Монитор пациента руководство по эксплуатации

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  BeneVision N1 Patient Monitor Operator’s Manual…
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  © Copyright 2017-2019 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved. Release time: March 2019 Revision: 5.0 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.
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  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.
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  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. 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.
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  Italic text is used in this manual to quote the referenced manuals, chapters, sections and formulas. Bold text is used to indicate the screen texts and names of hard keys. ■ → is used to indicate operational procedures. ■ BeneVision N1 Patient Monitor Operator’s Manual…

• Page 7: Table Of Contents

  3 Getting Started ……………………………. 3 — 1 3.1 Equipment Preparation Safety Information ……………………….3 — 1 3.2 Unpacking and Checking ……………………………….3 — 1 3.3 Environmental Requirements …………………………….3 — 2 3.4 Setting Up the Equipment ……………………………..3 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

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  4.2.1 Entering the Minitrends Screen …………………………4 — 3 4.2.2 The Display of Minitrends Screen ………………………….4 — 4 4.2.3 Setting Minitrends Parameters …………………………4 — 4 4.2.4 Setting the Minitrend Length ………………………….4 — 4 4.2.5 Setting the Alarm Statistics Switch ………………………..4 — 4 BeneVision N1 Patient Monitor Operator’s Manual…
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  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 BeneVision N1 Patient Monitor Operator’s Manual…
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  7.5.3 Changing ECG Wave Settings ………………………….7 — 7 7.5.4 Disabling the Smart Lead Off Function ………………………..7 — 8 7.5.5 Adjusting the QRS Volume …………………………..7 — 8 7.5.6 Adjusting the Minimum QRS Detection Threshold ………………….7 — 9 BeneVision N1 Patient Monitor Operator’s Manual…
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  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 BeneVision N1 Patient Monitor Operator’s Manual…
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  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 BeneVision N1 Patient Monitor Operator’s Manual…
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  13.6 PAWP (only available when the N1 is used with the independent external display) …………13 — 7 13.6.1 PAWP Equipment to Patient Connection ……………………… 13 — 8 13.6.2 Preparing to Measure PAWP …………………………13 — 8 13.6.3 Measuring PAWP …………………………….13 — 9 BeneVision N1 Patient Monitor Operator’s Manual…
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  15.2.8 Full Disclosure Review Page …………………………15 — 6 15.2.9 OxyCRG Review Page (only available when the N1 is used with the independent external display) ..15 — 7 15.2.10 12-Lead ECG Review Page …………………………15 — 8 BeneVision N1 Patient Monitor Operator’s Manual…
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  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 BeneVision N1 Patient Monitor Operator’s Manual…
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  21.2.4 Setting Patient Location Options for the Discharge Screen ………………21 — 2 21.2.5 Hiding Patient Name ……………………………. 21 — 2 21.2.6 Select Whether a Prompt is Required When Auto Deleting Discharged Patients ……….21 — 2 BeneVision N1 Patient Monitor Operator’s Manual…
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  21.10.2 Setting the Barcode Reader Information ……………………21 — 15 21.10.3 Identifying the Barcode Reader (for the non-Mindray Custom 2D Barcode Reader) ……..21 — 15 21.10.4 Selecting Patient Information Read by the Barcode Reader (for the Mindray Custom 2D Barcode Reader) 21 — 15 21.11 Configuring the Network ……………………………..21 — 15…
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  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 — 4 BeneVision N1 Patient Monitor Operator’s Manual…
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  25.3.4 Temp Probes Also Compatible …………………………. 25 — 7 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 25.5 IBP Accessories ………………………………..25 — 8 BeneVision N1 Patient Monitor Operator’s Manual…
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  A.14.4 PR Specifications …………………………….A — 14 A.14.5 Temp Specifications ……………………………..A — 15 A.14.6 NIBP Specifications …………………………….A — 15 A.14.7 IBP Specifications …………………………….A — 16 A.14.8 CO Specifications …………………………….A — 17 B EMC and Radio Regulatory Compliance ……………………..B — 1 BeneVision N1 Patient Monitor Operator’s Manual…
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  D.2.11 Technical Alarm Messages Related to Networked Monitoring ………………D — 8 D.2.12 Other System Technical Alarm Messages ……………………..D — 8 E SpO Sensor Accuracy …………………………. E — 1 E.1 The Accuracy of Masimo SpO Sensors …………………………E — 1 BeneVision N1 Patient Monitor Operator’s Manual…
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  E.2 The Accuracy of Nellcor SpO Sensors …………………………E — 3 F Units, Symbols and Abbreviations ……………………… F — 1 F.1 Units ………………………………………F — 1 F.2 Symbols ……………………………………F — 2 F.3 Abbreviations ………………………………….F — 3 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 23: Safety

  Do not touch the patient or metal parts in contact with the patient during defibrillation. Otherwise serious injury or death could result. • Do not open the equipment housings. All servicing and future upgrades must be carried out by trained and authorized personnel. BeneVision N1 Patient Monitor Operator’s Manual 1 — 1…

• Page 24: Cautions

  NOTE • The equipment software copyright is solely owned by Mindray. No organization or individual shall resort to modifying, copying, or exchanging it or to any other infringement on it in any form or by any means without due permission.

• Page 25: Equipment Symbols

  15° Battery indicator Computer network Direct current Alternating current DEFIBRILLATION-PROOF TYPE CF APPLIED DEFIBRILLATION-PROOF TYPE BF APPLIED PART PART Lock; tighten IBP zero key BeneVision N1 Patient Monitor Operator’s Manual 1 — 3…

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  ISO Std. 80601-2-61 Certified to CAN/CSA Std. C22.2 No. 60601-1, No. 60601-1-6, No. 60601-1-8, No. 60601-2-25, No. 60601-2-26, No. 60601-2-27, No. 80601-2-30, No. 60601-2-34, No. 60601-2-49, No. 80601-2-55, No. 80601-2-56, and No. 80601-2-61 1 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 27: Equipment Introduction

  The arrhythmia detection and PAWP is intended for adult and pediatric patients only ■ The BeneVision N1 monitor is to be used in healthcare facilities. It can also be used during patient transport inside and outside of the hospital environment. It should be used by clinical professionals or under their guidance.

• Page 28: Main Unit

  Off: no battery is installed, or the monitor is powered off and no external power is connected. External power supply indicator: • On: when external power supply is connected. • Off: when external power supply is not connected. 2 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 29: Left View

  Using forceps is recommended. • In the case of water spray, dry the Multi-pin connector of the N1 before connecting the N1 to the Modular Rack or Dock. BeneVision N1 Patient Monitor Operator’s Manual 2 — 3…

• Page 30: Right View

  Modular Rack The Modular Rack is used to connect an N1 and an external parameter module as well as providing bed rail mounting capability. It can also be connected to the Dock. 2 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 31: Left View

  Pogo pin: used for communication between the Modular Rack and external parameter module. Infrared filter: used for communication between the Modular Rack and external parameter module. Contact: power input connector of the external parameter module. BeneVision N1 Patient Monitor Operator’s Manual 2 — 5…

• Page 32: Dock

  Multi-pin connector: power input and communication connector of the N1. Connection status indicator: it is on when the N1 is properly connected to the Dock. External power supply indicator: it is on when the external AC power supply is connected. 2 — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 33: Rear View

  Network connector: a standard RJ45 connector which connects the monitor to the CMS. It can also be used to transfer data.. External Parameter Modules The monitor can connect the following external parameter modules to perform CO monitoring through the Modular Rack. Sidestream CO module Microstream CO module BeneVision N1 Patient Monitor Operator’s Manual 2 — 7…

• Page 34: Installation

  Press and hold the latch at the bottom of the N1 or parameter module. If the external module is locked to the Modular Rack, unlock it first. Pull the N1 or parameter module out as indicated. 2 — 8 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 35: Installing The Modular Rack To The Dock

  To prevent the Dock from falling off, do not press the release button while transporting the N1 with the Modular Rack and Dock. 2.8.5 Installing the N1 to the Dock The N1can also be installed directly to the Dock as shown below: BeneVision N1 Patient Monitor Operator’s Manual 2 — 9…

• Page 36: Removing The N1 From The Dock

  Insert the N1 to the host monitor’s module rack. Firmly push the N1 until an audible click is heard indicating that the clip (refer to 2.4.4 Bottom View) engaged the module rack. 2 — 10 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 37: Connecting The N1 To The Host Monitor Through The Satellite Module Rack (Smr)

  To connect the N1 to the host monitor through the Dock, follow this procedure: Connect the N1 to the Dock. Connect the host monitor connector of the Dock with the SMR connector of the host monitor using the dock data cable. BeneVision N1 Patient Monitor Operator’s Manual 2 — 11…

• Page 38: N1 In Use With The Transport Dock

  Transport Dock. 2.11 Input Devices The monitor allows data entry through touchscreen, keyboard, mouse, and barcode reader. 2.12 Printing Devices Use only Mindray specified printers to output patient information and data. 2 — 12 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 39: Getting Started

  Mindray. If the packing case is intact, open the package and remove the equipment and accessories carefully. Check all materials against the packing list and check for any mechanical damage. Contact Mindray in case of any problems. NOTE •…

• Page 40: Environmental Requirements

  • Always use the accompanying power cord delivered with the monitor. • Always use the AC adapter specified by Mindray. • Before connecting the equipment to the AC mains, check that the voltage and frequency ratings of the power line are the same as those indicated on the AC adapter and Dock.

• Page 41: Connecting The Input Devices

  The touchscreen is not used in 60 seconds when the N1 runs on battery and is not connected to an external display. ■ Select the Unlock quick key , and swipe the slider up as instructed. BeneVision N1 Patient Monitor Operator’s Manual 3 — 3…

• Page 42: Using The On-Screen Keyboard

  Clearing Old Data Formats (for the Mindray Custom 2D Barcode Reader) If using the Mindray custom 2D barcode reader (Model HS-1R or HS-1M), before using it for the first time, clear old data formats and configure the barcode reader.To do so, follow this procedure: Scan the engineering barcode to clear the previous data format.

