Nihon Kohden BSM-6000 User manual

User’s Guide

Part I

Bedside Monitor

BSM-6301/BSM-6501/BSM-6701

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

0614-900676G

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

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

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

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

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

Warnings, Cautions and Notes ............................................................................... vi

Text Conventions in this Manual .............................................................................. vi

Explanations of the Symbols in this Manual and Instrument ............................................vii

Related Documentation ..................................................................................................... xi

Safety Standards .............................................................................................................. xi

Safety Information .............................................................................................................. xi

Section 1 General ................................................................................... 1.1

Introduction ...................................................................................................................... 1.3

General .................................................................................................................. 1.3

Applications ................................................................................................. 1.4

Features ...................................................................................................... 1.4

Measurement Parameters, and Applicable Units ........................................1.6

Composition ..................................................................................................................... 1.8

Network Composition ....................................................................................................... 1.9

Panel Description ...........................................................................................................1.10

MU-631R Main Unit ............................................................................................. 1.10

Front Panel ................................................................................................ 1.10

Left Side Panel .......................................................................................... 1.11

Right Side Panel ........................................................................................1.11

Rear Panel ................................................................................................. 1.12

MU-651R/MU-671R Main Unit ............................................................................. 1.13

Front Panel ................................................................................................ 1.13

Left Side Panel .......................................................................................... 1.14

Right Side Panel ........................................................................................1.14

Rear Panel ................................................................................................. 1.15

AY-631P/633P/651P/653P/660P/661P/663P/671P/673P Input Unit.................... 1.16

Front Panel ................................................................................................ 1.16

Using MULTI Sockets for CO Monitoring ................................................... 1.16

Using the Output Signal from the ECG/BP OUT Socket ........................... 1.17

Left Side Panel .......................................................................................... 1.18

Right Side Panel ........................................................................................1.18

Rear Panel ................................................................................................. 1.19

AA-672P/AA-674P Smart Expansion Unit ........................................................... 1.19

Front Panel ................................................................................................ 1.19

Using MULTI Sockets for CO Monitoring ................................................... 1.20

Right Side Panel ........................................................................................1.20

QF series Interface and IF series Communication Cable .................................... 1.21

RY-910PA Remote Controller ...............................................................................1.22

Basic Operating Concepts ............................................................................................. 1.23

User’s Guide Part I BSM-6000 C.1

C.2 User’s Guide Part I BSM-6000

CONTENTS

Screen Displays ...................................................................................................1.23

Using Touch Screen Keys ...................................................................................1.29

Keys on the Bedside Monitor ...............................................................................1.30

Using the Remote Control ................................................................................... 1.31

Using the Mouse ..................................................................................................1.31

Using the Data Acquisition Unit ........................................................................... 1.32

Using the MENU Window .................................................................................... 1.33

Transport Function ......................................................................................................... 1.34

Overview ..............................................................................................................1.34

Requirements ...................................................................................................... 1.34

Necessary Settings Before Use ........................................................................... 1.34

Transported Data and Settings ............................................................................ 1.35

Sending Data to a CNS-9701 Central Monitor.....................................................1.36

Patient Authentication .......................................................................................... 1.37

Preparing for Removing the Input Unit ................................................................ 1.41

Enabling the Input Unit ........................................................................................ 1.42

When the Input Unit is Disabled ................................................................ 1.42

Enabling the Input Unit .............................................................................. 1.42

Section 2 Preparation ............................................................................ 2.1

Preparation Flowchart ......................................................................................................2.2

Installation Conditions ......................................................................................................2.3

Inserting and Removing the Battery Pack .......................................................................2.5

Battery Handling and Operation ............................................................................ 2.5

Safety Information ....................................................................................... 2.5

Battery Pack Handling Procedures .............................................................. 2.6

When Not Using the Monitor or Battery Pack .............................................. 2.6

Inserting and Removing the Battery Packs ...........................................................2.6

Inserting the Battery Pack .....................................................................................2.7

Removing the Battery Pack ................................................................................... 2.8

Inserting and Removing the Input Unit ...........................................................................2.9

Inserting the Input Unit ..........................................................................................2.9

Removing the Input Unit ........................................................................................ 2.9

When the Transport Function is Enabled ................................................... 2.10

Preparing the Optional Recorder ................................................................................... 2.11

Installing the Recorder Module ............................................................................ 2.11

Loading Recording Paper .................................................................................... 2.11

Preparing the Remote Control ....................................................................................... 2.13

Installing the Batteries ......................................................................................... 2.13

Setting the Remote Control Channel ................................................................... 2.14

Attaching the Remote Control Channel Label to the Bedside Monitor ................ 2.14

Assigning Functions to the Customized Keys ...................................................... 2.14

Power ............................................................................................................................. 2.15

Connecting the Power Cord and Grounding the Monitor ..................................... 2.15

Connecting the Power Cord .......................................................................2.15

Grounding the Monitor ...............................................................................2.16

Turning the Power On .......................................................................................... 2.16

Check Before Turning On the Power .........................................................2.16

CONTENTS

Turning the Power On ................................................................................ 2.17

AUTO ADMIT Setting ................................................................................2.18

