BeneVision N22, N19, N17,N15, N12 Patient Monitor Operators Manual Ver 17.0 April 2022

© Copyright 2017-2022 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved. Release time: April 2022 Revision: 17.0

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 N22/N19/N17/N15/N12 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;

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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 N22/N19/N17/N15/N12 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:

[email protected]

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 N22/N19/N17/N15/N12 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

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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 N22/N19/N17/N15/N12 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 Applied Parts ...2 - 1 2.3 System Components ...2 - 2 2.3.1 N22, N19 Main Unit ...2 - 2 2.3.2 N22, N19 Displays ...2 - 4 2.3.3 N17, N15, N12 Main Unit ...2 - 7 2.3.4 Satellite Module Rack (SMR) ... 2 - 12 2.3.5 External Modules ... 2 - 12 2.3.6 Cable Management Kit ... 2 - 15 2.3.7 Input Devices ... 2 - 15 2.3.8 Printing Devices ... 2 - 16 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 - 2 3.2.2 Environmental Requirements ...3 - 2 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 Connecting the SMR ...3 - 3 3.3.4 Connecting Modules to the SMR ...3 - 3 3.3.5 Removing Modules from the SMR ...3 - 3 3.4 Turning on the Monitor ...3 - 4 3.5 Operation and Navigation ...3 - 4 3.5.1 Using the Touchscreen ...3 - 4 3.5.2 Using the On-Screen Keyboard ...3 - 5 3.5.3 Using the Navigation Knob (for N22/N19) ...3 - 5 3.5.4 Using the Barcode Reader ...3 - 5 3.5.5 Using the Remote Controller ...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 ...3 - 8 3.7 Operating Modes ... 3 - 10 3.7.1 Monitoring Mode ... 3 - 10 3.7.2 Privacy Mode ... 3 - 10

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3.7.3 Night Mode ... 3 - 11 3.7.4 Standby Mode ... 3 - 12 3.7.5 Discharge Mode ... 3 - 12 3.8 Configuring the Monitor ... 3 - 12 3.8.1 Setting the Screen Orientation (for N22 and N19) ... 3 - 13 3.8.2 Setting the Date and Time ... 3 - 13 3.8.3 Adjusting the Screen Brightness ... 3 - 13 3.8.4 Adjusting the Volume ... 3 - 13 3.9 General Operation ... 3 - 14 3.9.1 Switching On or Off a Parameter ... 3 - 14 3.9.2 Displaying Parameter Numerics and Waveforms ... 3 - 14 3.9.3 Displaying the Parameter List ... 3 - 14 3.9.4 Accessing Parameter Setup Dialogs ... 3 - 14 3.9.5 Changing Measurement Colors ... 3 - 15 3.10 Initiating a Manual Event ... 3 - 15 3.11 Freezing Waveforms ... 3 - 15 3.11.1 Freezing Waveforms ... 3 - 15 3.11.2 Viewing Frozen Waveforms ... 3 - 15 3.11.3 Unfreezing Waveforms ... 3 - 16 3.11.4 Printing Frozen Waveforms ... 3 - 16 3.12 N22 and N19 Secondary Display ... 3 - 16 3.12.1 Connecting the Secondary Display Power Supply (for N22/N19) ... 3 - 16 3.12.2 Setting the ECG Waveform Size for the Independent External Display (for N17/N15/N12) ... 3 - 16 3.13 Using the iView System ... 3 - 17 3.14 Capturing the Screen ... 3 - 17 3.15 Connecting the CMS ... 3 - 18 3.16 Connecting the eGateway ... 3 - 18 3.17 Connecting the Wireless Network ... 3 - 18 3.18 Disconnecting the Wireless Network ... 3 - 18 3.19 Turning Off the Monitor ... 3 - 19 4 User Screens ...4 - 1 4.1 Choosing a Screen ...4 - 1 4.2 Normal Screen ...4 - 1 4.2.1 Entering the Normal Screen ...4 - 1 4.2.2 Configuring the Normal Screen ...4 - 1 4.3 The Big Numerics Screen ...4 - 1 4.3.1 Entering the Big Numerics Screen ...4 - 1 4.3.2 Configuring the Big Numerics Screen ...4 - 2 4.4 Minitrends Screen ...4 - 2 4.4.1 Entering the Minitrends Screen ...4 - 2 4.4.2 The Display of Minitrends Screen ...4 - 3 4.4.3 Viewing the Long Trends ...4 - 3 4.4.4 Setting Minitrends Parameters ...4 - 3 4.4.5 Setting the Minitrend Length ...4 - 3 4.4.6 Setting the Alarm Statistics Switch ...4 - 4 4.4.7 Setting the Alarm Statistics Duration ...4 - 4

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BeneVision N22/N19/N17/N15/N12 Patient Monitor Operator’s Manual

