Nihon Kohden BSM-6000 User manual

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Operator’s Manual

Bedside Monitor

BSM-6301/BSM-6501/BSM-6701

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

0614-900685H

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

About this Manual ....................................................... 1

Related Documentation .............................................. 1

Intended Purpose ....................................................... 2

Precautions ................................................................. 4

General Handling Precautions .............................. 4

EMC Related Caution ............................................ 4

Other Caution ........................................................ 6

Responsibility of the Manufacturer ............................. 6

Conventions Used in this Manual and Instrument ...... 7

Warnings, Cautions and Notes .............................. 7

Text Conventions in this Manual ............................ 7

Explanations of the Symbols in this Manual and

Instrument ............................................................. 8

General Safety Information ....................................... 11

Panel Description ..................................................... 13

MU-631R Main Unit ............................................. 13

MU-651R/MU-671R Main Unit ............................ 15

AY-631P/AY-633P/AY-651P/AY-653P/AY-660P/

AY-661P/AY-663P/AY-671P/AY-673P Input Unit ... 17

AA-672P/AA-674P Smart Expansion Unit ........... 19

Installation ................................................................ 21

General ................................................................ 21

Grounding the Monitor .................................... 22

Environment for External Instruments ............ 22

Warnings and Cautions for Connecting the

Monitor to a Network ...................................... 23

Inserting and Removing the Battery Packs ......... 24

Inserting the Battery Pack .............................. 24

Removing the Battery Pack ............................ 25

Inserting and Removing the Input Unit ................ 26

Inserting the Input Unit ................................... 26

Removing the Input Unit ................................. 26

Loading Recording Paper .................................... 27

Turning the Monitor On or Off ................................... 28

Turning the Monitor On ........................................ 28

Check Before Turning On the Power .............. 28

Check After Turning On the Power and

During Monitoring ........................................... 29

Power and Battery Status Indications............. 30

Battery Pack Handling and Operation ............ 31

Charging the Battery Pack ............................. 33

Monitor Status on Power Interruption .................. 34

Turning the Monitor Off ........................................ 34

Check After or Before Turning the Power Off .. 34

Basic Operation ........................................................ 35

Using the Hard Keys on the Bedside Monitor

and Touch Screen ................................................ 35

Using the Remote Control ................................... 35

Using the Mouse ................................................. 35

Home Screen Description......................................... 36

Settings for the Home Screen ............................. 37

Trendgraph on the Home Screen (Current

Trendgraph) ......................................................... 38

OCRG ............................................................. 38

Freezing Waveforms ............................................ 38

Using Sleep Mode ............................................... 38

MENU Window Description ...................................... 39

Changing Settings .................................................... 40

Administrator Settings ......................................... 40

Changing Parameter Settings and Other

Settings ............................................................... 40

Changing Settings .......................................... 40

Changing Settings on the VOLUME

Window ........................................................... 41

Admitting a Patient/Discharging a Patient (Deleting

Data) ......................................................................... 42

Admitting a Patient .............................................. 43

Discharging a Patient (Deleting Data) ................. 44

Transport .................................................................. 45

Warnings and Cautions for Transport ............. 45

Alarms ...................................................................... 47

Alarm Types and Levels ....................................... 47

Alarm Control Marks............................................ 48

Flow of Alarm Function ........................................ 49

Silencing/Suspending Alarms .............................. 50

Silencing Alarms ............................................ 50

Suspending Alarms ........................................ 50

Canceling Technical Alarms ................................ 53

Alarm Sound Volume ........................................... 53

Alarm Recording .................................................. 53

Alarm Setting ....................................................... 53

Changing Vital Sign Upper/Lower Alarm

Limits .............................................................. 55

Changing the Arrhythmia Alarm Settings ....... 57

Interbed Alarm ..................................................... 58

Review Windows....................................................... 59

General ................................................................ 59

Event Bar ........................................................ 60

TREND Window .................................................. 61

GRAPH 1, GRAPH 2, GRAPH 3 Page ........... 61

TABLE 1, TABLE 2, TABLE 3 Page ................. 62

NIBP TREND Page ........................................ 63

Operator’s Manual BSM-6000 C.1

C.2 Operator’s Manual BSM-6000

HEMO Page ................................................... 64

Registering the Acquired Data to the

Hemodynamics Table Window ........................ 64

LUNG TREND Page ....................................... 65

RECALL Window ................................................. 66

ARRHYTH HISTORY Page ............................ 66

ALARM HISTORY Window .................................. 67

ALARM HISTORY Page ................................. 67

FULL DISC Window ............................................ 68

FULL DISC Page ............................................ 68

ST Window .......................................................... 70

ST INTERVAL Page ....................................... 70

OCRG Window .................................................... 71

12 LEAD/12 LEAD ANALYSIS Windows .................. 72

General ................................................................ 72

Performing 12 Lead ECG Interpretation ......... 72

12 LEAD Window ................................................ 74

Viewing the 12 Lead Analysis Result ............. 74

DRUG/LUNG FUNCTION Windows ......................... 76

DRUG Window .................................................... 76

LUNG FUNCTION Window ................................. 78

Recording ................................................................. 80

Recording Modes ................................................ 80

When More than One Recording Modes is

Triggered ........................................................ 80

Changing Recording Settings .............................. 80

Selecting Recording Waveforms .................... 81

Changing Recording Speed ........................... 81

Selecting Recording Interval for Periodic

Recording ....................................................... 81

Turning Alarm Recording On or Off ................ 81

INTERBED Window .................................................. 82

Registering/Removing Interbed Beds .................. 82

Displaying the Interbed Bed Data ........................ 83

Interbed Alarm ..................................................... 84

Settings Related to Interbed Alarm ................ 84

Monitoring Parameters ............................................. 85

ECG ..................................................................... 85

Preparation ..................................................... 85

Monitoring Arrhythmia .................................... 88

Changing ECG Settings ................................. 90

Respiration .......................................................... 97

Preparation ..................................................... 97

Changing Respiration Settings ....................... 98

CO2 .................................................................... 100

Preparation ................................................... 101

Changing CO2 Settings ................................ 104

Inspection of Measuring Accuracy ............... 106

SpO2 with Nihon Kohden Probes (AY-660P/

AY-661P/AY-663P/AY-671P/AY-673P) ................ 107

Silencing SpO2 Alarm ................................... 108

Preparation ................................................... 108

Changing SpO2 Settings ............................... 110

SpO2 with Nellcor Probes (AY-651P/AY-653P) ... 114

Silencing SpO2 Alarm ................................... 115

Preparation ................................................... 115

Changing SpO2 Settings ............................... 117

SpO2 with Masimo Probes (AY-631P/AY-633P) .. 120

Silencing SpO2 Alarm ................................... 121

Preparation ................................................... 121

Changing SpO2 Settings ............................... 124

NIBP .................................................................. 128

Preparation ................................................... 128

Changing NIBP Settings ............................... 130

Starting and Stopping NIBP Measurement .. 132

IBP ..................................................................... 136

Preparation ................................................... 136

Connecting Cables to the Unit ...................... 136

Assembling the Transducer .......................... 137

Adjusting Zero Balance ................................ 138

The CHECK ZERO Page ............................. 139

Changing IBP Settings ................................. 139

Temperature ...................................................... 144

Preparation ................................................... 144

Using the Insulation Pad .............................. 145

Changing Temperature Settings ................... 145

BIS ..................................................................... 147

Preparation ................................................... 147

Changing the BIS Settings ........................... 150

Cardiac Output .................................................. 153

Preparation ................................................... 153

Measuring the Pulmonary Capillary Wedge

Pressure ....................................................... 154

Measuring Cardiac Output ........................... 155

Deleting the Data from the CO Table ........... 158

Adding the Acquired Data to the HEMO

Page of the TREND Window ........................ 159

GAS ................................................................... 160

Preparation ................................................... 160

Changing Gas Settings ................................ 160

Inspection of Measuring Accuracy ............... 164

O2 ...................................................................... 165

Preparation ................................................... 165

Changing O2 Settings ................................... 166

Other Parameters .............................................. 167

Screen Messages ................................................... 169

Troubleshooting ...................................................... 185

Monitoring .......................................................... 185

Network ............................................................. 185

Transport ........................................................... 186

Remote Control ................................................. 187

Recording .......................................................... 187

Printing .............................................................. 187

ECG ................................................................... 188

Respiration ........................................................ 189

Impedance Method ....................................... 189

Thermistor Method ....................................... 189

CO2 ................................................................... 190

Mainstream Method ...................................... 190

Sidestream Method ...................................... 190

When Using Microcap® Monitor .................... 191

SpO2 ................................................................. 191

When Using Nellcor/Masimo Pulse

Oximeter ....................................................... 192

NIBP .................................................................. 192

IBP ..................................................................... 193

Temperature ...................................................... 193

BIS ..................................................................... 193

When Using BIS Processor/BISx ................. 193

When Using BIS Monitor .............................. 193

Cardiac Output .................................................. 194

GAS ................................................................... 194

When Using AG-920R Multigas Unit ............ 194

When Using GF-110PA Multigas Unit or

GF-120PA Multigas/Flow Unit ...................... 195

When Using GF-210R Multigas Unit or

GF-220R Multigas/Flow Unit ........................ 196

When Using Dräger Medical Primus/

Fabius® Anesthesia Workstation ................... 197

O2 ..................................................................... 197

Ventilation .......................................................... 197

TOF ................................................................... 198

CCO .................................................................. 198

When Using Vigilance Monitor ..................... 198

When Using PiCCO Monitor ......................... 198

CCO/SvO2 ........................................................ 199

FLOW/Paw ........................................................ 199

When Using GF-110PA Multigas/Flow Unit .. 199

When Using GF-220R Multigas/Flow Unit .... 199

EEG ................................................................... 200

tcPO2/tcPCO2 .................................................... 201

Transmitter ......................................................... 201

12 Lead ECG ..................................................... 201

Maintenance ........................................................... 202

MU-631R, MU-651R and MU-671R Main Unit .. 202

Cleaning and Disinfecting the Main Unit ...... 202

Cleaning the Touch Screen .......................... 203

Disposing of the Main Unit ........................... 204

WS-671P Recorder Module .............................. 204

Cleaning the Thermal Head ......................... 204

Cleaning the Sensors ................................... 204

Disposing of the Recorder Module ............... 204

AY Series Input Unit and AA-672P/AA-674P

Smart Expansion Unit........................................ 205

Cleaning and Disinfecting the Units ............. 205

Disposing of the Units .................................. 205

SB-671P Battery Pack ....................................... 205

Battery Lifetime ............................................ 205

Replacing the Batteries ................................ 205

Disposing of Batteries .................................. 205

RY-910P Remote Controller .............................. 205

Cleaning and Disinfecting the Remote

Controller ...................................................... 205

Disposing of the Remote Controller ............. 205

Replacing the Batteries ................................ 205

Disposing of Batteries .................................. 205

QF series Interface and IF series

Communication Cable ....................................... 205

Cleaning and Disinfecting the Interface and

Communication Cable .................................. 205

Disposing of the Interface and

Communication Cable .................................. 205

Leads, Cables and Cords .................................. 206

Cleaning the Leads, Cables and Cords ........ 206

Disinfecting the Leads, Cables and Cords ... 206

Disposing of Leads, Cables and Cords ........ 206

Electrodes, Probes, Cuffs, Thermistors,

Transducers, Catheters and Other

Consumables..................................................... 206

Yearly Inspection ............................................... 206

Safety Information for Maintenance on

Optional Units .................................................... 207

AG-920R, GF-110PA or GF-210R Multigas

Unit and GF-120PA or GF-220R Multigas/

Flow Unit ...................................................... 207

AG-400R CO2 Unit ....................................... 207

AE-918P Neuro Unit ..................................... 208

Speciﬁcations ......................................................... 209

Measuring Parameters ................................. 209

Inﬂuence on Measuring Accuracy by

Electrosurgery/Deﬁbrillation/Electrostatic

Discharge ..................................................... 209

Display .......................................................... 209

Alarm ............................................................ 210

Alarm Delay Time ......................................... 211

ECG ............................................................. 211

Operator’s Manual BSM-6000 C.3

C.4 Operator’s Manual BSM-6000

Respiration (Transthoracic impedance

pneumography) ............................................ 214

SpO2 ............................................................ 214

Non Invasive Blood Pressure, NIBP ............. 217

Multi Socket .................................................. 218

Invasive Blood Pressure, IBP ....................... 218

Temperature ................................................. 219

Carbon Dioxide, CO2 (Mainstream

method) ....................................................... 219

Inspired Oxygen Fractional Concentration,

O2 ................................................................. 220

Cardiac Output, CO ...................................... 220

Respiration (Thermistor method).................. 221

Bispectral Index, BIS .................................... 221

ECG/BP Output ............................................ 221

RGB Socket (when QI-631P or QI-671P is

connected) .................................................... 222

RS-232C Socket (when QI-631P or

QI-671P is connected) .................................. 222

Alarm Socket (when QI-632P or QI-671P

is connected) ................................................ 222

When WS-671P Recorder Module is

Connected .................................................... 222

When ZS-900P Transmitter is Connected .... 223

Gas ............................................................... 223

Carbon Dioxide, CO2 (Sidestream method) .. 226

FLOW/Paw ................................................... 226

EEG .............................................................. 227

Battery (SB-671P Battery Pack) ................... 228

Power Requirement ...................................... 228

Clock Accuracy ............................................. 228

Environment ................................................. 228

Mechanical Strength ..................................... 229

Electromagnetic Compatibility ...................... 229

Safety Standard ............................................ 229

Dimensions and Weight (approximate)......... 230

Electromagnetic Emissions .......................... 231

Electromagnetic Immunity ............................ 232

Recommended Separation Distances

between Portable and Mobile RF

Communications Equipment ........................ 234

System Composition for EMC Test ............... 235

Factory Default Settings ......................................... 236

Event Bar ........................................................... 236

TREND Window ................................................ 237

RECALL Window ............................................... 240

FULL DISC Window .......................................... 240

ST Window ........................................................ 240

OCRG Window .................................................. 241

ADMIT Window .................................................. 241

ALARM LIMITS Window .................................... 242

Vital Signs Alarms ........................................ 242

Arrhythmia Alarms ........................................ 245

DATE Window .................................................... 245

VOLUME Window .............................................. 246

DISPLAY Window .............................................. 246

RECORD Window ............................................. 246

ECG Window ..................................................... 247

RESP/CO2 Window ........................................... 248

SpO2 Window .................................................... 248

NIBP Window .................................................... 249

PRESS Window ................................................. 250

TEMP Window ................................................... 251

BIS Window ....................................................... 251

CO Window ....................................................... 251

GAS Window ..................................................... 252

O2 Window ......................................................... 252

VENT Window ................................................... 252

CCO Window ..................................................... 253

FLOW/Paw Window ........................................... 253

EEG Window ..................................................... 254

12 LEAD ANALYSIS Window ............................ 255

DRUG Window .................................................. 255

LUNG FUNCTION Window ............................... 257

INTERBED Window ........................................... 257

Standard Accessories ............................................ 258

MU-631RA/MU-651RA/MU-671RA Main Unit ... 258

MU-631RK/MU-651RK/MU-671RK Main Unit ... 258

Options/Consumables ............................................ 259

Accessory Set ................................................... 259

MU-631RA/MU-651RA/MU-671RA Main Unit ... 260

MU-631RK/MU-651RK/MU-671RK Main Unit ... 260

WS-671P Recorder Module .............................. 261

Units and Modules ............................................. 261

Network ............................................................. 261

Interfaces for Connecting External

Instruments ........................................................ 262

Cart and Attaching Parts ................................... 263

For ECG and Respiration (Impedance Method)

Monitoring .......................................................... 263

For Respiration Monitoring (Thermistor

Method) ............................................................. 264

For CO2 Monitoring (Mainstream Method) ......... 264

For SpO2 Monitoring .......................................... 265

For NIBP Monitoring .......................................... 266

For IBP Monitoring............................................. 267

For Temperature Monitoring .............................. 268

For BIS Monitoring (Using the BIS Processor/

BISx) .................................................................. 268

For CO Monitoring ............................................. 268

For O2 Monitoring .............................................. 269

For CO2 Sidestream Monitoring ......................... 269

For BIS Monitoring (Using the BIS Monitor) ...... 269

For Anesthetic Agent Monitoring ....................... 269

For FLOW/Paw Monitoring ................................ 269

For EEG Monitoring ........................................... 269

General Requirements for Connecting Medical

Electrical Systems ...................................................... 270

Operator’s Manual BSM-6000 C.5

About this Manual

This Operator’s Manual describes the most common features and functions of the BSM-6301A/K, BSM-

6501A/K and BSM-6701A/K bedside monitors.

Intended Purpose

The Life Scope TR BSM-6301A/K, BSM-6501A/K and BSM-6701A/K bedside monitors are for one

patient. The BSM-6301A/K bedside monitors have a 10.4 inch TFT color display, BSM-6501A/K have a

12.1 inch TFT color display, and BSM-6701A/K have a 15 inch TFT color display. All the monitors can

display 15 waveforms on the screen.

The bedside monitors are to be installed near the patient. With the basic conguration of the system, ECG,

respiration in impedance or thermistor method, SpO2, NIBP, IBP, temperature, CO2 and O2 of all hospital

patients can be monitored and alarms are generated.* The monitor is designed so the operator can directly

touch the screen from the operator position. The basic conguration of the system is the following units.

This manual is based on this conguration.

* Essential performance in EMC standard.

WARNING

Do not use the same monitor for more than one

patient at the same time. Do not connect different

sensors from different patients to the same

monitor.

