Nihon Kohden BSM-6301, BSM-6501, BSM-6701 Administrator manual [gb]

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Administrator’s Guide

Bedside Monitor

BSM-6301/BSM-6501/BSM-6701

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

0614-901238T

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In order to use this product safely and fully understand all its functions, read this manual before using the product.

Keep this manual near the instrument or in the reach of the operator and refer to it whenever the operation is unclear.

This product stores personal patient information. Manage the information appropriately.

Patient names on the screen shots and recording examples in this manual are ctional and any resemblance to any

person living or dead is purely coincidental.

The contents of this manual are subject to change without notice.

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.

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Contents

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

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

EMC RELATED CAUTION ................................................................................................. ii

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

Warnings, Cautions and Notes ................................................................................ v

Text Conventions ...................................................................................................... v

Related Documentation ...................................................................................................... v

Safety Standards ............................................................................................................... vi

Periodic Inspection ............................................................................................................. vi

Section 1 Installation/Connection ........................................................ 1.1

Installation Conditions ...................................................................................................... 1.2

Optional Cart for the Bedside Monitor ................................................................... 1.3

Optional Wall Mount Kit and Counter Top Mount for the Bedside Monitor ............. 1.3

Installation Flowchart ....................................................................................................... 1.4

Installing the Optional Units to the Monitor and Connecting External Instruments .......... 1.5

Connection Overview.............................................................................................1.8

Attaching the AA-672P or AA-674P Smart Expansion Unit to the AY series

Input Unit ............................................................................................................... 1.9

Mounting the AY series Input Unit or BSM-1700 series Bedside Monitor onto

the Monitor ............................................................................................................. 1.9

Using an Optional Handle ......................................................................... 1.10

Attaching the ZS-900P Transmitter ...................................................................... 1.10

Installing the WS-671P Recorder Module ............................................................ 1.11

Installing the QI-631P, QI-632P, QI-634P, QI-671P or QI-672P Interface ............1.11

Connecting the Mouse ......................................................................................... 1.12

Connecting the Bar Code Reader ....................................................................... 1.12

Mounting the QI-670P Interface on the Monitor ...................................................1.12

Connecting the JA-690PA or JA-694PA Data Acquisition Unit ............................ 1.13

Connecting External Instruments ........................................................................ 1.14

Connecting a GF-110PA or GF-210R Multigas Unit, GF-120PA or

GF-220R Multigas/Flow Unit or AE-918P Neuro Unit ................................1.14

Connecting an External Instrument Using a QF series Interface or IF

series Communication Cable.....................................................................1.15

Connecting a Sub Display ...................................................................................1.15

Connecting the Power Cord and Grounding Lead ......................................................... 1.17

General ................................................................................................................ 1.17

Connecting the Power Cord ................................................................................. 1.17

Grounding the Monitor ......................................................................................... 1.18

Cutting Off the Power Supply to the Monitor ........................................................1.18

Connecting the Monitor to the Network ......................................................................... 1.19

Connecting the HIT-100 Hyper Isolation Transformer .......................................... 1.20

Connecting the QI-320PA or QI-420PA Wireless LAN Station ............................. 1.20

Turning the Power On/Off ..............................................................................................1.21

Check Before Turning On the Power .................................................................... 1.21

Turning the Power On ..........................................................................................1.21

Administrator’s Guide BSM-6000 C.1

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CONTENTS

Check After Turning On the Power and During Monitoring .................................. 1.23

Stored Data Status at Power On ..........................................................................1.23

Monitor Status on Power Interruption .................................................................. 1.23

Turning the Power Off ..........................................................................................1.24

Check After and Before Turning the Power Off .................................................... 1.24

Setting the Bar Code Reader ......................................................................................... 1.25

Scanning the Bar Code Reader Settings ............................................................. 1.25

Initializing the Bar Code Reader .......................................................................... 1.26

Checking the Bar Code Reader Operation .......................................................... 1.26

Calibrating the Touch Screen ......................................................................................... 1.27

Using ECG/BP Output as the Synchronous Signal ....................................................... 1.28

Section 2 Changing SYSTEM CONFIGURATION Screen Settings .... 2.1

Overview .......................................................................................................................... 2.2

