Nihon Kohden BSM-6000 User manual

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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

1.8 User’s Guide Part I BSM-6000

1. GENERAL

BSM-6000 series Bedside Monitor

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

Main Unit

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

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

AY-660P*

Input Unit

SB-671P

Battery Pack

RY-910P

Remote Controller

DI-590P Holder

Wireless LAN Station

QI-320PA

Example is QF-904P

QF-901P: for Drager ventilator QF-902P: for Aspects BIS monitor QF-903P: for Vigilance monitor QF-904P: for AG-920R multigas unit QF-905P: for AG-400R CO2 unit* QF-907P: for Puritan Bennett ventilator QF-908P: for MAQUET ventilator QF-909P: for Oragnon neuromuscular transmission monitor QF-911P: for Pulsion PiCCO plus/PiCCO2* QF-921P: for Oridion Microcap®** IF-913P: for Radiometer MicroGas 7650 rapid transcutaneous monitor IF-914P: for Radiometer TCM4 or TCM40 transcutaneous monitor IF-917P: for Hamilton Medical Ventilator* IF-919P: for Covidien-Nellcor OxiMaxTM N-600xTM pulse oximeter IF-920P: for Dräger Medical Primus/Fabius® anesthesia workstation IF-922P: for Hospira SO2/CCO monitor IF-923P: for Puritan Bennett ventilator, 7200 IF-925P: for Masimo pulse oximeter

Interface/Communication Cable

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

KC-600P Cart KG-951P Wall Mount Kit DH-600P Handle

Other

DH-220P Mount Adapter DH-223P Unit Mount

Hyper Isolation Transformer

QW-100Y(HIT-100)

CO2 Unit

AG-400R

Transmitter

ZS-900P*

Multigas Unit/Multigas/Flow Unit

GF-110PA/GF-120PA* GF-210R*/GF-220R*

Multigas Unit

AG-920R

WS-671P

AA-672P AA-674P

Smart Expansion Unit

Recorder Module

Interface

QI-671P

QI-672P

QI-631P

QI-632P QI-634P

For MU-631R

For MU-651R, MU-671R

JA-690PA JA-694PA

QI-600P Interface Unit YS-096P2/096P3 Unit Connection Cable YS-096P5 Multi-link Cable DH-691P Base DH-692P Holder DH-693P Adapter

Data Acquisition Unit

Neuro Unit

AE-918P*

BIS Processor

QE-910P

Mouse Bar Code Reader

Composition

1. GENERAL

Bedside monitor

Examples: BSS-9800 BSM-9100 series BSM-5100 series BSM-2300 series

Transmitter

Multiple patient

receiver

Network group

Example: ICU

Bedside monitor

Network group Example: CCU

Central monitor Central monitor Central monitor

Bedside monitor Bedside monitor

* This system is provided with monitors, transmitters and multiple patient receivers whose models are the same as those of the ICU group.

Bedside Monitor

BSM-6000 series

Central monitor

Another network system

Printer

Multiple patient

receiver

Transmitter Transmitter

Bedside monitor

Examples: ORG-9700 ORG-9100

Examples: CNS-9701 CNS-9601

Network Composition

In a central monitor network, on a central monitor, you can see data of any bed in

the network.

The data that can be displayed on the bedside monitor or central monitor depends

on the type of bedside or central monitor used.

The number of central monitors and bedside monitors that can be connected to a

central monitor network and the network communication method depends on the

type of monitor used. For details, refer to the Network and System Installation

Guide.

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.

User’s Guide Part I BSM-6000 1.9

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

1.10 User’s Guide Part I BSM-6000

1. GENERAL

Panel Description

MU-631R Main Unit

Front Panel

1 2 3

1 Touch screen

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

2 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.

3 Handle

For carrying the monitor.

4 Silence Alarms key

Silences the alarm sound.

5 NIBP Interval key

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

6 NIBP Start/Stop key

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

7 Menu key

Displays the MENU window.

8 Home key

Closes all opened windows and displays the home screen.

10 11 12 13 14

9 Power switch

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

10 Power lamp

Lights when the monitor power is turned on.

11 AC power lamp

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

12 Battery lamp 1

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

13 Battery lamp 2

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

14 Remote control sensor

Receives an infrared signal from the remote control.

15 ERROR lamp (option)

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

16 RECORD/STOP key (option)

Press to start or stop recording.

17 Speaker

For alarms and sync sound.

1. GENERAL

Left Side Panel

When the AY-673P input unit is installed

AY-673P

When the AY-673P input unit and AA674P smart expansion unit are installed

AA-674P

AY-673P

1 Input unit socket

Connects an AY series input unit.

2 Battery pack holder 1 (Battery slot 1)

For an SB-671P battery pack.

Right Side Panel

1 SD card slot

For an SD card or program card.

2 ZS socket

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

series.

When the WS-671P recorder module is installed

3 Network socket

Connects to monitor network system via the network separation unit.

4 Recorder module holder

For the WS-671P recorder module.

5 Battery pack holder 2 (Battery slot 2)

For an SB-671P battery pack.

User’s Guide Part I BSM-6000 1.11

1. GENERAL

Rear Panel

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

When the optional interface is connected

QI-632P QI-631P

1 QI-632P/QI-634P interface socket

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

2 QI-631P interface socket

Connects the QI-631P interface.

3 AC SOURCE power cord socket

For the AC power cord.

4 Equipotential grounding terminal

For an equipotential grounding lead.

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

Connects a mouse or bar code reader.

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

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

7 Alarm socket (QI-632P)

Connects a YJ-672P nurse call cable.

8 RS-232C socket (QI-631P)

Connects a YJ-672P nurse call cable.

9 RGB socket (QI-631P)

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

1.12 User’s Guide Part I BSM-6000

1. GENERAL

MU-651R/MU-671R Main Unit

Front Panel

1 2 3

1 Touch screen

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

2 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.

3 Handle

For carrying the monitor.

4 Silence Alarms key

Silences the alarm sound.

5 NIBP Interval key

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

6 NIBP Start/Stop key

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

7 Menu key

Displays the MENU window.

8 Home key

Closes all opened windows and displays the home screen.

10 11 12 13 14

9 Power switch

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

10 Power lamp

Lights when the monitor power is turned on.

11 AC power lamp

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

12 Battery lamp 1

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

13 Battery lamp 2

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

14 Remote control sensor

Receives an infrared signal from the remote control.

15 ERROR lamp (option)

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

16 RECORD/STOP key (option)

Press to start or stop recording.

17 Speaker

For alarms and sync sound.

User’s Guide Part I BSM-6000 1.13

1.14 User’s Guide Part I BSM-6000

1. GENERAL

Left Side Panel

When the AY-673P input unit is installed

AY-673P

When the AY-673P input unit and AA674P smart expansion unit are installed

AA-674P

Right Side Panel

AY-673P

1 Input unit socket

Connects an AY series input unit.

