Tandem T:Slim User Manual
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Tandem T:Slim User Manual

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10:20 AM
B
100%
March 15, 2015
235 u
BOLUS
OPTIONS
INSULIN ON BOARD (IOB)
Units
1.1 u
Time Remaining
1:09 hrs

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Table of Contents
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Summary of Contents for Tandem T:Slim

  • Page 1 10:20 AM 100% March 15, 2015 235 u BOLUS OPTIONS INSULIN ON BOARD (IOB) Units 1.1 u Time Remaining 1:09 hrs...
  • Page 3 Insulin Pump User Guide Software Part Number 007234 At Tandem Diabetes Care, Inc., we lis- Changes in equipment, software, or © 2015 Tandem Diabetes Care, Inc. ten closely to the diabetes community procedures occur periodically; informa- All rights reserved. touch simplicity, in order to understand your needs.
  • Page 4 11. Except for medical emergencies, Tandem Diabetes Care must obtain the necessary informed consent prior to the start of collection or sharing of personal medical information as it relates to the purchase of Tandem products and or services.
  • Page 5 Sharing concerns, complaints and grievances will not compromise a patient’s care, treatment or services. 18. If a patient has a concern, complaint, or grievance, he or she may contact Tandem Diabetes Care Customer Support by: » Calling Customer Support 1-877-801-6901 »...
  • Page 6 7. Patients and their families are responsible to promptly meet any financial obligation agreed to with Tandem Diabetes Care. 8. Patient and their family agree to hold harmless Tandem Diabetes Care from any expenses they may incur as a result of Tandem contacting the applicable emergency medical care on their behalf.

  • Page 7: Table Of Contents

    Indications for Use and Contraindications ..............21 Warnings and Precautions ....................21 Conventions of this Guide .....................26 Chapter 2 – Introduction Welcome ........................28 What your t:slim System Package Includes ..............28 Explanation of Symbols ....................29 Explanation of Icons ......................30 Explanation of System Colors ..................31 Warranty Information .....................32...
  • Page 8 Number Keypad Screen ....................50 3.10 Letter Keypad Screen ....................52 Section 2 – Key Pump Features Chapter 4 – Getting Started Charging the t:slim Pump ....................56 Turning on the t:slim Pump Screen ................58 Unlocking the t:slim Pump Screen ................58 Customer Technical Support: 1-877-801-6901...
  • Page 9 Edit Date ........................59 Chapter 5 – Infusion Site Care and Loading Cartridge Infusion Site Selection and Care ...................62 Cartridge Instructions for Use ..................64 Filling and Loading a t:slim Cartridge ................64 Filling Tubing .........................70 Filling Cannula .......................72 Setting Site Reminder ....................73 Chapter 6 –...
  • Page 10 Table of Contents Chapter 7 – Bolus Bolus Overview ......................86 Food Bolus Using Units....................87 Food Bolus Using Grams ....................87 Correction Bolus ......................88 Extended Bolus ......................89 Canceling or Stopping a Bolus..................91 Chapter 8 – Stop/Resume Insulin Stopping Insulin Delivery ....................94 Resuming Insulin Delivery .....................94 Section 3 –...
  • Page 11 Delivering Quick Bolus ....................102 Chapter 11 – t:slim Pump Settings 11.1 t:slim Pump Volume .....................106 11.2 Screen Options ......................106 Chapter 12 – t:slim Pump Info and History 12.1 t:slim Pump Info ......................110 12.2 t:slim Pump History .....................110 Chapter 13 – t:slim Pump Reminders 13.1...
  • Page 12 Chapter 14 – User Settable Alerts and Alarms 14.1 Low Insulin Alert ......................118 14.2 Auto-Off Alarm ......................118 Section 4 – t:slim Pump Safety Alerts and Alarms Chapter 15 – t:slim Pump Alerts 15.1 Low Insulin Alert ......................123 15.2 Low Power Alerts ......................124 15.3...
  • Page 13 Table of Contents 15.12 Connection Error Alert ....................140 15.13 Power Source Alert......................141 15.14 Data Error Alert ......................142 Chapter 16 – t:slim Pump Alarms 16.1 Resume Pump Alarm ....................145 16.2 Low Power Alarms ......................146 16.3 Empty Cartridge Alarm ....................148 16.4 Cartridge Error Alarm ....................149 16.5...
  • Page 14 Table of Contents Section 5 – System Care and Maintenance Chapter 18 – Taking Care of Your t:slim System 18.1 Overview ........................162 Section 6 – System Technical Specifications Chapter 19 – Technical Specifications 19.1 Overview ........................166 19.2 t:slim Pump Specifications ..................166 19.3...
  • Page 15 Table of Contents THIS PAGE IS INTENTIONALLY LEFT BLANK Customer Technical Support: 1-877-801-6901...

  • Page 16: Section 1 - Welcome

    Section 1 Welcome...

  • Page 17: Chapter 1 - About This User Guide

    Chapter 1 About this User Guide...

  • Page 18: Introduction To This Guide

    (t:slim System). The t:slim System is use features are examples only. They mation on how to operate your t:slim made up of the t:slim Insulin Pump and should not be considered suggestions Pump. It provides step-by-step instruc- the t:slim 3 mL (300 units) cartridge.

  • Page 19: Working With Your Healthcare Provider

    Chapter 1 – About this User Guide Working with your Emergency Kit termine and help you adjust your basal Healthcare Provider rate(s), insulin-to-carbohydrate ratio(s), correction factor(s), blood glucose (BG) Make sure that you always have an in- Any clinical language presented in this target, and duration of insulin action.

  • Page 20: Verification Of Proper Functionality

    Functionality (antiseptic wipes, skin adhesive) If any of these conditions fail to occur, do NOT use the t:slim System, as this may be an Diabetes identification card A power supply (AC adapter with indication that the pump’s alarms, alerts, and •...

