BM3 OperatiBM3
BM5 Operation Manual
Patient Monitor
Operator’s Manual
Rev 1.0
BM5 Operation Manual
Table of Contents
1. THE BASICS .................................................................................5
1.1 CE Marking Information .......................................................................................... 7
1.2 How to Reach Us ..................................................................................................... 8
Warranty ...............................................................................................................................9
1.3 General precaution .................................................................................................. 10
Warning, Caution, Note .........................................................................................................10
General precaution on Environment .....................................................................................11
General precaution on Electrical safety .................................................................................12
1.4 Components ............................................................................................................. 24
Overview of the product ........................................................................................................24
Features of the Product ........................................................................................................24
Features of Main body ..........................................................................................................26
1.5 Operation .................................................................................................................. 32
Front panel ...........................................................................................................................32
Control key ...........................................................................................................................32
1.6 Power ON .................................................................................................................. 34
1.7 Battery Power ON .................................................................................................... 35
1.8 User Interface Features .......................................................................................... 37
Features of Screen ...............................................................................................................37
Selection of Menu .................................................................................................................38
Features of Menu ..................................................................................................................38
2. MORE MENU ................................................................................43
2.1 ALARM ...................................................................................................................... 46
ALL LIMITS ...........................................................................................................................47
ALARM PRINT ......................................................................................................................48
ALARM VOLUME .................................................................................................................48
ALARM LEVEL .....................................................................................................................49
ARRHYTH LEVEL ................................................................................................................50
BM5 Operation Manual
2.2 ADMIT ....................................................................................................................... 51
CHANGE ADMIN INFO ........................................................................................................51
DISCHARGE ........................................................................................................................52
HEIGHT ...............................................................................................................................53
WEIGHT
............................................................................................................................53
2.3 TREND ...................................................................................................................... 54
GRAPHIC TREND ...............................................................................................................54
TABULAR TREND ...............................................................................................................56
2.4 SETUP ...................................................................................................................... 58
DISPLAY ..............................................................................................................................58
USER SERVICE ..................................................................................................................60
MAKER SERVICE ................................................................................................................61
3. ECG ...............................................................................................63
3.1 Introduction ............................................................................................................. 65
Position of ECG Connector and Probe Cable .......................................................................65
How to attach the electrode ................................................................................................67
Position of 5 and 3 Lead ......................................................................................................68
3.2 ECG Parameter Window ......................................................................................... 70
3.3 ECG Parameter setting menu ................................................................................ 71
LEAD SELECT .....................................................................................................................71
ALARM LIMIT ......................................................................................................................72
QRS VOLUME .....................................................................................................................73
ECG SIZE ............................................................................................................................73
ANALYSIS SETTING ...........................................................................................................74
4. SpO2 .............................................................................................. 79
4.1 Introduction ............................................................................................................. 81
Position of SpO2 Connector and Probe Cable ......................................................................81
4.2 SpO2 Parameter Window ........................................................................................ 82
4.3 SpO2 Parameter setting Menu ............................................................................... 83
Rate Volume ........................................................................................................................83
Alarm Limit ..........................................................................................................................84
BM5 Operation Manual
5. RESPIRATION ..............................................................................85
5.1 Introduction ......................................................................................................... 87
Position of RESPIRATION Connector and Probe Cable .................................................87
5.2 RESPIRATION Parameter Window .................................................................. 88
5.3 RESPIRATION Parameter Setting Menu ......................................................... 89
Respiration Size ..............................................................................................................89
Alarm Limit ..................................................................................................................90
6. NIBP ..............................................................................................91
6.1 Introduction .......................................................................................................... 93
Position of NIBP Connector and CUFF ...........................................................................93
6.2 NIBP Parameter Window ................................................................................... 95
6.3 NIBP Parameter setting Menu .......................................................................... 96
Alarm Limit ......................................................................................................................96
CUFF SIZE .....................................................................................................................97
INTERVAL TIME .............................................................................................................97
7. IBP................................................................................................... 99
7.1 Introduction .......................................................................................................... 101
Position of IBP Connector and Accessory ............................................................................ 101
7.2 IBP Parameter Window ........................................................................................ 104
7.3 IBP Parameter setting Menu ............................................................................... 105
CHANGE NAME ................................................................................................................ 105
SCALE ............................................................................................................................... 105
ALARM LIMITS ..................................................................................................................107
SETTINGS ........................................................................................................................ 109
ZERO ................................................................................................................................111
8. EtCO2 ........................................................................................... 113
8.1 Introduction .......................................................................................................... 115
Position of EtCO2 Connector and Accessory ........................................................................ 115
8.2 EtCO2 Parameter Window ................................................................................... 117
BM5 Operation Manual
8.3 EtCO2 Parameter setting Menu ........................................................................... 118
ALARM LIMITS ..................................................................................................................118
STANDBY ......................................................................................................................... 119
SETTINGS ........................................................................................................................ 119
SCALE ............................................................................................................................... 120
CALIBRATION ...................................................................................................................122
9. TEMPERATURE ...........................................................................124
9.1 INTRODUCTION .................................................................................................. 126
Position of Temperature Connector and Probe Cable .....................................................126
9.2 Temperature Parameter Window ..................................................................... 127
9.3 Temperature Parameter Setting Menu ............................................................ 128
ALARM LIMIT .................................................................................................................128
UNIT SELECT ................................................................................................................129
10. PRINTING ...................................................................................130
10.1 Printing ............................................................................................................... 132
Printer and thermal paper ...............................................................................................132
Function and setup Menu ...............................................................................................133
10.2 Changing Paper ............................................................................................... 134
11. MESSAGE LIST .........................................................................137
12. FACTORY DEFAULTS ..............................................................141
13. TROUBLE SHOOTING ..............................................................151
14. SPECIFICATION ........................................................................163
1. THE BASICS
1.1 CE Marking Information
1.2 How to Reach Us
Warranty
1.3 General Precaution
Warning, Caution, Note
General Precaution on Environment
General Precaution on Electric Safety
1.4 Components
Overview of the Product
Features of the Product
Features of Main body
1.5 Operation
Front panel
Control key
1.6 Power ON
1.7 Battery Power ON
1.8 User Interface Features
Features of Screen
Selection of Menu
Features of Menu
BM5 Operation Manual
1.1 CE Marking Information
TÜV LIST
1. Electrical Safety EN60601-1
2. EMC EN60601-1-2
3. Performance NIBP EN1060-1, EN1060-3
4. ECG test EN60601-2-27
5. NIBP test EN60601-2-30
6. SpO2 test ISO9919
7. Performance test For Temperature 12470-4
8. Patient monitoring safety EN/IEC60601-2-49
9. IBP test EN/IEC60601-2-34
10. EtCO2 test EN/ISO 21647
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1.2 How to Reach Us
The following are telephone numbers and addresses for contacting various service, product
supplies and sales personnel
Product and
Bionet America.,Ltd.
Purchase Inquiry
2691 Dow Ave. Suite B
Tustin, CA 92780
Sales dept.
Toll Free: 1-877-9bionet
Direct: 714-734-1760
Fax : 714-734-1761
E-mail : sales@bionetus.com
Service call &
Technical
For any technical questions or problems on the equipment, call;
Tel: –714-734-1760
support
E-mail : support@bionetus.com
Web site of
URL : http:// www.bionetus.com
Bionet
In the event of a malfunction or failure, contact Service Dept. Of Bionet America, INC along
with the model name, serial number, date of purchase and explanation of failure.
If you need the circuit diagram, component list, description and calibration
instruction etc. you can contact us and we will provide you with it.
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Warranty
y This product is manufactured and passed through strict quality control and through inspection.
y Warranty period is 2 years.
y Warranty repair or replacement will be made by Bionet Service Center at no charge for
warranty period if properly used under normal conditions in accordance with the
instructions for use.
y Manufacturer or sales agency takes no responsibility for any kind of damage or breakdown that is
caused by misuse and failure to maintain the equipment.
y
Consequential and incidental damages are not recoverable under this warranty
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1.3 General precaution
Warning, Caution, Note
Terms are defined as listed below in operation manual. Users should operate the equipment
according to all the Warnings and Cautions.
Warning
To inform that it may cause serious injury or death to the patient, property damage,
material losses
Caution
To inform that it may cause no harm to life but may lead to injury
Note
To inform that it is not dangerous but important for proper installation, operation, and
maintenance of the equipment
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General Precaution on Environment
Do not keep or operate the equipment in the environment listed below.
Avoid placing in an
area exposed to
moisture. Do not touch
the equipment with wet
Avoid exposure to
direct sunlight.
hands .
Avoid placing in an area
where there is a high
variation of temperature.
Operating
temperature ranges
from 10°C to 40°C
Operating humidity
Ranges from 30% to
85%.
Do not use or store
in the vicinity of an
Electric heater.
Avoid placing in an
area where there is
Avoid excessive
excessive humidity or
shocks or vibration.
poor ventilation.
Avoid placing in an
area where chemicals
are stored or where
there is danger of gas
leakage.
Avoid inserting dust
and especially
metal material into
the equipment.
Do not open or
disassemble the
Power off when
equipment. Bionet
the equipment is
America accepts no
not fully installed.
responsibility for
Otherwise,
unauthorized
equipment could
tampering, service, or
be damaged.
repair.
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General Precaution on Electric Safety
Warning
Check the items listed below before operating the equipment
1. Be sure that AC power supply line is appropriate to use. (AC 100 - 240V)
2. Be sure that the power adapter is the one supplied from Bionet. (DC 18V, 2.5A)
3. Be sure that all cables are properly and firmly fixed.
4. Be sure that the equipment is properly grounded.(Otherwise, noise could result.)
5. The equipment should not be placed in the vicinity of electric generators, X-rays, broadcasting
apparatus to eliminate the risk of electric noise during operation. This may cause incorrect results.
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WARNINGS
Accidental Spills
To avoid electric shock liquids must not be allowed to enter the device. If liquids have entered the
device, take it out of service and have it checked by a Service Technician before it is used again.
Accuracy
If the accuracy of any value displayed on the monitor, central station, or printed on a graph strip is
questionable, determine the patient’s vital signs by alternative means. Verify that all equipment is
working and connected correctly.
Alarms
Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm
volume to a low level or off during patient monitoring may result in a hazard to the patient.
Remember that the most reliable method of patient monitoring combines close personal surveillance
with correct operation of monitoring equipment.
Alarm is divided into two types, alarm for the patient’s condition and alarm for the product’s condition.
The patient’s alarm sounds when the diagnostic functions (ASYSTOLE, VTAC/VFIB,VTAC) are
detected to be outside the normal range. Each alarm sound differs in order and volume according to
the severity of HIGH, MEDIUM, LOW message.
The machine will sound an alarm with a corresponding message on the display if it detects any
problems.
For example, if sensors, probes or modules are intentionally disconnected by the
operator the equipment gives “LOW” alarm sound and “LEAD FAULT” message.
After connecting the monitor to the central station, verify the function of the alarm system.
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WARNINGS
Before Use
Before putting the system into operation visually inspect all connecting cables for signs of
damage. Damaged cables and connectors must be replaced immediately.
Before using the system, the operator must verify that it is in correct working order and
operating condition.
Before using the system, be sure that the equipment is restricted to one patient at a time.
Periodically, and whenever the integrity of the product is in doubt, test all functions.
Cables
Route all cables away from patient’s throat to avoid possible strangulation.
Conductive Connections
Extreme care must be exercised when applying medical electrical equipment.
Many parts of the main/machine circuit are conductive, such as the patient, connectors, electrodes,
transducers. It is very important that these conductive parts do not come into contact with other
grounded, conductive parts when connected to the insulated patient input of the device.
Such contact would bridge the patient’s insulation and cancel the protection provided by the
insulated input. In particular, there must be no contact of the neutral electrode and ground.
Defibrillation
Do not come into contact with patients during defibrillation. Otherwise serious injury or death could
result.
Discharge to Clear Patient Data
When admitting a new patient, you must clear all previous patient data from the system.
To accomplish this, disconnect patient cables(if you use a Tram module be sure the module is
locked in place in the Tram-rack housing), then do a discharge.
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WARNINGS
Disconnection From Mains
When disconnecting the system from the power line, remove the plug from the wall outlet first. Then
you may disconnect the power cord from the device. If you do not observe this sequence, there is a
risk of coming into contact with line voltage by inserting metal objects, such as the pins of lead wires,
into the sockets of the power cord by mistake.
Disposal
The equipment shall be disposed in accordance with all federal, state, and local laws..
Explosion Hazard
Do not use this equipment in the presence of flammable anesthetics, vapors or liquids.
