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BM5 User Manual

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1. 148 10 2 EtCO2 Parameter 1 1 1 etta ette etta atto 154 10 3 EtCO2 Parameter Setting 4 eee setae etta aee e easet eae 155 SWEEBEPSPEHED s EE vi n eiae pisa tae dtes 156 APNEA DELTBGCI eA etse meets aid A 159 10 4 TROUBLESHOOTING uet roce Pra Noa eoa 162 HE TEMPERATURE cnet o addet eq petet 163 lue MR 164 11 2 Temperature Data Window eee ee ee sees e ense tetas etate s ease eaa seen e eaae ssepe 165 11 3 Temperature Data Setup eese te sesto e ense teta setae e ease esa a eaae s 166 ADARM nnne ep eere ERE E ERE EE Re ETE e X P RECO REEL 166 UNLESELEBGCT s 167 T PAS IEEE P RE 168 121 vulc 169 Printer and Heat Sensitivity 169 Function and Setup 170 PRINTER TIME nenn trier rt e eret ede e Ee
2. ES PACE ARRHYTHMIA MENU MONTOR OFF LETHAL PREV ARRHYTH AN ST MENU LEVEL ES SETTING 1 dade ARRHYTHMIA MENU MONIS ON LETHAL PREV ARRHYTH ST MENU LEVEL DNUS SETTING Be aware of the following when monitoring a patient with a pacemaker Rev 3 0 5 ECG 93 5 User s Manual Warning FALSE CALLS False low heart rate indicators or false asystole calls may result with certain pacemakers because of electrical overshoots MONITORING 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 asystole in either pace mode Keep pacemaker patients under close observation PACEMAKER PATIENTS Rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias Do not rely entirely upon rate meter ALARMS Keep pacemaker patients under close surveillance ARRHYTH Sets up ON OFF to indicate detection of diagnosis Asys VTAC VFIB and VTAC OFF Do not perform arrhythmia diagnosis LETHAL Performs the detection of Asys VTAC VFIB and VTAC at the selected lead FUL
3. Limit Setting Apnea limit sign Respiration alarm limit Indicates respiration limits Breathing Number Displays the number of respiration per minute Rev 2 0 7 RESPIRATION 122 5 User s Manual 7 3 Respiration Data Setup ALARM Respiration alarm setting menu RESP SIZE A menu to setup Wave Display SWEEP SPEED A menu to setup Wave Display of speed APNEA DETECT A menu to setup APNEA alarm display v bd MAIN SWEEP RESP MENU ALARM SPEED SIZE 25mm s X2 APNEA LEAD DETECT SELECT ON RESPIRATION SPEED Wave pattern speed is 6 25 12 5 25 mm s SWEEP RESP Mie ALARM SPEED SIZE 12 5mm s X2 APNEA LEAD DETECT SELECT ON SWEEP Med ALARM SPEED 12 5mm s 6 25 mm s gt 12 5 mm s 25 mm s AS RESPIRATION Set wave pattern size X2 X10 SWEEP 1 RESP Men ALARM SPEED SIZE 12 5mm s X2 APNEA LEAD DETECT SELECT ON II RESP SIZE gt X2 MENU XA X2 X 6 APNEA X8 DETECT X10 ON Rev 2 0 7 RESPIRATION 123 5 User s Manual APNEA DETECT Deciding function of activating Apnea Alarm n An SWEEP if RESP enn ALARM SPEED SIZE 12 5mm s X2 APNEA LEAD DETECT SELECT ON
4. me PRINTER PRINTER WAVE SPEED KEY FORM1 25mm s REAL TIME WAVE WAVE PRINTE ERU FORM2 FORM3 TIME SPO2 RESP 30SEC EN PRINTER PRINTER 25mm s 30SEC 40SEC 5 WAVE 20SEC MENU FORM2 30SEC SPO2 PRINTER KEY This menu is setup printing time delay in normal printing There are two menus for time configuration One is Real time another is Delayed Time Real time This configuration makes printing out the newest data when the Printer Key is pushed Delayed time This configuration makes printing out the data after 5 seconds from the Printer Key is pushed PRINTER WAVE MENU SPEED KEY FORM1 25mm s REAL TIME PREV WAVE WAVE PRINTE MENU FORM2 FORM3 TIME SPO2 RESP 305 MAIN PRINTER PRINTER WAVE MENU SPEED KEY FORM1 25mm s DELAY PREV WAVE WAVE PRINTE MENU FORM2 FORM3 TIME SPO2 RESP 30SEC If there is no print sheet no paper icon of appears Rev 3 0 12 PRINT 172 5 User s Manual Thermal Paper Storage To avoid fading of traces or deterioration follow these precautions Note These precautions apply to both unused paper as well as paper that has already been run through the printer Store in cool dark locations Temperature must be below 27 C 80 F Relative humidity must be between 40 and 65 Avoid exposure to bright light or ultr
5. 30 Option ProdUGtz Wil ete d be enin dd 30 Va A 33 Equipment Sign e RR e E ERI nd 34 1 4 FUNCHOM and KEY 37 External F fictiOn E cee ke ows Ed er ei 37 Operation Key a taluteh on alee ions 37 1 5 Standard Power Supply Application sette setas sesta ae 39 TCP POW dE 39 1 6 Battery Power Supply Application scccscccssccssccsscsessssccsescssscssssscescessseescsessneessecsseeeoes 40 40 The Impact of Lithium Ion Battery Technology on the 42 Conditioning Guidelhhe te UE ER e wa ed 42 Rev 3 0 1 5 User s Manual Storage Gilideline wa iae eR EAR RRA ae ets 42 10 dali 42 1 7 General Manu 44 Screen COITpoSItlOI Ci ea STIS 44 Men Selection x go re HR Ee HER HH ER RO EE d ht E EO PEERS 45 Ment CompoOSItOI ooo Sede eee i ded dide Ria Ss 45 2 PATIENT DATA MANAGEMEN c B goa eR an 48
6. 132 Sinus Pause pause gt 3 0sec 3 0 100 5 User s Manual 9 135 10 211 Atrial Rhythm 11 212 Atrial Tachycardia HR 100 130 12 213 Atrial Tachycardia HR gt 130 13 214 Wandering Pacemaker 14 215 Multifocal Atrial Tachycardia 15 216 Nonsustained Atrial Tachycardia 16 217 Atrial Flutter 17 218 Atrial Fibrillation 18 219 possible Atrial Flutter with 2 1 AV conduction 19 221 Junctional Rhythm 20 222 Supraventricular Tachycardia AV node dependent Tachycardia 21 223 Nonsustained Supraventricular Tachycardia 22 231 PAC Premature Atrial Contraction 23 232 Bigeminy PAC 24 233 Trigeminy 25 234 short run of PAC 26 241 PJC 27 242 Bigeminy PJC 28 243 Trigeminy 29 244 short run of 30 251 EAB Escape Atrial Beat 31 252 EAR Escape Atrial Rhythm HR 50 54 32 253 EAR Escape Atrial Rhythm HR 50 33 261 EJB Escape Juncational Beat 34 262 EJR Escape Junctional Rhythm 35 311 Ventricular Rhythm 36 312 Ventricular Tachycardia 37 313 Slow Ventricular Tachycardia 38 314 Nonsustained Ventricular Tachycardia 39 315 Ventricular Flutter Rev 3 0 5 ECG 101 5 User s Manual 40 316 Nonsustained Ventricula
7. rere ER 50 ADMIEB TYPE teca tete aiia eei 50 CHANGE ADMEEINEO tiet breed member em 50 DISCHARGE 5 ehe mrt ere ee ee ae eh e OR es 51 EEE 51 EE 52 MEBIGET 524 oett oe t do tte e usi ir dees NM ite pl roe rome t o e 52 22 ALARM fte RE 53 Alarm for the Product E TE a 53 ALLEM S 54 AEARM PRIN 55 56 ALARM REVIEW ERR EE REO NER EUR HERE EE ORE TEE Vade te ee e ede tete 56 ADARM LEIST nde are ARR e eR epi d ear egt gH 56 SAVING CONDBLPIGON sa i edes sp 58 ECG WAVE SELECT ALARM LIST ECG LEAD 2 58 ARRHYTH LEVEL iiie a E ie eae eer hei 58 NURSE rc EE A 59 tsp rece ee dodi 60 TA 61 DISPLAYS ok 61 inte gea utt E tee 61 WAVE SELECT eee ER TORRE ORE ea ee age 62 SET TIME Eres eq a Ra dite astute e 64 65 SETDAEE Line cett tests oda cuia E 65 Rev 3 0 2 5 User s Manual
8. COLOR SP C uci nein eee da AOR AA wie og 65 ass aN 66 antes mun 67 DEMO 5 atia tame eme i eere e e NR E e ED RU 67 KEY SOUND HENDRER de REEF ee E ei rer eto 67 UNLIESEEECT M LU AT RE 68 USERS SERVICE oett bees te sd etd ettet edis 69 SET etie ee e EU HR i ie de ei el e p td e ede i ER tree 69 SET BED NUMBBR x died Re teer tette P Peiper 69 AG DRT TER oes 70 t 70 SYSTEM cerei te 70 MAKERASER VICE 71 FREEZE MENU x ien ote ted e e EH UE e etudes 71 rg d PC 72 LS MMN bMS 73 GRAPHICCTREND et etti et e eti te d d e 74 TIME PERIOD Rae e eli ee die i dei re e OR P RI T Ete tps 75 TABULAR TREND pat 76 TIME INIBERW AL econtra p edu mie mta tots e 77 TREND WINDOW SELDUP 5 77 TIME PERIOD E em Hee 78 SET TREND PARA 79 TREND NE RR IEEE A 79 Ds HO 80 5 1 81 Colors and S
9. ETCO2 ALARM LIMIT amp LEVEL ALARM RETURN UNITS LOW HIGH ON OFF LEVEL EtCO2 mmHg 25 50 OFF MEDIUM FiCO2 mmHg 0 5 ON MEDIUM AWRR RPM 10 30 ON MEDIUM APNEA SEC 0 20 ON MEDIUM The following table shows standard alarm limit of parameter and setting value of scale when setting the label Rev 3 0 10 EtCO2 155 5 User s Manual Adult Neonatal Parameter Low High Scale Low High Scale EtCO2 0 98 0 98 FiCO2 0 20 0 20 40 40 AWRR 0 100 0 100 APNEA 0 40 0 40 EtCO2 SWEEP SPEED EtCO2 speed is 6 5mm s Speed is changeable to 6 25 12 5 25mm s SIN WAVEFORM MENU ALARM SETTINGS SCALE 40mmHg APNEA SPEED ON 1 6 25mm s SWEEP EU ALARM SPEED 6 25mm s 6 25mm s gt 12 5mm s APNEA 25mm s DETECT ON P 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 WAVEFORM ALARM SETTINGS SCALE MENU 40 SWEEP DETECT SPEED ON 6 25mm s 1 WAVEFORM Mad ALARM SCALE
10. Alarming Limits for ART Alarming limits vary according to measuring positions The settable alarming range for systolic pressure diastolic pressure and mean pressure is 50 350mmHg IBP1 ALARM LIMIT amp LEVEL ALARM ON OFF ART S mmHg 70 150 OFF MEDIUM ART M mmHg 50 ON MEDIUM RETURN UNITS LOW HIGH LEVEL ART D mmHg 40 100 ON MEDIUM ART PR BPM 50 150 ON MEDIUM MAIN SCALE MENU NAME 160 ALARM ART 2 SETTING 3 0 9 141 5 User s Manual The below table shows the settable values of standard alarm limits and scales of parameters for label setting Adult Neonatal Parameter Low High Scale Low High Scale ART S 70 150 40 100 ART D 40 100 20 50 ART M 50 115 189 30 70 ue 50 150 50 170 FEM S 70 150 40 100 FEM D 40 100 20 50 FEM M 50 115 152 30 70 149 FEM PR 50 150 50 170 UAP S 70 150 40 100 UAP D 40 100 20 50 UAP M 50 115 152 30 70 100 UAP PR 50 150 50 170 PAP S 20 50 40 100 PAP D 5 30 20 50 PAP M 10 40 99 30 70 50 150 50 170 CVP 0 300 0 300 CVP 3 15 3 15 CVP M 0 300 m 0 300 us CVP PR 50 150 50 170 RAP S 0 300 0 300 RAP D 3 15 30 3 15 30 RAP M 0 300 0 300 RAP PR 50 150 50 170 LAP S 0 300 0 300 LAP D 3 15 3 15 LAP M 0 300 2
11. 0 2 0 1 2 0 FiCO2 0 ojojo o 3 0 14 DEFAULT SETTING VALUE 176 5 User s Manual AWRR LEAD FAULT LOW BATTERY Parameter Limits Low High HR 50 150 NIBP S 80 200 NIBP M 40 140 NIBP D 20 120 SpO 90 100 SpO Rate 50 150 RR RESP 10 30 RR Apnea 0 20 C F 30 0 86 0 42 0 107 6 ST 4 0 4 0 PVC 0 20 T2C F 30 0 86 0 42 0 107 6 IBP1 2 S 70 150 ART IBP1 2 M 50 115 ART IBP1 2 D 40 100 ART IBP1 2 S 0 300 CVP IBP1 2 M 3 15 CVP IBP1 2 D 0 300 CVP IBP1 2 R 50 150 EtCO2 25 50 FiCO2 0 5 Rev 3 0 14 DEFAULT SETTING VALUE 177 5 User s Manual Display Patient Age Adult Primary ECG II Arrhythemia LETHAL Detect Pace Off Print Waveform2 Off Print Waveform3 Off Alarm Print Off NIBP Auto Off NIBP Cuff Size Adult RR RESP Lead II Alarm Volume 50 QRS Volume Off Pulse Volume Off ECG Lead Fault Message SpO Probe Off Low Alarm Units for Height cm Units for Weight kg Temperature Units NIBP Limit Type Systolic ECG Filter Monitoring PVC OFF ST OFF Rev 3 0 14 DEFAULT SETTING VALUE 178 5 User s Manual 2 Neonate ICU Mode Alarm level High M
12. PER FILTER RATE ALARM OFF ON OFF PREV MENU CAL TRANSDUC A function to adjust a Transducer error on the monitor A function to adjust an error value based on the other index manometer How to Adjust ge NX cus DISCONN ALARM Alarming function for disconnection Select a menu by pressing the knob switch key Terminate the menu by pressing the knob switch key again Measure blood pressure along with another index manometer Compare the measured values of mmHg for both manometers Adjust the error value on the parameter menu screen by turning knob switch 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 Incase the Disconnect Alarm is set ON Midium alarming sound will be generated when the DISSCONNECTED ALARM is activated and the alarming message DISCONNECTED will be displayed on the parameter screen NRI BP PULSE DISCONN MENU FILTER RATE ALARM OFF OFF OFF PREV MENU 2 PULSE DISCONN MENU FILTER RATE ALARM OFF OFF ON PREV MENU P Rev 3 0 9 1 144 5 User s Manual Troubleshootings for a case the measured value is different from the expected value Description Action to Take In case there are air bubbles in tubes Remove the ai
13. sensor Elbow Airway adapter pediatric adult Rev 3 0 10 EtCO2 153 5 User s Manual 10 2 EtCO2 Parameter Window RR EtCO2 FiCO2 EtCO2 Upper lower limit value of 0 32 50 20 TIT Ww SMS FiCO2 2m 25 30 detection time CO2 S Display of apnea setting time in second unit Upper lower limit value of alarm Display of alarm setting range value for concentration of EtCO Display of concentration value of carbon dioxide RR Display of the number of respirations per miniute FICO2 Display of concentration value of carbon dioxide during inspiration Note EtCO waveform is always displayed if cable is connected Rev 3 0 10 EtCO2 154 5 User s Manual 10 3 2 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 7 f WAVEFORM ALARM SETTINGS SCALE MENU 40mmHg APNEA SWEEP DETECT SPEED ON 6 25mm s J 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 FiCO2 RR APNEA v AN WAVEFORM ALARM SETTINGS SCALE MENU 40mmHg SWEEP DETECT SPEED 6 25mm s
14. 5 User s Manual and the correct ECG cannot be obtained v Ifthe contact is bed before the expiration date on the package replace the electrode with new one Y obtain a stable ECG wave form rub the skin with skin Pure skin preparation gel or tincture of Benzion Shall use only the CE certified disposable electrode Choosing an ECG lead for Arrhythmia Monitoring It is very important to select a suitable lead for arrhythmia monitoring Guidelines for non paced patients should be tall and narrow recommended amplitude gt 0 5mV Y Rwave should be above or below the baseline but not bi phasic Y Twave should be smaller than 1 3 R wave height Y The P wave should be smaller than 1 5 R wave height For paced patients in addition to the Y Not wider than the normal QRS Y The QRS complexes should be at least twice the height of pace pulses Y Large enough to be detected with no re polarization To prevent detection of P waves or baseline noises as QRS complexes the minimum detection level for QRS complexes is set at 0 15mV Adjusting the ECG wave size on the monitor display gain adjustment does not affect the ECG signal which is used for arrhythmia analysis If the signal is too small you may get false alarms for asystole Rev 3 0 5 ECG 83 5 User s Manual Information on the ECG waveform R Twave 0 QT interval p When
15. 5116 300BPM 20mm 99 150RPM s a 1 00 ud Tw 20 A 50 0 PART EDI lt 120 80 rr 0 00 7 bc TN T 1 1 e 3mmHg 30 20 0 olga 42 0 T1 22 13 22 28 22 43 p E 36 7 zi 300 36 7 REV 3 0 4 TREND 74 5 User s Manual TIME PERIOD One can set up and store data and time that one can see in a screen 10 MAY 09 12 23 JOHN MEDICUO111A BPM PVC min p 80 150 X1 ST mm 50 120 80 GRAPHIC TREND 10 MAY 2009 MEDI 80 66 ST 12 4 PVC 0 RR 12 TAL 93 300BPM 20mm 99 150RPM 5 2 100 _ p 30 10 A 20 50 lt N WE e e 120 80 MO 9 Dae _ E n M d E n 15M 1 1 3mmH 30 20 0 ofli 42 0 T1 22 13 22 28 22 43 em 36 7 ER Ee 300 36 7 REV 3 0 4 TREND 75 5 User s Manual TABULAR TREND One can see the stored data at the time previously set up MAIN GRAPHIC TABULAR E MENU TREND TREND SETUP 10 MAY 09 12 23 JOHN ST mm TABULAR TREND 10 MAY 5 1HR 12 06 20215 80 30 0 so 36 7 REV 3 0 4 TREND 76 5 User s Manual TIME INTERVAL One can store data and set up time 10 09 12 23 MEDICUO111A PVC
16. BM5 User Manual Patient Monitor Rev 3 0 10 2007 12 23 PVC Amin ST mm 0 0 100 P 50 mm 150 5 nmm E Rev 3 0 5 User Manual Table of Contents BMS CS CX User rt eee 0 Table of Contents eere eoeta ro eina se tastes sone tasses sens 1 8 CE Standard Information 9 1 2 Read before Use cscssscssssssssssscensscccessensssecsscssscsnesscsssseneesessscesecsecsscssesssessesssseneesessssesersoes 10 How to Contact 1185 ides 10 Warranty Period car ot vea et ewe da 11 Warning Caution eere 12 General Precaution on 13 General Precaution on Electric eee nente nee trennen 18 Manufacturer s declaration electromagnetic emission eeeeeeee seres ee eere eene 19 Cleaning Applied Parts 5o eene ates 27 1 3 Product Components Pata EE 29 Product Outline 5 t eo ge eee ie qe eS 29 Principal Characters of Product ase eee etie ete e a ete oe e HE i iaa is 29 Product Config tatiOtic caet e cite c
17. SWEEP RESP guy ALARM SPEED SIZE 12 5mm s X2 APNEA LEAD DETECT SELECT r LEAD SELECT This is for changing the reference LEAD for respiration LEAD or LEAD II can be selected SWEEP RESP ALARM SPEED SIZE 25mm s X2 APNEA LEAD DETECT SELECT SWEEP RESP ALARM SPEED SIZE 25mm s X2 APNEA LEAD SELECT ON ALARM Alarm menu provide ALARM LIMIT and ALARM SOUND f SWEEP MEN ALARM SPEED SIZE 12 5mm s X2 LEAD DETECT SELECT ON 2 0 7 RESPIRATION 124 5 User s Manual Alarm Limit of Respiration Numeric Value is 5 150bpm Alarm Limit of RESPIRATION APNEA Numeric Value is 3 30sec Warning sound or message displays activation setting when Respiration ALRAM occurs 1 Move 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