2 Battery pack holder

For an SB-671P battery pack.

When the WS-671P recorder module is installed

1 SD card slot

For an SD card or program card.

2 ZS socket

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

3 Network socket

Connects to monitor network system via the network separation unit.

4 Recorder module holder

For the WS-671P recorder module.

series.

1. GENERAL

Rear Panel

When the optional interface is connected

QI-672P QI-671P

1 QI-672P interface socket

Connects the QI-672P interface.

2 QI-671P interface socket

Connects the QI-671P interface.

3 AC SOURCE power cord socket

For the AC power cord.

4 Equipotential grounding terminal

For an equipotential grounding lead.

5 USB sockets

Connects to a mouse or bar code reader.

6 Multi-link sockets

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

7 Multi-link sockets

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

8 RS-232C socket

Not available.

9 Alarm socket

Connects a YJ-672P nurse call cable.

10 RGB socket

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

User’s Guide Part I BSM-6000 1.15

1.16 User’s Guide Part I BSM-6000

1. GENERAL

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

Front Panel

One MULTI socket

Example is AY-671P input unit.

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

AY-631P/AY-651P/AY-661P/AY-671P: One MULTI socket

AY-633P/AY-653P/AY-663P/AY-673P: Three MULTI sockets

Three MULTI sockets

Example is AY-673P input unit.

NOTE

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

6000A series.

• With the MULTI socket on the AY-660P input unit, either IBP or CO2 can

be monitored.

1 MULTI socket

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

2 TEMP socket

Connects to the temperature probe cable.

3 SpO2 socket

Connects to the SpO2 connection cord.

4 ECG/RESP socket

Connects to the ECG connection cord.

5 ECG/BP OUT socket

Outputs 100 mmHg/V IBP waveform and 1 mV/V ECG waveform 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.

6 NIBP socket

Connects to the air hose.

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.

Using MULTI Sockets for CO Monitoring

WARNING

When performing deﬁbrillation during cardiac output monitoring, never

touch the CO connection cord. The discharged energy may cause

electrical shock or injury.

NOTE

CO monitoring using the MULTI socket does not comply with the

deﬁbrillator proof type CF.

1. GENERAL

Using the Output Signal from the ECG/BP OUT Socket

CAUTION

When using the output signal from the monitor as

the synchronization signal for other equipment

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

deﬁbrillator:

• Set the timing of the IABP by checking the

waveform on the IABP screen.

• Check the condition of the bedside monitor

at all times. The output signal may become

unstable.

• Check that the delay time of the output signal is

within the range of the connected equipment.

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

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

The IBP waveform that is used for the synchronization signal depends

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

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

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

used.

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

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

the highest priority label is used.

IBP label priority:

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

P3 > P4 > P5 > P6 > P7

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

in the following conditions.

- Electrode is dry or detached.

- Electrode lead is damaged or disconnected from the electrode.

- Electrode lead is pulled.

- AC interference or EMG noise superimposed.

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

- Cord or cable is disconnected or damaged.

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

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

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

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

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

accuracy.

CAUTION

Only a Nihon Kohden deﬁbrillator can use the

output signal from the monitor as a synchronization

signal. Check that the delay time of the output

signal (heart rate trigger 20 ms maximum) is within

the range of the connected deﬁbrillator.

NOTE

Output Signal Delay Time

ECG maximum 20 ms

IBP maximum 40 ms

Heart rate trigger maximum 20 ms

User’s Guide Part I BSM-6000 1.17

1.18 User’s Guide Part I BSM-6000

1. GENERAL

Left Side Panel

When the side panel is removed

1 2

1 Side panel

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

2 Smart expansion unit socket

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

Right Side Panel

1 Tabs

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

1. GENERAL

Rear Panel

1 Lock release lever

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

2 Input unit socket

For connecting a bedside monitor.

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

AA-672P or AA-674P smart expansion unit cannot be used with AY-660P

input unit.

Front Panel

AA-672P

NOTE

AA-674P

1 MULTI socket

Connect to the connection cord of the parameter to be monitored (Respiration by thermistor method, CO2, SpO2-2 (only when an AY-661P, AY-663P, AY-671P or AY-673P input unit is used), IBP, temperature, CO, O2 or BIS). The type of parameter is automatically recognized.

User’s Guide Part I BSM-6000 1.19

1.20 User’s Guide Part I BSM-6000

1. GENERAL

Right Side Panel

Using MULTI Sockets for CO Monitoring

WARNING

When performing deﬁbrillation during cardiac output monitoring,

never touch the CO connection cord. The discharged energy may

cause electrical shock or injury.

NOTE

CO monitoring using the MULTI socket does not comply with the

deﬁbrillator proof type CF.

1 Connector

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

1. GENERAL

QF series Interface and IF series Communication Cable

1 Multi-link connector

Connect to the multi-link socket on the bedside monitor.

2 External device connector

Connect to an external device.

3 Ferrite core

User’s Guide Part I BSM-6000 1.21

1.22 User’s Guide Part I BSM-6000

1. GENERAL

MENU/HOME

POWER

DISPLAY

SELECT

CHANNEL

SILENCE

ALARMS

RY-910PA Remote Controller

Display number

1 Power button

When the power cord is connected between the bedside monitor and AC outlet, turns the monitor power on or off.

2 MENU/HOME key

Opens the MENU window. Closes the window and displays the home screen when a window is opened.

3 DISPLAY SELECT key

Not available.

4 Strap hole

Use a strap to prevent dropping the remote control.

5 Display

Displays the channel number and the display number.

6 Selection knob

Move this knob up/down/left/right to move the cursor or mouse pointer on the screen.

7 LED

Lights when the pointer on the screen is moved by the selection knob. Blinks when a key on the remote control is pressed.

Channel number

8 SILENCE ALARMS key

Silences the alarm sound.

9 Customized keys

Windows and functions can be assigned to each key for shortcut key operations.

10 CHANNEL keys

Select the monitor when a channel is assigned to the monitor.

11 Transmitter

Signal is transmitted from here. Point the transmitter to the remote control sensor on the bedside monitor when operating the monitor with the remote control.

12 ENTER key

Registers the setting selected on the screen.

1. GENERAL

Basic Operating Concepts

Screen Displays

Following are the screens and windows available on the Life Scope TR

bedside monitor. For details about the individual screens and windows, see the

appropriate section.

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

the screen.

Normally, the home screen is displayed. All screens, except for the LARGE

NUMERICS screen, 12 LEAD ANALYSIS window and SYSTEM

CONFIGURATION screen, return to the home screen when there is no key

operation for about 3 minutes.

