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Contents ■ Safety and indications Using this guide Conventions Emergency kit User safety Intended use Contraindications Risks and side effects General warnings Pump Reservoir and infusion sets Sensor and serter Transmitter Meter Exposure to magnetic fields and radiation General precautions Waterproof capabilities Electrostatic discharge Extreme temperatures...
Insulin guidelines Consumables Other MiniMed 780G system devices Accessories ■ Pump basics Using the buttons Sleep mode Pump delivery system Infusion set Reservoir Pump Inserting the battery Startup settings Home screen in Manual mode Shortcuts from the Home screen Status icons...
Setting up bolus delivery About bolus deliveries Bolus delivery options Max bolus Bolus Wizard feature Normal bolus Stopping a normal bolus delivery ■ Reservoir and infusion set Setting up the reservoir and infusion set Removing the reservoir and rewinding the pump Filling the reservoir and connecting it to the infusion set tubing Placing the reservoir into the pump and filling the tubing with insulin Inserting the infusion set into the body...
Turning on the Sensor feature Setting up the High SG settings Setting up the low SG settings Manually resuming basal insulin delivery during a Suspend before low or Suspend on low event Inserting the sensor Connecting the transmitter to the sensor Starting the sensor Calibrating the sensor Reconnecting the sensor...
Staying in the SmartGuard feature Exiting the SmartGuard feature Returning to the SmartGuard feature after an exit Using Block mode with the SmartGuard feature Alert silence feature ■ General settings Time and date Display options Block mode Self Test Manage Settings Saving the settings Restoring the settings Clearing the settings...
■ Notifications and reminders Notifications in the MiniMed Mobile app Reminders Personal reminders Bolus BG Check reminder Missed Meal Bolus reminder Low Reservoir reminder Set Change reminder Calibration reminder Alarms, alerts, and messages Alarms Alerts Messages Pump alarms, alerts, and messages ■ ...
Changing the carb ratio Changing the insulin sensitivity factor Changing the BG target Changing the active insulin time Square Wave bolus Turning the Square Wave bolus feature on or off Delivering a Square Wave bolus using the Bolus Wizard feature Delivering a Square Wave bolus using the Manual bolus feature Dual Wave bolus Turning the Dual Wave bolus feature on or off...
Transmitter and sensor maintenance Unpairing the transmitter from the pump Disconnecting the transmitter from the sensor Removing the sensor Cleaning the transmitter Storing the transmitter Removing the battery ■ Appendix A: List of alarms, alerts, and messages Pump alarms, alerts, and messages CGM (sensor) alarms, alerts, and messages SmartGuard feature alerts and messages CareLink software alert and message...
Low Reservoir reminder Max bolus Normal bolus Occlusion detection Percent temp basal Program safety checks Pump dimensions Pump memory Pump weight Sensor default settings Sound frequency IEC60601-1-2:4th Edition notice IEC60601-1-2:4th Edition; Special EMC Precautions for Medical Electrical Equipment IEC60601-1-2:4th Edition; 18.104.22.168 Guidance and manufacturer's declaration Wireless communication Open Source Software disclosure...
Safety and indications This user guide describes the operation of the MiniMed 780G system with smart device connectivity and SmartGuard technology. SmartGuard technology adjusts insulin delivery based on sensor glucose (SG) readings. The MiniMed 780G insulin pump operates in Manual mode when the SmartGuard feature is inactive.
It may also describe potential serious adverse reactions. For instructions about setting up devices on the MiniMed 780G system, such as a sensor or infusion set, refer to the user guide for the related device.
Intended use MiniMed 780G system The MiniMed 780G insulin pump is indicated for use by patients age 7-80 years with Type 1 diabetes, whose total daily dose of insulin is 8 units per day or more. The MiniMed 780G system is intended for the continuous delivery of basal insulin at selectable rates, and the administration of insulin boluses at selectable amounts.
on continuous glucose monitoring (CGM) and can suspend the delivery of insulin when the SG value falls below, or is predicted to fall below, predefined threshold values. Contraindications Pump therapy is not recommended for people whose vision or hearing does not allow for the recognition of pump signals, alerts, or alarms.
• Skin irritation or redness • Bruising • Discomfort or pain • Bleeding • Irritation • Rash • Occlusions that may interrupt insulin delivery and lead to hyperglycemia and diabetic ketoacidosis Follow the instructions in the provided user guides for the insertion and care of infusion sets.
• Minimal blood splatter associated with sensor needle removal • Residual redness associated with adhesive, tape, or both • Scarring Specific risks related to sensor use Taking medications that contain paracetamol, including, but not limited to fever reducers and cold medicine, while wearing the sensor, may falsely raise sensor glucose readings and result in an over-delivery of insulin.
Risks related to the MiniMed 780G system • Hypoglycemia • Hyperglycemia • Diabetic ketoacidosis • Seizure • Coma • Death Removing the pump for temporary storage If there is a need or desire to remove the pump, use the following guidelines: •...
• Do not use the MiniMed 780G insulin pump or additional system devices next to other electrical equipment, which may cause interference. This includes mobile communication devices such as cell phones, GPS navigation systems, anti-theft systems, and any electrical equipment that has an output transmitter power greater than 1W.
• The MiniMed 780G system is only approved for use with the Guardian Link (3) transmitter with Bluetooth wireless technology (MMT-7911WW). The Guardian Link (3) transmitter can be identified by the “GL3” marking on the top of the device.
Increase the separation between the transmitter and the device that is receiving/emitting interference. • The safety of the MiniMed 780G system has not been studied in persons with impaired kidney function. Persons with kidney disease should consult a healthcare professional to determine if the potential benefits of pump therapy outweigh the risks.
MiniMed 780G system. When using the SmartGuard feature, the MiniMed 780G system has been shown to be safe and effective for its intended use in this population. However, do not rely solely on the use of a low SG value for “Alert on Low”...
Use of an unsterile sensor may cause site infection. • Instructions for using the One-press serter (MMT-7512) are different from other Medtronic insertion devices. Failure to follow directions, or using a different serter, may result in improper insertion, pain, or injury. •...
CT scan, or other types of radiation). Strong magnetic fields can cause the system to malfunction, and result in serious injury. If the pump is exposed to a strong magnetic field, discontinue use and contact a local Medtronic support representative for further assistance.
Magnetic fields, and direct contact with magnets, may affect the accurate functioning of the system which may lead to health risks such as hypoglycemia or hyperglycemia. • Remove the pump, sensor, transmitter, and meter before entering a room with x-ray, MRI, diathermy, or CT scan equipment. The magnetic fields and radiation in the immediate vicinity of this equipment can make the devices nonfunctional or damage the part of the pump that regulates insulin delivery, possibly resulting in over-delivery and severe hypoglycemia.
• For more information on pump alarms, see Pump alarms, alerts, and messages, on page 233. Contact a local Medtronic support representative with any problems entering pump settings. Extreme temperatures Exposure to extreme temperatures can damage the device.
Security precautions The MiniMed 780G insulin pump system is designed with security features to help keep the system and the data secure. These security features in the insulin pump system are set in the factory and ready to use when the insulin pump is received.
During this time, it is possible for an unintended device to pair with the pump. While Medtronic has designed security features into the system to prevent this, to keep the system safe during pairing always follow these instructions: •...
U-100 Humalog • U-100 NovoRapid The use of any other insulin in the MiniMed 780G system has not been tested and is contraindicated for use with this device. WARNING: Only use rapid-acting U-100 insulin (Humalog, NovoLog, and NovoRapid), as prescribed by a healthcare professional, in the MiniMed 780G system.
• Infusion sets–Contact a healthcare professional for help in choosing a Medtronic Diabetes infusion set. Change the infusion set every two to three days per the infusion set manufacturer's instructions. The following table lists the compatible infusion sets. The MMT numbers may change if other compatible infusion sets become available.
Using the buttons CAUTION: Do not use sharp objects to press the pump buttons. The use of sharp objects can damage the pump. Note: The notification light flashes when the pump has an alarm or alert. The notification light is not visible unless it flashes. Chapter 2...
The following table describes how to use the pump buttons. Button Description Press this button to show the Menu screen from the Home screen, and to select the currently highlighted menu option. , , or Press these buttons to scroll up or down, to move left or right on certain screens, to select the icons on the Menu screen, and to increase or decrease the value of a setting.
Pump delivery system The following diagram shows the parts of the pump delivery system, including the infusion set*, reservoir, and pump. infusion set tubing insertion site section adhesive cannula reservoir connector reservoir reservoir compartment pump *Quick-set infusion set shown in illustration. Infusion set The infusion set consists of the following components: •...
