Information and descriptions contained in this manual are the property of Bistos Corporation and may
not be copied, reproduced, disseminated, or distributed without express written permission from
Bistos Corporation.
Information furnished by Bistos Corporation is believed to be accurate and reliable. However, no
responsibility is assumed by Bistos fo r its use, o r any infringeme nts of patents or other rights of third
parties that may result from its use. No license is granted by implication or other wise unde r any patent
or patent rights of Bistos
6.4 Immunity and Compliance Level ................................................................................ 22
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WARNING
EXPLOSION HAZARD - Do not use the BT-220 in a flammable atmosphere where
equipment.
Section 1
Safety
1.1 Instructions for the Safe Operation and Use of the
BT-220 Doppler
Examine the Doppler and any accessories periodically to ensure that the cable and batteries
do not have visible evidence of damage that may affect patient safety o r performance. Do
not use the Doppler if there is any visible sign of damage.
Do not attempt to service the BT -220 Doppler. Only qualified service personnel by Bistos
Co., Ltd. should attempt any needed internal servicing.
The BT-220 is not specified or intended for operation during the use of defibrillators or
during defibrillator discharge.
The BT-220 is not specified or intended for operation in the presence of electrosurgical
equipment.
The BT-220 is not specified or intended for operation in conjunction with any o ther t ype of
monitoring equipment except the specific devices that have been identified for use in this
Operation Manual.
Do not operate the BT-220 Doppler if it fails to pass the power on procedure.
WARNING A hazard of serious injury or death
CAUTION A hazard of minor injury or damage to the system.
1.2 Warnings
concentrations of flammable anesthetics or other materials may occu r.
SHOCK HAZARD - BT-220 does not have protection against the burn injury caused
by RF surgical equipment. Do not use this product along with RF surgical
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CAUTION
The relevant law restricts this device to sale by or on the order of a physician.
clean and free of ultrasound transmission gel and other substances.
Avoid p lacing in an area
30% to 85%.
Do not disjoint or
it.
Power off when the
damaged.
1.3 Cautions
Keep the operating environment free of dust, vibrations, corrosive, or flammable
materials, and extremes of temperature and humidity. The unit should be kept
General Precaution on Environment
Do not keep or operate the equipment under the environment listed below.
Avoid placing in an area
exposed to moisture.
Do not touch the
equipment with wet
hand.
Avoid exposure to
direct sunlight
where there is a high
variation of
temperature.
Operating temperature
ranges from 10°C to
40°C. Operating
humidity ranges from
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
in danger of gas
leakage.
disassemble the
equipment.
BISTOS Co., Ltd. does
not take responsibility of
Avoid in the vicinity of
Electric heater
Avoid placing in an
area where there is an
excessive shock or
vibration.
Avoid dust and
especially metal
material into the
equipment.
equipment is not fully
installed.
Otherwise, the
equipment could be
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Symbol
Description
CAUTION
Federal law restricts this device to sale by or on the order of a physician.
1.4 Definitions of Symbols
Power On/Off Button
This symbol identifies a caution. Ensure you understand the
function of this control before usi ng it. Control function is
described in the operation manual.
Type BF Equipment
IPX7
IPX7 W a terpr oof
When disposing of some components, do not dispose as general
wastes.
Adhere to all applicable laws regarding recycling.
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Section 2
Introduction
2.1 Product Overview
BT-220 is a pocket-size fetal Doppler that measures the fetal heat rate and outputs the fetal heart
sound throug h built-in speaker. By measuring fetal heart rate (FHR), you are able to predict fetal
well-being. BT-220 irradiates ultrasound wave to the abdomen of a pregnant woman to detect the
Doppler frequency signal and analyze, and displays the heart rate on screen. The device also
provides the heart sound from the heart of fetus.
2.2 Intended Use
The BT-220 is a potable fetal Doppler that measures the fetal heart rate and outputs the fetal heart
sound through a built-in speaker. Measuring the fetal heart rate (FHR) gives an indication of fetal
well-being. T his da ta is inte nded to a id in asse ssin g t he we ll b ei ng o f t he fe tu s ( N on -Stress Test). This
device is for use only by trained medical personnel located in hospitals, clinics, doctor’s offices.
