Dräger Infinity Acute Care System

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

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Main Page

Definitions3
Abbreviations and Symbols3
Table of Contents5
For Your Safety and that of Your Patients9
Strictly Follow These Instructions for Use10
Maintenance10
Accessories10
Safe Connection with Other Electrical10
Equipment10
Electrical Safety11
Networking11
Patient Safety11
General Warnings and Cautions12
EU Directive 2002/96/EC (WEEE)12
Note on EMC/ESD Risk for the Device Function12
Site of Operation13
Defibrillator Precautions13
Electrosurgery14
Virus Protection14
Intended Use15
Infinity Acute Care System16
System Overview17
Overview18
Infinity ® Medical Cockpit TM (Cockpit)18
Infinity ® PS250 Comm Hub (PS250)19
Infinity ® M540 Patient Monitor (M540)19
Infinity ® M500 Docking Station (M500)20
M500 Front Panel20
M500 Back Panel20
Additional Hardware21
Device Symbols22
Abbreviations25
Operating Concept29
Operating Concept Overview30
The IACS Components31
M540-And-Cockpit Communication32
M540 and Cockpit Communication32
Docking the M54032
Communicating with the Infinity ® Network33
Undocking the M54033
Communicating with the Infinity34
Supported Banners34
Loss of Power35
Network Data Transfer35
Communication Management36
Remote Control and Remote View38
Remote View38
Using Remote View Functions39
Remote Control from the ICS (Infinity Centralstation)39
IT Applications39
Secondary Display40
User Interface40
Header Bar41
Monitoring Area42
Parameter Boxes42
Waveforms43
Freezing/Stopping Waveforms43
Dialogue Windows and Setup Pages44
Main-Menu Bar and Quick-Access Toolbar45
Main-Menu Bar45
Quick-Access Toolbar46
Filtering the Parameter Content47
Auto Vs. Manual Display Modes47
Auto View Mode47
Manual View Mode47
Auto-View Setup Toolbar48
Customising the Display48
Touchscreen Versus Mouse48
Screen Brightness48
Calibrating the Touchscreen48
Cockpit Screen in Split Screen Mode49
Cockpit Screen with Mini-Trends50
Cockpit Screen with IT Tabs51
Parameter Priority52
Configuring the Parameter Priority and Display52
Parameter Priority List52
Views53
Selecting a View53
The View Editor53
Profiles54
Managing Profiles and Views54
Transferring Profiles54
Standby Mode55
Privacy Mode56
Assembly57
Assembly Overview58
Commercially Available Mounting Solutions58
Docking/Undocking the M54059
Front View59
Side View59
Locking/Unlocking the M54060
Connecting the System Cables61
Getting Started63
Overview of Monitoring a Patient64
Turning the IACS On/Off64
The Demographics Page65
Admitting a Patient66
Discharging a Patient67
Admitting a Patient Using Get HIS67
Patient Categories68
Selecting the Patient Category68
Alarms71
Overview of Alarms72
Alarm Priorities73
Alarm Processing73
High-Priority Alarm Conditions73
Medium-Priority Alarm Conditions73
Low-Priority Alarm Conditions73
Latching and Non-Latching Alarm Behaviour74
Multiple Alarm Conditions74
Enabling or Disabling Alarm Validation75
Visual Alarm Signals76
Alarm Bar77
Audible Alarm Signals78
Testing Visual and Audible Alarm Signals79
Adjusting the Alarm Tone79
Viewing Current Alarm Messages80
Special Alarm Behaviour80
ASY/VF Alarms80
Spo 2 Desaturation Alarms80
Nibp/Spo 2 Interlock Alarms81
Privacy Mode81
Standby Mode81
Cardiac Bypass Mode81
Pre-Silencing Alarms82
OR Mode82
French NFC Mode82
Pausing Active Alarm Tones83
Enabling or Disabling Audible Alarm Signals84
Pausing Alarm Monitoring Temporarily84
Enabling or Disabling Alarm Monitoring Permanently85
Configuring a Patient's Alarm Settings85
Enabling/Disabling Alarms86
Upper and Lower Alarm Limits86
