Gima GIMA BM3 VET MULTIPARAMETER MONITOR User guide

BM3VET User Manual
Rev. 2.4
Code 33719 Veterinary Monitor
Rev. 2.4
BM3Vet User’s Manual
How to Contact Us ...............................................................
Warranty Period ........................................................................................................................... 10
Warning, Caution, Note.................................................................................................................11
General Precaution on Environment.............................................................................................12
General Precaution on Electric Safety..........................................................................................17
Cleaning Applied Parts .................................................................................................................19
Product Outline ............................................................................................................................21
Principal Characters of Product ................................................................................................... 21
Product Configuration .................................................................................................................. 22
Option Product ................................................................................................................. ............22
Product Body Configuration......................................................................................................... 23
Accessories.................................................................................................................................. 25
Equipment Sign................................................................................................................. ...........26
External Function .............................................................................................................. ...........29
Operation Key .................................................................................................................. ............29
DC Power....................................................................................................................... ..............31
Operation .....................................................................................................................................32
The Impact of Lithium-Ion Battery Technology on the Battery .....................................................34
Conditioning Guideline..................................................................................................................34
Rev. 2.4 1
Table of Contents
Table of Contents.............................................................................................................1
1. BASIC............................... ..... ..... ..... ..... ......... ..... ..... ..... ..... ..... .... ..... .......... ..... ..... .7
1.1 CE Standard Information...........................................................................................8
1.2 Read before Use.........................................................................................................9
Errore. Il segnalibro non è definito.
1.3 Product Components...............................................................................................21
1.4 Function and Key.....................................................................................................29
1.5 Standard Power Supply Application......................................................................31
1.6 Battery Power Supply Application .........................................................................32
BM3Vet User Manual
Storage Guideline .............................................................................................................. ..........34
How to Recycle the Battery.......................................................................................................... 34
Screen Composition..................................................................................................................... 35
Menu Selection ................................................................................................................. ...........36
Menu Composition ............................................................................................................... ....... 36
ANIMAL TYPE .................................................................................................................... .........42
CHANGE ANIMAL INFORMATION..............................................................................................43
DEFAULTS SETTING.................................................................................................................. 43
HEIGHT......................................................................................................................... ...............44
WEIGHT......................................................................................................................... ..............44
Alarm for the Product ....................................................................................................................46
ALL LIMITS ..................................................................................................................................47
ALARM PRINT.................................................................................................................... .........47
ALARM VOLUME......................................................................................................................... 48
ALARM LEVEL.................................................................................................................... .........48
PARAMETER LEVEL .................................................................................................................. 49
ARRHYTH LEVEL.........................................................................................................................49
ALARM REVIEW...........................................................................................................................50
ALARM LIST ..................................................................................................................... ...........51
SAVING CONDITION .................................................................................................................. 52
NURSE CALL..................................................................................................................... ..........53
DISPLAY........................................................................................................................ ..............55
SET PARA ...................................................................................................................................56
WAVE SELECT.................................................................................................................... ....... 56
SET DATE & TIME................................................................................................................ .......57
SET TIME..................................................................................................................................... 57
SET DATE....................................................................................................................... .............58
Rev. 2.4
2
1.7 General Manu Operation .........................................................................................35
2. ANIMAL/DA TA MANAGEMENT.........................................................................40
2.1 ADMIT........................................................................................................................42
2.2 ALARM......................................................................................................................45
3. SETUP........................................ ..... ..... ..... ..... .... ..... .......... ..... ..... .... ..... ..... ..... ....54
3.1 SETUP.......................................................................................................................55
BM3Vet User Manual
HR SOURCE...................................................................................................................... ..........58
SWEEP SPEED.................................................................................................................... .......59
KEY SOUND...................................................................................................................... ..........59
DEMO ..........................................................................................................................................59
USER SERVICE ................................................................................................................... .......60
SET UNIT NAME .................................................................................................................. .......60
SET BED NUMBER ..................................................................................................................... 61
AC FILTER...................................................................................................................... .............61
SYSTEM ......................................................................................................................... .............62
MAKER SERVICE.........................................................................................................................62
GRAPHIC TREND .................................................................................................................. .... 65
TIME PERIOD.................................................................................................................... ..........66
TABULAR TREND ....................................................................................................................... 67
TIME INTERVAL.................................................................................................................. ....... 68
TREND WINDOW SETUP............................................................................................................68
TIME PERIOD.................................................................................................................... ..........69
SET TREND PARA................................................................................................................. .... 70
TREND PRINT............................................................................................................................. 70
Colors and Standards of Cables ...................................................................................................72
Position of ECG Connector and Measuring Cable .......................................................................72
Attaching Electrodes to the Animal...............................................................................................75
Choosing an ECG lead for Arrhythmia Monitoring........................................................................76
Information on the ECG waveform................................................................................................76
Position of 3-Lead Wire Electrode ................................................................................................77
Position of 5-Lead Wire Electrode ................................................................................................78
TRACE 1 LEAD SELECT .............................................................................................................82
ALARM LIMIT.................................................................................................................... ...........83
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4. TREND ....................................... .......... ..... ..... .... ..... ..... ..... ..... ......... ..... ..... ..... ....63
4.1 TREND.......................................................................................................................64
5. ECG. .... ..... ..... ..... .......... .... ..... ..... ..... ..... ..... .... .......... ..... ..... ..... .... ...... .... ..... .........71
5.1 Introduction..............................................................................................................72
5.2 ECG Data Window....................................................................................................79
5.3 ECG Data Setup........................................................................................................82
BM3Vet User Manual
ALARM SOUND.................................................................................................................... .......84
QRS VOLUME ............................................................................................................................. 85
DISPLAY........................................................................................................................ ..............85
ECG SPEED ...................................................................................................................... ..........86
ECG SIZE ....................................................................................................................... .............86
HR SOURCE...................................................................................................................... ..........87
ANALYSIS SETTING................................................................................................................... 87
SpO2 Connector Location and Measuring Cable .........................................................................99
Signal and Data Validity............................................................................................................. 102
RATE VOLUME .................................................................................................................... .... 104
ALARM.......................................................................................................................... .............105
ALARM LIMIT.................................................................................................................... ........ 105
ALARM SOUND.................................................................................................................... .... 106
LEAD FAULT Condition ............................................................................................................. 106
SPO2 Messages .................................................................................................................. ..... 107
RESPIRATION SPEED ..............................................................................................................113
RESPIRATION............................................................................................................................114
APNEA DETECT.........................................................................................................................114
ALARM.......................................................................................................................... .............115
ALARM LIMIT.................................................................................................................... .........115
ALARM SOUND.................................................................................................................... .....116
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6. SpO2..................................................... ..............................................................98
6.1 Outline.......................................................................................................................99
6.2 SpO2 Data Window................................................................................................101
6.3 SpO2 Data Setup.....................................................................................................104
7. RESPIRATION........................................... .... ..... .......... ..... ..... .... ..... ..... ..... ..... ..108
7.1 Outline.....................................................................................................................109
7.2 Respiration Data Window......................................................................................112
7.3 Respiration Data Setup..........................................................................................113
8. NIBP..... .... ..... ..... .......... ..... .... ..... ..... ..... ..... ..... ......... ..... ..... ..... ..... .... ..... .......... ..117
8.1 Outline.....................................................................................................................118
8.2 NIBP Data Window.................................................................................................121
BM3Vet User Manual
ALARM.......................................................................................................................... .............122
ALARM LIMIT.................................................................................................................... ........ 123
ALARM SOUND.................................................................................................................... .... 124
CUFF SIZE...................................................................................................................... ...........124
UNIT SELECT.................................................................................................................... ....... 125
INTERVAL....................................................................................................................... ...........125
INFLATION ...................................................................................................................... ..........126
ALARM.......................................................................................................................... .............130
ALARM LIMIT.................................................................................................................... ........ 130
ALARM SOUND.................................................................................................................... .... 131
UNIT SELECT.................................................................................................................... ....... 132
Printer and Heat Sensitivity Paper..............................................................................................134
Function and Setup Menu...........................................................................................................135
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8.3 NIBP Data Setup.....................................................................................................122
9. TEMPERATURE.............................. ..... ..... .... ..... ..... ..... ..... ..... ..... ..... .... ..... ..... ..127
9.1 Outline.....................................................................................................................128
9.2 Temperature Data Window....................................................................................129
9.3 Temperature Data Setup........................................................................................130
10. PRINT.............................................................................................................133
10.1 Print.......................................................................................................................134
10.2 Paper Change.......................................................................................................138
11. MESSAGE LIST ............................................... ..............................................139
12. DEFAULT SETTING VALUE ..........................................................................140
1. HORSE Mode............................................................................................................140
2. DOG Mode.................................................................................................................142
3. PUPPY Mode.............................................................................................................144
4. CAT Mode .................................................................................................................146
13. TROUBLE SHOOTING ..................................................................................148
1. Noise in ECG ............................................................................................................148
2. SpO2 malfunction ....................................................................................................149
BM3Vet User Manual
Ease of use .................................................................................................................... ............156
Additional Function ............................................................................................................ ....... 156
Monitor Environmental Specifications.........................................................................................156
Power .......................................................................................................................... ...............156
Monitor Performance Specifications ...........................................................................................156
Graphical and Tabular Trends.................................................................................................... 157
ECG capacity ................................................................................................................... ..........157
SpO2 capacity...................................................................................................................... ...... 157
Respiration Performance Specifications .....................................................................................158
NIBP capacity.................................................................................................................. ...........158
Temperature Unit Performance Specifications............................................................................158
Accessories Included: ................................................................................................................ 158
Option......................................................................................................................... ................159
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3. Temp malfunction....................................................................................................149
4. NIBP malfunction.....................................................................................................150
5. Abnormality in NIBP measurements......................................................................150
6. Failure in battery recharge......................................................................................151
7. Power failure.............................................................................................................152
8. Periodic noises.........................................................................................................153
9. Print failure...............................................................................................................154
14. SPECIFICATION ............................................................................................155
Abbreviations and Symbols...............................................................................160
PRODUCT WARRANTY .....................................Errore. Il segnalibro non è definito.
