Babylog vn500 PDF
Babylog vn500 PDF
Babylog vn500 PDF
The title of the main chapter in the header line The illustrations show the relationship between
helps with orientation and navigation. the text and the device. Elements mentioned in the
text are highlighted. Unnecessary details are omit-
The instructions for the user combine text and il-
ted.
lustrations, providing a comprehensive overview of
the device. The information is presented as se- Schematic renderings of screen images guide the
quential steps of action, allowing the user to learn user and allow to reconfirm actions performed. The
directly how to use the device. actual screen images differ in look or in configua-
tion.
The text provides explanations and instructs the
user step-by-step in the practical use of the prod- A Letters denote elements referred to in the text.
uct, with short, clear instructions in easy-to-follow
sequence.
Typing conventions
1 Consecutive numbers indicate steps of action,
with the numbering restarting with "1" for each Any text shown on the screen and any labeling on
new sequence of actions. the device are printed in bold and italics, for exam-
z Bullet points indicate individual actions or ple, PEEP, Air or Alarm Settings.
different options for action. The "greater than" symbol > indicates the naviga-
– Dashes indicate the listing of data, options or tion path in a dialog window, for example, System
objects. setup > Ventilation > Basic settings. In this ex-
(A) Letters in parentheses refer to elements in the ample, System setup represents the dialog win-
relevant illustration. dow title, Ventilation represents a horizontal tab
and Basic settings a vertical tab.
Trademarks
– Infinity®
– Babylog®
– QuickSet®
– ATC®
– Acute Care SystemTM
– Medical CockpitTM
are trademarks owned by Dräger.
2 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Definitions
WARNING CAUTION
A WARNING statement provides important in- A CAUTION statement provides important infor-
formation about a potentially hazardous situa- mation about a potentially hazardous situation
tion which, if not avoided, could result in which, if not avoided, may result in minor or mod-
death or serious injury. erate injury to the user or patient or in damage to
the medical device or other property.
NOTE
A NOTE provides additional information intended
to avoid inconvenience during operation.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 3
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4 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Content
Content
Working with these Instructions for Use . . . . . . 2 Selecting Tube or NIV application mode . . . . 68
Trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Select therapy type . . . . . . . . . . . . . . . . . . . . . 69
Definitions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Start therapy . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Abbreviations and Symbols . . . . . . . . . . . . . . . 3 Displaying the status of accessories . . . . . . . . 71
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 5
Content
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . 207
Maintenance intervals for Babylog VN500 . . . . 208
Safety inspections . . . . . . . . . . . . . . . . . . . . . . 209
Exchanging the ambient air filter . . . . . . . . . . . 210
Exchanging the diaphragm of the expiratory
valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211
Safety information on disposal . . . . . . . . . . . . . 212
Disposing of packaging material . . . . . . . . . . . 212
Disposal of batteries . . . . . . . . . . . . . . . . . . . . 212
Disposal of a neonatal flow sensor . . . . . . . . . 213
Disposal of the medical device . . . . . . . . . . . . 213
6 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
For Your Safety and that of Your Patients
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 7
For Your Safety and that of Your Patients
WARNING WARNING
Any use of the medical device requires full un- Only the accessories indicated on the list of
derstanding and strict observation of all por- accessories 9039002 (1st edition or higher)
tions of these Instructions for Use. The medi- have been tested and approved to be used
cal device is only to be used for the purpose with the medical device. Accordingly it is
specified under "Intended use" on page 16 strongly recommended that only these acces-
and in conjunction with an appropriate patient sories be used in conjunction with the specific
monitoring system (see page 9). Observe all medical device. Otherwise the correct func-
WARNING and CAUTION statements through- tioning of the medical device may be compro-
out these Instructions for Use and all state- mised.
ments on medical device labels. Failure to ob-
serve these statements means that the medi-
cal device is used outside of its intended use. Not for use in areas of explosion hazard
WARNING
Maintenance
This medical device is neither approved nor
certified for use in areas where combustible or
WARNING explosive gas mixtures are likely to occur.
The medical device must be inspected and
serviced regularly by properly trained service
personnel. Safe connection with other electrical
Repair of the medical device may also only be equipment
carried out by properly trained service per-
sonnel.
Dräger recommends that a service contract be WARNING
obtained with DrägerService and that all re- Patient hazard
pairs also be carried out by them. Dräger rec- Electrical connections to equipment which is
ommends that only authentic Dräger Medical
not listed in these Instructions for Use should
repair parts be used for maintenance. Other- only be made following consultation with the
wise the correct functioning of the medical de- respective manufacturers.
vice may be compromised.
See chapter "Maintenance".
Safety inspections
8 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
For Your Safety and that of Your Patients
Patient safety
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 9
For Your Safety and that of Your Patients
Functional safety
WARNING
WARNING
Do not use the medical device during magnet-
Medications and other substances based on
ic resonance (MRI, NMR, NMI)! This may im-
inflammable solvents, such as alcohol, must
pair correct functioning of the medical device
not be used in the patient system. Fire hazard!
and endanger the patient.
Adequate ventilation must be ensured if high-
ly inflammable substances are used for disin-
fection. WARNING
Do not use the medical device in hyperbaric
chambers! This may impair correct function-
ing of the medical device and endanger the pa-
tient.
10 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
For Your Safety and that of Your Patients
WARNING CAUTION
Correct functioning of the medical device may Do not use the medical device outside of the
be impaired by operation of high-frequency specified ambient conditions. This can disrupt the
electrosurgery units, defibrillators or short- proper functioning of the medical device.
wave therapy equipment and endanger the pa-
tient. CAUTION
Keep away from sources of heat such as direct
WARNING sunlight, heat radiators or spotlights! Otherwise
Do not open the housing of the medical de- the medical device may become too hot.
vice. Danger of electrical shock.
CAUTION
WARNING Do not obstruct or close off the vents on the med-
Fire hazard! ical device. Make sure there is an adequate sup-
Do not use the medical device in oxygen- ply of air. Otherwise the medical device may be-
enriched rooms since the medical device come too hot. An alarm is triggered if the medical
could ignite. device overheats during operation.
Medical device malfunctions can increase the
O2 concentration in the ambient air. The med- CAUTION
ical device is only suitable for use in rooms
Positive-pressure ventilation can lead to negative
with adequate ventilation.
effects, such as barotrauma or strain on the circu-
latory system.
WARNING
Do not obstruct the gas inlet for the safety
valve. Otherwise, spontaneous breathing via
the emergency breathing valve is not possible
in the event of a device failure.
WARNING
With neonates, the administration of in-
creased O2 concentrations can lead to retin-
opathy of prematurity.
Use additional monitoring, e.g. external SpO2.
WARNING
During HFO, the disconnection detection and
MV monitoring are only possible to a limited
extent. For this reason, use external monitor-
ing for MV and disconnection during HFO.
CAUTION
Do not expose the medical device to strong infra-
red radiation. This can disrupt the proper function-
ing of the medical device.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 11
For Your Safety and that of Your Patients
WARNING
Do not use portable and mobile HF communi-
cations equipment, e.g., mobile phones, in the
vicinity of the medical device.
12 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
For Your Safety and that of Your Patients
The following parameters are monitored by the Through ownership or purchase of this medical de-
built-in monitoring facilities of Babylog VN500: vice equipped with RFID technology, you have only
– Airway pressure acquired the right to use the medical device and
– Expiratory minute volume RFID technology in conjunction with products ap-
– Respiratory rate proved by Dräger and in strict compliance with
– Apnea alarm time these Instructions for Use. No intellectual property
– Inspiratory O2 concentration rights or any rights to the use of the medical device
– End-expiratory CO2 concentration or RFID technology are hereby granted, either ex-
plicitly or implicitly, which are contrary to the above-
Changes in these parameters may be caused by:
mentioned conditions.
– Acute changes in the patient's condition
– Incorrect settings and faulty handling WARNING
– Device malfunctions
Patient hazard
– Failure of power and gas supplies
Although Babylog VN500 does not exceed the
If a fault occurs in this equipment, separate mea-
valid limit values for electromagnetic fields,
suring instruments should be used.
radiation can interfere with the functioning of
During O2 therapy, the monitoring functions of the pacemakers. Wearers of pacemakers must
medical device are restricted. See chapter keep a distance of at least 25 cm (10 inches)
"O2 Therapy" on page 100. from the medical device.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 13
For Your Safety and that of Your Patients
14 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Application
Application
Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Environment of use . . . . . . . . . . . . . . . . . . . . 16
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 15
Application
Intended use
The Babylog VN500 ventilation unit of the breathing support and airway monitoring. The
Infinity Acute Care System is intended for the ven- Babylog VN500 ventilation unit is used with
tilation of neonatal and pediatric patients. Infinity C Series Dräger Medical Cockpits. The
Babylog VN500 offers mandatory ventilation Babylog VN500 ventilation unit is intended for use
modes and ventilation modes for spontaneous in different medical care areas.
Indications Contraindications
The Babylog VN500 ventilation unit is used in com- There are no additional contraindications apart
bination with Infinity C Series Dräger Medical Cock- from the contraindications contained in chapter
pits. Babylog VN500 is intended to be used on pa- "For Your Safety and that of Your Patients".
tients needing respiratory support for different
It is up to the medical user to select the appropriate
medical reasons temporarily or for longer time.
respiratory mode for the underlying disease of the
patient. For all ventilator settings, the user needs to
consider the respiratory status and the general
state of health of the patient in order to optimally
adapt the ventilation settings to the patient's condi-
tion. Any changes to the patient's state need to be
monitored continuously.
Environment of use
Babylog VN500 is intended for stationary use in – In rooms without adequate ventilation
hospitals and medical rooms or for patient transpor-
tation within the hospital.
Babylog VN500 must not be used:
– In hyperbaric chambers
– For magnetic resonance imaging
(MRT, NMR, NMI)
– In conjunction with flammable gases or flamma-
ble solutions that can mix with air, oxygen or
nitrous oxide
– In areas of explosion hazard
– In areas with combustible or explosive
substances
16 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
System Overview
System Overview
Babylog VN500 . . . . . . . . . . . . . . . . . . . . . . . . 19
Front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Rear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Left side . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Right side . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Trolley 2 - 90 cm . . . . . . . . . . . . . . . . . . . . . . . 21
Range of functions . . . . . . . . . . . . . . . . . . . . . 23
Ventilation functions of Babylog VN500 . . . . . . 23
Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Connections for the breathing hoses . . . . . . . . 24
Electrical power supply. . . . . . . . . . . . . . . . . . . 24
Gas supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Data transfer. . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Medication nebulizer. . . . . . . . . . . . . . . . . . . . . 24
Connecting accessories . . . . . . . . . . . . . . . . . . 24
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . 25
Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 17
System Overview
E
001
18 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
System Overview
Babylog VN500
A
B G
H
F I
C
D
J
E
071
G Silencer
070
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 19
System Overview
A
B A
C B
C
D D
E E
F F
G G
004
005
A Fuse for the internal battery
A Connection for system cable to Infinity C500 V1
B Connection for the neonatal flow sensor V5
B Connections for future extensions V2, V3
C Connections for future extensions V6, V8
C Connection for nurse call V4
D Connection for CO2 sensor V7
D Toggle switch
E Potential equalization pin
E Ambient air filter with cover
F Fuse for mains power supply F1, F2
F Strain relief for cable
G Connection for mains power supply
G Left device flap
20 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
System Overview
Right side A Connection for data cable to the gas supply unit
GS500 V9
E
014
Trolley 2 - 90 cm
A B Handle
C Trolley column
B
D Hose hooks
E Alignment aid
C
F Humidifier holder, can be swiveled
D
G Universal holder with standard rail
E
H Double castors with locking brake, set of 4
F
D
G
H
038
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 21
System Overview
Front Rear
A
C B
330
333
Front Rear
F E
D
A G
C
B
331
332
22 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
System Overview
Range of functions
Monitoring
Ventilation functions of Babylog VN500
Patient monitoring is supported by the following
Ventilation modes:
alarm limit settings:
– Pressure-controlled ventilation:
– Maximum airway pressure Paw
– PC-CMV
– Expiratory minute volume MV
– PC-AC
– Apnea alarm time Tapn
– PC-SIMV
– Respiratory rate RR
– PC-PSV
– End-expiratory CO2 concentration etCO2
– PC-APRV
– PC-HFO The inspiratory O2 concentration is monitored by
– PC-MMV automatically set limits.
– Support of spontaneous breathing:
Babylog VN500 offers the following displays:
– SPN-CPAP/PS
– Curves
– SPN-CPAP/VS
– Graphic trends
– SPN-PPS
– Numeric trends
Additional settings for ventilation: – Loops
– Apnea Ventilation – Alarm history
– Flow trigger – Logbook
– Sigh – Numeric parameters
– Volume Guarantee – Preconfigured lists for measured values and set
– ATC values
– AutoRelease – Customized lists for measured values and set
– HFO-Sigh values
– Volume Guarantee (HFO) – Smart Pulmonary View
Special procedures: During non-invasive ventilation and O2 therapy,
– Suction maneuver certain monitoring functions are switched off or can
– Manual inspiration/hold be switched off.
– Medication nebulization
Therapy types:
– Invasive ventilation (Tube)
– O2 Therapy
– Non-invasive ventilation (NIV)
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 23
System Overview
24 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
System Overview
Abbreviations
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 25
System Overview
26 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
System Overview
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 27
System Overview
28 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
System Overview
Symbols
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 29
System Overview
Symbol Explanation
Caution: Observe important safety
information and precautions in the
Instructions for Use.
Observe the Instructions for Use
Nurse call
Information on disposal
Manufacturer
30 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operating Concept
Operating Concept
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 31
Operating Concept
The following operating concept only contains the A Header bar with the following fields:
specific information and operating steps for – Patient category, see page 60
Babylog VN500. – System data, e.g., state of charge of the in-
This chapter describes: ternal battery, see page 106
– Main screen – Therapy status: Therapy type (ventilation or
– Main menu bar O2 Therapy), ventilation mode and addition-
– Dialog windows al settings
– Therapy bar – Alarms, messages and instructions for the
– Therapy controls user, see page 112
– Setting ventilation parameters – Alarm status
– Exceeding the set limit of a ventilation
B Monitoring area with curves, loops, trends and
parameter
measured values, see page 85. The display
– Direct setting of ventilation parameters
can be configured, see page 144.
(QuickSet)
– Linked setting of ventilation parameters C Main menu bar with buttons for opening dialog
windows and activating functions, see page 33.
D Therapy bar with the therapy controls for the
Main screen ventilation parameters of the active ventilation
mode, see page 34.
The main screen displays the most important venti-
lation information at a glance.
A
1 2 3
B
C
D
078
32 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operating Concept
Configurable buttons
F A
Additional buttons for directly accessing functions
or dialogs can be configured. These buttons are
G B spatially assigned to the corresponding group. See
"Assigning functions to additional buttons"
C on page 146.
H
E
100
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 33
Operating Concept
Dialog windows consist of one or several pages The therapy controls (A) are used to set the venti-
which are displayed by touching the corresponding lation parameters.
horizontal or vertical tab. Dialog windows contain
Therapy controls are contained in the therapy bar of
elements for operating the device and inform the
the active ventilation mode and in the dialog win-
user of current settings. Dialog windows can be
dow for the ventilation settings.
opened by touching a button in the main menu bar.
Ventilation settings
A C
B D E
B
B A
083
171
34 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operating Concept
3 Press the rotary knob to confirm the value. The The therapy control changes to dark green with a
color of the therapy control turns dark green. yellow edge. The direct setting function is now ac-
tive.
The following chapters of the Instructions for Use
provide a simplified explanation of these steps:
"Use the rotary knob to set and confirm the value."
087
When a set limit of a parameter has been reached, 3 Press and hold the rotary knob and turn to set
Babylog VN500 displays a message. the value.
z Press the rotary knob to exceed the set limit. The set value is immediately effective.
The set limit can be exceeded.
If the maximum set limit for a parameter has been Exceeding the set limit of a parameter with
reached, e.g., depending on other parameters, it is direct setting
not possible to exceed the set limit. When a set limit of a parameter has been reached,
z Press the rotary knob. Babylog VN500 adopts Babylog VN500 displays a message.
the maximum possible set value. 4 Release rotary knob for a short moment.
5 Press the rotary knob again and turn it.
Direct setting of ventilation parameters The set limit can be exceeded.
(QuickSet)
When a ventilation parameter is set directly, the Linked setting of ventilation parameters
changes to a setting become immediately effective
for the patient. The user can immediately see the The linked setting is possible for PEEP/Pinsp and
effect the changed setting has on the patient. The for RR/Ti.
finally chosen setting does not have to be con-
firmed again.
Linking PEEP/Pinsp
Ventilation parameters can be set directly in all ven-
tilation modes and can be carried out in the dialog Ventilation settings D
window for the ventilation settings. Direct settings
are only possible in the therapy bar when the ther-
apy controls are not locked.
O2 and Flow cannot be set directly.
C B A
085
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 35
Operating Concept
Linking RR/Ti
Setting RR and Ti is effected analogously to the
linked setting of PEEP or Pinsp. The I:E ratio re-
mains constant. If the respiratory rate is increased,
the inspiratory time is reduced. If the inspiratory
time is increased, the respiratory rate is reduced.
Additional information
If a condition is reached in which a parameter can-
not be changed anymore when setting linked pa-
rameters, Babylog VN500 displays a correspond-
ing message in the message field (D).
36 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Preparation
Preparation
Preparing Trolley 2 - 90 cm . . . . . . . . . . . . . . 38
Safety information on the trolley . . . . . . . . . . . . 38
Connecting the universal holder with
standard rail to the trolley . . . . . . . . . . . . . . . . . 39
Connecting the humidifier holder to the
trolley . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Securing accessories to the standard rail. . . . . 39
Securing the compressed air cylinders to
the trolley . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 37
Preparation
WARNING WARNING
Before each use, reprocess the device and all Do not place any containers with liquid on or
accessories in accordance with the Instruc- above the device! Penetrating liquid may im-
tions for Use, see "Reprocessing list" pair the correct functioning of the device or
on page 202. Note the hospital hygiene regula- damage the device and endanger the patient!
tions!
WARNING
WARNING Failure to observe the permitted maximum
The device must not be tilted more than 10°! load and weight distribution may result in the
Failure to observe this may result in the de- device toppling over. Danger of damage to de-
vice toppling over. Danger of damage to de- vice or personal injury! Observe the permitted
vice or personal injury! maximum load and weight distribution, see
"Maximum load" on page 228.
WARNING
Securely mount Babylog VN500. Check for se- CAUTION
cure fit. Danger of damage to device or per- When parking the device, lock all the double cas-
sonal injury! tors of the trolley and check that the brakes are
working properly.
Preparing Trolley 2 - 90 cm
WARNING
Do not lean, press, push or pull against the
trolley above the marking points on the trolley.
The trolley could topple over.
38 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Preparation
Connecting the universal holder with Connecting the humidifier holder to the
standard rail to the trolley trolley
Attach the universal holder with standard rail to the The humidifier holder is attached to the front of the
front of the trolley. trolley. The humidifier holder can be fastened on
the left or right-hand side of the trolley column. The
Front of the trolley attachment of the humidifier holder on the right-
hand side is shown.
A
Front of the A
trolley C
C B
B
D
049
192
2 Attach the right-hand side of the universal hold- 1 Hold the humidifier holder at the desired height
er to the right-hand side of the rail (B). Make on the guide (A) of the trolley column.
sure that the catch of the universal holder is
2 Turn the clamping screw (B) to the left until the
completely behind the alignment aid.
base (C) fits into the guide of the trolley column.
3 Align the universal holder (C) horizontally and
3 Turn the clamping screw (B) to the right until the
press the left-hand side of the universal holder
humidifier holder is secured firmly in the guide.
onto the left-hand side of the column.
4 Move the standard rail (D) to the desired posi-
4 Tighten the adjusting screw (A). Make sure that
tion.
the catch of the universal holder is completely
behind the alignment aid.
5 Check that the universal holder is fixed Securing accessories to the standard
securely. rail
Adjusting the height of the universal holder Secure the accessories, e.g., breathing gas humid-
ifier or medication nebulizer, to the standard rail.
1 Unscrew the adjusting screw (A). Observe the maximum load! See chapter Technical
2 Adjust the height of the universal holder (C). Data, "Maximum load" on page 228.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 39
Preparation
WARNING
The length of the Velcro fasteners must match
the diameter of the compressed air cylinders B
to ensure that the Velcro fasteners can hold
the cylinders securely. Have an appropriate A A
Velcro strip fitted by trained service personnel
if necessary. This is essential to ensure that
the compressed air cylinders are properly se-
cured. B
CAUTION
Position the compressed air cylinders fitted with
pressure reducers in such a way to prevent the
pressure reducers from being damaged during
transport. The lower part of the trolley is designed
to protect against collisions. Take particular care
when the compressed air cylinders being used
are too large.
40 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Preparation
A
A
B
011
1 Press and hold the tilt release button (A).
010
1 Hook the Infinity C500 holder (A) into the 2 Tilt Infinity C500 to the desired working position.
mounting (B) on the trolley.
3 Release the button and make sure that it en-
2 Tighten the locking screw (C). gages securely.
3 Make sure that Infinity C500 is securely at-
tached to the trolley. Turning Infinity C500
Infinity C500 can be turned by a maximum of 180°
Positioning Infinity C500 on a standard rail to the left or 90° to the right.
When Infinity C500 is connected to the trolley: z Turn to the desired working position.
1 Unscrew the locking screw (C).
2 Lift Infinity C500 out of the mounting (B) on the Connecting system cables
trolley.
