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Zeus Infinity Empowered
Dräger Zeus Infinity Empowered User Manual
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Instructions for use
Zeus
Infinity Empowered
Anesthesia workst
ation system
Sof
tware 2.n
WA
R
N
I
N
G
T
o properly use
this medical d
evice,
read and comply with these instruc-
tions for use.
2
Table of Contents
Table of Contents
5
Safety Checks
10
Metrological Checks
10
For Your Safety and that of Your Patients
10
Maintenance
10
Strictly Follow These Instructions for Use
10
General Safety Information
10
Accessories
11
Connected Devices
11
Not for Use in Areas of Explosion Hazard
12
Safe Connection with Other Electrical
12
Equipment
12
Patient Safety
12
Patient Monitoring
12
Information on Electromagnetic Compatibility
13
Sterile Accessories
13
Training
14
Storing the Instructions for Use
14
Installing Accessories
14
Product-Specific Safety Information
15
Application
19
Application
20
Device Monitoring
20
Intended Use
20
Ventilation Modes
20
Patient Monitoring (Optional)
21
Breathing System
22
Data Exchange, Ports
22
Gas Disposal
22
Gas Supply
22
Overview
23
Components
24
Front
24
Breathing System View
25
Connection for Oxygen Therapy
25
Connection Field for Patient Monitoring and IV-System (Optional)
26
Rear with Doors Open
27
Connections to the Gas Supply Block
28
Connections to the Back of the Device Zeus IE
29
Connections to the Back of the Screen
30
Connections, Power Supply and Additional
31
Sockets
31
DIVA Metering Modules
32
Abbreviations
33
Symbols
38
Product Labels
40
Operating Concept
41
Screen
42
Variant 1
42
Variant 2 and Variant 3
43
Screen Layout
44
Main Menu Bar
45
Buttons in System Standby
46
Therapy Bar
47
Using the Dialog Windows
47
Using the Touch Screen
47
Color Coding for Anesthetic Agents and Medical Gases
48
Color Concept
48
Therapy Controls
48
Waveforms and Parameters
48
Overview of the Menu Structure
49
Assembly and Preparation
57
Before Initial Use
58
Charging the Battery for Emergency
58
Installing Flow Sensors
58
Operation
58
Docking Zeus IE with the Ceiling Supply Unit
59
Features
59
Zeus IE as a Ceiling Device
59
Establishing the Mains Power Supply
60
Connecting the Attachments
61
Establishing Potential Equalization
61
Electrical Fuse for Auxiliary Sockets
62
Connecting Backup Gas Cylinders for O Air or N O
63
Connecting the Compressed Gas Hose
63
Establishing the Gas Supply
63
(Ags)
65
Connecting Anesthetic Gas Receiving System
65
System (AGS)
65
Filling the Reusable CO 2 Absorber
66
Instructions on Absorber Operation
66
Replacing or Filling the CO
66
Replacing or Filling the CO Absorber
66
Using Disposable CO 2 Absorbers
67
Connecting Adult Breathing Hoses
69
Connecting Hoses
69
Connecting Pediatric and Neonatal Breathing Hoses
70
Note about Using Bacterial Filters, Endotracheal Tubes, Y-Pieces, Breathing Hoses, Soda Lime, and Other Accessories for Breathing Systems
71
Accessories
72
Note about the Total Resistance of the Breathing System and Connected
72
Preparing Optional Patient Monitoring
72
Recommended Breathing System Accessories for the Ventilation of Adults and Pediatric Patients
72
Connecting IV System
73
Agents
74
DIVA Metering Modules for Anesthetic
74
Inserting and Removing the DIVA Metering Module
74
Fill the DIVA Metering Modules
75
Modules
76
Transportation of Filled DIVA Metering
76
DIVA Metering Module with Dräger Fill Filling System
77
Filling System