• Page 43: Screen Display

  For more information, see 3.11.4Accessing Parameter Setup Dialogs. 3.6.1 On-screen Symbols The following table lists the on-screen symbols displayed on the system status information area: Symbol Description Symbol Description Adult, male Adult, female BeneVision N1 Patient Monitor Operator’s Manual 3 — 5…

• Page 44: Dialogs

  No battery is installed. Battery fault, battery communication fault, or battery charging fault. Contact service personnel for help. 3.6.2 Dialogs All dialogs have similar style and structure, see the figure below: 3 — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 45: Quick Keys Of The N1

  The monitor provides different operating modes. This section describes the monitoring mode and the standby mode. 3.7.1 Monitoring Mode The monitoring mode is the most frequently used clinical mode for patient monitoring. When the monitor is turned on, it automatically enters the monitoring mode. BeneVision N1 Patient Monitor Operator’s Manual 3 — 7…

• Page 46: Module Mode

  The monitor automatically exit the privacy mode in any of the following situations: The monitor disconnects from the CMS. ■ ■ The low battery alarm occurs. You can also operate the touchscreen, mouse, or keyboard to manually exit the privacy mode. 3 — 8 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 47: Night Mode

  Stops all parameter measurements. Disables all the alarms and prompt messages, except for the battery low alarm. ■ ■ Turns screen brightness to the dimmest after entering the standby mode for 30 seconds. BeneVision N1 Patient Monitor Operator’s Manual 3 — 9…

• Page 48: Outdoor Mode

  If you want to use daylight saving time, switch on Daylight Saving Time. You can manually switch on or off the daylight saving time only when the auto daylight saving time function is disabled. For more information, see 21.7Enabling Auto Daylight Savings Time for details. 3 — 10 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 49: Adjusting The Screen Brightness

  Select the Main Menu quick key → from the Parameters column select Parameters On/Off. Switch on or off desired parameters. When a parameter is switched off, the monitor stops data acquisition and alarming for this measurement. BeneVision N1 Patient Monitor Operator’s Manual 3 — 11…

• Page 50: Displaying Parameter Numerics And Waveforms

  Access Choose screen in either of the following ways: ◆ Select the Screen Setup quick key. Select the Main Menu quick key → from the Display column select Choose screen. ◆ Select the desired screen. 3 — 12 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 51: Selecting The Big Numerics Screen

  In case of a temporary power failure, if the power is restored within 30 minutes, monitoring will resume with all active settings unchanged. If the monitor is without power for more than 30 minutes, it behaves the same as if it were normally turned off. BeneVision N1 Patient Monitor Operator’s Manual 3 — 13…

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• Page 53: Using The External Display

  Remove the N1 from the Dock and reconnect it. Touchscreen failure Check that both ends of the USB cable accompanying the external display are connected properly to the Dock and the external display. BeneVision N1 Patient Monitor Operator’s Manual 4 — 1…

• Page 54: Quick Keys Of The Independent External Display

  Enters the ECG Lead/ dialog. Gain dialog. Remote View Opens the Remote View Minitrends Enters the Minitrends screen. screen. OxyCRG Opens the OxyCRG screen. ECG Full- Enters the 12-lead ECG Screen full screen. 4 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 55: Configuring The Displayed Quick Keys (Only Available When The N1 Is Used With The Independent External Display)

  Select the Screen Setup quick key → Select the Choose Screen tab→ select Minitrends. ■ Select the Main Menu quick key → from the Display column select Choose Screen → select Minitrends. ■ BeneVision N1 Patient Monitor Operator’s Manual 4 — 3…

• Page 56: The Display Of Minitrends Screen

  The Minitrends screen can be configured to display the statistic number of physiological alarm in its lower half screen. To set the alarm statistics switch, follow this procedure: Enter the Minitrends screen. Select the Setup button. 4 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 57: Setting The Alarm Statistics Duration

  Select the Main Menu quick key → from the Display column select Choose Screen → select OxyCRG. ■ 4.3.2 OxyCRG Events The following table lists the ABD events and their criteria: BeneVision N1 Patient Monitor Operator’s Manual 4 — 5…

• Page 58: The Display Of The Abd Event Area

  For neonatal patients, if you are only concerned with the patient’s SpO , you can use the SpO screen. The SpO screen displays SpO related data. It also displays realtime Temp and NIBP measurements. 4 — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 59: Entering The Spo2 Screen

  , PR, or PI, the dashboard, or Pleth waveform to enter the SpO2 menu. Select the Temp area to enter the Temp menu. ■ ■ Select the NIBP area to enter the NIBP menu. BeneVision N1 Patient Monitor Operator’s Manual 4 — 7…

• Page 60: Remote View

  4.5.2 About the Remote View The following figure shows the Remote View screen. Alarm watch area ◆ Displays all the monitored remote beds. ◆ Able to accommodate up to 12 beds. 4 — 8 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 61: Adding A Bed

  In the Remote View screen, you can select a bed in the alarm watch area, then the main body of the Remote View screen will display the real time monitoring screen of the device. BeneVision N1 Patient Monitor Operator’s Manual 4 — 9…

• Page 62: Saving A Manual Event

  The main screen can display up to two alarm watch tiles, namely A-W1 and A-W2 . Each tile can accommodate up to six beds. The following figure shows the alarm watch tiles. 4 — 10 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 63: Freezing Waveforms

  NOTE • You can view the frozen waveforms of up to 120 seconds. 4.6.3 Unfreezing Waveforms button upper right corner of the dialog. To unfreeze the frozen waveforms, select the Freeze BeneVision N1 Patient Monitor Operator’s Manual 4 — 11…

• Page 64: Printing Frozen Waveforms

  4.6.4 Printing Frozen Waveforms button at the upper left corner of the dialog. To print the frozen waveforms, select the Freeze 4 — 12 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 65: Managing Patients

  Enter the Patient Management dialog. For more information, see5.2.1 Entering the Patient Management Dialog. Edit patient information as required. If a barcode reader is connected to the monitor, scanning the patient’s barcode will enter the patient’s information. BeneVision N1 Patient Monitor Operator’s Manual 5 — 1…

• Page 66: Loading Patient Information From The Cms

  For detailed information about patient data transfer, refer to the user manual of the host monitor. For the connection of N1 and the host monitor, refer to section 2.9 N1 in Use with a Host Monitor. 5 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 67: Exporting Patient Data

  Select the Discharge Patient quick key (only available when the N1is used with the independent external display). Select the patient information area at the top left corner of the screen→ Discharge Patient. ■ BeneVision N1 Patient Monitor Operator’s Manual 5 — 3…

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  Clear Patient Data: discharges the current patient and clears the waveform data. The monitor still uses the current configuration and does not go to the standby mode. The current patient becomes a discharged patient. 5 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 69: Alarms

  Technical alarm conditions may also be caused when an algorithm cannot classify or interpret the available data. Apart from the physiological and technical alarms, the monitor can also prompt with some messages describing the system status or patient status. BeneVision N1 Patient Monitor Operator’s Manual 6 — 1…

• Page 70: Alarm Priorities

  • Some physiological alarms, such as Asystole, are exclusive. They have identical alarm tones and alarm lights with normal high level physiological alarms, but their alarm messages are displayed 6 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 71: Alarm Status Symbols

  Review dialog for the event created by this alarm. Changing Alarm Settings Alarms settings can be changed by selecting Main Menu and choosing from the list in the Alarm column. BeneVision N1 Patient Monitor Operator’s Manual 6 — 3…

• Page 72: Setting Parameter Alarm Properties

  Select the Alarm Setup quick key → select the Setup tab. ◆ Select the Main Menu quick key → from the Alarm column select Setup. Set the Auto Limits for New Patient switch. 6 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 73: Initiating Auto Alarm Limits

  Same as the Same as the Same as the Same as the Same as the default alarm default alarm default alarm default alarm measurement range limit limit limit limit BeneVision N1 Patient Monitor Operator’s Manual 6 — 5…

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  (whichever is Neonate: 25 to 100 greater) smaller) IBP: CVP/ IBP-M Mean × 0.75 Mean × 0.75 Mean × 1.25 Mean × 1.25 3 to 40 LAP/ (mmHg) RAP/ UVP/P1- (Venous pressure) 6 — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 75: Setting The Zero Rr Delay Time

  For the configuration of the pause function, see section 21.3.3 Defining the Pause Function. When alarms are paused, the following rules are followed: ■ No physiological alarm will be presented. BeneVision N1 Patient Monitor Operator’s Manual 6 — 7…

• Page 76: Pausing Alarm Sound

  This capability is enabled by default. To prolong the audio pause time, follow this procedure: In the physiological alarm information area, select the alarm pause countdown. Select the alarm tone pause time. Options may include Pause 5 min, Pause 10 min, or Pause 15 min. 6 — 8 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 77: Resetting Alarms

  If you “latch” physiological alarms, all visual and audible alarm indications remains (if configured) until the ■ alarms are reset. For latched alarms the time when the alarm is last triggered is displayed behind the alarm message. BeneVision N1 Patient Monitor Operator’s Manual 6 — 9…

• Page 78: Cpb Mode

  To exit the intubation mode, choose either of the following ways: From the bottom of the Resp or CO2 dialog, select Exit Intubation Mode. ■ Select the Main Menu quick key from the Alarm column → select Exit Intubation Mode. ■ 6 — 10 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 79: Testing Alarms

  The monitor automatically performs a self test at startup. Check that an alarm tone is heard, the alarm lamp illuminates, one after the other, in red, yellow, and cyan. This indicates that the visible and audible alarm indicators functions correctly. BeneVision N1 Patient Monitor Operator’s Manual 6 — 11…

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• Page 81: Monitoring Ecg, Arrhythmia, St And Qt

  Only use parts and accessories specified in this manual. Follow the instructions for use and adhere to all warnings and cautions. • Periodically inspect the electrode application sites to ensure skin integrity. If the skin quality changes, replace the electrodes or change the application site. BeneVision N1 Patient Monitor Operator’s Manual 7 — 1…

• Page 82: Ecg Display

  Dry the skin completely before applying electrodes. 7.4.2 Applying Electrodes and Connecting the Patient To connect ECG cables, follow this procedure: 7 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 83: Lead Wire Color Code