Home screen

• The home screen can be displayed anytime

by pressing the [Home] key on the bedside

monitor.

• Displays waveforms and data of the

monitoring parameters.

• Touching the patient name displays

the ADMIT page for changing patient

information.

• Touching the parameter data displays the

parameter setting window.

MENU window

The MENU window can be displayed anytime

by pressing the [Menu] key on the bedside

monitor. From the MENU window, you can

display any window except the home screen.

User’s Guide Part I BSM-6000 1.23

1.24 User’s Guide Part I BSM-6000

1. GENERAL

Other windows for monitoring

ENLARGED window for displaying numeric data

12 LEAD ANALYSIS window for displaying simultaneous 12 lead ECG. 12 lead ECG interpretation can be performed.

Only available when the site mode is OR or ICU.

SLEEP window for turning sleep mode on.

1. GENERAL

Review windows

• TREND GRAPH page for displaying 24 hour trendgraphs of up to 6 selected parameters.

• TREND TABLE page for displaying table of parameter data.

• NIBP page for displaying vital signs data with NIBP measurement.

• HEMO page for displaying hemodynamics data when CO is measured.

• LUNG TREND page for displaying lung function measurement data.

ARRHYTH RECALL window for displaying arrhythmia recall data.

ALARM HISTORY window for displaying vital sign data at alarm occurrence.

FULL DISC window for displaying full disclosure waveforms. Up to 5 parameters can be saved.

User’s Guide Part I BSM-6000 1.25

1.26 User’s Guide Part I BSM-6000

1. GENERAL

ST window for displaying ST level recall waveforms. ST measurement condition can be changed.

12 LEAD window for displaying 12 lead ECG interpretation and analysis result data.

Only available when the site mode is OR or ICU.

OCRG window for displaying OCRG trendgraph.

Only available when the site mode is NICU.

ADMIT window

ADMIT window for admitting a patient. Data can be deleted on this window.

1. GENERAL

Alarm setting window

ALARM LIMITS window for setting vital signs alarm and ARRHYTH ALARMS window for setting arrhythmia alarms.

Parameter setting windows

For changing parameter monitoring settings. Example is ECG window. FLOW/Paw and EEG are not available for BSM-

6000A series.

Interbed window

For displaying interbed beds when the monitor is connected to a network.

Drug calculation window

For registering drug and units, calculating drug and displaying the table of the selected drug titration.

User’s Guide Part I BSM-6000 1.27

1.28 User’s Guide Part I BSM-6000

1. GENERAL

Setup and other windows

• DATE window for changing date and time

• VOLUME window for changing alarm and sync sound volume

• DISPLAY window for setting number of ECG waveforms on the home screen, PRESS waveform display type, waveform

sweep speed, and respiration/CO2 waveform sweep speed

• RECORD window for setting recording parameters

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

TOUCH KEYS OFF window for turning touch screen function off

1. GENERAL

Using Touch Screen Keys

Any window can be opened and settings can be changed by touching the keys

anditemsonthescreenwithyournger.Touchingthekeyonthescreendisplays

the 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.

Tabs for chaning displaying window

Selected items are highlighted

Setting bar Touch or drag the sliders to the desired level on the setting bar.

Upper limit slider

Lower limit slider

Cursor

Scroll bar

Scroll keys

User’s Guide Part I BSM-6000 1.29

1.30 User’s Guide Part I BSM-6000

1. GENERAL

The time width of the trendgraph on the home screen can be adjusted by touching the right edge of the trendgraph and

dragging it left or right.

Keys on the Bedside Monitor

Turns the monitor power on or off

Silences alarm sound

Selects NIBP measurement mode

Starts and stops NIBP measurement

Displays the MENU window

Displays the home screen

Starts and stops recording (option)

1. GENERAL

Using the Remote Control

Use the RY-910PA remote controller 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 remote control at 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.

Using the Mouse

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.

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.

User’s Guide Part I BSM-6000 1.31

1.32 User’s Guide Part I BSM-6000

1. GENERAL

Using the Data Acquisition Unit

With the JA-690PA or JA-694PA data acquisition unit, you can use an input unit

that is separate from the bedside monitor. With the keys on the data acquisition

unit, you can operate the bedside monitor remotely. For details, refer to the JA-

690PA or JA-694PA data acquisition unit manual.

1. GENERAL

Using the MENU Window

Section 6

Section 5

Section 3

The MENU window can be displayed anytime by pressing the [Menu] key on the

bedside monitor. From the MENU window, you can display any window except

the home screen. The MENU window layout differs according to the selected

site. Refer to “SITE Window” in Administrator’s Guide, Section 2.

Fordetailsoneachwindow,refertothesectionspeciedbelow.

When the site mode is OR or ICU

User’s Guide, Part II

Section 7

FLOW/Paw and EEG are not available for BSM6000A series.

Section 10

Section 6

Section 5

Section 3

Section 8

Section 5

Section 4Administrator’s Guide

Section 9 Section 4Section 11

For the alarm off key on the MENU window, refer to “Silencing and Suspending

Alarms” in Section 5.

When the site mode is NICU

User’s Guide, Part II

FLOW/Paw and EEG are not available for BSM6000A series.

Section 8

Section 5

Section 10

Section 4Administrator’s Guide

Section 9 Section 4Section 11

User’s Guide Part I BSM-6000 1.33

1.34 User’s Guide Part I BSM-6000

1. GENERAL

Transport Function

Overview

Requirements

The monitor has a transport function. 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.

NOTE

• 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 BSM-9101 bedside monitor is available with

BSM-6000 series bedside monitor software version 02-03 or later.

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

transport function.

Necessary Settings Before Use

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.

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.

1. GENERAL

NOTE

• When <DATA TRANSPORT USING INPUT UNIT> on the TRANSPORT

window of the SYSTEM CONFIGURATION screen is set to ENABLE,

AUTO ADMIT is ﬁxed to OFF. Refer to Section 2 of the Administrator’s

Guide.

• The unit settings must be the same on the input unit and main unit to

use the transport function. Refer to “UNITS Window” in Administrator’s

Guide, Section 2.

When <DATA TRANSPORT USING INPUT UNIT> on the TRANSPORT

window of the SYSTEM CONFIGURATION screen is set to ENABLE, the

patient data are saved in the optional QM-600P memory unit in the input unit.

Select ON or OFF on <USE SETTINGS IN INPUT UNIT> on the TRANSPORT

window of the SYSTEM CONFIGURATION screen to select whether to use

the settings on the original monitor at the destination monitor. Select ON or

OFF according to the operating environment. Refer to “TRANSPORT Window”

in Administrator’s Guide, Section 2 for the settings which can be used on the

destination monitor.