3 Hook Infinity C500 into the standard rail. The system cable is connected to Infinity C500 and
to Babylog VN500. The system cable is fixed in a
4 Tighten the locking screw. clamp.
5 Make sure that Infinity C500 is securely at-
tached to the standard rail.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 41
Preparation
Connecting the system cable to Infinity C500 4 Insert the system cable connector (E) into the
socket until the connector audibly clicks into
place.
5 Insert the protective sleeve (C) into the protec-
tive plate (F) at the same time.
6 Turn the protective sleeve (C) by approx. 90°
A
until the protective sleeve clicks into place. The
cable is secured.
7 Close the left-hand flap.
1 Unscrew the cover from the socket (A). 1 Push the locking mechanism on the connector
(E) backwards and pull out the connector.
2 Insert the system cable connector (B) into the
socket (A). Ensure that the connector is insert- 2 Turn the protective sleeve (C) by approx. 90°
ed with the correct orientation. and pull it out of the protective plate (F).
F
188
42 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Preparation
MEDIBUS is a software protocol for the transfer of Use of LAN interfaces (A) of Infinity C500 is only
data between Babylog VN500 and an external permitted for service purposes.
medical or non-medical device (e.g., patient moni-
tors or computers for data management systems). The USB interfaces (B) should only be used for
connecting a USB storage media or a USB SIM
The combination of Babylog VN500, Infinity C500 card reader.
and the external device must comply with the re-
quirements of Directives IEC/EN 60601-1-1 and WARNING
IEC/EN 60601-1-2. Do not simultaneously touch the connectors
of the interfaces and the patient. Danger of
Additional information electrical shock.
195
A
007
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 43
Preparation
WARNING
Only use properly reprocessed expiratory
valves which have been sufficiently dried.
Otherwise the proper functioning of the de-
vice may be impaired and the patient endan-
gered.
C
The expiratory valve is mounted and then inserted
040
into the ventilation unit.
3 Fit the collection container for the water trap
Mounting the expiratory valve (C).
A
329
z Lift the flap (D) by the lower edge and pivot it up-
wards.
44 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Preparation
Insert the expiratory valve into the ventilation Safety information for the use of HMEs,
unit bacterial filters and breathing circuits
CAUTION
Additional components in the breathing circuit
such as bacterial filters or HME increase the dead
space and result in the increase of compliance or
E resistance. The use of additional components
therefore requires particular care and monitoring!
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 45
Preparation
z Observe the Instructions for Use for the HMEs, Connecting the breathing gas humidifier to the
bacterial filters and breathing circuits in use. humidifier holder of the trolley
CAUTION
185
Do not use an HME together with a breathing gas
humidifier! This can lead to an increased breath- z Connect the breathing gas humidifier to the hu-
ing resistance. midifier holder of the trolley.
z Tilt the breathing gas humidifier into the correct
Connecting the Fisher & Paykel MR 850 position.
breathing gas humidifier
The breathing gas humidifier can be connected in Connecting the breathing gas humidifier to the
the following ways: humidifier holder on the side rail
– on the standard rail of the universal holder
If a compressor is used on the trolley, use humidifi-
– on the humidifier holder of the trolley
er holder on the side rail. The holder can be con-
– on the humidifier holder on the side rail
nected to the left-hand or right-hand side of device.
D C
A
194
46 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Preparation
Attaching breathing hoses 3 Turn the inspiratory port and the expiratory port
in the direction of hoses.
WARNING A water trap is required for the
Do not use antistatic or conductive breathing Fisher & Paykel MR 850 breathing gas humidifier
hoses. The use of these materials increases depending on the breathing circuit used.
the danger of electric shock to the patient and 4 If a water trap is required, install the water trap
of fire in an oxygen-enriched environment. (D) in a vertical position.
5 Connect the Y-piece (E) to the breathing hoses.
CAUTION
The sterile packaging of disposable articles 6 Insert the Y-piece or the breathing hoses in the
should only be opened immediately before use. opening of the hinged arm.
Otherwise there is a risk of infection.
Using the Infinity ID breathing circuit
1 Hang the hinged arm (A) on the lateral standard
rail of Babylog VN500 and tighten the screws. Babylog VN500 recognizes the use of an Infinity ID
Depending on the desired position of the device breathing circuit. The message Infinity ID Breath-
in relation to the bed, the hinged arm can be fit- ing Circuit detected is displayed in the header bar.
ted to either side of Babylog VN500. The following Infinity ID functions are supported:
– Detection of reversed hoses
– Detection of non-compliance with the patient
category
A
C B – Automatic configuration of breathing circuit and
humidifier
These functions are only supported in standby
mode.
z Fit the Infinity ID breathing hoses in standby
mode.
E
Setting the breathing circuit
D Babylog VN500 supports the user in selecting the
breathing circuit on the page Start/Standby > Br.
circuit/ Humidifier.
057
2 Connect breathing hoses to the inspiratory port z Set the breathing circuit according to the patient
(B) and to the expiratory port (C). category.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 47
Preparation
Whenever the breathing hoses or the breathing Installing a neonatal flow sensor Y-piece
gas humidifier have been changed (8410185)
z Check the breathing circuit, see "Performing the
breathing circuit check" on page 66.
Additional information
For the order numbers of the breathing circuits and E
the hinged arm, see the list of accessories.
D
301
Installing a neonatal flow sensor
1 Connect Y-piece with integrated neonatal flow
The following neonatal flow sensors are available: sensor (D) to the breathing hoses.
– Neonatal flow sensor ISO 15 (8411130)
2 Connect plug (E) of the flow sensor cable to the
– Neonatal flow sensor Y-piece (8410185)
flow sensor.
G F
1 Insert the neonatal flow sensor (A) into the pa-
tient connector of the Y-piece (B).
2 Connect plug (C) of the flow sensor cable to the
flow sensor.
302
48 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Preparation
Additional information
For the order numbers of the neonatal flow sensor,
see the list of accessories. B
054
Neonatal flow sensor?, the insert of the neonatal
flow sensor must be replaced. 1 Insert the cuvette (A) into the patient connector
of the Y-piece. The cuvette windows are facing
to the side.
2 Fit the CO2 sensor (B) on the cuvette. The cable
is facing towards the device.
A C
B D
C
303
D
1 Disconnect the flow sensor cable (A) from the
neonatal flow sensor.
2 Press the buttons (B) on both sides while pulling
the insert (C) out of its housing.
3 Push in new insert (C) until it engages. The two
markings (D) must line up.
4 Connect plug (A) of the flow sensor cable to the
neonatal flow sensor.
180
5 Calibrate the neonatal flow sensor,
see page 129. 3 Insert the connector of the CO2 sensor (C) into
the socket (D) at the rear of Babylog VN500.
4 Selecting the cuvette type, see page 131.
Installing a CO2 cuvette and CO2 sensor
For small premature infants, do not carry out CO2 Additional information
measurements because the CO2 cuvette signifi- "Calibrating the CO2 sensor" on page 131.
cantly increases the dead space.
For the order numbers of the accessories for the
CO2 application, see the list of accessories.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 49
Preparation
Connecting the electrical mains power Checking the toggle switch on Babylog VN500
supply
CAUTION
If the power supply unit PS500 is connected, see Do not press the toggle switch during ventilation.
"Power supply unit PS500" on page 51.
Prerequisite: The flap on the left-hand side of the
device is opened.
Connecting the electrical mains power supply
to Babylog VN500
The mains power must conform with the voltage
range specified on the rating plate (100 V to 240 V,
50/60 Hz). H
1 Plug the appliance socket (A) onto the appli- I
ance connector (B). O
G
182
B
z Check whether the toggle switch (G) is set to
(on).
z If the toggle switch is set to (off), set the tog-
A gle switch to (on).
WARNING
Do not simultaneously touch the connectors
of the interfaces (H) and the patient. Danger of
electrical shock.
002
2 Position the power cable (C) in the clamp (D). Electricity supply from the internal battery
Fit the clamp into the housing (E). Tighten the Babylog VN500 is provided with an internal battery
screw (F) (stress relief). to ensure that operation of the device can continue
for at least 30 minutes (provided that the battery is
fully charged and new) following failure of the
F mains power supply.
CAUTION
C The internal battery is intended exclusively for
D emergency use and not for normal operation! It is
essential to operate the device with mains power
again as soon as possible after switching over to
E operation with the internal battery.
186
50 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Preparation
Additional information
For more information on the internal battery, see
"Mains power supply / DC power supply" I
on page 105. O
If the gas supply unit GS500 is connected, see A
"Power supply of the gas supply unit GS500"
on page 52.
335
z Check whether the toggle switch (A) is set to
Connecting the electrical mains power supply (on).
to PS500
z If the toggle switch is set to (off), set the tog-
The mains power must conform with the voltage gle switch to (on).
range specified on the rating plate:
z Check the toggle switch on Babylog VN500,
– 100 to 127 V at 50 Hz or 60 Hz
see "Checking the toggle switch on
– 220 to 240 V at 50 Hz
Babylog VN500" on page 50
– 220 to 240 V at 60 Hz with additional equipoten-
tial bonding
Electrical power supply from the internal
batteries
PS500 is provided with internal batteries to ensure,
following failure of the mains power supply, that the
operation of the Workstation Neonatal Care can
continue for at least 100 minutes (provided the bat-
teries are fully charged and new and ventilation is
typical).
CAUTION
The internal batteries are intended exclusively for
emergency use and not for normal operation! It is
337
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 51
Preparation
A
Power supply of the gas supply unit
B
GS500
C
If Babylog VN500 is equipped with the power sup-
ply unit PS500, then the gas supply unit is supplied
with power using the power supply unit.
If Babylog VN500 is not equipped with the power
supply unit PS500:
z Plug the mains plug of the gas supply unit into
the mains socket.
C
The LED on GS500 lights up green.
021
Connecting the gas supply 1 Screw the compressed gas hose for air to the
connection Air (A) and the O2 compressed gas
WARNING hose to the O2 connection (B) of
Do not bring any oxygen supply components Babylog VN500.
into contact with oil and grease. Danger of ex- 2 Plug the connectors into the wall outlets for the
plosion through spontaneous ignition! central gas supply.
3 Position the compressed gas hoses over the
WARNING hose hooks (C).
Only use compressed gases approved for
medical use. The compressed gases must be The gas delivered through compressed gas hoses
free of dust and oil particles and dry. Other- is used as fresh gas (FRESH GAS).
wise the proper functioning of the device can-
not be ensured. Additional information
For the order numbers of the compressed gas hos-
es, see the list of accessories.
52 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Preparation
Additional information
Air supply from a gas supply unit (GS500), see White (NO)
"Gas supply unit GS500" on page 99.
Brown (COM)
Connecting the nurse call
Green (NC)
The nurse call is used for transmitting high priority
029
alarm messages (warning) to a central hospital
As soon as Babylog VN500 signals an alarm, the
alarm system.
connection between the white cable and the brown
cable (NO and COM) is closed and the nurse call is
Safety information for using the nurse call activated.
CAUTION
Connecting the nurse call to the ventilation unit
A fault in any of the components in the link be-
tween the nurse call and the central hospital alarm Prerequisite: The flap on the left-hand side of the
system (e.g., in the unit's electronics for nurse device is opened.
call, in the unit's power supply or in the alarm gen-
erator of the central hospital alarm system) may
result in failure of the nurse call.
CAUTION
Connection of a nurse call does not relieve staff of B
their duty to check the monitoring on the device
screen at regular intervals. Screen displays must
A
be checked regularly.
CAUTION
All alarms of Babylog VN500 must be checked
regularly even when the nurse call is connected.
Do not use nurse call as the sole source of alarm
information! 022
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 53
Preparation
Information on the nurse call Closing the flaps at the side of the device
High priority alarm messages (warning) are trans-
mitted to a central alarm station in the hospital. Me- z Close the lateral flaps of the device after prepa-
dium priority (caution) and low priority (note) alarm ration.
messages are not transmitted.
The nurse call is also activated when the internal
acoustic alarm generator in the device is defective.
If, in the event of an alarm, the Audio paused
key is pressed, the acoustic alarm on the device
and the nurse call are suppressed for 2 minutes.
Additional information
For the order number of the nurse call cable, see
the list of accessories.
023
CAUTION
Keep both lateral flaps on the device closed dur-
ing operation to prevent accidental actuation of
the toggle switch or connections becoming loose.
WARNING WARNING
The device must not be tilted more than 10°! Do not move trolley faster than at a walking
Failure to observe this may result in the de- pace. There is an increased danger of the trol-
vice toppling over. Danger of damage to de- ley toppling over at thresholds, uneven sur-
vice or personal injury! faces and ramps. Reduce the speed of trans-
port further. Danger of damage to equipment!
WARNING
The device must not be placed on the bed WARNING
while transferring a patient within the hospital. Two people are always required to move the
The device could topple over or fall down. device. Otherwise there is an increased risk of
Danger of damage to device or personal inju- the device toppling over.
ry!
WARNING
WARNING Make sure to securely hold onto the handle of
Do not lean, press, push or pull against the the trolley whenever moving or positioning
trolley above the marking points on the trolley. the device. Otherwise there is an increased
The trolley could topple over. risk of the device toppling over.
54 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Preparation
CAUTION
During the transportation of patients within the
hospital, Babylog VN500 must be used with a
safety bar (A) in order to prevent accidental dis-
connection of the breathing hoses or damage to
the inspiratory port and the expiratory port.
A
020
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 55
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56 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Getting Started
Getting Started
Select patient . . . . . . . . . . . . . . . . . . . . . . . . . 59
Using the settings of the previous patient. . . . . 59
Admission of a new patient. . . . . . . . . . . . . . . . 59
Start therapy . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 57
Getting Started
WARNING CAUTION
Ventilation does not take place in standby Condensation may form when the device is
mode! The device must only be set to standby moved from a cold storage location to a warm en-
mode when no patient is connected to the de- vironment. Do not switch on the device as other-
vice. Other settings may jeopardize the pa- wise its proper functioning may be adversely af-
tient! fected. Wait until the condensation has dried.
CAUTION
Before using for the first time, the device must re- Prerequisites to getting started
main connected to the mains power supply for at
least 4 hours so that the internal battery can be – Babylog VN500, Infinity C500, PS500 and
fully charged. GS500 are reprocessed and assembled ready
for operation.
– The electrical power supply and the gas supply
CAUTION
must be connected.
Before using the power supply unit PS500 for the – The toggle switches Babylog VN500 and
first time, the device must remain connected to PS500 are set to (on).
the mains power supply for at least 8 hours so that
the internal batteries can be fully charged.
B C
116
The system is started. The Start dialog is dis- If the Start dialog is closed via the X (D) button,
played. Babylog VN500 adopts the settings of the previous
patient.
58 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Getting Started
Select patient
Using the settings of the previous The button for starting the therapy (D) is preset for
patient 15 seconds. When the therapy is started, the set-
tings become effective.
Prerequisite: The Start dialog is opened.
Start Admission of a new patient
z Touch the Current patient (A) button. changed when a new patient is admitted. In the pa-
tient category Ped. pat., the body height is entered
The last used patient-related settings including the and from that the ideal body weight is determined.
alarm limits, application mode and device status In the Neo. patient category, the body weight is en-
are restored. tered directly. The weight-dependent setting for a
The Start/Standby (B) page is displayed. new patient is only possible after selecting Weight
Babylog VN500 is in standby mode. in the System setup dialog window.
The alarm limit start-up settings are recalculated
Start/Standby
according to the customized system configuration.
B
D When a new patient is admitted, the settings and
trend data of the previous patient are deleted.
C
092
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 59
Getting Started
Prerequisite: The Start dialog is opened. The ventilation parameters displayed in the lower
part of the page (F) are the start-up settings for the
Start
selected patient category.
Determining the start-up settings can take up to
5 seconds. No entries can be made during this
time.
A B
Ventilation parameter start-up settings by
body height/body weight
116
60 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Getting Started
319
For information on starting the therapy, see "Start
1 Touch the button for the start-up body weight (I). therapy" on page 70.
2 Using the rotary knob, set the start-up body
weight and confirm the value.
The button for the current body weight (J) is dis-
played. After the patient has been admitted, the
current body weight corresponds to the start-up
body weight. If the current body weight is different
from the start-up body weight:
3 Touch the button for the current body weight (J).
4 Using the rotary knob, set the current body
weight and confirm the value.
Babylog VN500 determines the start-up values for
VT, RR, Slope and Flow trigger based on the
start-up body weight. The values for VT and RR are
displayed in the lower part of the page (F). The oth-
er ventilation parameters displayed in the lower part
of the page are start-up settings for the selected pa-
tient category.
By setting the current body weight, it is possible to
display the measured values relative to the body
weight, e.g., VT/kg BW.
Determining the start-up settings can take up to
3 seconds. No entries can be made during this
time.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 61
Getting Started
The breathing circuit and the breathing gas If the breathing circuit used is not included in
humidifier can only be selected in standby mode. the selection list
1 Touch the Start/ Standby... button in the main 1 Touch the (B) button.
menu bar.
2 Select Other from the selection list.
2 Touch the Br. circuit/ Humidifier (A) tab.
3 Confirm with the rotary knob.
The page for selecting the breathing circuit and the
4 Select the humidification type (E):
breathing gas humidifier is displayed.
– Active humid., exp. unheated
Start/Standby – Active humid., exp. heated
A – HME/Filter
B – None
Press the corresponding button.
62 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Getting Started
The system check consists of the device and Performing a device check
breathing circuit check.
The device check is only possible in standby mode.
Start/Standby
Starting the system check
A
The system check is only possible in standby D
mode. B
1 Touch the Start/ Standby... button in the main
menu bar.
2 Touch the System check (A) tab.
C
Start/Standby
A
102
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 63
Getting Started
102
– Neonatal flow sensor: Measurement
– Test lung connection
– Gas supply sensors: Calibration The test steps in the device check are displayed
– O2 supply with the following symbols:
– Air supply
– GS500 (gas supply unit) (if the gas supply unit Rotating symbol : Active test step
function is activated) Green dot : Correct result
– Pressure sensor calibration valve
Red dot : Incorrect result
– Expiratory valve (expiratory valve check)
– Safety valve (safety function check) Colorless dot : Test step not carried out
– O2 sensor: Calibration
– Medication nebulizer (medication nebulizer
Repeating test steps in the device check
control check)
1 Touch the Repeat (I) button.
Device check procedure 2 Confirm with the rotary knob.
Babylog VN500 guides the user in the form of a All test steps that have not yet been carried out or
question/answer dialog through the respective test that were unsuccessful are repeated.
step. The instruction field (E) displays the questions
or instructions how to carry out the test steps.
Aborting the device check
The questions must be answered by pressing the
1 Touch the Cancel (J) button.
Yes (F) or No (G) buttons.
2 Confirm with the rotary knob.
The Next test (H) button can be used to skip the
test steps. The device check is also aborted when the Device
check page is exited. The device check can be
A test step is also skipped if the necessary prereq-
continued when the Device check page is called
uisites have not been met.
again.
1 Touch the Repeat (I) button.
2 Confirm with the rotary knob.
64 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Getting Started
Errors in the following safety-relevant test steps Gas supply sensors: Check whether the com-
generate the medium-priority alarm message Calibration pressed gas hoses are con-
Device check failed: nected.
– Pressure sensor calibration valve O2 supply Check whether the O2 com-
– Expiratory valve pressed gas hose is con-
– Safety valve nected.
The alarm cannot be acknowledged. Do not start Air supply Check whether the Air com-
ventilation! pressed gas hose is con-
nected.
Errors in non-safety-relevant test steps or test steps
that are not carried out on account of a prerequisite Pressure sensor Connect the test lung.
generate the low-priority alarm message Device calibration valve Check the breathing circuit
check incomplete. for leaks.
Check whether the com-
The alarm causes and their remedies are displayed pressed gas hoses are con-
on the Current alarms page. nected.
The following table shows the remedies for elimi- Check whether the expira-
nating the errors during the device check: tory valve is properly en-
gaged.
Test step Remedy Expiratory valve Check whether the water
Auxiliary acoustical Contact DrägerService. trap is connected.
alarm Check whether the expira-
tory valve is properly en-
CO2 sensor Check whether the
gaged.
calibration CO2 sensor is connected.
Wait for the CO2 sensor to Safety valve Connect the test lung.
complete its three-minute Check the breathing circuit
warm-up phase. for leaks.
Check whether the Check whether the com-
CO2 sensor or the cuvette pressed gas hoses are con-
are soiled. nected.
Check whether the expira-
Neonatal flow Clean the flow sensor.
tory valve is properly en-
sensor: Calibration Keep flow sensor sealed
gaged.
during calibration.
Check whether the flow O2 sensor: Check whether the com-
sensor cable is connected. Calibration pressed gas hoses are con-
nected.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 65
Getting Started
Inspiratory calibration
Inspiratory calibration takes approx. 2 minutes. Performing the breathing circuit check
This test step must be carried out every 3 months.
The test step can be skipped with No and is dis- The check is only possible in standby mode.
played as "successfully completed" (green dot). The breathing circuit check must be performed:
If the test step is skipped with Next test, the test – Device check
step is displayed as "not carried out" (colorless dot). – after changing the breathing circuit
– after changing the breathing gas humidifier
If a complete calibration is necessary after – after changing the patient category
3 months and the test step is skipped with Next
test, the test step is displayed as "failed" (red dot).
Test steps during the breathing circuit check
Calibrating the O2 sensor The following test steps are carried out:
– Leakage
The O2 sensor is calibrated during each device – Compliance
check. The regular calibration of the O2 sensor en- – Insp. Resistance
sures the specified accuracy. – Exp. Resistance
If the test step is skipped with Next test and the
O2 sensor is not calibrated for 3 months, the accu-
racy of the O2 sensor will be reduced. In the param-
eter field for FiO2 a question mark appears next to
the measured value. After calibration during the de-
vice check the sensor will work again with full accu-
racy. The measured value is displayed in the pa-
rameter field.
