Drager Infinity Gamma User manual

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Infinity Configured Monitoring Series

Infinity Gamma Series User’s Guide

Draeger Medical Systems, Inc. 16 Electronics Avenue Danvers, MA 01923 USA

Authorized EC representative:

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

Infinity Gamma Series User’s Guide Software Version VF4

This product is covered by one or more of the following patents: 5,224,484; 5,224,740; 5,240,008; 5,285,791; 5,355,890; 5,337,751; 5,375,604.

This device bears the ! label in accordance with the provisions of the Directive 93/42/EEC of June 14, 1993 concerning medical devices.

0123

Printed in the United States of America.

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. KGaA.

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

CAUTION: Federal Law in the United States restricts these devices to sale by, or on order of a physician.

Before using all Dräger devices, read all the manuals that are provided with your device carefully. 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.

What’s New

The functionality of the Infinity Gamma Series patient monitor has been improved and expanded to include the following new features in software version VF4:

! Support of gas monitoring functions in anesthesia and operat-

ing room environments. The Gamma XL can now display concentrations of CO halothane, isoflurane, enflurane, sevoflurane, and desflurane. The Gamma XL receives these gas values from a Dräger Scio multigas module. Note: This functionality is only available for the Gamma XL (and not the Gamma). For information about multigas monitoring, see Chapter 14, Multigas.

! Support of network laser printers. Recording requests can be

sent from the Infinity Gamma Series monitor via the Infinity network to a network laser printer. For information about recording functions, see Chapter 7, Recordings.

, N2O, O2 and of the anesthetic agents

! Improved SpO

performance during motion artifact. For

information about pulse oximetry, see Chapter 12, Pulse Oximetry.

NOTES:

The Gamma XL monitor with Anesthetic Gas Monitoring

requires FDA 510(k) review.

! The Gamma XL monitor with Anesthetic Gas Monitoring is not

yet licensed in accordance with the Canadian Medical Devices Regulations.

VF4 Infinity Gamma Series Page iii

Infinity Gamma Series Software Release Notes

Software Version VF4

! Wireless network operation requires special configurations of the monitor-

ing network and the MULTIVIEW WORKSTATION (a service function). If you experience problems with wireless network operations, contact your Service personnel.

! When moving and assigning a wireless monitor to a different central sta-

tion, the original central station may emit a brief network error tone and display an Offline message instead of the message Bed Disconnected. However, there is no disruption of network monitoring and the Offline message clears as soon as you assign a new bed to the central viewport.

! When you change the units of measure at the bedside and the central sta-

tion is showing the monitor’s bed view, you must first exit the central bed view, before the change of units appears at the central station.

! For network and card data transfer:

— Occasionally, after a data transfer from an Infinity Delta Series monitor, you may see three or four ST trends instead of the two ST leads monitored by the Infinity Gamma Series monitor.

! For network data transfer only:

— If ST is enabled, the ST data transferred from an Infinity Delta Series monitor (VE0) or from a M I and II, regardless of the ST leads selected on the Infinity Gamma Series monitor. Note: Other ST data will be permanently lost.

— After a network transfer of telemetry data to an Infinity Gamma Series monitor, ST trend points may appear two minutes apart.

— The IBP data transferred from an Infinity Delta Series monitor (VE0) to an Infinity Gamma Series monitor is labelled GP1 and GP2.

! NBP parameter values transferred from an Infinity Gamma Series monitor

to an Infinity Delta Series monitor will be displayed in the trend graphs rather than in the trend tables of the destination monitor.

! On rare occasions, a docked monitor may reset when entering the

Transfer Menu under certain network conditions. The monitor returns to the state prior to the reset within 30 seconds.

ULTIVIEW Telemetry System (VE0) is ST lead

! When power-cycling the monitor or admitting a new patient, saved moni-

toring settings may occasionally return to default settings. Check monitoring settings after these events.

! If the Scio module is unable to measure the concentration of N

itor may enter the error code *A* (artifact) instead of *F* (failure) into the

O, the mon-

trend storage.

Page iv Infinity Gamma Series VF4

Occasionally, the ECG waveform is not displayed in the second waveform channel, when you assign SpO2 to the first waveform channel. In this case, click on the second waveform channel and select the desired ECG lead again.

! When admitting a patient at the MULTIVIEW WORKSTATION, the monitor

does not store the admit date, if it is the current date. In this case, you must enter the admit date via the monitor’s Patient Admit menu.

! When the values of an anesthetic agent exceed the measuring range, the

monitor displays +++ in the agent parameter box and cycles two out-ofrange error messages, one correctly identifying the agent with out-ofrange values, the other showing a previously monitored agent.

VF4 Infinity Gamma Series Page v

Documentation Features

Notes, Cautions, Warnings

NOTE: A note presents information that helps you operate the equipment or connected devices.

CAUTION: A caution provides information or instructions that must be followed to ensure proper operation and performance of the equipment

WA RN I NG : A warning contains important information regarding possible danger to you or the patient that is present during normal operation of the equipment.

Page vi Infinity Gamma Series VF4

Chapter Overview

Chapters

Overview....................................................................................1

Monitor Setup ........................................................................... 2

Network Applications............................................................... 3

Admission, Discharge, Transfer.............................................. 4

Alarms and Messages.............................................................. 5

Trends........................................................................................ 6

Recordings................................................................................ 7

ECG and Heart Rate ................................................................. 8

Arrhythmia ................................................................................ 9

ST-Segment Analysis ............................................................. 10

Respiration.............................................................................. 11

Pulse Oximetry ....................................................................... 12

End-Tidal CO2.........................................................................13

Multigas................................................................................... 14

Non-Invasive Blood Pressure................................................ 15

Invasive Blood Pressure........................................................ 16

Temperature ............................................................................ 17

Appendices

Options and Accessories ....................................................... A

Cleaning, Disinfecting, Sterilizing.......................................... B

Default Settings and Biomedical Support............................. C

Technical Data ......................................................................... D

Glossary

Index

VF4 Infinity Gamma Series Page vii

Overview

Important General Safety Considerations .................................... 1-2

Electromagnetic Compatibility ................................................ 1-2

Reducing EMI ............................................................................1-3

Site of Operation .......................................................................1-3

Electrical Safety ........................................................................ 1-4

Connections to Peripheral Devices.........................................1-4

Safety, Inspection, and Maintenance ......................................1-5

Electrosurgery and Defibrillation Safety ................................1-6

Pacemaker Safety .....................................................................1-6

Device Markings........................................................................1-7

General Description........................................................................1-8

Front Panel ....................................................................................1-10

Back Panel.....................................................................................1-11

Left Side Panel ..............................................................................1-12

Right Side Panel............................................................................1-13

Interface Plate (optional)..............................................................1-14

Infinity Gamma Display ................................................................1-15

Alarm Colors ...........................................................................1-15

Display Colors.........................................................................1-16

Rotary Knob ..................................................................................1-17

Fixed Keys.....................................................................................1-18

Menus.............................................................................................1-19

Power Sources ..............................................................................1-20

MultiMed/NeoMed Pod..................................................................1-21

etCO2 Pod and Multigas Module................................................. 1-22

Recorder ........................................................................................1-22

Remote Displays...........................................................................1-23

Monitor Setup

Getting Started ................................................................................2-2

Using the AC Adapter...............................................................2-2

Using the Battery ......................................................................2-4

Assembling MultiMed and NeoMed Pods...............................2-9

Page viii Infinity Gamma Series VF4

Starting the Monitor......................................................................2-10

Main Screen Configuration ..........................................................2-11

Waveform Selection................................................................2-11

Bottom Channel Display.........................................................2-12

OR Mode ..................................................................................2-15

Show Respiration or etCO2 Parameters...............................2-16

Setting Date and Time ..................................................................2-17

Setting the Master Speaker Volume............................................2-18

Turning External Alarm Lights ON/OFF......................................2-19

Standby..........................................................................................2-20

Saving Setups ...............................................................................2-21

Network Applications

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

Network Configurations .................................................................3-3

Basic Network Components ....................................................3-4

Basic Bedside Setups...............................................................3-5

Network Operation..........................................................................3-6

Docking Station.........................................................................3-7

Docking and Undocking ...........................................................3-9

Wireless Network Configuration............................................3-11

Wireless Network Operation ..................................................3-13

Network Safety Considerations...................................................3-16

Alarm and Status Messages ........................................................3-17

Admission/Discharge/Transfer

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

Patient Admission...........................................................................4-3

Admit Menu................................................................................4-4

Patient Category........................................................................4-5

Name and ID ..............................................................................4-6

Admit Date .................................................................................4-8

Patient Discharge............................................................................4-9

Data Transfer.................................................................................4-10

Transfer Across the Network.................................................4-11

Transfer with a Data Memory PC Card..................................4-13

VF4 Infinity Gamma Series Page ix

Alarms and Messages

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

Life-Threatening Alarms...........................................................5-2

Serious Alarms..........................................................................5-3

Advisory Alarms .......................................................................5-4

Alarm Settings.................................................................................5-5

Setting Alarm Limits .................................................................5-6

Turning Parameter Alarms On/Off...........................................5-8

Turning Alarm Recordings On/Off ..........................................5-9

External Alarm Lights...............................................................5-9

Alarm Validation............................................................................5-10

Silencing Alarms...........................................................................5-11

Alarm Silence Key...................................................................5-11

All Alarms OFF Key ................................................................5-12

Assigning Alarm Groups..............................................................5-13

Central Alarms ..............................................................................5-14

Alarms in OR Mode....................................................................... 5-15

Messages.......................................................................................5-16

Trends

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

Trend Setup.....................................................................................6-3

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

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

Special Conditions and Codes ......................................................6-8

Recordings

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

Recorder Preparation .....................................................................7-3

Assigning Network Recorders.......................................................7-6

Recording Waveforms....................................................................7-7

Timed Recordings.....................................................................7-7

Continuous Recordings ...........................................................7-8

Recording Formats ...................................................................7-9

Recording Trends .........................................................................7-11

Page x Infinity Gamma Series VF4

Recording Alarms .........................................................................7-13

Stored Recordings........................................................................7-14

Event Recall.............................................................................7-14

Saving, Printing, Deleting Stored Recordings .....................7-16

Recording Status Messages ........................................................7-17

ECG and Heart Rate

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

Patient Preparation .........................................................................8-3

Selecting and Preparing the Electrodes .................................8-3

Preparing the Patient’s Skin ....................................................8-3

Positioning the Electrodes.......................................................8-5

ECG Monitoring Settings ...............................................................8-8

