Dräger Zeus Infinity Empowered Instructions For Use Manual
  1. Manuals
  2. Brands
  3. Dräger Manuals
  4. Medical Equipment
  5. Zeus Infinity Empowered
  6. Instructions for use manual

Dräger Zeus Infinity Empowered Instructions For Use Manual

Hide thumbs Also See for Zeus Infinity Empowered:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
Table of Contents

Advertisement

Quick Links

Download this manual
Instructions for use
Zeus Infinity Empowered
WARNING
To properly use this medical device,
read and comply with these instruc-
tions for use.
Anesthesia workstation system
Software 2.n

Advertisement

Table of Contents
loading
Need help?

Need help?

Do you have a question about the Zeus Infinity Empowered and is the answer not in the manual?

Questions and answers

Muhammad Bilal
June 19, 2025

Hi I have drager zeus infinity empowered can you please tell me the service password I try 4712 but didn't work some one change the password

User image 6854132fc6218
0

Related Manuals for Dräger Zeus Infinity Empowered

Summary of Contents for Dräger Zeus Infinity Empowered

  • Page 1 Instructions for use Zeus Infinity Empowered Anesthesia workstation system WARNING To properly use this medical device, Software 2.n read and comply with these instruc- tions for use.
  • Page 2 Dräger uses the term "Accessory" not only for ac- cessories in the sense of IEC 60601-1, but also for consumable parts, removable parts, and attached parts. The product "Zeus Infinity Empowered" is also re- ferred to as "Zeus IE". Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 3 Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 4 Experts must have the necessary knowledge and ance with its intended use. experience with complex maintenance work on the product. Abbreviations and Symbols Explanations are listed in Chapter "Overview" in sections "Abbreviations" and "Symbols". Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 5: Table Of Contents

    Patient monitoring ..... . 197 Quik Fil sevoflurane safety filling system ..84 Filling system for desflurane....87 Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 6 Device combinations ....435 Connections to IT networks....436 Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 7 Index ....... . 455 Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 8 This page was intentionally left blank. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 9 Training....... 14 Product-specific safety information ..15 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 10: For Your Safety And That Of Your Patients

    Metrological checks* cal device that is inconsistent with its intended use. The medical device must undergo regular metro- logical checks. See chapter "Maintenance". Only applies in the Federal Republic of Germany Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 11: Accessories

    – Filter – Strictly observe assembly instructions and – Endotracheal suction instructions for use for each networked de- – Vaporizer vice. – Manual resuscitator – AGSS terminal unit Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 12: Not For Use In Areas Of Explosion Hazard

    – Dangers that are obvious to the user – Consequences of obvious improper use of the medical device – Possible negative impacts on patients with var- ious underlying diseases Medical device modification or misuse can be dan- gerous. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 13: Information On Electromagnetic Compatibility

    – Mobile phones – Radio frequency electrosurgical equip- ment – Defibrillators – Shortwave therapy equipment Use radio frequency equipment only with a sufficient safety clearance of at least 20 cm (7.9 in). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 14: Installing Accessories

    Storing the instructions for use CAUTION Risk of operating errors Instructions for use must be kept accessible to the user. Training Training for users is available from the Dräger or- ganization responsible, see www.draeger.com. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 15: Product-Specific Safety Information

    WARNING Risk of device failures The device may fail if the power supply is in- terrupted. Always connect the device on an uninterrupt- ible power supply. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 16 No monitoring is possible in these operating states. During the test, pressures and concen- WARNING trations may occur in the system which are Device contamination possible hazardous to the patient! Only operate Zeus IE with airway filters. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 17 Do not use silicone spray! Silicone spray may cause breathing system valves to stick. CAUTION Do not use DIVA metering modules which have been dropped or damaged. Any damage may re- sult in faulty metering. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 18 In a closed system, foreign gases can accumulate in the breathing gas with longer surgery times, e.g., by decomposition of the breathing gas. Increased concentrations of foreign gases can be prevented by regularly flushing the breathing sys- tem. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 19: Application

    Breathing system ..... . . 22 Data exchange, ports ....22 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 20: Intended Use

    – CO , inspiratory and expiratory lation. – O , inspiratory and expiratory – N O, inspiratory and expiratory – Anesthetic agent concentration, inspiratory and expiratory Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 21: Patient Monitoring (Optional)

    (trends) as well as a log book available. Monitoring The monitoring of the patient is ensured by adjust- able alarm limits. Device monitoring – Airway pressure Paw – Expiratory minute volume MVe – Apnea depending on the options installed Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 22: Data Exchange, Ports

    For further information on connections to IT net- BUS data protocol. works, see page 436. The COM 3 serial port can only be used in conjunc- tion with the Integrated SmartPilot View option. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 23: Overview

    Symbols......38 Product labels......40 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 24: Components

    4 Module DPS (Dynamic Pres- G Drawer sure System) syringe pumps, optional H Endotracheal suction Drägersorb CLIC disposable absorber (or reusable absorber) J Output from O flow meter Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 25: Breathing System View

    Connection of internal sample line to the Protect water trap N CO water trap with connection point for sample line Connection of sample line to the CO water trap O Inspiratory port Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 26: Connection Field For Patient Monitoring And Iv-System (Optional)

    (IBP) and cardiac output (C.O.) Aux/Hemo 2/3 Connection for accessories to measure more invasive blood pres- sures (More IBP) and cardiac out- put (C.O./ Calculat.) Connection for anesthesia effect monitoring accessories (Trident pod, BISx pod) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 27: Rear With Doors Open

    Electrical connections for cylinder pressure IV system Connection for Dräger IV system sensors (IVenus) Without optional patient monitoring, only the con- nection to the optional IV system is installed. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 28: Connections To The Gas Supply Block

    D Connection for Air backup gas cylinder E Connection of central O supply F Connection of O backup gas cylinder The Air outlet option and the O outlet option are not shown in this figure. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 29: Connections To The Back Of The Device Zeus Ie

    User intervention in internal device interfaces is Only connect printers which have been approved prohibited. This may impair correct functioning of by Dräger to the Ethernet 1 port. the device. (see Printer settings page 340) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 30: Connections To The Back Of The Screen

    Variant 3 – C700 Variant 1 – C500 A USB ports B LAN ports C RS232 interface A COM 1, COM 2 B USB ports C one USB port on each side Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 31: Connections, Power Supply And Additional

    UPS and are not supplied with power in the event of a mains power failure! WARNING Do not connect HF surgery devices to the aux- iliary sockets because interference can impair Zeus IE functionality! Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 32: Diva Metering Modules

    F Release for desflurane lock G Lever to release the locking bolt H Locking bolt for safety filling device Drain plug (recessed, 2.5 mm hexagon socket) J Filling level, inspection glass window Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 33: Abbreviations

    European standard rated (measurement at body tem- perature of 37 °C, current ambient Enflurane pressure and with steam-saturated Electrosurgical unit gas, measuring point e.g. lung) etCO End-expiratory CO concentration C.O. Cardiac output Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 34 GP2 S (General Pressure), systole limitation GP 1 corresponds to the 1st meas- Inspiratory N O concentration urement channel GP 2 corresponds to the 2nd inSev Inspiratory sevoflurane concentra- measurement channel tion Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 35 Pulmonary artery blood pressure, MinFG flow Minimum fresh-gas flow mean pressure Milliliter, unit of cubic measure PA S Pulmonary artery blood pressure, mmHg Pressure, millimeters on a mercury systole column Airway pressure Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 36 RV D Right ventricular blood pressure, Expiratory time diastole Thin film transistor (screen technol- RV M Right ventricular blood pressure, ogy) mean pressure Inspiratory time RV S Right ventricular blood pressure, systole Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 37 Vol.% at a standard atmospheric pressure of 1013 hPa (sea level) Tidal volume Expiratory tidal volume Inspiratory tidal volume VTmand Mandatory tidal volume VTspon Spontaneously breathed tidal vol- xMAC Multiple of MAC Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 38: Symbols

    Charge state of internal battery 0 to Storage temperature <13 % Relative humidity Charge state unknown Atmospheric pressure Power supply from the internal bat- tery Do not use if package damaged Do not reuse Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 39 Non-rebreathing system on external fresh-gas outlet Masimo SET logo indicates that the monitor is configured with Masimo SET functionality only. Only Masimo sensors and intermediate cables may be used with the Masimo SET module. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 40: Product Labels

    When transporting the device, make sure that the slope of the floor does not exceed ±10°. If the transport position is not maintained, the maximum slope of the floor is reduced to ±5°. Risk of tipping over! Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 41: Operating Concept

    ......48 Overview of the menu structure ..49 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 42: Screen

    Touch the On/Off button again to turn the screen back on. D LED for status display of the power supply for grid operation: – Green = mains supply sufficient – Off = no mains supply present Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 43: Variant 2 And Variant 3

    – Off = battery charge less than 10 % F LEDs for status display of the gas supply from the central gas supply (O , Air, N – Green = pressure sufficient – Off = pressure not sufficient Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 44: Screen Layout

    (vertical area) and 5 data modules (horizon- tal area), (on C700 option, 8 waveform mod- ules and 6 data modules). Touch the param- eter boxes to set the parameter settings in the Sensors/Parameters dialog window, see page 188. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 45: Main Menu Bar

    329. E The Trends/Data button opens the Trends/Data dialog window. This dialog is used to call up the diagnosis windows. F The NIBP start/NIBP stop button starts or stops the NIBP measurement. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 46: Buttons In System Standby

    E The Device test button opens the dialog win- dow for Self test, Leak test, Leakage assist- ant, Pretest, see page 96. F The Start/Standby button opens the Startup dialog to start a new case, see page 109. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 47: Using The Touch Screen

    D Touch the button to close the dialog window. If the color of the button is yellow, the dialog window can also be closed by pressing the ro- tary knob. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 48: Color Concept

    In the following chapters of the instructions for use, this sequence of action is simply written: "Use the rotary knob to set and confirm the value." Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 49: Overview Of The Menu Structure

    – NIBP/SpO Calibration of NIBP/SpO , Selection of sensor type (optional) – Infinity config. – Network config. – Recorder config. – MediBus config. – COM 1 – COM 2 – Disable options Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 50 Overview of the selected settings – Alarms Overview of the selected settings – Screen layout Overview of the selected settings – Basic settings Overview of the selected settings – Autoset limits Overview of the selected settings Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 51 – SpO – NIBP – NIBP – IBP – Config. – IBP sites/ Channels – Cal. – Wedge – Temp – Temp – C.O./ Calculat. – C.O. – Config. – Cardiac calculat. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 52 – Infusion 4 – General – Advanced Trends/Data – Overview – Graph. trend – Tab. trend – Hemodyn. – Graph. trend – Tab. trend – ST view – Cardiac calculat. – Calculat. trends Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 53 – Alarm log Overview of alarms – Alarm limits – Noninvasive – Invasive – Ventilation – Anesth. – Infusion – Suspend Suppressing alarms – Alarm recorder – Recorder trigger – Recorder config. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 54 – Test results – Test result 1 – Test result 2 – Test info – Auto self test – Test history – Leakage assistant – System info – Service Access code required Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 55 – Pressure Support Set parameters – External FG outlet Set parameters MixGas settings – Fresh-gas control Settings for metering mode – Auto control Settings for metering mode Patient setup Change patient data Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 56 This page was intentionally left blank. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 57: Assembly And Preparation

    ..... . . 72 Preparing optional patient monitoring ..72 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 58: Before Initial Use

