Mindray BeneVision N22, BeneVision N19 Operator's Manual

BeneVision N22/N19

Patient Monitor

Operator’s Manual

Release time: December 2015

Revision: 3.0

BeneVision N22/N19 Patient Monitor Operator’s Manual I

Intellectual Property Statement

WARNING

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 copyrights or patents and does not convey any license under the patent rights of Mindray, nor the rights of others.

Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.

Release, amendment, reproduction, distribution, rental, adaption and translation of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.

is the registered trademarks or trademarks owned by Mindray in China and other countries. All other trademarks that appear in this manual are used only for editorial purposes without the intention of improperly using them. They are the property of their respective owners.

Responsibility on the Manufacturer Party

Contents of this manual are subject to changes without prior notice.

All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.

Mindray is responsible for the effects on safety, reliability and performance of this product, only if:

■ all installation operations, expansions, changes, modifications and repairs of this product are conducted by

Mindray authorized personnel;

■ the electrical installation of the relevant room complies with the applicable national and local

requirements;

■ the product is used in accordance with the instructions for use.

• This equipment must be operated by skilled/trained clinical professionals.

• It is important for the hospital or organization that employs this equipment to carry out a

reasonable service/maintenance plan. Neglect of this may result in machine breakdown or personal injury.

II BeneVision N22/N19 Patient Monitor Operator’s Manual

Warranty

THIS WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE.

Exemptions

Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel.

This warranty shall not extend to

■ Malfunction or damage caused by improper use or man-made failure.

■ Malfunction or damage caused by unstable or out-of-range power input.

■ Malfunction or damage caused by force majeure such as fire and earthquake.

■ Malfunction or damage caused by improper operation or repair by unqualified or unauthorized service

people.

■ Malfunction of the instrument or part whose serial number is not legible enough.

■ Others not caused by instrument or part itself.

Company Contact

Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

Address Mindray Building,Keji 12th Road South,Hi-tech industrial park,Nanshan,Shenzhen

518057,P.R.China

Website www.mindray.com

E-mail Address: service@mindray.com.cn

Tel: +86 755 81888998

Fax: +86 755 26582680

EC-Representative: Shanghai International Holding Corp. GmbH (Europe)

Address: Eiffestraβe 80, 20537 Hamburg, Germany

Tel: 0049-40-2513175

Fax: 0049-40-255726

BeneVision N22/N19 Patient Monitor Operator’s Manual III

Preface

Manual Purpose

This manual contains the instructions necessary to operate the product safely and in accordance with its function and intended use. Observance of this manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety.

This manual is based on the maximum configuration and therefore some contents may not apply to your product. If you have any question, please contact us.

This manual is an integral part of the product. It should always be kept close to the equipment so that it can be obtained conveniently when needed.

Intended Audience

This manual is geared for clinical professionals who are expected to have a working knowledge of medical procedures, practices and terminology as required for monitoring of critically ill patients.

Illustrations

All illustrations in this manual serve as examples only. They may not necessarily reflect the setup or data displayed on your patient monitor.

Conventions

■ 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.

IV BeneVision N22/N19 Patient Monitor Operator’s Manual

Contents

1 Safety ..................................................................................................................................................................................1 - 1

1.1 Safety Information ..........................................................................................................................................................................................1 - 2

1.1.1 Warnings ..............................................................................................................................................................................................1 - 2

1.1.2 Cautions ................................................................................................................................................................................................1 - 3

1.1.3 Notes ......................................................................................................................................................................................................1 - 3

1.2 Equipment Symbols .......................................................................................................................................................................................1 - 3

2 Equipment Introduction ...................................................................................................................................................2 - 1

2.1 Intended Use .....................................................................................................................................................................................................2 - 2

2.2 Applied Parts .....................................................................................................................................................................................................2 - 2

2.3 System Components ......................................................................................................................................................................................2 - 3

2.3.1 Main Unit ..............................................................................................................................................................................................2 - 3

2.3.2 Displays .................................................................................................................................................................................................2 - 5

2.3.3 Satellite Module Rack (SMR) ..........................................................................................................................................................2 - 8

2.3.4 External Modules ...............................................................................................................................................................................2 - 8

2.3.5 Cable Management Kit ................................................................................................................................................................. 2 - 10

2.3.6 Input Devices ...................................................................................................................................................................................2 - 11

2.3.7 Printing Devices ..............................................................................................................................................................................2 - 12

3 Getting Started ..................................................................................................................................................................3 - 1

3.1 Equipment Preparation Safety Information ..........................................................................................................................................3 - 2

3.2 Monitor Installation ........................................................................................................................................................................................3 - 2

3.3 Setting Up the Equipment ...........................................................................................................................................................................3 - 3

3.3.1 Connecting the AC Mains ...............................................................................................................................................................3 - 3

3.3.2 Connecting the Input Devices ......................................................................................................................................................3 - 3

3.3.3 Connecting the SMR ........................................................................................................................................................................3 - 3

3.3.4 Connecting Modules to the SMR .................................................................................................................................................3 - 3

3.3.5 Removing Modules from the SMR ..............................................................................................................................................3 - 4

3.4 Turning on the Monitor .................................................................................................................................................................................3 - 4

3.5 Operation and Navigation ...........................................................................................................................................................................3 - 4

3.5.1 Using the Touchscreen ....................................................................................................................................................................3 - 4

3.5.2 Using the Mouse ................................................................................................................................................................................3 - 4

3.5.3 Using the On-Screen Keyboard ....................................................................................................................................................3 - 5

3.5.4 Using the Navigation Knob ............................................................................................................................................................3 - 5

3.6 Screen Display ..................................................................................................................................................................................................3 - 5

3.6.1 On-screen Symbols ...........................................................................................................................................................................3 - 6

3.6.2 Menus ....................................................................................................................................................................................................3 - 7

3.6.3 Quick Keys ............................................................................................................................................................................................3 - 7

3.7 Operating Modes .............................................................................................................................................................................................3 - 9

3.7.1 Monitoring Mode ..............................................................................................................................................................................3 - 9

3.7.2 Privacy Mode .......................................................................................................................................................................................3 - 9

3.7.3 Night Mode ....................................................................................................................................................................................... 3 - 10

3.7.4 Standby Mode .................................................................................................................................................................................3 - 11

3.8 Configuring Your Monitor .........................................................................................................................................................................3 - 12

3.8.1 Selecting the Language ............................................................................................................................................................... 3 - 12

3.8.2 Setting the Screen Orientation .................................................................................................................................................. 3 - 12

3.8.3 Setting the Date and Time ..........................................................................................................................................................3 - 12

3.8.4 Enabling Auto Daylight Saving Time ......................................................................................................................................3 - 13

3.8.5 Adjusting the Screen Brightness ..............................................................................................................................................3 - 13

3.8.6 Adjusting the Volume ................................................................................................................................................................... 3 - 13

3.9 Starting Monitoring a Patient ..................................................................................................................................................................3 - 13

3.10 Stop a Parameter Measurement ........................................................................................................................................................... 3 - 13

3.11 General Operation ..................................................................................................................................................................................... 3 - 13

3.11.1 Switching On or Off a Parameter ...........................................................................................................................................3 - 13

BeneVision N22/N19 Patient Monitor Operator’s Manual 1

3.11.2 Displaying Parameter Numerics and Waveforms ............................................................................................................ 3 - 14

3.11.3 Accessing Parameter Setup Menus ...................................................................................................................................... 3 - 14

3.11.4 Choosing a Screen ...................................................................................................................................................................... 3 - 14

3.11.5 Selecting the Big Numerics Screen ....................................................................................................................................... 3 - 14

3.11.6 Changing Measurement Colors ............................................................................................................................................. 3 - 15

3.12 Using the On-Screen Timers .................................................................................................................................................................. 3 - 15

3.12.1 Displaying Timers ........................................................................................................................................................................ 3 - 15

3.12.2 Setting a Timer .............................................................................................................................................................................3 - 15

3.12.3 Controlling a Timer ..................................................................................................................................................................... 3 - 15

3.13 Using the Secondary Display ................................................................................................................................................................. 3 - 16

3.13.1 Connecting the Secondary Display Power Supply .......................................................................................................... 3 - 16

3.13.2 Changing Secondary Display Settings ................................................................................................................................. 3 - 16

3.14 Using the iView System ........................................................................................................................................................................... 3 - 17

3.15 Turning Off the Monitor .......................................................................................................................................................................... 3 - 18

4 Managing Patients ............................................................................................................................................................4 - 1

4.1 Discharging a Patient ....................................................................................................................................................................................4 - 2

4.1.1 Auto Discharging a Patient after Monitor Power Off ...........................................................................................................4 - 2

4.1.2 Manually Discharging a Patient ...................................................................................................................................................4 - 2

4.2 Admitting a Patient ........................................................................................................................................................................................4 - 2

4.3 Managing Patient Information ...................................................................................................................................................................4 - 3

4.3.1 Entering the Patient Management Menu ................................................................................................................................4 - 3

4.3.2 Editing Patient Information ...........................................................................................................................................................4 - 3

4.3.3 Loading Patient Information from the ADT Server ...............................................................................................................4 - 3

4.3.4 Changing Patient Management Settings .................................................................................................................................4 - 4

4.3.5 Setting the Monitor Location .......................................................................................................................................................4 - 4

4.4 Transferring Patient Data .............................................................................................................................................................................4 - 5

4.4.1 Data Storage Introduction ............................................................................................................................................................. 4 - 5

4.4.2 Setting the Data Transfer Strategy .............................................................................................................................................4 - 5

4.4.3 Transferring Patient Data via T1 ..................................................................................................................................................4 - 6

4.4.4 Setting the Length of Data Transferred by T1 ........................................................................................................................4 - 6

4.4.5 Transferring the T1 Settings ..........................................................................................................................................................4 - 7

4.4.6 Transferring Patient Data via MPM ............................................................................................................................................. 4 - 7

5 Managing Configurations .................................................................................................................................................5 - 1

5.1 Configuration Introduction ......................................................................................................................................................................... 5 - 2

5.2 Changing the Department ..........................................................................................................................................................................5 - 2

5.3 Setting Default Configuration ....................................................................................................................................................................5 - 2

5.4 Saving Current Settings ................................................................................................................................................................................5 - 3

5.5 Deleting a Configuration .............................................................................................................................................................................. 5 - 3

5.6 Transferring a Configuration .......................................................................................................................................................................5 - 3

5.6.1 Exporting a Configuration .............................................................................................................................................................5 - 3

5.6.2 Importing a Configuration .............................................................................................................................................................5 - 4

5.6.3 Loading a Configuration ................................................................................................................................................................5 - 4

5.7 Modifying Configuration Password .........................................................................................................................................................5 - 4

6 Networked Monitoring .....................................................................................................................................................6 - 1

6.1 Network Introduction ....................................................................................................................................................................................6 - 2

6.2 Network Safety Information ........................................................................................................................................................................ 6 - 2

6.3 Connecting the CMS ......................................................................................................................................................................................6 - 2

6.4 Connecting the eGateway ...........................................................................................................................................................................6 - 2

6.5 Using the ADT Gateway ................................................................................................................................................................................6 - 3

6.6 Viewing Other Patients .................................................................................................................................................................................6 - 3

6.6.1 Remote View .............................................................................................................