  • Page 21: Indications For Use And Contraindications

    Pump trainer. the management of diabetes mellitus in persons requiring insulin, for individuals Incorrect use of your System or failure 12 years of age and greater.
  • Page 22 Tandem Diabetes Care, Inc., and found nection and consult its instructions Always notify the provider/technician to be compatible for use in the t:slim for use. Failure to do so may result in about your diabetes and your insulin System. It is not intended for use with over-infusion or under-infusion and pump.
  • Page 23 Chapter 1 – About this User Guide electrocardiograms (EKGs) or colonos- In addition to the above, you must Small Parts Potentially Ingestible take off your t:slim System and leave copies. by Children it outside the procedure room if you The System includes small parts (such...
  • Page 24 Always ensure that there are no Submersion in Fluid The t:slim System is watertight to a Additional Precautions air bubbles in the tubing when filling. depth of 3 feet for up to 30 minutes Your System is a sealed device that (IPX7 rating).
  • Page 25 If you damage or drop your t:slim Sys- tem, ensure that it is still working prop- When you first use the Quick Bolus Always dispose of used cartridges, erly.

  • Page 26: Conventions Of This Guide

    A list of options on your touch screen that allow you to perform specific tasks. An image on your touch screen that indicates an option or item of information, or Icon a symbol on the back of your t:slim Pump or its packaging. Customer Technical Support: 1-877-801-6901...

  • Page 27: Chapter 2 - Introduction

    Chapter 2 Introduction...

  • Page 28: Welcome

    NOTE of your commitment to your diabetes Your t:slim Pump is shipped from Tandem care. The t:slim System delivers insulin 1. t:slim Insulin Pump Diabetes Care, Inc. with a clear screen in two ways: continuous, or basal insulin protector.

  • Page 29: Explanation Of Symbols

    Chapter 2 – Introduction Explanation of Symbols The following are symbols (and their descriptions), which you may find on your t:slim System and/or its packaging. Symbol Meaning Symbol Meaning Caution; Consult Manual for Important Use By Date Safety Documentation See Instructions for Use...

  • Page 30: Explanation Of Icons

    The following icons may appear in A system reminder, alert, error, or alarm is active. the status area (to the left or right of the time and date) on your t:slim Pump Home Screen. Tap the icon to Basal insulin is programed and being delivered.

  • Page 31: Explanation Of System Colors

    Chapter 2 – Introduction Explanation of System Colors Red LED » 1 red blink every 30 seconds indicates a malfunction or alarm condition. Yellow LED » 1 yellow blink every 30 seconds indicates an alert or reminder condition. Green LED »...

  • Page 32: Warranty Information

    The warranty is valid only if the t:slim Pump is used in accordance with This warranty shall be personal to the original end use purchaser. Any sale, Tandem’s instructions and will not...
  • Page 33 TANDEM NOR ITS SUPPLIERS OR and exclusions stated herein. person or entity other than Tandem; DISTRIBUTORS SHALL BE LIABLE FOR ANY INCIDENTAL, CONSEQUEN- The warranty is valid only if the...
  • Page 34 Chapter 2 – Introduction THIS PAGE IS INTENTIONALLY LEFT BLANK Customer Technical Support: 1-877-801-6901...
  • Page 35 Chapter 3 t:slim Pump Overview...

  • Page 36: T:slim Pump Overview

    NOTE usually delivered to cover food eaten or Factor (ISF). a high BG. With the t:slim Pump it can Turn off the pump screen by pressing the Screen On/Quick Bolus button before placing be delivered as a Standard, a Correc-...
  • Page 37 Personal Profile Serial Bus. The USB cable connects A personal profile is a personalized into the t:slim Pump’s micro USB port. Grams group of settings that defines the de- Grams are a unit of measurement livery of basal and bolus insulin within for carbohydrates.

  • Page 38: Screen Lock

    Chapter 3 – t:slim Pump Overview Screen Lock 1. Time and Date Display: Displays 8. Insulin Level: Displays the current the current time and date. amount of insulin in the cartridge. 2. Alert Icon: Indicates a reminder, 9. Tandem Logo: Returns to the alert or alarm is active behind the Home Screen.
  • Page 39 Chapter 3 – t:slim Pump Overview 10:20 AM 100% March 15, 2015 235 u INSULIN ON BOARD (IOB) Units 1.1 u Time Remaining 1:09 hrs Customer Technical Support: 1-877-801-6901...

  • Page 40: Home Screen

    Chapter 3 – t:slim Pump Overview Home Screen 1. Battery Level: Displays the level 8. Insulin Level: Displays the current of battery power remaining. amount of insulin in the cartridge. When connected for charging, the charging icon (lightning bolt) 9. Tandem Logo: Returns to the will display.
  • Page 41 Chapter 3 – t:slim Pump Overview 10:20 AM 100% March 15, 2015 235 u BOLUS OPTIONS INSULIN ON BOARD (IOB) Units 1.1 u Time Remaining 1:09 hrs Customer Technical Support: 1-877-801-6901...

  • Page 42: Status Screen

    Chapter 3 – t:slim Pump Overview Status Screen 1. Profile: Displays current active NOTE Personal Profile. NA represents Not Applicable (does not apply). 2. Basal Rate: Displays current basal rate being delivered. (Temp Rate: NOTE If active, displays in units/hr.) The status screen can be accessed from the lock screen and the Home Screen.
  • Page 43 Chapter 3 – t:slim Pump Overview Current Status Current Status BACK BACK Correction 1u: 50 Weekly mg/dL Factor 1u: 10g Basal Rate 0.2 u/hr Carb Ratio Last Bolus Target BG mg/dL 12/23 - 10:45 PM Carbohydrates Insulin Duration hours Customer Technical Support: 1-877-801-6901...

  • Page 44: Bolus Screen

    Chapter 3 – t:slim Pump Overview Bolus Screen 1. Back: Returns to the Home 10. View Calculation: Displays how Screen. the insulin dose was calculated using the current settings. 2. Carbs: Enter grams of carb. 11. Add BG: Enter blood glucose 3.
  • Page 45 Chapter 3 – t:slim Pump Overview Using Grams Using Units BACK NEXT BACK NEXT units units CARBS INSULIN Add BG Add BG grams units View Calculation View Calculation Customer Technical Support: 1-877-801-6901...

