Dräger Infinity C700 User manual

Infinity Acute Care System
This Infinity Quick Reference
Guide is not a replacement or
substitute for the Instructions for
Use (IFU). It is for informational
purposes only.
Software Level: VG4
Quick Reference Guide
Infinity Cockpit
C700 / C500

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Content
Electrode & Lead Placement
3-6
Docking, Transport, Power and Keys
7-9
Blue Header Bar, Quick Access & Function Keys
10-12
Patient Category and Admit
13
Discharge, Standby and Privacy
14
Alarm Priorities
15
Alarm Pause & Alarm Setup
16-18
Screen Setup Restore Profile and Views
19-20
Parameter Setup
21
ECG
21-22
RRi/Impedance Respirations
22-23
SpO2
23-24
NIBP
24
Mainstream etCO2 Monitoring
25-26
12 lead ECG
26
Invasive Pressures
27
PAWP
28
Cardiac Output
28-29
Calculations
30
Warning! This “Quick Reference Guide” is not intended to replace the Instructions for Use manual.
For full information concerning the performance characteristics of the Dräger devices described in
this Quick Reference Guide, each user must carefully read and fully comprehend the Instructions for
Use before operating the respective device.

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Electrode & Lead Placement
DO’S & DO NOT’S
99
Do place the electrode on a clean and dry
area of skin.
99
Do utilize soap, water, and dry skin thor-
oughly.
99
Do remove hair if necessary for proper elec-
trode placement.
99
Do change electrodes Q 24-
48 hours, or per
hospital policy.
U
Do Not utilize alcohol to dry an
d clean area
of skin for electrode placement.
U
Do Not place electrodes over bony promi-
nences or area of increased muscle move-
ment/activity.
U
Do Not assume electrodes are “g
ood” if the
tape portion is attached to the patient’s skin.
U
Do Not braid, tie or knot leads.
Note:
Always follow hospital-approved practices or the recom-
mendations of the electrode manufacturer.

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Electrode Colors*
IEC
AHA/US
Electrode Location
L
Yellow
LA
Black
Left arm
F
Green
LL
Red
Left leg
R
Red
RA
White
Right arm
N
Black
RL
Green
Right leg (neutral)
C
White
V
Brown
Moveable chest
C+
Gray & White
V+
Gray & Brown
2nd M oveable chest
Standard 6 Lead Configuration
IEC AH A
Standard 5 Lead Configuration
IEC AH A

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Standard 3 Lead Configuration
IEC AH A
Pacemaker Configuration 5 electrodes
IEC AH A
Warning: Make sure the pacemaker detection is turned OFF for patients
without pacemakers and that it is ON for patients with pacemakers. Al-
ways keep pacemaker patients under close surveillance.

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12-Lead Configuration (ten electrodes)
IEC
AH A
Respiratory lead placement for infants

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Docking and Transport, Power &
Frequently Used Keys
M500 DOCKING STATION WITH M540 AND COCKPIT
1. M500 secures and powers the M540 monitor
2. M500 connects M540 to the Cockpit and the Infinity network
that may include an Infinity Central Station (ICS), a network re-
corder, and a network printer.
3. M540 facilitates transport of patient when undocked, by main-
taining all patient connections and alarm settings.
4. M540 when configured as wireless can send information to the
ICS over a Wi-Fi network.
TO UNDOCK M540 (release for transport)
1. Push locking tab toward the back of M500
2. While holding the M540 firmly with one hand press one of the
release buttons on M500 and remove from M500
TO DOCK M540
1. Align curved portions of M540 and M500
2. Press M540 into M500 until it clicks in place.
3. Push the locking tab toward the front of M500.

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COCKPIT
Refers to the C500/C700 medical cockpit. The main user interface
for the IACS
TO POWER ON/OFF
1. Press the Power On/Off key
2. Select Shutdown inside the dialog window. The message
3. System is shutting down appears on the screen while the
4. Infinity Medical Cockpit is being powered down.
ROTARY KNOB
Navigates through menus and tables to define settings
1. Touch a Parameter box or Function key to display a menu.
Turn the Rotary knob to the left or right to increase or de-
crease a numeric value, to scroll down a list, or navigate
through a menu.
2. Press the Rotary knob to accept a selected setting.