  RA placement: directly below the clavicle and near the right shoulder. LA placement: directly below the clavicle and near the left ■ shoulder. LL placement: on the left lower abdomen. ■ BeneVision N1 Patient Monitor Operator’s Manual 7 — 3…

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  V3R-V6R placement: on the right side of the chest in positions corresponding to those on the left. ■ NOTE • For the 5-leadwire and 6-leadwire placement, place the precordial electrode according to the physician’s preference. 7 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 85: Choosing The Ecg Lead Type

  To change the paced status, follow this procedure: Select the ECG numeric area or waveform area to enter the ECG dialog. Select the Pacer tab. Set Paced to Yes or No. BeneVision N1 Patient Monitor Operator’s Manual 7 — 5…

• Page 86: Enabling Pacer Rejection

  Alternately you can choose the desired screen configuration as follows: Select the Screen Setup quick key → Choose Screen or select the Main Menu quick key → from the Display column select Choose Screen. Select ECG Full-Screen, or ECG 12-Lead. 7 — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 87: Setting Ecg Alarm Properties

  Set Va and Vb according to the locations of the Va and Vb electrode sites. Default settings are Va and Vb. 7.5.3.4 Changing ECG Waveform Speed To change ECG waveform speed, follow this procedure: Select the ECG numeric area or waveform area to enter the ECG dialog. Select the Setup tab. BeneVision N1 Patient Monitor Operator’s Manual 7 — 7…

• Page 88: Disabling The Smart Lead Off Function

  Select the ECG numeric area or waveform area to enter the ECG dialog. Select the Setup tab. Set QRS Volume. When valid SpO measurements are available, the monitor adjusts the pitch of QRS tone based on the SpO value. 7 — 8 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 89: Adjusting The Minimum Qrs Detection Threshold

  It is recommended to closely monitor patient condition during, and for several minutes after, the learning phase to allow the algorithm to reach optimal detection performance. 7.6.2 Arrhythmia Events This section lists all arrhythmia events and their criteria. BeneVision N1 Patient Monitor Operator’s Manual 7 — 9…

• Page 90
  , irregular RR interval change is greater than 12.5%) A-Fib (for adult only) P wave is absent and normal beat RR intervals are irregular. PVCs/min PVCs/min exceeds high limit. Pauses/min Pauses/min exceeds high limit. 7 — 10 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 91: Displaying Arrhythmia Information

  Asystole Delay to 10 sec. 7.6.4.3 Arrhythmia Threshold Range Arrhythmia Threshold Range Asystole Delay 3 sec to 10 sec Tachy (HR High) 60 bpm to 295 bpm Brady (HR Low) 16 bpm to 120 bpm BeneVision N1 Patient Monitor Operator’s Manual 7 — 11…

• Page 92
  If the number of consecutive PVCs is greater than or equal to the V-Brady PVCs limit (5), and PVC rate is ■ lower than the V Brady limit (40), a Vent Brady alarm is generated. 7 — 12 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 93: Intelligent Arrhythmia Alarm

  Alarm in high priority chain Alarm in medium priority chain During timeout period, alarm light and alarm tone are disabled. When the timeout period is reached, alarm light and alarm tone are reactivated. BeneVision N1 Patient Monitor Operator’s Manual 7 — 13…

• Page 94: St Segment Monitoring

  Select the ST tab→ select the Setup tab. Switch on ST Analysis. Reliable ST monitoring cannot be ensured under the following situations: ■ You are unable to get a lead that is not noisy. 7 — 14 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 95: Displaying St Deviation Numerics

  Select Main Menu quick key → from the Display column select Tile Layout. Select the waveform area where you want to display the ST segments, and then select ECG→ ST Segment. BeneVision N1 Patient Monitor Operator’s Manual 7 — 15…

• Page 96: Entering The St View

  Entering the ST Graphic (only available when the N1 is used with the independent external display) To display ST Graphic, follow this procedure: Select the ECG numeric area or waveform area to enter the ECG dialog. Select the ST tab. Select ST Graphic. 7 — 16 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 97: Changing St Settings

  Select the ECG numeric area or waveform area to enter the ECG dialog. Select the ST tab → select the Setup tab. Set ST Segment. You can select up to 3 leads. BeneVision N1 Patient Monitor Operator’s Manual 7 — 17…

• Page 98: Adjusting St Measurement Points

  (between the P and Q waves). The J point location is indicated relative to the R-wave peak. Position the J point at the end of the QRS ■ complex and the beginning of the ST segment. 7 — 18 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 99: Qt/Qtc Interval Monitoring

  Select Main Menu quick key → from the Display column select Tile Layout . Click the parameter numeric area where you want to display the QT numerics, and then select ECG → QT/ QTc . BeneVision N1 Patient Monitor Operator’s Manual 7 — 19…

• Page 100: Entering The Qt View

  QT numerics area and the message “Cannot Analyze QT” is shown in the technical alarm area. Select the left or right arrow to switch leads, and the corresponding waveform will be highlighted. 7 — 20 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 101: Saving The Current Qtc As Baseline

  If you suspect that false arrhythmia alarms are presented, you may need to manually initiate an ECG relearn. To do so, follow this procedure: Select the ECG numeric area or waveform area to enter the ECG dialog. BeneVision N1 Patient Monitor Operator’s Manual 7 — 21…

• Page 102: Defibrillation Synchronization Pulse Output

  2. Check that electrodes are not detached or dry. Perform skin preparation again as described in 7.4.1 Preparing the Patient Skin and apply fresh and moist electrodes. 3. Check that the patient cable or leadwires are not damaged. Change them if necessary. 7 — 22 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 103
  For more information, see 7.4.1 Preparing the Patient Skin and 7.4.2 Applying Electrodes and Connecting the Patient . 3. Check for ECG filter setting. Set ECG Filter mode to Monitor to reduce baseline wander on the display. BeneVision N1 Patient Monitor Operator’s Manual 7 — 23…
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• Page 105: Resting 12-Lead Ecg Analysis

  ST-segment level. BDR is switched on by default. To set the BDR, follow this procedure: On the ECG 12-Lead screen, select the ECG numeric area or waveform area to enter the ECG dialog. BeneVision N1 Patient Monitor Operator’s Manual 8 — 1…

• Page 106: Setting The 12-Lead Waveform Layout

  Set Tachy and Brady . NOTE • The tachycardia threshold only applies to patients whose age exceeds 180 days. • The bradycardia threshold only applies to patients whose age exceeds 2191 days (6 years). 8 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 107: Setting The 12-Lead Interpretation Report

  At the completion of 12-lead ECG interpretation, select Print to output the report via printer. Exiting the ECG 12-Lead Screen To exit the ECG 12-Lead screen, select Exit on the ECG 12-Lead screen. BeneVision N1 Patient Monitor Operator’s Manual 8 — 3…

• Page 108
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• Page 109: Monitoring Impedance Respiration (Resp)

  CAUTION • Only use parts and accessories specified in this manual. • Impedance respiration monitoring is not for use on patients while they are active, as this can cause false alarms. BeneVision N1 Patient Monitor Operator’s Manual 9 — 1…

• Page 110: Resp Display

  Dry the skin completely before applying the electrodes. CAUTION • Proper skin preparation is necessary for good signal quality at the electrode site, as the skin is a poor conductor of electricity. 9 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 111: Placing The Electrodes

  Store the electrodes at room temperature. Open the electrode package immediately prior to use. • Check that the electrode packages are intact and that the electrodes are not past the expiration date. Ensure the electrode gel is moist. BeneVision N1 Patient Monitor Operator’s Manual 9 — 3…

• Page 112: Changing Resp Settings

  Setting the Resp Waveform Speed To set the Resp waveform speed, follow this procedure: Select the Resp numeric area or waveform area to enter the Resp dialog. Select the Setup tab. Set Speed . 9 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 113: Setting The Auto Detection Switch

  Once set, the detection level will not adapt automatically to different respiration depths. It is important to remember that if the depth of breathing changes, you may need to change the detection level. BeneVision N1 Patient Monitor Operator’s Manual 9 — 5…

• Page 114
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• Page 115: Monitoring Pulse Oxygen Saturation (Spo )

  100%, which is equivalent to switching off the alarm. • is empirically calibrated in healthy adult volunteers with normal levels of carboxyhemoglobin (COHb) and methemoglobin (MetHb). BeneVision N1 Patient Monitor Operator’s Manual 10 — 1…

• Page 116: Spo Measurement Limitations

  Intravascular dyes (such as indocyanine green, methylene blue, indigo carmine, etc.) ◆ Dyes in the measure site, such as nail polish Environmental conditions: ■ ◆ Excessive ambient light ◆ Electrosurgery equipment 10 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 117: Spo Display

  Connect the sensor to the extension cable. CAUTION • Do not apply sensor too tightly as this results in venous pulsation which may severely obstruct circulation and lead to inaccurate measurements. BeneVision N1 Patient Monitor Operator’s Manual 10 — 3…

• Page 118: Changing The Spo Alarm Settings

  3 seconds, and then to 84% (6 points) for 6 seconds. The resulting SatSeconds are: % SpO Seconds SatSeconds 2× 4× 6× Total SatSeconds= After approximately 11 seconds, a Sat-Second alarm would sound, because the limit of 50 SatSeconds would have been exceeded. 10 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 119: Setting Spo Sensitivity (For Masimo Spo )

  Select the SpO numeric area or waveform area to enter the SpO2 dialog. Select the SpO2 Setup tab. Set Sensitivity to Maximum, Normal , or APOD . BeneVision N1 Patient Monitor Operator’s Manual 10 — 5…

• Page 120: Changing Averaging Time

  If the Alarm Source is set to PR , the QRS tone is derived from PR measurements. To set the QRS volume, follow this procedure: Select the SpO numeric area or waveform area to enter the SpO2 dialog. Select the PR Setup tab. 10 — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 121: Setting The Pr Source

  3.11.1 Switching On or Off a Parameter . 3. Check that the cable connections of the SpO sensor and the extension cable are tight. Replace the SpO sensor or the extension cable if needed. BeneVision N1 Patient Monitor Operator’s Manual 10 — 7…

• Page 122: Masimo Information

  Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized replacement parts which would, alone, or in combination with this device, fall within the scope of one or more of the patents relating to this device. 10 — 8 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 123: Monitoring Temperature (Temp)

  Plug the probe or temperature cable to the temperature connector. If using a disposable probe, connect the probe to the temperature cable. Follow the probe manufacturer’s instructions to connect the probe to the patient. BeneVision N1 Patient Monitor Operator’s Manual 11 — 1…

• Page 124: Changing Temperature Settings

  This section lists the problems that might occur. If you encounter the problems when using the equipment or accessories, check the table below before requesting service. If the problem persists, contact your service personnel. NOTE • For the physiological and technical alarm messages, see Appendix D Alarm Messages. 11 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 125
  1. If using a disposable probe, check the connection between the numeric area probe and the temperature cable. 2. Try using a known good probe in case the sensor is damaged. BeneVision N1 Patient Monitor Operator’s Manual 11 — 3…
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• Page 127: Monitoring Noninvasive Blood Pressure (Nibp)

  • Do not modify or replace connectors of the NIBP air hose except with mindray-approved connectors. Use neonatal and infant cuffs with CM1901 hoses only. Use pediatric/adult cuffs with CM1903 hoses only.