  • Page 46: Options Screen

    Chapter 3 – t:slim Pump Overview Options Screen 1. Back: Returns to the Home Screen. 2. Stop Insulin: Stops insulin delivery. If insulin delivery is stopped, RESUME INSULIN will be displayed. 3. My Pump: Personal Profiles, Alert Settings, Pump Settings, and Pump Info.
  • Page 47 Chapter 3 – t:slim Pump Overview Options Options BACK BACK STOP INSULIN History My Pump Load Temp Rate Customer Technical Support: 1-877-801-6901...

  • Page 48: My Pump Screen

    Chapter 3 – t:slim Pump Overview My Pump Screen 1. Personal Profiles: A group of settings that defines basal and bolus delivery. 2. Alert Settings: Customize Pump Reminders and Alerts. 3. Pump Settings: Customize Quick Bolus, Pump Volume, Screen Options, and Time and Date.
  • Page 49 Chapter 3 – t:slim Pump Overview My Pump BACK Personal Profiles Alert Settings Pump Settings Pump Info Customer Technical Support: 1-877-801-6901...

  • Page 50: Number Keypad Screen

    Chapter 3 – t:slim Pump Overview Number Keypad Screen 1. Value Entered. 2. Back: Returns to previous screen. 3. Keypad Numbers. 4. +/=: Allows numbers to be added on gram screen. If in units, this displays as a decimal point.
  • Page 51 Chapter 3 – t:slim Pump Overview BACK DONE grams + / = Customer Technical Support: 1-877-801-6901...

  • Page 52: Letter Keypad Screen

    Chapter 3 – t:slim Pump Overview 3.10 Letter Keypad Screen 1. Name of Profile. 2. Back: Returns to previous screen. 3. Space: Enters a space. 4. 123: Changes keypad mode from letters (ABC) to numbers (123). 5. Save: Saves entered information.
  • Page 53 Chapter 3 – t:slim Pump Overview Weekday BACK SAVE name space Customer Technical Support: 1-877-801-6901...

  • Page 54: Section 2 - Key Pump Features

    Section 2 Key Pump Features...

  • Page 55: Chapter 4 - Getting Started

    Chapter 4 Getting Started...

  • Page 56: Charging The T:slim Pump

    Sys- When you are connected to the pump and to ed Car Power USB Adapter: tem to charge your t:slim Pump. If you a charging source, take caution when moving lose any of the accessories, or need a 1.
  • Page 57 USB port on the pump. If any of these conditions fail to occur, do NOT use the t:slim Pump, as this may be an NOTE indication that the pump’s alarms, alerts, and Before using a Mac or PC to charge the t:slim...

  • Page 58: Turning On The T:slim Pump Screen

    NOTE NOTE When using the t:slim Pump, tap the Tandem Logo to return to the Home Screen or tap BACK You must tap 1–2–3 in sequential order to to return to the previous screen.

  • Page 59: Edit Time

    Edit Time Edit Date 7. Using the onscreen keypad, enter the hour and minutes. Verify and After powering up your t:slim Pump for tap DONE. 1. From the Time and Date screen the first time, set the current time and tap Edit Date.
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  • Page 61: Chapter 5 - Infusion Site Care And Loading Cartridge

    Chapter 5 Infusion Site Care and Loading Cartridge...

  • Page 62: Infusion Site Selection And Care

    » Areas within 3 inches of your both an antiseptic and an adhesive ® ® sensor site, if using Continuous are encouraged. tested by Tandem Diabetes Care, Inc., and found to be safe for use in the t:slim Pump. Glucose Monitoring. Customer Technical Support: 1-877-801-6901...
  • Page 63 Chapter 5 – Infusion Site Care and Loading Cartridge Areas of Body for Infusion Set Insertion Customer Technical Support: 1-877-801-6901...

  • Page 64: Cartridge Instructions For Use

    NOT connected to your body. For complete cartridge labeling, consult the Cartridge Instructions for Use Before you begin, make sure you included in the t:slim Cartridge box. have the following items: Luer-Lock Tail of the Cartridge 1 unopened cartridge •...
  • Page 65 Instructions for Drawing Insulin from Vial into Syringe PRECAUTION Use only the syringe and needle provided by Tandem Diabetes Care, Inc. to fill the cartridge. After filling the cartridge and before connecting and filling the tubing, reduce the possibility of trapped air in the cartridge by holding your t:slim Pump vertically with the cartridge insulin fill port on top.
  • Page 66 Chapter 5 – Infusion Site Care and Loading Cartridge 7. With needle still inserted into vial, turn vial and syringe upside down. Release syringe plunger. Insulin will begin to flow from the vial into the syringe. 8. Slowly pull back the plunger to the desired amount of insulin (see image C). 9.
  • Page 67 Chapter 5 – Infusion Site Care and Loading Cartridge Instructions for Filling the Cartridge 1. Inspect the cartridge package for any signs of damage. Discard any damaged product. 2. Open the package and remove the cartridge. 3. Hold the cartridge upright and gently insert the needle into the white insulin fill port on the cartridge (see image E).
  • Page 68 Chapter 5 – Infusion Site Care and Loading Cartridge 6. Withdraw the needle from the fill port. 7. Turn the syringe upright and pull down on the plunger (see image H). Flick the barrel to make sure that any air bubbles rise to the top. 8.
  • Page 69 NOTE tool or the edge of a coin in the slot at the 7. Tap NEXT to continue. During the load sequence, the Tandem bottom of the cartridge and twist to aid in “Detecting Cartridge” screen Logo is disabled. Tapping it will not return the removal of the cartridge.