Interfacing Other Equipment
Devices may only be interconnected with each other or to parts of the system when it has been
determined by qualified biomedical engineering personnel that there is no danger to the patient, the
operator, or the environment as a result. In those instances where there is any element of doubt
concerning the safety of connected devices the user must contact the manufacturers concerned (or
other informed experts) for proper use. In all cases, safe and proper operation should be verified
with the applicable manufacturer’s instructions for use, and system standards IEC 60601-1-1/EN
60601-1-1 must be complied with.
Rate Meters
Keep pacemaker patients under close observation. Rate meters may continue to count the
pacemaker rate during cardiac arrest and some arrhythmias. Therefore, do not rely entirely on rate
meter alarms.
Site Requirements
For safety reasons, all connectors for patient cables and sensor leads (with the exception of
temperature) are designed to prevent inadvertent disconnection, should someone pull on them.
Do not route cables in a way that they may present a stumbling hazard. For devices installed above
the patient, adequate precautions must be taken to prevent them from dropping on the patient.
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WARNINGS
Intra cardiac Application
When applying devices intra cardinally, electrically conductive contact with parts connected
to the heart (pressure transducers, metal tube connections and stopcocks, guide wires, etc.) must
be avoided in all cases.
To prevent electrical contact, we recommend the following:
·Always wear isolating rubber gloves,
·Keep parts that are conductively connected to the heart isolated from ground,
·If possible, do not use tube fittings or stop cocks made of metal.
During intra cardiac application of a device, a defibrillator and pacemaker whose proper functioning
has been verified must be kept at hand.
Leakage Current Test
When interfacing with other equipment, a test for leakage current must be performed by qualified
biomedical engineering personal before using with patients.
Patient Ambulation
A Patient must be assisted if ambulating with a roll-stand mounted monitor.
Power Supply
The device must be connected to a properly installed power outlet with protective earth contacts only.
If the installation does not provide for a protective earth conductor, disconnect the monitor from the
power line and operate it on battery power, if possible.
All devices of a system must be connected to the same power supply circuit. Devices which are not
connected to the same circuit must be electrically isolated when operated (electrically isolated
RS232 interface).
Protected Lead wires
Only use protected lead wires and patient cables with this monitor. The use of unprotected Lead
wires and patient cables creates the potential for making an electrical connection to ground or to a
high voltage power source which can cause serious injury or death to the patient.
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CAUTIONS
Accessories (Supplies)
To ensure patient safety, use only parts and accessories manufactured or recommended by
BIONET.
Parts and accessories used must meet the requirements of the applicable IEC 60601 series safety
standards and essential performance standards, and/or the system configuration must meet the
requirements of the 60601-1 medical electrical system standards.
Accessories (Equipment)
The use of ACCESORY equipment not complying with the equivalent safety requirements of this
equipment may lead to a reduced level of safety of the resulting system. Consideration relating to
the choice shall include: Use of the accessory in the PATIENT VICINITY; and Evidence that the
safety certification of the ACCESORY has been performed in accordance to the appropriate IEC
60601-1 and/or IEC 60601-1-1 harmonized national standard.
Accessories Connection
Accessory equipment connected to the analog and digital interfaces must be certified according to
the respective IEC standards (e.g. IEC 950 for data processing equipment and IEC 601-1 for
medical equipment). Furthermore all configurations shall comply with the system standard EN
60601-1-1:1993. Everybody who connects additional equipment to the signal input part or signal
output part configures a medical system, and is therefore responsible that the system complies with
the requirements of the system standard IEC 601-1-1:1993. If in doubt, consult the technical service
department or your local representative.
Battery Power
If a device equipped with an optional battery pack will not be used or not be connected to the power
line for a period of over six months, remove the battery.
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CAUTIONS
Before Installation
Compatibility is critical to safe and effective use of this device. Please contact your local sales or
service representative prior to installation to verify equipment compatibility.
Defibrillator Precaution
Patient signal inputs labeled with the CF and BF symbols with paddles are protected against
damage resulting from defibrillation voltages. To ensure proper defibrillator protection, use only the
recommended cables and lead wires.
Proper placement of defibrillator paddles in relation to the electrodes is required to ensure
successful defibrillation.
Disposables
Disposable devices are intended for single use only. They should not be reused as performance
could degrade or contamination could occur.
Disposal
All equipment and accessories must be disposed of in accordance with local and federal laws.
Electrocautery Precautions
To prevent skin burns, apply electrocautery electrodes as far as possible from all other electrodes, a
distance of at least 15 cm/6 in. is recommended.
EMF
Magnetic and electrical fields are capable of interfering with the proper performance of the device.
For this reason make sure that all external devices operated in the vicinity of the monitor comply with
the relevant EMF requirements. X-ray equipment or MRI devices are a possible source of
interference as they may emit higher levels of electromagnetic radiation.
Also, keep cellular phones to other telecommunications equipment away from the monitor.
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CAUTIONS
Instruction for Use
For continued safe use of this equipment, it is necessary that the instructions are followed.
However, instructions listed in this manual in no way supersede established medical practices
concerning patient care.
Loss of Data
Should the monitor at any time temporarily lose patient data, the potential exists that active
monitoring is not being done. Close patient observation or alternate monitoring devices should be
used until monitor function is restored.
If the monitor does not automatically resume operation within 60 seconds, power cycle the monitor
using the power on/off switch. Once monitoring is restored, you should verify correct monitoring
state and alarm function.
Maintenance
Regular preventive maintenance should be carried out annually (Technical inspections).
You are responsible for any requirements specific to your country.
MPSO
The use of a multiple portable socket outlet (MPSO) for a system will result in an enclosure leakage
current equal to the sum of all individual ground leakage currents of the system if there is an
interruption of the MPSO protective ground conductor. Do not use an additional extension cable with
the MPSO as it will increase the chance of the single protective earth conductor interruption.
Negligence
BIONET does not assume responsibility for damage to the equipment caused by improperly vented
cabinets, improper or faulty power, or insufficient wall strength to support equipment mounted on
such walls.
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NOTES
Power Requirements
Before connecting the device to the power line, check that the voltage and frequency ratings of the
power line are the same as those indicated on the unit’s label. If this is not the case, do not connect
the system to the power line until you adjust the unit to match the power source.
In U.S.A, if the installation of this equipment will use 240V rather than 120V, the source must be a
center-tapped, 240V, single-phase circuit.
Restricted Sale
U.S.A federal law restricts this device to sale by or on the order of a physician.
Supervised Use
This equipment is intended for use under the direct supervision of a licensed health care practitioner.
Ventilation Requirements
Set up the device in a location which affords sufficient ventilation. The ventilation openings of the
device must not be obstructed. The ambient conditions specified in the technical specifications must
be ensured at all times.
·Put the monitor in a location where you can easily see the screen and access the operating controls.
·This product is protected against the effects of cardiac defibrillator discharges to ensure proper
recovery, as required by test standards. (the screen may blank during a defibrillator discharge but
recovers within seconds as required by test standards.)
Reference Literature
Medical Device Directive 93/42/EEC
EN 60601-1/1990 +A1: 1993 +A2 : 1995 : Medical electrical equipment.
General requirements for safety
EN 60601-1-1/9. 1994 +A1 12.95: General requirements for safety.
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BM5 Operation Manual
CLEANING
Please follow the methods mentioned below to avoid unnecessary damage or contamination to the
Equipment.
In the event that harmful (unauthorized) materials are used for cleaning, the damaged or
contaminated Equipment shall not be serviced without charges regardless of warranty period.
Caution
Please check carefully the unit and sensors, after cleaning the Equipment. Do not use
any Equipment that is worn out or damaged
At least once a month, clean and wipe off the frame by using a soft cloth after wetting it with
lukewarm water and alcohol. Do not use lacquer, thinner, ethylene, or oxides, which could be
harmful to the Equipment.
Make sure both cables and accessories are free of dust or contaminants, and wipe them off with soft
cloth wetted with lukewarm water(40°C/104°F), and at least once a week, clean them by using
clinical alcohol.
Do not submerge the accessories in any liquid or detergent. Also, make sure no liquid penetrates
into the Equipment or probe.
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Caution
Always dispose of single use probes according to local procedures for handling biological
hazardous waste.
Caution
There is back-up battery on board inside system. Please dispose of only in accordance with
federal, state, and local laws.
CR2032 3.0Volt battery
Caution
Check the electrodes of batteries before changing them
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Classifications
The BM5 patient monitor is classified, according to IEC 60601-1 as:
Type of protection against
electric shock :
Degree of protection against
CF-ECG, Temp, Resp.
electric shock :
BF-NIBP, SpO2, EtCO2,
Degree of protection against
Ordinary equipment(enclosed equipment without
harmful ingress of water :
protection against ingress of water)
Degree of safety of
Not suitable
application in the presence
of a flammable anesthetic mixture
with air or with
oxygen or nitrous oxide :
II : Class II equipment
CF : Type CF applied part
BF : Type BF applied part
Not suitable : Equipment not suitable for use in the presence of flammable anesthetic
mixture with air or with oxygen or nitrous oxide.
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1.4 Components
Overview of the Product
BM5 monitor is a product used for monitoring the biological vital signs of an animal. Main functions
of the product include displaying information such as ECG, respiration, SpO2, NIBP and
temperature on its LCD screen and monitoring parameters, and alarming. It also prints out waves
and parameters via a printer.
Features of the Product
BM5 is the small-size multi-functional monitoring equipment for a patient designed for portability. It
features devices for auto power supply (DC 11V-16V) and DC power supply (DC 18V) as well as
installing its handle to the bed.
And, In case of using the optional capnography station, direct
AC(100~240V, 50/60Hz) input is available. The equipment also measures major parameters such as
ECG, SpO2, NIBP, IBP, EtCO2, temperature, respiration and pulse, displaying it on a 10.4-inch color
LCD screen. It also enables users to check waves and parameters and other vital signs of a patient
via the 58mm thermal printer and monitor the patient by the remote-controlled alarm system.
An optional central monitoring system is available by linking devices used for separate patients so
that one can monitor several patients at a time.
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Features of the Product
1. Main body of BM5 Monitor
1 EA
2. 3-Lead Patient Cable (3CBL-400,3WIRE-400)
1 EA
3. Disposable electrodes (ECGSENS-400)
10 EA
4. NIBP extension tube (3m, NBPCBL-400)
1 EA
5. Reusable Adult NIBP cuff (25-35 cm, ACUFF-400)
1 EA
6. SpO2 sensor extension cable (2m, SPCBL-400)
1 EA
7. Reusable SpO2 sensor (SPASENS-400)
1 EA
8. DC Power Adaptor with Power Cord (18VDC/2.5A, KA1803F52)
1 EA
9. Operator’s Manual
1 EA
Optional Products
1. Reusable Temperature Probe (Surface/Skin, TEMPSENS-400)
1EA
2. Thermal Printer (PRN-400)
1Set
3. Chart Paper (PAPER-400)
1EA
4. IBP Transducer Set (Disposable/Reusable)
1SET
5. EtCO2 Disposable Kit (Neonate/Pediatric/Adult, Intubated/Non-intubated) 1EA
6. Capnography Station(EtCO2)
1Set
Warning
In order to avoid electrical shock, do not open the cover. Disassembling of the equipment
should be done only by the service personnel authorized by Bionet Co., Ltd.
Warning
Users must pay attention on connecting any auxiliary device via LAN port or nurse calling.
Always consider about summation of leakage current, please check if the auxiliary device is
qualified by IEC 60601-1, or consult your hospital biomedical engineer
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Features of Main Body
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Equipment Symbols
ATTENTION :
Consult accompanying documents
TYPE CF APPLIED PART :
Insulated (floating) applied part suitable for intentional external and internal
application to the patient including direct cardiac application. "Paddles"
outside the box indicate the applied part is defibrillator proof.
Medical Standard Definition :
F-type applied part(floating/insulated) complying with the specified
requirements of IEC 60601-1/UL 2601-1/CSA 601.1
Medical Standards to provide a higher degree of protection against electric
shock than that provided by type CF applied parts.
TYPE BF APPLIED PART :
I Insulated (floating) applied part suitable for intentional external and
internal application to the patient excluding direct cardiac application.
"Paddles" outside the box indicate the applied part is defibrillator proof.
Medical Standard Definition :
F-type applied part (floating/insulated) complying with the specified
requirements of IEC 60601-1/UL 2601-1/CSA 601.1
Medical Standards to provide a higher degree of protection against electric
shock than that provided by type BF applied parts.
Equip potentiality
PRINTER
RS-232, Serial port
LAN port
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AUX CONNECTOR
DC INPUT INDICATOR
BATTERY OPERATION INDICATOR
DC INPUT CONNECTOR
NIBP
Temperature
Function
Power on
Power off
Respiration
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ECG
Heart Pulse
EtCO2 Gas Input
EtCO2 Gas Output
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1.5 OPERATION
Front Panel
The front panel of this product consists of an LCD screen and five function keys and one trim knob.
