Dräger Infinity Series User manual

Quick
Reference
Guide
Infinity Series Monitor
Delta/Delta XL/Kappa

Lead Placement 2 - 5
Getting Started, Connecting your Patient 6
Admit 6
Understanding Fixed Keys 7
Alarms
Types o Alarms 8
Adjust Arrhythmia Alarms 8
ECG Monitoring
Show All Leads 9
Change Displayed Leads 9
Activate Pacemaker Detection 9
Non-Invasive Blood Pressure (NBP) Monitoring 10
Respiratory Monitoring
Change Wave orm Size 10
Change Displayed Lead 10
SpO2Monitoring 10
Temperature Monitoring 11
Fast Access Data Key
Trends 11
Review Stored Events 11
Alarm Limits Fixed Key 12
Recordings 12
Print Functions 12
Menu Functions
Patient Category 13
Standby 13
Privacy Screen 13
Trans erring Patient 14
Troubleshooting 16
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CONTENT
© 2010 Draeger Medical, Inc.

Electrode & Lead Placement
DO’S & DO NOT’S
Do Place the electrode on a clean and dry area o skin.
Utilize soap, water and dry.
Do Remove hair i necessary or proper electrode
placement.
Do Change electrodes Q 24-48 hours, or per hospital
policy.
Do Not Utilize alcohol to dry and clean area o skin
or electrode placement.
Do Not Place electrodes over bony prominences or
area o increased muscle movement/activity.
Do Not Assume electrodes are “Good” i the tape
portion is attached to the patient’s skin.
Do Not Braid, tie or knot leads.
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| 02

5 Lead Placement
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© 2010 Draeger Medical, Inc.
White - Right Arm
Green - Right Leg
Black - Le t Arm
Red - Le t Leg
Brown - V2 - Le t o sternum
4th intercostal space
RA
RL
LA
LL
V2
D-22640-2010

6 Lead Placement
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© 2010 Draeger Medical, Inc.
White - Right Arm
Green - Right Leg
Black - Le t Arm
Red - Le t Leg
Brown - V2 - Le t o sternum
4th intercostal space
Grey - V5 - Le t at 5th
Intercostal space Anterior Axillary line
RA
RL
LA
LL
V2
V5
D-22640-2010

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© 2010 Draeger Medical, Inc.
Pacema er Signal Interfering with
Monitor ECG QRS Detection
Pacemaker inter erence is the # 1 cause o alse ASY
and other arrhythmia calls.
PATIENT WITH PACEMAKER
Try the ollowing lead con igurations:
Five Lead Paced Patients
Six Lead Paced Patients
D-22639-2010
D-22641-2010

Getting Started - Rotary Knob
The rotary trim knob at the bottom right corner o the
monitor turns le t and right. It highlights selections and
requires pressing in to con irm the selections (click).
The monitor does not need to be powered o between
patients. Remember to “Discharge” between patients
once all documentation has been completed. This
erases all trended in ormation and returns the monitor
to de ault settings.
CONNECTING YOUR PATIENT TO THE MONITOR
- Prep the patient’s skin, place ECG electrodes
appropriately and connect leads.
- Place SpO2sensor on the patient.
- Place NIBP cu on the patient.
- Press Main Screen Key to begin active patient
monitoring.
TO ADMIT AT THE BEDSIDE USING THE ROTARY KNOB
Admission via the In inity Central Station is easiest,
however, you may admit rom the bedside monitor:
- Press Menu ixed key.
- Highlight Admit/Discharge, “click”.
- Highlight Admit and enter the patient’s data using the
Rotary Knob.
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Understanding Fixed Keys
Alarm Silence Silences the triggered bedside alarm
or 60 seconds
Alarm Limits Allows limits to be set on all parameters
All Alarms O Initiates 1-5 minutes suspension o all
alarms and arrhythmia processing.
Alarms remain suspended until you
press the All Alarms Off ixed key again
or the timeout period expires.
Code Starts on screen timer
Discharge Quick Discharge key, press twice
Record Initiates timed recordings to recorder
Print Screen Initiates screen copy to laser printer
NBP Start/Stop Starts single NBP measurement, starts
interval mode, stops measurement
already in progress.
Press twice quickly to suspend interval
Fast Access Fast Access to requently used
unctions
Mark Stores all wave orms on screen to event
recall and places a marked set o vital
signs into the trends
Main Screen Returns to main monitor screen
Menu Access all monitor unctions
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© 2010 Draeger Medical, Inc.

