Dräger Infinity Acute Care System M540 User Manual (English)

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Instructions for use

Infinity Acute Care System

Infinity M540 patient monitor

Software VG4.n

WARNING

To properly use this medical device,

read and comply with these instruc-

tions for use.

For Your Safety and that of Your Patients5
- Patient Preparation for Spo2
  - Table of Contents5
- Maintenance6
- Storing the Instructions for Use6
- Strictly Follow These Instructions for Use6
- Training6
- Accessories7
- Connected Devices7
- Installing Accessories7
- Restriction of Distribution7
- Restrictions for Use7
- Safe Connection with Other Electrical Equipment7
- Safety Checks7
- Sterile Accessories7
- The Medical Device Must be Subject to Regular Safety Inspections. See Chapter "Maintenance7
- Device Combinations8
- Connection to Hospital Network9
- General Safety Information9
- Patient Monitoring9
- Patient Safety9
- Information on Electromagnetic Compatibility11
- Not for Use in Areas of Explosion Hazard11
- Site of Operation11
- Defibrillator Precautions12
- Electrosurgery12
Table of Contents13
- Contents13
- Application17
Overview Overview21
- Overview21
- Overview22
- M500 Docking Station25
  - M500 Front Panel25
  - M500 Back Panel25
- Additional Hardware26
  - M540 Docked in the M50026
- Symbols28
  - Wireless Symbols30
- Abbreviations31
Operating Concept33
- Overview34
- M540 in Standalone / Wireless Mode34
  - Configuration Changes While on Wireless35
  - Transport35
  - Bed Label Setting36
  - Network Status Symbol36
- M540 in an IACS Configuration37
- Communicating with the Infinity Network37
  - ICS (Infinity Centralstation) Communication38
    - Loss of Connection to the Network38
- ICS (Infinity Centralstation)38
- Communication38
  - Audio Pause Feature40
  - Network Communication Interruptions40
  - Network Data Transfer40
- Remote View and Remote Control41
- Function Keys43
  - Default Function Key Assignments43
- Monitoring Area44
  - Alternate Function Key Assignments44
  - Header Bar44
  - The Alarm Banner Field45
  - Parameter Boxes46
  - Waveforms46
  - Dialog Windows47
- Adjusting the Display48
  - Calibrating the Touch Screen48
- Battery Power49
  - Battery Charging Times49
  - Battery Operating Times49
  - Low Battery Conditions49
- Views50
  - Selecting a View50
- Power-Saving Mode50
- Profiles51
  - Settings Included in a Profile52
  - Alarm Profile Settings52
  - CO 2 Profile Settings53
  - Heart Rate and Arrhythmia Profile Settings55
  - ST Profile Settings56
  - Respiration (Rri) Profile Settings56
  - Spo 2 (Masimo) Profile Settings57
  - Pulse CO-Ox (Masimo) Profile Settings58
  - Spo 2 (Nellcor) Profile Settings58
  - Non-Invasive Blood Pressure Profile Settings59
  - Temp Profile Settings59
  - Invasive Blood Pressure Profile Settings60
  - Monitor Settings61
  - Settings Not Included in a Profile62
- Saving a Profile63
  - Profile Behavior in a Standalone Configuration64
- Profile Behavior in an IACS Configuration63
- Configuration64
  - Profile Adoption64
  - Different Profile Configurations65
  - Use-Case Scenario65
- Standby Mode66
- Privacy Mode66
- Recordings/Reports67
  - Timed, Continuous, and Stored Recordings67
  - Rest ECG Reports68
Assembly and Preparation69
- Default Chapter70
- Configuration73
  - Connecting the System Cables in an IACS Configuration73
