Dräger Infinity C500 User Manual

Instructions for use
Infinity Acute Care System
Monitoring Applications
Software VG6.n
WARNING
To properly use this medical device,
read and comply with these instructions
for use.

Dräger Infinity C500 Specifications

General

Category	Patient Monitor
Manufacturer	Dräger
Model	Infinity C500
Resolution	1024 x 768 pixels
Battery Type	Lithium-ion
Operating Time (Battery)	Up to 4 hours
Storage Conditions - Humidity	10% to 95% (non-condensing)
Connectivity	Ethernet, USB
Power Supply	AC 100-240V, 50/60Hz
Measurement Parameters	ECG, SpO2, NIBP, CO2
Data Storage	Internal memory
Operating Conditions - Humidity	15% to 95% (non-condensing)
Storage Conditions - Temperature	-20 to 60 °C

Summary

Safety Information and Definitions

For Your Safety and That of Your Patients

General safety guidelines and precautions for using the Infinity Acute Care System.

General Safety Information

Covers warnings and cautions for general operation, battery disposal, and cable inspection.

Not for Use in Areas of Explosion Hazard

Specifies areas where the medical device is not approved for use due to explosion risk.

Operating Location

Specifies environmental requirements for device installation and operation.

Defibrillator Precautions

Precautions related to defibrillation and electrical shock when using accessories.

Electrosurgery

Precautions to reduce electrosurgical unit (ESU) interference and improve safety.

Security Recommendations

Recommendations for physical security and access control for the Infinity network.

Operating Concepts and Configuration

M540 and Cockpit Communication

Explains the communication process between the M540 and the Cockpit, including docking.

Communicating with the Infinity Network

Describes how the IACS communicates within the Infinity network and handles connection loss.

Remote Control and Remote View

Explains how to remotely view and control other Infinity devices from the Cockpit.

Auto and Manual Display Modes

Explains the two display modes: Auto view and Manual view for parameter display.

Profiles and Status Management

Explains patient and system profiles, their adaptability to care areas, and their behavior.

Standby and Privacy Modes

Details how to place the Cockpit and M540 in standby or privacy mode.

Screen Lock Feature

Explains how to activate and deactivate the screen lock feature for touchscreen usability.

Assembly and Preparation Procedures

Docking and Undocking the M540

Step-by-step instructions for docking and undocking the M540 patient monitor.

Locking and Unlocking the M540

Procedure for locking the M540 in the M500 to prevent accidental undocking.

Connecting System Cables

Instructions for connecting system cables to PS250/P2500 and the Cockpit/M500.

Getting Started with the IACS

Getting Started Overview

Describes necessary steps to start patient monitoring on the IACS, including power on/off.

Turning the IACS On and Off

Instructions for powering on the Cockpit and the M540 patient monitor.

Admitting a Patient

Details manual patient admission and network admission via the Get HIS function.

Discharging a Patient

Explains the process of discharging a patient from the Cockpit or M540.

Patient Categories and Selection

Describes patient categories (Adult, Pediatric, Neonate) and profile associations.

Selecting the Patient Category

Instructions for changing patient category and selecting profiles from Start or Demographics pages.

Alarms Management

Alarm Priorities and Processing

Defines alarm priorities (high, medium, low) and how alarm signals are processed.

Activating or Deactivating Alarm Validation

Explains how to enable/disable alarm validation to reduce false alarms.

Adjusting Alarm Volume and Tones

Covers adjusting alarm volume, attention tones, and special conditions affecting volume.

Configuring Alarm Settings

Provides guidance on configuring alarm settings for individual parameters and multiple parameters.

Alarm History and Stored Events

Describes the alarm history as an electronic record of alarms and events.

Viewing Alarm Messages

Explains how to view current alarms and configure alarm settings temporarily.

Configuring SpO2 Alarm Priority

Details how to configure alarm priority for Masimo and Nellcor SpO2 sensor off messages.

The Code Function

Details how to configure and activate monitoring functions for urgent care using the Code button.

Alarm Ranges and Defaults

Provides default alarm ranges and settings for various monitored parameters.

Trends and Data Dialogs

Graphical Trends Interaction

Details how to customize parameter content, navigate trends, and use cursors.

