Operator's Manual

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Table Of Contents

1 Safety
- 1.1 Safety Information
- 1.2 Equipment Symbols
2 Equipment Introduction
- 2.1 Indications for Use
- 2.2 Applied Parts
- 2.3 Main Unit
- 2.4 Modular Rack
  - 2.4.1 Left View
  - 2.4.2 Right View
- 2.5 Dock
- 2.6 External Parameter Modules
- 2.7 Installlation
- 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
- 3.6 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
  - 3.12.1 Displaying Timers
  - 3.12.2 Setting the Timer
- 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
  - 4.1.1 Auto Discharging a Patient after Monitor Power Off
  - 4.1.2 Manually Discharging a Patient
- 4.2 Admitting a Patient
- 4.3 Managing Patient Information
- 4.4 Transferring Patient Data
- 4.5 Setting the Dock
- 4.6 Connecting the CMS
5 Managing Configurations
- 5.1 Configuration Introduction
- 5.2 Changing the Department
- 5.3 Setting Default Configuration
- 5.4 Saving Current Settings
- 5.5 Deleting a Configuration
- 5.6 Transferring a Configuration
  - 5.6.1 Exporting a Configuration
  - 5.6.2 Importing a Configuration
- 5.7 Loading a Configuration
- 5.8 Modifying Configuration Password
6 Networked Monitoring
- 6.1 Network Introduction
- 6.2 Network Safety Information
- 6.3 Connecting the Monitor to the CMS
  - 6.3.1 Setting the CMS
  - 6.3.2 Selecting a 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)
  - 6.7.1 Remote View
  - 6.7.2 Alarm Watch
    - 6.7.2.1 About Alarm Watch Tile
    - 6.7.2.2 Displaying the Alarm Watch Tile on the Main Screen
- 6.8 Configuring the Network
- 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
- 7.7 Pausing Alarms/Pausing Alarm Tones
- 7.8 Resetting Alarms
- 7.9 Latching Alarms
- 7.10 CPB Mode
  - 7.10.1 Entering the CPB Mode
  - 7.10.2 Exiting the CPB Mode
- 7.11 Intubation Mode
- 7.12 Managing Alarms from Remote Devices (only available for the independent external display)
- 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
- 8.6 Monitoring Arrhythmia
- 8.7 ST Segment Monitoring
- 8.8 Changing ST Settings
  - 8.8.1 Setting ST Alarm Properties
  - 8.8.2 Adjusting ST Measurement Points
    - 8.8.2.1 About ST Point, ISO Point, and J Point
    - 8.8.2.2 Setting ST Point, ISO Point, and J Point
- 8.9 QT/QTc Interval Monitoring
- 8.10 ECG Relearning
  - 8.10.1 Auto ECG Relearning
  - 8.10.2 Initiating an ECG Relearning Manually
- 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)
- 10.1 Resp Introduction
- 10.2 Resp Safety Information
- 10.3 Resp Display
- 10.4 Preparing for Resp Monitoring
  - 10.4.1 Preparing the Patient
  - 10.4.2 Placing the Electrodes
- 10.5 Changing Resp Settings
- 10.6 Resp Troubleshooting
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
- 11.7 Changing the PR Settings
- 11.8 SpO2 Troubleshooting
- 11.9 Nellcor Information
  - 11.9.1 Masimo Information
12 Monitoring Temperature (Temp)
- 12.1 Temperature Introduction
- 12.2 Displaying the Temp Numerics Area
- 12.3 Temperature Display
- 12.4 Preparing for Temperature Monitoring
- 12.5 Changing Temperature Settings
- 12.6 Temperature Troubleshooting
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
  - 13.6.1 Preparing the Patient for NIBP Measurements
  - 13.6.2 Placing the NIBP Cuff
- 13.7 Starting and Stopping NIBP Measurements
- 13.8 Changing NIBP Settings
- 13.9 Assisting Venous Puncture
- 13.10 NIBP Maintenance
  - 13.10.1 NIBP Leakage Test
  - 13.10.2 NIBP Accuracy Test
- 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
  - 14.4.1 Zeroing the Codman ICP transducer
  - 14.4.2 Measuring ICP
- 14.5 IBP Display
- 14.6 Changing IBP Settings
- 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
  - 15.6.1 Preparing to Measure CO2 Using Mainstream CO2 Module
