Mindray BeneVision N22 Operator's Manual
  1. Manuals
  2. Brands
  3. Mindray Manuals
  4. Monitor
  5. BeneVision N22
  6. Operator's manual

Mindray BeneVision N22 Operator's Manual

Patient monitor
Hide thumbs Also See for BeneVision N22:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
Table of Contents

Advertisement

Quick Links

Download this manual See also: Service Manual, Quick Reference Manual
BeneVision N22/N19
Patient Monitor
Operator's Manual

Advertisement

Table of Contents
loading
Need help?

Need help?

Do you have a question about the BeneVision N22 and is the answer not in the manual?

Questions and answers

Related Manuals for Mindray BeneVision N22

Summary of Contents for Mindray BeneVision N22

  • Page 1 BeneVision N22/N19 Patient Monitor Operator’s Manual...
  • Page 3 © Copyright 2015 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved. Release time: December 2015 Revision: 3.0 BeneVision N22/N19 Patient Monitor Operator’s Manual...
  • 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...

  • Page 7: Table Of Contents

    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...
  • Page 8 6.6 Viewing Other Patients ....................................6 - 3 6.6.1 Remote View .......................................6 - 3 6.6.2 Alarm Watch .......................................6 - 5 6.7 Configuring the Network .....................................6 - 6 6.7.1 Selecting a Network Type ................................6 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...
  • Page 9 9.4 Accessing Help when Occur ..................................9 - 4 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 BeneVision N22/N19 Patient Monitor Operator’s Manual...
  • Page 10 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 BeneVision N22/N19 Patient Monitor Operator’s Manual...
  • Page 11 12.5.7 Adjusting the Resp Waveform Detection Threshold ...................... 12 - 5 12.6 Resp Troubleshooting ....................................12 - 5 13 Monitoring Pulse Oxygen Saturation (SpO ) ......................13 - 1 13.1 SpO Introduction ...................................... 13 - 2 13.2 SpO Safety Information ..................................13 - 3 BeneVision N22/N19 Patient Monitor Operator’s Manual...
  • Page 12 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 BeneVision N22/N19 Patient Monitor Operator’s Manual...
  • Page 13 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 2 ................................................19 - 1 19.1 CCO/SvO Introduction .................................... 19 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...
  • Page 14 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 BeneVision N22/N19 Patient Monitor Operator’s Manual...
  • Page 15 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...
  • Page 16 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 BeneVision N22/N19 Patient Monitor Operator’s Manual...
  • Page 17 28.11.4 Enabling Block Recovery Note .............................. 28 - 9 28.11.5 Adjusting NMT Stimulation Tone Volume ........................28 - 9 28.12 Recalling Calibration Information ..............................28 - 9 28.13 NMT Troubleshooting .................................... 28 - 9 BeneVision N22/N19 Patient Monitor Operator’s Manual...
  • Page 18 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 BeneVision N22/N19 Patient Monitor Operator’s Manual...
  • Page 19 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...
  • Page 20 38.5.5 Testing the Recorder .................................. 38 - 4 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 BeneVision N22/N19 Patient Monitor Operator’s Manual...
  • Page 21 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...
  • Page 22 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...
  • Page 23 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...
  • Page 24 This page intentionally left blank. BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 25: Safety

    Equipment Symbols ................. 1-3 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 26: Safety Information

    • 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.

  • Page 27: Cautions

    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...

  • Page 29: Equipment Introduction

    System Components ................2-3 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 30: Intended Use

    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...

  • Page 31: System Components

    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...

  • Page 33: Displays

    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...

  • Page 36: Satellite Module Rack (Smr)

    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...

  • Page 38: Cable Management Kit

    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...

  • Page 39: Input Devices

    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. ■...

  • Page 40: Printing Devices

    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.

  • Page 41: Getting Started

    Turning Off the Monitor ................3-18 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 42: Equipment Preparation Safety Information

    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.

  • Page 43: Setting Up The Equipment

    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...

  • Page 44: Removing Modules From The Smr

    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...

  • Page 45: Using The On-Screen Keyboard

    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...

  • Page 46: On-Screen Symbols

    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...

  • Page 47: Menus

    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...

  • Page 49: Operating Modes

    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...

  • Page 50: Night Mode

    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...

  • Page 51: Standby Mode

    ■ 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...

  • Page 52: Configuring Your Monitor

    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...

  • Page 53: Enabling Auto Daylight Saving Time

    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...

  • Page 54: Displaying Parameter Numerics And Waveforms

    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...

  • Page 55: Changing Measurement Colors

    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...

  • Page 56: Using The Secondary Display

    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...

  • Page 57: Using The Iview System

    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...

  • Page 58: Turning Off The Monitor

    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...

  • Page 59: Managing Patients

    Transferring Patient Data ................4-5 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 60: Discharging A Patient

    ■ 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...

  • Page 61: Managing Patient Information

    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...

  • Page 62: Changing Patient Management Settings

    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...

  • Page 63: Transferring Patient Data

    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...

  • Page 64: Transferring Patient Data Via T1

    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...

  • Page 65: Transferring The T1 Settings

    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...

  • Page 67: Managing Configurations

    Modifying Configuration Password ..............5-4 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 68: Configuration Introduction

    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...

  • Page 69: Saving Current Settings

    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...

  • Page 70: Importing A Configuration

    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...

  • Page 71: Networked Monitoring

    Configuring the Network ................6-6 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 72: Network Introduction

    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...

  • Page 73: Using The Adt Gateway

    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...

  • Page 75: Alarm Watch

    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...

  • Page 76: Configuring The Network

    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...

  • Page 77: Setting The Wired Network

    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...

