Infinity Acute Care System Quick Reference Guide sw VG7.n Edition 1 Aug 2018.pdf
Page 1
Quick reference guide
Infinity® Acute Care
System
IACS Software VG7.n
This Quick reference guide is not a replacement or
substitute for the Instructions for Use.
Any use of the medical device requires full understanding and strict observation of the Instructions for
use.
Page 2
Contents
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Side view of the M540. . . . . . . . . . . . . . . . . . . . . .
Dialogs and pages . . . . . . . . . . . . . . . . . . . . . . . .
To place the Cockpit in standby mode . . . . . . . . .
To place the Cockpit into privacy mode . . . . . . . .
To admit a patient manually . . . . . . . . . . . . . . . . .
To discharge a patient. . . . . . . . . . . . . . . . . . . . . .
To change the patient category in the
Demographics page . . . . . . . . . . . . . . . . . . . . . . .
To adjust the alarm volume . . . . . . . . . . . . . . . . . .
To initiate an audio pause from the Cockpit . . . . .
To initiate an audio pause from the M540 . . . . . . .
To initiate an audio pause remotely . . . . . . . . . . .
To pause alarm monitoring temporarily. . . . . . . . .
To activate alarm monitoring after pausing . . . . . .
To deactivate alarm monitoring permanently . . . .
To activate alarm monitoring after deactivating. . .
To configure the alarm settings . . . . . . . . . . . . . . .
To configure the alarm settings of multiple
parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
To access the alarm history . . . . . . . . . . . . . . . . .
To view a snapshot of a stored event . . . . . . . . . .
The Code function. . . . . . . . . . . . . . . . . . . . . . . . .
Configuring the parameter content of the
graphical trends . . . . . . . . . . . . . . . . . . . . . . . . . .
To modify the parameter selection for a graphical
trend page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Electrode placement for adult and pediatric
patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ECG parameter setup functions . . . . . . . . . . . . . .
To select the arrhythmia modes . . . . . . . . . . . . . .
Accessing the arrhythmia functions . . . . . . . . . . .
Respiration parameter setup functions . . . . . . . . .
Patient preparation for respiration monitoring. . . .
SpO2 and Pulse CO-Ox monitoring with Masimo
SET MCable . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SpO2 and pulse rate monitoring with Nellcor
OxiMax MCable . . . . . . . . . . . . . . . . . . . . . . . . . .
Temperature parameter setup functions . . . . . . . .
Non-invasive blood pressure parameter setup
functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Labeling Invasive pressure channels . . . . . . . . . .
Zeroing a pressure transducer . . . . . . . . . . . . . . .
Invasive pressure parameter setup functions . . . .
To setup a PPV configuration . . . . . . . . . . . . . . . .
To calculate a PPV measurement. . . . . . . . . . . . .
To setup an SPV configuration . . . . . . . . . . . . . . .
To calculate an SPV measurement. . . . . . . . . . . .
2
2
3
3
4
4
4
4
4
Mainstream CO2 monitoring . . . . . . . . . . . . . . . . .
Microstream CO2 monitoring . . . . . . . . . . . . . . . .
Screen setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Screen setup – auto view functions . . . . . . . . . . .
Printing reports . . . . . . . . . . . . . . . . . . . . . . . . . . .
26
27
28
28
29
5
5
5
5
5
6
6
6
6
6
7
8
8
8
9
10
10
12
14
14
15
16
17
18
19
20
20
21
22
24
24
25
25
Quick reference guide
– Infinity
®
Acute Care System
– IACS VG7.n
Page 3
Trademarks
–
Pulse CO-Oximeter Signal Extraction®
are trademarks of Masimo Corporation.
–
Infinity®
–
MCable®
–
Medical Cockpit®
–
MPod®
–
are trademarks of Dräger.
–
Microstream®
is a trademarks of Oridion Medical 1987 Ltd.
Masimo®
–
Nellcor®
–
OxiMax®
–
SatSeconds®
are trademarks of a Medtronic company.
–
SET® (Signal Extraction Technology)
–
Masimo® rainbow® SET®
All devices referenced in these instructions for use may
not be approved for sale in all countries. Please check
with your local Dräger representative.
Side view of the M540
A
B
F
C
310
D
E
A Non-invasive blood pressure connector
F
ECG connector
B Temp (2) / Aux connector
C SpO2 connector
D Hemo connector
E CO2 connector
Quick reference guide
– Infinity
®
Acute Care System
– IACS VG7.n
3
Page 4
Dialogs and pages
The user can also access parameter-specific dialogs and pages directly by selecting the corresponding parameter
fields on the main screen. For example, if the user selects the heart rate (HR) parameter field, the Sensor parameters dialog with the ECG page appears.