    – Before inserting the flow sensor check for visible damage and soiling, such as resid- ual mucus, medication aerosols, and parti- cles. – Replace flow sensors when damaged, Air N Air N soiled, or not particlefree. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 59: Zeus Ie As A Ceiling Device

    Docking Zeus IE with the ceiling supply unit CAUTION To use Zeus IE in combination with a ceiling sup- ply unit safely, it is essential to follow the Forta lift instructions for use. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 60: Establishing The Mains Power Supply

    Only connect the device to power sockets with the permissible mains voltage and a protec- tive ground. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 61: Establishing Potential Equalization

    If this is ignored, it can put the patient and user at risk. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 62: Electrical Fuse For Auxiliary Sockets

    (Ethernet connection), which have a maximum nominal voltage of 24 V and which meet one of the following standards: – IEC 60950-1: Ungrounded SELV circuits – IEC 60601-1 (as of 2nd edition): Exposed sec- ondary circuits Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 63: Establishing The Gas Supply

    If the cylinder valves are open, gas can be re- moved unnoticeably from the gas cylinders (in- stead of from the central gas supply) during CS operation. Always keep the cylinder valves closed during CS operation. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 64 When the LEDs are switched off, check that the sensor plug and the pressure re- ducer are positioned correctly and the cylinder pressure is sufficient. 6 Close the cylinder valves again. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 65: Connecting Anesthetic Gas Receiving System

    Follow the instructions for use of the anesthetic gas receiving system (AGS). CAUTION Increased occupational exposure Do not deliver any anesthetic agent if the AGS is not connected! Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 66: Replacing Or Filling The Co Absorber

    When the breathing system is not used: Do not use any fracture lime! Increased dust yield Only fill the absorber cannister just before use! may impair the functionality of Zeus IE. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 67: Using Disposable Co 2 Absorbers

    Insert the CLIC adapter into the breathing sys- tem from below and turn clockwise as far as it will go. Make sure that the unlock button (A) is facing the front and visible to the user. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 68 2 Remove the seal from the new disposable CO absorber. 3 Slide the new disposable CO absorber (C) as far as possible into the holder (B) until you hear it snap into place in the CLIC adapter. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 69: Connecting Hoses

    Y-piece. 5 Connect the sample line (F) on the filter and on the CO water trap. NOTE Only scavenge from the near-patient filter, other- wise the measured values may be incorrect. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 70: Connecting Pediatric And Neonatal Breathing Hoses

    Connect the small sleeves with Y-piece. 2 Attach hose water traps (B) attach at the lowest point to collect the condensate. 3 Connect the Y-piece (C) and spacer (D). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 71: Note About Using Bacterial Filters, Endotracheal Tubes, Y-Pieces, Breathing Hoses, Soda Lime, And Other Accessories For Breathing Systems

    Only in this way is the compliance correctly determined and with volume-controlled ventilation a correct tidal volume applied. If coaxial hoses are used, leakages between the in- ner and outer hose are not detected during the self test/leak test. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 72: Preparing Optional Patient Monitoring

    100 to 300 mL Adults All modes 300 to 700 mL Adults All modes >700 mL Adults All modes Preparing optional patient monitoring Connect cables and modules for patient moni- toring, see page 197. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 73: Connecting Iv System

    (1 to 4), see page 141. 4 Connect the cable connection (C) between the IV system and the IV system connection in the connection field for patient monitoring. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 74: Diva Metering Modules For Anesthetic

    Pressing the unlock button during operation re- sults in immediate shutdown of the DIVA metering module! This can lead to a rapid drop in anes- thetic agent concentration in the breathing gas. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 75: Fill The Diva Metering Modules

    WARNING Risk of patient injury Do not allow any detergents or substances not intended for use to enter the filling system. The anesthetic agent may be contaminated. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 76: Transportation Of Filled Diva Metering

    CAUTION Increased occupational exposure When filling during the warm-up phase of the DIVA metering module, anesthetic agent may es- cape. Only fill the DIVA metering module after the warm- up phase. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 77: Diva Metering Module With Dräger Fill Filling System

    Press the Ventilate reservoir (A) button. The DIVA metering module is ventilated for ap- prox. 30 sec. No anesthetic agent vapor es- capes into the environment during filling. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 78: Finishing The Filling Process

    Avoid excessive force and tilting of the anes- thetic agent bottle! 8 Watch the filling level in the sight glass (H). 9 The supply will be interrupted automatically when the maximum mark is reached. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 79: Emptying The Diva Metering Module

    Do not use anesthetic agents that were emp- tied from a DIVA metering module, but dispose of in a proper manner. Otherwise, the anes- thetic agents may be contaminated, mixed with others or used by mistake. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 80: Diva Metering Module With Safety Filling Device

    The color coding and names/symbols on the fill- ing adapter correspond to the anesthetic agent used. 3 Screw the filling adapter (D) firmly onto the an- esthetic agent bottle. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 81 7 Insert the filling adapter (G) into the opening of the filling device up to the stop. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 82: Finishing The Filling Process

    5 Insert the locking bolt (E) and press in com- pletely. 6 Close the lever (C). Otherwise, fresh gas and anesthetic agent va- por could escape after switching on and trans- porting the DIVA metering module. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 83: Emptying The Diva Metering Module

    (B). 5 Close the drain plug again after emptying. 6 Insert the locking bolt again and press in up to the stop. 7 Close the lever. 8 Close the anesthetic agent bottle. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 84: Quik Fil Sevoflurane Safety Filling System

    1 Press the Ventilate reservoir (A) button. The DIVA metering module is ventilated for ap- prox. 1 minute. No anesthetic agent vapor es- capes into the environment during filling. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 85: Finishing The Filling Process

    Watch the filling level in the sight glass. The supply will be interrupted automatically Screw the cap onto the bottle adapter. when the maximum mark is reached. Always keep the anesthetic agent bottle closed! Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 86: Emptying The Diva Metering Module

    4 Close the drain valve again after emptying. 5 Remove the anesthetic agent bottle and close it with the cap. 6 Close the DIVA metering module with the lock- ing cap (B). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 87: Filling System For Desflurane

    4 Insert the locking cap of the DIVA metering module into the filling device until it engages. 1 Touch the unlock button (A). 2 Pull out the locking cover (B) of the DIVA meter- ing module. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 88: Emptying The Diva Metering Module

    3 After emptying in this position, touch the unlock button and remove the anesthetic agent bottle. 4 Turn the DIVA metering module upright and close it with the locking cover. 5 Close the anesthetic agent bottle. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 89: Startup

    ......104 Startup in emergencies ....105 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 90: Device Check

    NOTE If cylinder valves are open during operation with central gas supply: Risk of gas being drawn from backup gas cylinders. 3 Close the cylinder valves again after the capac- ity test. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 91: Checking The O 2 Flush

    (A) to unlock it and adjust O flow by turning. 3 The breathing bag fills. 4 Turn the O rotary safety knob (A) back to the original position and push it in. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 92: Checking The Apl Valve

    3 The float in the AGS hangs between the two markings. Follow the instructions for use of the anesthetic gas receiving systems (AGS) and the anes- thetic gas scavenging system (AGSS). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 93: Checking The O 2 Flow Meter

    Startup Checking the O flow meter 1 Open the adjustment knob counterclockwise. The ball ascends steadily in the measuring tube. 2 Close the adjustment knob. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 94: Switching On Zeus Ie

    Perform the self test once a day in order to check the operational reliability of the device and hence minimize the risk of exposing the patient to a hazard! The initial screen appears after switching the de- vice on. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 95: Checklist

    1 Touch the Supplies/ Safety tab (B). 2 Perform the following test steps: – Power supply – Central gas supply – Gas cylinders – Emergency breathing bag – O flush – O emergency delivery Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 96: Self Test

    4 Enter a new name or select a name from an ex- isting list of the last six testers. Names can also be deleted from the list. 5 The Start (D) button automatically turns yellow. Confirm with rotary knob. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 97 Repeating the self test: Perform the pretest again or start the self Touch the Repeat button (G). All tests are re- test directly to obtain accurate error analy- peated. sis. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 98 The alarm system is automatically checked during the self test. Additionally, the loudspeaker is auto- matically checked when a new case is started. There is an audible tone at the end of the self test. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 99: Automatic Self Test (Auto Self Test)

    The countdown can be interrupted by: – Touching the Cancel Autotest button (B) – Opening the startup dialog The countdown is replaced by –:–. The automatic self test is repeated after 24 hours. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 100: Pretest

    After the problem has been remedied: Touch the Repeat button (B) (Start). The pre- test continues. Or cancel the pretest: Touch the Cancel button (C). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 101: Displaying The Test Results

    – Leaks and compliance, with the time of the last measurement – Battery capacity Test info – Anesthetic agent quantity in the DIVA metering module Calling up the test info: Touch the Test info tab (A) or View details tab (B). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 102: Automatic Self Test

    When activating On, the following messages ap- pear: – Auto self test is enabled. Conduct Pretest. Check start time. When activating Off, the following message ap- pears: – Auto self test is disabled. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 103: Leakage Assistant

    A message indicates where the cause of the leak can be found and provides information about how to remedy the problem. Leaving the leakage assistant: Touch the Cancel button (C). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 104: Displaying The Test Results During Operation

    Trends/Data 1 Touch the Trends/Data button. The Trends/Data dialog window will be opened. 2 Touch the System tab (A). The Test details dialog window appears. 3 Touch the Test results tab (B). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 105: Startup In Emergencies

    3 Start manual ventilation. Wait for the software to launch and for electronics test to end. The device only performs a minimum test. NOTE During this phase, no anesthetic gas delivery is possible! Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 106 Ventilator MAN/SPON mode with the preset profile. MAN/SPON. Touch the MAN/SPON field (F). The Ventilation settings dialog window opens. 1 Touch the button for the required ventilation mode. 2 Adjust the fresh-gas settings if necessary. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 107: Operation

    Web access (optional) ....138 Launching a web application ....139 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 108: Start Settings

    Exporting all case data The archive name includes the following informa- Touch the Export all button (G). tion: – Case ID – Date and time of the start of the case Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 109: Startup Dialog

    The Startup dialog dialog window appears if: – Zeus IE detects two mandatory breaths applied by manual breathing bag The current profile is selected. Standby Startup dialog Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 110 Closing the page: tings of gas delivery and ventilation for the selected profile. Touch the More IV settings button (L). The lower display field (H) shows the IV settings for the selected profile (optional). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 111: Patient Transfer (Optional)

    All buttons are gray and the Transfering patient data, please wait! message is displayed during the patient transfer. After the transfer, the patient data is updated and the page closes. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 112: Changing Patient Data

    In contrast with a normal PC keyboard, the Shift and AltGr- buttons do not reset automatically. The button must be touched a second time for it to switch back. Enter text and press Enter or confirm with ro- tary knob. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 113: Patient Categories And Set Ranges

    By selecting a patient category, values for pa- tient weight and age, which have an effect on patient and ventilation settings, are prese- lected. The selected patient category should always match the patient. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 114: Integrated Smartpilot View (Optional)

    The view can be saved in a profile (Profiles). 1:35 More detailed information can be found in the SmartPilot View instructions for use (9054084, 1st edition). Touch the SmartPilot button (A). only in conjunction with Variant 3 – C700 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 115: Gas Delivery

    Basic settings > More settings > VA/N O (see page 350). Throughout the system in nitrous oxide-free opera- tion, N O monitoring and N O setting elements are turned off. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 116: Control Mode Fresh-Gas Control