If the test step is skipped with Next test, the test
step is displayed as "not carried out" (colorless dot).
If Babylog VN500 requires the O2 sensor to be
calibrated and the test step is still skipped with
Next test, the test step is displayed as incorrect
(red dot).
66 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Getting Started
Starting the breathing circuit check When the patient category is changed, the breath-
ing circuit that was last used in this category is se-
Prerequisite: The System check (A) page is
lected and the corresponding values for hose com-
opened.
pliance and hose resistance are used.
1 Touch the Breathing circ. check (B) tab.
The leakage measurement becomes invalid when
Start/Standby a new patient is admitted to the same patient cate-
gory. The values for hose resistance and hose com-
A
pliance are retained.
D
It is recommended to perform the breathing circuit
E
check before commencing patient ventilation with a
F B newly started device.
103
tal flow sensor Y-piece, e.g., with a sterile glove.
Confirm with OK (F). 1 Touch the Cancel (G) button.
5 When requested, open the Y-piece or remove 2 Confirm with the rotary knob.
the neonatal flow sensor Y-piece. Confirm with
The leakage measurement becomes invalid. The
OK (F).
values for hose resistance and hose compliance
The current leakage flow is displayed continuously are reset to the default values.
throughout the test. A leakage flow up to
300 mL/min at a pressure of 60 mbar (60 cmH2O)
Repeating the breathing circuit check
is permissible.
If the breathing circuit is changed after the breath-
After the leak test, Babylog VN500 determines the
ing circuit check, the humidification type or the pa-
compliance and the inspiratory and expiratory re-
tient category is changed, the breathing circuit
sistance of the breathing circuit.
check will have to be repeated.
When changing the breathing circuit and type of hu-
The breathing circuit check is also necessary when
midifier, Babylog VN500 automatically resets the
using Infinity ID breathing circuits.
values for hose compliance and hose resistance to
default values. When using Infinity ID breathing cir-
cuits, the default values of the breathing circuit de-
tected are used. The leakage measurement be-
comes invalid.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 67
Getting Started
Babylog VN500 can change between non-invasive Setting parameters for the tube
ventilation and tube ventilation.
The application mode can only be selected in The tube inside diameter and tube type can be en-
standby mode. tered for the following functions:
– Display of Ptrach, independent of ATC,
1 Touch the Start/ Standby... button in the main – Improvement of leakage compensation
menu bar. – Measurement of resistance R and
2 Touch the Tube/NIV (A) tab. compliance C
When the tube inside diameter and tube type are
Start/Standby
entered, the measured value R corresponds with
A the patient resistance. When the tube inside diam-
B C eter and tube type are not entered, the measured
value R corresponds with the total resistance.
Prerequisite: The Tube/NIV (A) page is opened.
The Tube application mode has been selected.
Start/Standby
A
113
Additional information
For information on using the NIV application mode
for non-invasive ventilation, see "NIV – Non-inva-
sive ventilation" on page 82.
68 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Getting Started
B C
126
Additional information
O2 Therapy, see page 100.
Setting ventilation, see page 74.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 69
Getting Started
Start therapy
C
092
70 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Getting Started
Additional information
The time for the exchange interval can be config-
ured on the System setup > Exchange intervals
page. See "Exchange intervals" on page 161.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 71
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72 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
Operation
Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Medication nebulization. . . . . . . . . . . . . . . . . 93
Safety information on medication nebulization . 93
Preparing the pneumatic medication nebulizer 93
Connecting the medication nebulizer to the
breathing circuit . . . . . . . . . . . . . . . . . . . . . . . . 94
Switching on medication nebulization. . . . . . . . 95
Aborting medication nebulization . . . . . . . . . . . 97
Required steps after medication nebulization. . 97
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 73
Operation
Setting ventilation
Overview The page for the active ventilation mode (D) with
the Basic settings (F) appears by default. The cor-
This chapter describes how to set ventilation responding therapy controls (E) are displayed.
modes and basic settings as well as additional set- The tab for Additional settings (G) can be used to
tings for ventilation parameters. supplement the active ventilation mode with addi-
For a detailed description of the ventilation modes tional settings.
and ventilation parameters, see chapter "Descrip-
Ventilation settings
tion of the ventilation modes" on page 236 and "Ad-
ditional settings for ventilation" on page 249. D
F
G
Opening the Ventilation settings dialog E
window
083
The Ventilation settings dialog window can be
opened as follows:
Selecting ventilation modes
z Touch the Ventilation settings... button (A) in
the main menu bar. Prerequisite: The Basic settings (A) page is
z Touch the (B) button in the therapy bar. opened.
z Touch the displayed ventilation mode (C) in the Ventilation settings
header bar.
B B B B C
C A
1 2 3
A
083
Babylog VN500 opens the Ventilation settings di- The following 4 ventilation modes are preset at the
alog window. factory:
– PC-CMV
– PC-AC
– PC-SIMV
– PC-PSV
74 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
131
1 Touch the corresponding therapy control, e.g.,
(B).
2 Set the value by turning the rotary knob and
170
All the available ventilation modes (E) are dis- push to confirm.
played. The additional ventilation parameters derived from
2 Touch the button for the corresponding ventila- the ventilation parameter are calculated by
tion mode. The color of the (D) tab turns yellow. Babylog VN500 and displayed in the setting assis-
tance field (C).
3 Confirm with the rotary knob.
Information is displayed in the message field (D),
The additional ventilation mode is displayed in the e.g., when the setting limit of a parameter has been
fifth tab (C). The ventilation mode is active. reached.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 75
Operation
WARNING
If flow measurement is deactivated for SPN-
CPAP with the use of a nasopharyngeal tube,
use a separate monitoring device.
CAUTION
Only remove the water trap of the expiratory valve
briefly during ventilation. Otherwise, ventilation
will be impaired.
76 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 77
Operation
78 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
Setting the supplementary settings The page for setting the corresponding parameters
is opened.
Prerequisite: The page with the active ventilation
mode is open. Ventilation settings
1 Touch the Additional settings (A) tab.
The additional settings of the active ventilation
mode are displayed. C C
Ventilation settings
D D D
098
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 79
Operation
CAUTION
High trigger sensitivity may lead to auto-triggering
of the ventilator.
80 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
Additional information
For a detailed description of the additional settings,
see in chapter "Additional settings for ventilation"
on page 249.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 81
Operation
Overview NOTE
Use suitable masks and prongs. Otherwise too
Babylog VN500 can be used for the ventilation of high leakages may occur.
intubated patients (application mode Tube) and for
non-invasive ventilation (application mode NIV).
WARNING
This chapter describes the use of non-invasive ven- Avoid high airway pressures. Danger of aspi-
tilation in the NIV application mode. ration!
The following ventilation modes can be selected in
the NIV application mode: WARNING
Alarm limits and ventilation settings must be
Ventilation mode Patient category
checked or set again in order to ensure com-
Ped. pat. Neo. plete monitoring of ventilation after changing
PC-CMV X X from NIV application mode to Tube application
PC-AC X mode.
CAUTION
Use of masks increases the dead space. Note the
mask manufacturer's instructions!
82 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
3 Touch the Tube/NIV (A) tab. Babylog VN500 starts the therapy with the set ven-
tilation parameters. The main screen for ventilation
Start/Standby
is displayed.
A
B
Setting ventilation parameters for NIV
113
The therapy control Timax (A) limits the maximum
4 Touch the NIV (B) button and confirm with the duration of supported breaths (Pressure Support,
rotary knob. Volume Support, PPS) because the inspiratory ter-
mination criterion may be ineffective with very high
Babylog VN500 is in the NIV application mode.
leakages.
Babylog VN500 displays the symbol in the
header bar Ventilation settings
In the Neo. patient category, flow monitoring is de-
activated.
A
Starting NIV ventilation
105
Prerequisite: The Start/Standby dialog window is
opened. z Set the value for Timax by turning the rotary
knob and push to confirm.
1 Touch the Start/Standby (A) tab.
Start/Standby Therapy controls TmanInsp and PmanInsp
A Prerequisite: The Neo. patient category and the
B SPN-CPAP ventilation mode are set.
Ventilation settings
C
339
092
The Start (B) button remains preset for During manual inspiration, the duration of the man-
15 seconds. datory breath is determined by the TmanInsp ther-
apy control (B).
2 Confirm with the rotary knob.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 83
Operation
Additional information
"Setting the alarm limits" on page 114.
84 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
Curve fields
z Touch the Views... button.
1 2 3
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 85
Operation
Selecting the display of parameter fields Selecting the display of curve fields
1 Touch the parameter field. 1 Touch the curve field.
The selected parameter field is marked. The selected curve field is marked. Babylog VN500
Babylog VN500 opens the dialog for the contents of opens the dialog for the contents of the curve field.
the parameter field.
2 Proceed as described under "Selecting the dis-
Content play of parameter fields".
Additional information
E
"Configuring the screen view" on page 144.
C D Evaluating loops
107
500.0
C
2x (D) for double size. 350.0 B
300.0 D E
250.0
Selecting the display format
200.0
86 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
The current loop is frozen. The loops are drawn in z Touch the Freeze waveforms button in the
blue. After "freezing", a cursor (C) is displayed main menu bar.
which can be moved with the rotary knob. The re-
spective values are displayed (D).
145
made.
The current curves are immediately frozen. The
cursor (A) displays the time of "freezing" and the
Additional information value at the cursor position.
A grid only appears if loops are displayed in the To display a measured value at a certain moment in
complete curve field. time:
z Position the cursor on the time with the rotary
Freeze waveforms knob.
The measured value or the measured value pair
The Freeze waveforms function can be configured are displayed above the curve.
as a button in the main menu bar to enable direct
access. See "Assigning functions to additional but-
tons" on page 146.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 87
Operation
B
E
A
316
88 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
Help
Opening Help
z Touch the Help button in the main menu bar.
171
Help z Touch the button (G) in the relevant dialog
F
A B C D E window.
The appropriate section of the Help is displayed.
Closing Help
Touch the (G) or the (H) button in the relevant
dialog window.
318
Closing Help
z Touch the (F) button.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 89
Operation
081
When the device is disconnected for suction,
3 Touch the O2 suction (B) button and confirm
Babylog VN500 interrupts ventilation. During the
with the rotary knob.
suction phase, the acoustic alarms are suppressed
so that the suction maneuver is not disturbed. The oxygen enrichment program is started.
After suction and automatically recognized recon- Babylog VN500 continues ventilating in the set
nection, Babylog VN500 delivers an increased ventilation mode with an increased
O2 concentration for the final oxygen enrichment O2 concentration:
phase of 120 seconds. 1 to 2-fold of the current FiO2 concentration
During suction and for 2 minutes afterwards, the If PEEP is not set to more than 4 mbar (4 cmH2O),
lower alarm limit for the minute volume is switched PEEP will be applied automatically at 4 mbar
off. (4 cmH2O). This PEEP allows Babylog VN500 to
detect any subsequent disconnection. The other
Initial and final oxygen enrichment are only possi-
ventilation parameters remain unaffected.
ble with a fully functioning flow sensor and if flow
monitoring is switched on! Screen display:
WARNING C
Select an appropriate suction catheter for suc- 1 2 3
1 Touch the Special procedures... button in the Initial oxygen enrichment lasts for a maximum of
main menu bar. 180 seconds. During this time Babylog VN500
waits for a disconnection for suction. The oxygen
Babylog VN500 opens the Special procedures di-
alog window.
90 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
After reconnection
Additional information
The Suction maneuver function can be configured
as a O2 suction button in the main menu bar to en-
able direct access. See "Assigning functions to ad-
ditional buttons" on page 146.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 91
Operation
The Manual inspiration/hold function can be acti- – After a maximum of 40 seconds in the Ped. pat.
vated in all ventilation modes and offers the follow- patient category
ing options: – After a maximum of 5 seconds in the Neo. pa-
tient category
– Between two automatic breaths, a breath can
be manually started and held. The pattern of the WARNING
manually started breath corresponds to the ven-
The Manual inspiration/hold function must not
tilation pattern of the currently active automatic
be used during endotracheal suction. Other-
ventilation mode.
wise negative pressure may jeopardize the pa-
– Regardless of the start time, an automatic tient.
breath can be prolonged.
1 Touch the Special procedures... button in the Additional information
main menu bar.
The Manual inspiration/hold function can be con-
Babylog VN500 opens the Special procedures di- figured as a Man. insp./hold button in the main
alog window. menu bar to enable direct access. See "Assigning
2 Touch the Functions (A) button if the page is functions to additional buttons" on page 146.
not already preset.
Special procedures
A
B
081
92 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
Medication nebulization
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 93
Operation
C B A
024
321
1 Insert the catheter connector (A) in the inlet port
of the medication nebulizer. z Push the outlet port of the medication nebulizer
2 Insert the adapter (B) in the outlet port of the into the upper hose guide of the incubator.
medication nebulizer.
3 Fit the corrugated hose (C), length 0.13 m When using without incubator
(5.1 inches), to the adapter (B).
E A D
025
322
circuit (D) from the inspiratory port of the
1 Press the inlet or outlet port of the medication
Y-piece and connect it to the catheter connector
nebulizer into one side of the clip and the expi-
(A).
ratory hose into the other.
5 Connect the free end of the corrugated hose (E)
2 Place the medication nebulizer in the vertical
to the inspiratory port of the Y-piece.
position.
Additional information
For the order numbers of catheter connector (A)
and adapter (B), see the list of accessories.
94 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
086
3 Touch the button for the desired nebulization
time (B).
Nebulization can be set for 5, 10, 15, 30 minutes.
F A
323
064
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 95
Operation
WARNING
Fire hazard!
H
Before medication nebulization, remove the
neonatal flow sensor from the Y-piece. I
The wires of the neonatal flow sensor are hot.
If the flow sensor is left in the breathing circuit
during nebulization, medication aerosol de-
posits may build up and impair flow measure-
ment. In the worst case, these deposits could
catch fire!
305
Disconnecting the neonatal flow sensor cable 2 Remove the insert (H).
is not sufficient to prevent this.
3 Insert the sealing plug (I) (8411024). The seal-
The minute volume is not monitored without ing plug is a component of the medication neb-
the neonatal flow sensor and apnea monitor- ulizer.
ing is limited. Use additional monitoring.
When using the ISO 15 neonatal flow sensor
When using the Y-piece with integrated neonatal (8411130):
flow sensor (8410185):
F
J
K
G
304
306
1 Disconnect the cable (F) from the neonatal flow 1 Remove the flow sensor (J) (housing and insert)
sensor (G). from the Y-piece.
2 Connect the tube catheter cone (K) to the
Y-piece.
z Replace or clean the neonatal flow sensor if
there is visible soiling. See "Dismantling neona-
tal flow sensor" on page 194.
After removing the neonatal flow sensor:
z Touch the Done (E) button.
Babylog VN500 starts nebulization. The sym-
bol and the remaining nebulization time is dis-
played in the screen header bar.
96 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
Babylog VN500 automatically switches off the Fitting the Aeroneb Pro nebulizer
medication nebulizer after the set nebulization time
has elapsed. z Observe the Instructions for Use of the
A message indicating that nebulization has been Aeroneb Pro nebulizer.
ended appears in the screen header bar. z Observe the "Safety information for the use of
HMEs, bacterial filters and breathing circuits"
on page 45.
Aborting medication nebulization
z Observe the "Safety information on medication
nebulization" on page 93.
z Touch the Cancel (C) button.
z Do not switch on the Med. nebulization func-
tion on Babylog VN500 as the Aeroneb Pro
Required steps after medication nebulizer does not require a nebulizer flow from
nebulization Babylog VN500.
1 Remove any residual medication. Observe the Before nebulization with Aeroneb Pro
Instructions for Use of the medication nebulizer.
1 Deactivate neonatal flow monitoring.
2 If a bacterial filter is used to protect the expira- See "Deactivating neonatal flow monitoring"
tory valve, exchange or remove the bacterial fil- on page 137.
ter.
2 Remove the neonatal flow sensor from the
3 Re-insert the neonatal flow sensor in the breathing circuit. See "Removing the neonatal
Y-piece. flow sensor from the breathing circuit"
4 Activate neonatal flow monitoring. See "Activat- on page 95.
ing neonatal flow monitoring" on page 138.
WARNING
5 When using a new neonatal flow sensor, cali- Fire hazard!
brate the flow sensor. See "Neonatal flow sen-
sor calibration" on page 129. Before medication nebulization, remove the
neonatal flow sensor from the Y-piece.
The wires of the neonatal flow sensor are hot.
If the flow sensor is left in the breathing circuit
during nebulization, medication aerosol de-
posits may build up and impair flow measure-
ment. In the worst case, these deposits could
catch fire!
Disconnecting the cable from the neonatal
flow sensor is not sufficient to prevent this.
The minute volume is not monitored without
the neonatal flow sensor and apnea monitor-
ing is limited! Use additional monitoring.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 97
Operation
Additional information
z For the order number of the nebulizer
Aeroneb Pro, see the list of accessories.
98 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
Babylog VN500 can be equipped with the GS500 gas supply, Babylog VN500 displays an alarm mes-
gas supply unit in order to ensure the air supply to sage. The gas supply unit starts the supply of air af-
the device in the event of failure of the central gas ter 4 seconds at the latest.
supply and during the transportation of patients
Switching on the gas supply unit for the transporta-
within the hospital.
tion of patients within the hospital:
When Babylog VN500 is supplied from the GS500
1 Touch the Special procedures... button in the
gas supply unit, the inspiratory O2 concentration
main menu bar.
may deviate from the set FiO2.
2 Touch the Transport (B) tab.
Installing the bacterial filter 3 Touch the On (C) button.
325
4 Detach the connectors of the compressed gas
hoses from the wall outlets of the central gas
supply.
A If the connectors of the compressed gas hoses
have not been detached within 5 minutes of the gas
supply unit being switched on, Babylog VN500
switches off the gas supply unit.
Switching off the gas supply unit:
342
z Fit the bacterial filter (A) onto the inspiratory 5 Touch the Off (D) button.
port.
Additional information
Using the gas supply unit
z Deactivating functionality of the gas supply unit,
Prerequisite: Functionality of the gas supply unit is see "Device extensions" on page 164.
activated, see "Device extensions" on page 164.
In the event of failure of the central gas supply, or if
the connectors of the compressed gas hoses be-
come detached from the wall outlets of the central
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 99
Operation
O2 Therapy
Safety information on O2 therapy Preparing the system with Fisher & Paykel
MR 850 breathing gas humidifier
During the O2 therapy, only the O2 concentration
and the inspiratory pressure are monitored.
Oxygen masks, hoods, or nasal cannulas can be
used for O2 therapy. A
CAUTION
Only use oxygen masks for the O2 therapy. Do not
use masks for non-invasive ventilation (NIV). Use
of unsuitable masks may jeopardize the patient.
B
CAUTION B
Internal monitoring is deactivated. Airway pres-
sure and ventilation parameters, e.g., flow, minute
volume or apnea are not monitored. Use external
SpO2 monitoring for patients who are dependent
037
on an increased defined O2 concentration. Other-
wise a worsening of the patient's condition cannot 1 Hang the hinged arm (A) on the rail and tighten
be detected. the screws. Depending on the desired position
of the device in relation to the bed, the hinged
arm can be fitted to either side of the device.
Preparing O2 therapy 2 Fit the breathing hoses (B) for inspiration. The
expiratory ports on the device and on the
Y-piece remain open!
Attaching breathing hoses
3 Switch on Babylog VN500. See page 58.
WARNING
4 Switch Babylog VN500 to standby. See
Do not use antistatic or conductive breathing
page 102.
hoses. The use of these materials increases
the danger of electric shock to the patient and 5 Switch on O2 monitoring. See page 138.
of fire in an oxygen-enriched environment.
The alarm limits for MV, Paw, RR, Tapn are not ac-
tive. The alarm limits for O2 monitoring are auto-
matically set by the device.
100 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
Switching on O2 therapy
G
1 2 3
109
the rotary knob.
During the O2 therapy, the screen display on the
Babylog VN500 is in standby mode. main screen cannot be customized.
Start/Standby D
A
Setting FiO2 and flow for O2 therapy
E B
1 2 3
C
C
108
109
use specific masks for the O2 therapy.
1 Touch the corresponding therapy control in the
4 Connecting a mask, hood, or nasal cannula for
therapy bar:
O2 therapy.
– FiO2 (A)
5 Touch the Start (E) button and confirm with the – Flow (B)
rotary knob.
2 Set the value by turning the rotary knob and
O2 therapy is switched on. Babylog VN500 displays push to confirm.
the main screen with the therapy bar (F) for the
The FiO2 concentration is represented graphically
O2 therapy. The header bar (G) displays the mes-
(C).
sage O2 Therapy.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 101
Operation
z Touch the Ventilation settings... button. Babylog VN500 opens the Start/Standby dialog
window. The Start/Standby page appears by de-
Or fault.
z Touch the (D) button. 2 Touch the Standby button and confirm with the
rotary knob.
Babylog VN500 is in standby mode. The
O2 therapy is switched off The therapy type can be
switched to ventilation.
Standby mode
WARNING
Ventilation does not take place in standby
113
1 Touch the Start/ Standby... button in the main Babylog VN500 is in standby mode. Standby is
menu bar. displayed in the screen header bar.
102 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
Continuing the therapy 2 Touch the Start (C) button and confirm with the
rotary knob.
1 Check the ventilation settings (A) of the current The main screen is displayed, Babylog VN500 con-
patient. tinues ventilating.
