Drager Infinity Vista XL User manual

I n f i n i t y M o d u l a r M o n i t o r i n g S e r i e s

Infinity Vista XL Instructions for Use

WARNING: For a full understanding of the performance characteristics of this device, the user should carefully read this manual before use of the device.

Manufactured by:

Draeger Medical Systems, Inc. 3135 Quarry Road Telford, PA 18969

Infinity Vista XL Instructions for Use Software VF7

Printed in the United States of America.

This device bears the H label in accordance with the provisions of the Directive 93/42/EEC of 14 June 1993 concerning medical devices (this label is not applicable for US devices).

Distributed By:

Dräger Medical AG & Co. KG Moislinger Allee 53-55 D-23558 Lübeck Germany

Dräger reserves the right to modify the design and specifications contained herein without prior notice. Please contact your local Dräger Sales Representative for the most current information.

Reproduction in any manner, in whole or in part, in English or in any other languages, except for brief excerpts in reviews and scientific papers, is prohibited without prior written permission of Dräger Medical AG & Co. KG.

All Dräger devices are intended for use by trained medical personnel only.

CAUTION: In the United States, Federal

Law restricts these devices to sale by, or on order of a physician.

Before using any Dräger devices, carefully read all the manuals that are provided with your device. Patient monitoring equipment, however sophisticated, should never be used as a substitute for the human care, attention, and critical judgment that only trained health care professionals can provide.

ACE, MultiMed, Cardiology Review Station, Scio, and OxiSure are registered trademarks of Dräger Medical AG & Co. KG.

CAPNOSTAT is a registered trademark of Novametrix Medical Systems, Inc.

Masimo, Masimo SET and Signal Extraction Technology (SET) are registered trademarks of Masimo Corporation.

Some graphics courtesy of Novametrix Medical Systems, Inc.

Unpublished rights reserved under the copyright laws of the United States

RESTRICTED RIGHTS LEGEND Use duplication or disclosure by the Government is subject to restrictions as set forth in subparagraph (c)(1)(ii) of

the Rights in Technical Data & Computer Software clause at DFARS 252 227:7013

MICROTEC RESEARCH INC. 2350 MISSION COLLEGE BLVD. SANTA CLARA CA 95054

Microstream is a registered trademark of Oridion Medical 1987 Ltd.

All other brand or product names are trademarks or registered trademarks of their respective companies.

This device is subject to EU Directive 2002/96/EC (WEEE). It is not registered for use in private households, and may not be disposed of at municipal collection points for waste electrical and electronic equipment. Dräger Medical has authorized a firm to dispose of this device in the proper manner. For more detailed information, please contact your local Dräger Medical organization.

Overview

Overview...........................................................................................................................III

Intended Use....................................................................................................................IV

Indications For Use..........................................................................................................V

Documentation Features ................................................................................................VI

Notes, Cautions, Warnings ............................................................................VI

Cross-references.......................................................................................................VI

Quick Reference Tables ...........................................................................................VI

Footer.........................................................................................................................VI

Applicability...............................................................................................................VI

Safety Considerations....................................................................................................VII

Site of Operation.................. .... ... ... ... .... ... ... .......................................... ... ................VII

Inspection and Maintenance...................................................................................VII

General Electrical Safety..........................................................................................IX

Pacemakers...............................................................................................................IX

Peripheral Devices ................................................................................................IX

Electrosurgery...........................................................................................................IX

Electromagnetic Compatibility.......................................................................................XI

Table of Contents ...........................................................................................................XII

NFINITY VISTA XL USER ’S GUIDE

Intended Use

The Infinity Vista XL monitors are intended for multi-parameter patient monitoring. The devices will produce visual and audible alarms if any of the physiological parameters monitored vary beyond preset limits, and timed or alarm recordings will be produced. These devices will connect to R50 recorders either directly or via the Infinity network.

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Indications For Use

The Infinity Vista XL monitors are capable of monitoring:

z Heart rate z Respiration rate z Invasive pressure z Noninvasive pressure z Arrhythmia z Temperature z Cardiac Output z Arterial oxygen saturation z Pulse rate z Apnea z ST Segment Analysis z 12-Lead ST Segment Analysis z FiO

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

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

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

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

and Neonatal populations with the exception of the parameter cardiac output, ST-

segment analysis, and arrhythmia which are intended for use in the adult and pediatric

populations only.

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

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Documentation Features

Warnings, Cautions, Notes

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.

Cross-references

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

3). Chapter number and title are given when text refers to an entire chapter (e.g., Chapter 1, Introduction).

Quick Reference Tables

Wherever possible, a quick reference table is provided for easy access to information about monitor functions.

Footer

The current software version appears at the bottom of each page, together with the chapter and page number and the device name.

Applicability

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

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Safety Considerations

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

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

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

60601-1 and applicable collateral and particular standards.

Site of Operation

WARNING:

z Connect the AC Adapter to hospital grade electrical

outlets with medical power cords.

z Monitor operation is not currently supported in the

following environments: magnetic resonance imaging (MRI) environments, aircraft, ambulance, home or hyperbaric chamber environments.

z Do not operate the monitor or its remote displays in the

presence of flammable gases.

z Do not use the monitor near devices with microwave or

other high-frequency emissions. These emissions ma y interfere with the monitor’s operation.

z Position the monitor and acce ssories with at least 2 in.

(5 cm.) of space around all sides to p revent overheating

z Do not allow fluids to come in contact with monitor or

peripherals. If fluids are accidentally spilled on equipment, remove affected unit from service as soon as possible. Contact your biomed to ensure that there is no compromise in electrical safety.

CAUTION:

z The site of operation must meet the environmental requirements outlined in

Appendix B, Technical Data.

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

before moving pa tient.

Inspection and Maintenance

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

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

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

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

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

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parameter chapters for information about calibration and verification of parameterspecific functions and devices). All cables, alarm functions, accessories, and associated devices should be checked for damage, ground resistance, chassis and patient leakage currents on a yearly basis, or more frequently, based on usage.

WARNING:

z Disposable accessories (such as disposable

electrodes, transducers, etc.) are for single use only. Do not reuse disposable accessories.

z Do not use cables that appear cracked, worn, or

damaged in any way. Such use may contribute to poor monitoring performance or the display of erroneous values.

z Moisture under the front panel can damage the electric

circuits and compromise key function. Read carefully cleaning instructions on page 21-2.

z Because of the danger of electric shock, never remove

the cover of any device while it is in operation or connected to a power outlet.

NOTE:

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

service representative.

z Dispose of all equipment in accordance with local regulations.

Dräger Medical recommends:

z Maintenance, modifications, and repairs are carried out by trained personnel. z Components are replaced with Dräger Medical provided spare parts,

otherwise the correct functioning of the device may be compromised.

z Devices are used in accordance with Dräger Medical operating instructions,

as described in this Instructions for Use.

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General Electrical Safety

CAUTION:

z Ensure electrical shock classifications for all equipment connected to the

patient are suitable for the intended application. Leakage current will increase when connecting multiple medical devices to a patient.

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

accordance with local regulations and your hospital’s policies, and that it complies with EN 60601-1-1, “Collateral Standar d: Safety Requirements for Medical Electrical Systems.”

Pacemakers

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

Peripheral Devices

CAUTION: In the interest of patient safety and equipment performance, the connection of other manufacturers’ equipment to the monitor is not authorized, unless the connection is explicitly approved by Dräger Medical. It is the user’s responsibility to contact Dräger Medical to determine the compatibility and warranty status of any connection made to another manufacturer’s equipment.

INFINITY VISTA XL USER ’S GUIDE

Electrosurgery

WARNING:

z Keep ECG, temperature, pressure , SpO

and intermediate cables off earth ground and away from ESU knife and return wires.

z Use only Dräger blue ECG lead wires or the ESU block

with conventional leads (see page 8-7). They are designed to provide resistance to interference from the ESU and to protect the patient from burns caused by ESU-induced current flowing through the leads.

z Impedance respiration monitoring and pacemaker spike

detection are inoperative when you are using the ESU Block.

transducers,

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NOTE:

z Use SpO z Use rectal temperature probe sheaths to cover internally placed temperature

sensors.

z Always use accessories designed for ESU environments.

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

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Electromagnetic Compatibility

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

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

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

Dräger Medical recommends these procedures to reduce electromagnetic interference:

z Use only Dräger Medical provided accessories, otherwise the correct

functioning of the device may be compromised (see Appendix C, Approved Options and Accessories for more information).

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

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

z Maximize distance between electromedical devices. High-power devices

relating to electrocautery, electrosurgery, and radiation (X-ray), as well as electrical stimulators and evoked potential devices, may produce interference on the monitor.

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

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

z Maintain good cable management. Avoid routing cables over electrical

equipment. Do not intertwine cables.

z Ensure electrical maintenance is done by qualified personnel. z NBP circuits use motors that emit very low-level electromagnetic fields that

may interfere with other sensitive medical devices.

z For more information on Electromagnetic Compatibility, see B-2

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CHAPTER 1: Introduction

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 2: Monitor Setup

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

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

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

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

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

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

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

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

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

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

CHAPTER 3: Network Applications

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 4: Admission, Transfer, and Discharge

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

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

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

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

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

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

CHAPTER 5: Alarms

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 6: Trends

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

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

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

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

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

CHAPTER 7: Recordings

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 8: ECG and Heart Rate

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 9: Arrhythmia Monitoring

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

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

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

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

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

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

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

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

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

CHAPTER 10: ST Monitoring

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

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

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

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

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

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

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

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

CHAPTER 11: Respiration

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 12: Non-Invasive Blood Pressure

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

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

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

Safety Considerations .....................................................................................12-3

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

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

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

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

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

CHAPTER 13: Invasive Blood Pressure

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 14: Calculations

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

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

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

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

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

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

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

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

CHAPTER 15: Pulse Oximetry (SpO2)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 16: etCO2 (End-Tidal CO2) Monitoring

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 17: FiO2 (Fractional Inspired O2) Monitoring

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

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

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

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

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

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

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

CHAPTER 18: Scio® Four Modules

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 19: Body Temperature

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

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

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

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

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

CHAPTER 20: Cardiac Output

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 21: Cleaning and Disinfecting

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

APPENDIX A: Glossary

APPENDIX B: Technical Data

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

APPENDIX C: Approved Options and Accessories

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

XX VISTA XL VF7

INFINITY VISTA XL USER ’S GUIDE

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

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

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

VF7 VISTA XL XXI

NFINITY VISTA XL USER ’S GUIDE

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XXII VISTA XL VF7

Chapter 1 Introduction

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

1 I

NTRODUCTION

Overview

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

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

restricted to one patient at a time.

The following optional software features are available:

z ACE full arrhythmia (Arrhythmia II) z HemoMed & oxygenation/ventilation calculations (physiological

z 3-lead ST segment analysis z Waveform channel upgrades z Aries (Advanced Review of Ischemia Event System) z Wireless Networking z OR mode

calculations)

1-2 VISTA XL VF7

System Components

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

Base Unit

Monitor Front View--Vista XL

SYSTEM COMPONENTS

1 2 3 4 5

Fixed keys Main Menu fixed key Main Screen fixed key Battery Charge indicator Power switch

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NTRODUCTION

Monitor Rear View--Vista XL

2 3 4

External (lead-acid) battery compartment

Remote Display (x5), R50 (x7) Connector for AC adaptor Slot for etCO2 module

1-4 VISTA XL VF7

Monitor Left Side--Vista XL

SYSTEM COMPONENTS

1 2 3

HemoMed connector MultiMed connector NBP connector

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NTRODUCTION

Monitor Right Side--Vista XL

1 2 3 4 5

PCMCIA slot Network connector

QRS Sync connector

RS 232 connector (X8) Analog connector (X10)

Device Markings

The following table describes the symbols on the monitor and its accessories:





Monitor on/off Remote keypad in

Battery-operated equipment

Attention! Consult the accompanying document

Defibrillator-proof equipment, Type CF

RS 232

Analog out

1-6 VISTA XL VF7

 Direct current Analog out

SYSTEM COMPONENTS





;

Danger: Risk of explosion if used in presence of flammable anesthetics

Isolated patient connection, Type CF

0123

Complies with the European

Medical Device Directive 93/ 42/EEC

Type BF, defibrillator protected

Gas in Contains no latex material

Gas out Manufacturer’s lot number

Dispose of properly Certain cuff codes are

Manufacturing date REF Manufacturer’s reorder code

Alarm out Does not provide isolation

Push battery all the way into compartment.