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AUDIO PAUSE KEY
This key is located to the right of the rotary knob.
Pauses acoustic alarm signals for two minutes.
Note: Quiet Mode is Activated – If a new alarm condition with a priority
higher than the currently paused alarm occurs, a truncated alarm tone
sounds. In addition, the alarm is represented by visual alarm signals corre-
sponding to the alarm priority. If the new alarm is of lower priority than the
paused alarm, the new alarm condition is only represented by a visual alarm
signal. No acoustic alarm tones sound.
If Quiet Mode is Deactivated - Any new alarm condition breaks through the
Audio Pause period with full acoustic and visual alarm annunciation.
TO CALIBRATE THE C700 / 500 SCREEN
1. Press the rotary knob for 30 sec. until the Calibrate Touch
Screen popup appears. (Requires several seconds)
2. Select the Calibrate button in the popup or press the rotary
knob again to access the calibration screen.
3. Follow the onscreen prompts
4. Depress the circles until they turn Dark Blue.

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Blue Header Bar, Quick Access Icons, &
Function Keys
BLUE HEADER BAR
Appears along the top of the screen and displays the following:
1. Patient category field (adult pediatric, neonate)
2. System data field
3. Patient name field
4. Time and date field
5. Alarm message field
6. Alarm banner field

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QUICK- ACCESS SYMBOLS
Symbols that offer access to frequently used functions
Quick access sym-
bol next to:
Associate tool bar
ALARMS…
All alarms off, or All alarms paused
Auto set all
VIEWS…
Show all ECG
Remote view
Print screen
TRENDS AND
DATA…
Trend Table Report, ECG Reports, Timed
Waveform Report, Timed Recording and
Continuous Recording, etc.
SENSOR
PARAMETERS…
Zero all
NIBP continuous
Venous stasis
START / STANDBY…
Standby
Discharge
Privacy

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FUNCTION KEYS
Preconfigured and Configurable quick access keys
Key
Function
ALARMS
Opens the Alarms dialog window.
MARK EVENT
Stores an event in the alarm history.
CODE
Executes pre-configured functions associat-
ed with a code
RELEARN ARR
Establishes a new QRS template
VIEWS…
Opens the dialog window for setting up
screen view and Remote view.
PRINT SCREEN
Prints the current screen view on a connect-
ed laser printer
FREEZE WAVEFORMS
Stops all waveforms for 60 seconds.
TRENDS AND DATA…
Opens the Trends/Data dialog window.
PROCEDURES
Opens the dialog window for setting
up Wedge and C.O.
SENSOR PARAME-
TERS…
Opens the dialog window for setting up each
parameter.
NIBP START / STOP
When selected starts an NIBP measurement.
To cancel the BP, select the button again.
ZERO
Zeroes all pressures (not available on C500)
SYSTEM SETUP
Opens the System setup dialog window.
START / STANDBY
Opens the Start/Standby dialog window.
HOME
Returns to the main screen and closes any
dialog window.

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Patient Category, Admit, Discharge,
Standby, and Privacy
PATIENT CATEGORY
Each patient category for Adult, Pediatric, and Neonate have specif-
ic defaults associated with it.
1. Touch patient category symbol in left most field of the
blue header bar on Cockpit.
2. Select desired Patient category.
3. Press rotary knob to confirm setting.
oThe message “Changing category will change alarm set-
tings and algorithmic processing” appears.
oSelected patient category icon will appear in blue
header bar.
Note: If you dock an M540 with a patient category that differs from the one
selected on the Cockpit, the patient category setting of the Cockpit changes
to match the M540.
ENTER PATIENTS DEMOGRAPHIC DATA FOR ADMISSION
1. Touch patient category symbol in left most field of the
blue header bar on Cockpit.
2. Select Name, ID, Birth date, Admit date, Physician, height
and weight, and use key board to enter data.
TO ADMIT A PATIENT USING “GET HIS” FUNCTION
1. Touch patient category symbol in left most field of the
blue header bar on Cockpit.
2. Enter the patient ID number.
3. Select Get HIS button on the demographics page.
oIf button is grayed out and is not selectable, the Cockpit is
not connected to the hospital information system.
4. Demographics will populate automatically. If demographics do
not appear, confirm correct ID #.

