Operator's Manual
Table Of Contents
- 1 Safety
- 2 Equipment Introduction
- 2.1 Indications for Use
- 2.2 Applied Parts
- 2.3 Main Unit
- 2.4 Modular Rack
- 2.5 Dock
- 2.6 External Parameter Modules
- 2.7 Installlation
- 2.7.1 Installing the N1 or External Parameter Module into the Modular Rack
- 2.7.2 Removing the N1 or External Parameter Module from the Modular Rack
- 2.7.3 Installing the Modular Rack to the Dock
- 2.7.4 Removing the Modular Rack from the Dock
- 2.7.5 Installing the N1 to the Dock
- 2.7.6 Removing the N1 from the Dock
- 2.8 N1 in Use with the Host Monitor
- 2.9 N1 in Use with the Transport Dock
- 2.10 Input Devices
- 2.11 Printing Devices
- 3 Getting Started
- 3.1 Equipment Preparation Safety Information
- 3.2 Unpacking and Checking
- 3.3 Environmental Requirements
- 3.4 Setting Up the Equipment
- 3.5 Operation and Navigation
- 3.5.1 Using the Touchscreen
- 3.5.2 Using the Mouse
- 3.5.3 Using the On-Screen Keyboard
- 3.5.4 Using the Barcode Reader
- 3.5.4.1 Clearing Old Data Formats (for the Mindray Custom 2D Barcode Reader)
- 3.5.4.2 Establish the Relationship between Patient Demographics and 2D Barcode Fields (for the Mindray Custom 2D Barcode Reader)
- 3.5.4.3 Setting the Barcode Reader Information
- 3.5.4.4 Identifying the Barcode Reader (for the non-Mindray Custom 2D Barcode Reader)
- 3.5.4.5 Selecting Patient Information output by the Barcode Reader (for the Mindray Custom 2D Barcode Reader)
- 3.6 Screen Display
- 3.7 Operating Modes
- 3.8 Configuring Your Monitor
- 3.9 Starting Monitoring a Patient
- 3.10 Stopping a Parameter Measurement
- 3.11 General Operation
- 3.12 Using the On-Screen Timers
- 3.13 Using the External Display
- 3.14 The OxyCRG Screen (only available for the independent external display)
- 3.15 Turning Off the Monitor
- 4 Managing Patients
- 4.1 Discharging a Patient
- 4.2 Admitting a Patient
- 4.3 Managing Patient Information
- 4.3.1 Entering the Patient Management Menu
- 4.3.2 Editing Patient Information
- 4.3.3 Loading Patient Information from the CMS
- 4.3.4 Loading Patient Information from the ADT Server
- 4.3.5 Selecting Query Criteria for Searching Patients in ADT Server
- 4.3.6 Changing Patient Management Settings
- 4.3.7 Setting Monitor Information
- 4.3.8 Setting Monitor Location
- 4.3.9 Setting Patient Location
- 4.3.10 Hiding Patient Name
- 4.4 Transferring Patient Data
- 4.5 Setting the Dock
- 4.6 Connecting the CMS
- 5 Managing Configurations
- 6 Networked Monitoring
- 6.1 Network Introduction
- 6.2 Network Safety Information
- 6.3 Connecting the Monitor to the CMS
- 6.4 Connecting the eGateway
- 6.5 Using the ADT Gateway
- 6.6 Sending Realtime Data, Waveforms and Alarms via HL7 Protocol
- 6.7 Viewing Other Patients (Only available for the independent external display)
- 6.8 Configuring the Network
- 6.8.1 Setting the Wireless Network
- 6.8.2 Disconnecting the Wireless Network
- 6.8.3 Selecting WLAN Band and Channels
- 6.8.4 Managing Certifications
- 6.8.5 Setting Multicast Parameters
- 6.8.6 Setting the Network Service Quality Level
- 6.8.7 Selecting Data Encryption Type
- 6.8.8 Disabling the Broadcasting Patient Demographics Function
- 6.9 MLDAP
- 7 Alarms
- 7.1 Alarm Introduction
- 7.2 Alarm Safety Information
- 7.3 Understanding the Alarms
- 7.4 Accessing On-screen Help for Technical Alarms (AlarmSight)
