Dräger Infinity Series, Infinity Delta, Infinity Kappa, Infinity Delta XL Quick Reference Manual

Quick

Reference

Guide

Infinity Series Monitor

Delta/Delta XL/Kappa

Lead Placement 2 - 5
Getting Started, Connecting your Patient 6
Admit 6
Understanding Fixed Keys 7
Alarms

Types of Alarms 8
Adjust Arrhythmia Alarms 8

ECG Monitoring

Show All Leads 9
Change Displayed Leads 9

Activate Pacemaker Detection 9
Non-Invasive Blood Pressure (NBP) Monitoring 10
Respiratory Monitoring

Change Waveform Size 10

Change Displayed Lead 10
SpO2Monitoring 10
Temperature Monitoring 11
Fast Access Data Key

Trends 11

Review Stored Events 11
Alarm Limits Fixed Key 12
Recordings 12
Print Functions 12
Menu Functions

Patient Category 13

Standby 13

Privacy Screen 13
Transferring Patient 14
Troubleshooting 16

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE

| 01

CONTENT

© 2010 Draeger Medical, Inc.

Electrode & Lead Placement

DO’S & DO NOT’S

Do Place the electrode on a clean and dry area of skin.

Utilize soap, water and dry.

Do Remove hair if necessary for proper electrode

placement.

Do Change electrodes Q 24-48 hours, or per hospital

policy.

Do Not Utilize alcohol to dry and clean area of skin

for electrode placement.

Do Not Place electrodes over bony prominences or

area of increased muscle movement/activity.

Do Not Assume electrodes are “Good” if the tape

portion is attached to the patient’s skin.

Do Not Braid, tie or knot leads.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE

© 2010 Draeger Medical, Inc.

| 02

5 Lead Placement

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 03

© 2010 Draeger Medical, Inc.

White - Right Arm

Green - Right Leg

Black - Left Arm

Red - Left Leg

Brown - V2 - Left of sternum
4th intercostal space

RA

RL

LA

LL

V2

D-22640-2010

6 Lead Placement

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 04

© 2010 Draeger Medical, Inc.

White - Right Arm

Green - Right Leg

Black - Left Arm

Red - Left Leg

Brown - V2 - Left of sternum
4th intercostal space

Grey - V5 - Left at 5th
Intercostal space Anterior Axillary line

RA

RL

LA

LL

V2

V5

D-22640-2010

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 05

© 2010 Draeger Medical, Inc.

Pacemaker Signal Interfering with
Monitor ECG QRS Detection

Pacemaker interference is the # 1 cause of false ASY
and other arrhythmia calls.

PATIENT WITH PACEMAKER

Try the following lead configurations:

Five Lead Paced Patients

Six Lead Paced Patients

D-22639-2010

D-22641-2010

Getting Started - Rotary Knob

The rotary trim knob at the bottom right corner of the
monitor turns left and right. It highlights selections and
requires pressing in to confirm the selections (click).

The monitor does not need to be powered off between
patients. Remember to “Discharge” between patients
once all documentation has been completed. This
erases all trended information and returns the monitor
to default settings.

CONNECTING YOUR PATIENT TO THE MONITOR

- Prep the patient’s skin, place ECG electrodes

appropriately and connect leads.

- Place SpO

2

sensor on the patient.

- Place NIBP cuff on the patient.

- Press Main Screen Key to begin active patient

monitoring.

TO ADMIT AT THE BEDSIDE USING THE ROTARY KNOB

Admission via the Infinity Central Station is easiest,
however, you may admit from the bedside monitor:

- Press Menu fixed key.

- Highlight Admit/Discharge, “click”.

- Highlight Admit and enter the patient’s data using the

Rotary Knob.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 06

© 2010 Draeger Medical, Inc.

Understanding Fixed Keys

Alarm Silence Silences the triggered bedside alarm

for 60 seconds
Alarm Limits Allows limits to be set on all parameters
All Alarms Off Initiates 1-5 minutes suspension of all

alarms and arrhythmia processing.

Alarms remain suspended until you

press the All Alarms Off fixed key again

or the timeout period expires.
Code Starts on screen timer
Discharge Quick Discharge key, press twice
Record Initiates timed recordings to recorder
Print Screen Initiates screen copy to laser printer
NBP Start/Stop Starts single NBP measurement, starts

interval mode, stops measurement
already in progress.

