Dräger Infinity Acute Care System Instructions For Use Manual
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Dräger Infinity Acute Care System Instructions For Use Manual

Dräger Infinity Acute Care System Instructions For Use Manual

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Instructions for Use
®
Infinity
WARNING
For a full understanding of the
performance characteristics of this
medical device, the user should
carefully read these Instructions for
Use before use of the medical device.
Acute Care System
Monitoring Applications
Software VG1
TM

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Summary of Contents for Dräger Infinity Acute Care System

  • Page 1 Instructions for Use ® Infinity Acute Care System Monitoring Applications WARNING For a full understanding of the Software VG1 performance characteristics of this medical device, the user should carefully read these Instructions for Use before use of the medical device.
  • Page 2 Corporation in the U.S. and other countries. ® ® Masimo and Masimo SET (Signal Extraction ® ® Edwards Vigileo and Edwards Vigilance Technology) are trademarks of Masimo trademarks of Edwards Lifesciences LLC. Corporation. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 3: Definitions

    A NOTE provides additional information intended to avoid inconveniences during operation. Abbreviations and Symbols Please refer to "Device Symbols" on page 23 and to "Abbreviations" on page 26 for explanations. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
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  • Page 5: Table Of Contents

    Admitting a Patient ..... 66 Infinity Acute Care System ....16 Discharging a Patient .
  • Page 6 Setup Page... 194 TruST 12-Lead Monitoring ....162 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 7 C.O. Measuring Modes....241 Biomed IT Setup ..... . . 299 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 8 Maintenance of the IACS Components ..355 Safety Inspections ..... . 356 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 9: For Your Safety And That Of Your Patients

    Electrosurgery ......14 Virus Protection ......14 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 10: Strictly Follow These Instructions For Use

    Using any other accessories may adversely affect the operation of the device. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 11: Electrical Safety

    Part 1-2: General requirements for safety Collateral standard: Electromagnetic compatibility; requirements and tests – IEC 60601-1-4 (EN 60601-1-4) Medical electrical equipment Part 1-4: General requirements for safety Collateral standard: Programmable electrical medical systems Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 12: General Warnings And Cautions

    Moisture may damage the contact between external surfaces and the circuits, compromise critical performance and patient. present a safety risk. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 13: Site Of Operation

    CAUTION To minimise the risk of patient strangulation, Only defibrillate across the chest. carefully position and secure sensor cables. Also position the sensor cables to minimise inductive loops. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 14: Electrosurgery

    (ECG, pressure, SpO ) and their associated cables away from the surgical site, the ESU return electrode, and earth ground. NOTE Cover internally placed temperature sensors with temperature probe sheaths. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 15: Intended Use

    Intended Use Infinity Acute Care System ....16 Indications for Use ..... . 16...

  • Page 16: Infinity Acute Care System

    – Respiratory rate – Environments containing MRI equipment – Invasive pressure – Non-invasive pressure – Temperature – Cardiac output – Arterial oxygen saturation – Pulse rate (SpO – Mainstream etCO Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 17: System Overview

    Device Symbols ..... . . 23 Abbreviations ......26 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 18: Overview

    – C700 – 50 cm (20.1 in) wide screen For detailed description regarding the front and back panel of the Cockpit, refer to the Infinity Acute Care System - Infinity Medical Cockpits Instructions for Use. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 19: Infinity ® Ps250 Comm Hub (Ps250)

    For more detailed information on the M540, refer to the Infinity Acute Care System - Infinity M540 Instructions for Use. G M540 patient monitor H M500 docking station Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 20: Infinity ® M500 Docking Station (M500)

    M540) C Optical Ethernet links D Pins for charging the battery of the M540 and providing power to the M540 when docked Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 21: Additional Hardware

    R50N recorder Produces timed and continuous Connects to the Infinity network recordings. or the PS250. Laser printer Prints various reports and Cockpit Connects to the Infinity network. print screens. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 22: Device Symbols

    Audible alarm tone is turned off layouts permanently Access to parameter-setup pages Change clinical password Adult patient category Respiration value Paediatric patient category Heart blip that flashes with each detected pulse Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 23 Display filter. When selected, only the connected parameters and associated setup pages are displayed. When deselected, all parameters and associated setup pages are displayed. Manufacturer IPX1 Degree of protection against liquid ingress Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 24 Save modifications (for example, Import functions (for example, importing changes to a view). profiles). Save as a symbol. ESD warning Directive 93/42/EEC Concerning Medical Devices Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 25: Abbreviations

    GP 1 – 4 systolic value C20/C dyn compliance over the last 20% haemoglobin breath/dyn compliance total heart rate Cdyn dynamic lung compliance ECG-lead I cardiac index IACS Infinity Acute Care System Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 26 (impedance) MVi s spontaneous inspiratory minute respiratory rate (ventilator) volume respiratory rate, spontaneous MVleak leakage minute volume ventricular run MVspon spontaneous minute volume Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 27 TV d aw tidal volume dead space TVd aw% tidal volume relative dead space TVi set tidal volume setting, inspired chest lead from a 5- or 6-lead wire set. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
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  • Page 29: Operating Concept

    Auto View Mode ......47 Manual View Mode ..... . 47 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 30: Operating Concept Overview

    The common Dräger-standardised user interface offers intuitive operation via a touchscreen and a rotary knob. A 360-degree alarm bar alerts you to the alarm conditions of a patient. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 31: The Iacs Components

    E Keyboard and mouse (option) M Nurse call MPod (option) F Device connectivity cable (option) N PS250 G M540 patient monitor O Hospital network H M500 docking station P Ethernet cable Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 32: M540-And-Cockpit Communication

    Infinity Central Station (ICS) provided the patient is admitted there. The M540 continues to monitor the patient. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 33: Communicating With The Infinity ® Network

    – The alarm status of the patient is reported to the Infinity network and its connected devices. If multiple alarm conditions are present, the alarm with the highest alarm priority is reported. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 34: Communicating With The Infinity

    Follow HR Alarms patient (see page 67). (see page 287), and the HR alarms are disabled (see page 87). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 35: Loss Of Power

    The following data is included in a patient data C The Device name column transfer: D The Start transfer button – Patient demographic information – Trends – Events – Calculation results and laboratory data Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 36: Communication Management

    M540, and at the ICS (provided the patient is admitted there). – The message M540 Communication failure appears at the Cockpit. – The M540 continues to monitor the patient and provides audible and visual alarm signals. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 37 – An alarm sounds and the message External device disconnected appears on the ICS if the feature is enabled (see "The external device disconnected the alarm control." on page 287). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 38: Remote Control And Remote View

    View (see page 47) of the second Cockpit. The remote view feature also allows you to pause audible alarm signals and request the timed and continuous recordings of the remote device. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 39: Using Remote View Functions

    Infinity network. If configured, IT applications D The Timed Recording button are accessible by selecting a tab on the Cockpit. For more information, see "IT Applications (Options)" on page 321. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 40: Secondary Display

    D Monitoring Area For a more detailed overview of general user interface components of the IACS, refer to the Infinity Acute Care System - Medical Cockpit Instructions for Use. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 41: Header Bar

    – Monitoring mode (for example, OR mode) or the battery symbol indicating the battery status for the PS250 Touching this field opens the System setup dialogue with the Biomed password keypad. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 42: Monitoring Area

    For detailed information on layout strategies of parameter boxes, refer to the Infinity Acute Care System - Medical Cockpit Instructions for Use. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 43: Waveforms

    – Respiration waveform markers to indicate breath detection – Banners (see page 34) NOTE If the acquired signal does not fit in the waveform channel, the top of the waveform may appear clipped. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 44: Dialogue Windows And Setup Pages

    G The setup page that contains groups of related D Display filter on/off button for switching between settings in the selected tab. a display that shows only connected parameters or one that shows all parameters. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 45: Main-Menu Bar And Quick-Access Toolbar

    Start/Standby Opens the Start/Standby dialogue window Home Returns to the main screen and closes any dialogue window. This button only appears on the main-menu bar for the C700. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 46: Quick-Access Toolbar

    Continuous wfm. report Trend graph report Trend table report ST report Alarm history report. Calculations report Continuous recording Timed recording Zero all NIBP continuous Venous stasis Standby Discharge Privacy Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 47: Filtering The Parameter Content