• Page 128: Nibp Measurement Limitations

  STAT: continual rapid series of measurements over a five minute period. ■ ■ Sequence: continually automatic measurement at set durations and intervals. 12.5 NIBP Display The NIBP display shows only numerics. (11) (10) 12 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 129: Preparing For Nibp Measurements

  Select an appropriate cuff by referring to the limb circumference marked on the cuff. The width of the cuff should be 40% (50% for neonates) of the limb circumference, or 2/3 of the length of the upper BeneVision N1 Patient Monitor Operator’s Manual 12 — 3…

• Page 130: Starting And Stopping Nibp Measurements

  Changing NIBP Settings 12.8.1 Setting the NIBP Alarm Properties To set the NIBP alarm properties, follow this procedure: Select the NIBP numeric area to enter the NIBP dialog. Select the Alarm tab. 12 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 131: Setting The Initial Cuff Inflation Pressure

  NIBP sequence measurement can have up to five phases: A, B, C, D, and E. The duration and interval of each phase can be set individually. To set NIBP sequence, follow this procedure: Select the NIBP numeric area to enter the NIBP dialog. BeneVision N1 Patient Monitor Operator’s Manual 12 — 5…

• Page 132: Setting The Nibp Display Format

  This section lists the problems that might occur. If you encounter the problems when using the equipment or accessories, check the table below before requesting for services. If the problem persists, contact your service personnel. 12 — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 133
  For more information, see. 3.11.2 Displaying Parameter Numerics and Waveforms Check that if the NIBP parameter switch is enabled. If not, enable the NIBP measurement. For more information, see 3.11.1 Switching On or Off a Parameter . BeneVision N1 Patient Monitor Operator’s Manual 12 — 7…
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• Page 135: Monitoring Invasive Blood Pressure (Ibp)

  Mechanical shock to the invasive blood pressure transducer may cause severe shifts in zero balance and calibration, and cause erroneous readings. • The neutral electrode of the electro-surgery unit (ESU) shall properly contact the patient. Otherwise, burns may result. BeneVision N1 Patient Monitor Operator’s Manual 13 — 1…

• Page 136: Preparing For Ibp Monitoring

  Make sure that all the transducers are zeroed correctly before making IBP measurements. • Make sure that all air bubbles have been flushed from the IBP transducer system before making IBP measurements. 13 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 137: Zeroing The Ibp Transducer

  Zero the Codman ICP transducer. For more information, see section 13.3.1 Zeroing the Codman ICP transducer . Disconnect the ICP transducer and ICP adapter cable. Follow the manufacturer’s instructions to apply the ICP transducer to the patient. Reconnect the ICP transducer and ICP adapter cable. BeneVision N1 Patient Monitor Operator’s Manual 13 — 3…

• Page 138: Ibp Display

  If monitors of different brands are used to zero the Codman ICP transducer, the zero reference values can be different. Use a Mindray monitor to Zero the Codman ICP transducer if you will take ICP measurement using a Mindray monitor. Otherwise the ICP measurement could be inaccurate.

• Page 139: Changing Ibp Settings

  To select the pressure label, follow this procedure: Select the IBP numeric area or waveform area to enter the corresponding pressure dialog. Select the Setup tab. BeneVision N1 Patient Monitor Operator’s Manual 13 — 5…

• Page 140: Setting The Pressure Type For Display

  Select the Setup tab. Set the following properties of the IBP waveform: ◆ Speed ◆ Scale : if Auto is selected, the size of the pressure’s waveform will be adjusted automatically. 13 — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 141: Setting The Display Format Of Artery Pressure

  PAWP (only available when the N1 is used with the independent external display) Pulmonary Artery Wedge Pressure (PAWP) values, used to assess cardiac function, are affected by fluid status, myocardial contractility, and valve and pulmonary circulation integrity. BeneVision N1 Patient Monitor Operator’s Manual 13 — 7…

• Page 142: Pawp Equipment To Patient Connection

  Connect the IBP transducer, the IBP cable and the module. For more information, see 13.2.2 Measuring an Invasive Blood Pressure . Follow the manufacturer’s instructions to connect the PA port of the thermodilution catheter and the patient end of the IBP transducer. 13 — 8 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 143: Measuring Pawp

  If you need to start a new measurement, repeat step 3 to step 6. If the measurement fails or you need to adjust the PAWP value, you can use the following buttons to adjust the PAWP waveform and measurement. BeneVision N1 Patient Monitor Operator’s Manual 13 — 9…

• Page 144: Setting The Waveforms Of The Pawp Screen

  3. Check the connection of IBP cable, IBP transducer and module. 4. Check that the three-way valve is turned to the correct position. 5. Check that the IBP transducer has been zeroed. For more information, see 13.2.3 Zeroing the IBP transducer . 13 — 10 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 145
  2. Perform zero calibration again. Do not sway the IBP transducer and tubing during zero calibration. For more information, see 13.2.3 Zeroing the IBP transducer . 3. If zero calibration still fails, replace the transducer. BeneVision N1 Patient Monitor Operator’s Manual 13 — 11…
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• Page 147: Monitoring Carbon Dioxide (Co )

  2.8.1 Installing the N1 or External Parameter Module into the Modular Rack . In sequence from left to right, the following are sidestream CO external module, microstream CO external module, and N1 monitor with internal CO module. BeneVision N1 Patient Monitor Operator’s Manual 14 — 1…

• Page 148: Co Safety Information

  Measurement accuracy of the microstream CO module may be affected by the breath rate. 14.5 Display The CO numeric and waveform areas provide FiCO measurement, EtCO measurement, awRR measurement, and a CO waveform. 14 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 149: Measuring Co 2 Using The Sidestream/Microstream Co 2 Module

  CO adapter. Refer to the CO2 Adapter User Manual (PN: H-046-009994-00) for the connection of the CO adapter and the gas sampling line. BeneVision N1 Patient Monitor Operator’s Manual 14 — 3…

• Page 150
  CO module. CAUTION • Check the compatibility of the CO adapter and the sampling line before use. The CO adapter is intended for connecting an Oridion CO sampling line. 14 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 151: Preparing To Measure Co Using The Microstream Co Module

  After the CO module is connected to the N1, it enters measure mode by default and the monitor displays CO2 Sensor Warmup . CO can be measured after the start-up sequence is complete. BeneVision N1 Patient Monitor Operator’s Manual 14 — 5…

• Page 152: Zeroing The Sidestream/Microstream Co Module

  CO module. ■ The default operating mode is Measure . When not using the CO module, proceed as follows to enter the Standby mode: 14 — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 153: Entering The Intubation Mode

  Switch on for BTPS. ◆ Switch off for ATPD. 14.8 Changing O Settings (For Sidestream CO Module Integrating O 14.8.1 Changing O Alarm Settings To change the O alarm settings, follow this procedure: BeneVision N1 Patient Monitor Operator’s Manual 14 — 7…

• Page 154: Setting The O Waveform

  The alarm message “ CO2 Airway Occluded ” will appear on the screen. Continue to block the gas inlet for another one minute. Select the Main Menu quick key → from the System column select Maintenance → input the required password → select 14 — 8 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 155: Co Calibration

  1. Check the patient status. 2. Check the sample line and connectors for leakage. 3. Ventilate the room if the environmental CO concentration is too high. 14.15 Oridion Information BeneVision N1 Patient Monitor Operator’s Manual 14 — 9…

• Page 156
  CO sampling consumables which would, alone, or in combination with this device, fall within the scope of one or more of the patents relating to this device and/or CO2 sampling consumable. 14 — 10 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 157: Review

  White: operation-related event Current screen time line: indicates the time length of the current screen. Waveform area: displays trend curves. The color of trend curves is consistent with the color of parameter labels. BeneVision N1 Patient Monitor Operator’s Manual 15 — 1…

• Page 158: Symbols On Review

  Events are displayed in a chronological order. The most recent event is displayed at the top. The number of asterisk symbols before an event indicates alarm priority as follows: ■ ***: high priority alarm 15 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 159: Tabular Trends Review Page

  1 min, 5 min, 10 min, 15 min, 30 min, 1 hr, 2 hrs, or 3 hrs : select to view up to 120 hours of tabular trends at the selected interval. ◆ Select parameters, such as NIBP, or GCS, to view the tabular trends when these parameter measurements are acquired. BeneVision N1 Patient Monitor Operator’s Manual 15 — 3…

• Page 160: Graphics Trends Review Page

  Changing the Number of Waveforms To change the number of waveforms displayed on the trend review page, follow this procedure: Enter the graphic trends review page. Select and set Trends . 15 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 161: Events Review Page

  Lock : manually lock the event. Locked events cannot be deleted. ◆ Note : enter comments for the event. ◆ Rename : allow renaming an event name. Only manual events and arrhythmia events can be renamed. BeneVision N1 Patient Monitor Operator’s Manual 15 — 5…

• Page 162: Full Disclosure Review Page

  Storing more waveforms may shorten the storage time to less than 48 hours. Please adjust the waveforms stored with this consideration. In case of alarms, the background of the compressed waveform is highlighted with a colored block during the alarm time: ■ Red: high alarm priority 15 — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 163: Oxycrg Review Page (Only Available When The N1 Is Used With The Independent External Display)

  Choose one of the following methods to enter the OxyCRG review page: Select the Review quick key → select the OxyCRG tab. ■ Select the Main Menu quick key → from the Review column select OxyCRG . ■ BeneVision N1 Patient Monitor Operator’s Manual 15 — 7…

• Page 164: 15.2.10 12-Lead Ecg Review Page

  15.2.10.3 Setting 12-Lead ECG Waveforms To set the 12-lead ECG waveforms on the review page, follow this procedure: Enter the 12-lead review page. Set Speed , Gain , and Layout . 15 — 8 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 165: Reviewing Discharged Patients

  Management column select Discharged Patients . From the patient list select the desired patient. Select Detail . Select the icon to enter the Patient Management dialog box. Select OK to exit the Patient Management dialog box. BeneVision N1 Patient Monitor Operator’s Manual 15 — 9…

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• Page 167: Clinical Assistive Applications (Caa) (Only Available When The N1 Is Used With The Independent External Display)

  MEWS and NEWS and NEWS2are intended for adult patients only. The patient category of the Custom Score is defined by the Mindray Clinical Score Configuration Tool. For more information, see Mindray Clinical Scoring Config Tool Instruction for Use (P/N: 046-012986-00).