6.6.2 Alarm Watch .......................................................................................................................................................................................6 - 5

6.7 Configuring the Network .............................................................................................................................................................................6 - 6

6.7.1 Selecting a Network Type ..............................................................................................................................................................6 - 6

..........................................................................6 - 3

2 BeneVision N22/N19 Patient Monitor Operator’s Manual

6.7.2 Setting the Wired Network ............................................................................................................................................................6 - 7

6.7.3 Setting the Wireless Network .......................................................................................................................................................6 - 7

6.7.4 Selecting WLAN Band and Channels ..........................................................................................................................................6 - 7

6.7.5 Managing Certifications ..................................................................................................................................................................6 - 7

6.7.6 Setting Multicast Parameters ........................................................................................................................................................6 - 8

6.7.7 Setting the CMS IP Address ...........................................................................................................................................................6 - 8

6.7.8 Setting the Network Service Quality Level ...............................................................................................................................6 - 8

7 Using with the TM80 Telemetry Monitor and BP10 NIBP Module .................................................................................7 - 1

7.1 Pairing Introduction .......................................................................................................................................................................................7 - 2

7.2 Pairing and Unpairing Symbols ..................................................................................................................................................................7 - 2

7.3 Pairing a TM80 with the Monitor ...............................................................................................................................................................7 - 3

7.3.1 Pairing Procedure ..............................................................................................................................................................................7 - 3

7.3.2 System Responses after Pairing a TM80 with the Monitor .................................................................................................7 - 4

7.4 Unpairing the TM80 and the Monitor ......................................................................................................................................................7 - 5

7.4.1 Unpairing via the Monitor ..............................................................................................................................................................7 - 5

7.4.2 Unpairing via the TM80 ...................................................................................................................................................................7 - 5

7.4.3 System Responses after Unpairing the TM80 and the Monitor ........................................................................................7 - 6

7.5 Pairing a BP10 with the Monitor ................................................................................................................................................................7 - 6

7.5.1 Pairing Procedure ..............................................................................................................................................................................7 - 6

7.5.2 System Responses after Pairing the BP10 with the Monitor .............................................................................................7 - 7

7.6 Unpairing the BP10 and the Monitor .......................................................................................................................................................7 - 7

7.6.1 Unpairing via the Monitor ..............................................................................................................................................................7 - 7

7.6.2 Unpairing via the BP10 ....................................................................................................................................................................7 - 7

7.6.3 System Responses after Unpairing the BP10 and the Monitor .........................................................................................7 - 7

7.7 NIBP Measurement in Sequence or ABPM Mode .................................................................................................................................7 - 8

7.7.1 Performing NIBP Measurement in Sequence Mode .............................................................................................................7 - 8

7.7.2 Performing NIBP Measurement in ABPM Mode .....................................................................................................................7 - 8

7.8 Troubleshooting ..............................................................................................................................................................................................7 - 9

8 Interfacing with External Devices .................................................................................................................................... 8 - 1

8.1 BeneLink Introduction ...................................................................................................................................................................................8 - 2

8.2 BeneLink Safety Information .......................................................................................................................................................................8 - 2

8.3 Supported Devices ..........................................................................................................................................................................................8 - 3

8.4 Differences in Displayed Values .................................................................................................................................................................8 - 3

8.5 Connecting an External Device ..................................................................................................................................................................8 - 4

8.5.1 Configuring the ID Adapter ...........................................................................................................................................................8 - 5

8.5.2 ID Adapter IDs .....................................................................................................................................................................................8 - 5

8.6 Devices Integrated Window ........................................................................................................................................................................8 - 6

8.7 Monitor System Functions ...........................................................................................................................................................................8 - 7

8.7.1 Alarms ....................................................................................................................................................................................................8 - 7

8.7.2 Data Storage .......................................................................................................................................................................................8 - 7

8.7.3 Recording and Printing ...................................................................................................................................................................8 - 7

9 Alarms ................................................................................................................................................................................9 - 1

9.1 Alarm Introduction .........................................................................................................................................................................................9 - 2

9.2 Alarm Safety Information .............................................................................................................................................................................9 - 2

9.3 Understanding the Alarms ...........................................................................................................................................................................9 - 2

9.3.1 Alarm Categories ...............................................................................................................................................................................9 - 2

9.3.2 Alarm Priorities ...................................................................................................................................................................................9 - 3

9.3.3 Alarm Indicators .................................................................................................................................................................................9 - 3

9.3.4 Alarm Status Symbols ......................................................................................................................................................................9 - 4

9.4 Accessing Help when Occur ................................................................................................

9.5 Checking Physiological Alarm List ............................................................................................................................................................9 - 4

9.6 Changing Alarm Settings ..............................................................................................................................................................................9 - 4

9.6.1 Setting Parameter Alarm Properties ...........................................................................................................................................9 - 4

9.6.2 Setting Alarm Tone Properties .....................................................................................................................................................9 - 5

.......................................................................9 - 4

BeneVision N22/N19 Patient Monitor Operator’s Manual 3

9.6.3 Initiating Auto Alarm Limits ..........................................................................................................................................................9 - 7

9.6.4 Setting the Alarm Delay Time .................................................................................................................................................... 9 - 10

9.6.5 Adjusting the Alarm Light Brightness .................................................................................................................................... 9 - 10

9.6.6 Restoring the Default Alarm Settings ..................................................................................................................................... 9 - 10

9.7 Pausing Alarms/Pausing Alarm Tones .................................................................................................................................................. 9 - 11

9.7.1 Defining the Pause Function ..................................................................................................................................................... 9 - 11

9.7.2 Pausing Alarms ............................................................................................................................................................................... 9 - 11

9.7.3 Pausing Alarm Sound ................................................................................................................................................................... 9 - 12

9.8 Resetting Alarms .......................................................................................................................................................................................... 9 - 13

9.8.1 Resetting Physiological Alarms ................................................................................................................................................ 9 - 13

9.8.2 Resetting Technical Alarms ........................................................................................................................................................ 9 - 13

9.8.3 Setting Alarm Light Status on Alarm Reset .......................................................................................................................... 9 - 13

9.9 Latching Alarms ............................................................................................................................................................................................ 9 - 14

9.10 Nurse Call ...................................................................................................................................................................................................... 9 - 14

9.10.1 Changing Nurse Call Settings ................................................................................................................................................. 9 - 14

9.11 CPB Mode ..................................................................................................................................................................................................... 9 - 15

9.11.1 Entering the CPB Mode .............................................................................................................................................................9 - 15

9.11.2 Exiting the CPB Mode ................................................................................................................................................................ 9 - 15

9.12 Intubation Mode ........................................................................................................................................................................................ 9 - 15

9.12.1 Entering the Intubation Mode ................................................................................................................................................ 9 - 15

9.12.2 Setting the Intubation Time .................................................................................................................................................... 9 - 16

9.12.3 Exiting the Intubation Mode ................................................................................................................................................... 9 - 16

9.13 Managing Alarms from Remote Devices .......................................................................................................................................... 9 - 16

9.13.1 Setting the Tone Pattern for Alarms from Remote Devices ......................................................................................... 9 - 16

9.13.2 Selecting the Alarm Reminder for Remote Devices ........................................................................................................ 9 - 16

9.13.3 Presenting Alarm Sound for Remote Devices as per Alarm Priority ......................................................................... 9 - 17

9.13.4 Resetting Alarms for Remote Devices .................................................................................................................................. 9 - 17

9.13.5 Authorizing the Alarm Reset to Other Devices ................................................................................................................. 9 - 17

9.13.6 Switching Off the Remote Device Disconnection Alarm .............................................................................................. 9 - 17

9.14 Testing Alarms ............................................................................................................................................................................................ 9 - 18

9.15 Actions When an Alarm Occurs ............................................................................................................................................................ 9 - 18

10 Monitoring ECG, Arrhythmia, ST and QT .....................................................................................................................10 - 1

10.1 ECG Introduction ....................................................................................................................................................................................... 10 - 2

10.2 ECG Safety Information ........................................................................................................................................................................... 10 - 2

10.3 ECG Display .................................................................................................................................................................................................. 10 - 3

10.4 Preparing for ECG Monitoring .............................................................................................................................................................. 10 - 4

10.4.1 Preparing the Patient Skin ....................................................................................................................................................... 10 - 4

10.4.2 Applying Electrodes ................................................................................................................................................................... 10 - 4

10.4.3 Lead Wire Color Code ................................................................................................................................................................ 10 - 4

10.4.4 ECG Electrode Placements ....................................................................................................................................................... 10 - 5

10.4.5 Selecting the ECG Standard ..................................................................................................................................................... 10 - 6

10.4.6 Choosing the ECG Lead Type .................................................................................................................................................. 10 - 7

10.4.7 Checking Paced Status ..............................................................................................................................................................10 - 7

10.5 Changing ECG Settings ........................................................................................................................................................................... 10 - 8

10.5.1 Choosing an ECG Screen .......................................................................................................................................................... 10 - 8

10.5.2 Setting ECG Alarm Properties ................................................................................................................................................. 10 - 8

10.5.3 Changing ECG Wave Settings ................................................................................................................................................. 10 - 8

10.5.4 Disabling the Smart Lead Off Function .............................................................................................................................10 - 10

10.5.5 Setting the Priority of the ECG Lead Off Alarm .........................................................................