18. gt 40mmHg 40mmHg 50mmHg 60mmHg APNEA 80mmHg DETECT 100mmHg ON 3 0 10 2 156 5 User s Manual SETTINGS Various setting Different menus are applied to provide menu and information for handling the EtCO2 module gt MAN WAVEFORM ALARM SETTINGS SCALE MENU 40mmHg APNEA SWEEP DETECT SPEED ON 6 25mm s MAIN MODULE MODULE MODULE MENU INFO SETUP RESET PREV MENU ZERO MODULE SETUP This is information for handling the EtCO2 module MAIN MODULE MODULE MODULE MENU INFO SETUP RESET PREV MENU ZERO Uu MODULE INFO SET RETURN CONTENTS BAROMETRIC PRESSURE GAS TEMPERATURE NO BREATH DETECT TIMEOUT O2 COMPENSATION ANESTHETIC AGENT BALANCE GAS CURRENT 2 TIME PERIOD CURRENT CO2 UNIT SLEEP MODE ZERO GAS TYPE DISABLE SAMPLING PUMP 760 mmHg 0 01 0 SEC 21 96 0 0 96 ROOM AIR 0000 00 00 00 mmHg NORMAL OP ZERO ON N2 NORMAL OP Rev 3 0 10 EtCO2 157 5 User s Manual BAROMETRIC PRESSURE GAS TEMPERATURE NO BREATH DETECT TIMEOUT O2 COMPENSATION ANESTHETIC AGENT BALANCE GAS CURRENT 2 TIME PERIOD CURRENT CO2 UNIT SLEEP MODE This setting is used to set current Barometric Pressure This setting is used to set temperature of the gas mixture This setting is useful when bench testing using static gasses where the temperature is often room temp
19. Detect Pace Off Print Waveform2 Off Print Waveform3 Off Alarm Print Off NIBP Auto Off NIBP Cuff Size PEDIATRIC RR RESP Lead II Alarm Volume 50 QRS Volume Off Pulse Volume Off ECG Lead Fault Message SpO Probe Low Alarm Units for Height cm Units for Weight kg Temperature Units NIBP Limit Type Systolic ECG Filter Monitoring PVC OFF ST OFF Rev 3 0 14 DEFAULT SETTING VALUE 184 BM5 User Manual 15 TROUBLE SHOOTING 1 Noise in ECG Gel is dry Electrodes does not stick well to skin The patient s skin is extremely dry Apply ECG gel or water to the area of contact then use the electrode Replace the electrodes The electrode is in poor condition Use CE compatible products The cable lead wire is disconnected Replace lead wires Repair the ECG B D Rev 3 0 15 TROUBLE SHOOTING 185 5 User s Manual 2 SpO2z malfunction Connectors of the equipments are in bad condition The extension cables Replace extension cables are disconnected The Finger probe is in bad condition Replace the finger probe Repair the ECG B D 3 Temp malfunction The probe is Replace the probe in bad condition Repair the Temp B D Rev 3 0 15 TROUBLE SHOOTING 186 5 User s Manual 4 NIBP malfunction Are leaks from the hose connector of cuff Replace the hose of cuff Repair the NIBP B D 5 Ab
20. faa P BED 001 Rev 3 0 3 SETUP 63 5 User s Manual The large parameter display at the selection of EtCO2 MAIN SET Puis SET MENU PARA SPO DATE amp TIME PREV SWEEP COLOR PIRPIR MERI SPEED SELECT 25mm s ECG WAVE gt SET SELECT SPO2 MENU PARA PROS IBP1 esf SPEED IBP2 25mm s EtCo2 10 JAN 2008 12 23 150 50 100 90 SET DATE amp TIME has sub menu to set date and time BED 001 PVC min ST mm 0 0 MAIN WAVE SELECT SET menu SBT PARA ECG DATE 8 TIME SET HR PR MEN SWEEP SELECT 25mm s ECG 3 0 3 SETUP 64 5 User s Manual SET TIME Set time of equipment MAIN SET MENU SET TIME DATE PREV MENU SET MENU TIME 10 58 01 PREV MENU B SET DATE Set date of equipment A 7 gt MAIN SET Wes SET TWE DATE PREV MENU MAIN SET MENU DATE 06 2007 PREV MENU COLOR SELECT This is the menu to set the waveform and parameter color selection It has ten color below table The color of parameter could be changed in ten colors from following table Rev 3 0 3 SETUP 65 5 User s Manual PALE GREEN SKY BLUE WHITE BLACK MAIN SET LR SET MENU PARA DATE amp TIME ECG PREV B
21. the alarm set in 5 seconds maximum Check that the delay time of the output signal alarm trigger 80ms maximum is within the range of the connected equipment Rev 3 0 5 ECG 86 5 User s Manual Safety Precautions Warning 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 human 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 isolated patient input of the device Such contact would bridge the patient s isolation and cancel the protection provided by the isolated 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 To avoid the risk of serious electrical burn shock or other injury during defibrillation all persons must keep clear of the bed and must not touch the patient or any equipment connected to the patient After defibrillation the screen display recovers within 10seconds if the correct electrodes are used and applied in accordance with the manufacturer s instructions ECG cables can be damaged when connected to a patient d
22. 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 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 second as required by test standards Reference Literature Medical Device Directive 93 42 EEC EN 60601 1 1990 1 1993 A2 1995 Medical electrical equipment General requirements for safety EN 60601 1 1 9 1994 A1 12 95 General requirements for safety Rev 3 0 1 BASIC 17 5 User s Manual General Precaution on Electric Safety Warning Check the item listed below before operating the equipment 1 Be sure that AC power supply line is appropriate to use AC100 240V 2 Be sure that the power source is the one supplied from GIMA DC18V 2
23. 5A 3 Be sure that the entire connection cable of the system is properly and firmly fixed 4 Be sure that the equipment is completely grounded If not there might be the problem occur in the product 5 The equipment should not be placed in the vicinity of electric generator X ray broadcasting apparatus to eliminate the electric noise during operation Otherwise it may cause incorrect result Note The Equipment should be placed far from generator X ray equipment broadcasting equipment or transmitting wires so as to prevent the electrical noises from being generated during the operation When these devices are near the Equipment it can produce inaccurate measurements For BM5 CS CX both independent circuit and stable grounding are essentially required In the event that the same power source is shared with other electronic equipment it can also produce inaccurate output Warning Do not contacts with the patient while operate the machine It may cause serious danger to the users Use only the provided cable Awarning that other cables and accessories may negatively affect EMC performance Warning In case the Equipment does not operate as usual or damaged do not use on patient and contact to the medical equipment technician of the hospital or the equipment supply division Rev 3 0 1 BASIC 18 5 User s Manual Note BM5 CS is classified as follows
24. BM5 CS classifies as Class BF amp CF concerning electric shock It is not proper to operate this Equipment around combustible anesthetic or dissolvent Noise level is B class regarding IEC EN 60601 1 and the subject of Nose is B level concerning IEC EN60601 1 2 Equipment Connection For measurements in or near the heart we recommend connecting the monitor to the potential equalization system Use the green and yellow potential equalization cable and connect it to the pin labeled with the symbol xy Manufacturer s declaration electromagnetic emission BM5 system is intended for use in the electromagnetic environment specified below The customer or the user of BM5 system should assure that it is used in such an environment Emission test Compliance Electromagnetic environment guidance RF emissions BM5 system uses RF energy only for its CISPR 11 internal function Therefore Its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Class B BM5 system is suitable for use in all establi NN shments other than domestic and those directly Harmonics emission A connected to the public low voltage power sup ao plies buildings used for domestic purposes Voltage fluctuation Complies 3 0 1 BASIC 19 5 User s Manual Manufacturer s declaration electromagnetic immunity Immu
25. Manual HEIGHT Unit of height is set as Cm Inch ADMIT CHANGE ADMIT INFO lt gt HEIGHT UNIT WEIGHT UNIT MENU CM CHANGE ADMIT INFO HEIGHT UNIT WEIGHT UNIT KG WEIGHT Unit of weight is set as Kg LBS CHANGE ADMIT INFO WEIGHT UNIT KG CHANGE ADMIT INFO WEIGHT UNIT LBS Rev 3 0 2 PATIENT DATA MANAGEMENT 52 5 User s Manual 2 2 ALARM Alarm is divided into two alarm for the patient s condition and for the product s condition The patient s alarm sounds when the diagnostic functions ASYSTOLE VTAC VFIB and VTAC detected Each alarm sound differs in order in order and volume according to the levels of HIGH MEDIUM LOW and MESSAGE HIGH MEDIUM LOW MESSAGE 51 250 Yt Alarm sounds Number flashes Waves are printed out Alarm lamp flashes Alarm for the Product The machine gives alarm sounds for its system with a related message flashing LOW ch 1 siz 250 250 250 Z115 250 PES E m S ALARM LIMITS The machine enables one to see and change the limits of alarm for all parameter functions ALARM PRINT with an ON OFF setup the related information is printed out whenever an alarm is given ALARM VOLUME volume of each ala
26. PACE ARRHYTHMIA MENU OFF FULL ARRHYTH AK eae ST MENU LEVEL SETTING OFF PACE ARRHYTHMIA FULL PREV ARRHYTH m 5 MENU LEVEL ONT SETTING ARRHYTH LEVEL One can set up priorities when he or she uses the alarm for the diagnostic function MAIN P ARRHYTHMIA MENU MONITOR OFF FULL PREV ARRHYTH nta ST MENU LEVEL OFF i SETTING M ARRHYTH ALARM LEVEL RETURN MESSAGE ASYSTOLE HIGH VTAC HIGH VTACI VFIB HIGH BIGEMINY MESSAGE BRADY MESSAGE COUPLET MESSAGE IRRGULAR LOW PAUSE LOW PVC MESSAGE RONT MESSAGE TRIGEMINY MESSAGE V BRADY MEDIUM VT gt 2 MEDIUM Rev 3 0 5 ECG 98 5 User s Manual 12 CH ECG ANALYSIS There are 5 sub menus for 12 CH ECG ANALYSIS menu as following MAIN LEAD ALARM ME MENU SELECT LIMIT OFF PREV ANALYSIS MENU SETTING t ANALYSIS 12 CH MAIN ADMIT ANALYSIS REVIEW MENU PREV CLEAR SENSITIVITY 12LEAD ANALYSIS RUN This is the start command of 12 CH ECG ANALYSIS Y 12 CH MAIN ADMIT ANALYSIS REVIEW MENU BUN INFO PREV UN CLEAR SENSITIVITY REVIEW This is result window to see the interpretation of 12 CH ECG There are 3 sub menus for REVIEW menu 12 CH MAIN ADMIT MENU ANALYSIS REVIEW NES RUN PREV CLEAR
27. REQUIRED Cause Zero Required Zero Error Solution To clear check airway adapter and clean if necessary If this does not correct the error perform an adapter zero If you must adapter zero more than once a possible hardware error may exist CO2 OUT OF RANGE Cause The value being calculated is greater than the upper CO2 limit 150mmHg Solution If error persists perform a zero CHECK AIRWAY ADAPTER Cause Usually caused when the airway adapter is removed from the Capnostat or when there is an optical blockage on the windows of the airway adapter May also be caused by failure to perform Capnostat zero to when adapter type is changed Solution To clear clean airway adapter if mucus or moisture is seen If the adapter is clean perform a Capnostat zero Rev 3 0 10 EtCO2 162 BM5 User Manual 11 TEMPERATURE 11 1 Outline Temperature Connector and Measuring Cable 11 2 Temperature Data Window 11 3 Temperature Data Setup ALARM LIMIT UNIT SELECT Rev 3 0 11 TEMPERATURE 163 BM5 User Manual 11 1 Outline 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 electric signals Temperature Connector and Measuring Cable Temperature Connector Temperature Measuring Cable 9 Note Temperature probe is correctly positioned and fixed to do not disconnect
28. SENSITIVITY MAIN ANALYSIS AVERAGE ANALYSIS MENU REPORT WAVE WAVE PREV MENU Rev 3 0 5 ECG 99 5 User s Manual ANALYSIS REPORT Showing AVERAGE WAVE of each ECG channel when the module interprets them MAIN ANALYSIS AVERAGE ANALYSIS MENU REPORT WAVE WAVE PREV MENU 10 MAY 09 12 23 JOHN MEDICUOT11A BPM PVC min P 150 12LEAD ANALYSIS REPORT RETURN 02 23 22 22 60 MANUAL 12 LEAD MEDI cs 1HR 93 VENT RATE BPM 61 QRS DUR MS 104 02 10 5 SpO2 PR INT MS 204 QT QTC MS 404 407 1 00 PR R T AXES 27 2 82 ABNORMAL ECG 000 NORMAL SINUS RHYTHM 0 2 0 INTERIOR POSTERIOR INFACT POSSIBLY ACUTE bos LATERAL INJURY PATTERN ACUTE MI ART AV BLOCK NORMAL AXIS 005 PROBABLE RIGHT VENTRICULAR HYPERTROPHY Eo mmHg 80 94 CVP MAIN ANALYSIS AVERAGE ANALYSIS 15M 1 1 MENU REPORT WAVE WAVE 3 Qo 42 0 1 PREV n 36 7 MENU 30 0 36 7 If ECG Board sends diagnosis code to BM5 it will display the interpretation of following table at the report and the screen NUMBER CODE DESCRIPTION 1 111 Normal Sinus Rhythm 112 Sinus Bradycardia HR 50 59 113 Sinus Bradycardia HR lt 50 115 Sinus Tachycardia HR 100 130 116 Sinus Tachycardia HR gt 130 121 Sinus Arrhythmia 131 Sinus Pause pause lt 3 0sec
29. ST mm 0 0 x2 x2 ALARM REVIEW RETURN 2007 03 10 10 22 45 2007 03 08 12 25 34 2007 03 06 23 32 10 2007 03 05 09 12 36 MEDIUM 2007 03 04 13 52 42 MESSAGE 2007 03 03 18 18 38 MESSAGE 2007 03 02 20 12 36 MESSAGE 2007 03 01 22 25 56 MEDIUM 2007 03 01 09 12 15 MESSAGE 2007 02 26 14 52 38 MESSAGE 2007 02 24 09 12 36 LOW 10 MAR 2007 12 23 ohn PVC 0 0 ST mm 0 0 22 22 12 Rev 3 0 2 PATIENT DATA MANAGEMENT 57 5 User s Manual SAVING CONDITION This determines the alarm level of parameters which are saved in the alarm list when alarm occurs If the higher level of alarm only occurs than the previously determined alarm level data would be saved in the alarm list MAIN ALARM MENU LIST HIGH PREV MENU SAVE MAIN ALARM CONDITION MESSAGE MENU LIST HIGH LOW MEDIUM PREV gt HIGH MENU ECG WAVE SELECT ALARM LIST ECG LEAD SELECT This set ECG LEAD which is indicated in the saved alarm list f ALARM ALARM MER ARS PRINT VOLUME ON OFF PREV SU ALARM ARRHYTH MENU REVIEW LEVEL ON ARRHYTH LEVEL This set alarm level in arrhythmias analysis ln E ALARM ALARM MENU ALL ALARM LIMITS PRINT VOLUME t OFF OFF PREV Murs ALARM ARRHYTH MENU ON REVIEW LEVEL A Rev 3 0 2 PATIENT DATA MANAGEMENT 58 5 User s Manual ARRHYTH A
30. a product used for monitoring biological information and occurrence of a patient Main functions of the product include displaying information such as respiration SpO2 NIBP IBP EtCO2 and temperature on its LCD screen and monitoring parameter and alarming It also prints out waves and parameters via a printer Principal Characters of Product BM5 CS CX is a small size multifunctional monitoring equipment for a patient designed to an easy usage during movement It features devices for auto power supply DC 10V 16V and DC power supply DC 18V as well as installing its handle to the patient s bed The equipment also measures major parameters such as respiration rate SpO2 pulse rate NIBP IBP EtCO2 and temperature displaying them 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 It also enables to build a central monitoring system by linking devices used for separate patients so that one can monitor several patients at a time Warning Use only the supplement accessories provided by us Otherwise patient and user may exposed to danger Warning 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
31. a relative term with a small amount of practice one can get a good feeling for changes that are artifactual or physiological and the speed of each Messages are provided in the SPO2 values window to aid you in successful SPO2 monitoring WARNING In the monitoring of patients the coincidence of adverse conditions may lead to a disturbed signal going unnoticed In this situation artifacts are capable of simulating a plausible parameter reading so that the monitor fails to sound an alarm In order to ensure reliable patient monitoring the proper application of the probe and the signal quality must be checked at regular intervals Rev 3 0 6 5 2 115 5 User s Manual 6 3 SpO Data Setup ALARM LIMIT Menu in which SpO limits are set up SWEEP SPEED speed SpO2 Waveform display setting menu RATE VOLUME Menu in which RATE VOLUME is set up RATE VOLUME Move the KEY to select the volume from OFF to 100 When the ECG volume rate is set it turns OFF automatically RATE VOLUME ALARM Two menus ALARM LIMIT ALARM provided in the alarm menu Number setting of alarm value of 5 2 is 0 100 Warning sound or message displays configuration menu when an alarm is triggered 1 Move the mark to select from RETURN SpO2or SpO 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 val
32. e onai a aaa ii aa a 189 8 190 9 191 46 192 use 193 Additional F nction RPM RI P ECRIRE 193 Monitor Environmental 193 193 tube ef EE tme 193 3 0 5 User s Manual Accessories Included stt eau 196 196 Abbreyiations amd aiaia 197 PRODUCT WARRANTY 200 Without prior notice the specification and function are subject to change to enhance the product in this manual Rev 3 0 7 BM5 User Manual 1 BASIC 1 1 CE Standard Information 1 2 Read before Use Warranty Period Warning Caution Note General Precaution on Environment General Precaution on Electric Safety Equipment Connection Maintenance amp Washing Equipment Connection 1 3 Product Components Product Outline Principal Characteristics of Product Product Configuration and Option Product Product Body Configuration 1 4 Function and Key Exter