Close battery compartment door.

This end up

Artery symbol and arrow should be placed over brachial or femoral artery.

ethylene oxide sterile.

between connected devices

∼

Monitor is receiving AC power Potential equalization

Observe WEEE (Waste Electrical and Electronic Equipment) disposal requirements

terminal

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NTRODUCTION

Modules

MultiMed and NeoMed Pods

The MultiMed houses connectors for ECG and impedance respiration leads, an SpO2

sensor, and a temperature probe.

The optional NeoMed, specifically designed for neonates, has connectors for a 3-lead

ECG cable set, an SpO

information.

HemoMed Pod

The monitor acquires invasive blood pressure (IBP) signals from a HemoMed pod.

For information, see Chapter 13, Invasive Blood Pressure. A HemoMed pod can also

acquire injectate and blood temperature for cardiac output (20-4).

etCO2 Module

The monitor processes etCO2 signals through an etCO2 module. For more information

on these optional devices, see Chapter 16, etCO2 (End-Tidal CO2) Monitoring.

sensor, and two temperature probes. See page 8-2 for more

Auxiliary Display Components

The following devices enable remote viewing of patient data.

Remote Display -- Allows you to view but not control monitor functions away from

the bedside. Dräger Medical strongly recommends that you use only approved video

monitors, otherwise the function of the monitor may be compromised. For a complete

list of approved video monitors, contact your Draeger Medical Systems, Inc. local

representative to obtain a catalog. Any use of non-approved monitors may

compromise the correct functioning of the device.

CAUTION: The Remote Display output on the IDS is not galvanically isolated. If you use a video monitor other than one specified by Dräger Medical, it must comply with IEC 60601-1. Upon installation, the installer must ensure that, in normal and single fault conditions, the entire system meets the requirements of IEC 60601-1 and IEC 60601-1-1 (Medical Electrical Systems Standards). Refer to the video monitor’s operating instructions to ensure that the interconnection is within its intended use as specified by the manufacturer. Radiated and conducted emissions classi fication, suitability for flammable locations and water ingress protection must be considered based on the intended use of the system.

1-8 VISTA XL VF7

Other Features and Components

z Remote Keypad--The optional Remote Keypad allows you to operate the

monitor from a distance. A rotary knob and fixed keys duplicate those of the monitor, while a numeric keypad allows you to enter data. See page 1-15 for more information.

z Export Protocol--Allows you to share data with other Dräger Medical an d

third-party devices (e.g., Clinical Information and Anesthesia Record Systems and Data Loggers; see Dräger Medical publication Infinity RS-232 Export Protocol Reference Booklet).

z Arrhythmia Classification Expert (ACE)--Detects cardiac events, reduces

false alarms, and filters out misleading or erroneous arrhythmia data.

z R50 Series Recorders--Produce alarm, timed, continuous, and trend

recordings. See Chapter 7, Recordings, for more information about R50 and R50-N recorders.

z PCMCIA Card--Allows you to transfer data, upgrade software, store setups,

download setups, and store diagnostic logs.

z QRS Sync. Output--Allows you to synchronize defibrillators to the patient’s

heart beat during cardioversion.

z Balloon Pump Interface--Permits interaction with a balloon pump by

providing two analog output signals (ECG and ART).

SYSTEM COMPONENTS

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NTRODUCTION

Power Sources

The Vista XL monitor can be powered by a hospital grade outlet with AC adapter, or

battery. In case of a line outage or disconnected cable, the monitor automatically

switches to battery power to ensure continued patient monitoring.

WARNING: Read “Safety Considerations” (page VII, in the Overview of this Instructions fo Use) before connecting the monitor to a power source.

CAUTION: Make sure all power cords are properly connected, or batteries may be drained unintentionally.

Battery Power

The Vista XL monitor operates on an external, sealed

lead-acid battery and an internal lithium-ion battery . The

external battery, which can easily be replaced when

depleted, can power the monitor for 50 minutes. If it

runs low or you remove it from a monitor that has been

using battery power, the mo nitor automatically switches

to an internal battery, which can power the monitor for

180 minutes (See “Electrical Specifications” on page B-

7). When both batteries run low, the monitor sounds an

alarm, and a status message appears in the network message area. If both batteries are

depleted, the monitor turns off automatically.

The external battery fits into a compartment on the monitor’s left side. When depleted

or removed, replace it immediately or connect the monitor to a power supply.

Whenever the monitor is connected to power, the battery is charged (as indicated by

the battery charger LED on the front panel). The internal battery is charged first, then

the external battery.The following table illustrates the function of the battery charge

bar graph at the top of the screen:

NOTE: When AC power is disconnected, the battery

charge display can take up to 15 seconds to reflect actual internal battery capacity and up to 60 seconds to reflect actual external battery capacity

Insert battery here

Battery

1-10 VISTA XL VF7

Battery Charge Display Display Charge Left Action

Battery in use is fully charged. N/A

Battery in use is half full. Connect AC adapter.

POWER SOURCES

External battery is very low (< 25%).

External battery is depleted.

Internal battery is very low (<25%).

Internal battery is depleted; <5

Monitor sounds single attention tone. 2Monitor sounds attention tone every 5

seconds.

minutes of power remaining.

Replace with fully charged external battery.

Immediately connect monitor to AC adapter. Replace external battery.

WARNING: Actual time available on the internal battery can be significantly reduced with worn out or defective batteries. The ‘Internal Battery Percentage’ value on the Battery Status screen is accurate only if the batteries are in normal work ing condition.

CAUTION:

z DO NOT use the monitor for transport if the internal battery charge is at 25%

or less, unless you are using a fully charged external battery.

z High temperatures may adversely affect batteries. For optimal performance,

charge and use the external batteries at temperatures below 35°C (95°F).

z Follow local regulations for safe disposal of batteries. To prevent fire or

explosion, never dispose of batteries in fire.

z Use only batteries that are provided by Dräger Medical. The use of non-

approved batteries may damage the device.

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NTRODUCTION

Charging the Batteries

Before using the Vista XL monitor for the first time, charge the internal battery for a

maximum of 4.5 hours and the external battery for 3.5 hours. When the monitor

receives DC power, batteries recharge automatically.

The optional SLA Battery Charger can charge four fully depleted external batteries

simultaneously in approximately 3.5 hours. To start a fast-charge, insert the batteries

into the slots of the battery charger with the metal contacts facing down.

NOTE:

z T o retain charge during transport, leave the monitor connected until you are

ready to move the patient. Reconnect the monitor immediately after transport. Dräger Medical recommends replacing lead-acid battery after 18 months of continued use.

z Dräger Medical recommends replacing the internal lithium ion battery after 24

months of use.

z To prevent premature depletion, recharge batteries immediately after

discharging them. Lead-acid batteries degrade rapidly if left several days in an uncharged state.

z In storage, lead-acid batteries discharge slowly over time and may become

depleted after several months. Batteries stored for use with the monitor should be recharged every six months.

CAUTION: This charger is intended for charging the monitor batteries only. Do not use other chargers or batteries.

When the monitor receives DC power, batteries recharge automatically.

1-12 VISTA XL VF7

Getting Started

Turning the Monitor On and Off

To turn the monitor on:

GETTING STARTED

z Press the power key (

), located on the bottom left of the Vista XL

monitor's front panel . The monitor turns on the power indicator light, lights up the screen, performs a self-test, and displays the main screen.

To turn the monitor off:

z Press and hold the power key (O) for two seconds. The power indicator

light turns dark, and the monitor emits a power-down tone.

Accessing the Main Screen

After you power up the monitor, the main screen appears. To return to the main screen from a menu or other display:

z Press the Main Screen fixed key, located just above the rotary knob on the front

panel of the monitor. The main screen appears, as shown in the following illustration.

1 2 3 4

Network message Parameter boxes

Waveforms Local message

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NTRODUCTION

The standard monitor provides five waveform channels with adjacent parameter

boxes. Channels can be added to display up to six waveforms. The bottom channel can

be used to display additional parameter boxes (see “Bottom Channel” on page 2-7).

Parameter boxes show values, alarm limits, and special icons for selected parameters.

Parameters and their associated waveforms are color-coded for easy recognition.

NOTE:

z You can access parameter setup menus by scrolling through the parameter

boxes using the rotary knob and clicking on the parameter you wish to configure.

z See “Quick Reference -- Main Menu Setup” on page 2-3 to access parameter

setup menus.

NOTE:

z You can change the default color coding for each parameter by accessing the

Parameter Colors menu. (See page 2-19)

z For a list of default parameter colors, see Quick Reference -- Parameter Colors

Menu on page 2-20.

Messages appear along the top of the screen in either the

Network Message (right) area. When there is no local message, the monitor displays

Local Message (left) or

the patient’s name and bed label. When there is no network message, the monitor

displays the date and time.

Using the Rotary Knob

The rotary knob allows you to browse menus, choose settings, and execute

menu functions. Scroll through menu items by turning the knob. Press the

knob (or click) to confirm.

To set or execute menu items with the rotary knob:

1. Select the required function by dialing the knob.

2. Press the knob and click to confirm your selection. A list of choices appears or the field switches to its alternate value, e.g.,

You can also use the rotary knob to enter letters or numbers.

ON to OFF.

1-14 VISTA XL VF7

GETTING STARTED

1. Click on a fiel d (e.g., Physician). The monitor displays a data-entry screen similar to the following:

2. Use the rotary knob to select each character or number, then click to confirm. Use the control buttons at the bottom of the screen for editing.

3. Click on

Accept to confirm the entire entry or on Cancel to exit the data entry

screen.

Remote Keypad

The remote keypad has all of the fixed keys that are on the monitor and additional keys that perform the following:

Trends — Displays trend graphs Freeze — Freezes waveform display Calcs. — Activates Calculations menu All ECG — Displays Show All Leads screen Remote View — Displays Remote View menu Recall Setup — Displays Restore Setups menu View+ — Toggles from monitor to secondary (display) screen

To connect the remote keypad to the Vista XL monitor: Plug one end of the keypad cable into the keypad and the other into the connector

marked RS232 on the right side of the monitor.

VF7 VISTA XL 1-15

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NTRODUCTION

Menu Access

There are two ways of accessing the menus. The Fast Access menu allows you to open commonly used menus quickly. The Main Menu lists the primary menus (Patient Setup, Monitor Setup, etc.), which allow you to access other menus.

Fast Access Menu

The Fast Access menu accesses the following submenus and screens dire ctly:

Fast Access Item See page Fast Access Item See page Remote View 3-10 Calculations 14-1

OxyCRG (Neonatal only) 11-10 Show All Leads 8-15 Alarm History 5-15 OR 2-11 Trend Graphs 6-4 Reports 7-11 Trend Table 6-7 Split Screen 2-8 Event Recall 1-19 Drug Dosage 14-7

To open the Fast Access menu:

z Press the Fast Access fixed key on the front of the monitor.

