Operators Manual
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BeneVision N1 Patient Monitor
Operator’s Manual
© Copyright 2017-2022 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved. Release time: April 2022 Revision: 15.0
WARNING
• Federal Law (USA) restricts this device to sale by or on the order of a physician or other practitioner licensed by U.S. state law to use or order the use of this device.
BeneVision N1 Patient Monitor Operator’s Manual
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Intellectual Property Statement SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property rights to this Mindray product and this manual. This manual may refer to information protected by copyright or patents and does not convey any license under the patent rights or copyright of Mindray, or of others. Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden. Release, amendment, reproduction, distribution, rental, adaptation, translation or any other derivative work of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.
is the trademark, registered or otherwise, of Mindray in China and other countries. All other trademarks that appear in this manual are used only for informational or editorial purposes. They are the property of their respective owners. This posting serves as notice under 35 U.S.C.§287(a) for Mindray patents: http://www.mindrayna.com/patents.
Manufacturer’s Responsibility Contents of this manual are subject to changes without prior notice. Mindray is responsible for the effects on safety, reliability and performance of this product, only if: ■
all installation operations, expansions, changes, modifications and repairs of this product are conducted by Mindray authorized personnel;
■
the electrical installation of the relevant room complies with the applicable national and local requirements;
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the product is used in accordance with the instructions for use.
WARNING
• Only skilled/trained clinical professionals should operate this equipment. • It is important for the hospital or organization that uses this equipment to perform a recommended service/maintenance plan. Neglect of this may result in machine breakdown or personal injury.
Service Mindray maintains a network of service representatives and factory-trained distributors. Prior to requesting service, perform a complete operational check of the instrument to verify proper control settings. If operational problems continue to exist, contact Mindray service. In North America contact the Service Department at (800) 288-2121, ext: 8116 for Technical Support or (201) 995-8000 for assistance in determining the nearest field service location. Please include the instrument model number, the serial number, and a description of the problem with all requests for service. Any questions regarding the warranty should be directed to the local sales or service representative.
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BeneVision N1 Patient Monitor Operator’s Manual
Company Contact Manufacturer:
Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Address:
Mindray Building, Keji 12th Road South, High-tech Industrial Park, Nanshan, Shenzhen 518057, P.R.China
Website:
www.mindray.com
E-mail Address:
Tel:
+86 755 81888998
Fax:
+86 755 26582680
Distributor:
Mindray DS USA, Inc.
Address:
800 MacArthur Boulevard, Mahwah, New Jersey, 07430 USA
Tel:
1.800.288.2121, 1.201.995.8000
Website:
www.mindray.com
BeneVision N1 Patient Monitor Operator’s Manual
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Preface Manual Purpose This manual contains the instructions necessary to operate the product safely and in accordance with its function and intended use. Observance of this manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety. This manual is based on the maximum configuration and therefore some contents may not apply to the product. If you have any question, please contact Mindray. This manual is an integral part of the product. It should always be kept close to the equipment so that it can be obtained conveniently when needed.
Intended Audience This manual is geared for clinical professionals who are expected to have a working knowledge of medical procedures, practices and terminology as required for monitoring of patients.
Illustrations All illustrations in this manual serve as examples only. They may not necessarily reflect the setup or data displayed on the patient monitor.
Conventions
IV
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Italic text is used in this manual to quote the referenced manuals, chapters, sections and formulas.
