Dräger Primus Infinity Empowered User manual

This Quick Reference Guide is not a replacement or
substitute for the Instructions for Use.
Any use of the medical device requires fullunderstan-
ding and strict observation of the Instruction for Use.
Quick Reference Guide
Primus
Infinity Empowered
Software 4.5n

2 Quick Reference Guide Primus Infinity Empowered SW 4.5n
Trademarks
– DrägerService®,
– Drägersorb®,
– D-Vapor®,
– Infinity®
–Spirolog
®,
–SpiroLife
®,
– Vapor®,
– WaterLock®
are registered trademarks of Dräger.
– VacuSmartTM
is a pending trademark application of Dräger.
– Durasensor®,
– OxiMax®
are registered trademarks of Nellcor.
– Neodisher® Medizym
is a registered trademark of Chemische Fabrik
DR. WEIGERT GmbH & Co. KG..

Quick Reference Guide Primus Infinity Empowered SW 4.5n 3
Table of Contents
Table of Contents
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Rear. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Gas inlets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Interface Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Operation Concept . . . . . . . . . . . . . . . . . . . . . . . 8
Screen ergonomics . . . . . . . . . . . . . . . . . . . . . . . . 8
Keys with permanent functions (hard keys). . . . . . 9
Keys with variable functions (soft keys). . . . . . . . . 9
Selecting and setting . . . . . . . . . . . . . . . . . . . . . . . 10
Color concept . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
System LED indicators . . . . . . . . . . . . . . . . . . . . . 12
Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Before first use . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Connecting the gas supply . . . . . . . . . . . . . . . . . . 13
Connecting the patient system . . . . . . . . . . . . . . . 14
Connecting the electrical connections . . . . . . . . . . 15
Getting Started. . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Device check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Self test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Emergency start . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Alarm displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Alarm priorities and alarm signals . . . . . . . . . . . . . 21
Suppressing alarms. . . . . . . . . . . . . . . . . . . . . . . . 22
Displaying and setting alarm limits . . . . . . . . . . . . 23
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Selecting the standard screen . . . . . . . . . . . . . . . . 25
Monitoring mode . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Screen layout. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Principles of Operation . . . . . . . . . . . . . . . . . . . . 27
Man.Spont. ventilation mode . . . . . . . . . . . . . . . . . 27
Volume Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Volume Mode AutoFlow – Volume AF
(optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Pressure Mode ventilation mode . . . . . . . . . . . . . . 30
Pressure Support Mode (optional). . . . . . . . . . . . . 31
Continuous Positive Airway Pressure CPAP –
in Pressure Support Mode (optional) . . . . . . . . . . . 32

4 Quick Reference Guide Primus Infinity Empowered SW 4.5n
Overview
Overview
Front
ALighting control (dimmer)
BTop shelf (for external monitors)
CScreen with user interface
DRotary knob
ESystem power switch
FO2emergency delivery Safety O2
GO2flush button O2+
HWriting table
IBreathing system
JRelease button for ventilator module
KDisposable absorber Drägersorb CLIC (or reusable
absorber)
LDrawer
MCentral brake
NFootrest
OCastors
PWater trap with sample line connection
QAuxiliary oxygen flowmeter (optional)
RMechanical pressure gauge (optional)
SVapor units with Interlock system
NOTE
The Primus Infinity Empowered Quick Reference Guide is not a replacement or substitute for the Instructions for
Use. Any use of the device requires full understanding and strict observation of the Instructions for Use.
005
A
B
C
D
F
G
H
I
J
E
Q
P
O
K
R
S
L
M
N

Quick Reference Guide Primus Infinity Empowered SW 4.5n 5
Overview
Rear
AConnectors for reserve gas cylinder pressure sen-
sors
BO2sensor
(not applicable for consumption-free O2measure-
ment)
CFilter for fan
DAuxiliary outlets
EType plate
FPins for grounding cables of auxiliary units
GScavenging nozzle
HAnesthetic gas scavenging system AGS
IPower cord
JPin for grounding cable
KGas inlets
LConnection for optional halogen lamp
(remove cap before use.)
Use the lamp specified in the list of accessories
only!
MInterface panel
066
A
B
C
D
E
F
G
M
L
K
J
I
H

6 Quick Reference Guide Primus Infinity Empowered SW 4.5n
Overview
Gas inlets
AConnection for central gas supply O2
BConnection for O2cylinder
CO2outlet for oxygen flow tube (optional)
DConnection for central gas supply AIR
EAIR outlet for endotracheal aspiration system (op-
tional)
FConnection for N2Ocylinder
GConnection for central gas supply N2O
065
A
B
ED C
F
G

Quick Reference Guide Primus Infinity Empowered SW 4.5n 7
Overview
Interface Panel
074
A
D
C
B
ASpO2Socket for SpO2sensor (optional)
BCOM 1 MEDIBUS, MEDIBUS.X interface
CCOM 2 MEDIBUS, MEDIBUS.X interface
DIV System Connection for Dräger IV System

8 Quick Reference Guide Primus Infinity Empowered SW 4.5n
Operation Concept
Operation Concept
Screen ergonomics
Function fields
The keys are grouped in function fields:
AGas measurement
BMonitoring
CFresh-gas delivery
DVentilation
EAll the settings are entered on the screen using the
appropriate keys and the rotary knob.
Rotary knob
AThe rotary knob is the main operating control of the
device and has the following functions in all setting
operations:
– Select/set = turn (B)
Clockwise rotation increases a value, counter-
clockwise rotation decreases a value.
– Confirm = push (C)
If the selection is not confirmed, the value or pa-
rameter will not change.
For example
– confirm the selected carrier gas or a ventilation
mode
– set and confirm the parameters for fresh gas and
ventilation modes
– set and confirm the monitoring functions.
NOTE
The Primus Infinity Empowered Quick Reference Guide is not a replacement or substitute for the Instructions for
Use. Any use of the device requires full understanding and strict observation of the Instructions for Use.
301
AB
C
D
E
302
A
B
C

Quick Reference Guide Primus Infinity Empowered SW 4.5n 9
Operation Concept
Keys with permanent functions
(hard keys)
The main functions for anesthesia, e. g. selecting the
carrier gas or ventilation mode, can be achieved directly
through keys with permanently defined functions:
AKeys for selecting the carrier gas (N2O or Air):
The N2Oor Air keys are used to select the gas to be
mixed with O2for the fresh gas.
BKeys for selecting the ventilation mode:
The Man.Spont., Vol. Mode, Vol. AF (optional),
Press. Mode or Press. Supp. (optional) keys are
used to select the ventilation mode, or (optional
external fresh-gas outlet).
CStandard function keys
DThe Standby key is used for switching from op-
eration to the Standby mode.
Keys with variable functions (soft
keys)
These complementary keys have variable functions.
They are used to set monitoring functions, configura-
tions, fresh-gas delivery, and ventilation parameters.
AKeys for monitoring/configuration:
The keys for the various monitoring functions and
configurations have different functions depending
on the monitoring screen selected.
BKeys for fresh-gas delivery:
The keys for setting the O2-concentration and the
fresh-gas flow.
CKeys for the ventilation mode:
The keys for setting the parameters relevant to the
ventilation mode.
These soft keys have different functions, depending on
the operating status or ventilation mode.
The current parameter values are displayed.
301
– Suppress the acoustic alarm for
2 minutes.
– Change the priority of technical
alarms or acknowledge them.
Display in succession the three basic
monitoring screens: standard screen,
data screen, and trend screen.
Briefly press the key until the re-
quired screen is displayed.
Return to the standard screen.
AB
C
D
301
A
BC

10 Quick Reference Guide Primus Infinity Empowered SW 4.5n
Operation Concept
Selecting and setting
Selecting the ventilation mode
Example: Man.Spont. Mode.
1Push the hard key Man.Spont. (A). The LED in the
key flashes.
In addition, a flashing help text is displayed in the
prompt field.
2Confirm = push the rotary knob (B).
Selecting/setting ventilation parameters
Example: PEEP ventilation parameter
1Push the soft key PEEP (A). The color changes from
dark green to yellow.
In addition, a flashing help text is displayed in the
prompt field.
2Set the PEEP value = turn the rotary knob (B).
Confirm the PEEP value = push the rotary knob.
The color changes from yellow to dark green.
Selecting/setting monitoring functions
Example: Change the lower alarm limit of the endexpi-
ratory CO2concentration.
1Press the alarm limits soft key (A). The alarm lim-
its menu is displayed on the screen.
2Select the alarm limit = turn the rotary knob (B).
Confirm the selection = push the rotary knob (B).
Set the alarm limit = turn the rotary knob (B).
Confirm the new alarm limit = push the rotary knob
(B).
3Exit the alarm limits menu:
301301
A
B
B
A
301
A
B