Check After Turning On the Power and During Monitoring ........................ 2.18

Power and Battery Status Indications .................................................................. 2.19

When the “BATTERY WEAK” Message Appears ......................................2.20

Charging the Battery Pack ......................................................................... 2.20

Monitor Status on Power Interruption ..................................................................2.21

Turning the Power Off .......................................................................................... 2.22

Check After/Before Turning the Power Off ................................................. 2.22

Section 3 Necessary Settings Before Monitoring ...............................3.1

Changing Date and Time ................................................................................................. 3.2

Changing Sound Volume Settings ...................................................................................3.3

Changing the Screen Brightness ..................................................................................... 3.4

Changing Waveform Display Settings .............................................................................. 3.5

Entering Patient Information ............................................................................................ 3.7

Displaying the PATIENT INFO Page ...................................................................... 3.8

Closing the PATIENT INFO Page ..........................................................................3.8

Entering the Patient Information ............................................................................ 3.9

Entering the Patient ID ................................................................................ 3.9

Entering the Patient Name ........................................................................ 3.10

Entering the Date of Birth and Age ........................................................... 3.11

Entering the Height and Weight ................................................................. 3.13

Entering the Gender .................................................................................. 3.13

Entering the Pacemaker Use ..................................................................... 3.14

Deleting Data ................................................................................................................. 3.16

Suspended Alarms after Deleting Data ..................................................... 3.18

Section 4 Home Screen ......................................................................... 4.1

Safety Precautions for Monitoring .................................................................................... 4.3

Using an Electrosurgical Unit ...................................................................... 4.3

Using a Deﬁbrillator ..................................................................................... 4.3

Overview .......................................................................................................................... 4.4

Home Screen .........................................................................................................4.4

Review Windows ....................................................................................................4.4

Sync Sound ........................................................................................................... 4.4

Adjusting the Sync and Alarm Sound Volume .......................................................4.4

Changing Settings and Performing Other Tasks During Monitoring ...................... 4.4

Site Mode ..............................................................................................................4.5

Recording/Printing on the Home Screen ............................................................... 4.5

Interbed Monitoring ................................................................................................4.5

Home Screen ................................................................................................................... 4.6

Settings for the Home Screen ............................................................................... 4.7

Waveform Sweep Mode and Speed ............................................................ 4.7

Waveform Display on the Home Screen ......................................................4.7

Pacing Mark Position on the ECG Waveform .............................................. 4.7

User’s Guide Part I BSM-6000 C.3

C.4 User’s Guide Part I BSM-6000

CONTENTS

ST Waveform and Reference ST Recall Waveform Display on the

Home Screen On or Off ............................................................................... 4.7

Blood Pressure Waveform Display Mode .................................................... 4.7

PPV or SPV Display on the Home Screen .................................................. 4.8

Pulse Rate Display on the Home Screen .................................................... 4.8

Current Average CO and PCWP Values Display on the Home Screen ....... 4.8

Trendgraph/PWTT Trendgraph/OCRG Display on the Home Screen On

or Off ...........................................................................................................4.8

Scale Setting for the Trendgraph on the Home Screen ...............................4.9

Parameter Colors ........................................................................................ 4.9

Waveform Sensitivity ................................................................................... 4.9

Displaying Other Windows from the Home Screen ..............................................4.10

Displaying PWTT Trendgraph ........................................................................................4.11

Displaying OCRG ........................................................................................................... 4.13

Freezing Waveforms ...................................................................................................... 4.14

Using Sleep Mode .........................................................................................................4.15

Turning Sleep Mode On ............................................................................. 4.15

Turning Sleep Mode Off ............................................................................. 4.16

Displaying the LARGE NUMERICS Screen ................................................................... 4.17

Section 5 Alarm Function ...................................................................... 5.1

Overview of Alarms .......................................................................................................... 5.4

What is an Alarm ................................................................................................... 5.4

Alarm Level ............................................................................................................5.5

Alarm Priority ......................................................................................................... 5.5

Alarm Sound/Alarm Indicator ......................................................................5.5

Alarm Messages on the Screen .................................................................. 5.5

Silencing/Suspending Alarms ................................................................................ 5.5

Alarm Master ......................................................................................................... 5.6

Automatic Recording ............................................................................................. 5.7

Alarm Setting ......................................................................................................... 5.7

Canceling the Technical Alarm ..............................................................................5.8

Adjusting Alarm Sound Volume .............................................................................5.8

Alarm Activation after Power On ............................................................................ 5.8

ALARM HISTORY Window .................................................................................... 5.8

Interbed Alarm ....................................................................................................... 5.9

Alarm Types ................................................................................................................... 5.10

Vital Signs Alarms ...............................................................................................5.10

Arrhythmia Alarms ............................................................................................... 5.10

Technical Alarms ................................................................................................. 5.11

ECG Related Alarms ................................................................................. 5.11

Respiration Related Alarms ....................................................................... 5.11

CO2 Related Alarms .................................................................................. 5.12

Microcap® Related Alarms ......................................................................... 5.12

SpO2 Related Alarms ................................................................................5.12

NIBP Related Alarms ................................................................................5.13

IBP Related Alarms ................................................................................... 5.13

