Dräger Infinity Delta User manual

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:
VF9
Quick Reference Guide
Infinity Delta / Delta XL
/ Kappa

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Content
Electrode & Lead Placement
3-6
Docking, Transport, & Power
7-8
Fixed Keys
9
Patient Category, Admit, Discharge, Standby, Pri-
vacy, & Transferring Data
10-
11
Alarms Priorities
12
Alarm Pause
13
Alarm Limits Table
14-15
Fast Access Fixed Key
16
Event Recall & Printing Stored Events
16
Trends, Graphs, & Reports
17-18
Screen Setup / Auto Display
18
Parameter boxes
19
HR / ECG
19-20
Respiratory Monitoring
20-22
NIBP
22
Temperature
22
SpO2
23
Advanced Parameters
23
12 Lead ECG Monitoring
23
Invasive Pressures
24
Pulmonary Artery Pressures
24-25
Cardiac Output
25-26
Hemo / Oxy / Ventilation Calculations
26
etCO2Microstream
27-28
etCO2Modules & Pods
28-30

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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 “go
od” 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. 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, Transport & Power
PICK AND GO TRANSPORT (Delta/Delta XL only)
- The Pick and Go patient transport system allows the monitor
to travel with the patient to different care stations within the
hospital.
- By uploading setups from the IDS at the new care station, the
monitor adapts to its new clinical “home” (OR, ICU, CCU, etc.)
while retaining patient data.
UN-DOCKING & RE-DOCKING THE MONITOR
1. Hold the monitor firmly by its handle. Slide the lever on the
docking station to the left to disengage. The monitor auto-
matically switches to battery power.
2. Continue to move the lever to the left until it clicks. Use both
hands to tilt the monitor forward and lift it off the IDS or Dock-
ing Station.
3. Reverse the process to re-dock, noting the green Battery Indi-
cator light is lit on lower left hand corner of monitor.
Nos.
Description
1
Infinity Docking Sta-
tion
2
Lever

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BATTERY POWER
- The Delta/Delta XL has an internal lithium ion battery, which
can power the monitor while on transport for approximately
240 minutes when new.
- When the monitor is re-docked the battery will recharge.
- Backup battery for Kappa is 240 minutes.
⑥
ROTARY KNOB
- The rotary knob allows you to browse menus, choose settings,
and execute menu functions.
- Scroll through menu items by turning the rotary knob.
1
Fixed Keys
2
Main menu fixed
3
Main screen fixed
4
Battery charge
5
Power Switch
6
Rotary Knob

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- Press the knob (or click) to confirm

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Fixed Keys
Key
Function
ALARM SILENCE
Silences the active alarm tone for 2 minutes or
cancels the Alarm Silence
*Note: Silences the active alarm tone for 1 mi-
nute when Backwards Compatibility is Enabled,
subsequent key press resets the timer to 1 mi-
nute
ALARM LIMITS
Opens a table from which you can set upper and
lower alarm limits
ALL ALARMS OFF
Suspends all alarms for a pre- selected time or
cancels the suspension
CODE
Activates a set of monitor functions for urgent
care
DISCHARGE
Accesses the Discharge menu.
*Note: Press the Discharge key a second time to
discharge the patient.
MAIN SCREEN
Activates the main screen.
RECORD
Starts/stops a timed recording.
PRINT SCREEN
Prints the currently displayed screen to a net-
work laser printer.
NBP START STOP
Starts or stops a non-invasive blood pressure
(NBP) measurement.
FAST ACCESS
Displays the Fast Access menu.
MARK
Creates and stores a waveform and correspond-
ing vital signs with a time stamp that may be
viewed in the Alarm History and Event Recall.
FREEZE (DELTA XL
ONLY)
Freezes the waveforms
MENU
Activates the main menu.

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Patient Category, Admit, Discharge,
Standby, Privacy, Transferring Data
PATIENT CATEGORY: ADULT, PEDIATRIC, AND NEONATAL
1. Press Menu fixed key .
2. Use Rotary knob to highlight Patient Setup, click.
3. Use Rotary knob to highlight Patient Category, click
.
4. Select desired category, click. Patient category Adult, Pediat-
ric, Neonatal is displayed on screen in waveform area.
ADMITTING A PATIENT AT THE BEDSIDE MONITOR
1. Press the Menu fixed key.
2. Use Rotary knob to highlight Admit/Discharge, click.
3. Admit menu appears, use Rotary knob to enter data into fields
on the screen.
4. Click Accept with Rotary knob to confirm each entry.
PLACE MONITOR IN DISCHARGE
Discharge will remove all existing patient data and restore all set-
tings to saved defaults.
1. Press Discharge fixed key
2. The monitor displays the following message “Discharge will
delete patient data”.
3. Press Discharge fixed key a second time
4. Main screen displays banner: Press Main Screen to resume
monitoring.
PLACE MONITOR IN STANDBY
All data and settings are retained while in Standby
1. Press Menu fixed key.
2. Highlight Standby, click .
3. To continue monitoring, press Main Screen key.