  - Connecting the System Cable in an M540 Stand-Alone Configuration73
- Mounting the Infinity Mcable - Masimo74
  - Mounting the Infinity Mcable - Masimo SET and Masimo Rainbow Set/Nellcor Oximax74
    - Oximax74
- SET and Masimo Rainbow Set/Nellcor74
Getting Started77
- Overview of Monitoring a Patient78
- Turning the M540 On/Off78
- Admitting a Patient79
- Discharging a Patient80
  - Admitting a Patient Using 'Get HIS80
- Patient Categories81
  - Selecting a New Patient Category81
Alarms83
- Overview of Alarms84
- Alarm Priorities84
  - High-Priority Alarm Conditions84
- Alarm Processing85
  - Medium-Priority Alarm Conditions85
  - Low-Priority Alarm Conditions85
  - Latching and Non-Latching Alarm Behavior85
- Activating or Deactivating Alarm Validation86
  - Multiple Alarm Conditions86
- Visual Alarm Signals87
- Acoustic Alarm Signals88
  - Alarm Bar88
- Attention Tones90
  - Adjusting the Alarm Volume90
- Testing Visual and Acoustic Alarm Signals90
- Special Alarm Behavior91
  - Arrhythmia/Ventricular Fibrillation Alarms91
  - Spo 2 Desaturation Alarm Feature91
  - Nibp/Spo 2 Interlock Alarm Feature91
  - Zeroing Invasive Blood Pressures91
  - Privacy Mode92
  - Standby Mode92
  - OR Mode93
  - Cardiac Bypass Mode93
  - French NFC Mode93
- Pre-Silencing Alarms94
  - Initiating a Pre-Silence Period94
  - Pausing Acoustic Alarm Signals (Audio Pause)95
- Pause)95
  - Quiet Mode95
  - Pausing Alarms at the M54096
- Pausing Acoustic Alarm Signals95
- Pausing Alarm Monitoring Temporarily97
  - Activating or Deactivating Alarm Monitoring98
- Configuring a Patient's Alarm Settings98
- Monitoring98
  - Setting the Upper and Lower Alarm Limits99
  - Using the Auto Set Function100
  - Auto Set All100
  - Activating/Deactivating Alarms101
  - Archive Function101
- Event Recall102
  - Viewing Stored Events103
- Viewing a Snapshot of a Single Event104
- Configuring the Spo105
- Alarm Priority105
  - Configuring the Alarm Priority for the Masimo Sensor off Message105
  - Configuring the Alarm Condition for the Nellcor Check Sensor Message105
- Protected)106
- Alarm Groups106
- Alarm Management Setup106
- The Code Function Key106
- Alarm Ranges and Defaults107
  - Arrhythmia Ranges and Defaults114
Impedance Respiration (Rri)115
- Overview of Respiration Monitoring116
- Rri Precautions116
Ecg, Arrhythmia, and St Segment127
- Overview of ECG and Heart Rate Monitoring129
  - Monitoring129
  - ECG Signal Processing and Display129
- ECG Precautions130
  - Supported Parameters130
- Connecting the 3-, 5-, 6-Lead Wire Sets for ECG Monitoring131
- Connecting the Lead Wire Sets for 12-Lead ECG Monitoring132
- Connecting the Lead Wires for Neonatal ECG Monitoring133
  - ECG Monitoring133
- Patient Preparation for ECG Monitoring134
  - Electrosurgery134
- ECG Display135
  - ECG Parameter Box135
  - ECG Waveforms135
- ECG Electrode Colors136
- Electrode Placement137
  - Standard Configuration, Three Electrodes (IEC/AHA)137
  - Standard Configuration, Five Electrodes137
  - (Iec/Aha)137
  - Pacer Configuration, Five Electrodes138
  - (Iec/Aha)138
  - Standard Configuration, Six Electrodes139
  - (Iec/Aha)139
  - 12-Lead Configuration, Ten Electrodes for 12-Lead Rest ECG Monitoring (AHA)139
- 12-Lead Monitoring140
  - 12-Lead Configuration, Ten Electrodes for 12- Lead Rest ECG Monitoring (IEC)140