You can access many of these menus by selecting

Review on the Main Screen menu.

See page 2-4 for more information.

Main Menu

The Main Menu allows you to execute certain functions and access others. Icons are used to identify menu items:

z Page icon (e.g., Restore Setups) -- Accesses submenu z Arrow icon (e.g., Review) -- Displays another column z No icon (e.g., Standby) -- Executes function

To display the Main Menu:

1. Press the

2. Click on a page icon next to a heading ( ) to open a Main Menu submenu or on an arrow icon ( ) to display another column of Main Menu options (see page 2-3 for detailed information on configuring the Main Menu).

Menu fixed key. The primary list of Main Menu options appears.

1-16 VISTA XL VF7

DATA ARCHIVE APPLICATIONS

Fixed Keys

Fixed keys on the monitor front panel allow you to perform commonly executed functions. .

CAUTION: Moisture under the front panel can damage the electric circuits and compromise key function. For safe cleaning instructions, see page 21-1.

Fixed Key

Alarm Silence

Alarm Limits

All Alarms Off

Fast Access

Description

Silences the active alarm tone for one minute

Opens a table from which you can set upper and lower alarm limits

Suspends all alarms for a pre-selected time or cancels the suspension

Displays the Fast Access Menu

Fixed Key

Main Screen

Menu Activates the Main Menu

NBP Start Stop

Record Toggles a timed recording

Description

Activates the main screen

Starts or stops non-invasive blood pressure (NBP) measurement

on or off

Control Buttons

Control buttons are located along the bottom of the various screens, trend tables, graphs, loop displays, etc. They permit additional screen-specific settings.

Data Archive Applications

The monitor can store events, alarms and trends automatically or at the user’s request, depending on the type of information you wish to store. Some events are automatically recorded and stored. The monitor automatically stores alarm conditions and arrhythmia events that you have configured for storage in the Alarm Limits table (see page 5-5) and in the Arrhythmia setup table (see page 9-6).

NOTE: You cannot disable event storage for asystole and ventricular fibrillation calls. The monitor stores these events automatically.

You can access archived information in one or more of the following databases:

z Trends

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NTRODUCTION

z Calculations z Alarm History z Event Recall.

Each database indicates the time of the data capture and parameter values and/or waveforms active at the time of capture. Trends, Calculations, and Alarm History are discussed in the following chapters (Event Recall and Storage is explained later in this section.):

z Trends -- See Chapter 6, Trends. Stored events are marked with the time and

date of capture as follows:

z Calculations -- See Chapter 14, Calculations. z Alarm History -- See Chapter 5, Alarms.

Storing Events

Trend Table -- An icon ( ) over the time line marks manually stored events only. (Automatically stored alarms and arrhythmia calls are not marked in the Trend Table.)

Trend Graphs -- A small yellow vertical line at the top of the screen marks manually and automatically stored events.

Automatic Storage

The monitor stores events automatically, if you have first correctly configured the Alarm Limits and Arrhythmia Setup tables.

You can enable individual parameter alarms in the Limits and/or the ARR Setup screens. Configure event storage in the by selecting

Store or Str./Rec.

Alarms column of the Alarm

Archive column

1-18 VISTA XL VF7

DATA ARCHIVE APPLICATIONS

Event Recall

The monitor stores monitoring data (waveforms and parameter values), alarm conditions, and arrhythmia events on the Event Recall screen. You can view up to 50 stored events, each containing 20 seconds of data, with associated date and time stamps.

Events are stored on a first-in, first-out basis. When event storage is full, the monitor deletes the oldest events to make room for new ones. All stored events are deleted whenever you discharge a patient, reset the monitor, or temporarily lose power.

To access the Event Recall screen:

1. Press the

2. Click on

Fast Access fixed key.

Event Recall to display the Event Recall screen.

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NTRODUCTION

1 2 3 4 5 6

8 9

Time of capture Parameter values at time of capture Print report Requests recording Saves/Deletes events View: All - displays all stored events; Manual - displays manually

stored events; Alarm - displays alarm events only; BRDY - displays bradycardia events only; Desat - (Neonatal only) displays desaturation events only

Parameter display: Prev displays previous set of (2) parameters. Next displays next set of (2) parameters

Parameter labels of displayed waveforms Waveform delay and speed

1-20 VISTA XL VF7

DATA ARCHIVE APPLICATIONS

Navigating the Event Recall Screen

To scroll forward and back through 20 seconds of waveform data, click on arrows at either side of scroll bar at the bottom of the screen.

To scroll through the list of parameter values at the time of data capture, click on the arrow keys above the list of parameters at the right of the screen:

To scroll through the waveforms displayed at the time of data capture, click on the Prev (Previous) and Next control buttons under waveform display.

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NTRODUCTION

Help Functions

You can display a short description of currently highlighted functions at the bottom of all active menus by enabling context-sensitive help:

1. Press the

2. Click on

3. Open the

4. Select

Menu fixed key to open the Main Menu.

Monitor Setup. Another column of options appears.

Display Options menu by clicking on that heading.

Help Line Display and click to choose ON.

Additional information about the monitor is available in the Main Help menu.

1. Press the

2. Click on

Menu fixed key.

Help. The Main Help Menu appears.

Click on the appropriate selection in the table below.

Menu Item Description

Locked Options Displays active software options currently installed on the

Fixed Keys De sc rib es f un cti on s of Fi xe d Key s

monitor

1-22 VISTA XL VF7

Chapter 2 Monitor Setup

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

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

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

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

Setups Management.......................................................................................................10

Specialty Menus..............................................................................................................11

OR Mode ............... ... .... ... ............................................................................. .... ... ... ...11

Unit Manager ............... ... ... ... .... ... ... ... .... ... .......................................... ... ...................13

Biomed......................................................................................................................17

Parameter Colors .... .......................................... .... .......................................... .........19

2 M

ONITOR SETUP

Overview

This chapter describes how to configure the monitor.

Configuring the Monitor

Main Menu Setup

The Main Menu allows you to access submenus, display screens, and execute certain monitor setup functions.

1. Press the

2. Click on a page icon ( ) to open a Main Menu submenu, or Click on arrow icon ( ) to display another column of submenu options.

3. Click on desired setting to execute functions or access further submenus.

4. Click on left corner of the screen to return to prior menu or screen.

Menu fixed key to display the Main Menu.

Exit at the bottom of a submenu list or on the white arrow in upper

2-2 VISTA XL VF7

CONFIGURING THE MONITOR

Quick Reference -- Main Menu Setup

The Main Menu Menu Item Description Available Settings

Cursor Tool Provides access to Cursor Tool

The Cursor Tool Submenu This submenu allows you access to the following functions.

Setup Opens Cursor Tool Setup menu. • Waveform (Up to 3.)

Horizontal

Cursor

(One for each waveform on display)

Cursor value is displayed only if a scale is associated with the waveform.

Waveform scales are the same as parameter main display.

submenu, which allows user to select three waveforms displayed with horizontal cursors and a vertical cursor.

Displays a horizontal cursor. User can scroll up and down each waveform.

NOTES:

• Cursor value is displayed

• Cursor and value are on display until user exits window.

• Buttons remain ghosted until user presses Stop key.

To EXIT the Cursor tool:

• Press/click the Rotary Knob to exit cursor control.

• Press the Main Screen fixed key.

• Setup

• Horizontal Cursor

•Stop

• Hemo/Calcs

• Vertical Cursor

Note: See Cursor Tool Submenu,

below.

NOTE: In 4 channel mode, maximum of 2 waveforms.

• Sweep Speed

• 6.25 mm/sec.

• 12.5 mm/sec.

• 25 mm/sec. (Default)

• 50 mm/sec. N/A

Stop Halts scrolling of all waveforms in

cursor tool display and un-ghosts Horizontal and Vertical Cursor buttons.

N/A

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ONITOR SETUP

The Main Menu Menu Item Description Available Settings

Hemo/Calcs Opens the hemo/calcs screen.

NOTES:

• Button is ghosted unless a license is present.

• Advanced calcs menu is available if option is installed.

Vertical

Cursor

Review Provides access to submenus of

Displays a vertical cursor. User can scroll forward and backward across all waveforms.

NOTES:

• Cursor has no value.

• Cursor remains on display until user exits window.

• Buttons remain ghosted until user presses Stop key.

To EXIT the Cursor tool:

• Press/click the Rotary Knob to exit cursor control.

• Press the Menu, Main Screen, Alarm Limits, or Fast Access fixed key.

the Main Menu display

N/A

• Click on Review to open the following submenus and displays: Alarm History, Trend Graphs, Trend Table, Event Recall, Calc. Results, OxyCRG (neonatal mode only), Show All Leads, and Reports.

• Click on Exit to return to the first column of the Main Menu.

2-4 VISTA XL VF7

CONFIGURING THE MONITOR

The Main Menu Menu Item Description Available Settings

The Patient Setup Submenu This submenu allows you to configure the following functions.

Patient Category

Pressure Labels

Parameters Accesses parameters’ setup

Alarm Limits Opens alarm limits table N/A; see page 5-5.

Determines availability of monitoring features such as apnea detection (neonates only) and ventilation

Notes:

• When you click on a setting, a popup message warns you that algorithms and alarm settings are about to change. In the popup window, click again on the category of your choice.

• If you change a patient’s category, the weight selection is cleared and must be selected again.

Assigns IBP pressure channel labels

See Chapter 13, Invasive Blood Pressure, for detailed information.

menus

•Adult

• Pediatric

• Neonatal

ART, PA, CVP, LA, LV, RV, RA, ICP, GP1, GP2

• Click on one of the listed parameters to access its setup menu: (e.g., ECG, ARR, ST, ART, PA CVP, RA, SpO RESP, etCO2, C.O., TEMP, GP1, GP2, O2, fiO2, ).

Note: There may be other possible selections depending on the monitor configuration and connected devices.

• Click on Exit to return to the first column of the Main Menu.

, NBP,

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ONITOR SETUP

The Main Menu Menu Item Description Available Settings

The Monitor Setup Submenu

Main Screen

This submenu allows you to lay out the main screen display by configuring the functions outlined below. To access second page of the Main Screen menu, click on the down arrow at the bottom of the screen. Click on the up arrow to return to the Main Screen menu first page.

Parameter Priority

Allows you to modify the order of parameters displayed on the Main Screen

Notes:

• Parameters must be assigned a priority; whether they appear on the main screen depends on their priority and on the number of channels configured to display waveforms (see Max. Channels).

• In Automatic display mode, connected parameters are displayed according to their priority in the Parameter Priority list. If all available channels are filled, a higher priority parameter will NOT “bump” lower priority parameter boxes off the Main Screen when the associated device is connected. In order to display the parameter, the user must double-click on the parameter in the Parameter Priority list.

• In OR Mode, if all avai lable channels are filled, a higher priority parameter will “bump” lower priority parameter boxes off the Main Screen when the associated device is connected.

To change the display order of a parameter whether or not the associated device is connected:

1) Scroll to Display Mode.

2) Select Manual.

3) Click on Parameter Priority to highlight the first listed parameter.

Note: Parameters are numbered according to their priority. The display is color coded: A green parameter label indicates that the associated parameter device (e.g., an NBP hose/cuff) is connected to the monitor. A white label indicates that the device is not connected.

4) Scroll the list to the parameter you wish to move and click.

5) Move the parameter to its new place using the rotary knob.

6) Click to confirm the parameter’s new position on the list.

7) Click again to return to Parameter Priority.

8) Scroll to the arrow at the upper left corner of the menu to exit, or continue to set up other Main Screen submenu functions.

