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Dräger Infinity Delta XL User Manual

Dräger Infinity Delta XL
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Instructions for Use
Infinity Delta Series
Infinity Patient Monitoring Series
Software VF8
WARNING
To properly use this medical device, the
user must obtain a full understanding of
the performance characteristics of this
medical device prior to use by carefully
reading these Instructions for Use.

Table of Contents

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Dräger Infinity Delta XL Specifications

General IconGeneral
Resolution800 x 600 pixels
Battery TypeLithium-ion
Display TypeTFT LCD
Weight6.7 kg
Power Supply100-240 V AC, 50/60 Hz
Battery Life2 hours
ConnectivityEthernet, USB
Monitoring ParametersECG, SpO2, NIBP, Temperature, Respiration
AlarmsAudible and visual alarms
Data StorageInternal memory for trend data and events, external storage via USB

Summary

Overview

Intended Use

Specifies the intended application of the Infinity Delta Series monitors for multi-parameter patient monitoring.

Indications for Use

Lists the physiological parameters that Infinity Delta series monitors are capable of monitoring.

Safety Considerations

Outlines essential safety precautions for operating the patient monitoring equipment safely and accurately.

Monitor Setup

Configuring the Monitor

Describes how to configure the monitor and offers tips on software upgrades and saving/restoring setups.

Setups Management

Explains how to save and restore patient and monitoring settings, including naming and renaming setups.

Network Applications

Connecting to the Network

Details the process of connecting the monitor to a network via the Infinity Docking Station (IDS) or DirectNet.

Admission, Transfer, and Discharge

Admitting a Patient

Guides the user on how to enter and edit patient demographic data at the bedside monitor or central station.

Alarms

Overview

Explains how to configure alarm limits and how the monitor alerts users to limit violations.

Alarm Priorities

Describes the three alarm priorities (high, medium, low) and their associated auditory signals and colors.

Alarm Management

Covers suspending alarms using fixed keys, including All Alarms Off and Alarm Silence functions.

Alarm Setup (Alarm Limits Table)

Details how to modify alarm limits for multiple parameters in a single location.

Trends

Trend Setup

Guides the user on how to customize trend functions, including display mode and channel assignment.

Trend Graphs

Describes how trend graphs display stored data in individual graphs, showing parameter behavior over time.

Recordings

Recorder Setup

Details how to customize various recorder functions, including delay, duration, and speed.

ECG and Heart Rate

ECG Precautions

Provides general precautions for safe ECG monitoring, including warnings about strip recordings and evoked potential devices.

Pacer Detection

Details how the monitor identifies pacer pulses and the settings for enabling/disabling pacer detection.

Patient Preparation

Emphasizes careful skin preparation and proper electrode placement for strong signals with minimal artifact.

ECG Setup Menu

Describes how to access and configure ECG settings, including lead selection, size, and processing.

Arrhythmia Monitoring

About the Arrhythmia Template

Details how the monitor learns a patient's reference template based on QRS pattern identification for arrhythmia analysis.

Arrhythmia Setup

Guides on configuring arrhythmia monitoring by selecting modes (Full, Basic, OFF) and lead selections.

Arrhythmia Setup Table

Provides a table to configure arrhythmia monitoring, allowing modification of event attributes and settings.

ST Monitoring

ST Analysis Setup

Details the ST analysis menu for executing functions related to analyzing the ST segment.

Measuring Points

Explains how to adjust the isoelectric and ST measuring points for accurate ST deviation measurement.

ST Alarms Table

Allows modification of alarm limits for multiple ST parameters and execution of alarm functions.

EEG Monitoring

EEG Setup

Explains how to access and configure EEG channels, lead labels, size, and options.

Respiration

RESP Precautions

Provides safety precautions for respiration measurement, including warnings about apnea detection and ESU interference.

RESP Setup Menu

Details how to control impedance respiration functions via the RESP setup menu.

Non-Invasive Blood Pressure (NBP)

NBP Setup

Covers safety considerations, cuff pressure cutoffs, and cuff selection/placement for NBP monitoring.

Safety Considerations

Highlights warnings regarding cuff inflation/deflation, limb placement, and accurate measurement dependence.

Cuff Selection and Placement

Emphasizes selecting the correct cuff size for the patient's limb circumference for accurate NBP monitoring.