10.5.6 Adjusting the QRS Volume .....................................................................................................................................................10 - 10

10.5.7 Adjusting the QRS Threshold ................................................................................................................................................10 - 11

10.6 Monitoring Arrhythmia .........................................................................................................................................................................10 - 11

10.6.1 Arrhythmia Safety Information .............................................................................................................................................10 - 11

10.6.2 Arrhythmia Events .....................................................................................................................................................................10 - 12

10.6.3 Displaying Arrhythmia Information .................................................................................................................................... 10 - 13

10.6.4 Changing Arrhythmia Settings .............................................................................................................................................10 - 13

10.6.5 Arrhythmia Alarms Timeout .................................................................................................................................................. 10 - 15

10.7 ST Monitoring ...........................................................................................................................................................................................10 - 17

......................................10 - 10

4 BeneVision N22/N19 Patient Monitor Operator’s Manual

10.7.1 ST Safety Information ...............................................................................................................................................................10 - 17

10.7.2 Enabling ST Monitoring ...........................................................................................................................................................10 - 17

10.7.3 Displaying ST Numerics and Segments .............................................................................................................................10 - 17

10.7.4 Entering the ST View .................................................................................................................................................................10 - 18

10.7.5 Saving the Current ST as Baseline ........................................................................................................................................10 - 19

10.7.6 Displaying ST Segments in the Waveform Area .............................................................................................................10 - 19

10.7.7 Entering the ST Graphic Window .........................................................................................................................................10 - 19

10.7.8 Displaying ST Graphics in the Waveform Area ................................................................................................................10 - 20

10.7.9 Changing ST Settings ...............................................................................................................................................................10 - 20

10.7.10 Adjusting ST Measurement Points ....................................................................................................................................10 - 21

10.8 QT/QTc Interval Monitoring .................................................................................................................................................................10 - 22

10.8.1 QT/QTc Monitoring Limitations ............................................................................................................................................10 - 22

10.8.2 Enabling QT/QTc Monitoring ................................................................................................................................................10 - 22

10.8.3 Displaying QT Numerics and Segments ............................................................................................................................10 - 23

10.8.4 QT View ..........................................................................................................................................................................................10 - 23

10.8.5 Saving the Current QTc as Baseline .....................................................................................................................................10 - 24

10.8.6 Changing QT Settings ..............................................................................................................................................................10 - 24

10.9 ECG Relearning .........................................................................................................................................................................................10 - 25

10.9.1 Auto ECG Relearning ................................................................................................................................................................10 - 25

10.9.2 Initiating an ECG Relearning Manually ..............................................................................................................................10 - 25

10.10 Calibrating ECG ......................................................................................................................................................................................10 - 26

10.11 Defibrillation Synchronization Pulse Output ..............................................................................................................................10 - 26

10.12 ECG Troubleshooting ...........................................................................................................................................................................10 - 26

11 Resting 12-Lead ECG Analysis ......................................................................................................................................11 - 1

11.1 Resting 12-Lead ECG Analysis Introduction .....................................................................................................................................11 - 2

11.1.1 Entering the 12-Lead Screen ...................................................................................................................................................11 - 2

11.2 Initiating Resting 12-Lead ECG Analysis ............................................................................................................................................ 11 - 2

11.3 Changing 12-Lead ECG Analysis Settings ......................................................................................................................................... 11 - 2

11.3.1 Changing the Filter Mode for 12-Lead ECG Analysis ...................................................................................................... 11 - 2

11.3.2 Setting the Baseline Drift Removal ........................................................................................................................................ 11 - 2

11.3.3 Setting the 12-Lead Waveform Layout ................................................................................................................................11 - 3

11.4 Glasgow Resting 12-lead ECG Analysis Algorithm Settings .......................................................................................................11 - 3

11.4.1 Editing Patient Information (For Glasgow Algorithms Only) .......................................................................................11 - 3

11.4.2 Setting Tachycardia and Bradycardia Thresholds (For Glasgow Algorithms Only) .............................................11 - 3

11.4.3 Setting the 12-Lead Interpretation Report (For Glasgow Algorithms Only) .........................................................11 - 4

11.5 Exiting the ECG 12-Lead Screen ...........................................................................................................................................................11 - 4

12 Monitoring Respiration (Resp) .....................................................................................................................................12 - 1

12.1 Resp Introduction ......................................................................................................................................................................................12 - 2

12.2 Resp Safety Information .......................................................................................................................................................................... 12 - 2

12.3 Resp Display ................................................................................................................................................................................................. 12 - 2

12.4 Preparing for Resp Monitoring .............................................................................................................................................................12 - 3

12.4.1 Preparing the Patient .................................................................................................................................................................12 - 3

12.4.2 Placing the Electrodes ................................................................................................................................................................12 - 3

12.5 Changing Resp Settings ..........................................................................................................................................................................12 - 4

12.5.1 Setting the Resp Alarm Properties ........................................................................................................................................12 - 4

12.5.2 Setting the RR Source .................................................................................................

...............................................................12 - 4

12.5.3 Choosing the Respiration Lead ...............................................................................................................................................12 - 4

12.5.4 Setting the Resp Waveform Size ............................................................................................................................................12 - 5

12.5.5 Setting the Resp Waveform Speed ........................................................................................................................................12 - 5

12.5.6 Setting the Auto Detection Switch ........................................................................................................................................12 - 5

12.5.7 Adjusting the Resp Waveform Detection Threshold ...................................................................................................... 12 - 5

12.6 Resp Troubleshooting ..............................................................................................................................................................................12 - 5

13 Monitoring Pulse Oxygen Saturation (SpO2) ..............................................................................................................13 - 1

13.1 SpO

13.2 SpO

Introduction ...................................................................................................................................................................................... 13 - 2

Safety Information .........................................................................................................................................................................13 - 3

BeneVision N22/N19 Patient Monitor Operator’s Manual 5

13.3 SpO2 Measurement Limitations ........................................................................................................................................................... 13 - 3

13.4 SpO2 Display ................................................................................................................................................................................................ 13 - 4

13.5 Preparinging for SpO

13.6 Changing the SpO

Monitoring ...................................................................................................................................................... 13 - 4

Settings .................................................................................................................................................................. 13 - 5

13.6.1 Changing the SpO2 Alarm Settings ...................................................................................................................................... 13 - 5

13.6.2 Nellcor Sat-Seconds Alarm Management ........................................................................................................................... 13 - 5

13.6.3 Setting the Nellcor SpO2 Sat-Seconds ................................................................................................................................. 13 - 6

13.6.4 Changing Averaging Time ....................................................................................................................................................... 13 - 6

13.6.5 Monitoring SpO

and NIBP Simultaneously ......................................................................................................................13 - 6

13.6.6 Changing the Sweep Speed of the Pleth Wave ................................................................................................................ 13 - 7

13.6.7 Setting the Alarm Priority for SpO

Sensor Off Alarm .................................................................................................... 13 - 7

13.6.8 Setting the SpO2 Tone Mode .................................................................................................................................................. 13 - 7

13.7 Changing the PR Settings ....................................................................................................................................................................... 13 - 7

13.7.1 Changing the PR Alarm Settings ............................................................................................................................................ 13 - 7

13.7.2 Changing the QRS Volume ...................................................................................................................................................... 13 - 7

13.7.3 Setting the PR Source ................................................................................................................................................................ 13 - 8

13.8 SpO

Troubleshooting ............................................................................................................................................................................. 13 - 8

13.9 Nellcor Information .................................................................................................................................................................................. 13 - 9

14 Monitoring Temperature (Temp) ..................................................................................................................................14 - 1

14.1 Temperature Introduction ..................................................................................................................................................................... 14 - 2

14.2 Temperature Display ................................................................................................................................................................................ 14 - 2

14.3 Preparing for Temperature Monitoring ............................................................................................................................................. 14 - 3

14.4 Changing Temperature Settings .......................................................................................................................................................... 14 - 3

14.4.1 Setting the Temperature Alarm Properties ........................................................................................................................ 14 - 3

14.4.2 Setting the Temperature Unit ................................................................................................................................................. 14 - 3

14.5 Temperature Troubleshooting ............................................................................................................................................................. 14 - 3

15 Monitoring Noninvasive Blood Pressure (NIBP) .........................................................................................................15 - 1

15.1 NIBP Introduction ...................................................................................................................................................................................... 15 - 2

15.2 NIBP Safety Information .......................................................................................................................................................................... 15 - 2

15.3 NIBP Measurement Limitations ............................................................................................................................................................ 15 - 3

15.4 Measurement Modes ............................................................................................................................................................................... 15 - 3

15.5 NIBP Display ................................................................................................................................................................................................. 15 - 4

15.6 Preparing for NIBP Measurements ...................................................................................................................................................... 15 - 4

15.6.1 Preparing the Patient for NIBP Measurements ................................................................................................................. 15 - 4

15.6.2 Placing the NIBP Cuff ................................................................................................................................................................. 15 - 5

15.7 Starting and Stopping NIBP Measurements .................................................................................................................................... 15 - 5

15.8 Changing NIBP Settings .......................................................................................................................................................................... 15 - 6

15.8.1 Setting the NIBP Alarm Properties ........................................................................................................................................ 15 - 6

15.8.2 Setting the Initial Cuff Inflation Pressure ............................................................................................................................ 15 - 6

15.8.3 Setting the NIBP Interval ........................................................................................................................................................... 15 - 6

15.8.4 Selecting NIBP Start Mode ....................................................................................................................................................... 15 - 6

15.8.5 Enabling the NIBP End Tone .................................................................................................................................................... 15 - 7

15.8.6 Setting NIBP Measurement Timeout .................................................................................................................................... 15 - 7

15.8.7 Displaying the NIBP List ............................................................................................................................................................ 15 - 7

15.8.8 Correcting the NIBP Measurements ..................................................................................................................................... 15 - 7

15.9 Assisting Venous Puncture ..................................................................................................................................................................... 15 - 7

15.10 NIBP Maintenance ................................................................................................................................................................................... 15 - 8

15.10.1 NIBP Leakage Test ..................................................................................................................................................................... 15 - 8

15.10.2 NIBP Accuracy Test ................................................................................................................................................................... 15 - 8

15.11 NIBP Troubleshooting ........................................................................................................................................................................... 15 - 8

16 Monitoring Invasive Blood Pressure (IBP) ...................................................................................................................16 - 1

16.1 IBP Introduction ......................................................................................................................................................................................... 16 - 2

16.2 IBP Safety Information ............................................................................................................................................................................. 16 - 2

6 BeneVision N22/N19 Patient Monitor Operator’s Manual

16.3 Preparing for IBP Monitoring ................................................................................................................................................................. 16 - 3

16.3.1 IBP Equipment to Patient Connection .................................................................................................................................16 - 3

16.3.2 Measuring an Invasive Blood Pressure .................................................................................................................................16 - 3

16.3.3 Zeroing the IBP transducer .......................................................................................................................................................16 - 4

16.4 IBP Display .................................................................................................................................................................................................... 16 - 4

16.5 Changing IBP Settings .............................................................................................................................................................................. 16 - 5

16.5.1 Changing the IBP Alarm Settings ........................................................................................................................................... 16 - 5

16.5.2 Changing the Pressure Label ................................................................................................................................................... 16 - 5

16.5.3 Setting the Pressure Type for Display ..................................................................................................................................16 - 5

16.5.4 Changing the Sensitivity ........................................................................................................................................................... 16 - 6

16.5.5 Setting the IBP Waveform .........................................................................................................................................................16 - 6

16.5.6 Enabling PPV Measurement .....................................................................................................................................................16 - 6

16.5.7 Changing the Pressure Unit .....................................................................................................................................................16 - 7

16.5.8 Overlapping IBP Waveforms ....................................................................................................................................................16 - 7

16.6 Measuring PAWP ........................................................................................................................................................................................ 16 - 8

16.6.1 PAWP Equipment to Patient Connection ...........................................................................................................................16 - 8

16.6.2 Preparing to Measure PAWP .................................................................................................................................................... 16 - 9

16.6.3 Measuring PAWP .......................................................................................................................................................................... 16 - 9

16.6.4 Setting the Waveforms of the PAWP Screen ...................................................................................................................16 - 10

16.6.5 Performing Hemodynamic Calculation .............................................................................................................................16 - 10

16.7 Connecting a Camino Device ..............................................................................................................................................................16 - 10

16.8 IBP Troubleshooting ...............................................................................................................................................................................16 - 11

17 Monitoring Cardiac Output (C.O.) ................................................................................................................................17 - 1