Cable Type .................................................................................8-8

Lead Selection and Display Amplitude...................................8-9

Cascade Display......................................................................8-10

One- or Two-Channel Signal Processing..............................8-11

Pulse Tone Source..................................................................8-12

Pulse Tone Volume.................................................................8-13

Pacer Detection.......................................................................8-14

Displaying Sync Marks...........................................................8-15

ECG and HR Safety Considerations............................................8-16

HR Alarm Settings...................................................................8-16

Neonatal ECG Monitoring.......................................................8-16

ECG 50/60 Hz Notch Filter Setting.........................................8-16

Muscle Stimulators .................................................................8-16

Electrosurgery (ESU)..............................................................8-17

Infusion pumps .......................................................................8-19

Defibrillators and Cardioversion ...........................................8-19

High P-Waves and T-Waves...................................................8-19

Pacemakers .............................................................................8-20

AV Sequential or DDD Pacemakers.......................................8-21

Pacemakers with Impedance-Derived Rate Response........8-21

Large Amplitude Pacer Pulses ..............................................8-22

Transcutaneous Electrical Nerve Stimulators (TENS).........8-22

VF4 Infinity Gamma Series Page xi

Arrhythmia

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

Turning Arrhythmia Monitoring ON .............................................. 9-4

Arrhythmia Setup............................................................................9-5

Rate and Count .........................................................................9-6

Arrhythmia Alarms....................................................................9-6

Arrhythmia Alarm Recordings.................................................9-7

Relearning a Patient’s ECG............................................................9-7

ST Segment Analysis

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

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

ST Setup ........................................................................................10-4

Isoelectric and ST Measuring Points .................................... 10-5

ST Reference Complex...........................................................10-7

ST Alarms ......................................................................................10-8

Respiration

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

Patient Preparation.......................................................................11-3

Selecting and Preparing the Electrodes ...............................11-3

Preparing the Patient’s Skin ..................................................11-3

Electrode Placement for Respiration Monitoring ................11-3

Respiration Monitoring Display................................................... 11-5

Displaying Respiration Data .................................................. 11-6

Rsp Display Channel ..............................................................11-7

Resp Display Amplitude.........................................................11-8

Respiration Monitoring Settings .................................................11-9

Rsp Mode.................................................................................11-9

Resp Markers ........................................................................11-10

Apnea Time............................................................................11-11

Coincidence Alarm ...............................................................11-12

Relearning a Patient’s Respiration Pattern ........................ 11-13

Rsp Safety Considerations ........................................................11-14

OxyCRG Monitoring (Neonatal Option) ....................................11-15

Displaying OCRG Waveforms..............................................11-15

OCRG Recordings ................................................................11-17

Page xii Infinity Gamma Series VF4

Pulse Oximetry

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

Sensor Application .......................................................................12-2

SpO2 Safety Considerations........................................................12-4

SpO2 Monitoring Display .............................................................12-5

SpO2 Display Channel............................................................12-5

SpO2 Display Amplitude ........................................................12-6

Cascade Display......................................................................12-7

SpO2 Monitoring Settings............................................................12-8

Pulse Tone Source..................................................................12-8

Pulse Tone Volume.................................................................12-9

Signal Strength Bar Graph...................................................12-10

Averaging Mode ....................................................................12-11

End-Tidal CO2

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

etCO2 Source ................................................................................13-3

etCO2 Display................................................................................13-4

Monitoring Preparations ..............................................................13-6

Connecting Sensor and etCO2 Pod ......................................13-6

Attaching the Capnostat and Airway Adapter...................... 13-6

Calibrating the Sensor and Adapter....................................13-10

etCO2 Monitoring Settings.........................................................13-12

Averaging Mode ....................................................................13-12

RRc Apnea Time....................................................................13-13

Balance ..................................................................................13-14

Measuring Mode....................................................................13-15

Anesthetic Agent Compensation.........................................13-15

Atmospheric Pressure Compensation................................13-17

etCO2 Alarms ..............................................................................13-19

Multigas

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

Connections ..................................................................................14-3

Gamma XL with Scio...............................................................14-3

The Scio Module ...........................................................................14-4

Warm-Up ..................................................................................14-6

VF4 Infinity Gamma Series Page xiii

Site of Operation .....................................................................14-6

Installing/Removing the Water Trap......................................14-7

Connecting Sampling Lines and Power Cord ......................14-7

OR Mode ........................................................................................14-9

CO2 Display and Setup ........................................................14-11

Multigas Display and Setup .................................................14-12

Non-Invasive Blood Pressure

Overview ........................................................................................15-2

Cuff Selection and Placement .....................................................15-4

NBP Safety Considerations ...................................................15-5

NBP Measurements ......................................................................15-6

Single Measurements .............................................................15-6

Interval Mode...........................................................................15-6

Inflation Mode..........................................................................15-8

Measurement Tone ...............................................................15-10

NBP Measurements in OR Mode ...............................................15-11

NPB Alarms .................................................................................15-12

Invasive Blood Pressure

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

Invasive Pressure Labels.............................................................16-3

IBP Display ....................................................................................16-4

Display Channel and Waveform Amplitude..........................16-4

Selecting and Preparing the Transducer.................................... 16-6

Zeroing and Calibration Check..............................................16-7

Zero and Calibration Check Troubleshooting......................16-9

Calibrating Reusable Transducers......................................16-10

Temperature

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

Temperature Probes.....................................................................17-3

Placing the Probe....................................................................17-3

Page xiv Infinity Gamma Series VF4

Options and Accessories

Options ........................................................................................... A-2

MultiMed/NeoMed Pods................................................................. A-2

ECG ................................................................................................. A-3

Pulse Oximetry (SpO2) .................................................................. A-4

End Tidal CO2 (etCO2) .................................................................. A-6

Multigas ..........................................................................................A-7

Temperature ................................................................................... A-8

Invasive Blood Pressure (IBP)...................................................... A-8

Non-invasive Blood Pressure (NBP) .......................................... A-10

Power Sources ............................................................................. A-10

Displays and Display Components ............................................ A-12

Recorder ....................................................................................... A-13

Mounting Devices ........................................................................ A-13

Miscellaneous .............................................................................. A-14

Cleaning, Disinfecting, Sterilizing

Cleaning, Disinfecting and Sterilizing.......................................... B-2

Monitor ...................................................................................... B-2

Patient Cables .......................................................................... B-3

Reusable ECG Electrodes....................................................... B-3

Reusable SpO2 Sensor............................................................ B-4

NBP Cuff ................................................................................... B-4

Temperature probes and cables............................................. B-4

Reusable Pressure Transducers and Cables ........................ B-5

Cleaning etCO2 Pod and Accessories......................................... B-7

Capnostat Sensor .................................................................... B-7

Reusable Airway Adapters...................................................... B-7

Nasal Sampling Cannulas and Tubing................................... B-7

Sidestream Sampling Pump.................................................... B-7

Scio Module and Accessories .................................................... B-11

Emptying the Water Trap....................................................... B-11

Cleaning/Replacing the Fan Filter ........................................ B-12

VF4 Infinity Gamma Series Page xv

Default Settings and Biomedical Support

Default Settings.............................................................................. C-2

Biomedical Support..................................................................... C-12

Startup Tests .......................................................................... C-13

Checking the NBP Calibration .............................................. C-14

Biomed Menu ......................................................................... C-15

Saving a Patient Setup .......................................................... C-16

Locked Options and Demo Mode ......................................... C-17

Diagnostic Logs ..................................................................... C-18

Changing Units of Measure .................................................. C-19

Technical Data

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

Regulatory Compliance........................................................... D-2

Basic System Components..................................................... D-3

Monitoring Accessories .......................................................... D-9

Monitoring Specifications ..................................................... D-12

Glossary

Index

Page xvi Infinity Gamma Series VF4

1 Overview

Important General Safety Considerations...........................1-2

Electromagnetic Compatibility .......................................1-2

Reducing EMI ...................................................................1-3

Site of Operation .............................................................. 1-3

Electrical Safety ...............................................................1-4

Connections to Peripheral Devices................................1-4

Safety, Inspection, and Maintenance .............................1-5

Electrosurgery and Defibrillation Safety........................1-6

Pacemaker Safety ............................................................1-6

Device Markings...............................................................1-7

General Description ..............................................................1-8

Front Panel...........................................................................1-10

Back Panel ...........................................................................1-11

Left Side Panel.....................................................................1-12

Right Side Panel .................................................................. 1-13

Interface Plate (optional).....................................................1-14

Gamma Display....................................................................1-15

Alarm Colors...................................................................1-15

Display Colors................................................................ 1-16

Rotary Knob .........................................................................1-17

Fixed Keys............................................................................1-18

Menus ...................................................................................1-19

Power Sources.....................................................................1-20

MultiMed/NeoMed Pod ........................................................ 1-21

etCO2 Pod and Multigas Module........................................ 1-22

Recorder...............................................................................1-22

Remote Displays..................................................................1-23

Important General Safety Considerations

CAUTION: Read all operating instructions carefully before using the monitor. Specific warnings and cautions are found throughout the User’s Manual where they apply.

CAUTION: These devices are not intended for use in the same room as magnetic resonance equipment.

WA RN I NG : Monitor operation is currently not supported in the following environments: magnetic resonance imaging (MRI), aircraft, ambulance, home or hyperbaric chamber environments.

CAUTION: Use only batteries that are approved by Dräger (contact your local representative). The use of non-approved batteries may damage the device.

NOTE: Dräger recommends replacing any lead-acid battery after 12 months of continued use. For safe disposal of lead-acid and lithium ion batteries, follow your local regulations. To prevent risk of fire or explosion, never dispose of the battery in fire.

Dräger is liable for the safety, reliability and performance of its equipment only if (a) maintenance, repairs, and modifications are carried out by authorized personnel, (b) if components are replaced with Dräger approved spare parts and (c) if the devices are used in accordance with Dräger Operating Instructions.

A full technical description is available upon request from your local Dräger representative.

Electromagnetic Compatibility

The monitor has been designed and tested for compliance with current regulatory standards as to its capacity to limit electromagnetic emissions (EMI), and also as to its ability to block the effects of EMI from external sources.

The monitor complies with the following standards pertaining to EMI emissions and susceptibility: EN55011 and EN60601-1-2.

Page 1-2 Infinity Gamma Series VF4

Reducing EMI

To reduce possible problems caused by electromagnetic interference, we recommend the following:

! Use only Dräger-approved accessories.

! Ensure that other products used in areas where patient moni-

toring and/or life-support is used comply to accepted emissions standards (EN55011).