Change the ventilation settings if necessary. Touch
the Ventilation settings button (B). Additional information
Babylog VN500 opens the relevant page.
If the patient category or the body weight is
Start/Standby changed, Babylog VN500 determines new start-up
values for ventilation. See "Admission of a new pa-
C tient" on page 59.
For information on changing ventilation settings,
see "Setting ventilation" on page 74.
B
091
Ending operation
114
2 Press the (A) button on Infinity C500. When Babylog VN500 is not in standby mode and
the (A) button is pressed, the Start/Standby
Babylog VN500 opens the Shutdown dialog. page is opened.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 103
Operation
As soon as the screen is completely dark If Babylog VN500 cannot be switched off on
account of a device malfunction
z Disconnect the mains plug from the mains pow-
er socket. 1 Open the device flap on the left side of
Babylog VN500.
z Detach the gas supply connectors for com-
pressed air (Air) and oxygen (O2) from the wall 2 Set the toggle switch to (off).
outlets of the central gas supply.
Once the toggle switch has been pressed and the
mains plug is disconnected, Babylog VN500 can-
CAUTION
not be switched on.
Disconnect the compressed gas hoses from the
central gas supply. Otherwise minute internal
leaks could contaminate the central gas supply Placing back into operation
through the reverse flow of supply gases. 1 Insert the mains plug into the mains power
socket.
CAUTION
2 Open the device flap on the left side of
The compressed gas hoses should only be un-
Babylog VN500.
screwed from the ventilation unit after the connec-
tors have been removed from the wall outlets of 3 Set the toggle switch to (on).
the central gas supply. Otherwise the compressed
4 Switch on Babylog VN500.
gas hoses are not depressurized and the user
may be injured.
Additional information
If the power supply unit PS500 is connected, see
"Power supply unit PS500" on page 51.
104 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
017
mains power supply.
The internal battery is always contained in the A LED for mains power:
scope of supply. Typically, the internal battery is – Lights green when mains power is applied
only fully charged after charging for 4 hours. The and the toggle switch is in the position
is displayed in the screen header bar. – If the LED does not light up, the device is
disconnected from the mains power
CAUTION B LED for internal battery:
The internal battery is intended exclusively for – Lights green when the state of charge is
emergency use and not for normal operation! It is greater than 90 %
essential to operate the device with mains power – Lights yellow when the state of charge is be-
again as soon as possible after switching over to tween 10 % and 90 %
operation with the internal battery. – Does not light when the internal battery is
discharged or faulty
– Does not light when no mains power is ap-
Use of power supplies
plied and the device is switched off (energy-
The supply of Babylog VN500 with electrical power saving mode)
is prioritized based on the following sources:
– Mains power Operating time of internal battery
– Internal Battery The operating time depends on the following fac-
tors:
The switch-over between these sources takes
– State of charge
place without interruption to operation according to
– Age
the following rules:
– Number of charging cycles
– If there is sufficient mains power, the mains
If the battery is fully charged and new, the operating
power supply is always used as the power
time is at least 30 minutes.
source.
Observe the maintenance intervals.
– If mains power supply is not sufficient, the inter-
nal battery is used.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 105
Operation
Charging the internal battery z Connect to the mains power supply at the latest
after 5 days Babylog VN500. Leave the device
The internal battery is charged when
connected to the mains power supply for at
Babylog VN500 is supplied with mains power.
least 4 hours so that the internal battery can be
fully charged.
CAUTION
Leave Babylog VN500 connected to the mains z If recharging is not possible at the latest after
power supply for at least 4 hours so that the inter- 5 days, disconnect the electrical connection be-
nal battery can be fully charged. tween the internal battery and the device imme-
diately after ending operation. To do this, set the
Charging display on screen toggle switch to the position and then dis-
connect the mains plug. Babylog VN500 is in
The state of charge of the internal battery is dis-
energy-saving mode. This reduces the sponta-
played in the screen header bar (A).
neous discharge rate of batteries. Check that
the capacity of the internal battery is sufficient
A before use on the patient. The internal battery
1 2 3
106 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
The Workstation Neonatal Care can be equipped scope of delivery. Typically, the internal batteries
with an uninterruptible power supply via the power are only fully charged after charging for 8 hours.
supply unit PS500, which ensures operation of the PS500 displays the symbol on the front.
Workstation Neonatal Care for at least 100 minutes
in the event of a power supply failure and during the
Use of power supplies
transportation of patients within the hospital (pro-
vided the batteries are fully charged and new and The supply of the Workstation Neonatal Care with
ventilation is typical). electrical power is prioritized based on the following
sources:
Components and terms – Mains power
Mains power supply – Internal batteries PS500
Power supply of PS500 is via the mains connection The switch-over between these sources takes
cable from the mains power supply. Information on place without interruption to operation according to
voltage ranges and mains power characteristic val- the following rules:
ues can be found in chapter Technical Data, Oper-
– If there is sufficient mains power, the mains
ating Characteristic Values.
power supply is always used as the power
Internal batteries PS500 source.
PS500 is provided with internal batteries to ensure – If mains power supply is not sufficient, the inter-
operation of the Workstation Neonatal Care for at nal batteries are used.
least 100 minutes in the event of a power failure
(provided that the batteries are fully charged and
new). Battery operation is possible for longer in the
absence of the gas supply unit GS500.
The internal batteries are always contained in the
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 107
Operation
108 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Operation
if necessary.
z Press the button (A) on PS500 and hold it for
at least 3 seconds.
PS500 interrupts power supply of the Workstation Fault – Cause – Remedy on PS500
Neonatal Care. The charge indicator on PS500 ex-
tinguishes. Fault Cause Remedy
Resuming operation: Charge indica- Charge state of Restore power
tor flashes red the batteries supply.
z Press the button (A) on PS500.
<20 % or dis-
The Workstation Neonatal Care is supplied with charged
power from the internal batteries of PS500. The No charge indi- Battery fault Contact
state of charge of the internal batteries is indicated. cation and fault DrägerService.
When the mains power supply is reestablished, indicator flash-
standby mode is terminated automatically. The es yellow
Workstation Neonatal Care is automatically sup- Charge indica- Device temper- Contact
plied with mains power again. tor flashes yel- ature too high DrägerService.
low or overload
Battery maintenance
To ensure a maximum service life, the following is
recommended:
z Always fully charge the internal batteries.
z Connect PS500 to the mains power supply after
a maximum of 30 days. Leave PS500 connect-
ed to the mains power supply for at least
8 hours in order to charge the internal batteries.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 109
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110 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarms
Alarms
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 111
Alarms
Overview
Alarms are issued acoustically and visually. The The Alarms dialog window provides the following
alarm tone can be suppressed for 2 minutes. functions for selection:
– Setting alarm limits
– Displaying current alarms
– Alarm history
– Alarm settings
Display of alarms
If the alarm message field (A) contains more alarms High priority alarm messages that are no longer ac-
than can be displayed, the More... (C) button ap- tive are displayed in the background color of the
pears in the header bar. Touching this button opens alarm message field.
the page containing all the active alarms.
Babylog VN500 generates different alarm tone se-
quences to display alarms acoustically. The alarm
tone sequences can be configured, see "Selecting
alarm tone sequences" on page 151.
112 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarms
078
z Touch the ALARM RESET (A) button in the
header bar.
B
Alarms
message selected.
1 Touch the Reset all (B) button.
3 Eliminate the fault.
2 Confirm with the rotary knob.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 113
Alarms
Alarm history
094
3 Use the (B) buttons to scroll in the alarm history.
z Touch the Alarms... button in the main menu How to set an alarm limit
bar.
The Limits (A) page appears by default. Prerequisite: The Limits (A) page is opened.
1 Touch the corresponding button for the alarm
Alarms
limit.
A
2 Set the value by turning the rotary knob and
push to confirm.
B
C WARNING
D The alarm limits must be set to meet the needs
of the therapy required by the current patient.
Other settings may jeopardize the patient.
096
The alarm limit settings and the current measured Additional information
value are displayed. The start-up values for the alarm limits can be con-
figured specifically as required by the hospital con-
(B) : Upper alarm limit cerned, see page 149.
(C) Current value : Current measured value Setting extreme alarm limits can render the alarm
(D) : Lower alarm limit system useless.
The alarm limits are displayed depending on the
ventilation parameter in the parameter field.
114 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarms
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 115
Alarms
1 Touch the Alarms... button in the main menu 3 Touch the (B) button.
bar.
4 Set the volume of the alarm tone by turning the
2 Touch the Settings (A) tab. rotary knob and push to confirm.
Alarms WARNING
A The volume of the acoustic alarm must be set
B loud enough to ensure that an alarm can be
heard!
The alarm tone can be suppressed for a maximum If the fault triggering the alarm is not eliminated af-
of 2 minutes. ter 2 minutes, the alarm tone sounds again.
Reactivate the alarm tone before the suppression
time has elapsed:
z Press the Audio paused (A) key again.
A
017
116 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarms
The alarm system is designed such that the user specified applies to a distance of 1 meter
can recognize alarm messages from a distance of (39 inches) in front of the device and a height of
1 meter (39 inches). The volume of the alarm tone 1.5 m (59 inches).
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 117
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118 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Trends and Data
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 119
Trends and Data
Overview
Babylog VN500 saves measured value and trend The Trends/Data dialog window provides the fol-
data. Trends are displayed in the form of a graphic lowing functions for selection:
or a table. The following can be displayed: current – Display trends
measured values, settings and hospital-specific – Display data
combinations of measured and setting values. The – Logbook
logbook can save up to a maximum of 5000 entries. – Data export
Data can be exported with a USB storage media.
Displaying trends
Graphic trends
Trends/Data
A
E B
D C
D E
076
120 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Trends and Data
Selecting parameters for the graphic trend 4 Confirm with the OK button. The dialog for the
display group selected is closed.
A maximum of 3 parameters can be selected for A maximum of 3 parameters can be selected for
each trend display. each graphic trend display.
Prerequisite: The Graphics 1 or Graphics 2 page 5 Select further parameters according to step 2
is opened. to 4.
1 Touch the button (E). 6 Confirm the parameter selection with the OK
button (H).
The Setup dialog is displayed with the buttons for
measured values Values (F) and setting values The selected parameters are displayed in the trend
Settings (G). display. The Setup dialog is closed.
display
The measured values (F) are divided into the fol-
Prerequisite: The Graphics 1 or Graphics 2 page
lowing parameter types:
is opened.
– Pressures
– Minute vol. Trends/Data
– Volume/Flow
– Gases
– Timing/Cycl. L
– Others M
– Events
The setting values (G) are divided into the following
parameter types:
– Pressures
– Volume/Flow N
– Gases K
076
– Timing/Cycl.
– Others 1 Touch the button for the time interval (K).
2 Touch the appropriate button for measured val- 2 Select the time interval from the selection list
ue or setting value. (2, 4, 8, 12 hours; 1 day, 7 days).
Another dialog containing all the parameters of the
selected parameter type is displayed.
3 Touch the desired parameter.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 121
Trends and Data
315
Changing the displayed time period
A Apnea trend
z Touch the buttons in the scrollbar (N) or turn the
rotary knob. B Apnea ventilation trend
Additional information
Apnea trend, apnea ventilation trend
The apnea trend is only recorded when apnea ven-
tilation is switched off.
In the apnea trend, the number of the apneic events
that occurred per minute is represented as a histo- The duration of an apnea is displayed only in the
gram. The number per minute is represented as a alarm history.
bar height. If an apnea lasts longer than one
minute, the apnea is only counted once in the peri-
od of occurrence.
In the apnea ventilation trend, the system displays
whether or not apnea ventilation is activated.
Prerequisite: The Graphics 1 or Graphics 2 page
is opened.
1 Touch the button.
2 In the Setup dialog under Values, touch the
Events parameter type.
3 Select the Apnea or Apnea Vent.. event.
122 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Trends and Data
Tabular trend
Trends/Data
B C D
G A
G
F
E
097
Additional information
"Configuring the display of hospital-specific mea-
sured values and settings" on page 146.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 123
Trends and Data
Display data
B
Displaying hospital-specific data C
1 Touch the Trends/Data... button in the main
menu bar.
2 Touch the Values (A) tab.
Trends/Data
139
A
B
Displaying setting values
Trends/Data
A
099
Additional information
"Configuring the display of hospital-specific mea-
sured values and settings" on page 146.
124 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Trends and Data
Display logbook
Trends/Data
A
D
B
D
C
090
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 125
Trends and Data
Data export
The data export takes place via a USB storage me- Additional information
dia. A maximum of 5000 logbook entries from the
The buttons are deactivated when a USB storage
last 7 days can be exported.
media is not connected.
1 Insert the USB media into the left or right USB
The exported files can only be viewed with a
port of Infinity C500.
Unicode-enabled editor and a Unicode font.
2 Touch the Trends/Data... button in the main
An import into word processors or spreadsheets is
menu bar.
possible.
3 Touch the Export data (A) tab.
Trends/Data H
A
I B
C
D
E
F
G
127
126 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Monitoring
Monitoring
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 127
Monitoring
CAUTION
Regular calibration is essential to ensure that the
sensors deliver reliable and accurate results. Oth-
erwise the proper functioning of the device may
be impaired.
Sensor Interval
Neonatal flow Calibration during the device
sensor check.
Perform manual calibration:
– At least once a day
– After replacing the neonatal
flow sensor
– After medication nebuliza-
tion
O2 sensor Calibration during the device
check.
Pressure Automatic calibration immedi-
sensors ately and an hour after the de-
vice has been switched on, af-
terwards every 12 hours.
CO2 sensor The calibration can be carried
out at any time outside of the
breathing circuit.
128 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Monitoring
308
tion
Select Sensor type (F) being used:
Recalibration is not necessary if the neonatal flow
2 Touch the Y flow sensor or
sensor has been unplugged only briefly.
ISO-15 flow sensor button.
Before each manual calibration, started from the
3 Touch the Start (B) button.
device check or from the Sensors/Parameters di-
alog window, the neonatal flow sensor is automati- The instruction field (G) displays the instructions for
cally cleaned through heating by Babylog VN500. performing calibration.
WARNING
Remove the neonatal flow sensor
Patient hazard due to ignition in the flow sen-
sor. 4 Remove the tube connector.
Residual vapors of flammable substances
(e.g., alcohols) may cause a fire during cali-
bration of the flow sensor. This can destroy H I
the flow sensor and injure the patient or user.
Air flow sensors for at least 30 minutes after
disinfection.
Performing calibration
7 Press the rotary knob.
Babylog VN500 calibrates the neonatal flow sen-
sor.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 129
Monitoring
Babylog VN500 displays calibration information in After calibration of the neonatal flow sensor
the (C) message field.
8 Connect the tube connector.
At the completion of calibration, the Start button
turns pale green.
Setting the flow trigger
z Touch the Trigger (E) button.
Canceling calibration of the neonatal flow sen-
sor Babylog VN500 opens the page for setting the flow
trigger. For additional information, see "Additional
z Touch the Cancel (D) button.
settings for ventilation" on page 79.
FiO2 Vol%
22?
141
CAUTION
If the quality of the oxygen from the central gas
supply is not sufficient, calibrate the O2 sensor
with calibration gas (100 % O2). Otherwise this
may result in an incorrect calibration.
Additional information
"Performing a device check" on page 63.
130 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Monitoring
Prerequisite: The CO2 application is activated. If the selected cuvette does not correspond to the
cuvette used, the alarm message Check cuvette is
The CO2 sensor is works-calibrated and can be
displayed.
used on any ventilation unit.
The following cuvettes can be used:
– Reusable cuvettes
– Disposable cuvettes
The cuvette type used must be selected on the
Zero calib. on/off page.
CAUTION
The cuvette windows of the reusable cuvette have
different optical properties to the cuvette windows
of the disposable cuvette.
The cuvette type used must therefore be selected
on the Zero calib. on/off page. Otherwise the
zero point is shifted by up to 8 mmHg CO2.
Sensors/Parameters
A
B
C D
142
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 131
Monitoring
132 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Monitoring
CAUTION
The cuvette windows of the reusable cuvette have
different optical properties to the cuvette windows
of the disposable cuvette. E
179
The cuvette type used must therefore be selected
on the Zero calib. on/off page. Otherwise the 4 Remove CO2 sensor (D) from the cuvette (E).
zero point is shifted by up to 8 mmHg CO2. 5 Confirm with the rotary knob.
Prerequisite: Babylog VN500 is switched on and at Babylog VN500 performs zero calibration and dis-
least the three-minute warm-up phase for the plays the message Calibration in progress.
CO2 sensor has elapsed. After 3 minutes, the mea-
sured values will be inside the specified tolerance If zero calibration was successful
range.
After approx. 5 seconds, Babylog VN500 reports
Zero calibration successful.
Starting zero calibration
z Fit the CO2 sensor (D) back on the cuvette (E).
1 Touch the Sensors/ Parameters... button in the
main menu bar.
If zero calibration was not successful
2 Touch the CO2 (A) tab.
Babylog VN500 reports Zero calibration can-
The Zero calib. on/off (B) page appears by default. celed.
Sensors/Parameters z Repeat zero calibration.
A
B If zero calibration is still impossible
C
1 Check whether the sensor is soiled and clean it
if necessary. If the sensor is defective, replace
the sensor.
2 Repeat zero calibration.
142
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 133
Monitoring
Sensors/Parameters D Carry out the check when the test values are not
adhered to during the calibration check of the
A
CO2 sensor with test filter.
C B The calibration check with test gas can only be car-
ried out after zero calibration has been performed in
ambient air.
CAUTION
For the check and calibration only use a test gas
143
134 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Monitoring
About 1 minute after the test gas flow has been set,
the value of CO2 must match to within ±0.2 Vol%
the CO2 content of the test gas read from the test
gas cylinder.
D
3 Close the test gas cylinder again.
E If the test value is outside the permitted tolerance,
C the CO2 sensor must be recalibrated with test gas.
B
After the calibration check of the CO2 sensor
A with test gas
z Check and if necessary select the cuvette type
176
to be used for measurement on the Zero calib.
3 Connect the test gas cylinder (A) and the cu- on/off page.
vette (B) of the calibration set to the hose (C).
z Fit the CO2 sensor back on the cuvette.
4 Fit the CO2 sensor (D) on the cuvette (F) of the
calibration set.
5 Read the CO2 concentration of the test gas Perform calibration of the CO2 sensor
from the test gas cylinder (A).
The CO2 sensor must be calibrated if the test val-
6 Open the test gas cylinder (E) and set the test
ues are not adhered to during the calibration check
gas flow to 0.1 L/min.
with test gas.
2 Touch the Gas check (H) button and confirm 1 Use the reusable cuvette from the calibration
with the rotary knob. set!
Babylog VN500 displays the measured CO2 con- 2 On the Zero calib. on/off page, select the cu-
centration (I). vette type Reusable.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 135
Monitoring
3 Connect the test gas cylinder (A) and the cu- z Fit the CO2 sensor back on the cuvette.
vette (B) of the calibration set to the hose (C).
4 Fit the CO2 sensor (D) on the cuvette (B) of the If calibration was not successful
calibration set. Babylog VN500 displays the message Calibration
5 Read the CO2 concentration of the test gas of CO2 sensor with test gas failed.
from the test gas cylinder (A). If calibration failed, the following causes are possi-
6 Open the test gas cylinder (E) and set the test ble:
gas flow to 0.1 L/min.
Cause Remedy
The entered Check the entered
Starting the calibration of the CO2 sensor with
CO2 concentration CO2 concentration.
test gas
does not match the
Prerequisite: The CO2 (F) page is opened. value on the test gas
cylinder.
1 Touch the Calibration (G) tab.
The test gas cylinder Use a new test gas
Sensors/Parameters J is empty. cylinder.
F The CO2 sensor is Clean the CO2 sensor.
soiled.
I
The CO2 sensor is Exchange the CO2
H G defective. sensor.
3 About 1 minute after setting the test gas flow, Prerequisite: The Calibration page is opened.
touch the Start (I) button and confirm with the z Touch the Reset calibration (K) button.
rotary knob.
136 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Monitoring
The factory-set calibration value is effective again If the calibration was unsuccessful, the previously
after approx. 5 seconds. valid calibration remains effective.
z Recover the correct calibration of the CO2 sen-
sor as soon as possible!
Monitoring is activated at the factory. Each monitor- Without the neonatal flow sensor, the minute vol-
ing function can be deactivated separately. ume is not monitored! Independent apnea monitor-
ing is recommended.
D B
CAUTION
308
Patient-triggered ventilation is not possible when 3 Touch the Off (B) button and confirm with the ro-
flow monitoring is deactivated. tary knob.
Neonatal flow monitoring can be deactivated, e.g.: Babylog VN500 displays the following information
– If the neonatal flow sensor has failed but cannot in the (C) message field: External monitoring
be replaced immediately must be used!
– If medication nebulization is being performed Neonatal flow monitoring is deactivated.
– To permit ventilation in the event of major tube Babylog VN500 displays the Neonatal flow
leakage symbol in the header bar. The measured values are
When changing to the NIV application mode, no longer displayed. The alarm function is deacti-
Babylog VN500 deactivates neonatal flow monitor- vated.
ing.
Patient-triggered ventilation is not possible when
neonatal flow monitoring is deactivated. The venti-
lation functions and ventilation monitoring are limit-
ed without neonatal flow monitoring.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 137
Monitoring
Activating neonatal flow monitoring Babylog VN500 displays the following information
in the (C) message field: External monitoring
Reactivate neonatal flow monitoring after exchang-
must be used!
ing the neonatal flow sensor or as soon as possible.
