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Paradigm Training

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This presentation was made available to certified trainers of Paradigm Insulin Pump. The animation was executed within PowerPoint. The images of the pumps were created in Photoshop. The menu windows ...

This presentation was made available to certified trainers of Paradigm Insulin Pump. The animation was executed within PowerPoint. The images of the pumps were created in Photoshop. The menu windows were illustrated in Freehand and then copied into PowerPoint as editable drawings objects.

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Paradigm Training Paradigm Training Presentation Transcript

  • Paradigm 515/715 insert brochure graphic and branding language
  • Training Materials
    • User guide
    • Training CD
      • Interactive user guide on a CD
    • Paradigm ® at a Glance
      • “ Cheat sheet” for reservoir & set change and Bolus Wizard programming
    • Medtronic CareLink ® Therapy Management System — online tutorial for data management
    • Pump School Online
    NEW! Replaces instructional video. NEW! Includes more information. Now shipped to each patient in the pump box.
  • Paradigm ® Insulin Pump 515/715 Holds 300 units Same as 712 Paradigm 515 Paradigm 715 Same size : new software Holds 176 units Same as 512
  • New/Expanded Features
    • Backlight available in all menus
     On-pump data management  Save/restore settings  Medtronic CareLink ® Therapy Management System
    • ParadigmPAL ™ 2.0 Software
     Keypad lock
    •  Enhanced Bolus Wizard:
      • Multiple active insulin curves
      • BG target ranges
      • Broader limits for settings
     New home-screen icons
  • The Home Screen More information at a glance … Paradigm 512 & 712 Paradigm 515 & 715
    • Home Screen
    • Displays MiniMed on front of screen
    • (Indicates normal mode of operation)
    • 6 open/closed circles
      • Open circles (Special Mode – i.e., temp. basal, low battery, low reservoir, dual/square bolus)
      • Closed circles (Attention Mode – i.e., Suspended - pump is not delivering insulin)
    • (Picture shows normal mode of operation)
    • Home Screen
    • Displays Time (12hr or 24 hr)
    • Displays Icons
      • Battery Life (4 segments)
      • Reservoir Volume (4 segments)
    • 1 open/closed circle for pump status
    • (Picture shows normal mode of operation)
    Each segment represents 25% * When using a 1.76 ml reservoir in a 715 pump, icon will show 3 segments when reservoir is full.
  • Main Menu Same Menu New Information Paradigm 512 / 712 Paradigm 515 / 715 Current Battery & Reservoir Status always displayed on Home Screen & in Menu Mode Main Menu Bolus Suspend Basal Prime Utilities Bolus MiniMed Main Menu Bolus Suspend Basal Prime Utilities Bolus
  • Bolus Menu Exciting New Features Paradigm 512 / 712 Paradigm 515 / 715 Bolus Wizard Set Up Two new features in Wizard Set up Bolus Menu Set Bolus Bolus History Bolus Wizard Set Up Max Bolus Dual/Square Bolus Easy Bolus BG Reminder MiniMed Bolus Menu Set Bolus Bolus History Bolus Wizard Set Up Max Bolus Dual/Square Bolus Easy Bolus BG Reminder Press
  • Enhanced Bolus Wizard ™ Calculator Expanded Setup Ranges Paradigm 515 / 715 Bolus Wizard Setup The set-up ranges have been expanded to better meet the needs of patients with very high and very low insulin requirements. Bolus Menu Set Bolus Bolus History Bolus Wizard Set Up Max Bolus Dual/Square Bolus Easy Bolus BG Reminder
  • Enhanced Bolus Wizard ™ Calculator Expanded Setup Ranges NOTE: The Bolus Wizard will now allow a bolus to be delivered when BG’s are below 70 mg/dL, after the user has Activated through a Warning message. 60-250 mg/dL 80-160 mg/dL Target BG 10-400 mg/dL/unit 10-250 mg/dL/unit Insulin Sensitivity 3-150 grams/unit 0.1-5.0 unit/exch 3-75 grams/unit 0.2-5.0 unit/exch Carbohydrate Ratios 515/715 512/712
  • Two New Features in the Bolus Wizard ™ Calculator B G Target: Active Insulin Time: BG Targets & Selectable Active Insulin Curves Paradigm 512 / 712 Paradigm 515 / 715 Edit Settings Wizard: Carb units: Carb Ratios: BG Units: Sensitivity: BG Target: Active Insulin Time: on grams 15 mg/dL 50 100 – 100 6 hrs. MiniMed Edit Settings Wizard: Carb units: Carb Ratios: BG Units: Sensitivity: BG Targets: on grams 15 mg/dL 50 100 2 New Programming Features
  • New Features in the Bolus Wizard ™ BG Targets B G Target: Edit Settings Wizard: Carb units: Carb Ratios: BG Units: Sensitivity: BG Target: Active Insulin Time: on grams 15 mg/dL 50 100 – 100 6 hrs. Press
  • BG Targets Can Now be Programmed in Ranges 99 98 97 96 95 94 93 92 91 90 The first number must be the same or LOWER than the second number.