2.3 Product Features
The BT-220 is a microprocessor-based fetal Doppler, which display and output the fetal heart rate and
sound for antepartum testing.
① Compact (Pocket size) and light
② Easy to use ③ Low Power consumption ④ Long time use ⑤ High quality sound
2.4 Product Configuration
BT-220 consists of the followings. Unpack the package and c heck out the following items. Also be
sure to check any damage of main body, probe and accessories.
① BT-220 main body and probe
② 1.5V Battery (2EA)
③ Ultrasound transmission gel (1EA)
④ Quick guide (1EA)
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◊
◊
2.5 Exterior Component Designation
◎ Front View, Top View & Right View
BT-220L
① Cust om Mono LCD
② Power and Mode Button, Speaker test and Up/Down Button
③ Charging Indicato r LED
④ Built-in speaker
⑤ Ear P hone Jack
BT-220C
① TFT Color LCD
② Power and Mode Button, Speaker test and Up/Down Button
③ Charging Indicator LED
④ Built-in speaker
⑤ Electrode Plate
⑥ Ear Phone Jack
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◎ Rear View, Bottom View & Left View
① Product Label
② Battery Compartment
③ Probe Groove Joint
④ Probe Connection and Charging Jack
◎ Probe
① Sensor
② Probe Groove Joint
③ Probe Connect or
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◊
Button
Description
◊
Button
Description
Symbol
Description
Doppler volume mute indicator
Section 3
Operation
3.1 Controls and Indicators
3.1.1 Button and Description
BT-220L
Speaker test On/Off
Volume Down
Volume Up
Power On/Off
BT-220C
Mode change or menu select
Volume Down, Speaker teste on and data value decrease
Volume Up, Speaker test off and data value increase
Power On/Off
3.1.2 Symbols and Description
◊ BT-220C
Battery indicator
Doppler volume indicator
Low battery indicator
Battery charge indicator
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◊
Symbol
Description
This mode displays fetal heart rate and
heart rhythm with heart sound
This mode displays fetal hear t rate, heart
rhythm and change of heart rate with
heart sound
This mode set the unit of height, weight,
and start mode.
charging
Completing the charging.
Blue LED is OFF.
Blue LED is ON.
General(2000mAh)
Under approx. 400 minutes
3.1.3 Mode and Description
BT-220C
FHR Number
FHR Graph
BMI calculation This mode displays the BMI
BMI trend This mode displays saved data of BMI
Unit setting
3.1.4 Battery Charging
If the voltage level of battery is lower than the req uired level, the low battery indicator will appear on
middle of screen. In this case, the unit will not functional correctly and the batteries should be
replaced. Please replace with AA type 1.5V battery.
If yo u want to use the rechargeable battery, please use AA type, 1.2V, Ni-MH battery. To charge the
battery, connect your computer's USB to probe connection and charging jack (see the bottom view on
page 11 of this manual).
Indicator
Charging time
* During the charging the device does not operating.
3.1.5 Automatic Shutdown
If the device is not used for 1 minute, it sto ps the heart sound with "b eep" sound , and shutdo wn in 3
minutes with another "beep" sound.
If the battery voltage is dropped or the device being charged d ur in g t he use , the device will s hut down
automatically.
3.1.6 Use of Probe
Apply a moderate amount of ultrasound gel to the face of the end of the probe.
Place the probe directly against the measuring position.
Search for the fetal heart by slowly moving the probe around until the fetal heart sounds are heard.
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◊
Ultrasound transducer
Search for the position which can get the clearest sound.
3.2 Operation of BT-220
3.2.1 LCD Display
BT-220L
<Measurement>
When the input signal is good and stable, FHR will appear on the screen and the solid heart rhythm
indicator will flash as shown in Figure.
When the input signal is not stable, only the outline of heart rhythm indicator will flash.
If the voltage level of battery is lower than the required level, the battery low message ”bat Lo” will
appear. In this case, the unit will not functional correctly and the batteries should be replaced.
Press the volume up/do wn button to adjust the volume level (1~4).
<Volume Level>
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◊
FHR Number mode
FHR Graph mode
BMI mode
BMI trend mode
Heart rhythm indicator
Heart rate (HR) value
Average HR value
Operating time of FHR
Function of button
Graph of HR
BT-220C
BT-220C has totally four modes. You can select the mode by pressing button for a short time.
