Insulin pump and continuous glucose monitoring system

1
Go to the UTILITIES MENU screen and select User Settings.
Main > Utilities > User Settings
2
Hold down 
 and press ACT.
3
The USER SETTINGS screen is displayed. Select Restore Settings, then press ACT.
4
A message displays, giving you the option of restoring the pump settings that were saved on the given
date and erasing the ones currently on your pump. Read the instructions on the screen then press ACT
to restore the settings. You can press ESC if you want to cancel the restore.
5
The SETTINGS RESTORED message displays to confirm that your current pump settings have been
replaced with the pump settings you had saved on the given date. Exit the menus and check your
pump settings to verify the restore.
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Clearing the settings 
Take the following steps only if you want to clear your pump to factory default settings.
WARNING: Do not clear your pump settings while it is connected to your body.
CAUTION: Do not clear your pump settings unless directed by your healthcare professional or a
Medtronic Diabetes representative. If you clear your pump settings, it will be necessary to reprogram
all your personal pump settings as directed by your healthcare professional. Additionally, you will
have to rewind your pump.
1
Go to the UTILITIES MENU screen and select User Settings.
Main > Utilities > User Settings
2
Hold down 
 and press ACT.
3
The USER SETTINGS screen is displayed. Select Clear Settings, then press ACT.
4
A CONFIRM message displays, giving you the option of clearing your pump settings or not. Select YES
and press ACT to clear the settings. You can press ESC if you want to cancel.
5
You will see a RESET screen, and then the pump will go through various screens while it restarts. After
the pump clears all of your settings, the screen will go to the TIME/DATE SETUP screen.
6
Reset the time and date as described in Setting the time and date section in the Basic programming
chapter.
7
After you set the time and date, you must rewind your pump. Refer to the Rewinding your pump
section in the Starting on insulin chapter for instructions. Remember, all your settings have been
cleared and you must either restore or reprogram all your settings.
History 
 
If you want to view a listing of the dates and times of all recent User Settings operations you have
done on your pump, such as saves and restores, take the following steps:
1
Go to the UTILITIES MENU screen and select User Settings.
Main > Utilities > User Settings
2
Hold down 
 and press ACT.
3
The USER SETTINGS screen is displayed. Select History, then press ACT.
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4
The SETTINGS HISTORY screen displays, giving you a list of all the dates and times of your most recent
User Setting operations. Scroll down to view the entire history. When you are done looking at the
history, press ESC to exit the menu.
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Therapy software
Medtronic provides software to optimize your pump use. Contact your local representative for more
information.
CareLink™ Personal Software
Your pump provides real-time glucose values so that you can track glucose concentration patterns and
possibly identify episodes of low and high blood glucose. It also stores glucose data so that it can be
analyzed to track patterns or downloaded to CareLink Personal for analysis of historical glucose values.
CareLink Personal is a web-based system designed to help you manage your diabetes. It has many key
features:
•
It copies (uploads) data from your devices: insulin pump and supported blood glucose meters.
•
Device data is stored on a networked database.
•
There is an online logbook where you can record self-reported information, such as how many
carbohydrates you consumed.
•
Uploaded data and other information stored on the system can be viewed through several different
types of treatment reports.
•
Access to data and personal information on this system is secure.
Reports
Reports show you data gathered from your device(s), and from what you directly entered into the system.
Examples of the report data you can get include:
•
Pump operation, such as alarm settings and maximum allowed bolus amount.
•
Insulin delivery rates, types and times.
•
Blood glucose reading levels and times.
•
Bolus Wizard or online logbook entry data.
Reports are displayed in PDF format. They can be viewed online, saved, or printed.
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You can share your reports with your healthcare professional. These reports can help you and your
healthcare professional to discover trends and other information. This can lead to improved therapy
management for greater control.
Logbook
The logbook allows you to enter the following self-reported information:
•
Carbohydrates consumed
•
Exercise activity
•
Urine ketone results
•
HbA1c results
•
Infusion set changes
The data from your logbook is used in the reports you create. You can see how, for example, your
carbohydrate intake compares to blood glucose levels for the same day or time. You can also use it as an
online diary of your diabetes management.
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Insulin pump therapy follow-up
We hope that you are now comfortable using the pump and your blood glucose values have improved
through insulin pump therapy. Diabetes management requires much more than blood glucose control. You
need to take care of your complete physical and mental health. This includes seeking treatment for any
condition both directly related to and not related to diabetes. The following recommendations apply to
general diabetes as well as insulin pump therapy follow-up. Remember, your healthcare professional is
your best resource for successful diabetes management.
Recommended follow-up
Everyday
•
Check blood glucose four to six times a day and always before bed.
•
Test before driving and have a fast-acting carbohydrate with you when you drive.
•
If your blood glucose is above 250 mg/dL (13.9 mmol/L) twice in a row, take an injection and change
the infusion set
Every month
•
Review DKA prevention guidelines.
•
Check 03:00 blood glucose at least once during the month.
•
Check two-hour post-meal blood glucose for all meals on a given day
Every 3 months
•
Visit your healthcare professional, even if you feel well and your blood glucose values are within
target range.
•
Review your blood glucose log and insulin pump settings with your healthcare professional.
•
Make sure you have an HbA1c test done.
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Laboratory tests
•
Test for HbA1c four or more times a year
•
Test for cholesterol, HDL, LDL, triglyceride yearly
•
Test for microalbuminuria yearly
Every visit
•
Blood pressure check
•
Foot exam
•
Review goals for blood glucose, meal plan and exercise
Annually
•
Dilated eye exam by a qualified ophthalmologist
•
Annual flu shot
•
Regular dental visits
•
Nerve function tests
•
EKG test over age 35
•
Prostate exam for men, breast exam for women
•
Diabetes education review
•
Replace Glucagon Emergency Kit (new prescription from your healthcare professional)
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Troubleshooting and alarms
This chapter is designed to help you understand the messages that your pump is giving you when you get
an alarm or an alert message. The procedures in the beginning of this chapter are to be used when you get
specific alarms or cover a likely condition that might happen. A list of alarms is provided at the end of this
chapter.
NOTE: 
It is recommended that you read your warranty statement included with your pump for
information on what is covered during your warranty period.
 
