Page 4
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.
Page 5
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.
Page 6
Italic text is used in this manual to quote the referenced manuals, chapters, sections and formulas. ■ Bold text is used to indicate the screen texts and names of hard keys. → is used to indicate operational procedures. ■ BeneVision N22/N19 Patient Monitor Operator’s Manual...
• 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.
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...
Page 28
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. 1 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Intended Use 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...
The main unit processes data from modules. 2.3.1.1 Main Unit for Combined Installation If the main unit and the primary display are combinedly installed. It provides the following connectors: Bottom View: (10) (11) BeneVision N22/N19 Patient Monitor Operator’s Manual 2 - 3...
Page 32
(10) Network Connector (LAN3) It is a standard RJ45 connector which connects the iView system to the external network. (11) Video output connector (VP2): connects the iView display. 2 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The primary display can be installed with or separately from the main unit, either horizontally or vertically. The following picture shows the indicators and connectors on the primary display when it is installed with the main unit. BeneVision N22/N19 Patient Monitor Operator’s Manual 2 - 5...
Page 34
When a physiological alarm or technical alarm occurs, this lamp lights and flashes corresponding with the alarm priority: ◆ High priority alarms: the lamp quickly flashes red. ◆ Medium priority alarms: the lamp slowly flashes yellow. ◆ Low priority alarms: the lamp lights in cyan without flashing. 2 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 35
DC-in connector: connects the DC adaptor to run the secondary display. Video output connector (VP): connects the VP1 connector at the bottom of the main unit. BeneVision N22/N19 Patient Monitor Operator’s Manual 2 - 7...
Parameter modules: acquires and processes the patient’s data and sends the data to the main unit. ■ Recorder module: prints patient information, parameter measurements and waveforms. ■ BeneLink module: connects external devices. The monitor outputs data from external devices through the BeneLink module. 2 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 37
For example, if a CO module is already loaded and then another CO module is inserted, the monitor will then prompt module conflict. To solve the problem of module conflict, just remove a module. BeneVision N22/N19 Patient Monitor Operator’s Manual 2 - 9...
Patient cable connectors: the MPM module incorporates multiple measurement modules, including ECG, Resp, SpO , NIBP, Temp, and IBP. 2.3.5 Cable Management Kit The cable management kit is installed at the bottom of the SMR. 2 - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Both the primary display and the secondary display are configured with touchscreen. 2.3.6.2 Mouse You can use Mindray specified mice, wired or wireless, to operate the monitor. ■ The primary display and the secondary display can have independant mouses. ■...
2.3.6.5 Barcode Reader You can use Mindray specified barcode reader to enter the patient’s medical record number (MRN). 2.3.7 Printing Devices You can use the printer and/or recorder to output patient information and data. 2.3.7.1 Recorder The monitor can be equipped with an external recorder module to output patient data, waveforms, and reports.
Use only installation accessories specified by Mindray. • The equipment software copyright is solely owned by Mindray. No organization or individual shall resort to modifying, copying, or exchanging it or to any other infringement on it in any form or by any means without due permission.
With the module properly oriented, align the module insertion guide slot with the SMR insertion guide. Push the module into the SMR until you hear a click. Push the lock at the bottom of the module inwards to lock the module. BeneVision N22/N19 Patient Monitor Operator’s Manual 3 - 3...
You can use the mouse to select a screen element by moving the cursor on the element and then click on it. Only the left mouse-button can be used. The right mouse-button is disabled. 3 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
For more information, see 3.6.1 On-screen Symbols. Parameter waveform area: displays parameter waveforms. Select a waveform enters corresponding parameter menu. For more information, see • ECG is always switched on. You cannot switched it off.. BeneVision N22/N19 Patient Monitor Operator’s Manual 3 - 5...
The battery has low power and needs to be The battery has critically low charge and charged. needs to be charged immediately. Otherwise, the monitor will soon automatically shut down. The battery is being charged. No battery is installed. 3 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The following table shows available quick keys. Symbol Label Function Symbol Label Function Main Menu Enters the main menu. More Shows more quick keys. Alarm Enters the Alarm menu. Alarm Reset Acknowledges the ongoing alarms. BeneVision N22/N19 Patient Monitor Operator’s Manual 3 - 7...
Page 48
CPB Mode Enters the CPB mode. Intubation Enters the intubation Mode mode. Volume Enters the Volume menu. Freeze Freezes waveforms. Calculations Enters the Calculations Load Enters the Load Config menu. Configuration menu. 3 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Except for the low battery alarm, the monitor inactivate alarm tone and alarm light of all other alarms. ■ The monitor suppresses all system sounds, including heart beat tone, pulse tone, and prompt tone. ■ BeneVision N22/N19 Patient Monitor Operator’s Manual 3 - 9...
NIBP End Tone: Off ■ Stop NIBP: Off ■ CAUTION • Verify the night mode settings before entering the night mode. Pay attention to the potential risk if the setting value is low. 3 - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
■ Select New Patient to exit the standby mode and admit a new patient. ■ Select Pre-admit to enter the patient information for preparing to admit a new patient. BeneVision N22/N19 Patient Monitor Operator’s Manual 3 - 11...
CMS. In this case, you cannot change the date and time from your monitor. CAUTION • Changing the date and time affects the storage of trends and events and may result in loss of data. 3 - 12 BeneVision N22/N19 Patient Monitor Operator’s Manual...
SMR. You can also manually switch on or off a parameter when its module is connected. To do so, follow this procedure: BeneVision N22/N19 Patient Monitor Operator’s Manual 3 - 13...
You can configure the parameters and their layout on the big numeric screen. To do so, follow this procedure: Access Choose screen in either of the following ways: 3 - 14 BeneVision N22/N19 Patient Monitor Operator’s Manual...
You cannot change timer settings when a timer is running. 3.12.3 Controlling a Timer The timer provides the following controls: Start/Stop: starts or stops the timer. ■ Clear: clears the timer and end this timer episode. ■ BeneVision N22/N19 Patient Monitor Operator’s Manual 3 - 15...
Independent: You can separately configure the contents and layout of the primary display and secondary display. The independent secondary display cannot share the mouse and keyboard with the primary display. Separate mouse and keyboard connected to the display‘s MSB connectors is required. 3 - 16 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Applications running on the iView cannot act as a primary alarming device and cannot be relied upon for alarm notification. There may be no audible or visible indications apart from what is shown on the screen, and any data shown may be delayed. BeneVision N22/N19 Patient Monitor Operator’s Manual 3 - 17...
In case of a temporary power failure, if the power is restored within 30 minutes, monitoring will resume with all active settings unchanged; if the monitor is without power for more than 30 minutes, the monitor behaves the same as it is normally turned off. 3 - 18 BeneVision N22/N19 Patient Monitor Operator’s Manual...
■ From the standby screen, select New patient. Always inputs patient information as soon as the patient is admitted. For more information, see 4.3.2 Editing Patient Information for details. 4 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select Query. Then a list pops up, including all the patients that meet the query criteria. Select a patient from the patient list, and then select Import. Corresponding patient information in the monitor will be updated. BeneVision N22/N19 Patient Monitor Operator’s Manual 4 - 3...
If Unfixed is selected, you can change Bed No. and Room No. from the Patient Management menu. NOTE • If Monitor Location is set to Unfixed, Bed No. and Room No. are cleared each time you discharge a patient. 4 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok. Select the Patient Management tab → select the Transfer tab. Select Data Transfer Strategy. BeneVision N22/N19 Patient Monitor Operator’s Manual 4 - 5...
Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok. Select the Patient Management tab → select the Transfer tab. Set Data Transfer Length. 4 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
In this case, settings. you need to re-enter the patient demographics. The monitor will restore the settings according to the patient category. BeneVision N22/N19 Patient Monitor Operator’s Manual 4 - 7...
Page 66
This page intentionally left blank. 4 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the Main Menu quick key → turn to the second page → from the Configuration column select Manage → input the required password → Select Ok. Select Select Default Config. 5 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the Main Menu quick key → turn to the second page → from the Configuration column select Manage → input the required password → Select Ok. Select Export Configuration. Select the configurations and User Maintenance Settings to export. BeneVision N22/N19 Patient Monitor Operator’s Manual 5 - 3...
Select the Main Menu quick key → turn to the second page → from the Configuration column select Manage → input the required password → Select Ok. Select Modify Password. Input a new password. Select Ok. 5 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The monitor can transmit parameter values, waveforms, alarm settings, and events to the eGateway. ■ The monitor can transmit parameter values and alarm settings, getting from the connected external devices to the eGateway. ■ Clock can be synchronized between the monitor and the eGateway. 6 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the Screen Setup quick key → select the Primary Display tab or Secondary Display tab (depends ■ on which is desirable)→ select the Choose Screen tab → select Remote View. BeneVision N22/N19 Patient Monitor Operator’s Manual 6 - 3...
Page 74
Display the patient’s information, alarm status and messages, waveforms, measurements, etc. of the selected bed. This bed is called main bed. Up/down arrow Scroll one step up or down the window to see more measurements that are not in the current view. 6 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
At the top of the Remote View. For more information, see 6.6.1.2 About the Remote View for details. ◆ On the main screen. For more information, see 6.6.2.1 About Alarm Watch Tile for details. BeneVision N22/N19 Patient Monitor Operator’s Manual 6 - 5...
