Reservoir and infusion set
■ Setting up the reservoir and infusion set When you are ready to use your pump with insulin, make sure the time and date are correct on your pump. For details on changing the time and date on your pump, see Time and date, on page 168. You must also program your settings as instructed by your healthcare professional.
WARNING: Never insert the reservoir into the pump while the tubing is connected to your body. Doing so could result in an accidental infusion of insulin, which may cause low blood glucose. To remove your reservoir: 1. Wash your hands. 2. Disconnect the infusion set from the body. 3. If you have the optional activity guard attached to the reservoir compartment on your pump, remove it now. 4.
Note: The piston is located in the reservoir compartment of your pump. It engages the reservoir and pushes insulin through the tubing. piston ■ Reservoir and infusion set To rewind your pump: 1. Press and go to the New Reservoir screen. Options > Reservoir & Tubing > New Reservoir The New Reservoir screen appears. If you have not yet removed the infusion set and reservoir, do so now. 2. Select Rewind. The piston in the reservoir compartment of your pump returns to its starting position.
3. Follow the instructions in the next section to fill your reservoir. Filling the reservoir WARNING: Do not use the reservoir or infusion set if any liquid gets on the top of the reservoir or inside the tubing connector (as shown in the image). Liquid can temporarily block the vents. This may result in the delivery of too little or too much insulin, which can cause hyperglycemia or hypoglycemia.
To fill the reservoir, do these steps: 1. Remove the reservoir from the package and fully extend the plunger. 1 reservoir plunger transfer guard ■ Swab the vial with alcohol (not shown). 3. Press the transfer guard onto the vial without pushing down on the plunger. 3 vial 4. Push down on the plunger to pressurize the vial. Hold down the plunger rod. 5. While still holding down the plunger rod, flip the vial over so the vial is on top. Slowly pull down on the plunger to fill the reservoir. 6.
7. Slowly push up on the plunger just enough to remove any air bubbles from the reservoir. 8. Slowly pull down on the plunger to fill the reservoir to the number of units desired. 9. To avoid getting liquid on the top of the reservoir, flip the vial over so that it is upright. Turn the reservoir counter-clockwise, then pull straight up to remove the reservoir from the transfer guard. 10. Place the tubing connector onto the reservoir.
■ The New Reservoir screen now instructs you to place the reservoir in your pump. Reservoir and infusion set 15. Follow the instructions in the next section to insert the reservoir into the reservoir compartment of your pump immediately after filling it. Inserting the reservoir into your pump Be sure to perform the following steps in the order they are presented. Note: Do not insert the reservoir into your pump until you receive training.
To insert the reservoir into your pump: 1. If you are using the pump for the first time, remove the shipping cap from the reservoir compartment. 2. Rewind your pump if you have not yet done so. See Rewinding your pump, on page 118 for more information. 3. Insert the reservoir into the top of the reservoir compartment. 4. Turn the tubing connector clockwise until the connector is locked into the pump.
■ When the loading process is completed, the following screen appears. 7. Select Next to continue. 8. Follow the instructions in the next section to fill the tubing with insulin. Filling the tubing You need to fill the infusion set tubing with insulin before you insert the set into the body. WARNING: Always make sure the infusion set is disconnected from your body before you rewind your pump or fill the infusion set tubing.
WARNING: Always check your tubing for air bubbles. Continue to press Fill until the bubbles have been removed from the tubing. Air bubbles may result in inaccurate insulin delivery. To fill the tubing: 1. After you load your reservoir and select Next from the Load Reservoir screen, the Fill Tubing screen appears. 2. Select and hold Fill. Your pump beeps six times as it dispenses insulin into the tubing toward the infusion set needle.
You must complete the following procedures, as described previously, before you insert the infusion set into your body: • Rewind your pump. • Fill your reservoir. • Insert the reservoir into pump. • Fill the tubing with insulin. CAUTION: Always change your infusion set according to the product labeling. Using the same infusion set for an extended period of time can cause infusion set occlusion or site infection.