• The tubing connector attaches to the reservoir. • The insertion piece attaches to the body. • The cannula is a small, flexible tube inserted into the body. Some infusion sets use a small needle instead of a cannula. • Adhesive holds the infusion set in place.
battery cap battery pump clip To insert the battery: Insert a new or fully charged AA battery. Be sure to insert the negative end (−) first. Place the battery cap onto the pump. Use the bottom edge of the pump clip or a coin to tighten the cap.
The first time a battery is inserted into the pump, the Startup Wizard begins. Any other time a battery is inserted into the pump, the Home screen appears and the pump resumes basal delivery. Startup settings The Startup Wizard appears after a battery is inserted for the first time. Use the Startup Wizard to set the language, time format, current time and date, and to rewind the pump.
The Enter Date screen appears. Enter the current date, and then select Next. A "Rewinding" message appears. The piston returns to its start position in the reservoir compartment. This may take several seconds. When rewinding is complete, a message appears to confirm the startup is complete.
Press this button to access the Status screen. When the Easy bolus feature is turned on, press and hold this button to start the Easy bolus. The MiniMed 780G pump must be in Manual mode and Sleep mode first. Pump basics...
Shortcut Description Press this button to access the Time in Range screen when the sensor is turned on. Press this button to access the Bolus screen. The Bolus screen that appears varies depending on the bolus feature that is currently active. Status icons The status icons on the Home screen provide the current status of the pump system.
Icon name Description Reservoir The reservoir icon shows the fill status of the MiniMed reservoir MMT-332A, 3.0 mL (300-unit). • Approximately 85%–100% of the insulin remains in the reservoir. • Approximately 71%–84% of the insulin remains in the reservoir. • Approximately 57%–70% of the insulin remains in the reservoir.
Icon name Description Calibration The calibration icon shows the amount of time remaining until the next sensor calibration is needed. These icons only appear when the Sensor feature is on. • The color and the circle around the icon indicate the status. •...
Icon name Description Sensor life The number on the sensor life icon indicates the number of days that remain in the life of the sensor. The icon appears on the Status screen and only when the sensor feature is turned on. After a new sensor is inserted, the icon is solid green.
Menu screen Use the menu to go to screens that show various features and functions of the system. Press from the Home screen to go to the menu. The selected menu option appears in color. All other menu options appear in black and gray. Use the menu to go to the following screens: Menu selection Menu...
Menu selection Menu Description icon Settings Set up device settings, delivery settings, and alert settings. Menu map The following diagram provides a map to the screens and features that are available from the Main menu. Pump basics...
Insulin SmartGuard Bolus SmartGuard Checklist • Bolus Wizard Temp Target • Manual Bolus SmartGuard Settings • Delivery Settings • Target Basal • Auto Correction • Temp Basal SmartGuard on and off • Basal Patterns • Basal Pattern Setup Suspend All Delivery/Resume Basal Delivery Settings Sound &...
Sound & Vibration screen The sound and vibration options are set on the Sound & Vibration screen. Sensor alerts can also be temporarily silenced. For information about silencing alerts, see Silencing sensor alerts, on page 122. A status icon on the Home screen indicates when alerts are silenced.
Screen or option Description Pump screen This screen shows a detailed view of the pump status, the reservoir status, battery status, pump serial number, pump name, model number, and other pump details. Sensor screen This screen appears when the sensor feature is enabled. The Sensor screen indicates any silenced alerts, status of calibration, transmitter battery, and shows the serial number and version number of the transmitter.
To view details for a basal pattern, select the basal pattern. For more information about basal patterns, see Basal patterns, on page 51. Settings covering a 24-hour period Some pump functions allow settings to change over a 24-hour period. The procedure in this section shows how to set multiple values over a 24-hour period.
On the appropriate settings screen, select the End time and enter the end time for the first time period. In this example, the first desired time period is 8 hours. The start time always begins at 00:00. To set an 8-hour period, the end time of 08:00 is entered.
Enter the unit value for the next time period. Press The start time for the next time period appears. Repeat steps 3-5 for every desired time period until the end time of 24:00 is reached. This completes the 24-hour duration. Pump basics...
Setting up insulin delivery This chapter explains how to use different types of insulin delivery. Setting up basal insulin Basal insulin is the "background" insulin that the body needs throughout the day and night to maintain target BG readings when food is not eaten. Basal insulin accounts for approximately one half of daily insulin requirements.
To set the Max basal rate: From the Home screen, press , and then select Select Delivery Settings > Max Basal/Bolus. The Max Basal/Bolus screen appears. Select Max Basal. To continue to the Max Basal Rate screen, select Continue. Select Max Basal, and then set the maximum number of basal insulin units per hour.
Basal patterns The basal pattern determines the amount of basal insulin delivered throughout the day and night. A basal pattern is made up of one to 48 basal rates that are set to cover a full 24-hour period. Because basal insulin needs can vary, up to eight basal patterns can be set.
For one basal rate, the End time does not need to change. Press on the 24:00. Note: For instructions on setting up multiple basal rates over a 24- hour period, see Settings covering a 24-hour period, on page 43. Select Done. Review the basal pattern.
the temp basal rate delivery is completed or canceled, the programmed basal pattern resumes. The temp basal rates and preset temp basal rates can be defined using either a percentage of the current basal pattern or by setting a specific rate, as described in the following table: Temp basal rate type Description...
Select Next. Select Type to select Rate or Percent. Depending on the type selected, do one of the following: • Enter a percentage. • Enter a basal rate. Select Review to review the temp basal setting. Select Begin to start the temp basal rate. The Temp Basal banner appears on the Home screen during delivery.
A missed notification may result in the delivery of too much or too little insulin. This is most common when using the Easy bolus feature or when the pump is in manual suspend. Contact the local Medtronic support representative with any concerns. ...
Select Yes to suspend all insulin delivery. The pump functions are limited until insulin delivery is resumed. The Delivery Suspended banner appears on the Home screen while insulin is suspended. To resume basal insulin delivery: While insulin delivery is suspended, from the Home screen press , and then select .
Entering a BG value The BG screen allows manual entry of a BG reading. Previously entered manual or meter BG readings do not appear on the BG screen. A BG reading received from a linked meter appears in a separate BG meter screen that requires confirmation. ...
Bolus delivery options The following table describes how to deliver a bolus using the Bolus Wizard feature or Manual bolus feature. Delivery method Description Bolus Wizard feature Enter the BG meter value or the amount of carbs expected from a meal, or both. Then the Bolus Wizard feature calculates an estimated bolus amount based on the individual settings.
Select Max Bolus. To continue to the Max Bolus screen, select Continue. Select Max Bolus, and then set the maximum number of insulin units the pump can deliver in one bolus. Select Save. Bolus Wizard feature The Bolus Wizard feature uses Bolus Wizard settings to calculate an estimated bolus amount based on the BG readings and carbs that are entered.
The Bolus Wizard feature can also be used to deliver a Dual Wave bolus or a Square Wave bolus. For more information, see Bolus types, on page 191. Bolus Wizard settings To use the Bolus Wizard feature, consult a healthcare professional to determine the personal settings that should be used.
Setting Description Active Insulin Time Active insulin is the bolus insulin that has been delivered by the pump and is still working to lower glucose levels. The pump uses the active insulin time setting to determine if any active insulin is still in the body from prior boluses.
Confirm the values needed are ready to be entered, then select Next. The Carb Ratio 1/4 screen appears. Select Next. The Edit Carb Ratio 1/4 screen appears. To enter one carb ratio, enter the g/U, and then press Note: For instructions on setting up more than one carb ratio over a 24-hour period, see Settings covering a 24-hour period, on page 43.
The Sensitivity 2/4 screen appears. Select Next. The Edit Sensitivity 2/4 screen appears. For one sensitivity factor, enter the mmol/L per U, and then press Note: For instructions on setting up more than one sensitivity factor over a 24-hour period, see Settings covering a 24-hour period, on page 43.
The Edit BG Target 3/4 screen appears. For one BG target range, enter the Lo and Hi target, and then press Note: For instructions on setting up more than one BG target range over a 24-hour period, see Settings covering a 24-hour period, on page 43.
The Bolus Wizard feature setup is now complete. Turning the Bolus Wizard feature off The Bolus Wizard feature can be turned off at any time. The Bolus Wizard settings remain in the pump. When the Bolus Wizard feature is turned off, the Bolus Wizard menu selection does not appear on the Bolus screen, and the insulin sensitivity factor or BG target settings can not be edited from the Bolus Wizard Setup screen.
Bolus Wizard screen Glucose reading information icon indicates that a recent BG meter reading is used by the Bolus Wizard feature to calculate a correction bolus. The BG appears as dashes when no BG is available for the Bolus Wizard feature to calculate a correction bolus.
