GETTING STARTED WITH

THE MINIMED™ 640G SYSTEM

 TABLE OF CONTENTS I
INTRODUCTION MINIMED CARE

INTRODUCING THE MINIMED 640G SYSTEM

MiniMed Care ................................................................................................................................................ 3
Welcome ................................................................................................................................................ 4
The Delivery of Insulin................................................................................................................................... 7
Menu Map ................................................................................................................................................ 8 REGISTER TODAY
GETTING STARTED WITH THE MINIMED 640G INSULIN PUMP
SECTION 1: Pump Basics.....................................................................................................................10
At Medtronic we aim to develop new and innovative
SECTION 2: Home Screen...................................................................................................................12
products to help improve the lives of people with diabetes.
SECTION 3: Basal Patterns..................................................................................................................14
We are also committed to providing our patients with
SECTION 4: Giving Boluses..................................................................................................................18
ongoing personalised support and education to help them
SECTION 5: Contour® Next LINK 2.4 Meter.....................................................................................22
make the most of their diabetes management whilst being
SECTION 6: Infusion Set & Reservoir (changing the Mio™ Infusion Set)................................25 on pump therapy and continuous glucose monitoring.
SECTION 7: Alerts and Alarms............................................................................................................32
SECTION 8: Suspend Delivery.............................................................................................................34

GETTING STARTED WITH CONTINUOUS GLUCOSE MONITORING Register now for My MiniMed Care for personalised support and
education including:
SECTION 9: Introduction to Continuous Glucose Monitoring....................................................35
SECTION 10: Sensor Glucose (SG) and Blood Glucose (BG)........................................................36 Quarterly newsletters with useful tips and tricks,
SECTION11: Trends.................................................................................................................................37 testimonials and ongoing support
SECTION 12: Personalised Alerts.........................................................................................................38 Access to online personalised practical tools such as ordering
SECTION 13: Reading the Sensor Display..........................................................................................48
belt clip replacements
SECTION 14: Connecting your Pump and Transmitter...................................................................50
SECTION 15: Inserting and Starting the Sensor...............................................................................52
Online seminars and education
SECTION 16: Calibrating.........................................................................................................................58
SECTION 17: Other Sensor Alerts.......................................................................................................62
And come back soon to benefit from our constantly
expanding servicescontent for pump users
APPENDIX
Charging and storing your transmitter...................................................................................................63
CareLink™ Personal Therapy Management Software.......................................................................64
Register for My MiniMed Care today at
X-Rays and Traveling By Air........................................................................................................................65
www.medtronic-diabetes.co.uk/minimedcare/registration
SmartGuard™ Suspend by Sensor Features........................................................................................66

2 3
 INTRODUCTION WELCOME I I
INTRODUCTION MINIMED CARE

MINIMED 640G SYSTEM GETTING STARTED WITH THE MINIMED 640G SYSTEM

Welcome! We are glad that you have chosen insulin pump therapy and are excited
for you to begin using your MiniMed 640G.
The MiniMed 640G system features innovative technology to more closely mimic
the way a healthy pancreas delivers basal insulin to the body and help you achieve
better glucose control. The MiniMed 640G system has been designed to provide
you with:
Advanced protection from dangerous high and lows
INSULIN CONTINUOUS  Personalised convenience to help you manage daily
DELIVERY GLUCOSE diabetes tasks
Medtronic offers a wide MONITORING
range of infusion sets so With our most responsive The MiniMed 640G insulin pump also has a new, improved
that you can choose the sensor system yet, you can design for consistent ease of use. DID YOU KNOW?
right infusion set for your continuously monitor your A complete
comfort and safety. glucose levels with superior Whether you are just starting pump therapy or upgrading from explanation of the
comfort* and accuracy**. a previous pump model, this guide provides you step-by-step technical and
instructions on the basic operation and programming of your operational aspects
MiniMed 640G system, including Continuous Glucose of your pump can be
found in the
Monitoring.
MiniMed 640G
During your in-person training, your trainer will build on this System User Guide.
information and help ensure you are confident to begin using
your MiniMed 640G.
We hope you enjoy learning about your new insulin pump.

THERAPY BLOOD
MANAGEMENT GLUCOSE Information contained herein does not replace the recommendations of your
TOOLS TESTING healthcare professional.
Upload your pump to CareLinkTM to With the accurate1
conveniently track your glucose Contour™Next LINK 2.4 Please refer to the User Guide and your HCP for more information.
control and remotely share this meter you can wirelessly
information with your send blood glucose results
When using an insulin pump, check your blood glucose minimum 4 times a day.
healthcare professional. to your MiniMed 640G and
deliver an insulin bolus
www.medtronicdiabetes.com/carelink discretely.
IMPORTANT: Do NOT attach the insulin pump to your body or attempt to use
insulin in your pump as you use this guide to practice and learn.
Attaching and using must only be done when you receive formal training with
your healthcare professional or a certified product trainer.
*The size of the new generation Enlite sensor has been reduced by 80%.
**When combined with the MiniMed 640G system and Guardian 2 Link transmitter. Enlite Sensor Performance addendum to user guide. 1) Section
8 clinical study. Data on file. Ascensia Diabetes Care.

4 5
 I
INTRODUCTION THE DELIVERY OF INSULIN

THE DELIVERY OF INSULIN

1

3 5

4 2

INFUSION SET*

1 Tubing: carries insulin from the pump to you

2 Reservoir Connector: end of the tubing that RESERVOIR
attaches the reservoir which holds the insulin

3 Insertion Site Section: other end of the
tubing that attaches to you

4 Cannula: tiny flexible tube placed into your 6
body** by the insertion needle included in
the insertion site section

5 Adhesive: holds the infusion set in place

6 Reservoir Compartment: part of the pump
where the reservoir fits

LET’S GET This document does not replace the Instructions for
Use. For a listing of indications, contraindications, You should replace both the infusion set and the res-
STARTED! precautions, warnings, and potential adverse events,
please refer to the Instructions for Use.
ervoir every 2 to 3 days.

*Mio® infusion set shown in illustration.

**Some infusion sets do not use a cannula but have a small

needle that remains inserted in the body. PUMP

6 7
 I
INTRODUCTION MENU MAP I
INTRODUCTION MENU MAP

MENU MAP
Suspend Delivery Audio Options History
Audio Summary
Audio & Vibrate Daily History
Vibrate Alarm History
Volume Sensor Glucose Review*
ISIG History*

Suspend Delivery

Audio Options
History Reservoir & Tubing Insulin Settings Sensor Settings
Reservoir & Tubing New Reservoir Bolus Wizard Setup Sensor
Fill Cannula Basal Pattern Setup Sensor Connections*
Press Insulin Settings
Preset Temp Setup Alert Silence*
Sensor Settings
Preset Bolus Setup High Settings*
Event Markers
Dual/Square Wave Low Settings*
Reminders Bolus Increment Calibrate Sensor*
Utilities Max Basal/Bolus Auto Calibration*
Easy Bolus
Auto Suspend
Bolus Speed
Home Screen

Event Markers Reminders Utilities

NAVIGATION BG Personal Airplane Mode

Injections Bolus BG Check Display Options

Food Missed Meal Bolus Time & Date

Press from any screen to open the Menu.
Exercise Low Reservoir Remote Bolus
Press and to scroll through the menu items. Set Change Block
Other
Press on the desired menu item to open. Calibration* Self Test
The scroll bar appears on menus to indicate when additional text is available. Carb Unit
Press to scroll down to view additional items. Manage Settings
Press to scroll back up. Sensor Demo
Press to go to previous screen. Hold to return to the Home screen. Device Options
Language
*Only available when Sensor feature is on.

8 9
 I
INSULIN PUMP PUMP BASICS I
INSULIN PUMP PUMP BASICS

SECTION 1: PUMP BASICS

Before inserting the battery or pressing any buttons, let’s take a closer look at your pump. INSERTING THE BATTERY

Your insulin pump is powered by a AA battery. A lithium, alkaline, or rechargeable AA

THE FRONT OF YOUR PUMP battery can be used. The battery you place into your pump should always be new or
fully charged.

Up, Down, Left, and Right To insert the battery and get started, you will need:
The battery cap found with the pump
Press to scroll up or down through a The belt clip found with the accessories
menu or list The AA battery found with the accessories
Up
Press to move to desired area on the
screen Back Menu 1 2
Press to change the value in an area Notification
Right
Light
Select
Left
Back
Press to return to a previous screen
Press and hold to return to the
starting screen, called the Home Down Place the battery Place the battery cap onto the pump.
screen into the battery Use the edge of the belt clip to turn the cap to the
compartment with the right (clockwise) and tighten until the slot
negative (flat) end is horizontal to the pump. See image below.
Select THE BOTTOM AND BACK OF going in first.
Press to select or confirm a value YOUR PUMP
or menu option that is highlighted
Press when directions say ‘select ’
NOTE: Do not undertighten or try to overtighten
Medtronic the battery cap. It should be aligned horizontally
Menu Diabetes with the pump case as shown here.
HelpLine

Press to get to the Menu Telephone
Number

Press and hold to put pump into sleep
mode
Once the battery is inserted, the pump will power on
Notification Light Pump Serial and the Startup Wizard will begin. You will need to follow it
and Model Number step-by-step to set up your language, time format, time
Flashes when an Alert or an Alarm is
occurring You may need and date.
to provide this
information if you
call for assistance.