! Try to maximize the distance between electromedical

devices.

! Strictly limit exposure and access to portable radio-frequency

sources (e.g., cellular phones and radio transmitters). Be aware that portable phones may periodically transmit even when in standby mode.

! Maintain good cable management. Do not route cables over

electrical equipment. Do not intertwine cables.

! Ensure all electrical maintenance is performed by qualified

personnel.

Overview

Site of Operation

CAUTION: The site of operation for the monitor must meet temperature, humidity, and air pressure requirements. For details, see the product description in Appendix A.

WA RN I NG : Do not operate the monitor in presence of flammable anesthetic mixtures with air, oxygen, or nitrous oxide. Do not use the monitor near devices with microwave or other high frequency emissions that may interfere with the monitor’s operation.

WA RN I NG : If fluids are accidentally spilled on the monitor, it should be removed from service immediately and thoroughly inspected by your Biomed to ensure that there is no compromise in electrical safety.

CAUTION: Place the monitor on a flat and stable surface to prevent it from falling. Do not place the monitor into a cabinet, wall recess or similar enclosure during operation. These units are convection cooled (no fan) and need adequate airflow to dissipate heat.

VF4 Infinity Gamma Series Page 1-3

Electrical Safety

CAUTION: Operate the monitor and any connected devices only in a clinical environment where the electrical installation is in accordance with local electric codes. The universal AC adapter, CPS, or IDS should be connected to a fully tested, hospital-grade outlet with proper grounding.

WA RN I NG : Dräger devices are not intended for use in areas where there is a danger of explosion. If the devices are used where flammable anesthetic substances are used, the possibility of an explosion cannot be excluded.

If the AC adapter, CPS, or IDS is disconnected, the monitor “Battery charger” light turns off and the unit switches immediately to battery power.

Connections to Peripheral Devices

All peripheral devices and connections to the monitor (except the Infinity network) must comply with IEC 60601-1 requirements.

CAUTION: In the interest of patient safety and equipment performance, Dräger does not authorize the connection of other manufacturers’ equipment not approved by Dräger. It is the user's responsibility to contact Dräger to determine compatibility and warranty status if connections to other manufacturers' equipment are desired.

CAUTION: When connecting peripheral devices to the monitor, make sure that the entire system complies with the following requirement: IEC 60601-1-1: Safety requirements for medical electrical systems.

Page 1-4 Infinity Gamma Series VF4

Safety, Inspection, and Maintenance

WA RN I NG : Because of the danger of electric shock, never remove the cover of any device while in operation or connected to a power outlet via the AC adapter.

In the interest of safety, regular equipment inspection and maintenance is required. Once a year, check all cables, devices, and accessories for damage, ground resistance, chassis and patient leakage currents, and all alarm functions. Also, ensure that all safety labels are legible. Maintain a record of these safety checks. For additional information, refer to the Service manual.

Leakage current will increase when connecting multiple medical devices to a patient. Ensure the electrical shock classification for each device is suitable for the intended application.

Dräger recommends that safety and functional checks be performed on the monitor at least once each year. The temperature and non-invasive blood pressure circuits of the monitor should be calibrated at least every two years. These checks should be performed by authorized personnel, as described in the appropriate Service manual.

Overview

When main or battery power is not available, the monitor stores patient data and settings in an internal battery backed-up SRAM. This internal battery will last approximately 10 years if the monitor is operated from main power or from the lead acid or lithium ion battery.

CAUTION: To preserve the life of the internal battery, always leave the monitor connected to main power (using the AC adapter) when not in use. If the monitor is stored unconnected lead acid/lithium ion battery power, the capacity of the internal battery will be drained in approximately three years.

VF4 Infinity Gamma Series Page 1-5

from line or

Electrosurgery and Defibrillation Safety

The monitor is protected against high-frequency interference from electrosurgery units and discharges from defibrillators, as well as against 50- and 60-Hertz power line interference.

WA RN I NG : The monitor is not protected against highfrequency interference from diathermy equipment.

CAUTION: During Electrosurgery, observe the following guidelines to minimize ESU interference and provide maximum user and patient safety:

! Use the ESU block to connect ECG cables.

! Keep all transducers and intermediate cables off of earth

ground and away from the ESU knife and return wires.

! Use the SpO

heart rate.

! Use rectal temperature probe sheaths to cover any internally

placed temperature sensors.

! Always use the accessories designed for ESU environments.

! If pacer detection is on, the ESU interference may be detected

as pacer spikes displayed on the ECG.

pulse rate instead of the ECG to determine the

Pacemaker Safety

WA RN I NG : Rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias. Do not rely entirely upon rate meter alarms. Keep pacemaker patients under close surveillance.

WA RN I NG : Make sure that pacer detection is turned off for patients without pacemakers, and turned on for patients with pacemakers.

Page 1-6 Infinity Gamma Series VF4

Device Markings

Overview

(

0123

)

IPX1

Power On/Off, Power standby.

Battery operated equipment.

Attention, consult the accompanying documents.

Type CF, defibrillator-proof equipment.

Direct current.

Alternating current.

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

This device bears the ) label in accordance with the provisions of the Directive 93/42/EEC of 14June 1993 concerning medical devices.

Protected against harmful effects of dripping water.

NBP

IBP

VF4 Infinity Gamma Series Page 1-7

Non-Invasive Blood Pressure.

Invasive Blood Pressure.

General Description

The Gamma Series monitor is a durable, lightweight, and portable patient monitor that can operate as a stand-alone device or as part of the Dräger Infinity network. The Dräger P concept allows the monitor’s quick and easy disconnection from the network, and the monitor can travel with the patient from one clinical station to another — i.e. from the bedside to the OR to a step-down unit and back.

The monitor provides high-quality patient care for adult, pediatric, and neonatal patients in clinical environments.The monitor provides high-quality patient care for adult, pediatric, and neonatal patients in clinical environments and offers the following monitoring functions:

! ECG and Heart Rate Monitoring (3-, 5-, and 6-lead).

! Arrhythmia Detection (Basic and Full).

! 2-lead ST Segment Analysis (adult and pediatric mode only).

! Respiration Monitoring (impedance pneumography).

! Pulse Oximetry.

! End-tidal CO2 Monitoring.

ICK AND GO™

! Anesthetic Gas Monitoring (Gamma XL only).

! Temperature Monitoring.

! OxyCardiorespirogram (neonatal mode only).

! Non-Invasive Blood Pressure Monitoring.

! Invasive Blood Pressure Monitoring.

! Trend Storage.

! Event Storage.

! Recordings.

! Patient Data Transfer (via PC Card or Network).

! Wireless Network Operation.

Page 1-8 Infinity Gamma Series VF4

Overview

The monitor Gamma has a 6.5”, the monitor Gamma XL an 8” color display. Both monitors have a rechargeable battery. A universal AC adapter is available for connection to a hospital- grade outlet.

When used as a stand-alone device, you can connect the following peripheral equipment to the monitor via the monitor’s interface plate:

! An R50 Series recorder for printing alarm data, waveforms,

trends, and diagnostic logs.

! A nurse call system for broadcasting life-threatening, serious,

and advisory alarms.

! A VGA remote display for viewing monitoring data on a

larger screen.

For exporting data to external devices, the monitor provides a fast synchronization output (i.e. for defibrillators) and an RS232 connector (via an interface plate or an Infinity Docking Station/CPS Communication Power Supply).

When operating within the Infinity network, the monitor communicates with other network devices and with the M

ORKSTATION™ (central station), allowing central monitoring of

W bedside data.

ULTIVIEW

For more information on network operation, refer to the chapter Network Application.

You can transfer patient data between monitors with the help of a Data Memory PC Card or via the network. For information on data transfer, see the chapter Admission, Transfer, Discharge.

VF4 Infinity Gamma Series Page 1-9

Front Panel

1) Alarm Light

2) Fixed Keys

3) Rotary Knob

4) Power ON/OFF Key

Page 1-10 Infinity Gamma Series VF4

Back Panel

Overview

1) Power Supply Connection

2) Battery Compartment Cover

VF4 Infinity Gamma Series Page 1-11

Left Side Panel

1) NBP Hose Connection

2) M

ULTIMED/NEOMED Connection

3) Invasive Blood Pressure Connection

4) PodPort (optional etCO

Page 1-12 Infinity Gamma Series VF4

Pod Connection)

Right Side Panel

Overview

1) Carrying Handle

2) Memory Card Slot

3) QRS Sync. Output

VF4 Infinity Gamma Series Page 1-13

Interface Plate (optional)

1) X5: External VGA/Scio Multigas Module

2) X7: Alarm Output/R50 Recorder/RS232

Page 1-14 Infinity Gamma Series VF4

Gamma/Gamma XL Display

Overview

Waveform Channel 1

Waveform Channel 2

Waveform Channel 3

Waveform/ Parameter Channel 4

NOTE: The fourth display channel is available as an option for the Gamma monitor, but standard on all monitors Gamma XL. For information on screen configuration, see the chapter Monitor Setup. For information on the fourth channel option, please contact your Dräger representative.

Alarm Colors

Colors are used to call your attention to important events:

! Black letters on a red background are used for life-threaten-

ing alarms and their messages (e.g., Asystole).

Message Area

Parameter Boxes

! Black letters on a yellow background are used for serious

alarms and their messages (e.g., Rsp Too High).

! Black letters on a white background are used for advisory

alarms and their messages (e.g., Rsp Lead Off).

! Amber letters on a dark gray background are used for net-

work messages (see the Network Applications chapter for details).

! White letters on a blue background are used for messages and

information unrelated to the network (e.g., Battery Charging).

VF4 Infinity Gamma Series Page 1-15

Display Colors

The use of colors on the monitor allows you to identify a parameter and its waveform quickly. The following colors are predefined and cannot be changed:

Heart rate Green

PVC/ARR Green

ST Segment Analysis* Green

SpO

/PLS White

Respiration Blue

etCO2*, iCO2*, RRc* Yellow

Multigas Parameters O2-white, N2O-blue, ISO-pur-

ART, GP1, GP2* Red

PA Yel l ow

CVP, ICP Blue

*Options

ple, ENF-orange, HAL-red, DESblue, SEV-yellow

The parameter color extends to the following display elements:

! Parameter label.

! Parameter waveform.

! Parameter trend labels and graphs.

If the parameter box appears next to its waveform on the screen, the values are also displayed in the appropriate parameter color. Otherwise, the values are white.

Exceptions: For NBP and Temperature parameter and units, the trend graph, trend label and parameter label are white, and no waveform is available.

