Guide to Pump Alarms - t:slim X2 insulin pump – Support

Pump Alarms – t:slim X2 pump

Alarms display automatically to indicate a stopping of insulin delivery. Once you clear the Alarm, you will need to manually resume insulin delivery. Pay special attention to Alarms.

This table provides pump alarm descriptions and recommendations for responding. If the alarm you are experiencing persists, please Contact Us for troubleshooting. Please make sure to have the pump alarm number and your pump serial number available at the time you contact us.

Pump Alarm (Verify under Options > History > Pump History > Alerts and Alarms)	What does it mean?	How should I respond?
Alarm 01 – Cartridge Alarm	The pump detected unintended movement of the pumping mechanism. This is most often caused by dropping the pump.	Tap and change your cartridge immediately by tapping OPTIONS from the Home screen, then Load. Review proper cartridge load technique here.
Alarm 02 and 26 - Occlusion Alarm	Your pump detected that insulin delivery is blocked and all deliveries have stopped.	Review more thorough Occlusion troubleshooting here. Tap and check the cartridge, tubing, and infusion site for any sign of damage or blockage and correct the condition. To resume insulin, from the Options menu, tap RESUME INSULIN and tap to confirm.
Alarm 3 - Pump Reset	Your pump experienced a reset and all deliveries have been stopped.	You will need to complete a cartridge load process, re-start your CGM session, and confirm that date and time on pump are correct. Note: You can reload an existing cartridge if more than 80 units remain. Always disconnect tubing from the site on your body before going through the load sequence. If using Control-IQ technology, you will also need to confirm that your Control-IQ technology settings are saved (located in OPTIONS > MY PUMP > CONTROL-IQ). Please note that Insulin on Board and Max Hourly Bolus have been reset. Tap to clear the Alarm. For additional assistance, Contact Customer Technical Support here.
Alarm 05 – Cartridge Alarm	The pump has detected that the pressure in the cartridge is out of range.	Tap and change your cartridge immediately by tapping OPTIONS from the Home screen, then Load. Always disconnect tubing from the site on your body before going through the load sequence. Review proper cartridge load technique here. Do not re-use or re-fill cartridges. Do not remove insulin from the cartridge while pumping. Do not overfill cartridges. The base of the syringe’s plunger should not pass the 3mL line.
Alarm 06 – Cartridge Alarm Alarms 21 & 24 – Altitude & Atmosphere	Your pump detected a pressure difference between the inside of the cartridge and the surrounding air within the validated operating range of -1,300 feet to 10,000 feet (-396 meters to 3,048 meters) and all deliveries have stopped.	Check to see if there is anything covering the vent holes (6 small holes on the right side on the back of your pump, circled in yellow on the image below). Ensure sure your pump has not been exposed to condensation, humidity, and/or water. This can include sweat if you wear the pump against your skin. Wait until the alarm clears. You may need to wait up to 2 hours for any potential moisture to evaporate. To expedite the drying process, you may dab excess moisture from the vent holes using a microfiber cloth and leave the vent holes face up. After the alarm clears, remove the cartridge from the pump (this will allow the cartridge to fully vent), wait 5 minutes, and then reconnect the cartridge. If alarm recurs after reconnecting same cartridge, load a new cartridge onto your pump. Review proper cartridge load technique here.
Alarm 07 – Auto Off	There has been no interaction with the pump within a specified period of time and all deliveries have been stopped.	You must resume delivery to continue therapy, by tapping OPTIONS > RESUME INSULIN. The default for this alarm is preset to 12 hours. You can set it anywhere between 5 and 24 hours, or off. To customize this alarm, tap OPTIONS > MY PUMP > ALERTS & REMINDERS > PUMP ALERTS > AUTO-OFF. Note: it is always recommended that you consult with your healthcare provider before making any settings adjustments. If you anticipate that you will be sleeping in, it’s best to interact with the pump screen right before you go to sleep. Turning the screen on does not count as a pump interaction, you will need to unlock the pump.
