BM5 User’s Manual
BM5
User’s Manual
Patient Monitor
Rev. 3.0
2019.11.22
Warning
To ensure proper use of this medical equipment, you must read and comply with this user manual.
BM5 User Manual
Softwareⓒ Bionet, Co., Ltd. .
All rights reserved.
Reproduction in any manner, in whole or in part, except for brief excerpts in reviews and scientific
papers, is prohibited without prior written permission of Bionet, Co., Ltd
Before using Bionet devices, read all the manuals that are provided with your device carefully.
Patient monitoring equipment, however sophisticated, should never be used as a substitute for
the human care, attention, and critical judgement that only trained health care professionals can
provide.
CAPNOSTAT, LoFlo® is trademark of Respironics.
Masimo®, 및 ISA™ and IRMA™ are trademark of Masimo Corporation.
All other brand or product names are the property of their respective owners.
BM5 User’s Manual
BM5 User’s Manual
Table of Contents
Intended Use ....................................................................................................................................................... 9
General Description ......................................................................................................................................... 9
Patient Classification ................................................................................................................................... 10
Functional safety ............................................................................................................................................ 10
Warning, Caution, Note ............................................................................................................................. 11
Define groups .................................................................................................................................................. 12
General precaution on environment ................................................................................................... 13
Electromagnetic Compatibility ............................................................................................................... 14
1. Basic ................................................................................................................................................................ 15
Overview ........................................................................................................................................................ 15
Electric safety precautions ................................................................................................................... 15
Biocompatibility ......................................................................................................................................... 17
Product Configuration............................................................................................................................ 17
Option Product ........................................................................................................................................... 18
Basic Unit ....................................................................................................................................................... 19
Device Markings ........................................................................................................................................ 24
Power ............................................................................................................................................................... 25
How to replace the battery ................................................................................................................. 29
Getting Started ........................................................................................................................................... 31
2. SETUP .............................................................................................................................................................. 34
Overview ........................................................................................................................................................ 34
BM5 User’s Manual
Monitor configuration ............................................................................................................................ 34
Main menu setup ...................................................................................................................................... 35
3. Network ......................................................................................................................................................... 42
Overview ........................................................................................................................................................ 42
Network connection ................................................................................................................................ 42
IT Network connection .......................................................................................................................... 43
LAN Network ............................................................................................................................................... 44
VLAN Network ............................................................................................................................................ 44
If you use an inappropriate network ............................................................................................. 44
Remote View ............................................................................................................................................... 45
Display Mode .............................................................................................................................................. 47
4. Admission and Discharge .................................................................................................................... 49
Overview ........................................................................................................................................................ 49
Patient admission ..................................................................................................................................... 49
Patient discharge ...................................................................................................................................... 50
Registration of patient ID using barcode .................................................................................... 55
5. Alarm .............................................................................................................................................................. 56
Overview ........................................................................................................................................................ 56
Alarm priority .............................................................................................................................................. 56
Alarm management ................................................................................................................................. 58
Alarm settings ............................................................................................................................................. 59
Alarm event .................................................................................................................................................. 61
6. Trend ............................................................................................................................................................... 62
Overview ........................................................................................................................................................ 62
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BM5 User’s Manual
Trend setup .................................................................................................................................................. 62
Graphical trend........................................................................................................................................... 64
Tabular trend ............................................................................................................................................... 66
File export ..................................................................................................................................................... 67
Popup trend ................................................................................................................................................. 69
7. ECG ................................................................................................................................................................... 71
Overview ........................................................................................................................................................ 71
ECG Precaution ........................................................................................................................................... 72
Patient preparation .................................................................................................................................. 75
ECG lead ......................................................................................................................................................... 76
ECG signal processing and display.................................................................................................. 77
ST signal processing and display ..................................................................................................... 78
Alarm and alarm status ......................................................................................................................... 78
Display............................................................................................................................................................. 79
ECG Settings ................................................................................................................................................ 80
Trouble shooting ....................................................................................................................................... 82
8. Arrhythmia Monitoring ......................................................................................................................... 84
Overview ........................................................................................................................................................ 84
Arrhythmia templette ............................................................................................................................. 84
Arrhythmia Settings................................................................................................................................. 86
9. SpO2 ................................................................................................................................................................ 89
Overview ........................................................................................................................................................ 89
Precaution ..................................................................................................................................................... 89
Patient preparation .................................................................................................................................. 90
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BM5 User’s Manual
Display............................................................................................................................................................. 92
Quality of SPO2 Waveform ................................................................................................................. 93
SPO2 Settings ............................................................................................................................................. 94
Status messages ........................................................................................................................................ 95
10. Respiration ................................................................................................................................................ 97
Overview ........................................................................................................................................................ 97
RESP precaution......................................................................................................................................... 97
Patient Preparation .................................................................................................................................. 98
Display........................................................................................................................................................... 100
RESP Settings ............................................................................................................................................ 100
OxyCRG monitoring ............................................................................................................................... 101
11. NIBP ............................................................................................................................................................ 103
Overview ...................................................................................................................................................... 103
Display........................................................................................................................................................... 106
NIBP Settings ............................................................................................................................................ 107
Measurement Limitations ................................................................................................................... 110
Status Messages ...................................................................................................................................... 112
12. Invasive Blood pressure ................................................................................................................... 113
Overview ...................................................................................................................................................... 113
Precaution ................................................................................................................................................... 117
Display........................................................................................................................................................... 118
IBP settings ................................................................................................................................................ 119
13. EtCO2 ......................................................................................................................................................... 125
Overview ...................................................................................................................................................... 125
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BM5 User’s Manual
Precaution ................................................................................................................................................... 130
Sampling method ................................................................................................................................... 131
Display........................................................................................................................................................... 133
EtCO2 setup ............................................................................................................................................... 133
Status Message ........................................................................................................................................ 138
14. Temperature ........................................................................................................................................... 141
Overview ...................................................................................................................................................... 141
Display........................................................................................................................................................... 142
Temperature settings ............................................................................................................................ 143
15. Printer ........................................................................................................................................................ 144
Overview ...................................................................................................................................................... 144
Printer settings ......................................................................................................................................... 145
Thermal Paper Storage ........................................................................................................................ 146
Paper Change ............................................................................................................................................ 147
16. Maintenance and Troubleshooting ........................................................................................... 148
Inspection Equipment ........................................................................................................................... 148
Inspection Cables .................................................................................................................................... 148
Maintenance Task and Test Schedule ......................................................................................... 149
Noise in ECG .............................................................................................................................................. 151
SpO2 malfunction ................................................................................................................................... 152
Temperature malfunction ................................................................................................................... 152
NIBP malfunction .................................................................................................................................... 153
Abnormality in NIBP measurements ............................................................................................ 153
EtCO2 malfunction ................................................................................................................................. 154
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BM5 User’s Manual
Failure in battery recharge ................................................................................................................ 154
Power failure ............................................................................................................................................. 155
Data storage failure ............................................................................................................................... 155
Periodic noises.......................................................................................................................................... 156
Print failure................................................................................................................................................. 156
17. Clean and Care ...................................................................................................................................... 157
Overview ...................................................................................................................................................... 157
Monitor and Peripherals ..................................................................................................................... 157
18. Technical Specification ..................................................................................................................... 162
Overview ...................................................................................................................................................... 162
EMC Compatibility (EMC) ................................................................................................................... 162
Manufacturer’s declaration - electromagnetic emission................................................... 164
Manufacturer’s declaration - electromagnetic immunity ................................................. 165
Guidance and manufacturer’s declaration - electromagnetic immunity ................. 171
System Specification ............................................................................................................................. 173
Adult & Pediatric - ICU Mode ................................................................................................................. 179
Alarm level .................................................................................................................................................. 179
Neonate-ICU Mode ...................................................................................................................................... 180
Alarm level .................................................................................................................................................. 180
Parameter Limits .......................................................................................................................................... 182
Display ............................................................................................................................................................... 184
Abbreviations and Symbols ................................................................................................................... 185
PRODUCT WARRANTY ............................................................................................................................. 189
International Sales & Service Contact .............................................................................................. 190
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BM5 User’s Manual
Intended Use
The BM5 monitor is for multi-parameter patient monitoring. The instrument generates
visual and audible alarms when a variety of physiological parameters are monitored over
a present limit and time, or where recording begins. This equipment is connected via BM
central.
Note
All Bionet hardwares and screenshots in this user guide are for illustration purposes only.
Actual products or screens may vary slightly.
General Description
The BM5 monitor can monitor the following:
Heart Rate
Respiration Rate
Invasive blood pressure
Non-Invasive blood pressure
Arrhythmia
Temperature
SpO2
Pulse Rate
Apnea
ST segment analysis
EtCO2
FiO2
This equipment is designed to be used in an environment where a health care
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professional can determine when to use the equipment for its intended purpose, based
on an expert assessment of the patient's medical condition, including physicians, nurses.
BM5 User’s Manual
Patient Classification
BM5 monitors are designed for use by adults, pediatrics and neonates. At this time,
cardiac output, ST segment analysis and arrhythmia should be used for adults and
pediatrics only.
Functional safety
The essential performance of the patient monitor is to provide the clinician with
meaningful parameter values and to sound an alarm when the established parameter
value is exceeded or the function that provides the value is not working properly. We
assessed the risks associated with the use of these monitors in light of these essential
performance features and mitigated the risk of lowering the residual risk to a level that
could be used without compromise as long as the product maintained its regular
lifecycle maintenance and service recommendations.