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TO DISCHARGE A PATIENT
1. Select Discharge function key on the main menu bar.
2. The message Caution discharge will delete patient data ap-
pears.
3. Select Discharge to confirm, or Cancel to resume monitoring
same patient.
4. The message Touch Screen to initiate monitoring appears.
Note: All patient data is deleted upon discharge, and either factory or user
default limit settings are restored.
TO PLACE MONITOR IN STANDBY
You can temporarily interrupt patient monitoring by placing the
Cockpit and the M540 in standby mode.
1. Select the Start/Standby... button on the main menu bar to
display the Standby dialog window.
2. Select the Start tab if it is not already selected.
3. Select the Standby button. The banner Standby-Touch Screen
to resume monitoring appears in the center of the Cockpit
screen.
4. To take the Cockpit out of Standby mode, touch the screen to
resume monitoring the vital signs
TO PLACE MONITOR IN PRIVACY
All patient data are removed from the Cockpit and the M540 dis-
plays, but continue to be displayed and alarm signals produced at
the Infinity Central Station.
1. Select the Start/Standby... button on the main menu bar to
display the Standby dialog window.
2. Select the Start tab if it is not already selected.
3. Select the Privacy button. The banner Privacy Touch Screen to
resume monitoring is displayed in the center of the monitor.

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Alarm Priorities
HIGH-PRIORITY ALARMS
- Report conditions that can be life threatening and require imme-
diate intervention; for example, asystole.
- The alarming parameter’s box and alarm message field have red
background, and audible alarms*sound when active.
- Are latched, (audio / visual alarms continue until the alarm is
acknowledged, even if the alarm condition has ceased to ex-
ist). To acknowledge press .
MEDIUM-PRIORITY ALARMS
- Report conditions that require prompt attention but may not be
life-threatening; for example, low SpO2.
- The alarming parameter’s box and alarm message field have a
yellow background, and audible alarms* sound when alarms are
active.
- Are non-latched (audio / visual flashing alarms stop when situa-
tion corrects self), but alarm status message will remain in the
header bar. To remove message press .
LOW -PRIORITY ALARMS
- Alerts to technical issues that may compromise the ability of the
system to monitor the patient; for example, SpO2 probe off. Also
may be set to alert to lower risk arrhythmias, such as couplets.
- The alarming parameter’s box and alarm message field have cyan
background, and audible alarms* sound when active.
- Are also non-latched alarms, except status bar does not remain
active when situation resolved.
Note: Audible alarm signals are distinct for each alarm priority. Specific
characteristics including break through alarms will vary depending on the
default alarm pattern (Infinity, IEC fast or IEC slow) & software level.

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Alarm Pause & Alarm Setup
TO PAUSE AUDIO ALARMS FOR 2 MINUTES
1. Press the yellow key on the Cockpit.
2. Pressing the key again turns alarms back on
Note: Quiet Mode is Activated – If a new alarm condition with a priority
higher than the currently paused alarm occurs, a truncated alarm tone
sounds. In addition, the alarm is represented by visual alarm signals corre-
sponding to the alarm priority. If the new alarm is of lower priority than the
paused alarm, the new alarm condition is only represented by a visual alarm
signal. No acoustic alarm tones sound.
If Quiet Mode is Deactivated - Any new alarm condition breaks through the
Audio Pause period with full acoustic and visual alarm annunciation.
TO PRE-SILENCE ALARMS FOR 2 MINUTES
This function allows you to pre-silence (audio pause in advance)
potential alarm conditions before they occur.
1. Press the yellow key on the Cockpit
oAlarm conditions are reported visually by a corres-
ponding alarm message and a blinking parameter box.
oA single alarm tone sequence is generated for the first
occurrence of an alarm condition of low, medium or high
priority.
oThe Audio paused % banner appears in the far right
field of the header bar along with a countdown timer
and the following symbol:
oIf multiple alarm conditions arise during an active pre-
silence period, the Cockpit triggers a single alarm tone
sequence for the highest grade.
Note: Pre-Silence functions only if Quiet Mode is activated.