    FG DES, FG ISO, FG SEV (F) 7 Touch the therapy control of the parameter. 8 Use the rotary knob to set and confirm the value. The set values are transferred to the system. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 117 0 to 5 Vol.% 0 Vol.% 0 Vol.% 0 Vol.% FG SEV 0 to 8 Vol.% 0 Vol.% 0 Vol.% 0 Vol.% FG DES 0 to 18 Vol.% 0 Vol.% 0 Vol.% 0 Vol.% Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 118: Control Mode Auto Control

    DIVA metering modules. 5 The color of the button turns yellow. Confirm with rotary knob. Other parameters: – FiO (D) (target value inspiratory O concentra- tion) – Flush flow (E) (Flush flow) Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 119 60 s to the set value. The text Flushing is dis- played above the virtual flow tubes. Interrupting the flush flow: Touch the (N) button. The flushing flow is interrupted and displays the set MinFG Flow (closed or minimum fresh-gas flow). Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 120 0 to 18 Vol.% 0 Vol.% 0 Vol.% 0 Vol.% inDESmax 0 to 18 Vol.% 12 Vol.% 12 Vol.% 18 Vol.% 1) A nitrous oxide-free device system can be configured under Basic settings. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 121: Uptake Mode

    In HighFlow mode, the depth of anesthesia may otherwise be too shallow because the ex- piratory concentration target value is used as the fresh-gas concentration target value. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 122: Ventilation

    – Pressure Control Direct switching to the MixGas sett. dialog window (C) and Alarms dialog window (D) is possible from – Pressure Support – External FG outlet (optional) all ventilation modes. Ventilation settings Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 123 Example: Volume-controlled ventilation with con- stant flow Volume Control – CMV Activate MAN/SPON ventilation mode: Touch the MAN/SPON button (E). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 124: Ventilation Mode Man/Spon (Manual/Spontaneous)

    Touch the (B) button and confirm with rotary knob. The volumeter function (C) is used for monitoring and evaluating ventilation with spontaneous breathing and manual ventilation in the MAN/SPON ventilation mode. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 125 Even with automatic ventilation, the APL valve must be adjusted to a pressure that is safe for the patient! Quick release Release pressure from the breathing system by lifting the valve head. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 126: Ventilation Mode Volume Control Autoflow

    This can cause an excessive pressure rise in ventila- tion pressure. CAUTION The administered volume may be lower than the set volume if there is a leak! Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 127: Ventilation Mode Volume Control

    Expiratory flow does not return to the base line. This can cause an excessive pressure rise in ventilation pressure. CAUTION The administered volume may be lower than the set volume if there is a leak! Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 128: Ventilation Mode Pressure Control

    PEEP level. For patients with and without spontaneous breath- ing. The patient can breathe spontaneously at any time (free deep breathing ability). Spontaneous breath- ing can be supported with Pressure Support. Ventilation settings Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 129 The color turns yellow. The value of ventilation pa- rameter P (J) also turns yellow. insp 2 Set PEEP and confirm with the rotary knob. The value for P is automatically adjusted. insp Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 130: Ventilation Mode Pressure Support

    VT is determined over 10 breaths and preset. In addition, Pplat is set as a new P when insp changing from volume-controlled ventilation modes to Pressure Control (see following table). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 131: Set Ranges And Default Values For The Ventilation Modes

    [mbar] Inspiration pressure P [mbar] 3 to 70 insp Pressure support ∆Psupp [mbar] 0 to 70 Pressure rise time Slope [sec.] 0 to 2 Flow trigger sensitivity Trigger [L/min] 0.3 to 15 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 132: Ventilating Pediatric Patients And Neonates

    With neonates, monitor the inspiratory CO Zeus IE. concentration as an indicator of pendulum respiration. WARNING Risk of patient injury The user must assess the risks of switching over to 100% O and take action if necessary. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 133: Directing Fresh Gas To The External Outlet

    Fresh-gas control control mode auto- matically. Ventilation settings Ext. fresh-gas outlet Check fresh-gas settings. MixGas will be switched to Fresh-gas control au- tomatically. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 134: Special Events During Ventilation

    Or continue ventilation: Close dialog window. Pressing the rotary knob automatically switches the device to the system standby screen. 3 Call up the Startup dialog and configure, see page 109. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 135: Checking The Soda Lime

    1 Switch to Vent. Standby. Prerequisite: The New patient button has been configured, see page 332. 2 Touch the New patient button (C). The startup dialog opens. 3 Perform configuration, see page 109. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 136: Leak Test

    CAUTION After each change of patient, a leak test must be performed to rule out the possibility of major leaks. Standby 1 Touch the Device test button (A). Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 137 If during leak test it is detected that the last self test was unsuccessful or that, after activating the device, no self test was performed at all, the following message appears next to the name field of the tester: Self test required! Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 138: Web Access (Optional)

    – Red: Web application stopped Only web applications approved by Dräger can be used. Applications approved as web applications in con- junction with Zeus IE: – WebViewer Version VF4 – WebViewer Version VF5 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 139: Launching A Web Application

    Exiting web application 1 Select the web application to be stopped. But- ton turns dark green. 2 Touch the Stop button (D). The current application is exited. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 140: Iv System - Ivenus

    IV socket on Zeus IE, the base (IVDock) is no longer supplied with power. Each Module DPS is powered by its own battery. Pay attention to the battery warning! Infusion is automatically stopped when the battery is empty. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 141: Safety Concept

    IV settings must be checked on the sy- modules area. ringe pump and on Zeus IE. During operation, the Module DPS syringe pumps are controlled via the IV control field. ATRAC 3.00 Inf mg/kg/h Start bolus Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 142: Infusion Dialog Window

    H Infusion: Therapy control for infusion in user- defined unit of measurement and display of the set infusion rate in mL/h Status: Display of a running or waiting function (e.g., Bolus running). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 143: Starting The Module Dps On Zeus Ie

    The Module DPS syringe pump is switched on. Zeus IE checks information from the syringe pump being used. The default values are set. Bolus rate = speed of bolus administration Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 144: Administering An Infusion

    An infusion or a bolus application can be com- menced only after the syringe size and the drug have been confirmed on the syringe pump and after visual inspection of the assigned Module DPS sy- ringe pump on Zeus IE. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 145 1200 mL/h is the A new drug can be selected for each syringe pump: maximum infusion rate that can be set on Zeus IE, depending on syringe size. Touch the Change drug button (A). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 146: Administering A Bolus

    On button for the Bolus. Touch the Off button (C) and confirm with rotary knob. If an infusion is restarted, the infusion rate value last set is displayed on the therapy control. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 147 If bolus administration has not finished, the remain- ing quantity is administered when the bolus is re- started. If the application time of the bolus is >180 seconds, a dialog window appears, see page 141. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 148: Select Drug

    4 Confirm the new drug on the syringe pump. The drug list (B) shows all the drugs stored with the following information: – Name – Abbreviation 2 Select a drug from the drug list (B) using the ro- tary knob. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 149: Drug Library

    – Do not use any mass storage device contain- ing computer viruses with Zeus IE. The Drug library dialog window will be opened. Drug library B Drug list with the following information: – Name – Abbreviation Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 150 Units can be defined by the user and may vary. L Time unit: min, h NOTE If a drug is stored in a profile, the abbreviation cannot be changed. The drug must first be re- moved from the profile. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 151 Units can be defined by the user and may vary. NOTE These limits cannot be changed during operation Delivery beyond these set limits is possible. A vi- olation of these limits is announced. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 152 4 Touch the Abbreviation button (Y). A keyboard window opens. 5 Use the BackSp button in the keyboard window to delete the placeholder for the abbreviation. 6 Enter name and confirm with the rotary knob. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 153: Module Dps - Transport Concept

    149. 3 Confirm with rotary knob. CAUTION Risk of patient injury After transferring a drug library, check the drug configurations to eliminate the risk of incorrect settings. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 154: Displaying Infusion Trends

    – Name and Concentration – Selected infusion – Delivery rate – Volume actually administered V Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 155: Setup For The Iv System

    The values set for the Module DPS in Zeus IE are displayed in the System setup > Infusion dialog window (A). The values displayed are saved in the profile. For more information on the system setup, see page 323. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 156: End Of Operation

    Air N Air N Pressing the rotary knob automatically switches the 1 Touch the On/Off button (C). device to the system standby screen. The Shut down? dialog window will be opened. Standby Standby Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 157 NOTE As the DIVA metering modules cool down slowly (when using desflurane), metering accuracy is temporarily reduced if Zeus IE is shut down and put back into operation immediately. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 158 This page was intentionally left blank. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 159: Alarms

    Adjusting the lower and upper limit values according to set points and patient demographic data..... . . 174 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 160: Alarm Behaviour At Power On

    – A tone sequence sounds every 30 seconds Alarms of lower priority – The alarm messages require attention and, if necessary, action. – Text on a cyan-colored background – Single tone sequence Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 161: Alarm Info

    – At the start of a new case – When switching on the system – In the event of a total power failure of more than 5 min (after the batteries are empty) Touch the Alarm log tab (A). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 162: Alarm Limits

    1 Touch the vertical tab of the user configuration of the alarm limit to be modified. 2 Touch the button of the alarm limit to be modi- fied. The button turns yellow. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 163: Non-Invasive Patient Monitoring (Optional)

    S, D, or M E T1 (temperature, measuring point 1) F T2 (temperature, measuring point 2) G TBlood (blood temperature) monitored for C.O. measurement H NMT (TOF count) BIS (BIS index) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 164: Ventilation

    H Brody Factor Leakage detection in closed operation, see "Set ranges of the patient monitoring alarm limits" on page 179. The alarm limits set are displayed on the wave- forms as a broken line. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 165: Infusion (Optional)

    The syringe pump cannot be remote-controlled. 1 Switch off syringe pump. 2 Increase volume alarm limit on Zeus IE. 3 Switch syringe pump back on. Keep Vein Open Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 166: Suspending Alarms

    The symbol disappears as soon as – Arrhythmia alarms respiratory phases are detected, see CO auto wake-up (breaths) page 349. Technical alarms Technical alarms can be acknowledged and then set to a low priority. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 167: Alarm Recorder (Optional With Hemodynamic And Infinity Network)

    3 Use the rotary knob to set and confirm the alarms Active triggers (E). value. 3 Use the Apply changes button (F) to confirm 4 Use the Apply changes button (N) to confirm the changes. the changes. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 168: All Limits

    Factory setting: Off; 20 to 100 1/min K ST LAT (ST lateral) L ST INF (ST inferior) M ST ANT (ST anterior) N NMT (TOF count) O BIS (BIS index) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 169: Other Bps

    K GP1 M (non-specific mean blood pressure) L GP2 M (other non-specific mean blood pres- (General Purpose) sure) (General Purpose) M ICP M (mean intracranial pressure) N CPP M (cerebral perfusion pressure) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 170: Arrhythmia

    179 Risk of patient injury The user must adjust maximum inspiratory VA concentration to suit the patient or else there is a risk of concentration levels being too high or too low. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 171: Infusion

    Setting range Factory default values Pressure 100 to 1600 (5 and 10 mL syringe) (mmHg) 100 to 1500 (20 mL syringe) 100 to 1100 (50 mL syringe) Volume (mL) 0 to 900 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 172: Autoset Limits

    3 Touch the Autoset (A) button. The alarm limits highlighted in yellow will be recalculated. The limit is adjusted based on the formula: Upper limit Current measurement + X % Lower limit Current measurement – X % Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 173: Setting Autoset Limits For The Hemodyn. Area

