MiniMed alerts and alarms

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> MiniMed Veo - Alerts and Alarms
> MiniMed 640G - Alerts and alarms

MiniMed® Veo™

A

A (Alarm) Explanation

Reason

This alarm shows the letter A followed by two numbers. A-alarms cause all insulin delivery to stop until the alarm is cleared. Your insulin pump settings are retained. However Guardian settings are reset.

Action

If this alarm repeats often, call the Medtronic helpline.

Alert Silence alert

Reason:

Displays when 1 or more glucose alerts occur during the time that the Alert Silence feature is turned on.

Action:

Press ESC, and then ACT to clear the alert. Check the SENSOR ALERT HISTORY screen for the recorded glucose alert information. To view SENSOR ALERT HISTORY:

  1. Go to the SENSOR ALERT HISTORY screen:o Home Screen > Main Menu > Sensor > Sensor Alert History
  2. The SENSOR ALERT HISTORY screen appears. The most recent alert is highlighted. Select the alert you want to get more information on, then press ACT.
  3. A new screen will appear with the alert details.
Auto Off Alert

Reason:

Alerts you that no buttons were pressed during the time limit set in the AUTO OFF DURATION feature, and insulin delivery has been stopped.

Action:

Press ESC, then ACT to clear the alarm.

B

Bad Sensor Alert

Reason:

You may receive this alert after you receive two Cal Errors in a row, or when initializing your glucose sensor without Cal Errors.

Action:

  • If the alert resulted from two Cal Errors in a row, replace the glucose sensor.
  • If the alert happened without two Cal Errors, please contact your helpline 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 glucose sensor. Call your helpline for further assistance.
Bad Transmitter Alert

Reason:

The transmitter battery is depleted.

Action:

Recharge your transmitter immediately.

Battery Out Limit Alarm

Reason:

Occurs if the battery has been out of range of the insulin pump for more than 5 minutes or out of range of the continuous glucose monitoring (CGM) monitor for more than 10 minutes.

Action:

Verify that the insulin pump/CGM monitor time and date are correct. If not correct, go to the UTILITIES MENU and reset the date and time. For CGM users, follow the FIND LOST SENSOR procedure to re-establish communication with the sensor.

Bolus Stopped Alarm

Reason:

A 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.

Action:

If you dropped your pump, visually inspect it to make sure that it is not damaged in any way, and review your bolus history and reprogram the remaining bolus, if needed.

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.

Button Error Alarm

Reason:

Occurs if a button has been continually pressed for more than 3 minutes.

Action:

  • Press ESC, then ACT to clear the alarm. Adjust where your insulin pump/CGM monitor is located if it is pressing up against something to cause the alarm.
  • If you followed these steps and you receive another BUTTON ERROR alarm, call the helpline

C

Cal Error Alert

Reason:

Calibrate the system. Some possible causes are:

  • An incorrect blood glucose number was entered from the meter into the insulin pump/CGM monitor.
  • The entered blood glucose measurement was not current.
  • Your blood glucose is rising or falling rapidly.
  • The glucose sensor needs more time to stabilize after being inserted.
  • The glucose sensor is no longer reading correctly.

Action:

  • If you receive a Cal Error, enter a new BG meter reading for calibration.
  • If you receive a Cal Error on your second calibration, a CHANGE SENSOR alert will occur on a Guardian® system and a BAD SENSOR alert will occur on a 522/722 or VeoTM insulin pump model.
  • Call your Medtronic helpline for further assistance.

Note: If you have pump model x12, x15, or x22, please call your Medtronic helpline for assistance.

Change Sensor Alert

Reason:

You may receive this alert after you receive two Cal Errors in a row, or when initializing your glucose sensor without Cal Errors.

Action:

If the alert resulted from two Cal Errors in a row, replace the glucose sensor. If the alert happened without two Cal Errors, please contact your helpline 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 glucose sensor. Call the helpline for further assistance.

Charge Transmtr Alert

Reason:

The transmitter battery is depleted.

Action:

Recharge your transmitter immediately.

Check Settings Alarm

Reason:

Occurs after an E-alarm or after you clear your insulin pump/CGM monitor. It is advising you to make sure that all your settings are correct.

Action:

When this alarm is active, you should check and/or reprogram your insulin pump/CGM monitor settings, including the time/date.

E

E (Alarm) Explanation

Reason:

An E-error alarm will show the letter E followed by 2 numbers. E-alarms cause all insulin delivery to stop, the insulin pump/CGM monitor resets, and all your settings are cleared.

