Draeger Medical Systems MS24895 802.11b/g WIRELESS ADAPTER User Manual ICS F83 EN R01
Draeger Medical Systems, Inc. 802.11b/g WIRELESS ADAPTER ICS F83 EN R01
Contents
- 1. Users Manual 1
- 2. Users Manual 2
Users Manual 2
14: Recordings / Reports Patient Status The Patient Status section of the Shift Report is a summary report focusing on a patient's arrhythmia status. A Patient Status Report is also available as an independent report and can be configured to print 2, 4, 8, 12, or 24 hours of data (page 14-23). Header Information Heart Rate, calculated from trend data Pacemaker Bradycardia Ventricular Ectopics 14-14 10 Supraventricular Ectopics Caliper Results S-T Deviation (from ST trends) Latest Alarm Event (in alarm categories) Comment area Infinity CentralStation VF8 Reports Graphical Trends In the Graphical Trends section of the Shift Report each parameter trend is plotted according to type. Parameter Type Appearance on Trend Graph Single-value, continuous such as HR Single, continuous line Single-value, intermittent such as C.O. Cross-hairs representing each value Multi-value, continuous such as ART Lines with a dotted line in the center indicating the mean value Multi-value, intermittent such as NIBP Vertical line with a blank space in the center indicating the mean value e.g., The top and bottom line can represent systolic and diastolic values. This section resembles the full version Graphical Trend Report in appearance and content (page 14-17) but is numbered and labeled as part of the Shift Report. VF8 Infinity CentralStation 14-15 14: Recordings / Reports Selected Events Depending on how many events you select (page 16-14) the selected events section may consist of up to three pages (4 waveform strips each). You must select each event that will appear in this section of the shift report by clicking on the icon so that a check mark displays on the icon. Cursor time minus selected report length (2, 4, 8, 12, 24 hrs) Delay Recording speed The waveform contains 5 seconds of pre-event data and 5 seconds of real-time data. The event marks the middle of the waveform. Event Label Event Marker Example of an annotated event 14-16 Infinity CentralStation VF8 Reports Graphical Trend Report The Graphical Trend Report is a multi-parameter report containing up to 15 trended parameters from bedside or telemetry patients. The report can be configured to print 2, 4, 8, 12, or 24 hours of Full or Event Disclosure data. The cursor time represents the report ‘stop time’; the report ‘start time’ equals ‘stop time’ minus the report length. You can customize the trend selection per patient (page 14-24) or at system setup (page 4-4). The trend scale can be a fixed scale or have autoscale values. When you select Enable Autoscale (page 14-24) in the Trend Order Setup screen, the low and high scale values are determined by an autoscale factor to the highest and lowest parameter value over the currently selected trend time. To request a Graphical Trend Report, see page 14-22. Parameter Autoscale Factor (approximate) HR PVC/min % Paced SpO2 PLS ST STVM STCVM Pressures (including NIBP) 10 bpm 10 10% 10% 10 1.0 mm All others 0.10 mV 10 mmHg 1 kPa 10 Selected Strip Report The Selected Strip Report allows the user to select a waveform of interest within Full Disclosure and define beginning and ending cursor times (not to exceed one hour). The report can contain 8 seconds to 1 hour of information (8 second default) with 8 seconds of waveform data per row. To request this report, see page 14-23. Selected Events Report The Selected Events Report may consist of up to six pages (4 event strips per page). You can select and print up to 24 events. Each waveform contains 10 seconds of data, and is annotated with Lead Printed, Lead Processed, Event Cause, 12 of the most recent parameter values, Event End Time, and Event Date. If the lead processed is stored in the Infinity CentralStation database, it will be printed on the report. If not, the top lead of the displayed Full Disclosure data will appear.To request this report, see page 14-23. VF8 Infinity CentralStation 14-17 14: Recordings / Reports ECG Caliper Report The ECG Caliper Report includes an 18-second ECG waveform strip and up to ten rows of interval measurements. To request this report, see page 14-24. Count row number displays above measured complex. “R” displays under complex from which reference measurements were taken when it is in the 18-second ECG strip. Summary table from Caliper Review screen can include up to 10 rows of interval measurements. 14-18 Infinity CentralStation VF8 Reports Ventilator Report With the VentCentral option you can request a ventilator report for a bedside patient who is connected to a ventilator. A ventilator report is divided into two sections: Parameters And Settings Waveforms and Loops To request a ventilator report, see page 14-22. Parameters and settings This portion contains the parameter values, units of measure, the settings, and the time the settings were last changed. The order of the parameters is fixed. Depending on the number of available parameters originating from the bedside monitor, this portion of the report may consist of several pages. NOTE: Certain parameters, identified as measured values, are derived from other values provided by the ventilator and may not reflect the true measured values. See the operating instructions for your specific monitor for detailed information on derived measurements. Waveforms and loops The waveforms and loops page contains the ventilator waveforms and loops displayed in the VentCentral Review screen and may contain up to three waveforms and up to two loops. Each waveform consists of 7 seconds of data and begins at the time the report is generated. Each loop represents the first detected breath within the 7 seconds of data. All waveforms are printed at 25mm/sec. The labels and the scale of the printed waveforms and loops are identical to the displayed waveforms and loops in the VentCentral Review screen. VF8 Infinity CentralStation 14-19 14: Recordings / Reports Parameters and Settings Time that the report request was processed Time the setting was updated or data collection resumed after the monitor was disconnected from the patient Measured parameter values Certain parameters, identified as measured values, are derived from other values or settings provided by the ventilator and may not reflect actual values. See the operating instructions for your specific monitor for detailed information on derived measurements. Parameters measured at the time the report request was processed 14-20 Infinity CentralStation VF8 Reports Waveforms and loops Time that the report request was processed Top 3 waveforms selected in VentCentral screen Pressure Loop (represents the first breath) Area to record Ventilator Identification Number Area to record Ventilator manufacturer Flow Loop (represents the first breath) VF8 Infinity CentralStation 14-21 14: Recordings / Reports Requesting Recordings and Reports NOTE: The print queue can handle multiple report requests. You are notified when the print queue is full, and must wait until some reports print before requesting more. Recording/Report Timed recording (from Main Screen) Required Steps For an individual patient: • Click on the REC button in the patient’s parameter. If the patient is discharged, in Standby, or waveforms are stopped, the REC button is ghosted and you cannot request a timed recording. For all patients admitted to Main Screen: • Press the keyboard F11 key. NOTE: If a recording was previously requested for a patient from Main Screen or the patient’s waveforms are stopped, no recording is printed for that patient. If the Infinity CentralStation is operating in Dual Display mode, recordings are only printed for patients of the screen in which the mouse pointer is located at the time of the request. Timed recording (from Bed View) Timed manual recording (from transmitter) Automatic alarm recording Continuous recording Continuous recording (from transmitter) Print Screen • Click on Record on the menu bar. • Press transmitter recording button for less than 3 seconds. Automatically generated timed recordings are described in Chapter 13 and Chapter 10. • Click on the CONT button. If the patient is discharged, in Standby, or waveforms are stopped, the CONT button is ghosted and you cannot request a timed recording. • Press transmitter recording button for more than 3 seconds. Main Screen • Press the keyboard Print Screen key. Bed View 1.Click on View in the menu bar. 2.Click on the desired menu selection. 3.Click on Print in the Bed View menu bar. 4.Click on Bed. NOTE: If the Print button is ghosted, the Printer Connected setting is Off in the Configure Central menu (page 18-3). Simultaneous ECG Report Ventilator report 14-22 1.Open patient’s Bed View Screen. 2.Click on Print in the Bed View menu bar. 3.Click on ECG Report. 1.Open the Ventilator Settings Review Screen (page 17-8). 2.Click on Report. Infinity CentralStation VF8 Requesting Recordings and Reports Recording/Report • Strip Report • Hour Report • 24 Hour Report NOTE: Required Steps Full Disclosure Reports 1.From the Full Disclosure screen (page 16-7) click on Reports... 2.Click on and select desired report. If you request a 24 Hour Report a popup displays to alert you that this report will keep the printer busy. You must confirm your request by clicking on OK in the popup. You can change the cursor time by clicking on it. • Batch Shift Reports • Shift Report • Patient Status Report • Selected Strip Report 1.Open the Setup Central screen (page 4-2). 2.Click on Batch Shift Reports. The report length selections display. 3.Select a report length (2, 4, 8, 12, or 24 Hour). 4.Click on Accept to save the setting. 5.Press F9 on your keyboard. 1.From the Full Disclosure screen (page 16-7) click on Reports.... The Reports menu displays. 2.Click on and select the desired report. 3.Select a report length from the menu (2, 4, 8, 12, or 24 Hour). 1.From the Full Disclosure screen (page 16-7) click on Reports.... 2.Select a report length from an entry on the menu (1, 5 10, or 60 minutes, and Selected). The menu item ‘Selected” is ghosted until a second cursor is defined. For a Selected report length 3.Right-click on the waveform to set a second cursor. The second cursor displays with dotted lines and can represent either the Stop or Start Time depending on its location relative to the first cursor. A confirmation popup appears that shows Start Time, Stop Time, and Total Pages. 4.Click on Continue or Cancel in the popup. NOTE: VF8 You cannot set the cursors so that the report is longer than 60 minutes or less than 2 seconds. A popup will display that cancels the selected period. The minimum report length is 8 seconds. Also, the report length will automatically adjust so that each row will contain a full 8 seconds of ECG data. Infinity CentralStation 14-23 14: Recordings / Reports Recording/Report • Graphical Trend Report • • • • • Required Steps On a Graphical Trend Report, which is also included in a Shift Report, you can print a report with the system-assigned trend settings (page 4-4) or you can configure the report to display particular trends for the individual patient as follows: 1.From the Full Disclosure screen (page 16-7) click on Reports.... From the Reports menu click on Trend Report Setup. The Trend Order Setup screen displays. 2.Select the trends you want to display and move them to the Display List window. The trends typically display on a fixed scale, but you can change the display by enabling autoscale. 3.If you want to change the display scale to autoscale, click on the selection box next to Enable AutoScale. 4.Select a number of Trends Per Page for the report. 5.Click on Accept to keep the trend order setup or on Cancel. Caliper Report 1.Open the Caliper Review screen (page 16-24). 2.Click on Print Report. Event Disclosure Reports Event Disclosure Strip 1.From the Event Disclosure screen (page 16-7) click on the button, Report Reports... 2.Click on Strip Report. Event Disclosure Shift 1.From the Event Disclosure screen (page 16-7) click on the button, Report Reports.... 2.Click on and select desired report. Event Disclosure Graphical Trend 3.Select a report length from the menu (2, 4, 8, 12, or 24 hr). Report Selected Events 1.From the Event Disclosure screen (page 16-7) click on the button, Report Reports.... 2.Click on Selected Events Report. 3.Select the events for the report. A popup displays the number of events selected. 4.Click on Accept to continue or on Cancel. 14-24 Infinity CentralStation VF8 Canceling a Recording Canceling a Recording Recording Type Cancel in Main Screen Cancel in Bed View Cancel at the Recorder Manual timed recording Click on patient(s) REC key to ‘deselect’. Click on the RECORD key to ‘deselect’. Press STOP key. Alarm recording Not possible Not possible Press STOP key. ARR event recording Not possible Not possible Press STOP key. Continuous recording Click on patient’s CONT REC key to ‘deselect’ it. Not possible Press STOP key. VF8 Infinity CentralStation 14-25 14: Recordings / Reports Actions that Affect Recordings Action Effect on Pending Recordings Effect on Recordings in Progress Patient Discharge Pending recordings discarded Recording is canceled. Edit patient’s demographic data No effect No effect Patient monitoring put in standby mode No effect Recording is canceled. Restore factory defaults Pending recordings discarded Recording is canceled. Configuration change of Main Screen resulting in removal of a Patient’s pending recordings canceled Recording is canceled. Change in scale settings or parameter order (parameters might become available/ unavailable due to restored/ missing signals) No effect Recordings will continue but waveform and parameter data for any removed parameter appear as blanks. Added parameters are not included on an in-progress recording. Recorder assignment change No effect. Additional recordings are printed on the new recorder. No effect on recordings Network time/date change No effect on active or pending recordings. All new and continuous recordings in progress reflect the new date/time. Continuous recordings reflect the change immediately (as will all future timed recordings). R 50 recorder becomes unavailable, runs out of paper, or jams No effect Recording is not lost, but routed to another assigned recorder, or stored for later printing when the recorder becomes available. Remote device requesting a recording of a local patient goes offline Deletes all recordings associated with this device Recording is canceled. Patient disconnect for transport Cancels all pending recordings for that bed Recording is canceled. patient 14-26 Infinity CentralStation VF8 Recording Status Messages Recording Status Messages Recorder Status Messages Status Message Tone Description Action •Recording Request Accepted • Cont. Recording Now Timed (for Gamma/Gamma XL/Vista monitors only) • Report Request Accepted2 Request is accepted, but None stored until a printing device is available. • Recording Started1 • Report Request Started2 Request is being printed. None • Recording Finished1 • Report Request Finished2 Printout is finished or is stored. None • Report Request Canceled Queue full2 Report is canceled due to a full print queue. None Disconnected3 Advisory Recorder(s) not connected to the network. • Recording Interrupted1 Door Open3 Recording stalled because recorder is disconnected or out of paper, its door is open, or an error occurred during data transmission. Connect the recorder. Contact the Hospital Biomedical Engineering Dept. Advisory Recorder door open Close door. Advisory Recorder needs paper. Replace paper. Serious Recorder failed. Take recorder out of service and contact service personnel. Offline3 Serious Recorder is offline. Recorder communication with the network failed. Contact the Hospital Biomedical Engineering Dept. to check network connection. Duplicate Address3 Serious Recorder detected duplicate address. Contact the Hospital Biomedical Engineering Dept. Recorder Not Assigned Attention No recorder assigned. Out Of Paper Failure VF8 Infinity CentralStation Assign a recorder (page 4-5) 14-27 14: Recordings / Reports Recorder Status Messages Status Message Tone Description Action Recording Request Not Accepted Attention Bedside monitor’s print queue is full, or telemetry patient’s recording is requested within 5 seconds of request for a higherpriority recording. Wait until some of the pending recordings are printed before requesting another recording. Recording Status Unknown - Connection Failed Attention Recording status unknown due to failed bed connection (telemetry or bedside). Contact the Hospital Biomedical Engineering Dept. Cursor out of Range Attention More than 60 minutes of data is defined by Selected Strip Report cursors. Set cursors for 8 seconds to 60 minutes of FD data. represents recording title. represents report title. 3 represents device/host label. Printer Status Messages Status Message Tone Print Request Finished Description Action Request is complete. None Printer Not Configured Attention No printer is configured at the Infinity CentralStation. Configure the printer (page 18-4). Print Request Not Accepted - Queue Full Attention Print screen request was rejected because the print queue handles one request at a time. Wait until previous screens complete printing before requesting another. Printer/Communication Error Attention Communication to network is faulty. Consult the Hospital Biomedical Engineering Dept. Printer Selection Failed Attention Selected printer is not set up properly. Consult the Hospital Biomedical Engineering Dept. 14-28 Infinity CentralStation VF8 15 Trends Overview.......................................................................................................................15-2 Accessing a Patient’s Trends.....................................................................................15-2 Trend Graphs ...............................................................................................................15-3 Parameter Display Order and Trend Scales for Telemetry Patients ................15-4 Trend Table ..................................................................................................................15-5 Trend Cursor ................................................................................................................15-6 Representation of Special Conditions.......................................................................15-7 15: Trends Overview Trend information is available at the Infinity CentralStation for remote viewing of bedside and telemetry devices. Accessing a Patient’s Trends 1. Open the patient’s Bed View screen. 2. Click on Review. 3. Click on Trend Graphs... or Trend Table.... When you open the Trend Graphs screen, data is centered around the cursor time. 15-2 Infinity CentralStation VF8 Trend Graphs Trend Graphs Trend graphs show stored trend data for each parameter. Each trend page can accommodate up to five parameter graphs that may be blank if the parameter is not selected for trending. Trends are updated automatically, with the most recent data entering continuously on the right. When you click on the trended parameter label, the scale toggles between fixed and autoscale values (page 14-17). 1 Start date/time of Trend data Cursor scrolling keys and date corresponding to current 2 Time cursor position Horizontal arrows scroll time periods Interactive scale permits selection of: -autoscale or fixed scale (telemetry patients) -autoscale or bed scale (bedside patients) 4 Radio buttons to select graph time period Parameter label (click on Parameter Label to autoscale) 5 Opens Trend Table 10 Vertical arrows scroll one graph at a time Time labels VF8 Infinity CentralStation 15-3 15: Trends Parameter Display Order and Trend Scales for Telemetry Patients Parameter Display Order Upper/Lower Scale HR 0 to 200 beats/min PVC/min 0 to 60 % paced 0 to 100% SPO2 (SPO2*) 50 to 100% PLS (PLS*) 0 to 200 beats/min NPB 0 to 250 mmHG STI 7 - 26 -5 to 5mm or -0.5 to 0.5mV ST VM 27 -10.0 to10.0 mm or -0.10 to 0.10mV ST CVM 28 STII STIII ST aVR ST aVL ST aVF ST V ST V+ ST V1 ST V2 ST V3 ST V4 ST V5 ST V6 ST dV1 ST dV2 ST dV3 ST dV4 ST dV5, ST dV6 15-4 Infinity CentralStation VF8 Trend Table Trend Table Each trend table row shows a parameters values; each column shows a trend data set for all parameters at that time. If a parameter is assigned to trending but cannot be trended, the row lists the parameter label but values are blank. Regardless of the selected interval, a trend table displays up to 8 data columns. A trend table may also represent special events (page 15-7). Date/time of cursor position Permits page scrolling Time stamps Parameter labels Horizontal arrows scroll time columns Start date/time of trend data Radio buttons for selecting time period Vertical arrows scroll rows of data VF8 Trend values appear in groups of associated parameter rows. Discrete events such as NPB or CO measurements cause a set of trend data to be stored for all parameters. Such data appears as a separate trend column a with a green time stamp heading. This is also true when a mini-calc computation is initiated on an Delta/Delta XL/Kappa/GammaX XL monitor. The trend table updates automatically whenever an interval elapses. The most recent column is at the right of the screen. Infinity CentralStation 15-5 15: Trends Trend Cursor On a trend graph, the cursor appears as a full-screen white vertical line; on a trend table the cursor is the highlighted column time. Cursor time displays in the upper right part of the screen. 15-6 When using the time anchor function between Full Disclosure, Event Disclosure and trends, the cursor time will match one of the trend table column time stamps. The column time is highlighted and appears in the center of the trend table screen. If the cursor time does not exactly match one of the columns in the trend table, cursor time is displayed but no column is highlighted. Click on any column time to highlight it. If the cursor time is not within the time span of the current trend page, the cursor time displays but the cursor does not. Scroll to the desired data to display the cursor on the current trend. If the cursor time is older than any of the available trend data, the oldest trend data is displayed without the cursor. 