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Dräger Infinity Central Station, Quick Reference Manual

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Dräger Infinity Central Station Quick Reference Manual Download Page 39

 

Supplement

Infinity CentralStation Wide

Infinity CentralStation Wide 
VG2.1.2

WARNING
For a full understanding of the 
performance characteristics of this 
device, the user should carefully read 
this supplement and the related 
instructions for use before use of the 
device. 

Summary of Contents for Infinity Central Station

Page 1: ...ick Reference Guide is not a replacement or substitute for the Instructions for Use IFU It is for informa tional purposes only Software Level VG1 Quick Reference Guide Infinity Central Station With M300 Telemetry Unit ...

Page 2: ...ure 27 Strip Recording 27 Events 28 Locking unlocking Full disclosure Events 28 Electronic Calipers 29 Discharge 30 Transfer of Data 31 Telemetry ECG Troubleshooting Techniques 33 36 Cleaning Instructions 37 Note Some actions can only be performed at the device not the ICS This is noted where applicable throughout this document Warning This Quick Reference Guide is not intended to replace the Inst...

Page 3: ...ughly 9 9Do remove hair if necessary for proper elec trode placement 9 9Do change electrodes Q 24 48 hours or per hospital policy U Do Not utilize alcohol to dry and clean area of skin for electrode placement U Do Not place electrodes over bony promi nences or area of increased muscle move ment activity U Do Not assume electrodes are good if the tape portion is attached to the patient s skin U Do ...

Page 4: ...OR USE MANUAL ADDITIONAL INFORMATION Electrode Colors IEC AHA US Electrode Location L Yellow LA Black Left arm F Green LL Red Left leg R Red RA White Right arm N Black RL Green Right leg neutral C White V Brown Moveable chest C Gray White V Gray Brown 2nd Moveable chest Standard 6 Lead Configuration IEC AHA Standard 5 Lead Configuration IEC AHA ...

Page 5: ... TOINSTRUCTIONS FOR USE MANUAL ADDITIONAL INFORMATION Standard 3 Lead Configuration IEC AHA Pacemaker Configuration 5 electrodes IEC AHA Warning Make sure the pacemaker detection is turned OFF for patients without pacemakers and that it is ON for patients with pacemakers Always keep pacemaker patients under close surveil lance ...

Page 6: ...ITY CENTRAL STATION M300 QUICK REFERENCE GUIDE 6 THIS GUIDE IS INTENDED FOR REFERENCE ONLY REFER TOINSTRUCTIONS FOR USE MANUAL ADDITIONAL INFORMATION 12 Lead Configuration ten electrodes IEC AHA Respiratory lead placement for infants ...

Page 7: ...eger Medical Inc INFINITY CENTRAL STATION M300 QUICK REFERENCE GUIDE 7 THIS GUIDE IS INTENDED FOR REFERENCE ONLY REFER TOINSTRUCTIONS FOR USE MANUAL ADDITIONAL INFORMATION M300 Telemetry PATIENT WORN MONITORING ...

Page 8: ... ADDITIONAL INFORMATION TO REMOVE M300 FROM BEDSIDE CHARGER CENTRAL CHARGER Note The M300 enters a deep discharge state when it is stored away from either the Bedside Charger or the Central Charger for extended periods To exit the deep discharge state place the M300 in either the Bedside Charger or the Central Charger for at least 30 minutes BEDSIDE CHARGER ...

Page 9: ...ress to scroll through waveforms Press to increase or decrease a setting in an M300 window Press both keys longer than 3 seconds to turn the M300 power on off View Key Press and hold longer than 3 seconds to turn the M300 screen on off Press to scroll through the Main Lead Status Volume Demographics screens Press to cancel Standby Mode Press to accept confirm user selected values Alarm Pause Press...

Page 10: ...6 patients up to 32 patients in dual screen configuration which are assigned at the ICS for cen tral monitoring VIEWPORT A slot on the ICS Main screen that is assigned to a patient it con sists of a waveform area a parameter box and a header BEDVIEW A window on the ICS displaying the content of a bedside monitor or M300 M300 A patient worn transceiver that uses the ICS as the primary patient monit...

Page 11: ... Trends Data Opens the Trends Data page from which you can per form a number of patient related functions such as Find Clear Patient history Lock record Delete record and Connect You can also select a specific patient and view graphical and tabular data Full disclosure data and Events data for a patient from the Trends Data dialog window System setup Opens the System setup dialog window from which...

Page 12: ...o the disclosed database where it can then be viewed from the events tab For the M300 this is accomplished by selecting the Mark event button from the Bed View menu bar From a device other than the M300 marking an event must take place at that specific device which will be sent to the ICS Print screen Prints the contents of the current screen on a connected laser printer ECG report non diag Reques...

Page 13: ...harge a pa tient or transfer a patient Main screen Returns to theMain screen Keyboard Functions Key Symbol Description F1 Silences all active alarms at the ICS for 2 minutes F5 Displays the Main Screen F8 Invokes the Help function F9 Generates a shift report for currently assigned beds F11 Initiates a strip recording for all beds as signed to the Main screen If the dual display mode is enabled rec...

Page 14: ...d even if the alarm condition has ceased to exist To acknowledge select the Bed Audio Pause button in the menu bar of the BedView page or in the icon in the Viewport MEDIUM PRIORITY ALARMS Report alarm conditions that require prompt attention but may not be life threatening for example an alarm limit viola tion Affected parameter box alarm message field have a yellow background and an audible alar...

Page 15: ...a alarm grade Affected parameter box alarm message field have a cyan background and an audible alarm sounds when active Both audible and visual alarm signals automatically stop when the alarm condition ceases to exist without user intervention Note Audible alarm signals are distinct for each alarm priority but specific characteristics including break through alarms vary depending on the selected a...

Page 16: ...larm messages in the header bar of the ICS Main screen Select the View bed button quick access symbol to ac cess the BedView page of the alarming bedside monitor to view silence the surveillance patient Reports only physiological alarms off line alarms will not be annunciated NIGHT TIME ALARM VOLUME If activated a crescent moon symbol appears in the top right corner of the Main screen above the al...

Page 17: ...ay respond differently to the Audio paused state Default alarm volumes can be set independently for High Medium and Low priority alarms TO SUPPRESS ALL AUDIO VISUAL ALARM SIGNALS FOR A M300 PATIENT FOR A PRE CONFIGURED TIME In the menu bar of the BedView page of the M300 patient se lect the Alarm pause button To cancel before countdown complete select the Alarm pause button countdown clock will di...

Page 18: ...ICS 1 From Main screen select System setup button 2 Clinical password may be needed 3 Select Layouts tab 4 Locate the Assigned Beds slot to be changed 5 Select Remove select Apply if appropriate 6 Select Assign in appropriate slot 7 Find the appropriate device and highlight orange box 8 Select Assign 9 Select Apply Note Always use caution when removing and assigning beds to prevent accidental loss...

Page 19: ...nter the patient ID number in the Patient ID field then select Get data button Then go to step 4 for M300 patients or go to step 6 for bedside monitor patients OR Manually enter required patient demographics in the corre sponding fields Then go to step 4 for M300 patients or go to step 6 for bedside monitor patients 4 For M300 patient select Patient Category Adult or Pediatric For bedside monitor ...

Page 20: ...ed label 2 Select the Standby Discharge tab 3 Select the standby On button 4 Select the reason for standby form the selection list 5 Select the duration you wish to place the patient in standby 6 Select Apply For a bedside monitored patient this must be completed at the bedside monitor Caution ALL monitoring is suppressed in Standby mode including alarms at the ICS and at the monitor even if wavef...

Page 21: ...waveform selec tion The following symbol appears in the header bar of the Viewport in Manual mode TO CHANGE THE COLOR OF THE M300 PATIENT WAVEFORMS PARAMETER VALUES AT THE ICS 1 Open the BedView page by selecting the viewport of the te lemetry patient on the ICS Main screen 2 Select Telemetry Parameters button on the Bedview menu bar 3 Select the Layout Parameters tab 4 Select the ECG tab 5 Use th...

Page 22: ...View page 3 Select the Limits tab 4 Select the corresponding button in the Alarm on off column to activate or deactivate alarm monitoring When an alarm is turned off the following symbol appears 5 Select the corresponding button in the Lower Upper col umns to adjust the lower upper alarm limits 6 Select one of the following settings in the Archive column to determine response to an alarm o Off no ...

Page 23: ... OFF the following symbol appears Asystole ASY and ventricular fibrillation VF events are always assigned a high alarm priority These priorities can not be changed appear grey 6 Select the corresponding setup field in the Rate column to set the rate if applicable 7 Select the corresponding setup button in the Count column to set the count if applicable 8 Use one of the following settings in the Ar...

Page 24: ... ARR processing in channel 1 or 2 in the Wave form column 6 Select the Gain Scale arrow to increase or decrease the wave form size 7 Select the Apply button TO SELECT PACER DETECTION FOR AN M300 PATIENT 1 Open the BedView page by selecting the viewport of the te lemetry patient in the ICS Main screen 2 Select the Telemetry Parameters button on the Bedview menu bar 3 Select the Layout Parameters ta...

Page 25: ...he followingicons appear in the header barof the Viewport above the parameter box in the header barof the Bedview next to the pa tient category M300 on bedside M300 NOT on bedside charger charger The barsinsidethe battery indicate the remaining charge of the M300 battery TO RELEARN FOR A M300 or BEDSIDE MONITORED PATIENT 1 Open the BedView page by selecting the viewport of the pa tient on the ICS ...

Page 26: ... BedView page by selecting the viewport of the te lemetry patient on the ICS Main screen 2 Select the Telemetry Parameters button on the Bedview menu bar 3 Select the Layout Parameters tab 4 Select the SpO2 tab 5 Select On or Off button to turn SpO2 monitoring on or off 6 Select Apply 7 Check the Layout tab to make sure SpO2 is assigned to a chan nel If not assigned select SpO2 PLS in desired chan...

Page 27: ...he Waveform arrow and select the number 1 2 All or format ECG or Cabrera if available OR FOR DISCHARGED PATIENTS 1 From the Main menu bar select the Trends Data button 2 Select the patient 3 Select Connect 4 Select the Full disclosure tab TO PRINT A SELECTED STRIP REPORT FROM FULL DISCLOSURE 1 Left click cursor on screen at the beginning of the strip desired a small orange box will appear that wil...

Page 28: ...Events 2 Select the parameter box of the patient you want to view Once selected that patient s information appears under the selected tab on the left side of the screen 3 To view the data of another patient click on that patient s pa rameter box 4 To view different data select a different Trends Data tab TO LOCK UNLOCK A FULL DISCLOSURE RECORD 1 Access the Trends Data tab from the Main screen 2 Se...

Page 29: ... interval measurement box in the first table row and then click to select it appears yellow 3 Position the mouse on the left R wave of the measurement of the interval you want to measure and click on the left mouse button to set the left caliper 4 Position the mouse on the right R wave of the interval you want to measure and click the right mouse button to set the right caliper 5 Use the caliper a...

Page 30: ...ements to review them 3 Select the Delete all button to delete all current measure ments 4 Select Yes to confirm deletion measurement interval of that complex Discharge TO DISCHARGE AN M300 PATIENT Place M300 in the Central Charger OR 1 Selectthe viewport of the M300 patient you want to discharge 2 Selectthe Admit Standby buttonfromthe BedView menu bar 3 Selectthe Standby Discharge tab 4 Selectthe...

Page 31: ... to the Careunit field to selectthe desired careunit in whichthe M300 is located A list of patients in the selected careunit appears 6 Selectthe desired patient fromthe selection list 7 Selectthe Start transfer button A confirmation pop up window appears 8 Select Yes in the confirmation popup to start the data transfer The message Transfer completed appears after the data have been transferred TRA...

Page 32: ...fer completed appears afterthe data have beentransferred TRANSFER M300 TO DRÄGER BEDSIDE MONITOR 1 Selectthe M300 parameter box at the ICS whose data you wish to transfer to the bedsidemonitor 2 Put the M300 containing the data you want to transfer into standby mode Only patients in standby mode are candidates for transfer 3 Go to the destination bedsidemonitor andstart the data trans fer 4 Select...

Page 33: ...the monitor may Undercount the heart rate QRS complex is not large enough to detect Alarm falsely for asystole QRS complex is not large enough to detect Give a low mV Message QRS complex is not large enough to de tect To correct with the six lead electrode or five lead electrode set 1 View all leads and select processing for arrhythmia detection the ECG leads that provide QRS amplitude of 1 cm tal...

Page 34: ...o correct with a six lead electrode or five lead electrode set 1 View all leads and select to monitor processing for arrhythmia detection the ECG leads that provide a smaller P or T wave the QRS complex must be more than double the size of the P or T wave 2 Turn down detection sensitivity gain 3 Select processing for arrhythmia detection in just one lead if only one satisfactory lead is available ...

Page 35: ...nterior axillary line at the lower rib 2 Select an alternate electrode placement like MCL1 ARRHYTHMIAS NOT ALARMING If the monitor is not alarming for arrhythmias 1 Ensure that the desired arrhythmia detection is turned ON either Basic or Advanced 2 Ensure that the monitor s volume is turned ON 3 Assess for artifact interfering with arrhythmia detection o To correct artifact follow directions for ...

Page 36: ...liary equipment if possible 5 Initiate a manual ECG Relearn DIFFICULTY MONITORING PACED RHYTHM If the monitor is not identifying paced rhythms 1 Ensure Pacer Detection is turned ON for patients with a pacer 2 Reposition the electrodes for pacer patient 3 If the pacer spike is too small and the monitor is unable to de tect it o Try monitoring a single lead such as V1 or V5 o Try monitoring a lead t...

Page 37: ...leaning the Charger Interface 1 Clean charger interface regularly with a toothbrush and soap and water 2 Allow the device to air dry completely before placing into the charger Cleaning Central Bedside Chargers 1 Disconnect the charger from the wall outlet 2 Clean the charger with a gauze pad moistened with soapy water Dry thoroughly with a lint free cloth 3 Do not use excessive pressure when clean...

Page 38: ...Canada Inc 2425 Skymark Ave Unit1 Mississauga ON L4W 4Y6 Tel Toll free Fax 1 905 212 6600 1 866 343 2273 1 905 Manufacturer USA Draeger Medical Inc 3135 Quarry Road Telford PA 18969 1042 USA Draeger Medical Systems Inc Telford PA 18969 USA The quality management sys tem at Draeger Medial Sys tems is certified according to Tel Toll free Fax 1 215 721 5400 1 800 437 2437 1 215 723 5935 ISO 13485 ISO...

Page 39: ...n Wide Infinity CentralStation Wide VG2 1 2 WARNING For a full understanding of the performance characteristics of this device the user should carefully read this supplement and the related instructions for use before use of the device ...

Page 40: ...2 Supplement Infinity CentralStation Wide VG2 1 2 This page has been left blank intentionally ...

Page 41: ...s and parameters from the source device will not be displayed Manual Unavailable waveforms and parameters from the source device will display blank Only the first 11 parameters from the source device are available for display 6 Under Rearrange parameter order use the up and down arrows to organize the waveforms under Waveform and parameters under Parameter box Multiple parameter boxes can be selec...

Page 42: ... dialog Unavailable waveforms and parameters from the source device will display blank Only the first 11 parameters from the source device are available for display Auto Manual HR SpO2 NIBP ST1 ST2 ST3 SpO2 PLS PI CO2 Waveform Parameter box ECG1 ART RRi CVP SpO2 PA LA RV CO2 Paw ECG2 Flow ART RRi CVP PA LA RV Paw Flow System default Undo Apply Rearrange parameter order System default Main screen l...

Page 43: ...Split screen select On to enable a split screen or select Off to default to a full screen setup 6 Configure the following options for both Left side and Right side when using Split screen mode and for Full screen when Split screen is Off Under Beds select the number of beds to monitor in the pull down box the number of beds may vary depending on license options Under Parameters select the number o...

Page 44: ...meters Parameter order Layout and bed assignments Layout 1 Layout 2 Layout 3 Layout 4 Layout 1 is in use Bottom 4 2 4 ICU Waveform ICCU 4 Parameters On Remove Bed09 Remove Bed22 Remove Bed03 Remove Bed17 Remove Bed21 Remove Bed15 Undo Apply Main screen layout Parameter order Biomed Alarms Recorders Reports Apply On Off Undo Layout 1 Layout 2 Layout 3 Layout 4 Name Split screen Left side Right side...

Page 45: ...2 Layout 3 and Layout 4 9 To activate a layout that you created select Layouts from the main menu bar 10 In the Layouts dialog select the desired layout and click Apply Password protection To allow access to the Main screen layout tab without a password perform the following steps 1 Select System setup on the main menu bar 2 Select the Biomed tab 3 Select the Passwords tab 4 Select Off next to Mai...

Page 46: ... The Customized layout remains until the patient is removed from the Viewport Customize layout for Bed 3 X Template Parameter layout N A SpO2 PLS PI Waveform Parameter box ECG1 No waveform No waveform No waveform SpO2 GP2 ECG2 CO SpO2 PLS SpO2 Temp basic GP2 Cancel Apply Rearrange parameter order Layout default Choose template Customize HR ARR PVC min ST1 ST2 ST3 Customize Choose template Layout d...

Page 47: ...the menu icon for the patient bed that you want to customize 3 When the bottom row is currently set to waveform and you want to change it to parameters select Set bottom row to parameters or if the bottom row is currently to set to parameters and you want to change it to waveform select Set bottom row to waveform NOTE The triangle indicates that the patient viewport is customized ...

Page 48: ...he flashing alarm parameters a yellow alarm message banner flashes for medium alarms and a red alarm message banner flashes for high alarms A solid cyan appears for low alarms Parameters alarm separately in grouped parameter boxes when parameters are from different devices Multi parameter boxes which contain parameters from one device cause the entire parameter box to alarm NOTE A change in the pa...

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