Page 1-16 Infinity Gamma Series VF4

Rotary Knob

Using the rotary knob, you can:

! Select a screen area (parameter box or waveform field).

! Call up a menu and change menu options.

! Scroll through trend tables and graphs.

! Scroll through stored events.

! Switch between trend tables and graphs.

STEPS: Calling up a menu

1. Turn the knob clockwise or counterclockwise to navigate the screen. Selected areas appear framed.

2. Press (click) the knob to call up a screen area’s menu (a parameter menu or a waveform channel menu).

Overview

STEPS: Changing menu options

1. Dial to highlight the desired menu option.

2. Press the knob to activate the option.

3. Dial in the desired setting.

4. Press the knob to confirm the change.

5. To exit the menu, press the

VF4 Infinity Gamma Series Page 1-17

Main Screen fixed key.

Fixed Keys

The monitor has a Power ON/OFF key and eight fixed keys on the front of the unit. These keys give the user access to various monitoring functions:

Power

Press this key to turn the monitor on or off.

Alarm Silence

Record

Alarm Limits

NBP Start/Stop

All Alarms Off

Fast Access

Main Screen

Press this key to silence an active alarm for one minute.

Press this key to start a manual recording. If no recorder is connected or assigned to this monitor, the recording is stored as an event and can be viewed, printed or deleted at a later date.

Press this key to access the alarm limits table.

Press this key to start a manual NBP measurement, or to stop one in progress.

Press this key to silence all alarms for three minutes.

Press this key to access the monitor’s Bottom Channel menu as well tabular trends, graphical trends, and the Event Recall screen.

Press this key to access the monitor’s Main Menu.

Press this key to return to the monitor’s main screen from any open menu or display, or to return to monitoring after Standby or a patient discharge.

Page 1-18 Infinity Gamma Series VF4

Menus

Overview

Menus provide easy access to monitoring functions, including:

! Initial monitor and system setup.

! The setting of alarm functions.

! The setting of monitoring options for each parameter.

Menus are displayed in the waveform area. Use the rotary knob or a fixed key to access menus. A complete menu tree is shown at the end of this chapter.

NOTES:

! Some menu items are only available, if the corresponding mon-

itoring function has been enabled/selected (i.e. fourth waveform channel, second IBP parameter, full arrhythmia monitoring, ST monitoring, etCO work monitoring).

! Parameter boxes for invasive blood pressure (IBP) show the

labels ART, PA, CVP, ICP or a generic pressure label (GP1 or GP2); see the chapter Invasive Blood Pressure.

VF4 Infinity Gamma Series Page 1-19

monitoring, OCRG, wireless net-

Power Sources

The monitor can be operated with battery power or connected to line power via an AC adapter or Docking Station. See the chapter Monitor Setup for a description of battery operation and the AC adapter. See the chapter Network Applications for a description of the Docking Station and Pick-and-Go transport.

Monitor with Battery

Monitor with AC Adapter

Infinity Docking Station

Page 1-20 Infinity Gamma Series VF4

MULTIMED/NEOMED Pod

For easier cable management, ECG cable sets, the SpO2 sensor and temperature probes are housed in a M pod. See the Monitor Setup chapter for information on assembling the patient cables.

MULTIMED 5 Pod and Accessories

Overview

ULTIMED or NEOMED

MULTIMED 6 Pod and Accessories

NEOMED Pod and Accessories

VF4 Infinity Gamma Series Page 1-21

etCO2 Pod and Multigas Module

An etCO2 pod for the measurement of end-tidal CO2, and a multigas module for the measurement of O thetic agents are available as an option. See the chapters End-

Tidal CO

etCO2 Pod

and Multigas for more information.

, CO2, N2O and five anes-

Scio Multigas Module

Recorder

You can connect a Dräger R50 Series strip-chart recorder to the monitor for the documentation of your patient’s vital sign information, including trends and alarms. For information on recordings, see the chapter Recordings.

R50 Recorder

Page 1-22 Infinity Gamma Series VF4

Remote Displays

The bedside monitor can send data to a larger VGA video display for an enhanced view of the monitoring functions. The VGA display connects directly to the Infinity Docking Station (IDS), interface plate, or the Communication Power Supply (CPS). Use of a Dräger-approved video display is recommended. For ordering information, see the Accessories appendix.

NOTE: The remote display output on the IDS/CPS is not galvanically isolated. If you use a video monitor other than the one approved by Dräger, 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. Additionally, radiated and conducted emissions classification, suitability for flammable locations and water ingress protection must be considered based on the intended use of the system.

Overview

VF4 Infinity Gamma Series Page 1-23

Main Menu

Review Trend Graphs

Trend Tables

Event Recall

Admit/Discharge Patient Admit Patient Category Adult

Pediatric

Neonate

Name (dial in)

ID (dial in)

Admit Date (current date)

Care Unit (select)

Bed Label (select)

Discharge Discharge Patient? No

Yes

Transfer Care Unit (select)

Transfer Bed (select)

Start Transfer Confirm

Cancel

Copy Data Copy to Card

Name

Start Transfer

Page 1-24 Infinity Gamma Series VF4

Admit/Discharge Copy Data Copy to Monitor Name

Start Transfer

Monitor Setup Main Screen Bottom Channel All

Waveform

Wave+NBP

NBP

OR Mode ON

OFF

Overview

Show Rsp/etCO

Screen Brightness Dim

Monitor Options Date & Time Date

Speaker Volume Low

Alarm Light ON

Trend Setup Channel 1 (select parameter)

Channel 2 (select parameter)

etCO

Rsp

Bright

Time

Medium

High

OFF

VF4 Infinity Gamma Series Page 1-25

Monitor Setup Trend Setup Channel 3 (select parameter)

Recordings Primary Recorder (select)

Secondary Recorder (select)

Review Event Recall

Biomed (password)

Alarm Groups 1 - 255

Standby

Fast Access Menu

Bottom Channel All

Wavefo rm

Wave+N BP

NBP

Trend Graphs

Trend Tables

Event Recall

Channel Display Menu

(1, 2, 3, 4 Channel) Wavefo rm (select param.)

Size (param.specific)

Page 1-26 Infinity Gamma Series VF4

Alarm Limits Table

(Parameter) Upper (dial in)

Autoset

Lower (dial in)

Alarm ON

OFF

Record Record

Store

Str/Rec

OFF

HR Menu

(HR P-Box) Tone Source ECG

Overview

SpO2

Tone Volume Low

Medium

High

OFF

Pacer Detect ON

OFF

QRS Mark ON

OFF

VF4 Infinity Gamma Series Page 1-27

(HR P-box) Arrhythmia Setup Rate (dial in)

Count (dial in)

Alarm ON

OFF

Record Record

Store

Str/Rec

OFF

ECG Processing ECG1

ECG1&2

ECG Leads 3, 5, 6

Arrhythmia Basic

Full

OFF

Relearn (last relearn)

Page 1-28 Infinity Gamma Series VF4

Rsp Menu

(Resp P-Box) Resp Mode Manual

Auto

OFF

Resp. Marker ON

OFF

Relearn (last relearn)

Apnea Time 10 . . . 30

OFF

Coincidence ON

OFF

Multigas Menu

Overview

(Agent P-Box) Agent Override Isoflurane

Enflurane

Halothane

Desflurane

Sevoflurane

OFF

Multigas Alarms (alarm table)

Autozero Delay

VF4 Infinity Gamma Series Page 1-29

etCO2 Menu (with POD)

NOTE: If Scio rather than the pod is the etCO2 source, the etCO2 menu shows only the selection RRc Apnea.

(etCO2 P-Box) etCO2 Source POD

SCIO

Averaging Breath

10s, 20s

Instant.

RRc Apnea 10 . . . 30

OFF

Sensor Cal.

Adapter Cal.

Balance Air

N2O/O2

>60% O2

Heliox

Meas. Mode Main

Side

Insp. Agent 0 . . . 20

Exp. Agent 0 . . . 20

Atm. Press. Mode Auto

Manual

Atm. Pressure 400 . . . 800

Page 1-30 Infinity Gamma Series VF4

SpO2 Menu

(SpO2 P-Box) Tone Source ECG

SpO2

Tone Volume Low

Medium

High

OFF

Bar Graph ON

OFF

Averaging Normal

Fast

Sensor Type (informational only)

Overview

ST Menu

(ST P-Box) ISO (place point)

ST (place point)

Ref ON

OFF

Save (last save)

VF4 Infinity Gamma Series Page 1-31

NBP Menu

(NBP P-Box) Interval Mode 2 . . . 240

OFF

Calibration Mode ON

OFF

Inflation Mode Adult: 270

Adult: 180

Ped: 180

Ped: 140

Neo: 140

Neo: 90

Measurement Tone ON

OFF

IBP Menu

(IBP P-Box) Label (select param.)

Zero

Cal. Factor 80 . . . 120

Mano. Cal. (mmHg)

1 . . . 300

Page 1-32 Infinity Gamma Series VF4

2 Monitor Setup

Getting Started.......................................................................2-2

Using the AC Adapter ......................................................2-2

Using the Battery .............................................................2-4

Assembling MultiMed and NeoMed Pods ...................... 2-9

Starting the Monitor ............................................................2-10

Main Screen Configuration.................................................2-11

Waveform Selection.......................................................2-11

Bottom Channel Display................................................2-12

OR Mode .........................................................................2-15

Show Respiration or etCO2 Parameters......................2-16

Setting Date and Time.........................................................2-17

Setting the Master Speaker Volume ..................................2-18

Turning External Alarm Lights ON/OFF ............................ 2-19

Standby ................................................................................2-20

Saving Setups......................................................................2-21

Getting Started

CAUTIONS:

! Before monitoring your patient, the battery that is delivered

with a new monitor has to be fully charged (see below).

! Before monitoring your patient, be sure you have read the

Important General Safety Considerations in the Overview chapter.

Using the AC Adapter

The AC adapter connects the monitor to a hospital-grade power outlet. It charges the battery during normal operation. In case of a power failure, the monitor switches to battery power without loss of monitoring data or settings.

WA RN I NG : Use only the AC adapter approved by Dräger. Using a non-approved power supply could damage the monitor. Dräger assumes no liability for any damage if you use a non-approved power supply.

Page 2-2 Infinity Gamma Series VF4

Monitor Setup

STEPS: Connecting the AC Adapter

1. Connect the AC adapter's cable to the DC input on the monitor’s back panel.

2. Connect the power cord to the AC adapter.

3. Plug the other end of the power cord into a hospital-grade outlet. The battery charge indicator on the front panel lights up.

