USING THE MINIMED 670G SYSTEM - Medtronic Diabetes

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USING THE MINIMED 670G SYSTEMInstructions for the ExperiencedMiniMed 630G System User

This is a supplemental guide. For complete instructions and safety information, please see yourMiniMed 670G System User Guide.

USING THE MINIMED 670G SYSTEM: INSTRUCTIONS FOR THEEXPERIENCED USERChecklist for starting on your MiniMed 670G pump and CGM system33 MiniMed 670G System –Manual Mode & Auto Mode*.233 Getting Started with Manual Mode.333 MiniMed 670G Pump Menus.433 New CGM features in the MiniMed 670G system.533 Retrieve your MiniMed 630G insulin pump settings.733 Connecting your meter to your MiniMed 670G pump.933 Connecting your transmitter to your MiniMed 670G pump. 1033 Programming your MiniMed 670G pump. 1133 Changing the reservoir & infusion set. 1533 Inserting & starting your sensor. 1633 Calibraton. 1733 CGM graph & new sensor alerts. 1833 Before beginning Auto Mode. 1933 Additional Handout33 CareLink Personal Software Quick Reference Guide. 20*WARNING: may not be safe for patients under 7 or requiring less than 8 units of insulin per day.1

MINIMED 670G SYSTEM –MANUAL MODE & AUTO MODEWELCOME to the next advancement in diabetes care. Your new MiniMed 670G system includesSmartGuard HCL technology, which has features designed to help and protect you.One of the SmartGuard technology features of this system is called Auto Mode, which automaticallyadjusts insulin delivery based on your sensor glucose readings.This booklet will teach you the basics of using your pump in Manual Mode before Auto Mode begins.Your MiniMed 670G system can be used in two different ways— Manual Mode and Auto Mode.Manual ModeUsing your pump in a traditional way,like your MiniMed 630G pump.Auto ModeDelivers basal insulin automaticallybased on your sensor glucosereadings. Basal rates are pre-programmed. Basal is automatically adjusted every 5minutes. Bolusing can be done with the Bolus Wizard or with Manual Boluses. Bolusing for carbs before meals isnecessary, but Auto Mode auto adjuststhe basal after the bolus is given. CGM is not required for insulin delivery, but isnecessary for insulin suspend features. CGM is required.HOME SCREEN IN MANUAL MODEHOME SCREEN IN AUTO MODEAuto Modeshield9:00AM7Without CGM2835030025020015010050100mg/dL0.1 UAct. InsulinWith CGM

GETTING STARTED WITH THE MINIMED 670G SYSTEM –MANUAL MODEMINIMED 670G PUMP BUTTONSHOME SCREEN WITHOUT CGMStatus icons:quick look atinsulin, batteryand audio optionGraph Opens the CGMgraph from thehome screen Press and hold 2 seconds to putpump into sleepmode.Press Select button toopen Main MenuLet’s get started with these steps*1. Charge yourGuardian Link 3transmitter2. Insert a battery3. Complete theStartup Wizard3

MINIMED 670G PUMP MENUSHere are some of the menu highlights and important features.Press Select to open the Menu.MENUOPTIONS* Basal and Bolus optionsare now on the Menu You will now selectStatus to see yourstatus screensUTILITIES High Setup and LowSetup are now entered inSmartGuardNEW: Auto Mode Setup Basal and Bolus Setupnow in Delivery Settings(formerly InsulinSettings) New location forReservoir & Tubing The sensor feature isturned ON in SensorSettings4*SmartGuard menu appears after Sensor is turned ON in Sensor Settings menu.