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ARCHIVE FUNCTION
In response to an alarm limit violation for each Parameter or Ar-
rhythmia the following occurs depending on the Archive setting:
oOff – no event is stored and no recording is generated.
oStore – stores the event for later review.
oRecord – generates a timed recording
oStr/Rec – generates a timed recording and stores the event.
Note: All Arrhythmia Alarms if set to Str or Str/Rec will hold the event in the
alarm history for later review even when the alarm is turned Off.
CONFIGURING INDIVIDUAL PARAMETER ALARM SETTINGS
1. Select desired parameter box to access the parameter setup
page.
2. Select button above the current patient value to adjust the
High limit. Select the button below the current patient value to
adjust the Low limit.
3. When button is highlighted yellow use Rotary knob to adjust
the parameter limit higher or lower.
4. Press Rotary knob to confirm.
5. Select button below low limit to select how an alarm violation
for this parameter will be Archived.
6. To turn alarm Off or On for the parameter
oSelect the Alarm on/off button, a crossed-out triangle
appears in the parameter box when alarm monitoring is
deactivated.
WARNING:The banner HR alarms off appears in the right most
field in the header bar whenever you deactivate heart rate alarms.
Setting alarm limits to extreme values may prevent certain alarm
conditions from being detected and from being annunciated with
acoustic and visual alarm signals.

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CONFIGURING ARR (ARRYTHMIA) ALARM SETTINGS
1. Select the Alarms button on the main menu bar.
2. Select the Limits tab (if not already selected).
3. Select the ARR tab along the right side.
4. Select the corresponding setup button for the Alarm priority
column to select the alarm priority. A crossed-out triangle ap-
pears when alarm monitoring is deactivated. The priority for
asystole and ventricular fibrillation events cannot be changed.
The alarm priority ’high’ is always assigned to these categories.
5. Select the corresponding setup button in the Rate column to
set the rate.
6. Select the corresponding setup button in the Count column to
set the count.
7. Select the corresponding setup button in the Archive column
to set how it will be archived with alarm violation.
8. Select the Arrhythmia mode button to change Arrhythmia
monitoring to Advanced, Basic or Off (if available).
9. Select the Relearn button to initiate the relearn process of the
ECG leads. A new reference template is created.
TO ADJUST ALARM VOLUME
1. Touch the Alarm Volume Indicator to open the Alarm Volume
Menu

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Screen Setup, Restore Profile & Views
DISPLAY MODE SETUP/AUTO VIEW TAB
The Mainscreen of the Cockpit will show parameters and wave-
forms based on two settings, Auto or Manual
1. Select Setup button on far right of Auto display toolbar if
available
oOR, select System Setup from menu bar key, Screen Setup
tab (on top), and Auto view tab (on right).
2. Select Auto display mode selection button to have the Main
screen display only those parameters with cables connected
to the monitor
OR
3. Select Manual display mode to have the Main screen show all
parameters even those not connected.
4. Adjust position and number of waveforms and parameter
boxes, turn on Split screen, and setup and turn on Mini trends
display.
AUTO VIEW TOOLBAR
1. On Auto view toolbar at bottom of screen, touch the desired
parameter icon to move.
2. With rotary knob, dial left to move to higher priority, or dial
right to move parameter to a lower priority.
oParameter is displayed as a waveform with a parameter
box.
oParameter is displayed only as a parameter box.
oParameter is actively in use but not displayed on the
screen.

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TO SELECT OR RESTORE A PROFILE
A profile consists of customizable pre-defined settings for each
patient category, and may include settings unique for each parame-
ter, the alarm defaults, and configurable menu bar keys. Default
Profile is restored when selected or upon discharge.
1. Select System setup…
2. Select Profiles
3. At drop down box, select down arrow and select desired pro-
file name. Default profile has an asterisk*.
oProfile may already be highlighted, but select, profile has
now been restored.
Note: Patient category does not change automatically.
TO SELECT A DIFFERENT VIEW
A View refers to the layout and content of the screen. Each profile
has a pre-defined view associated with it. Each profile can also
have alternate views associated with it.
1. Select Views… key on main menu bar.
2. Select name of desired view.
“Auto” in the name indicates a plug-and-play concept where the
content of the main screen depends on the connected parameter
signals.
REMOTE VIEW
Cockpit allows you to view data from other infinity monitors in the
same monitoring unit.
1. Select the Views button on the main menu bar.
2. Select the Remote view tab. This dialog lists all of the beds in
the monitoring unit.
3. Select a bed from the list in the Views... dialog to access the
remote view of an individual patient.
4. Select the Connect button.