17.1 C.O. Introduction ........................................................................................................................................................................................ 17 - 2

17.2 C.O. Safety Information ............................................................................................................................................................................ 17 - 2

17.3 C.O. Measurement Limitations .............................................................................................................................................................. 17 - 2

17.4 C.O. Display ..................................................................................................................................................................................................17 - 3

17.5 C.O. Equipment to Patient Connection ..............................................................................................................................................17 - 3

17.6 Performing C.O. Measurement .............................................................................................................................................................17 - 4

17.6.1 Preparing for C.O. Measurement ............................................................................................................................................ 17 - 4

17.6.2 Setting C.O. Measurement .......................................................................................................................................................17 - 4

17.6.3 Performing C.O. Measurement ...............................................................................................................................................17 - 5

17.7 Changing C.O. Settings ............................................................................................................................................................................17 - 6

17.7.1 Setting C.O. Alarm Properties .................................................................................................................................................. 17 - 6

17.7.2 Setting the Temperature Unit ................................................................................................................................................. 17 - 6

17.7.3 Setting C.O. Measurement Timeout ......................................................................................................................................17 - 6

17.8 C.O. Troubleshooting ...............................................................................................................................................................................17 - 7

18 Monitoring Central Venous Oxygen Saturation (ScvO

18.1 ScvO

18.2 ScvO

18.3 ScvO

18.4 Accessing the On-screen ScvO

18.5 ScvO

18.6 Measuring ScvO

Introduction ....................................................................................................................................................................................18 - 2

Safety Information ........................................................................................................................................................................ 18 - 2

Display ..............................................................................................................................................................................................18 - 2

Guide ...............................................................................................................................................18 - 3

Equipment to Patient Connection ..........................................................................................................................................18 - 3

2 ..........................................................................................................................................................................................................................................18 - 3

) ............................................................................................18 - 1

18.7 ScvO2 Calibration ....................................................................................................................................................................................... 18 - 4

18.8 Accessing the Hemodynamics Menu .................................................................................................................................................18 - 4

18.9 Changing ScvO

18.9.1 Changing ScvO

Settings ........................................................................................................................................................................18 - 4

Alarm Settings ............................................................................................................................................. 18 - 4

18.9.2 Setting Hb/Hct .............................................................................................................................................................................. 18 - 5

18.9.3 Inputting the SaO

Value .........................................................................................................................................................18 - 5

18.9.4 Changing the Hb Unit ................................................................................................................................................................18 - 5

19 Monitoring CCO/SvO

19.1 CCO/SvO2 Introduction ............................................................................................................................................................................19 - 2

BeneVision N22/N19 Patient Monitor Operator’s Manual 7

19.2 CCO/SvO2 Safety Information ............................................................................................................................................................... 19 - 2

19.3 CCO Display .................................................................................................................................................................................................19 - 3

19.3.1 When Connected to the Vigilance II Monitor .................................................................................................................... 19 - 3

19.3.2 When connected to the Vigileo monitor ............................................................................................................................ 19 - 3

19.4 SvO

/ScvO2 Display ..................................................................................................................................................................................19 - 4

19.5 Connecting the Device ............................................................................................................................................................................ 19 - 4

19.5.1 Connecting to the Vigilance II Monitor ............................................................................................................................... 19 - 4

19.5.2 Connecting to the Vigileo Monitor ....................................................................................................................................... 19 - 6

19.6 Accessing the Hemodynamics Menu ................................................................................................................................................. 19 - 7

19.7 Changing CCO Settings ........................................................................................................................................................................... 19 - 7

19.7.1 Changing the CCO Alarm Settings ........................................................................................................................................ 19 - 7

19.7.2 Changing the SVR Unit .............................................................................................................................................................. 19 - 7

19.7.3 Setting Parameters for Display ............................................................................................................................................... 19 - 8

19.7.4 Setting the CCO Analog Output Signal ............................................................................................................................... 19 - 8

19.8 Changing SvO

19.8.1 Changing the SvO

19.8.2 Setting the SvO

19.9 CCO/SvO

/ScvO2 Settings ............................................................................................................................................................ 19 - 9

/ScvO2 Alarm Settings ......................................................................................................................... 19 - 9

/ScvO2 Analog Output Signal ................................................................................................................ 19 - 9

Troubleshooting .................................................................................................................................................................19 - 10

20 Monitoring Impedance Cardiography (ICG) ................................................................................................................20 - 1

20.1 ICG Introduction ........................................................................................................................................................................................ 20 - 2

20.2 ICG Safety Information ............................................................................................................................................................................ 20 - 2

20.3 ICG Measurement Limitations .............................................................................................................................................................. 20 - 2

20.4 ICG Parameters ........................................................................................................................................................................................... 20 - 3

20.5 ICG Display ................................................................................................................................................................................................... 20 - 4

20.6 Accessing the On-screen ICG Guide ................................................................................................................................................... 20 - 4

20.7 Preparing for ICG Monitoring ................................................................................................................................................................ 20 - 4

20.7.1 Preparing the Skin ....................................................................................................................................................................... 20 - 5

20.7.2 Placing the ICG Sensors ............................................................................................................................................................. 20 - 5

20.7.3 Connecting the ICG Patient Cable ......................................................................................................................................... 20 - 6

20.8 Changing ICG Settings ............................................................................................................................................................................. 20 - 6

20.8.1 Changing ICG Alarm Settings ................................................................................................................................................. 20 - 6

20.8.2 Changing Patient Information ................................................................................................................................................ 20 - 7

20.8.3 Changing the ICG Wave Sweep Speed ................................................................................................................................ 20 - 7

20.8.4 Selecting ICG Parameters ......................................................................................................................................................... 20 - 7

20.9 ICG Troubleshooting ................................................................................................................................................................................20 - 7

21 Monitoring Continuous Cardiac Output (CCO) ............................................................................................................21 - 1

21.1 CCO Introduction ....................................................................................................................................................................................... 21 - 2

21.2 CCO Safety Information ........................................................................................................................................................................... 21 - 2

21.3 Zeroing the IBP transducer .................................................................................................................................................................... 21 - 3

21.4 PiCCO Display ............................................................................................................................................................................................. 21 - 3

21.4.1 CCO Display ................................................................................................................................................................................... 21 - 3

21.4.2 pArt Display ................................................................................................................................................................................... 21 - 4

21.4.3 pCVP Display ................................................................................................................................................................................. 21 - 4

21.5 Accessing the On-screen CCO Guide ................................................................................................................................................. 21 - 4

21.6 CCO Equipment to Patient Connection ............................................................................................................................................ 21 - 5

21.6.1 Preparing to Monitor C.O. ........................................................................................................................................................ 21 - 5

21.6.2 Performing the CCO Settings .................................................................................................................................................. 21 - 6

21.6.3 Performing C.O. Measurement ............................................................................................................................................... 21 - 7

21.7 Accessing the Hemodynamics Menu ................................................................................................................................................. 21 - 9

21.8 Changing CCO Settings ........................................................................................................................................................................... 21 - 9

21.8.1 Changing CCO and CCI Alarm Settings ............................................................................................................................... 21 - 9

21.8.2 Setting C.O. Measurement Timeout ..................................................................................................................................... 21 - 9

21.8.3 Setting Parameters for Display ............................................................................................................................................... 21 - 9

21.9 PiCCO Troubleshooting .........................................................................................................................................................................21 - 10

8 BeneVision N22/N19 Patient Monitor Operator’s Manual

22 Monitoring Carbon Dioxide (CO2) ................................................................................................................................22 - 1

22.1 CO

22.2 CO2 Safety Information ............................................................................................................................................................................ 22 - 3

22.3 CO

22.4 CO

Measurement Limitations .............................................................................................................................................................. 22 - 3

22.5 Measuring CO2 Using Sidestream/Microstream CO2 Module ................................................................................................... 22 - 4

22.5.1 Preparing to Measure CO

Using Sidestream CO2 Module ..........................................................................................22 - 4

22.5.2 Preparing to Measure CO2 Using Microstream CO2 Module .......................................................................................22 - 6

22.5.3 Zeroing the Sidestream/Microstream CO

22.6 Measuring CO

22.6.1 Preparing to Measure CO

Using Mainstream CO2 Module ............................................................................................................................. 22 - 7

Using Mainstream CO2 Module .........................................................................................22 - 7

22.6.2 Zeroing the Mainstream CO

22.7 Changing Settings for All CO

22.7.1 Changing CO

Alarm Settings ................................................................................................................................................. 22 - 8

22.7.2 Changing the CO

22.7.3 Setting the CO

Modules ............................................................................................................................................. 22 - 8

Unit ..............................................................................................................................................................22 - 8

Waveform .......................................................................................................................................................22 - 9

sensor ....................................................................................................................................22 - 8

Module ........................................................................................................22 - 6

22.7.4 Setting the RR Source ................................................................................................................................................................. 22 - 9

22.7.5 Entering the Standby Mode ..................................................................................................................................................... 22 - 9

22.7.6 Entering the Intubation Mode ................................................................................................................................................ 22 - 9

22.8 Changing Settings for Sidestream and Microstream CO

Module) ......................................................................................... 22 - 9

22.8.1 Setting the Auto Standby ......................................................................................................................................................... 22 - 9

22.8.2 Setting Humidity Compensation .........................................................................................................................................22 - 10

22.9 Changing O

Settings (For Sidestream CO2 Module Only) .......................................................................................................22 - 10

22.9.1 Changing O2 Alarm Settings ..................................................................................................................................................22 - 10

22.9.2 Changing the O2 Unit ...............................................................................................................................................................22 - 10

22.9.3 Setting the O2 Waveform .......................................................................................................................................................22 - 10

22.10 Setting the Gas Compensation ........................................................................................................................................................22 - 11

22.11 Choosing a Time Interval for Peak-Picking ...................................................................................................................................22 - 11

22.12 Changing Barometric Pressure .........................................................................................................................................................22 - 12

22.13 Performing the Leakage Test ............................................................................................................................................................22 - 12

22.14 Replacing the Galvanic Oxygen Sensor .........................................................................................................................................22 - 12

22.15 Calibrating the Galvanic Oxygen Sensor ......................................................................................................................................22 - 13

22.16 CO

22.17 CO

Calibration .......................................................................................................................................................................................22 - 13

Troubleshooting ...........................................................................................................................................................................22 - 13

22.17.1 Troubleshooting the Sidestream/Microstream CO2 Module ..................................................................................22 - 13

22.17.2 Troubleshooting the Mainstream CO

Module ............................................................................................................22 - 14

22.18 Oridion Information ..............................................................................................................................................................................22 - 14

23 Monitoring Anesthetic ..................................................................................................................................................23 - 1

23.1 AG Introduction ..........................................................................................................................................................................................23 - 2

23.2 AG Measurement Limitations ................................................................................................................................................................ 23 - 3

23.3 AG Display ....................................................................................................................................................................................................23 - 3

23.4 AG Equipment to Patient Connection ................................................................................................................................................ 23 - 4

23.5 Preparing for AG Monitoring .................................................................................................................................................................23 - 4

