Dräger Infinity Vista User manual

Instructions for Use
Infinity Vista
Infinity Patient Monitoring Series

Infinity Configured Monitoring Series
Infinity Vista
Instructions for Use
WARNING: For a full understanding of the performance
characteristics of this equipment, the user should carefully
read this manual before operating.

ii Infinity Vista VF6
Manufactured by:
Draeger Medical Systems, Inc.
3135 Quarry Road
Telford, PA 18969-1042
USA
Authorized EC representative:
Drägerwerk AG & Co. KGaA
Moislinger Allee 53-55
23558 Lübeck
Germany
Infinity Vista Instructions for Use
Software Version VF6
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 Qlabel in
accordance with the provisions of the
Directive 93/42/EEC of June 14, 1993
concerning medical devices.
Q0123
¤2015 Drägerwerk AG & Co. KGaA
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
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 Drägerwerk AG & Co. KGaA
Dräger devices are intended for use by
qualified medical personnel only.
Before using Dräger devices, read all the
manuals that are provided with each
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.
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.
ACE, MultiMed, NeoMed, MultiView
WorkStation, Infinity, Infinity Docking
Station and Infinity Network are
registered trademarks of
Drägerwerk AG & Co. KGaA
CAPNOSTAT is a registered trademark
of Novametrix Medical Systems, Inc.
Masimo, Masimo SET and Signal
Extraction Technology (SET) are
registered trademarks of Masimo
Corporation.
CAUTION: Federal Law in the United States restricts these devices to sale by, or on the
order of a physician.

INSTRUCTIONS FOR USE
VF6 Infinity Vista iii
Infinity Vista Software Release Notes
Software Version VF6
zWireless network operation requires special configurations of the monitoring
network (a service function). If you experience problems with wireless
network operations, contact your Service personnel.
zWhen moving and assigning a wireless monitor to a different central station,
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 bedside monitor to the central viewport.
zWhen you change the units of measure at the bedside monitor and the central
station 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.
zFor network and card data transfer:
— Occasionally, after a data transfer from an Infinity Vista XL/Gamma X XL
monitor, you may see three or four ST trends instead of the two ST leads
monitored by the Infinity Vista monitor.
zFor network data transfer only:
— After a network transfer of telemetry data to an Infinity Vista monitor, ST
trend points may appear two minutes apart.
zNBP parameter values transferred from an Infinity Vista monitor to an
Infinity Vista XL/Gamma X XL monitor are displayed in the trend graphs
rather than in the trend tables of the destination monitor.
zWhen power-cycling the monitor or admitting a new patient, saved
monitoring settings may occasionally return to default settings. Check
monitoring settings after these events.
zOccasionally, 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.
zIf two wireless bedside monitors are given the same bed label or IP address
during manual network configuration (a Biomed function), their connection to
the central station alternates between online/offline. In this case, change one
monitor’s bed label in the Admit menu or contact your Biomed technician to
change one monitor’s IP address.
zWhen you change parameter colors at a networked bedside monitor, the
monitor temporarily goes offline at the central station in order for the color
change to take effect.

iv Infinity Vista VF6
Intended Use
The intended use of this device is to monitor heart rate, respiration rate, invasive
pressure, non-invasive pressure, arrhythmia, temperature, arterial oxygen saturation
and pulse rate, central apnea, and ST Segment Analysis.
The device is intended to be used in an environment where patient care is provided by
Healthcare Professionals, i.e. physicians, nurses, and technicians, trained on the use of
the device, who will determine when use of the device is indicated, based upon their
professional assessment of the patient’s medical condition.
The device is intended for use in the Adult, Pediatric and Neonatal populations, with
the exception of Arrhythmia and ST Segment Analysis which are not intended for the
neonatal population.
Indications for Use
These devices are capable of monitoring:
zHeart Rate
zRespiration Rate
zInvasive Pressure
zNon-Invasive Pressure
zArrhythmia
zTemperature
zArterial oxygen saturation
zPulse rate
zcentral apnea
zST Segment Analysis
This device will produce visual and audible alarms if any of these parameters vary
beyond preset limits and produce timed or alarm recordings. The devices will connect
to R50 recorders either directly or via the Infinity network.
WARNING: The INFINITY Modular Monitors have not been
tested and are not approved for use within the MRI
environment since their function could be compromised,
possibly leading to patient injury.