My pump has a NO DELIVERY alarm
When a NO DELIVERY alarm occurs, it means the pump is working correctly. Your pump is not broken, but it
has detected that something is preventing insulin from being delivered. Do the following steps:
1
Check your blood glucose and take an injection if needed.
2
Make sure that there is insulin in your reservoir and the tubing is not kinked. If these are all right, go
to step 5.
3
If necessary unkink the tubing. Clear the alarm by pressing ESC and ACT. A screen will appear with
two choices: Resume and Rewind. Select Resume.
4
If the reservoir is empty, clear the alarm by pressing ESC and ACT. Select Rewind and change your
reservoir and infusion set per the instructions in the Starting on insulin chapter.
5
Continue troubleshooting by disconnecting at the quick-disconnect, and set a 10-unit Fixed Prime.
6
Does insulin come out of the needle at the quick-disconnect?
a. If yes, change your entire infusion set per the instructions in the Starting on insulin chapter.
If no insulin comes out of the needle at the quick-disconnect, or you receive another NO DELIVERY
alarm, call your local representative.
b. Your pump remembers the last Fixed Prime amount that was delivered, so make sure to set your
Fixed Prime amount back to your usual setting. Remember to change your Fixed Prime amount
from 10 units to your infusion set amount.
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7
Monitor your blood glucose closely.
8
If you followed these steps and you are still receiving a NO DELIVERY alarm, call your local
representative.
What happens if I leave the pump battery out too long?
If you leave the pump battery out too long (more than five minutes) you may receive a BATT OUT LIMIT
alarm message when you install the new battery. Do the following steps:
1
Set your pump clock to the correct time, date, and year.
2
Check to make sure that all your settings, such as basal rate, are set as desired. If need be, reapply
your last saved settings to the pump by using the Restore Settings option under User Settings in the
UTILITIES MENU (you can only use this option if you have previously saved your pump settings). See the
Restoring the settings section in the Utilities chapter.
3
Check the ALARM HISTORY screen and the STATUS screen for any alarms and/or alerts that may still
need attention.
If you leave the battery out for more than three or four days, you may receive an A17 and A47 alarms
when you install a new battery. Do the following steps:
1
Clear the A17 and A47 alarms.
2
Set your pump clock to the correct time, date and year. 
3
Check to make sure that all your settings, such as basal rate, are set as desired. If need be, reapply
your last saved settings to the pump by using the Restore Settings option under User Settings in the
UTILITIES MENU (you can only use this option if you have previously saved your pump settings). See the
Restoring the settings section in the Utilities chapter.
4
Check the ALARM HISTORY screen and the STATUS screen for any alarms and/or alerts.
Why does my pump battery not last very long?
A short battery life does not mean that something is wrong with your pump. Battery life in your pump is
variable and based on the conditions below:
•
The brand of battery you use (we recommend Energizer).
•
The storage and/or handling of the battery before use (avoid high or low temperatures).
•
The usage of pump in cold temperatures; this may shorten the battery life.
•
The usage of your pump, such as how often the buttons are pushed, the number of alerts/alarms and
set changes.
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154

•
The amount of insulin the pump is delivering.
•
The usage of some features. The backlight, vibrate, remote control and meter options decrease
battery life.
What is a CHECK SETTINGS alarm?
This alarm occurs after an E alarm or after you clear your pump. It is advising you to make sure that all
your settings are correct. A CHECK SETTINGS alarm occurs after any of these actions:
•
All user settings were cleared (set back to their defaults) because there was an E-error alarm,
•
The Clear Settings function was performed, or
•
After you rewind when practicing without a reservoir when you first get your pump. In this case, it is
just a reminder to make sure all your settings are programmed before you begin using the pump with
insulin.
My screen appears distorted
The screen may appear distorted or have a rainbow-like appearance if you are wearing polarized
sunglasses, are in bright sunlight, or in extreme high or low temperatures. If your screen appears
distorted:
•
Take off your sunglasses.
•
Move into the shade.
•
Make sure your pump is not in direct heat (next to a heater) or cold (worn on the outside of your
clothing on a very cold day).
•
Do not return the pump: this is a normal property of this type of screen on any device.
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I cannot get out of the priming loop
There are several causes of and resolutions to this problem:
1
Is the reservoir pump full?
•
If no, place a full reservoir or shipping cap in the pump.
•
If yes, make sure you are disconnected from the pump.
2
Hold the ACT button until the second set of beeps and the numbers appear on the screen.
•
If yes, your pump is okay. Go to step 4 in the Manual prime section in the Starting on insulin
chapter to finish the manual prime.
•
If you did not hear a second set of beeps or numbers did not appear on the screen, change your
infusion set and repeat this step.
3
If you still do not hear the beeps and see the number count on the screen, call the helpline or your
local representative.
The pump is asking me to rewind
This is normal after any of the following:
1
Any E-alarms,
2
The Clear Settings function,
3
Or, a NO DELIVERY Alarm (during the Prime sequence).
My bolus stopped
The Bolus Stopped error can occur if the battery cap is loose or the pump was bumped or dropped during a
bolus. It can also happen if the pump receives a static shock. As a safety measure, the pump stops the
bolus when this happens.
1
If you dropped your pump, visually inspect it to make sure that it is not damaged in any way.
2
Review your bolus history and reprogram the remaining bolus, if needed.
My pump buttons are not acting right during a bolus
If the 
, 
 or 
 buttons are pressed and held down while a bolus is being delivered, the screen will
freeze on that amount. Once the button is released, the units will ramp up to the amount delivered so far.
Pressing and holding down the button will not stop the delivery of a bolus.
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156