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BM5 User’s Manual
Warning, Caution, Note
The following terms are defined in the User Guide to emphasize the agreement as follows:
The user must follow all warnings and precautions.
The specifications and functions shown in this manual are subject to change without prior notice.
Warning
“Warning” A warning contains important information regarding possible danger to you or the
patient that is present during normal operation of the equipment
Caution
“Caution” A caution provides information or instructions that must be followed to ensure proper
operation and performance of the equipment.
Note
“Note” A note presents information that helps you operate the equipment or connected devices.
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BM5 User’s Manual
Define groups
The define groups for this product are users, service personnel, and experts.
Define groups should read the user manual before using the product and be trained in
the use, installation, reprocessing, maintenance and repair of the product.
This product can only be used, installed, reprocessed, maintained and repaired by a
defined group.
User
Users use the product for their intended use.
Service personnel
Service personnel are responsible for the maintenance of the product.
They must be trained in the maintenance of the medical device, install, reprocess and
maintain the product.
Expert
The specialist repairs the product or performs complex maintenance tasks. The expert
Have the knowledge and experience to perform complex maintenance tasks on your
product.
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BM5 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.
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 in the vicinity
of Electric heater
Avoid placing in an
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.
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BM5 User’s Manual
Electromagnetic Compatibility
The monitor has been designed and tested for compliance with current regulatory
standards as to its capacity to limit electromagnetic emissions(EMI), and also as to its
ability to block the effects of EMI from external sources.
The monitor complies with the following standards pertaining to EMI emissions and
susceptibility: EN60601-1-2.
To reduce possible problems caused by electromagnetic interference, we recommend the
following:
Use only Bionet approved accessories.
Ensure that other products used in areas where patient monitoring and life
support is used comply to accepted emissions standards (CISPR 11, Class A).
Try to maximize the distance between electromedical devices. High-power
equipment related to electrical simulators, electrosurgical instruments and
radiators (X-ray machines) as well as evoked potential devices may cause monitor
interference.
Strictly limit exposure and access to portable radio frequency sources (e.g.
cellular phones and radio transmitters). Be aware that portable phones may
periodically transmit even when in standby mode.
Maintain good cable management. Do not route cables over electrical equipment.
Do not intertwine cables.
Ensure all electrical maintenance is performed by qualified personnel.
caution
Infectious devices and parts must be sanitized and cleaned before disposal.
사용 안내서
VF9 Delta/Delta XL/Kappa 19
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BM5 User’s Manual
1. Basic
Overview
This patient monitor is for adult, pediatric, and neonatal monitoring. It can be used as an
independent device or connected to the BM Central network. Use of the monitor is
limited to one patient at a time.
The following optional software features are available:
Arrhythmia analysis.
3-lead ST segment analysis.
It is common to connect B2B VIEWs, and the two connections are optional.
Wireless network connection
Electric safety precautions
Caution
Please check the following before using the product.
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 Bionet.
(DC18V, 2.8A, BPM050 Made in BridgePower Co., Ltd.)
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.
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BM5 User’s Manual
Caution
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 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.
Note
BM5 is classified as follows:
- BM5 classifies as Class II, BF & CF concerning electric shock. It is not proper to operate
this Equipment around combustible anesthetic or dissolvent.
- Noise level is A class regarding IEC/EN 60601-1 and the subject of Nose is A level
concerning IEC/EN60601-1-2.
Warning
Do not touch the patient while using the defibrillator. The user may be at risk.
When using the defibrillator, be careful about safety and use only the supplied cable.
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.
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Equipment connection
BM5 User’s Manual
Caution
Doctors and patients in hospitals are exposed to the risk of uncontrollable currents. This
current is caused by a potential difference between the equipment and a conductive object
that can be contacted. Use auxiliary equipment to meet this requirement in accordance 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 the
biocompatibility requirements of the applicable standards. If you have questions about this matter,
please contact Bionet or its representatives.
Product Configuration
1. Main body of BM5 Monitor 1 EA
2. 5-Lead patient Cable 1EA
3. Disposable electrodes 10 EA
4. NIBP extension horse 1EA
5. Reusable Adult NIBP Cuff 1EA
6. SpO2 extension cable 1EA
7. Reusable Adult SpO2 Probe 1 EA
8. DC Adaptor (BPM050S18F02 made in Bridgepower Co., Ltd.) 1 EA
9. Operator`s Manual 1 EA
10. Thermal roll Paper 2 ROLL
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BM5 User’s Manual
Option Product
1. Reusable Temperature Probe (Surface/Skin, TEMPSENS-430)
2. IBP Transducer Set (Disposable/Reusable)
3. Sidestream EtCO2 Module (Respironics)
4. Mainstream EtCO2 Module (Respironics)
5. Sidestream EtCO2 airway adapter sampling kit
6. Mainstream EtCO2 airway adapter
7. 3-Lead Patient Cable (MECA3-US, MECA3-EU)
Warning
In order to avoid electrical shock, do not open the cover. Disassembling of the equipment
should be done only by the service personnel authorized by Bionet
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.
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1
8
2 3
4
5
6
7
Basic Unit
Front view
BM5 User’s Manual
1 Alarm lamp handle 5 Home key
2 Alarm control key 6 Rotary knob key
3 Printer key 7 Power ON/OFF Key
4 Blood-pressure measurement key 8 Battery status indicator
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Right side view
BM5 User’s Manual
1 ECG connector
2 Blood pressure Hose connector
3 SpO2 connector
4 Temperature connector
5 EtCO2 connector
6 IBP connector
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1
Left side view
BM5 User’s Manual
1 Printer
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Back side view
BM5 User’s Manual
1 Potential equivalent
2 NURSE CALL connector
3 USB connector (USB 2.0 5Vdc / Max. 500mA),
4 DC input
5 Service port connector
6 Network connector
7 HDMI output
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BM5 User’s Manual
Warning
USB Compatible
The BM5 is compatible with external USB memory drives up to 64GB.
We recommend brands products listed in the manual (Sandisk, PNY, Transcend,
Samsung).
When using a product with high power consumption, such as an external hard drive, be
sure to use the provided adapter for suitable power supply.(Cannot be used alone as a
power supply)
You should save the data of connected device before connecting the additional device.
It may not be supported some devices that required high power.
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Device Markings
BM5 User’s Manual
Caution :Consult accompanying
documents
TYPE CF APPLIED PART
Printer
LAN port HDMI HDMI external port
DC Input Indicator
Battery Operation indicator
Temperature
Power ON /OFF
Ground terminal
TYPE BF APPLIED PART
Auxiliary Port
USB port
DC input connector
NIBP
Function
WEEE(Waste Electrical and
Electronic Equipment)
European Medical Device
Directive 93/42/EEC
Consult instructions for use.
This symbol advises the reader
to consult the operating
instructions for information
needed for the proper use of
the device.
Nurse call
IP(Ingress Protection)
ECG
Date of manufacture
Safety Sign : To signify that the
instruction manual must be
read. Reading the instruction
manual before starting work or
before operating equipment.
Change the Alarm Mode
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BM5 User’s Manual
Power
The BM5 monitor uses a DC adapter (100-240 VAC / 18VDC 2.8A). In the event of a
power outage or cable shortage, the monitor automatically switches to battery power to
continue patient monitoring without data loss. The built-in battery is intended for backup use only during power-off.
DC Product information
Manufacture: BRIDGEPOWER CORP.
Model name: BPM050S18F02
Input Power: 100~240V 1.2A
Output Power: 18 V, 2.8 A
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.
Caution
This equipment must be connected to a protective earth grounded power supply.
Using non-standard products other than the adapters supplied by us may cause
signal distortion or noise. Be sure to use a genuine adapter that is supplied by our
company and is insulated.
Battery power
DC adapter, it uses battery power when power failure and portable use.
The battery is attached to the bottom of the equipment and the additional extended
battery is connected to the left side.
Battery: CMICR18650F9 (10.8V / 3350mA, Li-ion)
The Lithium-Ion battery is a rechargeable battery containing Lithium-Ion cells. Each
battery contains an integrated electronic fuel gauge and a safety protection circuit.
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BM5 User’s Manual
Operation
1. Battery Power LED is lighted on when the machine is in use.
2. Battery is automatically charged when the machine is connected to DC Power Supply.
The charging status is displayed at the top right of the screen
3. The charging status of the batteries is displayed with 5 green boxes, each indicating a
different charging.( 5% -> 25% -> 50% -> 75% -> 100%)
4. When discharging, the battery image is displayed in Red.
The monitor automatically turns off when the battery is depleted. The table below
describes the function of the battery charging bar graph at the top of the screen.
Battery charge/discharge display
Display Charging remain time Description
Your battery is charging. Not applicable
Your battery is fully charged. Not applicable
Your battery is 75% charged. Not applicable
Your battery is charged at 50%.
Your battery is charged at 25%.
The internal battery is very low..
(The power will turn off about 5min.)
If possible, connect it to the AC
adapter.
Immediately connect the monitor to
the AC adapter.
Immediately connect the monitor to
the AC adapter.
There is no built-in battery. Connect the battery.
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BM5 User’s Manual
Caution
The battery charge display is displayed correctly only when the battery is operating
normally
Note
If no AC power is applied, the battery charge display will take up to 15 seconds to
reflect the actual capacity of the internal battery.
Warning
Older or defective batteries will have significantly reduced capacity or operating
time.
note
To maximize the charge for transport, keep the monitor connected until
you are ready to transport the patient. Reconnect the monitor immediately
after transport.
Bionet recommends replacing the lithium ion battery after 24 months of
use.