Setting Items on the SYSTEM CONFIGURATION Screen .................................... 2.2

Displaying the SYSTEM CONFIGURATION Screen ............................................. 2.3

Closing the SYSTEM CONFIGURATION Screen .................................................. 2.5

SITE Window ...................................................................................................................2.6

NETWORK Window ......................................................................................................... 2.8

IP ADDRESS/PROTOCOL Page ........................................................................... 2.8

LS-NET Page ......................................................................................................... 2.9

HL7 Page ............................................................................................................. 2.10

UNITS Window ..............................................................................................................2.12

DATA MANAGEMENT Window ......................................................................................2.13

PC Window ....................................................................................................................2.17

CHANGE PASSWORD Window ....................................................................................2.18

OPTIONS Window ......................................................................................................... 2.19

OTHER Window .............................................................................................................2.20

Initializing the Monitor .................................................................................................... 2.22

Section 3 Changing SYSTEM SETUP Window Settings ..................... 3.1

Overview .......................................................................................................................... 3.3

Setting Items on the SYSTEM SETUP Window ....................................................3.3

Displaying the SYSTEM SETUP Window .............................................................. 3.9

Closing the SYSTEM SETUP Window ................................................................3.10

The INFO Page of the INFO Window ..................................................................3.11

The CONFIGURATION Page of the INFO Window .............................................3.11

The MAINTENANCE Page of the INFO Window ................................................. 3.12

BATTERY Tab ............................................................................................ 3.12

LOAD/SAVE SETTINGS Tab ..................................................................... 3.12

SYSTEM Window ..........................................................................................................3.15

DISPLAY Page ..................................................................................................... 3.15

LAYOUT Page ......................................................................................................3.17

VOLUME Page ....................................................................................................3.20

INTERBED Page .................................................................................................3.21

BED ID Window ............................................................................................................. 3.22

PARAMETERS Window ................................................................................................. 3.23

ECG Page ............................................................................................................ 3.23

NIBP Page ........................................................................................................... 3.25

C.2 Administrator’s Guide BSM-6000

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CONTENTS

NIBP MODE Page ...............................................................................................3.27

S TAT Ta b .................................................................................................... 3.27

SIM Tab ..................................................................................................... 3.28

INTERVAL Tab ........................................................................................... 3.29

VENOUS PUNCTURE Tab ........................................................................ 3.29

INITIAL CUFF PRESS Tab ........................................................................ 3.30

CO2 Page ............................................................................................................. 3.30

GAS Page ............................................................................................................ 3.31

MAINTENANCE Tab .................................................................................. 3.31

SETTINGS Tab .......................................................................................... 3.31

INFO Tab ................................................................................................... 3.33

FLOW/Paw Page .................................................................................................3.33

CAL Tab ..................................................................................................... 3.33

SETTINGS Tab .......................................................................................... 3.34

MAINTENANCE Tab .................................................................................. 3.34

INFO Tab ................................................................................................... 3.35

EEG Page ............................................................................................................ 3.35

OTHER PARAM Page ..........................................................................................3.36

ALARM Window ............................................................................................................. 3.38

SILENCE/SUSPEND Page .................................................................................. 3.38

DISPLAY/SOUND Page ....................................................................................... 3.40

ALARM PRIORITY Page ..................................................................................... 3.42

ARRHYTH PRIORITY Page ................................................................................ 3.48

TECHNICAL PRIORITY Page ............................................................................. 3.49

SLEEP Page ........................................................................................................ 3.50

NETWORK Page .................................................................................................3.51

ALARM CAP Page ............................................................................................... 3.52

LATCHING Page .................................................................................................. 3.53

COLOR Window ............................................................................................................3.55

RECORD Window ..........................................................................................................3.57

RECORDER Page ............................................................................................... 3.57

PRINTER Page .................................................................................................... 3.59

Using Network Printer ............................................................................... 3.60

MASTER Window ..........................................................................................................3.62

PATIENT TYPE Page ........................................................................................... 3.63

Renaming an Alarm Master ....................................................................... 3.63

MAIN ALARMS, ECG ALARMS, PRESS ALARMS, TEMP ALARMS, GAS

ALARMS, OTHER ALARMS Pages ..................................................................... 3.64

ARRHYTH Page .................................................................................................. 3.65