10 11
 I
INSULIN PUMP HOME SCREEN I
INSULIN PUMP HOME SCREEN

SECTION 2: HOME SCREEN STATUS BAR

The Home Screen will be your starting place to access all features in the pump. The Status Bar displays the following icons so you can
quickly view important information.
Status bar: provides Current time Battery icon: Shows the level of charge your battery has. As the
a quick look at the battery charge decreases, the icon will become less full and change
BG reading: displays to yellow and then red.
pump’s status
a BG taken in the last
12 minutes  eservoir icon: Shows the approximate amount of insulin left in your
R
reservoir. As insulin is used, the icon will become less full and change
Bolus: gives you Active insulin: displays
to yellow and then red.
access to the bolus any insulin still active
delivery screen and from a previous bolus Audio icon: Shows the audio mode you are using: audio , vibrate
other bolus insulin
Basal: gives you access or audio and vibrate .
options
to basal insulin options

NOTE: If you are using a 1.8mL insulin reservoir,

the range of reservoir icons will start with the
BACKLIGHT second green icon.

When you are not pressing buttons on your pump, you will notice that the Backlight will If starting with a full 1.8mL reservoir and using
the minimum amount of insulin recommended
soon turn off. The pump is still on; it is just saving battery life. You can simply press any to fill the shortest tubing (45 cm) and a steel
button to make the screen reappear. cannula, the pump will display the second
Not displayed with a
1.8mL reservoir
green (not full) reservoir icon after the
reservoir and infusion set change is complete.

UNLOCKING THE PUMP

After the Backlight has been off for a few minutes, the STATUS SCREENS
pump goes into Sleep mode and the pump is locked.
When you begin using your pump again, you will see There will be times when you need additional status information such as the number
a screen like the one shown here when you leave the of insulin units left in your reservoir, the last BG entered or your current basal rate.
Home screen. You will need to press the arrow key that
is highlighted to unlock the pump. This confirms you To access the Status
are reading the screen and the button presses are not
Screens, press to
accidental.
highlight the Status Bar
If the wrong key is pressed, you will see the screen here. and press .
Select OK to return to the Home screen and try again.

You can press and hold if you wish to put the pump
into Sleep mode and keep it locked when you are not REMEMBER: You can go back to the previous screen by pressing .
using it. Doing this can also help save battery life.

12 13
 I
INSULIN PUMP BASAL PATTERNS I
INSULIN PUMP BASAL PATTERNS

SECTION 3: BASAL PATTERNS SETTING MULTIPLE BASAL RATES

Basal insulin is delivered throughout the day and night to cover insulin
needs between meals and during the night. 1 2

The pump supplies basal insulin by Basal insulin amounts must be

delivering small amounts of short-acting programmed into your pump. This is
insulin throughout each hour, every done by setting a basal pattern. A basal
hour of the day and night. This allows for pattern consists of one or more basal
insulin to be increased and decreased to rates being delivered over the course of From the Home screen, Select Basal 1 > Options > Edit.
adjust for your body’s needs. 24 hours. select Basal > Insulin
Settings > Basal Pattern
Setup.

BASAL PATTERNS SET UP - MULTIPLE BASAL RATES

It is likely when you start on pump therapy, that you will need more than one basal rate 3 4
throughout the day and night to meet your body’s insulin needs.
For example, a Basal Pattern may look like this:

Press on the time Press to change End time

1.000 segment. The End time to 03:00 and press .
03:00 – 08:00
00:00 – 03:00
0.800 U/hr 08:00-15:00
15:00-19:00
19:00-24:00 will be flashing.
0.700 U/hr
U/hr

0.500 0.650 U/hr

0.550 U/hr 0.600 U/hr

00:00 06:00 12:00 18:00 24:00

24 Hours 5 You can see you are
automatically asked to enter the
In this example, the basal pattern includes 5 different basal rates over 24 hours. end time of the second basal
rate. This basal rate will need to
end at 8:00 and will need to be
changed to 0.800 U/hr.
Press to 0.700 U/hr and press .
NOTE: The basal rates shown are for illustration purposes only
– your basal settings will be different. Continued on next page

14 15
 I
INSULIN PUMP BASAL PATTERNS I
INSULIN PUMP BASAL PATTERNS

6 7 SET TEMP BASAL RATE

1 2 Press to 3
set duration
and press .

 hange End time to 08:00 and

C Repeat steps 3 to 6 to enter the 3 next
basal rate to 0.800 U/hr using time segments and basal rates. For the
and press .You can now enter last time segment, you will need to enter From the Home screen, Select Next.
the next end time. 24:00 as the end time to complete the select Basal > Temp Basal.
full 24 hours.

4 5 Press or to 6
8 Select Done. 9 Verify that Basal 1 is entered correctly.
enter the percent
Press to view all basal rates.
of current basal rate
desired .

10 11 If changes need to be 12 Select

This basal Select Percent. Select Begin.
pattern made: Press . Save.
delivers
15.85 U
Press and press . Note: If you choose to use Rate, select Type,
and you can then enter the U/hr desired.
over 24 Repeat steps 7 to 9.
hours.

NOTE: The Home screen reads Basal (T) since you have a Temp Basal active. Select
Basal (T) to review the details of the active Temp Basal. When the Temp Basal is
If NO changes need to be complete, the basal will automatically return to the regularly programmed basal rate.
made: Select Save.

CANCEL TEMP BASAL RATE

TEMPORARY (TEMP) BASAL RATE
If you ever set a Temp Basal and decide you do not need it, it can be canceled.

This feature lets you immediately A Temp Basal can be set in either 1 2 Note: Basal rate
increase or decrease your basal insulin Percent (delivers a percent of the has now returned
for the period of time (duration) that you current basal rate) or by Rate (delivers to the currently
programmed
set. It is the easiest way to immediately the amount that you enter).
rate.
adapt your basal rate according to your
daily life and is often used for exercise
and sick days.
From the Home screen, Select Cancel Temp Basal.
select Basal (T).

16 17
 I
INSULIN PUMP GIVING BOLUSES I
INSULIN PUMP GIVING BOLUSES

SECTION 4: GIVING BOLUSES

3  ollow the instructions to program the following settings: Carb Ratio, Insulin
F
A bolus is given to cover food that contains carbohydrate and/or to correct glucose Sensitivity Factor (Sensitivity), BG Target and Active Insulin Time. Each
levels that are above your target range. setting will include a short description: you need to select Next and enter
the requested data.

BOLUS WIZARD

Calculating how much bolus insulin to Once you do this, the Bolus Wizard uses
give can be challenging. When using the individual settings provided by your Carb Ratio Insulin Sensitivity BG Target Active Insulin Time
the Bolus Wizard, all you will need to do health care professional to estimate Factor
is enter your current BG reading along your bolus amount. Because these
with the amount of carbs you are about settings are specific to you, you can use
to eat. it to calculate the precise amount of 4
Select Save. THE BOLUS WIZARD SETUP IS NOW COMPLETE.
bolus insulin you need for your food and
BG. This can help you better control your
glucose levels.

NOTE: Before using the Bolus Wizard, you need to program your individual settings USING THE BOLUS WIZARD
with the help of your health care professional.
Here you can see the Bolus Wizard calculation screen and a short description of the
steps below:
TURNING THE BOLUS WIZARD ON AND SETUP If you have tested your glucose using your compatible Ascensia
meter, the BG and correction dose will already be showing.

1 2

From the Menu, select Press to continue reading text and select Next.
Insulin Settings > Bolus You will first test and enter You will then enter grams of The pump displays estimated
your current BG. carbohydrates to be eaten. amount of insulin to be
Wizard Setup > Bolus delivered.
Wizard.

NOTE: The boluses shown are for illustration purposes only – your settings and bolus
results will be different.

18 19
 I
INSULIN PUMP GIVING BOLUSES I
INSULIN PUMP GIVING BOLUSES

GIVING A MANUAL BOLUS STOPPING A BOLUS

When giving a manual bolus, you simply enter the amount of bolus insulin that you To stop a bolus while it is delivering:
think you need for the carbohydrates you are eating, or to lower your BG if it is high.
1 2

1 2
From the Home screen,
select Bolus.

From the Home screen, Press and select Yes.

select Stop Bolus.
Press to 1.0 u and press .

3
The Bolus Stopped
3 4 screen will show you
how much of the bolus
insulin was delivered
before it was actually
stopped.

Select Done.
Select Deliver Bolus.  onfirmation that Bolus has
C
started will appear.

CHECKING LAST BOLUS CHECKING BOLUS HISTORY

The Home Once the bolus There may be times when you need to You may also want to review the
screen will has finished last several boluses that were
show the
see the time or amount of the last bolus
delivering, the
amount pump will return that was given. You can see the last bolus delivered. You can see the last
as it is being to the normal delivered in the Quick Status screen. several boluses delivered in Daily
delivered. Home screen.
From the Home screen, select the Status History. Press Menu button >
Bar > Quick Status (see page 13). History > Daily History.
Notice that Stop Bolus also
now appears.
The (N) behind the Last
Notice there is Active Insulin now displayed. Active insulin is insulin
bolus amount means
from boluses that are still working to lower your blood glucose level the bolus was delivered
and/or to cover your carbohydrate intake that is still not absorbed. as a normal bolus. There
Each time you give a bolus, it is added to the active insulin amount. are additional ways to
As time passes, the amount will decrease. You will learn more about give a bolus which you
active insulin during your training. will learn about later.