Control key
1. Power key Switches on and off the power.
2. Function Key Switches between internal screen and external monitor.
3. NIBP GO/STOP Key Manually completes measuring blood pressure when this key is
pressed with the cuff placed around the arm.
4. Printing GO/STOP Key Prints out the waves selected from the menu until the key is
pressed to stop.
5. ALARM Key Stops alarm sound.
First press stops the current alarm for one minute
Second press stops the all alarm for five minutes.
Third press makes the alarm back to the original setting.
6. Trim Knob Key
This key is used to select menu items by turning it clock or counterclockwise to
move cursors.
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1. THE BASICS
33
BM5 Operation Manual
Comment [dk1]: Fix Spelling error:
clock not clock
Fix spelling – should be clock not
clock
Replace
anticlockwise
counterclockwise
Rev 1.0
And replace anticlockwise with
counterclockwise
with
ALARM
PRINT:
OFF
ALARM
VOLUME:
50%
PREV
ALARM
ARRHYTH
MENU
LEVEL
LEVEL
MAIN
ALL
MENU
LIMITS
1. THE BASICS
34
BM5 Operation Manual
1.6 POWER ON
DC POWER
DC Power LED is lighted on when the DC Power is plugged into the inlet at the back of the product.
A press of power key makes the machine ready for use.
In case of adding Capnography Station
In case of adding Capnography Station, AC power (100~240Vac, 50/60Hz) can be provided with the the
equipment directly, since the power supply function is built into the Capnography Station.
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1. THE BASICS
35
BM5 Operation Manual
Note
If the DC Power adaptor is connected to the equipment, the green DC LED indicator is turned
on. Through this indication, you can check the status of power supply to the equipment.
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1. THE BASICS
36
BM5 Operation Manual
1.7 BATTERY POWER ON
Power can be supplied by battery, enabling a portable use or a use during DC/AC power failure.
Operation
Battery Power LED is lighted on when the machine is in use.
1. Battery power lasts normally one to two hours.
2. Battery is automatically charged when the machine is
connected to DC Power Supply.
Battery LED is lighted on after blinking.
3. As for the battery, GP220AAH(12V-2200mAh, NiMH) of
GP Batteries is recommended.
4. Battery condition is displayed on the screen in the following 10 images
Battery Information: SDI18653S1PMXZ(11.1V - 2400mA, Li-ion) for Main Body
SDI18653S2PMXZ (11.1V - 4800mA, Li-ion) for Capnography Station
SDI18653S1PMXZ(11.1V - 2400mA, Li-ion)
Rev 1.0
SDI18653S2PMXZ (11.1V - 4800mA, Li-ion)
1. THE BASICS
37
BM5 Operation Manual
5. When the battery power is low, the message of ‘Low Battery’ is displayed. The power is
automatically cut off after 5 minutes from the appearance of the message.
Warning
Check the electrodes of batteries before changing them
6. Battery condition : In case of disconnection or damage on battery, the indication appears as below.
7. Automotive Power
“CAR” appears rather than the battery symbols when the
vehicle power (12V~16V) is used.
CAR
Display of automobile power
Caution
Battery is not charged while the automobile power is used.
In this case, the battery condition is not indicated.
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1. THE BASICS
38
BM5 Operation Manual
1.8 User Interface Features
Features of Screen
Real-Time wave window: Displays measured results in up to three waves.
Menu select windows: Menus appear when they are activated.
Parameter windows: Measured and setup data are displayed in five windows.
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1. THE BASICS
39
BM5 Operation Manual
Selection of Menu
When the Trim Knob Key is turned, menus are selected in the order indicated above. The above
screen shows that the MORE menu is selected. The menus move to the right in the order of
MORE MENU -> ECG -> SpO2 -> RESP -> NIBP -> TEMP. An inactivated window is not displayed.
Features of Menu
MORE Menu Window
One can set up or change functions by selecting “More”menu.
MAIN
ALARM
ADMIT
TREND
MENU
SETUP
Rev 1.0
1. THE BASICS
40
BM5 Operation Manual
Parameter Window
This window displays a measured parameter, function setup, and the boundary of parameter values.
Selection of Menu by Using Trim Knob Key
A right-hand turn makes a movement in a clockwise direction.
A left-hand turn makes a movement in an counterclockwise direction.
A selection is made by pressing the Trim Knob Key.
ALARM
PRINT:
OFF
ALARM
VOLUME:
50%
PREV
ALARM
ARRHYTH
MENU
LEVEL
LEVEL
MAIN
ALL
MENU
LIMITS
Selection of Menu with Arrows
Upward Movement: Turns the Trim Knob Key to the left.
Downward Movement: Turns the Trim Knob Key to the right.
Selection is made by pressing the Trim Knob Key. One comes out of the menu after the selection.
MAIN
MENU
WAVE
FORM2:
OFF
> OFF
SPO2
RESP
WAVE
FORM1:
ECG II
PREV
MENU
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1. THE BASICS
41
BM5 Operation Manual
Word String Menu
The following figure shows the screen where the word sequence menu is activated within the
word sequence correction menu. Here, the cursor moves over the words when the Trim Knob
Key is turned in the clockwise direction.
MAIN
MENU
SET
UNIT
NAME
PREV
MENU
MAIN
MENU
SET
UNIT
NAME
PREV
MENU
The above figure shows how the cursor moves on the screen. The cursor moves according
to the direction the Trim Knob Key is turned. Press the Trim Knob Key if you want to change
a letter currently on the screen.
MAIN
MENU
SET
UNIT
NAME
A
PREV
MENU
The above figure shows how the cursor is selected to change a letter. Right-hand turning of the Trim
Knob Key makes it possible to select in the order of 0-9, A-Z, and a blank, while left turning makes
the movement in the opposite direction.
Once a letter or a number is selected, the screen comes back to the condition where the same
Rev 1.0
1. THE BASICS
42
BM5 Operation Manual
process of selection can be made. One may move to the menu item in the left of the screen to end
the process, which is completed by pressing Trim Knob Key. After completion, the screen comes
back to the earlier picture.
Square Selection Menu
Whenever the square moves, a selected letter or a number is highlighted displaying its value.
ALARM
VOLUME:
20%
MAIN
MENU
OFF
10%
> 20%
30%
40%
50%
PREV
MENU
60%
70%
80%
90%
100%
Operation Menu
The set up value changes without a selection when the menu is moved.
ALARM
PRINT:
ON
ALARM
VOLUME:
50%
PREV
ALARM
ARRHYTH
MENU
LEVEL
LEVEL
MAIN
ALL
MENU
LIMITS
ALARM
PRINT:
OFF
ALARM
VOLUME:
50%
PREV
ALARM
ARRHYTH
MENU
LEVEL
LEVEL
MAIN
ALL
MENU
LIMITS
Rev 1.0
1. THE BASICS
43
2. MORE MENU
2.1 ALARM
ALL LIMITS
ALARM PRINT
ALARM VOLUME
ALARM LEVEL
ARRHYTH LEVEL
2.2 ADMIT
CHANGE ADMIN INFO
DISCHARGE
HEIGHT
WEIGHT
2.3 TREND
GRAPHIC TREND
TABULAR TREND
2.4 SETUP
DISPLAY
USER SERVICE
MAKER SERVICE
BM5 Operation Manual
Additional setups are made for each parameter function. One can make an overall setup for the
entire monitor system.
ALARM : Sets up information for all alarms of each parameter.
ADMIT : Corrects or sets up information of each patient.
TREND : Enables to store waves of each parameter, and see them by times.
SETUP : Sets up system functions such as time, date, color, AC filter, etc.
MAIN
ALARM
ADMIT
TREND
MENU
SETUP
Rev 1.0
2. MORE MENU
47
BM5 Operation Manual
2.1 ALARM
Alarm is divided into two types, alarm for the patient’s condition and alarm for the product’s condition.
The patient’s alarm sounds when the diagnostic functions (ASYSTOLE, VTAC/VFIB, VTAC) are
detected. Each alarm sound differs in order and volume according to the levels of HIGH, MEDIUM,
LOW, MESSAGE.
Alarm
HIGH
-5
≡
MEDIUM
-3
≡
Alarm
≡
text
LOW
-1
≡
Alarm
≡
text
≡
Alarm
≡
text
MESSAGE
text
≡
: Alarm sound
≡ Alarm text ≡ : Number flashes
: Waves are printed out
: Alarm Lamp blinking
Alarm for the Product
The machine gives alarm sounds for its system with a related message flashing.
LOW
Rev 1.0
-1
≡
Alarm Text
≡
2. MORE MENU
48
BM5 Operation Manual
ALL LIMITS
The machine enables one to see and change the limits of alarm for all parameter functions.
ALL LIMITS
> RETURN
UNITS
LOW
HIGH
BPM
50
150
%
90
100
SPO2-R
BPM
50
150
RESP
RPM
10
30
RESP-A
SEC
0
20
NIBP-S
mmHg
80
200
NIBP-M
mmHg
40
140
NIBP-D
mmHg
20
120
30.0
42.0
ALARM
PRINT:
OFF
ALARM
VOLUME:
OFF
PREV
ALARM
ARRHYTH
MENU
LEVEL
LEVEL
HR
SPO2
TEMP
Rev 1.0
MAIN
ALL
MENU
LIMITS
2. MORE MENU
49
BM5 Operation Manual
ALARM PRINT
With an ON/OFF setup, the related information is printed out whenever an alarm is given.
LIMITS
ALARM
PRINT:
OFF
ALARM
VOLUME:
OFF
PREV
NUESE CALL:
ALARM
ARRHYTH
MENU
OFF
LEVEL
LEVEL
MAIN
ALL
MENU
ALARM VOLUME
Volume of each alarm can be adjusted in 10 steps.
MAIN
MENU
ALARM
VOLUME:
50%
OFF
10%
20%
30%
40%
PREV
MENU
Rev 1.0
60%
70%
80%
90%
100%
>50%
2. MORE MENU
50
BM5 Operation Manual
ALARM LEVEL
Priority of each parameter alarm can be set up.
PARAMETER ALARM LEVELS
> RETURN
Rev 1.0
ALARM LEVEL
HR
MEDIUM
NIBP
MEDIUM
SPO2
LOW
RESP
MESSAGE
RESP-A
MESSAGE
TMEP
MESSAGE
SPO2-R
MESSAGE
LIMITS
ALARM
PRINT:
OFF
ALARM
VOLUME:
OFF
PREV
NURSE CALL:
ALARM
ARRHYTH
MENU
OFF
LEVEL
LEVEL
MAIN
ALL
MENU
2. MORE MENU
51
BM5 Operation Manual
ARRHYTH ALARM LEVEL
One can set up priorities when he or she uses the alarm for the diagnostic function.
ARRHYTHMIA ALARM LEVELS
> RETURN
Rev 1.0
ALARM LEVEL
ASYSTOLE
HIGH
VTAC / VFIB
HIGH
VTAC
HIGH
ALARM
PRINT:
OFF
ALARM
VOLUME:
OFF
PREV
ALARM
ARRHYTH
MENU
LEVEL
LEVEL
MAIN
ALL
MENU
LIMITS
2. MORE MENU
52
BM5 Operation Manual
2.2 ADMIT
ADMIT menu is used to register and unregister the patient. In this menu, you can save and delete the patient’s
information and change the unit of weight and height. You must admit a patient to save the measured data to
the equipment. And, you must discharge the patient when you finish monitoring the patient, cause the
caregiver may be confused with the remaining data measured from the previous patient.
CHANGE ADMIT INFO
In this function one can set up information of a patient including LAST and FIRST NAMES
(up to 11 letters each), SEX (MALE, FEMALE), DATE OF BIRTH, WEIGHT, HEIGHT, and
PATIENT ID (up to 11 digit numbers).
CHANGE ADMIT INFORMATION
> RETURN
ALARM LEVEL
LAST NAME
FIRST NAME
PATIENT ID
SEX
MALE
BIRTH DATE
1 – JAN – 2000
AGE
0
HEIGHT
160.0 CM
WEIGHT
50.0 KG
CHANGE
ADMIT
INFO
MAIN
MENU
Rev 1.0
PREV
HEIGHT:
WEIGHT:
MENU
CM
KG
DISCHARGE
2. MORE MENU
53
BM5 Operation Manual
ADMIT
It operates the trend and alarm functions in discharge status.
You must set the status of ADMIT to YES before measuring new patient. Under this status, the measured data
is stored to the equipment.
