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 12-25. 1 Count row number displays above measured complex. 2 “R” displays under complex from which reference measurements were taken when it is in the 18-second ECG strip. 3 Summary table from Caliper Review screen can include up to 10 rows of interval measurements.
12: Recordings / 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 12-23. 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.
Reports Parameters and Settings 1 Time that the report request was processed 2 Time the setting was updated or data collection resumed after the monitor was disconnected from the patient 3 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.
12: Recordings / Reports Waveforms and loops 1 Time that the report request was processed 2 Top 3 waveforms selected in VentCentral screen 3 Pressure Loop (represents the first breath) 4 Area to record Ventilator Identification Number 5 Area to record Ventilator manufacturer 6 Flow Loop (represents the first breath) 12-22 TUV Draft Infinity CentralStation VF8 DRAFT
Requesting Recordings and Reports Requesting Recordings and Reports NOTE: The print queue can handle 10 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.
12: Recordings / Reports Recording/Report • Strip Report • Hour Report • 24 Hour Report NOTE: Required Steps Full Disclosure Reports 1.From the Full Disclosure screen (page 14-9) 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.
Requesting Recordings and 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 3-4) or you can configure the report to display particular trends for the individual patient as follows: 1.From the Full Disclosure screen (page 14-9) click on Reports.... From the Reports menu click on Trend Report Setup. The Trend Order Setup screen displays. 2.
12: Recordings / Reports 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.
Actions that Affect Recordings 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.
12: Recordings / Reports Recording Status Messages Recorder Status Messages Status Message Tone Accepted1 Description Action • Recording Request • 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.
Recording Status Messages Recorder Status Messages Status Message Tone Description Action Recording Status Unknown - Connection Failed Attention Recording status unknown due to failed bed connection (telemetry or bedside). Contact Biomed. 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. 1 represents recording title. represents report title. 3 represents device/host label.
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Trends This chapter describes the Infinity CentralStation Trend function and available display features of trend graphs and tables. Overview.......................................................................................................................13-2 Accessing a Patient’s Trends.....................................................................................13-2 Availability of Trends ............................................................................................
13: Trends Overview All trend information is available for remote viewing by network client devices. To request a Graphical Trend Report, refer to page 12-18. 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.
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 12-18).
13: Trends Parameter Display Order and Trend Scales for Telemetry Patients Parameter Display Order Upper/Lower Scale HR 1 0 to 200 beats/min PVC/min 2 0 to 60 % paced 3 0 to 100% SPO2 (SPO2*) 4 50 to 100% PLS (PLS*) 5 0 to 200 beats/min NPB 6 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.
Trend Graphs Representation of Parameters in Trend Graphs Parameter Type Representation on Trend Graph Single-value, continuous such as HR Single, continuous line Single-value, intermittent such as C.O.
13: Trends 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 13-9).
Trend Cursor 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. VF8 ! If cursor time matches one of the trend table column time stamps, the column time is highlighted and appears in the center of the trend table screen.
13: Trends Trend Graph Time Intervals Hours Scrolling Interval (min.) Time Interval (min.) 1 15 15 2 15 15 4 30 30 8 60 60 12 60 90 24 60 180 72 60 180 NOTE: Although the Infinity TeleSmart can store up to 72 hours of trend data for telemetry patients, you can only view 24 hours at a time at the Infinity CentralStation. The scroll bar advances the trend window in 24-hour segments. 1. Access a patient’s trend graphs or trend table (page 13-2). 2.
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 COs 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 •
13: 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 Telemetry receiver goes offline.
14 Full/Event Disclosure (Option) A Full/Event Disclosure option of the Infinity CentralStation must be enabled in the Biomed menu (Chapter 16). Overview.......................................................................................................................14-2 Full/Event Disclosure Census Operations ................................................................14-3 Accessing the Census Screen .............................................................................
14: Full/Event Disclosure (Option) Overview Depending on the Infinity CentralStation hardware configuration and the Full/Event Disclosure option, you can store up to 72 hours of full disclosure waveform data per patient. You can also track and analyze up to 1000 clinically significant events. Available Full/Event Disclosure features follow.
Full/Event Disclosure Census Operations 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....
14: Full/Event Disclosure (Option) Census Screen Illustration 1 2 3 4 5 Only displays when client option is enabled Permits selection of disclosure data from Local Infinity CentralStation or from entire Infinity network Headings that permit sorting of patient data Opens selected patient’s History popup Opens Disclosure Review Screen Census Screen patient list 14-4 TUV Draft Infinity CentralStation VF8 DRAFT
Full/Event Disclosure Census Operations 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.
14: Full/Event Disclosure (Option) Admitting a Patient to Full/Event Disclosure Once a patient is added to the Infinity CentralStation Main Screen, Full/Event disclosure data collection begins. A patient is identified in the database by name and identification number. Data Collection Rules A patient remains admitted to the server and Disclosure data storage continues for as long as the patient remains on the same monitor on the network and within the monitoring unit.
Admitting a Patient to 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 (page 14-3). 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.
