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Mindray BeneHeart R3 - User Manual

Mindray BeneHeart R3
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www.mindrayuk.com
BeneHeart R3
Clinical Education Pack
Training Excellence

Questions and Answers

Summary

Safety Notes

Battery Information

Equipment Physical Overview

Device Setup Procedures

Loading Recording Paper

Instructions on how to load thermal recording paper (roll or Z-fold) into the BeneHeart R3 printer compartment.

Connecting the Patient Cable

Guidance on connecting the patient cable to the BeneHeart R3, including lead wire colour-coding and connection points.

System Setup and Configuration

Accessing the Main Menu

Steps to access the main menu of the BeneHeart R3, navigate through options, and confirm selections using function keys.

Setting Patient Information

Procedure for setting patient details such as ID, name, gender, and age for accurate ECG recording and analysis.

Setting Date and Time

Instructions on how to set the current date and time on the BeneHeart R3 for accurate record keeping.

Managing Device Configuration

Overview of configuration management functions including loading, exporting, printing, and returning to default settings.

Loading Configuration from USB

Steps to import a configuration file from a USB memory stick into the device's internal memory.

Exporting Configuration to USB

Steps to export the device's configuration file from internal memory to a USB memory stick.

Patient Data Management

Entering Patient Demographics

Instructions for inputting patient demographic data (numbers and letters) using the device's operating panel and on-screen keyboard.

Patient Preparation and Electrode Placement

Preparing the Patients Skin

Steps for preparing the patient's skin to ensure optimal ECG signal quality, including cleaning and shaving.

Electrode Positioning Guide

Diagram and table detailing the correct placement of ECG electrodes on the chest and limbs for accurate readings.

Applying ECG Electrodes

Guidance on correctly applying disposable ECG electrodes to the patient for optimal signal acquisition.

Lead Off Detection and Indicators

Explanation of system prompts and indicators for detached or poorly connected ECG leads.

Using the Main Screen Interface

Main Screen Layout and Indicators

Detailed breakdown of the BeneHeart R3 main screen elements, including status icons, waveform display, and message areas.

Setting Waveform Display Parameters

How to adjust waveform speed, gain, and filter settings directly from the main screen for optimal display.

Configuring ECG Report Options

Configuration of the format and content of ECG reports via the [Report Setup] menu.

Acquiring ECG Data

Performing Auto Measurement

Procedure for performing an automatic 12-lead ECG acquisition, analysis, and report generation.

Performing Manual Measurement

How to perform manual ECG recording, select leads, and generate reports without automatic analysis.

Performing Rhythm Measurement

Process for acquiring 60 seconds of rhythm strip data and generating a rhythm ECG report.

ECG Report Analysis and Interpretation

Resting 12-Lead ECG Analysis

Explanation of the 12-lead ECG analysis performed by the device, including measurements and interpretation.

ECG Critical Values and Diagnoses

Details on critical values, diagnoses, and measurement matrices provided by the ECG analysis algorithms.

Managing Patient Archives

Printing and Accessing ECG Archives

How to print ECG reports and navigate the patient archive directory for reviewing past records.

Searching and Exporting ECG Reports

Methods for searching for specific patient reports and exporting data from the device's archives.

Troubleshooting Common Issues

Device Not Powering Up

Troubleshooting steps for when the BeneHeart R3 device fails to power on.

ECG Data Noise Issues

Solutions for diagnosing and resolving unacceptable noise in ECG data displays.

Recorder Malfunctions

Guidance for troubleshooting common issues with the BeneHeart R3 ECG recorder not working.

Paper Jam or Misalignment

Steps to resolve issues with paper jamming or misalignment in the ECG recorder.

Printout Quality Issues

Troubleshooting for partially missing or unclear printouts from the ECG recorder.

Automatic Shutdown;Standby Issues

Resolving problems related to the equipment automatically shutting down or entering standby mode.

Display Visibility Problems

Solutions for issues where the display is blank or too dark to be seen clearly.

Care and Maintenance Procedures

General Cleaning and Disinfecting Guidelines

General rules and recommended agents for cleaning and disinfecting the BeneHeart R3 device and accessories.

Cleaning the BeneHeart R3 Device

Step-by-step instructions for cleaning the main BeneHeart R3 device unit and its display screen.

Cleaning Patient Cables and Lead Wires

Procedure for cleaning the patient cables and lead wires to maintain their functionality and hygiene.

Cleaning the Thermal Print Head

Instructions on how to clean the thermal print head to ensure optimal ECG printout quality.

Disinfecting and Sterilisation

Information on disinfection procedures and limitations, and the sterilisation of accessories for the BeneHeart R3.

Summary

Safety Notes

Battery Information

Equipment Physical Overview

Device Setup Procedures

Loading Recording Paper

Instructions on how to load thermal recording paper (roll or Z-fold) into the BeneHeart R3 printer compartment.