For a food bolus, select Carbs to enter the carb count of the meal. For a correction bolus where no food was eaten, leave the carbs value at 0. The calculated bolus appears in the Bolus field. If a change to the bolus amount is needed, select Bolus and modify the bolus amount.
• Select Bolus if the Bolus Wizard feature is turned off. • Select Bolus > Manual Bolus if the Bolus Wizard feature is turned on. The Manual Bolus screen appears. Select Bolus to set the bolus delivery amount in units. Select Deliver Bolus to start the bolus.
Select Yes to confirm. The Bolus Stopped screen appears and shows the amount of bolus delivered, and the original bolus amount set up. Select Done. Note: The delivered amount can be viewed in the insulin delivery history screen after the procedure is closed. For more information, see Daily History screen, on page 163.
Time and date, on page 149. Consult a healthcare professional to determine the appropriate pump settings before insulin is used with the pump. The following items are needed: • MiniMed 780G insulin pump • vial of rapid-acting U-100 insulin • MiniMed reservoir •...
Note: Different infusion sets may have different instructions for insertion into the body. All the procedures in the sections within this chapter must be followed in order to change the reservoir and infusion set. Removing the reservoir and rewinding the pump If this is the first time a reservoir is inserted into the pump, proceed to the pump rewind instructions.
If the optional activity guard is attached to the reservoir compartment on the pump, remove it now. Turn the tubing connector a half-turn counter-clockwise, and then remove the reservoir and the connector from the pump. Dispose of the used reservoir and infusion set according to local regulations, or contact a healthcare professional for disposal information.
A "Rewinding" message appears as the piston in the reservoir compartment returns to its start position. Another message appears when the pump finishes rewinding, and then the New Reservoir screen appears. The reservoir may now be filled and connected to the infusion set tubing connector.
To fill the reservoir and connect it to the infusion set tubing: Remove the reservoir from the package and fully extend the plunger. reservoir transfer plunger guard Swab the top of the insulin vial with alcohol (not shown). Without pushing down on the plunger, firmly press the blue transfer guard onto the vial.
Gently tap the side of the reservoir to make any air bubbles rise to the top of the reservoir. Push the plunger up to move the air into the vial. If needed, slowly pull the plunger back down to the amount of insulin needed.
WARNING: Do not use the reservoir or infusion set if any liquid gets on the top of the reservoir or inside the tubing connector, as shown in the image. Liquid may temporarily block the vents. This may result in the delivery of too little or too much insulin, which may cause hyperglycemia or hypoglycemia.
Without pulling, turn the plunger counter-clockwise to remove it from the reservoir. Select Next from the New Reservoir screen on the pump display. Note: The backlight may have turned off. Press any button to turn the screen back on. The New Reservoir screen appears and indicates that the reservoir is ready to be placed into the pump.
To place the reservoir into the pump and fill the tubing with insulin: Confirm that the pump has been rewound. For more information, see Removing the reservoir and rewinding the pump, on page 74. Place the filled reservoir into the reservoir compartment of the pump. Note: If the pump is being used for the first time, remove the red shipping cap from the reservoir compartment.
Select and hold Load until a checkmark appears on the screen and the pump beeps or vibrates. Note: If is pressed after the loading process begins, a Loading incomplete alarm occurs. Select Next. The Fill Tubing screen appears. Select and hold Fill on the Fill Tubing screen. The pump beeps 6 times. The pump continues to beep as it fills the tubing, and the amount of insulin used appears on the screen.
WARNING: Always check the tubing for air bubbles. Continue to press Fill until no bubbles remain in the tubing. Air bubbles may result in inaccurate insulin delivery. Stop holding Fill when insulin droplets form on the tip of the infusion set needle.
Inserting the infusion set into the body Always refer to the infusion set user guide and the serter user guide, if needed, for instructions about how to insert an infusion set into the body. WARNING: Do not remove the reservoir from the pump while the infusion set is connected to the body.
Filling the cannula Filling the soft cannula with insulin is required after the infusion set is inserted into the body and the introducer needle is pulled out. The insulin amount required to fill the cannula depends on the type of infusion set used. Refer to the user guide that came with the infusion set for more information.
Note: Use the following procedure only when it is necessary to stop filling the cannula. To stop filling the cannula: Select Stop Filling to stop filling the cannula. Select Yes. The Fill Stopped screen appears. Select Done. Disconnecting the infusion set Refer to the infusion set user guide for instructions on how to disconnect the infusion set.
Paired devices This chapter explains how to pair the MiniMed 780G insulin pump with compatible devices. Setting up the Accu-Chek Guide Link meter The MiniMed 780G insulin pump with smart device connectivity can pair only with an Accu-Chek Guide Link meter to automatically receive blood glucose (BG) readings.
Pairing the pump and meter The MiniMed 780G insulin pump with smart device connectivity can pair with up to four Accu-Chek Guide Link meters. To prepare the meter to pair with the pump: Press the OK button on the meter to turn on the meter.
From the Home screen, press , and then select Select Pair New Device. The Searching... screen appears. After the pump is done searching, the Select Device screen appears. Select the meter that matches the serial number that displays on the meter screen.
If the connection is successful, a "Pairing successful!" message appears on the pump. A "Paired with pump" message with the serial number of the pump appears on the meter screen. If a Device not found alert appears, see Pump alarms, alerts, and messages, on page 233 for more information. Pairing the pump and transmitter The pump and transmitter must be paired to use the sensor.
Select Pair New Device. The Searching... screen appears. Note: The search process can take up to two minutes. During the search process, pump screens are not available, and the pump cannot be suspended. Remove the transmitter from the charger. The transmitter light flashes 10 times and turns off.
If the transmitter serial number on the pump screen matches the serial number on the back of the transmitter, select Confirm. Press if the serial number is incorrect. If the connection is successful, a "Pairing successful!" message appears on the pump.
The MiniMed Mobile app is an optional accessory that is compatible with the MiniMed 780G system. The app provides a secondary display that allows the user to view CGM and pump data. A compatible smartphone is required for the app to function.
Continuous glucose monitoring This chapter explains how to enter sensor settings and set up continuous glucose monitoring (CGM). CGM requires these items: • MiniMed 780G insulin pump • SG settings provided by a healthcare professional • Guardian Sensor (3) CGM overview CGM is an SG monitoring tool that uses a glucose sensor to continuously measure the amount of glucose in interstitial fluid.
WARNING: Do not use SG values to make therapy treatment decisions while the pump is in Manual mode. SG values can only be used to make therapy treatment decisions while the SmartGuard feature is active. SG and BG values may differ. If the SG reading is low or high, or there are symptoms of low or high glucose, confirm the SG reading with a BG meter prior to making therapy decisions to avoid hypoglycemia or hyperglycemia.
SG alert settings An SG alert occurs when an SG reading changes at a particular rate, reaches a specified high or low limit, or before a high or low limit is reached. The pump can also be set to suspend insulin delivery before or when a low limit is reached. High SG settings High SG settings provide alerts under the following conditions: •...
High glucose Description setting Alert on high This setting provides an alert when SG reaches or exceeds the high limit. High SG alert This setting provides an alert when SG is at 13.9 mmol/L or higher for 3 hours. This is a fixed setting and cannot be changed. Rise Alert This setting provides an alert when glucose is rising rapidly, such as after a meal or if a bolus is missed.
Suspend before low Alert before low readings Suspend on low Alert on low low limit Low SG alert and suspend settings WARNING: The Suspend before low and Suspend on low features are not intended to treat low BG. Suspending insulin delivery when SG is low may not bring BG back to the target range for several hours, which may cause hypoglycemia.
WARNING: Do not use the Suspend before low feature without first reading the information in this user guide and receiving training from a healthcare professional. The Suspend before low feature temporarily suspends insulin delivery for a maximum of two hours. Under some conditions of use, the pump can suspend insulin delivery again, resulting in under-delivery.
3.9 mmol/L above low limit STOP 1.1 mmol/L above low limit 30 min low limit Responding to a Suspend before low event After the Suspend before low alert is cleared, the suspend by sensor icon flashes and "Suspended before low" appears on the Home screen. If SG reaches the low limit, an Alert on low occurs.
• If the Suspend on low feature is on and Alert before low is on, Alert before low occurs 30 minutes before the low limit is reached. • If the Suspend before low feature is on and Alert before low is on, a Suspend before low alert occurs when insulin delivery is suspended.
1.1 mmol/L above low limit START STOP low limit 2 hours Responding to a Suspend on low event After the Suspend on low alarm is cleared, the suspend by sensor icon flashes and "Suspended on low" appears on the Home screen. When a Suspend on low event occurs, a pump alarm occurs and insulin delivery remains suspended for a minimum of 30 minutes, up to a maximum of two hours.
