Infinity M540

Dräger Infinity M540 User Manual

Dräger Infinity M540

610 pages

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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.

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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Dräger Infinity M540 Specifications

General

Brand	Dräger
Model	Infinity M540
Category	Monitor
Language	English

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