Calculations and Drug Management

Calculations Overview

Introduces physiological and drug-related calculations performed by the Cockpit.

Accessing Calculation Functions

Guides on accessing hemodynamic, oxygenation, and ventilation parameter calculations.

Performing Calculations

Step-by-step instructions for performing calculations using captured or manually entered values.

Drug Calculations

Covers calculating infusion rates for drugs, including pre-configured and custom options.

ECG, Arrhythmia, and ST Segment Monitoring

ECG and Heart Rate Monitoring Overview

Introduces ECG and heart rate monitoring functions, including supported lead sets.

ECG Precautions

General precautions for ECG monitoring, including electrical safety and electrosurgery considerations.

Connecting ECG Lead Sets

Instructions for connecting 3-, 5-, 6-wire lead sets for ECG monitoring to the M540.

12-Lead ECG Monitoring Connections

Details on connecting lead sets for 12-lead monitoring and troubleshooting artifact.

Neonatal ECG Monitoring Connections

Instructions for connecting lead wires for neonatal ECG monitoring using adapter cables.

Patient Preparation for ECG Monitoring

Tips for optimal ECG monitoring results, including skin prep and electrode placement.

ECG Electrode Placement

Illustrates electrode placement for standard configurations (3, 5, 6 electrodes) and pacer configurations.

Accessing ECG Functions

Guides on accessing ECG display, parameter setup, and alarm configurations.

ECG Parameter Setup Functions

Covers setup functions for pulse tone, tone source, HR source, waveforms, leads, size, and color.

Arrhythmia Monitoring Overview

Details how the M540 performs arrhythmia monitoring and stores events in the alarm history.

Selecting Arrhythmia Leads

Guidance on selecting appropriate leads for accurate arrhythmia monitoring.

Arrhythmia Processing and Modes

Explains the internal detection process for arrhythmias and available arrhythmia modes.

ST Segment Monitoring Overview

Describes ST analysis, measurement of ST segment deviation, and available monitoring functions.

ST Setup Functions

Covers setup functions for ST monitoring, TruST 12-lead, and ST lead selection.

Impedance Respiratory Rate (RRi) Monitoring

Respiration Monitoring Overview

Explains how the M540 measures respiratory rate using ECG electrodes and impedance.

Respiration Precautions

Highlights safety and effectiveness considerations for respiration measurement, including apnea detection.

Connecting ECG Lead Sets for Respiration

Instructions for connecting 3-, 5-, 6-wire lead sets for respiration monitoring.

12-Lead Respiration Monitoring Connections

Details on connecting lead sets for 12-lead monitoring for respiration.

Neonatal Respiration Monitoring Connections

Instructions for connecting lead wires for neonatal respiration monitoring.

Patient Preparation for Respiration Monitoring

Tips for optimal respiration monitoring results, including skin prep and electrode placement.

Adjusting Breath Detection Threshold

Guides on adjusting breath detection threshold and activating breath markers.

Respiration Measuring Modes

Explains Auto and Manual modes for respiration measurement, including warnings.

Accessing Respiration Settings

Instructions for accessing respiration settings, including parameter setup functions.

SpO2 and Pulse CO-Ox Monitoring

SpO2 and Pulse CO-Ox Monitoring Overview

Introduces SpO2 and Pulse CO-Ox monitoring using Masimo SET/rainbow SET MCables.

SpO2 and Pulse CO-Ox Precautions

Safety precautions related to SpO2 monitoring, interfering substances, and sensor application.

Connecting Masimo SET MCable

Instructions for connecting the Masimo SET MCable to the M540.

Connecting Masimo rainbow SET MCable

Instructions for connecting the Masimo rainbow SET MCable to the M540.

Patient Preparation for SpO2 Monitoring

Tips for optimal SpO2 monitoring results, including sensor application and signal quality factors.

Accessing SpO2 Settings

Instructions for accessing SpO2 setup pages for general and Masimo rainbow SET-specific settings.

SpO2 Parameter Setup Functions

Details setup functions for Pulse tone, Tone source, Waveform size, FastSat, Sensitivity, Averaging time, and Color.

Temperature Monitoring

Temperature Monitoring Overview

Introduces temperature monitoring functions, supported parameters, and precautions.