When the Suspend before low and the Suspend on low features are unavailable, the suspend by sensor icon on the Home screen appears with a red X Response to Suspend before low or Duration that the Suspend before low Suspend on low events or Suspend on low feature is unavailable The alert is cleared within two hours and...
Automatically resuming basal insulin delivery after a Suspend before low or Suspend on low event If insulin delivery is suspended by either the Suspend before low or the Suspend on low feature, basal insulin delivery automatically resumes under one of the following conditions: •...
Select Device Settings > Sensor. Select Sensor to turn the feature on or off. Setting up the High SG settings For details about high SG settings, see High SG settings, on page 101. To set up the high SG settings: From the Home screen, press , and then select Select Alert Settings >...
Set the following alerts, as desired: Select Alert before high to receive an alert before the high limit is reached. Set the Time before high option between 5 to 30 minutes to receive an alert before the high limit is reached. Select Alert on high to receive an alert when the high limit is reached.
Note: These arrows appear on the Home screen to indicate the rate at which SG is rising. To enter a custom rate, select Custom, enter the Rise Limit on the Custom Limit screen, and then select OK. Select OK again to confirm the Rise Limit settings. Select Next.
To set the High Snooze: From the Home screen, press , and then select Select Alert Settings > Snooze High & Low. The Snooze screen appears. Select High Snooze and enter a time in 5-minute increments from 5 minutes to 3 hours. Select Save.
Set the following alerts, as desired: Select Suspend before low to set the pump to suspend insulin delivery before the low limit is reached. Select Alert before low to receive an alert before the low limit is reached. Select Suspend on low to set the pump to suspend insulin delivery when SG reaches or falls below the low limit.
To change the low SG settings: From the Home screen, press , and then select Select Alert Settings > Low Alert. The Low Setup screen appears. Select Edit. Select and adjust the time segment. Select any alert setting to make adjustments, or to turn the setting on or off. Select Next.
Basal insulin delivery automatically resumes when certain conditions are met. Basal delivery can be manually resumed at any time. To manually resume basal delivery: From the Home screen, press , and then select . Select Resume Basal. Select Yes to resume basal insulin delivery. Inserting the sensor Choose an insertion site that has an adequate amount of subcutaneous fat.
Note: Assistance will likely be needed for sensor insertion into the back of the upper arm and into the buttocks. Some users found it difficult to insert the sensor into their arm and buttocks by themselves. Connecting the transmitter to the sensor Refer to the transmitter user guide for instructions on how to connect the transmitter to the sensor.
Note: It may take up to five minutes for the "Sensor warm up..." message to appear. Select OK. "Sensor warm up..." appears on the Home screen until the sensor is ready to be calibrated for the first time. Calibrating the sensor A BG meter reading is required to calibrate the sensor and for optimal sensor performance.
Calibrate Description When the Enter BG Additional Enter BG now alerts may appear, and indicate that now alert appears. another calibration is required to improve sensor performance. It takes up to five minutes after calibration to receive SG readings again. Note: When a BG value is entered for calibration, the BG reading appears in place of the SG reading on the Home screen.
Note: It may take up to five minutes for the "Sensor warm up..." message to appear. Select OK. "Sensor warm up..." appears on the Home screen until the sensor is ready for its first calibration. Deactivating the Sensor feature The Sensor feature may be turned off at any time. When the transmitter is disconnected from the sensor, turn off the Sensor feature to avoid a sensor alert.
The sensor graph when using CGM The sensor graph provides current SG reading information that is transmitted to the pump. If the MiniMed Mobile app is in use, the sensor graph can be viewed on a mobile device. detail of a correction bolus event Bolus (N) 4.250 U 09:00 most...
To view the sensor graph: From the Home screen, press the button. A full-screen view of the 3-hour graph appears. Press to navigate to the 6-hour, 12-hour, and 24-hour graphs. Press to view SG readings and event details. To exit the full-screen view, press , or press the button again.
Option Silences these alerts All Sensor All of the alerts listed previously for High & Low Alerts, as well as the Alerts following: • All calibration alerts, reminders, and error messages • All alerts related to sensor insertion, including alerts about sensor warm-up, changing the sensor, sensor expiration, sensor errors, and connection issues.
To cancel Alert Silence: From the Home screen, press , and then select Select Alert Silence. Select Cancel Alert Silence. Chapter 6...
SmartGuard target values to control basal insulin delivery. It also can automatically deliver a correction bolus to help correct a high SG reading. The MiniMed 780G insulin pump requires a minimum of eight units and a maximum of 250 units per day to operate using the SmartGuard feature.
When using the SmartGuard feature, basal insulin is automatically delivered based on SG readings and recent insulin delivery needs. Auto correction The MiniMed 780G system may deliver a bolus automatically if bolus based on SG: the SmartGuard feature determines that a correction bolus is 6.7 mmol/L necessary.
Auto Correction The pump may deliver a bolus automatically when the SmartGuard feature determines it is needed for correction, to maximize the time in range, between 3.9 mmol/L and 10.0 mmol/L. Because this is an automated bolus, no action is required.
Enter a new BG reading. If a new sensor is used, enter a BG reading to calibrate the new sensor. For more information about calibrating the sensor, see Calibrating the sensor, on page 118. WARNING: Do not use the SmartGuard feature if the pump has been used in the last three days to practice button pressing, or if insulin that was programmed into the pump was not the user's actual insulin delivery.
Note: Certain additional requirements must be met before the SmartGuard feature activates. For more information, see SmartGuard Checklist, on page 132. Select SmartGuard Settings and enter the following information: • Select the SmartGuard target: 5.5 mmol/L, 6.1 mmol/L, or 6.7 mmol/L. •...
Suspend before low and Suspend on low features while using the SmartGuard feature When the SmartGuard feature is active, the Suspend before low and the Suspend on low features are unavailable and automatically turn off. If the SmartGuard feature becomes inactive, the Suspend before low and the Suspend on low features return to the state they were in before using the SmartGuard feature.
Line Item Instructions Turn on the SmartGuard feature. SmartGuard turned off • Confirm that the pump has a transmitter ID Sensor not ready entered in Paired Devices > Sensor. Example: GT6133333M Make sure the pump is paired with a transmitter. For more information, see Pairing the pump and transmitter, on page 92.
Line Item Instructions If SmartGuard active insulin is updating, it will SmartGuard updating take up to five hours to complete. Wait for the update time to end before the SmartGuard feature can activate. Wait for the SmartGuard feature to gather SmartGuard warming up insulin delivery history and determine the basal rate.
detail of a correction bolus event Bolus (N) 4.250 U 09:00 Auto correction bolus Auto Basal deliveries most current SG bolus mmol/L scale BG entry "desired range" carb entry (green band) temp target SG readings over time span (blue line) The SmartGuard feature sensor graph includes the following information: •...
Press to view SG readings and event details. To exit the sensor graph, press or press the button again. Entering a BG value in the SmartGuard feature A BG value must be entered into the pump for the following reasons: •...
Note: The SmartGuard feature only supports normal boluses. Square Wave, Dual Wave, Easy, Manual, and Preset bolus types are not available while using the SmartGuard feature. If the BG or SG is under 6.7 mmol/L, or if the bolus is zero after the pump accounts for active insulin, or if the SmartGuard feature estimates current basal delivery is sufficient, no correction is recommended.
WARNING: SG readings are used to calculate meal boluses or correction boluses when delivering a bolus in the SmartGuard feature. Sensor glucose is not the same as blood glucose. Sensor performance may occasionally vary from sensor to sensor and in different situations for a sensor, such as on the first day of use.
Bolus adjustment Example screens The bolus amount is adjusted down if the SmartGuard feature predicts a risk of hypoglycemia after the meal. Carbs are saved for use in future bolus adjustment calculations. If the bolus amount is adjusted down to 0.0 for the bolus, no bolus is delivered.
Bolus adjustment Example screens The bolus amount is adjusted up if a correction bolus is calculated based on high glucose and low active insulin. Carbs are saved for use in future bolus adjustment calculations. To deliver a bolus with the SmartGuard feature: From the Home screen, press , and then select .
Note: To stop a bolus, press from the Home screen, select , and then select Stop Bolus. Setting a temp target A temporary target (temp target) of 8.3 mmol/L can be set for high activity situations, such as exercise. Consult a healthcare professional before using a temp target.
To cancel a temp target: From the Home screen, press , and then select Select Cancel Temp Target. Staying in the SmartGuard feature When the pump requires an action to stay in the SmartGuard feature, it delivers insulin at a fixed basal rate for up to a maximum of four hours. The message "Exit in X:XX hr"...
The pump resumes using SG readings for basal insulin delivery when certain conditions are met. The following table describes these conditions and the notification and required action to resume using SG readings for basal insulin delivery. Condition Notification and action The SmartGuard feature has A SmartGuard min delivery alert appears.
