User Guide

T H E R A P Y M A N A G E M E N T S O F T WA R E F O R D I A B E T E S
User Guide
Medtronic MiniMed
Northridge, CA 91325 USA
800-646-4633
818.576.5555
www.medtronicdiabetes.com
E.U. Representative
Medtronic B.V.
Earl Bakkenstraat 10
6422 PJ Heerlen
The Netherlands
31 (0) 45 566 8000
www.medtronicdiabetes.com
6025179-012 071608
REF MMT 7335
© 2008 Medtronic MiniMed. All rights reserved.
CareLink™ is a trademark of Medtronic MiniMed
Paradigm®, Paradigm Link®, and Bolus Wizard® are registered trademarks of Medtronic
MiniMed
BD Logic™ is a trademark of Becton, Dickinson and Company
LifeScan®, OneTouch® Profile®, OneTouch® Ultra®, OneTouch® UltraSmart®, OneTouch®
Basic®, OneTouch® FastTake®, OneTouch® SureStep®, and OneTouch® Ultra® 2, OneTouch®
UltraLink™, OneTouch® UltraMini®, and OneTouch® UltraEasy™ are trademarks of LifeScan,
Inc.
Ascensia®, Glucometer®, Ascensia® DEX®, Glucometer® DEX®, Ascensia® DEX® 2,
Glucometer® DEX® 2, Ascensia® DEXTER-Z® II, Glucometer® DEXTER-Z®, Ascensia® ESPRIT®
2, Glucometer® ESPRIT®, Glucometer® ESPRIT® 2, Ascensia ELITE® XL, Glucometer ELITE®
XL, Ascensia® BREEZE™, Ascensia® CONTOUR®, and Bayer CONTOUR® LINK are registered
trademarks of Bayer Corporation, Diagnostics Division
Precision Xtra™ is a trademark of Abbott Laboratories, Inc.
FreeStyle® is a registered trademark of TheraSense, Inc.
FreeStyle Flash™ is a trademark of TheraSense, Inc.
Java™ is a trademark of Sun Microsystems, Inc.
Microsoft® and Windows® are registered trademarks of Microsoft Corporation
Adobe® and Acrobat® Reader® are registered trademarks of Adobe Systems, Incorporated
U.S., International, and foreign patent applications are pending.
Contents
Chapter 1
Chapter 2
Chapter 3
1
Introduction
1
Overview
2
Features
2
Security
2
Related documents
3
Assistance
4
Supported devices
5
Equivalent devices
6
Ordering
6
How to use this guide
7
User safety
7
Indications for use
7
Warnings
7
Contraindications
8
Navigating the system
8
Overview
8
Opening CareLink Pro
10
Workspaces
12
Main Menu bar
12
Toolbar
13
Patient tabs
13
The Guide Me feature
14
Turning Guide Me on and off
14
Button option
14
Menu option
14
Learn More links
14
Help system
15
Getting Started
15
Before you begin
16
Primary system tasks
17
Opening and closing patient records
17
Opening patient records
17
Closing patient records
18
Setting system preferences
Medtronic CareLink Pro User Guide
Contents
i
Chapter 4
Chapter 5
Chapter 6
18
General preferences
20
Patient profile preferences
20
Choosing data fields
20
Adding a custom field
21
Changing the order of data fields
21
Finalizing patient profile preferences
21
Patient Lookup preferences
21
Choosing data to display
22
Changing the column order
22
Finalizing patient lookup preferences
22
Report Generation preferences
23
Choosing data to display
23
Changing the column order
23
Finalizing report generation preferences
24
Profile workspace
24
Before you begin
25
Adding new profiles
25
Completing required fields
25
Editing patient profiles
25
Deleting patient data from the system
26
Linking to CareLink Personal (optional)
26
Linking to an existing account
28
Sending an e-mail invitation
29
Unlinking a patient’s CareLink Personal account from CareLink Pro
29
Getting data from a linked account
31
Hardware setup
31
Before you begin
32
Connecting devices
32
Overview of hardware setup
33
Hardware connection diagrams
36
Devices workspace
37
Before you begin
37
Adding a device
37
Adding a Medtronic pump
40
Adding a meter
42
Making a device active or inactive
42
Inactivating a device
42
Re-activating a device
Medtronic CareLink Pro User Guide
Contents
ii
Chapter 7
Chapter 8
Chapter 9
42
Deleting a device
43
Reading device data
45
Reports workspace
45
Before you begin
46
Creating reports
46
Opening the Reports workspace
46
Selecting the reporting period
46
Data calendar
47
Selecting source data to include
48
Checking for device data
48
Getting additional device data (optional)
50
Verifying report settings
51
Selecting report types and inclusion dates
52
Generating reports
53
About reports
53
Adherence Report
53
Sensor and Meter Overview Report
54
Logbook Report
54
Device Settings Snapshot
54
Daily Detail Report
54
Exporting data
56
System administration
56
Before you begin
57
Applying software updates
57
Automatically receiving updates
57
Turning off automatic updates
58
Manually checking for updates
58
Backing up and restoring the database
58
Backing up a database
58
Restoring a database
59
When the system is unavailable
60
Troubleshooting
60
General application use errors
60
Privileges to download software upgrades over the Internet
61
Not connected to the database
61
Forgot the clinic password for CareLink Pro
61
Device read errors
62
Report creation errors
Medtronic CareLink Pro User Guide
Contents
iii
62
Multiple data entries for the same date
63
System is going to ignore data
63
Backup and restore errors
63
The database cannot be locked
63
A database backup or restore is not completing
63
A restore database fails
63
Uninstalling the software
Icon table
64
Appendix A
65
CSV data
65
Column data definitions
67
More about CSV files
67
If data is not displaying as expected
Glossary
68
Index
73
Medtronic CareLink Pro User Guide
Contents
iv
1
Introduction
What’s in this chapter
•
Overview: page 1
•
Assistance: page 3
•
Supported devices: page 4
•
How to use this guide: page 6
•
User safety: page 7
Overview
Thank you for choosing Medtronic Diabetes as your partner in helping
you and your patients better manage diabetes therapy. We believe
you will benefit from CareLink™ Pro software’s leading edge
technology and simple, menu-driven user interface.
This user guide describes how to use CareLink Pro to acquire, store
and report patient treatment and diagnostic data. It also describes
the option to access pump, meter, and sensor-based glucose data
your patients have uploaded to CareLink™ Personal, a Web-based
therapy management system that works with CareLink Pro.
CareLink Pro™ User Guide
Introduction
1
Features
CareLink Pro is diabetes therapy management software for a personal
computer (PC). It includes these features:
•
Patient records can be created to store data gathered from a
patient’s device as well as therapy data from their CareLink Personal
account.
•
Data from insulin pumps, monitors, and blood glucose meters can be
sent to the system, stored, and then used to generate reports.
•
As an option, it interfaces with the CareLink Personal system,
allowing access to device data patients have stored there. This is
ideal for creating current reports between office visits, and may
make the need to read device data during office visits unnecessary.
•
Different treatment reports can be created from device data stored
in the patient’s record. Reports facilitate answers to therapy
concerns such as patient adherence, patterns and exceptions.
•
The system alerts you when software updates are available to be
downloaded and installed. This ensures you have access to the latest
features.
•
There is a Guide Me feature to help users who are new to CareLink
Pro. It gives hints and tips about the tasks they are performing.
•
An integrated help system is available throughout the software to
provide information on specific areas of interest.
Security
•
CareLink Pro can be password protected.
•
Transmission of patient data from CareLink Personal is encrypted
using industry-standard Secure Sockets Layer (SSL) technology.
Related documents
Each of these Medtronic MiniMed documents has device-specific
information that is not covered in detail in this user guide.
NOTE: For meters from
other companies, see
the instructions the
manufacturer included
with the meter.
•
Paradigm Insulin Pump User Guide
•
Sensor Features User Guide
•
ComLink User Guide
•
CareLink USB User Guide
CareLink Pro™ User Guide
Introduction
2
Assistance
Medtronic MiniMed provides a number to call for residents of the
United States and Canada for guidance with software problems. The
hours are Monday through Friday from 5:00 a.m. to 5:00 p.m.
Pacific Standard Time.
Support
Contact information
24 Hour HelpLine
(800) 646-4633 or
(818) 576-5555
MiniMed Web site
www.medtronicdiabetes.com
CareLink Pro™ User Guide
Introduction
3
NOTE: Some devices
supported by this
software may not be
available in all
countries where this
software is approved
for use.
Supported devices
CareLink Pro gets data from the following devices.
Insulin pumps
Medtronic MiniMed pumps
508
MiniMed Paradigm pumps
511, 512, 712, 515 and 715
Paradigm REAL-Time System
522 and 722
522K and 722K
Manufacturer
Blood glucose meters
Medtronic Diabetes partner
devices:
•
•
•
LifeScan OneTouch® UltraLink™
OneTouch® UltraSmart®
LifeScan:
•
•
•
•
•
•
•
•
•
Bayer:
•
•
Ascensia® BREEZE®
BD:
•
Logic™
Ascensia® DEX®
Bayer Ascensia® DEX® family,
including these compatible
meters:
•
•
•
•
•
•
•
•
•
Ascensia ® ELITE®
Bayer Ascensia ELITE™
family, including these
compatible meters:
Bayer CONTOUR® LINK
BD Paradigm Link™ Blood Glucose Monitor
OneTouch® Profile®
OneTouch® Ultra®
OneTouch® Basic®
OneTouch® FastTake®
OneTouch® SureStep®
OneTouch® Ultra®2
OneTouch® UltraMini®
OneTouch® UltraEasy™
Ascensia® CONTOUR®
Ascensia® DEX® 2
Ascensia® DEXTER-Z® II
Glucometer® DEXTER-Z®
Ascensia® ESPRIT® 2
Glucometer® ESPRIT®
Glucometer® ESPRIT® 2
Ascensia ® ELITE® XL
CareLink Pro™ User Guide
Introduction
4
Manufacturer
Blood glucose meters
Precision Xtra™
Abbott
•
•
•
•
•
•
Accu-Chek® Aviva
Roche
•
•
•
•
Abbott FreeStyle®, FreeStyle Flash™
FreeStyle Papillion™ Mini
FreeStyle Mini™
Optium Xceed™
Precision Xceed™
Accu-Chek® CompactPlus
Accu-Chek® Compact
Accu-Chek® Active
Communication devices
for use with the Medtronic MiniMed 508
Pump. (See the Com-Station User Guide
for details about the required hardware.)
Com-Station
ComLink
for use with the MiniMed Paradigm Pump.
(See the ComLink User Guide for details
about the required hardware.)
Paradigm Link™ Blood Glucose
Monitor
for use with a MiniMed Paradigm Pump.
(See the Paradigm Link Blood Glucose
Monitor User Guide for details about the
required hardware.)
CareLink® USB
for use with a MiniMed Paradigm-series
insulin pump.
Data communications cable
for use with third-party blood glucose
meters. Each meter manufacturer
supplies a data communications cable.
Equivalent devices
When you add a device to the system, you select its make and model
from a list. If a device make and model is not on the list, refer to the
following table to find an equivalent one to use.