3.2.2 FHR(Fetal Heart Rate) Mode
When the input signal is good and stable, FHR will appear on the screen and the solid heart rhythm
indicator will flash as shown in Figure.
1) Mode change (FHR Number → FHR Graph): Press the mode button [
].
①
③
⑤
When the input signal is not stable, only the outline of heart rhythm indicator will flash.
‘AVG’ represents the average value of the stable heart rate and ‘TIME’ represents listening ti me of
heat beat.
The bold lines in graph region represent the stable heart rate.
②
④
⑥
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2) To control the volume: Press the button to adjust volume (1 ~ 4 levels). The current
volume setting is displayed be icon on the upper right corner of screen.
3) Speaker test operation (FHR graph AST): Press the
button shortly.
<AST Operation>
Use the
button for generating sound. The sound is generated only at speaker. AST1 has 75 Hz
and AST2 has 100 Hz frequency.
3.2.3 BMI(Body mass index) Mode
BT-220 displays BMI(Body Mass Index) using the weight and height.
1) Mode Change (FHR mode → BMI mode): Press the
button for a short time.
BMI mode Delete data
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Function of button
Last measured data
Entered information
Body composition graph
⑤
Pop-up window for deleting data
Function of button
Start/Cancel
③
Entered information
①
③
②
④
2) Information Setting: P ress the
It em Select: Press the
Change Value : Use the
button to enter the start menu.
button to select ite m (Se x, Age, HT, WT)
button to c hange the val ue.
(Information of age, height, and weight is not cleared)
①
②
If all i nfor mati on has be en modified or chan ged press mode button
to selec t [ST ART/CAN CEL]
menu.
3) Start Measurement: when the cursor is on [START CANCEL], press the
measurement or press the
button to cancel (return to BMI mode).
button to start
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Function of button
Measured data
Last entered information
Graph of stored data
<Ready> <Processing>
After pressing start, touch t he metal electrode on the left side on main body with both thumbs. Then
measurement begins automatically. If the contact area is small, the measurement may be inaccurate
Information of setting age, height, weight will be saved a utomatically.
Automatically measured HR, B M I, FAT is stored (up to 10).
4) Delete Data : Press the
press
button to select the operation.
button to delete data. Use the button to select the menu and
3.2.4 BMI TREND
①
③
1) Mode Change: Press the
2) Stored Data Review: Press the
②
④
button shortly to change the mode to FHR numeric mode
button to see the stored data.
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Unit set value
Function of buttons
3.2.5 UNIT Setting
①
1) To enter unit s etting menu, press down the
2) Item select: Press the
3) Value Change: Press the
4) The following items can be changed:
DISP: Default display when power ON. Dop(N): Doppler Normal, Dop(G): Doppler Graph,
Bmi(M): Bmi measurement, Bmi(T): Bmi trend.
HT: The unit of height for BMI. cm/ft
WT: The unit of weight for BMI. kg/lb
5) To exit unit setting and re turn to the current operating mode, press down the
seconds.
button shortly
button.
②
button about 2 seconds.
button about 2
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CAUTION
Check the main body and the probe thoroughly after cleaning.
CAUTION
Do not autoclave. Do not gas sterilize.
NOTE
1.5V X 2(AA type) batteries are used for the system power. Do not use the
other type battery. It could be the cause of breakdown.
Section 4
Maintenance & Cleaning
This chapter contains instructions for the care and cleaning of the BT-220 unit and its accessories.
The BT-220 requires proper care and preventive maintenance. If you use the material that is not
approved, it may cause any damage to the product. In this case, the product will not be guaranteed
even within the warranty period.
4.1 Main Body & Probe
To keep the device clean, apply alcohol on a soft cloth and scrub t he b o dy and the p ro b e once a mo nt h.
Do not use lac quer, thinner, ethylene, or the oxidizi ng substance. Keep the probes from dust or stain.
Do not soak the main body and the probe into any liquid or detergent. Keep the main and the probe
away from any liquid.
4.2 Cable
Wipe the cable with a soaked cloth that is wet with warm water (40℃ / 104℉), and with the clinical
alcohol once a week.