23.6 MAC Values ..................................................................................................................................................................................................23 - 5

23.7 Changing AG Settings ..............................................................................................................................................................................23 - 6

23.7.1 Changing AG Alarm Settings ...................................................................................................................................................23 - 6

23.7.2 Setting the O

Compensation .................................................................................................................................................23 - 6

23.7.3 Entering the Standby Mode ..................................................................................................................................................... 23 - 6

23.7.4 Setting Auto Standby .................................................................................................................................................................23 - 7

23.7.5 Setting the AG Waveform .........................................................................................................................................................23 - 7

23.7.6 Setting the RR Source ................................................................................................................................................................. 23 - 7

23.7.7 Entering the Intubation Mode ................................................................................................................................................23 - 7

23.7.8 Changing the Gas Unit ...............................................................................................................................................................23 - 7

23.8 Changing the Anesthetic Agent ........................................................................................................................................................... 23 - 8

23.9 AG Troubleshooting ..................................................................................................................................................................................23 - 8

BeneVision N22/N19 Patient Monitor Operator’s Manual 9

24 Monitoring Respiratory Mechanics (RM) .....................................................................................................................24 - 1

24.1 RM Introduction .........................................................................................................................................................................................24 - 2

24.2 RM Safety Information ............................................................................................................................................................................. 24 - 2

24.3 RM Parameters ............................................................................................................................................................................................ 24 - 2

24.4 RM Display .................................................................................................................................................................................................... 24 - 3

24.5 RM Equipment to Patient Connection ............................................................................................................................................... 24 - 4

24.6 Preparing for RM Monitoring ................................................................................................................................................................ 24 - 4

24.7 Respiratory Loops ...................................................................................................................................................................................... 24 - 5

24.7.1 Changing the Loop Type .......................................................................................................................................................... 24 - 5

24.7.2 Saving the Loop as Reference ................................................................................................................................................. 24 - 5

24.7.3 Displaying the Reference Loop .............................................................................................................................................. 24 - 6

24.7.4 Adjusting the Loop Scale .......................................................................................................................................................... 24 - 6

24.7.5 Selecting the Parameters for Display ................................................................................................................................... 24 - 6

24.8 Changing RM Settings ............................................................................................................................................................................. 24 - 6

24.8.1 Changing RM Alarm Settings .................................................................................................................................................. 24 - 6

24.8.2 Setting the Apnea Alarm Delay .............................................................................................................................................. 24 - 6

24.8.3 Setting RR Source ........................................................................................................................................................................ 24 - 7

24.8.4 Changing the Wave Sweep Speed ........................................................................................................................................ 24 - 7

24.8.5 Changing the Wave Scale ......................................................................................................................................................... 24 - 7

24.8.6 Setting the Ambient Humidity ............................................................................................................................................... 24 - 7

24.8.7 Setting the Ambient Temperature ........................................................................................................................................ 24 - 7

24.8.8 Setting Parameters for Display ............................................................................................................................................... 24 - 7

24.8.9 Entering the Intubation Mode ................................................................................................................................................ 24 - 8

24.8.10 Setting the Barometric Pressure .......................................................................................................................................... 24 - 8

24.9 RM Troubleshooting ................................................................................................................................................................................. 24 - 8

25 Monitoring Transcutaneous Blood Gas (tcGas) ..........................................................................................................25 - 1

25.1 tcGas Introduction .................................................................................................................................................................................... 25 - 2

25.2 tcGas Safety Information ........................................................................................................................................................................ 25 - 2

25.3 Connecting a TCM Monitor .................................................................................................................................................................... 25 - 2

25.4 tcGas Parameters ....................................................................................................................................................................................... 25 - 3

25.5 tcGas Display ............................................................................................................................................................................................... 25 - 3

25.6 Changing tcGas Settings ......................................................................................................................................................................... 25 - 4

25.6.1 Activating the tcGas Alarm Sound ........................................................................................................................................ 25 - 4

25.6.2 Changing the tcpCO2/tcpO2 Unit ......................................................................................................................................... 25 - 4

26 Monitoring Electroencephalogram (EEG) ...................................................................................................................26 - 1

26.1 EEG Introduction ........................................................................................................................................................................................ 26 - 2

26.2 EEG Safety Information ............................................................................................................................................................................ 26 - 2

26.3 EEG Parameters .......................................................................................................................................................................................... 26 - 3

26.4 EEG Display .................................................................................................................................................................................................. 26 - 3

26.5 Accessing the On-screen EEG Guide .................................................................................................................................................. 26 - 4

26.6 Prepare for EEG Monitoring ................................................................................................................................................................... 26 - 4

26.6.1 EEG Equipment to Patient Connection ...............................................................................................................................26 - 4

26.6.2 Choosing an EEG Electrode Montage .................................................................................................................................. 26 - 5

26.6.3 Attaching EEG Electrodes ......................................................................................................................................................... 26 - 7

26.7 Performing EEG Sensor Check .............................................................................................................................................................. 26 - 7

26.7.1 Setting the Interval of Auto Sensor Check ......................................................................................................................... 26 - 7

26.7.2 Displaying/Hiding Impedance Value ...................................................................................................................................26 - 8

26.7.3 Manually Starting a Sensor Check ......................................................................................................................................... 26 - 8

26.7.4 Stopping Sensor Check ............................................................................................................................................................. 26 - 9

26.8 Changing EEG Settings ............................................................................................................................................................................ 26 - 9

26.8.1 Changing the EEG Scale ............................................................................................................................................................ 26 - 9

26.8.2 Changing the EEG Sweep Speed ........................................................................................................................................... 26 - 9

26.8.3 Changing the High/Low Filter ................................................................................................................................................ 26 - 9

26.8.4 Switching Off the Notch Filter ................................................................................................................................................ 26 - 9

26.8.5 Changing Displayed EEG Parameters .................................................................................................................................. 26 - 9

10 BeneVision N22/N19 Patient Monitor Operator’s Manual

26.9 Displaying the EEG Expand View .......................................................................................................................................................26 - 10

26.9.1 CSA View .......................................................................................................................................................................................26 - 10

26.9.2 DSA View .......................................................................................................................................................................................26 - 11

26.10 EEG Troubleshooting ...........................................................................................................................................................................26 - 12

27 Monitoring Bispectral Index (BIS) ................................................................................................................................27 - 1

27.1 BIS Introduction .......................................................................................................................................................................................... 27 - 2

27.2 BIS Safety Information .............................................................................................................................................................................. 27 - 2

27.3 BIS Parameters ............................................................................................................................................................................................27 - 3

27.4 BIS Display ....................................................................................................................................................................................................27 - 4

27.5 Accessing the On-screen BIS Guide .....................................................................................................................................................27 - 5

27.6 Preparing for BIS Monitoring .................................................................................................................................................................27 - 5

27.7 Changing BIS Settings ..............................................................................................................................................................................27 - 6

27.7.1 Setting BIS Alarm Properties .................................................................................................................................................... 27 - 6

27.7.2 Choosing the BIS Smoothing Rate ........................................................................................................................................27 - 6

27.7.3 Setting the Display of BIS Waveform Area ..........................................................................................................................27 - 6

27.7.4 Switching Off the Filter ..............................................................................................................................................................27 - 7

27.7.5 Setting the Displayed BIS Parameters ..................................................................................................................................27 - 7

27.8 Sensor Check ...............................................................................................................................................................................................27 - 7

27.8.1 Automatic Sensor Check ........................................................................................................................................................... 27 - 7

27.8.2 Manual Sensor Check ................................................................................................................................................................. 27 - 8

27.9 Monitoring Bilateral BIS ........................................................................................................................................................................... 27 - 9

27.9.1 Entering the BIS Expand View ................................................................................................................................................. 27 - 9

27.9.2 Selecting BIS Expand View Display ........................................................................................................................................27 - 9

27.10 Stopping BIS Monitoring ....................................................................................................................................................................27 - 10

27.11 BIS Troubleshooting .............................................................................................................................................................................27 - 10

28 Monitoring Neuromuscular Transmission (NMT) .......................................................................................................28 - 1

28.1 NMT Introduction ......................................................................................................................................................................................28 - 2

28.2 NMT Safety Information ..........................................................................................................................................................................28 - 2

28.3 Stimulation Modes ....................................................................................................................................................................................28 - 3

28.3.1 Train-Of-Four (TOF) .....................................................................................................................................................................28 - 3

28.3.2 Single Twitch (ST) ......................................................................................................................................................................... 28 - 3

28.3.3 Post-Tetanic Count (PTC) .......................................................................................................................................................... 28 - 3

28.3.4 Double Burst Stimulation (DBS) ..............................................................................................................................................28 - 4

28.4 NMT Parameters .........................................................................................................................................................................................28 - 4

28.5 NMT Display ................................................................................................................................................................................................. 28 - 4

28.6 Accessing the On-screen NMT Guide ................................................................................................................................................. 28 - 5

28.7 Preparing for NMT Monitoring ..............................................................................................................................................................28 - 5

28.7.1 NMT Equipment to Patient Connection .............................................................................................................................. 28 - 5

28.7.2 Preparing the Skin .......................................................................................................................................................................28 - 6

28.7.3 Placing the Electrodes and Sensor ........................................................................................................................................ 28 - 6

28.8 Calibrating the NMT Measurement .....................................................................................................................................................28 - 7

28.8.1 Changing the Stimulation Current ........................................................................................................................................ 28 - 7

28.8.2 Starting NMT Calibration ..........................................................................................................................................................28 - 7

28.9 Starting NMT Measurements .................................................................................................................................................................28 - 8

28.10 Stopping NMT Measurements ............................................................................................................................................................ 28 - 8

28.11 Changing NMT Measurement Settings ........................................................................................................................................... 28 - 8

28.11.1 Selecting the NMT Measurement Mode ........................................................................................................................... 28 - 8

28.11.2 Changing the Stimulation Current ......................................................................................................................................28 - 8

28.11.3 Changing the Pulse Width ..................................................................................................................................................... 28 - 8

28.11.4 Enabling Block Recovery Note .............................................................................................................................................. 28 - 9

28.11.5 Adjusting NMT Stimulation Tone Volume .................................................................................