• MU-631RA/RK, MU-651RA/RK, MU-671RA/RK main unit

• QI-631P, QI-632P, QI-634P, QI-671P, QI-672P interface

• AY series input unit

Input Unit Model AY-631P AY-633P AY-651P AY-653P AY-660P*

No. of MULTI sockets 1 3 1 3 1 1 3

Available parameters using MULTI sockets

No. of TEMP sockets 2 1 2

ECG measurement using 10 electrodes

12 lead analysis Yes No Yes

SpO2 probe Masimo Nellcor Nihon Kohden

Dual SpO

NIBP PWTT measurement

Smart expansion unit

Analog ECG

Analog BP

HT output

*1 AY-660P, AY-661P and AY-663P input units are not available for BSM-6000A series. *2 IF-925P communication cable is required. *3 IF-919P communication cable is required. *4 Dual SpO2 is available when the MULTI socket on the JA-694PA data acquisition unit is used. *5 JL-500P1 or JL-500P2 SpO2 adapter is required.

RESP (Thermistor), CO2, SpO2, IBP, TEMP, BIS, CO, O

Yes*

WARNING

Do not diagnose a patient based only on data

acquired by the bedside monitor. Overall

judgement must be performed by a physician who

understands the features, limitations and

characteristics of the bedside monitor and by

reading the biomedical signals acquired by other

instruments.

Yes No Yes

Yes*

No Yes

Yes No Yes

CO2, IBP

Yes*

AY-661P*

AY-671P

AY-663P*

AY-673P

RESP (Thermistor), CO2, SpO2, IBP, TEMP, BIS, CO, O

Yes*

• AA-672P/AA-674P smart expansion unit

• WS-671P recorder module

• SB-671P battery pack

2 Operator’s Manual BSM-6000

For simplicity, the model number sufx A/G/K is omitted in this manual.

NOTE:

• This monitor must be used by qualiﬁed medical personnel with a full knowledge of operating

this 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.

• Only use Nihon Kohden parts and accessories to assure maximum performance from your

instrument.

Operator’s Manual BSM-6000 3

Precautions

General Handling Precautions

• This device is intended for use only by qualied medical personnel.This device is intended for use only by qualied medical personnel.

• Only use Nihon Kohden approved products with this device. Use of non-approved products or in aOnly use Nihon Kohden approved products with this device. Use of non-approved products or in a

non-approved manner may affect the performance specications of the device. This includes, but is not

limited to, batteries, recording paper, extension cables, electrode leads, input units and AC power.

• This device must receive expert, professional attention for maintenance and repairs. When the device isThis device must receive expert, professional attention for maintenance and repairs. When the device is

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

• This device must not be altered or modied in any way.This device must not be altered or modied in any way.

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

4 Operator’s Manual BSM-6000

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.

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 representative for additional suggestions.

The CE mark is a protected conformity mark of the European Community. Products with

the CE mark comply with the requirements of the Medical Device Directive 93/42/EEC.

BSM-6301 and BSM-6501 (JA-690PA/JA-694PA data acquisition unit, QE-910P BIS

processor and QI-320PA wireless LAN station are not connected) comply with

International Standard IEC 60601-1-2: 2001 and Amendment 1: 2004 which requires

CISPR11, Group 1, Class B. Class B EQUIPMENT is equipment suitable for use in

domestic establishments and in establishments directly connected to a low voltage

power supply network which supplies buildings used for domestic purposes.

BSM-6301, BSM-6501 (JA-690PA/JA-694PA data acquisition unit, QE-910P BIS processor

and QI-320PA wireless LAN station are connected) and BSM-6701 comply with

International Standard IEC 60601-1-2: 2001 and Amendment 1: 2004 which requires

CISPR11, Group 1, Class A. Class A EQUIPMENT is equipment suitable for use in

industrial or light industrial establishments and commercial environment.

BSM-6301 and BSM-6501 (when QE-910P and ZS-900P are connected) are CLASS A

Operator’s Manual BSM-6000 5

equipment if the equipment complies with IEC 60601-1-2: 2001 36 201.1.5 in the countries

which do not have national wireless rule.

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.

Other Caution

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

Responsibility of the Manufacturer

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

user’s guide, operator’s and service manuals.

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.

6 Operator’s Manual 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.

Text Conventions in this Manual

• Names of hard keys on the bedside monitor are enclosed in square brackets: [Menu]

• Messages that are displayed on the screen are enclosed in quotation marks: “CHECK ELECTRODES”

• Names of items that are displayed on the screen are enclosed in angle brackets: <SENSITIVITY>

Operator’s Manual BSM-6000 7

Explanations of the Symbols in this Manual and Instrument

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

Symbol Description Symbol Description

“On” only for a part of instrument Network socket

“Off” only for a part of instrument Output terminal

Alternating current Equipotential terminal

Battery charging Attention, consult operator’s manual

Out of paper Serial number

Record Date of manufacture

Alarm silence BIS processor/BISx

Attention, consult operator’s manual Battery slot 1/Battery slot 2 (MU-631R only)

NIBP

NIBP interval CSA mark*

NIBP start MR unsafe*

NIBP stop

Home

Data input/output

SD card slot

* The CSA mark and MR unsafe mark only apply to the MU-631RA/MU-651RA/MU-671RA. ** The CE mark and WEEE mark only apply to the MU-631RK/MU-651RK/MU-671RK.

AY Series Input Unit

Symbol Description Symbol Description

ZS socket

The CE mark** is a protected conformity mark of the European Community. Products marked with this symbol comply with the requirements of the Medical Device Directive 93/42/EEC.

Products marked with this symbol** comply with the European WEEE directive 2002/96/EEC and require separate waste collection. For Nihon Kohden products marked with this symbol, contact your Nihon Kohden representative for disposal.

Debrillation-proof type CF applied part Serial number

Output terminal Date of manufacture

The CE mark is a protected conformity mark of the European Community. Products marked with this symbol comply with the requirements of the Medical Device Directive 93/42/EEC.

8 Operator’s Manual BSM-6000

Attention, consult operator’s manual

AA-672P/AA-674P Smart Expansion Unit

Symbol Description Symbol Description

Debrillation-proof type CF applied part Date of manufacture

Attention, consult operator’s manual

Serial number

QI-631P Interface

Symbol Description Symbol Description

Serial interface (RS-232C socket) Attention, consult operator’s manual

External display (RGB socket)

QI-632P Interface

Symbol Description Symbol Description

Input/output terminal (USB socket and Multi-link socket)

Output terminal (Alarm socket)

The CE mark is a protected conformity mark of the European Community. Products marked with this symbol comply with the requirements of the Medical Device Directive 93/42/EEC.

Attention, consult operator’s manual

QI-634P Interface

Symbol Description Symbol Description

Input/output terminal (USB socket and Multi-link socket)

QI-671P Interface

Symbol Description Symbol Description

Input/output terminal (Multi-link socket) External display (RGB socket)

Serial interface (RS-232C socket) Attention, consult operator’s manual

Output terminal (Alarm socket)

QI-672P Interface

Symbol Description Symbol Description

Input/output terminal (USB socket and Multi-link socket)

Attention, consult operator’s manual

Operator’s Manual BSM-6000 9

WS-671P Recorder Module

Symbol Description Symbol Description

Attention, consult operator’s manual

Serial number

The CE mark is a protected conformity mark of the European Community. Products marked with this symbol comply with the requirements of the Medical Device Directive 93/42/EEC.

Date of manufacture

SB-671P Battery Pack

Symbol Description Symbol Description

Recycle mark Environmental protection use period: 10 years

Products marked with this symbol comply with The CE mark is a protected conformity mark of the European Community. Products marked with this symbol comply with the requirements of the Medical Device Directive 93/42/EEC.

the European WEEE directive 2002/96/EEC

and require separate waste collection. For Nihon

Kohden products marked with this symbol,

contact your Nihon Kohden representative for

disposal.

On screen

Symbol Description Symbol Description

Alarm silence Accessing to SD card

Alarm suspended Checking SD card

All alarms off or vital sign alarm limit off SD card failure

Non-paced Adjust setting/Scroll data

QRS/pulse sync mark Zoom in/Zoom out

Respiration sync mark Left end/Right end

Battery status

Touch panel calibration

10 Operator’s Manual BSM-6000

General Safety Information

WARNING

Never use the monitor in the presence of any

ﬂammable anesthetic gas or high concentration

oxygen atmosphere. Failure to follow this warning

may cause explosion or ﬁre.

WARNING

When the monitor is used with an electrosurgical

unit (ESU), ﬁrmly attach the entire area of the ESU

return plate. Otherwise, the current from the ESU

ﬂows into the electrodes of the monitor, causing

electrical burn where the electrodes are attached.

For details, refer to the ESU manual.

WARNING

Before deﬁbrillation, all persons must keep clear of

the bed and must not touch the patient or any

equipment or cord connected to the patient. Failure

to follow this warning may cause electrical shock

or injury.

WARNING

Never use the monitor in a hyperbaric oxygen

chamber. Failure to follow this warning may cause

explosion or ﬁre.

WARNING

When performing deﬁbrillation, discharge as far as

possible from electrodes, patches and any gel,

cream or medicine on the chest of the patient. If

there is a possibility that the deﬁbrillator paddle

could touch these materials, remove them from the

patient. If the deﬁbrillator paddle directly contacts

these materials, the discharged energy may cause

skin burn to the patient.

WARNING

Do not perform deﬁbrillation when the cables are

located between the deﬁbrillator paddles. The

discharged energy may be insufﬁcient.

WARNING

When performing MRI test, remove all electrodes

and transducers from the patient which are

connected to this instrument. Failure to follow this

warning may cause skin burn on the patient. For

details, refer to the MRI manual.

WARNING

After attaching electrodes, probes and sensors on

the patient and connecting cables to the bedside

monitor, check that there is no error messages and

the waveforms and numeric data are appropriately

displayed on the screen. If there is an error

message, or waveform or numeric data is not

appropriate, check the electrodes, probes and

sensor attachment, patient condition and settings

on the bedside monitor and remove the cause.

WARNING

Do not allow the conductive part of the connector

which is connected to the patient to contact other

conductive parts including earth. This causes

leakage current and incorrect measurement value

and leads to wrong diagnosis.

WARNING

Do not use the same monitor for more than one

patient at the same time. Do not connect different

sensors from different patients to the same

monitor.

WARNING

Do not leave the SD card near the patient or in

reach of children.

Operator’s Manual BSM-6000 11

CAUTION

Only use Nihon Kohden speciﬁed electrodes,

probes, transducers, thermistors and catheters.

Otherwise, the maximum performance from the

monitor cannot be guaranteed.

CAUTION

Make sure that the electrodes and cords attached

to the patient are properly connected to the

monitor. Otherwise, incorrect data may be

displayed and lead to wrong diagnosis.

CAUTION

Turn off the power of mobile phones, small

wireless devices and other devices which produce

strong electromagnetic interference around a

patient (except for devices allowed by the hospital

administrator). Radio waves from devices such as

mobile phones or small wireless devices may be

mistaken as pulse waves and the displayed data

may be incorrect.

CAUTION

Do not reuse disposable parts and accessories.

CAUTION

After the monitor power is turned on, parameter-

related alarms do not function until the parameters

are monitored.

CAUTION

When admitting a new patient, ﬁrst delete all data

of the previous patient. Otherwise, the data of the

previous patient and new patient will be mixed

together.

CAUTION

If ﬂuids are accidentally spilled into the monitor,

take the monitor out of service and contact your

Nihon Kohden representative. The monitor must be

disassembled, cleaned, dried and tested for safety

and function.

CAUTION

When the “CONNECTOR OFF” message appears

on the screen, check that the connection cords are

connected to the sockets properly. The patient

cannot be monitored and the alarm does not

function while this message is displayed.

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.

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.

NOTE: Operate the monitor on battery power if you cannot conﬁrm the grounding or wiring in your facility.

Using External Instruments

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.

CAUTION

WARNING

When connecting an external instrument using an interface or communication cable to the

monitor, some alarms and messages from the external instrument might not be displayed

on the monitor. When the waveform or data is abnormal, check the alarm and message on

the external instrument.

12 Operator’s Manual BSM-6000

Panel Description

AC power lamp

Lights when the power cord is connected between the AC SOURCE socket and AC outlet.

Touch screen

Displays monitoring data. Touching a key or data on the screen changes the displayed screen and settings.

Alarm indicator

Red or yellow lamp blinks, or yellow or cyan lamps lights according to the alarm settings. Green lamp blinks in synchronization with the patient’s QRS or pulse.

Handle

For carrying the monitor.

Silence Alarms key

Silences the alarm sound.

NIBP Interval key

Selects NIBP measurement mode. Pressing this key changes the mode.

NIBP Start/Stop key

Starts NIBP measurement in selected mode. Pressing the key during measurement stops measurement.

Menu key

Displays the MENU window.

Home key

Closes all opened windows and displays the home screen.

Power switch

Press and hold for more than one second to turn the monitor power on. When turning the monitor power off, press and hold for more than three seconds.

Power lamp

Lights when the monitor power is turned on.

Record/Stop key (option)

Press to start or stop recording.

Remote control sensor

Receives an infrared signal from the remote control.

Error lamp (option)

Blinks when out of paper. Lights when the recorder door is open.

Speaker

For alarm and sync sound.

Battery lamp 1

Indicates a battery status of the battery in the battery slot 1.

Battery lamp 2

Indicates a battery status of the battery in the battery slot 2.

Battery pack holder 1 (Battery slot 1)

For an SB-671P battery pack.

Input unit socket

Connects an AY series input unit.

When the AY-673P input unit installed

AY-673P

When the AY-673P input unit and AA-674P smart expansion unit are installed

AY-673P

AA-674P

MU-631R Main Unit

Front Panel

Operator’s Manual BSM-6000 13

Left Side Panel

Right Side Panel

When the WS-671P recorder module is installed

Recorder module holder For the WS-671P recorder module.

SD card slot

For an SD card or program card.

ZS socket

For the ZS-900P* transmitter.

Network socket

Connects to monitor network system via the network separation unit.

Battery pack holder 2 (Battery slot 2)

For an SB-671P battery pack.

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

RGB socket (QI-631P)

Outputs the RGB video signal. Connects to the slave display.

QI-631P interface socket

Connects the QI-631P interface.

QI-632P/QI-634P interface socket

Connects the QI-632P or QI-634P interface.

AC SOURCE power cord socket

For the AC power cord.

Equipotential grounding terminal

For an equipotential grounding lead.

USB socket (QI-632P/QI-634P)

Connects a mouse or bar code reader.

Multi-link socket (QI-632P/QI-634P)

Connects a QF series interface, IF series communication cable or multi-link cable of an external unit.

RS-232C socket (QI-631P)

Not available.

Alarm socket (QI-632P)

Connects a YJ-672P nurse call cable.

Rear Panel

Example shows the QI-631P and QI-632P interfaces installed.

14 Operator’s Manual BSM-6000

MU-651R/MU-671R Main Unit

AC power lamp

Lights when the power cord is connected between the AC SOURCE socket and AC outlet.

Touch screen

Displays monitoring data. Touching a key or data on the screen changes the displayed screen and settings.

Alarm indicator

Red or yellow lamp blinks, or yellow or cyan lamps lights according to the alarm settings. Green lamp blinks in synchronization with the patient’s QRS or pulse.

Handle

For carrying the monitor.

Silence Alarms key

Silences the alarm sound.

NIBP Interval key

Selects NIBP measurement mode. Pressing this key changes the mode.

NIBP Start/Stop key

Starts NIBP measurement in selected mode. Pressing the key during measurement stops measurement.

Menu key

Displays the MENU window.

Home key

Closes all opened windows and displays the home screen.

Power switch

Press and hold for more than one second to turn the monitor power on. When turning the monitor power off, press and hold for more than three seconds.

Power lamp

Lights when the monitor power is turned on.

Record/Stop key (option)

Press to start or stop recording.

Remote control sensor

Receives an infrared signal from the remote control.

Error lamp (option)

Blinks when out of paper. Lights when the recorder door is open.

Speaker

For alarm and sync sound.

Battery lamp 1

Indicates a battery status of the battery in the battery slot 1.

Battery lamp 2

Indicates a battery status of the battery in the battery slot 2.

When the AY-673P input unit installed

When the AY-673P input unit and AA-674P smart expansion unit are installed

AY-673P

AA-674P

Battery pack holder

For an SB-671P battery pack.

Input unit socket

Connects an AY series input unit.

Front Panel

Operator’s Manual BSM-6000 15

Left Side Panel

Right Side Panel

When the WS-671P recorder module is installed

Recorder module holder For the WS-671P recorder module.

SD card slot

For an SD card or program card.

ZS socket

For the ZS-900P* transmitter.

Network socket

Connects to monitor network system via the network separation unit.

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

RGB socket

Outputs the RGB video signal. Connects to the dual display or slave display.

QI-671P interface socket

Connects the QI-671P interface.

QI-672P interface socket

Connects the QI-672P interface.

AC SOURCE power cord socket

For the AC power cord.

Equipotential grounding terminal

For an equipotential grounding lead.

USB sockets

Connects a mouse or bar code reader.

Multi-link sockets

Connects a QF series interface, IF series communication cable or multi-link cable of an external unit.

RS-232C socket

Not available.

Alarm socket

Connects a YJ-672P nurse call cable.

Rear Panel

16 Operator’s Manual BSM-6000

AY-631P/AY-633P/AY-651P/AY-653P/AY-660P/AY-661P/AY-663P/AY-671P/AY-673P Input

NIBP socket

Connects to the air hose.

MULTI socket

Connects to the connection cord of the parameter to be monitored (IBP, temperature, CO, CO2, O2, respiration by thermistor method, SpO2-2 (AY-661P/663P/671P/ 673P only) or BIS). The type of parameter is automatically recognized.

TEMP socket

Connects to the temperature probe cord.

SpO2 socket

Connects to the SpO2 connection cord.

ECG/RESP socket

Connects to the ECG connection cord.

ECG/BP OUT socket

Outputs 100 mmHg/V IBP waveform and 1 mV/V ECG waveform and heart rate trigger by using the YJ-910P or YJ-920P ECG/BP output cable. These analog signals can be used as the synchronization signal for other equipment, such as IABP.