  • Page 78: Setting Multicast Parameters

    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...

  • Page 79: Using With The Tm80 Telemetry Monitor And Bp10 Nibp Module

    Troubleshooting ..................7-9 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 80: Pairing Introduction

    , 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”.

  • Page 81: Pairing A Tm80 With The Monitor

    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...

  • Page 82: System Responses After Pairing A Tm80 With The Monitor

    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...

  • Page 83: Unpairing The Tm80 And The Monitor

    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...

  • Page 84: System Responses After Unpairing The Tm80 And The Monitor

    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...

  • Page 85: System Responses After Pairing The Bp10 With The Monitor

    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...

  • Page 86: Nibp Measurement In Sequence Or Abpm Mode

    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...

  • Page 87: Troubleshooting

    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...

  • Page 89: Interfacing With External Devices

    Monitor System Functions ................8-7 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 90: Benelink Introduction

    • 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...

  • Page 91: Supported Devices

    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...

  • Page 92: Connecting An External Device

    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...

  • Page 93: Configuring The Id Adapter

    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.

  • Page 94: Devices Integrated Window

    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...

  • Page 95: Monitor System Functions

    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...

  • Page 97: Alarms

    Actions When an Alarm Occurs ..............9-18 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 98: Alarm Introduction

    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...

  • Page 99: Alarm Priorities

    • 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...

  • Page 100: Alarm Status Symbols

    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...

  • Page 101: Setting Alarm Tone Properties

    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...

  • Page 103: Initiating Auto Alarm Limits

    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...

  • Page 106: Setting The Alarm Delay Time

    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...

  • Page 107: Pausing Alarms/Pausing Alarm Tones

    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...

  • Page 108: Pausing Alarm Sound

    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...

  • Page 109: Resetting Alarms

    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...

  • Page 110: Latching Alarms

    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...

  • Page 111: Cpb Mode

    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...

  • Page 112: Setting The Intubation Time

    Select the Alarm tab → Remote View tab. Select Alarm Reminder: ◆ Visible + Audible: the monitor provides visual alarm indication, and continuous audible alarm indication if the alarm persists at the remote device. 9 - 16 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 113: Presenting Alarm Sound For Remote Devices As Per Alarm Priority

    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...

  • Page 114: Testing Alarms

    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...

  • Page 115: Monitoring Ecg, Arrhythmia, St And Qt

    ECG Troubleshooting ................10-26 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 116: Ecg Introduction

    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...

  • Page 117: Ecg Display

    (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...

  • Page 118: Preparing For Ecg Monitoring

    Right leg (neutral) Black Green Left leg Green Chest 1 White/Red Brown/Red Chest 2 White/Yellow Brown/Yellow Chest 3 White/Green Brown/Green Chest 4 White/Brown Brown/Blue Chest 5 White/Black Brown/Orange Chest 6 White/Violet Brown/Violet 10 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 119: Ecg Electrode Placements

    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...

  • Page 120: Selecting The Ecg Standard

    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...

  • Page 121: Choosing The Ecg Lead Type

    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...

  • Page 122: Changing Ecg Settings

    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...

  • Page 124: Disabling The Smart Lead Off Function

    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...

  • Page 125: Adjusting The Qrs Threshold

    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...

  • Page 126: Arrhythmia Events

    Consistently irregular rhythm (N, irregular RR interval change is greater than 12.5%) Afib (for adult only) P wave is absent and normal beat RR intervals are irregular. PVCs/min PVCs/min exceeds high limit 10 - 12 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 127: Displaying Arrhythmia Information

    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...

  • Page 129: Arrhythmia Alarms Timeout

    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...

  • Page 131: St Monitoring

    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...

  • Page 132: Entering The St View

    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...

  • Page 133: Saving The Current St As Baseline

    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...

  • Page 134: Displaying St Graphics In The Waveform Area

    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...

  • Page 135: 10.7.10 Adjusting St Measurement Points

    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...

  • Page 136: Qt/Qtc Interval Monitoring

    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...

  • Page 137: Displaying Qt Numerics And Segments

    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...

  • Page 138: Saving The Current Qtc As Baseline

    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...

  • Page 139: Ecg Relearning

    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...

  • Page 140: 10.10 Calibrating Ecg

    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...

  • Page 143: Resting 12-Lead Ecg Analysis

    Exiting the ECG 12-Lead Screen ..............11-4 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 144: Resting 12-Lead Ecg Analysis Introduction

    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.

  • Page 145: Setting The 12-Lead Waveform Layout

    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...

  • Page 146: Setting The 12-Lead Interpretation Report (For Glasgow Algorithms Only)

    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...

  • Page 147: Monitoring Respiration (Resp)

    Resp Troubleshooting ................12-5 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 148: Resp Introduction

    (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...

  • Page 149: Preparing For Resp Monitoring

    • 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...

  • Page 150: Changing Resp Settings

    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...

  • Page 151: Setting The Resp Waveform Size

    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...

  • Page 153: Monitoring Pulse Oxygen Saturation (Spo )

    Nellcor Information ................13-9 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 154: Spo Introduction

    • 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...

  • Page 155: Spo Safety Information

    Intravascular dyes (such as indocyanine green, methylene blue, indigo carmine, etc.) ◆ Dysfunctional haemoglobin, such as carboxyhemoglobin (COHb) and methemoglobin (MetHb) ◆ Dyes in the measure site, such as nail polish. ■ Environmental conditions: ◆ Excessive ambient light ◆ Electrosurgery equipment BeneVision N22/N19 Patient Monitor Operator’s Manual 13 - 3...

  • Page 156: Spo Display

    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.

  • Page 157: Changing The Spo Settings

    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...