    O (inspiratory N O content of the breathed air) C inHal, inEnf, inIso, inSev, inDes (inspiratory anesthetic agent concentration) D etCO (expiratory CO content) E MVe (expiratory minute volume) F Paw (airway pressure) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 174: Adjusting The Lower And Upper Limit Values

    173 40 % (mmHg) (OFF, 20 to 80) RV M see page 173 40 % (mmHg) (OFF, 20 to 80) CVP M see page 173 40 % (mmHg) (OFF, 20 to 80) Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 175 (OFF, 5 to 20) TBlood see page 173 (OFF, 5 to 20) Autoset ventilation/anesthesia: see page 173 40 % (OFF, 20 to 80) inHal see page 173 40 % (OFF, 20 to 80) Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 176 (20 to 80) MVe calculated from set points, otherwise from measured val- PIP + X mbar Autoset with adjust- 10 mbar able absolute differ- (OFF, 5 to 20) ence in relation to PIP pressure Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 177: Suppressing The Alarm Tone

    Audio paused key, then all alarms which appear in Insp. desflurane high the next 2 minutes are suppressed (preventive si- lence function). Insp. enflurane high Insp. halothane high Insp. isoflurane high Insp. oxygen low Insp. sevoflurane high Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 178 Pump 4 operation failed Remove DIVA module 1 Remove DIVA module 2 Safety O opened Safety settings active Syringe 1 empty Syringe 2 empty Syringe 3 empty Syringe 4 empty VA delivery failure Ventilator failure Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 179: Set Ranges Of The Patient Monitoring Alarm Limits

    O (Vol.%) 0 to 81; Off MVe (L/min) 0.1 to 39.0; Off MVe (L/min) 0 to 38.9 Paw (mbar) 5 to 100 (L/0.01) 0.02 to 2.0; Off Brody Factor 1.5 to 5.0, Off Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 180: Patient-Related

    –5 to 115 PA D (mmHg) 0 to 120 PA D (mmHg) –5 to 115 PA M (mmHg) 0 to 120 PA M (mmHg) –5 to 115 RV S (mmHg) 0 to 120 Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 181 Neo: 15 to 130 Ped: 15 to 170 Adult: 15 to 250 NIBP M (mmHg) Neo: 10 to 125 Ped: 10 to 165 Adult: 10 to 245 T1/T2 (°C) –4.9 to 50 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 182: Arrhythmia Detection

    Count 3 to (VTcount –1) 3 to 9 3 to 9 3 to 9 3 to 9 – AIVR Alarm On/Off Rate 100 to 200 – (<VTcount –1) Count count >3 – Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 183 On/Off Rate 100 to 200 – Count – Brady Alarm On/Off Rate 30 to 105 – Count – Pause Alarm On/Off Rate 1.0 to 3.5 – Count – – – – – Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 184: Trends And Diagnosis Windows

    C, R, RRmand, RRspon, VT Resp. mech.: – Pressure: PIP, Plat, Mean, PEEP – Lung: Cdyn – Ventilator: Circle flow – Vol: MVe, V , VT , RR, VTmand, RRmand, MVespon, VTspon, RRspon Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 185 – Volatile agent amount since start – Gas costs since start: O , Air, N – Volatile agent costs since start H System Automatically opens the page Test details > Test history. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 186 This page was intentionally left blank. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 187: Monitoring

    Cardiac output (C.O.) ....234 Anesthesia effect monitoring ....238 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 188: Overview Of The Monitoring

    CO The Sensors/Parameters dialog window will be HR/PLS parameter modules. The length of time the opened. alarm has already been present is displayed in the relevant parameter module. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 189: Device Monitoring

    D Flow (setting the amplitude of Flow scale and Vol. scale, Waveform selection) E Paw (setting the amplitude of Paw scale) F Volatile agent (setting the amplitude of VA scale) G PV FV Loops (setting and selecting the loops) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 190: Oxygen

    Additionally after touching the Display all button ured, see page 332): (prerequisite: Display all button has been config- – Currently set alarm limits ured, see page 332): – Currently set alarm limits Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 191 E Waveform selection: represent Flow or Vol. as a waveform F The button opens the Alarms > Alarm lim- its > Ventilation dialog window for alarm limit setting. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 192: Airway Pressure Paw

    > Ventilation dialog window for alarm limit Additionally after touching the Display all button setting. (prerequisite: Display all button has been config- ured, see page 332): – Pplat (plateau pressure) – currently set alarm limits Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 193: Anesthetic Agent

    > Anesth. dialog window for alarm limit set- ting If a second anesthetic agent is measured, it is dis- played instead of N An age-adjusted MAC multiple is used, see page 114. xMAC MAC – Minimum Alveolar Concentration Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 194: Loop Displays

    The sequence of the loops is dis- played at the top right along with the respective time saved. Displaying values for compliance Cdyn and resist- ance R: Touch the screen between the Save and Recall buttons. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 195 Instead of the loop display, J The button opens the Alarms > Alarm lim- Vent. standby is displayed. its > Ventilation dialog window for alarm limit setting. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 196: Infusion

    The Alarms > Ventilation dialog window opens, see page 164. The Brody-Factor button is yellow and can be adjusted. Touch the display of the flow tubes. The Trends/Data > Current flows dialog window appears. L/min mL/h 0.28 0.14 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 197: Patient Monitoring

    G BIS/NMT (anesthesia effect monitoring), see page 238 The parameters can be displayed as measured val- ues in configurable parameter boxes. The ECG, SpO , IBP and BIS parameters can also be displayed as mini-trends. optional Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 198 F IV system Synchronization connection for defibrillators Connection of Module DPS for intravenous an- M IV system esthesia (optional) Connection of Module DPS for intravenous an- G Sync esthesia (optional) Synchronization connection for defibrillators Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 199: Accessories For Patient Monitoring

    1 Nellcor iMax cable sensor NIBP NIBP hose 1 sen- 1) optional for measurement without SmartPod SpO 2) depends on the use of a Y-cable 3) omitted for measurement without SmartPod SpO Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 200 For better performance, set the ECG filter option to "ESU". WARNING Pacemaker detection is not available if the ESU filter or MULTIMED Plus OR cable is used. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 201 NIBP socket (A) at the connection field of the hemodynamic monitoring on Zeus IE and con- nect the other end of the hose to the connection on the cuff. optional for measurement without SpO SmartPod Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 202 SmartPod SpO sure. H The C.O. Start key starts measuring cardiac output. The Wedge key starts measuring pulmonary wedge pressure. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 203 3 Insert the pressure transducers (P) on the front Zeus IE is located on the left side. panel of the module. Insert the pressure trans- ducers into the slide-in compartment corre- sponding to the module connection. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 204 A Y-cable has to be used for the measurement of 2 temperatures. 3 Insert the pressure transducers into the trans- ducer slots (U). 4 Connect the pressure transducer adapter ca- bles (V) to the intermediate cables (W). Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 205 The SpO measurement is carried out using the fol- lowing connections: A Integrated SmartPod or B Multimed** C Connecting cable D SpO sensor Measurement using SpO SmartPod optional for measurement without SpO SmartPod Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 206 D Thermistor T-piece E Three-way tap F C.O. Y-cable G C.O. catheter cable E MULTIMED cable H Catheter connection F Connecting cable Thermodilution catheter G SpO sensor J Distal lumen K Balloon lumen optional Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 207 D Socket for BISx pod E To the Zeus IE connection field (Pod Com ca- ble) For synchronization, a defibrillator can be con- nected to the Sync. connection (A) on the Zeus IE connection field. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 208: Electrocardiography Ecg

    HR parameter field of the main screen. not accurately measure heart rate as well as frequency-dependent arrhythmia events. WARNING Turn on pacemaker detection for pacemaker patients only. Turn off pacemaker detection for patients without pacemakers. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 209 WARNING Special caution is required with patients who have an implanted, frequency-adapted pace- maker. Patient monitors can cause faults in some frequency-adapted pacemakers. This could lead to unnecessarily high pacemaker rates. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 210 Ascertain the heart rate via the SpO signal or arterial blood pressure instead of via the ECG. Internal temperature sensors (rectal, esopha- geal) have a protective sheath. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 211 5-lead standard / 6-lead for pacemaker Only use sterile electrodes. The electrodes must be attached with a water- tight plaster (approx. 5 cm wide) or with sterile adhesive tape and protected against liquids. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 212 ECG 1, ECG 2, ECG 3 I, II, III, aVR, aVL, aVF, V MULTIMED PLUS OR MULTIMED 6, 6-lead ECG 1, ECG 2, ECG 3 I, II, III, aVR, aVL, aVF, V, V+ MULTIMED PLUS OR Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 213 Electrical artefacts arising from a cause other than heart disease, e.g., attacks/spasms, may prevent the detection of certain arrhythmias. In the case of patients prone to attacks, the user should not solely rely on the ECG. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 214 ST measuring point ST level Time [s] QRS start QRS end ST deviation Zeus IE can detect and display deviations in the ST segment of the QRS complex relating to an isoelec- tric baseline. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 215 K Autoscale all causes automatic rescaling of all ECG leads once L Relearn: Manual starting of the ECG learning phase, e.g., in order to redetermine the refer- ence QRS complex after electrode reposition- Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 216 ST view, opens ST view in the Trends/Data di- alog window J The button opens the Alarms >All limits > Hemodyn. dialog window for alarm limit setting of the measured values ST LAT, ST INF, ST ANT. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 217: Pulse Oximetry Spo

    ECG filter setting ESU is se- (pulse) can likewise be determined with the aid of lected. monitoring. F Pacer detection: On, Off optional for measurement without SpO SmartPod Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 218 Sensor performance may be impaired by strong rial pigmentation can also generate incorrect movements of the patient and lead to inaccurate measurements. measurements. Change the application site to re- duce motion artefacts. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 219 This page displays: B The current SpO curve (plethysmogram) C Plethysmogram scale: Scaling of the SpO curve in relation to the amplitude D Pulse tone volume [%] optional for measurement without SpO SmartPod Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 220: Non-Invasive Blood Pressure Nibp

    Position the cuff in such a way that no pressure is exerted on the joints. In the case of patients suffering from spasms, vi- olent tremors or certain arrhythmias, it may not be possible to obtain reliable NIBP measurements. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 221 – NIBP double size (display twice the width) its > Noninvasive dialog window for alarm limit – NIBP trend (display as graphic trend over setting. 30 min) If the Auto button is touched, the Auto mode paused message appears. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 222 In the Cont. 5 Min. mode, single measurements Stasis are continuously taken over 5 minutes. Single measurements (Single mode) Start and stop single measurement: Touch the NIBP start or NIBP stop button. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 223 (see page 221) and there is a weak pulse profile, Zeus IE cancels the measurement in progress and starts a second measuring attempt. If a second at- tempt fails, an alarm message is displayed. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 224 During venostasis, the Stasis message, the cuff pressure and the time remaining are displayed in the parameter box. Aborting venostasis: Touch the NIBP stop button. After concluding the venostasis, the Single mode is activated. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 225: Invasive Blood Pressure Measurement Ibp

    –50 to 400 [mmHg] Right ventricular Systolic, diastolic, mean Central venous Medium Right atrial Medium Left atrial Medium Intracranial Medium Unspecific, 1 Systolic, diastolic, mean –50 to 400 [mmHg] Unspecific, 2 Systolic, diastolic, mean Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 226 HF surgery and defibrillation. If non-approved pressure trans- ducers are used, this protection can no longer be guaranteed. Approved pressure transduc- ers are on the separate list of accessories. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 227 In the IBP curve, the Zeroing message appears with a yellow background in the top right field. After zeroing has been completed, the message fades out again independent of whether the zeroing was successful or not. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 228 (see page 230). CAUTION Perform zeroing before calibration! The pressure transducer must be zeroed within five minutes before calibration. Otherwise, this will lead to incorrect measurements. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 229 332): arise: – Currently set alarm limits – With direct connection of the pressure trans- ducer cable, the adjusted measuring points are used. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 230 F IBP filter [Hz]: 8, 16, 32 (filter default for the blood pressure channels) G The button opens the Alarms > Alarm lim- its > Invasive dialog window for alarm limit set- ting. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 231 J IBP meas. site: (ART, LV, PA, RV, CVP, RA, LA, ICP, GP1, GP2), K Zero individual blood pressure (only acti- vated when a pressure gauge is connected) L Calibration factor (only activated when a pres- sure gauge is connected) Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 232 The following is displayed in the note field (R): Wedge measurement in progress Aborting the measurement: Touch the Quit button (X). The dialog window closes. Alternatively, the Wedge switch on the hemodynamic module can also be pressed. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 233: Temperature

    The PWP value is saved. (prerequisite: Display all button has been config- ured, see page 332): – Currently set alarm limits Alternatively, the Wedge switch on the hemodynamic module can also be pressed. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 234: Cardiac Output (C.o.)