    • Elevated BG’s are corrected DOWN to this number.
    • Upper range should not be set above 100 mg/dl unless there are obvious hypoglycemia concerns.
    Factory default ranges are set at 100 – 100. May set up to 8 different targets in 24 hrs. (for patients who do NOT want a negative correction when BG is just below target) To program or change ranges, simply press the  or  when the number is flashing. TARGET RANGE 1 12:00A mg / dL – 100 100 Press to confirm
  • BG Target Ranges Can Now be Programmed in BG Ranges! 150 80 If ranges are set below 90 or above 140 , a warning screen appears, just as a friendly reminder. TARGET RANGE 1 12:00A mg / L – 100 100
  • BG Target Ranges Reminder Message WARNING A target range of 80 to 150 is valid but outside the usual range of 90 to 140 ESC to correct. ACT to continue.
  • BG Targets Can Now be Programmed in BG Ranges If BG falls within the programmed range – NO Correction insulin is calculated. If BG falls above or below the programmed range – Correction insulin is calculated. Example BG Within Programmed Range BG: 82 mg/dL Example BG Below Programmed Range BG: 70 mg/dL Example BG Programmed Above Range BG: 150 mg/dL Negative Correction insulin is calculated. NO Correction is calculated. Correction insulin is calculated. TARGET RANGE 1 12:00A mg / dL 80 – 100
  • BG Below Target Range Negative Correction Insulin Calculated Food: Correction: Est total: Example BG Below Programmed Range BG: 70 mg/dL SF = 30 Carbs: 60 gms ICR = 15 70 – 80 = - 0.3U 30 NOTE: Corrects to lowest end of range. 60 = 4.0 15 gm Estimate Details Est total: 3.7U Food intake: 60 gm BG: 70 Food: 4.0U Correction: 0.3U Active ins: 0.0U ACT to proceed, ESC to back up – TARGET RANGE 1 12:00A mg / dL 80 – 100
  • BG Within Target Range No Correction Insulin Calculated – Food: Correction: Est total: Example BG Within Programmed Range BG: 82 mg/dL SF = 30 Carbs: 60 gms ICR = 15 BG is between 80 – 100 No correction calculated 60 = 4.0 15 gm Estimate Details Est total: 4.0U Food intake: 60 gm BG: 82 Food: 4.0U Correction: 0.0U Active ins: 0.0U ACT to proceed, ESC to back up TARGET RANGE 1 12:00A mg / dL 80 – 100
  • BG Above Target Range Positive Correction Insulin Calculated Example BG Above Programmed Range BG: 160 mg/dL SF = 30 Carbs: 60 gms ICR = 15 60 = 4.0 15 gm 160 – 100 = + 2.0U 30 NOTE: Corrects to highest end of set range. Food: Correction: Est total: Estimate Details Est total: 6.0U Food intake: 60 gm BG: 82 Food: 4.0U Correction: 2.0U Active ins: 0.0U ACT to proceed, ESC to back up TARGET RANGE 1 12:00A mg / dL 80 – 100
  • Adjustable Active Insulin Can be Individualized MiniMed Edit Settings Wizard: Carb units: Carb Ratios: BG Units: Sensitivity: BG Target: Active Insulin Time: on grams 15 mg/dL 50 100 – 100 6 hrs. Active Insulin Time: Can be adjusted in 1 hour increments from 2-8 hours. Press
  • Adjustable Active Insulin Default is set to 6 hours 6 hrs. is the length of time that most closely mimics the published information on insulin pharmacodynamics. ACTIVE INSULIN TIME 12:00A hr 6
  • Adjustable Active Insulin Curves
  • Adjustable Active Insulin What is different and what is the same?
    • The 6 hour Active Insulin curve most closely matches the published scientific data on insulin pharmacodynamics. The 515/715 defaults to the 6 hour curve, and we recommend using the default unless prescribed otherwise by a clinician.
    • For simplicity, the curve now stops when less than 5% of active insulin remains. This eliminates the long, low tail that lingered for several more hours, which caused confusion for some patients.