• Page 168: Accessing The Ews Screen

  Select the Main Menu quick key → from the CAA column select EWS . ■ Take NEWS2 as an example, the EWS screen is shown as follows. Your screen may be slightly different due to the configuration. 16 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 169: Performing Ews Scoring

  88–92% (for example, in Scale 2 : f patients with hypercapnic respiratory failure). Measure or manually enter other required parameters and observations. select the operator ID If enabled, BeneVision N1 Patient Monitor Operator’s Manual 16 — 3…

• Page 170: Changing Ews Settings

  NIBP : the monitor automatically starts scoring at the completion of each NIBP measurement. ◆ Alarm : the monitor automatically starts scoring when an alarm occurs to the parameter for scoring. ◆ If no option is selected, the monitor does not initiate auto scoring. 16 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 171: Glasgow Coma Scale (Gcs)

  Select the parameter area where you want to display the GCS score, and then from the popup list select GCS . The following figure shows the GCS parameter area. The display may be configured to look slightly different. BeneVision N1 Patient Monitor Operator’s Manual 16 — 5…

• Page 172: Accessing The Gcs Dialog

  To perform scoring, follow this procedure: From the Eye Opening area, Verbal Response area, and Motor Response area, respectively select an item that represents the patient’s status. Select OK to accept the total score. 16 — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 173: Setting Gcs Scoring Interval

  16.2.5 Reviewing GCS Trend Data From the GCS dialog, select Review to enter the Review dialog and view the GCS trend data from the Tabular Trends . BeneVision N1 Patient Monitor Operator’s Manual 16 — 7…

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• Page 175: Calculation (Only Available When The N1 Is Used With The Independent External Display)

  The drug calculations are based on the values input; it does not check the plausibility of the calculation performed. • Check that the entered values are correct and the calculated values are appropriate. Mindray assumes no responsibility for any consequences caused by wrong entries and improper operations. 17.3 Drug Calculations 17.3.1…

• Page 176: Checking The Titration Table

  Infusion Rate (weight based) ml/hr Infusion Rate = Weight × Dose/Concentration Dose Dose/hr Dose = Infusion Rate × Concentration Dose/min Dose (weight based) Dose/kg/hr Dose (weight based) = Infusion Rate × Concentration/Weight Dose/kg/min 17 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 177: Hemodynamic Calculations

  SV (ml) = 1000× C.O. (L/min)/HR (bpm) stroke index ml/m SVI (ml/m ) = SV (ml)/BSA (m systemic vascular DS/cm SVR (DS/cm ) = 79.96 × [APMAP (mmHg) — resistance CVP (mmHg)]/C.O. (L/min) BeneVision N1 Patient Monitor Operator’s Manual 17 — 3…

• Page 178: Oxygenation Calculations

  Select Oxycont Unit , Hb Unit , and Pressure Unit . Then corresponding parameter values will be automatically converted and updated accordingly. ■ Select Range to show the normal range of each parameter. 17 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 179
  (mmHg))] oxygen transport index ml/min/m DO2I (ml/min/m ) = CaO2 (ml/L) × (C.O. (L/ min)/BSA (m oxygen consumption ml/min/m VO2I (ml/min/m ) = C (a-v) O2 (ml/L) ×(C.O. (L/ min)/BSA (m BeneVision N1 Patient Monitor Operator’s Manual 17 — 5…

• Page 180: Ventilation Calculations

  (mmHg) = 100 × PaO (mmHg)/FiO arterial to alveolar oxygen a/AO a/AO (%) = 100 × PaO (mmHg)/PAO ratio (mmHg) minute volume L/min MV (L/min) = [TV (ml) × RR (rpm)]/1000 17 — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 181: Renal Calculations

  URNa mmol/L urine Urine ml/24 hrs plasm osmolality Posm mOsm/kgH urine osmolality Uosm mOsm/kgH serum sodium SerNa mmol/L creatinine μmol/L urine creatinine μmol/L blood urea nitrogen mmol/L height Height weight Weight BeneVision N1 Patient Monitor Operator’s Manual 17 — 7…

• Page 182: Calculated Parameters And Formulas For Renal Calculations

  BUN/Cr* BUN/Cr = 1000 × BUN (mmol/L)/Cr (μmol/L) creatinine ratio urine-serum creatinine U/Cr None U/Cr (mmol/L) = Ucr (μmol/L)/Cr (μmol/L) ratio *: BUN/Cr is a ratio under the unit of mol. 17 — 8 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 183: Printing

  For more details about the printer, refer to the document accompanying the printer. With product upgrades, the monitor may support additional printers without prior notice. If you have any doubts about the compatibility of the printer used with this monitor, contact Mindray. 18.2 End Case Reports 18.2.1…

• Page 184: Setting The End Case Report Period

  When a parameter alarm switch is set to on and an alarm is triggered for this parameter, you can set the monitor to automatically print a Print on Alarm Report. To do so, follow this procedure: 18 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 185: Stopping A Printing Task

  ECG report displayed in 3 lines and 4 columns with 2.5 seconds of ECG data generated by auto for each column. measurement Simultaneous : Record simultaneous 12-lead ECG data. BeneVision N1 Patient Monitor Operator’s Manual 18 — 3…

• Page 186: Configuring Realtime Reports

  Note that Interval on Auto only limits the number of rows or columns for Time. The report may have multiple pages to accommodate the number of parameters. To limit the parameters, change the Trend Group . 18 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 187: Configuring Graphic Trends Reports

  Ventilation Calculation Report (only available when the N1 is used with the independent external display) ◆ Renal Calculation Report (only available when the N1 is used with the independent external display) BeneVision N1 Patient Monitor Operator’s Manual 18 — 5…

• Page 188
  End Case Report ◆ End Case Report — Realtime Report ◆ End Case Report — ECG Report ◆ End Case Report — Tabular Trends Report ◆ End Case Report — Graphic Trends Report 18 — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 189: Using The On-Screen Timers

  You cannot change timer settings, other than Reminder Volume when a timer is running. • You can set Direction, Run Time, and Reminder Volume only for normal, advanced, and cycled timers. BeneVision N1 Patient Monitor Operator’s Manual 19 — 1…

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• Page 191: Managing Configurations

  Select the Main Menu quick key → from the Configuration column select Manage → input the required password → select Set Default Patient Category . 20.4 Setting Default Configuration The monitor will load the pre-set default configuration in the following cases: BeneVision N1 Patient Monitor Operator’s Manual 20 — 1…

• Page 192: Saving Current Settings

  Connect the N1 to the Dock. Connect the USB drive to the Dock’s USB port. Select the Main Menu quick key → from the Configuration column select Manage → input the required password → Select 20 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 193: Importing A Configuration

  Select the Main Menu quick key → from the Configuration column select Manage → input the required password → Select Select Modify Password . Respectively input the old password and new password. Select OK . BeneVision N1 Patient Monitor Operator’s Manual 20 — 3…

• Page 194
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• Page 195: Password-Protected User Settings

  If necessary, select the customized fields and input names for these fields. NOTE • If the monitor is connected with the CMS, the patient information items and customized fields are loaded from the CMS. BeneVision N1 Patient Monitor Operator’s Manual 21 — 1…

• Page 196: Auto Discharging A Patient After Monitor Power Off

  Select the Main Menu quick key → from the System column select Maintenance → input the required password → select Set the Review tab → Discharged Patients tab. Configure the alarms as needed: 21 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 197: Changing The Alarm Settings

  ◆ Off : if an alarm is not reset within the designated delay time after the alarm occurs, the volume of the alarm tone does not change. BeneVision N1 Patient Monitor Operator’s Manual 21 — 3…

• Page 198: Setting Alarm Pausing And Resetting Properties

  Select the Main Menu quick key → from the System column select Maintenance → input the required password → select Select the Alarm tab → Pause/Reset tab. Switch off Pause 5 min , Pause 10 min , or Pause 15 min . 21 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 199: Latching Physiological Alarms

  Resetting Alarms for Remote Devices You can reset the alarms occurring on the remote devices that are viewed on the Remote View screen of the monitor. To enable this function, follow this procedure: BeneVision N1 Patient Monitor Operator’s Manual 21 — 5…

• Page 200
  To set the alarm tone pattern for the remote device alarms, follow this procedure: Select the Main Menu quick key → from the System column select Maintenance → input the required password → select 21 — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 201: Changing Alarm Priority Settings

  To set the priority of the CMS and eGateway disconnection alarm, follow this procedure: Select the Main Menu quick key → from the System column select Maintenance → input the required password → select BeneVision N1 Patient Monitor Operator’s Manual 21 — 7…

• Page 202: Changing Alarm Delay Settings

  Set Alarm Delay . The setting of Alarm Delay is not applied to the zero respiration rate alarms and the ST alarms. You can set Zero RR Delay and ST Alarm Delay separately. 21 — 8 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 203: Adjusting The Alarm Light Brightness