Alarm 08 – Empty Cartridge	Your pump detected that the cartridge is empty and all deliveries have stopped.	Tap and change your cartridge immediately by tapping OPTIONS from the Home screen, then Load. Review proper cartridge load technique here. To change or set your low insulin alert, tap OPTIONS > MY PUMP > ALERTS & REMINDERS > LOW INSULIN. Note: it is always recommended that you consult with your healthcare provider before making any settings adjustments.
Alarm 09 - Too Much Insulin	The cartridge has been filled past the maximum amount.	Tap and change your cartridge immediately by tapping OPTIONS from the Home screen, then Load. Review proper cartridge load technique here. Do not re-use or re-fill cartridges. Do not overfill cartridges. The base of the syringe’s plunger should not pass the 3mL line.
Alarms 10, 11, or 15 - Temperature Alarms	Your pump detected an internal temperature below 35ºF (2ºC) or above 113ºF (45ºC) or a battery temperature below 35ºF (2ºC) or above 125ºF (52ºC) and all deliveries have stopped.	Tap . Remove the pump from the extreme temperature and then resume insulin delivery. Exposing the pump to direct sunlight for long periods of time can affect the temperature of the pump. Keep your pump covered if outside on a sunny day. It is recommended to avoid exposure of your pump to temperatures below 40°F (5°C) or above 99°F (37°C). Insulin can freeze at low temperatures or degrade at high temperatures. Insulin that has been exposed to conditions outside of the insulin manufacturer’s recommended ranges can affect the safety and performance of the pump.
Alarm 12 – Low Power Alarm	Your pump detected a power level of 1% or less remaining and all deliveries have stopped.	Tap and charge your pump immediately to resume insulin delivery. The pump continues to operate normally while charging. You do not need to disconnect from the pump while charging. We recommend that you periodically check the battery level indicator, charge the pump for a short period of time every day (10 to 15 minutes), and avoid frequent full discharges.
Alarm 14 – Date is Invalid	The user has entered an invalid date.	Insulin cannot be resumed until a valid date is entered. You can adjust the date setting by tapping OPTIONS > DEVICE SETTINGS > TIME AND DATE > EDIT DATE. Once a valid date has been entered, resume delivery to continue therapy by tapping OPTIONS > RESUME INSULIN.
Alarm 16 – Delivery Request Fail	The pump is unable to process the user request for delivery (i.e. during the fill cannula or fill tubing process). It may be seen following a cartridge overfill.	Tap and attempt to reinitiate the cartridge load process using the same cartridge. If the alarm recurs, load a new cartridge by tapping OPTIONS from the Home screen, then Load. Review proper cartridge load technique here. Do not overfill cartridges. The base of the syringe’s plunger should not pass the 3mL line.
Alarm 18 – Resume Pump	Insulin delivery has been stopped for more than 15 minutes.	To resume insulin, from the Options menu, tap RESUME INSULIN and tap to confirm. If not acknowledged by tapping , the System will re-notify you every 3 minutes at highest volume and vibrate. If acknowledged by tapping , the System will re-notify you in 15 minutes if insulin is not resumed.
Cartridge Alarms 19, 20, 29, 30, & 31	The pump cannot engage the cartridge. This may occur during loading, or subsequently during insulin delivery.	Tap and change your cartridge immediately by tapping OPTIONS from the Home screen, then Load. Review proper cartridge load technique here.
Alarm 22 – Button Alarm	The Screen On/Quick Bolus button (on the top of your pump) was held down for more than 20 seconds. The button may be stuck or not functioning properly and all deliveries have stopped.	Ensure there is nothing continuously pressing the Quick Bolus button (on the top of your pump). Tap to acknowledge the Alarm. For additional assistance, Contact Customer Technical Support here.
Alarm 25 - Remove Cartridge	Your pump detected that the cartridge has been removed and all deliveries have stopped.	Tap CONNECT to reattach the current cartridge. Tap INSTALL to load a new cartridge. Always remember to disconnect tubing from the site on your body before going through the load sequence. Review proper cartridge load technique here.