77
When Filling During Operation
77
Finishing the Filling Process
78
Emptying the DIVA Metering Module
79
Device
80
DIVA Metering Module with Safety Filling Device
80
When Filling During Operation
80
Finishing the Filling Process
82
Emptying the DIVA Metering Module
83
Filling During Operation
84
Quik Fil Sevoflurane Safety Filling System
84
Finishing the Filling Process
85
Emptying the DIVA Metering Module
86
Filling During Operation
87
Filling System for Desflurane
87
Finishing the Filling Process
87
Emptying the DIVA Metering Module
88
Startup
89
Checking the Backup Gas Cylinders
90
Checking the Central Gas Supply
90
Device Check
90
Checking the Breathing System
91
Checking the O 2 Emergency Delivery
91
Checking the O 2 Flush
91
Checking the Anesthetic Gas Scavenging
92
Checking the APL Valve
92
Emergency Ventilation Bag
92
System AGSS
92
Checking the O 2 Flow Meter
93
Switching on Zeus IE
94
Breathing System
95
Checklist
95
Suction & Y-Piece
95
Supply & Safety
95
Preparing the Self Test
96
Self Test
96
Starting the Self Test Manually
96
Automatic Self Test (Auto Self Test)
99
Pretest
100
Displaying the Test Results
101
Test Info
101
Test Results
101
Automatic Self Test
102
Test History
102
Leakage Assistant
103
Displaying the Test Results During Operation
104
Operation
104
Service
104
System Info
104
Startup in Emergencies
105
Operation
107
Export of Case Data
108
Start Settings
108
Startup Dialog
109
Patient Transfer (Optional)
111
Changing Patient Data
112
Patient Categories and Set Ranges
113
Influence of Weight and Age on the Device Settings
114
Integrated Smartpilot View (Optional)
114
Adjusting Mixed Gas
115
Gas Delivery
115
Nitrous Oxide-Free System
115
Control Mode Fresh-Gas Control
116
Control Mode Auto Control
118
Safety Instructions for the Control Mode Auto Control
121
Uptake Mode
121
Starting Ventilation
122
Ventilation
122
Ventilation Mode MAN/SPON (Manual/Spontaneous)
124
Ventilation Mode Volume Control Autoflow
126
Ventilation Mode Volume Control
127
Ventilation Mode Pressure Control
128
Changing the Ventilation Mode
130
Ventilation Mode Pressure Support
130
Set Ranges and Default Values for the Ventilation Modes
131
Using Non-Rebreathing Systems
132
Ventilating Pediatric Patients and Neonates
132
Directing Fresh Gas to the External Outlet
133
Changing the Patient
134
Special Events During Ventilation
134
Changing the HME Filter or Filter
135
Checking the Soda Lime
135
Leak Test
136
Web Access (Optional)
138
Launching a Web Application
139
Information and Safety Instructions on the IV Application
140
IV System - Ivenus
140
Controls for IV
141
Safety Concept
141
Infusion Dialog Window
142
Starting the Module DPS on Zeus IE
143
Administering an Infusion
144
Administering a Bolus
146
Select Drug
148
Simultaneous Replacement of Syringe and Drug
148
Drug Library
149
Module DPS - Transport Concept
153
Displaying Infusion Trends
154
Setup for the IV System
155
End of Operation
156
Alarms
159
Alarm Behaviour at Power on
160
Alarm Priorities and Signals
160
Display Alarms
160
Alarm Info
161
Alarm Log
161
Alarm Limits
162
Calling up Via Limit Violations During Operation
162
Calling up Via the Alarm Message Field
162
(Optional)
163
Invasive Blood Pressure Monitoring
163
Non-Invasive Patient Monitoring (Optional)
163
Anesthesia
164
Ventilation
164
Infusion (Optional)
165
Direct Suspension of Alarms Using Buttons
166
In the Main Menu Bar
166
Suspending Alarms