INSTRUCTIONS FOR USE
VF6 Infinity Vista v
Documentation Features
Warnings, Cautions, Notes
WARNING: A WARNING statement provides important
information about a potentially hazardous situtation 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 inconveniences
during operation.

vi Infinity Vista VF6
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
Non-Invasive Blood Pressure................................................................ 13
Invasive Blood Pressure........................................................................ 14
Temperature ............................................................................................ 15
Appendices
Options and Accessories........................................................................ A
Cleaning, Disinfecting, Sterilizing.......................................................... B
Default Settings and Biomedical Support ............................................. C
Technical Data.......................................................................................... D
Glossary
Index

INSTRUCTIONS FOR USE
VF6 Infinity Vista vii
Table of Contents
Infinity Configured Monitoring Series.....................................................................i-i
Infinity Vista Software Release Notes
Software Version VF6..........................................................................................i-iii
Intended Use ..................................................................................................................i-iv
Indications for Use ........................................................................................................i-iv
Documentation Features ...............................................................................................i-v
Warnings, Cautions, Notes .....................................................................................i-v
Chapter Overview ..........................................................................................................i-vi
Table of Contents .........................................................................................................i-vii
CHAPTER 1: 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.....................................................................................................................1-9
Back Panel ...................................................................................................................1-10
Left Side Panel.............................................................................................................1-11
Right Side Panel ..........................................................................................................1-12
Infinity Vista Display ...................................................................................................1-13
Alarm Colors..........................................................................................................1-13
Parameter Colors ..................................................................................................1-14
Rotary Knob .................................................................................................................1-14
Fixed Keys....................................................................................................................1-15
Menus ...........................................................................................................................1-16
Power Sources.............................................................................................................1-17
MultiMed/NeoMed Pod ................................................................................................1-18
Recorder.......................................................................................................................1-19
Remote Displays..........................................................................................................1-19
Complete Menu Structure...........................................................................................1-19
CHAPTER 2: Monitor Setup
Getting Started...............................................................................................................2-2

viii Infinity Vista VF6
Using the AC Adapter.............................................................................................2-2
Using the Battery ....................................................................................................2-3
Assembling MultiMed and NeoMed Pods.............................................................2-8
Starting the Monitor ......................................................................................................2-9
Main Screen Configuration.........................................................................................2-10
Waveform Selection..............................................................................................2-10
Bottom Channel Display ......................................................................................2-11
Setting the Master Speaker Volume ..........................................................................2-13
Standby ........................................................................................................................2-14
Saving Setups..............................................................................................................2-15
CHAPTER 3: Network Applications
Overview.........................................................................................................................3-2
Wireless Network Operation.........................................................................................3-3
Care Unit and Bed Label Assignments .......................................................................3-5
Network Safety Considerations ...................................................................................3-6
Alarm and Status Messages.........................................................................................3-7
CHAPTER 4: Admission/Discharge/Transfer
Overview.........................................................................................................................4-2
Patient Admission .........................................................................................................4-2
Admit Menu .............................................................................................................4-3
Patient Category .....................................................................................................4-4
Name and ID ............................................................................................................4-5
Admit Date ...............................................................................................................4-6
Patient Discharge ..........................................................................................................4-7
Data Transfer .................................................................................................................4-8
Transfer Across the Network .................................................................................4-8
Transfer with a Data Memory PC Card................................................................4-10
CHAPTER 5: Alarms and Messages
Alarm Grades .................................................................................................................5-2
Life-Threatening Alarms.........................................................................................5-2
Serious Alarms........................................................................................................5-3
Advisory Alarms .....................................................................................................5-3
Alarm Settings ...............................................................................................................5-4
Setting Alarm Limits ...............................................................................................5-5
Turning Parameter Alarms On/Off.........................................................................5-6
Turning Alarm Recordings On/Off.........................................................................5-7
Alarm Validation ............................................................................................................5-8
Silencing Alarms ...........................................................................................................5-9
Alarm Silence Key...................................................................................................5-9

