Dräger Infinity C500 - ECG Electrode Placement

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ECG, arrhythmia, and ST segment

208 Instructions for use – Infinity Acute Care System – Monitoring Applications VG6.n

Electrode placement

Standard configuration, three electrodes (IEC/AHA)

Standard configuration, five electrodes (IEC/AHA)

314

315

316

317

Table of Contents

Table of Contents7
- Mainstream CO2
  - Open-Source Software4
  - Definition of Target Groups6
    - Table of Contents7
- For Your Safety and that of Your Patients13
- Application23
  - Intended Use24
  - Indications for Use24
System Overview25
- Infinity Medical Cockpit26
- Overview26
- Infinity P2500 Power Supply Unit (P2500)27
- Infinity PS250 Power Supply Unit (PS250)27
- Infinity M500 Docking Station (M500)28
  - Front View of the M50028
- Infinity M540 Patient Monitor (M540)28
- Additional Hardware29
  - Rear View of the M50029
- Device Symbols32
- Abbreviations36
Operating Concept43
- Overview44
- The IACS Components45
- M540 and Cockpit Communication46
  - Docking the M54046
  - Undocking the M54047
- Communicating with the Infinity Network48
  - Loss of Connection to the Network48
  - M540 in Standalone Mode48
  - Network Data Transfer49
- Remote Control and Remote View51
  - Remote View from the Cockpit51
  - Central Monitoring53
  - Network Communication Interruptions53
- Communication Management54
  - Remote Control54
  - IT Applications54
- Loss of Power57
- Locked Options57
  - Temporary Options57
- Secondary Display58
- Export Protocol58
- User Interface59
- Header Bar60
- Monitoring Area61
  - Parameter Fields62
  - Waveforms62
- Supported Messages63
  - Freezing/Stopping Waveforms63
  - Dialogs and Pages64
- Main Menu Bar and Quick Access Toolbar65
  - Main Menu Bar65
  - Quick Access Toolbar66
- Filtering the Parameter Content67
- Auto and Manual Display Modes67
  - Auto View Mode67
  - Manual View Mode67
- Auto View Setup Toolbar68
- Customizing the Display68
  - Screen Brightness68
  - Touchscreen Versus Mouse68
  - Calibrating the Touchscreen68
  - Cockpit Screen in Split Screen Mode69
  - Cockpit Split Screen Mode with Mini-Trends70
  - Cockpit Split Screen Mode with Multi-Tab Split71
  - Screen71
  - Cockpit Split Screen Mode with Mini-Trends72
  - And IT Tabs72
- Parameter Priority73
  - Configuring the Parameter Priority and Display73
  - Parameter Priority List73
- Views74
  - Selecting a View74
  - The View Editor74
- Profiles/Status75
  - Patient and Default Profiles75
  - Settings Included in a Profile76
  - Settings Not Included in a Profile81
  - System Profiles82
- Managing Profiles and Views86
  - Transferring Profiles86
- Standby Mode87
- Privacy Mode88
- Screen Lock89
Assembly and Preparation91
- Assembly Overview92
- Docking/Undocking the M54093
  - Front View of the M500 (M540 Docked)93
  - Side View of the M500 (M540 Undocked)93
- Locking/Unlocking the M54094
- Additional M540 Accessories95
- Connecting the System Cables95
  - P2500 and the Cockpit95
  - P2500 and the M50096
- Mounting the Infinity Mcable - Masimo Set/Masimo Rainbow SET/ Nellcor Oximax97
Getting Started99
- Overview100
- Turning the IACS On/Off100
- Viewing Demographic Data101
- Admitting a Patient102
- Discharging a Patient103
  - Admitting a Patient Using Get HIS103
- Patient Categories104
  - Selecting the Patient Category105
Alarms107
- Overview of Alarms108
  - Acoustic Alarm Signals108
- Alarm Priorities109