  The arrhythmia algorithm can disable alarm light and alarm tone for designated period of time when certain arrhythmia alarms are detected. To set the arrhythmia alarm timeout period, follow this procedure: BeneVision N1 Patient Monitor Operator’s Manual 21 — 9…

• Page 204: Changing Caa Settings (Only Available When The N1 Is Used With The Independent External Display)

  → select Select the CAA tab → select EWS tab. From the Select Default Score area, set Default Adult Score , Default Ped Score , and Default Neo Score . 21 — 10 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 205: Setting Gcs Threshold For Each Consciousness Level

  In that case, you need to calibrate the ECG module. To do so, follow this procedure: Select the Main Menu quick key → from the System column select Maintenance → input the required password → select BeneVision N1 Patient Monitor Operator’s Manual 21 — 11…

• Page 206: Setting Parameter Measurement Timeout

  If the Connection Type is set to Print Server , you need to set the report type: Select the Main Menu quick key → from the System column select Maintenance → i nput the required password → select Select the Print tab. 21 — 12 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 207: Setting Patient Information On General (Non-12-Lead) Reports

  Select the Main Menu quick key → from the System column select Maintenance → input the required password → select Select the Print tab → Other tab. Enable or disable Second Mark (Printer) . BeneVision N1 Patient Monitor Operator’s Manual 21 — 13…

• Page 208: Setting Parameter Unit

  For the 2D barcode reader, you can change the scanner settings. 21.10.1 Establish the Relationship between Patient Demographics and 2D Barcode Fields (for the Mindray Custom 2D Barcode Reader) To configure 2D barcode reader, follow this procedure: Select the Main Menu quick key → from the System column select Maintenance → input the required password →…

• Page 209: 21.10.2 Setting The Barcode Reader Information

  Select the Scanner tab → Scanner Info. tab. Set Scanner Type : ◆ 1D Scanner : select this option when using a 1D scanner or a 2D scanner other than the Mindray custom 2D scanner. ◆ 2D Scanner : select this option when using the Mindray custom scanner.

• Page 210: 21.11.1 Network Safety Information

  Set WLAN Band to Auto , 5G , or 2.4G according to the band you are using. The default is Auto , which means the monitor can automatically identify the WLAN band. Select Auth Server Type to set the type of authentication server. Set BGN Channel . Set AN Channel . 21 — 16 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 211: 21.11.4 Managing Certifications

  21.11.8 Sending Realtime Data, Waveforms and Alarms via HL7 Protocol You can send the realtime data, waveforms, and alarms from the monitor to the hospital servers via HL7 protocol. To do so, follow this procedure: BeneVision N1 Patient Monitor Operator’s Manual 21 — 17…

• Page 212: 21.11.9 Selecting Data Encryption Type

  Thus, patient information will not display in the remote device list. 21.12 MLDAP MLDAP refers to Mindray LDAP (Lightweight Directory Access Protocol). It is an independent process which can be installed on the eGateway or other application server (Windows). MLDAP provides user identity and authentication.

• Page 213: 21.12.2 Testing Mldap Server Connection

  Connecting the Monitor to the CMS To connect the monitor to the CMS, follow this procedure: Set the IP address , Subnet Mask , and Gateway. For more information, see section 21.11 Configuring the Network . BeneVision N1 Patient Monitor Operator’s Manual 21 — 19…

• Page 214: 21.13.1 Setting The Cms

  Location , Printer , or Authorization Setup tab from the Dock Setup page. 21.15.2 Setting the Net Setting Type To set the network setting type of the Dock, follow this procedure: 21 — 20 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 215: 21.15.3 Setting The Network Of The Dock

  → select Select the Dock Setup tab → select the Setup tab. Set the Work Mode to Host Mode . Select the IP tab, and set Network Type to WLAN . BeneVision N1 Patient Monitor Operator’s Manual 21 — 21…

• Page 216: 21.15.4 Setting The External Display

  The mouse sensitivity is adjustable. To do so, follow this procedure: Select the Main Menu quick key → from the System column select Maintenance → input the required password → select Select the Other tab. Set Mouse Sensitivity . 21 — 22 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 217: Setting The Spo Tone Mode

  → select Select the Other tab. Select Parameters On/Off . Enable or disable desired parameters. When a parameter is switched off, the monitor stops data acquisition and alarming for this measurement. BeneVision N1 Patient Monitor Operator’s Manual 21 — 23…

• Page 218: 21.16.6 Setting If Setting Parameter Switches Is Protected

  Manual : The monitor enters the outdoor mode by manually selecting the Main Menu quick key → from the Display column select Enter Outdoor Mode . ◆ Auto : The monitor enters the outdoor mode automatically if the strength of ambient light is greater than the threshold. 21 — 24 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 219: Battery

  Remove the battery if it will not be used for an extended period of time. 22.3 Installing the Battery The battery must only be installed by service personnel trained and authorized by Mindray. To install the battery, contact your service personnel. The battery is installed when the monitor leaves the factory. 22.4…

• Page 220: Battery Symbols

  If the battery is aged, the Battery Service Required alarm is presented each time the monitor is turned on, indicating that the battery has reached its end of life. For more information on battery-related alarms, see D Alarm Messages . 22 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 221: Checking The Battery Information

  40 – 60% for storage. NOTE • Battery operating time depends on equipment configuration and operation. For example, high display brightness or measuring NIBP repeatedly will shorten the battery operating time. BeneVision N1 Patient Monitor Operator’s Manual 22 — 3…

• Page 222: Storing The Battery

  • Do not open the battery, heat the battery above 60 °C, incinerate the battery, or short the battery terminals. They may ignite, explode, leak or heat up, causing personal injury. 22 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 223: Care And Cleaning

  Avoid wetting the pins and metal parts of the equipments, mounting kits, or accessories during cleaning and disinfection. • Use only Mindray approved cleaners and disinfectants and methods listed in this chapter to clean or disinfect your equipment. Warranty does not cover damage caused by unapproved substances or methods.

• Page 224: Cleaning And Disinfecting The Equipment And Mounting Kits

  0.105%, n-Alkyl dimethyl ethylbenzyl ammonium chlorides 0.105% Rely+On™ Virkon® High Level Powder Used as 1% solution Surface Disinfectant Biocidal active: Pentapotassium bis (peroxymonosulphate) bis (sulphate)(500g/ kg), Contains dipotassium peroxodisulphate. 23 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 225: Cleaning The Equipment And Mounting Kits

  23.3.1 Approved Cleaning and Disinfecting Agents only. Wipe off all the cleaning agent residue with a dry cloth. Dry your equipment in a ventilated, cool place. BeneVision N1 Patient Monitor Operator’s Manual 23 — 3…

• Page 226: Disinfecting The Equipment And Mounting Kits

  Never clean or disinfect the metalic connectors at either end of the accessories. • Use only Mindray approved cleaners and disinfectants and methods listed in this section to clean or disinfect the accessories. Warranty does not cover damage caused by unapproved substances or methods.

• Page 227
  VIRAGUARD® Hospital Surface Isopropanol 70%, Disinfectant Towelettle Other ingredients 30% The following table lists approved Masimo SpO cable cleaning and disinfecting agents: Product Name Product Type Active Ingredients Isopropanol Liquid Isopropanol 70% BeneVision N1 Patient Monitor Operator’s Manual 23 — 5…

• Page 228: Cleaning The Accessories

  Cleaning the accessories before disinfecting is recommended. 23.5 Sterilization Sterilization is not recommended for this equipment, related products, accessories, or supplies unless otherwise indicated in the Instructions for Use that accompany the products, accessories or supplies. 23 — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 229: Maintenance

  The equipment and accessories shall not be serviced or maintained while in use on a patient. • If you discover a problem with any of the equipment, contact your service personnel or Mindray. • Use and store the equipment within the specified temperature, humidity, and altitude ranges.

• Page 230: Maintenance And Testing Schedule

  24.5.1 Performing Visual Inspection Visually inspect the equipment before its first use every day. If you find any signs of damage, remove the monitor from use and contact the service personnel. 24 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 231: Performing Power-On Test

  24.6.2 NIBP Accuracy Test The NIBP accuracy test should be performed once every two years or when you doubt the NIBP measurements. The NIBP accuracy test should be performed by Mindray-qualified service personnel only. 24.7 Disposing of the Monitor Dispose of the monitor and its accessories when its service life is reached. Follow local regulations regarding the disposal of such product.

• Page 232
  This page intentionally left blank. 24 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 233: Accessories

  ECG electrode, 3M, pkg of 50 Disposable Pediatric 1050NPSMKittycat 0681-00-0098-01 NEO pre-wired electrode radio Disposable Neonate Opaque, pkg of 100 1051NPSMKittycat 0681-00-0098-02 NEO pre-wired electrode radio Disposable Neonate Translucent, pkg of 100 BeneVision N1 Patient Monitor Operator’s Manual 25 — 1…

• Page 234: 12-Pin Trunk Cables Available For Purchase

  Adult/Pediatric EY6305A 009-004772-00 3-Lead, N/T, AHA, clip, 36’’ Reusable Adult/Pediatric EY6310B 009-004777-00 3-Lead, N/T, AHA, snap, 24’’ Disposable Adult/Pediatric EY6310B 115-032954-00 3-Lead, N/T, AHA, snap, 24’’ , pkg of Disposable Adult/Pediatric 25 — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 235: 3-Lead Ecg Leadwires Also Compatible

  AAMI 0012-00-1503-03 5-Lead leadset, snap, 36″ (101.6 Reusable Adult/Pediatric cm), AAMI 0012-00-1514-02 5-Lead leadset, clip, 24″ (61.0 cm), Reusable Adult/Pediatric AAMI 0012-00-1514-03 5-Lead leadset, clip, 36″ (101.6 cm), Reusable Adult/Pediatric AAMI BeneVision N1 Patient Monitor Operator’s Manual 25 — 3…