Alarms
3 DIFFERENT TYPES OF ALARMS
L-T (Life Threatening): alarm lashes red and
sounds two alternating tones. L-T alarm must be
manually silenced by pressing the Alarm Silence
Fixed Key.
SER (Serious): alarm lashes yellow and sounds
the same tone twice. Alarm can be manually
silenced using the Alarm Silence Fixed Key or the
alarm will automatically reset i the violation ceases.
ADV (Advisory): alarm lashes white and sounds a
single tone. Alarm can be manually silenced using
the Alarm Silence Fixed Key or the alarm will
automatically reset i the violation ceases.
TO ADJUST ARRHYTHMIA ALARMS/SETTINGS:
- Highlight ARR parameter box, click.
- Customize type o alarm, rate, count and archive
unction as desired.
ARR may also be accessed from the Alarm Limits
Fixed Key by choosing ARR.
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© 2010 Draeger Medical, Inc.
1
2
3

Accessing Parameter Functions:
ECG MONITORING
To Display All Monitored Leads
- Highlight HR parameter box, click.
- Select Show All Leads, click.
HINT: For best results choose wave orms that are all
positive or all negative and greater than 0.25 mv tall.
To Change Displayed Leads
- Highlight HR parameter box, click.
- Highlight Lead Setup, click.
- Highlight Channel 1, click.
- Highlight desired lead, click.
- Repeat above to change other channels.
To Activate Pacemaker Detection
- Highlight HR parameter box, click.
- Highlight ECG Options, click.
- Highlight Pacer Detection On, click.
NOTE: Pacer Detection is not active when
Electrosurgical Unit (ESU) ilter suppression is used.
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© 2010 Draeger Medical, Inc.

Accessing Parameter Functions
NON-INVASIVE BLOOD PRESSURE (NBP) MONITORING
- Highlight NBP, click.
- Highlight Interval Time, click.
- Rotate dial to the desired time interval, click.
- Press NBP Start/Stop ey to begin interval setting.
- To suspend interval measurements, press the NBP
Start/Stop key quickly two times.
**To stop a measurement press NBP Start/Stop ey.
A bar appears under the NBP showing the interval time.
RESPIRATORY MONITORING
- Highlight Respirations parameter box, click.
- Highlight and enter desired changes to menu
options.
SpO2MONITORING
- Highlight SpO2parameter box, click.
- Select wave orm size, adjust, click.
- Select pulse tone source, adjust, click.
- Select pulse tone volume, adjust, click.
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© 2010 Draeger Medical, Inc.

TEMPERATURE MONITORING
- Highlight TEMP parameter box, click.
- Highlight and enter desired changes, click.
Fast Access Data Key
TRENDS
- Press Fast Access Data key.
- Highlight Trend Graph or Trend Table, click.
- Highlight time interval, click.
- Set time to desired interval, click.
- Highlight Report, click or a printed report at laser
printer.
REVIEW STORED EVENTS
- Press Fast Access Data key.
- Highlight Event Recall, click.
- Scroll through the events by highlighting the le t or
right arrow, click.
- To Print Events, Highlight Report or Record and click
or laser printout or recorded strip.
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© 2010 Draeger Medical, Inc.

ALARM LIMITS FIXED KEY
- Press Alarm Limits ixed key.
- Highlight the limit to be changed, click.
- Rotate dial to desired value, click.
- Veri y alarm status as ON/OFF as desired.
NOTE: Auto Set may be used to set close to the patient
speci ic limits.
RECORDINGS
- Press Record ixed key or a timed strip recording.
- For a continuous recording, press MENU key and
highlight Continuous Record, click.
PRINT
-Print Screen sends a snapshot o whatever is on
the screen to the laser printer.
-Real-time recordings o ALL wave orms – Press
Fast Access Fixed key, highlight Report, click.
- Highlight Timed or Continuous wave orm, click.
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© 2010 Draeger Medical, Inc.

Menu Functions
PATIENT CATEGORY
- Press Menu key.
- Highlight Patient Setup, click.
- Highlight Patient Category, click.
- Select desired category, click.
- Patient category Adult, Pediatric, Neonatal displayed
on screen.
Patient Category is displayed on screen.
PLACE MONITOR IN STANDBY
- Press Menu key.
- Highlight Standby, click.
Monitoring is suspended while in standby mode, yet all
trended patient data is retained and monitor settings are
not a ected.
TO ACCESS PRIVACY SCREEN
- Press Menu key.
- Highlight Privacy, click.
Wave orms and alarms occur only at the ICS. To release,
press Mainscreen key.
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© 2010 Draeger Medical, Inc.

