Draeger Medical Systems MS24895 802.11b/g WIRELESS ADAPTER User Manual ICS F83 EN R01

Draeger Medical Systems, Inc. 802.11b/g WIRELESS ADAPTER ICS F83 EN R01

Contents

Users Manual 1

Instructions for UseInfinity® CentralStation™with Infinity® Telemetry System™and with Infinity® M300™WARNING:For a full understanding of the performance characteristics of this device, the user should carefully read this manual before use of the device.
Infinity® CentralStation™with Infinity® Telemetry System™and with Infinity® M300™Instructions for Use WARNING! For a full understanding of the performance char-acteristics of this device, the user should carefully read this manual before use of the device.
ii Infinity CentralStation VF8 Infinity CentralStation Instructions for UseManufactured By:Draeger Medical Systems, Inc.3135 Quarry RoadTelford, PA 18969Infinity CentralStation with Infinity Telemetry Systemand Infinity M300 Instructions for Use Software VF8©Draeger Medical Systems, Inc. 2008. All rights reserved.Printed in the United States of America.This software bears the CE 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. KGMoislinger Alee 53-55D-23558 LübeckGermanyThe Infinity Telemetry System complies with the Radio Equipment and Telecommunications Terminal Equipment Directive (1999/5/EC).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.MultiMed, Infinity Network, Pick and Go, VentCentral, and TruST are registered trademarks of Dräger Medical AG & Co. KG.Unpublished rights reserved under the copyright laws of the United StatesRESTRICTED RIGHTS LEGEND Use duplication or disclosure by the Government is subject to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 252 227:7013All 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.NOTE: In the United States, Federal Law restricts these devices to sale by, or on order of a physician.
Infinity CentralStation Instructions for Use VF8 Infinity CentralStation iiiTable of ContentsTable of Contents ............................................................................................................ iiiIntended Use ................................................................................................................... xiiIntroduction....................................................................................................................xiiiDocumentation Features .............................................................................................. xiiiWarnings, Cautions, and Notes ............................................................................. xiiiApplicability............................................................................................................. xiiiSafety Considerations................................................................................................... xivGeneral Precautions ............................................................................................... xivInfinity Telemetry Precautions................................................................................ xvInfinity M300 Precautions........................................................................................ xvDefibrillator Precautions ......................................................................................... xvECG Report Precautions ........................................................................................ xviPacemaker and TENS Precautions ....................................................................... xviPacer Fusion Mode Precautions .......................................................................... xviiPulse Oximetry Precautions ................................................................................ xviiiQRS Processing Precautions .............................................................................. xviiiVital Connection Cable Precautions ..................................................................... xixMaintenance, Modifications, and Repairs............................................................. xixSite of Operation ..................................................................................................... xixElectromagnetic Compatibility...................................................................................... xxReducing EMI ........................................................................................................... xxDevice Markings ............................................................................................................ xxiCHAPTER 1: About the Infinity CentralStationGeneral Description/Product Option & Accessory Information ...............................1-2MS18500 Infinity CentralStation ............................................................................1-2MS18501 Infinity M300............................................................................................1-3MS11200 Infinity Telemetry....................................................................................1-4Infinity Network..............................................................................................................1-5Local and Remote Patient Monitoring...................................................................1-5Interacting with the Infinity CentralStation Keys........................................................1-6User Interface.................................................................................................................1-7On line Help....................................................................................................................1-8Using On Line Help .................................................................................................1-8CHAPTER 2: Infinity M300About Infinity M300 .......................................................................................................2-2User Controls ..........................................................................................................2-3Battery Status LED Indicator Description.............................................................2-4Audio Alerts.............................................................................................................2-4Starting up Infinity M300...............................................................................................2-5
iv Infinity CentralStation VF8 Infinity CentralStation Instructions for UseInfinity M300 Power ................................................................................................2-5Parameter Displays.................................................................................................2-8Other Infinity M300 Displays..................................................................................2-9Infinity M300 Monitoring System Alarms............................................................2-12Trends...........................................................................................................................2-13Setting up Infinity M300 at the Infinity CentralStation .............................................2-13Infinity M300 Setup Screens ................................................................................2-13Infinity M300 Setup......................................................................................................2-14Recordings...................................................................................................................2-15Recording Types...................................................................................................2-15Monitoring a Patient Using Infinity M300 ..................................................................2-15ECG Monitoring.....................................................................................................2-15SpO2 Monitoring ...................................................................................................2-15Arrhythmia Monitoring .........................................................................................2-15Infinity M300 Messages...............................................................................................2-16Message Area........................................................................................................2-16Infinity M300 Status Messages ............................................................................2-16Infinity M300 Recording Messages .....................................................................2-17CHAPTER 3: Infinity Telemetry TransmitterTransmitter Components..............................................................................................3-2Lead Connector.......................................................................................................3-2 Programming Port Connector/Interface...............................................................3-3Transmitter Buttons................................................................................................3-4Transmitter LED Error Patterns (Normal Mode)...................................................3-4Transmitter Operating Modes ................................................................................3-5Transmitter Battery ..................................................................................................3-5Installing or Replacing the Battery .......................................................................3-7Transmitter Setup..........................................................................................................3-8Accessing the Transmitter Setup Screen .............................................................3-8Received Transmitter Status Information.............................................................3-8Transmitter Setup Screen Functions ....................................................................3-9Attaching the Transmitter to the Patient .....................................................................3-9Transmitter Messages.................................................................................................3-10Status Messages...................................................................................................3-10CHAPTER 4: Infinity CentralStation SetupAccessing the Setup Screens ......................................................................................4-2Password-Protected Screens ................................................................................4-2Setup - Central Screen ..................................................................................................4-3Setup - Recorder Screen...............................................................................................4-5Setup - Central Layouts Screen ...................................................................................4-6
Infinity CentralStation Instructions for Use VF8 Infinity CentralStation vCHAPTER 5: Infinity M300 System SetupOverview.........................................................................................................................5-2Accessing the Telemetry Setup Screens..............................................................5-2Changing the System Default Patient Category...................................................5-2Infinity M300 System Setup Screen .............................................................................5-3Infinity M300 Patient View Defaults Setup Screen .....................................................5-4Infinity M300 ST Defaults Setup ...................................................................................5-7Infinity M300 Alarm Limits Defaults Screen................................................................5-8Available Functions on the Default Settings - Alarm Limits Screen ..................5-8Infinity M300 Arrhythmia Defaults Screen ................................................................5-10Available Functions on the Arrhythmia Screen .................................................5-10Infinity M300 Find Device............................................................................................5-13CHAPTER 6: Infinity Telemetry System SetupOverview.........................................................................................................................6-2Accessing the Telemetry Setup Screens..............................................................6-2Changing the System Default Patient Category...................................................6-2Infinity Telemetry System Setup Screen .....................................................................6-3Infinity Telemetry Patient View Defaults Setup Screen .............................................6-4Infinity Telemetry ST Defaults Setup ...........................................................................6-7Infinity Telemetry Recordings Setup Screen ..............................................................6-8Recordings Setup Screen Functions ....................................................................6-8Infinity Telemetry Alarm Limits Defaults Screen........................................................6-9Available Functions on the Default Settings - Alarm Limits Screen ..................6-9Infinity Telemetry Arrhythmia Defaults Screen ........................................................6-11Available Functions on the Arrhythmia Screen .................................................6-11CHAPTER 7: Main ScreenOverview.........................................................................................................................7-2Main Screen Layout.......................................................................................................7-2Split vs. Full Main Screen .............................................................................................7-2Selecting a Main Screen Layout ............................................................................7-3 Main Screen Setup .......................................................................................................7-3Menu Bar..................................................................................................................7-3Waveform Area........................................................................................................7-4Stopping Waveforms ..............................................................................................7-7Waveform Color ......................................................................................................7-7Telemetry Waveform Dropout Display (Infinity Telemetry only) ........................7-7Parameter Areas .....................................................................................................7-7Notes Area .............................................................................................................7-10Status Area ............................................................................................................7-11Manual Waveform Configuration Mode.....................................................................7-12Main Screen Status Area Messages ..........................................................................7-13
vi Infinity CentralStation VF8 Infinity CentralStation Instructions for UseCHAPTER 8: Patient Setup - Bed ViewGeneral Bed View Setup ...............................................................................................8-2Accessing a Patient’s Bed View Screen......................................................................8-3Bed View Screen Layout...............................................................................................8-3Waveform Assignment ...........................................................................................8-3Bed View Menu Bar.................................................................................................8-4Bed View Submenu Selections..............................................................................8-5Information Area .....................................................................................................8-6Waveform Area........................................................................................................8-7Putting Monitoring Into Standby Mode .................................................................8-7Parameter Areas in Bed View.......................................................................................8-9Bed View Screen Display............................................................................................8-10Selecting the Bed View.........................................................................................8-10Bed View Review Screens ..........................................................................................8-10Alarm Limits and Arrhythmia Setup ..........................................................................8-11Configuring Alarm Limits .....................................................................................8-11Configuring Arrhythmia Setup.............................................................................8-11Telemetry Setup Screens............................................................................................8-12Accessing the Telemetry Setup Screens............................................................8-12Infinity TruST 12-Lead Monitoring Option.................................................................8-13Use of TruST Reference ECG ..............................................................................8-13Patient View Setup Chest Lead Selection...........................................................8-14CHAPTER 9: Admit/Discharge/TransferOverview.........................................................................................................................9-2Admitting a Patient........................................................................................................9-2Entering Patient Demographics ...................................................................................9-3Changing Patient Category ....................................................................................9-4Admitting Wireless Monitor Patients...........................................................................9-4Moving Between Wired and Wireless Communication .......................................9-4Wireless Transmission Interruption......................................................................9-6Admitting Under Special Conditions ...........................................................................9-6Discharging a Patient....................................................................................................9-7The Patient Transfer Function......................................................................................9-8Special Data Transfer Conditions .........................................................................9-8Transferring Data to the Infinity CentralStation ...................................................9-8Transferring Data From the Infinity CentralStation .............................................9-9Transfer Messages .................................................................................................9-9CHAPTER 10: ArrhythmiaOverview.......................................................................................................................10-2About the Arrhythmia Template.................................................................................10-2Relearning the Template.............................................................................................10-3
Infinity CentralStation Instructions for Use VF8 Infinity CentralStation viiCustomizing a Patient’s Arrhythmia Setup...............................................................10-4Accessing the Arrhythmia Setup Table ..............................................................10-4Available Functions on the Arrhythmia Setup Table ........................................10-4Available Bedside Event Settings..............................................................................10-6Arrhythmia Beat and Rhythm Classification ...........................................................10-7CHAPTER 11: Telemetry Pulse Oximetry and NIBP MonitoringOverview.......................................................................................................................11-2Pulse Oximetry ............................................................................................................11-3Turning Pulse Oximetry Monitoring On/Off ..............................................................11-4Display of Pulse Oximeter Information ...............................................................11-4Vital Connection Cable ..............................................................................................11-5Getting an NIBP or SPO2 measurement .............................................................11-5Alarm Functions ..........................................................................................................11-7Alarm Messages ..........................................................................................................11-7CHAPTER 12: Telemetry ST Analysis OptionOverview.......................................................................................................................12-2ST Segment Morphology......................................................................................12-2Parameter Display .......................................................................................................12-4Sensor Application......................................................................................................12-4Relearning ST ..............................................................................................................12-5ST Points Setup Screen ..............................................................................................12-5Hexaxial (Cabrera) Lead Support ........................................................................12-5Accessing the ST Points Setup Screen ..............................................................12-6Display Order of ST Complexes ..........................................................................12-7Available Functions on ST Points Setup Screen ...............................................12-8Telemetry ST Setup Screen ........................................................................................12-9Accessing the Telemetry ST Setup Screen ........................................................12-9ST Alarms...................................................................................................................12-10ST Alarm Messages...................................................................................................12-10CHAPTER 13: AlarmsOverview.......................................................................................................................13-2Alarm Validation....................................................................................................13-2Alarm Grades ...............................................................................................................13-3Latching alarms ....................................................................................................13-4Non-latching Alarms .............................................................................................13-4Visual and audible Alarm Signals .......................................................................13-4The Surveillance Feature ............................................................................................13-5Display of Surveillance Alarm Messages ...........................................................13-5Audible Alarm Signals ..........................................................................................13-5
viii Infinity CentralStation VF8 Infinity CentralStation Instructions for UseSpecial Surveillance Alarm Conditions ..............................................................13-6MIB Ventilator Alarms .................................................................................................13-6Alarm Groups...............................................................................................................13-6Silencing Alarms .........................................................................................................13-7Silencing Local Alarms ........................................................................................13-7Configuring a Patient’s Alarm Setup .......................................................................13-10Opening the Alarm Limits Setup Screen.................................................................13-11Pausing Alarms...................................................................................................13-11Changing a Parameter’s Alarm Limits ..............................................................13-12Automatic Alarm Limits Selection (Auto Set)...................................................13-13Turning Alarm Recordings ON/OFF ..................................................................13-13Turning Event Storage On/Off ...........................................................................13-14CHAPTER 14: Recordings / ReportsOverview ......................................................................................................................14-2Laser Printers ..............................................................................................................14-2Processing of Strip Recordings.................................................................................14-3Active Recordings ................................................................................................14-3Pending Recordings .............................................................................................14-3Requesting a Remote Recording.........................................................................14-3Recorder Setup............................................................................................................14-4Replacing the Recorder Paper.............................................................................14-4Setting up a Recording.........................................................................................14-4Recording Types .........................................................................................................14-5Timed Recordings.................................................................................................14-6Continuous Recordings .......................................................................................14-9Reports ....................................................................................................................... 14-10Simultaneous ECG Report .................................................................................14-10Full Disclosure Strip Report ..............................................................................14-11Full Disclosure Hour Report ..............................................................................14-11Full Disclosure 24 Hour Report .........................................................................14-11Event Disclosure Strip Reports .........................................................................14-11Shift Report .........................................................................................................14-12Graphical Trend Report......................................................................................14-17Selected Strip Report .........................................................................................14-17Selected Events Report......................................................................................14-17ECG Caliper Report ............................................................................................14-18Ventilator Report.................................................................................................14-19Requesting Recordings and Reports ......................................................................14-22Canceling a Recording..............................................................................................14-25Actions that Affect Recordings................................................................................14-26Recording Status Messages ...................................................................................14-27
Infinity CentralStation Instructions for Use VF8 Infinity CentralStation ixCHAPTER 15: TrendsOverview.......................................................................................................................15-2Accessing a Patient’s Trends.....................................................................................15-2Trend Graphs ...............................................................................................................15-3Parameter Display Order and Trend Scales for Telemetry Patients ................15-4Trend Table ..................................................................................................................15-5Trend Cursor................................................................................................................15-6Representation of Special Conditions.......................................................................15-7CHAPTER 16: Full/Event DisclosureOverview.......................................................................................................................16-2Full/Event Disclosure Census Operations ................................................................16-2Accessing the Census Screen.............................................................................16-2Admitting a Patient to Full/Event Disclosure............................................................16-5Data Collection Rules ...........................................................................................16-5To Manually Admit a Patient:...............................................................................16-6Accessing Disclosure History....................................................................................16-6Locking a Full/Event Disclosure Record ............................................................16-6Accessing the Full/Event Disclosure Review Screen ..............................................16-7Full Disclosure Review Screen ..................................................................................16-8Event Disclosure Review Screen ...............................................................................16-9Full/Event Disclosure Review Screen Functions ...................................................16-10Full/Event Disclosure Storage/Display Options...............................................16-12Annotating Events ..............................................................................................16-14Viewing Events....................................................................................................16-15Deleting Events ...................................................................................................16-16Viewing Parameter Values .................................................................................16-16Renaming/Reclassifying Events........................................................................16-17Disclosure Review Screen Cursor ....................................................................16-18Full Disclosure ECG Caliper Tool ............................................................................16-19Caliper Measure Screen ....................................................................................16-20Caliper Review Screen .......................................................................................16-24Full/Event Disclosure Reports .................................................................................16-25Exporting Full/Event Disclosure Data .....................................................................16-26Exporting Full Disclosure Data to a Third-Party Device..................................16-26Exporting Events from Event Disclosure .........................................................16-27Special Conditions ....................................................................................................16-28CHAPTER 17: VentCentral OptionOverview.......................................................................................................................17-3 The Ventilator Screen.................................................................................................17-5Accessing the Ventilator Screen .........................................................................17-6Waveform Area in Ventilator Screen...................................................................17-6
x Infinity CentralStation VF8 Infinity CentralStation Instructions for UseLoops Area in Ventilator Screen .........................................................................17-7Trend Area in Ventilator Screen ..........................................................................17-7The Ventilator Settings Review Screen .....................................................................17-8Accessing the Ventilator Settings Review Screen.............................................17-8Parameter and Settings Order .............................................................................17-9Special Conditions..............................................................................................17-10Ventilator View Setup Screen...................................................................................17-11Accessing the Ventilator View Setup Screen ...................................................17-12Selecting Waveforms for Display ......................................................................17-12Selecting Waveforms for the Trend Display.....................................................17-13VentCentral Trend Parameters.................................................................................17-14MIB Ventilator Alarms ...............................................................................................17-18Ventilator Report .......................................................................................................17-18VentCentral Messages ..............................................................................................17-19Ventilator and Device Messages/Labels .................................................................17-19Dräger Cato Anesthesia System .....................................................................17-20Dräger Cicero Anesthesia System ....................................................................17-21Dräger Julian/Julian Primus/Primus Anesthesia System ...............................17-22Dräger Narkomed IIC / IV / 6000 / 6400 Anesthesia System ............................17-25Dräger Fabius GS/Fabius CE/Tiro Anesthesia System ...................................17-26Dräger Apollo Anesthesia System ....................................................................17-28Dräger Zeus Anesthesia System .......................................................................17-30Ohmeda Modulus CD Anesthesia System........................................................17-32Dräger BabyLog Ventilator ...............................................................................17-33Dräger Evita 1 Ventilator ...................................................................................17-34Dräger Evita 2 Ventilator ....................................................................................17-37Dräger Evita 2D / 4 / XL Ventilator .....................................................................17-40Dräger Savina Ventilator ....................................................................................17-43P-B 7200/840 Ventilators ....................................................................................17-45Taema Horus Ventilator......................................................................................17-47Hamilton Galileo Ventilator ................................................................................17-49Maquet SV 300/SV 300A/Servoi Ventilator........................................................17-50Maquet SV 900 Ventilator ...................................................................................17-52Viasys Bear 1000 Adult Ventilator .....................................................................17-53Viasys BearCub 750 Infant Ventilator .............................................................17-55Baxter Vigilance/Vigilance II Cardiac Output Monitor ...................................17-57etCO2/Respiratory Mechanics Pod ...................................................................17-58CHAPTER 18: Biomed FunctionsBiomed Screen Selections .........................................................................................18-2Accessing the Biomed Screens ..........................................................................18-2Show Devices Screen .................................................................................................18-3Configure Central Screen ...........................................................................................18-3To edit Event Class:..............................................................................................18-5
Infinity CentralStation Instructions for Use VF8 Infinity CentralStation xiTo modify Configure Central selections:............................................................18-5Configure Locked Options Screen ............................................................................18-6Enabling Available Options .................................................................................18-6Raid Option ..................................................................................................................18-6System Console...........................................................................................................18-6Rest ECG Reports .......................................................................................................18-7Available Report Formats ....................................................................................18-7Viewing Logs ...............................................................................................................18-9Copying Logs to Disk .........................................................................................18-10Telemetry System Set Up .........................................................................................18-11Infinity M300 Set Up ............................................................................................18-11Infinity Telemetry Set Up....................................................................................18-13Radio Frequency Diagnostics .................................................................................18-16Available Information on the RF Diagnostics Screen......................................18-16APPENDIX A: Patient PreparationGeneral .......................................................................................................................... A-2ECG Electrode Placement ........................................................................................... A-3Lead Wire Color Codes ......................................................................................... A-4Attaching the Pulse Oximeter ..................................................................................... A-4APPENDIX B: Technical SpecificationsTechnical Data .............................................................................................................. B-2Infinity Telemetry Systems ................................................................................... B-5Electromagnetic Compatibility.................................................................................. B-18APPENDIX C: CleaningCleaning the Infinity CentralStation............................................................................ C-2Cleaning and Disinfecting Infinity Telemetry and Infinity M300 ............................. C-2Recommended Cleaning Agents.......................................................................... C-3Patient Cables ........................................................................................................ C-3Reusable ECG Electrodes..................................................................................... C-3Reusable SpO2 Sensor ......................................................................................... C-3Cleaning the MicrO2/MicrO2+® Oximeter .................................................................. C-4Oximeter ................................................................................................................. C-4Reusable Sensor.................................................................................................... C-4
xii Infinity CentralStation VF8 Infinity CentralStation Instructions for UseIntended UseThe Infinity CentralStation is indicated for use by healthcare professionals for the purposes of centralized monitoring within the hospital or clinical environment of adult, pediatric and neonatal patient monitor data on the Infinity patient monitoring network. The Infinity CentralStation is intended to measure and produce visual and audible alarms for one or more physiological parameters. The Infinity CentralStation with Rest ECG can provide interpretive diagnostic statements and reports for adults and pediatric patients when connected to a monitor with ECG monitoring capability.Infinity M300 Telemetry System is indicated to be used by healthcare professionals for the purpose of monitoring ECG and pulse oximetry parameters of ambulatory and non-ambulatory adult and pediatric patients in healthcare type facilities. Infinity M300 is intended to operate with the Infinity CentralStation using wireless communication over the Infinity patient monitoring network. Infinity Telemetry System is indicated for use in an environment where patient care is provided by healthcare professionals (physicians, nurses, technicians) when the professional determines that a device is required to measure and produce visual and audible alarms for adult and pediatric patient populations. Infinity Telemetry System transmits via radiofrequency physiological signals for display and/or measurement at the Infinity CentralStation. The Infinity CentralStation Telemetry System with TruST is intended for 12-Lead ECG monitoring with a reduced set of electrodes. Reconstructed leads are intended for real-time assessment of ST segment changes. CAUTION! All Dräger hardware and screen shots shown in this manual are examples only. Actual product or screens may differ slightly.NOTE:zThe Infinity CentralStation, Infinity Telemetry receiver, and Infinity M300 central charger are not intended for use in the patient vicinity.zFederal Law in the U.S. restricts this device to sale by, or on the order of a physician.zThis device complies with part 15 of the FCC rules. Operation is subject to the following two conditions:(1) This device may not cause harmful interference.(2) This device must accept any interference received, including inter-ference that may cause undesired operation.zNote for Industry Canada. Operation is subject to the following two conditions:(1) This device may not cause harmful interference.(2) This device must accept any interference received, including inter-ference that may cause undesired operation.
Infinity CentralStation Instructions for Use VF8 Infinity CentralStation xiiiIntroductionBefore using all Dräger devices, read all provided documentation carefully. Patient monitoring equipment, however sophisticated, should never be used as a substitute for the care, attention, and critical judgment that only trained health care professionals can provide. Documentation FeaturesWarnings, Cautions, and NotesDefinitions ApplicabilityFor applicability of discontinued product names, (e.g. Infinity SC 7000, Infinity SC 8000, Infinity SC 9000XL) see the current Infinity Network Software Compatibility Chart, included with this Instructions for Use in product packaging.WARNING!zDo not use software not approved by Dräger on the CPU of the Infinity CentralStation, otherwise the correct functioning of the Infinity Network may be compromised.zDiagnosis based on interpretation of 12-lead monitoring results should only be done by qualified personnel. Prior to final interpretation and diagnosis, qualified physicians should review suggested diagnostic statements and all other available information.zOnly equipment tested and approved by Dräger may be connected to the Infinity Network, otherwise the correct functioning of the Infinity Network may be compromised.WARNING! A warning statement provides important information about a potentially hazardous situation which, if not avoided, could result in death or serious injury.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.
xiv Infinity CentralStation VF8 Infinity CentralStation Instructions for UseSafety ConsiderationsGeneral PrecautionsThe user must check that the equipment functions safely and is in proper working condition before use. In the interest of safety, regular equipment inspection and maintenance is required. Once a year, check all cables, devices, and accessories for damage, ground resistance, chassis and patient leakage currents, and all alarm functions. Also, ensure that all safety labels are legible. Maintain a record of safety inspections. Safety checks, device verification, calibration, and maintenance should be carried out and verified by properly trained personnel. CAUTION! Dräger recommends the use of an Uninterruptible Power Manager in con-junction with the Infinity CentralStation at all times. Without an Uniterruptible Power Manager power losses may cause the Infinity CentralStation to reboot and electrical anomalies may cause unwanted operation.WARNING! Because of the danger of electric shock, never re-move the cover of any device while it is in operation or con-nected to a power outlet.WARNING!zOperation of this device should be in accordance with part 15.242 sections A, D, E, F, G and H of the FCC rules.zTake all precautions against electric shock due to exposed electrical connections, spilled fluids, defibrillation, etc. or injury to patient and damage to equipment may occur.CAUTION! Conductive parts of electrodes and associated connectors for applied parts, including the neutral electrode, should not contact other conductive parts including earth or damage to equipment may occur.NOTE: This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules. This equipment generates, uses, and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures:Reorient or relocate the receiving antenna,Increase the separation between the equipment and receiver,Connect the equipment into an outlet on a different circuit from that to which the receiver is connected,Consult the dealer or an experienced radio/TV technician for help.Changes or modifications to this equipment not expressly approved by the party respon-sible for compliance could void the user’s authority to operate the equipment.
Infinity CentralStation Instructions for Use VF8 Infinity CentralStation xvInfinity Telemetry PrecautionsInfinity M300 PrecautionsDefibrillator PrecautionsWARNING!zUnder NO circumstances should the Infin ity telemetry transmitter be used without the battery cover securely in place.zDo not use the Infinity telemetry transmitters near equipment that produces static or gradient magnetic fields.zDo not use Infinity telemetry transmitters in MR (Magnetic Resonance) environments.zUse only Dräger-approved sensors and leads, and apply them per the manufacturer’s recommendations. Other sensors and leads may not provide adequate protection against defibrillation nor optimum performance. See your local Dräger representative for a list of Dräger-approved equipment.WARNING!zDo not use the Infinity M300 near equipment that produces static or gradient magnetic fields.zDo not use Infinity M300 in MR (Magnetic Resonance) environments.zUse only Dräger-approved sensors and leads, and apply them per the manufacturer’s recommendations. Other sensors and leads may not provide adequate protection against defibrillation nor optimum performance. See your local Dräger representative for a list of Dräger-approved equipment.zThe Infinity M300 is protected against high-frequency interference from electrosurgery units and discharges from defibrillators, as well as against 50- and 60-Hertz power line interference.WARNING! Use only Dräger-approved sensors. Other sensors may not provide adequate protection against defibrillation.
xvi Infinity CentralStation VF8 Infinity CentralStation Instructions for UseECG Report PrecautionsPacemaker and TENS PrecautionsCertain difficulties are inherent to ECG monitoring and require special attention. Use care to not misinterpret ECG waveforms of patients with pacemakers. WARNING! If you require a diagnostic quality recording you must use a Rest ECG Report (18-7). WARNING! Pacemaker PerformancezIn areas of uncertain performance, the monitor has been designed to err in the direction of false positive rather than false negative alarms.zIn paced patients, QRS complexes may not be counted that result in false low rate alarms under the following circumstances:Fused beats and asynchronous pacers when cou-pling intervals are +10 to -90 msec.700 mV pacer pulses followed by QRS complexes <0.5mV.Asynchronous pacer pulses with overshoot.zEven though the Infinity CentralStation passed the Association for the Advancement of Medical Instrumentation (AAMI) pacer pulse rejection test, it cannot anticipate every waveform characteristic. The system may count heart rates inaccurately and misinterpret rate-dependent arrhythmias in some paced patients. Do not rely entirely on the displayed heart rate to assess a paced patient’s condition. Always closely observe and carefully monitor these patients’ vital signs. NOTE:zThe Infinity M300 device contains a magnet which generates an extremely low static magnetic field of approximately 2 gauss at 12.7 mm (0.5 in.) distance. Please refer to the manufacturer’s Instructions for Use of any third party medical devices in the patient vicinity for compatibility.zThe Infinity Telemetry transmitter device contains a magnet which generates an extremely low static magnetic field of approximately 11 gauss at 12.7 mm (0.5 in.) distance. Please refer to the manufacturer’s Instructions for Use of any third party medical devices in the patient vicinity for compatibility.