Note: When the sensor is changed, the pump delivers basal insulin based on insulin delivery history, not SG readings, for up to four hours. Enter a BG reading to calibrate the sensor and to keep the SmartGuard feature active. For more information, see Entering a BG value, on page 57. Exiting the SmartGuard feature The SmartGuard feature may stop functioning under the following conditions: •...
• A bolus is not in progress. • A temp basal rate is not in progress. • The 48-hour warm-up is complete. • The SmartGuard feature is not in a five-hour warm-up period. • A new BG reading is entered. If any of these conditions are not met, the SmartGuard feature cannot restart.
This chapter provides information about common tasks for various settings. Time and date Confirm that the time and date are always set correctly on the MiniMed 780G insulin pump. Incorrect time and date settings can affect basal insulin delivery and the accuracy of pump history.
Select Brightness to adjust the brightness of the screen. A level from 1 to 5 can be set, or select Auto for the screen to automatically adjust to the current environment. Select Backlight to adjust the timeout for the backlight on the pump screen. Select 15 seconds, 30 seconds, 1 minute, or 3 minutes.
• Clear alarms and alerts To turn Block mode on or off: From the Home screen, press , and then select Select Device Settings > Block Mode. Select Block Mode to turn the feature on or off. Select Save. The pump is in Block mode, but it is not yet locked.
If an error message appears or the pump does not perform as indicated during the test, contact a local Medtronic support representative. Manage Settings The Manage Settings screen includes the following options: •...
Saving the settings The Save Settings option saves a record of the settings to restore the settings at a later date, if necessary. To save the current settings: From the Home screen, press , and then select Select Device Settings > Manage Settings. Simultaneously press and hold until the Manage Settings screen appears.
Clearing the settings The Clear All Settings option erases the current settings and returns them to the factory defaults. After the settings are cleared, the Startup Wizard appears so pump settings can be re-entered. The settings must be entered to continue using the pump.
Active insulin can be cleared only once. After the active insulin is cleared, this option is no longer available. To clear the active insulin: From the Home screen, press , and then select Select Device Settings > Manage Settings. Simultaneously press and hold until the Manage Settings screen appears.
Select Device Settings > Manage Settings. Simultaneously press and hold until the Manage Settings screen appears. Select Settings History. Auto suspend Auto suspend is a safety feature that stops all insulin delivery and sounds an alarm if a button is not pressed within a specified period of time. Consult a healthcare professional about how to best use this feature.
History and graph This chapter provides information about how to read historical data in the MiniMed 780G system. Introduction The History screens provide details about personal therapy history in the MiniMed 780G insulin pump. The SG Review and Graph screens are available if the sensor feature is turned on.
Select the desired time period for the Summary screen. The Summary screen appears and displays information for the number of days selected. Scroll down to view the entire screen. In the 1 Day view, use the buttons on the pump to view the history of a specific day. Understanding the Summary screen The Summary screen separates information into the following categories: •...
Name Description Time in Target number of hours / percent of time in target range (3.9 mmol/L Range to 10 mmol/L) Time below range number of hours / percent of time below target range (below 3.9 mmol/L) Time above range number of hours / percent of time above target range (above 10 mmol/L) Summary screen: insulin delivery overview...
Name Description Glucose correction • Total insulin units delivered using the Bolus Wizard feature or only a bolus with BG correction amount only. • Number of times the Bolus Wizard feature delivered a correction bolus. Summary screen: SmartGuard If 1 Day view is selected, the values are shown for that day. If multiple days are selected, the values shown are an average of the values for the selected number of days.
Name Description SG Std. Dev. Standard deviation of the SG readings. Summary screen: low management mode For information about the Suspend before low and Suspend on low features, see Low SG settings, on page 102. Name Description Suspend before low The average number of Suspend before low events per day.
Alarm History screen Select a specific day to view the history of alarms and alerts that occurred on the selected day. The list provides further details and shows the most recent alarm or alert first. To view the Alarm History screen: From the Home screen, press , and then select Select History >...
Enter the High Limit and Low Limit for the SG data review. There must be a minimum of 1.1 mmol/L difference between the High Limit and the Low Limit. Enter the number of days of SG history to average, and select Next. If only one day is entered, the graph shows details about when the SG was above, below, or within the specified limits.
Graph screen The graph shows information about the SG readings and trends, BG entries, auto correction bolus deliveries, and bolus entries. The below screen is an example of the graph screen using the SmartGuard feature. To view the Graph screen: Press , or select Graph on the History &...
To view the Time in Range screen: From the Home screen, press , and then select Select Time in Range. History and graph...
Notifications and reminders This chapter describes how to use reminders. It also covers the general behavior of the most common and the most serious notifications and how to resolve them. Notifications in the MiniMed Mobile app If the MiniMed Mobile app is used, alarms, alerts, and messages can be viewed on the paired mobile device.
Personal reminders Up to six personal reminders can be set, along with the specific reminders for BG meter readings and medication. To create a new Personal reminder: From the Home screen, press , and then select Select Alert Settings > Reminders > Personal. Select Add New.
Bolus BG Check reminder The Bolus BG Check reminder notifies when BG needs to be checked after a bolus delivery. After a bolus is started, the BG Check screen appears and the timer must be set for the reminder. The timer counts down from the time the bolus was started.
Select Start Time and enter a time. Select End Time and enter a time. Select Save. To turn on or off, edit, or delete existing Missed Meal Bolus reminders: From the Home screen, press , and then select Select Alert Settings > Reminders > Missed Meal Bolus. Select a reminder.
Select Alert Settings > Reminders > Low Reservoir. Select Units to enter the number of units. Set a value from 5 to 50 units. Select Save. Set Change reminder The Set Change reminder tracks the time between infusion set changes and provides a reminder to change the infusion set.
Select Reminder to turn the reminder on or off. Select Time, and enter a time between 5 minutes and 6 hours. Select Save. Alarms, alerts, and messages The pump has a sophisticated safety network. If this safety network detects anything unusual, it communicates this information in the form of notifications. Notifications include alarms, alerts, and messages.
Immediately disconnect the pump and discontinue use. Contact a local Medtronic support representative. Insulin delivery is still required when the pump is removed. Consult a healthcare professional to determine an alternate method of insulin delivery while the pump is removed.
WARNING: Always address alarms immediately when they occur. Ignoring an alarm can result in hyperglycemia or hypoglycemia. When an alarm occurs: Display: The pump displays a notification with a red icon and instructions. Notification light: The red notification light blinks twice, followed by a pause, in a continuous repeating pattern.
Note: If an alert occurs when the pump is on a screen other than the Home screen, the alert message may only appear after the pump returns to the Home screen. Messages A message is a notification that shows the status of the pump or displays when a decision needs to be made.
Additional basal features This chapter provides information about setting up additional features for basal insulin delivery. Preset temp basal rates Set up preset temp basal rates for reoccurring short-term situations. Up to four preset temp basal rates can be set up for specific situations. There are also four additional preset temp rates available for use in other circumstances (Temp 1 through Temp 4).
Set the Duration for the preset temp basal rate to be active. Select Save. To edit, rename, or delete a preset temp basal rate: From the Home screen, press , and then select Select Delivery Settings > Preset Temp Setup. The Preset Temp Setup screen appears and shows the settings for any existing preset temp basal rate.
Starting a preset temp basal delivery Follow the steps to use the preset temp basal rate for basal insulin delivery. If a preset temp basal rate has not yet been set up, see Preset temp basal rates, on page 183. After the preset temp basal delivery is completed or canceled, basal insulin delivery resumes using the programmed basal rate.
Canceling a temp basal or preset temp basal A temp basal rate or preset temp basal rate can be canceled at any time. After it is canceled, the scheduled basal pattern automatically resumes. To cancel a temp basal rate: From the Home screen, press , and then select .
The Basal Pattern Setup screen appears. To add a new basal pattern, select Add New. The Select Name screen appears. Select a name for the basal pattern. Set the basal rate. Select Done. Select Save. Editing, copying, or deleting a basal pattern ...
Changing from one basal pattern to another If more than one basal pattern has been set, the basal pattern can be changed. The MiniMed 780G insulin pump delivers basal insulin according to the selected basal pattern. To change to a different basal pattern: From the Home screen, press , and then select .
Additional bolus features This chapter provides information about additional features for bolus delivery. Bolus types Note: While the SmartGuard feature is active, only a normal bolus can be delivered. The following table provides general information about the available bolus types. Bolus Description Purpose...
Bolus Description Purpose type Square Square Wave bolus A Square Wave bolus can be used for the Wave delivers a single bolus following reasons: bolus evenly over an extended • A delayed food digestion due to period of time from gastroparesis or meals high in fat.