CHANGE
ADMIT
INFO
MAIN
MENU
PREV
HEIGHT:
WEIGHT:
MENU
CM
KG
MAIN
ADMIT
ADMIT
MENU
> NO
YES
PREV
HEIGHT:
MENU
CM
DISCHARGE
After you finish the measurement, you must set the status of DISCHAGE to YES to delete all
measured data from the equipment.
Patient’s information and all set up values are changed to basic values. And, the message
“ALL ALARMS OFF ADMIT PATIENT TO ACTIVE ALARMS” is displayed on the screen.
CHANGE
ADMIT
INFO
MAIN
MENU
Rev 1.0
PREV
HEIGHT:
WEIGHT:
MENU
CM
KG
DISCHARGE
2. MORE MENU
54
BM5 Operation Manual
MAIN
DISCHARGE
MENU
> NO
YES
PREV
HEIGHT:
MENU
CM
HEIGHT
Patient’s height is set up in the units of Cm/Inches.
CHANGE
ADMIT
INFO
MAIN
MENU
PREV
HEIGHT:
WEIGHT:
MENU
CM
KG
DISCHARGE
WEIGHT
The patient’s weight is set up in the units of Kg/LBS.
CHANGE
ADMIT
INFO
MAIN
MENU
Rev 1.0
PREV
HEIGHT:
WEIGHT:
MENU
CM
KG
DISCHARGE
2. MORE MENU
55
BM5 Operation Manual
2.3 TREND
TREND is stored in Wave Data and Numerical Data.
Storage is made within 1 minute and the capacity of data storage is 24 hours.
VIEW OLDER : Moved to the earlier data
VIEW NEWER : Moved to the new data
PAGE DOWN : Moved to a different parameter
PAGE UP : Moved to a different parameter
GRAPHIC TREND
Wave Data can be stored and seen according to sections.
GRAPHIC TREND
31-JAN-2099 23:30
100
HR
30
22:00
Rev 1.0
22:10
23:20
MAIN
VIEW
VIEW
MENU
OLDER
NEWER
PREV
PAGE
PAGE
MENU
DOWN
UP
TIME
PERIOD:
30MINS
2. MORE MENU
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BM5 Operation Manual
TIME PERIOD
Select a time period for viewing the displayed trends.
GRAPHIC TREND
31-JAN-2099 23:30
300
HR
20
22:00
Rev 1.0
22:10
MAIN
VIEW
MENU
OLDER
PREV
PAGE
MENU
DOWN
23:20
TIME
PERIOD
30MINS
> 30MINS
60MINS
90MINS
3HRS
6HRS
12HRS
2. MORE MENU
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BM5 Operation Manual
TABULAR TREND
One can see the stored data in the time interval previously set up.
TABULAR TREND
31-JAN-2099
24:30
31-JAN
22:00
31-JAN
31-JAN
31-JAN
31-JAN
22:30
23:00
23:30
24:00
HR
120
125
130
130
130
SPO2
95
90
90
90
90
SPO2-R
120
125
125
125
125
RESP
10
15
20
25
25
NIBP-S
80
85
90
90
90
NIBP-M
40
45
50
50
50
NIBP-D
20
26
30
35
35
36.5
36.5
36.5
36.5
36.5
TEMP
ALARM
MAIN
VIEW
VIEW
MENU
OLDER
NEWER
TIME
PERIOD:
30MINS
PREV
MENU
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2. MORE MENU
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BM5 Operation Manual
TIME PERIOD
Select TIME PERIOD to choose the time interval between each of the displayed columns of data.
TABULAR TREND
31-JAN-2099
24:30
31-JAN
22:00
31-JAN
31-JAN
31-JAN
31-JAN
22:30
23:00
23:30
24:00
HR
120
125
130
130
130
SPO2
95
90
90
90
90
SPO2-R
120
125
125
125
125
RESP
10
15
20
25
25
NIBP-S
80
85
90
90
90
NIBP-M
40
45
50
50
50
NIBP-D
20
26
30
35
35
36.5
36.5
36.5
36.5
36.5
TEMP
ALARM
MAIN
VIEW
MENU
OLDER
TIME
PERIOD:
30MINS
1MIN
5MINS
15MINS
PREV
MENU
Rev 1.0
> 30MINS
1HR
2. MORE MENU
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BM5 Operation Manual
2.4 SET UP
DISPLAY
It is a menu required to set up a display.
PRINTER
A menu used to set up the function of printer. (More details in Chapter 8)
USER SERVICE
A menu used to set up the name of device and detail.
MAKER SERVICE A menu used to set up the product’s default value.
MAIN
MENU
DISPLAY
USER
PRINTER
SERVICE
PREV
DEMO:
MAKER
MENU
OFF
SERVICE
DISPLAY
: Selects the parameter to be displayed on the screen.
SET PARA
: Sets up or corrects wave speed.
SET SWEEP
: Sets up or corrects time.
SET TIME
COLOR SELECT
: Sets up or corrects date.
SET DATE
MAIN
SET
SET
MENU
PARA
TIME
PREV
MENU
Rev 1.0
: Selects the color of waves.
COLOR
SELECT:
COLOR
SET
DATE
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BM5 Operation Manual
SET PARA
One can select the parameters to be displayed on the screen.
PARAMETER WINDOW SET
> RETURN
WINDOW ON/OFF
ECG
ON
SPO2
ON
RESP
ON
NIBP
ON
TEMP
ON
MAIN
SET
SET
MENU
PARA
TIME
COLOR
SELECT:
COLOR
PREV
MENU
SET
DATE
SET SWEEP
You can control the speed of waves displayed on screen. Default is 25mm/s.
MAIN
SET
MENU
PARA
PREV
SET
SWEEP
25mm/s
> 6.25mm/s
12.5mm/s
25mm/s
50mm/s
MENU
Rev 1.0
2. MORE MENU
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BM5 Operation Manual
SET TIME
MAIN
SET
MENU
TIME
10 : 58 : 01
PREV
MENU
COLOR SELECT
One can select a wave color from GREEN/COLOR.
MAIN
SET
SET
MENU
PARA
TIME
COLOR
SELECT:
GREEN
PREV
MENU
SET
DATE
SET DATE
MAIN
SET
MENU
DATE
06-DEC-2001
PREV
MENU
Rev 1.0
2. MORE MENU
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BM5 Operation Manual
USER SERVICE
The user can set up the device name, bed number and patient’s type(adult/neonate).
MAIN
MENU
SET
UNIT
NAME
PREV
MENU
SET
BED
NUMBER
SYSTEM
AC
FILTER:
60HZ
ADMIT
TYPE:
ADT
SET UNIT NAME
Input the unit name of a patient.
SET BED NUMBER
Input the bed number
SYSTEM
Confirm software version and change IP address
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BM5 Operation Manual
AC FILTER
The user may need to set up a value required to eliminate noise that might occur from the
differences of frequency. (Default frequency is 50Hz and 60Hz.)
MAIN
MENU
SET
UNIT
NAME
PREV
MENU
SET
BED
NUMBER
SYSTEM
AC
FILTER:
50HZ
ADMIT
TYPE:
ADT
ADMIT TYPE
Configure the environment of the device in discharge status.
ADT : ADULT
NEO : NEONATE
MAKER SERVICE
A menu used by the manufacturer of the product.
Rev 1.0
2. MORE MENU
64
3. ECG
3.1 Introduction
Position of ECG Connector and Probe Cable
How to Attach the Electrode
Position of 5 and 3 Lead
3.2 ECG Parameter Window
3.3 ECG Parameter Setting Menu
LEAD SELECT
ALARM LIMIT
QRS VOLUME
ECG SIZE
ANALYSIS SETTING
BM5 Operation Manual
3.1 INTRODUCTION
It calculates the heart rate with 3 or 5 leads ECG signal acquisition and performs the alarm
according to the setting limit.
Colors and Standards of Cables
AHA
AHA
IEC
IEC
Color code
Label
Color code
Label
Right arm
White
RA
Red
R
Left arm
Black
LA
Yellow
L
Right leg
Green
RL
Black
N
Left leg
Red
LL
Green
F
V1(precordial)
Brown
V(V1)
White
C(C1)
Leadwire
AHA American Heart Association (U.S.A. Standard)
IEC International Electro technical Commission (European Standard)
Position of ECG Connector and Probe Cable
ECG Connector
& Cable
Rev 1.0
3. ECG
68
BM5 Operation Manual
Note
The signal input is a high-insulation port and it is defibrillator proof
Note
The maintenance is performed every 3 months
Note
Don’t use this device with high frequency surgical equipment
The insulated input ensures patient safety and protects the device during defibrillation and electro
surgery.
Use only the electrodes listed in the SEC 12. SPECIFICATION “Accessories - BM5”.
Electrodes for diagnostic use may vastly compromise recovery time and stability after defibrillation.
Do not connect any electrode to metal parts or ground.
Rev 1.0
3. ECG
69
BM5 Operation Manual
How to attach the electrode
1. Electrodes have been placed on the patient following proper skin preparation.
Note
When using “snap” leadwires, attach leadwires to electrodes first, then apply electrode to the
patient. This prevents the gel from spreading and becoming ineffective as you attach the snaps
to the electrodes
2. Lead wires are attached to electrodes in the patient.
Note
Shall use only the CE certified disposable electrode
3. Lead wires are connected to patient cable and patient cable is connected to the monitor.
4. Verify the V-lead label is correct if using a 5-leadwire patient cable.
5. ECG setup is adjusted, if necessary. Follow detailed procedures within this chapter.
Rev 1.0
3. ECG
70
BM5 Operation Manual
Position of 5-Lead
Position of 3-Lead
Rev 1.0
3. ECG
71
BM5 Operation Manual
Position of the NEONATAE Electrode
Rev 1.0
3. ECG
72
BM5 Operation Manual
3.2 ECG Parameter Window
Note
ECG Wave Display is always on when the cable is connected
Rev 1.0
3. ECG
73
BM5 Operation Manual
3.3 ECG Parameter Setting Menu
A setup window appears at lower part of the screen when the Trim Knob Key is pressed in the ECG
Parameter Window.
Selection is made by pressing the Trim Knob Key, while movement across the menu is performed by
turning the key either clock or counterclockwise.
MAIN
MENU
LEAD
SELECT:
ALARM
LIMIT
II
ECG
SIZE
X1
QRS
VOLUME:
OFF
ANALYSIS
SETTING
LEAD SELECT
Selection for display is made from channels from I to V
MAIN
MENU
LEAD
SELECT:
LEAD II
I
>II
III
Rev 1.0
by moving the Key left or right
aVR
aVL
aVF
V
3. ECG
74
BM5 Operation Manual
ALARM LIMIT
1. Move the
mark to select RETURN or HR, and press.
2. If pressed at HR, move to LOW, and press.
3. Checking the color changing, move right or left to select the value to set up, and press.
4. Press at HIGH. Checking the color changing, move again to select the value to set up,
and press. Move to HR, and press again. (You may decide to perform in the LOW →HIGH
order, which produces same result.)
5. Select RETURN to get out of the window.
ECG ALARM LIMIT
> RETURN
HR
UNITS
LOW
HIGH
BPM
50
150
ALARM
QRS
VOLUME:
OFF
MAIN
LEAD
SELECT:
MENU
II
ECG
SIZE
X1
Rev 1.0
LIMIT
ANALYSIS
SETTING
3. ECG
75
BM5 Operation Manual
QRS VOLUME
Move the KEY to select a volume rate from OFF to 100%, and press. After selection, the
user can get out of the window.
MAIN
MENU
QRS
VOLUME:
OFF
> OFF
10%
20%
30%
40%
60%
70%
80%
90%
100%
50%
ECG SIZE
ECG SIZE can be selected from X0.5, X1, X2 and X4. Press the key at the desired value in MENU.
MAIN
MENU
ECG
SIZE:
X1
X 0.5
>X1
QRS
VOLUME:
OFF
X2
X4
ANALYSIS
SETTING
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3. ECG
76
BM5 Operation Manual
ANALYSIS SETTING
If one selects ANALYSIS SETTING, there appears three menus.
ECG FILTER : One may select from three frequency types for WAVE FILTER.
MONITOR 0.5Hz ~ 40Hz
MODERATE 0.5Hz ~ 25Hz
MAXIMUM 5Hz ~ 25Hz
MAIN
MENU
ECG
FILTER:
MONITOR
> MONITOR
MODERATE
MAXIMUM
PREV
MENU
PACE
ARRHYTH
Rev 1.0
: Sets up ON/OFF to indicate that the patient has a pacemaker.
: Sets up ON/OFF to indicate detection of diagnosis (Asys, VTAC/VFIB and VTAC).
3. ECG
77
BM5 Operation Manual
WARNINGS
FALSE CALLS
False low heart rate indicators or false a systole calls may result with certain pacemakers because
of electrical overshoots.