O2 monitoring is deactivated. Babylog VN500 dis-
Prerequisite: The Neonatal flow (A) page is
plays the FiO2 symbol in the header bar. The
opened.
measured values are no longer displayed. The cor-
z Touch the On (D) button and confirm with the responding alarm function is deactivated.
rotary knob.
Neonatal flow monitoring is activated. Activating O2 monitoring
O2 monitoring should be reactivated as soon as
possible.
Deactivating or activating O2 monitoring
Prerequisite: The FiO2 (A) page is opened.
WARNING z Touch the On (D) button and confirm with the
If O2 monitoring is deactivated, ensure that an rotary knob.
appropriate replacement monitoring function O2 monitoring is activated.
is available immediately. Other settings may
jeopardize the patient.
Deactivating O2 monitoring
1 Touch the Sensors/ Parameters... button in the
main menu bar.
2 Touch the FiO2 (A) tab.
Sensors/Parameters C
A
D B
111
3 Touch the Off (B) button and confirm with the ro-
tary knob.
138 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Monitoring
Deactivating or activating 4 Touch the Off (C) button and confirm with the
CO2 monitoring rotary knob.
CO2 monitoring is deactivated. Babylog VN500 dis-
Deactivate CO2 monitoring when a defective plays the symbol in the CO2 parameter field.
CO2 sensor cannot immediately be exchanged or The measured values are no longer displayed. The
the CO2 measured values are currently not need- alarm function is deactivated.
ed.
Sensors/Parameters
A
B
D C
142
The measured values for MV and VTe are not leak- z Adjust both alarm limits for MV in line with the
age-corrected and are therefore lower than the ac- actual value.
tual minute and tidal volumes applied to the patient
z Use additional monitoring, e.g., SpO2, if neces-
if a leakage occurs. When leakage compensation is
sary.
activated, the measured volume and flow values as
well as the curves for flow and volume are dis- CAUTION
played with leakage correction.
Patient hazard!
Babylog VN500 compensates leakages up to Use additional external monitoring during ventila-
100 % of the set tidal volume VT. Pressure-con- tion with very low tidal volumes.
trolled ventilation is recommended in the case of
larger leakages.
In order to avoid nuisance alarms and assure prop-
er monitoring, the following settings are required:
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 139
Monitoring
Display Cause
OFF Monitoring deactivated by user
ERR Sensor error
CAL Calibration active, no measured
value display possible
Measured Reduced sensor accuracy
value?
No measured Sensor error. Replace and cali-
value brate flow sensor or CO2 sensor
if necessary
+++ Measured value above specified
measurement range
--- Measured value below specified
measurement range
140 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Configuration
Configuration
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 141
Configuration
Information on configuration
The System setup dialog window provides the To prevent unauthorized adjustments, the following
user with the following configuration options: pages are password-protected:
– Screen layout – Screen layout > Views
– Alarms – Alarms
– Ventilation – Ventilation
– Config. exchange (Importing and exporting con- – Applications
figurations) – Exchange intervals
– Applications
The password only needs to be entered once as
– Exchange intervals
long as the System setup dialog window remains
– System
open.
– Service
For additional information on the password,
see page 281.
142 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Configuration
Adjusting lighting and brightness The Day/Night button in the main menu bar can be
configured to enable direct access to the reduced
Prerequisite: The Screen layout (A) page is lighting mode with a dark background color,
opened. see page 146.
I
132
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 143
Configuration
1 Touch the Views (B) tab. 8 Select the parameter, display format and dis-
play size for curves and parameter fields. See
2 Enter password and confirm with Enter. "Changing the display of monitoring fields"
The Views page is displayed. on page 85.
System setup
Locking the view against overwriting
A
z Touch the (G) button.
C
D All views are locked. The display of the monitoring
G F E B fields cannot be changed on the main page.
H
Deactivating the lock
z Touch the (F) button.
I
J Saving the view
133
The format templates can only be selected if the se- 1 Touch the Dräger default (I) button.
lected view is not locked. The (F) button is dark 2 Confirm with the rotary knob.
green.
For information on the factory settings for View 1 to
5 Touch the (D) button. View 3, see chapter "Factory-set screen views"
Babylog VN500 opens the selection list containing on page 275.
the existing format templates. Loading saved settings
6 Select the desired template by turning the rotary 1 Touch the Load (J) button.
knob and push to confirm.
2 Confirm with the rotary knob.
The selected format template is displayed (E).
144 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Configuration
K L K L L
K L K L L
L L K L
M
089
K L M
Loop Single parameter Single parameter
Double loop 2-Param. 2-Param.
Waveform Parameter groups Parameter groups
Trend Loop Trend
Trends table Trend Trends table
Alarm history Loop
Smart Pulmonary Double loop
View
Alarm history
Waveform
Smart Pulmonary
View
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 145
Configuration
measured values
In the first column (C), the buttons can be selected
Prerequisite: The desired row is marked. for the left column of the main menu bar. In the sec-
1 Touch the Values (D) button. ond column (D), the buttons can be selected for the
right column of the main menu bar.
2 Select the parameter from the selection list with
the rotary knob and push to confirm. 2 Touch the button.
3 Select the desired button from the selection list
Configuring the display of hospital-specific with the rotary knob and push to confirm.
setting values Babylog VN500 displays the selected button in the
Prerequisite: The desired row is marked. main menu bar.
146 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Configuration
138
be configured. The settings become effective with
the admission of a new patient. The measured values (F) are divided into the fol-
Prerequisite: The Screen layout (A) page is lowing parameter types:
opened. – Pressures
– Minute vol.
1 Touch the Trends graphic 1 (B) or Trends – Volume/Flow
graphic 2 (C) tab. – Gases
– Timing/Cycl.
System setup
– Others
A – Events
E The setting values (G) are divided into the following
D parameter types:
– Pressures
– Volume/Flow
E – Gases
D B
– Timing/Cycl.
C
– Others
2 Touch the corresponding button for a measured
137
K
146
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 147
Configuration
136
green.
2 Touch the On (C) button.
Selecting a time interval The therapy controls in the therapy bar are locked.
The ventilation parameters can only be changed in
System setup the Ventilation settings dialog window.
L
137
148 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Configuration
The customized settings for the start-up values of (C) upper alarm limit
the alarm limits become effective with the admis-
sion of a new patient. The customized alarm tone (D) lower alarm limit
settings are effective immediately, depending on
the time of day. The selection of the alarm tone se- 2 Touch the relevant button for the alarm limit.
quence is effective immediately.
3 Set the value by turning the rotary knob and
1 Touch the System setup... button in the main push to confirm.
menu bar.
2 Touch the Alarms tab. Selecting the factory settings
3 Enter password and confirm with Enter. z Touch the Dräger default (E) button and con-
Babylog VN500 displays the following configurable firm with the rotary knob.
alarm settings in the overview:
– Start-up values for alarm limits
– Alarm volume and alarm tone
CAUTION
If several devices of the same type are used on a
ward, the alarm defaults must be configured iden-
tically on all devices. Other settings may jeopar-
dize the patient.
C B
D
E
148
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 149
Configuration
Additional information
The alarm limits for the minute volume are set as a
percentage share of the start-up value (VT x RR).
To configure RR, see "Configuring start-up settings
for the ventilation parameters" on page 153.
For an overview of device's internal alarm limits,
see chapter "Automatic alarm limits" on page 231.
150 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Configuration
Setting the alarm tone 5 Set the value for the sound level by night by
turning the rotary knob and push to confirm.
WARNING
The volume of the acoustic alarm must be set Activating the automatic sound level increase
loud enough to ensure that an alarm can be z Touch the Auto increase (E) button.
heard!
The Auto increase function can be set separately
Prerequisite: The Alarms (A) page is opened. for day and night.
1 Touch the Alarm vol./tone (B) tab.
Selecting alarm tone sequences
System setup
Babylog VN500 offers the following alarm tone se-
A quences:
C E
E (F) IEC/CEI as per IEC 60601-1-8
D
B (G) Dräger usual alarm tone sequences of
ventilation Dräger ventilators
The following ventilation configurations are possi- The customized ventilation settings become effec-
ble: tive with the admission of a new patient.
– Configuration of patient category for start-up
1 Touch the System setup... button in the main
– Configuration of main ventilation modes
menu bar.
– Configuration of start-up ventilation settings
– Configuration of general settings for ventilation 2 Touch the Ventilation tab.
– Configuration of settings for maneuvers
3 Enter password and confirm with Enter.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 151
Configuration
Configuring start-up settings for the Prerequisite: The Ventilation (A) page is opened.
patient category 1 Touch the Modes (B) tab.
B D
C
D
151
Babylog VN500 displays the start mode (C) and
3 ventilation modes (D). These ventilation modes
are displayed after Babylog VN500 has been start-
150
Babylog VN500 opens the selection list. The follow- The ventilation mode (E) configured under Other
ing patient categories are available for selection: modes is displayed as an additional mode for
– Pediatric patients only information purposes and can be changed in the
– Pediatric patients, neonates Ventilation settings dialog window.
– Neonates only 2 Touch the appropriate button.
3 Select the patient category with the rotary knob Babylog VN500 opens the ventilation mode selec-
and push to confirm. tion list.
Babylog VN500 displays the buttons for the 3 Select the mode with the rotary knob and push
selected patient category on the Start and to confirm.
Start/Standby pages.
If --- is configured for a ventilation mode, the corre-
sponding page is not available in the Ventilation
Configuring start-up settings for the settings dialog window.
ventilation modes The same ventilation mode cannot be configured
on two buttons.
CAUTION The button with the active ventilation mode is high-
If the ventilation start-up values are configured dif- lighted in gray and cannot be changed. The button
ferently to the Dräger standard values, this config- assignment can only be changed when another
uration must be identical on all Babylog VN500 ventilation mode is activated in the Ventilation set-
belonging to a ward. Other settings may jeopar- tings dialog window.
dize the patient. Depending on configuration, the number of dis-
played ventilation modes can vary between 1
and 4.
152 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Configuration
Configuring start-up settings for the After the start of ventilation, Babylog VN500 begins
ventilation parameters ventilation with the start-up values, dependent on
the patient category set on the Start/Standby
Prerequisite: The Ventilation (A) page is opened. page.
1 Touch the Start settings (B) tab. Setting start-up values depending on the body
height/weight
System setup
Prerequisite: The VT, RR, Trigger (C) page is
A opened.
C 1 Touch the Weight (F) button and confirm with
D the rotary knob.
B System setup
E
C
F
147
163
– ATC
Babylog VN500 displays the start-up values for the
The VT, RR, Trigger (C) page appears by default. different body weights (G).
2 Touch the appropriate button (G).
Setting start-up values for VT, RR, Slope and
Flow trigger 3 Set the value by turning the rotary knob and
push to confirm.
Depending on the patient category or the patient's
weight, these start-up values can be set: After the start of ventilation, Babylog VN500 begins
– VT ventilation with the start-up values, depending on
– RR the body height set on the Start/Standby page and
– Slope the ideal body weight derived from that, or with the
– Flow trigger set start-up body weight in the Neo. patient catego-
ry.
Setting start-up values depending on the
patient category
1 If not yet preset, touch the Patient (D) button
and confirm with the rotary knob.
Babylog VN500 displays the start-up values for the
different patient categories (E).
2 Touch the appropriate button (E).
3 Set the value by turning the rotary knob and
push to confirm.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 153
Configuration
154 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Configuration
B
C
D A
E
F h
G
152
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 155
Configuration
Defining the start-up setting of the additional Defining start-up settings for tube
settings compensation
Prerequisite: The Start settings (A) page is Prerequisite: The Start settings (A) page is
opened. opened.
1 Touch the Other settings (B) tab. 1 Touch the ATC (B) tab.
B B
C C
D
A A
E F
D G H
E I
J
153
154
The following settings can be switched on or off: The following settings can be switched on or off:
– Volume Guarantee (C) – Tube comp. (ATC) (C)
– Apnea Ventilation (D) – Expiratory compensation (D)
2 Touch the On or Off button. 2 Touch the On or Off button and confirm with the
rotary knob.
3 Confirm with the rotary knob.
Inspiratory compensation can be selected for spon-
A start-up value can be set for the expiratory termi-
taneous and mandatory or only spontaneous
nation criterion Exp. term. (E):
breaths:
4 Touch the (E) button. – Spon+mand (E)
– Only spont. (F)
5 Set the value by turning the rotary knob and
push to confirm. 3 Touch the appropriate button and confirm with
the rotary knob.
When you touch the Dräger default button on
another page, e. g., the Ventilation > Start In the Ped. pat. patient category, select the tube
settings page or the Alarms page, the settings are type:
also set to the factory settings.
4 Touch the ET (G) or Trach. (H) button and and
confirm.
156 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Configuration
Enter the tube diameter (I) according to the Defining start-up settings for high-frequency
selected tube type: oscillation (HFO)
– ET: 2 to 8 mm
Prerequisite: The Start settings (A) page is
– Trach.: 2.5 to 8 mm
opened.
In the Neo. patient category, only the ET tube type
1 Touch the HFO (B) tab.
(G) is available.
System setup
Enter the tube diameter (I):
– ET: 2 to 5 mm
5 Touch the relevant button for the patient catego-
B
ry. C
6 Set the value for the tube diameter by turning D A
the rotary knob and push to confirm.
Enter degree of compensation (J) for the respective E
patient category: 0 to 100 %
F
7 Touch the relevant button for the patient catego-
314
ry.
8 Set the value for the degree of compensation by 2 Touch the corresponding button for the param-
turning the rotary knob and push to confirm. eters:
– VThf (C)
Babylog VN500 starts with the start-up settings – fhf (D)
selected for the ventilation parameters. – I:Ehf (E)
The customized settings for inspiratory and expira- – Ampl hf (F)
tory compensation are immediately effective when 3 Set the value by turning the rotary knob and
ATC is set. push to confirm.
When you touch the Dräger default button on an-
other page, the settings for inspiratory and expira-
tory compensation are also set to the factory set-
tings.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 157
Configuration
Prerequisite: The Ventilation (A) page is opened. Prerequisite: The Ventilation (A) page is opened.
1 Touch the General settings (B) tab. 1 Touch the Maneuver (B) tab.
155
The following settings can be switched on or off:
– Leakage Compensation (C) Setting the FiO2 concentration for the suction
– Automatic return from Apnea Ventilation (D) maneuver
– Pmax/Paw high autoset (E) For the suction maneuver, FiO2 is set based on the
– Anti Air Shower (F) current FiO2 concentration using a factor between
2 Touch the On or Off button as appropriate and 1.0 and 2.0.
confirm with the rotary knob. 2 Touch the (C) or (D) button.
Select Slope adjustment (G): 3 Set the factor by turning the rotary knob and
– Slope (H) push to confirm.
– Insp. flow (I)
Babylog VN500 starts with the selected start-up
3 Touch the appropriate button and confirm with settings.
the rotary knob.
Babylog VN500 starts with the selected settings.
158 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Configuration
Babylog VN500 can export the device configuration Importing a configuration from a USB storage
to a USB storage media. The configuration saved media to the device
on the USB storage media can be imported to other
A configuration can only be imported in standby
devices.
mode.
The following settings can be exported:
1 Switch Babylog VN500 to standby mode.
– Screen layout
– Alarms 2 Touch the Import (D) button.
– Ventilation
3 Confirm with the rotary knob.
– Exchange intervals
– System If there is no valid configuration saved on the USB
storage media, the system issues a message.
Only the values from the system setup are export-
ed. After the import, Babylog VN500 is switched off
automatically.
Views are only exported if the view configured was
first saved on the Screen layout page. 4 Switch on Babylog VN500 again.
z Insert the USB storage media into a USB port Babylog VN500 reports the completion of the con-
on Infinity C500. figuration with a low priority alarm.
1 Touch the System setup... button in the main 5 Check the settings after the configuration.
menu bar.
2 Touch the Config. exchange (A) tab. Exporting a configuration from the device to a
USB storage media
System setup
1 Touch the Export (E) button.
A
2 Confirm with the rotary knob.
B D C
If the USB storage media already contains a config-
E uration, you are informed with a message stating
that this configuration will be overwritten.
157
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 159
Configuration
Installing applications
D
158
Installing applications
1 Touch the Install (D) button.
2 Select the application from the (C) list with the
rotary knob and push to confirm.
The installed application is displayed in the (B) list.
3 Install the next applications (repeat steps 1
to 3).
4 After all applications are installed, restart
Babylog VN500.
160 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Configuration
Exchange intervals
The user can configure after which service life peri- No display of exchange interval
od Babylog VN500 displays a message indicating
z Touch the (C) button. Set Off by turning the ro-
that the next exchange is due.
tary knob and push to confirm.
A message indicating when the next exchange is
due can be configured for the following accesso-
ries: Additional information
– Infinity ID breathing circuits (disposable)
Babylog VN500 displays the remaining service life
for the accessories on the Start/Standby >
WARNING
Accessory status page.
Disposable articles were developed, tested
and manufactured for disposable use only. Sterilization of the Infinity ID expiratory valve or in-
Disposable products must not be reused, re- spiratory valve may gradually impair the operation
processed or sterilized. Reuse, reprocessing of RFID transmission. This may mean that
or sterilization can lead to a failure of the ac- Infinity ID breathing circuit functions may not work
cessories and cause injuries to the patient. or may no longer work reliably. The service life for
the Infinity ID accessories is displayed with ---.
1 Touch the System setup... button in the main
menu bar.
2 Touch the Exchange intervals (A) tab.
3 Enter password and confirm with Enter.
System setup
A
B
C
159
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 161
Configuration
System settings
The following system settings can be configured: 2 Touch the (D) button.
– Language, date and time
Babylog VN500 opens the selection list containing
– Units for measured values and settings
the available languages.
– Network and serial interfaces
– Supply units 3 Select the language with the rotary knob and
– Service information push to confirm.
The customized settings are immediately effective.
Setting the date and time
1 Touch the System setup... button.
Babylog VN500 does not change over automatical-
2 Touch the System tab.
ly between daylight saving time and standard time.
Babylog VN500 displays the following configurable The user must change the time manually. Other-
settings in an overview: wise the times will be incorrect in the screen and for
– Country saved values and actions (e.g., in the logbook).
– Units
Changing the system time changes the time dis-
– Interface
played in trends, logbook, alarm history, maneuver
– Supply units
measured values and reference loops. The data
– Service
saved up to the change is displayed with the sys-
tem time up till then.
Selecting country-specific settings 1 Touch the appropriate button:
– Day (E)
Prerequisite: The System (A) page is opened. – Month (F)
– Year (G)
1 Touch the Country (B) tab. – Hours (H)
System setup – Minutes (I)
A The order of the (E) and (F) buttons varies depend-
ing on language.
C D
E F G B 2 Set the value by turning the rotary knob and
H :
I J push to confirm.
K 3 After completing all the settings for the date and
time, touch the Apply (J) button and confirm
with the rotary knob.
160
162 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Configuration
162
The COM (C) page appears by default. The set-
tings for COM 1, COM 2 and COM 3 are displayed.
2 Touch the relevant button for the interface pa-
161
rameters:
The units for the following parameters can be se-
– Protocol (D)
lected.
– Baud rate (E)
– Airway pressure (C)
– Parity (F)
– Body height (D)
– Stop bit (G)
– CO2 measured values (E)
– Alarm limit for etCO2 (F) 3 Select the setting with the rotary knob and push
to confirm.
2 Touch the relevant button for the unit.
The unit selected for the CO2 measured value is
adopted for selection of the alarm limit.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 163
Configuration
326
C Gas supply unit function GS500
4 Confirm with the rotary knob. Activating the gas supply unit function:
1 Touch the On (D) button.
Additional information Babylog VN500 displays in the message field (E)
The serial interface connectors are located on the that the device check has to be carried out.
rear of Infinity C500. 2 Perform device check.
Service dialog
164 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarm – Cause – Remedy
Warning !!! Red High priority alarm Immediate action is necessary in order to avert an
message imminent danger
Caution !! Yellow Medium priority Prompt action is necessary in order to avert a danger
alarm message
Note ! Cyan Low priority alarm Attention is necessary, but a delayed response is
message sufficient
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 165
Alarm – Cause – Remedy
166 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarm – Cause – Remedy
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 167
Alarm – Cause – Remedy
168 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarm – Cause – Remedy
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 169
Alarm – Cause – Remedy
170 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarm – Cause – Remedy
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 171
Alarm – Cause – Remedy
If not successful:
Deactivate integrated neo-
natal flow monitoring and
use external flow monitor-
ing.
Call DrägerService.
!! 115 Calibration of neo. flow After switching on the venti- Calibrate neonatal flow sen-
sensor required lation unit, the neonatal flow sor.
sensor needs to be calibrat-
ed.
!!! 228 Calibration of neonatal Calibration of neonatal flow Calibrate neonatal flow sen-
flow sensor failed sensor failed. sor.
Seal neonatal flow sensor
properly during calibration.
Neonatal flow sensor mal- Replace neonatal flow sen-
function. sor or sensor insert and cal-
ibrate the new sensor.
!! 118 Calibration of O2 sensor O2 measurement provides Calibrate O2 sensor.
required inaccurate values.
!! 100 Check CO2 cuvette The selected type of CO2 Select the correct type of
cuvette is not correct. CO2 cuvette.
CO2 cuvette or sensor Clean the CO2 cuvette or
soiled. sensor.
172 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarm – Cause – Remedy
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 173
Alarm – Cause – Remedy
174 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarm – Cause – Remedy
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 175
Alarm – Cause – Remedy
176 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarm – Cause – Remedy
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 177
Alarm – Cause – Remedy
!!! 100 GS500 failure Air supply insufficient to de- Check connection to gas
liver required flow and pres- supply unit GS500.
sure.