• Page 236: 6-Lead Ecg Leadwires Available For Purchase

  4092 040-003426-00 LNCS to RD adapter, Masimo Reusable 25.2.2 Extension Cables and Adapter Cables Also Compatible Model Part No. Description Usage Applicable patient 582A 115-020768-00 8-pin SpO2 extension cable, Masimo Reusable 25 — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 237: Rd Set Sensors Available For Purchase

  SpO2 sensor, finger-clip Disposable Neonate (<1Kg) LNCS Neo-L 0600-00-0157 SpO2 sensor, 20 pcs/box Disposable Neonate /Adult (<3 kg or > 40 kg) LNCS Inf 0600-00-0158 SpO2 sensor, 20 pcs/box Disposable Infant (3-20 kg) BeneVision N1 Patient Monitor Operator’s Manual 25 — 5…

• Page 238: Nellcor Spo 2 Sensors Also Compatible

  PROBE,D TEMP,ES400-12 (box of 20) Disposable Adult 0206-03-0118-02 PROBE,D TEMP,ES400-18 (box of 20) Disposable Adult 0206-03-0209-02 PROBE,D TEMP,ER 400-9 (box of 20) Disposable Adult 0206-03-0212-02 PROBE,D TEMP,ER400-12 (box of 20) Disposable Adult 25 — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 239: Temp Probes Also Compatible

  CM1504 115-027566-00 Cuff, 33-47 cm, bladderless, pkg of Disposable Large adult CM1505 115-027560-00 Cuff, 46-66 cm, bladderless Disposable Adult thigh CM1505 115-027567-00 Cuff, 46-66 cm, bladderless, pkg of Disposable Adult thigh BeneVision N1 Patient Monitor Operator’s Manual 25 — 7…

• Page 240: Ibp Accessories

  IBP transducer, ICU Medical Disposable 42602 M90-000133— Mounting background and Reusable accessory for IBP transducer, ICU Medical 42394 M90-000134— Mounting clamp for IBP transducer Reusable (send with the cable), ICU Medical 25 — 8 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 241: Icp Accessories Available For Purchase

  Watertrap, DRYLINE II, pkg of 10 Reusable Adult/Pediatric 100-000081-00 115-058734-00 Watertrap, DRYLINE II, pkg of 10 Reusable Neonatal 25.6.2 Microstream CO Accessories Intended for Sale Model Part No. Description Usage 045-003134-00 CO2 adapter Reusable BeneVision N1 Patient Monitor Operator’s Manual 25 — 9…

• Page 242: Microstream Co Accessories Also Compatible

  Microstream CO2 module, with accessories 25.8 Mount and Mounting Accessories Part No. Description 115-028320 -00 Monitor handle 115-048378-00 Modular Rack kit 115-054849-00 Dock and pole mount kit 115-054851-00 Modular Rack and folding hook kit 25 — 10 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 243: Miscellaneous Accessories

  Wireless keyboard and mouse set 023-000525-00 Wired keyboard and mouse set 023-000247-00 Keyboard, wired USB connector, black 023-000248-00 Mouse, wired USB connector, black 115-039575-00 2D Barcode reader, HS-1M, JADAK 115-039635-00 2D Barcode reader, HS-1R, JADAK BeneVision N1 Patient Monitor Operator’s Manual 25 — 11…

• Page 244
  This page intentionally left blank. 25 — 12 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 245: Monitor Safety Specifications

  Microstream CO module 0.40 136.5 × 40 × 102 Sidestream CO module 0.64 136.5 × 40 × 102 with O Sidestream CO module 0.52 136.5 × 40 × 102 without O BeneVision N1 Patient Monitor Operator’s Manual A — 1…

• Page 246: Environmental Specifications

  The monitor is operated in normal use for a period not less than 20 minutes when moved from storage temperature (range from — 30 °C to 70 °C) to room temperature ( °C °C), and started up within 10 minutes ± 2 after the movement. A — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 247: Power Supply Specifications

  For the monitor with internal CO module: no more than 3 hours to 90% when the monitor is off. no more than 5 hours to 90% when the monitor is on. BeneVision N1 Patient Monitor Operator’s Manual A — 3…

• Page 248: Display Specifications

  1 (two color-coded: yellow and green) A.7.2 Dock Connection status LED 1 (green) External power supply LED 1 (green) A.7.3 Transport Dock Power-on LED 1 (green) A.7.4 AC Adapter Power-on LED 1 (green) A — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 249: Audio Indicator

  Multi-pin connector Infrared filter Pogo pin Contact A.9.3 Interface Specifications of the Dock Network connector Equipotential grounding terminal AC power input connector VGA connector Host monitor connector USB connector Multi-pin connector BeneVision N1 Patient Monitor Operator’s Manual A — 5…

• Page 250: Signal Outputs Specifications

  48 hours at maximum. The specific storage time depends on the waveforms stored and the number of stored waveforms. OxyCRG view 48 hours. Trend data is stored one dot per second and the waveform stored is a compressed waveform. A — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 251: Out-Of-Hospital Transport — Standards Compliance

  Magnetic Field emission according to MIL STD 461F, Chapter RE101: Radiated emissions, magnetic field, 30Hz to 100KHz. Limit class: Army. Magnetic Field susceptibility : Radiated susceptibility, magnetic field, 50 and 60 Hz, 30 A/m. ■ BeneVision N1 Patient Monitor Operator’s Manual A — 7…

• Page 252: Wi-Fi Specifications

  Wi-Fi devices. The monitoring network must support the following requirements: The total delay of data transmission from the monitor to the CMS: ≤ 2 seconds. ■ A — 8 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 253: Measurement Specifications

  Monitor, surgical, and ST mode: notch filter turns on automatically Diagnostic mode and High Freq Cut-off: notch filter is turned on/off manually ≥5 M Ω Differential input impedance Input signal range ±8 mV (peak-to-peak value) BeneVision N1 Patient Monitor Operator’s Manual A — 9…

• Page 254
  12 RR intervals and then averaging the remaining 10 RR intervals. The HR value displayed on the monitor screen is updated no more than one second. A — 10 BeneVision N1 Patient Monitor Operator’s Manual…
• Page 255
  Accuracy QT: ±30 ms Resolution QT: 4 ms QTc: 1 ms 12-lead ECG Interpretation Sampling rate 1000 samples/s (waveform) 500 samples/s (algorithm) Amplitude quantisation 24 bits Alarm limit Range Step BeneVision N1 Patient Monitor Operator’s Manual A — 11…

• Page 256: Resp Specifications

  20 to (high limit — 5) A.14.3 Specifications Refer to Appendix E SpO for the clinical study results of SpO sensor accuracy. 2 Sensor Accuracy Alarm limit Range (%) Step (%) A — 12 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 257
  ±1%, to compensate for the theoretical effect on oximeter measurements of fetal hemoglobin in neonatal blood. BeneVision N1 Patient Monitor Operator’s Manual A — 13…

• Page 258: Pr Specifications

  Resolution 1 bpm Accuracy ±3 bpm or ±3%, whichever is greater PR from IBP Measurement range 25 to 350 bpm Resolution 1 bpm Accuracy ±1 bpm or ±1%, whichever is greater A — 14 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 259: Temp Specifications

  Pediatric: 80 to 210 Neonate: 60 to 140 Default initial cuff inflation pressure Adult: 160 (mmHg) Pediatric: 140 Neonate: 90 Software overpressure protection Adult: 297±3 mmHg Pediatric: 297±3 mmHg Neonate: 147±3 mmHg BeneVision N1 Patient Monitor Operator’s Manual A — 15…

• Page 260: Ibp Specifications

  Meets the requirements of IEC 60601-2-34: 2011. Technique Direct invasive measurement Measurement range -50 to 300 mmHg Resolution 1 mmHg Accuracy ±2% or ±1 mmHg, whichever is greater (excluding sensor error) Refresh rate ≤1s A — 16 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 261: Co Specifications

  0% to (high limit — 2)% High (low limit + 2%) to 100% 18% to (high limit — 2)% Sidestream CO Module Standard Meets the requirements of ISO 80601-2-55: 2011 Measurement range 0 to 150mmHg BeneVision N1 Patient Monitor Operator’s Manual A — 17…

• Page 262
  Using the CO module without O sensor: Adult, pediatric: 120 ml/min Neonatal: 70 ml/min, 90 ml/min Sample flowrate tolerance ±15% or ±15 ml/min, whichever is greater. Start-up time 20s (typical), 90 s (maximum) A — 18 BeneVision N1 Patient Monitor Operator’s Manual…
• Page 263
  ≤750 ms@120 ml/min awRR measurement range 0 to 150 rpm awRR measurement precision <60 rpm: ±1 rpm 60 to 150 rpm: ±2 rpm awRR resolution 1 rpm Data sample rate 50 Hz BeneVision N1 Patient Monitor Operator’s Manual A — 19…
• Page 264
  0 to 150 rpm awRR measurement accuracy 0 to 70 rpm: ±1 rpm 71 to 120 rpm: ±2 rpm 121 to 150 rpm: ±3 rpm awRR resolution 1 rpm Data sample rate 40 Hz A — 20 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 265: B Emc And Radio Regulatory Compliance

  IEC 61000-3-3: 2013 NOTE • The device needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided below. BeneVision N1 Patient Monitor Operator’s Manual B — 1…

• Page 266
  50 Hz / 60 Hz 50 Hz / 60 Hz frequency typical commercial or hospital environment. magnetic fields IEC 61000-4-8: 2009 Note: U is the AC mains voltage prior to application of the test level. B — 2 BeneVision N1 Patient Monitor Operator’s Manual…
• Page 267
  RF communications equipment (transmitters) and the device as recommended below, according to the maximum output power of the communication equipment. BeneVision N1 Patient Monitor Operator’s Manual B — 3…

• Page 268: Radio Regulatory Compliance

  (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. Any changes or modifications to this equipment not expressly approved by Mindray may cause harmful radio frequency interference and void your authority to operate this equipment.