  • Page 158: Setting The Nellcor Spo Sat-Seconds

    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...

  • Page 159: Changing The Sweep Speed Of The Pleth Wave

    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...

  • Page 160: Setting The Pr Source

    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...

  • Page 161: Nellcor Information

    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...

  • Page 163: Monitoring Temperature (Temp)

    Temperature Troubleshooting ..............14-3 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 164: Temperature Introduction

    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...

  • Page 165: Preparing For Temperature Monitoring

    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...

  • Page 167: Monitoring Noninvasive Blood Pressure (Nibp)

    NIBP Troubleshooting ................15-8 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 168: Nibp Introduction

    • Do not apply cuff on the arm on the side of a mastectomy. 15 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 169: Nibp Measurement Limitations

    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...

  • Page 170: Nibp Display

    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...

  • Page 171: Placing The Nibp Cuff

    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...

  • Page 172: Changing Nibp Settings

    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...

  • Page 173: Enabling The Nibp End Tone

    (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...

  • Page 174: Nibp Maintenance

    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 .

  • Page 175: Monitoring Invasive Blood Pressure (Ibp)

    IBP Troubleshooting................16-11 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 176: Ibp Introduction

    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...

  • Page 177: Preparing For Ibp Monitoring

    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...

  • Page 178: Zeroing The Ibp Transducer

    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...

  • Page 179: Changing Ibp Settings

    ◆ 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...

  • Page 180: Changing The Sensitivity

    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...

  • Page 181: Changing The Pressure Unit

    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...

  • Page 182: Measuring Pawp

    16.6.1 PAWP Equipment to Patient Connection (1) MPM/IBP module (2) Flush bag (3) IBP transducer (4) Three-way valve (5) PA distal port (6) Balloon inflation valve (7) Thermodilution catheter (8) Balloon 16 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 183: Preparing To Measure Pawp

    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...

  • Page 184: Setting The Waveforms Of The Pawp Screen

    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...

  • Page 185: Ibp Troubleshooting

    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...

  • Page 187: Monitoring Cardiac Output (C.o.)

    C.O. Troubleshooting ................17-7 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 188: C.o. Introduction

    ■ 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...

  • Page 189: C.o. Display

    (4) In-line probe (5) Injectate solution (6) Injectate syringe (7) Three-way valve (8) Proximal injectate port (9) Balloon inflation valve (10) Thermistor connector (11) PA distal port (12) Thermodilution catheter (13) Thermistor BeneVision N22/N19 Patient Monitor Operator’s Manual 17 - 3...

  • Page 190: Performing C.o. Measurement

    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...

  • Page 191: Performing C.o. Measurement

    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...

  • Page 192: Changing C.o. Settings

    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...

  • Page 193: Troubleshooting

    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...

  • Page 195: Monitoring Central Venous Oxygen Saturation (Scvo )

    Changing ScvO2 Settings................18-4 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 196: Scvo Introduction

    (2) Calibration hard key (3) CeVOX cable connector 18.2 ScvO Safety Information WARNING • ScvO monitoring is not intended for neonatal patients. 18.3 ScvO Display (1) ScvO value (2) SQI bar graph 18 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 197: Accessing The On-Screen Scvo Guide

    • 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...

  • Page 198: Scvo Calibration

    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...

  • Page 199: Setting Hb/Hct

    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...

  • Page 201: Monitoring Cco/Svo

    CCO/SvO2 Troubleshooting ............... 19-10 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 202: Cco/Svo 2 Introduction

    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...

  • Page 203: Cco Display

    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...

  • Page 204: Svo /Scvo Display

    ■ 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...
  • Page 205 500 mmHg (66.7 kPa) 100 mmHg (13.3 kPa) 100% Simulated High Value 500 mmHg (66.7 kPa) 100 mmHg (13.3 kPa) 100% Simulated Low Value 0 mmHg (0.0 kPa) 0 mmHg (0.0 kPa) BeneVision N22/N19 Patient Monitor Operator’s Manual 19 - 5...

  • Page 206: Connecting To The Vigileo Monitor

    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...

  • Page 207: Accessing The Hemodynamics Menu

    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...

  • Page 208: Setting Parameters For Display

    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...

  • Page 209: Changing Svo

    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...

  • Page 210: Cco/Svo Troubleshooting

    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...

  • Page 211: Monitoring Impedance Cardiography (Icg)

    ICG Troubleshooting ................20-7 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 212: Icg Introduction

    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...

  • Page 213: Icg Parameters

    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...

  • Page 214: Icg Display

    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...

  • Page 215: Preparing The Skin

    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...

  • Page 216: Connecting The Icg Patient Cable

    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...

  • Page 217: Changing Patient Information

    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...

  • Page 219: Monitoring Continuous Cardiac Output (Cco)

    PiCCO Troubleshooting................21-10 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 220: Cco Introduction

    • 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...

  • Page 221: Zeroing The Ibp Transducer

    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...

  • Page 222: Part Display

    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...

  • Page 223: Cco Equipment To Patient Connection

    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...

  • Page 224: Performing The Cco Settings

    ELWI < 10 ELWI > 10 ELWI < 10 Patient Weight (kg) Room Temperature Iced Injectate Iced Injectate Injectate <3 <10 <25 <50 10ml 10ml <100 10ml 15ml 15ml ≥100 15ml 20ml 20ml 21 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 225: Performing C.o. Measurement

    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...

  • Page 227: Accessing The Hemodynamics Menu

    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...

  • Page 228: Picco Troubleshooting

    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...

  • Page 229: Monitoring Carbon Dioxide (Co )

    Oridion Information ................22-14 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 230: Co Introduction

    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...