33. 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 Rev 3 0 5 109 5 User s Manual 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 3 0 5 ECG 110 BM5 User Manual 6 1 Outline SpO Connector Location and Measuring Cable 6 2 SpO2 Data Window 6 3 SpO2 Data Setup SWEEP SPEED RATE VOLUME ALARM ALARM LIMIT Rev 3 0 6 202 111 BM5 User Manual 6 1 Outline SPO2 monitoring is a noninvasive technique used to measure the amount of oxygenated hemoglobin and pulse rate by measuring the absorption of selected wavelengths of light The light generated in the probe passes through the tissue and is converted into an electrical signal by the photodetector in the probe The monitor processes the electrical signal and displays on the screen a waveform and digital values for SpO2 and pulse rate It detects SpO2 in the way of transmitting the red and infrared rays into the capillary vessel to take the pulsation Also perform the alarm function according to the setting value SpO2 Connector Location and Measuring Cable SpO
34. min TABULAR TREND 10 MAY 1HR 12 06 092 80 E 0 0 5 NIBP D SPO2 SPO2 TEMP1 TEMP2 AWRR IBP1 BP1 M BP1 D BP1 PR IBP2 S BP2 M BP2 D IBP2 PR EtCO2 FiCO2 TREND WINDOW SETUP Set the trend display window that will show the real time wave window TREND GRAPHIC TABULAR WINDOW REV 3 0 4 TREND 77 5 User s Manual 10 09 12 23 JOHN MEDICUO111A PVC min xt ST mm SpO2 2 160 ART CVP mmm P201 m FREEZE TIME PERIOD Set visible time period in a screen a MAIN TIME SET TREND MENU PERIOD PARA 30MINS PREV MENU gt 30MINS MENU PERIOD 60MINS 30MINS 90MINS 3HOUR PREV 6HOUR MENU 12HOUR REV 3 0 4 TREND 78 5 User s Manual SET TREND PARA Set parameter for display in a screen MAIN TME SET TREND MENU PERIOD PARA 30MINS MENU PARAMETER WINDOW SET RETURN ON OFF HR ST PR TREND PRINT ON ON ON ON ON ON ON ON ON OFF Graphic select the number which selects a graphic trend and press print to prints the selected trend Table select the table number to be print and press print to receive print all the data in the selected patient admit Adm
35. pressure air runs out of the CUFF automatically Rev 3 0 8 NIBP 129 5 User s Manual 8 3 NIBP Data Setup ALARM Amenu to set the Alarm CUFF SIZE A menu to select cuff size UNIT SELECT A menu to select the pressure unit INTERVAL menu to set Interval time when measures the blood pressure periodically INFLATION Initial Pressurization setting menu CUFF ENG ALARM SIZE INFLATION INTERVAL i 170mmHg OFF mmHg ALARM The alarm provides ALARM LIMIT and ALARM SOUND Alarm setting Numeric Value of Systolic Diastolic and mean pressure is 10 360mmHg The menu which decide activate of warning sign and message display when the respiration alarm is on 1 Move the mark to select one from RETURN 5 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 CUFF ALARM SIZE ADT ae INFLATION INTERVAL 170mmHg OFF mmHg Rev 3 0 8 130 5 User s Manual CUFF SIZE The user
36. print B C PRINTER ECG RESP SPO2 IBP1 IBP2 EtCO2 MAIN PRINTER PRINTER WAVE MENU SPEED KEY FORM1 25mm s REAL TIME H PREV WAVE WAVE PRINTE MENU FORM2 FORM3 TIME SPO2 RESP 305 Rev 3 0 5 User s Manual WAVE gt OFF V1 MAIN MENU FORM1 SPO2 I v2 ll RESP V3 EtCO2 aVR V4 PREV IBP1 aVL v5 MENU IBP2 aVF V6 TAN PRINTER PRINTER WAVE MEND SPEED KEY 1 25mm s REAL TIME Eso WAVE WAVE PRINTER FORM2 FORM3 TIME 2 305 WAVE gt OFF V1 MAIN MENU 2 5 2 I V2 SPO2 RESP V3 EtCO2 aVR V4 PREV IBP1 aVL V5 MENU IBP2 aVF V6 PRINTER PRINTER WAVE 1 25mm s REAL TIME WAVE WAVE PRINTER PER FORM2 FORM3 TIME SPO2 RESP 30SEC WAVE gt OFF V1 MAIN MENU FORMS 5 2 V2 RESP RESP V3 EtCO2 aVR V4 PREV 1 aVL V5 MENU IBP2 aVF V6 PRINTER TIME This is configuration of printed time in normal printing If the print out is not stopped in manual by PRINTER KEY BM5 print out for setup time after starting print out with PRINTER KEY The configuration of time could be setup with 4 types in CONTINUOUS 10 sec 20 sec and 30 sec The configuration of PRINTER KEY Real time Delayed time is applied at print out with PRINTER TIME configuration Rev 3 0 12 171 5 User s Manual
37. the operator must verify that it is in correct working order and operating condition Periodically and whenever the integrity of the product is in doubt test all functions Rev 3 0 1 BASIC 29 5 User s Manual Product Configuration 1 Main body 5 5 CX Monitor 1 EA 2 5 Lead ECG Cable 1EA 3 Disposable electrodes 10 EA 4 NIBP extension tube 1EA 5 Reusable Adult NIBP Cuff 1EA 6 SpO2 sensor extension cable 1EA 7 Reusable Adult SpO2 Probe 1EA 8 DC Adaptor MW160 made in AULT Co Ltd 1EA 9 Chart Paper 2ROLL Option Product Temperature probe 3 Lead ECG Cable MECA3 AHA MECE3 IEC 10 Lead ECG Cable MECA10 AHA MECE10 IEC IBP kit EtCO2 Module Qi de 09039 a 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 GIMA Warning Users must pay attention on connection 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 Rev 3 0 1 BASIC 30 5 User s Manual Features of Main Body Silence Alarm Key ENS Print Stop e e Go Stop Key uc Function Key Trim Knob Control Key pM Power K
38. window displays a measured parameter function setup and the boundary of parameter values Parameter Breathing rate value Menu selection by using Trim Knob key As the key is turn to the right the menu selection moves clockwise As the key is turn to the left the menu selection moves counterclockwise The menu selection is activated when you depress Trim Knob key MAIN USER E DISPLAY PREV PUT DEMO MAKER MENU rel ON SERVICE Menu selection 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 ADMIT DISCHARGE ADT ZADT PED PREV NEO MENU When moving the within quadrilateral the letter reverses and the numeric value reflects immediately gt OFF 60 QRS VOLUME 10 70 20 80 30 90 40 100 50 3 0 1 BASIC 46 5 User s Manual Word feature 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 SET UNIT 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 Kno
39. 0 300 30 LAP PR 50 150 50 170 UVP S 0 300 0 300 UVP D 3 15 3 15 UVP M 0 300 0 300 89 UVP PR 50 150 50 170 Rev 3 0 9 1 142 5 User s Manual IBP SETTING Setting Various Functions Other menus are to be applied for special functions to process pressure signals in various ways MAIN CHANGE SCALE NER NAME ALARM ART ZERO SETTING 7 SET FILTER OFF PREV MENU Setting three labels of ART FEM displaying PULSE RATE among labels the functions of PULSE RATE DISPLAY and DISCONNECT ALARM will be added mm BP PULSE DISCONN MENU FILTER RATE ALARM OFF OFF OFF Z PREV MENU BP FILTER It filters waveforms by selecting three frequency bands OFF 0 2 40Hz 12Hz OHz 12Hz 20Hz OHz 20Hz Generally recommended for monitoring Used for processing waveform components of higher frequency Pressure value can be increased with this filter m BP PULSE DISCONN MEN FILTER RATE ALARM OFF OFF OFF PREV MENU DISCONN NEU FILTER ALARM OFF gt OFF OFF 12 Hz PREV 20Hz MENU Rev 3 0 9 IBP 143 5 User s Manual PULSE RATE Setting display of blood pressure pulse rate AN BP PULSE DISCONN BIEN FILTER RATE ALARM OFF OFF OFF PREV MENU PULSE DISCONN
40. 0 818 Posterior MI 101 911 Pacemaker Rhythm 102 912 paced Atrial Rhythm 103 913 paced Ventricular Rhythm Warning This device uses a computerized 12 lead ECG analysis program which can be used as a tool in ECG tracing interpretation This computerized interpretation is only significant when used in conjunction with clinical findings All computer generated tracings should be overread by a qualified physician The intended use of this device is to record electrocardiograms and vectorcardiograms from surface ECG electrodes not for positioning floating temporary pacemaker leadwires performing pericardiocentesis or other internal applications AVERAGE WAVE Showing AVERAGE WAVE of each ECG channel when the module interprets them MAIN ANALYSIS AVERAGE ANALYSIS MENU REPORT WAVE WAVE PREV MENU Rev 3 0 5 ECG 104 5 User s Manual 10 MAY 09 12 23 JOHN MEDICUO111A BPM PVC min AVERAGE WAVE RETURN 2008 04 23 22 12 20 SEX MALE 30 ANALYSIS AVERAGE REPORT WAVE 3mmHg 1 PREV 30 0 n 36 7 387 ANALYSIS WAVE Showing interpreted ECG wave for 2 5 seconds period of each 3 channels in total 10 seconds from starting Interpretation For example each channel shows each time period as CH Il IIl show for 0 2 5 second section aVR aVL aVF show in 2 5 5 second section CH
41. 1 and 2 minute intervals Intervals below 10 minutes are not recommended for extended INFLATION It is a function for set the maximum initial inflation pressure value The range of initial inflation pressure value of BM5 CS CX is as follows ADT PED Numeric value is 80 90 100 110 230 240 Numeric value is 60 70 80 90 100 110 and 120 i CUFF Wed ALARM SIZE UNIT INFLATION INTERVAL pr 170mmHg OFF mmHg 3 0 8 132 5 User s Manual CUFF bogus ALARM SIZE ADT ENIM INFLATION INTERVAL SELECT OFF mmHg em nt l CUFF MEO ALARM SIZE ADT INFLATION INTERVAL SELECT OFF mmHg 240mmHg The range of initial inflation pressure value of BM5 is as follows ADT Numeric value is 120 250mmHg PED Numeric value is 80 170mmHg Numeric value is 60 140mmHg CUFF MENU ALARM SIZE INFLATION INTERVAL 170mmHg OFF mmHg CN CUFF ALARM SIZE ADT INFLATION INTERVAL SELECT OFF RR CUFF EH ALARM SIZE ADT A INFLATION INTERVAL SELECT OFF Warning Pay attention to not to block connecting hose when you put cuff on patient Rev 3 0 8 NIBP 133 BM5 User Manual 9 IBP 9 1 Description IBP Connectors amp Accessories 9 2 IBP Data Window 9 3 IBP Data Settin
42. 2 sensor and connector Mainstream sensor Mainstream sensor connector EtCO2 accessories for mainstream applications EtCO2 monitoring accessory uses the accessories for CapnoStat 5 microstream sensor of Respironics Company Rev 3 0 10 EtCO2 151 5 User s Manual The airway adapters for mainstream intubated applications 6063 00 25 Single Patient Use Airway Adapter 6312 00 Single Patient Use Airway Adapter 7007 00 Reusable Airway Adapter 7053 00 Reusable Airway Adapter Connecting the 5 CO2 Sensor to the Host System 1 Insert the CAPNOSTAT 5 CO2 Sensor connector into the receptacle of the host monitor as shown in Figure 1 CAPNOSTAT 5 CAPNOSTAT 5 receptacle Figure 1 2 Make sure the arrows on the connector are at the top of the connector and line up the two keys of the connector with the receptacle and insert 3 To remove the connector grasp the body portion of the connector back and remove Note Do not remove by pulling cable Shown below is the CAPNOSTAT 5 CO2 Sensor connection to Respironics Novametrix CO2 Rev 3 0 10 EtCO2 152 5 User s Manual adapter CAPNOSTAT 5 Sensor EN Connect Slides on Clicks into place Remove Slides off 2 Shown below is the CAPNOSTAT 5 CO2 Sensor with a patient circuit 5
43. AR ARRHYTHMISAS 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 Rev 3 0 5 ECG 108 5 User s Manual 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 Problem False ventricular calls Solution Check ECG signal from patient the chest lead may exhibit polarity changes which
44. EE COLOR HR EU SPEED um SOURCE 25mm s ECG PARAMETER COLOR SELECT RETURN WINDOW ON OFF HR PR SELECT PALE GREEN SKY BLUE This menu is used to set the source that detects heart and pulse rate The source can select among ECG and 5 2 WAVE MAIN SET l SET MENU PARA SELECT DATE amp TIME ECG PREV COLOR Wc SPEED SELECT 25mm s ECG MAIN SET MENU PARA Pr gt SWEEP SPOS PREV MES SPEED 25mm s Rev 3 0 3 SETUP 66 5 User s Manual SET SWEEP Set speed of drawing wave signal pattern in this widow MAIN SET SET MENU PARA d DATE amp TIME ECG PREV COLOR M MENU SPEED SELECT SELECT 1 25mm s ECG MAIN SET SET MENU SWEEP gt 6 25 DATE amp TIME 12 5 mm s 25 mm s HR PR ue 50 mm s SELECT DEMO Set ON OFF DEMONTRATION of equipment MAIN USER DISPLAY SOUND SERVICE PREV UNIT DEMO MAKER MENU SELECT ON SERVICE KEY SOUND This is the menu for KEY SOUND to ON OFF free KEY MAIN USER MENU DISPLAY SOUND SERVICE ON PREV UNIT DEMO MAKER MENU SELECT ON SERVICE ETE mr KEY MAIN USER MENU DISPLAY SOUND SERVICE OFF PREV UNIT DEMO MAKER MENU SELECT ON SERVICE Rev 3 0 3 SETUP 67 5 User s Manual UNIT SELECT This is the menu for convert
45. ET BED NUMBER Set up for patient bed number Allowable setters are from 1 to 255 SET SET BED ded UNIT NUMBER NAME 001 PREV AC FILTER W LAN MENU SS TEN 50HZ ON Rev 3 0 3 SETUP 69 5 User s Manual MAIN SET UNIT SET BED MENU NAME NUMBER PREV AC FILTER AC FILTER is function where you can set power supply frequency This feature is required because power supply frequency can be different from one country to another The selectable frequencies 50 2 60Hz OFF f SET AC UNIT FILTER OFF NAME 50HZ J 50HZ PREV SYSTEM W LAN Power supplying of W LAN module could be adjusted with this function SET SET BED MEUM UNIT NUMBER NAME 001 PREV AC FILTER W LAN MENU SYSTEM 50HZ ON SYSTEM System able to change and verify Equipment version information and system information SYSTEM INFO SET RETURN CONTENTS MAIN VER 1 00 BHCDDCB EIA VER 1 01 NBP VER 1 0 CENTRAL ON HOST IP 192 168 030 077 DEVICE 192 168 030 100 SUBNET 255 255 255 000 GATEWAY 192 168 030 001 MAC ADDR 00 02 BD 80 CB 00 DISPLAY LCD Rev 3 0 3 SETUP 70 5 User s Manual MAKER SERVICE Maker service is a menu is used by manufacturers MAIN USER DISPLAY SERVICE PREV TUE DEMO MAKER MENU Aus ON SERVICE FRE
46. EZE MENU If you select the icon which is located in the far left in the icon menu with controlling a rotary switch the wave window is held and is maintained as the previous status at the same time the parameter windows is normally showing the current patient s status Whenever selecting the FREEZE menu the FREEZE and RELEASE are repeated by turns FREEZE MOVING lt gt The FREEZE is released by the following two conditions 1 3 minutes after selecting FREEZE menu 2 Selection of the releasing FREEZE menu Rev 3 0 3 SETUP 71 BM5 User Manual 4 TREND 4 1 TREND GRAPHIC TREND TABLE TREND TREND WINDOW SETUP Rev 3 0 4 TREND 72 5 User Manual 4 1 TREND TREND shows saved data graphically displayed with numeric values Real time data recording duration is 1 minute Amount of saving time is for this data will be saving for 168hours MAIN GRAPHIC TABULAR MENU TREND TREND Move within the tables Al Move up to other analysis function Move down to other analysis function 153 5 Time period set menu Rev 3 0 4 TREND 78 5 User s Manual GRAPHIC TREND Wave Data can be stored and seen according to section GRAPHIC TABULAR 10 MAY 09 12 23 JOHN MEDICUO111A BPM PVC min 80 IL X1 5 50 120 80 GRAPHIC TREND 10 MAY 2009 MEDI 80 HR 66 ST 12 4 0 RR 12
47. Electrosurgery Unit Y Electrosurgical units ESU emit a lot of RF interference If the monitor is used with an ESU RF interference may affect the monitor operation Locate the monitor as far as possible from the ESU Locate them on opssite sides of the operating table if possible Connect the monitor and ESU to different AC outlets located as far as possible from each other When using this monitor with an electrosurgical unit its return plate and the electrodes for monitoring must be firmly attached to the patient If the return plate is not attached correctly it may burn the patient s skin where the electrodes are attached Rev 3 0 5 ECG 88 5 User s Manual 5 3 ECG Data Setup 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 anticlockwise f QRS MAIN LEAD 7 el SELECT ALARM VOLUME OFF PREV VALERE ANALYSIS MENU DISPLAY BOG SETTING ANALYSIS LEAD SELECT Select channels from to V in ECG Lead Il show up in case of connecting 3 Leads ECG Cable Lead Il Ill aVR aVL aVF V show up in case of connecting 5 Leads ECG Cable f QRS 3 MAIN LEAD MENU SELECT ALARM VOLUME OFF PREV HEAD ANALYSIS MENU ECE SETTING ANALYSIS MAIN TRACE
48. GHT UNIT ADMIT 1 CHANGE MENU DE ADMIT DISCHARGE PREV HEIGHT WEIGHT MENU CM KG ADMIT TYPE Set the exercise environment of equipment in discharge status ADU ADULT ICU PED PEDIATRIC ICU NEO NEONATE ICU ADMIT CHANGE DISCHARGE ADT INFO PREV HEIGHT WEIGHT MENU ADMIT 1 ADMIT PED PREV NEO MENU CHANGE ADMIT INFO Last and first name 11 letters for each sex male or female date of birth weight height and patient ID 11 characters CHANGE ADMIT INFO Meals HEIGHT UNIT DE 3 0 2 PATIENT DATA MANAGEMENT 50 5 User s Manual CHANGE ADMIT INFORMATION gt RETURN DESCRIPTION LAST NAME FIRST NAME PATIENT ID SEX BIRTH DATE AGE HEIGHT WEIGHT JOHN WASHINGTON 1 MALE 27 JAN 1978 29 177 0 CM 62 0KG DISCHARGE Patient information and all numbers change to standard and the screen displays ALL ALARMS OFF ADMIT PATIENT TO ACTIVE ALARMS CHANGE ADMIT INFO DISCHARGE WEIGHT UNIT ADMIT PAN TYPE DISCHARGE ADT gt NO YES e Rem MENU em ADMIT CHANGE ADMIT INFO lt gt HEIGHT UNIT UNIT CM f ADMIT ADMIT ADT gt NO YES EE MENU 3 0 2 PATIENT DATA MANAGEMENT 51 5 User s