Battery life depends on usage. If battery life continues, battery life will
decrease and frequency of replacement will increase.
To prevent pre-discharge, recharge after the battery is discharged.
Caution
The battery charge display is accurate only when the battery is operating normally.
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BM5 User’s Manual
- Battery Charging Time: more than 6 hours
- Continuous Battery Usage Time: 3 hours or more when fully charged (measured every 5
minutes Nibp with SpO2 and ECG)
Warning
Be careful of the polarity when replacing the battery.
We strongly recommend that you use the battery supplied by Bionet.
Using unauthorized batteries may damage the equipment
5. Presence of battery: When the battery is disconnected from the equipment and it
malfunctions, it shows 'X' as shown below.
Note
Charging is not possible at low power (below 16V).
Cannot be used in vehicles with 24V power supply.
When replacing the battery, be sure to remove the DC adapter and replace it..
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BM5 User’s Manual
How to replace the battery
Please assemble and replace as shown below.
The Impact of Lithium-Ion Battery Technology on the Battery
The following are the key points you should know about Lithium-Ion 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-Ion cells and the bias current required for the
integrated electronics.
By the nature of Lithium-Ion 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
permanently lost. As a result, the amount of charge that is stored and available for use is
reduced.
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BM5 User’s Manual
Warning
When replace the battery, only use the battery provided by Bionet. Check the battery is
properly secured to the bracket. Do not cause a serious impact on the battery.
Ignoring the above warnings will cause battery explosion and serious damage to devices.
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. Bionet 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.
Warning
Do not incinerate batteries or store at high temperatures as there is a risk of explosion.
Serious injury from explosion may result..
If the battery has an external shock, external damage or flooding, dispose of the battery
without using it.
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1 2
3
4
BM5 User’s Manual
Getting Started
Starting the monitor:
Press the power key at the bottom right of the monitor front panel. The power light on
the monitor lights up, the alarm bar lights up, the power is turned off, the screen lights
up, the main screen is displayed after running the self-test.
Stopping the monitor:
Press and hold the power key for 3 seconds. The screen goes off.
Main screen setup : After the monitor is turned on, the main screen is displayed.
From the keys on the right side of the monitor's front screen, press the Home screen key. The
main screen is displayed, as shown in the following figure.
1 Status Message
2 Waveform Window
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Rev. 3.0 31
3 Numeric Window
4 Menu Window
The parameter box displays values, alarm limits and icons for the selected parameter. You can set
the parameters and their associated waveforms so that they are easy to distinguish.
The message appears at the top of the screen. The patient name bed label is displayed in the
upper left corner of the screen. The top right of the screen displays the time, network and device
management status.
BM5 User’s Manual
Using Rotary knob switch
The rotary knob switch allows the user to navigate menus, select settings, and
perform menu functions. Rotate the rotary knob to move the menu item. To confirm
the selection, press the rotary knob switch.
Fixed key
The fixed keys on the front panel of the monitor allow you to perform commonly performed
functions.
Fixed key Description Fixed key Description
The alarm control key
switches between Normal /
Audio Paused and Alarm
Paused mode.
Start or end non-invasive
blood pressure (NIBP)
measurements.
Press more than 3 seconds
to switch to Audio Off or
Alarm Off mode
Start or stop recording on
time.
Return to the main screen or
switch the extended parameter
screen mode.
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Function key
On the right side of the monitor's front panel, the touch screen icon on the touch screen allows
you to perform frequently-used functions.
BM5 User’s Manual
Fixed key Description Fixed key Description
Opens a table where you
can set the maximum and
minimum alarm limits.
Access the Hospital /
Emergency menu.
Enable waveform stop
function.
Displays the printer setup
menu.
Displays the mini Trend
window.
This is an alarm mode key, so
it enables to change Normal/
Audio Paused/ Alarm Paused
mode.
Displays the setup menu.
Displays the automatic blood
pressure measurement interval
setting menu.
Displays trend menu.
Set parameters in text screen.
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BM5 User’s Manual
2. SETUP
Overview
This chapter describes how to configure your monitor.
Monitor configuration
Main Menu tree
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Rev. 3.0 34
Parameter menu tree
BM5 User’s Manual
Main menu setup
The Setup menu allows the user to access submenus, display screens, and perform specific
monitor setup functions.
1. To display the Settings menu, click the Settings
2. Click the desired setting to access the submenu that performs the desired function or
goes one step further down.
3. Click Close at the bottom of the submenu list to return to the previous menu or screen.
Main menu Sub menu
A. SETUP A-1. PARAMETER SETUP
A-2. PARAMETER UNITS
A-3. USER SERVICES
icon to open the submenu.
A-4. SYSTEM INFORMATION
A-5. NETWORK INFORMATION
A-6. CENTRAL
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B. BIOSIGNAL CALIBRATION B-1. ECG & RESP
C. SCREEN CALIBRATION
D. MAKER SERVICE D-1. MAC Address
BM5 User’s Manual
A-7. HL7
A-8. ALARM SETUP
A-9. DISPLAY OPTION
A-10. HOSPITAL INFORMATION
B-2. NIBP
B-3. IBP
E. SW UPGRADE
F. SW License
A. SETUP menu
A-1. PARAMETER SETUP measurement on the monitor
Parameter selection and color setting
menu:ECG,SPO2,RESP,NIBP,TEMP,IBP1,
IBP2,ETCO2
A-2. PARAMETER UNITS Unit setting menu used for monitor
measurement
A-2-1. WEIGHT UNIT Weight measurement unit Kg
PARAMETER enable
ON/OFF
PARAMETER COLOR
setup
Lbs
A-2-2. HEIGHT UNIT Height measurement unit Cm
Inch
A-2-3. BLOOD PRESSURE
UNIT
A-2-4. ST UNIT ST measurement unit mm
A-2-5. TEMPERATURE UNIT Temperature measurement unit °C
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blood pressure measurement unit mmHg
kPa
mV
°F
A-2-6. GAS PRESSURE UNIT Gas measurement unit mmHg
BM5 User’s Manual
kPa
vol%
A-2-7. MULTI GAS PRESSURE
UNITS
A-3. USER SERVICES User configuration menu
A-3-1. HOSPITAL UNIT
A-3-2. BED No. Set device number 1~300
A-3-3. KEY Sound Set Key activation ON / OFF
A-3-4. KEY Volume Set Key sound OFF ~ 100%
A-3-5. AC FILTER Power filter settings OFF, 50Hz, 60Hz
A-3-6. SCREEN BRIGHTNESS Set screen brightness 10~100%
Select whether to set the pressure unit
for each gas type.
When OFF, unit setting menu by gas
type is displayed
Setting Monitor Environment Group GENERAL
ON / OFF
ICU
NICU
OR
CCU
USER DEFINE
A-3-7. Date Display Set Date and Year
A-3-8. DEMO Set Demo ON / OFF
A-4. SYSTEM INFORMATION
A-4-1. MAIN VERSION Display main S/W version
A-4-2. EIA VERSION Display S/W algorithm version
A-4-3.NIBP VERSION Display NIBP Module version
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BM5 User’s Manual
Set language
A-4-4.LANGUAGE
A-5.NETWORK
INFORMATION
A-5-1.WIRELESS Wireless setup ON/OFF
A-5-2.DHCP Auto IP allocation setting menu ON/OFF
Network information and setup
English, Korean
French, Bulgarian
Polish, German
Chinese, Portuguese,
Hungarian, Czech
Romanian, Italian
Turkish, Spanish
Russian, Greek
Japanese
A-5-3.DEVICE IP IP setting menu XXX.XXX.XXX.XXX
A-5-4.SUBNET MASK SUBNET MASK setting menu XXX.XXX.XXX.XXX
A-5-5.GATEWAY GATEWAY setting menu XXX.XXX.XXX.XXX
A-6.CENTRAL CENTRAL NETWORK menu
A-6-1. PROTOCOL Version Network protocol menu 1.30
A-6-2. CENTRAL Remote Communication menu ON/OFF
A-6-3. Server IP Remote PC IP address setting XXX.XXX.XXX.XXX
A-7. HL7 HL7 Network message settings
A-7-1. COM Communication version
A-7-2. Server IP Remote PC IP address setup XXX.XXX.XXX.XXX
A-7-3. PORT Remote PC PORT address XXXX
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BM5 User’s Manual
A-7-4. HL7 PERIOD Transmission cycle settings menu 10sec, 30sec,
1,3,5,10,15,30min,
1 hour, 6 hour
A-7-5. HL7 NAK NAK Transmission menu setup ON/OFF
A-7-6. EDIT HL7 LABEL Parameter label edit menu
A-8. ALARM SETUP Alarm settings menu
A-8-1. ALARM PASSWORD Alarm setup password activation menu ON/OFF
A-8-2. SETUP PASSWORD Password setup menu
A-8-3. ALARM SOUND Alarm sound type selection menu
A-9. DISPLAY OPTION
A-9-1. SWEEP SPEED
(ECG/SPO2/IBP)
A-9-2. SWEEP SPEED
(RESP/ETCO2)
A-10. HOSPITAL Information Set Hospital information
A-10-1. Name Hospital Name
A-10-2. Address 1 Address information 1
A-10-3. Address 2 Address information 2
A-10-4. Postal Code Set postal Code
IEC60601
BIONET
6.25 ,12.5, 25 mm/sec
(basics),50 mm/sec
6.25, 12.5,(basics), 25
mm/sec
B. BIOSIGNAL CALIBRATION Set calibration menu
B-1. ECG & RESP
B-1-1. ECG Calibration ECG calibration menu
10mm/mV input
calibration display
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B-1-2. RESP Calibration RESP calibration menu 1ohm 1cmm display
B-2.NIBP
BM5 User’s Manual
B-2-1. ZERO Calibration NIBP Zero calibration menu
B-2-2. Gain Calibration NIBP Gain control menu
B-2-3. Pneumatic Pump NIBP Pump control menu ON/ OFF
B-2-4. Pneumatic Valve NIBP valve control menu Close /Open
B-3. IBP
B-3-1. IBP1 Calibration
B-3-2. IBP2 Calibration
Zero calibration menu at
atmospheric pressure
Perform 250mmHg
pressure calibration
and select menu
Perform 100mmHg
pressure calibration
and select menu
Perform 100mmHg
pressure calibration
and select menu
C. SCREEN Calibration
D. MAKER SERVICES
D-1. MAC ADDRESS Editing
E. SW Upgrade Software Upgrade menu
F. SW License Software license menu
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Perform touch screen
calibration point input
Enter a unique address
for the device
Rev. 3.0 40
Parameter color
Parameter Basic color
Selectable colors
Green, light blue, yellow, purple, blue, sky blue, orange, gray, light green, pink, white, red, light
yellow
ECG (ST) Green
SpO2 Sky Blue
RESP Yellow
NIBP Purple
TEMP Green
BM5 User’s Manual
IBP1 Red
IBP2 Sky blue
ETCO2 Yellow
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3. Network
Overview
When you connect the monitor to the network, you can access patient information from another
monitor or central station connected to the network. These devices provide main screen
information for remote viewing from each other.