INSTRUCTIONS FOR USE
VF6 Infinity Vista ix
All Alarms OFF Key...............................................................................................5-10
Assigning Alarm Groups ............................................................................................5-11
Central Alarms .............................................................................................................5-12
Messages .....................................................................................................................5-13
CHAPTER 6: Trends
Overview.........................................................................................................................6-2
Trend Setup....................................................................................................................6-2
Trend Graphs .................................................................................................................6-3
Trend Table ....................................................................................................................6-5
Special Conditions and Codes.....................................................................................6-6
CHAPTER 7: Recordings
Overview.........................................................................................................................7-2
Recorder Preparation....................................................................................................7-3
Assigning Network Recorders .....................................................................................7-5
Recording Waveforms ..................................................................................................7-6
Timed Recordings...................................................................................................7-6
Continuous Recordings .........................................................................................7-7
Recording Formats .................................................................................................7-8
Recording Trends........................................................................................................7-10
Recording Alarms........................................................................................................7-12
Stored Recordings ......................................................................................................7-13
Event Recall...........................................................................................................7-13
Saving, Printing, Deleting Stored Recordings ...................................................7-15
Recording Status Messages.......................................................................................7-16
CHAPTER 8: ECG and Heart Rate
Overview.........................................................................................................................8-2
Patient Preparation........................................................................................................8-2
Selecting and Preparing the Electrodes ...............................................................8-2
Preparing the Patient’s Skin ..................................................................................8-3
Positioning the Electrodes.....................................................................................8-4
ECG Monitoring Settings ..............................................................................................8-7
Cable Type ...............................................................................................................8-7
Lead Selection and Display Amplitude .................................................................8-8
Cascade Display......................................................................................................8-9
One- or Two-Channel Signal Processing............................................................8-10
Pulse Tone Source................................................................................................8-11
Pulse Tone Volume ...............................................................................................8-12
Pacer Detection .....................................................................................................8-13
Displaying Sync Marks .........................................................................................8-14

x Infinity Vista VF6
ECG and HR Safety Considerations ..........................................................................8-15
HR Alarm Settings ................................................................................................8-15
Neonatal ECG Monitoring ....................................................................................8-15
ECG 50/60 Hz Notch Filter Setting.......................................................................8-15
Muscle Stimulators ...............................................................................................8-15
Electrosurgery (ESU)............................................................................................8-16
Infusion pumps .....................................................................................................8-17
Defibrillators and Cardioversion .........................................................................8-17
High P-Waves and T-Waves.................................................................................8-18
Pacemakers ...........................................................................................................8-18
AV Sequential or DDD Pacemakers ....................................................................8-19
Pacemakers with Impedance-Derived Rate Response......................................8-20
Large Amplitude Pacer Pulses ............................................................................8-20
Transcutaneous Electrical Nerve Stimulators (TENS).......................................8-20
CHAPTER 9: Arrhythmia
Overview.........................................................................................................................9-2
Turning Arrhythmia Monitoring ON .............................................................................9-4
Arrhythmia Setup ..........................................................................................................9-5
Rate and Count .......................................................................................................9-6
Arrhythmia Alarms..................................................................................................9-6
Arrhythmia Alarm Recordings ...............................................................................9-7
Relearning a Patient’s ECG ..........................................................................................9-7
CHAPTER 10: ST Segment Analysis
Overview.......................................................................................................................10-2
ST Monitoring Display.................................................................................................10-3
ST Setup .......................................................................................................................10-4
Isoelectric and ST Measuring Points ..................................................................10-5
ST Reference Complex.........................................................................................10-6
ST Alarms.....................................................................................................................10-7
CHAPTER 11: Respiration Monitoring
Overview.......................................................................................................................11-2
Patient Preparation......................................................................................................11-2
Selecting and Preparing the Electrodes .............................................................11-2
Preparing the Patient’s Skin ................................................................................11-2
Electrode Placement for Respiration Monitoring...............................................11-3
Rsp Safety Considerations.........................................................................................11-4
Respiration Monitoring Display .................................................................................11-5
Rsp Display Channel ............................................................................................11-5
Resp Display Amplitude.......................................................................................11-6