24 hours of trend graph data is displayed. One hour of tabular trend data is displayed. Infinity CentralStation VF8 Representation of Special Conditions Representation of Special Conditions Condition Representation in Trend Table Representation in Trend Graphs Telemetry Patients Telemetry Patients Bedside Patients Bedside Patients Discrete trend samples such as those associated with NPB and CO Column designated with a green time stamp Vertical line with a gap in the center indicating the mean value A trend event stored at Column designated with and a green time stamp Not shown in graphs • ASY = Asystole • Parameter value = 0 • FIB = Ventricular Fibrillation • APN = Apnea • Parameter value = 0 • Parameter value = 0 • Parameter value = 0 Delta/Delta XL/Kappa bedside monitor Physiological conditions such as an asystole or an apnea • ASY = Asystole • VF = ventricular Fibrillation No parameter could be derived Lead-Off condition Out-of-range values Blanks in the graphs *** *L* *** + + + (high) or - - - (low) *L* Blanks (Move the cursor over the blanks to display actual values.) Artifact *A* Lead wires, electrodes are unplugged *U* *U* Hardware failure *F* *F* Interference *I* No signal *N* Time change at bedside monitor VF8 *** *** *A* Blanks in the graphs Blank spaces Yellow line between trend columns Infinity CentralStation *** shaded Blanks in the graphs Blank spaces in the graph 15-7 15: Trends Condition Representation in Trend Table Representation in Trend Graphs Telemetry Patients Telemetry Patients Bedside Patients A trend event has been stored by initiating a mini-calc computation at the bedside. Change in units of measure Column designated with this symbol and a green time stamp New units take effect during the next patient admission. Power loss in server Telemetry receiver goes offline. not shown in graphs New units take effect during the next patient admission. Blank spaces are stored in place of trend values Blank spaces instead of trend values Relearning of ST complexes Changing of ST measuring points CHG 15-8 Bedside Patients Infinity CentralStation Blank spaces instead of trend values Vertical dotted line that extends through the entire graph Vertical solid line that extends through the entire graph VF8 16 Full/Event Disclosure Overview.......................................................................................................................16-2 Full/Event Disclosure Census Operations ................................................................16-2 Accessing the Census Screen .............................................................................16-2 Admitting a Patient to Full/Event Disclosure ............................................................16-5 Data Collection Rules ...........................................................................................16-5 To Manually Admit a Patient: ...............................................................................16-6 Accessing Disclosure History ....................................................................................16-6 Locking a Full/Event Disclosure Record ............................................................16-6 Accessing the Full/Event Disclosure Review Screen ..............................................16-7 Full Disclosure Review Screen...................................................................................16-8 Event Disclosure Review Screen ...............................................................................16-9 Full/Event Disclosure Review Screen Functions....................................................16-10 Full/Event Disclosure Storage/Display Options ...............................................16-12 Annotating Events ..............................................................................................16-14 Viewing Events ....................................................................................................16-15 Deleting Events ...................................................................................................16-16 Viewing Parameter Values .................................................................................16-16 Renaming/Reclassifying Events ........................................................................16-17 Disclosure Review Screen Cursor.....................................................................16-18 Full Disclosure ECG Caliper Tool ............................................................................16-19 Caliper Measure Screen ....................................................................................16-20 Caliper Review Screen........................................................................................16-24 Full/Event Disclosure Reports..................................................................................16-25 Exporting Full/Event Disclosure Data......................................................................16-26 Exporting Full Disclosure Data to a Third-Party Device..................................16-26 Exporting Events from Event Disclosure .........................................................16-27 Special Conditions ....................................................................................................16-28 16: Full/Event Disclosure Overview The Infinity CentralStation has the ability to store Full Disclosure waveforms continuously for a minimum of two hours to a maximum of 72 hours, depending on the configuration. The number of waveforms stored in Full Disclosure depends upon the configuration also. Event Disclosure is storage of arrhythmia, alarm events, or manually triggered events. Depending upon the license option, storage capacity for Event Disclosure is two to 72 hours and up to 1000 events per patient. Full/Event Disclosure Census Operations Accessing the Census Screen From Bed View: 1. Click on Review. 2. Click on Full Disclosure... or Event Disclosure.... 3. Click on Census in the menu bar. From Main Screen: 1. Click on View. 2. Click on Full Disclosure... or Event Disclosure.... 16-2 Infinity CentralStation VF8 Full/Event Disclosure Census Operations Census Screen Illustration Local - all patients with Full/Event Disclosure records on local Infinity CentralStation All - all patients with Full/Event Disclosure records on the Infinity Network Click on heading to sort columns Opens selected patient’s History window Opens Disclosure Review Screen Census Screen patient list VF8 Infinity CentralStation 16-3 16: Full/Event Disclosure Census Screen Selection Description Disclosure Care Units Select Patient: Available patient records are listed and can be sorted by clicking on one of the headings. Selection Description Full Full Disclosure data Event Event Disclosure data Local Patients with disclosure records being stored in the database of the Infinity CentralStation currently being used All Patients with disclosure records accessible on the Infinity Network Record Lock Denotes a “locked” record. Up to 16 records may be locked at one time. Time Disclosure record was acquired Sort order places most recent record first. Bed Infinity Network bed label Denotes Active/Inactive status When the symbol displays, disclosure data collection is active. Search Name Patient Name ID Patient ID Number Care Unit Care Unit Label • Name • ID • Bed Selects field that will be searched for keyword entered in the text entry box text box Text entry box for keyword search criteria (20-character maximum) Search Activates search function for information entered in to text box Undo Returns Census Screen View Data Opens selected patient’s disclosure review screen (Full or Event) History Opens selected patient’s disclosure history screen Manual Admit Assign... 16-4 Manually admit up to 2 additional patients to Disclosure data collection (See page 16-6) Infinity CentralStation VF8 Admitting a Patient to Full/Event Disclosure Admitting a Patient to Full/Event Disclosure Full/Event Disclosure storage begins automatically when a patient is admitted at the Main Screen of the Infinity CentralStation. There are two additional Manual Admit records for patients within a Monitoring Unit, but they may not be added at the Main Screen. NOTE: A Monitoring Unit is a logical group of beds that provide patient monitoring services such as alarm annunciation, recordings and remote control to its members. Data Collection Rules A patient remains admitted to the Infinity CentralStation and data storage continues for as long as the patient remains on the same monitor on the Infinity network. If the patient leaves the Monitoring Unit and returns with the same bedside monitor (Pick and Go) or to the same Infinity CentralStation, data storage resumes automatically when the patient is reconnected to the Infinity Network. If the patient’s monitor/Infinity CentralStation is different, the new care unit data is linked to the previous data set and is available on the patient’s Full or Event Disclosure Review screen. NOTE: If the bedside monitor is disconnected for a PICK AND GO purpose and is reconnected to the network, Disclosure storage resumes automatically. Whenever you remove a bedside monitor from the network, small gaps will appear in the Full Disclosure waveforms. Once the Full/Event Disclosure capacity is reached (4, 8, 12, 16, or 32 patients, depending on server option) new patients can be admitted as patients are discharged and slots become available. The Infinity CentralStation database permits storage of “active” and “inactive” patient records. The total number of “inactive” records available is calculated using the formula: 64 – (n +2), with “n” equal to the number of active patients. “Inactive” records are included in the Census Screen patient list and have no “active data collection” symbol (16-4). Stored waveforms for patients who are removed from Main Screen are saved and sorted according to time spent, and have an inactive status. As soon as the storage capacity is reached, the oldest data is replaced by the most recent. Each inactive record deletes automatically after 72 hours, except when the record is locked (16-4). VF8 Infinity CentralStation 16-5 16: Full/Event Disclosure To Manually Admit a Patient: You can admit two additional patients to Full/Event Disclosure as follows. 1. Open the Census screen (16-2). 2. Click on the button labeled Assign... in the Manual Admit section of the Census screen. The Manual Assign Bed popup displays 3. Double-click on the patient you wish to admit, or Highlight the patient you wish to admit and click on Accept. Accessing Disclosure History 1. Open the Census screen (16-2). 2. Highlight the desired record in the Census screen patient list (16-3). 3. Click on History. The Patient Care History popup displays. 4. Select the record you wish to view. 5. Click on View Data. Locking a Full/Event Disclosure Record You can lock up to 16 disclosure records in each Infinity CentralStation database. When you lock the record, data will not be automatically deleted. When all 16 locks are used, the button is ghosted. To Lock/Unlock a Record: 1. Access the Patient Care History popup. 2. Select the record you wish to lock or unlock. 3. Click on the Lock/Unlock toggle button. NOTE: If Clinical Password is enabled on the Biomed - Configure Central screen (18-3), you will need that password to unlock a record. 16-6 Infinity CentralStation VF8 Accessing the Full/Event Disclosure Review Screen Accessing the Full/Event Disclosure Review Screen From Main Screen: 1. Open the Census Screen (16-2) 2. Highlight a record in the Census screen patient list (16-3) to activate the View Data button. 3. Click on View Data to display the Full/Event Disclosure Review screen. From Bed View: 1. Click on Review. 2. Click on Full Disclosure... or Event Disclosure... The Full Disclosure screen displays in compressed screen (zoom out) format. NOTE: When moving between Disclosure screens and other screens (such as Trends) near a system time change, time stamps may be slightly different on the two screens. This occurs because the Infinity CentralStation and the bedside monitors have different methods of annotating time. These time differences do not affect the displayed data which correlates exactly in both applications to an internal time stamp. VF8 Infinity CentralStation 16-7 16: Full/Event Disclosure Full Disclosure Review Screen Patient Identification Time/date corresponding to cursor position Gain setting/lead label Time Line reflects Full/Event Disclosure Storage Option (16-1) When navigating through care units the time line changes to reflect the storage time of the selected care unit Selects number of waveforms to display Opens ECG Caliper Tool Screen 10 Selects viewing mode (Zoom In or Zoom Out) Generates Full Disclosure reports Navigates by page Permits scrolling through care unit data when electronic patient transfer or manual transfer When there is no previous or next care unit data, the arrow is ghosted and no care unit label displays. 11 Vertical scroll bar 12 Time/date of oldest displayed data All time changes that occur at the Infinity CentralStation are identified on the waveform by a yellow tick mark. Appended data is marked with a white tick mark, which represents the time the data was appended. 16-8 Infinity CentralStation VF8 Event Disclosure Review Screen Event Disclosure Review Screen When you open the Review-Event Disclosure screen, the most recent event information displays along with its associated waveform (if the waveform is being stored). 1 Patient Identification 2 Time/date corresponding to cursor position 3 Click symbol so a check mark displays to select an event for the shift report. When an event is annotated, the comment displays. 4 Time line with tick marks for all stored events Prominent tick mark identifies displayed event 5 Displays parameter values at time of the event (16-16) Event class Deletes event classes Opens Reports submenu Permits reclassification of event 10 To set up event classes see (16-17). Scrolls to next/previous event on time line 11 Cause, lead, time, and date of stored event VF8 Infinity CentralStation 16-9 16: Full/Event Disclosure Full/Event Disclosure Review Screen Functions You can view a patient’s Disclosure data (Full or Event) in Zoom Out (compressed) or Zoom In (expanded) format. Zoom In For 1 channel approximately 36 seconds of data displays on a page. 16-10 Zoom Out For 1 channel approximately 9.5 minutes of data displays on a page. Infinity CentralStation VF8 Full/Event Disclosure Review Screen Functions Available functions on disclosure review screens are: Full Disclosure Event Disclosure • navigate through and view stored Full/Event Disclosure data for multiple care units (16-8) • generate reports (14-22) • select how many channels of data you wish to view (16-8) • view parameter values • select gain settings (16-12) • delete events (individual event or entire event class) • choose the order of the displayed waveforms • customize event storage • select waveforms for storage (16-12) • annotate events (16-14) • access ECG caliper tool (16-19) • reclassify events (16-17) • configure trend order setup for Graphical Trend Report (14-24) VF8 Infinity CentralStation 16-11 16: Full/Event Disclosure Full/Event Disclosure Storage/Display Options Function Steps Select waveforms for display 1.Click on Options on the Disclosure Review screen menu bar. 2.Click on Display Options... 3.Click on the channel’s Parameter button. A list of available settings appears. 4.Click on the desired setting. 5.Repeat steps 3 and 4 for each channel. Notes Cursor time appears in white text on the Patient Setup screen. Set display gain 1.Click on Options on the Disclosure Review screen menu bar. 2.Click on Display Options... 3.Click on the channel’s Gain/Scale button. A popup of available settings appears (16-13). 4.Click on the desired setting. 5.Repeat steps 3 and 4 for each channel. Turn pacer mark ON/OFF • Click on Pacer Mark toggle button on the Pacer marks for bottom of the waveform selection screen. bedside patients only display at the Infinity CentralStation if they are available at the bedside monitor. Select waveforms for storage 1.Click on Options on the Disclosure Review screen menu bar. 2.Click on Storage Options... 3.Click on each channel’s ‘Parameter’ button. 4.Click on the desired setting in the popup. Channel defaults: 1 - Lead II 2 - Lead V 3 - ART 4 - SpO2 Enable/Disable Automatic waveform tracking When Auto Track: is ON, the first four waveforms displayed at the bedside are stored automatically. When Auto Track: is OFF, you must manually select waveforms for storage. NOTE: When the Expanded Waveform locked option is installed, Autotracking is always ON. It cannot be disabled. • Click on Auto Track toggle button near the bottom of the Waveform Storage screen. WA R N I N G ! I f y o u c h a n g e l e a d s a t t h e b e d s i d e m o n i t o r a n d t h e I n f i n i t y C e n t r a l Sta t i o n A u t o Tra c k i s s e t t o O F F, y o u m u s t a l s o c h a n g e t h e l e a d s e l e c t i o n a t t h e I n f i n i t y C e n t r a l Sta t i o n . T h e b e d s i d e w a v e f o rm s m a y n o l o n g e r c o r r e s p o n d t o t h e I n f i n i t y C e n t r a l Sta t i o n w a v e f o r m s t o r a g e s e t t i n g s a n d d a ta may be missing. • Click on Accept, Undo, or Cancel. 16-12 Infinity CentralStation VF8 Full/Event Disclosure Review Screen Functions Available Gain Settings Parameter Available settings Default size ECG 0.25, 0.5, 1, 2, 4, and 8 mV 1 mV ART/IBP, LV, GP1, GP2, P1a-P3d 0 to: 20, 40, 50, 100, 125, 150, 175, 200, 225, 250, 300 mm Hg Adult 0 to 200 mm Hg/0 to 24 kPa Neonatal 0 to 100 mm Hg/0 - 16 kPa Pediatric 0 to 150 mm Hg/0 to 20 kPa) 0 to: 8, 12, 16, 20, 24, 32, 40 kPa PA, RV 0 to: 20, 40, 50 100, 125, 150 mm Hg 0 to: 4, 6, 8, 12, 16, 20 kPa 0 to 50 mm Hg/0 to 8 kPa LA, RA, CVP -5 to: 5, 15, 20, 25, 40, 50, 100, 150, 200, 250, 300 mm Hg -1 to: 2, 4, 5, 6, 8 kPa -5 to 20 mm Hg/ -1 to 5 kPa ICP -30 to 30, 0 to: 20, 40, 50, 100, 150, 200, 250, 300 mm Hg 0 to 20 mm Hg/0 - 4 kPa -4 to 4, 0 to: 1, 2, 3, 4, 8, 16 kPa SpO2 10, 20, 30, 40, 50, 60, 70, 80, 90, 100% 40% etCO2 0 to: 40, 60, 80 mm Hg 0 to: 5, 8, 12 kPa 0 to: 5, 8, 12% 0 to 40 mm Hg/0 to 5 kPa 0 to 5% 0 to 12%/0 to 12 kPa (MIB acquired) Ventilator flow (MIB) -5 to 5 L/min -10 to 10 L/min -20 to 20 L/min -50 to 50 L/min -100 to 100 L/min -200 to 200 L/min Adult -100 to 100 L/min Neonatal -20 to 20 L/min Pediatric -50 to 50 L/min Ventilator pressure (MIB) -5 to 25 cmH2O -10 to 50 cmH2O -20 to 120 cmH2O -5 to 25 cmH2O Agent (MGM): Halothane, Isoflurane, Enflurane, Seflurane, Desflurane 0 - 1%, 0 - 2%, 0 - 3%, 0 - 5%, 0 - 10%, 0 - 20% 0 - 3% O2 (MGM) 20 - 50%, 20-100% 20 - 100% Resp 5 - 100% 40% VF8 Infinity CentralStation 16-13 16: Full/Event Disclosure Annotating Events On the Event Disclosure Review Screen you can annotate clinically significant events. For example, you can add a remark to an event such as Chest Pain Decrease after administering medications. A maximum of 100 annotations can be stored per patient. If you attempt to store a comment once the maximum capacity has been reached, a popup appears alerting you that the storage capacity is full. If this happens, you must delete unnecessary comments to make room for new ones. A list of frequently used terms is available to select from to annotate an event. Annotating an event 1. Access the patient’s Event Disclosure Review screen (16-7). 2. Scroll to the desired event either by clicking within the Event window or by using the Next Event button. 3. Click the right mouse button to activate the annotate popup list. 4. Either click on a term within the popup or type in a new comment (maximum of 25 characters). 5. Click on Annotate to add the comment to the event database or on Exit to leave the popup without storing an annotation. After an annotation is assigned to an event, it appears at the top of the waveform of the Even Disclosure Review Screen. Creating Your Own Annotations List The annotations list contains a predefined set of terms that you cannot alter. However, you can add your own terms to the list (maximum capacity = 100 terms). 1. Open the patient’s Event Disclosure Review screen (16-7). 2. Click on the right mouse button to activate the Notes popup. 3. Type in the note and click on the + button to add the entry to the top of the list; or highlight the list item to delete and press the – button. NOTE: You cannot delete a predefined entry from the annotation list; you can only delete terms you have added manually. 16-14 Infinity CentralStation VF8 Full/Event Disclosure Review Screen Functions Viewing Events To view and navigate through stored events: Click on the time line of the Event Review screen and click on the Next Event arrows. Viewing a class of events 1. Click on the event class option button (see arrow) to display an event class list with the number of events for each. All is the default event class that displays when the screen opens and includes all stored events. NOTE: Only event classes that have had an event in the last 28, 48 or 72 hours (depending on the configured option) are listed unless the disclosure record was locked. 2. Click on the desired event class. VF8 Infinity CentralStation 16-15 16: Full/Event Disclosure Deleting Events You can either delete individual events or entire event categories. To delete an individual event 1. Open the Event Review screen (16-7). 2. Select the event you wish to delete. 3. Click on Delete... 4. Click on Event to delete the currently displayed event (the previous event is displayed; if no previous events exist, the next event is displayed instead). To delete an entire event class 1. Click on the Event Class button to display a list. 2. Click on the Event Class you wish to delete. 3. Click on Delete... to delete the entire Event Class. This activates a confirmation popup. 4. Click on Yes in the popup to delete all of the events for the selected class or on No to exit the popup without deleting any events. Viewing Parameter Values To see parameter values stored at the time of an event: 1. Open the Event Review screen (16-7). 2. Click on Show Parameters. Arrow buttons may appear on either side of the parameter screen popup depending on the number of stored parameters for the events. Use these arrows to scroll through the list. 16-16 Infinity CentralStation VF8 Full/Event Disclosure Review Screen Functions Renaming/Reclassifying Events You can rename any stored arrhythmia event using labels from a pre configured selection menu as follows: 1. Open the Event Review screen (16-7) and select the event you wish to rename. 2. Click on Reclassify. The Reclassify Event popup displays. The popup list includes all current Infinity arrhythmia class labels and ten additional labels with a preceding asterisk. These additional labels can either be the defaults or user-configured event names (18-5). 3. Select the desired event label and click on Accept. A confirmation popup displays which asks you to confirm that you want to reclassify the Current Event with your selection. 