To place the Cockpit in standby mode
1
Select the
2
Select the Standby button on the toolbar.
symbol next to the Start/Standby... button on the main menu bar to display the Standby toolbar.
or
1
Select the Start/Standby... button on the main menu bar to display the Standby dialog.
2
Select the Start tab if it is not already selected.
3
Select the Standby button next to the menu selection Monitor.
To place the Cockpit into privacy mode
1
Select the symbol
2
Select Privacy on the toolbar.
next to the Start/Standby... button on the main menu bar.
or
1
Select the Start/Standby... button on the main menu bar.
2
Select the Start tab if it is not already selected.
3
Select Privacy next to the menu selection Display.
To admit a patient manually
Touch the left most field on the header bar of the Cockpit to access the Demographics page.
or
1
Select Start/Standby... on the main menu bar.
2
Select the Demographics tab (if not already selected).
To discharge a patient
1
Select the left most field on the header bar of the
Cockpit to access the Demographics page.
2
Select the Start tab (if not already selected).
3
Select the Discharge button.
1
Select Start/Standby... on the main menu bar.
2
Select the Start tab (if not already selected).
3
Select the Start button. A pop-up window with the
message Caution discharge will delete patient
data appears.
4
Select the Discharge button in the pop-up window.
or
4
Quick reference guide
– Infinity
®
Acute Care System
– IACS VG7.n
Page 5
To change the patient category in the Demographics page
Select the left most field on the header bar to access the Demographics page directly.
or
1
Select Start/Standby... on the main menu bar.
2
Select the Demographics tab (if not already selected).
3
Select the desired patient category button (Adult, Pediatric, or Neonate), next to the selection
Patient category.
4
Press the rotary knob to confirm the setting.
To adjust the alarm volume
1
Select the Alarms... button on the main menu bar.
2
Select the Settings tab.
3
Select the button Alarm volume [%] and select the desired volume (5%, 10 to 100% in increments of 10%).
To initiate an audio pause from the Cockpit
Press the yellow
hardware version.
or
key on the Cockpit. The appearance of the yellow key depends on the Cockpit
or
Press the F1 keyboard key.
Pressing the key that initiated the audio pause period again, cancels the audio pause state, and all alarm events
are reported as usual.
To initiate an audio pause from the M540
Press the yellow
key on the M540 in an IACS configuration. You can audio pause alarms on the M540 when
it is docked or while it is on transport.
To initiate an audio pause remotely
Refer to the instructions for use of any remote device within the same monitoring unit for instructions on how to
initiate an audio pause.
Pressing the key that initiated the audio pause period again, cancels the audio pause state, and all alarm events
are reported as usual.
Quick reference guide
– Infinity
®
Acute Care System
– IACS VG7.n
5
Page 6
To pause alarm monitoring temporarily
1
Select the
symbol next to the Alarms... button on the main menu bar of the Cockpit.
2
Select the All alarms paused button.
To activate alarm monitoring after pausing
1
Select the
symbol next to the Alarms... button on the main menu bar of the Cockpit.
2
Select the All alarms paused button again.
To deactivate alarm monitoring permanently
1
Select the
symbol next to the Alarms... button on the main menu bar of the Cockpit.
2
Select the All alarms off button on the toolbar.
To activate alarm monitoring after deactivating
1
Select the
symbol next to the Alarms... button on the main menu bar of the Cockpit.
2
Select the All alarms off button again on the toolbar.
To configure the alarm settings
1
Select Sensor parameters... on the main menu bar.
2
Select the desired parameter tab (for example,
ECG).
–
Str/Rec – stores an event for later review and
generates a timed recording.
or
Select the parameter field to access the parameter
setup page directly.
3
Select the Alarm on/off button (A), to activate or deactivate alarm monitoring. A crossed-out triangle
appears in the parameter field when alarm monitoring is deactivated.
4
Select the setup button (C) to adjust the upper alarm
limits.
5
Select the setup button (D) to adjust the lower alarm
limits.
6
Select one of the following settings for the Archive
buttons (E) to determine what happens in response
to an alarm:
6
–
Off – no event is stored and no recording is
generated.
–
Store – stores the event for later review.
–
Record – generates a timed recording.
A
C
A
C
A
C
D
E
D
E
D
E
Quick reference guide
B
F
– Infinity
®
Acute Care System
– IACS VG7.n
Page 7
To configure the alarm settings of multiple parameters
1
Select the Alarms... button on the main menu bar.
2
Select the Limits tab (if not already selected).
3
Select the General tab along the right edge of the page.
4
Use the display filter button (I) to determine whether the table displays all parameters or only parameters that
are currently connected.