INSTRUCTIONS FOR USE
VF6 Infinity Vista xi
Respiration Monitoring Settings ................................................................................11-7
Rsp Mode ...............................................................................................................11-7
Resp Markers.........................................................................................................11-8
Apnea Time............................................................................................................11-9
Coincidence Alarm..............................................................................................11-10
Relearning a Patient’s Respiration Pattern ......................................................11-11
OxyCRG Monitoring (Neonatal Option) ...................................................................11-12
Displaying OCRG Waveforms............................................................................11-12
OCRG Recordings...............................................................................................11-14
CHAPTER 12: Pulse Oximetry
Intended Use ................................................................................................................12-2
Overview.......................................................................................................................12-2
Connections.................................................................................................................12-3
Sensor Application......................................................................................................12-4
SpO2 Safety Considerations ......................................................................................12-5
SpO2 Monitoring Display............................................................................................12-6
SpO2 Display Channel..........................................................................................12-6
SpO2 Display Amplitude ......................................................................................12-7
Cascade Display....................................................................................................12-8
SpO2 Monitoring Settings ..........................................................................................12-9
Pulse Tone Source................................................................................................12-9
Pulse Tone Volume .............................................................................................12-10
Signal Strength Bar Graph .................................................................................12-11
Averaging Mode ..................................................................................................12-11
CHAPTER 13: Non-Invasive Blood Pressure
Overview.......................................................................................................................13-2
NBP Safety Considerations..................................................................................13-3
Cuff Selection and Placement ....................................................................................13-4
NBP Measurements.....................................................................................................13-6
Single Measurements ...........................................................................................13-6
Interval Mode .........................................................................................................13-6
Inflation Mode........................................................................................................13-8
Measurement Tone .............................................................................................13-10
NPB Alarms................................................................................................................13-11
CHAPTER 14: Invasive Blood Pressure
Overview.......................................................................................................................14-2
Invasive Pressure Labels............................................................................................14-3
IBP Display...................................................................................................................14-3
Display Channel and Waveform Amplitude........................................................14-4

xii Infinity Vista VF6
Selecting and Preparing the Transducer ..................................................................14-5
Zeroing and Calibration Check............................................................................14-6
Zero and Calibration Check Troubleshooting ....................................................14-7
Calibrating Reusable Transducers......................................................................14-8
CHAPTER 15: Temperature
Overview.......................................................................................................................15-2
Temperature Probes....................................................................................................15-2
Placing the Probe..................................................................................................15-2
CHAPTER A: Options and Accessories
Options .......................................................................................................................... A-2
MultiMed/NeoMed Pods ............................................................................................... A-2
ECG................................................................................................................................ A-3
Pulse Oximetry (SpO2)................................................................................................. A-5
Temperature.................................................................................................................. A-7
Invasive Blood Pressure (IBP) .................................................................................... A-8
Non-invasive Blood Pressure (NBP)........................................................................... A-9
Power Sources............................................................................................................ A-10
Displays and Display Components........................................................................... A-11
Recorder...................................................................................................................... A-11
Miscellaneous ............................................................................................................. A-12
CHAPTER B: Cleaning and Disinfecting
Cleaning and Disinfecting ........................................................................................... B-2
Monitor.................................................................................................................... B-2
Patient Cables ........................................................................................................ B-2
Reusable ECG Electrodes ..................................................................................... B-3
Reusable SpO2 Sensor ......................................................................................... B-3
NBP Cuff ................................................................................................................. B-3
Temperature probes and cables........................................................................... B-3
Reusable Pressure Transducers and Cables ...................................................... B-4
Masimo SET SpO2 Pod ................................................................................................ B-4
CHAPTER C: Default Settings and Biomedical Support
Default Settings ............................................................................................................ C-2
Biomedical Support...................................................................................................... C-8
Startup Tests .......................................................................................................... C-8
Checking the NBP Calibration .............................................................................. C-9
Biomed Menu ....................................................................................................... C-10
Saving a Patient Setup ........................................................................................ C-11

INSTRUCTIONS FOR USE
VF6 Infinity Vista xiii
Locked Options and Demo Mode ....................................................................... C-11
Diagnostic Logs ................................................................................................... C-13
Changing Units of Measure................................................................................. C-13
Parameter Colors ................................................................................................. C-14
NBP/SpO2 Interlock ............................................................................................. C-16
ASY/VF Alarms ..................................................................................................... C-16
Pacer Mode ........................................................................................................... C-17
CHAPTER D: Technical Data
Overview........................................................................................................................D-2
Regulatory Compliance ......................................................................................... D-2
Basic System Components................................................................................... D-3
Monitoring Specifications ..................................................................................... D-7
Electromagnetic Compatibility.................................................................................. D-15
Glossary
Index

xiv Infinity Vista VF6
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1 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 .....................................................................................................................1-9
Back Panel....................................................................................................................1-10
Left Side Panel .............................................................................................................1-11
Right Side Panel ..........................................................................................................1-12
Infinity Vista Display....................................................................................................1-13
Alarm Colors..........................................................................................................1-13
Parameter Colors ..................................................................................................1-14
Rotary Knob .................................................................................................................1-14
Fixed Keys....................................................................................................................1-15
Menus ...........................................................................................................................1-16
Power Sources.............................................................................................................1-17
MultiMed/NeoMed Pod ................................................................................................1-18
Recorder .......................................................................................................................1-19
Remote Displays..........................................................................................................1-19
Complete Menu Structure ...........................................................................................1-19