20 21
 I
INSULIN PUMP Contour® Next LINK 2.4 METER I
INSULIN PUMP Contour® Next LINK 2.4 METER

SECTION 5: Contour® Next LINK 2.4 METER CONNECTING YOUR PUMP AND METER
The Contour Next LINK 2.4 meter from Wirelessly send glucose readings to
Ascensia is the only blood glucose meter your pump You will connect your pump and meter at your in-person training. For more
able to communicate wirelessly with your Deliver a bolus remotely information on using your meter, see the User Guide found in the meter box.
MiniMed 640G insulin pump. Upload your pump data to CareLink™
With the Contour Next LINK 2.4 meter, Personal 1 CONNECT TO PUMP 2 CONNECT TO PUMP
you can: Connect to a OK Select "Connect OK
Review the parts of your meter here: MiniMed Pump? Device" on your Pump.
Skip Go Back
Press OK when asked Press OK.
Connect to a MiniMed Pump?
Contour Next LINK 2.4 METER

Menu and Power Button USB Connector 3 4

Press Auto Connect. Press on your pump.
10:24 l 11.10

5.2
mmol Bolus
Test Strip Port* L
Reminder
Protective USB Cap
Notes
and Port Light Before Meal CONNECT TO PUMP Put the meter
Manual Connect down and pick up
Auto Connect
your pump.
Display Screen Selection/Scrolling Buttons

5 6
CHARGING YOUR METER Select Utilities. Select Device Options.

Your meter has a permanent rechargeable battery. It is important that the meter be
7 8
charged prior to your in-person training. To charge your meter:

1. Plug the USB connector into a computer.**

The computer must be ON and not in sleep,
hibernate or power save mode.
2. The meter will briefly display Do Not Test-
Select Connect Device. Select Auto Connect.
charging and the test strip port light will flash.
You cannot do a blood glucose test while the
battery is charging. 9 10
3. When charging is complete, the test strip port
light will turn off. You can then unplug your meter.
* The Contour Next Link 2.4 meter only works with Contour® Next glucose testing strips.
** If you would prefer not to charge your meter using your computer, you can purchase a
compatible outlet charger by calling Ascensia Customer Service.

Press . Select Continue.

22 Place the meter and pump next to each other. 23

 I
INSULIN PUMP Contour® Next LINK 2.4 METER I
INSULIN PUMP INFUSION SET AND RESERVOIR

11 12 CONNECT TO PUMP SECTION 6: INFUSION SET AND RESERVOIR

Select “Search” on
Your Pump and meter. Search
Cancel
The following is a step-by-step guide to changing the Mio® Infusion set.

Select Search on your meter.

The search may take up to 2 minutes. START HERE:
Select Search on your pump.

13 Check to see that the 14 1 2 3

Device SN (serial number)
CONNECT TO PUMP
on the pump screen
Use Pump to confirm
matches the Device SN Device SN:
BGJ133333F
on the meter.

Wash your hands. Select Reservoir & Tubing. Select New Reservoir.
I f they match, select Confirm
Press .
on the pump.

15 Check to see that the SN 16

on the back of the pump 4 5
matches the SN now on PUMP CONNECTED
MiniMed Pump
the meter screen. connected:
AA1234567B
Next
Delete

Select Next on the meter.

Remove the infusion set you have been Remove the used reservoir from the pump.
using by loosening the adhesive and pulling
UPLOADING YOUR PUMP TO CARELINK™ PERSONAL away from body.

CareLink Personal software is a web- To upload information from your pump

based program that is provided free to CareLink Personal, you will use the 6
of charge. This software allows you to Contour Next LINK 2.4 meter as the
upload the data from your pump and communication device from the pump
glucose meter and review it on easy- to your computer, through the USB
to-read reports. This enables you to connector of the meter.
conveniently track your glucose control
To set up your CareLink Personal account,
and remotely share this information with Select Rewind.
go to
your healthcare professional. Continued on next page
www.medtronicdiabetes.com/carelink

24 25
 I
INSULIN PUMP INFUSION SET AND RESERVOIR I
INSULIN PUMP INFUSION SET AND RESERVOIR

1 Plunger 2 1
FILL RESERVOIR & rod CONNECT
CONNECT TO THE Reservoir
RESERVOIR TO
INFUSION SET INFUSION SET
TUBING Transfer Plunger
guard You will place the
Follow the next reservoir connector
steps to fill onto the end of the Remove the infusion set from packaging by pulling down the red
reservoir with Remove from package. Make Pull plunger down to the infusion set to the plastic tab. With one hand press the three raised markings on
insulin and connect sure insulin vial is at room amount that you plan to fill filled reservoir. the sides of the lid. Free tubing from slot. Gently unwind tubing in
to the infusion set temperature to reduce the with insulin. counter clockwise direction.
tubing. risk of air bubbles.

Transfer guard Plunger Insulin vial Plunger Connector

3 4 5 2 3 4

Insulin vial

Wipe vial with alcohol. Push and hold plunger With your thumb still on Gently push connector If you see air bubbles, tap Twist plunger counter-
Place vial on table. down. the plunger, flip over so onto reservoir. Turn clock- reservoir to move them to clockwise to loosen and
Firmly press the blue vial is on top. Release wise until locked. You will top. Push plunger just a bit remove.
transfer guard onto vial. thumb and pull plunger hear a click. to move them into tubing.
down to fill with insulin.
IMPORTANT: Do not touch
the top of the reservoir before
Reservoir
connecting it to the infusion
6 7 8 set. Please make sure that the
connector and the top of the
reservoir are dry.

Tap the reservoir to move air If needed, pull plunger To avoid getting insulin on THE BACKLIGHT
bubbles to top of reservoir. back down to amount top of the reservoir, turn MAY HAVE
Push plunger up to move air of insulin needed for vial over so it is upright. TURNED OFF
into vial. 2-3 days. Hold transfer guard and Press any button
turn reservoir counter- to turn the screen
clockwise and remove back on
Select Load Reservoir Select Next.
from transfer guard.
and unlock the pump if
necessary.
IMPORTANT: If insulin or any other liquid gets inside the tubing connector, it can temporarily
block the vents that allow the pump to properly fill the infusion set. This may result in the Continued on next page
delivery of too little or too much insulin, which could cause hypoglycemia or hyperglycemia.

26 27
 I
INSULIN PUMP INFUSION SET AND RESERVOIR I
INSULIN PUMP INFUSION SET AND RESERVOIR

1 2 1
PLACE INSERTING THE
RESERVOIR INFUSION SET
INTO PUMP Next, follow the
Now place the steps to insert the
filled reservoir infusion set into
into the reservoir your body.
compartment of Place reservoir into pump. Next, follow the steps to insert the infusion set into Gently
6.1 Gentlypeel paper
peel paper to to 6.2 Turn over and hold 6.3
expose adhesive. by the lined ridges on
the pump. expose adhesive. the sides.

3 4

2 3 4

Turn clockwise, until you feel Select Next.

reservoir lock into place.
6.6 Choose an insertion site from the shaded areas 6.7 Place against prepared site on body. Press the 6
Turn over and hold With
shown other
here. hand
Wipe with alcoholpull up antiseptic.
or other Carefully
round hold
indentations on needle
each side ofguard
serter to
Next, follow the steps toNext, follow
insert the steps
the infusion settointo
Next, insert
followthe
theinfusion
6.1steps toset
Gently into
insert
peel 6.1 Gently
the infusion
paper to 6.2
peelTurn
set into 6.1
paper toGently
over 6.2
peel
and hold paper 6.3and
Turntoover With 6.2
hold Turn
other 6.3hold
overpull
hand and With other hand6.3
6.4 Carefully pull Withneedle
hold other6.4 6.5
Carefully
hand pull insert
Placehold needle.
needle
tubing slot6.5 Place
6.4inCarefully tubing in 6.5
hold needle slot Place tubing in slo
expose adhesive. by the lined
expose adhesive. ridges
expose
by the lined on by the linedup
adhesive.
ridges ridges on
on centre
by theoflined
on center of
up on
serterridges serter
oncenter until
of serter
guard by tip.
up on it guard
To center of serterby by
tip. tip.
To
on side of serter.To remove
guard by on
tip.side it, gently
To of serter. on side of serter.
remove it,until
gently remove it, gently remove it, gently
on the sides.
the sides. the sides. until it clicks andinto
the
clickssides.
and locks locks
until it clicksinto place.
and
place.turn needle
locks it
guard
clicks and locks turn needle guard & pull
& turn needle guard &turn needle guard &
into place. into place.
Next, follow the steps to insert the infusion
pull away to exposeset into
pull away to 6.1
away topull
expose
Gently expose
peel
awaypaper needle.
to
to expose 6.2 Turn over an
1 2 needle. needle. needle.
expose adhesive. by the lined
LOAD the sides.
RESERVOIR AND
FILL TUBING
Follow these 5 6
steps to load the
reservoir and fill
the tubing. Select Load and keep When you see this screen,
holding . select Next.
6.6 Choose an insertion6.6
siteChoose
from the 6.6areas
anshaded
insertion site from
Choose 6.7shaded
anthe
insertion areas
Placesite
against 6.7 Place
fromprepared
the shaded onagainst
siteareas 6.7 the
body. prepared
Press site
Place against 6.8Press
on body. Push the
prepared site
down onon
body. 6.8 Push
center
Press 6.9center
the down on 6.8
To remove
Push down
serter, 6.9 To6.10
on hold
center remove
Place lid 6.9
serter, hold
back 6.10 Place
Toonto
remove serter,lid back 6.10
hold onto Place lid
shown here. Wipe withshown
alcoholhere. Wipe
or other with alcohol
here.orWipe
antiseptic.
shown other
round antiseptic.
with
indentations round
alcohol or other
on each indentations
antiseptic.
side on each
of serter toround side of serter
indentationsofon to
serter
eachtoside of serter of
press to serter to presstheofcenter
serterhandle
to pressand the center handle
serter and
the center serter
to safely handletoandsafely serter to
insert needle. insert needle. insert needle. adhesive against skin. adhesive againstgently skin.
adhesive
pull itagainst gently pull
straightskin. it straight
discard gently pulldiscard
needle. needle.
it straight discard n
Drops at out away from body. out away from body.out away from body.
3 end of
4 Place tubing in slot on Press adhesive securelyPress adhesive securely
Choose an insertion site from Press adhesive securely
against skin. against skin. against skin.
Next, follow the steps to insert the infusion set into 6.1 Gently peel paper to 6.2 Turn over and hold 6.3 With other hand pull 6.4 Carefully hold needle 6.5 Place tubing in slot
expose adhesive.
tubing
by the lined ridges on up on center of serter guard by tip. To side of on
serter.
side of serter.
the6.6shaded
Choose an insertion site from the shaded areas
areas shown here.
shown here. Wipe with alcohol or other antiseptic.
6.7 Place against prepared site on body.
round indentations on each side of se
the sides. until it clicks and locks remove it, gently insert needle.
into place. turn needle guard &
pull away to expose
needle.