    – Volume, temperature, density and specific heat of the injectate – Initial temperature, density and specific heat of the blood – Temperature changes in the blood/injectate mixture – Area underneath the temperature curve Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 235 If all free storage fields are allocated, the oldest C.O. curve is deleted or a storage field must be de- C.O. 11:26 L/min leted manually: 37.1 TBlood Touch the Delete C.O. trial button. 3.12 43.0 25.0 Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 236 Alarms > Alarm lim- sibly to a wrong medical diagnosis. If the cath- its > Noninvasive dialog window for alarm limit eter constant was entered manually, make setting. sure an appropriate catheter is used. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 237 The table data is ultimately saved in the calculation trends, see page 184. At least the C.O. or PWP value must be measured. The time in the calcula- tion trends is the time when the Save button was touched. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 238: Anesthesia Effect Monitoring

    – Infinity BISx SmartPod for measuring seda- tion effects is based on BIS-XP technology. The BISx parameter (bispectral index) indicates the effects of sedation on the brain. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 239 NMT pod. Oth- use. Otherwise there is a danger of electric erwise there is a risk that measuring results shock and the possibility of distorting meas- will be distorted. urement results. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 240 2 Connect the pod connecting cable (C) to the Tri- dent pod and to the Aux/Hemo 2/3 connector on Zeus IE. 3 Attach the NMT sensor (D) to the thumb and in- dex finger. Secure with a rubber band. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 241 Alarms > Alarm lim- Current mode Use Auto. its > Noninvasive dialog window for alarm limit setting. Determine supramaximal current and reference pulse on the non-relaxed patient! Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 242 90 % of the reference pulse. Additionally after touching the Display all button (prerequisite: Display all button has been config- ured, see page 332): – Currently set alarm limits Temp °C Single 15 min Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 243 The number of pulses answered is displayed. While sponse. measurement is taking place the measured value is For TOF count, an upper and a lower alarm limit grayed out. can be set, see page 163. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 244 Low probability of explicit memory No response to verbal stimulus Deep hypnosis Burst Suppression Baseline EEG This table reflects a general association between clinical state and BIS values. The areas are based on a multi-center study. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 245 EEG. It shows the number of EEG bursts in the last minute. The burst count is only acti- vated if an extension sensor is connected. The BCT value is empty for all other sensor types. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 246 The electrodes should not be located between the operating field and the return electrode of the electrosurgical device. Otherwise, there may be a risk of burns if the neutral surgical high-frequency electrode is faulty. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 247 2 Position the adult sensor at an oblique angle across the forehead: – Electrode 1 approx. 5 cm above the nose – Electrode 4 above the eyebrow – Electrode 3 between the corner of the eye and the hairline Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 248 Spectral edge frequency SEF: 0.5 to 30 Hz in 0.1 Hz increments Total power PWR: 40 to 100, in 1 dB increments (in the frequency range of 0.3 to 110 Hz) Burst count BCT: 0 to 30 in 1-unit increments Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 249: Fault - Cause - Remedy

    In operation......317 When filling and emptying ....318 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 250: Failure Behavior

    Zeus IE enables manual ventilation and spontane- ous breathing with 100% O – The ventilator, gas and anesthetic agent de- livery as well as monitoring are inoperable. – The DIVA metering modules are locked. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 251: Gas Failure

    Other- wise, contamination of the central supply can occur. CAUTION Patient risk! If O and Air fail, the patient must be immediately ventilated with the separate emergency breathing bag! Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 252: Ventilator Failure

    Zeus IE indicates the failure with: it in. DIVA+mixer failure Press the rotary safety knob O to move it out and adjust the O flow by turning. The breathing bag fills; the filling process can be heard. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 253: Rotary Safety Knob Anesth. Ventilator Off For Ventilation

    Touch the Software reset? button (A) in the header Anesthetic gas is not delivered. bar if necessary. The device performs a warm start. Reboot: Takes approx. 30 seconds to 3 minutes. Monitoring is unavailable during this time. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 254: In The Event Of Device Failure

    Contact DrägerService and use a substitute an- Ensure anesthesia. No anesthetic gases are de- esthesia machine. livered. Patient risk! Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 255: Failure Behavior Dps

    – Anesthesia – Hemodynamics (optional) – Ventilation – Infusion (optional) From each alarm area at least one high-priority alarm is displayed, given that there is an active alarm. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 256: Alarm - Cause - Remedy