- Accessing the ECG Dialog Window141
- ECG Parameter Setup Functions141
- Monitoring Paced Patients144
- Pacemaker Precautions145
  - Pacer Fusion Mode146
  - Device Interference with Pacemaker146
  - Monitoring146
- Arrhythmia Monitoring Overview147
- Optimizing Pacer Processing147
- Selecting Arrhythmia Leads148
- Arrhythmia Modes149
- Arrhythmia Processing149
- Arrhythmia Display151
  - Arrhythmia Basic Parameter Box151
- Accessing the Arrhythmia Dialog Window152
- Arrhythmia Parameter Setup Functions152
- Monitoring ST Overview153
- Standard ST Monitoring153
- 12-Lead ST Monitoring154
- Trust 12-Lead Monitoring154
- Connecting Lead Wire Sets for ST Monitoring155
- ST Display155
  - Monitoring155
- ST Complex Dialog Windows156
  - Zooming in on a Single ST Complex156
- ST Measuring Points157
- ST Reference157
  - Adjusting ST Measuring Points157
  - Saving ST Reference157
- Accessing the ST Dialog Window158
- ST Setup Functions158
- Learning/Relearning QRS Pattern160
  - Manual Relearning160
Spo and Pulse Co-Ox Monitoring with Masimo Set Mcable2161
- Spo161
- Masimo SET Mcable161
  - Overview of Spo 2 Monitoring162
    - Supported Parameters163
- Spo 2 and Pulse CO-Ox Precautions164
And Pulse Rate Monitoring with Nellcor Oximax Mcable Spo179
- Spo and Pulse Rate Monitoring with Nellcor Oximax Mcable179
Temperature187
- Connecting the Temperature Sensors188
- Overview of Temperature Monitoring188
- Precautions188
- Temperature Display191
  - Temperature Parameter Box191
- Accessing the Temperature Dialog Window192
- Temperature Parameter Setup Functions192
Non-Invasive Blood Pressure (Nibp)193
- Overview194
  - Supported Parameters194
- Non-Invasive Blood Pressure Precautions195
  - Hose and Cuff196
- Pressure Monitoring197
  - Applying the Non-Invasive Blood Pressure Cuff197
- Patient Preparation for Non-Invasive Blood197
  - Patient Preparation for Non-Invasive Blood Pressure Monitoring197
- Non-Invasive Blood Pressure Display198
  - Modes199
    - Non-Invasive Blood Pressure Parameter Box199
- Measurement Modes199
- Non-Invasive Blood Pressure199
- Venous Stasis201
  - Continuous Measurements201
  - Dialog Window202
    - Activating or Deactivating Venous Stasis202
- Accessing the Non-Invasive Blood Pressure Dialog Window202
  - Functions203
Invasive Blood Pressure (Ibp)205
- Accessing the Non-Invasive Blood Pressure205
- Overview of Invasive Blood Pressure205
- Monitoring206
  - Supported Parameters206
  - Invasive Blood Pressure Pods206
- Invasive Blood Pressure Precautions208
- Connecting the Hemo4 and Hemo2 Pods209
- Connecting the Mpod - Quadhemo210
- Connecting the Dual Hemo Mcable211
  - Preventing Fluid Ingress211
- Invasive Blood Pressure Display212
  - Pressure Monitoring212
  - Invasive Blood Pressure Parameter Box212
- Patient Preparation for Invasive Blood Pressure Monitoring212
- Labeling Invasive Blood Pressure Channels213
  - Channels213
- Standard Pressure Labels214
- Pressure Label Conflicts215
- Transducer215
  - Pod-M540 Label Conflicts215
  - Zeroing a Specific Transducer215
  - Zeroing All Pressure Transducers216
- Zeroing an Invasive Blood Pressure215
- Accessing the Invasive Blood Pressure217
- Dialog Window217
- Pulmonary Wedge Pressure217
- Functions218
- Invasive Blood Pressure Parameter Setup218
- Cardiac Output219
  - Overview of Cardiac Output Monitoring220