Unit

Front Panel

AY-660P: One TEMP socket, one MULTI socket, no ECG/BP OUT socket

AY-631P/AY-651P/AY-661P/AY-671P: Two TEMP sockets, one MULTI socket

AY-633P/AY-653P/AY-663P/AY-673P: Two TEMP sockets, three MULTI sockets

Example is AY-673P input unit.

When performing deﬁbrillation during cardiac

output monitoring, never touch the CO connection

cord. The discharged energy may cause electrical

shock or injury.

When using the output signal from the monitor as

the synchronization signal for other equipment

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

deﬁbrillator:

• Set the timing of the IABP by checking the

waveform on the IABP screen.

• Check the condition of the bedside monitor at all

times. The output signal may become unstable.

• Check that the delay time of the output signal is

within the range of the connected equipment.

WARNING

CAUTION

Only a Nihon Kohden deﬁbrillator can use the

output signal from the monitor as a

synchronization signal. Check that the delay time

of the output signal (heart rate trigger 20 ms

maximum) is within the range of the connected

deﬁbrillator.

Operator’s Manual BSM-6000 17

NOTE:

When the side panel is removed

Side panel

Remove to attach an AA-672P or AA-674P smart expansion unit.

Smart expansion unit socket

Connects an AA-672P or AA-674P smart expansion unit.

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

the IBP line to the MULTI socket on the input unit. The IBP waveform that is used for the

synchronization signal depends on the “IBP ANALOG OUT” setting in the SYSTEM SETUP

window.

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

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

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

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

label is used.

IBP label priority:

ART > ART2 > RAD > DORS > AO > FEM > UA > LVP > P1 > P2 > P3 > P4 > P5 > P6 > P7

• Analog ECG, analog BP and heart rate trigger output are not available when an AY-660P input

unit is used.

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

conditions.

- Electrode is dry or detached.

- Electrode lead is damaged or disconnected from the electrode.

- Electrode lead is pulled.

- AC interference or EMG noise superimposed.

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

- Cord or cable is disconnected or damaged.

• All instruments which are to be connected to the ECG/BP OUTPUT socket must use a YJ-

910P or YJ-920P ECG/BP output cable and comply with the IEC 60601-1 safety standard for

medical equipment.

Left Side Panel

18 Operator’s Manual BSM-6000

Right Side Panel

Tabs

Match the tabs on the input unit to the slots on the bedside monitor.

Input unit socket

For connecting a bedside monitor.

Lock release lever

Lift up the lever to remove the input unit from the bedside monitor.

MULTI socket

Rear Panel

AA-672P/AA-674P Smart Expansion Unit

Front Panel

AA-672P AA-674P

Operator’s Manual BSM-6000 19

Right Side Panel

Connector

Connects an AY-631P, AY-633P, AY-651P, AY-653P, AY-661P, AY-663P, AY-671P or AY-673P input unit.

20 Operator’s Manual BSM-6000

Installation

10 cm

5 cm Rear Panel

5 cm

Side Panel

General

The monitor must be installed by qualied personnel. Details are in the Administrator’s Guide.s Guide. Guide.

WARNING

Only use the provided power cord. Using other

power cords may result in electrical shock or injury

to the patient and operator.

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

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.

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.

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

When not using the speciﬁed cart, carefully set the

monitor to prevent it from falling off or tipping over.

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.

Make sure that there is more than 5 cm of space between the monitor and the wall for adequate

ventilation. When the monitor is surrounded, 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).

Operator’s Manual BSM-6000 21

Grounding the Monitor

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.

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).

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).

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.

Environment for External Instruments

Use external instruments in the following environment.

22 Operator’s Manual BSM-6000

Warnings and Cautions for Connecting the Monitor to a Network

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.

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

Do not use a damaged network cable. The patient

or operator may receive electrical shock when the

damaged part is touched.

WARNING

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

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.

CAUTION

When the monitor is connected to a central

monitor network, set the Bed Name (Bed ID) and

Group Name on the monitor. Otherwise, the default

settings are used for the bed name and group

name and the bed may be incorrectly identiﬁed on

the central monitor.

CAUTION

The network must be managed by the network

administrator. Make sure that each monitor in the

network has a different IP address. Otherwise,

data communication cannot be performed properly.

When adding a monitor to an already operating

network, set the IP address on the monitor before

connecting the monitor to the network.

Operator’s Manual BSM-6000 23

Inserting and Removing the Battery Packs

This monitor can hold two battery packs. Insert the battery pack to the battery slot 1 or/and battery slot 2.

NOTE:

• Only use the SB-671P battery pack.

• The procedure for inserting and removing the battery packs is the same for

BSM-6301 and BSM-6501/BSM-6701 bedside monitors even though the

battery slot position and battery cover shape are different.

Battery slot 1

Battery slot 2

Inserting the Battery Pack

1. Remove the battery cover by pressing the tab on the battery cover and slide the

cover off.

Battery coverBattery cover

Battery packBattery lever Battery packBattery lever

2. Insert the battery pack with the label (black) facing up in the battery slot.

3. Attach the battery cover.

24 Operator’s Manual BSM-6000

Battery leverBattery lever

Removing the Battery Pack

1. Remove the battery cover by pressing the tab on the battery cover and

slide the cover off.

Battery coverBattery cover

2. Press the battery lever to release the lock.

3. Pull out the battery pack from the battery slot.

4. Attach the battery cover.

Operator’s Manual BSM-6000 25

Inserting and Removing the Input Unit

The input unit can be inserted or removed from the monitor. When the patient is changed or moved to a

different location, insert or remove the input unit.

Inserting the Input Unit

1. Put the input unit into the rear of the monitor so that the four tabs go into the

four slots.

2. Slide the input unit all the way into the monitor until it clicks into place.

Input unit socket

Tabs

Slots

Lock release leverLock release lever

Connector

Removing the Input Unit

CAUTION

When inserting or removing the input unit from the monitor, be careful not to drop it.

Slide out the input unit while pulling up the lock release lever.

26 Operator’s Manual BSM-6000

Loading Recording Paper

When using the WS-671P recorder module, load the recording paper as follows.

Do not touch the thermal head inside the recorder module. The thermal head may be

damaged by static electricity or become dirty and cause printing failure.

Door release leverDoor release lever

CAUTION

1. Move the door release lever in the direction of the arrow ( ) to release the lock.

MarkMark

2. Open the recorder door. Set the recording paper (FQW50-2-100) inside the recorder

so that the detection mark (small black square on corner) of the paper is on the right

side.

3. Draw out one page of paper toward you and close the recorder door. If the out of

paper lamp is still lit, the recorder door is not closed properly.

Operator’s Manual BSM-6000 27

Turning the Monitor On or Off

Turning the Monitor On

The monitor can operate on either battery or AC power. When the monitor is installed and the power

cord is connected, the AC power lamp lights. When a battery pack is installed and the power cord is

disconnected or there is a sudden power failure, the monitor automatically switches to battery power. The

monitor can operate for about 90 minutes (BSM-6301/BSM-6501) or 60 minutes (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.

Check Before Turning On the Power

Check the following items before turning on the power.

• Enough electrodes and electrode leads are ready.

• Cleaned and sterilized sensors and transducers are ready.

• Power cord is connected properly.

• Equipotential grounding lead is connected properly when equipotential grounding is required.

• All cables are connected properly.

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

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

• No scratches, damage or dirt on the monitor.

• No damage to the keys and panels.

• No damage to the power cord.

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

• The monitor is not in a wet place.

NOTE: When the AC power lamp is not lit, check the power cord connection.

The AC power lamp does not light when there is not enough current to each

unit.

When the power cord is connected between the bedside monitor and AC outlet and the

AC power lamp lights, press the [Power] switch on the front panel to turn the power

on. The power lamp and the AC power lamp light and self check starts. When the

Lit LitLit Lit

28 Operator’s Manual BSM-6000

check is complete, the home screen appears.

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

BSM-6301 and BSM-6501/BSM-6701 bedside monitors, the function and the

position of lamps are the same.

The power can also be turned on by pressing the [POWER] button on the remote

control.

CAUTION

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

and green alarm indicator lamps blink once. This shows that the alarm is functioning

properly.

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

electrodes and probe to be attached to the patient. The monitoring starts when the connection cord is

connected to the socket on the monitor and the electrodes or probe are attached to the patient. The alarm

activates when one of the following occurs:

• at least one parameter is measured and a value is displayed (when AUTO is selected for <ALARM

ACTIVATION DELAY> on the ALARM window of the SYSTEM SETUP window)

• ECG, SpO2 or IBP is continuously monitored for the selected time (when 1 min, 2 min or 3 min is

selected for <ALARM ACTIVATION DELAY>)

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

When <AUTO ADMIT> in the SYSTEM CONFIGURATION screen is set to ON and the monitor power

is turned on more than 30 minutes after turning the power off, the stored data in the monitor is deleted.

When the monitor is turned on in less than 30 minutes after turning power off, the stored data is not

deleted and monitoring continues. When <AUTO ADMIT> in the SYSTEM CONFIGURATION screen

is set to OFF, the message appears asking whether monitoring a new patient or not. The factory default

setting is ON.

Check After Turning On the Power and During Monitoring

To start monitoring safely and properly, check the following items after turning on the power. If any

problem is detected, take the proper countermeasure according to the troubleshooting and maintenance

sections.

• There is no re, smoke or smell.

• The monitor is not too hot.

• The power lamp and other lamps light.

• Alarm indicators (red, yellow, cyan and green lamps) blink once and a beep sounds.

• The start up screen and the home screen appears.

• No error message is displayed on the screen.

• The time on the screen is correct.

• The monitor does not affect surrounding equipment.

• The data and waveforms are displayed properly.

• Keys and switches operate properly.

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

• Alarm functions properly.

• Alarm sound can be heard.

• Alarm sound volume setting is appropriate.

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

• Sound can be heard from the monitor.

Operator’s Manual BSM-6000 29

Power and Battery Status Indications

Battery slot No.

Battery slot 1

Battery slot 2

Battery slot 1

Battery slot 2

BSM-6301 BSM-6501/BSM-6701

Remaining battery power

more than 90% more than 60% more than 40% more than 25% less than 25%

Battery operation

Operating on battery

Battery is being charged

Power and battery status are indicated by four lamps on the bedside monitor. A discharged battery is also

indicated by battery marks, screen message and alarm.

NOTE:

• When charging the battery pack with the monitor power turned off, check that the power

lamp and battery charging lamp light. If the lamps do not light even when the power cord is

connected and the battery pack is inserted, turn the power on, check that the battery charging

lamp is blinking or lit, then turn the power off.

• Even though the position of symbol marks for the lamps are different on BSM-6301 and BSM-

6501/BSM-6701 bedside monitors, the function and the position of lamps are the same.

• Operating on AC power and battery pack is fully charged or there is no battery

Power lamp: Lit

AC power lamp: Lit

Battery lamp 1: Lit or off

Battery lamp 2: Lit or off

• Operating on AC power and battery pack is being charged

Power lamp: Lit

AC power lamp: Lit

Battery lamp 1: Slow blinking (once every 2 seconds) or off

Battery lamp 2: Slow blinking (once every 2 seconds) or off

• Operating on AC power when battery pack is damaged

Power lamp: Lit

AC power lamp: Lit

Battery lamp 1: Rapid blinking (4 times per second) or off

Battery lamp 2: Rapid blinking (4 times per second) or off

30 Operator’s Manual BSM-6000

• Operating on battery power

Power lamp: Lit

AC power lamp: Off

Battery lamp 1: Lit* or off

Battery lamp 2: Lit* or off

* When two battery packs are used and when the battery pack which is not used is

fully charged

• Operating on battery power and battery pack is damaged

Power lamp: Lit

AC power lamp: Off

Battery lamp 1: Rapid blinking (4 times per second) or off

Battery lamp 2: Rapid blinking (4 times per second) or off

Screen indication: “BATTERY WEAK” message

Alarm indication: Continuous “bing bong” sound and blinking yellow alarm

• No monitoring and charging battery pack

Power lamp: Off

AC power lamp: Lit

Battery lamp 1: Slow blinking (once every 2 seconds) or off

Battery lamp 2: Slow blinking (once every 2 seconds) or off

Battery Pack Handling and Operation OperationOperation

WARNING

• Never short-circuit the + and − terminals on the

battery pack. It may cause overheating and ﬁre.

• Keep the battery pack away from ﬁre. It may

explode.

• Do not damage, disassemble, drop or give

impact to the battery pack.

• Never use the battery pack on unspeciﬁed

instruments.

• Never charge the battery pack on unspeciﬁed

instruments.

• Never install the battery pack with the wrong

polarity.

• Keep the battery pack away from patients.

CAUTION

Do not expose the battery pack to direct sunlight

or leave in a high temperature place. The lifetime

of the battery pack may be shortened, the

performance of the battery pack may be degraded

and the battery pack may leak.

WARNING

If the battery pack is damaged and the substance

inside the battery pack contacts the eyes or skin,

wash immediately and thoroughly with water and

see a physician. Never rub your eyes, because you

may lose your eyesight.

WARNING

• Do not immerse the battery pack in water. The

battery pack may heat up and rust and the

substance inside the battery pack may leak.

• Do not leave the battery pack unused for more

than about two years. The battery pack may leak.

CAUTION

Do not use a battery pack with a damaged cover.

The operator may receive electrical shock.

Operator’s Manual BSM-6000 31

CAUTION

Do not tilt the monitor when removing the battery

pack from the monitor. If the lock release lever is

lifted while the monitor is tilted, the battery pack

falls out of the monitor and may injure the patient

or operator.

CAUTION

Do not leave the battery pack near the patient or in

reach of children.

CAUTION

Do not use a battery pack which is past the

expiration date written on the label.

NOTE: Be careful when handling the fully charged battery pack. The battery pack heats up to

about 60°C (140°F).

CAUTION

Do not subject the battery pack to a strong

mechanical shock.

CAUTION

Use the battery pack between 10°C (50°F) and

40°C (104°F). Temperatures out of this range affect

the working of the battery.

CAUTION

Before disposing of the battery pack, check with

your local solid waste ofﬁcials for details in your

area for recycling options or proper disposal. The

battery pack is recyclable. At the end of its useful

life, under various state and local laws, it may be

illegal to dispose of this battery pack into the

municipal waste stream.

Battery Pack Handling Procedures

• Always place a battery pack in the monitor. This charges it so that you will always have a fully charged

battery pack ready.

• Fully recharge the battery pack before using it for the rst time or after storing it for over a month.

When the battery pack is not used, it self-discharges.

• Replace the battery pack with a new one every year. This is because the battery pack is a chemical

product which gradually deteriorates whether or not it is used.

• Store the battery packs under the following conditions.

Temperature: –20 to +60°C (–4 to +140°F) (within 30 days)

–20 to +45°C (–4 to +113°F) (within 90 days)

–20 to +35°C (–4 to +95°F) (more than 90 days)

Humidity: 20 to 85% RH (noncondensing)

When Not Using the Monitor or Battery Pack

• When the monitor is not used for a long time, remove the battery pack. When a charged or discharged

battery pack is left inside the monitor with the power cord unplugged, the battery pack self-discharges

and deteriorates.

• When a battery pack is not used, fully charge it before storage. When a battery pack is not used for over

one month, fully charge it once every six months.

When the “BATTERY WEAK” Message Appears

Operate the monitor on AC power and/or replace the battery pack when the “BATTERY WEAK” message

appears.

When the “BATTERY WEAK” message appears, the remaining battery power is less than 25%. The

yellow alarm lamp lights with a continuous “bing bong” sound.

If no AC or battery power is supplied to the monitor, there is no measurement and patient data such as

trend data may be lost.

32 Operator’s Manual BSM-6000

Charging the Battery Pack

The battery pack can be charged by the monitor. It takes about 10 hours to charge one battery pack during

monitoring and 6 hours to charge two battery packs when not monitoring.

NOTE: The new battery pack is not charged. Charge the battery pack before use.

The monitor can operate for about 90 minutes (BSM-6301/BSM-6501) or 60 minutes (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 SpO

• <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.

CAUTION

When charging the battery pack, keep the ambient temperature at approximately 20°C to

maintain the optimal battery operation time. If the battery pack is charged at less than 10°C

(50°F) or more than 30°C (86°F), the maximum battery operation time will be 20% to 30%

less than the optimal operation time.

Charging in the Monitor

Normal charging

During AC operation, the battery pack is automatically charged without interrupting monitoring. It takes

approximately 10 hours of continuous charging to fully charge a battery pack.

Fast charging

It takes 6 hours of continuous charging to fully charge two battery packs when not monitoring. When

installing two battery packs, the monitor can charge the two battery packs at the same time.

After continuous charging, the monitor automatically switches to trickle charging mode to keep the

battery pack fully charged. Trickle charging is necessary because the battery pack can self-discharge even

when it is not in use.

NOTE: Do not disconnect the power cord from the monitor during battery charging.

Operator’s Manual BSM-6000 33

Monitor Status on Power Interruption

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

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

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

battery power.

• When the monitor has no battery pack installed or the battery pack is discharged, the monitor turns off.

The patient data and settings are stored for about 30 minutes after power off.

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

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

Turning the Monitor Off

Press the [Power] switch on the bedside monitor for more than three seconds to turn

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

off.

NOTE:

• Press the [Power] switch and hold for more than three seconds to turn the

power off.

• Do not disconnect the power cord while the monitor power is on. Data may

LitOff LitOff

be lost.

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

BSM-6301 and BSM-6501/BSM-6701 bedside monitors, the function and the

position of lamps are the same.

The power can also be turned off by pressing the [POWER] button for more than three

seconds on the remote control.

Check After or Before Turning the Power Off

Check the following items for the next use.

• Previous patient data is deleted.

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

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

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

• Accessories are cleaned and stored properly.

