Infinity Vista XL Instructions for Use VF7

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Infinity Modular Monitoring Series

Infinity Vista XL Instructions for Use

WA R N I NG : F o r a f u l l u n d e r s ta n d i n g o f t h e p e r f o r m a n c e

characteristics of this device, the user should carefully

read this manual before use of the device.

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Manufactured by:

Draeger Medical Systems, Inc.

3135 Quarry Road

Telford, PA 18969

Infinity Vista XL Instructions for Use

Software VF7

©Draeger Medical Systems, Inc. 2007.

All rights reserved.

Printed in the United States of America.

This device bears the H label in

accordance with the provisions of the

Directive 93/42/EEC of 14 June 1993

concerning medical devices (this label

is not applicable for US devices).

Distributed By:

Dräger Medical AG & Co. KG

Moislinger Allee 53-55

D-23558 Lübeck

Germany

Dräger reserves the right to modify the design and

specifications contained herein without prior notice.

Please contact your local Dräger Sales

Representative for the most current information.

Reproduction in any manner, in whole or in part, in

English or in any other languages, except for brief

excerpts in reviews and scientific papers, is prohibited

without prior written permission of Dräger Medical AG

& Co. KG.

All Dräger devices are intended for use by trained

medical personnel only.

CAUTION: In the United States, Federal

Law restricts these devices to sale by, or on

order of a physician.

Before using any Dräger devices, carefully read all

the manuals that are provided with your device.

Patient monitoring equipment, however sophisticated,

should never be used as a substitute for the human

care, attention, and critical judgment that only trained

health care professionals can provide.

ACE, MultiMed, Cardiology Review Station, Scio, and

OxiSure are registered trademarks of Dräger Medical

AG & Co. KG.

CAPNOSTAT is a registered trademark of Novametrix

Medical Systems, Inc.

Masimo, Masimo SET and Signal Extraction

Technology (SET) are registered trademarks of

Masimo Corporation.

SILICON SOFTWARE © 1989, 90, 91, 92, 93, 94

Microtec Research Inc.

All rights reserved

Some graphics courtesy of Novametrix Medical

Systems, Inc.

Unpublished rights reserved under the copyright laws

of the United States

RESTRICTED RIGHTS LEGEND Use duplication or

disclosure by the Government is subject to

restrictions as set forth in subparagraph (c)(1)(ii) of

the Rights in Technical Data & Computer Software

clause at DFARS 252 227:7013

MICROTEC RESEARCH INC. 2350 MISSION

COLLEGE BLVD.

SANTA CLARA CA 95054

Microstream is a registered trademark of Oridion

Medical 1987 Ltd.

All other brand or product names are trademarks or

registered trademarks of their respective companies.

This device is subject to EU Directive 2002/96/EC

(WEEE). It is not registered for use in private

households, and may not be disposed of at municipal

collection points for waste electrical and electronic

equipment. Dräger Medical has authorized a firm to

dispose of this device in the proper manner. For more

detailed information, please contact your local Dräger

Medical organization.

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Intended Use

The Infinity Vista XL monitors are intended for multi-parameter patient monitoring.

The devices will produce visual and audible alarms if any of the physiological

parameters monitored vary beyond preset limits, and timed or alarm recordings will be

produced. These devices will connect to R50 recorders either directly or via the

Infinity network.

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Indications For Use

The Infinity Vista XL monitors are capable of monitoring:

z

Heart rate

z

Respiration rate

z

Invasive pressure

z

Noninvasive pressure

z

Arrhythmia

z

Temperature

z

Cardiac Output

z

Arterial oxygen saturation

z

Pulse rate

z

Apnea

z

ST Segment Analysis

z

12-Lead ST Segment Analysis

z

FiO2

The devices are intended for use in the environment where patient care is provided by

Healthcare Professionals, i.e. Physicians, Nurses, and Technicians who will determine

when use of the device is indicated, based upon their professional assessment of the

patient's medical condition. The devices are intended to be used on Adult, Pediatric

and Neonatal populations with the exception of the parameter cardiac output, STsegment analysis, and arrhythmia which are intended for use in the adult and pediatric

populations only.