Archive Function86
Alarm Setup for an Individual Parameter87
Changing Alarm Settings for a Single Parameter88
Alarm Setup for Multiple Parameters89
Changing General Alarm Settings90
Alarm Setup for Arrhythmia91
Configuring ARR Alarm Settings91
Alarm Setup for ST93
Configuring ST Alarm Settings94
Auto-Setting All Alarm Limits95
Alarm History and Stored Events96
The Alarm History97
Viewing a Snapshot of a Single Event98
Remote Alarm Control99
Alarm Groups99
Infinity ® Mcable-Nurse Call99
External Device Disconnection Alarm100
The Code Button100
Alarm Ranges and Defaults101
Arrhythmia Ranges and Defaults106
Trends/Data Dialogue Windows109
Overview110
Trends110
Trending Behaviour111
Special Characters and Symbols111
Trend Graphs112
The Trends Graph Page112
Accessing the Trends Graph Page112
Available Functions on the Trends Graph113
Displaying the Trend Cursor113
Changing Trend Scales113
Configuring the Trends Graph Page114
Navigating through the Trend Graphs114
Printing a Graphical Trend Report114
Trend Table115
Accessing the Trends Table Page115
Available Functions on the Trends Table116
Configuring the Trends Table Page116
Navigating through the Trend Table116
Printing a Tabular Trend Report116
Graph Vitals Page117
Tabular Trends in the Split-Screen Mode117
Accessing the Graph Vitals Page118
Configuring the Graph Vitals Page118
Mini-Trends119
Navigating through the Graph Vitals Data119
Printing a Graph Vitals Report119
Configuring the Mini-Trend Display119
Labs Page120
Accessing Laboratory Data120
Calculations121
Overview122
Calculating the Body Surface Area122
The Calculation Page123
Performing Calculations123
The Results Page125
Viewing and Saving Calculations125
Laboratory Data126
Capturing Laboratory Data126
Calculation Equations127
Haemodynamic Parameters127
Oxygenation and Ventilation Parameters129
Drug Calculations131
The Drug Calculation Page131
Customised Drug List132
Performing Drug Calculations132
Customising the Drug List133
Drug Calculator Equations134
ECG, Arrhythmia, and ST Segment137
Overview of ECG and Heart Rate Monitoring139
Monitoring139
ECG Signal Processing and Display139
Supported Parameters139
ECG Precautions140
Connecting the 3-, 5-, 6-Lead Wire Sets for ECG Monitoring140
Connecting the Lead Wire Set for 12-Lead Monitoring141
Connecting the Lead Wires for Neonatal Monitoring142
Monitoring142
Patient Preparation for ECG Monitoring143
Monitoring143
Electrosurgery143
ECG Display144
ECG Parameter Box144
ECG Electrode Colours145
ECG Waveforms145
Electrode Placement146
Standard Configuration, Three Electrodes (IEC/AHA)146
Standard Configuration, Five Electrodes146
Pacer Configuration, Five Electrodes (IEC/AHA)147
Standard Configuration, Six Electrodes147
12-Lead Configuration, Ten Electrodes for 12-Lead Rest ECG Monitoring (AHA)148
12-Lead Configuration, Ten Electrodes for 12-Lead Rest ECG Monitoring (IEC)148
12-Lead Monitoring149
Accessing the ECG Setup Page149
ECG Parameter Setup Functions150
Monitoring Paced Patients153
Pacemaker Precautions154
Pacer Fusion Mode154
Device Interference with Pacemaker155
Monitoring155
Optimising Pacer Processing156
Arrhythmia Monitoring Overview156
Selecting ARR Leads157
ARR Modes157
ARR Display159
Combined HR/ARR Parameter Box159
Separate ARR Parameter Box159
Accessing the ARR Setup Page160
ARR Parameter Setup Functions160
Monitoring ST Overview161
Standard ST Monitoring161
Trust 12-Lead Monitoring162
12-Lead ST Monitoring162
Connecting Lead Wire Sets for ST Monitoring162
Monitoring162
ST Display163
The ST-Complex Pages163
The General ST-Complex Pages164
Zooming in on an ST Complex165