If your patient uses one of these devices
•
•
•
•
•
•
•
Select this device
Bayer Ascensia® DEX® 2
Bayer Ascensia® DEX®
Bayer Ascensia® DEXTER-Z®
Bayer Glucometer® DEXTER-Z®
Bayer
Ascensia®
ESPRIT®
The Bayer Ascensia® DEX®
2
Bayer Glucometer® ESPRIT®
Bayer Glucometer® ESPRIT® 2
CareLink Pro™ User Guide
Introduction
5
NOTE: Meters can be
ordered from their
respective companies.
If your patient uses one of these devices
Select this device
Bayer Glucometer ELITE® XL
The Bayer Ascensia ELITE™ XL
Ordering
Contact one of the following to order Medtronic MiniMed products:
•
1-800-646-4633
•
1-818-362-5958
How to use this guide
NOTE: This user guide
shows samples of the
software screens. The
screens of the actual
software may be
slightly different.
Refer to the Glossary for definitions of terms and functions. The
conventions used in this guide are defined in the following table.
Term/style
Meaning
Click
press the left mouse button over an object on the
screen to select it
Double-click
press the left mouse button twice over an object on the
screen to open it
Right-click
press the right mouse button over an object on the
screen to display another window or menu
Bold text
used for a menu option or menu path. For example:
Patient > New Patient
UPPER CASE text
indicates a button. For example: SAVE
Italicized text
used for screen and field names. For example: Reports
screen
Indented
shows paths to files or directories. For example:
C:\Program Files\MM CareLink Pro
NOTE:
CAUTION:
WARNING:
additional information
warns of a hazard which, if not avoided, may result in
minor or moderate injury to the software program or
equipment.
notifies you of a potential hazard which, if not avoided,
could result in death or a serious injury. It may also
describe potential serious adverse reactions and safety
hazards.
CareLink Pro™ User Guide
Introduction
6
User safety
Indications for use
The CareLink Pro system is intended for use as a tool to help manage
diabetes. The purpose of this system is to take information
transmitted from insulin pumps, glucose meters and continuous
glucose monitoring systems, and turn it into CareLink Pro reports. The
reports provide information that can be used to identify trends and
track daily activities—such as carbohydrates consumed, meal times,
insulin delivery, and glucose readings.
Warnings
•
This system is intended to be used by a healthcare professional
familiar with the management of diabetes.
•
System results are not intended to produce medical advice and should
not be relied upon for such purpose.
•
This product should only be used with the supported devices listed in
this document. (See Supported devices, on page 4.)
•
Patients should be advised to monitor their blood glucose levels at
least 4 -6 times a day.
•
Patients should be advised not to make any changes to their
treatment without consulting their healthcare professional.
•
Patients should be advised to make treatment decisions based on
healthcare professional guidelines and meter BG results, not glucose
sensor results.
Contraindications
This software should not be used with devices that are not listed in
Supported devices, on page 4. Nor should this product be used for the
treatment of medical conditions other than diabetes.
Before opening this software, close any of the following software that
is currently running on your computer:
•
CGMS® System Solutions™ Software
•
Solutions® Pumps & Meters Software
•
Guardian® Solutions® Software
•
ParadigmPAL™
•
CareLink™ Personal
•
Solutions® Software for CGMS® iPro
CareLink Pro™ User Guide
Introduction
7
2
Navigating the system
What’s in this chapter
•
Overview: page 8
•
Opening CareLink Pro: page 8
•
Workspaces: page 10
•
Main Menu bar: page 12
•
Toolbar: page 12
•
The Guide Me feature: page 13
•
Learn More links: page 14
•
Help system: page 14
Overview
Use this chapter to familiarize yourself with the CareLink™ Pro
graphical user interface (GUI). The user interface includes menus, a
toolbar, a navigation bar, workspaces, and a Guide Me window.
Opening CareLink Pro
1
CareLink Pro
desktop icon
Double-click the CareLink Pro icon on your computer desktop.
If your clinic requires you to enter a password, the login screen is
displayed.
CareLink Pro™ User Guide
Navigating the system
8
a. Type your password into the Password field.
b. Click LOGIN.
NOTE: Requiring a
password is an optional
feature that is set
during the installation
process.
The startup screen is displayed.
2
To start a new patient record, click NEW PATIENT. To open a patient
record from a list of patients in the system, click OPEN PATIENT.
NOTE:If you see a
message that the
system is unavailable,
it means a database
backup or restore is in
progress. See When the
system is unavailable, on
page 59 for more
information.
add new patient
access patient list
display/hide the Guide Me
window
active
workspace
main menus
Reports
workspace button
Devices
workspace button
Profile
workspace button
navigation bar
status bar
CareLink Pro™ User Guide
Navigating the system
9
Workspaces
NOTE: See the other
chapters of this user
guide for details about
the workspaces and
how to use them.
If you have a patient’s record open, you can click one of the buttons
on the navigation bar to display the corresponding workspace. Use
these workspaces to enter or select information to perform CareLink
Pro tasks for that patient.
•
Profile: Allows you to maintain such patient information stored as
name and date of birth. This workspace also allows you to link to a
patient’s CareLink Personal.
•
Devices: Allows you to store information required to read a patient’s
devices.
•
Reports: Allows you to select parameters and choose reports to be
generated for the patient.
Until a profile is added and saved for a patient, only the Profile
workspace is accessible for that patient. Until devices are added for a
patient, only the Profile and Devices workspaces are accessible for
that patient.
CareLink Pro™ User Guide
Navigating the system
10
Workspaces
Profile
Profile workspace
Devices
Devices workspace
Reports
Reports workspace
CareLink Pro™ User Guide
Navigating the system
11
Main Menu bar
The following shows the options available through the main menu.
Some of these menu options can also be accessed using the keyboard
shortcut listed next to the menu option (e.g., Ctrl+N for New
Patient). You can also use the navigation bar or the toolbar to access
some menu options.
Toolbar
The CareLink Pro toolbar provides quick access to frequently used
features. The toolbar contains the following buttons.
Button
Name
Functionality
Add Patient
Opens a Profile workspace so you can add
a new patient record to the system.
Open Patient
Opens the Patient Lookup table where you
can choose an existing patient’s record to
view.
Guide Me
Displays or hides the Guide Me window.
Click for context-aware system hints.
CareLink Pro™ User Guide
Navigating the system
12
Patient tabs
Once you open a patient record, a tab is displayed along the toolbar
with the patient’s name on it. When a tab is active, it means that
patient record and workspace are active, and you can perform
CareLink Pro tasks for the patient.
inactive tab
active tab
CLOSE
button
A patient’s record can be made active simply by clicking on their
patient tab. To close their record, click the CLOSE button on their
Close button
tab.
The Guide Me feature
A Guide Me feature is provided throughout CareLink Pro. It opens a
window with context-aware hints and tips for actions you might take
from the part of system that is active. Guide Me windows might also
include >>learn more links. When clicked, these links take you to the
relevant section in the online help for more details. The Guide Me
feature is enabled by default. However, you can turn it off at any
time.
CareLink Pro™ User Guide
Navigating the system
13
Turning Guide Me on and off
Button option
Guide Me button
•
Click the GUIDE ME button to either turn Guide Me on or off.
Menu option
•
Select Help > Guide Me to select or deselect the feature.
Learn More links
Learn More links take you to a related topic in the online help system.
They are provided throughout the system, within Guide Me windows
or the software. Click >> learn more if you are unsure how to proceed
or what values to enter.
learn more link
Help system
The help system is available to assist you as you use CareLink Pro. It
provides information about how to perform tasks in the software.
To access the help system, do one of the following:
•
Select Help > CareLink Pro Help.
•
Press the F1 button.
CareLink Pro™ User Guide
Navigating the system
14
3
Getting Started
What’s in this chapter
•
Before you begin: page 15
•
Opening and closing patient records: page 17
•
Setting system preferences: page 18
This chapter guides you through starting the CareLink ™ Pro
software, opening and closing patient records, and setting
preferences that apply to all patients in the system.
Before you begin
If this is the first time you are using CareLink Pro, you should be
sure to set the General preferences (see General preferences, on
page 18). These preferences determine how certain items display
in the software and in reports, and how you want the system to
communicate with the Internet.
Preferences can be set at any time. You may want to wait until
you are familiar with the CareLink Pro software to set the other
preferences.
CareLink Pro™ User Guide
Getting Started
15
Primary system tasks
The following table outlines the main tasks you will want to perform
when first setting up and using CareLink Pro. It also tells you which
part of this user guide discusses each task.
Step
Location
Familiarize yourself with the CareLink
Pro GUI.
Chapter 2, Navigating the system
Define the global system options your
clinic will use.
Setting system preferences, on
page 18
Create profiles for each of your
patients.
Adding new profiles, on page 25
Link to your patients' CareLink Personal
accounts.
Linking to CareLink Personal
(optional), on page 26
Add your patient's pump and meters to
their profile.
Adding a device, on page 37
Read data from your patient's pump and
meters.
Reading device data, on page 43
Set up and generate reports for each of
your patients.
Creating reports, on page 46
Regularly back up the CareLink Pro
database.
Backing up a database, on page 58
Update the CareLink Pro software.
Applying software updates, on page 57
CareLink Pro™ User Guide
Getting Started
16
Opening and closing patient records
Opening patient records
As many as six patient records can be open at one time. If you have
not yet created any patient profiles, see Adding new profiles, on
page 25.
1
Open Patient
button
NOTE: If you receive a
message that you have
too many patient
records open, click OK,
close a record, and
continue.
Select File > Open Patient, or click the OPEN PATIENT button. A
patient list similar to the following is displayed.
2
Locate the patient’s listing by typing some or all of their name in the
Find a Patient field. When the patient’s listing is highlighted, click
OPEN, double-click the listing, or press ENTER. You can also navigate
the list by using the up and down arrows on your keyboard.
The patient’s Devices (if devices have not yet been added) or
Reports workspace is displayed.
3
To see the patient’s Profile workspace, click the PROFILE button on
the navigation bar.
Profile button
Closing patient records
1
Make sure the patient record you want to close is active (the tab is
highlighted).
2
Do one of the following:
a. Select File > Close Patient.
b. Click the CLOSE button on the patient tab.
close button
c. Press Ctrl-F4.
CareLink Pro™ User Guide
Getting Started
17
Setting system preferences
These preferences apply to all patients in the system. For preferences
that affect only individual patients, see Verifying report settings, on
page 50.
Preferences are displayed in the following groups:
•
General
–
Glucose units
–
Carbohydrate units
–
Communications
Troubleshooting
Patient Profile
–
•
Select and arrange data fields on patient profiles.
Patient Lookup
–
•
Modify and change the order of fields displayed when you choose
Open Patient to view a list of patients.
Report Generation
–
•
–
Choose the data fields you want to display when selecting Daily
Detail report input from the Data table.
General preferences
1
Select Tools > Options. The following window is displayed.