5
Select the corresponding button in the Alarm on/off column (C) to activate or deactivate alarm monitoring. A
crossed-out triangle appears in the parameter field when alarm monitoring is deactivated.
6
Select the corresponding button in the Lower column (D) to adjust the lower alarm limits.
7
Select the corresponding button in the Upper column (F) to adjust the upper alarm limits.
8
Use one of the following settings in the Archive column (G) to determine what happens in response to an
alarm:
9
–
Off – no event is stored and no recording is generated.
–
Store – stores the event for later review.
–
Record – generates a timed recording
–
Str/Rec – generates a timed recording and stores the event.
Select the Auto set all button (J), to auto adjust the alarm limits of all parameters.
A
B
C
D
E
F
G
I
J
Quick reference guide
H
H
H
– Infinity
®
Acute Care System
– IACS VG7.n
7
Page 8
To access the alarm history
1
Select the Alarms... button on the main menu bar.
2
Select the Alarm history tab.
To view a snapshot of a stored event
1
Select Alarms... on the main menu bar.
2
Select the Alarm history tab.
3
Select the row of the event marked with the
symbol that you wish to view.
The Code function
You can configure a set of monitoring functions that can be activated during emergency care by selecting the Code
button on the main menu bar. Depending on which of these settings are activated, any of the following happens
when you select the Code button:
–
A continuous recording starts
–
NIBP measurements start in continuous mode
–
The alarm volume of the alarm condition with the highest priority is automatically reduced to the minimum setting.
–
The pre-configured All alarms off setting determines if the alarm annunciation is deactivated and the All
alarms off message appears in the header bar when you press the Code button.
In addition to activating the pre-configured features, a timer with a red background appears in the header bar with
the following two buttons:
–
Stop for stopping the timer. The label of the button changes to Start.
–
Reset button for resetting the timer to zero.
The Code button does not function unless the M540 is docked.
To activate the Code function
Press the Code button on the main menu bar.
To deactivate the Code function
Press the Code button on the main menu bar a second time. All functions are deactivated.
8
Quick reference guide
– Infinity
®
Acute Care System
– IACS VG7.n
Page 9
Configuring the parameter content of the graphical trends
Except for the Graph vitals page whose parameter assignments are fixed, you can customize the parameter content for the Graph and the Ventilation / Anesthesia graphical trend pages.
The following diagram depicts the setup window for customizing the parameter content of each graphical trend
page.
J
A
L
K
G
B
C
E
D
489
I
H
F
A Display filter button
B Button that closes the setup window
C Group of parameter buttons entitled Medibus.X for selecting parameters originating from Medibus X devices
using the device connectivity option.
D OK button
E Cancel button
F
Clear all button – deselects any buttons that are currently selected.
G Group of parameter buttons entitled Other for selecting miscellaneous parameters such as SpO2, temperature,
and so on.
H Group of parameter buttons entitled CO2 for selecting CO2-related parameters.
I
Group of parameter buttons entitled More devices for selecting parameters such as NMT, BIS, and CCO.
These parameters originate from external devices using the device connectivity option.
J
Group of parameter buttons entitled ECG for selecting ECG-related parameters.
K Group of parameter buttons entitled Pressures for selecting pressure-related parameters.
L
Group of parameter buttons entitled Vent devices for selecting ventilation parameters originating from Medibus
devices using the device connectivity option.
Quick reference guide
– Infinity
®
Acute Care System
– IACS VG7.n
9
Page 10
To modify the parameter selection for a graphical trend page
In the following steps, the letters in parentheses refer to the diagram of the trend setup page.
1
Access the Graph or the Ventilation / Anesthesia tab.
2
Select the trend setup symbol
Setup dialog.
3
Use the display filter button (A) to toggle between the filtered or unfiltered display. When the
button is on
a light green background only the buttons of the connected parameters are displayed. When the symbol appears on a dark green background the buttons of all parameters, whether monitored or not, are displayed.
4
Select the parameters to display in the selected trend window. Up to five parameters can be selected for each
trend panel.
5
Select the OK button (D) to confirm the selection and reconfigure the trend page. Select the Cancel button (E)
to exit the screen without accepting the changes.
6
Repeat steps 2 to 5 to configure the parameter setup for other graphical trend panels.
next to a graphical trend panel in the selected trend page to activate the
Electrode placement for adult and pediatric patients
315
314
Standard configuration, three electrodes (IEC/AHA)
10
Quick reference guide
317
316
Standard configuration, five electrodes (IEC/AHA)
– Infinity
®
Acute Care System
– IACS VG7.n
Page 11
319
318
Pacer configuration, five electrodes (IEC/AHA)
Quick reference guide
– Infinity
®
Acute Care System
322
12-lead configuration, ten electrodes for
12-lead Rest ECG monitoring (IEC)
324
12-lead configuration, ten electrodes for
12-lead Rest ECG monitoring (AHA)
321
320
Standard configuration, six electrodes (IEC/AHA)
– IACS VG7.n
11
Page 12
Electrode placement for neonates
AHA electrode
placement
(neonates)
495
328
IEC electrode
placement
(neonates)
ECG parameter setup functions
All ECG setup functions take place in the ECG pages.