BM3Vet User’s Manual
Warranty Period
Warning, Caution, Note
General Precaution on Environment
General Precaution on Electric Safety
Equipment Connection, Maintenance & Washing Equipment Connection
Product Outline
Principal Characteristics of Product
Product Configuration and Option Product
Product Body Configuration
External Function
Operation Key
Screen Composition
Menu Selection
Menu Composition
Rev. 2.4 1. BASIC 7
1. BASIC
1.1 CE Standard Information
1.2 Read before Use
1.3 Product Com p onents
1.4 Function and Key
1.5 Standard Power Supply Application
Battery Power Supply Application
1.6
1.7 General Menu Operation
BM3Vet User Manual
1.1 CE Standard Information
- EN 60601-1: 1990 + A1:1993 + A2: 1995 Medical Electrical Equipment, Part 1, General
Requirements for Safety.
- IEC/EN 60601-1-2 :2001 Electromagnetic compatibility -Requirements and tests.
- EN 1060-1:1995 Non-invasive sphygmomanometers - Part 1: General requirements
- EN 1060-3:1997 Non-invasive sphygmomanometers - Part 3: Supplementary requirements for
electro-mechanical blood pressure measuring systems
- EN ISO 9919:2005 Medical electrical equipment - Particular requirements for the basic safety and
essential performance
of pulse oximeter equipment for medical use (ISO 9919:2005)
- EN 60601-2-27:2006 Medical electrical equipment - Part 2-27: Particular requirements for the
safety, including essential performance,
of electrocardiographic monitoring equipment
- EN 60601-2-30:2000 Medical electrical equipment - Part 2-30: Particular requirements for the
safety, including essential performance,
of automatic cycling non-invasive blood pressure monitoring equipment
- EN 12470-4:2000 Clinical thermometers - Part 4: Performance of electrical thermometers for
continuous measurement
- EN 60601-2-49:2001 Medical electrical equipment - Part 2-49: Particular requirements for the
safety of multifunction animal monitoring equipment
Rev. 2.4 1. BASIC
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Electromechanical safety standards met:
BM3Vet User Manual
1.2 Read before Use
GIMA services are always available to you.
In the event of malfunction or failure, contact us along with the model name, serial number, and
product name of the equipment.
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BM3Vet User Manual
Warranty Period
This product is manufactured and passed through strict quality control and thorough
inspection.
We provide a 1-year warranty period.
We will repair or replace any part of the BM3Vet found to be defective in usual operating
circumstance at no cost to you.
This warranty does not apply to any defect caused by improper use, abuse, misuse or improper
handling.
Rev. 2.4 1. BASIC
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y
y
y
y
BM3Vet User Manual
Warning, Caution, Note
For special emphasis on agreement, terms are defined as listed below in user manual. Users should
operate the equipment according to all the warnings and cautions.
To inform that it may cause serious injury or death to the animal, property damage, material
losses
To inform that it may cause no harm in life but lead to injury
To inform that it is not dangerous but important “note” sign for proper installation, operation, and
maintenance of the equipment.
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Warning
Caution
Note
BM3Vet User Manual
General Precaution on Environment
- Do not keep or operate the equipment in the environment listed below.
Avoid placing in an area
exposed to moisture.
Avoid exposure to direct
Do not touch the equipment
sunlight
with wet hands.
Avoid placing in an area
where there is a high variation
Do not use or store in
of temperature.
the vicinity of an Electric
Operating temperature
heater
ranges from 10(C to
40(C. Operating humidity
ranges from 30% to 85%.
Avoid placing in an area
Avoid placing in an area where
where there is an
there is an excessive
excessive shocks or
humidity or poor ventilation.
vibration.
Avoid placing in an area where
Avoid inserting dust and
chemicals are
especially metal
stored or where there is danger
material into the
of gas leakage.
equipment
Do not open or disassemble
Power off when the
the equipment. Bionet accepts
equipment is not fully
no responsibility for
installed.
unauthorized tampering
Otherwise, equipment
service or repair.
could be damaged.
Rev. 2.4 1. BASIC
12
CAUTIONS
Compatibility is critical to safe and effective use of this device. Please contact your local sales or
service representative prior to installation to verify equipment compatibility.
Animal signal inputs labeled with the CF and BF symbols with paddles are protected against
damage resulting from defibrillation voltages. To ensure proper defibrillator protection, use only the
recommended cables and lead wires.
Proper placement of defibrillator paddles in relation to the electrodes is required to ensure
successful defibrillation.
Disposable devices are intended for single use only. They should not be reused as performance
could degrade or contamination could occur.
1. When this crossed out wheeled bin symbol is attached to a product it means
the product is covered by the European Directive 2002/96/EC.
2. All electrical and electronic products should be disposed of separately from
the municipal waste stream via designated collection facilities appointed by
the government or the local authorities.
3. The correct disposal of your old appliance will help prevent potential negative
consequences for the environment and human health.
4. For more detailed information about disposal of your old appliance, please
contact your city office, waste disposal service or the shop where you
purchased the product.
To prevent skin burns, apply electrocute electrodes as far as possible from all other electrodes, a
distance of at least 15 cm/6 in. is recommended.
Magnetic and electrical fields are capable of interfering with the proper performance of the device.
Rev. 2.4 1. BASIC
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Before Installation
Defibrillator Precaution
Disposables
BM3Vet User Manual
Disposal of your old appliance
Electrocute Precautions
EMC
BM3Vet User Manual
For this reason make sure that all external devices operated in the vicinity of the monitor comply with
the relevant EMC requirements. X-ray equipment or MRI devices are possible sources of
interference as they may emit higher levels of electromagnetic radiation.
Also, keep cellular phones and other telecommunication equipment away from the monitor.
Rev. 2.4 1. BASIC
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CAUTIONS
For continued safe use of this equipment, it is necessary that the instructions are followed. However,
instructions listed in this in no way supersede established medical practices concerning animal care.
Should the monitor at any time temporarily lose animal data, the potential exists that active
monitoring is not being done. Close animal observation or alternate monitoring devices should be
used until monitor function is restored.
If the monitor does not automatically resume operation within 60 seconds, power cycle the monitor
using the power on/off switch. Once monitoring is restored, you should verify correct monitoring
state and alarm function.
Regular preventive maintenance should be carried out annually (Technical inspections). You are
responsible for any requirements specific to your country.
The use of a multiple portable socket outlet (MPSO) for a system will result in an enclosure leakage
current equal to the sum of all individual earth leakage currents of the system if there is an
interruption of the MPSO protective earth conductor. Do not use an additional extension cable with
the MPSO as it will increase the chance of the single protective earth conductor interruption.
BIONET does not assume responsibility for damage to the equipment caused by improperly vented
cabinets, improper or faulty power, or insufficient wall strength to support equipment mounted on
such walls.
Rev. 2.4 1. BASIC
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Instruction for Use
Loss of Data
Maintenance
BM3Vet User Manual
MPSO
Negligence
NOTES
Before connecting the device to the power line, check that the voltage and frequency ratings of the
power line are the same as those indicated on the unit’s label. If this is not the case, do not connect
the system to the power line until you adjust the unit to match the power source.
In U.S.A, if the installation of this equipment will use 240V rather than 120V, the source must
be a center-tapped, 240V, single-phase circuit.
U.S.A federal law restricts this device to sale by or on the order of a physician.
