Drager Infinity Vista XL User manual

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

Infinity Vista XL Instructions for Use

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

Manufactured by:

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

Infinity Vista XL Instructions for Use Software VF7

Printed in the United States of America.

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

Distributed By:

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

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

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

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

CAUTION: In the United States, Federal

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

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

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

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

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

Some graphics courtesy of Novametrix Medical Systems, Inc.

Unpublished rights reserved under the copyright laws of the United States

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

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

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

Microstream is a registered trademark of Oridion Medical 1987 Ltd.

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

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

Overview

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

NFINITY VISTA XL USER ’S GUIDE

Intended Use

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

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Indications For Use

The Infinity Vista XL monitors are capable of monitoring:

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

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

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

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

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

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

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

populations only.

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

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Documentation Features

Warnings, Cautions, Notes

WARNING! A warning statement provides important information about a potentially hazardous situation which, if not avoided, could result in death or serious injury.

CAUTION!A caution statement provides important information about a potentially hazardous situation which, if not avoided may result in minor or moderate injury to the user or patient, or in damage to the equipment or other property.

NOTE: A note provides additional information intended to avoid inconvenience during operation.

Cross-references

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

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

Quick Reference Tables

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

Footer

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

Applicability

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

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Safety Considerations

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

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

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

60601-1 and applicable collateral and particular standards.

Site of Operation

WARNING:

z Connect the AC Adapter to hospital grade electrical

outlets with medical power cords.

z Monitor operation is not currently supported in the

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

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

presence of flammable gases.

z Do not use the monitor near devices with microwave or

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

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

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

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

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

CAUTION:

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

Appendix B, Technical Data.

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

before moving pa tient.

Inspection and Maintenance

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

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

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

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

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

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

WARNING:

z Disposable accessories (such as disposable

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

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

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

z Moisture under the front panel can damage the electric

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

z Because of the danger of electric shock, never remove

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

NOTE:

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

service representative.

z Dispose of all equipment in accordance with local regulations.

Dräger Medical recommends:

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

otherwise the correct functioning of the device may be compromised.

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

as described in this Instructions for Use.

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General Electrical Safety

CAUTION:

z Ensure electrical shock classifications for all equipment connected to the

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

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

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

Pacemakers

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

Peripheral Devices

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

INFINITY VISTA XL USER ’S GUIDE

Electrosurgery

WARNING:

z Keep ECG, temperature, pressure , SpO

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

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

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

z Impedance respiration monitoring and pacemaker spike

detection are inoperative when you are using the ESU Block.

transducers,

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NOTE:

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

sensors.

z Always use accessories designed for ESU environments.

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

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Electromagnetic Compatibility

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

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

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

Dräger Medical recommends these procedures to reduce electromagnetic interference:

z Use only Dräger Medical provided accessories, otherwise the correct

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

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

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

z Maximize distance between electromedical devices. High-power devices

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

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

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

z Maintain good cable management. Avoid routing cables over electrical

equipment. Do not intertwine cables.

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

may interfere with other sensitive medical devices.

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

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CHAPTER 1: Introduction

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 2: Monitor Setup

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

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

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

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

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

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

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

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

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

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

CHAPTER 3: Network Applications

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 4: Admission, Transfer, and Discharge

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

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

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

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

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

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

CHAPTER 5: Alarms

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 6: Trends

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

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

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

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

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

CHAPTER 7: Recordings

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 8: ECG and Heart Rate

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 9: Arrhythmia Monitoring

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

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

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

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

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

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

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

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

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

CHAPTER 10: ST Monitoring

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

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

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

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

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

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

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

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

CHAPTER 11: Respiration

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 12: Non-Invasive Blood Pressure

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

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

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

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

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

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

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

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

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

CHAPTER 13: Invasive Blood Pressure

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 14: Calculations

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

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

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

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

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

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

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

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

CHAPTER 15: Pulse Oximetry (SpO2)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 16: etCO2 (End-Tidal CO2) Monitoring

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 17: FiO2 (Fractional Inspired O2) Monitoring

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

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

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

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

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

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

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

CHAPTER 18: Scio® Four Modules

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 19: Body Temperature

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

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

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

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

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

CHAPTER 20: Cardiac Output

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

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

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

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

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

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

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

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

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

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

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

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

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

CHAPTER 21: Cleaning and Disinfecting

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

APPENDIX A: Glossary

APPENDIX B: Technical Data

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

APPENDIX C: Approved Options and Accessories

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

XX VISTA XL VF7

INFINITY VISTA XL USER ’S GUIDE

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

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

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

VF7 VISTA XL XXI

NFINITY VISTA XL USER ’S GUIDE

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XXII VISTA XL VF7

Chapter 1 Introduction

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

1 I

NTRODUCTION

Overview

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

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

restricted to one patient at a time.

The following optional software features are available:

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

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

calculations)

1-2 VISTA XL VF7

System Components

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

Base Unit

Monitor Front View--Vista XL

SYSTEM COMPONENTS

1 2 3 4 5

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

VF7 VISTA XL 1-3

1 I

NTRODUCTION

Monitor Rear View--Vista XL

2 3 4

External (lead-acid) battery compartment

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

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Monitor Left Side--Vista XL

SYSTEM COMPONENTS

1 2 3

HemoMed connector MultiMed connector NBP connector

VF7 VISTA XL 1-5

1 I

NTRODUCTION

Monitor Right Side--Vista XL

1 2 3 4 5

PCMCIA slot Network connector

QRS Sync connector

RS 232 connector (X8) Analog connector (X10)

Device Markings

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





Monitor on/off Remote keypad in

Battery-operated equipment

Attention! Consult the accompanying document

Defibrillator-proof equipment, Type CF

RS 232

Analog out

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 Direct current Analog out

SYSTEM COMPONENTS





;

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

Isolated patient connection, Type CF

0123

Complies with the European

Medical Device Directive 93/ 42/EEC

Type BF, defibrillator protected

Gas in Contains no latex material

Gas out Manufacturer’s lot number

Dispose of properly Certain cuff codes are

Manufacturing date REF Manufacturer’s reorder code

Alarm out Does not provide isolation

Push battery all the way into compartment.

Close battery compartment door.

This end up

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

ethylene oxide sterile.

between connected devices

∼

Monitor is receiving AC power Potential equalization

Observe WEEE (Waste Electrical and Electronic Equipment) disposal requirements

terminal

VF7 VISTA XL 1-7

1 I

NTRODUCTION

Modules

MultiMed and NeoMed Pods

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

sensor, and a temperature probe.

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

ECG cable set, an SpO

information.

HemoMed Pod

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

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

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

etCO2 Module

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

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

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

Auxiliary Display Components

The following devices enable remote viewing of patient data.

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

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

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

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

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

compromise the correct functioning of the device.

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

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