Connecting the Patient Cable

Guidance on connecting the patient cable to the BeneHeart R3, including lead wire colour-coding and connection points.

System Setup and Configuration

Accessing the Main Menu

Steps to access the main menu of the BeneHeart R3, navigate through options, and confirm selections using function keys.

Setting Patient Information

Procedure for setting patient details such as ID, name, gender, and age for accurate ECG recording and analysis.

Setting Date and Time

Instructions on how to set the current date and time on the BeneHeart R3 for accurate record keeping.

Managing Device Configuration

Overview of configuration management functions including loading, exporting, printing, and returning to default settings.

Loading Configuration from USB

Steps to import a configuration file from a USB memory stick into the device's internal memory.

Exporting Configuration to USB

Steps to export the device's configuration file from internal memory to a USB memory stick.

Patient Data Management

Entering Patient Demographics

Instructions for inputting patient demographic data (numbers and letters) using the device's operating panel and on-screen keyboard.

Patient Preparation and Electrode Placement

Preparing the Patients Skin

Steps for preparing the patient's skin to ensure optimal ECG signal quality, including cleaning and shaving.

Electrode Positioning Guide

Diagram and table detailing the correct placement of ECG electrodes on the chest and limbs for accurate readings.

Applying ECG Electrodes

Guidance on correctly applying disposable ECG electrodes to the patient for optimal signal acquisition.

Lead Off Detection and Indicators

Explanation of system prompts and indicators for detached or poorly connected ECG leads.

Using the Main Screen Interface

Main Screen Layout and Indicators

Detailed breakdown of the BeneHeart R3 main screen elements, including status icons, waveform display, and message areas.

Setting Waveform Display Parameters

How to adjust waveform speed, gain, and filter settings directly from the main screen for optimal display.

Configuring ECG Report Options

Configuration of the format and content of ECG reports via the [Report Setup] menu.

Acquiring ECG Data

Performing Auto Measurement

Procedure for performing an automatic 12-lead ECG acquisition, analysis, and report generation.

Performing Manual Measurement

How to perform manual ECG recording, select leads, and generate reports without automatic analysis.

Performing Rhythm Measurement

Process for acquiring 60 seconds of rhythm strip data and generating a rhythm ECG report.

ECG Report Analysis and Interpretation

Resting 12-Lead ECG Analysis

Explanation of the 12-lead ECG analysis performed by the device, including measurements and interpretation.

ECG Critical Values and Diagnoses

Details on critical values, diagnoses, and measurement matrices provided by the ECG analysis algorithms.

Managing Patient Archives

Printing and Accessing ECG Archives

How to print ECG reports and navigate the patient archive directory for reviewing past records.

Searching and Exporting ECG Reports

Methods for searching for specific patient reports and exporting data from the device's archives.

Troubleshooting Common Issues

Device Not Powering Up

Troubleshooting steps for when the BeneHeart R3 device fails to power on.

ECG Data Noise Issues

Solutions for diagnosing and resolving unacceptable noise in ECG data displays.

Recorder Malfunctions

Guidance for troubleshooting common issues with the BeneHeart R3 ECG recorder not working.

Paper Jam or Misalignment

Steps to resolve issues with paper jamming or misalignment in the ECG recorder.

Printout Quality Issues

Troubleshooting for partially missing or unclear printouts from the ECG recorder.

Automatic Shutdown;Standby Issues

Resolving problems related to the equipment automatically shutting down or entering standby mode.

Display Visibility Problems

Solutions for issues where the display is blank or too dark to be seen clearly.

Care and Maintenance Procedures

General Cleaning and Disinfecting Guidelines

General rules and recommended agents for cleaning and disinfecting the BeneHeart R3 device and accessories.

Cleaning the BeneHeart R3 Device

Step-by-step instructions for cleaning the main BeneHeart R3 device unit and its display screen.

Cleaning Patient Cables and Lead Wires

Procedure for cleaning the patient cables and lead wires to maintain their functionality and hygiene.

Cleaning the Thermal Print Head

Instructions on how to clean the thermal print head to ensure optimal ECG printout quality.

Disinfecting and Sterilisation

Information on disinfection procedures and limitations, and the sterilisation of accessories for the BeneHeart R3.

Overview

The BeneHeart R3 is a portable electrocardiograph (ECG) device designed for acquiring, analyzing, and reporting 12-lead ECGs. It is intended for use in clinical settings to assist in the diagnosis and treatment of patients by providing accurate and complete patient information alongside ECG analysis.

Function Description

The primary function of the BeneHeart R3 is to perform ECG measurements. It supports both auto measurement and manual measurement modes. In auto measurement mode, the device automatically acquires 10 seconds of 12-lead ECG data, initiates analysis upon completion, and then prints an ECG report according to the system's setup. This mode is designed for efficiency and consistency in routine ECG acquisition. For specific diagnostic needs, a rhythm measurement mode is also available, where the device acquires 60 seconds of data and prints the waveforms of the rhythm lead. It's important to note that in both manual and rhythm measurement modes, the device does not perform analysis of the waveforms; these modes are primarily for continuous recording or extended rhythm strip acquisition.