4. Press the

Power fixed key and wait until the display lights up

and the monitor completes its self-test.

If the monitor does not power on, verify the connections and retry. If it fails again, take the unit out of operation and contact DrägerService.

WA RN I NG : If the outlet or ground conductor is suspect, operate the monitor with a battery.

VF4 Infinity Gamma Series Page 2-3

Using the Battery

The battery powers the monitor when the monitor is not connected to line power via the AC adapter, an IDS Docking Station, or a CPS Communication Power Supply (IDS and CPS are described in the chapter Network Applications). The battery fits into the battery compartment at the back of the monitor.

There are two types of batteries: lead acid, or lithium ion (shown below). Lead acid batteries provide 75 minutes of continuous monitoring; lithium ion batteries provide 180 minutes of continuous monitoring.

Lead acid batteries can be installed or removed by the user. Lith-

ium ion batteries must be installed or removed by Dräger personnel. The green battery gauge displayed at the bottom left

of the screen indicates the battery run time remaining for uninterrupted monitoring.

NOTE: The battery gauge appears only when you operate the monitor on battery power.

When the battery charge is less than approximately 25%, the following happens:

! The battery gauge displays in yellow.

! The monitor emits an alert tone.

! The monitor displays the message Replace Battery Pack at

frequent intervals.

Page 2-4 Infinity Gamma Series VF4

Monitor Setup

If the battery charge drops below 10 V, monitoring stops, but monitoring settings, trended data, and stored recordings are saved in memory.

Screen Brightness

To save power, the monitor’s display may automatically dim when you change to battery operation.

With a lead acid battery, the display always dims on battery power. With a lithium ion battery, you can choose whether or not the displays dims.

The Brightness setting remains in effect through a power cycle. Regardless of the setting, lithium ion batteries can power the monitor for at least three hours, even if the display remains bright during battery operation.

NOTES:

! The menu option Screen Brightness only appears when the

monitor is equipped with a lithium ion battery.

! This function is only supported with recent releases of the

micro-controller code. If the Screen Brightness option is not available in the menu, although a lithium ion battery is installed, an update of the micro-controller code is necessary (contact your Dräger representative).

STEPS: Selecting the Screen Brightness

1. Press the Menu fixed key.

2. Click on

3. Click on

4. Click on

5. Select

VF4 Infinity Gamma Series Page 2-5

Monitor Setup.

Main Screen.

Screen Brightness.

Dim or Bright and click the knob.

STEPS: Inserting a Lead Acid Battery into the

Monitor

NOTE: Before installing the battery, read the cautions and warnings in the Important General Safety Considerations section at the beginning of this manual.

1. Turn the monitor so that its rear panel is facing towards you.

2. Press in on the tab in the right side of the battery compartment door and swing the door open until it lifts off the hinges on the left side.

3. Insert the rechargeable battery in the compartment, electrical terminals side first. The terminals of the battery must be pushed into the clip in the left side of the battery compartment.

Page 2-6 Infinity Gamma Series VF4

Monitor Setup

4. With the battery pushed into the left side of the battery com-

partment, press the right side of the battery into the clip at the right side.

5. Insert the left side of the battery door into the hinges, and

swivel the door closed until the locking tab snaps into place.

6. Press the

Power fixed key to turn the monitor on. The green

light indicator in the key should light up.

7. Wait until the end of the self-tests and verify that the battery

gauge appears at the bottom of the display.

NOTE: The battery gauge appears only when you operate the monitor on battery power.

To prolong battery life, we recommend the following:

! Use the AC adapter whenever possible.

! Keep the battery charged.

STEPS: Charging the Battery with the Monitor

The battery that is delivered with a new monitor needs to be fully charged before monitoring. When connected to line power via the AC Adapter, IDS, or CPS, the monitor automatically charges the battery and the green Battery Charger LED lights up (the monitor can be turned on or off).

To charge the battery:

1. Connect the monitor to line power and let the lead acid bat-

tery charge for 5½ hours, the lithium ion battery for 8 hours. (The Battery Charging message appears intermittently.)

2. Wait until the battery is fully charged before monitoring a

patient. (The Battery Charging message no longer appears.)

NOTE: If the battery does not charge properly, the message Bat- tery Charger Error appears. Contact your Biomedical technician to

replace the battery.

VF4 Infinity Gamma Series Page 2-7

STEPS: Charging Lead Acid Batteries with a

Battery Charger

You can charge up to four additional lead acid batteries with the battery charger available from Dräger. To do so:

1. Place the lead acid batteries on the battery charger.

2. Keep the lead acid batteries in the charger for at least four hours to ensure a full charge.

WA RN I NG : Use the battery charger to charge lead acid batteries only. Lithium ion batteries are not compatible

with the Dräger lead acid battery charger.

STEPS: Removing a Lead Acid Battery from the

Monitor

1. Connect the monitor to AC power or turn the monitor off.

NOTE: If the monitor is connected to AC power, monitoring can continue while you replace the battery. If the monitor is not connected to AC power, turn the monitor off before removing the battery in order to assure a proper monitor shut-down.

2. Place the monitor on a flat surface.

3. Open the battery compartment door (back of the monitor).

4. Lift the battery from under the locking tab and pull the battery out.

WA RN I NG : To avoid explosion, do not disassemble, or dispose of the battery in fire. Do not change the battery in the presence of explosive hazards because of the possibility of sparks. If the monitor is not to be used for a prolonged time, remove the battery from the battery compartment.

Page 2-8 Infinity Gamma Series VF4

Monitor Setup

Assembling MULTIMED and NEOMED Pods

Choose a 5-lead or 6-lead MULTIMED Pod (adult/pediatric applications) or a N toring session. Assemble the pods as illustrated prior to connecting them to the monitor. (Parameter-specific patient preparation is described in the individual parameter chapters.)

EOMED Pod (neonatal applications) for your moni-

1) SpO

VF4 Infinity Gamma Series Page 2-9

sensor 2) ECG lead sets 3) Temperature sensor

NOTE: The FiO2 and TEMP B connectors of the NEOMED™ pod are not supported with the Gamma Series monitors.

WA RNI NG : Do not use the N surgery. Use during cautery may result in burns to the patient or clinical staff.

EOMED Pod during electro-

Starting the Monitor

1. Press the Power fixed key. The green light indicator in the key lights up.

2. Wait until the main screen appears at the end of the self-tests.

NOTES:

! If an internal failure or error should occur, the monitor’s screen

turns blank. If this should happen, turn the monitor off, then on again. In case of persistent failure, remove the monitor from service and call your Biomed technician.

! Do not use the monitor if you do not have an AC Adapter,

CPS, IDS, or a fully charged battery. Call your Biomed if you are not familiar with the use of the battery or the power adapter.

Page 2-10 Infinity Gamma Series VF4

Main Screen Configuration

The monitor has four display channels. The top three channels show waveforms and their corresponding parameter boxes. The bottom channel can be configured to show either parameter boxes, enlarged NBP values, a waveform, or a combination of a waveform and parameter boxes (see illustrations below).

NOTES:

! A fourth display channel is standard for monitors Gamma XL

and available as an option for monitors Gamma. For information, contact your Dräger representative.

! Settings for screen brightness are explained under Using the

Battery, above.

Waveform Selection

STEPS: Selecting Parameters for Waveform

Channel Display

Monitor Setup

1. On the main screen, select a waveform channel with the

rotary knob and click the knob.

2. In the Channel Setup menu, click on

Waveform and select

the desired parameter or ECG lead for display. (For more information, including the ECG cascaded display, see the chapter ECG and Heart Rate.)

NOTE: If you change the monitor’s parameter display and the M

ULTIVIEW WORKSTATION is storing waveforms selected manu-

ally (Auto Track OFF), you must also change the parameters at the M

ULTIVIEW WORKSTATION. For more information, see the

ULTIVIEW WORKSTATION’s user guide.

VF4 Infinity Gamma Series Page 2-11

Bottom Channel Display

STEPS: Selecting the Bottom Channel Display

1. Press the Menu fixed key.

2. Click on

3. Click on

4. Click on

NOTES:

! You can also call up the Bottom Channel menu by pressing the

! In OR mode, the monitor automatically displays gas values in

Monitor Setup.

Main Screen.

Bottom Channel.

Fast Access fixed key.

the bottom channel and the menu selection Bottom Channel is not available.

5. Click on All, NBP, Waveform, or Wave+NBP to select one of the following bottom channel displays:

Page 2-12 Infinity Gamma Series VF4

Bottom Channel showing parameter boxes

Monitor Setup

Bottom Channel showing enlarged NBP values

VF4 Infinity Gamma Series Page 2-13

Bottom Channel showing a fourth waveform

Bottom Channel showing a waveform and parameter boxes

Page 2-14 Infinity Gamma Series VF4

OR Mode

Monitor Setup

The OR mode allows access to multigas monitoring functions and is available for monitors Gamma XL operating in the adult or pediatric mode.

STEPS: Selecting the OR Mode

1. Verify that the adult or pediatric patient category is selected.

2. Press the

3. Click on

4. Click on

5. Click on

6. Select

NOTE: Certain monitoring/display restrictions apply in the OR mode. For more information, see the chapter Multigas.

Menu fixed key.

Monitor Setup.

Main Screen.

OR Mode.

ON and click the knob.

VF4 Infinity Gamma Series Page 2-15

Show Respiration or etCO2 Parameters

STEPS: Selecting Rsp/etCO2

1. Press the Menu fixed key.

2. Click on

3. Click on

4. Click on

5. Select

NOTES:

! For more information on Respiration or etCO2 monitoring, see

! The Show Rsp/etCO2 menu option appears only if the etCO2,

Monitor Setup.

Main Screen.

Show Rsp/etCO

Rsp or etCO

the respective parameter chapters.

ST and IBP2 locked options are enabled.

and click the knob.

Page 2-16 Infinity Gamma Series VF4

Setting Date and Time

Monitors operating in the Infinity network receive their date and time settings from the network. For a stand-alone monitor, you can set the current date and time as follows:

STEPS: Setting Date and Time

1. Press the Menu fixed key.

Monitor Setup

2. Click on

3. Click on

4. Click on

5. Click on

6. Click on the day, month, or year, dial in the desired setting

and click to confirm the new selection.

Monitor Setup.

Monitor Options.

Date & Time.

Date.

7. Click on

8. Click on the hour or the minutes, dial in the desired setting

and click to confirm the new selection.