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TO ACCESS PRIVACY SCREEN
Privacy screen is displayed at the bedside with all Monitoring and
Alarms taking place at the Central Station.
1. Press Menu fixed key.
2. Highlight Privacy, click .
3. To release, press Main Screen key.
TRANSFERRING PATIENT DATA OVER THE NETWORK
1. Press the Menu fixed key. The main menu appears.
2. Scroll to Standby and click. The screen goes blank except for
the following message: Standby: Press Main Screen to resume
monitoring.
3. Press the Menu fixed key at the destination monitor.
4. Click on Admit/Discharge.
5. Click on Transfer to display the Transfer Patient Data menu. If
you are transferring data from outside the destination care
unit, proceed with step 6. Otherwise proceed with step 8.
6. Click on Select Care Unit to transfer from. A list of care units
appears (if you are monitoring only one care unit, this item is
ghosted).
7. Click on the care unit from which you are transferring data.
The selected unit appears next to Care Unit.
8. Click on Select Bed to transfer from to display beds currently in
standby.
9. Click on the source bed to display it on the menu.
10. Click on Start Transfer to this bed.
11. Click on Transfer to this bed to transfer patient data and dis-
play the message, Transfer In Progress, or on Cancel to return
to the previous menu.
12. Press the Main Screen fixed key on the source monitor to exit
standby mode.

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Alarm Priorities
HIGH-PRIORITY ALARMS
- Report conditions that can be life threatening and require im-
mediate 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
exist). To acknowledge press Alarm Silence.
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. To acknowledge press Alarm Silence.
- Are non-latched (audio / visual flashing alarms stop when situ-
ation corrects self), but alarm status message will remain in
the header bar. To remove message press Alarm Silence.
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 re-
main active when situation resolved.
Note:
Audible alarm signals are distinct for each alarm priority. Specific character-
istics, including break through alarms, vary depending on the selected alarm
pattern (Infinity, IEC fast or IEC slow) & software level.

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Alarm Pause
The monitor issues alarms for parameters that are set to ON in the
Alarm Limits table. It is not a prerequisite for the parameter to be
on display or connected for a parameter to alarm. Turning a param-
eter’s alarm function Off prevents the parameter from triggering an
alarm.
TO PAUSE AUDIO ALARMS FOR 2 MINUTES
1. Press Alarm Silence fixed key to pause an alarm for 2 minutes.
2. Parameter box becomes solid color for grade of the alarm.
3. A banner appears at the top of the screen with the message:
Audio Paused and the countdown timer.
4. Press Alarm Silence a second time while 2 minute timer is run-
ning: timer resets to 2 minutes.
5. The alarm tone resumes if a new alarm occurs during an alarm
silence period, or if any alarm condition persists past the 2 mi-
nute silence period.
Note: When backwards compatibility is enabled Alarm Silence is for 1 mi-
nute.
ALL ALARMS OFF
1. Press All Alarms OFF key to suspend visual and audible alarms
for a default set period of time (off, 1-5 min).
2. A banner appears at the top of the screen with the message:
All Alarms Paused and the countdown timer.
3. Alarms remain suspended until you press the All Alarms OFF
fixed key again or the time-out period expires.
WARNING: Never leave a patient unattended when alarms have
been permanently turned off. Always enable alarms again as soon
as possible.

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Alarm Limits Table
The alarm limits table allows you to modify the alarm limits of mul-
tiple parameters in a single location. Press the Alarm Limits fixed
key - The Alarm Limits table appears
1
Set Alarm Limits
7
On-line help message
2
Store and/or record
alarms
8
Click on arrows to scroll up
or down
3
Storage / recording op-
tions
9
List of parameters
4
Access Arrhythmia setup
menu
10
Auto set
5
Access ST alarm limits
menu
11
Enable alarms
6
Alarm volume
WARNING: Make sure that the values set for your patients are ap-
propriate. Setting extreme values for the alarm limits, deactivating
alarms and adjusting volume too low renders alarm performance
useless.

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CONFIGURE PARAMETER ALARM LIMITS
1. Press Alarm Limits fixed key
2. Use Rotary Knob to highlight the parameter you wish to con-
figure, i.e. NBP, click
3. Use Rotary knob to adjust Alarms ON/OFF, click
4. Use Rotary knob to adjust Upper limit, or Lower Limit, click
5. Use Rotary knob to adjust 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.
6. Use Rotary knob to adjust Alarm Volume, OFF, 10-100 %.
Alarm Volume can only be set to OFF in OR mode or if monitor
is connected to the Central Station.
7. Use Rotary knob to highlight ST menu icon, click to access ST
parameter setup.
CONFIGURE ARRHYTMIA ALARM LIMITS
1. Press Alarm Limits fixed key.
2. Use Rotary knob to highlight ARR menu icon at bottom right
corner of table, click.
3. Use Rotary knob to highlight ARR parameter you wish to con-
figure, click.
4. Use Rotary knob to adjust each function you wish to modify,
click.
RELEARNING THE ECG WAVEFORM
QRS complex is saved as a reference template. Relearn is suggested
every 8 hours, after repositioning leads, and when QRS diagnosis is
in question.
1. Access Alarm Limits table, see above
2. Use Rotary knob to highlight Arr Menu, click
3. Use Rotary knob to highlight Relearn, click

