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Infinity Kappa
Dräger Infinity Kappa User Manual
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Instructions for Use
Infinity Delt
a Series
Infinity Patient Monitoring Series
Sof
tware VF8
W
ARNING
T
o properly use this med
ical device, the
user must obtain a full underst
anding
of
the performance characteristics
of this
medical device prior to use by carefully
reading these Inst
ructions for Use.
2
Table of Contents
Overview
3
Instructions for Use
1
Table of Contents
3
Indications for Use
4
Intended Use
4
Documentation Features
5
Warnings, Cautions, Notes
5
Cross-References
5
Quick Reference Tables
5
Footer
6
Applicability
6
Intended Patient Categories
5
Safety Considerations
6
Site of Operation
7
Inspection and Maintenance
8
Defibrillator Precautions
11
Pacemakers
11
Peripheral Devices
11
Electrosurgery
11
Electromagnetic Compatibility
13
Table of Contents
14
Introduction
23
Overview
24
Overview (Delta/Delta XL)
24
Overview (Kappa)
25
System Components
26
Base Unit
27
Kappa Video Display
33
Device Markings
34
Auxiliary Display and Other Components
35
Power Sources (Delta/Delta XL)
36
Battery Power
37
Infinity Docking Station (IDS)
37
Power Sources (Kappa)
40
Getting Started
42
Accessing the Main Screen
42
Using the Rotary Knob
43
Menu Access
44
Remote Keypad
44
Fast Access Menu
45
Main Menu
45
Control Buttons
46
Fixed Keys
46
Data Archive Applications
47
Storing Events
48
Event Recall
49
Help Functions
50
Navigating the Event Recall Screen
50
2 Monitor Setup
51
Monitor Setup
52
Overview
52
Configuring the Monitor
52
Main Menu Setup
52
Quick Reference - Main Menu Setup
53
Setups Management
59
Specialty Menus
62
OR Mode
62
Unit Manager
64
Biomed
71
Parameter Colors
73
Software Upgrades
75
3 Network Applications
77
Network Applications
78
Overview
78
Connecting to the Network
79
Connecting the Delta/Delta XL to the Network
79
Connecting/Disconnecting the Kappa To/From the Network
80
Disconnecting the Delta/Delta XL from the Network
80
Network Message (Delta/Delta Xl/Kappa)
80
Pick and Go Transport (Delta/Delta XL Only)
81
Infinity Explorer Support
82
Wireless Network
82
Wireless Network Safety Considerations
83
Wireless Network Setup
83
Wireless Mode
86
Network Transfer
88
Patient Data
88
Wireless Messages
88
Remote View
89
Software Licenses
89
Privacy
92
4 Admission, Transfer, and Discharge
95
Admitting a Patient
96
Admission, Transfer, and Discharge
96
Overview
96
Transferring Patient Data
97
Data Transfer Using the Memory Card
98
Network Data Transfer
100
Discharging a Patient
101
5 Alarms
103
Overview
104
Alarms
104
Testing Visual and Auditory Alarm Signals
104
Alarm Priorities
105
Networked Alarms
105
Alarm Latching
107
Alarm Management
107
Suspending Alarms
107
Alarm Setup (Alarm Limits Table)
108
Alarm Control
108
Upper and Lower Alarm Limits
110
Quick Reference - Alarm Limits Table Setup
115
Alarm History Table
116
Alarm Limits Shortcut
116
ST and Arrhythmia Alarms
116
OR Alarms
117
6 Trends
119
Overview
120
Trend Setup
120
Trend Graphs
121
Display Mode
121
Channel Assignment
121
Trend Table
124
Mini-Trends
125
7 Recordings
127
Overview
128
Recordings
128
Layout
128
Timed Recordings
132
Continuous Recordings
133
Events and Trends
133
Pending Recordings
133
Recorder Setup
134
Quick Reference: R50 Series Setup Menu
134
Primary and Secondary Recorders
135
Replacing Recorder Paper
136
Print Screen
137
Reports
137
Quick Reference: Reports Setup
138
Status Messages
139
8 Ecg and Heart Rate
141
ECG and Heart Rate
142
Overview
142
ECG Precautions
143
Pacemakers
143
Pacer Detection
144
Electrosurgery
146
Infusion or Roller Bypass Pumps
147
Line Isolation Devices
147
Patient Preparation
148
Transcutaneous Electrical Nerve Stimulators
148
Three-, Five-, Six- and Trust® Twelve-Lead Configurations
149
Trust Twelve-Lead Configuration
150
Twelve-Lead Configurations (Standard and Frank)
151
ECG Leads
153
ECG Leads
155
Trust 12-Lead
155
ECG Signal Processing and Display
156
Alarms and Alarm Conditions
157
ECG Setup Menu
158
Status Messages