Select Fill and keep holding After you see drops,

until you see drops at the press and select Next.
end of tubing, then let go.
Continue top of next page Continued on next page

6.6 Choose an insertion site from the shaded areas 6.7 Place against prepared site on body. Press the 6.8 Push down on center 6.9 To remove serter, hold 6.10 Place lid back onto
shown here. Wipe with alcohol or other antiseptic. round indentations on each side of serter to of serter to press the center handle and serter to safely
insert needle. adhesive against skin. gently pull it straight discard needle.
28 out away from body. 29
Press adhesive securely
against skin.
 I
INSULIN PUMP INFUSION SET AND RESERVOIR I
INSULIN PUMP INFUSION SET AND RESERVOIR

w the steps to insert the infusion set into 6.1 Gently peel paper to 6.2 Turn over and hold 6.3 With other hand pull 6.4 Carefully hold needle 6.5 Place tubing in slot
t into 6.1 Gently peel paper to expose
6.2 Turn adhesive.
over and hold 6.3by theother
With linedhand
ridgespull
on up on center
6.4 Carefully hold of serter 6.5 Place guard
needle tubingby
intip.
slotTo on side of serter.
the remove it, gently
expose adhesive. by the lined ridges on up sides.
on center of serter until itbyclicks
guard and locks
tip. To on side of serter.
into place.
remove it, gently turn needle guard &
the sides. until it clicks and locks pull away to expose
into place. turn needle guard &
pull away to expose needle.

7 8 needle. 1 2
FILL CANNULA
You will now fill the
cannula, the little
tube under your
skin, with insulin.

Place against prepared site on body.

Choose an insertion site from the shaded areas 6.7 Place against prepared site on body. Press the Push down
6.8 Pushondowncentre
on centerof 6.9 To remove serter, hold 6.10 Place lid back onto Select Fill. Select Fill amount and enter:
shown here.
areas Wipe with
6.7 alcohol or other antiseptic. round indentations on 6.8
eachPush
sidedown
of serter
on to of6.9
serter
To to press serter, hold the
lidcenter handle and serter to safely
shaded Press the round indentations on
Place against prepared site on body. Press the serter to press
center adhesive
remove 6.10 Place back onto - 0.300 if using 6mm cannula
other antiseptic. round indentations on each side ofinsert serterneedle.
to of serter to press adhesive against skin. and
the center handle gently
serter pull it straight
to safely discard needle.
and hold each side of serter to insert needle.
6.3insert
With needle.
other hand pull 6.4 Carefully hold needle 6.5adhesive
Place tubing against skin. gently pull it straight
in slot
against skin. out away
discard from body.
needle. - 0.500 if using 9mm cannula
hand pull on
ed ridges 6.4 Carefully
up on hold
center of serter6.5 Place tubing
needle guardin byslot
tip. To on side of serter. out away from body. Press adhesive securely
er of serter guard byittip.
until To and locks on side remove
clicks of serter.it, gently Press adhesive securely against skin. Then press .
s and locks remove it, gently
into place. turn needle guard &
against skin.
turn needle guard & pull away to expose
pull away to expose needle.
needle.
9 10 3
NOTE: Your pump will remember the Fill
amount that you used last. Always verify that
the Fill amount is correct.
If it is correct, press to Fill Now
and press .
If it is incorrect, press . Change to
correct amount and. Press .
dy. Press the 6.8 Push down on center 6.9 To remove serter, hold 6.10 Place lid back onto
Fill Now. Select Fill Now.
nf serter to
on center To remove 6.9 serter,
of serter
To remove holdhold
to press
serter, the6.10 Place the center
lid back ontohandle and
Place lid serter
back to safely
onto serter to
o press adhesive against
the center skin. and
handle sertergently pull it straight
to safely discard needle.
against skin.
centre handle and gently
gently pull it straight out away
discard needle. from safely discard needle.
body.
pull it straight outfrom
out away awaybody. Press adhesive securely
against skin.
Press adhesive securely
from body.againstPress adhesive
skin.
securely against skin. 4
NOTE: Select Stop Filling if you need
to stop, for example, if you notice the
Total amount is incorrect. This should
rarely happen if you have verified the Fill
amount on the previous screen.
NOTE: Alternative infusion sets offered are Mio™, Silhouette®and Sure-T®. Most of the
steps described in this section will be different for each infusion set. Please refer to the
instructions for insertion included in the infusion set box. The Home screen displays the
insulin as it fills the cannula.

YOUR INFUSION SET CHANGE IS NOW COMPLETE!

30 31
 I
INSULIN PUMP ALERTS AND ALARMS I
INSULIN PUMP ALERTS AND ALARMS

SECTION 7: ALERTS AND ALARMS TO ADDRESS AND CLEAR THE ALERT OR ALARM:
ALERTS
1. Read the text on the screen to understand the alert or alarm and the steps that
should be taken
An alert makes you aware of a situation that may need your attention. When an alert 2. Press .
occurs, you should check to see what your pump is telling you. Examples of alerts
3. Press on the desired option.
include Low reservoir or Low battery.
Example of alarm:
ALARM

When an alarm occurs, something has been detected that is preventing insulin from Press
being delivered. You are not getting insulin. It is important that you address an alarm
right away. Examples of alarms are Insulin flow blocked and Replace battery now.

WHEN AN ALERT OR ALARM OCCURS:

Alert: the audio/vibration pattern repeats every 5 minutes or every 15 minutes
ALERT ALARM (depending on the alert) until the alert is cleared.
Alarm: the audio/vibration pattern repeats every minute for 10 minutes if
The red light on the pump will blink once The red light on the pump will blink twice the alarm is not cleared. After 10 minutes, the alarm begins to siren.
followed by a pause. This sequence followed by a pause. This sequence
Notification continues until the alert is cleared. continues until the alarm is cleared.
Light
The flashing pattern is shown here: The flashing pattern is shown here:
IMPORTANT: It is important that you are able to address an Insulin flow blocked alarm.
This alarm means that insulin is not able to get through the tubing or cannula. If this
alarm occurs, check your blood glucose and check to see if your infusion set has become
Depending on your Audio Option settings, the pump emits a repeated alert tone, dislodged or if your tubing is kinked.
Audio
a continuous three-pulse vibration, or both.  If you don’t detect an issue and are unable to change your reservoir and infusion set right
away, you might choose to select Resume Basal. If an Insulin flow blocked alarm occurs
The pump will display a notification The pump will display a notification again, follow the steps on the screen. Select Rewind and change your reservoir and
Display with a yellow icon and instructions on with a red icon and instructions on infusion set.
what to do. what to do.  If you detect an issue or if your reservoir has run out of insulin, follow the steps on the
screen. Select Rewind to change your reservoir and infusion set.

You can call the Product helpline if you have questions about your pump,
alerts or alarms.
Notification light

32 33
 I
INSULIN PUMP SUSPEND DELIVERY I
CGM INTRODUCTION TO CONTINUOUS GLUCOSE MONITORING

SECTION 8: SUSPEND DELIVERY SECTION 9: INTRODUCTION TO CONTINUOUS

Remember your pump is delivering basal insulin throughout every hour of the day.
GLUCOSE MONITORING
Although you should never stop this insulin delivery for more than an hour or so, there Continuous glucose monitoring (CGM) gives you a more complete picture of your
will be times when you will want to manually suspend, or stop delivery, and disconnect glucose control:
from your pump.