14: Full/Event Disclosure (Option) Accessing Disclosure History 1. Open the Census screen (page 14-3). 2. Highlight the desired record in the Census screen patient list (page 14-4). 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 10 disclosure records in each Infinity CentralStation database. When you lock the record, data will not be automatically deleted.
Accessing the Full/Event Disclosure Review Screen Accessing the Full/Event Disclosure Review Screen From Main Screen: 1. Open the Census Screen (page 14-3) 2. Highlight a record in the Census screen patient list (page 14-4) 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 patient’s Disclosure data initially displays in compressed screen (zoom out) format.
14: Full/Event Disclosure (Option) Full Disclosure Review Screen 1 2 3 4 5 6 Patient Identification Time/date corresponding to cursor position Gain setting/lead label Time Line reflects Full/Event Disclosure Storage Option (page 14-2) 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 7 8 9 10 Selects viewing mode (Zoom In or Zoom Out) Generates Full Disclosure reports Navig
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.
14: Full/Event Disclosure (Option) 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. NOTE: Zoom Out For 1 channel approximately 9.5 minutes of data displays on a page. Displayed data is centered around the cursor time.
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 (page 14-10) • generate reports (page 12-23) • select how many channels of data you wish to view (page 14-10) • view parameter values • select gain settings (page 14-14) • delete events (individual event or entire event class) • choose the order of the displayed waveforms • customize e
14: Full/Event Disclosure (Option) 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. Parameter labels stored at the selected cursor time are displayed in white text. 4.Click on the desired setting. 5.Repeat steps 3 and 4 for each channel.
Full/Event Disclosure Review Screen Functions Available Gain Settings Parameter Available settings Default size ECG 0.25, 0.
14: Full/Event Disclosure (Option) Annotating Events On the Event Disclosure Review Screen you can also 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 comments 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.
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.
14: Full/Event Disclosure (Option) Deleting Events You can either delete individual events or entire event categories. To delete an individual event 1. Open the Event Review screen (page 14-9). 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 option button to display a list. 2.
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 (page 14-9) 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.
14: Full/Event Disclosure (Option) 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.
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 ECG data. Before you can use the ECG caliper tool the Full Disclosure Channel 1 setting must be set to display ECG data (page 14-14). Accessing The ECG Caliper Screens 1. Open the Full Disclosure Review screen (page 14-9). 2. Position cursor over the ECG area you wish to measure. 3.
14: Full/Event Disclosure (Option) Caliper Measure Screen 1 2 3 4 5 6 7 8 9 Waveform area - Right click mouse to move right caliper to any position on Waveform.
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.
14: Full/Event Disclosure (Option) 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 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.
Full Disclosure ECG Caliper Tool 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. 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.
14: Full/Event Disclosure (Option) 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 (page 12-19) Review - Caliper Review Screen 1 2 3 4 Waveform Area Scroll through saved measurements. (Arrows are ghosted at beginning and end of stored data.
Full Disclosure ECG Caliper Tool 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 page 14-21. To delete interval measurements: 1. Open the Caliper Review Screen. 2. Click on Delete. A popup displays.
14: Full/Event Disclosure (Option) 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 Depending on the printer setting, all Disclosure reports are either printed on a network or local laser printer.
Exporting Full/Event Disclosure Data Exporting Full/Event Disclosure Data NOTE: In order to export Full/Event Disclosure data from the Infinity CentralStation to a third party device, configuration of a destination IP address is required at Infinity CentralStation installation. Exporting Full Disclosure Data to a Third-Party Device This feature accommodates export of up to 4 channels x 25 hours of Full Disclosure data to a compatible third party device, such as a Reynolds Pathfinder Holter Analyser.
14: Full/Event Disclosure (Option) Exporting Event Disclosure Data to the MegaCare System Assignment of a network IP address for the Dräger MegaCare system is required at Infinity CentralStation installation in order to export Event Disclosure information from the Infinity CentralStation to MegaCare. To Export Event Disclosure Data: 1. Open the patient’s Event Disclosure. Review screen (page 14-9). 2. Access the desired event 3. Click on Reports... A popup menu displays. 4. Click on Export Event.
Special Conditions 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.
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15 VentCentral Option To enable the VentCentralTM see page 16-7. Overview.......................................................................................................................15-3 The Ventilator Screen.................................................................................................15-5 Accessing the Ventilator Screen .........................................................................15-6 Waveform Area in Ventilator Screen ...............................................
15: VentCentral Option Taema Horus Ventilator......................................................................................15-49 Hamilton Galileo Ventilator ................................................................................15-51 Maquet SV 300/SV 300A/Servoi Ventilator........................................................15-52 Maquet SV 900 Ventilator ...................................................................................15-54 Viasys Bear 1000 Adult Ventilator ............
Overview Overview With the VentCentral option you can review a patient’s ventilator and other third-party device parameters directly 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.
15: 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.
The Ventilator Screen The Ventilator Screen 1 Parameter box with fixed set of parameters If a parameter is not available, the area is blank. 5 2 3 4 8-hour trend of user-selected parameters Pressure vs. Volume Loop Flow vs. Volume Loop 6 7 15-5 TUV DRAFT 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.
15: 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 6-4. 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.