• Imagine a letter M or a letter W on either side of your belly button. Start at the end of one letter and proceed through the letter, rotating to each intersection in turn. Medtronic Diabetes offers a variety of infusion sets for your pump. Note: Always refer to your infusion set user guide for instructions to insert an infusion set. After your infusion set is inserted, see Filling the cannula, on page 128 to fill the infusion set cannula.
WARNING: Never leave your pump on the Fill Cannula? screen. Insulin delivery is suspended while on the Fill Cannula? screen. Always finish filling your cannula or return to the Home screen to avoid continued insulin delivery suspension. Failing to do this can result in hyperglycemia. After you fill your tubing and insert your infusion set, the Fill Cannula? screen appears. Note: If your screen turns off before you are ready to fill your cannula, press any button on your pump to turn it on again. 2.
4. As the cannula fills, your screen displays the amount of units being delivered. The pump beeps or vibrates when the delivery is complete. After the cannula is filled, the Home screen appears. Your pump is now ready to deliver insulin. To stop filling the cannula: 1. Select Stop Filling to stop filling the cannula. 2. Select Yes. The Fill Stopped screen appears and shows amount delivered. 3. Select Done.
Meter
■ Meter Meter The MiniMed 770G insulin pump with Bluetooth wireless technology can only pair with an Accu-Chek Guide Link meter to receive remote blood glucose (BG) readings. If you do not pair an Accu-Chek Guide Link meter with your pump, you must enter your BG readings manually.
Pairing your pump and meter The MiniMed 770G insulin pump with Bluetooth wireless technology can be paired with the Accu-Chek Guide Link meter. The pump automatically receives BG readings from a paired Accu-Chek Guide Link meter. To prepare the meter to pair with the pump: 1. Press the OK button on the meter to turn on the meter. 2. Select Settings. 3. Select Wireless. 4. Select Yes if the confirmation screen appears on the meter screen. Or, select Pairing if the confirmation screen does not appear.
To prepare the pump to pair with the meter: 1. Press and go to the Device Options screen. Options > Utilities > Device Options 2. Select Pair Device. ■ Meter The New Device screen appears. 3. Select Search. The Select Device screen appears with a list of available devices. 4. Select the meter that matches the serial number on the meter screen. 5. Ensure the serial numbers shown on the pump and meter screens match, and then select Confirm.
If the connection is successful, a "Pairing successful!" message appears on the pump. A "Paired with pump" message with the serial number of the pump appears on the meter screen. Deleting a meter from your pump Follow this procedure to delete your Accu-Chek Guide Link meter from the pump. To delete the meter from the pump: 1. Press and go to the Manage Devices screen. Options > Utilities > Device Options > Manage Devices The Manage Devices screen appears. 2.
History and events
■ This chapter describes the History and Event Markers features. The History screens provide details about your personal therapy with your pump, including information about your insulin deliveries, blood glucose (BG) meter readings, sensor glucose (SG) readings, and any alarms and alerts you received. You can enter and save information, such as manual BG readings, carbohydrates eaten, and exercise with the Event Markers feature.
To view your Summary screen: 1. Press and go to the Summary screen. Options > History > Summary 2. Select the time period for the Summary screen. The Summary screen appears and shows the information for the number of days that you selected. 3. You can scroll down to view the entire screen. If you use the 1 Day view, you can use the and buttons on your pump to view the results for each day in history.
Note: If you view a single day of Summary results, then the values shown are the actual results for the selected day. If you view more than one day of Summary results, then the value is an average of the days that you selected. Description TDD Total daily dose of insulin units. Basal • Insulin units devoted to basal delivery. ■ Name History and events • Percentage of insulin devoted to basal delivery. Bolus • Insulin units devoted to bolus delivery.
Summary screen: BG meter The following table describes the BG meter portion of the Summary screen: Name Description BG Total number of BG meter readings, including readings from an Accu-Chek Guide Link meter and BG meter readings entered manually. Average BG Average BG meter readings. BG Std. Dev. Standard deviation of BG meter readings. Low BG Lowest BG meter reading. High BG Highest BG meter reading. Summary screen: sensor The following table describes the sensor portion of the Summary screen.
Daily History The Daily History screen displays a list of actions you performed on your pump or event entries that you made for the selected day, such as your BG meter readings, sensor calibrations, bolus deliveries, any temp basal rates you have used, and so on. The list displays the most recent action or event first. From this list, you can display further details about any action or event. Press and go to the Daily History screen. Options > History > Daily History A list of dates appears. 2.