  - 15.6.2 Zeroing the Mainstream CO2 sensor
- 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
  - 15.16.1 Troubleshooting the Sidestream/Microstream CO2 Module
  - 15.16.2 Troubleshooting the Mainstream CO2 Module
- 15.17 Oridion Information
16 Review
- 16.1 Review Overview
- 16.2 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)
- 17.1 Early Warning Score (EWS)
- 17.2 Glasgow Coma Scale (GCS)
- 17.3 SepsisSightTM
- 17.4 Rescuing Mode
18 Calculation (only available for the independent external display)
- 18.1 Calculation Overview
- 18.2 Calculation Safety Information
- 18.3 Drug Calculations
- 18.4 Hemodynamic Calculations
- 18.5 Oxygenation Calculations
- 18.6 Ventilation Calculations
- 18.7 Renal Calculations
19 Printing
- 19.1 Printer
- 19.2 Setting the Printer
- 19.3 Setting Patient Information on the Reports
  - 19.3.1 Setting Patient Information on ECG Reports
  - 19.3.2 Setting Patient Information on Other Reports
- 19.4 Setting End Case Reports
- 19.5 Manually Starting a Printing Task
- 19.6 Automatically Printing Reports
- 19.7 Stopping a Printing Task
- 19.8 Setting Reports
- 19.9 Viewing Printer Statuses
- 19.10 Printer Out of Paper
20 Battery
- 20.1 Battery Introduction
- 20.2 Battery Safety Information
- 20.3 Installing the Battery
- 20.4 Battery Indications
- 20.5 Charging the Battery
- 20.6 Maintaining the Battery
  - 20.6.1 Conditioning the Battery
  - 20.6.2 Checking Battery Performance
- 20.7 Storing the Battery
- 20.8 Recycling the Battery
21 Care and Cleaning
- 21.1 Care and Cleaning Introduction
- 21.2 Care and Cleaning Safety Information
- 21.3 Recommended Cleaning and Disinfection Agents
- 21.4 General Cleaning Methods
- 21.5 Disinfection
- 21.6 Sterilization
- 21.7 Cleaning, Disinfecting and Sterilizing Monitoring Accessories
- 21.8 Impact of Improper Cleaning
22 Maintenance
- 22.1 Maintenance Introduction
- 22.2 Maintenance Safety Information
- 22.3 Maintenance and Testing Schedule
- 22.4 Checking Version Information
- 22.5 Testing Methods and Procedures
- 22.6 Disposing of the Monitor
23 Accessories
- 23.1 ECG Accessories
- 23.2 SpO2 Accessories
- 23.3 Temp Accessories
  - 23.3.1 Temp Cable
  - 23.3.2 Temp Probes
- 23.4 NIBP Accessories
  - 23.4.1 NIBP Hoses
  - 23.4.2 Cuffs
- 23.5 IBP Accessories
  - 23.5.1 IBP Accessories
  - 23.5.2 ICP Accessories
- 23.6 CO2 Accessories
A Product Specifications
- A.1 Monitor Safety Specifications
- A.2 Physical Specifications
- A.3 Environmental Specifications
- A.4 Power Supply Specifications
  - A.4.1 External Power Supply Specifications
  - A.4.2 Battery 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.13.1 Wi-Fi Technical Specifications
  - A.13.2 Wi-Fi Performance Specifications
- A.14 Measurement Specifications
B EMC and Radio Regulatory Compliance
- B.1 EMC
- B.2 Radio Regulatory Compliance
C Default Settings
- C.1 ECG, Arrhythmia, ST and QT Default Settings
- C.2 Respiration Default Settings
- C.3 SpO2 Default Settings
- C.4 Temperature Default Settings
  - C.4.1 Temperature Default Settings
- C.5 NIBP Default Settings
- C.6 IBP Default Settings
- C.7 CO2 Default Settings
- C.8 Alarm Default Settings
D Alarm Messages
- D.1 Physiological Alarm Messages
- D.2 Technical Alarm Messages
E Electrical Safety Inspection
- E.1 Power Cord Plug
- E.2 Device Enclosure and Accessories
  - E.2.1 Visual Inspection
  - E.2.2 Contextual Inspection
- E.3 Device Labeling
- E.4 Protective Earth Resistance
- E.5 Earth Leakage Test
- E.6 Patient Leakage Current
- E.7 Mains on Applied Part Leakage
- E.8 Patient Auxiliary Current
F SpO2 Sensor Accuracy
- F.1 The Accuracy of Mindray SpO2 Sensors
- F.2 The Accuracy of Masimo SpO2 Sensors
- F.3 The Accuracy of Nellcor SpO2 Sensors
G Units, Symbols and Abbreviations
- G.1 Units
- G.2 Symbols
- G.3 Abbreviations