    • To accommodate specific clinician requests, the Active Insulin Curve is now adjustable in 1 hour increments from 2-8 hours.
  • Basal Menu No Changes 0.05 Delivery 0.05 Delivery Paradigm 512 / 712 Paradigm 515 / 715 Exactly the same Features as found on 512 / 712 MiniMed BASAL MENU Set / Edit Temp Basal Set / Edit Basal Basal Review Max Basal Rate Patterns Temp Basal Type BASAL MENU Set / Edit Temp Basal Set / Edit Basal Basal Review Max Basal Rate Patterns Temp Basal Type
  • Prime Menu Simplified Choices Contains Only Options Specific to Reservoir Change “ Insulin Change” (Insulin type) Option has been removed. Paradigm 512 / 712 Paradigm 515 / 715 Insulin Change PRIME MENU Fixed Prime Rewind Prime History Insulin Change MiniMed PRIME MENU Fixed Prime Rewind Prime History Insulin Change
  • Utilities Menu Lock Keypad User Settings Daily Totals Expanded data management 2 New Optional Features 2 New Optional Features MiniMed UTILITIES MENU Alarm Daily Totals Time/Date Alarm Clock Remote Option Meter Options Block Selftest Clear Pump Language UTILITIES MENU Lock Keypad Alarm Daily Totals Time/Date Alarm Clock Meter Options Remote Options Block Selftest User Settings Language Press
  • Lock Keypad Feature Great Option for the Active Individual When this feature is activated, it prevents all accidental keypad presses.
    • Note: What’s the difference between Block & Lock?
    • The LOCK feature ensures that NO programming/delivery changes can be made.
    • The BLOCK feature still allows the pump to be placed in Suspend.
    Press ACT to Lockout Keypad Press ESC to Cancel Press However, the “STATUS” screen may still be viewed, by pressing the key.
  • Lock Keypad Feature Prevents All Accidental Keypad Presses KEYPAD LOCKED To unlock press B and UP keys at the same time
    • NEW Programming Technique
    • This new technique involves pressing the key simultaneously with another key. This allows for:
    • Dual function of all keys, &
    • Increases programming capacity.
    • (Similar to “Ctrl” key on computer)
  • User Settings Allows Patient to Save Basal Rates & all Bolus Wizard ™ Settings User Settings UTILITIES MENU Lock Keypad Alarm Daily Totals Time/Date Alarm Clock Meter Options Remote Options Block Selftest User Settings Language Press
  • User Settings Allows Patient to Save Settings This screen appears if ACT is pressed from the Utilities Menu. Press & The “User Settings” screen is only accessible when the & are pressed simultaneously. This feature is not normally accessible. To access, consult your User Guide.
  • User Settings Feature Pump Settings can be Saved Save Settings
    • Save Settings
    • Saves current pump settings.
    • These settings can be restored when the pump is cleared for any reason (e.g. clearing active insulin in training session).
    • Settings saved include: basal rates & wizard settings.
    NOTE: Date & Time are not saved. The date & time must be reset every time the pump is cleared. SETTINGS SAVED User settings have been saved 24JUN2004 at 8:31A Press ACT to over write settings saved 20APR2004 at 9:41A ESC to CANCEL USER SETTINGS Save Settings Restore Settings Clear Settings History Press Press
  • User Settings Feature Pump Settings can be Cleared Clear Settings No Beep Beep Beep Beep Beep CLEAR CANCELLED User settings will NOT be cleared CONFIRM No Yes USER SETTINGS Save Settings Restore Settings Clear Settings History Press
  • User Settings Feature Pump Settings can be Cleared Clear Settings Beep Beep Beep Beep Beep Beep
    • RESET
    • CLEAR SETTINGS
    • Clears programmed information (including Date/Time).
    • Restores pump to factory default settings.
    • Clears ALL ACTIVE insulin from the Bolus Wizard™ memory.
    NOTE: Last 24 boluses can still be viewed in bolus history screen. However, the insulin from these boluses will no longer be counted as “active insulin” by the Bolus Wizard™. Yes No RESET CONFIRM No Yes USER SETTINGS Save Settings Restore Settings Clear Settings History Press
  • User Settings Feature Pump Settings can be Restored Restore Settings SETTINGS RESTORED User settings have been restored PLEASE CHECK SETTINGS USER SETTINGS Save Settings Restore Settings Clear Settings History Press Press Press ACT to restore settings saved on 20APR2004 at 9:41A ESC to CANCEL
  • User Settings Feature Always check restored settings
    • Check Settings
    • Always recheck the settings to verify that the restored settings are the most current settings being used by the patient.
