Train-the-Trainer - Michigan Medicine...Train-the-Trainer Operational Concepts | 30 Title of presentation | Author of presentation | 05/01/2010 Table of contents 1. Operating Concept

Dräger Evita Infinity® V500Train-the-Trainer

Operational Concepts

Title of presentation | Author of presentation | 05/01/2010| 30

Table of contents

1. Operating Concept2. Start Ventilation3. Alarm Management


Table of contents



Device operation Operating concept

Touch – Turn – Confirm

1.Touch the screen at the required button button turns yellow, ring of the rotary knob turns

orange2.Turn the rotary knob to adjust the setting3.Confirm the selection by pressing the rotary

knob (Note: Orange light goes off)






knob orange light goes off






knob orange light extinguishes



Direct setting of a parameter (QuickSet)

Set a therapy control value without confirming the setting. The changes to the setting will immediately become effective for the patient.

Direct setting of ventilation parameters can be performed in all ventilation modes.

Only the therapy controls O2 and Flow cannot be set directly. Apart from that it is applicable for all the other ventilation parameters.




1.Touch the corresponding therapy control2.Press and hold the rotary knob for approx. 3 seconds

Therapy control now turns dark green withyellow edge.3.Press and hold the rotary knob and turn to set the value

The setting will immediately apply.















Linked setting of two parameters: PEEP/Pinsp and RR/TiSet the two therapy controls PEEP and Pinspsimultaneously with the pressure difference (ΔP) remaining constant when adjusting eitherparameter.

Set the two therapy controls RR and Tisimultaneously with the I:E ratio remainingconstant when adjusting either parameter.



Linked setting of two parameters

Example: PEEP/Pinsp1.Touch one of the two therapy controls2.Touch the link buttonThe two linked therapy controls turn yellow.3.Turn the rotary knob to adjust the two values with the pressure difference (ΔP) remaining constant and confirm the setting




Example: PEEP/Pinsp1.Touch one of the two therapy controls2.Touch the link buttonThe two linked therapy controls turn yellow.3.Turn the rotary knob to adjust the two values with the pressure difference (ΔP) remaining constant and confirm the setting




Example: PEEP/Pinsp1.Touch one of the two therapy controls2.Touch the link buttonThe two linked therapy controls turn yellow.3.Turn the rotary knob to adjust either value and note the pressure difference ΔP remains constant and confirm the setting



Lock function for therapy bar

1.Press “System setup”2.Select “Screen layout”, chose “Therapy bar”

and press “On”



Lock function for therapy bar

1.Press “System setup”2.Select “Screen layout”, chose “Therapy bar” and press “On”

Now, the therapy controls may only bechanged in the Ventilation settings dialogwindow, indicated by: (1)the missing edge of the therapy controls(2)the advisory message on top of the therapy bar

(2)

(1)



Night mode

When setting Evita V500 to the night mode an automatic changeover of the followingsettings will apply:

Color scheme of the screenVolume of the alarm toneAutomatic increase of the alarm tone is activated

The switch to night mode can either be doneautomatically (by configuring a certain time inSystem setup) or manually by pressing“Day/Night” (the “Day/Night” button has to beconfigured onto the main screen).



Freeze waveforms

For better analysis, the current graphs,waveforms, loops, trends may be stopped fora short amount of time

Prerequisite:

the “Freeze waveforms” button is configured onto the main menu bar

1.To freeze a graph: press “Freeze waveforms” at the desired time

2.Move the cursor by turning the rotary knob to analyze data at a certain point of time



Freeze waveforms

For better analysis, the current graphs,waveforms, loops, trends may be stopped fora short amount of time

Prerequisite:

the “Freeze waveforms” button is configured onto the main menu bar

1.To freeze a graph: press “Freeze waveforms” at the desired time

2.Move the cursor by turning the rotary knob to analyze data at a certain point of time



Export a screenshot

Screenshots can be exported directly to aUSB storage medium.

Prerequisite:

the “Export screenshot” button is configured onto the main menu bar

1.Insert a USB memory stick into one of the USB ports of the Infinity C500

2.To export a screenshot: press “Export screenshot” button at the desired point of time

Only Dräger USB memory sticks are approved for usage with Infinity C500!



Export a screenshot

Screenshots can be exported directly to aUSB storage media.