Temperature Related Alarms ..................................................................... 5.13

CONTENTS

BIS Related Alarms ................................................................................... 5.13

CO Related Alarms ...................................................................................5.14

Gas Related Alarms .................................................................................. 5.14

O2 Related Alarms ..................................................................................... 5.15

VENT Related Alarms ............................................................................... 5.15

TOF Related Alarms .................................................................................. 5.15

CCO Related Alarms ................................................................................. 5.15

PiCCO Related Alarms .............................................................................. 5.16

FLOW/Paw Related Alarms ....................................................................... 5.16

EEG Related Alarms ................................................................................. 5.16

tcPO2/tcPCO2 Related Alarms ................................................................... 5.17

Other Alarms .......................................................................................................5.17

Messages ............................................................................................................ 5.18

ECG Related Messages ............................................................................ 5.18

Respiration Related Messages..................................................................5.18

CO2 Related Messages ............................................................................. 5.18

SpO2 Related Messages ........................................................................... 5.19

NIBP Related Messages ........................................................................... 5.19

IBP Related Message ................................................................................5.19

BIS Related Messages .............................................................................. 5.20

O2 Related Messages ................................................................................ 5.20

CO Related Messages .............................................................................. 5.20

Gas Related Messages ............................................................................. 5.21

FLOW/Paw Related Messages ..................................................................5.21

EEG Related Messages ............................................................................ 5.21

Microcap® Related Messages ...................................................................5.22

Other Messages ........................................................................................ 5.22

Alarm Indications ........................................................................................................... 5.23

Overview ..............................................................................................................5.23

Individual Alarm Indications ................................................................................. 5.24

Vital Signs Alarms ..................................................................................... 5.25

Arrhythmia Alarms ..................................................................................... 5.29

Technical Alarms ....................................................................................... 5.30

Other Alarms ............................................................................................. 5.37

Interbed Alarms ......................................................................................... 5.37

Alarm Control Marks ............................................................................................ 5.37

Individual Vital Signs Alarm Off Marks ...................................................... 5.38

Flow of Alarm Function ........................................................................................ 5.39

Silencing and Suspending Alarms ................................................................................. 5.40

Overview ..............................................................................................................5.40

Silencing an Alarm ....................................................................................5.40

Suspending Alarms ................................................................................... 5.40

Silencing Alarms After Alarm Occurrence ........................................................... 5.43

Silencing an Alarm ....................................................................................5.43

Canceling Alarm Silence ........................................................................... 5.44

Suspending Alarms Before Alarm Occurrence .................................................... 5.44

Suspending Alarms ................................................................................... 5.44

Suspending All Alarms Indeﬁnitely ............................................................ 5.44

User’s Guide Part I BSM-6000 C.5

C.6 User’s Guide Part I BSM-6000

CONTENTS

Suspending All Alarms and NIBP STAT and Auto Measurement

Indeﬁnitely ................................................................................................. 5.47

Turning Automatic Alarm Recording On/Off ................................................................... 5.49

Setting Alarms ...............................................................................................................5.50

Overview ..............................................................................................................5.50

Alarm Limits Ranges ...........................................................................................5.50

Vital Signs Alarms ..................................................................................... 5.51

Arrhythmia Alarms ..................................................................................... 5.56

Setting Vital Signs Alarms Individually ................................................................. 5.57

Setting All Vital Signs Alarms to a Preset Pattern (Alarm Master) ....................... 5.58

Setting Arrhythmia Alarms Individually ................................................................ 5.59

Setting All Arrhythmia Alarms to a Preset Pattern (Alarm Master) ...................... 5.60

Section 6 Review Windows ...................................................................6.1

General ............................................................................................................................ 6.3

Transport ................................................................................................................ 6.4

Review Recording .................................................................................................. 6.5

Event Bar ......................................................................................................................... 6.6

Selecting the Event Display Position on the Event Bar .......................................... 6.6

Changing the Event Bar Time Interval ................................................................... 6.7

Scrolling the Event Bar .......................................................................................... 6.7

Trend Window .................................................................................................................. 6.8

GRAPH 1, GRAPH 2, GRAPH 3 Page .................................................................. 6.8

Displaying the GRAPH 1, GRAPH 2 or GRAPH 3 Page ...........................6.10

Selecting Parameters for the Trendgraph Display ...................................... 6.11

Changing the Trendgraph Scale ................................................................ 6.12

Changing the Trendgraph Display Format ................................................. 6.13

Recording the Trendgraph ......................................................................... 6.14

Printing the Trendgraph ............................................................................. 6.15

TABLE 1, TABLE 2, TABLE 3 Page ...................................................................... 6.17

Displaying the TABLE 1, TABLE 2 or TABLE 3 Page ................................. 6.18

Scrolling the Trend Table ............................................................................ 6.19

Selecting Parameters for the Trend Table Display ..................................... 6.19

Selecting the Measurement Interval .......................................................... 6.20

Recording a Trend Table ............................................................................ 6.21

Printing a Trend Table ................................................................................ 6.21

NIBP TREND Page .............................................................................................. 6.23

Displaying the NIBP TREND Page ............................................................ 6.24