4.4.8 Routine Vital/Baseline ...4 - 4 4.5 The OxyCRG Screen ...4 - 4 4.5.1 Entering the OxyCRG Screen ...4 - 4 4.5.2 The Display of the OxyCRG Screen ...4 - 5 4.5.3 OxyCRG Events ...4 - 5 4.5.4 The Display of the ABD Event Area ...4 - 6 4.5.5 Setting OxyCRG Parameters ...4 - 6 4.5.6 Setting the Threshold of ABD Events ...4 - 6 4.5.7 Editing ABD Events ...4 - 6 4.6 The Targeted Goal Screen ...4 - 6 4.6.1 Entering the Targeted Goal Screen ...4 - 6 4.6.2 The Display of the Targeted Goal Screen ...4 - 6 4.6.3 Configuring the Targeted Goal Screen Layout ...4 - 7 4.6.4 Setting Parameter Statistics ...4 - 8 4.6.5 Selecting the Range of each Parameter Section and the Target Section ...4 - 9 4.6.6 Selecting the Statistics Duration of the Target Parameter ...4 - 9 4.7 Remote View ...4 - 9 4.7.1 Entering the Remote View Screen ...4 - 9 4.7.2 About the Remote View ...4 - 9 4.7.3 Adding a Bed ... 4 - 10 4.7.4 Removing a Bed ... 4 - 11 4.7.5 Displaying the Main Bed ... 4 - 11 4.7.6 Saving a Manual Event ... 4 - 11 4.7.7 Managing Alarms from Remote Devices ... 4 - 11 4.7.8 Resetting Alarms for Remote Devices ... 4 - 11 4.7.9 Selecting Beds By Care Group ... 4 - 11 4.7.10 Alarm Watch ... 4 - 12 4.7.11 Auto Displaying the Alarm Bed ... 4 - 12 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 5.3.1 Data Storage Introduction ...5 - 3 5.3.2 Transferring Patient Data ...5 - 4 5.4 Exporting Patient Data ...5 - 4 5.5 Deleting Patient Data ...5 - 4 5.6 Stopping a Parameter Measurement ...5 - 5 5.7 Discharging a Patient ...5 - 5 6 Interfacing with External Devices ... 6 - 1 6.1 BeneLink Introduction ...6 - 1 6.2 BeneLink Safety Information ...6 - 1 6.3 Differences in Displayed Values ...6 - 2

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6.4 Connecting an External Device ...6 - 2 6.5 Accessing the Integrated Devices Screen ...6 - 3 6.6 Displaying Parameters from External Devices ...6 - 4 6.6.1 Setting Waveform Properties for Parameters from External Devices ...6 - 4 6.6.2 Setting Alarms from External Devices ...6 - 5 6.6.3 Setting Parameters from External Devices for Display ...6 - 5 6.6.4 Displaying Data from External Devices on the Main Screen ...6 - 5 6.6.5 Setting Units for Parameters from External Devices ...6 - 6 6.6.6 Accessing the Loops Screen ...6 - 6 6.7 Viewing Alarms from External Devices ...6 - 6 6.8 Viewing Parameter Trends from External Devices ...6 - 6 6.9 Recording and Printing Parameter Trends from External Devices ...6 - 6 7 Using with the Telemetry Monitor ...7 - 1 7.1 Introduction ...7 - 1 7.1.1 Pairing Procedure ...7 - 1 7.2 Binding the Telemetry with the Monitor ...7 - 2 7.3 Unpairing the Telemetry and the Monitor ...7 - 2 7.3.1 Unpairing the Telemetry and the Monitor via the Monitor ...7 - 2 7.3.2 Unpairing the Telemetry and the Monitor via the telemetry ...7 - 2 7.4 Troubleshooting ...7 - 3 8 Alarms ...8 - 1 8.1 Alarm Introduction ...8 - 1 8.2 Alarm Safety Information ...8 - 1 8.3 Understanding the Alarms ...8 - 1 8.3.1 Alarm Categories ...8 - 1 8.3.2 Alarm Priorities ...8 - 1 8.3.3 Alarm Indicators ...8 - 2 8.3.4 Alarm Status Symbols ...8 - 3 8.4 Accessing On-screen Help for Technical Alarms (AlarmSight) ...8 - 3 8.5 Checking the Physiological Alarms List ...8 - 3 8.6 Changing Alarm Settings ...8 - 3 8.6.1 Setting Parameter Alarm Properties ...8 - 3 8.6.2 Changing the Alarm Volume ...8 - 4 8.6.3 Setting the Auto Limits for New Patient Switch ...8 - 5 8.6.4 Initiating Auto Alarm Limits ...8 - 5 8.6.5 Setting the Apnea Delay Time ...8 - 8 8.6.6 Switching On or Off V-Tach Latching ...8 - 8 8.6.7 Restoring the Default Alarm Settings ...8 - 8 8.6.8 Setting the Length of Printed Waveforms ...8 - 8 8.7 Pausing Alarms/Pausing Alarm Tones ...8 - 8 8.7.1 Pausing Alarms ...8 - 8 8.7.2 Pausing Alarm Sound ...8 - 9 8.8 Resetting Alarms ... 8 - 10 8.8.1 Resetting Physiological Alarms ... 8 - 10 8.8.2 Resetting Technical Alarms ... 8 - 10