If this condition persists, call
Gas delivery system sup- DrägerService.
plied with O2 only.
Ventilation continues with
O2 only.
!! 110 GS500 internal failure Gas supply unit GS500 has Restart gas supply unit
reported a failure. GS500.
If the condition persists, call
DrägerService.
!!! 110 GS500 temperature too Gas supply unit GS500 tem- Switch off the device.
high perature is too high.
Call DrägerService.
178 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarm – Cause – Remedy
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 179
Alarm – Cause – Remedy
180 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarm – Cause – Remedy
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 181
Alarm – Cause – Remedy
182 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarm – Cause – Remedy
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 183
Alarm – Cause – Remedy
184 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarm – Cause – Remedy
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 185
Alarm – Cause – Remedy
186 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarm – Cause – Remedy
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 187
Alarm – Cause – Remedy
188 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarm – Cause – Remedy
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 189
Alarm – Cause – Remedy
190 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Alarm – Cause – Remedy
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 191
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192 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Cleaning, Disinfection and Sterilization
Dismantling . . . . . . . . . . . . . . . . . . . . . . . . . . . 194
Observe before dismantling . . . . . . . . . . . . . . . 194
Dismantling neonatal flow sensor. . . . . . . . . . . 194
Dismantling the pneumatic medication
nebulizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
CO2 sensor. . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
Disconnecting the breathing circuit. . . . . . . . . . 196
Dismantling Infinity ID neonatal expiratory
valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197
Dismantling the inspiratory unit . . . . . . . . . . . . 197
Dismantling and reprocessing accessories . . . 198
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 193
Cleaning, Disinfection and Sterilization
Dismantling
This chapter describes how to disconnect the ven- Dismantling neonatal flow sensor ISO 15
tilation accessories and dismantle them for repro- (8411130)
cessing.
humidifier.
1 Disconnect the flow sensor cable (A) from the
neonatal flow sensor.
Dismantling neonatal flow sensor 2 Press the buttons (B) on both sides while pulling
the insert (C) out of its housing.
z Unplug sensor connector at the rear of the de-
vice. 3 Pull housing (D) out of the Y-piece.
194 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Cleaning, Disinfection and Sterilization
z Reprocess housing of the neonatal flow sensor 3 Remove the catheter connector (C) from the in-
in accordance with the reprocessing list, let port.
see page 202.
4 Pull the adapter (D) out of the outlet port.
5 Remove the corrugated hose (E) from the
Dismantling neonatal flow sensor Y-piece
adapter (D).
(8410185)
6 Dismantle the medication nebulizer in accor-
dance with the corresponding Instructions for
Use.
1 Disconnect the flow sensor cable (A) from the z Reprocess the parts for adapting in accordance
neonatal flow sensor. with the reprocessing list, see page 202.
2 Unplug the Y-piece with integrated neonatal
flow sensor (B) from the breathing hoses.
CO2 sensor
A
Dismantling the pneumatic medication
nebulizer
C B
E D C 175
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 195
Cleaning, Disinfection and Sterilization
Reprocessing the CO2 sensor and test filter Disconnecting the breathing circuit
1 Wipe off any dirt, particularly inside and outside
the windows, using a soft disposable tissue and
cotton swabs.
2 Reprocess the CO2 sensor and test filter in ac-
cordance with the reprocessing list,
A
see page 202. A
057
cotton swabs, under running water if necessary.
1 Remove the breathing hoses from the inspirato-
2 Reprocess the reusable cuvette in accordance
ry port and the expiratory port (A).
with the reprocessing list, see page 202.
CAUTION
Disposable cuvettes When removing the breathing hoses, always hold
them at the connection sleeve and not at the spiral
z Dispose of disposable cuvettes for each patient,
ribbing! Otherwise, the breathing hose may be
at the latest weekly.
damaged.
196 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Cleaning, Disinfection and Sterilization
Dismantling Infinity ID neonatal 3 Remove the collection container (D) from the
expiratory valve water trap. Empty the collection container. Note
the hospital hygiene regulations!
1 Remove the silencer (B) from the expiratory – Failure of both supply gases
valve. – Complete failure of the electrical supply (failure
of mains power supply and discharged or defec-
2 Remove the diaphragm (C). tive internal batteries)
D
046
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 197
Cleaning, Disinfection and Sterilization
036
C
197
198 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Cleaning, Disinfection and Sterilization
Reprocessing methods
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 199
Cleaning, Disinfection and Sterilization
Cleaning manually The test showed good material compatibility and ef-
fectiveness for the following disinfectants:
The user must be sure to observe the manufactur-
er’s information on the cleaning agent exactly. Surface disinfectant (for device surfaces)
– Buraton 10F manufactured by Schülke & Mayr
1 Wash off soiling on surface under running wa-
ter. Instrument disinfectant (for components or acces-
sories):
2 Use cleaning agents in accordance with manu-
– Korsolex extra manufactured by Bode Chemie
facturers specifications. Make sure that all sur-
(concentration: 3 %, contact time: 15 minutes)
faces to be cleaned can be efficiently reached
(e.g. inside hoses). Use suitable brushes if nec- The composition of the disinfectant is the responsi-
essary. bility of the manufacturer and can change over
time.
Do not use any brushes for the flow sensor. Ob-
serve related instructions for use.
Disinfecting surfaces
Keep spring-loaded valves open (water trap,
pneumatic medication nebulizer).
WARNING
3 Rinse parts sufficiently under running water un- Penetrating liquid may impair the correct
til no cleaning agent residues can be recog- functioning of the device or damage the de-
nized. vice and endanger the patient! Only disinfect
4 Inspect parts for visible soiling and damage. parts by wiping and make sure no liquids pen-
Repeat manual cleaning if necessary. etrate into the device.
5 Using an ultrasonic bath improves the cleaning z Following manual cleaning, carry out surface
results. disinfection.
z Remove disinfectant residues.
Manual disinfection
Disinfecting components or accessories
Manual disinfection can be carried out preferably 1 Disinfect parts by immersing.
with disinfectants based on aldehydes or quaterna-
ry ammonia compounds. The effectiveness of the 2 Sufficiently rins parts under running water until
disinfectants to be used must be proven. Observe no disinfectant residues can be recognized.
the applicable country-specific listings. The list of 3 Inspect parts for visible soiling and damage.
the Association for Applied Hygiene (VAH List) ap- Repeat manual disinfection if necessary.
plies in German-speaking countries. The user must
be sure to observe the manufacturer’s information 4 Shake off all excess water. Allow parts to dry
on the disinfectant exactly. thoroughly.
Disinfectants
The material compatibility and effectiveness of var-
ious disinfectants was tested for Dräger accesso-
ries to be reprocessed.
200 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Cleaning, Disinfection and Sterilization
Visual inspection
Sterilization
CAUTION
Do not sterilize parts in ethylene oxide! Ethylene
oxide may diffuse into the parts and cause dam-
age to health.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 201
Cleaning, Disinfection and Sterilization
Reprocessing list
CAUTION
For infectious patients, all parts that come into
contact with breathing gas also have to be steril-
ized after disinfection and cleaning.
202 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Cleaning, Disinfection and Sterilization
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 203
Cleaning, Disinfection and Sterilization
Assembling parts
B
D
A
072
073
ratory valve housing.
3 Turn the locking ring (D) as far as it will go to the
right until it clicks audibly into place.
4 Check that it is properly secured by gently pull-
ing on the expiratory valve.
5 Close the flap.
C
040
204 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Cleaning, Disinfection and Sterilization
A
C
E
B
C
190
189
2 Insert the adapter (A) of the diaphragm into the 2 Turn the inspiratory unit in clockwise direction
opening of the fitting (B). The adapter must be until the lock clicks into place.
able to slightly move up and down in the open-
3 Check whether the inspiratory unit is properly
ing.
engaged.
3 Position the diaphragm in such a way that it is in
the recesses (C) of the fitting.
Assembling accessories
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 205
Cleaning, Disinfection and Sterilization
206 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Maintenance
Maintenance
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 207
Maintenance
CAUTION
Disinfect and clean the device and its components
before all maintenance work, also before return-
ing device for repairs!
Ambient air filter (Babylog VN500) Clean or exchange after 4 weeks, see "Exchanging the
ambient air filter" on page 210.
Exchange after 1 year.
Dispose of with normal domestic waste.
Ambient air filter (PS500) Must be serviced in conjunction with annual inspections.
Gas supply unit GS500 Air filter of blower unit must be replaced annually by trained
service personnel.
Filter mat must be replaced annually by trained service
personnel.
Diaphragm of the expiratory valve Exchange after 1 year, see "Exchanging the diaphragm of
the expiratory valve" on page 210.
Dispose of with normal domestic waste.
Internal battery (Babylog VN500) Must be serviced in conjunction with annual inspections.
To be exchanged at the latest every 2 years by trained
service personnel.
Check capacity every year; have battery exchanged by
trained service personnel if necessary.
Internal batteries (PS500) Must be serviced in conjunction with annual inspections.
To be exchanged at the latest every 2 years by trained
service personnel.
Check capacity every year; have batteries replaced by
trained service personnel if necessary.
O2 filter (in the O2 gas inlet) To be exchanged every 6 years by trained service
personnel.
Air filter (in the Air gas inlet) To be exchanged every 2 years by trained service
personnel.
Device Inspection and Servicing Every year by trained service personnel.
Safety inspections Every year by trained service personnel. Scope see "Safety
inspections" on page 209.
208 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Maintenance
Safety inspections
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 209
Maintenance
A
B
035
Prerequisite: The expiratory valve has been re- 1 Remove the diaphragm (A).
moved, see "Removing the expiratory valve"
2 Fit the new diaphragm onto the edge of the ex-
on page 197.
piratory valve housing. Make sure that the dia-
phragm is fitted properly.
3 Dispose of used diaphragm with domestic
waste.
4 Fit the expiratory valve, see "Insert the
expiratory valve into the ventilation unit"
on page 45.
A
187
210 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Disposal
Disposal
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 211
Disposal
Disposal of batteries
WARNING
Risk of explosion! Do not throw in fire.
Risk of corrosion! Do not open using force.
212 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Disposal
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 213
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214 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Technical Data
Technical Data
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 215
Technical Data
Ambient conditions
During operation
Temperature 10 to 40 °C (50 to 104 °F)
Atmospheric pressure 700 to 1060 hPa (10.2 to 15.3 psi)
Rel. humidity 10 to 90 %, without condensation
During storage and transportation
Temperature –20 to 60 °C (–4 to 140 °F) without PS500
–15 to 40 °C (5 to 104 °F) with PS500
Atmospheric pressure 500 to 1060 hPa (7.3 to 15.3 psi)
Relative humidity 5 to 95 %, without condensation
Depending on the accessories used, more
stringent ambient conditions can apply. Obser-
ve the corresponding Instructions for Use.
Set values
216 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Technical Data
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 217
Technical Data
218 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Technical Data
Maneuver settings
Sigh pressure ΔintPEEP 0 to 20 mbar (or hPa or cmH2O)
Time interval between sighs Interval sigh 20 s to 180 min
Number of cycles for a sigh Cycles sigh 1 to 20 exhalations
Oxygen enrichment for suction maneuver
Factor for neonates 1 to 2
Factor for pediatric patients 1 to 2
Performance characteristics
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 219
Technical Data
220 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Technical Data
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 221
Technical Data
222 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Technical Data
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 223
Technical Data
Monitoring
224 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Technical Data
Monitoring (cont’d)
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 225
Technical Data
Operating data
Mains supply
Mains power connection without PS500 100 V to 240 V
50/60 Hz
Mains power connection with PS500 100 V to 127 V 50/60 Hz
220 V to 240 V 50 Hz
220 V to 240 V 60 Hz with extra potential equaliza-
tion
Current consumption
at 230 V max. 1.1 A Ventilation Unit with Medical Cockpit
max. 1.6 A with GS500
max. 2.3 A with PS500
max. 2.8 A with GS500 and PS500
at 100 V max. 2.5 A Ventilation Unit with Medical Cockpit
max. 3.7 A with GS500
max. 5.3 A with PS500
max. 6.5 A with GS500 and PS500
Power consumption
maximum 250 W Ventilation Unit with Medical Cockpit
370 W with GS500
525 W with PS500
645 W with GS500 and PS500
in operation, without charging of internal approx. 100 W Ventilation Unit with Medical Cock-
battery pit
approx. 180 W with GS500
approx. 130 W with PS500
approx. 210 W with GS500 and PS500
Device fuses
Range 100 V to 240 V F6.3H 250V IEC 60127-2/V (2 pcs.) Ventilation Unit
T1 250V 1.6A (2 pcs.) GS500
F10H 250V IEC 60127-2/V (2 pcs.) PS500
Protection class
Ventilation Unit Babylog VN500 Class I
Medical Cockpit Infinity C500
Gas Supply Unit GS500
Power Supply Unit PS500
CO2 sensor (sensor connected) Type BF
Proximal flow sensor (sensor connected) Type BF
226 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Technical Data
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 227
Technical Data
228 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Technical Data
Materials used
Breathing hose (reusable) Silicone rubber (milky, transparent)
Water trap (reusable) Polysulphone (gray, transparent)
Y-piece (reusable) Polysulphone (yellow, transparent)
Expiratory valve (housing, closure, nozzle Polyamide (white, blue)
Inspiratory unit, nozzle Polyamide (white, blue)
Diaphragm Silicone rubber and nickel (whitish and gray)
Reusable CO2 cuvette Polysulphone with sapphire windows (yellow, trans-
parent: adult cuvette; violet, transparent: pediatric
cuvette)
Disposable CO2 cuvette Styrene-butadiene copolymer SBC (transparent)
CO2 sensor and CO2 cable Polyurethane (gray/gray)
For Nurse call
Connection via cable 8417370 only
Floating DC contact
Input voltage 24 V DC max.
Input current 1 A DC max.
Switching capacity 15 W max.
Cable assignment 8417370 in alarm-free
situation 1
3
Cable 1 (normally open): white
Cable 2 (common): brown
Cable 3 (normally closed): green
Device ports
Outputs
V1 System cable
V2, V3 not used
V4 Nurse call
V5 Neonatal flow sensor
V6 not used
V7 CO2 sensor
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 229
Technical Data
V8 not used
V9 GS500
MEDIBUS protocol
Baud rate 1200, 2400, 4800, 9600, 19200, 38400 baud
(19200 and 38400 baud are required for transmit-
ting high-speed data, e.g. for the flow waveform)
Data bits 8
Parity even, odd, no
Stop bits 1 or 2
Pin assignment of COM1, COM2 and COM3
Pin 1 DCD
Pin 2 RXD
Pin 3 TXD
Pin 4 DTR
Pin 5 GND
Pin 6 DSR
Pin 7, 8 RTS/CTS
Pin 9 RI
Housing SHLD
Electrical isolation
V1 The port is not electrically isolated from the device
electronics.
V2, V3 not used
V4 The port is not electrically isolated from the device
electronics.
V5 The port is electrically isolated from the device
electronics (Type BF). The test voltage for electrical
isolation is 1500 V.
V6 not used
V7 The port is not electrically isolated from the device
electronics.
V8 not used
V9 The port is electrically isolated from the device
electronics. The test voltage for electrical isolation
is 500 V.
230 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Technical Data
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 231
Technical Data
Volume monitoring
232 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Technical Data
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 233
Technical Data
FiO2 monitoring
CO2 monitoring
234 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
Description
Measurements . . . . . . . . . . . . . . . . . . . . . . . . 266
Measurement principles . . . . . . . . . . . . . . . . . . 266
Airway pressure measurement. . . . . . . . . . . . . 267
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 235
Description
PC-CMV
PEEP
t
Ti
1
RR
Flow
t
without spontaneous with spontaneous breathing
breathing
200
Pressure-controlled ventilation
The upper pressure level is determined by Pinsp.
The duration of the mandatory breaths is deter-
mined by Ti. As in all pressure-controlled ventilation
modes, the tidal volume supplied depends on the
difference in pressure "Pinsp – PEEP", the lung
mechanics (resistance and compliance), and the
patient's respiratory drive. The pressure rise from
the lower pressure level PEEP to the upper pres-
sure level Pinsp is determined by the Slope or In-
sp. flow setting. The start setting can be configured
on the page System setup > Ventilation > Start
settings > Pressures, O2, I:E.
The mandatory breaths are time-cycled and are not
triggered by the patient. The number of mandatory
breaths is determined by the respiratory rate RR.
236 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
PC-SIMV
PEEP
t
Ti Trigger window for insp.
1 synchronization
RR
Flow
201
Pressure-controlled ventilation A mandatory breath can only be triggered within
a "trigger window" by the flow trigger in synchrony
The upper pressure level is determined by Pinsp.
with the patient's spontaneous inspiratory effort.
The duration of the mandatory breaths is deter-
This prevents the mandatory breath being applied
mined by Ti. As in all pressure-controlled ventilation
during expiration.
modes, the tidal volume supplied depends on the
difference in pressure "Pinsp – PEEP", the lung The trigger window is 1.5 seconds long. For expira-
mechanics (resistance and compliance) and the tory times shorter than 1.5 seconds, the trigger win-
patient's respiratory drive. The pressure rise from dow covers the entire expiratory time minus a re-
the lower pressure level PEEP to the upper pres- fractory period for the previous expiration.
sure level Pinsp is determined by the Slope or In-
The synchronization of the mandatory breath re-
sp. flow setting. The start setting can be configured
duces the expiratory time. Babylog VN500 pro-
on the page System setup > Ventilation > Start
longs the subsequent spontaneous breathing time
settings > Pressures, O2, I:E.
by the missing time. This prevents an increase of
the mandatory respiratory rate.
Synchronization
The number of mandatory breaths is determined by
The mandatory breaths can be triggered by the pa- the respiratory rate RR.
tient's inspiratory effort on PEEP level. By setting
the trigger level, the mandatory breaths can be syn-
chronized with the patient's inspiratory effort.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 237
Description
Pressure support
During spontaneous breathing on PEEP level, the
patient can be supported with PS. Every inspiratory
effort by the patient on PEEP level that meets the
trigger criteria triggers a pressure-supported
breath. By setting the trigger level, the patient's in-
spiratory efforts are synchronized. The time, num-
ber, and duration of pressure-supported breaths is
determined by the patient's spontaneous breathing.
As in all pressure-controlled ventilation modes, the
tidal volume supplied depends on the difference in
pressure "Psupp – PEEP", the lung mechanics (re-
sistance and compliance) and the patient's respira-
tory drive. The pressure rise from the lower pres-
sure level PEEP to the upper pressure level Psupp
is determined by the Slope or Insp. flow setting.
The start setting can be configured on the page
System setup > Ventilation > Start settings >
Pressures, O2, I:E.
The pressure support is terminated as soon as the
inspiratory flow falls below 15 % of the maximum
inspiratory flow.
The pressure support is also terminated as soon as
the duration of the support has reached the maxi-
mum inspiratory time. For intubated patients, the
maximum inspiratory time in the Ped. pat. patient
category is limited to 1.5 seconds. In the Neo. pa-
tient category, the maximum inspiratory time is lim-
ited to 130 % of Ti, maximum of 1.5 seconds.
238 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
PC-AC
Paw
fast slow
pressure rise pressure rise
Pinsp
PEEP
t
Ti Trigger window for
1 inspiratory synchronization
RR
Flow
202
Pressure-controlled ventilation previous expiration. The expiratory time is deter-
mined by the respiratory rate RR and the inspirato-
The upper pressure level is determined by Pinsp.
ry time Ti. A non-synchronized mandatory breath is
The duration of the mandatory breaths is deter-
triggered at the latest at the end of the expiratory
mined by Ti. As in all pressure-controlled ventilation
time (backup respiratory rate).
modes, the tidal volume supplied depends on the
difference in pressure "Pinsp – PEEP", the lung The minimal number of mandatory breaths is deter-
mechanics (resistance and compliance) and the mined by the respiratory rate RR.
patient's respiratory drive. The pressure rise from
the lower pressure level PEEP to the upper pres-
sure level Pinsp is determined by the Slope or In-
sp. flow setting. The start setting can be configured
on the page System setup > Ventilation > Start
settings > Pressures, O2, I:E.
Assisted-controlled ventilation
Every inspiratory effort of the patient on PEEP level
triggers a synchronized mandatory breath. Thus,
the time and number of mandatory breaths are de-
termined by the patient. The trigger window covers
the expiratory time minus a refractory period for the
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 239
Description
PC-PSV
PEEP
t
Flow
Inspiratory termination criterion
310
Pressure support start setting can be configured on the page System
setup > Ventilation > Start settings > Pressures,
During spontaneous breathing on PEEP level, the
O2, I:E.
patient can be supported with PS. The level of pres-
sure support is determined by Pinsp. Every inspira- The pressure support is terminated as soon as the
tory effort by the patient on PEEP level that meets inspiratory flow falls below 15 % of the maximum
the trigger criteria triggers a pressure-supported inspiratory flow, see "Inspiratory termination"
breath. By setting the trigger level, the patient's in- on page 252.
spiratory efforts are synchronized. The time, num-
The pressure support is also terminated as soon as
ber, and duration of pressure-supported breaths is
the duration of the support has reached the maxi-
determined by the patient's spontaneous breathing.
mum inspiratory time. For intubated patients, the
If the patient’s respiratory rate is less than the the
maximum inspiratory time in the Ped. pat. patient
set back-up respiratory rate RR or there is no
category is limited to 1.5 seconds. For the Neo. pa-
spontaneous breathing present, the system admin-
tient category, the maximum inspiratory time can be
isters time-cycled pressure-supported breaths with
set with Timax to a maximum of 1.5 seconds.
the respiratory rate RR.