    3 Select the Auto view tab located along the right side of the System setup dialogue. 4 Select the Auto or Manual button next to the Display mode menu selection. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 48: Auto-View Setup Toolbar

    During the night-time mode, the entire background of the screen appears almost black. All buttons turn dark grey. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 49: Cockpit Screen In Split Screen Mode

    D The monitoring area with real-time vital signs B The main screen menu bar E The split-screen panel (content depends on user selection) C The auto-view setup toolbar (if enabled) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 50: Cockpit Screen With Mini-Trends

    D The monitoring area with real-time vital signs B The main screen menu bar E The mini-trend panel C The auto-view setup toolbar (if enabled) F The split-screen panel (content depends on user selection) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 51: Cockpit Screen With It Tabs

    F The split-screen panel (content depends on the user selection) C The auto-view setup toolbar (if enabled) G IT tabs D The monitoring area with real-time vital signs Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 52: Parameter Priority

    Auto-view setup page. For more information, see 22 SpO "To configure the parameter priority and display 23 etCO from the auto-view setup toolbar." on page 280. 24 Vent 25 Paw Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 53: Views

    3 Select the desired View from the Custom views (option) or the Dräger views selection lists. The monitoring area is configured accordingly. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 54: Profiles

    Whenever an M540 is docked, the profile of the connected Cockpit overwrites any profile settings of the M540. After a patient discharge, all patient data is deleted and the current profile is restored. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 55: Standby Mode

    Cockpit screen To take the Cockpit out of the standby mode z Touch the screen to resume monitoring the vital signs of the patient. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 56: Privacy Mode

    – Audible alarm signals are only provided at the – The banner Privacy, touch screen to return is displayed in the centre of the Cockpit screen Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 57: Assembly

    Locking/Unlocking the M540 ... . . 60 Connecting the System Cables... 61 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 58: Assembly Overview

    – Connecting/disconnecting the system cables Contact your Dräger representative for specific IACS components are compatible with approved mounting solutions. commercially available mounting solutions. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 59: Docking/Undocking The M540

    3 Pull the M540 (B) out of the M500 (C). Side View A M500 locking tab B M540 patient monitor Side View C M500 D Swivel mount (optional) and mounting clamp Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 60: Locking/Unlocking The M540

    Top view of the M500 A Hexagonal wrench tool (2 mm) B Centre hole on locking tab for locking/unlocking the M540 C Release buttons for undocking the M540 D Locking tab Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 61: Connecting The System Cables

    (refer to the IACS Infinity Medical Cockpit Instructions for Use) 2 Connect the other end of the system cable to one of the two PS250 system connectors (A) Bottom View of PS250 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
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  • Page 63: Getting Started

    Patient Categories ..... 68 Selecting the Patient Category ... . . 68 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 64: Overview Of Monitoring A Patient

    The audible alarm signals are paused for up tone and performs a self-test. After a brief 2 minutes. moment, the Dräger startup screen appears before the Cockpit main screen is displayed. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 65: The Demographics Page

    Demographics page is available to the network. Demographic data is not deleted when you turn the Cockpit off and on. To delete the demographic data, discharge the patient. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 66: Admitting A Patient

    2 Enter the patient name – use the symbol (A) next to the Patient Name field to activate an on- screen keyboard for entering the patient name (up to 25 alphanumeric characters). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 67: Discharging A Patient

    Once the patient is discharged, – The message Discharged, touch screen to the message Discharged, touch screen to initiate monitoring appears initiate monitoring appears in the centre of the screen Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 68: Patient Categories

    A patient category change does not affect the the M540 that has been monitoring the patient following settings: the patient and physician names, patient ID, birth date, and admit date. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 69 4 Select a profile using the down arrow next to the selection Profile. The Cockpit switches to the new patient category and the selected profile. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
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  • Page 71: Alarms

    Permanently ......85 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 72: Overview Of Alarms

    ’Problem Solving’ chapter starting on page 325. For detailed instructions regarding the alarm functions of the M540, refer to the Infinity Acute Care System - M540 Instructions for Use. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 73: Alarm Priorities

    59), all alarm monitoring stops at the Cockpit its alarm group (see page 99). In addition, the but continues on the M540. Cockpit reports technical alarms affecting the Infinity network. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 74: Latching And Non-Latching Alarm Behaviour

    Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 75: Enabling Or Disabling Alarm Validation

    Select the validation period for the ST upper-limit alarm in the ST-setup page (see "Alarm Setup for ST" on page 93). For Nellcor OxiMax SpO : the SatSeconds alarm time overrides the alarm validation setting (see page 196). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 76: Visual Alarm Signals

    Note: Cockpit alarm messages are designed to be legible from a distance of 1 metre (3.3 feet) to 2 metres (6.6 feet). M540 alarm messages are legible at arm’s length. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 77: Alarm Bar

    – The alarm bar is disabled (see page 287). – Cardiac bypass or privacy modes are activated (see page 81). – Alarm monitoring is disabled (see page 85). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 78: Audible Alarm Signals

    Two beeps > one lower- Two beeps > one lower- pitched beep pitched beep Two beeps repeated every Two beeps (no repetition) Low tone repeated every 16 s) 30 s) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 79: Testing Visual And Audible Alarm Signals

    (for example, by lowering the HR upper-alarm limits). To end the test, restore the alarm limits to the previous setting (see "Configuring a Patient’s Alarm Settings" on page 85). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 80: Viewing Current Alarm Messages

    HR alarms and ARR monitoring are disabled, set the ASY/VF Alarms selection in the Alarms General Settings page to Always On. If you select Follow HR alarms, Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 81: Nibp/Spo 2 Interlock Alarms

    You can enable the privacy mode only if the patient NFC mode is enabled. is also admitted at the ICS. To enable or disable this feature, see page 56. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 82: Pre-Silencing Alarms

    Cockpit: countdown timer and the following symbol: To pre-silence alarms z Press the yellow key on the Cockpit. Pressing the key again cancels the pre-silence state. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 83: Pausing Active Alarm Tones

    Press the yellow key on the Cockpit. z Press the yellow key on the M540. To reactivate audible alarm signals during an audio pause, select the same buttons again. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 84: Enabling Or Disabling Audible Alarm Signals

    To enable alarm monitoring z Select the All alarms paused button before the alarm pause period ends to cancel the alarm pause. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 85: Enabling Or Disabling Alarm Monitoring Permanently

    Or, you can set up the alarm settings of multiple parameters in one setup page. When setting alarm limits, make sure they are appropriate for the patient’s condition. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 86: Enabling/Disabling Alarms

    For information on configuring the archive function, see page 90. When you enable the alarm function for a parameter, the set alarm limits replace the crossed- out triangle. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 87: Alarm Setup For An Individual Parameter

    A Alarm on/off buttons for each parameter B Auto set button C Upper-limits button for each parameter D Lower-limits button for each parameter E Archive buttons F Parameter-specific monitoring settings Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 88: Changing Alarm Settings For A Single Parameter

    – Store – stores the event for later review (see page 97). – Rec – generates a timed recording. – Str/Rec – stores an event for later review and generates a timed recording. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 89: Alarm Setup For Multiple Parameters

    F Archive column Alarms G General, ARR, and ST tabs H Display filter button Auto-set all button (see "Auto-Setting All Alarm Limits" on page 95) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 90: Changing General Alarm Settings

    5 Select the corresponding button in the Alarm on/off column (B), to enable or disable alarm monitoring. A crossed-out triangle appears in the parameter box when alarm monitoring is disabled. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 91: Alarm Setup For Arrhythmia

    ECG leads (see page 170). In the following steps, the letters in parentheses refer to the diagram of the Limits ARR setup page. Alarm ranges and defaults are listed starting on page 106. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 92 5 Select the corresponding setup button in the ARR mode buttons (H). Rate column (D) to set the rate. 6 Select the corresponding setup button in the Count column (E) to set the count. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 93: Alarm Setup For St

    F Upper limits column Alarms G Archive column H ST tab Auto set all button J Event duration button K ST relearn button Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 94: Configuring St Alarm Settings

    5 Select the corresponding setup button in the time an upper ST-alarm limit has to be violated Lower column (D) to adjust the lower alarm before an alarm is triggered (see page 75). limits. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 95: Auto-Setting All Alarm Limits