2
Click to select the option button for the value you want:
CareLink Pro™ User Guide
Getting Started
18
–
Glucose Units: mg/dL or mmol/L
–
Carbohydrate Units: grams or Exchanges
a. If you selected Exchanges for Carbohydrate Units, type the
appropriate number in the grams are equal to 1 Exchange field.
3
For the following Communications, click to select the check box
(enable), or to clear the check box (disable):
–
NOTE: Make sure you
follow the guidelines of
your clinic or IT
department when
setting communication
preferences.
Automatically check for software updates: if selected, a
notification will be sent to each system running CareLink Pro
whenever a software update is available. The active user will
then have the opportunity to download and install the updates.
To prevent this from occurring and institute a controlled
distribution of software updates, you can clear this check box.
–
4
Synchronize with CareLink™ Personal: If you want the system to
automatically synchronize your patients' CareLink Personal data
each time you open their profile, select the Synchronize with
CareLink Personal check box. If you clear this check box, you will
have to manually synchronize the CareLink Personal data for each
patient.
Click to select or clear the check box in the Troubleshooting section.
If the check box is selected, the application will save a record of
device reads for troubleshooting purposes.
5
Click OK to save the General preferences.
CareLink Pro™ User Guide
Getting Started
19
Patient profile preferences
1
Select Tools> Options.
2
Click the Patient Profile tab. The following window is displayed.
Use the check boxes to choose the fields you want on the profile. Use the up and down
arrows to put the fields in order.
Choosing data fields
NOTE: First and Last
Name cannot be
removed.
1
Use the check boxes to add the fields you want.
2
To remove a field from the profile, clear its check box.
3
To make a field required, select the check box in the Required
column. Any field that is required must be filled in before a profile
can be created.
Adding a custom field
1
Select the check box to the left of an empty custom field.
2
Enter text to name the field (e.g., Emergency Contact). This is the
field name that will display on the patient profile.
3
To make the field required, select the check box in the Required
column.
CareLink Pro™ User Guide
Getting Started
20
NOTE: To remove a
custom field from the
profile, clear the check
box next to the field(s)
you want to remove.
Up & Down
arrows
Changing the order of data fields
•
Select the field you want to move, and click the up or down arrow to
move it. (The arrows at the top and bottom move a field all the way
to the top or bottom of the list.)
Finalizing patient profile preferences
•
When the Field Order list has all the fields you want in the correct
order, click OK.
Patient profiles now have the fields and field order you just
selected.
Patient Lookup preferences
1
Select Tools> Options.
2
Click the Patient Lookup tab. The following window is displayed.
Use the check boxes to choose the data you want on the Patient Lookup table. Use the
up and down arrows to put the columns in order.
Choosing data to display
•
Use the check boxes to select the type of data you want to display,
or to clear data you do not want to display on the Patient Lookup
table.
CareLink Pro™ User Guide
Getting Started
21
NOTE: First and Last
Name cannot be
removed.
Changing the column order
•
To change the order of columns on the Patient Lookup table, select
the column to move, and click the up or down arrows. (The arrows at
the top and bottom move a data column all the way to the top or
Up & Down
arrows
NOTE: The data column
at the top of the Column
Display Order list will
display in the first
column of the Patient
Lookup table. The data
column at the bottom
will be displayed in the
last column of the
table.
bottom of the list.)
Finalizing patient lookup preferences
•
When the Column Display Order list has all the data you want in the
correct order, click OK.
The Patient Lookup table will now have the data and column order
you just selected.
Report Generation preferences
The Data Table is displayed during the selection portion of the report
generation process. This table should include data the healthcare
professional finds most useful in deciding the dates for which they
want to see Daily Detail reports.
NOTE: To see how these
preferences apply to
the Data Table during
report creation, see
Selecting report types
and inclusion dates, on
page 51.
1
Select Tools> Options.
2
Click the Report Generation tab. The following window is displayed.
Use the check boxes to choose the type of data you want on the Data Table. Use the up
and down arrows to put the columns in order.
CareLink Pro™ User Guide
Getting Started
22
Choosing data to display
•
Use the check boxes to select the type of data you want to display or
clear data you do not want to display on the Data Table.
Changing the column order
•
to move, and click the up or down arrow. (The top and bottom arrows
Up & Down
arrows
NOTE: Items at the top
of the Column Order list
will display in the first
column of the Data
Table. Items at the
bottom will be
displayed in the last
column of the Data
Table.
To change the order of columns on the Data Table, select the column
move a data column all the way to the top or bottom of the list.)
Finalizing report generation preferences
•
When the Column Order list has all the data you want in the correct
order, click OK.
The Data Table will now have the data and column order you just
selected.
CareLink Pro™ User Guide
Getting Started
23
4
Profile workspace
What’s in this chapter
•
Before you begin: page 24
•
Adding new profiles: page 25
•
Editing patient profiles: page 25
•
Deleting patient data from the system: page 25
•
Linking to CareLink Personal (optional): page 26
A profile is similar to the cover page of a medical chart. It stores
patient data such as name and date of birth. A profile is required
before device data can be gathered and used for therapy reports.
The Profile workspace also allows you set up a link to a patient’s
CareLink Personal account. Once the link is established, you can
retrieve patient data stored on CareLink Personal anytime—without
the need to have the patient present.
Before you begin
You may want to customize your patient profiles so they contain only
the type of information you want to collect. To learn more, see
Patient profile preferences, on page 20.
Also, a username and password is required when you set up the link to
a patient’s CareLink Personal account. The patient must be present to
supply this data.
CareLink Pro™ User Guide
Profile workspace
24
Adding new profiles
Each time you add a patient to the CareLink Pro system, you must
start by filling out a profile for them.
Add Patient
button
NOTE:To add or change
fields on the patient
profile, click
>>customize fields. See
Patient profile
preferences, on page 20.
1
Select File > New Patient, or click the ADD PATIENT button.
The Profile workspace is displayed (see the example on page 11).
2
Fill in the fields in the Patient Profile section.
3
Click SAVE.
The new patient profile is added to the CareLink Pro database. A
message is displayed that confirms the profile was saved.
Completing required fields
1
If a required field is not complete when you save a patient profile, a
message is displayed next to that field. You will not be allowed to
save the profile until you make an entry in the field.
2
Complete the field.
3
Click SAVE.
4
When the confirmation message displays, click OK.
Editing patient profiles
1
Make sure the patient’s Profile workspace is open.
2
Click EDIT.
3
Edit the data in the Patient Profile section as needed.
4
Click SAVE.
A message is displayed that confirms the profile was saved.
Deleting patient data from the system
1
Make sure the patient’s Profile workspace is open.
2
Verify that this is the patient you want to delete. Deleting a patient
profile also removes all of their data from the CareLink Pro database
and cannot be undone.
3
Click >> delete patient record above the synchronization section of
the profile.
A message is displayed to alert you that all of the patient’s data will
be erased when you delete the record.
CareLink Pro™ User Guide
Profile workspace
25
4
Click YES to delete the patient’s record.
Linking to CareLink Personal (optional)
If your patient permits it, you can set up a link to their CareLink
Personal account. This Web-based tool allows patients to upload and
store device-derived data, and to run various therapy reports.
Once you link to the patient’s CareLink Personal account, you can
retrieve the device data they store there. This is ideal for creating
CareLink Pro therapy reports between office visits. It also reduces the
need to read the patient’s device in the office.
If a patient does not yet have a CareLink Personal account, you can
send them an e-mail inviting them to establish one.
Linking to an existing account
NOTE: The patient must
be present to complete
these steps.
1
Make sure you are connected to the Internet.
2
Open the patient’s Profile workspace.
3
Make sure all required fields in the Patient Profile section are filled
in.
4
Click LINK TO EXISTING ACCOUNT.
The CareLink Personal Log In screen is displayed.
5
Have the patient do the following:
a. Type in their Username and Password.
b. Click SIGN IN.
CareLink Pro™ User Guide
Profile workspace
26
A Grant of Access page is displayed, based on the patient’s
enrollment settings for language and region.
6
Have the patient do the following:
a. Read the Terms of Use.
b. Click to check the box next to I agree to the Terms of Use
above...
c. Click GRANT ACCESS.
d. Let you know when the Thank You page is displayed.
CareLink Pro™ User Guide
Profile workspace
27
You can print the Terms of Use for the patient by clicking the PRINT
button.
You are now linked to this patient’s CareLink Personal account. See
Getting data from a linked account, on page 29.
Sending an e-mail invitation
To send an e-mail inviting a patient to establish a CareLink Personal
account, follow these steps:
1
Open the patient’s Profile workspace.
2
Make sure all required fields in the Patient Profile section are filled
in.
3
Click SEND E-MAIL INVITATION TO PATIENT.
CareLink Pro™ User Guide
Profile workspace
28
4
Make sure Patient Name, Email and Language... are filled in
correctly.
5
Click SEND.
The patient’s profile status area confirms the e-mail was sent.
Unlinking a patient’s CareLink Personal account from CareLink Pro
You can unlink a patient’s CareLink Personal account from CareLink
Pro. This option is only available after a patient has been linked. It
prevents CareLink Pro from continuing to retrieve data from the
patient's CareLink Personal account. It does not affect the patient's
personal usage of their CareLink Personal account.
1
Open the patient's record and access the Profile workspace.
2
Click UNLINK ACCOUNT.
3
Click Yes at the confirmation message. The patient's personal profile
is no longer linked to CareLink Pro.
The status is changed to "Not linked," and the LINK TO EXISTING
ACCOUNT and SEND E-MAIL INVITATION TO PATIENT buttons are now
displayed.
Getting data from a linked account
If you are linked to a patient’s CareLink Personal account, any new
data from this account is automatically sent each time you open their
patient profile in CareLink Pro.
CareLink Pro™ User Guide
Profile workspace
29
NOTE: To ensure this
happens, go to Tools >
Options > General, and
make sure there is a
check next to
“Synchronize with
CareLink Personal.”
Follow these steps to get a patient’s CareLink Personal data any time
after you have opened their patient profile:
1
Make sure the patient’s Profile workspace is open, and that you are
connected to the Internet.
2
Select Tools > Synchronize Patient Data.
The sync icon on the patient’s tab rotates. When the icon stops, the
sync icon
NOTE: If the patient no
longer wants to
share their CareLink
Personal data, a
message displays to let
you know.
process is complete.
3
Any additional data retrieved from CareLink Personal will show up in
the patient’s reports.
CareLink Pro™ User Guide
Profile workspace
30
5
Hardware setup
What’s in this chapter
•
Before you begin: page 31
•
Connecting devices: page 32
This chapter provides diagrams that show how to set up a
patient’s device so your computer can read data from it.
You have to have the patient’s device in order to read data
directly from it. However, you can get device data from a
patient’s CareLink™ Personal account, without reading it from
their device.
Before you begin
To read data directly from a device, you must have the patient’s
device. You must also have any cables or other communication
devices you need to send device data to your computer.
CareLink Pro™ User Guide
Hardware setup
31
Connecting devices
that follow illustrate specific aspects of device communication.
Overview of hardware setup
PC
B
US
NOTE: This example
shows the ComLink
being used to
communicate between
the pump and the
computer.
should be set up to communicate with the computer. The diagrams
TM
CareLink™ Pro displays
as you are reading
devices.