The Infinity Modular Monitors are not compatible for use in a MRI magnetic field.

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Documentation Features

Warnings, Cautions, Notes

WA R N I N G ! A w a r n i n g s ta t e m e n t p r o v i d e s i m p o r ta n t

i n f o r m a t i o n a b o u t a p o t e n t i a l l y h a z a r d o u s s i t u a t i o n w hi c h , i f

n o t a v o i d e d , c o u l d re s u l t in d e a t h o r s e ri o u s i n j u r y.

CAUTION! A caution statement provides important information about a potentially

hazardous situation which, if not avoided may result in minor or moderate injury to the

user or patient, or in damage to the equipment or other property.

NOTE: A note provides additional information intended to avoid inconvenience

during operation.

Cross-references

Cross-references specify chapter and page (e.g., page 16-3 refers to Chapter 16, page

3). Chapter number and title are given when text refers to an entire chapter (e.g.,

Chapter 1, Introduction).

Quick Reference Tables

Wherever possible, a quick reference table is provided for easy access to information

about monitor functions.

Footer

The current software version appears at the bottom of each page, together with the

chapter and page number and the device name.

Applicability

All references to “the monitor” in this manual refer to the Vista XL patient monitor.

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Safety Considerations

This Instructions for Use assumes a working knowledge of patient monitors. To

support proper, safe and accurate operation of equipment, read all operating

instructions carefully before you use the monitor. The monitor complies with IEC

60601-1 and applicable collateral and particular standards.

Site of Operation

WA R N I N G :

z

C o n n e c t t h e A C A d a pt e r t o h os pi ta l g r a d e e l e c t r i c a l

o u t l e ts w i t h m e d i c a l p ow e r c o r d s .

z

M o n i t o r o p e r a t i o n i s n o t c u r r e n t l y s u p p o rt e d i n t h e

f o l l o w i n g e nv i r on me nts : m a g ne t i c r e s o n a n c e i m a g i n g

( M R I ) e n v i r o n m e n ts , a i r c r a ft , a m b u l a n c e , h o m e o r

h y p e r b a r i c c h a mb e r e n v i r o n m e n ts .

z

D o n o t o p e r a t e t h e m o n i t o r o r i ts r e m o t e d i s p l a y s i n t h e

p re s e n c e o f f l a m m a b l e g a s e s .

z

D o n o t u s e t h e m o n i t o r n e a r d e v i c e s w i t h m i c ro w a v e o r

o t h e r h i g h- f r e q ue nc y e m i s s i o ns . T he s e e m i s s i o n s m a y

i n t e r f e r e w i t h t h e m o n i t o r ’s o p e r a t i o n .

z

P os iti on the m on ito r a nd ac ce ss ori es w ith at le as t 2 i n.

( 5 c m. ) o f s pac e a ro und a ll si des to p rev en t o ve rhe at ing .

z

D o n o t a l l o w f l u i d s t o c om e i n c o n ta c t w i t h m o n i t o r o r

p e r i p h e r a l s . I f f l u i d s a r e a c c i d e n ta l l y s p i l l e d o n

equipment, remove affected unit from service as soon

a s p o s s i b l e . C o n ta c t y o u r b i o m e d t o e n s u r e t h a t t h e r e

i s n o c o m p r o m i s e i n e l e c t r i c a l s a f e t y.

CAUTION:

z

The site of operation must meet the environmental requirements outlined in

Appendix B, Technical Data.

z

To avoid patient injury, ensure patient is disconnected from all sensors, etc.

before moving patient.

Inspection and Maintenance

Regular equipment inspection and maintenance is required. The user should verify

that the monitor operates as described in this manual and that all safety labels are

legible and should also maintain a record of these and other inspections. Safety

checks, verification, calibration and maintenance should be performed at least every

two years by trained personnel, as described in the Service Manual (see individual

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parameter chapters for information about calibration and verification of parameterspecific functions and devices). All cables, alarm functions, accessories, and

associated devices should be checked for damage, ground resistance, chassis and

patient leakage currents on a yearly basis, or more frequently, based on usage.