The device features an intuitive operating panel and a display screen that shows waveforms and text. It is equipped with a recorder for printing reports, and a patient cable connection port for attaching the lead wires. For data transfer, USB ports are available, and a network port allows for connectivity. The BeneHeart R3 is powered by a rechargeable lithium-ion battery, which provides significant run time, supporting hundreds of auto measurement reports or several hours of continuous recording. The battery status is clearly indicated on the display, with visual cues for charge level and warnings for low or depleted battery. The device can be charged by connecting it to an AC power source, even when switched off.

Usage Features

Setting up the BeneHeart R3 for use involves several key steps to ensure optimal performance and accurate results. Before any ECG acquisition, proper patient preparation is crucial. This includes laying the patient comfortably with arms and legs relaxed, exposing the chest and limb electrode sites, and preparing the skin by shaving hair, degreasing with alcohol, and abrading slightly with dry gauze to remove dead skin cells. The skin must be completely dry before electrode placement.

Electrode positioning is critical for high-quality ECG signals. The manual provides detailed diagrams and tables for correct placement of limb and chest electrodes, adhering to both IEC and AHA lead notations. For pediatric patients, an alternative V4R (C4R) placement is recommended, and the device allows for this specific lead-wire labeling to be configured in the patient information setup. Disposable electrodes should be in date and properly stored to maintain the conductivity of the gel. Lead wires should be routed to avoid twisting, and all connections, from the patient cable to the electrodes, must be secure. The device includes a "Lead Off" detection system that prompts the user if electrodes are detached or poorly connected, ensuring signal integrity.

Patient information entry is streamlined, allowing quick input of ID, age, and gender using dedicated keys on the operating panel. The on-screen keyboard facilitates typing of letters for names and other details. The device can be configured to prompt for a Patient ID when an ECG is initiated, ensuring all recordings are properly labeled. The system also supports detailed patient information, including date of birth and specific lead placements like V3.

The main menu provides comprehensive control over device settings. Users can configure waveform display parameters such as speed and gain, and adjust the muscle artifact filter frequency. These settings can be quickly adjusted using dedicated function keys on the operating panel. However, changes made via the main menu are saved as user defaults, persisting even after the device is switched off, whereas quick key adjustments reset to default upon shutdown. The report setup allows customization of ECG report format and content, including options like "Extend Record" for automatic rhythm reports if critical values are detected, and "Preview" to review ECGs before printing, preventing paper waste.

File management features enable users to store, search, review, export, delete, and print historical ECG reports. The internal memory can store a substantial number of reports, and the directory can be accessed to view previous recordings in chronological order. Reports can be searched by date or patient ID, facilitating easy retrieval of specific patient data.

Maintenance Features

Maintaining the BeneHeart R3 ensures its longevity and consistent performance. Regular cleaning and disinfection are essential. The manual provides clear guidelines on cleaning agents, emphasizing the use of diluted solutions and avoiding abrasive materials or immersing any part of the equipment in liquid. The display screen should be cleaned with a soft, damp cloth and glass cleaner, while the exterior surface can be wiped with a soft cloth dampened with a cleaning agent. Patient cables and lead wires should also be cleaned gently with ethanol, avoiding metal connectors, and then dried in a ventilated area.

A critical maintenance task is cleaning the thermal print head, which should be done monthly or as needed to prevent printing quality issues. This involves turning off the device, opening the recorder door, removing the paper, and gently wiping the print head with cotton swabs dampened with ethanol to remove dust and foreign particles. After ensuring the print head is completely air-dried, the paper can be reloaded, and the recorder door closed. Light printing on reports often indicates a dirty print head.

While disinfection is generally not recommended for the device itself unless specified by hospital servicing schedules, cleaning is always advised before disinfection. The manual lists recommended disinfectants like ethanol and isopropanol. Sterilization of the equipment is not advised unless explicitly stated for specific accessories.

Troubleshooting guidance is provided to address common issues such as the device not powering up, unacceptable ECG data noise, or the recorder not working. Solutions range from checking power connections and battery charge to ensuring proper skin preparation, electrode application, and filter settings. For issues like paper jams or unclear printouts, instructions are given on using approved paper, correctly loading it, and cleaning the print head. The device also has features like "Auto Standby" and "Auto Shutdown" to conserve battery, with clear instructions on how to exit standby mode or address automatic shutdowns. For more complex issues or servicing, users are directed to consult authorized personnel or the comprehensive Operator's Manual.

Mindray BeneHeart R3 Specifications

General IconGeneral
BatteryRechargeable lithium-ion battery
PrintingBuilt-in thermal printer
Voice PromptsYes
TypeDefibrillator
Battery TypeLithium-ion
ECG Monitoring12-lead ECG monitoring

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