Dräger Infinity Central Station User manual

This Infinity Quick Reference
Guide is not a replacement or
substitute for the Instructions
for Use (IFU). It is for informa-
tional purposes only.
Software Level: VG1
Quick Reference Guide
Infinity Central Station
With M300 Telemetry Unit

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Content
Electrode & Lead Placement
3-6
M300 Equipment Overview
7-9
ICS Overview
10-13
Alarms
14-15
ICS Features
16-18
Assignment of Monitor to ICS
15-16
Admitting a Patient
19
Recording
22
Setting Alarms
22
ECG Menu Options
24
SpO
2
Monitoring
26
Accessing Trends & Data
27
Full Disclosure
27
Strip Recording
27
Events
28
Locking/unlocking Full disclosure/Events
28
Electronic Calipers
29
Discharge
30
Transfer of Data
31
Telemetry ECG Troubleshooting Techniques
33-36
Cleaning Instructions
37
Note: Some actions can only be performed at the device, not the ICS. This is noted
where applicable throughout this document.
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 and 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 “good” if the
tape portion is attached to the patient’s skin.
U
Do Not braid, tie or knot leads.
*Always follow hospital
-approved practices or the recommen-
dations 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. Always keep pacemaker patients under close surveil-
lance.

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

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INFINITY CENTRAL STATION & M300 QUICK REFERENCE GUIDE
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M300 Telemetry
PATIENT WORN MONITORING

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TO REMOVE M300 FROM
BEDSIDE CHARGER
CENTRAL CHARGER
Note: The M300 enters a deep-discharge state when it is stored away from
either the Bedside Charger or the Central Charger for extended periods. To
exit the deep-discharge state, place the M300 in either the Bedside Charger
or the Central Charger for at least 30 minutes.
BEDSIDE CHARGER

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M300 Telemetry
Record
Key
- Press to generate a strip recording and store an
event at the ICS or press to cancel. (if enabled).
Staff Alert
- Press to send staff alert message to the ICS (trig-
gers a Medium-priority alarm at the ICS,
if ena-
bled).
Up/Down
Arrow
- Press to scroll through waveforms.
-
Press to increase or decrease a setting in an
M300 window.
-
Press both keys longer than 3 seconds to turn
the M300 power on/off.
View Key
- Press and hold longer than 3 seconds to turn the
M300 screen on & off.
-
Press to scroll through the Main, Lead
-
Status, Volume & Demographics screens.
-
Press to cancel Standby Mode.
- Press to accept/confirm user-selected values.
Alarm
Pause
- Press and hold longer than 3 seconds, follow
prompts. (if enabled), press again to cancel
during
all alarms paused status.
- Suppresses alarm monitoring of the corresponding
patient at the ICS and the M300 to pre-
configured
alarm pause period time.

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ICS Ter minolog y
INFINITY CENTRAL STATION (ICS)
Provides simultaneous central monitoring and critical care man-
agement of up to 32 patients per ICS. It is the primary patient mon-
itoring display and alarm source for M300 patients. It is the sec-
ondary patient monitoring display and alarm source for Infinity pa-
tient monitors displayed on the Main screen.
MAIN SCREEN
The primary ICS screen displays up to 16 patients (up to 32 patients
in dual screen configuration) which are assigned at the ICS for cen-
tral monitoring.
VIEWPORT
A slot on the ICS Main screen that is assigned to a patient; it con-
sists of a waveform area, a parameter box and a header.
BEDVIEW
A window on the ICS displaying the content of a bedside monitor or
M300.
M300
A patient-worn transceiver that uses the ICS as the primary patient
monitoring display and primary alarm source.
INFINITY PATIENT MONITORS
Monitors located at the bedside of the patient or accompanying the
patient on transport that provide continuous monitoring and data
collection of multiple parameters. Often referred to as the bedside
monitor in this document.
HL7
An interface for patient admission and laboratory values, which re-
quires an Infinity Gateway.