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Fast Access Key-Data
EVENT RECALL/PRINT STORED EVENTS
Events are saved to Event Recall from a parameter alarms, arrhyth-
mia events, and Marked Events.
1. Press FAST ACCESS fixed key.
2. Use Rotary knob to highlight Event Recall, click.
3. Use Rotary knob to scroll through up to 50 recorded events
using Prev and Next.
4. Use Rotary knob to highlight Report, click, event will print at
Laser Printer.
5. Use Rotary knob to highlight Record, click, event will be sent
to strip recorder.
6. Use Rotary knob to highlight arrows below waveform to view
20 seconds of waveform data.
7. Use Rotary knob to highlight More arrows above Parameters
list to view all parameters at the time of the event

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TRENDS
1. Press FAST ACCESS fixed key.
2. Use Rotary knob to highlight Trend Graph or Trend Table,
click.
3. Use Rotary knob to highlight interval time, click.
4. Use Rotary knob to set desired interval,click.
5. Use Rotary knob to highlight Report, click to print Trends.
TRENDS, GRAPHS, WAVEFORM & ECG REPORTS
Menu Item
Description
Setting
Options
ECG Report
Prints Rest ECG Report
x Available only if with a 12 lead pod,
Aries SW option installed, & monitor
connected to ICS with REST ECG re-
port option.
x
If not connected to ICS, one can only
print ECG waveform report.
Click on the
printer icon to
request a re-
port or while in
ECG Menu,
click on report
Timed
Waveforms
Prints timed recording report to laser
printer
Continuous
Waveforms
Prints continuous recording report to la-
ser printer for all currently monitored
waveforms
Click on printer
icon to request
report
Waveform
Delay
Determines the amount of pre-event
data included in the time recording
6, 10, 15a
Waveform
Duration
Determines the length of timed report
10, 20a
Trend Graph
Prints a graphical report
Click on printer
icon to request
Trend Table
Prints a tabular trend report
Click on printer
icon to request
Trend Dura-
tion
Determines length of graphical trend re-
port. Corresponds to the Hours setting
at the bottom of Trend Graphs table.
1, 2, 4, 8, 12,
12, 24 hrs.

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Menu Item
Description
Setting
Options
Table Interval
Determines time interval for tabular re-
port. Corresponds to the interval setting
at bottom of the trend table.
1, 5, 15, 30, 60
minutes
Screen Setup/Auto Display
The Main Screen display is determined by Display mode and Pa-
rameter Priority
TO SETUP DISPLAY MODE/ AUTO OR MANUAL DISPLAY
1. Press Main Menu fixed key
2. Use Rotary knob to highlight Main Screen, click
3. Use Rotary knob to highlight Display Mode, click
4. Use Rotary knob to highlight Automatic, click
oMain Screen displays connected parameters according to
Parameter Priority.
5. Use Rotary knob to highlight Manual, click
oMain Screen displays all parameters based on Parameter
Priority
TO SETUP PARAMETER PRIORITY
This option allows one to modify the parameter order on the Main
Screen.
1. Press Main Menu fixed key
2. Use Rotary knob to highlight Main Screen, click
3. Use Rotary knob to highlight Parameter Priority, click
oFirst listed parameter is highlighted.
oParameters are number according to their priority.
oGreen indicates a device is connected.
oWhite indicates the device is not connected.
4. Use Rotary knob to highlight parameter you desire to move,
click.

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5. Use Rotary knob to move parameter to new position, click.
6. Screen will refresh with new parameter priority.
Parameter Boxes
You can access parameter setup menus by scrolling a blue box
through the parameter boxes using the rotary knob and selecting
the parameter you wish to configure.
HR/ECG
Using the Rotary Knob scroll left or right on the Main Screen moving
the blue highlight box to the HR parameter box, click.
TO CHANGE DISPLAYED LEADS
1. Use Rotary knob to highlight HR parameter box, click.
2. Use Rotary knob to highlight Lead Setup, click.
3. Use Rotary knob to highlight Channel 1, click.
4. Use Rotary knob to highlight desired lead, click.
TO INCREASE/DECREASE LEAD SIZE
1. Use Rotary knob to highlight HR parameter box, click.
2. Use Rotary knob to select Size ECG, click
3. Use Rotary knob to select Size All or Channel you wish to ad-
just, click.
4. Use Rotary knob to select desired Size, click
1
Network message
2
Parameter boxes
3
Waveforms
4
Local message