Infinity CentralStation Instructions for Use VF8 Infinity CentralStation xviiFor Patients Without a Pacemaker:zDisable pacer detection. (See page 5-3.) zBe aware that transcutaneous electrical nerve stimulation (TENS) signals are similar to pacemaker spikes and may be labeled as such.Pacer Fusion Mode PrecautionsWARNING! Valid QRS complexes following mislabeled TENS signals could be rejected, resulting in false asystole or low heart rate alarms. Follow the directions for pacemaker pa-tients. If TENS signals continue to be interpreted as pacer spikes, disable pacemaker detection.WARNING! Fusion mode pacer detection is not intended for use with large-voltage, unipolar pacemakers. It is intended for use only with biphasic pacemakers. Please observe the following:zBefore selecting Fusion mode be certain that the patient has a biphasic pacemaker (external or implanted) and that it is accurately programmed as appropriate for that patient.zDo not select Fusion mode if you are not certain what type of pacemaker is in use, or how it is programmed.zSelect Pacer Fusion mode only to suppress repeated false asystole and/or false low heart rate alarms.zSelection of Fusion mode may increase the risk of falsely counting pacer spikes as QRS complexes, and may cause cardiac arrest to be undetected. Therefore, special surveillance of any pacemaker patient monitored with this mode is strongly recommended.
xviii Infinity CentralStation VF8 Infinity CentralStation Instructions for UsePulse Oximetry PrecautionsQRS Processing PrecautionsWARNING!zSpO2 measurements are particularly sensitive to pulsations in the artery and the arteriole. Therefore, measurements may not be accurate if a patient is experiencing shock, hypothermia, a nemia, or has received medications that reduce artery blood flow.zCheck the sensor at least every four hours. Move the sensor if there is any sign of skin irritation or impaired circulation.zBright sunlight can interfere with pulse oximetry measurements, causing erratic or missing values. When the sensor is likely to be exposed to direct sunlight, cover it with an opaque material.zElevated levels of carboxyhemoglobin or methemoglobin in monitored patients can result in inaccurate pulse oximetry readings.zInfrared remote control devices, such as those used with TVs and VCRs that are aimed directly at the SpO2 sensor can interfere with accurate pulse oximetry measurements. zSignificant levels of indocyanine green, methylene blue, or other intravascular dyes can interfere with accurate pulse oximetry measurements.CAUTION! Use only Dräger-approved power supplies and batteries (contact your local Dräger representative), otherwise the correct functioning of the product may be compro-mised.WARNING! High amplitude (>0.2mV) P- and T-waves of long duration may register as integral QRS complexes. So that the system accurately detects low heart rate in these cases, se-lect the lead with the highest R-wave (relative to the T- and/or P-wave) for ECG1. If the system continues to misinterpret P- or T-waves, reposition electrodes or use other modalities to monitor the patient.
Infinity CentralStation Instructions for Use VF8 Infinity CentralStation xixVital Connection Cable PrecautionsMaintenance, Modifications, and RepairsSafety requires regular equipment inspection and maintenance. Be sure that devices are used and serviced in accordance with Dräger Service Documentation: “Preventative Maintenance Procedure” and “Preventative Maintenance Schedule”.A full technical description of the Infinity Network and Service Documentation: “Preventative Maintenance Procedure” and “Preventative Maintenance Schedule” is available from your local Dräger representative.An effective maintenance schedule should be established for your monitoring equipment and reusable supplies. This should include inspection as well as general cleaning on a regular basis. The maintenance schedule must comply with the policies of your hospital infection control department or biomedical department. Check with your biomedical maintenance to be sure a preventative maintenance and calibration is complete. Site of OperationThe site of operation of all equipment must meet environmental requirements. For details, see Appendix B.The Infinity CentralStation, Telemetry System and Infinity M300 are not intended for home care use or the following hospital environments:zHyperbaric Chambers,zIn the presence of flammable gases (i.e. Anesthetic Agents),zCT areas, CAUTION! Do not allow fluids to come in contact with the Vital Connection Cable or its transmitter interface. If fluids are accidentally spilled on equipment, remove affected device from service as soon as possible. Contact the Hospital Biomedical Engineering Dept. to ensure that there is no compromise in electrical safety.WARNING! Disposable accessories (such as disposable elec-trodes) are for single-use only. Do not reuse disposable ac-cessories.CAUTION! The hospital using this monitoring equipment must implement a satisfactory inspection and maintenance schedule equal to or more frequent than those in Dräger's “Preventative Maintenance Procedure” and “Preventative Maintenance Schedule” or equipment failure and possible health hazards may occur.WARNING! Do not operate the Infinity M300 and Infinity Telemetry, its components, or its remote displays in the presence of flammable gases.
xx Infinity CentralStation VF8 Infinity CentralStation Instructions for UsezEnvironments containing MRI equipment, orzWhile using electrosurgical unit (ESU), Diathermy, or any other device that injects electric current to the surface of the body which could cause interference on the ECG signal.Electromagnetic CompatibilityThe Infinity M300 and the Infinity Telemetry System have been designed and tested for compliance with current regulatory standards as to its capacity to limit electromagnetic emissions (EMI), and also as to its ability to block the effects of EMI from external sources.The Infinity M300 and the Infinity Telemetry System are designed to comply with the EMI/EMC standard, EN60601-1-2. For further details see B-18.Reducing EMITo reduce possible problems caused by electromagnetic interference, Dräger recommends the following:zUse only Dräger-approved, accessories, otherwise the correct functioning of the device may be compromised. Contact your local Dräger representative for a list of approved accessories.zEnsure that other products used in areas where patient monitoring and/or life-support is used comply to accepted emissions standards (EN55011).zTry to maximize distance between electromedical devices.zStrictly limit access to portable radio-frequency sources, e.g., cellular phones and radio transmitters. Be aware that portable phones may periodically transmit even when in standby mode.zMaintain good cable management. Try not to route cable over electrical equipment. Do not intertwine cables.zBe sure all electrical maintenance is performed by trained personnel.
xxi Infinity CentralStation VF8 Infinity CentralStation Instructions for UseDevice MarkingsMarkings on various Infinity CentralStation hardware components may include the following:Consult accompanying documentsDisplay ON/OFF buttonCPU ON/OFF LEDIPX7 Protected against the effects of immersionIPX4 Protected against splashing waterIPX1 Protected against dripping waterIPX0 Non-protected against waterDefibrillator-proof equipment, Type CFIC: 267I-ABTU4 Canadian certification (The term “IC:” before the radio certification number only signifies that Industry Canada technical specifications were met.)Observe WEEE (Waste Electrical and Electronic Equipment) disposal requirements (ii). Complies with the European Medical Device Directive 93/42/EEC for medical devicesDanger: Risk of explosion if used in presence of flammable anesthetics
xxii Infinity CentralStation VF8 Infinity CentralStation Instructions for UseTested to comply with FCC standardsUSB Connector
1 About the Infinity CentralStationGeneral Description/Product Option & Accessory Information ...............................1-2MS18500 Infinity CentralStation ............................................................................1-2MS18501 Infinity M300 ............................................................................................1-3MS11200 Infinity Telemetry ....................................................................................1-4Infinity Network..............................................................................................................1-5Local and Remote Patient Monitoring...................................................................1-5Interacting with the Infinity CentralStation Keys........................................................1-6User Interface.................................................................................................................1-7On line Help....................................................................................................................1-8Using On Line Help .................................................................................................1-8
1-2 Infinity CentralStation VF81: About the Infinity CentralStationGeneral Description/Product Option & Accessory Information MS18500 Infinity CentralStationMS18500 Infinity CentralStation provides centralized monitoring and critical care management for bedside and telemetry monitored patients. From the Infinity CentralStation, clinicians can gain access to patient information for patients on the Infinity Network. The Infinity CentralStation displays waveforms, parameters, and alarm status of Infinity bedside monitors, Infinity M300, Infinity Telemetry, and ventilators (via an etCO2 pod or an MIB interface) for up to 16 patients on a single screen or up to 32 patients using two screens. The standard MS18500 Infinity CentralStation includes the following features:zCentral Processing Unit (CPU)zConfigurable Main Screen display zAudio alarm annunciationz2-hour storage of 4-waveform Full Disclosurez2-hour storage of up to 1000 events per patientzExport of waveformsz24-hour graphical and tabular trendszAccessory Kit zInstructions for Use (paper and online .PDF in application)zone or two PC displays, or touch screenszexternal speakers,WARNING!zLoss of communication between the Infinity CentralStation and the bedside monitor is possible. Dräger recommends using the bedside monitor for primary diagnosis and the Infinity CentralStation for patient viewing.zThe Infinity CentralStation CPU must be placed so that it can be heard easily if the external speakers become non-functional. You must keep the Infinity CentralStation external speakers connected at all times.zThe Infinity CentralStation CPU and its display(s) must always stay on. Never press any of the ON/OFF buttons to turn the CPU or the display(s) off.
General Description/Product Option & Accessory Information VF8 Infinity CentralStation 1-3 zmouse and keyboardzoptional remote displaysz2-channel R50N recorderznetwork laser printerzuninterruptible power managementzInfinity Network componentsOptions for the MS18500 Infinity CentralStation include:zSecond video zRAID 1 for storage diskzCPU mounting PackagezPatient licenses to support 32-patients z28-, 48-, or 72-hour Full and Event DisclosurezExpanded Full DisclosurezVentCentral™zPatient CensuszRest ECG AnalysiszInfinity TelemetryzInfinity M300zTelemetry ST AnalysiszTelemetry TruST 12-lead zInfinity Paging Interface for alarm notification via Infinity Gateway SuitezInfinity Symphony for web-based review of stored datazInfinity WebViewer and Infinity Pocket WinView for near real-time review of patient datazHL7 bi-directional interfacing via Infinity Gateway SuiteMS18501 Infinity M300MS18501 Infinity M300 is a patient worn transceiver that uses the Infinity CentralStation as the primary patient monitoring display and primary alarm source. The Infinity M300 device includes a color display, local alarm alerts and rechargeable internal battery. Infinity M300 use is restricted to one patient at a time. The standard MS18501 Infinity M300 includes the following features:zInfinity M300 patient worn device
1-4 Infinity CentralStation VF81: About the Infinity CentralStationzInfinity M300 Bedside ChargerzInfinity M300 Central ChargerzInfinity M300 programming kitzECG lead setszMS18500 Infinity CentralStationOptions for the MS18501 Infinity M300 include:zMS18500 Infinity CentralStation options as indicated above zPulse Oximetry software enabled at Infinity CentralStationzPulse Oximetry cables and sensorszInfinity M300 Replacement batteryzInfinity M300 disposable pouches zInfinity M300 shower pouches zInfinity M300 bedside clipsMS11200 Infinity TelemetryMS11200 Infinity Telemetry is a patient worn transmitter that uses the Infinity CentralStation as the primary patient monitoring display and primary alarm source. Infinity Telemetry device includes LED lights in lightweight, water resistant package and uses disposable 9V batteries. Infinity Telemetry use is restricted to one patient at a time. The standard MS11200 Telemetry includes the following features:zInfinity Telemetry Receiver CPUzInfinity Telemetry Receiver Expansion KitszInfinity Telemetry UHF or VHF antenna components zInfinity Telemetry TransmitterszInfinity Telemetry programming kitzECG lead setszMS18500 Infinity CentralStationOptions for the MS11200 Infinity Telemetry include:zMS18500 Infinity CentralStation options as indicated above zMicrO2+ Pulse Oximeter and connection cablezVitalConnection cable for Non-invasive Blood pressure zSpO2 measurementszAnalog ECG cable,
Infinity Network VF8 Infinity CentralStation 1-5 zPulse Oximetry cables and sensorszNon-invasive Blood pressure hoses and cuffsz9V disposable batteries or disposable lithium ion batterieszInfinity Telemetry disposable pouches zInfinity Telemetry/MicrO2+ non-disposable carrying caseInfinity Network The Infinity® Network is a standards-based network providing connectivity and data access among Infinity devices. The Infinity Network can include wired and wireless components. For detailed information about the configuration, installation and operation of wireless components in the Infinity Network, contact your local Dräger representative.Local and Remote Patient MonitoringLocal patients are patients admitted to the Infinity CentralStation you are currently viewing, where the Infinity CentralStation is the primary monitor. Remote patients are patients on the Infinity network that are available to view on the Infinity CentralStation you are currently viewing, yet the Infinity CentralStation is not the primary monitor. zBedside patients - Remote control is possible only if the Bed Control and the Bed Silence features are enabled at the Infinity CentralStation (page 4-3) and remote control is activated at the bedside monitor (refer to monitor documentation).zTelemetry patients - Remote control is possible only if the remote functions are enabled at patient’s local Infinity CentralStation (page 5-3).Although you can view patients outside the Infinity CentralStation monitoring unit, you cannot silence alarms or make any setup changes for those patients.NOTE: Please refer to manufacturer’s documentation for hazards associated with wireless components.
1-6 Infinity CentralStation VF81: About the Infinity CentralStationInteracting with the Infinity CentralStation KeysTo interact with the Infinity CentralStation, you can use a keyboard, a mouse, or a touch screen. When your Infinity CentralStation is configured to use the touch screen display, the keyboard and mouse are still active.The Infinity CentralStation keyboard has the following quick-access keys:zF1 silences all active alarms at the Infinity CentralStation for 1 minute.zF5 displays Main Screen.zF8 invokes Help.zF9 generates Shift report for currently assigned beds.zF11 initiates a timed recording for all beds assigned to Main Screen. If the Dual Display option is enabled, recordings are generated for the display in which the mouse pointer is located.zPrint Screen prints the contents of a screen on an optional laser printer. The keyboard also has the following special keys:zEnter (↵) moves the cursor to the next input field or selects a highlighted menu item.zDelete erases either the character to the right of the cursor or an entire selected text block.zBackspace erases the character to the left of the cursor.zKeyboard arrow keys are only active in text entry boxes, where they move the cursor in the direction indicated by the arrow.
User Interface VF8 Infinity CentralStation 1-7 User InterfaceUserInterface Function/Purpose Remarks/Illustration/ExampleBUTTONSAction button Executes a function Examples of action buttons are:•Audio Pause (1 min), which silences alarms at the Infinity CentralStation (1 minute). • Audio Paused (in bed view), which silences the alarms of an individual patient.•Accept Menu button Activates a menuOption button A small rectangle inside the button implies fixed selections. Radio button Available choices are visible. The button next to the current selection appears depressed.Increment buttonAllows scrolling through predetermined settingsPage button Allows scrolling through screen pages MENUSCascading menuMenu items followed by an arrow indicate additional related submenu selections. SCROLL BARSHorizontal/vertical scroll bars Allow navigation through data To scroll through information, click on the arrows or drag the slide bar.
1-8 Infinity CentralStation VF81: About the Infinity CentralStationOn line HelpThe Infinity CentralStation Instructions for Use are available via the Help screen. When active, the Instructions for Use PDF occupies the left side of the screen.Using On Line HelpPASSWORD POPUPSConfirmation popupSafeguards against accidental execution of a function that may have significant consequencesFor example, when you try to change the time, a confirmation popup appears because the change may affect other devices on the network.Informational popupContains information, warnings about operational errors, or necessary steps that must be performedFor example, if you try to transfer data from a bed that is not in ‘Standby’ mode, an informational popup with the following message displays: The source bed for the transfer must be in Standby. Please put this bed in Standby.Menu-specific popupProvides function-specific information and may accommodate setting changesThe Assign Bed popup in the Setup Central Layouts menu allows you to select another bed in the network for display.Password popupA Password pop-up restricts access to functions only intended for authorized personnel.• The clinical password safeguards several setup procedures of the Infinity CentralStation. Often these setup procedures are performed by a Nurse Manager or a Unit Director. • The biomedical password protects functions only intended for use by Service or Biomedical personnel. These functions include setting up the Infinity CentralStation, accessing the system console, configuring locked options, and accessing Diagnostic and Clinical Events logs.Function InstructionOpen • Click on Help in the upper right-hand corner of the Infinity Central menu bar to launch the Infinity Central Instructions for Use.Search • Use Adobe Reader’s Find function , Bookmarks tab, and navigation tools to search for the wanted instructions.Close • Close the Instructions for Use by clicking on File and Close in the PDF window, or on the X-button in the window’s upper right-hand corner.UserInterface Function/Purpose Remarks/Illustration/Example
2 Infinity M300About Infinity M300........................................................................................................2-2User Controls ..........................................................................................................2-3Battery Status LED Indicator Description.............................................................2-4Audio Alerts.............................................................................................................2-4Starting up Infinity M300 ...............................................................................................2-5Infinity M300 Power.................................................................................................2-5Parameter Displays.................................................................................................2-8Other Infinity M300 Displays ..................................................................................2-9Infinity M300 Monitoring System Alarms............................................................2-12Trends...........................................................................................................................2-13Setting up Infinity M300 at the Infinity CentralStation .............................................2-13Infinity M300 Setup Screens ................................................................................2-13Infinity M300 Setup ......................................................................................................2-14Recordings ...................................................................................................................2-15Recording Types ...................................................................................................2-15Monitoring a Patient Using Infinity M300 ..................................................................2-15ECG Monitoring.....................................................................................................2-15SpO2 Monitoring ...................................................................................................2-15Arrhythmia Monitoring .........................................................................................2-15Infinity M300 Messages...............................................................................................2-16Message Area ........................................................................................................2-16Infinity M300 Status Messages ............................................................................2-16Infinity M300 Recording Messages .....................................................................2-17
2-2 Infinity CentralStation VF82: Infinity M300About Infinity® M300™Infinity M300 is a patient worn device that uses the Infinity CentralStation as the primary patient monitoring display and primary alarm source. Infinity M300 use is restricted to one patient at a time. The Infinity M300 screen is the secondary display for:zECG waves (heart rate), and zPulse Oximetry (SpO2, pleth waveform) NOTE: During installation, the Infinity CentralStation must be configured correctly to work with Infinity M300.1Charger interface 6Battery compartment2SpO2/Aux port 7Battery Status LED Indicator3SpO2/Aux port cap 8Audible alarm speakerWARNING: The Infinity M300 speaker is intended for use only in the patient vicinity. It is not intended for primary alarm annunciation. Use the Infinity CentralStation speaker for primary alarm annunciation.4Lead wire illustration5Fixed keys
About Infinity“ M300‘ VF8 Infinity CentralStation 2-3 User ControlsThe Infinity M300 fixed keys give you quick access to a variety of functions. Fixed Key Action/DescriptionWhen you press the Record key:• a timed recording is generated, or• a timed recording is cancelled, or• an event is stored and is recorded at the Infinity CentralStation. NOTE: If controlling from the Infinity M300, Recording duration is fixed at 20 seconds and recording delay is fixed at 10 seconds.When you press the STAFF ALERT key, Infinity M300 sends a STAFF ALERT message to the Infinity CentralStation along with a Serious alarm.When you press either the Up Arrow or Down Arrow key: • From the Infinity M300 monitoring screen, you can scroll through available waveforms, or• The menu field value changes incrementally,When you press the Views key, you can:• Page through Monitoring, Electrode Check, Volume (if enabled at the Infinity Central Station, and Demographics screens,• Take Infinity M300 out of Standby mode, or• Accept/confirm user-selected values.When you press and hold the Views key for more than 3 seconds the LCD display turns ON or OFF:When you press and hold the Alarm Paused key for more than 3 seconds:• A confirmation screen displays, and if you select Yes,• Infinity M300 and Infinity CentralStation alarms are temporarily paused.If Alarm Paused is ON, pressing the Alarm Paused key again turns Alarm Paused OFF.NOTE: For Infinity M300 patients admitted to the Infinity CentralStation, the Infinity M300 Record setting (page 18-12) determines if the Infinity M300 Record key is enabled and how it can be used.NOTE: For Infinity M300 patients admitted to the Infinity CentralStation, the Infinity M300 Staff Alert setting (page 18-12) determines if the Infinity M300 Staff Alert key is enabled and how it can be used.NOTE: For Infinity M300 patients admitted to the Infinity CentralStation, the Alarm Paused setting (page 18-12) determines if the Infinity M300 Alarm Paused key is enabled and how it can be used.
2-4 Infinity CentralStation VF82: Infinity M300Battery Status LED Indicator DescriptionAudio AlertsIf the Infinity M300 speaker is enabled (page 18-12) alarm alerts will be triggered for the following conditions. Adjusting Alarm TonesYou can select an Infinity M300 alarm tone pattern at the Infinity CentralStation (see page 5-3). For information about setting or changing the volume of the Infinity M300 alarm, see 2-11. Finding the Infinity M300Infinity M300 generates a Find Device tone (with volume set at 100%) when you request it at the Infinity CentralStation (see page 5-13). The brief tone automatically silences.Behavior DescriptionBlinking green (approximately every 5 seconds)Power ONInfinity M300 is being used away from the charger.Battery OKBlinking amber (approximately every 5 seconds)Power ONInfinity M300 is being used away from the charger.Low batterySolid amber Charging in progress (while in charger)Solid green Charging complete (while in charger)WARNING: The Infinity M300 speaker is intended for use only in the patient vicinity. It is not intended for primary alarm annunciation. Use the Infinity CentralStation speaker for primary alarm annunciation.Condition Tone DescriptionAcknowledgement 2 brief tonesError 1 tone Find Device tone alternating toneAlarm conditions ADV, SER, LT tones
Starting up Infinity M300 VF8 Infinity CentralStation 2-5 Starting up Infinity M300To turn on the Infinity M300, simultaneously press the up and down arrows. When you turn Infinity M300 on, a startup screen displays the current software version and possible messages. During this operation Infinity M300 also sounds a verification tone. Discontinue use of Infinity M300 and contact the Hospital Biomedical Engineering Dept. upon receiving any of the following messages: Infinity M300 PowerInfinity M300 operates using a rechargeable battery. A Bedside Charger can be used to power the device and recharge the battery during patient use. The battery runtime is shortened with continuous use of the display and speaker. The device’s Battery Status LED Indicator provides indication to the battery status (see page 2-4). WARNING: If no verification tone sounds, do not use the device and contact the Hospital Biomedical Engineering Dept.NOTE: The verification tone generated when Infinity M300 is turned on is a confirmation that alarm annunciation is functional.Startup Message ConditionHigh Temperature Reset Reset due to the internal temperature exceeding the acceptable limit.Default Patient Settings Restored User settings have been reset to factory defaults.Software Reset, see Diagnostic Log Reset due to a software error.Patient Data Erased (followed by error code) Trend data or at least one stored event was erased.Low Battery Reset An error was detected with the battery.Software Watchdog Reset due to software error.CAUTION! zInfinity M300 Shower Pouch must be used when it is worn in the shower so that water does not get in the battery compartment.zWhen the Infinity M300 internal battery requires replacement, please contact the Hospital Biomedical Engineering Dept.zBattery replacement information is available in service documentation.
2-6 Infinity CentralStation VF82: Infinity M300Infinity M300 Bedside Charger Infinity M300 reports the internal battery charge level continuously by means of a battery symbol (when screen is on). When the screen is off, battery condition is indicated using the Battery Status LED Indicator. When the remaining battery level is 10%, the message, Low Battery displays on the Infinity CentralStation and on the Infinity M300 display. When the device is placed on the Bedside Charger the status message discontinues. When the device battery level is 5%, an Advisory alarm is generated at the NOTE:zThe Infinity M300 enters a deep-discharge state when it is stored for a long period of time away from either the bedside or the central chargers. To exit the deep-discharge state, place the Infinity M300 in either the Bedside or Central Charger for at least half an hour. This allows the battery to come out of the deep-discharge state.zRecycle or dispose of batteries in accordance with the directive EC 91/156/EWG or equivalent country-specific regulation.WARNING:zFor patients in a bed or chair, it is recommended that the Infinity M300 Bedside Charger be clipped to the bed linen and not be placed in a patient’s pocket or pouch. Draeger Medical recommends the use of the Infinity M300 Bed Clip.zPlace the Infinity M300 device to avoid any possibility of: - the device falling on or injuring patient.- any accessory cables accidentally entangled around patient’s neck.NOTE: When illuminated, the green LED on the Infinity M300 Bedside Charger indicates that the bedside charger is connected to the AC Mains voltage and is capable of charging the Infinity M300.3-le1Infinity M300 (FRIWO® brand) power supply2Infinity M300 Bedside Charger3Green LED
Starting up Infinity M300 VF8 Infinity CentralStation 2-7 Infinity CentralStation and the message, Recharge Battery displays on the Infinity CentralStation and on the Infinity M300 display.When Infinity M300 is removed from the Bedside Charger, the green Battery Status LED indicator blinks once every 5 seconds and the battery icon shows available battery power. Removing Infinity M300 from the Bedside ChargerPlace your fingers over the top of the Infinity M300 device, between the back of the Infinity M300 and the Bedside Charger. Gently pry the top of the Infinity M300 device away from the Bedside Charger until the Infinity M300 is loose. Lift the Infinity M300 Device out of the charger.Placing Infinity M300 into the Bedside ChargerPlace the bottom of the Infinity M300 device into the Bedside Charger. Gently press the top of the Infinity M300 toward the Bedside Charger until it snaps into place.Infinity M300 Central ChargerInfinity M300 devices are stored in the Central Charger, which accommodates up to 10 devices. When the Infinity M300 is placed on the Central Charger, the battery recharges and the device goes through a patient discharge cycle, which includes: erasing data in device’s memory (i.e. trends, demographics) and discharging that patient from the Infinity CentralStation. WARNING: Remove the Lead Wire Set from Infinity M300 before placing the Infinity M300 into the Central Charger, or possible electrical shock could occur.CAUTION: Do not use the Infinity M300 Central Charger in the patient environment (see IEC 60601-1-1), or fluids may cause damage to the equipment.
2-8 Infinity CentralStation VF82: Infinity M300Parameter DisplaysInfinity M300 ECG Display Waveform AreaThe waveform scale at the left of the waveform is configured at the Infinity CentralStation. To scroll through available leads use the Infinity M300 Up Arrow and Down Arrow keys.1The Battery Charge icon appears in the Message Area and illustrates how much battery power is available.4WaveformIf pacer detection is enabled, pacer spikes are indicated on the waveform. 2Wireless signal strength iconappears in the Message Area5Lead labelECG default is Lead II3Bed Labelappears in the Message Area6Scale next to the waveform is configured at the Infinity CentralStation.
Starting up Infinity M300 VF8 Infinity CentralStation 2-9 ECG/SpO2 Display Other Infinity M300 DisplaysStart Up ScreenThe Start Up screen displays while the Infinity M300 is powering up. A progress bar provides a visual display of the Start up process.New Patient ScreenOnce Start Up is completed, the New Patient screen will display if a previous patient’s data are still in the Infinity M300 memory. If you want to admit a new patient, you must select Yes to confirm that the former patient data is erased from memory. Use the Up Arrow or Down Arrow keys to toggle between Yes and No selections. NOTE: SpO2 does not display unless the parameter is being monitored 1Message Area(Bed Label and Time become Message Area)5Scale next to the waveform is configured at the Infinity CentralStation.2When alarms are OFF the Alarms OFF Icon appears.6HR Parameter Box on the left and SPO2 parameter box on the right.3Waveform 7Battery Charge Icon4Lead being displayedNOTE: To admit a patient to Infinity M300, use the ADT screen at the Infinity CentralStation.WARNING: When you admit a patient to the Infinity M300, make sure that the Alarm Limits and Arrhythmia Settings are appropriate for the patient. Upon admit some predefined default settings may not be applied.
2-10 Infinity CentralStation VF82: Infinity M300When you discharge a patient: zPatient data is erased in Infinity M300 memory.zThe patient is discharged from the Infinity CentralStation.When an Infinity M300 patient is discharged from the Infinity Central Station (see page 9-7), the Discharge banner covers the Infinity M300 screen along with the message, Press to exit. To exit the Infinity M300 Discharge screen press the Views key. Transfer ScreenIf you want to transfer patient information from Infinity M300 you must put the Infinity M300 in Standby mode and then initiate the transfer at the destination Infinity CentralStation (page 9-8).During the transfer process the message, Transferring data, displays on the destination Infinity CentralStation screen. When the transfer is complete a Discharge screen displays on the CentralStation.Standby ScreenStandby mode must be initiated at the Infinity CentralStation. When a telemetry patient’s monitoring is in Standby mode, the Standby banner displays on the Infinity M300 screen along with the message, Press to exit.When Standby mode is selected at the Infinity CentralStation, the Infinity M300:zPatient monitoring is suspended,zScreen is blank except for a Standby banner,zNetwork and system status messages circulate in the message area.You can set Standby time-out selections at the Infinity CentralStation. The selections are: No time out, 5 mins., 10 mins., 20 mins., 30 mins., 1 hr., 2 hr., and 3 hr.To return the Infinity M300 to Monitoring mode, press the Infinity M300 Views key.NOTE: You may also discharge a patient from Infinity M300 using the ADT screen at the Infinity CentralStation or placing Infinity M300 on the Central Charger.