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Bold text is used to indicate the screen texts and names of hard keys.
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→ is used to indicate operational procedures.
BeneVision N1 Patient Monitor Operator’s Manual
Contents 1 Safety ... 1 - 1 1.1 Safety Information ...1 - 1 1.1.1 Warnings ...1 - 1 1.1.2 Cautions ...1 - 2 1.1.3 Notes ...1 - 2 1.2 Equipment Symbols ...1 - 3 2 Equipment Introduction ... 2 - 1 2.1 Indications for Use ...2 - 1 2.2 Equipment Features ...2 - 1 2.3 Applied Parts ...2 - 1 2.4 Main Unit ...2 - 2 2.4.1 Front View ...2 - 2 2.4.2 Left View ...2 - 3 2.4.3 Right View ...2 - 4 2.4.4 Bottom View ...2 - 4 2.5 Modular Rack ...2 - 4 2.5.1 Left View ...2 - 5 2.5.2 Right View ...2 - 5 2.6 Dock ...2 - 6 2.6.1 Left View ...2 - 6 2.6.2 Right View ...2 - 6 2.6.3 Rear View ...2 - 7 2.7 External Parameter Modules ...2 - 7 2.8 Installation ...2 - 8 2.8.1 Installing the N1 or External Parameter Module into the Modular Rack ...2 - 8 2.8.2 Removing the N1 or External Parameter Module from the Modular Rack ...2 - 8 2.8.3 Installing the Modular Rack to the Dock ...2 - 9 2.8.4 Removing the Modular Rack from the Dock ...2 - 9 2.8.5 Installing the N1 to the Dock ...2 - 9 2.8.6 Removing the N1 from the Dock ... 2 - 10 2.9 N1 in Use with a Host Monitor ... 2 - 10 2.9.1 Connecting the N1 to the Host Monitor through the Module Rack ... 2 - 10 2.9.2 Connecting the N1 to the Host Monitor through the Satellite Module Rack (SMR) ... 2 - 11 2.9.3 Connecting the N1 to the Host Monitor through the Dock ... 2 - 11 2.10 N1 in Use with the Transport Dock ... 2 - 12 2.11 Input Devices ... 2 - 12 2.12 Printing Devices ... 2 - 12 3 Getting Started ... 3 - 1 3.1 Equipment Preparation Safety Information ...3 - 1 3.2 Monitor Installation ...3 - 1 3.2.1 Unpacking and Checking ...3 - 1 3.2.2 Environmental Requirements ...3 - 2
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3.3 Setting Up the Equipment ...3 - 2 3.3.1 Connecting the AC Mains ...3 - 2 3.3.2 Connecting the Input Devices ...3 - 3 3.3.3 Installing the External Parameter Module ...3 - 3 3.4 Turning on the Monitor ...3 - 3 3.5 Operation and Navigation ...3 - 4 3.5.1 Using the Touchscreen ...3 - 4 3.5.2 Using the On-Screen Keyboard ...3 - 4 3.5.3 Using the Barcode Reader ...3 - 5 3.6 Screen Display ...3 - 5 3.6.1 On-screen Symbols ...3 - 6 3.6.2 Dialogs ...3 - 7 3.6.3 Quick Keys of N1 ...3 - 7 3.7 Operating Modes ...3 - 8 3.7.1 Monitoring Mode ...3 - 8 3.7.2 Module Mode ...3 - 8 3.7.3 Privacy Mode ...3 - 8 3.7.4 Night Mode ...3 - 9 3.7.5 Standby Mode ... 3 - 10 3.7.6 Outdoor Mode ... 3 - 10 3.7.7 Discharge Mode ... 3 - 11 3.8 Configuring the Monitor ... 3 - 11 3.8.1 Setting the Date and Time ... 3 - 11 3.8.2 Adjusting the Screen Brightness ... 3 - 11 3.8.3 Adjusting the Key Volume ... 3 - 11 3.9 General Operation ... 3 - 11 3.9.1 Switching On or Off a Parameter ... 3 - 12 3.9.2 Displaying Parameter Numerics and Waveforms ... 3 - 12 3.9.3 Displaying the Parameter List ... 3 - 12 3.9.4 Accessing Parameter Setup Dialogs ... 3 - 12 3.9.5 Changing Measurement Colors ... 3 - 12 3.9.6 Choosing a Screen ... 3 - 13 3.9.7 Selecting the Big Numerics Screen ... 3 - 13 3.10 Initiating a Manual Event ... 3 - 13 3.11 Connecting the CMS ... 3 - 13 3.12 Connecting the eGateway ... 3 - 14 3.13 Connecting the Wireless Network ... 3 - 14 3.14 Disconnecting the Wireless Network ... 3 - 14 3.15 Turning Off the Monitor ... 3 - 14 4 Using the External Display ...4 - 1 4.1 Using the External Display ...4 - 1 4.1.1 Connecting the N1 to the External Display ...4 - 1 4.1.2 External Display Troubleshooting ...4 - 1 4.1.3 Quick keys of the independent external display ...4 - 2 4.1.4 Configuring the Displayed Quick Keys (only available when the N1 is used with the independent external display) ...4 - 3 4.2 Minitrends Screen ...4 - 3
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4.2.1 Entering the Minitrends Screen ...4 - 4 4.2.2 The Display of Minitrends Screen ...4 - 4 4.2.3 Viewing the Long Trends ...4 - 4 4.2.4 Setting Minitrends Parameters ...4 - 5 4.2.5 Setting the Minitrend Length ...4 - 5 4.2.6 Setting the Alarm Statistics Switch ...4 - 5 4.2.7 Setting the Alarm Statistics Duration ...4 - 5 4.2.8 Routine Vital/Baseline ...4 - 5 4.3 The OxyCRG Screen ...4 - 6 4.3.1 Entering the OxyCRG Screen ...4 - 6 4.3.2 The Display of the OxyCRG Screen ...4 - 6 4.3.3 OxyCRG Events ...4 - 6 4.3.4 The Display of the ABD Event Area ...4 - 7 4.3.5 Setting OxyCRG Parameters ...4 - 7 4.3.6 Setting the Threshold of ABD Events ...4 - 7 4.3.7 Editing ABD Events ...4 - 7 4.4 The Targeted Goal Screen ...4 - 7 4.4.1 Entering the Targeted Goal Screen ...4 - 8 4.4.2 The Display of the Targeted Goal Screen ...4 - 8 4.4.3 Configuring the Targeted Goal Screen Layout ...4 - 8 4.4.4 Setting Parameter Statistics ...4 - 9 4.4.5 Selecting the Range of each Parameter Section and the Target Section ... 