Select the Network Type tab. Set Monitor to Auto, LAN1, or WLAN according to your network type. The default is Auto, which means the monitor can automatically identify your network type. 6 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the Network Setup tab→WLAN tab. Select Certification Management from the bottom left corner of the menu. ◆ From the Local tab, select certifications you want to delete from the monitor, and then select Delete. BeneVision N22/N19 Patient Monitor Operator’s Manual 6 - 7...
Select QoS Level For Others to set the service quality of network connection for non-realtime monitoring, for example history data, printing, and as on. 6 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
, and NIBP of ambulating adult and pediatric patients. The TM80 can be connected with the monitor either via Mindray Patient Area Network (MPAN) or Wi-Fi. The BP10 can be connected with the monitor via MPAN. The process of establishing connection between the TM80 or BP10 and the monitor is called "pairing”.
When a TM80 is paired with a BP10, the TM80 will automatically disconnect with the BP10 once it is paired with the monitor. • If you need to change the name of TM80, see BeneVision TM80 Telemetry Monitor Operator’s Manual (PN: 046-007479-00). BeneVision N22/N19 Patient Monitor Operator’s Manual 7 - 3...
The TM80 allows you to turn on or off the screen backlight, trigger a nurse call, enter the screen lock ■ window or the unpair menu. But it does not allow you to change any settings. 7 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
No: the TM80 disconnects with the monitor and discharges the patient. The monitor does not discharge the patient and continues patient monitoring. The monitor is connected to the CMS to continue patient monitoring. BeneVision N22/N19 Patient Monitor Operator’s Manual 7 - 5...
When a BP10 is paired with the monitor, if the BP10 is out of the MPAN coverage area, it will be disconnected from the monitor automatically. But when it is within the MPAN coverage area again, it will be reconnected with the monitor automatically. 7 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Once a BP10 is unpaired successfully with the monitor, the monitor responds as below: ■ In the Wireless Module menu, the Remove button on the right of the unpaired BP10 changes to Add. The symbol disappears. BeneVision N22/N19 Patient Monitor Operator’s Manual 7 - 7...
Set Start Time and Interval for the day and night. Select Start NIBP. Once NIBP measurement is completed, the ABPM mode and measurement values will be displayed on the monitor screen. 7 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The desired BP10 is not The BP10 is not found. For the BP10, follow Steps 1 to 3 in displayed under the 7.5.1 Pairing Procedure. Device Name column of the Wireless Module menu. BeneVision N22/N19 Patient Monitor Operator’s Manual 7 - 9...
Page 88
Wi-Fi network. The wireless network does not support The wireless network where the monitor and multicast data transfer. the TM80 are connected needs to support multicast data transfer. 7 - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
• The alarm messages from external devices are derived from the open protocol of corresponding external device. For more information about these alarms, please see the operator’s manual of corresponding devices. 8 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Sometimes, values slightly different. from the external device may be advanced or delayed before transmission to the patient monitor. BeneVision N22/N19 Patient Monitor Operator’s Manual 8 - 3...
After the external device is connected to the monitor, the indicators on both the ID adapter and the BeneLink module illuminate to show that the monitor successfully communicates with the external device. 8 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
CAUTION • First installation and debugging should be executed by Mindray service personnel or authorized technician. • Please check the compatibility of the external device and the ID adapter before connection. Otherwise, unpredictable system failure may be resulted. • Ports on the BeneLink module are not conventional network connectors. They are intended for connecting with the serial port of designated devices only.
Please see the following sections for parameter priorities. For the parameters measured by the external device, the measurements display directly after the parameter ■ labels. 8 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
You can record and print Information from external devices both in realtime and in graphic and tabular trends from the monitor. Besides, the monitor can also record the frozen parameters of the external device. BeneVision N22/N19 Patient Monitor Operator’s Manual 8 - 7...
Page 96
This page intentionally left blank. 8 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Technical alarm conditions may also be caused when an algorithm cannot classify or interpret the available data. Apart from the physiological and technical alarms, the monitor can also prompt some messages telling the system status or patient status. 9 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
• When multiple alarms of the same priority levels occur simultaneously and should be displayed in the same area, all the alarm messages are displayed circularly. BeneVision N22/N19 Patient Monitor Operator’s Manual 9 - 3...
Set the upper and lower alarm limits. ◆ Set the alarm priority. ◆ Enable or disable alarm recordings. You can also change the alarm properties of individual parameter from corresponding parameter menu. 9 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok. Select the Alarm tab → Audio tab. Set High Alarm Interval, Med Alarm Interval, and Low Alarm Interval. BeneVision N22/N19 Patient Monitor Operator’s Manual 9 - 5...
Page 102
Select Increase Volume Delay to set the delay time of alarm volume escalation. NOTE • The alarm volume escalation function is not applied to the latched alarms. 9 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
TD (°C) Same as the Same as the Same as the Same as the Same as the default alarm default alarm default alarm default alarm measurement range limit limit limit limit BeneVision N22/N19 Patient Monitor Operator’s Manual 9 - 7...
Page 104
× 1.5 or (awRR+25) or Adult/pediatric: 6 to 55 (rpm) 6 (whichever 30 (whichever 30 (whichever 85 rpm Neonate: 10 to 90 is greater) is greater) is smaller) (whichever is smaller) 9 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 105
15 to 95 default alarm mode: same default alarm mode: same limit as the default limit as the default alarm limit alarm limit Auto mode: Auto mode: remains remains unchanged unchanged BeneVision N22/N19 Patient Monitor Operator’s Manual 9 - 9...
Select the Alarm quick key → select the Setup tab. ◆ Select the Main Menu quick key → from the Alarm column select Setup. Select the Limits tab. On the Limits page, select Defaults at the left bottom. 9 - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the Alarm tab → Pause/Reset tab. Switch off Pause 5 min, Pause 10 min, or Pause 15 min. NOTE • Prolonging alarm pause time does not affect the setting of alarm pause time. BeneVision N22/N19 Patient Monitor Operator’s Manual 9 - 11...
You can temporarily prolong the alarm tone pause time after the monitor enters the alarm tone paused status. For more information, see 9.7.2.2 Prolonging the Alarm Pause Time. NOTE • Prolonging alarm pause time does not affect the setting of alarm tone pause time. 9 - 12 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the Alarm tab → Pause/Reset tab. Set Alarm Light. ◆ On When Reset: when the alarm system is reset, the alarm tones of the current alarms are switched off, but the alarm lamp remains flashing. BeneVision N22/N19 Patient Monitor Operator’s Manual 9 - 13...
Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok. Select the Alarm tab → Nurse Call tab. Select Signal Type 9 - 14 BeneVision N22/N19 Patient Monitor Operator’s Manual...
To enter the intubation mode, choose either of the following ways: ■ Select the Intubation Mode quick key. ■ From the bottom of the Resp, CO2, AG, or RM menu, select Intubation Mode. BeneVision N22/N19 Patient Monitor Operator’s Manual 9 - 15...
Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok. Select the Alarm tab → Remote View tab. Switch off Remote Disconnected Alarm. BeneVision N22/N19 Patient Monitor Operator’s Manual 9 - 17...
Confirm the alarming parameter or alarm category. Identify the source of the alarm. Take proper action to eliminate the alarm condition. Make sure the alarm condition is corrected. For more information, see D Alarm Messages. 9 - 18 BeneVision N22/N19 Patient Monitor Operator’s Manual...
NOTE • After defibrillation, the screen display recovers within 10 seconds if the correct electrodes are used and applied in accordance with the instructions for use. 10 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
(9) HR unit (10) HR alarm limits (11) HR value NOTE • The ECG numeric area and waveform area are configured to be different for different lead type and ECG settings. BeneVision N22/N19 Patient Monitor Operator’s Manual 10 - 3...
V7 placement: on posterior chest at the left posterior axillary line in the fifth intercostal space. ■ V7R placement: on posterior chest at the right posterior axillary line in the fifth intercostal space. BeneVision N22/N19 Patient Monitor Operator’s Manual 10 - 5...
Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok. Select the Module tab → ECG tab. Set ECG Standard to AHA or IEC. 10 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Rejection setting has no impact on the display of pace pulse marks “|”. • You can switch on pacer rejection only when Paced is set to Yes. If Paced is set to no, the setting of Pacer Reject is disabled. BeneVision N22/N19 Patient Monitor Operator’s Manual 10 - 7...
The QRS complex should be either completely above or below the baseline and it should not be biphasic. ■ The QRS complex should be tall and narrow. ■ The P waves and T waves should be less than 0.2mV. 10 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 123
When ST monitoring is switched on, ECG Filter is automatically set to ST. If you manually set Filter to Monitor or Surgery, the ST monitoring function automatically switches off.The notch filter removes the line frequency interference. BeneVision N22/N19 Patient Monitor Operator’s Manual 10 - 9...
Select the ECG numeric area or waveform area to enter the ECG menu. Select the Setup tab. Set QRS Volume. When valid SpO measurements are available, the monitor adjusts the pitch tone of QRS sound based on the value. 10 - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
During the learning phase of the algorithm, arrhythmia detection may not be available. So you should closely monitored the patient condition during and for several minutes after the learning phase to allow the algorithm to reach optimal detection performance. BeneVision N22/N19 Patient Monitor Operator’s Manual 10 - 11...