  • Page 231: Co Safety Information

    (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...

  • Page 232: Measuring Co

    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...

  • Page 234: Preparing To Measure Co Using Microstream Co Module

    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...

  • Page 235: Measuring Co Using Mainstream Co

    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...

  • Page 236: Zeroing The Mainstream Co Sensor

    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...

  • Page 237: Setting The Co Waveform

    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...

  • Page 238: Setting Humidity Compensation

    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...

  • Page 239: 22.10 Setting The Gas Compensation

    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...

  • Page 240: 22.12 Changing Barometric Pressure

    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...

  • Page 241: 22.15 Calibrating The Galvanic Oxygen Sensor

    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...

  • Page 242: 22.17.2 Troubleshooting The Mainstream Co

    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...

  • Page 243: Monitoring Anesthetic

    AG Troubleshooting ................23-8 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 244: Ag Introduction

    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...

  • Page 245: Ag Measurement Limitations

    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...

  • Page 246: Ag Equipment To Patient Connection

    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...

  • Page 247: Mac Values

    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...

  • Page 248: Changing Ag Settings

    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...

  • Page 249: Setting Auto Standby

    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...

  • Page 250: Changing The Anesthetic Agent

    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...

  • Page 251: Monitoring Respiratory Mechanics (Rm)

    RM Troubleshooting................24-8 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 252: Rm Introduction

    Flow waveform ■ Paw waveform ■ Vol waveform ■ FV (flow-volume) loop ■ PV (paw-volume) loop RM monitoring provides values for 18 parameters. The 18 parameters can be classified into 4 categories: 24 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 253: Rm Display

    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...

  • Page 254: Rm Equipment To Patient Connection

    • 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...

  • Page 255: Respiratory Loops

    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...

  • Page 256: Displaying The Reference Loop

    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...

  • Page 257: Setting Rr Source

    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...

  • Page 258: Entering The Intubation Mode

    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...

  • Page 259: Monitoring Transcutaneous Blood Gas (Tcgas)

    Changing tcGas Settings ................25-4 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 260: Tcgas Introduction

    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.

  • Page 261: Tcgas Parameters

    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...

  • Page 262: Changing Tcgas Settings

    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...

  • Page 263: Monitoring Electroencephalogram (Eeg)

    EEG Troubleshooting ................26-12 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 264: Eeg Introduction

    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...

  • Page 265: Eeg Parameters

    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...

  • Page 266: Accessing The On-Screen Eeg Guide

    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...

  • Page 267: Choosing An Eeg Electrode Montage

    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...

  • Page 269: Attaching Eeg Electrodes

    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...

  • Page 270: Displaying/Hiding Impedance Value

    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...

  • Page 271: Stopping Sensor Check

    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...

  • Page 272: Displaying The Eeg Expand View

    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...

  • Page 273: Dsa View

    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...

  • Page 274: 26.10 Eeg Troubleshooting

    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...

  • Page 275: Monitoring Bispectral Index (Bis)

    BIS Troubleshooting ................27-10 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 276: Bis Introduction

    • 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...

  • Page 277: Bis Parameters

    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...

  • Page 278: Bis Display

    “---”. ◆ 1 to 2 bars: SQI 15% - 49%, parameter values are unreliable. ◆ 3 to 5 bars: SQI 50% - 100%, parameter values are reliable. EMG indicator 27 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 279: Accessing The On-Screen Bis Guide

    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...

  • Page 280: Changing Bis Settings

    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...

  • Page 281: Switching Off The Filter

    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...

  • Page 282: Manual Sensor Check

    Defective patient interface cable or sensor To correct the situation: Recheck the sensor ■ Reapply the sensor according to instructions ■ Check sensor connection ■ ■ Replace patient interface cable or sensor 27 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 283: Monitoring Bilateral Bis

    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...

  • Page 284: Stopping Bis Monitoring

    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...

  • Page 285: Monitoring Neuromuscular Transmission (Nmt)

    NMT Troubleshooting ................28-9 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 286: Nmt Introduction

    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...

  • Page 287: Stimulation Modes

    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...

  • Page 288: Double Burst Stimulation (Dbs)

    (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...

  • Page 289: Accessing The On-Screen Nmt Guide

    The following picture shows NMT cable and patient connection . (1) NMT module (2) NMT patient cable (3) NMT stimulation cable (4) NMT sensor cable (5) Proximal electrode (6) Distal electrode (7) NMT sensor BeneVision N22/N19 Patient Monitor Operator’s Manual 28 - 5...

  • Page 290: Preparing The Skin

    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...

  • Page 291: Calibrating The Nmt Measurement

    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...

  • Page 292: Starting Nmt Measurements

    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...

  • Page 293: 28.11.4 Enabling Block Recovery Note

    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...

  • Page 295: Monitoring Nmt From Tof-Watch Sx Monitor

    Changing NMT Settings ................29-4 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 296: Nmt Introduction

    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.

  • Page 297: Nmt Parameters

    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...

  • Page 298: Changing Nmt Settings

    Select the NMT numeric area to access the [+NMT Setup] menu. View the settings as follows: ◆ Stimulation Current ◆ Stimulation Charge ◆ Pulse Width ◆ TOFs Interval ◆ Transducer Sensitivity 29 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 299: Monitoring Regional Oxygen Saturation (Rso )

    Changing rSO2 Settings ................30-6 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 300: Rso2 Introduction

    (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...

  • Page 301: Rso2 Safety Information

    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...

  • Page 302: Accessing The On-Screen Rso Guide

    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...

  • Page 303: Preparing The Skin

    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...

  • Page 304: Connecting The Rso Parts

    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...

  • Page 305: Setting The Rso Label

    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...