4 - 10 4.4.6 Selecting the Statistics Duration of the Target Parameter ... 4 - 10 4.5 Remote View ... 4 - 10 4.5.1 Entering the Remote View Screen ... 4 - 10 4.5.2 About the Remote View ... 4 - 11 4.5.3 Adding a Bed ... 4 - 11 4.5.4 Removing a Bed ... 4 - 12 4.5.5 Displaying the Main Bed ... 4 - 12 4.5.6 Saving a Manual Event ... 4 - 12 4.5.7 Managing Alarms from Remote Devices ... 4 - 12 4.5.8 Resetting Alarms for Remote Devices ... 4 - 12 4.5.9 Selecting Beds By Care Group ... 4 - 12 4.5.10 Alarm Watch ... 4 - 13 4.5.11 Auto Displaying the Alarm Bed ... 4 - 13 4.6 Freezing Waveforms ... 4 - 14 4.6.1 Freezing Waveforms ... 4 - 14 4.6.2 Viewing Frozen Waveforms ... 4 - 14 4.6.3 Unfreezing Waveforms ... 4 - 14 4.6.4 Printing Frozen Waveforms ... 4 - 14 5 Managing Patients ... 5 - 1 5.1 Starting Monitoring a Patient ...5 - 1 5.2 Admitting a Patient ...5 - 1 5.2.1 Entering the Patient Management Dialog ...5 - 1 5.2.2 Editing Patient Information ...5 - 1 5.2.3 Loading Patient Information from the CMS ...5 - 2 5.2.4 Loading Patient Information from the ADT Server ...5 - 2 5.3 Transferring Patient ...5 - 3
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5.4 Exporting Patient Data ...5 - 3 5.5 Deleting Patient Data ...5 - 3 5.6 Stopping a Parameter Measurement ...5 - 3 5.7 Discharging a Patient ...5 - 3 6 Alarms ...6 - 1 6.1 Alarm Introduction ...6 - 1 6.2 Alarm Safety Information ...6 - 1 6.3 Understanding the Alarms ...6 - 1 6.3.1 Alarm Categories ...6 - 1 6.3.2 Alarm Priorities ...6 - 1 6.3.3 Alarm Indicators ...6 - 2 6.3.4 Alarm Status Symbols ...6 - 3 6.4 Accessing On-screen Help for Technical Alarms (AlarmSight) ...6 - 3 6.5 Checking the Physiological Alarms List ...6 - 3 6.6 Changing Alarm Settings ...6 - 3 6.6.1 Setting Parameter Alarm Properties ...6 - 3 6.6.2 Changing the Alarm Volume ...6 - 4 6.6.3 Setting the Auto Limits for New Patient Switch ...6 - 4 6.6.4 Initiating Auto Alarm Limits ...6 - 5 6.6.5 Setting the Apnea Delay Time ...6 - 7 6.6.6 Switching On or Off V-Tach Latching ...6 - 7 6.6.7 Restoring the Default Alarm Settings ...6 - 7 6.6.8 Setting the Length of Printed Waveforms ...6 - 7 6.7 Pausing Alarms/Pausing Alarm Tones ...6 - 8 6.7.1 Pausing Alarms ...6 - 8 6.7.2 Pausing Alarm Sound ...6 - 8 6.8 Resetting Alarms ...6 - 9 6.8.1 Resetting Physiological Alarms ...6 - 9 6.8.2 Resetting Technical Alarms ...6 - 9 6.9 Latching Alarms ...6 - 9 6.10 CPB Mode ... 6 - 10 6.10.1 Entering the CPB Mode ... 6 - 10 6.10.2 Exiting the CPB Mode ... 6 - 10 6.11 Intubation Mode ... 6 - 10 6.11.1 Entering the Intubation Mode ... 6 - 10 6.11.2 Exiting the Intubation Mode ... 6 - 10 6.12 Testing Alarms ... 6 - 11 7 Monitoring ECG, Arrhythmia, ST and QT ... 7 - 1 7.1 ECG Introduction ...7 - 1 7.2 ECG Safety Information ...7 - 1 7.3 ECG Display ...7 - 2 7.4 Preparing for ECG Monitoring ...7 - 2 7.4.1 Preparing the Patient Skin ...7 - 2 7.4.2 Applying Electrodes and Connecting the Patient ...7 - 2 7.4.3 Lead Wire Color Code ...7 - 3
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7.4.4 ECG Electrode Placements ...7 - 3 7.4.5 Choosing the ECG Lead Type ...7 - 6 7.4.6 Checking Paced Status ...7 - 6 7.4.7 Enabling Pacer Rejection ...7 - 6 7.5 Changing ECG Settings ...7 - 7 7.5.1 Choosing an ECG Screen ...7 - 7 7.5.2 Setting ECG Alarm Properties ...7 - 7 7.5.3 Changing ECG Wave Settings ...7 - 7 7.5.4 Disabling the Smart Lead Off Function ...7 - 9 7.5.5 Adjusting the QRS Volume ...7 - 9 7.5.6 Adjusting the Minimum QRS Detection Threshold ...7 - 9 7.6 Monitoring Arrhythmia ... 7 - 10 7.6.1 Arrhythmia Safety Information ... 7 - 10 7.6.2 Arrhythmia Events ... 7 - 10 7.6.3 Displaying Arrhythmia Information ... 7 - 11 7.6.4 Changing Arrhythmia Settings ... 7 - 11 7.6.5 Intelligent Arrhythmia Alarm ... 7 - 13 7.7 ST Segment Monitoring ... 7 - 15 7.7.1 ST Safety Information ... 7 - 15 7.7.2 Enabling ST Monitoring ... 7 - 15 7.7.3 Displaying ST Deviation Numerics ... 7 - 15 7.7.4 Displaying ST Segments in the Waveform Area ... 7 - 16 7.7.5 Entering the ST View ... 7 - 17 7.7.6 Saving the Current ST Deviation and Segment as Baseline ... 7 - 17 7.7.7 Entering the ST Graphic (only available when the N1 is used with the independent external display) ... 7 - 18 7.7.8 Changing ST Settings ... 7 - 18 7.7.9 Adjusting ST Measurement Points ... 7 - 19 7.8 QT/QTc Interval Monitoring ... 7 - 20 7.8.1 QT/QTc Monitoring Limitations ... 7 - 20 7.8.2 Enabling QT/QTc Monitoring ... 7 - 20 7.8.3 Displaying QT Numerics and Segments ... 7 - 21 7.8.4 Entering the QT View ... 7 - 21 7.8.5 Saving the Current QTc as Baseline ... 7 - 22 7.8.6 Changing QT Settings ... 7 - 22 7.9 ECG Relearning ... 7 - 22 7.9.1 Auto ECG Relearning ... 7 - 22 7.9.2 Initiating an ECG Relearning Manually ... 7 - 23 7.10 Defibrillation Synchronization Pulse Output ... 7 - 23 7.11 ECG Troubleshooting ... 7 - 23 8 Resting 12-Lead ECG Analysis ... 8 - 1 8.1 Resting 12-Lead ECG Analysis Introduction ...8 - 1 8.2 Entering the 12-Lead Screen ...8 - 1 8.3 Initiating Resting 12-Lead ECG Analysis ...8 - 1 8.4 Changing 12-Lead ECG Analysis Settings ...8 - 1 8.4.1 Setting the High Frequency Filter ...8 - 1 8.4.2 Setting the Baseline Drift Removal Filter ...8 - 1 8.4.3 Setting the 12-Lead Waveform Layout ...8 - 2 8.4.4 Editing Patient Information ...8 - 2
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8.4.5 Setting Tachycardia and Bradycardia Thresholds ...8 - 2 8.4.6 Setting the 12-Lead Interpretation Report ...8 - 3 8.5 Saving the 12-Lead Interpretation Report ...8 - 3 8.6 Printing the 12-Lead Interpretation Report ...8 - 3 8.7 Exiting the ECG 12-Lead Screen ...8 - 3 9 Monitoring Impedance Respiration (Resp) ...9 - 1 9.1 Resp Introduction ...9 - 1 9.2 Impedance Resp Safety Information ...9 - 1 9.3 Resp Display ...9 - 2 9.4 Preparing for Impedance Resp Monitoring ...9 - 2 9.4.1 Preparing the Patient ...9 - 2 9.4.2 Placing the Electrodes ...9 - 3 9.5 Changing Resp Settings ...9 - 4 9.5.1 Setting the Resp Alarm Properties ...9 - 4 9.5.2 Setting the RR Source ...9 - 4 9.5.3 Choosing the Respiration Lead ...9 - 4 9.5.4 Setting the Resp Waveform Size ...9 - 4 9.5.5 Setting the Resp Waveform Speed ...9 - 4 9.5.6 Setting the Auto Detection Switch ...9 - 5 9.5.7 Adjusting the Resp Waveform Detection Threshold ...9 - 5 10 Monitoring Pulse Oxygen Saturation (SpO2) ...10 - 1 10.1 SpO2 Introduction ... 10 - 1 10.2 SpO2 Safety Information ... 10 - 2 10.3 SpO2 Measurement Limitations ... 10 - 3 10.4 SpO2 Display ... 10 - 3 10.5 Preparing for SpO2 Monitoring ... 10 - 4 10.6 Changing the SpO2 Settings ... 10 - 4 10.6.1 Changing the SpO2 Alarm Settings ... 10 - 4 10.6.2 Nellcor SatSecondsTM Alarm Management ... 10 - 5 10.6.3 Setting SpO2 Sensitivity (for Masimo SpO2) ... 10 - 6 10.6.4 Enabling FastSAT (for Masimo SpO2) ... 10 - 6 10.6.5 Displaying SIQ (for Masimo SpO2) ... 10 - 7 10.6.6 Changing Averaging Time (for Masimo SpO2) ... 10 - 7 10.6.7 Monitoring SpO2 and NIBP Simultaneously ... 10 - 7 10.6.8 Changing the Sweep Speed of the Pleth Waveform ... 10 - 7 10.7 Changing the PR Settings ... 10 - 7 10.7.1 Changing the PR Alarm Settings ... 10 - 7 10.7.2 Changing the QRS Volume ... 10 - 8 10.7.3 Setting the PR Source ... 10 - 8 10.7.4 Showing/Hiding PR ... 10 - 8 10.8 SpO2 Troubleshooting ... 10 - 8 10.9 Nellcor Information ... 10 - 9 10.10 Masimo Information ... 10 - 9 10.11 Masimo End-User License Agreement ...10 - 10 11 Monitoring Temperature (Temp) ...11 - 1
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BeneVision N1 Patient Monitor Operator’s Manual
11.1 Temperature Introduction ... 11 - 1 11.2 .Temperature Safety Information ... 11 - 1 11.3 Temperature Display ... 11 - 1 11.4 Preparing for Temperature Monitoring ... 11 - 1 11.5 Changing Temperature Settings ... 11 - 2 11.5.1 Setting the Temperature Alarm Properties ... 11 - 2 11.5.2 Selecting the Temperature Label ... 11 - 2 11.5.3 Displaying the Temperature Difference ... 11 - 2 11.6 Temperature Troubleshooting ... 11 - 2 12 Monitoring Noninvasive Blood Pressure (NIBP) ...12 - 1 12.1 NIBP Introduction ... 12 - 1 12.2 NIBP Safety Information ... 12 - 1 12.3 NIBP Measurement Limitations ... 12 - 2 12.4 Measurement Modes ... 12 - 2 12.5 NIBP Display ... 12 - 3 12.6 Preparing for NIBP Measurements ... 12 - 3 12.6.1 Preparing the Patient for NIBP Measurements ... 12 - 3 12.6.2 Placing the NIBP Cuff ... 12 - 4 12.7 Starting and Stopping NIBP Measurements ... 12 - 4 12.8 Changing NIBP Settings ... 12 - 5 12.8.1 Setting the NIBP Alarm Properties ... 12 - 5 12.8.2 Setting the Initial Cuff Inflation Pressure ... 12 - 5 12.8.3 Setting the NIBP Interval ... 12 - 5 12.8.4 Selecting NIBP Start Mode ... 12 - 5 12.8.5 Enabling the NIBP End Tone ... 12 - 6 12.8.6 Setting NIBP Sequence ... 12 - 6 12.8.7 Setting the NIBP Display Format ... 12 - 6 12.8.8 Setting the NIBP Alarm Limits Display Switch ... 12 - 6 12.8.9 Showing/Hiding PR ... 12 - 6 12.8.10 Correcting the NIBP Measurements ... 12 - 6 12.9 Assisting Venous Puncture ... 12 - 6 12.10 NIBP Troubleshooting ... 12 - 7 13 Monitoring Invasive Blood Pressure (IBP) ...13 - 1 13.1 IBP Introduction ... 13 - 1 13.2 IBP Safety Information ... 13 - 1 13.3 Preparing for IBP Monitoring ... 13 - 2 13.3.1 IBP Equipment to Patient Connection ... 13 - 2 13.3.2 Measuring an Invasive Blood Pressure ... 13 - 2 13.3.3 Zeroing the IBP transducer ... 13 - 3 13.4 Measuring ICP Using the Codman ICP Transducer ... 13 - 3 13.4.1 Zeroing the Codman ICP transducer ... 13 - 3 13.4.2 Measuring ICP ... 13 - 4 13.5 IBP Display ... 13 - 4 13.5.1 Overlapping IBP Waveforms ... 13 - 5 13.6 Changing IBP Settings ... 13 - 5
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13.6.1 Changing the IBP Alarm Settings ... 13 - 5 13.6.2 Changing the Pressure Label ... 13 - 5 13.6.3 Setting the Pressure Type for Display ... 13 - 6 13.6.4 Changing the Sensitivity ... 13 - 6 13.6.5 Setting the IBP Waveform ... 13 - 6 13.6.6 Setting the Display Format of Artery Pressure ... 13 - 7 13.6.7 Showing/Hiding the Alarm Limits of Artery Pressure ... 13 - 7 13.6.8 Setting the Use PA-D as PAWP Switch (only available when the N1 is used with the independent external display) ... 13 - 7 13.6.9 Enabling PPV Measurement ... 13 - 7 13.7 PAWP (only available when the N1 is used with the independent external display) ... 13 - 8 13.7.1 PAWP Equipment to Patient Connection ... 13 - 8 13.7.2 Preparing to Measure PAWP ... 13 - 8 13.7.3 Measuring PAWP ... 13 - 9 13.7.4 Setting the Waveforms of the PAWP Screen ...13 - 10 13.7.5 Performing Hemodynamic Calculation (only available when the N1 is used with the independent external display) ...13 - 10 13.8 IBP Troubleshooting ...13 - 10 14 Monitoring Carbon Dioxide (CO2) ...14 - 1 14.1 CO2 Introduction ... 14 - 1 14.2 Identifying CO2 Modules ... 14 - 1 14.3 CO2 Safety Information ... 14 - 2 14.4 CO2 Measurement Limitations ... 14 - 2 14.5 CO2 Display ... 14 - 3 14.6 Measuring CO2 Using the Sidestream/Microstream CO2 Module ... 14 - 3 14.6.1 Preparing to Measure CO2 Using the Sidestream CO2 Module ... 14 - 3 14.6.2 Preparing to Measure CO2 Using the Microstream CO2 Module ... 14 - 5 14.6.3 Zeroing the Sidestream/Microstream CO2 Module ... 14 - 6 14.7 Changing Settings for All CO2 Modules ... 14 - 6 14.7.1 Changing CO2 Alarm Settings ... 14 - 6 14.7.2 Setting the CO2 Waveform ... 14 - 6 14.7.3 Setting the RR Source ... 14 - 6 14.7.4 Entering the Standby Mode ... 14 - 7 14.7.5 Entering the Intubation Mode ... 14 - 7 14.7.6 Setting the Auto Standby ... 14 - 7 14.7.7 Setting Humidity Compensation ... 14 - 7 14.8 Setting the Gas Compensation ... 14 - 8 14.9 Choosing a Time Interval for Peak-Picking ... 14 - 8 14.10 Performing the Leakage Test ... 14 - 8 14.11 CO2 Calibration ... 14 - 9 14.12 Test Method Used to Determine the Respiration Rate Measuring Range ... 14 - 9 14.13 CO2 Troubleshooting ... 14 - 9 14.13.1 Troubleshooting the Sidestream/Microstream CO2 Module ... 14 - 9 14.14 Oridion Information ... 14 - 9 15 Review ...15 - 1 15.1 Review Overview ... 15 - 1
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BeneVision N1 Patient Monitor Operator’s Manual
15.2 Review Dialog ... 15 - 1 15.2.1 Accessing the Review Dialog ... 15 - 1 15.2.2 Example Review Dialog ... 15 - 1 15.2.3 Symbols on Review Pages ... 15 - 2 15.2.4 Common Operations ... 15 - 2 15.2.5 Tabular Trends Review Page ... 15 - 2 15.2.6 Graphics Trends Review Page ... 15 - 4 15.2.7 Events Review Page ... 15 - 5 15.2.8 Full Disclosure Review Page ... 15 - 6 15.2.9 OxyCRG Review Page (available when the N1 is used with the independent external display) ... 15 - 8 15.2.10 12-Lead ECG Review Page ... 15 - 9 15.3 Reviewing Discharged Patients ... 15 - 9 15.3.1 Checking the Data of a Discharged Patient ...15 - 10 15.3.2 Checking the Information of a Discharged Patient ...15 - 10 16 Clinical Assistive Applications (CAA) (available when the N1 is used with the independent external display) ...16 - 1 16.1 Checking Software Licenses ... 16 - 1 16.2 Early Warning Score (EWS) ... 16 - 1 16.2.1 Displaying the EWS Numerics Area ... 16 - 2 16.2.2 Accessing the EWS Screen ... 16 - 2 16.2.3 Performing EWS Scoring ... 16 - 4 16.2.4 Changing EWS Settings ... 16 - 4 16.2.5 Viewing Historical Scores ... 16 - 5 16.2.6 Viewing Parameter Trends ... 16 - 5 16.3 Glasgow Coma Scale (GCS) ... 16 - 5 16.3.1 Displaying the GCS Parameter Area ... 16 - 6 16.3.2 Accessing the GCS Dialog ... 16 - 6 16.3.3 Performing GCS Scoring ... 16 - 7 16.3.4 Setting GCS Scoring Interval ... 16 - 7 16.3.5 Reviewing GCS Trend Data ... 16 - 7 16.4 SepsisSightTM ...16 - 7 16.4.1 Accessing the SepsisSight Dialog ... 16 - 8 16.4.2 Screening ... 16 - 8 16.4.3 Recommendations ... 16 - 9 16.4.4 Reviewing SepsisSight Trend Data ... 16 - 9 17 Calculation (only available when the N1 is used with the independent external display) ...17 - 1 17.1 Calculation Overview ... 17 - 1 17.2 Calculation Safety Information ... 17 - 1 17.3 Drug Calculations ... 17 - 1 17.3.1 Performing Drug Calculations ... 17 - 1 17.3.2 Checking the Titration Table ... 17 - 2 17.3.3 Drug Calculation Formula ... 17 - 2
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17.3.4 Titration Table Calculation Formula ... 17 - 2 17.4 Hemodynamic Calculations ... 17 - 3 17.4.1 Performing Hemodynamic Calculations ... 17 - 3 17.4.2 Input Parameters for Hemodynamic Calculations ... 17 - 3 17.4.3 Calculated Parameters and Formulas for Hemodynamic Calculations ... 17 - 3 17.5 Oxygenation Calculations ... 17 - 4 17.5.1 Performing Oxygenation Calculations ... 17 - 4 17.5.2 Input Parameters for Oxygenation Calculations ... 17 - 5 17.5.3 Calculated Parameters and Formulas for Oxygenation Calculations ... 17 - 5 17.6 Ventilation Calculations ... 17 - 6 17.6.1 Performing Ventilation Calculations ... 17 - 6 17.6.2 Input Parameters for Ventilation Calculations ... 17 - 6 17.6.3 Calculated Parameters and Formulas for Ventilation Calculations ... 17 - 6 17.7 Renal Calculations ... 17 - 7 17.7.1 Performing Renal Calculations ... 17 - 7 17.7.2 Calculated Parameters and Formulas for Renal Calculations ... 17 - 7 17.7.3 Calculated Parameters and Formulas for Renal Calculations ... 17 - 8 18 Printing ...18 - 1 18.1 Supported Printer ... 18 - 1 18.2 End Case Reports ... 18 - 1 18.2.1 Printing the End Case Report ... 18 - 1 18.2.2 Setting a Report as An End Case Report ... 18 - 1 18.2.3 Configuring the End Case Reports ... 18 - 1 18.2.4 Setting the End Case Report Period ... 18 - 2 18.3 Manually Starting a Printing Task ... 18 - 2 18.3.1 Printing from the Screen ... 18 - 2 18.3.2 Printing Realtime Reports ... 18 - 2 18.3.3 Printing Most Common Reports ... 18 - 2 18.4 Automatically Printing Reports ... 18 - 2 18.5 Stopping a Printing Task ... 18 - 3 18.6 Configuring Reports ... 18 - 3 18.6.1 Configuring ECG Reports ... 18 - 3 18.6.2 Configuring Realtime Reports ... 18 - 4 18.6.3 Configuring Tabular Trends Reports ... 18 - 4 18.6.4 Configuring Graphic Trends Reports ... 18 - 5 18.7 Viewing Printer Status ... 18 - 5 18.8 Printer Out of Paper ... 18 - 5 18.9 List of Reports ... 18 - 5 19 Using the On-Screen Timers ...19 - 1 19.1 Displaying Timers ... 19 - 1 19.2 Controlling the Timer ... 19 - 1 19.3 Setting the Timer ... 19 - 1 20 Managing Configurations ...20 - 1 20.1 Configuration Introduction ... 20 - 1
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BeneVision N1 Patient Monitor Operator’s Manual
20.2 Changing the Department ... 20 - 1 20.3 Setting Default Patient Category ... 20 - 1 20.4 Setting Default Configuration ... 20 - 1 20.5 ... Defining Age Segments 20 - 2 20.6 Saving Current Settings ... 20 - 2 20.7 Deleting a Configuration ... 20 - 2 20.8 Transferring a Configuration ... 20 - 3 20.8.1 Exporting a Configuration ... 20 - 3 20.8.2 Importing a Configuration ... 20 - 3 20.8.3 Loading a Configuration ... 20 - 3 20.9 Printing Configurations ... 20 - 3 20.10 Modifying Configuration Password ... 20 - 4 21 Password-protected User Settings ...21 - 1 21.1 Setting the Device Location ... 21 - 1 21.1.1 Setting Monitor Information ... 21 - 1 21.1.2 Setting Monitor Location ... 21 - 1 21.1.3 Enabling the Auto Obtain Bed Number Function ... 21 - 1 21.2 Changing Patient Management Settings ... 21 - 2 21.2.1 Selecting Displayed Patient Information ... 21 - 2 21.2.2 Setting the Range of Finding Patient ... 21 - 2 21.2.3 Auto Discharging a Patient after Monitor Power Off ... 21 - 2 21.2.4 Configuring Alarms for Auto Deleting Discharged Patients ... 21 - 2 21.2.5 Configuring Discharged Patients Data ... 21 - 3 21.2.6 Clearing All Patient Data ... 21 - 3 21.2.7 Selecting Query Criteria for Searching Patients in ADT Server ... 21 - 3 21.2.8 Setting Patient Location Options for the Discharge Screen ... 21 - 3 21.2.9 Hiding Patient Name ... 21 - 3 21.3 Changing the Alarm Settings ... 21 - 4 21.3.1 Setting Alarm Tone Properties ... 21 - 4 21.3.2 Setting Alarm Pausing and Resetting Properties ... 21 - 5 21.3.3 Defining the Pause Function ... 21 - 5 21.3.4 Latching Physiological Alarms ... 21 - 6 21.3.5 Changing Remote Alarm Settings ... 21 - 7 21.3.6 Changing Alarm Priority Settings ... 21 - 8 21.3.7 Changing Alarm Delay Settings ... 21 - 9 21.3.8 Adjusting the Alarm Light Brightness ...21 - 10 21.3.9 Changing Other Alarm Settings ...21 - 10 21.4 Changing CAA Settings (only available when the N1 is used with the independent external display) ...21 - 11 21.4.1 Enabling Inputing the Clinician ID ...21 - 11 21.4.2 Selecting the Default Scoring Tool ...21 - 11 21.4.3 Managing the Scoring Tools ...21 - 12 21.4.4 Setting GCS Threshold for Each Consciousness Level ...21 - 12 21.4.5 Changing SepsisSight Settings ...21 - 12 21.5 Changing Module Settings ...21 - 12 21.5.1 Selecting the ECG Standard ...21 - 12 21.5.2 Changing the QTc Formula ...21 - 12 21.5.3 Setting the 12-Lead Order Switch ...21 - 13
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21.5.4 Calibrating ECG ...21 - 13 21.5.5 Manually Zeroing the CO2 Module ...21 - 13 21.5.6 Hiding the Invalid Display after Zeroing the CO2 Module ...21 - 13 21.5.7 Setting Parameter Measurement Timeout ...21 - 14 21.5.8 Setting Flow Rate (For Sidestream CO2 Module Without O2) ...21 - 14 21.6 Changing the Review Settings ...21 - 14 21.6.1 Hiding Undesired Review Tabs ...21 - 14 21.6.2 Renaming Events ...21 - 14 21.6.3 Exporting Patient Data ...21 - 14 21.7 Setting the Printer ...21 - 15 21.7.1 Setting the Printer Properties ...21 - 15 21.7.2 Setting the Report Type ...21 - 15 21.7.3 Setting the Report Layout ...21 - 15 21.7.4 Setting Patient Information on 12-lead ECG Reports ...21 - 16 21.7.5 Configuring the Name of PDF Files ...21 - 16 21.7.6 Showing the Second Mark ...21 - 16 21.7.7 Setting Parameter Unit ...21 - 16 21.8 Setting the Time ...21 - 16 21.8.1 Setting the Time Synchronization ...21 - 16 21.8.2 Enabling Auto Daylight Savings Time ...21 - 17 21.9 Viewing Version Information ...21 - 17 21.10 Checking Battery Information ...21 - 17 21.11 Changing Scanner Settings ...21 - 18 21.11.1 Establish the Relationship between Patient Demographics and 2D Barcode Fields (for the Mindray Custom 2D Barcode Reader) ...21 - 18 21.11.2 Setting the Barcode Reader Information ...21 - 18 21.11.3 Identifying the Barcode Reader (for the non-Mindray Custom 2D Barcode Reader) ...21 - 18 21.11.4 Selecting Patient Information Read by the Barcode Reader (for the Mindray Custom 2D Barcode Reader) 21 - 18 21.12 Configuring the Network ...21 - 19 21.12.1 Network Safety Information ...21 - 19 21.12.2 Setting the Wireless Network ...21 - 20 21.12.3 Managing Certifications ...21 - 20 21.12.4 Enabling Selecting a CMS ...21 - 20 21.12.5 Adding CMSs ...21 - 20 21.12.6 Setting Multicast Parameters ...21 - 20 21.12.7 Setting the Master Server Address ...21 - 21 21.12.8 Setting the Network Service Quality Level ...21 - 21 21.12.9 Using the ADT Gateway ...21 - 21 21.12.10 Sending Realtime Data, Waveforms and Alarms via HL7 Protocol ...21 - 21 21.12.11 Selecting Data Encryption Type ...21 - 22 21.12.12 Disabling the Broadcasting Patient Demographics Function ...21 - 22 21.13 MLDAP ...21 - 22 21.13.1 Setting MLDAP ...21 - 22 21.13.2 Testing MLDAP Server Connection ...21 - 22 21.13.3 Selecting Password for User Authentication ...21 - 23 21.13.4 Setting the Password Timeout Period ...21 - 23 21.14 ...21 - 23 21.15 Setting the Dock...21 - 23
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BeneVision N1 Patient Monitor Operator’s Manual
21.15.1 Setting the Work Mode ...21 - 23 21.15.2 Setting the Net Setting Type ...21 - 24 21.15.3 Setting the Network of the Dock ...21 - 24 21.15.4 Setting the External Display ...21 - 25 21.16 Defining Other Functions ...21 - 25 21.16.1 Setting Notch Filter Frequency ...21 - 25 21.16.2 Setting Mouse Sensitivity ...21 - 26 21.16.3 Setting the Manual Event Edit Switch ...21 - 26 21.16.4 Setting the SpO2 Tone Mode ...21 - 26 21.16.5 Selecting the Language ...21 - 27 21.16.6 Switching On or Off a Parameter ...21 - 27 21.16.7 Setting If Setting Parameter Switches is Protected ...21 - 27 21.16.8 Setting If Parameter Switch is Influenced by Configuration ...21 - 27 21.16.9 Browsing System Log ...21 - 27 21.16.10 Exporting System Log ...21 - 27 21.16.11 Setting the Outdoor Mode ...21 - 28 22 Battery ...22 - 1 22.1 Battery Introduction ... 22 - 1 22.2 Battery Safety Information ... 22 - 1 22.3 Installing the Battery ... 22 - 1 22.4 Battery Indications ... 22 - 1 22.4.1 Battery LED ... 22 - 2 22.4.2 Battery symbols ... 22 - 2 22.4.3 Battery Power Indicator ... 22 - 2 22.4.4 Battery-related Alarms ... 22 - 2 22.5 Charging the Battery ... 22 - 3 22.6 Maintaining the Battery ... 22 - 3 22.6.1 Conditioning the Battery ... 22 - 3 22.6.2 Checking Battery Performance ... 22 - 3 22.7 Storing Batteries ... 22 - 4 22.8 Recycling Batteries ... 22 - 4 23 Care and Cleaning ...23 - 1 23.1 Care and Cleaning Introduction ... 23 - 1 23.2 Care and Cleaning Safety Information ... 23 - 1 23.3 Cleaning and Disinfecting the Equipment and Mounting Kits ... 23 - 2 23.3.1 Approved Cleaning and Disinfecting Agents ... 23 - 2 23.3.2 Cleaning the Equipment and Mounting Kits ... 23 - 3 23.3.3 Disinfecting the Equipment and Mounting Kits ... 23 - 3 23.4 Cleaning and Disinfecting the Accessories ... 23 - 3 23.4.1 Approved Accessories Cleaning and Disinfecting Agents ... 23 - 4 23.4.2 Cleaning the Accessories ... 23 - 5 23.4.3 Disinfecting the Accessories ... 23 - 5 23.5 Sterilization ... 23 - 5 24 Maintenance ...24 - 1 24.1 Maintenance Introduction ... 24 - 1
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24.2 Maintenance Safety Information ... 24 - 1 24.3 Maintenance and Testing Schedule ... 24 - 2 24.4 Checking System Software Version ... 24 - 2 24.5 Testing Methods and Procedures ... 24 - 2 24.5.1 Performing Visual Inspection ... 24 - 2 24.5.2 Performing Power-on Test ... 24 - 3 24.5.3 Testing the Network Printer ... 24 - 3 24.5.4 Checking the Battery ... 24 - 3 24.6 NIBP Maintenance ... 24 - 3 24.6.1 NIBP Leakage Test ... 24 - 3 24.6.2 NIBP Accuracy Test ... 24 - 3 24.7 Disposing of the Monitor ... 24 - 3 25 Accessories ...25 - 1 25.1 ECG Accessories ... 25 - 1 25.1.1 ECG Electrodes Available for Purchase ... 25 - 1 25.1.2 ECG Electrodes Also Compatible ... 25 - 1 25.1.3 12-Pin Trunk Cables Available for Purchase ... 25 - 2 25.1.4 12-Pin Trunk Cables Also Compatible ... 25 - 2 25.1.5 3-lead ECG Leadwires Available for Purchase ... 25 - 2 25.1.6 3-lead ECG Leadwires Also Compatible ... 25 - 3 25.1.7 5-lead ECG Leadwires Available for Purchase ... 25 - 3 25.1.8 5-lead ECG Leadwires Also Compatible ... 25 - 3 25.1.9 6-lead ECG Leadwires Available for Purchase ... 25 - 4 25.1.10 12-lead ECG Chest Leadwires Available for Purchase ... 25 - 4 25.1.11 12-lead ECG Leadwires Also Compatible ... 25 - 4 25.2 SpO2 Accessories ... 25 - 4 25.2.1 Extension Cables and Adapter Cables Available for Purchase ... 25 - 4 25.2.2 Extension Cables and Adapter Cables Also Compatible ... 25 - 4 25.2.3 Masimo SpO2 RD Set Sensors Available for Purchase ... 25 - 5 25.2.4 Masimo SpO2 LNCS Sensors Also Compatible ... 25 - 5 25.2.5 Nellcor SpO2 Sensors Also Compatible ... 25 - 5 25.3 Temp Accessories ... 25 - 6 25.3.1 Temp Cable Available for Purchase ... 25 - 6 25.3.2 Temp Cable Also Compatible ... 25 - 6 25.3.3 Temp Probes Available for Purchase ... 25 - 6 25.3.4 Temp Probes Also Compatible ... 25 - 6 25.4 NIBP Accessories ... 25 - 7 25.4.1 NIBP Hoses Available for Purchase... 25 - 7 25.4.2 Cuffs Available for Purchase ... 25 - 7 25.4.3 Cuffs Also Compatible ... 25 - 7 25.5 IBP Accessories ... 25 - 9 25.5.1 IBP Accessories Available for Purchase ... 25 - 9 25.5.2 ICP Accessories Available for Purchase ... 25 - 9 25.5.3 ICP Accessories Also Compatible ... 25 - 9 25.6 CO2 Accessories ... 25 - 9 25.6.1 Sidestream CO2 Accessories Available for Purchase ... 25 - 9 25.6.2 Microstream CO2 Accessories Intended for Sale ...25 - 10
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BeneVision N1 Patient Monitor Operator’s Manual
25.6.3 Microstream CO2 Accessories Also Compatible ...25 - 10 25.7 External Modules ...25 - 10 25.8 Mount and Mounting Accessories ...25 - 11 25.9 Miscellaneous Accessories ...25 - 11 A Product Specifications ...A - 1 A.1 Monitor Safety Specifications ... A - 1 A.2 Physical Specifications ... A - 1 A.3 Environmental Specifications ... A - 1 A.4 Power Supply Specifications ... A - 2 A.4.1 External Power Supply Specifications ... A - 2 A.4.2 Battery Specifications ... A - 3 A.5 Display Specifications ... A - 3 A.6 Touchscreen Specifications ... A - 3 A.7 LEDs ... A - 4 A.7.1 Main Unit ... A - 4 A.7.2 Dock ... A - 4 A.7.3 Transport Dock ... A - 4 A.7.4 AC Adapter ... A - 4 A.8 Audio Indicator ... A - 4 A.9 Monitor Interface Specifications ... A - 4 A.9.1 Interface Specifications of the Main Unit ... A - 4 A.9.2 Interface Specifications of the Modular Rack ... A - 5 A.9.3 Interface Specifications of the Dock ... A - 5 A.10 Signal Outputs Specifications ... A - 5 A.11 Data Storage ... A - 6 A.12 Out-Of-Hospital Transport - Standards Compliance ... A - 6 A.13 Wi-Fi Specifications ... A - 7 A.13.1 Wi-Fi Technical Specifications (MSD45N) ... A - 7 A.13.2 Wi-Fi Performance Specifications ... A - 7 A.14 Measurement Specifications ... A - 8 A.14.1 ECG Specifications ... A - 8 A.14.2 Resp Specifications ...A - 11 A.14.3 SpO2 Specifications ...A - 11 A.14.4 PR Specifications ...A - 13 A.14.5 Temp Specifications ...A - 13 A.14.6 NIBP Specifications ...A - 14 A.14.7 IBP Specifications ...A - 16 A.14.8 CO2 Specifications ...A - 16 A.15 Software Specifications...A - 19 B EMC and Radio Regulatory Compliance ...B - 1 B.1 EMC ... B - 1 B.2 Radio Regulatory Compliance ... B - 4 C Default Settings ...C - 1 C.1 ECG, Arrhythmia, ST and QT Default Settings ... C - 1
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