    NOTE If the Auto-set function forces the alarm limits of a parameter outside the allowable limit range of the monitor, the alarm limits remain unchanged. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 96: Alarm History And Stored Events

    5 seconds from a previous alarm, the higher- – You pause alarms using the All alarms priority alarm event is stored while the previous one paused/All alarms off button (see page 83). is deleted. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 97: The Alarm History

    – Priority – Message A Alarm history tab. B Identifies an event C Date of the alarm D Time the alarm was stored E Duration of the alarm Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 98: Viewing A Snapshot Of A Single Event

    C Delete button for deleting the current event D Print button E Zoom-out button F Zoom-in button G Navigation arrows for scrolling through events H Select event button Waveform area Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 99: Remote Alarm Control

    (see page 19) and connect it to an external nurse call system. Whenever the M540 produces a medium-priority or high-priority alarm, a nurse call system is activated to provide remote notification of the alarm condition. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 100: External Device Disconnection Alarm

    – NIBP measurements start in continuous mode. M540 is docked. – The alarm volume of the alarm condition with the highest priority is automatically reduced to the minimum setting. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 101: Alarm Ranges And Defaults

    Upper: 11 to 250 mmHg 160 mmHg 90 mmHg Increment: 1 mmHg or 1.5 to 33.3 kPa 21.3 kPa 12.0 kPa 0.1 kPa Lower: 10 to 249 mmHg 1.3 to 33.2 kPa Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 102 Upper: 11 to 170 mmHg 85 mmHg 40 mmHg Increment: 1 mmHg or 1.4 to 22.7 kPa 11.3 kPa 5.3 kPa 0.1 kPa Lower: 10 to 169 mmHg 1.3 to 22.6 kPa Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 103 Lower: -25 to 299 mmHg 0.1 kPa 35 mmHg 75 mmHg -3.3 to 39.9 kPa (4.7 kPa) for (10.0 kPa) for PA, RV 10 mmHg (1.3 kPa) for PA, RV Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 104 ICP, CVP 2 mmHg 17 mmHg (0.3 kPa) for (2.3 kPa) for RA, ICP PA, RV 0 mmHg 12 mmHg (0.0 kPa) for LA, (1.6 kPa) for RA Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 105 -3.3 to 39.9 kPa Tblood Upper: 25.1 to 43.0 39.0 34.0 (102.2 (93.2 Increment of 0.1 C or 77.1 to 109.4 Lower: 25.0 to 42.9 77.0 to 109.2 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 106: Arrhythmia Ranges And Defaults

    Not adjustable (≥ 3) VTACH rate -1 (≤ 119 ) ≥ 120 to 200 (≥ 150) ≥ 3 to 10 (≥ 3) Medium Store/record Increments of 10 Increments of 1 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 107 Increments of 1 ≤ 30 to 105 BRADY Not adjustable (adult ≤ 50; paediatric (≥ 8) ≤60) Increment of 5 PAUSE 1 to 3.5 (2.5) Not adjustable Increments of 0.5 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
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  • Page 109: Trends/Data Dialogue Windows

    Labs Page ......120 Accessing Laboratory Data ....120 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 110: Overview

    Refer to the Infinity Acute Care System - M540 Instructions for Use for a detailed description of the M540 trend functions. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 111: Trending Behaviour

    MVe s, RRs, Trapped Vol, AW-Temp, VCO2, standby mode. TVd aw, TVD aw%, etCO2 – Pulse oximetry parameters: SpO , PLS, PI (only for Masimo SET MCable) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 112: Trend Graphs

    1 Select the Trends/Data... button from the main- menu bar. 2 Select the Trends tab (if not already selected). 3 Select the Graph tab (A) (if not already selected). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 113: Available Functions On The Trends Graph

    The cursor and the associated popups disappear automatically after a brief time of no user interaction. You can hide the cursor immediately as follows: z Press the rotary knob. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 114: Configuring The Trends Graph Page

    6 Use the display filter button to toggle graphical trends display by selecting the Print between displaying all parameters or only those screen button on the main-menu bar. parameters that are connected. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 115: Trend Table

    1 Select the Trends/Data... Button on the main- menu bar. 2 Select the Trends tab (if not already selected). 3 Select the Table tab (G) (if not already selected). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 116: Available Functions On The Trends Table

    You can also request a printout of the current graphical trends display by selecting the Print screen button on the main-menu bar. The print screen prints on the connected laser printer. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 117: Graph Vitals Page

    This set of parameters consists of parameters from displayed in four graphical windows: the M540, if available. Window 1 (top) HR, SpO , and RRi Window 2 NIBP Window 3 Ta, Tb Window 4 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 118: Accessing The Graph Vitals Page

    D The Graph vitals tab – accesses the graphical trends of the vitals parameters E Scroll keys and scroll bar F Print button G The Grids on/off button H The Graphs button The Views button Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 119: Mini-Trends

    CCO parameters included in the mini-trend display. If you activate the split-screen mode (see page 278), the mini display is not affected and shifts to the right along with the real-time parameter display. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 120: Labs Page

    (B). A Laboratory data selection field The following diagram shows the Labs page. B Laboratory results window (including category, label, value, units of measure, range, and time) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 121: Calculations

    Customising the Drug List ....133 Drug Calculator Equations ....134 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 122: Overview

    (0.7285 - 0.0188 x (log10WT)) BSA = WT x HT haemodynamic parameter calculations. 0.0003207 The DuBois equation is used for all other patients: 0.425 0.725 BSA = WT x HT x 0.007184 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 123: The Calculation Page

    NOTE Before performing a calculation, measure pulmonary wedge pressure and cardiac output (if desired) because some of the calculated values cannot be determined without these parameter values. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 124 6 Repeat steps 4 and 5 for additional parameters. Cockpit populates the available parameter buttons with the current values. 7 Select the Calculate results button (D). The calculated values are listed in the Results page. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 125: The Results Page

    The double arrows scroll through larger portions than the single arrows. You can also drag the navigation bar located between the arrow keys to the desired location. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 126: Laboratory Data

    You can review the results on the Results page (see page 125). From there, you can also save the calculations and configure the display. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 127: Calculation Equations

    CO, CCO Cardiac output (continuous, intermittent) L/min Central venous pressure mmHg, kPa Heart rate PA M Mean pulmonary artery pressure mmHg, kPa Pulmonary capillary wedge pressure mmHg, kPa Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 128 Total pulmonary 79.96 x PA M / CO dyn x s/cm resistance Total vascular resistance 79.96 x ART M / CO dyn x s/cm Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 129: Oxygenation And Ventilation Parameters

    PEEP Peak end expiratory pressure cmH2O, mbar Peak inspiratory pressure cmH2O, mbar , RR Respiratory rate, cardiac, venous /min Arterial oxygen saturation Venous oxygen saturation Expired tidal volume Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 130 CO ml/min Oxygen consumption 10 x C(a-v) O x CI ml/min/m index NOTE When multiple sources are available, the RR order of priority is RRi, RRc, RRv. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 131: Drug Calculations

    1 Select the Procedures... button on the main- menu bar. 2 Select the Drug dosage tab (if not already selected). 3 Select the Drug calculation tab (if not already selected). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 132: Customised Drug List

    Once configured, a drug and its settings are stored calculations. as defaults and become available for selection in the Drug calculation page (see page 131). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 133: Customising The Drug List

    Customising the Drug List Accessing the Drug dosage setup page requires a password. In the following steps, the letters in parentheses correspond to the diagram for the Drug dosage setup page. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 134: Drug Calculator Equations

    0.01 to 100,000,000,000 μg/ml, m units/ml, mEg/ml, mmol/ml 0.01 to 100,000,000 mg/ml, units/ml, mol/ml 0.01 to 100,000 g/ml, k units/ml 0.01 to 100 m units/ml Rate 0.01 to 10,000 ml/h Duration 0.01 to 10,000 h Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 135 0.01 to 100,000,000,000 μg, m units, mEq, mmol 0.01 to 100,000,000 mg, units, mol 0.01 to 100,000 g, k units 0.01 to 100 m units Total volume 0.01 to 10,000 ml Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 136 This page is intentionally left blank Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 137: Ecg, Arrhythmia, And St Segment