MONITERING PACEMAKER PATIENTS
Monitoring of pacemaker patients can only occur with the pace program activated.
PACEMAKER SPIKE
An artificial pacemaker spike is displayed in place of the actual pacemaker spike.
All pacemaker spikes appear uniform. Do not diagnostically interpret pacemaker spike size and
shape.
PATIENT HAZARD
A pacemaker pulse can be counted as a QRS during a systole in either pace mode. Keep
pacemaker patients under close observation.
RATE METERS
Keep pacemaker patients under close observation. Rate meters may continue to count the
pacemaker rate during cardiac arrest and some arrhythmias. Therefore, do not rely entirely on rate
meter alarms.
Rev 1.0
3. ECG
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BM5 Operation Manual
CAUTION
FDA POSTMARKET SAFETY ALERT
The United States FDA Center for Device and Radiological Health issued a safety bulletin October
14, 1998. this bulletin states “that minute ventilation rate-adaptive implantable pacemakers can
occasionally interact with certain cardiac monitoring and diagnostic programmed rate.”
The FDA further recommends precautions to take into consideration for patients with these types of
pacemakers. These precautions include disabling the rate responsive mode and enabling an
alternate pace mode. For more information contact:
Office of Surveillance and Biometrics, CDRH, FDA
1350 Packard Drive, Mail Stop HFZ-510 Rockville, MD 20850 U.S.A
NOTE
ECG monitoring with patients in non-invasive trans coetaneous pacemakers may not be possible
due to large amounts of energy produced by these devices. Monitoring ECG with an external device
may be needed.
Rev 1.0
3. ECG
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BM5 Operation Manual
WARNINGS
VENTRICULAR ARRHYTHMIAS
The arrhythmia analysis program is intended to detect ventricular arrhythmias. It is not designed to
detect a trial or supra ventricular arrhythmias. Occasionally it may incorrect identify the presence or
absence of an arrhythmia. Therefore, a physician must analyze the arrhythmia information in
conjunction with other clinical findings.
SUSPENDED ANALYSIS
Certain conditions suspend arrhythmia analysis. When suspended, arrhythmia conditions are not
detected and alarms associated with arrhythmias do not occur. The messages which alert you to the
conditions causing suspended arrhythmia analysis are : ARR OFF, ARRHYSUSPEND, LEADS FAIL,
ALARM PAUSE, ALL ALARMS OFF, and DISCHARGED.
Trouble shooting
Problem :
Inaccurate heart rate and/or false a systole
Solution :
Check ECG signal from patient:
1. Check/adjust lead placement.
2. Check/perform skin preparation.
3. Check/replace electrodes.
Check amplitude of ECG waveform:
1. Select ECG parameter label.
2. Select DISPLAY LEAD.
3. Scroll through all ECG leads and check for 0.5mV amplitude at normal (1X) size. (at least
0.5mV amplitude is required for QRS detection.) for borderline signals, validate on a graph.
4. If amplitudes are low, electrodes may need to be repositioned or replaced.
Rev 1.0
3. ECG
80
BM5 Operation Manual
Problem :
False ventricular calls
Solution :
Check ECG signal from patient: (the chest lead may exhibit polarity changes which may
occasionally cause an inaccurate call.)
1. Check/adjust lead placement.
2. Check/perform skin preparation.
3. Check/replace electrodes. (if chest lead is a problem, move the chest lead to another
chest position or leg position.)
Problem :
Inaccurate pacemaker detection
Solution :
Use pacemaker processing:
1. Select ECG parameter label.
2. Display the lead of ECG with the greatest amplitude in the top waveform position.
3. Select ANALYSIS SETTINGS.
4. Select DETECT PACE.
Rev 1.0
3. ECG
81
4. SpO2
4.1 Introduction
Position of SpO2 Connector and Probe Cable
4.2 SpO2 Parameter Window
4.3 SpO2 Parameter setting Menu
ALARMLIMIT
RATE VOLUME
BM5 Operation Manual
4.1 INTRODUCTION
It performs alarm function according to the setting value, detecting SpO2 in the way of transmitting
the red and infrared rays into the capillary vessel to take the pulsation.
It performs automatic calibration on POWER ON.
The measurement method is fractional saturation.
Position of SpO2 Connector and Probe Cable
SpO2 connector
SpO2 Sensor &
Extension Cable
The recommended application time for continual probe use is 3 days. After this time, remove and
clean probe. The material of the finger probe is non-toxic.
The wavelength and the energies of the light are safe.
We made functional safety tests(include alarm) according to EN 865
Rev 1.0
4. SpO2
84
BM5 Operation Manual
4.2 SpO2 Parameter Window
Note
SPO2 WAVE SIZE is changed automatically
Caution
Waveforms and measurements are affected by strong electromagnetic interference.
Rev 1.0
4. SpO2
85
BM5 Operation Manual
4.3 SpO2 Parameter setting Menu
ALARM LIMIT Menu in which SpO2 limits are set up
RATE VOLUME Menu in which RATE VOLUME is set up
MAIN
ALARM
MENU
LIMIT
RATE
VOLUME:
OFF
RATE VOLUME
Move the KEY to select the volume from OFF to 100%.
When the SPO2 volume rate is set, it turns OFF automatically.
MAIN
MENU
PREV
MENU
Rev 1.0
RATE
VOLUME:
OFF
> OFF
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
4. SpO2
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BM5 Operation Manual
ALARM LIMIT
1. Move the
mark to select from RETURN, SpO2 or SpO2-R, and press.
2. After pressing at SpO2, move the cursor right or left to LOW, and press.
3. Once the color is changed, move the cursor again to the selected value and press.
4. Place the cursor to HIGH and press, when the color changes, move the cursor again to select the
targeted value, and press. Finally move to SpO2 and press.
(You may decide to perform the process in the opposite order, LOW to HIGH, to have the same
result.)
5. After pressing at SpO2-R, move the cursor right or left to LOW, and press.
6. Once the color is changed, move the cursor again to the selected value and press.
7. Place the cursor to HIGH and press, when the color changes, move the cursor again to select the
targeted value, and press. Finally move to SpO2-R and press.
8. With the selection of RETURN the user gets out of the menu.
SPO2 ALARM LIMIT
> RETURN
UNITS
LOW
HIGH
%
90
100
SPO2-R
BPM
50
150
MAIN
ALARM
MENU
LIMIT
SPO2
Rev 1.0
RATE
VOLUME:
OFF
4. SpO2
87
5. RESPIRATION
5.1 Introduction
Position of RESPIRATION Connector and Probe Cable
5.2 RESPIRATION Parameter Window
5.3 RESPIRATION Parameter Setting Menu
ALARM LIMIT
RESP SIZE
BM5 Operation Manual
5.1 INTRODUCTION
Respiration via ECG Lead II electrode makes the skin area of the chest enlarged, causing
changes in the resistance of skin. Through this it calculates respiration value per minutes
and performs the alarm function according to limit value.
Position of
Detected
Lead II
Position of Respiration Connector and Probe Cable
Respiration
Connector
Respiration
Probe Cable
Rev 1.0
5. RESPIRATION
90
BM5 Operation Manual
5.2 Respiration Parameter Window
Rev 1.0
5. RESPIRATION
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BM5 Operation Manual
5.3 Respiration Parameter Setting Menu
: Menu to set up alarm during respiration limit
Alarm Limit
Respiration Speed : Menu to set up Wave Display
Respiration Size
MENU
: Menu to set up Wave Display
RESP
SIZE:
X2
ALARM
LIMIT
Respiration Size
The user sets up the size of waves from X2 to X10. Once selection is made by moving the
cursor, the user gets out of the menu.
MENU
ALARM
LIMIT
Rev 1.0
RESP
SIZE :
X2
> X2
X4
X6
X8
X 10
5. RESPIRATION
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BM5 Operation Manual
ALARM LIMIT
1. Move the
mark to select RETURN, RESP or RESP-A, and press.
2. After a press in RESP, move the cursor right or left to LOW, and press.
3. After the color changed, move the cursor right or left to the selected value, and press.
4. Place the cursor to HIGH, and press. When the color has changed, move the cursor again to
select the value, and press. Move to the RESP and press again. (You may decide to perform the
process in the opposite order, LOW to HIGH, to have the same result.)
5. Once RESP-A is pressed, move to LOW and press.
6. When the color has changed, move the cursor to select the value, and press.
7. A press in the HIGH position, the color changes. Then move the cursor to select the value and
press. Move again to RESP-A, and press.
8. Select RETURN to get out of the window.
RESP ALARM LIMIT
> RETURN
UNITS
LOW
HIGH
RESP
BPM
10
30
RESP-A
SEC
0
20
MAIN
ALARM
MENU
LIMIT
RESP
SIZE:
X2
CHANGE
EtCO2
CHANGE EtCO2
When CAPNOGRAPHY STATION is equiped, this menu is used to change the measurement mode
from Respiration to EtCO2.
Rev 1.0
5. RESPIRATION
93
6. NIBP
6.1 Introduction
Position of NIBP Connector and CUFF
6.2 NIBP Parameter Window
6.3 NIBP Parameter setting Menu
ALARM LIMIT
CUFF SIZE
INTERVAL TIME
BM5 Operation Manual
6.1 INTRODUCTION
WARNING
Noninvasive blood pressure monitoring is not recommended for patients with hypotension,
hypertension, arrhythmias or extremely high or low heart rate. The software algorithm cannot
accurately compute NIBP on patients with these conditions
Automatic noninvasive blood pressure monitoring uses the oscillometric method of measurement.
This function is to measure minimum, maximum and average blood pressure by using air pressure.
Position of NIBP Connector and CUFF
NIBP connector
NIBP CUFF
Rev 1.0
6. NIBP
96
BM5 Operation Manual
Note
As the value of NIBP can vary according to the age and sex of a patient, the user
needs to set up right data in parameter Menu before measurement. Make sure that
tubes between the cuff and the monitor are not kinked or blocked.
The air pad should be exactly over the branchial artery. Tubing is immediately to the
right or left of the branchial artery to prevent kinking when elbow is bent.
The maintenance is performed every 2 years.
Check the following list so that devise operates properly and safely at all times.
1. Check for proper cuff size.
2. Check for residual air left in the cuff from a previous measurement.
3. Make sure cuff is not too tight or too loose.
4. Make sure cuff and heart are at same level, otherwise hydrostatic pressure will offset the NIBP
value.
5. Minimize patient movement during measurement.
6. Watch for pulses paradox us.
7. Check for leak in cuff or tubing.
8. Patient may have a weak pulse.
Rev 1.0
6. NIBP
97
BM5 Operation Manual
6.2 NIBP Parameter Window
The text in the graphic does not
describe the NIBP button
POWER OFF
When power is cut off during pressure, air runs out of the CUFF automatically.
Rev 1.0
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BM5 Operation Manual
6.3 NIBP Parameter Setting Menu
ALARM LIMIT : Used to set up an alarm limit
CUFF SIZE
INTERVAL
: Used to select a CUFF SIZE
: Used to select intervals of blood pressure
MAIN
ALARM
MENU
LIMIT
CUFF
SIZE:
ADT
INFLATION
SET:
170mmHg
INTERVAL:
OFF
ALARM LIMIT
1. Move the
mark to select one from RETURN, NIBP-S, NIBP-M, or NIBP-D, and press.
2. Press the key at NIBP-S, and move to LOW, and press again.(The user gets the same result
regardless of the LOW-HIGH, or HIGH-LOW order.)
3. When the color has changed, move it again to select a target value, and press.
4. Press the key at HIGH. When the color has changed, move to the right to select a target value,
and press.
5. Set up or revise the values of NIBP-M and NIBP in the same way as above.
6. With the selection of RETURN, the user can get out of the window.
NIBP ALARM LIMIT
Rev 1.0
> RETURN
UNITS
LOW
HIGH
NIBP-S
mmHg
80
200
NIBP-M
mmHg
40
140
NIBP-D
mmHg
20
120
6. NIBP
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BM5 Operation Manual
MAIN
ALARM
MENU
LIMIT
CUFF
SIZE:
ADT
INFLATION
SET:
170mmHg
INTERVAL:
OFF
CUFF SIZE
The user can select a CUFF between ADULT, PEDIATRIC and NEONATAL.
MAIN
ALARM
MENU
LIMIT
CUFF
SIZE :
ADT
>
ADT
PED
NEO
INFLATION SET(
)
The user can set the inflation pressure before measuring NIBP. You can provide the patient with more
comfortable feeling and shorter measurement time, if you use this function.
And, the available setting ranges are different according to the patient type.