Action:

After receiving this alarm, note the error number then call the helpline.

Empty Reservoir Alarm

Reason:

There is no insulin in the reservoir.

Action:

Change the reservoir immediately.

F

Fail Batt Test Alarm

Reason:

The insulin pump/CGM monitor 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 insulin pump/CGM monitor will not function and the battery must be replaced

Action:

Install a new battery into the insulin pump/CGM monitor.

Fall Rate Alert

Reason:

The sensor glucose measurements are falling at a rate that is equal to or faster than the Set Fall Rate Limit you selected for the alert. The insulin pump/CGM monitor plays 2 consecutive tones, in falling pitch, if an audible beep has been selected as the alert type.

Action:

Consider taking corrective action after confirming with a blood glucose (BG) meter reading.

Finish Loading Alarm

Reason:

You have not completed filling the infusion set with insulin.

Action:

Press ESC, then ACT to clear the alarm. This resumes basal delivery.

H

High Predicted Alert

Reason:

The sensor glucose measurements may reach or go above your High Glucose Limit in the length of time you selected for the High Predictive alert. The insulin pump/CGM monitor plays 3 consecutive tones, in rising pitch, if an audible beep has been selected as the alert type.

Action:

Consider taking corrective action after confirming with a blood glucose (BG) meter reading.

High SG Alert

Reason:

The 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 SG alert.

Action:

Consider taking corrective action after confirming with a blood glucose (BG) meter reading.

High XXX MMOL/L (XXX = SG Measurement) Alert - (OR MG/DL)

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 glucose alerts ON, then you will not get a high sensor glucose alert. The insulin pump plays 4 consecutive tones, in rising pitch, if an audible beep has been selected as the alert type.

Action:

Consider taking corrective action after confirming with a blood glucose (BG) meter reading.

I

Is Priming Complete? Alarm

Reason:

If you manually prime your insulin pump with more than 30 units of insulin, this message appears.

Action:

Read the message on the screen, then press ESC, then ACT to clear the alarm.

  • If manual prime is complete, press ESC.
  • If the manual prime is not complete, press and hold ACT until manual prime is complete.

L

Lost Sensor Alert

Reason:

The insulin pump/CGM monitor has not received a signal from the transmitter.

Action:

Do not disconnect the transmitter from the sensor.

  1. Make sure that the glucose sensor is inserted correctly.
  2. Check the REVIEW SETTINGS screen to make sure that the transmitter ID entered into the insulin pump/CGM monitor matches the ID on your transmitter: Home Screen > Main Menu > Sensor > 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:
    • 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.
    • If you hear a click, but do not see a green light on the transmitter, check to make sure that the transmitter is charged.
    • If you do not hear a click when you check the connection, the alert was due to a transmission problem. Bring the insulin pump/CGM monitor closer to the glucose sensor and transmitter.
  4. Use the FIND LOST SENSOR function to find your glucose sensor: Home Screen > Main Menu > Sensor > Link to Sensor > Find Lost Sensor
  5. Note: If you have pump model x12, x15, or x22, please call your Medtronic helpline for assistance.
Low Battery Alert

Reason:

The LOW BATTERY alert displays when the battery in your insulin pump/CGM monitor has less than 10% of the battery life remaining. The backlight, the remote, and meter functions are disabled during a LOW BATTERY condition. If the alert type is set to Vibrate, the insulin pump/CGM monitor will change to the audio alert Beep-medium.

Action:

Press ESC, then ACT to clear the alert before you replace your battery.

If you get this alert, do not go to sleep without replacing the battery.

Low Glucose Alarm

Reason:

How does it work?

Low Glucose alarm graph

Action:

The MiniMed® Veo can recognise when your glucose levels begin to fall using the CGM function of the pump and will sound an alert to warn you.
You can then act on this to prevent a hypoglycaemic event.

However, if you do not respond to this alert and the CGM recognises a dangerously low glucose level, another warning will sound.

If, however, you are unable to respond to the warning for some reason, the pump acts quickly to suspend insulin delivery for 2 hours, helping to prevent the hypoglycaemic event from becoming any more harmful.

Low Predicted alert

Reason:

The sensor glucose measurements may reach or go below your Low Glucose Limit in the length of time you selected for the Low Predictive alert. The insulin pump/CGM monitor plays 3 consecutive tones, in falling pitch, if an audible beep has been selected as the alert type.

Action:

Call the helpline.

N

No Delivery Alarm

Reason:

Insulin delivery has stopped. Occurs if your insulin pump detects a blockage.