NEW CGM FEATURES IN THE MINIMED 670G SYSTEMThe sensor, transmitter, and tapeThe new sensor, the Guardian Sensor 3, offers improved accuracy withmore consistency. It is also our smallest sensor with an 80% reductionin volume over the Enlite sensor for more comfortable wear.The new transmitter, the Guardian Link 3 Transmitter, has an intelligentchip inside, which monitors your sensors’ health.The new tape has a different shape for easier handling.New CGM features in Manual Mode1.1 Expanded Low Limit range Your Low limit can be set as low as 50 mg/dL and up to 90 mg/dL. This is available in both Manual Mode and Auto Mode.Low limit .Amanda sets her Low limit at 70 mg/dL. So whether her pump is in Manual Mode or Auto Mode, she iscomfortable knowing she will get an Alert on low if she reaches 70 mg/dL.2.2 Fixed Low Alert Your system has a fixed low alert if your SG reaches or fallsbelow 50 mg/dL. This alert cannot be changed, but the alertcan be cleared. This occurs in both Manual Mode & Auto Mode.5

NEW CGM FEATURES IN THE MINIMED 670G SYSTEM1.3 Suspend before low event70 mg/dL above Low LimitSTOPTo help keep sensor glucose(SG) from reaching your low limit,insulin delivery will be stopped ifSG is: At or within 70 mg/dL abovethe low limit.30 minLow Limit Predicted to be approachingthe low limit in 30 minutes.If you want your pump to suspend without alarming, turn Alert beforelow off. However, your pump will alert you if your glucose continues tofall and reaches your low limit.Note: Your MiniMed 670G has both SmartGuard features — Suspendbefore low and Suspend on low. You can use either feature, but not bothat the same time of the day.Suspend before low .Sam uses Suspend before low when his pump is in Manual Mode. Plus, he keeps his Alert beforelow OFF — he doesn’t want to be alerted before his glucose is low.If Sam starts to feel symptoms of low blood glucose while Suspend before low is active, he testshis BG. If his BG is not low, but he would like to eat, Sam knows he can resume insulin delivery, andbolus for the carbs he eats.2.4 Automatic basal resume based on sensor glucose (SG) valueDuring Suspend before low orSuspend on low, basal insulin willautomatically resume if: Glucose is above the low limitand trending upward.STARTLow Limit Insulin has been suspended forat least 30 minutes.Note: Basal insulin can be manually resumed at any time, and will resume after a maximum of 2 hours.6

RETRIEVE YOUR MINIMED 630G INSULIN PUMP SETTINGS FROMCARELINK SOFTWARE**If you don’t have access to CareLink software, move to the next page to record your pump’ssettings.**1. Upload your MiniMed 630G pump into CareLink at www.medtronicdiabetes.com/CareLinkFor complete instructions onhow to upload, go to page 20.2. Go to Reports, find Report for my pump settings. Click and click Generate Reports.DEVICE SETTINGS SNAPSHOTDevice Settings9/13/2015BasalBolusMaximum Basal RateBasal 1 (active)24-HourTotal17.600 UUpdates2.00 U/HrBasal 224-HourTotal24-HourTotal--Bolus WizardUnitsBasal 3Active Insulin Time(h:mm)--Maximum 000.80018:000.80022:000.600Carbohydrate Ratio(g/U)OnEasy Bolusg, mg/dLBolus IncrementOff0.1 U4:00Bolus SpeedStandard10.0 UDual/SquareOn/OffInsulin Sensitivity(mg/dL per U)Blood GlucoseTarget 0:001000:00100100Preset BolusNameNormalUpdatesSquareBolus 1BreakfastDinnerLunchSnackBolus 2Bolus 3Bolus 4Preset TempNameRateDurationNameHigh ActivityTemp 1ModerateActivityTemp 2Low ActivityTemp 3SickTemp 4RateDuration3. If you have any difficulty using CareLink Personal, call the Medtronic 24 Hour HelpLine at1-818-576-54007