- 7.5 Checking Physiological Alarm List
- 7.6 Changing Alarm Settings
- 7.6.1 Setting Parameter Alarm Properties
- 7.6.2 Setting Alarm Tone Properties
- 7.6.3 Initiating Auto Alarm Limits
- 7.6.4 Setting the Alarm Delay Time
- 7.6.5 Adjusting the Alarm Light Brightness
- 7.6.6 Setting the Length of Printing Duration On Alarm
- 7.6.7 Setting the Switch of the CMS and eGateway Disconnection Alarm
- 7.6.8 Setting the Priority of the CMS and eGateway Disconnection Alarm
- 7.6.9 Setting the Switch of the SpO2 Desat Alarm Off
- 7.6.10 Setting the Switch of the Zero RR Alarm Off
- 7.7 Pausing Alarms/Pausing Alarm Tones
- 7.8 Resetting Alarms
- 7.9 Latching Alarms
- 7.10 CPB Mode
- 7.11 Intubation Mode
- 7.12 Managing Alarms from Remote Devices (only available for the independent external display)
- 7.12.1 Setting the Tone Pattern for Alarms from Remote Devices
- 7.12.2 Selecting the Alarm Reminder for Remote Devices
- 7.12.3 Presenting Alarm Sound for Remote Devices as per Alarm Priority
- 7.12.4 Resetting Alarms for Remote Devices
- 7.12.5 Authorizing the Alarm Reset to Other Devices
- 7.12.6 Switching Off the Remote Device Disconnection Alarm
- 7.13 Testing Alarms
- 7.14 Actions When an Alarm Occurs
- 8 Monitoring ECG, Arrhythmia, ST and QT
- 8.1 ECG Introduction
- 8.2 ECG Safety Information
- 8.3 ECG Display
- 8.4 Preparing for ECG Monitoring
- 8.5 Changing ECG Settings
- 8.5.1 Choosing an ECG Screen
- 8.5.2 Setting ECG Alarm Properties
- 8.5.3 Changing ECG Wave Settings
- 8.5.4 Disabling the Smart Lead Off Function
- 8.5.5 Setting the Priority of the ECG Lead Off Alarm
- 8.5.6 Adjusting the QRS Volume
- 8.5.7 Adjusting the Minimum QRS Detection Threshold
- 8.5.8 Selecting the ECG Standard
- 8.6 Monitoring Arrhythmia
- 8.7 ST Segment Monitoring
- 8.8 Changing ST Settings
- 8.9 QT/QTc Interval Monitoring
- 8.10 ECG Relearning
- 8.11 Calibrating ECG
- 8.12 Defibrillation Synchronization Pulse Output
- 8.13 ECG Troubleshooting
- 9 Resting 12-Lead ECG Analysis
- 9.1 Resting 12-Lead ECG Analysis Introduction
- 9.2 Entering the 12-Lead Screen
- 9.3 Initiating Resting 12-Lead ECG Analysis
- 9.4 Changing 12-Lead ECG Analysis Settings
- 9.5 Glasgow Resting 12-lead ECG Analysis Algorithm Settings
- 9.6 Saving the 12-Lead Interpretation Report
- 9.7 Printing the 12-Lead Interpretation Report
- 9.8 Exiting the ECG 12-Lead Screen
- 10 Monitoring Respiration (Resp)
- 11 Monitoring Pulse Oxygen Saturation (SpO2)
- 11.1 SpO2 Introduction
- 11.2 SpO2 Safety Information
- 11.3 SpO2 Measurement Limitations
- 11.4 SpO2 Display
- 11.5 Preparing for SpO2 Monitoring
- 11.6 Changing the SpO2 Settings
- 11.6.1 Changing the SpO2 Alarm Settings
- 11.6.2 Nellcor Sat-Seconds Alarm Management
- 11.6.3 Setting the Nellcor SpO2 Sat-Seconds
- 11.6.4 Setting SpO2 Sensitivity (for Masimo SpO2 Module)
- 11.6.5 Enabling FastSAT (for Masimo SpO2)
- 11.6.6 Displaying SIQ (for Masimo SpO2)
- 11.6.7 Changing the Sensitivity
- 11.6.8 Monitoring SpO2 and NIBP Simultaneously
- 11.6.9 Changing the Sweep Speed of the Pleth Wave
- 11.6.10 Setting the Alarm Priority for SpO2 Sensor Off Alarm
- 11.6.11 Setting the SpO2 Tone Mode
- 11.7 Changing the PR Settings
- 11.8 SpO2 Troubleshooting
- 11.9 Nellcor Information
- 12 Monitoring Temperature (Temp)
- 13 Monitoring Noninvasive Blood Pressure (NIBP)