Lethal Arrh Alarms Off is set to Disable by default. In this case, you cannot switch off arrhythmia alarms. ◆ If you set Lethal Arrh Alarms Off to enable, you can switch off arrhythmia alarms from the ECG menu. For more information, see 10.6.4.1 Changing Arrhythmia Alarm Settings. BeneVision N22/N19 Patient Monitor Operator’s Manual 10 - 13...
Page 128
The following figure illustrates the conditions under which PVC alarms will be generated if V-Tach PVCs is set to 6, V-Tach Rate is set to 130, V Brady PVCs is set to 5, and V Brady Rate is set to 40. 10 - 14 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Tachy/Brady Rhythm End Pause Vent Rhythm HR High / Pacer not Capture Run PVCs HR Low Couplet Pacer not Pacing R on T Missed Beats Bigeminy Trigeminy PVCs High Multiform PVCs BeneVision N22/N19 Patient Monitor Operator’s Manual 10 - 15...
Page 130
When the timeout period is reached, alarm light and alarm tone are reactivated. Alarm in other medium priority chain Alarm light and alarm tone 10 - 16 BeneVision N22/N19 Patient Monitor Operator’s Manual...
ST-aVL, ST-aVF, ST-Va, ST-Vb. ■ When you are using the 12-lead ECG leadwires, the ST numeric area displays12 ST values: ST-I, ST-II, ST-III, ST-aVR, ST-aVL, ST-aVF, ST-V1, ST-V2, ST-V3, ST-V4, ST-V5, ST-V6. BeneVision N22/N19 Patient Monitor Operator’s Manual 10 - 17...
To enter the ST View, follow this procedure: Select the ECG numeric area or waveform area to enter the ECG menu. Select the ST tab. From the bottom of the menu, select ST View. 10 - 18 BeneVision N22/N19 Patient Monitor Operator’s Manual...
To display ST Graphic window, follow this procedure: Select the ECG numeric area or waveform area to enter the ECG menu. Select the ST tab. From the bottom of the menu, select ST Graphic. BeneVision N22/N19 Patient Monitor Operator’s Manual 10 - 19...
In the waveform area, the ISO point, J point, and ST point mark do not display on the ST segments by default. To show these marks, follow this procedure: Select the ECG numeric area or waveform area to enter the ECG menu. Select the ST tab→ select the Setup tab. 10 - 20 BeneVision N22/N19 Patient Monitor Operator’s Manual...
In this case, positions of ISO point and J point are automatically adjusted accordingly. If you disable when Auto Adjust, you need to manually adjust the position of ISO point and J point by selecting the arrows at the right sides of ISO and J. BeneVision N22/N19 Patient Monitor Operator’s Manual 10 - 21...
Select the ECG numeric area or waveform area to enter the ECG menu. Select the QT tab → select the Setup tab. Switch on QT Analysis . 10 - 22 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The display of the QT numeric area differs as related settings change. 10.8.4 QT View The QT view shows a piece of ECG waveform and QT-related numerics of each ECG lead. The following picture shows the QT view. BeneVision N22/N19 Patient Monitor Operator’s Manual 10 - 23...
Select the ECG numeric area or waveform area to enter the ECG menu. Select the QT tab → select the Setup tab. Set QT Leads . All is selected by default. This means all leads are used for QT calculation. 10 - 24 BeneVision N22/N19 Patient Monitor Operator’s Manual...
ECG signal is relatively noise-free. If ECG learning takes place during arrhythmia, the ectopics may be incorrectly learned as normal QRS complex. This may result in missed detection of subsequent events of arrhythmia. BeneVision N22/N19 Patient Monitor Operator’s Manual 10 - 25...
1. Perform skin preparation again and re-place the electrodes. For more information, see 10.4.1 Preparing the Patient Skin and 10.4.2 Applying Electrodes . 2. Apply fresh, moist electrodes. Avoid muscular areas. 10 - 26 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 141
For more information, see 10.4.1 Preparing the Patient Skin and 10.4.2 Applying Electrodes . 3. Check for ECG filter setting. Set ECG Filter mode to Monitor . BeneVision N22/N19 Patient Monitor Operator’s Manual 10 - 27...
Page 142
This page intentionally left blank. 10 - 28 BeneVision N22/N19 Patient Monitor Operator’s Manual...
11.1 Resting 12-Lead ECG Analysis Introduction The monitor can be configured with either Glasgow 12-lead ECG analysis algorithm or Mindray 12-lead ECG analysis algorithm. The Glasgow algorithm is intended for adult, pediatric, and neonatal patients. The Mindray algorithm is intended for adult patients only.
Set Tachy and Brady . NOTE • The tachycardia threshold only applies to patients whose age exceeds 180 days. • The bradycardia threshold only applies to patients whose age exceeds 2191 days. BeneVision N22/N19 Patient Monitor Operator’s Manual 11 - 3...
Select the Report tab. Set the format and items included in the 12-lead interpretation report. 11.5 Exiting the ECG 12-Lead Screen To exit the ECG 12-Lead screen, select Exit on the ECG 12-Lead screen. 11 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
(4) Respiration rate (RR) (5) RR source NOTE • If ESU-proof ECG cables are used, the Resp waveform area will display the message “Check Leads”. Replace the ECG cable if necessary. 12 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
• In clinical applications, some patients (especially neonates) expand their chests laterally, causing a negative intrathoracic pressure. In these cases, it is better to place the two respiration electrodes in BeneVision N22/N19 Patient Monitor Operator’s Manual 12 - 3...
Select the Setup tab. Set Resp Lead . If you cannot get optimal Resp waveform or you suspect the Resp value after choosing the Resp lead, you may need to optimize the electrode placement. 12 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Once set, the detection level will not adapt automatically to different respiration depths. It is important to remember that if the depth of breathing changes, you may need to change the detection level. 12.6 Resp Troubleshooting For more information, see D Alarm Messages . BeneVision N22/N19 Patient Monitor Operator’s Manual 12 - 5...
Page 152
This page intentionally left blank. 12 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
• A functional tester or SpO simulator can be used to determine the pulse rate accuracy. • A functional tester or SpO simulator cannot be used to assess the SpO accuracy. 13 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Pulse rate (derived from the pleth wave): detected pulsations per minute. Δ – difference (ΔSpO NOTE • PI is only available for Mindray SpO 13.5 Preparinging for SpO Monitoring To prepare to monitor SpO , follow this procedure: Select an appropriate sensor according to the module type, patient category and weight.
88% (2 points) and remains there for 2 seconds. Then it drops to 86% (4 points) for 3 seconds, and then to 84% (6 points) for 6 seconds. The resulting Sat-Seconds are: BeneVision N22/N19 Patient Monitor Operator’s Manual 13 - 5...
To set the NIBP Simul , follow this procedure: Select the SpO numeric area or waveform area to enter the SpO2 menu. Select the Alarm tab. Select SpO2 tab. 13 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
If the Alarm Source is set to PR , the QRS tone is derived from PR measurements. To set the QRS volume, follow this procedure: Select the SpO numeric area or waveform area to enter the SpO2 menu. Select the PR Setup tab. Set QRS Volume . BeneVision N22/N19 Patient Monitor Operator’s Manual 13 - 7...
2. Check the PI value. If the PI value is too low. Adjust the SpO sensor, or apply the sensor to the site with better perfusion. 3. Check the sensor and its application site. 13 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized replacement parts which would, alone, or in combination with this device, fall within the scope of one or more of the patents relating to this device. BeneVision N22/N19 Patient Monitor Operator’s Manual 13 - 9...
Page 162
This page intentionally left blank. 13 - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The numeric area shows three TEMP numerics: T1, T2, and ΔT. (1) Temperature label (2) T1 value (3) T1 alarm limits (4) Difference between two temperature channels (5) T2 alarm limits (6) T2 value (7) Temperature unit 14 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
1. If you are using a disposable probe, check the connection between numeric area the probe and the temperature cable. 2. Try using a known good probe in case the sensor is damaged. BeneVision N22/N19 Patient Monitor Operator’s Manual 14 - 3...
Page 166
This page intentionally left blank. 14 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Measurement Modes There are three NIBP measurement modes: ■ Manual: measurement on demand. ■ Auto: repeated measurements at set interval. ■ STAT: continually rapid series of measurements over a five minute period. BeneVision N22/N19 Patient Monitor Operator’s Manual 15 - 3...
It is recommended to have the patient sit quietly for several minutes before taking the measurement. • Other factors that have been shown to result in an overestimation of blood pressure are labored breathing, full bladder, pain etc. 15 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
STAT button → STAT NIBP Measure quick key Stop the current NIBP NIBP Start/Stop quick key Stop NIBP button measurements End auto NIBP series Stop All quick key Stop All button BeneVision N22/N19 Patient Monitor Operator’s Manual 15 - 5...
For example, if Interval is set to 20 min , and you start NIBP auto measurement at 14:03, the next measurement will be taken at 14:23, and then at 14:43, 15:03, and so on. 15 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
(180 seconds for adult and pediatric patient, 90 seconds for neonatal patient). During venous puncture, pay attention to the cuff pressure and the remaining time displayd in the NIBP numerics area. BeneVision N22/N19 Patient Monitor Operator’s Manual 15 - 7...