49. GHz 3 V m 80 MHz to 2 5 GHz 3 V m 80 MHz to 2 5 GHz IEC 61000 4 3 Guidance and manufacturer s declaration electromagnetic immunity The BM5 system is intended for use in the electromagnetic environment specified below The customer or the user of the 5 system should assure that it is used in such an environment Immunity test 60601 Compliance level Electromagnetic environment guidance Test level Conducted RF BM5 system must be used only in a shi 61000 4 150 kHz to 80 150 kHz to 80 Mjelded location with a minimum RF shiel ding effectiveness and for each cable t hat enters the shielded location with a minimum RF shielding effectiveness and for each cable that enters the shielde d location Rev 3 0 1 BASIC 24 5 User s Manual Radiated RF Field strengths outside the shielded loc IEC 61000 4 80 0 MHz to 2 5 80 0 MHz to 2 5 from fixed RF transmitters as det ermined by an electromagnetic site surv ey should be less than 3V m a Interference may occur in the vicinity o f equipment marked with the following Note 1 These guidelines may not apply in all situations Electromagnetic propagation is affec symbol ted by absorption and reflection from structures objects and people Note 2 It is essential that the actual shielding effectiveness and filter attenuation of the shie Ided location be verified to assure that they meet the minimum specification a F
50. L Performs the detection of all 13 arrhythmia The Analysis algorithm simultaneously uses leads 11 and the V lead for ECG and arrhythmia analysis MAIN ETE MONITOR OFF OFF PREV ARRHYTH vemm ST MENU LEVEL ON SETTING MAIN Dr MONITOR OFF LETHAL PREV ARRHYTH PA Rm ST MENU LEVEL ON 4 SETTING MAIN MONITOR OFF FULL PREV ARRHYTH ST MENU LEVEL ON SETTING Rev 3 0 5 ECG 94 5 User s Manual ACC VENT Adult Accelerated ventricular occurs when six or more ventricular beats are detected with an average heart rate for the ventricular beat between 50 and 100 beats per minute 0 2 years Occurs when six or more ventricular beats are detected with an average heart rate for the ventricular beat between 60 and 160 beats per minute 3 10 years Occurs when six or more ventricular beats are detected with an average heart rate for the ventricular beat between 60 and 140 beats per minute 11 13 years Occurs when six or more ventricular beats are detected with an average heart rate for the ventricular beat between 60 and 130 beats per minute ASYSTOLE Ventricular asystole occurs whenever the displayed heart rate drops to zero BIGEMINY Occurs when two or more bigeminal cycles a ventricular beat followed by a non ventricular beat are detected BRADY Bradycardia is the a
51. LARM LEVEL RETURN MESSAGE ASYSTOLE HIGH VTAC HIGH VTAC VFIB HIGH BIGEMINY MESSAGE ACC VENT MESSAGE COUPLET MESSAGE IRRGULAR LOW PAUSE LOW PVC MESSAGE RONT MESSAGE TRIGEMINY MESSAGE V BRADY MEDIUM SHORT RUN MEDIUM NURSE CALL When an alarm is triggered this activated the NURSE CALL function MAIN ALARM ALARM menu ALL ALARM LIMITS PRINT VOLUME ON OFF PREV bes ALARM ARRHYTH MENU SN REVIEW LEVEL P ALARM ALARM MENU ALL ALARM LIMITS PRINT VOLUME ON OFF PREV 2 ALARM ARRHYTH MENU OB REVIEW LEVEL Rev 3 0 2 PATIENT DATA MANAGEMENT 59 BM5 User Manual 3 3 1 DISPLAY DEMO USER SERVICE MAKER SERVICE Rev 3 0 3 SETUP 60 BM5 User Manual 3 1 SETUP DISPLAY screen set menu KEY SOUND This is the menu to set the key sound generation USER SERVICE This is the menu to set the connection used to interface with an external computer DEMO This is the menu to set the demonstration MAKER SERVICE This is the basic adjustment menu used to adjust the features of this product MAIN USER as DISPLAY SOUND PREV UNIT DEMO MAKER MENU SELECT ON SERVICE DISPLAY SET PARA Measurement function selected WAVE SELECT Set wave pattern source at the bottom of the WINDOW with LARGE SET DATE amp TIME Set and change date and time HR PR S
52. MAY 09 12 23 JOHN MEDICUO111A lII X1 5 02 x2 160 30 MAIN USER MENU DISPLAY SERVICE lt UNIT DEMO MAKER MENU SELECT ON SERVICE Menu Select Window N Real Time Wave Window Displays measured results by up to three waves Menu Select Window Menus appear when they are activated Parameter Window Measured and setup data are displayed in five windows Rev 3 0 1 BASIC 44 5 User s Manual Menu Selection 10 09 12 23 JOHN MEDICUO111A BPM y PVC 150 I X1 ST mm 50 2008 80 1HR 4 205 Turn press the knob SpO2 RR 30 10 ART 2008 80 mmH 4 160 80 E gt ART lt 9 j NEU 11 dus 200 36 7 When the Trim Knob Key is turned menus are selected in the order indicated above The above screen shows that the MORE menus is selected The menus move to the right in the order of MORE MENU ECG NIBP gt 5 2 RESP EtCO2 IBP1 IBP2 TEMP An inactivated window is jumped off Menu Composition More Menu Window When the additional menu is selected it will set and cancel the functions MAIN USER MENU DISPLAY SERVICE PREV PM DEMO MAKER MENU 3 0 1 BASIC 45 5 User s Manual Numerical value sign widow This
53. MENU SPEED 6 25 mm s ECG 25 mm s 12 5 mm s MENU Rev 3 0 5 ECG 891 5 User s Manual ECG SIZE The size is changeable to X0 25 X0 5 X1 X2 X4 P SWEEP ECG MAIN VIEW SPEED SIZE MENU 25 mm s X1 EU PREV MENU SWEEP ECG od SPEED SIZE 0 25 25 mm s 0 5 J gt xi PREV x2 MENU x4 VIEW ECG The number of ECG wave could be configured with this function In case of 1 CH there are 2 traces of 1 CH data at the ECG wave MENU 25 mm s 1 ECG PREV MENU MAIN SWEEP VIEW mc MENU SEGUE ECG 25 mm s 2CH 7CH PREV 12CH MENU ANALYSIS SETTING Analysis setting is divided to 3 menus MAIN LEAD ALARM UNE MENU SELECT LIMIT 12 60 ANALYSIS MENU DISPLAY SETTING ANALYSIS 3 0 5 92 5 User s Manual ECG FILTER One may select from three frequency types for WAVE FILTER MONITOR 0 5Hz 40Hz MODERATE 0 5Hz 25Hz MAXIMUM 5Hz 25Hz DIAGONOSIS 0 05 2 150Hz MAIN ARRHYTHMIA MENU MONITOR OFF LETHAL PREV ARRHYTH EN ipee ST MENU LEVEL Su SETTING ape ECG MAIN MENU FILTER gt MONITOR MONITOR MODERATE MAXIMUM PREV DIAGONOSIS MENU PACE Sets up ON OFF indicate that the patient has PACE The PACE menu option enables disables the pacemaker detection program gt
54. NSITIVITY Warning Display Heart Beat Equipment Signal Hart Beat equipment signal displays when the PACE mode is the signal appears series form The signal size or form are meaningless clinically Number Of Heart Beat Attention to the patient with heart beat equipment The heart beat equipment can show heart beat even during arrhythmia continuously Therefore do not depend on heart beat alarm excessively Rev 3 0 5 ECG 107 5 User s 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 precaution 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 WARNINGS VENTRICUL
55. OURCE Set and select HR PR source COLOR SELECT Set screen display color SET SWEEP Set speed of ECG RESP WAVE DISPLAY MAIN SET an Li SET MENU PARA amp PREV SWEEP COLOR HR PR MENU SPEED SELECT SELECT 25mm s ECG Select measurement function to use MAIN SET MENU PARA amp PREV SWEEP COLOR HRR MENU SPEED SELECT SELECT 25mm s ECG P Rev 3 0 3 SETUP 61 5 User s Manual PARAMETER WINDOW SET RETURN WINDOW ON OFF ECG SPO2 RESP NIBP TEMP IBP II ETCO2 WAVE SELECT ON ON OFF ON ON ON ON Select waveform to display in large parameter display MAIN SET SET 2 DATE amp TIME PREV SWEEP COLOR HR PR MENU SPEED SELECT SELECT 25mm s ECG WAVE 3 gt ECG MAIN SET SELECT SPO2 MENU PARA SPO2 RESP SWEEP IBP1 PET SPEED IBP2 25mm s EtCO2 Rev 3 0 3 SETUP 62 5 User s Manual The large parameter display at the selection of SpO2 10 JAN 2008 12 23 JOHN 00001A 30 10 150 50 DA 100 90 PVC ST mm 0 0 11 _ BED 001 The large parameter display at the selection of RESP 10 2008 12 23 JOHN 00001 150 50 30 10 20 PVC min ST mm 0 0 RR II X4
56. PUMP MODULE RESET This performs a function to reset handling the EtCO2 module When performing a zero on room air this setting should be set to room air the default Only change to nitrogen N2 when performing a zero on 10096 N2gas this is provided for use in a laboratory environment This setting allows the pump to be forced off In Normal Operating Mode the pump will be turned on when the sampling cell is connected and no pneumatic system errors are detected In Pump Disabled Mode the pump will remain off in all circumstances MAIN MODULE MODULE MODULE MENU INFO SETUP RESET PREV zi ZERO APNEA DETECT Turn the APNEA detection alarm off and on va WAVEFORM ALARM SETTINGS SCALE MENU 40mmHg APNEA SWEEP DETECT SPEED ON 6 25mm s MAIN WAVEFORM ALARM SETTINGS SCALE MENU 40mmHg APNEA SWEEP DETECT SPEED OFF 6 25mm s 4 ALARM This performs 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 3 0 10 EtCO2 159 5 User s Manual With apnea alarm off measured values are displayed instead of message EtCO2 FiCO2 EtCO2 50 0 0 0 25 30 ZERO This function is used to initiate a Capnostat zero A zero is used to correct f
57. Rate Respiration Rate SpO2 Pulse Rate Systolic BP Diastolic BP Mean BP 2 x Temperature 2 x IBP EtCO2 FiCO2 Airway Respiration Rate 6 waveforms 2 ECG SpO2 RR or EtCO2 2 IBP Sweep speed 6 25 12 5 25 50 mm sec Categorized alarms 3 priority levels Visual alarm lamp handle Heart beat tone SpO2 pulse pitch tone Battery status External power LED DC input connector 12 to 18VDC 2 5A Defibrillator Sync Output Signal Level 0 to 5V pulse Pulse width 100 10 ms LAN digital output for transferring data Nurse call system connection DC output 5VDC 1A attery Rechargeable Li ion battery 1hours for continuous working hermal Printer option Speed 25 50mm sec Paper width 58 ata Storage 168hours trends 20cases of 10sec alarm waveform UI Il aVR aVL aVF V 10 lead II aVR aVL aVF V1 V2 V3 V4 V5 V6 Rev 3 0 16 SPECIFICATION 193 5 User s Manual ECG waveforms 3 lead 1 channel 5 lead 3 7 channels 10 lead 12 channels Heart Rate Range Adult 30 300 bpm Neonate Pediatric 30 350 bpm Heart Rate Accuracy 1 or 1 whichever is greater Sweep speed 6 25 12 5 25 50 mm sec Diagnostic mode 0 05Hz 150Hz Monitoring mode 0 5 40 Hz Surgical mode 0 5 25 Hz range Arrhythmia analysis ASYSTOLE VTACH VFIB BIGEMINY ACCVENT ICOUPLET IRREGULAR PAUSE PVC RONT TRIGEMINY VBRADY Mode Against electr
58. TRACE II MENU II PREV MENU LEAD 1 SELECT MENU MAIN TRACE TRACE II MENU lI PREV MENU x Rev 3 0 5 ECG 89 5 User s Manual MAIN TRACE MENU 7 aVR g II aVL Il aVF PREV MENU h LEAD 2 SELECT MENU MAIN TRACE TRACE II MENU lI MENU PREV MAIN TRACE II aVR MENU ll gt H avL P I aVF PREV V MENU Alarm Limit is 0 350 MAIN MENU 2 LEAD SELECT QRS OFF ALARM VOLUME DISPLAY ECG ANALYSIS SETNNG ANALYSIS ECG ALARM E amp LEVEL ALARM MEDIUM MEDIUM MEDIUM HR ST PVC 3 0 5 ECG 90 5 User s Manual QRS VOLUME Move the Key to select a volume rate from OFF 10 to 100 QRS MAIN LEAD MENU SELECT ALARM VOLUME OFF PREV HESS ANALYSIS MENU 50G SETTING ANALYSIS QRS gt OFF 60 Hand VOLUME 10 70 OFF 20 80 30 90 PREV 40 100 MENU 50 DISPLAY Set the sweep speed and waveform size QRS MAIN LEAD MENU SELECT ALARM VOLUME OFF PREV IZLEAD ANALYSIS MENU DISPLAY 50G SETTING ANALYSIS ECG SWEEP SPEED ECG speed is 25 mm s Speed is changeable to 6 25 12 5 25 50mm s UEM 25 mm s X1 MENU SWEEP MAIN VIEW
59. V1 V2 V3 show in 5 7 5 second section and CH V4 V5 V6 show in 7 5 10 second section Under this window all the ECG channels are printed out 10 MAY 09 12 23 JOHN MEDICUO111A 1 BPM PVC 4 80 ST mm ANALYSIS WAVE NEXT PAGE gt gt 2008 04 23 22 12 20 3 0 5 ECG 105 5 User s Manual ADMIT INFO This is a menu for setup the configuration of interpretation This is made up with 3 sub menus 12 CH MAIN ADMIT ANALYSIS REVIEW INFO RUN PREV emp CLEAR SENSITIVITY CHANGE ADMIT INFORMATION RETURN DESCRIPTION LAST NAME JOHN FIRST NAME WASHINGTON PATIENT ID BM 001 SEX MALE BIRTH DATE 01 JAN 2007 AGE ADULT ST LEVEL AUTO DIAGNOSIS LEVEL PROFESSIONAL AC FILTER 60Hz BASE SETUP ON EMG SETUP OFF LPF SETUP 150 SENSITIVITIY This is the adjustment menu for amplitude of 12CH ECG wave There are 5 kinds of gain from x0 25 to x4 as following 12 CH MAIN ADMIT ANALYSIS REVIEW INFO RUN PREV CLEAR SENSITIVITY 12LEAD ERU ANALYSIS SENSITIVITY gt X025 a 4 X1 PREV 2 4 CLEAR This is the deleting function for result of interpretation The results of analysis report average wave and analysis wave are deleted if this menu is Rev 3 0 5 User s Manual selected 12 CH MAIN ADMIT MANU ANALYSIS REVIEW NES RUN PREV CLEAR SE
60. a month clean and wipe off the frame by using the soft cloth after wetting it with water and alcohol Do not use lacquer thinner ethylene and oxidizer which may leads damage to the equipment Make sure both cables and accessories are free of dust or contaminants and wipe them off with soft cloth wetted with warm water 40 and at least once a week clean them by using the clinical alcohol Do not submerge the accessories under any liquid or detergent Also make sure any liquid not to penetrate into the Equipment or probe Rev 3 0 1 BASIC 27 5 User s Manual Caution Do not dispose single use probe to any hazard place Always think about environmental contamination Caution There is back up battery on board inside system When users dispose this battery Please waste proper place for environmental protection Warning Check the electrodes of batteries before changing them Operate BM5 CS CX with internal electric power supply when unsure of external ground connection or installation occur Remove the 1st Battery when not using equipment for a while without any damage For other applied parts such as temperature sensors pulse oximetry probes and NBP cuffs you must consult the manufacturer for cleaning sterilization or disinfecting methods Rev 3 0 1 BASIC 28 5 User s Manual 1 3 Product Components Product Outline BM5 CS CX monitor is
61. abnormality possible subendocardial ischemia 74 711 ST abnormality possible subendocardial ischemia Anteroseptal 75 712 ST abnormality possible subendocardial ischemia Anterolateral 76 713 ST abnormality possible subendocardial ischemia Anterior 71 714 ST abnormality possible subendocardial ischemia High Lateral 78 715 ST abnormality possible subendocardial ischemia Inferior 79 720 ST abnormality possible transmural injury 80 721 ST abnormality possible transmural injury Anteroseptal 81 722 ST abnormality possible transmural injury Anterolateral 82 723 ST abnormality possible transmural injury Anterior 83 724 ST abnormality possible transmural injury High Lateral 84 725 ST abnormality possible transmural injury Inferior 85 730 T wave inversion possible Myocardial Ischemia 86 731 T wave inversion in Anteroseptal possible Myocardial Ischemia 87 732 T wave inversion in Anterolateral possible Myocardial Ischemia 88 733 T wave inversion in Anterior possible Myocardial Ischemia 89 734 T wave inversion in High Lateral possible Myocardial Ischemia 90 735 T wave inversion in Inferior possible Myocardial Ischemia 91 741 Prolonged QT 92 810 Anterior Extensive MI 93 811 Anteroseptal MI 94 812 possible Anteroseptal MI 95 813 Anterior MI 96 814 High Lateral MI 97 815 Lateral MI 98 816 Anterolateral MI 99 817 Inferior MI Rev 3 0 5 ECG 108 5 User s Manual 10
62. al of your old appliance will help prevent potential negative consequences for the environment and human health 4 For more detailed information about disposal of your old appliance please contact your city office waste disposal service or the shop where you purchased the product Electrocute Precautions To prevent skin burns apply electrocute electrodes as far as possible from all other electrodes a distance of at 15 cm 6 in is recommended Rev 3 0 1 BASIC 14 5 User s Manual EMC 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 EMC requirements X ray equipment or MRI devices are possible source of interference as they may emit higher levels of electromagnetic radiation Also keep cellular phones to other telecommunication equipment away from the monitor Rev 3 0 1 BASIC 15 5 User s Manual CAUTIONS Instruction for Use For continued safe use of this equipment it is necessary that the instructions are followed However instructions listed in this 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 m