Using a sensor allows you to receive mimics some functions of a healthy

This is done using the Suspend Delivery If you manually suspend delivery while up to 288 sensor glucose readings pancreas, to provide you with advanced
feature. Using Suspend Delivery stops all a bolus is delivering, the bolus delivery every 24 hours, filling the gaps protection from hypoglycemia1.
insulin delivery. will stop. When you resume delivery, between your BG tests. SmartGuard can:
the remainder of the bolus will not be Graphs and trend arrows show the PREDICT when you are approaching
The most common reasons to manually delivered. speed and direction your glucose levels low glucose levels 30 minutes
suspend delivery might include bathing are moving. in advance
and water activities. Infusion sets are To place the pump in Manual Suspend: CGM alerts notify you of high and low Automatically STOP insulin delivery
designed so you can easily disconnect from the Menu, select Suspend glucose values. before you go hypoglycemic
from your pump and leave it in a safe Delivery > Press and select Yes.  iniMed 640G also includes
M And automatically RESUME it when
place. SmartGuardTM, Medtronic’s exclusive your glucose levels recover*.
Notice that the Home screen has closed loop technology. SmartGuard
When the pump is manually changed.
suspended, all insulin delivery stops. All
insulin delivery will remain stopped until To resume Basal Insulin Delivery, select YOUR CONTINUOUS GLUCOSE MONITORING (CGM)
you resume delivery. Resume from the Home screen. SYSTEM INCLUDES 3 KEY ITEMS:

1 GLUCOSE SENSOR The Enlite™ sensor measures glucose levels in the body.
When the delivery is resumed, basal
insulin will begin to deliver again. The 2 TRANSMITTER** The Guardian™ 2 Link transmitter connects to the glucose
pump will not deliver any of the basal sensor and sends glucose readings to your insulin pump.
insulin you missed while the pump was 3 INSULIN PUMP The MiniMed™ 640G insulin pump displays glucose readings.
suspended.
Other items include: Enlite serter, Enlite overtape, Guardian 2 Link charger and
watertight tester.
Always use the components that were sent with your MiniMed 640G System.

2
3
Drawings throughout this document are only generic representations of the system components.
1. Conget I., Choudhary P., Olsen B., et al. Prevention of hypoglycemia by the predictive low glucose management feature in a user evaluation
study. Diabetologia. 2015, 58 (Suppl 1), p 416.
* See Appendix pages 66-67 for further details on how SmartGuard works.
** The transmitter must be within 1.8 meters of the insulin pump in order to communicate sensor readings.
The MiniMed 640G insulin pump will not communicate with MiniLink transmitters. 1

34 35
 I
CGM SENSOR GLUCOSE (SG) AND BLOOD GLUCOSE (BG) I
CGM TRENDS

SECTION10: SENSOR GLUCOSE (SG) AND BLOOD SECTION 11: TRENDS

GLUCOSE (BG)
Sensor glucose trends give insight into the direction and the speed that your
glucose is changing. The sensor graph and trend arrows are used to show your trend
information.
Your BG meter measures glucose Glucose travels between these two
levels in your blood. The glucose areas (blood and interstitial fluid). Most
sensor measures glucose in the fluid of the time, it travels to your blood
surrounding the cells of your tissue first, and then to your interstitial fluid. IMPORTANT: When using CGM, focus less on each individual glucose number and more
on the direction and speed that your glucose is changing.
called interstitial fluid. Because of how glucose moves, your
BG meter readings (BG) and sensor
Transmitter glucose readings (SG) will be close, but
Skin Example of Sensor information on the Home Screen
will rarely match exactly. This difference
Glucose Sensor is normal and should be expected.
Interstitial Fluid
When glucose levels are rising or falling Trend Arrows
Cell
quickly, you should expect to see an
Glucose Sensor Glucose Reading
even larger difference between your BG Sensor Glucose Graph
Blood Vessel meter readings and the sensor glucose
readings.
Examples of times when this larger
difference may occur include:
After meals or taking a bolus of insulin
During exercise
When arrows appear on your pump By looking at the sensor information or - SG has been rising or falling
screen as explained in the next above, you can see that your current by about 1-2 mmol/L over the last 20
section glucose reading is 5.6 mmol/L. When minutes
you look at the graph, you can see that
you are trending downward.  or - SG has been rising or falling by
about 2-3 mmol/L over the last
IMPORTANT: Sensor glucose is not the same as blood glucose. Your SG and BG
Furthermore, you see arrows above the 20 minutes
readings will be close to one another, but will rarely match exactly.
Sensor glucose values should not be used to make diabetes treatment decisions. number. These arrows indicate the rate  or - SG has been rising or falling
Always confirm your glucose value with a BG meter first. that your glucose values are moving up by about 3 mmol/L over the last
or down: 20 minutes

NOTE: You may be likely to notice your glucose trending up or down after eating, giving a
bolus, or when exercising.

36 37
 I
CGM PERSONALISED ALERTS I
CGM PERSONALISED ALERTS

SECTION 12: PERSONALISED ALERTS LOW SETTINGS

Your CGM alert and suspend settings The graph below shows an example The Low Settings include alerts, as well The SmartGuard suspend by sensor
are most beneficial if they are of the different settings that can be as the SmartGuard™ suspend by sensor features can automatically suspend
personalised for your needs. Your personalised for both High and Low features. insulin if your sensor glucose:
healthcare professional will work with sensor glucose readings. You can choose to be alerted if your is approaching your low limit
you to determine your initial settings sensor glucose: (Suspend before low)
and help with adjustments that need to is approaching your low limit has reached your low limit
be made, as you learn more from the (Alert before low) (Suspend on low)
information that CGM provides. has reached your low limit
This will keep you from getting additional
(Alert on low)
insulin that would continue to lower
your sensor glucose level.
Personalised Alerts
13.9 22.2 mmol/L
Alert on High
Alert before High High Limit
( Low Snooze) ( Low Snooze)
Alert on High
Rise Rate
Alert Before High Suspend before Low
Suspend before Low Sensor
( High Snooze) Alert before Low Rise Alert Alert before Low
Glucose
Sensor Glucose Suspend on Low Readings
Suspend on Low
Readings Alert on Low ( High Snooze) Alert on Low
4.0

2.2 mmol/L
CGM Alert Setting

Your low (Lo) limit can be set from 2.8 to 5.0 mmol/L. This is the value on which the
TURNING SENSOR FEATURE ON other low settings described below are based. You can set up to eight low limits for
different periods of the day or night.
Before setting any of these sensor alerts, you must first turn the sensor feature on.
To turn the sensor feature on, go to the Menu > Sensor Settings and select Sensor. Alert Reason Steps to take
If Suspend before low is on, you will Do not treat your glucose based on
be alerted when insulin is suspended. SG. Confirm it using your BG meter.
Alert before low Alert If Suspend before low is off, you will Treat if necessary based on
before low be alerted when the sensor predicts instructions from your healthcare
you will reach your low limit in 30 professional and continue to monitor.
minutes.
Sensor glucose value is equal to or
Alert on low lower than your low limit.

38 39
 I
CGM PERSONALISED ALERTS I
CGM PERSONALISED ALERTS

NOTE: If either Suspend on low or Suspend before low is turned on, Alert on low will RESUMING BASAL INSULIN
automatically be set to on so you know that your glucose is at or below your low limit.
Automatic Basal Resume after a maximum suspend time of 2
In addition to suspending insulin delivery, hours. You will always be alerted (even
the pump can also automatically if the Resume basal alert is off) when
Impact on insulin
SmartGuard
delivery if suspend Information displayed by the pump resume delivery of basal insulin. If insulin this occurs. It is important that you
Suspend features check your BG and ensure your
feature is turned on has been suspended by either Suspend
You will receive this alert After the alert or alarm before low or Suspend on low, insulin glucose is at a safe level.
message and need to message is cleared and delivery will automatically be resumed:
check your BG. Insulin insulin delivery has stopped,
Manual Basal Resume
if SG values are above the low limit and You can choose to resume basal insulin
delivery will remain the Home screen will
suspended after the display: are trending upward. If you have the delivery yourself at any time. You simply
Insulin delivery
alert is cleared. Suspended before low
Resume basal alert on, you will be need to select Suspended before/on
is temporarily
Suspend before stopped if sensor or Suspended on low at alerted when this occurs. low on the Home screen and follow the
low glucose value is the bottom of the screen instructions on the screen.
approaching your a shaded area to
low limit. represent the time
when insulin has been
suspended
SETTING UP YOUR LOW SETTINGS:
If the alert is not cleared in
10 minutes, the pump will a flashing SmartGuard In this example, we will set up multiple time segments with different alert and
begin to siren. suspend by sensor icon.
suspend settings.
You will receive this alarm
message and need to check 1 2
your BG. Insulin will remain
suspended after the alarm
is cleared.
Insulin delivery
is temporarily
stopped if sensor
Suspend on low glucose value has
reached or fallen From the Menu, go to Sensor Settings Press on the time
below your low
> Low Settings and select Low Settings segment.
limit. If the alarm is not cleared to turn On.
after 10 minutes, the pump
will begin to siren and an
emergency message will
3 4 Press to continue onto
appear on the pump screen.
the next screen.

NOTES: Only one suspend feature can be used during each time segment; you cannot
turn both Suspend before low and Suspend on low on.
Insulin delivery will not be suspended if you are more than 3.9 mmol/L above
Press or to set Lo limit and press . Continued on next page
your low limit.

40 41
 I
CGM PERSONALISED ALERTS I
CGM PERSONALISED ALERTS

5 6 Once settings are selected, 10 11  ress or to the correct time

P
select Next. and press .

Select each feature you wish to If snooze time needs to be changed,

turn on. In this example, Suspend press to Snooze and press .
before low has been turned The low snooze time can be set
on. Notice that Alert on low is from 5 minutes to 1 hour.
automatically turned on.

YOUR LOW SETTINGS SETUP IS NOW COMPLETE.

REMEMBER: Sensor glucose values must be confirmed with a BG meter reading before
diabetes treatment decisions can be made.