Press twice quickly to suspend interval

Fast Access Fast Access to frequently used

functions

Mark Stores all waveforms on screen to event

recall and places a marked set of vital

signs into the trends
Main Screen Returns to main monitor screen
Menu Access all monitor functions

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 07

© 2010 Draeger Medical, Inc.

Alarms

3 DIFFERENT TYPES OF ALARMS

L-T (Life Threatening): alarm flashes red and
sounds two alternating tones. L-T alarm must be
manually silenced by pressing the Alarm Silence
Fixed Key.

SER (Serious): alarm flashes yellow and sounds
the same tone twice. Alarm can be manually
silenced using the Alarm Silence Fixed Key or the
alarm will automatically reset if the violation ceases.

ADV (Advisory): alarm flashes white and sounds a
single tone. Alarm can be manually silenced using
the Alarm Silence Fixed Key or the alarm will
automatically reset if the violation ceases.

TO ADJUST ARRHYTHMIA ALARMS/SETTINGS:

- Highlight ARR parameter box, click.

- Customize type of alarm, rate, count and archive
function as desired.

ARR may also be accessed from the Alarm Limits

Fixed Key by choosing ARR.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 08

© 2010 Draeger Medical, Inc.

1

2

3

Accessing Parameter Functions:

ECG MONITORING

To Display All Monitored Leads

- Highlight HR parameter box, click.

- Select Show All Leads, click.

HINT: For best results choose waveforms that are all
positive or all negative and greater than 0.25 mv tall.

To Change Displayed Leads

- Highlight HR parameter box, click.

- Highlight Lead Setup, click.

- Highlight Channel 1, click.

- Highlight desired lead, click.

- Repeat above to change other channels.

To Activate Pacemaker Detection

- Highlight HR parameter box, click.

- Highlight ECG Options, click.

- Highlight Pacer Detection On, click.

NOTE: Pacer Detection is not active when
Electrosurgical Unit (ESU) filter suppression is used.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 09

© 2010 Draeger Medical, Inc.

Accessing Parameter Functions

NON-INVASIVE BLOOD PRESSURE (NBP) MONITORING

- Highlight NBP, click.

- Highlight Interval Time, click.

- Rotate dial to the desired time interval, click.

- Press NBP Start/Stop key to begin interval setting.

- To suspend interval measurements, press the NBP
Start/Stop key quickly two times.

**To stop a measurement press NBP Start/Stop key.

A bar appears under the NBP showing the interval time.

RESPIRATORY MONITORING

- Highlight Respirations parameter box, click.

- Highlight and enter desired changes to menu
options.

SpO

2

MONITORING

- Highlight SpO

2

parameter box, click.

- Select waveform size, adjust, click.

- Select pulse tone source, adjust, click.

- Select pulse tone volume, adjust, click.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 10

© 2010 Draeger Medical, Inc.

TEMPERATURE MONITORING

- Highlight TEMP parameter box, click.

- Highlight and enter desired changes, click.

Fast Access Data Key

TRENDS

- Press Fast Access Data key.

- Highlight Trend Graph or Trend Table, click.

- Highlight time interval, click.

- Set time to desired interval, click.

- Highlight Report, click for a printed report at laser
printer.

REVIEW STORED EVENTS

- Press Fast Access Data key.

- Highlight Event Recall, click.

- Scroll through the events by highlighting the left or
right arrow, click.

- To Print Events, Highlight Report or Record and click
for laser printout or recorded strip.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 11

© 2010 Draeger Medical, Inc.

ALARM LIMITS FIXED KEY

- Press Alarm Limits fixed key.

- Highlight the limit to be changed, click.

- Rotate dial to desired value, click.

- Verify alarm status as ON/OFF as desired.

NOTE: Auto Set may be used to set close to the patient
specific limits.

RECORDINGS

- Press Record fixed key for a timed strip recording.

- For a continuous recording, press MENU key and
highlight Continuous Record, click.

PRINT

- Print Screen sends a snapshot of whatever is on
the screen to the laser printer.

- Real-time recordings of ALL waveforms – Press
Fast Access Fixed key, highlight Report, click.

- Highlight Timed or Continuous waveform, click.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 12

© 2010 Draeger Medical, Inc.

Menu Functions

PATIENT CATEGORY

- Press Menu key.

- Highlight Patient Setup, click.

- Highlight Patient Category, click.

- Select desired category, click.

- Patient category Adult, Pediatric, Neonatal displayed
on screen.

Patient Category is displayed on screen.