WA R N I N G :

z

Disposable accessories (such as disposable

e l e c t r o d e s , t r a n s du c e r s , e t c . ) a r e f o r s i n g l e u s e o nl y.

Do not reuse disposable accessories.

z

D o n o t u s e c a b l e s t h a t a p p e a r c ra c k e d , w o r n , o r

d a m a g e d i n a n y w a y. S u c h u s e m a y c o n t r i b u t e t o p o o r

m o n i t o r i n g p e rf o rm a n c e o r t h e d i s p l a y o f e r ro n e o u s

values.

z

M o i s t u r e u n d e r t h e f r o nt pa n e l c a n d a m a g e t he e l e c t r i c

c i r c u i ts a n d c o m p r o m i s e k e y f u n c t i o n . R e a d c a r e f u l l y

c l e a n i n g i n s t r u c t i o n s o n pa g e 2 1 - 2 .

z

Because of the danger of electric shock, never remove

the cover of any device while it is in operation or

connected to a power outlet.

NOTE:

z

The monitor’s Service Manual is available from your local Dräger Medical

service representative.

z

Dispose of all equipment in accordance with local regulations.

Dräger Medical recommends:

VIII

z

Maintenance, modifications, and repairs are carried out by trained personnel.

z

Components are replaced with Dräger Medical provided spare parts,

otherwise the correct functioning of the device may be compromised.

z

Devices are used in accordance with Dräger Medical operating instructions,

as described in this Instructions for Use.

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General Electrical Safety

CAUTION:

z

Ensure electrical shock classifications for all equipment connected to the

patient are suitable for the intended application. Leakage current will increase

when connecting multiple medical devices to a patient.

z

It is the user’s responsibility to verify that the overall system is connected in

accordance with local regulations and your hospital’s policies, and that it

complies with EN 60601-1-1, “Collateral Standard: Safety Requirements for

Medical Electrical Systems.”

Pacemakers

NOTE: See “Pacemakers” on page 8-3 for safety precautions when monitoring paced

patients.

Peripheral Devices

CAUTION: In the interest of patient safety and equipment performance, the connection

of other manufacturers’ equipment to the monitor is not authorized, unless the

connection is explicitly approved by Dräger Medical. It is the user’s responsibility to

contact Dräger Medical to determine the compatibility and warranty status of any

connection made to another manufacturer’s equipment.

Electrosurgery

WA R N I N G :

z

K e e p E C G, t e m p e ra t u r e , p r e s s u r e , SpO2 tr a n s d u c e r s ,

and intermediate cables off earth ground and away from

ESU knife and return wires.

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z

Use only Dräger blue ECG lead wires or the ESU block

w i t h c o n v e n t i o n a l l e a d s ( s e e pa g e 8 - 7 ) . T h e y a r e

d e s i g n e d t o p r o v i d e r e s i s ta n c e t o i n t e r f e re n c e f r o m t he

E S U a n d t o p ro t e c t t h e pa t i e n t f ro m b u r n s c a u s e d b y

E S U - i n d u c e d c ur r e n t f l o w i n g t hr o u g h t h e l e a ds .

z

I m p e d a n c e r e s p i r a t i o n m o n i t o r i n g a n d pa c e m a k e r s p i k e

d e t e c t i o n a re i n o p e r a t i v e w h e n y o u a re u s i n g t h e E SU

Block.

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NOTE:

X

z

Use SpO2 or ART instead of the ECG parameter to determine heart rate.

z

Use rectal temperature probe sheaths to cover internally placed temperature

sensors.

z

Always use accessories designed for ESU environments.

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Electromagnetic Compatibility

The monitor has been designed and tested for compliance with current regulatory

standards (EN55011 Class B and EN60601-1-2) regarding its capacity to reduce

electromagnetic emissions (EMI) and to block EMI from external sources.