28.12 Recalling Calibration Information .....................................................................................................................................................28 - 9

28.13 NMT Troubleshooting ............................................................................................................................................................................ 28 - 9

......................................28 - 9

BeneVision N22/N19 Patient Monitor Operator’s Manual 11

29 Monitoring NMT from TOF-Watch SX Monitor ............................................................................................................29 - 1

29.1 NMT Introduction ......................................................................................................................................................................................29 - 2

29.2 NMT Safety Information .......................................................................................................................................................................... 29 - 2

29.3 Connecting a TOF-Watch SX monitor ................................................................................................................................................ 29 - 2

29.4 NMT Parameters ......................................................................................................................................................................................... 29 - 3

29.5 NMT Display ................................................................................................................................................................................................. 29 - 3

29.6 Changing NMT Settings .......................................................................................................................................................................... 29 - 4

29.6.1 Activating the NMT Alarm Sound .......................................................................................................................................... 29 - 4

29.6.2 Viewing the Measurement Setup .......................................................................................................................................... 29 - 4

30 Monitoring Regional Oxygen Saturation (rSO

) .........................................................................................................30 - 1

30.1 rSO2 Introduction ...................................................................................................................................................................................... 30 - 2

30.2 rSO2 Safety Information .......................................................................................................................................................................... 30 - 3

30.3 rSO

30.4 rSO

Measurement Limitations ............................................................................................................................................................ 30 - 3

30.5 Accessing the On-screen rSO2 Guide ................................................................................................................................................. 30 - 4

30.6 Preparing for rSO

30.6.1 rSO

Monitoring ............................................................................................................................................................. 30 - 4

Sensor Site Selection ........................................................................................................................................................ 30 - 4

30.6.2 Preparing the Skin ....................................................................................................................................................................... 30 - 5

30.6.3 Applying the rSO

Sensor ......................................................................................................................................................... 30 - 5

30.6.4 Connecting the rSO2 Parts ....................................................................................................................................................... 30 - 6

30.7 Changing rSO2 Settings .......................................................................................................................................................................... 30 - 6

30.7.1 Changing rSO

Alarm Settings ............................................................................................................................................... 30 - 6

30.7.2 Setting the rSO2 Auto Low Limit ............................................................................................................................................ 30 - 6

30.7.3 Setting the rSO

Label ............................................................................................................................................................... 30 - 7

30.7.4 Setting the AUC Mode ............................................................................................................................................................... 30 - 7

30.7.5 Setting the Baseline .................................................................................................................................................................... 30 - 7

30.7.6 Selecting rSO

Parameters for Display ................................................................................................................................. 30 - 7

31 Reviewing Trends ..........................................................................................................................................................31 - 1

31.1 Overview ....................................................................................................................................................................................................... 31 - 2

31.2 Review Window .......................................................................................................................................................................................... 31 - 2

31.2.1 Entering the Review Window .................................................................................................................................................. 31 - 2

31.2.2 Sample Review Page .................................................................................................................................................................. 31 - 2

31.2.3 Tabular Trends Review Page ................................................................................................................................................... 31 - 3

31.2.4 Graphics Trends Review Page ................................................................................................................................................. 31 - 5

31.2.5 Events Review Page .................................................................................................................................................................... 31 - 6

31.2.6 Full Disclosure Review Page .................................................................................................................................................... 31 - 7

31.2.7 OxyCRG Review Page ................................................................................................................................................................. 31 - 8

31.2.8 12-Lead ECG Review Page ........................................................................................................................................................ 31 - 9

31.2.9 ST Review Page ..........................................................................................................................................................................31 - 10

31.2.10 Common Operations .............................................................................................................................................................31 - 11

31.3 Minitrends Window ................................................................................................................................................................................31 - 12

31.3.1 Entering the Minitrends Window ........................................................................................................................................31 - 12

31.3.2 Setting Parameters ...................................................................................................................................................................31 - 12

31.3.3 Setting the Minitrend Length ...............................................................................................................................................31 - 12

31.3.4 Exiting the Minitrends Window ............................................................................................................................................31 - 12

31.4 OxyCRG Window ...................................................................................................................................................................................... 31 - 13

31.4.1 Entering the OxyCRG Window ..............................................................................................................................................31 - 13

31.4.2 Setting Parameters ...................................................................................................................................................................31 - 13

31.4.3 Setting Scales ..............................................................................................................................................................................31 - 13

31.4.4 Setting the Resolution of Trend Curves and Compressed Waveform ....................................................................31 - 13

31.4.5 Entering the OxyCRG Review Page ..................................................................................................................................... 31 - 13

32 Hemodynamics ..............................................................................................................................................................32 - 1

32.1 Hemodynamics Introduction ................................................................................................................................................................ 32 - 2

32.2 Hemodynamic Parameters ..................................................................................................................................................................... 32 - 2

12 BeneVision N22/N19 Patient Monitor Operator’s Manual

32.2.1 Hemodynamic Parameters from PiCCO module and ScvO2 module ....................................................................... 32 - 2

32.2.2 Hemodynamic Parameters from CCO/SvO

module ...................................................................................................... 32 - 3

32.3 Viewing Hemodynamic Parameters ....................................................................................................................................................32 - 4

32.4 Following Up the Patient Hemodynamic Status ............................................................................................................................ 32 - 4

32.5 Evaluating the Hemodynamic Parameters ....................................................................................................................................... 32 - 5

32.5.1 Spider Vision Diagram ................................................................................................................................................................32 - 5

32.5.2 Viewing Hemodynamic Events ............................................................................................................................................... 32 - 6

32.5.3 Selecting the Spider Vision Pattern ....................................................................................................................................... 32 - 6

32.5.4 Saving Reference Values ...........................................................................................................................................................32 - 6

32.6 Changing Hemodynamic Parameter Settings .................................................................................................................................32 - 7

32.6.1 Setting Hemodynamic Parameter Ranges .........................................................................................................................32 - 7

32.6.2 Restoring Default Values ........................................................................................................................................................... 32 - 7

32.6.3 Setting the Spider Vision Pattern ........................................................................................................................................... 32 - 7

33 Calculation .....................................................................................................................................................................33 - 1

33.1 Calculation Overview ................................................................................................................................................................................33 - 2

33.2 Calculation Safety Information .............................................................................................................................................................33 - 2

33.3 Drug Calculations .......................................................................................................................................................................................33 - 2

33.3.1 Performing Drug Calculations .................................................................................................................................................33 - 2

33.3.2 Checking the Titration Table ...................................................................................................................................................33 - 3

33.3.3 Calculation Formula .................................................................................................................................................................... 33 - 3

33.4 Hemodynamic Calculations ................................................................................................................................................................... 33 - 4

33.4.1 Performing Hemodynamic Calculations ............................................................................................................................. 33 - 4

33.4.2 Input Parameters for Hemodynamic Calculations ........................................................................................................... 33 - 4

33.4.3 Calculated Parameters and Formulas for Hemodynamic Calculations .................................................................... 33 - 5

33.5 Oxygenation Calculations ....................................................................................................................................................................... 33 - 6

33.5.1 Performing Oxygenation Calculations ................................................................................................................................. 33 - 6

33.5.2 Input Parameters for Oxygenation Calculations ..............................................................................................................33 - 6

33.5.3 Calculated Parameters and Formulas for Oxygenation Calculations .......................................................................33 - 7

33.6 Ventilation Calculations ........................................................................................................................................................................... 33 - 7

33.6.1 Performing Ventilation Calculations ..................................................................................................................................... 33 - 7

33.6.2 Input Parameters for Ventilation Calculations .................................................................................................................. 33 - 8

33.6.3 Calculated Parameters and Formulas for Ventilation Calculations ...........................................................................33 - 8

33.7 Renal Calculations ......................................................................................................................................................................................33 - 9

33.7.1 Performing Renal Calculations ................................................................................................................................................33 - 9

33.7.2 Calculated Parameters and Formulas for Renal Calculations ...................................................................................... 33 - 9

33.7.3 Calculated Parameters and Formulas for Renal Calculations ....................................................................................33 - 10

34 Recording .......................................................................................................................................................................34 - 1

34.1 Recorder ........................................................................................................................................................................................................ 34 - 2

34.2 Starting Recordings ................................................................................................................................................................................... 34 - 2

34.2.1 Starting Recordings Manually ................................................................................................................................................. 34 - 2

34.2.2 Starting Recordings Automatically .......................................................................................................................................34 - 2

34.3 Stopping Recordings ................................................................................................................................................................................ 34 - 3

34.3.1 Stopping Recordings Manually ..............................................................................................................................................34 - 3

34.3.2 Stopping Recordings Automatically .....................................................................................................................................34 - 3

34.4 Recording Flags .......................................................................................................................................................................................... 34 - 3

34.5 Setting the Recorder ................................................................................................................................................................................. 34 - 3

34.6 Clearing Recording Tasks ........................................................................................................................................................................34 - 3

34.7 Loading Paper ............................................................................................................................................................................................. 34 - 4

34.8 Removing Paper Jam ................................................................................................................................................................................34 - 4

35 Printing ..........................................................................................................................................................................35 - 1

35.1 Printer ............................................................................................................................................................................................................. 35 - 2

35.2 Setting a Printer .......................................................................................................................................................................................... 35 - 2

35.3 Setting Patient Information on a Printout ........................................................................................................................................35 - 2

BeneVision N22/N19 Patient Monitor Operator’s Manual 13

35.3.1 Setting Patient Information on ECG Report Printouts ................................................................................................... 35 - 2

35.3.2 Setting Patient Information on Other Report Printouts ................................................................................................ 35 - 3

35.4 Starting Report Printouts ........................................................................................................................................................................ 35 - 3

35.4.1 Starting Report Printouts Manually ...................................................................................................................................... 35 - 3

35.4.2 Starting Report Printouts Automatically ............................................................................................................................. 35 - 3

35.5 Stopping Report Printouts ..................................................................................................................................................................... 35 - 3

35.6 Setting Reports ........................................................................................................................................................................................... 35 - 3

35.6.1 Setting ECG Reports ................................................................................................................................................................... 35 - 3

35.6.2 Setting Graphic Trends Reports ............................................................................................................................................. 35 - 4

35.6.3 Setting Tabular Trends Reports .............................................................................................................................................. 35 - 5

35.6.4 Setting Realtime Reports .......................................................................................................................................................... 35 - 6

35.7 Setting End Case Reports ........................................................................................................................................................................ 35 - 6

35.8 Viewing Printer Statuses .........................................................................................................................................................................35 - 6

35.9 Printer Out of Paper .................................................................................................................................................................................. 35 - 6

36 Battery ............................................................................................................................................................................36 - 1

36.1 Battery Introduction ................................................................................................................................................................................. 36 - 2

36.2 Battery Safety Information ..................................................................................................................................................................... 36 - 2

36.3 Installing the Battery ................................................................................................................................................................................ 36 - 2

36.4 Battery Indications .................................................................................................................................................................................... 36 - 3

36.4.1 Battery LED .................................................................................................................................................................................... 36 - 3

36.4.2 Battery Power Indicators ........................................................................................................................................................... 36 - 3

36.4.3 Battery-related Alarms ............................................................................................................................................................... 36 - 3

36.4.4 Checking the Battery Information ......................................................................................................................................... 36 - 3

36.5 Charging the Battery ................................................................................................................................................................................ 36 - 4

36.6 Maintaining the Battery .......................................................................................................................................................................... 36 - 4

36.6.1 Conditioning the Battery .......................................................................................................................................................... 36 - 4

36.6.2 Checking Battery Performance ............................................................................................................................................... 36 - 4

36.7 Storing Batteries ......................................................................................................................................................................................... 36 - 5

36.8 Recycling Batteries .................................................................................................................................................................................... 36 - 5

37 Care and Cleaning .........................................................................................................................................................37 - 1

37.1 Care and Cleaning Introduction ........................................................................................................................................................... 37 - 2

37.2 Care and Cleaning Safety Information ............................................................................................................................................... 37 - 2

37.3 Recommended Cleaning Agents ......................................................................................................................................................... 37 - 2

37.4 General Cleaning Methods .................................................................................................................................................................... 37 - 3

37.5 Disinfection .................................................................................................................................................................................................. 37 - 3

37.6 Sterilization .................................................................................................................................................................................................. 37 - 3

37.7 Cleaning the Thermal Print Head ........................................................................................................................................................ 37 - 4

37.8 Cleaning, Disinfecting and Sterilizing Monitoring Accessories ................................................................................................ 37 - 4

37.9 Impact of Improper Cleaning ................................................................................................................................................................ 37 - 4

38 Maintenance ..................................................................................................................................................................38 - 1

38.1 Maintenance Introduction ..................................................................................................................................................................... 38 - 2

38.2 Maintenance Safety Information ......................................................................................................................................................... 38 - 2

38.3 Maintenance and Testing Schedule ................................................................................................................................................... 38 - 2

38.4 Checking Version Information .............................................................................................................................................................. 38 - 3

38.5 Testing Methods and Procedures ........................................................................................................................................................ 38 - 3

38.5.1 Performing Visual Inspection .................................................................................................................................................. 38 - 4

38.5.2 Performing Power-on Test ....................................................................................................................................................... 38 - 4

38.5.3 Checking the NMT Sensor ........................................................................................................................................................ 38 - 4

38.5.4 Calibrating the Touchscreen ................................................................................................................................................... 38 - 4

38.5.5 Testing the Recorder ...................................................................................................