Bolus increment The Bolus increment is the number of units that are increased or decreased with each button press for the bolus delivery amount in the Bolus Wizard, Manual Bolus, and Preset Bolus screens. Depending on the typical bolus amount, the increment can be set to 0.1 units, 0.05 units, or 0.025 units.
Select Save. Changing the Bolus Wizard settings This section shows how to make changes to personal settings after the initial Bolus Wizard feature setup. Consult a healthcare professional before changes are made to the personal settings. Changing the carb ratio The carb ratio can be set whether or not the Bolus Wizard feature is turned on.
For more than one insulin sensitivity factor, press to enter one insulin sensitivity factor at a time to complete the full 24 hours, which ends at 24:00. Note: For instructions on setting up more than one insulin sensitivity factor over a 24-hour period, see Settings covering a 24- hour period, on page 43.
Select Delivery Settings > Bolus Wizard Setup > Active Insulin Time. Select Duration, and adjust the active insulin time in hours, using 15-minute increments. Select Save. Square Wave bolus A Square Wave bolus delivers a bolus evenly over a period of time from 30 minutes up to 8 hours.
Select Delivery Settings > Dual/Square Wave. Select Square Wave to turn the feature on or off. Select Save. Delivering a Square Wave bolus using the Bolus Wizard feature The Bolus Wizard feature only delivers a Square Wave bolus if the Square Wave bolus feature is turned on and a carb value is entered.
Select Duration to adjust the time period when the Square Wave bolus needs to be delivered. Select Deliver Bolus to start the bolus. Note: To stop bolus delivery or to see details on the insulin that has been delivered, see Stopping a Square Wave or Dual Wave bolus delivery, on page 209.
Set the bolus delivery amount in units, and then select Next. Select Square. Select Duration to adjust the time period when the Square Wave bolus is to be delivered. Select Deliver Bolus to start the bolus. Note: To stop bolus delivery or to see details on the insulin that has been delivered, see Stopping a Square Wave or Dual Wave bolus delivery, on page 209.
Dual Wave bolus The Dual Wave bolus feature meets both immediate and extended insulin needs by delivering a combination of an immediate normal bolus followed by a Square Wave bolus. A normal bolus can be delivered while the Square portion of a Dual Wave bolus is being delivered, as needed.
Note: For more information on how to manually enter the BG meter reading, see Entering a BG value, on page 57. For a food bolus, select Carbs to enter the carb count of the meal. For a correction bolus where no food was eaten, leave the carbs value as 0. The calculated bolus appears in the Bolus field.
Adjust the Duration of the square portion of the bolus to be delivered. Select Deliver Bolus to start the bolus. Note: To stop bolus delivery or to see details on the insulin that has been delivered, see Stopping a Square Wave or Dual Wave bolus delivery, on page 209.
Select Dual. The Manual Bolus screen appears. To change the amounts, select the area of the screen with the Now % and Square % values and adjust the Now % value. When the Now amount is adjusted, the Square amount adjusts automatically. Select Duration to adjust the time period when the Square Wave bolus is to be delivered.
Easy bolus The Easy bolus feature can be used to deliver a normal bolus using only the button. The Easy bolus feature only works when the pump is in Sleep mode. When the button is pressed while the Easy bolus feature is used, the bolus amount increases by a certain amount.
Select Save. Delivering a bolus using the Easy bolus feature WARNING: Never rely on beeps or vibrations alone while using the Easy bolus feature. Always confirm the insulin delivery by looking at the pump screen. When using the Sound & Vibration options, it is possible that a sound or vibration notification may not occur as expected if the speaker or vibrator in the pump malfunctions.
When the needed bolus amount is reached, press and hold to confirm the amount. Press and hold for one second, or until the pump beeps or vibrates, to deliver the bolus. Note: If the button is not pressed within 10 seconds after the bolus amount is confirmed, the bolus is canceled and a message appears that the bolus was not delivered.
Select Add New. Select a preset bolus. An edit screen appears. Select Bolus to set the bolus amount. Select Type to set this as a normal bolus, Square Wave bolus, or Dual Wave bolus. Note: Square Wave and Dual Wave can be selected in the Type field only if the Square Wave bolus and Dual Wave bolus features are turned on.
• For a Dual Wave bolus, adjust the Now % amount. When the Now amount is adjusted, the Square amount adjusts automatically. Then set the Duration of time for the Square portion of the bolus. Note: If the Dual Wave bolus feature or Square Wave bolus feature is turned off, the existing Preset Bolus settings are still available for use.
To deliver a preset bolus: From the Home screen, press , and then select . Select Bolus > Preset Bolus. Select the preset bolus to be delivered. Review the bolus amount, and then select Deliver Bolus to start the bolus. Stopping a Square Wave or Dual Wave bolus delivery This section describes how to stop a bolus in progress.
To stop a Dual Wave bolus delivery during the Now portion: While the pump is delivering the Now portion of a Dual Wave bolus, press from the Home screen. Select . Select Stop Bolus, then select Yes to confirm. The Bolus Stopped screen appears and shows the amount of bolus delivered, and bolus amount that was originally set up.
To stop a Square Wave bolus delivery or the Square portion of a Dual Wave bolus delivery: While the pump is delivering a Square Wave bolus delivery or the Square portion of a Dual Wave bolus delivery, press from the Home screen. Select , and then select Bolus.
Troubleshooting This chapter provides information about common MiniMed 780G insulin pump and sensor issues, as well as possible resolutions. For a list of alarms, alerts, and messages, see List of alarms, alerts, and messages, on page 233. Pump issues WARNING: When a critical pump error occurs, the following screen appears and the pump siren goes off: Immediately disconnect the pump and discontinue use.
If prompted, insert a new AA battery. For more information about changing the battery, see Removing the battery, on page 229. If these steps do not correct the problem, contact a local Medtronic support representative for assistance. The pump CAUTION: Always inspect the pump for cracks was dropped.
Issue Resolution The pump In order to conserve battery, the pump display times out after 15 display times seconds. To increase the time, see Display options, on page 149. out too quickly. The pump The pump has reset to factory settings. Review any settings that were displays a not already set in the Startup Wizard and re-enter them, if necessary.
Issue Resolution The pump Do not clear pump settings unless directed to do so by a healthcare settings have professional. Certain pump errors may cause the pump to reset to been cleared factory default values, which clears the current pump settings. To and need to restore saved pump settings, see Restoring the settings, on page 153.
Do one of the following: • If the sensor connection is secure, select Yes. Contact a local Medtronic support representative if the pump cannot find the sensor signal within 15 minutes or if the "Sensor signal not found - See User guide" alert appears on the SG graph.
• A sensor error occurred. Clear the alert and wait up to 3 hours for the SG readings to resume. If necessary, insert a new sensor. If the issue continues after a new sensor is inserted, contact a local Medtronic support representative. Chapter 13...
CAUTION: Never use organic solvents, such as lighter fluid, nail polish remover, or paint thinner to clean the MiniMed 780G insulin pump. Never use lubricants with the pump. When the pump is being cleaned, be sure to keep the reservoir compartment dry and away from moisture.
Use the cloth to wipe the outside of the pump. Dampen a clean cloth with water and wipe to remove any detergent residue. Dry with a clean cloth. Wipe the pump with a 70% alcohol wipe. Use a dry, clean cotton swab to remove any battery residue from the battery cap.
To use the pump after it has been stored: Insert a new AA battery into the pump. For details, see Inserting the battery, on page 29. A Pump Error alarm appears. Select OK. The pump displays a Power Loss alarm. Select OK.
Pairing the pump and meter, on page 90. Pump disposal Contact a local Medtronic support representative for information on proper disposal of the MiniMed 780G system. Always follow local laws and regulations for the disposal of medical devices. Meter maintenance Unpairing a meter from the pump Follow this procedure to unpair the Accu-Chek Guide Link meter from the pump.
Select the serial number of the meter to unpair the device. The Accu-Chek Guide Link meter serial number is located on the back of the meter. The Device Info screen appears. Select Unpair. The Unpair Device? screen appears. Select Yes to confirm. Select No to cancel. Deleting the pump from a meter For steps to delete the pump from a meter, see the Accu-Chek Guide Link User's Manual.
Select Sensor. The Device Info screen appears. Select Unpair. The Unpair Device? screen appears. Select Yes to confirm. Select No to cancel. Chapter 14...
Disconnecting the transmitter from the sensor Refer to the transmitter user guide for instructions on how to disconnect the transmitter from the sensor. Removing the sensor Refer to the sensor user guide for instructions on how to remove the sensor. Cleaning the transmitter Refer to the transmitter user guide for instructions on how to clean the transmitter.
Dispose of old batteries according to local regulations for battery disposal (nonincineration), or contact a healthcare professional for disposal information. After a battery is removed, wait until the Insert Battery screen appears before inserting a new battery. If a battery is removed to place the pump in storage, see Storing the pump, on page 224 for more information.