4. Click on Continue in the confirmation popup to accept the change or Cancel to keep the current label. The new label for the event displays on the Event Disclosure Review screen. If an event has a label that is user-configured, it is grouped in the event class, “other” (16-15). You can only reclassify events if they are in one of the following arrhythmia categories. Otherwise, the Reclassify button is ghosted on the Event Review Screen. VF8 ASY VF VT RUN AIVR CPT BGM TACH BRDY PAUSE SVT OTHER Infinity CentralStation 16-17 16: Full/Event Disclosure Disclosure Review Screen Cursor When you open a Disclosure Review screen data is centered around the cursor time, which appears at the top right of the screen. Changing the Cursor Time Left-click the mouse anywhere on the displayed waveforms to change cursor time. NOTE: Cursor time does not change when you scroll through the data or select a time on the time line. The cursor height varies with the number of channels selected. 1 Channel cursor 16-18 2 Channel cursor Infinity CentralStation VF8 Full Disclosure ECG Caliper Tool Full Disclosure ECG Caliper Tool An on-screen ECG caliper tool allows you to obtain, calculate, store, and review timebased interval measurements and averages using Full Disclosure. Before you can use the ECG caliper tool the Full Disclosure Channel 1 setting must be set to display ECG data (16-12). Accessing The ECG Caliper Screens 1. Open the Full Disclosure Review screen (16-7). 2. Position cursor over the ECG area you wish to measure. 3. Click on Calipers... A submenu displays. 4. Click on the desired function. Measure Executes Caliper Measure screen which uses 18 seconds of complete Full Disclosure ECG data following cursor time. Review NOTE: patient. VF8 Executes Caliper Review screen. The Review button is ghosted when no measurements are stored for the Infinity CentralStation 16-19 16: Full/Event Disclosure Caliper Measure Screen Waveform area - Right click mouse to move right caliper to any position on Waveform. Caliper positioning adjustment controls 10 Accepts/Saves measurements, calculations, and 11 Summary Table 12 Updates reference 13 Deletes last row of measurements 14 Cancels measurements 15 Resets selected row’s measurements to zero 16 Generates an immediate printed report of current measurements (14-18) Last saved reference lead, date, and time 16-20 averages Generates new row of caliper measurements Reference values (white text) Interval averages Current measurement (yellow text) Interval measurements and QTc Interval Advance Arrows rotate or “march” calipers to the next common interval in the strip. In order for the calipers to march, you must measure the first RR interval in the strip. 17 Left click mouse to move left caliper to any position on waveform. 18 Cursor date and time Infinity CentralStation VF8 Full Disclosure ECG Caliper Tool Waveform Area Cursor time marks the first second of an 18-second ECG strip that displays at the top of the Caliper Measure screen. If less than 18 seconds of data follows the cursor in the FD review screen, the last full 18 seconds of data will display. Initially the calipers appear at the beginning of the waveform but can be set by clicking the mouse buttons. Summary Table The summary table of the Caliper Measure screen displays interval measurements taken (16-21), calculated averages, and saved reference information (16-23). It includes up to ten Count rows that contain RR, PR, QRS, and QT interval measurement entries, and calculates QTc for each corresponding RR and QT entry. Interval Measurement Calculation RR avg Sum of RR intervals/quantity of samples PR avg Sum of PR intervals/quantity of samples QRS avg Sum of QRS intervals/quantity of samples QT avg Sum of QT intervals/quantity of samples QTc QT/square root of RR QTc avg Sum of QTc values/quantity of samples Taking Interval Measurements When the Caliper Measure screen first opens there is one highlighted row of measurements with zero values. As soon as one row of measurements is taken, these VF8 Infinity CentralStation 16-21 16: Full/Event Disclosure values display as Average measurements. All rows, except those containing no measurements, are used to calculate averages. To measure an interval: Your first measurement must be the RR interval in order to determine the QT interval. After you measure the first RR interval, measure the PR, QRS and QT intervals. 1. Move the cursor to the RR interval measurement box and click. The active measurement displays in yellow text. 2. Position the cursors over a complex in the ECG strip. 3. Right-click the mouse button to set the right caliper. 4. Left-click the mouse button to set the left caliper. NOTE: It is not possible to set negative measurement values. 5. Move the cursor to the next interval measurement box and click. 6. Repeat steps 2 through 5 for each desired measurement interval of that complex. Once you measure an RR interval between complexes, you can use the Interval Advance Arrows (16-20) to march or rotate the cursors the distance of the RR interval along the strip. After all your measurements are complete you can save the data for review or future report generation or you can print an ECG Caliper Report immediately. To save the measurements click on ACCEPT. To print an ECG Caliper report immediately click on Print Report. If you Cancel the Caliper Measurement screen without saving data, a popup displays. To save measurements not previously stored, click on Yes in the popup. 16-22 Infinity CentralStation VF8 Full Disclosure ECG Caliper Tool Adding/Removing/Changing Measurement Rows The Caliper Measure screen Summary Table holds up to ten rows of interval measurements that are used to determine averages. To add a row of interval measurements: 1. Click on New. A row of interval measurements with zero values is added and is highlighted. 2. Complete interval measurements for the complex (16-21). 3. Repeat steps 1 and 2 for each new row. You can have up to ten Count rows. To remove last row of interval measurements: The Delete Last Row button is ghosted until more than one row of measurements exists and the last row of measurements is highlighted. 1. Click on any interval measurement in the last measurement row to select and highlight the row. 2. Click on Delete Last Row to remove the row from the summary table. To reset a row of interval measurements: 1. Click on any interval measurement in a row to select and highlight the row. 2. Click on Clear to reset all measurements to zero. Saving References At the bottom of the summary table saved reference measurements appear in the row labeled Reference and display in white text. Reference Time: shows the last saved reference date and time. Reference measurements are displayed and stored with all associated caliper interval measurements until a new reference is selected. To save a reference: 1. Click on any interval measurement in a row to select and highlight the row. 2. Select Update Reference to save these reference measurements. When you save a new reference and reference values already exist, a popup displays requesting confirmation. 3. Select YES in the popup to update the reference. VF8 Infinity CentralStation 16-23 16: Full/Event Disclosure Caliper Review Screen The Caliper Review screen lists all saved caliper measurements in its summary table. It can contain up to 72 hours of saved measurements. From the Caliper Review screen you can: Delete saved measurements Generate a Caliper Report (14-18) Review - Caliper Review Screen Waveform Area Scroll through saved measurements. (Arrows are ghosted at beginning and end of stored data.) Deletes saved measurements Exit screen 16-24 Last saved reference lead, date, and time Generates Caliper Report (14-18) Summary Table Calipers display selected measurement (yellow text) Infinity CentralStation VF8 Full/Event Disclosure Reports When the Caliper Review screen opens the latest saved interval measurements, averages, and associated references display along with the ECG waveform. Whenever you click on an interval measurement in the summary table, the calipers display the measured interval on the actual complex in the waveform area. To open the Caliper Review screen see 16-19. To delete interval measurements: 1. Open the Caliper Review Screen. 2. Click on Delete. A popup displays. To remove all of the measurements in the summary table, click on Yes in the popup. Full/Event Disclosure Reports Reports that are generated at the Full/Event Disclosure Review screen follow. Full Disclosure Event Disclosure • Strip Report • Shift Report • Graphical Trend Report • Selected Events Report • One-Hour Report • 24-Hour Report • Selected Strip Report • Patient Status Report • Caliper Report Full/Event Disclosure report requests are printed to the laser printer even if you exit the screen. VF8 Infinity CentralStation 16-25 16: Full/Event Disclosure Exporting Full/Event Disclosure Data Exporting Full Disclosure Data to a Third-Party Device When exporting data, a minimum of a patient ID must be entered in the ADT screen. To Export Waveforms from Full Disclosure: The Export Waveforms feature exports up to 25 hours of four continuous waveforms to a compatible third party device (contact your local Dräger representative for a list of compatible third party devices). 1. Open the patient’s Full Disclosure Screen (16-7). 2. Click on Reports... A popup menu displays. 3. Click on Export Waveforms. NOTE: If the Export Waveforms selection is not listed, the destination IP address is not configured for the device. Consult the Hospital Biomedical Engineering Dept. The waveform export feature supports transfer of one file at a time, during which the Export Waveforms selection is ghosted. To Export Full Disclosure Data: The Export Strip feature exports up to 4 waveforms each containing 18 seconds of data in which the cursor time marks the center of the exported waveform segment. 1. Open the patient’s Full Disclosure Review Screen (16-7). 2. Click on the cursor to set the end time of the data to be exported. 3. Click on Reports. A popup menu displays. 4. Click on Export Strip. NOTE: If the Export Strip selection does not appear, the Infinity MegaCare IP address is not configured. Consult the Hospital Biomedical Engineering Dept. 16-26 Infinity CentralStation VF8 Exporting Full/Event Disclosure Data Exporting Events from Event Disclosure The Export Event feature exports 18 seconds of the selected event’s waveform data in which the event is the middle of the waveform segment, the event’s cause string (e.g. ASY), and the parameter values at the time of the event. To Export Event Disclosure Data: 1. Open the patient’s Event Disclosure. Review screen (16-7). 2. Access the desired event 3. Click on Reports... A popup menu displays. 4. Click on Export Event. NOTE: If the Export Event button does not appear, the Infinity MegaCare IP address is not configured. Consult the Hospital Biomedical Engineering Dept. VF8 Infinity CentralStation 16-27 16: Full/Event Disclosure Special Conditions Various situations during patient monitoring may affect Full/Event Disclosure data collection. Special Condition Effect The monitoring device is being powered up. • Full Disclosure data storage resumes accordingly. • No Events are stored until the monitor is operational. The monitoring device is powered down. The Full/Event Disclosure data is stored. CPS/IDS is offline, has failed, or is powered down. • Blank spaces appear in the Full Disclosure data for the duration of the interruption. • No events are stored during the interruption. The patient monitor is put in Standby mode. • Blank spaces appear in the Full Disclosure data for the mode duration. • No events are stored for the mode duration. Standby is canceled. Storage of Full/Event Disclosure data resumes. The patient is discharged at the bedside. Full/Event Disclosure data remains until manually deleted at the Infinity CentralStation. The patient demographics are changed. Full/Event Disclosure data is stored under the edited demographics. The bedside monitor is disconnected. • The Full Disclosure database shows blanks for the duration of the interruption. A message describes the absence of data. • No events are stored while the monitor is disconnected. The pod/cartridge or a signal source such as a transducer is connected. Full Disclosure data collection begins for any displayed parameter that was selected for the Full Disclosure application. The pod/cartridge or a signal source is disconnected. Blanks will appear in the Full Disclosure display of the parameter for the duration of the interruption. Network date and/or time changes. Up to 20 system time changes are stored. The time stamps on the waveforms and event calls mark the time the data was actually stored. The patient leads are changed at the bedside monitor while Full/ Event Disclosure automatic waveform tracking is OFF. 16-28 Data may be missing since the leads selected for display on the bedside monitor may no longer correspond to the Infinity CentralStation storage settings. Infinity CentralStation VF8 17 VentCentral Option Overview.......................................................................................................................17-3 The Ventilator Screen.................................................................................................17-5 Accessing the Ventilator Screen .........................................................................17-6 Waveform Area in Ventilator Screen ...................................................................17-6 Loops Area in Ventilator Screen..........................................................................17-7 Trend Area in Ventilator Screen ..........................................................................17-7 The Ventilator Settings Review Screen .....................................................................17-8 Accessing the Ventilator Settings Review Screen.............................................17-8 Parameter and Settings Order .............................................................................17-9 Special Conditions ..............................................................................................17-10 Ventilator View Setup Screen ...................................................................................17-11 Accessing the Ventilator View Setup Screen ...................................................17-12 Selecting Waveforms for Display ......................................................................17-12 Selecting Waveforms for the Trend Display .....................................................17-13 VentCentral Trend Parameters .................................................................................17-14 MIB Ventilator Alarms ...............................................................................................17-18 Ventilator Report........................................................................................................17-18 VentCentral Messages ..............................................................................................17-19 Ventilator and Device Messages/Labels..................................................................17-19 Dräger Cato Anesthesia System ......................................................................17-20 Dräger Cicero Anesthesia System ....................................................................17-21 Dräger Julian/Julian Primus/Primus Anesthesia System ...............................17-22 Dräger Narkomed IIC / IV / 6000 / 6400 Anesthesia System ............................17-25 Dräger Fabius GS/Fabius CE/Tiro Anesthesia System ...................................17-26 Dräger Apollo Anesthesia System ....................................................................17-28 Dräger Zeus Anesthesia System .......................................................................17-30 Ohmeda Modulus CD Anesthesia System ........................................................17-32 Dräger BabyLog Ventilator ................................................................................17-33 Dräger Evita 1 Ventilator ...................................................................................17-34 Dräger Evita 2 Ventilator ....................................................................................17-37 Dräger Evita 2D / 4 / XL Ventilator .....................................................................17-40 Dräger Savina Ventilator ....................................................................................17-43 P-B 7200/840 Ventilators ....................................................................................17-45 Taema Horus Ventilator......................................................................................17-47 Hamilton Galileo Ventilator ................................................................................17-49 17: VentCentral Option Maquet SV 300/SV 300A/Servoi Ventilator........................................................17-50 Maquet SV 900 Ventilator ...................................................................................17-52 Viasys Bear 1000 Adult Ventilator .....................................................................17-53 Viasys BearCub 750 Infant Ventilator .............................................................17-55 Baxter Vigilance/Vigilance II Cardiac Output Monitor ...................................17-57 etCO2/Respiratory Mechanics Pod ...................................................................17-58 17-2 Infinity CentralStation VF8 Overview Overview With the VentCentral option you can review a patient’s ventilator information at the Infinity CentralStation. NOTE: Certain parameters, identified as measured values, are derived from other values or settings provided by the ventilator and may not reflect actual values. See the operating instructions for your specific device for detailed information on derived measurements. The VentCentral option supports only modular monitors with VF and later software. If VentCentral is intended for use with an MIB device, the MIB must also have VF (or later) software. The displayed parameters and settings may originate from bedside monitor-connected devices, such as: NOTE: You cannot change any MIB-connected device settings from the Infinity CentralStation. Medical Information Bus (MIB)-connected Ventilators and anesthesia machines (See tables starting on page 17-19.) Infinity hemodynamic bedside monitors (parameters only) etCO2/Respiratory Mechanics Pod directly connected to a bedside monitor (parameters only) You may interact with the VentCentral option via three Ventilator screens: Ventilator screen Ventilator Settings Review screen Ventilator Setup screen WA R N I N G ! Ve n t i l a t o r d a ta s h o u l d b e u s e d f o r i n f o r m a t i o n a l p ur p o s e s o nl y. R e f e r t o t h e p r i m a ry m o n i t o r i n g d e v i c e b e f o r e making therapeutic or diagnostic decisions. Always verify alarm condition at the actual device. VF8 Infinity CentralStation 17-3 17: VentCentral Option Dräger has tested/validated the following supported MIB devices and software versions, and cannot make any claim for the reliability of data for other software versions. Device Software Version Dräger Babylog Ventilator 5.00 Dräger Evita 1 Ventilator Tested to published protocol Medibus Intensive Care 3.00/4.00 Dräger Evita 2 Ventilator 2.00 Dräger Evita 4 Ventilator 3.21 Dräger Evita XL ventilator 5.00 Dräger Savina ventilator 2.10 Hamilton Galileo Ventilator GMP02.11a Maquet SV 900 Ventilator not applicable Maquet SV 300/300A Ventilator 2.00 Maquet Servoi Ventilator 1.00 P - B 7200 Ventilator SP1/PM Revision .005 P - B 840 Ventilator 4-070212-85-D Taema Horus Ventilator 3.055/mdv -1.170 Dräger Cato Anesthesia System Tested to published protocol Medibus anesthesia devices 3.00/4.00 Dräger Julian Anesthesia System Dräger Cicero Anesthesia System (B, C, EM) Dräger Julian Primus Anesthesia System Dräger Primus Anesthesia System Tested to published protocol Medibus for Primus, Software 1.n, 2.n Dräger Fabius GS Anesthesia System Tested to published protocol Medibus anesthesia devices 4.00 Dräger Tiro Dräger Fabius CE Dräger Apollo Anesthesia Workstation Tested to published protocol Medibus anesthesia devices 4.03 Dräger Zeus® Anesthesia System 3.n Dräger Narkomed IIC 1.30 Dräger Narkomed IV 2.01 Dräger Narkomed 6000/6400 4.01 Ohmeda 7900 / Modulus CD anesthesia machine 2.8 etCO2/respiratory mechanics pod VF0 (and later versions) Viasys Bear 1000® Adult Ventilator 2020 Viasys BearCub® 750 Infant Ventilator Edwards/Baxter Vigilance/Vigilance II SvO2/CCO monitor 17-4 Tested to Viasys RS-232 communication protocol ER 11, revision E 4.42, 5.02 Infinity CentralStation VF8 The Ventilator Screen The Ventilator Screen Parameter box with fixed set of parameters If a parameter is not available, the area is blank. 8-hour trend of user-selected parameters Pressure vs. Volume Loop Flow vs. Volume Loop VF8 Select “1” for single loop and “4” for multiloop display. During multi-loop configuration, four successive loops (of different shades) show. All loops erase and the sequence restarts after the fourth loop is complete. Display of 3 waveform channels Waveform adjustment scale Infinity CentralStation 17-5 17: VentCentral Option Accessing the Ventilator Screen 1. Click on the patient’s Main Screen parameter box. For information on accessing a remote patient, refer to page 8-3. 2. Click on View. 3. Click on Ventilator. Scaling If the VentCentral waveforms, loops, or trends appear clipped, you can change the display size by clicking on the scale at the left edge of the waveform area or to the left of the trends. Waveform Area in Ventilator Screen The Ventilator screen allows you to select up to three waveforms for display and prioritize their order (page 17-12). If a waveform is not available from the bedside or the MIB-connected device, the next waveform in the priority list is used to fill the three waveform areas. If less than three waveforms are available, waveform areas are blank. Parameter Box The parameter boxes to the right of the waveform area may consist of MIB and/or Infinity parameters and cannot be changed. These parameter boxes are independent of the bedside monitor and do not flash when a parameter is in alarm. MIB parameters do not support units, limits, and/or alarm-off icons. For Infinity parameters a crossed bell icon appears next to the parameter label when the alarm function is turned off. 17-6 Infinity CentralStation VF8 The Ventilator Screen Loops Area in Ventilator Screen The real-time ventilator loops in the Ventilator screen are synchronous with the associated breath. Flow Volume is shown on the left and Pressure Volume on the right. Loops are drawn with the same display scale as the associated waveforms. Displaying Loops You can save and display a Reference Loop with the actual loop display. The color of the reference loop is magenta. The Ventilator screen can display a Single Loop or Multi-loop draw. Loop Parameter Box The parameter box next to the loop area contains dynamic compliance, dynamic resistance, and arterial blood gas values. If blood gas values are not available, the labels do not appear. The order and ranges of the parameters follow. Parameter Units Measurement Range pH pH, nmol/L 6.6 - 7.8 HCO3 mEq/l, mmol/L 1-200 mEq/l Hct (Hematocrit) 15-75% tHb (Hemoglobin) g/dl, g/100ml, g/L, mmol/L 5-25 g/dl PCO2 mmHg (kPa) 10-200 mmHg (1.333 - 26.66 kPa) PO2 mmHg (kPa) 10 - 700 mmHg (1.33 - 93.31 kPa) Trend Area in Ventilator Screen Three trend graphs on the Ventilator screen show the most recent 8 hours of trend data for user-selected parameters (page 17-13). If a selected parameter is not available from the bedside/MIB device, the next parameter from the Trends Setup screen is automatically displayed. If less than three parameters are available, the Ventilator screen parameter graph is blank. VF8 Infinity CentralStation 17-7 17: VentCentral Option The Ventilator Settings Review Screen Ventilator type Selected units of measure at the MIB device or ventilator Most recently updated measurement value Certain parameters, identified as measured values or settings, are derived from the values provided by the ventilator and may not reflect actual values. Most recent setting of the ventilator/MIB device Time and date the setting was modified Generates Ventilator report (Chapter 14) Scroll bar for accessing additional parameters Parameter or setting labels Accessing the Ventilator Settings Review Screen 1. Click on the patient’s parameter box. 2. Click on Review. 