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8.9 Latching Alarms ... 8 - 10 8.10 Nurse Call ... 8 - 11 8.11 Calling for Help ... 8 - 11 8.11.1 Issuing the Call Help Signal ... 8 - 11 8.12 CPB Mode ... 8 - 11 8.12.1 Entering the CPB Mode ... 8 - 11 8.12.2 Exiting the CPB Mode ... 8 - 12 8.13 Intubation Mode ... 8 - 12 8.13.1 Entering the Intubation Mode ... 8 - 12 8.13.2 Exiting the Intubation Mode ... 8 - 12 8.14 Testing Alarms ... 8 - 12 9 Monitoring ECG, Arrhythmia, ST and QT ... 9 - 1 9.1 ECG Introduction ...9 - 1 9.2 ECG Safety Information ...9 - 1 9.3 ECG Display ...9 - 2 9.4 Preparing for ECG Monitoring ...9 - 2 9.4.1 Preparing the Patient Skin ...9 - 2 9.4.2 Applying Electrodes and Connecting the Patient ...9 - 2 9.4.3 Lead Wire Color Code ...9 - 3 9.4.4 ECG Electrode Placements ...9 - 3 9.4.5 Choosing the ECG Lead Type ...9 - 6 9.4.6 Checking Paced Status ...9 - 6 9.4.7 Enabling Pacer Rejection ...9 - 6 9.5 Changing ECG Settings ...9 - 7 9.5.1 Choosing an ECG Screen ...9 - 7 9.5.2 Setting ECG Alarm Properties ...9 - 7 9.5.3 Changing ECG Wave Settings ...9 - 7 9.5.4 Disabling the Smart Lead Off Function ...9 - 9 9.5.5 Adjusting the QRS Volume ...9 - 9 9.5.6 Adjusting the Minimum QRS Detection Threshold ...9 - 9 9.6 Monitoring Arrhythmia ... 9 - 10 9.6.1 Arrhythmia Safety Information ... 9 - 10 9.6.2 Arrhythmia Events ... 9 - 10 9.6.3 Displaying Arrhythmia Information ... 9 - 11 9.6.4 Changing Arrhythmia Settings ... 9 - 11 9.6.5 Intelligent Arrhythmia Alarm ... 9 - 13 9.7 ST Segment Monitoring ... 9 - 15 9.7.1 ST Safety Information ... 9 - 15 9.7.2 Enabling ST Monitoring ... 9 - 15 9.7.3 Displaying ST Deviation Numerics ... 9 - 15 9.7.4 Displaying ST Segments in the Waveform Area ... 9 - 16 9.7.5 Entering the ST View ... 9 - 17 9.7.6 Saving the Current ST Deviation and Segment as Baseline ... 9 - 17 9.7.7 Entering the ST Graphic ... 9 - 18 9.7.8 Changing ST Settings ... 9 - 18 9.7.9 Adjusting ST Measurement Points ... 9 - 19 9.8 QT/QTc Interval Monitoring ... 9 - 20

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9.8.1 QT/QTc Monitoring Limitations ... 9 - 20 9.8.2 Enabling QT/QTc Monitoring ... 9 - 20 9.8.3 Displaying QT Numerics and Segments ... 9 - 21 9.8.4 Entering the QT View ... 9 - 21 9.8.5 Saving the Current QTc as Baseline ... 9 - 22 9.8.6 Changing QT Settings ... 9 - 22 9.9 ECG Relearning ... 9 - 22 9.9.1 Auto ECG Relearning ... 9 - 22 9.9.2 Initiating an ECG Relearning Manually ... 9 - 23 9.10 Defibrillation Synchronization Pulse Output ... 9 - 23 9.11 ECG Troubleshooting ... 9 - 23 10 Resting 12-Lead ECG Analysis ...10 - 1 10.1 Resting 12-Lead ECG Analysis Introduction ... 10 - 1 10.2 Entering the 12-Lead Screen ... 10 - 1 10.3 Initiating Resting 12-Lead ECG Analysis ... 10 - 1 10.4 Changing 12-Lead ECG Analysis Settings ... 10 - 1 10.4.1 Setting the High Frequency Filter ... 10 - 1 10.4.2 Setting the Baseline Drift Removal Filter ... 10 - 1 10.4.3 Setting the 12-Lead Waveform Layout ... 10 - 2 10.4.4 Editing Patient Information ... 10 - 2 10.4.5 Setting Tachycardia and Bradycardia Thresholds ... 10 - 2 10.4.6 Setting the 12-Lead Interpretation Report ... 10 - 3 10.5 Saving the 12-Lead Interpretation Report ... 10 - 3 10.6 Printing the 12-Lead Interpretation Report ... 10 - 3 10.7 Exiting the ECG 12-Lead Screen ... 10 - 3 11 Monitoring Impedance Respiration (Resp) ...11 - 1 11.1 Resp Introduction ... 11 - 1 11.2 Impedance Resp Safety Information ... 11 - 1 11.3 Resp Display ... 11 - 2 11.4 Preparing for Impedance Resp Monitoring ... 11 - 2 11.4.1 Preparing the Patient ... 11 - 2 11.4.2 Placing the Electrodes ... 11 - 3 11.5 Changing Resp Settings ... 11 - 4 11.5.1 Setting the Resp Alarm Properties ... 11 - 4 11.5.2 Setting the RR Source ... 11 - 4 11.5.3 Choosing the Respiration Lead ... 11 - 4 11.5.4 Setting the Resp Waveform Size ... 11 - 4 11.5.5 Setting the Resp Waveform Speed ... 11 - 4 11.5.6 Setting the Auto Detection Switch ... 11 - 5 11.5.7 Adjusting the Resp Waveform Detection Threshold ... 11 - 5 12 Monitoring Pulse Oxygen Saturation (SpO2) ...12 - 1 12.1 SpO2 Introduction ... 12 - 1 12.2 SpO2 Safety Information ... 12 - 2 12.3 SpO2 Measurement Limitations ... 12 - 3 12.4 SpO2 Display ... 12 - 4