RETRIEVE YOUR MINIMED 630G INSULIN PUMP SETTINGSINSULIN SETTINGSINSULIN SETTINGS (continued)DUAL/SQUARE WAVE:Dual: , On , OffSquare: , On , OffPRESET BOLUS SETUPMenu Insulin Settings Preset Bolus SetupPreset Bolus Name:Bolus: U  Type:% Now Square    Duration hrBOLUS INCREMENT: , 0.025U , 0.05U , 0.1U*MAX BASAL/BOLUS:Max Basal: U/hr   Max Bolus: UEASY BOLUS: , On , Off  Step Size UAUTO SUSPEND: , On hr , OffBOLUS SPEED: , Standard , Quick*BOLUS WIZARD SETUPMenu Insulin Settings Bolus Wizard SetupBolus Wizard: , On , OffCarb Ratio:12:00 A - g/U- g/U- g/UInsulin Sensitivity Factor:12:00 A - mg/dL per U- mg/dL per U- mg/dL per UBG Target:12:00 A - mg/dL- mg/dL- mg/dLActive Insulin Time: hrREMINDERS*BASAL PATTERN SETUPMenu Insulin Settings Basal Pattern SetupBasal 1:Basal Pattern Name:12:00 A U/hr 12:00 A U/hrU/hr U/hrU/hr U/hrU/hr U/hrU/hr U/hrPRESET TEMP SETUPMenu Insulin Settings Preset Temp SetupPreset Temp Name:Type Percent % Duration hr* The most important settings for use with theMiniMed 670G system.Menu RemindersPERSONAL:Name:    Time: AM / PMBOLUS BG CHECK: , On , OffMISSED MEAL BOLUS:Meal 1: AM / PM - AM / PMLOW RESERVOIR:, Units: U  , Time: hrSET CHANGE:, On days  , OffUTILITIESMenu UtilitiesDISPLAY OPTIONS:Brightness , Auto  Backlight sec / minREMOTE BOLUS: , On , Off**CARB UNIT: , Grams  , Exchanges**Minimed 670G system uses Grams onlySENSOR SETTINGS: LOW SETTINGS Menu Sensor Settings Low SettingsTime PeriodLow LimitAlert before LowSuspend on LowAlert on Low12:00 A  -mg/dL, On, On, On-mg/dL, On, On, On-mg/dL, On, On, OnLow Snooze: minutesSENSOR SETTINGS: HIGH SETTINGS Menu Sensor Settings High SettingsTime Period8High LimitAlert before HighAlert on HighRise Alert12:00 A  -mg/dL, On min, On, On mg/dL/minor -mg/dL, On min, On, On mg/dL/minor -mg/dL, On min, On, On mg/dL/minor High Snooze: minutes

CONNECTING YOUR METER TO YOUR MINIMED 670G PUMPDelete Old Pump and Connect New Pump to Your CONTOUR NEXT LINK 2.4 Meter*1. Hold the Menu buttonuntil the meter turns on.2. Scroll to Setup and clickon OK.MENUBolusLogbookTrendsMENULogbookTrendsSetup3. Click OK.SETUP4. Click Connection.PUMP OPTIONS5. Click Delete.6. Click Yes to delete pump.OK.20. Press.OKPump OptionsReminderDateOK21. Select Continue.Send OptionsConnectionGo BackCONNECTIONConnected to:NG101346UMiniMed PumpDeleteGo BackCONNECTIONDelete Pump?NG101346UMiniMed PumpPlace the meter and pump next to each other.22. Select Search on your pump and meter.The search may take up to 2 minutes.YesNoCONNECTION7. Wait Deleting Pump.8. Click OK.9. Click OK.10. Click Yes.Pump deleted frommeter. Check pump toconfirm11. Click OK.12. Press Auto Connect.CONNECT TO PUMPOKPump OptionsReminderDatePUMP OPTIONSYesNoCONNECT TO PUMPSelect "ConnectDevice" on your Pump.OKGo BackCONNECT TO PUMPPut the meter down and pick up your pump.14. Go to Options.15. Go to Utilities.16. Go to Device Options.17. Select Connect Device.18. Select Auto Connect onyour pump.SearchCancelOKManual ConnectAuto Connect.Select “Search” onYour Pump and meter.SETUPNo MiniMed Pumpconnected, connect now?13. Press19. Press23. Check to see thatthe Device SN (serialnumber) on the pumpscreen matches theDevice SN on the meter.24. If they match, selectConfirm on the pump.25. Check to see that the SNon the back of the pumpmatches the SN now onthe meter screen.CONNECT TO PUMPUse Pump to confirm DeviceSN:BGJ133333FPUMP CONNECTEDMiniMed Pumpconnected:AA1234567BNextDelete26. Follow the remaining steps on the meter tochoose to Always send result to pump, toselect the Date Format, set AutoLog to Off,and accept the Target Range.Setup is now complete.*Use your meter that you received with your MiniMed 630G system.9