Action:

Complete the following steps:

  1. Check to see if your infusion set has become clogged.
  2. Check your blood glucose (BG) and follow your safety guidelines for treating high glucose if necessary.
  3. Clear the alarm by pressing ESC and ACT. A screen appears with two choices: Resume and Rewind.
  4. Make sure that there is insulin in your reservoir.
    • If you identified and fixed a kink in your tubing, select Resume.
    • If the reservoir is empty, select Rewind and change your reservoir and infusion set.
  5. Monitor your BG closely.

If you followed these steps and you receive another NO DELIVERY alarm, call the helpline

No Reservoir Alarm

Reason:

The reservoir is not inserted correctly or no reservoir has been inserted.

Action:

Check to make sure your reservoir has been inserted.

O

Off No Power Alarm

Reason:

The battery is dead.

Action:

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.

R

Reducing/Silencing Alarms

Is there anything I can do to reduce the number of alarms I get?

It is important to remember that each alarm serves a meaningful purpose and is telling you about something, so you do need to pay attention to the number and type of alarms you receive.

You can reduce the number of alarms you get, by adjusting your user settings or by turning some of the alarms/alerts off.  For example, you can:
• change your high and low alarm thresholds to levels that are appropriate for you. In addition, you can disable the "high glucose" alarm when you know you are going high.
• adjust the time duration of the "snooze alarm" so that you receive fewer reminders.

Other alarms can be avoided by taking action before they occur, such as following a regular calibration schedule and keeping your transmitter within 2 metres (6 feet) of the insulin pump so that synchronisation is not lost.
For safety, you should consult your healthcare professional before making adjustments to alert settings on your pump.

 

What if I want to have silent alerts?

You can choose to set the alerts to the vibrate function instead of making a sound. To change this setting go to the Utilities Menu > Alarm Menu > Alert Type.

You can also silence them for a period that may be useful for example when you are in a meeting or in an exam. You'll find this in the Sensor Menu in the Alert Silence option.

 

Reset Alarm

Reason:

Triggers when insulin pump/CGM monitor settings are cleared because of one of these reasons:

  • Settings were cleared (Clear Settings function) and settings have not been reprogrammed.
  • An upload attempt from your computer to CareLink Personal is incomplete.

Action:

  • If your settings were cleared, you need to reprogram them.
  • If you are attempting to upload to CareLink Personal and received this error message, please call the helpline for further assistance.
Rise Rate Alert

Reason:

The sensor glucose measurements are rising at a rate that is equal to or faster than the Set Rise Rate Limit you selected for the alert. The insulin pump/CGM monitor plays two consecutive tones, in rising pitch, if an audible beep has been selected as the alert type.

Action:

Consider taking corrective action after confirming with a blood glucose (BG) meter reading.

S

Sensor End Alert

Reason:

The glucose sensor has reached the end of its life.

Action:

Replace your glucose sensor.

Sensor Error Alert

Reason:

The glucose sensor signals are either too high or too low.

Action:

You do not need to change the glucose sensor. Press ESC, then ACT to clear the alert. If the alert persists, test your transmitter with the tester.

Setting Alarms

How do I set the alerts/alarms on my MiniMed® Veo™ System?

You can set a number of alerts, such as reminders for calibration, BG readings and missed meals. If you are using the CGM function of your pump then you can set high/low glucose alerts, predictive high/low glucose alerts, rate of change alerts and snooze alerts for any of these alarms. You can also turn on the Low Glucose Suspend feature.

Your healthcare professional will advise and help you to set up the alarms and alerts on your MiniMed Veo system.

I have programmed my new / replacement pump and got a reprogram/check settings alarm, what does this mean?

The Check Settings Alarm occurs 5 to 10 minutes after resetting the pump without resetting the time/date. The pump will need to rewind and all settings (time/date/basal rates) need to be verified.

 

 

W

Weak Battery Alarm

Reason:

The insulin pump/CGM monitor tests the voltage of each battery installed. If the battery voltage is less than full strength, this alarm may occur. The insulin pump/CGM monitor will operate normally, but the battery life will be shorter than expected.

Action:

Install a new alkaline battery in the insulin pump/CGM monitor.

Weak Signal Alert

Reason:

Occurs when the insulin pump/CGM monitor does not receive data from the transmitter for a pre-defined period of time (as set in Weak Signal).

Action:

Move the insulin pump/CGM monitor closer to the transmitter or move the transmitter and the insulin pump/CGM monitor to the same side of your body.

Note: If you have pump model x12, x15, or x22, please call the Medtronic helpline for assistance.

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