  • Page 70: Filling Tubing

    Chapter 5 – Infusion Site Care and Loading Cartridge Filling Tubing PRECAUTION cartridge and want to continue with filling the tubing. Conduct regular checks of your t:slim Pump Filling the Infusion Set Tubing and infusion set, particularly: with Insulin 1. Verify that the infusion set is »...
  • Page 71 Chapter 5 – Infusion Site Care and Loading Cartridge NOTE b. If you want to fill the tubing with at a time (for example, you will see 140, The following are approximate amounts of more than 30 units, tap FILL to 135, 130, 125).

  • Page 72: Filling Cannula

    Chapter 5 – Infusion Site Care and Loading Cartridge Filling Cannula NOTE NOTE The cannula fill amount displayed is based The screen will return to the Load menu if Filling the Infusion Set Cannula on your last cannula fill amount. Filling the Site Reminder is turned off.

  • Page 73: Setting Site Reminder

    7. Tap RESUME. Reminder if settings need to be changed. NOTE If this is the first time using your t:slim 2. Tap Remind Me In and select the Pump and a Personal Profile has not been number of days (1-3).
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  • Page 75: Chapter 6 - Personal Profile

    Chapter 6 Personal Profile...

  • Page 76: Personal Profile Overview

    Max Bolus and Carbohydrates units/hr) setting (on/off). Correction Factor (amount 1 unit • The t:slim Pump uses the settings of insulin lowers BG) in your active profile to calculate the delivery of basal insulin, food boluses Carb Ratio (grams of carbs covered •...
  • Page 77 2. Tap My Pump. Insulin Duration (how long a bolus • lowers your BG) Insulin Duration in your t:slim Pump is 3. Tap Personal Profiles. set from the factory at 5 hours but can Max Bolus (the maximum amount be changed from 2 to 8 hours. Please 4.

  • Page 78: Programming A New Personal Profile

    Chapter 6 – Personal Profile Programming a New NOTE Timed Settings Personal Profile Tap once for first letter displayed, 2 quick 12:00 AM BACK SAVE taps for middle letter; and 3 quick taps for NOTE the third letter. Once the Personal Profile has been created, the Basal Press to Set Up 6.
  • Page 79 Chapter 6 – Personal Profile 5. Tap Carb Ratio. 11. Tap BACK to set the Bolus you want the segment to begin, Settings. and tap DONE. 6. Using the onscreen keypad, enter your insulin-to-carbohydrate ratio Tap ADD to create additional 3.
  • Page 80 10 u Max Bolus Tap NO to make changes. Carbohydrates 9. Tap Tandem Logo to return to the Home Screen. 3. Using the onscreen keypad, enter NOTE the desired time for the duration...

  • Page 81: Editing Or Reviewing An Existing Profile

    OPTIONS. Tap NO to make changes. Tap NO and make changes. 2. Tap My Pump. 11. Tap BACK after editing all of the 14. Tap Tandem Logo to return to the time segments. Home Screen. 3. Tap Personal Profiles. NOTE 4.

  • Page 82: Duplicating An Existing Profile

    Chapter 6 – Personal Profile Duplicating an Existing Activating an Existing 8. Tap the Timed Settings or Bolus Profile Profile Settings Panel to make changes to the new profile. 1. From the Home Screen, 1. From the Home Screen, tap OPTIONS. tap OPTIONS.

  • Page 83: Renaming An Existing Profile

    (up to 16 5. Tap Delete. characters) and tap SAVE. 6. Tap YES. 7. Tap Tandem Logo to return to the Home Screen. “Profile Deleted” screen is displayed. 7. Tap Tandem Logo to return to the Home Screen.
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  • Page 85: Chapter 7 - Bolus

    Chapter 7 Bolus...

  • Page 86: Bolus Overview

    BG level. You can always adjust the bolus. You are required to enter a new amount. Your t:slim Pump offers you the ability insulin units up or down before you decide to to deliver different boluses to cover deliver your bolus.

  • Page 87: Food Bolus Using Units

    Chapter 7 – Bolus Food Bolus Using Units Food Bolus Using Grams 7. The bolus splash screen is displayed. NOTE 1. From the Home Screen, If bolusing using a carb ratio skip to the next tap BOLUS. chapter, Food Bolus Using Grams. 2.

  • Page 88: Correction Bolus

    Chapter 7 – Bolus Correction Bolus If BG is above the Target BG, a 6. Confirm Request. message screen will indicate BG is Tap YES if entered data is correct. 1. From the Home Screen, above Target. tap BOLUS. Tap NO to go back to make Your BG is Above Target changes or view calculations.

  • Page 89: Extended Bolus

    Chapter 7 – Bolus Extended Bolus NOTE 4. Tap NEXT to confirm the units of When your blood glucose is: insulin to be delivered. » Above Target BG: the insulin for the food The Extended Bolus feature allows you to deliver part of the bolus now and bolus and the correction bolus will be 5.
  • Page 90 Chapter 7 – Bolus NOTE 4. If desired, tap Add BG and using 12. Tap NEXT. the onscreen keypad enter BG A correction bolus will always be given in value. Tap DONE. NOTE the DELIVER NOW portion. Tap View Units to display the breakdown of 5.

  • Page 91: Canceling Or Stopping A Bolus

    Chapter 7 – Bolus Canceling or Stopping Stopping a Bolus if delivery of the a Bolus bolus Has Started: Canceling a Bolus If delivery 1. Tap 1-2-3 to access the Has Not Started Home Screen. 1. Tap 1-2-3 to access the 2.
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  • Page 93: Chapter 8 - Stop/Resume Insulin

    Chapter 8 Stop/Resume Insulin...

  • Page 94: Stopping Insulin Delivery

    1. If pump screen is not on, press including basal, and any active bolus or Screen On/Quick Bolus Button temp rate at any time. once to turn on your t:slim Pump screen. 1. From the Home Screen, tap OPTIONS. 2. Tap 1-2-3 to access the Home Screen.
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  • Page 96: Section 3 - Additional Pump Operations

    Section 3 Additional Pump Operations...

  • Page 97: Chapter 9 - Temporary Basal Rate

    Chapter 9 Temporary Basal Rate...