CONNECTING YOUR TRANSMITTER TO YOUR MINIMED 670G PUMPTo Wirelessly Connect Your Pump and Transmitter1. Make sure the transmitter is on your charger.2. Press.*3. Select Options.4. Select Utilities.5. Select Device Options.6. Select Connect Device.rMake sure to us e youk 3new Guardian Linuse ittransmitter beca itteris the ONLY transmh yourthat will work wit mp.MiniMed 670G pu7. Select Auto Connect.8. Press.9. Select Continue.11. When the green light flashes on the transmitter, immediately hit Search onthe pump.!10. Remove the transmitter from the charger. The search can take several minutes If the green light on the transmitter does not flash, put the transmitter backon the charger and try to Search again.12. When the device is found, confirm that the serial number (SN) shown on the pump is the serialnumber on the back of your transmitter.If you receive the No devices found message, place thetransmitter back onto the charger. Then remove thetransmitter from the charger and immediately selectRetry on the pump.0HGWURQLF*XDUGLDQ /LQN 007 61 * 7 - ))&& ,' ;;;;;;;,& ;;;;; ;;;; ,3 ;;;;13. If SN matches, select Confirm.Connection is now complete. The transmitter serial number will be displayed on the pump screen.10

PROGRAMMING YOUR MINIMED 670G PUMPProgram your MiniMed 670G pumpand CGM settings.Max BasalThis is set to 2.0 U/hr. You may need to change itif you have a basal rate that is more than 2 U/hr, orif your healthcare professional wants to limit yourMax Basal for safety.1. From the Home screen,press .2. Select Basal or Options.3. Select Delivery Settings.Add a Basal Pattern1. From the Home screen,press .2. Select Basal.3. Select Delivery Settings.4. Select Basal Pattern Setup.4. Select Max Basal/Bolus.5. Select Max Basal.5. Select Basal 1.6. Select Options.7. Select Edit.6. Read the message.Press and selectContinue.7. Press.8. Press or to enternumber of U/hr andpress .9. Select Save.8. Press to enter the Endtime. If you have only onebasal rate, press .If you have more than onebasal rate, press or toenter the time the basal rate ends and press.9. Press or to enterU/hr of your basal rateand press .Continue entering yourEnd times and U/hr untilall basal rates are entered.10. Select Done.11. Review basal rates.Select Save.11

PROGRAMMING YOUR MINIMED 670G PUMPBolus Wizard Setup1. From the Home screen,press .2. Select Options.3. Select Delivery Settings.4. Select Bolus EstimateSetup.5. Select Bolus Wizard toturn on.6. Press to continuereading text.7. Select Next.8. Review the description ofCarb Ratio and selectNext.9. Press on the timesegment.10. If you have only one CarbRatio, press .If you have more than oneCarb Ratio, press or to enter the timethat your Carb Ratio ends and the secondbegins and press .11. Press or to enter theg/U of your Carb Ratioand press .If you have more than oneCarb Ratio, continue byentering your time segments and Carb Ratiosuntil all are entered.12. Select Next.13. Review the descriptionof Sensitivity Factor andselect Next.14. Press on the timesegment.15. If you have only oneSensitivity Factor, press .12If you have more than oneSensitivity Factor, press or to enter thetime that your Sensitivity Factor ends and thesecond begins and press .16. Press or to enterthe mg/dL per U of yourSensitivity Factor andpress .If you have more than oneSensitivity Factor, continue by entering yourtime segments and Sensitivity Factors until allare entered.17. Select Next.18. Review the descriptionof BG Target and selectNext.19. Press on the timesegment.20. If you have only one BGTarget Range, press .If you have more than oneBG Target Range, press or to enter thetime that your BG Target Range ends and thesecond begins and press . Press or toenter the Lo target and press .21. Press or to enter theHi target and press .If you have more thanone BG Target Range,continue by entering yourtime segments and Loand Hi targets until all are entered.22. Select Next.23. Review the description ofActive Insulin Time andselect Next.24. Select Duration.25. Press or to enter theDuration of your ActiveInsulin Time and press .26. Select Save.The Bolus Wizard setupis now complete.