    ST Reference ......166 ECG Parameter Setup Functions ..150 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 138 Learning/Relearning QRS Pattern ..170 Manual Relearning ..... . 170 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 139: Overview Of Ecg And Heart Rate Monitoring

    R-R intervals. The M540 averages the remaining intervals and displays the result as the current heart rate in the HR parameter box. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 140: Ecg Precautions

    140. Orient the lead wire set so the exposed pins face towards you as you push it firmly into the channel. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 141: Connecting The Lead Wire Set For 12-Lead Monitoring

    2 Connect the lead wires to the patient. For information on applying the electrodes to the patient, refer to the illustrations starting on page 140. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 142: Connecting The Lead Wires For Neonatal Monitoring

    140. Orient the ECG adaptor cable so the exposed pins face towards you as you push it firmly into the channel. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 143: Patient Preparation For Ecg Monitoring

    ESU as possible and perpendicular to the ESU cables. – Burn Patients – use sterile electrodes. Clean the equipment thoroughly and follow hospital infection control procedures. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 144: Ecg Display

    (if the pacer detection is enabled, the symbol appears as when a paced beat is detected). During brief artefact episodes, the parameter box does not display a heart rate value. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 145: Ecg Electrode Colours

    Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 146: Electrode Placement

    ECG, Arrhythmia, and ST Segment Electrode Placement Standard Configuration, Three Electrodes (IEC/AHA) Standard Configuration, Five Electrodes (IEC/AHA) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 147: Pacer Configuration, Five Electrodes (Iec/Aha)

    ECG, Arrhythmia, and ST Segment Pacer Configuration, Five Electrodes (IEC/AHA) Standard Configuration, Six Electrodes (IEC/AHA) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 148: 12-Lead Configuration, Ten Electrodes For 12-Lead Rest Ecg Monitoring (Aha)

    ECG, Arrhythmia, and ST Segment 12-Lead Configuration, Ten Electrodes for 12-Lead Rest ECG Monitoring (AHA) 12-Lead Configuration, Ten Electrodes for 12-Lead Rest ECG Monitoring (IEC) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 149: 12-Lead Monitoring

    85. page. If you cannot see the tab, select the following two symbols located in the upper-right corner of the dialogue window: symbol and the display filter button. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 150: Ecg Parameter Setup Functions

    – Ten electrodes: I, II, III, aVR, aVL, aVF, V1- – Default for lead1: II – Default for lead2: V (with TruST and a 10- lead wire sets, the default is: V2) – Default for lead3: aVF Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 151 Determines whether vertical marker white markers appear on the – Off (default) waveform to identify QRS complexes, which help in determining when it is safe to perform synchronised cardioversion. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 152 – On (default for neonate) Turns respiration monitoring on and off. – Off (default for adult/paediatric) Show All page This page displays all available leads (up to 12). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 153: Monitoring Paced Patients

    3 Select On next to the pacer detection. identify pacer spikes. NOTE The pacer detection is disabled automatically in the neonatal mode or when the ESU filter is turned Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 154: Pacemaker Precautions

    Pay close attention to the pacemaker patients being monitored in the 'Fusion' mode because this mode may increase the risk of falsely counting pacemaker spikes as QRS complexes, thus failing to detect cardiac arrest. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 155: Device Interference With Pacemaker

    For impedance-derived rate response pacemakers, modify the electrode placement until the blue spikes on the waveform disappear since they are not related to real pacer impulses. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 156: Optimising Pacer Processing

    295), you cannot disable HR alarms. Before performing any monitoring functions, refer to the section "For Your Safety and That of Your Patients" starting on page 9. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 157: Selecting Arr Leads

    Eight or more consecutive normal beats, with an average rate ≤ BRADY Bradycardia bradycardia rate setting. Series of 3 to N-1 consecutive PVCs with a beat-to-beat rate ≥ the Ventricular Run VT rate. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 158 2 Select the ARR settings tab. 3 Select one of the following modes next to the ARR mode button, located below the arrhythmia alarm setup table: – Off – Basic – Advanced (option) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 159: Arr Display

    C Area reserved for actual event calls (for (PVC) per minute example, BRDY) or the message LEARN M Area reserved for actual event call (for example, D PVC/min label BRDY) or the message LEARN Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 160: Accessing The Arr Setup Page

    (see page 157 for more detail). Relearn None Establishes a new QRS baseline. Alarm functions See "Alarm Setup for Arrhythmia" on page 91 for details on the ARR alarm functions available. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 161: Monitoring St Overview

    However, with optimal placement of the V and V+ leads and using only eight leads, you can achieve an ST analysis that is almost as comprehensive but with fewer electrodes. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 162: Trust 12-Lead Monitoring

    – TruST – provides 12-lead ST monitoring with a 6-lead wire set (see page 140). – 12-lead ST monitoring – uses the standard 12- lead ECG configuration with ten electrodes (see page 140). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 163: St Display

    – Requesting an ST report In all trends, a solid white vertical line on the ST trend graphs marks changes in ST measuring points along with a time stamp. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 164: The General St-Complex Pages

    > ECG tab to access the ECG setup page. 2 Select the ECG tab (if not already selected). 3 Select the ST complex tab (if not already selected). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 165: Zooming In On An St Complex

    The ISO button J The Show all button – accesses the general ST-complexes screen K The Relearn button (see page 170) L The ST label (unique for each ST lead) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 166: St Measuring Points

    4 Select the Save reference button (in either ST reference point in either screen, saves all currently complex page) and use the rotary knob to dial displayed ST complexes as reference points. to the desired setting. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 167: St Alarm Settings

    1 Select the HR parameter box to select the ECG setup page directly Select Sensor parameters... from the main- menu bar > ECG tab to access the ECG setup page. 2 Select the ST settings tab. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 168: St Setup Functions

    – Default for ST lead1: STI – Default for ST lead2: STaVL – Default for ST lead3: STV (with TruST and a 10-lead wire sets, the default is: STV2) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 169 STII, STIII, STaVR, STaVL,STaVF, STdV1, STV2, STdV3, STdV4, STV5, STdV6 – Ten electrodes: STI, STII, STIII, STaVR, STaVL,STaVF, STV1, STV2, STV3, STV4, STV5, STV6, STCVM, and STVM – Default: STII Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 170: Learning/Relearning Qrs Pattern

    Select Sensor parameters... from the main- menu bar > ECG tab to access the ECG setup page. 2 Select the ST settings tab. 3 Select Relearn. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 171: Impedance Respiration (Rri)

    Respiration Measuring Modes ... 178 Accessing the Respiration Setup Page ..178 Respiration Parameter Setup Functions . . . 179 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 172: Overview Of Respiration Monitoring

    ESU Filter (100 mV or greater) may interfere with the is selected. Refer to the Electrosurgery monitor ability to measure or detect section for general safety precautions. respiration. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 173: Connecting The 3-, 5-, 6-Lead Wire Sets For Rri Monitoring

    2 Insert the spacer (C) to protect the unused ECG-lead pins. 3 Connect the lead wires to the patient. For information on applying the electrodes to the patient, refer to the illustrations starting on page 146. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 174: Connecting The Lead Wire Set For 12-Lead Monitoring

    2 Connect the lead wires to the patient. For information on applying the electrodes to the patient, refer to the illustrations starting on page 146. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 175: Connecting The Lead Wires For Neonatal Monitoring

    Use a 5-lead wire set to improve the respiration signal (where the F electrode for IEC or RL electrode for AHA is the neutral electrode). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 176: Respiration Display

    A Impedance respiration rate label (RRi) B Upper/lower alarm limits or crossed-triangle symbols if alarms are turned off C The respiratory rate value D The lung symbol that blinks with each detected breath Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 177: Adjusting The Detection Threshold And Turn On The Respiration Marker

    4 Select Manual next to the Mode. 5 Select the button next to Size and use the rotary knob to dial to the lowest value where the RESP marker appears. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 178: Respiration Measuring Modes

    Settings" on page 85. page. If you cannot see the tab, select the following two symbols located in the upper-right corner of the dialogue window: symbol of the display filter button. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 179: Respiration Parameter Setup Functions

