn this feature ON.

1. From the HOME screen, press ACT. Select Basal. Press ACT.

MiniMed

MAIN MENU

Bolus

Suspend

Basal

2. Select Patterns. Press ACT.

MiniMed

BASAL MENU

Basal Review

Max Basal Rate

Patterns

3. Select ON. Press ACT.

MiniMed

PATTERNS OPTION

Off

4. Select OFF if you do not want to use this feature. If OFF is selected, the Standard Basal will be active.

70 Chapter 5

Delivering personal basal patterns

Personal Basal Patterns allow you to set different basal delivery patterns.

1. From the HOME screen, press ACT. Select Basal. Press ACT.

MiniMed

MAIN MENU Bolus Suspend

Basal

2. To set your patterns, select Set/Edit Basal. Press ACT.

MiniMed

BASAL MENU

Set/Edit Temp Basal

Select Patterns

Set/Edit Basal

If you select Set/Edit Basal and edit a Pattern, this Pattern will be the basal in use by the pump. Make sure that you select the Basal type desired before exiting the EDIT BASAL screen.

3. Select the pattern you want to set. Press ACT.

MiniMed

EDIT BASAL

Standard

Pattern A

Pattern B

16.8 U

24.2 U

----.- U

Basal 71

4. The SET BASAL RATE screen will appear. Set the Basal Rates desired, then press ACT.

MiniMed

SET BASAL RATE 1

12:00A

0.8

5. The BASAL RATE screen will appear. The screen will show the current rate, the time it started, and the 24-hour total. The pump will return to the HOME screen if no buttons are pressed.

MiniMed

BASAL RATE A

Current Rate 0.8U/H

Started #1 - 12:00A

24 Hr. Total

19.2U

6. The HOME screen will show open circles, indicating the pattern has been set. Check the status screen to verify that the pattern has been programmed.

This indicates

that Pattern A is active.

Current basal rate from Pattern A.

STATUS 9:12A Pattern A

Last Bolus: N 3.8U

9:07am 11 NOV Basal 1: 0.8 U/H

Units Remaining: 128U Battery: Normal

Remote: On Tue 11NOV2000

S/N# 000000

MiniMed

U100u

72 Chapter 5

Selecting a pattern

This feature allows delivery of a personal basal pattern. Only patterns that have been programmed can be selected.

1. From the HOME screen, press ACT. Select Basal. Press ACT.

MiniMed

MAIN MENU

Bolus

Suspend

Basal

2. To view the 24-hour totals of your patterns, choose Select Patterns. Press ACT.

MiniMed

BASAL MENU

Set/Edit Temp Basal

Select Patterns

et/Edit Basal

3. Select desired pattern. Press ACT.

MiniMed

SELECT PATTERN

Standard

Pattern A

Pattern B

16.8 U

19.6 U

28.6 U

Selecting Pattern A or B will result in open circles on the HOME screen.

Basal 73

Basal review

Basal Review provides a review of daily basal insulin deliveries. You should review your basal rates to make sure they match the rates selected by you and your healthcare professional. There are two types of basal rates to review, Standard and Pattern. You will only see pattern if you set a pattern in the SELECT PATTERN screen from the Basal Menu.

Standard basal rates

1. From the HOME screen, press ACT. Select Basal. Press ACT.

MiniMed

MAIN MENU

Bolus

Suspend

Basal

2. Select Basal Review. Press ACT.

MiniMed

BASAL MENU

Select Patterns Set/Edit Basal

Basal Review

3. If you do not have any Patterns set, you will see the screen

below. Use the and buttons to review your basal rate

totals. Press ACT.

STANDARD

1) 12:00A

2) 11:30A

3) 12:00P

MiniMed

23.1U

0.6U/H

1.0 U/H

0.8U/H

74 Chapter 5

4. If you do have Patterns set, you will see the screen below. The

current setting will be highlighted. Use the and but-

tons to select the basal you want to review. Press ACT.