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ICS Menu Bar
Audio Pause
Pauses audio alarm signal tones for 2 minutes for all as-
signed patients (it does not affect the alarm state at the
source monitor).
Views...
Opens the Views dialog window where you can select
your preferred Main screen layout.
Remote
patient...
Accesses any available bed on the network within the
assigned monitoring units of the ICS.
Print screen
Prints the contents of the current screen on the config-
ured network laser printer.
Trends/Data
Opens the Trends/Data page, from which you can per-
form a number of patient related functions such as Find,
Clear
, Patient history..., Lock record, Delete record
, and
Connect
. You can also select
a specific patient and view
graphical and tabular data, Full disclosure data and
Events data for a patient from the Trends/Data dialog
window.
System
setup...
Opens the System setup... dialog window from which
you can select tabs to make a variety of
system-
related
selections pertaining to general settings, alarms, record-
ers/reports
and layouts. You can also access the Biomed
page with the appropriate password.
Telemetry
Opens the Telemetry defaults... dialog window (this but-
ton only appears when the telemetry option is enabled.)
Help
Access the instructions for use in PDF format.
Main screen
Returns to the Main screen and closes any window.

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BedView Menu Bar
Key
Function
Bed audio pause
Pauses all active alarm tones for the selected
patient (the duration of the audio pause depends on
the setting of the bedside monitor).
Audio Pause
Suppresses any alarms for the patient for a pre-
configured period.
Alarms...
Accesses the setup page for activating the alarm func-
tion for individual parameters and setting alarm limits.
Record
Starts a timed strip recording.
Mark event
(M300 only)
Enables you to save and store a manual event to the
disclosed database, where it can then be viewed from
the events tab.
For the M300, this is accomplished by
selecting the
Mark
event button from the Bed/View menu bar. From
a device other than the M300, marking an event must
take place at that specific device (which will be sent to
the ICS).
Print screen
Prints the contents of the current screen on a
connected laser printer.
ECG report
(non-diag,)
Request a non-diagnostic ECG report.
ECG relearn
Relearns the normal ECG waveform template for
processing arrhythmias and ST.
Resp relearn
Relearns the breath detection threshold (for bedside
monitors only).
ECG views...
Enables you to access All leads or ST complexes
pages.
Trends/Data
Accesses the Trends graph, Trends table, Full disclo-
sure
, and Events pages, from which you can view
graphical and tabular trend data, Full disclosure data,
and Events data for a specific patient.

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Key
Function
Telemetry/
Parameters
Accesses the Layout/Parameters and Device setup
pages, (for the M300 only).
Admit/
Standby
Accesses the Demographics, Standby/Discharge, and
Transfer
pages (for M300 only), from which you can
enter or access a patient’s demographic information,
place a patient into
Standby mode, discharge a pa-
tient, or transfer a patient.
Main screen
Returns to the Main screen.
Keyboard Functions
Key
Symbol
Description
F1
Silences all active alarms at the ICS for 2
minutes.
F5
Displays the Main Screen.
F8
Invokes the Help… function.
F9
Generates a shift report for currently
assigned beds.
F11
Initiates a strip recording for all beds as-
signed
to the Main screen. If the dual
display mode is enabled, recordings are
generated for the display in which the
mouse pointed is currently located.
Print
Screen
Prints the contents of a screen to an op-
tional laser printer. If the Dual display
mode is enabled, a print screen is gener-
ated for the display in which the mouse
pointer is currently located.