• Page 269: C Default Settings

  General and OR: 2 Other department : 0 Baseline Drift Removal (for 12-lead only) Waveform Layout (for 12-lead only) Standard QRS Threshold 0.16 mV Paced Adult: Unspecified Pediatric/neonate: No Pacer Reject BeneVision N1 Patient Monitor Operator’s Manual C — 1…

• Page 270: Arrhythmia Default Settings

  Nonsus V-Tach CCU: On Other departments: Off Vent Rhythm CCU: On Other departments: Off Pause Irr Rhythm Prompt A-Fib Prompt PVCs/min CCU: On Other departments: Off Pauses/min CCU: On Other departments: Off C — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 271: St Default Settings

  ST Alarm Mode set to Alarm switch ST Single, High limit 0.1 mV ST Dual Low limit -0.1 mV Priority Alarm Outputs ST Analysis ST Segment Auto Show Marker ST Point J+60 Auto Adjust BeneVision N1 Patient Monitor Operator’s Manual C — 3…

• Page 272: Qt Default Settings

  Measurements Interpretation Interpretation Summary Respiration Default Settings Item Default Setting Alarm switch High limit Adult: 30 Pediatric: 30 Neonate: 100 Low limit Adult: 8 Pediatric: 8 Neonate: 30 Priority Alarm Outputs C — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 273: Spo Default Settings

  Pediatric: 100% Neonate: 95% Low limit Priority Alarm Outputs Desat Alarm switch Low limit Priority High Alarm Outputs Satsecond (for Nellcor SpO NIBP Simul Display PI (for Masimo SpO Speed 25 mm/s BeneVision N1 Patient Monitor Operator’s Manual C — 5…

• Page 274: Temperature Default Settings

  Item Default Setting NIBP-S Alarm switch High limit Adult: 160 mmHg Pediatric: 120 mmHg Neonate: 90 mmHg Low limit Adult: 90 mmHg Pediatric: 70 mmHg Neonate: 40 mmHg Priority Alarm Outputs C — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 275
  Alarm Outputs NIBP-M Extreme Alarm switch High limit Adult: 125 mmHg Pediatric: 100 mmHg Neonate: 75 mmHg Low limit Adult: 45 mmHg Pediatric: 40 mmHg Neonate: 20 mmHg Priority High Alarm Outputs BeneVision N1 Patient Monitor Operator’s Manual C — 7…

• Page 276: Ibp Default Settings

  Pediatric and neonate: 60 mmHg Low limit • Art/Ao/UAP/BAP/FAP/LV/P1-P4 arterial pressure Adult: 90 mmHg Pediatric: 70 mmHg Neonate: 55 mmHg • Adult: 10 mmHg Pediatric and neonate: 24 mmHg Priority Alarm Outputs C — 8 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 277
  Adult: 0 mmHg Pediatric and neonate: 12 mmHg • Adult: 0 cmH Pediatric and neonate: 0 cmH • ICP/RAP/LAP/UVP/P1-P4 venous pressure Adult: 0 mmHg Pediatric and neonate: 0 mmHg Priority Alarm Outputs BeneVision N1 Patient Monitor Operator’s Manual C — 9…
• Page 278
  Neonate: 90 mmHg Low limit Adult: 50 mmHg Pediatric: 40 mmHg Neonate: 30 mmHg Priority Alarm Outputs Measure (for P1, P2) Measure (for P3, P4) Mean only Sensitivity Speed 25 mm/sec C — 10 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 279: Co Default Settings

  High limit Adult and pediatric: 50 mmHg Neonate: 45 mmHg Low limit Adult and pediatric: 25mmHg Neonate: 30mmHg Priority Alarm Outputs FiCO Alarm switch High limit 4 mmHg Priority Alarm Outputs BeneVision N1 Patient Monitor Operator’s Manual C — 11…

• Page 280
  Other departments: 21% O Compensation AG Compensation Auto Standby 60 min Operating Mode Measure C.7.3 Microstream CO Default Settings Item Default Setting BTPS Compen Maximum Hold 20 sec Auto Standby Operating Mode Measure C — 12 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 281: Alarm Default Settings

  Choose Screen Normal Screen Screen Lock Duration General, CCU: Permanent Other departments: 10 sec Display Brightness Key Volume Night Mode Brightness Alarm Volume QRS Volume Key Volume NIBP End Tone Stop NIBP BeneVision N1 Patient Monitor Operator’s Manual C — 13…

• Page 282
  This page intentionally left blank. C — 14 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 283: D Alarm Messages

  High Extreme Tachy High Extreme Brady High PVCs/min Pauses/min R on T Bigeminy Trigeminy Tachy Brady Multiform PVC Vent Rhythm Nonsus V-Tach Run PVCs Pause Couplet Prompt Prompt Irr Rhythm Prompt BeneVision N1 Patient Monitor Operator’s Manual D — 1…

• Page 284: Resp Physiological Alarm Messages

  Art-S/Art-D/Art-M High The Art value is lower than the Art Extreme alarm low limit. Check the patient’s Extremely Low condition and check if the alarm limit settings are correct. D — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 285: Co Physiological Alarm Messages

  Patient skin impedance is too high. Check ECG electrode application. ECG Learning Prompt ECG learning is manually or automatically triggered. Cannot Analyze QT Prompt Note: XX represents ECG lead name, for example RL, LL, V, Va, Vb, etc. BeneVision N1 Patient Monitor Operator’s Manual D — 3…

• Page 286: Resp Technical Alarm Messages

  2. Reposition the sensor if necessary. D.2.5 Temp Technical Alarm Messages Indication on Alarm message Default priority Cause and solution alarm reset T1/T2 Sensor Off Check the sensor connection and reconnect the sensor. D — 4 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 287: Nibp Technical Alarm Messages

  If the alarm persists, contact your service personnel. Note: XX represents an IBP label, for example PA, CVP, FAP, P1, etc. BeneVision N1 Patient Monitor Operator’s Manual D — 5…

• Page 288: Co Technical Alarm Messages

  2. Replace the sample line. 3. Reinsert the module. 4. If the alarm persists, contact your service personnel. No Filterline Make sure that the filterline is connected. Calibration Required Perform a calibration. D — 6 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 289: Power Supply Technical Alarm Messages

  The printer buffer is full. Wait untill the printer finishes the printing task. Printing Failed Prompt The printer ran out of paper or cannot be found on the network. Check the printer. BeneVision N1 Patient Monitor Operator’s Manual D — 7…

• Page 290: Technical Alarm Messages Related To Networked Monitoring

  The storage card failed or files are damaged. Shutdown and restart the monitor. Format the storage card (CAUTION: this will clear all patient data stored on this monitor). If the alarm persists, contact your service personnel. D — 8 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 291
  3.11.2 Displaying Parameter Numerics and Waveforms . The patient data storage The storage space of the monitor is full. Delete space is nearly full. Please unnecessary earlier discharged patient. delete some discharged patients. BeneVision N1 Patient Monitor Operator’s Manual D — 9…
• Page 292
  This page intentionally left blank. D — 10 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 293: Sensor Accuracy

  Sensor Accuracy The Accuracy of Masimo SpO Sensors Table information for the plots below show A values measured with Masimo SET Oximetry Technology in a clinical study. Adtx/Pdtx/4000/4001 Inf/Neo/NeoPt/4002/4003/4004/4005 BeneVision N Series Patient Monitor Operator’s Manual E — 1…

• Page 294
  DCI/DCIP/4050/4051 LNCS YI 4053 E — 2 BeneVision N Series Patient Monitor Operator’s Manual…

• Page 295: The Accuracy Of Nellcor Spo

  The Accuracy of Nellcor SpO Sensors Accuracy for Nellcor Sensors vs. Co-Oximeters (Arms) Range 100% to 70% 100% to 90% 90% to 80% 80% to 70% DS-100A 1.64% 1.16% 1.67% 2.25% D-YS, OXI-P/I, OXI-A/N 2.41% 1.38% 2.50% 3.60% MAXAI, MAXPI, MAXII 1.62% 1.49% 1.57%…

• Page 296
  Modified Bland-Altman for SpO2 — D-YS, OXI-A/N, OXI-P/I Sensors: (SpO — SaO ) vs.SaO E — 4 BeneVision N Series Patient Monitor Operator’s Manual…

• Page 297: Units

  °F Fahrenheit gram gigahertz gutta hour hertz inch kilo kilogram kilopascal litre pound meter milliampere hour mega byte microgram milli-equivalents milligram minute milliliter millimeter BeneVision N1 Patient Monitor Operator’s Manual F — 1…

• Page 298: Symbols

  ＋ plus ＝ equal to ＜ less than ＞ greater than ≤ less than or equal to ≥ greater than or equal to ± plus or minus × multiply © copyright F — 2 BeneVision N1 Patient Monitor Operator’s Manual…

• Page 299: Abbreviations

  International Special Committee on Radio Interference CMOS complementary metal oxide semiconductor central monitoring system C.O. cardiac output carbon dioxide COHb carboxyhemoglobin Compl compliance cardiac power index cardiac power output central venous pressure direct current BeneVision N1 Patient Monitor Operator’s Manual F — 3…

• Page 300
  EVLW extravascular lung water ELWI extravascular lung water index Early Warning Score femoral arterial pressure Federal Communication Commission Food and Drug Administration fraction of inspired FiAA inspired anesthetic agent F — 4 BeneVision N1 Patient Monitor Operator’s Manual…
• Page 301
  ITBI intrathoracic blood volume index ITBV intrathoracic blood volume left arm left atrial pressure liquid crystal display left cardiac work LCWI left cardiac work index BeneVision N1 Patient Monitor Operator’s Manual F — 5…
• Page 302
  PAWP pulmonary artery wedge pressure pCVP central venous pressure pediatric PEEP positive end expiratory pressure peak expiratory flow pre-ejection period peak inspiratory flow peak inspiratory pressure Pleth plethysmogram F — 6 BeneVision N1 Patient Monitor Operator’s Manual…
• Page 303
  Surviving Sepsis Campaign signal strength index systolic time ratio stroke volume stroke volume index systemic vascular resistance SVRI systemic vascular resistance index stroke volume variation venous oxygen saturation Sync synchronization BeneVision N1 Patient Monitor Operator’s Manual F — 7…
• Page 304
  VEPT volume of electrically participating tissue velocity index ventricular premature beat per minute F — 8 BeneVision N1 Patient Monitor Operator’s Manual…
• Page 306
  P/N:046-011405-00 (5.0)

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