The Ventilator Screen Loops Area in Ventilator Screen The real-time ventilator loops in the Ventilator screen are synchronous with the associated breath. Flow vs. Volume is shown on the left and Pressure vs. 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.
15: VentCentral Option The Ventilator Settings Review Screen 1 2 3 4 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.
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 AEP and SEP functions functions that are enabled at a bedside monitor. Each Ventilator Settings Review screen parameter and setting displays in a fixed order.
15: VentCentral Option Order Description 27 28 etCO2* iCO2* Parameter 29 30 31 32 33 34 pH HCO3 Hematocrit (Hct) Hemoglobin (tHb) PCO2 PO2 Setting Blood Gas Parameters 35 36 37 VF8 Other Parameters and settings Barometric pressure Additional parameters from Ventilator/MIB devices (see tables starting on page 15-22) Additional settings from Ventilator/MIB devices (see tables starting on page 15-22) Infinity CentralStation TUV Draft 15-10 DRAFT
The Ventilator Settings Review Screen Special Conditions Special Conditions Affecting Ventilator Settings Review Screen Condition Effect Disconnected parameter hardware No advisory message is sent to the Infinity CentralStation. 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.
15: VentCentral Option Ventilator View Setup Screen The Ventilator View Setup screen permits selecting an individualized display for a selected patient. NOTE: You cannot modify the Loops display. The fixed order is: Flow vs. Volume and Pressure vs. Volume. 1 2 5 6 Reverts to previous settings Accepts new settings/changes 3 Opens Waveforms Setup screen Fixed - Always shows Flow vs. Volume and Pressure vs.
Ventilator View Setup Screen Accessing the Ventilator View Setup Screen 1. Click on the patient’s Main Screen parameter box. To access a remote patient, see page 6-4. 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.
15: VentCentral Option 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.
Ventilator View Setup Screen 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.
15: VentCentral Option 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.
VentCentral Trend Parameters Parameter Label Definition Ventilation (Continued) 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 volum
15: VentCentral Option Parameter Label Definition 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 V Ventricular pressure Cardiac Output BT Blood temperature CCO Continuous cardiac output C
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 En
15: 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. In the VentCentral screens alarm messages appear on the right side of the information area (see arrow).
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 15-14). Serious Alarm at <%s> There is an MIB alarm at the corresponding bed. Check the patient.
15: VentCentral Option 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 15-9 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.
Ventilator and Device Messages/Labels Dräger Cicero Anesthesia System NOTE: The Dräger Cicero Anesthesia System is not available in the U.S. Parameter Label Description Displayed in...
15: VentCentral Option Dräger Julian/Julian Primus/Primus Anesthesia System NOTE: The Dräger Julian Primus and Dräger Primus Anesthesia Systems are not available in the U.S. Parameter Label Description Displayed in...
Ventilator and Device Messages/Labels Alarm Messages Message Description Displayed in...
15: 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 2 In some languages IPPV is used for CMV or VC 3 Applicable only to Dräger Julian VF8 Infinity CentralStation Mode at Infinity CentralStation IPPV2 SIMV PC VC Standby PS Man/Spont Fresh Gas EXT VC+PS PC+PS TUV Draft 15-26 DRAFT
Ventilator and Device Messages/Labels Dräger Narkomed IIC / IV / 6000 / 6400 Anesthesia System Parameter Label Description Displayed in...
15: VentCentral Option Dräger Fabius GS/Fabius CE/Tiro Anesthesia System NOTE: The Dräger Fabius CE Anesthesia System is not available in the U.S. Parameter Description Displayed in...
Ventilator and Device Messages/Labels Alarm Messages Description Displayed in...
15: VentCentral Option Dräger Apollo Anesthesia System NOTE: The Dräger Apollo Anesthesia System is not available in Canada. Parameter Description Displayed in...
Ventilator and Device Messages/Labels Alarm Messages Description Displayed in...
15: VentCentral Option Dräger Zeus Anesthesia System NOTE: The Zeus Anesthesia System is not available in the U.S.or Canada. Parameter Description Displayed in...
