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

Quick Reference Guide Primus Infinity Empowered SW 4.5n 11
Operation Concept
zConfirm the symbol (C) to exit the menu
= push the rotary knob (B)
or
zPress the key (D).
Selecting/setting configuration
parameters
Example: Changing the time interval for the logbook en-
tries from "2" to "5" in Standby Conf..
The dark green soft key (A) indicates the currently ac-
tive submenu interfaces logbook. The current time in-
terval setting "2" is highlighted in dark green (B).
1Select the menu logbook entries triggered by (C)
and confirm the selection with the rotary knob.
The logbook entries triggered by submenu is dis-
played on the screen.
2Turn the rotary knob and select the menu time in-
terval (D). Confirm the selection with the rotary
knob.
3Turn the rotary knob and select the new time interval
(E). Confirm the selection with the rotary knob.
373343
C
D
Standby Conf.
logbook entries
triggered by
time interval
12510
B
yes no
warning alarms
yes no
caution alarms
C
COM 1
MEDIBUS
COM 2
MEDIBUS
Select
MEDIBUS
baud rate(k)
1.2 9.6
baud rate(k)
1.2 9.6
MEDIBUS.X
MEDIBUS V4
interfaces
logbook
A
371372
D
Standby Conf.
logbook entries
triggered by
time interval
12510
yes no
warning alarms
yes no
caution alarms
COM 1
MEDIBUS
COM 2
MEDIBUS
baud rate(k)
1.2 9.6
baud rate(k)
1.2 9.6
Select
MEDIBUS
interfaces
logbook
MEDIBUS.X
MEDIBUS V4
Standby Conf.
logbook entries
triggered by
time interval
1510 2E
yes
warning alarms
yes no
caution alarms
no
COM 1
MEDIBUS
COM 2
MEDIBUS
baud rate(k)
1.2 9.6
baud rate(k)
1.2 9.6
Select
MEDIBUS
interfaces
logbook
MEDIBUS.X
MEDIBUS V4

12 Quick Reference Guide Primus Infinity Empowered SW 4.5n
Operation Concept
The settings field highlighted in yellow returns to the
preceding menu level.
4Select and confirm the arrow (F) to exit the
menu.
Color concept
Colors are used to highlight operating sequences and
indicate the status of the soft keys.
System LED indicators
To display the status of the gas and power supply of the
Primus Infinity Empowered, several LED indicators are
located at the bottom of the screen.
ACentral gas supply (CS)
BReserve gas cylinders
CPower supply
The Primus Infinity Empowered can be supplied via
the mains power or via a battery. The LED of the ac-
tive power supply lights up green.
361
Light green – can be operated, leads to anoth-
er menu or operating function
– not yet active, presettings
Yellow – selected, can be changed or set,
not yet confirmed
Dark green – active parameter, can be operat-
ed
– current selection (configuration
menu)
Gray type – cannot be operated
Standby Conf.
logbook entries
triggered by
time interval F
yes
warning alarms
yes no
caution alarms
no
15102
COM 1
MEDIBUS
COM 2
MEDIBUS
Select
MEDIBUS
baud rate(k)
1.2 9.6
baud rate(k)
1.2 9.6
interfaces
logbook
MEDIBUS.X
MEDIBUS V4
370
LED lights up
green
CS line is connected and the pressu-
re is within the specified range
LED off The pressure is not within the speci-
fied range or no CS line is connected
LED flashes
green
Malfunction of the corresponding in-
put pressure reducer
LED lights up
green
Reserve gas cylinder is connected
and the pressure is within the speci-
fied range
LED flashes
red
Reserve gas cylinder is connected,
but the pressure is not within the spe-
cified range and no central gas supp-
ly is connected.
LED off Reserve gas cylinder is connected,
but the pressure is not within the spe-
cified range, the central gas supply is
connected and within the specified
range.
Or
no reserve gas cylinder connected.
O2Air N2OO2Air N2O
ABC

Quick Reference Guide Primus Infinity Empowered SW 4.5n 13
Assembly
Assembly
Before first use
Charging the battery for emergency
operation
Primus Infinity Empowered has a built-in uninterruptible
power supply UPS which maintains the power supply for
at least 30 minutes (up to 90 minutes, depending on the
ventilation parameters) in the event of a mains power
failure, provided that the battery is charged.
Switching to battery power (UPS) takes place automat-
ically, and is indicated on the screen by the message:
POWER FAIL.
The battery recharges automatically when the worksta-
tion is plugged into the mains, but only up to a maximum
ambient temperature of 35 °C (95 °F).
The battery must be charged for 10 hours before using
the workstation for the first time:
zPlug the mains power plug of the Primus
Infinity Empowered workstation into the mains sock-
et.
The mains voltage must correspond to that specified on
the rating plate on the back of the machine.
The green LED (A) lights up.
Leave Primus Infinity Empowered connected to the
electrical power supply for 10 hours. It does not need to
be switched on.
Connecting the gas supply
1Screw on the compressed gas hoses of the central
gas supply (CS) for O2, AIR, N2Oto the front con-
nections of the gas inlet block (A). The two outer
ports at the back are reserved for the reserve gas
cylinders.
A compressed air outlet for the optional secretion
aspiration and an O2outlet for an external O2flow
tube are optionally available.
2Plug the other end of the pressure hoses into the ter-
minal unit.
3Make sure all supplies are connected correctly and
functioning properly.
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.
006
Primus
A
011
N 2 O AIR O 2
A

14 Quick Reference Guide Primus Infinity Empowered SW 4.5n
Assembly
4All three LEDs (B) illuminate green. The LEDs re-
main dark if the gas pressure is <2.7 kPa x 100 or if
the gas hose is not connected.
Connecting the patient system
1For tidal volumes VTof more than 200 mL:
use adult hoses.
2Fit the microbial filters (A) on the inspiratory and ex-
piratory ports of the breathing system until they au-
dibly engage.
3Connect the breathing bag (B) and its adapter to the
shortest breathing hose in the breathing circuit set.
Attach the breathing hose to the angled connector
and hang the breathing bag on the hook.
4Connect the breathing hoses (C) to the inspiratory
and expiratory ports or to the optional microbial fil-
ters and then connect them to the Y-piece or the op-
tional filter on the Y-piece.
5Fit the water trap (D) at the front.
6Screw the sample line (E) with Luer Lock connec-
tors onto the Y-piece and water trap.
7Make sure the sample line is guided correctly by us-
ing the sample line clip (F). This clip should be at-
tached to the expiratory port of the breathing
system.
012062
Primus
B
A
B
C
044063
D
E
E
F

Quick Reference Guide Primus Infinity Empowered SW 4.5n 15
Assembly
Connecting the electrical
connections
Connecting auxiliary systems
The Primus Infinity Empowered has two auxiliary out-
lets on the rear of the machine. Each outlet is rated 3
amps and protected by safety fuses.
There is also a dedicated (2 amp) outlet for a Desflurane
vaporizer on the side of the machine, above the vapor-
izer mount. This outlet is protected by safety fuses.
In addition there is a 4 amp automatic circuit breaker for
the outlet for a Desflurane vaporizer.
1Connect to auxiliary outlets (A) at the back of the
workstation.
2Install the Desflurane vaporizer in its mount and
connect it to the outlet at the side of the machine.
Make sure the maximum power consumption of the
auxiliary systems does not exceed permissible values:
See the corresponding Instructions for Use.
Connecting to ground
e.g. for intracardiac or intracranial surgery.
1Connect one end of the grounding cable to one of
the connecting pins (A) located at the back of the an-
esthesia machine.
2Connect the other end of the grounding cable to the
specified grounding point, e.g. on the operating ta-
ble or ceiling lamp.
3Connect equipotential grounding point (B) to the
auxiliary systems.
Connecting the power supply
The mains power voltage must correspond to that spec-
ified on the rating plate at the back of the workstation:
100 to 240 V
zPlug the mains plug into the wall socket.
LED on the front of the workstation lights up
green.
017
A
017
A
B

16 Quick Reference Guide Primus Infinity Empowered SW 4.5n
Assembly
Fuses for auxiliary outlets
If a fuse is tripped (position 0):
zRemedy the fault, then press the switch at the auto-
matic fuse to the position I.
The fuse is active again.
102
0
0
II
0
I

Quick Reference Guide Primus Infinity Empowered SW 4.5n 17
Getting Started
Getting Started
Device check
Power on
1Switch on Primus Infinity Empowered: press the
system power switch (A), an acoustic tone
sounds.
After approx. 15 seconds all LEDs and the loud-
speaker are tested by Primus Infinity Empowered.
The initial screen appears after about 20 seconds. Pri-
mus Infinity Empowered now loads its software and
tests its internal memory.
Check List
The Check List is displayed after about 35 seconds.
The test steps to be performed are grouped in five cat-
egories:
AGas Supply
– pipeline pressure
– cylinder pressure
–O
2flush functional?
– Safety O2control functional?
BVaporizers
– Correctly locked in positon?
– Set to zero?
– Fill level OK?
– Safety filler locked?
CBreathing Circuit
– Fully assembled?
– Correctly connected?
– Gas scavenger connected and flow adjust-
ed?
– Soda lime OK?
DMiscellaneous
– Water trap fill level OK?
– Suction OK?
– Emergency resuscitator present and func-
tional?
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.
020
A
303
Primus
Check List
AB
C
D
E
F
G
H

18 Quick Reference Guide Primus Infinity Empowered SW 4.5n
Getting Started
EPrepare for the self test:
– Set APL valve to MAN.
– Adjust APL valve to 30.
–Occlude the Y-piece.
– Connect the sample line.
– Close safety O2flow control.
zCheck the components as instructed in the Check
List on the screen.
FConfirm the change of the soda lime by pressing the
soft key soda lime changed*.
GStart the self test by pressing the soft key start self
test or the rotary knob.
If the self test has to be interrupted, e. g. for a quick start
in an emergency:
HPress the cancel test key (Emergency start).
Self test
Following the completion of the manual procedure as in-
structed in the Check List, the user can initiate the au-
tomated self test.
1Press the start self test key (A), or press the rotary
knob to start the test.
If the self test has to be interrupted, for example in an
emergency situation:
2Press the cancel test key (B), and proceed as spec-
ified in Emergency start. The self test can be can-
celed up to ten consecutive times.
The self test is started. It proceeds automatically and
takes approx. 5 minutes.
After the self test has been started, a double tone
(speaker test "passed") and a single tone (speaker test
in the power supply unit "passed") sound one after the
other with the set alarm tone volume.
The progress made in the self test is indicated by the
bar graph (C).
Primus Infinity Empowered carries out the automatic
tests and actions indicated on the screen.
The clock symbol (D) indicates which test step is cur-
rently being tested. Once each component test is com-
pleted, the clock symbol is replaced by a color code that
indicates the test result.
Errors discovered during the self test are marked with
yellow or red behind the respective test result. An advi-
sory window with information on how to remedy the
problem is displayed on the screen.
Test results are color-coded:
* Only without configured CLIC absorber.
303
Primus
Check List
A
B
304
Green: Test completed successfully. The
tested component is in satisfactory
operational order.
Yellow: A non-critical fault was detected. The
workstation can be used with restric-
tions.
Functions highlighted in yellow can
be confirmed with the accept soft
key which is then displayed, e. g.
speaker failure. The workstation
starts operation without this function.
Primus
Self Test
C
DB

Quick Reference Guide Primus Infinity Empowered SW 4.5n 19
Getting Started
Interruption of the test is symbolized by an exclamation
mark.
Emergency start
Use only in urgent cases if there is no time for the
self test!
1Switch on the workstation (A).
2Check that both vaporizers are closed.
3Set the Safety O2knob (B) for O2emergency flow
to the required O2flow, between 0 to 12 L/min.
4Start manual ventilation.
Wait for the internal loading of the software and the
testing of the electronics. The check list is displayed
after about 35 seconds.
5Press the soft key cancel test (C).
The device only runs through a minimal self test for
about 10 seconds. Manual ventilation is interrupted
for this time, but spontaneous breathing can contin-
ue.
Primus Infinity Empowered is ready for operation about
1 minute after initiating. The O2sensor is completely
calibrated after about 2 minutes.
The leak and compliance test is not performed. The ac-
curacy levels specified in the Technical Data cannot be
guaranteed.
After ten cancellations, the self test cannot be canceled
the next time that Primus Infinity Empowered is started
and a complete self test must be carried out.
The workstation switches to the Standby mode after
completing the minimal self test.
To start Primus Infinity Empowered:
zTurn the Safety O2knob for O2emergency delivery
to 0and press it.
zSelect the fresh-gas setting and ventilation mode.
Red: A serious fault was detected. Opera-
tion impossible or not permitted. The
test must be repeated. The test can
no longer be canceled.
Immediately call DrägerService or
your local authorized service organi-
zation to correct the problem.
021
A
B
303
Primus
Check List
C

20 Quick Reference Guide Primus Infinity Empowered SW 4.5n
Alarms
Alarms
Alarm displays
Alarm messages are displayed in the alarm field (A) in
order of priority.
All displayed alarms are sorted according to the three
classes. Within these classes, the alarms are sorted
and displayed according to an internal priority system. A
priority of 31 indicates the highest, a priority of 1 the low-
est priority. The priority numbers are given in the table
"Alarm messages". The internal priorities are not dis-
played.
Up to three messages can be displayed simultaneously.
In some cases, the corresponding measured values are
highlighted on the screen by a flashing background in
addition to the alarm message.
If more than three alarms occur simultaneously, the
symbol appears (B) to the right of the alarm field and
the soft key show all alarms (C) is activated on the
right-hand side of the screen.
When this soft key is pressed, the upper curve display
(D) is replaced by up to six additional alarm fields for
15 seconds.
If more than nine alarm messages are simultaneously
active, the lowest priority alarms will not be displayed
until the total number of active alarm messages falls be-
low nine.
The alarm tone sequence accompanying a displayed
alarm message with the highest priority will always be
sounded at least once completely. The alarm tone se-
quences of alarm messages with lower priorities will not
sound if a higher priority alarm is activated, i.e. the tone
sequence thereof will sound.
If an alarm message of the same class as an active
alarm message is generated, the alarm tone of the new
alarm only sounds if the priority is higher than the prior-
ity of the previously active alarm.
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.
334
AB
C
more
335
D