    Check central Air sup- ply. Note Air cylinder low Air cylinder pressure is low Prepare exchange of Air (20 – 55*100 kPa) and Air cylinder. Check Air supply. supply is low. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 257 Warning Anesth. Ventilator Safety switch:Ventilator off Only use switch in an emer- activated. Ventilator, mixer gency. Ventilate manually. and DIVA switch off. Open safety O valve. Use alternative anesthesia! Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 258 Ventilate patient by hand flow breath detected for immediately! Check tubes 15 sec. No spont/ass. venti- for disconnection! Check lation: No breath detected by ability to breath spontane- flow for 30 sec. ously! Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 259 Call DrägerService. Caution ART M high Invasive pressure value out- Check patient and take ap- side alarm limits. propriate action. Change the alarm limits if required. Check equipment and re- place if necessary. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 260 Follow procedure for the catheter tip. dislodging catheters. Fol- low procedure for clotted catheters. Note ART transducer fail Pressure transducer failed. Check transducer and con- Invasive pressure cannot be nections. Exchange trans- measured. ducer. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 261 Venti- late manually. Perform self test. Warning AW pressure high Upper limit of breathing pres- Check settings for P sure or P exceeded. Paw alarm limit. Check spontaneous breathing. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 262 Restore power supply. Pre- ruptible power supply is low pare for man. ventilation. (<50 %). Minimize power consump- tion. Check battery capacity display. If capacity is <10 % the device may be switched off! Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 263 Isolate patient from auxiliary equipment. Isolate patient from extraneous movement or vibration. Check patient. Treat, if nec- essary. Note BIS/NMT alarms BIS and NMT alarms sus- Watch measured values to pended monitor patients status. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 264 SRS sensor has been sensor for next application. sion reached. Note Bolus 1 rate high Pump 1 Bolus Rate Limit ex- Check the bolus rate of the ceeded pump. Adjust settings if necessary. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 265 Use either 0 °C injectate or = 0°C? nected. Monitor assumes temp. probe. Repeat meas- temperature of 0 °C. Refer- urement. Check catheter ence resistance too high or and reconnect pod. Call low. Unknown catheter type. DrägerService. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 266 Cardiac bypass All cardiovascular alarms Please pay special atten- mode and apnea alarms are sus- tion! After manoeuvre or pended. Use only during Cardiac Bypass operation Cardiac Bypass operation. reactivate alarms immedi- ately. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 267 Ex- pired. change, if necessary. Ex- change water trap at least every 4 weeks. Warning Cont. AW pressure Airway Pressure above Check airway. Release (auto-) limit for more than pressure! 15 s. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 268 Note CVP nonstatic Press. transducer zeroing Keep all tubing motionless, failed because of: Excessive then rezero. Change the signal noise A non-static transducer. Check 3-way waveform tap, then rezero. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 269 Warning DIVA module 1 fail- DIVA module 1 or port 1 Use alternative port. Ex- failed. Or DIVA module 1 change module. was terminated by protection system. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 270 DIVA protection system Use mode Fresh-gas con- failed. Protection system is trol. Set fresh-gas flow monitoring with extended higher than 3 L/min. NOTE: alarm limits. At lower flows DIVA will be terminated. Call DrägerService. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 271 Pump 3 is running in 'Empty Replace syringe 3, if neces- mode syringe mode'. sary. Caution Empty syringe 4 Pump 4 is running in 'Empty Replace syringe 4, if neces- mode syringe mode'. sary. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 272 Switch outlet. No fresh gas is deliv- again between internal and ered to the requested external outlet. If fresh gas breathing system!!! flow is not available use emergency breathing bag. Call DrägerService. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 273 Caution GP1 D low Invasive pressure value out- Check patient and take ap- side alarm limits. propriate action. Change the alarm limits if required. Check equipment and re- place if necessary. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 274 Caution GP1 S low Invasive pressure value out- Check patient and take ap- side alarm limits. propriate action. Change the alarm limits if required. Check equipment and re- place if necessary. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 275 Caution GP2 D low Invasive pressure value out- Check patient and take ap- side alarm limits. propriate action. Change the alarm limits if required. Check equipment and re- place if necessary. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 276 Caution GP2 S low Invasive pressure value out- Check patient and take ap- side alarm limits. propriate action. Change the alarm limits if required. Check equipment and re- place if necessary. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 277 Adjust alarm limit. Note HemoMed pod 1 Hemodynamic module at Check and change He- disconnected connector 'HemoMed' not moMed pod. connected during IBP, C.O. Call DrägerService. or TEMP. measurement. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 278 Call DrägerService. Caution ICP M high Invasive pressure value out- Check patient and take ap- side alarm limits. propriate action. Change the alarm limits if required. Check equipment and re- place if necessary. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 279 Start infusion, check pump stopped or a stopped pump settings. has been connected. Note Infusion 2 rate high Pump 2 Infusion Rate Limit Check the infusion rate of exceeded the pump. Adjust settings if necessary. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 280 Caution Infusion line 2 The line 2 pressure in- Check infusion line and blocked? creased rapidly. Pressure connection to the patient. alarm limit is nearly reached. Increase pressure alarm limit, if necessary. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 281 Check volatile agent deliv- high alarm limit for 30 sec. ery setting! Check fresh gas flow! Caution Insp. desflurane Insp. vol. agent mixture Check DIVA settings and high higher than 3 xMAC. fresh gas flow. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 282 3 xMAC. fresh gas flow. Note Insp. halothane Insp. vol. agent higher than Check volatile agent deliv- high alarm limit for 30 sec. ery setting! Check fresh gas flow! Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 283 -setting! Check fresh gas 2 breath. cycles. flow! Warning Insp. O Protect. System: Insp. O Check O concentration. concentration lower than Check O supply. Use 21 %!. Fresh-gas control mode. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 284 2 breath. cycles. flow! Check function and liquid level of DIVA. Check -sample line for leak- age! Caution Insp. vol. agent Volatile agent in inspiration Use Fresh-gas control high higher than setpoint. mode. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 285 'Keep vein ume alarm limit. To change open' function is activated. KVO configuration at the Infusion continues with a low pump refer to the module infusion rate (1 mL/h). DPS instructions. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 286 Note LA nonstatic Press. transducer zeroing Keep all tubing motionless, failed because of: Excessive then rezero. Change the signal noise A non-static transducer. Check 3-way waveform tap, then rezero. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 287 Increase fresh gas flow. gas low ual breathing bag not filled Check O - and vol. agent sufficiently. Leak in breathing settings. Check breathing circle. circle and manual breathing bag for leakage. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 288 Caution LV M low Invasive pressure value out- Check patient and take ap- side alarm limits. propriate action. Change the alarm limits if required. Check equipment and re- place if necessary. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 289 Exchange trans- measured. ducer. Note LV transducer un- Pressure transducer for Active pressure: reconnect plugged specified parameter is either or replace the cable. Inac- unplugged or defective. tive pressure: turn off alarms. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 290 MultiMed cable failed during Check and change failure 3, 5, or 6-lead monitoring. MultiMed cable. Call DrägerService. O central supply O supply pressure too Check central supply. Note high high. N O-pressure >8x 100 kPa. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 291 45 seconds. Pulse too low appropriate action. Move for D/S values. Not enough cuff to a limb with less adequate pulsations within movement. Check the hose two minutes. and cuff. Check size and placement of cuff. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 292 Check to ensure that the flation cycle is too long or in- hose and cuff are properly flation rate is too low. connected to the monitor. Check the cuff size to be suitable for the patient. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 293 Isolate patient from extraneous movement or vibration. Note NMT check elec- Current cannot be delivered. Check electrode. Reapply, trodes Electrodes or connections if necessary. Check cable not properly placed/function- connections. ing. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 294 -Sensor failed. Auto con- Ensure sufficient oxygena- trol delivery is not available. tion. Call DrägerService. Note Oxygen central Oxygen supply pressure too Check central supply. supply high high. O -pressure >8x 100 kPa. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 295 Call DrägerService. Caution PA M high Invasive pressure value out- Check patient and take ap- side alarm limits. propriate action. Change the alarm limits if required. Check equipment and re- place if necessary. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 296 Exchange trans- measured. ducer. Note PA transducer un- Pressure transducer for Active pressure: reconnect plugged specified parameter is either or replace the cable. Inac- unplugged or defective. tive pressure: turn off alarms. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 297 Note Power supply com- Communication failure of Use system only in case of munic. fail power supply. Battery, temp. emergency. and voltage monitor not Call DrägerService. available. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 298 Exchange pump 1. Call detected internal failure. DrägerService. Note Pump 1 incompati- Pump 1 hardware or soft- Control infusion at pump. ware version not compatible. Replace pump for remote Remote control not possible. control. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 299 Exchange pump 2. Call detected internal failure. DrägerService. Note Pump 2 incompati- Pump 2 hardware or soft- Control infusion at pump. ware version not compatible. Replace pump for remote Remote control not possible. control. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 300 Exchange pump 3. Call detected internal failure. DrägerService. Note Pump 3 incompati- Pump 3 hardware or soft- Control infusion at pump. ware version not compatible. Replace pump for remote Remote control not possible. control. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 301 Exchange pump 4. Call detected internal failure. DrägerService. Note Pump 4 incompati- Pump 4 hardware or soft- Control infusion at pump. ware version not compatible. Replace pump for remote Remote control not possible. control. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 302 - Loose lead wire - electrodes. Make sure the Faulty lead wire - Wrong lead skin is properly prepped. -Dried out gel -Bad contact. Select another ECG/ST lead. Set correct type of ca- ble. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 303 1 may get to the sys- Call DrägerService. tem. Warning Remove DIVA Anesth. agent from DIVA Remove DIVA module 2. module 2 module 2 may get to the sys- Call DrägerService. tem. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 304 Caution RV M low Invasive pressure value out- Check patient and take ap- side alarm limits. propriate action. Change the alarm limits if required. Check equipment and re- place if necessary. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 305 To be used in case of emer- Caution Safety O ditional O fresh gas is deliv- gency only. Observe O ered. and vol. agent concentra- tion. At the end of operation close the valve! Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 306 Ensure that no pa- lowance'! tient is connected. Caution Setting not con- Setting or change not con- Repeat last setting or firmed firmed within the timeout of change if needed. 15 sec. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 307 Relocate sensor to another or low body temperature. extremity. Note sensor The monitor does not recog- Check for defective or invalid nize the connected sensor unapproved sensor. as valid. Replace the sensor. Call DrägerService. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 308 The monitor cannot deter- Perform a 'Relearn'. Calm mine ST values owing to: the patient. Check elec- -Absence of normal beats trodes and skin contact. -Artefact Isolate from auxiliary equip- ment if possible. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 309 Change the alarm limits. Caution ST V+ low ST value is outside the upper Observe the patient care- or lower alarm limit. fully and treat if clinically in- dicated. Change the alarm limits. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 310 Control syringe and patient. Syringe 2 empty. Replace syringe, if neces- sary. To drain syringe com- pletely, confirm the green button at the pump. (Only possible, if 'Empty syringe mode' is configured). Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 311 Syringe 4 nearly empty. Control syringe. Prepare empty 5 min until end of infusion or filled syringe, if necessary. 10 % volume left. (depend- ing on infusion rate and type of syringe) Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 312 Check equipment and replace if necessary. Caution Temp 1 low Temperature exceeds lower Check the patient and take alarm limit. appropriate action. Check equipment and replace if necessary. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 313 Provide suffi- attained. cient ventilation. Note Time synchroniza- The clock has been synchro- This message will disap- tion nized with system time. pear automatically after 15 seconds. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 314 - Loose lead wire electrodes. Make sure the -Faulty lead wire - Wrong skin is properly prepped. lead -Dried out gel -Bad con- Select another ECG/ST tact. lead. Set correct type of ca- ble. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 315 / R, where N = VT count and R = VT-rate Caution Ventricular run Ventricular run: Series of 3 to Check patient and take ap- N-1 consecutive PVCs with a propriate action. beat-to-beat rate > the VT rate. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 316 – fresh gas flow Auto-deliv- The DIVA module contains ery: system flushes auto- the wrong agent matically! Exchange the DIVA module, check con- tent! Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 317: Metering Module Faults

    The sight glass display is faulty. Contact DrägerService Anesthetic gas scavenging sys- Connect the AGSS. tem AGSS is not connected Anesthetic agent leaking. The locking bolt/cap is not locked. Lock it. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 318: When Filling And Emptying

    Anesthetic agent does not The locking bolt/cap is closed. Open the locking bolt/cap. flow out when emptying. Close again tightly after empty- ing. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 319 (lock- vice. DrägerService. ing cover is removed from fill- ing port). Remove bottle when filling before Close the filling device with the it has been emptied completely. locking cover. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 320 This page was intentionally left blank. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 321: Configuration

    Service functions ..... . 356 Service call dialog window ....356 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 322: Configuration Information

    (ventilation settings, screen settings, (curves, tone volume, color, etc.) etc.) alarms, etc.) Load/Save Load/Save View Profiles (1 factory view, up to (5 factory profiles, up to 16 user views) 16 user profiles) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 323: System Setup

    K Default: Indication that the profile is preset button. (tick) L Protected: Indication that the profile is saved The System setup > Manage setups dialog win- and access code protected (lock icon) dow appears. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 324: Loading Profiles/Views

    System setup If the profiles/views have not been access code protected, profiles/views that already exist can be overwritten using Save. Touch the Save button (A) and confirm with ro- tary knob. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 325: Renaming Profiles/Views

    The Dräger default Profiles/Dräger default pressing the rotary knob. views cannot be changed. The name appears as the current profile in the pa- tient data field (below the profile name), see page 44. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 326: Assigning Or Deleting Profile Keys

    1 Select the required profile with the rotary knob. 2 Touch the (C) button and confirm with rotary knob. The profile key does not appear in the startup dia- log. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 327: Profiles Default

    Unlocking protected profiles or views: 1 Select the profile or view. 2 Touch the Protect button. 3 Enter the access code and confirm with rotary knob. The required setting is then unlocked. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 328: Overview Of Additional Settings

    335. H Autoset limits Touch the Edit button (I). The respective dialog window appears. Corre- sponding changes can be made (not with Infu- sion tab). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 329: Configuring The Screen

    A General The following settings can be configured in the Screen setup dialog window: B Waveforms – Screen layout C Data – Customize buttons D Web access – Brightn./ Volume – Colors Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 330 – Loop, – O , CO – HR, NIBP, – HR, NIBP, SpO – Off Other displays of parameters as loop or trend display in combination with the flow tubes, see page 194. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 331 196. screen. The loops are always displayed in combination with 3 Touch the Apply changes button (E) to apply the flow tubes. the changes. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 332: Configuring Buttons

    Screen setup If all data parameters are removed from the Dis- played list (C), the line with the data modules disappears from the monitoring area. Touch the Customize buttons tab (A). Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 333 The button (C) displays the selected button and its function. The group assignment icon is displayed at the same time. 2 Touch the (C) button. The selected button is automatically assigned to the respective group in the main menu bar. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 334: Configuring Brightness And Volume

    Assigned params (D). Risk of not hearing the alarm tone During operation in louder environments, the acoustical alarm signals might not be heard. Always set the alarm tone to be sufficiently loud. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 335: Configuring Basic Settings

    B Basic settings (access code required) C Data simulation (access code required), only visible on units with integrated patient monitor- D Service call E Service access (access code required) F Service mode (access code required) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 336: General Settings

    H Trend order – Event recorder – Web access – NIBP/SpO – Infinity config. – MediBus config. – Disable options – More settings More settings are possible on the vertical tabs (B). Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 337 System setup dialog window, see page 323. G Export/Import of setups: A USB stick can be used to export and import profile and view set- ups as well as basic settings. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 338 Imported views or Imported profiles (K) and Installed views or Installed profiles (L) lists. 2 Touch the Install button (M) and confirm with rotary knob. The selected views or profiles applied to the sys- tem. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 339 H Weight: kg, lbs. The drug library is not part of the profile and has to be imported separately, see page 149. Height: cm, inch J Airway pressure: hPa, kPa, mbar Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 340 If ignored, it can put the patient and user at risk. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 341 – Check mass storage devices for computer vi- ruses before using them with Zeus IE. – Do not use any mass storage device contain- ing computer viruses with Zeus IE. Basic settings Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 342 – Auto: Blue depending on the display mode of the screen setting (only Day light) – Off: None If confirmation is required, the LED edge lights up yellow independent of these settings. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 343 F Operating time begins at: Enter time G Operating time ends at: Enter time H Time-controlled self test starts at: Enter time Time-controlled self test: On, Off J Autostart self test after power up: On, Off Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 344: Infusion

    All setting changes and events are documented. Use the buttons (A) and (B) to scroll up and down in the log book. Use the Refresh button (C) to display the last event in the log book. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 345: Configuring Web Applications

    C Application name (button list): List identifier to program the buttons for calling up the web application directly D Intranet address: Specifies the intranet ad- dress of the web application Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 346: Nibp/Spo

    E IDS label Configure settings: 1 Touch the respective button. The keyboard window opens for text input. 2 Enter text and confirm with rotary knob. optional only for SpO measurement without SpO SmartPod Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 347: Configuring Medibus

    1 Touch the respective button. change to the settings is made for the change to ap- ply. The keyboard window opens for text input. 2 Enter text and confirm with rotary knob. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 348: Disabling Options