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BeneVision N22/N19/N17/N15/N12 Patient Monitor Operator’s Manual

12.5 Preparing for SpO2 Monitoring ... 12 - 4 12.6 Changing the SpO2 Settings ... 12 - 5 12.6.1 Changing the SpO2 Alarm Settings ... 12 - 5 12.6.2 Nellcor SatSecondsTM Alarm Management ... 12 - 5 12.6.3 Setting SpO2 Sensitivity (for Masimo SpO2) ... 12 - 6 12.6.4 Enabling FastSAT (for Masimo SpO2) ... 12 - 7 12.6.5 Displaying SIQ (for Masimo SpO2) ... 12 - 7 12.6.6 Changing Averaging Time (for Masimo SpO2) ... 12 - 7 12.6.7 Monitoring SpO2 and NIBP Simultaneously ... 12 - 8 12.6.8 Changing the Sweep Speed of the Pleth Waveform ... 12 - 8 12.7 Changing the PR Settings ... 12 - 8 12.7.1 Changing the PR Alarm Settings ... 12 - 8 12.7.2 Changing the QRS Volume ... 12 - 8 12.7.3 Setting the PR Source ... 12 - 8 12.7.4 Showing/Hiding PR ... 12 - 9 12.8 SpO2 Troubleshooting ... 12 - 9 12.9 Nellcor Information ...12 - 10 12.10 Masimo Information ...12 - 10 12.11 Masimo End-User License Agreement ...12 - 10 13 Monitoring Temperature (Temp) ...13 - 1 13.1 Temperature Introduction ... 13 - 1 13.2 Temperature Safety Information ... 13 - 1 13.3 Temperature Display ... 13 - 1 13.4 Preparing for Temperature Monitoring ... 13 - 2 13.5 Changing Temperature Settings ... 13 - 2 13.5.1 Setting the Temperature Alarm Properties ... 13 - 2 13.5.2 Selecting the Temperature Label ... 13 - 2 13.5.3 Displaying the Temperature Difference ... 13 - 2 13.6 Temperature Troubleshooting ... 13 - 3 14 Monitoring Noninvasive Blood Pressure (NIBP) ...14 - 1 14.1 NIBP Introduction ... 14 - 1 14.2 NIBP Safety Information ... 14 - 1 14.3 NIBP Measurement Limitations ... 14 - 2 14.4 Measurement Modes ... 14 - 2 14.5 NIBP Display ... 14 - 3 14.6 Preparing for NIBP Measurements ... 14 - 3 14.6.1 Preparing the Patient for NIBP Measurements ... 14 - 3 14.6.2 Placing the NIBP Cuff ... 14 - 4 14.7 Starting and Stopping NIBP Measurements ... 14 - 4 14.8 Changing NIBP Settings ... 14 - 5 14.8.1 Setting the NIBP Alarm Properties ... 14 - 5 14.8.2 Setting the Initial Cuff Inflation Pressure ... 14 - 5 14.8.3 Setting the NIBP Interval ... 14 - 5 14.8.4 Selecting NIBP Start Mode ... 14 - 5 14.8.5 Enabling the NIBP End Tone ... 14 - 6

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14.8.6 Setting NIBP Sequence ... 14 - 6 14.8.7 Setting the NIBP Display Format ... 14 - 6 14.8.8 Setting the NIBP Alarm Limits Display Switch ... 14 - 6 14.8.9 Showing/Hiding PR ... 14 - 6 14.8.10 Correcting the NIBP Measurements ... 14 - 6 14.9 Assisting Venous Puncture ... 14 - 6 14.10 NIBP Troubleshooting ... 14 - 7 15 Monitoring Invasive Blood Pressure (IBP) ...15 - 1 15.1 IBP Introduction ... 15 - 1 15.2 IBP Safety Information ... 15 - 1 15.3 Preparing for IBP Monitoring ... 15 - 2 15.3.1 IBP Equipment to Patient Connection ... 15 - 2 15.3.2 Measuring an Invasive Blood Pressure ... 15 - 2 15.3.3 Zeroing the IBP transducer ... 15 - 3 15.4 Measuring ICP Using the Codman ICP Transducer ... 15 - 3 15.4.1 Zeroing the Codman ICP transducer ... 15 - 3 15.4.2 Measuring ICP ... 15 - 4 15.5 IBP Display ... 15 - 4 15.5.1 Overlapping IBP Waveforms ... 15 - 5 15.6 Changing IBP Settings ... 15 - 5 15.6.1 Changing the IBP Alarm Settings ... 15 - 5 15.6.2 Changing the Pressure Label ... 15 - 5 15.6.3 Setting the Pressure Type for Display ... 15 - 6 15.6.4 Changing the Sensitivity ... 15 - 6 15.6.5 Setting the IBP Waveform ... 15 - 6 15.6.6 Setting the Display Format of Artery Pressure ... 15 - 7 15.6.7 Showing/Hiding the Alarm Limits of Artery Pressure ... 15 - 7 15.6.8 Setting the Use PA-D as PAWP Switch ... 15 - 7 15.6.9 Enabling PPV Measurement ... 15 - 7 15.7 PAWP ... 15 - 8 15.7.1 PAWP Equipment to Patient Connection ... 15 - 8 15.7.2 Preparing to Measure PAWP ... 15 - 8 15.7.3 Measuring PAWP ... 15 - 9 15.7.4 Setting the Waveforms of the PAWP Screen ...15 - 10 15.7.5 Performing Hemodynamic Calculation ...15 - 10 15.8 Connecting a Camino Device ...15 - 10 15.9 IBP Troubleshooting ...15 - 11 16 Monitoring Cardiac Output (C.O.) ...16 - 1 16.1 C.O. Introduction ... 16 - 1 16.2 C.O. Safety Information ... 16 - 1 16.3 C.O. Measurement Limitations ... 16 - 2 16.4 C.O. Display ... 16 - 2 16.5 C.O. Equipment to Patient Connection ... 16 - 3 16.6 Performing C.O. Measurement ... 16 - 3 16.6.1 Preparing for C.O. Measurement ... 16 - 3 16.6.2 Setting C.O. Measurement ... 16 - 3