63. ances Between Portable and Mobile RF Communications Equipment and the BM5 system BM5 system is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The user of the BM5 system can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the BM5 system as recommended below according to the maximum output power of the communications equipment power W of transmitter 150 kHz to 80 MHz E76 398 2 For transmitters rated at a maximum output power not listed above the recommended separa tion distance d in meters m can be estimated using the equation applicable to the frequenc y of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer Rev 3 0 1 BASIC 23 5 User s Manual Note 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range app lies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affec ted by absorption and reflection from structures objects and people Immunity and Compliance Level Immunity test 60601 Test Level Actual Immunity Level Compliance Level Conducted RF 3 Vrms 150 kHz to 80 3 Vrms 150 kHz to 80 3 Vrms 150 kHz to 80 IEC 61000 4 6 MHz MHz MHz Radiated RF 3 V m 80 MHz to 2 5
64. ansducer should not be conductive Otherwise discharge energy may induce a shock to operators during cardioversion Note Check if there is a scratch on the catheter balloon before using Do not reuse disposal parts and accessories Do not use Saline packs with passed expiration dates Do not use pressure measurement kits in torn packages 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 3 0 9 1 146 BM5 User Manual 10 EtCO2 10 1 INTRODUCTION Position of EtCO2 Connector and Accessory EtCO ACCESSORY 10 2 EtCO Parameter Window 10 3 EtCO Parameter Setting Menu Rev 3 0 10 EtCO2 147 5 User Manual 10 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 Sidestream Respironics EtCO2 Connector 4 8 4j 2 LoFlo sidestream CO2 sensor and connector Sidestream sensor Sidestream sensor connector Rev 3 0 10 EtCO2 148 5 User s Manual EtCO2 accessories for sidestream applications EtCO2 monitoring accessory uses the accessories for LoFlo sidestream mo
65. aviolet sources such as sunlight fluorescent and similar lighting which causes yellowing of paper and fading of tracings AVOID CONTACT WITH cleaning fluids and solvents such as alcohols ketones esters ether etc DO NOT STORE THERMAL PAPER WITH ANY OF THE FOLLOWING carbon and carbonless forms non thermal chart papers or any other products containing tributyl phosphate dibutyl phthalate or any other organic solvents Many medical and industrial charts contain these chemicals document protectors envelopes and sheet separators containing polyvinyl chloride or other vinyl chlorides DO NOT USE mounting forms pressure sensitive tapes or labels containing solvent based adhesives To assure MAXIMUM TRACE IMAGE LIFE thermal paper should be stored separately in manilla folders polyester or polyimide protectors Plastic document protectors envelopes or sheet separators made of polystyrene polypropylene or polyethylene will not degrade thermal traces in themselves However these materials afford no protection against fading from external causes Paper manufacturers advise us that these thermal products should retain their traces when properly imaged and stored for about 3 5 years If your retention requirements exceed these guidelines we recommend you consider alternate image storage techniques Rev 3 0 12 PRINT 173 5 User s Manual 12 2 Paper Change Open the window of the printer Insert the paper roll offe
66. b key if you want to change a letter currently on the screen MAIN MENU UNIT NAME J All 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 hand 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 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 Operation menu The setup value changes without a selection when the menu is moved MAIN ADMIT CHANGE MENU ADMIT INFO CHANGE ADMIT INFO Rev 3 0 1 BASIC 47 BM5 User Manual 2 PATIENT DATA MANAGEMENT 2 1 ADMIT CHANGE ADMIT INFO DISCHARGE HEIGHT WEIGHT 2 2 ALARM ALL LIMITS ALARM PRINT ALARM VOLUME ALARM LEVEL ARRHYTH LEVEL ALARM REVIEW ALARM LIST SAVE ALARM LEVEL NURSE CALL Rev 3 0 2 PATIENT DATA MANAGEMENT 48 BM5 User Manual Additional setups are made foe each parameter function One can make an overall setup for the entire monitor system Rev 3 0 2 PATIENT DATA MANAGEMENT 49 5 User s Manual 2 1 ADMIT CHANGE ADMIT INFO DISCHARGE HEIGHT UNIT WEI
67. beats per minute 0 2 3 10 and 11 13 years Occurs when a run of three or more ventricular beats is detected with an average heart rate that is less than or equal to 60 beats per minute VFIB VTAC Ventricular fibrillation occurs when the ECG waveform indicates a chaotic ventricular arrhythm ST SETTING ST signal and setting related ST menu MAIN PER ARRHYTHMIA MENU MONITOR OFF FULL PREV ARRHYTH AN ST MENU LEVEL ON SETTING ST ANALYSIS ON OFF ST analysis signal ST 1 MEASUREMENT MENU ANALYSIS CONDITION SELECT PREV MENU Rev 3 0 5 96 5 User s Manual MEASUREMENT CONDITION ST measurement condition setting MAIN FUE MEASUREMENT MENU CONDITION PREV MENU ST MEASUREMENT CONDITION RETURN UNITS ISO R ST R TEMPLETE SELECT TEMPLETE SELECT Select a Representative Lead of ST LEVEL The trace of the selected LEAD shows up at ST Window of POPUP TREND WINDOW In case of 3 Lead this is fixed to Lead Il MAIN AN MEASUREMENT 5 MENU CONDITION ON PREV MENU TEMPLETE A MENU SELECT v2 T gt II aVR PREV aVL V5 MENU aVF V6 Rev 3 0 5 ECG 97 5 User s Manual PVC ANALYSIS Decision maker to display PVC value sign with ON OFF MAIN bs
68. can select a CUF between ADULT and NEONATAL 1 CUFF AU ALARM SIZE ADT INFLATION INTERVAL SELECT 170mmHg OFF mmHg MAIN CUFF MENU ALARM SIZE gt ADT PED UNIT NEO SELECT mmHg UNIT SELECT It is a function to set blood pressure measurement unit The blood pressure measurement unit provides mmHg and kPa CUFF ise ALARM SIZE ADT INFLATION INTERVAL S 170mmHg OFF mmHg NIBP ALARM LIMIT amp LEVEL RETURN UNITS LOW HIGH ALARM ON OFF LEVEL NIBP S NIBP M NIBP D NIBP PR mmHg mmHg mmHg BPM 80 40 20 50 200 140 120 150 ON MEDIUM MEDIUM MEDIUM MEDIUM Rev 3 0 8 NIBP 131 5 User s Manual CUFF PEN ALARM SIZE UNI INFLATION INTERVAL SELECT kPa 170mmHg OFF INTERVAL This menu is used for selecting intervals when measures the blood pressure automatically Select a target interval from 1min 2 3 4 5 10 15 20 30 1hour 2 4 8 CUFF Miet ALARM SIZE ADT SEES INFLATION INTERVAL 4 170mmHg OFF mmHg f gt OFF 15MINS MAIN INTERVAL IMIN 20MINS MENU OFF 2MINS 30MINS 2 3MINS 1HR 4MINS 2HRS 5MINS 4HRS 10MINS 8HRS Warning periods of time Periodically check patient limb circulation distal to the cuff Check frequently when using auto NBP in
69. changing function for a measuring position to monitor The setting positions are ART FEM PAP RAP LAP UAP UVP CVP ICP and OTHER MAIN SCALE ALARM MENU 160 ZERO SETTING MAIN CHANGE gt ART UAP MENU NAME FEM UVP BP1 OHTER Rev 3 0 9 IBP 139 BM5 User Manual List amp 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 DESCRIPTION DISPLAY VALUE rterial Pressure Ls Systolic Diastolic and Mean Systolic Diastolic and Mean Systolic Diastolic and Mean ICP OTHER Cther IBP1 IBP2 UAP UVP Umbilical Venous Pressure 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 SCALE MENU NAME 160 ALARM ZERO SETTING Rev 3 0 9 1 140 5 User s Manual MAIN SCALE MENU 160 300 80 200 60 gt 160 30 100
70. connector SpO Measuring Cable Note The signal input is a high insulation port and it is defibrillator proof The insulated input ensures patient safety and protects the device during defibrillation and electrosurgery Rev 3 0 6 Sp02 112 5 User Manual 6 2 SpO Data Window 5 Alarm Limit Indicates an 5 alarm limit 5 02 190 i SPO Strength indicators ET Oxygen Concentration in the Indicates SpO Strength in a bar Blood SpO value graph Indicates 5 in numbers The current SPO2 value and the derived pulse rate RATE are displayed The block sets indicate the strength of the signal twenty block bars indicate the strongest signal The SPO2 measurements are averaged over a 6 second period of time The monitor display is updated every second The SPO2 monitoring features are found in the SPO2 menu These features include alarm limit adjustment display of RATE and RATE volume Note SpO WAVE SIZE is changed automatically Rev 3 0 6 5 2 113 5 User s Manual Signal and Data Validity It is extremely important to determine that the probe is attached to the patient correctly and the data is verifiable To make this determination three indications from the monitor are of assistance signal strength bar quality of the SPO2 waveform and the stability of the SPO2 values It is critical to observe all three indica
71. d one trim knob s Parameter window 10 JAN 2007 12 23 John pyc O min ST mm 0 0 a ODE 4 Silence Alarm Print Go Stop NIBP Go Stop Funtion lecce Screen Operation Key 1 Power Switches on and off the Power 2 Function Key 3 Blood Pressure Manually completes measuring blood pressure 4 Printer Prints out the waves selected from the menu until the key is pressed to stop 5 Alarm Stop 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 This key is used to select menu by turning it clock or anticlockwise to move cursors Rev 3 0 1 BASIC 37 5 User s Manual NIBP KEY 10 JAN 2007 12 23 John PVC 0 min ST mm 0 0 80 mmHg 46 49 6 64kPa The manual press of T nisenconcl start or stop the operation of NIBP N Ln wem m LIMITS NURSE CALL ON zu AJ 3 0 1 BASIC 38 5 User s Manual 1 5 Standard Power Supply Application 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 DC Power of side gt When pressing the Power key
72. degree s gt greater than lt less than minus number plus minus Rev 3 0 Abbreviations and Symbols 199 5 User Manual PRODUCT WARRANTY Product Name Patient Monitor Model Name BM5 CS CX Approval Number Approval Date Serial Number Warranty Period 1 year from date of purchase 2 years in Europe Date of Purchase Hospital Name Customer Address Section Name Phone Sales Agency Manufacturer Thank you for purchasing BM5 CS CX The product is manufactured and passed through strict quality control and through inspection Compensation standard concerning repair replacement refund of the product complies with Consumer s Protection Law noticed by Economic Planning Dept Rev 3 0 200 BM5 User Manual GIMA warranty conditions Congratulations for purchasing a GIMA product This product meets high qualitative standards both as regards the material and the production The warranty is valid for 12 months from the date of supply of GIMA During the period of validity of the warranty GIMA will repair and or replace free of charge all the defected parts due to production reasons Labor costs and personnel traveling expenses and packaging not included All components subject to wear are not included in the warranty The repair or replacement performed during the warranty period shall not extend the warranty The war
73. dule of Respironics Company The airway adapters for sidestream intubated applications 3473ADU 00 Airway Adapter Weight 4 5 grams Kit w Deadspace adds approximately 7 Dehumidification cc of deadspace Tubing Intended for use when monitoring patients with ET Tube sizes gt 4 0 mm 3473INF 00 Airway Adapter Weight 5 8 grams Kit w Deadspace adds approximately 1 Dehumidification cc of deadspace Tubing Intended for use when monitoring patients with ET Tube sizes 24 0 mm Connecting the LoFlo Sample Kit 1 The sample cell of the sampling kit must be inserted into the sample cell receptacle of the LoFlo CO Module as shown in Figure 1 A click will be heard when the sample cell is properly inserted _ U Figure I Sample Cell Figure 2 2 Inserting the sample cell into the receptacle automatically starts the sampling pump Rev 3 0 10 2 149 5 User s Manual Removal of the sample cell turns the sample pump off 3 To remove the sampling kit sample cell from the sample cell receptacle press down on the locking tab and pull the sample cell from the sample cell receptacle Rev 3 0 10 EtCO2 150 BM5 User s Manual EtCO2 connector position and accessory Mainstream Respironics EtCO2 Connector 0000 00004 14 7 ige2 CAPNOSTAT 5 mainstream CO
74. e biocompatibility requirements of the applicable standards If you have questions about this matter please contact GIMA or its representatives Maintenance and Washing Equipment Connection Using various methods can clean BM5 CS CX and its accessories Please follow the methods mentioned below to avoid unnecessary damage or contamination to the Equipment We do not repair with free of charge regardless of warranty period if it is contaminated or damaged with using dangerous material not designated for washing Rev 3 0 1 BASIC 26 5 User s Manual Cleaning Applied Parts Cables and Leadwires CAUTION Do not use acetone or keytone solvents for cleaning do not use an autoclave or steam cleaner Cables and leadwires can be cleaned with a warm damp cloth and mild soap or isopropyl alcohol wipes For more intensive disinfecting near sterile Ethylene Oxide ETO is acceptable but will reduce the useful lifetime of the cable or leadwire CAUTION The decision to sterilize must be made per your institution s requirements with an awareness of the effect on the integrity of the cable or leadwire Note The Equipment needs safety inspection once a year Please refer to user s guide or service manual for the examine objects Please check carefully both frame and sensor after cleaning the Equipment Do not use the equipment that is worn out or damaged At least once
75. e ee eere tee baa eere 171 Idi WM qid 172 220 0 173 3 0 5 5 User s Manual MESSAGE LIST 175 I4 DEFAULT SETTING 55 176 gt 55 176 eve chee et et 176 Paraimeter Iimlts onion Petri 177 uu 178 2 N Onate L B o 179 Alarm level e e irte 179 Parameter 0 1 eco teet er E EE v 180 181 3 MOG m 182 Alarm level 5 iie ie nd III 182 Parameter LIMItS EE UU Um 183 184 15 TROUBLE SHOOTING 185 ITO SIUE C 185 Z SPOD 186 3 186 4 iN E iai 187 5 Abnormality in NIBP measurements eesocesocesocesooesoossooecocesosesosssocesscesocessecssesssesssesssecesese 187 6 Failure in battery recharge 188 T Power Tail
76. edium Low Message Asystole 0 Vfib VTac V Tach ACC VENT BIGEMINY COUPLET IRREGULAR PAUSE RONT TRIGEMINY V BRADY coc ojococooloo o PVC ST HR NIBP S NIBP M NIBP D ojojo SpO SpO Rate RR RR Apnea T1 T2 C ojo ojo o IBP1 IBP2 EtCO2 FiCO2 AWRR LEAD FAULT LOW BATTERY Rev 3 0 14 DEFAULT SETTING VALUE 179 5 User s Manual Parameter Limits Low High HR 50 170 NIBP S 40 100 NIBP M 30 70 NIBP D 20 60 5 88 100 SpO Rate 50 170 RR RESP 15 100 RR Apnea 0 15 30 0 86 0 30 0 86 0 ST 4 0 4 0 PVC 0 20 T2C F 42 0 107 6 42 0 107 6 IBP1 2 S 40 100 ART IBP1 2 M 30 70 ART IBP1 2 D 20 50 ART IBP1 2 S 0 300 CVP IBP1 2 M 3 15 CVP IBP1 2 D 0 300 CVP IBP1 2 R 50 170 EtCO2 25 50 FiCO2 0 5 Rev 3 0 14 DEFAULT SETTING VALUE 180 5 User s Manual Display Patient Age NEONATE Primary ECG II Arrhythemia LETHAL Detect Pace Off Print Waveform2 Off Print Waveform3 Off Alarm Print Off NIBP Auto Off NIBP Cuff Size NEONATE RR RESP Lead II Alarm Volume 50 QRS Volume Off Pulse Volume Off ECG Lead Fault Message SpO Probe Off Low Alarm Units for Hei
77. eeds 114 ORONTILBPRRPIRENIS DINNER 116 RATE VOBUME 5 o tote Red utn eie Rode tat aes 116 ALARM 116 LEAD EAUET Condition oerte HE ER Hi 118 SPO2 MESSAGES M 118 7 RESPIRATION A 119 puel 120 7 2 Respira ion Data WIndOwW 122 7 3 5 T 123 RESPIRATION SPEED oe tete et eei e Ie edens 123 RESPIRATION eee tete ie de n Hee ERR ee tea daa ie e e e ie epe E Hee 123 APNEA DETE GT tah aee Re eterne edt ie ee iet ed ede e ee o eet 124 LEAD SEDEGCT zx etti idee ariete mee ie eee e ede eed 124 NDS EE EE NA 124 sere at odas die da s d Sc ns 126 A Kenia 127 Rev 3 0 4 5 User s Manual 3 2 NIBP Wind d 129 8 3 NIBP Data Setup 130 ALARMY toes 130 CUBE SIZ Bie eost tet ode rese e ao od ntu ase eter a aee 131 edet e ne te e E He ee TON 131 erret 132 UE 2 7 7 ee M P 134 9 56 135 9 2 1 138 9 3 IBP Data 139 EEE A EEE M 147 LOA