Transported Data and Settings

The following settings and data are saved in the QM-600P memory unit in the

input unit. Review data of past 24 hours can be sent.

The settings sent from the original monitor to the destination monitor depend

on <USE SETTINGS IN INPUT UNIT> on the TRANSPORT window of the

SYSTEM CONFIGURATION screen. Refer to “TRANSPORT Window” in

Administrator’s Guide, Section 2.

Settings

• Patient information (patient ID, name, date of birth, height, weight and gender)

• Pacing detection On or Off

• QRS detection type

• Arrhythmia analysis On or Off

• Vital sign upper/lower alarm limits settings

• Arrhythmia alarms settings

• Parameters to be saved for full disclosure and ECG lead settings of TRACE 1

and TRACE 2

Review data

NOTE

• The oldest ﬁle is deleted when the maximum number of ﬁles is saved.

• PCCO, ScvO2, SVV, EDV, EDVI, ESV, ESVI, EF, PPV and SPV data

on the GRAPH 1 to GRAPH 3 pages and TABLE 1 to TABLE 3 pages

of the TREND window cannot be saved in the input unit and cannot be

sent.

• EEG (monitored with the AE-918P neuro unit), SEF, MDF, PPF and TP

data cannot be saved in the input unit and cannot be sent.

User’s Guide Part I BSM-6000 1.35

1.36 User’s Guide Part I BSM-6000

1. GENERAL

• When you enable the transport function, set the <SELECT THE WAVE

TO SAVE AND DISPLAY> setting on the FULL DISC window on both

the original monitor and the destination monitor to the same setting.

• Review data on the TREND windows

• Review data on the RECALL window

• Review data on the ALARM HISTORY window

• Full disclosure waveform (First trace of ECG and the four other waveforms

selected on the FULL DISC window)

• Review data on the ST window

• Review data on the 12 LEAD window

Sending Data to a CNS-9701 Central Monitor

Review data of the past 24 hours can be sent to a CNS-9701 central monitor.

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.

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.

NOTE

Review data

NOTE

• The oldest ﬁle is deleted when the maximum number of ﬁles are saved.

• When you enable the transport function, set the saved waveform setting

of the original monitor, destination monitor and the central monitor to

the same setting.

• PCCO, ScvO2, SVV, EDV, EDVI, ESV, ESVI, EF, PPV and SPV data on

the GRAPH 1 to GRAPH 3 pages and TABLE 1 to TABLE 3 pages of

the TREND window cannot be sent to another bed with the input unit.

• EEG (monitored with the AE-918P neuro unit), SEF, MDF, PPF and TP

data cannot be saved in the input unit and cannot be sent.

1. GENERAL

Patient Authentication

• Data on the NIBP TREND page

• Data on the TABLE 1 to TABLE 3 pages

• Data on the GRAPH 1 to GRAPH 3 pages

• Data on the HEMO page

• Data on the RECALL window

• Full disclosure waveform (First trace of ECG and the four other waveforms

selected on the FULL DISC window)

• Review data on the ST window

• Data on the 12 LEAD window

If the input unit is removed from a monitor and connected to a monitor in a

central monitor network, the “SENDING DATA” message appears while the data

is being sent.

The SELECT PATIENT DATA window appears when the input unit is inserted

into the monitor or the monitor is turned on when the transport function is

enabled.

Authenticate the patient on the SELECT PATIENT DATA window and select the

monitoring patient.

• Use the patient information in the input unit (the data saved in the QM-600P

memory unit installed in the input unit)

• Use the patient information in the main unit (the data saved in the main unit)

• Start monitoring as a new patient

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

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.

WARNING

Check the patient information and data range on

the SELECT PATIENT DATA window. Otherwise,

the patient may be incorrectly identiﬁed.

User’s Guide Part I BSM-6000 1.37

1.38 User’s Guide Part I BSM-6000

1. GENERAL

1. Insert the input unit into the monitor and turn the power on. The SELECT

PATIENT DATA (INPUT UNIT) window appears.

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.

NOTE

• The unit settings must be the same on the input unit and main unit to

use the transport function. Refer to “UNITS Window” in Administrator’s

Guide, Section 2.

• If the patient data in the input unit is damaged, an INPUT UNIT ERROR

dialog box appears. If the data in the input unit is not required, touch the

OK key to display the SELECT PATIENT DATA (MAIN UNIT) window

and select whether to use the data in the main unit.

1. GENERAL

• If the input unit and main unit have different software versions, 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.

If an input unit without a QM-600P memory unit is inserted into the monitor, the

SELECT PATIENT DATA (MAIN UNIT) window appears. Do step 3 and select

whether to use the data in the main unit.

2. ConrmthepatientinformationanddatarangeontheSELECTPATIENT

DATA (INPUT UNIT) window and select whether to use the data in the

input unit.

• To use the data in the input unit or only use the data in the input unit and edit

the patient information

Touch the YES key and start monitoring.

• To use the data in the main unit or start monitoring as a new patient

Touch the NO key to display the SELECT PATIENT DATA (MAIN UNIT)

window.

NOTE

If the patient information in the input unit and main unit are the same, a

SELECT PATIENT DATA (INPUT UNIT) window appears. If you need to

start monitoring as a new patient, touch the OK key and delete the data

on the DELETE DATA page of the ADMIT window.

User’s Guide Part I BSM-6000 1.39

1.40 User’s Guide Part I BSM-6000

1. GENERAL

Patient information in the input unit

Data range of the review data in the input unit

3. Check the patient information and data range on the SELECT PATIENT

DATA (MAIN UNIT) window and select whether to use the data in the main

unit.

• To use the data in the main unit

Touch the YES key and start monitoring.

• To start monitoring as a new patient

Touch the NO key and display the PATIENT INFO page of the ADMIT

window to start monitoring as a new patient.

Patient information in the main unit

Data range of the review data in the main unit

YES: Use the data in the main unit and start monitoring. NO: Display the PATIENT INFO page and start

monitoring as a new patient.

BACK: Returns to the SELECT PATIENT DATA (INPUT

UNIT) window.

The BACK key is displayed only when there is data in the input unit.

1. GENERAL

Preparing for Removing the Input Unit

When the transport function is enabled, perform the following procedure before

removing the input unit from the monitor.

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.

If you removed the input unit but you will not transfer the patient, reinsert

the input unit into the original monitor and enable the input unit.

1. Display the REMOVE page.

 Pressthe[Menu]key→ADMITkey→TRANSPORTDATAtab→

REMOVE tab.

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.

NOTE

MessageMessage

NOTE

• When the patient is discharged and there is no need to send the patient

data to the central monitor, removing the input unit from the bedside

monitor is not necessary.