Mindray-qualified service personnel only. 15.10.2 NIBP Accuracy Test The NIBP accuracy test should be performed once once every two years or when you doubt the NIBP measurements. The NIBP accuracy test should be performed by Mindray-qualified service personnel only. 15.11 NIBP Troubleshooting For more information, see D Alarm Messages .
All invasive procedures involve risks to the patient. Use aseptic technique. Follow catheter manufacturer's instructions. • Mechanical shock to the invasive blood pressure transducer may cause severe shifts in zero balance and calibration, and cause erroneous readings. 16 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Make sure that no air bubble exists in the IBP transducer system before the IBP measure. If measuring intracranial pressure (ICP) with a sitting patient, level the transducer with the top of the patient’s ear. Incorrect leveling may give incorrect values. BeneVision N22/N19 Patient Monitor Operator’s Manual 16 - 3...
IBP numeric area displays only the mean pressure. The figure below shows the waveform and numerics for the Art pressure. (1) Pressure label (2) Waveform (3) Pressure Unit (4) Systolic pressure (5) Diastolic pressure (6) Mean pressure (7) PPV measurement 16 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
◆ If this non-specific pressure is venous pressure, set the Measure to Mean Only . In this case, its corresponding numeric area displays only the mean pressure. BeneVision N22/N19 Patient Monitor Operator’s Manual 16 - 5...
The PPV measurement has been validated only for adult patients. NOTE • The PPV measurement from IBP will automatically be switched off if PiCCO module is working. The monitor will measure PPV through PiCCO module. 16 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Switch on or off Gridlines to show or hide gridlines in the overlapped waveform area. ■ Set Speed for the overlapped waveforms. ■ NOTE • The unit of CVP scale is consistent with CVP parameter unit. BeneVision N22/N19 Patient Monitor Operator’s Manual 16 - 7...
Select the up or down arrow button to adjust the PAWP value. ■ Select the left or right arrow button to view the frozen waveforms of 40 seconds. ■ Select Accept to save the PAWP value. BeneVision N22/N19 Patient Monitor Operator’s Manual 16 - 9...
Plug the IBP module into the module rack. Connect the ICP cable (PN: 11502525700) to the IBP module. Connect the ICP connector to the ICP adapter. Connect the Camino cable to the Camino monitor. 16 - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
3. Check the connection of IBP cable, IBP transducer and module. 4. Check that the stopcock is turned to the correct position. 5. Check that the IBP transducer has been zeroed. For more information, see 16.3.3 Zeroing the IBP transducer . BeneVision N22/N19 Patient Monitor Operator’s Manual 16 - 11...
Page 186
4. Replace a transducer. Zeroing of IBP channel(s) fails. 1. Ensure that the channels are open to air. For more information, see 16.3.3 Zeroing the IBP transducer . 2. Replace a transducer. 16 - 12 BeneVision N22/N19 Patient Monitor Operator’s Manual...
■ patient’s inspiratory/expiratory cycle ■ placement of catheter with relation to proximity of lung field ■ the catheter itself ■ patient’s heart rate and hemodynamic status 17 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Switch on or off Auto Start . If Auto Start is switched on, the monitor automatically takes the C.O. measurement after establishing a baseline of blood temperature. If Auto Start is switched off, you need to click the Start button in the C.O. Measure window for a new measurement. 17 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The button area also provides you with the following functions: Select Stop to stop the current measurement.Select Setup to enter the C.O. menu. ■ Select Hemo Calcs to enter the Calculations menu. ■ BeneVision N22/N19 Patient Monitor Operator’s Manual 17 - 5...
The C.O. value is invalid if it is displayed in outline font. • For more information on the setup of the patient information (height, weight), computation constant, measure mode, and auto TI, see 17.6.2 Setting C.O. Measurement. 17 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
10°C colder than the patient blood temperature. 2. Finish injection within four to five seconds. 3. Check the connection of C.O. cable, thermodilution catheter and TI sensor. BeneVision N22/N19 Patient Monitor Operator’s Manual 17 - 7...
Page 194
This page intentionally left blank. 17 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
• Incorrect placement of the fiberoptic probe can lead to vessel perforation. Therefore, check the correct position of the probe as indicated in the probe’s instructions for use. BeneVision N22/N19 Patient Monitor Operator’s Manual 18 - 3...
Set the alarm properties of ScvO ◆ Switch on or switch off the alarms. ◆ Adjust the alarm limits and alarm priorities. ◆ Switch on or switch off the alarm recording. 18 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok . Select the Unit tab. Set Hb Unit . BeneVision N22/N19 Patient Monitor Operator’s Manual 18 - 5...
Page 200
This page intentionally left blank. 18 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
CAUTION • Fully observe the Vigilance II monitor and Vigileo monitor operator’s manuals to configure settings and to connect the monitor to the patient. 19 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The CCO numeric area displays the values of one primary parameter and up to four secondary parameters. You can select the desired parameters to be displayed. For more information, see 19.7.3 Setting Parameters for Display . BeneVision N22/N19 Patient Monitor Operator’s Manual 19 - 3...
■ 19.5 Connecting the Device 19.5.1 Connecting to the Vigilance II Monitor The following figure shows the CCO/SvO cable which is used to connect this monitor to the Vigilance II monitor. 19 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Vigileo monitor. Enter the Serial Port Setup menu of the Vigileo monitor, and make the following settings: ◆ Device : IFMout ◆ Baud Rate : 19200 19 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
19.7.2 Changing the SVR Unit To change the SVR unit, follow this procedure: Select the CCO numeric area to enter the CCO menu. Select the Setup tab. Set SVR Unit . BeneVision N22/N19 Patient Monitor Operator’s Manual 19 - 7...
The calibration voltage of Vigilance II or Vigileo monitor should be the same as the output voltage of this monitor. Otherwise, some parameter values may be incorrectly calculated. NOTE • See the operator’s manuals of Vigilance II and Vigileo monitors for the calibration instructions. 19 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Output Voltage High Value Calibration Signals 500 mmHg 100% 100mmHg Low Value Calibration Signals 0 mmHg 0mmHg NOTE • See the operator’s manual of Vigilance II monitor for the calibration instructions. BeneVision N22/N19 Patient Monitor Operator’s Manual 19 - 9...
3.Check that the Vigilance or Vigileo monitor is set properly as described in 19.5 Connecting the Device . 4. Check the connection of CCO/SvO cable. For more information, see 19.5 Connecting the Device . 19 - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The measurement accuracy may be compromised when patients present with the following conditions or anomalies: ■ Septic shock ■ Aortic valve regurgitation and defect of septum ■ Severe aortic sclerosis or aortic prosthesis ■ Severe hypertension (MAP > 130 mmHg) 20 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
DS•m left cardiac work kg•m LCWI left cardiac work index kg•m/m2 LVSW left ventricular stroke work g•m LVSWI left ventricular stroke work index g•m/m2 systolic time ratio BeneVision N22/N19 Patient Monitor Operator’s Manual 20 - 3...
In the case of minute ventilation pacemakers the use of the ICG module is not allowed if the minute ventilation function of the pacemaker is activated. 20 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Each pair of sensors should be opposite directly to each other (180°) as shown in the figure above. • The sensors must not have a direct contact to other electrically conductive materials. • Only use disposable ICG sensors. BeneVision N22/N19 Patient Monitor Operator’s Manual 20 - 5...
Switch on or switch off the alarms for C.I. and TFC. ◆ Adjust the alarm limits and alarm priority for C.I. and TFC. ◆ Switch on or switch off the alarm printing for C.I. and TFC. 20 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
For more information, see 3.11.1 Switching On or Off a Parameter . 3.Check that the patient type is properly configured. 4. Check the connection of the ICG cable, ICG sensor and ICG module. BeneVision N22/N19 Patient Monitor Operator’s Manual 20 - 7...
Page 218
This page intentionally left blank. 20 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
• When using accessories, their operating temperature should be taken into consideration. For details, see instructions for use of accessories. 21 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Parameter page of the PiCCO menu. For more information, see 21.8.3 Setting Parameters for Display . (1) Prompt message: the time since previous TD measurement (2) Label and value for secondary parameters (3) Labels and values for primary parameter BeneVision N22/N19 Patient Monitor Operator’s Manual 21 - 3...
Select the CCO numeric area to enter the CCO menu. Select the Introduction tab. Select the desired tab of Summary , Target Patients , Points To Note , or Operation Guides . 21 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Plug the PiCCO cable into the CCO/C.O. connector on the PiCCO module, and connect the following devices to the PiCCO cable: ◆ Injectate temperature sensor probe ◆ Blood temperature sensor connector. Plug the IBP cable into the pArt/pCVP connector on the PiCCO module. BeneVision N22/N19 Patient Monitor Operator’s Manual 21 - 5...
ELWI or an extreme low CI. If ΔT is too low, you can try to increase it by the following method: ◆ Inject more volume (remember to reenter the injectate volume in the Setup page of the CCO menu before injecting). ◆ Inject colder bolus. BeneVision N22/N19 Patient Monitor Operator’s Manual 21 - 7...