4.3 Battery Disposal and Handling
4.4 Request a service for general problems
If the main body or accessories are damaged by excessive mechanical forces, narrow cracks or
separation of ultrasonic sensor can be happened. These can be checked through visible or auditory
decision. These can cause malfunction some times. But these do not cause unacceptable risks. If the
BT-220 does not work properly, please contact us and change the corresponding parts. Note that the
replacement costs can be occurred.
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General
Intensity
Less than 10mW/cm2
50 ~ 240 bpm(BT-220L)/
30 ~ 240 bpm(BT-220C)
FHR accuracy
±2% of range
Sensitivity
10 ~ 12 weeks onward
PC interface
Sound card (using by BCM200 s/w)
Physical Characteristic s
Probe
(L)162㎜×(H)29.3㎜×(D)27.8㎜
Weight (Main body and probe)
190 g(BT-220L) / 200 g(BT-220C)
Safety classification
Protection against electric shoc k
Internal powered equipment
Mode of operation
Continuous operation
Probe: IPX7
Main body: IPX0
Power
AA type 1.5V X 2
About 240 minutes (continuous use)
Environment
Operating Atmospheric Pressure
79.051 ㎪ ~ 101.325㎪
Storage Temperature
Main body: IPX0
Storage Humidity
-10℃(14℉) to 60℃(131℉)
Storage Atmospheric Pressure
79.051 ㎪ ~ 101.325㎪
Section 5
Specifications
BT-220 fetal Doppler is complies with IEC 60601-1 and IEC 60601-1-2. And the ultrasound
Doppler system complies with IEC 60601-2-37.
Ultrasound Frequency 2MHz, 3Mhz
Heart rate counting range
Main body
Protection level against electric shock Type BF
Protection against ingress of water
Battery
Operating Temperature
Operating Humidity 30% ~ 85% non-condensing
(L)132㎜×(H)66㎜×(D)27.6㎜
10℃(50℉) to 40℃(104℉)
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The BT-220 is intended for use in the electromagnetic environment specified below.
environment.
Emissions test
Compliance
Electromagnetic environment-guidance
interference in nearby electr onic equi pment.
RF emissions
CISPR 11
Harmonic emission
IEC61000-3-2
Voltage fulctuations
IEC61000-3-3
The BT-220 is intended for use in the electromagnetic environment in which radiated
maximum output power of the communications equipment.
Separation distance according to freque nc y of
transmitter[M]
0.01
0.12
0.12
0.23
0.1
0.38
0.38
0.73 1
1.2
1.2
2.3
10
3.8
3.8
7.3
100
12
12
23
Section 6
Declaration on EMC
6.1 Electromagnetic emissions
The customer or the user of BT-220 should assure that it is used in such an
RF emissions
CISPR 11
/flicker emissions
Group 1
Class B
Not applicable
Not applicable
The BT-220 uses RF energy only for its
Internal function. Therefore, its RF emissions
are very low and are not likely to cause any
The BT-220 is suitable for use in all
establishments by using a battery.
6.2 Recommended separation distances between portable and mobile RF
communications equipment and the BT-220
RF disturbances are controlled.
The customer or the user of the BT-220 can help prevent electromagnetic interference
by maintaining a minimum distance between portable and mobile RF communications
equipment (transmitter) and the BT-220 as recommended below, according to the
Rated maximum output
power of transmitter [W]
150 kHz to
80 MHz
80 MHz to
800 MHz
800 MHz to
2.5 GHz
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For transmitters rated at a maximum output power not listed above, the recommended
is affected by absorption and reflection from structures, objects and people.
The BT-220 is intended for use in the electromagnetic environment specified below.
environment.
IEC 60601
Test level
Compliance
level
Electromagnetic
environment-guidance
Floors should be wood,
at least 30%.
input/output lines
mode
<5%U
for 5s
Mains power quality should
be that of a typical
commercial or hospital
environment. If the user of
the BT
requires
Continued operation during
power mains interruptions, it
is recommended that the BT
220
powered from a battery.
Power frequency magnetic
environment.
separation distance d in meters (m) can be estimated using the equation applicable to
the frequency of the transmitter, where p is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1) At 80
MHz
and 800
MHz
, the separation distance for the higher frequency range
applies.