• If the QM-600P memory unit is not installed in the input unit or the

memory unit is damaged, the following message appears when the

REMOVE page is displayed: “This input unit has no memory unit or the

memory unit is damaged. Data cannot be transferred to another bed

with this input unit.”.

2. Touch the YES key to remove the input unit.

User’s Guide Part I BSM-6000 1.41

1. GENERAL

Enabling the Input Unit

When the NO key is touched, it returns to the home screen.

3. The “PLEASE WAIT” message appears while the monitor is preparing for

the input unit removal. When preparation is complete, the “Remove the input

unit.” message appears.

4. Remove the input unit from the monitor.

When the Input Unit is Disabled

When the transport function is enabled and prepared for removing the input

unit on the monitor or when you remove the input unit without performing

the removal procedure, the input unit is disabled and the “CONNECT INPUT

UNIT” message appears.

When the input unit is disabled, the measurement values and waveforms are

not displayed on the home screen and the data cannot be saved in the monitor.

Authenticating the patient and changing the patient information are also not

available.

The drug calculation results, interbed data and review data before disabling the

input unit are displayed.

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.

Enabling the Input Unit

To enable the input unit, insert the input unit into the monitor and authenticate

the patient on the SELECT PATIENT DATA window. Refer to the “Patient

Authentication” earlier in this section.

1.42 User’s Guide Part I BSM-6000

Section 2 Preparation

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

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

User’s Guide Part I BSM-6000 2.1

2.2 User’s Guide Part I BSM-6000

2. PREPARATION

Preparation Flowchart

You may not need to do all these.

1. Install the monitor. Refer to Administrator’s Guide.

2. Prepare battery pack, remote control and recorder. Refer to Section 2 in this

manual.

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

screen. Changing these settings during monitoring interrupts monitoring.

Refer to Administrator’s Guide, Section 2.

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

settings are the password protected settings which only an administrator can

change. Refer to Administrator’s Guide, Section 3.

5. Check or change the necessary settings before monitoring in Section 3 in this

manual.

• Date and time

• Sound volume

• Screen brightness

• Waveform display settings

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

Information” in Section 3 in this manual.

7. Check or change all alarm items for the patient. Refer to Section 5 in this

manual. 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.

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

tablesandarrhythmiarecallles.RefertoSection6inthismanual.

9. Check or change recording settings. Refer to Section 10 in this manual.

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

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

Refer to User’s Guide, Part II.

Installation Conditions

Putthemonitoronastableandatstand,onanoptionalKC-600PcartorKG-

951P wall mount kit in a suitable location where the screen is easy to see and

doesnotreectlight.Followthecautionsbelow.

Themonitormustbeinstalledbyqualiedpersonnel.Detailsarein

Administrator’s Guide.

2. PREPARATION

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.

CAUTION

Avoid collision when moving the monitor on a

cart. Strong impact may damage the monitor.

CAUTION

The display screen is made of glass. Strong

impact may damage it.

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

Avoid a location where the monitor is sprinkled

with liquids. Avoid direct sprinkling, spray or moist

air from a nebulizer or a humidiﬁer.

CAUTION

Avoid locations where the monitor may receive

strong electromagnetic interference such as radio

or TV stations, cellular phones or mobile two-way

radios.

CAUTION

If ﬂuids are accidentally spilled on the monitor,

take the monitor out of service and check for

damage.

Avoid exposing the monitor to direct sunlight.

CAUTION

Do not use the monitor in an ambulance. The

monitor may not function properly in a moving

vehicle.

Do not place blankets or cloth over the monitor. It

may affect monitoring.

CAUTION

Do not place the monitor in a dusty area.

User’s Guide Part I BSM-6000 2.3

Do not place the monitor in an MRI examination

room. The monitor may not function properly,

or noise from the monitor may interfere with the

MRI.

CAUTION

2.4 User’s Guide Part I BSM-6000

2. PREPARATION

10 cm

5 cm Rear Panel

5 cm

Side Panel

CAUTION

Connect the power cord to an AC outlet which

can supply enough AC current to the monitor. The

monitor cannot function properly with low current.

CAUTION

Do not use an electrical blanket. It may affect

monitoring.

CAUTION

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).

CAUTION

When there is any problem on the monitor, turn

off the power immediately and disconnect the

power cord from the AC outlet. Take the monitor

out of service and check for damage.

CAUTION

Avoid placing the monitor near a heater or

humidiﬁer.

Inserting and Removing the Battery Pack

Battery Handling and Operation

Safety Information

2. PREPARATION

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 may leak.

CAUTION

Do not leave the battery pack near the patient or

in reach of children.

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 use a battery pack which is past the

expiration date written on the label.

WARNING

If the battery pack is damaged and the substance

inside the battery 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.

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.

NOTE

Be careful when handling the fully charged battery pack. The battery pack

heats up to about 60°C (140°F).

User’s Guide Part I BSM-6000 2.5

2.6 User’s Guide Part I BSM-6000

2. PREPARATION

Battery slot 1

Battery slot 2

Battery slot 1

Battery slot 2

BSM-6301 BSM-6501/BSM-6701

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 is not used, it self-discharges.

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

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 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.

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.

• 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.

NOTE

Inserting the Battery Pack

Battery coverBattery cover

2. PREPARATION

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

the cover off.

Battery packBattery lever Battery packBattery lever

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

3. Attach the battery cover.

User’s Guide Part I BSM-6000 2.7

2.8 User’s Guide Part I BSM-6000

2. PREPARATION

Removing the Battery Pack

Battery coverBattery cover

Battery leverBattery lever

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.

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

the cover off.

2. Press the battery lever and release the lock.

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

4. Attach the battery cover.

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

Slots

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

four slots.

2. PREPARATION

Tabs

Input unit socket

Connector

Removing the Input Unit

Lock release leverLock release lever

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

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.

User’s Guide Part I BSM-6000 2.9

2.10 User’s Guide Part I BSM-6000

2. PREPARATION

When the Transport Function is Enabled

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.

When Connected to the Network

CAUTION

Do not remove the input unit while the data is being sent to the

central monitor. The data may be lost.

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.

NOTE

When the patient is discharged and there is no need to send the patient

data to the central monitor, removing the input unit from the bedside

monitor is not necessary.

Preparing the Optional Recorder

Installing the Recorder Module

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

WS-671P recorder module Installation Guide.

CAUTION for Handling the Recording Paper

• Do not allow paper to contact pastes, adhesive agents, oil-based

felt pen tips or diazo process (ditto/spirit) copying paper. These

discolor the paper surface.

• Do not allow paper to contact any materials made of vinyl chloride,

plastic eraser, adhesive tape, ﬂuorescent felt tip pen, or cinnabar

seal ink because these discolor the recorded waveforms and data.

• Do not apply strong pressure to the paper. Rubbing or scratching

discolors the paper surface.

• Do not allow paper to contact saline solution. The paper discolors

and if the saline solution gets on the thermal head, there will be

dots missing from the recorded data.

• Avoid high humidity, high temperature, direct sunlight and direct

ﬂuorescent light when storing recording paper. Otherwise the

paper may discolor. Store the recording paper in a dry, cool place.

• When using glue on the recording paper, use glue which consists

of starch, polyvinyl alcohol, gum arabic,or carboxymethyl.

2. PREPARATION

Loading Recording Paper

CAUTION for Loading the Recording Paper

• Correctly load the recording paper as speciﬁed. Otherwise,

recording may not be performed properly.

• Do not touch the recording head with any hard material. When the

head is tapped with hard material, the head may crack and the

heater element wire may short-circuit.

• Clean the head surface with the provided head cleaner pen

before loading new paper. After a period of usage, paper dust may

accumulate between the paper and the head surface, and good

printing cannot be obtained.

NOTE

Only use the speciﬁed recording paper, FQW50-2-100.

The out of paper lamp on the bedside monitor lights and the “INSERT REC

PAPER” message appears on the screen when there is no paper.

Out of paper lampOut of paper lamp

User’s Guide Part I BSM-6000 2.11

2.12 User’s Guide Part I BSM-6000

2. PREPARATION

Door release leverDoor release lever

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

release the lock.

2. Open the recorder door.

CAUTION

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.

3. Set the recording paper inside the recorder so that the detection mark (small

black square on corner) of the paper is on the right side.

MarkMark

4. 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.

Preparing the Remote Control

The monitor has a remote control sensor for receiving signals from the remote

control.

When the monitor cannot operate by remote control or the remote control

distance becomes short, the battery may be deteriorated. Change the battery with

new one. Use two AAA alkaline batteries and change the two batteries at the

same time.

Installing the Batteries

2. PREPARATION

WARNING

• Keep the batteries away from ﬁre. They may

explode.

• Keep the batteries away from patients.

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

battery. It may cause overheating and ﬁre.

• Do not damage, disassemble, drop or give

impact to the battery.

When not using the remote control for a long time, remove the batteries

from the remote control.

1. Remove the battery cover on the rear panel of the remote control as shown.

WARNING

If the battery is damaged and the substance

inside the battery 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.

NOTE

2. Insert two new AAA alkaline batteries into the remote control observing the

correct + and – position.– position.position.

3. Reattach the battery cover.

User’s Guide Part I BSM-6000 2.13

2.14 User’s Guide Part I BSM-6000

2. PREPARATION

• Remove the battery from the remote controller when not using the

battery.

• Check with your local solid waste ofﬁcials for details in your area for

recycling options or proper disposable.

• Take care not dropping or losing the remote controller.

Setting the Remote Control Channel

One remote control can operate up to nine monitors by changing channel. The

remote control channel must be set to the correct monitor.

The infrared light emitted from the remote control has wide directivity and

reectstheceilingandwallandmayoperatetheotherdevices.

The remote control channel must be set by the administrator. The procedure is

described in the Administrator’s Guide.

NOTE

CAUTION

• Set the remote control channel on the monitor to prevent the

remote control from operating a different monitor.

• When several monitors are installed close together, check that the

remote control operates only the desired monitor. If the remote

control operates a different monitor, recheck the channel setting.

Attaching the Remote Control Channel Label to the Bedside Monitor

Channel label

After setting the remote control channel on the monitor, attach the remote control

channel label to the display.

Assigning Functions to the Customized Keys

The window or operation can be assigned to each key on the remote control for

the shortcut key operation. There are six customized keys on the remote control.

The function is assigned on the SYSTEM SETUP window. Refer to Section 3

Administrator’s Guide.

Power

2. PREPARATION

The monitor can operate on either battery pack or AC power.

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

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

When a SB-671P battery pack is inserted into the battery slot and the power cord

is disconnected or there is a sudden power failure, the monitor automatically

switches to battery power.

When the battery pack is not used and there is a sudden power failure, the stored

data remains in memory for about 30 minutes after the power is shut down.

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

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

during monitoring.

When the monitor is operated on battery power, the brightness of the screen can

be reduced to save 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.

Connecting the Power Cord and Grounding the Monitor

Connecting the Power Cord

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.

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

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

User’s Guide Part I BSM-6000 2.15

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

2.16 User’s Guide Part I BSM-6000

2. PREPARATION

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

panel lights.

NOTE

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

Grounding the Monitor

WARNING

When several medical instruments are used together, ground all

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

between instruments may cause electrical shock to the patient and

operator.

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

potential difference between the instruments. The potential difference between

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

instruments, resulting in electrical shock (micro shock).

Turning the Power On

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

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

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

When equipotential grounding is required, connect the equipotential ground

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

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

equalization conductor).

Check Before Turning On the Power

Check the following items before turning on the power.

• Enough electrodes and electrode leads are ready.

• Cleaned and sterilized sensors and transducers are ready.

• Power cord is connected properly.

• Equipotential grounding lead is connected properly when equipotential

grounding is required.

• All cables are connected properly.

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

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

failure.

• No scratches, damage or dirt on the monitor.

• No damage to the keys and panels.

• No damage to the power cord.

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

• The monitor is not in a wet place.

Turning the Power On

Power lamp lights

2. PREPARATION

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.

NOTE

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

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

changing screens.

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

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

LCD screens.

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

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

and the position of lamps are the same.

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

also be turned on by pressing the [POWER] button on the remote control. The

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

is complete, the home screen appears.

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

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:

• ECG, SpO2 or IBP* is monitored or NIBP** is measured and a value is

displayed. (when AUTO is selected for <ALARM ACTIVATION DELAY> on

the ALARM window of the SYSTEM SETUP window)

* 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.

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

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

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

DELAY>)

• Heart rate becomes 0.

User’s Guide Part I BSM-6000 2.17

2.18 User’s Guide Part I BSM-6000

2. PREPARATION

If the monitor power is turned off and on again within 60 seconds, the

monitoring continues.

AUTO ADMIT Setting

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> is set to OFF, the message appears asking whether

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

When AUTO ADMIT is set to OFFWhen AUTO ADMIT is set to ON

For setting <AUTO ADMIT>, refer to Administrator’s Guide, Section 2.

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 appears and the home screen appears.

• No error message is displayed on the screen.

• The time on the screen is correct.

• The monitor does not affect surrounding equipment.

• The data and waveforms are displayed properly.

• Keys and switches operate properly.

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

• Alarm functions properly.

• Alarm sound can be heard.

• Alarm sound volume setting is appropriate.

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

• Sound can be heard from the monitor.

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

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

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 may not match

the date and time on the printout.

When the monitor is connected to a network

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

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

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

Power and Battery Status Indications

2. PREPARATION

NOTE

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

discharged battery pack 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

User’s Guide Part I BSM-6000 2.19

2.20 User’s Guide Part I BSM-6000

2. PREPARATION

• 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

• 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

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.

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.

2. PREPARATION

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 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.

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.

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.

User’s Guide Part I BSM-6000 2.21

2. PREPARATION

Turning the Power Off

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

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

CONFIGURATION screen is set to ON, the 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.

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

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

the battery pack in the monitor.

NOTE

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

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

and the position of lamps are the same.

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

may be lost.

Press the [Power] switch on the front panel for more than three seconds to turn

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

turns off. The power can also be turned off by pressing the [POWER] button on

the remote control.

Check After/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.

2.22 User’s Guide Part I BSM-6000

Section 3 Necessary Settings Before

Monitoring

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

User’s Guide Part I BSM-6000 3.1

3.2 User’s Guide Part I BSM-6000

3. NECESSARY SETTINGS BEFORE MONITORING

Changing Date and Time

When the power is on, the current time is displayed in the upper right corner of

the screen.

• When the date or time is changed during monitoring, the date and time

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

on the printout.

• While the transport function is enabled and sending data to the central

monitor, the date and time cannot be changed.

1. Display the DATE window.

 Pressthe[Menu]key→DATEkey.

NOTE

The DATE window can also be displayed by touching the time on the upper

right corner of the home screen.

2. Touch the YEAR, MONTH, DAY, HOUR or MINUTE key.

3. Touch the desired number(s) using the numeric keypad.

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

5. Touch the SET key. The SET key must be touched before changing

windows. Otherwise the setting changes back to the previous setting.

When the set date is incorrect, the “OUT OF RANGE” message appears on

the screen. Enter the correct date.

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

3. NECESSARY SETTINGS BEFORE MONITORING

Changing Sound Volume Settings

On the VOLUME window, you can select sync sound on or off and adjust the

sync sound volume and alarm sound volume.

1. Display the VOLUME window.

 Pressthe[Menu]key→VOLUMEkey.

2. Change any settings.

• Select ON or OFF in <SYNC SOUND VOLUME> box to set sync sound

volume on or off.

• To change the sync sound volume, touch the or key or drag

the slider to the desired level on the setting bar in <SYNC SOUND

VOLUME> box. At the lowest volume setting, the sync sound is not

audible. When ON is selected, there is a beeping sound.

• To change the alarm sound volume, touch the or key to adjust

the setting or drag the slider to the desired level on the setting bar in

<ALARM VOLUME> box. At the lowest volume setting, the alarm is still

audible.

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.

3. After changing settings, press the [Home] key to return to the home screen.

User’s Guide Part I BSM-6000 3.3

3.4 User’s Guide Part I BSM-6000

3. NECESSARY SETTINGS BEFORE MONITORING

Changing the Screen Brightness

When operating on battery power, the brightness is automatically set to

minimum.

1. Display the BRIGHT page.

 Pressthe[Menu]key→DISPLAYkey→BRIGHTtab.

2. Touch the desired place on the setting bar in <BRIGHTNESS> box. Use the

or key or drag the slider to the desired level on the setting bar to adjust

the setting.

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

3. NECESSARY SETTINGS BEFORE MONITORING

Changing Waveform Display Settings

Thefollowingitemscanbesetforthehomescreenconguration.

• Blood pressure waveform display mode

• Number of ECG waveforms

• Respiration/CO2 waveform sweep speed

• Waveform sweep speed (except for respiration, CO2 and EEG waveform)

• Waveform display on the home screen

1. Display the WAVES page.

 Pressthe[Menu]key→DISPLAYkey→WAVEStab.

2. Change settings.

To change the number of ECG waveforms, select 1, 2 or 3 in the <NO. ECG

WAVES> box.

To change the blood pressure waveform display mode, select one of the

following in <PRESS SCALE> box.

SEPARATE: Blood pressure waveforms are displayed separately on

different scales.

COMMON: Blood pressure waveforms are displayed on the same scale.

DUAL: Blood pressure waveforms are separated into arterial blood

pressures and other type of blood pressures. The arterial blood

pressures are labeled ART, ART-2, RAD, DORS, AO, FEM,

UA, LVP and P1 to P7.

To change the sweep speed of waveforms other than respiration, CO2 and

EEG waveforms, select a speed in the <SWEEP SPEED> box.

To change the respiration/CO2 waveform sweep speed, select from one of

four speeds in the <RESP/CO2 SWEEP SPEED> box.

User’s Guide Part I BSM-6000 3.5

3.6 User’s Guide Part I BSM-6000

3. NECESSARY SETTINGS BEFORE MONITORING

To change the waveform display of the following parameters on the home

screen, select a parameter in the <WAVE DISPLAY> box. Available

parameters are SpO2, SpO2-2, FLOW, Paw, VOL, EEG, EEG2 and IBP.

• The SpO2-2 key is available only when an AY-661P, AY-663P, AY-671P

or AY-673P input unit is used.

• When both BIS and EEG are monitored, both EEG waveforms are

displayed.

• FLOW, Paw and VOL keys are not available for BSM-6000A series.

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

NOTE

Entering Patient Information

3. NECESSARY SETTINGS BEFORE MONITORING

Beforeenteringdataforanewpatient,youmustrstdeletealldataofaprevious

patient. Refer to “Deleting Data” section.

When the transport function is enabled, you can start or resume monitoring using

patient information and data in the input unit. When using the input unit, check

the patient information and data range on the SELECT PATIENT DATA window

and select whether to continue with the existing monitored data or delete the

existing data and enter new patient information.

Screen examples in this section are for BSM-6000K series when <DATA

TRANSPORT USING INPUT UNIT> setting on the TRANSPORT window of

the SYSTEM CONFIGURATION screen is set to ENABLE.

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.

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

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.

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 may not match

the date and time on the printout.

• After admitting a new patient or enabling the input unit when the

transport function is enabled, check the alarm settings.

User’s Guide Part I BSM-6000 3.7

3.8 User’s Guide Part I BSM-6000

3. NECESSARY SETTINGS BEFORE MONITORING

The height unit (cm or inches) and weight unit (kg or pound) can be set on the

SYSTEM CONFIGURATION screen. Refer to Administrator’s Guide, Section 2.

Displaying the PATIENT INFO Page

Display the PATIENT INFO page.

Pressthe[Menu]key→ADMITkey.

When MENU is assigned to one of the function keys at the upper left of the

screen, the MENU window can be displayed by touching the MENU function

key.

You can display the MENU window by pressing the [MENU/HOME] key on the

remote control.

The PATIENT INFO page can also be displayed by touching the patient name

area at the upper part of the home screen.