  • Page 98: Setting A Temp Rate

    Chapter 9 – Temporary Basal Rate Setting a Temp Rate be set to the maximum allowable rate NOTE for delivery. If a Temp Rate is active, the status of A Temp Rate is used to increase or insulin delivery displays an orange “T”. If decrease (by percentage) the current 1.

  • Page 99: Stopping A Temp Rate

    Chapter 9 – Temporary Basal Rate Stopping a Temp Rate To stop an active temp rate: 1. From the Home Screen, tap OPTIONS. 2. On the Options screen, tap X (stop icon) on the right side of Temp Rate. 3. On the confirmation screen, tap STOP.
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  • Page 101: Chapter 10 - Quick Bolus

    Chapter 10 Quick Bolus...

  • Page 102: Setting Up Quick Bolus

    7. Tap Increment Amount. pressing a button. It is a way to deliver to look at the t:slim Pump’s screen. a bolus by following beep/vibration 8. Select the preferred increment Simply use the Quick Bolus Button to commands without navigating through amount.
  • Page 103 Chapter 10 – Quick Bolus 2. Press Quick Bolus Button for each » If you hear a different tone at any point increment until desired amount during programming, look at the screen is reached. The pump will beep/ to confirm the bolus amount. If the vibrate for each button press.
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  • Page 105: Chapter 11 - T:slim Pump Settings

    Chapter 11 t:slim Pump Settings...

  • Page 106: T:slim Pump Volume

    Pump Volume can be personalized for You can set the Screen Timeout to the Button taps, Quick Bolus, Bolus, 8. Tap Tandem Logo to return to the the length of time you want the screen Reminders, Alerts, and Alarms. Options Home Screen.
  • Page 107 Chapter 11 – t:slim Pump Settings 1. From the Home Screen, 2. Tap YES to confirm. tap OPTIONS. 3. Tap SAVE. 2. Tap My Pump. 4. Tap Tandem Logo to return to 3. Tap Pump Settings. the Home Screen. 4. Tap Screen Options.
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  • Page 109: Chapter 12 - T:slim Pump Info And History

    Chapter 12 t:slim Pump Info and History...

  • Page 110: T:slim Pump Info

    Chapter 12 – t:slim Pump Info and History 12.1 t:slim Pump Info 12.2 t:slim Pump History by date. The event details in each report are listed by time. Your t:slim Pump allows access to Pump History displays a historical log information about your pump.

  • Page 111: Chapter 13 - T:slim Pump Reminders

    Chapter 13 t:slim Pump Reminders...

  • Page 112: Low Bg Reminder

    Chapter 13 – t:slim Pump Reminders 13.1 Low BG Reminder Your t:slim Pump lets you know import- every 10 minutes until acknowledged. ant information about the System with Reminders do not escalate. Reminders, Alerts, and Alarms. Re- The Low BG Reminder prompts you...

  • Page 113: High Bg Reminder

    1. From the Home Screen, d. Tap Tandem Logo to return to tap OPTIONS. 7. Tap Tandem Logo to return to the the Home Screen. Home Screen. 2. Tap My Pump. To Respond to the Low...

  • Page 114: After Bolus Bg Reminder

    End Time for each reminder. 1. From the Home Screen, are complete. tap OPTIONS. 1. From the Home Screen, 8. Tap Tandem Logo to return to the tap OPTIONS. 2. Tap My Pump. Home Screen. 2. Tap My Pump. 3. Tap Alert Settings.

  • Page 115: Site Reminder

    Chapter 13 – t:slim Pump Reminders 13.5 Site Reminder 6. On the Missed Meal Bolus screen, 7. Tap Tandem Logo to return to tap which reminder you want to the Home Screen. set (Reminder 1–4) and do the The Site Reminder prompts you to change your infusion set.
  • Page 116 Chapter 13 – t:slim Pump Reminders THIS PAGE IS INTENTIONALLY LEFT BLANK Customer Technical Support: 1-877-801-6901...

  • Page 117: Chapter 14 - User Settable Alerts And Alarms

    Chapter 14 User Settable Alerts and Alarms...

  • Page 118: Low Insulin Alert

    Chapter 14 – User Settable Alerts and Alarms 14.1 Low Insulin Alert 14.2 Auto-Off Alarm To Respond to the Low Insulin Alert Your t:slim Pump keeps track of how Your t:slim Pump can stop insulin de- LOW INSULIN ALERT much insulin remains in the cartridge...
  • Page 119 The warning clears and the pump of “All Deliveries Stopped.” You returns to normal operation. must resume delivery to continue 9. Tap Tandem Logo to return to therapy, (refer to Chapter 8.2). the Home Screen. If you do not clear the warning within...

  • Page 120: Section 4 - T:slim Pump Safety Alerts And Alarms

    Section 4 t:slim Pump Safety Alerts and Alarms...

  • Page 121: Chapter 15 - T:slim Pump Alerts

    Chapter 15 t:slim Pump Alerts...
  • Page 122 Chapter 15 – t:slim Pump Alerts Your t:slim Pump lets you know import- ant information about the System with Reminders, Alerts, and Alarms. Re- minders are displayed to notify you of an option that you have set (for exam- ple, a reminder to check you BG after a bolus).

  • Page 123: Low Insulin Alert

    Chapter 15 – t:slim Pump Alerts 15.1 Low Insulin Alert What will I see on the Screen? What does it mean? 5 units or less of insulin remain in the cartridge. LOW INSULIN ALERT How will the system notify me? Change cartridge or pump will stop all deliveries.

  • Page 124: Low Power Alerts

    Chapter 15 – t:slim Pump Alerts 15.2 Low Power Alerts Low Power Alert 1 What does it mean? What will I see on the Screen? Less than 25% of battery power remains. How will the system notify me? LOW POWER ALERT...
  • Page 125 Chapter 15 – t:slim Pump Alerts Low Power Alert 2 What does it mean? What will I see on the Screen? Less than 5% of battery power remains. Insulin delivery will continue for 30 minutes and then the pump will power off and insulin delivery will stop.