PROGRAMMING YOUR MINIMED 670G PUMPMax BolusTurn the Sensor Feature OnThis is set to 10 units. You may need to change itif you give boluses that are more than 10 units, orif your healthcare professional wants to limit yourMax Bolus for safety.1. Press2. Select Options.1. From the Home screen,press .5. Select Sensor to turn thefeature On.2. Select Options.3. Select Delivery Settings.4. Select Max Basal/Bolus.3. Select Utilities.4. Select Sensor Settings.Now go back to the Homescreen, and the next pageswill help you setup your CGM settings.5. Select Max Bolus.6. Read the message.Press and selectContinue.7. Press.8. Press or to enternumber of units andpress .9. Select Save.NOTE: Program any additional insulinsetting features you want to transferover to your MiniMed 670G pump.13

PROGRAMMING YOUR MINIMED 670G PUMPHigh SetupLow Setup1. Press .2. Select Options.1. Press .2. Select Options.3. Select SmartGuard.3. Select SmartGuard.4. Select High Setup.4. Select Low Setup.5. Press . If you are settingonly one time segment,press .If you are setting multiplesegments with different highlimits, press to set the firstEnd time and press .5. Press . If you are settingonly one time segment,press .If you are setting multiplesegments with different lowlimits, press to set the firstEnd time and press .6. Press or to set Hilimit and press .6. Press or to set Lolimit and press .7. Press to continue ontothe next screen.7. Press to continue ontothe next screen.8. Select each feature youwish to turn on.8. Select each feature youwish to turn on.9. Once settings areselected, select Next.9. Once settings areselected, select Next.10. Select Done.10. Select Done.If setting multiple timesegments, select the Endtime, Hi, and features you wishto turn on. Then select Done.11. Verify settings are correct,and select Save.14If setting multiple timesegments, select the Endtime, Lo, and features you wishto turn on. Then select Done.11. Verify settings are correct,and select Save.

CHANGING THE RESERVOIR & INFUSION SETChanging the Reservoir and Infusion SetThe MiniMed 670G pump uses the same infusion sets and reservoirs as your MiniMed 630G pump.Changing your reservoir and infusion set is the same as your MiniMed 630G pump.1. From the Home screen, press2. Select Options.3. Select Reservoir & Tubing.4. Select New Reservoir.5. Continue with the remaining steps for filling your reservoir and inserting a new infusion set.15

INSERTING & STARTING THE SENSORInserting Your SensorThe sensor insertion process for MiniMed 670G pump is very similar to the MiniMed 630G pump, justwith new over tape. See your CGM Getting Started Guide page 20 for the full steps.1. Insert your sensor.3. Connect transmitter.Both sensor andskin are taped2. Tape your sensor.ab4. Apply second piece of tape.abWide part of tape coversend of transmitterand skincdStarting the SensorMake sure your pump is on the Home screen so the Sensor connected message appears. This typically takeless than a minute, but can take up to 10 minutes.1. Select Start New Sensor.2. The Sensor warm-up started messageappears.3. Pressand thento clear.4. Warm up. appears on the Home screen untilsensor is ready fo

New CGM features in Manual Mode 1. Expanded Low Limit range Your Low limit can be set as low as 50 mg/dL and up to 90 mg/dL. This is available in both Manual Mode and Auto Mode. 2. Fixed Low Alert Your system has a fixed low alert if your SG reaches or falls below 50 mg/dL. This alert cannot be changed, but the alert can be cleared.

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