Page 226
As the pulse contour cardiac output of children has not been sufficiently validated thus far, the C.O. should be checked by thermodilution before therapeutic interventions. • A new measurement is recommended with significant changes in hemodynamic conditions, such as volume shifts or changes to medication. 21 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the CCO numeric area to enter the C.O. Measure menu. Select the Setup tab to enter the Setup page of the CCO menu. Select the Select Parameter tab. Select the primary and secondary parameters for display. BeneVision N22/N19 Patient Monitor Operator’s Manual 21 - 9...
10°C colder than the patient blood temperature. 2. Finish injection within four to five seconds. 3. Check the connection of PiCCO cable, arterial thermodilution catheter and injectate temperature sensor. 21 - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Measure/standby hard key (3) CO watertrap seat (4) Gas outlet (5) Sample line connector (6) CO sensor connector If you measure CO using the AG module, see 23 Monitoring Anesthetic . 22 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
(2) Fraction of inspired CO (FiCO (3) End tidal CO value (EtCO (4) Airway respiration rate (awRR) If your sidestream CO module configures the oxygen sensor, O waveform and paramters can be displayed as follows: BeneVision N22/N19 Patient Monitor Operator’s Manual 22 - 3...
For intubated patients requiring an airway adapter, install the airway adapter between the patient circuit and the ventilator Y-piece. (3) Sample line (4) Connect to the ventilator (5) Airway adapter (6) Connect to the patient 22 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 233
To extend the lifetime of the watertrap and module, disconnect the watertrap from the module and set the operating mode to Standby mode when CO monitoring is not required. • The sapmle rates are different when different types of watertraps are used. BeneVision N22/N19 Patient Monitor Operator’s Manual 22 - 5...
22.5.3 Zeroing the Sidestream/Microstream CO Module The sidestream or microstream CO module performs zero calibration automatically when needed. NOTE • The CO module temporally stops measuring during zeroing. 22 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Always position the sensor with the adapter in an upright position to avoid collection of fluids in the windows of the adapter. Large concentrations of fluids at this point will obstruct gas analysis. • To avoid dead space, place the sensor as close to the patient as possible. BeneVision N22/N19 Patient Monitor Operator’s Manual 22 - 7...
Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok . Select the Unit tab. Set CO2 Unit .. 22 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
To set the auto standby, follow this procedure: Select the CO numeric area or waveform area to enter the CO2 menu. Select the Setup tab. Set Auto Standby . BeneVision N22/N19 Patient Monitor Operator’s Manual 22 - 9...
To set the O waveform, follow this procedure: Select the CO numeric area or waveform area to enter the CO2 menu. Select the Setup tab. Set Speed and O2 Scale of the O waveform. 22 - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
FiCO are calculated for every breath. ◆ 10 s , 20 s , or 30 s : EtCO and FiCO are calculated using 10, 20 or 30 seconds of data. BeneVision N22/N19 Patient Monitor Operator’s Manual 22 - 11...
Use of the galvanic oxygen sensor exceeding the recommended lifetime may cause incorrect readings. • The galvanic oxygen sensor contains corrosive materials. Thus, the exhausted galvanic oxygen sensor should be removed from the module to avoid contamination to the module. 22 - 12 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Solution EtCO measurements too low 1. Ventilate the room if the environmental CO concentration is too high. 2. Check the sample line and connectors for leakage. 3. Check the patient status. BeneVision N22/N19 Patient Monitor Operator’s Manual 22 - 13...
CO sampling consumables which would, alone, or in combination with this device, fall within the scope of one or more of the patents relating to this device and/or CO sampling consumable. 22 - 14 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Perform the measurement in a well-ventilated environment. • For the detailed information of BIS monitoring, see 27 Monitoring Bispectral Index (BIS). • For the detailed information of RM monitoring, see 24 Monitoring Respiratory Mechanics (RM). 23 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
AA waveform area displays the waveform of the primary anesthetic agent. WARNING • To avoid explosion hazard, do not use flammable anesthetic agent such as ether and cyclopropane for this equipment. BeneVision N22/N19 Patient Monitor Operator’s Manual 23 - 3...
Always inspect the airway adapter for a tight connection and proper operation before attaching it to the patient. • Squeezing or bending the gas sample line during AG measurement may cause erroneous readings or no readings. 23 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
40 – × For example, the Des concentration at 1 MAC of a 60-year old patient is . – ( 0.00269 × age 40 – 6% 10 × 6% 0.88 × BeneVision N22/N19 Patient Monitor Operator’s Manual 23 - 5...
The default operating mode is Measure. If you are not using the AG module, follow this procedure to enter the Standby mode: Select the AG numeric area or waveform area to enter the Gas menu. Select the desired gas tab. Select the Setup tab. Set Operating Mode to Standby . 23 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok . Select the Unit tab. Set CO2 Unit and O2 Unit . BeneVision N22/N19 Patient Monitor Operator’s Manual 23 - 7...
If the message does not disappear, it is probably the module fault. Contact the service personnel in this case. NOTE • For the physiological and technical alarm messages, see D Alarm Messages. 23 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
You can select the parameter for display in the Select Parameter page of the RM menu. For more information, see 24.8.8 Setting Parameters for Display . (1) Flow waveform (2) Paw waveform (3) Flow numeric area (4) Paw numeric area (5) Vol numeric area BeneVision N22/N19 Patient Monitor Operator’s Manual 24 - 3...
• Measurement values provided by a ventilator or an anesthesia machine may differ significantly from the values provided by the RM module, due to different locations of the flow sensor. 24 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the numeric area or waveform area of Paw, Flow or Vol to enter the RM menu. Select Loops from the bottom of the menu to enter the Loops window. Select Set Reference . BeneVision N22/N19 Patient Monitor Operator’s Manual 24 - 5...
The respiration monitoring does not recognize the cause of apneas. It only indicates an alarm if no breath is detected when a preadjusted time has elapsed since the last detected breath. Therefore, it cannot be used for diagnostic purposes. 24 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the numeric area or waveform area of Paw, Flow or Vol to enter the RM menu. Select the Select Parameter tab. Select the parameters for display on pages of Paw , Flow and Vol . BeneVision N22/N19 Patient Monitor Operator’s Manual 24 - 7...
2. Check the breathing system for water or secretions. The respiratory loops are not whole. (gap Check the breathing system for leakage. between the starting and ending points may indicate a leak) 24 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Connect the ID adapter that matches the TCM monitor to the BeneLink module with an RJ45 connecting cable. Connect the ID adapter to the serial port (COM port) of the TCM monitor with Mindray type C serial port adapting cable (PN: 009-001769-00) and an interface cable provided with the TCM monitor.
In which, tcpCO2 is primary parameter, and the others are secondary parameters. 25.5 tcGas Display If TCM CombiM monitor is connected, the tcGas area is shown as follows: If TCM TOSCA monitor is connected, the tcGas area is shown as follows: BeneVision N22/N19 Patient Monitor Operator’s Manual 25 - 3...
Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok . Select the Unit tab. Set tcpCO2/tcpO2 Unit . 25 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
External radiating devices may disturb the measurement. It is recommended to avoid the use of electrical radiating equipment in close proximity to the monitor. • Interference from ECG can be eliminated by adjusting the filter settings. 26 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
You can configure the displayed EEG waveforms. A maximum of four EEG waveforms can be displayed. EEG parameters You can configure the displayed EEG parameters. A maximum of six EEG parameters can be displayed. For more information, see 26.8.5 Changing Displayed EEG Parameters . BeneVision N22/N19 Patient Monitor Operator’s Manual 26 - 3...
Perform sensor check and observe the results. 26.6.1 EEG Equipment to Patient Connection The following picture illustrates the connection between the EEG module and accessories. (1) EEG module (2) EEG patient cable (3) Lead wires 26 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
EEG4 (D) Negtive (-) C4-O2 C4-P4 P4-Cz O2-Cz Label You can modify the predefined montage and rename it as customized montage. For more information, see 26.6.2.3 Customizing an Electrode Montage . BeneVision N22/N19 Patient Monitor Operator’s Manual 26 - 5...
Page 268
Select Save As and input a new name for this montage, and then selec t Confirm to confirm the changes. You can have up to three customized montages. 26 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The sensor check is automatically initiated in the following situations: The EEG module is connected. ■ The patient cable is connected. ■ The Electrode montage is changed. ■ The Sensor Check menu is entered. ■ BeneVision N22/N19 Patient Monitor Operator’s Manual 26 - 7...
Green Pass The impedance is within valid range No action is necessary. For each EEG channel, to get reliable results all electrodes for this channel should be in Pass status (green). 26 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the EEG numerics area or waveform area to enter the EEG menu. Select the Parameter Display tab. Select the parameters you want to display. You can select at most six parameters. The selected parameters are applied to all EEG channels. BeneVision N22/N19 Patient Monitor Operator’s Manual 26 - 9...
High Freq Cut-off settings. The maximum displayed frequency is 30 Hz, so if you set High Freq Cut-off to 50 or 70, the upper scale remains 30. Spectral lines The energy at each frequency is computed and displayed as a spectral line. 26 - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
You can change the setting of Power Scale to adjust the color of corresponding power. Status bar Displays the current montage, filter setting, notch frequency, SEF percentage (95%), and trendline labels and color codes. BeneVision N22/N19 Patient Monitor Operator’s Manual 26 - 11...
Use better electrodes or prepare the skin better. NOTE • For a comprehensive list of physiological and technical alarm messages, see D Alarm Messages. 26 - 12 BeneVision N22/N19 Patient Monitor Operator’s Manual...