3. Click on Ventilator Settings Review. 17-8 Infinity CentralStation VF8 The Ventilator Settings Review Screen Parameter and Settings Order The Ventilator Settings Review screen displays settings and supported parameters sent by the connected MIB device, Infinity bedside monitor, or compatible bedside monitor pod. NOTE: The Infinity CentralStation does not support Acoustic Evoked Potential (AEP) and Somatosensory Evoked Potential (SEP) functions that are enabled at a bedside monitor. Each Ventilator Settings Review screen parameter and setting displays in a fixed order. If a setting or parameter is not available, the corresponding field on the Ventilator Settings screen is blank. Additional settings and parameters not assigned to the fixed order are at the end of data received from the MIB-connected device. Parameters/settings sent to Infinity monitors for various MIB-compliant devices are listed in tables starting on page 17-19. Order Description 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Ventilator type Ventilator mode CMV frequency SIMV frequency PEEP (End Expiratory Pressure) PEEP RRv (measured respiration rate) O2 concentration PIP (Peak Airway Pressure) MAP (Mean Airway Pressure) Pause Airway Pressure End Expiratory Flow Tvi (Tidal Volume inspired) TVe (Tidal volume expired) Tve s (Tidal Volume Expired spontaneous) Minute Volume inspired (MV i) Minute Volume expired Minute volume expired spontaneous (MVe s) Dynamic compliance (Cdyn) Dynamic resistance I of I:E I-Part E of I:E E-Part end-tidal CO2 (etCO2) CVP SpO2 VF8 Parameter Infinity CentralStation Setting 17-9 17: VentCentral Option Order Description 26 27 28 iCO2 etCO2* iCO2* Parameter 29 30 31 32 33 34 pH HCO3 Hematocrit (Hct) Hemoglobin (tHb) PCO2 PO2 Setting Blood Gas Parameters 35 36 37 Other Parameters and settings Barometric pressure Additional parameters from Ventilator/MIB devices (see tables starting on page 17-19) Additional settings from Ventilator/MIB devices (see tables starting on page 17-19) Special Conditions Special Conditions Affecting Ventilator Settings Review Screen Condition Effect Disconnected parameter hardware The VentCentral application is not available and cannot be accessed for the respective patient. Reset of MIB- device, bedside monitor, or Infinity CentralStation The Ventilator Settings screen time stamp reflects the first setting following the reset. Bedside monitor PICK AND GO The Ventilator Settings screen time stamp reflects the monitor’s reconnect to the network. First connection of MIB-compliant ventilator, etCO2/Respiratory Mechanics Pod, or Delta/ Delta XL monitor Time stamp reflects the first setting received after the device is connected. Blood gas values stored for more than 30 minutes Values are removed from the VentCentral screen. Device sends more digits than the Ventilator Settings screen field can accommodate Instead of the parameter values, overflow characters display. 17-10 Infinity CentralStation VF8 Ventilator View Setup Screen Ventilator View Setup Screen The Ventilator View Setup screen permits selecting an individualized display for a selected patient Reverts to previous settings Accepts new settings/changes Opens Waveforms Setup screen Fixed - Always shows Flow vs. Volume and Pressure vs. Volume Opens Trends Setup screen Restores system defaults Saves current setup as system default for all patients Top ventilation waveform VF8 Infinity CentralStation 17-11 17: VentCentral Option Accessing the Ventilator View Setup Screen 1. Click on the patient’s Main Screen parameter box. To access a remote patient, see page 8-3. 2. Click on Setup. 3. Click on Ventilator View Setup. Selecting Waveforms for Display You can set up the display priority of ventilator parameters. NOTE: If a selected waveform is not available from the bedside monitor, the next waveform is selected to fill available Infinity CentralStation waveform channels. 1. Open the Ventilator View Setup screen (page 17-12). 2. Click on Setup Waveforms. The Waveforms Setup popup displays. Parameters selected for display Arrows permit changing the priority order of selected waveforms 17-12 Arrows permit moving selected parameters from one window to the other Available parameters Infinity CentralStation VF8 Ventilator View Setup Screen 3. Select the desired display configuration. The left/right arrows move desired waveforms from the display window to the Waveforms window. The up/down arrows move parameters in a desired sort order. NOTE: You may select several parameters at once before you move them from one window to the other. 4. Click on Accept to save or Cancel to keep prior settings. 5. Click on Save as System Defaults in the Ventilator View Setup screen to retain this setup as the system default. Selecting Waveforms for the Trend Display To select and prioritize ventilator parameters for trend display: 1. Open the Ventilator View Setup screen (page 17-12). 2. Click on Setup Trends. The Trends Order Setup popup displays. Trends selected for display Arrows permit changing the priority order of selected trends Cancels current setup Arrows permit moving selected parameters from one window to the other Accepts current setup Available parameters for selection VF8 Infinity CentralStation 17-13 17: VentCentral Option 3. Select the desired display configuration. The left/right arrows move the desired parameters from the display window to the Trend window. The up/down arrows move parameters in a desired sort order. NOTE: You can select several parameters at once to move them from one window to the other. 4. Click on Accept to save or Cancel to keep prior settings. 5. Click on Save as System Defaults in the Ventilator View Setup screen to keep this setup as the system default. VentCentral Trend Parameters Parameter Label Definition Heart Rate HR ECG measurement Ventilation AW-Temp Airway temperature Cdyn Dynamic compliance C20/Cdyn Dynamic compliance over last 20% of breath. etCO2 End-tidal carbon dioxide InspT% I:E ratio (inspiratory component)% ICO2 Inspired CO2 (etCO2) iO2 Inspired oxygen iPEEP Peak end expiratory airway pressure, intrinsic MAP Mean airway pressure Mve Minute volume, expired MV s% Minute volume, spontaneous MValv Minute volume, alveolar, total MVe Expired minute volume MVi Inspired minute volume PAP Peak airway pressure Pause Pause pressure PeCO2 Mixed expired carbon dioxide PEEP Peak end expiratory airway pressure PEF Peak expiratory flow 17-14 Infinity CentralStation VF8 VentCentral Trend Parameters Parameter Label Definition Ventilation (Continued) PIF Peak inspiratory flow Raw Dynamic resistance Raw e Expired airway resistance Raw i Inspiratory dynamic resistance RRv Respiratory rate RRs Respiratory rate, spontaneous RRm Respiratory rate, mechanical RSBI Rapid shallow breathing index Te Expiratory time Ti Inspiratory time TVe Tidal volume, expired TV Leak Leakage, system TValv m Tidal volume, alveolar, mechanical TValv s Tidal volume, alveolar, spontaneous Tva Tidal volume, alveolar, total TVd/TV aw Dilution ratio, airway TVCO2 CO2, tidal volume TVe Expired tidal volume TVi Inspired tidal volume TVi m Tidal volume, inspiratory, mechanical TVi s Tidal volume, inspiratory, spontaneous TVd aw Dead space, airway (Vds) VCO2 CO2 production, minute volume WOBimp Work of Breath imposed Pulse Oximetry SpO2/SPO2* oxygen saturation PLS/PLS* Pulse rate Δ SpO2 Delta SpO2 Respiration RR Respiratory rate RR Respiratory rate (etCO2) RV Respiratory rate VF8 Infinity CentralStation 17-15 17: VentCentral Option Parameter Label Definition Temperatures T1, T2, T3 Temperature Basic temperature Pressures ART Arterial pressure CPP Cerebral perfusion pressure CVP Central venous pressure GP1 General pressure 1 GP2 General pressure 2 ICP Intracranial pressure LA Left-atrial pressure NIBP Non-invasive blood pressure P1 P1 pressure P2 P2 pressure PA Pulmonary arterial pressure PWP Pulmonary Wedge Pressure RA Right arterial pressure Ventricular pressure Cardiac Output BT Blood temperature CCO Continuous cardiac output CCI Continuous cardiac index CCO Continuous cardiac output DO2 Oxygen delivery or availability FiO2 Fraction of inspired O2 ICI Intermittent cardiac output index ICO Intermittent cardiac output PVR Pulmonary vascular resistance PVRI Pulmonary vascular resistance index SVR Systemic vascular resistance SVRI Systemic vascular resistance index 17-16 Infinity CentralStation VF8 VentCentral Trend Parameters Parameter Label Definition Cardio Respiration SaO2 Saturation of arterial oxygen SvO2 Saturation of venous oxygen VO2 Oxygen consumption TCP/CO2 TCO2 Transcutaneous carbon dioxide ht pwr Heater power O2 Oxygen concentration Anesthesia etCO2 End-tidal carbon dioxide eO2 Expired O2 iCO2 Inspired CO2 FiO2 Fraction of inspired O2 RRc* Respiration rate SEV Sevoflurane iDES Inspired desflurane etDES End-tidal desflurane iENF Inspired enflurane etENF End-tidal enflurane iHAL Inspired halothane etHAL End-tidal halothane iISO Inspired isoflurane etISO end-tidal isoflurane iN2O Inspired nitrous oxide etN2O End-tidal nitrous oxide Lab data HCO3 Bicarbonate hct Hematocrit tHb Hemoglobin concentration pCO2 Partial pressure CO2 pH Blood pH pO2 Partial pressure O2 VF8 Infinity CentralStation 17-17 17: VentCentral Option MIB Ventilator Alarms MIB-connected ventilators: Orange alarm messages appear in the lower right corner of the topmost Main Screen waveform channel and are available without the VentCentral option enabled. WA R N I N G ! Ve n t i l a t i o n a l a rm s f u n c t i o n i n d e p e n d e n t l y f r o m t h e b e d s i d e m o n i t o r. T he b e d s i de mo ni t o r d oe s no t a nn un c i a t e v e n t i l a t i o n a l a rm s . T he c o n n e c t e d v e n t i l a t o r a l l o w s n o r e m o t e c o n t r o l . In the VentCentral screens alarm messages appear on the right side of the information area (see arrow).When an MIB-connected ventilator is active at the Infinity CentralStation and the signal is lost, the Infinity CentralStation sounds a one-shot alarm and displays the message, MIB Disconnected NOTE: MIB alarm messages will be sent to and displayed at the Infinity CentralStation when you put a patient’s bedside monitor in standby mode. Parameter boxes in the VentCentral screens that originate at MIB-connected ventilators do not flash when they are in alarm. Alarm messages that originate at MIB-connected ventilators are displayed for as long as the ventilator sends them. If multiple alarm conditions occur simultaneously, the messages rotate. Alarms that originate from the etCO2/Respiratory Mechanics Pod can be silenced remotely when the corresponding remote silence function is enabled. Ventilator Report For detailed information on ventilator reports and how to request them, see page 14-19. 17-18 Infinity CentralStation VF8 VentCentral Messages VentCentral Messages Message Description Action Trend data not available When you admit a new patient to Main Screen, it takes a moment for the trend data to be compiled. Within 1 minute the database will contain trend data. Exit and re-enter the trend application. No trend parameters selected Trend parameters have not been selected. Select trend parameters (page 17-13). Serious Alarm at <%s> There is an MIB alarm at the corresponding bed. Check the patient. MIB Disconnected MIB cable is disconnected Re-connect MIB cable Ventilator and Device Messages/Labels Tables on the following pages list messages, labels, and settings sent by various MIBconnected devices to the Infinity bedside monitors for display at the Infinity CentralStation. Please refer to the table on page 17-9 for information about display of these data on the Ventilator Settings Review screen and the Ventilator report. CAUTION! The following tables list possible labels and messages for identification purposes. For complete information about message interpretation and device operation, please refer to the equipment documentation. VF8 Infinity CentralStation 17-19 17: VentCentral Option Dräger Cato Anesthesia System NOTE: The Dräger Cato Anesthesia System is not commercially available in the U.S. and its future availability cannot be ensured. Parameter Label Description Displayed in... e[HAL, ISO, ENF, SEV, DES] i[HAL, ISO, ENF, SEV, DES] eCO2 iCO2 eO2 iN2O iO2 MAP MVe Pause PIP PEEP Expired agent Ventilator screen (page 17-6) RRc RRv TVe 17-20 Inspired agent Expired CO2 Inspired CO2 Expired O2 Inspired N2O Inspired O2 Mean Airway Pressure Expired Minute Volume Pause Pressure Peak Inspired Airway Pressure Peak End Expiratory Airway Pressure Respiratory rate Respiratory rate Tidal volume, expired breath Infinity CentralStation VF8 Ventilator and Device Messages/Labels Dräger Cicero Anesthesia System NOTE: The Dräger Cicero Anesthesia System is not commercially available in the U.S. and its future availability cannot be ensured. Parameter Label Description Displayed in... HAL, ISO, ENF, SEV, DES eO2 iN2O iO2 MAP MVe Pause PIP PEEP RRc RRv TVe Expired and inspired agent Ventilator screen (page 17-6) Expired O2 Inspired N2O Inspired O2 Mean Airway Pressure Minute Volume, expired Pause Pressure Peak inspired airway pressure Peak end expiratory airway pressure Respiratory rate Respiratory rate Tidal volume, expired breath Selected Settings HAL, ISO, ENF, SEV, DES eO2 VF8 Tidal volume, expired breath Ventilator Settings screen (page 17-8) Tidal volume, inspired breath Infinity CentralStation 17-21 17: VentCentral Option Dräger Julian/Julian Primus/Primus Anesthesia System NOTE: The Dräger Julian Primus and Dräger Primus Anesthesia Systems are not commercially available in the U.S. and their future availability cannot be ensured. Parameter Label Description Displayed in... [HAL, ISO, ENF, SEV, DES] ECO23 or etCO2 etCO2 eN2O eO2 or etO2 iN2O iCO21 iO2 MAP MVe Pause PIP PEEP RRc RRv Expired and inspired agent Ventilator Settings screen (page 17-8) TVe Cdyn1 Baro Prsr1 Leakage1 iMAC1 eMAC1 APNEAt1 Delta O21 Expired CO2 End Tidal CO2 Expired N2O Expired O2 Inspired N2O Inspired CO2 Inspired O2 Mean Airway Pressure Minute Volume, expired Pause Pressure Peak inspired airway pressure Peak end expiratory airway pressure Respiratory rate (CO2) Respiratory rate (Volume/flow/pressure/ derived) Tidal volume, expired breath Compliance Barometric Pressure Leakage Inspired MAC (minimum alveolar concentration) Expired MAC Apnea Duration (iO2 - eO2) Selected Settings iO2 set TVi set1 Ti set1 IPPV FREQ1 INT PEEP set1 P Support1 PIP set1 FLOW trig set1 F Gas Flow 17-22 iO2 setting Tidal volume, inspired breath Inspiratory Time frequency Intermittent PEEP Support Pressure Maximum Inspired Airway Pressure Flow Trigger Fresh Gas Flow Infinity CentralStation Ventilator Settings screen (page 17-8) VF8 Ventilator and Device Messages/Labels Alarm Messages Message Description Displayed in... APNEA Paw > HI LIM Ventilator Alarm Apnea Airway pressure > high limit • Inspired Agent > High Limit1 • Expired Agent > High Limit1 • Mean Airway Pressure < -2 mbar • Problems with Ventilator1 • Internal Temperature High1 • Gas Supply Alarm1 • Ventilator Communication lost1 • Fresh Gas delivery failure1 • O2 Cylinder empty without wall supply1 • O2 Cylinder not connected1 • N2O Cylinder empty1 • N2O delivery failure1 • O2 delivery failure1 • Air delivery failure1 • Internal/external switch over valve error1 • Circle Occluded1 • Ventilator not in locked position1 O2 Supply Pressure Low Inspiratory O2 < low limit Breathing System Disconnected Airway temperature > high limit N20 delivery failure Air delivery failure Fresh gas failure O2 delivery failure No fresh gas Main Screen-lower right hand corner of the top waveform channel O2 SUPPLY? iO2 < LO LIM Patient Disconnect1 AW-TEMP>HI LIM1 N20 Fail1 Air Fail1 Fresh Gas Fail1 O2 Fail1 No Fresh Gas1 Bed View-information area, right below menu buttons Alarm causes that are labelled as ‘Ventilator Alarm’ refer to nonclinical device conditions. All other alarm messages refer to clinical events that violate a setting that can be configured at the ventilator. Waveforms1 Paw Flow CO2 Loops VF8 Airway Pressure Ventilator Screen (page 17-5) Flow (Insp/exp) Only 2 waveforms can display. If CO2 is available, Paw displays with it. Flow is only available if CO2 is not. Infinity CentralStation 17-23 17: VentCentral Option Mode Display Mode at Device IPPV SIMV PCV VCV Standby PSV Man/Spont Fresh Gas external Pressure Support added to Volume Control Pressure Support added to Pressure Control 1Applicable only to Dräger Primus In some languages IPPV is used for CMV or VC Applicable only to Dräger Julian 17-24 Infinity CentralStation Mode at Infinity CentralStation IPPV2 SIMV PC VC Standby PS Man/Spont Fresh Gas EXT VC+PS PC+PS VF8 Ventilator and Device Messages/Labels Dräger Narkomed IIC / IV / 6000 / 6400 Anesthesia System Parameter Label Description Displayed in... i[HAL, ISO, ENF, SEV, DES] e[HAL, ISO, ENF, SEV, DES] etCO2 iCO2 eO2 or etO2 iO2 iN2O etN2O MAP MVe PIP PEEP RRc RRv TVe Inspired agent Ventilator Settings screen (page 17-8) Expired agent Expired CO2 Inspired CO2 Expired O2 Inspired O2 Inspired N2O Expired N2O (6000 and 6400 only) Mean Airway Pressure Minute Volume, expired Peak inspired airway pressure Peak end expiratory airway pressure Respiratory rate Respiratory rate Tidal volume, expired breath Selected Settings (IIC and IV only) iO2 set Waveforms Paw Flow Alarms APNEA Paw > HI LIM iO2 > HI LIM Ventilator Alarm O2 SUPPLY? No Fresh Gas Low Battery PEEP > HI LIM MVe < LO LIM etCO2< LO LIM etCO2>HI LIM VF8 iO2 setting Ventilator Settings screen (page 17-8) Airway Pressure Flow (Insp/exp) Ventilator Screen (page 17-5) Apnea Airway pressure > high limit Inspired O2 > high limit • Agent > High Limit • Ventilator failure • Ventilator Communication lost • Mean Airway Pressure < -2 mbar • CO2 device error • Check expiration valve O2 Supply Pressure Low No fresh gas Low battery PEEP exceeds high limit MVe below lower alarm limit etCO2 below lower limit etCO2 exceeds upper limit Main Screen-lower right hand corner of the top waveform channel Bed View-information area, right below menu buttons Alarm causes that are labelled as ‘Ventilator Alarm’ refer to nonclinical device conditions. All other alarm messages refer to clinical events that violate a setting that can be configured at the ventilator. Infinity CentralStation 17-25 17: VentCentral Option Dräger Fabius GS/Fabius CE/Tiro Anesthesia System NOTE: The Dräger Fabius CE Anesthesia System is not commercially available in the U.S. and its future availability cannot be ensured. Parameter Description Displayed in... Pause iO2 MAP MVe PIP PEEP RRv TVe Air Flow4 N2O Flow4 O2 Flow4 Plateau Pressure Inspired O2 Mean Airway Pressure Minute Volume, expired Peak inspired airway pressure Peak end expiratory airway pressure Respiratory rate Tidal volume, expired breath Air flow (Fabius GS only) Nitrous oxide flow Oxygen flow Ventilator Settings screen (page 17-8) Setting Description Displayed in... TVi set I:E I part I:E E part IPPV FREQ INT PEEP set PIP set FLOW Trig set 1 i FLOW set1 P Support1 Inspired Tidal Volume setting I:E ratio - inspiratory component I:E ratio - expiratory component IPPV frequency setting Intermittent PEEP setting PIP setting Flow trigger Level setting Inspiratory flow setting Support pressure Ventilator Settings screen (page 17-8) 17-26 Infinity CentralStation VF8 Ventilator and Device Messages/Labels Alarm Messages Description Displayed in... APNEA Apnea Paw > HI LIM Ventilator Alarm Airway pressure > high limit • Mean Airway Pressure < -2 mbar • PEEP > Pressure Threshold for 15 seconds • Problems with Respirator • No Fresh Gas • Check APL Valve • Pressure Measurement Inoperable2 • Internal System Fault2 • Power Supply Error2 • Problems with Ventilator2 • Loss of Data2 O2 Supply pressure low Inspiratory O2 < low limit Battery low Breathing system disconnected Check APL valve Main Screen-lower right hand corner of the top waveform channel O2 SUPPLY? iO2 < LO LIM BATTERY2 Patient Disconnect2 APL Valve?1 Bed View-information area, right below menu buttons Alarm causes that are labelled as ‘Ventilator Alarm’ refer to nonclinical device conditions. All other alarm messages refer to clinical events that violate a setting that can be configured at the ventilator. Waveforms Paw Flow Loops1 Airway Pressure Flow (Insp/exp) Ventilator Screen (page 17-5) Mode Display Mode at Device IPPV SIMV1 PCV1 Standby PSV1 Man/Spont Fresh Gas external 1Not applicable to Dräger Fabius CE 2Applicable only to Dräger Fabius CE 3In some languages IPPV is used for CMV or VC 4Applicable only to Dräger Fabius GS VF8 Mode at Infinity CentralStation IPPV3 SIMV PC Standby PS Man/Spont Fresh Gas EXT Infinity CentralStation 17-27 17: VentCentral Option Dräger Apollo Anesthesia System NOTE: The Dräger Apollo Anesthesia System is not commercially available in Canada and its future availability cannot be ensured. Parameter Description Displayed in... [HAL, ISO, ENF, SEV, DES] ECO2 eO2 iN2O iO2 MAP MVe Pause PIP PEEP RRc RRv TVe Baro Prsr Leakage iMAC eMAC APNEA t Delta O2 Expired and inspired agent Ventilator Settings screen (page 17-8) Expired CO2 Expired O2 Inspired N2O Inspired O2 Mean Airway Pressure Minute Volume, expired Pause Pressure Peak inspired airway pressure Peak end expiratory airway pressure Respiratory rate Respiratory rate Tidal volume, expired breath Barometric Pressure Leakage Inspired MAC Expired MAC Apnea Duration (iO2 - eO2) Setting Description Displayed in... TVi set I:E I part I:E E part IPPV FREQ INT PEEP set PIP set Inspired Tidal Volume setting I:E ratio - inspiratory component I:E ratio - expiratory component IPPV frequency setting Intermittent