ADT (ADULT) MODE: 80, 100, 120, 140, 160, 180, 200, 220, 240 mmHg
PED (PEDIATRIC) MODE: 80, 100, 120, 140, 160, 180, 200 mmHg
NEO (NEONATE) MODE: 60, 80, 100, 120 mmHg
The default set values are followed.
ADT: 160mmHg
PED: 100mmHg
NEO: 80mmHg
INTERVAL TIME
This menu is used for selecting intervals for the measurement of blood pressure by using a CUFF.
Move the
Rev 1.0
mark to select a target interval from 1 minute to 8 hours.
6. NIBP
100
BM5 Operation Manual
Rev 1.0
MAIN
INTERVAL:
MENU
OFF
> OFF
15MINS
1MIN
20MINS
2MINS
30MINS
3MINS
1HR
4MINS
2HRS
5MINS
4HRS
10MINS
8HRS
6. NIBP
101
102
7. IBP
7.1 Description
IBP Connectors & Accessories
7.2 IBP Data Window
7.3 IBP Data Setting
CHANGE NAME (Configuration of measuring position)
SCALE (Configuring size of measurement waveform)
ALARM LIMITS (Maximum / Minimum Alarming Values)
SETTINGS (Various Settings)
ZERO (Zero-Point Setting)
BM5 Operation Manual
7.1 Description
IBP has an alarm function based on the maximum & minimum alarm values configured by
measuring the systolic, diastolic and mean blood pressure values with signal processing of electric
signals which are transformed from changes in impedance components according to the changes of
blood flow in vessels.
IBP Connectors & Accessories
IBP connector
IBP ACCESSARY
MEDEX Kit is used for IBP MONITORING KIT.
Reusable Pressure Transducers Cartridges and Monitoring kit
Rev 1.0
7. IBP
105
BM5 Operation Manual
Rev 1.0
7. IBP
106
BM5 Operation Manual
Disposable Pressure Transducers Cartridges and Monitoring kit
Rev 1.0
7. IBP
107
7.2 IBP Data Window
Different data windows are displayed on the screen according to the measuring positions.
Rev 1.0
7. IBP
108
7.3 IBP Data Setting
Labels for measuring positions are described on each menu.
CHANGE NAME: Menu to set measuring position
SCALE: Menu to set size of measurement waveform on screen.
LIMITS: Menu to set alarming range.
SETTING: Menu for processing various pressure signals.
ZERO: Menu to set zero-point of Transducer.
MAIN
MENU
CHANGE
NAME
ART
ART
SCALE:
30
ART
LIMITS
ART
ZERO
SETTING
ART
CHANGE NAME (Setting Measuring Position)
It performs the name changing function for a measuring position to monitor.
The setting positions are ART, FEM, PAP, RAP, LAP, UAP, UVP, CVP, ICP and OTHER.
MAIN
MENU
Rev 1.0
CHANGE
NAME
ART
> ART
UAP
FEM
UVP
PAP
CVP
RAP
ICP
LAP
OTHER
7. IBP
109
List & Description of IBP Measurement Parameter Label
Parameter Window, Scales Menu Window or Alarm Limits Pop-up Menu will appear according
to the Labels.
IBP displays the measuring positions based on 10 labels shown in the below table.
The below table shows the names for each label and the descriptions to be displayed on the
Parameter Window.
Select ‘OTHER’ for a measuring position not in the listed positions.
LABEL
DESCRIPTION
DISPLAY VALUE
ART
Arterial Pressure
- Systolic, Diastolic and Mean
FEM
Femoral Pressure
- Systolic, Diastolic and Mean
PAP
Pulmonary Artery Pressure
- Systolic, Diastolic and Mean
CVP
Central Venous Pressure
- Mean
LAP
Left Arterial Pressure
- Mean
RAP
Right Arterial Pressure
- Mean
ICP
Intracranial Pressure
- Mean
OTHER Other (OTHER)
- Mean
UAP
Umbilical Artery Pressure
- Systolic, Diastolic, and Mean
UVP
Umbilical Venous Pressure
- Mean
SCALE (Setting size of measurement waveform)
You can set the pressure range for measurement waveform on this menu.
The selectable values mean the maximum blood pressure range value that can be shown in a
waveform.
MAIN
MENU
Rev 1.0
ART
SCALE:
160
300
200
> 160
100
80
60
30
7. IBP
110
Alarm Limits for ART
Alarm limits vary according to measuring positions.
The settable alarm range for systolic pressure, diastolic pressure and mean pressure is - 50 ~
350mmHg.
ART
LIMITS
> RETURN
UNITS
LOW
HIGH
ART-S
ART-M
mmHg
mmHg
80
40
200
140
ART-D
ART-R
mmHg
BPM
20
50
120
150
ART
SCALE:
30
ART
MAIN
MENU
Rev 1.0
CHANGE
NAME
ART
LIMITS
ART
ZERO
SETTING
ART
7. IBP
111
The below table shows the settable values of standard alarm limits and scales of parameters for
label setting.
Parameter
Adult
Low
High
ART-S
80
200
ART-D
20
120
ART-M
40
140
ART-R
50
FEM-S
Neonatal
Low
High
40
100
20
60
30
70
150
90
200
80
200
40
100
FEM-D
20
120
20
60
FEM-M
40
140
30
70
FEM-R
50
150
90
200
UAP-S
80
200
40
100
UAP-D
20
120
20
60
UAP-M
40
140
30
70
UAP-R
50
150
90
200
PAP-S
-50
350
-50
350
PAP-D
-50
350
-50
350
PAP-M
-50
350
-50
350
CVP
-50
350
30
-50
350
30
RAP
-50
350
30
-50
350
30
LAP
-50
350
30
-50
350
30
UVP
-50
350
30
-50
350
30
ICP
-50
350
30
-50
350
30
OTHER
-50
350
160
-50
350
160
Rev 1.0
Scale
160
160
160
60
7. IBP
Scale
100
100
100
60
112
IBP SETTING (Setting Various Functions)
Other menus are to be applied for special functions to process pressure signals in various ways.
BP
FILTER:
OFF
MAIN
MENU
CAL.
TRANSDUC
PREV
MENU
Setting three labels of ART, FEM and UAP displaying PULSE-RATE among labels, the functions of
PULSE-RATE DISPLAY and DISCONNECT ALARM will be added.
BP
FILTER:
OFF
MAIN
MENU
PULSE
RATE:
OFF
CAL.
TRANSDUC
DISCONN
ALARM:
OFF
PREV
MENU
BP FILTER: It filters waveforms by selecting three frequency bands.
OFF
0Hz ~ 40Hz
12Hz
0Hz ~ 12Hz
20Hz
0Hz ~ 20Hz
Generally recommended for monitoring
Used for processing waveform components of higher frequency.
Pressure value can be increased with this filter.
MAIN
MENU
PREV
BP
FILTER:
OFF
CAL.
TRANSDUC
> OFF
12Hz
20Hz
MENU
Rev 1.0
7. IBP
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BM5 Operation Manual
PULSE RATE: Setting display of blood pressure pulse rate.
CAL. TRANSDUC: A function to adjust a Transducer error on the monitor.
MAIN
MENU
PREV
MENU
BP
FILTER:
OFF
CAL.
TRANSDUC
DISCONN
ALARM:
OFF
ADJUST
TO MMHG
100mmHg
A function to adjust an error value based on the other index manometer.
How to Adjust
1. Select a menu by pressing the knob switch key.
2. Measure blood pressure along with another index manometer.
3. Compare the measured values of ‘mmHg’ for both manometers.
4. Adjust the error value on the parameter menu screen by turning knob switch.
5. Terminate the menu by pressing the knob switch key again.
DISCONN ALARM: (Alarm function for disconnection)
DISCONN ALARM MENU will be displayed when measurement label is set for ART, FEM and UAP.
This function will be activated upon the following two conditions.
1. In case MEAN PRESSURE is not higher than 25mmHg.
2. In case the Disconnect Alarm is set ‘ON’.
Medium alarm sound will be generated when the DISSCONNECTED ALARM is activated, and the
alarm message “DISCONNECTED” will be displayed on the parameter screen.
Rev 1.0
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BM5 Operation Manual
Troubleshooting for a case the measured value is different from the expected value
Description
In case there are air bubbles in tubes
In case an extension tube is connected
In case of using blood pressure transducer
with a different sensitivity
For other cases
Action to Take
Remove the air bubbles
Remove the extension tube
Check position of transducer
Perform zero-point adjustment
ZERO ART: (Zero-point Adjustment)
Use ZERO option to set the zero-point of Transducer.
Procedures (Zero reference)
1) Close the transducer stopcock on the patient’s side.
2) Open the venting stopcock on the air side.
3) Press the knob switch on the monitor panel.
4) Draw a line with the current input data in IBP area of WAVE WINDOW according to the
Wave Base Line. And accord the wave line with the data.
5) Set the data as ‘0’ on the parameter screen.
6) Check if Zero reference is carried out. (Check the pressure parameter on the message
window.)
7) Close the venting stopcock on the air side.
8) Open the transducer stopcock on the patient side. The pressure value should be displayed
on the pressure parameter screen in a few seconds.
Troubleshooting for a case that blood pressure value is not displayed on screen
Description
In case of ‘out of measurement range’
situation
In case blood pressure transducer is
damaged
Rev 1.0
Action to Take
Check the measurement conditions.
Replace the damaged transducer with new
one
7. IBP
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BM5 Operation Manual
Warning
All parts, except Transducer, should not be conductive. Otherwise discharge of energy may
induce a shock to operators during cardioversion.
Note
z
Check if there is a scratch on the catheter balloon before using.
z
Do not reuse disposable parts and accessories.
z
Do not use Saline packs with passed expiration dates.
z
Do not use pressure measurement kits in torn packages.
z
Remove all air in the saline pack by squeezing it. Otherwise it may cause errors in blood
pressure band and may go into the blood vessels.
Rev 1.0
7. IBP
116
8. EtCO2
8.1 INTRODUCTION
Position of EtCO2 Connector and Accessory
EtCO2 ACCESSORY
8.2 EtCO2 Parameter Window
8.3 EtCO2 Parameter Setting Menu
Rev 1.0
7. IBP
117
Rev 1.0
7. IBP
118
BM5 Operation Manual
8.1 Introduction
ETCO2(End-Tidal CO2) is a device to see the concentration of end-tidal carbon dioxide, which uses
a method of measurement based on the non-dispersed IR absorption of CO2 using IR ray by
sampling a certain part of respiration through pipe during respiration.
EtCO2 connector position and accessory
EtCO2 connector
Rev. 1.0
8. Concentration of end-tidal CO2 (EtCO2)
119
BM5 Operation Manual
EtCO2 ACCESSORY
EtCO2 monitoring accessory uses the Microstream™ accessory of Oridion Company.
Intubated Filter Line® Products
FilterLine H Set
XSO4624
- Adult/Pediatric
FilterLine H Set
006324
- Infant/Neonate
FilterLine Set
XS04620
- Adult/Pediatric
Non-Intubated Filter Line® Products
Smart CapnoLine Plus™
CapnoLine™ H
NIV Line™
Nasal Filter Line®
Rev. 1.0
8. Concentration of end-tidal CO2 (EtCO2)
120
BM5 Operation Manual
8.2 EtCO2 Parameter Window
S: Display of apnea setting time in second unit
Upper/lower limit value of alarm: Display of alarm setting range value for concentration of CO2
EtCO2: Display of concentration value of carbon dioxide
RR: Display of the number of respirations per minute
FIO2: Display of concentration value of carbon dioxide during inspiration
Note
EtCO2 waveform is always displayed if cable is connected.
Rev. 1.0
8. Concentration of end-tidal CO2 (EtCO2)
121
BM5 Operation Manual
8.3 EtCO2 Parameter Setting Menu
ALARM LIMITS: A menu to set the alarm limit
STANDBY: A menu to set the power saving status of EtCO2 module
SCALE: A menu to set the screen scale of measured waveform
SETTINGS: A menu to handle the information of EtCO2 signal
ALARM
LIMITS
MAIN
MENU
SETTINGS
WAVEFORM
SCALE:
30
CHANGE
RESP
ART LIMIT(Upper/lower limit value of alarm)
Upper/lower limit value of alarm differs depending on the position of measurement.
The basic setting range of alarm setting value for EtCO2, FiO2, RR, APNEA.
ALARM
> RETURN
LIMITS
UNITS
LOW
HIGH
EtCO2
mmHg
30
50
FiO2
mmHg
0
4
AWRR
BPM
8
30
APNEA
SEC
0
20
MAIN
ALARM
MENU
LIMITS
SETTINGS
WAVEFORM
SCALE:
30
CHANGE
RESP
Rev. 1.0
8. Concentration of end-tidal CO2 (EtCO2)
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BM5 Operation Manual
The following table shows standard alarm limit of parameter and setting value of scale when setting
the label.