    Determines whether you are detect alerted when the respiratory rate is within 20% of the heart rate, which is an indication that the M540 is counting heart beats as respiration. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 180 – Store (default) – a waveform segment is stored in response to an apnoea. – Rec – a recording is triggered automatically in response to an apnoea. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 181 Display......186 Accessing the SpO Setup Page..186 -Parameter Setup Functions..187 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 182: Mcable

    100%, which is equivalent to pigmentation, may cause erroneous measurement switching the alarm off. Transcutaneous pO values. monitoring is recommended for premature infants receiving supplemental oxygen. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 183 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 184: Connecting The Masimo Set Mcable

    Masimo SET MCable (C). 3 Attach the appropriate Masimo LNCS sensor to the end of the intermediate cable (E) - see page 185 for more information. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 185: Patient Preparation

    – Placement of a sensor on an extremity with a blood pressure cuff, arterial catheter, or intravascular line 3 Connect the sensor to the Masimo SET MCable (see page 184). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 186: Spo 2 Display

    Settings" on page 85. page. If you cannot see the tab, select the following two symbols located in the upper-right corner of the dialogue window: symbol of the display filter button. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 187: Spo 2 Parameter Setup Functions

    2 s to 4 s or 4 s to 6 s. When this mode is enabled automatically, you cannot disable it. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 188 Colour Red, green, blue, yellow, light blue, purple, Determines the colour of the orange, white (default). waveforms and parameter labels/values. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 189 Display......194 Accessing the SpO Setup Page..194 -Parameter Setup Functions..195 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 190: Mcable

    – Pulse rate (PLS) neonatal patients. NOTE Information about the wavelength range may be useful during photodynamic therapy. For details, see the technical data chapter of the M540 Instructions for Use. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 191: Spo 2 Precautions

    Change the measure how accurate a particular pulse oximeter application site at least every four hours. is in reproducing the calibration curve. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 192: Connecting The Nellcor Oximax Mcable

    Nellcor Oximax MCable (C). 3 Attach the appropriate sensor cable to the end of the intermediate cable (E) - see page 193 for more information. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 193: Patient Preparation

    – Placement of a sensor on an extremity with a blood pressure cuff, arterial catheter, or intravascular line Connect the sensor to the Nellcor Oximax MCable (see page 192). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 194: Spo 2 Display

    If you cannot see the tab, select the following two symbols located in the upper-right corner of the dialogue window: symbol of the display filter button. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 195: Spo 2 Parameter Setup Functions

    4 seconds to 6 seconds NOTE The setting ’Normal’ is less sensitive to artefacts, but slower to alarm. The setting ’Fast’ is quicker to alarm, but more sensitive to artefacts. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 196 (see page 75) and the high-priority desaturation alarm for neonatal patients. Colour Red, green, blue, yellow, light blue, purple, Determines the colour of the orange, white (default). waveforms and parameter labels/values. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 197: Temperature

    Temperature Display ....201 Accessing the Temperature Setup Page . . . 202 Temperature Parameter Setup Functions . . 202 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 198: Overview Of Temperature Monitoring

    Connecting the Temperature Sensors You can connect temperature sensors directly to the M540 or to one of the following haemodynamic pods: – MPod - QuadHemo ® – Hemo4 ® – Hemo2 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 199: M540

    2 Connect the connector (B) of the dual- temperature adaptor cable to the M540 Temp/Aux connector (A). To connect a single-temperature sensor z Connect a temperature sensor (E) directly to the M540 Temp/Aux connector (A). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 200: Connecting The Temperature Sensors To The Haemodynamic Pods

    Haemo connector on the M540 (see page 199). 2 Connect the connection cable to the Monitor connector (B) of the MPod - QuadHemo and to the grey Haemo connector on the M540. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 201: Temperature Display

    The values for the second temperature D Calculated delta value or second direct- appear blank. temperature value E Upper/lower alarm limits or crossed-triangle symbols when alarms are turned off. F Direct temperature value Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 202: Accessing The Temperature Setup Page

    The default is always the previous setting before a restore default was initiated. Colour Red, green, blue, yellow, light blue, purple, Determines the colour of the orange, and white (default). parameter labels and values. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 203: Non-Invasive Blood Pressure (Nibp)

    Accessing the NIBP Setup Page ..212 NIBP Parameter Setup Functions ..213 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 204: Overview Of Nibp Monitoring

    WARNING Do not place the cuff on injured or breached skin because cuff compression could further damage the tissue. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 205 NIBP low inflation pneumatic connectors to an intravascular limit message. When this message appears, system. manually check the blood pressure of the patient. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 206: Connecting The Nibp Hose And Cuff

    1 Select a NIBP cuff size that is appropriate for the patient. 2 Connect the NIBP hose (C) to the intermediate hose (B). 3 Connect the NIBP intermediate hose to the NIBP connector (A) of the M540. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 207: Patient Preparation For Nibp Monitoring

    The cuff label ’index’ (A) must fall within the range labels (C). 3 Wrap the cuff snugly around the limb without impeding the blood flow. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 208: Nibp Display

    F Time remaining before the continuous mode is terminated G The Cont. mode label H Units of measure Inflation pressure value J The Inflation pressure label K Systolic/diastolic pressure value Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 209: Nibp Measurement Modes

    Before taking any NIBP measurements, read the measurement, at which point a chime also sounds precautions on page 204. if the corresponding function was enabled (see page 212). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 210: Single Measurement Mode

    M540, select the NIBP start/stop button to resume select the NIBP start/stop button on the menu bar the interval mode. for interval measurements to start. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 211 To stop the continuous measurements z Press the NIBP start/stop button on the main- menu bar . z Disable the Continuous mode in the NIBP setup page (see page 213). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 212: Venous Stasis

    > NIBP tab to access the NIBP setup page. If you cannot see the tab, select the following two symbols located in the upper-right corner of the dialogue window: symbol and the display filter button. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 213: Nibp Parameter Setup Functions

    Stops blood flow to the lower part of the cuffed limb for a fixed time. Colour Red, green, blue, yellow, light blue, purple, Determines the colour of the orange, white (default). parameter values. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 214 This page is intentionally left blank Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 215: Invasive Blood Pressure (Ibp)

    Accessing the IBP Setup Page ... 230 IBP Parameter Setup Functions ..231 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 216: Overview Of Ibp Monitoring

    ART and reports it as CPP. D Pressure-label windows E Transducer slots NOTE The connectors for temperature and cardiac output are located on the side panel of the haemodynamic pod. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 217 The connectors for temperature and cardiac output are located on the side panel of the output are located on the side panel of the haemodynamic pod. haemodynamic pod. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 218: Ibp Precautions

    (nearly static). Open all stopcocks to air, then use the Zero key on the Cockpit instead. There are additional warnings regarding the pulmonary wedge pressure on page 227. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 219: Connecting The Hemo4 Pod And Hemo2 Pod

    (C) to the grey haemoconnector of the M540 (A). 4 Attach the transducers to the transducer slot (E). 5 Connect the transducer adaptor cables (D) to the transducer cable (F). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 220: Connecting The Mpod - Quadhemo

    (D). 4 Connect the transducer cables (F) to the transducer adaptor cable (G). The transducer adaptor cables are permanently fastened to the back of the MPod - QuadHemo. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 221: Connecting The Dual Hemo Mcable

    The following tips provide optimal IBP monitoring artefacts. High-pressure tubing limits signal results, but must never replace hospital-approved dampening. practices or manufacturer’s recommendations. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 222: Ibp Display

    System Configuration chapter. A IBP parameter label B Unit of measure (can be turned on/off) C Mean pressure value D Alarm limits or crossed-triangle symbols when alarms are turned off Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 223: Labelling Ibp Pressure Channels

    Cockpit parameter-setup pages. For example, from the PA page, you can start a Wedge pressure and from the ICP page, you can set a minimum scale. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 224: Standard Labels

    The M540 assigns that parameter label to the pressure-label list box. If no transducer is connected to the pod, the label stored in the M540 has priority. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 225: Zeroing An Ibp Transducer

    If the zeroing of the transducer is successful, the message Zero accepted appears. If zeroing failed, the message Did not zero appears. In that case, repeat steps three to five. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 226: Zeroing All Pressure Transducers (Smartzero)