PLACE MONITOR IN STANDBY

- Press Menu key.

- Highlight Standby, click.

Monitoring is suspended while in standby mode, yet all
trended patient data is retained and monitor settings are
not affected.

TO ACCESS PRIVACY SCREEN

- Press Menu key.

- Highlight Privacy, click.

Waveforms and alarms occur only at the ICS. To release,
press Mainscreen key.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 13

© 2010 Draeger Medical, Inc.

Transfer of Data

TRANSFER FROM DRÄGER MONITOR TO
DRÄGER MONITOR

Step 1 - Press Menu key.
Step 2 - Place Dräger Monitor in Standby.
Step 3 - Go to destination monitor and press the Menu.
Step 4 - Click on Admit/Discharge.
Step 5 - Click Transfer (If you are transferring data form

outside the destination care unit, go to Step 6.
Otherwise go to Step 8).

Step 6 - Click on Select Care Unit to transfer from. A

list of care units appears. If you are monitoring
only one care unit, this item is ghosted.

Step 7 - Click on the care unit from which you are

transferring data. The selected unit appears next
to Care Unit.

Step 8 - Click on Select Bed to transfer from to display

beds currently in standby.

Step 9 - Click on the source bed to display it on the menu.
Step 10 - Click on Start Transfer to this bed.
Step 11 - Click on Transfer to this bed to transfer patient

data and display the banner Transfer In Progress,
or on Cancel to return to the previous menu.

Step 12 - Press the Main Screen fixed key on the source

monitor to exit Standby mode.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 14

© 2010 Draeger Medical, Inc.

TRANSFER FROM DRÄGER MONITOR TO M300

- Place Dräger Monitor in Standby.

- Admit an M300 to the Central Station.

- Click ADT.

- Click Transfer.

- Select Care Unit and then Monitor/Bed.

- Click Continue.

- Click Yes to Confirm data Transfer.

- Select NO to Discharge the Information.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 15

© 2010 Draeger Medical, Inc.

Infinity Monitor Troubleshooting Guide

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 16

© 2010 Draeger Medical, Inc.

Arrhythmia Problems

Heart rate is
undercounted

Heart rate is being
double counted.

False Asystole alarm

OR monitoring ONLY

Possible Cause

R wave amplitude is
<than 0.5mV

Large P or T wave is
being counted as a
QRS complex

R wave amplitude is <

0.5mV (one large box)
and monitor is unable
to sense and count
QRS complexes.
Narrow QRS’s can be
counted as pacer
spikes.
Wet ECG ESU Block

Action

Select the ECG lead
and/or sensitivity that
provides a QRS
amplitude of >0.5mV
in height
Monitor in another
lead, which will display
a smaller P or T wave.
The QRS must be
double the size of the
T or P wave
Change monitored
lead to one with larger
R wave. Relearn. Turn
Pacer detection to
OFF.

Remove ESU (blue
block) if asystole stops
allow block to dry out
for several days.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 17

© 2010 Draeger Medical, Inc.

Arrhythmia Problems

Difficulty in monitoring
a paced rhythm

Monitor is falsely
alarming for movement
and artifact.

60 cycle interference
(sawtooth baseline)

Possible Cause

Pacing detection is
turned OFF. Pacer
spike is too small and
monitor is unable to
detect.

Inadequate skin prep.
Old, dry or wet
electrodes.
Insecure electrodes.
Loose lead wires.

Poor lead placement.
Possible non-grounded
instrument near patient.

Action

Turn pacer detection
ON and reposition RA
electrode lower and LL
electrode higher on
chest wall. Monitor in
another lead, such as
V1. Relearn. Select
best lead and change
QRS processing from
ECG 1 & ECG 2 to
ECG 1 only.
Ensure that skin is
properly prepped
including removing hair.
Change electrodes at
least every 24-48 hrs.
Ensure that electrodes
are making good con­tact with chest wall.
Check and secure
lead wires.
Reapply electrodes.
Disconnect electrical
appliances near
patient from wall outlet
(one at a time) to
determine faulty
grounding. Consult
bio med/clinical
engineering dept.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 18

© 2010 Draeger Medical, Inc.

Arrhythmia Problems

Fuzzy or irregular
baseline

Rough jagged
baseline.

Wandering baseline

Monitor is not storing
arrhythmia alarms.

Possible Cause

Poor lead placement.

Tense, uncomfortable
patient.

Tremors or diaphoresis.