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Alarm Priorities*
HIGH-PRIORITY ALARMS:
- Report alarm conditions that can be life-threatening and re-
quire immediate intervention; for example, asystole.
- Affected parameter box and alarm message field have red
background and an audible alarm* sounds when active.
- High-priority alarms are latched, meaning audible and visual
alarms continue until the alarm is acknowledged, even if the
alarm condition has ceased to exist.
- To acknowledge, select the Bed Audio Pause button in the
menu bar of the BedView page or in the icon in the Viewport:
MEDIUM-PRIORITY ALARMS:
- Report alarm conditions that require prompt attention but
may not be life-threatening; for example, an alarm limit viola-
tion.
- Affected parameter box & alarm message field have a yellow
background and an audible alarm* sounds when active.
- Medium-priority alarms are non-latched, meaning if the condi-
tion clears itself, the audio and visual flashing alarm signal
stops but a status message will remain in the header bar.
- To acknowledge and/or clear the status message select the
Bed Audio Pause button in the menu bar of the BedView page
or the icon in the Viewport:

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LOW-PRIORITY ALARMS:
- Alert to technical issues that may compromise the ability of
the system to monitor the patient; for example, artifact on the
ECG waveform. May also be selected as an arrhythmia alarm
grade.
- Affected parameter box & alarm message field have a cyan
background and an audible alarm* sounds when active. Both
audible and visual alarm signals automatically stop when the
alarm condition ceases to exist without user intervention.
Note:
- Audible alarm signals are distinct for each alarm priority, but
specific characteristics, including break through alarms, vary
depending on the selected alarm pattern (Infinity, IEC fast or
IEC slow) & software level.
- See IFU for specific alarm tone characteristics.
- Certain modes, such as OR mode & break through mode, oper-
ate differently.

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ICS Features
ICS SURVEILLANCE FEATURE
- Annunciates alarms (if audio setting turned on) for high- and
medium-priority alarm conditions, for patients (only bedside
monitored, not M300 patients) residing in the local monitoring
units of the ICS that are not assigned to viewports on the ICS
Main screen in the header bar.
- Displays these alarm messages in the header bar of the ICS
Main screen
- Select the View bed button quick access symbol: to ac-
cess the BedView page of the alarming bedside monitor to
view/silence the surveillance patient.
- Reports only physiological alarms, off-line alarms will not be
annunciated.
NIGHT TIME ALARM VOLUME
- If activated, a crescent moon symbol appears in the top right
corner of the Main screen above the alarm percentage while in
Night time mode:
- Night time alarm volumes are dependent on default settings
and are typically lower in volume.
TO PAUSE ALL ACTIVE AUDIO ALARM SIGNALS AT THE ICS ONLY
FOR 2 MINUTES*
- In the menu bar of the ICS Main screen, select the Audio pause
button.
OR
- Select the F1 key from the keyboard.

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TO PAUSE ALL ACTIVE AUDIO ALARM SIGNALS OF AN INDIVIDUAL
PATIENT’S BEDSIDE MONITOR/M300 & ICS*
- In the waveform area of the viewport of the bedside moni-
tored patient, select the Audio pause button (time length de-
pendent on bedside setting):
OR
- In the menu bar of the BedView page of the bedside-monitor
patient, select the Bed Audio Pause button
(time length dependent on bedside setting).
Note: Based on the model, software version & settings the follow-
ing may conditions may occur: The ICS, M300 & bedside monitor
may respond differently to the Audio paused state. Default alarm
volumes can be set independently for High, Medium and Low-
priority alarms.
TO SUPPRESS ALL AUDIO & VISUAL ALARM SIGNALS FOR A M300
PATIENT FOR A PRE-CONFIGURED TIME
- In the menu bar of the BedView page of the M300 patient, se-
lect the Alarm pause button.
- To cancel before countdown complete select the Alarm pause
button, countdown clock will disappear.
- Must be completed at bedside for bedside monitored patients.
WHEN THE SPEAKER VOLUME AT THE BEDSIDE MONITOR OR THE
M300 HAS BEEN SET TO ZERO
- The following symbol (in yellow) appears in the header bar of
the viewport, above the parameter box:
EXTERNAL AUDIO ALARMS
- When external audio alarms such as ventilators and incubators
(sometimes referred to as MIB) are disabled (set to zero) at the
ICS, the following symbol (in orange) appears in the upper right
corner of the patient’s viewport:

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TO FIND A MISPLACED M300
Activating this feature causes the M300 to sound a series of five
alternating tones (assuming M300 is on, charged, within wireless
coverage area & not admitted to the ICS Main screen).
1. Select the Telemetry defaults… button on the Main menu bar.
2. Select the Find device tab.
3. Select the number corresponding to the misplaced device.
4. Select the Find button to emit tones.
TO CHANGE BED ASSIGNMENTS AT THE ICS*
1. From Main screen select System setup button.
2. Clinical password may be needed.
3. Select Layouts tab
4. Locate the Assigned Beds slot to be changed,
5. Select Remove & select Apply if appropriate.
6. Select Assign… in appropriate slot.
7. Find the appropriate device and highlight (orange box).
8. Select Assign.
9. Select Apply.
Note: Always use caution when removing and assigning beds to
prevent accidental loss of patient monitoring.
TO CHANGE THE VIEWPORT OF A M300 PATIENT*
1. Select the Bedview of the new viewport.
2. Select the Admit/Standby… button.
3. Select the Telemetry device ID of the M300 to be moved.
4. Select Apply.
5. Select NO when the pop-up question appears, the original
viewport will be discharged.
Caution: Selecting Yes will discharge the patient.
Note: Only M300 viewport to M300 viewport can be changed (can-

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not move to bedside monitor viewport or empty viewport).
TO ADMIT A BEDSIDE MONITOR / M300 PATIENT AT THE ICS
1. From the Main screen select desired Viewport for admission
(Select here to admit banner is in the waveform area for
M300; Discharged banner is in the waveform area for bedside
monitor).
2. The Admit/Standby screen with the Demographics tab will ap-
pear in the BedView.
3. If HL7/ADT interface is active, enter the patient ID number in
the Patient ID field, then select Get data button. Then go to
step 4 for M300 patients or go to step 6 for bedside monitor
patients.
OR
Manually enter required patient demographics in the corre-
sponding fields. Then go to step 4 for M300 patients or go to
step 6 for bedside monitor patients.
4. For M300 patient, select Patient Category (Adult or Pediatric)
(For bedside-monitor patient, complete at the bedside moni-
tor).
5. For M300 patient, select the ID corresponding to the M300
device to be admitted in the Telemetry device ID field.
6. Select Apply button (bedside monitor must be taken out of
Discharge mode at the bedside before patient monitoring be-
gins).
PATIENT CATEGORY SYMBOLS
Located in top left corner of the patient’s Viewport & BedView:
Adult Pediatric Neonatal

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TO IDENTIFY MONITOR TYPES/STATES AT THE ICS
The following symbol appears in the header bar of the viewport and
BedView when in wireless mode:
When the patient is on an M300 the following symbol appears in
the header bar of the viewport, BedView and M300 screen:
TO PLACE AN M300 PATIENT IN STANDBY MODE*
1. Select the patient name or bed label from the Main screen
viewport (Click directly on the patient’s name or bed label).
2. Select the Standby/Discharge tab.
3. Select the standby On button.
4. Select the reason for standby form the selection list.
5. Select the duration you wish to place the patient in standby.
6. Select Apply.
- For a bedside monitored patient, this must be completed at
the bedside monitor.
Caution: ALL monitoring is suppressed in Standby mode (including
alarms) at the ICS and at the monitor, even if waveforms are dis-
played.
TO CANCEL STANDBY MODE FOR AN M300 PATIENT
1. Open the BedView page by selecting the viewport of the te-
lemetry patient on the ICS Main screen.
2. Once in Bedview, the following banner in the waveform area
appears: “Standby Select here to resume monitoring”. Click
anywhere in the Bedview to cancel Standby mode.
OR
3. To complete at the M300: press the View key on the patient’s
M300.