Dräger Infinity Series User manual

D
Infinity Configured Monitoring Series
Infinity Gamma Series
User’s Guide

Draeger Medical Systems, Inc.
16 Electronics Avenue
Danvers, MA 01923
USA
Authorized EC representative:
Dräger Medical AG & Co. KGaA
Moislinger Allee 53-55
23558 Lübeck
Germany
Infinity Gamma Series User’s Guide
Software Version VF4
This product is covered by one or more of the following patents: 5,224,484;
5,224,740; 5,240,008; 5,285,791; 5,355,890; 5,337,751; 5,375,604.
This device bears the !label in accordance with the provisions of the Direc-
tive 93/42/EEC of June 14, 1993 concerning medical devices.
!"0123
Dräger Medical AG & Co. KGaA, 2003. All rights reserved.
Printed in the United States of America.
Dräger reserves the right to modify the design and specifications contained
herein without prior notice. Please contact your local Dräger Sales Represen-
tative 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 pro-
hibited without prior written permission of Dräger Medical AG & Co. KGaA.
All Dräger devices are intended for use by qualified medical personnel only.
CAUTION: Federal Law in the United States restricts these devices to
sale by, or on order of a physician.
Before using all Dräger devices, read all the manuals that are provided with
your device carefully. 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.

VF4 Infinity Gamma Series Page iii
What’s New
The functionality of the Infinity Gamma Series patient monitor
has been improved and expanded to include the following new
features in software version VF4:
!Support of gas monitoring functions in anesthesia and operat-
ing room environments. The Gamma XL can now display
concentrations of CO2, N2O, O2and of the anesthetic agents
halothane, isoflurane, enflurane, sevoflurane, and desflurane.
The Gamma XL receives these gas values from a Dräger Scio
multigas module. Note: This functionality is only available
for the Gamma XL (and not the Gamma). For information
about multigas monitoring, see Chapter 14, Multigas.
!Support of network laser printers. Recording requests can be
sent from the Infinity Gamma Series monitor via the Infinity
network to a network laser printer. For information about
recording functions, see Chapter 7, Recordings.
!Improved SpO2performance during motion artifact. For
information about pulse oximetry, see Chapter 12, Pulse
Oximetry.
NOTES:
!The Gamma XL monitor with Anesthetic Gas Monitoring
requires FDA 510(k) review.
!The Gamma XL monitor with Anesthetic Gas Monitoring is not
yet licensed in accordance with the Canadian Medical Devices
Regulations.

Page iv Infinity Gamma Series VF4
Infinity Gamma Series Software Release Notes
Software Version VF4
!Wireless network operation requires special configurations of the monitor-
ing network and the MULTIVIEW WORKSTATION (a service function). If
you experience problems with wireless network operations, contact your
Service personnel.
!When moving and assigning a wireless monitor to a different central sta-
tion, the original central station may emit a brief network error tone and
display an Offline message instead of the message Bed Disconnected.
However, there is no disruption of network monitoring and the Offline
message clears as soon as you assign a new bed to the central viewport.
!When you change the units of measure at the bedside and the central sta-
tion is showing the monitor’s bed view, you must first exit the central bed
view, before the change of units appears at the central station.
!For network and card data transfer:
— Occasionally, after a data transfer from an Infinity Delta Series monitor,
you may see three or four ST trends instead of the two ST leads monitored
by the Infinity Gamma Series monitor.
!For network data transfer only:
— If ST is enabled, the ST data transferred from an Infinity Delta Series
monitor (VE0) or from a MULTIVIEW Telemetry System (VE0) is ST lead
I and II, regardless of the ST leads selected on the Infinity Gamma Series
monitor. Note: Other ST data will be permanently lost.
— After a network transfer of telemetry data to an Infinity Gamma Series
monitor, ST trend points may appear two minutes apart.
— The IBP data transferred from an Infinity Delta Series monitor (VE0) to
an Infinity Gamma Series monitor is labelled GP1 and GP2.
!NBP parameter values transferred from an Infinity Gamma Series monitor
to an Infinity Delta Series monitor will be displayed in the trend graphs
rather than in the trend tables of the destination monitor.
!On rare occasions, a docked monitor may reset when entering the
Transfer Menu under certain network conditions. The monitor returns
to the state prior to the reset within 30 seconds.
!When power-cycling the monitor or admitting a new patient, saved moni-
toring settings may occasionally return to default settings. Check monitor-
ing settings after these events.
!If the Scio module is unable to measure the concentration of N2O, the mon-
itor may enter the error code *A* (artifact) instead of *F* (failure) into the
trend storage.

VF4 Infinity Gamma Series Page v
!Occasionally, the ECG waveform is not displayed in the second waveform
channel, when you assign SpO2to the first waveform channel. In this case,
click on the second waveform channel and select the desired ECG lead
again.
!When admitting a patient at the MULTIVIEW WORKSTATION, the monitor
does not store the admit date, if it is the current date. In this case, you must
enter the admit date via the monitor’s Patient Admit menu.
!When the values of an anesthetic agent exceed the measuring range, the
monitor displays +++ in the agent parameter box and cycles two out-of-
range error messages, one correctly identifying the agent with out-of-
range values, the other showing a previously monitored agent.

Page vi Infinity Gamma Series VF4
Documentation Features
Notes, Cautions, Warnings
NOTE: A note presents information that helps you operate the
equipment or connected devices.
CAUTION: A caution provides information or instructions that
must be followed to ensure proper operation and performance of
the equipment.
WARNING: A warning contains important information
regarding possible danger to you or the patient that is
present during normal operation of the equipment.