38.5.6 Testing the Network Printer ................................................................................................................................................... 38 - 5

38.5.7 Checking the Battery .................................................................................................................................................................. 38 - 5

38.6 Disposing of the Monitor ........................................................................................................................................................................ 38 - 5

............................................................... 38 - 4

14 BeneVision N22/N19 Patient Monitor Operator’s Manual

39 Accessories .....................................................................................................................................................................39 - 1

39.1 ECG Accessories .......................................................................................................................................................................................... 39 - 2

39.1.1 ECG Electrodes ............................................................................................................................................................................. 39 - 2

39.1.2 12-Pin Trunk Cables ....................................................................................................................................................................39 - 2

39.1.3 3-lead ECG Leadwires .................................................................................................................................................................39 - 3

39.1.4 5-lead ECG Leadwires .................................................................................................................................................................39 - 3

39.1.5 6-lead ECG Leadwires .................................................................................................................................................................39 - 4

39.1.6 12-lead ECG Leadwires ..............................................................................................................................................................39 - 4

39.2 SpO

Accessories ........................................................................................................................................................................................ 39 - 5

39.2.1 Extension Cables .......................................................................................................................................................................... 39 - 5

39.2.2 Mindray SpO2 Sensors ...............................................................................................................................................................39 - 5

39.2.3 Nellcor SpO2 Sensors ..................................................................................................................................................................39 - 6

39.3 Temp Accessories .....................................................................................................................................................................................39 - 6

39.3.1 Temp Cable .................................................................................................................................................................................... 39 - 6

39.3.2 Temp Probes .................................................................................................................................................................................. 39 - 6

39.4 NIBP Accessories ........................................................................................................................................................................................39 - 7

39.4.1 NIBP Hoses .................................................................................................................................................................................... 39 - 7

39.4.2 Cuffs ..................................................................................................................................................................................................39 - 7

39.5 IBP Accessories ............................................................................................................................................................................................39 - 8

39.6 C.O. Accessories ..........................................................................................................................................................................................39 - 9

39.7 ScvO

39.8 PiCCO Accessories .....................................................................................................................................................................................39 - 9

39.9 ICG Accessories ...........................................................................................................................................................................................39 - 9

39.10 CO

39.10.1 Sidestream CO2 Accessories ................................................................................................................................................39 - 10

39.10.2 Microstream CO2 Accessories .............................................................................................................................................39 - 10

39.10.3 Mainstream CO2 Accessories ...............................................................................................................................................39 - 11

39.11 AG Accessories .......................................................................................................................................................................................39 - 11

39.12 RM Accessories .......................................................................................................................................................................................39 - 11

39.13 EEG Accessories ......................................................................................................................................................................................39 - 12

39.14 BIS Accessories .......................................................................................................................................................................................39 - 12

39.15 NMT Accessories (For Mindray NMT Module) .............................................................................................................................39 - 12

39.16 rSO

Accessories ....................................................................................................................................................................................39 - 12

39.17 BeneLink Accessories ...........................................................................................................................................................................39 - 13

39.18 Mount and Mounting Accessories ..................................................................................................................................................39 - 13

39.19 Miscellaneous Accessories .................................................................................................................................................................39 - 13

A Product Specifications ......................................................................................................................................................A - 1

A.1 Monitor Safety Specifications .................................................................................................................................................................... A - 2

A.2 Physical Specifications .................................................................................................................................................................................A - 2

A.3 Environmental Specifications .................................................................................................................................................................... A - 3

A.4 Power Supply Specifications ...................................................................................................................................................................... A - 5

A.4.1 External Power Supply Specifications ...................................................................................................................................... A - 5

A.4.2 Battery Specifications .....................................................................................................................................................................A - 5

A.5 Display Specifications ...................................................................................................................................................................................A - 5

A.6 Recorder Specifications ...............................................................................................................................................................................A - 5

A.7 LEDs ....................................................................................................................................................................................................................A - 6

A.8 Audio Indicator ............................................................................................................................................................................................... A - 6

A.9 Monitor Interface Specifications ..............................................................................................................................................................A - 6

A.9.1 Interface Specifications of the Main Unit ................................................................................................................................A - 6

A.9.2 Interface Specifications of the Separate Primary Display .................................................................................................. A - 6

A.9.3 Interface Specifications of the Combined Primary Display ..............................................................................................A - 6

A.9.4 Interface Specifications of the Secondary Display ............................................................................................................... A - 6

A.10 Signal Outputs Specifications ................................................................................................................................................................. A - 7

A.11 Data Storage .................................................................................................................................................................................................. A - 7

BeneVision N22/N19 Patient Monitor Operator’s Manual 15

A.12 Wi-Fi Specifications .................................................................................................................................................................................... A - 8

A.12.1 Wi-Fi Technical Specifications .................................................................................................................................................. A - 8

A.12.2 Wi-Fi Performance Specifications ........................................................................................................................................... A - 8

A.13 MPAN Specifications .................................................................................................................................................................................. A - 9

A.13.1 MPAN Technical Specifications ................................................................................................................................................ A - 9

A.13.2 MPAN Performance Specifications .......................................................................................................................................A - 10

A.14 Measurement Specifications .................................................................................................................................................................A - 10

A.14.1 ECG Specifications ...................................................................................................................................................................... A - 10

A.14.2 Resp Specifications ..................................................................................................................................................................... A - 13

A.14.3 SpO

Specifications ....................................................................................................................................................................A - 14

A.14.4 PR Specifications ......................................................................................................................................................................... A - 15

A.14.5 Temp Specifications ................................................................................................................................................................... A - 16

A.14.6 NIBP Specifications ..................................................................................................................................................................... A - 16

A.14.7 IBP Specifications ........................................................................................................................................................................A - 18

A.14.8 C.O. Specifications ......................................................................................................................................................................A - 18

A.14.9 ScvO

/SvO2 Specifications .......................................................................................................................................................A - 19

A.14.10 CCO Specifications ...................................................................................................................................................................A - 20

A.14.11 CCO Specifications (From PiCCO Module) ......................................................................................................................A - 22

A.14.12 ScvO

Specifications ................................................................................................................................................................ A - 22

A.14.13 ICG Specifications .....................................................................................................................................................................A - 23

A.14.14 CO

Specifications .................................................................................................................................................................... A - 23

A.14.15 tcGas Specifications .................................................................................................................................................................A - 26

A.14.16 AG Specifications ......................................................................................................................................................................A - 26

A.14.17 RM Specifications .....................................................................................................................................................................A - 30

A.14.18 EEG Specifications .................................................................................................................................................................... A - 32

A.14.19 BIS Specifications ...................................................................................................................................................................... A - 32

A.14.20 NMT Specifications (NMT from Mindray NMT module) .............................................................................................. A - 33

A.14.21 NMT Specifications (From TOF-Watch SX Monitor) ..................................................................................................... A - 33

A.14.22 rSO

Specifications ...................................................................................................................................................................A - 34

B EMC and Radio Regulatory Compliance ..........................................................................................................................B - 1

B.1 EMC ......................................................................................................................................................................................................................B - 2

B.2 Radio Regulatory Compliance ....................................................................................................................................................................B - 5

C Default Settings .................................................................................................................................................................C - 1

C.1 ECG, Arrhythmia, ST and QT Default Settings ......................................................................................................................................C - 2

C.1.1 ECG Default Settings .......................................................................................................................................................................C - 2

C.1.2 Arrhythmia Default Settings .........................................................................................................................................................C - 3

C.1.3 ST Default Settings ...........................................................................................................................................................................C - 4

C.1.4 QT Default Settings ..........................................................................................................................................................................C - 5

C.1.5 Glasgow 12-lead ECG Algorithm Default Settings ...............................................................................................................C - 5

C.2 Respiration Default Settings .......................................................................................................................................................................C - 5

C.3 SpO

/SpO2b Default Settings ....................................................................................................................................................................C - 6

C.4 Temperature Default Settings ....................................................................................................................................................................C - 7

C.5 NIBP Default Settings ....................................................................................................................................................................................C - 7

C.6 IBP Default Settings .......................................................................................................................................................................................C - 9

C.7 C.O. Default Settings ................................................................................................................................................................................... C - 11

C.8 ScvO

Default Settings ............................................................................................................................................................................... C - 11

C.9 CCO Default Settings (PiCCO) .................................................................................................................................................................C - 12

C.10 ICG Default Setting ................................................................................................................................................................................... C - 12

C.11 CCO Default Settings(Vigilance/Vigileo) ........................................................................................................................................... C - 13

C.12 ScvO C.13 CO

/SvO2 Default Settings(Vigilance/Vigileo) ............................................................................................................................ C - 13

Default Settings ................................................................................................................................................................................C - 13

C.13.1 General Settings ..........................................................................................................................................................................C - 13

C.13.2 Sidestream CO2 Default Settings .......................................................................................................................................... C - 14

C.13.3 Microstream CO2 Default Settings ....................................................................................................................................... C - 14

C.13.4 Mainstream CO2 Default Settings .........................................................................................................................................C - 14

C.14 Gas Default Settings .................................................................................................................................................................................C - 15

C.15 RM Default Settings ..................................................................................................................................................................................C - 17

16 BeneVision N22/N19 Patient Monitor Operator’s Manual

C.16 EEG Default Settings .................................................................................................................................................................................C - 18

C.17 BIS Default Settings ...................................................................................................................................................................................C - 18

C.18 NMT Default Settings ...............................................................................................................................................................................C - 19

C.19 rSO

Default Settings ...............................................................................................................................................................................C - 19