  • Page 126: Incomplete Bolus Alert

    Chapter 15 – t:slim Pump Alerts 15.3 Incomplete Bolus Alert What will I see on the Screen? What does it mean? You started a bolus request but did not complete the request within 90 seconds. INCOMPLETE BOLUS ALERT How will the system notify me? This bolus has not been delivered.

  • Page 127: Incomplete Temp Rate Alert

    Chapter 15 – t:slim Pump Alerts 15.4 Incomplete Temp Rate Alert What will I see on the Screen? What does it mean? You started to set up a temp rate but did not complete the request within 90 seconds. INCOMPLETE TEMP RATE...

  • Page 128: Incomplete Load Sequence Alerts

    Chapter 15 – t:slim Pump Alerts 15.5 Incomplete Load Sequence Alerts Incomplete Cartridge What does it mean? Change Alert You selected Change Cartridge from the Load menu but did not complete the process What will I see on the Screen? within 3 minutes.
  • Page 129 Chapter 15 – t:slim Pump Alerts Incomplete Fill Tubing Alert What does it mean? What will I see on the Screen? You selected Fill Tubing from the Load menu but did not complete the process within 3 minutes. FILL TUBING ALERT...
  • Page 130 Chapter 15 – t:slim Pump Alerts Incomplete Fill Cannula Alert What does it mean? What will I see on the Screen? You selected Fill Cannula from the Load menu but did not complete the process within 3 minutes. FILL CANNULA ALERT...

  • Page 131: Incomplete Setting Alert

    Chapter 15 – t:slim Pump Alerts 15.6 Incomplete Setting Alert What will I see on the Screen? What does it mean? You started to set up a new Personal Profile but did not save or complete the programming within 5 minutes.

  • Page 132: Basal Rate Required Alert

    Chapter 15 – t:slim Pump Alerts 15.7 Basal Rate Required Alert What will I see on the Screen? What does it mean? You did not enter a basal rate in a time segment in Personal Profiles. A basal rate must be entered in each time segment (rate can be 0 u/hr).

  • Page 133: Max Hourly Bolus Alert

    Chapter 15 – t:slim Pump Alerts 15.8 Max Hourly Bolus Alert What will I see on the Screen? What does it mean? In the previous 60 minutes, you requested total bolus delivery that is more than 1.5 times your Max Bolus setting.

  • Page 134: Max Bolus Alerts

    Chapter 15 – t:slim Pump Alerts 15.9 Max Bolus Alerts Max Bolus Alert 1 What does it mean? What will I see on the Screen? You requested a bolus larger than the Max Bolus setting in your active Personal Profile.
  • Page 135 Chapter 15 – t:slim Pump Alerts NOTE The following applies only if you have Carbs turned on in your active Personal Profile and your Max Bolus amount is set to 25 units. Max Bolus Alert 2 What does it mean? What will I see on the Screen? Your Max Bolus is set to 25 units and you requested a bolus larger than 25 units.

  • Page 136: Max Basal Alerts

    Chapter 15 – t:slim Pump Alerts 15.10 Max Basal Alerts Max Basal Alert 1 What does it mean? What will I see on the Screen? When entering a basal rate or requesting a temp rate, you requested a basal rate more than 2 times the highest basal rate defined in your Personal Profile.
  • Page 137 Chapter 15 – t:slim Pump Alerts Max Basal Alert 2 What does it mean? What will I see on the Screen? An active temp rate exceeded 2 times your highest basal setting defined in your Personal Profile. MAX BASAL ALERT...

  • Page 138: Min Basal Alerts

    Chapter 15 – t:slim Pump Alerts 15.11 Min Basal Alerts Min Basal Alert 1 What does it mean? What will I see on the Screen? When entering a basal rate or requesting a temp rate, you requested a basal rate less than half of the lowest basal rate defined in your Personal Profile.
  • Page 139 Chapter 15 – t:slim Pump Alerts Min Basal Alert 2 What does it mean? What will I see on the Screen? An active temp rate dropped below half of your lowest basal setting defined in your Personal Profile. MIN BASAL ALERT...

  • Page 140: Connection Error Alert

    What will I see on the Screen? What does it mean? You connected your t:slim Pump to a computer with the USB cable to charge it or upload data to t:connect and a connection could not be made. CONNECTION ERROR ALERT Pump cannot connect with the computer.

  • Page 141: Power Source Alert

    15.13 Power Source Alert What will I see on the Screen? What does it mean? You connected your t:slim Pump to a power source that does not have enough power to charge the pump. POWER SOURCE ALERT The pump cannot charge using the current power source.

  • Page 142: Data Error Alert

    15.14 Data Error Alert What will I see on the Screen? What does it mean? Your t:slim Pump encountered a condition that could potentially result in a loss of data. DATA ERROR ALERT How will the system notify me? Please verify that your active...

  • Page 143: Chapter 16 - T:slim Pump Alarms

    Chapter 16 t:slim Pump Alarms...
  • Page 144 Chapter 16 – t:slim Pump Alarms Your t:slim Pump lets you know import- Alarms repeat regularly until the condi- ant information about the System with tion that caused the alarm is corrected. Reminders, Alerts, and Alarms. Re- minders are displayed to notify you of...

  • Page 145: Resume Pump Alarm

    Chapter 16 – t:slim Pump Alarms 16.1 Resume Pump Alarm What will I see on the Screen? What does it mean? You tapped STOP INSULIN in the Options menu and insulin delivery has been stopped for more than 15 minutes.

  • Page 146: Low Power Alarms

    Low Power Alarm 1 What does it mean? What will I see on the Screen? Your t:slim Pump detected a power level of 1% or less remaining and all deliveries have stopped. LOW POWER ALARM How will the system notify me?
  • Page 147 Low Power Alarm 2 What does it mean? What will I see on the Screen? Your t:slim Pump detected a voltage level too low to ensure normal performance and all deliveries have stopped. LOW POWER ALARM How will the system notify me?

