Nihon Kohden BSM-6000 User manual
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
Copyright Notice
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
1
2
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
3
4
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
1
2
3
4
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) Placetheinstrumentonaneven,leveloor.Avoidvibrationandmechanicalshock,evenduringtransport.
(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
specications,andhavesufcientcurrentcapacity.
(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. Theinstrumentmustnotbealteredormodiedinanyway.
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
qualiedusertechnicalpersonneluponrequestfromyourNihonKohdendistributor.
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. Whentheinstrumentisusedwithadebrillator,makesurethattheinstrumentisprotectedagainstdebrillator
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
otherwarranty,eitherimpliedorinwriting.Inaddition,service,technicalmodicationoranyotherproductchange
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.
Thiswarrantydoesnotapplytoproductsthathavebeenmodied,disassembled,reinstalledorrepairedwithoutNihon
Kohdenapprovalorwhichhavebeensubjectedtoneglectoraccident,damageduetoaccident,re,lightning,vandalism,
waterorothercasualty,improperinstallationorapplication,oronwhichtheoriginalidenticationmarkshavebeen
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,cautionsandnotesareusedinthismanualtoalertorsignalthereadertospecicinformation.
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.
Related Documentation
The BSM-6000A/K series Bedside Monitor comes with the following manuals in addition to the Operator’s Manual.
Administrator’s Guide
Describes how to install the bedside monitor. It also explains about the password protected settings on the SYSTEM
SETUP window and SYSTEM CONFIGURATION screen which only an administrator can change.
User’s Guide, Part I
Gives supplemental information on the operation of the bedside monitor.
User’s Guide, Part II
Describes the features and settings of the monitoring parameters.
Service Manual
Describesinformationonservicingthebedsidemonitor.Onlyqualiedservicepersonnelcanservicethebedsidemonitor.
Administrator’s Guide BSM-6000 v
Safety Standards
Thesafetystandardofthisbedsidemonitorisclassiedasfollows:
Type of protection against electrical shock: CLASS I EQUIPMENT (AC Powered)
Internally Powered EQUIPMENT (BATTERY Powered)
Degree of protection against electrical shock
Debrillator-prooftypeCFappliedpart
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
1
Administrator’s Guide BSM-6000 1.1
1.2 Administrator’s Guide BSM-6000
1. INSTALLATION/CONNECTION
5 cm
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.
Forsimplicity,thesufxA/G/Kwillbeomittedinthismanual.Thereisno
differenceinoperationamongmodelswithdifferentsufxesunlessotherwise
specied.
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,sprayormoistairfromanebulizerorahumidier.
• 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.
1
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,
tablesandarrhythmiarecallles.RefertoOperator’sManualorSection6of
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
1
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
instrumentsmaycausecurrenttoowtothepatientconnectedtothe
instruments, resulting in electrical shock (micro shock). Never use any medical
equipment in patient treatment without proper grounding.
AlwaysperformequipotentialgroundingasspeciedinIEC60601-1-1when
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
1
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
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.
1
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
1
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
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.
1
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/owunitorAE-918Pneurounittooneofthemulti-linksocketsonthe
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
NOTE
The following example shows both the QI-671P and QI-672P interfaces
installedintheBSM-6701bedsidemonitorandaGF-120PAmultigas/owunit
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.
1
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
subdisplaymustmeetthefollowingspecications.AnNECLCD191VXMor
equivalent display is recommended.
MinimumspecicationsforBSM-6701display:
• Resolution: 1024 × 768
• InputAnalogRGB:0.7Vp-p
• V-sync:60.0Hz
• H-sync: 48.4 kHz
MinimumspecicationsforBSM-6301andBSM-6501display:
• Resolution: 800 × 600
• InputAnalogRGB:0.7Vp-p
• V-sync:60.3Hz
• 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: Samescreenasthebedsidemonitor.
• 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.
• <POWERSAVINGMODE>ontheSYSTEMSETUPwindowissettoON.
• <SYNCSOUNDVOLUME>ontheVOLUMEwindowissettoOFF.
• 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.
1
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
theinstrumentsmaycausecurrenttoowtothepatientconnectedtothe
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.
1
WARNING
WARNING
Administrator’s Guide BSM-6000 1.19
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