RY-910P/MOUSE Window .............................................................................................3.67

KEYS Window ................................................................................................................3.68

Section 4 Reference ...............................................................................4.1

Factory Default Settings ................................................................................................... 4.2

SYSTEM CONFIGURATION Screen ..................................................................... 4.3

SYSTEM SETUP Window ..................................................................................... 4.5

General Requirements for Connecting Medical Electrical Systems ...............................4.22

Connector Pin Assignment ............................................................................................ 4.23

MU-631R/MU-651R/MU-671R Main Unit ............................................................ 4.23

QI-631P Interface ................................................................................................4.23

Administrator’s Guide BSM-6000 C.3

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QI-632P Interface ................................................................................................4.24

QI-634P Interface ................................................................................................4.24

QI-671P Interface ................................................................................................4.25

QI-672P Interface ................................................................................................4.26

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

Unit and BSM-1700 series Bedside Monitor ........................................................ 4.26

Check Sheet for Unit Settings ........................................................................................ 4.27

C.4 Administrator’s Guide BSM-6000

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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speciedpartsmustundergoregularmaintenanceinspectionattheintervalwhichisspecied

aftertheGENERALHANDLINGPRECAUTIONSsection.

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

  operatingcondition.

Administrator’s Guide BSM-6000 i

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 (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.

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.

ii Administrator’s Guide BSM-6000

Page 9

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.

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.

Administrator’s Guide BSM-6000 iii

Page 10

Caution - continued

10. Use with radiation therapy equipment:

When the equipment and/or system is used in a radiotherapy room, it may cause failure or malfunction

due to electromagnetic radiation or corpuscular radiation. When you bring the equipment and/or system

into a radiotherapy room, constantly observe the operation. Prepare countermeasures in case of failure

or malfunction.

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

representative for additional suggestions.

BSM-6301 and BSM-6501 (JA-690PA or JA-694PA data acquisition unit, QE-910P BIS processor, AE-918P

neuro unit, JP-911P IBP interface isolation cable, QI-320PA or QI-420PA wireless LAN station and QI-670P

interface 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 or JA-694PA data acquisition unit, QE-910P BIS processor, AE-918P

neuro unit, JP-911P IBP interface isolation cable, QI-320PA or QI-420PA wireless LAN station or

QI-670P interface is 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 ZS-900P is 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.

WARNING

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.

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

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

NOTE about Waste Electrical and Electronic Equipment (WEEE) directive 2002/96/EC

For the member states of the European Union only:

The purpose of WEEE directive 2002/96/EC is, as a ﬁrst priority, the prevention of waste electrical and

electronic equipment (WEEE), and in addition, the reuse, recycling and other forms of recovery of such

wastes so as to reduce the disposal of waste.

Contact your Nihon Kohden representative for disposal.

iv Administrator’s Guide BSM-6000

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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

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

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

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

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,SpO2-2,CO2,O2,NIBP,BIS,CCO(APCO)

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

  AA-672P,AA-674P,JA-694P:Respiration(thermistormethod),IBP,Temperature,SpO2-2,CO2,O2,BIS,

CCO(APCO)

  BSM-1700series: ECG,Respiration(impedancemethod),IBP,Temperature,SpO2,SpO2-2,CO2,

NIBP,BIS

 CFappliedpart:

  AY-631P,AY-633P,AY-651P,AY-653P,AY-661P,AY-663P,AY-671P,AY-673P,AA-672P,AA-674P,JA-694P

andBSM-1700series: 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

Periodic Inspection

Iftheperiodicinspectionisnotperformed,degradationorlossoffunctionmaygounnoticedandleadtomisdiagnosis.

Servicepersonnelshouldperformtheperiodicinspectionatleastonceeveryyear.Makesurethatthebedsidemonitor

operatesproperlyandreplacetheconsumables.

Ifyoufoundabnormalitiesasaresultofinspectionandthebedsidemonitorissuspectedtobefaulty,attachan“Unusable”

or“Repairrequest”labeltothebedsidemonitorandcontactyourNihonKohdenrepresentative.Forinspection,refertothe

ServiceManual.

vi Administrator’s Guide BSM-6000

Page 13

Section 1 Installation/Connection

Installation Conditions ......................................................................................................................................... 1.2

Optional Cart for the Bedside Monitor ....................................................................................................... 1.3

Optional Wall Mount Kit and Counter Top Mount for the Bedside Monitor ................................................. 1.3

Installation Flowchart ........................................................................................................................................... 1.4

Installing the Optional Units to the Monitor and Connecting External Instruments ............................................. 1.5

Connection Overview ................................................................................................................................1.8

Attaching the AA-672P or AA-674P Smart Expansion Unit to the AY series Input Unit ............................ 1.9

Mounting the AY series Input Unit or BSM-1700 series Bedside Monitor onto the Monitor ......................1.9

Using an Optional Handle ............................................................................................................. 1.10

Attaching the ZS-900P Transmitter ..........................................................................................................1.10

Installing the WS-671P Recorder Module ...............................................................................................1.11

Installing the QI-631P, QI-632P, QI-634P, QI-671P or QI-672P Interface ................................................ 1.11

Connecting the Mouse ............................................................................................................................ 1.12

Connecting the Bar Code Reader ........................................................................................................... 1.12

Mounting the QI-670P Interface on the Monitor ......................................................................................1.12

Connecting the JA-690PA or JA-694PA Data Acquisition Unit ................................................................ 1.13

Connecting External Instruments ............................................................................................................ 1.14

Connecting a GF-110PA or GF-210R Multigas Unit, GF-120PA or GF-220R Multigas/Flow Unit

or AE-918P Neuro Unit ................................................................................................................. 1.14

Connecting an External Instrument Using a QF series Interface or IF series Communication

Cable ............................................................................................................................................. 1.15

Connecting a Sub Display ....................................................................................................................... 1.15

Connecting the Power Cord and Grounding Lead ............................................................................................. 1.17

General ....................................................................................................................................................1.17

Connecting the Power Cord ....................................................................................................................1.17

Grounding the Monitor ............................................................................................................................. 1.18

Cutting Off the Power Supply to the Monitor ...........................................................................................1.18

Connecting the Monitor to the Network ............................................................................................................. 1.19

Connecting the HIT-100 Hyper Isolation Transformer .............................................................................. 1.20

Connecting the QI-320PA or QI-420PA Wireless LAN Station ................................................................1.20

Turning the Power On/Off ..................................................................................................................................1.21

Check Before Turning On the Power .......................................................................................................1.21

Turning the Power On .............................................................................................................................. 1.21

Check After Turning On the Power and During Monitoring ...................................................................... 1.23

Stored Data Status at Power On .............................................................................................................1.23

Monitor Status on Power Interruption ...................................................................................................... 1.23

Turning the Power Off .............................................................................................................................. 1.24

Check After and Before Turning the Power Off ........................................................................................ 1.24

Setting the Bar Code Reader ............................................................................................................................ 1.25

Scanning the Bar Code Reader Settings ................................................................................................ 1.25

Initializing the Bar Code Reader .............................................................................................................. 1.26

Checking the Bar Code Reader Operation .............................................................................................. 1.26

Calibrating the Touch Screen .............................................................................................................................1.27

Using ECG/BP Output as the Synchronous Signal ........................................................................................... 1.28

Administrator’s Guide BSM-6000 1.1

Page 14

1. INSTALLATION/CONNECTION

This section describes installation conditions, connecting cables and power cords

and check items for this bedside monitor.

For simplicity, the sufx A/G/K will be omitted in this manual. There is no

difference in operation among models with different sufxes unless otherwise

specied.

Installation Conditions

Note the following points for the installation location of your bedside monitor.

WARNING

• Do not install the monitor and optional units

above the patient.

• Only use the speciﬁed tools or equipment when

installing the monitor and units. Failure to follow

this warning may result in the monitor or unit

falling and injuring the patient.

CAUTION

Only use the speciﬁed stand, cart or equipment

for installing the monitor and instruments. Using

non-speciﬁed equipment may result in the

instruments falling and causing injury.

• Install the monitor where you can see the monitor screen clearly.

• Install the monitor on a strong shelf or dedicated cart (option). Secure the

monitor to the shelf to prevent it from falling.