78. efault for this alarm is MESSAGE ALARM PULSE SEARCH Detection by the monitor of a repeatable pulse has ceased Check the patient and the probe site POOR SIGNAL The 5 2 signal is too low SPO2 data is displayed This be due to a low patient pulse patient motion or some other interference Check the patient and the probe LOST SIGNAL SPO2 data continues to be displayed but the quality of the signal is questionable Check the patient and the probe Rev 3 0 6 5 2 118 BM5 User Manual 7 RESPIRATION 7 1 Outline Respiration Connector and Measuring Cable 7 2 RESPIRATION Data Window 7 3 RESPIRATION Data Setup Respiration Size Alarm Limit Rev 3 0 7 RESPIRATION 119 BM5 User Manual 7 1 Outline 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 Pd Detected e e 2 Lead NU Position of s Detected iC Lead II ON Qd IM V 4 Vt 1 Rev 3 0 7 RESPIRATION 120 BM5 User s Manual Respiration Connector and Measuring Cable Respiration Connecter Respiration Measuring Cable Rev 2 0 7 RESPIRATION 121 5 User s Manual 7 2 Respiration Data Window Breathe indicator Indicates the detected breath
79. erature or below This setting is used to set the no breaths detected time out This time out is the time period in seconds following the last detected breath at which the Capnostat will signal no breaths detected Use this setting to correct for the compensation of the gas mixture administered to the patient Anesthetic agent is ignored when the balance gas is set to helium This setting is used to set the calculation period of the ETCOz value The end tidal CO2 value is the highest peak CO value of all end of expirations end of breaths over the selected time period If less than two breaths exist in the selected time period the value will be the maximum ETCO value for the last two breaths Continuous waveform mode commands the CO2 Waveform Mode command command 80h the CO2 O2 Waveform Mode command command 90h MUST NOT be active when this command is used otherwise this command will be ignored and the setting will remain unchanged Sleep mode is used to save power when the host monitor is in standby mode There are two sleep modes available for the Capnostat Using Sleep Mode 1 maintains the heaters so the Capnostat is able to run immediately after exiting the sleep mode Mode 2 will require the Capnostat to go through its warm up sequence when exiting this mode and a delay will be introduced until the system has stabilized Rev 3 0 10 EtCO2 158 5 User s Manual ZERO GAS TYPE DISABLE SAMPLING
80. essure gauge Rev 3 0 9 IBP 137 5 User Manual 9 2 IBP Data Window Different data windows are displayed on the screen according to the measuring positions Measuring Position Position of blood pressure measurement iude AS Systolic Blood Pressure Indicating maximum blood pressure value Diastolic Blood Pressure 487 Indicating minimum blood pressure value 120 80 8 mmHg Mean Blood Pressure 94 prs preme Indicating mean blood pressure value Blood Pressure Rate Indicating pulse rate Alarm Limits Value Indicating configured alarming range of blood S Indicating configured MORET Range level of systolic pressure Measuring Position i Position of blood pressure measurement Mean Blood Pressure Indicating mean blood pressure value A Alarm Limits Value Indicating configured alarming range of blood Rev 3 0 9 1 138 5 User Manual 9 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 UNIT SELECT Menu to unit change MAIN SCALE MENU NAME 160 ALARM ART ZERO SETTING CHANGE NAME Setting Measuring Position It performs the name
81. ey Alarm Lamp p Te E T Bion r eo EE Power Key p FERES RJ45LAN Port Protective Ground VGA Output Terminal Wireless LAN Power X DC Power Input Port Rev 3 0 1 BASIC 31 Right Side ECG CONNECTOR NIBP CONNECTOR 5 2 CONNECTOR TEMPERATURE CONNECTOR EtCO2 CONNECTOR CONNECTOR PRINTER Rev 3 0 1 BASIC 32 5 User s Manual Accessories ECG Cable Extension Cable SpO Cable Extension Cable NIBP Cuff Extension cable Temperature sensor Option Rev 3 0 1 BASIC 33 5 User s Manual Equipment Sign 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 de
82. fibrillator 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 tan that provided by type CF applied parts TYPE BF APPLIED PART Insulated floating applied part suitable for intentional external and internal application to the patient excluding direct cardiac application Paddles 4 9 outside the box indicate the applied part is defibrillator proof X 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 Rev 3 0 1 BASIC 34 5 User s Manual Ground Printer Serial Port ab LAN Port AUX Connector Port 18V 25 DC Input Indicator Battery Operation Indicator DC Input Connector Rev 3 0 5 User s Manual NIBP Temperature Function Power on Power off Respiration ECG Heart Pulse ZoO 4 3 0 1 BASIC 36 5 User s Manual 1 4 Function and Key External Function The front panel of this product consists of an LCD screen and five function keys an
83. g 101 150mmHg 10 of reading Respiration rate O to 150 breath per minute Respiration accuracy 1 per minute Rev 3 0 16 SPECIFICATION 195 5 User s Manual Accessories Included 1 Main body of BM5 CS CX Monitor 1 EA 2 5 Lead ECG Cable MECES IEC 1 EA 3 NIBP extension tube 1 EA 4 Reusable Adult NIBP cuff 1 EA 5 SpO sensor extension cable 1 EA 6 Reusable Adult SpO sensor 1 EA 7 DC Power Adaptor with Power Cord 18VDC 2 5A KA1803F52 1 EA 8 Operator s Manual 1 EA 9 Chart Paper PAPER 400 2 Roll Option 1 Reusable Temperature Probe Surface Skin 1 EA 2 IBP Transducer Set Disposable Reusable 1 SET Capnography Station Microstream EtCO Oridion 1 SET 4 Sidestream EtCO2 Module Respironics 1 SET 5 Mainstream EtCO2 Module Respironics 1 SET 6 Microstream EtCO airway adapter aampling kit 1 EA 7 Sidestream EtCO2 airway adapter sampling kit 1 EA 8 Mainstream EtCO2 airway adapter 1 EA 9 3 Lead ECG Cable MECES IEC 1 EA 10 10 Lead ECG Cable MECA10 AHA MECE10 IEC 1EA Rev 3 0 16 SPECIFICATION 196 5 User Manual Abbreviations and Symbols Abbreviations and symbols which you may encounter while reading this manual or using the monitor are listed below with their meanings Abbreviations A amps AC alternating current ADT adult ARRYTHM arrhythmia ASYS asystole Auto AUTO automatic AUX Auxiliary aVF left foot augme
84. g 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 Rev 3 0 9 1 134 5 User s Manual 9 1 Description IBP has an alarming function based on the maximum amp minimum alarming 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 amp Accessories IBP connector ACCESSARY MEDEX Kit is used for IBP MONITORING KIT LogiCal Disposable Pressure Transducers Cartridges and Monitoring kit Rev 3 0 9 1 135 5 User s Manual MX9604A LogiCal 60 152 single line monitoring kit 46 12 9602 LogiCal double line monitoring kit MX960 LogiCol transducer mounting plate woes TranStar Disposable Pressure Transducers Cartridges and Monitoring kit MX261 LogiCal for transducer bracket Rev 3 0 9 1 136 BM5 User s Manual MX9504T TranStar 60 single line monitoring kit 48 12 MX800 Modular transducer mounting plate MX240 Pole clamp for mounting a transducer plate fits 3 47 to 1 1 2 pole MX4810 1000 Pressure Infusor complete unit with squeeze bulb and pr
85. ght cm Units for Weight kg Temperature Units NIBP Limit Type Systolic ECG Filter Monitoring PVC OFF ST OFF Rev 3 0 14 DEFAULT SETTING VALUE 181 5 User s Manual 3 Pediatric ICU Mode Alarm level High Medium Low Message Asystole 0 Vfib VTac V Tach ACC VENT BIGEMINY COUPLET IRREGULAR PAUSE RONT TRIGEMINY V BRADY coc ojococooloo o PVC ST HR NIBP S NIBP M NIBP D ojojo SpO SpO Rate RR RR Apnea T1 T2 C ojo ojo o IBP1 IBP2 EtCO2 FiCO2 AWRR LEAD FAULT LOW BATTERY Rev 3 0 14 DEFAULT SETTING VALUE 182 5 User s Manual Parameter Limits Low High HR 50 160 NIBP S 60 160 NIBP M 40 120 NIBP D 30 100 SpO 90 100 SpO Rate 50 160 RR RESP 15 100 RR Apnea 0 20 30 0 86 0 30 0 86 0 ST 4 0 4 0 PVC 0 20 T2C F 42 0 107 6 42 0 107 6 IBP1 2 S 60 140 ART IBP1 2 M 40 105 ART IBP1 2 D 30 90 ART IBP1 2 S 0 300 CVP IBP1 2 M 3 15 CVP IBP1 2 D 0 300 CVP IBP1 2 R 50 160 EtCO2 25 50 FiCO2 0 5 Rev 3 0 14 DEFAULT SETTING VALUE 183 5 User s Manual Display Patient Age PEDIATRIC Primary ECG II Arrhythemia LETHAL
86. ield strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadc ast cannot be predicted theoretically with accuracy To assess the electromagnetic environme nt due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength outside the shielded location in which the EUT is used exceeds 3V m the EUT should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as relocati ng the EUT or using a shielded location with a higher RF shielding effectiveness and filter at tenuation Note For Type A Professional ME Equipment intended for use in domestic establishment instructions for use includes a warning This ME equipment is intended for use by professional healthcare personnel only Rev 3 0 1 BASIC 25 5 User s Manual Caution In the hospital doctors and patients are exposed to dangerous uncontrollable compensating currents These currents are due to the potential differences between connected equipment The safety solution to the problem is accomplished with EN60601 1 1996 Biocompatibility When used as intended the parts of the product described in this operator manual including accessories that come in contact with the patient during the intended use fulfill th
87. ing the units of BM5 The units of parameters for pressure ST LEVEL Temperature are able to convert MAIN KEY USER ES Pressure unit selection menu ST LEVEL unit selection menu Temperature Unit selection menu MENU DISPLAY SOUND SERVICE OFF PREV UNIT DEMO MAKER MENU SELECT ON SERVICE PRESS ST TEMP UNIT UNIT UNIT mmHg mV PREV MENU am PRESS ES TEMP PAN UNIT UNIT UNIT mV AS PREV MENU PRESS ST TEMP UNIT UNIT UNIT mmHg mV C PREV MENU PRESS ST TEMP n MAIN UNIT UNIT UNIT MENU mmHg mm PREV MENU PRESS ST TEMP END UNIT UNIT UNIT mmHg mV PREV MENU emm PRESS ST TEMP UNIT UNIT UNIT mmHg mV F PREV MENU Rev 3 0 3 SETUP 68 5 User s Manual USER SERVICE The user is able to set the communication parameters power supply filter and patient s age MAIN USER MENU DISPLAY SERVICE PREV MENU SERVICE fm SET SET BED MET UNIT NUMBER 00 MEA SYSTEM FILTER ders 50HZ SET UNIT NAME Set up for Equipment name f i SET BED RR UNIT NUMBER 001 PREV AC FILTER W LAN MENON STEM 50HZ ON MAIN SET UNIT MENU NAME MENU S
88. it table REV 3 0 4 TREND 79 5 User Manual 5 ECG 5 1 Outline Color and Name for Each Cable Size ECG Connector Location and Measurement Cable 5 Lead Electrode Attached Location 3 Lead Electrode Attached Location Method to Attach Electrode to Baby 5 2 ECG Data Window 5 3 ECG Data Setup TRACE 1 LEAD SELECT ALARM LIMIT ALARM QRS VOLUME ECG SIZE HEART RATE SOURCE ECG SPEED ANALYSIS SETTING Rev 3 0 5 ECG 80 5 User Manual 5 1 Introduction It calculates the heart rate with 3 or 5 leads or10 leads ECG signal acquisition and perform the alarm according to the setting value Colors and Standards of Cables AHA American Heart Association U S A Certification IEC International Electro technical Commission Europe Certification 3LEAD 5LEAD RE AHA AHA IEC IEC Color code Label Color code Label Right arm White RA Left arm AME LA Yellow L Right leg Green RL Black Left leg LL Green F V1 precordial Brown V1 White C1 10LEAD podus AHA AHA IEC IEC Color code Label Color code Label Right arm White RA Left arm Black LA Yellow L Right leg Green RL Black N Left leg Red LL Green F V1 precordial Brown Red V1 White Red C1 V3 Brown Green V3 White Green C3 V5 Brown Orange V5 White Black C5 V6 Brow
89. n The measured values may be inaccurate when using this equipment for patients who have very fast or irregular respiration When measuring CO2 from the patient under the anesthesia check it when gas mixture comes in Otherwise the measured result values may be inaccurate When using a anesthesia machine that uses a volatile anesthetic CO2 values may be inaccurate Rev 3 0 10 2 161 5 User s Manual 10 4 TROUBLESHOOTING Following is a list of some of the message that may appear on the monitor when monitoring CO2 The message should clear when normal operating criteria are met or a solution is found SENSOR OVER TEMP Cause The sensor temperature is greater than 40 C Solution Make sure sensor is not exposed to extreme heat heat lamp etc SENSOR FAULTY Cause One of the following conditions exist Capnostat Source Current Failure EEPROM Checksum Faulty Hardware Error Solution Check that the sensor is properly plugged in Reinsert or reset the sensor if necessary SENSOR WARM UP Cause Sensor under temperature Temperature not stable Source Current unstable Solution This error condition is normal at startup This error should clear when the warm up is complete CHECK SAMPLING LINE Cause This error occurs whenever the pneumatic pressure is outside the expected range Solution Check that the sampling line is not occluded or kinked Replace the sample line ZERO
90. n Purple V6 White Purple C6 Rev 3 0 5 ECG 81 5 User s Manual Position of ECG Connector and Measuring Cable ECG connecter detect cable Attaching Electrodes to the Patient 1 Shave excess hair With a piece of cotton pad moistened with alcohol clean the patient s skin where the electrodes should be mounted Avoid wrinkled or uneven skin areas Wipe off the alcohol with a dry cotton pad 2 Open the electrode package and take out the electrode 3 Remove the backing paper from the electrode Be careful not to touch the adhesive side 4 Attach the disposable electrode to the previously cleaned skin Avoid wrinkled and uneven skin areas 5 The electrode lead which is connected to the monitor onto the electrode 6 Fasten the electrode lead to the skin with surgical tape with an extra length of wire between the tape and the electrode This prevents body movement from moving the electrode lead Note Y maintain good contact between the electrode and skin check that the paste of the disposable electrode is not dry v When contact of the disposable electrode becomes poor replace the electrode with a new one immediately Otherwise contact impedance between the skin and electrode increase Rev 3 0 82
91. n area where there is an excessive shock or vibration Avoid being inserted dust and especially metal material into the equipment Power off when the equipment is not fully installed Otherwise equipment could be damaged Rev 3 0 1 BASIC 13 5 User s Manual 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 of your old appliance 1 When this crossed out wheeled bin symbol is attached to a product it means the product is covered by the European Directive 2002 96 EC 2 All electrical and electronic products should be disposed of separately from MAC the municipal waste stream via designated collection facilities appointed by the government or the local authorities 3 The correct dispos
92. n case of that warning sign with red and blink at icon box charge the device immediately with DC power adaptor which is provided from GIMA NET Battery charging time More than 6 hours Continuous battery use time Lowest 1 hour to highest 2 hours continuous use buffering Warning Check the electrodes of batteries before charging them 6 Battery status indication When battery is apart from equipment and out of order it is shown by a red as shown below 7 Automobile power supply When an automobile power uses 12V 15V the battery indication disappears and the CAR indication is active Display of automobile power Rev 3 0 1 BASIC 41 5 User s Manual Note Battery is not charged when the automobile power is used The Impact of Lithium lon Battery Technology on the Battery The following are the key points you should know about Lithium lon battery technology The battery will discharge on its own even when it is not installed in a monitor This discharge is the result of the Lithium lon cells and the bias current required for the integrated electronics By the nature of Lithium lon cells the battery will self discharge The self discharge rate doubles for every 10 C 18 F rise in temperature The capacity loss of the battery degrades significantly at higher temperatures As the battery ages the full charge capacity of the battery will degrade and be
93. nal Function Operation Key 1 5 Standard Power Supply Application 1 6 Battery Power Supply Application 1 7 General Menu Operation Screen Composition Menu Selection Menu Composition Rev 3 0 1 BASIC 8 5 User s Manual 1 1 CE Standard Information Electromechanical safety standards met EN 60601 1 1990 A1 1993 A2 1995 A13 1996 Medical Electrical Equipment Part 1 General Requirements for Safety IEC EN 60601 1 2 2001 Electromagnetic compatibility Requirements and tests EN 1060 1 1995 Non invasive sphygmomanometers Part 1 General requirements EN 1060 3 1997 Non invasive sphygmomanometers Part 3 Supplementary requirements for electro mechanical blood pressure measuring systems EN ISO 9919 2005 Medical electrical equipment Particular requirements for the basic safety and essential performance of pulse oximeter equipment for medical use ISO 9919 2005 EN 60601 2 27 2006 Medical electrical equipment Part 2 27 Particular requirements for the safety including essential performance of electrocardiographic monitoring equipment EN 60601 2 30 2000 Medical electrical equipment Part 2 30 Particular requirements for the safety including essential performance of automatic cycling non invasive blood pressure monitoring equipment EN 60601 2 34 2000 Medical electrical equipment Part 2 Particular requirements for the safety including essential performance of invasive blood pressure monito