• There are enough consumables, such as recording paper, and disposable electrodes for the next use.

• Battery pack is fully charged.

• The power switch on the monitor is turned off and the power cord is disconnected from the monitor.

• The monitor is not in a wet place.

• Dead batteries are disposed of properly.

• The medical waste is disposed of properly.

• The monitor is stored properly.

34 Operator’s Manual BSM-6000

Basic Operation

The monitor can be operated by the following methods. These methods can be used together.

• The hard keys on the bedside monitor

• Touch screen

• Remote control

• Mouse

This manual mainly describes operations using the hard keys on the bedside monitor and touch screen.

Using the Hard Keys on the Bedside Monitor and Touch Screen

Press the key on the bedside monitor to open the window or operate the function

assigned to the key.

Press the key on the screen to select the setting or open/close a window. You can

use the scroll bar on the screen to scroll data on the window.

There is a pip sound when a key or screen is touched, or the scroll bar on the

screen is used.

Using the Remote Control

NOTE:

• Watch the monitor screen and check the operation when using the remote control to avoid

wrong operation.

• Make sure that the remote control is handled appropriately.

Using the Mouse

Use the remote control to operate the monitor from a distance. A pointer

appears on the screen when the monitor is operated by the remote control. The

remote control channel can be assigned to the monitor to prevent operating

a different monitor. Point the transmitter on the remote control to the remote

control sensor on the bedside monitor.

Press the keys on the remote control to open/close a window.

Move the selection knob up/down/left/right to scroll the data or select a setting

and press the [ENTER] key to register the setting.

There is a pip sound when a key on the remote control is pressed or the

selection knob is moved to scroll the data.

When connecting a QI-632P, QI-634P or QI-672P interface, use the mouse to

move the pointer on the screen and click the left button to select and register the

setting.

There is a pip sound when the mouse is clicked.

Operator’s Manual BSM-6000 35

Home Screen Description

The home screen displays the numeric values and waveforms of the monitoring parameters, current

trendgraphs, various messages and operation keys. Different screen layouts are available by changing the

settings on the SYSTEM SETUP window.

Home screen

Function keys

Bed ID

Patient name

ECG

Current date and time

Heart rate

ST level

VPC

Numeric values

Current average CO and PCWP values and the measured time are displayed on the home screen. The data dims after 15 minutes and disappears from the home screen after 24 hours. When data is added to the hemodynamics trend table in the HEMO page of the TREND window, the data disappears from the home screen.

Alarm limit settings For BSM-6000A series, when the limit is set to OFF, “OFF” is displayed. For BSM-6000K series, when the limit is set to OFF, “---” is displayed.

Current trendgraphs The width of the trendgraph can be changed. OCRG or PWTT can be displayed instead of trendgraphs.

ECG sensitivity

ECG lead

ECG ﬁlter mode

QRS detection type

Waveforms

Respiration rate Respiration rate is detected from only one parameter. When several respiration parameters are monitored at the same time, the respiration rate is counted from the parameter in the following priority. Anesthetic gas > Flow > CO2 > thermistor respiration > impedance respiration

To close the opened window and return to the home screen, press the [Home] key on the bedside monitor

or the [MENU/HOME] key on the remote control.

Touching the following items on the home screen displays the following windows.

• Numeric value: Parameter windowNumeric value: Parameter window

• Patient name: ADMIT windowPatient name: ADMIT window

• Time: DATE windowTime: DATE window

• Function key: Window assigned to the function keyFunction key: Window assigned to the function key

36 Operator’s Manual BSM-6000

Settings for the Home Screen

The home screen has the following settings.

• Select numeric parameter display area (On the DISPLAY window of the SYSTEM SETUP window)

• Select large numeric screen layout (On the DISPLAY window of the SYSTEM SETUP window)

NUMERIC PARAMETER AREA - LEFT SIDE NUMERIC PARAMETER AREA - SIDE + SMALL BOTTOM

LARGE NUMERIC SCREEN LAYOUT - 2 × 2

• Select current trendgraph/PWTT trendgraph/OCRG display (On the SYSTEM window of the SYSTEM

SETUP window)

• Select PRESS waveform display type (On the DISPLAY window of the SETUP window)

• Select number of ECG waveforms (On the DISPLAY window of the SETUP window)

• Select respiration/CO2 waveform sweep speed (On the DISPLAY window of the SETUP window)

• Select waveform display on or off (On the DISPLAY window of the SETUP window)

• Select pulse rate display (On the ECG window of the SETUP window)

• Select pulse rate display in SpO2 or SpO2-2 area (On the SpO2 window)

• Select sensitivity/scale of the waveform (Parameter windows) and SCALE SETUP window of the

TREND GRAPH window

• Select ST wave and reference ST wave display on or off (On the ST window of the REVIEW window)

• Select PPV/SPV display (On the PRESS window)

• Select the pacing mark position on the ECG waveform (On the PARAMETERS window of the

SYSTEM SETUP window)

Operator’s Manual BSM-6000 37

Trendgraph on the Home Screen (Current Trendgraph)

The latest 30 minute parameter data can be displayed as a trendgraph on the home screen. This trendgraph

can be dragged left or right by touching the right edge of the trendgraph on the screen.

OCRG

The OCRG (oxygen-cardio-respirogram) can be displayed on the home screen instead of a trendgraph.

To display OCRG on the home screen, select either “OCRG 1 cm/min” or “OCRG 3 cm/min” for” or “OCRG 3 cm/min” foror “OCRG 3 cm/min” for

<CURRENT TREND> on the DISPLAY window of the SYSTEM SETUP window.

Freezing Waveforms

You can freeze (stop sweeping) the waveforms on the home screen by touching the FREEZE function key

at the upper left corner of the screen or on the remote control. The waveforms are frozen for 3 minutes or

until they are unfrozen by touching the FREEZE function key again.

Using Sleep Mode

To prevent the monitor from disturbing the patient during sleep or other times, use the SLEEP MODE. In

sleep mode, the screen is darkened and sync sound is turned off. To turn sleep mode on, touch the SLEEP

key on the MENU window. The sleep mode is only available when the ZS-900P* transmitter is connected

or the bedside monitor is connected to the central monitor network.

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

WARNING

When using sleep function, monitor the patient on the central monitor or telemetry system. Otherwise, the bedside monitor alarm may be overlooked. When <EXIT SLEEP MODE ON CRISIS ALARM> check box on the ALARM page of the SYSTEM SETUP window is OFF, bedside monitor alarms and sync sound appear on the central monitor but do not appear on the bedside monitor during sleep mode.

To turn the sleep mode off, touch the screen or press any hard key on the bedside monitor. When the sleep

mode is turned off by pressing a hard key, the function of that hard key is also performed.

When <EXIT SLEEP MODE ON CRISIS ALARM> on the SLEEP page of the SYSTEM SETUP

window is set to ON, the sleep mode is turned off when an CRISIS level alarm occurs. When the time is

set in <SLEEP MODE WILL END AT> box, the monitor exits the sleep mode on the set clock time.

When the communication between the bedside monitor and central monitor is interrupted, the bedside

monitor exits sleep mode.

38 Operator’s Manual BSM-6000

MENU Window Description

Press the [Menu] key on the bedside monitor or the [MENU/HOME] key on the remote control to display

the MENU window. Any window, except for the home screen and SYSTEM CONFIGURATION screen,

can be displayed from the MENU window. The MENU window layout differs according to the selected

site.

Example: OR or ICU site

Opens the review window

Enters patient information and deletes data

Changes alarm settings

Opens the basic parameter window for changing parameter-related settings

Opens the parameter window for changing parameter-related settings

Suspends all alarms indeﬁnitely in ICU/NICU mode (“BYPASS” in OR mode).

Suspends all alarms for the set time (1, 2 or 3 minutes).

Opens the window for changing date and time, sync/alarm sound volume, screen brightness, waves, recording and assigning functions to remote control keys and administrator setting window.

NOTE:

• FLOW/Paw and EEG are not available for BSM-6000A series.

• When the site setting is NICU, 12 LEAD key in the <REVIEW> box is OCRG and 12 LEAD

ANALYSIS key in the <OTHER> box is not available.

For the alarm off key on the MENU window, refer to “Silencing/Suspending Alarms” in this manual.

Opens the analysis/calculation window, displays the INTERBED window, touch key function on/off, displays the large numeric screen

Turns sleep mode on (in ICU and NICU mode only)

Operator’s Manual BSM-6000 39

Changing Settings

Administrator Settings

Some settings can only be changed by the administrator. A password is required to display the window or

enter the screen for changing these settings. These settings are:

• Settings on the SYSTEM SETUP window

• Settings on the SYSTEM CONFIGURATION screen

The details for these settings are described in the Administrator’s Guide.

ST, CO2, RESPIRATION, tcPO2/tcPCO2 and HEMOGLOBIN settings only affect the

individual bedside monitor, not on all monitors connected to the network. The unit settings

must be the same on all bedside monitors and central monitors in the network. Otherwise,

the different measurement values and alarms will be displayed on different monitors

depending on the unit settings on each monitor.

When installing the monitor, change the time zone setting to the same setting as the other

bedside monitors and central monitors. If the time zone setting is not the same, the data

which was in the input unit before transport is deleted when using the transport function

with the input unit.

WARNING

CAUTION

Changing Parameter Settings and Other Settings

• DATE window for setting date and time

• VOLUME window for setting alarm and sync sound volume

• DISPLAY window for setting number of ECG waveforms, waveform display, IBP waveform display

type and waveform sweep speed on the home screen

• RECORD window for setting recording parameters

• SYSTEM window for checking assigned functions to the remote control keys

• Parameter windows for setting various parameter-related settings

Changing Settings

1. Display the MENU window.

2. Touch the desired menu key on the MENU window to display the setting window.

3. Change the desired item by touching the keys or buttons, or dragging the slider displayed on the

setting window.

40 Operator’s Manual BSM-6000

Example: To correct the date and time

Example: Change the ECG lead

1. Display the DATE window of the SETUP window.

Press the [Menu] key → DATE key.

Or,

Touch the date and time at the upper right corner on the home

screen.

2. Touch the item key to be changed on the DATE window.

3. Touch the desired number key(s).

4. Repeat steps 2 and 3 to change other items.

5. Touch the SET key to enter the setting.

1. Display the MAIN page of the ECG window.

Press the [Menu] key → ECG key → MAIN tab.

Or,

Touch the heart rate value on the home screen.

2. Touch the desired lead key from <LEAD> box.

To change the lead for the second and third traces on the home

screen, display the ECG2/3 WAVES page of the ECG window and

select the lead for each trace.

Changing Settings on the VOLUME Window

<SYNC SOUND VOLUME>: Set the volume for the sync sound.

When ON is selected, there is a beeping sound.

<ALARM VOLUME>: Set the volume for the alarm sound. The

alarm volume cannot be turned off.

NOTE: Set the alarm volume depending on the monitoring

environment. When you drag the slider or touch the key

to the lowest level, the alarm sound goes to the minimum

volume.

Operator’s Manual BSM-6000 41

Admitting a Patient/Discharging a Patient (Deleting Data)

WARNING

Check the alarm settings when admitting a new

patient and whenever the patient condition

changes and change the alarm settings if

necessary. The alarm settings return to the alarm

master settings on the SYSTEM SETUP window

when:

- All data is deleted on the DELETE page on the

ADMIT window.

- <AUTO ADMIT> in the SYSTEM

CONFIGURATION screen is set to ON and 30

minutes elapse after monitor power off.

When the patient is discharged, the alarm settings, arrhythmia analysis on/off and QRS detection type

setting return to the alarm master settings, the NIBP measurement mode returns to the INTERVAL

MASTER settings on the SYSTEM SETUP window and the following data are deleted.

• Patient information • Data on the review windows

• Data on the 12 LEAD ANALYSIS window • Data on the DRUG window

• Data on the LUNG FUNCTION window • PCWP value on the CO window

• Thermodilution curve on the CO window • CO table on the MEASURE page of the CO window

• Current trendgraph on the home screen

CAUTION

When admitting a new patient, ﬁrst delete all data

of the previous patient. Otherwise, the data of the

previous patient and new patient will be mixed

together.

You can select whether to automatically delete the previous patient data on the TRANSPORT window of

the SYSTEM CONFIGURATION screen. When <AUTO ADMIT> is set to ON, and 30 minutes elapse

after turning the power off, the stored data in the monitor is deleted. When the monitor is turned on in less

than 30 minutes after turning the power off, the stored data is not deleted and monitoring continues. When

<AUTO ADMIT> is set to OFF, the message conrming whether monitoring the new patient appears on

the screen after power on.

When AUTO ADMIT is set to ON When AUTO ADMIT is set to OFF

42 Operator’s Manual BSM-6000

Admitting a Patient

Before entering data for a new patient, you must rst delete all data of a previous patient. Refer to the

“Discharging a Patient (Deleting Data)” section.

NOTE: After turning the monitor on and when admitting a patient on the monitor, make sure that

the time displayed at the upper right of the screen is correct. When the date or time is changed

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

date and time on the printout.

Entering the PATIENT ID, NAME, DATE OF BIRTH or WEIGHT/HEIGHT

Enter the patient information to admit the patient.

1. Display the PATIENT INFO page.

Press the [Menu] key → ADMIT key.

Or,

Touch the patient name area at the upper part of the home

screen.

2. Touch the desired key (PATIENT ID, NAME, DATE OF BIRTH or HEIGHT/WEIGHT) on the

PATIENT INFO page. The setting window opens.

3. Enter the patient information using the keyboard on the screen and touch the ENT key. For the date of

birth, touch the SET key after touching the ENT key.

4. Touch the close key ( ) to close the window. The PATIENT INFO page is displayed.

5. Check the information on the window.

6. Repeat steps 2 to 5 to change other items.

Patient ID can be entered with a bar code reader.

1. Display the PATIENT INFO page.

Press the [Menu] key → ADMIT key.

Or,

Touch the patient name area at the upper part of the home screen.

2. Touch the Patient ID key on the PATIENT INFO page. The PATIENT ID window opens.

NOTE: For BSM-6000A series, patient ID can be entered from the home screen.

3. Scan the bar code of the patient. The PATIENT ID window closes.

4. Conrm that the patient ID is displayed on the PATIENT INFO page.

Operator’s Manual BSM-6000 43

Entering the GENDER or PACEMAKER USE

1. Display the PATIENT INFO page.

Press the [Menu] key → ADMIT key.

Or,

Touch the patient name area at the upper part of the home screen.

2. Touch the desired key (GENDER or PACE MAKER) on the PATIENT INFO page. The setting

window opens.

3. Enter the patient information by touching the key.

4. Touch the close key ( ) to close the window. The PATIENT INFO page is displayed.

5. Check the information on the window.

6. Repeat steps 2 to 5 to change other items.

Discharging a Patient (Deleting Data)

When monitoring the patient is no longer required, delete the data on the DELETE DATA* page.

* For BSM-6000A series, DELETE DATA tab is NEXT CASE tab when the site setting is OR.

1. Display the DELETE DATA page of the ADMIT window.

Press the [Menu] key → ADMIT key → DELETE DATA

tab.

The message conrming the data deletion appears.

2. Touch the YES key to delete the data. Touch the NO key to

not delete data.

3. Check the following items to conrm that all data are

deleted.

• Patient name on the home screen is deleted.

• The message on the DELETE DATA page is dimmed.

• ALARMS SUSPENDED message appears and alarms

are suspended on the monitor.

4. Press the [Home] key to return to the home screen.

44 Operator’s Manual BSM-6000

Transport

The monitor has a transport function. When an AY-600P series input unit has a QM-600P memory

unit installed and <DATA TRANSPORT USING INPUT UNIT> on the TRANSPORT window of the

SYSTEM CONFIGURATION screen is set to ENABLE, the data of the bedside monitor can be saved

and sent to another bedside monitor.

Patient information and review data can be sent to another bed by disconnecting the input unit from the

monitor or JA-690PA or JA-694PA data acquisition unit and connecting it into another monitor or data

acquisition unit.

If the original monitor and destination monitors are in the same central monitor network, you can observe

the transported patient continuously from the central monitor.

Warnings and Cautions for Transport

General

WARNING

When the input unit is connected to the monitor,

make sure to authenticate the patient on the

SELECT PATIENT DATA window. Otherwise,

monitoring cannot be started.

WARNING

The monitor cannot start monitoring when the

input unit is not ready. When the preparation for

removing the input unit is complete, immediately

insert the input unit into the destination monitor.

CAUTION

If the patient data in the input unit has different

measuring units from the data in the main unit, an

INPUT UNIT ERROR dialog box to delete the data

in the input unit appears. If you do not want to

delete the data in the input unit, touch the

CANCEL key and remove the input unit from the

main unit.

WARNING

Check the patient information and data range on

the SELECT PATIENT DATA window. Otherwise,

the patient may be incorrectly identiﬁed.

WARNING

Check the alarm settings after patient

authentication. The alarm settings depend on the

<USE SETTINGS IN INPUT UNIT> ON/OFF

setting on the TRANSPORT window of the

SYSTEM CONFIGURATION screen of the

destination monitor.

CAUTION

When removing the input unit from the monitor

when the transport function is enabled, perform

the removal procedure of the input unit on the

REMOVE page of the TRANSPORT DATA window

before removing the input unit. Otherwise, the data

in the input unit may be lost.

CAUTION

When installing the monitor, change the time zone

setting to the same setting as the other bedside

monitors and central monitors. If the time zone

setting is not the same, the data which was in the

input unit before transport is deleted when using

the transport function with the input unit.

Operator’s Manual BSM-6000 45

Sending Data to a CNS-9701 Central Monitor Network

WARNING

When using transport function, patient data may

be mixed together or lost in the following cases:

• Transport function and wireless LAN are used at

the same time.

• The network cable is connected or disconnected

from the bedside monitor or the input unit is

removed while the bedside monitor power is off.