Using SG Review The SG Review feature lets you view a graph of your SG history, based on high and low limits you enter. You can view information for one day, or view an average of your SG data over a number of days. This SG Review feature is available if you use the Sensor feature. Note: The high and low limits that you set in the SG Review screen are only used to view your SG data. These limits are not the same as the high and low glucose limits used for your sensor alerts.
A graph of your SG data appears. If you specified one day of history to view, the graph shows details about when your SG was above, below, or within your specified limits. You can scroll down to view the number of hours and percentage of time you were above, within, and below your SG limits. If you have no data saved, a message appears to notify you that there is no data available.
Event Markers The Event Markers feature lets you electronically save certain types of information. When using this feature, enter events when they happen because the system records the time of the entry. You cannot edit entries after you enter the information into your pump. You can view your saved events in the Daily History screen. The information you entered can be sent to CareLink Personal software, where it can be used to generate reports you can share with your healthcare professional.
Food Enter the amount of carbohydrates that you have eaten or drunk that have not been entered in the Bolus Wizard feature or Auto Mode Bolus. For example, you might enter carbs that you ate to correct a low BG. Do not use this screen to enter carbs that you have already entered in the Bolus Wizard feature or Auto Mode Bolus screen. ■ Exercise History and events Enter the length of time you exercised.
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Reminders
■ Reminders help you remember to do important routine activities. There are specific reminders that prompt you to check your blood glucose (BG) after a bolus, give a food bolus, check your reservoir level, and change your infusion set. There are also personal reminders you can use for any purpose. If you have the sensor feature turned on, the calibration reminder prompts you to calibrate your sensor.
Options > Reminders > Personal 2. Select the reminder you want to change. 3. Do any of the following: • Select Reminder to turn the reminder on or off. • Select Edit to change the time of the reminder. • Select Rename to assign a different name to the reminder. When the Select Name screen appears, select any available name from the list. • Select Delete to delete the reminder. Bolus BG Check reminder The Bolus BG Check reminder tells you to check your BG after a bolus.
2. Enter a time from 30 minutes to 5 hours, in 30-minute increments. Select OK. If you do not want a reminder after the bolus delivery, select the dashes without adding a time, and then select OK. If needed, press to return to the dashes. Missed Meal Bolus reminder 1. Press and go to the Missed Meal Bolus screen. Options > Reminders > Missed Meal Bolus 2. Select Add New. 3. Select Start Time and enter a time. 4. Select End Time and enter a time. The time range is from one minute to 24 hours. 5.
Note: The number of units that remain in your reservoir can be found on the Quick Status screen. For more information on accessing the Status Screens, see Status screens, on page 50. WARNING: When the pump detects a low reservoir condition during a bolus or fill cannula delivery, the Low reservoir alert displays.
Calibration reminder The Calibration reminder is available if you use the Sensor feature. This feature helps you remember to calibrate your sensor. For example, if you set your reminder to four hours, you receive a Calibrate by message four hours before the next BG meter reading is due. To turn on or off, or change the Calibration reminder: Press ■ 1. and go to the Calibration screen. Reminders Options > Reminders > Calibration 2. Select Reminder to turn the reminder on or off. 3.
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General settings
■ General settings General settings This chapter provides information about common tasks for various settings. Audio Options The audio and vibrate options are set in the Audio Options screen. You can also change the volume of most alerts and notifications if audio is enabled. An audio icon appears on the Home screen. An audio icon indicates if your current settings are audio only , vibrate only , or audio and vibrate both . For more information, see Status icons, on page 44.
Note: The Auto Suspend feature continues working when your pump switches to SmartGuard Auto Mode. To set up Auto Suspend: 1. Press and go to the Auto Suspend screen. Options > Delivery Settings > Auto Suspend 2. Select Alarm. 3. Select Time and enter the number of hours you want to set. 4. Select Save. Block Mode The Block Mode feature lets caregivers, such as parents of a young child, restrict access to critical pump settings. WARNING: Always monitor the pump when it is used in Block Mode.