166
Alarm Recorder (Optional with Hemodynamic and Infinity Network)
167
All Limits
168
Hemodynamics
168
Other Bps
169
Anesthesia
170
Arrhythmia
170
Infusion
171
Autoset Limits
172
Setting Autoset Limits for the Anesth./ Ventilation Area
173
Setting Autoset Limits for the Hemodyn. Area
173
Setting Autoset Limits for the IBP Area
173
Adjusting the Lower and Upper Limit Values
174
Demographic Data
174
Suppressing the Alarm Tone
177
Alarm Limits
179
Device-Related
179
Set Ranges of the Patient Monitoring Alarm Limits
179
Patient-Related
180
Arrhythmia Detection
182
Trends and Diagnosis Windows
184
Monitoring
187
Overview of the Monitoring
188
Device Monitoring
189
Flow
190
Oxygen
190
Airway Pressure Paw
192
Anesthetic Agent
193
Loop Displays
194
Display of the Flow Tubes
196
Infusion
196
Uptake / Uptake Monitoring
196
Connection Field for Patient Monitoring
197
Patient Monitoring
197
Accessories for Patient Monitoring
199
Electrocardiography ECG
208
Pulse Oximetry Spo
217
Non-Invasive Blood Pressure NIBP
220
Invasive Blood Pressure Measurement IBP
225
Temperature
233
Cardiac Output (C.O.)
234
Anesthesia Effect Monitoring
238
Fault - Cause - Remedy
249
Failure Behavior
250
Power Outage
250
Gas Failure
251
Anesthetic Gas Delivery Failure
252
Anesthetic Gas Delivery Failure (DIVA Failure)
252
Failure)
252
Mixer and DIVA Failure
252
Ventilator Failure
252
In the Event of Partial System Failures
253
Off for Ventilation
253
Rotary Safety Knob Anesth. Ventilator off for Ventilation
253
In the Event of Device Failure
254
Screen Error
254
Failure Behavior DPS
255
Messages Zeus IE
255
Alarm - Cause - Remedy
256
In Operation
317
Metering Module Faults
317
When Filling and Emptying
318
Configuration
321
Configuration Information
322
Manage Setups for Profiles and Views
323
System Setup
323
Loading Profiles/Views
324
Saving Profiles/Views
324
New Profiles/Views
325
Renaming Profiles/Views
325
Assigning or Deleting Profile Keys
326
Deleting Profiles/Views
326
Profiles Default
327
Protecting Profiles/Views
327
Overview of Additional Settings
328
Configuring the Screen
329
Configuring Buttons
332
Configuring Brightness and Volume
334
Configuring Colors
334
Configuring Basic Settings
335
General Settings
336
Event Recorder
344
Infusion
344
Configuring Web Applications
345
Infinity Configuration (Optional)
346
Nibp/Spo
346
Configuring Medibus
347
Disabling Options
348
More Settings
348
Help Dialog Window
353
Other Functions of the System
353
Stopwatch Dialog Window
354
Service Call Dialog Window
356
Service Functions
356
Cleaning, Disinfection, and Sterilization
357
Disassembly
358
Disassembly Sequence
358
Observe before Disassembling
358
Note on Removable Accessories, Consumable Parts, and Attached Parts
359
After each Patient
360
Daily
360
Dismantling Components
360
Water Trap for Gas Sensors
361
Removing the CO 2 Absorber
362
Breathing System
363
Dismantling the Anesthetic Gas Receiving
365
System (AGS)
365
(Optional)
366
Removing the Endotracheal Suction System
366
Classification of Medical Devices
367
Reprocessing Methods
367
Testing of Procedures and Agents
367
Semicritical Medical Devices
368
Uncritical Medical Devices
368
Visual Inspection
369
Sterilization
370
Reprocessing List
371
Uncritical Medical Devices
371
Semicritical Medical Devices
373
Screen of Zeus IE
374
Surfaces of Zeus IE, Pressurized Gas Hoses, Cables, and DIVA Metering Modules
374
Spirolife Flow Sensor
375
Accessories