• The BIS sensor must not be located between defibrillator pads when a defibrillator is used on a patient connected to the monitor. 27 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The SQI numeric reflects signal quality and provides information about the reliability of the BIS, SEF, TP, and SR numerics during the last minute. The greater the SQI value, the (Signal Quality Index) better signal quality. BeneVision N22/N19 Patient Monitor Operator’s Manual 27 - 3...
Attach the BIS sensor to the patient following the instructions supplied with the sensor. Insert the BIS sensor into the patient cable connector until it is fully engaged. Observe the results of the automatic sensor check in the numeric area. BeneVision N22/N19 Patient Monitor Operator’s Manual 27 - 5...
If you set Display to EEG waveforms ( EEG LT or EEG LE ), set Scale and Speed for EEG waveforms. ◆ If you set Display to BIS parameter trends, set Trend Length . 27 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Switching the auto impedance check off will disable automatic prompt to the user of impedance value changes, which may lead to incorrect BIS values. Therefore, this should only be done if the check interferes with or disturbs other measurements. BeneVision N22/N19 Patient Monitor Operator’s Manual 27 - 7...
Select Parameter 1 and Parameter 2 to set the parameters whose trend you want to display. Set Trend Length . ■ 27.9.2.3 Displaying BIS DSA The Density Spectral Array (DSA) shows changes in the power spectrum distribution over a certain period of time. BeneVision N22/N19 Patient Monitor Operator’s Manual 27 - 9...
2. Check the sensor type. 3. Check all connections and the patient cable. NOTE • For a comprehensive list of physiological and technical alarm messages, see D Alarm Messages. 27 - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Never touch the electrodes unless the stimulation has been stopped. • Check each time before use that the material insulating the NMT sensor and the stimulation cable is intact and does not show signs of wear and tear. 28 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
20 single current pulses delivered at 1 Hz. The number of detected responses is counted and expressed as PTC. The fewer responses are detected, the deeper is the relaxation. BeneVision N22/N19 Patient Monitor Operator’s Manual 28 - 3...
(6) Bar graph: indicates the amplitude of response to the stimulation. The maximum height of the bar graph displayed is 120%. Bar graph is not shown if calibration is not completed successfully. (7) Scale: indicates the amplitude of response to stimulation. 28 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Take care to handle the NMT sensor, avoiding forcefully striking the sensor. • After repositioning the patient, check that the sensor is still applied and that the thumb can move freely. 28 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
It is recommended that the patient be anesthetized before setting up the calibration twitch as nerve stimulation can be painful. • Changing the stimulation current or pulse width after calibration invalidates the stored reference data, and therefore recalibration is required. BeneVision N22/N19 Patient Monitor Operator’s Manual 28 - 7...
You can increase the pulse width to increase the effect of the stimulation to help finding the supramaximal current. To set the pulse width, follow this procedure: Select the NMT numeric area to enter the NMT menu Select the Setup tab. Set Pulse Width . 28 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Check that the electrodes are properly applied. Also, supramaximal current may not be found if the patient is already relaxed. NOTE • For a comprehensive list of physiological and technical alarm messages, see D Alarm Messages. BeneVision N22/N19 Patient Monitor Operator’s Manual 28 - 9...
Page 294
This page intentionally left blank. 28 - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Connect the ID adapter that matches the TOF-Watch SX monitor to the BeneLink module with an RJ45 connecting cable. Connect the ID adapter to the TOF-Watch SX interface with Mindray type C serial port adapting cable (PN: 009-001769-00). Connect the TOF-Watch SX interface to the TOF-Watch SX monitor.
In the case that you take a measurement in TET50Hz mode, TET100Hz mode, DBS3.3 mode or DBS3.2 mode, only mode label is displayed in the NMT numeric area, which is shown as follows: (11) (9) Time of last measurement (10) Measuring mode (11) Skin temperature BeneVision N22/N19 Patient Monitor Operator’s Manual 29 - 3...
(1) Light source (2) Shallow detector (3) Deep detector (4) rSO menu hard key (5) Set the baseline for all rSO channels (6) Module status indicator (7) rSO cable connector 30 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Carboxyhemoglobin or other dyshemoglobins ■ Hemoglobinopathies ■ Conjugated hyperbilirubinemia (direct) ■ Myoglobin (Mb) in muscle tissues ■ 30.4 Display Each rSO numeric area displays one rSO channel, which is shown as below: BeneVision N22/N19 Patient Monitor Operator’s Manual 30 - 3...
NOTE • For the somatic site selection, see the instruction for use of corresponding sensor for detailed information. 30 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
For extended monitoring, it is recommended to use a new sensor every 24 hours or if adhesive is inadequate to seal the sensor to the skin. • To avoid pressure sores do not apply external pressure (e.g. headbands, wraps, tape to sensor. BeneVision N22/N19 Patient Monitor Operator’s Manual 30 - 5...
Auto Low Limit To set the rSO auto low alarm limit, follow this procedure: Select the rSO numeric area to enter the rSO2 menu. Select the Alarm tab. Set Auto Low Limit . 30 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
SSI are permanently displayed parameters, and other parameters are selectable. To select the parameters for display, follow this procedure: Select the rSO numeric area to enter the rSO2 menu. Select the Select Parameter tab. Select the parameters for display. BeneVision N22/N19 Patient Monitor Operator’s Manual 30 - 7...
Page 306
This page intentionally left blank. 30 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Scroll bar: indicates the position of currently displayed trend data in all the trend data. Cursor: shows your current position in the trend page. When the cursor is moved across the timeline, the values measured at the cursor time are shown in the right column. 31 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the Main Menu quick key → from the Review column select Tabular Trends . Set Trend Group to the desired option other than All or Standard . Select Group Setup . Select the desired tab and then the desired parameter. BeneVision N22/N19 Patient Monitor Operator’s Manual 31 - 3...
Page 310
The values for the other measurements are added to the column to provide a complete dataset for the NIBP measurement time. 31 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Graphic Trends Report menu. Set the graphic trends report as described in 35.6.2 Setting Graphic Trends Reports . Select in the Graphic Trends Report menu to print the report. BeneVision N22/N19 Patient Monitor Operator’s Manual 31 - 5...
Enter the events review page. Set ECG Gain . 31.2.5.4 Changing the Waveform Sweep Speed To change the waveform sweep speed, follow this procedure: Enter the events review page. Set Speed . 31 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
After selecting waveforms, you can view compressed waveforms. In case of alarms, the background of compressed waveform block at the alarm time is marked with a special color: ■ Red: high alarm priority ■ Yellow: medium alarm priority ■ Cyan: low alarm priority BeneVision N22/N19 Patient Monitor Operator’s Manual 31 - 7...
To set the resolution of trend curves, follow this procedure: Enter the OxyCRG review page. Set Zoom . 31.2.7.3 Changing the Compressed Waveform To set the compressed waveform, follow this procedure: Enter the OxyCRG review page. Set Waveform . 31 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the ECG numeric area or waveform area to enter the ECG menu → from the bottom of the menu select 12-Lead . Select Setup from the bottom of the 12-lead ECG screen. Select the Report tab. Switch on Median Complex. Enter the 12-lead ECG review page. Select BeneVision N22/N19 Patient Monitor Operator’s Manual 31 - 9...
Hide Marker : the positions of ISO, J point, and ST point are not displayed. 31.2.9.5 Printing a ST Template To print a ST template, follow this procedure: Enter the ST review page. Select 31 - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The number of asterisk symbols before and event matches the following alarm priority: ■ ***: high priority alarm ■ **: medium priority alarm ■ *: low priority alarm BeneVision N22/N19 Patient Monitor Operator’s Manual 31 - 11...
You can turn to the OxyCRG review page to view up to 48 hours’ trend data. To enter the OxyCRG review page, follow this procedure: Enter the OxyCRG window. Select Review . BeneVision N22/N19 Patient Monitor Operator’s Manual 31 - 13...
Page 320
This page intentionally left blank. 31 - 14 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 322
Organ Function EVLW Extravascular Lung Water ELWI Extravascular Lung Water Index ml/kg Cardiac Power Output Cardiac Power Index PVPI Pulmonary Vascular Permeability no unit Index Blood Temperature ºC 32 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 323
Vigilance EDVI End Diastolic Volume ml/m Vigilance Index Stroke Volume Vigileo Variation Afterload Systemic Vascular DS/cm or kPa-s/l Vigilance, Vigileo Resistance SVRI Systemic Vascular DS•m or kPa-s-m Vigilance, Vigileo Resistance Index BeneVision N22/N19 Patient Monitor Operator’s Manual 32 - 3...
Select the numeric area of CCO , ScvO2, or SvO2 . Select Hemodynamics . Select the Follow-up tab. View the following curves or indicator: ◆ Frank-Starling curve ◆ SVV/PPV slope indicator ◆ Lung water curve 32 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
■ The links between spider legs and the corresponding spider segments are displayed in red when two or more displayed parameters are outside the normal range. BeneVision N22/N19 Patient Monitor Operator’s Manual 32 - 5...