Press on the time segment. Repeat steps 3 to 7 to enter the next time segment
and select the features you want to turn on for this segment. In this example,
Alert before low, Suspend on low, and Resume basal alert have been turned on. HIGH SETTINGS

The High Settings allow you to be alerted if your sensor glucose:

is rising rapidly (Rise Alert)
8 9 is approaching your high limit (Alert before high)
has reached your high limit (Alert on high)

Personalized Alerts
22.2 mmol/L

High Limit
Alert on High
( Low Snooze)
Select Done. Verify that settings are correct
Alert Before High
and select Save. Suspend before Low
Sensor Glucose Rise Alert Sensor
Readings Alert before Low Glucose
( High Snooze) Suspend on Low
Alert on Low
2.2 mmol/L
CGM Alert Setting

42 43
 I
CGM PERSONALISED ALERTS I
CGM PERSONALISED ALERTS

Your high (Hi) limit can be set from 5.6 to 22.2 mmol/L. This is the value on which
other high settings described below are based. SETTING UP YOUR HIGH SETTINGS:

1 2
REMEMBER: Your high limit is not the same as your glucose target. Your healthcare profes-
sional will help you determine the best setting so that you are alerted when needed while
preventing unnecessary or inconvenient alerts.

Alert Reason Steps to take

From the Menu, go to Sensor Press on the time segment. If you
Sensor glucose reading is
expected to reach the high glucose Settings > High Settings and are setting multiple time segments with
Alert before high
limit in the length of time that you select High Settings to turn On. different high limits and alerts, press
set for the Time before high*. to set the first End time and press .
Sensor glucose value is equal to or I f you are changing settings that In this example, only one time segment is
Alert on high higher to the high limit you set. are already entered, press set.
to Setup and press .
Sensor glucose reading is in-
creasing at a rate that is equal to
or faster than the Rate Limit that
you set.
Do not treat your glucose based
The Rise Alert can be set to alert if 3 4
on SG. Confirm it using your BG
glucose is rising as follows: meter. Treat if necessary based on
 -SG is rising at a rate instructions from your healthcare
of 0.056 mmol/L per professional and continue to
minute or more monitor.
Rise Alert -  - SG is rising at a rate
of 0.111 mmol/L per
minute or more Press or to set Hi limit and Press to continue onto the
- SG is rising at a rate press . In this example, the limit next screen and select each
of 0.167 mmol/L per
minute or more
is set to 13.8 mmol/L. alert you wish to turn on.
Custom - SG is rising at the rate
that you set. This can be
set from 0.050 to 0.275
mmol/L per minute

*Time before high determines how many minutes before reaching the high limit that you will
receive an Alert before high. This can be set from 5 to 30 minutes.

REMEMBER: You can set up to 8 different time segments throughout the day and night.
Each time segment can have different high limits and high alerts that work best for you Continued on next page
during that time of day or night.

44 45
 I
CGM PERSONALISED ALERTS I
CGM PERSONALISED ALERTS

5 6
CHANGING HIGH AND LOW SETTINGS

To make changes to your existing High or Low settings, go to Sensor Settings

> High Settings or Low Settings > Setup and select Edit.

Once settings are selected, Select Done.

select Next. In this example,
the Alert on high has been ALERT SILENCE
turned on.
If a sensor alert occurs when Alert Silence is on, a
Sensor alert occurred message is displayed and
the notification light flashes, but there is no beep or
7 8
vibration during the set period of time.

To set Alert Silence: from the Menu, go to Sensor

Settings > Alert Silence.

You can select which alerts you would like to silence

Verify that settings are I f snooze time needs to be changed, and set the time you want these alerts to be silent for.
correct and select Save. press to Snooze and press .
The high snooze time can be set from Alerts will automatically return to audio and/or vibrate
5 min to 3 hours. at the end of the duration that you set.

9 Press or to the cor- NOTE: If an alert is received during Alert Silence, go to the Menu > History and select Alarm
History to see the alerts that occurred.
rect time and press .

YOUR HIGH SETTINGS SETUP IS NOW COMPLETE.

46 47
 I
CGM SENSOR DISPLAY I
CGM SENSOR DISPLAY

SECTION 13: READING THE SENSOR DISPLAY

SMARTGUARD SUSPEND BY SENSOR ICON
Once the sensor has started giving you sensor glucose readings, the Home screen will
display them similar to what you see here. During any time segment when either Suspend before low or Suspend on low is set
to on, you will see the Suspend by sensor icon on the Home screen :

Additional Sensor Icons

Suspend before low or Suspend on low is on and ready. If either suspend
Trend Arrows becomes active, the icon will flash while insulin delivery is stopped.
High Alert Limit Most recent Sensor
Glucose (SG) Reading Suspend before low or Suspend on low is on but is unavailable. This can be
3-hour Sensor due to a recent suspend or when no SG values are available.
SmartGuard Suspend by
Glucose Graph Sensor Icon
Low Alert Limit Bolus Marker
SENSOR STATUS

The Sensor Glucose reading is updated every 5 minutes. You can go to the Sensor status menu to see, for example,
when your next calibration is due, time left on your sensor,
and battery life remaining on your transmitter.
STATUS BAR From the Home screen, select the Status Bar and select
Sensor. You will also see additional sensor status
In addition to the pump icons, you will see additional sensor icons on the Status Bar information in Notifications, Quick Status, and Settings
when using CGM. Review screens.

Connection icon: shows radio frequency (RF)

communication between the pump and sensor. SENSOR GRAPH
Calibration icon: represents the time left until next
calibration is due. The icon empties as time decreases. A graph that shows the last 3 hours of sensor glucose
Down arrow means calibration is needed.
readings will always display on the Home screen. Your high
Sensor Life icon: represents the number of days before and low glucose limits entered in your sensor settings will
       sensor needs to be changed. be shown in red.
Additional icons: appear when the sensor is in warm up,
pump and transmitter are out of range, system cannot You can also view 6-hour, 12-hour and 24-hour glucose
be calibrated, or calibration or sensor age are unknown. trend graphs by selecting the sensor graph. Blue squares
at the bottom of the graph represent a bolus.

A gold shaded area represents time when insulin was

suspended by sensor.

48 49
 I
CGM CONNECTING YOUR PUMP AND TRANSMITTER I
CGM CONNECTING YOUR PUMP AND TRANSMITTER

SECTION 14: CONNECTING YOUR PUMP AND TRANSMITTER 4a 4b

Before using the sensor for the first time, you will need to wirelessly connect the pump

!
and transmitter so that they can communicate with each other. This allows the sensor
information to be displayed on the pump screen.

Remove transmitter from I mmediately select Search

TO WIRELESSLY CONNECT YOUR PUMP AND TRANSMITTER: charger. If green light on on the pump. The search
transmitter does not flash, can take up to 2 minutes.
1 2 reconnect to charger until
fully charged.
charger

transmitter
5 Once device is found, confirm that 6 Connection is now complete. The
the serial number (SN) shown on transmitter serial number will be
the pump is the serial number on displayed on the pump screen.
Attach your transmitter to Press and select Utilities > the back of your transmitter and
the charger and make sure Device Options > Connect Device. select Confirm. If you receive the No
it is fully charged. Only one transmitter can be connected devices found message, place the
to the pump at one time. When you need transmitter back onto the charger.
to connect a new transmitter, you must NOTE: These steps only need
Then remove the transmitter from to be done as a first time set-up.
first select Manage Devices, select the the charger and immediately select You will not have to repeat with
transmitter number and select Delete. Retry on the pump. each new sensor you start.

3 4 Make sure the transmitter

is on the charger before
proceeding. Now
start the search processes
on both devices.

Select Auto Connect > Press

> Select Continue. Steps for Manual
Connect can be found in the MiniMed 640G
User Guide.
NOTE: If you stop using CGM for a period of time and need to store your transmitter, please
make sure to leave it connected to the charger during the storage period. This will help
ensure you get the most life out of your transmitter battery.

50 51
 I
CGM INSERTING AND STARTING THE SENSOR I
CGM INSERTING AND STARTING THE SENSOR

SECTION 15: INSERTING AND STARTING THE SENSOR*** SELECTING YOUR SITE
Before you insert your sensor, gather all of your supplies:
Your sensor can be inserted in any of the shaded areas shown here**. The sensor
insertion site should be at least:
SYSTEM COMPONENTS*
5 centimetres from your navel
2.5 centimetres from your insulin
Thumb print
C pump infusion site
A
A 2.5 centimetres from any manual
B D G insulin injection site

Bump on button

One-press Serter Enlite Sensor & Pedestal Sensor Overtape Guardian 2 Link **Clinical trials for glucose sensors were performed on sensors inserted in these areas.
A – Pedestal A – Pre-cut Hole
B – Needle Housing
C – Sensor
D–C  lear Liner FOR GOOD SENSOR GLUCOSE PERFORMANCE, AVOID SITES:
*For more details on the system component, consult the User Guides
Where clothing may rub or constrict (for example, your beltline)
Where your body naturally bends a great deal which may cause the sensor
One-press serter is required in order to Sensor overtape is required to keep the to pull out
insert the sensor properly sensor securely in place That are scarred or have hardened tissue or stretch marks
Enlite sensor is individually packaged Guardian™ 2 Link transmitter is Where there is a great deal of motion or friction
and comes attached to a plastic connected after the sensor is inserted
pedestal which is necessary for proper and covered with the overtape
loading into the serter PREPARING YOUR SITE

Wash your hands with soap and water.

Do not use IV prep or the sensor may not work properly.