Ventilator and Device Messages/Labels Setting Description Displayed in...
15: VentCentral Option Ohmeda Modulus CD Anesthesia System Parameter Description Displayed in...
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 15-8) 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/f
15: VentCentral Option Dräger Evita 1 Ventilator NOTE: Alarm Messages The Dräger Evita 1 Ventilator is not available in the U.S.
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....
15: VentCentral Option Selected Settings Description (continued) Displayed in....
Ventilator and Device Messages/Labels Dräger Evita 2 Ventilator Alarm Messages Paw > HI LIM AW -TEMP>HI LIM Ventilator Alarm 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 synchroniza
15: 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 VF8 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
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 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 IPP
15: VentCentral Option Dräger Evita 2D / 4 / XL Ventilator Alarm Messages Description Displayed in....
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 li
15: VentCentral Option Parameters (continued) Neg iForce Vtasb Negative inspiratory force (Evita XL) Assisted spontaneous breathing, Support volume (Evita XL) Ventilator Settings screen (page 15-8) 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
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 Spontane
15: VentCentral Option Waveforms Paw Flow Loops Airway Pressure Flow (Insp/exp) Ventilator loops Ventilator Screen (page 15-5) Alarm Messages Description Displayed in...
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) Description Displayed in...
15: VentCentral Option Selected Settings FLOW WAVE Flow waveform setting set FREQ set Frequency iO2 set Inspired O2 setting 100%O2 Inspired O2% setting NEBUL set Nebulizer setting PIF set Peak inspiratory flow setting PEEP set PEEP setting Plateau set Plateau setting SIGH ON Sigh enabled TVi set Tidal volume TRIG PRESS Trigger pressure VENT MODE Selected ventilation mode VENT: Selected Ventilator type Waveforms (P-B 7200 only) Paw Airway Pressure Flow Flow (Insp/exp) VF8 Ventilator Settings screen (page 1
Ventilator and Device Messages/Labels Taema Horus Ventilator NOTE: The Taema Horus ventilator is not available in the U.S. Alarm Messages Description Displayed in...
15: VentCentral Option Selected Settings Description Displayed in...
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:
15: 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 er
Ventilator and Device Messages/Labels Labels/Settings (continued) Description INSP t% I RISE% I:E ratio - inspiratory component Ventilator Settings screen (page 15-8) 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.
15: 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 VF8 Displayed in...
Ventilator and Device Messages/Labels Viasys Bear 1000 Adult Ventilator Alarm Messages Description Displayed in...
15: 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 VF8 Infinity CentralStation Ventilator Screen (page 15-5) TUV Draft 15-56 DRAFT
Ventilator and Device Messages/Labels Viasys BearCub 750 Infant Ventilator NOTE: ! MIB connectivity for the Viasys BearCub 750 Infant Ventilator requires FDA 510(k) review and is not yet available commercially in the U.S. ! MIB connectivity for the Viasys BearCub 750 Infant Ventilator is not licensed in accordance with Canadian Medical Device Regulations. Alarm Messages Description Displayed in...
15: 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 VF8 Ventilator Screen (page 15-5) Infinity CentralStation TUV Draft 15-58 DRAFT
Ventilator and Device Messages/Labels Baxter Vigilance Cardiac Output Monitor NOTE: ! MIB connectivity for the Baxter Vigilance Cardiac Output monitor requires FDA 510(k) review and is not yet available commercially in the U.S. ! MIB connectivity for the Baxter Vigilance Cardiac Output monitor is not licensed in accordance with Canadian Medical Device Regulations. Parameters Description Displayed in...
15: VentCentral Option etCO2/Respiratory Mechanics Pod Parameters PIP PEEP MAP TVi s TVi m TVe s TVe m TVd aw MVe s/m 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 Raw e Dead space, airway Expiratory minute volume spontaneous/ mechanical Expiratory minute volume Respiratory rate, spontaneous/mechanical Respiratory rate Dynam
16 Biomed Functions This chapter describes the password-protected Biomed screens intended for biomedical or service personnel. Biomed Screen Selections..........................................................................................16-2 Accessing the Biomed Screens...........................................................................16-2 Show Devices Screen..................................................................................................16-3 Configure Central Screen ...........
16: 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...
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 16-2.
16: Biomed Functions 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.
Configure Central Screen Selection Description Available Settings Restore Default Settings Restores system default settings Factory Default NOTE: Whenever you restore defaults the Infinity CentralStation must be restarted. An entry is made to the clinical events log.
16: Biomed Functions To modify Configure Central selections: 1. Open the Biomed - Configure Central screen (page 16-2). 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.
Configure Locked Options Screen 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, see Appendix C, Accessories. Enabling Available Options 1. Open the Configure Locked Options screen (page 16-2). 2. Click on one of the available menu choices. 3. Enter the password for the option you wish to enable. 4. Click on Accept.
16: Biomed Functions 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 16-2.
Rest ECG Reports 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 Y 1 Landscape 6x2 waves, 2.5 s N 1 6x2 waves, 2.5 s Y 2 6x2 waves, 2.
16: Biomed Functions Accessing the Rest ECG Report Selection Menu 1. Open the System Console (page 16-2). 2. At the system prompt type the following: rekgSelect A selection list appears. 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 Viewing Logs The password-protected diagnostic and clinical events logs record hardware and software conditions and clinical events. The Diagnostic log contains a record of 1000 hardware and software error conditions and are helpful in determining system status. The Clinical Events log contains information on 1000 events of clinical significance. Typical clinical events log entries may include: ! Transitions in/out of local alarm silence ! Infinity CentralStation Alarm State Change (e.g.
16: Biomed Functions 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 16-11). 3. Click on Copy Logs To Disk. The Infinity CentralStation formats the disk automatically. Logs are copied as individual files.
Telemetry System Set Up Telemetry System Set Up The following Biomed setup functions pertain exclusively to the Telemetry system. Before you can access these functions, the Telemetry option must be enabled (page 16-7). Accessing the Telemety Setup Screens 1. Click on Biomed in the Main Screen menu bar. 2. Click on Configure Telemetry.... 3. Click on TeleSmart List Setup or TeleSmart Setup. 4. Enter the Biomed password in the password popup. 5. Click on Accept in the popup. The selected screen displays.
16: Biomed Functions Biomed - TeleSmart Setup Screen NOTE: You can only configure the Infinity TeleSmart Alarm Pause key, STAFF ALERT key, Record key, and speaker for an individual patient (page 6-22) if Per Patient is selected during setup.
Biomed - TeleSmart Setup Screen Biomed - TeleSmart Setup Screen Selections Selection Description Settings Default Display Shut Off Determines how long the Infinity TeleSmart Timer display remains on with no user activity • • • • • 1 min 2 min 3 min 4 min 5 min 2 min ECG Notch Filter Assigns Infinity TeleSmart ECG Notch filter setting • 50 Hz • 60 Hz 60 Hz Régulation Sets French Homologation mode • Par défaut • France Par défaut • Click on Accept or on Undo to return to previous settings.
16: Biomed Functions 16-16 TUV Draft Infinity CentralStation VF8 DRAFT
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: Patient Preparation 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 in i t y Te l eS m a r t d e v i c e s a f e l y t o a v o i d a n y p o s s i b i l i t y o f 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 .
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 r e 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 . 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.
A: Patient Preparation 3-Wire Standard 5-Wire Standard Lead Wire Color Codes Lead wire color codes designated by the IEC and the AHA/AAMI appear in the table that follows.
Attaching the Pulse Oximeter Attaching the Pulse Oximeter 1. Select a well perfused site such as a finger or a toe where patient movement is minimum. 2. Remove any nail polish (if present). 3. Cover the sensor with an opaque material to prevent interference from direct sunlight (when applicable).
A: Patient Preparation A-6 TUV Draft Infinity CentralStation VF8 DRAFT
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 CentralStation ................................................................................................. B-2 Infinity CentralStation Optional Touch Screen ..........
B: Technical Specifications 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 3.20 GHz Storage • (1) GB RAM, 1.