PEEP setting PIP setting Ventilator Settings screen (page 17-8) 17-28 Infinity CentralStation VF8 Ventilator and Device Messages/Labels Alarm Messages Description Displayed in... APNEA Apnea Paw > HI LIM Ventilator Alarm Airway pressure > high limit • Mean Airway Pressure < -2 mbar • PEEP > Pressure Threshold for 15 seconds • Problems with Respirator • No Fresh Gas • Check APL Valve • Pressure Measurement Inoperable • Internal System Fault • Power Supply Error • Problems with Ventilator • Loss of Data O2 Supply Pressure Low Inspiratory O2 < low limit Battery Low Breathing System Disconnected Main Screen-lower right hand corner of the top waveform channel O2 SUPPLY? iO2 < LO LIM BATTERY Patient Disconnect Bed View-information area, right below menu buttons Alarm causes that are labelled as ‘Ventilator Alarm’ refer to nonclinical device conditions. All other alarm messages refer to clinical events that violate a setting that can be configured at the ventilator. Waveforms Paw Flow Loops Airway Pressure Flow (Insp/exp) Ventilator Screen (page 17-5) Mode Display Mode at Device IPPV SIMV PCV VCV Standby PSV Man/Spont Fresh Gas external Pressure Support added to Volume Control Pressure Support added to Pressure Control 1In some languages IPPV is used for CMV or VC VF8 Mode at Infinity CentralStation IPPV1 SIMV PC VC Standby PS Man/Spont Fresh Gas EXT VC+PS PC+PS Infinity CentralStation 17-29 17: VentCentral Option Dräger Zeus Anesthesia System NOTE: The Zeus Anesthesia System is not commercially available in the U.S. and its future availability cannot be ensured. Parameter Description Displayed in... Air Flow Baro Prsr Cdyn et[HAL, ISO, ENF, SEV, DES] etCO2 etN2O etO2 i[HAL, ISO, ENF, SEV, DES] iCO2 iN2O iO2 Leakage MAP MVe MVe s MVm N2O Flow O2 Flow O2 Supply Prsr Pause PIP Raw RRc RRm RRv TVe TVm TVs Air flow Barometric Pressure Compliance Expired agent Ventilator Settings screen (page 17-8) 17-30 Expired CO2 Expired N2O Expired O2 Inspired agent Inspired CO2 Inspired N2O Inspired O2 Leakage Mean Airway Pressure Minute Volume, expired Minute Volume, spontaneous Mandatory MV Nitrous oxide flow Oxygen flow O2 supply pressure Pause Pressure Peak inspired airway pressure Resistance Respiratory rate (CO2) Respiratory rate (mandatory) Respiratory rate (volume/flow) Tidal volume, expired breath Mandatory Tidal volume Spontaneous Tidal volume Infinity CentralStation VF8 Ventilator and Device Messages/Labels Setting Description Displayed in... ASB RAMP set F Gas Flow FLOW Trig set I:E E part I:E I part INT PEEP set IPPV FREQ PEEP set PIP set Te set Ti set TVi set Assisted spontaneous breathing ramp Fresh gas flow Flow trigger Level setting I:E ratio - expiratory component I:E ratio - inspiratory component Intermittent PEEP setting IPPV frequency setting PEEP setting PIP setting Expiratory time setting Inspiratory time setting Inspired Tidal Volume setting Ventilator Settings screen (page 17-8) Alarm Messages Description Displayed in... AIR SUPPLY? AW-TEMP>HI LIM etCO2< LO LIM etCO2>HI LIM iO2 > HI LIM iO2 < LO LIM MVe < LO LIM MVe > HI LIM O2 SUPPLY? Paw > HI LIM Ventilator Alarm Air supply low Airway temperature exceeds high limit etCO2 below lower limit etCO2 exceeds upper limit Inspiratory O2 exceeds high limit Inspiratory O2 below low limit MVe below lower alarm limit MVe exceeds upper alarm limit O2 Supply Pressure Low Airway pressure > high limit • Check Flow Sensor • Battery error • CO2 device error • Problems with respirator • Check expiration valve Main Screen-lower right hand corner of the top waveform channel Bed View-information area, right below menu buttons Waveforms CO2 Flow Paw Flow (Insp/exp) Airway Pressure Alarm causes that are labelled as ‘Ventilator Alarm’ refer to nonclinical device conditions. All other alarm messages refer to clinical events that violate a setting that can be configured at the ventilator. Ventilator Screen (page 17-5) Mode Display Mode at Device IPPV IPPV/AutoFlow PCV SIMV/AutoFlow Standby VF8 Mode at Infinity CentralStation IPPV IPPV PC SIMV Standby Infinity CentralStation 17-31 17: VentCentral Option Ohmeda Modulus CD Anesthesia System Parameter Description Displayed in... MAP MVe Pause PIP RRv TVe Mean Airway Pressure Minute Volume, expired Pause Pressure Peak inspired airway pressure Respiratory rate (volume/flow) Tidal volume, expired breath Ventilator Settings screen (page 17-8) iO2 setting Ventilator Settings screen (page 17-8) Selected Settings iO2 set 17-32 Infinity CentralStation VF8 Ventilator and Device Messages/Labels Dräger BabyLog Ventilator Parameters Gas Trans Coeff I:E l-Part iO2 TV Leak MAP MVe MVe / l MV s% PEEP PIP RRv TVeml TVhfml Gas transport coefficient Ventilator Settings screen (page 17-8) I:E ratio (Inspiratory component) Inspired O2 Leakage in system Mean airway pressure Expired minute volume - high resistance Expired minute volume - low resistance Minute volume, spontaneous fraction Peak end expiratory pressure Peak inspired airway pressure Respiratory rate - vol/flow Tidal volume, expiratory Tidal volume, high frequency Settings APNEA TIME FLOW i FLOW SIMV FREQ HFV AMPL HFV FREQHz I:E E-Part Te set I:E I-Part Ti set iO2 set MV ALM DLY MV HI LIM MV LO LIM PIP set PEEP set TRIG VOL Vent: VF8 Apnea time limit Expiratory flow setting Inspiratory flow setting Frequency, IMV High frequency ventilation (HFV) mode amplitude HFV mode frequency I:E ratio - expiratory component I:E ratio (expiratory time) I:E - inspiratory component Inspiratory time Inspired O2 setting Minute volume alarm delay Upper minute volume alarm limit Lower minute volume alarm limit PIP setting PEEP setting Trigger volume Babylog Ventilator Settings screen (page 17-8) Infinity CentralStation 17-33 17: VentCentral Option Dräger Evita 1 Ventilator NOTE: The Dräger Evita 1 Ventilator is not commercially available in the U.S. and its future availability cannot be ensured. Alarm Messages Description Paw > HI LIM Paw exceeds upper alarm limit AW -TEMP>HI LIM Airway temperature exceeds upper limit AW -TEMP INOP Airway temperature measurement inoperable Ventilator Alarm • Airway temperature sensor alarm • Check expiration - valve • Failed to cycle • The gas mixer is faulty • Faulty pressure measurement • Problems with respirator (Evita) • Respirator synchronization inoperable • The device temperature of the respirator is too high • Volume measurement unsuccessful • The volume is not constant • Faulty airway temperature measurement APNEA Apnea alarm ASB>4 SEC Patient AIR SUPPLY? O2 SUPPLY? iO2 > HI LIM IO2 < LO LIM % O2 ERR MVe < LO LIM MVe > HI LIM RR > HI LIM 17-34 Displayed in.... Main Screen-lower right hand corner of the top waveform channel Bed View-information area, right below menu buttons Alarm causes that are labelled as ‘Ventilator Alarm’ refer to non-clinical device conditions. All other alarm messages refer to clinical events that violate a setting that can be configured at the ventilator. ASB is longer than 4 sec Patient Disconnect Gas supply, air Gas supply, O2 iO2 exceeds higher limit iO2 is below lower alarm limit iO2 measurement inoperable Mve is below lower alarm limit Mve exceeds upper alarm limit RR exceeds upper alarm limit Infinity CentralStation VF8 Ventilator and Device Messages/Labels Parameter Labels Description AW Temp Cdyn I:E I-Part iO2 MAP MVe MVe s Occlusion Press Paw MIN Pause PEEP iPEEP PIP Raw RRv RRs TVe Trapped VOL Displayed in.... Airway temperature Ventilator Settings screen (page 17-8) Dynamic compliance I:E ratio (inspiratory component) Inspired O2 Mean airway pressure Expired minute volume Spontaneous expired minute volume Occlusion pressure Minimum airway pressure Pause pressure Peak end expiratory airway pressure Peak end expiratory airway pressure, intrinsic Peak inspired airway pressure Dynamic resistance Respiratory rate - vol/flow - pediatric Spontaneous respiratory rate Tidal volume expired breath Trapped volume Selected Settings Description Displayed in.... APNEA TIME ASB RAMP set Ventilator Settings screen (page 17-8) ASB set BIPAP HI P set BIPAP HI T set BIPAP LO P set BIPAP LO T set FLOW Trig set SIMV FREQ IPPV FREQ I:E E-Part I:E I-Part iO2 set MAX iFLOW set PIP set PEEP set VF8 Apnea time Assisted spontaneous breathing ramp Assisted spontaneous breathing BIPAP high pressure HIPAP high time BIPAP low pressure BIPAP low time Flow trigger Frequency, IMV - SIMV IPPV Frequency I:E ratio (expiratory component) I:E ratio (inspiratory component) Inspired O2 setting Maximum inspired flow PIP setting PEEP setting Infinity CentralStation 17-35 17: VentCentral Option Selected Settings Description (continued) Displayed in.... INT PEEP set TACHY LENGTH TACHY FREQ TVi set TRIG PRESS Vent: Ventilator Settings screen (page 17-8) 17-36 Intermittent PEEP setting Tachyapnea duration Tachyapnea frequency Inspired tidal volume Trigger pressure Evita 1 Infinity CentralStation VF8 Ventilator and Device Messages/Labels Dräger Evita 2 Ventilator Alarm Messages Paw > HI LIM AW -TEMP>HI LIM Ventilator Alarm APNEA ASB>4 SEC Patient Disconnect etCO2< LO LIM etCO2 > HI LIM AIR SUPPLY? O2 SUPPLY? iO2 < LO LIM iO2> HI LIM % O2 ERR MVe < LO LIM MVe > HI LIM PEEP > HI LIM RR > HI LIM VF8 Description Paw exceeds upper alarm limit AW -TEMP exceeds upper alarm limit • Airway temperature measurement unsuccessful • Check expiration - valve • Check flow sensor • CO2 device failure • CO2 not calibrated • CO2 sensor disconnected or malfunctioning • Failure to cycle • Gas mixer inoperable • Pressure measurement unsuccessful • Problems with respirator • Respirator synchronization inoperable • Device temperature is too high. • Volume measurement unsuccessful • Volume is inconsistent. • Airway temperature sensor alarm Apnea alarm ASB is more than 4 sec Patient may be disconnected from ventilator Displayed in.... Main Screen - lower right hand corner of the top waveform channel Bed View - information area right below the menu buttons. Alarm causes that are labelled as ‘Ventilator Alarm’ refer to non-clinical device conditions. All other alarm messages refer to clinical events that violate a setting that can be configured at the ventilator. etCO2 below lower alarm limit etCO2 exceeds upper alarm limit Gas supply alarm, air Gas supply alarm, O2 iO2 less than lower alarm limit iO2 exceeds upper alarm limit iO2 measurement unsuccessful MVe is below lower alarm limit MVe exceeds upper alarm limit PEEP exceeds upper alarm limit RR exceeds upper alarm limit Infinity CentralStation 17-37 17: VentCentral Option Parameter Labels Paw MIN AW-Temp VCO2 Cdyn TVd aw% TVd aw etCO2 I:E I-Part iO2 MAP MVe MVe s Occlusion Press Pause PEEP iPEEP PIP Raw RRv RRs TVe Trapped VOL 17-38 Description Minimum airway pressure Airway temperature CO2 production, minute volume Dynamic compliance Dead space Dead space, airway end-tidal CO2 I:E ratio (inspiratory component) Inspired O2 Mean airway pressure Expired minute volume Spontaneous expired minute volume Occlusion pressure Pause pressure Peak end expiratory airway pressure Intrinsic peak end expiratory airway pressure Peak inspired airway pressure Dynamic resistance Pediatric respiratory rate - vol/flow Spontaneous respiratory rate Tidal volume expired breath Trapped volume Infinity CentralStation Displayed in.... Ventilator Settings screen (page 17-8) VF8 Ventilator and Device Messages/Labels Selected Settings APNEA TIME Description Apnea time ASB RAMP set ASB set BIPAP HI P set BIPAP HI T set BIPAP LO P set BIPAP LO T set FLOW Trig set SIMV FREQ IPPV FREQ I:E E-Part I:E I-Part iO2 set MAX iFLOW set PIP set PEEP set INT PEEP set TACHY LENGTH TACHY FREQ TVi set TRIG PRESS Vent: Assisted spontaneous breathing ramp Assisted spontaneous breathing BIPAP high pressure limit BIPAP high time limit BIPAP low pressure limit BIPAP low time limit Flow trigger setting Frequency, IMV - SIMV Frequency IPPV I:E ratio - expiratory component I:E ratio - inspiratory component Inspired O2 setting Maximum inspired flow Peak inspired airway pressure PEEP setting Intermittent PEEP setting Tachyapnea duration Tachyapnea frequency Inspired tidal volume setting Trigger pressure Evita 2 VF8 Infinity CentralStation Displayed in.... Ventilator Settings screen (page 17-8) 17-39 17: VentCentral Option Dräger Evita 2D / 4 / XL Ventilator Alarm Messages Description Displayed in.... Paw > HI LIM AW-TEMP > HI LIM Paw exceeds upper alarm limit Upper airway temperature exceeds upper alarm limit Main Screen - in the lower right hand corner of the top waveform channel Bed View - in the information area right below the menu buttons Ventilator Alarm • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 17-40 AW-TEMP below lower alarm limit (Evita 2D / 4) AW-TEMP measurement unsuccessful Battery error (Evita XL) Check expiration valve Check flow sensor CO2 device error CO2 not calibrated (Evita 2D / 4) CO2 Zero/Cal required CO2 window dirty (Evita XL) CO2 sensor disconnected or faulty Cycle failure Gas mixer inoperable Pressure measurement unsuccessful Device malfunction (Evita 2D / 4) Synchronization malfunctioning (Evita 2D / 4) Volume measurement unsuccessful Volume not constant (Evita 2D / 4) Neonatal flow sensor is not at the Y-piece Pediatric volume measurement inoperable (Evita 2D / 4) Neonate volume measurement inoperable (Evita XL) PEEP valve is inoperable Problems with respirator Respirator synchronizations faulty Safety mode if neonatal flow sensor not available (Evita 2D / 4) Safety mode (Evita XL) Standby Loss of data Inspiratory time in CPAP/PPS mode is less than 4 seconds (Evita 2D / 4) Inspired time is greater than 1.5 seconds (Evita XL) Infinity CentralStation Alarm causes that are labelled as ‘Ventilator Alarm’ refer to nonclinical device conditions. All other alarm messages refer to clinical events that violate a setting that can be configured at the ventilator VF8 Ventilator and Device Messages/Labels Alarm Messages (continued) APNEA etCO2< LO LIM etCO2>HI LIM AIR SUPPLY? O2 SUPPLY? iO2 < LO LIM iO2 > HI LIM % O2 ERR MVe < LO LIM MVe > HI LIM PEEP > HI LIM PEEP ERR RR > HI LIM TVe > HI LIM ASB > 4 sec PATIENT DISCONNECT Apnea alarm etCO2 below lower limit etCO2 exceeds upper limit Gas supply alarm, air Gas supply alarm, O2 iO2 less than lower alarm limit iO2 exceeds upper alarm limit iO2 measurement unsuccessful MVe below lower alarm limit MVe exceeds upper alarm limit PEEP exceeds upper alarm limit PEEP valve inoperable (Evita 2D / 4) RR exceeds upper alarm limit TVe exceeds upper alarm limit Assisted Spontaneous Breathing exceeds 4 sec Ventilator disconnected (Evita XL) Main Screen - in the lower right hand corner of the top waveform channel Bed View - in the information area right below the menu buttons Parameters Paw MIN VCO2 Cdyn TVd aw% TVd aw etCO2 I:E I-Part I:E E-Part iO2 MAP MVe MVe s Occlusion Press Pause PEEP iPEEP PIP Raw RRv RRs Trapped VOL TVe AW-Temp VF8 Minimum airway pressure CO2 production, minute volume Dynamic compliance Dead space Dead space, airway End-tidal CO2 I:E ratio (inspiratory component) I:E ratio (expiratory component) Inspired O2 Mean airway pressure Expired minute volume Spontaneous expired minute volume spontaneous Occlusion pressure Pause pressure Peak end expiratory pressure Intrinsic peak end expiratory pressure (Evita 2D / 4) Peak inspired airway pressure Dynamic resistance Pediatric respiratory rate - vol/flow Spontaneous respiratory rate Trapped volume Tidal volume expired breath Airway temperature (Evita XL) Infinity CentralStation Ventilator Settings screen (page 17-8) 17-41 17: VentCentral Option Parameters (continued) Neg iForce Vtasb Negative inspiratory force (Evita XL) Assisted spontaneous breathing, Support volume (Evita XL) Ventilator Settings screen (page 17-8) Selected Settings APNEA TIME APRV Hi Prsr APRV Hi Time APRV Lo Prsr APRV Lo Time ASB RAMP set ASB set FLOW ASSIST FLOW Trig set SIMV FREQ I:E E-Part I:E I-Part iO2 set MAX iFLOW set PIP set PEEP set INT PEEP set TACHY FREQ TVi set TV set Vent: VOL ASSIST Patient Type Apnea time (s) APRV high pressure setting APRV high time APRV low pressure setting APRV low time Assisted spontaneous breathing ramp (s) Assisted spontaneous breathing Flow assist Flow trigger Frequency, IMV - SIMV I:E ratio - expiratory component I:E ratio - inspiratory component Inspired O2 setting Maximum inspired flow setting Peak inspired airway pressure PEEP setting Intermittent PEEP setting Tachyapnea frequency • Tidal volume, inspired • Tidal volume setting Inspired time (Evita XL) The selected ventilator type Volume assist Adult, Pedi, or Neonate (Evita XL) Ventilator Settings screen (page 17-8) Ventilation Mode Display (Evita XL) Ventilation Mode at Device IPPV, IPPV/Autoflow, IPPV/Assist/Autoflow, or IPPV/Assist SIMV, SIMV/ASB, SIMV/Autoflow, or SIMV/ASB/Autoflow CPAP, CPAP/PPS, or CPAP/ASB Standby MMV, MMV/Autoflow, or MMV/ASB/Autoflow BIPAP Assist CMV Waveforms (Evita XL) Paw Airway Pressure Flow Flow (Insp/exp) Loops Ventilator loops 17-42 Infinity CentralStation Mode at Infinity CentralStation IPPV SIMV CPAP Standby MMV BIPAP CMV Ventilator Screen (page 17-5) VF8 Ventilator and Device Messages/Labels Dräger Savina Ventilator Parameters Cdyn I:E I-Part I:E E-Part iO2 MAP MVe MVe s Pause PEEP PIP Raw RRv RRs TVe AW -Temp Max iFlow Ti Description Dynamic compliance I:E ratio (inspiratory component) I:E ratio (expiratory component) Inspired O2 Mean airway pressure Expired minute volume Spontaneous expired minute volume spontaneous Pause pressure Peak end expiratory pressure Peak inspired airway pressure Dynamic resistance Pediatric respiratory rate - vol/flow Spontaneous respiratory rate Tidal volume expired breath Airway temperature Peak Flow Inspired Time Displayed in... Ventilator Settings screen (page 17-8) Selected Settings APNEA TIME ASB set FLOW Trig set SIMV FREQ I:E E-Part I:E I-Part iO2 set PIP set PEEP set INT PEEP set Ti set TVi set Flow Accel Tdeconnect FREQbackup TVbackup VF8 Apnea time (s) Assisted spontaneous breathing Flow trigger Frequency, IMV - SIMV I:E ratio - expiratory component I:E ratio - inspiratory component Inspired O2 setting Peak inspired airway pressure PEEP setting Intermittent PEEP setting Inspired time setting Tidal Volume, Inspired Flow acceleration Disconnect time Backup frequency Backup of Tidal Volume Infinity CentralStation Ventilator Settings screen (page 17-8) 17-43 17: VentCentral Option Waveforms Paw Flow Loops Airway Pressure Flow (Insp/exp) Ventilator loops Ventilator Screen (page 17-5) Alarm Messages Description Displayed in... iO2 < LO LIM iO2 > HI LIM O2 SUPPLY? MVe < LO LIM MVe > HI LIM PEEP > HI LIM TVe > HI LIM Paw > HI LIM AW-TEMP > HI LIM APNEA RRv > HI LIM ASB > 4 sec BATTERY iO2 less than lower alarm limit iO2 exceeds upper alarm limit Gas supply alarm, O2 MVe below lower alarm limit MVe exceeds upper alarm limit PEEP exceeds upper alarm limit TVe exceeds upper alarm limit Paw exceeds upper alarm limit Airway temperature exceeds upper alarm limit Main Screen - in the lower right hand corner of the top waveform channel Bed View - in the information area right below the menu buttons Apnea alarm Respiratory rate exceeds upper alarm limit Assisted spot breathing exceeds 4 seconds • Battery problem • Low battery Ventilator disconnection Patient Disconnect iO2 ERR Inspired O2 measurement inoperable Ventilator Alarm • Check flow sensor • Standby • PEEP control problems • Problems with respirator • Volume measurement inoperable • Pressure measurement inoperable • Check expiration - valve • Airway temperature measurement inoperable • Fail to cycle • Fan problem Alarm causes that are labelled as ‘Ventilator Alarm’ refer to non-clinical device conditions. All other alarm messages refer to clinical events that violate a setting that can be configured at the ventilator. Ventilation Mode Display Ventilation Mode at Device BIPAP or BIPAP/ASB IPPV, IPPV/Autoflow, IPPV/Assist/Autoflow, or IPPV/Assist SIMV, SIMV/ASB, SIMV/Autoflow, or SIMV/ASB/Autoflow CPAP or CPAP/ASB Standby 17-44 Infinity CentralStation Mode at Infinity CentralStation BIPAP IPPV SIMV CPAP Standby VF8 Ventilator and Device Messages/Labels P-B 7200/840 Ventilators Alarm Messages Paw > HI LIM Paw < LO LIM APNEA AIR SUPPLY O2 SUPPLY Ventilator Alarm Ventilator Alarm (P-B 7200 only) MVe HI LIM TVe HI LIM Paw exceeds upper alarm limit APNEA Expiration Valve? Patient Disconnect I:E Alarm iO2 < LO LIM iO2 > HI LIM MVe < LO LIM MVe > HI LIM PEEP > HI LIM Flow Sensor? AIR SUPPLY? O2 SUPPLY? Parameter Labels Cdyn MAP MVe MVi Pause PIP PEEP RRv TVe TVi iO2 Apnea event Check expiration - valve Main Screen - in the lower right hand corner of the top waveform channel VF8 Patient may be disconnected from ventilator I:E error iO2 is below lower alarm limit iO2 exceeds upper alarm limit MVe is below lower alarm limit MVe exceeds upper alarm limit PEEP exceeds upper alarm limit Check flow sensor Gas supply alarm, air Gas supply alarm, O2 Bed View - in the information area right below the menu buttons Alarm causes that are labelled as ‘Ventilator Alarm’ refer to non-clinical device conditions. All other alarm messages refer to clinical events that violate a setting that can be configured at the ventilator. Description Displayed in... Dynamic compliance Mean airway pressure Expired minute volume Inspired minute volume Pause pressure Peak inspired airway pressure Peak end expiratory pressure Respiratory rate Tidal volume, expired Tidal volume, inspired Inspired O2 Ventilator Settings screen (page 17-8) Infinity CentralStation 17-47 17: VentCentral Option Selected Settings Description Displayed in... FREQ set PEEP set TVi set TRIG PRESS VENT MODE VENT: Frequency PEEP setting Tidal volume Trigger pressure Selected ventilation mode Selected Ventilator type Ventilator Settings screen (page 17-8) Airway Pressure Flow (Insp/exp) Ventilator Screen (page 17-5) Waveforms Paw Flow 17-48 Infinity CentralStation VF8 Ventilator and Device Messages/Labels Hamilton Galileo Ventilator Alarm Description Messages Paw > HI LIM Paw exceeds upper alarm limit Ventilator Alarm • Minute volume exceeds upper alarm limit • Failure to cycle • Gas supply alarm • PEEP valve inoperable • Ventilator disconnect APNEA Apnea alarm %O2 Error %O2 measurement error MVe < LO LIM MVe below lower alarm limit RR > HI LIM RR exceeds upper alarm limit Parameter Labels Cdyn Dynamic compliance I:E E-Part I:E ratio (expiratory component) I:E I-Part I:E ratio (inspiratory component) iO2 Inspired O2 MAP Mean airway pressure MVe Expired minute volume Pause Pause pressure PIP Peak inspired airway pressure PEEP Peak end expiratory airway pressure Raw Dynamic resistance RRv Pediatric respiratory rate - vol/flow RRs Spontaneous respiratory rate TVe Tidal volume, expired TVi Tidal volume, inspired iO2 Inspired O2 Displayed in... Main Screen - in the lower right hand corner of the top waveform channel Bed View - in the information area right below the menu buttons Alarm causes that are labelled as ‘Ventilator Alarm’ refer to non-clinical device conditions. All other alarm messages refer to clinical events that violate a setting that can be configured at the ventilator. Ventilator Settings screen (page 17-8) Selected Settings iO2 set INSP t% PAUSE t% PEEP set TVi set TRIG PRESS Vent: VF8 Inspired O2 setting I:E ratio, inspiratory component I:E ratio, expiratory component PEEP setting Inspired tidal volume setting Trigger pressure Selected Ventilator type Ventilator Settings screen (page 17-8) Infinity CentralStation 17-49 17: VentCentral Option Maquet SV 300/SV 300A/Servoi Ventilator Alarm Messages Paw > HI LIM APNEA BATTERY CMV potentiometer GAS SUPPLY? HI CONT PRESS iO2 < LO LIM iO2 > HI LIM MAINS FAIL Description Paw exceeds upper alarm limit An apnea detected Battery alarm CMV potentiometer error Gas supply alarm High continuous pressure iO2 is below lower limit iO2 exceeds upper limit Mains failure MVe > HI / LO LIM VENT ERR % O2 ERR MVe is too high/too low Mode switch error O2 cell disconnect, or O2 potentiometer error Over range or Range switch error DEVICE ERR Displayed in... Main Screen - in the lower right hand corner of the top waveform channel Bed View - in the information area right below the menu buttons Labels/Settings BAROM PRESS AIR SUPPLY O2 SUPPLY 1I:E I-Part 1,2INSP t% iO2 MAP cmH20 MVe I MVi I Pause PEEP PIP RRv TVe TVi CMV FREQ SIMV FREQ 17-50 Barometric pressure Gas air supply pressure Gas O2 supply pressure I:E ratio (inspiratory component) I:E ratio (inspiratory component)% Inspired O2 Mean airway pressure Expired minute volume Inspired minute volume Pause pressure Peak end expiratory pressure Peak inspired pressure Respiratory rate Tidal volume expired breath Tidal volume inspired breath Frequency of CMV setting Frequency of SIMV setting Ventilator Settings screen (page 17-8) Infinity CentralStation VF8 Ventilator and Device Messages/Labels Labels/Settings (continued) Description INSP t% I RISE% I:E ratio - inspiratory component Ventilator Settings screen (page 17-8) I:E ratio - inspiratory rise time component I:E ratio - pause component iO2 setting Lower alarm limit of iO2 Upper alarm limit of iO2 Lower alarm limit of MVe Upper alarm limit of MVe Patient type (Adult= 4; Pediatric=15; Neonate=16) PEEP setting Pressure control level above PEEP Upper pressure alarm limit Pressure support level above PEEP. Trigger sensitivity level below PEEP Ventilation mode setting Selected Ventilator type PAUSE t% iO2 set iO2 set LO iO2 HI LIM MVe LO LIM MVe HI LIM PATIENT RANGE PEEP set P CTL > PEEP P HI LIM P SUPPORT TRIG SENS > PEEP VENT MODE3 SV 300, SV 300A, Servoi VOL set Paw Flow Displayed in... Volume setting Airway pressure Flow (insp/exp) Ventilation Mode Display (Servoi) Ventilation Mode at Device Mode at Infinity CentralStation SIMV (PRVC) SIMV (PRVC) 1Certain parameters, identified as measured values, are derived from other values or settings provided by the ventilator and may not reflect actual values. See the operating instructions for your specific monitor or ventilator for detailed information on derived measurements. 