BM Central connects the monitors to the central station and each device to provide various
monitoring functions. The User Monitor's B2B View (Bed to Bed View) feature allows the user to
view other monitor screens connected to the network and to silence remote control and
alarms[Audio Paused].
With the Remote Control feature in BM Central, you can perform the following tasks on a patient
monitor that can be remotely controlled from a central station.
Start recording
Modify alarm limit
Alarm Mute
Print the current monitor screen to a network laser printer (Using the optional remote
keypad)
Enter, edit and view patient data
Network connection
In a network, data can be exchanged over wired or wireless technology. All data interfaces (e.g.
RS-232, LAN, USB interface) described in the standard and convention can be network. This device
can exchange information with other devices through the network during operation and supports
the following functions.
Display waveform and parameter data
Alarm signal
Remote control (e.g. alarm management)
Device setup and transmission of patient data
Connecting this device to an integrated network with other devices, or subsequent changes to
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BM5 User’s Manual
that network, can be a new risk to patients, users, and third parties. These risks must be identified,
analyzed and evaluated before the device is connected to the network or the network is changed,
and appropriate action must be taken.
Subsequent changes to the network example:
Network configuration change
Removing a device from the network
Adding new devices to the network
Upgrading or updating devices connected to the network
Warning
Recommendations for wireless connections
BM5 has a change in the number of equipment connections depending on wireless AP
(Access Point) performance.
When using a general AP, it is recommended to connect 8 units to the same network.
Due to the nature of wireless, connectivity may not be good depending on the
environment
IT Network connection
No one other than service personnel can connect this device to your network. Please consult with
the hospital IT staff in advance. Please refer to the following documents to proceed with the
installation.
Documents attached to this unit
Network Interface Manual
BM Central user documentation
We recommend that you follow IEC 80001-1 (Hazard Management of IT Networks Connected with
Medical Devices).
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LAN Network
LAN networks are usually configured through a star topology. Individual devices can be combined
into groups via a layer-n-switch. Other data traffic is separated by separate VLAN networks.
Configure the device's network settings according to this user manual and network specifications.
LAN connection specifications are described in the following standard specifications.
Wired Network: IEEE 802.3
Wireless network: IEEE 802.11 (a, b, g, n)
If the device is to be used as a layer-2-switch or layer-3-switch, the port setting must be
configured on the network switch. Bionet equipment must be configured to make the network
settings compatible with the specifications of the operating organization.
This device exchanges data with other medical devices over a LAN network. The network supports
the following transports and protocols:
TCP / IP
Broadcast
VLAN Network
If data is exchanged within a single network, an independent VLAN network for the clinical
information system must be established. At least one of the following independent VLAN
networks must be established.
Network for medical devices in hospital
Network for portable veterinary patient monitors
If you use an inappropriate network
If your network does not meet the requirements, the following dangerous situations can occur.
If the distributed alarm system is not safe:
The alarm will not be delivered.
The alarm or data is delayed.
An error alarm appears
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If the network connection is interrupted:
The alarm will not be delivered.
Reactivates with the alarm off or the alarm sound off
If you do not have firewall and antivirus software:
Your data is not protected.-The device settings are changed.
The device settings are changed
The device raises an error alarm or does not generate an alarm.
Data is sent incomplete, to the wrong device, or not at all.
Patient data is blocked, falsified, or corrupted.
The time stamp of the data is inaccurate
BM5 User’s Manual
Overloading this unit due to very high network loading (e.g. denial of service attacks) can cause
interface deactivation. The interface can only be used again after the device is restarted. Rarely,
booting may be slow or repeated reboots may occur
Remote View
If the monitor is connected to a network, you can view other monitors connected to the network
on your monitor and make the alarm silent. The procedure for displaying the remote view screen
is as follows. To set the menu display time, refer to the setting page below.
NOTE: The Print Screen Sticky key on the front panel of the monitor allows you to print the
remote view screen as it appears on your local monitor.
The menu below is a setup menu for retrieving data from other patient monitoring devices
connected to the same network. To view the menu settings, touch the My BED number box in the
top menu bar.
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MENU Description Available Settings
B2B VIEW MONITOR LIST sub menu
REFRESH
UP Move to upper list
DOWN Move to lower list
MONITOR LIST
CONNECT
Menu to update monitor list connected
to network
List of monitor information connected
to the network
Monitor connection menu for remote
connection
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Display Mode
Wave and Numeric Mode
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Numeric Mode
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MENU Description Available settings
A-1 SELECT WAVE Waveform selection menu to view
BM5 User’s Manual
A-1-1. TRACE I
A-1-2. TRACE II
A-2 NEXT VITAL Additional parameter selection menu
A-3 MORE VITALS
A-4 NEXT BED
A-5 SETUP ALARM
The waveform selection menu for
TRACE I in the B2B View window
The waveform selection menu for
TRACE II in the B2B View window
WAVE screen and TEXT screen
selection menu
Connect to the following connected
monitor devices
Alarm setting menu of remotely
connected monitor
ECG, SPO2, IBP1, IBP2,
RESP,ETCO2, MULTIGAS
ECG, SPO2, IBP1, IBP2,
RESP,ETCO2, MULTIGAS
Normal
Audio Paused
Alarm Paused
Audio Off
Alarm Off
A-6 NIBP START/STOP
NIBP measurement start and stop
menu
A-7 CLOSE Remote viewer close menu
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START
STOP
BM5 User’s Manual
4. Admission and Discharge
Overview
The Patient admit menu allows you to enter and edit a patient’s personal data (name, ID,
Birthday, Height, Weight). If your monitor is operating in a network monitoring, you can
also review or change the monitor’s care unit and bed label assignments.
Patient data and trends can also be transferred to PC. The transfer procedure depends
on whether the Inbound and Outbound monitors are connected to the Central network.
Patient admission
How to admit a patient:
1. Press the Patient icon button.
2. Click on Admit.
3. Click on Patient Information.
4. Please select a field. The data entry screen appears.
5. Click the letter of the word you want to input.
If you made a mistake, click Backspace and try again.
6. Click Enter to confirm your entry.
7. Click on the next field and repeat steps5 and 6.
Note:
To change a patient's classification (adult, pediatric or neonate), access the
patient settings menu.
Additional settings (Gestational Age) are available for neonate mode.
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Patient discharge
The patient should be discharged before the other patient is admitted. Otherwise
The monitor attaches the existing data to the patient in the back of the hospital.
How to discharge a patient:
1. Press the Discharge. fixed key.
2. When you execute the discharging menu on the screen, you will be warned that all
patient data will be deleted.
3. Press the Accept button. The discharge procedure is in progress.
The monitor displays a Discharge message. When the patient is successfully discharged,
a banner with the following message is displayed.