    Enabled options can be disabled and again ena- bled. The button On is preset. If an option is gener- ally not enabled, the On button is grayed out and the Off button enabled. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 349 Configuration option to specify whether in CBM mode you want MV monitoring to remain acti- vated or not. D CO auto wake-up (breaths) Setting the number of breaths (CO Auto Wakeup), for ac- tivating the CO alarm. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 350 Factory setting: Vol. Ctrl. AutoFlow anesthetic gas setting is retained in the follow- ing situations: – Switching to the Vent. standby mode – Changing to the Standby mode and then continuing with the case Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 351 The waveforms from VT and RR are displayed in the graphic. Off: No preliminary calculation of VT and RR takes place. B Reset to Radford: Reset The Reset button resets the user's definitions to the default values. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 352 C Reset: Sets all values for O , Air, N O and the volatile anesthetic agents to 0. The time of last reset is displayed in (D). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 353: Other Functions Of The System

    Prerequisite: The Help button has been configured, see page 332. ? Help In the main menu bar, touch the Help button (A). The Help dialog window will be opened. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 354: Stopwatch Dialog Window

    00:00:00 is reached. The button (F) can be used to turn off the alarm tone. The alarm is also displayed visually in the header bar. Triggered alarms can be deleted again via Re- set. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 355 If the countdown and stopwatch have been acti- vated at the same time, the display switches to Small regardless of the preset display. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 356: Service Functions

    The Service call dialog window will be opened. The following settings can be configured: B Info table: The Remote Call Server informs the user about the status of data exchange (progress, completion, result). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 357: Cleaning, Disinfection, And Sterilization

    ......376 sensors ......377 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 358: Disassembly

    7 Unscrew the CLIC adapter (optional). 8 Remove the flow sensors. – Loosen and pull out the expiratory port. – Loosen and pull out the inspiratory port. – Remove the flow sensors. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 359: Note On Removable Accessories, Consumable Parts, And Attached Parts

    – Filter – Breathing bag – Masks – Water trap – DIVA modules Attached parts – Endotracheal suction – Hinged arms – Monitors – Sensors and cables – IT systems – Workstation light Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 360: Dismantling Components

    Y-piece. HME filter or filter (A): Pull the HME filter off the nozzle of the Y-piece and dispose of according to the relevant instruc- tions for use. Y-piece (C): Remove Y-piece Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 361: Water Trap For Gas Sensors

    3 Extract water, remove the syringe and dispose of the full syringe as infectious hospital waste. Observe the hospital's hygiene regulations! 4 Push the water trap (B) into the holder again un- til it engages and connect hose (A). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 362: Removing The Co 2 Absorber

    Dispose of the soda lime and IBF absorber filter according to the relevant instructions for use. 4 Prepare the CO absorber for cleaning and dis- infection in the cleaning and disinfection ma- chine. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 363: Breathing System

    3 Dispose of the used absorber, observe the Drägersorb CLIC instructions for use, see also page 67. 4 Remove both SpiroLife flow sensors (C). 5 Remove the APL valve (D) by turning the knurled nut (E) counterclockwise. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 364 (A) by turning them 90° counterclockwise. 2 Remove the blower module (B) from the breath- ing system mount. NOTE Do not chemically disinfect/clean the blower mod- ule and do not dismantle it. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 365: Dismantling The Anesthetic Gas Receiving

    3 Remove the anesthetic gas receiving system (C); refer to the respective instructions for use. • 4 Turn the buffer-volume container (D) counter- clockwise by 45° and remove it. 5 Unscrew the union nut (E). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 366: Removing The Endotracheal Suction System

    5 Remove the filter (C) from the base of the en- dotracheal suction unit. Remove the vacuum hose. Change the filter every 14 days. 6 Unbutton the silicone sleeve (F) from the cover of the secretion collection bottle. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 367: Reprocessing Methods

    – Incidin Extra N from Ecolab – Buraton 10F from Schülke & Mayr (for use on the monitor only) Semi-critical medical devices Manual cleaning: – Neodisher FA, Neodisher Medizym from Dr. Weigert Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 368: Uncritical Medical Devices

    2 Perform surface disinfection by scrubbing and wiping. 3 Remove disinfectant residues after the contact time has elapsed. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 369: Visual Inspection

    If signs of external wear occur, replace the af- tion. Make sure that all interior spaces and sur- fected accessory. faces are completely flushed and water can drain off freely. 3 Use a suitable cleaning agent. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 370: Sterilization

    Do not allow any alcohol or alcoholic agents ance with the corresponding instructions for to get into the sample line openings! Alcohol use. may distort the measuring results. – For disinfecting the flow sensor use only clean disinfectant solutions. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 371: Reprocessing List

    – Rotary knob – Rotary safety knobs – O flush button – APL valve – Writing tray – Handles on trolley – Standard rails – Drawer handle – Clic adapter, Clic absorber Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 372 – Network cables and data ca- bles – Compressed gas hoses – Pressure reducers – Gas cylinders – Drawer surfaces, outside and inside – Anesthetic gas receiving sys- – Lamp – Holder for sample line Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 373: Semicritical Medical Devices

    Y- piece and the fil- ters are fitted to the breathing sys- tem. Breathing system Weekly Only Only out- mount outside side Weekly Observe the associated instructions for use. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 374: Surfaces Of Zeus Ie, Pressurized Gas Hoses, Cables, And Diva Metering Modules

    The cleaning agent must be transferred to CAUTION a cloth or towel before cleaning the surface. Do not used sharp tools or abrasives. Never put electrical connections in water or other liquids. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 375: Spirolife Flow Sensor

    – Before inserting the flow sensor check for visible damage and soiling, such as resid- ual mucus, medication aerosols, and parti- cles. – Replace flow sensors when damaged, soiled, or not particlefree. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 376: Care Instructions For Monitoring Accessories

    The pressure transducer connecting plates of the hemodynamic modules may be removed for clean- ing and rinsed down in hot soap and water. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 377: Spo 2 Sensors

    24 hours. Trident pod, BISx pod Do not allow any liquids to get into the pods. Only rub down with a cloth soaked in soapy water. Do not autoclave the pods! Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 378: Assembly

    3 Tighten the quick-release screws for the ventila- tor by turning them 90° clockwise. 4 Attach cover fitting properly. 5 Tighten all 5 quick-release screws by turning them 90 clockwise, using a 6 mm Allen key (supplied). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 379: Assembling The Co 2 Absorber

    1 Shake the disposable CO absorber before in- be restricted. serting, e.g. by inverting it several times to loosen the soda lime. 2 Remove the seal from the new disposable CO absorber. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 380: Attaching The Breathing Hoses

    4 Connect the breathing bag (D) with the connec- tion nozzle to the breathing hose. Attach the shorter breathing hose to the angled nozzle and attach the breathing bag to the bag holder so that it hangs down. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 381: Removing The Endotracheal Suction System

    A vacuum can be created in the breathing sys- tem and in the patient's lung if the side open- ings on the receiving system are covered. Always make sure that the side openings on the receiving system are not blocked. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 382 This page was intentionally left blank. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 383: Maintenance

    Repair ....... 389 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 384: Overview

    Measures intended to determine and assess the actual state of a medical device Service Recurrent specified measures intended to maintain the functional condition of a medical device Repair Measures intended to restore the functional condition of a medical device after a device malfunction Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 385: Inspection

    – Check O measurement. 100 Vol.%: Accuracy –5 Vol.% – Check CO measurement and anesthetic gas measurement. – Check CO measurement. – Check flow measurement. 5 Vol.% Accuracy ±0.83 Vol.% – Check pressure measurement. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 386: Metrological Checks

    5 Check the fittings of the medical device for com- pleteness according to the instructions for use. 6 Check the electrical safety according to IEC 62353. 7 Check safety features: – Function of the alarm device Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 387: Preventive Maintenance

    (if the sample line is open and not kinked) but at least every 4 weeks. Follow the hospital hygiene regula- tions and relevant instructions for use for disposal. NIBP measurement to be checked annually by trained personnel Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 388 (2 pcs.) Lithium batteries for the Diana and Replace after 6 years by trained personnel. Verona circuit boards Lithium battery for the Dirona circuit Replace after 6 years by trained personnel. board (alternative) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 389: Repair

    Maintenance Repair For repairs, Dräger recommends DrägerService and the use of authentic Dräger parts. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 390 This page was intentionally left blank. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 391: Disposal

    2002/96/EC......392 Disposing of accessories ....392 Disposal of non-rechargeable batteries ..393 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 392: Disposal Of The Medical Device

    – Masks – Water trap – CLIC absorber – Soda lime Dispose on the following articles according to hos- pital hygiene regulations: – Sample line – Soda lime dust filter – AGS Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 393: Disposal Of Non-Rechargeable Batteries

    The battery used in this de- vice must therefore be removed by experts prior to disposal of the device. In countries other than Ger- many the respective national regulations must be complied with. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 394 This page was intentionally left blank. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 395: Technical Data

    Modules for patient monitoring... 416 Hemodynamic modules ....416 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 396: General Information

    Percentages relate to the measured value, not to the scale end. If tolerances are stated both as a percentage and as an absolute figure, it is always the higher figure which applies! Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 397: Identification

    Dimensions of a DIVA metering module; W x H x D approx. 80 x 280 x 180 mm Noise <50 dB (A) Maximum tilt during transportation 10° Maximum tilt during operation 5° Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 398: Latex-Free

    Size (H x W x D) 321 mm x 416 mm x 100 mm Weight (without mounting): 7 kg Resolution 1440 x 900 Contrast (minimum) 500:1 Viewing angle Horizontal: 140°, Vertical: 130° Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 399: Power Supply

    Zeus IE functionality! Uninterruptible power supply (UPS) With a fully charged battery: at least 30 minutes; up to 90 minutes, depending on the ventilation param- eters. No supply to auxiliary sockets! Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 400: Ambient Conditions

    Settable from approximately 51 dB(A) to 69 dB(A) Alarm volume (low priority) Settable from approximately 50 dB(A) to 68 dB(A) Auxiliary alarm ≥55 dB(A) and ≤75 dB(A) ≥55 dB(A) and ≤75 dB(A) Mains supply failure alarm Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 401: Central Gas Supply

    Inspiratory O concentration Insp. O concentration Max. deviation ≤35 Vol.% –3 Vol.% >35 Vol.% ≤60 Vol. % –5 Vol.% >60 Vol.% –7 Vol.% Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 402 Resolution 0.1 L/min Fresh-gas flow, control mode Auto control: 0 to 18 L/min Accuracy ±0.05 L/min or ±10 % Resolution with flow = "Uptake": 0.015 L/min otherwise Resolution with flow : 0.1 L/min Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 403 Accuracy: ±(2.5 Vol.% + 2.5 % of the measured value) in accordance with ISO 21647 Resolution: 1 Vol.% Delivery of ≥250 mL/min O ORC function flush >35 L/min safety flow 0 to 12 L/min Accuracy: ±35 % or ±2 L/min Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 404: Gas Delivery, Control Mode Fg Ctrl

    (max. 1000 mL/min saturated steam) Accuracy: ±20 % or 0.2 Vol.% Resolution: 0.1 Vol.% Desflurane 0 to 12 Vol.% (max. 1500 mL/min saturated steam) Accuracy: ±20 % or 0.2 Vol.% Resolution: 0.2 Vol.% Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 405: Ventilation