This equipment is intended for use under the direct supervision of a licensed health care practitioner.
Set up the device in a location which affords sufficient ventilation. The ventilation openings of the
device must not be obstructed. The ambient conditions specified in the technical specifications must
be ensured at all times.
·Put the monitor in a location where you can easily see the screen and access the operating controls.
·This product is protected against the effects of cardiac defibrillator discharges to ensure proper
recovery, as required by test standards. (the screen may blank during a defibrillator discharge but
recovers within second as required by test standards.)
Medical Device Directive 93/42/EEC
EN 60601-1/1990 +A1: 1993 +A2 : 1995 : Medical electrical equipment.
General requirements for safety
EN 60601-1-1/9. 1994 +A1 12.95: General requirements for safety.
Rev. 2.4 1. BASIC
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Power Requirements
Restricted Sale
Supervised Use
Ventilation Requirements
BM3Vet User Manual
Reference Literature
BM3Vet User Manual
General Precaution on Electric Safety
BM3VET OPERATION MANUAL
Check the items listed below before operating the equipment.
NOT
1. Be sure that AC power supply line is appropriate to use. (AC100 - 240V)
2. Be sure that the power adapter is the one supplied from Bionet. (DC18V, 2.5A)
3. Be sure that all cables are properly and firmly fixed.
4. Be sure that the equipment is properly grounded. (If not, this might cause a malfunction to occur
in the product.)
5. The equipment should not be placed in the vicinity of electric generators, X-rays, broadcasting
apparatus to eliminate the risk of electric noise during operation. This may cause incorrect results.
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 BM3Vet, 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.
Do not operate the machine while in contact with the animal. It may cause serious danger to the
user. Use only the provided patient cable.
In case the Equipment does not operate as usual or is damaged, do not use on animal, and
immediately refer to the medical equipment technician of the hospital or the equipment supply
division.
Rev. 2.4 1. BASIC
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Warning
Note
Warning
Warning
BM3Vet User Manual
BM3Vet is classified as follows:
- BM3Vet classifies as Class
BF
CF concerning electric shock. It is not proper to operate
this Equipment around combustible anesthetic or dissolvent.
- Noise level is B class regarding IEC/EN 60601-1 and the subject of Nose is B level concerning
IEC/EN60601-1-2.
In the hospital, doctors and animals are exposed to dangerous, uncontrollable compensating
currents. These currents are due to the potential differences between connected equipment.
The safety solution to the problem is accomplished with EN60601-1;1993.
When used as intended, the parts of the product described in this operator manual, including
accessories that come in contact with the animal 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.
Various methods can be used to clean BM3Vet and its accessories. Please follow the methods
mentioned below to avoid unnecessary damage or contamination to the Equipment.
We do not repair free of charge regardless of warranty period if it is contaminated or damaged due
to use of dangerous materials not designated for washing.
Rev. 2.4 1. BASIC
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Note
I, &
Equipment Connection
Caution
Biocompatibility
Maintenance and Washing Equipment Connection
Cables and Leadwires
Cleaning Applied Parts
Do not use acetone or ketone solvents for cleaning; do not use an autoclave or steam cleaner.
Cables and leadwires can be cleaned with a warm, damp cloth and mild soap, or isopropyl alcohol
wipes. For more intensive disinfecting (near sterile) Ethylene Oxide (ETO) is acceptable but will
reduce the useful lifetime of the cable or leadwire.
The decision to sterilize must be made per your institution’s requirements with an awareness of
the effect on the integrity of the cable or leadwire.
The Equipment needs safety inspection once a year. Please refer to user’s guide or service
manual for the specifications.
Please check carefully both frame and sensor, after cleaning the Equipment, Do not use any
equipment that is worn out or damaged.
At least once a month, clean and wipe off the frame by using the soft cloth after wetting it with water
and alcohol. Do not use lacquer thinner, ethylene, or oxidizers which may lead to damage to the
equipment.
Make sure both cables and accessories are free of dust or contaminants, and wipe them off with soft
cloth wetted with warm water (40°), and at least once a week, clean them by using clinical alcohol.
Do not submerge the accessories under any liquid or detergent. Also, make sure any liquids do not
Rev. 2.4 1. BASIC
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BM3Vet User Manual
CAUTION
CAUTION
Note
BM3Vet User Manual
penetrate into the Equipment or probe.
Do not dispose of single use probe improperly. Always think about environmental
contamination.
There is back-up battery on board inside system. When users dispose this battery, Please
follow local laws for waste disposal.
Check the electrodes of batteries before changing them.
· Operate BM3Vet with internal electric power supply when unsure of external ground connection or
installation occur.
· Remove the 1st Battery when not using equipment for an extended period of time.
For other applied parts such as temperature sensors, pulse oximetry probes, and NiBP cuffs, you
must consult the manufacturer for cleaning, sterilization, or disinfecting methods.
Rev. 2.4 1. BASIC
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Caution
Caution
Warning
BM3Vet User Manual
1.3 Product Components
BM3VET OPERATION MANUAL
Product Outline
BM3Vet monitor is a product used for monitoring the biological vital signs of an animal. Main
functions of the product include displaying information such as ECG, respiration, SpO2, NIBP and
temperature on its LCD screen and monitoring parameter, and alarming. It also prints out waves and
parameters via a printer.
Principal Characters of Product
BM3Vet is a compact, multifunctional monitoring equipment for an animal designed for portability. It
features devices for auto power supply (DC 10V-16V) and DC power supply (DC 18V). The
equipment also measures major parameters such as ECG, SpO2, NIBP, temperature and pulse,
displaying it on a 7-inch color LCD screen. It also enables users to check waves and parameters
and other vital signs of a animal via the 58mm thermal printer and monitor the animal by the remote-
controlled alarm system. It also enables to build a central monitoring system by linking devices used
for separate animals so that one can monitor several animals at a time.
Use only the supplement accessories provided by us. Otherwise, animal and user may be
exposed to danger.
BEFORE USE — Before putting the system into operation visually inspect all connecting cables
for signs of damage. Damaged cables and connectors must be replaced immediately.
Before using the system, the operator must verify that it is in correct working order and
operating condition. Periodically, and whenever the integrity of the product is in doubt, test all
functions.
Rev. 2.4 1. BASIC
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Warning
Warning
BM3Vet User Manual
Product Configuration
1. Main body of BM3 Vet Monitor 1 EA
2. 3-Lead Animal Cable 1EA (3CBL-400, 3WIRE-400)
3. Disposable electrodes
10 EA (ECGSENS-400)
4. NIBP tubing (3M long)
1EA (NBPCBL-400)
5. Adult cuff (25-35 Cm) 1EA (ACUFF-400)
6. SpO2 sensor extension cable (2M)
1EA (SPCBL-400)
7. SpO2 Probe
1 EA (SPASENS-400)
8. DC Adaptor (MW160 made in AULT Co., Ltd.)
1 EA
9. Chart Paper (PAPER-400) 2ROLL
Option Product
1. Temperature (TEMPSENS-400)
Rev. 2.4 1. BASIC
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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.
BM3Vet User Manual
Product Body Configuration
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BM3Vet User Manual
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BM3Vet User Manual
Accessories
ECG Cable +
Extension Cable
SpO2 Cable +
Extension Cable
NIBP Cuff+
Extension cable
Temperature
sensor (Option)
Rev. 2.4 1. BASIC
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BM3Vet User Manual
Equipment Sign
ATTENTION :
Consult accompanying documents
TYPE CF APPLIED PART :
Insulated (floating) applied part suitable for intentional external and internal
application to the animal including direct cardiac application. "Paddles"
outside the box indicate the applied part is defibrillator proof.
Medical Standard Definition :
F-type applied part(floating/insulated) complying with the specified
requirements of IEC 60601-1/UL 2601-1/CSA 601.1
Medical Standards to provide a higher degree of protection against electric
shock tan that provided by type CF applied parts.
TYPE BF APPLIED PART :
Insulated (floating) applied part suitable for intentional external and internal
application to the animal excluding direct cardiac application. "Paddles"
outside the box indicate the applied part is defibrillator proof.
Medical Standard Definition :
F-type applied part (floating/insulated) complying with the specified
requirements of IEC 60601-1/UL 2601-1/CSA 601.1
Medical Standards to provide a higher degree of protection against electric
shock than that provided by type BF applied parts.
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BM3Vet User Manual
Rev. 2.4 1. BASIC
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External Ground
Printer
Serial Port
LAN Port
AUX Connector Port
DC Input Indicator
Battery Operation Indicator
DC Input Connector
BM3Vet User Manual
Rev. 2.4 1. BASIC
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NIBP
Temperature
Function
Power on
Power off
Respiration
ECG
Heart Pulse
BM3Vet User Manual
1.4 Function and Key
External Function
The front panel of this product consists of an LCD screen and five function keys and one trim knob.