Temperature Sensor Connections

Explains how to connect temperature sensors directly to the M540 or to hemodynamic pods.

Accessing Temperature Settings

Guides on accessing temperature settings and parameter setup functions.

Non-Invasive Blood Pressure (NIBP) Monitoring

NIBP Monitoring Overview

Explains the oscillometric method for NIBP acquisition and processing.

NIBP Precautions

Safety precautions for NIBP measurements, including cuff application and patient positioning.

Connecting the NIBP Hose and Cuff

Instructions for connecting the non-invasive blood pressure hose and cuff to the M540.

Patient Preparation for NIBP Monitoring

Tips for optimal NIBP results, including correct patient positioning and cuff application.

NIBP Measurement Modes

Details the available NIBP measurement modes: Single, Interval, Continuous, and Venous Stasis.

Accessing NIBP Settings

Guides on accessing NIBP settings and parameter setup functions.

Invasive Blood Pressure (IBP) Monitoring

IBP Monitoring Overview

Introduces IBP monitoring, supported parameters, and hemodynamic pods.

IBP Precautions

Safety precautions for invasive blood pressure monitoring, including transducer care.

Connecting IBP Hardware

Instructions for connecting Hemo4/Hemo2 pods, MPod-QuadHemo, and Dual Hemo MCable.

Patient Preparation for IBP Monitoring

Labeling Invasive Blood Pressure Channels

Zeroing Pressure Transducers

Starting Wedge Measurements

Accessing IBP Settings

Cardiac Output (C.O.) Monitoring

Cardiac Output Monitoring Overview

Connecting Cardiac Output Hardware

Patient Preparation for Cardiac Output Monitoring

Cardiac Output Computation Constant

Cardiac Output Measuring Modes

Accessing Cardiac Output Settings

Mainstream CO2 Monitoring

Mainstream CO2 Monitoring Overview

CO2 Precautions

Connecting the CO2 Sensor

Patient Preparation for CO2 Monitoring

Using the CO2 Dialog

Performing a Calibration Check

Microstream CO2 Monitoring

Microstream CO2 Monitoring Overview

Using the CO2 Dialog Box

Calibration Check for Microstream

Scio Monitoring

Scio Monitoring Overview

Using the Scio Dialog

O2 Parameter Setup Functions

Agent Alarm Setup

Agent Parameter Setup Functions

Zeroing the Gas Analyzer

External Device: Bispectral Index (BIS)

BIS Monitoring Overview

BIS Precautions

Accessing BIS Settings

BIS Parameter Setup Functions

External Device: Neuromuscular Transmission (NMT)

NMT Monitoring Overview

NMT Precautions

Accessing NMT Settings

NMT Parameter Functions and Settings

External Device: Continuous Cardiac Output (CCO)

CCO Monitoring Overview

CCO Precautions

Accessing CCO/SvO2 Settings

External Devices: MEDIBUS.X Devices

Precautions for MEDIBUS.X Devices

Supported MEDIBUS.X Ventilator and Anesthesia Data

External Devices: Servo-i Ventilator

Ventilation Monitoring Overview

Precautions for Servo-i Ventilator

Accessing Parameter Setup Functions

Ventilator Paw Setup Functions

Ventilator Parameter Setup Functions

CO2 Parameter Setup Functions

System Configuration

System Configuration Overview

Introduces the System setup dialog for configuring the Cockpit, including Screen, Alarms, Recordings, Biomed, and Profiles.

Configuring the Alarm Setup

Configuring Recording and Report Settings

Profile Setup and Management

Troubleshooting Common Issues

ECG Troubleshooting

ST Segment Troubleshooting

Arrhythmia Monitoring Troubleshooting

Respiration (RRi) Troubleshooting

SpO2 Monitoring Troubleshooting

Non-Invasive Blood Pressure (NIBP) Troubleshooting

Temperature Monitoring Troubleshooting

Invasive Blood Pressure (IBP) Troubleshooting

Mainstream CO2 Troubleshooting

Microstream CO2 Troubleshooting

Cardiac Output (C.O.) Troubleshooting

Maintenance Procedures

Maintenance Overview

Inspection and Safety Checks

Preventive Maintenance Intervals

Reprocessing Guidelines

Reprocessing Information

Reprocessing Procedures