Max. Channels

Determines number of waveform channels and parameters displayed

• Click on 4, 5, 6, 7, or 8. Note: The number of

waveforms you can display depends on the software option you have installed.

2-6 VISTA XL VF7

CONFIGURING THE MONITOR

The Main Menu Menu Item Description Available Settings

Bottom Channel

ECG Channels

ARR Monitoring

ST Monitoring Enables and disables ST

RESP Monitoring

Display Mode Reduces Main Screen clutter by

Configures bottom waveform channel to display waveform or parameter boxes

Determines the number and format of ECG waveforms displayed

Selects the Arrhythmia mode (For detailed information, see page 9-1.)

Monitoring (For detailed information, refer to Chapter 10, ST Monitoring.)

Enables and disables respiration monitoring (For detailed information, refer to Chapter 11, Respiration.)

displaying only parameters associated with a connected device (see Parameter Priority, page 2-

• Click on Waveform to display a waveform in the bottom channel.

• Click on Parameters to display 3 parameter boxes instead of a waveform in the bottom channel.

Click on the following settings:

• ECG1 -- Displays the primary ECG signal

• ECG1 & 2 -- Displays 2 signals

• ECG1 & 2 & 3 -- Displays 3 signals

• Cascade -- Cascades ECG1 data into second channel

• Click on OFF to disable arrhythmia monitoring.

• Click on FULL to enable full arrhythmia monitoring.

• Click on BASIC to enable basic arrhythmia monitoring.

• Select ON to enable ST monitoring.

• Select OFF to disable ST monitoring.

• Select ON to enable respiration monitoring.

• Select OFF to disable respiration monitoring.

• Click on Manual to display all parameters and assign them a priority on the Parameter Priority screen.

• Click on Automatic to display active parameters only.

VF7 VISTA XL 2-7

2 M

ONITOR SETUP

The Main Menu Menu Item Description Available Settings

Split Screen Reserves a portion of the main

Display Options This submenu allows you to access and modify waveforms and other display

features by configuring the following functions.

Monitoring Sweep Speed

Respiratory Sweep Speed

Pressure Overlap

Pressure Common Scale

Monitor Brightness

SC 9015 Brightness

Help Line Display

screen for display of trend graphs

Determines waveform speed Higher sweep speed “moves” waveform more quickly.

Allows you to set monitoring sweep speed for Respiration waveform independently

Displays up to 4 overlapping IBP waveforms in single oversized channel Overlapped waveforms share a common zero point, but each retains original scale configuration (see page 13-11).

Displays pressure waveforms with a common scale, making it easier to compare them

Sets brightness of monitor • Click on Auto (ambient light),

Sets brightness of SC 9015

Shows contextual help line at bottom of menu

Click on one of the following:

•OFF

• 60 Min Trends

• 10 Min Trends

• Click on 6.25, 12.5, 25, or 50

mm/s.

• Click on 6.25, 12.5, 25, or 50

mm/s.

• Select ON to display IBP waveforms in overlapping format.

• Select OFF to cancel display of waveforms in overlapping format.

• Click on 5, 10, 15, 20, 25, 30,

40, 50, 75, 100, 150, 200, 250, 300 mmHg, or OFF.

20, 40, 60, 80, or 100%.

• Select ON to display help.

• Select OFF to cancel display.

Parameter Units Display

Displays unit of measure in parameter boxes

• Select ON to display units.

• Select OFF to cancel display.

2-8 VISTA XL VF7

CONFIGURING THE MONITOR

The Main Menu Menu Item Description Available Settings

Monitor Options This submenu allows you to configure the following functions.

Date & Time Sets the date and time displayed

Speaker Volumes

Trend Setup Allows you to configure trend

in the lower right potion of the main screen

Notes:

• An intern al battery powers the monitor’s clock even when the monitor is turned off.

• This option is not available when the monitor is connected to network, since network date and time are set at the central station.

• Changing the time does not affect other time-related functions such as timers and time stamps.

Allows you to set the volume for alarms, pulse tones, and attention tones

display

To set the monitor date and time:

1) Click on Date & Time.

2) Click on Current Date. A data entry screen appears.

3) Click on Day, scroll to the correct date, and click.

4) Repeat Step 3 for Month and Year.

5) Click on Accept to confirm or on Cancel to return to submenu.

6) Click on Current Time to set the time, using the same method described in steps 3 and 5.

• Click on Alarm Volume to set the volume of alarms (10- 100% in increments of 10).

• Click on Pulse Tone Volume to set the volume of the pulse tone (OFF-100% in increments of 10 after 5).

• Click on Attention Tone Volume to set the volume of attention tones (OFF-100% in increments of 10 after 5).

• Submenu; see Chapter 6, Trends, for detailed information.

Recordings Allows you to configure and

assign recorders

Biomed Provides access to technical and

clinical logs and service menus

Unit Manager Allows the unit manager,

physician or head nurse to configure monitoring functions for the clinical staff

OR Configures monitor to meet the

special needs of the operating room environment

• Submenu; see Chapter 7, Recordings, for information.

• Submenu; see page 2-17.

• Submenu; see page 2-13.

• Submenu; see page 2-11.

VF7 VISTA XL 2-9

2 M

ONITOR SETUP

Setups Management

You can save and restore the current patient and monitoring settings.

Setups Management Menu function/

item

Configuring Setups

To save, or resto re setups, configure them as shown in the referenced pages. Main screen display Main Screen menu Page 2-6 Parameters Parameter Setup menu(s) Page 2-5

Alarms Alarm Limits Table Page 5-5 Arrhythmia calls Arrhythmia Setup Table Page 9-6 Trends Trend Setup

Naming and Renaming Setups Follow these procedures to name or rename the setups you have configured.

Accessing the Unit Manager Menu

Description Reference/Procedures

Note: For more information,

see parameter chapters.

Page 6-2 Trend Graphs Trend Table

Allows you to modify setups on the password-protected Unit Manager menu

Note: For information on other Unit Manager functions, see page 2-13.

Page 6-4

Page 6-7

To enter the password:

1) Press the Menu fixed key to

display the Main Menu.

2) Click on Monitor Setup.

3) Click on Unit Manager. A

data entry box appears.

4) Click on each number of the

appropriate password. If you

make a mistake, click on

Backspace and try again.

5) Click on Accept to open the

Unit Manager menu.

Restoring Factory Defaults Consult your Biomed to restore settings shipped with the monitor to their original

configuration. For detailed information on password-protected Biomed setup functions, please consult service and installation documentation.

2-10 VISTA XL VF7

SPECIALTY MENUS

Specialty Menus

OR Mode

OR mode is designed specifically for the operating room environment, allo wing you instant access to a particular set of parameters and functions. In addition, you can disable audible alarms without affecting visual alarms, even when the monitor is not connected to a network.

WARNING: Do not set monitor to OR mode outside operating room environment because OR alarms behave d ifferently than regular alarms.

NOTE: Life Threatening and Serious alarms do not latch when OR mode is ON.

To access the OR menu:

1. Press the

2. Click on

Fast Access fixed key.

OR to display the OR menu.

Quick Reference Table -- OR Menu

OR Function Description Settings

The OR Menu OR Activates OR menu

functions

Note: This function is a locked option. It is installed at the time of purchase from perioperative care unit or it can be installed locally by Dräger Service or local Biomed.

Cardiac Bypass Configures monitor for use

during cardiac surgery

• ON -- OR functions are enabled.

• OFF -- The monitor reverts to normal functions;

Cardiac Bypa ss, and NBP Chime are ghosted.

• ON -- Suspends all patientmonitoring alarms, NBP interval measurements, and arrhythmia detection.

• OFF -- The monitor reverts to normal functions.

VF7 VISTA XL 2-11

2 M

ONITOR SETUP

OR Function Description Settings

NBP Chime Enables and disables

Alarm Volume Sets alarm volume

Large IBP-Mean Display

Attention Tone Volume

HR Source Derives heart rate from

Filter Determines sensitivity to

ARR Monitoring Determines number of

attention tone for NBP measurements (For more information, see Chapter 12, Non-Invasive Blood Pressure.)

Note: Minimum setting is OFF if OR is enabled or if

monitor is connected to a central station. Minimum setting is 10% if OR is disabled.

Determines the relative size of the mean pressure value in invasive pressure parameter boxes

Sets attention tone volume Notes:

• Minimum setting is 5% if OR is enabled or if monitor is connected to a central station. Minimum setting is 10% if OR is disabled.

various sources Note: This function is useful

during electrosurgery, when artifact makes ECG channel unavailable. See page 8-20 for more information.

noise, artifact, and other signal distortion

Note: The ESU setting automatically disables pacer detection. See page 8-17 for detailed information on Filter and its settings.

arrhythmia events you can monitor

Note: For detailed information, see page 9-1.

• ON -- Monitor sound s an attention tone when NBP measurement is complete.

• OFF -- No tone sounds when you complete an NBP measurement.

• 20 - 100% in increments of 10

• OFF or 10%

• ON -- Enlarges mean IBP display

• OFF -- Reduces mean IBP display to match systolic and diastolic display size

• 20 - 100% in increments of 10

• OFF or 5%

Click on one of the following settings to determine the Heart Rate source:

•ECG

•ART

•SpO

•AUTO

•OFF

• ESU

• Monitor

•OFF

•Basic

•Full

Pulse Tone Volume

Sets pulse tone volume (See page 2-9.)

• Off - 100%

2-12 VISTA XL VF7

SPECIALTY MENUS

Unit Manager

The Unit Manager menu lets supervisory personnel configure monitoring functions for the clinical staff. Access to this menu is restricted by a password. To open the Unit Manager menu:

1. Press the

2. Click on

Menu fixed key to open the Main Menu.

Monitor Setup.

3. Click on Unit Manager. A data entry box appears.

4. Scroll through the numbers and click successively on the single digits of the clinical password. If you make a mistake, click on

5. Click on

Accept to open the Unit Manager menu. Available functions are

Backspace and try again.

described in the table that follows.

The Unit Manager Menu Menu Item Description Available Settings

Alarm Control Submenu

The This menu allows the unit manager to configure alarm annunciation. Open the Unit

Manager menu, click on Alarm Control, then follow the procedures outlined in this table to execute the indicated functions.

All Alarms OFF Key

All Alarms OFF Time

Extend All Alarms OFF

Note: This selection will only appear if monitor is configured to support this feature. Contact your biomed for more information.

Determines whether clinical personnel can suspend alarms by using the All Alarms Off fixed key on the front of the monitor

Sets alarm suspension time

WARNING: Never leave

a patient unattended during an indefinite alarm suspension (e.g., after selecting No Timeout). Always enable the alarms again as soon as possible.

Determines whether clinical personnel can use the All Alarms Off fixed key to extend the All Alarms Off time.

• ON -- Pressing All Alarms Off fixed key suspends alarms.

• OFF -- Pressing All Alarms Off fixed key triggers an error tone.

• 1, 2, 3, 4, or 5 min -- A timer at the top of the screen

indicates the amount of time remaining in All Alarms OFF Time.

• No Timeout -- Alarms suspended indefinitely; no timer appears.

• Enabled

• Disabled (de fault)

VF7 VISTA XL 2-13

2 M

ONITOR SETUP

The Unit Manager Menu Menu Item Description Available Settings

Alarm Validation

Note: When

Alarm Validation

is ON, the time to alarm from the onset of a limit violation will equal the time for detection + the designated Alarm Validation signal delay. For HR, this time may exceed AAMI EC13 requirement of a maximum of 10 seconds.