CAUTION

Do not remove the input unit while the data is

being sent to the central monitor. The data may be

lost.

NOTE:

• A QM-600P memory unit must be installed in the input unit to use the transport function.

• Transport function not using the network is available with BSM-6000 series bedside monitor

software version 02-01 or later.

• Transport function using the network is available with BSM-6000 series bedside monitor

software version 02-02 or later.

• If the BSM-6000 series bedside monitors have different software version, transport function

cannot be used.

• Transport function using a BSM-9101 bedside monitor is available with BSM-6000 series

bedside monitor software version 02-03 or later.

• The transport function is available with CNS-9701 central monitor software version 01-77 or

later.

WARNING

When you send data from the bedside monitor to

the central monitor, use a 10BASE-T or 100BASE-

TX switching hub. If you use another type of hub,

the network may lose connection and the patient

cannot be monitored on the central monitor.

CAUTION

When the patient is discharged and there is no

need to send the patient data to the central

monitor, discharge the patient on the central

monitor before removing the input unit. When the

input unit is unintentionally removed or inserted

when not using transport function, data that was

sent to the central monitor in the past may be lost.

46 Operator’s Manual BSM-6000

Alarms

Warnings for Alarms

WARNING

When an alarm occurs:

• Check the patient ﬁrst and take necessary

measure to ensure patient’s safety.

• Remove the cause of the alarm.

• Check the alarm settings on the bedside monitor

and change the alarm settings if necessary.

WARNING

Do not diagnose a patient based on only the alarm

information of the bedside monitor. An alarm may

not be indicated due to alarm level or alarm on/off

setting and critical changes on the patient may be

overlooked.

WARNING

If more than one medical equipment is used

together in the same facility, make sure all

equipments have the same alarm default settings

(alarm master). If the medical equipments have

different alarm default settings and when

initialized, the alarm settings differ with the other

equipments and alarm cannot be managed

appropriately in the facility. If using different alarm

default settings according to areas or wings in the

facility, manage the alarms appropriately.

WARNING

A physician must be within the range where he/she

can hear the alarm sound of the bedside monitor

while monitoring a patient on the bedside monitor.

If the physician cannot hear the alarm sound,

critical changes on the patient may be overlooked.

Alarm Types and Levels

There are four types of alarms: vital signs, arrhythmias, technical and interbed alarms, and three alarm

levels: crisis, warning and advisory.

The monitor can indicate alarms both visually and audibly:

• Alarm sound

• Alarm message or highlighted numeric data on the screen

• Alarm indicator: the alarm indicator indicates three alarm levels.

CRISIS: Red blinking, WARNING: Yellow blinking, ADVISORY: Cyan or yellow lit

Operator’s Manual BSM-6000 47

Alarm level Alarm sound

NK1 (Continuous pip sound), NK2

CRISIS

(Continuous ping sound) or IEC standard (ceg-gC)

NK1 (Continuous bing bong sound),

WARNING

NK2 (Continuous ding ding sound) or IEC standard (ceg)

NK1 and NK2 (Single

ADVISORY

beep every 20 or 120 seconds) or IEC standard (ec)

When an arrhythmia alarm is generated, even if the patient recovers quickly from the arrhythmia, the

alarm status continues for a short time. The time depends on the alarm level.

• CRISIS: 30 s

• WARNING: 20 s

• ADVISORY: 10 s

Alarm display on the screen

Message Numeric data

When ALARM* is selected:

Highlighted red message

Highlighted red numeric data When PARAMETER is selected: Highlighted parameter color numeric data

When ALARM* is selected: Highlighted yellow or orange message

Highlighted yellow or orange

numeric data

When PARAMETER is selected:

Highlighted parameter color

numeric data

When ALARM* is selected:

Highlighted cyan or yellow Highlighted cyan or yellow message

numeric data

When PARAMETER* is

selected:

Highlighted parameter color

numeric data

Alarm indicator

LED

Blinking red

Blinking yellow

Lights in cyan or yellow

Alarm

recording

Recorded at alarm occurrence when alarm recording on the RECORD window is set to ON.

The alarm sound, alarm display color and alarm indicator color are selected on the ALARM window of

the SYSTEM SETUP window.

* The numeric data display color depends on PARAMETER or ALARM setting in <DISPLAY COLOR

MODE> on the GENERAL page of the SYSTEM SETUP window.

WARNING level arrhythmia, vital sign and technical alarms message display area

ADVISORY level arrhythmia, vital sign and technical alarms message display area

Interbed alarm display area

Vital sign alarm display area (Numeric data is highlighted)

ARRHYTHMIA ANALYSIS message display area

CRISIS level arrhythmia and vital sign alarms message display area

ARRHYTHMIA ANALYSIS message is not highlighted when the site is NICU.

When two or more alarms of the same level occur at the same time, the messages are displayed

alternately.

Alarm Control Marks

Alarm is silenced by pressing the [Silence Alarms] key on the bedside monitor or [SILENCE ALARMS]

key on the remote control. Remaining minutes appears.

Alarms are suspended for a certain period.

Alarms are suspended innitely or vital sign alarm limit is set to off.

48 Operator’s Manual BSM-6000

Flow of Alarm Function

Off

Suspend all alarms by touching the SUSPEND MONITORING key on the MENU window

Suspend all alarms by touching the SUSPEND ALARMS key on the MENU window

Silence Alarms

Suspend all alarms by touching the ALL ALARMS OFF or BYPASS key on the MENU window

The “ALL ALARMS OFF” message with all alarms off mark appears at the top of the screen. Or, the “BYPASS” and “ALL ALARMS OFF” message with all alarms off mark alternately appears at the top of the screen. No alarms are generated until the alarm function is re-activated.

The “SUSPEND MONITORING” and “ALARMS SUSPENDED” message with alarm suspended mark alternately appears at the

top of the screen. No alarms are generated until the system resumes monitoring or alarm function is re-activated.

The “ALARMS SUSPENDED --- min” message appears at the top of the screen. No alarms are generated for a set period.

Identify the cause of the generated alarm and silence the alarm by pressing the [Silence Alarms] key

Identify the cause of the generated alarm and silence the alarm by touching the SILENCE ALARM key on the INTERBED window

Set the upper/lower limits on the ALARM LIMIT window or parameter window

Vital sign alarm

Arrhythmia

alarm

Technical

alarm

Interbed

alarm

Off

Start monitoring

Suspend all alarms indefinitely

Suspend all alarms for a period

Alarm setting and alarm behaviors

Silence an alarm

ARRHYTHMIA ANALYSIS on or off on the ECG window

Set alarm on or off for each arrhythmia and alarm threshold on the ARRHYTH page of the ECG window or ARRHYTH ALARMS window

The “ALARM SILENCED --- min” message and the period in which the alarm is silenced appear at the top of the screen.

Set interbed alarm on or off on the SETTING page of the INTERBED window

No alarms generated

Arrhythmia is not analyzed

No alarms generated even if arrhythmia is detected

Not connected

Connected

No interbed operation

No alarms generated

An alarm is generated when an alarm is detected on an interbed bed.

An alarm is generated when a technical alarm is detected.

An alarm is generated when an arrhythmia is detected.

An alarm is generated when the alarm setting value is exceeded.

Connect the monitor to the central monitor network

Operator’s Manual BSM-6000 49

Silencing/Suspending Alarms

Silencing Alarms

When an alarm occurs, you can silence the alarm sound and indications for one, two or three minutes by

pressing the [Silence Alarms] key on the bedside monitor or remote control. When a vital signs alarm

other than NIBP or arrhythmia alarm is silenced, the alarm resumes after the alarm silence ends. When a

technical alarm other than the following alarms is silenced, the alarm indication does not resume after the

alarm silence ends. If the following alarms are silenced, the alarm resumes after the alarm silence ends.

• BATTERY ERROR • BATTERY WEAK

• CO2 CHANGE ABSORBENT • CO2 LINE BLOCK

• ECG CANNOT ANALYZE • EXTERNAL DEVICE ALARM

• GAS LINE BLOCK • GAS MIXED GAS

• MULTILINK CONFIG ERROR • MULTILINK POWER ERROR

• NIBP CUFF OCCLUSION • NIBP SAFETY CIRCUIT RUNNING

• SpO2 CHANGE PROBE

When several alarms occur together and the [Silence Alarms] key is pressed, all alarms are silenced.

To cancel vital sign or arrhythmia alarm silence, press the [Silence Alarms] key. <SILENCE ALARMS

TIME> is set on the ALARM window of the SYSTEM SETUP window.

When the Monitor is Connected to the Central Monitor Network

When the bedside monitor is connected to a central monitor network, all alarms other than NIBP alarm

are temporarily silenced by touching the Silence Alarms key on the central monitor. Refer to the central

monitor operator’s manual for details.

Suspending Alarms

All alarms can be suspended before they occur. This monitor has three types of alarm suspension:

• Suspending all alarms for one, two or three minutes by touching the SUSPEND ALARMS key. For

example: for electrode replacement, etc.

Alarm function resumes when the suspend alarm time elapses or the SUSPEND ALARMS key is

touched. <SUSPEND ALARMS TIME> is set on the ALARM window of the SYSTEM SETUP

window.

* SUSPEND ALARMS key is available when SUSPEND ALARMS is selected for <ALARM INACTIVATION>

on the ALARM window of the SYSTEM SETUP window.

When admitting or discharging a patient or when the monitor power is turned on, alarms are automatically

suspended. Alarm function resumes when the monitoring conditions*1 are continuously met or the

SUSPEND ALARMS key is touched.

• Suspending all alarms indenitely by touching the BYPASS key (in OR mode only) or ALL ALARMS

OFF key*2 on the MENU window. For example: suspend alarms when the patient is connected to a

heart-lung machine.

50 Operator’s Manual BSM-6000

When the <ALARM INDICATOR LIT> on the ALARM window of the SYSTEM SETUP window is

set to ON, the red lamp of the alarm indicator lights when all alarms are indenitely suspended with the

BYPASS or ALL ALARMS OFF key.

Alarm function resumes when the BYPASS or ALL ALARMS OFF key is touched.

• Suspending all alarms indenitely by touching the SUSPEND MONITORING key*3. For example:

suspend alarms while the patient is being examined. The “SUSPEND MONITORING” and “ALARMS

SUSPENDED” messages appear on the screen alternately.

Alarm function resumes when the SUSPEND MONITORING key or SUSPEND ALARMS key is

touched or the following monitoring conditions*1 are continuously met.

Setting of <ALARM ACTIVATION DELAY> on

the SYSTEM SETUP window

AUTO

Alarm function activates when ECG, SpO2 or IBP* is monitored or NIBP** is measured and a value is displayed. * When SYS > DIA, the difference between these two values is 3 mmHg

and this status continues for more than 3 seconds.

** When SYS, DIA or MAP value is measured.

Condition

1 min 2 min 3 min

The ALL ALARMS OFF key is available when ALL ALARMS OFF is selected for <ALARM INACTIVATION>

on the ALARM window of the SYSTEM SETUP window.

SUSPEND MONITORING key is available when SUSPEND ALARMS is selected for <ALARM

INACTIVATION> on the ALARM window of the SYSTEM SETUP window.

WARNING

During alarm suspension (“ALARMS

SUSPENDED” or “ALL ALARMS OFF” message

displayed), all alarms are turned off. Be careful

when you suspend the alarm.

The alarm function is also recovered when the heart rate is 0.

When one of the following requirements is met.

1 ECG, SpO2 or IBP is continuously monitored for the selected time.

2 NIBP is measured (SYS, DIA or MAP value is measured)

3 Heart rate becomes 0.

WARNING

Do not turn all alarms off with the ALL ALARMS

OFF or BYPASS key when there is no medical

staff around the patient or when the patient is

connected to a ventilator.

Operator’s Manual BSM-6000 51

The alarm off key on the MENU window

Alarm off keys

ALARM INACTIVATION setting ICU/NICU site OR site

SUSPEND ALARMS

ALARMS OFF TYPE: BYPASS

ALL ALARMS OFF

ALARMS OFF TYPE: ALL ALARMS OFF

Alarm off function

SUSPEND MONITORING key

Use this key to temporarily stop patient monitoring for examination. When this key is touched, all alarms

and NIBP STAT/SIM and auto measurements are suspended. Alarms resume when the SUSPEND

MONITORING key is touched again or when the <ALARM ACTIVATION DELAY> condition is met.

SUSPEND ALARMS key

Use this key to suspend all alarms for the time set in <SUSPEND ALARMS TIME>.

BYPASS key

Use this key when the patient is connected to a heart-lung machine. When this key is touched, all alarms

and NIBP STAT/SIM and auto measurements are indenitely suspended. Touch the BYPASS key and

touch the YES key on the conrmation window. Alarms resume when the BYPASS key is touched again.

ALL ALARMS OFF key

Use this key to suspend all alarms indenitely. Touch the ALL ALARMS OFF key and touch the YES key

on the conrmation window. Alarms resume when the ALL ALARMS OFF key is touched again.

52 Operator’s Manual BSM-6000

Canceling Technical Alarms

When you remove a sensor cable, probe cable or input unit from the bedside monitor and press the

[Silence Alarms] key, the technical alarm can be canceled. Touching the SUSPEND MONITORING,

SUSPEND ALARMS, BYPASS and ALL ALARMS OFF keys also cancel the technical alarm.

Alarm Sound Volume

The alarm sound volume is adjusted on the VOLUME window in the SETUP window.

Alarm Recording

With an optional WS-671P recorder module, you can set the monitor to automatically record ECG

waveforms and data when an alarm occurs. Set <ALARM RECORDING> on the OTHER page of the

RECORD window in the SETUP window to ON. The waveforms of 8 seconds before to 12 seconds after

the alarm occurrence are recorded.

Alarm Setting

There are vital sign upper/lower limit alarm and arrhythmia alarm settings. The vital sign alarm settings

can be set on the ALARM LIMITS window. The arrhythmia alarm settings can be set on the ARRHYTH

ALARMS window. The vital sign alarm setting can also be changed on the setting window for each

parameter and the arrhythmia alarm setting can also be changed on the ARRHYTH window of the ECG

window. The alarm settings are linked between different windows. For example, when a heart rate upper

alarm limit is changed on the ALARM LIMITS window, the heart rate upper alarm limit is also changed

on the ECG window. This section describes changing settings on the ALARM LIMITS and ARRHYTH

ALARM windows.

The alarm settings return to the alarm master settings when a patient is discharged, or 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.

WARNING

Check the alarm settings when admitting a new

patient and whenever the patient condition

changes and change the alarm settings if

necessary. The alarm settings return to the alarm

master settings on the SYSTEM SETUP window

when:

• All data is deleted on the DELETE page on the

ADMIT window.

• <AUTO ADMIT> in the SYSTEM

CONFIGURATION screen is set to ON and 30

minutes elapse after monitor power off.

WARNING

For arrhythmia monitoring, set <ARRHYTHMIA

ANALYSIS> on the ECG window to ON.

Otherwise, there is no sound or indication for

arrhythmia alarms (except for ASYSTOLE).

Operator’s Manual BSM-6000 53

WARNING

If more than one medical equipment is used

together in the same facility, make sure all

equipments have the same alarm default settings

(alarm master). If the medical equipments have

different alarm default settings and when

initialized, the alarm settings differ with the other

equipments and alarm cannot be managed

appropriately in the facility. If using different alarm

default settings according to areas or wings in the

facility, manage the alarms appropriately.

CAUTION

When the alarm limit is set to OFF, there will be no

alarm for that limit. Depending on the setting, the

alarm off mark might not be displayed on the

screen. Be careful when you set the alarm limit to

OFF.

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.

When the Monitor is Connected to the Central Monitor Network

When the bedside monitor is connected to a central monitor network, the alarm setting can also be

changed from the central monitor. When the alarm setting is changed on the central monitor, check that

the same setting on the bedside monitor is also changed.

CAUTION

When the alarm is turned OFF for an arrhythmia,

there will be no alarm for that arrhythmia type.

There is no message or mark to indicate that a

certain arrhythmia alarm is turned off. Therefore,

be careful when you turn off an arrhythmia alarm.

54 Operator’s Manual BSM-6000

Changing Vital Sign Upper/Lower Alarm Limits

There are three ways to change vital sign upper/lower alarm limits.

• Change upper or lower alarm limits for each parameter individually.

• Change upper or lower alarm limits for each parameter individually from the each parameter window.

Refer to the “Monitoring Parameters” section.

• Set all alarm limits to the alarm master settings. The procedure is described in the User’s Guide Part I.

Changing Each Parameter Alarm Limits Individually

1. Display the ALARM LIMITS window.

Press the [Menu] key → ALARM LIMITS key.ALARM LIMITS key..

Touch the desired tab to change the displayed parameters

Current measured value

Selected parameter

2. Touch the parameter key for the limit you want to change.

3. Touch or drag the sliders to the desired level on the setting bar. Use the or key to adjust the

setting.

4. Press the [Home] key to return to the home screen.

Current measured value

Upper limit

Upper limit slider

Lower limit

Lower limit slider

Setting bar

Operator’s Manual BSM-6000 55

Changing All Alarm Limits to the Alarm Master Settings

All alarms, including arrhythmia alarm, can be set to a group of alarm settings called the alarm master.

The alarm masters are set by the administrator on the MASTER window of the SYSTEM SETUP

window.

NOTE: The vital sign upper/lower limits settings and arrhythmia alarm settings are changed on

the different alarm master page.

1. Display the ALARM MASTER page. The “APPLY SETTINGS FROM MASTER?” message

appears.

Press the [Menu] key → ALARM LIMITS key → ALARM MASTER tab.

2. Touch the YES key to change all alarm settings to the alarm master settings. Touch the NO key to

cancel changing the alarm settings to the alarm master settings.

3. Press the [Home] key to return to the home screen.

56 Operator’s Manual BSM-6000

Changing the Arrhythmia Alarm Settings

You can turn the alarm for individual arrhythmias on or off and set the threshold for some arrhythmias.

The arrhythmia alarm can also be set to the alarm master settings. To use the alarm master, refer to the

“Changing All Alarm Limits to the Alarm Master Settings” earlier in this section.

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

connected to a central monitor network that has old software so that “EXTENDED” arrhythmias

cannot be monitored, the “COMMUNICATION LOSS” message appears for the bedside monitor

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

1. Display the ARRHYTH page.

Press the [Menu] key → ARRHYTH ALARMS key → ARRHYTH tab..

Threshold setting

ON/OFF key

2. To turn off an arrhythmia alarm

Touch the ON key to turn it to OFF.

To turn on an arrhythmia alarm

Touch the OFF key to turn it to ON.

To set the threshold

Use the or key to adjust the setting.

NOTE:

• For BSM-6000A series, items can be turned on/off but thresholds are ﬁxed and cannot be

changed. The thresholds are set by the administrator on the MASTER window of the SYSTEM

SETUP window.

• The arrhythmia type setting is not available on the BSM-6000A series. For BSM-6000A series,

arrhythmia type is STANDARD only.

When EXTENDED is selected for the <ARRHYTHMIA TYPE> on the ECG page of the PARAMETERS

window in the SYSTEM SETUP window, touch the threshold to display the ARRHYTH window and

adjust the setting.

Operator’s Manual BSM-6000 57

Interbed Alarm

3. Press the [Home] key to return to the home screen.

When the bedside monitor is connected to a central monitor network, the bedside monitor data can be

sent to the central monitor. The bedside monitor can display monitoring data of up to 16 other beds in the

network on the INTERBED window. When an alarm occurs at an interbed bed, the highlighted “ALARM

bed name” of the alarmed interbed appears in the alarm priority color on the home screen and “Ping”

sounds are generated three times if you have previously registered the other bed as an “interbed” bed on

the INTERBED window. The interbed alarm can be silenced from this bedside monitor. The alarm silence

time depends on the setting on the alarmed bed. The interbed alarm can only be suspended on the alarmed

bed. Interbed alarm on or off can also be set.

To silence the interbed alarm, touch the SILENCE ALARM key on the VIEW OTHER BEDS page of the

INTERBED window. The alarm sound is also silenced and the alarm indicator turns off on the alarmed

bed.

When this monitor is monitored by another monitor with the interbed function, the other monitor can

silence alarms on this monitor.

NOTE: The monitor must be connected to a network to use the interbed function.

To monitor alarms of the interbed beds, the following settings must be set.

• Register the beds to be managed by the interbed function on this monitor

• Set <INTERBED ALARM> on the SETTINGS window of the INTERBED window to ON

• Set <AUTO INTERBED DISPLAY> on the SETTINGS window of the INTERBED window to ON to

automatically display the VIEW OTHER BEDS window when an alarm occurs on that bed

CAUTION

The interbed window only appears on the home screen when an interbed alarm occurs and

<AUTO INTERBED DISPLAY> is set to ON.

58 Operator’s Manual BSM-6000

Review Windows

General

You can review saved data on the following review windows. You can expand the memory of the monitor

from 128 MB to 1 GB with the optional QM-601P memory card. The parentheses show the capacity when

the QM-601P memory card is installed in the monitor.

• TREND window

GRAPH page: Displays the trendgraph of the past 24 hours (72 hours).

TABLE page: Displays the vital sign data of the past 24 hours (72 hours).

NIBP TREND page: Displays vital sign data at the NIBP measurement. Up to 512 les (1,024

les) can be saved.

HEMO page: Displays the hemodynamic data when CO is measured. Up to 512 les

(1,024 les) can be saved.

LUNG TREND page: Displays data acquired at the lung function measurement. Up to 128 les

(128 les) can be saved.

• RECALL window: Displays arrhythmia waveforms of 4 seconds before and 4 seconds after

the arrhythmia detection. Up to 8,192 les (16,384 les) can be saved.

• ALARM HISTORY window: Displays the table of vital sign alarms and arrhythmia alarms. Up 8,192

les (16,384 les) can be saved.

• FULL DISC window: Displays up to 24 hours (72 hours) of compressed and expanded

waveforms of up to 5 parameters.

• ST window: Displays the ST level waveforms of the past 24 hours (72 hours). All

monitoring ECG can be saved. ST window is available when the

site setting is OR or ICU.

• 12 LEAD window: Displays the 12 lead analysis result data of up to 6 les (18 les). Refer

to the “12 LEAD/12 LEAD ANALYSIS Windows” section.

• OCRG window: Displays the OCRG trendgraph of the past 24 hours (72 hours). OCRG

window is available when the site setting is NICU.

NOTE:

• When <AUTO ADMIT> in the SYSTEM CONFIGURATION screen is set to ON, the stored

data in the monitor will be deleted if the power is turned off for more than 30 minutes. When

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

master settings.

• The oldest ﬁle is deleted when the maximum number of ﬁles are saved.

• Do not disconnect the power cord while the monitor power is on. Data may be lost.

Operator’s Manual BSM-6000 59

Event barEvent bar

Event Bar

The event bar is displayed at the lower part of

the review window. The event bar shows the

event occurrence during monitoring.

You can change event bar time interval by

touching the or key under the event

bar. When the key is touched, the interval

changes 24 hour → 8 hour → 4 hour → 2 hour

→ 1 hour. When the key is touched, the

interval changes 1 hour → 2 hour → 4 hour →

8 hour → 24 hour.

The event bar can be scrolled by touching the

, , or key under the event bar.

Up to four events from ARRHYTHMIA

(arrhythmia alarms), TECHNICAL (technical

alarms), LIMIT (vital sign alarms) and

OPERATION (when SILENCE ALARM,

SUSPEND ALARMS, ALL ALARMS OFF,

BYPASS, SUSPEND MONITORING starts)

can be displayed.

60 Operator’s Manual BSM-6000

TREND Window

GRAPH 1, GRAPH 2, GRAPH 3 Page

There are 3 trend graph pages. Each page displays up to 6 parameters of the past 24 hours. With the

optional QM-601P memory card, data of past 72 hours can be saved.

The screen example is when 2 parameters are selected on the SETTINGS window. On the SETTINGS

window, you can select parameters and on the SCALE window you can select each scale for the

trendgraph display. To change the time threshold for the apnea trendgraph, select the interval in <APNEA

TREND TIME> box on the SETTINGS window. You can select to display maximum and minimum

values or mean values for the trendgraph display.

Press the [Menu] key → TREND key → GRAPH 1, GRAPH 2 or GRAPH 3 tab to display the TREND

GRAPH page.

Changes the trendgraph page

Displays the parameter selected on the SETTINGS window

Event bar

Event time

Displays the SETTINGS window

Displays the SCALE SETUP window

Displays the maximum and minimum values on the trendgraph

Display other review window

Cursor (can be dragged with your ﬁnger)

Scrolls the event bar

Displays mean values on the trendgraph

Scale

Event

Records or prints the displayed trend graph on the WS-671P recorder module or connected network printer

Changes the event bar interval (1, 2, 4, 8 or 24 hour)

Operator’s Manual BSM-6000 61

Changes the trend data page

Date and time

TABLE 1, TABLE 2, TABLE 3 Page

There are 3 table pages. Each page displays the vital sign data of the past 24 hours. With the optional

QM-601P memory card, data of past 72 hours can be saved.

The data of all monitoring parameters can be displayed on the TREND TABLE page. The data of the

selected parameters at the selected interval are displayed. Select the parameters to be displayed on the

SETTINGS window on the TABLE 1 to TABLE 3 page.

Press the [Menu] key → TREND key → TABLE 1, TABLE 2 or TABLE 3 tab to display the TREND

TABLE page.

Display other review window

Selected ﬁle

Displays the parameters selected in the SETTINGS window

Event bar

Event time

Displays the SETTINGS window

Displays the INTERVAL SETUP window

Scrolls the event bar

Changes the event bar interval (1, 2, 4, 8 or 24 hour)

Scroll to display other parameter data

Event

Records or prints the trend data of the selected time period on the WS671P recorder module or connected network printer

62 Operator’s Manual BSM-6000

NIBP TREND Page

The NIBP TREND page displays data of the selected parameters at the NIBP measurement. Select the

parameters to be displayed on the SETTINGS window of the NIBP TREND page. Displays the vital sign Displays the vital signDisplays the vital sign

data at the NIBP measurement of up to 512 les. With the optional QM-601P memory card, data of up to

1,024 les can be saved.

Press the [Menu] key → TREND key → NIBP TREND tab to display the NIBP TREND page.

Display other review window

Date and time

Displays the parameters selected in the SETTINGS window

Event bar

Event time

Displays the SETTINGS window

Scrolls the event bar

Selected ﬁle

Scroll to display other parameter data

Event

Records or prints the NIBP data of the selected time period on the WS671P recorder module or connected network printer

Changes the event bar interval (1, 2, 4, 8 or 24 hour)

Operator’s Manual BSM-6000 63

HEMO Page

The HEMO page displays the hemodynamics table when cardiac output is measured and the measured

values are added to the hemodynamics table. When cardiac output is monitored by the CCO monitor,

measured values are also added to the hemodynamics table. Up to 512 les of the hemodynamic data are

displayed when CO is monitored. With the optional QM-601P memory card, data of up to 1,024 les can

be saved.

Press the [Menu] key → TREND key → HEMO tab to display the HEMO page.

Display other trend window

Display other review window

Measured date and time

Event bar

Event time

Registering the Acquired Data to the Hemodynamics Table Window

The acquired CO data can be added to the hemodynamics table in the HEMO window. When data is

added to the HEMO window, the data disappears from the home screen and CO window. “- - -” appears

on the CO data display area on the screen.

Scrolls the event bar

Selected ﬁle

Scrolls time

Event

Records or prints the hemodynamics data of the selected time period on the WS-671P recorder module or connected network printer

Changes the event bar interval (1, 2, 4, 8 or 24 hour)

1. Display the RESULT page of the CO window.

Press the [Menu] key → CO key → RESULT tab.

64 Operator’s Manual BSM-6000

2. Touch the ADD key under <ADD TO HEMO TREND>. The data on the RESULT window is

registered to the HEMO window.

3. Touch the SHOW key under <SHOW HEMO TREND> to display the HEMO window. The

registered CO data is displayed in the HEMO window.

LUNG TREND Page

The LUNG TREND page displays data acquired at the lung function measurement from the LUNG

FUNCTION window. The les of past 24 hours or up to 128 les can be saved. Refer to the “DRUG/

LUNG FUNCTION Windows” section.

Press the [Menu] key → TREND key → LUNG TREND tab to display the LUNG TREND page.

Display other review window

Date and time

Displays data from LUNG FUNCTION window

Event bar

Event time

Scrolls the event bar

Changes the event bar interval (1, 2, 4, 8 or 24 hour)

Selected ﬁle

Event

Records or prints the lung trend data of the selected time period on the WS671P recorder module or connected network printer

Operator’s Manual BSM-6000 65

RECALL Window

ARRHYTH HISTORY Page

Up to 8,192 les can be saved for arrhythmias. 8 second ECG is saved for each recall le. With the

optional QM-601P memory card, data of up to 16,384 les can be saved.

To create arrhythmia recall les:

• <ARRHYTHMIA ANALYSIS> on the ECG window must be set to ON.

• The type of arrhythmias you want to save as les must be selected on the ARRHYTHMIA EVENT

Press the [Menu] key → RECALL key to display the ARRHYTH HISTORY page.

Compressed ECG of the recall ﬁle

Date and time of ﬁle creation

SETUP window on the RECALL window.

Display other review window

Arrhythmia type

Recall ﬁle

Scroll to display other recall ﬁles

Selected ﬁle

Event

Event bar

Event time

Displays the ARRHYTHMIA EVENT SETUP window

Scrolls the event bar Changes the event bar interval (1, 2,

4, 8 or 24 hour)

Records or prints the displayed arrhythmia history data on the WS-671P recorder module or connected network printer

The recall le of past 24 hours can be displayed on the ARRYTH HISTORY window. Use the scroll bar

to display other les. Touch the desired le to display the actual size ECG.

66 Operator’s Manual BSM-6000

Actual Size ECG

The ARRHYTH HISTORY window displays the actual size ECG of the selected recall le with the ECG

of one before and one after the selected le.

Display other review window

Stored recall ﬁles time range

File before the selected ﬁle

Date and time of ﬁle creation

Vital signs numeric values at the time the recall ﬁle is created

Event bar

Event time

ALARM HISTORY Window

ALARM HISTORY Page

Displays the history of the past 24 hours. Up to 8,192 les can be saved. With the optional QM-601P

memory card, data of up to 16,384 les can be saved.

Scrolls the event bar

Lead

ECG sensitivity

Selected ﬁle

Event

Records or prints the displayed actual size ECG on the WS-671P recorder module or connected network printer

Changes the event bar interval (1, 2, 4, 8 or 24 hour)

Display other review window

Date and time of alarm occurrence

Parameter

Alarm type

Alarm message

Event bar

Event time

Press the [Menu] key → ALARM HISTORY key to display the ALARM HISTORY page.

Selected ﬁle

Scrolls ﬁle

Event

Records the alarm history data of the selected time period on the WS-671P recorder module

Scrolls the event bar

Changes the event bar interval (1, 2, 4, 8 or 24 hour)

Operator’s Manual BSM-6000 67

FULL DISC Window

FULL DISC Page

Up to 5 parameter waveforms can be saved for the past 24 hours. With the optional QM-601P memory

card, data of past 72 hours can be saved. Up to 4 parameters waveforms can be displayed. The full

disclosure waveforms can be zoomed in to display the enlarged waveforms. Select the parameters for the

waveform to be saved as the full disclosure on the SETTINGS window.

Press the [Menu] key → FULL DISC key to display the FULL DISC page.

Full Disclosure Waveform

Touch to display the 6 seconds of enlarged waveforms. Touch again to restore the previous display.

Stored recall ﬁles time range

Display other review window

Time of ﬁle creation

60 second full disclosure waveform

Vital signs numeric values at the time the recall ﬁle is created

Event bar

Event time

Displays the DISPLAY/ SAVE and WAVEFORMS settings window

Displays the Zoom In window for the selected waveform. Every touch of the key changes the display range from 60 → 30 →12 → 6 seconds of waveforms.

Scrolls the event bar

ECG lead

Scrolls time

Event

Records or prints the displayed full disclosure data on the WS-671P recorder module or connected network printer

Changes the event bar interval (1, 2, 4, 8 or 24 hour)

68 Operator’s Manual BSM-6000

Zoom In Window

The full disclosure waveform can be displayed in actual size.

Stored full disclosure ﬁles time range

Time of ﬁle creation

Vital signs numeric values at the time the recall ﬁle is created

Event bar

Event time

Displays the DISPLAY/SAVE and WAVEFORMS settings window

Display other review window

Displays the ZOOM OUT window to display the compressed traces window

6 second actual size waveform

Scrolls the event bar

ECG lead

ECG sensitivity

Scrolls time

Selected ECG waveforms are highlighted

Event

Records or prints the displayed full disclosure data on the WS-671P recorder module or connected network printer

Changes the event bar interval (1, 2, 4, 8 or 24 hour)

Operator’s Manual BSM-6000 69

ST Window

Date and time

ST value

Reference ﬁle

ST INTERVAL Page

Displays the past 24 hours of ST waves of all monitoring ECG leads. With the optional QM-601P

memory card, data of past 72 hours can be saved. The reference ST waves are also displayed so that you

can see the changes on the ST waves.

NOTE: Although the ST algorithm has been tested for accuracy of the ST analysis result, the

signiﬁcance of the ST level changes need to be determined only by a physician.

Press the [Menu] key → ST key to display the ST INTERVAL page.

Display other review window

Lead

Selected ﬁle

Scrolls to display other leads

Event bar

Event time

Displays the SETTINGS window to set measurement point on/off

Registers the selected ﬁle as the reference ﬁle

Scrolls the event bar

Event

Prints the displayed ST data on the connected network printer

Changes the event bar interval (1, 2, 4, 8 or 24 hour)

70 Operator’s Manual BSM-6000

OCRG Window

Displays the past 24 hours of OCRG trendgraph. With the optional QM-601P memory card, data of past

72 hours can be saved.

On the SETTINGS window, you can select the OCRG trendgraph type of 1 cm/min or 3 cm/min and

on the SCALE window, you can select the scale for the heart rate, SpO2 and impedance respiration

trendgraph display.

NOTE: The OCRG window is available only when the site setting is NICU.

Press the [Menu] key → OCRG key to display the OCRG window.

Event bar

Event time

Displays the SETTINGS window

Displays the SCALE SETUP window

Display other review window

Scrolls the event bar

Cursor (can be dragged with your ﬁnger)

Scale

Event

Records or prints the displayed trend graph on the WS-671P recorder module or connected network printer

Changes the event bar interval (1, 2, 4, 8 or 24 hour)

Operator’s Manual BSM-6000 71

12 LEAD/12 LEAD ANALYSIS Windows

General

When 12 lead ECG is monitored, ECG can be analyzed on the 12 LEAD ANALYSIS window and the

analysis result and clinical ndings can be displayed on the 12 LEAD window. Up to 6 les can be saved.

With the optional QM-601P memory card, data of up to 18 les can be saved.

The 12 LEAD window has the following pages to display the analysis result and clinical ndings.

• 12 LEAD page for displaying the 12 lead analysis result data.

• ANALYSIS WAVE page for displaying ECG waveforms used for analysis.

• AVERAGE WAVE page for displaying averaged ECG waveforms.

• REPORT page for displaying clinical ndings.

NOTE:

• 12 lead analysis is not available when an AY-660P input unit is used.

• 12 LEAD and 12 LEAD ANALYSIS windows are not available when the site setting is NICU.