2Display of I:E value may be affected by mode of ventilation. 3Mode value may be blanked during certain conditions and modes of ventilation. VF8 Infinity CentralStation 17-51 17: VentCentral Option Maquet SV 900 Ventilator Parameters RRv TVe Tvi MVi MVe PIP MAP Pause PEEP Description Respiratory rate Tidal volume, expired Tidal volume, inspired Minute volume, inspired Minute volume, expired Peak inspired airway pressure Mean airway pressure Pause pressure Peak End Expiratory Pressure iO2 Inspired O2 17-52 Displayed in... Ventilator Settings screen (page 17-8) Infinity CentralStation VF8 Ventilator and Device Messages/Labels Viasys Bear 1000 Adult Ventilator Alarm Messages Description Displayed in... Paw > HI LIM Paw exceeds upper alarm limit Paw < LO LIM Paw is below lower limit Main Screen - in the lower right hand corner of the top waveform channel GAS SUPPLY? Gas supply alarm RR > HI LIM Respiratory rate exceeds upper alarm limit RR < LO LIM Respiratory rate is below lower limit MVe < LO LIM Minute volume is below lower limit MVe > HI LIM Minute volume exceeds upper alarm limit I:E Alarm I:E Limit (I:E Error) Cycle Failed Fail to cycle Bed View - in the information area right below the menu buttons Parameters PIP Peak inspired airway pressure MAP Mean airway pressure %MMV % Mandatory minute ventilation TVe Tidal volume, expired Ti Inspiratory time MVe Minute volume, expired MVe s Spontaneous minute volume RRv Respiratory rate Pause Pause (plateau) pressure RRs Respiratory rate, spontaneous Ventilator Settings screen (page 17-8) Settings Ti set Inspiratory time iO2 set Inspired O2 setting MAX iFLOW set Maximum inspiratory flow TVi set Tidal volume, inspired Pause t I:E ratio (Pause component) Inspiratory pause Pslope Pressure slope TRIG PRESS Pressure trigger sensitivity FLOW Trig set Flow trigger Paw set Inspiratory pressure MMV Mandatory minute ventilation Freq set Breath rate PSupport Pressure support VF8 Ventilator Settings screen (page 17-8) Infinity CentralStation 17-53 17: VentCentral Option Ventilation Mode Display Ventilation Mode at Device Mode at Infinity CentralStation Assist Control Assist Control Pressure Control PCV SIMV/CPAP/PSV SIMV/CPAP/PSV PC-SIMV/CPAP/PSV PC-SIMV/CPAP/PSV Waveforms Paw Airway Pressure Flow Flow (Insp/exp) Loops Ventilator loops 17-54 Infinity CentralStation Ventilator Screen (page 17-5) VF8 Ventilator and Device Messages/Labels Viasys BearCub 750 Infant Ventilator Alarm Messages Description Displayed in... Paw > HI LIM Paw exceeds upper alarm limit Paw < LO LIM Paw is below lower limit Main Screen - in the lower right hand corner of the top waveform channel GAS SUPPLY? Gas supply alarm RR > HI LIM Respiratory rate exceeds upper alarm limit PEEP < LO LIM Peak End Expiratory Pressure is below lower limit MVe < LO LIM Minute volume is below lower limit APNEA Apnea Battery Low battery supply Cycle Failed Fail to cycle Bed View - in the information area right below the menu buttons Parameters PIP Peak inspired airway pressure PEEP Peak End Expiratory Pressure Te Expiratory time TVe Tidal volume, expired Ti Inspiratory time MVe Minute volume, expired RRv Respiratory rate TVi Tidal volume, inspired MAP Mean Airway Pressure O2 Supply Prsr O2 Supply pressure Ventilator Settings screen (page 17-8) Settings Ti set Inspiratory time Freq set Breath rate Vlimit Volume limit setting FLOW Trig set Flow trigger setting iFLOW set Inspiratory flow setting VF8 Ventilator Settings screen (page 17-8) Infinity CentralStation 17-55 17: VentCentral Option Ventilation Mode Display Ventilation Mode at Device Mode at Infinity CentralStation Assist Control Asst Ctrl PSV PSV SIMV/IMV SIMV/IMV CPAP CPAP SIMV/PSV SIMV/PSV SIMV (Flow Cycled) SIMV-Flow Cycle Flow Cycled A/C Asst Ctrl-Flow Cycle Waveforms Paw Airway Pressure Flow Flow (Insp/exp) Loops Ventilator loops 17-56 Ventilator Screen (page 17-5) Infinity CentralStation VF8 Ventilator and Device Messages/Labels Baxter Vigilance/Vigilance II Cardiac Output Monitor Parameters Description Displayed in... BT Blood Temperature Ventilator Settings screen (page 17-8) CCO Continuous Cardiac Output CCI Continuous Cardiac Output Index ICO Intermittent Cardiac Output ICI Intermittent Cardiac Output Index SaO2 Arterial Oxygen Saturation SvO2 Venous Oxygen Saturation SVR Systemic Vascular Resistance SVRI Systemic Vascular Resistance Index VO2 O2 Consumption DO2 O2 Delivery The following parameters are available from the Baxter Vigilance II only. SV Stroke Volume SVI Stroke Volume Index EDV End Diastolic Volume EDVI End Diastolic Volume Index ESV End Systolic Volume ESVI End Systolic Volume Index EF Ejection Fraction VF8 Infinity CentralStation 17-57 17: VentCentral Option etCO2/Respiratory Mechanics Pod Parameters PIP PEEP MAP TVi s TVi m TVe s TVe m TVd aw MVe s/m MVe RR s/m RRv Cdyn C20/Cdyn Raw e PEF TValv MValv s/m VCO2 17-58 Description Peak inspired pressure Peak end expiratory pressure Mean arterial pressure Inspired tidal volume, spontaneous Inspired tidal volume, mechanical Expiratory tidal volume, spontaneous Expiratory tidal volume, mechanical Displayed in... Ventilator Settings screen (page 17-8) Dead space, airway Expiratory minute volume spontaneous/ mechanical Expiratory minute volume Respiratory rate, spontaneous/mechanical Respiratory rate Dynamic compliance Dynamic compliance of the last 20% breath Dynamic resistance Peak Expiratory Flow Alveolar tidal volume Minute volume CO2 production, minute volume Infinity CentralStation VF8 18 Biomed Functions Biomed Screen Selections..........................................................................................18-2 Accessing the Biomed Screens...........................................................................18-2 Show Devices Screen..................................................................................................18-3 Configure Central Screen ...........................................................................................18-3 To edit Event Class: ..............................................................................................18-5 To modify Configure Central selections: ............................................................18-5 Configure Locked Options Screen.............................................................................18-6 Enabling Available Options..................................................................................18-6 Raid Option ..................................................................................................................18-6 System Console...........................................................................................................18-6 Rest ECG Reports........................................................................................................18-7 Available Report Formats.....................................................................................18-7 Viewing Logs................................................................................................................18-9 Copying Logs to Disk .........................................................................................18-10 Telemetry System Set Up..........................................................................................18-11 Infinity M300 Set Up ............................................................................................18-11 Infinity Telemetry Set Up ....................................................................................18-13 Radio Frequency Diagnostics .................................................................................18-16 Available Information on the RF Diagnostics Screen......................................18-16 18: Biomed Functions Biomed Screen Selections The Biomed functions are password-protected and intended only for the hospital’s biomedical personnel or Dräger service representatives. Selection Description Show Devices... Allows your Biomed to view the status of network devices within the monitoring unit of the Infinity CentralStation Configure Central... Provides access to setup features Configure Locked Options... Allows your Biomed to enable available options System Console... Activates a window from where you can perform remote diagnostics, shut down the Infinity CentralStation, select Rest ECG report formats, etc. Diagnostic Log Displays log of 1000 hardware and software error conditions Clinical Events Log Displays log of 1000 clinically significant events, such as alarm detection, Alarm Silence requests, recording status, and remote control of bedside monitors. Configure Telemetry... Accesses Telemetry set up functions (page 18-11) Accessing the Biomed Screens 1. Click on Biomed in the Main Screen menu bar. 2. Click on the desired menu selection. The password popup window displays. 3. Enter the Biomed password in the password popup. 4. Click on Accept in the password popup. 18-2 Infinity CentralStation VF8 Show Devices Screen Show Devices Screen The Biomed - Show Devices screen lists status information for all network devices assigned to the monitoring unit of the specific Infinity CentralStation. To open the Biomed - Show Devices screen see page 18-2. Selection Description Show Central Status Opens a popup with status information for the Infinity CentralStation Radio buttons for listing device-specific information Scrolls pages of information Configure Central Screen Biomed - Configure Central Screen Selections Factory Default Selection Description Available Settings Hospital Name Defines hospital name 25 character max. Language Displays the language that was set during installation Biomed Password Sets or modifies Biomed password 8 character max. Clinical Password ON/OFF Enables/disables clinical password ON / OFF ON Clinical Password Sets or modifies clinical password 8 character max. MVWS VF8 Infinity CentralStation 18-3 18: Biomed Functions Selection Description Available Settings Factory Default Central Layouts Password Enables/disables password protection If enabled, screen is password protected. ON / OFF OFF Printer Connected Sets printer connection • OFF • Network (Central station is connected to a network printer.) • Local (Printer is connected directly to the Infinity CentralStation.) OFF Network Printer Address Displays network printer IP address configured during installation (for viewing only) Cabrera Permits activation/deactivation of the hex axial lead configuration When you turn Cabrera on, the leads are displayed in the hex axial display format. If you turn Cabrera off, the leads appear in standard mode. ON/OFF OFF Event Class Editor Permits editing of user-selectable event classification labels (page 18-5) Edit / Hide Hide Patient Confidentiality Determines whether a patient’s name appears on Infinity CentralStation displayed screens ON / OFF OFF Restore Default Settings Restores system default settings NOTE: Whenever you restore defaults the Infinity CentralStation must be restarted. An entry is made to the clinical events log. Hospital Label Identifies the hospital label for the network Monitoring Unit Label Identifies the monitoring unit to which 7 character max the Infinity CentralStation is assigned Care Unit Label Identifies the care unit to which the Infinity CentralStation is assigned Host Label View only 18-4 7 character max 7 character max Infinity CentralStation VF8 Configure Central Screen To edit Event Class: 1. Open the Biomed - Configure Central screen (page 18-2). 2. Click on the toggle button next to Event Class Editor so that it displays Edit. A popup displays with ten default labels. Class Name Class Description AFIB Atrial Fibrillation ATAC Atrial Tachycardia BBB Bundle branch block PNC Pacer not captured PNP Pacer not pacing TRIG Trigeminy MTI Multifocal PVC RONT R-on-T IRR Irregular HR NVTA Non-sustained VTAC 3. After you make the desired changes, click on Accept to save changes or Undo. To modify Configure Central selections: 1. Open the Biomed - Configure Central screen (page 18-2). 2. Select a button or text entry box to set and click. 3. After entering information and modifying settings click on Accept to save changes or Undo. VF8 Infinity CentralStation 18-5 18: Biomed Functions Configure Locked Options Screen This screen lists software that must be purchased separately and can only be enabled with a unique password for each Infinity CentralStation. For a list of available software options, contact your local Dräger representative. Enabling Available Options 1. 2. 3. 4. Open the Configure Locked Options screen (page 18-2). Click on one of the available menu choices. Enter the password for the option you wish to enable. Click on Accept. After an option is enabled, a popup displays the message: The Infinity CentralStation must be restarted to allow the locked options to take effect. 5. Restart the Infinity CentralStation. Whenever you lock or enable an option, a message is stored in the clinical events log. Raid Option With the Infinity CentralStation RAID Option, RAID 1 mirroring provides disclosure disk redundancy by writing all full/event disclosure data to two identical hard drives. With this option configured, all disclosure disk data is written to a second, identical hard drive in the background. CAUTION: In the event of a RAID (Redundant Array of Independent Disks) failure, no tone sounds, and no message appears. However, an LED on the hard drive that failed will light. System Console This Biomed menu selection activates a console window with a prompt from which you can: Run remote diagnostics for all network devices, Shut down or restart the Infinity CentralStation, Review an alarm history log for telemetry patient channels consisting of the last 5000 events (with time and date of the alarm occurrences), and Select Rest ECG report formats To open the System Console see page 18-2. 18-6 Infinity CentralStation VF8 Rest ECG Reports Rest ECG Reports Rest ECG reports are available in several formats which you can customize. As soon as the data arrives from the bedside monitor, the Infinity CentralStation analyzes it and generates a printed report. Whenever the Infinity CentralStation issues a report successfully, an entry is made in the clinical events log. If a report cannot be processed successfully, an entry is made in the diagnostic log (page 18-9). If multiple printing requests exist, the Rest ECG report is queued until the assigned printer becomes available. WA R N I N G : D i a g n o s i s b a s e d o n i n t e r p r e ta t i o n o f 1 2 - l e a d m o n i t o r i n g r e s u l ts s h o u l d o n l y b e d o n e b y q u a l i f i e d p e r s o n n e l . P r i o r t o f i n a l i n t e rp re ta t i o n a n d d i a gn os is , q ua l i f i e d p h y s i c i a n s s h o u l d r e v i e w s u g g e s t e d d i a g n o s t i c s ta t e me n ts a n d a l l o t h e r a v a i l a b l e i n f o r m a t i o n Available Report Formats The format of a Rest ECG report determines the layout and the type of information included in the report. For more detailed information on generating ECG reports, please refer to the bedside monitor documentation. Report Type Resolution Diagnostic Statements Y/N # of Pages Orientation 6x2 waves, 2.5 s 50 mm/s Landscape 6x2 waves, 2.5 s 6x2 waves, 2.5 s 6x2 waves, 2.5 s Portrait, standard Cabrera Complexes and 3 waves (V1, II, V5) 7 s Complexes: 50mm/s Landscape, cabrera Waveforms: 25mm/s 12 waveforms, each 5 s VF8 50 mm/s Infinity CentralStation 18-7 18: Biomed Functions 12 waveforms, each 5 s 50 mm/s 12 waveforms, each 10s 50 mm/s 12 waveforms, each 10s 50 mm/s 3x4 waveforms, each 2.5 s 25 mm/s 3x4 waveforms, each 2.5 s 25 mm/s 6x2 waveforms, each 5 s 25 mm/s 6x2 waveforms, each 5 s 25 mm/s Landscape Accessing the Rest ECG Report Selection Menu 1. Open the System Console (page 18-2). 2. At the system prompt type the following: rekgSelect A selection list appears. 18-8 Infinity CentralStation VF8 Viewing Logs 3. Enter the number before the format or function you wish to select (1 - 15, 99) or press for the default (9). If you want to change hospital name you must type the new information after making your selection, then press on the keyboard. Viewing Logs The password-protected diagnostic and clinical events logs support recording hardware and software conditions and clinical events. The Diagnostic log contains a record of up to 1000 hardware and software events and are helpful in determining system status. The Clinical Events log contains information on up to 1000 events of clinical significance. Typical clinical events log entries may include: VF8 Transitions in/out of local alarm silence Infinity CentralStation Alarm State Change (e.g., Audible Alarm Annunciation Change from active to silenced or vice versa) Alarm Limit Change from the Infinity CentralStation Arrhythmia Setup Change from the Infinity CentralStation Bedside State Change (e.g., on-line, off-line) CPS/IDS State Change (e.g., on-line, off-line, duplicate IP address detected) Main Screen Layout Change Edits of Patient Demographics Alarm Volume Change Clinical Password Modification Language Change Restoration of Factory Default Settings Recording Status (other than cancellation of continuous or timed recordings) Recorder State Change (e.g., Recorder off-line, Recorder Failure, CPS/IDS Off-line) Time and Date Change Locked Options Change A request for SPO2 with no additional SPO2 licenses available Infinity CentralStation detection of incompatible Infinity M300 software Infinity CentralStation 18-9 18: Biomed Functions Log entries appear as separate lines and are displayed in chronological order with the most recent entry at the top. Each entry includes date, time, event class, event code, and event description. To open the Diagnostic or Clinical Events logs, see page 18-2. Copying Logs to Disk 1. Insert a 3.5” high-density disk into the disk drive of the Infinity CentralStation. NOTE: You do not need to format the disk before copying logs. Both the Diagnostic and Clinical Events logs are copied during a copy request. 2. Access the log you wish to copy (page 18-9). 3. Click on Copy Logs To Disk. The Infinity CentralStation formats the disk automatically. Logs are copied as individual files. During the copying process, the Infinity CentralStation is fully operational. However, the Copy Logs To Disk button remains ghosted until the process completes. If the operation fails, a status message displays and an advisory tone sounds. 18-10 Infinity CentralStation VF8 Telemetry System Set Up Telemetry System Set Up The following Biomed setup functions pertain exclusively to the Infinity M300. Before you can access these functions, the Infinity M300 option must be enabled (page 18-6). Infinity M300 Set Up Accessing the Infinity M300 Telemetry Setup Screens 1. Click on Biomed in the Main Screen menu bar. 2. Click on Configure Telemetry.... 3. Click on Telemetry Devices or M300 Setup. 4. Enter the Biomed password in the password popup. 5. Click on Accept in the popup. The selected screen displays. You must use the Biomed password to access these screens (See Installation Instructions, included with this Instructions for Use in product packaging). Infinity M300 Devices Screen The Telemetry Devices screen permits the Biomed to configure up to 300 devices to use with the Infinity CentralStation. 1. Open the Telemetry Devices screen. 2. Click on the New Device button. 3. For each available device, enter the IP address in a row of the table. 4. Assign a unique Telemetry ID (4 character maximum). 5. Repeat steps 2 and 3 for each device. 