Review the overview diagram to get a general idea of how devices
ink
reL
Ca
NOTE: For more details,
follow the instructions
CareLink USB
Paradigm Pump
CareLink Pro™ User Guide
Hardware setup
32
Hardware connection diagrams
PC Connections
USB
port
Serial
port
CareLink Pro™ User Guide
Hardware setup
33
Optional components
connect to serial
port on PC
ComLink for use with the Paradigm series pump
Com-Station for use with MiniMed 508 pumps and for meter pass-through
CareLink Pro™ User Guide
Hardware setup
34
Meter options
UltraLink
M
OK
LifeScan OneTouch®
UltraLink™
Bayer CONTOUR® LINK
9-pin
serial adapter
Connect to
serial port on
your computer
Connect to
USB port on
your computer
NOTE: The picture
above shows a few
examples of the many
supported meters.
CareLink Pro™ User Guide
Hardware setup
35
6
Devices workspace
What’s in this chapter
•
Before you begin: page 37
•
Adding a device: page 37
•
Making a device active or inactive: page 42
•
Reading device data: page 43
Information you need to read a patient’s device (make, model,
serial number, etc.) is stored in the The Devices workspace. Thus,
you do not have to supply it each time you read data from the
device.
Devices on the Devices workspace are stored in one of two lists—
Active Devices or Inactive Devices. When you add a device, it is
automatically placed on the Active Devices list. You can only read
data from devices displayed in the Active Devices list. These will
likely be the devices your patient currently uses.
Other devices that belong to the patient, but are not currently
used, can be stored in the Inactive Devices list. This keeps the
information on file. These devices can be made active at any time.
CareLink Pro™ User Guide
Devices workspace
36
Before you begin
Before you can open the Devices workspace for a patient, they must
have a profile saved in the system. See Chapter 4, Profile workspace.
To add a device or read data directly from it, the device must be in
communication with the computer. See Chapter 5, Hardware setup to
learn how to set up devices to communicate with the computer.
Adding a device
To add a device to a patient’s record, you must have the device in
communication with the computer so the connection can be tested.
You can get data from the patient’s CareLink Personal account for a
device not yet added. Such devices will automatically be added when
data is synchronized between CareLink Personal and CareLink Pro.
NOTE: There can only
be one active pump per
patient. Adding a new
pump will move the
existing one to the
inactive list.
Adding a Medtronic pump
1
Make sure the pump you are adding is set up to communicate with
the computer. (See Chapter 5, Hardware setup for connection
steps.)
2
Click the patient’s tab. Or double-click their name on the Patient
Lookup table.
3
Click DEVICES to access the patient’s Devices workspace (see the
example on page 11).
DEVICES button
4
Click ADD DEVICE.
5
Select Medtronic Pump. The Add Medtronic Pump Wizard is
displayed.
CareLink Pro™ User Guide
Devices workspace
37
NOTE: The pump model
is listed on the back of
the pump or on the
pump status screen.
NOTE: An error message
is displayed if you do
not enter the correct
serial number. Check
the examples on this
page, and verify that
you are entering the
correct characters from
the back of the pump. If
necessary, re-type the
six characters.
6
Select the option button to specify the device you are adding.
If you selected the MiniMed 508 pump option, go to Step 9.
7
Click NEXT. The Serial Number page is displayed.
8
Use the examples on this page to help locate the six-character serial
number on the device you are adding. (If you need more help in
locating it, click >>learn more.) Type the six characters in the
Device Serial Number field.
9
Click NEXT. A Communication Options page similar to the following is
displayed.
10 Click the Choose Port arrow, and select the port that the ComLink,
Paradigm Link, CareLink USB, or Com-Station connects to on your
computer. If you are not sure which port to choose, select Auto
Detect (or USB).
CareLink Pro™ User Guide
Devices workspace
38
11 Click NEXT. The Test Connection page similar to the following is
displayed.
12 Follow any device instructions, and click TEST.
A message displays to let you know if the connection was successful.
If it was, go to the next step.
NOTE: This Test does
not read pump data,
but verifies correct
communications
between the pump and
the computer.
If not, make sure the hardware between the device and the
computer is connected properly. Also, click BACK on the pages of the
wizard to make sure the device data you have entered is correct.
13 Click DONE.
The pump is added to the patient’s Active Devices list.
CareLink Pro™ User Guide
Devices workspace
39
Adding a meter
1
Click the patient’s tab. Or double-click their name on the Patient
Lookup table.
2
Make sure the meter you are adding is in communication with the
computer. (See Chapter 5, Hardware setup for connection steps.)
3
Click DEVICES to access the patient’s Devices workspace (see the
example on page 11).
4
Click the ADD DEVICE button.
5
Select Blood Glucose Meter. The Add Blood Glucose Meter Wizard is
displayed.
6
Click the option button to select the correct brand of meter.
7
Click NEXT. The Meter Model page is displayed (this page differs
depending on the meter manufacturer).
8
Click to select the meter model you are adding.
CareLink Pro™ User Guide
Devices workspace
40
9
NOTE: Only those
choices that are valid
for the meter you are
adding are available for
selection.
Click NEXT. The Communication Options page is displayed.
10 Click the Choose Port arrow, and select the port that the ComLink,
Paradigm Link, or CareLink USB connects to on your computer. If you
are not sure which port to choose, select Auto Detect (or USB).
11 Click NEXT. The Test Connection page is displayed.
12 Follow the instructions given for the meter, and click TEST.
A message displays to let you know if the connection was successful.
If it was, go to the next step.
If not, make sure the hardware between the device and the
computer is connected properly. Also, click BACK on the wizard to
make sure the data you have entered is correct.
13 Click DONE.
The meter is added to the patient’s Active Devices list.
CareLink Pro™ User Guide
Devices workspace
41
Making a device active or inactive
Patient devices can be moved between the Active Devices list and the
Inactive Devices list as needed. A device must be active in order to
read data from it.
You can have as many meters as you want on the Active Devices list,
but only one pump. Make sure you want to inactivate the current
active pump before you add a new one.
Inactivating a device
1
Click the patient’s tab. Or double-click their name on the Patient
Lookup table.
NOTE: Devices may be
listed under an
equivalent device
name. See Equivalent
devices, on page 5.
2
Click DEVICES to access the patient’s Devices workspace.
3
Click >> make this device inactive under the device you want to
make inactive.
The device moves to the Inactive Devices list.
Re-activating a device
1
Click the patient’s tab. Or double-click their name on the Patient
Lookup table.
NOTE: Devices may be
listed under an
equivalent device
name. See Equivalent
devices, on page 5.
2
Click DEVICES. The patient’s Devices workspace is displayed.
3
Click >> activate this device under the device you want to make
active.
The device moves to the Active Devices list.
Deleting a device
These steps will delete a device and its data from the Devices
workspace and the CareLink Pro system:
1
Click the patient’s tab. Or double-click their name on the Patient
Lookup table.
NOTE: Devices may be
listed under an
equivalent device
name. See Equivalent
devices, on page 5.
2
Click DEVICES to access the patient’s Devices workspace.
3
Make sure the device is on the Inactive Devices list. If it is not, click
>> Inactivate this device under its current listing.
4
Click >> delete this device under the device you want to delete.
CareLink Pro™ User Guide
Devices workspace
42
A message is displayed to alert you that the device and all of its data
will be removed from the patient’s record.
5
Click YES to delete the device.
The device and its data is removed from the Devices workspace and
from the CareLink Pro system. Data from this device is no longer
available for use in reports.
Reading device data
One way to get device data is to link to the patient’s existing
CareLink Personal account. (See Linking to CareLink Personal
(optional), on page 26.) Another way is to read it directly from their
device, as described in this chapter.
Data from your patient’s device can be read by CareLink Pro if the
device is on the Active Devices list and it is in communication with
the computer. Once you get this data, you can use it to create reports
that help assess the patient’s therapy management. (See Chapter 7,
Reports workspace to learn more about reports.)
CareLink Pro can also gather data from your insulin pump including:
•
Various settings on the pump, such as the alert mode, the beep
volume and the time display
•
Basal insulin amounts delivered
•
Bolus insulin types and amounts delivered
•
Bolus Wizard entries
•
Priming amounts
•
Suspend periods
•
Sensor glucose readings over a period of time
The system gathers blood glucose data from your glucose meter
during a device read.
WARNING: Please cancel or finish any temp basals or active boluses, and clear any active
alarms. The pump will be suspended for reading. Once the read is complete, please verify
the pump has resumed.
CAUTION: Do not use the pump remote when the pump is being read.
If the pump battery is low, the pump will not send data to the PC. Replace the battery if
the status indicates battery power is low.
CareLink Pro™ User Guide
Devices workspace
43
1
Click the patient’s tab. Or double-click their name on the Patient
Lookup table.
2
Make sure the patient’s device is in communication with the
computer. (See Chapter 5, Hardware setup.)
NOTE: Devices may be
listed under an
equivalent device
name. See Equivalent
devices, on page 5.
3
Click DEVICES to access the patient’s Devices workspace.
4
Find the device you want to get data from on the Active Devices list,
and make sure the Choose port data is correct.
–
For pumps click the Amount of Data arrow and select how much
pump data you want CareLink Pro to read.
5
Click the associated READ DEVICE button.
6
Follow device-specific instructions, and click OK.
7
CareLink Pro displays a progress bar that updates to show how much
of the device read has been completed.
If you click CANCEL as the device is being read, a message is
displayed to alert you that cancelling the action may result in the
loss of all of the data read so far.
–
To cancel, click YES.
–
To continue reading device data, click NO.
When the system finishes reading data from the device, you will see
a message that confirms the device read is complete.
8
Click OK.
–
For pumps, follow the instructions for taking it out of suspend
mode.
If CareLink Pro is unable to get data from the device, see Chapter 9,
Troubleshooting for further guidance.
CareLink Pro™ User Guide
Devices workspace
44
7
Reports workspace
What’s in this chapter
•
Before you begin: page 45
•
Creating reports: page 46
•
About reports: page 53
•
Exporting data: page 54
The CareLink™ Pro Reports workspace allows you to transform devicederived data into clinically useful information. For the report types
you can create see About reports, on page 53.
Reports can be generated on screen, sent directly to a printer, or
saved as TIFF or PDF files that you can attach to an Electronic Medical
Record (EMR). You can generate several report types through a single
operation.
The data displayed through these reports is captured from the
patient’s devices, from their CareLink Personal account, or from
both.
Before you begin
If you have a period of time you want reflected in a report, you must
have a patient’s device data for that time period. You may also need
to have the patient’s device connected to the computer to get
current data before running reports.
Be sure to take a close look at the Verify Report Settings step before
running a report. This is where you can fine tune a report to capture
the patient data you want.
CareLink Pro™ User Guide
Reports workspace
45
Creating reports
The following sections describe the steps involved in creating one or
more reports.
Opening the Reports workspace
1
Click the patient’s tab. Or, click the OPEN PATIENT button and
double-click their name.
Open Patient
button
The Reports workspace is displayed (see the example on page 11).
NOTE: To make sure you
have the latest device
data from the patient’s
CareLink Personal
account, click SYNC
DATA.
Selecting the reporting period
1
To change how much time is reflected in the report(s), click the
Duration arrow and select the amount of time. (The maximum
duration is 12 weeks.)
2
From and through dates are automatically set, unless you choose the
custom date range option.
NOTE: If you select a
date range longer than
allowed, you get an
error message. Adjust
the duration or dates.
If you want a custom date range, click the From or Through dropdown arrows and select the desired month, date or year.
Data calendar
The data calendar area of the Reports workspace shows a threemonth window of reporting information. It lists devices, and it shows
how much device data is contained in the selected three months. It
also shows the duration of the reporting period for the selected
three months.
data calendar
months
reporting period
device data
Overlap in the device data and reporting period means you have data
for some or all of the displayed reporting period.
CareLink Pro™ User Guide
Reports workspace
46
Overlap between the device data and
reporting period
The data calendar area initially displays the most current three
months. To see other months, click the arrow buttons on either end
arrow buttons
of the months.
Selecting source data to include
1
If the patient uses a BG meter that links to their pump, click to
choose one of the following options for reporting meter BG data:
2
–
in the pump: Advantages of this selection include that you only
have to read data from the patient’s pump, BG readings are time
stamped by the pump, and the readings are tied directly to any
Bolus Wizard calculations used. A disadvantage is that if there are
communication difficulties between the pump and the linked
meter, BG readings during that time may not get reported. Also,
for MiniMed Paradigm pumps prior to the 522/722, any BG
readings from Bolus Wizard calculations that are not acted on do
not get reported.
–
in the link meter(s): The advantage of this selection is that all
readings stored in the linked meter are reported. The
disadvantage is that to correlate meter and pump data, you must
have made sure that the pump and meter clocks were
synchronized with one another. You must also read data from the
pump and the linked meter separately.
To add device data to reports, select the check box next to the
relevant device.
You cannot add devices that were excluded due to your selection in
step 1. To change this, select the other linked meter option.
3
To exclude device data from reports, clear the check box next to the
relevant device.
You cannot clear check marks related to the option you selected in
step 1. To change these, select the other linked meter option.
CareLink Pro™ User Guide
Reports workspace
47
Checking for device data
1
Look at the data calendar area of the Reports workspace to see if
the reporting period overlaps with the device data (see the example
on page 47).
2
If the bars overlap for the entire reporting period, you have data for
your report(s). You can click NEXT and go to Verifying report
settings, on page 50.
3
If the bars do not overlap, or there is not enough overlap, you have a
few choices:
–
Adjust the reporting period (see Selecting the reporting period,
on page 46).
–
Get additional device data (see Getting additional device data
(optional), on page 48).
Getting additional device data (optional)
1
To get more data from a device, click the READ DEVICE button
associated with the device.
The Read Device bar is displayed.
Read Device bar
READ DEVICE button
WARNING: Please cancel or finish any temp basals or active boluses, and clear any active
alarms. The pump will be suspended for reading. Once the read is complete, please verify
the pump has resumed.
CAUTION: Do not use the pump remote when the pump is being read.
If the pump battery is low, the pump will not send data to the PC. Replace the battery if
the device status screen indicates battery power is low.
2
Verify that the data in the Choose port field is correct for this
device.
To change this setting, click the arrow for the field and select a
different setting.
CareLink Pro™ User Guide
Reports workspace
48
3
Make sure the device is connected to your computer.
4
If the device is a pump, you can specify how much data to get from
it. Click the Amount of Data arrow and select an amount.
NOTE: If you select All
available data, the
system reads all data
in the pump. This
overwrites any existing
duplicate data in the
system.
5
Click READ DEVICE. Be sure to read the message that is displayed
carefully because it provides specific instructions for reading the
pump.
6
Follow the instructions and click OK.
The read device progress bar is displayed.
You can choose to cancel the read at any time by clicking CANCEL.
A message is displayed to confirm that the read is complete.
7
Click OK.
Device data should now overlap with the reporting period.
8
Click NEXT at the top of the Reports workspace.
The Verify Report Settings step is displayed. This allows you to make
sure the settings for this patient are correct before you run the
report(s).
bedtime and wakeup periods
timeline
meal period
fields for editing meal periods
CareLink Pro™ User Guide
Reports workspace
49
Verifying report settings
1
Make sure the Glucose Target settings are correct. Type the correct
values, or click the up or down arrows in the Low and High fields to
raise or lower values.
NOTE: You can have as
many as five meal
periods. The defaults
are breakfast, lunch
and dinner.
2
edit an existing meal period, click anywhere within one of the meal
periods along the timeline.
The Meal Period editor becomes active.
3
NOTE: If you only want
to use these settings for
this meal, de-select the
check box next to Use
these parameters for all
of this patient’s meals.
NOTE: Meal periods
cannot overlap, but
start and end lines can
border one another.
Meal periods must be at
least 60 minutes in
length.
To add a new meal period to the Meal Settings, click ADD MEAL. To
Enter text or click arrows to select the settings you want.
–
Meal Name: name you want to assign to the meal period.
–
Meal Time Period: hours between which the meal occurs.
–
Pre-Meal BG Target (mg/dL or mmol/L): low and high ends of the
patient’s before-meal glucose target range.
–
Pre-Meal Analysis Period: how much time before the start of the
meal will glucose be analyzed for the report. The meter readings
captured during this time are used in detailed report analysis.
–
Post-Meal BG Target (mg/dL or mmol/L): low and high ends of
the patient’s post-meal glucose target range.
–
Post-Meal Analysis Period: how much time after a meal will
glucose be analyzed for the report. The meter readings captured
during this time are used in detailed report analysis.
You can change the length of an existing meal period or wakeup and
bedtime period by clicking on the start or end handles, and dragging
and dropping them along the timeline.
meter reading markers
timeline
select the start or end handle, and drag and drop it along the timeline
CareLink Pro™ User Guide
Reports workspace
50
4
To use the settings from this meal for all of the patient’s other
meals, make sure the check box next to Use these parameters for all
of this patient’s meals is selected.
5
After you finish creating or editing a meal period, click SAVE.
6
To remove a meal period, click DELETE MEAL. Click DELETE when
asked to confirm.
7
CareLink Pro can remember these settings for this patient the next
time you run a report for them. To save them for this patient, click
SAVE SETTINGS.
8
Click NEXT at the top of the Reports workspace.
This is the Select and Generate Reports step of the process. It
provides a list of report types as well as a Data Table that helps you
choose to include or exclude certain days of data from the Daily
Detail report(s).
Data Table
NOTE: To modify the
Data Table display,
click >>customize
columns. See Report
Generation preferences,
on page 22.
Selecting report types and inclusion dates
1
Select the check box next to the report(s) you want to include in the
report set.
2
If data has been read from a pump more than once during this
reporting period, there may be multiple device snapshots:
a. Make sure the check box is selected next to Device Settings
Snapshot.
b. Click the drop-down arrow and select a snapshot date and time.
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51
If the field is dimmed, there are no snapshots available during the
reporting period.
3
Scroll though the Data Table to review the available Daily Detail
report information.
–
NOTE: If there is no
data for a certain date,
that date cannot be
selected.
4
You can sort the data in each column. Click the column heading
to sort the data in ascending order. Click the heading again to sort
the data in descending order.
Select the check box in the Data Table rows for any date for which
you want a Daily Detail report.
–
To include or exclude all Daily Detail report dates with one click,
select the check box at the top of the Data Table check box
column.
Generating reports
1
After you verify your report selections, click GENERATE REPORTS at
the top of the Reports workspace.
A list of options is displayed.
2
Select an option to preview, print, or save the report(s).
If you selected Preview, the Preview window is displayed.
3
Click the arrow buttons to navigate through multi-page reports.
4
Click one of the other buttons at the top of the Preview window to
save or print the report(s).
5
CLOSE PREVIEW
button
To close this window, click the CLOSE button in the upper right
corner of the window.
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52
About reports
This section provides a description of each report. More details about
the report components, as well as sample reports are contained in the
Report Reference Guide. You can access the Report Reference Guide
through the CareLink Pro software:
1
Help > View Report Reference Guide (PDF).
2
Select a language for the Report Reference Guide.
The CareLink Pro reports share these common elements:
NOTE: If the reporting
period is longer than 14
days, the report will
have multiple pages.
•
Report header — The report header contains identifying information,
such as the name of the report, the patient's name, and the source of
the data.
•
Carbohydrates and blood glucose levels — Within the graphs and
charts, carbohydrate units are displayed in italics and blood glucose
levels are displayed in bold.
•
Weekend data — Weekend days are in bold so you can easily identify
them.
•
Legends — A legend of symbols appears at the bottom of each report.
While a symbol may be used in multiple reports, the legends are
unique to each report.
Adherence Report
This report presents data that describes how insulin pumps and
sensors are used and the patient’s behavior relevant to their therapy.
It answers the question, “Was there enough data to provide an
accurate picture of how the patient uses their insulin pump and
sensor, if applicable” It also answers the question, “Do patients
adhere to the therapy as instructed?” It also indicates whether you
may need to speak to your patient about the way they are managing
their diabetes.
Sensor and Meter Overview Report
The Sensor and Meter Overview Report provides a graphical
representation of the patient's daily meter-derived glucose levels and
averages, including hourly breakdowns over 24 hours and as they
relate to their meals and sleep patterns. Statistics on the patient's
glucose readings and insulin usage are also included.
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53
A similar analysis of sensor data is generated as the first page of this
report if sensor data is available. When no sensor data is available,
the meter data analysis page will be generated as the first page.
The final page(s) of the report shows the day-to-day level and quality
of your patient’s glycemic, carbohydrate, and insulin control. Each
page shows how that control varies during each day across the entire
reporting period up to a 14 day maximum per page.
Logbook Report
The Logbook report provides meter glucose, carbohydrate, and insulin
data for each day in the reporting period. It provides a diary of events
recorded hourly, as well as daily averages and totals. Each page
contains up to 14 days. If the reporting period exceeds 14 days, extra
pages are generated.
Device Settings Snapshot
This report presents a snapshot of the settings for the patient's pump
for a specific date and time. This can help you understand other
reports or can simply document your patients' settings.
The pump settings are recorded only when the device is read. If the
device was not read during the reporting period, no settings will be
available.
Daily Detail Report
The Daily Detail report shows glucose data, carb amounts, and the
patient’s insulin usage for the selected day. A separate report is
generated for each day you select from the Data Table.
The Daily Detail report provides a detailed look at each day you
select. It allows you to focus on a particular day if you feel something
of interest to the patient’s therapy was occurring.
Exporting data
You can export device data that is acquired and stored by CareLink
Pro. This gives you all of a patient’s device data to use for statistics
or the creation of specialized reports or charts. The .csv file can be
imported into Microsoft Excel or certain clinical statistics programs
where you can further manipulate the data.
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54
The .csv file contains data recording the actions of the device. For
example, it lists the recording of meter readings, the pump receiving
the meter reading value, or change in basal rate.
NOTE: This is an
advanced feature, and
requires you to be
familiar with the raw
device data. It also
requires proficiency
with any software into
which you import the
.csv file.
Follow these steps to use the CareLink Pro export feature:
1
Click the patient’s tab. Or, click the Open Patient button and double
click their name.
2
Make sure the Reports workspace is displayed.
3
Use the Duration or From/Through fields to set the dates and length
of the report.
The maximum duration you can select is 12 weeks.
4
Click the export selected data link.
export selected
data link
The Export Data to CSV File dialog box is displayed.
5
To change where you store the .csv file on your computer, click the
arrow to the right of the Save in field and select a location.
6
If you want to change the name of the file, type it into the File name
box.
7
NOTE: For more
information about the
data displayed in CSV
files, see CSV data, on
page 65.
Click SAVE.
The .csv file is now saved on your computer in the location you
selected. You can now choose to import it into any program that
supports this file type.
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Reports workspace
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8
System administration
What’s in this chapter
•
Before you begin: page 56
•
Applying software updates: page 57
•
Backing up and restoring the database: page 58
It is important that you regularly back up the CareLink™ Pro
database. The database stores all system data that has
accumulated in your patient’s records, including profile
information, device-derived data, and report settings.
CareLink Pro lets you save copies of the database and restore
them.
It is also important that you have the latest version of CareLink
Pro. Updated versions are available periodically, and may contain
important enhancements. You can choose to search for updates or
to be notified when they are available.
Before you begin
It is a good idea to establish a regular schedule by which to perform
database backups. This will help ensure that it is done regularly, and
will minimize the risk of data loss.
During backup or restore, CareLink Pro detects other users who
may be using the software on other computers, and offers them a
chance to save their work. However, it is still good practice to
check for other users before starting either process.
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56
Applying software updates
Automatically receiving updates
There will be occasional updates to the CareLink Pro software. When
notice of an update is displayed, take the following steps to download
the latest software release.
NOTE: The database
should be backed up
before a software
update is applied. See
Backing up a database,
on page 58.
1
Make sure an Internet connection is available and active on your
computer.
2
The CareLink Pro Update message is displayed when there is an
update to CareLink Pro. It gives you the option to download the
update.
3
Click DOWNLOAD. (If you click CANCEL, the update notice will close.
You can download the update at a later time.)
A warning message is displayed that recommends backing up your
database.
4
Click YES to create a backup of your database (see Backing up a
database, on page 58 for this procedure). Click NO if you do not
choose to back up your data.
A message will display to confirm that the new version of CareLink
Pro has been downloaded.
5
To begin using the latest version of CareLink Pro, click YES to close
and re-open the software application. Click NO if you would prefer
to wait before re-starting CareLink Pro.
Turning off automatic updates
If you do not want to receive automatic notification of CareLink Pro
updates, follow these steps:
1
Select Tools > Options.
2
Click the General tab.
3
Under the Communications section, clear the check box next to
Automatically check for software updates.
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System administration
57
Manually checking for updates
You can manually check for CareLink Pro updates at any time.
NOTE: The database
should be backed up
before a software
update is applied. See
Backing up a database,
on page 58.
1
Make sure an Internet connection is available and active on your
computer.
2
Select Tools > Check for Software Updates
3
You will receive a message if no updates are currently available. If
an update is available, a CareLink Pro Update message is displayed.
4
Follow the procedure in Automatically receiving updates, on
page 57.
Backing up and restoring the database
Backing up a database
The following steps let you back up the current database to the
location you select.
NOTE: Database
backups can be saved
on a network drive, or
to removable storage
(DVD, CD, USB drive,
etc.).
1
Make sure all patient records are closed.
2
Select Tools > Backup Database.
3
To save the backup to a different location on your computer, click
the arrow on the right of the Save in field and select a new location.
4
If you want to change the name of the backup file, type it into the
File name box.
5
Click SAVE. A progress bar is displayed while the database is saved.
A message is displayed when the backup is complete.
6
Click OK to close the message.
Restoring a database
The current database may need to be replaced if it can no longer be
accessed or used. The more current your backup, the less data you
will lose if you replace the database.
CAUTION: Before you restore, make sure the existing database is no longer useful. When
you restore with a backup copy, you lose all the new data created since the selected
backup copy was made.
The following steps let you select a backup copy to replace the
current database.
1
Make sure all patient records are closed.
CareLink Pro™ User Guide
System administration
58
2
Select Tools > Restore Database.
3
Use the Look in field to select the location from which to copy the
backup database.
4
Select the backup file you want to use to replace the current
database (usually the most recent).
5
Click OPEN. A warning message is displayed to remind you about the
data that may be lost if you continue the database restore.
6
To continue, click OK. A progress bar is displayed while the database
is being restored.
A message is displayed when the database is restored.
7
Click OK to close the message.
When the system is unavailable
If you attempt to use the system, you may receive a message
notifying you that the system is not available. This means that
another user is already in the process of backing up or restoring the
database. No other users can access the system until the task is
complete.
Do one of the following:
•
Wait for the process to complete and for the system to become
available.
•
Click CANCEL to exit and try again later.
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59
9
Troubleshooting
What’s in this chapter
•
General application use errors: page 60
•
Device read errors: page 61
•
Report creation errors: page 62
•
Backup and restore errors: page 63
•
Uninstalling the software: page 63
This chapter is designed to help you solve issues that may occur
while using CareLink™ Pro software. It also contains instructions
for uninstalling the CareLink Pro software if the need for that
should arise.
General application use errors
Privileges to download software upgrades over the Internet
If you try to download a software upgrade over the Internet, you
may receive the message that you do not have sufficient privileges
to do so. You must have administrative privileges to download
CareLink Pro software upgrades.
1
Close the CareLink Pro software application, and restart your
computer system.
2
Have someone with administrative privileges log in to the
computer.
3
Follow the instructions in Applying software updates, on
page 57.
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Troubleshooting
60
Not connected to the database
An error message stating that you are not connected to the database
indicates one of the following:
•
The database has been moved. The database must be located in the
same place that was selected during installation of the CareLink Pro
software. If it has been moved, it must be moved back to the location
selected during installation.
•
You are not connected to the network drive where the database is
located. If the database is located on a network drive, the network
may occasionally experience problems that prevent you from
accessing the drive. Contact your computer support department for
help in reconnecting to the network drive where the database is
located.
Forgot the clinic password for CareLink Pro
If no one can remember the password your clinic uses to log in to
CareLink Pro, the only solution is for the CareLink Pro software to be
re-installed, and a new database created.
Device read errors
Read Device Error
Explanation
The selected serial port
could not be opened.
Another operation might be
in progress on that port.
Please wait until the port is
available, or select another
port.
Please verify that the com port selected is not in
use by another program, or select a different
port. Try rebooting the computer you are using
and then try the device read again. The hardware
(cable, etc.) connected to the port or the port
itself may be bad. Connect the hardware to
another port and try the device read again to
help determine the problem.
Auto Detect could not find
the device on any available
port. Please check the cable
connection, device battery &
status and try again, or try
specifying a serial port.
Check the connection between the cable and the
PC, and verify that the device battery status is
fine. If so, try specifying the PC serial port to
which the cable is connected, rather than
selecting Auto Detect.
Device not found at selected
serial port. Please check the
cable connection, device
battery & status and try
again, try selecting a
different port, or try to Auto
Detect the device.
Check the connection between the cable and the
PC, and verify that the device battery status is
fine. If so, try either selecting a different PC
serial port number, or choose the Auto Detect
option.
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61
Read Device Error
Explanation
Unable to communicate with
the device. Please ensure
you’ve attached and
selected the correct device,
check the cable connection,
device battery and status,
and try again.
Verify all settings selected for the device read,
including device name, serial number and type of
connection. Also check to make sure that the
device, cable and PC are connected properly.
Verify the battery and alarm status of the device
is okay. Try the read again.
Unexpected response...
retrying (n%)
An unexpected value was read from the device.
The system retries communication until you
cancel or communication succeeds.
The communication device
was found, but the pump
(<serial #>) is not
responding. Please verify the
pump’s serial number, place
the pump closer to the
communication device to
minimize interference,
check pump battery and
status.
Verify that the correct pump serial number was
entered. If not, re-enter the correct serial
number. If the serial number is correct, try
moving the pump closer to the communication
device, or locating the communication device and
pump away from possible interference (such as
other RF devices), or checking the pump battery
and delivery status.
This pump is delivering a
temp basal. Please cancel
the temp basal or wait until
it completes, and then try
again.
The pump you are attempting to read is
delivering a Temp basal. Either wait until the
Temp basal completes to read the pump, or
cancel the Temp basal and then read the pump.
This pump has active errors
or alarms. Please clear the
alarms and try again.
There are active alarms on the pump which
prevent it from being read. Read the alarm
instructions for clearing the alarm. Clear the
alarm and try the pump read again.
This pump is delivering a
bolus. Please cancel the
bolus or wait until it
completes, and then try
again.
The pump you are attempting to read is
delivering a bolus. Either wait until the bolus
completes to read the pump, or cancel the bolus
and then read the pump.
The device returned invalid
entries; all data read will be
discarded.
Contact the 24 Hour HelpLine or your local
country representative (see Assistance, on
page 3).
Report creation errors
Multiple data entries for the same date
If multiple data entries exist for the same date and time for the same
device, the system considers this to be a conflict that it cannot
resolve. Reports created using this device data will omit the portion
of data that overlaps.
You can try to adjust the reporting period to miss the overlapping
data. Or, you can remove the device from the system and then add it
back again to clear the previous readings.
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62
System is going to ignore data
If the time on a device has been changed causing overlaps or gaps in
data of three hours or longer, the system does not include that
portion of data when creating reports.
Backup and restore errors
The database cannot be locked
This means that you are using the system in a multi-user environment,
and other users are logged in. The system will not allow a database
backup to be performed while other users are potentially performing
tasks that may affect the database. Once all other users exit CareLink
Pro, you can perform the database backup.
A database backup or restore is not completing
Other users cannot log in and the backup or restore cannot complete.
Please contact the helpline or your local country representative (see
Assistance, on page 3).
A restore database fails
The database backup file you are attempting to use in the restore
process is corrupt. Try restoring with a different backup file.
Uninstalling the software
If you need to uninstall CareLink Pro, take the following steps:
1
Open the Control Panel through your Windows Start menu.
2
Select Add or Remove Programs.The Windows Add or Remove
Programs window is displayed.
3
Scroll down to Medtronic Carelink Pro and click on it.
4
Click REMOVE. The InstallShield Wizard is displayed.
5
Click NEXT. A message is displayed asking you to confirm that you
want to remove the application.
6
Click YES. The uninstall program runs and removes the program and
all of its files from your computer. When it is done, a message
displays on the wizard screen confirming the uninstall.
7
Click FINISH.
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63
Icon table
The icons and symbols on the packaging labels and the equipment are
described in the following table:
Description
One Per Container/Package
Icon
(1x)
Attention: See Instructions for Use
CD enclosed
Important documents enclosed
Catalogue number
REF
CE mark by notified body as a medical
device
CareLink Pro™ User Guide
64
Appendix A
CSV data
A
This appendix defines the columns of the CareLink ™ Pro data that
you see when you export to CSV format. It also provides other
information you may need to know about CSV files.