Parameter
Adult
Low
High
EtCO2
0
98
FiO2
0
20
AWRR
0
100
APNEA
0
40
Rev. 1.0
Neonatal
Scale
40
Low
High
0
98
0
20
0
100
0
40
8. Concentration of end-tidal CO2 (EtCO2)
Scale
40
123
WAVEFORM SCALE (Measured waveform scale setting)
This sets the range of measured waveform versus pressure.
Selectable numerical value means the maximum pressure range value that is shown with waveform.
Pressing the knob switch key and then selecting the desired range value displays the selected
pressure range value below the upper dotted line among two dotted lines in the left middle of wave
window.
MAIN
MENU
ALARM
LIMITS
WAVEFORM
SCALE:
40
>
40
50
60
80
100
CHANGE RESP (Menu conversion)
In case of a model provided with capnography station, pressing the above menu converts EtCO2
menu into RESP menu.
SETTINGS (Various setting)
Different menus are applied to provide menu and information for handling the EtCO2 module.
MAIN
MENU
APNEA
ALARM
OFF
MODULE
SETUP
MODULE
RESET
PREV
MENU
APNEA ALARM: This performs a function to set the display of apnea message alarm.
This displays a “apnea” message at the center of parameter window as shown in the figure below
with apnea alarm on in case of apnea until the set apnea period is passed through.
Rev 1.0
7. IBP
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BM5 Operation Manual
With apnea alarm off, measured values are displayed instead of message.
MODULE SETUP: This sets the basic information display and environmental information of
EtCO2 module.
EtCO2 module contains equipment version information, module setup, and calibration date.
S/W VER: Software version information of EtCO2 module
H/W VER: Hardware version information of EtCO2 module
DEVICE VER: EtCO2 module self serial number information
BTP: This is a function to compensate the error between the pressure value of actual CO2 and the
value of measured CO2 when EtCO2 module measures the signal, which can be selected with
ON/OFF.
PEAK PICKING MODE: This is a function to search the maximum EtCO2 and the minimum FiO2
within a certain section and display it on the screen, which is selected among NOP/ BREATH TO
BREATH/ 10SEC/ 20SEC/ 30SEC.
PATIENT: Measurement can be performed by selecting ADULT / NEONATE depending on measured
patient group.
CAL. DATE: This shows the information on the date of finally having executed calibration.
Rev. 1.0
8. Concentration of end-tidal CO2 (EtCO2)
125
BM5 Operation Manual
MODULE
INFO
SET
> RETURN
CONTENTS
SW VER
2.00
HW VER
DEVICE VER
BTP
2.00
SN12345
ON
PEAK
NOP
PATIENT
ADULT
CAL. DATE
2006- 06-26-09
MAIN
MENU
APNEA
ALARM
OFF
MODULE
MODULE
SETUP
RESET
PREV
MENU
MODULE RESET: This is a function for initialization during functional error in EtCO2 module.
CALIBRATION
Calibration should be performed to compensate accuracy of EtCO2.
Calibration function is located in the following route.
MORE MENU Æ MAKER SERVICE Æ CALIBRATE AND TEST Æ EtCO2 SETUP Æ EtCO2 CAL.
Goods to be prepared:
Calibration Gas 5% CO2
Calibration Filter
“T” Piece Connector
Setting Method
1. Connect “T” piece connector and calibration filter with calibration gas tank.
2. Connect calibration filter with equipment.
3. Select menu by pressing the knob switch key.
Rev. 1.0
8. Concentration of end-tidal CO2 (EtCO2)
126
BM5 Operation Manual
4. Inject gas by pressing the switch on the calibration gas tank simultaneously with
“CALIBRATION START.”
5. Inject gas continuously until a message “CALCULATING” appears.
6. When calibration has been normally performed, a message “CALIBRATION DONE- O.K.” is
displayed.
Rev. 1.0
8. Concentration of end-tidal CO2 (EtCO2)
127
Warning
If defibrillation is performed while doing CO2 monitoring, remove the CO2 FilterLine from patient
Getting in touch with sensor cable without removing the FilterLine can result in serious electrical
burn, shock, or injury due to electric discharge energy.
Note
In the following monitoring conditions, the measured values may be inaccurate. Read the
measured values carefully.
1. When using this in an environment of nitrous oxide gas of high concentration
2. When using this in an environment where abrupt temperature change takes place
3. When using this in an environment with severely high humidity.
Caution
z
The measured values may be inaccurate when using this equipment for patients who have
very fast or irregular respiration.
z
When measuring CO2 from the patient under anesthesia, check it when gas mixture comes
in. Otherwise, the measured result values may be inaccurate.
z
When using a anesthesia machine that uses a volatile anesthetic, CO2 values may be
inaccurate.
Rev 1.0
7. IBP
128
9. TEMPERATURE
9.1 INTRODUCTION
Position of Temperature Connector and Probe Cable
9.2 Temperature Parameter Window
9.3 Temperature Parameter Setting Menu
ALARM LIMIT
UNIT SELECT
BM5 Operation Manual
9.1 INTRODUCTION
This function is used to indicate the changes of resistance generated by the changes of temperature
in numbers. The function involves the process of transferring the changes into electrical signals.
Position of Temperature Connector and Probe Cable
Temperature
connector
Probe Cable
Note
Temperature probe is correctly positioned and fixed so as not to disconnect on the
patient. Temperature cable is attached to the monitor
Rev 1.0
8. TEMPERATURE
131
BM5 Operation Manual
9.2 Temperature Parameter Window
Automatic calibration is performed upon power on.
Note
The minimum measuring time required to obtain accurate readings at the specific body site is at
least 3 minutes
Rev 1.0
8. TEMPERATURE
132
BM5 Operation Manual
9.3 Temperature Parameter Setting Menu
MAIN
ALARM
MENU
LIMIT
UNITS
SELECT:
ALARM LIMIT
1. Move the
mark to select either RETURN or TEMP, and press.
2. After pressing the cursor at TEMP, move it to LOW, and press.
3. When the color has changed, move the cursor again to select a target value, and press.
4. Move the cursor to HIGH and press. After the color has changed, move the cursor again
to select a target value, and press. (One may choose HIGH first to get the same result.)
5. Select RETURN to get out of the menu.
TEMPERATURE ALARM LIMIT
>RETURN
UNITS
TEMP
Rev 1.0
MAIN
ALARM
MENU
LIMIT
LOW
HIGH
30.0
42.0
UNITS
SELECT:
8. TEMPERATURE
133
BM5 Operation Manual
UNIT SELECT
The user can select here a temperature unit, either Celsius or Fahrenheit.
Rev 1.0
MAIN
ALARM
MENU
LIMIT
UNITS
SELECT:
8. TEMPERATURE
134
10. PRINTING
10.1 Printing
Printer and Thermal Paper
Function and Setup Menu
10.2 Changing Paper
BM5 Operation Manual
10.1 Printing
Printer and Thermal Paper
A printer is used to print data onto thermal paper, this product is offered as an option.
Size of the thermal paper roll: 580mm wide x 380mm(x15m) in diameter
Any thermal paper of same size can be used for the printer.
Side View of the PRINTER
Rev 1.0
8. PRINTING
137
BM5 Operation Manual
Function and Setup Menu
MAIN
SPEED
MENU
25mm/S
PREV
WAVE
FORM2:
OFF
MENU
WAVE
FORM1:
ECGII
WAVE
FORM3:
OFF
1. Press the PRINT Key for continuous printing.
2. Select Printing Speed (25mm/sec or 50mm/sec)
MORE MENU
SETUP
PRINTER
SPEED
25mm/S,50mm/S
3. A PRINT TEST can be made in SELF TEST.
4. Set up ALARM PRINT in the MORE menu to activate auto print on alarm.
MORE MENU
ALARM
ALARM PRINT
ON
5. Data is printed in a selected wave form along with personal information of the patient.
(Printed in 3 waves).
MORE MENU
Rev 1.0
SETUP
PRINTER
ECG, WAVE FORM2, WAVE FORM3
8. PRINTING
138
BM5 Operation Manual
10.2 Changing Paper
1
Open the window of the printer.
2
Insert the paper roll offered with the product
into the printing unit. Place the roll in a proper
way so that the printed paper can roll out
upwards.
3
Press the printer window until it is properly
shut. Inaccurate shutting may cause failure in
printing.
Rev 1.0
8. PRINTING
139
11. MESSAGE LIST
Parameter
Message
ECG
LEAD FAULT
CHECK PROBE
LEAD FAULT
SpO2
PULSE SEARCH
POOR SIGNAL
LOST PULSE
Explanation
Cable is not properly connected.
Patient’s finger is off the probe.
Defective or damaged probe.
Cable is not properly connected.
Detection of a repeatable pulse has
ceased
Searching signal is delayed.
Signal is missing while normal measuring.
RESP
LEAD FAULT
APNEA
INFLATION FAILURE CHECK
CUFF
NIBP
OVER PRESSURE
DEFLATION FAILURE
OVER TIME CUFF PRESSURE
MEASUREMENT ERROR
TEMP
LEAD FAULT
ALARM VOL.OFF
ALARM
APNEA gives an alarm.
Cuff hose is not properly connected.
Cuff pressure is excessively high.
Cuff tube is blocked, preventing deflation.
Measure time exceeds the preset Level.
Measurement error, Signal saturated.
Cable is not properly connected.
Alarm volume is off.
SILENCED
Alarm key is pressed once.
ALARM PAUSE 5MIN
Alarm key is pressed twice.
PRINT
NO PAPER
SETUP
LOW BATTERY
Rev 1.0
Cable is not properly connected.
No paper in the printer.
Battery is low. Need recharging.
10. MESSAGE LIST
142
12. FACTORY DEFAULTS
1. Adult-ICU Mode
2. Neonate-ICU Mode
BM5 Operation Manual
1. Adult-ICU Mode
Alarm level
High
Asystole
0
Vfib/VTac
0
V Tach
0
Medium
HR
0
NIBP
0
IBP1
0
IBP2
0
SpO2
Low
Message
0
SpO2-Rate
0
RR
0
RR-Apnea
0
T(ْ C)
0
Parameter Limits
Low
High
HR
50
150
NIBP-S
80
200
NIBP-M
40
140
NIBP-D
20
120
SpO2
90
100
SpO2-Rate
50
150
RR(RESP)
10
30
RR-Apnea
0
20
30.0/42.0
86.0/107.6
IBP1-S
80
200
IBP1-M
40
140
IBP1-D
20
120
T( ْ C/ْ F)
Rev 1.0
11. FACTORY DEFAULTS
146
BM5 Operation Manual
IBP1-R
50
150
IBP2-S
-50
350
IBP2-M
-50
350
IBP2-D
-50
350
IBP2-R
50
150
Display
Patient Age
Adult
Color format
Color
Primary ECG
II
Arrhythmia
Off
Detect Pace
Off
Print Waveform2
Off
Print Waveform3
Off
Alarm Print
On
NIBP Auto
Off
NIBP Cuff Size
Adult
RR(RESP) Lead
II
Alarm Volume
50%
QRS Volume
Off
Pulse Volume
Off
ECG Lead Fault
Low Alarm
SpO2 Probe Off
Low Alarm
Units for Height
cm
Units for Weight
kg
Temperature Units
NIBP Limit Type
ECG Filter
Rev 1.0
ْ C
Systolic
Monitor
11. FACTORY DEFAULTS
147
BM5 Operation Manual
2. Neonate-ICU Mode
Alarm level
High
Asystole
0
Vfib/VTac
0
V Tach
0
RR-Apnea
0
Medium
HR
0
NIBP
0
SpO2
Low
Message
0
SpO2-Rate
0
RR
0
T( ْ C)
0
Parameter Limits
Low
High
HR
90
200
NIBP-S
40
100
NIBP-M
30
70
NIBP-D
20
60
SpO2
88
100
SpO2-Rate
90
200
RR(RESP)
15
100
RR-Apnea
0
15
30.0/42.0
86.0/107.6
T( ْ C/ْ F)
Rev 1.0
11. FACTORY DEFAULTS
148
BM5 Operation Manual
Display
Patient Age
0~2 years
Color format
Color
Primary ECG
II
Arrhythmia
Off
Detect Pace
Off
Print Waveform2
Off
Print Waveform3
Off
Alarm Print
On
NIBP Auto
Off
NIBP Cuff Size
Neonate
RR(RESP) Lead
II
Alarm Volume
50%
QRS Volume
Off
Pulse Volume
Off
ECG Lead Fault
Low Alarm
SpO2 Probe Off
Low Alarm
Units for Height
cm
Units for Weight
kg
Temperature Units
NIBP Limit Type
ECG Filter
Rev 1.0
ْ C
Systolic
Monitor
11. FACTORY DEFAULTS
149
13. TROUBLE SHOOTING
1. Noise in ECG
2. SpO2 malfunction
3. Temp malfunction
4. NIBP malfunction
5. Abnormality in NIBP measurements
6. IBP malfunction
7. Abnormality in IBP measurements
8. Failure in battery recharge
9. Failure in battery recharge
10. Power failure
11. Periodic noises
12. Print failure
BM5 Operation Manual
1. Noise in ECG
- Gel is dry
- Electrodes do not stick well to skin
The patient’s skin
is extremely dry
Yes
Apply ECG gel or water to the area of
contact then use the electrode
No
The electrode is
in poor condition
Yes
Replace the electrodes
(Use CE compatible products)
No
The cable(lead wire)
is disconnected
Yes
Replace lead wires
No
Repair the ECG B/D
Rev 1.0
12. TROUBLE SHOOTING
152
BM5 Operation Manual
2. SpO2 malfunction
Connectors of the equipments are in bad condition?