Prerequisite:

the “Export screenshot” button is configured onto the main menu bar

1.Insert a USB memory stick into one of the USB ports at C500

2.To export a screenshot: press “Export screenshot” at the desired point of time



Activating StandbyThe V500 can be placed in “Standby” if temporary cessation of ventilation is desired (i.e. transport not utilizing the V500), and must be placed in “Standby” in order to change “Therapy Type” or “Patient Category”

1.Press “Start/Standby” on the main screen2.Select “Standby”3.Press the Rotary knob to confirmEvita V500 is now in standby and gives a highpriority alarm.4. To deactivate the alarm: Press “Alarm reset” and confirm



Activating Standby

For example to change the application modeor patient category the “Standby mode” needsto be activated because these items can onlybe changed when Evita V500 is in standby.

1.Press “Start/Standby” on the main screen2.Select “Standby”3. Press the Rotary knob to confirmEvita V500 is now in standby and gives a highpriority alarm.4. To deactivate the alarm: Press “Alarm reset” and confirm



Activating Standby

For example to change the application modeor patient category the “Standby mode” needsto be activated because these items can onlybe changed when Evita V500 is in standby.

1.Press “Start/Standby” on the main screen2.Select “Standby”3.Press the Rotary knob to confirmEvita V500 is now in standby and gives ahigh priority alarm.4. To deactivate the alarm: Press “Alarm reset” and confirm by pressing the Rotary knob



Calibrating the Infinity C500 screen

Prerequisite:Evita V500 must be in “Standby”

1.Keep the “Audio paused” button and the rotary knob pressed for approx. 20 seconds

After approx. 10 seconds an alarm will appear2.Continue pressing the two buttonsAfter approx. 20 seconds the alarm message

resolves itself in preparation for calibration.




PrerequisiteEvita V500 in in standby mode

1.Keep the “Audio paused” and the rotary knob pressed for approx. 20 seconds

After approx. 10 seconds a medium priorityalarm will appear.

2.Continue pressing the two buttonsAfter approx. 20 seconds the alarm message resolves itself in preparation for calibration.




PrerequisiteEvita V500 in in standby mode

1.Keep the “Audio paused” and the rotary knob pressed for approx. 20 seconds

After approx. 10 seconds a medium priorityalarm will appear.

2.Continue pressing the two buttonsAfter approx. 20 seconds the alarmresolves itself in preparation for calibration.




3.Touch “Calibrate”A red and white colored target appears on thescreen.

4.Touch the target within the given amount of time at three different positions and confirm calibration by pressing the green checkmark appearing in the center of the screen.

Screen calibration is now successfullycompleted.




3.Touch “Calibrate”A red and white colored target appears onthe screen.

4.Touch the target within the given amount of time at three different positions and confirm calibration by pressing the green checkmark appearing in the center of the screen.

Screen calibration is now successfullycompleted.



Adjusting the angle of the Infinity C500 screen

1.Push the handle on the back of the screen to the right

2.Keeping the handle pressed in, grasp and tilt the screen to the desired position



Adjusting the angle of the Infinity C500screen





Adjusting the angle of the Infinity C500screen




Table of contents



Ventilation Start Ventilation

Using the settings of the previous patient

Prerequisites: Evita V500 is switched on The start dialog is opened

Start up:1. Select “Current patient”2. Chose therapy3. Select application mode4. Select breathing circuit and humidifier5. If necessary: adjust ventilation settings6. Start ventilation





Start up:1. Select “Current patient”2. Chose therapy (ventilation or O2 Therapy)3. Select application mode4. Select breathing circuit and humidifier5. If necessary: adjust ventilation settings6. Start ventilation





Start up:1. Select “Current patient”2. Chose therapy3. Select application mode (Tube or NIV)4. Select breathing circuit and humidifier5. If necessary: adjust ventilation settings6. Start ventilation





Start up:1. Select “Current patient”2. Chose therapy3. Select application mode4. Select breathing circuit and humidifier type5. If necessary: adjust ventilation settings6. Start ventilation













Admitting a new patient


Start up:1. Select desired patient category2. Chose therapy3. Select application mode4. Select breathing circuit and humidifier5. If necessary: adjust ventilation settings6. Start ventilation


Table of contents



Alarm BehaviorAlarm limits

Adjustable alarm limits

Expiratory Minute Volume: MVe high/low Delay time for MVe alarms: MV delay

high/low Airway pressure: PAW high Respiratory Rate: RR high Apnea alarm delay time: Tapn Disconnection time in NIV: Tdisconnect Tidal volume: VT high Endexpiratory CO2 concentration: etCO2

high/low

Alarm limits that cannot be set manually (PAW low, RR low, VT low) are linked to the respective setting and will adjust automatically.