164
9 Arrhythmia Monitoring
167
Arrhythmia Monitoring
168
Overview
168
About the Arrhythmia Template
169
Beat and Rhythm Classification
169
Automatic Learning and Relearning
170
Arrhythmia Setup
171
Modes (Full, Basic, OFF)
171
Arrhythmia Setup Table
172
Channel - Lead Selection
172
Status Messages
175
10 St Monitoring
177
ST Monitoring
178
Overview
178
Multimed Pods for ST Analysis
179
ST Display
180
ST Analysis Setup
180
Quick Reference: ST Analysis Menu
181
Measuring Points
182
ST Alarms Table
186
Status Messages
187
11 Eeg Monitoring
189
Overview
190
Precautions
190
Connecting the EEG Pod
191
EEG Setup
194
Quick Reference - EEG Setup
195
Status Messages
197
12 Respiration
199
Overview
200
RESP Precautions
201
Patient Preparation
202
Display Features
203
RESP Setup Menu
204
Oxycrg (OCRG) Monitoring
207
Scale
208
Cursor
208
OCRG Setup Menu
213
Second and Third Channel Label
214
Time Base
214
Recordings
215
Status Messages
216
13 Non-Invasive Blood Pressure
219
Display Features
220
Overview
220
NBP Setup
221
Safety Considerations
221
Cuff Selection and Placement
221
Invasive Blood Pressure
222
Setup Menu and Quick Reference Table
226
Taking NBP Measurements
227
Status Messages
231
14 Invasive Blood Pressure
235
Overview
236
Hardware Setup
237
Tubing
237
Transducers
237
IBP Y-Cables
244
Precautions
237
Display Features
245
IBP Setup
247
Quick Reference - IBP Setup
247
Labeling Pressure Channels
248
Pressure Label Conflicts
251
Pulmonary Wedge Pressure Display
252
Status Messages
254
15 Cardiac Output (C.o.)
257
Overview
258
Cardiac Output (C.O.)
258
Accuracy
259
Main Screen Display
260
C.O. Setup - Hardware
261
C.O. Setup Menu
262
Quick Reference - C.O. Setup
262
C.O. Measurement Procedures
266
Averaging C.O. Measurements
268
Status Messages
270
16 Calculations
273
Overview
274
Physiological Calculations (Hemo/Oxy/Vent Calculations)
275
Hemodynamic Parameters
277
Oxygenation and Ventilation Parameters
279
Lab Data
280
Hemodynamic Calculations (Hemo-Calcs)
282
Hemo-Calcs
282
Drug Calculations
284
Titration Tables
284
Drug Calculator Setup
285
Default Drug Setup (Unit Manager)
288
17 Pulse Oximetry (Spo )
291
Pulse Oximetry (Spo2)
291
Overview
292
Precautions
292
Hardware Setup
294
Monitor with Masimo Logo - Hardware Setup
294
Monitor with Nellcor Logo - Hardware Setup
295
Monitor Without Masimo or Nellcor Logo - Hardware Setup
296
Patient Preparation
297
Display Features
298
Spo2 Setup
298
Status Messages
300
Monitor with Masimo Logo - Status Messages
300
Monitor with Nellcor Logo - Status Messages
302
Monitor Without Masimo or Nellcor Logo - Status Messages
304
Micro2+® Standalone Pulse Oximeter
311
Parameters
311
Spo2 Micro2+ Trends
312
Micro2+® Spo2 Status Messages
313
18 Transcutaneous Blood Gas Monitoring
315
Overview
316
Precautions
317
Patient Preparation
318
Applying the Sensor
318
Hardware
319
Sensor Warm-Up
319
Replacing Sensor Membranes
320
Calibration Unit
321
Calibrating the Tpo2/Co2 Sensor
322
Display Features
324
Tpo2/Co2 Setup
324
Status Messages
328
19 Etco (End-Tidal Co ) Monitoring
331
Overview
333
Etco2 (End-Tidal CO2) Monitoring
334
General Etco2/Gas Analysis Precautions
334
Sampling Methods
336
Sidestream (Adult and Pediatric Patients Only)
337
Display Features
339
Capnograms
340
Etco2 Setup
341
Cleaning, Calibration and Verification
344
Adapter Calibration
344
Cleaning
344
Sensor Calibration and Verification
345
Status Messages
346
® 20 Microstream Etco Monitoring
349
Overview
350
Precautions
350
Connection
351
Monitor - Pod Connection
351
Accessory Connection
351
Etco2 Display Features
352
Parameters
352
Capnograms
353
Etco2 Setup
354
Calibration
355
Quick Reference Table - Etco2 Setup
355
Status Messages
356
21 Respiratory Mechanics
359
Overview
360
Precautions
360
Hardware Setup
362
Monitor-Pod Connection
362
Selecting a Sensor
363
Paw and Vent Setup Menus
365
Purge Sensor Function
365
Quick Reference Table: Paw and Vent Setup
366
Display Features
368
Display Parameters (Main Screen)
369
Additional Display Parameters
370
Key Concepts of Respiratory Mechanics