1-2 Infinity Vista VF6
1 OVERVIEW
Important General Safety Considerations
A full technical description is available upon request from your local Dräger
representative.
Electromagnetic Compatibility
The monitor has been designed and tested for compliance with current regulatory
standards as to its capacity to limit electromagnetic interference (EMI), and also as to
its ability to block the effects of EMI from external sources.
The monitor complies with the following standards pertaining to EMI emissions and
susceptibility: EN55011 and EN60601-1-2.
CAUTION: Read all operating instructions carefully before using the monitor. Specific
warnings and cautions are found throughout the User’s Manual where they apply.
WARNING: Monitor operation is currently not supported in
the following environments: magnetic resonance imaging
(MRI), aircraft, ambulance, home or hyperbaric chamber
environments.
CAUTION: Use only batteries that are approved by Dräger (contact your local
representative). The use of non-approved batteries may damage the device.
NOTE: Dräger recommends replacing the lead-acid battery after 12 months of
continued use and replacing a Lithium-ion battery after 24 months of continued use. For
safe disposal of lead-acid and lithium ion batteries, follow your local regulations. To
prevent risk of fire or explosion, never dispose of the battery in fire.

IMPORTANT GENERAL SAFETY CONSIDERATIONS
VF6 Infinity Vista 1-3
Reducing EMI
To reduce possible problems caused by EMI we recommend the following:
zUse only Dräger-approved accessories.
zEnsure that other products used in areas where patient monitoring and/or life-
support is used comply to accepted emissions standards (EN55011).
zTry to maximize the distance between electromedical devices.
zStrictly limit exposure and access to portable radio-frequency sources (e.g.,
cellular phones and radio transmitters). Be aware that portable phones may
periodically transmit even when in standby mode.
zMaintain good cable management. Do not route cables over electrical
equipment. Do not intertwine cables.
zEnsure all electrical maintenance is performed by qualified personnel.
Site of Operation
CAUTION: The site of operation for the monitor must meet temperature, humidity, and
air pressure requirements. For details, see the product description in Appendix D.
WARNING: Do not operate the monitor in presence of
flammable anesthetic mixtures with air, oxygen, or nitrous
oxide. If the devices are used where flammable anesthetic
substances are used, the possibility of an explosion cannot
be excluded.
WARNING: Do not use the monitor near devices with
microwave or other high frequency emissions that may
interfere with the monitor’s operation.
WARNING: If fluids are accidentally spilled on the monitor, it
should be removed from service immediately and thoroughly
inspected by your Biomed to ensure that there is no
compromise in electrical safety.
CAUTION: Place the monitor on a flat and stable surface to prevent it from falling. Do
not place the monitor into a cabinet, wall recess or similar enclosure during operation.
These units are convection cooled (no fan) and need adequate airflow to dissipate heat.

1-4 Infinity Vista VF6
1 OVERVIEW
Electrical Safety
If the AC adapter is disconnected, the monitor “Battery charger” light turns off and the
unit switches immediately to battery power.
Connections to Peripheral Devices
All peripheral devices and connections to the monitor must comply with IEC 60601-1
requirements.
CAUTION: Operate the monitor and any connected devices only in a clinical
environment where the electrical installation is in accordance with local electric codes.
The universal AC adapter should be connected to a fully tested, hospital-grade outlet
with proper grounding.
CAUTION: In the interest of patient safety and equipment performance, Dräger does
not authorize the connection of other manufacturers’ equipment not approved by
Dräger. It is the user's responsibility to contact Dräger to determine compatibility and
warranty status if connections to other manufacturers' equipment are desired.
CAUTION: When connecting peripheral devices to the monitor, make sure that the
entire system complies with the following requirement: IEC 60601-1-1: Safety
requirements for medical electrical systems.