- Alarm Processing109
  - High-Priority Alarm Conditions109
  - Testing Optical and Acoustic Alarm Signals110
  - Viewing Current Alarm Messages110
- Activating or Deactivating Alarm Validation111
  - ASY/VF Alarms111
- Optical Alarm Signals112
  - Alarm Bar113
    - Cardiac Bypass Mode113
- Acoustic Alarm Signals114
  - Pre-Silencing Alarms114
  - Attention Tones115
    - Special Conditions115
- Testing Optical and Acoustic Alarm Signals116
- Viewing Current Alarm Messages116
  - Deactivating the Alarm Volume116
- Special Alarm Behavior117
  - Spo2 Desaturation Alarms117
    - Nibp/Spo 2 Interlock Alarms117
  - Pausing Alarm Monitoring Temporarily117
- Pre-Silencing Alarms120
  - Initiating a Pre-Silence Period120
- Pausing Acoustic Alarm Signals (Audio Pause)121
  - Quiet Mode121
  - Configuring the Alarm Setup for an Individual Pa- Rameter121
- Activating or Deactivating Acoustic Alarm Signals123
- Pausing Alarm Monitoring Temporarily123
- Activating or Deactivating Alarm Monitoring124
- Configuring the Alarm Settings for a Patient125
  - Setting the Upper and Lower Alarm Limits126
- Configuring the Alarm Setup for an Individual Parameter127
  - Configuring ARR Alarm Settings128
- Configuring the Alarm Setup for Multiple Parameters129
  - Alarm Setup for ST129
- Configuring the Alarm Message Behavior131
  - Configuring ST Alarm Settings131
- Configuring the Arrhythmia Alarm Setup134
- Alarm Setup for ST135
- Auto Setting All Alarm Limits138
- Alarm History and Stored Events139
- Viewing a Snapshot of a Single Event141
- Configuring Alarm Settings Temporarily142
- Viewing Current Alarms142
- Configuring the Spo2 Alarm Priority143
  - Configuring the Alarm Priority for a Masimo Sen143
- Remote Alarm Control144
  - Configuring the Alarm Priority for a Nellcor Check Sensor Message144
    - Alarm Groups145
- Infinity Mcable - Nurse Call146
- External Device Disconnection Alarm147
- The Code Function147
- The Timer Function148
- Alarm Ranges and Defaults149
  - Alarm Priority160
Trends/Data Dialogs161
- Overview162
- Trending Behavior162
  - Supported Parameters162
- Graphical Trends164
  - Special Characters and Symbols164
  - The Layout of the Graphical Trends Pages165
- Pages166
- Interacting with the Graphical Trends Pages166
- Analysis Tool Page169
  - The Layout of the Analysis Tool Page169
- Interacting with the Analysis Tool Page170
- Tabular Trend172
- Interacting with the Tabular Trend174
- Mini-Trends176
  - Printing a Tabular Trend Report176
  - Configuring the Mini-Trend Display176
- Data Review Pages177
- Reports Tab179
Calculations181
- Overview182
  - Calculating the Body Surface Area182
- Accessing the Calculation Functions183
  - Performing Calculations183
- Viewing the Calculation Results185
  - Viewing and Saving Calculations185
- Laboratory Data186
  - Capturing Laboratory Data186
- Calculation Equations187
  - Hemodynamic Parameters187
  - Oxygenation and Ventilation Parameters189
- Accessing the Drug Calculation Functions191
- Drug Calculations191
- Customized Drug List192
  - Performing Drug Calculations192
  - Customizing the Drug List193
- Drug Calculator Equations194
Ecg, Arrhythmia, and St Segment197
- Overview of ECG and Heart Rate Monitoring199
  - Monitoring199
  - ECG Signal Processing and Display199
  - Supported Parameters199
- ECG Precautions200
- Connecting the 3-, 5-, 6-Wire Lead Sets for ECG Monitoring201
- Connecting the Lead Sets for 12-Lead Monitoring202