Operation Key
1. Power :
Switches on and off the Power.
2. Function Key : Change Display mode.
3. Blood PressureManually completes measuring blood pressure when this key is pressed with
the cuff placed on the patient.
4. Printer
Prints out the waves selected from the menu until the key is pressed to stop.
5. Alarm
Stop alarm sound.
First press stops the current alarm for one minute
Second press stops the current alarm for five minutes.
Third press resets the alarm back to the original setting.
6. Trim Knob This key is used to select menu options by turning it clockwise or
counterclockwise to move cursors.
Rev. 2.4 1. BASIC
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Parameter windows
Alarm
Printer Measure Blood Pressure Function
Screen
Trim Knob
Power ON/OFF
Battery Power LED
DC Power LED
BM3Vet User Manual
Rev. 2.4 1. BASIC
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BM3Vet User Manual
1.5 Standard Power Supply Application
DC Power
DC Power LED is lighted on when the DC Power is plugged into the inlet at the back of the product.
A press of the power key makes the machine ready for use.
This equipment must only be connected to a grounded main.
Rev. 2.4 1. BASIC
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Warning
BM3Vet User Manual
1.6 Battery Power Supply Application
Battery power can be supplied for enabling portable use or use during AC power failure.
Operation
1. Battery Power LED is lit when the machine is in use.
2. The DC/battery power is only sustainable for 1 hour.
3. Battery is automatically charged when the machine is connected to DC Power Supply. Battery
LED is lit on after blinking.
4. The charging status of the batteries is displayed with 5 green boxes, each indicating a different
charging
. ( 0% -> 25% -> 50% -> 75% -> 100%)
Battery: LS1865L2203S1PMXZ(11.1V - 2200mA, 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.
5. The discharge condition of battery is indicated with one of 5 yellow boxes, each box showing a
different level of charge available.
.
(100% -> 75% -> 50% -> 25% -> 0%)
Rev. 2.4 1. BASIC
32
z
BM3Vet User Manual
When the battery power remains 25%, the message of “Low Battery” is displayed. The power is
automatically cut off after 5 minutes from the appearance of the message. The machine will no
longer operate when the “Low Battery” indication is on. Charge the batteries with the power
adaptor, which BIONET provided.
-Battery charging time: More than 6 hours
-Continuous battery use time: Lowest 1 hour to highest 2 hours continuous use (buffering)
Check the electrodes of batteries before charging them.
6. Battery status indication: When battery is not installed or out of order, it is shown by a red `X' as
shown below.
7. Power from an automobile power adapter: “CAR” appears rather than the battery symbols when
an automobile power(12V~15V) is used.
Battery is not charged when the automobile power is used.
Rev. 2.4 1. BASIC
33
Warning
Display of automobile power
Note
BM3Vet User Manual
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 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.
Conditioning Guideline
The battery in the monitor should be fully charged and discharged every six months.
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 recyclable. Remove the old
battery from the monitor and follow your local recycling guidelines.
EXPLOSION HAZARD —
DO NOT incinerate the battery or store at high temperatures. Serious injury or death could result.
Rev. 2.4 1. BASIC
34
WARNING
BM3Vet User Manual
1.7 General Manu Operation
Screen Composition
Real Time Wave
Parameter
Window
Windows
BPM
10-JAN-2007 12:23
DOG
PVC (0/min): 0 ,
ST(mm): 0.0
100IIx2P50
mmHg
150
60
MEDI.
II
09:30
1 HR
(93)
0:54
SpO2
%SpO2
100
90
RPM
30S
30
10‘C37.0
36.7
35.0
Menu Select Window
Real Time Wave WindowDisplays measured results by up to three waves.
Menu Select WindowMenus appear when they are activated..
Parameter WindowMeasured and setup data are displayed in five windows.
Rev. 2.4 1. BASIC
35
PVC 99/min
MMMMMMMMMMM MMMMMMMMMMM
II
MMMMMMMMMMM
RR II Prev
HEIGHT
Menu 4 Menyu 5 Menu 6
UNIT:
CM
CHANGE
Menu 2 Menu 3
ANIMAL
INFO
WEIGHT
UNIT:
KG
ANIMAL
TYPE:
DOG
DEFAULTS
SETTING
Ver.4.00BHCDDC
X1
BM3Vet User Manual
Menu Selection
Turn or press the knob.
When the Trim Knob Key is turned, menus are selected in the order indicated above. The above
screen shows that the MORE menus is selected. The menus move to the right in the order of MORE
MENU ECG NIBP SpO2 RESP TEMP.
Menu Composition
When the additional menu is selected it will set and cancel the functions.
MAIN
USER
DISPLAY
MENU
SERVICE
KEY
PREV
DEMO:
MAKER
SOUND:
MENU
ON
SERVICE
ON
Rev. 2.4 1. BASIC
36
More Menu Window
Numerical value sign widow
0
This window displays a measured parameter, function setup, and the boundary of parameter values.
0S
Breathing
Parameter
rate
10
value
As the key is turned to the right, the menu selection moves clockwise. As the key is turned to the left,
the menu selection moves counterclockwise. The menu selection is activated when you depress
Trim Knob key.
MAIN
USER
DISPLAY
MENU
SERVICE
KEY
PREV
DEMO :
MAKER
SOUND:
MENU
ON
SERVICE
ON
Upward Movement: Turns the Trim Knob key to the left.
Downward Movement: Turns the Trim Knob key to the right.
Selection is made by pressing the Trim Knob key. One comes out of the menu after the selection.
Rev. 2.4 1. BASIC
37
BM3Vet User Manual
RPM
30
Menu selection by using Trim Knob key
Menu selection with arrows
3
2
Word feature menu
When moving within the quadrilateral, the letter reverses, and the numeric value reflects
immediately.
QRS
>
OFF
60%
MAIN
VOLUME :
10%
70%
MENU
OFF
20%
80%
30%
90%
PREV
40%
100%
MENU
50%
The following figure shows the screen where the word sequence menu is activated within the word
sequence correction menu. Here, the cursor moves over the words when the Trim Knob key is
turned in the clockwise direction.
SET
MAIN
UNIT
MENU
NAME
PREV
MENU
The above figure shows how the cursor moves on the screen. The cursor moves according to the
direction the Trim Knob Key is turned. Press the Trim Knob key if you want to change a letter
currently on the screen.
SET
MAIN
UNIT
MENU
NAME
A
PREV
MENU
The above figure shows how the cursor is selected to change a letter. Right-hand turning of the Trim
Knob Key makes it possible to select in the order of 0-9,A-Z, and a blank, while left-hand turning
makes the movement in the opposite direction. Once a letter or a number is selected, the screen
comes back to the condition where the same process of selection can be made. One may move to
Rev. 2.4 1. BASIC
38
BM3Vet User Manual
Operation menu
the menu item in the left of the screen to end the process, which is completed by pressing Trim
Knob Key. After completion, the screen comes back to the earlier picture.
The setup value changes without a selection when the menu is moved.
ADMIT
CHANGE
MAIN
TYPE :
ADMIT
ADMIT
MENU
ADT
INFO
HEIGHT
WEIGHT
PREV
UNIT:
UNIT:
MENU
CM
KG
MAIN
AD IT
CHANGE
ADMIT
MENU
TEADMIT INFO
PREV
HEIGH UNIT:
WEIGHT UNIT:
MENU
INCH
KG
Rev. 2.4 1. BASIC
39
BM3Vet User Manual
M
YP
T
BM3Vet User’s Manual
CHANGE ANIMAL INFO
ANIMAL TYPE
HEIGHT
WEIGHT
ALL LIMITS
ALARM PRINT
ALARM VOLUME
ALARM LEVEL
ARRHYTH LEVEL
ALARM REVIEW
ALARM LIST
SAVE ALARM LEVEL
NURSE CALL
Rev. 2.4 2. ANIMAL/DATA MANAGEMENT 40
2. ANIMAL/DATA MANAGEMENT
2.1 ADMIT
2.2 ALARM
BM3Vet User Manual
Additional setups are made for each parameter function. One can make an overall setup for the
entire monitor system.
Rev. 2.4 2. ANIMAL/DATA MANAGEMENT 41
BM3Vet User Manual
2.1 ADMIT
CHANGE ANIMAL INFO
ANIMAL TYPE
HEIGHT UNIT
WEIGHT UNIT
DEFAULTS SETTING
CHANGE
ANIMAL
MAIN
ANIMAL
TYPE:
MENU
INFO
DOG
HEIGHT
WEIGHT
PREV
UNIT:
UNIT:
MENU
CM
KG
ANIMAL TYPE
You can select animal type as follow.