  • Page 148: Empty Cartridge Alarm

    16.3 Empty Cartridge Alarm What will I see on the Screen? What does it mean? Your t:slim Pump detected that the cartridge is empty and all deliveries have stopped. EMPTY CARTRIDGE ALARM How will the system notify me? ALL DELIVERIES STOPPED!

  • Page 149: Cartridge Error Alarm

    What will I see on the Screen? What does it mean? Your t:slim Pump detected that the cartridge could not be used and all deliveries have stopped. This can be caused by cartridge defect, not following the proper procedure CARTRIDGE ALARM to load the cartridge, or over filling the cartridge (with more than 300 units of insulin).

  • Page 150: Cartridge Removal Alarm

    Chapter 16 – t:slim Pump Alarms 16.5 Cartridge Removal Alarm What will I see on the Screen? What does it mean? Your t:slim Pump detected that the cartridge has been removed and all deliveries have stopped. CARTRIDGE ALARM ALL DELIVERIES STOPPED! How will the system notify me? The cartridge cannot be detected.

  • Page 151: Temperature Alarm

    16.6 Temperature Alarm What will I see on the Screen? What does it mean? Your t:slim Pump detected a temperature below 35.6 °F (2 °C) or above 113 °F (45 °C) and all deliveries have stopped. TEMPERATURE ALARM ALL DELIVERIES STOPPED!

  • Page 152: Occlusion Alarms

    16.7 Occlusion Alarms * Occlusion Alarm 1 What does it mean? What will I see on the Screen? Your t:slim Pump detected that insulin delivery is blocked and all deliveries have stopped. OCCLUSION ALARM How will the system notify me?
  • Page 153 Occlusion Alarm 2 What does it mean? What will I see on the Screen? Your t:slim Pump detected a second occlusion alarm shortly after the first occlusion alarm and all deliveries have stopped. OCCLUSION ALARM How will the system notify me?

  • Page 154: Screen On/Quick Bolus Button Alarm

    16.8 Screen On/Quick Bolus Button Alarm What will I see on the Screen? What does it mean? The Screen On/Quick Bolus Button (on the top of your t:slim Pump) is stuck or not functioning properly and all deliveries have stopped. BUTTON ALARM...

  • Page 155: Altitude Alarm

    Chapter 16 – t:slim Pump Alarms 16.9 Altitude Alarm What will I see on the Screen? What does it mean? Your t:slim Pump detected a pressure change outside of the operating range and all deliveries have stopped. ALTITUDE ALARM ALL DELIVERIES STOPPED!

  • Page 156: Reset Alarm

    16.10 Reset Alarm What will I see on the Screen? What does it mean? Your t:slim Pump detected that one if its micro-processors experienced a reset and all deliveries have been stopped. PUMP HAS BEEN RESET All active deliveries have been...

  • Page 157: Chapter 17 - T:slim Pump Malfunction

    Chapter 17 t:slim Pump Malfunction...

  • Page 158: Malfunction

    Chapter 17 – t:slim Pump Malfunction 17.1 Malfunction What will I see on the Screen? What does it mean? Your t:slim Pump detected a system er- If your t:slim Pump detects a system ror and all deliveries have been stopped. error, the MALFUNCTION screen MALFUNCTION appears and all deliveries are stopped.
  • Page 159 Chapter 17 – t:slim Pump Malfunction THIS PAGE IS INTENTIONALLY LEFT BLANK Customer Technical Support: 1-877-801-6901...

  • Page 160: Section 5 - System Care And Maintenance

    Section 5 System Care and Maintenance...

  • Page 161: Chapter 18 - Taking Care Of Your T:slim System

    Chapter 18 Taking Care of Your t:slim System...

  • Page 162: Overview

    Chapter 18 – Taking Care of Your t:slim System 18.1 Overview for leaks around the cartridge and at Disposing of System Components the luer connector to the infusion set. This section provides information on Immediately contact Tandem Diabe- Consult your local waste management caring for and maintaining your System.
  • Page 163 Chapter 18 – Taking Care of Your t:slim System THIS PAGE IS INTENTIONALLY LEFT BLANK Customer Technical Support: 1-877-801-6901...

  • Page 164: Section 6 - System Technical Specifications

    Section 6 System Technical Specifications...

  • Page 165: Chapter 19 - Technical Specifications

    Chapter 19 Technical Specifications...

  • Page 166: Overview

    External PSU: Class II, Infusion Pump. Internally-powered equipment, Type BF applied part. The risk of ignition of flammable anesthetics and explosive gases by the pump is remote. While this risk is remote, it is not recommended to operate the t:slim Pump in the presence of flammable anesthetics or explosive gases. Size 3.13˝...
  • Page 167 Chapter 19 – Technical Specifications …table continued from previous page Specification Type Specification Details Basal Delivery Accuracy at all Flow ±5% * Rates (tested per IEC 60601-2-24) Bolus Delivery Accuracy at all Volumes ±5% * (tested per IEC 60601-2-24) Patient Protection from Air Infusion The pump provides subcutaneous delivery into interstitial tissue and does not deliver intravenous injections.
  • Page 168 Chapter 19 – Technical Specifications …table continued from previous page Specification Type Specification Details Statement of Meaning of the Claimed IPX7: watertight to a depth of 3 feet for up to 30 minutes Ingress Protection (IP) Classification Internal System Battery Life 4 years minimum under normal use conditions Typical Operating Time when System During normal use, the intermediate rate is 2 units/hr;...
  • Page 169 1 Hour 57 Minutes 2 Hours 7 Minutes Basal (0.1 units/hr) 19 Hours 43 Minutes 25 Hours 30 Minutes USB Charging/Download Cable Specifications Tandem P/N 004113 Length 6 feet Type USB A to USB Micro B Power Supply/Charger, AC, Wall Mount, USB Specifications...
  • Page 170 Safety Standard Compliance 60950-1 or 60601-1 or equivalent The t:slim System is designed to be connected to a host PC for battery charging and data transfer to t:connect. The following minimum characteristics are required of the host PC: USB 1.1 port (or later) •...
  • Page 171 Chapter 19 – Technical Specifications THIS PAGE IS INTENTIONALLY LEFT BLANK Customer Technical Support: 1-877-801-6901...