Dräger Medical recommends these procedures to reduce electromagnetic interference:

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z

Use only Dräger Medical provided accessories, otherwise the correct

functioning of the device may be compromised (see Appendix C, Approved

Options and Accessories for more information).

z

Ensure that other products in patient-monitoring and/or life-support areas

comply to accepted emissions standards (EN55011, Class B).

z

Maximize distance between electromedical devices. High-power devices

relating to electrocautery, electrosurgery, and radiation (X-ray), as well as

electrical stimulators and evoked potential devices, may produce interference

on the monitor.

z

Strictly limit access to portable radio-frequency sources (e.g., cellular phones

and radio transmitters). Portable phones may periodically transmit even when

in standby mode.

z

Maintain good cable management. Avoid routing cables over electrical

equipment. Do not intertwine cables.

z

Ensure electrical maintenance is done by qualified personnel.

z

NBP circuits use motors that emit very low-level electromagnetic fields that

may interfere with other sensitive medical devices.

z

For more information on Electromagnetic Compatibility, see B-2

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Table of Contents

CHAPTER 1: Introduction

Overview.........................................................................................................................1-2

System Components.....................................................................................................1-3

Base Unit .................................................................................................................1-3

Device Markings......................................................................................................1-6

Modules ...................................................................................................................1-8

Other Features and Components ..........................................................................1-8

Power Sources...............................................................................................................1-9

Battery Power ..........................................................................................................1-9

Getting Started.............................................................................................................1-12

Turning the Monitor On and Off...........................................................................1-12

Accessing the Main Screen .................................................................................1-12

Using the Rotary Knob .........................................................................................1-13

Remote Keypad .....................................................................................................1-14

Menu Access................................................................................................................1-15

Fast Access Menu.................................................................................................1-15

Main Menu .............................................................................................................1-15

Fixed Keys .............................................................................................................1-16

Control Buttons.....................................................................................................1-16

Data Archive Applications ..........................................................................................1-16

Storing Events.......................................................................................................1-17

Event Recall...........................................................................................................1-18

Navigating the Event Recall Screen ....................................................................1-20

Help Functions.............................................................................................................1-21

CHAPTER 2: Monitor Setup

Overview.........................................................................................................................2-2

Configuring the Monitor................................................................................................2-2

Main Menu Setup ....................................................................................................2-2

Quick Reference -- Main Menu Setup....................................................................2-3

Setups Management....................................................................................................2-10

Specialty Menus ..........................................................................................................2-11

OR Mode ................................................................................................................2-11

Unit Manager .........................................................................................................2-13

Biomed ...................................................................................................................2-17

Parameter Colors ..................................................................................................2-19

CHAPTER 3: Network Applications

Overview.........................................................................................................................3-2

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Connecting to the Network...........................................................................................3-3

Connecting the Vista XL to the Network...............................................................3-3

Network Message....................................................................................................3-3

Disconnecting the Vista XL from the Network .....................................................3-3

Wireless Network...........................................................................................................3-4

Wireless Network Safety Considerations .............................................................3-4

Wireless Network Setup .........................................................................................3-5

Wireless Mode ........................................................................................................3-6

Wireless Messages .................................................................................................3-7

Network Transfer ...........................................................................................................3-9

Patient Data .............................................................................................................3-9

Software Licenses...................................................................................................3-9

Remote View ................................................................................................................3-10

Privacy..........................................................................................................................3-13

CHAPTER 4: Admission, Transfer, and Discharge

Overview.........................................................................................................................4-2

Admitting a Patient........................................................................................................4-3

Transferring Patient Data.............................................................................................4-4

Data Transfer Using the Memory Card..................................................................4-4

Network Data Transfer............................................................................................4-6

Discharging a Patient....................................................................................................4-7

CHAPTER 5: Alarms

Overview.........................................................................................................................5-2

Alarm Grades .................................................................................................................5-2

Alarm Management .......................................................................................................5-4

Suspending Alarms ................................................................................................5-4

Alarm Control ..........................................................................................................5-4

Alarm Setup (Alarm Limits Table)................................................................................5-5

Upper and Lower Alarm Limits ..............................................................................5-7

Modifying Alarm Functions..................................................................................5-13

Quick Reference -- Alarm Limits Table Setup ....................................................5-14

Alarm Limits Shortcut...........................................................................................5-15

ST and Arrhythmia Alarms...................................................................................5-15

Alarm History Table.....................................................................................................5-15

Anesthesia Alarms ......................................................................................................5-16