Starting up Infinity M300 VF8 Infinity CentralStation 2-11 Demographics ScreenThe Infinity M300 Demographics screen shows patient demographic information. All patient demographic information is received from the Infinity CentralStation and may include:Volume Setup ScreenIf the Infinity M300 Speaker is enabled at the Infinity CentralStation (see page 18-12) you can access the Infinity M300 Volume Setup screen and change the device alarm volume. To access the Infinity M300 Volume Setup screen press the Views key. To scroll through the available volume settings, press the Infinity M300 Up Arrow or Down Arrow key. Available selections are: Off, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, and 100%. Electrode Status ScreenAn Electrode Status screen provides a status of electrode connection. The color of the dot indicates which electrodes are disconnected or connected to the patient. Green represents that electrode is connected; red represents that electrode is disconnected.To access the Electrode Status screen press the Views key. This screen allows you to quickly check which electrodes are disconnected without disturbing the patient.Patient namePrimary ID#Bed LabelCare UnitPatient CategoryWARNING: The Infinity M300 speaker is intended for use only in the patient vicinity. It is not intended for primary alarm annunciation. Use the Infinity CentralStation speaker for primary alarm annunciation.WARNING: Set alarm volume in accordance with ambient sound level in the room so that alarm volume is audible.CAUTION: If speaker is disabled, the Volume screen will not be available to the user.
2-12 Infinity CentralStation VF82: Infinity M300Infinity M300 Monitoring System AlarmsAlarm Grade DisplayInfinity M300 Monitoring System supports three alarm severity grades: life-threatening, serious and advisory. Each grade is accompanied by a different pattern and color-coded display: When a parameter is alarming, the parameter box flashes the color representing the severity grade and the Infinity M300 sounds an associated tone.Alarm Paused To initiate the Alarm Paused, press and hold the Alarm Paused key for 3 seconds. A confirmation screen displays. If YES is selected (if confirmed) an Alarm Paused message displays in the Infinity M300 Message area with a timer, which represents the length of pause time remaining. For a description of alarm behavior at the Infinity CentralStation, see Chapter 13.CAUTION: Upon startup and after a patient discharge, the following Infinity M300 alarms are not active until a numeric value has been received for that parameter: ECG Leads Off, ECG Artifact, <ST> Leads Off, Cannot Analyze ST, SpO2 Unplugged, SpO2 Transparent, SpO2 Light Blocked, SpO2 Regulation Error, SpO2 Artifact, SpO2 Weak Signal, SpO2 No MeasurementSeverity Grade Color Audible ToneLife-threatening Red Two Frequencies (alternating high and low)Serious Yellow Single Frequency, high Advisory White Single Frequency, lowWARNING: No alarms will be announced while Infinity M300 is in Alarm Paused mode.NOTE: The Alarm Paused key on the Infinity M300 can only be disabled at the Infinity CentralStation.
Trends VF8 Infinity CentralStation 2-13 TrendsYou can review and set up the Trends for an Infinity M300 patient at the Infinity CentralStation (see page 15-2). Although Infinity M300 does not display trend data, it can store up to 72 hours of trend data for each monitored parameter. All trend data is deleted when you:zdischarge the patient, orzupdate Infinity M300 software.Setting up Infinity M300 at the Infinity CentralStationInfinity M300 Setup ScreensIf you want to . . . Refer to . . . LocationAssign Infinity M300 IDs and IP Addresses Biomed Telemetry Devices screenpage 18-11Configure Infinity M300 System Defaults Biomed M300 Setup screen page 18-11Configure Infinity M300 monitoring for an individual patientBed View Telemetry setup screens page 8-12Assign an Infinity M300 to a patient Admit screen page 9-2Set system defaults for Infinity CentralStation telemetry patient windowsTe l em etr y System Setup screen page 5-3View Infinity M300 status information and configure device keysM300 Setup screen page 18-11
2-14 Infinity CentralStation VF82: Infinity M300Infinity M300 SetupThe M300 Setup screen is accessible for local Infinity M300 patients and displays information received from the Infinity M300. It provides Infinity M300 status information and permits configuration functions.Selection Description SettingsTelemetry ID Displays Infinity M300 identification numberBattery Level Bar GraphGraphically displays remaining battery timeThe Infinity M300 current battery voltage appears next to the Bar Graph.ECG Lead Prep Shows the quality of the ECG Lead Prep. The displayed information is received from Infinity M300 and can be updated dynamically.Alarm Paused1Determines if Infinity M300 Alarm Pause key is enabledAlarm Paused time is set in Telemetry System Setup (5-3)•On•OffRecord1Generates manual timed recordings •Record•Off• Record/Store•StoreStaff Alert1Determines if Infinity M300 STAFF ALERT key is enabled or disabled.When you select On, you can generate a STAFF ALERT alarm at the Infinity Central Station when you press the Infinity M300 STAFF ALERT key.•On•OffSpeaker1Determines if the Infinity M300 speaker is enabledWARNING: The Infinity M300 speaker is intended for use only in the patient vicinity. It is not intended for primary alarm annunciation. Use the Infinity CentralStation speaker for primary alarm annunciation.•On•OffM300 VolumeWARNING: Set alarm volume in accordance with ambient sound level in the room so that alarm volume is audible.Sets Infinity M300 audible alarmIf the Speaker setting is OFF, this setting is not available. •OFF• 10 - 100%• Click on Accept or on Undo to return to previous settings.1Unless the system default setting (18-12) is Per Patient, these selections are ghosted.
Recordings VF8 Infinity CentralStation 2-15 RecordingsRecording TypesYou can generate manual timed recordings from the Infinity M300 by pressing the device Record key or using the Infinity CentralStation. You can also generate manual or continuous timed recordings for an Infinity M300 patient admitted to the Infinity CentralStation from the Infinity CentralStation (page 14-5).Monitoring a Patient Using Infinity M300ECG Monitoring1. Apply electrodes to patient. (Appendix A).2. Connect the appropriate EG lead wire set to the Infinity M300.3. Attach the lead wires to the electrodes.4. Admit the Infinity M300 connected to the patient to the desired Infinity CentralStation patient window (Chapter 9).5. Set alarm and arrhythmia limits at the Infinity CentralStation (page 13-10).SpO2 Monitoring1. Select an appropriate sensor and place the sensor on the patient.2. Connect the pulse oximetry cable to the Infinity M300.3. Turn SpO2 “ON” in the Patient View Setup screen (page 11-4)4. Select the desired Averaging Mode.5. Set alarm limits at the Infinity CentralStation (page 13-10).Arrhythmia MonitoringInfinity M300 devices include basic arrhythmia monitoring. Full Arrhythmia is a locked option (call your local Dräger representative).NOTE: Pulse Oximetry must be enabled via a locked option, please call your local Dräger representative.
2-16 Infinity CentralStation VF82: Infinity M300Infinity M300 MessagesMessage AreaThe Infinity M300 message area displays alarms, network-generated or locally generated messages. If more than one message must display, the messages circulate in a round-robin manner, with each message appearing for 1 second. These messages include:zAlarm messages, which display in cyan characters on a background color defined by the alarm grade (page 13-5). zStatus messages, which display in black characters on a white background. zSystem information messages, which display in white text on a blue background. zNetwork messages, which display in yellow text on a blue background. See page 7-5 for a description of Status message display at the Infinity CentralStation. Infinity M300 Status MessagesNOTE: If communication with a Infinity CentralStation can not be established when trying to admit a patient, please contact or call your local Dräger representative.Alarm Message in Message Area Grade Description ActionSTAFF ALERT SER The Infinity M300 STAFF ALERT key was pressed.Check the patient.This message requires acknowledgement.Recharge battery ADV Infinity M300 battery charge is low.Recharge battery or contact the Hospital Biomedical Engineering Dept. to replace Infinity M300 battery.HR Alarms Off SER Heart rate alarms are turned Off at the Infinity CentralStation.Pay close attention to the patient. This message remains until HR alarms are turned back ON at the Infinity CentralStationAlarm Paused: xxx ADV Alarm Paused key was pressed. The remaining pause time displays with the message.Condition remains until timer expires or until Alarm Paused key is pressed at the Infinity M300 while Alarm Paused is active.
Infinity M300 Messages VF8 Infinity CentralStation 2-17 Infinity M300 Recording MessagesOffline SER The Infinity M300 cannot communicate with the Infinity CentralStation.Check the patient.Make sure patient is not out of designated coverage area.Lead X OFF ADV ECG lead Disconnected as indicated.Check the patient.Reapply electrodes.HR Limits OFF N/A The Infinity M300 will not alarm for HR Limit violationsInformational message only.HR, ASY, VF OFF N/A The Infinity M300 will not alarm for HR Limit violations, asystole, or ventricular fibrillation.Informational message only.Condition Tone MessageRecording request not accepted because recorder is out of paperYes Recorder Out of PaperRecording request not accepted because recorder door is openYes Recorder Door OpenRecording request not accepted because of recorder hardware failureYes Recorder FailureRecording started Yes Recording StartedRecording stored Yes Recording StoredRecording finished Yes Recording FinishedRecording cancelled Yes Recording CancelledRecorder is disconnected during recording Yes Recorder Offline
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3 Infinity Telemetry TransmitterTransmitter Components ..............................................................................................3-2Lead Connector.......................................................................................................3-2 Programming Port Connector/Interface...............................................................3-3Transmitter Buttons................................................................................................3-4Transmitter LED Error Patterns (Normal Mode) ...................................................3-4Transmitter Operating Modes ................................................................................3-5Transmitter Battery ...................................................................................................3-5Installing or Replacing the Battery .......................................................................3-7Transmitter Setup ..........................................................................................................3-8Accessing the Transmitter Setup Screen .............................................................3-8Received Transmitter Status Information.............................................................3-8Transmitter Setup Screen Functions ....................................................................3-9Attaching the Transmitter to the Patient .....................................................................3-9Transmitter Messages.................................................................................................3-10Status Messages ...................................................................................................3-10
3-2 Infinity CentralStation VF83: Infinity Telemetry TransmitterTransmitter ComponentsInfinity TruSTTM Telemetry Transmitter Lead ConnectorThe Infinity TruST Telemetry transmitter, which has a 6-pin lead connector, can accommodate a 3-, 5-, or 6-wire ECG lead set. 1Lead Placement Diagram2Recording Button3Lead ConnectorAccommodates 3-, 5-, and 6-Wire Lead Set4Lead Block6-Wire Lead Set is illustrated5Programming Port /MicrO2+ Interface/Analog ECG Cable Port/Vital Connection Cable Interface6Staff Alert ButtonWARNING: Do not use Infinity Monoleads with Infinity Telemetry otherwise the correct functioning of the product may be compromised and misdiagnosis may occur.3-lead insert
Transmitter Components VF8 Infinity CentralStation 3-3 Programming Port Connector/InterfaceThe transmitter has a connector that can be used to:zProgram the transmitter.zConnect to the MicrO2® pulse oximeter for monitoring SpO2 and pulse (page 11-4).zConnect a Telemetry Analog ECG Cable to an Infinity bedside monitor (via the MultiMed pod) to display ECG waveform (lead II) and possible pacer spikes.zConnect a Vital Connection Cable to an Infinity bedside monitor to display NIBP, SPO2 and PLS (page 11-5).NOTE: For the best possible ECG signal, you should only use the analog ECG cable with 5- or 6-wire lead sets.
3-4 Infinity CentralStation VF83: Infinity Telemetry TransmitterTransmitter ButtonszThe red staff alert button allows the patient to initiate a serious alarm which sounds at the Infinity CentralStation. The message Staff Alert is displayed in the patient window. You can silence this alarm at the Infinity CentralStation with the Audio Pause (1 min) button.zThe white recording button allows you to begin a recording. Press this button less than 3 seconds for a timed recording; press it longer than 3 seconds for a continuous recording.If you press both transmitter buttons simultaneously, a 1 mV calibration pulse is superimposed on the patient’s Bed View lead display at the Infinity CentralStation.Transmitter LED Error Patterns (Normal Mode)Transmitter Self-Test - When you put a battery into a transmitter, it performs a self-test. If the test completes successfully, all of the LEDs flash briefly. If an error is detected, all the LEDs flash initially and then alternate an error-specific pattern. For other possible error messages related to the transmitter that may appear at the Infinity CentralStation see page 3-10.NOTE: The transmitter buttons are only functional if they have been activated (page 18-13).Transmitter Orientation as you examine LED PatternsFrom To Description ActionBattery critically low. Transmitter operating, but not sending data.Reinsert or replace battery (page 3-5) immediately. If error continues, take transmitter out of service.Transmitter unable to tune Reprogram transmitter.Analog ECG cable connectedTransmitter shown is Infinity TruST Telemetry transmitter. Error codes display on four of the LEDs.One lighted diode “ripples”across display.Two diodes flash.Two diodes flash.
Transmitter Battery VF8 Infinity CentralStation 3-5 Transmitter Operating ModesNormal ModeDuring Normal mode the transmitter is connected to a patient and collects data which it relays to the Infinity CentralStation.Staff ModeStaff mode may be used to troubleshoot the transmitter or indicate a lead-off condition. To activate Staff Mode, zPress the Staff Alert Button for more than 3 seconds. The LEDs may identify the following possible conditions:Transmitter Battery NOTE: Staff mode lasts for 30 seconds, after which the transmitter returns to Normal operating mode.Condition LED ReactionLead(s)-off The LED(s) corresponding to the detached lead(s) flash(es).Reference lead-off (or all other leads-off)All LEDs flash simultaneouslyOn transmitters using 3-wire mode only 3 LEDs flash when the reference lead is off.Low battery and Lead-off The LED patterns alternate for each condition.WARNING! To avoid explosion, do not recharge or disassemble a battery or dispose of it in fire.CAUTION! zInfinity Telemetry Shower Pouch must be used when it is worn in the shower so that water does not get in the battery compartment.zAlways remove the battery before storing the transmitter. If the transmitter will not be in use for an extended time, remove the battery.zAlways use a new, fully charged battery each time you begin monitoring a patient with the transmitter.NOTE: Recycle or dispose of batteries in accordance with the directive EC 91/156/EWG or equivalent country-specific regulation.
3-6 Infinity CentralStation VF83: Infinity Telemetry TransmitterBattery Type Nominal Voltage Typical Life CharacteristicsAlkaline/manganese oxide(DURACELL PROCELL model PC1604)9 V 2 days, minimumGeneral purpose battery Good shelf life Lithium/manganese dioxide (ULTRALIFE model U9VL-FP)9 V 4 days, minimumHigh energy density Excellent shelf life WARNING! Use only the brand ULTRALIFE (model U9VL-FP) lithium battery. Any other lithium battery may present a risk of fire or explosion.
Transmitter Battery VF8 Infinity CentralStation 3-7 Installing or Replacing the Battery Each time you begin monitoring a patient with the transmitter you should install a new transmitter battery. Also, to avoid interruption in patient monitoring, promptly replace the transmitter battery when:zthe Transmitter Low Battery alarm displays at the Infinity CentralStation (page 3-10), orzthe transmitter LED lights flash (page 3-5).Install the transmitter battery as follows:1. Remove the transmitter battery cover.2. Insert a fully charged battery into the transmitter. The transmitter performs a self-test.3. Slide the battery cover back on and snap into place.If the battery cover is not closed properly the transmitter will not operate.
3-8 Infinity CentralStation VF83: Infinity Telemetry TransmitterTransmitter SetupThe Transmitter Setup screen provides transmitter status information and permits configuration and programming functions for local telemetry channels. Accessing the Transmitter Setup Screen1. Open the patient’s Bed View screen.2. Click on Setup.3. Click on Telemetry. 4. Click on Transmitter Setup.Received Transmitter Status InformationReceived Transmitter Status section of Transmitter Setup MenuInformation DescriptionID The transmitter ID cannot be changed; it is configured by the Hospital Biomedical Engineering Dept. during installation.ECG Lead Wires 3-, 5-, or 6-wire mode cannot be changed by the user; it is configured by the Hospital Biomedical Engineering Dept. during installation.Battery A bar graph showing the transmitter battery charge and current voltage. The color of the graph also indicates the status of the remaining battery charge.ECG Lead Prep The color of the dot indicates the quality of lead prep. A label may also appear next to the button.green = goodyellow = acceptablered = poor*L* = Lead Off*N* = No signal detected from transmitterFrequency Cannot be changed by the user; it is configured by the Hospital Biomedical Engineering Dept. during installation.•ECG Lead Prep RL is not displayed as this is a reference lead only.•An Infinity TruST Telemetry transmitter programmed for 6-wire monitoring displays: RA, LA, LL, C, and C+. •An Infinity telemetry transmitter programmed for 5-Wire monitoring displays: RA, LA, LL, and C. If programmed for 3-wire monitoring, it displays: RA and LA. Update Status Allows you to update the screen with the latest status information.
Attaching the Transmitter to the Patient VF8 Infinity CentralStation 3-9 Transmitter Setup Screen FunctionsCustomizing the Transmitter Buttons1. Open the Transmitter Setup screen (page 3-8).2. Click on the On/Off toggle button next to Transmitter Record:, and/orClick on the On/Off toggle button next to Transmitter Staff Alert:.3. Click on Accept to save or Undo to keep previous settings.Attaching the Transmitter to the Patient1. Verify that the transmitter is programmed for the appropriate monitoring mode. 2. Apply electrodes to patient. (Appendix A).3. Connect the appropriate ECG lead wire set to the transmitter.4. Attach the lead wires to the electrodes.5. Admit the patient to the Infinity CentralStation patient window for which the transmitter is selected.NOTE: You can only activate/deactivate the transmitter buttons for an individual patient if Per Patient mode was selected during setup (page 18-15).
3-10 Infinity CentralStation VF83: Infinity Telemetry TransmitterTransmitter MessagesStatus MessagesAlarm Message Grade Description ActionParameter Area Status AreaHR: <value>ARR: <value>PVC/min: <value>SpO2: <value>PLS: <value>STx: <value>staff alert SER The transmitter staff alert button was pressed.Check the patient.This message requires acknowledgement.HR: *N*ARR: <blank>PVC/min: <blank>SpO2: <blank>PLS: <blank>STx: <blank>transmitter no signalADV The receiver cannot detect the transmitter.Be sure patient is within telemetry antenna range.Check cable connections.Replace transmitter battery.HR: *I*ARR: <blank>PVC/min: <blank>SpO2: <blank>PLS: <blank>STx: <blank>transmitter ID incorrectADV The transmitter ID and programmed ID do not match.Reprogram transmitter with correct ID.Make sure that transmitters do not have duplicate IDs.HR: <blank>ARR: <blank>PVC/min: <blank>SpO2: <blank>PLS: <blank>STx: <blank>transmitter low batteryADV Transmitter’s battery charge is low.Replace transmitter battery immediately.The message remains until battery is replaced.
4 Infinity CentralStation SetupAccessing the Setup Screens ......................................................................................4-2Password-Protected Screens ................................................................................4-2Setup - Central Screen ..................................................................................................4-3Setup - Recorder Screen...............................................................................................4-5Setup - Central Layouts Screen ...................................................................................4-6
4-2 Infinity CentralStation VF84: Infinity CentralStation SetupAccessing the Setup Screens1. Click on Setup in the Main Screen menu bar.2. Click on one of the drop down menu selections. Password-Protected ScreensAccess to the following setup functions is controlled with assignment of a required password (page 18-3). If a password is required, a popup window appears when you click on the Setup menu item.1. Type the password in the popup text entry box.2. Click on Accept. If the password is incorrect, an error message displays. Selection ReferenceCentral... page 4-3Recorders... page 4-5Central Layouts... page 4-6Telemetry Chapters 5 and 6Screen Required PasswordSetup > Telemetry > System Setup Clinical Setup > Telemetry > Patient View Defaults ClinicalSetup > Telemetry > Alarm Limits Defaults ClinicalSetup > Telemetry > Arrhythmia Defaults ClinicalSetup > Telemetry > ST Defaults ClinicalSetup > Central Clinical/BiomedSetup > Recorder Clinical/BiomedSetup > Central Layout Clinical Password access to this function can be set during configuration (page 18-3).NOTE: You can only enter the password if the mouse pointer is on the text entry box.
Setup - Central Screen VF8 Infinity CentralStation 4-3 Setup - Central Screen To open the Setup - Central screen, refer to page 4-2. Setup - Central Screen SelectionsSelection Description Available Settings DefaultSweep Speed Determines how fast the erase bar sweeps across the screen to update the waveforms• 25 mm/s• 50 mm/s25 mm/sDisplay Limits Determines whether or not alarm limits appear in the Infinity CentralStation parameter areas•ON•OFFOFFAlarm Volume Determines alarm tone volume • 10% - 100% 50%Attention/Error VolumeDetermines the attention and error tone volume•10% - 100% 50%Display TimeoutDetermines how long the screen will display without user interactionDisplay Time out does not apply to screens displaying context-sensitive Help.•1 min•3 min•5 min•No Timeout3 minAudio Paused EnableDetermines whether or not you can silence bedside alarms from the Infinity CentralStationRemote silence is only possible at the Infinity CentralStation if also activated at the bedside network device.•ON •OFF ONBed Control EnableDetermines whether or not you can control certain bedside monitor functions from the Infinity CentralStationRemote control is only possible at the Infinity CentralStation if also activated at the network device.If this function is disabled, the Infinity CentralStation can still silence bedside alarms if Audio Paused Enable is ON.•ON •OFF-The alarm and arrhythmia setup entries and Relearn buttons are ghosted.ONHour: Minute Sets current time • Hour•MinuteDay - Month Sets current date • Day•Month WARNING! Always set the alarm volume so it can be heard during the busiest periods of the day.WARNING! A confirmation popup warns you that changing the time or date at the Infinity CentralStation also changes the time at all devices connected to the network. Changes cannot be undone once confirmed.
4-4 Infinity CentralStation VF84: Infinity CentralStation SetupYear Sets current year • 1995 - 2099Report Trend OrderDisplays System Trend Order Setup screen, which allows selection and sorting of parameters for a Shift (page 14-12) or Graphical Trend Report (page 14-17).To configure Trend Order Setup for a specific patient, see page 14-24.•Enable Auto Scale (page 14-17)Click selection box to activate.•Trends Per PageClick on 1, 2, 3, 4, or 5.Disabled3Batch Shift Report:Permits assignment of report length for batch shift reportsWhen you press F9 a Shift Report is generated for all currently active beds. •2Hour•4Hour •8Hour •12Hour•24HourAccept/Undo Permits saving current changes • Accept - save changes• Undo - keep previous settingsSetup - Central Screen SelectionsSelection Description Available Settings Default
Setup - Recorder Screen VF8 Infinity CentralStation 4-5 Setup - Recorder Screen To open the Setup - Recorder screen, refer to page 4-2.Setup - Recorder Screen SelectionsSelection Description Available Settings DefaultPrimary RecorderSelects preferred recorder When you click on Assign... in the Assign Recorder popup a list of available recorders displays.• Click on the desired recorder.• Click on Accept in the popup to choose the selected recorder or on Cancel.Secondary RecorderDetermines recorder to be used when Primary Recorder is unavailableSpeed Sets recording speed • 50, 25, 12.5, 6.25, 1 mm/s25 mm/sAlternate SpeedDetermines recording speed when R 50 Alternate Speed key is pressed (page 14-4)• 50, 25, 12.5, 6.25, 1 mm/s50 mm/sManual Recording DurationSets time length of a Manual Record-ing• 5/6, 10, 15, 20 s 20 sManual Recording DelayDetermines amount of pre-event data included in Manual Recording• 5, 10, 15 sAvailable selections depend on your recording speed setting. Inactive settings for a particular recording speed are ghosted.10 s• Click on Accept to save or Undo to keep previous settings.Manual Recording Duration Available Delay Setting5/6 s • 5 s10 s • 5, 10 s15 s20 s• 5, 10, 15 s
4-6 Infinity CentralStation VF84: Infinity CentralStation SetupSetup - Central Layouts ScreenTo open the Setup - Central Layouts screen, refer to page 4-2.Setup - Central Layouts Screen SelectionsSelection Description Available Settings DefaultSelect Central LayoutPermits configuration and storage of desired layoutA, B, C, DCentral Layout NameText box for naming the layout 12 character max.Central Layout ModeSets the number beds and wave-forms per bed that will display• 2 Beds x 4 waves each• 4 Beds x 2 waves each• 4 beds x 4 waves each• 8 Beds x 2 waves each • 8 Beds x 1 waves each• 16 Beds x 1 waves each2 Beds x 4 waves each Notes Permits display of note area (page 7-10)•OFF•ONOFFAssign... Activates the Assign Bed screen, which lists all of the beds being advertised in the monitor-ing unit• Select a bed from the list.• Click on Accept.• After all changes are made on the Central Layouts setup screen, click on Accept to save changes or Undo to keep previous settings.
5 Infinity M300 System SetupOverview.........................................................................................................................5-2Accessing the Telemetry Setup Screens..............................................................5-2Changing the System Default Patient Category...................................................5-2Infinity M300 System Setup Screen .............................................................................5-3Infinity M300 Patient View Defaults Setup Screen......................................................5-4Infinity M300 ST Defaults Setup ...................................................................................5-7Infinity M300 Alarm Limits Defaults Screen ................................................................5-8Available Functions on the Default Settings - Alarm Limits Screen ..................5-8Infinity M300 Arrhythmia Defaults Screen.................................................................5-10Available Functions on the Arrhythmia Screen .................................................5-10Infinity M300 Find Device............................................................................................5-13
5-2 Infinity CentralStation VF85: Infinity M300 System SetupOverview The Telemetry setup screens allow you to set system defaults for Infinity CentralStation telemetry channels (see page 5-7).These defaults are activated at telemetry patient admission.Accessing the Telemetry Setup ScreenszSelect Telemetry from the Setup drop-down menu.Changing the System Default Patient CategoryYou can select a system default patient category that is initially used by all telemetry channels using a System screen setting (5-2). The system default patient category setting is Adult. If after making changes you want to return all settings to the defaults, see page 18-4.When you select Alarm Limits Defaults or Arrhythmia Defaults, an additional submenu permits selection of Adult or Pediatric patient category screens. Each of these screens includes the patient category in the screen name. The Alarm Limits Defaults and Arrhythmia Defaults screens have a selection that permits you to quickly change to the alternate category screen (5-8)To configure the patient category for an individual Telemetry patient see page 9-3.Telemetry Submenu SelectionsSubmenu Selection PasswordRequiredCategory Selection ReferenceSystem... Clinical 5-3Patient View Defaults Clinical 5-4ST Defaults (Requires option, page 18-6) Clinical 5-7Recorders Clinical 5-8Alarm Limits Defaults... Clinical Adult 5-8PediatricArrhythmia Defaults... ClinicalAdult 5-10PediatricFind Device Clinical 5-13
Infinity M300 System Setup Screen VF8 Infinity CentralStation 5-3 Infinity M300 System Setup Screen To access the Infinity M300 System Setup screen, see 5-2.System Setup Screen SelectionsSelection Description Settings DefaultAlarm Pause TimeDetermines duration of Alarm PausedTime • 1, 2, 3, 4, 5 min 3 minAlarm Tone PatternDetermines alarm pattern used by the Infinity M300 device only. • Infinity• High Frequency• Low FrequencyInfinityWeight Units Sets weight units in Admit screen • kg•lbslbsHeight Units Sets height units in Admit screen • cm•ininRemote Audio Pause EnabledDetermines whether or not you can silence alarms for telemetry patients from other monitors in the monitoring unitWhen OFF, the Audio Paused button in Bed View is ghosted and the corresponding icon will not appear in the Main Screen during an alarm.•ON•OFFONRemote Control EnabledDetermines if you can control telemetry patients’ monitoring at other monitors in the monitoring unit•ON•OFFONPatient Category Sets default patient category • Adult• PediatricAdultPacer Detect ModeSets pacer detection mode • Basic• AdvancedBasicBeds x - x Toggle button for selecting beds 1 - 16 or beds 17 - 32Label Permits assignment of Bed Labels to each Infinity CentralStation Channel (or patient window)You can select up to 32 bed labels that will identify Infinity CentralStation Main Screen patient windows. • 7 character maxAlarm Group Assigns an Alarm Group to each Infinity CentralStation Channel (or patient window)• 3 character max.• Click on Accept or on Undo to return to previous settings.