    3 Press the SmartZero button (A) on the Hemo4 pod, Hemo2 pod, or the MPod - QuadHemo. Hemo2 Pod 4 Verify that the transducers have been zeroed. If zeroing failed, repeat steps two and three. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 227: Pulmonary Wedge Pressure

    One sign of this “catheter drift” is that the PWP waveform becomes wedge-shaped. Follow your hospital clinical guidelines to correct the catheter’s position. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 228: Pods

    PA systolic and diastolic values are displayed again, and PA alarms are restored to the values before entering Wedge mode. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 229 – The message Wedge in progress appears D The Save wedge button in the message field (F). E The Cancel wedge button F The message field G PWP value Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 230: Accessing The Ibp Setup Page

    > IBP tab to access the IBP setup page. If you cannot see the tab, select the following two symbols located in the upper-right corner of the dialogue window: symbol and the display filter button. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 231: Ibp Parameter Setup Functions

    8 Hz and 16 Hz (default) Selects the filter setting applied to the IBP signal. Large mean] On, off (default) Determines whether the mean IBP value appears in large or normal font. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 232 25 mmHg (3 kPa)] – The Scale selection appears ghosted PA page only Start wedge Not applicable Allows you to start a wedge pressure measurement (see page 227) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 233: Cardiac Output (C.o.)

    Accessing the C.O. Setup Page ..246 C.O. Parameter Setup Functions ..246 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 234: Monitoring

    Failure to enter an accurate weight value can entered computation constant is correct for result in inaccurate calculations and put the the catheter you are using. patient at risk. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 235: Connecting The C.o. Hardware

    3 Connect the C.O. intermediate cable connector (E) to the C.O. connector of the QuadHemo MPod (F). 4 Connect the catheter and the thermistor cables (H) to the C.O. intermediate cable connectors (G). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 236 3 Connect the C.O. intermediate cable connector (E) to the C.O. connector of theHemo4 pod/Hemo2 pod (E). 4 Connect the catheter and the thermistor cables (H) to the C.O. intermediate cable connector (G). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 237: Patient Preparation For C.o. Monitoring

    – Verify the proper selection of catheter type and irregularly shaped waveforms. size or computation constant if Other is chosen for the catheter type. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 238: C.o. Display

    E Upper/lower alarm limits or crossed-triangle symbol when alarms are turned off F Injectate temperature label G Injectate temperature value H Previously saved C.O. value – average of a series of saved measurements Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 239: C.o. Computation Constant

    Consult the documentation included with the 4 Select Enter on the keypad to confirm the catheter for computation constants, and select one value. that corresponds to the used injectate volume and temperature. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 240 0.160 0.181 0.151 10 cc 0.579 0.628 0.566 5 cc 0.281 0.309 0.270 3 cc 0.160 0.181 0.151 5 cc 0.291 0.316 0.279 3 cc 0.170 0.188 0.160 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 241: C.o. Measuring Modes

    Inject when ready is replaced by the a tone sounds when the C.O. value has been message Poor Baseline. To select the automatic computed. C.O. mode, see page 246. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 242 If you touch the panel again, the value re-appears and will be included in the average. To save the C.O. average, see page 244 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 243: Manual Mode Measurements

    If you touch the panel again, the value re-appears and will be included in the average. To save the C.O. average, see page 244. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 244: Saving The C.o. Value

    2 Select the C.O. tab to access the Procedures C.O. page. 3 Select the Save C.O. average button. The stored C.O. value and the time stamp are stored in the trend function and the parameter box. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 245: The Procedures C.o. Average Page

    If you select the catheter type Other (see page 246), a button appears at the bottom of the page. This button accesses a keypad for entering a computation constant. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 246: Accessing The C.o. Setup Page

    Injectate volume 3.0, 5.0, or 10.0 (default) Displays the currently selected volume of [cc] the injectate. NOTE If Other is selected for Catheter type, this button is not available. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 247 Starts the C.O. measurement (see page page 241). Colour White (default); there is no colour Determines the colour of the waveforms, selection for C.O. parameter labels, and values. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
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  • Page 249: Carbon Dioxide Concentrations (Co 2 )

    Accessing the CO -Setup Page ..256 -Parameter Setup Functions..256 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 250: Overview Of Co 2 Monitoring

    – RRc – respiration rate as calculated from the infrared light through transparent ports in the capnogramme airway adaptor while detecting changes in CO absorption levels. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 251: Co 2 Precautions

    WARNING alarms do not activate until the first breath is detected after turning on the monitor or discharging a patient. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 252: Connecting The Co 2 Sensor

    5 Snap the CO mainstream sensor (C) firmly into the airway adaptor and make sure that the cable is directed away from the patient. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 253: Patient Preparation For Co

    F RRc (respiratory rate) parameter label G RRc value – respiratory rate derived from the signal H etCO value – highest CO value in the airway during the expiratory period Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 254: Capnogrammes

    – Leaky or deflated endotracheal limb. or tracheostomy cuff – Artificial airway that is too small for the patient Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 255 – Herniated endotracheal or tracheostomy tube cuff – Bronchospasm Elevated baseline, with a – A faulty ventilator circuit valve pronounced slope on the – Rebreathing (see above) descending limb. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 256: Accessing The Co -Setup Page

    12 kPa, 0 kPa to 16 kPa – 0 % to 5 % (default), 0 % to 8 %, 0 % to 12 %, 0 % to 16 % Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 257 Determines what happens in response to an apnoea. Colour Red, green, blue, yellow (default), light blue, Determines the colour of the purple, orange, white. waveforms and parameter labels/values. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
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  • Page 259: External Device - Ventilator

    Ventilator Setup Functions ....265 Setup Functions ....266 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 260: Overview Of Ventilation

    For example, you can review the ventilator settings of each parameter and the current ventilation mode. For more detailed information, refer to the Infinity Central Station Instructions for Use. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 261: Supported Parameters

    This parameter is only available on the Infinity network. It is not available at the Cockpit. (2) This parameter is also displayed in the Show All page (see page 264). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 262: Ventilator Precautions

    Use for information on how to connect devices safely. Device Software version Dräger Evita Dura 1.00 and higher Dräger Evita 4 1.00 and higher Dräger Evita XL 5.00 and higher Maquet Servo-I Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 263: Ventilator Display

    Inspiration starts at a point defined by the baseline pressure and the volume level at the beginning of inspiration. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 264: The Show-All Page

    2 Select either the Paw or the Vent tabs to access the respective setup pages. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 265: Ventilator Paw Setup Functions

    Selects the third parameter in the Vent parameter box. Colour Red, green, blue, yellow, light blue (default), Determines the colour of all purple, orange, white. ventilation parameter boxes, waveforms,.and loops. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 266: Co 2 Setup Functions

    570 to 800 (mmHg) Determines the atmospheric pressure setting. Colour Red, green, blue, yellow (default), light blue, Determines the colour of the purple, orange, white. parameter box and waveform. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 267: (Cco)

    Accessing the CCO/SvO2 Setup Page ..271 SvO2 Setup Functions ....271 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 268: Overview Of Cco

    (see page 271). Before performing any monitoring functions, refer to the section "For Your Safety and That of Your Patients" starting on page 9. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 269: Supported Parameters

    Indexed parameters require the height-and-weight value from Cockpit. The calculated value at the Cockpit requires the values for ART m and CVP from the Cockpit. This is a calculated value at the Cockpit. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 270: Cco Precautions

    3 Select the Show all tab. 1 Select the Trends/Data... button from the main- menu bar. 2 Select the Hemo tab. 3 Select the Show all tab Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 271: Accessing The Cco/Svo2 Setup Pages

    SVR (default), SVRI, EDV, EDVI, ESV, ESVI, the CCO parameter box. EF, SV, SVI, SVV Colour Red, green, blue, yellow, light blue, purple, Determines the colour of the orange, white (default). parameter box. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
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  • Page 273: System Configuration

    Biomed Setup – Service Setup Page ..298 Biomed IT Setup ..... . . 299 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 274: Overview

    2 Select the Screen Setup tab (if not already lower-right corner of the screen to access selected). the Auto-view setup page) – Views (a password is required) – View editor (a password is required) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 275: Screen Setup - General Settings Setup