Pump alarms, alerts, and messages The following table lists the most common or serious alarms, alerts, and messages related to the MiniMed 780G insulin pump. The table also explains the meaning, consequences, and the reasons why these notifications appear, and provides steps for problem resolution.
Title and text Type Explanation Next steps Active Insulin Alert The active insulin amount • Select OK to clear the cleared is now at 0 units. This may alert. occur because certain • The active insulin Any Active alarms automatically clear tracked prior to pump Insulin amount active insulin.
Title and text Type Explanation Next steps Battery failed Alarm The battery in the pump is • Select OK to clear the low on power. alarm. Insert a new AA • Remove the old battery battery. and insert a new AA battery.
• Write down the error from body. code that appears on Consider other the alarm screen. insulin • Contact a local treatment. See Medtronic support User Guide. representative for assistance with the pump. Delivery limit Alarm The pump has suspended •...
Device not Alert The pump cannot pair with • Select OK to clear the compatible the selected device. alert. • Contact a local Device cannot Medtronic support be used with representative for this pump. assistance. List of alarms, alerts, and messages...
Title and text Type Explanation Next steps Device not Alert The pump did not pair • Select OK to clear the found with the device. alert. • Confirm that the device Make sure is not already paired device is in with a pump.
Title and text Type Explanation Next steps Insert battery Alarm The battery was removed • Insert a new AA battery. from the pump. • The alarm clears when a Delivery new battery is inserted. stopped. Insert If a bolus was in progress a new battery when the battery was •...
Title and text Type Explanation Next steps Insulin flow Alarm The pump has detected • Check BG and ketones. blocked that the basal or bolus Administer an insulin insulin flow was blocked. injection if necessary. Check BG. • Remove the infusion set Consider and reservoir.
Title and text Type Explanation Next steps Insulin flow Alarm The pump has detected • Check BG and ketones. blocked that the insulin flow is Administer an insulin blocked and there is no injection if necessary. Check BG. insulin in the reservoir. •...
Title and text Type Explanation Next steps Insulin flow Alarm The pump has detected • Remove the reservoir blocked that the insulin flow is and select Rewind to blocked while filling the restart the fill tubing Fill Tubing tubing. Possible connection process.
Title and text Type Explanation Next steps Low battery Alert The battery in the pump is • Select OK to clear the Pump low on power. Remaining alert. battery life is 10 hours or • Replace the AA battery Replace battery fewer.
Title and text Type Explanation Next steps Manage Alarm A pump error occurred and • Select OK to restart the settings error the pump needs to be pump. The current restarted. The backup settings are unchanged. Delivery settings have been lost, but Only the backup settings stopped.
AA CareLink or battery may not last write your long. settings on • Contact a local paper. See User Medtronic support Guide. representative for assistance with the pump. Power loss Alarm The battery has been out • Select OK to go to the of the pump for more than Time &...
• If this alarm recurs frequently, write down the error code on the alarm screen (it can also be found in the Alarm History) and contact a local Medtronic support representative for assistance. Appendix A...
• If this alarm recurs frequently, write down the error code on the alarm screen (it can also be found in the Alarm History) and contact a local Medtronic support representative for assistance. Pump error Alarm The pump encountered an •...
• If this alarm recurs frequently, write down the error code on the alarm screen (it can also be found in the Alarm History) and contact a local Medtronic support representative for assistance. Replace battery Alert Battery power is low and •...
Title and text Type Explanation Next steps Reservoir Alert The reservoir level is • Select OK to clear the estimate at 0 U estimated at 0 units. alert. • Change the reservoir. To ensure insulin delivery, change reservoir. Resume bolus? Message A normal bolus delivery has •...
Select OK to new infusion set and continue. See reservoir. For details, see User Guide. Setting up the reservoir and infusion set, on page 73. • If this alarm recurs frequently, contact a local Medtronic support representative for assistance. Appendix A...
Button pressed pressed for an unusually • If this alarm occurs for more than long time. again, Contact a local 3 minutes. Medtronic support representative for assistance with the pump. If the alarm cannot be cleared • See Pump issues, on page 215.
Title and text Type Explanation Next steps Alert before Alert The SG reading is • Select OK to clear the alert. high approaching the • Check BG. specified high Sensor glucose • Follow instructions from a limit. approaching healthcare professional and High Limit.
Title and text Type Explanation Next steps Basal delivery Message The pump is • Select OK to clear the message. resumed resuming basal • Check BG. insulin delivery Basal delivery • Follow instructions from a after a Suspend resumed at healthcare professional and before low or XX:XX after...
Calibrating the sensor, on page 118. If a Calibration not accepted alert is received on the second calibration after 15 minutes, a Change sensor alert occurs. • Contact a local Medtronic support representative for assistance, if needed. Appendix A...
Title and text Type Explanation Next steps Change sensor Alert No was selected • Select OK to clear the alert. in the Check • Change the sensor. For details, Insert new sensor sensor insertion see the sensor user guide. and Start New message, Sensor.
Title and text Type Explanation Next steps Enter BG now Alert A BG meter • Select OK to clear the alert. If no reading is BG meter reading is entered, the Enter BG to required to Enter BG now alert occurs again calibrate sensor.
Title and text Type Explanation Next steps Enter BG now Alert A BG meter • Select OK to clear the alert. If no reading is BG meter reading is entered Enter BG to required to within 30 minutes, the Enter BG calibrate sensor.
Title and text Type Explanation Next steps Low SG X.X Alarm The SG reading • Select OK to clear the alarm. mmol/L has reached or • Check BG and treat as necessary. fallen below 3.0 SG is under 3.0 mmol/L. This mmol/L.
Title and text Type Explanation Next steps No calibration Alert The transmitter • Select OK to clear the alert. occurred was unable to • Check the status icons on the receive the Home screen to confirm that the Confirm sensor calibration BG pump has a signal from the signal.
Title and text Type Explanation Next steps Possible signal Alert There may be • Move away from other electronic interference interference from devices. It can take up to another 15 minutes for the pump to start Move away from electronic device communicating with the electronic that is affecting...
• If the pump still cannot find the pump failed to sensor signal, contact a local See User Guide. detect the Medtronic support representative transmitter and is for assistance. unable to receive sensor signal. Sensor updating Alert The SG reading is •...
Title and text Type Explanation Next steps Suspend before Alert The SG reading is • Select OK to clear the alert. falling. Insulin • Check BG. If necessary, treat BG delivery is as directed by a healthcare Delivery stopped. suspended professional.
SmartGuard feature alerts and messages The following table lists the most common or serious alerts and messages related to the SmartGuard feature. The table also explains the meaning, consequences, and the reasons why these notifications appear, and provides any necessary steps for problem resolution.
Title and text Type Explanation Next steps SmartGuard exit Alert The pump has • Enter a BG meter reading to exited the calibrate the sensor. Insulin delivery is SmartGuard • Manually resume basal insulin still suspended. feature because: delivery, when appropriate. •...
Title and text Type Explanation Next steps Enter BG now Alert SmartGuard has • Select OK to clear the alert. been delivering • Enter a BG meter reading to SmartGuard has at the maximum return to Auto Basal. been at SmartGuard basal maximum •...
Title and text Type Explanation Next steps Enter BG now Alert The SmartGuard • Select OK to clear the alert. feature has • Enter a BG meter reading to SmartGuard has reached the time return to Auto Basal. reached the time limit for limit for •...
Title and text Type Explanation Next steps Enter BG now Alert SmartGuard has • Select OK to clear the alert. reached the time • Enter a BG meter reading. SmartGuard has limit for reached the time • Follow instructions from a minimum limit for healthcare professional and...
CareLink software. The table also explains the meaning, consequences, and the reasons why these notifications appear, and provides steps for problem resolution. If an alarm, alert, or message occurs that is not listed, select OK to clear the notification and contact a local Medtronic support representative. Title and text Type...
• If problem still persists or if there Data will not be download may is no progress in download, call a affected. take longer than local Medtronic support usual. Select OK representative for assistance. to continue. See User Guide. List of alarms, alerts, and messages...
• Enter BG now • Transmitter battery depleted The MiniMed 780G insulin pump plays a siren if the alert is not cleared within ten minutes. Before ten minutes, the pump beeps, vibrates, or both, depending on the sound and vibration settings.
Minutes Sound Vibration Sound and vibration Beep Vibrate Beep and vibrate Beep and vibrate Sound and vibrate Beep and vibrate Siren and vibrate Siren and vibrate Siren and vibrate Note: The Medical device alarm plays a siren when this screen appears. Altitude range •...