- Connecting the Lead Wires for Neonatal Monitoring203
  - Monitoring203
- Patient Preparation for ECG Monitoring204
  - Monitoring204
  - Electrosurgery204
- ECG Display205
  - ECG Parameter Field205
  - ECG Waveforms206
- ECG Colors207
- Electrode Placement208
  - Standard Configuration, Three Electrodes208
  - (Iec/Aha)208
  - Standard Configuration, Five Electrodes208
  - Pacer Configuration, Five Electrodes209
  - (Iec/Aha)209
  - Standard Configuration, Six Electrodes209
  - 12-Lead Configuration, Ten Electrodes for 12-Lead Rest ECG Monitoring (AHA)210
  - 12-Lead Configuration, Ten Electrodes for 12-Lead Rest ECG Monitoring (IEC)210
- 12-Lead Monitoring211
- Accessing the ECG Functions211
- ECG Parameter Setup Functions212
- Monitoring Paced Patients216
- Pacemaker Precautions217
  - Pacer Fusion Mode217
  - Device Interference with Pacemaker218
  - Monitoring218
- Arrhythmia Monitoring Overview219
- Optimizing Pacer Processing219
- Selecting Arrhythmia Leads220
- Arrhythmia Modes221
- Arrhythmia Processing221
- Arrhythmia Display223
  - Combined Heart Rate /Arrhythmia Parameter224
  - Field224
  - Separate Arrhythmia Parameter Field224
- Accessing the Arrhythmia Functions225
- Arrhythmia Parameter Setup Functions225
- Monitoring ST Overview226
- Standard ST Monitoring226
- 12-Lead ST Monitoring227
- Connecting Lead Sets for ST Monitoring227
- Trust 12-Lead Monitoring227
- ST Display228
- Reviewing ST Complexes229
  - Reviewing All ST Complexes229
  - Zooming in on an ST Complex230
- ST Measuring Points231
  - Adjusting ST Measuring Points231
- ST Reference232
  - Saving ST Reference Points232
- Accessing the ST Settings233
- ST Alarm Settings233
- ST Setup Functions234
- Learning/Relearning QRS Pattern236
  - Manual Relearning236
Impedance Respiratory Rate (Rri)239
- Overview of Respiration Monitoring240
- Respiration Precautions240
  - Supported Parameter240
- Connecting the 3-, 5-, 6-Wire Lead Sets for Respiration Monitoring241
- Connecting the Lead Sets for 12-Lead Monitoring242
  - Monitoring242
- Connecting the Lead Wires for Neonatal Monitoring243
  - Monitoring243
- Patient Preparation for Respiration Monitoring244
  - Monitoring244
- Respiration Display246
  - Ventilation Parameter Field246
  - Breath Markers246
- Adjusting the Detection Threshold and Activating the Breath Marker247
- Respiration Measuring Modes247
- Accessing the Respiration Settings248
- Ventilation Parameter Setup Functions248
Spo2 and Pulse Co-Ox Monitoring with Masimo Set Mcable251
- Masimo SET Mcable251
Spo2 and Pulse Rate with Nellcor Oximax Mcable271
- Mcable271
Temperature281
- Overview of Temperature Monitoring282
- Precautions282
- Connecting the Temperature Sensors283
  - M540284
  - Connecting the Temperature Sensors to the Hemodynamic Pods285
- Temperature Display286
  - Temperature Parameter Field286
- Accessing the Temperature Settings287
- Temperature Parameter Setup Functions287
Non-Invasive Blood Pressure (Nibp)289
- Default Chapter289
  - Overview of Non-Invasive Blood Pressure289
- Overview of Non-Invasive Blood Pressure290
  - Monitoring290
    - Supported Parameters290
  - Non-Invasive Blood Pressure Precautions291
- Connecting the Non-Invasive Blood292
  - Connecting the Non-Invasive Blood Pressure292
  - Hose and Cuff292
    - Pressure Hose and Cuff292
- Patient Preparation for Non-Invasive Blood293
- Accessing the Non-Invasive Blood300
Invasive Blood Pressure (Ibp)301
- Default Chapter301
  - Overview of Invasive Blood Pressure301