5-4 Infinity CentralStation VF85: Infinity M300 System SetupInfinity M300 Patient View Defaults Setup ScreenThe Main Screen Default Patient View Setup screen allows you to define system-wide, default, patient-monitoring settings. It is similar to the Bed View Patient View Setup, which allows you to customize a particular patient’s monitoring (page 18-3). The Default Patient View Setup screen for Telemetry patients provides selections to configure SpO2 and ECG monitoring. When you click on the button labeled SpO2, the setup selections for that parameter display. When you click on the button labeled ECG, the setup selections for that parameter display. Patient View Setup Screen SelectionsSelection Required Action Available SettingsChannel SetupParameter Click in Channel 1 through 6 Parameter column.For 6-wire monitoring 8 channel rows are available.HR, ARR, ST, SpO2 + PLS, None Waveform Click in the Channel’s ‘Waveform column. • 3-wire mode - I, II, III•5-wire mode - I, II, III, aVR, aVL, aVF, V•6-wire mode - I, II, III, aVR, aVL, aVF, V, V+Gain/Scale Click in the Channel’s ‘Gain/Scale’ column. 0.25, 0.5, 1, 2, 4, 8mV.The Infinity CentralStation uses an AAMI-compliant regular QRS threshold when you select a channel size of 1, 2, 4, or 8 mV/cm. If you select a channel size of 0.25 or 0.5 mV/cm, the Infinity CentralStation lowers the detection threshold, and the AAMI requirement is not met.ECG QRS Processing SettingsDisplay Scale mV/cm Gain8QRS ≥ 0.5 mV4210.5 QRS ≥ 0.15 mV0.25
Infinity M300 Patient View Defaults Setup Screen VF8 Infinity CentralStation 5-5 ECG Monitoring Setup QRS Processing Select leads for ECG and ARR monitoring. • ECG1 & ECG2•ECG1ECG 1ECG 2Top and second lead assigned to ECG 1 and ECG 2 displayECG Color Assign color of ECG associated wave-forms to telemetry channel for an individual patient.•Red•White•Yellow• Green (Default)• Light Blue•Blue•Purple•OrangeECG Lead Wires Select device lead wire mode •3• 5 (Default)•6ECG Filter Control the channel bandwidth A banner displays in the ECG 1 channel if ECG Filter is OFF• Monitor (Default)•OFFPacemaker Detection Set the pacer detection function.When On, pacer spikes display on a patient’s waveform whenever a pacemaker pulse is detected. The Fusion selection is only available if the Pacer Detect Mode is Advanced (5-3)• ON (Default)•OFF•FUSIONPatient View Setup Screen SelectionsSelection Required Action Available SettingsWARNING! High amplitude (>0.15mV) P- and T-waves of long duration may register as integral QRS complexes. To ensure that the system accurately detects low heart rate in these cases, select the lead with the highest R-wave (relative to the T- and/or P-wave) for ECG1. If the system continues to misinterpret P- or T-waves, reposition electrodes or use other modalities to monitor the patient. WARNING! Special surveillance is necessary for patients with pacemakers who are monitored with Pacemaker Detection set to Fusion mode because more pacer spikes may register as integral QRS complexes.
5-6 Infinity CentralStation VF85: Infinity M300 System SetupTruST 12-lead:(Selection only appears when ECG Wire Mode setting is 6 wire and TruST locked option is enabled.)Activate/deactivate TruST monitoring (page 8-13)Precordial leads are fixed as V2 and V5.•ON•OFF (Default)SpO2 Monitoring Setup SPO2 Monitoring: Enable/disable SpO2 monitoring. Selection appears ghosted if an SpO2 option is not available.•ON• OFF (Default)SpO2 Color Assign color of SpO2 associated wave-forms to telemetry channel for an individual patient.•Red• White (Default)•Yellow•Green• Light Blue•Blue•Purple•OrangeAveraging Determines how the Infinity M300 calculates the oxygen saturation of the arterial blood and the derived pulse rateNormal: updates the SpO2 value and the derived pulse rate in 30 seconds or less. (Less sensitive to artifact, but slower to alarm.)Fast: updates the SpO2 value and the derived pulse rate in 12 seconds or less. (Quicker to alarm, but more sensitive to artifact.)• Normal (Default)• FastSensory Type Determines device sensor type •Nellcor• Masimo (Default)• Click on Accept to save changes or Undo to keep previous settings.Patient View Setup Screen SelectionsSelection Required Action Available SettingsNOTE:zYou can only activate SpO2 Monitoring for local telemetry patients.zIf SpO2 Monitoring is OFF, the parameter box is blank.NOTE: When monitoring most patients, Dräger recommends using the Normal averaging mode. The Fast mode is designed for neonatal patients where fast reporting of oxygen desaturation is of concern.
Infinity M300 ST Defaults Setup VF8 Infinity CentralStation 5-7 Infinity M300 ST Defaults SetupThe Default ST Setup screen is similar to the ST Setup screen in Bed View, which allows you to customize a particular patient’s ST monitoring. The Default ST Setup screen allows you to define system-wide ST monitoring default settings, except ST alarm default settings which must be configured in the Setup - Alarm Limits screen (5-8). Also, ST monitoring default settings are for 3- or 5-wire monitoring only. All 6-wire monitoring must be configured at the individual patient’s Bed View ST Setup screen (page 12-9). If ST monitoring is enabled, the default ST Setup settings are activated whenever a telemetry patient is admitted. They can also be activated on a Bed View ST Setup screen that is configured for 3-/5-wire monitoring. For more information on ST monitoring see Chapter 12.ST Setup Screen SelectionsSelection Description Available Settings Factory DefaultST Lead 1 Sets ECG lead vector for ST Lead 1 parameter box• I, II, III, aVF, aVL, aVR, V, V+, NoneIST Lead 2 Sets ECG lead vector for ST Lead 2 parameter box IIST Lead 3 Sets ECG lead vector for ST Lead 3 parameter box IIIST Lead 4 Sets ECG lead vector for ST Lead 4 parameter box aVRST Lead 5 Sets ECG lead vector for ST Lead 5 parameter box aVLST Lead 6 Sets ECG lead vector for ST Lead 6 parameter box aVFST Lead 7 Sets ECG lead vector for ST Lead 7 parameter box VST Units: Sets units for ST measurements • mm•mVmm Event Duration Determines how long an ST event has to remain outside the set ST alarm limit before an alarm sounds60 seconds. 60 secST Measurement Point Determines whether the ST measuring point is 60 or 80 ms after QRS offset•60 ms•80 ms80 ms• Click on Accept to save changes or Undo to keep previous settings.
5-8 Infinity CentralStation VF85: Infinity M300 System SetupInfinity M300 Alarm Limits Defaults ScreenThe Default Settings - Alarm Limits screen allows you to define system-wide, telemetry alarm default settings. These default settings are activated upon patient admittance or by clicking Restore System Defaults on a particular patient’s Bed View screen (page 12-9). The patient category is part of the screen title, and parameter limits are based on that category (5-9). The Default Settings - Alarm Limits screen is similar to the Setup - Alarm Limits screen in Bed View in which you can customize alarm limits for a particular patient.Available Functions on the Default Settings - Alarm Limits ScreenButton/Function DescriptionArrhythmia Opens Default Settings - Arrhythmia screen (5-10)Parameter alarm limit setup1.Click on the table row you wish to set up. This activates the configuration mode for that row during which you can set limits within each column.2.Click on the arrows or toggle button so that the desired setting appears.3.Click on OK.4.Repeat steps 1 to 3 for each parameter.→Pediatric...→Adult...• Changes the patient category from Adult to Pediatric or vice versa. • Changes all of the parameters and limits to the defaults in the selected patient category.
Infinity M300 Alarm Limits Defaults Screen VF8 Infinity CentralStation 5-9 Alarm Limits Parameter SettingsParameter Heading Adult Default Pediatric Default Setting RangeHR Upper Limit 120 beats/min 150 beats/min 25 - 300 beats/minLower Limit 45 beats/min 50 beats/min 20 - 295 beats/minAlarm On On On/OffAlarm Archive Rec/Store Rec/Store Rec, Store, Rec/Store, OffSpO2Upper Limit 100% 100% 21 - 100%Lower Limit 90% 90% 20 - 99%Alarm On On On/OffAlarm Archive Off Off Rec, Store, Rec/Store, OffPLS Upper Limit 120 beats/min 150 beats/min 35 - 240 beats/minLower Limit 45 beats/min 50 beats/min 30 - 235 beats/minAlarm Off Off On/OffAlarm Archive Off Off Rec, Store, Rec/Store, OffST (I, II, III, aVF, aVL, aVR, V, V+, V1, V2, V3, V4, V5, V6, dV1, dV2, dV3, dV4, dV5, dV6)Upper Limit +2 mm+0.20 mV+2 mm+0.20 mV-14.9 to +15.0 mm-1.49 to +1.5 mVLower Limit -1mm-0.10 mV-1mm-0.10 mV-15.0 to +14.9 mm-1.5 to +1.49 mVAlarm Off Off On/OffAlarm Archive Off Off Rec, Store, Rec/Store, OffSTVMSTCVMUpper Limit +2 mm+0.2 mV+2 mm+0.2 mV0.1 to 45 mm0.01 to 4.5 mVLower Limit 0 0 0.0 to 44.9 mm0.0 to 4.49 mVAlarm Archive Off Off Rec, Store, Rec/Store, OffPVC/min Upper Limit 10 beats/min 10 beats/min 1 - 60 beats/minAlarm Off Off On/OffAlarm Archive Off Off Rec, Store, Rec/Store, Off
5-10 Infinity CentralStation VF85: Infinity M300 System SetupInfinity M300 Arrhythmia Defaults ScreenThis screen allows you to define system-wide default settings for arrhythmia event categories. These defaults are passed to the Infinity M300 upon patient admission or by clicking Restore System Defaults on a particular patient’s Bed View screen (page 12-9). The patient category is part of the screen title, and event defaults are based on that category (page 5-11). The Default Settings - Arrhythmia screen is similar to the Setup - Arrhythmia screen in Bed View in which you can customize each event category for a particular patient (page 10-4).Available Functions on the Arrhythmia ScreenButton/Function Description/SelectionAlarm Limits... Opens Default Settings - Alarm Limits screenSelect Arrhythmia event settings1.Click on the table row of the event you wish to set up. This activates the configuration mode for that row during which you can set limits within each column.2.Click on the arrows or toggle button so that the desired setting appears.3.Click on OK.4.Repeat steps 1 to 3 for each parameter.5.Click on Accept to save or Undo to cancel changes.Set arrhythmia ‘monitoring mode’To select the arrhythmia monitoring mode, click on the appropriate radio button.•Off• Basic (Default)•FullIn order to set the arrhythmia monitoring mode to Off, you must enter the clinical password in the Password popup.Full arrhythmia monitoring requires that the locked option is enabled.→Pediatric...→Adult...• Changes the patient category from Adult to Pediatric or vice versa. • Changes all of the Arrhythmia settings to the defaults in the selected patient category.
Infinity M300 Arrhythmia Defaults Screen VF8 Infinity CentralStation 5-11 Events available for arrhythmia monitoring are determined by the monitoring mode.Mode Available EventsFull Full arrhythmia monitoring requires that the locked option is available.ASY, VF, VT, ARTF, RUN, AIVR, CPT, BGM, PAUS, TACH, BRDY, SVTBasic (Default) ASY, VF, VT, ARTFOffArrhythmia Event SettingsParameter Heading Adult Default Setting Pediatric Default SettingASY CountRateAlarm Grade LTAlarm/Archive Rec, Rec/StoreVF CountRateAlarm Grade LTAlarm/Archive Rec, Rec/StoreVT Count 5 - 15 Default: ≥ 10 5 - 15 Default: ≥ 10Rate 100 - 200Default: ≥ 120100 - 200Default: ≥ 160Alarm Grade LT (default), SER, ADV, OFFAlarm/Archive Rec, Store, Rec/Store, OffARTF CountRateAlarm Grade LT, SER, ADV, OFF (default)Alarm/Archive OFFRUN Count Not adjustable; upper value is VT count - 1. Default: 3 - 4Rate Not adjustable; same as VT rate. Default: ≥ 120Not adjustable; same as VT rate. Default: ≥ 160Alarm Grade LT, SER (default), ADV, OFFAlarm/Archive Rec, Store, Rec/Store, Off
5-12 Infinity CentralStation VF85: Infinity M300 System SetupParameter Heading Adult Default Setting Pediatric Default SettingAIVR Count Not adjustable. Default: ≥ 3Rate Not adjustable, upper value is VT rate - 1.Default: < 119Not adjustable, upper value is VT rate - 1.Default: < 159Alarm Grade LT, SER, ADV (default), OFFAlarm/Archive Rec, Store, Rec/Store, OffCPT CountRateAlarm Grade LT, SER, ADV (default), OFF Alarm/Archive Rec, Store, Rec/Store, OffBGM CountRateAlarm Grade LT, SER, ADV (default), OFFAlarm/Archive Rec, Store, Rec/Store, OffPAUSE CountRate 1.0,1.5, 2.0, 2.5 (default), 3.0, 3.51.0,1.5, 2.0 (default), 2.5, 3.0, 3.5Alarm Grade LT, SER, ADV, OFF (default)Alarm/Archive Rec, Store, Rec/Store, OffTACH Count 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15Default: ≥ 8Rate 100 - 200 Default: ≥ 130100 - 200 Default: ≥ 180Alarm Grade LT, SER, ADV, OFF (default)Alarm/Archive Rec, Store, Rec/Store, OffBRDY Count ≥8bpmRate 30 - 70Default: < 5030 - 105Default: < 60Alarm Grade LT, SER, ADV, OFF (default) LT, SER (default), ADV, OFF Alarm/Archive Rec, Store, Rec/Store, OffSVT Count 3, 4, 5, 6, 7, 8, 9, 10Default: ≥ 3Rate 120, 130, 140, 150, 160, 170, 180, 190, 200Default: ≥150120, 130, 140, 150, 160, 170, 180, 190, 200, 210, 220Default: ≥ 220Alarm Grade LT, SER (default), ADV, OFFAlarm/Archive Rec, Store, Rec/Store, OffArrhythmia Event Settings
Infinity M300 Find Device VF8 Infinity CentralStation 5-13 Infinity M300 Find DeviceYou can initiate a Find Device tone that will help you locate an Infinity M300 in the event it is misplaced.1. Select Telemetry from the Main Screen Setup drop-down menu.2. Select Find Device.Enter the Infinity M300 ID you are trying to find.3. Click on the device you wish to locate.4. Click on Locate.The Infinity CentralStation sends a command to the selected Infinity M300 to sound a Find Device tone (2-4).NOTE: Devices admitted to the Infinity CentralStation will not appear in the list as selections.
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6 Infinity Telemetry System SetupOverview.........................................................................................................................6-2Accessing the Telemetry Setup Screens..............................................................6-2Changing the System Default Patient Category...................................................6-2Infinity Telemetry System Setup Screen .....................................................................6-3Infinity Telemetry Patient View Defaults Setup Screen..............................................6-4Infinity Telemetry ST Defaults Setup ...........................................................................6-7Infinity Telemetry Recordings Setup Screen ..............................................................6-8Recordings Setup Screen Functions ....................................................................6-8Infinity Telemetry Alarm Limits Defaults Screen ........................................................6-9Available Functions on the Default Settings - Alarm Limits Screen ..................6-9Infinity Telemetry Arrhythmia Defaults Screen.........................................................6-11Available Functions on the Arrhythmia Screen .................................................6-11
6-2 Infinity CentralStation VF86: Infinity Telemetry System SetupOverview Set system defaults for Infinity CentralStation telemetry channels using the Telemetry setup screens. These defaults are activated at telemetry patient discharge.Accessing the Telemetry Setup ScreenszSelect Telemetry from the Setup drop-down menu.Changing the System Default Patient CategoryYou can select a system default patient category that is initially used by all telemetry channels using a System screen setting (6-3). The system default patient category setting is Adult. If after making changes you want to return all settings to the defaults, see 18-4.When you select Alarm Limits Defaults or Arrhythmia Defaults, an additional submenu permits selection of Adult or Pediatric patient category screens. Each of these screens includes the patient category in the screen name. The Alarm Limits Defaults and Arrhythmia Defaults screens have a selection that permits you to quickly change to the alternate category screen (6-9)To configure the patient category for an individual Telemetry patient see 9-3.Telemetry Submenu SelectionsSubmenu Selection PasswordRequiredCategory Selection ReferenceSystem... Clinical 6-3Patient View Defaults Clinical 6-4ST Defaults (Requires option, 18-6) Clinical 6-7Recordings Clinical 6-8Alarm Limits Defaults... Clinical Adult 6-9PediatricArrhythmia Defaults... ClinicalAdult 6-11Pediatric
Infinity Telemetry System Setup Screen VF8 Infinity CentralStation 6-3 Infinity Telemetry System Setup Screen To access the Telemetry System Setup screen, see 6-2.System Setup Screen SelectionsSelection Description Settings DefaultAlarm Paused TimeDetermines duration of Alarm PausedTime • 1, 2, 3, 4, 5 min• Disable•No Time Out3 minWeight Units Sets weight units in Admit screen • kg•lbslbsHeight Units Sets height units in Admit screen • cm•ininRemote Audio Paused EnabledDetermines whether or not you can silence alarms for telemetry patients from other monitors in the monitoring unitWhen OFF, the Audio Paused button in Bed View is ghosted and the corresponding icon will not appear in the Main Screen during an alarm.•ON•OFFONRemote Control EnabledDetermines if you can control telemetry patients’ monitoring at other monitors in the monitoring unit•ON•OFFONDefault Patient CategorySets default patient category • Adult• PediatricAdultPacer Detect ModeSets pacer detection mode • Basic• AdvancedBasicBed Label Permits assignment of Bed Labels to each Infinity CentralStation Channel (or patient window)You can select up to 32 bed labels that will identify Infinity CentralStation Main Screen patient windows. • 7 character maxAlarm Group Assigns an Alarm Group to each Infinity CentralStation Channel (or patient window)• 3 character max.• Click on Accept or on Undo to return to previous settings.
6-4 Infinity CentralStation VF86: Infinity Telemetry System SetupInfinity Telemetry Patient View Defaults Setup ScreenIf a password is required to access this screen, see 4-2.The Main Screen Default Patient View Setup screen allows you to define system-wide, default, patient-monitoring settings. It is similar to the Patient View Setup screen in Bed View, which allows you to customize a particular patient’s monitoring. See page 8-3 for a detailed description of the Bed View Patient View Setup screen. Patient View Setup Screen SelectionsSelection Required Action Available SettingsChannel SetupParameter Click in the Channel’s Parameter column. Depends on monitoring selections Waveform Click in the Channel’s Waveform column. • 3-wire mode - II •5-wire mode - I, II, III, aVR, aVL, aVF, VMonitoring Setup QRS Processing Select leads for ECG and ARR monitoring. • ECG1 & ECG2•ECG1Gain/Scale Click in the Channel’s Gain/Scale column. 0.25, 0.5, 1, 2, 4, 8mV.The Infinity CentralStation uses an AAMI-compliant regular QRS threshold when you select a channel size of 1, 2, 4, or 8 mV/cm. If you select a channel size of 0.25 or 0.5 mV/cm, the Infinity CentralStation lowers the detection threshold, and the AAMI requirement is not met.WARNING! High amplitude (>0.15mV) P- and T-waves of long duration may register as integral QRS complexes. So that the system accurately detects low heart rate in these cases, select the lead with the highest R-wave (relative to the T- and/or P-wave) for ECG1. If the system continues to misinterpret P- or T-waves, reposition electrodes or use other modalities to monitor the patient. ECG QRS Processing SettingsDisplay Scale mV/cm Gain8QRS ≥ 0.5 mV4210.5 QRS ≥ 0.15 mV0.25
Infinity Telemetry Patient View Defaults Setup Screen VF8 Infinity CentralStation 6-5 Parameter Color Assign system-wide color of SPO2, NIBP, and ECG associated waveforms to teleme-try channels.•Red•White•Yellow• Green (Default)• Light Blue•Blue•Purple•OrangePacemaker Detection Set the pacer detection function.When ON, pacer spikes display on a patient’s waveform whenever a pacemaker pulse is detected. •ON•OFF•FUSIONPatient View Setup Screen SelectionsSelection Required Action Available SettingsWARNING!zWhen Pacemaker Detection is set on Fusion mode pacer spikes may register as integral QRS complexes. Special surveillance is necessary for patients with pacemakers who are monitored with this mode enabled.zFusion mode pacer detection is not intended for use with large-voltage, unipolar pacemakers. It is intended for use only with biphasic pacemakers. Please observe the following:zBefore selecting Fusion mode be certain that the patient has a biphasic pacemaker (external or implanted) and that it is accurately programmed as appropriate for that patient.zDo not select Fusion mode if you are not certain what type of pacemaker is in use, or how it is programmed.zSelect Pacer Fusion mode only to suppress repeated false asystole and/or false low heart rate alarms.zSelection of Fusion mode may increase the risk of falsely counting pacer spikes as QRS complexes, and may cause cardiac arrest to be undetected. Therefore, special surveillance of any pacemaker patient monitored with this mode is strongly recommended.
6-6 Infinity CentralStation VF86: Infinity Telemetry System SetupSPO2 Monitoring Enable/disable SpO2 monitoring. •ON•OFF• Click on Accept to save changes or Undo to keep previous information.Patient View Setup Screen SelectionsSelection Required Action Available SettingsNOTE:zDisplay the lead with the least interference and the highest R-wave in the patient’s waveform channel 1.zVerify that the HR calculation is accurate in comparison to the ECG waveform.zVerify that the ♥P symbol is displayed for each paced beat.NOTE:zThis selection is only available for local telemetry patients. zIf SpO2 Monitoring is OFF, SpO2 and PLS parameter boxes are blank.
Infinity Telemetry ST Defaults Setup VF8 Infinity CentralStation 6-7 Infinity Telemetry ST Defaults SetupThe Default ST Setup screen is similar to the ST Setup screen in Bed View, which allows you to customize a particular patient’s ST monitoring. The Default ST Setup screen allows you to define system-wide ST monitoring default settings, except ST alarm default settings which must be configured in the Setup - Alarm Limits screen (6-9). Also, ST monitoring default settings are for 3- or 5-wire monitoring only. All 6-wire monitoring must be configured at the individual patient’s Bed View ST Setup screen (12-9). The default ST Setup settings are activated whenever a telemetry patient is discharged. They can also be activated on a Bed View ST Setup screen that is configured for 3-/5-wire monitoring. For more information on ST monitoring see Chapter12.ST Setup Screen SelectionsSelection Description Available Settings Factory DefaultST Lead 1 Sets ECG lead vector for ST Lead 1 parameter box• I, II, III, aVF, aVL, aVR, V, V+, NoneIST Lead 2 Sets ECG lead vector for ST Lead 2 parameter box IIST Lead 3 Sets ECG lead vector for ST Lead 3 parameter box IIIST Lead 4 Sets ECG lead vector for ST Lead 4 parameter box aVRST Lead 5 Sets ECG lead vector for ST Lead 5 parameter box aVLST Lead 6 Sets ECG lead vector for ST Lead 6 parameter box aVFST Lead 7 Sets ECG lead vector for ST Lead 7 parameter box VST Units: Sets units for ST measurements • mm•mVmm Event Duration Determines how long an ST event has to remain outside the set ST alarm limit before an alarm sounds• 15, 30, 45, 60 75, 90, 105, 120 seconds60 secST Measurement Point Determines whether the ST measuring point is 60 or 80 ms after QRS offset•60 ms•80 ms80 ms• Click on Accept to save changes or Undo to keep previous settings.
6-8 Infinity CentralStation VF86: Infinity Telemetry System SetupInfinity Telemetry Recordings Setup ScreenIf a password is required to access this screen, see 4-2.Recordings Setup Screen FunctionsUse the Recordings Setup screen to set various telemetry-specific recording properties, independent of the basic Infinity CentralStation recorder settings. Recordings Setup Screen SelectionsSelection Description Available Settings DefaultWaveform Selection:Determines whether waveforms to be printed are selected automatically or manually•Auto - Automatically selects topmost displayed waveform for printing•Manual - Prints selected Waveform 1 and 2AutoWaveform 1: Selects top waveform for R 50 recording • I, II, III, aVF, aVL, aVR, V IIWaveform 2: Selects second waveform for R 50 recording VAlarm Condition Waveform:Determines if pre-event data is included in an alarm recordingIf you choose OFF, the recording consists of real-time data only.•ON•OFFON• Click on Accept to save or Undo to return to the previous settings.
Infinity Telemetry Alarm Limits Defaults Screen VF8 Infinity CentralStation 6-9 Infinity Telemetry Alarm Limits Defaults ScreenUse the Default Settings - Alarm Limits screen to define system-wide, telemetry alarm default settings. These default settings are activated at telemetry patient discharge or by clicking Restore System Defaults on a particular patient’s Bed View screen (13-10). The patient category is part of the screen title, and parameter limits are based on that category (6-10). The Default Settings - Alarm Limits screen is similar to the Setup - Alarm Limits screen in Bed View in which you can customize alarm limits for a particular patient.Available Functions on the Default Settings - Alarm Limits ScreenButton/Function DescriptionArrhythmia Opens Default Settings - Arrhythmia screen (6-11)Parameter alarm limit setup1.Click on the table row you wish to set up. This activates the configuration mode for that row during which you can set limits within each column.2.Click on the arrows or toggle button so that the desired setting appears.3.Click on OK.4.Repeat steps 1 to 3 for each parameter.→Pediatric...→Adult...• Changes the patient category from Adult to Pediatric or vice versa. • Changes all of the parameters and limits to the defaults in the selected patient category.
6-10 Infinity CentralStation VF86: Infinity Telemetry System SetupAlarm Limits Parameter SettingsParameter Heading Adult Default Pediatric Default Setting RangeHR Upper Limit 120 beats/min 150 beats/min 25 - 300 beats/minLower Limit 45 beats/min 50 beats/min 20 - 295 beats/minAlarm On On On/OffAlarm Archive Rec/Store Rec/Store Rec, Store, Rec/Store, OffSpO2Upper Limit 100% 100% 21 - 100%Lower Limit 90% 90% 20 - 99%Alarm On On On/OffAlarm Archive Off Off Rec, Store, Rec/Store, OffPLS Upper Limit 120 beats/min 150 beats/min 35 - 240 beats/minLower Limit 45 beats/min 50 beats/min 30 - 235 beats/minAlarm Off Off On/OffAlarm Archive Off Off Rec, Store, Rec/Store, OffST (I, II, III, aVF, aVL, aVR, V, V+, V1, V2, V3, V4, V5, V6, dV1, dV2, dV3, dV4, dV5, dV6)Upper Limit +2 mm+0.20 mV+2 mm+0.20 mV-14.9 to +15.0 mm-1.49 to +1.5 mVLower Limit -1mm-0.10 mV-1mm-0.10 mV-15.0 to +14.9 mm-1.5 to +1.49 mVAlarm Off Off On/OffAlarm Archive Off Off Rec, Store, Rec/Store, OffSTVMSTCVMUpper Limit +2 mm+0.2 mV+2 mm+0.2 mV0.1 to 45 mm0.01 to 4.5 mVLower Limit 0 0 0.0 to 44.9 mm0.0 to 4.49 mVAlarm Archive Off Off Rec, Store, Rec/Store, OffPVC/min Upper Limit 10 beats/min 10 beats/min 1 - 60 beats/minAlarm Off Off On/OffAlarm Archive Off Off Rec, Store, Rec/Store, OffNOTE: NBP alarm limits must be set up at the bedside monitor. For details see the bedside monitor Instructions for Use.
Infinity Telemetry Arrhythmia Defaults Screen VF8 Infinity CentralStation 6-11 Infinity Telemetry Arrhythmia Defaults ScreenThis screen allows you to define system-wide default settings for arrhythmia event categories. These defaults are activated at telemetry patient discharge or by clicking Restore System Defaults on a particular patient’s Bed View screen (10-4). The patient category is part of the screen title, and event defaults are based on that category (6-12). The Default Settings - Arrhythmia screen is similar to the Setup - Arrhythmia screen in Bed View in which you can customize each event category for a particular patient (10-4).Available Functions on the Arrhythmia ScreenButton/Function Description/SelectionAlarm Limits... Opens Default Settings - Alarm Limits screenSelect Arrhythmia event settings1.Click on the table row of the event you wish to set up. This activates the configuration mode for that row during which you can set limits within each column.2.Click on the arrows or toggle button so that the desired setting appears.3.Click on OK.4.Repeat steps 1 to 3 for each parameter.5.Click on Accept to save or Undo to cancel changes.Set arrhythmia ‘monitoring mode’To select the arrhythmia monitoring mode, click on the appropriate radio button.•Off• Basic (Default)•FullIn order to set the arrhythmia monitoring mode to Off, you must enter the clinical password in the Password popup.→Pediatric...→Adult...• Changes the patient category from Adult to Pediatric or vice versa. • Changes all of the Arrhythmia settings to the defaults in the selected patient category.
6-12 Infinity CentralStation VF86: Infinity Telemetry System SetupEvents available for arrhythmia monitoring are determined by the monitoring mode.Mode Available EventsFull ASY, VF, VT, ARTF, RUN, AIVR, CPT, BGM, PAUS, TACH, BRDY, SVTBasic (Default) ASY, VF, ARTF, VTOffArrhythmia Event SettingsParameter Heading Adult Default Setting Pediatric Default SettingASY CountRateAlarm Grade LTAlarm/Archive Rec, Rec/StoreVF CountRateAlarm Grade LTAlarm/Archive Rec, Rec/StoreVT Count 5 - 15 Default: ≥ 10 5 - 15 Default: ≥ 10Rate 100 - 200Default: ≥ 120100 - 200Default: ≥ 160Alarm Grade LT (default), SER, ADV, OFFAlarm/Archive Rec, Store, Rec/Store, OffARTF CountRateAlarm Grade LT, SER, ADV, OFF (default)Alarm/Archive OFFRUN Count Not adjustable; upper value is VT count - 1. Default: 3 - 4Rate Not adjustable; same as VT rate. Default: ≥ 120Not adjustable; same as VT rate. Default: ≥ 160Alarm Grade LT, SER (default), ADV, OFFAlarm/Archive Rec, Store, Rec/Store, Off
Infinity Telemetry Arrhythmia Defaults Screen VF8 Infinity CentralStation 6-13 Parameter Heading Adult Default Setting Pediatric Default SettingAIVR Count Not adjustable. Default: ≥ 3Rate Not adjustable, upper value is VT rate - 1.Default: < 119Not adjustable, upper value is VT rate - 1.Default: < 159Alarm Grade LT, SER, ADV (default), OFFAlarm/Archive Rec, Store, Rec/Store, OffCPT CountRateAlarm Grade LT, SER, ADV (default), OFF Alarm/Archive Rec, Store, Rec/Store, OffBGM CountRateAlarm Grade LT, SER, ADV (default), OFFAlarm/Archive Rec, Store, Rec/Store, OffPAUSE CountRate 1.0,1.5, 2.0, 2.5 (default), 3.0, 3.51.0,1.5, 2.0 (default), 2.5, 3.0, 3.5Alarm Grade LT, SER, ADV, OFF (default)Alarm/Archive Rec, Store, Rec/Store, OffTACH Count 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15Default: ≥ 8Rate 100 - 200 Default: ≥ 130100 - 200 Default: ≥ 180Alarm Grade LT, SER, ADV, OFF (default)Alarm/Archive Rec, Store, Rec/Store, OffBRDY CountRate 30 - 70Default: < 5030 - 105Default: < 60Alarm Grade LT, SER, ADV, OFF (default) LT, SER (default), ADV, OFF Alarm/Archive Rec, Store, Rec/Store, OffSVT Count 3, 4, 5, 6, 7, 8, 9, 10Default: ≥ 3Rate 120, 130, 140, 150, 160, 170, 180, 190, 200Default: ≥150120, 130, 140, 150, 160, 170, 180, 190, 200, 210, 220Default: ≥ 220Alarm Grade LT, SER (default), ADV, OFFAlarm/Archive Rec, Store, Rec/Store, OffArrhythmia Event Settings
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7 Main Screen Overview.........................................................................................................................7-2Main Screen Layout.......................................................................................................7-2Split vs. Full Main Screen .............................................................................................7-2Selecting a Main Screen Layout ............................................................................7-3 Main Screen Setup........................................................................................................7-3Menu Bar..................................................................................................................7-3Waveform Area........................................................................................................7-4Stopping Waveforms ..............................................................................................7-7Waveform Color ......................................................................................................7-7Telemetry Waveform Dropout Display (Infinity Telemetry only).........................7-7Parameter Areas......................................................................................................7-7Notes Area .............................................................................................................7-10Status Area ............................................................................................................7-11Manual Waveform Configuration Mode .....................................................................7-12Main Screen Status Area Messages ..........................................................................7-13
7-2 Infinity CentralStation VF87: Main ScreenOverview The Infinity CentralStation Main Screen displays waveforms, parameters, status messages, banners, and alarm messages for telemetry and bedside patients on the Infinity Network. It can be configured in various central layouts. Main Screen LayoutThe Infinity CentralStation displays monitoring data for patients who are assigned to a window of the current Main Screen. The Main Screen layout can be customized with the Setup Central Layout screen (page 4-6). For a description of screen layouts see page 7-3.Split vs. Full Main ScreenThe following table shows how much patient data can be visible in the Split and Full Main Screen layouts. If the NOTES feature (page 7-10) is enabled (page 4-6), less waveform data displays.Main Screen Layout Split Screen Full Screen Amount of Waveform Data(approximate)2 x 4 Yes 8 - 10 seconds 4 x 2 Yes 8 - 10 seconds 8 x 1 Yes 8 - 10 seconds 4 x 4 Yes 4 seconds8 x 2 Yes 4 seconds16 x 1 Yes 4 seconds
Main Screen Setup VF8 Infinity CentralStation 7-3 Selecting a Main Screen Layout1. Click on View in the Main Screen menu bar.2. Click on the Central Layout menu selection. A submenu with available Main Screen layout selections appears.3. Click on the desired layout. A popup window displays.4. Click on Yes in the popup to select the new layout or on No to exit the menu and keep the current layout. Main Screen SetupMenu BarSelection Allows you to...VIEW • access Full/Event Disclosure applications (Chapter 16)SETUP • configure Infinity CentralStation monitoring• configure Main Screen layouts (page 4-6)• access Telemetry setup menus (Chapter 5)BIOMED • observe the status of all devices on the network• configure the Infinity CentralStation and telemetry receivers• enable options• access the system consoleHELP • open the Infinity CentralStation Instructions for Use on the screen (Chapter 1)Alarm Silence • silence active alarms at the Infinity CentralStation for one minute
7-4 Infinity CentralStation VF87: Main ScreenWaveform AreaDepending on the selected Main Screen layout, each patient window may have up to four waveforms. All patient waveforms are updated from left to right. In addition to parameter waveforms, the patient window includes other information. Infinity CentralStation Patient Window 1 Manual configuration mode, telemetry, or wireless monitor icon (page 7-6)6Keys that generate manual Timed or Continuous recordings (page 14-5) 2 Bed Label (for Infinity M300 or Infinity Tele metr y Bed Label is followed by device ID)7MIB Ventilator Alarm Icon area 3 Patient Name 8Area reserved for ventilator alarm messages 4 Bedside alarm, banner, status, standby, or discharge message area9Location for the following:• “WAVE PAUSED” message• “STANDBY“ message 5 Icons from bedside monitors 10 Lead Label and Scale
Main Screen Setup VF8 Infinity CentralStation 7-5 Banner and Status MessagesBanner Telemetry-specificMonitor-specific Appearance DescriptionAlarm Paused Yes Yes Black text/yel-low backgroundPatient’s alarm function is dis-abledAll Alarms OFF Yes YesHR Alarms OFF1Yes YesHR Limits OFF Yes YesHR, ASY, VF OFF Yes YesBed Disconnected No Yes Black text/white backgroundBedside monitor disconnected for patient transportBedside Offline Yes Yes Yellow text Network communication inter-ruptedCODE 2No Yes Black text /red backgroundCode fixed key was pressed at bedside monitorDischarged Yes Yes Black text/white backgroundPatient discharged or transferred at bedside monitorDuplicate Address No Yes Yellow text CPS/IDS detects a duplicate address on networkOffline No Yes Yellow text Network communication inter-ruptedPacer Fusion Yes Yes Black text/white backgroundPacemaker Fusion mode acti-vated for local telemetry patientPacer Off Yes Yes Black text/white backgroundPacemaker detection activatedPacer On Yes Yes Black text/white backgroundPacer detection activatedPacer On/Fusion Yes Yes Black text/white backgroundPacemaker Fusion mode acti-vated for a remote bed that can-not distinguish between On and Fusion modesSTANDBY3Yes Yes Black text/white backgroundPatient monitor in STANDBY mode1 If an alarm occurs while this banner is displayed, the alarm message replaces the banner during the alarm.2 If a code condition is activated at the bedside during an alarm, the banner, CODE, replaces the alarm message.3 When a patient monitor is put into STANDBY mode, only the patient name and bed label displays. When a telemetry patient is put in to standby mode the ecg waveform continues to display along with patient name, lead labels and scales. A selectable standby label also displays (page 8-8). For both bedside and telemetry patients the framed message STANDBY displays prominently over the center of the top waveform area.
7-6 Infinity CentralStation VF87: Main ScreenIconsMarkersPacer spikes for all leads are blue (they start at the detection point in the waveform and end at the ECG scale bar height).Breath detection spikes for impedance respiration display as white lines vertically centered on the waveform at detection point and extend 1 cm. Icon Location DescriptionAudio Paused Upper right corner of top waveform channelThe icon only appears if the Audio Paused function is enabled for bedside patients (page 4-3) or the Remote Silence function is enabled for telemetry patients (page 5-3).Appears when the patient has an active non-silenced alarm or a latching alarm message (a message corresponding to an alarm whose condition is no longer valid but that has not yet been acknowledged). Click on icon to clear a latching alarm message or silence the current alarm for 1 minute (for a telemetry patient the alarm is silenced at the central station; for a bedside patient it is silenced at the bedside monitor and at the central station).All Alarms OFF Next to parameter value Appears in place of alarm limits when the parameter’s alarms are disabledAlarm Volume ZeroMIB Alarm Tone Off Upper right corner of patient’s top waveform channel in yellowAppears if the alarm tone is disabled at the bedside monitorLower right corner of patient’s top waveform channel in orangeAppears when you click on the MIB Alarm Tone iconMIB Alarm Tone ONLower right corner of patient’s top waveform channel Appears in a patient’s top waveform channel in Main Screen when the MIB alarm tone is enabledTelemetry Left of bed label Identifies a telemetry patientManual Configuration ModeLeft of bed label Identifies that the waveform configuration mode is active for the bedside patientWireless Bed Left of bed label Identifies a patient being monitored by a wireless monitorSelected event Upper right of Event Disclosure Review ScreenWhen checked, denotes event for inclusion in Shift Report
Main Screen Setup VF8 Infinity CentralStation 7-7 Stopping WaveformsYou can stop all patient waveforms by clicking anywhere in the waveform area. Stopping a patient’s waveforms in Main Screen does not stop them in Bed View. Stopping waveforms has the following effect:zThe banner WAVE(S) PAUSED displays below the topmost waveform.zThe CONT and REC buttons appear ‘ghosted’ in the parameter area and you cannot request a manual recording. You can request a print screen, however.zParameter values and banners continue to be updated and the Bed Silence icon and alarm message display in case of alarm.To restart the waveforms, click inside the waveform area again. All previously displayed waveforms erase and are replaced by new waveforms.Waveform ColorThe Infinity CentralStation supports the display of all real time and stored waveforms and parameter values using the bedside currently selected colors or telemetry system default settings. For information about changing waveform color at a bedside monitor, see the monitor’s Instructions for Use. For information about changing waveform color for a specific telemetry patient, see page 8-9. Telemetry Waveform Dropout Display (Infinity Telemetry only)You can choose to display a dropout on a telemetry waveform in a clearly identifiable negative Square-wave configuration to indicate a non-physiological event should RFdropouts occur when using Infinity Telemetry. Square-wave display must be configured via a system Biomed setting during installation.Parameter AreasThe parameter areas to the right of each waveform may consist of several parameter fields. The parameter areas allow you to access each patient’s Bed View (Chapter 8). If the patient is in alarm, the background of the respective parameter area on the Infinity CentralStation flashes in the color associated with the highest grade alarm for that bed.
7-8 Infinity CentralStation VF87: Main ScreenA parameter area appears blank if no parameter data is available for a displayed patient due to one of the following conditions:zpatient monitor is in Standby or the patient was discharged,zmonitor was disconnected for patient transport, zmonitor/transmitter stopped communicating with network.NOTE: The parameter area does not flash or change color during Offline, Bedside Offline, or Duplicate Address conditions. 1 Generates a timed recording 4Secondary parameter labels 2 Displays alarms off icon when alarms are turned off, or alarm limits when alarms are turned on5Primary parameter label 3 Secondary parameter values 6Generates a continuous recordingNOTE: Parameter units are only displayed if they appear at the bedside monitor. For telemetry patients, units always appear.
Main Screen Setup VF8 Infinity CentralStation 7-9 Primary Vs. Secondary ParametersThe Infinity CentralStation displays primary and secondary parameters. The primary parameter has an associated waveform displayed in the waveform area, but secondary parameters do not. The number of a patient’s displayed primary and secondary parameters depends on the selected Main Screen layout. Each parameter field may contain: zone single-valued primary parameter and up to two secondary parameters, orzone multi-valued parameter set (e.g. pressures)The Primary Parameter is distinguished by its size. The Primary Parameter value(s) and the label are the color of the associated waveform. If the Primary Parameter has no waveform displayed, the values and the label appear white.Up to two Secondary Parameters, not associated with waveforms, can be displayed per Primary Parameter. Secondary Parameters are white and appear smaller. Secondary Parameters consisting of triple-valued pressures are displayed in a single row, in the format SYS/DIA (MEAN).Allocation of Parameters - Bedside MonitorsThe bedside monitors determine how parameters are allocated to the parameter areas of the Infinity CentralStation. If more parameter slots are available than parameters to fill them, the fields that are not allocated are blank. If no parameters are available for a bed assigned to Main Screen because the monitor is in “Standby” mode, the patient has been discharged, or the monitor has been removed for transport, the entire waveform and parameter area for that bed appears blank. A message banner in the waveform area explains the reason for the absence of data.Delta/Delta XL/Kappa/GammaX XL parameters are assigned in descending order. The top waveform/parameter of the bedside monitor becomes the first Primary Layout Primary Secondary16 x 1 One up to two8 x 18 x 2 Two up to four4 x 24 x 4 Four up to eight2 x 4
7-10 Infinity CentralStation VF87: Main ScreenParameter/waveform at the Infinity CentralStation. Parameters continue to be assigned in consecutive order (Primary Parameters first, then Secondary Parameters) from the bedside to available parameter fields at the Infinity CentralStation. The Infinity CentralStation supports two icons specific to these monitors. zThe symbol in the parameter box alerts users that the O2 lower alarm limit has been set to a value less than 21% at the MultiGas Module.zParameters that originate from devices that are not part of the Infinity Network, such as MIB devices, and duplicate parameters originating at the Delta/Delta XL/Kappa/GammaX XL are marked with an asterisk. The same is true when parameters are derived from two different sources within the Infinity Network (such as the monitor and a connected pod).If the next parameter box at the bedside monitor consists of a “set” of parameter values for ST or the MIB device, only the topmost parameter value will be used as a Secondary Parameter.Gamma/Gamma XL/Vista monitor parameters are assigned using the top waveform and corresponding parameter as the first primary waveform/parameter at the Infinity CentralStation. The second waveform and associated parameter fill the next Primary/Secondary fields. The remaining parameters are assigned top-to-bottom, left-to-right, from the bedside parameter boxes to available parameter fields at the Infinity CentralStation.Allocation of Parameters - Telemetry ChannelsThe waveforms selected on the system Patient View Setup screen (Chapter 5) determine the display order of parameters and waveforms in Main Screen. Any changes in the waveform and parameter assignments in Bed View are automatically reflected in Main Screen.Notes AreaIf the NOTES function is enabled (page 4-6), an area for entering patient notes displays before each patient window. Notes are only stored locally at the Infinity CentralStation, they are not stored at the bedside monitor. Stored notes are deleted when you:zreconnect any bedside monitor to that network location,zdischarge the patient,zremove the patient from Main Screen, orNOTE: If a single-value Primary Parameter has minor parameter(s) associated with it (e.g., SpO2 has PLS as a minor parameter), the Infinity CentralStation designates these minor parameter(s) as secondary.
Main Screen Setup VF8 Infinity CentralStation 7-11 zselect a Main Screen layout that does not include the patient.The size of the notes area is relative to the number of waveforms in a waveform area. Each notes area can accommodate up to 300 text characters and has a scroll bar if necessary.Status AreaThe status area is located along the bottom of the screen.1 Alarm/Status MessagesThese messages may originate from the Infinity CentralStation, network recorders, or bedside monitors. With Dual Display, the status messages appear on both displays. Some status messages appear only briefly and indicate a one-time occurrence. Others appear for as long as the cause for the message exists.2 Host Label Identifies the Infinity CentralStation3 Time and Date Surveillance alarm messages (page 13-5) overwrite the date/time field
7-12 Infinity CentralStation VF87: Main ScreenManual Waveform Configuration ModeWith Manual waveform configuration mode you can choose different waveforms (not parameters) for a bedside patient in Main Screen.1. Move the mouse over the patient’s waveform channel. 2. Press the right mouse button.The Waveform Configuration popup displays.3. Click on the Manual radio button.4. Click on the option button next to the desired channel. A list of available waveforms appears.5. Set the desired waveform.6. Repeat steps 3 and 4 for additional channels.7. When you are finished, click on Accept to keep the changes or Cancel to return to previous settings.NOTE: Once you configure a bedside patient’s waveform setup via the manual configuration mode, the new setup remains intact for that channel even if you discharge the patient and admit a different one to that channel. For a new patient you can manually change waveforms again or switch to ‘Automatic’ mode. NOTE: The waveform scale information displayed underneath the manual waveform popup is not redrawn after the popup is closed. However, this does not affect the waveform or patient monitoring. To completely redraw the waveform and associated scale, click the left mouse button twice.
Main Screen Status Area Messages VF8 Infinity CentralStation 7-13 Main Screen Status Area MessagesThe following table lists possible status messages that may display in the Main Screen status area. For recorder-specific status messages, see Chapter 14.Device/Network Status Messages Status Message Tone DescriptionCentral Offline Serious Infinity CentralStation is not communicating with network due to incorrect configuration information.Reverting to Default Settings for yyy Data Serious Error during a setup file read operation Recorder Setup Data Not SavedCentral Setup Data Not SavedCentral Configuration Data not SavedLocked Options Data Not SavedSerious Error during a setup file write operation. The file will be created at the next restart. Central Configuration Incomplete Serious All labels identifying Infinity CentralStation are not entered.Standalone Attention The patient is not connected to the network.<xxx> Remote Control Failed Attention Remote control action failed for named device.Notes Access Error Attention Notes cannot be accessed.Central Duplicate Address Serious Infinity CentralStation has same address as another network device.File Access Error Attention File cannot be accessed.Data Export Finished Attention The data has arrived at the MegaCare system.Waveform Export Completed none The data was sent to the third party device.Waveform Export Failed Attention The data export to the third party device failed.Hardware Watchdog Failure none Watchdog timer failure during start-up.Call the Hospital Biomedical Engineering Dept.No Bed Assigned Attention No bed has been assigned to the selected parameter area in Main Screen.Select the correct parameter area or assign a patient to the available slot. <xxx> stands for the device/host label; yyy stands for the specific setup data file.
7-14 Infinity CentralStation VF87: Main ScreenCopy Logs Started none The copying of the logs has started.Wait until procedure is finished.Copy Logs Formatting Disk none The disk is being formatted.Copy Logs Failed Advisory The logs could not be copied.Try to copy the logs again (page 18-10).Patient Not found in HIS/CIS none There was no HIS/CIS data available for the patient.Check if you have selected the right patient.Too Many Beds in this Monitoring Unit none You have tried to add more than 32 beds to this monitoring unit.You cannot add any new patients to this monitoring unit until you delete some (maximum number is 32 patients).Param (YYY) not found none The selected parameter is not detected.Make sure the necessary hardware is connected correctly. <xxx> stands for the device/host label; yyy stands for the specific setup data file.Device/Network Status Messages Status Message Tone Description
8 Patient Setup - Bed ViewGeneral Bed View Setup ...............................................................................................8-2Accessing a Patient’s Bed View Screen......................................................................8-3Bed View Screen Layout ...............................................................................................8-3Waveform Assignment ...........................................................................................8-3Bed View Menu Bar.................................................................................................8-4Bed View Submenu Selections ..............................................................................8-5Information Area .....................................................................................................8-6Waveform Area........................................................................................................8-7Putting Monitoring Into Standby Mode .................................................................8-7Parameter Areas in Bed View .......................................................................................8-9Bed View Screen Display ............................................................................................8-10Selecting the Bed View.........................................................................................8-10Bed View Review Screens ..........................................................................................8-10Alarm Limits and Arrhythmia Setup ..........................................................................8-11Configuring Alarm Limits .....................................................................................8-11Configuring Arrhythmia Setup.............................................................................8-11Telemetry Setup Screens............................................................................................8-12Accessing the Telemetry Setup Screens............................................................8-12Infinity TruST 12-Lead Monitoring Option.................................................................8-13Use of TruST Reference ECG...............................................................................8-13Patient View Setup Chest Lead Selection...........................................................8-14
8-2 Infinity CentralStation VF88: Patient Setup - Bed ViewGeneral Bed View SetupIn Bed View you can:zremotely view a patient’s monitor, zremotely view a bedside patient’s ventilation data (with VentCentral option),zprint the Bed View screen, andzprint a simultaneous ECG Report (14-11).The Bed View screen constantly updates patient data, immediately reflecting changes in configuration or signal availability from the patient monitor.You can configure a bedside patient’s setup at the Infinity CentralStation and override bedside monitor setup when the bedside monitor is configured appropriately and the Infinity CentralStation Bed Control Enable feature is On (4-3). Available Infinity CentralStation functions differ depending on whether a patient is local or remote to the Infinity CentralStation Monitoring Unit.NOTE: For bedside monitor configuration instructions, refer to the monitor Instructions for Use.Function WITHIN monitoring unitOUTSIDE monitoring unitRelearn ECG YesRequest timed recording YesSilence alarm YesSet up alarm limits YesSet up arrhythmia events Yes Admit patient YesEdit patient demographic information YesST Setup and measuring points YesVentCentral review (bedside monitor patients) Yes YesBed View Print screen request Yes YesBed View Print Simultaneous ECG Report request Yes YesStop waveforms Yes YesReview trend graphs and tables Yes YesReview alarm limits Yes YesReview arrhythmia event setup Yes YesReview patient’s demographic information Yes YesReview Full/Event Disclosure Data (with Client option) Yes YesRequest reports Yes Yes
Accessing a Patient’s Bed View Screen VF8 Infinity CentralStation 8-3 Accessing a Patient’s Bed View ScreenViewing a Patient Displayed in Main ScreenzClick on the patient’s parameter area in the Main Screen patient window.When the Bed View screen opens, the last viewed screen mode will display. Bed View mode descriptions and selection instructions are on (8-10).Viewing a Patient Not Displayed in Main Screen1. Click on View on the Main Screen menu bar. 2. Click on the Bed... menu selection. A screen with two list boxes appears. 3. Click on a care unit in the box labeled, Select Care Unit: A list of patients in that care unit displays in the box labeled, Select Bed. 4. Use the scroll bars to scroll through the available patients, and click on the desired patient.5. Click on Continue.Bed View Screen LayoutA patient’s Bed View screen occupies the left half of the Infinity CentralStation display, leaving patients in the Main Screen still visible. It displays parameters that originate at a bedside monitor or patient worn device. Waveform AssignmentBedside Monitor PatientsThe Infinity CentralStation Bed View screen can display bedside monitor main screen layouts. Telemetry PatientsYou can assign specific parameters and waveforms to each available Bed View waveform channel. The availability of displayed waveforms depends on the ECG configuration mode (3-, 5-, or 6-wire) of the transmitter assigned to a particular channel.
8-4 Infinity CentralStation VF88: Patient Setup - Bed ViewBed View Menu BarSelection Allows you to...Review • access patient Ventilator Settings Review screen (Chapter 17)Setup• access patient arrhythmia setup menu (Chapter 10)• access patient alarm limits setup menu (Chapter 13)• access Telemetry setup menus (8-12) with Telemetry option• access VentCentral functions (Chapter 17) with VentCentral optionADT • admit /discharge/transfer patient (Chapter 9)• edit patient demographics (Chapter 9)Main Screen • access Main Screen (Chapter 7)Help • open the Infinity CentralStation Instructions for Use on screenAlarm Silence • silence all active alarms for 1 minute
Bed View Screen Layout VF8 Infinity CentralStation 8-5 Bed View Submenu SelectionsThe Bed View submenu selections are below the main menu bar, and differ for Telemetry and bedside patients. NOTE: If any selection appears ghosted, remote control is not possible, or the function is not available for the patient category.Bedside Telemetry Description/SelectionRelearn•Relearn ECG initiates a Relearn of the normal ECG waveform template for processing arrhythmias and ST.If arrhythmia monitoring is Off, this selection is ghosted and cannot be executed.•Relearn RESP initiates a Relearn of the breath detection threshold (only available for bedside patients).Record Starts a timed recordingPrint•Bed View initiates print request of Bed View screen.•Simultaneous ECG report Initiates print request of that report (14-22).If Print button is ghosted, no printer is configured.Audio Paused• Silences for 1 minute all active alarms at the monitor and/or Infinity CentralStationFor bedside monitor patients Bed Silence Enable must be On (4-3).View•Bed View (8-10)•All Leads - displays all available leads from the bedside or telemetry patient (8-10)The All Leads screen mode supports the hex axial (Cabrera) display format (12-5). •Ventilator - (with VentCentral option, 17-5) Alarm Paused• Suppresses any further alarms for a predefined periodStandby• Opens pulldown menu of STANDBY text labels (8-8) which once selected display in the upper right of the waveform channel• Suspends monitoring• Displays “STANDBY” prominently in the center of the top waveformSave Events• Allows manual storage of an 18-second waveform Save Events is also available for patients not assigned to Main Screen but located in the same monitoring unit (if the remote con-trol function is enabled).
8-6 Infinity CentralStation VF88: Patient Setup - Bed ViewInformation AreaThe information area is directly above the top waveform. It is visible in Bed View so alarm and bedside messages can be seen. NOTE: If the patient category ‘Neonate’ is selected and displayed at the bedside monitor, the category label ‘Neonate’ appears in the center of the information area.Message Type Display Color DescriptionBanners 1 CODE (Delta/Delta XL/Kappa) Black text on red backgroundThe Code fixed key was pressed at the bedside monitor.ALARM PAUSED (Delta/Delta XL and telemetry)Black text on yellow backgroundAlarms are turned off for the selected patient for a selected period of time. (Countdown timer displays)All Alarms OFF Alarms are turned off indefinitely. (No countdown timer displayed)2, 3 HR ALARMS OFF HR alarms are off. BED DISCONNECTED Black text on white backgroundBedside monitor is disconnected.(yyy) Out of Range (LOW) Appears when a parameter falls below the measuring range(yyy) Out of Range (HIGH) Appears when a parameter exceeds the measuring rangeSTANDBY (secondary) Patient monitor is in standby mode.DISCHARGE White text on black backgroundThe patient was discharged at the bedside monitor.Monitor Internal Battery Low The wireless bedside monitor internal battery is low.Internal Battery Depleted The wireless bedside monitor internal battery is depleted. The patient’s waveform area is blank.Local Messages Alarm Messages Color corresponding to alarm grade See Chapters 10, 11, 12, and 17 for messages.Parameter-specific local messagesBlack text on white backgroundSTAFF ALERT Infinity Telemetry or Infinity M300 STAFF ALERT key was pressed.TRANSMITTER FAILURE Technical error TRANSMITTER NO SIGNAL No signal from the transmitterMIB Alarm Messages Orange Chapter 17.
Bed View Screen Layout VF8 Infinity CentralStation 8-7 Waveform AreaEach waveform in Bed View consists of approximately 4 seconds of data. Waveform colors for both telemetry and bedside patients are described on 8-12.The waveform area does not display a waveform when:zthe bedside monitor/transmitter is disconnected,zthe patient has been transferred or discharged,zthe bedside monitor is in Standby mode,zthe bedside monitor or Infinity Telemetry receiver is offline, orzthe wireless bedside monitor battery is depleted. Telemetry Signal StrengthIn a telemetry system there are conditions during which signal losses or “dropouts” can occur. When there is a signal loss the Infinity CentralStation displays a blank in the telemetry patient’s waveform. However, during installation, you can configure the Infinity CentralStation to display a “dropout” as a negative square-wave (see page 7-7). To change how the Infinity CentralStation displays dropouts, contact Dräger Service.Putting Monitoring Into Standby ModeStandby mode allows you to suspend patient monitoring when necessary. When patient monitoring is in Standby mode, you can still view all of the patient’s stored data such as trends and configuration settings from any Infinity CentralStation with the client option. When selected, Standby mode will display the message, Standby prominently in the center of the waveform.1 If a code condition is activated at the bedside during an alarm, the banner CODE replaces the alarm message.2 If an alarm occurs while this banner is displayed, the alarm message replaces the banner for the duration of the alarm.3 This banner appears if no local bedside messages are displayed. NOTE: Waveforms in Bed View are always updated at a 25 mm/s sweep speed, regardless of the selected bedside monitor setting.WARNING! You must take the patient out of Standby to resume monitoring when the patient returns to the care unit.Message Type Display Color Description
8-8 Infinity CentralStation VF88: Patient Setup - Bed ViewBedside Monitor PatientsBedside patient monitoring must be put in Standby at the bedside monitor.Infinity M300 and Infinity Telemetry PatientsStandby is initiated at the Infinity CentralStation for local telemetry patients or for remote telemetry patients if their Infinity CentralStation server has enabled remote control. For telemetry patients you can select a secondary standby label that indicates a standby status. 1. Open the telemetry patient’s Bed View screen.2. Click on Standby to display a pull-down of the following available standby labels.3. Click on the desired label. Effect of Standby Mode at the CentralStationzAll alarms become inactive.zWaveforms continue to display, if available.zMain Screen parameter labels remain visible but values do not display.zThe message STANDBY displays prominently in the patient waveform area. For a telemetry patient, a selected label displays in the upper right of the waveform channel.NOTE: Monitoring of a telemetry patient assigned to a different Infinity CentralStation within the same monitoring unit can also be put in Standby mode provided the remote control functions are enabled at both devices (5-3).Standby ShowerOff Unit ProcedureCath Lab UltrasoundX-Ray MRISurgery CTNOTE:zTo cancel Standby and resume monitoring, click on Standby again, or click the VIEWS button on the Infinity M300.zStandby labels can be customized by your local Dräger service representative.
Parameter Areas in Bed View VF8 Infinity CentralStation 8-9 Parameter Areas in Bed ViewEach waveform channel in Bed View has an associated parameter area, which displays information. The amount of information may differ slightly between bedside and telemetry patients. Information Types Bedside Patient Telemetry PatientParameter values Varies according to parameters monitored at bedsideHR, ARR, PVC/min, ST, NIBP, SPO2, and PLSAlarm limits Display if available at the bedside monitor Always displayAll Alarms OFF symbol displays when alarms are disabled.Blinking green heart symbolFor pacemaker patients the letter ‘P’ also appears next to the green blinking heart symbolAlways displays Displays for local patients when the function is activated during System setup+++ The measurement value exceeds the measuring range.- - - The measurement value is below the measuring range.Parameter Label and Unit DefaultsBedside Telemetry Parameter Labels/Units Color Parameter Labels/Units Parameter ColorWaveform ColorHR Matching the color of the associated waveform at the bedside monitorHR GreenARR, PVC/min ARR, PVC/min GreenSTx STx GreenSpO2 and PLS SpO2 + PLS White BlueNPB NPBVentilator BlueAlarm Limits Color Alarm Limits ColorHR Gray (provided the limits are displayed at the bed)HR GrayARR, PVC/min ARR, PVC/minSTx STxSpO2 and PLS SpO2 + PLSSymbols Color Symbols Colorno symbols are displayed Blinking heart green
8-10 Infinity CentralStation VF88: Patient Setup - Bed ViewBed View Screen DisplayThe Bed View screen has three different displays:zBed View is a view of a or remote patient.zAll Leads displays all available leads of an individual patient (telemetry or bedside).zVentilator (17-6) displays the ventilation status of an individual bedside patient.Selecting the Bed View1. Click on the patient’s parameter box in the Main Screen to activate the Bed View mode that was last active.2. Click on View.3. Click on Bed View, All Leads, or Ventilator.Bed View Review ScreensIf applicable options are enabled, the Bed View Review screens allow the following:If you want to... From the patient’s Bed View screen . . .Access Trends 1. Click on Review in the Bed View menu bar.2. Click on Trend Graphs... or Trend Table... (Chapter 15).Review Full/Event Disclosure Data1. Click on Review in the Bed View menu bar.2. Click on Full Disclosure... or Event Disclosure... (Chapter 16)Review Ventilator Settings1. Click on Review in the Bed View menu bar.2. Click on Ventilator Settings Review... (Chapter 17)
Alarm Limits and Arrhythmia Setup VF8 Infinity CentralStation 8-11 Alarm Limits and Arrhythmia SetupThe Bed View application provides Alarm Limits and Arrhythmia setup tables for customizing a patient’s monitoring attributes. Bedside PatientsFor bedside patients, the Alarm Limits and Arrhythmia setup tables reflect those at the corresponding bedside monitor. When a bedside monitor acknowledges that it is being remotely controlled, a message is displayed in the local message area at the bedside monitor. Once the bed has successfully processed the change, the setup tables at the bedside monitor and at the Infinity CentralStation reflect the change. If the bedside monitor is unable to receive or process a change in setup, the following happens:zThe table entry returns to the previously saved value. zA corresponding status message is displayed in the status area of the Infinity CentralStation (7-13).zAn attention tone sounds.Telemetry PatientsConfiguration of a telemetry patient’s alarm setup is similar to that of a bedside patient except for the addition of SpO2, PLS, and ST parameters for the telemetry patient. For Telemetry patients you can select Alarm Limits and Arrhythmia setup screens according to patient category (5-2). Configuring Alarm LimitsFor information regarding Alarm Setup, see Chapter 13.Configuring Arrhythmia SetupRefer to Chapter 10 for setup information.
8-12 Infinity CentralStation VF88: Patient Setup - Bed ViewTelemetry Setup ScreensWhen the Telemetry option is enabled, the Bed View Setup pull-down menu includes a Telemetry menu item which has several submenu selections. Settings made in these submenu screens for individual patients temporarily supersede the system defaults (Chapter 5) until you discharge the patient or restore system defaults.You can only perform these setup functions for telemetry patients who are local (1-5) or admitted to another Infinity CentralStation within the same monitoring unit.Accessing the Telemetry Setup Screens1. Select Telemetry from the Bed View Setup menu.2. Select Patient View, ST, or M300 Setup/Transmitter Setup from the submenu.
Infinity TruST 12-Lead Monitoring Option VF8 Infinity CentralStation 8-13 Infinity TruST 12-Lead Monitoring OptionInfinity TruST is a 12-lead ECG obtained with only six conventionally placed electrodes. Its function is based on the knowledge that, in general, the signal from a measured lead provides information common to other leads. When this information is appropriately combined, the signal of leads not otherwise configured can be interpolated. This type of lead derivation has a high correlation with measured leads. TRUST electrodes are placed in accordance with current clinical practice. Like a conventional 6-lead ECG system, waveforms from eight leads (typically, Leads I, II, III, aVR, aVL, aVF, V2, and V5) can be viewed on the Infinity CentralStation. These leads are processed and displayed in the same manner as a conventional system. However, unlike a conventional system, TRUST processes and displays four additional lead waveforms. These derived leads are viewable in the same fashion as the conventional leads, but are designated as dV1, dV3, dV4, and dV6. Electrode configuration includes limb leads and the selection of any two precordial leads. Leads V2 and V5 are typically used as these often provide the highest correlation for the remaining precordial leads. Alternate lead configurations can be selected based on signal amplitudes and clinical requirements. See Appendix A: and Chapter 3 for details regarding proper electrode placement.Use of TruST Reference ECGWhen TruST 12-lead is activated, the Infinity CentralStation uses generic coefficients that are based on a general population. Performance in this mode meets the established correlation to conventional leads.NOTE: Infinity TruST is intended for 12-lead ECG monitoring with a reduced electrode set. Reconstructed leads are intended for real-time assessment of ST segment changes. WARNING!zThere may be instances where the QRS morphology in one of the four derived leads differs from that of an equivalent conventional lead. In these instances, always refer to the conventional lead.zDo not select derived leads for ECG processing.
8-14 Infinity CentralStation VF88: Patient Setup - Bed ViewThe following table shows the correlation between TruST generic derived leads and conventionally measured leads for various lead configurations (a value of 1.0 being a perfect match).The performance above is based on a minimum 0.3 mV amplitude and QRS duration < 180 milli-seconds on patients with a body surface area (BSA) of 1.5 – 2.5 m2. Performance on patients outside these ranges may be less.Patient View Setup Chest Lead SelectionWhen the Infinity TruST 12-Lead Monitoring option is enabled (18-11) and the TruST 12-Lead: setting is On, recommended lead placements for Set V and Set V+ are V2 and V5. Available selections are V1 through V6 and the lead selections must match the actual electrode placement on the patient’s body. With the two actual selected chest leads, the Infinity CentralStation calculates and reconstructs the four remaining chest lead measurements designated as dV1 through dV6. Chest lead selection on the Patient View Setup Screen will affect the patient’s related screen displays (e.g. ST Setup, ST Points, Trend Graphs, Trend Table, All Leads).Recommended Lead Configurations and Respective CorrelationCorrelation Precordial Lead Placement0.956 V2, V50.953 V2, V60.953 V1, V50.952 V3, V50.950 V1, V6NOTE: When using Infinity M300, the precordial leads are always V2, V5. They cannot be changed.
9 Admit/Discharge/TransferOverview.........................................................................................................................9-2Admitting a Patient ........................................................................................................9-2Entering Patient Demographics ...................................................................................9-3Changing Patient Category ....................................................................................9-4Admitting Wireless Monitor Patients ...........................................................................9-4Moving Between Wired and Wireless Communication .......................................9-4Wireless Transmission Interruption......................................................................9-6Admitting Under Special Conditions ...........................................................................9-6Discharging a Patient ....................................................................................................9-7The Patient Transfer Function......................................................................................9-8Special Data Transfer Conditions..........................................................................9-8Transferring Data to the Infinity CentralStation ...................................................9-8Transferring Data From the Infinity CentralStation .............................................9-9Transfer Messages..................................................................................................9-9
9-2 Infinity CentralStation VF89: Admit/Discharge/TransferOverviewOn the Infinity CentralStation you can view, enter, and edit demographic information for any patient and located within the Infinity CentralStation monitoring unit. Although entering demographics is not essential for monitoring, this data provides helpful information for easy patient identification. Admitting a PatientYou can edit and view demographics of patients at the Infinity CentralStation where they were originally admitted. If remote control is enabled you can view and change demographics for patients within the same monitoring unit even though they are not currently displayed in a Main Screen patient window. You can view, but cannot make changes to, demographics for patients outside the monitoring unit. In this case the Admit screen appears ghosted.From Main Screen1. Click on the Bed Label/Patient Name in the patient’s waveform area.2. Click on Admit.From Bed View1. Click on ADT in the Bed View menu bar.2. Click on Admit.NOTE: Be sure to enter a patient’s demographic information accurately.NOTE:zIf the patient was removed for patient transport or the Infinity M300 monitor is not communicating with the Infinity network, you cannot view, enter, or edit demographic data. The Admit screen for the viewed patient appears blank.zThe Admit screen is ghosted for patients outside the monitoring unit.
Entering Patient Demographics VF8 Infinity CentralStation 9-3 Entering Patient DemographicsTo open the Admit screen see page 9-2.Demographic Data Selections of the Admit ScreenSelection Possible Settings Special ConsiderationName 1 to 25 charactersID# 1 to 12 charactersBirth Date Day-Month-Year selection fields Click on the up/down arrow buttons to scroll to the appropriate settings for each category.Physician 1 to 12 charactersAdmit Date Day-Month-Year selection fields Click on the up/down arrow buttons to scroll to the appropriate settings for each category.Height • 20 to 240 cm or• 8 to 100 inches Click on the up/down arrow buttons to scroll to the appropriate settings.Weight • 0.0 to 350.0 kg • 0 to 772 lb The unit of measure is determined by the bedside monitor or, in case of telemetry patients, by the setting selected under System setup (page 5-7). Click on the up/down arrow buttons to scroll to the appropriate settings.Category Bedside monitor:Adult, Pediatric, NeonateObtained from bedside monitorCannot be modifiedTelemetry patient:Adult, PediatricSelect patient category from dropdown list.Gender Male, Female, or UnknownPacer/ICD/PCD: • PACER•ICD•PCD•EXT• NONE (default)20-character max limitThe Pacer/ICD/PCD identifier displays on all patient reports. If a bedside does not support this function the Pacer/ICD/PCD label displays on the report with a place to write the patient’s pacer information.Telemetry ID: Lists available devices from a configuration file populated during Infinity M300 Setup page 18-12 Click on a device in the list.Get HIS/CIS DemographicsAllows you to retrieve a patient’s demographics from the hospital’s admission system.You must have the correct patient ID.• Click on Accept to save changes or Undo to keep original settings.
9-4 Infinity CentralStation VF89: Admit/Discharge/TransferChanging Patient CategoryWhen you change Category in the ADMIT screen, a popup displays with the message: CAUTION: Alarm settings, arrhythmia settings, and QRS processing will be changed to the defaults for this category <selected category>.You must press Confirm in the popup to accept the change.Whenever you successfully change a patient category, the following occur.zLabel and QRS-sensitivity settings are changed.zAll Alarm Limit and Arrhythmia settings are changed.zIf arrhythmia is enabled, a RELEARN is initiated.Admitting Wireless Monitor PatientsThe Infinity CentralStation treats wired and wireless monitors similarly. The Infinity CentralStation provides a list of available wireless monitors in the care unit.Moving Between Wired and Wireless CommunicationWhen a wireless bedside monitor is docked at an Infinity Docking Station, the monitor automatically accepts the Infinity Docking Station’s Care Unit and Bed Label assignments and communicates with the Infinity Network. When the bedside monitor is removed from the Infinity Docking Station, the wireless network maintains communication.NOTE:zFor detailed information about the configuration and operation of wireless components in the Infinity Network, refer to the Dräger publication, “Infinity OneNet Network Planning and Installation Handbook” or “Infinity Network Planning, Design, and Installation Handbook, Third Edition”.zSee specific monitor documentation for information about using the monitor with the Infinity CentralStation in a wireless network configuration.
Admitting Wireless Monitor Patients VF8 Infinity CentralStation 9-5 Assigning a Wireless Monitor to a Patient WindowIf a wireless bedside monitor is removed from the Infinity Docking Station (IDS) and it is configured to keep the IDS bed label, the Infinity CentralStation patient window remains assigned to the wireless monitor and displays a wireless icon before the bed label. When the wireless monitor returns to the IDS, the wireless icon disappears from the patient window bed label. If you dock another bedside monitor on the IDS associated with the wireless monitor, the new monitor can select the same bed label and becomes available for assignment on the Assign Bed screen in the Main Screen (page 4-5).You must re-assign an Infinity CentralStation patient window in the following situations:zIf a wireless monitor bed label is changed to one that is not currently assigned to a Infinity CentralStation patient window, orzIf you dock another bedside monitor on a IDS whose bed label is currently associated with a wireless monitor.Collecting Full/Event Disclosure DataIf a patient is currently admitted to Full/Event disclosure and is using a wireless monitor, all data collection will continue regardless of bed label change.1Waveform of patient on monitor communicating to the network via IDS2After monitor is removed from IDS and begins wireless communication, the waveform is preceded by icon.NOTE: There will be short breaks in Full/Event Disclosure data while the network resumes communication with the patient monitor.
9-6 Infinity CentralStation VF89: Admit/Discharge/TransferWireless Transmission InterruptionIf a wireless monitor loses contact with all APs and wireless transmission is interrupted, the Infinity CentralStation generates an Offline alert.Admitting Under Special ConditionsCircumstance Effect on Admit FunctionBedside monitor is powering up. Patient admission is not possible.Infinity M300/CPU/receiver is offline.Bedside monitor, bedside monitor IDS, or Infinity M300 cannot com-municate with the network.The Infinity CentralStation exits the Admit screen without accepting any changes, displays a blank Bed View screen, and generates a serious alarm.Patient admission is not possible.The patient monitor is either put into or taken out of Standby mode. No effect; the demographic information can be viewed and edited.The bedside monitor is removed for transport (Pick and Go).The Infinity CentralStation exits the Admit screen without accepting changes and displays a blank Bed View screen. The banner BED DISCONNECTED appears in Bed View and in Main Screen.Patient admission is not possible.The bedside monitor returns from transport.You can view, enter, and/or edit the patient’s demo-graphic information immediately.
Discharging a Patient VF8 Infinity CentralStation 9-7 Discharging a PatientzBedside patients must be discharged at the bedside monitor. zTelemetry patients must be discharged at the Infinity CentralStation where they were originally admitted. Remote discharges are not possible.When you discharge a telemetry patient:zDemographics are deleted. zAll patient setup data such as alarm limits, arrhythmia setup, etc. are replaced by system defaults.zTrends are deleted. zAll pending and active recordings are cancelled.zThe Pacer Identifier label reverts to None.zA Bed Disconnected banner displays in Main Screen.z(Infinity M300 only) If the patient’s SpO2 Monitoring setting was ON, an SpO2 license becomes available.Discharging a Telemetry Patient1. Open the patient’s Bed View screen.2. Click on ADT in the Bed View menu bar.3. Click on Discharge. This activates the Admit screen with the discharge confirmation popup.4. Click on Yes inside the popup to discharge the patient or on No to cancel the discharge.For information about how a patient discharge affects the Infinity M300, see page 2-9.
9-8 Infinity CentralStation VF89: Admit/Discharge/TransferThe Patient Transfer FunctionYou can transfer a patient’s trend and demographic data from one location to another. For example, you can transfer data from a telemetry patient at the Infinity CentralStation to any bedside monitor on the Infinity network or vice versa, or you can transfer telemetry patients’ data from one Infinity CentralStation to another. All transfers must be initiated from the destination device (the monitor/Infinity CentralStation you wish to transfer the data to). Special Data Transfer ConditionsDuring a patient transfer from a telemetry patient to a Gamma/Gamma XL/Vista monitor, only the data from ST leads I and II is sent to the monitor. ST values may be offset by up to 3 minutes due to different trend update intervals between devices. Transferring Data to the Infinity CentralStation1. Put the source device (bedside monitor or Infinity CentralStation Telemetry patient window or Infinity M300) in Standby mode. Only beds that are in Standby mode are candidates for transfer.2. Open the patient’s Bed View screen at the destination Infinity CentralStation.3. Click on ADT in the Bed View menu bar. 4. Click on Transfer. The Transfer Data From screen displays.5. Click on the desired care unit in the Select Care Unit: section of the screen.A list of care unit beds displays in the Select Bed: window.6. Click on the desired bed from the selection list.If the selected bed’s monitor is not in Standby mode an information popup displays the message:The source bed for the transfer must be in Standby. Please put this bed in Standby.7. You must click on Continue to close the popup.A Confirmation popup displays a message similar to the following example:NOTE:zAfter a successful transfer, the source monitor automatically discharges the patient.zIf an error occurs during the transfer, the data remains unchanged at the original location.
The Patient Transfer Function VF8 Infinity CentralStation 9-9 Before proceeding with Transfer ...You have requested to transfer data from Bed_xx to Tel_xx.This action will replace any stored data at Tel_xx with data from Bed_xx.Data stored at Bed_xx will also be deleted once the transfer is complete.Do you wish to begin the transfer?8. Click on Yes to transfer or No to cancel. Transferring Data From the Infinity CentralStationFor Bedside Patients:1. At the Infinity CentralStation Select the patient whose data you wish to transfer and open the patient’s Bed View screen.2. Click on Standby in the Bed View menu bar.3. Go to the destination monitor and start the transfer (refer to the monitor documentation).For Telemetry Patients:Go to the destination Infinity CentralStation to start the transfer. See page 9-8.Transfer MessagesTransfer Message DescriptionTransfer not allowed A transfer of neonatal patient data was attempted.Patient Data Transfer Failed The data transfer was unsuccessful. Partial data received by the destination device is discarded. The source monitor remains in Standby ready for a restart of the transfer.Transfer in Progress The data is being transferred. You cannot make any changes to the source/destination device during that time.Transfer Completed The data transfer was successful. All data is permanently deleted from the source monitor, which remains in Standby mode.
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10 ArrhythmiaOverview.......................................................................................................................10-2About the Arrhythmia Template .................................................................................10-2Relearning the Template .............................................................................................10-3Customizing a Patient’s Arrhythmia Setup ...............................................................10-4Accessing the Arrhythmia Setup Table ..............................................................10-4Available Functions on the Arrhythmia Setup Table ........................................10-4Available Bedside Event Settings ..............................................................................10-6Arrhythmia Beat and Rhythm Classification ............................................................10-7
10-2 Infinity CentralStation VF810: ArrhythmiaOverviewWith the Infinity CentralStation, Infinity Telemetry, Infinity M300 system, arrhythmia monitoring is available for adult and pediatric patients. The mode you select (Full, Basic, or OFF) determines the events processed. Arrhythmia monitoring is not available for neonates.The system matches incoming beats against beats previously recorded and stored in a reference template. Through this process, the system can verify an arrhythmia event’s occurrence, classify it, and draw clinically useful conclusions based on the frequency and morphology of the signal. The system considers all beats questionable if a baseline shift exceeds specified limits. The system uses the results of QRS processing for arrhythmia analysis. During multiple-lead arrhythmia processing, each lead’s QRS complexes are measured and compared against its learned dominant normal beat. The system classifies beats based on information acquired from all available leads.About the Arrhythmia Template The system creates a reference template based on its identification of the patient’s dominant QRS pattern. It then classifies individual beats by comparing them with the learned reference template. In the third and final phase of arrhythmia processing, the monitor compares sequences of valid beats with the template.In most situations, the learning phase takes about 30 to 40 seconds. If the system detects more than 100 QRS complexes and less than 16 matching beats, it displays the message, <Unable to learn>. While the system is in the learning phase, all arrhythmia alarms and trend collection are suspended; LRN appears in the parameter box; and the message, Relearning, displays in the local message area. WARNING: Electrical artifacts of non-cardiac origin, such as seizure, may prevent detection of certain arrhythmias. Do not rely solely on ECG with seizure-prone patients.NOTE: Arrhythmia detection may not work properly in all patients. The monitor classifies only QRS complexes > 0.25mV, for widths > 70ms. An artifact condition (ARTF) may occur when the ECG signal does not meet these minimums. While continuing to monitor HR, you can turn off ARR Monitoring for patients whose QRS complexes do not meet these minimums.
Relearning the Template VF8 Infinity CentralStation 10-3 Relearning the TemplateDuring the Relearn process a beat classification template is created against which each detected beat is compared and classified. An automatic Relearn is initiated in the following conditions:zArrhythmia monitoring is enabled for the first time.zA patient’s monitor (or Infinity CentralStation) comes out of Standby mode.zThe processing mode (ECG1 or ECG 1&2) changes.zLead assignment changes.zTRUST monitoring is enabled.zThe Telemetry Patient Category changes.During the learning process no arrhythmia events are reported, and the parameter area displays the message LRN.Dräger recommends that you initiate a manual Relearn of the patient’s normal template in the following instances:zEight hours after the last Relearn occurred,zAfter the patient’s electrodes are repositioned, replaced, or disturbed, orzIf the message CANNOT LEARN <lead> or CANNOT LEARN is displayed.Initiating a Relearn1. Open the patient’s Bed View screen.2. Click on Relearn in the Bed View menu bar.3. Click on Relearn ECG.Once the Relearn successfully completes, the assigned leads do not require relearning, even if they fall off and are reconnected.If the message CANNOT LEARN is displayed in the patient’s waveform area, try to Relearn once more and confirm the quality of the signal. If the message persists, reposition or properly replace the electrodes, then try again.NOTE: If you assign more than one lead and if only one of those leads is available, the algorithm will learn from that lead only. NOTE: If the ST option is enabled, the ST algorithm also performs a Relearn of the ST template whenever a Relearn of the arrhythmia template is initiated.
10-4 Infinity CentralStation VF810: ArrhythmiaCustomizing a Patient’s Arrhythmia SetupAccessing the Arrhythmia Setup Table1. Open the patient’s Bed View screen and click on Setup in the Bed View menu bar.2. Click on Arrhythmia....Available Functions on the Arrhythmia Setup Table 1Column heading is ‘Alarm Archive’ for telemetry patients admitted to Event Disclosure and ‘Record’ for telemetry patients not admitted to Event Disclosure..2Opens Alarm Limits Setup Table (page 13-11)3Selects Arrhythmia monitoring mode4Restores values to system settings5Row in ‘configuration mode’Heading/Function Description Available Settings Alarm Grade 1. Click on the ‘Alarm Grade’ column of the event you wish to configure and scroll to the desired setting.2. Click on OK.•L-T• SER• ADV •OFF RateCountDetermines when an event call is triggered1. Click on ‘Rate’ or ‘Count’ column of the event you wish to configure and scroll to the desired setting.2. Click on OK.See page 10-6.For arrhythmia settings based on the Rate and Count settings of other calls, there may be no scrolling arrows (e.g.RUN is dependent on VT settings).Record Automatically generates a timed recording for each validated alarm condition.1. Click on the “Record’ column of the event you wish to configure and scroll to the desired setting.2. Click on OK.•ON •OFFThis function cannot be OFF for ASY and VF.
Customizing a Patient’s Arrhythmia Setup VF8 Infinity CentralStation 10-5 Alarm/Archive Depending on the setting, can automatically store waveform and generate a timed recording for each validated alarm condition.Each stored event is 18 seconds long, and includes 9 seconds of data collected before and after the event. (Alarms do not have to be turned on for events to be stored.)1. Click on the ‘Alarm Archive’ column of the event you wish to configure and scroll to the desired setting.2. Click on OK.•REC •REC/STORE•STORE•OFFThis function cannot be OFF for ASY and VF. Arrhythmia Determines which arrhythmia events are monitored• Click on the appropriate radio button.NOTE: To select OFF for telemetry patients, a pass-word is required.•Basic - ASY, VF, VT, ART•Full - ASY, TACH, BRDY, PAUS, VT, RUN, AIVR, CPT, BGM, ARTF, SVT(‘Full’ arrhythmia capabil-ity at the Infinity Central-Station for bedside patients is only active if the bedside monitor has that capability.)•OFF(If you select ‘OFF’, arrhythmia setup table and arrhythmia field in patient’s parameter area are blank.)Heading/Function Description Available SettingsWARNING! If arrhythmia monitoring is Off, event alarms are automatically turned off. The exceptions are ASY and VF events, which always generate an alarm since they are part of ECG monitoring. However, these events will not cause an alarm if the HR alarm function is also OFF. Therefore, it is strongly recommended that HR alarms are always ON.
10-6 Infinity CentralStation VF810: ArrhythmiaAvailable Bedside Event SettingsFor available event settings for Telemetry patients see page 5-11.For available monitor bedside settings, see the appropriate monitor Instructions for Use.NOTE: Some arrhythmia settings are based on the Rate and Count settings for other calls (e.g. RUN is dependent on the VT settings).Event Count (bpm) Rate (bpm) Alarm Setting Record SettingStore SettingASY not adjustableDefault: LTOn, OffDefault: OnOn, OffDefault: OnVFVT 5 - 15 Default: ≥10100 - 200 Default: ≥120 LT, Off, ADV, SEROn, OffDefault OffOn, OffDefault: OffARTFRUN Not adjustable; upper value is VT count -1.Default: 3 - 9Not adjustable; same as VT rate.Default: ≥120 LT, Off, ADV, SEROn, OffDefault: OnOn, OffDefault: OnAIVR Not adjustableDefault: ≥3Not adjustable, upper value is VT rate -1 bpmDefault: ≥119 LT, Off, ADV, SEROn, OffDefault: OffOn, OffDefault: OffCPT LT, Off, ADV, SEROn, OffDefault: OnOn, OffDefault: OnBGMSVT 3 - 10 Default: ≥ 3120 - 200 Default: ≥150LT, Off, ADV, SEROn, OffDefault: OnOn, OffDefault: OffTACH 5 - 15Default: ≥ 8100 - 200 Default ≥130LT, Off, ADV, SEROn, OffDefault: OffOn, OffDefault: OffBRDY Not adjustableDefault: ≥ 830 - 105 Default: ≥ 50 PAUS 1.0 - 3.5 Default: 2.5 PVC/minTo set alarm limit see page 13-12.0 - 50Default: ≥12Not adjustableDefault: SEROn, OffDefault: OnOn, OffDefault: OnNOTE: HR, ASY, and BRDY alarms may be active simultaneously. The HR alarm function provides adjustable alarm limits for heart rates less than 30 beats/min.
Arrhythmia Beat and Rhythm Classification VF8 Infinity CentralStation 10-7 Arrhythmia Beat and Rhythm Classification Beat classification refers to the analysis of individual beats. If the new beat’s features do not match those of the reference template, the new beat is classified as abnormal, paced, or questionable. The monitor uses all detected beats to calculate the heart rate, eliminating questionable beats from arrhythmia classifications.Category DefinitionASY Asystole: indicated if 4 seconds pass without the detection of a valid QRS complexVF Ventricular Fibrillation: indicated if the source device identifies a sinusoidal waveform with fibrillation characteristicsVT 1Ventricular Tachycardia: “N” or more consecutive PVCs have been detected with a beat-to-beat rate ≥ the VT rate.RUN 1Ventricular run: a series of 3 to “N – 1” consecutive PVCs with a beat-to-beat rate ≥ the VT rateAIVR Accelerated idioventricular rhythm: a series of 3 or more PVCs with a rate less than the VT rateCPT Ventricular Couplet: a sequence of beats with the pattern: normal, PVC, PVC, normalBGM Ventricular Bigeminy: a sequence of beats with the pattern: normal, PVC, normal, PVC, normalTACH 1,2 Sinus Tachycardia: “N” or more consecutive normal beats with a beat-to-beat rate ≥ to the set TACH rateBRDY 2Sinus bradycardia: 8 or more consecutive normal beats are detected with an average rate ≤ to the set sinus bradycardia rate.PAUS Pause: a sequence of 2 normal or PVC beats with an interval ≥ to pause rate value in seconds (± 100ms)SVT Supra ventricular Tachycardia: “N” or more consecutive normal beats with a beat-to-beat rate ≥ the SVT rateARTF Artifact: indicated if more than 50% of the beats in the last minute are questionable 1 “N” represents the value in the Arrhythmia setup table ’Count’ column.2 Arrival of a VPB or other abnormal beat breaks the analysis sequence and analysis restarts.
10-8 Infinity CentralStation VF810: ArrhythmiaThe following table describes available beat classifications:Label Event and Beat ClassificationASY Asystole: 4 seconds pass without the detection of a valid QRS complexVF Ventricular Fibrillation: The monitor identifies a sinusoidal waveform with fibrillation characteristics1VT Ventricular Tachycardia: N or more PVC’s are detected in a time interval T = (60 * (N - 1)) / R, where N is defined as the VT count and R is defined as the VT rateRUN Ventricular Run: Series of 3 to N-1 consecutive PVCs with a beat-to-beat rate ≥ the VT rate1AIVR Accelerated Idioventricular Rhythm: Series of 3 or more PVCs with a rate less than the VT rateSVT Supraventricular Tachycardia: N or more consecutive normal beats, with a beat-to-beat rate greater than or equal to the SVT settingCPT Ventricular Couplet: Sequence of beats with the pattern: normal, PVC, PVC, normalBGM Ventricular bigeminy: Sequence of beats with the pattern: normal, PVC, normal, PVC, normalTACH Sinus Tachycardia: N or more consecutive normal beats, with a beat-to-beat rate ≥ TACH rate setting2,3BRDY Sinus bradycardia: 8 or more consecutive normal beats, with an average rate ≤ sinus bradycardia rate setting2Notes: • When in neonatal mode, bradycardia is a low heart rate alarm.• Brady Alarm (neonate only), which is a life threatening alarm, can be configured independently of the low HR alarm, which is a serious alarm.PAUS Pause: Sequence of two beats classified as normal or PVC, with interval ≥ pause rate value in seconds (±100ms)ARTF Artifact: More than 50% of beats in the last minute classified as questionable1Certain ventricular tachycardias have sinusoidal waveforms closely resembling those of ventricular fibrillation. Because of the similarity of these waveforms, the monitor may classify such types of ventricular tachycardia as ventricular fibrillation, the more serious of the two conditions.2 “N” is the event count set in the Arrhythmia setup table’s count column.3A PVC or other abnormal beat breaks the analysis sequence and restarts analysis.
11 Telemetry Pulse Oximetry and NIBP Monitoring Overview......................................................................................................................11-2Pulse Oximetry.............................................................................................................11-3Turning Pulse Oximetry Monitoring On/Off ..............................................................11-4Display of Pulse Oximeter Information ...............................................................11-4Vital Connection Cable ...............................................................................................11-5Getting an NBP or SPO2 measurement ..............................................................11-5Alarm Functions ..........................................................................................................11-7Alarm Messages ..........................................................................................................11-7
11-2 Infinity CentralStation VF811: Telemetry Pulse Oximetry and NIBP MonitoringOverviewInfinity Telemetry and Infinity M300 offer pulse oximetry monitoring.The Infinity M300 contains an internal pulse oximeter. To enable pulse oximetry monitoring through Infinity M300, a license option must be enabled. Infinity Telemetry connects to the MicrO2+ Pulse Oximeter to provide pulse oximetry monitoring. Infinity Telemetry also connects to Infinity monitors using the Vital Connection cable for both pulse oximetry and NIBP monitoring (See page 11-5).SPO2 and PLS measurements and their associated trend values are labeled identically regardless of the source (Infinity monitor/Vital Connection Cable, MicrO2/MicrO2+, or bedside monitor).
Pulse Oximetry VF8 Infinity CentralStation 11-3 Pulse Oximetry A pulse oximeter determines the percentage of functional hemoglobin saturated with oxygen (% SpO2) in the patient’s arterial blood. A light sensor on the patient’s finger measures the absorption levels of red and infrared light. Since oxyhemoglobin and deoxyhemoglobin absorb different amounts of red light, but nearly the same amount of infrared light, the monitor uses the difference between the two measurements to calculate the percentage of saturated hemoglobin. Because light absorption varies with blood volume and blood volume varies with the pulse rate, a pulse rate (PLS) can also be derived. WARNING!zBefore you start your monitoring session, please refer to precautions on page xviii, in these Instructions for Use.zCheck the sensor at least every four hours. Move the sensor if there is any sign of skin irritation or impaired circulation.zBright light can interfere with pulse oximetry measurements, causing erratic or missing values. When the sensor is likely to become exposed to direct bright light, it should be covered with an opaque material.zCarboxyhemoglobin may erroneously increase readings. The level of increase is approximately equal to the amount of carboxyhemoglobin present.zDyes, nail polishes and other substances, may absorb an abnormal amount of red light, which can effect the accuracy of the measurement. Be sure to apply the sensor to a site free of any artificial pigments.NOTE:zA functional tester cannot be used to assess the accuracy of a pulse Oximeter probe or a pulse Oximeter monitor. Because pulse oximeter equipment measurements are statistically distributed, only about two-thirds of pulse oximeter equipment measurements can be expected to fall within ± Arms of the value measured by a CO-oximeter.zIf there is independent demonstration that a particular calibration curve is accurate for the combination of a pulse oximeter monitor and a pulse oximeter probe, then a functional tester can measure the contribution of a monitor to the total error of a monitor/probe system. The functional tester can then measure how accurately a particular pulse oximeter monitor is reproducing that calibration curve.
11-4 Infinity CentralStation VF811: Telemetry Pulse Oximetry and NIBP MonitoringTurning Pulse Oximetry Monitoring On/OffIf pulse oximetry monitoring is enabled for telemetry patients, set it as follows: 1. Open the patient’s Bed View screen.2. Click on Setup in the Bed View menu bar. 3. Click on Telemetry (If selection does not appear, the Telemetry option is not enabled).4. Click on Patient View.The Patient View Setup screen displays.5. Click on SpO2 monitoring to enable.6. (Infinity M300 only) Click on the ON/OFF toggle button next to SpO2 Monitoring.7. (Infinity M300 only) If you choose to monitor SpO2, select settings for SpO2 Color, SpO2 Averaging, and SpO2 Sensor.8. (Infinity M300 only) Click on Accept to change or Undo to keep previous settings.When SpO2 monitoring is set as a system default, but turned off for an individual patient, the parameter box SpO2 and PLS fields are blank. Display of Pulse Oximeter InformationWhen pulse oximetry monitoring is ON, the Infinity CentralStation Bed View also displays:zSpO2 value and alarm limits (or All Alarms OFF icon if alarms are off)zPLS and alarm limits
Vital Connection Cable VF8 Infinity CentralStation 11-5 Vital Connection Cable The Vital Connection Cable links the Infinity Telemetry Transmitter with a compatible Infinity bedside patient monitor so that a telemetry patient’s SPO2 and NIBP measurements can be transmitted to the Infinity CentralStation. Getting an NIBP or SPO2 measurement1. Turn on Pulse Oximetry monitoring (11-4).2. Set up the Patient View screen Channels (6-4) so that NIBP and SPO2 + PLS parameters display in the patient window.3. Plug the appropriate end of the Vital Connection Cable into the local telemetry patient’s transmitter programming port.4. Attach the other end of the Vital Connection Cable into the X-8 port of a compatible bedside monitor on the Infinity network.Be sure that the Vital Connection LED is lit. This determines an active connection.5. For details about obtaining SpO2 and NIBP measurements, refer to the appropriate Infinity patient monitor Instructions for Use.NOTE: Use of the Vital Connection cable requires software version VF5 or higher in the Infinity CentralStation and Infinity Kappa, Delta, Delta XL, Gamma X XL, and Vista XL patient monitors.NOTE: If you use the Vital Connection Cable to spot-check SPO2, you must disable the SPO2 alarm to avoid a reoccurring Advisory alarm caused by disconnecting the Vital Connection cable. If the SPO2 alarm is not disabled, an Advisory alarm will continue every minute.
11-6 Infinity CentralStation VF811: Telemetry Pulse Oximetry and NIBP MonitoringThe Vital Connection LED indicates connection status to both associated devices (bedside or transmitter) as follows:A Vital Connection interface failure or disconnection will send the following message to the Infinity CentralStation.EXT. DEVICE NO SIGNAL As soon as the patient’s NIBP measurement is available the Infinity CentralStation displays the data in a parameter box as illustrated. The measured value updates whenever you take a new measurement. The latest measurement displays until you discharge the patient or the measurement is older than 24 hours.Vital Connection Cable measurements display on the Infinity CentralStation Bed View and Main Screens, and are stored in Tabular and Graphic Trends.LED Appearance StatusNot lit There is no physical connection to or communication with either bedside or transmitter.Continuous light The Vital Connection cable is physically connected and communication is established with both bedside and transmitter.1Systolic measurement 12Diastolic measurement 13Time of last measurement4Mean measurement15Units of measurement 1When alarms are OFF the Alarm Off icon displays
Alarm Functions VF8 Infinity CentralStation 11-7 Alarm FunctionsFor specific Infinity CentralStation SpO2 and PLS alarm setup instructions, see Chapter 13.Alarm MessagesSpO2 Alarm Messages via Infinity Telemetry and Infinity M300 Alarm MessageAlarm Grade Description ActionParameter AreaStatus/Information AreaPLS: <value> PLS > UL SER Parameter value exceeds the upper alarm limit.• Check the patient.• Reset the alarm limits.PLS: <value> PLS < LL SER Parameter value is below the lower alarm limit.PLS: +++ Pulse rate out of rangeSER The pulse rate is outside the measuring range.SpO2: <value> SpO2> UL SER Parameter value exceeds the upper alarm limit.SpO2: <value> SpO2< LL SER Parameter value is below the lower alarm limit.Messages unique to MicrO2SpO2: *U*PLS: *U*P1MicrO2 sensor unpluggedADV Sensor is disconnected from the oximeter.• Check all cable connections.• Replace sensor if necessary.
11-8 Infinity CentralStation VF811: Telemetry Pulse Oximetry and NIBP MonitoringAlarm MessageAlarm Grade Description ActionParameter AreaStatus/Information AreaSpO2: *A*PLS: *A*P2 (at oximeter)Micro2 transparentADV Sensor cannot detect any signals.• Check the patient.• Check sensor and reapply or replace it if necessary.SpO2: *A*PLS: *A*P3 (at oximeter)Micro2 opaqueADV Sensor does not detect any light.• Make sure the LED on the oximeter is not blocked.SpO2: *A*PLS: *A*P4 (at oximeter)Micro2 artifactADV Motion artifact • Make sure the patient remains as still as possible.• Check sensor; reapply or replace it if necessary.SpO2: *A*PLS: *A*P5 (at oximeter)Micro2 regulation errorADV Too much ambient light • Cover the sensor with an opaque material.SpO2: *A*PLS: *A*P6 (at oximeter)Micro2 weak signal *ADV/SER 1Pulse is weak or non-existent.• Check the patient.• Check sensor/oximeter and reapply or replace it if necessary.SpO2: *N*PLS: *N*Micro2 no signalADV Oximeter signal is not available.• Check connections and MicrO2 battery.1After the 30-second advisory alarm, this alarm is upgraded to SER.
Alarm Messages VF8 Infinity CentralStation 11-9 SpO2 Alarm Messages via Vital Connection Cable Alarm MessageAlarm Grade Description ActionParameter AreaStatus/Information AreaSpO2: <value> SpO2> UL SER Parameter value exceeds the upper alarm limit.• Check the patient.• Reset the alarm limits.SpO2: <value> SpO2< LL SER Parameter value is below the lower alarm limit.SpO2: +++SpO2: - - -out of range SER Parameter rate is outside the measuring range.PLS: <value> PLS > UL SER Parameter value exceeds the upper alarm limit.PLS: <value> PLS < LL SER Parameter value is below the lower alarm limit.PLS: +++PLS: - - -Pulse rate out of rangeSER The pulse rate is outside the measuring range.PLS: +++ will also display at the Infinity CentralStation if the measured PLS at the bedside exceeds 255. The actual PLS value displays at the bedside monitor, however.SpO2: * * *PLS: * * *SpO2 Technical AlarmADV SpO2 technical Alarm • See bedside monitor Instructions for Use
11-10 Infinity CentralStation VF811: Telemetry Pulse Oximetry and NIBP MonitoringNIBP Alarm Messages via Vital Connection CableAlarm MessageAlarm Grade Description ActionParameter AreaStatus/Information AreaS <value>S + + +S - - -SYS Alarm SER NIBP alarm at bedside monitor• Check the patient and treat if necessary.• Reset the alarm limits.D <value>D + + +D - - -DIA AlarmM <value>M + + +M - - -MEAN AlarmS * * *D * * *M * * *NIBP Technical AlarmADV Technical NIBP alarm at bedside monitor• This message displays for any bedside-generated NIBP Advisory alarm. For details, see bedside monitor Instructions for Use.
12 Telemetry ST Analysis OptionOverview.......................................................................................................................12-2ST Segment Morphology......................................................................................12-2Parameter Display .......................................................................................................12-4Sensor Application ......................................................................................................12-4Relearning ST...............................................................................................................12-5ST Points Setup Screen ..............................................................................................12-5Hexaxial (Cabrera) Lead Support ........................................................................12-5Accessing the ST Points Setup Screen ..............................................................12-6Display Order of ST Complexes ..........................................................................12-7Available Functions on ST Points Setup Screen ...............................................12-8Telemetry ST Setup Screen ........................................................................................12-9Accessing the Telemetry ST Setup Screen ........................................................12-9ST Alarms ...................................................................................................................12-10ST Alarm Messages...................................................................................................12-10
12-2 Infinity CentralStation VF812: Telemetry ST Analysis OptionOverviewST deviation measurements are performed on averaged ECG segments. An averaged ECG segment is 900 ms long and is calculated from a minimum of 4 normal QRS complexes having occurred in the previous 15 seconds. To reduce the effects of artifact, only normal beats are included in the average (if no normal beats are available, no complex or corresponding parameter box values display). ST parameters are included in the trend function, and you can configure the ST alarm functions as for any other parameter (see Chapter 13).ST Segment MorphologyST segment deviations are defined in terms of displacement above or below the isoelectric level. The measurement compares the isoelectric point to the ST deviation measurement point.The isoelectric point defines the point of zero voltage (no electrical activity, 0 mm) with a default position of 28 ms before the onset of the QRS complex on the horizontal (time) axis. The ST deviation point occurs in the ST segment between the QRS offset (J point) and the T-wave, at a default position of 80 milliseconds after the QRS offset.
Overview VF8 Infinity CentralStation 12-3 The value of the ST measurement point is compared to the isoelectric point value, and the difference between the two measurements is the ST deviation. The onset and offset points for the QRS complex are determined by the QRS detection algorithm.1mV 6ST Deviation2Fiducial Point 7ST Measurement PointDefault ST Measurement Point = 80 ms after QRS Offset 3ST Level 8QRS Offset4Time 9QRS Onset5Isoelectric Level 10 Isoelectric PointDefault ST Measurement Point = 28 ms before QRS Onset
12-4 Infinity CentralStation VF812: Telemetry ST Analysis OptionParameter DisplayWhen ST monitoring is enabled the Infinity CentralStation parameter area lists the ECG leads selected by the user as data sources for ST analysis.The ST values displayed depend on the transmitter lead configuration mode.Sensor ApplicationThe quality of SpO2 measurements depends largely on the strength and quality of the signal received by the sensor.Infinity M300 and Infinity Telemetry support Dräger, Nellcor and Masimo SpO2 sensors. The Patient View shows which sensor type is currently selected. If you connect a sensor different from the type shown in the Patient View screen, the Infinity CentralStation displays an error message.STEPS: Applying the Sensor1. Select a sensor that is best suited for your patient. 2. Clean reusable sensors before and after each use.3. Position the sensor correctly and attach it to your patient (see sensor manufacturer’s recommendations).4. Connect the sensor to the intermediate cable.5. Inspect the sensor application site frequently. If the sensor is too tight, it may damage the tissue and impede blood flow. If the sensor is damaged, do not use it.NOTE: For a complete list of accessories available with this product, contact your Draeger Medical Systems, Inc. local representative to obtain a catalogue.CAUTION: Read the instructions provided with the sensor to select the best application technique and to review all safety related information.
Relearning ST VF8 Infinity CentralStation 12-5 Relearning STThe Infinity CentralStation initiates a Relearn automatically under the following circumstances:zWhenever you enable ST for the first timezAfter you change leadszWhen the monitor, Infinity M300, or Infinity CentralStation comes out of Standby modezAfter a device restart Initiating a relearn manually1. Open the patient’s Bed View screen.2. Click on Relearn in the Bed View menu bar.3. Click on Relearn ECG. During the Relearn, the ST fields within the parameter area do not display any parameter values, and the message ECG RELEARNING appears in the information area of the Bed View screen. A vertical dotted line on the ST trend graphs marks the time of a Relearn, and the label LRN appears to the right of the trend window when you move the trend cursor on the dotted line. Also, for each Relearn an entry is made in the clinical events log.ST Points Setup ScreenThe ST Points Setup screen displays the current averaged complex for each lead with associated deviation measurement values and times.Hexaxial (Cabrera) Lead SupportIn Cabrera display mode (page 18-4), the aVR lead is presented in inverted polarity as -aVR. The order of the lead presentation in Cabrera is: aVL, I -aVR, II aVF, III V1-V6. NOTE: Infinity M300 does not support Hexaxial (Cabrera) display.
12-6 Infinity CentralStation VF812: Telemetry ST Analysis OptionAccessing the ST Points Setup Screen1. Open patient’s Bed View screen.2. Click on Setup in the Bed View menu bar.3. Click on ST Points.1ISO point 7Accepts ST setup changes2J-Point 8Changes the display size (amplitude)3ST point 9Moves the ISO point back and forth4Stores new reference complex 10 Averaged complex5Moves the reference point back and forth11 Lead label6Displays/removes latest reference complex12 Amplitude
ST Points Setup Screen VF8 Infinity CentralStation 12-7 Display Order of ST ComplexesThe averaged complexes and corresponding ST deviation measurements and times are updated as each new complex is computed. If an averaged complex is not available, the reserved display area appears blank. You can change the gain of the complexes and adjust the measurement points. The current ST measurement point, the QRS offset (J-point), and isoelectric point are labeled and identified by vertical lines. If you make any adjustments to the measurement point, the ST deviation is recomputed and displayed below the current value.Zoom ModezTo examine an individual ST complex in greater detail and view the current ST measurement point selections, click on the desired complex in the ST Points Setup screen. 3-/5-wire1-/7-lead6-wire12-lead I aVF I aVF V3, dV3II aVL II aVL V4, dV4III V III V, V1, dV1 V5, dV5aVR aVR V+, V2, dV2 V6, dV6l1Lead label2Reference deviation3Current deviation value4Lead selection5Amplitude
12-8 Infinity CentralStation VF812: Telemetry ST Analysis OptionAvailable Functions on ST Points Setup ScreenNOTE: A portion of the complex may be clipped if you do not select an appropriate gain.Function Description Available SettingsAdjust Display Size • Click on the option button and select from available settings.0.25, 0.5, 1, 2, 4, and 8 mV/cmSave Ref. Permits comparison of reference ST com-plex with another, more recent complex• Click on Save Ref. Ref. ON/OFF Allows visual comparison of a stored refer-ence QRS complex to current complex• Click on Ref. On/Off toggle button.(Current complex is green and the reference complex is purple.)Change ISO point • Click on the arrow buttons in the lower left of the screen and scroll to the desired setting.The number next to ISO point is the time before QRS onset. A green vertical line marks the point at which the ISO point intersects the ECG waveform. A marker is put into the ST trend graphs and an entry is stored in the clinical events log. If you move the trend cursor over the marker, the label HG appears. The setting changes in 4 ms increments each time you click on the arrows.Default: -28 ms.Change ST Deviation Measurement Point• Click on the arrow buttons in the lower right of the screen and scroll to the desired setting.The ST deviation point is set from the QRS offset to the end of the displayed ECG complex (including the T-wave). When you change the Measurement Point, the ST deviation is recomputed and the current value is displayed. A marker is put into the ST trend graphs and an entry is stored in the clinical events log. If you move the trend cursor over the marker, the label CHG appears. The setting changes in 4 ms increments each time you click on the arrows.Default: 60/80 ms.• Click on Set Points to change settings or Undo to keep previous selections.NOTE: You can change ST settings for telemetry patients at the Infinity CentralStation, but changes for bedside patients must be done at the bedside monitor.
Telemetry ST Setup Screen VF8 Infinity CentralStation 12-9 Telemetry ST Setup ScreenUse the telemetry ST Setup screen to customize a telemetry patient’s ST setup. For bedside patients, please refer to the specific monitor documentation.Accessing the Telemetry ST Setup ScreenA patient’s ST Setup Screen differs according to transmitter monitoring mode. 1. Open the patient’s Bed View screen.2. Click on Setup in the Bed View menu bar. 3. Click on Telemetry. 4. Click on ST.Transceiver Bed View ST Setup SelectionsSelection 3-/5-wireMonitoring6-wireMonitoringTRUST 12-Lead Monitoring DescriptionST Lead 1 - 7Note: In 3-wire monitoring mode, ST Lead 1 is set to Lead II and ST Leads 2 - 7 are set to NONE. None, I, II, III, aVR, aVL, aVF, V None, I, II, III, aVR, aVL, aVF, V, V+None, I, II, III, aVR, aVL, aVF, 2 chest leads (V1 - V6), 4 reconstructed leads (dV1 - dV6), STVM, STCVMSets displayed lead order in the Bed View parameter boxes • Click on the desired ST Lead x option button and scroll to a lead setting.ST Lead 9 - 14 Settings are ghosted and set to None Event Duration 15, 30, 45, 60, 75, 90, 105, and 120 secondsFor Infinity M300 this is fixed at 60 seconds.Specifies the time that an ST alarm condition must persist before it is classified as a valid alarmRestore System DefaultsSee Chapter 5 for details on ST default settings.• Click on Restore System Defaults.• Click on Accept to change settings or Undo to keep previous selections.
12-10 Infinity CentralStation VF812: Telemetry ST Analysis OptionST AlarmsAn ST alarm occurs when the ST deviation measurement for any lead violates the set alarm limits for the user-selected duration (page 12-9). An ST alarm is cleared if the majority of intervals following the alarm are within the specified limits. ST alarms are subject to the same alarm guidelines as any other parameter. Refer to Chapter 13 for information on setting up the various alarm functions.ST Alarm MessagesThe following alarm messages pertain specifically to ST parameters, and are displayed in the status area in Main Screen and in the top waveform channel in Bed View. In addition, the parameter areas display an abbreviated message in the appropriate parameter field. Please note that the ‘x’ next to the ST label (e.g. in the message STx:***) is a place holder for the actual ST lead.MessageAlarm Grade Description ActionParameter AreaStatus/Information AreaSTx: <value> STx > UL SER Value exceeds upper alarm limit.• Check the patient.• Reset alarm limits.STx: <value> STx < LL SER Value is below lower alarm limit.• Check the patient.• Reset alarm limits.STx: +++ STx OUT OF RANGE (HIGH)SER Value exceeds upper measuring range.• Check the patient.• Reset alarm limits.STx - - - STx OUT OF RANGE (LOW)SER Value is below measuring range.• Check the patient.• Reset alarm limits.STx: <blank> ST x CANNOT LEARNAlgorithm cannot determine ST values.• Check the electrodes RelearnECG RELEARNING ARR/ST morphologies are being relearned.• Wait until the relearning process is finished.
13 AlarmsOverview.......................................................................................................................13-2Alarm Validation....................................................................................................13-2Alarm Grades ...............................................................................................................13-3Latching alarms.....................................................................................................13-4Non-latching Alarms .............................................................................................13-4Visual and audible Alarm Signals........................................................................13-4The Surveillance Feature ............................................................................................13-5Display of Surveillance Alarm Messages ...........................................................13-5Audible Alarm Signals ..........................................................................................13-5Special Surveillance Alarm Conditions ..............................................................13-6MIB Ventilator Alarms .................................................................................................13-6Alarm Groups...............................................................................................................13-6Silencing Alarms..........................................................................................................13-7Silencing Local Alarms.........................................................................................13-7Configuring a Patient’s Alarm Setup .......................................................................13-10Opening the Alarm Limits Setup Screen .................................................................13-11Pausing Alarms ...................................................................................................13-11Changing a Parameter’s Alarm Limits ..............................................................13-12Automatic Alarm Limits Selection (Auto Set)...................................................13-13Turning Alarm Recordings ON/OFF ..................................................................13-13Turning Event Storage On/Off ...........................................................................13-14
13-2 Infinity CentralStation VF813: AlarmsOverview The Infinity CentralStation is the primary alarm annunciator for telemetry patients; for bedside patients the bedside monitor is the primary alarm annunciator. For Telemetry patients, the Infinity CentralStation issues visual and audible alarm signals for the following:zHR, SpO2, PLS, ST, NIBP (Infinity Telemetry only) and arrhythmia event parameters and associated technical conditions,zPhysiological conditions that are detected by the algorithms,zTechnical network events, andzInfinity CentralStation or telemetry system error conditions. For patients connected to Bedside Monitors and MIB-connected devices, all alarm signals are sent to the Infinity CentralStation for display and broadcast.The Infinity CentralStation can report surveillance alarm messages for life-threatening and active serious alarms of any bedside monitor within the monitoring unit even though it is not assigned to its current Main Screen. (see 13-5)Alarm ValidationInfinity Telemetry:The Infinity CentralStation generates an alarm when a parameter remains outside alarm limits longer than an assigned delay time. If the limit violation ceases within the delay time, no alarm occurs. WARNING! For primary monitoring and diagnosis of bedside patients, use the bedside monitor. Use the Infinity CentralStation only for remote assessment of a patient’s status.Parameter Upper Limit Alarm Delay Lower Limit Alarm DelayHR 2 seconds no delaySpO2/SpO2* 4 seconds 4 secondsΔSpO2no delay N/APLS/PLS* 4 seconds no delayST (telemetry patients) user-defined (12-9) user-defined (12-9)
Alarm Grades VF8 Infinity CentralStation 13-3 Infinity M300 For bedside monitor alarm delays, see the applicable monitor Instructions for Use.Alarm GradesAll alarms are classified according to three alarm grades:zLife-threateningzSeriouszAdvisoryEach alarm grade has its own unique tone and color scheme (13-5). Depending on the seriousness of the alarm condition, alarms are either Latching or Non-latching. NOTE: The Alarm delay time from an Infinity M300 device to the Infinity CentralStation is < 4 seconds.Parameter Upper Limit Alarm Delay Lower Limit Alarm DelayHR 6 seconds 6 secondsSpO26 seconds 10 secondsPLS 6 seconds 10 secondsST 60 seconds 60 secondsNOTE:zIf communication is interrupted between the network and the Infinity M300 device, monitoring will continue locally and the Infinity M300 automatically sets its volume to 100%. Any alarms that are active at the time the Infinity M300 lost connection and all future alarms will be annunciated locally.zIf there is an active alarm while Infinity M300 has lost connection with the Infinity CentralStation, the display will not shut off despite the Infinity CentralStation Display Shut Off Timer setting (page 16-15). You can not shut off the display manually unless the alarm is paused.NOTE: If several alarms are simultaneously active for a single patient, the Infinity CentralStation reports the highest grade active alarm (alarm that has not been silenced and whose condition remains valid).