SpO2 Alarm Delay

ASY/VF Alarms

NBP/SpO2 Interlock

V ali d ates alarm conditions to limit nuisance alarms due to artifact or motion/movement by delaying time to alarm.

Alarm validation times are:

Upper Lower

HR 6 sec. 6 sec. RESP 14 sec. 14 sec. IBP 4 sec. 10 sec. SpO PLS 6 sec. 10 sec.

6 sec. 10 sec.

1 1

SpO2* 4 sec. 4 sec. PLS* 4 sec. immediately All Other Parameters

immediately

(See “SpO2 Alarm Delay”.)

Validates an SpO2 alarm condition by requiring that violation persist for 10 seconds (lower limit) before sounding an alarm.

Note: Alarm validation must be turned ON.

Allows user to prevent disabling of ASY and VFIB alarms.

Allows user to render SpO2 alarm inactive when NIBP measurement is in progress.

WARNING: Visually

ensure that NIBP cuff is on the same arm as SPO sensor. The monitor will not automatically detect that NIBP cuff and SPO

sensor are on the same arm.

• ON -- Enables Alarm Validation

• OFF -- Disables Alarm Validation

• ON -- SpO2 or PLS lower limit alarm condition annunciated after it persists for a period of 10 seconds.

• OFF -- SpO alarm condition is not validated

or PLS lower limit

before annunciation.

• Always ON -- ASY and VFIB alarms are always active.

• Follow HR Alarms (default) -ASY and VFIB alarms follow HR alarm settings.

WARNING: When HR

is “OFF” and ARR

Alarm

monitoring is “OFF”,

ASY/VF alarms do not

sound.

• ON -- SpO2 alarm is inactive when NBP measurement is taken.

• OFF (default) -- SpO active when NBP measurement is taken.

alarm is

2-14 VISTA XL VF7

The Unit Manager Menu Menu Item Description Available Settings

SPECIALTY MENUS

MIB Alarm Control

Allows user to activate/ deactivate MIB disconnect alarm.

• ON (default) -- MIB disconnect alarms are active.

• OFF -- MIB disconnect alarms are inactive.

Remote View Display

Allows user to set Remote View behavior when Remote View is displaying telemetry ECG.

• Always ON -- Local bed alarm will not cause remote view feature to “pull down” remote bed display.

• Pull Down on Alarm (default)

-- Local bed alarm will cause remote view feature to “pull down” remote bed display.

Audio Alarm Reminder

Allows user to set a reminder when alarm volume is turned OFF.

• ON (default) -- When Alarm Volume is turned OFF, a reminder tone sounds every 30 sec. at 50% volume.

Note: For OR Mode: at the end of

the countdown period (alarm silence or alarm off), if the alarm condition is still active, the parameter box will flash and an appropriate SER, L T, or ADV reminder tone (at 50% volume) sounds every 30 sec.

• OFF -- There is no reminder tone when Alarm Volume is turned OFF.

SpO

Delay

Alarm

Validates an SpO2 alarm condition by requiring that violation persist for 10 seconds (lower limit) before sounding an alarm.

Note: Alarm validation must be turned ON.

• ON -- SpO2 or PLS lower limit alarm condition annunciated after it persists for a period of 10 seconds.

• OFF -- SpO alarm condition is not validated

or PLS lower limit

before annunciation.

The Code Setup Submenu This menu allows the unit manager to configure the monitor for quick emergency

response. Open the Unit Manager menu (page 2-13), click on Code Setup, then select and execute functions as described in this table. For more information, see page 5-4.

Continuous Record

Note: If no recorder is available, the recording request remains pending for later printing. The default setting is Yes.

• Yes -- Allows continuous recording when you press the Code key on the remote keypad.

• No -- No recording can be initiated when Code key is pressed.

VF7 VISTA XL 2-15

2 M

ONITOR SETUP

The Unit Manager Menu Menu Item Description Available Settings

Continuous NBP

Alarm Volume OFF

Menu Setup Submenu

The Menu Setup Determines amount of time

The Drug List Setup Submenu This menu allows the unit manager to store up to 44 types of drugs and their

dosages for use during drug calculations. Open the Unit Manager menu (page 2-13), click on Drug Setup, then follow the procedures outlined on page 14-9.

Note: You must attach the NBP cuff and display the NBP parameter box before requesting NBP measurements. The default setting is No.

The default setting is No. • Yes -- Allows you to lower the

menus and screens remain displayed

Note: This setting determines menu display time in Remote View also.

• Yes -- Allows continuous NBP measurements when you press the Code key on the remote keypad.

• No -- No NBP measu r ements can be initiated when Code key is pressed.

alarm volume (to 10% on nonnetworked monitors) or silence alarms completely (OFF on networked monitors) when you press the Code key on the remote keypad.

• No -- Alarm volumes are not affected when the Code key on the remote keypad is pressed.

1) Click on Menu Setup.

2) Click on Menu Time Limit.

3) Click on one of the following:

• ON -- Active menus and screens display for a limited time only (approximately 5 minutes).

• OFF -- Menus and screens remain displayed until you cancel them or select another display.

2-16 VISTA XL VF7

SPECIALTY MENUS

The Unit Manager Menu Menu Item Description Available Settings

The Change Password Submenu This feature allows you to change the password of the Unit Manager menu.

Open the Unit Manager menu (page 2-13), click on Change Password, then follow the procedures outlined in this table.

1) Scroll through the numbers and click successively on the single digits of the clinical password. If you make a mistake, click on Backspace and try again.

2) Click on Accept to confirm the new password.

The Pacer Detection Mode Submenu

Open the Unit Manager menu, click on Pacer Detection Mode, then foll ow the

Basic (default)

Advanced Sets Pacer Detection

This feature allows you to set pacer detection function.

procedures outlined in this table.

Sets Pacer Detection selections in the ECG options submenu to ON/OFF only.

selections in the ECG options submenu to ON/OFF/Fusion.

•N/A

Biomed

The Biomed menu addresses technical aspects of the monitor. To open the Biomed menu:

1. Press the

2. Click on

3. Click on

Menu fixed key to open the Main Menu. Monitor Setup. Biomed.

Quick Reference -- Biomed Menu

Menu Item Description Settings/Procedures

Logs Submenu

The This menu displays clinical and technical diagnostic records. Open the Biomed

menu and click on Logs, then follow the procedures described in this table.

VF7 VISTA XL 2-17

2 M

ONITOR SETUP

Menu Item Description Settings/Procedures

Component Log The monitor maintains read-

Status Log Displays information about

Diagnostic Log Captures data about

FE Diag. Log Captures and displays data

Copy All Logs Downloads status logs and

Print Log Prints an expanded version

Service Submenu

The The Service menu is password-prote c te d

and intended for the hospital’s biomedical or Dräger Medical service personnel only.

Test Pulse Test Pulse Tests ECG signal clarity and

only logs for principal components or devices. These logs include a part and revision numbers, serial numbers, software version, and compatibility information.

your current software and hardware versions

hardware and software performance relating to the monitor’s operation

about front-end performance related to the monitor’s operation

diagnostic logs to a memory card

of the Diagnostic Log to an I

NFINITY network laser printer

display

1) Scroll to the component you wish to inspect and click on it. The log appears with the exit arrow already selected.

2) Return to the Logs submenu by clicking again.

Display is read-only.

• Click on the down arrow at the bottom of screen to scroll through the display.

Display is read-only.

• Click on the down arrow at the bottom of screen to scroll through the display.

Click on Copy All Logs. A confirmation message appears in the message area to indicate the download is complete.

Click on Print Log.

Clicking on Test Pulse:

• Injects a 300 ms pulse into the ECG waveform (1 mV on leads I and III, 2 mV on lead II).

2-18 VISTA XL VF7

Parameter Colors

The Parameter Colors menu allows the user to assign a color to an individual parameter/waveform. To open the Parameter Colors menu:

SPECIALTY MENUS

1. Press the

2. Click on

3. Click on

4. Click on

Menu fixed key to open the Main Menu. Monitor Setup. Monitor Options. Parameter Colors.

5. Enter clinical password.

NOTE: The clinical password menu will time-out after approximately 5 minutes . It will stay active that long unless the user clicks Accept.

6. Click on

Accept.

7. Click on parameter and select color desired.

8. Click on desired color.

Parameter Colors functions are described in the following table:

VF7 VISTA XL 2-19

2 M

ONITOR SETUP

Quick Reference -- Parameter Colors Menu

Parameter

NOTES:

• The color change set in this menu changes all uses of the parameter (parameter-box, waveform , tren d s ).

• The parameter list is not limited to only parameters connected.

• Agent parameters (HAL, ISO, ENF, SEV, DES) and O2/N2O cannot change color.

ECG (inc. ST, ARR) Notes:

• ECG lead label on Main Screen is same color as waveform.

• ST complexes follow the color selected for ECG (Reference curves remain purple)

ART Red Red, White, Yellow, Green,

PA Yellow Red, White, Yellow, Green,

CVP Lt. Blue Red, White, Yellow, Green,

RA Orange Red, White, Yellow, Green,

Default Color

Green Red, White, Yellow, Green,

Possible Selections

Lt. Blue, Blue, Purple, Orange

LA Purple Red, White, Yellow, Green,

LV Yellow Red, White, Yellow, Green,

ICP Lt.Blue Red, White, Yellow, Green,

RV Orange Red, White, Yellow, Green,

GP1 and/or GP2 Red Red, White, Yellow, Green,

Lt. Blue, Blue, Purple, Orange

2-20 VISTA XL VF7

SPECIALTY MENUS

Parameter

P1a and/or P1b and/or P1c and/or P1d

P2a and/or P2b and/or P2c and/or P2d

P3a and/or P3b and/or P3c and/or P3d

TEMP White Red, White, Yellow, Green,

(inc. iCO2, RRc) and/or

EtCO

EtCO2* (inc. iCO2*, RRc*)

(inc. PLS) and/or SpO2* (no

SpO

waveform, but inc. PLS*, SpO2%)

NBP Note: During NBP measurement,

NBP p-box becomes white background with black letters/ numerics regardless of color selected in this menu.

RESP Blue Red, White, Yell ow, Green,

Default Color

Red Red, White, Yellow, Green,

Yellow Red, White, Yellow, Green,

White Red, White, Yellow, Green,

Possible Selections

Lt. Blue, Blue, Purple, Orange

Lt. Blue, Blue, Purple,

Orange O2/N2O White None FiO

White Red, White, Yellow, Green,

Lt. Blue, Blue, Purple,

Orange

VF7 VISTA XL 2-21

2 M

ONITOR SETUP

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2-22 VISTA XL VF7

Chapter 3 Network Applications

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

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

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

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

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

Wireless Network..............................................................................................................4

Wireless Network Safety Considerations ................................................................4

Wireless Network Setup ............................................................................................5

Wireless Mode ...........................................................................................................6

Wireless Messages ....................................................................................................7

Network Transfer..............................................................................................................9

Patient Data ................................................................................................................9

Software Licenses......................................................................................................9

Remote View ............................... .............................................................................. ... ...10

Privacy.............................................................................................................................14

3 N

ETWORK APPLICATIONS

Overview

By connecting your bedside monitor to a network, you can access a patient’s information from any other networked monitor or from a central workstation. Each of these devices can present Main Screen information for remote viewing.

The Infinity Network‘ links monitors and other devices to a central station and to each other, providing a wide range of monitoring functions. On the MultiView‘ you can display information from up to 16 networked monitors simultaneously. (For more information on the central station, see the Infinity CentralStation Instructions for Use.)

WARNING: Loss 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.

The DirectNet feature allows you to connect your monitor directly to the Infinity network (see page 3-3).