VF4 Infinity Gamma Series Page 2-17

Time.

Setting the Master Speaker Volume

The setting for the master speaker volume defines the volume for alarm tones, pulse tones, attention and error tones. The available settings are

NOTES:

! For safety reasons, you cannot turn the speaker volume off

! If your monitor is operating in the Infinity network and you

STEPS:Setting the Speaker Volume

1. Press the Menu fixed key.

Low, Medium, High, and OFF.

when the monitor operates as a stand-alone device or if the French-NFC mode has been selected (a Service setting).

turn the speaker volume off, a crossed speaker symbol appears above the first waveform channel.

2. Click on

3. Click on

4. Click on

Monitor Setup.

Monitor Options.

Speaker Volume.

5. Click the knob, select a setting, and click the knob again.

NOTE: The setting for the master speaker volume defines the maximum volume for all tones, including the user-adjustable QRS and SpO ume to Low, but set the QRS and SpO EKG or SpO ume setting prevails and pulse tones sound at a low volume.

pulse tones. Therefore, if you set the master speaker vol-

menu (see EKG and SpO2 chapters), the master vol-

pulse tones to High in the

Page 2-18 Infinity Gamma Series VF4

Monitor Setup

Turning External Alarm Lights ON/OFF

A set of alarm lights on top of the monitor blink red for lifethreatening alarms and yellow for serious alarms, if the external alarm light function is enabled in the Monitor Setup menu (default setting is ON). If more than one alarm occurs at the same time, the lights blink for the alarm with the highest alarm grade. If the user silences the alarm, the alarm lights remain lit without flashing. If the user turns all alarms off, the alarm lights are turned off as well.

STEPS: Turning External Alarm Lights On/Off

1. Press the Menu fixed key.

2. Click on

3. Click on

4. Click on

5. Select

WA RN I NG : The alarm light setting (ON/OFF) is not indicated on the screen. Before monitoring your patient, verify the alarm light setting in the Alarm Light menu.

NOTES:

! The external alarm lights do not flash for advisory alarms.

! During startup, the alarm lights blink briefly as part of the

Monitor Setup.

Monitor Options.

Alarm Light.

ON or OFF and click the knob again.

monitor’s functional check.

VF4 Infinity Gamma Series Page 2-19

Standby

The standby function lets you interrupt and then resume monitoring. When you put the monitor into standby, all patient data and monitoring setups are saved in memory until you resume monitoring. During standby, the monitor displays a Standby banner. If the monitor is part of the Infinity network and its monitoring data is displayed on the central station, the Standby banner appears also on the central display.

STEPS:Placing the Monitor into Standby

1. Press the Menu fixed key.

2. Click on

Standby.

STEPS:Exiting Standby

1. To resume monitoring, press the

Main Screen fixed key. The New

Patient? prompt appears.

2. Select New Patient resume monitoring the same patient. Select New Patient to start monitoring a new patient. If admitting a new patient, the monitor erases all previously stored patient data (see the chapter Admission, Transfer, Discharge).

NOTES:

! Upon startup, coming out of standby, or admitting a new

patient, alarms are disabled for 3 minutes or until you press the All Alarms OFF fixed key.

! During standby, you can modify patient demographic data at

the central station at any time. The new data is transferred to the monitor and available when monitoring resumes.

No, if you want to

Yes, if you want

Page 2-20 Infinity Gamma Series VF4

Saving Setups

The current monitoring configuration can be saved and used again. A saved configuration is specific to the selected patient category and is automatically restored when a you admit a new patient of the same category (e.g., pediatric).

The following monitoring settings are saved: waveform channel assignments and scales, alarm limits and on/off status, NBP interval mode, IBP pressure labels, arrhythmia monitoring (adult or pediatric mode only), respiration mode and markers, apnea time, coincidence alarm, etCO and detection, bottom channel display selection, recording selections (on/off/store), and trend setup.

NOTES:

! Saving setups is a password-protected function and can only be

performed by your Biomed.

! You cannot save a setup when an OCRG is displayed on the

screen. Exit the OCRG display before saving.

Monitor Setup

measurement mode, pacemaker setting

VF4 Infinity Gamma Series Page 2-21

Page 2-22 Infinity Gamma Series VF4

3 Network Applications

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

Network Configurations........................................................3-3

Basic Network Components ...........................................3-4

Basic Bedside Setups......................................................3-5

Network Operation ................................................................3-6

Docking Station................................................................3-7

Docking and Undocking ..................................................3-9

Wireless Network Configuration...................................3-11

Wireless Network Operation ......................................... 3-13

Network Safety Considerations .........................................3-16

Alarm and Status Messages...............................................3-17

NOTES:

! The current software operates on the Dräger Infinity network,

but does not support the Dräger Sirenet network.

! To assure optimal network performance of your monitoring

system, make sure all network components operate at the appropriate software level as disclosed in the Dräger compatibility chart. For more information, contact your technical personnel or your Dräger representative.

Overview

The Infinity network provides communication links between the bedside monitor and other network devices such as a central station, other monitors, recorders, and laser printers. The network allows you to monitor your patient at a central location away from the bedside, and to monitor many patients at once. In detail, within the Infinity network you can:

! View patient data of up to 16 patients at a dedicated central

station (M

! Admit patients at the central station.

! Receive bedside alarm messages at the central station and at

other devices within the network.

! Receive alarm messages from other devices within the net-

work at the local bedside monitor.

! Control alarms from the central station.

! Initiate a Relearn of a patient’s ECG and respiration pattern

from the central station.

! Set arrhythmia parameters from the central station.

! Print recordings on network recorders and laser printers.

ULTIVIEW WORKSTATION™).

! Transfer patients between monitors in the network.

! Collect diagnostic logs at the central station.

! View monitoring data on a larger video display.

If the monitor becomes disconnected from the network, it operates in standalone mode and the M

ULTIVIEW WORKSTATION dis-

plays an offline message.

NOTE: In order to limit the number of alarm messages from remote beds within the network, you can group beds into separate alarm groups so that only messages from monitors within the same group are shared. For details see the chapter Alarms and Messages.

Page 3-2 Infinity Gamma Series VF4

Network Configurations

A basic Infinity network includes:

! Bedside monitors.

! A central station (MULTIVIEW WORKSTATION).

! Docking stations at the bedside.

! R50 Series recorders.

! Infinity network cabling and repeater hubs.

A basic Infinity wireless network includes:

! Bedside monitors.

! A central station (MULTIVIEW WORKSTATION).

! Wireless LAN PC Cards.

! Access points with antennae.

! R50 Series recorders.

! Infinity network cabling and repeater hubs.

Network Applications

Dräger offers a large variety of network components and supplies that allow you to customize your hospital’s network configuration. Network setup and configuration are Service functions performed during installation. Please see your local Dräger representative for details.

NOTE: A Care Unit is a group of beds with the same hospital- assigned identification (i.e. CCU, ICU). The name of a Care Unit is unique within the hospital. A Monitoring Unit is a logical group of beds that share certain monitoring functions, such as alarm annunciations, recordings, and remote views. A Monitoring Unit can have more than one central station and span more than one Care Unit.

VF4 Infinity Gamma Series Page 3-3

Basic Network Components

Bedside Monitor

Simple Docking Station

(mount only)

Communication

Power Supply (CPS)

Central Station

IDS Power Supply

Interface Plate

Infinity Docking Station

(IDS)

R50 Recorder

Laser Printer

Access Points

Wireless LAN PC Card

Page 3-4 Infinity Gamma Series VF4

Basic Bedside Setups

Network Applications

Access Point

Bedside Setup with IDS

Wireless Monitor with

Wireless LAN PC Card

Monitor with Interface Plate

Bedside Setup with CPS

VF4 Infinity Gamma Series Page 3-5

Network Operation

The bedside monitor operates in network mode when it is:

! Docked at a docking station,

! Equipped with a wireless PC card in a wireless network

Docking stations must be configured for network mode (versus standalone mode) by Dräger personnel during installation. Only Dräger personnel can modify these configurations, which define numerous network functions, including bedside labels, recorder labels, and the availability of remote control functions of the bedside monitor from other network devices.

Wireless monitors must be admitted to the network during installation. Once admitted, the user can then select care unit and bed label assignments according to where the wireless monitor is stationed (see the section Wireless Network Configuration, below). While a wireless monitor is docked at a docking station, it automatically accepts the docking station’s care unit and bed label assignments.

If central monitoring is enabled at the bedside, you can assign the bedside to a display channel on the central station’s screen. The monitor continuously sends the following information to the central station:

! Parameter values (including values reported as *** ).

! Waveforms and their scales.

! Current bedside alarm limits and settings.

! Alarms and status messages.

At the central station, you can also call up the bedside’s trend data and diagnostic log and you can store monitoring events (see the

ULTIVIEW WORKSTATION User’s Guide).

Page 3-6 Infinity Gamma Series VF4

NOTES:

! The only configurations of the IDS/CPS that you can perform

via the monitor’s menus are the assignment of alarm groups and the selection of primary and secondary network recorders (see the chapters Alarms and Messages and Recordings).

! If central monitoring is disabled at the IDS/CPS,

-- you cannot turn the monitor’s master speaker volume off,

-- no network offline messages appear at the bedside.

! If central monitoring is disabled at the IDS/CPS, you can con-

tinue to access the network recorder assigned to the IDS/CPS and alarm messages continue to be broadcast between devices in an alarm group.

! Configuration of the monitor’s network behavior is a pass-

word-protected Service function. For more information, consult with your biomedical personnel.

! If a network connection cannot be established upon powerup,

the monitor displays the message Incompatible CPS or Network Error.

Docking Station

Network Applications

The Infinity Docking Station (IDS) with companion DC power supply powers the monitor and provides connections for optional peripheral devices such as recorders, remote displays, or a nurse call system. The docking station serves as a secure mount for the monitor and allows quick mounting and dismounting in P

O transport situations.

ICK AND

While the monitor is docked at a docking station, its batteries are being charged. In case of a power failure, the monitor switches immediately to battery power without loss of data or monitoring settings.

NOTE: The Infinity Docking Station (IDS), which offers full network connectivity and power, has replaced the simple Docking Station (mount only), which is used in conjunction with a Communication Power Supply (CPS). References to the simple Docking Station and CPS are included here for sites that still use them.

VF4 Infinity Gamma Series Page 3-7

Multigas Module

External VGA/RS232 R50 Recorder

Infinity Docking Station (back panel)

Power Supply

Alarm Output

Infinity Network

ON/OFF switch

Power Cord

External VGA/RS232

Docking Station

Infinity Network

R50 Recorder

Alarm Output

Mount-only Docking Station and CPS (back panel)

Page 3-8 Infinity Gamma Series VF4

Docking and Undocking

STEPS: Docking the Monitor

1. Hold the monitor firmly by its handle and set it onto the Docking Station. Make sure the monitor is securely positioned and clicks into place. The Docking Station’s locking lever does not move unless the monitor is seated properly.

2. Slide the locking lever to the right in order to engage the electrical connections and lock the monitor in place. The battery charging indicator on the front of the monitor lights up.

CAUTION: To avoid dropping the monitor, do not let go of the monitor’s handle until you have moved the locking lever as far to the right as possible, thereby locking the monitor in place.

Network Applications

STEPS: Undocking the Monitor

1. Hold the monitor firmly by its handle. Slide the lever to the left to disengage the power supply. (The monitor automatically switches to battery power.)

2. Continue to move the lever to the left until it clicks. Tilt the monitor forward and lift it off the Docking Station.

When you remove the monitor from the Docking Station, patient data and settings remain stored in the monitor's memory. The central station blanks the monitor’s data and displays the message Bed Disconnected (unless a wireless card is inserted -- see the section Wireless Network Configuration, below). Once the moni- tor returns to its Docking Station, it resumes sending patient data to the central station.

VF4 Infinity Gamma Series Page 3-9

PICK AND GO versus Network Error

The network can distinguish between a network error and the intentional removal of a bedside monitor from its Docking Station.

If the monitor loses its connection with the network due to a technical problem, the network generates a network error message. When the monitor is removed from its Docking Station for transport, the central station displays a network status message (Bed Disconnected).

If the bedside monitor’s speaker volume had been set to OFF during network operation, upon loss of communication with the network, it is automatically reset to 50% (default stand-alone level), or to 100% in case of an active alarm (network error message).

Page 3-10 Infinity Gamma Series VF4

Network Applications

Wireless Network Configuration

The Infinity Gamma Series monitor can operate in a wireless network which allows the monitor to establish and maintain contact with the Infinity network and the central station without being docked at a Docking Station.

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’s side panel. The wireless card communicates with access points which are strategically placed within a monitoring unit in order to cover the desired transmission area.

MVWS

IDS

Bedside Monitor

Wireless

Monitor

MVWS = MultiView WorkStation (central station) IDS = Infinity Docking Station AP = Access Point

AP IDS

Bedside

Monitor

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.

NOTE: For detailed information about installation and configuration of wireless components, refer to the Dräger publication “Infinity Network Planning, Design, and Installation Handbook-Wireless Extensions Supplement.”

VF4 Infinity Gamma Series Page 3-11

A wireless network offers the following:

! Seamless Patient Transport — A wireless monitor contin-

ues to communicate with the Infinity network during Pickand-Go transport situations and its data remains on the central display after leaving the bedside Docking Station.

! Seamless Patient Relocation — Patient and monitor can be

moved to a different room or care unit without ever losing contact with the Infinity network.

! Simplified Network Setup — Wireless monitors can be net-

worked without the need of docking stations or 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.)

WA RN IN G : Before operating the monitor in a wireless network configuration, please read the Network Safety Considerations at the end of this chapter.

STEPS: Installing the Wireless Card

1. Turn the monitor off.

2. Facing the monitor, turn the card so that the flat side (back label) faces you.

3. Press the card firmly into the card slot until the slot’s release button protrudes.

Card Slot

Release Button

To remove the card, turn the monitor off and press the release button.

Page 3-12 Infinity Gamma Series VF4

Wireless Network Operation

Care Unit and Bed Label Assignments

A wireless monitor receives care unit and bed label assignments in one of the following ways:

! Automatically when docking at a Docking Station.

! By manual entry via the Patient Admit menu.

When docking at a Docking Station, a wireless monitor automatically accepts the Docking Station’s Care Unit and Bed Label assignments and communicates with the Infinity network via the Docking Station. When the monitor undocks, wireless card and access points take over communication between the monitor and the network.

When operating in a network without docking stations, you enter the Care Unit and Bed Label assignments in the Patient Admit menu (see the following steps).

NOTE: Upon undocking, the monitor can either keep or give up the bed label assignment it received from the Docking Station, depending on the network setup performed by Service personnel during installation.

Network Applications

! If the monitor has been configured to keep the Docking Sta-

tion’s bed label upon undocking, the monitor retains the bed label as well as its display position at the central station.

! If the monitor has been configured to give up the Docking Sta-

tion’s bed label upon undocking, it either reverts back to a previously entered bed label, or the user must manually enter a new care unit and bed label via the Patient Admit menu. If the bed label entered is already in use, the monitor displays an error message.

NOTE: After turning a wireless monitor on, it receives a list of available care units and bed labels from the M

TION. If this list is not immediately available in the monitor’s

Patient Admit menu, wait until the list has been fully transmitted.

VF4 Infinity Gamma Series Page 3-13

ULTIVIEW WORKSTA-

STEPS: Selecting Care Unit and Bed Label

1. Undock the monitor, if docked.

2. Press the

3. Click on

4. Click on

Menu fixed key.

Admit/Discharge.

Patient Admit.

5. Click on Care Unit.

6. Dial in the desired care unit from the list of available choices and click the knob.

7. Click on

Bed Label.

8. Dial in the desired bed label from the list of available choices and click the knob.

NOTES:

! You can enter a care unit and bed label only after undocking

the monitor. While the monitor is docked or operating as a stand-alone device, these menu selections are not available.

! Upon undocking, wait a few moments until the monitor has

received a list of available care units from the network.

! Always select the care unit before selecting the bed label,

because the Bed Label menu only lists beds located in the selected care unit.

! The overall list of available care units and bed labels is estab-

lished during network installation. If you cannot find the desired care unit or bed label as a menu choice, contact your Biomed or DrägerService.

Page 3-14 Infinity Gamma Series VF4

Network Applications

Central Display

The central station identifies wireless monitors by a transmission icon on the central display. Upon undocking, the bed’s central display channel (viewport) remains assigned to the wireless monitor. If another monitor docks on the same Docking Station which is still associated with the wireless monitor, the new monitor receives the same bed label from the Docking Station, but does not replace the wireless monitor in the viewport of the central station. In order to view the new monitor on the central display, the user has to assign a different display channel to the new monitor via the central station’s Assign Bed menu.

NOTES:

! Patient name and ID continuously identify the patient on cen-

tral displays, recordings, and data bases, whether the monitor is in transport or docked.

! If a wireless monitor is transmitting to a central station but has

not been assigned a viewport at that station, the message Not monitored by central appears in the monitor’s message area.

Patient Relocation

You can move monitor and patient to a different room and care unit by simply docking the monitor at the new location. Alternatively you can select care unit and bed label of the intended new location via the Patient Admit menu (see the section Selecting Care Unit and Bed Label).

During transport, the wireless monitor continues to communicate with its assigned central station via the access points. Upon docking at the new location, the monitor accepts the new Docking Station’s care unit and bed label assignments as well as its display position on the central station’s cluster screen.

If you change central stations, that is, move the monitor to a room that is monitored by a different central station, the original central station blanks the monitor’s data and displays the message Bed Disconnected.

NOTE: During the transition between wireless and wired network operation, the network may generate an error tone, if the transition takes more than a few seconds. There is no loss of data and normal network operation continues, as soon as the M S

TATION has recognized the monitor’s new connection status.

VF4 Infinity Gamma Series Page 3-15

ULTIVIEW WORK-

Network Safety Considerations

When operating the monitor in a wireless network, please observe the following:

! Before using the wireless monitoring equipment, read the

instructions and safety warnings supplied by the wireless equipment manufacturer.

! 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.

! Operation of the wireless network relies on uninterrupted sig-

nal transmission between the transmitting and receiving components of the network. When using the wireless network, be aware that

-- certain structural limitations within the hospital building

may interfere with signal transmission,

-- other devices emitting radio frequencies, such as leaky

microwave ovens or warmers, may interfere with signal transmission,

-- the frequencies emitted by the device may interfere with

the operation of other wireless operated medical equipment.

! The installation of wireless equipment must be performed by

qualified Service technicians. Any changes or modifications to the equipment not expressly approved by the equipment manufacturer may result in equipment malfunction or damage.

! In order to isolate the Dräger wireless Infinity network from

other 802.11b operators within the hospital, the SSID of each set of access points has to be unique. Access points are not considered medical equipment and should be kept out of the patient’s vicinity. For further information, consult the manufacturer’s documentation or the Dräger publication

“Infinity

Network Planning, Design, and Installation Handbook-Wireless Extensions Supplement.

Page 3-16 Infinity Gamma Series VF4

”

Network Applications

Alarm and Status Messages

When the monitor is connected to the network, network messages alert you of network operating conditions. Some messages display only once (i.e., Remote Limit Change), while others appear alternately until the condition has been resolved (i.e. alarm messages such as BED 200:ECG Leads Off). A network alarm error creates an error tone, while status messages do not.

Screen Message Condition

Selected Bed Label Currently in Use

Duplicate Address Another network device has been programmed with a

Incompatible CPS The monitor is connected to a SIRENET CPS, not an

Network Alarm Error An interruption in the network communication has been

Not Monitored by Central A wireless monitor is transmitting to a central station, but

Offline The monitor is not connected to the network or the net-

Remote Limit Change Alarm settings (on/off, alarm limits, alarm recording,

A wireless monitor undocks, but its assigned bed label is already in use.

The user selects a care unit and bed label for a wireless monitor, but the bed label is already in use.

conflicting identification. The bedside monitor is treated as being offline.

Infinity IDS/CPS. The monitor is connected to an Infinity IDS/CPS, but the

software is incompatible. Call your service support.

detected while an alarm is active; the speaker volume at the bedside has been increased to its maximum level.

is not assigned a viewport on the central station’s cluster screen.

work is not configured correctly. A wireless monitor has traveled out of range. The wireless card is not installed properly.

including ARR and ST) have been changed at the M VIEW WORKSTATION.

ULTI-

Remote Relearn Relearning of the patient’s ECG or respiration pattern

Silence by Remote Alarm has been silenced at the M

has been initiated at the M

TION.

ULTIVIEW WORKSTATION.

ULTIVIEW WORKSTA-

VF4 Infinity Gamma Series Page 3-17

Page 3-18 Infinity Gamma Series VF4

4 Admission/Discharge/

Transfer

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

Patient Admission .................................................................4-3

Admit Menu.......................................................................4-4

Patient Category...............................................................4-5

Name and ID .....................................................................4-6

Admit Date ........................................................................4-8

Patient Discharge .................................................................. 4-9

Data Transfer .......................................................................4-10

Transfer Across the Network ........................................4-11

Transfer with a Data Memory PC Card.........................4-13

Overview

The Patient Admit menu allows you to enter and edit a patient’s personal data (name, ID, admit date) and select the patient category. If your monitor is operating in a monitoring network, you can also review or change the monitor’s care unit and bed label assignments.

In network mode, you can admit patients at the bedside monitor or at the central station. The central station offers more data entry fields (such as birth date, height, weight) which the Infinity Gamma Series monitor does not display but which can be reviewed or edited at the central station (see the user’s guide to the M

You can transfer patient data and monitoring setups between monitors over the Infinity network or with the help of a data card. If you discharge a patient, the monitor deletes the patient’s monitoring data.

ULTIVIEW WORKSTATION).

Page 4-2 Infinity Gamma Series VF4

Admission/Discharge/Transfer

Patient Admission

When you turn on the monitor or exit the standby mode, the monitor displays a New Patient? prompt to assure that previously stored patient data is deleted before you monitor a new patient.

To start monitoring a new patient, press the rotary knob and click on

New Patient? YES. The monitor deletes all previously stored

monitoring data, including trends, events, and recordings.

To continue monitoring a previous patient, press the rotary knob and click on stored monitoring data.

New Patient? NO. The monitor retains previously

NOTE: After a power-cycle or upon leaving standby, all alarms are turned off for three minutes or until you press the All Alarms Off fixed key.

VF4 Infinity Gamma Series Page 4-3

Admit Menu

STEPS: Calling up the Patient Admit Menu

1. Press the Menu fixed key.

2. Click on

3. Click on

NOTE: You cannot enter selections for Care Unit and Bed Label when the monitor is docked at a Docking Station or operating as a stand-alone device. For information on selecting the care unit and bed label, see the chapter Network Applications.

Admit/Discharge.

Patient Admit.

Page 4-4 Infinity Gamma Series VF4

Patient Category

NOTE: The currently selected patient category is indicated between the first and second waveform channels next to the parameter boxes.

STEPS: Selecting the Patient Category

1. Call up the Patient Admit menu (Menu > Admit/Discharge > Patient Admit, see above).

Admission/Discharge/Transfer

2. Click on

Patient Category.

3. Dial in the desired patient category (Adult, Pediatric, Neonate) and click the knob.

When you change the patient category, the monitor:

! Clears all current alarms, including their messages.

! Stops any NBP measurement in progress.

! Deletes stored trend data, events, and recordings.

! Returns alarm limits to their category-specific default settings

(see appendix Default Settings and Biomedical Support).

! Returns waveform display scales (sizes) to their category-

specific default settings (see appendix Default Settings and Biomedical Support).

! Sets the display range for trend values according to the

selected patient category (see Trends chapter).

VF4 Infinity Gamma Series Page 4-5

When switching to the neonatal mode, the monitor also:

! Disables arrhythmia detection and clears all arrhythmia labels

from the screen.

! Disables pacemaker detection.

! Disables ST Segment analysis (if option is available).

! Allows viewing of an Oxy-Cardiorespirogram (if option is

available).

Name and ID

STEPS: Entering Name and ID

1. Call up the Patient Admit menu (Menu > Admit/Discharge > Patient Admit, see above).

2. Click on

Name. A white entry field appears for the first char-

acter of the name.

3. Click the knob, dial in the first character (A-Z, a-z, 0-9) and click the knob again.

4. Turn the knob clockwise to scroll to the next entry field and click. Dial in the second character and click. If you need to separate words (i.e. first name from last name), click on a blank space.

Page 4-6 Infinity Gamma Series VF4

Admission/Discharge/Transfer

5. Enter the remaining characters accordingly.

The Admit Menu can display up to 9 characters at a time, but you can enter additional characters (up to 25 for the name and up to 12 for the ID) by scrolling past the up arrow ( ↑ ) at the end of the line, thereby shifting the entry to the left. Once entered, the full name does appear in the name field above the top waveform channel, on central station displays, and on recordings.

To make changes to your entry, you can dial in and click on the left or right arrow ( ← and → ). Clicking on the left arrow deletes the character and moves the entry one space to the left; clicking on the right arrow moves the character and the entry one space to the right.

6. To exit the name entry line, click

on the up arrow ( ↑ ).

7. Enter the patient ID accordingly.

VF4 Infinity Gamma Series Page 4-7

Admit Date

STEPS: Entering the Admit Date

1. Call up the Patient Admit menu (Menu > Admit/Discharge > Patient Admit, see above).

2. Click on current date.

3. If necessary, edit the date by clicking on the day, month, or year entry fields and dialing in the desired date.

4. To exit the date entry line, simply scroll off to the left or right.

Admit Date. The monitor automatically enters the

Page 4-8 Infinity Gamma Series VF4

Admission/Discharge/Transfer

Patient Discharge

You can discharge a patient only at the bedside, not at the central station. Upon discharge, the monitor deletes all previously stored monitoring data (such as QRS reference complexes, trends, events, and recordings), and it returns to default or previously stored monitoring settings (see the chapter Default Settings and Biomedical Support).

STEPS: Discharging a Patient

1. Press the Menu fixed key.

2. Click on

3. Click on

4. Click on

When you discharge a patient at the bedside, the central station deletes the bedside’s data from the bed view and displays a Dis- charge banner for this bed.

NOTE: You can also discharge a patient from the New Patient? prompt upon leaving the Standby mode. In this case, however, the patient’s name remains displayed at the central station until you admit a new patient.

Admit/Discharge.

Discharge.

Discharge Patient? YES.

VF4 Infinity Gamma Series Page 4-9

Data Transfer

You can transfer patient data between monitors in the following ways:

! By sending data to a different monitor over the Infinity net-

work.

! By copying data onto a memory card and then loading it into

a different monitor (stand-alone option).

The transfer of patient data involves a source monitor and a destination monitor. The source monitor is the unit from which the data is transferred. The destination monitor is the unit receiving the data. Transferred patient data includes the patient’s name, ID, admit date, patient category, as well as stored trends.

NOTES:

! When a data transfer takes place between two monitors whose

selected units of measure do not match (i.e.°C/°F, mmHg/kPa, mm/mV), the destination monitor adopts the units of measure that were selected at the source monitor.

! When a data transfer takes place between two monitors with

different enabled software options, the destination monitor accepts data only for those options which are enabled at the destination monitor (i.e. ST, etCO

! If the Respiration or the etCO

source monitor, but the same waveform is not selected for display at the destination monitor (see selection Show Rsp/Show

etCO

eter cannot be accepted by the destination monitor. To transfer this data, first select the desired waveform display (Rsp or etCO

! For data transfer between Gamma Series monitors, lead V+

will be transferred only if both the source and the destination monitors are using a 6-lead ECG cable. Use of a smaller lead set cable will only transfer data corresponding to the smaller lead set. The remaining data will be lost.

! Stored events cannot be transferred.

), and ignores the rest.

waveform was displayed at the

in the Respiration chapter), then the data for this param-

) at the destination monitor.

Page 4-10 Infinity Gamma Series VF4

Admission/Discharge/Transfer

Transfer Across the Network

NOTE: Before data transfer can take place over the network, the source monitor must be placed into Standby mode.

STEPS: Transfer Across the Network

At the source monitor:

1. Place the source monitor into Standby.

At the destination monitor:

1. Press the

2. Click on

3. Click on

4. Click on

Menu fixed key.

Admit/Discharge.

Transfer. The Transfer menu opens.

Care Unit. Selection *** is the default and automat-

ically selects all care units. If you want to narrow your search for the transfer bed and select the specific care unit in which the source monitor is located, dial in the appropriate care unit from the available choices in the menu and click the knob.

NOTE: The menu shows only those care units which have at least one bedside monitor in Standby mode.

5. Click on Transfer Bed.

6. Select the bed label of the source monitor and click the knob.

VF4 Infinity Gamma Series Page 4-11

NOTES:

! The Transfer Bed menu displays all networked beds in the

selected care unit that are currently in Standby mode.

! You must click on a bed label, even if there is only one avail-

able bed listed in the transfer menu; if you do not select a bed, the transfer cannot take place.

! If a previous patient had not been discharged at the destination

monitor before data transfer, the discharge takes place automatically during transfer and all previous patient data is deleted.

7. Click on Start Transfer.

8. Click on

Confirm to start the transfer.

During transfer, the Transfer menu displays the status message Transferring data. Once the transfer is complete, the patient is automatically discharged from the source monitor and admitted to the destination monitor.

If the transfer is interrupted or unsuccessful, the destination monitor displays a transfer error message. In this case, the source monitor retains its data and you can attempt the transfer again.

Page 4-12 Infinity Gamma Series VF4

Drager Infinity Gamma User manual

Specifications and Main Features

Frequently Asked Questions

User Manual

Infinity Configured Monitoring Series

What’s New

Documentation Features

Notes, Cautions, Warnings

Chapter Overview

Table of Contents

1 Overview

Important General Safety Considerations

Electromagnetic Compatibility

Reducing EMI

Site of Operation

Electrical Safety

Connections to Peripheral Devices

Safety, Inspection, and Maintenance

Electrosurgery and Defibrillation Safety

Pacemaker Safety

Device Markings

General Description

Front Panel

Back Panel

Left Side Panel

Right Side Panel

Interface Plate (optional)

Gamma/Gamma XL Display

Alarm Colors

Display Colors

Rotary Knob

Fixed Keys

Menus

Power Sources

MULTIMED/NEOMED Pod

etCO2 Pod and Multigas Module

Recorder

Remote Displays

2 Monitor Setup

Getting Started

Using the AC Adapter

Using the Battery

Assembling MULTIMED and NEOMED Pods

Starting the Monitor

Main Screen Configuration

Waveform Selection

Bottom Channel Display

OR Mode

Show Respiration or etCO2 Parameters

Setting Date and Time

Setting the Master Speaker Volume

Turning External Alarm Lights ON/OFF

Standby

Saving Setups

3 Network Applications

Overview

Network Configurations

Basic Network Components

Basic Bedside Setups

Network Operation

Docking Station

Docking and Undocking

Wireless Network Configuration

Wireless Network Operation

Network Safety Considerations

Alarm and Status Messages

Overview

Patient Admission

Admit Menu

Patient Category

Name and ID

Admit Date

Patient Discharge

Data Transfer

Transfer Across the Network