    Sets the start and end times of the night-time mode. During the night-time mode, the entire background of the screen appears almost black. All buttons turn dark grey. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 276: Screen Setup - Modes Setup Page

    Alarm functions are affected when the cardiac bypass mode is turned on (see page 81). NOTE This mode is not available when the French NFC mode is enabled (see page 295). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 277: Screen Setup - Auto-View Setup Page

    H The Parameter boxes button The Layout button J The Split screen button K The Mini-trends selection button L The NIBP-trend button M The Toolbar button N The Parameter selection window Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 278: Configuring The Auto-View Settings

    (default) or Off button (M) to enable or disable boxes. the auto-view setup toolbar (see page 278). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 279: Configuring Parameters For Display

    However, unlike in the auto mode, the parameter label and/or waveform occupies a space on the screen even though it is not connected yet. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 280: Configuring The Parameter Priority And Display

    2 Select the number of waveforms to be displayed using the Waveforms button (D). 3 Select the number of parameter boxes to be displayed using the Parameter boxes button (G). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 281 If the auto-view setup toolbar is displayed, you can setup page (see page 277) and vice versa. access the Auto-view page by selecting the Setup button at the right edge of the auto-view bar. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 282: Screen Setup - Views Setup Page

    You can also save changes to a custom view from selected). the view-editor page. 3 Select the Views tab. A password pop-up appears. 4 Enter the clinical password and select the Enter button. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 283: Screen Setup - View-Editor Setup Page

    1 Select the System setup... button on the main- setup page. menu bar. 2 Select the Screen setup tab > View editor tab. System setup 3 Enter the password and select the Enter button. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 284 For example, if you chose Waveforms in step 4, you can now select the ECG lead for display. 6 Repeat steps 4 - 6 for all panels in the selected layout template. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 285 Check marks appear when you select a box. 7 Select the Save view button (B) to save the settings. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 286: The Alarms Pages

    When this function is enabled, alarm conditions are verified for a certain time before triggering the audible and optical alarm signals (see page 75). This feature reduces nuisance alarms. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 287 Cockpit. In addition, the message alarm control. External Device disconnected is displayed in the header bar of the Cockpit and at the ICS, provided the patient has been admitted. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 288: Alarm Setup - Volume/Tone Setup Page

    120 seconds. Tone set Infinity (default), IEC fast, IEC Determines the type of alarm tone in use (for slow more information, see Audible Alarm Signals on page78). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 289: Alarm Setup - Code Setup Page

    Code button. – No – the audible alarm signals for any active alarm are not affected when you press the Code button. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 290: Recordings/Reports Page

    Assigns the selected waveform to the bottom the Waveform selection channel on R50N recordings, provided the setting (the factory default is Waveform selection is set to Manual. ECG Lead V) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 291: Rest Ecg Report Setup Page

    – The patient is not admitted at the ICS. – The Rest ECG-analysis feature is not enabled at the ICS. – The 12-lead option is not unlocked. – The required 12-lead option is disconnected. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 292: Biomed Setup Pages

    3 Enter the password and select Enter. – Printer setup – Recorder setup – Service – IT setup (select the desired tab such as Web browser, Innovian, and so on.) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 293: Biomed Setup - Country Setup Page

    Allows you to disable/enable automatic activation of daylight savings time based on the regional setting. Time The time-and-date field Allows you to set the regional time and date. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 294: Biomed Setup - Units-Of-Measure Setup

    Differing units of measure could result in loss of data or a – oz or g (neonate) patient discharge. Height cm (default), in mm (default), mV Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 295: Biomed Setup - Bedside-Setup Setup Page

    Start dialogue. Restore the Not applicable Restores all patient and monitoring settings to factory defaults the factory defaults. Do not restore the factory defaults while monitoring a patient. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 296: Biomed Setup - Name Service Setup Page

    Enable the On (default), Off If this feature is enabled, the Cockpit allows remote silence alarms to be silenced from network devices. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 297: Biomed Setup - Network Setup Page

    Paper size Letter, Legal, A4 Allows you to select the printer paper. Print test page Select the Print screen button to verify that the printer is working properly. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 298: Biomed Setup - Recorder Setup Page

    G The Service button for accessing Service- related functions, such as unlocking options (refer to the Technical documentation available from DrägerService for detailed information). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 299: Biomed It Setup

    1 Access the IT setup page (see page 292). 2 Select the IT tabs button. 3 Select the On or Off button next to the IT tabs selection. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 300: Adding A Web-Browser Page

    G The Block Popups on/off buttons corresponding IT tab (for more information, see Accessing an IT Tab on page323). H The Full Trust on/off buttons The Tab visible on/off buttons Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 301: Deleting A Web-Browser Page

    D The Name column E The Value column F List of Citrix applications G The Tab visible on/off buttons H The Edit button The Delete button J The Add button Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 302: Configuring It Tabs

    C The Name button and description field D The URL button and description field System setup E The Full Trust on/off buttons F The Block Popups on/off buttons G The Tab visible on/off buttons Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 303 Once an IT application is correctly set up, you should be able to configure the web site under the corresponding IT tab (for more information, see Accessing an IT Tab on page323). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 304: Profile Setup

    4 Select the arrow button next the Profile menu selection (F) to display a list of profiles within the selected patient category. If available, a description of the selected profile appears in the description field (G). Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 305: Saving Profiles

    8 Select the Save profile button (I) to apply the F The Profile arrow button changes to the selected profile. G The 'Description' field of the selected profile H The Save profile as... button Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 306: Saving A New Profile

    A The Profile name field and setup button B The Description field and setup button C The Default view field and selection button D The Save profile button Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 307: Configuring Profiles

    2 Select the Profiles tab. 3 Select the Profiles/views tab. 4 Select either the Adult (A), Neonate (B), Paediatric (C) tabs to access the patient category-specific setup pages. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 308: Configuring The Patient-Specific Profiles

    – Select the Delete profile button (F) to view field (I) and select the View that you delete the selected profile. wish to designate as the default View. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 309: Managing Views And Profiles

    – Select the Delete view button (B). A The Views tab B The Delete view button C The View name field and setup button D The Profiles... button E The Views selection list Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 310: Transferring Profiles

    5 Select the Start transfer button (E) to start the profile transfer. The profiles are transferred to the target Cockpit, but are not implemented until you select a new profile. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 311: Importing And Exporting Profiles Using An Usb Memory Stick

    4 Enter the Biomed password and select the Enter button. 5 Select the Service tab. 6 Select the Export profile button to export all profiles to the USB device. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
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  • Page 313: Reports/Recordings

    Print Screen ......319 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 314: Overview

    4 Generate a timed recording to verify that the recorder is connected properly, and the paper is loaded correctly. A Stop key – stops a recording in progress mm/s key – does not function Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 315: Timed Recordings

    You can also request a recording from another monitor or the ICS. Remote recordings use the delay, duration, and speed recorder settings of the Cockpit, not the remote device from which you request the recording. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 316: Automatic Alarm Recordings

    2 Select the Timed recording button. 2 Select the button next to the Archive setting and select either Str., Str/Rec, Rec to generate a recording or Off to disable the feature. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 317: Continuous Recordings

    – If the Cockpit loses its connection to the network. The recordings resume when the network connection is restored. – If you place the Cockpit in the standby mode. – If you discharge a patient . Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 318: Reports

    (see page 292) – Alarm history report – prints the contents of the Alarm history screen – Calculations report – prints the calculations results currently displayed in the Calculations page Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 319: Print Screen

    Whenever you request a print screen, it is printed on the connected laser printer. To generate a print screen z Select the Print screen button on the main- menu bar. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
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  • Page 321: Applications (Options)

    Accessing an IT Tab ....323 Supported IT Applications....324 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 322: Overview

    299). Once you access the web browser each web site with regard to possible virus IT tab, you can choose from all of the websites that infection. were pre-configured under the Biomed tab. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 323: Accessing An It Tab

    D Button for selecting pre-configured web pages B Pre-configured IT tab(s) NOTE Refreshing certain IT applications may disconnect the application and require you to login again. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 324: Supported It Applications

    Cockpit. PatientWatch) NOTE PatientWatch is only supported in English and does not support remote control. Application ICA client version Supports IT applications using a Citrix server. 11.0.0.5357 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 325: Problem Solving