  - Cardiac Output Precautions220
  - Connecting the Cardiac Output Hardware221
  - Patient Preparation for Cardiac Output223
  - Monitoring223
Carbon Dioxide Concentrations225
- CO 2 Precautions226
  - Supported Parameters226
- Overview of CO 2 Monitoring226
- Connecting the CO 2 Sensor228
- Patient Preparation for CO 2 Monitoring229
- CO 2 Display230
- Accessing the CO 2 Dialog Window232
- CO 2 Parameter Setup Functions232
System Configuration235
- Overview236
  - Service Tab236
- Configuring General Settings237
- Configuring the Patient Settings239
- Configuring the System Settings240
- Viewing the System Information246
- Configuring the Biomed Settings248
- Configuring the Screen Setup254
- Configuring Alarm Settings255
- Configuring the Battery Alarm257
- Options258
  - Temporary Options259
Troubleshooting261
- Device Communication Messages / General Device Messages262
- Overview262
- Banners264
- M540 Battery Messages264
- Ecg266
- Arrhythmia269
- Respiration (Rri)270
- Spo272
- Non-Invasive Blood Pressure276
- Cardiac Output278
- Temperature279
- Invasive Blood Pressure280
Maintenance285
- Overview286
- Inspection287
- Visual Inspection287
  - Definition of Maintenance Concepts287
- Inspection / Safety Checks288
  - M540288
  - Metrological Checks288
- Preventive Maintenance289
Cleaning and Disinfection291
- M540 and Its Accessories292
  - Overview of Cleaning and Disinfecting the M540 and Its Accessories292
    - Cleaning and Disinfecting Precautions292
  - Approved Cleaning Agents293
- Cleaning and Disinfecting the M540 and294
  - Cleaning and Disinfecting the M540 and M500294
    - M500294
    - M540, M500, and Power Supply Precaution294
- Cleaning and Disinfecting an Mcable and295
  - Mpod295
    - Mcable Precautions295
- Cleaning and Disinfecting Reusable ECG296
- Cleaning and Disinfecting Temperature297
  - Cleaning and Disinfecting Temperature Sensors and Cables297
    - Sensors and Cables297
    - Temperature Probe and Cable Precautions297
- Cleaning Non-Invasive Blood Pressure298
- Co2Sensors and Airway Adapters299
  - Cleaning and Disinfecting Mainstream CO 2 Sensors and Airway Adapters299
    - Precaution299
- Disposal301
  - EU Directive 2002/96/EC (WEEE)301
Technical Data303
- Overview304
- System Compatibility304
- Infinity M540305
- Infinity M500308
  - Sound Pressure308
- Power Supply (PS50)309
- Watt Desktop Power Supply (PS120)310
- Infinity Mcable - Mainstream CO2311
- Infinity Mcable - Masimo SET and Infinity Mcable - Masimo Rainbow SET312
- Infinity Mcable - Nellcor Oximax313
- Mcable - Masimo Rainbow SET313
- Infinity Hemo2 and Hemo4 Pods314
- Infinity Mpod - Quad Hemo315
- Infinity Mcable - Dual Hemo316
- Infinity Mcable - Analog/Sync317
- Infinity Mcable - Nurse Call319
- Parameter Monitoring Specifications320
- Electromagnetic Compatibility337

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Dräger Infinity Acute Care System M540 Specifications

General

Display Type	Color TFT
Resolution	800 x 600 pixels
Battery Type	Lithium-ion
Power Supply	100 – 240 VAC, 50/60 Hz
Connectivity	Ethernet, USB
Monitoring Parameters	ECG, SpO2, NIBP, Temperature, Respiration
Alarms	Audible and visual alarms

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Dräger Infinity Acute Care System M540 User Manual

Table of Contents

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