HORSE : LARGE ANIMAL // DOG: MEDIUM ANIMAL
PUPPY : SMALL ANIMAL // CAT : TINY ANIMAL
Rev. 2.4 2. ANIMAL/DATA MANAGEMENT 42
BM3Vet User Manual
CHANGE ANIMAL INFORMATION
Hospital ID(11 letters for each), animal name (11 letters for each), sex (male or female), date of birth,
weight, height, and animal ID (11 characters)
DEFAULTS SETTING
Animal information and all Alarm limits change to standard.
Rev. 2.4 2. ANIMAL/DATA MANAGEMENT 43
BM3Vet User Manual
HEIGHT
Unit of height is set as Cm / Inch.
WEIGHT
Unit of weight is set as Kg / LBS.
Rev. 2.4 2. ANIMAL/DATA MANAGEMENT 44
HIGH
2.2 ALARM
Alarm is divided into two, alarm for the animal’s condition and for the product’s condition.
The animal’s alarm sounds when the diagnostic functions (ASYSTOLE, VTAC/VFIB, and VTAC) are
detected. Each alarm sound differs in order and volume according to the severity of HIGH, MEDIUM,
LOW and MESSAGE.
-5 ≡ 300
-3 ≡ 300
-1 ≡ 300
300
: Alarm sounds
300
: Number flashes
: Waves are printed out
: Alarm lamp flashes
Rev. 2.4 2. ANIMAL/DATA MANAGEMENT 45
MEDIUM
LOW
MESSAGE
BM3Vet User Manual
BM3Vet User Manual
Alarm for the Product
The machine gives alarm sounds for its system with a related message flashing.
LOW
-1 ≡ Alarm Text
ALARM LIMITSThe machine enables one to see and change the limits of alarm for all parameter
functions.
ALARM PRINTwith an ON/OFF setup, the related information is printed out whenever an alarm is
given.
ALARM VOLUMEvolume of each alarm can be adjusted in 10 step.
ALARM LEVELPriority of each parameter alarm can be set up.
ALARM REVIEW Shows the priority order information for all alarms of each measurement.
NURSE CALL Set the ON/OFF feature of the NURSE CALL.
ALARM
ALARM
MAIN
ALL
PRINT:
VOLUME:
MENU
LIMITS
ON
OFF
NURSE
PREV
ALARM
ALARM
CALL:
MENU
LEVEL
REVIEW
ON
It is able to see all the alarm range and change of measurement function.
Rev. 2.4 2. ANIMAL/DATA MANAGEMENT 46
BM3Vet User Manual
ALL LIMITS
ALARM PRINT
Set ON/OFF functions automatically. When the alarm is activated the corresponding information is
printed on heat sensitive paper. Alarm level must be set to MEDIUM Level or above to print. But,
LEAD FAULT AND LOW BATTERY Alarm do not trigger alarm print function.
Rev. 2.4 2. ANIMAL/DATA MANAGEMENT 47
BM3Vet User Manual
ALARM VOLUME
Set the alarm volume to be set at 10 grades.
ALARM
ALARM
MAIN
ALL
PRINT:
VOLUME:
MENU
LIMITS
OFF
OFF
NURSE
PREV
ALARM
ALARM
CALL:
MENU
LEVEL
REVIEW
ON
ALARM
>
OFF
60%
MAIN
VOLUME:
10%
70%
MENU
OFF
20%
80%
30%
90%
PREV
40%
100%
MENU
50%
ALARM LEVEL
Set the order of priority in each alarm.
ALARM
ALARM
MAIN
ALL
PRINT:
VOLUME:
MENU
LIMITS
ON
OFF
NURSE
PREV
ALARM
ALARM
CALL:
MENU
LEVEL
REVIEW
ON
MAIN
PARAMETER
ARRHYTH
MENU
LEVEL
LEVEL
PREV
MENU
Rev. 2.4 2. ANIMAL/DATA MANAGEMENT 48
BM3Vet User Manual
PARAMETER LEVEL
ARRHYTH LEVEL
One can set up priorities when he or she uses the alarm for the diagnostic function.
Rev. 2.4 2. ANIMAL/DATA MANAGEMENT 49
BM3Vet User Manual
ALARM REVIEW
After an alarm is triggered the alarms and data wave pattern can be reviewed. Set up for priority of
each parameter alarm.
ALARM
ALARM
MAIN
ALL
PRINT:
VOLUME:
MENU
LIMITS
ON
OFF
NURSE
PREV
ALARM
ALARM
CALL:
MENU
LEVEL
REVIEW
ON
SAVING
MAIN
ALARM
CONDITION:
MENU
LIST
HIGH
PREV
MENU
Rev. 2.4 2. ANIMAL/DATA MANAGEMENT 50
BM3Vet User Manual
ALARM LIST
When an alarm activates, this shows the order of the alarms.
SAVING
MAIN
ALARM
CONDITION:
MENU
LIST
HIGH
PREV
MENU
Rev. 2.4 2. ANIMAL/DATA MANAGEMENT 51
BM3Vet User Manual
SAVING CONDITION
This determines the order in which triggered alarms are saved.
SAVING
MAIN
ALARM
CONDITION:
MENU
LIST
HIGH
PREV
MENU
SAVE
MAIN
ALARM
CONDITION:
>
MESSAGE
MENU
LIST
HIGH
LOW
MEDIUM
PREV
HIGH
MENU
Rev. 2.4 2. ANIMAL/DATA MANAGEMENT 52
BM3Vet User Manual
NURSE CALL
When an alarm is triggered, this activated the NURSE CALL function.
ALARM
ALARM
MAIN
ALL
PRINT:
VOLUME:
MENU
LIMITS
ON
OFF
NURSE
PREV
ALARM
ALARM
CALL:
MENU
LEVEL
REVIEW
ON
ALARM
ALARM
MAIN
ALL
PRINT:
VOLUME:
MENU
LIMITS
ON
OFF
NURSE
PREV
ALARM
ALARM
CALL:
MENU
LEVEL
REVIEW
OFF
Rev. 2.4 2. ANIMAL/DATA MANAGEMENT 53
BM3Vet User’s Manual
DISPLAY
DEMO
USER SERVICE
MAKER SERVICE
Rev. 2.4 3. SETUP 54
3. SETUP
3.1 SETUP
DISPLAY
3.1 SETUP
DISPLAY : screen set menu
USER SERVICE : This is the menu to set the connection used to interface with an external
computer
MAKER SERVICE : This is the basic adjustment menu used to adjust the features of this product.
MAIN
USER
DISPLAY
MENU
SERVICE
KEY
PREV
DEMO:
MAKER
SOUND:
MENU
ON
SERVICE
ON
SET PARAMeasurement function selected.
WAVE SELECTSet wave pattern source at the bottom of the WINDOW with LARGE
PARAMETER MODE.
SET DATE & TIME: Set and change date and time.
HR SOURCESet and select HR/PR source.
COLOR SELECT: Set screen display color.
SET SWEEP: Set speed of ECG, RESP WAVE DISPLAY
Wrong
picture
수정완료.
MAIN
WAVE SELECT:
SET
SET PARA
MENU
ECG
DATE & TIME
SET
PREV
HR/PR SELECT:
SWEEP:
MENU
ECG
25mm/s
Rev. 2.4 3. SETUP 55
BM3Vet User’s Manual
Commento [s1]:
Select measurement function to use
WAVE
MAIN
SET
SET
SELECT:
MENU
PARA
DATE & TIME
ECG
SWEEP
HR
PREV
SPEED:
SOURCE:
MENU
25mm/s
ECG
Select waveform to display in large parameter display.
WAVE
MAIN
SET
SET
SELECT:
MENU
PARA
DATE & TIME
ECG
SWEEP
HR
PREV
SPEED:
SOURCE:
MENU
25mm/s
ECG
Rev. 2.4 3. SETUP 56
SET PARA
BM3Vet User Manual
WAVE SELECT
SET DATE & TIME
WAVE
MAIN
SET
SELECT:
MENU
PARA
>
ECG
ECG
SPO2
SWEEP
RESP
PREV
SPEED:
MENU
25mm/s
It has sub menu to set date and time.
WAVE
MAIN
SET
SET
SELECT:
MENU
PARA
DATE & TIME
ECG
SWEEP
HR
PREV
SPEED:
SOURCE:
MENU
25mm/s
ECG
Set time of equipment.
MAIN
SET
SET TIME
MENU
DATE
PREV
MENU
MAIN
SET
MENU
TIME:
10 : 58 : 01
PREV
MENU
Rev. 2.4 3. SETUP 57
BM3Vet User Manual
SET TIME
SET DATE
Set date of equipment
MAIN
SET
SET TIME
MENU
DATE
PREV
MENU
MAIN
SET
MENU
DATE:
06-DEC-2007
PREV
MENU
This menu is used to set the source that detects heart and pulse rate.