94. nctions automatically When the alarm is activated the corresponding information is printed on heat sensitive paper LOW BATTERY Alarm isn t activated the alarm print when alarm is set Alarm level upper than MEDIUM Level But LEAD FAULT AND X ALARM ALARM MANI ALL ALARM LIMITS PRINT VOLUME ON OFF PREV ALARM ARRHYTH MENU REVIEW LEVEL Rev 3 0 2 PATIENT DATA MANAGEMENT 55 5 User s Manual ALARM VOLUME Set the alarm volume to be set at 10 grades EN ALARM ALARM ALL ALARM LIMITS PRINT VOLUME PREV UE ALARM ARRHYTH MENU REVIEW LEVEL ON MAIN ALARM gt 60 MENU VOLUME 1096 7096 OFF J 20 80 30 90 PREV 40 100 MENU 50 ALARM REVIEW After an alarm is triggered the alarms and data wave pattern can be reviewed Set up for priority of each parameter alarm p MAIN ALARM ALARM MENU ALL ALARM LIMITS PRINT VOLUME PREV RE ALARM ARRHYTH MENU REVIEW LEVEL e SAVING ECG WAVE MERO gra CONDITION SELECT HIGH Il PREV MENU ALARM LIST When an alarm activates this shows the order of the alarms a SAVING ECG WAVE MAIN ALARM l m CONDITION SELECT HIGH PREV MENU Rev 3 0 2 PATIENT DATA MANAGEMENT 56 5 User s Manual 10 2007 12 23 John 0 min 0
95. nity test IEC 60601 Compliance level ud __ Electrostatic dis 6 kV Contact charge ESD 8 kV Air IEC 61000 4 2 6 kV Contact 8 kV Air Electrical fast 2kV for power supply 2kV for power supply li Transient 1 for input output li nes t 1kV for input output lin IEC 61000 4 4 es 1 kV differential mode 1 kV differential mode IEC 61000 4 5 2 kV common mode 2kV common mode 3 0 A m Power frequenc 3 0 A m y 50 60Hz Magnetic field IEC 61000 4 8 Mains power qua mercial or hospital environ ment Mains power quality shoul The system is intended for use in the electromagnetic environment specified below The customer or the user of the BM5 system should assure that it is used in such an environment Electromagnetic Environment guidance Floors should be wood co ncrete or ceramic tile If f loors are covered with sy nthetic material the relati ve humidity should be at 1 east 30 lity shoul d be that of a typical com d be that of a typical com mercial or hospital environ ment Power frequency magnetic fields should be at levels characteristic of a typical location in a typical comm ercial or hospital environm ent Rev 3 0 1 BASIC 20 5 User s Manual Voltage dips s 596 Ur 95 dip Ur lt 5 Ur gt 95 dip in 5 power quality shoul hort d be that of a typical com Interruptions an for O 5cycle fo
96. normality in NIBP measurements The patient moved Make sure the patient stay still while measuring during diagnosis The measurements appear lower Loosen the cuff during diagnosis There is a delay in measuring Tighten the cuff during diagnosis Repair the NIBP B D Rev 3 0 15 TROUBLE SHOOTING 187 5 User s Manual 6 Failure in battery recharge the battery does not fully recharge in 6 hours or more The output voltage of Replace the adapter the adapter is 18V the battery will not be changed at the rate lower than 17V The battery voltage is lower than 5V Replace the battery Repair the power B D Rev 3 0 15 TROUBLE SHOOTING 188 5 User s Manual 7T Power failure The adapter connector is in bad condition Replaces the adapter The output voltage of the Replace the adapter adapter is lower than 18V Repair the power B D Execute the admit function Admit has been No data will be stored during battery selected in the menu discharge The Digital B D dig Battery has been lower than 3 Replace the battery 3volt Repair the Dig B D Rev 3 0 15 TROUBLE SHOOTING 189 5 User s Manual 8 Periodic noises alarm has been turned off Display lead fault Turn functions not in use off message appears Mode Display Set para Yes The printer Replace the prin
97. nted lead aVL left arm augmented lead aVR right arm augmented lead BPM beats per minute Celsius CAL calibration cm CM centimeter D diastolic DC direct current DEFIB Defib defibrillator DIA diastolic ECG electrocardiograph EMC electromagnetic compatibility EMI electromagnetic interference ESU electrosurgical cautery unit F Fahrenheit g gram HR heart rate hour Hz hertz ICU intensive care unit Inc incorporated kg KG kilogram Rev 3 0 Abbreviations and Symbols 197 5 User s Manual kPa kilopascal L L liter left LA left arm left atrial LBS pounds LCD liquid crystal display LED light emitting diode LL left leg M M mean minute m meter MIN min minute MM mm millimeters MM S millimeters per second MMHG mmHg millimeters of mercury mV millivolt N NIBP noninvasive blood pressure NEO Neo neonatal operating room P PED pediatric PVC premature ventricular complex Q QRS interval of ventricular depolarization R RA right arm right atrial RESP respiration RL right leg RR respiration rate S S systolic sec second 5 2 arterial oxygen saturation from pulse oximetry SYNC Sync synchronization SYS systolic temperature U V V precordial lead V volt V Fib VFIB ventricular fibrillation VTAC ventricular tachycardia Rev 3 0 Abbreviations and Symbols 198 5 User s Manual X multiplier when used with a number 2X X Symbols amp and
98. on the patient Temperature cable is attached to the monitor Rev 3 0 11 TEMPERATURE 164 5 User s Manual 11 2 Temperature Data Window Unit 00 0 Displays temperature unit Temperature Displays temperature Alarm limit on the least low 777777 i temperature Indicates temperature limits Note The minimum measuring time required to obtain accurate readings at the specific body site is at least 3 minutes Rev 3 0 11 TEMPERATURE 165 5 User s Manual 11 3 Temperature Data Setup ALARM Temperature measurement alarm set UNIT Temperature measurement unit set ALARM SELECT ALARM Alarm menu provide ALARM LIMIT and ALARM Setting numeric value is 15 0 45 0 ALARM SELECT 1 Move 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 TEMP ALARM LIMIT amp LEVEL ALARM ON OFF TEMP1 30 0 42 0 OFF MEDIUM TEMP2 30 0 42 0 ON MEDIUM RETURN UNITS LOW HIGH LEVEL Rev 3 0 11 TEMPERATURE 166 5 User s Manual UNIT SELECT Able to
99. onitor 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 devise to operates properly and safety 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 3 0 8 128 5 User s Manual 8 2 NIBP Data Window Alarm Limit Indicates alarm limit of blood pressure Systolic pressure Indicates the maximum limit of blood pressure en 1505 57 ADT Diastolic blood E E Q 30 pressure Indicates eet uel HR the minimum limit of Measurement time Indicates the completion time of measuring blood pressure 54 Interval Time Indicates Interval time when measures the blood pressure periodically Mean Value Indicates mean Measure time blood pressure Indicates the schedule counter time of measuring a POWER OFF When power is cut off during
100. onitor 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 earth leakage currents of the system if there is an interruption of the MPSO protective earth 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 GIMA 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 Rev 3 0 1 BASIC 16 5 User s Manual 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
101. or differences in airway adapter types The Capnostat zero must be performed free of any CO2 MAIN MODULE MODULE MODULE MENU INFO SETUP RESET ZERO 1 Set the Host to the zeroing function 2 Connect the CAPNOSTAT 5 CO2 Sensor Place the CAPNOSTAT 5 CO2 Sensor onto a clean and dry CO2 adapter that is exposed to room air and away from all sources of CO2 including the ventilator the patient s breath and your own 4 Start the adapter zero The maximum time for a CAPNOSTAT zero is 40 seconds The typical time for a zero is 15 20 seconds Note For best result connect the CAPNOSTAT 5 2 Sensor to an adapter and wait 2 minutes before performing the Adapter Zero procedure Rev 3 0 10 EtCO2 160 5 User s Manual 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 using 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 Cautio
102. osurgical interference and defibrillation emoa SY hannel selection RA LA or RA LL Measurementrange 5 120 Breath per minute ccuracy 1 Breath per minute pnea alarm Saturation range 0 to 100 Saturation accuracy 70 to 100 2 digits Oto 6996 unspecified Pulse rate range to 254 bpm Pulse rate accuracy Method 7 Oscillometry with linear deflation Operation Mode Manual Automatic Continuous Measurement range Adult Pressure 20 to 260 mmHg Pediatric Pressure 20 to 230 mmHg Neonate Pressure 20 to 120 mmHg Accuracy mean error less than 5 mmHg standard deviation less than 8 mmHg Measurement range 1610450 69t0 1127 Compatibility SI Series 400 temperature probes Rev 3 0 16 SPECIFICATION 194 5 User s Manual gt 100 1 of reading range Zero balancing Range 200mmHg Accuracy 1mmHg Drift 1mmHg over 24hours ransducer sensitivity 5uV mmHg Pulse rate measurement 0 to 300bpm range Measurement range 1099 mmHg 0 40 mmHg 2 mmHg 41 76 mmHg 5 of reading 77 99 mmHg 10 of reading Respiration rate 0 to 150 breath per minute Respiration accuracy 16 per minute 0 40mmHg 2 mmHg 41 70mmHg 5 of reading 1 100mmHg 8 of reading 101 150mmHg 10 of reading Respiration rate to 150 breath per minute Respiration accuracy 1 per minute 0 40 2 mmHg 41 70mmHg 5 of reading 1 100mmHg 8 of readin
103. paratio n distance in meters m Field strengths from fixed RF transmitt ers as deter mined by an electromagn etic site survey a Should be less than the compliance level in each frequency range b Interference may occur in the vicinity of equipment marked with the following s Co Note 1 Ur is the A C mains voltage prior to application of the test level ymbol Note 2 At 80 MHz and 800 MHz the higher frequency range applies Note 3 These guidelines may not apply in all situations Electromagnetic propagation is affec ted by absorption and reflection from structures objects and people Rev 3 0 1 BASIC 22 5 User s Manual a Field strengths from fixed transmitters such as base stations for radio cellular cordless te lephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcas t cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the mea sured field strength in the location in which the EUT is used exceeds the applicable RF comp liance level above the EUT should be observed to verifynormal operation If abnormal perfor mance is observed additional measures may be necessary such as re orienting or relocating the EUT b Over the frequency range 150 kHz to 80 MHz field strengths should be less than V1 V m Recommended Separation Dist
104. permanently lost As a result the amount of charge that is stored and available for use is reduced Conditioning Guideline the battery in the monitor full charged and discharged every six months and condition it using the battery charger Storage Guideline Store the battery outside of the monitor at a temperature between 20 C to 25 C 68 F to 77 F When the battery is stored inside a monitor that is powered by an AC power source the battery cell temperature increases by 15 C to 20 C 59 F to 68 F above the room s ambient temperature This reduces the life of the battery When the battery is stored inside a monitor that is continuously powered by an AC power source and is not powered by battery on a regular basis the life of the battery may be less than 12 months GIMA recommends that you remove the battery and store it near the monitor until it is needed for transport How to Recycle the Battery When the battery no longer holds a charge it should be replaced The battery is recyclables Remove the old battery from the monitor and follow your local recycling guidelines Rev 3 0 1 BASIC 42 5 User s Manual WARNING EXPLOSION HAZARD DO NOT incinerate the battery or store at high temperatures Serious injury or death could result Rev 3 0 1 BASIC 43 5 User s Manual 1 7 General Manu Operation Screen Composition Real Time Wave Parameter Window Windows 10
105. r Flutter 41 321 PVC Premature Ventricular Contraction 42 322 Bigeminy PVC 43 323 Trigeminy 44 324 short run of PVC 45 331 EVB Escape Ventricular Beat 46 332 EVR Escape Ventricular Rhythm AV and Intraventricular Conduction 47 411 AV Block 48 412 AV Block 11 1 49 413 AV Block Il 2 50 414 2 1 AV Block 51 415 AV Block Ill 52 421 ICRBBB Incomplete Right Bundle Branch Block 53 422 CRBBB Complete Right Bundle Branch Block 54 423 Bifascicular Block RBBB LPFB 55 424 Bifascicular Block RBBB LAFB 56 425 LBBB Left Bundle Branch Block 57 431 Nonspecific Intraventricular Conduction Delay 58 441 WPW Ventricular Preexcitation 2 QRSadsandVotagg S O 59 511 Normal Axis 60 512 Right Axis Deviation Posterior Fascicular Block 61 513 Left Axis Deviation Anterior Fascicular Block 62 514 Northwest Axis 63 521 Low Voltage QRS 64 522 Low Voltage Limb Leads 65 523 Low Voltage Chest Leads 66 611 BAE Biatrial Enlargement 67 621 RAE Right Atrial Enlargement 68 631 LAE Left Atrial Enlargement 69 641 BVH Biventricular Hypertrophy 70 650 probable RVH Rev 3 0 5 ECG 102 5 User s Manual 71 651 RVH Right Ventircular Hypertrophy 72 661 LVH Left Ventricular Hypertrophy 73 710 ST
106. r O 5cycle mercial or hospital environ d ment If the user of the Voltage variatio 4096 Ur 60 dip in Ur 4096 Ur 60 in Ur BM5 system requires conti ns nued operation during pow on power suppl for 5 cycle for 5 cycle er mains interruptions it i y 5 recommended that the input lines 70 Ur 30 dip in Ur 7096 Ur 3096 dip in Ur 5 system be powered fr IEC 61000 4 1 for 25 cycle for 25 cycle om an uninterruptible pow 1 er supply or a battery lt 5 Ur lt 95 dip Ur 596 Ur 49595 dip in U Note Ur is the a c mains voltage prior to application of the test level BM5 system is intended for use in the electromagnetic environment specified below The customer or the user of the 5 system should assure that it is used in such an environment Portable and mobile RF communications equipment should be used no closer to any part of the BM5 system including cables than the recommended separati on distance calculated from the equatio n applicable to the frequency of the tra nsmitter Recommended separation distance Rev 3 0 1 BASIC 21 5 User s Manual Radiated RF Recommended separation distance IEC 61000 4 180 0 MHz to 2 5 80 0 MHz to 2 5 G MHz to 800 MHz 5 d B1 rime F d LNP 800 MHz to 2 5 GHz E1 Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufactur er and d is the recommended se
107. r bubbles In case of using blood pressure transducer Check position of transducer with different sensitivity For other cases Perform zero point adjustment ZERO ART Zero point Adjustment Use ZERO option to set the zero point of Transducer MAIN EAE SCALE SM MENU 160 ZERO SETTING 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 Setthe 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 Rev 3 0 9 1 145 5 User s Manual Troubleshootings for a case that blood pressure value is not displayed on screen Description Action to Take In case of out of measurement range Check the measurement conditions situation In case blood pressure transducer is Replace the damaged transducer with new damaged one Warning All parts except Tr
108. ranty is void in the following cases repairs performed by unauthorized personnel or with non original spare parts defects caused by negligence or incorrect use GIMA cannot be held responsible for malfunctioning on electronic devices or software due to outside agents such as voltage changes electro magnetic fields radio interferences etc The warranty is void if the above regulations are not observed and if the serial code if available has been removed cancelled or changed The defected products must be returned only to the dealer the product was purchased from Products sent to GIMA will be rejected Disposal Disposal The product must not be disposed of along with other domestic waste The users must dispose of this equipment by bringing it to a specific recycling point for electric and electronic equipment For further information on recycling points contact the local authorities the local recycling center or the shop where the product was purchased If the equipment is not disposed of correctly fines or penalties may be applied in accordance with the national legislation and regulations C 0123 BIONET Co Ltd 1101 E amp C Dream Tower 197 33 Guro Dong Guro Gu 152 848 Seoul Korea MGB Endoskopische Ger te GmbH Berlin Schwarzschildstr 6 12489 Berlin GERMANY Rev 3 0 201