Poor electrical contact.
Respiratory interfer­ence.
Faulty or dry
electrodes.
Patient movement.

Improperly placed
electrodes.

Respiratory
interference

Arrhythmia detection is
turned OFF.

STORE not selected in
alarm menu.

Action

Reapply electrodes.
Ensure that placement
is on flat non-muscular
areas. Make sure
patient is comfortable.
Assess and treat
patient accordingly.
Reapply electrodes.
Move electrodes from
areas of greatest chest
motion. Change/apply
new electrodes.
Ensure patient comfort.
Reapply electrodes;
ensure that cable is
not pulling electrodes.
Move electrodes away
from areas of greatest
movement during
respiration.
Access arrhythmia
menu, turn detection
ON.
Access alarm limits
select STORE for
Archive.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 19

© 2010 Draeger Medical, Inc.

Arrhythmia Problems

Monitor did not alarm
for arrhythmia

Cannot Learn Lead

Baseline Artifact

Possible Cause

Alarm not on, criteria
incorrect or HR source
incorrect. ALL Alarms
off chosen for default
setting.

Dominant normal
complex could not be
determined for Lead.
After 100 beasts,
monitor cannot deter­mine the dominant
normal complex on any
lead selected for QRS
processing. Learning
continues.
Artifact is blocking
arrhythmia class­ification. Patient’s
movement, shivering,
tremors. Bad electrode
contact. Excessive sig­nal noise. Interference
from auxiliary equip­ment.

Action

Access alarm limits,
turn on alarm with de­sired limits check HR
source. Ensure that if
monitor is in OR mode
that the monitor is not
in ALL Alarms off (this
will have a timed
setting) mode or
BYPASS mode.
Check Leads. Choose
another lead for QRS
processing. Check
electrode preparation.

Check electrode
preparation. Calm
patient. Check
electrodes and reapply
if necessary. Ensure
that the patient’s skin
is properly prepped.
Isolate the patient form
auxiliary equipment.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 20

© 2010 Draeger Medical, Inc.

NIBP Problems

NIBP did not occur as
desired

Monitor has message
of NIBP open line

Monitor shows mean
b/p only

NBP Low inflation
Limit

NBP Cannot Measure

Possible Cause

Interval change not
saved.

Leak between hose
and cuff.

Incorrect cuff size
Patient’s pulse is too
low for monitor to
derive systolic and
diastolic pressure
values but large
enough to report mean
pressure.
Patient’s systolic
pressure is higher than
the maximum allowed
inflation limit.
Pulse profile is too
poor to make a reliable
measurement (usually
owing to persistent
motion artifact).

Action

Initiate b/p or double
click start/stop nbp
with new interval
Disconnect and
reconnect hose to
cuff.
Ensure that cuff size
and placement is
correct. Check the
patient and treat if
necessary. Check
hose and cuff.

Select the next higher
NBP inflation limit
setting.

Check the patient and
treat if necessary.
Move cuff to a limb
with less movement.
Restart measurement.
If message persists
contact Biomed or
Technical Support.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 21

© 2010 Draeger Medical, Inc.

NIBP Problems

NBP No Pulsation

MAP appears to be
incorrect

NBP </> alarm limit

NBP measurement
timeout

Possible Cause

Weak signal. Monitor
is unable to detect a
sufficient number of
pulsations of adequate
amplitude within two
minutes.

MAP calculated on
displayed SBP and
DBP.

Incorrect limits or
incorrect patient
category.
Measurement lasted
longer than 2 mins
(adult or peds) or
90 sec (neo).

Action

Check the patient and
treat if necessary.
Check the hose and
cuff. Check for proper
size, placement of
cuff.

No action required.
The monitor uses the
step deflation method.
The MAP is determined
first. The DBP and
SBP are calculated
from the MAP.
Check alarm limits
Check patient
category.
Move cuff to limb with
less movement. Ensure
proper cuff size. Adjust
inflation limit. Retry
measurement.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 22

© 2010 Draeger Medical, Inc.

IBP Problems

Pressure waveform not
showing on monitor

Pressure waveform not
showing at ICS

Acquired blood
pressure is different
form estimated value

No IBP value appears
on screen

Possible Cause

Loose connection
Main screen parameter
priority incorrect.

Parameter not in one
of top two positions.

Air bubbles in pressure
circuit. An extra tubing
is attached to circuit.
Transducer is posi­tioned incorrectly.
Pressure transducer
with different sensitivi­ties is used. Other
causes.
Measurement is OUT
OF RANGE. Pressure
transducer cable is
damaged.