  • Page 307: Reviewing Trends

    OxyCRG Window ................. . 31-13 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 308: Overview

    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...

  • Page 309: Tabular Trends Review Page

    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...

  • Page 311: Graphics Trends Review Page

    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...

  • Page 312: Events Review Page

    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...

  • Page 313: Full Disclosure Review Page

    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...

  • Page 314: Oxycrg Review Page

    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...

  • Page 315: 12-Lead Ecg Review Page

    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...

  • Page 316: St Review Page

    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...

  • Page 317: 31.2.10 Common Operations

    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...

  • Page 318: Minitrends Window

    Select the Screen Setup quick key → select the desired option. ■ Select the Main Menu quick key → from the Display column select Choose Screen → select the desired ■ option. 31 - 12 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 319: Oxycrg Window

    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 321: Hemodynamics

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

  • Page 324: Viewing Hemodynamic Parameters

    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...

  • Page 325: Evaluating The Hemodynamic Parameters

    ■ 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...

  • Page 326: Viewing Hemodynamic Events

    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...

  • Page 327: Changing Hemodynamic Parameter Settings

    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...

  • Page 329: Calculation

    Renal Calculations................. . 33-9 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 330: Calculation Overview

    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...

  • Page 331: Checking The Titration Table

    Infusion Rate = Dose × Weigh/Concentration 33.3.3.2 Titration Table Calculation Formula Description Unit Formula Infusion Rate ml/hr Infusion Rate = Dose/Concentration Infusion Rate (weight based) ml/hr Infusion Rate = Weight × Dose/Concentration BeneVision N22/N19 Patient Monitor Operator’s Manual 33 - 3...

  • Page 332: Hemodynamic Calculations

    L/min heart rate pulmonary artery wedge pressure PAWP mmHg artery mean pressure PMAP mmHg pulmonary artery mean pressure PA Mean mmHg central venous pressure mmHg end-diastolic volume height Height weight Weight 33 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 333: Calculated Parameters And Formulas For Hemodynamic Calculations

    EDVI ml/m2 EDVI (ml/m ) = EDV (ml)/BSA (m index End-systolic Volume ESV (ml) = EDV (ml) –SV (ml) End-systolic Volume index ESVI ml/m ESVI (ml/m ) = ESV (ml)/BSA (m BeneVision N22/N19 Patient Monitor Operator’s Manual 33 - 5...

  • Page 334: Oxygenation Calculations

    None atmospheric pressure ATMP mmHg, kPa height Height cm, inch weight Weight kg, lb 33 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 335: Calculated Parameters And Formulas For Oxygenation Calculations

    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...

  • Page 336: Input Parameters For Ventilation Calculations

    Vd/Vt (%) = 100 × Vd (ml)/TV (ml) physiologic dead space in Vd/Vt percent of tidal volume VA (L/min) =[TV (ml) - Vd (ml)] × RR (rpm)/ alveolar volume L/min 1000 33 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 337: Renal Calculations

    URNa mmol/L urine Urine ml/24 hrs plasm osmolality Posm mOsm/kgH urine osmolality Uosm mOsm/kgH serum sodium SerNa mmol/L creatinine μmol/L urine creatinine μmol/L blood urea nitrogen mmol/L height Height weight Weight BeneVision N22/N19 Patient Monitor Operator’s Manual 33 - 9...
  • Page 338 BUN/Cr* BUN/Cr = 1000 × BUN (mmol/L)/Cr (μmol/L) creatinine ratio urine-serum creatinine U/Cr None U/Cr (mmol/L) = Ucr (μmol/L)/Cr (μmol/L) ratio *: BUN/Cr is a ratio at mol unit system. 33 - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 339: Recording

    Removing Paper Jam ................34-4 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 340: Recorder

    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...

  • Page 341: Stopping Recordings

    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...

  • Page 342: Loading Paper

    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...

  • Page 343: Printing

    Printer Out of Paper ................35-6 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 344: Printer

    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...

  • Page 345: Setting Patient Information On Other Report Printouts

    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...

  • Page 346: Setting Graphic Trends Reports

    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...

  • Page 347: Setting Tabular Trends Reports

    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...

  • Page 348: Setting Realtime Reports

    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...

  • Page 349: Battery

    Recycling Batteries ................. 36-5 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 350: Battery Introduction

    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...

  • Page 351: Battery Indications

    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...

  • Page 352: Charging The Battery

    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...

  • Page 353: Storing Batteries

    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...

  • Page 355: Care And Cleaning

    Impact of Improper Cleaning ............... 37-4 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 356: Care And Cleaning Introduction

    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.

  • Page 357: General Cleaning Methods

    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...

  • Page 358: Cleaning The Thermal Print Head

    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...

  • Page 359: Maintenance

    Disposing of the Monitor ................38-5 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 360: Maintenance Introduction

    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.

  • Page 361: Checking Version Information

    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. ■...

  • Page 362: Performing Visual Inspection

    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...

  • Page 363: Testing The Network Printer

    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...

  • Page 365: Accessories

    NMT Accessories (For Mindray NMT Module) ........

  • Page 366: Ecg Accessories

    EV6212 0010-30-42724 ECG cable, 12-pin, 3-lead, ESU-proof, AHA/IEC Neonate, infant EV6222 040-000754-00 ECG cable, 12-pin, 3-lead, defibrillation-proof, DIN Neonate connector EV6206 009-005266-00 ECG cable, defibrillation-proof, 3.1 m, T/N series Adult, pediatric 39 - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 367: 3-Lead Ecg Leadwires

    ECG leadwires, 3-lead, IEC, snap, 24 inch Adult, pediatric disposable 39.1.4 5-lead ECG Leadwires Applicable Model Description Length patient EL6503A 0010-30-42729 ECG leadwires, 5-lead, AHA, clip, 1m to 1.4m Adult, pediatric long BeneVision N22/N19 Patient Monitor Operator’s Manual 39 - 3...