The extension cables
Yes
Replace extension cables
are disconnected
No
The Finger probe is
Yes
Replace the finger probe
in bad condition?
No
Repair the SpO2 B/D
3. Temp malfunction
The probe is
in bad condition?
Yes
Replace the probe
No
Repair the Temp B/D
Rev 1.0
12. TROUBLE SHOOTING
153
BM5 Operation Manual
4. NIBP malfunction
Are leaks from the hose
Yes
Replace the hose of cuff
connector of cuff
No
Repair the NIBP B/D
5. Abnormality in NIBP measurements
The patient moved
Yes
while measuring
Make sure the patient remains
still during diagnosis
No
The measurements
Yes
Loosen the cuff during diagnosis
appear lower
No
There is a delay
in measuring
Yes
Tighten the cuff during diagnosis
No
Repair the NIBP B/D
Rev 1.0
12. TROUBLE SHOOTING
154
BM5 Operation Manual
6. IBP malfunction
The extension cables
Yes
Replace extension cables
are disconnected
No
The transducer is
Yes
Replace the transducer cable
in bad condition?
No
Repair the IBP B/D
7. Abnormality in IBP measurements
The transducer
is zeroing?
Yes
Replace the extension
cable or transducer cable
No
Repair the IBP B/D
Rev 1.0
12. TROUBLE SHOOTING
155
BM5 Operation Manual
8. EtCO2 malfunction
Connectors of the equipments are in bad condition?
The Filter Line set
Yes
Replace Filter Line set
are disconnected
No
The module is
Yes
Return to activate mode
in standby mode?
No
Repair the EtCO2 Module
9. Failure in battery recharge
( the battery does not fully recharge in 6 hours or more)
The output voltage of
Yes
Replace the adapter
(the battery will not be changed
the adapter is 18V
at the rate lower than 17V)
No
The battery voltage
is lower than 5V
Yes
Replace the battery
No
Repair the power B/D
Rev 1.0
12. TROUBLE SHOOTING
156
BM5 Operation Manual
10. Power failure
The adapter connector
Yes
Replace the adapter
is in bad condition
No
The output voltage of the
Yes
Replace the adapter
adapter is lower than 18V
No
Repair the power B/D
“Admit” has been
Yes
Exit the “admit:” function
(No data will be stored during battery
selected in the menu
discharge)
No
The Digital B/D (dig)
Battery has been lower than 3V
Yes
Replace the battery (3volt)
No
Repair the Dig B/D
Rev 1.0
12. TROUBLE SHOOTING
157
BM5 Operation Manual
11. Periodic noises
Yes
All alarm has been
turned off
No
Display lead fault
Yes
message appears
Turn functions not in use off
(Mode-Display-Set Para)
No
The printer
function abnormally
Yes
Replace the printer
No
Repair the accompanying
Equipment
Rev 1.0
12. TROUBLE SHOOTING
158
BM5 Operation Manual
12. Print failure
The paper tray cover
Yes
Shut the cover tight
is properly shut
No
The printing face of
paper has been reversed
Yes
Reverse the paper face
No
Repair the printer and
printer B/D
Rev 1.0
12. TROUBLE SHOOTING
159
14. SPECIFICATION
General Features
Main Body Specifications
Power Adaptor Specifications
Capnography Station Specifications
Graphical and Tabular Trends
Performance Specifications
Accessories
BM5 Operation Manual
Technical Specification
„ General Features
Ease of use
· Battery operation
· Optional integrated strip chart recorder
· Carrying handle with bed-rail hook
Customization
· Tabular and Graphical Trends
· Compatible with Nell or reusable and disposable SpO2 sensors
Special Features
· Direct DC input for transport needs
· LAN data export interface
Monitor Environmental Specifications
· Operating Temperature 15°C to 30°C (59°F to 86°F)
· Storage Temperature - 10°C to 60°C (14°F to 140°F)
· Operating/Storage Humidity 20% to 95% RH, non-condensing
· Operating Altitude 70(700) to 106Kpa(1060mbar)
„ Main Body Specifications
Display
· 10.4” color TFT LCD (800 x 600)
Dimension
· 270(W) x 250(H) x 184.5(D) mm
· Weight : 4.0kg including Capnography Station
Indicators
· Up to 5 waves (ECG, SpO2, Respiration or EtCO2, IBP1, IBP2)
· Categorized alarms (3 priority levels)
· Visual alarm
· Heart rate tone
· Battery status
· External power LED
Interfaces
· DC input connector 18Vdc, 2.5A
· DC output connector : 3.3Vdc, 1A Max
Rev 1.0
12. SPECIFICATION
164
BM5 Operation Manual
· Defib. Sync. Output connection support : 0 to 5V pulse( pulse width : 100 ± 10ms)
· RS232C connection support
· Nurse Call System connection support
· LAN digital output for transferring data to an external computer
· VGA output connector
Battery
· Battery Type Li-Ion ( 12Vdc, 2400mAh )
· Operating Time 2hours typical (fully charged battery)
Thermal Printer(Option)
· Speeds 25, 50 mm/sec
· Paper Size : 56mm x 1500mm
„ Power Adaptor Specifications
· Input : AC 100-240V (50/60Hz)
· Output : DC 18V, 2.5A
„ Capnography Station Specifications (Option)
Dimension
· 270(W) x 60(H) x 172(D) mm
Functions
· End Tidal CO2 Gas Monitoring
· Battery : Li-Ion( 12Vdc, 4800mAh ), 3 hours operating time (fully charged battery)
· Built-in Power Adaptor
Interface
· AC Input : 100~240Vac, 50/60Hz, 1.2A
„ Graphical and Tabular Trends
Tabular Trends
· Memory Storage
24 hours
· Data Interval 1MIN, 5, 15, 30, 1HR
· Tabular Format One table for all variables
Graphical Trends
· Memory Storage
24 hours
· Display Period 30MINS, 60, 90, 3HRS, 6, 12
Rev 1.0
12. SPECIFICATION
165
BM5 Operation Manual
„ Performance Specifications
ECG Performance Specifications
· Leads 3 leads / 5leads(Option)
· Heart Rate Range 30 to 300bpm
· Heart Rate Accuracy ±3bpm
· Bandwidth 0.5 to 40Hz
· Display Sweep Speeds 6.25, 12.5, 25, 50mm/sec
· ECG Size (Sensitivity)
5, 10, 20, 40mm/mV
· Lead-Off Detection with display indicator
· Pacemaker Detection Mode Indicator on waveform display, user selectable
· Differential Input Impedance
> 5 MΩ
· Common Mode Rejection Ratio
> 90 dB at 50 or 60 Hz
· Input Dynamic Range ± 5 mV AC
· Defibrillator Discharge <4s
SpO2 Performance Specifications
· % Saturation Range 0% to 100%
· Pulse Rate Range 30 to 254bpm
· SpO2 Accuracy 70% to 100% ± 2 digits, 0% to 69% unspecified
· Pulse Rate Accuracy ±2bpm
· Sensor : red light ( 660nm, 2mW ), infrared light ( 905nm, 2-2.4mW)
Respirations Performance Specifications
· Range : 5 to 120 breaths/min
· Accuracy : ±3 breaths/min
· Display Sweep Speeds : 6.25, 12.5, 25, 50 mm/sec
NIBP Performance Specifications
· Technique Oscillometric
· Measurement Modes:
- Manual Single measurement
- Auto
Repetitive measurement ( 1, 2, 3, 4, 5, 10, 15, 20, 30minutes, 1, 2, 4, 8hours )
· Cuff Pressure Display 0 to 300 mmHg
· Blood Pressure Measurement Range:
- Systolic Pressure Range
Adult : 40 to 270mmHg
Pediatric : 40 to 200mmHg
Neonatal : 40 to 135mmHg
- Diastolic Pressure Range : Adult : 10 to 210mmHg
Rev 1.0
12. SPECIFICATION
166
BM5 Operation Manual
Pediatric : 10 to 150mmHg
Neonatal : 10 to 95mmHg
- Mean Pressure Range
: Adult : 20 to 230mmHg
Pediatric : 20 to 165mmHg
Neonatal : 20 to 105 mmHg
· Deviation of measured pressure : Average deviation : less than ±5mmHg
Temperature Performance Specifications
· Range 15°C to 45°C (59°F to 113°F)
· Accuracy ± 0.1°C
· Compatible with YSI Series 400 Temperature Probes
Invasive Blood Pressure Performance Specification
· Position : Arterial, femoral artery, pulmonary arterial, central, venous, right atrial,
left atrial, intracranial, and others
· Blood Pressure Measurement Range: 50 to 300mmHg
· Accuracy : ±1mmHg ± 1digit (-50 mmHg <= IBP < 100mmHg)
±1% ± 1digit (100mmHg <= IBP <= 300mmHg)
· Heart Rate Range 0 to 300 beats/min
· Sensitivity : 5µV/V/mmHg
EtCO2(Option) Performance Specification
· Method
Side Stream
· CO2 Measurement Range 0 ~ 99mmHg
· Respiration Measurement Range : 0 ~ 150bpm
· Accuracy : 0 ~ 40mmHg, ±2mmHg
41 ~ 76mmHg, ±5%
77 ~ 99mmHg, ±10%
· Resolution : 1mmHg
· Apnea alarm : YES
„ Accessories
Standard Accessories
· 3-lead patient cable (3 CBL-400, 3WIRE-400)
· Electrodes (ECGSENS-400)
· NIBP extension tube (3m, NBPCBL-400)
Rev 1.0
1EA
10EA
1EA
12. SPECIFICATION
167
BM5 Operation Manual
· Reusable adult cuff (25-35 cm, ACUFF-400)
1EA
· SpO2 sensor extension cable (2 m, SPCBL-400)
1EA
· Reusable SpO2 sensor (SPASENS-400)
· DC adapter (18VDC/2.5A, KA1803F52)
1EA
1EA
Optional Accessories
· Temperature probe Surface/Skin, reusable (TEMPSENS-400)
2EA
· Rolls of paper (PAPER-400)
· 5-lead patient cable (5CBL-400,5WIRE-400)
1SET
1SET
· IBP Reusable pressure transducer set
· IBP Disposable pressure transducer set
· EtCO2 Disposable kit
Rev 1.0
1SET
1SET
1EA
12. SPECIFICATION
168
Product Warranty
Product Name
Patient Monitor
Model Name
BM5
Approval No.
Approval Date
Serial No.
Warranty Period
Two years from date of purchase
Date of Purchase
Customer
Hospital :
Address :
Name :
Tel :
Sales Agency
Manufacturer
Thank you for purchasing BM5.
This product is manufactured and passed through strict quality control and thorough
inspection.
Bionet Co., Ltd Overseas Dept. :
#11F, E&C DREAM TOWER Ш, 197-33,
Guro-Dong, Guro-Gu, Seoul, South Korea
Tel : +82-2-6300-6418 / Fax : +82-2-6300-6454
Bionet America.,Ltd.
2691 Dow Ave. Suite B
Tustin, CA 92780
Sales dept.
Toll Free: 1-877-9bionet
Direct: 714-734-1760
Fax : 714-734-1761
E-mail : sales@bionetus.com
European Sales Representative :
MGB Endoskopische Gerate GmbH Berlin
Schwarzschildstr. 6, 12489 Berlin, Germany
TEL : +49(30)63927010 / FAX : +49(30)63927011
After Sales Service Center :
#11F, E&C DREAM TOWER Ш, 197-33,
Guro-Dong, Guro-Gu, Seoul, South Korea
Tel : +82-2-6300-6419 / Fax : +82-2-6300-6499
Bionet Co., Ltd
Model Name : BM5