Action

Ensure that transducer
is properly connected.
Go to menu-main
screen and highlight
and shift parameter to
desired location using
trim knob.
Right click on upper
left of waveform box
opening manual lead
select; choose wave­form to be displayed in
desired position.
Remove air bubbles.
Remove extra tubing.
Reposition pressure
transducer. Check
transducer. Re-zero
transducer.

Check the measuring
condition. Replace
cable or transducer.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 23

© 2010 Draeger Medical, Inc.

CO Problems

CO value is different
form expected

IBP S <#>

IBP D <#>
IBP M <#>

Out of Range (high)
Out of Range (Low)

Please Check Zero

Possible Cause

CO SETTINGS are
incorrect. CO injection
takes too long.

Pressure value outside
alarm limits.

Pressure signal out of
measurement range.

The IBP zero stored in
the monitor may not
correspond to the
peripheral device.

Action

Check CO SETTINGS
and input correct
information. Inject over
10-20 Seconds.
Check patient and
take appropriate
action. Access the
Alarm Limits menu
nd change the alarm
limits. Check equip­ment and replace if
necessary.
Check patient and
treat if necessary.
Access the Pressure
Labels menu and
assign the correct
labels. Check equip­ment and replace if
necessary.
Zero the transducer.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 24

© 2010 Draeger Medical, Inc.

CO Problems

Static Pressure

Unplugged

Zero Required

Did Not Zero

Did Not Zero – Offset
Error

Possible Cause

Static pressure detec­ted on the pulsatile
signal, owing to: A
physiological condition,
e.g., asystole.
Transducer turned off
to the patient. A
catheter tip logged
against a vessel wall. A
clot on the catheter tip.
Pressure transducer is
specified parameter is
either unplugged or
defective.

Pressure transducer
for specified parameter
requires zeroing.
Transducer zeroing
failed b/c of:
Excessive signal noise.
A non-static waveform.

Transducer zeroing
failed b/c static
pressure was too high
or too low.

Action

Check patient and
treat if necessary.
Open the system to
the patient by turning
the stopcock. Follow
hospital procedures
for dislodging
catheters. Follow
hospital procedures
for clotted catheters.
Active pressure:
Reconnect or replace
the cable. Inactive
pressure: Turn off
alarms.
Zero transducer.

Keep all tubing
motionless, then
rezero. Change the
transducer. Check
stopcock, then rezero.
Rezero the transducer.
Loosen and retighten
the transducer dome,
then rezero the
transducer. Replace
the transducer.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 25

© 2010 Draeger Medical, Inc.

CO Problems

Calibrating

Cal. Failed –
Not Static

Cal. Failed –
Out of Range

Zero before Cal.

H/W Failure

Possible Cause

Mercury calibration in
progress.

Mercury calibration
failed b/c input pres­sure was not static.

Mercury calibration
failed b/c the meas­ured value was too
high or too low.

During calibration,
more than 5 minutes
have elapsed since
last successful zero.
IBP Channel hardware
failure.

Action

Complete calibration
before you begin
monitoring the patient.
Make sure transducer
is closed to patient.
Check for leaks. Keep
all tubing motionless.
Rezero the transducer.
Loosen and retighten
the transducer dome,
then rezero the
transducer. Replace
the transducer.
Make sure the trans­ducer is zeroed, then
retry. If the retry fails,
replace the transducer.
If calibration requires a
factor outside this
range, replace the
transducer.
Zero the transducer.

Check hardware and
replace. Call Biomed
or Dräger Medical
Technical Support.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 26

© 2010 Draeger Medical, Inc.

CO Problems

Hemo Pod
Disconnected

RESP Problems

Respiration value
appears incorrect.

RESP Out of Range

RESP Apnea (neonatal
or Peds mode only)

Possible Cause

The hemo pod is not
connected to monitor.

Possible Cause

Incorrect lead place­ment, artifact.

The respiration rate is
higher than 150
breaths per minute.
The monitor may be
counting artifact as
valid breaths. The
monitor may be
counting interference
caused by faulty
equipment.
No respiration has
been detected.

Action

Check cables and
connection. Replace
cable if necessary.

Action

Check lead placement.
Change monitor lead
(I/II). Turn on respira­tions Marker to denote
breath.
Check the patient and
treat if necessary.
Check the placement
of electrodes. Change
their position if neces­sary. Move the elec­trodes away from the
source of interference.