Selection
Available settings
Description
Settings 1 page
Pulse tone
volume
Off, 5, 10 (default) to 100% in increments of 10%
Sets the volume of the pulse tone.
Tone source
–
ECG (default)
Sets the source of the pulse tone.
–
SpO2
HR source
Waveforms
12
–
ECG (default) – derives the heart rate from
the ECG signal.
–
Arterial – derives the heart rate from the arterial blood pressure signal. The heart rate
parameter field label changes to APR and
appears in the color of ART.
–
SpO2 – derives the heart rate from the pulse
oximetry signal. The heart rate parameter
field label changes to PLS* and appears in
the color of SpO2.
–
Auto – derives the heart rate either from the
ECG signal or other available sources. If an
ECG signal is not available, the M540 switches to ART, and then to SpO2.
1, 2 (default), 3
Selects a different source for the heart
rate when the ECG channel is
unavailable due to artifact resulting
from surgical procedures.
Selects the number of displayed
waveforms.
Quick reference guide
– Infinity
®
Acute Care System
– IACS VG7.n
Page 13
Selection
Available settings
Description
Leads
–
Three electrodes: I, II, III
–
Five electrodes: I, II, III, aVR, aVL, aVF, V
Assigns specific leads for each
waveform depending on which lead
mode is selected.
–
Six electrodes: I, II, III, aVR, aVL, aVF, V, V+
–
Six electrodes (with TruST activated): I, II, III,
aVR, aVL, aVF, dV1, V2, dV3, dV4, V5, dV6
–
Ten electrodes: I, II, III, aVR, aVL, aVF, V1 to
V6
–
Default for lead 1: II
–
Default for lead 2: V (with TruST and a 6-wire
lead set plus a 4-wire lead set, the default is:
V2)
–
Default for lead 3: aVF
Size [mV/cm]
0.25, 0.5, 1 (default), 2, 4, 8 mV/cm
Sets the scale of individual ECG
waveforms.
Color
Red, green (default), blue, yellow, light blue,
purple, orange, white
Determines the color of the waveforms
and parameter labels and values.
Filter
–
Settings 2 page
–
Off – provides the greatest sensitivity to
noise or artifact (the message Filter off appears in the waveform channel).
Controls the sensitivity to various
artifact sources.
–
None of these filter settings are of
diagnostic quality. The diagnostic
passband range of 0.05 – 150 Hz is
used for diagnostic ECG, regardless of
whether the filter is set to Off or
Monitor.
Passband: 0.08 – 40 Hz
Monitor (default) – recommended for standard monitoring; reduces wandering isoelectric line, muscle artifact, and power line
interference. No message appears in the
waveform channel.
–
Passband: 0.5 – 40 Hz
–
ESU – reduces signal distortion during electrosurgery (the message Filter ESU appears
in the waveform channel).
Pacer
detection
–
On (default)
–
Off – the message Pacer off appears in the
waveform channel
(Not available
in neonatal
mode)
–
Fusion – the message Pacer fusion appears in the waveform channel
QRS sync
marker
–
On – displays QRS synchronization markers
–
Off (default)
–
Quick reference guide
Passband: 0.5 – 16 Hz
– Infinity
®
Acute Care System
– IACS VG7.n
Determines whether pacer impulses
are detected.
Determines whether vertical white
markers appear on the waveform to
identify QRS complexes. The markers
help determine when it is safe to
perform synchronized cardioversion.
13
Page 14
Selection
Available settings
Description
Cable type
–
Auto detect (default)
–
3-, 5-, 6-electrodes, and 12 leads
When set to Auto detect, this feature
detects the number of connected lead
wires automatically. If auto detect mode
does not detect the connected lead set,
it allows you to select the cable type
manually. “12” denotes a combination
of a 6-wire lead set and 4- wire lead set
for 12-lead monitoring.
(TruST is only
available with
a 6-wire lead
set)
When using the ECG extension cable, the system always assumes the cable is a 6-wire lead
set.
ARR
Processing
–
ECG1
–
ECG1 & 2 (default)
ECG1 setting – arrhythmia processing
occurs only on the lead displayed in
waveform channel 1.
The ECG1 & 2 selection is not available if the
neonatal patient category is selected.
ECG1 & 2 setting – arrhythmia processing occurs on the leads displayed in the
waveform channels 1 and 2.