NOTE2) These guidelines may not apply in all situations. Electromagnetic propagation
6.3 Electromagnetic immunity
The customer or the user of the BT-220 should assure that it is used in such an
Immunity test
Electrostatic
discharge(ESD)
IEC 61000-4-2
Electrical fast
transient/burst
IEC61000-4-4
Surge
IEC61000-4-5
±6 ㎸ Contact
±8 ㎸ air
±2 ㎸ for power
supply lines
for
±1 ㎸
±1 ㎸ differential
mode
common
±2 ㎸
±6 ㎸ Contact
±8 ㎸ air
Not applicable
Not applicable
concrete or ceramic tile. If
floors are covered with
synthetic material, the
relative humidity should be
Mains power quality should
be that of a typical
commercial or hospital
environment.
Mains power quality should
be that of a typical
commercial or hospital
environment.
T
(>95% dip in UT)
for 0.5 cycle
Voltage dips, short
interruptions and
voltage variations
on power supply
input lines
IEC61000-4-11
Power frequency
(50/60 ㎐)
magnetic field
IEC61000-4-8
NOTE: UT is the a.c. mains voltage prior to application of the test level.
40% U
T
(60% dip in UT)
for 5 cycle
70% U
T
(30% dip in U
Not applicable
)
T
for 25 cycle
<5% U
T
(<95% dip in UT)
3 A/m 3 A/m
-220 image intensifier
image. Intensifier be
fields should be at levels
characteristic of a typical
commercial or hospital
-
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The BT-220 is intended for use in the electromagnetic environment specified below.
environment.
IEC 60601 test
level
Compliance
level
Electromagnetic environment-
guidance
Conducted
3 V
3 V/m
Portable mobile RF ommunications
NOTE 1) At 80
MHz
and 800
MHz,
the higher frequency range applies.
NOTE 2)These guidelines may not apply in all situations. Electromagnetic propagation is affected
by absorption and reflection from structures, objects and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast
Over the frequency range 150
kHz
to 80
MHz
, field strengths should be less than 3 V/m.
The customer or the user of the BT-220 should assure that it is used in such an
Immunity test
RF
IEC 61000-46
Radiated RF
IEC 61000-4-
rms
150
3 V/m
MHz
80
3
kHz
~ 80
~ 2.5
MHz
MHz
3 V/m
equipment should be used no closer
to any part of the BT- 220, including
cables, than the recommended
separation distance calculated from
the equation applicable to the
frequency of the transmitter.
Recommended separation distance:
80
MHz
~ 800
800
MHz
where P is the maximum output
power rating of the transmitter in
watts (W) according to the
transmitter manufacturer and
recommended separation distance in
meters(m).
Field strengths from fixed RF
transmitters, as determined by an
electromagnetic site survey
be less than the compliance level in
each frequency range
Interference may occur in the vicinity
of equipment marked with the
following symbol:
~ 2.5
b
.
MHz
GHz
d
a
, should
is the
cannot be predicted theoretically with accuracy. To assess the elec tromagnetic environment due
to fixed RF transmitters , an electromagnetic site survey should be considered. If the measured
field strength in the location in which the BT-220 is used exceeds the applicable RF compliance
level above, the BT-220 should be observed to verify normal operation. If abnormal performance
is observed, additional measures may be necessary, such as re-orie ntin g or relo cat ing the BT-
220.
b
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Image at Frequency of Interest
Frequency of Interest**
Actual Immunity Level
* Voltage Level at which the RF Induced Noise is No Longer Discernable from the
system ambient background noi
** Between 80 MHz ~ 158.95 MHz, 162.14 MHz ~ 199.82 MHz and 203.84 MHz ~
2.5 GHz the level of Immunity is 3 V/m.
from the System Ambient
6.4 Immunity and Compliance Level
[Probe : AY-2MHZDOP-220C (2 Hz, Vertical)]
[MHz]
160.54 MHz 3 V/m
Radiated RF
IEC 61000-4-3
se.