Select the Evaluation tab. Select a desired time or event. For more information, see 32.5.2 Viewing Hemodynamic Events . Select Set Reference to save the parameter values at the selection time as reference values. 32 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the parameter to be displayed. ◆ Select Save , Save As or Delete to save, create or delete a pattern. NOTE • You cannot delete the default pattern orthe pattern that is in use. BeneVision N22/N19 Patient Monitor Operator’s Manual 32 - 7...
Page 328
This page intentionally left blank. 32 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
You can change the patient category and weight. This will not change the patient category and weight stored in the patient demographic information. 33 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The calculated value greater than the normal upper limit is indicated by an up arrow “ ↑ ”. The calculated value lower than the normal lower limit is indicated by a down arrow “ ↓ ”. BeneVision N22/N19 Patient Monitor Operator’s Manual 33 - 7...
Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok . Select the Alarm tab → select Other . Set Print on Alarm to Recorder . 34 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the Main Menu quick key → turn to the second page → from the Report column select Record Setup . In the Record Setup menu, select Clear All Tasks . All queued recording tasks are cleared and the current recording is stopped. BeneVision N22/N19 Patient Monitor Operator’s Manual 34 - 3...
If the recorder works incorrectly or produces unusual sounds, check if there is a paper jam first. If a paper jam is detected, follow this procedure to remove it: Open the recorder door. Take out the paper and tear off the draped part. Reload the paper and close the recorder door. 34 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The patient information that displays on an ECG report printout can be configured on the ECG Report window only. Patient information configured in the Report Layout window are not applicable for ECG report printouts. 35 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Select the Main Menu quick key → turn to the second page → from the Report column select ECG Report . Set Amplitude , Speed and Format Sequence . BeneVision N22/N19 Patient Monitor Operator’s Manual 35 - 3...
Parameters parameters Standard Group Parameters : prints the standard parameter group Specified Parameters : prints the graphic trends report for the selected parameters 35 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Parameters parameters Standard Group Parameters : prints the standard parameter group Specified Parameters : prints the tabular trends report for the selected parameter BeneVision N22/N19 Patient Monitor Operator’s Manual 35 - 5...
In these cases, you need to install paper and then re-send the print request. Restart the printer if necessary. Therefore, you’d better ensure that there is enough paper in the printer before sending a print request. 35 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Use only the AC mains to power the monitor when the iView system is in use. 36.3 Installing the Battery The battery must only be installed by service personnel trained and authorized by Mindray. No battery is installed when the equipment leaves the factory. To install the battery, contact your service personnel. 36 - 2...
Select the Main Menu quick key → turn to the third page → from the System column select Maintenance → input the required password → select Ok . Select the Battery Information tab. BeneVision N22/N19 Patient Monitor Operator’s Manual 36 - 3...
If the battery performance meets the requirement, fully charge the battery again for use or charge it to 40 – 60% for storage. NOTE • Battery operating time depends on equipment configuration and operation. For example, high display brightness or measuring NIBP repeatedly will shorten the battery operating time. 36 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Properly dispose of batteries according to local regulations. WARNING • Do not open batteries, heat batteries above 60 °C, incinerate batteries, or short the battery terminals. They may ignite, explode, leak or heat up, causing personal injury. BeneVision N22/N19 Patient Monitor Operator’s Manual 36 - 5...
Page 354
This page intentionally left blank. 36 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
37.2 Care and Cleaning Safety Information WARNING • Use only Mindray approved cleaners and disinfectants and methods listed in this chapter to clean or disinfect your equipment. Warranty does not cover damage caused by unapproved substances or methods. • We make no claims regarding the efficacy of the listed chemicals or methods as a means for controlling infection.
37.6 Sterilization Sterilization is not recommended for this monitor, related products, accessories, or supplies unless otherwise indicated in the Instructions for Use that accompany the products, accessories or supplies. BeneVision N22/N19 Patient Monitor Operator’s Manual 37 - 3...
Product discoloration ■ Metal part corrosion Brittle and breaking wires, connectors, and equipment housing ■ Reduced cable and leadwire life ■ Overall system performance degradation ■ Equipment malfunction or failure ■ 37 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
No modification of this equipment is allowed. • If you discover a problem with any of the equipment, contact your service personnel or Mindray. • The service personnel must be properly qualified and thoroughly familiar with the operation of the equipment.
You can check system software version, module hardware and software version, and firmware version. 38.5 Testing Methods and Procedures Except the following maintenance tasks, all other test and maintenance tasks should be performed by Mindray- qualified service personnel only. ■...
To test the recorder, follow this procedure: Start a recording task to print waveforms and reports. Check that the recorder functions correctly. Check that the printout is clear without missing dots. 38 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Dispose of the monitor and its accessories when its service life is reached. Follow local regulations regarding the disposal of such product. WARNING • For disposal of parts and accessories, where not otherwise specified, follow local regulations regarding disposal of hospital waste. BeneVision N22/N19 Patient Monitor Operator’s Manual 38 - 5...
Page 364
This page intentionally left blank. 38 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Power cord, international, 10 A/250V, 1.6 m DA8K-10-14454 Power cord, European DA8K-10-14452 Power cord, America DA8K-10-14453 Power cord, British 009-001075-00 Power cord, Brazil, 10 A/250V, 3m 009-001791-00 Power cord, South Africa, 16 A/250V, 3m BeneVision N22/N19 Patient Monitor Operator’s Manual 39 - 13...
Page 378
Recording paper, 50 mm*20 m 023-001158-00 Barcode reader 023-000247-00 USB keyboard, black 023-000248-00 USB mouse, black 023-000524-00 Wireless keyboard and mouse suite 023-000525-00 Wired keyboard and mouse suite 044-000761-00 Display handle 39 - 14 BeneVision N22/N19 Patient Monitor Operator’s Manual...
NOTE • The environmental specification of unspecified parameter modules are the same as those of the main unit. BeneVision N22/N19 Patient Monitor Operator’s Manual A - 3...
Page 382
427.5 to 805.5 120 to 805.5 module Temperature (ºC) 16 to 32 -20 to 70 Relative humidity 20 to 80 10 to 95 (noncondensing) (%) Barometric (mmHg) 525 to 805.5 429.8 to 805.5 A - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
16 dots/mm (25 mm/s paper speed) Vertical resolution 8 dots/mm Paper width 50 mm Paper length 20 m Paper speed 25 mm/s, 50 mm/s Number of waveform channels A maximum of 3 BeneVision N22/N19 Patient Monitor Operator’s Manual A - 5...
Interface Specifications of the Secondary Display Serial bus connector (MSB) Serial bus hub connector (SBH) Signal input connector (SIG1) 1. It should not be connected to any cable. DC-in connector Video output connector (VP1) A - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
1000 sets Interpretation of resting 12-lead ECG 20 sets results Full-disclosure waveforms 48 hours at maximum. The specific storage time depends on the waveforms stored and the number of stored waveforms. BeneVision N22/N19 Patient Monitor Operator’s Manual A - 7...
Care Group. ■ Up to two monitors among the connected monitors can transmit history data. ■ The weakest AP signal strength detected at the monitor’s position cannot be less than -65 dBm. A - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
>105 dB Surgical mode: >105 dB ST mode: >105 dB (with Notch on) Notch 50/60 Hz Monitor, surgical, and ST mode: Notch turns on automatically Diagnostic mode: Notch is turned on/off manually A - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 389
Pediatric: 15 to 350 bpm Adult: 15 to 300 bpm Resolution 1 bpm Accuracy 3-, 5-, 6-, and 12-lead ECG: ±1 bpm or ±1%, whichever is greater. Sensitivity 200 μV (lead II) BeneVision N22/N19 Patient Monitor Operator’s Manual A - 11...
Page 390
QT-HR: 15 to 150 bpm for adult, 15 to 180 bpm for pediatric and neonate Accuracy QT: ±30 ms Resolution QT: 4 ms QTc: 1 ms ΔQTc: 1 ms Alarm limit Range (rpm) Step (rpm) A - 12 BeneVision N22/N19 Patient Monitor Operator’s Manual...
251 to 300 bpm, not specified Refreshing rate PR from IBP Module Measurement range 25 to 350 bpm Resolution 1 bpm Accuracy ±1 bpm or ±1%, whichever is greater Refreshing rate BeneVision N22/N19 Patient Monitor Operator’s Manual A - 15...
1mmHg Initial cuff inflation pressure range Adult: 80 to 280 (mmHg) Pediatric: 80 to 210 Neonate: 60 to 140 Default initial cuff inflation pressure Adult: 160 (mmHg) Pediatric: 140 Neonate: 90 A - 16 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 395
In neonatal mode, the blood pressure measurements measured with this device are in compliance with the American National Standard for Non-invasive sphygmomanometers (ISO 81060-2) in terms of mean error and stardard deviation by comparing with intra-arterial measurements (depending on the configuration) in a typical patient population. BeneVision N22/N19 Patient Monitor Operator’s Manual A - 17...
1 ml 0 to 200 ml/m 1 ml/m 25 to 45 °C 0.1 °C, 0.1°F RVEF 10 to 60% 10 to 700 ml 1 ml ESVI 5 to 400 ml/m 1 ml/m A - 20 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 399
(Low limit + 5) to 200 ml/m 5 ml/m SVI Low 0 to(high limit - 5)ml/m RVEF High (Low limit + 5) to 100 % RVEF Low 0 to(High limit - 5)% BeneVision N22/N19 Patient Monitor Operator’s Manual A - 21...