The source can select among ECG and SPO2.
Rev. 2.4 3. SETUP 58
BM3Vet User Manual
HR SOURCE
SWEEP SPEED
Set speed of drawing wave signal pattern in this widow.
Set ON/OFF Key sound of equipment.
Set ON/OFF DEMONSTRATION of equipment.
MAIN
USER
DISPLAY
MENU
SERVICE
KEY
PREV
DEMO:
MAKER
SOUND:
MENU
ON
SERVICE
ON
Rev. 2.4 3. SETUP 59
BM3Vet User Manual
KEY SOUND
DEMO
USER SERVICE
The user is able to set the communication parameters, power supply filter, and bed number.
SET
SET BED
MAIN
UNIT
NUMBER
MENU
NAME
: 00A
AC
PREV
SYSTEM
FILTER:
MENU
50HZ
Set up for Equipment name.
SET
SET BED
MAIN
UNIT
NUMBER
MENU
NAME
: 00A
PREV
AC FILTER:
SYSTEM
MENU
50HZ
MAIN
SET UNIT
MENU
NAME:
PREV
MENU
Rev. 2.4 3. SETUP 60
SET UNIT NAME
BM3Vet User Manual
SET BED NUMBER
Set up for animal bed number.
Allowable setters are from 0 to 9 and A to Z.
SET
SET BED
MAIN
UNIT
NUMBER
MENU
NAME
: 00A
AC
PREV
SYSTEM
FILTER:
MENU
50HZ
AC FILTER is function where you can set power supply frequency. This feature is required because
power supply frequency can be different from one country to another. . (The selectable frequencies
are 50Hz and 60Hz.)
SET
SET BED
MAIN
UNIT
NUMBER
MENU
NAME
: 00A
AC
PREV
SYSTEM
FILTER:
MENU
50HZ
SET
SET BED
MAIN
UNIT
NUMBER
MENU
NAME
: 00A
AC
PREV
SYSTEM
FILTER:
MENU
60HZ
Rev. 2.4 3. SETUP 61
BM3Vet User Manual
AC FILTER
SYSTEM
System able to change and verify Equipment version information and system information
Maker service is a menu is used by manufacturers.
MAIN
USER
DISPLAY
MENU
SERVICE
KEY
PREV
DEMO :
MAKER
SOUND:
MENU
ON
SERVICE
ON
Rev. 2.4 3. SETUP 62
BM3Vet User Manual
MAKER SERVICE
BM3Vet User’s Manual
GRAPHIC TREND
TABLE TREND
TREND WINDOW SETUP
Rev. 2.4 4. TREND 63
4. TREND
4.1 TREND
BM3Vet User Manual
4.1 TREND
TREND shows saved data graphically displayed with numeric values.
Real-time data recording duration is 1 minute. Amount of saving time is for this data will be saving
for 128hours.
TREND
MAIN
GRAPHIC
TABULAR
WINDOW
MENU
TREND
TREND
SETUP
PREV
MENU
: Move to main screen
: Move within the tables
: Move up to other analysis function
: Move down to other analysis function
: Time(HOURS) period set menu at Graphic Trend
: Time(MIN) period set menu at Tabular Trend
Rev. 2.4 4. TREND 64
GRAPHIC TREND
Wave Data can be stored and seen according to section.
TREND
MAIN
GRAPHIC
TABULAR
WINDOW
MENU
TREND
TREND
SETUP
PREV
MENU
BPM
10-SEP-2007 22:23
DOG
PVC (/min): 0 ,
ST(mm): 0.0
100
x2IIP
50
mmHg
150
60
GRAPHIC TREND
10-SEP-2007 13:00
MEDI.
HR(80) ST( 0.0 ) PVC ( 0 ) RR(20)
09:30
1 hr
300BPM 20.0mm 100/min 150RPM
(93)
0:57
%SpO2
100
90
165 0 50 75
RPM
30S
30
10
‘C
0 -20 .0 0 0
12:00 12:30
39.0
36.7
35.0
Rev. 2.4 4. TREND 65
III
BM3Vet User Manual
SpO2
RR II
X2
II
X1
0.5 1
1.5
3 6
Ver.4.00BHCDDC
TIME PERIOD
One can set up and store data and time that one can see in a screen.
Rev. 2.4 4. TREND 66
BM3Vet User Manual
TABULAR TREND
One can see the stored data at the time previously set up.
TREND
MAIN
GRAPHIC
TABULAR
WINDOW
MENU
TREND
TREND
SETUP
PREV
MENU
BPM
10-SEP-2007 13:30
DOG
PVC (0/min): 0
ST(mm):
0.0
100
x2
II
P
50
mmHg
15060MEDI.
10-SEP
10-SEP
10-SEP
10-SEP
10-SEP
09:30
12:10
12:09
12:08
12:07
12:06
1 hr
(93)
0:53HR80
808080
80
%SpO2
SPO2-%
99
999998
99
100
SPO2-R
8080808080
90
RESP
20
202020
20
NIBP-S
120
120
120
120
120
RPM
30S
NIBP-M
93
9393939330
NIBP-D
80
808080
80
10
TEMP
36.7
36.7
36.7
36.7
36.7
ST
0.0
0.0
0.0
0.0
0.0
‘C
PVC0000
0
39.0
36.7
35.0
Rev. 2.4 4. TREND 67
III
BM3Vet User Manual
/
SpO2
RR II
X2
II
X1
1
15 30 60
5
Ver.4.00BHCDDC
TIME INTERVAL
One can store data and set up time.
BPM
10-SEP-2007 13:30
DOG
PVC (0/min): 0
ST(mm):
0.0
100x2II
P
50
mmHg
15060MEDI.
10-SEP
10-SEP
10-SEP
10-SEP
10-SEP
09:30
12:10
12:09
12:08
12:07
12:06
1 hr
(93)
0:53HR80
808080
80
%SpO2
SPO2-%
9999999899
100
SPO2-R
8080808080
90
RESP
20
202020
20
NIBP-S
120
120
120
120
120
RPM
30S
NIBP-M
93
9393939330
NIBP-D
8080808080
10
TEMP
36.7
36.7
36.7
36.7
36.7
ST
0.0
0.0
0.0
0.0
0.0
‘C
PVC
0
000
0
39.0
36.7
35.0
Set the trend display window that will show the real time wave window.
TREND
MAIN
GRAPHIC
TABULAR
WINDOW
MENU
TREND
TREND
SETUP
PREV
MENU
Rev. 2.4 4. TREND 68
III
SpO2
II
RR II
BM3Vet User Manual
X2
1
15 30 60
5
TREND WINDOW SETUP
X1
Ver.4.00BHCDDC
TIME PERIOD
Set visible time period in a screen.
TIME
MAIN
SET TREND
PERIOD:
MENU
PARA
30MINS
PREV
MENU
TIME
>
30MINS
MAIN
PERIOD:
60MINS
MENU
30MINS
90MINS
3HOUR
PREV
6HOUR
MENU
12HOUR
Rev. 2.4 4. TREND 69
BM3Vet User Manual
SET TREND PARA
Set parameter for display in a screen.
TIME
MAIN
SET TREND
PERIOD:
MENU
PARA
30MINS
PREV
MENU
Graphic: After display a Graphic Trend on screen and press print to prints the selected trend.
Table: After display a Tabular Trend on screen and press print to receive print all the data in the
selected animal admit (Admit) table.
Rev. 2.4 4. TREND 70
BM3Vet User Manual
TREND PRINT
BM3Vet User’s Manual
Color and Name for Each Cable Size
ECG Connector Location and Measurement Cable
5 Lead Electrode Attached Location
3 Lead Electrode Attached Location
Method to Attach Electrode to Baby
TRACE 1 LEAD SELECT
ALARM LIMIT
ALARM
QRS VOLUME
ECG SIZE
HEART RATE SOURCE
ECG SPEED
ANALYSIS SETTING
Rev. 2.4 5. ECG 71
5. ECG
5.1 Outline
5.2 ECG Data Window
5.3 ECG Data Setup
5.1 Introduction
It calculates the heart rate with 3 or 5 leads ECG signal acquisition and perform the alarm according
to the setting value.
AHAAmerican Heart Association (U.S.A. standard)
IECInternational Electro technical Commission (Europe standard)
ECG connecter +detect cable
Rev. 2.4 5. ECG 72
Colors and Standards of Cables
BM3Vet User Manual
Leadwire
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
Color code
AHA
Label
IEC
Color code
IEC
Label
Position of ECG Connector and Measuring Cable
BM3Vet User Manual
IEC 3LEAD CABLE
AHA 3LEAD CABLE
IEC 5LEAD CABLE
AHA 5LEAD CABLE
Rev. 2.4 5. ECG 73
BM3Vet User Manual
IEC 3LEAD
AHA 3LEAD
IEC 5LEAD
AHA 5LEAD
Rev. 2.4 5. ECG 74
BM3Vet User Manual
1. Shave excess hair. With a piece of cotton pad moistened with alcohol, clean the animal’s skin
where the electrodes should be mounted. Avoid wrinkled or uneven skin areas. Wipe off the alcohol
with a dry cotton pad.