CHAPTER 6: Trends

Overview.........................................................................................................................6-2

Trend Setup....................................................................................................................6-2

Trend Graphs .................................................................................................................6-4

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Trend Table ....................................................................................................................6-7

Mini-Trends ....................................................................................................................6-8

CHAPTER 7: Recordings

Overview.........................................................................................................................7-2

Recordings.....................................................................................................................7-2

Layout ......................................................................................................................7-2

Timed .......................................................................................................................7-6

Continuous ..............................................................................................................7-6

Events and Trends ..................................................................................................7-7

Pending Recordings ...............................................................................................7-7

Recorder Setup..............................................................................................................7-7

Quick Reference: R50 Series Setup Menu............................................................7-8

Primary and Secondary Recorders .......................................................................7-9

Replacing Recorder Paper ...................................................................................7-10

Reports .........................................................................................................................7-11

Quick Reference: Reports Setup .........................................................................7-12

Status Messages .........................................................................................................7-13

CHAPTER 8: ECG and Heart Rate

Overview.........................................................................................................................8-2

ECG Precautions ...........................................................................................................8-3

Pacemakers .............................................................................................................8-3

Electrosurgery.........................................................................................................8-6

Infusion or Roller Bypass Pumps .........................................................................8-7

Line Isolation Devices ............................................................................................8-8

Transcutaneous Electrical Nerve Stimulators......................................................8-8

Patient Preparation........................................................................................................8-9

Three-, Five-, and Six-Lead TruST Configurations ............................................8-10

Derived Twelve-Lead Configuration (TruST) ......................................................8-11

ECG Signal Processing and Display .........................................................................8-12

TruST 12-Lead .....................................................................................................8-13

Alarms and Alarm Conditions ....................................................................................8-14

ECG Setup Menu .........................................................................................................8-15

Quick Reference Table -- ECG Setup ..................................................................8-15

Status Messages .........................................................................................................8-21

CHAPTER 9: Arrhythmia Monitoring

Overview.........................................................................................................................9-2

About the Arrhythmia Template...................................................................................9-2

Beat and Rhythm Classification ............................................................................9-3

Automatic Learning and Relearning .....................................................................9-4

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Arrhythmia Setup ..........................................................................................................9-4

Modes (Full, Basic, OFF) ........................................................................................9-4

Channel - Lead Selection .......................................................................................9-5

Arrhythmia Setup Table..........................................................................................9-6

Status Messages ...........................................................................................................9-9

CHAPTER 10: ST Monitoring

Overview.......................................................................................................................10-2

MultiMed Pods for ST Analysis ..................................................................................10-3

ST Display ....................................................................................................................10-3

ST Analysis Setup .......................................................................................................10-3

Quick Reference: ST Analysis Menu...................................................................10-4

Measuring Points ..................................................................................................10-5

ST Alarms Table ..........................................................................................................10-7

Status Messages .........................................................................................................10-8

CHAPTER 11: Respiration

Overview.......................................................................................................................11-2

RESP Precautions .......................................................................................................11-3

Patient Preparation......................................................................................................11-4

Display Features..........................................................................................................11-5

RESP Setup Menu .......................................................................................................11-6

Quick Reference Table -- Respiration Setup ......................................................11-7

OxyCRG (OCRG) Monitoring ....................................................................................11-10

Scale.....................................................................................................................11-11

Cursor ..................................................................................................................11-11

Review Summary Screen Overview ..................................................................11-11

Accessing Review Summary Screen ................................................................11-13

Quick Reference Table -- OCRG Review Summary .........................................11-17

OCRG Setup Menu ..............................................................................................11-17

Quick Reference Table -- OCRG Setup .............................................................11-18

Second and Third Channel Label ......................................................................11-18

Time Base ............................................................................................................11-18

Recordings ..........................................................................................................11-19

Status Messages .......................................................................................................11-20

CHAPTER 12: Non-Invasive Blood Pressure

Overview.......................................................................................................................12-2

Display Features..........................................................................................................12-2

NBP Setup ....................................................................................................................12-3

Safety Considerations

.....................................................................................12-3

Cuff Selection and Placement..............................................................................12-3

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Setup Menu and Quick Reference Table.............................................................12-7

Taking NBP Measurements..................................................................................12-8

Venous Stasis .....................................................................................................12-10

Status Messages .......................................................................................................12-11

CHAPTER 13: Invasive Blood Pressure

Overview.......................................................................................................................13-2

Precautions ..................................................................................................................13-3

Hardware Setup ...........................................................................................................13-4

Tubing ....................................................................................................................13-4

Transducers ..........................................................................................................13-4

Hemomed...............................................................................................................13-7

IBP Y-Cables..........................................................................................................13-7

Display Features..........................................................................................................13-8

IBP Setup....................................................................................................................13-10

Quick Reference -- IBP Setup ............................................................................13-11

Labeling Pressure Channels..............................................................................13-12

Pressure Label Conflicts ....................................................................................13-13

Pulmonary Wedge Pressure Display .......................................................................13-13

Status Messages .......................................................................................................13-15

CHAPTER 14: Calculations

Overview.......................................................................................................................14-2

Physiological Calculations .........................................................................................14-3

HemoMed Parameters ..........................................................................................14-5

Oxygenation and Ventilation Parameters ...........................................................14-7

Drug Calculations........................................................................................................14-7

Titration Tables .....................................................................................................14-8

Drug Calculator Setup ..........................................................................................14-9

Default Drug Setup (Unit Manager) ...................................................................14-11

CHAPTER 15: Pulse Oximetry (SpO2)

Intended Use ................................................................................................................15-2

Overview.......................................................................................................................15-3

Precautions ..................................................................................................................15-3

Patient Preparation......................................................................................................15-5

Display Features..........................................................................................................15-7

SpO2 Setup ..................................................................................................................15-8

Quick Reference Table -- SpO2 Setup ................................................................15-8

Status Messages .......................................................................................................15-9

SpO2 MicrO2+® .........................................................................................................15-12

Overview ..............................................................................................................15-12

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Parameters...........................................................................................................15-12

SpO2 MicrO2+ Setup ..........................................................................................15-12

SpO2 MicrO2+ Trends ........................................................................................15-13

Status Messages .................................................................................................15-14

..............................................................................................................................15-15

CHAPTER 16: etCO2 (End-Tidal CO2) Monitoring

Overview.......................................................................................................................16-2

Sampling Methods.......................................................................................................16-3

Mainstream ............................................................................................................16-3

Sidestream (Adult and Pediatric Patients Only).................................................16-3

Display Features..........................................................................................................16-5

Parameters.............................................................................................................16-6

Capnograms ..........................................................................................................16-7

etCO2 Setup .................................................................................................................16-8

Quick Reference Table--etCO2 Setup .................................................................16-9

Cleaning, Calibration and Verification.....................................................................16-12

Cleaning ...............................................................................................................16-12

Adapter Calibration.............................................................................................16-12

Sensor Calibration and Verification ..................................................................16-12

Status Messages .......................................................................................................16-14

CHAPTER 17: FiO2 (Fractional Inspired O2) Monitoring

Overview.......................................................................................................................17-2

Precautions ..................................................................................................................17-3

Display Features..........................................................................................................17-3

FiO2 Setup....................................................................................................................17-4

Menu Access .........................................................................................................17-4

Calibration .............................................................................................................17-4

Status Messages .........................................................................................................17-6

CHAPTER 18: Scio® Four Modules

Intended Use ................................................................................................................18-2

Overview ......................................................................................................................18-3

Scio Four Oxi plus ................................................................................................18-3

Scio Four Oxi.........................................................................................................18-4

Scio Four plus .......................................................................................................18-4

Scio Four................................................................................................................18-5

Hardware Setup ...........................................................................................................18-8

Site of Operation ...................................................................................................18-9

Installing the Water Trap ....................................................................................18-10

Cable Connections..............................................................................................18-11

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Tubing Connections ........................................................................................18-11

Warm-Up ..............................................................................................................18-14

Calibration ...........................................................................................................18-14

Scio Setup ..................................................................................................................18-14

etCO2* Monitoring ..............................................................................................18-14

O2/N2O Monitoring (Scio Four Oxi plus and Scio Four Oxi only) .................18-16

Agent Monitoring ................................................................................................18-18

MAC Values .........................................................................................................18-20

Combined Display (O2/Agent/N2O) (Scio Four Oxi plus only) .......................18-24

Dual Agent Display (Scio Four Oxi plus & Scio Four plus only) ....................18-26

Maintenance and Repair ...........................................................................................18-26

Status Messages .......................................................................................................18-29

CHAPTER 19: Body Temperature

Overview.......................................................................................................................19-2

Temperature Display ...................................................................................................19-3

Temperature Setup......................................................................................................19-4

ESU and Defibrillator Precautions .............................................................................19-4

Status Messages .........................................................................................................19-5

CHAPTER 20: Cardiac Output

Overview.......................................................................................................................20-2

Accuracy ......................................................................................................................20-3

Main Screen Display....................................................................................................20-4

C.O. Setup ....................................................................................................................20-5

Hardware................................................................................................................20-5

C.O. Setup Menu ...................................................................................................20-5

Quick Reference -- C.O. Setup .............................................................................20-5

Measurement Mode ..............................................................................................20-6

Catheters (Comp. Constant) ................................................................................20-7

C.O. Measurement Procedures ..................................................................................20-9

Averaging C.O. Measurements ................................................................................20-10

HemoMed Calculations (MiniCalcs).........................................................................20-12

Status Messages .......................................................................................................20-14

CHAPTER 21: Cleaning and Disinfecting

Overview.......................................................................................................................21-2

Monitor and Peripheral Devices ..........................................................................21-2

Patient Cables .......................................................................................................21-2

ECG...............................................................................................................................21-3

Reusable ECG Electrodes ....................................................................................21-3

ESU Block ..............................................................................................................21-3

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NBP ...............................................................................................................................21-3

IBP.................................................................................................................................21-4

Transducers...........................................................................................................21-4

HemoMed Transducer Plate.................................................................................21-4

SpO2 ............................................................................................................................21-4

SET Pod .................................................................................................................21-4

etCO2 ............................................................................................................................21-5

Capnostat Sensor .................................................................................................21-5

Airway Adapter......................................................................................................21-5

Sidestream Sampling Pump (etCO2 only) ..........................................................21-5

FiO2...............................................................................................................................21-7

Temperature.................................................................................................................21-7

APPENDIX A: Glossary

APPENDIX B: Technical Data

Overview........................................................................................................................ B-2

Overall Regulatory Standard Compliance.................................................................. B-2

Electromagnetic Compatibility.................................................................................... B-2

Electromagnetic Emissions ................................................................................. B-4

Electromagnetic Immunity ................................................................................... B-5

Recommended separation distances .................................................................. B-6

System Components.................................................................................................... B-7

Vista XL Base Unit ................................................................................................. B-7

External Battery...................................................................................................... B-9

Battery Charger .................................................................................................... B-10

R50 N Infinity Recorder ....................................................................................... B-10

Monitoring Accessories............................................................................................. B-11

etCO2 Module ....................................................................................................... B-11

HemoMed .............................................................................................................. B-13

Scio Four/Scio Four Oxi/Scio Four plus/Scio Four Oxi plus Module............. B-13

FiO2 Sensors ........................................................................................................ B-15

Monitoring Specifications.......................................................................................... B-15

ECG ....................................................................................................................... B-15

ST-Segment Analysis .......................................................................................... B-16

Respiration ........................................................................................................... B-17

Non-Invasive Blood Pressure (NBP) .................................................................. B-17

Invasive Blood Pressure (IBP) ............................................................................ B-19

Cardiac Output ..................................................................................................... B-19

Pulse Oximetry (SpO2) ........................................................................................ B-19

Pulse Oximetry (SpO2) Via Masimo SET SmartPod ...................................... B-22

End-Tidal CO2 (etCO2) via etCO2 module ........................................................ B-23

FiO2 ....................................................................................................................... B-24

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Temperature ......................................................................................................... B-24

APPENDIX C: Approved Options and Accessories

Power Supply................................................................................................................ C-3