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16.6.3 Performing C.O. Measurement ... 16 - 4 16.7 Changing C.O. Settings ... 16 - 5 16.7.1 Setting C.O. Alarm Properties ... 16 - 5 16.8 C.O. Troubleshooting ... 16 - 5 17 Monitoring Central Venous Oxygen Saturation (ScvO2) ...17 - 1 17.1 ScvO2 Introduction ... 17 - 1 17.2 ScvO2 Safety Information ... 17 - 1 17.3 ScvO2 Display ... 17 - 1 17.4 Accessing the On-screen ScvO2 Guide ... 17 - 2 17.5 ScvO2 Equipment to Patient Connection ... 17 - 2 17.6 Measuring ScvO2 ...17 - 2 17.7 ScvO2 Calibration ... 17 - 3 17.8 Accessing the HemoSight Dialog ... 17 - 3 17.9 Changing ScvO2 Settings ... 17 - 3 17.9.1 Changing ScvO2 Alarm Settings ... 17 - 3 17.9.2 Setting Hb or Hct ... 17 - 3 17.9.3 Inputting the SaO2 Value ... 17 - 4 18 Monitoring CCO/SvO2 ...18 - 1 18.1 CCO/SvO2 Introduction ... 18 - 1 18.2 CCO/SvO2 Safety Information ... 18 - 2 18.3 Connecting the Device ... 18 - 2 18.3.1 CCO/SvO2 Cable ... 18 - 2 18.3.2 Connecting to the Vigilance II Monitor ... 18 - 2 18.3.3 Connecting to the Vigileo Monitor ... 18 - 4 18.3.4 Connecting the EV1000 Monitor ... 18 - 5 18.3.5 Connecting the HemoSphere Monitor ... 18 - 5 18.4 Accessing the HemoSight dialog ... 18 - 6 18.5 Changing CCO Settings ... 18 - 6 18.5.1 Changing the CCO Alarm Settings ... 18 - 6 18.5.2 Setting Parameters for Display ... 18 - 6 18.5.3 Setting the CCO Analog Output Signal ... 18 - 7 18.6 Changing SvO2/ScvO2 Settings ... 18 - 7 18.6.1 Changing the SvO2/ScvO2 Alarm Settings ... 18 - 7 18.6.2 Setting the SvO2/ScvO2 Analog Output Signal ... 18 - 8 18.7 CCO/SvO2 Troubleshooting ... 18 - 9 19 Monitoring Carbon Dioxide (CO2) ...19 - 1 19.1 CO2 Introduction ... 19 - 1 19.2 Identifying CO2 Modules ... 19 - 1 19.3 CO2 Safety Information ... 19 - 2 19.4 CO2 Measurement Limitations ... 19 - 2 19.5 CO2 Display ... 19 - 2 19.6 Measuring CO2 Using the Sidestream/Microstream CO2 Module ... 19 - 3 19.6.1 Preparing to Measure CO2 Using the Sidestream CO2 Module ... 19 - 3