• ECG must be monitored with 10 electrodes to perform 12 lead ECG interpretation. ECG

cannot be analyzed when monitoring with 3 or 6 electrodes.

• The oldest ﬁle is deleted when the maximum number of ﬁles are created.

• The stored data remains in memory for about 30 minutes after the power is turned off. After 30

minutes, the stored data is lost.

• Do not disconnect the power cord while the monitor power is on. Data may be lost.

12 LEAD ANALYSIS Window

Performing 12 Lead ECG Interpretation

WARNING

Do not use 12 lead ECG interpretation results and

measured values from the Mason-Likar

modiﬁcation for diagnosis because the limb

electrode placement is not the same as the

standard 12 lead ECG. This may cause wrong

diagnosis since 12 lead ECG interpretation of this

monitor is based on the standard 12 lead ECG.

CAUTION

• The 12 lead ECG interpretation is performed

for acquired ECG waveforms only and does not

reﬂect all conditions of the patient. The results

of the analysis might not correspond to the

judgement of a physician.

• Overall judgement must be performed by the

physician, referring to the analysis result, clinical

ﬁndings and other examination results. After

the physician’s overall judgement, the analysis

results should be signed or initialed by the

physician.

CAUTION

When the gender is not speciﬁed, 12 lead ECG

interpretation is performed with the patient as

male.

CAUTION

When the date of birth or age is not entered, 12

lead ECG interpretation is performed with the

patient as 35 years old.

72 Operator’s Manual BSM-6000

NOTE:

• When electrodes are not attached to the limbs, the analysis result concerning the ECG axis

(such as axis deviation) may differ from the analysis with electrodes attached to limbs.

• When analyzing the pacemaker patient, set the pacing spike detection on the ECG window to

ON.

• Refer to the ECAPS12C ECG Interpretation Program User’s Guide for details about the

analysis and the clinical ﬁndings.

1. Display the PATIENT INFORMATION window and check that the age and gender are correct.

Press the [Menu] key → 12 LEAD ANALYSIS key → PATIENT INFO key.

2. Check that the electrodes are attached to the patient and leads are connected appropriately.

3. Display the 12 LEAD ANALYSIS window and check that ECGs on the window are stable.

Press the [Menu] key → 12 LEAD ANALYSIS key.

NOTE: When the age and/or gender is not entered, the “ENTER DATE OF BIRTH AND

GENDER” message appears.

ECGST levelLead

Records or prints the displayed ECGs on the WS-671P recorder module or connected network printer

Select waveform display sensitivity

Starts analysis

Displays 12 LEAD window

Patient’s gender Patient’s age

Displays PATIENT INFORMATION window

4. Touch the START key to start analyzing ECGs. The “SAVING. PLEASE WAIT” message appears

and 10 second ECG of all leads are acquired and analyzed.

When analyzing is complete, the “ANALYZING. PLEASE WAIT” message disappears and the 12

LEAD window is displayed.

Operator’s Manual BSM-6000 73

12 LEAD Window

Viewing the 12 Lead Analysis Result

To see the 12 lead analysis result data, touch the 12 LEAD tab.

Event bar

Event time

Selected ﬁle

Scroll to display other 12 lead data

Event

To see the analyzed waveforms, touch the ANALYSIS WAVE tab. About 2.5 seconds of the ECG of each

lead and 10 seconds of rhythm waveform (lead II) used for the analysis are displayed.

Date and time

Lead

ST level

Analyzed ECG (about 2.5 s)

Rhythm waveform (about 10 s)

Event bar

Scrolls the event bar

Changes the event bar interval (1, 2, 4, 8 or 24 hour)

Patient’s gender

Records the displayed ECGs on the WS-671P recorder module

Patient’s age

Scrolls the event bar

Changes the event bar interval (1, 2, 4, 8 or 24 hour)

Records or prints the displayed ECGs on the WS-671P recorder module or connected network printer

74 Operator’s Manual BSM-6000

To see the interpretation result, touch the REPORT tab.

Date and time

Measured values

Finding code and analysis results

Patient’s gender Patient’s age

Scrolls the event bar

Changes the event bar interval (1, 2, 4, 8 or 24 hour)

Records or prints the displayed ECGs on the WS671P recorder module or connected network printer

To see the averaged ECGs, touch the AVERAGE WAVE tab. The cursors appear to indicate the P wave

start and end points, QRS start and end points and T wave end points.

Averaged ECG (about 2.5 s)

Cursor

Scrolls the event bar

Changes the event bar interval (1, 2, 4, 8 or 24 hour)

Prints the displayed ECGs on the connected network printer

Operator’s Manual BSM-6000 75

DRUG/LUNG FUNCTION Windows

DRUG Window

On the DRUG window, you can calculate the ow rates and dosages for medication titrations. The ow

rate is calculated from the following equation. The dosage can also be calculated when the ow rate is

known.

Dosage × Patient Weight × Solution Amount Flow rate = Drug Amount

The DRUG window has the following windows.

• DRUG window for entering drug name, registering drugs and the units other than the factory default

settings

• SETTINGS window for entering drug amount (AMOUNT), solution amount (VOLUME), dosage

(DOSE), ow rate (SAMPLE RATE), patient weight and dose step

• DOSE window for displaying the table of the selected drug titration

NOTE:

• When using the DRUG window for the ﬁrst time after shipment or after settings are initialized,

you must set the drug names and other settings.

• When the patient weight is changed on the ADMIT window, the titration is automatically

recalculated with the new weight.

Select drug from here.

Displays EDIT window for entering drug name and dose unit

17 drugs and drug amount, solution amount, dosage and dose step for each drug are preset on the monitor.

You can set four other drugs on the DRUG window and change the settings on the EDIT window. The

following drug names are preset.

• Amrinone • Aminophylline • Bretylium

• Dobutamine • Dopamine • Epinephrine

• Heparin • Insulin • Isoproterenol

• Lidocaine • Nitroglycerin • Nitroprusside

• Norepinephrine • Phenylephrine • Procainamide

• Streptokinase • tPA

76 Operator’s Manual BSM-6000

Using Drug Calculation

1. Display the DRUG window.

Press the [Menu] key → DRUG key.

2. On the DRUG window, select the drug name.

3. On the SETTINGS window, enter other necessary settings. For drugs which need patient weight to

calculate the ow rate, enter the patient weight on the ADMIT window or the SETTINGS window of

the DRUG window.

Touch key to enter value

Use the numeric keys to enter value. Touch the ENT key to register the entered value

4. Touch the DOSE tab to display the titration table. The titration values calculated from the settings on

the SETTINGS window are displayed in the table.

Select the dose step

Prints the displayed dose table and settings on the WS-671P recorder module or network printer

Operator’s Manual BSM-6000 77

Registering Drugs

When using a drug other than the 17 preset drugs, assign a drug name and dose unit to Drug A, B, C or D

on the DRUG window. When the dosage unit is set, the sample rate unit is automatically set.

Entered drug name

Use the keyboard to enter drag name

Select dose unit

LUNG FUNCTION Window

There are two windows. The DATA ENTRY window calculates the patient’s respiration dynamics and

the LUNG FUNCTION window displays the calculation result. The following data required for this

calculation is automatically acquired from the monitoring parameters when the window is opened.

• Patient’s height and weight entered on the ADMIT window

• CCO value (When CCO is measured, the CCO value is used as the CO value)

• O2 when O2 or anesthetic gas is monitored

Calculating the LUNG FUNCTION

1. Display the DATA ENTRY window.

Press the [Menu] key → LUNG FUNCTION key → DATA ENTRY tab.

Touch key to enter value

Use the numeric keypad to change the values in the DATA ENTRY column on the LUNG FUNCTION window

78 Operator’s Manual BSM-6000

The values in this column are automatically calculated according to the values in the DATA ENTRY column

2. If necessary, change values using the numeric keypad. When height or weight is changed, the same

setting on the ADMIT window and windows which use height and weight are also changed. Touch

ENT key to register the entered value. The respiration dynamics are recalculated according to the

entered values.

3. Touch the LUNG FUNCTION tab to display the LUNG FUNCTION window.

The values in this column can be changed on the DATA ENTRY window

Adds the values on the window to the LUNG TREND page in the TREND window

Shows the LUNG TREND page in the TREND window

Records the displayed data on the WS-671P recorder module

Date and time

Displays data from LUNG FUNCTION window

Event bar

Time

4. Touch the ADD key to register the calculated values to the table in the LUNG TREND page in the

TREND window.

Displaying the LUNG TREND Table

Touch the SHOW key on the LUNG FUNCTION window to display the table in the LUNG TREND page

in the TREND window.

Display other review window

Selected ﬁle

Shows event occurrence of selected ﬁle

Records or prints the lung trend data of the selected time period on the WS-671P recorder module or connected network printer

Scrolls the event bar

Changes the event bar interval (1, 2, 4, 8 or 24 hour)

Operator’s Manual BSM-6000 79

Recording

Recording can be performed on the optional WS-671P recorder module. When the bedside monitor has

no recorder module but is connected to the central monitor network, recording can be performed on the

central monitor recorder. When recording on the central monitor is available, the central monitor name

appears in <RECORD ON CENTRAL MONITOR> box on the RECORD window of the SYSTEM

SETUP window.

Recording Modes

There are three recording modes:

• Manual recording

Real time/delayed waveform recording: Three waveforms selected on the RECORD window and vital

Recording on the review windows and analysis/calculation windows: The displayed data on the

• Periodic recording

Waveform recording: Three waveforms selected on the RECORD window and vital signs data are

OCRG trendgraph recording: OCRG on the home screen can be recorded in 5 or 15 minute interval

• Alarm recording

When a vital sign alarm or arrhythmia alarm occurs, three waveforms selected on the RECORD

signs data are recorded whenever the [Record] key on the bedside monitor is pressed.

review/analysis/calculation window is recorded when the PRINT key on the review/analysis/calculation

window is touched.

recorded automatically at the set interval.

when OCRG is selected for <PERIODIC REC INTERVAL (min)>.

window and vital signs data are automatically recorded.

NOTE: Alarm recording is not performed when an alarm is suspended or <ALARM

RECORDING> is set to OFF.

When More than One Recording Modes is Triggered

If another recording is triggered during recording, only the rst recording is performed.

During alarm recording, if a higher alarm level alarm occurs, the current alarm recording period is

extended for 20 seconds.

Changing Recording Settings

The following items can be set for recording.

• Recording waveforms (up to three parameters)

• Recording speed for manual recording by the [Record] key on the bedside monitor

• Periodic recording interval/off

• Alarm recording on or off

The following items are set on the RECORD window of the SYSTEM SETUP window.

• Real time or 8 second delayed recording for manual recording (REAL TIME, DELAY)

• Recording period for manual recording (CONTINUOUS, 10 s, 20 s or 30 s)

• Interval for the FREE periodic recording (1 to 120 minutes)

80 Operator’s Manual BSM-6000

Press the [Menu] key →RECORD key to display the RECORD window.

Select recording channel Select parameter

Selecting Recording Waveforms

The selected waveforms are recorded in manual recording by pressing the [Record] key, periodic

recording and alarm recording. Up to three waveforms can be selected.

1. Select the channel in <TRACES> box on the REC PARAMS page.

2. Select the parameter in <SELECTABLE PARAMETERS> box on the OTHER page. Touch the

NONE key when not using the channel.

Changing Recording Speed

Select 12.5 mm/s, 25 mm/s or 50 mm/s in <RECORDING SPEED> box on the OTHER page for manual

recording.

Selecting Recording Interval for Periodic Recording

Select the recording interval in <PERIODIC REC INTERVAL> box. Select OFF when not performing

periodic recording.

FREE

The interval for FREE is set on the RECORD window of the SYSTEM SETUP window which should be

set by the administrator.

OCRG

When <CURRENT TREND> on the LAYOUT page of the DISPLAY window in the SYSTEM SETUP

window is set to “OCRG 1 cm/min” or “OCRG 3 cm/min”, OCRG is recorded at the selected 5 minute or

15 minute interval in <PERIODIC REC INTERVAL> box.

PWTT

When <CURRENT TREND> on the LAYOUT page of the DISPLAY window in the SYSTEM SETUP

window is set to “PWTT”, PWTT is recorded at the 30 minute interval.

Turning Alarm Recording On or Off

Set ON or OFF for <ALARM RECORDING> to automatically record waveforms and data at vital signs

alarm and arrhythmia alarm occurrence.

Operator’s Manual BSM-6000 81

INTERBED Window

When the bedside monitor is connected to a central monitor network, the bedside monitor data can be

sent to the central monitor. The bedside monitor can display monitoring data of up to 16 other beds in

the network on the INTERBED window. When an alarm occurs at an interbed bed, the “ALARM bed

name” of the alarmed interbed appears on the home screen of this bedside monitor if you have previously

registered the other bed as an interbed bed on the INTERBED window.

To use the interbed function, the following settings must be set.

• Register the beds to be managed by the interbed function on this monitor

• Set <INTERBED ALARM> on the SETTINGS window of the INTERBED window to ON

• Set <AUTO INTERBED DISPLAY> on the SETTINGS window of the INTERBED window to ON to

automatically display the VIEW OTHER BEDS window when an alarm occurs on that bed

NOTE: The monitor must be connected to a network to use the interbed function.

Registering/Removing Interbed Beds

Up to 16 beds can be registered. Any bed in the monitor network can be registered as an interbed bed.

When registering an interbed bed, the power of the bedside monitor to be registered must be turned on.

1. Display the SELECT BEDS window.

Press the [Menu] key → INTERBED key

→ SELECT BEDS tab.

2. In <SELECTED BEDS> box, select the

position to register the interbed bed.

3. Touch the GROUP key to select the group

to which the desired bed belongs and select

the bed from the bed list. The beds which

are already registered as interbed

beds cannot be selected.

4. Check that the selected bed appears in

<SELECTED BEDS> box.

To remove a bed from the interbed beds, select the bed to be removed in <SELECTED BEDS> box and

touch the VACANT key.

82 Operator’s Manual BSM-6000

Displaying the Interbed Bed Data

Multiple Beds Window

Individual Bed Window

On the VIEW OTHER BEDS window, data for

up to 16 interbed beds is displayed.

On the multiple beds window, heart rate and

SpO2 are displayed.

Touch the desired bed to display the individual

bed window. On the individual bed window,

numeric data of monitoring parameters are

displayed with ECG and another selected

parameter waveform. You can change beds by

selecting the bed on the multiple beds window.

Silences the alarm on the

Silences the alarm on the alarmed interbed bed

alarmed interbed bed

To change the second waveform, touch the

numeric data of the parameter you want to

display. You can also change the waveform

sensitivity or scale by using the and keys.

The parameters which can be displayed on the

individual bed window are:

Heart rate, VPC, ST, respiration rate, CO2,

SpO2, NIBP, temperature (2 channels), O2 and

IBP (3 channels)

Operator’s Manual BSM-6000 83

Interbed Alarm

When an alarm occurs at an interbed bed, the alarm is indicated on this bedside monitor. The interbed

alarm can be silenced from this bedside monitor. The alarm silence time depends on the setting on the

alarmed bed. The interbed alarm can only be suspended on the alarmed bed.

To silence the interbed alarm, touch the Silence Alarm key ( ) on the individual bed window. The alarm

sound is also silenced and the alarm indicator turns off on the alarmed bed.

Settings Related to Interbed Alarm

CAUTION

The interbed window only appears on the home screen when an interbed alarm occurs and

<AUTO INTERBED DISPLAY> is set to ON.

There are two settings related to interbed alarm monitoring: <INTERBED ALARM> ON or OFF and

<AUTO INTERBED DISPLAY> ON or OFF.

Display the SETTINGS window of the INTERBED window to change settings.

84 Operator’s Manual BSM-6000

Monitoring Parameters

Only the parameters which can be monitored by the basic conguration of the system are described in this

manual.

ECG

Preparation

The following electrodes and leads are available for ECG monitoring.

No. of

Electrodes

(I, II, III)

6 (I, II, III, aVR, aVL, aVF, 2 from V1 to V6)

10 (I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6)

NOTE: The MULTI socket on the AY-660P input unit cannot be used for monitoring ECG using

10 electrodes.

Disposable Electrodes Electrode Lead

Vitrode F-150M, F-150S, L-150, L-150X

Disposable Electrode with DIN type lead, Vitrode V-090M3, V09IO3, V-120S3, N-03IS3

Vitrode F-150M, F-150S, L-150, L-150X

Disposable Electrode with DIN type lead, Vitrode V-040M4, V04IO4, V-060M6, V-06IO6

Attach electrodes to the patient, connect the electrode lead to

the electrodes and ECG connection cord, and connect the ECG

connection cord to the ECG/RESP socket on the input unit.

BR-903P (IEC)/BR-903PA (AHA) (Clip type)

BR-906P (IEC)/BR-906PA (AHA) (Clip type)

ECG patient cable BJ-900P (IEC)/BJ-900PA (AHA)

ECG Connection

Cord

JC-906P (IEC)/ JC-906PA (AHA)

JC-900P (IEC)/ JC-900PA (AHA)

To obtain a stable ECG:

• Shave excess hair.

• Rub the patient’s skin with a piece of cotton where the

electrodes are to be attached.

• If the skin is dirty, clean with soap and water. Dry completely.

• Clean the patient’s skin with a piece of cotton moistened with

alcohol. Dry completely.

Operator’s Manual BSM-6000 85

WARNING

After attaching the electrode to the patient and

connecting the cable to the monitor, check that

electrodes are attached to the patient and check

that the cable is connected to the monitor properly.

When the electrodes are removed from the patient,

do not touch the metal part of the electrode with

bare hands or let the metal part of the electrode

contact the metal part of the bed or any other

conductive parts. Failure to follow this warning may

cause electrical shock or injury to the patient by

discharged energy.