  • Page 172: T:slim Pump Options And Settings

    Chapter 19 – Technical Specifications 19.3 t:slim Pump Options and Settings The following table lists the t:slim Pump options and settings, and their related details. Option/Setting Type Option/Setting Details Time 12-hour clock Maximum Basal Rate 15 units/hr Insulin Delivery Profiles...
  • Page 173 Chapter 19 – Technical Specifications …table continued from previous page Option/Setting Type Option/Setting Details Quick Bolus Increments When set to units: 0.5, 1, 2, 5 units (default is 0.5 units); or when set to grams/carbs: 2, 5, 10, 15 grams (default is 2 g) Maximum Extended Bolus Time 8 hours Maximum Bolus Size...

  • Page 174: Electromagnetic Compatibility

    The information contained in this section is specific to the t:slim System. This information provides reasonable assurance of normal operation, but does not guarantee such under all conditions. If the t:slim System must be used in close proximity with other electri- cal equipment, the System should be observed in this environment to verify normal operation.

  • Page 175: Electromagnetic Emissions

    Chapter 19 – Technical Specifications 19.5 Electromagnetic Emissions The t:slim System is intended for use in the electromagnetic environment specified below. Always make sure that the System is used in such an environment. Guidance and Manufacturer’s Declaration – Electromagnetic Emissions...

  • Page 176: Electromagnetic Immunity

    Chapter 19 – Technical Specifications 19.6 Electromagnetic Immunity The t:slim System is intended for use in the electromagnetic environment specified below. Always make sure that the System is used in such an environment. Guidance and Manufacturer’s Declaration – Electromagnetic Immunity Electromagnetic Environment –...
  • Page 177 Chapter 19 – Technical Specifications …table continued from previous page Guidance and Manufacturer’s Declaration – Electromagnetic Immunity Electromagnetic Environment – Immunity Test IEC 60601 Test Level Compliance Level Guidance Conducted RF 3 Vrms 10 V Portable and mobile RF communications equipment should IEC 61000-4-6 150 kHz to 80 MHz be used no closer to any part of the pump, including...

  • Page 178: Distances Between The T:slim Pump And Rf Equipment

    19.7 Distances Between the t:slim Pump and RF Equipment The t:slim System is intended for use in an electromagnetic environment typically found in the home, at work, retail stores, and places of leisure, where daily activities occur. The chart below can be used as a guideline for determining the recommended minimum distance to maintain between a radio frequency (RF) transmitter and the t:slim System.
  • Page 179 RF Communications Equipment and the t:slim System The t:slim System is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the t:slim System can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the System as recommended below, according to the maximum output power of the communications equipment.
  • Page 180 Chapter 19 – Technical Specifications The table below provides a list of typical devices for various levels of transmitter power and frequency, and the recommended separation distances from the transmitter and the System. Rated Maximum Recommended Output Power of Typical Devices Separation Distance Transmitter in Watts Inch (Meters)

  • Page 181: Fcc Notice Concerning Interference

    There is no guarantee that RF exposure limits for general popula- interference will not occur in a particu- tion/uncontrolled exposure. lar installation. If the t:slim Pump does cause harmful interference to radio or t:slim Pumps equipped with a Blue- television reception, the interference...
  • Page 182 Index Alert Settings 48 Auto-Off Alarm 118, 173 Basal Rate Required Alert 132 Accessories 28, 56 Connection Error Alert 57, 140 AC Power Adapter 56 Data Error Alert 142 Active Bolus 38, 94 Basal 36, 48, 76, 78, 110, 167, 169 Incomplete Bolus Alert 126 Additional Pump Operations 96 Basal Delivery Accuracy 167...
  • Page 183 Index Bolus Delivery Accuracy 167 Cartridge Fill 64, 67 Disposing of System Components Bolus Overview 86 Cartridge Removal Alarm 150 Duration of Insulin Action 172 Bolus Screen 44 Cartridge Tubing 40 Bolus Settings 76, 77 Change Cartridge 69 Canceling a Bolus 91 Load Cartridge 37, 40, 46, 64, 69, Correction Bolus 36, 88, 90 Edit...
  • Page 184 Index Fill Tubing 46, 70, 129 Incomplete Cartridge Change Alert Stop Insulin Delivery 94, 118 Food Bolus 86, 87, 89, 90 U-100 Insulin 21 Incomplete Fill Cannula Alert 130 Extended Bolus 36, 89 Incomplete Fill Tubing Alert 129 Using Grams 45, 87 Incomplete Load Sequence Alert Using Units 45, 87 Keypad 50, 52...
  • Page 185 Options Screen 46 Screen Options 48, 106 Status Screen 42 Overview Screen Lock 38, 58, 173 t:slim Pump Overview 36 Screen On/Quick Bolus Button 20, Rapid-Acting Insulin 19, 21 57, 58, 154 Reminders 48, 106, 111 Screen On/Quick Bolus Button...
  • Page 186 USB Adapter 28, 56 USB Cable 23, 28, 37, 56, 57 USB Port 20, 37, 40, 56, 57 Tandem Logo 38, 40, 58 Target BG 42, 76, 88, 89 Temperature Alarm 151 Temp Rate 37, 40, 42, 46, 94, 98...
  • Page 188 San Diego, California 92121 • Phone: 1-877-801-6901 www.tandemdiabetes.com © 2015 Tandem Diabetes Care, Inc. All rights reserved. t:slim, t:connect, touch simplicity and Tandem Diabetes Care are registered trademarks of Tandem Diabetes Care, Inc. For a list of patents, please see www.tandemdiabetes.com/patents. 005960_B...

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