Displayed alarm limitsThe following alarm limits are displayed on the

main screen in the respective parameter box:

PAW high

MVe high/low

RR high

VT high/low



Set alarm limits

1. Touch “Alarms”2. Touch “Limits”3. Adjust desired alarm limit/s


Alarm Behavior Alarm limits

Set alarm limits

1. Touch “Alarms”2. Touch “Limits”3. Adjust desired alarm limit/s



Set alarm limits

1. Touch “Alarms”2. Touch “Limits”3. Adjust desired alarm limit

Configure start settings for the alarm limits inSystem setup.



Deactivate alarm limits

in the neonatal patient category the MVe low alarm limit may be deactivated

in NIV the MVe low as well as the VT high and low alarm may be deactivated

1. Touch the required alarm limit2. Turn the rotary knob counter clockwise to

turn a lower alarm limit off or clockwise to turn a high alarm limit off until “Off” is displayed

3. Confirm with rotary knob






1. Touch the required alarm limit2. Turn the rotary knob counter clockwise

to turn a lower alarm limit off or clockwise to turn a high alarm limit off until “Off” is displayed







1. Touch the required alarm limit2. Turn the rotary knob counter clockwise to

turn a lower alarm limit off or clockwise to turn a high alarm limit off until “Off” is displayed



Alarm Behavior Alarm concept

Indication of an alarm

Visually: via the alarm message in the header barvia highlighting the affected parameter in the monitoring area (if configured)

via the 360° alarm light on Infinity C500

Acoustically:via the alarm tone (Dräger sequence or ICE sequence)



Alarm priorities

CAUTION: Medium priority alarm message indicated by the yellow background prompt action is necessary in order to avert a danger

WARNING: High priority alarm message indicated by the red background immediate action is necessary in order to avert an acute danger

NOTE: Low priority alarm message indicated by the cyan background attention is necessary, but a delayed response is sufficient



Display current alarms

In the header bar no more than 2 activealarms can be displayed.If there are more then two active alarmsthe “More…” button is displayed.

To view all active alarms: Touch “More…”or select “Alarms” ► “Current alarms” or touch displayed alarm in header bar

The Current alarms page in the Alarmsmenu is opened displaying Date, Time,Duration and Priority of the current alarms.

if the cause of the alarm is solved: Press “Reset all” to delete Alarms from the overview



Alarm history

On the Alarm history page all alarms are savedand displayed with Date, Time, Duration andPriority. The entries in the alarm history arealso retained after the device has beenswitched off and on again.

To view the Alarm history page: select “Alarms” ► “Alarm history”



Alarm silence

The Alarm silence function mutes acurrent alarm for a maximum of 120 s.

To suppress the acoustic alarm for 120 s: Press “Audio paused”To reactivate the alarm tone before the suppression time has elapsed: Press “Audio paused” again

Even if the current alarm is silenced Evita V500will give an acoustic alarm if a alarm with ahigher priority occurs!

Alarm silence activated

Remaining alarm suppression time


Alarm Behavior Alarm – Cause – Remedy

The Alarm – Cause – Remedy helpfunction

With the Alarm – Cause – Remedy help functionpotential causes and solutions for currentalarms are available directly on the screen forquickly solving the problem.



Use the Alarm – Cause – Remedy helpfunction

Prerequisite

the Current alarms or the Alarm history page is open

1.Press “↑” at the top of the page to display the Alarm – Cause – Remedy page

2.Use the cursor to display cause and remedy for a current alarm



Use the Alarm – Cause – Remedy helpfunction

Prerequisite

the Current alarms or the Alarm history page is open

1.Press “↑” at the top of the page to display the Alarm – Cause – Remedy page

2.Use the cursor to display Cause and Remedy for a current alarm


Alarm Behavior Troubleshooting

In the event of an alarm

1.Touch the displayed alarm in the header bar

2.Touch “↑” to display the Alarm – Cause – Remedy help function

3.To reset no longer active alarms: press “Reset all” on the Current alarms page or “Alarm reset” in the header bar and confirm




1.Touch the displayed alarm in the header bar2.Touch “↑” to display the

Alarm – Cause – Remedy help function3.To reset no longer active alarms: press “Reset

all” on the Current alarms page or “Alarm reset” in the header bar and confirm




1.Touch the displayed alarm in the header bar2.Touch “↑” to display the

Alarm – Cause – Remedy help function3.To reset no longer active alarms: press

“Reset all” on the Current alarms page or “Alarm reset” in the header bar and confirm

Documents

Train-the-Trainer - Michigan Medicine...Train-the-Trainer Operational Concepts | 30 Title of presentation | Author of presentation | 05/01/2010 Table of contents 1. Operating Concept