- Overview of Invasive Blood Pressure302
  - Monitoring302
    - Supported Parameters302
    - Hemodynamic Pods302
  - Invasive Blood Pressure Precautions304
- Connecting the Hemo4 Pod and Hemo2305
- Patient Preparation for Invasive Blood308
  - Patient Preparation for Invasive Blood Pressure Monitoring308
  - Invasive Blood Pressure Display308
- Labeling Invasive Blood Pressure310
- Starting Wedge Measurements from the316
  - Starting Wedge Measurements from the Pods316
    - Pods316
    - Cockpit317
- Invasive Blood Pressure Parameter Setup319
- Accessing the Invasive Blood Pressure319
Cardiac Output (C.o.)321
- C.O. Precautions322
  - Cardiac Output Measurement Method322
  - Supported Parameters322
- Overview of Cardiac Output Monitoring322
- Connecting the Cardiac Output Hardware323
- Patient Preparation for Cardiac Output325
Mainstream Co 2 Monitoring337
- Monitoring337
Microstream Co Monitoring2349
- Microstream CO 2 Monitoring349
  - Overview of Microstream® CO 2 Monitoring350
- Overview of Microstream® CO350
  - Accessories350
- Monitoring350
- CO 2 Display351
- Using the CO 2 Dialog Box353
  - CO2 Limits353
- CO Parameter Setup354
- Calibration Check355
  - Required Accessories355
Scio Monitoring357
- Overview of Scio Monitoring358
  - Supported Parameters360
- Using the Scio Dialog361
- CO2 Display366
- O2 Display370
  - O 2 Parameter Field370
  - O 2 /N2O Parameter Field371
- Agent Display372
- Xmac (MAC Multiple)377
- Zeroing the Gas Analyzer378
External Device - Bispectral Index (Bis)379
- Overview of bis Monitoring380
  - Supported Parameters and Settings380
- BIS Display381
- BIS Precautions381
- BIS Parameter Setup Functions384
  - BIS Show All Page384
- Accessing the bis Settings384
External Device - Neuromuscular Transmission (Nmt)385
- Transmission (NMT)385
- Overview of NMT Monitoring386
- NMT Precautions387
- NMT Display387
- Printing NMT Information390
- Accessing the NMT Settings390
- The NMT Page391
  - NMT Parameter Functions and Settings392
External Device - Continuous Cardiac Output (Cco)393
- Output (CCO)393
External Devices - Medibus.X Devices401
- Default Chapter402
- Anesthesia Data404
- Supported MEDIBUS.X Ventilator and404
External Devices - Servo-I Ventilator419
- Overview of Ventilation Monitoring420
  - Infinity Centralstation - Vent Central Option420
  - External Device Alarms420
- Device Compatibility421
- Precautions421
- Supported Servo-I Parameters422
- Viewing Parameter Data423
  - Supported Servo-I Waveforms423
- Parameter Fields424
- Viewing Loops425
- Accessing the Parameter Setup Functions426
- The Show All Page426
- Ventilator Paw Setup Functions427
- Ventilator Parameter Setup Functions428
- CO 2 Parameter Setup Functions429
External Devices - Evita 2D, Evita 4, Evita Xl (Medibus)431
- XL (Medibus)431
- System Configuration443
Reports/Recordings493
- Overview494
- R50N Recorder494
  - Replacing the Recorder Paper494
- Timed Recordings495
  - Remote Recordings495
  - Automatic Alarm Recordings496
- Continuous Recordings497
- Requesting Recordings497
  - Causes for Automatic Cancellation of497
  - Recordings497
- Available Reports498
- Printing Reports498
- Configuring a Case Summary Report502
- Applications (Options)503
Troubleshooting509
- Default Chapter510
- St521
- Maintenance567
- Reprocessing575
- Disposal583
  - EU Directive 2002/96/EC (WEEE)583
- Technical Data585
- Index601

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