Transfer of Data
TRANSFER FROM DRÄGER MONITOR TO
DRÄGER MONITOR
Step 1 - Press Menu key.
Step 2 - Place Dräger Monitor in Standby.
Step 3 - Go to destination monitor and press the Menu.
Step 4 - Click on Admit/Discharge.
Step 5 - Click Transfer (I you are trans erring data orm
outside the destination care unit, go to Step 6.
Otherwise go to Step 8).
Step 6 - Click on Select Care Unit to transfer from. A
list o care units appears. I you are monitoring
only one care unit, this item is ghosted.
Step 7 - Click on the care unit rom which you are
trans erring data. The selected unit appears next
to Care Unit.
Step 8 - Click on Select Bed to transfer from to display
beds currently in standby.
Step 9 - Click on the source bed to display it on the menu.
Step 10 - Click on Start Transfer to this bed.
Step 11 - Click on Transfer to this bed to trans er patient
data and display the banner Trans er In Progress,
or on Cancel to return to the previous menu.
Step 12 - Press the Main Screen ixed key on the source
monitor to exit Standby mode.
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TRANSFER FROM DRÄGER MONITOR TO M300
- Place Dräger Monitor in Standby.
- Admit an M300 to the Central Station.
- Click ADT.
- Click Transfer.
- Select Care Unit and then Monitor/Bed.
- Click Continue.
- Click Yes to Confirm data Trans er.
- Select NO to Discharge the In ormation.
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Infinity Monitor Troubleshooting Guide
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© 2010 Draeger Medical, Inc.
Arrhythmia Problems
Heart rate is
undercounted
Heart rate is being
double counted.
False Asystole alarm
OR monitoring ONLY
Possible Cause
R wave amplitude is
<t an 0.5mV
Large P or T wave is
being counted as a
QRS complex
R wave amplitude is <
0.5mV (one large box)
and monitor is unable
to sense and count
QRS complexes.
Narrow QRS’s can be
counted as pacer
spikes.
Wet ECG ESU Block
Action
Select t e ECG lead
and/or sensitivity t at
provides a QRS
amplitude of >0.5mV
in eig t
Monitor in anot er
lead, w ic will display
a smaller P or T wave.
T e QRS must be
double t e size of t e
T or P wave
C ange monitored
lead to one wit larger
R wave. Relearn. Turn
Pacer detection to
OFF.
Remove ESU (blue
block) if asystole stops
allow block to dry out
for several days.

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© 2010 Draeger Medical, Inc.
Arrhythmia Problems
Difficulty in monitoring
a paced r yt m
Monitor is falsely
alarming for movement
and artifact.
60 cycle interference
(sawtoot baseline)
Possible Cause
Pacing detection is
turned OFF. Pacer
spike is too small and
monitor is unable to
detect.
Inadequate skin prep.
Old, dry or wet
electrodes.
Insecure electrodes.
Loose lead wires.
Poor lead placement.
Possible non-grounded
instrument near patient.
Action
Turn pacer detection
ON and reposition RA
electrode lower and LL
electrode ig er on
c est wall. Monitor in
anot er lead, suc as
V1. Relearn. Select
best lead and c ange
QRS processing from
ECG 1 & ECG 2 to
ECG 1 only.
Ensure t at skin is
properly prepped
including removing air.
C ange electrodes at
least every 24-48 rs.
Ensure t at electrodes
are making good con-
tact wit c est wall.
C eck and secure
lead wires.
Reapply electrodes.
Disconnect electrical
appliances near
patient from wall outlet
(one at a time) to
determine faulty
grounding. Consult
bio med/clinical
engineering dept.

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© 2010 Draeger Medical, Inc.
Arrhythmia Problems
Fuzzy or irregular
baseline
Roug jagged
baseline.
Wandering baseline
Monitor is not storing
arr yt mia alarms.
Possible Cause
Poor lead placement.
Tense, uncomfortable
patient.
Tremors or diap oresis.
Poor electrical contact.
Respiratory interfer-
ence.
Faulty or dry
electrodes.
Patient movement.
Improperly placed
electrodes.
Respiratory
interference
Arr yt mia detection is
turned OFF.
STORE not selected in
alarm menu.
Action
Reapply electrodes.
Ensure t at placement
is on flat non-muscular
areas. Make sure
patient is comfortable.
Assess and treat
patient accordingly.
Reapply electrodes.
Move electrodes from
areas of greatest c est
motion. C ange/apply
new electrodes.
Ensure patient comfort.
Reapply electrodes;
ensure t at cable is
not pulling electrodes.
Move electrodes away
from areas of greatest
movement during
respiration.
Access arr yt mia
menu, turn detection
ON.
Access alarm limits
select STORE for
Arc ive.

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Arrhythmia Problems
Monitor did not alarm
for arr yt mia
Cannot Learn Lead
Baseline Artifact
Possible Cause
Alarm not on, criteria
incorrect or HR source
incorrect. ALL Alarms
off c osen for default
setting.
Dominant normal
complex could not be
determined for Lead.
After 100 beasts,
monitor cannot deter-
mine t e dominant
normal complex on any
lead selected for QRS
processing. Learning
continues.
Artifact is blocking
arr yt mia class-
ification. Patient’s
movement, s ivering,
tremors. Bad electrode
contact. Excessive sig-
nal noise. Interference
from auxiliary equip-
ment.
Action
Access alarm limits,
turn on alarm wit de-
sired limits c eck HR
source. Ensure t at if
monitor is in OR mode
t at t e monitor is not
in ALL Alarms off (t is
will ave a timed
setting) mode or
BYPASS mode.
C eck Leads. C oose
anot er lead for QRS
processing. C eck
electrode preparation.
C eck electrode
preparation. Calm
patient. C eck
electrodes and reapply
if necessary. Ensure
t at t e patient’s skin
is properly prepped.
Isolate t e patient form
auxiliary equipment.