Basal pattern names Fixed names: Basal 1, Basal 2, Basal 3, Basal 4, Basal 5, Workday, Day Off, Sick Day Increments • 0.025 units per hour for basal amounts in the range 0 to 0.975 units • 0.05 units per hour for basal amounts in the range 1 to 9.95 units •...
Item Default Limits Maximum Increments available segments Carb units grams Insulin to carb None 1–200 g/u 0.1 g/u for 1–9.9 g/u; ratio 1 g/u for ratios of 10 g/u to 200 g/u Insulin Sensitivity None 0.28–22.2 0.06 mmol/L Factor* mmol/L BG Target* None 3.3–13.9...
Carb grams ÷ Carb ratio = Units of insulin Correction estimate: (Current BG - High BG Target) ÷ Insulin sensitivity - Active insulin = Units of insulin Total bolus estimate: Food estimate + Correction estimate = Units of insulin If the current BG is less than the Low BG Target, the Bolus Wizard feature adds the BG correction estimate to the food estimate to get the total bolus estimate.
Note: When the current BG reading is below the Low BG Target, an active insulin amount is not considered in the Bolus Wizard feature calculations. Total bolus estimate = Food estimate If no BG reading is entered, the total bolus estimate is based only on the food estimate.
Active Insulin Curve 100% 8 Hour 7 Hour 6 Hour 5 Hour 4 Hour 3 Hour 2 Hour Time (hours) Graph adapted from Mudaliar and colleagues, Diabetes Care, Volume 22, Number 9, Sept. 1999, page 1501. Carb ratios Maximum ratio settings Range 1 to 200 grams/unit Delivery accuracy...
• During delivery, the maximum infusion pressure generated and the occlusion threshold pressure using a 3.0-mL reservoir is 90.67 kPa (13.15 psi). The average resulting bolus volume generated upon clearing the occlusion is 0.0112 mL (equivalent to 1.12 units of U-100 insulin). •...
0.1 to 2 units per increment up to Max bolus limit Environmental conditions The MiniMed 780G system is designed to withstand most conditions encountered in daily life. For more details about environmental conditions, such as exposure to magnetic fields and radiation, waterproof capabilities, and extreme temperatures, see User safety, on page 5.
• The standard fill rate is 1.5 units per minute. The quick fill rate is 15 units per minute. • When filling the tubing, a warning occurs at 30 units. A second warning occurs at 40 units indicating that the pump must be rewound. •...
Basal settings Item Default setting Limits Increments Max Basal Rate 2 U/h 0–35 U/h 0.025 U for 0.025–0.975 U/h 0.05 U for 1.00–9.95 U/h 0.1 U for rates of 10.0 U/h or more Basal Rate 0.000 U/h 0.000 U/h to Max 0.025 U for basal rate setting 0.025–0.975 U/h...
Normal bolus Range is 0.025 to 25 units of insulin, and limited by the Max bolus setting. Occlusion detection When occlusion is detected, the Insulin flow blocked alarm occurs. The occlusion alarm is triggered by an average of 2.23 units of missed insulin (standard bolus) or 1.97 units of missed insulin (quick bolus).
Pump dimensions The pump dimensions in centimeters are no greater than 9.68 length x 5.36 width x 2.49 depth. The pump dimensions in inches are no greater than 3.81 length x 2.18 width x 1.01 depth. Pump memory User settings and pump history are stored in pump memory. The pump keeps 90 days of history for review.
High sensor settings Item Default Limits Increments setting Rise Limit Two up • 1 up arrow arrows (0.056 mmol/L/min) • 2 up arrows (0.111 mmol/L/min) • 3 up arrows (0.167 mmol/L/min) • Custom limit (0.050 to 0.275 mmol/L/min) High Snooze 1 hour 5 minutes to 3 hours 5 minutes...
The SmartGuard feature settings Item Default Limits Increments setting SmartGuard Target 5.5 mmol/L 5.5 to 6.7 mmol/L 0.6 mmol/L Auto Correction 6.7 mmol/L Temp Target 8.3 mmol/L Temp Target 2 hours 30 minutes to 24 hours 30 minutes Duration Sound frequency The following table lists audible tones that the pump emits, and their corresponding frequencies: Tone name...
RF transmitter that is causing the interference. IEC60601-1-2:4th Edition; 22.214.171.124 The MiniMed 780G system should not be used adjacent to other electrical equipment. If adjacent use becomes necessary, the MiniMed 780G system should be observed to confirm normal system operation.
Guidance and Manufacturer's Declaration - Electromagnetic Emissions The MiniMed 780G insulin pump is intended for use in the electromagnetic environment specified below. Make sure that the MiniMed 780G insulin pump is used in such an environment. Emissions Test Compliance Electromagnetic Environment -...
Guidance and Manufacturer's Declaration - Electromagnetic Immunity The MiniMed 780G insulin pump is intended for use in the electromagnetic environment specified below. Make sure that the MiniMed 780G insulin pump is used in such an environment. Immunity Test IEC 60601 Test...
Guidance and Manufacturer's Declaration - Electromagnetic Immunity Voltage dips, short 0% U ; 0.5 cycle Not applicable Requirement does not interruptions, and apply to this battery (at 0°, 45°, 90°, voltage variations on powered device. 135°, 180°, 225°, power supply lines 270°, and 315°) IEC 61000-4-11 0% U...
Guidance and Manufacturer's Declaration - Electromagnetic Immunity The MiniMed 780G insulin pump is intended for use in the electromagnetic environment specified below. The customer or user of the MiniMed 780G insulin pump should assure that it is used in such an electromagnetic environment.
Wireless communication The MiniMed 780G insulin pump communicates using smart device connectivity. Operating frequency/ 2.4 GHz band, GFSK Modulation type(s) Effective radiated power (ERP) 1.48 mW (1.69 dBm) Effective isotropic radiated 2.42 mW (3.83 dBm) power (EIRP) Open Source Software disclosure This document identifies the Open Source Software that may be separately called, executed, linked, affiliated, or otherwise utilized by this product.
Icon table Follow instructions for use Manufacturer Date of manufacture Use by One per container/package Recycle: Electronic Equipment Catalogue number Serial number Configuration or unique version identifier Storage temperature range Storage humidity range Magnetic Resonance (MR) Unsafe: keep away from magnetic resonance imaging (MRI) equipment Type BF Device (protection from electrical shock) Identification number for global radio frequency certification...
Glossary active insulin Bolus insulin delivered by the insulin pump that continues to lower BG levels. active insulin time A Bolus Wizard setting used to indicate length of time that bolus insulin is tracked as active insulin. activity guard An attachment that secures the reservoir during activity or when the insulin pump is worn by a child.
Auto correction A correction bolus automatically delivered by the MiniMed 780G system to maximize time in range. Auto correction only occurs when using the SmartGuard feature. auto suspend A feature that suspends insulin delivery and triggers an alarm if no buttons are pressed for the specified period of time.
bolus speed The delivery speed for bolus insulin. Bolus Wizard feature A feature that uses individual Bolus Wizard settings to calculate an estimated bolus amount based on the BG value and the entered carbs. These settings include carb ratio, insulin sensitivity factor, BG target range, and active insulin time.
Dual Wave bolus A type of bolus that provides a dose of insulin delivered as a combination of a normal bolus followed by a Square Wave bolus. Easy bolus A feature that delivers a normal bolus in preset increments using only sound or vibrate confirmation. The acronym for electromagnetic compatibility.
Max bolus The maximum bolus amount that can be delivered in one dose. meter A term for any BG meter. missed meal bolus A reminder when a bolus is not delivered during the reminder specified time period, which is often around meal times. The acronym for magnetic resonance imaging.
rewind A feature that returns the piston to its start position to place a new reservoir into the insulin pump. The acronym for radio frequency. rise alert An alert that occurs if the SG reading is rising rapidly. sensitivity For more information, see insulin sensitivity factor. sensor (glucose sensor) The small part of the CGM system that is inserted just below the skin to measure glucose levels in the...
Suspend on low A feature that suspends insulin delivery when the SG reading reaches or falls below the low limit. The acronym for total daily dose. temp basal rate (temporary A feature that temporarily increases or decreases the basal rate) current basal rate for the specified duration of time.
Index notification light 178 Power error detected 245 accessories 22 Power loss 245 active insulin pump 233 about 61 Pump error 246, 247 clearing 154 Pump restarted 248 viewing amount 33 red icon 178 Active Insulin cleared alert 234 Replace battery now 248 Active Insulin Time Rewind required 250 about 61...
alerts areas, for inserting infusion set 84 about 176, 178 audio Active Insulin cleared 234 settings 41 Alert before high 252 silencing 122 Alert before low 252 Auto Basal 128 Alert on high 252 Auto Correction Alert on low 252 about 129 audio options 178 setting up 131...