201.82 MHz 3 V/m
Frequency of Interest
[MHz]
F1 = 160.54 F1 = 201.82
Image at Frequency of
Interest
Voltage Level at which
the RF Induced Noise is
No Longer Discernable
Background Noise
1.6 V/m 2.6 V/m
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Image at Frequency of Interest
Frequency of Interest**
Actual Immunity Level
* Voltage Level at which the RF Induced Noise is No Longer Discernable from the
system ambient background noise.
** Between 80 MHz ~ 81.60 MHz, 83.24 MHz ~ 151.23 MHz, 154.27 MHz ~ 214.24
MHz and
218.54 MHz ~ 2.5 GHz the level of Immunity is 3 V/m.
Interest [MHz]
Voltage Level at
Ambient
Probe : AY-2MHZDOP-220C (2 Hz, Horizontal)]
[MHz]
82.42 MHz 3 V/m
152.74 MHz 3 V/m
Radiated RF IEC 61000-4-3
Frequency of
Image at
Frequency of
Interest
which the RF
Induced Noise is
No Longer
Discernable from
the System
F1 = 82.42 F1 = 152.74 F1 = 216.38
2.4 V/m
216.38 MHz 3 V/m
1.6 V/m
2.8 V/m
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Image at Frequency of
Interest
Frequency of Interest**
[MHz]
* Voltage Level at which the RF Induced Noise is No Longer Discernable from the
system ambient background noise.
** Between 80 MHz ~ 115.60 MHz, 117.92 MHz ~ 119.10 MHz and 121.50 MHz ~ 2.5
GHz the level of Immunity is 3 V/m.
the RF Induced Noise is
from the System Ambient
[Probe : AY-3MHZDOP-220C (2 Hz, Vertical)]
Actual Immunity Level
116.76 MHz 3 V/m
120.30 MHz 3 V/m
Radiated RF IEC 61000-4-3
Frequency of Interest
[MHz]
F1 = 116.76 F1 = 120.30
Image at Frequency of
Interest
Voltage Level at which
No Longer Discernable
Background Noise
2.4 V/m
2.8 V/m
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Image at Frequency of
Interest
Frequency of Interest**
[MHz]
* Voltage Level at which the RF Induced Noise is No Longer Discernable from the
system ambient
** Between 80 MHz ~ 155.81 MHz, 158.95 MHz ~ 227.42 MHz, 231.99 MHz ~
274.75 MHz and
280.27 MHz ~ 2.5 GHz the level of Immunity is 3 V/m.
Interest [MHz]
Voltage Level at
Ambient
[Probe : AY-3MHZDOP-220C (2 Hz, Horizontal)]
Actual Immunity Level
157.37 MHz 3 V/m
229.69 MHz 3 V/m
Radiated RF IEC 61000-4-3
background noise.
Frequency of
Image at
Frequency of
Interest
which the RF
Induced Noise is
No Longer
Discernable from
the System
F1 = 157.37 F1 = 229.69 F1 = 277.49
1.4 V/m
277.49 MHz 3 V/m
2.2 V/m
2 V/m
Page 27
BT-220 Operation Manual 26
P/N : 220-ENG-OPM-EUR-R03
Bistos Co.,Ltd
2018.06
Product Name
Fetal Doppler
Model Name
BT-220
Serial No.
Warranty Period
1 Years (Probe excluded)
Date of Purchase
Hospital:
Telephone:
Sales Agency
Manufacture
Bistos Co., Ltd.
Product Warranty
Customer
Address:
Name:
※ Thank you for purchasing BT-220.
※ This product is manufactured and passed through strict quality control and inspection.
※ Compensation standard concerning repair, replacement, refund of the product complies
with “Framework Act on Consumers” noticed by Fair Trade Commission of Republic of
Korea.
Service Telephone and Fax. Numbers
Telephone: +82 31 750 0340
Fax: +82 31 750 0344
th
FL., A Bldg., Woolim Lions Valley 5-cha, 302, Galmachi-ro,
7
Jungwon-gu, Seongnam-si, Gyeonggi-do, Korea
Bistos Co., Ltd.
www.bistos.co.kr
bistos@bistos.co.kr
Obelis s.a
Bd. Général Wahis 53
1030 Brussels, BELGIUM
Telephone: + (32) 2. 732.59.54
Fax.: + (32) 2.732.60.03
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