Nihon Kohden BSM-6000 User manual

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Administrator’s Guide

Bedside Monitor

BSM-6301/BSM-6501/BSM-6701

BSM-6000 series BSM-6301A BSM-6301K BSM-6501A BSM-6501K BSM-6701A BSM-6701K

0614-901238G

If you have any comments or suggestions on this manual, please contact us at: www.nihonkohden.comwww.nihonkohden.com

The entire contents of this manual are copyrighted by Nihon Kohden. All rights are reserved. No part of this document

may be reproduced, stored, or transmitted in any form or by any means (electronic, mechanical, photocopied, recorded,

or otherwise) without the prior written permission of Nihon Kohden.

Trademark

The mark printed on the SD card that is used in this instrument is a trademark. The company name and model name are

trademarks and registered trademarks of each company.

Contents

GENERAL HANDLING PRECAUTIONS ............................................................................. i

WARRANTY POLICY ......................................................................................................... ii

EMC RELATED CAUTION .................................................................................................iii

Conventions Used in this Manual and Instrument ............................................................. v

Warnings, Cautions and Notes ................................................................................ v

Related Documentation ...................................................................................................... v

Safety Standards ............................................................................................................... vi

Section 1 Installation/Connection ........................................................ 1.1

Installation Conditions ......................................................................................................1.2

Optional Cart for the Bedside Monitor ................................................................... 1.3

Optional Wall Mount Kit for the Bedside Monitor ................................................... 1.3

Installation Flowchart ....................................................................................................... 1.4

Installing the Optional Units to the Monitor and Connecting External Instruments .......... 1.5

Connection Overview.............................................................................................1.8

Attaching the AA-672P or AA-674P Smart Expansion Unit to the AY series

Input Unit ............................................................................................................... 1.9

Mounting the AY series Input Unit onto the Monitor .............................................. 1.9

Using an Optional Handle .........................................................................1.10

Attaching the ZS-900P Transmitter ...................................................................... 1.10

Installing the WS-671P Recorder Module ............................................................1.11

Installing the QI-631P, QI-632P, QI-634P, QI-671P or QI-672P Interface ............1.11

Connecting the Mouse .........................................................................................1.12

Connecting the Bar Code Reader .......................................................................1.12

Connecting the JA-690PA or JA-694PA Data Acquisition Unit ............................ 1.13

Connecting External Instruments ........................................................................1.14

Connecting a GF-110PA or GF-210R Multigas Unit, GF-120PA or

GF-220R Multigas/Flow Unit or AE-918P Neuro Unit ................................1.14

Connecting an External Instrument Using a QF Series Interface or IF

Series Communication Cable .................................................................... 1.15

Connecting a Sub Display ................................................................................... 1.15

Connecting the Power Cord and Grounding Lead ......................................................... 1.17

General ................................................................................................................ 1.17

Connecting the Power Cord ................................................................................. 1.17

Grounding the Monitor ......................................................................................... 1.18

Connecting the Monitor to the Network .........................................................................1.19

Connecting the QW-100Y (HIT-100) Hyper Isolation Transformer ....................... 1.20

Connecting the QI-320PA Wireless LAN Station ................................................. 1.20

Turning the Power On/Off ..............................................................................................1.21

Check Before Turning On the Power ....................................................................1.21

Turning the Power On .......................................................................................... 1.21

Check After Turning On the Power and During Monitoring .................................. 1.22

Monitor Status on Power Interruption ..................................................................1.23

Turning the Power Off .......................................................................................... 1.23

Administrator’s Guide BSM-6000 C.1

C.2 Administrator’s Guide BSM-6000

CONTENTS

Check After and Before Turning the Power Off .................................................... 1.24

Setting the Bar Code Reader .........................................................................................1.25

Scanning the Bar Code Reader Settings ............................................................. 1.25

Initializing the Bar Code Reader .......................................................................... 1.26

Checking the Bar Code Reader Operation .......................................................... 1.26

Calibrating the Touch Screen ......................................................................................... 1.27

Using ECG/BP Output as the Synchronous Signal .......................................................1.28

Section 2 Changing SYSTEM CONFIGURATION Screen Settings .... 2.1

Overview .......................................................................................................................... 2.2

Setting Items on the SYSTEM CONFIGURATION Screen .................................... 2.2

Displaying the SYSTEM CONFIGURATION Screen ............................................. 2.3

Closing the SYSTEM CONFIGURATION Screen .................................................. 2.5

SITE Window ................................................................................................................... 2.6

NETWORK Window ......................................................................................................... 2.7

UNITS Window ................................................................................................................ 2.8

TRANSPORT Window ..................................................................................................... 2.9

PC Window .................................................................................................................... 2.11

CHANGE PASSWORD Window .................................................................................... 2.12

OTHER Window ............................................................................................................. 2.13

Initializing the Monitor .................................................................................................... 2.14

Section 3 Changing SYSTEM SETUP Window Settings ..................... 3.1

Overview .......................................................................................................................... 3.3

Setting Items on the SYSTEM SETUP Window .................................................... 3.3

Displaying the SYSTEM SETUP Window .............................................................. 3.8

Closing the SYSTEM SETUP Window .................................................................. 3.9

The INFO Page of the INFO Window ..................................................................3.10

The CONFIGURATION Page of the INFO Window ............................................. 3.10

The MAINTENANCE Page of the INFO Window ................................................. 3.11

BATTERY Tab ............................................................................................ 3.11

LOAD/SAVE SETTINGS Tab ..................................................................... 3.11

SYSTEM Window .......................................................................................................... 3.12

DISPLAY Page .....................................................................................................3.12

LAYOUT Page ......................................................................................................3.13

VOLUME Page ....................................................................................................3.15

BED ID Window ............................................................................................................. 3.17

PARAMETERS Window ................................................................................................. 3.18

ECG Page ............................................................................................................3.18

NIBP Page ........................................................................................................... 3.20

NIBP MODE Page ............................................................................................... 3.21

STAT Tab ....................................................................................................3.21

SIM Tab .....................................................................................................3.21

INTERVAL Tab ........................................................................................... 3.22

VENOUS PUNCTURE Tab ........................................................................ 3.23

INITIAL CUFF PRESS Tab ........................................................................ 3.23

CO2 Page .............................................................................................................3.24

CONTENTS

GAS Page ............................................................................................................3.24

MAINTENANCE Tab .................................................................................. 3.24

SETTINGS Tab .......................................................................................... 3.25

INFO Tab ................................................................................................... 3.26

FLOW/Paw Page ................................................................................................. 3.26

CAL Tab ..................................................................................................... 3.26

SETTINGS Tab .......................................................................................... 3.27

MAINTENANCE Tab .................................................................................. 3.27

INFO Tab ................................................................................................... 3.28

EEG Page ............................................................................................................3.28

OTHER PARAM Page ..........................................................................................3.29

ALARM Window .............................................................................................................3.31

SILENCE/SUSPEND Page ..................................................................................3.31

DISPLAY/SOUND Page .......................................................................................3.33

ALARM PRIORITY Page ..................................................................................... 3.34

ARRHYTH PRIORITY Page ................................................................................ 3.35

TECHNICAL PRIORITY Page ............................................................................. 3.36

SLEEP Page ........................................................................................................3.37

COLOR Window ............................................................................................................ 3.38

RECORD Window ..........................................................................................................3.40

RECORDER Page ............................................................................................... 3.40

PRINTER Page ....................................................................................................3.41

Using Network Printer ...............................................................................3.42

MASTER Window .......................................................................................................... 3.45

MAIN ALARMS/ECG ALARMS/PRESS ALARMS/TEMP ALARMS/GAS

ALARMS/OTHER ALARMS Pages ......................................................................3.45

ARRHYTH Page .................................................................................................. 3.46

RY-910P/MOUSE Window ............................................................................................. 3.48

KEYS Window ................................................................................................................3.49

Section 4 Reference ............................................................................... 4.1

Factory Default Settings ................................................................................................... 4.2

SYSTEM CONFIGURATION Screen ..................................................................... 4.2

SYSTEM SETUP Window ..................................................................................... 4.3

General Requirements for Connecting Medical Electrical Systems ............................... 4.15

Connector Pin Assignment ............................................................................................ 4.16

MU-631R/MU-651R/MU-671R Main Unit ............................................................ 4.16

QI-631P Interface ................................................................................................ 4.16

QI-632P Interface ................................................................................................ 4.17

QI-634P Interface ................................................................................................ 4.17

QI-671P Interface ................................................................................................ 4.18

QI-672P Interface ................................................................................................ 4.19

AY-631P/AY-633P/AY-651P/AY-653P/AY-661P/AY-663P/AY-671P/AY-673P

Input Unit ............................................................................................................. 4.20

Check Sheet for Unit Settings ........................................................................................4.21

Administrator’s Guide BSM-6000 C.3

GENERAL HANDLING PRECAUTIONS

This device is intended for use only by qualiﬁed medical personnel. Use only Nihon Kohden approved products with this device. Use of non-approved products or in a non-approved manner may affect the performance speciﬁcations of the device. This includes, but is not limited to, batteries, recording paper, pens, extension cables, electrode leads, input boxes and AC power.

Please read these precautions thoroughly before attempting to operate the instrument.

1. To safely and effectively use the instrument, its operation must be fully understood.

2. When installing or storing the instrument, take the following precautions:

(1) Avoid moisture or contact with water, extreme atmospheric pressure, excessive humidity and temperatures, poorly

ventilated areas, and dust, saline or sulphuric air.

 (2) Placetheinstrumentonaneven,leveloor.Avoidvibrationandmechanicalshock,evenduringtransport.

(3) Avoid placing in an area where chemicals are stored or where there is danger of gas leakage.

(4) The power line source to be applied to the instrument must correspond in frequency and voltage to product

  specications,andhavesufcientcurrentcapacity.

(5) Choose a room where a proper grounding facility is available.

3. Before Operation

(1) Check that the instrument is in perfect operating order.

(2) Check that the instrument is grounded properly.

(3) Check that all cords are connected properly.

(4) Pay extra attention when the instrument is combined with other instruments to avoid misdiagnosis or other

problems.

(5) All circuitry used for direct patient connection must be doubly checked.

(6) Check that battery level is acceptable and battery condition is good when using battery-operated models.

4. During Operation

(1) Both the instrument and the patient must receive continual, careful attention.

(2) Turn power off or remove electrodes and/or transducers when necessary to assure the patient’s safety.

(3) Avoid direct contact between the instrument housing and the patient.

5. To Shutdown After Use

(1) Turn power off with all controls returned to their original positions.

(2) Remove the cords gently; do not use force to remove them.

(3) Clean the instrument together with all accessories for their next use.

6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument is

not functioning properly, it should be clearly marked to avoid operation while it is out of order.

7. Theinstrumentmustnotbealteredormodiedinanyway.

8. Maintenance and Inspection

(1) The instrument and parts must undergo regular maintenance inspection at least every 6 months.

(2) If stored for extended periods without being used, make sure prior to operation that the instrument is in perfect

operating condition.

Administrator’s Guide BSM-6000 i

(3) Technical information such as parts list, descriptions, calibration instructions or other information is available for

 qualiedusertechnicalpersonneluponrequestfromyourNihonKohdendistributor.

9. When the instrument is used with an electrosurgical instrument, pay careful attention to the application and/or

location of electrodes and/or transducers to avoid possible burn to the patient.

10. Whentheinstrumentisusedwithadebrillator,makesurethattheinstrumentisprotectedagainstdebrillator

discharge. If not, remove patient cables and/or transducers from the instrument to avoid possible damage.

WARRANTY POLICY

Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and workmanship for one year

from the date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are excluded

from the warranty.

NKC or its authorized agents will repair or replace any products which prove to be defective during the warranty period,

provided these products are used as prescribed by the operating instructions given in the operator’s and service manuals.

No other party is authorized to make any warranty or assume liability for NKC’s products. NKC will not recognize any

otherwarranty,eitherimpliedorinwriting.Inaddition,service,technicalmodicationoranyotherproductchange

performed by someone other than NKC or its authorized agents without prior consent of NKC may be cause for voiding

this warranty.

Defective products or parts must be returned to NKC or its authorized agents, along with an explanation of the failure.

Shipping costs must be pre-paid.

Thiswarrantydoesnotapplytoproductsthathavebeenmodied,disassembled,reinstalledorrepairedwithoutNihon

Kohdenapprovalorwhichhavebeensubjectedtoneglectoraccident,damageduetoaccident,re,lightning,vandalism,

waterorothercasualty,improperinstallationorapplication,oronwhichtheoriginalidenticationmarkshavebeen

removed.

In the USA and Canada other warranty policies may apply.

CAUTION

United States law restricts this product to sale by or on the order of a physician.

ii Administrator’s Guide BSM-6000

EMC RELATED CAUTION

This equipment and/or system complies with IEC 60601-1-2 International Standard for electromagnetic

compatibility for medical electrical equipment and/or system. However, an electromagnetic environment

that exceeds the limits or levels stipulated in IEC 60601-1-2, 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. Keep the emitter source such as cellular phone

away from the equipment and/or system, or turn off the cellular phone.

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.

5. Interference of lightning:

When lightning occurs near the location where the equipment and/or system is installed, it may induce

an excessive voltage in the equipment and/or system. In such a case, disconnect the AC power cord

from the equipment and/or system and operate the equipment and/or system by battery power, or use

an uninterruptible power supply.

6. Use with other equipment:

When the equipment and/or system is adjacent to or stacked with other equipment, the equipment

and/or system may affect the other equipment. Before use, check that the equipment and/or system

operates normally with the other equipment.

7. Use of unspeciﬁed accessory, transducer and/or cable:

When an unspeciﬁed accessory, transducer and/or cable is connected to this equipment and/or system,

it may cause increased electromagnetic emission or decreased electromagnetic immunity. The speciﬁed

conﬁguration of this equipment and/or system complies with the electromagnetic requirements with the

speciﬁed conﬁguration. Only use this equipment and/or system with the speciﬁed conﬁguration.

Administrator’s Guide BSM-6000 iii

Caution - continued

8. Use of unspeciﬁed conﬁguration:

When the equipment and/or system is used with the unspeciﬁed system conﬁguration different than

the conﬁguration of EMC testing, it may cause increased electromagnetic emission or decreased

electromagnetic immunity. Only use this equipment and/or system with the speciﬁed conﬁguration.

9. Measurement with excessive sensitivity:

The equipment and/or system is designed to measure bioelectrical signals with a speciﬁed sensitivity. If

the equipment and/or system is used with excessive sensitivity, artifact may appear by electromagnetic

interference and this may cause mis-diagnosis. When unexpected artifact appears, inspect the

surrounding electromagnetic conditions and remove this artifact source.

If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden distributor or

representative for additional suggestions.

In IEC 60601-1-2 Medical Electronic Equipment, Part 1: General Requirements for Safety, 2. Collateral

Standard: Electromagnetic compatibility-Requirements and test. Section 36. 202. 2 Radiated radio-

frequency electromagnetic ﬁelds, PATIENT COUPLED EQUIPMENT and/or SYSTEMS applicable

IMMUNITY test methods are under consideration at SC62A/WG13. The 3 V/m IMMUNITY level may be

inappropriate especially when measuring SpO2 because physiological signals can be much smaller than

those induced by a 3 V/m electromagnetic ﬁeld.

When measuring SpO2, various interference may produce false waveforms which look like pulse

waveforms. SpO2 value and pulse rate may be measured from these false waveforms, causing the alarm to

function improperly.

When installing the monitor, avoid locations where the monitor may receive strong electromagnetic

interference such as radio or TV stations, cellular phone or mobile two-way radios.

WARNING

Interaction Between Minute Ventilation Rate-Adaptive Pacemakers and Cardiac Monitoring and Diagnostic

Equipment*

The bioelectric impedance measurement sensor of a minute ventilation rate-adaptive implantable

pacemaker may be affected by cardiac monitoring and diagnostic equipment which is connected to the

same patient. If this occurs, the pacemaker may pace at its maximum rate and give incorrect data to the

monitor or diagnostic equipment. If this occurs, disconnect the monitor or diagnostic equipment from the

patient or change the setting on the pacemaker by referring to the pacemaker’s manual. For more details,

contact your pacemaker representative or Nihon Kohden representative.

* Minute ventilation is sensed in rate-adaptive pacemakers by a technology known as bioelectric impedance measurement

(BIM). Many medical devices in addition to pacemakers use this technology. When one of these devices is used on a

patient with an active, minute ventilation rate-adaptive pacemaker, the pacemaker may erroneously interpret the mixture

of BIM signals created in the patient, resulting in an elevated pacing rate.

For more information, see the FDA web site.

http://www.fda.gov/cdrh/safety.html

iv Administrator’s Guide BSM-6000

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specicinformation.

WARNING

A warning alerts the user to 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.

Safety Standards

Thesafetystandardofthisbedsidemonitorisclassiedasfollows:

Type of protection against electrical shock: CLASS I EQUIPMENT (AC Powered)

Internally Powered EQUIPMENT (BATTERY Powered)

Degree of protection against electrical shock

Debrillator-prooftypeCFappliedpart

AY-631P, AY-633P, AY-651P, AY-653P, AY-661P, AY-663P, AY-671P and AY-673P:

ECG, Respiration (impedance and thermistor method), IBP, Temperature, SpO2,

CO2, O2, NIBP, BIS

AY-660P: ECG, Respiration (impedance method), IBP, Temperature, SpO2, CO2, NIBP

AA-672P and AA-674P: Respiration (thermistor method), IBP, Temperature, SpO2, CO2, O2, BIS

CF applied part:

AY-631P, AY-633P, AY-651P, AY-653P, AY-661P, AY-663P, AY-671P, AY-673P, AA-672P and AA-674P: CO

Degree of protection against harmful ingress of water: IPX0 (non-protected)

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

Mode of operation: CONTINUOUS OPERATION

vi Administrator’s Guide BSM-6000

Section 1 Installation/Connection

Installation Conditions .........................................................................................................................................1.2

Optional Cart for the Bedside Monitor ....................................................................................................... 1.3

Optional Wall Mount Kit for the Bedside Monitor ....................................................................................... 1.3

Installation Flowchart ........................................................................................................................................... 1.4

Installing the Optional Units to the Monitor and Connecting External Instruments ............................................. 1.5

Connection Overview ................................................................................................................................ 1.8

Attaching the AA-672P or AA-674P Smart Expansion Unit to the AY series Input Unit ............................ 1.9

Mounting the AY series Input Unit onto the Monitor .................................................................................. 1.9

Using an Optional Handle ............................................................................................................. 1.10

Attaching the ZS-900P Transmitter ..........................................................................................................1.10

Installing the WS-671P Recorder Module ............................................................................................... 1.11

Installing the QI-631P, QI-632P, QI-634P, QI-671P or QI-672P Interface ................................................ 1.11

Connecting the Mouse ............................................................................................................................1.12

Connecting the Bar Code Reader ........................................................................................................... 1.12

Connecting the JA-690PA or JA-694PA Data Acquisition Unit ................................................................1.13

Connecting External Instruments ............................................................................................................ 1.14

Connecting a GF-110PA or GF-210R Multigas Unit, GF-120PA or GF-220R Multigas/Flow

Unit or AE-918P Neuro Unit .......................................................................................................... 1.14

Connecting an External Instrument Using a QF Series Interface or IF Series Communication

Cable ............................................................................................................................................. 1.15

Connecting a Sub Display ....................................................................................................................... 1.15

Connecting the Power Cord and Grounding Lead ............................................................................................. 1.17

General ....................................................................................................................................................1.17

Connecting the Power Cord ....................................................................................................................1.17

Grounding the Monitor .............................................................................................................................1.18

Connecting the Monitor to the Network ............................................................................................................. 1.19

Connecting the QW-100Y (HIT-100) Hyper Isolation Transformer ........................................................... 1.20

Connecting the QI-320PA Wireless LAN Station ..................................................................................... 1.20

Turning the Power On/Off .................................................................................................................................. 1.21

Check Before Turning On the Power ....................................................................................................... 1.21

Turning the Power On ..............................................................................................................................1.21

Check After Turning On the Power and During Monitoring ...................................................................... 1.22

Monitor Status on Power Interruption ...................................................................................................... 1.23

Turning the Power Off ..............................................................................................................................1.23

Check After and Before Turning the Power Off ........................................................................................1.24

Setting the Bar Code Reader ............................................................................................................................1.25

Scanning the Bar Code Reader Settings ................................................................................................1.25

Initializing the Bar Code Reader ..............................................................................................................1.26

Checking the Bar Code Reader Operation ..............................................................................................1.26

Calibrating the Touch Screen ............................................................................................................................. 1.27

Using ECG/BP Output as the Synchronous Signal ........................................................................................... 1.28

Administrator’s Guide BSM-6000 1.1

1.2 Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION

5 cm

10 cm

Rear

Side

Installation Conditions

This section describes installation conditions, connecting cables and power cords

and check items for this bedside monitor.

Forsimplicity,thesufxA/G/Kwillbeomittedinthismanual.Thereisno

differenceinoperationamongmodelswithdifferentsufxesunlessotherwise

specied.

Note the following points for the installation location of your bedside monitor.

WARNING

• Do not install the monitor and optional units above the patient.

• Only use the speciﬁed tools or equipment when installing the

monitor and units. Failure to follow this warning may result in the

monitor or unit falling and injuring the patient.

CAUTION

Only use the speciﬁed stand, cart or equipment

for installing the monitor and instruments. Using

non-speciﬁed equipment may result in the

instruments falling and causing injury.

• Install the monitor where you can see the monitor screen clearly.

• Install the monitor on a strong shelf or dedicated cart (option). Secure the

monitor to the shelf to prevent it from falling.

• When moving a cart with a monitor, avoid collision. Strong impact may

damage the monitor.

• The monitor is not intended to be used in an ambulance. The monitor might

not function properly in a moving vehicle.

• The display screen is made of glass. Strong impact may damage it.

• Avoid locations where the monitor is sprinkled with liquid. Avoid direct

sprinkling,sprayormoistairfromanebulizerorahumidier.

• Avoid exposing the monitor to direct sunlight.

• Make sure that there is at least 5 cm of space between the monitor and the wall

for adequate ventilation. When the monitor is surrounded on all sides, make

sure that there is about 10 cm of space above the monitor for ventilation so that

the operating temperature does not exceed 40°C (104°F).

CAUTION

When not using the speciﬁed cart, carefully set

the monitor to prevent it from falling off or tipping

over.

1. INSTALLATION/CONNECTION

• Do not cover the monitor with a blanket or cloth. It may affect monitoring.

• Do not install the monitor in a dusty area.

• Connect the power cord to an AC outlet which can supply enough AC current

to the monitor. The monitor cannot function properly with low current.

• When there is any problem on the monitor, turn off the power immediately and

disconnect the power cord from the AC outlet. Take the monitor out of service

and check for damage.

Optional Cart for the Bedside Monitor

The KC-600P cart is available for installing the monitor. For details on how to

use the cart, refer to the KC-600P cart installation guide.

CAUTION

Only use the speciﬁed stand, cart or equipment

for installing the monitor and instruments. Using

non-speciﬁed equipment may result in the

instruments falling and causing injury.

CAUTION

When not using the speciﬁed cart, carefully set

the monitor to prevent it from falling off or tipping

over.

Optional Wall Mount Kit for the Bedside Monitor

The KG-951P wall mount kit is available for mounting the monitor on a wall.

For details on how to use the wall mount kit, refer to the KG-951P wall mount

kit installation guide.

Administrator’s Guide BSM-6000 1.3

1.4 Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION

Installation Flowchart

You may not need to do all these.

1. Install the monitor. Refer to Section 1 in this manual.

2. Prepare the battery pack, remote control and recorder. Refer to Operator’s

Manual or Section 2 of the User’s Guide Part I.

3. Check or change any initial settings on the SYSTEM CONFIGURATION

screen. Changing these settings during monitoring interrupts monitoring.

Refer to Section 2 in this manual.

4. Check or change any initial settings on the SYSTEM SETUP window. These

settings are password protected settings which only an administrator can

change. Refer to Section 3 in this manual.

5. Check or change the necessary settings before monitoring. Refer to

Operator’s Manual or Section 3 of the User’s Guide Part I.

• Date and time

• Sound volume

• Screen brightness

• Waveform display settings

6. Enter the information of the new patient. Refer to “Entering Patient

Information” in Operator’s Manual or Section 3 of the User’s Guide Part I.

7. Check or change all alarm items for the patient. When <AUTO ADMIT>

in the SYSTEM CONFIGURATION screen is set to ON, the alarm settings

return to the default settings 30 minutes after the monitor is turned off. When

<AUTO ADMIT> is set to OFF, you can select whether to save the settings

or initialize the master settings. Refer to Operator’s Manual or Section 5 of

the User’s Guide Part I.

8. Check or change settings for the review windows, such as trendgraphs,

tablesandarrhythmiarecallles.RefertoOperator’sManualorSection6of

the User’s Guide Part I.

9. Check or change recording settings. Refer to Operator’s Manual or Section

10 of the User’s Guide Part I.

10. Prepare the equipment (electrodes, transducers, probes, etc.) for monitoring

individual parameters and check or change the settings for each parameter.

Refer to Operator’s Manual or User’s Guide Part II.

1. INSTALLATION/CONNECTION

Installing the Optional Units to the Monitor and Connecting

External Instruments

WARNING

Connect only the speciﬁed instrument to the

monitor and follow the speciﬁed procedure.

Failure to follow this warning may result

in electrical shock or injury to the patient

and operator, and cause ﬁre or instrument

malfunction.

CAUTION

Before connecting or disconnecting instruments,

make sure that each instrument is turned off

and the power cord is disconnected from the AC

socket. Otherwise, the patient or operator may

receive electrical shock or injury.

When several medical instruments are used

together, ground all instruments to the same one-

point ground. Any potential difference between

instruments may cause electrical shock to the

patient and operator.

WARNING

NOTE

• For details on connecting an external instrument to the monitor, contact

your Nihon Kohden representative.

• Leakage current may increase when interconnecting many medical

instruments to the monitor.

• Upgrade the main unit and each optional unit to the Nihon Kohden

recommended software version. Only use the speciﬁed conﬁguration of

units. If more than one BSM-6000 series bedside monitor is used in the

same facility, make sure the bedside monitors have the same software

version. If BSM-6000 series monitors with different software versions

are used together, correct system operation cannot be guaranteed.

Additional Safety Measures for Connecting External Instruments

When more than one electrical instrument is used, there may be electrical

potential difference between the instruments. Potential difference between

instrumentsmaycausecurrenttoowtothepatientconnectedtothe

instruments, resulting in electrical shock (micro shock). Never use any medical

equipment in patient treatment without proper grounding.

AlwaysperformequipotentialgroundingasspeciedinIEC60601-1-1when

required. It is often required in the operating room, ICU room, CCU room,

cardiac catheterization room and X-ray room. Consult with a biomedical

engineer to determine if it is required.

Refer to the reference “General Requirements for Connecting Medical Electrical

Systems” in Section 4.

Administrator’s Guide BSM-6000 1.5

1.6 Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION

Medically-used room

Patient Environment

Outside the Patient Environment

Non-medically used room

Sub display

(IEC 60601-1 complied or

using the isolation transformer

complied to IEC 60601-1)

Sub display

(IEC 60601-1 complied or

using the isolation transformer

complied to IEC 60601-1)

External

instruments

(IEC 60601-1 complied)

Central monitor Network printer

(IEC xxx complied)

Remote controller

RY-910PA

Interface

QF series

Communication

cable

IF series

External

instruments

(IEC 60601-1 complied)

Mouse

Bar code reader

Smart

expansion unit

AA-672P/674P

Hyper isolation

transformer

QW-100Y

(HIT-100)

Input unit

AY-631P/633P AY-651P/653P

AY-661P*/663P*

AY-671P/673P

Recorder

module

WS-671P

Transmitter

ZS-900P

Wireless LAN

station

QI-320PA

BSM-6301/6501/6701

Interface

QI-632P/634P

(For MU-631R)

QI-672P

(For MU-651R/671R)

Interface

QI-631P

(For MU-631R)

Interface

QI-671P

(For MU-651R/671R)

Main unit

MU-631R/

671R/651R

Input unit

AY-660P*

Multigas unit

GF-110PA/210R*

Multigas/Flow unit

GF-120PA*/220R*

Neuro unit

AE-918P*

* These units are not available for BSM-6000A series.

Environment for External Instruments

Use external instruments in the following environment.

When a JA-690PA/JA-694PA data acquisition unit is not connected to the

bedside monitor

1. INSTALLATION/CONNECTION

Medically-used room

Patient Environment

Outside the Patient Environment

Non-medically used room

Interface

QI-671P

(For MU-651R/671R)

Interface unit

QI-600P

Interface

QI-632P/634P

(For MU-631R)

QI-672P

(For MU-651R/671R)

Recorder

module

WS-671P

BSM-6301/6501/6701

Transmitter

ZS-900P

Wireless LAN

station

QI-320PA

Sub display

(IEC 60601-1 complied or

using the isolation transformer

complied to IEC 60601-1)

Sub display

(IEC 60601-1 complied or

using the isolation transformer

complied to IEC 60601-1)

Remote controller

RY-910PA

Data acquisition

unit

JA-690PA/694PA

Central monitor Network printer

(IEC xxx complied)

Hyper isolation

transformer

QW-100Y (HIT-100)

Smart

expansion unit

AA-672P/674P

Input unit

AY-631P/633P AY-651P/653P

AY-661P*/663P*

AY-671P/673P

Input unit

AY-660P*

External

instruments

(IEC 60601-1 complied)

External

instruments

(IEC 60601-1 complied)

External

instruments

(IEC 60601-1 complied)

External

instruments

(IEC 60601-1 complied)

Main unit

MU-631R/

671R/651R

Interface

QF series

Communication

cable

IF series

Neuro unit

AE-918P*

Interface

QF series

Communication

cable

IF series

Interface

QI-631P

(For MU-631R)

Mouse

Bar code reader

Multigas unit

GF-110PA/210R*

Multigas/Flow unit

GF-120PA*/220R*

* These units are not available for BSM-6000A series.

When a JA-690PA/JA-694PA data acquisition unit is connected to the

bedside monitor

Administrator’s Guide BSM-6000 1.7

1.8 Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION

To a wall outlet

To a wall ground terminal

Display, PC

YS-096P2/096P3 Unit connection cable

Network

Connected to multi-link socket

* These units are not available for BSM-6000A series. ** These unit is not available for BSM-6000K series.

QF-901P/902P/903P/ 904P/905P*/907P/908P/ 909P/911P*/921P** Interface IF-913P/914P/917P*/ 919P/920P*/922P/ 923P/925P Communication cable

GF-110PA/210R* Multigas unit GF-120PA*/220R* Multigas/flow unit

AE-918P* Neuro unit

Connected to USB socket

Mouse Bar Code Reader

AY-631P/651P/ 661P*/671P

AY-633P/653P/ 663P*/673P

Input unit

AY-660P*

Input unit

Hyper isolation transformer QW-100Y (HIT-100)

QI-671P Interface

(For MU-651R/671R)

WS-671P

Reccorder module

ZS-900P*

Transmitter

DH-600P Handle

QI-320PA

Wireless LAN station

DI-590P*

Holder

QI-631P Interface

(For MU-631R)

QI-600P

Interface unit

QI-672P Interface

(For MU-651R/671R)

QI-632P/634P

Interface

(For MU-631R)

JA-690PA

Data acquisition unit

JA-694PA

YS-096P5

Multi-link cable

Bedside monitor

MU-671R MU-651R MU-631R

AA-672P AA-674P

Smart expansion unit

QI-672P QI-632PQI-634P

Connection Overview

1. INSTALLATION/CONNECTION

Slots

Tabs

Connector on the monitor

Connector on the input unit

Input unit

Smart expansion unit

Input unit

Smart expansion unit

Attaching the AA-672P or AA-674P Smart Expansion Unit to the AY series Input Unit

Attach the smart expansion unit to the input unit before

mounting the input unit onto the monitor. Only one smart

expansion unit can be attached to the input unit. For details

on how to attach the smart expansion unit, refer to the

manual provided with the unit.

NOTE

The AA-672P or AA-674P smart expansion unit does

not function when it is attached to the AY-660P input

unit.

Mounting the AY series Input Unit onto the Monitor

1. Mount the input unit onto the rear of the monitor so that the tabs on the input

unit go into the slots on the monitor.

2. Slide the input unit in the direction of the arrow until it clicks into place.

Administrator’s Guide BSM-6000 1.9

1.10 Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION

Using an Optional Handle

A DH-600P handle can be attached to the input unit so that the input unit can be

removed from the main unit and carried around easily. For details on the handle,

refer to the manual provided with the handle.

Attaching the ZS-900P Transmitter

The ZS-900P transmitter transmits data from the monitor to a cardiac telemetry

system or central monitor. A multiple patient receiver is necessary with the

central monitors.

Handle

To connect the transmitter to the monitor, the optional DI-590P holder is

required. Connect the transmitter to the monitor by referring to the DI-590P

holder installation guide.

When the transmitter is connected to the monitor, turn the monitor power on and

check that the LED on the transmitter lights in green. Also check that the channel

number displayed in the upper part of the screen is correct.

ZS-900P transmitter and

ZS-900P transmitter and DI-590P holder are not

DI-590P holder are not available for BSM-6000A

available for BSM-6000A series.

series.

CAUTION

When using a ZS-900P transmitter, the

measurement values and displayed waveform on

the bedside monitor and receiving monitor may

differ due to timing delay of the display and other

factors. Be careful when reading the value and

waveform.

Channel number

CAUTION

When the ZS-900P transmitter is attached to the

bedside monitor, check the alarm, arrhythmia

and monitoring settings on the central monitor

or telemetry system. The transmitter does not

transmit the alarm, arrhythmia and monitoring

setting information.

1. INSTALLATION/CONNECTION

CAUTION

The ZS-900P transmitter can only transmit

temperature data from 5 to 45°C (41 to 113°F).

Be careful when reading the value.

• Before connecting the transmitter, turn off the monitor power.

• The ZS-900P transmitter does not comply with the CE mark.

• A ZB-800P or ZB-900P transmitter cannot be used on this monitor.

Installing the WS-671P Recorder Module

Install the optional WS-671P recorder module in the monitor by referring to the

WS-671P recorder module installation guide. To load the recording paper, refer

to Operator’s Manual or Section 2 of the User’s Guide Part I.

CAUTION

The ZS-900P transmitter can only transmit CO2

data from 0 to 100 mmHg (0 to 13.3 kPa). When

the transmitting data is out of this range, the

receiving monitor displays it as 100 mmHg. Be

careful when reading the value.

NOTE

Installing the QI-631P, QI-632P, QI-634P, QI-671P or QI-672P Interface

When the interface is installed in the monitor, external instruments can be

connected to the monitor.

The illustration on the left shows both the QI-671P and QI-672P

interfaces are installed in the BSM-6701 bedside monitor.

The interface has 2, 3, 4 or 6 sockets.

For BSM-6301:

• QI-631P: RS-232C, RGB

• QI-632P: USB, multi-link, alarm signal output

• QI-634P: USB, multi-link

For BSM-6501 and BSM-6701:

• QI-671P: Multi-link, RS-232C, alarm signal output, RGB

• QI-672P: 2 USB, 4 multi-link

QI-671PQI-672P QI-671PQI-672P

Install the optional interface in the monitor by referring to the manual

provided with the interface.

Administrator’s Guide BSM-6000 1.11

1.12 Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION

Mouse

QI-672P interface

Mouse

QI-672P interface

Bar code reader

QI-672P interface

Bar code reader

Connecting the Mouse

To connect the mouse, the QI-632P, QI-634P or QI-672P interface is required.

The QI-632P and QI-634P interfaces are for BSM-6301. The QI-672P interface

is for BSM-6501 and BSM-6701.

The illustration on the left shows both the QI-672P and QI-671P interfaces are

installed in the BSM-6701 bedside monitor.

Connect the mouse cable to the USB socket on the interface which is installed in

the monitor.

Connecting the Bar Code Reader

To connect the bar code reader, the QI-632P, QI-634P or QI-672P interface is

required. The QI-632P and QI-634P interfaces are for BSM-6301. The QI-672P

interface is for BSM-6501 and BSM-6701.

The illustration on the left shows both the QI-672P and QI-671P interfaces

installed in the BSM-6701 bedside monitor.

Connect the bar code reader cable to the USB socket on the interface which is

installed in the monitor.

Refer to the “Setting the Bar Code Reader” later in this section for setting the bar

code reader.

1. INSTALLATION/CONNECTION

Connecting the JA-690PA or JA-694PA Data Acquisition Unit

To connect the JA-690PA or JA-694PA data acquisition unit, the YS-096P2 or

YS-096P3 unit connection cable is required. Connect the cable to the bedside

monitor and to the unit connection socket on the data acquisition unit.

For details on how to use the data acquisition unit, refer to the data acquisition

unit operator’s manual.

NOTE

• Connect the unit connection cable to the unit connection socket on the

data acquisition unit straight until it locks ﬁrmly.

• Keep the cable out of the way by running it along the ﬂoor or wall.

Otherwise people may trip over it, causing the instrument to fall and

injure the patient and operator.

YS-096P2/YS-096P3 unit connection cable

Administrator’s Guide BSM-6000 1.13

1.14 Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION

Connecting External Instruments

To connect the external instruments, the QI-632P or QI-634P interface for BSM-

6301 or QI-671P or QI-672P interface for BSM-6501 and BSM-6701 must be

installed in the monitor.

Connecting a GF-110PA or GF-210R Multigas Unit, GF-120PA or GF-

220R Multigas/Flow Unit or AE-918P Neuro Unit

GF-210R multigas unit, GF-120PA or GF-220R multigas/ﬂow unit and AE-

918P neuro unit are not available for the BSM-6000A series.

Connect the GF-110PA or GF-210R multigas unit, GF-120PA or GF-220R

multigas/owunitorAE-918Pneurounittooneofthemulti-linksocketsonthe

QI-632P, QI-634P, QI-671P or QI-672P interface.

When a multigas unit or multigas/ﬂow unit is connected to the monitor

and the monitor is in operation, do not connect any other instrument to

the monitor with a multi-link cable. If another multi-link cable is connected

to the main unit during operation, the multigas unit or multigas/ﬂow

unit may enter warmup status and automatically restart monitoring 45

seconds (AG-920R, GF-110PA, GF-120PA) or 6 minutes (GF-210R, GF-

220R) after warmup.

NOTE

The following example shows both the QI-671P and QI-672P interfaces

installedintheBSM-6701bedsidemonitorandaGF-120PAmultigas/owunit

connected.

Connecting Example

QI-671P interface

QI-672P interface

GF-120PA multigas/ﬂow unit

1. INSTALLATION/CONNECTION

QF series interface or IF series communication cable

To external devices

QI-671P interface

QI-672P interface

Connecting an External Instrument Using a QF Series Interface or IF

Series Communication Cable

Connect the QF series interface cable or IF series communication cable to the

external instrument and to one of the multi-link sockets on the QI-632P, QI-634P,

QI-671P or QI-672P interface.

The following example shows both the QI-671P and QI-672P interfaces installed

in the BSM-6701 bedside monitor.

NOTE

Do not connect or remove the QF series interface or IF series

communication cable connector while the monitor power is on. The

monitor might not function properly.

Connecting a Sub Display

A sub display can be connected to the bedside monitor. Connect the sub display

to the RGB socket on the QI-631P interface for a BSM-6301 bedside monitor

or to the QI-671P interface for a BSM-6501 or BSM-6701 bedside monitor. The

subdisplaymustmeetthefollowingspecications.AnNECLCD191VXMor

equivalent display is recommended.

MinimumspecicationsforBSM-6701display:

• Resolution: 1024 × 768

• InputAnalogRGB:0.7Vp-p

• V-sync:60.0Hz

• H-sync: 48.4 kHz

MinimumspecicationsforBSM-6301andBSM-6501display:

• Resolution: 800 × 600

• InputAnalogRGB:0.7Vp-p

• V-sync:60.3Hz

• H-sync: 37.9 kHz

Administrator’s Guide BSM-6000 1.15

1.16 Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION

To connect the display to the interface, use the YS-080P3 RGB cable (10 m). The

sub display must be connected to the SM-800R isolation transformer.

The screen to be displayed on the sub display can be set to either of the following

on the DISPLAY page of the SYSTEM SETUP window. Refer to Section 3.

• SLAVE: Samescreenasthebedsidemonitor.

• HOME SCREEN: The home screen is always displayed.

1. INSTALLATION/CONNECTION

Connecting the Power Cord and Grounding Lead

General

The monitor can operate on either battery or AC power.

When the power cord is plugged into an AC outlet and the power switch on the

front panel is turned on, the monitor operates on AC power.

When a battery pack is inserted and the power cord is disconnected or there is a

sudden power failure, the monitor automatically switches to battery power.

The battery pack is charged when the power cord is plugged into an AC outlet

and the AC current is supplied to the monitor. The battery pack is also charged

during monitoring.

The monitor can operate for about 60 minutes on the BSM-6301 and BSM-6501

or about 45 minutes on the BSM-6701 with a new fully charged battery pack

when:

• Used in normal temperature.

• Recorder is stopped.

• No alarm occurs.

• Monitoring ECG, respiration (impedance) and SpO2.

• <POWERSAVINGMODE>ontheSYSTEMSETUPwindowissettoON.

• <SYNCSOUNDVOLUME>ontheVOLUMEwindowissettoOFF.

• NIBP measurement interval is 15 minutes.

• QI-671P and QI-672P interfaces or QI-631P and QI-632P or QI-634P

interfaces are installed in the monitor.

Connecting the Power Cord

WARNING

Only use the provided power cord. Using other power cords may

result in electrical shock or injury to the patient and operator.

Connect the provided power cord to the AC SOURCE socket on the rear panel of

the monitor and plug the cord into a 3-prong AC outlet.

When AC power is supplied to the monitor, the AC power lamp on the front

panel lights.

NOTE

If the AC power lamp does not light, check the power cord connection.

Administrator’s Guide BSM-6000 1.17

1.18 Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION

AC power lamp lights

Grounding the Monitor

WARNING

When several medical instruments are used together, ground all

instruments to the same one-point ground. Any potential difference

between instruments may cause electrical shock to the patient and

operator.

When more than one electrical instrument is used, there may be electrical

potential difference between the instruments. The potential difference between

theinstrumentsmaycausecurrenttoowtothepatientconnectedtothe

instruments, resulting in electrical shock (micro shock).

Always perform equipotential grounding when required. It is often required in

the operating room, ICU room, CCU room, cardiac catheterization room and X-

ray room. Consult with a biomedical engineer to determine if it is required.

When equipotential grounding is required, connect the equipotential ground

terminal on the instrument to the equipotential ground terminal on the wall

(equipotential grounding system) with the equipotential grounding lead (potential

equalization conductor).

1. INSTALLATION/CONNECTION

Connecting the Monitor to the Network

The network connection method differs according to the installation location of

the monitor and the network components. The network connection must comply

with IEC 60601-1-1 “General Requirements for Safety of Medical Electrical

Equipment”. For details, refer to the “Network and System Installation Guide”

which is available from your Nihon Kohden representative.

WARNING

Connect the monitor to network as speciﬁed.

Otherwise the patient and operator may receive

electrical shock or injury. To connect the network,

contact your Nihon Kohden representative.

WARNING

Install all network devices, including printer

and hubs, outside the patient environment (IEC

60601-1-1). If they are installed inside the patient

environment, the patient or operator may receive

electrical shock or injury. For installation, contact

your Nihon Kohden representative.

In a network where this monitor is connected,

connect only the speciﬁed instruments.

Unspeciﬁed instruments may cause electrical

shock or injury to the patient and operator or

cause instrument malfunction, instrument stop, or

data loss.

Check the software version number of the

monitor before connecting it to the network.

Different software versions have different

communication methods. More than one

communication method in a network may cause

communication failure. For details, refer to the

Network and System Installation Guide.

WARNING

Administrator’s Guide BSM-6000 1.19

1.20 Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION

LAN cable

To network

QW-100Y(HIT-100) Hyper isolation transformer

Connecting the QW-100Y (HIT-100) Hyper Isolation Transformer

ConnectthemonitortothenetworkwiththespeciedLANcable.Connect

the QW-100Y (HIT-100) hyper isolation transformer between the monitor and

network.

WARNING

Do not use a damaged network cable. The patient or operator may

receive electrical shock when the damaged part is touched.

NOTE

The time on this monitor is automatically adjusted to match the time of

the network as long as the monitor is connected to the network. The date

and time on all monitors in the network are set to the same setting.

Connecting the QI-320PA Wireless LAN Station

Connect the QI-320PA wireless LAN station to the bedside monitor with a

speciedwirelessLANaccesspoint.RefertotheQI-320PAwirelessLAN

station operator’s manual.

QI-320PA Wireless LAN station

1. INSTALLATION/CONNECTION

Power lamp lights

Turning the Power On/Off

Check Before Turning On the Power

Check the following items before turning on the power.

• Enough electrodes and electrode leads are ready.

• Cleaned and sterilized sensors and transducers are ready.

• Power cord is connected properly.

• Equipotential grounding lead is connected properly when equipotential

grounding is required.

• All cables are connected properly.

• Enough recording paper in the recorder (when using an optional recorder).

• Fully charged battery pack is installed in the monitor in case of a sudden power

failure.

• No scratches, damage or dirt on the monitor.

• No damage to the keys and panels.

• No damage to the power cord.

• No damage to the electrode leads, transducers, probes and cables.

• The monitor is not in a wet place.

Turning the Power On

CAUTION

Do not turn the monitor off when the system check screen is

displayed. Otherwise the saved data may be damaged or deleted.

If the monitor is turned off during system check, delete all data

because the data is not reliable.

NOTE

• It takes a few minutes for the LCD screen to reach full brightness.

• The shadow of the previous screen may remain for a few minutes after

changing screens.

• There may be some dots on the LCD screen which are always on or

always off, but it does not affect monitoring. This is normal for all LCD

screens.

• Even though the position of symbol marks for the lamps are different on

BSM-6301 and BSM-6501 or BSM-6701, the function and the position

of lamps are the same.

Press the [power] switch on the front panel to turn the power on. The power lamp

and the AC power lamp light and self check starts. When the check is complete,

the home screen appears.

Administrator’s Guide BSM-6000 1.21

1.22 Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION

If the power lamp does not light, check the power cord connection.

CAUTION

When the monitor is turned on, check that a single beep sounds and

the red, yellow, cyan and green alarm indicator lamps blink once.

This shows that the alarm is functioning properly.

When the monitor power is turned on, alarms are suspended while the monitor is

waiting for the electrodes and probe to be attached to the patient. The monitoring

starts when the connection cord is connected to the socket on the monitor and the

electrodes or probe are attached to the patient. The alarm activates when one of

the following occurs:

• at least one parameter is measured and a value is displayed (when AUTO is

selectedfor<ALARMACTIVATIONDELAY>ontheALARMwindowof

the SYSTEM SETUP window)

• ECG, SpO2 or IBP is continuously monitored for the selected time (when 1

min,2minor3minisselectedfor<ALARMACTIVATIONDELAY>)

• NIBP is measured (when 1 min, 2 min or 3 min is selected for <ALARM

ACTIVATIONDELAY>)

When <AUTO ADMIT> in the SYSTEM CONFIGURATION screen is set

to ON and the monitor power is turned on for more than 30 minutes after the

turning power off, the stored data in the monitor is deleted. When the monitor

is turned on in less than 30 minutes after turning power off, the stored data is

not deleted and monitoring continues. When <AUTO ADMIT> in the SYSTEM

CONFIGURATION screen is set to OFF, the message appears asking whether

monitoring a new patient or not. The factory default setting is ON.

Check After Turning On the Power and During Monitoring

To start monitoring safely and properly, check the following items after turning

on the power. If any problem is detected, take the proper countermeasure

according to the troubleshooting and maintenance sections.

• Thereisnore,smokeorsmell.

• The monitor is not too hot.

• The power lamp and other lamps light.

• The red, yellow, cyan and green alarm indicator lamps blink once and a beep

sounds.

• The start up screen appears and the home screen appears.

• No error message is displayed on the screen.

• The time on the screen is correct.

• The monitor does not affect surrounding equipment.

• The data and waveforms are displayed properly.

• Keys and switches operate properly.

• The touch keys function properly and the key clicking sound is generated.

• Alarm functions properly.

• Alarm sound can be heard.

1. INSTALLATION/CONNECTION

• Alarm sound volume setting is appropriate.

• There is no trouble in recording (when using an optional recorder).

After turning the monitor on and when admitting a patient on the monitor,

make sure that the time displayed at the upper right of the screen is

correct. When the date or time is changed during monitoring, the date and

time of all stored data is also changed and might not match the date and

time on the printout.

When the monitor is connected to a network

The time on this monitor is automatically adjusted to match the time of

the network as long as the monitor is connected to the network. The date

and time on all monitors in the network are set to the same setting.

Monitor Status on Power Interruption

When there is a power failure or sudden power interruption, the monitor status is

as follows.

• When a battery pack is installed in the monitor, the BSM-6301 and BSM-6501

operate for about 90 minutes and the BSM-6701 operates for about 60 minutes

on battery power.

• When the monitor has no battery pack installed or the battery pack is

discharged, the monitor turns off. When <AUTO ADMIT> in the SYSTEM

CONFIGURATION screen is set to ON, the patient data and settings return to

the default settings 30 minutes after the monitor is turned off. When <AUTO

ADMIT> is set to OFF, you can select whether to save the settings or initialize the master settings. If the monitor power is turned off and on again within 30

seconds, monitoring continues.

NOTE

Turning the Power Off

When there is a power failure or sudden power interruption, immediately connect

the monitor to the emergency power source. It is recommended to always keep

the battery pack in the monitor.

NOTE

Even though the position of symbol marks for the lamps are different on

BSM-6301 and BSM-6501 or BSM-6701, the function and the position of

lamps are the same.

Press the [power] switch on the front panel for more than 3 seconds to turn the

power off. The screen becomes dark and the power lamp on the front panel turns

off.

Administrator’s Guide BSM-6000 1.23

1.24 Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION

Check After and Before Turning the Power Off

Check the following items for the next use.

• Previous patient data is deleted.

• Temporarily changed settings are changed back to the previous settings.

• There is no dirt, damage or scratches on the monitor.

• The sensors, probes, transducers, and cables are cleaned and sterilized.

• Accessories are cleaned and stored properly.

• There are enough consumables, such as recording paper, and disposable

electrodes for the next use.

• Battery pack is fully charged.

• The [power] switch on the monitor is turned off and the power cord is

disconnected from the monitor.

• The monitor is not in a wet place.

• Dead batteries are disposed of properly.

• Medical waste is disposed of properly.

• The monitor is stored properly.

1. INSTALLATION/CONNECTION

Setting the Bar Code Reader

Scanning the Bar Code Reader Settings

You can use the Symbol LS2208 from Motorola, Inc. Refer to the manual. You

can download the manual from http://support.symbol.com on the Motorola

website.

Following are the minimum settings of the bar code reader. Scan the following

bar codes in order. When scanning the bar code, there is one short high beep. For

further settings, refer to the Symbol LS2208 manual.

*: This setting is a default value. You can skip scanning this bar code if you have

already used this bar code reader with the default value.

Beeper Volume

LowVolume

USB Device Type

HID Keyboard Emulation*

USB Country Keyboard Types (Country Codes)

North American Standard USB Keyboard*

Transmit Code ID Character

None*

Scan Data Transmission Format

Scan Options

Administrator’s Guide BSM-6000 1.25

1.26 Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION

Enter

Transmit “No Read” Message

Disable No Read*

Enable/Disable Codabar

Enable Codabar

Initializing the Bar Code Reader

Scanning this bar code returns all data to the default values. Scan the following

bar code if you want to initialize the bar code reader.

Set All Defaults

Checking the Bar Code Reader Operation

Scan the bar code of the patient on the home screen (for BSM-6000A series only)

or the PATIENT ID window of the PATIENT INFO page in the ADMIT window

and check the patient ID is entered on the PATIENT ID window of the PATIENT

INFO page in the ADMIT window.

1. INSTALLATION/CONNECTION

Calibrating the Touch Screen

Calibrate the touch screen when the pressed position and the activated position

do not match.

1. Turn the monitor power off.

2. Press the [power] switch while pressing the [Silence Alarms] key on the

front panel until the DIAGNOSTIC CHECK screen is displayed.

3. Press the [Menu] key. The TOUCHPANEL CALIBRATION screen appears.

4. Touch the @ mark at the upper left corner of the screen for 2 seconds. When

the mark is correctly touched, another mark appears in the lower right corner

of the screen. Touch the mark for 2 seconds.

When the marks are touched correctly, the “TOUCHPANEL

CALIBRATION SUCCEEDED” message appears, then the DIAGNOSTIC

CHECK screen appears.

5. Touch the RETURN key to display the home screen.

Administrator’s Guide BSM-6000 1.27

1.28 Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION

Using ECG/BP Output as the Synchronous Signal

The ECG, IBP and heart rate pulse trigger output signal from the monitor can

be used as the synchronizing signal on a medical electrical instrument, such as

IABPequipmentordebrillator,whichcomplieswithIEC60601-1.

CAUTION

When using the output signal from the monitor

as the synchronization signal for other equipment

such as an IABP (intra-aortic balloon pump) or

deﬁbrillator:

• Set the timing of the IABP by checking the

waveform on the IABP screen.

• Check the condition of the bedside monitor

at all times. The output signal may become

unstable.

• Check that the delay time of the output signal is

within the range of the connected equipment.

• When using an IBP waveform as a synchronization signal for other

equipment, connect the IBP line to the MULTI socket on the input unit.

The IBP waveform that is used for the synchronization signal depends

on the “IBP ANALOG OUT” setting in the SYSTEM SETUP window.

- When “IBP ANALOG OUT” is set to “FIXED POSITION”:

The IBP line connected to the top MULTI socket on the input unit is

used.

- When “IBP ANALOG OUT” is set to “HIGHEST PRIORITY LABEL” :

When more than one IBP waveform is acquired, the IBP waveform of

the highest priority label is used.

IBP label priority:

ART > ART2 > RAD > DORS > AO > FEM > UA > LVP > P1 > P2 >

P3 > P4 > P5 > P6 > P7

• The output signal from the ECG/BP OUT socket may become unstable

in the following conditions.

- Electrode is dry or detached.

- Electrode lead is damaged or disconnected from the electrode.

- Electrode lead is pulled.

- AC interference or EMG noise superimposed.

- Air bubbles or blood clog in the circuit for monitoring IBP.

- Cord or cable is disconnected or damaged.

• All instruments which are to be connected to the ECG/BP OUTPUT

socket must use a YJ-910P or YJ-920P ECG/BP output cable and

comply with the IEC 60601-1 safety standard for medical equipment.

• When using an IABP, set <CALCULATION METHOD> on the OTHER

ECG/BP OUT socket

Outputs1V/1mVECG,1V/100

mmHg BP and open collector

mmHg BP and open collector heart rate trigger signals

heart rate trigger signals

page of the PRESS window to “PEAK” to improve measurement

accuracy.

• The AY-660P input unit has no ECG/BP OUT socket and no signal can

be output.

CAUTION

Only a Nihon Kohden deﬁbrillator can use

the output signal from the monitor as a

synchronization signal. Check that the delay time

of the output signal (heart rate trigger 20 ms

maximum) is within the range of the connected

deﬁbrillator.

NOTE

1. INSTALLATION/CONNECTION

Connect the YJ-910P or YJ-920P ECG/BP output cable to the ECG/BP OUT

socket on the input unit and the external instrument.

The following shows the delay time of the output signal.

Output Signal Delay Time

ECG 20 ms

BP 40 ms

Heart rate trigger 20 ms

Administrator’s Guide BSM-6000 1.29

Section 2 Changing SYSTEM

CONFIGURATION Screen Settings

Overview ..............................................................................................................................................................2.2

Setting Items on the SYSTEM CONFIGURATION Screen ....................................................................... 2.2

Displaying the SYSTEM CONFIGURATION Screen ................................................................................. 2.3

Closing the SYSTEM CONFIGURATION Screen ..................................................................................... 2.5

SITE Window ....................................................................................................................................................... 2.6

NETWORK Window .............................................................................................................................................2.7

UNITS Window .................................................................................................................................................... 2.8

TRANSPORT Window ......................................................................................................................................... 2.9

PC Window ........................................................................................................................................................ 2.11

CHANGE PASSWORD Window ........................................................................................................................ 2.12

OTHER Window ................................................................................................................................................2.13

Initializing the Monitor ........................................................................................................................................ 2.14

Administrator’s Guide BSM-6000 2.1

2.2 Administrator’s Guide BSM-6000

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

Overview

The section explains how to change settings on the SYSTEM

CONFIGURATION screen.

The initial settings on the SYSTE M CONFIGURATION screen must be

changed before monitoring. Changing these settings during monitoring interrupts

monitoring. All other settings can be changed any time without interrupting

monitoring. You can check the contents of the SYSTEM CONFIGURATION

screen settings on the CONFIGURATION page of the SYSTEM SETUP window

so that the monitor power does not need to be turned off and monitoring is not

interrupted (refer to Section 3).

This section also explains how to initialize the monitor. This procedure returns

all settings to the factory default settings and deletes all stored data in memory.

Setting Items on the SYSTEM CONFIGURATION Screen

SITE window NETWORK window

UNITS window TRANSPORT window

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

PC window CHANGE PASSWORD window

OTHER window

Displaying the SYSTEM CONFIGURATION Screen

This procedure interrupts all monitoring. Only change these settings

before or after monitoring.

1. Turn the monitor power off.

2. Press the [power] switch while pressing the [Silence Alarms] key on the

front panel until the DIAGNOSTIC CHECK screen is displayed.

3. Touch the SYSTEM CONFIG key. The dialog box to enter the password

appears.

CAUTION

Administrator’s Guide BSM-6000 2.3

2.4 Administrator’s Guide BSM-6000

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

4. Enter the password with the number keys and touch the ENT key. The

SYSTEM CONFIGURATION screen appears.

The default password is “1234”.

5. Touch the desired tab to display the desired window.

6. Change any necessary settings.

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

Closing the SYSTEM CONFIGURATION Screen

1. Touch the close button ( ) on the SYSTEM CONFIGURATION screen to

return to the DIAGNOSTIC CHECK screen.

2. Touch the RETURN key. The home screen appears.

Administrator’s Guide BSM-6000 2.5

2.6 Administrator’s Guide BSM-6000

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

SITE Window

Select the site according to the operating environment. The default settings,

including alarm upper and lower limit settings, differ according to site.

OR: Sleep mode is not available. SIM mode for NIBP is available.

ICU: Sleep mode is available. SIM mode for NIBP is not available.

NICU: Sleep mode is available. SIM mode for NIBP and 12 lead analysis

is not available.

To change the site, select the new site. The “SITE SETTING WILL BE

CHANGED. OK?” message appears. Touch the YES key to change the site.

When the site is changed, the settings change to the factory default settings

according to the new site. The factory default settings of the SYSTEM

CONFIGURATION screen and SYSTEM SETUP window are listed in the

“Factory Default Settings” in Section 4 of this manual. Other default settings are

listed in the Operator’s Manual.

NETWORK Window

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

Set the network settings when the bedside monitor is connected to a central

monitor network.

CAUTION

The network must be managed by the network

administrator. Make sure that each monitor in the

network has a different IP address. Otherwise,

data communication cannot be performed

properly. When adding a monitor to an already

operating network, set the IP address on the

monitor before connecting the monitor to the

network.

CAUTION

When the monitor is connected to a central

monitor network, set the Bed Name (Bed ID)

and Group Name on the monitor. Otherwise,

the default settings are used for the bed name

and group name and the bed may be incorrectly

identiﬁed on the central monitor.

GROUP

Assign a group name for the bedside monitor. When the monitor has acquired the

information of the network to which it is connected, the group names assigned by

the central monitor appear. Select the group name from this list for the bedside

monitor. For details, refer to the central monitor operator’s manual.

IP ADDRESS SETUP: AUTO, MANUAL

When set to AUTO, the IP address and subnet mask are set automatically.

When set to MANUAL, touch the EDIT key to set the IP address, subnet mask

and default gateway.

Administrator’s Guide BSM-6000 2.7

2.8 Administrator’s Guide BSM-6000

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

UNITS Window

Select the unit for each parameter.

WARNING

ST, CO2, RESPIRATION, tcPO2/tcPCO2 and HEMOGLOBIN settings

only affect the individual bedside monitor, not on all monitors

connected to the network. The unit settings must be the same on all

bedside monitors and central monitors in the network. Otherwise,

the different measurement values and alarms will be displayed on

different monitors depending on the unit settings on each monitor.

NOTE

The CO2 and respiration unit settings are not available on the BSM-6000A

series.

TRANSPORT Window

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

DATA TRANSPORT USING INPUT UNIT: ENABLE, DISABLE

Select whether to enable the transport function. When the transport function is

enabled, the patient information and review data can be sent to another bed by

disconnecting the input unit from one monitor and connecting it into another

monitor.

NOTE

To use the transport function, set the <DATA TRANSPORT USING

INPUT UNIT> setting on the TRANSPORT window of the SYSTEM

CONFIGURATION screen on both the original monitor and the

destination monitor to ENABLE.

ENABLE: Enable the transport function of the monitor.

DISABLE: Disable the transport function of the monitor.

USE SETTINGS IN INPUT UNIT: On, Off

On: Patient information, pacing detection On/Off, QRS detection type,

arrhythmia analysis On/Off, vital sign upper/lower alarm limits settings,

arrhythmia alarms settings, arrhythmia recall settings, parameters to be

saved for full disclosure and ECG lead settings of TRACE 1 and TRACE 2

are sent to destination monitor.

Off: Patient information, pacing detection On/Off and QRS detection type are

sent to destination monitor.

Administrator’s Guide BSM-6000 2.9

2.10 Administrator’s Guide BSM-6000

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

TIME ZONE: 0 to ±12:00

When installing the monitor, change the time zone setting to the

same setting as the other bedside monitors and central monitors. If

the time zone setting is not the same, the data which was in the input

unit before transport is deleted when using the transport function

with the input unit.

Set the time zone in respect to GMT (Greenwich Mean Time). The time

difference can be selected in 30 minute steps.

This setting must be the same on all monitors in the same network. Otherwise

data communication problems may occur.

You can also change the time zone setting on the OTHER window of the

SYSTEM CONFIGURATION screen.

CAUTION

AUTO ADMIT: On, Off

On: When the monitor power is off for 30 minutes or more, the previous patient

and monitoring data is deleted. If the monitor power is off for less than

30 minutes, the patient and monitoring data is not deleted and monitoring

continues.

Off: The previous patient and monitoring data is not deleted when the monitor

is turned off. The “NEW PATIENT?” dialog box appears when the power

is turned on. When the “YES” key is touched, the previous patient and

monitoring data is deleted. When the “NO” key is touched, the patient and

monitoring data is not deleted and monitoring continues.

NOTE

When <DATA TRANSPORT USING INPUT UNIT> on the TRANSPORT

window of the SYSTEM CONFIGURATION screen is set to ENABLE,

AUTO ADMIT is ﬁxed to OFF.

PC Window

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

Change settings according to the PC connected to the bedside monitor.

Administrator’s Guide BSM-6000 2.11

2.12 Administrator’s Guide BSM-6000

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

CHANGE PASSWORD Window

Set the 4-digit password required for displaying the SYSTEM SETUP window.

1. Enter the current password in the <OLD PASSWORD> box using the

number keys on the screen. The default password is “1234”.

2. Touch the ENT key. The “PLEASE ENTER NEW PASSWORD” message

appears.

3. Enter the new password in the <NEW PASSWORD> box using the number

keys on the screen.

4. Touch the ENT key to register the new password.

OTHER Window

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

ZS-900P TYPE: TYPE 8, TYPE A

Select the parameter group for transmitting data by the ZS-900P transmitter. CO2

data cannot be received by a monitor on which CO2 is not available.

TYPE 8: ECG, SpO2, NIBP, IBP connected to MULTI socket 1 or 2,

temperature connected to the TEMP sockets and respiration

(thermistor) connected to MULTI socket 1 or 2

TYPE A: ECG, SpO2, NIBP, IBP connected to MULTI socket 1 or 2,

temperature connected to the TEMP sockets and CO2 or respiration

(thermistor) connected to MULTI socket 1 or 2

ZS-900P transmitter is not available for BSM-6000A series.

TIME ZONE: 0 to ±12:00

Set the time zone in respect to GMT (Greenwich Mean Time). The time

difference can be selected in 30 minute steps.

This setting must be the same on all monitors in the same network. Otherwise

data communication problems may occur.

SIMULATION MODE

When this item is checked, it enters SIMULATION MODE and when it returns

to the home screen, simulated waveforms and numeric value appear on the

screen. These can be used for demonstration of the monitor.

When the power is turned off after SIMULATION MODE is checked,

SIMULATION MODE is turned off.

For normal monitoring, uncheck this item.

Administrator’s Guide BSM-6000 2.13

2.14 Administrator’s Guide BSM-6000

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

Initializing the Monitor

Use the following procedure to initialize the monitor. Initializing the monitor

sets all settings to the factory default settings for ICU mode. The factory default

settings of the SYSTEM CONFIGURATION screen and SYSTEM SETUP

window are listed in the “Factory Default Settings” in Section 4 of this manual.

Other default settings are listed in the Operator’s Manual.

All patient data and stored data are deleted and all settings return to

the factory default settings.

1. If the monitor power is on, turn it off.

2. Press the [power] switch while pressing the [Silence Alarms] key on the

front panel until the DIAGNOSTIC CHECK screen is displayed.

CAUTION

3. Touch the INITIALIZE key. The dialog box to enter the password appears.

4. Enter the password with the number keys and touch the ENT key. The

conrmationdialogboxappears.

The default password is “1234”.

5. Touch the YES key to initialize the monitor.

Touch the NO key to cancel initializing.

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

 Wheninitializingisnished,the“SYSTEMINITIALIZED”message

appears.

6. Touch the RETURN key on the DIAGNOSTIC CHECK screen to display

the home screen.

Administrator’s Guide BSM-6000 2.15

Section 3 Changing SYSTEM SETUP

Window Settings

Overview ..............................................................................................................................................................3.3

Setting Items on the SYSTEM SETUP Window ........................................................................................ 3.3

Displaying the SYSTEM SETUP Window .................................................................................................3.8

Closing the SYSTEM SETUP Window ...................................................................................................... 3.9

The INFO Page of the INFO Window ...................................................................................................... 3.10

The CONFIGURATION Page of the INFO Window ................................................................................. 3.10

The MAINTENANCE Page of the INFO Window.....................................................................................3.11

BATTERY Tab ................................................................................................................................ 3.11

LOAD/SAVE SETTINGS Tab ........................................................................................................ 3.11

SYSTEM Window .............................................................................................................................................. 3.12

DISPLAY Page ........................................................................................................................................3.12

LAYOUT Page ......................................................................................................................................... 3.13

VOLUME Page ........................................................................................................................................ 3.15

BED ID Window ................................................................................................................................................. 3.17

PARAMETERS Window .....................................................................................................................................3.18

ECG Page ............................................................................................................................................... 3.18

NIBP Page ...............................................................................................................................................3.20

NIBP MODE Page ................................................................................................................................... 3.21

STAT Tab ....................................................................................................................................... 3.21

SIM Tab ......................................................................................................................................... 3.21

INTERVAL Tab .............................................................................................................................. 3.22

VENOUS PUNCTURE Tab ...........................................................................................................3.23

INITIAL CUFF PRESS Tab ............................................................................................................3.23

CO2 Page.................................................................................................................................................3.24

GAS Page ...............................................................................................................................................3.24

MAINTENANCE Tab .....................................................................................................................3.24

SETTINGS Tab ..............................................................................................................................3.25

INFO Tab ....................................................................................................................................... 3.26

FLOW/Paw Page ..................................................................................................................................... 3.26

CAL Tab .........................................................................................................................................3.26

SETTINGS Tab ..............................................................................................................................3.27

MAINTENANCE Tab .....................................................................................................................3.27

INFO Tab ....................................................................................................................................... 3.28

EEG Page ...............................................................................................................................................3.28

OTHER PARAM Page ............................................................................................................................. 3.29

ALARM Window ................................................................................................................................................. 3.31

SILENCE/SUSPEND Page ..................................................................................................................... 3.31

DISPLAY/SOUND Page ..........................................................................................................................3.33

ALARM PRIORITY Page .........................................................................................................................3.34

ARRHYTH PRIORITY Page ....................................................................................................................3.35

TECHNICAL PRIORITY Page .................................................................................................................3.36

SLEEP Page ...........................................................................................................................................3.37

COLOR Window ................................................................................................................................................ 3.38

Administrator’s Guide BSM-6000 3.1

RECORD Window ............................................................................................................................................. 3.40

RECORDER Page...................................................................................................................................3.40

PRINTER Page ....................................................................................................................................... 3.41

Using Network Printer ................................................................................................................... 3.42

MASTER Window .............................................................................................................................................. 3.45

MAIN ALARMS/ECG ALARMS/PRESS ALARMS/TEMP ALARMS/GAS ALARMS/OTHER

ALARMS Pages ......................................................................................................................................3.45

ARRHYTH Page ......................................................................................................................................3.46

RY-910P/MOUSE Window ................................................................................................................................. 3.48

KEYS Window ................................................................................................................................................... 3.49

3.2 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

Overview

This section explains how to change settings on the SYSTEM SETUP window.

The SYSTEM SETUP window can only be entered by an administrator who has

the password to access these windows. Changing the settings on the SYSTEM

SETUP window does not interrupt monitoring, but it is recommended to check

and change them before monitoring a patient because these settings involve basic

measurement conditions.

Setting Items on the SYSTEM SETUP Window

SYSTEM - DISPLAY page SYSTEM - LAYOUT page

SYSTEM-VOLUMEpage BEDIDwindow

PARAMETERS - ECG page PARAMETERS - NIBP page

Administrator’s Guide BSM-6000 3.3

3.4 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

PARAMETERS - NIBP MODE - STAT tab PARAMETERS - NIBP MODE - SIM tab (OR site only)

PARAMETERS-NIBPMODE-INTERVALtab PARAMETERS-NIBPMODE-VENOUSPUNCTURE

tab

PARAMETERS - NIBP MODE - INITIAL CUFF PRESS PARAMETERS - CO2 page tab

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

PARAMETERS - GAS - MAINTENANCE tab PARAMETERS - GAS - SETTINGS tab

PARAMETERS - GAS - INFO tab PARAMETERS - FLOW/Paw - CAL tab*

PARAMETERS - FLOW/Paw - SETTINGS tab* PARAMETERS - FLOW/Paw - MAINTENANCE tab*

PARAMETERS - FLOW/Paw - INFO tab* PARAMETERS - EEG page

* FLOW/Paw is not available for BSM-6000A series. * EEG is not available for BSM-6000A series.

Administrator’s Guide BSM-6000 3.5

3.6 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

PARAMETERS - OTHER PARAM page ALARM - SILENCE/SUSPEND page

ALARM - DISPLAY/SOUND page ALARM - ALARM PRIORITY page

ALARM - ARRHYTH PRIORITY page ALARM - TECHNICAL PRIORITY page

ALARM - SLEEP page COLOR window

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

RECORD - RECORDER page RECORD - PRINTER page

MASTER - MAIN ALARMS page MASTER - ARRHYTH page

RY-910P/MOUSE window KEYS window

Administrator’s Guide BSM-6000 3.7

3.8 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

Displaying the SYSTEM SETUP Window

1. Press the [Menu] key on the front panel to display the MENU window.

2. Touch the SYSTEM key on the MENU window.

3. Enter the password with the number keys and touch the ENT key. The

SYSTEM SETUP window appears. (The default password is “1234”.)

The password is set on the CHANGE PASSWORD window of the SYSTEM

CONFIGURATION screen. Refer to Section 2.

Setting tabs

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

4. Touch the desired setting tab to display the desired window.

5. Change any necessary settings.

Closing the SYSTEM SETUP Window

Touch the close button ( ) or press the [Home] key. The home screen appears.

Administrator’s Guide BSM-6000 3.9

3.10 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

The INFO Page of the INFO Window

The INFO page shows the software version of the monitor. The page also lists

the options installed in the monitor.

The CONFIGURATION Page of the INFO Window

The CONFIGURATION page shows the settings on the SYSTEM

CONFIGURATION screen of the DIAGNOSTIC CHECK screen. This lets you

check the contents of the settings without having to restart the monitor to display

the SYSTEM CONFIGURATION screen.

NOTE

The settings on the SITE and CHANGE PASSWORD windows are not

displayed.

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

The MAINTENANCE Page of the INFO Window

The MAINTENANCE page has two tabs.

BATTERY Tab

The BATTERY tab shows the status of the batteries installed in the monitor.

LOAD/SAVE SETTINGS Tab

OntheLOAD/SAVESETTINGStab,youcansavesettingsonthemonitoras

aletotheSDcardandcopythesettingstoadifferentmonitor.Refertothe

Service Manual for details.

Administrator’s Guide BSM-6000 3.11

3.12 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

SYSTEM Window

The SYSTEM window has four pages.

DISPLAY Page

WAVE DISPLAY: MOVING, FIXED

Select waveform sweep mode on the home screen.

MOVING:Waveformsweepsfromtheright.

FIXED: Waveform does not sweep; it is refreshed from the left.

DISPLAY COLOR MODE: PARAMETER, ALARM

There are two color display modes.

PARAMETER: A different color can be set for each parameter. When an alarm

occurs, the alarmed parameter data is highlighted.

ALARM: The same color selected at <ALARM MODE COLOR> of

the COLOR window is set for all parameters. When an alarm

occurs, the alarmed parameter color changes according to the

color set at <ALARM PRIORITY COLOR> of the ALARM

window.

SUB DISPLAY: SLAVE, HOME SCREEN

Select the screen to be displayed on the sub display.

SLAVE: Samescreenasthebedsidemonitorisdisplayedonthesub

display.

HOME SCREEN: The home screen is always displayed.

WhenFIXEDisselectedfor<WAVEDISPLAY>andHOMESCREENis

selected for <SUB DISPLAY>, trendgraph, PWTT trendgraph and OCRG cannot

be displayed.

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

CURRENT TREND: NORMAL, PWTT, OCRG 1 cm/min, OCRG 3 cm/

min, OFF

Select the trendgraph type displayed on the home screen.

NORMAL: Trendgraph

PWTT: PWTT trendgraph

OCRG 1 cm/min: OCRG display with the horizontal scale 1 cm/min

OCRG 3 cm/min: OCRG display with the horizontal scale 3 cm/min

OFF: No trendgraph/PWTT trendgraph/OCRG display on the home

screen

POWER SAVING MODE: On, Off

When operating the monitor on battery power, the brightness of the screen can be

adjusted to save battery power.

On: Dim, longer battery operation time

Off: Normal screen brightness, shorter battery operation time

FILL IN CO2 WAVEFORM: On, Off

When set to On, the CO2waveformislledin.

LAYOUT Page

CO2 waveform is ﬁlled in

Administrator’s Guide BSM-6000 3.13

3.14 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

NUMERIC PARAMETER AREA: LEFT SIDE, SIDE + SMALL BOTTOM,

SIDE + LARGE BOTTOM

Select the area for displaying numeric values on the home screen.

LEFT SIDE: The numeric values are displayed at the left side of

SIDE + SMALL BOTTOM: The numeric values are displayed at the left and

the home screen.

bottom of the home screen. The values at the

bottom of the screen are small.

SIDE + LARGE BOTTOM: The numeric values are displayed at the left and

bottom of the home screen. The values at the

bottom of the screen are large.

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

LARGE NUMERIC SCREEN LAYOUT: 2 × 2, 3 × 4

Select the layout type for the LARGE NUMERICS window.

2 × 2 3 × 4

VOLUME Page

ALARM MINIMUM VOLUME

Set the minimum volume for the alarm sound.

Administrator’s Guide BSM-6000 3.15

3.16 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

NIBP COMPLETION

Set the volume for the NIBP measurement completion sound. The NIBP

measurement completion sound is enabled when <COMPLETION SOUND>

on the NIBP page of the PARAMETERS window is set to On. When

<COMPLETION SOUND> is set to Off or the volume is set to minimum, there

is no sound.

KEY CLICK

Set the volume for the click sound when a key on the screen is touched. When set

to minimum, there is no click sound.

INTERBED ALARM

Set the volume for the interbed alarm sound. The interbed alarm sound is enabled

when <INTERBED ALARM> on the SETTINGS page of the INTERBED

window is set to ON. When <INTERBED ALARM> is set to OFF, there is no

sound.

BED ID Window

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

Enteranidenticationnameforthebed.Upto10alphanumericcharacterscan

be entered.

CAUTION

When the monitor is connected to a central monitor network, set the

Bed Name (Bed ID) and Group Name on the monitor. Otherwise, the

default settings are used for the bed name and group name and the

bed may be incorrectly identiﬁed on the central monitor.

1. Touch the EDIT key. The keyboard appears.

2. Touch the desired letters and numbers to enter the bed ID.

3. Touch the ENT key to register the bed ID.

Administrator’s Guide BSM-6000 3.17

3.18 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

PARAMETERS Window

The PARAMETERS window has eight pages.

ECG Page

ECG page when site is OR/ICU

ECG ELECTRODES: IEC, AHA

Select the electrode lead type.

IEC: R, L, F, RF, C

AHA: RA,LA,LL,RL,V

SYNC SOUND PITCH: HIGH, MIDDLE, LOW

Select high, middle, or low pitch synchronized sound.

HUM FILTER: 50 Hz, 60 Hz

Selectthehumlter.

50 Hz: Set to 50 when operating only in 50 Hz area

60 Hz: Set to 60 when operating only in 60 Hz area

NOTE

Make sure that the appropriate line frequency is selected. Otherwise,

noise may interfere on the ECG waveforms.

ARRHYTHMIA TYPE: STANDARD, EXTENDED

This setting is not available on the BSM-6000A series. For BSM-6000A series,

arrhythmia type is STANDARD only.

There are 2 patterns of arrhythmia analysis. Normally, use “STANDARD”.

STANDARD: ASYSTOLE,VF,VT,VPCRUN,TACHYCARDIA, 

BRADYCARDIA,COUPLET,EARLYVPC,BIGEMINY,

FREQVPC,VPC

EXTENDED: ASYSTOLE,VF,VT,EXTTACHY,EXTBRADY,VPCRUN,

VBRADY,SVTACHY,TACHYCARDIA,BRADYCARDIA,

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

PAUSE,COUPLET,EARLYVPC,MULTIFORM,VRHYTHM,

BIGEMINY,TRIGEMINY,FREQVPC,VPC,IRREGULAR

RR, PROLONGED RR, NO PACER PULSE, PACER NON-

CAPTURE

NOTE

When “EXTENDED” is selected for arrhythmia type and the bedside

monitor is connected to a central monitor network that has old

software so that “EXTENDED” arrhythmias cannot be monitored, the

“COMMUNICATION LOSS” message appears for the bedside monitor

and the bedside monitor cannot be monitored on the central monitor.

PACING MARK POSITION: ABOVE WAVE, OVERLAP WAVE

Select the pacing mark position on the ECG waveform displays on the home

screen and ECG window.

ABOVEWAVE: Pacingmarkisdisplayedabovethewave.

OVERLAPWAVE: Pacingmarkisdisplayedoverlappingwave.

Pacing mark

ECG page when site is NICUECG page when site is NICU

ABOVE WAVE OVERLAP WAVE

ALARM INDICATOR QRS SYNC: On, Off

When set to On, the green lamp of the alarm indicator blinks in synchronization

with the patient’s QRS.

ST MEASUREMENT On, Off

ST measurement can be turned on or off . This setting is only available when the

site is NICU.

Administrator’s Guide BSM-6000 3.19

3.20 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

NIBP Page

COMPLETION SOUND: On, Off

When set to On, a “peep” sounds when NIBP measurement is complete. The

volume for this sound is set at <NIBP COMPLETION> on the DISPLAY-

VOLUMEpage.

SIM: On, Off

Select On when using SIM mode for NIBP. This setting is only available when

the site is OR.

NIBP INTERVAL KEY STARTS NIBP: On, Off

WhensettoOn,therstNIBPmeasurementstartsinautomeasurementwhen

[NIBP Interval] key is pressed to select the interval.

INTERVAL MASTER: MANUAL, STAT, SIM, 1, 2, 2.5, 5, 10, 15, 30 min,

1, 2, 4 or 8 h

Select the initial NIBP measurement mode when <AUTO ADMIT> in the

SYSTEM CONFIGURATION screen is set to ON and 30 minutes elapse after

monitor power off or the patient data is deleted. SIM mode is only available

when the site is OR and <SIM> is set to On.

OLD DATA DISPLAY: DIM, HIDE

Select whether to dim or hide the NIBP data on the home screen when the time

in <TIME UNTIL DATA IS OLD> elapses after the last NIBP measurement.

TIME UNTIL DATA IS OLD: 10 min, 30 min, 1 h or 24 h

Select how long to wait after NIBP measurement to dim or hide the NIBP data

on the home screen.

NOTE

When 24 h is selected, the NIBP data is hidden 24 hours after

measurement even when DIM is selected for <OLD DATA DISPLAY>.

NIBP MODE Page

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

TheNIBPMODEpagehasvetabs.

STAT Tab

Set the program for the STAT mode measurement.

The STAT mode is for measuring blood pressure during induction of general

anesthesia. There are two stages. In <STAGE 1>, repetitive measurement

isperformedattheintervalsetfor<INTERVAL>fortheperiodsetfor

<OPERATINGTIME>.Afterstage1nishes,periodicmeasurementstartsatthe

interval set for <STAGE 2>.

Setting Items

STAGE1INTERVAL: STAT/1min*

STAGE 1 OPERATING TIME: 5 min/10 min

STAGE2INTERVAL: MANUAL/1min/2min/2.5min/5min/10

min/15 min/30 min

* 1 minute interval measurement reduces burden on the patient.

SIM Tab

Administrator’s Guide BSM-6000 3.21

3.22 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

Set the program for the SIM mode measurement. This tab appears only when

<SIM> is set to On on the NIBP page.

The SIM mode is for measuring blood pressure during infusion of local

anesthesia such as spinal anesthesia (also called lumbar anesthesia or

subarachnoid block) and epidural anesthesia. There are two stages. In <STAGE

1>,repetitivemeasurementisperformedattheintervalsetfor<INTERVAL>

fortheperiodsetfor<OPERATINGTIME>.Afterstage1nishes,periodic

measurement starts at the interval set for <STAGE 2>.

Setting Items

STAGE1INTERVAL: 1min/2min/2.5min

STAGE 1 OPERATING TIME: 5 min/10 min/15 min

STAGE2INTERVAL: 2min/2.5min/5min

INTERVAL Tab

SelectthemeasurementmodetobedisplayedontheNIBPINTERVALSwindow

which appears on the left part of the screen when the [NIBP Interval] key is

pressed.

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

VENOUS PUNCTURE Tab

VENOUS PUNCTURE: On, Off

When set to On, venous puncture mode is available for NIBP.

Slider

TARGET CUFF PRESSURE

Set the maximum cuff pressure for each patient type in venous puncture mode.

1. Select the patient type by touching the ADULT, CHILD or NEONATE key.

2. Touch and drag the slider to select the cuff pressure. Use the or key to

adjust setting.

INITIAL CUFF PRESS Tab

Setthemastersettingfortheinitialcuffinationpressure.Whena

patient is admitted or discharged, or <AUTO ADMIT> in the SYSTEM

CONFIGURATION screen is set to ON and 30 minutes elapse after monitor

poweroff,theinitialcuffinationpressureontheNIBPwindowreturntothis

master setting.

Administrator’s Guide BSM-6000 3.23

3.24 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

CO2 Page

Use this page for inspecting CO2 measurement accuracy. For details, refer to the

Service Manual.

GAS Page

The GAS page has three tabs.

NOTE

GF-210R multigas unit and GF-120PA or GF-220R multigas/ﬂow unit are

not available for the BSM-6000A series.

MAINTENANCE Tab

Use this page for gas calibration. For details, refer to the Service Manual.

CAUTION

When the monitoring value is not appropriate, perform gas

calibration. Perform gas calibration once a year for stable measuring

accuracy.

MAINTENANCE page when GF-110PA or GF-120PA is connected

MAINTENANCE page when GF-210R or GF-220R is connected

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

SETTINGS Tab

Set the settings on the SETTINGS tab when monitoring anesthetic gas with a

GF-110PAorGF-210RmultigasunitorGF-120PAorGF-220Rmultigas/ow

unit.

AGENT HOLD TIME: 10 to 60 min (5 min steps)

Set the time to delete the anesthetic agent data from the home screen after the

end of gas monitoring.

MAX Ttot: 20 to 40 s (5 s steps)

Set the time to display spontaneous value instead of Fi/ET values for gas values

when there is apnea.

TEMPERATURE AND HUMIDITY COMPENSATION: ATPD, STPD,

BTPS

Select the temperature and humidity for compensating the gas measurement values (it is assumed that the sensor temperature is 22ºC (71.6ºF) and humidity

40%).

ATPD: Ambient Temperature 25ºC (77ºF), atmospheric Pressure, Dry (0%)

STPD: Standard Temperature 0ºC (32ºF), 1 atmospheric Pressure, Dry (0%)

BTPS: Body Temperature 37ºC (98.6ºF), atmospheric Pressure, Saturated

(100%)

MAC: UNCORRECTED, AMBIENT PRESSURE CORRECTED,

ENHANCED

NOTE

This setting is not available on the BSM-6000A series.

Select the type of MAC to be displayed. For details on the MAC calculation

method, refer to the GF-110PA or GF-210R multigas unit or GF-120PA or GF-

220Rmultigas/owunitOperator’sManual.

UNCORRECTED: Displays uncorrected MAC. Labeled

“MAC” on the screen.

AMBIENT PRESSURE CORRECTED: Displays ambient pressure-corrected

Administrator’s Guide BSM-6000 3.25

3.26 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

ENHANCED: Displays enhanced MAC correction.

Labeled “MAC-Enhnc” and

“MAC-Awake” on the screen.

INFO Tab

The INFO tab shows information about the GF-110PA or GF-210R multigas unit

orGF-120PAorGF-220Rmultigas/owunit.Fordetails,refertotheService

Manual.

MAC. Labeled “MAC-Ambnt” on the

screen.

INFO page when GF-120PA is connected

FLOW/Paw Page

INFO page when GF-220R is connected

The FLOW/Paw page has four tabs.

NOTE

GF-120PA and GF-220R multigas/ﬂow unit are not available for BSM-

6000A series.

CAL Tab

Use this page for gas calibration. For details, refer to the Service Manual.

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

SETTINGS Tab

GAS SAMPLING CORRECTION: AUTO, OFF

ThissettingisavailableonlywhenusingaGF-120PAorGF-220Rmultigas/ow

unit. When the sampling line for gas monitoring is attached to the sampling port

ontheowadapterorconnectedbetweentheowtubeandpatient,therewill

be a difference between the ventilation volume setting on the anesthetic machine

and the actual ventilated volume of the patient because of the gas sampled by

themultigas/owunit.Thisdifferenceiscompensatedforinowmeasurement

when this item is set to AUTO. For example, if the sampling volume is set to 200

mL/minontheGASwindow,3.3mL/minissubtractedfromthemeasuredow

value.Theowvolumesarealsocalculatedfromthecompensatedowvalue.

AUTO: When <GAS MEASUREMENT> on the GAS window is set to On, the

owvalueiscompensatedwheneverpatientrespirationisdetectedby

the monitor.

OFF: No compensation.

MAINTENANCE Tab

UsethispageforinspectingtheGF-120PAorGF-220Rmultigas/owunit.For

details, refer to Service Manual.

Administrator’s Guide BSM-6000 3.27

3.28 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

INFO Tab

The INFO tab shows the model and software version of the GF-120PA or GF-

220Rmultigas/owunit.

EEG Page

NOTE

AE-918P neuro unit is not available for BSM-6000A series.

AUTO IMPEDANCE CHECK: ON, OFF

When auto check is turned On, measurement signals of two frequencies higher

than the EEG frequency band are applied to check impedance while measuring

EEG. If the result is not “PASS”, the “CHECK ELECTRODES” or “HIGH

IMPEDANCE” message appears on the screen.

The impedance for the Z electrode cannot be automatically checked. Check

impedance for the Z electrode manually.

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

CAUTION

Never check the skin-electrode impedance with the needle electrode

inserted in the patient. Failure to follow this caution causes electrical

burn where electrodes are inserted.

NOTE

It is recommended to use auto impedance check function so that

electrode off, lead disconnection and high impedance of an electrode can

be automatically detected. However, noise from the automatic impedance

check may affect other devices. In that case, set the automatic impedance

check to Off.

BAND SETTINGS: 0 to 60.0 Hz

If necessary, change the frequency band setting.

OTHER PARAM Page

PRESS FILTER: 12 Hz, 20 Hz

SelectthenoiselterforIBPmonitoring.Fornormalmonitoring,setthelterto

12Hz.ToseetheIBPwaveformsindetail,setthelterto20Hz.

IBP ANALOG OUT: FIXED POSITION, HIGHEST PRIORITY LABEL

Select the IBP output condition.

FIXED POSITION: IBP line connected to the top MULTI socket on

the input unit is used for IBP output.

HIGHEST PRIORITY LABEL: IBP line of the highest priority label is used for

IBP output.

Label priority:

Administrator’s Guide BSM-6000 3.29

ART > ART2 > RAD > DORS >

AO>FEM>UA>LVP>P1>

P2 > P3 > P4 > P5 > P6 > P7

3.30 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

NOISE REDUCTION ON IMPEDANCE RESP: On, Off

In the impedance method, noise from the heart beat may interfere on the

respiration waveform due to electrode position, and the respiration rate may

increase to almost the same rate as the heart rate. In such a case, set this setting

to On to reduce noise interference on the respiration waveform.

If the respiration rate is miscounted in the thermistor method, set this item to Off.

When this item is set to On and the timing of the respiration and heart

beat coincide, respiration rate might not be counted. In such a case, set

this item to Off or check the patient’s respiration by observing the patient’s

chest movement or the respiration waveform on the screen.

NOTE

ALARM Window

SILENCE/SUSPEND Page

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

The ALARM window has six pages.

SILENCE/SUSPEND page when site is ICU/NICU

SILENCE ALARMS TIME: 1, 2 or 3 min

Select the interval for silencing an alarm.

ALARM ACTIVATION DELAY: AUTO, 1, 2 or 3 min

To prevent unnecessary alarms immediately after monitoring starts or monitoring

resumes, alarm activation can be delayed for a short time. For details, refer to

Operator’s Manual or Section 5 of the User’s Guide Part I.

AUTO: Alarm function activates when ECG, SpO2 or IBP is monitored or

NIBP is measured and a value is displayed.

1, 2, 3 min: Alarm function activates when one of the following requirements is

met.

• ECG, SpO2 or IBP is continuously monitored for the selected time.

• NIBP is measured.

• Heart rate becomes 0.

SILENCE SpO2 ALARM: On, Off

This setting is not available for BSM-6000K series. Select what happens when

another alarm occurs during SpO2 alarm silence.

On: SpO2 alarms are handled differently than other alarms. When an SpO2

upper/lower limit alarm is silenced and another alarm which is not SpO2

upper/lower limit alarm occurs during alarm silence, the alarm sound,

indication and recording occur as usual. If another SpO2 upper/lower limit

alarm occurs during SpO2 alarm silence, the alarm silence continues and the

second SpO2 alarm is not indicated.

Off: All alarm types are handled the same way. When an SpO2 upper/lower limit

alarm is silenced and another alarm occurs during alarm silence, the alarm

sound, indication and recording occur as usual.

Administrator’s Guide BSM-6000 3.31

3.32 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

ALARM INACTIVATION: SUSPEND ALARMS, ALL ALARMS OFF

Select the alarm off mode. The selected mode appears as the alarm off key on the

MENU window.

SUSPEND ALARMS: Alarm function is suspended for the selected interval.

ALLALARMSOFF: Alarmfunctionissuspendedindenitely.

When the site is OR, select the alarm off type in the

REMINDER: When this item is checked, the “ALL ALARMS OFF” or

“BYPASS” message blinks for 3 seconds every 3 minutes. When this item is

SILENCE/SUSPEND page when site

SILENCE/SUSPEND page when site is OR

is OR

unchecked, the message does not blink.

ALARM INDICATOR LIT: When this item is checked, the red lamp of the

alarm indicator lights when all alarms are off.

The alarm off key on the MENU window

Select the interval in the <SUSPEND ALARMS TIME>

box.

<ALARMS OFF TYPE> box.

ALARM INACTIVATION setting ICU/NICU site OR site

SUSPEND ALARMS

ALARMS OFF TYPE: BYPASS

ALL ALARMS OFF

ALARMS OFF TYPE: ALL ALARMS OFF

Alarm off keys

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

Alarm off function

SUSPEND MONITORING key

Use this key to temporarily stop patient monitoring for examination. When this

key is touched, all alarms and NIBP STAT/SIM and auto measurements are

suspended. Alarms resume when the SUSPEND MONITORING key is touched

againorwhenthe<ALARMACTIVATIONDELAY>conditionismet.

SUSPEND ALARMS key

Use this key to suspend all alarms for the time set in <SUSPEND ALARMS

TIME>.

BYPASS key

Use this key when the patient is connected to a heart-lung machine. When this

key is touched, all alarms and NIBP STAT/SIM and auto measurements are

indenitelysuspended.TouchtheBYPASSkeyandtouchtheYESkeyonthe

conrmationwindow.AlarmsresumewhentheBYPASSkeyistouchedagain.

ALL ALARMS OFF key

Usethiskeytosuspendallalarmsindenitely.TouchtheALLALARMSOFF

keyandtouchtheYESkeyontheconrmationwindow.Alarmsresumewhen

the ALL ALARMS OFF key is touched again.

DISPLAY/SOUND Page

LIMIT DISPLAY: MARK BRIGHT, MARK DIM, VALUES

Select the alarm off mark display on the screen.

MARK BRIGHT: A normal brightness alarm off mark is displayed beside each

parameter value whose vital signs alarm is set to OFF.

MARK DIM: A dimmed alarm off mark is displayed beside each parameter

value whose vital signs alarm is set to OFF.

VALUES: Theupper/loweralarmlimitsaredisplayedbesideparameter

values. For BSM-6000A series, when the limit is set to OFF,

“OFF” is displayed. For BSM-6000K series, when the limit is

set to OFF, “---” is displayed.

Administrator’s Guide BSM-6000 3.33

3.34 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

ALARM SOUND TYPE: NK1, NK2, IEC

Select the alarm sound standard.

NK1andNK2: NihonKohdenspeciedsound

IEC: IECdenedsound

ALARM SOUND

TYPE setting

ALARM PRIORITY Page

CRISIS WARNING ADVISORY

NK1

NK2

IEC IEC standard (ceg-gC) IEC standard (ceg) IEC standard (ec)

ALARM PRIORITY COLOR

Select the combination of colors for the alarmed parameter when <DISPLAY

COLOR MODE> is set to ALARM on the SYSTEM window.

ADVISORY ALARM SOUND INTERVAL: 20 s, 120 s

Select the sound interval for advisory level alarms.

The ALARM PRIORITY page has two tabs.

Continuous pip sound Continuous ping sound Single beep every 20

or 120 seconds

Continuous ping sound Continuous ding ding

sound

Single beep every 20 or 120 seconds

Select the alarm level and alarm indicator color for each parameter. The color

combination depends on the <ALARM PRIORITY COLOR> setting on the

DISPLAY/SOUND page.

CRISIS: The parameter data is highlighted with a sound selected at

<ALARM SOUND TYPE> and red blinking lamp.

WARNING: The parameter data is highlighted with a sound selected at

<ALARM SOUND TYPE> and yellow blinking lamp.

ADVISORY: Theparameterdataishighlightedwithasoundselectedat

<ALARM SOUND TYPE> every 20 or 120 seconds (interval

selectedat<ADVISORYPRIORITYALARMSOUND

INTERVAL>)andcyanoryellow(colorselectedat<ALARM

PRIORITY COLOR>) lamp lit.

ARRHYTH PRIORITY Page

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

ARRHYTH PRIORITY page when ARRHYTHMIA TYPE is EXTENDED

Select the alarm level and alarm indicator color for each arrhythmia type. The

color combination depends on the <ALARM PRIORITY COLOR> setting on

the DISPLAY/SOUND page.

The arrhythmia type setting is not available on the BSM-6000A series. For

BSM-6000A series, arrhythmia type is STANDARD only.

CRISIS: The parameter data is highlighted with a sound selected at

WARNING: The parameter data is highlighted with a sound selected at

ADVISORY: Theparameterdataishighlightedwithasoundselectedat

ARRHYTH PRIORITY page when ARRHYTHMIA TYPE is STANDARD

NOTE

<ALARM SOUND TYPE> and red blinking lamp.

<ALARM SOUND TYPE> and yellow blinking lamp.

<ALARM SOUND TYPE> every 20 or 120 seconds (interval

selectedat<ADVISORYPRIORITYALARMSOUND

INTERVAL>)andcyanoryellow(colorselectedat<ALARM

PRIORITY COLOR>) lamp lit.

Administrator’s Guide BSM-6000 3.35

3.36 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

TECHNICAL PRIORITY Page

Select the alarm level and alarm indicator color for the three technical alarms.

The color combination depends on the <ALARM PRIORITY COLOR> setting

on the DISPLAY/SOUND page.

WARNING: The parameter data is highlighted with a sound selected at

<ALARM SOUND TYPE> and yellow blinking lamp.

ADVISORY: Theparameterdataishighlightedwithasoundselectedat

<ALARM SOUND TYPE> every 20 or 120 seconds (interval

selectedat<ADVISORYPRIORITYALARMSOUND

INTERVAL>)andcyanoryellow(colorselectedat<ALARM

PRIORITY COLOR>) lamp lit.

SLEEP Page

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

EXIT SLEEP MODE ON CRISIS ALARM: On, Off

WARNING

When using sleep function, monitor the patient on the central

monitor or telemetry system. Otherwise, the bedside monitor alarm

may be overlooked. When <EXIT SLEEP MODE ON CRISIS

ALARM> check box on the ALARM page of the SYSTEM SETUP

window is Off, bedside monitor alarms and sync sound appear on

the central monitor but do not appear on the bedside monitor during

sleep mode.

On: When a crisis alarm occurs during sleep mode, the sleep mode is exited

and the home screen appears. When an alarm other than crisis occurs, sleep

mode continues.

Off: The sleep mode continues even when a crisis alarm occurs.

SLEEP MODE WILL END AT

Set the clock time to exit sleep mode.

1. Touch the EDIT key in the <SLEEP MODE WILL END AT> box.

2. Enter the clock time with the number keys on the screen.

3. Touch the ENT key to register the time.

Administrator’s Guide BSM-6000 3.37

3.38 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

COLOR Window

Select the color for each parameter display. To display the parameters in different

colors, the <DISPLAY COLOR MODE> on the SYSTEM window must be set

to PARAMETER.

1. Touch the parameter key. The COLOR TABLE window appears.

2. Select the desired color for the parameter.

3. Touch the close button ( ) to close the COLOR TABLE window.

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

When ALARM is selected for the <DISPLAY COLOR MODE> on the

SYSTEM window, all parameters are displayed in the same color. Select the

color for all parameter display on the ALARM page.

Administrator’s Guide BSM-6000 3.39

3.40 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

RECORD Window

The RECORD window has two pages.

RECORDER Page

MANUAL RECORD: REAL TIME, DELAY

There are two manual recording modes.

REAL TIME: The beginning of the recorded waveform is when the RECORD

key on the screen is touched or the [ record] key on the front

panel is pressed.

DELAY: The beginning of the recorded waveform is 8 seconds before the

RECORD key on the screen is touched or 8 seconds before the [

record] key on the front panel is pressed.

When manually recording on a central monitor recorder in the central monitor

networkfrommonitorwithnooptionalrecorder,thissettingisxedatREAL

TIME.

MANUAL RECORD TIME: CONTINUOUS, 10 s, 20 s, 30 s

Select the length for manual recording. When CONTINUOUS is selected, the

recording starts when the [ record] key on the front panel is pressed and stops

when the [ record] key on the front panel is pressed.

When manually recording on a central monitor recorder in the central monitor

network from monitor with no optional recorder, this setting is automatically

changed to 30 s when CONTINUOUS is selected.

PERIODIC FREE INTERVAL: 1 to 120 min

You can select the FREE time interval from 1 to 120 min in 1 min steps for

periodic recording. See “Setting Periodic Recording” in Operator’s Manual or

Section 10 of the User’s Guide Part I.

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

1. TouchtheEDITkey.ThePERIODICFREEINTERVALwindowopens.

2. Enter the interval by touching the number keys on the screen.

PRINTER Page

3. Touch the ENT key to register the value.

RECORD ON CENTRAL MONITOR

When the bedside monitor has no optional recorder, recording can be performed

on the central monitor recorder in the central monitor network. Select the central

monitor for the remote recording destination from the list of central monitors

(bed IDs).

Change the settings according to the network printer.

PAPER SIZE: A4, LETTER

Select the paper size of the network printer.

Administrator’s Guide BSM-6000 3.41

3.42 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

IP ADDRESS

Set the IP address of the network printer.

1. Touch the EDIT key beside the <IP ADDRESS> box.

2. Use the number keys on the screen to enter the IP address of the network

printer.

3. Touch the SET key to register the IP address.

PRINTER NAME

Enter the printer name. Up to 16 alphanumeric characters can be entered.

Normally, use the default setting “lp”. If data cannot be printed, change the

settingtotheprinternamespeciedintheprintermanual.Iftheprintingstill

cannot be performed, contact your Nihon Kohden representative.

1. Touch the EDIT key beside the <PRINTER NAME> box.

2. Use the alphanumeric keys on the screen to enter the printer name of the

network printer.

3. Touch the SET key to register the printer name.

HOSPITAL

You can print the hospital or institution name at the top of the printing paper. Up

to 32 alphanumeric characters can be entered.

1. Touch the EDIT key beside the <HOSPITAL> box.

2. Use the alphanumeric keys on the screen to enter the hospital name of the

network printer.

3. Touch the SET key to register the hospital name.

Using Network Printer

Printer Settings in the Network

Data of a bedside monitor can be printed on a PostScript network printer which

supports lpr protocol. The settings and network address on the printer must be

set so that PostScript data of the monitor can be printed. The printer must have at

least 32 MB memory. For details about the printer, refer to the printer manual or

contact your Nihon Kohden representative.

For a network printer, we recommend HP LaserJet 4200N or equivalent.

Settings on the Printer

Set the network address on the printer and other settings so that PostScript data

of the monitor can be printed. For the network address, when setting the network

address automatically on the monitors, change the settings as shown below.

When setting the network address manually on the monitors, the network address

of the printer must be different from the network address of the monitors.

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

IP address: 010.255.255.250

Subnet mask: 255.000.000.000

Default gateway address: 000.000.000.000

Access control address*: 000.000.000.000

Access control mask*: 000.000.000.000

* HP printers do not have access control address and access control mask

settings.

After changing the settings on the printer, turn the printer power off and on so

that the IP address is recognized by the printer.

The HP LaserJet 4200N printer automatically recognizes PostScript, so there

is no setting for PostScript on this printer. Only the network address (IP

ADDRESS, SUBNET MASK and DEF. GATEWAY) needs to be set on this

printer.

Settings on the Bedside Monitor

Set the settings on the PRINTER page of the SYSTEM SETUP window on the

bedside monitor as follows.

Printer Name*: lp

IP Address: Set the printer’s IP address.

* If data cannot be printed when this setting is “lp”, change the setting to

theprinternamespeciedintheprintermanual.Ifprintingstillcannotbe

performed, contact your Nihon Kohden representative.

Printer Setting Example

Administrator’s Guide BSM-6000 3.43

3.44 Administrator’s Guide BSM-6000

3. CHANGING SYSTEM SETUP WINDOW SETTINGS33. CHANGING SYSTEM SETUP WINDOW SETTINGS

MASTER Window

For fast and easy alarm setup, a group of alarm items can be set all together

at one time. This is called an alarm master. For example, there may be typical

alarm settings at your hospital, or you may have certain alarm settings for certain

patients.

Even when alarms are set by an alarm master, individual alarm settings in the

alarm master can still be changed on the ALARM LIMITS or ARRHYTH

ALARM window or the alarm setting in each parameter setup window.

When <AUTO ADMIT> in the SYSTEM CONFIGURATION screen is set to

ON, the alarm settings return to the master settings 30 minutes after the monitor

is turned off. When <AUTO ADMIT> is set to OFF, you can select whether to

save the settings or initialize the master settings.

WARNING

If more than one medical equipment is used together in the same

facility, make sure all equipments have the same alarm default

settings (alarm master). If the medical equipments have different

alarm default settings and when initialized, the alarm settings

differ with the other equipments and alarm cannot be managed

appropriately in the facility. If using different alarm default settings

according to areas or wings in the facility, manage the alarms

appropriately.

MAIN ALARMS/ECG ALARMS/PRESS ALARMS/TEMP ALARMS/GAS ALARMS/OTHER ALARMS Pages

Selected parameter

Upper limit

Upper limit slider

Setting bar

Lower limit

Lower limit slider

Administrator’s Guide BSM-6000 3.45

Nihon Kohden BSM-6000 User manual

Specifications and Main Features

Frequently Asked Questions

User Manual

GENERAL HANDLING PRECAUTIONS

WARRANTY POLICY

EMC RELATED CAUTION

Conventions Used in this Manual and Instrument

Warnings, Cautions and Notes

Related Documentation

Safety Standards

Section 1 Installation/Connection

Installation Conditions

Optional Cart for the Bedside Monitor

Optional Wall Mount Kit for the Bedside Monitor

Installation Flowchart

Connection Overview

Attaching the AA-672P or AA-674P Smart Expansion Unit to the AY series Input Unit

Mounting the AY series Input Unit onto the Monitor

Using an Optional Handle

Attaching the ZS-900P Transmitter

Installing the WS-671P Recorder Module

Installing the QI-631P, QI-632P, QI-634P, QI-671P or QI-672P Interface

Connecting the Mouse

Connecting the Bar Code Reader

Connecting the JA-690PA or JA-694PA Data Acquisition Unit

Connecting External Instruments

Connecting a Sub Display

Connecting the Power Cord and Grounding Lead

General

Connecting the Power Cord

Grounding the Monitor

Connecting the Monitor to the Network

Connecting the QW-100Y (HIT-100) Hyper Isolation Transformer

Connecting the QI-320PA Wireless LAN Station

Turning the Power On/Off

Check Before Turning On the Power

Turning the Power On

Check After Turning On the Power and During Monitoring

Monitor Status on Power Interruption

Turning the Power Off

Check After and Before Turning the Power Off

Setting the Bar Code Reader

Scanning the Bar Code Reader Settings

Initializing the Bar Code Reader

Checking the Bar Code Reader Operation

Calibrating the Touch Screen

Using ECG/BP Output as the Synchronous Signal

Overview

Setting Items on the SYSTEM CONFIGURATION Screen

Displaying the SYSTEM CONFIGURATION Screen

Closing the SYSTEM CONFIGURATION Screen

SITE Window

NETWORK Window

UNITS Window

TRANSPORT Window

PC Window

CHANGE PASSWORD Window

OTHER Window

Initializing the Monitor

Overview

Setting Items on the SYSTEM SETUP Window

Displaying the SYSTEM SETUP Window

Closing the SYSTEM SETUP Window

The INFO Page of the INFO Window

The CONFIGURATION Page of the INFO Window

The MAINTENANCE Page of the INFO Window

BATTERY Tab

LOAD/SAVE SETTINGS Tab

SYSTEM Window

DISPLAY Page

LAYOUT Page

VOLUME Page

BED ID Window

PARAMETERS Window

ECG Page

NIBP Page

NIBP MODE Page

STAT Tab

SIM Tab