Closing the PATIENT INFO Page

Press the [Home] key.

When HOME is assigned to one of the function keys at the upper left of the

screen, the home screen can be displayed by touching the HOME function key.

You can display the home screen by pressing the [MENU/HOME] key on the

remote control.

You can also close the page by touching the waveform or current trendgraph

display area on the home screen.

Entering the Patient Information

Entering the Patient ID

The patient ID can be entered with the screen keyboard or bar code reader or

from the central monitor. Up to 16 alphanumeric characters can be entered. The

patient ID can only be displayed on the PATIENT ID window. The patient ID is

necessary to identify the patient on the central monitor network.

Entering the Patient ID Using the Keyboard

1. Touch the PATIENT ID key to display the PATIENT ID window.

Enter patient ID.

Cursor

3. NECESSARY SETTINGS BEFORE MONITORING

Touch the desired character. The cursor moves to the right.

letters.

Deletes the character after the cursor.

Deletes the character before the cursor.

Touch to enter the patient ID.

Enter space.Touch to enter capital

2. Enter the patient ID by using the keyboard keys.

3. Touch the ENT key.

4. Touch the key to close the PATIENT ID window.

Entering the Patient ID Using the Bar Code Reader

1. Touch the Patient ID key to display the PATIENT ID window.

Moves the cursor one block (one character).

NOTE

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

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

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

User’s Guide Part I BSM-6000 3.9

3.10 User’s Guide Part I BSM-6000

3. NECESSARY SETTINGS BEFORE MONITORING

Entering the Patient Name

There are two methods to enter the patient name. You can use both methods

together.

KEYBOARD: Use the keyboard keys displayed on the window. Up to 15

alphanumeric characters can be entered.

FREE: Any character or image you have drawn on the free writing area

appears as the patient name.

When the monitor is connected to a monitor network, the FREE window is not

available. When the patient name is entered from the FREE window and the

monitor is then connected to a network, the patient name on the bedside monitor

is deleted and the patient name entered on the central monitor appears on the

bedside monitor.

Entering the Patient Name Using the Keyboard

1. Touch the NAME tab. The NAME window appears.

Enter patient name.

Cursor

Touch the desired character. The cursor moves to the right.

Touch to enter capital letters.

Deletes the character after the cursor.

Deletes the character before the cursor.

Touch to enter the patient name. The registered patient name appears on the patient name area on the monitoring screen.

Enter space.

2. Enter the patient name by using the keyboard keys.

3. Touch the ENT key. The patient name appears in the patient name area on

the home screen.

Moves the cursor one block (one character).

4. Touch the key to close the NAME window.

Entering the Patient Name Using Free Function

1. Touch the NAME (FREE) tab. The free writing area appears.

2. Writethepatientnamewithyourngerortouchpeninthefreewritingarea.

Patient name

Displays the keyboard.

3. NECESSARY SETTINGS BEFORE MONITORING

Scrolls the writing area left or right in 11 steps. The displayed writing area is 1/4 of the total available writing area.

Erase all characters.

When ﬁnished, press to set the patient name. The registered patient name appears on the patient name area on the home screen.

Writing area. Touch with your ﬁnger or touch pen or to write the patient name. Your writing appears in the patient name box.

Sets the touch pen or ﬁnger to ﬁll in a four block square.

Sets the touch pen or ﬁnger to ﬁll in one block.

You can enter any character by drawing it. You can also edit names which

were previously entered by keyboard. For example, you can make European

language characters by drawing accent marks over English characters.

3. Touch the ENT key. The patient name appears in the patient name area on

the home screen.

Entering the Date of Birth and Age

Sets the touch pen or ﬁnger to erase instead of write.

CAUTION

When the date of birth or age is not entered, 12 lead ECG

interpretation is performed with the patient as 35 years old.

1. Touch the DATE OF BIRTH key to display the DATE OF BIRTH window.

User’s Guide Part I BSM-6000 3.11

3.12 User’s Guide Part I BSM-6000

3. NECESSARY SETTINGS BEFORE MONITORING

2. Touch YEAR, MONTH or DAY key or touch the box under the YEAR,

MONTH or DAY key to enter year, month and day.

3. Enter the numbers by using the number keys.

4. Touch the ENT key. The number is entered under the YEAR, MONTH or

DAY box.

5. Touch the SET key. When the year, month and day are entered, age is

automatically calculated and appears at the AGE area on the DATE OF

BIRTH window.

6. Touch the key to close the DATE OF BIRTH window.

3. NECESSARY SETTINGS BEFORE MONITORING

Entering the Height and Weight

The height and weight units can be changed on the SYSTEM

CONFIGURATION screen. Refer to Administrator’s Guide, Section 2.

1. Touch the HEIGHT/WEIGHT key to display the HEIGHT AND WEIGHT

window.

2. Touch the HEIGHT or WEIGHT key or the box beside the HEIGHT or

WEIGHT key to enter height and weight.

3. Enter the numbers by using the number keys.

4. Touch the ENT key. When the height and weight are entered, BSA is

automatically calculated and appears at the BSA area on the DATE OF

BIRTH window.

5. Touch the key to close the HEIGHT AND WEIGHT window.

Entering the Gender

CAUTION

When the gender is not speciﬁed, 12 lead ECG interpretation is

performed with the patient as male.

1. Touch the GENDER key to display the GENDER window.

User’s Guide Part I BSM-6000 3.13

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

Composition

Network Composition

Panel Description

MU-631R Main Unit

Front Panel

Left Side Panel

Right Side Panel

Rear Panel

MU-651R/MU-671R Main Unit

Front Panel

Left Side Panel

Right Side Panel

Rear Panel

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

Front Panel

Using MULTI Sockets for CO Monitoring

Using the Output Signal from the ECG/BP OUT Socket

Left Side Panel

Right Side Panel

Rear Panel

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

Front Panel

Right Side Panel

Using MULTI Sockets for CO Monitoring

QF series Interface and IF series Communication Cable

RY-910PA Remote Controller

Basic Operating Concepts

Screen Displays

Using Touch Screen Keys

Keys on the Bedside Monitor

Using the Remote Control

Using the Mouse

Using the Data Acquisition Unit

Using the MENU Window

Transport Function

Overview

Requirements

Necessary Settings Before Use

Transported Data and Settings

Sending Data to a CNS-9701 Central Monitor

Patient Authentication

Preparing for Removing the Input Unit

Enabling the Input Unit

When the Input Unit is Disabled

Enabling the Input Unit

Section 2 Preparation

Preparation Flowchart

Installation Conditions

Inserting and Removing the Battery Pack

Battery Handling and Operation

Safety Information

Battery Pack Handling Procedures

When Not Using the Monitor or Battery Pack

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

When the Transport Function is Enabled