Operator's Manual

ManualsBrandsMindray ManualsElectronicspatient monitor

100

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 8 - 9

1. Select the Main Menu quick key → from the System column select Maintenance → input the required

password → select .

2. Select the Alarm tab→ select the Other tab.

3. Set the priority of ECG Lead Off.

8.5.6 Adjusting the QRS Volume

To adjust the QRS volume, follow this procedure:

1. Select the ECG numeric area or waveform area to enter the ECG menu.

2. Select the Setup tab.

3. Set QRS Volume.

When valid SpO

measurements are available, the monitor adjusts the pitch of QRS tone based on the SpO

value.

8.5.7 Adjusting the Minimum QRS Detection Threshold

To avoid false asystole alarm due to low R wave amplitude, and to avoid tall T waves and P waves being mistaken

for QRS complexes, the monitor provides a means to manually adjust the minimum QRS detection threshold.

To adjust the minimum QRS detection threshold, follow this procedure:

1. Select the ECG numeric area or waveform area to enter the ECG menu.

2. Select the Setup tab and set Filter to Monitor.

3. Select the QRS Threshold tab.

4. Select up or down arrow buttons to adjust the minimum threshold for QRS detection. Selecting Default

resets the QRS threshold to the default value (0.16 mV).

CAUTION

• The setting of the QRS detection threshold can affect the sensitivity for arrhythmia, ST, QT/QTc

detection, and heart rate calculation.

• If QRS amplitude is low, the monitor might not be able to calculate heart rate and false asystole calls

may occur.

NOTE

• The minimum QRS detection threshold can only be adjusted when the ECG filter is set to Monitor.

8.5.8 Selecting the ECG Standard

Select the ECG standard according to the leadwires you are using. To select the ECG standard, follow this

procedure:

1. Select the Main Menu quick key → from the System column select Maintenance → input the required

password → select .

2. Select the Module tab → ECG tab.

3. Set ECG Standard to AHA or IEC.

8.6 Monitoring Arrhythmia

Arrhythmia monitoring is intended for adult, pediatric, and neonatal patients.