  • Page 368: 6-Lead Ecg Leadwires

    ECG leadwires, 12-lead,limb lead, 0.8 m Adult AHA, clip EL6803A 0010-30-42904 ECG leadwires, 12-lead,chest lead, 0.6 m Adult AHA, clip EL6802A 0010-30-42903 ECG leadwires, 12-lead,limb lead, 0.8 m Adult IEC, clip 39 - 4 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 369: Spo Accessories

    Disposable SpO2 sensor Neonate Foot 521A 009-005091-00 Disposable SpO2 sensor Adult Finger 521P 009-005092-00 Disposable SpO2 sensor Pediatric Finger 521I 009-005093-00 Disposable SpO2 sensor Infant 521N 009-005094-00 Disposable SpO2 sensor Neonate Foot BeneVision N22/N19 Patient Monitor Operator’s Manual 39 - 5...

  • Page 370: Nellcor Spo Sensors

    Disposable temperature probe, Adult esophageal, 12FR, sterilized, 20 pcs/ MR415 045-001854-00 Disposable temperature probe, Neonate esophageal, 7FR, sterilized, 20 pcs/box MR412 045-001861-00 Disposable temperature probe, skin, Adult, pediatric, infant sterilized, 20 pcs/box 39 - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 371: Nibp Accessories

    10 pcs/box CM1506 115-016969-00 NIBP cuff, single patient 25 to 35 13.1 Adult use, 10 pcs/box CM1507 115-016970-00 NIBP cuff, single patient 33 to 47 16.5 Adult use, 10 pcs/box BeneVision N22/N19 Patient Monitor Operator’s Manual 39 - 7...

  • Page 372: Ibp Accessories

    Adult, pediatric, 72-inch, dual-channel, Mindray neonate IM2203 0010-21-12179 12 Pin IBP cable, for Edwards IM2206 115-017849-00 12 Pin IBP cable, for Utah IM2207 0010-21-43082 12 Pin IBP Cable, for Memscap,SP844 82031 transducer 39 - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 373: Accessories

    040-000815-00 12-pin IBP Y cable PV8115 040-000918-00 PiCCO monitoring kits, disposable 39.9 ICG Accessories Model Part No. Description Applicable patient N1201-5 100-000148-00 ICG sensor, disposable N1301-3 100-000149-00 ICG patient cable, normal BeneVision N22/N19 Patient Monitor Operator’s Manual 39 - 9...

  • Page 374: Co Accessories

    0010-10-42575 Disposable nasal sampling line, humidified, plus Adult 008181 0010-10-42576 Disposable nasal sampling line, humidified, plus Pediatric 008174 0010-10-42577 Disposable nasal sampling line Adult 008175 0010-10-42578 Disposable nasal sampling line Pediatric 39 - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 375: Mainstream Co

    Applicable patient MR4412 040-001947-00 Flow sensor, 1.8 m Adult MR4413 040-001949-00 Flow sensor, 3.3 m Adult MR4414 040-001948-00 Flow sensor, 1.8 m Pediatric, neonate MR4415 040-001950-00 Flow sensor, 3.3 m Pediatric, neonate BeneVision N22/N19 Patient Monitor Operator’s Manual 39 - 11...

  • Page 376: Eeg Accessories

    Disposable OxyAlert NIRSensor (<5 kg), Neonate cerebral, with sensor cable CNN/SNN 100-000182-00 Disposable OxyAlert NIRSensor (<5 kg), Neonate somatic/cerebral, with sensor cable 5100C-PA 100-000173-00 Preamplifier, channel 1 & 2, INVOS 5100C 39 - 12 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 377: Benelink Accessories

    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...

  • Page 379: A Product Specifications

    Measurement Specifications ............... . A-10 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 380: Monitor Safety Specifications

    ScvO module 0.25 136.5 × 40 × 102 EEG module 0.25 136.5 × 40 × 102 NMT module 0.30 136.5 × 40 × 102 module 0.30 136.5 × 40 × 102 A - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 381: Environmental Specifications

    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...

  • Page 383: Power Supply Specifications

    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...

  • Page 384: Leds

    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...

  • Page 385: Signal Outputs Specifications

    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...

  • Page 386: Wi-Fi Specifications

    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...

  • Page 387: Mpan Specifications

    MPAN Specifications A.13.1 MPAN Technical Specifications Modulation mode GFSK Operating frequency 2402 MHz to 2480 MHz Channel spacing 2MHz Wireless baud rate 1 Mbps Output power ≤2.5mW Data security Private protocol BeneVision N22/N19 Patient Monitor Operator’s Manual A - 9...

  • Page 388: Mpan Performance Specifications

    >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...

  • Page 391: Resp Specifications

    (low limit + 5) to 100 Neonate: RR≤20 (low limit + 2) to 20 RR>20 (low limit + 5) to 150 RR Low RR≤20: 0 to (high limit - 2) RR>20: (high limit - 5) BeneVision N22/N19 Patient Monitor Operator’s Manual A - 13...

  • Page 392: Spo Specifications

    Alarm limit Range (%) Step (%) High (low limit + 2) to 100 Mindray: Desat to (high limit - 2) Nellcor: Desat or 20 (whichever is greater) to (high limit - 2) Desat 0 to (high limit - 2) Mindray SpO...

  • Page 393: Pr Specifications

    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...

  • Page 394: Temp Specifications

    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...