376
Loops
378
Waveforms
378
Alarms
381
Cleaning and Calibration
381
Status Messages
382
22 Fio 2 (Fractional Inspired O Monitoring )
385
Fio2 (Fractional Inspired O2) Monitoring
385
Overview
386
Precautions
386
Fio
386
Display Features
387
Fio2 Setup
387
Menu Access
388
Status Messages
390
23 Scio® Four Modules
391
Overview
392
Scio Four Oxi Plus
393
Scio Four Oxi
393
Scio Four Plus
393
Scio Four
394
Precautions
395
Hardware Setup
397
Site of Operation
398
Installing the Water Trap
398
Cable Connections
399
Tubing Connections
400
Warm-Up
401
Scio Setup
402
Calibration
402
Etco2* Monitoring
402
N2O Monitoring (Scio Four Plus and Scio Four Only)
407
Agent Monitoring
408
Combined Display (O2/Agent/N2O) (Scio Four Oxi Plus Only)
412
Maintenance and Repair
414
Dual Agent Display (Scio Four Oxi Plus & Scio Four Plus Only)
414
Status Messages
416
24 Neuromuscular Transmission
419
Neuromuscular Transmission
420
(NMT) Monitoring
420
Overview
420
Precautions
421
Connections
422
Monitoring Modes
423
Single Twitch Mode
423
Train-Of-Four (TOF)
423
Taking NMT Measurements
424
Post-Tetanic Count (PTC)
424
Clear NMT References
425
Quick Reference Table -- NMT Monitoring Settings
426
Status Messages
427
25 Bispectral Index (Bisx) Monitoring
429
Overview
430
Precautions
430
Display Features
431
Patient Preparation
431
BIS Setup
433
Quick Reference Table - bis Setup Menu
434
Checking the Impedance
436
Status Messages
437
26 Pulse Contour Cardiac Output (Picco) Monitoring
439
Overview
440
Body Surface Area (BSA), Predicted Body Weight (PBW), Predicted Body Surface Area (PBSA)
443
Precautions
444
Picco Setup Including IBP
446
Averaging P-CO Measurements
450
Display Features
453
Picco Parameter Setup
454
Quick Reference - Picco Setup
456
Optimizing Results for Picco Measurements
461
Arterial Blood Pressure Signal
461
Amount of Bolus
462
Central Venous Pressure
462
Injection Time
462
Temperature of Injectate
462
Catheter Types
463
General Measurement Problems
463
Thermodilution (TD) Measurements
463
Status Messages
464
27 Body Temperature
469
Overview
470
Temperature Display
472
Temperature Setup
474
Status Messages
474
28 Peripheral Devices and Associated Software
475
Overview
476
Precautions
479
Ventilation and Anesthesia Devices
480
Open Lung Tool
486
Primus, Zeus and Apollo Anesthesia Devices
488
Svo2/Cco Monitors
491
Radiometer Microgas 7650 Monitor
493
Independent Surgical Display (ISD)
494
MIB Status Messages
497
Dräger Infant Incubator C2000/C2000E
498
Dräger Infant Incubator Caleo
501
Dräger Babytherm Infant Warmer
504
Somanetics INVOS Cerebral/Somatic Oximeter 5100C
507
29 Cleaning and Disinfecting
509
Overview
510
Ecg
511
Patient Cables
511
ESU Block
511
Ibp
512
Picco Pod
513
Mpod - Quad Hemo
513
Spo2
514
Nbp
512
Etco2 and Respiratory Mechanics
515
Capnostat Sensor
515
Flow Sensor
515
Trident (NMT) Pod
515
Fio2
519
Temperature
520
Glossary
521
B Technical Data
527
Electromagnetic Compatibility (EMC
529
Electromagnetic Emissions
530
Electromagnetic Immunity
531
Recommended Separation Distances
533
Overall Regulatory Standard Compliance
529
Overview
529
System Components
534
System Components
535
Battery Charger
541
Medical Information Bus (MIB) II Duo Protocol Converter
543
Displays
544
Monitoring Accessories
547
Bisx Pod
554
EEG Pod
555
Monitoring Specifications
559
Power Supply
586
External Connection Accessories
589
Displays and Display Components
592
Monitor Options
592
Ecg
593
Pulse Oximetry (Spo2
597
Temperature
600
Non-Invasive Blood Pressure (NBP
601
Pulse Contour Cardiac Output (Picco
602
Invasive Blood Pressure (IBP
603
Cardiac Output
606
Transcutaneous Blood Gas
607
Etco2/Respiratory Mechanics
609
Fio2
609
Multigas Monitoring
610
NMT Monitoring
611
Bisx Monitoring
612
Eeg
612
Pod Communication
612
Other manuals for Dräger Infinity Kappa
Quick Reference Guide
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Dräger Infinity Kappa Specifications
General
Brand
Dräger
Model
Infinity Kappa
Category
Medical Equipment
Language
English
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