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 < 60 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.
B: Technical Specifications Uninterruptible Power Supply (350VA, 120V, 220V) (continued) 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). 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.
Technical Data Infinity Telemetry System Infinity TeleSmart 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 toSpO2 connector of Infinity TeleSmart Infinity TeleSmart 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.
B: Technical Specifications Infinity TeleSmart (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 Ti
Technical Data Infinity TeleSmart (continued) Measurement Range 15 to 300 bpm Accuracy ± 2 beats/minute or ± 1%, whichever is greater Degree of protection against electrical shock Type BF Defibrillation Protection
B: Technical Specifications Infinity TeleSmart (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
Technical Data Infinity TeleSmart (continued) Measurement accuracy, Neonatal mode 1, 2, 3, 4 SpO2: 0 to 69% not specified 70 to 100% sensor-specific as follows: Nellcor: N-25, OxiMAX MAX-N±3 Masimo: LNOPNEO, LNOPNEO SS, LNOP-YI±3 Pulse Rate: ±3 beats/min 1 SpO2 accuracies are expressed as ± "X" digits between indicated saturation levels. Accuracy of the SpO2measurement is specified with 1 SD (standard deviation), which represents approximately 68% of the population.
B: Technical Specifications Infinity TeleSmart Bedside Charger (continued) Physical Attributes Dimensions 3.3 x 159.7 x 76.7 mm (.13 x 6.29 x 3.02 in) Weight 226.7 g (8.0 oz) 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.
Technical Data Infinity TeleSmart Bedside Charger (continued) Drop Per IEC68-2-31, Packaged drop- 30" Water Resistance IPX0 & IPX4 Standards Compliances EN60601-1, UL60601-1, CSA 22.2 No. 601.1 M90, EN60601-1-2 Infinity TeleSmart Central Charger Connections Infinity TeleSmart (supports 10 devices concurrently) Physical Attributes Dimensions 520.7 x215.9 x 190.5 mm (20.5 x 8.5 x 7.5 in) Weight 6.5 Kg (13.
B: Technical Specifications Infinity TeleSmart Central 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.
Electromagnetic Compatibility Electromagnetic Compatibility The separation distances are written with regard to the Infinity CentralStation with Infinity Telemetry and Infinity TeleSmart. 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.
B: Technical Specifications NOTE: The Infinity CentralStation with Infinity Telemetry and Infinity TeleSmart 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 Compatibility Electromagnetic Immunity Immunity against... IEC 60601-1-2 test level Compliance level (of this device) 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 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.
B: Technical Specifications 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 1.2 1.2 2.3 10 3.8 3.8 7.
C: Cleaning This appendix provides general instructions for cleaning the Infinity CentralStation, the accessories, and peripherals. CAUTION! Do not sterilize any components. Cleaning the Infinity CentralStation............................................................................ D-2 Cleaning and Disinfecting Transceivers ................................................................... D-3 Recommended Cleaning Agents ..........................................................................
C: Cleaning 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 TeleSmart Cleaning and Disinfecting Infinity TeleSmart 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.
C: Cleaning ! ! ! ! Enzol (Cidezyme) Cetylcide-G® Concentrate and Diluent Concentrate Metricide® 28 Long-Life Activated Dialdehyde Solution Compliance® 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 or a gluteraldehyde-based disinfectant. ! Dry thoroughly with a lint-free cloth.
Cleaning the MicrO2/MicrO2+® Oximeter 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.
C: Cleaning C-6 TUV Draft Infinity CentralStation VF8 DRAFT
VF8 FDA DRAFTPAGE 1-1 DRAFT
In the United States: Draeger Medical Systems, Inc. 16 Electronics Avenue Danvers, MA 01923-1079 USA Telephone: (978) 907-7500 In all other countries: Dräger Medical AG & Co. KG Moislinger Allee 53-55 23558 Lübeck Germany Tel: +49 18 05 3 72 34 37 July 2006 / D. Swanson VF8 Printed in the United States of America Dräger Medical reserves the right to make modifications to equipment without prior notice. Article No.