NOTE: All data is what
was recorded in the
device at the listed
date and time.
Column data definitions
Consult this table to better understand the type of data in each
column.
Column heading
Definition
Index
The order in which data was recorded in the
device.
Date
The date data was recorded in the device.
Time
The time data was recorded in the device.
New Device Time
The new date and time if this was changed in the
device.
BG Reading (mg/dL or
mmol/L)
The blood glucose reading recorded by the meter
or pump. If the data is from a pump, this column
reflects manual BG’s and BG’s received from a
Link meter.
Linked BG Meter ID
The serial number for the meter that sends blood
glucose readings to the device.
Basal Rate (U/h)
The active basal insulin delivery rate in units per
hour.
Temp Basal Amount
If a temp basal was applied on the pump, this
value is the amount (new insulin rate or percent
of basal).
Temp Basal Type
The setting for temporary basal delivery type
(insulin rate or percent of basal).
Temp Basal Duration (m or%)
The length of time in minutes or percentage for
the temporary basal insulin delivery (see type
above).
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65
Column heading
Definition
Bolus Type
The bolus insulin delivery type [Normal, Square,
Dual (normal part), or Dual (square part)].
Bolus Volume Selected (U)
The number of units of insulin selected to be
delivered during the bolus insulin delivery.
Bolus Volume Delivered (U)
The number of insulin units actually delivered
during the bolus insulin delivery.
Extended Bolus Duration (h)
Duration of the square portion of either a square
bolus or a dual wave bolus.
Prime Type
The prime type—manual or fixed. Manual is used
just after a rewind, to fill the infusion set tubing
with insulin before inserting it. Fixed is used after
infusion set insertion to fill the soft cannula with
insulin after removing the introducer needle.
Prime Volume Delivered (U)
The number of units of insulin actually delivered
for the prime.
Alarm
The name of the alarm that occurred.
Suspend
States “Suspended” when the pump is suspended,
and “Resumed” when the pump is resumed.
Rewind
Rewind event at the date and time of the device
read.
BWZ Estimate (U)
The bolus insulin estimate if calculated with the
Bolus Wizard feature on the Paradigm pump.
BWZ Target High BG (mg/dL
or mmol/L)
The Paradigm pump setting for the high end of
the blood glucose target range, set through the
Bolus Wizard feature.
BWZ Target Low BG (mg/dL
or mmol/L)
The Paradigm pump setting for the low end of the
the blood glucose target range, set through the
Bolus Wizard feature.
BWZ Carb Ratio
The Paradigm pump setting for insulin-tocarbohydrate ratio. If grams are used as the
units, the ratio is the number of grams covered by
one unit of insulin. If exchanges are used for
units, the ratio is the number of insulin units
needed to cover one exchange. This is set through
the Bolus Wizard feature.
BWZ Insulin Sensitivity
The Paradigm pump setting for insulin sensitivity.
Insulin sensitivity is the amount the blood glucose
level is reduced by one unit of insulin. This is set
through the Bolus Wizard feature.
BWZ Carb Input
The input for expected amount of carbohydrate
consumption when using the Bolus Wizard feature
on the Paradigm pump to estimate a bolus.
BWZ BG Input (mg/dL or
mmol/L)
The input for meter blood glucose reading when
using the Bolus Wizard feature on the Paradigm
pump to estimate a bolus.
BWZ Correction Estimate (U)
The estimated units of bolus insulin to give for
blood glucose level correction, as calculated
throughout the Bolus Wizard feature.
BWZ Food Estimate (U)
The estimated units of bolus insulin to give to
cover the expected amount of carbohydrate
consumption, as calculated through the Bolus
Wizard feature.
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Column heading
Definition
BWZ Active Insulin (U)
The amount of active insulin calculated to be left
in the body from prior bolus insulin deliveries
when determining the estimated bolus amount
through the Bolus Wizard feature.
Sensor Calibration BG
(mg/dL or mmol/L)
The BG value used for calibrating the sensor in
mg/dL or mmol/L).
Sensor Glucose (mg/dL or
mmol/L)
The calibrated sensor glucose value.
ISIG value
The ISIG value read from the pump.
More about CSV files
The title at the top of CSV file includes the following:
•
patient’s name
•
a list of selected devices and their serial numbers
•
selected date range
Each block of columns has a title that includes the following:
•
name of the device to which the block of data applies
•
serial number of that device
If data is not displaying as expected
There are a number of different factors that can cause the CSV data
to display differently than expected. A few of these factors are listed
below:
•
Date or time changes on the device can either change the sequence
or cause records outside the selected date range to display.
•
If there is a large gap between device reads, data for that device may
be displayed in multiple blocks.
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Glossary
Glossary
A
A1c
Glycosylated hemoglobin
A1c Test Hemoglobin A1c test, used to interpret blood glucose level
over a period of time.
Area Under the Curve (AUC) Indicates the amount in high and low
excursions as determined by preset values. Excursion data indicates
the frequency of highs or lows. AUC indicates the magnitude of events
by showing how far out of range and for how long.
Audio bolus The pump can be programmed so the user hears a beep
when they select a bolus insulin amount (0.5 or 1.0 units) to be
delivered. This is useful for situations when it is difficult to see the
buttons on the pump.
B
Basal insulin An hourly, continuous infusion of insulin delivered
automatically by an insulin pump based on preprogrammed profiles
and personalized rates set in the pump. The pump delivers a daily
infusion of insulin that typically covers "background" insulin needs
during periods of fasting (i.e., overnight and between meals).
Basal patterns The user can program up to three different basal rate
patterns into their pump for the delivery of basal insulin: Standard,
A, and B. For each pattern there is the option of setting up to 48
basal rates.
Basal profile A basal rate with a start and stop time. The user can
program several different profiles into their pump, each with a
different basal rate, during a 24-hour period of time to achieve better
glucose control.
Basal rate The pump setting that provides a continuous infusion of
insulin to keep the blood glucose stable between meals and during
the night. Basal insulin mimics pancreatic insulin delivery—which
meets all the body’s non-food related insulin needs.
BG Blood Glucose
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Bolus insulin A dose of insulin given to cover an expected rise in
blood glucose (such as the rise after a meal or a snack) or to lower a
high blood glucose down to target range.
C
Cal Reminder The pump will trigger a Meter BG By HH:MM alarm
automatically every 12 hours, signaling that the current calibration
value is no longer valid. The value of the Cal Reminder is the amount
of time before the current calibration value expires by which the user
wants to be reminded to calibrate. For example, if the Cal Reminder
is set to 2 hours, the Meter BG By HH:MM alarm will occur 2 hours
before calibration is required.
Carb ratio (carbohydrate ratio) The amount of carbohydrates
covered by one unit of insulin. (Also see exch ratio.)
Carb units The food entry when using the Bolus Wizard. Entered as
(carbohydrate) grams or exchanges.
CareLink® Personal An online service that allows management of
diabetes data via the Internet.
CH Carbohydrate
Com-Station A device used to download MiniMed 508 pump and passthrough third-party meter data to the computer.
ComLink A radio frequency (RF) transceiver device used to
download Paradigm pump data to the computer.
Correction bolus The amount of insulin needed to return a high
blood glucose level back down to target range.
Correction bolus factor (Sensitivity factor) How much 1.0 unit of
insulin will lower your blood glucose. This factor is used to calculate a
correction bolus amount when your blood sugar is high.
(BG level) – (BG target) = X.
X ÷ (correction bolus factor) =
correction bolus amount
D
Dual Wave® bolus Combination of a Normal bolus that is delivered
immediately, then followed by a Square Wave bolus. The Square Wave
portion is delivered evenly over a period of time.
E
Easy Bolus™ Method of delivery for a Normal bolus by using the Easy
Bolus button on the pump.
Exch ratio (exchange ratio) The amount of insulin required to cover
one (1) carbohydrate exchange. (Also see carb ratio.)
Express bolus Method of delivery for any bolus type using the
express bolus button on the pump.
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F
Food bolus A dose of insulin given to cover the expected rise in
blood glucose that occurs after eating.
H
HbA1c
Glycosylated hemoglobin
HbA1c Test Hemoglobin A1c test, used to interpret blood glucose
control or average of levels over a 2- to 3-month period of time.
High Glucose The pump will alarm if the sensor indicates that the
user’s sensor glucose is at or above this value. You have the option to
turn this feature on or off.
Hyperglycemic Elevated blood glucose as seen by monitoring blood
glucose levels with or without any or all of the following symptoms:
nausea, vomiting, blurred vision, headache, gastric distress, frequent
urination of large amounts, and lethargy.
Hypoglycemic Low blood glucose as seen by monitoring blood
glucose levels, with or without any or all of the following symptoms:
excessive hunger, shaking or tremors, perspiration, "dancing" visions,
light-headedness, headache, blurred speech, sudden mood swings or
personality change.
I
Infusion set The apparatus used for inserting and securing a cannula
below the skin and transporting insulin to the insertion site via tubing
from the pump.
Insulin concentration The strength or type of insulin the doctor has
prescribed for the user. This affects the rate of insulin the pump
delivers. If the user’s insulin concentration changes, the basal
patterns and the maximum basal and bolus rates must be
reprogrammed in the pump.
Insulin sensitivity The amount of mg/dL (or mmol/L) that your blood
glucose (BG) level is reduced by one unit of insulin. (Bolus Wizard
data.)
ISIG Sensor values that indicate whether the transmitter electronics
in a sensor-augmented system are working properly. If you see an ISIG
value that is less than 24.00 nA or more than 29.00 nA, call for
product assistance. It may be time to replace your transmitter.
K
Ketone test Ketone is a waste product that is produced when the
body is forced to burn body fat instead of glucose for energy. It may
be a sign of lack of insulin in the body. The Ketone test measures the
amount of ketone concentrated in the blood or urine.
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L
Link To turn on and setup the meter option that allows the pump to
receive BG readings from the OneTouch® UltraLink™, CONTOUR® LINK,
or Paradigm Link meter.
It is also used in this system to refer to hypertext links. When clicked
on, hypertext links take you to another place in the system or to
another Web site.
Low Glucose The pump will alarm if the sensor indicates that the
user’s sensor glucose is at or below this value. You have the option to
turn this feature on or off.
Low reservoir warning Programmable warning that notifies you with
an alert when either a specified number of units remain in the
reservoir of your pump, or a specified amount of time remains before
the reservoir will be empty.
M
Manual bolus Optional item available in the BOLUS MENU when the
Bolus Wizard is active. One method of programming a bolus without
the Bolus Wizard.
Max basal insulin The maximum amount of basal insulin that the
pump will deliver at one time. (Set by the user).
Max bolus The maximum amount of bolus insulin that the pump will
deliver at one time. (Set by the user).
Mean Absolute Difference (MAD) Represents the level of accuracy in
calibration of the sensor to meter readings. The lower this number,
the greater the calibration accuracy. MAD is calculated by taking the
difference between closely occurring pairs of SG and meter readings,
dividing by the meter reading and then averaging across all pairs.