***Please refer to the One-press serter user Guide and your HCP for more information.

52 53
 I
CGM INSERTING AND STARTING THE SENSOR I
CGM INSERTING AND STARTING THE SENSOR

INSERTING YOUR SENSOR TAPING YOUR SENSOR

The instructions below only refer to the One-press Serter. If you have a different Before you connect the Guardian 2 Link transmitter to your Enlite sensor it is
serter model, please refer to your serter User Guide for instructions on how to very important that you properly secure the sensor against your skin using
insert the sensor. the sensor overtape.

1a Hold sensor by plastic pedestal. 4a Place serter on body. Hold serter steadily 1 2 I mportant: Make
Remove sensor with attached against your cleaned insertion site, without sure there is
pedestal by holding pedestal only. pushing serter too deeply into skin. overtape on both
Place sensor/ pedestal on a clean, Note: Failing to hold serter securely flat the rounded part
flat surface (such as a table). against body may allow serter to spring of the sensor and
back after pressing buttons and result in the skin.
improper insertion of sensor.

Remove large paper backing Attach the overtape to both

1b Tuck adhesive tab. X 4b Insert sensor. Press and release bump on from overtape. Do not the rounded part of the
Make sure that sensor’s both buttons at same time. remove two smaller paper sensor and the skin in
adhesive tab is tucked
tabs on sides of overtape. front of the sensor.
under sensor connector
and snaps.
4c Hold serter against body. Continue
holding serter against body to allow
Correct Incorrect adhesive time to stick to skin.
3 4
4d Remove serter from body. Slowly pull
2 Load sensor into serter. serter away from skin, making sure buttons
Grip serter exactly as shown are not pressed.
with thumb on thumbprint marking
on serter. Do not hold side buttons.
Push serter down onto pedestal until
base of serter sits flat on table. 5 Remove needle housing. Gently hold base
of sensor against skin with one hand. With
other hand, hold needle housing at top Apply rest of overtape, but do Remove two paper tabs from
and slowly pull it straight, away from sensor. not block sensor connector sides of overtape.Press
Dispose of needle housing in a sharps with overtape. Press overtape overtape against skin.
container. Warning: Watch for bleeding at to your skin for several
the insertion site. If bleeding occurs under, seconds.
around, or on top of the sensor, apply
steady pressure using sterile gauze or a
clean cloth placed on top of the sensor for
Correct Incorrect up to three minutes. The use of non-sterile
gauze can cause an infection. If bleeding 5
does not stop, remove the sensor and
3 Detach serter from pedestal. apply steady pressure until the bleeding
To detach serter from pedestal, stops.
grip serter as shown, with
thumb on thumb print on
serter. With other hand, place 6a Remove adhesive pad liner.
two fingers on pedestal arms, Hold sensor in place and gently remove liner
and slowly pull serter straight from under adhesive pad. Do not remove
the adhesive liner from the rectangular These images show overtape applied correctly.
up. Note: Make sure that
pedestal is firmly on table adhesive tab.
before pulling serter away. Press entire adhesive pad to skin. Firmly
Warning: Do not detach 6b press adhesive against skin and smooth
pedestal from serter in mid-air entire adhesive pad so it sticks to skin.
as this may damage sensor. NOTE: Enlite adhesive is pressure-
sensitive. Continue applying pressure to IMPORTANT: All Enlite tapes and adhesives stick best when you apply pressure for several seconds after putting
ensure sensor remains inserted in skin for
whole 6 days of wear. them on your skin. Doing so helps the Enlite sensor stay securely placed and fully inserted.

NOTE: The sensor remains 7a Untuck adhesive tab. Untuck adhesive tab
from under sensor connector.
inside the serter after removing
the pedestal. The arrow on Straighten adhesive tab. Properly applying the overtape is key to ensuring your success with the Enlite sensor. Due to the sensor’s small
7b Straighten adhesive tab so
both sides of serter indicate size and flexible nature, the overtape helps to secure it from body motion or physical activity that can cause it to
it lies flat against your skin, be pulled out.
location of the sensor needle. but do not remove adhesive
liner yet.

54 55
 I
CGM INSERTING AND STARTING THE SENSOR I
CGM INSERTING AND STARTING THE SENSOR

CONNECTING YOUR TRANSMITTER TO YOUR SENSOR STARTING THE SENSOR

Before connecting the transmitter, make sure the Sensor feature is On. Once you have inserted the sensor and connected the transmitter, the pump
See page 38 if you need help with these steps. and transmitter will begin to communicate. Make sure your pump is on the Home
screen so that the message below (in step 1) will be displayed when the sensor is
1 With one hand, hold 2 You may hear a faint
ready to be started. This typically takes less than a minute, but may take up to
sensor in place. With “click” when the two
other hand, connect components are 10 minutes.
transmitter connected. Check for
to sensor. green light to flash on 1 2
transmitter.
3 Remove the paper on 4 Fold adhesive tab over
adhesive tab. transmitter.
Be careful not to pull
the adhesive tab too
tightly or it may cause
the transmitter to Select Start New Sensor. The Sensor warm-up started
pull from the sensor message will appear.
5 Press adhesive onto connection.
transmitter.
Apply additional tape over
transmitter as needed.

3 Press and then to clear. Warm up… will appear on the Home screen until
sensor is ready for the first calibration.
If 15 minutes have passed and the Warm up bar does not appear or it looks like it
IMPORTANT: If you do not see a IMPORTANT: Applying an additional is not progressing, look in the Quick Status screen, if you see the time of Next cal
green light flashing on the transmit- piece of tape over the transmitter once listed, the sensor is in Warm up.
ter after it is connected to the sensor, it is connected to the sensor as shown
then disconnect the transmitter and here helps to ensure the transmitter
place it back on the charger to ensure and sensor stay secure and connected
that it is fully charged. Then recon- during wear. The Enlite overtape or any
nect the transmitter to the sensor. other medical tape can be used.
If for any reason you disconnect
the transmitter from the sensor,
wait 5 seconds before reconnecting
it to the sensor.

Enlite overtape Medical tape*

*A piece of Tegaderm™ cut in half is shown
in this image.

NOTE: The next time you

It is very helpful to remember the order connect a transmitter, you will see
NOTE: When your transmitter is these screens. Select Start New
connected to your sensor they form of these three steps when changing Sensor if you have just inserted
a water-tight seal to a depth of 2.4 your sensor: a new sensor. Select Reconnect
meters for up to 30 minutes. You can
1 Insert the sensor. Sensor if you have only
shower and swim without removing
disconnected and reconnected
them. 2 Tape the sensor in place.
the transmitter.
3 Connect the transmitter.

56 57
 I
CGM CALIBRATING I
CGM CALIBRATING

SECTION 16: CALIBRATING EXAMPLE OF OPTIMAL CALIBRATION TIMES

Your continuous glucose monitoring After inserting a new sensor, a

system requires blood glucose meter calibration is needed: Glucose level (mmol/L) Blood glucose reading Target range Low limit Sensor glucose

readings in order to provide you with

Within 2 hours after you connect the 16.7
sensor glucose readings. These BG
transmitter to your sensor and start
meter readings are entered into the
the Warm up period. Your pump will 11.1
pump and are for sensor calibrations.
notify you with a Calibrate now alert
Calibration is essential for optimal CGM 3
when it is ready for its first calibration.
performance. CGM does not eliminate 5.6 4
1 2
the need for BG meter tests. Again within 6 hours (first day of
inserting sensor only) 0
0 2 4 6 8 10 12 14 16 18 20 22
To calibrate, you must test your blood Again every 12 hours (when a Time
glucose on your meter and then enter 1 2 3 4
calibration is necessary you will receive
that value into your pump. The pump will
a Calibrate now alert).
accept BG meter readings between 2.2
mmol/L and 22.2 mmol/L.

IMPORTANT: After the first day, the minimum number of calibrations required is one every Optimal calibration time Optimal calibration time Not optimal for calibration Optimal calibration time
12 hours. However, calibrating 3-4 times a day is optimal and these can be done when it is
convenient for you. To help you remember to calibrate, think “before is best” - typically the
best times to calibrate are before meals, before taking insulin, and before bedtime. Also
check for arrows - calibrating when there are 2 or 3 arrows may decrease sensor accuracy
until the next calibration.
When receiving a Calibrate now alert, if you cannot calibrate
right away, you can set the Snooze to remind you to calibrate
in the time that you set.
If you plan to test BG and calibrate right away, simply select
Snooze.
Once you select Snooze, Calibration required will appear on
the Home screen until you enter a BG to calibrate.

REMEMBER: Calibrations are necessary in order to continue to receive sensor glucose

readings, alerts and alarms.

58 59
 I
CGM CALIBRATING I
CGM CALIBRATING

CALIBRATING THE SENSOR CALIBRATING THROUGH HOME SCREEN GRAPH

There are 5 different ways that you can enter a BG reading to calibrate the sensor.
1 2

CALIBRATING BY USING THE Contour® Next LINK 2.4 METER

When you use the compatible Ascensia meter, you will see the meter value Select to the sensor graph, Press or to enter BG value,
automatically displayed on the home screen, as shown here. press and hold. press and select Calibrate.

1 2
OTHER WAYS TO CALIBRATE

The 2 other ways to calibrate your sensor are through:

Sensor Settings: from the Menu, go to Sensor Settings >
Calibrate Sensor, select BG and press or to enter
 elect Calibrate Sensor or if
S If you have selected Bolus,
BG value > press and select Calibrate.
you plan to give a bolus using select Yes to Calibrate Sensor?
Bolus Wizard, select Bolus. after bolus is delivered. Event Markers: from the Menu, go to Event Markers >
BG > Enter BG > press > select Save >
select Yes to calibrate sensor.