    ........345 Recording Status Messages ... . . 348 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 326: Overview

    Loss of AC power forces the Check the power source and all power supply Cockpit to run on battery connections. power for at least 5 minutes before shutting down. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 327 Information only - no action initiated from the central required. station or another Cockpit. None Remote relearn The indicated function was initiated from the central None Remote limit station. change Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 328: Ecg

    M540. – Replace cable(s), if necessary In the parameter box, the parameter value is replaced by +++ In the parameter box, the parameter value is replaced by *** Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 329 The Rest ECG report has Information only - no action been printed. required. None ECG comm failure The external device is not Check the configuration at the available. central station. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 330 In the parameter box, the parameter value is replaced by - - - In the parameter box, the parameter value is replaced by +++ In the parameter box, the parameter value is replaced by *** Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 331: Arr

    QRS processing. necessary. NOTE These arrhythmia events can have one of three alarm priorities : high, medium, or low. For these arrhythmia events, you can disable the alarms. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 332: Respiration (Rri)

    Change their detected. position, if necessary. – Initiate a relearn or reset breath-detection sensitivity in the manual mode. In the parameter box, the parameter value is replaced by +++ Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 333 (in the RRi setup page). None RRi relearning Relearn is in progress. Information only – no action required. In the parameter box, the parameter value is replaced by *** Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 334: Spo

    (PI) value is replaced by ***) In the parameter box, the parameter value is replaced by - - - In the parameter box, the parameter value is replaced by +++ Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 335 – Contact Dräger Medical Technical support. In the parameter box, the parameter value is replaced by *** (For Masimo SET MCable only: the perfusion index (PI) value is replaced by ***) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 336 – Contact your technical personnel. In the parameter box, the parameter values are replaced by *** (For Masimo SET MCable only: The perfusion index (PI) value is replaced by ***) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 337: Nibp

    Dräger Medical Technical Support. In the parameter box, the parameter value is replaced by *** This message, preceded by Last measurement failed!, also appears in the parameter box. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 338 In the parameter box, the parameter value is replaced by *** This message, preceded by Last measurement failed!, also appears in the parameter box. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 339: Temperature

    Reapply the temperature unplugged. sensor. In the parameter box, the ST parameter value is replaced by - - - In the parameter box, the parameter value is replaced by *** Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 340: Ibp

    CPP out of range, (low) In the parameter box, the parameter value is replaced by - - - In the parameter box, the parameter value is replaced by +++ Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 341 – excessive signal noise – Change the transducer. – a non-static waveform – Check the stopcock, then re-zero. In the parameter box, the parameter value is replaced by *** Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 342 Action is required to complete Press the Start Wedge Press 'Save Wedge' to the wedge measurement. button to begin the wedge finish. measurement. NOTE This message appears in the 'Wedge' dialogue Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 343: Cardiac Output

    -5°C to +30°C. measurement. – Check the probe connection. If the problem persists, replace the probe. – Repeat the measurement. If the message persists, replace the defective components. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 344 – Remove and reconnect ref. meet the specified tolerances. the pod. – Repeat the measurement. – Replace the pod and contact Dräger Medical Technical Support if the message persists. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 345 – Check the patient and treat, if outside the measuring necessary. range of the monitor. – Check the equipment and replace, if necessary. In the parameter box, the parameter value is replaced by *** Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 346 – High inspiratory CO concentration – If the message still persists, the inspiratory CO value might not be accurate. Check the patient and ventilation. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 347 – If zeroing fails again, replace the sensor and contact Dräger Medical Technical Support, if the message persists. None please zero Instructional message for Zero the mainstream sensor. the mainstream sensor only. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 348: Recording Status Messages

    None The excess artefact The recording request was Check the ECG-lead recording is cancelled. not accepted due to an connections; contact your artefact. technical personnel. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 349: Cleaning And Disinfection

    Approved Agents ..... . 350 Cockpit Components ....351 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 350: Overview Of General Precautions

    (7.5% hydrogen peroxide, 0.85% phosphoric Refer to the information provided by the acid, and 91.65% inert ingredients) manufacturer of the cleaning solution for more information in these areas. – Dismozon® pur Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 351: Cockpit Components

    1 Disinfect the surfaces with a gauze pad cloth or tissue before cleaning the surface of the moistened with diluted alcohol (40% solution). device. 2 Dry thoroughly with a lint-free cloth. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
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  • Page 353: Maintenance

    (C500/C700) ......356 Scope of Safety Inspection for the PS250 ..356 Scope of Safety Inspection for the M540 ..357 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 354: Overview

    Dräger standards. Dräger Medical cannot guarantee or endorse the safe performance of third-party replacement parts for use with the devices. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 355: Maintenance Of The Iacs Components

    Exchange every two years by trained service personnel. Safety inspection of all devices Every year by trained service personnel according to hospital protocol. For the scope of the safety inspections, see page 356. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 356: Safety Inspections

    5 Verify that the visual and audible alarm signals function properly. 6 Verify that the following device features operate according to the Instructions for Use: – Verify the LEDs – Perform the device checks Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 357 4 Check that the device meets the electrical of monitored parameters). safety requirements according to IEC62353, Medical electrical equipment - recurrent test and test after repair of medical electrical equipment. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
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  • Page 359: Disposal

    Disposal Disposal EU Directive 2002/96/EC (WEEE) ..360 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 360 Dräger Medical has authorised a firm to dispose of this device in the proper manner. For more detailed information, please contact your local Dräger Medical organisation. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 361: Technical Data

    Secondary Display ..... 365 Electromagnetic Compatibility ... 365 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 362: Overview

    The PS250 has an operating temperature range of 0 - 40 °C (0 - 104 °F). When the battery is being charged at ambient temperatures below 5 °C (41 °F), the yellow LED on the PS250 may light up. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 363: Infinity ® Mcable - Nurse Call

    During the alarm state: minimal signal for 3 s @ >16 V During the non-alarm state: less than 1 s @ ≥ 18 V Input voltage 24 V DC maximum Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 364: Infinity R50N

    Protection class Class 1 Protection against liquid ingress IPX0 per IEC 60529 Mode of Operation Continuous Environmental Requirements Operation Temperature 15 °C to 40°C (55 °F to 104 °F) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...

  • Page 365: Secondary Display

    EMC information be observed to verify normal operation in the provided in this manual. configuration in which it will be used. Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 366 Mains power quality should be of a transients / bursts typical commercial or hospital Longer input / output environment. lines: ± 1 kV (IEC 61000-4-4) ± 1 kV Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 367 ± 2 kV Surges on AC Mains power quality should be of a mains lines typical commercial or hospital Differential mode: ± 1 kV ± 1 kV environment. (IEC 61000-4-5) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 368 (in excess magnetic field is of 3A/m) should be kept at a distance 50/60 Hz. to reduce the likelihood of interference. (IEC 61000-4-8) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 369 Interference may occur in the vicinity of equipment marked with the following symbol: Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 370 WLAN 5600 (not in Europe) 2.000 2.60 7.78 For example: GSM 900 mobile phones 3.000 3.16 9.49 Information regarding separation distances (IEC 60601-1-2:2001, Tables 204 and 206) Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 371 ARTF = artefact ......26 Display on/off ..... . . 287 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 372 Zeroing ......256 Cable type for ECG, selecting ... . . 152 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 373 TENS signals ..... . 155 Display TruST 12-lead on/off ....152 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 374 Hardware LA = Left arm (ECG) Additional hardware ....21 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 375 Monitoring unit label, entering ... . . 296 Device connectivity ....260, 268 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 376 Paw scale, adjusting ....265 QuadHemo pod, connecting to M540 ..220 PCO2 = partial pressure of CO2 in blood Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 377 Results page for calculations ....125 SmartZero (IBP) ..... . . 226 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 378 Navigating through the trend data ..116 Tabular interval on a report ....292 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 379 Saving changes ..... 282 Views, description ..... . . 53 Instructions for Use Infinity Acute Care System - Monitoring Applications SW VG1...
  • Page 380 These Instructions for Use only apply to Infinity® Acute Care System - Monitoring Applications SW VG1 with the Serial No.: If no Serial No. has been filled in by Dräger, these Instructions for Use are provided for general information only and are not intended for use with any specific machine or unit.

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