Scrolling the NIBP Trend Table ..................................................................6.25

Selecting Parameters for the NIBP Trend Display .....................................6.25

Recording a NIBP Trend Table ................................................................... 6.26

Printing a NIBP Trend Table .......................................................................6.27

HEMO Page ......................................................................................................... 6.29

Displaying the HEMO Page ....................................................................... 6.29

Scrolling the Hemodynamics Table ............................................................ 6.30

Explanation of the Hemodynamics Table ................................................... 6.31

Recording a Hemodynamics Table ............................................................ 6.32

Printing a Hemodynamics Table ................................................................ 6.33

CONTENTS

LUNG TREND Page ............................................................................................ 6.34

Displaying the LUNG TREND Page...........................................................6.34

Explanation of the Lung Trend Table .......................................................... 6.35

Recording the Lung Trend Table ................................................................ 6.36

Printing a Lung Trend Table ....................................................................... 6.37

Arrhythmia Recall Window ............................................................................................. 6.38

General ................................................................................................................ 6.38

Arrhythmia List ........................................................................................... 6.38

Displaying the Arrhythmia Recall Window ...........................................................6.40

Selecting the Arrhythmia Types to be Saved as a Recall File .............................. 6.41

Scrolling the Arrhythmia Recall Files ................................................................... 6.41

Displaying the Actual Size Waveform of the Selected Arrhythmia Recall File ..... 6.42

Arrhythmia Waveform Annotation .............................................................. 6.42

Recording or Printing the Arrhythmia Recall Waveform ....................................... 6.42

Recording on the ARRHYTH HISTORY Window ......................................6.42

Printing on the ARRHYTH HISTORY Window ........................................... 6.44

Recording on the Actual Size ECG Waveform Window ............................. 6.45

Printing on the Actual Size ECG Waveform Window ................................. 6.46

Alarm History Window ...................................................................................................6.47

Displaying the ALARM HISTORY Window...........................................................6.47

Scrolling the Alarm History Files ......................................................................... 6.48

Recording the Alarm History File ......................................................................... 6.48

Full Disclosure Window .................................................................................................. 6.50

Displaying the FULL DISC Window ..................................................................... 6.50

Scrolling the Full Disclosure Waveform ...............................................................6.52

Selecting the Parameters to be Saved for Full Disclosure ...................................6.53

Recording or Printing the Full Disclosure Waveform ...........................................6.54

Recording the Full Disclosure Waveform ................................................... 6.54

Printing the Full Disclosure Waveform .......................................................6.55

Recording or Printing the Enlarged ECG Waveform ............................................6.57

Recording the Enlarged ECG Waveform ................................................... 6.57

Printing the Enlarged ECG Waveform ....................................................... 6.58

ST Level Recall Window ................................................................................................ 6.60

Displaying the ST Window ................................................................................... 6.61

Scrolling the ST Level Recall File ........................................................................ 6.62

Displaying the ST Point ........................................................................................6.62

Displaying the ST Recall Waveform on the Home Screen ................................... 6.63

Saving as Reference ST Recall File .................................................................... 6.64

Displaying the Reference ST Recall Waveform on the Home Screen ................. 6.65

Printing the ST Level Recall File .......................................................................... 6.66

OCRG Window .............................................................................................................. 6.68

Displaying the OCRG Window ............................................................................. 6.68

Selecting the OCRG Trendgraph Type ................................................................. 6.69

Changing the Trendgraph Scale for Heart Rate and SpO2 ..................................6.70

Recording or Printing the OCRG Trend ............................................................... 6.71

Recording the OCRG Trend ......................................................................6.71

Printing the OCRG Trend ...........................................................................6.72

User’s Guide Part I BSM-6000 C.7

C.8 User’s Guide Part I BSM-6000

CONTENTS

Section 7 12 Lead Analysis/12 Lead Windows .................................... 7.1

12 Lead Analysis Window ................................................................................................7.2

Preparation Flowchart ...........................................................................................7.2

Displaying the 12 LEAD ANALYSIS Window ......................................................... 7.3

Entering the Patient’s Date of Birth and Gender .................................................... 7.4

Displaying the PATIENT INFO Window .......................................................7.4

Entering the Date of Birth and Age ............................................................. 7.4

Entering the Gender .................................................................................... 7.4

Performing 12 Lead ECG Interpretation ................................................................7.5

Recording or Printing the 12 Lead ECG Waveform ............................................... 7.6

Recording the 12 Lead ECG Waveforms ..................................................... 7.6

Printing the 12 Lead ECG Waveforms .........................................................7.7

12 LEAD Window .............................................................................................................7.9

Displaying the 12 LEAD Window ........................................................................... 7.9

12 LEAD Page ..................................................................................................... 7.10

Scrolling the 12 Lead Data File ................................................................. 7.10

Recording the 12 Lead Data .....................................................................7.10

ANALYSIS WAVE Page ....................................................................................... 7.11

Recording or Printing the 12 Lead Waveform ...................................................... 7.12

Recording the 12 Lead Waveform ............................................................. 7.12

Printing the 12 Lead Waveform ................................................................. 7.13

REPORT Page..................................................................................................... 7.14