PATIENT TYPE: When you set the animal type, type image is displayed on the upper left
corner
TYPE Male
Admit
Female
Admit
Discharge
ADULT
PEDIATRIC
NEONATE
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BM5 User’s Manual
Main menu Sub menu
A.Admit / Discharge
B.Patient Information B-1. Patient Information
C.Default Setting
D.User Drug Change
E.Drug Calculation E-1. Setting
E-2. Titration Table
MENU Description Available Settings
A. Admit / Discharge Admission and discharge setting
B. Patient Information
B-1. Patient Information
B-1-1. Patient Type Patient Type setting ADULT,
PEDIATRIC,
NEONATE
B-1-2. ID Patient ID setting
B-1-3. First Name First Name setting
B-1-4. Last Name Last Name setting
B-1-5. Gender Gender setup MALE , FEMALE
B-1-6. Birthday Birthday setting menu YYYY/MM/DD
B-1-7. Weight Age setting XXX.XX Kg
B-1-8. Height Weight setting XXX.XX Cm
B-1-9. Blood Type Default setting
A Rh+/ Rh-/ -D-/ Rh Null
B Rh+/ Rh-/ -D-/ Rh Null
O Rh+/ Rh-/ -D-/ Rh Null
AB Rh+/ Rh-/ -D-/ Rh Null
Unknown
C. Default Setting Set Patient Info to Default Value.
D. User Drug Change
D-1. DRUG TYPE Set Drug Type of Patient. DRUG-1~5
D-2. DRUG NAME Set Name of Drug
D-3. DRUG UNIT Choose the Unit of Drug
mg/hr, mg/min, mg/kg/hr
mg/kg/min, mcg/hr, IU/hr,
mcg/min, mcg/kg/hr,
mcg/kg/min, units/hr
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E. Drug Calculation
E-1. Setting
E-1-1. DRUG TYPE Choose Drug Type in the List(21) AMINOPHYLLINE
BM5 User’s Manual
TPA
BRETYLIUM
LIDOCAINE
PROCAINAMIDE
EPINEPHRINE
LEVOPHED
ISOPROTERENOL
DOPAMINE
DOBUTAMINE
NITROGLYCERINE
NITROPRUSSIDE
INOCOR
HEPARIN
INSULIN
STREPTOKINASE
DRUG-1~5
E-1-2. Drug Quantity Set Drug Quantity
E-1-3 Solution Volume
E-1-4. Dose Quantity Set Dose Quantity
E-1-5. Inflation Rate
E-1-6. Weight Some drugs may not
be supported
E-1-7. Dose Step
E-2. Titration Table
E-2-1. DRUG NAME Set Drug Name
E-2-2. DRUG QUANTITY Set Drug Name Refer to drug list
bellow.
E-2-3. SOLUTION VOLUMNE
E-2-4. Dose Quantity Refer to drug list
bellow.
E-2-5. Inflation Rate Refer to drug list
bellow.
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Rev. 3.0 52
Flow rate(ml/h
r)=
Dose(mg/hr)×SolutionVolume
(ml)
Drug QTY(mg
)
Flow rate(ml/h
r)= Dose(mg/min)×
SolutionVolume
(ml)
×60Drug QTY (mg)
Flow rate(ml/h
r)= Dose(mcg/min)×
SolutionVolume
(ml)
×60Drug QTY
(mg)×
1000
Flow rate(ml/h
r)=
Dose(mcg/kg/min)×
Weight(kg)×
SolutionVolume
(ml)
×
60
Flow rate(ml/h
r)= Dose(units/h
r)×
SolutionVolume
(ml)
Drug QTY(units
)
Flow rate(ml/h
r)=
Dose(IU/hr)×SolutionVolume
(ml)
Drug QTY
(IU
)
BM5 User’s Manual
E-2-6. WEIGHT Refer to drug list
bellow.
E-2-7. DOSE STEP Refer to drug list
bellow.
The table shows the formula for calculating the dosage of drugs below.
Unit NameUnit Equation
mg/hr AMINOPHYLLINE
TPA
mg/min BRETYLIUM
LIDOCAINE
PROCAINAMIDE
mcg/min EPINEPHRINE
LEVOPHED
ISOPROTERENOL
Mcg/kg/min DOPAMINE
DOBUTAMINE
NITROGLYCERINE
Drug QTY (mg)× 1000
NITROPRUSSIDE
INOCOR
units/hr HEPARIN
INSULIN
IU/hr STREPTOKINASE
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Shows setting range for each stage.
Dose Drug QTY
Unit Setting range Unit Setting range
mg/hr
mg/min
mg/kg/hr
mg/kg/min
0.01 to 500 mg 0.01 to 2000
mcg/hr
mcg/min
BM5 User’s Manual
mcg/kg/hr
mcg/kg/min
units/hr 10 to 15000 Units 100 to 150000
IU/hr 1000 to 1500000 IU 1000 to 1500000
Items Unit Drug QTY unit
Volume of Liguid mL 1 to 1000
WEIGHT Kg 0 to 300
Velocity of Flow ml/hr 0.1 to 600
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Registration of patient ID using barcode
This product can input the PATIENT ID in barcode format to the device using USB barcode
scanner. First, connect the barcode scanner to the USB HOST connector on the left as shown in
the figure below. After the BEEP sound is generated, the barcode icon ( ) appears at the
bottom of the instrument screen.
BM5 User’s Manual
The barcode that you want to input is matched to the index LED generated by the scanner, and if
you press the input button, the corresponding ID is read and sent to the equipment. The sender
ID is displayed at the top center of the screen.
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BM5 User’s Manual
5. Alarm
Overview
The monitor displays the alarm limit (parameter threshold) and can be configured by the user to
raise an alarm if exceeded. Limits are displayed both in the alarm limits table and in the
parameter box. If this limit is exceeded, a visual or audible alarm will occur.
The bedside monitor is the primary alarm device, and there may be other secondary alarm
devices depending on how you configured the device / network. Depending on the alarm
condition, the monitor generates an alarm using one or more of the following devices:
Hearing sound reflecting alarm severity
Change the color in the parameter box of the alarm parameter
Alarm messages in the local message area
Alarm banner indicating alarm status
External alarm device such as nurse call system
Activate alarm recording
The monitor generates an alarm when the parameter in the Alarm Limits table is ON. It is not a
prerequisite that the parameter is displayed on the display or connected in the event of an alarm.
Alarm priority
The alarm type is divided into a patient status alarm and a product status alarm.
The patient status alarm sounds when the diagnostic function (ECG 13 auto diagnosis) and alarm
upper and lower limits are exceeded, and there are levels of HIGH, MEDIUM, LOW and MESSAGE,
and there is a difference in the order and volume of the alarm.
You can set the alarm level for each parameter and function.
The patient status alarm provides the highest priority alarm.
The features of each alarm are described as follows. The alarm priority is HIGH> MEDIUM> LOW>
MESSAGE. For alarms over LOW, the printer output is supported when ARMRM PRINT ON is set.
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Alarm priority Alarm sound Alarm Color Alarm printer Alarm lamp
HIGH
-5
0.5 Times/Sec
Blinking
2.0 Times/Sec
Blinking
MEDIUM
-3
0.5 Times/Sec
Blinking
0.5 Times/Sec
Blinking
LOW
Non Blinking
-1
0.5 Times/Sec
Blinking
MESSAGE
Non Blinking
: Alarm sounds
: Waves are printed out
: Red color alarm indicator on the screen is blinked
: Yellow color alarm indicator on the screen is blinked
: Blue color alarm indicator on the screen is displayed
Audible alarm
Alarm priority BIONET IEC
HIGH 1 high tone every 5 seconds 5 consecutive beeps every 5 seconds
MEDIUM 1 high tone every 15 seconds 3 consecutive beeps every 15 seconds
LOW 1 low tone every 30 seconds 2 consecutive beeps every 30 seconds
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Alarm management
You can use the lock key on the front of the monitor to hold the alarm.
To change Alarm Mode: A short press of the alarm control key circulates through the Normal /
Audio_Paused / Alarm_Paused alarm modes. Press and hold the key for more than 3 seconds to
switch to Alarm_Off / Audio_Off mode using the mode selection dialog regardless of which alarm
mode the monitor is currently in
Audio_Paused: Stop the audible alarm for 1 minute but the visual alarm is activated still. Banner
with the message Audio Paused and countdown timer are displayed on the screen. After the user
switches to another alarm mode or after the timeout period has elapsed if the alarm occurs still,
visual and audible alarms will be activated again
Alarm_Paused: Stop visual and audible alarms during user defined time. Banner with the message
Alarm Paused and countdown timer are displayed on the screen. After the user switches to
another alarm mode or after the timeout period has elapsed if the alarm occurs still, visual and
audible alarms will be activated again
Alarm_Off: Stop visual and audible alarms. A banner with the message Alarm Off is displayed on
the screen. The monitor maintains Alarm Off mode until user switch to another alarm mode.
Audio_Off: Stop the audible alarm. A banner with the message Audio Off is displayed on the
screen. The monitor maintains Audio Off mode until user switch to another alarm mode
Alarm control
Various alarm functions, such as alarm hold, validity and alarm limit indicators, can only be
configured in the alarm control menu, accessible only through the password protected unit
manager menu.
Nurse call
If the monitor is sounding an alarm, the nurse call system is signaling.
When an audible alarm is silenced (Audio Pause or Audio Off) at the bedside unit, the nurse call
system will not alarm.
Your system administrator can change the alarm priority level for the nurse call signal.
if the priority level is set to High , only high-priority alarms will sound on the nurse call system.
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Note
Audio Paused and Audio Off modes only stop the audible alarm sound and touch or key
sound is activated always.
To adjust the Touch or Key Sound, use the Key Sound menu in Setup.
Alarm settings
MENU Description Available Settings
A. Alarm Setup menu
A-1. Parameter Alarm Limit All parameter alarm, level, activate
Main menu Sub menu
A. Alarm Setup A-1. Parameter Alarm Limit
A-2. Arrhythmia Alarm Condition
A-3. System Alarm Condition
A-4. Alarm Parameter
A-5. Nurse Call
B. Alarm Review
Setup menu
A-2. Arrhythmia Alarm
Condition
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Arrhythmia alarm level setting menu
ASYSTOL, VTAC, VTAC /VFIB, BIGEMINY,
TRIGEMINY, ACCVENT, COUPLET,
IRREGULAR, PAUSE, RONT, VBRADY,
SHORTRUN, PVC
BM5 User’s Manual
A-3. SYSTEM ALARM
CONDITION
System alarm level setting menu
LOW BATTERY
A-4. Alarm Parameter Alarm Settings menu
A-4-1. Alarm Volume
The volume can be changed from OFF
OFF, 10~ 100%
to 10% to 100%.