2. Open the electrode package and take out the electrode.
3. Remove the backing paper from the electrode. Be careful not to touch the adhesive side.
4. Attach the disposable electrode to the previously cleaned skin. Avoid wrinkled and uneven skin
areas.
5. The electrode lead which is connected to the monitor onto the electrode.
6. Fasten the electrode lead to the skin with surgical tape with an extra length of wire between the
tape and the electrode. This prevents body movement from moving the electrode lead.
To maintain good contact between the electrode and skin, check that the paste of the
disposable electrode is not dry.
When contact of the disposable electrode becomes poor, replace the electrode with a new
one immediately. Otherwise, contact impedance between the skin and electrode increase
and the correct ECG cannot be obtained.
If the contact is bed before the expiration date on the package, replace the electrode with a
new one.
To obtain a stable ECG waveform rub the skin with “skin Pure” skin preparation gel or
tincture of Benzion.
Shall use only the CE certified disposable electrode.
Rev. 2.4 5. ECG 75
Attaching Electrodes to the Animal
Note
9
9
9
9
9
BM3Vet User Manual
It is very important to select a suitable lead for arrhythmia monitoring.
Guidelines for non-paced animals:
QRS should be tall and narrow(recommended amplitude > 0.5mV)
R wave should be above or below the baseline (but not bi-phasic)
T wave should be smaller than 1/3 R-wave height.
The P-wave should be smaller than 1/5 R-wave height.
To prevent detection of P-waves or baseline noises as QRS complexes, the minimum detection
level for QRS complexes is set at 0.15mV. Adjusting the ECG wave size on the monitor
display(gain adjustment)does not affect the ECG signal which is used for arrhythmia analysis. If the
ECG signal is too small, you may get false alarms for asystole.
When ECG signal is 80bpm T-wave duration is 180ms, and the QT interval is 350ms.
Rev. 2.4 5. ECG 76
Choosing an ECG lead for Arrhythmia Monitoring
9
9
9
9
Information on the ECG waveform
BM3Vet User Manual
Rev. 2.4 5. ECG 77
Position of 3-Lead Wire Electrode
RA
LA
LL
BM3Vet User Manual
Rev. 2.4 5. ECG 78
Position of 5-Lead Wire Electrode
RA
RL
LA
V
LL
5.2 ECG Data Window
fldDetects and displays
the animal’s pace
maker and flashes.
BP
100
P
50
Decides the QRS limits, and
gives an alarm if a value is over
Displays heart rate per minute.
the limits.
ECG Wave Display is always on when the cable is connected.
The heart rate is calculated by a moving average. The monitor detects 8 consecutive beats,
averages the R-R intervals of the latest 8 beats and uses this average to calculate the current
heart rate. When a new beat is detected, the heart rate is recalculated using the latest 8beats. The
heart rate display is updated every 3 seconds.
Heart rate meter updates a new heart rate for a step increase or decrease in 10 seconds maximum.
When ventricular tachycardia is detected, the alarm set in 5 seconds maximum.
Check that the delay time of the output signal (alarm trigger 80ms maximum) is within the range of
the connected equipment.
Rev. 2.4 5. ECG 79
BM3Vet User Manual
Heart Rate Alarm Limit:
QRS: Detects QRS, and
ashes when QRS is
etected.
M
Pace Detector Indicators:
80
Heart Rate:
Note
CABLES
Safety Precautions
— Route all cables away from animal's throat to avoid possible strangulation.
— Extreme care must be exercised when applying medical
electrical equipment. Many parts of the animal/machine circuit are conductive, such as the
animal, 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
animal input of the device. Such contact would bridge the animal's isolation and cancel the
protection provided by the isolated input. In particular, there must be no contact of the neutral
electrode and ground.
— Do not come into contact with animals 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 animal or any equipment connected to the
animal.
After defibrillation, the screen display recovers within 10seconds if the correct electrodes are
used and applied in accordance with the manufacturer’s instructions.
ECG cables can be damaged when connected to a animal 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 animal monitors is delayed by a
maximum of 30ms.
If the ECG waveform on the screen is too unstable to synchronize with the animal’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.
Rev. 2.4 5. ECG 80
CONDUCTIVE CONNECTIONS
DEFIBRILLATION
BM3Vet User Manual
Warning
9
9
9
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 animal, the operator, or the environment as a result. In
those instances where there is any element of doubt concerning the safety of connected
devices, the user must contact the manufacturers concerned (or other informed experts) for
proper use. In all cases, safe and proper operation should be verified with the applicable
Manufacturer’s instructions for use, and system standards IEC 60601-1-1/EN 60601-1-1 must
be complied with.
Electrosurgical units(ESU) emit a lot of RF interference. If the monitor is used with an
ESU,RF interference may affect the monitor operation.
Locate the monitor as far as possible from the ESU. Locate them on 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 for
monitoring must be firmly attached to the animal. If the return plate is not attached correctly,
it may burn the animal’s skin where the electrodes are attached.
Rev. 2.4 5. ECG 81
Electrosurgery Unit
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9
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BM3Vet User Manual
5.3 ECG Data Setup
A setup window appears at lower part of the screen when the Trim Knob Key is pressed in the ECG
Parameter Window.
Selection is made by pressing the Trim Knob Key, while movement across the menu is performed by
turning the key either clock or anticlockwise.
LEAD
MAIN
SELECT :
ALARM
MENU
II
PREV
ANALYSIS
QRS VOLUME :
DISPLAY
MENU
SETTING
OFF
Selection for display is made from channels I to V by moving the key left or right.
LEAD
MAIN
SELECT :
ALARM
MENU
II
PREV
ANALYSIS
QRS VOLUME :
DISPLAY
MENU
SETTING
OFF
LEAD
MAIN
SELECT :
>IaVR
MENU
II
II
aVL
III
aVF
PREV
V
MENU
Rev. 2.4 5. ECG 82
TRACE 1 LEAD SELECT
BM3Vet User Manual
ALARM LIMIT
Alarm Limit is 0 ~ 300.
1. Move the mark to select RETURN or HR, and press.
2. If pressed at HR, move to LOW, and press.
3. Checking the color changing, move right or left to select the value to set up, and press.
4. Press at HIGH. Checking the color changing, move again to select the value to set up, and press.
Move to HR, and press again. (You may decide to perform in the LOW HIGH order, which
produces same result.)
5. Select RETURN to get out of the window.
Rev. 2.4 5. ECG 83
BM3Vet User Manual
ALARM SOUND
Set ON/OFF of ECG alarm sound.
LEAD
MAIN
SELECT :
ALARM
MENU
II
PREV
ANALYSIS
QRS VOLUME :
DISPLAY
MENU
SETTING
OFF
MAIN
ALARM
ALARM
MENU
SOUND
LIMIT
PREV
MENU
Rev. 2.4 5. ECG 84
BM3Vet User Manual
QRS VOLUME
Move the Key to select a volume rate from OFF, 10% to 100%.
QRS
>
OFF
60%
MAIN
VOLUME :
10%
70%
MENU
OFF
20%
80%
30%
90%
PREV
40%
100%
MENU
50%
Set the sweep speed and waveform size.
MAIN
LEAD SELECT :
ALARM
MENU
II
QRS
PREV
ANALYSIS
DISPLAY
VOLUME :
MENU
SETTING
OFF
Rev. 2.4 5. ECG 85
BM3Vet User Manual
DISPLAY
ECG SPEED
ECG speed is 25 mm/s.
Speed is changeable to 6.25, 12.5, 25, 50mm/s.
The size is changeable to X0.5, X1, X2, X4.
SWEEP
ECG
MAIN
x 0.25
SPEED :
SIZE :
MENU
x 0.5
25 mm/s
X1
> x 1
x 2
PREV
x 4
MENU
Rev. 2.4 5. ECG 86
ECG SIZE
BM3Vet User Manual
HR SOURCE
HR
SWEEP
MAIN
ECG SIZE :
SOURCE:
SPEED :
MENU
X1
ECG
25 mm/s
PREV
MENU
HR
SWEEP
MAIN
SOURCE:
SPEED :
MENU
> ECG
ECG
25 mm/s
SPO2
PREV
MENU
Analysis setting divided to 3 menus.
ECG FILTEROne may select from three frequency types for WAVE FILTER.