Size all ECG
[mV/cm]
0.25, 0.5, 1 (default), 2, 4, 8 mV/cm
Sets the amplitude of all displayed ECG
leads.
QRS
threshold
–
Normal (default)
–
Low
This function is only available for adult
and pediatric patients.
Normal – detects QRS complexes ≥0.5
mV.
Low – detects QRS complexes ≥0.2
mV.
Resp.
monitoring
–
On (default for neonate)
–
Off (default for adult/pediatric)
Activates/deactivates respiration
monitoring.
Show all page
This page displays all available leads (up to 12).
To select the arrhythmia modes
Accessing the arrhythmia functions
Select the heart rate parameter field to select the
ECG page directly.
Select the heart rate parameter field to select the
ECG page directly.
or
1
or
Select Sensor parameters... from the main menu
bar.
1
Select Sensor parameters... from the main menu
bar > ECG tab to access the ECG page.
2
Select the ARR settings tab.
2
Select the ECG tab to access the ECG page.
3
Select the ARR settings tab.
4
Select one of the following modes next to ARR
mode button, located below the arrhythmia alarm
setup table:
– Off
– Basic
– Advanced (only available when the full arrhythmia option is unlocked)
14
Quick reference guide
– Infinity
®
Acute Care System
– IACS VG7.n
Page 15
Respiration parameter setup functions
All respiration setup functions take place in the Resp. page.
Selection
Available settings
Description
Settings 1 page
RRi apnea time [s]
Off, 10, 15 (default), 20, 25, 30 seconds Determines how long an apnea has to last before
an alarm is triggered.
Apnea archive
–
Off
–
Str./ Rec. – a recording and an
event storage is triggered
automatically in response to an
apnea.
–
Store (default) – a waveform
segment is stored in response to an
apnea.
–
Record – a recording is triggered
automatically in response to an
apnea.
Determines what happens in response to an
apnea.
In case of false apnea alarms, it is advised to
observe the patient’s breathing pattern (belly or
chest), and reposition electrodes accordingly, or
to adjust the detection threshold manually.
Relearn
None
Initiates a relearning of the respiration signal,
only in Auto mode.
Resp. lead
I, II (default)
Selects the lead for respiration monitoring.
Resp. marker
–
On
–
Off (default)
Superimposes a vertical line on the respiration
waveform when a breath is detected.
–
On (default in neonatal mode)
–
Off (default in adult/pediatric mode)
Resp. monitoring
Activates/deactivates respiration monitoring.
Size [%]
10% to 100% (in 10% increments) –
default: 50%
Adjusts the waveform size
Color
Red, green, blue, yellow, light blue,
purple, orange, white (default).
Determines the color of the waveforms,
parameter labels, and values.
Settings 2 page
Coincidence detect –
–
On
Determines whether or not you are alerted when
the respiratory rate is within 20% of the heart
rate, which is an indication that the M540 is
counting heart beats as respiration.
Off (default)
Mode
Auto (default), Manual
Determines the processing mode for the breathrelated impedance change.
Resp. threshold
10% to 100% (in 10% increments) –
default: 50%
Adjusts the breath detection threshold.
Quick reference guide
– Infinity
®
Acute Care System
– IACS VG7.n
15
Page 16
Patient preparation for respiration monitoring
314
495
IEC electrode
placement
(neonates)
IEC electrode placement (adult)
327
16
Quick reference guide
328
AHA electrode
placement
(neonates)
AHA electrode placement (adult)
– Infinity
®
Acute Care System
– IACS VG7.n
Page 17
SpO2 and Pulse CO-Ox monitoring with Masimo SET MCable
SpO2 parameter setup functions
General SpO2 setup functions take place in the SpO2 page.
Selection
Available settings
Description
Pulse tone
volume
Off, 5%, 10% (default), 20%, 30%, 40%,
50%, 60%, 70%, 80%, 90%, 100%
Sets the volume of the pulse tone.
Tone
source
–
–
Selects the source of the pulse tone which affects
either the ECG or the SpO2 parameter field display.
For the SpO2 selection, the higher the pitch of the
tone, the higher the SpO2 saturation percentage.
Waveform
size [%]
10%, 20%, 30%, 40% (default), 50%, 60%,
70%, 80%, 90%, 100%
FastSat
mode
On, Off (default)
ECG (default)
SpO2
Sets the amplitude of the SpO2 waveforms.
If the waveform height exceeds the display size of
the channel, the waveform appears clipped (this
does not affect the SpO2 signal processing).
Allows rapid tracking of arterial oxygen saturation
changes.
When the Averaging time setting is set to 2 to 4s,
the FastSat mode selection is grayed out.
Sensitivity
mode
Averaging
time
–
Normal (default) – standard mode
Determines the level of detection sensitivity.