13-4 Infinity CentralStation VF813: AlarmsLatching alarmsLatching alarms indicate either life-threatening or serious conditions such as an asystole or a ventricular fibrillation. Life-threatening alarm audible and visual indicators continue (even if the alarm condition is no longer valid) until the alarm is manually acknowledged. Serious alarms behave similarly, except that only the visual alarm indicators continue until you acknowledge the alarm.Non-latching AlarmsNon-latching Alarms indicate advisory conditions and continue for as long as the event exists. The visual and audible alarm signals stop automatically when the alarm condition ends. You can also silence non-latching alarms manually (13-7).Visual and audible Alarm SignalsNOTE: A latching alarm is cleared if another life-threatening or serious alarm occurs for the same parameter. Alarm Gradeand PriorityLife-threatening (e.g. asystole, ventricular fibrillation)first or highest prioritySerious(limit violation)second priorityAdvisory(e.g. network events, bedside events such as lead-off)third or lowest priorityAlarm Indication in Main ScreenEntire parameter area flashes red.Entire parameter area flashes yellow.Entire parameter area flashes white.Alarm Indication in Bed ViewParameter area of respective parameter flashes red.Parameter area of respective parameter flashes yellow.Parameter area of respective parameter flashes white.Alarm ToneTwo-tone, high pitched, rapid toneTwo, medium-pitch, short tones followed by a pauseShort, single, low-pitch tone every 10 secondsMessage Location in Main ScreenMessage displays in red in top waveform channel.Message displays in yellow in top waveform channel.Message displays in white in top waveform channel.Message Location in Bed ViewMessage displays in red in information area.Message displays in yellow in information area.Message displays in white in information area.LatchingbehaviorMessage displays in parameter area and tone continues until alarm is acknowledged.Message stays in waveform area until alarm is acknowledged.
The Surveillance Feature VF8 Infinity CentralStation 13-5 The Surveillance FeatureThis feature provides alarm messages for life-threatening and serious alarms to bedside monitors that are not currently assigned to the Infinity CentralStation Main Screen but are located within the same monitoring unit.Display of Surveillance Alarm MessagesAll surveillance alarm messages overwrite the date/time field of the Main Screen status area. A surveillance alarm message includes the bed label and alarm grade.If the surveillance alarm is for a wireless bedside monitor an icon precedes the alarm message.Message background colors vary with alarm grade and status.Multiple Alarm Situations/PrioritiesIf several beds issue surveillance alarms the alarm messages display alternately for three seconds at the Infinity CentralStation. Audible Alarm SignalsThe Infinity CentralStation sounds the latest alarm condition with the highest priority. Audible alarm signals accompanying surveillance alarms act the same as other alarms (13-4). Silencing Surveillance AlarmsA surveillance alarm continues until it is either acknowledged or the alarm condition ceases.You can silence the audible alarm signal of a surveillance alarm locally by clicking on Alarm Silence in the Main Screen menu bar or by pressing F1.Alarm Grade Status Background ColorLife-threatening Alarm condition is valid and the alarm has not been silenced at the bed.Flashing red Alarm condition is no longer valid but the alarm has not been silenced at the bed.Alarm condition is valid and the alarm has been silenced at the bed.Solid red Serious Alarm condition is valid and the alarm has no been silenced at the bed.Flashing yellowAlarm condition is valid and the alarm has been silenced at the bed.Solid yellow
13-6 Infinity CentralStation VF813: AlarmsSpecial Surveillance Alarm ConditionsMIB Ventilator AlarmsFor MIB-connected ventilator events, the Infinity CentralStation provides alarm messages which are accompanied by a serious alarm tone. However, not all ventilator messages are reported at the Infinity CentralStation. MIB ventilator alarms are described in detail in Chapter 17. The most recent MIB ventilator alarm message appears in the patient’s top waveform channel in orange on the Main Screen. In Bed View the MIB ventilator alarm message appears in the information area in orange. MIB ventilator alarm messages are non-latching. If a patient experiences multiple alarm conditions simultaneously, the messages rotate. Unlike other Bed View parameters, the parameter boxes of MIB ventilator parameters do not blink while in alarm.Alarm GroupsUse an alarm group to configure monitors and telemetry patients to display their highest grade active alarm at each device in the alarm group. If multiple beds in the alarm group detect an alarm, each corresponding alarm message briefly rotates along the bottom of the screen on each device. To assign a telemetry channel to an alarm group, see 5-3. For bedside patients, you must set the alarm group at the bedside monitor. (Refer to the monitor Instructions for Use.)Condition Effect on surveillance alarmBedside CPS/IDS goes offline or fails while a surveillance alarm for that bed is reported at the Infinity CentralStation.Surveillance alarm is canceled at the bedside.A bedside monitor goes offline or fails while a surveillance alarm for that bed is reported at the Infinity CentralStation.The bedside CPS/IDS or monitor changes to stand-alone mode.The bedside CPS/IDS or monitor detects that it has the same IP address as another device on the network.Monitor is removed from the network. Surveillance alarm is canceled.
Silencing Alarms VF8 Infinity CentralStation 13-7 Silencing AlarmsThe Audio Pause (1 min) function clears all audible and visual alarm indicators for life-threatening and serious latched alarms (13-4). This function also suspends audible signals for life-threatening and serious alarms associated with conditions that are still valid for one minute. There are two ways to silence alarms.After the Audio Pause (1 min) period expires, the alarm tone resumes if the alarm condition still exists. Visual alarm indicators are also reactivated.Silencing Local AlarmsTo silence all active local alarms (telemetry, bedside, and MIB alarms) at the Infinity CentralStation for one minute:zClick on Audio Pause (1 min) in the Main Screen menu bar, or zPress the F1 fixed key.A local Audio Pause (1 min) has the following consequences:zThe alarm tone stops for all active alarms at the Infinity CentralStation for one minute.zThe affected parameter area continues to flash in the color of the highest grade alarm.Local Audio Pause (1 min)• Silences active alarms for all local patients at the Infinity CentralStation for 1-minute. Bed Audio Pause • Silences active alarms for an individual bedside patient at the Infinity CentralStation and at the bedside monitor for 1-minute, when the Bed Audio Paused function is enabled at the Infinity CentralStation (4-3). • Silences alarms for an individual local telemetry patient.NOTE:zThe Audio Pause (1 min) function also deactivates one-time alarms. The Audio Pause (1 min) button does not remain selected if it has deactivated a one-time alarm. Also, you cannot deactivate the Audio Pause (1 min) state by clicking on the Audio Pause (1 min) button again.zIf a new alarm occurs while an alarm is silenced, the Infinity CentralStation announces the new alarm. Silencing the new alarm resets the timer for all previously silenced alarms for another minute.zThe Audio Paused timer for Infinity M300 is 2 minutes.zWhen the Infinity M300 is already in the Audio Pause state, if you press the Audio Pause button again at the Infinity CentralStation, the Audio Pause state will be cancelled.
13-8 Infinity CentralStation VF813: AlarmszFor latched alarms all audible and visual signals are removed. zAlarm messages and the Audio Pause (1 min) icon remain displayed.zThe orange ventilator MIB Alarm Tone icon remains displayed (for an MIB alarm). zThe Audio Pause (1 min) button remains selected.After the Audio Pause (1 min) period expires, the alarm tone resumes if the alarm condition is still valid.In contrast to a local Audio Pause (1 min), which silences all active alarms at the Infinity CentralStation only, a Bed Audio Pause silences all alarms for an individual patient at the Infinity CentralStation and at the bedside.From Main ScreenzClick on the yellow Audio Pause (1 min) icon which appears during an alarm in the patient’s waveform channel. If the icon appears ghosted for a bedside patient, the required Audio Pause (1 min) function has not yet been enabled at the Infinity CentralStation (4-3) or the patient is outside the monitoring unit in which case you cannot silence the alarm.zClick on the orange alarm tone icon located in the lower right hand corner of the waveform channel to silence ventilator and MIB alarm tones. From Bed ViewzClick on Audio Paused button in the Bed View menu bar.Silencing a bedside alarm has the following consequences:zsilences all active alarms for an individual bedside patient at the bedside monitor and at the Infinity CentralStation. This function is only available for bedside patients within the monitoring unit of the Infinity CentralStation server whose Bed Silence function is enabled (4-3). zsilences all active alarms for an individual local telemetry patient at the Infinity CentralStation.zfreezes the visual alarm indicators in the color of the highest grade active alarm.NOTE: You cannot silence MIB ventilator alarms in Bed View. The button appears ghosted.
Silencing Alarms VF8 Infinity CentralStation 13-9 After the Audio Paused period expires, the alarm tone resumes if the alarm condition is still valid. Also, the visual alarm indication is reactivated.NOTE: Bed Audio Paused does not affect the Audio Paused state of other patients or any other local alarms that may be present at the Infinity CentralStation. It only silences the alarms of the selected patient.
13-10 Infinity CentralStation VF813: AlarmsConfiguring a Patient’s Alarm SetupThe Setup - Alarm Limits screen appearance varies depending on the parameters monitored. To adjust alarm tone see 4-3.Setup - Alarm Limits Screen Illustration1Parameter row in Configuration mode2Opens Arrhythmia Setup screen3Restores system default settings (only available on telemetry patient screen)4 Resets alarm limits to automatically calculated values (13-13)
Opening the Alarm Limits Setup Screen VF8 Infinity CentralStation 13-11 Opening the Alarm Limits Setup Screen1. Open the patient’s Bed View screen.2. Click on Setup in the Bed View menu bar.3. Click on Alarm Limits... Pausing Alarms Telemetry Patient1. Open the patient’s Bed View screen.2. Click on Alarm Paused in the Bed View menu bar.After you click on Alarm Paused, all current Active alarms clear and additional alarm events are suppressed for a predefined time (pages 5-3 and 6-3). During the Alarm Paused time period, the banner ALARM PAUSED and time remaining for the pause displays. For Infinity Telemetry only, the user can set the Alarm Pause function to “No Time Out”. In this case the banner will say ALL ALARMS OFF instead.Bedside Patient1. Open patient’s Alarm Limits Setup screen (13-11).2. Click on the parameter whose alarm you wish to turn on/off. The parameter row changes to Configuration Mode.3. Set the On/Off toggle button in the All Alarms column.4. Click on OK.5. Repeat steps 2 through 4 for additional parameter alarms.NOTE: When a parameter alarm is OFF, all parameter settings in the table row display in yellow and a crossed bell icon appears in the All Alarms column.
13-12 Infinity CentralStation VF813: AlarmsChanging a Parameter’s Alarm Limits1. Open patient’s Alarm Limits Setup screen (13-11).2. Click on the parameter whose alarm limits you wish to change. The parameter row changes to Configuration Mode.3. Click on the up/down arrows in the Upper Limit and Lower Limit columns to set limits.4. Click on OK.5. Repeat steps 2 through 4 for each parameter.Alarm Limit Ranges for Telemetry PatientsAlarm Limit Ranges for Bedside PatientsRefer to the bedside monitor Instructions for Use.Parameter Patient CategoryUpper Limit Range Default Lower limit range DefaultHR Adult 20 − 300 bpm 120 bpm 15 − 295 bpm 45 bpmPediatric 50 − 150 bpm 150 bpm 50 − 150 bpm 50 bpmSpO2Adult 21 − 100% 100% 20 − 99% 90%PediatricPLS Adult 35 − 250 bpm 120 bpm 30 − 245 bpm 45 bpmPediatric 50 − 150 bpm 150 bpm 50 − 150 bpm 50 bpmST Adult -1.49 − +1.5 mV -14.9 − +15.0 mm+2.0 mV20.0 mm-1.5 − +1.49 mV-15 − +14.9 mm -2.0 mV-20.0 mmPediatricPVC/min Adult 1 − 60 10Pediatric
Opening the Alarm Limits Setup Screen VF8 Infinity CentralStation 13-13 Automatic Alarm Limits Selection (Auto Set)Initiating an AutoSetAs soon as you click on Auto Set, the alarm limits for all monitored parameters are replaced. There is no confirmation process.1. Open patient’s Alarm Limits Setup screen (13-11).2. Click on Auto Set. The automatically calculated alarm limits can be manually replaced at any time (13-12). Turning Alarm Recordings ON/OFFTo configure timed recordings, see 4-5.1. Open patient’s Alarm Limits Setup screen (13-11).2. Click on the table row of the parameter whose alarm recording function you wish to change. The parameter row changes to Configuration Mode.3. If the last column heading is ‘Record’, select ON or OFF by clicking on the toggle button If the last column heading is ‘Alarm Archive, click on the desired selection.4. Click on OK.5. Repeat steps 2 through 4 for each parameter.Parameter Upper Limit Lower LimitSpO2105% of current value 95% of current valuePVC/min N/A N/AHR, PLS 125% of current value 80% of current valueST Current value plus absolute value of upper alarm limit default settingCurrent value minus absolute value of lower alarm limit default settingNOTE: If a parameter value is outside the limit range during the Auto Set, alarm limits are not changed for that parameter.NOTE: If there is no current value for the parameter, the alarm limits do not change.
13-14 Infinity CentralStation VF813: AlarmsSpecial ConditionsTurning Event Storage On/Off When a parameter’s storage and alarm functions are turned on, waveforms are stored automatically at the bedside for each validated alarm condition. 1. Open patient’s Alarm Limits Setup screen (13-11).2. Click on the table row of the parameter whose alarm recording function you wish to set up. The parameter row changes to Configuration mode.3. Click on the arrow buttons in the Alarm Archive column and scroll to STORE.4. Click on the OK button.5. Repeat steps 2 through 4 for each parameter.Special ConditionsWhat happens if... Effect on alarm recording functionan alarm is re-activated (e.g., an alarm condition is valid beyond the Alarm Silence state)A new alarm recording is not generated.an alarm is silenced during an alarm recording or pending recordingAll alarm -progress and pending recordings are printed completely.a parameter’s alarm function is turned off Alarm recording is still generated provided the alarm recording function is turned on.an alarm waveform is activated in the Telemetry Recording Setup screen (5-8) 1The waveform associated with the alarm parameter is printed in the bottom channel of the strip recording (instead of the waveform assigned to that channel). 1 This function only pertains to telemetry patients.What happens if... Effect on alarm storage functionan alarm is reactivated (e.g., when alarm condition is valid beyond the Alarm Silence state)A new alarm waveform is not stored.the alarm waveform is activated in the Telemetry Recording Setup menu1The waveform associated with the alarm parameter is stored in the bottom channel (instead of the waveform assigned to that channel). 1 This function only pertains to telemetry patients.
14 Recordings / ReportsOverview ......................................................................................................................14-2Laser Printers...............................................................................................................14-2Processing of Strip Recordings .................................................................................14-3Active Recordings.................................................................................................14-3Pending Recordings .............................................................................................14-3Requesting a Remote Recording.........................................................................14-3Recorder Setup ............................................................................................................14-4Replacing the Recorder Paper.............................................................................14-4Setting up a Recording.........................................................................................14-4Recording Types..........................................................................................................14-5Timed Recordings .................................................................................................14-6Continuous Recordings .......................................................................................14-9Reports .......................................................................................................................14-10Simultaneous ECG Report .................................................................................14-10Full Disclosure Strip Report...............................................................................14-11Full Disclosure Hour Report ..............................................................................14-11Full Disclosure 24 Hour Report .........................................................................14-11Event Disclosure Strip Reports .........................................................................14-11Shift Report..........................................................................................................14-12Graphical Trend Report ......................................................................................14-17Selected Strip Report..........................................................................................14-17Selected Events Report ......................................................................................14-17ECG Caliper Report.............................................................................................14-18Ventilator Report .................................................................................................14-19Requesting Recordings and Reports ......................................................................14-22Canceling a Recording..............................................................................................14-25Actions that Affect Recordings ................................................................................14-26Recording Status Messages ...................................................................................14-27
14-2 Infinity CentralStation VF814: Recordings / ReportsOverview From the Infinity CentralStation you can request several types of recordings/reports on the following recorders and printers:zR 50/R 50-N recorders on the network zAn optional network laser printerWhen you request a recording for a bedside patient at the Infinity CentralStation, the request is sent back to the bedside monitor for printing on a recorder assigned at that monitor. For telemetry patients, recordings are printed at the recorder assigned to the local Infinity CentralStation (page 4-5). If an assigned recorder is unavailable at the time of a recording request, the request (or recorded data) is stored and executed as soon as the recorder becomes available.If the Full/Event Disclosure and/or VentCentral options are enabled, you can also print a variety of reports on a laser printer.Status messages in the Main Screen status area indicate when a request is accepted, canceled, or rejected. See page 7-13 for a list of Status messages.Laser PrintersA laser printer can print Infinity CentralStation screens and reports. Refer to the manufacturer’s operating instructions for specific information regarding the use of your particular type of laser printer.WARNING: If you require a diagnostic quality recording you must use a Rest ECG Report (page 18-7). Using any recording other than Rest ECG Report may lead to misdiagnosis.NOTE: The R50 recorder should always be installed and configured as part of the Infinity M300 system.NOTE: All Telemetry ECG recordings and reports are filtered at a bandwidth of 0.5 - 40 Hz. For the filtering bandwidth of a bedside patient’s ECG recording/report, see the bedside monitor Instructions for Use.
Processing of Strip Recordings VF8 Infinity CentralStation 14-3 Processing of Strip RecordingsA recording request can generate an active or pending recording. Active RecordingsIf a recorder is available and no pending recordings of higher priority exist, the recording begins printing immediately. If a recording is interrupted and another recorder is available, the complete recording is rerouted and printed at the available recorder. If no recorder is available, the recording or request becomes a pending recording and is added to the top of the pending recording list.Pending RecordingsIf no recorder is available to process a print request, the data or recording request is stored until it can be printed. Pending recordings are stored on a first-in, first-out basis. As soon as the buffer is full, the oldest request is deleted. The buffer can store the following number of recordings for each patient:ztwo manually requested timed recordingszone continuous recordingzone automatic recording (alarm or event recording)Requesting a Remote RecordingOther Infinity Central Stations within the same monitoring unit can request recordings of local patients. These requests use the recording attributes of the remote device. NOTE: The actual data of a timed recording is stored, then printed. For a continuous recording only the request is stored; the data is that which is current at the actual print time.
14-4 Infinity CentralStation VF814: Recordings / ReportsRecorder SetupThe R 50 and R 50-N recorders have two buttons:zThe mm/s button on the recorder’s front panel (Alternate Speed on older recorders) The Alternate Speed button allows you to change the recording speed while a recording is in progress. The recorder stops briefly and then restarts automatically at the new recording speed. zThe Stop button stops a recording in progress.Replacing the Recorder Paper1. Open the paper door and remove the empty paper roll and any paper remaining in the printing mechanism.2. Place a new paper roll with printed side facing up into the spool holder. Unroll a few inches of paper from the bottom.3. Align the paper roll with the paper guides, and close the door. (If not aligned properly, the paper may jam.)4. Generate a timed recording to verify that the recorder is connected properly, and the paper is loaded correctly.Setting up a Recording For general recording setup attributes, see page 4-5. For telemetry-specific recording setup information see page 5-8.
Recording Types VF8 Infinity CentralStation 14-5 Recording TypesRecording Type Priority Description Alarm recording overrideContinuous recording1 A strip recording that runs until interrupted manually (generated from Infinity CentralStation).A continuous recording request will cancel any alarm recording in progress.Alarm recording2 A timed recording generated automatically in response to a limit violation for a parameter whose recording function is enabled.• If a second alarm recording is requested within 5 seconds of the first, the second request is ignored if the alarm grade is an equal or a lower alarm grade (e.g. if the first is a life-threatening and the second is a serious alarm).• If the second alarm recording is a higher alarm grade, the first recording is canceled and the second is printed.• If the second request occurs 5 seconds after the first, both recordings are either printed or are stored and printed later.Timed recording(Manual)3 A strip recording that consists of delay and real-time data and runs for a specified time (generated from or Infinity CentralStation).Event recording4 A timed recording that is generated automatically in response to an occurrence of an arrhythmia event whose recording function is enabled.
14-6 Infinity CentralStation VF814: Recordings / ReportsTimed RecordingsTimed recordings are strip recordings of a specified duration. They contain delay data originating before the recording is initiated and real-time data acquired after the recording started. Timed recordings consist of up to two waveforms. For a waveform to be printed, it must first be displayed. Pressure waveforms are recorded in either Standard or Pressure Overlap mode, depending on their configuration at the bedside monitor (see Instructions for Use for specific bedside monitor). The size of the printed waveforms is identical to the screen display.Manual vs. Automatic RecordingsTimed recordings are either requested manually or generated automatically when a parameter or arrhythmia event occurs whose recording function is enabled. For detailed information on how to enable/disable an event’s/parameter’s automatic recording function, see page 10-5 and page 13-13. An alarm strip recording is the same as one manually requested except that it has a different recording type in the header.Telemetry RecordingsAll alarm-generated telemetry strip recordings ignore Manual timed settings and use the following fixed settings. zDuration: 20 secondszDelay: 10 secondszSpeed: 25 mm/secHeader Information The header along the top of the recording contains a diagnostic code, information about the patient, the recorder settings, the monitor, and the monitored parameters. It also shows the values and Alarm Silence indicators that are valid at the time of the recording request.NOTE: If the patient was monitored for less time than the specified delay, the amount of delay data is adjusted accordingly. If no delay data is available at the recording request time, that part of the printed waveform is blank.
Recording Types VF8 Infinity CentralStation 14-7 Timed recording with header1Patient Name 8Recorder label2Patient ID 9Recording type: CENTRAL TIMED, CENTRAL CONT., alarm string for alarm recording, arrhythmia label for event recording3Bed Label 10 Diagnostic Code (page 14-8)4Date of recording request 11 Alarm Silence indicator5Time the recording was printed 12 Parameter value at the time of the request6Selected delay 13 3-Second interval markers7Selected recording speed
14-8 Infinity CentralStation VF814: Recordings / ReportsDiagnostic Code Digit Description Possible Values Definition1 Lead processed for VF and pacer pulse rejectionX123STUV+abcdefABCDEFNoneI IIIIIaVRaVLaVFVV+V1V2V3V4V5V6dV1dV2dV3dV4dV5dV62 ECG filter MDEMonitorOffESU3 Pacemaker detection CcOn - Artifact Rejection <Medium>Off - Artifact Rejection <Medium>4 QRS/ARR processing 21ECG1 & ECG2ECG15 Patient category/QRS classifi-cation<Space>12BnAdult, neither lead completed learningAdult, ECG1 lead completed learningAdult, ECG2 lead completed learningAdult, ECG1&2 lead completed learningNeonate6 Leads available for processing 0123No valid lead to processECG1 is valid to processECG2 is valid to processECG1 & ECG2 are valid to process7 VT count 5-F Value = VT count (where A-F corresponds to 10-15)8 VT rate 0-A Value = (VT rate - 100)/10 (where A corresponds to 10)9 SVT count 3-A value = SVT count(where A corresponds to 10)10 SVT rate 0-A value = (SVT rate - 100)/10(where A corresponds to 10)
Recording Types VF8 Infinity CentralStation 14-9 Continuous RecordingsContinuous recordings run until stopped manually and can only be generated for an individual patient. They consist of up to two waveforms which are printed the same size as those displayed. Pressure waveforms are recorded in either Standard or Overlapped mode, depending on selected bedside monitor setting.Header InformationContinuous recordings contain a header, which is identical to that of timed recordings, except that the recording type data is different and there is no data for DELAY TIME. 11 TACH count 5-F value = TACH count(where A-F corresponds to 10-15)12 TACH rate 0-A value = (TACH rate - 100)/10(where A corresponds to 10)13 BRDY rate 0-F value = (BRDY rate - 30)/5(where A-F corresponds to 10-15)14 PAUS rate 0-5 value = (PAUS rate - 1.0)/0.5(where A-F corresponds to 10-15)15 HR source EPSECG is HR sourceIBP (AP) is HR sourceSPO2 is HR source16 RESP mode OMARESP monitoring offManualAutomatic17 RESP size 1-K value = (RESP size)/5(where A-K corresponds to 10-20)18 Minutes since breath detector initialization00-99 Number of minutes that have elapsed since the breath detector was initialized.(where 99 corresponds to ≥ 99 minutes)20 Not used <Space>21 Monitor model ABIJKTVSC 9000Delta/Delta XL/Kappa/GammaX XLSC 6000Gamma/Gamma XL/VistaInfinity ACSInfinity TelemetryInfinity M30022 - 26 Software version xxxxx(ASCII)First five characters of base software (for example, VA1-1)Digit Description Possible Values Definition
14-10 Infinity CentralStation VF814: Recordings / ReportsReports Depending on the configuration of your Infinity CentralStation, the following reports can be generated.zSimultaneous ECG ReportzFull Disclosure (Strip, Hour, 24-Hour, Shift, Selected Strip, Graphical Trend, Patient Status, and Caliper Reports)zEvent Disclosure (Strip, Graphical Trend, Shift, and Selected Events Reports)zVentCentral ReportsReports are processed and printed even if you leave the respective application. Pacer marks, Pacemaker identifiers, and time change indicators are printed where applicable.All printed reports include the following:Simultaneous ECG ReportA simultaneous ECG Report for any patient monitored by the Infinity CentralStation can be printed from the patient’s Bed View. The report includes three 4 x 2.5 second 25mm per second ECG waveforms for each lead (up to 12), one 10 second ECG waveform for lead II, and ST values for each lead. This is a Non-Diagnostic report. To request a Simultaneous ECG Report see page 14-22.Header FooterReport Title COMMENTS area for handwritten commentsPatient Name Page Number and Total Number of Pages (e.g. Page 1 of 3)Patient ID Date area (for dating signature)Date of Birth Signature areaCare Unit LabelBed LabelAdmit DatePacer/ICD/PCD IdentifierReport Start TimeReport Stop TimeDuration
Reports VF8 Infinity CentralStation 14-11 Full Disclosure Strip ReportThe Full Disclosure strip report prints the screen-displayed waveforms. A report page may contain a 2-channel strip, each twenty seconds long with data centered around the cursor time. To request a Full Disclosure strip report, see page 14-22. Full Disclosure Hour ReportThe Hour Report consists of up to three user-selectable waveforms in a compressed format of one minute per row. There are 60 minutes of data per page. Each data channel produces one report page. Data is captured 30 minutes before cursor time.To request this report, see page 14-22.Full Disclosure 24 Hour ReportThe 24 Hour Report is similar to the Hour Report except that it prints 24 hours of data (24 pages). The end time is the cursor time and data is collected 24 hours before that time. The report supports one waveform selection from one of three channels (Channel 1 is the default). To request this report, see page 14-22.Event Disclosure Strip ReportsAn Event Disclosure strip report contains 20 seconds of data centered around the time of the event. It also includes event class label, time, date, and the ECG lead on which an event is detected (if applicable). To request this report, see page 14-22.
14-12 Infinity CentralStation VF814: Recordings / ReportsShift ReportYou can request a 2, 4, 8, 12, or 24 hour shift report from Full or Event Disclosure. From either application the cursor time represents the report ‘stop time’. The report ‘start time’ equals ‘stop time’ minus the selected report length.The shift report has four sections:Shift Report Section Description / Contents Maximum pagesShift Report Cover • Header • Three waveform channels (10 seconds each)• Comments/signature/date field• Footer OnePatient Status • Header • Hr (calculated from trend data)• Bradycardia• Pacemaker• Ventricular and Supraventricular Ectopics• S-T Deviation• Caliper Results• Latest Alarm Event (within alarm categories)• Footer OneGraphical Trends • Header • Trend graphs• Footer Two (6 trends/page)Selected Events • Header • Event strips (10 seconds each) with annotations• Footer Three (4 events/page)NOTE:zYou must select each event on the report. Click on the icon so that a check mark displays on the icon (page 16-8).zYou can select up to 12 events that occurred before the request time. zThe parameter values at the time of the event appear at the top of each strip.zEvent selections are saved through program resets and power losses.
Reports VF8 Infinity CentralStation 14-13 Shift Report Cover1Cursor time minus selected report length (2, 4, 8, 12, 24 hrs) 2Delay3 Recording Speed4Patient information5Each waveform contains 5 seconds of pre-event data and 5 seconds of real-time data.

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