Neonate: awRR≤20 (low limit + 2) to 20 awRR>20 (low limit + 5) to 150 awRR Low awRR≤20: 0 to (high limit - 2) awRR>20: 0 to (high limit - 5) BeneVision N22/N19 Patient Monitor Operator’s Manual A - 23...
Page 402
0 to 120 rpm awRR measurement precision <60 bpm: ±1 60 to 120 bpm: ±2 Data sample rate 50 Hz Effect of interference gases on CO measurements Concentration (%) Quantitive effect* A - 24 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 403
Accuracy 0 to 40 mmHg: ±2 mmHg 41 to 70 mmHg: ±5% of the reading 71 to 100 mmHg: ±8% of the reading 101 to 150 mmHg: ±10% of the reading BeneVision N22/N19 Patient Monitor Operator’s Manual A - 25...
Step BIS High (low limit + 5) to 100 BIS Low 0 to (high limit - 5) A.14.20 NMT Specifications (NMT from Mindray NMT module) Standard Meet the standard of IEC 60601-2-10 Stimulation output Pulse width 100, 200, or 300 μs; monophasic rectangle pulse Accuracy: ±10%...
It may be necessary to take mitigation measures, such as re-orienting or relocating the ME EQUIPMENT or ME SYSTEM or shielding the location. B - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 415
60 HZ) magnetic field levels characteristic of a typical location in a IEC 61000-4-8 typical commercial or hospital environment. Note: U is the AC mains voltage prior to application of the test level. BeneVision N22/N19 Patient Monitor Operator’s Manual B - 3...
Page 416
1V/m. WARNING • The device is configured with a wireless network connector to receive wireless signal. Other devices may interfere with this device even though they meet the requirements of CISPR. B - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The device, including the MSD45N wireless module, FCC and Industry Canada Radio Compliance: This device complies with Part 15 of the FCC Rules and RSS-210 of Industry Canada. Operation is subject to the following two BeneVision N22/N19 Patient Monitor Operator’s Manual B - 5...
Page 418
(1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. Any changes or modifications to this equipment not expressly approved by Mindray may cause harmful radio frequency interference and void your authority to operate this equipment.
Nonsus V-Tach CCU: On Other departments: Off Vent Rhythm CCU: On Other departments: Off Pause Irr. Rhythm Promt A-Fib Promt PVCs/min CCU: On Other departments: Off Pause/min CCU: On Other departments: Off BeneVision N22/N19 Patient Monitor Operator’s Manual C - 3...
ST Dual (ST Alarm Mode set to High limit 0.1 mV Low limit -0.1 mV Priority Print on Alarm ST Analysis ST Segment Auto Show Marker ST Point J+60 Auto Adjust C - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
36.0 °C Priority Print on Alarm Comp const 0.542 Auto Start Auto TI ScvO Default Settings Item Default Setting ScvO Alarm switch High limit Low limit Priority Print on Alarm Hb/Hct BeneVision N22/N19 Patient Monitor Operator’s Manual C - 11...
Adult and pediatric: 25mmHg Neonate: 30mmHg Priority Print on Alarm FiCO Alarm switch High limit 4 mmHg Priority Print on Alarm Apnea Delay Adult and pediatric: 20 s Neonate: 15 s BeneVision N22/N19 Patient Monitor Operator’s Manual C - 13...
C: the alarm is silenced and a √ appears before the alarm message, indicating that the alarm is ■ acknowledged. In the following tables we will use A, B, and C to refer to the indictions on alarm reset. BeneVision N22/N19 Patient Monitor Operator’s Manual D - 3...
Cause and solution alarm reset SpO2/SpO2b Sensor Off Adjustable The SpO sensor has become detached from the patient or the module. Check the sensor connection. If the alarm persists, replace the sensor. D - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Check the NIBP cuff and pump for leakages. NIBP Airway Error The air tubing may be occluded. Check the air tubing for an occlusion or kinking. If the alarm persists, contact your service personnel. BeneVision N22/N19 Patient Monitor Operator’s Manual D - 5...
Alarm message Default priority Cause and solution alarm reset TB Sensor Off Check the sensor connection and reconnect the sensor. T1 Sensor Off Check the sensor connection and reconnect the sensor. D - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
TI /TB Sensor Off Check the sensor connections. TI Sensor Error Replace the sensor. Invalid CCO calibration The arterial pressure is invalid. Check the pArt measurement. BeneVision N22/N19 Patient Monitor Operator’s Manual D - 7...
1. Make sure that the ambient pressure meets the specifications, and check for sources that affect the ambient pressure. 2. Replug the module. If the alarm persists, contact your service personnel. D - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Anesthetic mixture is detected. AG Airway Occluded 1. Check if the sample line is occluded. 2. Check the sample line. 3. Replug the module. 4. If the alarm persists, contact your service personnel. BeneVision N22/N19 Patient Monitor Operator’s Manual D - 9...
Check or replace the sensor. BIS Sensor Error Replace the sensor. Disconnect/Reconnect Replug the BIS Module. Note: XX represents BIS label, for example G, C, LE, LT, RL-RA, L-R, F-R, 1, 2, and so on. D - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The signal acquired by the sensor was unstable or weak due to power supply noise. Check the rSO2-2 Low Signal Quality sensor connection. If the alarm persists, contact your service personnel. rSO2 -1/rSO2-2 No Properly connect the pre-amplifier. Preamplifier BeneVision N22/N19 Patient Monitor Operator’s Manual D - 11...
Wait until the recorder initialization is completed. Recorder out of Paper Prompt The recorder paper is not loaded or the recorder door is not closed. Check the recorder, load the recorder paper or close the recorder door. D - 12 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Connect the stimulation cable. Cable TWSX Bad Electrode Reattach the electrode. Connection TWSX Technical Alarm An NMT technical alarm is presented. Please check the TOF-Watch® SX monitor to identify the cause of alarm. BeneVision N22/N19 Patient Monitor Operator’s Manual D - 13...
High The TM80 battery charge is critically low. Depleted Replace with known good batteries. Telemetry Battery The TM80 lithium-ion battery may reach its life. Maintenance Required Replace with known good batteries. D - 14 BeneVision N22/N19 Patient Monitor Operator’s Manual...
The parameter module is disabled. Switch on the been closed module if you want to use it. For more information, see 3.11.1 Switching On or Off a (XX refers to the module Parameter . label) BeneVision N22/N19 Patient Monitor Operator’s Manual D - 15...
Page 454
Select a desired area to display the parameter numerics and (XX refers to the waveforms. For more information, see parameter label) 3.11.2 Displaying Parameter Numerics and Waveforms . D - 16 BeneVision N22/N19 Patient Monitor Operator’s Manual...
No unusual noises (e.g., a rattle inside the case). No unusual smells (e.g., burning or smoky smells, particularly from ventilation holes). No taped notes that may suggest device deficiencies or operator concerns. E - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Fault Condition); ■ reverse polarity with open neutral(Single Fault Condition). ■ ■ normal polarity with open earth(Single Fault Condition); ■ reverse polarity with open earth(Single Fault Condition). LIMITS BeneVision N22/N19 Patient Monitor Operator’s Manual E - 3...
(Single Fault Condition). ■ LIMITS For CF applied parts, ◆ 10μAin Normal Condition ◆ 50μAin Single Fault Condition For BF applied parts, ◆ 100μAin Normal Condition ◆ 500μAin Single Fault Condition E - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 459
NOTE • Make sure the safety analyzer is authorized comply with requirement of IEC60601-1. • Follow the instructions of the analyzer manufacturer. BeneVision N22/N19 Patient Monitor Operator’s Manual E - 5...
Page 460
This page intentionally left blank. E - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 464
Compl compliance cardiac power index cardiac power output central venous pressure direct current desflurane diastolic dot per inch dPmx left ventricular contractility digital video interface oxygen delivery oxygen delivery index F - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 465
FiHal FiIso FiSev FiCO2 fraction of inspired carbon oxygen fraction of inspired nitrous oxide fraction of inspired oxygen Flow flow FPGA field programmable gate array flow-volume GEDV global end diastolic volume BeneVision N22/N19 Patient Monitor Operator’s Manual F - 5...
Page 466
LVSWI left ventricular stroke work index minimum alveolar concentration mean arterial pressure MetHb methemoglobin magnetic resonance imaging minute volume expiratory minute volume inspiratory minute volume not applied F - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 467
PVPI pulmonary vascular permeability index pulmonary vascular resistance PVRI pulmonary vascular resistance index right arm right atrial pressure airway resistance record, recording Resp respiration right leg BeneVision N22/N19 Patient Monitor Operator’s Manual F - 7...
Page 468
Temp temperature thoracic fluid content thoracic fluid index thin-film technology injectate temperature total power tube resistance compensation expiratory tidal volume inspiratory tidal volume tidal volume umbilical arterial pressure F - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Page 469
Abbreviation In Full uninterruptible power supply universal serial bus umbilical venous pressure volts alternating current VEPT volume of electrically participating tissue velocity index oxygen consumption oxygen consumption index work of breathing BeneVision N22/N19 Patient Monitor Operator’s Manual F - 9...
Page 470
This page intentionally left blank. F - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...
Need help?
Do you have a question about the BeneVision N22 and is the answer not in the manual?
Questions and answers