In the Neo. patient category, this mode is not avail-
As in all pressure-controlled ventilation modes, the
able with non-invasive ventilation.
tidal volume supplied depends on the difference in
pressure "Pinsp – PEEP", the lung mechanics (re-
sistance and compliance) and the patient's breath-
ing drive. The pressure rise from the lower pressure
level PEEP to the upper pressure level Pinsp is
controlled by the Slope or Insp. flow setting. The
240 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
PC-MMV
PEEP
tt
Ti Trigger window
1
RR
Flow
Insp. flow
tt
MV
Set MV
Mandatory MV
Spontaneously breathed MV
t
No spontane- beginning sufficient
ous breathing spontaneous breathing spontaneous breathing
340
Pressure-controlled ventilation with volume In this case, the maximum applied pressure is lim-
guarantee ited to 5 mbar (5 cmH2O) below Paw high. If the
maximum pressure allowed is not enough to deliver
The tidal volume of the mandatory breaths is deter-
the set VT, Babylog VN500 generates an alarm.
mined by the volume VT. The duration of the man-
datory breaths is determined by Ti. The pressure MMV works similar to SIMV, however, the manda-
rise is determined by the Slope or Insp. flow set- tory breaths are only provided if spontaneous
ting. The maximum pressure that Babylog VN500 breathing is not sufficient and below the prescribed
uses is set via the Pmax therapy control. If Pmax is minimum ventilation. Should spontaneous breath-
not linked to the alarm limit Paw high, the pressure ing increase, fewer mandatory breaths will be pro-
can be limited using Paw high. vided. The minimum ventilation is determined by
the setting of the tidal volume VT and the respirato-
ry rate RR.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 241
Description
Pressure support
During spontaneous breathing on PEEP level, the
patient can be supported with PS. Every inspiratory
effort by the patient on PEEP level that meets the
trigger criteria triggers a pressure-supported
breath. By setting the trigger level, the patient's in-
spiratory efforts are synchronized. The time, num-
ber, and duration of pressure-supported breaths is
determined by the patient's spontaneous breathing.
As in all pressure-controlled ventilation modes, the
tidal volume supplied depends on the difference in
pressure "Psupp – PEEP", the lung mechanics (re-
sistance and compliance), and the patient's respira-
tory drive. The pressure rise from the lower pres-
sure level PEEP to the upper pressure level Psupp
is determined by the Slope or Insp. flow setting.
The start setting can be configured on the page
System setup > Ventilation > Start settings >
Pressures, O2, I:E.
The pressure support is terminated as soon as the
inspiratory flow falls below 15 % of the maximum
inspiratory flow.
The pressure support is also terminated as soon as
the duration of the support has reached the maxi-
mum inspiratory time. For intubated patients, the
maximum inspiratory time in the Ped. pat. patient
category is limited to 1.5 seconds. In the Neo. pa-
tient category, the maximum inspiratory time is lim-
ited to 130 % of Ti, maximum 1.5 seconds.
242 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
PC-HFO
Paw
MAPhf
t
Flow
311
Ventilation with high-frequency pressure oscilla-
tions enables gas to be exchanged in the lungs de-
spite very small tidal volumes (often in the dead
space volume range). While pressure amplitudes
may be considerable in the breathing circuit, only
small fluctuations occur around the mean pressure
in the lungs. The mechanical load due to periodic
expansion and relaxation of the lungs is low.
The mean pressure, around which the oscillations
occur, is determined by MAPhf. The pressure am-
plitude is set directly using the Ampl hf therapy
control. Here, Ampl hf is the difference between
the maximum and minimum pressure of the oscilla-
tion. The rate at which oscillations occur per sec-
ond is set with fhf. Depending on the oscillation fre-
quency fhf, there are up to three different I:E ratios
to choose from:
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 243
Description
PC-APRV
Paw
Phigh
Plow
t
Thigh
Tlow
Flow
203
The patient breathes spontaneously at a high pres- During the activation of AutoRelease, the duration
sure level Phigh for an adjustable length of time of pressure releases is determined by the expirato-
Thigh. For very short expiratory times Tlow, ry flow trace. The Exp. term. setting determines the
Babylog VN500 switches to a low pressure level percentage by which the expiratory flow must fall
Plow. The normal lung areas are emptied, but the short of in relation to the peak flow for the ventila-
"slow" lung areas only change volume to a lesser tion to return to the high pressure level.
extent*.
When AutoRelease is switched on, the change-
The number of pressure releases is determined by over from the upper pressure level Phigh to the
the Thigh and Tlow settings. The releases are lower pressure level Plow is synchronized with the
time-cycled and are not triggered by the patient. patient's spontaneous breathing.
The duration is determined by Tlow. The tidal vol-
The synchronization of the mandatory breath re-
ume exchanged during the release phases de-
duces the time on the upper pressure level.
pends on the difference in pressure Phigh – Plow,
Babylog VN500 prolongs the subsequent ventila-
the lung mechanics (resistance and compliance)
tion time on the upper pressure level by the missing
and the length of pressure release Tlow. The pres-
time. This prevents an increase in respiratory rate.
sure rise from the lower pressure level Plow to the
upper pressure level Phigh is determined by the
Slope or Insp. flow setting. The start setting can be
configured on the page System setup >
Ventilation > Start settings > Pressures, O2, I:E.
244 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
SPN-CPAP/PS
PEEP
t
Flow
Inspiratory termination criterion
209
When the pressure support is not switched on, the The pressure support is also terminated as soon as
patient's spontaneous breathing is merely support- the duration of the support has reached the maxi-
ed by an increased PEEP. mum inspiratory time. For intubated patients, the
maximum inspiratory time in the Ped. pat. patient
During spontaneous breathing on PEEP level, the
category is limited to 1.5 seconds. For the Neo. pa-
patient can be supported with PS. Every inspiratory
tient category, the maximum inspiratory time can be
effort by the patient on PEEP level that meets the
set with Timax to a maximum of 1.5 seconds.
trigger criteria triggers a pressure-supported
breath. The time, number, and duration of pres-
sure-supported breaths is determined by the pa-
tient's spontaneous breathing.
As in all pressure-controlled ventilation modes, the
tidal volume supplied depends on the difference in
pressure "Psupp – PEEP", the lung mechanics (re-
sistance and compliance) and the patient's respira-
tory drive. The pressure rise from the lower pres-
sure level PEEP to the upper pressure level Psupp
is determined by the Slope or Insp. flow setting.
The start setting can be configured on the page
System setup > Ventilation > Start settings >
Pressures, O2, I:E.
The pressure support is terminated as soon as the
inspiratory flow falls below 15 % of the maximum
inspiratory flow.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 245
Description
SPN-CPAP/VS
Paw
PEEP
t
Inspiratory termination criterion
Flow
210
For volume support VS, every inspiratory effort by port, the support pressure is automatically adjusted
the patient on PEEP level that meets the trigger cri- to changes in lung conditions (resistance and com-
teria triggers a volume-supported breath. By setting pliance) and to the spontaneous breathing demand
the trigger level, the patient's inspiratory efforts are of the patient.
synchronized. The time, number, and duration of
If Paw high is linked to the therapy control
volume-supported breaths is determined by the pa-
Pmax, set the maximum pressure that can be
tient's spontaneous breathing. The pressure rise is
applied with the Pmax setting!
determined by the Slope or Insp. flow setting. The
start setting can be configured on the page System If Paw high is not linked to the Pmax therapy
setup > Ventilation > Start settings > Pressures, control, always set the Paw high alarm limit so
O2, I:E. that Babylog VN500 generates an alarm in the
event of an increase in airway pressure due to
The volume support is terminated as soon as the
reduced compliance. The maximum pressure
inspiratory flow falls below 15 % of the maximum
that can be applied is limited to 5 mbar
inspiratory flow.
(5 cmH2O) below the upper alarm limit.
The volume support is also terminated as soon as
the duration of the support has reached the maxi-
mum inspiratory time. For intubated patients, the
maximum inspiratory time in the Ped. pat. patient
category is limited to 1.5 seconds. For the Neo. pa-
tient category, the maximum inspiratory time can be
set with Timax to a maximum of 1.5 seconds.
The set tidal volume of the supported breaths is
reached through the automatically selected pres-
sure level of the volume support. With volume sup-
246 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
SPN-PPS
VT
t
Paw
PEEP
Inspiration Expiration t
VT
t
Paw
PEEP
Inspiration Expiration t 224
In ventilation mode SPN-PPS, Babylog VN500 The degree of support in PPS mode can be set sep-
supports the patient's spontaneous breathing in arately according to the resistive and elastic com-
proportion to the inspiratory effort. If the patient ponents. The amount of resistive unloading by
breathes strongly, Babylog VN500 supports this ef- Babylog VN500 is determined by the user through
fort with high pressure support. If the patient has the resistive Flow Assist component. The amount
shallow breathing, Babylog VN500 reacts with low of elastic unloading taken over by Babylog VN500
pressure support. Mechanical support is omitted al- is determined by the user through the elastic Vol.
together if there is no spontaneous breathing. Mo- Assist component. This support is only effective
nitoring of apnea and minute volume must there- during inspiration.
fore be set appropriately.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 247
Description
248 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
Apnea Ventilation
Paw
Start of Apnea Ventilation
Spontaneous breathing
with pressure support
PEEP
t
Apnea alarm time 1
Tapn RRapn
Flow
317
For Babylog VN500 to be able to detect an apnea, Apnea ventilation is terminated by touching the
neonatal flow measurement must function and neo- Apn. Vent. reset button. Babylog VN500 continues
natal flow monitoring must be activated. ventilating in the previously set ventilation mode.
Changing the ventilation mode or additional set-
Babylog VN500 detects an apnea when no expira-
tings, e.g., PS, also terminates apnea ventilation.
tory flow is measured or insufficient inspiratory gas
is delivered during the set apnea alarm time Tapn. If an apnea situation generating an alarm occurs
If apnea ventilation is activated, Babylog VN500 again during apnea ventilation, this indicates that
starts volume-guaranteed ventilation with the venti- the apnea ventilation respiratory rate RRapn has
lation parameters RRapn and VTapn. The inspira- been set too low in relation to apnea alarm time
tory time for apnea ventilation is determined from Tapn.
the set apnea respiratory rate RRapn and a fixed
I:E ratio of 1:2.
Automatic return from apnea ventilation
The patient can breathe spontaneously and the
If the Auto return from Apnea Vent. function is
mandatory breaths are synchronized with the pa-
configured, Babylog VN500 automatically switches
tient's spontaneous breathing. The apnea ventila-
to the previous ventilation mode when sufficient
tion respiratory rate RRapn remains constant.
spontaneous breathing is resumed. The following
Babylog VN500 provides synchronized intermittent
conditions must be met:
mandatory ventilation.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 249
Description
250 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
Flow trigger
Paw
Spontaneous
breathing
PEEP
t
Flow
Trigger threshold
t
230
With the Flow trigger trigger threshold, the manda-
tory breaths are synchronized with the inspiratory
efforts. The start setting of the flow trigger can be
configured on the the page System setup >
Ventilation > Start settings > VT, RR, Trigger.
Spontaneous breathing activity by the patient is in-
dicated on screen by the brief appearance of the
symbol.
The flow trigger is automatically leakage compen-
sated.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 251
Description
Inspiratory termination
Paw
t
Start of inspiration End of inspiration
Flow
228
For spontaneous breaths supported with PS, VS
and PPS , the length of inspiration is determined by
the inspiratory termination criterion. Inspiratory ter-
mination specifies at which percentage of the peak
inspiratory flow expiration is to start.
This value is set at 15 % by default and is automat-
ically leakage compensated.
252 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
Sigh
ΔintPEEP
PEEP
t
220
Atelectasis can be prevented by activating the sigh
function and setting the sigh in the form of an inter-
mittent PEEP. The purpose of expiratory sigh is to
open collapsed areas of the lung or to keep open
"more dependent" areas of the lung.
The sigh function can be activated in all ventilation
modes with mandatory breaths, except for PC-
APRV. When the sigh function is activated, the end-
expiratory pressure PEEP increases by the set val-
ue of the intermittent PEEP.
The time between the two sigh phases can be set
with the therapy control Interval sigh.
The therapy control Cycles sigh controls how
many respiratory cycles are covered by the sigh
phase. The average airway pressure is higher, and
a longer filling time is normally available.
In pressure-controlled ventilation, the inspiratory
pressures Pinsp, Psupp increase by the amount
ΔintPEEP.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 253
Description
HFO-Sigh
Paw
Psigh
MAPhf
t
Flow Tisigh
313
RRsigh determines how often per minute the sigh
is to occur. A conventional pressure-controlled
breath is applied with the pressure Psigh. The du-
ration of this breath is set with Tisigh. The high-fre-
quency oscillations are discontinued for at least
150 ms prior to the sigh and are resumed 250 ms
after the sigh. The high-frequency oscillations start
with an expiration.
Rise time and rise form of the sigh are determined
by the configuration Slope adjustment (Slope or
Insp. flow).
The sigh can also be triggered with the Man. in-
sp./hold function. The duration of the sigh is deter-
mined by touching and holding the Man. insp./hold
button.
254 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
Volume Guarantee
Paw
Paw high
Pinsp = RR (VT, C)
PEEP
t
Ti Te
1
Flow RR
VT
without spontaneous
breathing with spontaneous breathing
225
With the Volume Guarantee additional setting, the If Pmax is not linked to the alarm limit Paw high,
mandatory breaths are volume controlled. To apply Babylog VN500 increases Pinsp up to a maximum
the set tidal volume, Babylog VN500 controls the of 5 mbar (5 cmH2O) below the set alarm limit Paw
inspiratory plateau pressure Pinsp. high.
Changes in lung conditions (compliance, resis- Fluctuations in spontaneous breathing are also
tance) are compensated. The tidal volume of the compensated. The greater the patient’s inspiratory
mandatory breaths remains constant. efforts, the lower the pressure Babylog VN500
applies. Thus with Volume Guarantee,
Volume Guarantee can be switched on in the
Babylog VN500 always ventilates with just the right
PC-SIMV, PC-CMV, PC-AC and PC-PSV ventila-
pressure required for the tidal volume desired. The
tion modes. In the PC-MMV and SPN-CPAP/VS
pressure load on the lungs is limited to the extent
ventilation modes, volume guarantee is always
absolutely necessary.
available.
Without Volume Guarantee, the user must adjust
The advantage in contrast to time-cycled, pressure-
the inspiratory pressure to reach the tidal volume
limited ventilation, is that changes in lung condi-
desired.
tions (compliance, resistance) have no impact on
the tidal volume. If, for example, compliance in- The control works in the range PEEP + 0.1 mbar
creases, the inspiratory pressure decreases auto- (+ 0.1 cmH2O) to Pmax (or Paw high – 5 mbar
matically. If, for instance, compliance decreases, (5 cmH2O)) for spontaneous breaths. For triggered
then pressure rises but only up to the set pressure mandatory breaths, the control works in the range
limit Pmax. PEEP + 5 mbar (5 cmH2O) to Pmax (or Paw high
– 5 mbar (5 cmH2O)). Using the setting Pmax or
the alarm limit Paw high – 5 mbar (5 cmH2O), the
user limits the maximum pressure of the device.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 255
Description
The set tidal volume cannot be applied under these If the flow sensor fails, ventilation is continued with
conditions: the pressure used last and Babylog VN500 gener-
– Pmax is insufficient ates an alarm.
– The inspiratory pressure pattern has no plateau
Set the alarm limits MV high and MV low appropri-
because the flow is too low or the inspiratory
ately in order to avoid excessive or insufficient flow
time Ti is too short.
following rapid changes in compliance. When using
A set inspiratory time Ti shorter than the lung filling Volume Guarantee, activate flow monitoring!
time can be recognized from the flow curve. The
flow at the end of the inspiratory time has not
Start-up procedure with volume guarantee
dropped to zero. In this case, it must be decided
whether the current condition of the patient permits On switching on the Volume Guarantee function,
prolongation of the inspiratory time Ti in order to re- Babylog VN500 applies the set tidal volume VT by
duce peak pressure further. This effect can also be delivering a pressure-controlled breath with an in-
caused during ventilation, e.g., due to a build-up of spiratory pressure of 5 mbar (5 cmH2O) above the
secretions. In this situation, the pressure is limited set PEEP. Babylog VN500 measures the applied
by Babylog VN500 as described. volume in this case and calculates an initial target
pressure for the set volume. The next mandatory
If the tidal volume measured is 90 % below the set
breath is applied with an inspiratory pressure that
tidal volume, Babylog VN500 generates an alarm.
corresponds to 75 % of this target pressure.
The control occurs gradually from breath to breath. Babylog VN500 measures the applied volume
The tidal volume is measured, then compared to again here and calculates a new target pressure for
the set tidal volume and a new plateau pressure is the set volume. The next mandatory breath is ap-
calculated for the next breath. After a change to the plied with this target pressure. As described above,
set tidal volume, the inspiratory pressure required the following mandatory breaths are changed in the
for this is reached after just a few breaths. inspiratory pressure so that the set volume is
reached on average.
In the Neo. patient category, the tidal volume mea-
sured on the expiratory side is taken as a basis for
the control. In the Ped. pat. patient category, the in-
spiratory tidal volume is used. If leakage compen-
Volume Guarantee (HFO)
sation is activated, the leakage-compensated tidal
volume is used for the control. With the volume guarantee of the high-frequency
oscillation (VG (HF)), Babylog VN500 calculates
The minimum inspiratory pressure for mandatory the amplitudes required to reach the set tidal vol-
non-triggered breaths is 5 mbar (5 cmH2O) above ume VThf. The Ampl hf therapy control is inactive
PEEP; for triggered mandatory and pressure- when volume guarantee is switched on. If the set
supported spontaneous breaths it is 0.1 mbar VThf is not reached, Babylog VN500 generates an
(0.1 cmH2O) above PEEP. alarm.
In case of major tube leakage, the actual tidal vol-
ume in the patient's lungs can (as in other ventila-
tion modes also) be larger than the tidal volume
measured on the expiratory side. Then the inspira-
tory and expiratory tidal volumes are different. If, in
the course of an inspiration, the delivered and mea-
sured VT exceeds the set VT by an amount depen-
dent on the actual leakage rate, Babylog VN500
terminates the inspiration and starts the expiration.
256 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
ATC
Paw
Pressure at Y-piece
Ptrach
Tracheal pressure
PEEP
t
Flow
226
ATC controls the airway pressure at the tracheal Calculating tracheal pressure
level. This function calculates and displays the tra-
Babylog VN500 calculates tracheal pressure on the
cheal pressure on the basis of a mathematical tube
basis of a square function of tube resistance and
model, the set tube type and the inside diameter of
patient flow.
the tube.
When tube compensation is activated, PTrachea = Paw – KTube x Flow2
Babylog VN500 displays the calculated tracheal PTrachea: Pressure in the trachea
pressure in the pressure curve together with the
pressure at the Y-piece as a line. Activated tube Paw: Pressure at the Y-piece of the breathing
compensation is indicated by ATC and the tube di- circuit
ameter in the page header bar. KTube: Tube coefficient (see table on page 259)
When selecting loops, tracheal pressure can also Flow: Patient flow
be selected as a parameter. Tracheal pressure can
also be displayed when tube compensation is de- Inspiration: Flow >0
activated, if the calculation of tracheal pressure Exspiration: Flow <0
was activated on the screen Start/Standby >
Tube/NIV and the tube type and diameter were en- The selected tube type and the inside diameter of
tered. Babylog VN500 uses this value for calculat- the tube must correspond with the real tube for cor-
ing leakage and determining lung mechanics, but rect calculation and display of the tracheal pres-
not for tube compensation. The selected degree of sure. This is required for correct tube compensa-
compensation is not considered when displaying tion.
tracheal pressure or when determining leakage and
lung mechanics.
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 257
Description
258 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 259
Description
AutoRelease
Paw
Start of Start of t
Flow exsp. insp.
t
AutoRelease Exp. term.
229
In ventilation mode PC-APRV, the duration of pres-
sure release is determined from the expiratory flow
curve when AutoRelease is activated. The Exp.
term. setting specifies when the ventilation returns
to the pressure level Phigh dependent on the de-
cline in percent of the peak expiratory flow. The
therapy control Tlow max limits the maximum du-
ration of pressure release.
When AutoRelease is switched on, the change-
over from the upper pressure level Phigh to the
lower pressure level Plow is synchronized with the
patient's spontaneous breathing.
The synchronization of the mandatory breath
reduces the time on the upper pressure level.
Babylog VN500 prolongs the subsequent ventila-
tion time on the upper pressure level by the missing
time.
260 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
Special procedures
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 261
Description
The C20/C index is a calculation of the compliance Graphic display of lung characteristics
of the last 20 % (C20) of a breath in relation to the
Smart Pulmonary View is a graphic display of lung
compliance (C) of the entire breath.
flexibility (compliance) and resistance of the air-
During a breath, Babylog VN500 determines con- ways (resistance).
tinuously the pressure applied and the resulting tid-
The representation corresponds to the displayed
al volume. The compliance of the last 20 % of a
measured values of the respective patient.
breath determined in this manner is set in propor-
tion to the total compliance. The display range of compliance is 0 to
400 mL/mbar (400 mL/cmH2O).
From the ratio determined, the following informa-
tion can be derived: The display range of resistance is 0 to 300 mbar/L/s
(300 cmH2O/L/s).