–
APOD (adaptive probe off detection) –
the least sensitive mode for detecting a
reading on patients with low perfusion.
Provides the best detection for
detached sensors. This mode is useful
for patients at particular risk for sensors
becoming detached such as children or
patients who are restless.
The message APOD or Max appear in the SpO2
parameter field when the corresponding sensitivity
setting is selected. When the setting Normal is
selected, no message appears in the parameter
field.
–
Max – provides maximum sensitivity for
poor signals
2 to 4, 4 to 6, 8 (default), 10, 12, 14, 16 s
Determines how quickly the reported SpO2 value
responds to changes in the patient’s oxygen
saturation.
A longer averaging time provides a more accurate
result. However, in clinical situations where rapid
physiological changes have to be monitored, use a
shorter averaging time.
Color
Red, green, blue, yellow, light blue, purple,
orange, white (default).
Quick reference guide
– Infinity
®
Acute Care System
Determines the color of the waveforms and
parameter labels and values.
– IACS VG7.n
17
Page 18
SpO2 and pulse rate monitoring with Nellcor OxiMax MCable
SpO2 parameter setup functions
All SpO2 setup functions take place in the SpO2 page.
Selection
Available settings
Description
Pulse tone
volume
Off, 5%, 10% (default), 20%, 30%,
40%, 50%, 60%, 70%, 80%, 90%,
100%
Sets the volume of the pulse tone.
Tone source
ECG (default), SpO2
Selects the source of the pulse tone which affects both the
ECG and the SpO2 parameter field display. For the SpO2
selection, the higher the pitch of the tone, the higher the
SpO2 saturation percentage.
Waveform
size [%]
10%, 20%, 30%, 40% (default),
Sets the amplitude of the SpO2 waveforms.
50%, 60%, 70%, 80%, 90%, 100%
If the waveform height exceeds the display size of the
channel, the waveform appears clipped (without affecting
the SpO2 signal processing).
Response
mode
–
Normal (default) – up to 90%
change within 5 to 7 seconds
Establishes the frequency the oximeter uses to calculate,
record, and display SpO2 saturation levels:
–
Fast – up to 90% change
within 2 to 4 seconds
–
Fast mode responds to changes in blood oxygen
saturation levels in 2 to 4 seconds when
calculating%SpO2.
–
Normal mode responds to changes in blood oxygen
saturation in 5 to 7 seconds when calculating%SpO2.
SatSeconds
alarm
Color
18
Off (default), 10, 25, 50, 100
SatSeconds
Red, green, blue, yellow, light blue,
purple, orange, white (default).
This selection does the following:
–
Analyzes desaturation events by multiplying their
duration (seconds) by the number of percentage
points the patient exceeds the alarm limit.
–
Eliminates nuisance alarms caused by brief and
numerous violations of lower and upper alarm limits.
–
Overrides the alarm validation setting and the SpO2
high priority desaturation alarm.
Determines the color of the waveforms and parameter
labels and values.
Quick reference guide
– Infinity
®
Acute Care System
– IACS VG7.n
Page 19
Temperature parameter setup functions
All temperature setup functions take place in the Temp./Temp. 1/Temp. labels pages.
Selection
Available settings
Description
Ta
–
TOral
Ta configures the first temperature value on the M540.
Tb
–
TEso
–
TNasal
Tb configures the second temperature value on the
M540.
–
TRect
–
TBlad
–
Tcore
–
TBld1
–
TBlnkt
–
TSkin
–
TR
–
TL
∆T
Difference Ta–Tb
Color 1)
Red, White (default), Yellow, Green,
Light blue, Blue, Purple, Orange
Determines the color of all temperature parameter
labels and values.
T1a
–
T1Oral
T1a configures the third temperature value.
T1b
–
T1Eso
T1b configures the fourth temperature value.
–
T1Nasal
–
T1Rect
–
T1Blad
–
T1core
–
T1Bld1
–
T1Blnkt
–
T1Skin
–
T1R
–
T1L
∆T1
Color 1)
1)
Difference T1a–T1b
Red, White (default), Yellow, Green,
Light blue, Blue, Purple, Orange
Determines the color of all temperature parameter
labels and values.
This setting is a patient default which may be unique for each patient category; it is part of the profile.
Quick reference guide
– Infinity
®
Acute Care System
– IACS VG7.n
19
Page 20
Non-invasive blood pressure parameter setup functions
All non-invasive blood pressure setup functions take place in the NIBP page.
Selection
Available settings
Description
Interval time [min]
Off (default), 1 min, 2 min,
2.5 min, 3 min, 5 min,
10 min, 15 min, 20 min,
25 min, 30 min, 45 min,
60 min, 120 min, 240 min
Defines intervals for non-invasive blood
pressure measurements.