A-4-2. Alarm Pause Time
No sound for 5minutes, Release on alarm again
1,2,3,5,10,15min
A-5. Nurse call User Settings menu.
A-5-1. Nurse call on Alarm NURSE CALL setup menu ON/OFF
Normal open
A-5-2. Call Type Nurse call type setup menu
Normal close
One time
A-5-3. Duration Nurse call duration setup menu
Continue
Cycling
A-5-4. Level
Alarm level setup menu Message
Low
Medium
High
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Alarm event
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6. Trend
Overview
The monitor stores trend data for all connected signals. Users can request trend recording and
can also print the screen of trends displayed.
Triggered alarm events are displayed in red inverted triangles on the Event List and
Timeline
Trend setup
Main menu Sub menu
A. Trend Setup
B. Graphic Trend B-1. Graphic Trend
C. Tabular Trend C-1. Graphic Trend
D. Trend Export
E. Full Disclosure E-1. Setting
F. OxyCRG Show/Hide
A-1. Popup Trend
B-2. Tabular Trend
C-2. Tabular Trend
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Sub menu Description Available settings
BM5 User’s Manual
A. Trend Setup menu
A-1. Popup Trend
A-1-1. Time Period Show time interval setting menu 30min, 60min, 90min,
3hour, 6hour
A-1-2. Configure Parameters Configure the bio signal to be shown in
the popup trend window
B. Graphic Trend menu
B-1. Graphic Trend
B-1-1. Event List Selectable alarm list is displayed
B-1-2. Time Period Set the time and see the stored values
at each set time.
B-1-3. Display Group Configure the bio signal to be shown in
the Graphic trend window
B-1-4. Print Graphic trend print output
30min, 60min, 90min,
2hour, 3hour, 4hour,
6hour, 8hour, 12hour
C. Tabular Trend menu
C-1. Tabular Trend
C-1-1. Event List Selectable alarm list is displayed
C-1-2. Time Period Time period setting 1min, 5min, 10min,
15min, 30min, 1hour,
2hour
C-1-3. Display Group Configure the bio signal to be shown in
the Tabular trend window
C-1-4. Print Tabular trend print output
D. Trend Export menu
D-1. Start Time Parameter save start time setting menu hh:mm
D-2. End Time Parameter Save Last Time Setting Menu hh:mm
D-3. Export Time Period Time period setting 1min, 5min, 10min,
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D-4. Export Order Sequence of parameters Descending
D-5. Export Save data to USB memory
E. ECG Waveforms Review menu
E-1. Lead Select lead to display on screen I, II, III, AVR, AVL,
BM5 User’s Manual
15min, 30min, 1hour
Ascending
AVF,
V1
E-2. Duration The time interval you want to see during
the entire time
E-3. Detail View Show the detail view corresponding to
the detail time interval
F. OxyCRG Show/Hide menu When selected, the screen shows heart
rate, breathing, and oxygen saturation
trends. It is not displayed in single
parameter mode or 7ch ECG screen.
1/2/3/4/5 min.
SHOW
HIDE
Graphical trend
Trend graph shows saved trend data as individual graph type for each parameter. These graphs
show that the displayed parameters are active over a significant period of time Shows five
channels at a time. Confirmation color and scale Meter labels and numbers are displayed on the
left side of the trend channel. Vertical lines in each graph. This displays the time distribution.
Trends keeps the most up-to-date data. It is automatically updated on the right side of the graph.
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BM5 User’s Manual
1 2 3 4
5
6
7
8 9
①
②
Graphic trend select menu
Tabular trend select menu
③ Event list menu
④
⑤
⑥
⑦
⑧
⑨
⑩
Event previous/next menu
Patient ID
Parameter numeric window
Interval search window
Trend interval setup menu
Parameter selection menu to show
Printer menu
10 11
⑪
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Parameter window selection menu
BM5 User’s Manual
Tabular trend
The Trends table displays the trend data in an easy-to-read table format. Up to six are displayed,
updated every minute. The time stamp above each column indicates the interval at which the
data in that column was trended. The value displayed is the last one acquired during the interval,
and the most recent data is displayed in the rightmost column.
1 2 3 4
5
6
7
①
②
③
④
8 9
Graphic trend select menu
Tabular trend select menu
Event list menu
Event previous/next menu
10 11
⑤
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Patient ID
BM5 User’s Manual
⑥
⑦
⑧
⑨
⑩
⑪
Numeric Parameter window
Selection Navigation window
Trend interval setting menu
Parameter selection menu
Printer menu
Parameter select window menu
File export
The file extract function can transfer trend to a file using USB memory.
① Confirm USB memory connection.
② Press TREND > Trend Export button.
③ Set a start time, end time, export time period, and export order.
④ Press Export button
⑤ The data is transferred to USB memory. A completion message is displayed when the
transmission is completed.
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BM5 User’s Manual
Warning
USB Compatible
The BM5 is compatible with external USB memory drives up to 64GB.
We recommend brands products listed in the manual (Sandisk, PNY, Transcend,
Samsung).
When using a product with high power consumption, such as an external hard drive, be
sure to use the provided adapter for suitable power supply.(Cannot be used alone as a
power supply)
You should save the data of connected device before connecting the additional device.
It may not be supported some devices that required high power.
Note
Saving Patient Data to a USB
Exported patient data on a USB memory drive is not encrypted and therefore raises
privacy concerns. So, only authorized personnel should be allowed to view, handle, store
or transmit patient data.
The file format of the USB memory drive used for the BM5 patient monitoring device is
FAT32.
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Popup trend
The user can continue to monitor the main screen waveform and parameter box while displaying
trend data for up to 7 parameters for up to 6 hours. The pop-up trend graph follows the display
order indicated by each parameter in the trend setup and is updated with new trend data every
60seconds. When selecting pop-up trend, you can switch to ST analysis window and double-zoom
mode.
If there is no parameter set in Trend setup> Configure parameters, only ST analysis window is
displayed.
To change the popup menu window, touch the top and bottom of the popup menu with the
touch key, or select it with the rotary switch.
Popup trend window
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Popup ST window
BM5 User’s Manual
Popup enlarge trend window
You can change the size of the popup menu by pressing and releasing the center of the popup
menu for at least 1second.
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BM5 User’s Manual
7. ECG
Overview
The monitor can calculate heart rate, detect arrhythmia (adult and pediatric patients), and display
ECG data. The electrocardiogram screen provides 1 channel, 2 channel, 7 channel display. It
calculates the heart rate by detecting the electrocardiogram signal of the patient and alarms
according to the set upper and lower limit of alarm.
ECG connector position and measurement cable
Electrode placement
1. If you have a lot of hair, shave. With alcohol-soaked cotton, wipe the patient's skin to
attach the electrode. Avoid wrinkled or uneven skin, and wipe off alcohol with a dry
cotton towel.
2. Unpack the electrode package and remove the electrode
3. Remove the rear mounting surface of the electrode. Be careful not to touch the adhesive
side.
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4. Attach disposable electrodes to the previously sterilized skin.
5. Connect the lead of the electrode and the wire of the monitor
6. Fix the electrode to the skin, and secure the cable with the remaining length between the
instrument and the electrode with surgical tape. This fixation prevents the electrode from
moving.
Make sure that the contact area of the disposable electrode is not dry to maintain a
good connection between the electrode and the skin.
If you suspect that the disposable electrode is in poor contact, replace it immediately
with a new electrode. Otherwise, the contact impedance of the skin and electrode will
increase, and the correct ECG signal will not be obtained.
BM5 User’s Manual
Note
If the contact condition gets worse before expiration date on the packaging, replace
with a new one.
To get a stable ECG waveform, rub the skin with gel or benzoin tincture.
ECG Precaution
Caution
Use caution when using evoked potential equipment as it may interfere with ECG
monitoring.
Do not rely solely on ECG for patients with epileptic tendencies. Electrical
disturbances of non-cardiac circles such as seizures may interfere with the
detection of specific arrhythmias.
Warning
CABLES — Route all cables away from patient's throat to avoid possible strangulation.
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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.
BM5 User’s Manual
After defibrillation, the screen display recovers within 10seconds if the correct electrodes are
used and applied in accordance with the manufacturer’s instructions.
Patient cables can be damaged when connected to a patient during 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.
Lead wire moves. AC interference, EMG noise or noise from ESU is superimposed.
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
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
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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.
Electro surgery Unit
Electrosurgical unit (ESU) emits 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 opposite 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
BM5 User’s Manual
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.
During surgery:
Use the appropriate orange electrode ECG safety cable, or lead cable with an red connector,
for measuring ECG in the operating room. These cables have extra circuitry to protect the
patient from burns during cautery, and they decrease electrical interference. This also
reduces the hazard of burns in case of a defective neutral electrode at the HF device. These
cables cannot be used for measuring respiration.
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Patient preparation
Careful skin preparation and proper electrode placement allow you to receive a strong signal that
minimizes handwriting. If a technical alarm (e.g. lead disconnect) has occurred, prepare the patient
again according to the following recommendations.
Follow hospital approved clinical procedures to prepare the patient's skin. Change the electrode
every 24 to 48 hours to improve signal quality. You may need to replace the electrode more often
in the following situations:
ECG signal degradation
Excessive sweating of the patient
Patient's skin irritation
There are a variety of reusable and disposable electrodes available. Choose the electrode that
best fits your monitoring situation. Bionet recommends Ag / AgCl disposable electrodes.
If you are using an electrode with a gel beforehand, make sure that the electrode is sufficiently
gelled. Never use this product if the disposable electrode has expired or the gel is dry.