Recording or Printing the 12 Lead Interpretation Results.................................... 7.14

Recording the 12 Lead Interpretation Results ........................................... 7.14

Printing the 12 Lead Interpretation Results ............................................... 7.15

AVERAGE WAVE Page ....................................................................................... 7.16

Printing the Averaged ECGs ..................................................................... 7.16

Section 8 Drug/Lung Function Windows ............................................. 8.1

DRUG Window ................................................................................................................. 8.2

Drug Titration Initial Settings .................................................................................. 8.3

Flow Rate Equations..............................................................................................8.4

Displaying the DRUG Window ......................................................................................... 8.6

Selecting the Drug ........................................................................................................... 8.9

Assigning a Drug Name and Dosage Unit to DRUG A to D ........................................... 8.10

Changing the Settings ...................................................................................................8.12

Changing the Drug Amount, Solution Amount, Dosage, Flow Rate and

Weight .................................................................................................................. 8.12

Changing the Dose Step .....................................................................................8.13

Unit and Setting Range .......................................................................................8.13

Drug Amount, Dosage and Step ...............................................................8.13

Solution Amount, Flow Rate and Weight ................................................... 8.14

LUNG FUNCTION Window ............................................................................................ 8.15

Displaying the LUNG FUNCTION Window .......................................................... 8.15

Entering the Data .................................................................................................8.17

Explanation of the DATA ENTRY Items ..................................................... 8.17

Checking the Calculation Results ........................................................................ 8.18

Explanation of the CALCULATION RESULTS ........................................... 8.18

CONTENTS

Adding the Calculation Results to the LUNG TREND Table ................................8.18

Displaying the LUNG TREND Table .....................................................................8.19

Recording the Calculation Results and Entered Data ......................................... 8.20

Section 9 Interbed Window ...................................................................9.1

Registering Interbed Beds ............................................................................................... 9.3

Removing an Interbed Bed .................................................................................... 9.3

Displaying the Numeric Data of All Interbed Beds ........................................................... 9.4

Displaying the Interbed Bed Data .................................................................................... 9.5

Interbed Alarm ................................................................................................................. 9.7

Settings Related to Interbed Alarm ........................................................................ 9.8

Section 10 Recording ............................................................................ 10.1

Overview of Recording...................................................................................................10.2

Recording Modes ................................................................................................10.3

Manual Waveform Recording/Printing ....................................................... 10.5

Recording/Printing on the 12 LEAD ANALYSIS Window ........................... 10.5

Recording/Printing on the Review Windows other than 12 Lead

Window ......................................................................................................10.5

Recording/Printing on the 12 LEAD Window ............................................. 10.5

Recording on the LUNG FUNCTION Window ........................................... 10.5

Recording/Printing PWTT Trendgraph ....................................................... 10.6

Recording/Printing OCRG ......................................................................... 10.6

Recording on the CO Window ................................................................... 10.6

Recording on the TOF Window .................................................................. 10.6

Recording on the CCO Window ................................................................ 10.6

Recording on the FLOW Window .............................................................. 10.6

Recording on the EEG Window ................................................................. 10.7

Periodic Recording .................................................................................... 10.8

Alarm Recording ........................................................................................ 10.9

Recording Mode Annotations ............................................................................ 10.11

Recording Priority .............................................................................................. 10.12

Recording Sensitivity ......................................................................................... 10.12

Recording Speed ............................................................................................... 10.12

Recording Related Message ............................................................................. 10.12

Recorded/Printed Data ...................................................................................... 10.13

Changing the Recording Speed ...................................................................................10.14

Changing the Recording Pattern..................................................................................10.15

Manually Recording/Printing Waveforms ..................................................................... 10.16

Recording Waveforms on the Optional Recorder ..............................................10.16

Recording Waveforms on the Bedside Monitor with No Recorder ..................... 10.17

Manual Printing on the Network Printer ............................................................. 10.17

Setting Periodic Recording .......................................................................................... 10.18

Changing Settings for Automatic Periodic Recording ........................................ 10.19

Printing on a Network Printer ....................................................................................... 10.20

User’s Guide Part I BSM-6000 C.9

CONTENTS

Section 11 Reference ............................................................................. 11.1

Clock Accuracy .............................................................................................................. 11.2

Periodical Replacement Schedule ................................................................................. 11.3

Repair Parts Availability Policy ....................................................................................... 11.3

C.10 User’s Guide Part I BSM-6000

GENERAL HANDLING PRECAUTIONS

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

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

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

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

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

ventilated areas, and dust, saline or sulphuric air.

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

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

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

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

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

3. Before Operation

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

(2) Check that the instrument is grounded properly.

(3) Check that all cords are connected properly.

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

problems.

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

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

4. During Operation

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

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

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

5. To Shutdown After Use

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

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

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

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

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

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

8. Maintenance and Inspection

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

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

operating condition.

User’s Guide Part I BSM-6000 i

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

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

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

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

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

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

WARRANTY POLICY

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

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

from the warranty.

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

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

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

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

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

this warranty.

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

Shipping costs must be pre-paid.

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

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

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

removed.

In the USA and Canada other warranty policies may apply.