    • Check Settings
    • The “Check Setting” screen will automatically be displayed any time settings have been cleared or restored from the pump.
    CHECK SETTINGS
  • Backlight Always Available Paradigm ® Insulin Pump Enhancements USER SETTINGS Save Settings Restore Settings Clear Settings History USER SETTINGS Save Settings Restore Settings Clear Settings History The backlight can be turned on from any menu by pressing & simultaneously.
  • On-Pump Data Management Provides additional BG and insulin delivery data Daily Totals UTILITIES MENU Lock Keypad Alarm Daily Totals Time/Date Alarm Clock Meter Options Remote Options Block Selftest User Settings Language Press
  • On-Pump Data Management Provides MORE Information Detail can be viewed by day or by averages 26JUL 112.30U DAILY TOTALS Daily Average Today 0.00U 26JUL 112.30U Press
  • On-Pump Data Management Provides additional BG and insulin delivery data Information can be displayed by single day or average of 2-30 days
    • Data Mgmt Detail Screens
    • BG Average Screen shows:
    • Average BG
    • Average Low BG (lowest entered each day)
    • Average Hi BG (highest entered each day)
    • Total number of BG’s entered
    26JUL BG AVG 128 BG Low/Hi 92/178 Number BGs 6
  • On-Pump Data Management Provides MORE information
    • Data Mgmt Detail Screens
    • Insulin Total Screen shows:
    • Amount and percent of insulin delivered for Basal and Bolus
    • Total number of carbohydrates entered
    26JUL INSULIN 112.3 Basal 60.2/54% Bolus 52.1/46% Carbs 253g
  • On-Pump Data Management Provides MORE information
    • Data Mgmt Detail Screens
    • Bolus Screen shows:
    • Total amount of insulin delivered via boluses
    • Total amount and percent of bolus insulin delivered for food, correction and manual doses
    26JUL BOLUS 52.1 Food Bolus 36.5/70% Corr Bolus 10.3/20% Manual Bolus 5.3/10%
  • On-Pump Data Management Provides MORE information
    • Data Mgmt Detail Screens
    • Number Bolus Screen shows:
    • Total number of boluses
    • Breakdown count regarding boluses for food, correction, both, and/or manual
    26JUL NUM BOLUS 5 Food/Corr 2/1 Food+Corr 1 Manual Bolus 1
  • Quick Review Paradigm Enhancements No Changes Insulin Change option has been removed. Prevents accidental keypad presses. Saves current pump settings (basal rates & wizard settings).
    • Two Changes:
    • BG Target Ranges
    • Active Insulin
    Provides detailed BG & insulin data. Utilities Menu Lock Keypad Daily Totals User Settings PRIME MENU Insulin Change BASAL MENU Bolus Menu Bolus Wizard Set Up
  • Therapy Management Software Solutions
    • Medtronic MiniMed offers a combination of Web- and PC-based therapy management software solutions
    • Included as part of the Paradigm 515/715 insulin pump system, patients are eligible to receive:
      • Access to the new Web-based Medtronic CareLink  Therapy Management System for Diabetes
      • ParadigmPAL™ 2.0 Software
      • Paradigm Link™ Interface Cable
    • Solutions Software has been updated to support 515/715 pumps, and will continue to be offered to healthcare professionals for use during patient appointments
    PC-based PC-based Web-based PC- or Web-Based Paradigm 512/712 & 515/715 Patients & Healthcare Professionals ParadigmPAL  2.0 MiniMed 508 Paradigm 511, 512/712, 515/715 Healthcare Professionals Solutions  Software 6.0 Paradigm  515/715 Pump Patients Medtronic CareLink  Therapy Management System Currently Supported Devices Target User(s) Software Application
  • Medtronic CareLink  Therapy Management System for Diabetes
    • A new Web-based therapy management system for patients
    • Transforms data from the following sources into a series of meaningful treatment reports:
      • 515 / 715 insulin pumps
      • A variety of BG meters
      • Patient self-reported treatment data
    • Patients can easily print reports and bring them to office appointments to support therapy adjustments
  • Medtronic CareLink  Therapy Management System for Diabetes Quick View Summary Report Trends Summary Report Modal Day Periods Report 8 Customizable Reports (3 samples displayed below)
  • ParadigmPAL ™ 2.0 for Paradigm ® 512/712 and 515/715 pumps
    • PC-based software that enables patients and their healthcare providers to review, modify, reprogram, and backup pump settings using a PC
  • Paradigm Link ™ Interface Cable
    • Connects the Paradigm Link Blood Glucose Monitor to a PC, allowing both meter and pump data to be uploaded to therapy management software