  • Page 396: Nibp Specifications

    (low limit + 1) to 43 °C 0.1 °C (low limit + 1.8) to 109.4 °F 0.1 °F TB Low 23 to (high limit - 1) °C 73.4 to (high limit - 1.8) °F A - 18 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 397: Scvo /Svo Specifications

    <60%: (Low limit + 5%) to 60% ScvO2<60%: 5% ScvO ≥60%: (Low limit + 1%) to 99% ScvO2≥60%: 1% /ScvO ScvO <60%: 0 to (High limit - 5%) ScvO ≥60%: 60% to (Low limit - 1%) BeneVision N22/N19 Patient Monitor Operator’s Manual A - 19...

  • Page 398: A.14.10 Cco Specifications

    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...

  • Page 400: A.14.12 Scvo

    ScvO <60%: 5% ScvO ≥60%: (Low limit + 1%) to 99% ScvO ≥60%: 1% ScvO ScvO <60%: 0 to (High limit - 5%) ScvO ≥60%: 60% to (Low limit - 1%) A - 22 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 401: A.14.13 Icg Specifications

    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...

  • Page 404: A.14.15 Tcgas Specifications

    Infrared absorption Warm-up time Iso accuracy mode: 45 s Full accuracy mode: 10 min Sample flow rate Adult, pediatric: 200 ml/min Neonate: 120 ml/min Accuracy: ±10 ml/min or ±10%, whichever is greater A - 26 BeneVision N22/N19 Patient Monitor Operator’s Manual...
  • Page 405 (Full/ISO accuracy). Accuracy drift Meet the requirement for measurement accuracy within 6 hours Apnea alarm time 10 s, 15 s, 20 s, 25 s, 30 s, 35 s, 40 s Refreshing rate BeneVision N22/N19 Patient Monitor Operator’s Manual A - 27...
  • Page 406 60 BPM. Effect of interference gases on AG measurements Quantitive effect(%ABS)3) Concentrati on(%) Agent 1) Agent 1) 2) A - 28 BeneVision N22/N19 Patient Monitor Operator’s Manual...
  • Page 407 (low limit + 0.2) to 8.0% 0.1% EtSev Low 0 to (high limit - 0.2)% FiSev High (low limit + 0.2) to 8.0% FiSev Low 0 to (high limit - 0.2)% BeneVision N22/N19 Patient Monitor Operator’s Manual A - 29...

  • Page 408: A.14.17 Rm Specifications

    ±10% or 15 ml, whichever is greater Infant: ±10% or 6 ml, whichever is greater awRR Measurement range 4 to 120 rpm Resolution 1rpm Accuracy 4 to 99 rpm ±1 rpm 100 to 120 rpm ±2 rpm A - 30 BeneVision N22/N19 Patient Monitor Operator’s Manual...
  • Page 409 Mve>10 L/min: (low limit + 1.0 L/min) to 60.0 L/min MVe Low Mve≤10 L/min: 0.5 L/min to (high limit - 1.0 L/ min) Mve>10 L/min: 10 L/min to (high limit - 1.0 L/ min) BeneVision N22/N19 Patient Monitor Operator’s Manual A - 31...

  • Page 410: A.14.18 Eeg Specifications

    L, sEMG R:0 to 10.0 ASYM:0 to 100% Impedance range 0 to 999 kΩ Sweep speed 6.25 mm/s, 12.5 mm/s, 25 mm/s or 50 mm/s, ±10% error Input impedance >5 MΩ A - 32 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 411: Nmt Specifications (Nmt From Mindray Nmt Module)

    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%...

  • Page 412: Rso Specifications

    A.14.22 rSO Specifications Measurement range 15% ~ 95% A - 34 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 413: Bemc And Radio Regulatory Compliance

    Radio Regulatory Compliance ............... B-5 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 414: Emc

    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...

  • Page 417: Radio Regulatory Compliance

    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.

  • Page 419: C Default Settings

    Alarm Default Settings ................C-20 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 420: Ecg, Arrhythmia, St And Qt Default Settings

    Gemeral and OR: 2 Other department : 0 Baseline Drift Removal (for 12-lead only) Waveform Layout (for 12-lead only) Standard QRS Threshold 0.16 mV Paced Adult: Unspecified Pediatric/neonate: No Pacer Reject Pacemaker Rate C - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 421: Arrhythmia Default Settings

    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...

  • Page 422: St Default Settings

    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...

  • Page 423: C.1.4 Qt Default Settings

    Interpretation Interpretation Summary Respiration Default Settings Item Default Setting Alarm switch High limit Adult: 30 Pediatric: 30 Neonate: 100 Low limit Adult: 8 Pediatric: 8 Neonate: 30 Priority Print on Alarm BeneVision N22/N19 Patient Monitor Operator’s Manual C - 5...

  • Page 424: Spo /Spo B Default Settings

    Low limit Priority High Print on Alarm ΔSpO Alarm switch High limit Priority Print on Alarm Satsecond (for Nellcor SpO NIBP Simul Sensitivity (for Mindray SpO Medium Display PI Speed 25 mm/s C - 6 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 425: Temperature Default Settings

    Default Setting NIBP-S Alarm switch High limit Adult: 160 mmHg Pediatric: 120 mmHg Neonate: 90 mmHg Low limit Adult: 90 mmHg Pediatric: 70 mmHg Neonate: 40 mmHg Priority Print on Alarm BeneVision N22/N19 Patient Monitor Operator’s Manual C - 7...
  • Page 426 Print on Alarm Initial Pressure Adult: 160 mmHg Pediatric: 140 mmHg Neonate: 90 mmHg Interval OR: 5 min NICU: 30 min Others: 15 min Start Mode Clock NIBP End Tone Venipuncture Pressure Auto C - 8 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 427: Ibp Default Settings