My pump will not display my blood glucose reading from my meter
1
Make sure you are using the correct meter (a blood glucose meter supported by MWT1 technology).
Your pump will communicate with this meter only.
2
Make sure your meter's RF (radio frequency) feature is on and working correctly.
3
Make sure the meter option in your pump is set to On and you have set the meter ID number correctly
on the pump.
4
Make sure your pump does not have a low battery alert condition.
5
Make sure the meter is within 1.2 meters (4 feet) of the pump without anything in between such as
another person, a wall, etc.
6
Make sure there is no RF (radio frequency) interference from other electronic devices that could
prevent communication. These devices can include some cell phones, cordless phones, televisions,
computers, radios, other Paradigm pumps, meters and pump remote controls. To restore
communication, simply move away from these other types of devices, or turn them off.
7
Your pump will not show another reading. Make sure the pump is idle and the HOME screen is blank.
8
If your pump still does not receive your blood glucose reading from the meter, use the up/down
buttons to manually enter your blood glucose (in the ENTER BG screen).
I dropped my pump
Take care to protect your pump from being dropped.
1
Check that all connections are still tightly in place.
If you notice that the drive support cap is loose, or sticking out, discontinue use of the pump. Do not
press on the drive support cap. Pushing on the drive support cap may result in unintended insulin
delivery, which can cause hypoglycemia. See Warnings in the Introduction chapter for more
information.
2
Check the LCD, keypad and pump case for cracks or damage.
3
Check infusion set, including the tubing connector and tubing for cracks or damage.
4
Review the status screen, basal rates and other pump settings.
5
Perform the Selftest procedure located in the UTILITIES MENU. 
6
Call your local Medtronic Diabetes representative for assistance.
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I submerged my pump in water
Your pump is designed to resist accidental contact with water. Do not submerge in water during bathing,
showering, swimming, or other water activities.
1
Pat the outside of the case until dry.
2
Open the reservoir compartment and check the compartment and reservoir for water. If wet, dry it
completely within 10 minutes of exposure to water. Exposure to liquids, including water or insulin can
corrode the mechanism.
3
Dry the reservoir completely—do NOT place a wet reservoir in the pump.
4
Do not use hot air to dry your pump. This may damage your pump's internal electronics.
5
Check the battery compartment and the battery—if wet, let them dry completely before using the
pump.
6
Perform a selftest.
I cannot get to the User Settings screen
If you press ACT when you have User Settings highlighted, the following message appears: This feature is
not normally accessible. To access, consult your User Guide.
To get to the USER SETTINGS screen:
1
Go to the UTILITIES MENU screen.
Main > Utilities
2
Select User Settings. Hold down 
 and press ACT.
3
See the User settings section in the Utilities chapter for information about the menu options.
Alerts
Your pump has a sophisticated network of safety checks and systems. If it detects an unusual condition
that requires your immediate attention, it beeps or vibrates periodically to alert you. The pump goes into
Special mode (an open circle displays), and the backlight illuminates.
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158

It is important that you understand how your pump behaves when you do not clear an alarm or an alert:
•
Alarm — If you do not clear an alarm, the pump does not display any subsequent alarms or alerts until
the first alarm is cleared. After you clear the first alarm, the pump displays any subsequent alarms,
followed by any alerts in order of their importance.
•
Alert — If you do not clear an alert, the pump does not display any subsequent alerts until the first
alert is cleared. However, the pump displays an alarm even if you do not clear the alert. After you
clear the first alert or alarm, the pump displays any subsequent alarms or alerts in order of their
importance.
Check your pump and test your blood sugar. Follow the guidelines prescribed by your healthcare
professional to manage your diabetes as needed.
Example:
John's pump displays a BUTTON ERROR alarm, but he does not clear it. During the time that his pump
displays the BUTTON ERROR alarm, his pump receives a LOW RESERVOIR alert. A few minutes later, his
pump receives a NO DELIVERY alarm. John's pump does not display the LOW RESERVOIR alert or the NO
DELIVERY alarm until he clears the first alarm. After John clears the BUTTON ERROR alarm, his pump
displays the NO DELIVERY alarm. After he clears the NO DELIVERY alarm, his pump displays the LOW
RESERVOIR alert.
Question: Why are alerts important?
Answer: Your pump monitors activities and will alert you if a Special mode is active. Some alerts are a
normal part of pump therapy, such as an active temporary basal. There are alerts that indicate a condition
that is outside normal pump activity. For example, your pump notifies you with an alert when you need to
replace the reservoir (LOW RESERVOIR) or replace your pump battery (LOW BATTERY).
What to do
When your pump beeps or vibrates notifying you that an alert condition exists:
1
Read and follow the instructions on the screen. Press ESC, ACT to silence an alert.
2
Check the STATUS screen to determine what caused the alert.
3
If the condition is due to a low battery, replace the battery.
4
If the condition is due to a low reservoir, monitor the reservoir volume frequently and change the
reservoir when appropriate. Make sure you have a new reservoir, infusion set and vial of insulin with
you.
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Pump alert conditions
Listed below are alerts that indicate a condition that is outside normal pump activity.
 LOW RESERVOIR 
You can program the pump to sound an alert when either a specified number of units remains or a
specified amount of time remains before the reservoir will be empty.
 LOW BATTERY
If you get this alert, do not go to sleep without replacing the battery. The backlight, the remote, and
meter functions are disabled during a LOW BATTERY condition. If the alert type is set to Vibrate, the pump
will change to the audio alert Beep-medium. Clear (ESC, ACT) this alert before you replace your battery.
Sensor alert conditions
Listed below are the alerts that you may encounter while using the sensor feature of your pump, and how
to resolve the alert condition.
 WEAK SIGNAL
Reason: Occurs when the pump does not receive data from the transmitter for a pre-defined period of
time (as set in Missed Data). 
Action: Move the pump closer to the transmitter or move the transmitter and the pump to the same side
of your body.
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160

 LOST SENSOR 
Reason: The pump has not received a signal from the transmitter. Do not disconnect the transmitter
from the sensor.
Action:
1
Make sure that the sensor is inserted correctly.
2
Check the REVIEW SETTINGS screen to make sure that the transmitter ID entered into the pump
matches the ID on your transmitter:
Main > Sensor > Sensor Setup > Review Settings
3
Check the transmitter and sensor connection. Touch the inserted sensor at the back of the assembly to
prevent movement and push the transmitter firmly:
a. If you hear a click, wait 20 seconds and look for a green light on the transmitter flash for 10
seconds to confirm a good connection. If you see the green light, the alert was due to the
transmitter and the sensor not being connected.
b. If you hear a click, but do not see a green light on the transmitter, check to make sure that the
transmitter is charged.
c. If you do not hear a click when you check the connection, the alert was due to a transmission
problem. Bring the pump closer to the sensor and transmitter.
4
Use the Find Lost Sensor function to find your sensor (see the Troubleshooting sensor features section
in this chapter:
Main > Sensor > Sensor Start > Find Lost Sensor
 LOW TRANSMTR 
Reason: Occurs when the transmitter battery is close to running out of power. This alert will repeat daily
at noon while this condition exists. The transmitter will continue sending sensor signals for several hours
and may last for several days until the battery becomes depleted. Be prepared to recharge your
transmitter immediately when its battery becomes depleted. 
Action: Recharge your transmitter as soon as possible. See the Charging the transmitter section of the
Sensor features chapter.
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 BAD TRANSMTR
Reason: The transmitter battery is depleted. 
Action: Recharge your transmitter immediately. See the Charging the transmitter section in the Sensor
features chapter.
 BAD SENSOR
Reason: You may receive this alert after you receive two Cal Errors in a row, without the Cal Errors, or
when initializing your sensor.
Action: If the alert resulted from two Cal Errors in a row, replace the sensor. If the alert happened without
two Cal Errors, use the transmitter's tester to make sure your transmitter is working properly. If you
received this alert during initialization, you may be able to resolve this alert without replacing your
sensor. Call the HelpLine for further assistance.
 SENSOR END
Reason: The sensor has reached the end of its life.
Action: Replace your sensor. The sensor has a maximum life of 72 hours (3 days). The 72-hour life span of
the sensor begins when the pump receives the first METER BG NOW alert.
 CAL ERROR
Reason: An error occurred when entering a new meter BG measurement to calibrate the system. Some
possible causes are:
•
An incorrect blood glucose number was entered from the meter into the pump. 
•
The entered blood glucose measurement was not current.
•
Your blood glucose is rising or falling rapidly. 
•
The sensor needs more time to stabilize after being inserted. 
•
The sensor is no longer reading the sensor glucose correctly.
Action: If you receive a Cal Error, wait until your BG is stable to enter a new meter BG for calibration. If
you receive a Cal Error on your second calibration, a BAD SENSOR alert will occur. Call the HelpLine if you
have questions.
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 METER BG NOW
Reason: A meter BG measurement is needed immediately to calibrate your sensor so that you can
continue receiving sensor glucose readings.
Action: Take and enter a meter blood glucose measurement. Follow the guidelines in the Calibrating the
sensor section in the Sensor features chapter.
 METER BG BY
Reason: A meter BG measurement must be entered by the time that is shown to calibrate your sensor. The
METER BG BY alert is also known as the CAL REMINDER alert. 
Action: Enter a blood glucose measurement to avoid a METER BG NOW alert.
 LOW XX MG/DL (XX = SG measurement)
Reason: The sensor glucose number is equal to or lower than your low glucose limit. If you do not set a
Low Glucose Limit and do not set the glucose alerts ON, then you will not get a Low sensor glucose alert.
The pump plays four consecutive tones, in falling pitch, if an audible beep has been selected as the alert
type.
 HIGH XXX MG/DL (XXX = SG measurement)
Reason: The sensor glucose number is higher than or equal to your high glucose limit. If you do not set a
High Glucose Limit and do not set the glucose alerts ON, then you will not get a High sensor glucose alert.
The pump plays four consecutive tones, in rising pitch, if an audible beep has been selected as the alert
type.
 SENSOR ERROR
Reason: The sensor signals are either too high or too low. 
Action: You do not need to change the sensor. Clear the alert. If the alert persists, test your transmitter
with the tester.
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Alarms
Your pump has a sophisticated network of safety checks and systems. If the safety network detects
anything unusual, your pump notifies you of conditions that require your immediate attention. The
backlight illuminates the pump screen and the alarm message displays on the screen.
It is important that you understand how your pump behaves when you do not clear an alarm or an alert.
See the Alerts section if this chapter for an explanation and an example.
Check your pump and test your blood sugar. Follow the guidelines prescribed by your healthcare
professional to manage your diabetes as needed.
NOTE: 
The STATUS screen shows any alarms and alerts that are active.
 
Question: Why are alarms important?
Answer: Your pump monitors activities and notifies you if there is an unusual pump status or your
attention is required. When an attention alarm is active, INSULIN DELIVERY IS STOPPED and immediate
operator interaction is required.
If the vibrate mode is on, all alarms and alerts start as vibrations and then change to beeps. For your
safety, if there is no response after 10 minutes, the beeps change to a siren. The siren continues every
minute until the alarm is cleared. 
What to do
When an alarm is triggered, the pump goes into Attention mode and an alarm message shows on the
screen. The pump then defaults to the HOME screen. Do these steps when you get an alarm:
1
View the alarm: From the HOME screen, press any button to see the alarm message.
2
Read all of the alarm text. There are instructions on how to fix the alarm condition. (Press 
 to
read more text, if available.)
3
Clear the alarm. Press ESC then ACT after you read the alarm instructions.
4
The HOME screen appears.
5
Follow the instructions that appeared with the alarm to fix the alarm condition.
6
Check your settings. Check your time, date, basal and other settings to make sure they are correct.
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Alarm conditions
Alarms put the pump in Attention mode.
 A (ALARM) 
This alarm shows a letter A followed by two numbers. A-alarms cause all insulin delivery to stop. Your
pump settings are retained. If this alarm repeats often, call the HelpLine for assistance.
 AUTO OFF 
Alerts you that no buttons were pressed during the time limit you set for the AUTO OFF DURATION feature,
and so insulin delivery has been stopped.
 BATT OUT LIMIT 
Occurs if the battery has been out of the pump for more than five minutes. Verify that the pump time and
date are correct. If not correct, go to the UTILITIES MENU and reset the date and time.
 BOLUS STOPPED 
If this alarm occurs, it is very important to check bolus history to review how much of the bolus was
actually delivered. If necessary, reprogram a bolus with the amount not yet delivered.
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 BUTTON ERROR
Occurs if a button has been continually pressed for more than three minutes.
 CHECK SETTINGS 
When this alarm is active, you should check and/or reprogram your pump settings, including the time/
date.
 E (ERROR) 
An E-error alarm will show the letter E followed by two numbers. E-alarms cause all insulin delivery to
stop, the pump resets, and all your settings are cleared. After receiving this alarm, note the error number
then call your local Medtronic Diabetes representative for assistance.
 EMPTY RESERVOIR 
There is no insulin in the reservoir. Change the reservoir immediately.
 FAILED BATT TEST 
The pump tests the voltage of each battery installed. This test ensures a battery with low voltage is not
used. If the battery does not have enough voltage, this alarm will occur. The pump will not function and
the battery must be replaced. (Always make sure that you install a NEW battery into the pump.)
 MAX DELIVERY 
This alarm alerts you when you have taken more insulin than expected based on Maximum bolus and
Maximum basal rates.
 MOTOR ERROR
Insulin delivery has stopped. This alarm occurs if your pump detects a motor error.
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 NO DELIVERY
Insulin delivery has stopped. This alarm occurs if your pump detects a blockage.
 NO RESERVOIR
The reservoir is not inserted correctly or no reservoir has been inserted.
 OFF NO POWER
The battery is dead. Replace battery immediately. Follow the directions on the screen. Check to make
sure that the time is correct on the screen. Reset the time if necessary.
 RESET
The Reset alarm triggers when pump settings are cleared because of one of these reasons:
•
Pump settings were cleared (Clear Settings function) and settings have not been reprogrammed.
•
A download attempt from the PC is incomplete. (The download function is applicable to the optional
software feature. Refer to the software user guide for more information.)
 WEAK BATTERY
The pump tests the voltage of each battery installed. If the battery voltage is less than full strength, this
alarm may occur. The pump will operate normally, but the battery life will be shorter than expected.
Always make sure to install a new battery in the pump.
Testing the transmitter
The tester acts like a sensor. If you get sensor-related alerts, use the tester to make sure that the
transmitter is working.
Connecting the tester
1
Hold the transmitter and the tester as shown. Line up the flat side of the tester with the flat side of
the transmitter.
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Chapter 13

2
Push the tester into the transmitter until the flexible side arms of the tester click into the notches on
both sides of the transmitter.
3
Within 20 seconds, the green light on the transmitter will flash for about 10 seconds when properly
connected. The Sensor feature must be turned On on your pump. Go to the RECONNECT OLD SENSOR
screen to start your sensor.
Main > Sensor > Sensor Start > Reconnect Old Sensor
You should see the sensor icon 
 on the pump screen, which means that the transmitter and the
sensor are communicating.
4
Within the next seven to eight minutes, go to the SENSOR STATUS screen to look for the Sensor ISIG
value:
a. The sensor ISIG value on this screen should be between 24.00 - 29.00 nA. This range of ISIG values
means that the transmitter electronics are working properly. Since the transmitter is sending
signals correctly, the sensor must have caused the alert. Remove and discard the sensor. Insert a
new sensor in a new site.
b. If you see a Sensor ISIG value that is less than 24.00 nA or more than 29.00 nA, contact the
HelpLine. It may be time to replace your transmitter.
Disconnecting the tester
1
Hold the transmitter body as shown and pinch the side arms of the tester.
Troubleshooting and alarms
168

2
With the tester arms pinched, gently pull the transmitter away from the tester. To save transmitter
battery life, do not leave the tester connected after testing.
Troubleshooting sensor features 
Reconnect old sensor
You should only use this feature if you have disconnected the sensor from the transmitter and have to
reconnect them (for example, when flying on an aircraft).
 
To Reconnect old sensor:
1
Go to the RECONNECT OLD SENSOR screen.
Main > Sensor > Sensor Start > Reconnect Old Sensor
2
Press ACT in the RECONNECT OLD SENSOR screen.
3
The SENSOR READY 2 HRS screen appears. Press any button to continue. An alert will sound in two
hours when a meter BG is required for calibration.
Find lost sensor
If you receive a Lost Sensor alert:
1
Relocate the pump closer to the sensor, and go to the SENSOR START MENU.
Main > Sensor > Sensor Start
2
Select Find Lost Sensor, then press ACT.
3
The SENSOR READY 15 MIN screen appears. Press any button to continue. An alert will sound in 15
minutes when a meter BG is required for calibration.
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Chapter 13

Understanding your transmitter, tester, and charger
The charger has a green light that shows the charging status and a red light that communicates any
problems during charging. See the following graphic for the location of these lights:
green light
red light
Question: Why did the flashing green charger
light turn off and a longer flashing red
charger light turn on during charging?
Answer: The transmitter battery is very low.
Leave the transmitter on the charger for eight hours to completely recharge. If the red light is still
flashing after eight hours, call your local representative. It may be time to replace your transmitter.
Question: Why do I see quick flashing red
lights on the charger?
Answer: Your charger battery is low. Make sure
that the transmitter is not connected to the
charger. Replace the charger battery with a new AAA or LR-03 battery.
Question: Why do I see a mix of quick and
long flashing red lights on the charger?
Answer: Your charger and transmitter
batteries are very low. Replace the charger’s
AAA or LR-03 battery. If you now get the pattern for very low transmitter battery, leave the transmitter on
the charger for eight hours to recharge. If the red light is still flashing after eight hours, call our 24 Hour
HelpLine. It may be time to replace your transmitter.
Question: I had my transmitter on the charger for a day. Will this damage my transmitter?
about 2 secs
about 2 secs
about 2 secs
about 2 secs
about 2 secs
about 
1 sec
about 
1 sec
about 2 secs
Troubleshooting and alarms
170

Answer: It will not damage the transmitter. You cannot overcharge it.
Question: What should I do if the transmitter’s green light did not flash after removing it from the
charger?
Answer: Reconnect the transmitter to the charger for at least one minute, remove it and watch the
transmitter’s green light flash and then turn off.
Question: What should I do if the transmitter’s green light does not flash when connected to the
sensor?
Answer: Is the sensor inserted in the body? If it is not inserted, the transmitter will not flash green or send
signals to a monitoring device.
If the sensor is inserted in the body, you need to disconnect the transmitter from the sensor, wait at least
one minute and then reconnect. If the green light still does not flash, charge the transmitter.
Question: Why didn’t I see the transmitter’s green light flash after connecting it to the tester?
Answer: Check the connection. If you still do not see a green light flash, fully recharge the transmitter
battery. Test the transmitter with the tester. If you still do not see a green light flash, call the HelpLine. It
may be time to replace your transmitter.
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171
Chapter 13

Troubleshooting and alarms
172

Maintenance
It is recommended that you read your warranty statement included in the Pumps specifications chapter for
information about what is covered during your warranty period.
Battery
The Paradigm pump uses a single 1.5 V AAA alkaline battery, size E92, type LR03. As a safety measure,
Medtronic Diabetes has designed the pump to only accept a NEW battery. If you insert a used battery, the
FAILED BATT TEST alarm may be triggered. Refer to the Install battery section in The basics chapter for
instructions.
The use of cold batteries causes erratic pump behavior. To prevent this, do not use batteries that have
been in cold storage (i.e., in the refrigerator or your car in the winter). It takes several hours for these
batteries to warm to room temperature.
Certain features on the pump use a lot of battery power. Your battery will need to be replaced more
frequently if you use these features:
•
Remote control
•
Meter
•
Backlight
•
Vibrate alert type setting
CAUTION: It is recommended that you use a AAA Energizer battery. Do not use a rechargeable or
carbon zinc battery in the pump. Do not remove the battery unless you are changing your battery
(installing a NEW battery). Replace it within five minutes. If not replaced within five minutes, the
screen may display an alarm message. Follow the instructions in the message and make sure the time
and date are set correctly. Check that the battery is inserted correctly. If the battery has been
installed backwards, remove the battery and install it properly.
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Chapter 14