6. When you have added all the devices, click on the Accept. Once you assign the Telemetry IDs, those devices are available for selection from the Telemetry ID section of the Admit screen (page 9-3). VF8 Infinity CentralStation 18-11 18: Biomed Functions Biomed - Infinity M300 Setup Screen NOTE: You can only configure the Infinity M300 Alarm Paused key, STAFF ALERT key, Record key, and speaker for an individual patient (page 18-15) if Per Patient is selected during setup. Selection Description Alarm Paused Determines how the Infinity M300 Alarm • All On Paused key can be used • All Off If you want to be able to individually set this • Per Patient function for each patient, you must select Per Patient (page 18-15). If you select All Off Alarm Paused key will be disabled for all Infinity M300 devices in the system. Record Determines how the Infinity M300 Record key can be used If you want to be able to individually set this function for each patient, you must select Per Patient (page 18-15). If you want to generate manual timed recordings when you press the Infinity M300 Record key, you must select All Record or All Record/Store. Staff Alert Determines how the Infinity M300 STAFF • All On ALERT key can be used • All Off If you want to be able to individually set this • Per Patient function for each patient, you must select Per Patient (page 18-15). If you want to generate a STAFF ALERT alarm at the Infinity Central Station when you press the Infinity M300 STAFF ALERT key, you must select All On. All On Speaker Determines if the Infinity M300 speaker can be enabled • All On • All Off • Per Patient All Off • OFF • 10 - 100 % OFF WARNING: The Infinity M300 speaker is intended for use only in the patient vicinity. It is not intended for primary alarm annunciation. Use the Infinity CentralStation speaker for primary alarm annunciation. M300 Volume 18-12 NOTE: • If set to ALL OFF, Infinity M300 will not present the Volume screen and Volume will be forced to OFF. • Unless you select Per Patient, you cannot individually set this function for each patient (page 18-15). Determines volume of Infinity M300 audible alarm Infinity CentralStation Settings • • • • • Default All Off All Record All Record All Off All Record/Store All Store Per Patient VF8 Telemetry System Set Up Selection Description Settings Default • • • • • 1 min 2 min 3 min 4 min 5 min 1 min ECG Notch Filter Assigns Infinity M300 ECG Notch filter setting • 50 Hz • 60 Hz 60 Hz Régulation Sets French Homologation mode Par défaut Display Shut Off Determines how long the Infinity M300 Timer display remains on with no user activity • Par défaut • France • Click on Accept or on Undo to return to previous settings. Infinity Telemetry Set Up Accessing the Infinity Telemetry Setup Screens 1. Click on Biomed in the Main Screen menu bar. 2. Click on Configure Telemetry... 3. Click on one of the following: Receiver Setup... Transmitter Setup... RF Diagnostics... 4. Enter the Biomed password in the password popup. 5. Click on Accept in the popup. Once you access a Telemetry Setup screen with the Biomed password, you can open all other Telemetry Setup screens without having to re-enter the Biomed password. VF8 Infinity CentralStation 18-13 18: Biomed Functions Infinity Telemetry Receiver Setup The Receiver Setup screen is further protected by a special password, which is only accessible to authorized service personnel. For detailed information on the various setup functions of this screen, please consult the accompanying service documentation. To open the Receiver Setup screen see page 18-11. Receiver Setup Screen Selections Selection Description Country Permits selection of country from option list (Password protected. Contact Dräger Service) ECG Notch Filter Displays list of possible ECG Notch Filter selections Regulation Permits selection of possible Regulation configurations Receiver Details S/W Version Displays Infinity CentralStation software version ID Label Displays receiver identification name assigned at installation Ethernet Address Displays telemetry receiver IP address configured during installation Antenna System Displays Antenna System type Channel Spacing Permits channel selections for selected country Receiver Type Permits selection of UHF or VHF Frequency Range Graphic display of Channel Spacing range • Click on Accept to save changes or Undo to keep original settings. Configuring the Transmitter Buttons In the Transmitter Setup screen, you can configure the transmitter Recording buttons. These settings determine whether or not a recording or and the Staff Alert a staff alert can be initiated from the transmitter. 1. Open the Transmitter Setup screen (page 18-12). The top of the screen contains the Transmitter Record and Transmitter Staff Alert buttons. 18-14 Infinity CentralStation VF8 Telemetry System Set Up 2. Click on the Transmitter Record or Transmitter Staff Alert button and scroll to a setting: Transmitter Record and Staff Alert Button Selections Setting Description All On This selection activates the transmitter Staff Alert and Recording buttons for all telemetry channels. A timed recording is initiated if you press the recording button, and if you press the staff alert button, a serious alarm is generated at the Infinity CentralStation. Also, an alarm message appears in the patient’s corresponding Main Screen and Bed View waveform areas. All Off The transmitter staff alert button and recording button are deactivated for all telemetry channels. You cannot generate any recordings or staff alert calls from any transmitter. Per Patient This setting allows you the greatest flexibility because the transmitter buttons can be enabled or disabled for each patient individually in the Transmitter Setup menu (page 3-5) 3. Click on Accept to save the setting or Undo button to keep the previous setting. VF8 Infinity CentralStation 18-15 18: Biomed Functions Radio Frequency Diagnostics To open the RF Diagnostics screen see “Infinity Telemetry Set Up” on page 18-13. Available Information on the RF Diagnostics Screen The RF Diagnostics screen displays the frequency and I.D. for active Infinity Telemetry patients that currently have a transmitter assigned to the receiver channel. The screen also provides the information outlined in the following table. This information is updated every minute even as you are viewing it. Please consult the Service documentation for further information. Information Description Possible Values Channel Lists the channels of the receiver reported by the receiver subsystem 1 to 4; 1 to 8; 1 to 12; 1 to 16; blank Frequency Lists the center operating frequencies (MgHz) of the receiver’s channels. abc.defg; blank I.D. Lists the transmitter ID number for each channel as reported by the receiver subsystem. A blank means that no ID is reported (the transmitter signal is not being received). 1 to 255; blank RSSI-dBm Receiver’s signal strength indicator for each channel (averaged over 1 minute) 0 to -125 dBm; blank 1 min, 5 min, 10 min, 1 Hour, 24 Hours Percentage of good ECG signal samples received over the specified interval 0 to 100% 18-16 Infinity CentralStation VF8 A: Patient Preparation This appendix provides information about patient preparation and electrode placement for telemetry monitoring. General .......................................................................................................................... A-2 ECG Electrode Placement............................................................................................ A-3 Lead Wire Color Codes.......................................................................................... A-4 Attaching the Pulse Oximeter...................................................................................... A-4 A: General Careful skin preparation and proper electrode placement ensure strong signals with minimal artifact. In case of a technical alarm (e.g., a detached lead), re-prep the patient according to the following recommendations. WA R N I N G ! P l a c e t h e I n f i n i t y M 3 0 0 o r I n f i n i t y Te l e m e t r y device to reduce the possibility of: - t h e d e v i c e f a l l i n g o n o r i n j u r i n g pa t i e n t . - a n y a c c e s s o r y c a b l e s a c c i d e n ta l l y e n ta n gl i n g pa t i e n t ’s n e c k . Follow hospital protocol for preparing the patient’s skin. To ensure a good quality signal, change electrodes every 24 to 48 hours (or in accordance with manufacturer’s instructions). Electrodes may have to be changed more frequently under the following conditions: ECG signal degradation Excessive patient perspiration Patient skin irritation A wide selection of reusable and single-use electrodes is available. Select the best electrode for the monitoring situation. Dräger recommends Ag/AgCl single-use electrodes. If you are using pre-gelled electrodes, verify that there is enough gel in the electrode gel-filled area. Never use disposable electrodes after their expiration date or when the gel has dried out. Choose electrode sites in the configuration that will provide the best ECG based on the patient’s underlying cardiac condition and the number of leads you wish to monitor. (P- and T-wave amplitudes should be no more than one third of the QRS amplitude.) Select flat, non-muscular sites to maximize electrode contact and minimize muscle artifact. Avoid joints or bony protrusions. Consider the following special conditions when selecting sites for electrode placement: Surgery — Keep the electrodes as far from the surgical site as possible. Burn Patients — Use sterile electrodes. Clean the equipment thoroughly. Follow hospital infection control procedures. A-2 Infinity CentralStation VF8 ECG Electrode Placement ECG Electrode Placement WA R N I N G ! W h e n p l a c i n g e l e c t r o d e s , e n s u r e a l l c o n n e c t i n g w ir e s a re p l a c e d s a f e l y a n d c a n n o t i n j u r e t h e pa t i e n t . S e r i o u s i n j u r y c a n o c c u r i f t h e e l e c t r o de w i r e s a re a ll o w e d t o e n c i r c l e t h e n e c k o r e x t r e mi t i e s The following illustrations show typical ECG electrode placement for 3-, 5-, and 6wire lead sets: 3-Wire Standard 5-Wire Standard Paced 6-Wire Standard V+ is only used with 6-wire monitoring. Dräger recommends that you do not use this modified placement for TruST monitoring. Select 2 chest lead positions for V and V+ (page 8-14). Chest Lead Standard VF8 Infinity CentralStation A-3 A: Lead Wire Color Codes Lead wire color codes designated by the IEC and the AHA/AAMI appear in the table that follows.: ECG Lead IEC AHA/AAMI (US) LA Yellow Black LL Green Red RA Red White RL Black Green White Brown V+ Gray and White Gray and Brown Attaching the Pulse Oximeter The accuracy of SpO2 monitoring depends largely on the strength and quality of the SpO2 signal. If a finger is used as a monitoring site, remove any nail polish. Cut the patient's finger nails, if necessary, for better sensor placement. Use only approved sensors and apply them per the sensor manufacturer’s recommendation (contact your local Dräger representative for a list of approved sensors). Ambient light can interfere with pulse oximetry measurements if the sensor is not properly attached, causing erratic measurement or missing values. Ensure proper sensor placement and cover the sensor with opaque material if interference due to ambient light is suspected. CAUTION: Read the instructions provided with the sensor for optimal application techniques and for safety information. 1. Select the sensor type and size best suited for your patient. 2. If the sensor is reusable, clean it before and after each patient use. 3. Position the sensor correctly and attach it to your patient. 4. Connect the sensor to the patient cable. 5. Inspect the sensor application site frequently. If the sensor is too tight it may damage the tissue and impede blood flow. If the sensor is damaged, do not use it. A-4 Infinity CentralStation VF8 B: Technical Specifications NOTE: Specifications are subject to change. The telemetry system complies with the Radio Equipment and Telecommunications Terminal Equipment Directive (1999/5/EC). Technical Data .............................................................................................................. B-2 Infinity Telemetry Systems.................................................................................... B-7 Electromagnetic Compatibility .................................................................................. B-20 B: Technical Data Infinity CentralStation Display Specifications Display Size 432 mm (17 in.), 533 mm (21 in.) diagonal, CRT or TFT Resolution 1280 x 1024 pixels (native resolution) User Controls Input Device Controls PS/2-compatible keyboard and PS/2-compatible optical mouse included in country-specific kit. Optional Dräger Medical supplied touch screen is also supported. Central Processing Unit (CPU) Processor Intel® XeonTM Processor minimum 3.20 GHz Storage • (1) minimum GB RAM, 1.44 Mb 3.5 in. floppy drive • (1) DVD/CDRW • (2) minimum 73 GB hard drives Disk Array SCSI Raid 1 in locked drive bay (available with locked option) Software Updates • 1.44 MB 3.5 inch floppy disk drive • CD-ROM Connections • 2 Asynchronous RS-232 serial ports • 2 GB LAN connections • 4 USB ports Network Connectivity • Infinity Network • Infinity TruST Telemetry Network Video Output Dual Head PCI 32M graphics board, 1280 x 1024 @ 75 Hz Audio Output Internal speaker standard. Dräger Medical supplied external speakers also required Alarm Grades Life-threatening, Serious, Advisory (Audible and visual indicators) Number of patients supported per CPU • 16 patients with single display • 32 patients with two displays Electrical Specifications Power consumption 115V / 230V 4.0A/2.0A Power Output Up to 460W B-2 Infinity CentralStation VF8 Technical Data Infinity CentralStation(continued) Environmental Requirements Cooling Passive heatsink moved across 1 - 120 mm fan SCA drive array and power supply cooled by dedicated 80 mm fans Operation Temperature 0 to 45oC (32 to 113oF) Non-Operating Conditions -20 to 50oC (-4 to 122oF) Altitude Operating: 3500 m (11000 feet) Storage: 10600 m (35000 feet) Acoustic Noise < 53 dBA Physical Attributes Size (H x W x D) 426.7 x 218.4 x 508.0 mm (16.8 x 8.6 x 20.0 in.) Weight 22.5 kg (50 lbs.) Regulatory Standards Compliances UL/CSA/CE Certification as required per Original Equipment Manufacturers (OEM). Infinity CentralStation is CE marked in accordance with the requirements of the 93/42/EEC Medical Device Directive. Uninterruptible Power Supply (350VA, 120V, 220V) Connections Infinity CentralStation, Infinity TruST Telemetry Receiver Audio output < 45 dB at 1 m (3 ft.) Physical Specifications Size (H x W x D) 165 x 114 x 368 cm (6.5 x 4.5 x 14.5 in.) Weight 11.3 kg (25 lbs.) Electrical Specifications Inverter Waveform Low distortion sine wave Input voltage 115, 220, 230, 240 VAC ± 20% (nominal, user-selectable) Input frequency 50/60 Hz ± 5% Noise Rejection Isolation With unit under power and an ANSI/IEEE C62.41 Cat. A pulse applied either normal or common mode at the input, the noise output voltage will be <10 normal mode and < 0.5V common mode in all 4 quadrants (CM-NM, NM-NM, CM-CM, NM-CM). VF8 Infinity CentralStation B-3 B: Uninterruptible Power Supply (350VA, 120V, 220V)(continued) Surge Voltage Withstand Capability Tested under power to ANSI/IEEE C62.41 Cat. A & B (formerly IEEE 587-1980). Cat. A 6000V @ 200 amps, 0.5 usec risetime, 100 kHz decay, Cat. B 6000V @ 500 amps, 0.5 usec risetime, 100 kHz decay. Battery charging time 3 to 8 hours Backup time 6 to 20 minutes (half/full loaded) Internal batteries 2 -12 volt user hot-swap batteries, recharge time 4 hours Indicators LEDs for Load level, voltage manager boost, voltage manager nominal, voltage manager buck, on battery, replace battery, overload Environmental Requirements Operation Temperature 0 to 40oC (32 to 104oF) Non-Operating Conditions -20 to 60oC (-4 to 140oF) Altitude Operating: 3000 m (10000 feet) Storage: 3000 m (10000 feet) Wall Mountable Yes Regulatory Standards Compliances UL 1778, cUL 1778 Laser Printer Black and white 1200x1200 dpi laser printers, 115V/220V sold separately. Contact Dräger Medical to obtain list of supported laser printers. Strip Recorder Infinity R50N Network Strip Recorder provides two-channel strip recordings of automatically captured arrhythmia or alarm events or manually initiated recordings. B-4 Infinity CentralStation VF8 Technical Data Infinity Telemetry Systems Infinity M300 System Infinity M300 Programming Cable Connections PC via 3m or optional 20m Serial cable HxWXD 44.0 x 96.5 x 96.4 mm (1.7 x 3.8 x 3.8 in.) Weight 450 g (1 lb.) Method Directly to PC and to SpO2 connector of Infinity M300 Infinity M300 Physical Specifications Size, H x W x D 139.7 x 76.2 x 30.4 mm (5.6 x 3 x 1.2 in) Weight 276.4 g (9.75 oz) with battery Cooling Convection Disposal All materials must be disposed of or recycled properly and in accordance with local regulations. There are no known special disposal requirements for any accessories. Connections ECG, SpO2, Programming Cable Environmental Specifications Atmospheric Pressure Operating: 647 to 1060 hPa Storage: 500 to 1060 hPa Temperature Operating: 0 to 40° C (32 to 104 °F) Storage: -20 to 60° C (-4 to 140 °F) Humidity (non condensing) Operating: 10% to 85% Storage: 10% to 85% Shock IEC 60068-2-27 50 g half-sine waveform, 11 mS duration, 3 shocks in each +/- directions/axis, 18 total shocks, 3 mutually perpendicular axes Frequency Response 0.5 - 40 Hz: ± 3 dB Sinusoidal Vibration IEC 68-2-6 5-10 Hz @ 0.098 DA, 100-500 Hz @ 2 G 10 sweep cycles/axis, 3 axes, 1 octave / minute Random Vibration IEC 60068-2-36 Reproducibility Medium ASD 10 to 20 Hz: 0.05 g2 /Hz, -3dB/Octave ASD 20 to 150 Hz: 0.05 g2 /Hz, -3dB/Octave Duration: 30 min VF8 Infinity CentralStation B-5 B: Infinity M300(continued) Bump IEC60068-2-29 Peak acceleration: 15 g Pulse duration: 6 ms Number of bumps: 1000 Direction: Vertical (normal operating position) Free Fall IEC 60068-2-32, Procedure 1 Height of fall: 1 m Number of falls: 1 on each of six surfaces Drop Per IEC68-2-31, Packaged drop- 30" Water Resistance Per EN 60529 rating IPX7 Electrical Characteristics Power Source Rechargeable lithium ion battery Mode of operation Continuous Typical Battery Run Time ECG only 18 hours User Interface User Interface 6 fixed keys: alarm pause, view screen, staff alert, record/ mark event, up/down screen scroll, Audio annunciator, LCD Display Alarm Indicator LED Battery Charging Indicator, Visual Alarm Banners on LCD, Audible alarms via speaker Display Type Color Liquid Crystal Display (LCD) Communications Network Direct Sequence Spread Spectrum (802.11b) Operating Frequencies ISM-2.4: 2400MHz to 2483.5MHz Arrhythmia Leads Analyzed Any user-selected, non-derived single lead or Lead II and V Detected Events/Rhythms Asystole, Ventricular Fibrillation, Ventricular Tachycardia, Sinus Bradycardia, Ventricular Run, Accelerated Idioventricular Rhythm, Supraventricular Tachycardia, Ventricular Couplet, Ventricular Bigeminy, Sinus Tachycardia, Pause, Artifact, PVC/min B-6 Infinity CentralStation VF8 Technical Data Infinity M300(continued) ECG Available leadsAdult/Pediatric I, II, III, aVL, aVR, aVF, V, V+V1, V2, V3, V4, V5, V6, dV1, dV2, dV3, dV4, dV5, dV6 (dVx leads using TruST 12-lead algorithm K030738) Measurement Range 15 to 300 bpm Accuracy ± 2 beats/minute or ± 1%, whichever is greater Degree of protection against electrical shock Type CF Defibrillation Protection = 360 Joules Event Storage Automatic Alarm violation or arrhythmia trigger Manual "Recording" key activation Central Monitor WorkStation and Input Controls Draeger Medical Systems Infinity CentralStation Keyboard, mouse, touchscreen VF8 Infinity CentralStation B-7 B: Infinity M300(continued) ST Segment Analysis (Adult/Pediatric) Available Leads for display on patient worn device Choice of any ECG lead being monitored Isoelectric Point Adjustment range: Start of QRS complex to fiducial point Default: QRS onset - 28msec ST Measurement Point Adjustment range: Fiducial point to end of QRS complex Default: QRS offset + 80msec ST Complex Length 900 msec (-300 to +600 msec from fiducial point) Update Interval 15 secs ±1, 1 normal beat required ST Level Alarm Adjustment Range -15.0 to 15.0 mm, -1.5 to 1.5 mV ST Accuracy ±0.1 mm (±0.01 mV) ST Measurement Range -15.0 to 15.0 mm, -1.5 to 1.5 mV ST Measurement Resolution ±0.1 mm (±0.01 mV) Sampling Rate for Averaged ECG 250 samples/s Pulse Oximetry (optional) Parameter Display Percentage of functional (oxygen-saturated) hemoglobin Saturation (%SpO2), pulse rate Measurement method Absorption-spectrophotometry Measurement range SpO2: 1 - 100% Pulse rate: 30-250 bpm Calibration range 70-100% Display range 1-100% (SpO2) 30-250 bpm (Pulse) Display update period 2 seconds nominal Maximum hold from previous update 30 seconds (in the event of artifact or other error) B-8 Infinity CentralStation VF8 Technical Data Infinity M300(continued) Measurement accuracy, Adult and pediatric Mode1: SpO2: 0 to 69% not specified 70 to 100% sensor-specific as follows: Nellcor: D-25, D-20, I-20, N-25, MAX-A, MAX-AL, MAX-P, MAX-N, MAX-I, MAX-R ±2 Nellcor: DS100A ±3 Masimo: LNOP ADLT, LNOP-YI ±2 Masimo: LNOP-DCI, LNOP-DCIP, NR125 ±2 LNOP-EAR ±3.5 Pulse Rate: (whichever is greater) ±3 beats/min or ±3% 1 SpO2 accuracies are expressed as ± "X" digits between indicated saturation levels. Accuracy of the SpO2measurement is specified 1 SD (standard deviation). Nominal wavelength: Nellcor: Red: 660 nm IR: 910 nm Masimo: Red: 660 nm IR: 905 nm Power: Nellcor: Red: 3 mW(max.) IR: 4 mW(max.) Masimo: Red: 0.9 mW(max.) IR: 0.9 mW(max.) LED drive is current limited by hardware mechanisms QRS Detection Amplitude 0.5 to 5 mV Duration - Adult/Pediatric 70 to 120 msec Pacer Detection Leads (Adult/Pediatric) I, II or III Pacer Detection Amplitude ±2 to ±900 mV Pacer Detection Width 0.1 to 2.0 msec Trends Trended Telemetry Parameters VF8 HR, ST, PVC/min, % paced, SpO2, PLS, STI, STII, STIII, STaVR, STaVL, STaVF, STV1 to STV6, STdV1 to STdV6, STVM, and STCVM Infinity CentralStation B-9 B: Infinity M300(continued) Storage Time 72 Hours Resolution 1 minute interval Infinity M300 Bedside Charger Connections Infinity M300 Physical Attributes Dimensions Length: 99.06 mm (3.9 in) Height: 162.56 mm (6.4 in) Depth: 45.72 mm (1.8in) Weight 224.0 g (7.9 oz) Cooling Convection Disposal All materials must be disposed of or recycled properly and in accordance with local regulations. There are no known special disposal requirements for any accessories. Electrical Specifications Input Voltage 115, 220, 230, 240 VAC ± 20% (nominal, user selectable) Input frequency (Hz) 50/60 Hz ±5% Protection Class From specified Class 1 power supply Mode of Operation Continuous Environmental Requirements Atmospheric Pressure Operating: 647 hPa to 1060 hPa Storage: 500 hPa to 1060 hPa Temperature Operating: 0 to 40° C (32 to 104 °F) Storage: -20 to 60° C (-04 to 140 °F) Humidity (non condensing) Operating: 10% to 85% Storage: 10% to 85% Shock IEC 68-2-27 • 50 g half-sine waveform, 11 mS duration, • 3 shocks in each +/- directions/axis, 18 total shocks, • 3 mutually perpendicular axes Sinusoidal Vibration IEC 68-2-6 • 5-10 Hz @ 0.098 DA, 100-500 Hz @ 2 G • 10 sweep