CAUTION

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

ii User’s Guide Part I BSM-6000

EMC RELATED CAUTION

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

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

that exceeds the limits or levels stipulated in IEC 60601-1-2, can cause harmful interference to the

equipment and/or system or cause the equipment and/or system to fail to perform its intended function or

degrade its intended performance. Therefore, during the operation of the equipment and/or system, if there

is any undesired deviation from its intended operational performance, you must avoid, identify and resolve

the adverse electromagnetic effect before continuing to use the equipment and/or system.

The following describes some common interference sources and remedial actions:

1. Strong electromagnetic interference from a nearby emitter source such as an authorized radio station

or cellular phone:

Install the equipment and/or system at another location. Keep the emitter source such as cellular phone

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

2. Radio-frequency interference from other equipment through the AC power supply of the equipment

and/or system:

Identify the cause of this interference and if possible remove this interference source. If this is not

possible, use a different power supply.

3. Effect of direct or indirect electrostatic discharge:

Make sure all users and patients in contact with the equipment and/or system are free from direct or

indirect electrostatic energy before using it. A humid room can help lessen this problem.

4. Electromagnetic interference with any radio wave receiver such as radio or television:

If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or

system as far as possible from the radio wave receiver.

5. Interference of lightning:

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

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

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

an uninterruptible power supply.

6. Use with other equipment:

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

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

operates normally with the other equipment.

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

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

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

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

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

User’s Guide Part I BSM-6000 iii

Caution - continued

8. Use of unspeciﬁed conﬁguration:

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

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

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

9. Measurement with excessive sensitivity:

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

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

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

surrounding electromagnetic conditions and remove this artifact source.

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

representative for additional suggestions.

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

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

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

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

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

those induced by a 3 V/m electromagnetic ﬁeld.

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

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

function improperly.

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

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

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 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.

iv User’s Guide Part I BSM-6000

WARNING

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

Equipment*

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

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

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

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

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

contact your pacemaker representative or Nihon Kohden representative.

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

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

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

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

For more information, see the FDA web site.

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

User’s Guide Part I BSM-6000 v

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 main unit 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>

vi User’s Guide Part I BSM-6000

Explanations of the Symbols in this Manual and Instrument

The following symbols found in this manual/instrument bear the respective descriptions as given.

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

NIBP

Battery slot 1/Battery slot 2 (MU-631R only)

ZS socket

NIBP interval CSA mark*

NIBP start MR unsafe*

The CE mark** is a protected

NIBP stop

conformity mark of the European Community. Products marked with this symbol comply with the requirements

of the Medical Device Directive 93/42/ EEC.

Home

Products marked with this symbol** comply with the European WEEE directive 2002/96/EEC and require

Data input/output

separate waste collection. For Nihon Kohden products marked with this symbol, contact your Nihon Kohden

SD card slot

representative for disposal.

* 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.

User’s Guide Part I BSM-6000 vii

AY Series Input Unit

Symbol Description Symbol Description

Debrillation-prooftypeCFapplied

part

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.

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

Symbol Description Symbol Description

Debrillation-prooftypeCFapplied

part

Attention, consult operator’s manual

Serial number

Attention, consult operator’s manual

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.

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)

QI-634P Interface

Symbol Description Symbol Description

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

Attention, consult operator’s manual

viii User’s Guide Part I BSM-6000

QI-671P Interface

Symbol Description Symbol Description

Input/output terminal (Multi-link socket)

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

Output (Alarm socket)

QI-672P Interface

Symbol Description Symbol Description

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

WS-671P Recorder Module

Symbol Description Symbol Description

Attention, consult operator’s manual

Serial number

External display (RGB socket)

Attention, consult operator’s manual

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

Date of manufacture Recycle mark

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.

On screen

Symbol Description Symbol Description

Alarm silence Accessing to SD card

Environmental protection use period: 10 years

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.

Alarm suspended Checking SD card

All alarms off or vital sign alarm limit off

Non-paced Adjust setting/Scroll data

User’s Guide Part I BSM-6000 ix

SD card failure

Symbol Description Symbol Description

QRS/pulse sync mark Zoom in/Zoom out

Respiration sync mark Left end/Right end

Battery status

Touch panel calibration

x User’s Guide Part I BSM-6000

Safety Standards

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

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

Internally Powered EQUIPMENT (BATTERY Powered)

Degree of protection against electrical shock

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

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

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

CO2, O2, NIBP, BIS

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

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

CF applied part:

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

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

Degree of safety of application in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH

OXYGEN OR NITROUS OXIDE:

Equipment not suitable for use in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR

WITH OXYGEN OR NITROUS OXIDE

Mode of operation: CONTINUOUS OPERATION

Safety Information

This User’s Guide only contains safety information related to operation. Full information is in the BSM-6000A/K series

Bedside Monitor Operator’s Manual (code number: 0614-900685H).