Storage
If you have to remove and store your pump, it is recommended that you store it with the battery in place.
Keep a record of your current basal rates. To preserve battery life, reset the basal rates to 0 (zero), turn
off the remote and meter options, and set the Auto-off to dashes or zeroes.
Cleaning your pump
1
Use only a damp cloth and mild detergent mixed with water to clean the outside of your pump.
2
Rinse the pump with a clean cloth, dampened with clean water.
3
Dry with a clean cloth.
4
Never use organic solvents, such as lighter fluid, nail polish remover, or paint thinner to clean your
pump.
5
Keep the reservoir compartment and battery compartment dry and away from moisture.
6
Do not use any lubricants with your pump.
7
Use a 70 percent alcohol wipe to disinfect your pump.
8
Use a dry clean cotton tip to remove any battery residue from the battery cap.
9
Use a dry clean cloth to remove any battery residue from the battery compartment opening.
Cleaning the transmitter
CAUTION: The charger and the tester are NOT water-tight. Do NOT immerse in water.
Do NOT discard the transmitter in a medical waste container or otherwise subject it to incineration.
Transmitter contains a battery which may explode upon incineration.
1
Wash your hands thoroughly.
2
Dampen a clean cloth with mild liquid soap and warm water. Wipe the outside of the transmitter.
3
Rinse the transmitter under warm tap water but do not get water inside the connector. If you get
water inside the connector, shake the water out and allow it to air dry.
4
Using an antibacterial hand-sanitizer (available at a local drugstore) on a clean, dry cloth, wipe the
transmitter’s surface. Do NOT get any hand-sanitizer inside the connector. Repeated exposure to the
hand-sanitizer could damage the connectors and affect the transmitter’s performance as a result. If
you get hand-sanitizer inside the connector, allow it to air dry.
5
Place the transmitter on a clean, dry cloth and air dry for 2-3 minutes.
Maintenance
174

Cleaning the Sen-serter
1
Wash your hands thoroughly.
2
Dampen a clean cloth with mild liquid soap and warm water. Wipe the Sen-serter.
3
Rinse with warm tap water.
4
Using an antibacterial hand sanitizer (readily available at your local drugstore), wipe down the Sen-
serter.
5
Place the Sen-serter on a clean dry cloth and allow to air dry.
6
Store Sen-serter in the released position to maintain optimum product performance and life.
Maintenance
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Chapter 14

Maintenance
176

Pump specifications
This section provides detailed information on specifications related to your pump. The safety features of
your pump are individually listed and described.
Alarms and error messages
•
Indicators: audible tone (beep) or vibration (silent).
•
All alarms and errors show messages on the pump's screen and provide instructions on what to do.
Unresolved alarms will escalate to siren mode for added safety.
Alarm history
Maximum records shown: 36
Audio frequency
Name
Frequency (+/- 25%) 
Alarm
1850 Hz
Escalated alarm
2.5 kHz, followed by 3.2 kHz
Alert
1.8 kHz, followed by 2.1 kHz and 1.8 kHz
High Glucose alert
800 Hz, followed by 840 Hz, 890 Hz and 935 Hz
Low Glucose alert
935 Hz, followed by 890 Hz, 840 Hz and 800 Hz
Backlight
•
LCD (Liquid Crystal Display) type
•
Time-out: 30 seconds
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177
Chapter 15

Basal
•
Rate increments: 0.05 units/hour
•
Delivery: 0.05 - 35 units/hour (maximum units: 35/hour)
•
Factory maximum setting: 2.0 units/hour
•
3 patterns maximum, each with 48 rates
BG Target
•
Maximum targets: 8
•
Range: 60 - 250 mg/dL (3.3 - 13.9 mmol/L)
•
Warning limits: less than 90 or greater than 140 mg/dL (less than 5.0 or greater than 7.8 mmol/L)
Bolus delivery
•
Insulin delivered/stroke: 0.05 u
•
Fluid delivered/stroke: 0.5 µL (microliters)
•
Time between/delivery strokes: 2 seconds
•
Delivery rate (per minute): 1.5 u
Bolus history
Maximum records shown: 24
Bolus units
Increments: 0.1 units
Bolus Wizard feature
See the Bolus Wizard feature specifications section in this chapter for information.
Pump specifications
178

Carb ratios
Maximum ratio settings
Range
Warning limits
8
3 - 150 grams/u
less than 5 or greater than 50 grams/u
0.1 - 5.0 u/exch
less than 0.3 or greater than 3.0 u/exch
Carb units
The food entry when using Bolus Wizard feature:
•
grams: 0 - 300 (increments: 1 gram)
•
exchanges 0.0 - 20 (increments: 0.5 exch)
Daily totals
Maximum records shown: 31 days of data, maximum display: 999.95 units/day. Daily delivery accuracy:
+0/-0.05 units.
Default screen
The HOME screen. For most screens, if no buttons are pressed for 30 seconds, the pump returns to this
screen.
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179
Chapter 15

Delivery accuracy
•
Delivery accuracy: +/-5 percent.
•
Displacement (piston) accuracy: +/-2 percent.
•
The delivery accuracy test was done using the Sof-Set
®
 Ultimate infusion set (MMT–315).
-50
-40
-30
-20
-10
0
10
20
30
40
50
0
15
30
45
60
75
90
105
120
135
150
165
180
195
210
Maximum Error (percent)
Minimum Error (percent)
Ovreall Flow Error (percent)
Time Interval (Minutes)
Percent Error
Delivery Volume Accuracy Curve (-0.37%) Overall Error
(MMT-522 Model) Qualification Testing (0.01 mL/hr 09/22/04 S/N: 010112-C061); 23°C
Pump specifications
180