BeneVision N1 Patient Monitor Operator’s Manual 14 - 3

14.3.3 Zeroing the IBP transducer

To avoid inaccurate pressure readings, the monitor requires a valid zero. Zero the transducer in accordance with

your hospital policy. The IBP transducer should be zeroed in the following conditions:

■ The IBP transducer or adapter cable is reconnected.

■ The monitor restarts.

■ You doubt the readings.

■ The monitor displays the prompt message Zero Required.

To zero the transducer, follow this procedure:

1. Connect the IBP transducer, the IBP adapter cable and the monitor.

2. Turn off the three-way valve (the one near the transducer) to the patient, in order to vent the transducer to

the atmospheric pressure.

3. Select the numeric area (such as the Art numeric area), and then select

Zero button.

4. After the zero calibration is completed, close the stopcock to the air and open the stopcock to the patient.

Zero calibration may fail in case of pressure fluctuation or pressure exceeding the calibration range. If zero

calibration fails, follow this procedure:

1. Check that the three-way valve (the one near the transducer) is open to the air.

2. Perform zero calibration again. Do not sway the IBP transducer and tubing during zero calibration.

14.4 Measuring ICP Using the Codman ICP Transducer

14.4.1 Zeroing the Codman ICP transducer

You shall zero the Codman ICP transducer (Model: 82-6653) before use. To zero the ICP transducer, follow this

procedure:

1. Connect the ICP transducer, the ICP adapter cable and the monitor.

2. Follow the manufacturer’s instructions to prepare the ICP transducer.

3. Zero the ICP transducer: when you see the message

Zero Reference in the ICP numeric area, select the ICP

waveform area or numeric area to enter the

ICP menu → select the Zero tab → select the Zero button.

4. Record the zero reference value on the blank area of the ICP transducer for further reference.

If the ICP transducer zero calibration failed or you doubt the zero reference value, perform a zero calibration

again.

14.4.2 Measuring ICP

To perform the ICP measurement, follow this procedure:

1. Zero the Codman ICP transducer. For more information, see section

14.4.1 Zeroing the Codman ICP

transducer.

2. Disconnect the ICP transducer and ICP adapter cable. Follow the manufacturer’s instructions to apply the

ICP transducer to the patient.

3. Reconnect the ICP transducer and ICP adapter cable.

4. Check that the zero reference value displayed on the monitor is consistent with that recorded on the ICP

transducer.

◆ Consistent: select Accept.

◆ Inconsistent: input the zero reference value recorded on the ICP transducer, and select Accept.

If you have to transfer the patient who is taking ICP measurement, check that the target monitor supports the

Codman ICP transducer. For more information, see

14.4.1 Zeroing the Codman ICP transducer. If the target monitor

does not support the Codman ICP transducer, do not use it for ICP monitoring.

Follow this procedure to transfer the patient: