This equipment and/or system complies with the International Standard IEC60601-1-2 for electromagnetic
compatibility for medical electrical equipment and/or system. However, an electromagnetic environment that
exceeds the limits or levels stipulated in the IEC60601-1-2, can cause harmful interference to the equipment
and/or system or cause the equipment and/or system to fail to perform its intended function or degrade its
intended performance. Therefore, during the operation of the equipment and/or system, if there is any
undesired deviation from its intended operational performance, you must avoid, identify and resolve the
adverse electromagnetic effect before continuing to use the equipment and/or system.
The following describes some common interference sources and remedial actions:
1. Strong electromagnetic interference from a nearby emitter source such as an authorized radio station or
cellular phone:
Install the equipment and/or system at another location if it is interfered with by an emitter source such
as an authorized radio station. Keep the emitter source such as cellular phone away from the equipment
and/or system.
2. Radio-frequency interference from other equipment through the AC power supply of the equipment and/
or system:
Identify the cause of this interference and if possible remove this interference source. If this is not
possible, use a different power supply.
3. Effect of direct or indirect electrostatic discharge:
Make sure all users and patients in contact with the equipment and/or system are free from direct or
indirect electrostatic energy before using it. A humid room can help lessen this problem.
4. Electromagnetic interference with any radio wave receiver such as radio or television:
If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or
system as far as possible from the radio wave receiver.
If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden Corporation
subsidiary or distributor for additional suggestions.
The CE mark is a protected conformity mark of the European Community. The products herewith comply
with the requirements of the Medical Device Directive 93/42/EEC.
The CE mark only applies to the BSM-2300K bedside monitor.
This equipment complies with International Standard IEC60601-1-2 (1993) which requires CISPR11, Group 1,
Class B. Class B EQUIPMENT is equipment suitable for use in domestic establishments and in
establishments directly connected to a low voltage power supply network which supplies buildings used for
domestic purposes.
Service Manual BSM-2300i
This page is intentionally left blank.
iiService Manual BSM-2300
Conventions Used in this Manual and Instrument
Warnings, Cautions and Notes
Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information.
WARNING
A warning alerts the user to the possible injury or death associated with the use or misuse of the
instrument.
CAUTION
A caution alerts the user to possible injury or problems with the instrument associated with its use or
misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other
property.
NOTE
A note provides specific information, in the form of recommendations, prerequirements, alternative methods
or supplemental information.
Service Manual BSM-2300iii
Explanations of the Symbols in this Manual and Instrument
The following symbols found in this manual/instrument bear the respective descriptions as given.
On panel
SymbolDescriptionSymbolDescription
AC operationData input/output
“On” only for a part of instrumentInput/output terminal
“Off” only for a part of instrumentOutput terminal
Battery operationAlternating current
Battery chargingEquipotential terminal
Alarm suspendYear of manufacture
NIBPSerial number
NIBP intervalSplash-proof equipment
NIBP startWatertight equipment
NIBP stopProtective earth
MenuHigh voltage
Home (monitoring screen)
Attention, consult operator’s
manual
Defibrillation-proof type CF applied
part
IPX4
IPX7
The CE mark is a protected
conformity mark of the European
Community. The products herewith
comply with the requirements of the
Medical Device Directive
93/42/EEC.
Record start/stop (on the WS-231P
recorder module)
Defibrillation-proof type BF applied
part
The CE mark only applies to BSM-2301K/2303K monitors.
IEC 60601-2-27 (1994) - Particular requirements for the safety of
electrocardiographic monitoring
IEC 60601-2-34 (1994) - Particular requirements for the safety of direct blood
pressure monitoring equipment
IEC 60601-2-30 (1995) - Particular requirements for the safety of automatic
cycling in in-direct blood pressure monitoring equipment
According to the type of protection against electrical shock:
CLASS I EQUIPMENT (AC Powered)
Internally Powered EQUIPMENT (BATTERY Powered)
According to the degree of protection against electrical shock
ECG, Respiration (impedance), Respiration (thermistor), IBP, Temperature, CO
:
2
Defibrillator-proof type CF applied part
SpO2, NIBP:Defibrillator-proof type BF applied part
For BSM-2301, depending on the serial number, the degree of protection against electrical shock for the specified
parameters may be as follows.
Temperature: CF applied partSpO2, Respiration (thermistor), CO2: BF applied part
According to the degree of protection against harmful ingress of water:
IPX0 (ordinary EQUIPMENT)
According to the degree of safety of application in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR,
OR WITH OXYGEN OR NITROUS OXIDE:
Equipment not suitable for use in the presence of FLAMMABLE ANAESTHETIC
MIXTURE WITH AIR, OR WITH OXYGEN OR NITROUS OXIDE
According to the mode of operation:CONTINUOUS OPERATION
1.12Service Manual BSM-2300
Composition
1. GENERAL
BSM-2301A
BSM-2301K
BSM-2303K
BSM-2304A
CD-230P
CD-232P
SC-040R
SC-046R
Chassis for BSM-2301A/K and BSM-2303K
Chassis for BSM-2304A
Power Supply Block for BSM-2301A/K and BSM-2303K
Power Supply Block for BSM-2304A
(Power supply unit* included)
UR-3610
UR-3612
UR-3712
UR-3611
UR-3643*
UR-3644*
UR-3681*1*
1
1
2
MAIN Board
Analog Board for BSM-2301A/K and BSM-2303K
Analog Board for BSM-2304A
Alarm Indicator Board
NIBP & Hall Sensor Boards
Operation & Power SW Boards
IBP Board
Recorder Module (option)
WS-231P
*1Refer to Section 8 “Replaceable Parts List”.
*2BSM-2301A/K has no UR-3681 IBP board
UR-3615
UR-3616*
RG-922P
REC MAIN Board
REC Key & Power Boards
Recorder Unit
* Refer to “Optional Recorder Module WS-231P” in Section 8.
Interface (option)
QI-231P
UR-3691
UR-3731QI-236P
IO ANALOG OUT Board
IO CT OUT Board
Service Manual BSM-23001.13
1. GENERAL
Panel Descriptions
Front Panel
1
2
8
13
SILENCE
ALARMS
NIBP
INTERVAL
START/STOP
MENU
HOME
3
4
5
6
7
Without optional WS-231P recorder module
11
12
9
10
1
2
SILENCE
ALARMS
3
13
NIBP
INTERVAL
START/STOP
MENU
HOME
4
5
6
7
8
14
15
11
10
9
12
With optional WS-231P recorder module
1.14Service Manual BSM-2300
1. GENERAL
No.NameDescription
1Alarm indicator
2HandleFor carrying the monitor.
3SILENCE ALARMS keySilences the alarm sound.
4NIBP INTERVAL keySelects NIBP measurement mode. Pressing this key changes the mode.
5NIBP START/STOP key
6MENU keyDisplays the MENU window.
7HOME keyCloses any opened window and displays the monitoring screen.
Red or orange lamp blinks according to the alarm settings. Green lamp blinks
in synchronization with the patient’s QRS.
Starts NIBP measurement in selected mode. Pressing the key during
measurement stops measurement.
8Power switchPress and hold for more than one second to turn the monitor power on or off.
9Power lampLights when the monitor power is turned on.
10AC power lamp
11Battery power lampLights when operating on the battery power.
12Battery charging lampLights or slowly blinks when charging.
13Touch screen
14Record keyPress to start or stop recording.
15Out of paper lampBlinks when out of paper. Lights when paper magazine is open.
Lights when the power cord is connected between the AC SOURCE socket
and AC outlet.
Displays monitoring data. Touching a key or data on the screen changes
displaying screen and settings.
Service Manual BSM-23001.15
1. GENERAL
Left Side Panel
BSM-2301A/K and BSM-2303K
TEMP socket
Connects to the
temperature probe
cord.
Refer to Warning and
Caution in the "General
Safety Information" section.
Multi-parameter socket
Connects to the connection cord of the parameter to
be monitored (IBP (PRESS for BSM-2301,
PRESS 2 for BSM-2303), CO
or respiration by
2
thermistor method). The type of parameter is
automatically recognized.
PRESS 1 socket
Connects to the IBP
connection cord.
Not available on
BSM-2301.
Battery box
For the optional battery pack.
TEMP socket
Connects to the
temperature probe
cord.
SpO
socket
2
Connects to the SpO2 connection cord.
ECG/RESP socket
Connects to the ECG connection cord.
NIBP socket
Connects to the air hose.
Refer to Warning and
Caution in the "General
Safety Information" section.
Multi-parameter socket
Connects to the connection cord of the parameter to
be monitored (IBP (PRESS for BSM-2301,
PRESS 2 for BSM-2303), CO
by thermistor method). The type of parameter is
automatically recognized.
Without optional WS-231P recorder module
or respiration
2
SpO
socket
PRESS 1 socket
Connects to the IBP
connection cord.
Not available on
BSM-2301.
2
Connects to the SpO
connection cord.
2
ECG/RESP socket
Connects to the ECG connection cord.
NIBP socket
Connects to the air hose.
Battery box
For the optional battery pack.
With optional WS-231P recorder module
1.16Service Manual BSM-2300
BSM-2304A
TEMP socket
Connects to the
temperature probe
cord.
PRESS 1 socket
Connects to the IBP
connection cord.
NELLCOR
OxiMax
1. GENERAL
Refer to Warning and
Caution in the "General
Safety Information" section.
Multi-parameter socket
Connects to the connection cord of the parameter to
be monitored (IBP (PRESS 2), CO
or respiration
2
by thermistor method). The type of parameter is
automatically recognized.
TM
SpO
socket
2
Connects to the SpO2 connection cord.
ECG/RESP socket
Connects to the ECG connection cord.
Battery box
For the optional battery pack.
TEMP socket
Connects to the
temperature probe
cord.
PRESS 1 socket
Connects to the IBP
connection cord.
NELLCOR
OxiMax
NIBP socket
Connects to the air hose.
TM
Without optional WS-231P recorder module
Refer to Warning and
Caution in the "General
Safety Information" section.
Multi-parameter socket
Connects to the connection cord of the parameter to
be monitored (IBP (PRESS 2), CO
or respiration
2
by thermistor method). The type of parameter is
automatically recognized.
SpO
socket
2
Connects to the SpO
connection cord.
2
ECG/RESP socket
Connects to the ECG connection cord.
NIBP socket
Connects to the air hose.
Battery box
With optional WS-231P recorder module
For the optional battery pack.
Service Manual BSM-23001.17
1. GENERAL
Right Side Panel
Handle
PC card eject button
PC card slot
Equipotential grounding terminal
For an equipotential grounding lead.
Fuse holder
AC SOURCE power cord socket
For the AC power cord.
AUX socket
For connecting a display monitor
or QI-231P/236P interface or AG-400R.
ZB socket
For the ZB-900P transmitter.
Without optional WS-231P recorder module
Handle
PC card eject button
PC card slot
Equipotential grounding terminal
For an equipotential grounding lead.
Fuse holder
AC SOURCE power cord socket
For the AC power cord.
AUX socket
For connecting a
display monitor or
QI-231P/236P interface
or AG-400R.
Recorder door release lever
Pull up the lever to open the recorder door.
1.18Service Manual BSM-2300
ZB socket
For the ZB-900P transmitter.
WS-231P recorder module (option)
Paper window
For checking the amount of recording paper.
With optional WS-231P recorder module
Storage and Transport
Follow these procedures when storing or transporting the instrument.
1. GENERAL
Storage
Transport
Before storing the instrument for a long time, perform the following steps:
1. Disconnect the power cord from the instrument.
2. Cover the instrument with a dust cover.
3. If possible, store the instrument in its original shipping container.
4. Make sure the storage place meets the following storage conditions for the
duration of the storage:
Storage temperature−20 to 60°C (−4 to 140°F)
Storage humidity10 to 90% RH, non-condensing
To transport the instrument, perform the following steps:
1. Disconnect the power cord from the instrument.
2. Cover the instrument with a dust cover.
3. If possible, transport the instrument in its original shipping container.
Service Manual BSM-23001.19
1. GENERAL
Hard Keys and Soft Keys
Hard Keys
Soft Keys
The instrument has five hard keys: SILENCE ALARMS, NIBP interval, NIBP
START/STOP, MENU and HOME.
These keys always have the same functions, regardless of the screen display.
In this manual, hard keys are indicated by CAPITAL LETTERS.
When the MENU key is pressed or the screen is touched, the screen displays
several keys which have different functions depending on the screen display. For
example, when the HR numeric display is touched, the ECG setting screen appears
and several keys such as VITAL ALARM, ARRHYTH ALARM, OTHER
SETTING, etc are displayed.
In this manual, soft keys are indicated by quotation marks (for example, the
“PATIENT INFO” key).
1.20Service Manual BSM-2300
1. GENERAL
Upgrading the System Software and Changing Language on the
Screen
CAUTION
Upgrading the system software and changing the language on screen
erases all system and individual bed settings. Write down these
settings so they can be re-entered after the software upgrade.
The instrument uses a program card for upgrading its system software and
changing the screen language. When the instrument detects that a program card is
inserted into its PCMCIA card slot during the booting stage after it is turned on, it
checks the program card for a system program or language. If the program card
contains a newer version of the system program or language, the instrument
automatically replaces its current system program or language information with the
new one. If the program card contains a system program whose version number is
the same or older than the current one in the instrument, you have the option to
replace or keep the current system program. If the program card does not contain a
system program, the instrument continues the boot-up process.
In the system software upgrading or language changing process, the instrument
first deletes the old system software or language stored in its system ROM. Then it
checks whether the data in the system ROM is completely deleted. When the data is
completely deleted, it copies the new version of the system program or language
information from the program card to the system ROM and then checks the copy
process. After the data is successfully copied, the self-check program starts to
check the instrument.
Procedure
1. Write down the System Setup settings and other monitoring settings of the
instrument.
2. Insert the program card into the PCMCIA card slot on the right side panel of
the instrument.
3. Turn on the instrument. The instrument performs the upgrading process and
self-check programs. The DIAGNOSTIC CHECK screen appears.
4. Touch and hold the “SYSTEM INITIALIZE” key for 2 seconds to initialize the
instrument until the “PUSH 3 SECONDS” message disappears from the screen.
When initializing is finished, the DIAGNOSTIC CHECK screen appears.
5. Confirm that the new system software version number appears.
Service Manual BSM-23001.21
1. GENERAL
Block Diagram
BSM-2300
Analog Board
Reset
DPU
Reset
TxD
TxD
RxD
RxD
Interface
ZB-900P
Hall Sensor
Board
ECG
RESP
ADC
ERC
Digital
DC to DC
Converter
BUS
V
SpO2
Opt-coupler
MP-506**
ADC
APU
Digital
Opt-coupler
Multi
ADC
DC to DC
Converter
BUS
V
Te mp
IBP
Sensor
* BSM-2301 has no IBP board
IBP Board*
NIBP
Circuit
Measure
unit replaces the
2
block surrounded by a dotted
** In BSM-2304A, the MP-506
Nellcor SpO
ADC
border.
Valve
Pump
NIBP
Safety
Sensor
Circuit
Speaker
NIBP Board
MAIN Board
battery
Lithium
Super
Capacitor
Boot ROM
64 k x 16 EPROM
Host CPU
Clock
Real-time
Backup RAM
32 k x 8 EEPROM
System RAM
512 k x 16 SRAM
System ROM
1 M x 16 Flash
Main System Bus = Address Bus, Data Bus, Control Signal Bus
20 MHz
MC68SEC000
Bus
buffer
Chip select lines
/Reset
Reset
+3.3 V
Interrupt
/Reset
WDT
IC
/Reset
snd (7:0)
/Reset
/DTACK
/Reset
Interface
PCMCIA Card
+5 V
Card
FM Sound
Generator
Slot
BUS
V
ACORN
Main ASIC
RxD
(CPU Peripheral)
WDT
/Reset
IC
Reset
+3.3 V
TxD
from
Analog RGB Interface
BUS
V
from
Power Supply
Microcontroller
Character RAM
Graphic RAM-2
Graphic ASIC
+3.3 V
512 k x 8 SRAM
2 M x 32 SDRAM
IBIS
R (5:0), CLK,
(LCD Control)
+5 V
3.3 V_PS
DC to DC
Converter
BUS
V
AC/Battery
BUS
V
LED
Driver
Alarm Indicator
Interface
+5 V
GB
R
G (5:0), H_Sync
B (5:0), V_Sync
Reset
PWR Fail
IC
Reset
Power Supply
SW
+12V_BT
Touch Screen
Microcontroller
B
G
R
Analog RGB
8 bit
Microcontroller
Buzzer
Battery
Interface
BUS
V
Interface
to
Driver
BUS
V
Alarm
Indicator Board
Operation
to
AUX Socket
LED Driver
Buzzer
Board
(Front Panel)
Inverter
TFT LCD
(Front Panel)
Power SW Board
Keypad
Touch
800 x 600
screen
Tw o
Recorder
Sockets
AUX Socket
Unit
Power Supply
+15 V_PS
Battery Pack
Option
(Ni-MH)
1.22Service Manual BSM-2300
WS-231P Recorder Module
(Host unit)
BSM-2300
REC Key Board
(Record key switch and
out of paper lamp included)
1. GENERAL
CPU
20 MHz
MC68SEC000
RACOON
Recorder ASIC
Interface
Recorder
+5V
Power
Recorder
+24V
REC Power Board
512 k x 16
Flash ROM
Bus (Address, Data, Control signals)
SRAM
256 k x 16
REC MAIN Board
Service Manual BSM-23001.23
Unit
Recorder
RG-922P
1. GENERAL
Photo
coupler
QI-231P Interface
ECG or
trigger output
Excessive
voltage
protection
circuit
Analog switch
TRIG/ECG jack
ECG and
trigger output
LED indicators
Filter
Floating area
12 bit
Micro-
D to A
converter
controller
Bit setting for ECG outputs
4-bit switch
4 MHz
oscillator
To the AUX socket on the BSM-2300 series
0000: ECGHUM1
0001: ECG1
0010: ECGHUM2
0011: ECG2
Trigger
ON: 1
OFF: 0
output
circuit
supply voltage
F
5 V
Transformer
128 kHz
oscillator
Non-floating area
RGB
20-pin AUX socket for
serial data communication
15-pin RGB output socket
+5 V supply voltage
Serial data communication
ECG or trigger digital signal
1.24Service Manual BSM-2300
QI-236P Interface
AmpFilter
ECG
HT
Comparator
T-wave
discriminator
1. GENERAL
Full-wave
rectifier
Filter
Sensitivity
selector
12-bit D to A
converter
Micro-
controller
PIC16C63A
(PIC1)
4 MHz
oscillator
Micro-
controller
PIC16C63A
(PIC2)
4 MHz
oscillator
5 VF supply voltage
+
Transformer
128 kHZ
oscillator
RGB
ECG
RGB
Dedicated serial data
+5 V
communication between
BSM-2300 and QI-236P
Service Manual BSM-23001.25
Section 2 Troubleshooting
General .............................................................................................................................. 2.1
Use the troubleshooting tables to locate, identify, and solve a problem in the
instrument. The problems are divided into general problem areas. Each category
has its own troubleshooting table for fast and easy troubleshooting.
• Power-related Problems
• Display Problems
• Sound Problems
• Key Operation Problems
• ECG and Respiration by Impedance Method Problems
• SpO
Problems
2
• NIBP Problems
• Temperature Problems
• Other Vital Sign Input Problems
• Option Problems
• Recording Problems
If these sections do not solve the problem, contact your Nihon Kohden
representative.
NOTE
Before contacting your Nihon Kohden representative for technical
support, please provide additional detailed information on the problem.
This will allow your Nihon Kohden representative to provide you with
the best support.
How to use the troubleshooting table
1. Determine which troubleshooting table to use.
2. In the “Problem” column, find the trouble item that matches the problem.
3. Do the action recommended in the “Action” column.
4. If the problem is not solved, do the action for the next possible cause or
criteria.
5. If none of the actions solve the problem, contact your Nihon Kohden
representative.
Service Manual BSM-23002.1
2. TROUBLESHOOTING
Power-Related Problems
ProblemPossible Cause/CriteriaAction
The instrument is not
turned on and AC
power lamp does not
light in AC power
operation.
The instrument is not
turned on but AC
power lamp lights in
AC power operation.
The instrument is not
turned on and the
battery power lamp
does not light in DC
power operation.
DC power operation
time is shorter than
expected.
Power switch is not
operational.
No AC power input.Check the AC power input.
One or both AC inlet fuses is blown.Remove the cause of the blown fuse, then
Faulty connection between CN0401 on the
MAIN board and power supply unit.
Faulty power supply unit.
Faulty connection between CN0202 on the
MAIN board and CN101 on the Operation
board or between CN102 on the Operation
board and CN103 on the Power SW board.
Faulty MAIN board.Replace the MAIN board with a new one.
Faulty Power SW board.
Faulty Power SW board.
Faulty MAIN board.Replace the MAIN board with a new one.
The battery is discharged.Charge the battery before use.
The battery is damaged or near the end of its
life (about 1 year).
Faulty connection between CN0202 on the
MAIN board and CN101 on the Operation
board or between CN102 on the Operation
board and CN103 on the Power SW board.
Faulty MAIN board.Replace the MAIN board with a new one.
The battery is near the end of its life (about 1
year).
The battery has had “memory effect” in which
its charge capacity is decreased by frequent
incomplete discharging and charging.
Faulty battery charger circuit.Replace the MAIN board with a new one.
Faulty Power SW board.Replace the Power SW board.
Faulty MAIN board.Replace the MAIN board.
replace the fuse with a new one.
Check the connection.
Replace the power supply unit with a new
one.
Check the connection.
Replace the Power SW board with a new
one.
Replace the Power SW board with a new
one.
Replace the battery with a new one.
Check the connection.
Replace the battery with a new one.
To clear this “memory effect”, fully
discharge the battery and then fully charge
it a few times.
Replace the battery with a new one.
2.2Service Manual BSM-2300
2. TROUBLESHOOTING
Display Problems
ProblemPossible Cause/CriteriaAction
No display and the backlight does not light.
No display, but the backlight lights.
The characters or waveforms are distorted.Faulty MAIN board.Replace the MAIN board.
The display is dim and the brightness control
does not make it brighter.
The Diagnostic Check screen appears in the
monitor mode and “OK” is displayed at the
POWER ON CHECK RESULT.
The Diagnostic Check screen appears in the
monitor mode and an error message is
displayed at the POWER ON CHECK
RESULT. Refer to “Power On Self Check” in
Section 3.
The screen with a “Check Program Running”
message does not change to the next screen
after the power is turned on.
System error information appears at the upper
left corner on the screen in the monitor mode
and the instrument restarts.
More than 6 pixels on the screen do not light
or have abnormal color. Note that up to 6
pixels with such a problem is considered
normal.
No waveform is displayed but the connection
cord for each vital sign is recognized.
No waveform is displayed and the connection
cord for each vital sign is not recognized.
Faulty connection between CN0802
on the MAIN board and inverter.
Faulty connection between inverter
and LCD unit.
Faulty inverter board.Replace the inverter board.
Faulty backlight lamps.Replace the backlight lamps.
Faulty connection between CN1001
on the MAIN board and LCD unit.
Faulty LCD unit.Replace the LCD unit.
Faulty MAIN board.Replace the MAIN board.
Battery operation.Set the POWER SAVE MODE
Dirt on the touch screen (inside or
outside).
The backlight lamps are near the end
of its useful life (50,000 hours of
operation).
Faulty connection between CN0802
on the MAIN board and inverter
board.
Faulty Operation board.Replace the Operation board.
Faulty MAIN board.Replace the MAIN board.
Faulty MAIN board.Replace the MAIN board.
Faulty Analog board.Replace the Analog board.
Interference such as electrostatic
discharge temporarily breaks the
program data.
Faulty MAIN board.Replace the MAIN board.
Faulty Analog board.Replace the Analog board.
Faulty MAIN board.Replace the MAIN board.
Faulty LCD unit.Replace the LCD unit.
Faulty MAIN board.Replace the MAIN board.
Refer to each vital sign
troubleshooting section.
Check the connections.
Check the connections.
Check the connection.
to OFF on the SYSTEM SETUP
screen.
Clean the surface of touch
screen.
Replace the backlight lamps.
Check the connection.
Perform the system initialization.
Refer to each vital sign
troubleshooting section.
Service Manual BSM-23002.3
2. TROUBLESHOOTING
Sound Problems
ProblemPossible Cause/CriteriaAction
No sound.
No sound, except for a
hissing sound.
The sound is muffled or
distorted.
Faulty connection between CN0107 on the
NIBP board and the speaker.
Faulty speaker.Replace the speaker.
Faulty audio circuit on the MAIN board.Replace the MAIN board.
Faulty audio circuit on the MAIN board.Replace the MAIN board.
Faulty speaker.Replace the speaker.
Something foreign blocks the speaker
vents or touches the speaker.
The speaker is wrongly attached.Attach the speaker correctly.
Check the connection.
Remove the foreign matter.
Key Operation Problems
ProblemPossible Cause/CriteriaAction
No key on the front panel
works.
A specified key on the
operation panel does not
work.
The workable key area
does not match the key
display on the screen.
Touch screen does not
work.
Faulty connection between CN101 on the
Operation board and CN0202 on the MAIN
board.
Faulty MAIN board.Replace the MAIN board.
Faulty Operation board.Replace the Operation board.
Faulty connection between CN101 on the
Operation board and CN0202 on the MAIN
board.
Faulty Operation board.Replace the Operation board.
Faulty MAIN board.Replace the MAIN board.
Incorrect calibration of the touch screen.Calibrate the touch screen positioning.
Faulty MAIN board.Check the MAIN board.
Faulty touch screen.Check the touch screen.
The key function on
the entire screen does
not work.
The key function on a
partial screen such as
upper half screen does
not work
Check the connection.
Replace the connection cable.
Faulty connection
between the touch
screen and CN0701
on the Connection
board.
Faulty MAIN board.
Faulty touch screen.
Faulty touch screen.Replace the touch screen.
Check the connection.
Replace the MAIN board.
Replace the touch screen.
2.4Service Manual BSM-2300
2. TROUBLESHOOTING
ECG and Respiration by Impedance Method Problems
ProblemPossible Cause/CriteriaAction
ATTACH ELECTRODES
message is displayed even
after each electrode contact
part of the electrode lead is
short-circuited.
The setting, Number of electrodes, is set to a
higher number than the actual number of the
electrodes.
The electrode lead, ECG connection cord or
patient cable is faulty.
Faulty Analog board.
The contact between the patient’s skin and
electrode is poor or gel of the electrode is dry.
An electric blanket is used on or near the
patient.
Set the number of electrodes correctly.
Replace the accessory with a new one.
Replace the Analog board with a new
one.
Replace all the electrodes with new
ones.
Cover the blanket with a shielding
sheet.
Hum (line frequency noise)
is on the ECG waveform.
The time constant setting
cannot be changed.
Pacing spike is not
detected.
The ECG waveform is
displayed with a different
ECG sensitivity from the
sensitivity setting.
Monitoring lead setting
cannot be changed.
Respiration waveform is
not displayed.
Respiration rate is wrong.
ECG waveform and
respiration waveform are
mixed.
Respiration waveform is
saturated and does not
return to the baseline
position but the sensitivity
is not too high.
The instrument uses the AC outlet connected
to a equipment which has noise source.
The ground wire of the power cord has a poor
contact between the instrument and ground
facility or the ground facility is poor.
FILTERS on the ECG window is set to OFF.Set the FILTERS to on.
Faulty Analog board.Replace the Analog board.
Faulty connection between the MAIN board
and Analog board.
Faulty Analog boardReplace the Analog board.
PACING DETECTION on the ECG window
is set to OFF.
Faulty Analog board.Replace the Analog board.
Faulty connection between the MAIN board
and Analog board.
Faulty Analog board.Replace the Analog board.
Faulty connection between the MAIN board
and Analog board.
Faulty Analog board.Replace the Analog board.
Electrode, electrode lead, ECG connection
cord or patient cable is faulty if the ECG
waveform on the screen has something
wrong.
When “RESP OFF” message is displayed on
the screen, IMP RESP MEASURE on the
RESP window is set to OFF.
Faulty Analog board.Replace the Analog board.
The respiration waveform amplitude is too
small to count the respiration rate.
Faulty Analog board.Replace the Analog board.
Faulty Analog board.Replace the Analog board.
Faulty Analog board.Replace the Analog board.
Use a different AC outlet.
Check which part is not grounded and
remove the cause.
Check the connection.
Set the DETECTION to ON.
Check the connection.
Check the connection.
Replace the accessory with a new one.
Set the IMP RESP MEASURE to ON.
Change the sensitivity so that the
amplitude is larger than 10 mm on the
screen.
Service Manual BSM-23002.5
2. TROUBLESHOOTING
SpO2 Problems
ProblemPossible Cause/CriteriaAction
CHANGE PROBE
message is displayed.
There is no change on the
screen when you connect
the SpO
to the SpO
instrument.
DETECTING PULSE
message is displayed.
2 connection cord
2 socket on the
The probe is expired, damaged or defective.
Faulty SpO
Temperature and IBP can
be measured.
Temperature and IBP
cannot be measured.
The probe attachment site is not changed or the
probe is not replaced with a new one.
2 connection cord.
Faulty Analog board
Faulty Analog board or
MAIN board.
Replace the probe with a new
one.
Replace the connection cord with
a new one.
Replace the Analog board with a
new one.
Replace the faulty board with a
new one.
Change the probe site or replace
the probe with a new one.
CANNOT DETECT
message is displayed.
The probe attachment site
is changed or replaced
with a new one.
The probe attachment site is not changed or the
probe is not replaced with a new one.
The probe attachment site
is changed or replaced
with a new one.
Faulty Analog board.Replace the Analog board with a
Faulty Analog board.Replace the Analog board with a
new one.
Change the probe site or replace
the probe with a new one.
new one.
2.6Service Manual BSM-2300
Non-invasive Blood Pressure Problems
ProblemPossible Cause/CriteriaAction
NIBP MODULE ERROR
message is displayed.
NIBP SAFETY
CIRCUIT RUNNING
message is displayed.
AIR LEAK message is
displayed.
There is no change on the
screen when you connect
the air hose to the NIBP
socket on the instrument.
NIBP measurement data
on the screen is wrong.
The cuff does not inflate
when you press the NIBP
START/STOP key.
Faulty NIBP board.Replace the NIBP board with a new one.
Air hose is bent.Check the air hose.
One of the internal air tubes between the
NIBP board and NIBP socket is pinched.
Faulty NIBP board.Replace the NIBP board with a new one.
Cuff or air hose has an air leak.
One of the internal air tubes between the
NIBP board and NIBP socket is loose or
disconnected if the cuff is not inflated
when the NIBP pump sounds like it’s
moving.
Faulty NIBP board.Replace the NIBP board with a new one.
The air hose connector is faulty.Replace the air hose with a new one.
The connection cable between the Hall
Sensor board and NIBP board is
disconnected or faulty.
The connection cable between the NIBP
board and MAIN board is disconnected or
faulty.
Faulty Hall Sensor board, NIBP board or
MAIN board.
A wrong cuff size is used or the condition
of the cuff wrapped around the patient’s
arm is not correct.
Faulty NIBP board.Replace the NIBP board with a new one.
If a message is displayed on the screen,
follow the message to solve the problem.
The Operation board or MAIN board is
faulty or the cable between the Operation
and MAIN boards or between the MAIN
and NIBP boards is disconnected or faulty.
Faulty NIBP boardReplace the NIBP board with a new one.
2. TROUBLESHOOTING
Check the internal air tube connection.
Replace the cuff or air hose with a new
one.
Check the internal air tube connection.
Replace the faulty component with a new
one if damaged.
Tightly connect the cable between the
boards. Replace the cable with a new one if
faulty.
Tightly connect the cable between the
boards. Replace the cable with a new one if
faulty.
Replace the faulty board with a new one.
Check the cuff size and the wrapping
condition. Replace the cuff with a new one
I f necessary.
Refer to ERROR MESSAGES AND
TROUBLESHOOTING section in the
operator’s manual.
Replace the faulty board or cable with a
new one. Tightly connect the cable
between the two boards.
Service Manual BSM-23002.7
2. TROUBLESHOOTING
Temperature Problems
ProblemPossible Cause/CriteriaAction
The temperature value is
not displayed.
The temperature value is
wrong.
Faulty temperature probe.Replace the probe with a new one.
Faulty Analog board.Replace the Analog board with a new one.
Faulty temperature probe.Replace the probe with a new one.
Faulty Analog board.Replace the Analog board with a new one.
2.8Service Manual BSM-2300
Other Vital Sign Input Problems
ProblemPossible Cause/CriteriaAction
There is no change on the
screen when you connect
the connection cord to
the multi-parameter
socket on the instrument.
MPU MODULE ERROR
message is displayed.
MPU FAILURE message
is displayed.
Invasive blood pressure
cannot be measured.
CHECK SENSOR
message is displayed
during the invasive blood
pressure measurement.
Invasive blood pressure
values are wrong.
Respiration by thermistor
method cannot be
measured.
Thermistor method
respiration waveform has
something wrong on the
screen.
CO2 cannot be measured.
CO2 measurement data
on the screen is wrong.
Faulty connection cord.
Faulty Analog board.Replace the Analog board with a new one.
The connection between the MAIN board
and Analog board is disconnected or faulty
if this message always appears even after
the instrument is turned off and on again.
The Analog board is faulty if this message
sometimes appears after the instrument is
turned off and on again.
Faulty Analog board.Replace the Analog board with a new one.
Faulty blood pressure transducer.
Faulty connection cord.
Faulty Analog board or IBP board*.
Faulty blood pressure transducer.
Faulty connection cord.
Faulty Analog board.Replace the Analog board with a new one.
Faulty blood pressure transducer.
Faulty connection cord.
Faulty Analog board or IBP board*.
Faulty respiration pickup (thermistor
probe).
Faulty Analog board.Replace the Analog board with a new one.
Faulty respiration pickup (thermistor
probe).
Faulty Analog board.Replace the Analog board with a new one.
Faulty CO2 sensor.Replace the CO2 sensor with a new one.
Faulty CO2 adapter.Replace the CO2 adapter with a new one.
Faulty Analog board.Replace the Analog board.
Faulty CO2 sensor.Replace the CO2 sensor with a new one.
Faulty CO
2 adapter.Replace the CO2 adapter with a new one.
2. TROUBLESHOOTING
Replace the connection cord with a new
one.
Check the connection. Replace the faulty
board with a new one if the connection is
faulty.
Replace the Analog board with a new one.
Replace the blood pressure transducer with
a new one.
Replace the connection cord with a new
one.
Replace the Analog board or IBP board*
with a new one.
Replace the blood pressure transducer with
a new one.
Replace the connection cord with a new
one.
Replace the blood pressure transducer with
a new one.
Replace the connection cord with a new
one.
Replace the Analog board or IBP board*
with a new one.
Replace the pickup with a new one.
Replace the pickup with a new one.
* BSM-2301 has no IBP board.
Service Manual BSM-23002.9
2. TROUBLESHOOTING
Option Problems
ProblemPossible Cause/CriteriaAction
The instrument
does not transmit
the patient’s data at
all with the
optional transmitter
ZB-900P.
The instrument has
no communication
with the other
bedside monitors
and central
monitors.
The transmitter cable is disconnected from the
instrument.
ZB-800P transmitter is erroneously connected to
the instrument.
The channel for the transmitter is not set at the
central monitor or telemetry system.
Faulty transmitter, Analog board or MAIN board.
The optional QI-101P network card is not
installed into the instrument.
The network
communicating
symbol does
not appear on
the screen.
The network card is poorly
inserted into the slot of the
instrument.
The network cable such as
10Base-T cable is poorly
connected between the network
card and hub.
The hub connected to the
instrument is not turned on or
is faulty.
The instrument is connected to
the hub with 10Base-T cross
wiring cable.
The instrument is directly
connected to the central
monitor with 10Base-T straight
wiring cable.
The network cable is faulty.Replace the network cable with a new one.
The network card or MAIN
board is faulty.
Tightly connect the transmitter to the
instrument.
Use ZB-900P transmitter.
Set the channel correctly at the central
monitor or telemetry system.
Replace the faulty transmitter or board
with a new one.
Insert the network card into the slot of the
instrument completely.
Tightly insert the network card into the
slot.
Tightly connect the network cable between
the network card and hub.
Turn on the hub. Replace the hub with a
new one if the problem still exists after the
power is turned on.
Use the correct wiring 10Base-T cable.
Replace the faulty network card or MAIN
board with a new one.
2.10Service Manual BSM-2300
Recording Problems
ProblemPossible Cause/CriteriaAction
Recording paper
does not feed
properly.
For page-dependent
recording such as
trendgraph and vital
sign list, the
recording does not
start at the top of the
page
The recorded data
such as waveform
and grid has a faint
part on the paper.
There is missing dots
on the recorded data.
Straight line is
recorded at the same
position on the paper.
There is different
contrast between the
upper half and lower
half of the paper.
Recording mark
does not appear
on the screen
when the record
key is pressed.
Paper magazine
open mark
appears on the
screen.
Out of paper mark
appears on the
screen.
Recording can be
performed when
the paper is
manually pulled
out after the
record key is
pressed.
Wrong position of the recording paper in the magazine.
Paper other than Nihon Kohden is used.Use the Nihon Kohden paper.
Detector for the black square on the paper is dirty.Clean the detector.
Work-up is adhered to the thermal array head.Clean the head.
Paper other than Nihon Kohden is used.Use the Nihon Kohden paper.
Platen roller has a damage or is deformed.Replace the roller.
The supply voltage for thermal array head (+24 V DC)
becomes a lower voltage.
Faulty thermal array head if the dots are missed at the
same position on the paper after the head is cleaned.
Faulty thermal array head.Replace the head.
The thermal array head is incompletely attached to the
recorder unit.
2. TROUBLESHOOTING
Faulty connection between CN104
on the REC Power board and REC
Key board or between the REC
Power and REC MAIN boards.
Faulty REC Key board.Replace the REC Key board.
Faulty REC MAIN board.Replace the REC MAIN board.
Faulty connection between the
monitor and recorder module.
Faulty connection between the
REC Power board and recorder
unit.
Faulty magazine position sensing
micro switch of the recorder unit.
Faulty REC Power board.Replace the REC Power board.
Faulty REC MAIN board.Replace the REC MAIN board.
Faulty connection between the
REC Power board and recorder
unit.
Faulty paper detector (LED and
phototransistor assy) of the reorder
unit.
Faulty REC Power board.Replace the REC Power board.
Faulty REC MAIN board.Replace the REC MAIN board.
Faulty connection between the
REC Power board and recorder
unit.
Faulty paper drive motor of the
recorder unit.
Faulty REC Power board.Replace the REC Power board.
Faulty REC MAIN board.Replace the REC MAIN board.
Check the connection and replace
the connection cable with a new
one if necessary.
Check the connection.
Check the connection and replace
the connection cable with a new
one if necessary.
Replace the micro switch. Refer
to Section 8 “Replaceable Parts
List”.
Check the connection and replace
the connection cable with a new
one if necessary.
Replace the paper detector. Refer
to Section 8 “Replaceable Parts
List”.
Check the connection and replace
the connection cable with a new
one if necessary.
Replace the motor. Refer to
Section 8 “Replaceable Parts
List”.
Load the paper into the magazine
correctly.
Replace the REC Power board.
Replace the head.
Attach the head correctly.
Service Manual BSM-23002.11
2. TROUBLESHOOTING
ProblemPossible Cause/CriteriaAction
The paper speed is
unstable and waveform
is compressed or
extended on time scale.
Abnormally loud
rotating sound of the
paper drive motor
No recording on the
paper
Dirty gear or platen roller.Clean the gear and platen roller.
Faulty gear or platen roller.Replace the faulty one.
Unstable turn of the
paper drive motor
Faulty gear or platen rollerReplace the faulty one.
The heat-sensitive side of the paper is not faced to
the thermal array head.
Paper other than Nihon Kohden is used.Use the Nihon Kohden paper.
Faulty connection between the REC Power board
and recorder unit.
The supply voltage for thermal array head (+24 V
DC) becomes a lower voltage.
Faulty thermal array head.Replace the head.
Faulty REC Power board.Replace the REC Power board.
Faulty motor or recorder
unit.
Replace the motor or recorder
unit.
Load the paper into the magazine
correctly.
Check the connection and replace
the connection cable with a new
one if necessary.
Replace the REC Power board.
2.12Service Manual BSM-2300
QI-231P Interface Problems
ProblemPossible Cause/CriteriaAction
QRS synchronous signal
HT is not output but the
ECG lamp is lit.
Alarm trigger signal is
not output but the ECG
lamp is lit.
ECG analog signal is not
output but the TRIG
lamp is lit.
The ECG lamp and TRIG
lamp are not lit
An external display
connected to the QI-231P
interface does not display
any screen.
When the QI-231P is
attached to the bedside
monitor, its operation is
wrong.
The output setting is wrong.
The output setting is wrong.
The output setting is wrong.
The cable of the QI-231P interface has a
poor contact to the bedside monitor.
The QI-231P has a malfunction.
The cable of the QI-231P interface has a
poor contact between the bedside
monitor and external display.
The display requires the different
specification from the RGB signals of
the bedside monitor.
The QI-231P has a malfunction.
The QI-231P has a malfunction.
2. TROUBLESHOOTING
Select the QRS SYNC SIGNAL at the
EXTERNAL OUTPUT of the OTHER
SETUP items in the SYSTEM SETUP
settings.
Select the ALARM CRISIS or ALARM
CRISIS & WARNING at the EXTERNAL
OUTPUT of the OTHER SETUP items in the
SYSTEM SETUP settings.
Select the ECG ANALOG OUT at the
EXTERNAL OUTPUT of the OTHER
SETUP items in the SYSTEM SETUP
settings.
Check the connection between the bedside
monitor and interface.
Replace the IO ANALOG OUT board with a
new one.
Check the connection from the bedside
monitor to the external display through the
interface.
Select an external display which matches the
RGB signal specification of the bedside
monitor.
Replace the IO ANALOG OUT board with a
new one.
Replace the IO ANALOG OUT board with a
new one.
QI-236P Interface Problems
ProblemPossible Cause/CriteriaAction
QRS synchronous signal
HT is not output.
ECG analog signal is not
output.
An external display
connected to the bedside
monitor through this
interface does not
display any screen.
When this interface is
attached to the bedside
monitor, the bedside
monitor’s operation
becomes wrong.
No QRS wave is detected at this
interface.
The connection between the bedside
monitor and interface is poor.
The connection between the bedside
monitor and interface is poor.
This interface has a poor contact
between the bedside monitor and
external display.
The RGB signal requirement of the
external display does not match the
RGB signal specification of the
bedside monitor.
This interface has a malfunction.
This interface has a malfunction.
Adjust the ECG sensitivity at the bedside
monitor.
Firmly connect the cable of this interface to
the AUX socket of the bedside monitor.
Firmly connect the cable of this interface to
the AUX socket of the bedside monitor.
Check the connection from the bedside
monitor to the external display through this
interface.
Select an external display which matches the
RGB signal specification of the bedside
monitor.