    Pediatric and neonate: 4 mmHg ■ Low limit Art/pArt/Ao/UAP/BAP/FAP/LV/P1-P4 arterial pressure Adult: 50 mmHg Pediatric: 40 mmHg Neonate: 20 mmHg ■ Adult: 0 mmHg Pediatric and neonate: -4 mmHg Priority Print on Alarm BeneVision N22/N19 Patient Monitor Operator’s Manual C - 9...
  • Page 428 Print on Alarm Measure (for P1, P2) Measure ((for P3, P4)) Mean only Sensitivity Speed 25 mm/sec Scale(mmHg) CVP/pCVP/ICP/RAP/ 0-20 LAP/UVP venous pressure Art/pArt/Ao/BAP/FAP/ 0-160 LV/P1/P2 arterial pressure UAP/P3/P4 venous 0-80 pressure 0-30 C - 10 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 429: C.o. Default Settings

    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...

  • Page 430: Cco Default Settings (Picco)

    C.I. Alarm switch High limit Low limit Priority Print on Alarm Alarm switch High limit Low limit Priority Print on Alarm Sweep 25 mm/sec Parameter Display C.I., SQI, SVI, SVRI, TFC C - 12 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 431: Cco Default Settings(Vigilance/Vigileo)

    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...

  • Page 432: Sidestream Co2 Default Settings

    Microstream CO Default Settings Item Default Setting BTPS Compen Max hold 20 sec Auto Standby Operating Mode Measure C.13.4 Mainstream CO Default Settings Item Default Setting 1 0 sec Max hold Compen C - 14 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 433: Gas Default Settings

    Adult and pediatric: 100% Neonate: 90% Low limit Priority Print on Alarm Alarm switch High limit Low limit Priority Print on Alarm Alarm switch High limit Low limit Priority Print on Alarm BeneVision N22/N19 Patient Monitor Operator’s Manual C - 15...
  • Page 434 Print on Alarm FiDes Alarm switch High limit 6.0% Low limit 0.0% Priority Print on Alarm Apnea Delay Adult and pediatric: 20 sec Neonate: 15 sec RR Source Auto Operating Mode Measure C - 16 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 435: Rm Default Settings

    Relative humidity 55 % Paw Scale 40 cmH Flow Scale 60 L/min Vol Scale 1200 ml Speed 6.25 mm/s Paw View PIP, PEEP, Pmean, Pplat, RR Flow View PEF, PIF, Compl BeneVision N22/N19 Patient Monitor Operator’s Manual C - 17...

  • Page 436: Eeg Default Settings

    BIS Default Settings Item Default Setting Alarm switch High limit Low limit Priority Print on Alarm Smoothing Rate 15 sec Display OR: BIS Trend Other departments: EEG LT/RT Scale 100 μv Speed 25mm/s C - 18 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 437: Nmt Default Settings

    Low Limit -1’/rSO -2’ Variance Auto Low Limit -1 Label -2 Label -1’ Label -2’ Label AUC Mode Below Baseline Percentage Fixed Threshold Percentage Below Baseline Select Parameter Baseline, Baseline Variance BeneVision N22/N19 Patient Monitor Operator’s Manual C - 19...

  • Page 438: Alarm Default Settings

    C.20 Alarm Default Settings Item Default Setting Alarm Volume High Alarm Volume Alarm Volume + 2 Reminder Volume Apnea Delay 20 sec Printing Duration 16 sec C - 20 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 439: D Alarm Messages

    Technical Alarm Messages ................D-3 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 440: Physiological Alarm Messages

    Trigeminy Tachy Brady Multiform PVC Vent. Rhythm Nonsus. Vtac Run PVCs Pause Couplet Prompt Prompt Irr Rhythm Prompt Pacer Not Pacing Prompt Pacer Not Capture Prompt Missed Beats Prompt Vfib Prompt D - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 441: Resp Physiological Alarm Messages

    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...

  • Page 442: General Technical Alarm Messages

    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...

  • Page 443: Temp Technical Alarm Messages

    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...

  • Page 444: Ibp Technical Alarm Messages

    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...

  • Page 445: Scvo Technical Alarm Messages

    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...

  • Page 446: Co Technical Alarm Messages

    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...

  • Page 447: Ag Technical Alarm Messages

    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...

  • Page 448: Rm Technical Alarm Messages

    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...

  • Page 449: Eeg Technical Alarm Messages

    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...

  • Page 450: Battery Technical Alarm Messages

    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...

  • Page 451: Printer Technical Alarm Messages

    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...

  • Page 452: Technical Alarm Messages Related To Networked Monitoring

    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...

  • Page 453: Other System Technical Alarm Messages

    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...

  • Page 455: E Electrical Safety Inspection

    Patient Auxiliary Current................E-4 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 456: Power Cord Plug

    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...

  • Page 457: Device Labeling

    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...

  • Page 458: Mains On Applied Part Leakage

    (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 461: F Units, Symbols And Abbreviations

    Abbreviations ..................F-3 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 462: Units

    F - 2 BeneVision N22/N19 Patient Monitor Operator’s Manual...

  • Page 463: Symbols

    × multiply © copyright Abbreviations Abbreviation In Full AaDO alveolar-arterial oxygen gradient alternating current acceleration index adult anaesthesia gas American Heart Association aortic pressure arterial ATMP barometric pressure BeneVision N22/N19 Patient Monitor Operator’s Manual F - 3...
  • 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...
  • Page 472 P/N: 046-007707-00 (3.0)

This manual is also suitable for:

Benevision n19

Table of Contents

Save PDF