Your monitor’s RemoteView‘ function allows you to display other networked monitor screens, print remote recordings, and silence remote alarms (see page 3-10). Via the Remote Control function on the MultiV iew, you can perform the following tasks at the central station for any bedside monitor:

z Initiate recordings z Modify alarm limits z Silence alarms z Initiate an Arrhythmia or Respiration Relearn z Print the current monitor screen on a network laser printer (via the optional

Remote Keypad)

Enter, edit, and view patient data

WARNING: Never rely on the central station to evaluate a patient. Always check patient status at bedside.

3-2 VISTA XL VF7

CONNECTING TO THE NETWORK

Connecting to the Network

Connecting the monitor to the network gives you access to the following:

z Infinity network z Bedside recorder z Nurse call alarm

Connecting the Vista XL to the Network

For the Vista XL, you can connect to the network via the network connector on the

right side of the monitor.

Network connector

Network Message

Once the monitor is connnected to the Network, the following message may appear.

Message Condition Display Area

Not monitored by central

• Connected to network, but not assigned to an Infinity CentralStation

Network

Disconnecting the Vista XL from the Network

To disconnect the monitor from the network, remove the cable from the network connector in the right side of the monitor.

VF7 VISTA XL 3-3

3 N

ETWORK APPLICATIONS

Wireless Network

The V i sta XL can op erate in a wire less ne twork which allows the monitor to establish and maintain contact with the Infinity network and the central station without being connected by cable.

A wireless monitor transmits and receives data with the help of a wireless LAN PC card installed in the Memory Card slot on the monitor. The wireless card communicates with access points which are strategically placed within a monitoring unit in order to cover the desired transmission area.

NOTE: Wireless networking is a locked option. Contact your biomed for more information.

A wireless network offers the following:

z Seamless Patient Relocation — Patient and monitor can be moved to a

different room or care unit, within the same monitoring unit, without ever losing contact with the Infinity network.

z Simplified Network Setup — Wireless monitors can be networked without

the need of hard-wired hub connectors, which reduces the need for network cables within the hospital. (Note: Central station, access points, and recorders/ printers are connected to the network by cable.)

WARNING: Before operating the monitor in a wireless network configuration, please read the Wireless Network Safety Considerations below.

Wireless Network Safety Considerations

When operating the monitor in a wireless network, please observe the following:

z Before using the wireless monitoring equipment, read the instructions and

safety warnings supplied by the wireless equipment manufacturer.

z While the unit is transmitting or receiving signals, do not hold the

transmitting/receiving unit close to exposed body parts, especially the face or eyes. The antenna/wireless card should be at least 2" (5 cm) away from the body.

z Operation of the wireless network relies on uninterrupted signal transmission

between the transmitting and receiving components of the network. When using the wireless network, be aware that

certain structural limitations within the hospital buildin g may in terfere wit h signal transmission,

other devices emitting radio frequencies, such as leaky microwave ovens or warmers, may interfere with signal transmission,

3-4 VISTA XL VF7

the frequencies emitted by the device may interfere with the operation of other medical equipment.

z The installation of wireless equipment must be performed by qualified

Service technicians. This includes installation, placement, and configuration of WLAN access points. Any changes or modifications to the equipment not expressly approved by the equipment manufacturer may result in equipment malfunction or damage.

z Access points are not considered medical equipment and should be kept out of

the patient’s vicinity.

z Maximum number of beds per access point in wireless mode is eight.

Wireless Network Setup

WIRELESS NETWORK

Card Slot

Release Button

Vista XL Memory Card Slot

STEPS: Installing the Wireless Card

1. Facing the monitor, turn the card so that the flat side (back label) faces you.

2. Press the card firmly into the Memory Card slot until the slot’s release button protrudes.

Wireless Card Removal

To remove the card, press the release button and remove card from slot.

VF7 VISTA XL 3-5

3 N

ETWORK APPLICATIONS

Wireless Mode

NOTE: Wireless networking is a locked option. Contact your biomed for more information.

To access wireless settings for the monitor:

1. Press the

2. Click on

3. Click on

4. Click on

5. Click on

6. Click on

NOTE: Bed Label selection is ghosted until a valid care unit is selected.

Menu fixed key. Admit/Discharge. Wireless. Care Unit to select from a list of available care units. Exit to return to the Wireless menu. Bed Label to select from a list of available beds.

Wireless During DirectNet mode

To change the monitor to wireless mode, consult your Biomed or service and installation documentation.

When the wireless mode is active, an icon appears with the date/time icon to reflect signal strength. The icon and the date/time icon alternate with other secondary messages in the network messaging area.

There are five different signal strength icons:

= 0 = 1-25 = 26-50 = 51-75 = 76 -100

3-6 VISTA XL VF7

WIRELESS NETWORK

MVWS

Wireless

Monitor

MVWS = Infinity CentralStation AP = Access Point

If a wireless monitor loses contact with all access points and wireless transmission is interrupted (i.e. you remove the wireless card or the monitor is out of range), the network generates an offline message and the monitor operates as a standalone device.

If a wireless monitor regains contact with any access point (i.e. you insert the wireless card or the monitor is brought back into range) the normal monitoring state will be restored and the offline message cleared within 40 seconds.

CAUTION:

z Software upgrades, saved setups, and card data transfers are not possible

simultaneously with wireless monitoring.

z Software upgrades, saved setups, and card data transfers may take place while

the monitor is in wireless mode, but the patient will not be monitored via wireless at the Infinity CentralStation at that time.

Wireless Messages

In wireless mode, the messages in the following table may appear:.

Message Condition Display Area

Offline • Monitor travels out of range of

• Wireless card removed

Network

VF7 VISTA XL 3-7

3 N

ETWORK APPLICATIONS

Message Condition Display Area

Invalid memory card

Wireless option not enabled

Not monitored by central

Wireless card is defective Local

• Wireless card inserte d without wireless option enabled

• Connected to network, but not assigned to a MVWS

Local

Network

3-8 VISTA XL VF7

NETWORK TRANSFER

Network Transfer

Patient Data

You can transfer patient data (admission, trends, events, and Hemo/Oxy calculations) from one monitor to another. Procedures differ according to whether or not the source and destination monitors are connected to the Infinity network. To transfer information involving a non-networked monitor, you must use a PCMCIA memory card. T o transfer information over the network, you can use menu options. See page 44 for more information.

Software Licenses

Optional software functions must be “unlocked” (activated) with the proper license before you can use them. Your Biomed can transfer licenses and optional software from the monitor to the network and vice-versa. Refer to your Service and Installation Manual for more information on transferring licenses.

VF7 VISTA XL 3-9

3 N

ETWORK APPLICATIONS

Remote View

If the monitor is connected to the Infinity network, you can view other networked monitors, print their recordings, and silence their alarms from your monitor. Procedures to display the Remote View screen follow. To set menu display time, see Main Menu Setup on page 2-2.

Quick Reference -- Remote View Setup

Menu Item Description Settings

Select Remote Bed

Alarm Group Assigns the monitor an

Displays up to two waveforms and parameter boxes of a remote bed. If the remote bed is not in alarm, the top two waveforms are displayed on the local bed, otherwise the alarming waveform occupies the bottom channel.

Notes:

• The monitor continuously updates the remote bed label, patient name, and alarm or status messages.

• The remote display appears on the bottom half of the screen so that you can continue to display the local monitor’s top waveform(s), parameter box(es), and message area.

alarm group number (0 -

255), allowing you to

restrict the number of messages received over the network from the cen tral station or other bedsides

1) Press the Fast Access fixed key.

2) Click on Remote View.

3) Select Remote Bed to display a list of all beds in the monitoring unit.

4) Click on the label of the bed you wish to view.

5) Press the Main Screen fixed key to return to Main Screen, or click on Select Remote Bed to return to the Remote View menu.

Note: To access Remote View functions, see the section “Remote View Screen” on page 3-

11.

1) Press the Fast Access fixed key.

2) Click on Remote View.

3) Click on Alarm Group.

4) Click on the number of the desired alarm group.

3-10 VISTA XL VF7

Menu Item Description Settings

REMOTE VIEW

Auto Dual View Configures the monitor to

display any remote bed in alarm that is part of the local bed’s alarm group

1) Press the Fast Access fixed key.

2) Click on Remote View.

3) Click on Auto Dual View.

4) Click to toggle ON or OFF. Note: Beds in the same alarm

group continue to post messages in the alarm group’s network message area when Auto Dual View is disabled. If you do not want to display messages at a particular bed, place the bed in its own alarm group by selecting an unassigned Alarm Group number.

Remote View Screen

The Remote View menu bar divides the screen horizontally, separating the remote display from the main screen. Follow the procedures outlined on page 3-10 (

Remote Bed

) to display the Remote View screen.

Select

VF7 VISTA XL 3-11

3 N

ETWORK APPLICATIONS

John Doe

Displays Remote View menu

Local bed display

Remote View menu bar

Remote bed display (Remote

View)

Remote bed alarm message area

Silences Remote bed alarm for 60

seconds Patient name

Screen label (Display only)

Local bed message

Remote bed label

Exit arrow (Restores local bed

display)

Local bed label

Initiate Rremote bed recording

(see note below)

3-12 VISTA XL VF7

REMOTE VIEW

NOTE:

z Recordings print on the recorder assigned to the local monitor and show local

settings for recording delay, duration, and speed. The remote patient’ s name and bed label are printed on the recording strip. (For more on timed and continuous recordings, see Chapter 7, Recordings).

z You cannot select waveforms for remote recordings. Waveforms are printed

according to the remote bed’s recording setup. If the remote bed is configured for manual waveform selection (see page 7-8), the recording’s waveforms may differ from those displayed on the Remote View menu.

z If the local bed alarms while Remote View is displayed, the monitor behavior

depends upon the Remote View Display selection in the Unit Manager menu.

z If the remote bed alarms, the top waveform and the alarming waveform

channel are displayed. In the presence of multiple alarms, the one with the highest alarm grade is displayed.

z For information about the Alarm Silence feature, see page 5-4.

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ETWORK APPLICATIONS

Privacy

When operating in Privacy mode, the monitor blanks the screen and silences audible alarms at the bedside. This feature is helpful when such displays and alarms are distracting to patients and visitors. All audible alarms are suppressed, and the screen is blank except for a banner reading

Privacy: Press Main Screen to resume monitoring

All other monitoring functions remain active, and you can continue to monitor the patient at the central station.

NOTE:

z Privacy mode available only on bedsides connected to a central station. The

monitor exits Privacy Mode any time it is disconnected from the network or the Infinity CentralStation.

z Nurse Call option is still supported in privacy mode.

To activate Privacy mode:

1. Press the

2. Click on

3. Press the

WARNING: No audible alarms sound at the bedside, when the monitor is in Privacy mode. Alarms sound only at the Infinity CentralStation.

Menu fixed key.

Privacy.

Main Screen fixed key to return to the Main Screen.

3-14 VISTA XL VF7

Chapter 4 Admission, Transfer,

and Discharge

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

Admitting a Patient...........................................................................................................3

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

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

Network Data Transfer...............................................................................................6

Discharging a Patient.... .... ... ... ... .......................................... .... ... ... ... ...............................7

4 A

DMISSION, TRANSFER, AND DISCHARGE

Overview

The Patient Admit screen allows you to enter and edit a patient’ s personal data (name, ID, birth date, height, weight, admit date, and physician). Yo u can admit patients at the bedside monitor or at the central station, provided your monitor is networked. You can also transfer a patient’s data, trends, and calculations from one monitor to another . Transfer procedures differ according to whether or not the source and destination monitors are connected to the Infinity network. Discharging a patient deletes all related data, both on the monitor and at the central station. Monitor and patient settings return to their local default settings and all recordings are cancelled.