WARNING

Do not use 12 lead ECG interpretation results and

measured values from the Mason-Likar

modiﬁcation for diagnosis because the limb

electrode placement is not the same as the

standard 12 lead ECG. This may cause wrong

diagnosis since 12 lead ECG interpretation of this

monitor is based on the standard 12 lead ECG.

WARNING

When using a deﬁbrillator together with the

monitor, use Ag/AgCl electrodes. Other types of

electrodes, stainless steel in particular, will

adversely affect the ECG waveform by slowing the

baseline recovery on the monitor and result in no

monitoring immediately following deﬁbrillation.

CAUTION

At the start of ECG monitoring, check that the

dominant QRS is appropriate. Otherwise

arrhythmia monitoring may be inaccurate.

CAUTION

• When using the electrodes with DIN type lead,

use only Vitrode V or N electrodes. If other

electrodes are used, the electrode lead might not

be properly connected and ECG monitoring may

be unstable.

• Do not use electrodes of different metals. ECG

monitoring may be unstable if electrodes of

different metals are used.

CAUTION

When the “CHECK ELECTRODES” message is

displayed, ECG is not monitored properly and the

ECG alarm does not function. Check the electrode,

electrode leads and connection cord, and if

necessary, replace with new ones.

CAUTION

Only use Nihon Kohden speciﬁed electrodes and

electrode leads. When other type of electrodes or

electrode leads are used, the “CHECK

ELECTRODES” message may be displayed and

ECG monitoring may stop.

CAUTION

When the “NOISE” or “CANNOT ANALYZE”

message is displayed, ECG data and alarm are

not reliable. Remove the cause by checking the

electrodes, electrode leads, patient’s body

movement, EMG and peripheral instruments

grounding. Also make sure that an electric blanket

is not used.

86 Operator’s Manual BSM-6000

NOTE: When a line isolation monitor is used, noise from the line isolation monitor may resemble

Power supply and grounding for monitor

3 electrodes

Bedside monitor

Operating table

ESU

Power supply and grounding for ESU

actual ECG waveforms on the bedside monitor and cause false heart rate alarms or no alarm at

all.

When using 3 electrodes, one lead can be monitored. When using 6 electrodes, 8 leads can be monitored.

When using 10 electrodes, up to 12 leads can be monitored and 12 lead ECG interpretation can be

analyzed. For details on the 12 lead interpretation, refer to the “12 LEAD ANALYSIS Window” in “12

LEAD/12 LEAD ANALYSIS Windows” section.

Use with an Electrosurgical Unit

For use with an electrosurgical unit (ESU), this monitor has a circuit to protect the patient from skin burn

and to reduce ESU interference on the ECG waveform. However, the effectiveness of this circuit depends

on electrode position and monitor setup. With an ESU, pay attention to the following points.

WARNING

When the monitor is used with an electrosurgical

unit (ESU), ﬁrmly attach the entire area of the ESU

return plate. Otherwise, the current from the ESU

ﬂows into the electrodes of the monitor, causing

electrical burn where the electrodes are attached.

For details, refer to the ESU manual.

• Arrangement

Install the monitor as far from the ESU as possible. If possible, locate them on opposite sides of the

operating table.

• Power supply

Noise from the ESU may interfere with the ECG signal through the AC power line. Supply power

to the monitor and ESU from different outlets located as far from each other as possible. Do the

equipotential grounding properly.

CAUTION

When using the monitor with an ESU, locate the

monitor and ESU appropriately and ground

instruments properly. Otherwise noise from the

ESU may interfere with the ECG and the heart rate

and arrhythmia analysis may be incorrect.

Operator’s Manual BSM-6000 87

• Measure with 3-electrode lead

Use the minimum number of electrodes. Use new electrodes.

• Minimize noise

1. Select an ECG lead where the active ECG electrodes are located as far from the incision as

possible.

2. Position the + and – electrodes as close as possible.

3. Select the leads where the angle (θ) between the active electrodes and the incision is as small as

Make small

Incision

Return plate

As far as possible from electrode and as near as possible to incision.

possible.

4. Set the electrosurgical return plate as close to the incision as possible.

• Set the following items on the OTHER page of the ECG window.

FILTERS: MAXIMUM

SYNC SOURCE: SpO2 or PRESS

• Monitor respiration by thermistor method or monitor CO

Noise is superimposed on the waveform and the respiration rate cannot be monitored accurately in

the impedance method. When monitoring respiration, turn respiration monitoring off or monitor the

respiration by thermistor method or monitor CO2.

Monitoring Arrhythmia

The following arrhythmias are monitored.

Arrhythmia name Description

ASYSTOLE Longer than 3 to 10 seconds (selectable) with no QRS complex.

VF Ventricular brillation longer than 4 seconds.

EXT TACHY*

EXT BRADY*

VPC RUN

V BRADY*

SV TACHY*

TACHYCARDIA Heart rate above the upper heart rate limit.

BRADYCARDIA Heart rate below the lower heart rate limit.

PAUSE*

COUPLET VPC couplet (paired VPCs). 2 consecutive VPCs.

EARLY VPC

MULTIFORM*

V RHYTHM*

BIGEMINY

TRIGEMINY*

FREQ VPC

VPC Ventricular premature contraction.

IRREGULAR RR*

PROLONGED RR*

NO PACER PULSE*1*

PACER NON-CAPTURE*1*

Ventricular tachycardia. 3 to 9 (selectable) or more consecutive VPCs when heart rate exceeding the VT heart rate limit (16 to 300 beats/min selectable).

Extreme tachycardia exceeding the EXTREME TACHY limit.

Extreme bradycardia dropping below the EXTREME BRADY limit.

VPC short run. 3 to 8 (selectable) consecutive VPCs when heart rate exceeding the VPC RUN heart rate limit (16 to 300 beats/min selectable).

Ventricular bradycardia. 3 or more consecutive VPCs when heart rate dropping below V BRADY heart rate limit (15 to 299 beats/min selectable).

Supraventricular tachycardia. 3 to 9 (selectable) or more consecutive normal QRS of regular R-R interval when heart rate exceeding the SV TACHY heart rate limit (16 to 300 beats/min selectable).

1 to 3 seconds (selectable) with no QRS.

Early VPC including R-on-T type. VPC with a time interval from the preceding normal QRS complex of less than approximately one-third of the normal R-R interval, at heart rate dropping below 120*2 beats/min.

Two different shaped VPCs within the last 3 minutes.

Ventricular rhythm. 3 or more consecutive VPCs.

Ventricular bigeminy. 3 or more consecutive pairs of VPC and normal QRS. A dominant rhythm of N-V-N-V-N-V (N = normal beat, V = ventricular beat)

Ventricular trigeminy. A dominant rhythm of N-N-V-N-N-V.

Frequent VPCs. VPC rate (VPCs/min) reaching or exceeding the preset limit of 1 to 99 VPCs/ min (selectable).

Consistently irregular R-R intervals.

R-R interval 1.75 times longer than the dominant R-R interval.

No QRS and pacing pulse within the bradycardia limit. Oversensing.

No QRS from the preceding pacing pulse for the preset time interval (40 to 480 ms selectable).

Non-capture.

88 Operator’s Manual BSM-6000

*1 These arrhythmias become available when “EXTENDED” is selected for <ARRHYTHMIA TYPE> on the SYSTEM SETUP

window. The arrhythmia type setting is not available for the BSM-6000A series. For BSM-6000A series, arrhythmia type is STANDARD only.

*2 120 beats/min when <QRS DETECTION TYPE> is set to ADULT, 150 beats/min when <QRS DETECTION TYPE> is set to

CHILD or NEONATE.

*3 Available only when pacing detection is set to On.

To monitor arrhythmia, <ARRHYTHMIA ANALYSIS> on the ARRHYTH ANALYSIS window must be

set to ON.

WARNING

For arrhythmia monitoring, set <ARRHYTHMIA

ANALYSIS> on the ECG window to ON.

Otherwise, there is no sound or indication for

arrhythmia alarms (except for ASYSTOLE).

Changing Arrhythmia Monitoring Settings

CAUTION

If there is any doubt about the arrhythmia analysis,

make the monitor relearn the patient’s ECG and

check that the dominant QRS is appropriate.

Otherwise, an important arrhythmia may be

overlooked.

Turning Arrhythmia Analysis On or Off

Select ON or OFF in <ARRHYTHMIA

ANALYSIS> box.

Selecting Arrhythmia Analysis Leads

Select SINGLE or MULTIPLE in

<ARRHYTHMIA ANALYSIS METHOD> box

to select the number of analyzing leads.

SINGLE: The lead selected for the rst trace is

analyzed.

MULTIPLE: The leads selected for the rst and

second traces are analyzed.

Selecting the Patient Type for QRS Detection

CAUTION

At the start of ECG monitoring, check that the correct patient type is set for <QRS

DETECTION TYPE> on the ARRHYTH ANALYSIS page of the ECG window. If an

inappropriate patient type is set, heart rate cannot be counted accurately and noise or P

waves may be counted as QRS and cardiac arrest may be overlooked.

Select the monitoring patient type in the QRS DETECTION TYPE box. The selected patient type is

displayed on the home screen. This setting returns to the master setting on the ARRHYTH page of the

MASTER window when 30 minutes elapse after monitor power off.

The QRS settings depend to the patient type.

Operator’s Manual BSM-6000 89

Items

Detect narrow QRS Not available Not available Available

QRS detection sensitivity Automatic sensitivity

Default setting of ISO point R – 80 ms R – 56 ms

Default setting of J point R + 48 ms Cannot be set

Default setting of ST point J + 60 ms R + 60 ms

ADULT CHILD NEONATE

QRS DETECTION TYPE Setting

Same as the <SENSITIVITY> setting

Automatic sensitivity

Learning the ECG Waveform for Arrhythmia Detection

To learn ECG for arrhythmia detection, touch the LEARN key on the MAIN or ARRHYTH ANALYSIS

page. The Dominant QRS is updated.

Checking the Dominant QRS

The dominant QRS and ECG of the selected rst trace is displayed on the ARRHYTH ANALYSIS page.

The monitor detects QRS of the monitoring ECG and classies them into templates. The monitor selects

the most typical QRS, called dominant QRS, and uses it for analyzing arrhythmia. Whenever ECG is

learned or relearned, the dominant QRS is refreshed.

The ECG on ARRHYTH ANALYSIS window are annotated by the following QRS classication.

QRS Annotation Description

N Normal QRS complex

P Paced QRS

V Ventricular premature contraction

? Impossible to classify or during learning.

– Impossible to classify due to noise interference.

If there is any doubt about the arrhythmia analysis, make the monitor relearn the patient’s ECG and check

the dominant QRS.

NOTE: The ECG waveform on the ECG window is delayed 5 seconds.

Changing ECG Settings

Change settings on the ECG window. The following settings can be changed for ECG monitoring.

• Monitoring lead and lead name

• ECG sensitivity

• Number of ECG traces on the home screen

• Learn ECG. Refer to the “Monitoring Arrhythmia” section.

• Heart rate, arrhythmia and ST alarm limits and setting

• Arrhythmia analysis on or off. Refer to the “Monitoring Arrhythmia” section.

• Arrhythmia analysis lead. Refer to the “Monitoring Arrhythmia” section.

• Check dominant QRS. Refer to the “Monitoring Arrhythmia” section.

• ST level settings

• Pacing setting

• Number of electrodes

• Auto lead change on or off when electrode is detached

• Heart rate display mode

• Filter mode

• Hum lter on or off

• Sync source

• Sync sound pitch

• Pulse rate display on or off

• QRS detection type

90 Operator’s Manual BSM-6000

The following items can be set on the SYSTEM SETUP window.

• ECG electrode lead type (IEC or AHA)

• Heart rate sync sound pitch

• ECG display color

• Arrhythmia type (standard or extended)

NOTE: The arrhythmia type setting is not available for the BSM-6000A series. For BSM-6000A

series, arrhythmia type is STANDARD only.

The ST level unit (mV or mm) can be set on the SYSTEM CONFIGURATION screen.

The scale of the heart rate and ST level trendgraphs on the home screen are the same scale as the

trendgraphs of the Review window.

The ECG sweep speed is the speed set for <SWEEP SPEED> on the WAVES page of the DISPLAY

window.

On the MAIN Page

<SENSITIVITY>: Select sensitivity for all

monitoring ECG waves on the home screen.

<LEAD>: Select the lead for the selected trace

on the home screen.

HR/PR alarm limits: Set the upper and lower

heart rate or pulse rate alarm limits.

VPC alarm limit: Set the upper VPC alarm

limit.

ST alarm limits: Set the upper and lower ST

alarm limits of the rst trace.

NOTE: VPC alarm limit can only be set

when <ARRHYTHMIA ANALYSIS> on the

ECG window is ON.

On the ST ALARMS Page

<ALARMS>: Set the upper and lower ST alarm

limits for each lead individually or all leads

together. Touch the ST-ALL key to set all the

alarm limits together for all leads. ST-ALL is

based on the current measurement value.

Operator’s Manual BSM-6000 91

On the ARRHYTH Page

WARNING

For arrhythmia monitoring, set <ARRHYTHMIA ANALYSIS> on the ECG window to ON.

Otherwise, there is no sound or indication for arrhythmia alarms (except for ASYSTOLE).

CAUTION

When the alarm is turned OFF for an arrhythmia, there will be no alarm for that arrhythmia

type. There is no message or mark to indicate that a certain arrhythmia alarm is turned off.

Therefore, be careful when you turn off an arrhythmia alarm.

Turn the alarm for individual arrhythmias

ON or OFF and set the threshold for some

arrhythmias.

NOTE: For BSM-6000A series, items can

be turned on or off but thresholds are ﬁxed

and cannot be changed. The thresholds are

set by the administrator on the MASTER

window of the SYSTEM SETUP window.

When EXTENDED is selected for the <ARRHYTHMIA TYPE> on the ECG page of the PARAMETERS

window in the SYSTEM SETUP window, touch the threshold to display the ARRHYTH window and

adjust the setting.

NOTE: The arrhythmia type setting is not available on the BSM-6000A series. For BSM-6000A

series, arrhythmia type is STANDARD only.

92 Operator’s Manual BSM-6000

On the OTHER Page

<FILTERS>: Select the lter type.

DIAG: No lter. This mode is best for viewing

the details of the waveform. It is similar to the

real ECG. (0.05 to 150 Hz)

MONITOR: Low-cut and high-cut lter. (0.3 to

40 Hz)

MAXIMUM: Baseline drift-free, hum (AC)

and high-cut lter. Appropriate when there is

noise from AC or ESU. (1 to 18 Hz)

NOTE:

• When performing deﬁbrillation, set the

<FILTERS> to MONITOR or MAXIMUM.

The waveform recovery may become slow

due to electrode polarization when DIAG

is set.

• When sending data using a ZS-900P transmitter, the waveform data is limited to the following

frequency response depending on the ﬁlter setting. For the frequency response of the BSM-

6000 series bedside monitor, refer to the “Speciﬁcations” section.

DIAG mode: 0.05 to 60 Hz

MONITOR/MAXIMUM mode : 0.3 to 60 Hz

The waveform may be distorted or the “CHECK ELECTRODES” message may be displayed

on the receiving monitor when the waveform amplitude exceeds ± 5 mV.

<HUM FILTER>: Turn the hum lter on or off.

<HR DISPLAY MODE>: Select the mode for updating the heart rate.

AVERAGE: The heart rate is calculated by a moving average. The monitor detects 12 consecutive beats

including VPC, averages the R-R intervals of the latest 12 beats and uses this average to calculate the

current heart rate. When a new beat is detected, the heart rate is recalculated using the latest 12 beats. The

heart rate display is updated every 3 seconds.

INSTANT: The heart rate is calculated every beat. The heart rate display is updated every 3 seconds.

Operator’s Manual BSM-6000 93

Nihon Kohden BSM-6000 User manual

Specifications and Main Features

Frequently Asked Questions

User Manual

Related Documentation

Intended Purpose

Precautions

General Handling Precautions

EMC Related Caution

Other Caution

Responsibility of the Manufacturer

Conventions Used in this Manual and Instrument

Warnings, Cautions and Notes

Text Conventions in this Manual

Explanations of the Symbols in this Manual and Instrument

General Safety Information

Panel Description

MU-631R Main Unit

MU-651R/MU-671R Main Unit

AA-672P/AA-674P Smart Expansion Unit

Installation

General

Grounding the Monitor

Environment for External Instruments

Warnings and Cautions for Connecting the Monitor to a Network

Inserting and Removing the Battery Packs

Inserting the Battery Pack

Removing the Battery Pack

Inserting and Removing the Input Unit

Inserting the Input Unit

Removing the Input Unit

Loading Recording Paper

Turning the Monitor On or Off

Turning the Monitor On

Check Before Turning On the Power

Check After Turning On the Power and During Monitoring

Power and Battery Status Indications

Battery Pack Handling and Operation OperationOperation

Charging the Battery Pack

Monitor Status on Power Interruption

Turning the Monitor Off

Check After or Before Turning the Power Off

Basic Operation

Using the Remote Control

Using the Mouse

Home Screen Description

Settings for the Home Screen

Trendgraph on the Home Screen (Current Trendgraph)

OCRG

Freezing Waveforms

Using Sleep Mode

MENU Window Description

Changing Settings

Administrator Settings

Changing Parameter Settings and Other Settings

Changing Settings

Changing Settings on the VOLUME Window

Admitting a Patient/Discharging a Patient (Deleting Data)

Admitting a Patient

Discharging a Patient (Deleting Data)

Transport

Warnings and Cautions for Transport

Alarms

Alarm Types and Levels

Alarm Control Marks

Flow of Alarm Function

Silencing/Suspending Alarms

Silencing Alarms

Suspending Alarms

Canceling Technical Alarms

Alarm Sound Volume

Alarm Recording

Alarm Setting

Changing Vital Sign Upper/Lower Alarm Limits

Changing the Arrhythmia Alarm Settings

Interbed Alarm

Review Windows

General

Event Bar

TREND Window