MiniMed

BASAL REVIEW

Standard

16.8 U

Pattern A

Pattern B

19.6 U

24.5 U

Basal 75

76 Chapter 5

Chapter 6

Suspend

• • • • • •

The Suspend function stops all insulin deliveries (Basal, Bolus, and Fixed Prime) that you have programmed into your pump. While the pump is in Suspend, you will only be able to view the STATUS screen. No other menu choices are available.

You must resume your pump in order for the delivery of basal insulin to restart. Bolus and Fixed Prime will not restart. You must reprogram and activate the Bolus and Fixed Prime settings.

MiniMed

MAIN MENU

Bolus

Suspend

Basal

Prime

Utilities

ACT

MiniMed

SUSPEND

Press ACT to Stop Pump

Suspending the pump

The pump will beep/vibrate in fifteen minute intervals starting at the closest quarter hour mark while in the Suspend mode. Example: You Suspend the pump at 11:20 AM, the pump will beep/vibrate at 11:30 AM, 11:45 AM, 12:00 PM, 12:15 PM, and so on, until the pump is taken out of the Suspend mode.

1. From the HOME screen, press ACT. Select Suspend. Press ACT.

To Suspend the pump while a bolus is being delivered, press ACT. The screen will be returned to the MAIN MENU screen with Suspend selected. Then press ACT.

MiniMed

Bolus

Suspend

Basal

Main Menu

2. The screen will instruct you to press ACT if you want to stop your pump.

MiniMed

SUSPEND

Press ACT to Stop Pump

3. Press ACT. The pump will beep three times, and you will see the time that pump delivery was stopped.

78 Chapter 6

MiniMed

Stopped at 11:20 A

SUSPEND

4. After 30 seconds, your pump will return to the HOME screen which now will show solid circles, indicating your pump is in the Attention mode.

MiniMed

5. Press ESC to show the STATUS of your suspended pump.

MiniMed

STATUS 11:30A U100u Suspended at 11:20A Last Bolus N 3.8U

7:58A 22 AUG

pump suspended

Resuming pump delivery

1. Press ACT from the HOME screen and the RESUME screen will appear.

MiniMed

Stopped at 11:20A

RESUME

ACT-Restart Basal

2. Press ACT again to restart basal insulin delivery. Pump will

beep once.

3. The pump will return to the HOME screen and will resume

your previously programmed basal insulin deliveries.

Suspend 79

80 Chapter 6

Chapter 7

Utilities

• • • • • •

The Paradigm pump can be programmed from the Utilities Menu to perform different functions for your safety and convenience.

➤

The Utilities features are:

■

Alarm

■

Daily Totals

■

Block

■

Time/Date

■

Language

■

RF Options

■

Clear Pump

■

Selftest

Alarms

➤

Why are alarms important?

■

Your pump monitors activities and alerts you if there is any unusual operation behavior, or an action is required by you. For example, you are notified when you need to replace the reservoir or replace your pump battery.

■

The alert type lets you adjust the way your pump communicates with you. There are two types of alerts: beep or vibrate (silent). There are three duration levels of sound for the “beep” alarm: low (short), medium (intermediate), and high (long).

■

You can review your past alarms in the alarm history screen.

■

Alarms result in closed circles on the screen.

■

Pressing any button will result in a display that explains the alarm. Press the button for instructions on responding to the alarm.

Setting the alert type

Designates whether a “beep” or “vibration” will serve as the alarm type for your pump. This screen also enables you to set the beep volume level.

Vibrate mode will be disabled while you are using the Block feature. Using the vibrate option uses more battery power than the audio “beep” alarm and may shorten battery life. When you receive a LOW BATTERY alert, your pump will revert to the beep alert to conserve battery power.

Factory setting for the alert type is Beep Med.

1. From the HOME screen, press ACT. Press the button to

select Utilities. Press ACT.

MiniMed

MAIN MENU

Basal Prime

Utilities

82 Chapter 7

2. The Alarm option will be selected. Press ACT.

MiniMed

UTILITIES MENU

Alarm

Daily Totals Block

3. History will be selected. Press the button to select Alert

Type. Press ACT.