Determine the electrode location that will provide the best ECG in the configuration (P-wave and
T-wave amplitudes should not exceed 1/3 of the QRS amplitude). Choose a flat, muscular location
to maximize contact with the electrodes and minimize muscle fatigue. Avoid joints or bony
protrusions. When choosing a location for electrode placement, consider the following special
conditions: Surgery - Place electrodes as far away from the surgical site as possible. Burn patient use sterile electrodes. Thoroughly clean the equipment. Follow hospital infection control
procedures.
Use a waterproof tape (about 2 inches wide) or Steri-Drape to secure the electrode Protect from
liquids. Make a small loop from the lead wire just below the connection and secure with tape.
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ECG lead
5 LEAD electrode placement
3 LEAD electrode placement
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How to attach neonate electrodes
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Cable color and size
AHA：American Heart Association (U.S.A. standard)
IEC：International Electro technical Commission (Europe standard)
3LEAD / 5LEAD
BM5 User’s Manual
AHA
Lead wire
Color code
Right arm White RA Red R
Left arm Black LA Yellow L
Right leg Green RL Black N
Left leg Red LL Green F
V1(precordial) Brown V1 White C1
AHA
Label
IEC
Color code
IEC
Label
ECG signal processing and display
The monitor is a QRS Complex with a QRS complex amplitude of 0.4 to 5.0 mV (0.2-5.0 mV with a
scale setting of 0.5 mV / cm or less) and an adult with a QRS width of 70-120 ms (or a newborn
with a QRS / ARR Select chapter). The heart rate is calculated from 15 to 300 times per minute
using the last 10seconds of the R-R interval and the two longest intervals and the two shortest
intervals at the R-R interval. The remaining interval is averaged, and the current heart rate is
displayed in the HR parameter box of the main screen as a result.
.
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If arrhythmia monitoring is possible (except for neonatal patients), the HR parameter box will
change accordingly. If you select Basic, you can display three basic arrhythmias called ASYS, VFIB,
and VTAC. If Full is selected, a separate ARR parameter box will be displayed next to the HR
parameter box (for details on selecting the arrhythmia mode, refer to the Arrhythmia setting
chapter).
BM5 User’s Manual
When the ECG signal is 80 BPM, the interval of the T wave is 180 ms, and the QT period is 350 ms.
ST signal processing and display
ST segment deviation is defined as the movement above or below the equipotential level
(mm). The difference measurement compares the isoelectric point with the ST
measurement point. The isoelectric point defines a zero volt point (no electrical activity, 0
mm) with a base position on the horizontal axis (in hours) of 28 ms before QRS complex
generation. In the ST segment, the ST point occurs between the QRS offset (J point) and
the T-wave. The default position is 80ms after the QRS offset. The following figure shows
a typical QRS complex. The ST analysis features are classified as "normal" beats in up to
12 selected ECG leads QRS Complex.
Alarm and alarm status
High P-wave and T-wave - Long P-wave or T-wave with high amplitude duration can be detected
by QRS Complex. Place the leads on the ECG1 channel with the highest R-wave (compare to Twave and / or P-wave) to allow the monitor to properly detect low heart rate conditions in this
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situation. If the monitor continues to misinterpret the P-wave or T-wave, use a pulse oximeter to
reposition the electrodes or monitor the patient's pulse rate.
BM5 User’s Manual
Display
①
②
③
④
⑤
Heart rate detector: It detects heart rate and flickers simultaneously.
Pace maker: Pace maker signal is detected and flashes simultaneously.
HR Alarm limits: Heart rate threshold is display.
Heart rate: Displays the heart rate per minute.
PVC count number per 1 minute is display.
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ECG Settings
BM5 User’s Manual
ECG A. ECG Parameters A-1. Alarm
A. ECG menu
MENU Description Available settings
A-1. Alarm ECG alarm setting menu
A-1-1. PARAMETER ALARM
Main menu Sub menu
A-2. QRS Volume
A-3. Display Option
A-4. Arrhythmia
A-5. ST/PVC
A-6. Pace Maker
HR, ST, PVC parameter alarm limits,
LIMIT
A-1-2. TECHNICAL ALARM
CONDITION
A-2. QRS VOLUME
A-3. DISPLAY OPTION
A-3-1. SWEEP SPEED The speed of the ECG displayed on the
A-3-2. FILTER The filter setting is MONITOR by MONITOR
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level, activation setup menu.
ECG-LEADFAULT
ECG-CHECKELECTRODE
ECG-HR-SEARCH
QRS detection volume setting menu.
When you set the SpO2 volume, it is
automatically set to OFF.
screen can be set. Default setting:
25mm/s
OFF, 0%~100%
6.25mm/s, 12.5mm/s,
25mm/s, 50mm/s
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A-3-3. SIZE (SENSITIVITY)
A-3-4. HR SOURCE
A-3-5. VIEW CHANNEL
default.
ECG FILTER： Selects among four
frequency bands to filter the signal.
MONITOR 0.5Hz ~ 40Hz
MODERATE 0.5Hz ~25Hz
MAXIMUM 5Hz ~ 25Hz
DIAGONOSIS 0.05Hz ~150Hz
Changes the display amplitude of the
ECG waveform.
The cardiac source can be selected as
ECG or SpO2, AUTO.
Number of channels in the ECG
waveform to be shown on the screen.
Display two lines of 1CH ECG
waveform.
MODERATE
MAXIMUM
DIAGONOSIS
0.25 , 0.5, 1, 2,
4mm/mV
ECG, SpO2, AUTO
1CH,
The ECG channel is selectable from I to
V6.
A-3-6. TRACE 1
A-4. Arrhythmia Arrhythmia alarm setting menu
A-5.ST/PVC
A-5-1. PVC Analysis
A-5-2. ST Template Ch
3 When using the lead cable selection,
only TRACE I can select I, II, III.
5 lead cable selection I, II, III, aVR, aVL,
aVF, V can be selected.
PVC Diagnostic setting, ST template
channel selection, ST analysis and ISO
(R-) / ST (R +) value setting
PVC Diagnostic Results Display Setup
Menu
ST Diagnostic ECG Channel Setup
Menu(Menu display according to the
I, II, III, aVR, aVL, aVF,
V1,V2,V3,V4,V5,V6
ON/OFF
Lead I, II, III, aVR,
aVL, aVF, V
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currently connected cable)
BM5 User’s Manual
A-5-3. ST Analysis
A-5-4. ISO(R-) ISO Point Position Setting Menu 120 ~ 4ms
A-5-5. ST(R+) ST point position setting Menu 4~160 ms
A-5-6. Initial Setup
A-6. Pace Maker Pace Maker detection display setting ON/OFF
ST Diagnostic ECG Channel Setup
Menu
ISO, ST point position initial value
setting Menu
ISO : 80
ST : 108
Trouble shooting
Problem:
Inaccurate heart rate and/or false asystole.
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.
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4. If amplitudes are low, electrodes may need to be repositioned or replaced.
BM5 User’s Manual
Problem:
False ventricular calls.
Solution:
Check ECG signal from patient: (the chest lead may exhibit polarity changes which may
occasionally cause an inaccurate call.)
1. Check/adjust lead placement.
2. Check/perform skin preparation.
3. Check/replace electrodes. (if chest lead is a problem, move the chest lead to another chest
position or leg position.)
Problem:
Inaccurate pacemaker detection
Solution:
Use pacemaker processing:
1. Select ECG parameter label.
2. Display the lead of ECG with the greatest amplitude in the top waveform position.
3. Select Pace Maker.
4. SELECT PACE MAKER ON.
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8. Arrhythmia Monitoring
Overview
Arrhythmia monitoring is available for adult and pediatric patients. The selected mode (Full,
Lethal or OFF) determines which events are processed. Arrhythmia monitoring is not available for
newborns. Arrhythmia monitoring is available for adult and pediatric patients only. The monitor
compares the received beats to the reference beats that have been recorded and stored in the
reference template. Through this process, the monitor can identify the occurrence of an
arrhythmia event, classify it, and then draw clinically useful conclusions based on the frequency
and type of the signal. The monitor will observe all beats in question if the baseline moves
beyond a defined limit. The monitor uses QRS processing results for arrhythmia analysis. During
multiple lead arrhythmia treatment, measure the QRS Complex of each lead and compare it to the
main learned beats. The monitor classifies the beats based on information obtained from all
available leads.
Arrhythmia templette
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
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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 average of the most recent eight R-to-R intervals at a heart rate less
than the set low heart rate limit.
BM5 User’s Manual
NOTE
The Brady limit matches the low heart rate limit. If the low heart rate limit is changed, the
Brady limit changes.
COUPLET
Occurs 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
Occurs when six consecutive normal R-to-R intervals vary by 100 milliseconds or more.
PAUSE
Occurs 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.
R ON T
Occurs when a ventricular complex is detected within the repolarization period of a Non-
ventricular beat.
TACHY
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Tachycardia is four R-to-R intervals at a heart rate greater than the set high heart rate
limit.
BM5 User’s Manual
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 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
arrhythmia.
Arrhythmia Settings
A. ECG menu
MENU Description Available Settings
A-1. Arrhythmia
A-1-1. Arrhythmia Type
ARRHYTHMIA parameter alarm, level,
Activation setup menu.
Sets up ON/OFF to indicate detection
of diagnosis (Asys, VTAC/VFIB and
OFF, LETHAL, FULL
VTAC).
OFF: Do not perform arrhythmia
diagnosis.
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LETHAL: Performs the detection of
Asys, VTAC/VFIB, and VTAC at the
selected lead
FULL: Performs the detection of all 13
arrhythmia
BM5 User’s Manual
A-1-2. Arrhythmia Alarm
Condition
Alarm setting menu by arrhythmia
type
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.