Inflation mode
Adult (default), Pediatric,
Neonate
Sets the threshold for maximum cuff inflation.
Continuous mode
On, Off (default)
Initiates successive non-invasive blood
pressure measurements for 5 min.
Chime
On, Off (default)
Determines whether or not a tone sounds at
the end of a completed non-invasive blood
pressure measurement.
Venous stasis
On, Off (default)
Stops the blood flow to the lower part of the
cuffed limb for a fixed time.
Color
Red, green, blue, yellow,
light blue, purple, orange,
white (default).
Determines the color of the parameter values
and labels.
(Cardiac bypass mode and
ECMO mode automatically
deactivate interval
measurements)
Labeling Invasive pressure channels
To assign a pressure label manually
Select the invasive pressure parameter field to access the Invasive pressures dialog directly.
or
1
Select Sensor parameters... on the main screen.
2
Select the Invasive pressures tab.
3
Select the desired parameter tab on the right side of
the dialog.
4
Select the button next to Label on the left side of the
dialog.
5
Click on the desired label to assign it to one of the
pressure parameters.
3
Select the Label pressures tab.
4
Select the desired invasive pressure by pressing
one of the buttons in the upper row of buttons.
5
Select the desired label by pressing one of the
buttons in the lower two areas, which are labeled
Pulsatile labels and Non-pulsatile labels.
The invasive pressure selected in step 4 now
displays the label selected in step 5.
or
1
Select Sensor parameters... on the main screen.
2
Select the Invasive pressures tab.
20
Quick reference guide
– Infinity
®
Acute Care System
– IACS VG7.n
Page 21
Zeroing a pressure transducer
To zero a specific transducer
Select the invasive pressure parameter field to select the Invasive pressures page directly.
or
1
Select Sensor parameters... from the main menu bar.
2
Select the Invasive pressures tab to access the Invasive pressures page.
3
Select the desired IBP tab (for example, ART) along the right side of the Invasive pressures page.
4
Align the transducer to the level of the heart (phlebostatic axis point, fifth intercostal space and midaxillary line).
5
Close the transducer stopcock to the patient and open it to air.
6
Select the button next to Zero in the Invasive pressures page.
If the zeroing of the transducer is successful, a confirmation message appears. If zeroing failed, a failure message appears. In that case, repeat steps three to five.
To zero all pressure transducers from the Cockpit
1
Align the transducers to the heart level of the patient.
2
Close the stopcocks to the patient, and open them to air.
3
Select the Sensor parameters... button on the main menu bar.
4
Select the Invasive pressures tab.
5
Select the Zero All
button.
or
–
Select the
–
Select the Zero All button.
symbol next to the Sensor parameters... button on the main menu bar.
6
Verify that the transducers have been zeroed. If zeroing failed, repeat the procedure.
To zero all pressure transducers from the hemodynamic pods
1
Align the transducer to the level of the heart (phlebostatic axis point, fifth intercostal space and midaxillary line).
2
Close the stopcocks to the patient, and open them to air.
3 Press the
Hemo4 pod
4
key (A) on the Hemo4, Hemo2, or the MPod – QuadHemo.
Hemo2 pod
A
MPod – QuadHemo
A
A
Verify that the transducers have been zeroed. If zeroing failed, repeat steps two and three.
Quick reference guide
– Infinity
®
Acute Care System
– IACS VG7.n
21
Page 22
Invasive pressure parameter setup functions
All invasive pressure setup functions take place in the Invasive pressures page.
Selection
Available settings
Description
Zero
None
Zeroes only the pressure indicated on
the Invasive pressures page and
displays the time and date of the last
zeroing.
Label
ART, AOR, UVP, FEM, AXL, RAD, UAP, BRA, PA,
LA, LV, RV, RA, ABD, BDP, CVP, ESO, FEMV,
ICP, ICP2, ICP3, ICP4, GPM, RAD, UVP, GP1 to
GP8.
Allows the user to assign a label to each
pressure channel 1 through 8.
The defaults are as follows:
Scale
–
Channel 1: GP1
–
Channel 2: GP2
–
Channel 3: GP3
–
Channel 4: GP4
–
Channel 5: GP5
–
Channel 6: GP6
–
Channel 7: GP7
–
Channel 8: GP8
–
5, 10, 15, 20, 25, 30, 35, 40, 50, 75, 100, 125,
150, 175, 200, 225, 250, 300 mmHg
Controls the upper scale of the pressure
waveform.