VF4 Infinity Gamma Series Page vii
Chapter Overview
Chapters
Overview.................................................................................... 1
Monitor Setup ........................................................................... 2
Network Applications............................................................... 3
Admission, Discharge, Transfer.............................................. 4
Alarms and Messages.............................................................. 5
Trends........................................................................................ 6
Recordings................................................................................ 7
ECG and Heart Rate ................................................................. 8
Arrhythmia ................................................................................ 9
ST-Segment Analysis ............................................................. 10
Respiration.............................................................................. 11
Pulse Oximetry ....................................................................... 12
End-Tidal CO2......................................................................... 13
Multigas ................................................................................... 14
Non-Invasive Blood Pressure................................................ 15
Invasive Blood Pressure........................................................ 16
Temperature ............................................................................ 17
Appendices
Options and Accessories ....................................................... A
Cleaning, Disinfecting, Sterilizing.......................................... B
Default Settings and Biomedical Support............................. C
Technical Data ......................................................................... D
Glossary
Index

Page viii Infinity Gamma Series VF4
Table of Contents
Overview
Important General Safety Considerations ....................................1-2
Electromagnetic Compatibility ................................................1-2
Reducing EMI ............................................................................1-3
Site of Operation .......................................................................1-3
Electrical Safety ........................................................................1-4
Connections to Peripheral Devices.........................................1-4
Safety, Inspection, and Maintenance ...................................... 1-5
Electrosurgery and Defibrillation Safety ................................1-6
Pacemaker Safety .....................................................................1-6
Device Markings........................................................................1-7
General Description........................................................................1-8
Front Panel ....................................................................................1-10
Back Panel.....................................................................................1-11
Left Side Panel ..............................................................................1-12
Right Side Panel............................................................................1-13
Interface Plate (optional) .............................................................. 1-14
Infinity Gamma Display ................................................................1-15
Alarm Colors ...........................................................................1-15
Display Colors.........................................................................1-16
Rotary Knob ..................................................................................1-17
Fixed Keys ..................................................................................... 1-18
Menus.............................................................................................1-19
Power Sources ..............................................................................1-20
MultiMed/NeoMed Pod.................................................................. 1-21
etCO2 Pod and Multigas Module.................................................1-22
Recorder ........................................................................................1-22
Remote Displays ...........................................................................1-23
Monitor Setup
Getting Started ................................................................................2-2
Using the AC Adapter...............................................................2-2
Using the Battery ...................................................................... 2-4
Assembling MultiMed and NeoMed Pods...............................2-9

VF4 Infinity Gamma Series Page ix
Starting the Monitor......................................................................2-10
Main Screen Configuration ..........................................................2-11
Waveform Selection................................................................2-11
Bottom Channel Display.........................................................2-12
OR Mode ..................................................................................2-15
Show Respiration or etCO2 Parameters...............................2-16
Setting Date and Time ..................................................................2-17
Setting the Master Speaker Volume............................................2-18
Turning External Alarm Lights ON/OFF......................................2-19
Standby..........................................................................................2-20
Saving Setups ...............................................................................2-21
Network Applications
Overview ..........................................................................................3-2
Network Configurations .................................................................3-3
Basic Network Components ....................................................3-4
Basic Bedside Setups...............................................................3-5
Network Operation..........................................................................3-6
Docking Station.........................................................................3-7
Docking and Undocking ...........................................................3-9
Wireless Network Configuration............................................3-11
Wireless Network Operation ..................................................3-13
Network Safety Considerations...................................................3-16
Alarm and Status Messages ........................................................3-17
Admission/Discharge/Transfer
Overview ..........................................................................................4-2
Patient Admission...........................................................................4-3
Admit Menu................................................................................4-4
Patient Category........................................................................4-5
Name and ID ..............................................................................4-6
Admit Date .................................................................................4-8
Patient Discharge............................................................................4-9
Data Transfer.................................................................................4-10
Transfer Across the Network.................................................4-11
Transfer with a Data Memory PC Card..................................4-13

Page x Infinity Gamma Series VF4
Alarms and Messages
Alarm Grades ..................................................................................5-2
Life-Threatening Alarms...........................................................5-2
Serious Alarms..........................................................................5-3
Advisory Alarms ....................................................................... 5-4
Alarm Settings.................................................................................5-5
Setting Alarm Limits ................................................................. 5-6
Turning Parameter Alarms On/Off...........................................5-8
Turning Alarm Recordings On/Off ..........................................5-9
External Alarm Lights...............................................................5-9
Alarm Validation............................................................................5-10
Silencing Alarms...........................................................................5-11
Alarm Silence Key...................................................................5-11
All Alarms OFF Key ................................................................5-12
Assigning Alarm Groups..............................................................5-13
Central Alarms ..............................................................................5-14
Alarms in OR Mode.......................................................................5-15
Messages.......................................................................................5-16
Trends
Overview .......................................................................................... 6-2
Trend Setup .....................................................................................6-3
Trend Graphs ..................................................................................6-4
Trend Table......................................................................................6-6
Special Conditions and Codes ......................................................6-8
Recordings
Overview .......................................................................................... 7-2
Recorder Preparation .....................................................................7-3
Assigning Network Recorders.......................................................7-6
Recording Waveforms....................................................................7-7
Timed Recordings.....................................................................7-7
Continuous Recordings ...........................................................7-8
Recording Formats ...................................................................7-9
Recording Trends .........................................................................7-11