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

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

+ 96 hidden pages