Warning
VENTRICULAR ARRHYTHMISAS
The arrhythmia analysis program is intended to detect ventricular arrhythmia. This program
is not designed to detect trial or supra ventricular arrhythmias. In some cases, it may not be
possible to distinguish the presence or absence of arrhythmias. Therefore, doctors should
analyze the arrhythmia information like other medical information.
SUSPENDED ANALYSIS
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Certain conditions can delay the arrhythmia analysis. Detection and alarms associated with
arrhythmias do not occur when arrhythmia conditions are delayed. This message is
generated when the arrhythmia analysis is delayed:
LEADS FAULT, ALARM PAUSE, ALL ALARMS OFF, DISCHARGED.
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9. SpO2
Overview
SpO2 monitoring is a non-invasive technique that measures the total amount of oxygen in
hemoglobin. The pulse rate is measured by measuring the absorption of the wavelength of the
selected light. The light emitted by the sensor in the probe passes through the tissue and is
converted into an electrical signal by the light-detecting sensor in the probe. The monitor
processes the electrical signal and displays the waveform, %SpO2, and pulse rate on the screen as
quantified values. Red and infrared rays are passed through the capillaries of the fingertip to
detect the pulsating component, calculate HR and oxygen saturation, and alarm according to the
set alarm value.
Precaution
SpO2 measurements are particularly sensitive to arterial and arteriolar pulse rates. Patients
experiencing shock, hypothermia, anemia, or patients taking medications that reduce arterial
blood flow may have incorrect measurements.
Warning:
The pulse oximeter cannot be used as an apnea monitor.
High oxygen levels can make premature babies vulnerable to retrolental fibroplasia.
When this is the case, do not set the maximum alarm limit to 100%, such as the effect of
turning off the alarm. Percutaneous pO2 monitoring is recommended for premature
infants receiving supplemental oxygen.
Inspect the applied area every 2-3 hours to check the skin condition and check if it is
attached to the naked eye. If skin conditions change, move the sensor to another
location. Change the application site every 4 hours at least.
Use only Bionet-designated sensors. Other sensors may not provide adequate protection
against defibrillation or may put the patient at risk.
Disposable accessories (disposable electrodes, transducers, etc.) should be used only
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once. Do not reuse disposable accessories.
BM5 User’s Manual
Patient preparation
The accuracy of SpO2 monitoring is largely dependent on the strength and quality of the SpO2
signal.
If you use your fingers as a monitoring site, remove the nail polish. Cut the patient's fingernail if
needed to improve placement of the sensor. Only use sensors provided by Bionet and apply them
according to manufacturer's recommendations on a per-sensor basis.
If the sensor is not attached correctly, the ambient light may interfere with the pulse oximetry,
making the measurement irregular or causing the value to disappear. If you suspect interference
from ambient light, make sure that the sensor is properly positioned and that the sensor cover
with the opaque body is covered.
1. Select the sensor type and size that best suits your patient.
2. If the sensor can be reused, please wash it before use for each patient.
3. Position the sensor correctly and attach it to the patient.
4. Connect the sensor to the patient cable.
5. Check the application area of the sensor from time to time. If the sensor is too tight, it may
delay blood flow or overheat the skin and damage the tissue. Do not use a damaged sensor.
Note: Read the documentation that came with your sensor for the best application technology
and safety information. Never use a damaged sensor.
Note: If the sensor does not turn on after connecting the sensor, observe that a message appears
on the monitor. If the sensor-LED does not turn on, replace the sensor.
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SpO2 connector
SpO2
measurement
BM5 User’s Manual
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
electro surgery.
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Display
BM5 User’s Manual
①
②
③
④
⑤
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
SpO2 pulse rate display
SpO2 PI (Perfusion Index) display
SpO2 Alarm limits display
SpO2 strength indicator
%SpO2 Value display
adjustment, display of RATE, and RATE volume.
Note
SpO2 WAVE SIZE is changed automatically.
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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 indications 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 10 blocks
set depending on the strength of the signal. Proper environmental conditions and probe
attachment will help to ensure a strong signal.
BM5 User’s Manual
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 photo detector
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.) In order to reduce motion noise, you should
carefully look at the SpO2 waveform and check the probe position in the patient.
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Stability of SPO2 Values
The stability of the displayed SPO2 values can also be used as an indication of signal validity.
Although stability is 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.
BM5 User’s Manual
SPO2 Waveform with Artifact
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.
SPO2 Settings
A. SPO2 menu
MENU Description Available Settings
A-1. Alarm SPO2 Alarm setup menu
A-1-1. PARAMETER ALARM
LIMIT
PERCENT, PR parameter alarm , level ,
activate setup menu
A-1-2. TECHNICAL ALARM
CONDITION
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SPO2-PROBEOFF
SPO2-CHECKPROBE
SPO2-POORSIGNAL
SPO2-LOSTPULSE
SPO2-ARTIFACT
SPO2-PULSE SEARCH
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A-2. RATE VOLUME Menu in which RATE VOLUME is set up
When the ECG volume is set, it is
automatically set to OFF.
A-3. DISPLAY OPTION SPO2 waveform display setting
A-3-1. SWEEP SPEED It can set the speed of SPO2 displayed
on the screen. Default: 25 mm/s.
OFF, 0%~100%
6.25mm/s, 12.5mm/s,
25mm/s, 50mm/s
Status 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 default 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 SPO2 signal is too low. No SPO2 data is displayed. This can 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.
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ARTIFACT
It indicates that something happened to the pulses; determine if the artifact to be abnormal and
irregular
BM5 User’s Manual
Cleaning
Do not autoclave, pressure sterilizes, or gas sterilizes this oximeter.
Do not soak or immerse the monitor in any liquid.
Use the cleaning solution sparingly. Excessive solution can flow into the monitor and cause
damage to internal components.
Do not touch, press, or rub the display panels with abrasive cleaning compounds,
instruments, brushes, rough surface materials, or bring them into contact with anything
that could scratch the panel.
Do not use petroleum-based or acetone solutions, or other harsh solvents, to clean the
oximeter. These substances attack the device’s materials and device failure can result.
If the accuracy of any measurement does not seem reasonable, first check the patient’s vital signs
by alternate means and the check the MS board pulse oximeter for proper functioning.
Inaccurate measurements may be caused by:
Incorrect sensor application or use
Significant levels of dysfunctional hemoglobins. (e.g. carboxyhemoglobin or methemoglgbin)
Intravascular dyes such as indocyanine green or methylene blue.
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10. Respiration
Overview
Respiration via ECG Lead I or 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.
The monitor can use ECG leads I or II for breath detection, regardless of the leads selected for
QRS processing. The measurement range for impedance breath monitoring is 0 to 155 breaths
per minute. The alarm setting range is 5 ~ 150 breaths per minute. In neonatal and pediatric
mode, the monitor can detect central apnea. You can monitor the heart rate, SpO2 using the
appropriate accessories, and display the relevant values in the Oxycardiorespirogram.
RESP precaution
Safety and efficacy of respiration measurement methods for apnea detection, especially apnea of
premature babies and apnea of infants, have not yet been established.
This device does not monitor obstructive apnea. Patients in a breathing crisis should be
closely monitored.
Impedance breath monitoring should not be considered the only way to detect breathing
stops. Bionet recommends monitoring of additional parameters, such as EtCO2 and SpO2,
that indicate the patient's oxygen supply status.
• If you use an ESU block or cable, the impedance breath monitor may not work and the
pacemaker detection performance may be degraded. If pacemaker detection is enabled,
ESU interference may be detected as a pacemaker.
• Large amplitude pacemaker pulses ( > 100mV) may interfere with the monitor's breath
measurement or detection function.
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Patient Preparation
Skin preparation and electrode placement must be properly and carefully monitored in impedance
breath monitoring. You can produce reliable results. Follow the same recommendations as ECG
monitoring Please. In general, the electrodes should be placed as clean as possible with the 60Hz
noise minimized Make it possible to generate a signal. The best results can be obtained when the
electrode is firmly bonded and the electrode area is wide. To improve the RESP signal, use a 5lead cable set (RL as a neutral electrode). It is recommended that the electrode be placed in the
maximum expansion and contraction range of the lung, especially if deep breathing is involved.
For newborns, place the RA and LA electrodes on the mid-armpit line with the nipple. Place the
LL electrodes under the diaphragm and navel. Avoid the liver and the ventricles of the heart to
prevent 60Hz noise from pulsatile blood circulation. The following figure shows where we
recommend placing ECG leads for impedance breathing in adults and neonates
Lead I
Respiration
position
Lead II
Respiration
position
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Respiration connector and measurement cable
Respiration connector
Respiration
cable
Note
Respiration Rate measures the cable and connector will be used as the ECG and common.
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Display
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①
②
③
④
Breathe indicator: indicates the detected breath
Breathing number : displays the number of respiration per minute
Respiration alarm limit: indicates respiration limits
Apnea limit Setting: Apnea limit sign
RESP Settings
A. RESP menu
Menu Description Available Settings
A-1. Alarm RESP Alarm setting menu
A-1-1. PARAMETER ALARM
LIMIT
RR, APNEA Parameter alarm ,
level ,Activation setup menu
A-1-2. TECHNICAL ALARM
CONDITION
A-2. DISPLAY OPTION This is for changing the reference
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RESP-CABLE OFF
RESP-LEAD FAULT
RESP-CHECK ELETRODE
LEAD
for respiration
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