Power Cords ........................................................................................................... C-3

Power Adapters...................................................................................................... C-3

Grounding Cable .................................................................................................... C-3

External Battery ..................................................................................................... C-3

Connections.................................................................................................................. C-3

Monitor Connecting Cables .................................................................................. C-3

R50 Recorder Cables ............................................................................................. C-4

Recorders...................................................................................................................... C-4

Vista XL Monitor Options............................................................................................. C-4

ECG................................................................................................................................ C-6

MultiMed and NeoMed Pods ................................................................................. C-6

Leads....................................................................................................................... C-6

Miscellaneous ECG................................................................................................ C-8

Pulse Oximetry (SpO2) ................................................................................................ C-9

Dräger Sensors ..................................................................................................... C-9

Masimo Sensors ................................................................................................... C-9

Nellcor Sensors ................................................................................................... C-10

Pods ...................................................................................................................... C-10

Cables ................................................................................................................... C-10

Temperature................................................................................................................ C-11

Core Probes.......................................................................................................... C-11

Skin Probes ......................................................................................................... C-11

Non-Invasive Blood Pressure (NBP)......................................................................... C-12

NBP Cuffs ............................................................................................................. C-12

NBP Connecting Hoses ....................................................................................... C-12

Invasive Blood Pressure (IBP) .................................................................................. C-12

Vista XL IBP Options .......................................................................................... C-12

HemoMed Pod ...................................................................................................... C-12

Connecting Cables .............................................................................................. C-12

IBP Accessories — Ohmeda ............................................................................... C-14

IBP Accessories — Abbott/Medex ..................................................................... C-14

IBP Accessories — Edwards/Baxter .................................................................. C-14

IBP Accessories —SensoNor ............................................................................. C-14

End-Tidal CO2 (etCO2)............................................................................................... C-14

etCO2 Module ...................................................................................................... C-14

Sensors ................................................................................................................. C-15

Main-Stream Accessories ................................................................................... C-15

Side-Stream Accessories .................................................................................... C-15

FiO2.............................................................................................................................. C-15

MultiGas Monitoring................................................................................................... C-16

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Scio Connecting Cables ...................................................................................... C-16

Scio Module .......................................................................................................... C-16

Accessories ......................................................................................................... C-16

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Chapter 1 Introduction

Overview............................................................................................................................2

System Components ........................................................................................................3

Base Unit.....................................................................................................................3

Device Markings .........................................................................................................6

Modules.......................................................................................................................8

Auxiliary Display Components .................................................................................8

Other Features and Components .............................................................................9

Power Sources................................................................................................................10

Battery Power ...........................................................................................................10

Getting Started................................................................................................................13

Turning the Monitor On and Off..............................................................................13

Accessing the Main Screen.....................................................................................13

Using the Rotary Knob ............................................................................................14

Remote Keypad ........................................................................................................15

Menu Access...................................................................................................................16

Fast Access Menu ....................................................................................................16

Main Menu.................................................................................................................16

Fixed Keys ................................................................................................................17

Control Buttons ........................................................................................................17

Data Archive Applications .............................................................................................17

Storing Events ..........................................................................................................18

Event Recall ..............................................................................................................19

Navigating the Event Recall Screen .......................................................................21

Help Functions................................................................................................................22

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1 INTRODUCTION

Overview

The patient monitor is intended for adult, pediatric, and neonatal monitoring. It can be

used as a standalone device or can be connected to the Infinity network. Monitor use is

restricted to one patient at a time.

The following optional software features are available:

1-2

z

ACE full arrhythmia (Arrhythmia II)

z

HemoMed & oxygenation/ventilation calculations (physiological

calculations)

z

3-lead ST segment analysis

z

Waveform channel upgrades

z

Aries (Advanced Review of Ischemia Event System)

z

Wireless Networking

z

OR mode

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SYSTEM COMPONENTS

System Components

NOTE:

Monitor configuration may vary. See your Biomed for more information.

Base Unit

Monitor Front View--Vista XL

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1

Fixed keys

2

Main Menu fixed key

3

Main Screen fixed key

4

Battery Charge indicator

5

Power switch

VISTA XL

1-3