Infinity Acute Care System Quick Reference Guide sw VG7.n Edition 1 Aug 2018

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. . . . . . . . . . . .

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Mainstream CO2 monitoring . . . . . . . . . . . . . . . . .

Microstream CO2 monitoring . . . . . . . . . . . . . . . .

Screen setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Screen setup – auto view functions . . . . . . . . . . .

Printing reports . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Quick reference guide

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Acute Care System

– IACS VG7.n

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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

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Acute Care System

– IACS VG7.n

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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

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– IACS VG7.n

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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.

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Acute Care System

– IACS VG7.n

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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

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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

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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.

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– IACS VG7.n

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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.

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– IACS VG7.n

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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)

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Quick reference guide

317

316

Standard configuration, five electrodes (IEC/AHA)

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319

318

Pacer configuration, five electrodes (IEC/AHA)

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Acute Care System

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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)

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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.

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– 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

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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.

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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)

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Quick reference guide

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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.

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– IACS VG7.n

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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)

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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

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Acute Care System

Determines the color of the waveforms and

parameter labels and values.

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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

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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

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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.

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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.

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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.

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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.

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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.

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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

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– IACS VG7.n

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