Once you have entered a calibration BG, the Home screen

CALIBRATING THROUGH THE BOLUS WIZARD will show you that the system is calibrating.
You will start seeing sensor glucose readings again in 5-15
1 2 minutes.

IMPORTANT: If you notice a large difference between your BG meter reading and sensor
glucose readings, wash your hands and do another BG fingerstick test to help ensure a more
accurate reading. Check the sensor site to ensure the sensor overtape is still holding the
sensor in place. If there is still a large difference in glucose readings, another calibration may
be needed to bring the readings closer together again.
In the Bolus Wizard: Select Yes to calibrate sensor.
Select Deliver Bolus.
You can use the Calibration Reminder to give you notice before the next calibration
is necessary.
The Calibration Reminder defaults On with a reminder time of 1:00 hour and you can
change it by going to the Reminders menu option.

60 61
 I
CGM OTHER SENSOR ALERTS I
APPENDIX CHARGING AND STORING YOUR TRANSMITTER

SECTION 17: OTHER SENSOR ALERTS CHARGING AND STORING THE GUARDIAN™ 2 LINK TRANSMITTER
We discussed personalised alerts earlier in Section 12. There are other sensor alerts
that you will receive as well. The most common alerts that you can expect to receive
when using CGM can be found in the table below. Charge the transmitter before each use. When
the transmitter is charging, a green light will flash
on the charger. This green light will turn off when

!
the transmitter is completely charged. You will
Alert Reason Steps to take need to charge the transmitter after each sensor
A calibration is needed in order to Enter BG value into your pump to use. A fully charged transmitter can be used
Calibrate now receive sensor glucose readings. calibrate. for a maximum of six days without recharging.
It can take up to an hour to fully recharge.
Communication between pump Check that the sensor is still
and transmitter has been lost for inserted in the skin and the When you remove the transmitter from the charger,
Lost sensor signal 30 minutes during or after warm- transmitter and sensor are still a green light should flash on the transmitter.
up. connected. Move your pump closer
to your transmitter. This indicates that it has enough battery power
to be connected to the sensor. If you do not see
The BG meter value could not Wait at least 15 minutes for BG
Calibration not be used to calibrate; it was too to stabilise. Wash your hands and the green flashing light on the transmitter place
accepted different from the SG value. repeat the BG test. Use this value it back on the charger until it is fully charged.
to calibrate again.
The transmitter was unable to Move your pump closer to your Store the transmitter, charger, and test plug in a
BG not received receive the calibration BG reading transmitter and select OK. The clean, dry location at room temperature. Although
from the pump. pump will try sending the BG again. not required, you may store the transmitter on
Sensor has reached its maximum Remove the sensor and follow the charger. If the transmitter is not in use, you
Sensor expired usage of 6 full days. the instructions for inserting and must charge it at least once every 60 days.
starting a new sensor.
You have received two Calibration Remove the sensor and follow If you connect transmitter to charger and you see no
Change sensor not accepted alerts in a row. the instructions for inserting and lights on the charger:
starting a new sensor.
replace the battery in the charger.
The pump has not received a signal Disconnect and reconnect your
Cannot find sensor
from the transmitter. transmitter and sensor and select
signal
OK.
While charging your transmitter you see a flashing red
light on the charger: replace the battery in the charger.

For a complete list of Alerts and Alarms, refer to the MiniMed 640G System User Guide. While charging your transmitter you see a mix of short
and long flashing red lights on the charger: replace the
battery in the charger and fully charge the transmitter.

Refer to your Guardian 2 Link transmitter and

charger User Guides for more information.

62 63
 I
APPENDIX CARELINK™ I
APPENDIX X-RAYS AND TRAVELING BY AIR

CARELINK™ PERSONAL SOFTWARE

WHAT IS CARELINK™ SOFTWARE? X-RAYS, MRI, OR CT SCAN

CareLink™ Personal software is a web-based If you are going to have an X-ray, MRI, CT scan, or other
software that allows you to upload information type of diagnostic imaging involving radiation exposure,
from your MiniMed™ 640G system to a secure remove your insulin pump, transmitter, and glucose
online (internet) site for viewing. sensor and place them outside of the testing area.

CareLink software organises all of your insulin

pump, sensor glucose and blood glucose meter
information into reports (charts, tables and
graphs) that can help you track glucose levels, TRAVELING BY AIR
insulin usage and carbohydrate intake over time.

With CareLink software, you can grant your If you wear a CGM device, you may need If Airplane Mode was on for <6 hours:
healthcare provider online access, so that your to stop the wireless communication 1) Wait 15 minutes for sensor data to
information can be discussed at your next between the transmitter and the pump appear on pump screen
appointment. during the flight.
If Airplane Mode was on for >6 hours:
To temporarily stop wireless
communication, turn Airplane Mode 1) Disconnect transmitter from sensor
BENEFITS OF CARELINK SOFTWARE and then reconnect it.
on. From the Menu, go to Utilities >
Airplane Mode, select Airplane Mode to 2) Select Reconnect Sensor when it
CareLink Personal software makes it that meter and logbooks alone cannot turn On and Save. appears on the pump screen to begin
easier to track your glucose levels and reveal. The transmitter continues to measure sensor warm-up.
see how they are affected by your insulin glucose levels when in Airplane Mode. 3) The sensor data (up to 10 hours) will
delivery, meals and exercise routines. Information from CareLink software can
appear on the pump.
CareLink Personal provides a secure help you and your healthcare provider To resume wireless communication,
place to store your information and make more informed therapy decisions turn Airplane Mode off: 4) You will be asked to calibrate in 2
uncover patterns in your glucose control aimed at improving your glucose control. hours to resume sensor readings.
When Airplane Mode is turned off
and communication resumes, the
Always remember that it is important
transmitter will send up to 10 hours of
CareLink reports can help you and your healthcare provider make decisions that when traveling to be extra attentive to
sensor data to your pump.
improve your control and fit your lifestyle. monitoring your glucose and prepared
The combination of insulin pump therapy, continuous glucose monitoring and to respond if needed.
CareLink software provides you with the tools and information you may need to
optimise your therapy.

For more information on how to upload information to CareLink Personal software using
the Contour® Next LINK 2.4 glucose meter from Ascensia, see page 24.

64 65
 I
APPENDIX SMARTGUARD™ SUSPEND BY SENSOR FEATURES I
APPENDIX SMARTGUARD™ SUSPEND BY SENSOR FEATURES

The images below show additional detail Sensor glucose trend

about using the Smartguard suspend by Estimated sensor glucose trend Automatic basal resume based on sensor
sensor features of your MiniMed 640G Sensor glucose trend during suspend glucose (SG) value:
System. 4 During Suspend before low or Suspend
on low, basal insulin will automatically
resume if:

Suspend on low event: SG is above the low limit and trending
1 If sensor glucose (SG) reaches your low limit, upward
insulin delivery will be stopped. Low Limit insulin has been suspended by sensor
for at least 30 minutes
You will always receive a message and alarm
30 min If Resume basal alert is on, you will receive
when this occurs.
an alert when this occurs. Remember you
You will have 10 minutes to respond before can manually resume basal insulin at any
Low Limit the pump begins to siren and emergency time.
message appears.

Automatic basal resume due to 2 hour

maximum suspend:
Suspend before low event: 5 During either Suspend before low
2 To help keep sensor glucose (SG) from or Suspend on low, if basal insulin is
reaching your low limit, insulin delivery will be not resumed due to SG values, it will
stopped if SG is: automatically resume after 2 hours.

at or within 3.9 mmol/L above the low limit You will always receive an alert when you
reach the 2 hour maximum suspend
predicted to be approaching the low limit Low Limit time, even if the Resume basal alert is
30 min Low Limit in 30 minutes set to off. Remember you can manually
2 hours
If Alert before low is on, you will receive an resume basal insulin at any time.
alert when insulin is suspended.

Suspend by sensor unavailable:

Alert on low during Suspend before low: 6 Once basal insulin resumes following
either a Suspend before low or a
3 If insulin delivery has stopped due to
Suspend on low, there will be a period
Suspend before low, SG may still reach your
of time when suspend by sensor is
low limit.
unavailable.
You will always be alerted when this occurs.
This will most often be 30 minutes if you
30 min
You will have 10 minutes to respond before respond to the suspend alarm, but can
Low Limit
Low Limit the pump begins to siren. be up to 4 hours. See the User Guide
for more specific information about this
unavailable period.

66 67
WHO TO CONTACT AND WHEN?

CONTACT MEDTRONIC
Please contact Medtronic for further guidance and technical advice on using
your MiniMed pump.

If you have any concerns that your pump isn’t functioning correctly.

If your pump displays a warning sign or alarm which you cannot switch off.

For more information about a certain pump function.

For guidance when adjusting your basal insulin dose, as instructed by your doctor.

Visit our website at: Alternatively call our customer

www.medtronic-diabetes.co.uk support helpline 01923 205167

CONTACT YOUR HEALTHCARE PROFESSIONAL

For all other inquiries regarding your health and continuing care please contact
your healthcare professional.

Europe United Kingdom Republic of Ireland

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Fax: +41 (0)21 802 79 00 www.medtronic-diabetes.co.uk Ireland
Tel: +44 (0)1923 205 167 www.medtronic.ie
Fax: +44 (0)1923 241 004 www.medtronic-diabetes.ie

UC201707281EE REV C ©2016 Medtronic.

Date of preparation: November 2016
All rights reserved. Printed in Europe.