ST Measuring Points166
ST Reference166
Adjusting ST Measuring Points166
Saving ST Reference Points166
ST Alarm Settings167
Accessing the ST Settings Setup Page167
ST Setup Functions168
Learning/Relearning QRS Pattern170
Manual Relearning170
Impedance Respiration (Rri)171
Overview of Respiration Monitoring172
Respiration Precautions172
Supported Parameters172
Connecting the 3-, 5-, 6-Lead Wire Sets for Rri Monitoring173
Connecting the Lead Wire Set for 12-Lead Monitoring174
Monitoring174
Connecting the Lead Wires for Neonatal Monitoring175
Monitoring175
Respiration Display176
Respiration Parameter Box176
Adjusting the Detection Threshold and Turn on the Respiration Marker177
Respiration Markers177
Adjusting the Detection Threshold and Turning on the Respiration Marker177
Respiration Measuring Modes178
Accessing the Respiration Setup Page178
Respiration Parameter Setup Functions179
Mcable182
Overview of Spo 2 Monitoring182
Spo 2 Precautions182
Spo 2 and Pulse Rate with Masimo SET Mcable182
Supported Parameters182
Connecting the Masimo SET Mcable184
Patient Preparation185
Applying the Sensor185
Spo 2 Display186
Accessing the Spo 2 Setup Page186
Spo 2 Parameter Setup Functions187
Spo 2 -Parameter Setup Functions187
Mcable190
Overview of Spo 2 Monitoring190
Spo 2 and Pulse Rate with Nellcor Oximax Mcable190
Supported Parameters190
Spo 2 Precautions191
Connecting the Nellcor Oximax Mcable192
Patient Preparation193
Applying the Sensor193
Spo 2 Display194
Accessing the Spo 2 Setup Page194
Spo 2 Parameter Setup Functions195
Spo 2 -Parameter Setup Functions195
Temperature197
Overview of Temperature Monitoring198
Connecting the Temperature Sensors198
M540199
Connecting the Temperature Sensors to the Haemodynamic Pods200
Temperature Display201
Accessing the Temperature Setup Page202
Temperature Parameter Setup Functions202
Non-Invasive Blood Pressure (NIBP)203
Overview of NIBP Monitoring204
NIBP Precautions204
Supported Parameters204
Connecting the NIBP Hose and Cuff206
Patient Preparation for NIBP Monitoring207
Applying the NIBP Cuff207
NIBP Display208
Continuous NIBP Mode208
NIBP Measurement Modes209
Interval NIBP Mode209
Single Measurement Mode210
Interval Measurements Mode210
Venous Stasis212
Accessing the NIBP Setup Page212
Enabling or Disabling Venous Stasis212
NIBP Parameter Setup Functions213
Invasive Blood Pressure (IBP)215
Overview of IBP Monitoring216
Supported Parameters216
IBP Pods216
IBP Precautions218
Connecting the Hemo4 Pod and Hemo2 Pod219
Pod219
Connecting the Mpod - Quadhemo220
Connecting the Dual Hemo Mcable221
Patient Preparation221
IBP Display222
IBP Parameter Box222
Large Mean Value222
IBP Waveforms222
Labelling IBP Pressure Channels223
Standard Labels224
Pressure Label Conflicts224
Pod-M540 Label Conflicts224
Zeroing an IBP Transducer225
Zeroing a Specific Transducer225
Zeroing All Pressure Transducers (Smartzero)226
Pulmonary Wedge Pressure227
Cockpit227
Pods228
Accessing the IBP Setup Page230
IBP Parameter Setup Functions231
Cardiac Output (C.O.)233
Overview of Cardiac Output (C.O.)233
Monitoring234
Precautions234
C.O. Measurement Method234
Supported Parameters234
Connecting the C.O. Hardware235
Patient Preparation for C.O. Monitoring237
C.O. Display238
C.O. Computation Constant239
C.O. Measuring Modes241
Auto-Mode Measurements241
Manual Mode Measurements243
Saving the C.O. Value244
The Procedures C.O. Average Page245
Accessing the C.O. Setup Page246
C.O. Parameter Setup Functions246
Carbon Dioxide Concentrations (CO 2 )249
Overview of CO 2 Monitoring250
Supported Parameters250
CO 2 Precautions251