- 13.1 NIBP Introduction
- 13.2 NIBP Safety Information
- 13.3 NIBP Measurement Limitations
- 13.4 Measurement Modes
- 13.5 NIBP Display
- 13.6 Preparing for NIBP Measurements
- 13.7 Starting and Stopping NIBP Measurements
- 13.8 Changing NIBP Settings
- 13.8.1 Setting the NIBP Alarm Properties
- 13.8.2 Setting the Initial Cuff Inflation Pressure
- 13.8.3 Setting the NIBP Interval
- 13.8.4 Selecting NIBP Start Mode
- 13.8.5 Enabling the NIBP End Tone
- 13.8.6 Setting NIBP Sequence
- 13.8.7 Setting NIBP Measurement Timeout
- 13.8.8 Displaying the NIBP List
- 13.8.9 Correcting the NIBP Measurements
- 13.9 Assisting Venous Puncture
- 13.10 NIBP Maintenance
- 13.11 NIBP Troubleshooting
- 14 Monitoring Invasive Blood Pressure (IBP)
- 14.1 IBP Introduction
- 14.2 IBP Safety Information
- 14.3 Preparing for IBP Monitoring
- 14.4 Measuring ICP Using the Codman ICP Transducer
- 14.5 IBP Display
- 14.6 Changing IBP Settings
- 14.6.1 Changing the IBP Alarm Settings
- 14.6.2 Changing the Pressure Label
- 14.6.3 Setting the Pressure Type for Display
- 14.6.4 Changing the Sensitivity
- 14.6.5 Setting the IBP Waveform
- 14.6.6 Setting the Use PA-D as PAWP Switch (only available for the independent external display)
- 14.6.7 Enabling PPV Measurement
- 14.6.8 Changing the Pressure Unit
- 14.6.9 Overlapping IBP Waveforms
- 14.7 Measuring PAWP (only available for the independent external display)
- 14.8 IBP Troubleshooting
- 15 Monitoring Carbon Dioxide (CO2)
- 15.1 CO2 Introduction
- 15.2 CO2 Safety Information
- 15.3 CO2 Measurement Limitations
- 15.4 CO2 Display
- 15.5 Measuring CO2 Using Sidestream/Microstream CO2 Module
- 15.6 Measuring CO2 Using Mainstream CO2 Module
- 15.7 Changing Settings for All CO2 Modules
- 15.8 Changing Settings for Sidestream and Microstream CO2 Module
- 15.9 Changing O2 Settings (For Sidestream CO2 Module Integrating O2)
- 15.10 Setting the Gas Compensation
- 15.11 Choosing a Time Interval for Peak-Picking
- 15.12 Changing Barometric Pressure
- 15.13 Performing the Leakage Test
- 15.14 CO2 Calibration
- 15.15 Test Method Used to Determine the Respiration Rate Measuring Range
- 15.16 CO2 Troubleshooting
- 15.17 Oridion Information
- 16 Review
- 16.1 Review Overview
- 16.2 Review Page
- 16.2.1 Accessing the Review Page
- 16.2.2 Example Review Page
- 16.2.3 Symbols on Review Pages
- 16.2.4 Common Operations
- 16.2.5 Reviewing the Tabular Trends
- 16.2.6 Reviewing the Graphics Trends
- 16.2.7 Events Review Page
- 16.2.8 Viewing the Full Disclosure
- 16.2.9 OxyCRG Review Page (available for the independent external display)
- 16.2.10 12-Lead ECG Review Page
- 16.3 Minitrends Screen (only available for the independent external display)
- 16.4 Hiding Undesired Review Tabs
- 17 Clinical Assistive Applications (only available for the independent external display)
- 18 Calculation (only available for the independent external display)
- 19 Printing
- 20 Battery
- 21 Care and Cleaning
- 22 Maintenance
- 23 Accessories
- A Product Specifications
- A.1 Monitor Safety Specifications
- A.2 Physical Specifications
- A.3 Environmental Specifications
- A.4 Power Supply Specifications
- A.5 Display Specifications
- A.6 Touchscreen Specifications
- A.7 LEDs
- A.8 Audio Indicator
- A.9 Monitor Interface Specifications
- A.10 Signal Outputs Specifications
- A.11 Data Storage
- A.12 Out-Of-Hospital Transport - Standards Compliance
- A.13 Wi-Fi Specifications
- A.14 Measurement Specifications
- B EMC and Radio Regulatory Compliance
- C Default Settings
- D Alarm Messages
- D.1 Physiological Alarm Messages
- D.1.1 General Physiological Alarm Messages
- D.1.2 Arrhythmia Alarm Messages
- D.1.3 Resp Physiological Alarm Messages
- D.1.4 SpO2 Physiological Alarm Messages
- D.1.5 PR Physiological Alarm Messages
- D.1.6 NIBP Physiological Alarm Messages
- D.1.7 IBP Physiological Alarm Messages
- D.1.8 CO2 Physiological Alarm Messages
- D.2 Technical Alarm Messages
- D.2.1 General Technical Alarm Messages
- D.2.2 ECG Technical Alarm Messages
- D.2.3 Resp Technical Alarm Messages
- D.2.4 SpO2 Technical Alarm Messages
- D.2.5 Temp Technical Alarm Messages
- D.2.6 NIBP Technical Alarm Messages
- D.2.7 IBP Technical Alarm Messages
- D.2.8 CO2 Technical Alarm Messages
- D.2.9 Power Supply Technical Alarm Messages
- D.2.10 Printer Technical Alarm Messages
- D.2.11 Technical Alarm Messages Related to Networked Monitoring
- D.2.12 Other System Technical Alarm Messages
- D.1 Physiological Alarm Messages
- E Electrical Safety Inspection
- F SpO2 Sensor Accuracy
- G Units, Symbols and Abbreviations
BeneVision N1 Patient Monitor Operator’s Manual 11 - 3
◆ Electrosurgery equipment
◆ Defibrillation (may cause inaccurate reading for a short amount of time)
◆ Excessive patient/sensor motion
◆ Electromagnetic field
◆ Arterial catheters and intra-aortic balloon
■ Others
◆ Inappropriate positioning of the SpO
2
sensor, or use of incorrect SpO
2
sensor
◆ Cuff or arterial blood pressure measurement device on the same limb as the SpO
2
sensor.
11.4 SpO
2
Display
NOTE
• PI is only available for Mindray SpO
2
and Masimo SpO
2
.
11.5 Preparing for SpO
2
Monitoring
To prepare to monitor SpO
2
, follow this procedure:
1. Select an appropriate sensor according to the module type, patient category and weight.
2. Clean the contact surface of the reusable sensor.
3. Remove colored nail polish from the application site.
4. Apply the sensor to the patient according to the instruction for use of the sensor.
5. Select an appropriate extension cable according to the connector type and plug the cable into the SpO
2
connector.
6. 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.
( 1 )
( 2 )
( 3 )
( 4 )
( 5 )
(1) Pleth waveform (Pleth): visual indication of patient’s pulse. The waveform is not normalized.
(2) Oxygen saturation of arterial blood (SpO
2
): percentage of oxygenated hemoglobin in relation to the sum of
oxyhemoglobin and deoxyhemoglobin.
(3) Perfusion indicator: the pulsatile portion of the measured signal caused by arterial pulsation.
(4) Pulse rate (derived from the pleth wave): detected pulsations per minute.
(5) Perfusion index (PI): gives the numerical value for the pulsatile portion of the measured signal caused by arterial
pulsation. PI is an indicator of the pulsatile strength. You can also use it to assess the SpO
2
signal strength.
◆ Above 1 is optimal.
◆ Between 0.3 and 1 is acceptable.
◆ Below 0.3 indicates low perfusion. Set Sensitivity to Maximum first. Reposition the SpO
2
sensor
or find a better site. If low perfusion persists, choose another method to measure oxygen
saturation if possible.