MONITOR 0.5Hz ~ 40Hz
MODERATE 0.5Hz ~ 25Hz
MAXIMUM 5Hz ~ 25Hz
DIAGNOSIS 0.5Hz ~ 150Hz
LEAD
MAIN
SELECT :
ALARM
MENU
II
QRS
PREV
ANALYSIS
DISPLAY
VOLUME :
MENU
SETTING
OFF
Rev. 2.4 5. ECG 87
BM3Vet User Manual
ANALYSIS SETTING
BM3Vet User Manual
ECG
MAIN
PACE :
ARRHYTHM :
FILTER :
MENU
OFF
OFF
MONITOR
PREV
PVC SETTING
ST SETTING
MENU
ECG
MAIN
FILTER :
>
MONITOR
MENU
MONITOR
MODERATE
MAXIMUM
PREV
DIAGONOSIS
MENU
PACESets up ON/OFF to indicate that the animal has PACE.
The PACE menu option enables/disables the pacemaker detection program.
ECG
MAIN
PACE :
ARRHYTHM :
FILTER :
MENU
OFF
OFF
MONITOR
PREV
PVC SETTING
ST SETTING
MENU
Be aware of the following when monitoring a animal with a pacemaker.
ARRHYTHSets up ON/OFF to indicate detection of diagnosis (ASYS, VTAC/VFIB, VTAC).
The Analysis algorithm simultaneously uses leads I, II, III, and the V lead for ECG and arrhythmia
analysis.
Rev. 2.4 5. ECG 88
BM3Vet User Manual
ECG
MAIN
PACE :
ARRHYTHM :
FILTER :
MENU
OFF
OFF
MONITOR
PREV
PVC SETTING
ST SETTING
MENU
ASYSTOLE: Ventricular asystole occurs whenever the displayed heart rate drops to zero.
VTAC/VFIB: Ventricular fibrillation occurs when the ECG waveform indicates a chaotic ventricular
rhythm with an average heart rate greater than or equal to 200beats per minute.
VTAC:
Ventricular tachycardia occurs when a run of six or more ventricular beats is detected
With an average heart rate greater than or equal to 150beats per minute.
ST SETTING : ST signal and settings related to ST menu.
ECG
MAIN
PACE :
ARRHYTHM :
FILTER :
MENU
OFF
OFF
MONITOR
PREV
PVC SETTING
ST SETTING
MENU
ST ANALYSIS: ON/OFF ST analysis signal.
ST
MAIN
MEASUREMENT
ST
ANALYSIS :
MENU
CONDITION
ALARM LIMIT
ON
PREV
ST
MENU
ALARM LEVEL
Rev. 2.4 5. ECG 89
BM3Vet User Manual
MEASUREMENT CONDITION: ST measurement condition setting
ST
MAIN
MEASUREMENT
ST
ANALYSIS :
MENU
CONDITION
ALARM LIMIT
ON
PREV
ST
MENU
ALARM LEVEL
ST ALARM LIMIT: ST alarm limit range setting
Rev. 2.4 5. ECG 90
BM3Vet User Manual
ST ALARM LEVEL: ALARM LEVEL setting
Rev. 2.4 5. ECG 91
BM3Vet User Manual
PVC SETTING: PVC ON/OFF and ALARM limit range setting
ECG
MAIN
PACE :
ARRHYTHM :
FILTER :
MENU
OFF
OFF
MONITOR
PREV
PVC SETTING
ST SETTING
MENU
PVC ANALYSIS: Decision maker to display PVC value sign with ON/OFF
PVC
MAIN
PVC
ANALYSIS :
MENU
ALARM LIMIT
ON
PREV
PVC
MENU
ALARM LEVEL
PVC ALARM LIMIT: Set alarm indicate to PVC
Rev. 2.4 5. ECG 92
BM3Vet User Manual
PVC ALARM LEVEL: Set PVC ALARM LEVEL
Heart Beat equipment signal displays when the PACE mode is on. The signal size or form are
meaningless clinically.
When using PACE mode, be sure to use an alternative method to monitor the heart rate. The
heart beat equipment can show heart beat even during arrhythmia continuously. Therefore, do
not depend on heart beat alarm excessively.
Rev. 2.4 5. ECG 93
Display Heart Beat Equipment Signal
Number Of Heart Beats
Warning
BM3Vet User’s Manual
The United States FDA Center for Device and Radiological Health issued a safety bulletin
October 14, 1998. this bulletin states “that minute ventilation rate-adaptive implantable
pacemakers can occasionally interact with certain cardiac monitoring and diagnostic
programmed rate.”
The FDA further recommends precautions to take into consideration for animals with these
types of pacemakers. These precautions include disabling the rate responsive mode and enabling
an alternate pace mode. For more information contact:
Office of Surveillance and Biometrics, CDRH, FDA
1350 Packard Drive, Mail Stop HFZ-510 Rockville, MD 20850 U.S.A
ECG monitoring with animals in non-invasive trans coetaneous pacemakers may not be possible
due to large amounts of energy produced by these devices. Monitoring ECG with an external device
may be needed.
Rev. 2.4
5. ECG 94
CAUTION
FDA POSTMARKET SAFETY ALERT
NOTE
BM3Vet User Manual
The arrhythmia analysis program is intended to detect ventricular arrhythmias. It is not designed to
detect a trial or supra ventricular arrhythmias. Occasionally it may incorrect identify the presence or
absence of an arrhythmia. Therefore, a physician must analyze the arrhythmia information in
conjunction with other clinical findings.
Certain conditions suspend arrhythmia analysis. When suspended, arrhythmia conditions
are not detected and alarms associated with arrhythmias do not occur. The messages
which alert you to the conditions causing suspended arrhythmia analysis are : ARR OFF,
ARRHYSUSPEND, LEADS FAIL, ALARM PAUSE, ALL ALARMS OFF, and DISCHARGED.
False low heart rate indicators or false asystole calls may result with certain pacemakers
because of electrical overshoots.
Monitoring of pacemaker patients can only occur with the pace program activated.
An artificial pacemaker spike is displayed in place of the actual pacemaker spike.
All pacemaker spikes appear uniform. Do not diagnostically interpret pacemaker spike size and
shape.
A pacemaker pulse can be counted as a QRS during a systole in either pace mode. Keep
pacemaker patients under close observation.
Keep pacemaker patients under close observation. Rate meters may continue to count the
pacemaker rate during cardiac arrest and some arrhythmias. Therefore, do not rely entirely
on rate meter alarms.
Rev. 2.4 5.ECG
95
WARNINGS
VENTRICULAR ARRHYTHMISAS
SUSPENDED ANALYSIS
FALSE CALL S
MONITERING PACEMAKER PATIENTS
PACEMAKER SPIKE
PATIENT HAZARD
RATE METERS
Trouble shooting
Inaccurate heart rate and/or false asystole.
Check ECG signal from animal:
1. Check/adjust lead placement.
2. Check/perform skin preparation.
3. Check/replace electrodes.
Check amplitude of ECG waveform:
1. Select ECG parameter label.
2. Select DISPLAY LEAD,
3. Scroll through all ECG leads and check for 0.5mV amplitude at normal (1X) size. (at least
0.5mV amplitude is required for QRS detection.) for borderline signals, validate on a graph.
4. If amplitudes are low, electrodes may need to be repositioned or replaced.
False ventricular calls.
Check ECG signal from animal: (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.)
Rev. 2.4 5.ECG
96
Problem :
Solution :
BM3Vet User Manual
Problem :
Solution :
Problem :
Inaccurate pacemaker detection
Use pacemaker processing:
1. Select ECG parameter label.
2. Display the lead of ECG with the greatest amplitude in the top waveform position.
3. Select ANALYSIS SETTINGS.
4. SELECT DETECT PACE.
Rev. 2.4 5.ECG
97
Solution :
BM3Vet User Manual
BM3Vet User’s Manual
SpO2 Connector Location and Measuring Cable
SWEEP SPEED
RATE VOLUME
ALARM
ALARM LIMIT
Rev. 2.4
6. SpO2 98
6. SpO2
6.1 Outline
6.2 SpO2 Data Window
6.3 SpO2 Data Setup
BM3Vet User Manual
SPO2 monitoring is a noninvasive technique used to measure the amount of oxygenated
hemoglobin and pulse rate by measuring the absorption of selected wavelengths of light. The light
generated in the probe passes through the tissue and is converted into an electrical signal by the
photodetector in the probe. The monitor processes the electrical signal and displays on the screen a
waveform and digital values for SpO2 and pulse rate. It detects SpO2 in the way of transmitting the
red and infrared rays into the capillary vessel to take the pulsation. Also performs the alarm function
according to the setting values.
SpO2 connector
Rev. 2.4 6. SpO2
99
6.1 Outline
SpO2 Connector Location and Measuring Cable
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