Connecting the CO 2 Sensor252
Patient Preparation for CO253
Monitoring253
CO 2 Display253
Patient Preparation for CO 2 Monitoring253
CO Display253
CO 2 Parameter Box253
Capnogrammes254
Troubleshooting254
Accessing the CO -Setup Page256
Setup Page256
CO 2 Parameter Setup Functions256
CO 2 -Parameter Setup Functions256
External Device - Ventilator259
Overview of Ventilation260
Vent Central Option260
External Device Alarms260
Supported Parameters261
Ventilator Precautions262
Ventilator Display263
Loops263
The Show-All Page264
Accessing the Ventilator Setup Pages264
Ventilator Paw Setup Functions265
Ventilator Setup Functions265
CO 2 Setup Functions266
(Cco)267
Overview of CCO268
External Device Alarms268
Supported Parameters269
CCO Precautions270
The Show-All Page270
Accessing the Cco/Svo2 Setup Pages271
Svo2 Setup Functions271
Accessing the Cco/Svo2 Setup Page271
System Configuration273
Overview274
The Screen Setup Pages274
Screen Setup - General Settings Setup275
Screen Setup - Modes Setup Page276
Screen Setup - Auto-View Setup Page277
Configuring the Auto-View Settings278
Configuring Parameters for Display279
The Parameter Selection Window279
Configuring the Parameter Priority and Display280
Screen Setup - Views Setup Page282
Screen Setup - View-Editor Setup Page283
Screen Setup - Views Editor Setup Page283
The Alarms Pages286
Alarms Setup - General Settings Page286
Alarm Setup - Volume/Tone Setup Page288
Alarm Setup - Code Setup Page289
Recordings/Reports Page290
Recorder/Reports Setup Page290
Rest ECG Report Setup Page291
Biomed Setup Pages292
Reports Setup Page292
Biomed Setup - Country Setup Page293
Biomed Setup - Units-Of-Measure Setup294
Biomed Setup - Bedside-Setup Setup Page295
Biomed Setup - Name Service Setup Page296
Biomed Setup - Network Setup Page297
Biomed Setup - Printer Setup Page297
Biomed Setup - Recorder Setup Page298
Biomed Setup - Service Setup Page298
Biomed IT Setup299
Enabling/Disabling IT-Tab Feature299
Configuring IT Tabs - Web-Browser Setup299
Adding a Web-Browser Page300
Deleting a Web-Browser Page301
Configuring Citrix Applications301
Configuring IT Tabs302
Profile Setup304
Selecting a Profile304
Saving Profiles305
Modifying an Existing Profile305
Saving a New Profile306
Configuring Profiles307
Configuring the Patient-Specific Profiles308
Managing Views and Profiles309
Managing Views309
Transferring Profiles310
Transferring Profiles over the Network310
Importing and Exporting Profiles Using an USB Memory Stick311
Reports/Recordings313
Overview314
R50N Recorder314
Replacing the Recorder Paper314
Timed Recordings315
Remote Recordings315
Automatic Alarm Recordings316
Manual Timed Recordings316
Continuous Recordings317
Causes for Automatic Cancellation of317
Recordings317
Reports318
Print Screen319
Rest ECG Report319
Applications (Options)321
Overview322
Configuring IT Tabs322
Accessing an IT Tab323
Supported IT Applications324
Problem Solving325
Overview326
Device Communication Messages326
Ecg328
Arr331
Respiration (Rri)332
Spo334
Spo 2334
Nibp337
Temperature339
Ibp340
Cardiac Output343
Recording Status Messages348
Cleaning and Disinfection349
Overview of General Precautions350
Approved Agents350
Cockpit Components351
Maintenance353
Overview354
Maintenance of the IACS Components355
Safety Inspections356
Disposal359
Technical Data361
Overview362
Infinity ® PS250 Comm Hub362
Infinity ® Mcable - Nurse Call363
Infinity ® Mcable-Nurse Call363
Infinity R50N364
Secondary Display365
Electromagnetic Compatibility365

Dräger Infinity Acute Care System - Page 320

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