Pump motor
The pump motor has a unique, patented design with an integrated safety check system. The system
delivers in precise increments.
Dual Wave bolus
Delivers a Normal bolus followed by a Square Wave bolus (limited by maximum bolus).
Easy bolus
•
Features programming using audible tones (or vibrate pulses) in user-defined increments.
•
Beep mode range: 0 to maximum bolus
•
Vibrate mode range: 0 to 20 steps or maximum bolus, whichever comes first
•
Default step increment: 0.1 unit
•
Step size < maximum bolus.
•
Adjustable step size: 0.1 to 2.0 units per step.
•
Accessible from the remote control or pump buttons.
Infusion pressure
Maximum infusion pressure and occlusion pressure: 13.7 PSI (94.46 kPa).
Insulin sensitivity
•
Maximum settings: 8
•
Factory default: 50 mg/dL (2.8 mmol/L)
•
Range: 10 - 400 mg/dL (0.5 - 22.2 mmol/L)
•
Warning limits: less than 20 or greater than 100 mg/dL (less than 1.1 or greater than 5.6 mmol/L)
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Chapter 15

Low resv (reservoir) warning
Values are based on displayed amount, not actual amount.
time:
2 - 24-hours, and 
@ 1:00 hour before empty
08:00 hours (default when time is
selected)
units:
5 - 50 units, and 
@ half of the remaining amount
20 units (factory default)
Meter value
•
The BG measurement received from the meter. Appears in the ENTER BG screen during bolus
programming. Appears on the screen when the pump is idle at the HOME screen.
•
Expiration: 12 minutes
•
Range: 20 - 600 mg/dL (1.1 - 33.3 mmol/L)
•
Maximum meter ID entries: 3
Normal bolus
Range 0.1 - 25.0 units of insulin (limited by maximum bolus setting).
Occlusion detection
When occlusion is detected, the NO DELIVERY alarm occurs. The occlusion alarm is triggered by an average
of 2.77 units of missed insulin. The Paradigm pump is intended for use with U100 insulin. This table shows
occlusion detection for 3 different situations when using U100 insulin.
Rate
Minimum time
before alarm
Typical time
before alarm
Maximum time
before alarm
bolus delivery (1.5 u/min)
92 seconds
116 seconds
162 seconds
basal delivery (1.0 u/h)
2.2 hours
3.09 hours
4.47 hours
basal delivery (0.05 u/h)
37.4 hours
59.2 hours
87 hours
Pump specifications
182

Percent temp basal
Default value: 100% of basal programming
Power supply
The pump is powered by a standard 1.5 V AAA alkaline battery, size E92, type LR03 (Energizer brand
recommended).
Prime function
•
Fixed prime range: 0.1 - 25.0 units (limited by maximum bolus)
•
Manual prime limit: Warning at 30 units, then at each 10 units thereafter.
•
Fill rate: 1 to 5 units/second.
Prime history
Maximum records shown: 20 manual and fixed
Program safety checks
Maximum infusion with single fault condition: 0.0 units
Pump size
The dimensions of the pump are approximately:
•
522/522K Pump:
•
5.1 x 7.6 (7.1 at the battery cap) x 2.0 cm
•
2.0 x 3.0 (2.8 at the battery cap) x 0.75 inches
•
722/722K Pump:
•
5.1 x 9.4 (8.9 at the battery cap) x 2.0 cm
•
2.0 x 3.7 (3.5 at the battery cap) x 0.75 inches
Pump weight
•
522/522K pump: approximately 100 grams (with battery installed).
•
722/722K pump: approximately 108 grams (with battery installed).
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Chapter 15

Remote control
Uses radio signals to allow users to program Normal boluses or to suspend/resume their pumps.
Reservoir
•
The user-filled reservoir is made from impact-resistant, insulin-compatible polypropylene.
•
522/522K Pump volume: up to 176 units of U100 insulin
•
722/722K Pump volume: up to 300 units of U100 insulin
Square Wave bolus
Delivers bolus insulin over a duration of 30 minutes up to eight hours (limited by the Max bolus setting).
Temporary (temp) basal rate
Allows you to temporarily change the current basal rate for a duration of 30 minutes up to 24 hours
(limited by Maximum basal setting). The temp basal rate can be set to either Percent of basal or Insulin
rate.
Time and date screen
12-hour or 24-hour formats. Pump users set the time/date, including the year, month and day. The date is
included in the STATUS screen. Time always appears on the top of the screen.
Environmental conditions
•
Pump operating temperature range: from 37°F (3°C) to 104°F (40°C)
•
Air pressure range: from 700 hPa to 1060 hPa (from 10.2 psi to 15.4 psi)
•
Operating humidity range inside the case: from 20% to 90% per EN 60601-1 2-24, Section 10.2.1c.
Pump specifications
184

Status screen
Item
When
What
Alarm Clock*
(appears if scheduled to
alarm)
Time set is displayed.
Auto-off
(appears if enabled)
X HR
Basal pattern information
(if active)
Pattern A or B
Battery Status
(always appears)
Normal, Low, Off
BG meter value
(most recent BG value
received)
(appears if BG meter is
enabled)
XXX mg/dL time and date received
BG Reminder*
(Only if enabled)
Time remaining before BG Reminder is set to go off H:MM h 
(if less than 1 hour, 0:XXh where XX is minutes remaining)
Block
(if active)
ON
Current date
(always appears)
Current temp basal
information
(if active)
rate (units per hour), duration, time
remaining
Last bolus information
(appears if at least one bolus
was started)
type and units delivered
delivery time and date
(S = Square, N = Normal, DN = Normal