Check and or change
electrode placement if
necessary. Carry out a
RESP Relearn or reset
breath-detection sensi­tivity in Manual mode.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 27

© 2010 Draeger Medical, Inc.

RESP Problems

RESP Coincidence

RESP Can’t detect
coincidence

RESP Signal
Saturated

Possible Cause

Patient’s heart rate
and respiration rate fall
within 20% of each
other.

RESP Coincidence is
enabled but there is
excessive ECG artifact.
Or ECG leads are off.

RESP signal detected
by monitor has
excessive baseline
shift.

Action

Observe the patient
carefully. Treat if nec­essary. Check and or
change the electrode
placement if you
receive a coincidence
message until you
obtain a clear respira­tion signal.
Calm patient. Ensure
that the patient’s skin
is properly prepped
and change electrodes
if necessary. Isolate the
patient form auxiliary
equipment. Inspect and
replace defective
cables and wires.
Select another ECG
lead for processing
(from ECG menu).
Check patient cable
and lead wires and
replace if necessary.
Reapply gel or change
electrodes. Check the
MultiMed pod and
replace if necessary.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 28

© 2010 Draeger Medical, Inc.

RESP Problems

RESP Artifact

No SpO2reading

SpO2< Low limits
value – 20% (Neonatal
patients category only)

SpO2Transparent

Possible Cause

Persistent artifact
detected.

Faulty cable/probe
connection. The
monitor has not been
able to compute a valid
measurement within
the last 30 seconds
because of unstable
measurement
conditions.

Patient’s SpO2falls
below the current
lower alarm limit by
20% or more.
Too much light is
reaching the sensor’s
light detector.

Action

Check patient cable
and lead wires care­fully. Check electrode
placement. Change
their positions if
necessary.
Check connection,
make sure probe is
properly connected to
cable. Finger probe
light should be illumi­nated. Ensure the
SpO2sensor is prop­erly attached to the
patient at a site free of
patient motion.
Observe patient and
treat if necessary.

Sensor is off the finger.
Remove ambient light
source. Cover sensor
with opaque material.
Call Dräger Medical
Technical Support.

Infinity Delta/Delta XL/Kappa - Quick Reference Guide
Intended for quick reference only.
Refer to Instruction For Use Manual.

INFINITY DELTA/DELTA XL/KAPPA - QUICK REFERENCE GUIDE | 29

© 2010 Draeger Medical, Inc.

SpO2Problems

SpO2Unrecognized
Sensor

SpO2Artifact

SpO2Weak signal

SpO2Regulation Error

Possible Cause

The monitor does not
recognize the sensor
connected as valid.

A persistent artifact is
detected.

Pulse amplitude is too
low due to poor perfu­sion (shock) or low
body temperature.

Inconsistent light level
detected by sensor.
Excess Ambient light
detected.

Action

Check for defective or
unapproved sensors.
Replace the sensor.
Contact BioMed or
Dräger Medical
Technical Support.
Ensure the SpO

2

sensor is properly
attached to the patient,
patient is not moving,
and all cables are
properly connected.
Check patient’s condi­tion. Ensure the SpO

2

sensor is properly
attached to the patient
and all cables are
properly connected.
Relocate sensor to
another extremity.
Ensure the SpO

2

sensor is properly
attached to the patient.
Remove or shade any
external source of light
entering the sensor.

HE ADQ UARTERS

Drägerwerk AG & Co. KGaA
Moislinger Allee 53–55
23558 Lübeck, Germany

www.draeger.com

Manufacturer:
Dräger Medical GmbH
23542 Lübeck, Germany
The quality management system at
Dräger Medical GmbH is certified
according to ISO 13485, ISO 9001
and Annex II.3 of Directive 93/42/EEC
(Medical devices).

CANADA

Draeger Medical Canada, Inc.
120 East Beaver Creek Road Suite 104
Richmond Hill, Ontario L4B 4V1
Tel [phone]
Toll-free [phone]
Fax [phone]
[e-mail]

USA

Draeger Medical, Inc.
3135 Quarry Road
Telford, PA 18969, USA
Tel [phone]
Toll-free [phone]
Fax [phone]
[e-mail]

90 66 697 | 11.10-1 | Marketing Communications | LL | Printed in USA | Environmentally Compatible | Subject to modifications |©2010 Drägerwerk AG & Co. KGaA