C.20 Alarm Default Settings .............................................................................................................................................................................C - 20

D Alarm Messages ............................................................................................................................................................... D - 1

D.1 Physiological Alarm Messages ..................................................................................................................................................................D - 2

D.1.1 General Physiological Alarm Messages ...................................................................................................................................D - 2

D.1.2 Arrhythmia Alarm Messages .......................................................................................................................................................D - 2

D.1.3 Resp Physiological Alarm Messages .........................................................................................................................................D - 3

D.1.4 SpO

Physiological Alarm Messages .........................................................................................................................................D - 3

D.1.5 CO2 Physiological Alarm Messages ...........................................................................................................................................D - 3

D.1.6 AG Physiological Alarm Messages .............................................................................................................................................D - 3

D.2 Technical Alarm Messages .........................................................................................................................................................................D - 3

D.2.1 General Technical Alarm Messages ..........................................................................................................................................D - 4

D.2.2 ECG Technical Alarm Messages ..................................................................................................................................................D - 4

D.2.3 Resp Technical Alarm Messages ................................................................................................................................................D - 4

D.2.4 SpO2 Technical Alarm Messages ................................................................................................................................................D - 4

D.2.5 Temp Technical Alarm Messages ...............................................................................................................................................D - 5

D.2.6 NIBP Technical Alarm Messages .................................................................................................................................................D - 5

D.2.7 IBP Technical Alarm Messages ....................................................................................................................................................D - 6

D.2.8 C.O. Technical Alarm Messages ..................................................................................................................................................D - 6

D.2.9 ScvO

Technical Alarm Messages ..............................................................................................................................................D - 7

D.2.10 ICG Technical Alarm Messages .................................................................................................................................................D - 7

D.2.11 CCO

Technical Alarm Messages (From PiCCO Module) ..................................................................................................D - 7

D.2.12 CO2 Technical Alarm Messages ................................................................................................................................................D - 8

D.2.13 AG Technical Alarm Messages ..................................................................................................................................................D - 9

D.2.14 RM Technical Alarm Messages .............................................................................................................................................. D - 10

D.2.15 BIS Technical Alarm Messages ............................................................................................................................................... D - 10

D.2.16 EEG Technical Alarm Messages ............................................................................................................................................. D - 11

D.2.17 NMT Technical Alarm Messages ........................................................................................................................................... D - 11

D.2.18 rSO

Technical Alarm Messages ............................................................................................................................................ D - 11

D.2.19 Battery Technical Alarm Messages ...................................................................................................................................... D - 12

D.2.20 Recorder Technical Alarm Messages ................................................................................................................................... D - 12

D.2.21 Printer Technical Alarm Messages ....................................................................................................................................... D - 13

D.2.22 Technical Alarm Messages Related to External Device ................................................................................................ D - 13

D.2.23 Technical Alarm Messages Related to Networked Monitoring ................................................................................. D - 14

D.2.24 Technical Alarm Messages Related to Telemetry Monitors and BP10 Modules .................................................D - 14

D.2.25 Other System Technical Alarm Messages .........................................................................................................................D - 15

E Electrical Safety Inspection ..............................................................................................................................................E - 1

E.1 Power Cord Plug ..............................................................................................................................................................................................E - 2

E.2 Device Enclosure and Accessories .............................................................................................................................................................E - 2

E.2.1 Visual Inspection ................................................................................................................................................................................E - 2

E.2.2 Contextual Inspection .....................................................................................................................................................................E - 2

E.3 Device Labeling ................................................................................................................................................................................................E - 3

E.4 Protective Earth Resistance ..........................................................................................................................................................................E - 3

E.5 Earth Leakage Test ..........................................................................................................................................................................................E - 3

E.6 Patient Leakage Current ...............................................................................................................................................................................E - 3

E.7 Mains on Applied Part Leakage ..................................................................................................................................................................E - 4

E.8 Patient Auxiliary Current ...............................................................................................................................................................................E - 4

F Units, Symbols and Abbreviations ...................................................................................................................................F - 1

F.1 Units .....................................................................................................................................................................................................................F - 2

F.2 Symbols ...............................................................................................................................................................................................................F - 3

F.3 Abbreviations ....................................................................................................................................................................................................F - 3

BeneVision N22/N19 Patient Monitor Operator’s Manual 17

This page intentionally left blank.

18 BeneVision N22/N19 Patient Monitor Operator’s Manual

1Safety

Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Equipment Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

BeneVision N22/N19 Patient Monitor Operator’s Manual 1 - 1

1.1 Safety Information

WARNING

CAUTION

NOTE

WARNING

• Indicates a potential hazard or unsafe practice that, if not avoided, could result in death or serious

injury.

• Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal

injury or product/property damage.

• Provides application tips or other useful information to ensure that you get the most from your

product.

1.1.1 Warnings

• This equipment is used for single patient at a time.

• To avoid explosion hazard, do not use the equipment in the presence of oxygen-rich atmospheres,

flammable anesthetics, or other flammable agents.

• Before connecting the equipment to the power line, check that the voltage and frequency ratings of

the power line are the same as those indicated on the equipment’s label or in this manual.

• Before putting the system into operation, the operator must verify that the equipment, connecting

cables and accessories are in correct working order and operating condition.

• To avoid risk of electric shock, the equipment must only be connected to mains power with

protective earth. If a protective earth conductor is not provided, operate it on battery power, if possible.

• Do not come into 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.

• Do not rely exclusively on the audible alarm system for patient monitoring. Turning the alarm

volume to a low level or off may result in a hazard to the patient. Remember that alarm settings should be customized according to patient situations. Always keep the patient under close surveillance.

• The physiological data and alarm messages displayed on the equipment are for reference only and

cannot be directly used for diagnostic interpretation.

• Route, wrap and secure the cables to avoid inadvertent disconnection, stumbling and

entanglement.

• The software equipment 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.

1 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual

1.1.2 Cautions

CAUTION

NOTE

• Use only parts and accessories specified in this manual.

• Ensure that the equipment is supplied with continuous electric power during work. Sudden power

failure may cause data loss.

• Magnetic and electrical fields are capable of interfering with the proper performance of the

equipment. For this reason make sure that all external devices operated in the vicinity of the equipment comply with the relevant EMC requirements. Mobile phone, X-ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation.

• Always install or carry the equipment properly to avoid damage caused by drop, impact, strong

vibration or other mechanical force.

• Dry the equipment immediately in case of rain or water spray.

• Dispose of the package material as per the applicable waste control regulations. Keep it out of

children’s reach.

• At the end of its service life, the equipment, as well as its accessories, must be disposed of in

compliance with the guidelines regulating the disposal of such products. If you have any questions concerning disposal of the equipment, please contact us.

1.1.3 Notes

• Put the equipment in a location where you can easily view and operate the equipment.

• The equipment use a mains plug as isolation means to the mains power. Do not locate the

equipment in a place difficult to operate the mains plug.

• The typical operator's position is in front of the monitor.

• The software was developed in compliance with IEC60601-1-4. The possibility of hazards arising

from software errors is minimized.

• This manual describes all features and options. Your equipment may not have all of them.

• Keep this manual in the vicinity of the equipment so that it can be obtained conveniently when

needed.

1.2 Equipment Symbols

Symbol Description Symbol Description

General warning sign Refer to instruction manual/booklet

Serial number Catalogue number

Date of manufacture Manufacturer

USB connector Protected against vertically falling water

drops per IEC 60529

BeneVision N22/N19 Patient Monitor Operator’s Manual 1 - 3

Symbol Description Symbol Description

Battery indicator Direct current

Equipotentiality Alternating current

DEFIBRILLATION-PROOF TYPE CF APPLIED PAR T

Stop USB Zero key

NIBP start/stop key Calibrate key

Setup menu key Main menu key

Check sensor Graphical record

Gas outlet Input/output

Output Input

DEFIBRILLATION-PROOF TYPE BF APPLIED PA RT

Dispose of in accordance to your country’s requirements

The product bears CE mark indicating its conformity with the provisions of the Council Directive 93/42/EEC concerning medical devices and fulfils the essential requirements of Annex I of this directive.

Note: The product complies with the Council Directive 2011/65/EU.

Authorised representative in the European Community

1 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual

2 Equipment Introduction

Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Applied Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

BeneVision N22/N19 Patient Monitor Operator’s Manual 2 - 1

2.1 Intended Use

WARNING

The BeneVision N22 and N19 patient monitors (N22, N19, or the monitor) are intended to be used for monitoring, displaying, reviewing, storing, alarming and transferring of multiple physiological parameters including ECG (3-lead, 5-lead, 6-lead, and 12-lead selectable, arrhythmia detection, ST segment analysis, QT/QTc monitoring, and heart rate (HR)), respiration (Resp), temperature (Temp), pulse oxygen saturation (SpO2), pulse rate (PR), non-invasive blood pressure (NIBP), invasive blood pressure (IBP), cardiac output (C.O.), carbon dioxide (CO

), oxygen (O2), anesthetic gas (AG), impedance cardiograph (ICG), bispectral index (BIS), respiration

mechanics (RM), continuous cardiac output (CCO), central venous oxygen saturation (ScvO electroencephalograph (EEG), neuromuscular transmission (NMT), and regional oxygen saturation (rSO monitor also provides an interpretation of resting 12-lead ECG.

All the parameters can be monitored on single adult, pediatric, and neonatal patients with the exception of the following:

■ The ST segment analysis, BIS, RM, CCO, ScvO2 and NMT monitoring are intended for adult and pediatric

patients only.

■ C.O.monitoring is only intended for adult patients.

■ ICG monitoring is only intended for use on patients who meet the following requirements: height 122 to

229cm, weight 30 to 155kg.

This monitor is to be used in healthcare facilities by clinical professionals or under their guidance. It is not intended for helicopter transport, hospital ambulance, or home use.

). The

• This monitor is intended for use only by clinical professionals or under their guidance. It must only

be used by persons who have received adequate training in its use. Anyone unauthorized or untrained must not perform any operation on it.

2.2 Applied Parts

The applied parts of the monitor are:

■ ECG electrode and leadwire

■ SpO

■ Tem p probe

■ NIBP cuff

■ IBP transducer

■ C.O. sensor

■ CCO sensor

■ ScvO

■ PiCCO sensor

■ ICG sensor

■ CO

■ AG sampling line, water trap, airway adapter, and mask

sensor

sampling line/nasal sampling cannula, water trap, and mask

■ RM sensor

■ EEG electrode

■ BIS sensor

■ NMT sensor and electrode

■ rSO

sensor

2 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual

+ 442 hidden pages

Mindray BeneVision N22, BeneVision N19 Operator's Manual

Specifications and Main Features

Frequently Asked Questions

User Manual

Intellectual Property Statement

Responsibility on the Manufacturer Party

Warranty

Exemptions

Company Contact

Preface

1Safety

1.1 Safety Information

1.1.1 Warnings

1.1.2 Cautions

1.1.3 Notes

1.2 Equipment Symbols

2 Equipment Introduction

2.1 Intended Use

2.2 Applied Parts