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19.6.2 Preparing to Measure CO2 Using the Microstream CO2 Module ... 19 - 4 19.6.3 Zeroing the Sidestream/Microstream CO2 Module ... 19 - 5 19.7 Changing Settings for All CO2 Modules ... 19 - 5 19.7.1 Changing CO2 Alarm Settings ... 19 - 5 19.7.2 Setting the CO2 Waveform ... 19 - 5 19.7.3 Setting the RR Source ... 19 - 6 19.7.4 Entering the Standby Mode ... 19 - 6 19.7.5 Entering the Intubation Mode ... 19 - 6 19.7.6 Setting the Auto Standby ... 19 - 6 19.7.7 Setting Humidity Compensation ... 19 - 7 19.8 Setting the Gas Compensation ... 19 - 7 19.9 Choosing a Time Interval for Peak-Picking ... 19 - 7 19.10 Performing the Leakage Test ... 19 - 7 19.11 CO2 Calibration ... 19 - 8 19.12 Test Method Used to Determine the Respiration Rate Measuring Range ... 19 - 8 19.13 CO2 Troubleshooting ... 19 - 8 19.13.1 Troubleshooting the Sidestream/Microstream CO2 Module ... 19 - 9 19.14 Oridion Information ... 19 - 9 20 Monitoring Anesthetic Gas (AG) ...20 - 1 20.1 AG Introduction ... 20 - 1 20.2 AG Safety Information ... 20 - 2 20.3 AG Measurement Limitations ... 20 - 2 20.4 AG Display ... 20 - 3 20.5 AG Equipment to Patient Connection ... 20 - 3 20.6 Preparing for AG Monitoring ... 20 - 4 20.7 Zeroing the AG Module ... 20 - 4 20.8 MAC Values ... 20 - 5 20.9 Changing AG Settings ... 20 - 6 20.9.1 Changing AG Alarm Settings ... 20 - 6 20.9.2 Setting the O2 Compensation ... 20 - 6 20.9.3 Entering the Standby Mode ... 20 - 6 20.9.4 Setting Auto Standby ... 20 - 6 20.9.5 Setting the Gas Waveform ... 20 - 7 20.9.6 Setting the RR Source ... 20 - 7 20.9.7 Entering the Intubation Mode ... 20 - 7 20.9.8 Enabling or Disabling MAC Display ... 20 - 7 20.10 Changing the Anesthetic Agent ... 20 - 7 20.11 Performing AG Leakage Test ... 20 - 8 20.12 Calibrating the AG Module ... 20 - 8 20.13 AG Troubleshooting ... 20 - 8 21 Monitoring Electroencephalogram (EEG) ...21 - 1 21.1 EEG Introduction ... 21 - 1 21.2 EEG Safety Information ... 21 - 1 21.3 EEG Parameters ... 21 - 2

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BeneVision N22/N19/N17/N15/N12 Patient Monitor Operator’s Manual

21.4 EEG Display ... 21 - 2 21.5 Accessing the On-screen EEG Guide ... 21 - 3 21.6 Prepare for EEG Monitoring ... 21 - 3 21.6.1 EEG Equipment to Patient Connection ... 21 - 3 21.6.2 EEG Electrode Montages ... 21 - 4 21.6.3 Attaching EEG Electrodes ... 21 - 6 21.7 Performing EEG Sensor Check ... 21 - 6 21.7.1 Setting the Interval of Auto Sensor Check ... 21 - 6 21.7.2 Displaying/Hiding Impedance Value ... 21 - 7 21.7.3 Manually Starting a Sensor Check ... 21 - 7 21.7.4 EEG Electrode Status ... 21 - 7 21.7.5 Stopping Sensor Check ... 21 - 7 21.8 Changing EEG Settings ... 21 - 8 21.8.1 Changing the EEG Scale ... 21 - 8 21.8.2 Changing the EEG Sweep Speed ... 21 - 8 21.8.3 Changing the High/Low Filter ... 21 - 8 21.8.4 Switching Off the Notch Filter ... 21 - 8 21.8.5 Changing Displayed EEG Parameters ... 21 - 8 21.9 Displaying the EEG Expand View ... 21 - 8 21.9.1 CSA View ... 21 - 9 21.9.2 DSA View ... 21 - 9 21.10 EEG Troubleshooting ...21 - 11 22 Monitoring Bispectral Index (BIS) ...22 - 1 22.1 BIS Introduction ... 22 - 1 22.2 BIS Safety Information ... 22 - 2 22.3 BIS Parameters ... 22 - 3 22.4 BIS Display ... 22 - 4 22.5 Accessing the On-screen BIS Guide ... 22 - 4 22.6 Preparing for BIS Monitoring ... 22 - 5 22.7 Changing BIS Settings ... 22 - 6 22.7.1 Setting BIS Alarm Properties ... 22 - 6 22.7.2 Choosing the BIS Smoothing Rate ... 22 - 6 22.7.3 Setting the Display of BIS Waveform Area ... 22 - 6 22.7.4 Switching the Filter On or Off ... 22 - 6 22.7.5 Setting the Displayed BIS Parameters ... 22 - 6 22.8 Sensor Check ... 22 - 7 22.8.1 Automatic Sensor Check ... 22 - 7 22.8.2 Disabling automatic sensor check ... 22 - 7 22.8.3 Manual Sensor Check ... 22 - 7 22.8.4 BIS Sensor Status ... 22 - 8 22.9 Monitoring Bilateral BIS ... 22 - 8 22.9.1 Entering the BIS Expand View ... 22 - 8 22.9.2 Selecting BIS Expand View Display ... 22 - 8 22.10 BIS Troubleshooting ...22 - 10 22.11 Covidien Information ...22 - 10

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23 Monitoring Neuromuscular Transmission (NMT) ...23 - 1 23.1 NMT Introduction ... 23 - 1 23.2 NMT Safety Information ... 23 - 1 23.3 Stimulation Modes ... 23 - 2 23.3.1 Train-Of-Four (TOF) ... 23 - 2 23.3.2 Single Twitch (ST) ... 23 - 2 23.3.3 Post-Tetanic Count (PTC) ... 23 - 2 23.3.4 Double Burst Stimulation (DBS) ... 23 - 3 23.4 NMT Parameters ... 23 - 3 23.5 NMT Display ... 23 - 3 23.6 Accessing the On-screen NMT Guide ... 23 - 4 23.7 Preparing for NMT Monitoring ... 23 - 4 23.7.1 NMT Equipment to Patient Connection ... 23 - 4 23.7.2 Preparing the Skin ... 23 - 5 23.7.3 Placing the Electrodes and Sensor ... 23 - 5 23.8 Calibrating the NMT Measurement ... 23 - 6 23.8.1 Setting the Calibration Current ... 23 - 6 23.8.2 Starting NMT Calibration ... 23 - 6 23.9 Starting NMT Measurements ... 23 - 7 23.10 Stopping NMT Measurements ... 23 - 7 23.11 Changing NMT Measurement Settings ... 23 - 7 23.11.1 Selecting the NMT Measurement Mode ... 23 - 7 23.11.2 Changing the Stimulation Current ... 23 - 7 23.11.3 Changing the Pulse Width ... 23 - 7 23.11.4 Enabling Block Recovery Notification ... 23 - 8 23.11.5 Adjusting NMT Stimulation Beep Volume ... 23 - 8 23.12 Recalling Calibration Information ... 23 - 8 23.13 NMT Troubleshooting ... 23 - 8 24 Monitoring Regional Oxygen Saturation (rSO2) ...24 - 1 24.1 rSO2 Introduction ... 24 - 1 24.2 rSO2 Safety Information ... 24 - 2 24.3 rSO2 Measurement Limitations ... 24 - 2 24.4 rSO2 Display ... 24 - 2 24.5 Accessing the On-screen rSO2 Guide ... 24 - 3 24.6 Preparing for rSO2 Monitoring ... 24 - 3 24.6.1 rSO2 Sensor Site Selection ... 24 - 3 24.6.2 Preparing the Skin ... 24 - 3 24.6.3 Applying the rSO2 Sensor ... 24 - 4 24.6.4 Connecting the rSO2 Parts ... 24 - 4 24.7 Changing rSO2 Settings ... 24 - 5 24.7.1 Changing rSO2 Alarm Settings ... 24 - 5 24.7.2 Setting the rSO2 Auto Low Limit Switch ... 24 - 5 24.7.3 Setting the rSO2 Label ... 24 - 5 24.7.4 Setting the AUC Mode ... 24 - 5 24.7.5 Setting the Baseline ... 24 - 5

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BeneVision N22/N19/N17/N15/N12 Patient Monitor Operator’s Manual

24.7.6 Selecting rSO2 Parameters for Display ... 24 - 6 24.8 Covidien Information ... 24 - 6 25 Review ...25 - 1 25.1 Review Overview ... 25 - 1 25.2 Review Dialog ... 25 - 1 25.2.1 Accessing the Review Dialog ... 25 - 1 25.2.2 Example Review Dialog ... 25 - 1 25.2.3 Symbols on Review Pages ... 25 - 2 25.2.4 Common Operations ... 25 - 2 25.2.5 Tabular Trends Review Page ... 25 - 3 25.2.6 Graphics Trends Review Page ... 25 - 4 25.2.7 Events Review Page ... 25 - 5 25.2.8 Full Disclosure Review Page ... 25 - 7 25.2.9 Arrhy Statistics Review Page ... 25 - 9 25.2.10 OxyCRG Review Page ... 25 - 9 25.2.11 12-Lead ECG Review Page ...25 - 10 25.2.12 ST Review Page ...25 - 11 25.3 Reviewing Discharged Patients ...25 - 12 25.3.1 Checking the Data of a Discharged Patient ...25 - 12 25.3.2 Checking the Information of a Discharged Patient ...25 - 12 26 Clinical Assistive Applications (CAA) ...26 - 1 26.1 Checking Software Licenses ... 26 - 1 26.2 Early Warning Score (EWS) ... 26 - 1 26.2.1 Displaying the EWS Numerics Area ... 26 - 2 26.2.2 Accessing the EWS Screen ... 26 - 2 26.2.3 Performing EWS Scoring ... 26 - 3 26.2.4 Changing EWS Settings ... 26 - 4 26.2.5 Viewing Historical Scores ... 26 - 5 26.2.6 Viewing Parameter Trends ... 26 - 5 26.3 Glasgow Coma Scale (GCS) ... 26 - 5 26.3.1 Displaying the GCS Parameter Area ... 26 - 6 26.3.2 Accessing the GCS Dialog ... 26 - 6 26.3.3 Performing GCS Scoring ... 26 - 7 26.3.4 Setting GCS Scoring Interval ... 26 - 7 26.3.5 Reviewing GCS Trend Data ... 26 - 7 26.4 SepsisSightTM ...26 - 7 26.4.1 Accessing the SepsisSight Dialog ... 26 - 8 26.4.2 Screening ... 26 - 8 26.4.3 Recommendations ... 26 - 9 26.4.4 Reviewing SepsisSight Trend Data ... 26 - 9 26.5 ECG 24h Summary ... 26 - 9 26.5.1 Viewing the ECG 24h Summary ...26 - 10 26.5.2 Selecting Typical ECG Strips ...26 - 10 26.5.3 Reviewing ECG Summary ...26 - 10 26.6 HemoSightTM ... 26 - 10 26.6.1 Accessing the HemoSight Dialog ...26 - 11 26.6.2 Viewing Hemodynamic Parameters ...26 - 11