– C20/C <1: A decrease of compliance at the end
of the breath was detected. The lungs may be To detect an improvement or deterioration of the
overinflated. patient’s condition with regard to compliance and
resistance, it is possible to adapt the representation
– C20/C >1: An increase of compliance at the end
to the current values of the patient. One measuring
of the breath was detected. Tidal recruitment
range starts at 0 and goes to double the value of the
may be present.
current compliance; the other measuring range
– C20/C = 1: No change in compliance at the end starts at 0 and goes to double the value of the cur-
of a breath could be detected. The lungs are not rent resistance. After the adaptation, the measuring
overinflated, nor is tidal recruitment present. values determined are displayed as reference val-
ues with the time and date. In the graph, the current
The calculation of C20/C takes into account the ef-
values (calibration values) are displayed as an or-
fect of the resistance of the endotracheal tube used
ange broken line. The scales for compliance and
or the tracheostomy tube used. For this, the tube di-
resistance are adapted.
ameter is required. The correct diameter entry of
the tube used determines the quality of the C20/C The compliance and resistance measured respec-
index calculated. tively are displayed by thin or thick lines according-
ly.
The C20/C index is always displayed as long as a
correction delivers plausible results with regard to The point when the maximum value that is based
the resistance. If, for instance, a smaller tube diam- on the last calibration is reached is represented
eter was entered than that of the tube actually used, with a red line as a boundary. This indicates that the
a correction to the measured values may deliver an measured values determined can no longer be rep-
implausible result. In this case, no C20/C index is resented graphically. The measured values are be-
displayed. The parameter field remains empty. yond the display range. Babylog VN500 displays a
request for a new calibration.
The diaphragm is displayed schematically under-
neath the representation of the lung. The move-
ment of the diaphragm indicates synchronized
mandatory breaths or supported (triggered)
breaths.
262 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 263
Description
O2 Therapy
Flow reduction
If a disconnection is detected, flow delivery is re-
duced until after reconnection.
264 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 265
Description
Measurements
O2 measurement
A heating and a temperature sensor are positioned
in a homogeneous magnetic field which is periodi-
cally activated and deactivated. The thermal con-
ductivity of O2 changes due to the magnetic field.
The change in thermal conductivity is a measure for
the O2 concentration.
266 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
Airway pressure measurement During inspiration, the value measured by the expi-
ratory pressure sensor (Pexp) is raised relative to
Babylog VN500 measures the airway pressure in- the airway pressure by the amount of the pressure
directly by means of two internal pressure sensors. drop caused by the flow (normally
The sensors are installed in the inspiratory and ex- (Flowout ≤ Flowbf) through the expiratory line of the
piratory lines, thereby eliminating the need for an breathing circuit (Rexp):
external pressure measuring line between the Paw = Pexp + Rexp x Flowout
Y-piece and the device. As long as one side is with-
out flow, the measured value of the flowless pres- Paw: Airway pressure at the Y-piece
sure sensor corresponds to the airway pressure at
the Y-piece. Pexp: Airway pressure in expiratory breathing
hose
During ventilation, there is a constant basic flow.
Rexp: Flow resistance of the expiratory breath-
However, due to this constant basic flow, the zero-
ing hose
flow condition is never attained either on the in-
spiratory or expiratory side. The pressure mea- Flowout: Flow through the expiratory valve during
sured by the inspiratory pressure sensor varies with inspiration
the variations in airway pressure but is increased
by the pressure drop in the inspiratory line of the The hose resistances are determined by
breathing circuit. The pressure measured by the Babylog VN500 during the device check.
expiratory pressure sensor is reduced by the pres- The user can configure whether the setting occurs
sure drop in the expiratory line of the breathing cir- via the pressure ramp Slope with a basic flow of
cuit. These pressure differences are caused by the 6 L/min or with an adjustable inspiratory flow
flow resistance of the breathing circuit. Insp. flow and an expiratory basic flow of 6 L/min.
During expiration, the value measured at the in-
spiratory pressure sensor (Pinsp) is reduced by the
pressure drop caused by the basic flow (Flowbf) in
the inspiratory line of the breathing circuit (Rinsp):
Paw = Pinsp – Rinsp x Flowbf
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 267
Description
A 8 B 9 10 11
3 5 7 p 18 F
17 E 30 15
4 6 p CO2
E V 12
20 E E
2 19
28
13
27
23 24 G C 14 Air
O2
25 H E D Insp. gas
21 O2 p
E 29 Exp. gas
I 26 E 16
22 Nebulizer gas
198
1 Air gas inlet 16 Barometric pressure sensor
2 O2 gas inlet 17 Calibration valve for inspiratory pressure sensor
3 Air non-return valve 18 Inspiratory pressure sensor
4 O2 non-return valve 19 Calibration valve for expiratory pressure sensor
5 Air metering valve 20 Expiratory pressure sensor
6 O2 metering valve 21 O2 sensor
7 Tank 22 Nebulizer outlet
8 Mixed gas metering valve 23 Air pressure regulator
9 Safety valve 24 O2 pressure regulator
10 Emergency expiratory valve 25 Nebulizer mixer valve
11 Emergency breathing valve 26 Nebulizer changeover valve
12 Patient's lungs 27 Ejector changeover valve
13 Expiratory valve 28 Ejector
14 Non-return valve 29 Silencer
15 Neonatal flow sensor 30 CO2 sensor
268 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
A Gas mixture and gas metering assembly neous breathing. The neonatal flow sensor (15)
measures the inspiratory flow and the expiratory
B Inspiratory unit assembly
flow in accordance with the hot-wire anemometry
C Expiratory unit assembly measurement principle. Therefore the measured
flow is a mass flow (NTPD).
D Silencer
The ejector (28) generates the negative pressure
E Barometric pressure sensor
required for the HFO mode. For this purpose, the
F Pressure measurement assembly ejector valve (27) supplies the driving gas (medica-
tion nebulization assembly/ Ejector drive (I).
G Calibration assembly
To reduce disruptive noises, the flow is passed be-
H O2 sensor
hind the expiratory valve (13) via the silencer (D,
I Medication nebulization assembly/Ejector drive 29) into the surrounding area.
The inspiratory unit, the expiratory valve and the si-
Description of the pneumatic mode of operation lencer assemblies can be detached from
Babylog VN500 for cleaning purposes.
Babylog VN500 consists of 9 pneumatic assem-
blies. The mass flow to volume flow conversion (BTPS)
requires knowledge of the ambient pressure. The
The gas mixture and dosage (A) assembly deliv-
ambient pressure is measured with the barometric
ers the time-variable flow of a gas mixture with ad-
pressure sensor (E, 16).
justable proportions of O2 and air. Gas from the
(central) gas supply enters the device via the gas The pressure in the breathing system is measured
inlet connections for O2 and air (1, 2). Two non-re- with two independent pressure sensors (18, 20)
turn valves (3, 4) prevent one gas from returning to that form the pressure measurement (F) assem-
the supply line of the other gas. The mixing of the bly. The pressure sensors are regularly zero cali-
gases takes place in the tank (7) and is controlled brated. For this, the pressure sensors are connect-
via two control valves (5, 6). The supplied inspirato- ed to ambient pressure via the two calibration
ry flow is controlled via a third control valve (8). valves (17, 19). The calibration valves form the cal-
ibration (G) assembly.
The inspiratory unit (B) assembly consists of the
safety valve (9) and two non-return valves (10, 11). The O2 sensor (H, 21) measures the inspiratory O2
In normal operation, the safety valve is closed so concentration based on a sidestream measure-
that the inspiratory flow is supplied to the patient ment principle. For calibration by the user during
(12) from the gas mixture and gas metering assem- the device check, the O2 sensor can be flushed with
bly. During other operating states, e. g., when pure O2 from the tank (7).
Babylog VN500 is in standby, the safety valve is
A pneumatic medication nebulizer can be connect-
open and enables spontaneous inspiration by the
ed to the nebulizer gas outlet (22) for medication
emergency breathing valve (11). The emergency
nebulization. Babylog VN500 provides an intermit-
expiratory valve (10) provides a second channel for
tent gas flow consisting of O2 and air to drive the
expiration when the expiratory valve (13) is
medication nebulizer. This guarantees that the de-
blocked.
viation of the set O2 concentration remains within
The expiratory valve (C) assembly consists of the the specified limits. The gas from the two gas inlet
expiratory valve (13) and a non-return valve (14). connections (1, 2) is throttled by the pressure regu-
The expiratory valve is a proportional valve and is lators (23, 24).
used to adjust the pressure in the breathing sys-
tem. In conjunction with the spring-loaded valve of
the emergency air outlet (10), the non-return valve
(14) prevents pendulum breathing during sponta-
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 269
Description
270 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
The following table lists the buttons of the main buttons are freely configurable and are assigned to
menu bar with the resulting dialog windows of the the respective group. The freely configurable but-
same name and the tabs. Touching a tab opens the tons open the corresponding page in the dialog win-
corresponding page. The dark gray buttons are al- dow or activate a function.
ways contained in the main menu bar. The white
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 271
Description
Day/Night
Freeze waveforms
Export screenshot
Main screen
Trends/Data... Trends
Graphics 1
Graphics 2
Table
Values
Customized data
Values 1
Values 2
Settings
Logbook
Export data
Logbook
Trends table
Customized data
Special procedures... Functions
Med. nebulization
Nebulization
O2 suction
Man. insp./hold
Sensors/ Neonatal flow
Parameters...
FiO2
CO2
Zero calib. on/off
Check sensor
Calibration
Neo. flow sensor
O2 sensor
CO2 sensor continue next page
272 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 273
Description
274 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Description
View 1
FiO2
Waveform Paw
Pmean
Waveform Flow MV
RR
View 2
FiO2
Waveform Paw
Pmean
MV
Waveform Flow
VT
Cdyn
Waveform Volume
R
View 3
C20/Cdyn
Loop Pressure Volume
R
Τau
% leak
088
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 275
Description
Literature references
276 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Index
Index
A B
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Bacterial filter . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Basic settings for ventilation . . . . . . . . . . . . . . . 76
Connect . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Battery
Additional buttons . . . . . . . . . . . . . . . . . . . . . . 146 Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . 212
Additional settings for ventilation . . . . . . . . . . . . 79 Internal . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Description . . . . . . . . . . . . . . . . . . . . . . . . . 249 PS500 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Start-up settings . . . . . . . . . . . . . . . . . . . . . 156 Before reuse . . . . . . . . . . . . . . . . . . . . . . . . . . 206
Ventilation parameters . . . . . . . . . . . . . . . . . 80 Body height/body weight . . . . . . . . . . . . . . . . . 60
Alarm – Cause – Remedy . . . . . . . . . . . . . . . . 165 Breathing circuit
Alarm history . . . . . . . . . . . . . . . . . . . . . . . . . . 114 Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Alarm limits Select . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Automatic setting . . . . . . . . . . . . . . . . . . . . 231 Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Configure start-up values . . . . . . . . . . . . . . 149 Breathing gas humidifier
Deactivate . . . . . . . . . . . . . . . . . . . . . . . . . 115 Connect . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
In the event of a power failure . . . . . . . . . . 115 Reprocess . . . . . . . . . . . . . . . . . . . . . . . . . 198
Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114 Select . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150 Breathing hoses
Alarm priorities . . . . . . . . . . . . . . . . . . . . . . . . . 112 Connect . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Alarm tone Disconnect . . . . . . . . . . . . . . . . . . . . . . . . 196
Set volume . . . . . . . . . . . . . . . . . . . . . . . . . 116
Suppress . . . . . . . . . . . . . . . . . . . . . . . . . . 116 C
Alarms
Acknowledge . . . . . . . . . . . . . . . . . . . . . . . 113 C20/C, Description . . . . . . . . . . . . . . . . . . . . . 262
Current alarms . . . . . . . . . . . . . . . . . . . . . . 113 Check readiness for operation . . . . . . . . . . . . . 63
Display causes and remedies . . . . . . . . . . 113 Cleaning, disinfection, and sterilization . . . . . 193
Anti Air Shower CO2 monitoring
Switching on or off . . . . . . . . . . . . . . . . . . . 158 Activate . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Apnea ventilation Deactivate . . . . . . . . . . . . . . . . . . . . . . . . . 139
Description . . . . . . . . . . . . . . . . . . . . . . . . . 249 CO2 sensor
Switching auto return on or off . . . . . . . . . . 158 Calibrate . . . . . . . . . . . . . . . . . . . . . . . . . . 131
Switching on or off . . . . . . . . . . . . . . . . . . . 156 Check with test filter . . . . . . . . . . . . . . . . . 134
Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Check with test gas . . . . . . . . . . . . . . . . . . 134
Application mode Dismantle . . . . . . . . . . . . . . . . . . . . . . . . . 195
NIV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 Install . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Select . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 Performing calibration . . . . . . . . . . . . . . . . 135
Tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 Reprocess . . . . . . . . . . . . . . . . . . . . . . . . . 196
Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204 CO2 zero calibration . . . . . . . . . . . . . . . . . . . . 133
ATC Compressed air cylinders . . . . . . . . . . . . . . . . . 40
Description . . . . . . . . . . . . . . . . . . . . . . . . . 257 Configuration . . . . . . . . . . . . . . . . . . . . . . . . . 141
Switching on or off . . . . . . . . . . . . . . . . . . . 156 Configure interfaces . . . . . . . . . . . . . . . . . . . . 163
Automatic alarm limits . . . . . . . . . . . . . . . . . . . 231 Configure units of measurement . . . . . . . . . . 163
Automatic leakage compensation . . . . . . . . . . 265 Configuring alarm settings . . . . . . . . . . . . . . . 149
AutoRelease, description . . . . . . . . . . . . . . . . . 260 Configuring the screen display . . . . . . . . . . . . 142
Configuring units . . . . . . . . . . . . . . . . . . . . . . 163
Configuring ventilation settings . . . . . . . . . . . 151
Connection with other electrical equipment . . . . 8
Contraindications . . . . . . . . . . . . . . . . . . . . . . . 16
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 277
Index
278 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Index
L Non-Invasive Ventilation
Description . . . . . . . . . . . . . . . . . . . . . . . . 264
Lateral flaps on the device . . . . . . . . . . . . . . . . . 54 Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Leak rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265 Nurse call . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Leakage Compensation Connect . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Description . . . . . . . . . . . . . . . . . . . . . . . . . 265
Switching on or off . . . . . . . . . . . . . . . . . . . 158
Literature references . . . . . . . . . . . . . . . . . . . . 276 O
Locking of therapy controls . . . . . . . . . . . . . . . 148 O2 monitoring
Loops Activate . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
Evaluate . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86 Deactivate . . . . . . . . . . . . . . . . . . . . . . . . . 138
Reference loop . . . . . . . . . . . . . . . . . . . . . . 86 O2 sensor
Calibrate . . . . . . . . . . . . . . . . . . . . . . . . . . 130
M O2 therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Description . . . . . . . . . . . . . . . . . . . . . . . . 264
Machine cleaning and disinfection . . . . . . . . . . 199 Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Main menu bar . . . . . . . . . . . . . . . . . . . . . . . . . . 33 On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271 Set O2 and flow . . . . . . . . . . . . . . . . . . . . . 101
Main screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Observe the Instructions for Use . . . . . . . . . . . . 8
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . 8, 207 Operating Concept . . . . . . . . . . . . . . . . . . . . . . 32
Manual disinfection . . . . . . . . . . . . . . . . . . . . . 200 Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Manual inspiration . . . . . . . . . . . . . . . . . . . . . . . 92 Operation display of ventilation . . . . . . . . . . . . 19
Manual ventilation device . . . . . . . . . . . . . . . . . 13 Oxygen enrichment for suction maneuver . . . . 90
Measurement principles . . . . . . . . . . . . . . . . . 266
MEDIBUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Medication nebulization P
Description . . . . . . . . . . . . . . . . . . . . . . . . . 261 Password . . . . . . . . . . . . . . . . . . . . . . . . 142, 281
On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 Patient category . . . . . . . . . . . . . . . . . . . . . . . . 60
Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Patient monitoring . . . . . . . . . . . . . . . . . . . . 9, 13
Medication nebulizer . . . . . . . . . . . . . . . . . . . . . 24 Patient safety . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Dismantle . . . . . . . . . . . . . . . . . . . . . . . . . . 195 Pmax/Paw high autoset
Install . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94 Switching on or off . . . . . . . . . . . . . . . . . . 158
Preparing . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Pneumatic functional description . . . . . . . . . . 268
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . 23, 127 Pneumatic medication nebulizer . . . . . . . . . . . 93
Monitoring fields, change display . . . . . . . . . . . 85 Power failure alarm . . . . . . . . . . . . . . . . . . . . . 52
Monitoring functions . . . . . . . . . . . . . . . . . . . . . 23 Power on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Power supply unit
N Operation . . . . . . . . . . . . . . . . . . . . . . . . . 107
Preparation . . . . . . . . . . . . . . . . . . . . . . . . . 51
Nebulizer Aeroneb Pro MP 01 010 . . . . . . . . . . 97 Preparing Babylog VN500 . . . . . . . . . . . . . . . . 44
Neonatal flow monitoring . . . . . . . . . . . . . . . . . 139 Pressure-controlled ventilation modes . . . . . . . 77
Activate . . . . . . . . . . . . . . . . . . . . . . . . . . . 138 Previous patient . . . . . . . . . . . . . . . . . . . . . . . . 59
Deactivate . . . . . . . . . . . . . . . . . . . . . . . . . 137
Neonatal flow sensor
Calibrate . . . . . . . . . . . . . . . . . . . . . . . . . . 129 R
Dismantle . . . . . . . . . . . . . . . . . . . . . . . . . . 194 Range of functions . . . . . . . . . . . . . . . . . . . . . . 23
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . 213 Rear, Babylog VN500 . . . . . . . . . . . . . . . . . . . . 20
Install . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Reprocessing . . . . . . . . . . . . . . . . . . . . . . . . . 194
Replacing insert . . . . . . . . . . . . . . . . . . . . . . 49 Reprocessing list . . . . . . . . . . . . . . . . . . . . . . 202
Reprocess . . . . . . . . . . . . . . . . . . . . . . . . . 194 Reprocessing methods . . . . . . . . . . . . . . . . . . 199
Networking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Reusable cuvettes . . . . . . . . . . . . . . . . . . . . . 131
New patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 Reprocess . . . . . . . . . . . . . . . . . . . . . . . . . 196
Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 279
Index
S U
Safety inspections . . . . . . . . . . . . . . . . . . . . 8, 208 Uninterruptible power supply . . . . . . . . . . . . . 107
Screen text language . . . . . . . . . . . . . . . . . . . 162 Universal holder with standard rail . . . . . . . . . . 39
Screen view USB storage media . . . . . . . . . . . . . . . . . . . . 159
Change . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Configure . . . . . . . . . . . . . . . . . . . . . . . . . . 144 V
Select patient . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Select therapy type . . . . . . . . . . . . . . . . . . . . . . 69 Ventilation functions . . . . . . . . . . . . . . . . . . . . . 23
Selecting the cuvette type . . . . . . . . . . . . . . . . 131 Ventilation modes
Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128 Description . . . . . . . . . . . . . . . . . . . . . . . . 236
Service dialog . . . . . . . . . . . . . . . . . . . . . . . . . 164 Select . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Servicing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208 Ventilation parameters
Sigh, Description . . . . . . . . . . . . . . . . . . . . . . . 253 Exceed set limit . . . . . . . . . . . . . . . . . . . . . 35
Slope, configuring adjustment . . . . . . . . . . . . . 158 Linked setting . . . . . . . . . . . . . . . . . . . . . . . 35
Smart Pulmonary View . . . . . . . . . . . . . . . . . . . 88 Set directly . . . . . . . . . . . . . . . . . . . . . . . . . 35
Description . . . . . . . . . . . . . . . . . . . . . . . . . 262 Setting . . . . . . . . . . . . . . . . . . . . . . 34, 74, 75
Spontaneous breathing support . . . . . . . . . . . . 78 Volume guarantee
Standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102 Description . . . . . . . . . . . . . . . . . . . . . . . . 255
PS500 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Switching on or off . . . . . . . . . . . . . . . . . . 156
Start therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 Volume guarantee (HFO), description . . . . . . 256
Start-up settings . . . . . . . . . . . . . . . . . . . 152, 156
Sterilization . . . . . . . . . . . . . . . . . . . . . . . . . . . 201
Suction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
System cable
Connect . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Disconnect . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Fix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
System check . . . . . . . . . . . . . . . . . . . . . . . . . . 63
System overview
Babylog VN500 . . . . . . . . . . . . . . . . . . . . . . 19
Infinity Acute Care System . . . . . . . . . . . . . 18
Trolley 2 - 90 cm . . . . . . . . . . . . . . . . . . . . . 21
System settings . . . . . . . . . . . . . . . . . . . . . . . . 162
T
Tabular trend . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Test lung . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Therapy bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Therapy control . . . . . . . . . . . . . . . . . . . . . . . . . 34
Toggle switch
Babylog VN500 . . . . . . . . . . . . . . . . . . . . . . 50
PS500 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Transportation of patients . . . . . . . . . . . . . . . . . 54
Transportation of patients within the
hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Trends
Configure display . . . . . . . . . . . . . . . . . . . . 147
Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
Trolley, preparation . . . . . . . . . . . . . . . . . . . . . . 38
280 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n
Password for Babylog VN500
SW 2.n
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Password
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Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n 283
These Instructions for Use only apply to
Babylog VN500 SW 2.n
with the Serial No.:
If no Serial No. has been filled in by Dräger,
these Instructions for Use are provided for gen-
eral information only and are not intended for
use with any specific device or unit.
This document is provided for customer informa-
tion only, and will not be updated or exchanged
without customer request.
Manufacturer
9038982 – GA 6500.360 en
© Dräger Medical AG & Co. KG
1st edition – June 2009
Dräger Medical reserves the right to make mod-
ifications to the equipment without prior notice.