4-2 VISTA XL VF7

Admitting a Patient

To admit a patient at the bedside monitor:

ADMITTING A PATIENT

1. Press the

2. Click on

3. Click on

4. Clic k on a fiel d (in the ex am ple below,

Menu fixed key. Admit/Discharge. Admit to display the Patient Admit menu.

Physician). A data-entry screen

appears.

5. Click successively on the letters of the word you would like to enter. If you make a mistake, click on

6. Click on

Accept to confirm your entry.

Backspace and try again.

7. Click on the next field, and repeat step s 5 and 6.

NOTE:

z To change the patient’s category (Adult, Pediatric, or Neonatal), you must

access the Patient Setup menu. (see pag 2-5).

z If you change a patient’s category, the weight selection is cleared and must be

selected again.

z In Neonatal mode additional selections (Gestational Age, Birth Weight, Day of

Life, and Corrected GA) are available.

z Entries and changes regarding a patient’s height and weight affect all other

monitor menus and displays that use this information.

z If the monitor is connected to the Infinity Network, you can enter additional

patient data such as sex, religion, blood type, and telephone number when you admit the patient at the central station. You cannot, however, view this additional data at the monitor. For information on admission at the central station, see the Instructions For Use for the MultiView WorkStation.

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DMISSION, TRANSFER, AND DISCHARGE

Transferring Patient Data

You can transfer patient data, including trends, calculations, and event recall data, to or from another monitor. To transfer information involving a non-networked monitor, you must use a PCMCIA memory card. To transfer information over the network, you can use either the the menu system (see pages 4-4 and 4-6). Certain conditions restrict the transfer of patient data:

z Both source and destination monitors must have the same software level

(consult your Biomed for more information).

z You can only transfer calculations if the destination bed supports the

Calculations option (see Chapter 14, Calculations).

CAUTION: When you begin a transfer, the destination monitor discharges the current patient. All patient data currently stored in the destination monitor is overwritten.

Data Transfer Using the Memory Card

Transferring data from one monitor to another with the PCMCIA memory card is a two-step process: you copy data from the source monitor to the card and then from the card to the destination monitor. After the data has been copied to the monitor, it is no longer available on the card.

Copy Patient Data (PCMCIA card required) or Transfer options of

The monitor displays the current patient’s name and ID number at the beginning of a data transfer. Because the data on the card overwrites data on the destination monitor, you can overwrite one patient’s data with another’s, effectively discharging the former and admitting the latter. Make sure you copy information to the destination monitor before you perform significant monitoring functions.

Memory Card Transfer

WARNING:

z Use electrostatic discharge (ESD) prevention practices

when inserting the PCMCIA card into the monitor. In some environmental conditions, insertion of the memory card could cause the monitor to reset as the result of an ESD event.

z The patient’s stored event and trend information will be

lost after the monitor resets.

z Monitoring does not occur during data transfer.

4-4 VISTA XL VF7

TRANSFERRING PATIENT DATA

CAUTION: Do not remove the memory card while a copy is in process. If the transfer fails, repeat procedure using a new card.

1. Insert the card in the memory card slot.

2. Press the

3. Click on

4. Click on

5. Highlight

Menu fixed key on the source monitor. Admit/Discharge. Copy Patient Data.

Copy To Card and click. On the right side of the screen, a large

arrow shows the direction of the data flow.

6. Go to step 7 if the patient’s name and ID appear in both the upper and lower windows

— Click on

Patient Admit and follow standard data entry procedures (page

4-3) if the upper window instructs you to enter a patient’s name or ID.

— A banner informs you that the copy is in process. A message appears

when the copy is successfully completed.

7. Remove the memory card from the source monitor.

8. Take the memory card to the destination monitor.

9. Press the

10. Click on

11. Click on

Menu fixed key on the destination monitor.

Admit/Discharge.

Copy Patient Data. The large arrow now indicates that the direction

of the data flow is from monitor to card.

12. Click on

Move To Monitor. If the date and time are correct on both monitors,

the following message appears:

Current data will be replaced. Copy data to Monitor?

If the date and time are not correct, the following messages may appear to indicate synchronization of monitors is needed:

Some data on the card is ahead of the monitor’s time. That data cannot be copied to the monitor.

Some data on the card is older than the monitor can accept. That data cannot be copied to the monitor.

13. Click on Yes to initiate the transfer, or on No to cancel the transfer and return to the Copy Patient Data menu.

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4 A

DMISSION, TRANSFER, AND DISCHARGE

Synchronizing the Monitors

T o ensure the complete and successful transfer of information, you must check that the date and time of the source and destination monitors are identical. Trend data that is copied from the source monitor 24 hours before or five minutes after the destination monitor time is transferred without interruption. If you attempt to transfer data that falls outside this window of time, a banner appears requesting you to confirm the transfer.

Network Data Transfer

To transfer data over the network, you must interrupt patient monitoring temporarily by putting the source monitor in standby mode. The monitor saves both patient and monitor settings until you exit standby and resume monitoring the same patient. To transfer data over the network:

1. Press the fixed key

2. Scroll to

Standby and click. The Main Screen goes blank except for the

Menu. The Main Menu appears.

following message:

Standby: Press Main Screen to resume monitoring.

3. Go to the destination monitor and press the Menu fixed key.

4. Click on

5. Click on

Admit/Discharge. Transfer to display the Transfer Patient Data menu. If you are

transferring data from outside the destination care unit, go to Step 6. Otherwise go to Step 8.

6. Click on

Select Care Unit to transfer from. A list of care units appears. (If

you are monitoring only one care unit, this item is ghosted.)

7. Click on the care unit from which you are transferring data. The selected unit appears next to

8. Click on

Care Unit.

Select Bed to transfer from to display beds currently in standby.

9. Click on the source bed to display it on the menu.

10. Click on

11. Click on Transfer In Progress, or on

Start Transfer to this bed. The following warning screen appears: Transfer to this bed to transfer patient data and display the banner,

Cancel to return to the previous menu.

12. Press the

Main Screen fixed key on the source monitor to exit S tan db y mode.

4-6 VISTA XL VF7

DISCHARGING A PATIENT

Discharging a Patient

You must discharge one patient before admitting another. The monitor otherwise appends existing data to the subsequently admitted patient. You can discharge a patient only at the bedside monitor. You cannot discharge a patient at the central station.

To discharge a patient via the

1. Press the

2. Click on

3. Click on

The monitor displays the message:

4. Click on Discharge again.

The monitor displays the message, Discharge In Progress... When the patient has been successfully discharged, a discharge banner appears with the message:

Use the trim knob to click on the patient.

Menu fixed key. Admit/Discharge. Discharge.

Discharge will delete patient data.

Press main screen to resume monitoring.

Main Menu:

Cancel to return to the Main Menu without discharging

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DMISSION, TRANSFER, AND DISCHARGE

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4-8 VISTA XL VF7

Chapter 5 Alarms

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

Alarm Grades....................................................................................................................2

Alarm Management...........................................................................................................4

Suspending Alarms ...................................................................................................4

Alarm Control .............................................................................................................4

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

Upper and Lower Alarm Limits..................................... .... ... ... ... .... ... ... ... ... .... ... ... ... ..7

Modifying Alarm Functions.....................................................................................13

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

Alarm Limits Shortcut..............................................................................................15

ST and Arrhythmia Alarms......................................................................................15

Alarm History Table........................................................................................................15

Anesthesia Alarms ......................................................................... ... .............................16

5 A

LARMS

Overview

You can configure the monitor to display alarm limits--parameter thresholds--which, if violated, trigger an alarm. Limits are displayed both on the alarm limits table and in parameter boxes, where visual or audible alarms alert you to limit violations. Depending on the alarm condition, the monitor announces alarms using one or more of the following indicators:

z Audible tones that reflect the severity of the alarm z Color changes in the parameter box of the alarm parameter z Alarm messages in the local message area z External alarm devices such as a nurse call system z Activation of an alarm recording

The monitor issues alarms for parameters turned page 5-5). It is not a prerequisite for the parameter to be on display or connected for a parameter to alarm.

The monitor does not alarm for Injectate Temperature (IT), Paced beats (% Paced) or Cerebral Perfusion Pressure (CPP)or N2O.

ON in the Alarm Limits table (see

Networked Alarms

The network can broadcast alarm messages to any monitor or central station within the network. In the Infinity network, you can also group monitors into separate alarm groups to limit the number of messages posted at a given device (see page 3-10).

Monitors connected to the network automatically relay alarms to the central station. If the central station cannot acknowledg e an alarm within 10 seconds (because of a network interruption, for instance), the monitor displays the message,

Error,

and sounds a tone at maximum volume (100%). The alarm volume remains set

at 100% until you change it on the Alarm Limits menu (page 5-5).

Network Alarm

Alarm Grades

The monitor has three alarm levels: life-threatening, serious, and advisory . Each alarm grade has its own distinctive alarm tone and alarm color. If more than one alarm occurs simultaneously, the parameter boxes continue to blink, but the monitor sounds only the highest grade alarm. The cause of an alarm is displayed in the local message area at the top left of the screen. If life-threatening and serious alarms occur simultaneously, the monitor displays the associated alarm messages in sequence. All alarm grades activate any external alarm system which is connected to the monitor.

5-2 VISTA XL VF7

ALARM GRADES

You can define alarm grades for arrhythmia and ST parameters only, using the

arrhythmia setup table (see page 9-6) or the ST alarms table (see page 10-7).

Some alarms are latched: they continue to annunciate visually and audibly until you

acknowledge them manually, even if the condition that caused the alarm no longer

exists. Other alarms may be latched only partially, as indicated in the following table.

To acknowledge (or silence) a latched alarm, press the

Alarms Off

Alarm Grade Latching and Recording Behavior Visual Audio

Alarm Silence or the All

L-T (LifeThreatening)

SER (Serious) (e.g., neonatal

apnea, patient safety conditions during NBP measurements)

Note: Life Threatening and Serious alarms do not latch in OR mode.

ADV (Advisory) (technical conditions,

e.g., misapplied transducer or disconnected lead)

Life-threatening alarms are latched and initiate an alarm recording if the recording function is enabled in the alarm limits table.

Note: Life Threatening and Serious alarms do not latch in OR mode; see page 2-11 for more information.

Only the alarm message is latched; it continues to display when the alarm condition ceases, while the parameter box stops flashing and the alarm tone ceases. Serious alarms initiate an alarm recording if the recording function is enabled in the alarm limits table.

Alarms cease as soon as the cause of the alarm disappears or you acknowledge the alarm. Advisory alarms initiate an alarm recording for events whose recording function is enabled in the arrhythmia or ST table.

Note: Some advisory alarms will cease during an All Alarms Off alarm timeout but will return after the timeout if the condition persists.

Flashing red

Flashing yellow

Flashing white

Continuous two-tone sequence

Two tones, then pause

Low tone, once every ten seconds.

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5 A

LARMS

Alarm Management

Suspending Alarms

You can suspend alarms using the fixed keys on the front of the monitor.

z All Alarms OFF -- Press to suspend visual and audible alarms for a user-

determined period of time. A banner appears at the top of the screen with the

message,

Alarms Off

WARNING: Never leave a patient unattended during an indefinite alarm suspension (e.g., after selecting No Time out). Always enable the alarms again as soon as possible. If you select No Timeout on the Unit Manager menu (see page 2-

13), alarms are suspended indefinitely and no timer appears.

NOTE: Monitor may be configured to support a feature that allows the All Alarms Off

key to be used to extend the All Alarms Off time (via incremental presses of the

fixed All Alarms Off fixed key).

z Alarm Silence -- Press to silence an alarm for 60 seconds. Visual alarm

indications remain on the screen. The alarm tone resumes if a new alarm

occurs during an alarm silence period, or if a life-threatening or serious alarm

condition persists past the one minute silence period.

z Code key on the remote keypad -- Press once to silence alarm tone (in network

mode) or reduce volume to 10% (in standalone mode) and activate and

display an event timer. Press again to deactivate all active Code functions.

Press a third time to deactivate the event timer.

information.

All Alarms Off. Alarms remain suspended until you press the All

key again or the timeout period expires.

See page 2-16 for more

Alarm Control

Many alarm functions, including alarm suspension, validation, and the display of alarm limits, can be configured only on the Alarm Control menu, which in turn is accessible only via the password-protected Unit Manager menu.

For a description of available functions on the Alarm Control menu, see page 2-10.

5-4 VISTA XL VF7

ALARM SETUP (ALARM LIMITS TABLE)

Alarm Setup (Alarm Limits Table)

The alarm limits table allows you to modify the alarm limits of multiple parameters in

a single location.

The Alarm Limits Table displays values only if the associated parameter has been

prioritized (see page 2-6) or the associated monitoring device (e.g., the NBP cuff) is

connected.

VF7 VISTA XL 5-5

5 A

LARMS

z Press the Alarm Limits fixed key. The Alarm Limits table appears:

1 2 3 4 5 6 7 8 9 10 11

Set alarm limits Store and/or record alarms Storage/recording options Access Arrhythmia setup Access ST alarm limits Alarm volume On-line help message Click on arrows to scroll up or down List of parameters Auto set Enable alarms

5-6 VISTA XL VF7

ALARM SETUP (ALARM LIMITS TABLE)

Upper and Lower Alarm Limits

Alarm limits should be set according to your patient’s prevailing condition within the

predefined ranges.

of the monitor listed in the following table.

Parameter Predefined Alarm Range

ARR See “Arrhythmia Setup Table” on page 9-6. ART S/M/D -5 to 300 mmHg (-0.6 to 40 kPa) Off S: (Adult)

Defaul t State

Default Alarm Setting

Low 90mmHg(12 kPa) High 160 mmHg (21 kPa)

M: (Adult)

Low 60 mmHg (08 kPa) High 125 mmHg(17 kPa)

D: (Adult)

Low 50 mmHg(07 kPa) High 110 mmHg(15 kPa)

S: (Pediatric)

Low 50mmHg(07 kPa) High 120 mmHg (16 kPa)

M: (Pediatric)

Low 50 mmHg (07 kPa) High 80 mmHg(11 kPa)

D: (Pediatric)

Low 30 mmHg(04 kPa) High 80 mmHg(11 kPa)

S: (Neonatal)

Low 50mmHg(07 kPa) High 120 mmHg (16 kPa)

M: (Neonatal)

Low 40 mmHg (05 kPa) High 85 mmHg(11.3kPa)

D: (Neonatal)

Low 35 mmHg(4.6 kPa) High 80 mmHg(11 kPa)

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5 A

LARMS

Parameter Predefined Alarm Range

BT 25 to 43 oC (77 to 109 oF) Off Low 34oC

CPP -25 to 300 mmHg (-3 to 40 kPa) Off Low 70 mmHg

CVP -5 to 300 mmHg (-0.6 to 40 kPa) Off Low 00 mmHg

etCO

FiO

GP1/GP2 S/M/D

5 to 95 mmHg (0.7 to 12.6 kPa) Off Low 30 mmHg(04

18 to 100 % On Low 18% High 100%

-5 to 300 mmHg (-0.6 to 40 kPa) Off S: (Adult/Pediatric)

Defaul t State

Default Alarm Setting

(93.2 oF) High 39oC (102.2 oF)

(09 kPa) High 100mmHg (13 kPa)

(00 kPa) High 20 mmHg (03 kPa)

kPa) High 50 mmHg(07 kPa)

Low 90mmHg(12 kPa) High 160 mmHg (21 kPa)

M: (Adult/Pediatric)

Low 60 mmHg (08 kPa) High 125 mmHg (17 kPa)

D: (Adult/Pediatric)

Low 50 mmHg (07 kPa) High 110 mmHg (15kPa)

S: (Neonatal)

Low 50mmHg(07 kPa) High 120 mmHg (16 kPa)

M: (Neonatal)

Low 40 mmHg (05 kPa) High 85 mmHg(11.3kPa)

D: (Neonatal)

Low 35 mmHg (4.6 kPa) High 80 mmHg (11 kPa)

5-8 VISTA XL VF7

ALARM SETUP (ALARM LIMITS TABLE)

Parameter Predefined Alarm Range

Defaul t State

Default Alarm Setting

HR 20 to 300 beats per minute On Adult:

Low 45 bpm High 120 bpm

Pediatric:

Low 50 bpm High 150 bpm

Neonatal:

Low 80 bpm High 170 bpm

iCO

2 to 10 mmHg (0.3 to 1.3 kPa) (upper limit only)

Off High: 4 mmHg (0.5

kPa) (upper limit only)

ICP -25 to 300 mmHg (-3 to 40 kPa) Off

Low 02mmHg (0.26 kPa) High 20 mmHg(03 kPa)

LA -5 to 300 mmHg (-0.6 to 40 kPa) Off Low 00 mmHg(00

kPa) High 20 mmHg(03 kPa)

LV S/M/D -5 to 300 mmHg (-0.6 to 40 kPa) Off S:

Low 75 mmHg (10 kPa) High 160 mmHg (21 kPa)

Low 40 mmHg (05 kPa) High 80 mmHg (11 kPa)

Low 02 mmHg (0.26kPa) High 25 mmHg (03 kPa)

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5 A

LARMS

Parameter Predefined Alarm Range

NBP S/M/D Adult: 10 to 250 mmHg

(1.5 to 33.3 kPa) Pediatric: 10 to 170 mmHg (1.5 to 23 kPa) Neonatal: 10 to 130 mmHg (1.5 to 17 kPa)

Defaul t State

Off S: (Adult)

Default Alarm Setting

Low 90mmHg(12 kPa) High 160 mmHg (21 kPa)

M: (Adult)

Low 60 mmHg (08 kPa) High 125 mmHg (17 kPa)

D: (Adult)

Low 50 mmHg (07 kPa) High 110 mmHg (15 kPa)

S: (Pediatric)

Low 50mmHg(07 kPa) High 120 mmHg (16 kPa)

M: (Pediatric)

Low 40 mmHg (05 kPa) High 85 mmHg

(11.3kPa)

D: (Pediatric)

Low 35 mmHg (4.6 kPa) High 80 mmHg (11 kPa)

S: (Neonatal)

Low 50mmHg(07 kPa) High 80 mmHg (11 kPa)

M: (Neonatal)

Low 40 mmHg (05 kPa) High 70 mmHg (9.3kPa)

D: (Neonatal)

Low 25 mmHg (3.6 kPa) High 60 mmHg (08 kPa)

5-10 VISTA XL VF7

ALARM SETUP (ALARM LIMITS TABLE)

Parameter Predefined Alarm Range

PA S/M/D -5 to 300 mmHg (-0.6 to 40 kPa) Off S:

PLS/PLS* 30 to 300 beats per minute Off Adult:

PVC/min Adult and Pediatric: 1 to 50 PVC

per minute (upper limit only)

RA -5 to 300 mmHg (-0.6 to 40 kPa) Off Low 02mmHg

RESP Adult: 5 to 100 breaths per minute

Pediatric and Neonatal: 5 to 145 breaths per minute

RRc 5 to 145 breaths per minute Adult:

Defaul t State

Off Adult:

Off

Ped/ Neo:

Default Alarm Setting

Low 10mmHg(01 kPa) High 35 mmHg (05 kPa)

Low 07 mmHg (0.9 kPa) High 17 mmHg (02 kPa)

Low 02 mmHg (0.26kPa) High 13 mmHg (1.7 kPa)

Low 45 bpm High 120 bpm

Pediatric:

Low 50 bpm High 150 bpm

Neonatal:

Low 80 bpm High 180 bpm

High: 10 PVC per minute (upper limit only)

(0.26 kPa) High 12 mmHg (1.6 kPa)

Low 05 bpm High 30 bpm Pediatric/Neonatal: Low 20 bpm High 80 bpm

Adult: Low 05 bpm High 30 bpm Pediatric/Neonatal: Low 20 bpm High 60 bpm

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5 A

LARMS

Parameter Predefined Alarm Range

RV S/M/D -5 to 300 mmHg (-0.6 to 40 kPa) Off S:

/SpO2* 20 to 100 % Adult:

SpO

ST Alarms Adult and Pediatric: -15.0 to

Temperature (Ta/b)

ST Leads (when TruST is ON):

ΔT -32 to 35

% 1 to 100 % Off Adult/Pediatric:

+15.0mm (-1.5 to +1.5 mV)

Note: For all except STVM and STVCM

-5 to 50

Adult and Pediatric: -15.0 to +15.0mm (-1.5 to +1.5 mV)

C (25 to 120 oF) Off Low 34oC

C (0 to 95oF) Off Low 00oC(32

Defaul t State

Off

Ped/ Neo:

See “ST Alarms Table” on page 10-7.

See “ST Alarms Table on 10-

Default Alarm Setting

Low 10mmHg(01 kPa) High 35 mmHg (05 kPa)

Low 07 mmHg (0.9 kPa) High 17 mmHg (02 kPa)

Low 02 mmHg (0.26kPa) High 13 mmHg (1.7 kPa)

Adult/Pediatric:

Low 90% High 100% Neonatal: Low 85% High 95%

High 20%

(upper limit only)

Neonatal: High 10%

(upper limit only)

(93.2 oF) High 39oC (102.2 oF)

High 02oC (35.6 oF)

5-12 VISTA XL VF7

Drager Infinity Vista XL User manual

Specifications and Main Features

Frequently Asked Questions

User Manual

Overview

Intended Use

Indications For Use

Documentation Features

Warnings, Cautions, Notes

Cross-references

Quick Reference Tables

Footer

Applicability

Safety Considerations

Site of Operation

Inspection and Maintenance

General Electrical Safety

Pacemakers

Peripheral Devices

Electrosurgery

Electromagnetic Compatibility

Table of Contents

Chapter 1 Introduction

Overview

System Components

Base Unit

Monitor Front View--Vista XL

Monitor Rear View--Vista XL

Monitor Left Side--Vista XL

Monitor Right Side--Vista XL

Device Markings

Modules

MultiMed and NeoMed Pods

HemoMed Pod

etCO2 Module

Auxiliary Display Components

Other Features and Components

Power Sources

Battery Power

Charging the Batteries

Getting Started

Turning the Monitor On and Off

Accessing the Main Screen

Using the Rotary Knob

Remote Keypad

Menu Access

Fast Access Menu

Main Menu

Fixed Keys

Control Buttons

Data Archive Applications

Storing Events

Automatic Storage

Event Recall

Navigating the Event Recall Screen

Help Functions

Chapter 2 Monitor Setup

Overview

Configuring the Monitor

Main Menu Setup

Quick Reference -- Main Menu Setup

Setups Management

Specialty Menus

OR Mode

Quick Reference Table -- OR Menu

Unit Manager

Biomed

Quick Reference -- Biomed Menu

Parameter Colors

Quick Reference -- Parameter Colors Menu

Chapter 3 Network Applications

Overview

Connecting to the Network

Connecting the Vista XL to the Network

Network Message

Disconnecting the Vista XL from the Network

Wireless Network

Wireless Network Safety Considerations

Wireless Network Setup

STEPS: Installing the Wireless Card