Meter a medical device for determining the approximate
concentration of glucose in the blood. A small drop of blood is placed
on a disposable test strip, which the meter reads and uses to
calculate the blood glucose level. The meter then displays the level
in mg/dL or mmol/L.
Meter option Feature that allows the pump to receive BG readings
from a linked BG meter.
N
Normal bolus An immediate delivery of a specified unit amount of
insulin.
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71
P
Pattern feature Extended pump feature that allows you to program
optional basals (Pattern A, Pattern B) that support activities or
glucose patterns that are not a part of your day-to-day routine, but
are usual in your lifestyle. Such activities could be a sport that you do
once a week, a change in your sleep pattern over the weekend, or
hormonal changes during a menstrual cycle.
Pattern, standard Your normal basal that supports your usual day-today activity. When the Patterns feature is off, the pump uses your
standard (basal) pattern.
R
RF Radio frequency (RF).
S
Square Wave® bolus Bolus delivered evenly over a specified time
period (30 minutes to 8 hours).
Square Wave portion (Sq) The second part of a Dual Wave bolus. The
Square Wave portion delivers evenly over a period of time after the
NOW portion delivers.
Step Measurement of insulin that you set and use for Easy Bolus
delivery.
Suspend Function on the pump that stops all insulin delivery. Any
current bolus and/or prime deliveries are canceled. The basal
delivery is paused until restarted.
T
Temp Temporary
Temp basal (tmp basal) Temporary one-time basal insulin with a
specified amount and duration. Used to support insulin needs for
special activities or conditions that are not part of the normal daily
routine.
Transmtr ID
The serial number of the transmitter currently in use.
U
μL micro liter
Upload The process for transferring pump or meter data to the
CareLink™ Personal server.
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72
Numerics
24 Hour HelpLine
phone numbers 3
A
About reports 53
Adherence report 53
Daily Detail report 54
Device Settings Snapshot 54
Logbook report 54
Sensor & Meter Overview report 53
Activating devices 42
Adding a device to the system 37
Adding a meter to the system 40
equivalent meter names to choose
5
Adding a patient to CareLink Pro 25
Adding a patient’s device to the
system
meters 40
pumps 37
Adding a pump to the system 37
Adherence report
about 53
Assistance 3
phone numbers and website
address 3
B
Backing up the database 58
system not available 59
Basic CareLink Pro tasks 16
Bayer Ascensia ELITE™ XL
devices equivalent to 5
Bayer Ascensia® DEX®
devices equivalent to 5
Buttons on the toolbar 12
C
Cables for connecting devices to your
computer
serial 33
Index
Index
USB 33
CareLink Personal
getting data 29
linking to an account 26
email invitation 28
existing account 26
CareLink Pro
Guide Me feature 13
enabling 14
key features 2
Learn More links 14
main menu options 12
online help system 14
Overview 1
security features 2
status bar 9
Checking
for device data for reports 48
Closing patient profiles 17
ComLink 5, 34
Communication devices supported by
CareLink Pro 5
Communications devices supported 4
Com-Station 5, 34
Connecting devices to your computer
32
cables
serial 33
USB 33
computer connections
serial 33
USB 33
meter options 34
optional components
ComLink 34
Com-Station 34
overview 32
Contraindications 7
Copying the database for backup 58
system not available 59
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Creating patient profiles 25
Creating reports 46
checking for device data 48
getting new device data 48
making your own report 54
opening the Reports workspace 46
previewing 52
printing 52
saving 52
selecting devices 47
selecting report types and
inclusion dates 51
selecting the reporting period 46
verifying report settings 50
CSV files
exporting device data to 54
D
Daily Detail report
about 54
Data communications cable 5
Data communications cable supported
5
Database
copying for backup 58
system not available 59
restoring with backup copy 58
system not available 59
Deleting a patient’s device from the
system 42
Device data
getting data from CareLink
Personal 29
getting it from a patient’s device
43
linking to CareLink Personal 26
email invitation 28
existing account 26
Device Settings Snapshot
about 54
Devices
activating 42
adding to the system 37
meters 40
pumps 37
checking for data for reports 48
connecting to your computer 32
cables
serial 33
USB 33
computer connections
serial 33
USB 33
meter options 34
optional components
ComLink 34
Com-Station 34
overview 32
deleting 42
deleting from the system 42
exporting data 54
getting data 43
new data for reports 48
inactivating 42
ordering 6
selecting for reports 47
storing in the system 42
inactivating 42
making active 42
supported 4
ComLink 5
Com-Station 5
glucose meters 4
insulin pumps 4
meter data communications
cable 5
supported by CareLink Pro 4
Devices workspace
adding devices 37
meters 40
pumps 37
deleting devices 42
getting device data 43
storing devices 42
inactivating 42
making active 42
Documents related to this user guide 2
Downloading software updates 57
E
Editing patient profiles 25
Email invitation to set up a CareLink
Personal account 28
Equivalent devices
alternative meter names to
choose 5
Existing CareLink Personal account
linking to 26
Exporting device data 54
F
Features of CareLink Pro 2
security 2
G
General preferences
setting 18
Generating reports 52
previewing 52
printing 52
saving 52
Getting a patient’s device data 43
Getting device data
from CareLink Personal 29
linking to CareLink Personal 26
email invitation 28
existing account 26
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74
new data for reports 48
Global system preferences
setting 18
general preferences 18
open patient preferences
choosing data 21
patient lookup preferences 21
changing column order 22
patient profile preferences 20
adding a custom field 20
changing field order 21
choosing data fields 20
report generation preferences
changing column order 23
choosing data 23
understanding 18
Glossary 68
Glucose meters supported 4
Glucose meters supported by CareLink
Pro 4
Guide Me feature for CareLink Pro 13
enabling 14
H
Hardware connections 32
cables
serial 33
USB 33
computer connections 33
serial 33
USB 33
meter options 34
optional components
ComLink 34
Com-Station 34
overview 32
Help system for CareLink Pro 14
HelpLine 3
phone numbers 3
How to use this user guide 6
I
Inactivating devices 42
Inclusion dates
selecting for reports 51
Indications for use 7
Insulin pumps supported 4
Insulin pumps supported by CareLink
Pro 4
K
Key features of CareLink Pro 2
L
Learn More links for CareLink Pro 14
Linking to CareLink Personal accounts
26
email invitation 28
existing account 26
getting data 29
Logbook report
about 54
Logging in
to CareLink Pro 8
M
Main menu options 12
Medtronic MiniMed products
ordering 6
Menu bar for CareLink Pro 12
Meter cable 5
Meter data communications cable
supported 5
Meter name
equivalent devices 5
Meters
activating 42
adding to the system 40
connecting to your computer 32
cables
serial 33
USB 33
computer connections
serial 33
USB 33
meter options 34
optional components
ComLink 34
Com-Station 34
deleting 42
getting data 43
inactivating 42
options for communicating with
your computer 34
ordering 6
supported 4
MiniMed website 3
N
Navigating
workspaces 10
Navigating the CareLink Pro GUI 9
Navigation bar
workspaces 10
Notification of software updates 57
O
Online device data
getting the data 29
linking to CareLink Personal 26
email invitation 28
existing account 26
Open patient preferences
setting
choosing data 21
Opening
Reports workspace 46
Opening CareLink Pro 8
entering your password 8
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logging in 8
Opening patient profiles 17
Optional Devices for communicating
with your computer
ComLink 34
Com-Station 34
Ordering
devices 6
Medtronic MiniMed products 6
meters 6
pumps 6
Overview of CareLink Pro 1
P
Password
entering for CareLink Pro 8
Patient lookup preferences
setting 21
changing column order 22
Patient profile preferences
setting 20
adding a custom field 20
changing field order 21
choosing data fields 20
Patient profiles
closing 17
creating 25
editing 25
opening 17
PC
connecting devices to it 32
cables
serial 33
USB 33
computer connections
serial 33
USB 33
meter options 34
optional components
ComLink 34
Com-Station 34
overview 32
Phone numbers for HelpLine 3
Preferences
system
setting 18
general preferences 18
open patient preferences
choosing data 21
patient lookup
preferences 21
changing column
order 22
patient profile
preferences 20
adding a custom field
20
changing field order
21
choosing data fields
20
report generation
preferences 22
changing column
order 23
choosing data 23
understanding 18
Previewing
reports 52
Primary CareLink Pro tasks 16
Printing
reports 52
Product
overview 1
Product assistance 3
Profiles
closing 17
creating 25
editing 25
opening 17
Pumps
activating 42
adding to the system 37
communicating with the computer
guidelines 43, 48
connecting to your computer 32
cables
serial 33
USB 33
computer connections
serial 33
USB 33
example 32
meter options 34
optional components
ComLink 34
Com-Station 34
deleting 42
getting data 43
inactivating 42
ordering 6
supported 4
R
Related documents 2
Report generation preferences
setting 22
changing column order 23
choosing data 23
Report settings
verifying 50
Report types
selecting for reports 51
Reporting period
selecting 46
Reports
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about
Adherence report 53
Daily Detail report 54
Device Settings Snapshot 54
Logbook report 54
Sensor & Meter Overview
report 53
creating 46
checking for device data 48
getting new device data 48
opening the Reports
workspace 46
previewing 52
printing 52
saving 52
selecting devices 47
selecting report types and
inclusion dates 51
selecting the reporting period
46
verifying settings 50
creating your own 54
previewing 52
printing 52
saving 52
understanding 53
Reports screen
overview 45
Restoring the database 58
system not available 59
S
Safety 7
Saving
reports 52
Security features of CareLink Pro 2
Selecting
devices for reports 47
report types and inclusion dates 51
the reporting period 46
Sensor & Meter Overview report
about 53
Serial connections 33
Settings
verifying for reports 50
Software updates 57
downloading 57
notification 57
Starting the software 8
entering your password 8
logging in 8
Status bar for CareLink Pro 9
Storing a patient’s device on the
system 42
inactivating 42
making active 42
Supported communications devices 4
Supported devices 4
ComLink 5
communication devices 5
Com-Station 5
glucose meters 4
equivalent devices 5
insulin pumps 4
meter communications cable 5
Supported meters 4
Supported pumps 4
System not available
during a database backup or
restore 59
System preferences
setting 18
general preferences 18
open patient preferences
choosing data 21
patient lookup preferences 21
changing column order 22
patient profile preferences 20
adding a custom field 20
changing field order 21
choosing data fields 20
report generation preferences
22
changing column order 23
choosing data 23
understanding 18
T
Toolbar for CareLink Pro
buttons 12
U
Understanding reports 53
Adherence report 53
Daily Detail report 54
Device Settings Snapshot 54
Logbook report 54
Sensor & Meter Overview report 53
Updating software 57
USB connections 33
User guide
conventions 6
related documents 2
User interface
Guide Me 13
enabling 14
Learn More links 14
menu bar 12
navigating 9
online help system 14
status bar 9
toolbar
buttons 12
User safety
contraindications 7
indications for use 7
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warnings 7
V
Verifying report settings 50
W
Warnings 7
Website for Medtronic MiniMed 3
Workspaces 10
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