Setup Menu and Quick Reference Table

Describes functions available on the NBP menu, including interval time, venous stasis, and inflation limits.

Taking NBP Measurements

Details procedures for performing single, interval, and continuous NBP measurements.

Invasive Blood Pressure (IBP)

IBP Setup

Details the two-phase process for IBP setup, including parameter configuration and assignment to channels.

Labeling Pressure Channels

Explains how to assign pressure labels to channels and the color-coding system.

Cardiac Output (C.O.)

Accuracy

Provides recommendations for optimizing cardiac output measurement accuracy, including injectate handling and verification.

C.O. Setup - Hardware

Illustrates a typical cardiac output setup using the HemoMed pod and lists available components.

C.O. Measurement Procedures

Details procedures for measuring cardiac output in both automatic and manual modes.

Averaging C.O. Measurements

Explains how to review and average up to five measurements to compensate for injection technique variations.

Calculations

Physiological Calculations (Hemo/Oxy/Vent Calculations)

Explains how to calculate and store hemodynamic, oxygenation, and ventilation parameters.

Hemodynamic Parameters

Lists and defines the hemodynamic parameters calculated by the monitor, including their derivation and units.

Drug Calculations

Describes how the monitor calculates infusion rates for drugs and displays titration tables.

Pulse Oximetry (SpO2)

Hardware Setup

Guides on connecting Masimo SET, Nellcor Oximax, and other compatible SpO2 sensors.

SpO2 Setup

Explains how to access and configure SpO2 settings, including pulse tone source, waveform size, and averaging.

Transcutaneous Blood Gas Monitoring

Calibrating the tpO2/CO2 Sensor

Details the process for calibrating the sensor, including installing the gas cylinder and connecting the sensor.

tpO2/CO2 Setup

Covers setting sensor application time and temperature, and influences of barometric pressure.

etCO2 (End-Tidal CO2) monitoring

General etCO2/Gas Analysis Precautions

Provides general safety precautions for etCO2 and gas analysis, including warnings on apnea detection and tubing connections.

Sampling Methods

Details mainstream and sidestream sampling methods for etCO2 monitoring.

Microstream® etCO2 Monitoring

etCO2 Setup

Guides on accessing and configuring etCO2 setup menus for the Microstream pod.

Respiratory Mechanics

Paw and Vent Setup Menus

Covers configuring the monitor to display airway pressure (Paw) and flow/volume (Vent) parameters.

FiO2 (Fractional Inspired O2) monitoring

FiO2 Setup

Guides on connecting the pod to the sensor and accessing the FiO2 menu for calibration.

Calibration

Details the two types of calibration (1-point and 2-point) and when they should be performed.

Scio® Four Modules

Scio Setup

Describes how Scio parameters are displayed and configured, including etCO2 monitoring and agent identification.

Neuromuscular Transmission (NMT) monitoring

Taking NMT Measurements

Guides on starting, stopping, and clearing NMT measurements, including setting alarm limits.

Bispectral Index (BISx) monitoring

Precautions

Lists precautions for BIS monitoring, emphasizing clinical judgment and cautious interpretation of values.

Patient Preparation

Emphasizes careful skin preparation and sensor placement for strong signals with minimal artifact.

BIS Setup

Explains how to access the BIS setup menu and check sensor impedance.

Pulse Contour Cardiac Output (PiCCO) monitoring

Overview

Explains how the PiCCO pod monitors cardiopulmonary and circulatory variables, determining cardiac output.

Precautions

Lists warnings and cautions for PiCCO monitoring, including catheter placement and patient data input.

PiCCO Setup including IBP

Guides on entering patient information and setting up the PiCCO pod and hardware, including IBP connection.

PiCCO Parameter Setup

Details how to access and configure PiCCO parameters for Pulse Contour Analysis and Transpulmonary Thermodilution.

Body Temperature

Temperature Setup

Guides on accessing the temperature setup menu to configure TEMP display and alarms.

Cleaning and Disinfecting

Overview

Provides general instructions for cleaning and disinfecting the monitor and peripherals per hospital protocol.

Technical Data

Electromagnetic Compatibility (EMC)

Provides information on electromagnetic compatibility for the Dräger Delta series monitors.

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