User’s Guide Part I BSM-6000 xi

Section 1 General

Introduction .......................................................................................................................................................... 1.3

General ......................................................................................................................................................1.3

Applications ..................................................................................................................................... 1.4

Features .......................................................................................................................................... 1.4

Measurement Parameters, and Applicable Units ............................................................................ 1.6

Composition .........................................................................................................................................................1.8

Network Composition ..........................................................................................................................................1.9

Panel Description ..............................................................................................................................................1.10

MU-631R Main Unit ................................................................................................................................. 1.10

Front Panel .................................................................................................................................... 1.10

Left Side Panel .............................................................................................................................. 1.11

Right Side Panel ...........................................................................................................................1.11

Rear Panel .................................................................................................................................... 1.12

MU-651R/MU-671R Main Unit ................................................................................................................1.13

Front Panel .................................................................................................................................... 1.13

Left Side Panel .............................................................................................................................. 1.14

Right Side Panel ...........................................................................................................................1.14

Rear Panel .................................................................................................................................... 1.15

AY-631P/633P/651P/653P/660P/661P/663P/671P/673P Input Unit ....................................................... 1.16

Front Panel .................................................................................................................................... 1.16

Using MULTI Sockets for CO Monitoring .......................................................................................1.16

Using the Output Signal from the ECG/BP OUT Socket ............................................................... 1.17

Left Side Panel .............................................................................................................................. 1.18

Right Side Panel ...........................................................................................................................1.18

Rear Panel .................................................................................................................................... 1.19

AA-672P/AA-674P Smart Expansion Unit ............................................................................................... 1.19

Front Panel .................................................................................................................................... 1.19

Using MULTI Sockets for CO Monitoring .......................................................................................1.20

Right Side Panel ...........................................................................................................................1.20

QF series Interface and IF series Communication Cable ........................................................................1.21

RY-910PA Remote Controller ..................................................................................................................1.22

Basic Operating Concepts ................................................................................................................................. 1.23

Screen Displays ......................................................................................................................................1.23

Using Touch Screen Keys ....................................................................................................................... 1.29

Keys on the Bedside Monitor ................................................................................................................... 1.30

Using the Remote Control ....................................................................................................................... 1.31

Using the Mouse .....................................................................................................................................1.31

Using the Data Acquisition Unit ............................................................................................................... 1.32

Using the MENU Window ........................................................................................................................ 1.33

Transport Function .............................................................................................................................................1.34

Overview .................................................................................................................................................1.34

Requirements .......................................................................................................................................... 1.34

Necessary Settings Before Use ..............................................................................................................1.34

User’s Guide Part I BSM-6000 1.1

Transported Data and Settings ................................................................................................................1.35

Sending Data to a CNS-9701 Central Monitor ........................................................................................ 1.36

Patient Authentication ..............................................................................................................................1.37

Preparing for Removing the Input Unit .................................................................................................... 1.41

Enabling the Input Unit ............................................................................................................................ 1.42

When the Input Unit is Disabled .................................................................................................... 1.42

Enabling the Input Unit .................................................................................................................. 1.42

1.2 User’s Guide Part I BSM-6000

1. GENERAL

Introduction

General

The Life Scope TR BSM-6301A/K, BSM-6501A/K and BSM-6701A/K bedside

monitors are for one patient. You can combine the monitor with other units and

options depending on the measurement parameters and use the monitor in a wide

range of sites such as the operating rooms and intensive care unit (ICU).

You can also connect this monitor to a network to communicate with a central

monitor and other bedside monitors.

The BSM-6301A/K bedside monitor has a 10.4 inch TFT color display, BSM-

6501A/K has a 12.1 inch TFT color display, and BSM-6701A/K has a 15 inch

TFT color display. All models can display 15 waveforms on the screen.

Forsimplicity,thesufxA/G/Kwillbeomittedinthismanual.

WARNING

Do not diagnose a patient based on only part of the monitoring data

on the bedside monitor or only on the 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 by reading this user’s guide thoroughly and by

reading the biomedical signals acquired by other instruments.

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.

NOTE

• 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.

• Be sure to have the administrator change settings for system operation

to modify purposes of system use or relocate the system, or have any

changes checked by the administrator. Inappropriate changes may

result in unsuitable monitoring or a missed alarm.

User’s Guide Part I BSM-6000 1.3

1.4 User’s Guide Part I BSM-6000

1. GENERAL

Applications

This system monitors biological information on a patient in an operating room,

recovery room, ICU, CCU, HCU, NICU or emergency room.

Features

• Components

You can connect an input unit, smart expansion unit, interface and other

options to the main unit.

• Use of MULTI sockets

 TheMULTIsocketsallowyoutoexiblyconnectdifferentparameters.

• Touch screen display

The wide angle TFT color display can display measurement values and up to

15 waveforms. You can operate the monitor by touching the screen.

• Use of remote control (Section 2)

The remote control allows operation at a distance.

• Telemetry system (Administrator’s Guide)

When the optional ZS-900P* transmitter is connected to the bedside monitor,

waveform(s) and parameter data from the bedside monitor can be sent to a

cardiac telemetry system or to a central monitor via a multiple patient receiver.

(Available waveforms and parameter data depend on the receiving monitor.

CO, O2 and anesthetic gas data cannot be transmitted.)

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

• Available network connection (Administrator’s Guide)

You can connect this system via a 10/1000BASE-T LAN cable to a network to

communicate with the central monitor and other devices.