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26.6.3 Physiology Graphics ...26 - 13 26.6.4 Physiology Relationship ...26 - 15 26.6.5 Hemodynamic Test ...26 - 16 26.6.6 Following Up the Patient Hemodynamic Status ...26 - 17 26.6.7 Evaluating the Hemodynamic Parameters ...26 - 18 26.6.8 Setting Hemodynamic Parameter Ranges ...26 - 20 26.6.9 Restoring Default HemoSight Range Values ...26 - 20 26.6.10 Setting the Pattern ...26 - 21

27 Calculation ...27 - 1 27.1 Calculation Overview ... 27 - 1 27.2 Calculation Safety Information ... 27 - 1 27.3 Drug Calculations ... 27 - 1 27.3.1 Performing Drug Calculations ... 27 - 1 27.3.2 Checking the Titration Table ... 27 - 2 27.3.3 Drug Calculation Formula ... 27 - 2 27.3.4 Titration Table Calculation Formula ... 27 - 2 27.4 Hemodynamic Calculations ... 27 - 3 27.4.1 Performing Hemodynamic Calculations ... 27 - 3 27.4.2 Input Parameters for Hemodynamic Calculations ... 27 - 3 27.4.3 Calculated Parameters and Formulas for Hemodynamic Calculations ... 27 - 3 27.5 Oxygenation Calculations ... 27 - 4 27.5.1 Performing Oxygenation Calculations ... 27 - 4 27.5.2 Input Parameters for Oxygenation Calculations ... 27 - 5 27.5.3 Calculated Parameters and Formulas for Oxygenation Calculations ... 27 - 5 27.6 Ventilation Calculations ... 27 - 6 27.6.1 Performing Ventilation Calculations ... 27 - 6 27.6.2 Input Parameters for Ventilation Calculations ... 27 - 6 27.6.3 Calculated Parameters and Formulas for Ventilation Calculations ... 27 - 6 27.7 Renal Calculations ... 27 - 7 27.7.1 Performing Renal Calculations ... 27 - 7 27.7.2 Calculated Parameters and Formulas for Renal Calculations ... 27 - 7 27.7.3 Calculated Parameters and Formulas for Renal Calculations ... 27 - 8 28 Recording ...28 - 1 28.1 Recorder ... 28 - 1 28.2 Starting Recordings ... 28 - 1 28.2.1 Manually Starting Recordings ... 28 - 1 28.2.2 Automatic Recordings ... 28 - 1 28.3 Stopping Recordings ... 28 - 2 28.3.1 Stopping Recordings Manually ... 28 - 2 28.3.2 Stopping Recordings Automatically ... 28 - 2

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BeneVision N22/N19/N17/N15/N12 Patient Monitor Operator’s Manual

28.4 Recording Related Flags ... 28 - 2 28.5 Setting up the Recorder ... 28 - 2 28.6 Clearing Recording Tasks ... 28 - 2 28.7 Loading Paper ... 28 - 3 28.8 Removing Paper Jam ... 28 - 3 28.9 List of Recording Reports ... 28 - 3 29 Printing ...29 - 1 29.1 Supported Printer ... 29 - 1 29.2 End Case Reports ... 29 - 1 29.2.1 Printing the End Case Report ... 29 - 1 29.2.2 Setting a Report as An End Case Report ... 29 - 1 29.2.3 Configuring the End Case Reports ... 29 - 1 29.2.4 Setting the End Case Report Period ... 29 - 2 29.3 Manually Starting a Printing Task ... 29 - 2 29.3.1 Printing from the Screen ... 29 - 2 29.3.2 Printing Realtime Reports ... 29 - 2 29.3.3 Printing Most Common Reports ... 29 - 2 29.4 Automatically Printing Reports ... 29 - 2 29.5 Stopping a Printing Task ... 29 - 3 29.6 Configuring Reports ... 29 - 3 29.6.1 Configuring ECG Reports ... 29 - 3 29.6.2 Configuring Realtime Reports ... 29 - 4 29.6.3 Configuring Tabular Trends Reports ... 29 - 4 29.6.4 Configuring Graphic Trends Reports ... 29 - 5 29.7 Viewing Printer Status ... 29 - 5 29.8 Printer Out of Paper ... 29 - 5 29.9 List of Reports ... 29 - 5 30 Using the On-Screen Timers ...30 - 1 30.1 Displaying Timers ... 30 - 1 30.2 Controlling the Timer ... 30 - 1 30.3 Setting the Timer ... 30 - 1 31 Managing Configurations ...31 - 1 31.1 Configuration Introduction ... 31 - 1 31.2 Changing the Department ... 31 - 1 31.3 Setting Default Patient Category ... 31 - 1 31.4 Setting Default Configuration ... 31 - 1 31.5 ... Defining Age Segments 31 - 2 31.6 Saving Current Settings ... 31 - 2 31.7 Deleting a Configuration ... 31 - 2 31.8 Transferring a Configuration ... 31 - 3 31.8.1 Exporting a Configuration ... 31 - 3 31.8.2 Importing a Configuration ... 31 - 3 31.8.3 Loading a Configuration ... 31 - 3

BeneVision N22/N19/N17/N15/N12 Patient Monitor Operator’s Manual

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