376
Care Instructions for Monitoring Accessories
376
Hemo Modules
376
IBP Pressure Transducers
376
NIBP Cuff
376
Patient Cables
376
Pressure Transducer Plates for the Hemo Modules
376
Reusable ECG Electrodes
376
Spo 2 Sensors
377
Temperature Sensors
377
Trident Pod, Bisx Pod
377
Assembling the Breathing System
378
Assembly
378
Assembling the CO 2 Absorber
379
Assembling the Anesthetic Gas Receiving
380
Attaching the Breathing Hoses
380
System (AGS)
380
Removing the Endotracheal Suction System
381
Maintenance
383
Overview
384
Inspection
385
Safety Checks
385
Metrological Checks
386
Preventive Maintenance
387
Repair
389
Disposal
391
Disposal of the Medical Device
392
Disposing of Accessories
392
Disposal of Non-Rechargeable Batteries
393
Technical Data
395
General Information
396
Classification
397
Identification
397
Latex-Free
398
Penetration Values of IBF Filter
398
Screen
398
Power Supply
399
Alarm Tone Sequence IEC
400
Ambient Conditions
400
Central Gas Supply
401
Gas Delivery, Control Mode Auto Control
404
Gas Delivery, Control Mode FG Ctrl
404
Ventilation
405
Breathing System
407
Airway Resistances
408
Fresh-Gas Outlet for Non-Rebreathing
408
System (Optional)
408
Measuring System
409
O 2 -, CO 2 and Anesthetic Gas Measurement
411
Anesthetic Gas Measurement
412
Spectroscopy)
412
Anesthetic Gas Metering Modules
413
Data Communication
413
Workstations
414
Hemodynamic Modules
416
Modules for Patient Monitoring
416
Trident Pod (NMT)
417
Bisx Pod
418
Ecg
418
Monitoring Specifications
418
(Nibp)
420
Measurement (NIBP)
420
Non-Invasive Blood Pressure Measurement
420
Invasive Blood Pressure (IBP)
422
Wedge Measurement
422
Cardiac Output (C.O.)
423
Pulse Oximetry (Spo 2 )
423
Monitoring NMT
426
Nmt
426
Temperature
426
Neuromuscular Transmission Monitoring
427
Anesthesia Depth Monitoring bis
428
Essential Performance
429
Electromagnetic Emissions
430
EMC Declaration
430
General Information
430
Electromagnetic Environment
431
Electromagnetic Immunity
432
Devices
434
Recommended Safety Clearance for Portable and Mobile High-Frequency Communication Equipment
434
Reduced Separation Distances to Portable and Mobile Radio Frequency Communication
434
Device Combinations
435
Connections to IT Networks
436
Information on Connecting to the IT Network
436
Description
439
Gas Flow Diagram
440
Anesthetic Agent Delivery
441
Concentration Control Loops
441
Control Mode)
441
Fresh-Gas Control Mode
441
Gas Control Loops
441
ORC Function (Oxygen Ratio Controller)
441
Inspiratory Oxygen Concentration Control
442
Volume Control Loop (Auto Control, Minfg Flow Control Mode = "Uptake")
442
Control
443
Expiratory Anesthetic Agent Concentration
443
Flush Phases
444
Restrictions to the Metering of Anesthetic Agent Concentration
444
Additional Oxygen Delivery for Regional
445
Anesthesia
445
O 2 Emergency Delivery
445
O 2 Flush
445
Safety Concept (Highflow Operation)
445
Flow Measurement and Volume Delivery
446
Ventilation
446
Ventilation Modes
446
Ventilation)
446
Volume Control Autoflow
447
Autoflow Start Behavior
448
Ventilation Mode Pressure Support
449
(Sync. = ON)
450
Synchronization with Vol. Ctrl. Autoflow
450
Appendix
451
Units and Standards
451
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Dräger Zeus Infinity Empowered Specifications
General
Brand
Dräger
Model
Zeus Infinity Empowered
Category
Medical Equipment
Language
English
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