• Available backup battery

When an SB-671P battery pack (option) is installed in the monitor, there is

a sudden power failure or during patient transfer, the monitor can be operated

continuously on battery power.

• Home screen (Administrator’s Guide)

You can change the home screen display according to the needs of your

facility.

• Trendgraphs and OCRG display on the home screen (Administrator’s

Guide)

The home screen displays trendgraphs of measured values and waveforms so

you can easily identify changes in the patient condition. When a neonate is

monitored, OCRG can also be displayed instead of trendgraphs.

• Review information (Section 6)

This system provides the capability to display review information as trends,

arrhythmia recall and full disclosure waveforms.

1. GENERAL

• Thermal array recorder (Section 10)

You can install a WS-671P recorder module (option) to record up to three

waveforms and reports.

• Multi arrhythmia analysis mode (User’s Guide Part II, Section 1)

The multi arrhythmia analysis mode allows you to analyze arrhythmia more

accurately.

• ECG window (User’s Guide Part II, Section 1)

This system displays QRS waveforms of the normal waveform as the dominant

QRS, allowing you to check analysis accuracy.

• 12 lead analysis (Section 7)

When the 10-electrode ECG is monitored, you can display standard 12 lead

ECG. 12 lead interpretation is provided.

• Function keys (Administrator’s Guide)

You can register frequently used operations to function key.

• Different site setting (Administrator’s Guide)

You can set different settings for different sites (OR, ICU and NICU).

Standard components

• MU-631R, MU-651R, MU-671R main unit

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

• AY-631P, AY-633P, AY-651P, AY-653P, AY-660P*, AY-661P*, AY-663P*,

AY-671P, AY-673P input unit

* AY-660P, AY-661P and AY-663P input units are not available for BSM-

6000A series.

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

• WS-671P recorder module

• SB-671P battery pack

NOTE

When AY-660P input unit is used, the AA-672P or AA-674P smart

expansion unit cannot be used.

When an AY-600P series input unit has a QM-600P memory unit installed, the

data of the bedside monitor can be saved and sent to another bedside monitor.

For details, refer to the “Transport Function” section.

User’s Guide Part I BSM-6000 1.5

1.6 User’s Guide Part I BSM-6000

1. GENERAL

Measurement Parameters, and Applicable Units

Applicable Units

QI-632P

Measurement Parameters

AY series

Input Unit

QI-634P QI-671P QI-672P

Other Units

Interface

ECG OK – –

Respiration

Impedance method OK – –

Thermistor method OK

Mainstream OK

– –

• AG-400R CO2 unit

• AG-920R multigas unit

SpO

Sidestream – OK

OK – –

• GF-110PA multigas unit

•GF-120PAmultigas/owunit

• GF-210R multigas unit

•GF-220Rmultigas/owunit

NIBP OK – –

IBP OK

Temperature

BIS

TEMP socket OK – –

MULTI socket OK

MULTI socket – OK

– –

• YJ-671P BISx connection cable

• QE-910P BIS processor/BISx

Multi-link socket – OK External instrument

Cardiac output OK

OK –

• AG-920R multigas unit

• GF-110PA multigas unit

Anesthetic gas

– OK

•GF-120PAmultigas/owunit

• GF-210R multigas unit

•GF-220Rmultigas/owunit

• AG-920R multigas unit

• GF-110PA multigas unit

–

•GF-120PAmultigas/owunit

• GF-210R multigas unit

•GF-220Rmultigas/owunit

Ventilation – OK External instrument

TOF – OK External instrument

CCO – OK External instrument

FLOW/Paw – OK

•GF-120PAmultigas/owunit

•GF-220Rmultigas/owunit

EEG – OK AE-918P neuro unit

tcPO2/tcPCO

– OK External instrument

*1 These parameters cannot be measured by the MULTI sockets on the AY-660P input unit, but can be

measured by the MULTI sockets on the JA-694PA data acquisition unit.

*2 RR, CO2 (Sidestream), O2, N2O, AGENT, MAC and FLOW/Paw can be measured.

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

1. GENERAL

Differences Between the Input Unit Models

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

AY-661P*

AY-671P

AY-663P*

AY-673P

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

Available parameters using MULTI sockets

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

CO2, IBP

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

No. of TEMP sockets 2 1 2

ECG measurement using 10 electrodes

Yes No Yes

12 lead analysis Yes No Yes

SpO2 probe Masimo Nellcor Nihon Kohden

Dual SpO

NIBP PWTT measurement

Yes*

No Yes

Yes*

Smart expansion unit

Analog ECG

Analog BP

Yes No Yes

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.

User’s Guide Part I BSM-6000 1.7

+ 297 hidden pages

Nihon Kohden BSM-6000 User manual

Specifications and Main Features

Frequently Asked Questions

User Manual

GENERAL HANDLING PRECAUTIONS

WARRANTY POLICY

EMC RELATED CAUTION

Conventions Used in this Manual and Instrument

Warnings, Cautions and Notes

Text Conventions in this Manual

Explanations of the Symbols in this Manual and Instrument

Related Documentation

Safety Standards

Safety Information

Section 1 General

Introduction

General

Applications

Features

Measurement Parameters, and Applicable Units