    Volume Control AutoFlow Accuracy: ±10 % or ±2 hPa Resolution: 1 hPa Inspiration pressure P PEEP to 70 hPa insp for Pressure Control Accuracy: ±10 % or at least ±2 hPa Resolution 1 hPa Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 406 Control and Volume Control AutoFlow Accuracy: ±20 % Resolution 5 % Rise time Slope for Pressure Control, Volume Con- 0 to 2 seconds trol AutoFlow, and for Pressure Support breaths Resolution: 0.1 seconds Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 407: Breathing System

    <150 mL/min at 30 hPa, standardized to BTPS conditions Pressure control valve APL Setting range: 5 to 70 hPa Accuracy: ±15 % of set value or ±3 hPa at 20 L/min Auxiliary valve –18 hPa ± 3.5 hPa Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 408: Fresh-Gas Outlet For Non-Rebreathing

    60 L/min (depending on the configuration of the breathing system, both the insp. and exp. value may deviate by ±0.3 hPa) (hPa) with standard insp absorber (hPa) with standard absorber Flow (L/min) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 409: Measuring System

    Tidal volume VT (inspiratory and expiratory) Measuring range: 0 to 4000 mL Resolution: 1 mL Accuracy: <100 mL: ±10 % or ±15 mL (under calibration con- ditions) >100 mL: ±10 % (under calibration conditions) Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 410 Qualitative value only! Average: 10 breaths flow tube Setting range: 0 to 16 L/min Accuracy: ±10 % of the set value Response time of the whole system 4 +2 seconds (according to ISO 80601-2-55) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 411: O 2 -, Co 2 And Anesthetic Gas Measurement

    ISO 21647 Partial pressure in [kPa]: Measuring range: 0 to 10 kPa Resolution: 0.1 kPa Accuracy: ±(0.4 kPa + 8 % of the measured value) in accordance with ISO 21647 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 412: Anesthetic Gas Measurement

    Distortion <0.2 Vol.% for anesthetic gas, CO , and 1 ‰ acetone or methane O measurement. 100 ppm NO or CO Distortion <1 Vol.% for O measurement. Water steam saturated at 37 °C Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 413: Anesthetic Gas Metering Modules

    1200, 2400, 4800, 9600, 19200, 38400 baud Parity Even Number of data bits Number of stop bits Connections for IV system (optional) Standard RS232: Connector 9-pin, Sub-D Network ports RJ-45 Cat. 5 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 414: Workstations

    Systems for inhalation anesthesia Anesthesia ventilators ISO 21647 Particular requirements for the basic safety and es- Medical electrical equipment sential performance of respiratory gas monitors EN 1060-1 Non-invasive blood pressure measuring equipment Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 415 Observe the instructions for use for auxiliary devices and the technical data specified therein. The anesthetic agent used can restrict the application range of the device with respect to the temperature range as well as the maximum fresh-gas flow. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 416: Modules For Patient Monitoring

    Quad Hemo: 10 % to 95 %, non-condensing Relative air humidity, storage: Hemo2, Hemo4, HemoMed: 10 % to 95 %, (with packaging) Quad Hemo: 10 % to 95 % (with packaging) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 417: Trident Pod (Nmt)

    525 to 795 mmHg (70 to 106 kPa) Air pressure, storage: 375 to 795 mmHg (50 to 106 kPa) Electrical specifications Type CF as per IEC 60601-1 IEC 60601-2-40; specification for electromyo- graphs and devices for evoked potentials Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 418: Bisx Pod

    Measuring range 15 to 300 bpm Accuracy ±2 bpm or ±1 % QRS detection Amplitude: 0.5 to 5.0 mV Duration: 70 to 120 ms (adult and children); 40 to 120 ms (neonates) Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 419 15 seconds, with at least one normal beat Trend time (ST display) 30 minutes Trend resolution One data point every 30 seconds Duration of the ST alarm OFF, 15, 30, 45, 60 seconds Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 420: Non-Invasive Blood Pressure Measurement

    Measuring ranges (neonates), 140 mmHg Heart rate: 40 to 240 bpm NIBP (systolic): 30 to 130 mmHg NIBP (mean): 20 to 110 mmHg NIBP (diastolic): 10 to 100 mmHg Connections Quick-release hose connector with single airway Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 421 ±3 mmHg Calibration range Adults/children: 10 to 260 mmHg ±3 mmHg Neonates: 10 to 150 mmHg ±3 mmHg Electrical specifications Type CF as per IEC 60601-1 Defibrillation protection according to IEC 60601-2-30 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 422: Invasive Blood Pressure (Ibp)

    5 µV/V/mmHg ±10 % Electrical specifications Type CF as per IEC 60601-1 Defibrillation protection according to IEC 60601-2-34 Wedge measurement Pressure measuring range 10 to 120 mmHg Deflection rate 6.25 to 50 mm/s Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 423: Cardiac Output (C.o.)

    Pulse rate: 30 to 250 bpm Calibration range 70 to 100 % Display range 0 to 100 % Display update period 2 seconds Maximum update delay 30 seconds (in the event of artefact or other errors) Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 424 0 to 69 % not specified 70 to 100 % sensor-specific, specified as follows: Nellcor: N-25, OxiMAX MAX-N ±3 Masimo: LNOPNEO, LNOPNEO SS, LNOP-YI ±3 Pulse: ±3 bpm or ±3 % (whichever is higher) Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 425 Upper limit: adjustable between 71 and 100 % Lower limit: adjustable between 70 and 99 % Nominal wavelength Nellcor: Red: 660 nm, Infrared: 910 nm Masimo: Red: 660 nm, Infrared: 905 nm Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 426: Temperature

    Man: 5 to 60 mA in 5 mA increments Pulse width 100, 200 or 300 µs Measuring intervals None, 1 s, 10 s, 20 s, 1 min, 5 min, 15 min, 30 min Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 427: Neuromuscular Transmission Monitoring

    PTC: 0 to 20, 1-unit increments Electrical specifications Type CF as per IEC 60601-1 Defibrillation protection according to IEC 60601-1A2 Associated standards IEC 60601-2-40; specification for electromyo- graphs and devices for evoked potentials Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 428: Anesthesia Depth Monitoring Bis

    50, 100, 250, 500 µV, Auto Trend display ranges BIS: 0 to 100 EMG: 0 to 100 SQI: 0 to 100 BSR: 0 to 100 BCT: 0 to 30 SEF: 0 to 30 PWR: 0 to 100 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 429: Essential Performance

    Alarms are issued depending on the set alarm limits. Gas measurement – Accuracy of the gas measurements – Generation of alarms when defined alarm limits are transgressed If the gas measurement fails, an alarm is is- sued. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 430: Emc Declaration

    – the ‘qui- eter‘ the electrical environment the better. In gen- eral, increasing the distance between electrical de- vices decreases the likelihood of interference. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 431: Electromagnetic Environment

    (without trans- former) connected to the same low voltage network as the residential building. Harmonic emissions Not applicable (IEC 61000-3-2) Transmission of voltage Not applicable fluctuations / flicker (IEC 61000-3-3) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 432: Electromagnetic Immunity

    Dip >95 %, 5 seconds >95 %, recommended that the 5 seconds medical device is powered from an uninterruptible power supply or a battery. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 433 150 kHz to 2.5 GHz and less than 1 V/m above 2.5 GHz. 2) ISM bands in this frequency range are: 6.765 MHz to 6.795 MHz; 13.553 MHz to 13.567 MHz; 26.957 MHz to 27.283 MHz; 40.66 MHz to 40.70 MHz. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 434: Recommended Safety Clearance For Portable And Mobile High-Frequency Communication Equipment

    GSM 1800, GSM 1900 (limited to 1 W ERP) 0.30 m (12 in) UMTS, DECT (limited to 0.25 W ERP) 0.15 m (6 in) Bluetooth, WLAN 2450, RFID 2450 (limited to 0.1 W ERP) 0.30 m (12 in) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 435: Device Combinations

    – IEC 60601-1, 2nd edition (general require- ments for safety) – IEC 60601-1-1 (device combinations) – IEC 60601-1-2 (electromagnetic compatibil- ity) – IEC 60601-1-4 (software-controlled func- tions) – IEC 60601-1-8 (alarm systems) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 436: Connections To It Networks

    Before the device is shipped, Dräger can configure the network set- tings of the device so that they correspond with the specifications of the operating organization. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 437 – Alarms are not transmitted. – Alarms or data are transmitted with a delay. – False alarms are triggered. – During an interruption of the network connec- tion: – Alarms are not transmitted. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 438 This page was intentionally left blank. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 439: Description

    Appendix ......451 Units and standards ..... 451 Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 440: Gas Flow Diagram

    V External area for the leak test: for manual venti- J CO absorber lation K Option CO Clic absorber, unlocked position W Closed circulatory system valve L Safety valve in breathing system (excess pres- X Man/Spont changeover valve sure) Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 441: Gas Control Loops

    In MAN/SPON mode, the gas control loop is not ac- tive. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 442: Volume Control Loop (Auto Control, Minfg Flow Control Mode = "Uptake")

    <60 s), the fresh-gas flow is automatically in- creased with an increase in the O . A higher O concentration is achieved by metering pure oxygen (considering the set anesthetic gas concentration). Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 443: Expiratory Anesthetic Agent Concentration

    <120 s, the flow is automati- INSP cally increased with the increase in the set value of expiratory anesthetic agent. The T time of expir- atory anesthetic agent concentration depends on Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 444: Restrictions To The Metering Of Anesthetic Agent Concentration

    The flush flow rate is 12 L/min. active at the same time. The second stage is a fixed limit for the Steady State Dose. The level of the Steady State Dose is dependent on the anesthetic agent used. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 445: Safety Concept (Highflow Operation)

    The safety concept increases the fresh-gas flow (High Flow operation) in the case of error. The ad- justed concentration values then apply to the in- creased fresh-gas flow. The control loops are thus switched off. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 446: Ventilation

    The constant possibility of spontaneous breathing allows, however, a fluent transition of controlled ventilation up to complete spontaneous breathing without changing the ventilation mode. The change-over from the expiratory pressure level to Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 447: Volume Control Autoflow

    Inspiration flow and expi- pressure level P is achieved safely during inspi- insp ration flow adapt automatically to the needs of the ration. The transition from controlled ventilation Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 448: Autoflow Start Behavior

    From the third inspiration breath after the start of the AutoFlow ventilation, the ventilation pressure is adjusted to the calculated target pressure. Each further breath readjustment of the inspiratory pres- sure is limited to ±3 mbar. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 449: Ventilation Mode Pressure Support

    When the spontaneous inspiration flow reaches the set value of the flow trigger, the pressure support Pressure Support is started. The device then gen- erates a pressure rise, which can be adjusted for Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 450: Synchronization With Vol. Ctrl. Autoflow

    ), but a maximum of insp 5 seconds or 25 % of the time of expiration T However, on the PEEP level the maximum is 5 seconds. The trigger window can be switched off. Instructions for use Zeus Infinity Empowered SW 2.n...

  • Page 451: Appendix

    The concentration setting for CO display in Zeus IE can be either BTPS or normal (without correction). The appropriate correction then applies both to concentration setting and to concentration measurement. Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 452 = 1.5 Vol.%; et N O = 60 %; age = 10 years of SEV: MAC = 2.2 Vol.% age-corrected of N O: MAC = 125 Vol.% age-corrected xMAC = 0.7 + 0.5 = 1.2 Instructions for use Zeus Infinity Empowered SW 2.n...
  • Page 453 If a mixture of two volatile anesthetic agents is de- tected, the concentration of the secondary agent is displayed after 0.4 hPa or 0.4 Vol.% Instructions for use Zeus Infinity Empowered SW 2.n...

Table of Contents