109. red with the product into the printing unit Place the roll in a proper way so that the printed paper can roll out upwards Press the printer window until it is properly shut Inaccurate shutting may cause failure in printing Rev 3 0 12 PRINT 174 5 User s Manual 13 MESSAGE LIST Function Message Details ECG LEAD FAULT Cable is not properly connected eu CHEK PROBE Patient s finger is off the probe 2 LEAD FAULT Cable is not properly connected LEAD FAULT Cable is not properly connected APNEA APNEA gives an alarm Cuff hose is not properly connected INFLATION FAILURE CHECK CUFF Cuff pressure is putting on excessively OVER PRESSURE Cuff is bent preventing deflation NIBP DEFLATION FAILURE CHECK CUFF Measure time exceeds the preset Level OVER TIME CUFF PRESSURE Measure signal absent MEASUREMENT ERROR TEMP LEAD FAULT Cable is not properly connected ALARM VOL OFF Alarm volume is off ALARM SILENCED Alarm key is pressed once ALARM PAUSE 5MIN Alarm key is pressed twice TREND NO PATIENT DATA No patient s data input Rev 3 0 13 MESSAGE LIST 175 BM5 User Manual 14 DEFAULT SETTING VALUE 1 Adult ICU Mode Alarm level High Medium Low Message Asystole 0 Vfib VTac V Tach ACC VENT BIGEMINY COUPLET IRREGULAR PAUSE RONT TRIGEMINY V BRADY PVC ST HR NIBP S NIBP M NIBP D SpO 0 SpO Rate RR RR Apnea 1 C T2
110. ring equipment EN 12470 4 2001 Clinical thermometers Part 4 Performance of electrical thermometers for continuous measurement EN 60601 2 49 2001 Medical electrical equipment Part 2 49 Particular requirements for the safety of multifunction patient monitoring equipment Rev 3 0 1 BASIC 9 5 User s Manual 1 2 Read before Use GIMA services are always available to you The followings are address and phone number for contacting information services and product supplies How to Contact Us In the event of malfunction or failure contact us along with the model name serial number and product name of the equipment If you need the supply circuit diagram component list description and calibration instruction etc you can contact us we will provide you with it Rev 3 0 1 BASIC 10 5 User s Manual Warranty Period This product is manufactured and passed through strict quality control and through inspection Compensation standard concerning repair replacement refund of the product complies with Consumer s protection law noticed by Economic Planning Dept e Warranty period is 1 year Two year in Europe We will repair or replace any part of the BM5 CS CX found to be defective in usual operating circumstance for free to you This warranty does not apply to any defect caused by improper abuse misuse or exposure to poor management Rev 3 0 1 BASIC 11 5 User
111. rm can be adjusted in 10 step Rev 3 0 2 PATIENT DATA MANAGEMENT 53 5 User s Manual ALARM LEVEL Priority of each parameter alarm can be set up ALARM REVIEW Shows the priority order information for all alarms of each measurement NURSE CALL Set the ON OFF feature of the NURSE CALL far ALARM ALARM MENU ALL ALARM LIMITS PRINT VOLUME ON OFF PREV ALARM ARRHYTH MENU an REVIEW LEVEL It is able to see all the alarm range and change of measurement function ALL LIMITS ON ALARM ALARM MENU ALL ALARM LIMITS PRINT VOLUME ON OFF PREV ALARM ARRHYTH MENU RE REVIEW 3 0 2 PATIENT DATA MANAGEMENT 54 5 User s Manual ALL ALARM LIMIT amp LEVEL RETURN UNITS LOW HIGH DNDEE LEVEL HR BPM 50 150 ON HIGH 5 2 90 100 ON MEDIUM SPO2 R BPM 50 150 OFF MEDIUM RESP RPM 10 30 OFF LOW RESP A SEC 0 20 OFF HIGH NIBP S mmHg 80 200 ON MEDIUM NIBP M mmHg 40 140 NIBP D mmHg 20 120 TEMP1 30 0 42 0 OFF MESSAGE TEMP2 C 30 0 42 0 OFF MESSAGE ST mV 1 0 1 0 OFF MESSAGE PVC Imin 0 20 OFF MESSAGE IBP1 S mmHg 80 200 OFF MESSAGE IBP1 M mmHg 40 140 MESSAGE IBP1 D mmHg 20 120 MESSAGE IBP2 S mmHg 300 OFF MESSAGE IBP2 M mmHg 15 MESSAGE IBP2 D mmHg 0 300 MESSAGE EtCO2 UNITS 25 50 OFF MESSAGE FiCO2 UNITS 0 5 OFF MESSAGE EtCO2 A SEC 0 20 OFF MESSAGE LEAD FAULT UNITS OFF MESSAGE LOW BATTERY UNITS FF MESSAGE ALARM PRINT Set ON OFF fu
112. s Manual Warning Caution Note For special emphasis on agreement terms are defined as listed below in user 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 against the warning sign Caution To inform that it may cause no harm life but lead to injury against the caution sign Note To inform that it is not dangerous but important note sign for proper installation operation and maintenance of the equipment Rev 3 0 1 BASIC 12 5 User s Manual General Precaution on Environment Do not keep or operate the equipment in the environment listed below Avoid placing in an area exposed to moist Do not touch the equipment with wet hand Avoid exposure to direct sunlight 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 3096 to 8596 Avoid in the vicinity of Electric heater Avoid placing in an area where there is an excessive humidity rise or ventilation problem Avoid placing in an area where chemicals are stored or where there is danger of gas leakage Do not disjoint or disassemble the equipment We take no responsibility for it Avoid placing in a
113. select unit with C F Rev 3 0 11 TEMPERATURE 167 BM5 User Manual 12 12 1 Print Printer and Heat Sensitivity Paper Function and Setup Menu 12 2 Paper Change Rev 3 0 12 PRINT 168 BM5 User Manual 12 1 Print Printer and Heat Sensitivity Paper A printer used to print data onto thermal paper Size of the thermal paper roll 580mm wide x 380mm in diameter any thermal paper of same size can be used for the printer Side View of Printer Rev 3 0 12 PRINT 169 5 User s Manual Function and Setup Menu v m PRINTER PRINTER WAVE MER SPEED KEY 25mm s REAL TIME r WAVE WAVE PRINTER FORM2 FORMS TIME SPO2 RESP 30SEC 1 Press the PRINT Key for continuous printing 2 Select Printing Speed 25 50 mm s PRINTER PRINTER WAVE 1 25mm s REAL TIME ER WAVE WAVE PRINTER FORM2 FORMS TIME SPO2 RESP 30SEC F PRINTER WAVE 1 50mm s REAL TIME I WAVE WAVE PRINTER SERI FORM2 FORMS TIME SPO2 RESP 30SEC 3 Set up ALARM PRINT the MORE menu to activate ALARM during printing ALARM gt ALARMPRINT gt gt 4 Data is printed in a selected wave form along with personal information of the patient 3 channels select 3 parameters to
114. signal is 80bpm T wave duration is 180ms and the QT interval is 350ms 10 Position of 10 Lead AHA 5 lt Sy INS j 2 e o o 5 Position of 5 Lead 77 7 72 7 d f 3 0 84 5 User s Manual Position of 3 Lead Wrier Electrode S KD DA NV Ji NY Da e 722 7 DDD How to Attach the NEONATE Electrode 85 5 ECG Rev 3 0 5 User s Manual 5 2 ECG Data Window QRS Detects QRS and Pace Detector flashes when QRS is 7 Indicators detected Detects and displays P the patient s pace maker and flashes Heart Rate Alarm Limit Decides the QRS limits and Heart Rate gives an alarm if a value is over Displays heart rate per minute the limits Note ECG Wave Display is always on when the cable is connected The heart rate is calculated by a moving average The monitor detects 8 consecutive beats averages the R R intervals of the latest 8 beats and uses this average to calculate the current heart rate When a new beat is detected the heart rate is recalculated using the latest 8beats heart rate display is updated every 3 seconds Heart rate meter updates a new heart rate for a step increase or decrease in 10 seconds maximum When ventricular tachycardia is detected
115. tandards of Cables e tae e 81 Position of ECG Connector and Measuring Cable 82 Attaching Electrodes to the Patient inn s eee die eed ee aoe 82 Choosing an ECG lead for Arrhythmia Monitoring 83 Information on ECG waveform ener eene 84 10 Position of 10 I 6ad eee ee eee ten ehe ine ED 84 5 Position of 5 L ad eiue ee a ce pie sei 84 Position of 3 Lead Wrier El ctrode ise pete ETE b ee EHE pedes 85 Rev 3 0 3 5 User s Manual How to Attach the NEONATE Electrode 85 5 2 ECG Datta Window m M 86 53 ECG Data Setup e 89 PRS VOLUNT 91 DISPPAYS 91 SPEBED 5 fetten eee tete e ede eet HH HE nte eI 91 RR 92 VIEW ECO ih RERO dua 92 ANAL YSIS SE eie 92 12 99 112 SpO2 Connector Location and Measuring Cable 112 6 2 SpO2 Data TIC 113 Signal and Data Validity i aste sd e RR RO OR I INI e E e d
116. ter function abnormally Repair the accompanying Equipment Rev 3 0 15 TROUBLE SHOOTING 190 5 User s Manual 9 Print failure The paper tray cover is properly shut Shut the cover tight The printing face of paper has been reversed Reverse the paper face Repair the printer and printer B D Rev 3 0 15 TROUBLE SHOOTING 191 BM5 User Manual 16 SPECIFICATION Ease of use Customization Special Features Monitor Environmental Specifications Power adaptor Monitor Performance Specifications Graphical and Tabular Trends SpO2 Performance Specifications Respirations Performance Specifications NIBP Performance Specifications ECG Performance Specifications Temperature Unit Performance Specifications Accessories included OPTION Rev 3 0 16 SPECIFICATION 192 5 User s Manual Ease of use Battery operation Attached printer Table and graphic trend Additional Function Able to use auto mobile power supply LAN Connection Monitor Environmental Specifications Operating Temperature 15 C to 40 C 59 F to 104 F Storage Temperature 10 C to 60 C 14 F to 140 F Humidity 20 to 95 RH Operating Attitude 70 700 to 106Kpa 1060mbar Power AC 100 240V 50 60Hz Adapter 18 V 2 5 A Specification Display Resolution 10 4 color TFT 800 x 600 pixels Dimension Weight 70 W x 250 H x 184 5 D mm Approx 4 0kg Parameter Heart
117. the power is on gt DC LED is lighted Warning This equipment must only be connected to a supply mains with protected earth Rev 3 0 1 BASIC 39 5 User s Manual 1 6 Battery Power Supply Application Battery power can be supplied for enabling a portable use or a use during DC power failure Operation 1 Battery Power LED is lighted on when the machine is in use 2 The DC battery power is only sustainable for 1 hour 3 Battery is automatically charged when the machine is connected to DC Power Supply Battery LED is lighted on after blinking 4 The charging status of the batteries is displayed with 5 green boxes each indicating a different charging 0 gt 25 gt 50 gt 75 gt 100 Battery LS1865L2203S1PMXZ 11 1V 2200mA Li ion The Lithium lon battery is a rechargeable battery containing Lithium lon cells Each battery contains an integrated electronic fuel gauge and a safety protection circuit EES ONIS 5 The discharge condition of battery is indicated with on of 5 yellow boxes each box showing different level of charge available Rev 3 0 1 BASIC 40 5 User s Manual 100 gt 75 gt 50 gt 25 gt 0 E When remained battery is less than 25 the battery icon box is turned to red one with blink The device will be turned off automatically after 5 minutes from that warning sign I
118. 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 amp LEVEL ALARM ON OFF LEVEL RESP RPM 11 32 OFF MEDIUM RESP A SEC 0 21 ON MEDIUM RETURN UNITS LOW HIGH Rev 2 0 7 RESPIRATION 125 BM5 User Manual 8 NIBP 8 1 Outline NIBP Connector Location and Cuff 8 2 NIBP Data Window 8 3 NIBP Data Setup ALARM LIMIT ALARM CUFF SIZE UNIT SELECT INTERVAL STAT INFLATION Rev 3 0 8 NIBP 126 5 User s Manual 8 1 Outline This function is to measure minimum Maximum and average blood pressure by using Oscillometric method Position of NIBP Connecter and cuff NIBP Connector ADULT CUFF 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 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 or patients with these conditions Rev 3 0 8 NIBP 127 5 User s 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 Tubes between the cuff and the m
119. tions simultaneously when ascertaining signal and data validity Signal Strength Bar The signal strength bar is displayed within the SPO2 values window This bar consists of 20 blocks set depending on the strength of the signal Proper environmental conditions and probe attachment will help to ensure a strong signal Quality of SPO2 Waveform Under normal conditions the SPO2 waveform corresponds to but is not proportional to the arterial pressure waveform The typical SPO2 waveform indicates not only a good waveform but helps the user find a probe placement with the least noise spikes present The figure below represents an SPO2 waveform of good quality Good Quality SPO2 Waveform If noise artifact is seen on the waveform because of poor probe placement the photodetector may not be flush with the tissue Check that the probe is secured and the tissue sample is not too thick Pulse rate is determined from the SPO2 waveform which can be disrupted by a cough or other hemodynamic pressure disturbances Motion at the probe site is indicated by noise spikes in the normal waveform See the figure below It has been noted that letting the patient view the SPO2 waveform enables them to assist in reducing motion artifact SPO2 Waveform with Artifact Rev 3 0 6 5 2 114 5 User s Manual Stability of SPO2 Values The stability of the displayed SPO2 values can also be used as an indication of signal validity Although stability is
120. ue 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 Rev 3 0 6 5 2 116 5 User s Manual 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 amp LEVEL RETURN UNITS LOW HIGH ALARM ON OFF LEVEL 5 2 SPO2 R 91 50 100 150 OFF ON MEDIUM MEDIUM Rev 3 0 6 SpO2 117 5 User s Manual LEAD FAULT Condition When using a reusable finger probe there is a system alarm to alert you when the probe is off the Monitor The monitor defaults this LEAD FAULT condition as a System Warning alarm however You can set it as a System ALARM LEVEL in Monitor Defaults SPO2 Messages Below is a list of system status alarm messages which may be displayed in the SPO2 parameter window during monitoring CHECK PROBE Reusable finger probe is off the patient Check the probe The factory d
121. uring defibrillation Check cables for functionality before using them again The peak of the synchronized defibrillator discharge should be delivered within 60ms of the peak of the R wave The signal at the ECG output on the patient monitors is delayed by a maximum of 30ms If the ECG waveform on the screen is too unstable to synchronize with the patient s heart beat because of the following reason remove the cause of an alarm message or unstable ECG and then use a stable ECG lead for synchronization ECG electrode is detached or broken Lead wire is detached or broken Y Lead wire moves AC interference EMG noise or noise from ESU is superimposed Y Connection cable is broken or has a short circuit Connector has poor contact 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 Rev 3 0 87 5 User s Manual 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
122. verage of the most recent eight R to R intervals at a heart rate less than the set low heart rate limit NOTE The Brady limit matches the low heart rate limit If the low heart rate limit is changed the Brady limit changes COUPLET when two ventricular beats are detected and have non ventricular beats before and after the couplet The coupling interval must be less than 600 milliseconds IRREGULAR when six consecutive normal R to R intervals vary by 100 milliseconds or more PAUSE when the interval between two consecutive beats exceeds three seconds PVC Isolated premature ventricular complexes occur when a premature ventricular beat is Detected and has non ventricular beats before and after Rev 3 0 95 5 User s Manual RONT Occurs when a ventricular complex is detected within the repolarization period of a Non ventricular beat TACHY Tachycardia is four R to R intervals at a heart rate greater than the set high heart rate limit NOTE The Tachy limit matches the high heart rate limit If the high heart rate limit is changed the Tachy limit changes TRIGEMINY Occurs when two or more trigeminal cycles a ventricular beat followed by two non Ventricular beats are detected V BRADY Adult Ventricular bradycardia occurs when a run of three or more ventricular beats is detected with an average heart rate that is less than or equal to 50

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