MiniMed

History

Alert Type

Auto Off

ALARM MENU

4. Select your preferred alarm from the ALERT TYPE menu.

Press ACT.

MiniMed

ALERT TYPE

Beep Med

Beep Low

Vibrate

Utilities 83

Using Auto-off

Provides a safety mechanism that stops insulin delivery after a defined period of time (1 to 24 hours) if no button presses are detected. Your pump is programmed at the factory with this feature turned OFF (0 hours). Discuss with your healthcare professional what uses and settings are best for you.

1. From the HOME screen, press ACT. Press the button to

select Utilities. Press ACT.

MiniMed

MAIN MENU

Basal Prime

Utilities

2. Alarm will be selected. Press ACT.

MiniMed

Alarm

Daily Totals Block

UTILITIES MENU

3. History will be selected. Press the arrow button to select

Auto-off. Press ACT.

MiniMed

ALARM MENU

History Alert Type

Auto Off

Press the and buttons to set the AUTO OFF

DURATION. In this example, the pump will stop delivery of

84 Chapter 7

insulin, and an alarm will sound after 12 hours if no buttons are pressed. Press ACT.

MiniMed

AUTO OFF DURATION

Hours

You can set Auto Off from 0 (off) to 24 hours.

Stop auto off

To turn off the Auto Off feature after it has been programmed.

Repeat steps 1 through 3 and use the and to program 0 (zero) hours. Press ACT and the Auto Off will no longer be On.

Reviewing the alarms

Allows you to review the past twelve alarms and/or errors that have occurred.

1. From the HOME screen, press ACT. Press the arrow but-

ton to select Utilities. Press ACT.

MiniMed

MAIN MENU

Basal Prime

Utilities

Utilities 85

2. The Alarm option will be selected. Press ACT.

MiniMed

UTILITIES MENU

Alarm

Daily Totals Block

3. The History option will be selected. Press ACT.

MiniMed

ALARM MENU

History

Alert Type Auto Off

4. Use the and buttons to review your past alarms.

MiniMed

ALARM HISTORY

11OCT

08OCT 05OCT

10:35P

04:08P

11:35A LoBat

NoDel

E-Res

Daily totals

➤

Why should I Review My Daily Totals?

■

Comparing your daily insulin deliveries to your blood glucose records helps you and your healthcare professional identify your optimal daily insulin rate(s).

■

Daily totals include all basal and bolus insulin deliveries, but they do not include insulin used for priming your pump. Each total reflects all basal and bolus insulin delivered that day.

86 Chapter 7

Reviewing the daily totals

Allows you to review the total amount of insulin that you have received in each of the past 14 days. The daily totals include all bolus and basal amounts delivered for that day since midnight, but they do not include amounts delivered through the Prime feature.

1. From the HOME screen, press ACT. Press the button to

select Utilities. Press ACT.

MiniMed

MAIN MENU

Basal Prime

Utilities

2. Press the button to select Daily Totals. Press ACT.

MiniMed

UTILITIES MENU

Alarm

Daily Totals

Block

3. Use the and buttons to review your DAILY TOTALS.

MiniMed

DAILY TOTALS

Today 26.5U

11NOV 48.5U

10NOV 54.5U

Utilities 87

Block

The block feature restricts access to the pump programming. This is an important safety feature if the pump users are young children or disabled individuals whose parents, guardians or caretakers are required to maintain complete control of the pump operation.

The Suspend and Easy Bolus can be administered by using the remote control.

Setting up block

Your pump is programmed at the factory with this feature OFF. With block ON, the only features that are available are suspend, block, selftest or the use of the remote control. You can still view the Status, History, Basal Review, and the Daily Totals screens. Discuss what uses and settings are best for you with your healthcare professional.

Vibrate mode is disabled when the block is ON.

1. From the HOME screen, press ACT. Press the button to

select Utilities. Press ACT.

MiniMed

MAIN MENU

Basal

Prime

Utilities

88 Chapter 7

Paradigm MMT-511 User Manual

Specifications and Main Features

Frequently Asked Questions

User Manual