–
1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 18, 20, 24, 30,
32, 36, 40 kPa
–
GP1 to GP8, arterial pressures, LV:
200 mmHg (30 kPa) for adults
150 mmHg (20 kPa) for pediatrics
100 mmHg (16 kPa) for neonates
The lower scale value is either
–5 mmHg (–0.7 kPa) for pressures
labeled CVP, RA, LA or 0 mmHg (0 kPa)
for other pressure labels.
–
PA, RV: 50 mmHg (12 kPa)
–
ICP, ABD, BDP, ESO, FEMV, UVP, GPM,
CVP, LA, RA: 20 mmHg (4 kPa)
Filter
8 Hz and 16 Hz (default)
Selects the filter setting applied to the
invasive pressure signal.
Large
mean
On, Off (default)
Determines whether the mean invasive
pressure value appears in large or
normal font.
22
Quick reference guide
– Infinity
®
Acute Care System
– IACS VG7.n
Page 23
Selection
Available settings
Description
Color
Red, green, blue, yellow, light blue, purple, orange,
white.
Determines the color of the waveforms,
parameter labels, and values.
The various invasive pressure parameters have the
following defaults:
–
ART, AOR, FEM, AXL, RAD, UAP, BRA, GP1
to GP4 = red
–
PA, LV, BDP = yellow
–
CVP, ABD, ESO, FEMV, GPM, UVP = blue
–
ICP, ICP2, ICP3, ICP4, LA = purple
–
RA, RV, GP5 to GP8 = orange
ICP parameter page only
Min.
scale
Allows you to select the minimum scale.
When this function is activated, the
following happens:
–
The lower value is set at
–25 mmHg (–3 kPa)
–
The higher value is set at 25 mmHg
(3 kPa)
–
The Scale selection appears
grayed out
PA page only
Start
wedge
None
Quick reference guide
Allows you to start a wedge pressure
measurement.
– Infinity
®
Acute Care System
– IACS VG7.n
23
Page 24
To setup a PPV configuration
1
Press the Procedures... button on the main screen.
2
Press the PPV tab.
3
Press the button next to Arterial waveform and select a pulsatile label: ART (default), AOR, FEM, AXL, RAD,
UAP, BRA.
4
Set the upper and lower scale values of the waveform:
–
Press the first button next to Scale [mmHg] and select the number for the bottom of the scale.
–
Press the second button next to Scale [mmHg] and select the number for the top of the scale.
5
Press the Off button next to Waveform Grid to hide the grid.
6
Press the On button next to Waveform Grid to display the grid.
7
Press the Reference waveform button and select one of the following:
–
Off
–
Paw
–
Flow
–
Volume
–
CO2 M540
–
CO2 Medibus.X
–
RRi
8
Press the button next to Scale and select the desired scale number.
9
Press the button next to Sweep speed and select 6.25, 12.5, 25, or 50.
To calculate a PPV measurement
1
Press the Freeze button to stop the waveforms.
2
Turn the rotary knob to select a PPmax(S) value.
3
Press the rotary knob to save the value.
4
Turn the rotary knob to select a PPmax(D) value.
5
Press the rotary knob to save the value.
6
Turn the rotary knob to select a PPmin(S) value.
7
Press the rotary knob to save the value.
8
Turn the rotary knob to select a PPmin(D) value.
9
Press the rotary knob to save the value.
–
Press the Repeat button to calculate additional measurements.
Or
10 Press the Save button when finished entering values.
24
Quick reference guide
– Infinity
®
Acute Care System
– IACS VG7.n
Page 25
To setup an SPV configuration
1
Press the Procedures... button on the main screen.
2
Press the SPV tab.
3
Press the button next to Arterial waveform and select a pulsatile label: ART (default), AOR, FEM, AXL, RAD,
UAP, BRA.
4
Set the upper and lower limits of the waveform:
–
Press the first button next to Scale [mmHg] and select the number for the bottom of the scale.
–
Press the second button next to Scale [mmHg] and select the number for the top of the scale.
5
Press the Off button next to Waveform Grid to hide the grid.
6
Press the On button next to Waveform Grid to display the grid.
7
Press the Reference waveform button and select one of the following:
–
Off
–
Paw
–
Flow
–
Volume
–
CO2 M540
–
CO2 Medibus.X
–
RRi
8
Press the box next to Scale and select the desired scale number.
9
Press the box next to Sweep speed and select 6.25, 12.5, 25, or 50.
To calculate an SPV measurement
1
Press the Freeze tab to stop the waveforms.
2
Turn the rotary knob to select a Max(S) value.
3
Press the rotary knob to save the measurement.
4
Turn the rotary knob to select a Min(S) value.
5
Press the rotary knob to save the value.
–
Press the Repeat button to calculate additional measurements.
6
Press the Save tab when finished entering measurements.
Or
Quick reference guide
– Infinity
®
Acute Care System
– IACS VG7.n
25