cycles/axis, 3 axes, 1 octave / minute B-10 Infinity CentralStation VF8 Technical Data Infinity M300 Bedside Charger(continued) Random Vibration IEC 60068-2-36 • • • • • Reproducibility Medium ASD 10 to 20 Hz: 0.05 g2 /Hz, -3dB/Octave ASD 20 to 150 Hz: 0.05 g2 /Hz, -3dB/Octave Total acceleration: 1.6g (rms) Duration/axis/mounting: 30 min Bump IEC60068-2-29 • • • • Peak acceleration: 15 g Pulse duration: 6 ms Number of bumps: 1000 Direction: Vertical (normal operating position) Free Fall IEC 60068-2-32, Procedure 1 • Height of fall: 1 m • Number of falls: 1 on each of six surfaces Drop Per IEC68-2-31, Packaged drop- 30" Water Resistance IPX4 (cradle side that connects to patient) Standards Compliances IEC 60601-1 and IEC 60601-1-2 Infinity M300 Central Charger Connections Infinity M300 (supports 10 devices concurrently) Physical Attributes Dimensions Length: 520.7 mm (20.5 in) Height: 215.9 mm (8.5 in) Depth: 190.5 mm (7.5 in) Weight 6.5 kg (14.4 lbs) Cooling Heat sink and fan Disposal All materials must be disposed of or recycled properly and in accordance with local regulations. There are no known special disposal requirements for any accessories. Electrical Specifications Input Voltage 115, 220, 230, 240 VAC ± 20% (nominal, user selectable) Input frequency (Hz) 50/60 Hz ±5% Protection Class From specified Class 1 power supply Mode of Operation Continuous VF8 Infinity CentralStation B-11 B: Infinity M300 Central Charger(continued) Power Output Provides power to Infinity M300 via magnetic coupling Environmental Requirements Atmospheric Pressure Operating: 647 to 1060 hPa Storage: 500 to 1060 hPa Temperature Operating: 0 to +40 ° C (32 to 104 °F) Storage: -30 to +70° C (-22 to 158 °F) Humidity (non condensing) Operating: 10 to 85% Storage: 10% to 85% Shock IEC 68-2-27 • 50 g half-sine waveform, 11 mS duration, • 3 shocks in each +/- directions/axis, 18 total shocks, • 3 mutually perpendicular axes Sinusoidal Vibration IEC 68-2-6 • 5-10 Hz @ 0.098 DA, 100-500 Hz @ 2 G • 10 sweep cycles/axis, 3 axes, 1 octave / minute Random Vibration IEC 60068-2-36 • • • • • Reproducibility Medium ASD 10 to 20 Hz: 0.05 g2 /Hz, -3dB/Octave ASD 20 to 150 Hz: 0.05 g2 /Hz, -3dB/Octave Total acceleration: 1.6g (rms) Duration/axis/mounting: 30 min Bump IEC60068-2-29 • • • • Peak acceleration: 15 g Pulse duration: 6 ms Number of bumps: 1000 Direction: Vertical (normal operating position) Free Fall IEC 60068-2-32, Procedure 1 • Height of fall: 1 m • Number of falls: 1 on each of six surfaces Drop Per IEC68-2-31, Packaged drop- 30" Water Resistance IPX1 - Protected against harmful effects of dripping water. Standards Compliances B-12 IEC 60601-1 and IEC 60601-1-2 Infinity CentralStation VF8 Technical Data Infinity TruST Telemetry System TruST Telemetry Receiver Network Connectivity Infinity Network; Infinity TruST Telemetry Network Antenna Type Dual conversion super heterodyne Modulation Gaussian Minimum Shift Keying (GMSK) Software Update 1.44 MB 3.5 inch floppy disk drive Channels 4 channels per card, maximum 16 channels Frequencies UHF 400 - 460 MHz., UHF 608 - 614 MHz., VHF 174-216 MHz Channel Spacing Varies by country, 25, 40 or 50 kHz Electrical Specifications Power Consumption 2A@ 100 VAC, 1A @ 240 VAC Input Voltage 100/120/220/230-240 VAC selectable +/- 10% Mains Frequency 50/60 Hz. (nominal) Indicators LED indicator for power Environmental Conditions Cooling Fan circulation Operation Temperature 10 to 40° C (50 to 104 °F) Non-Operating Conditions -20 to 60° C (-4 to 140 °F) Physical Attributes Chassis Color White Weight 16 kg (35 lbs) HxWxD 191 x 432 x 508 mm (7.5 x 17.0 x 20.0 in.) Regulatory/Standards Compliance Compliances VF8 • EN 60601-1 Medical electrical equipment Part 1: General requirements for safety. • EN 60601-1-2: Medical electrical equipment, collateral standard: electromagnetic compatibility • UL 544 second addition (1991) Infinity CentralStation B-13 B: TruST Telemetry Transmitter Lead Type 3-wire, 5-wire, 6-wire Indicators LEDs indicating lead off and low battery Leads-off Sensors One for each lead: RA, LA, LL, V, V+ Lead-off Threshold 12 MΩ, ± 25% for RA, LA, LL, V, V+ 2.7 MΩ, ± 25% for RL Common Mode Rejection Meets CMRR test specification in AAMI EC 13-2002 4.2.9.10 Controls Staff alert, timed and continuous recording start, self-test Pacemaker Detection 0.1 to 2 ms, 2.5 to 700 mV (positive or negative) Independent detectors for Lead I and II Defibrillation Protection Will withstand 360 joules Electrical Specifications Protection against electrical shock Type B Electrosurgery and Cautery Not intended for use during ESU Battery • 9 V alkaline: 2 days • 9 V lithium: 4 days Environmental Specifications Operation Temperature 10 to 40° C (50 to 104 °F) Non-Operating Conditions -25 to 60° C (-13 to 140 °F) RF Power Output 1 MW, -3 to + 4 dBm Frequency Response 0.5 - 40 Hz: ± 3 dB Water Resistance Electronics protected from damage due to accidental immersion in up to 1 m of water for 30 minutes. Meets EN 60529 rating IPX7. Drop and Free fall Withstands 20 drops from 1.5 m onto a tiled concrete surface with no degradation of performance B-14 Infinity CentralStation VF8 Technical Data TruST Telemetry Transmitter(continued) Chemical Resistance Resistance tested for isopropyl alcohol 70%, sodium hypochlorite (bleach) 2.5% and the following commercial disinfectants: Buraton 10F 1%, Cetylcide-G® Concentrate, Diluent Concentrate Cidex Plus™ 28 Day Solution, Cidex OPA Solution, Cidex OPA Solution High Level Disinfectant, Cidex™ Activated Dialdehyde Solution, Compliance, Enzol (Cidezyme), Incidin® Plus 1%, Incidin® Plus 2%, Lysoformin 3000 1%, Metricide® 28 Long-Life Activated, Dialdehyde Solution, Sporicidin Sterilizing and Disinfecting Solution Connections • ECG Analog cable for bedside display of Lead II scaled to 1 mV ± 15% to transmitter's ECG input leads • Vital Connection cable between Infinity CentralStation and Infinity monitor X8 port for data acquisition of SpO2 and/or NIBP • Infinity Telemetry Transmitter Programming Port for tuning each transmitter electronically over its frequency range; • MicrO2+ pulse oximeter. Physical Specifications Size, H x W x D 116 x 65 x 25 mm (4.56 x 2.56 x 1 in.) Weight 160 grams (5.7 oz.) with lithium battery Telemetry Vital Signs Measuring Capabilities ECG Available leads 3-wire I, II, III 5-wire I, II, III, aVR, aVF, aVL, V 6-wire I, II, III, aVR, aVF, aVL, V, V+ 6-wire V2, V5, dV1, dV3, dV4, dV6 (Default) (Infinity TruST 12-lead) For TruST 12-lead, any other combination of V1-V6 can be selected; the chest lead selection determines the constructed leads (dV1 - dV6). Measuring range 15 - 300 bpm Accuracy ± QRS detection range amplitude Amplitude: 0.5 to 5.0 mV Duration: 40 to 120 ms 1 mV calibration pulse 1 mV ± 5%, all leads VF8 5 bpm or ± 5% of rate (whichever is greater) Infinity CentralStation B-15 B: Telemetry Vital Signs Measuring Capabilities(continued) Arrhythmia Processing Algorithm ACE (Arrhythmia Classification Expert) Leads analyzed Any two user-selected ECG leads (simultaneously), or any one user-selected ECG lead Detected events/rhythms Asystole, ventricular fibrillation, ventricular tachycardia, sinus bradycardia, pause, ventricular run, sinus tachycardia, accelerated idioventricular rhythm, couplet, bigeminy, paced artifact, PVC/ min,% paced, SVT Functions User-selectable functions: alarm on/off, record on/off, store on/off, assignment of alarm grade for each event category. Trends Parameters HR,% paced, PVC/min ST (I, II, III, aVL, aVR, V, V+, V1-V6, dV1dV6), STCM, STVCM, SpO2, pulse rate (PLS) Storage time 72 hours Trend Graphs 1, 2, 4, 8, 12, 24 hours (72 hours max) Trend Tables 1, 5, 15, 30, 60 minutes ST Segment Analysis Leads analyzed Simultaneous analysis of leads I, II, III, aVL, aVF, aVR, V, V+, V1V6, dV1-dV6 Sampling rate for averaged ECG 250 samples Resolution ± 10 Alarm handling Positive and negative S-T deviations Isoelectric point Default is set at 28 ms before QRS onset; user-selectable in 4 ms increments between QRS peak to beginning of averaged ECG segment. ST measurements The value is updated every 15 seconds from an average of all normal, non-paced beats. Trends Both graphical and tabular format for each ECG lead µV General Display Capabilities Telemetry channels Up to 16 Display screens 1 or 2 Screen formats Refer to Infinity CentralStation Instructions for Use. Sweep Speeds 25 or 50 mm/s Channel amplitudes 0.25; 0.5; 1; 2; 4; 8 mV/cm Display mode Fixed Waveform (erase bar) mode X-Y resolution 1024 x 1280 pixels with ECG waveform enhancements B-16 Infinity CentralStation VF8 Technical Data Telemetry Vital Signs Measuring Capabilities(continued) Recordings Types R50 producing 50 mm wide strips with thermal array print head Laser Printer Number Transmitter Programming Port Used to tune transmitters to selected frequency and to select ECG wire mode Connections Infinity CentralStation HxWXD 44.0 x 96.5 x 96.4 mm (1.7 x 3.8 x 3.8 in.) Weight 450 g (1 lb.) Infinity Telemetry ECG Analog Output Cable Used to tune transmitters to selected frequency and to select ECG wire mode Connections Infinity MultiMed Pod HxWXD 44.0 x 96.5 x 96.4 mm (1.7 x 3.8 x 3.8 in.) Weight 450 g (1 lb.) VF8 Infinity CentralStation B-17 B: Electromagnetic Compatibility The separation distances are written with regard to the Infinity CentralStation with Infinity Telemetry, TruST Transmitters and Infinity M300. The numbers provided will not guarantee faultless operation but should provide reasonable assurance of such. This information may not be applicable to other medical electrical equipment, and older equipment may be particularly susceptible to interference. General Notes Medical electrical equipment needs special precautions regarding electromagnetic compatibility (EMC) and needs to be installed and put into service according to the EMC information provided in this manual. Portable and mobile radio frequency (RF) communications equipment can affect medical electrical equipment. The TruST telemetry receiver may be sensitive to RF interference and could possibly be interfered with by other equipment even if the equipment complies with CISPR11. Cables and accessories not specified within the instructions for use are not authorized. Using other cables and/or accessories may adversely impact safety, performance and electromagnetic compatibility (increased emission and decreased immunity). The equipment should not be used adjacent to or stacked with other equipment; if adjacent or stacked use is inevitable, the equipment should be observed to verify normal operation in the configuration in which it will be used. When using wireless networking, be aware that the system operates at 2.4 GHz range. Other equipment, even if compliant with CISPR emission requirements, could interfere with reception of wireless data. When selecting new wireless systems (e.g. cell phones, pager systems, cordless phones etc.) for use in installations where wireless networking is used, care should always be used to insure that operating frequencies are compatible. For example, selecting cordless phones that operate at 2.4 GHz will likely cause difficulty with the phones and networking components. NOTE: Detailed radio frequency characteristics: 2412-2472 MHZ, Direct-sequence spread spectrum (DSSS) IEEE 802.11b compatible, limited to 100 mW. Applicable to both access points and client adaptors. When used with 802.15.1 wireless, the device will transmit with the following characteristics: 2400-2485 MHz, Frequency Hopping Spread Spectrum (FHSS), limited to 2.5 mW. See the documentation that accompanies the wireless products for further details. Low level signals such as ECG are potentially susceptible to interference from electromagnetic energy. While the equipment meets the testing described below, it is not a guarantee of perfect operation, the ‘quieter’ the electrical environment the better. In general, increasing the distance between electrical devices decreases the likelihood of interference. B-18 Infinity CentralStation VF8 Electromagnetic Compatibility NOTE: The Infinity CentralStation with Infinity Telemetry, TruST transmitters and Infinity M300 are intended for use in the electromagnetic environments specified below. The user of this equipment should assure that is used in such an environment. Electromagnetic Emissions Emissions Compliance according to... Electromagnetic environment RF emissions (CISPR 11) Infinity CentralStation Telemetry Receiver and Infinity M300 Group 1 The Infinity CentralStation and receiver use RF energy only for internal function. Therefore, their RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.* RF emissions (CISPR 11) Transmitter Group 2 The TruST Telemetry Transmitter must emit electromagnetic energy in order to perform its intended function. Nearby electronic equipment may be affected. CISPR Emissions Classification Class B Harmonic emissions (IEC 61000-3-2) Class A Voltage fluctuations / flicker (IEC 61000-3-3) Complies The equipment is suitable for use in all establishments including domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes. *Note that when used with the wireless options, the Infinity M300 emits electromagnetic energy in order to communicate with the Infinity Network. Nearby electronic equipment may be affected. Radio frequency characteristics are specified above. See the documentation that accompanies the wireless products for further details. Electromagnetic Immunity Immunity against... IEC 60601-1-2 test level Compliance level (of this device) Electrostatic discharge, ESD (IEC 61000-4-2) Contact discharge: ± 6 kV ± 6 kV Air discharge: ± 8 kV ± 8 kV Electrical fast transients / bursts (IEC 61000-4-4) Power supply lines: ± 2 kV ± 2 kV Longer input / output lines: ± 1 kV ± 1 kV Surges on AC mains lines (IEC 61000-4-5) Common mode: ± 2 kV ± 2 kV Differential mode: ± 1 kV ± 1 kV VF8 Electromagnetic environment Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be kept at levels to reduce electrostatic charge to suitable levels. Mains power quality should be that of a typical commercial or hospital environment. Mains power quality should be that of a typical commercial or hospital environment. Infinity CentralStation B-19 B: Electromagnetic Immunity Immunity against... IEC 60601-1-2 test level Compliance level (of this device) Power frequency magnetic field 50/60 Hz (IEC 61000-4-8) 3 A/m 3 A/m Equipment which emits high levels of power line magnetic fields (in excess of 3A/m) should be kept at a distance to reduce the likelihood of interference. Voltage dips and short interruptions on AC mains input lines (IEC 61000-4-11) Dip >95%, 0.5 periods >95%, 0.5 periods Dip 60%, 5 periods 60%, 5 periods Dip 30%, 25 periods 30%, 25 periods Dip >95%, 5 seconds >95%, 5 seconds Mains power should be that of a typical commercial or hospital environment. If user requires continued operation during power mains interruptions insure that batteries are installed and charged. Insure that battery life exceeds longest anticipated power outages or provide and additional uninterruptible power source. Conducted RF RF coupled into lines (IEC 61000-4-6) 150 kHz – 80 MHz: 3 V/m Radiated RF (IEC 61000-4-3) 80 MHz – 2.5 GHz 3 V/m Electromagnetic environment Portable and mobile RF communications equipment should be used no closer to any part of the, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter as below. Recommended separation distance: d=1.2/V1]√P d=1.2/√P 80 MHz to 800MHz d=2.3√P 800 MHz to 2.5 GHz where ‘P’ is the maximum output power rating of the transmitter in watts according to the transmitter manufacturer and ‘d’ is the recommended separation distance in metres. Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey1, should be less than the compliance level in each frequency range2. Interference may occur in the vicinity of equipment marked with the wireless symbol: B-20 Infinity CentralStation VF8 Electromagnetic Compatibility Electromagnetic Immunity Immunity against... IEC 60601-1-2 test level Compliance level (of this device) Electromagnetic environment 1Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the equipment is used exceeds the applicable RF compliance level above, the equipment should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the equipment. 2If the frequency range is 150 kHz to 80 MHz, field strengths should be less than 3 V/m. Recommended separation distances between portable and mobile RF communications equipment and the equipment Rated maximum output power of Transmitter (watts) Separation distance according to frequency of transmitter (meters) 150 kHz to 80 MHz d=1.2/V1]√P 80 MHz to 800MHz d=1.2/V1]√P 800 MHz to 2.5 GHz d=2.3√P 0.01 0.12 0.12 0.23 0.1 0.38 0.38 0.73 1.2 1.2 2.3 10 3.8 3.8 7.3 100 12 12 23 For transmitters rated at a maximum output power not listed, the recommended separation distance ‘d’ (in meters) can be estimated using the equation applicable to the frequency of the transmitter, where ‘P’ is the maximum output power rating of the transmitter (in watts) according to the transmitter manufacturer. NOTE: VF8 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people. Infinity CentralStation B-21 B: - This page left blank intentionally - B-22 Infinity CentralStation VF8 C: Cleaning CAUTION! Do not sterilize any components. Cleaning the Infinity CentralStation............................................................................ C-2 Cleaning and Disinfecting Infinity Telemetry and Infinity M300.............................. C-2 Recommended Cleaning Agents .......................................................................... C-3 Patient Cables ........................................................................................................ C-3 Reusable ECG Electrodes ..................................................................................... C-3 Reusable SpO2 Sensor.......................................................................................... C-3 Cleaning the MicrO2/MicrO2+® Oximeter................................................................... C-4 Oximeter.................................................................................................................. C-4 Reusable Sensor .................................................................................................... C-4 C: Cleaning the Infinity CentralStation CAUTION! Do not immerse the CPU or its peripherals. Do not pour or spray cleaning solution directly on equipment surfaces. Do not allow fluids to contact electrical connectors or drip into ventilation openings. During normal use the display, CPU, accessories, and peripherals may become soiled. Clean these components according to the original manufacturer's Instructions For Use or hospital protocol for computer equipment and peripherals. Cleaning and Disinfecting Infinity Telemetry and Infinity M300 CAUTION! Do not use disinfectants other than those recommended by Dräger. The use of non-approved disinfectants can damage the device. Do not use disinfectants containing phenol. Do not use strong aromatic ketone, ether, or ester solvents, or sharp tools and abrasives. These will damage the device. Do not gas sterilize, steam autoclave, immerse, or rinse the device in fluids. If you accidentally spill liquid on the device, remove the battery and contact the Hospital Biomedical Engineering Dept. regarding the continued safety of the unit before placing it back in operation. 1. Clean the device with gauze moistened in soapy water. 2. Thoroughly dry with a lint-free cloth. 3. Disinfect the device with gauze moistened in a cleaning agent. 4. Thoroughly dry with a lint-free cloth. C-2 Infinity CentralStation VF8 Cleaning and Disinfecting Infinity Telemetry and Infinity M300 Recommended Cleaning Agents Dräger recommends the following cleaning agents for Infinity Telemetry and Infinity M300. Diluted isopropyl alcohol Sodium hypochlorite 2.5% Green tinctured soap Patient Cables Clean the patient cables with a gauze pad moistened with a soap solution. Dry thoroughly with a lint-free cloth. To disinfect patient cables, wipe the cables with a gauze moistened with diluted alcohol. Dry thoroughly with a lint-free cloth. Reusable ECG Electrodes Clean grabber-wire clips regularly with a toothbrush. Remove any gel residue from the electrode by brushing it off under running water. Clean the electrodes with a gauze moistened with a soap solution. Dry thoroughly with a lint-free cloth. Disinfect the electrodes with a gauze moistened with diluted alcohol. Dry thoroughly with a lint-free cloth. Reusable SpO2 Sensor See the cleaning instructions and recommendations provided with the sensor. VF8 Infinity CentralStation C-3 C: Cleaning the MicrO2/MicrO2+® Oximeter Oximeter 1. Turn the oximeter off. 2. Clean the oximeter with gauze moistened in soapy water. 3. Thoroughly dry with a lint-free cloth. 4. Disinfect the oximeter with gauze moistened in diluted isopropyl alcohol (70%), or sodium hypochlorite (2.5%). 5. Thoroughly dry with a lint-free cloth. Reusable Sensor 1. Unplug the sensor from the oximeter. Disposable sensors are intended for single-use only and should not be reprocessed. NOTE: 2. Clean reusable sensors according to the instructions supplied with the sensor CAUTION! C-4 Do not use disinfectants containing phenol. Do not use strong aromatic ketone, ether, or ester solvents, or sharp tools and abrasives. These will damage the oximeter. Do not use disinfectants other than those recommended. The use of nonapproved disinfectants can damage the oximeter. Do not gas sterilize, steam autoclave, immerse, or rinse the oximeter and its reusable sensor in fluids. If you accidentally spill liquid on the device, remove the battery and contact the Hospital Biomedical Engineering Dept. regarding the continued safety of the unit before placing it back in operation. Infinity CentralStation VF8 - This page left blank intentionally - These Instructions for Use only apply to Infinity CentralStation with Infinity Telemetry System and with Infinity M300 VF8 with the Serial No.: If no Serial No. has been filled in by Dräger, these Instructions for Use are provided for general information only and are not intended for use with any specific machine or device. This document is provided for customer information only, and will not be updated or exchanged without customer request. Directive 93/42/EEC for medical devices Manufactured by Draeger Medical Systems, Inc. 3135 Quarry Road Telford, PA 18969 U.S.A. (215) 721-5400 (800) 4DRAGER (800) 437-2437 FAX (215) 723-5935 http://www.draeger.com MS23349 RI 01 © Dräger Medical Systems, Inc. 05/2008 Dräger reserves the right to make modifications to the equipment without prior notice. In Europe, Middle East, Africa, Latin America, Asia Pacific distributed by Dräger Medical AG & Co. KG Moislinger Allee 53 – 55 D-23542 Lübeck Deutschland +49 451 8 82-0 FAX +49 451 8 82-20 80 http://www.draeger.com
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