• When moving a cart with a monitor, avoid collision. Strong impact may

damage the monitor.

• The monitor is not intended to be used in an ambulance. The monitor might

not function properly in a moving vehicle.

• The display screen is made of glass. Strong impact may damage it.

• Avoid locations where the monitor is sprinkled with liquid. Avoid direct

sprinkling, spray or moist air from a nebulizer or a humidier.

• Avoid exposing the monitor to direct sunlight.

• Make sure that there is at least 5 cm of space between the

10 cm

5 cm

Rear

5 cm

CAUTION

When not using the speciﬁed cart, carefully set

the monitor to prevent it from falling off or tipping

over.

monitor and the wall for adequate ventilation. When the monitor

is surrounded on all sides, make sure that there is about 10 cm

of space above the monitor for ventilation so that the operating

temperature does not exceed 40°C (104°F).

Side

1.2 Administrator’s Guide BSM-6000

Page 15

1. INSTALLATION/CONNECTION

• Do not cover the monitor with a blanket or cloth. It may affect monitoring.

• Do not install the monitor in a dusty area.

• Connect the power cord to an AC outlet which can supply enough AC current

to the monitor. The monitor cannot function properly with low current.

• When there is any problem on the monitor, turn off the power immediately and

disconnect the power cord from the AC outlet. Take the monitor out of service

and check for damage.

Optional Cart for the Bedside Monitor

The KC-600P cart is available for installing the monitor. For details on how to

use the cart, refer to the KC-600P cart installation guide.

Only use the speciﬁed stand, cart or equipment for installing the

monitor and instruments. Using non-speciﬁed equipment may result

in the instruments falling and causing injury.

CAUTION

When not using the speciﬁed cart, carefully set the monitor to

prevent it from falling off or tipping over.

Optional Wall Mount Kit and Counter Top Mount for the Bedside Monitor

For mounting the monitor on a wall, the KG-951P wall mount kit is available.

For mounting the monitor on a shelf or table, the KG-600P counter top mount is

available.

For details on how to use the wall mount kit or counter top mount, refer to the

installation guide of the KG-951P wall mount kit or KG-600P counter top mount.

KG-600P counter top mount

Administrator’s Guide BSM-6000 1.3

Page 16

1. INSTALLATION/CONNECTION

Installation Flowchart

You may not need to do all these.

1. Install the monitor. Refer to Section 1 in this manual.

2. Prepare the battery pack, remote control and recorder. Refer to Operator’s

Manual or Section 2 of the User’s Guide Part I.

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

screen. Changing these settings during monitoring interrupts monitoring.

Refer to Section 2 in this manual.

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

settings are password protected settings which only an administrator can

change. Refer to Section 3 in this manual.

5. Check or change the necessary settings before monitoring. Refer to

Operator’s Manual or Section 3 of the User’s Guide Part I.

• Date and time

• Sound volume

• Screen brightness

• Waveform display settings

6. Enter the information of the new patient. Refer to “Admitting/Discharging

Patient” in Operator’s Manual or Section 3 of the User’s Guide Part I.

7. Check or change all alarm items for the patient. The alarm returns to this

master setting when:

• The monitor power is off for more than 30 minutes and <SHOW

ADMIT CONFIRMATION WINDOW> is turned off in the SYSTEM

CONFIGURATION screen.

• The patient is admitted or discharged.

Refer to Operator’s Manual or Section 5 of the User’s Guide Part I.

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

tables and arrhythmia recall les. Refer to Operator’s Manual or Section 6

of the User’s Guide Part I.

9. Check or change recording settings. Refer to Operator’s Manual or

Section 10 of the User’s Guide Part I.

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

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

Refer to Operator’s Manual or User’s Guide Part II.

1.4 Administrator’s Guide BSM-6000

Page 17

1. INSTALLATION/CONNECTION

Installing the Optional Units to the Monitor and Connecting

External Instruments

WARNING

Connect only the speciﬁed instrument to the

monitor and follow the speciﬁed procedure.

Failure to follow this warning may result

in electrical shock or injury to the patient

and operator, and cause ﬁre or instrument

malfunction.

CAUTION

Before connecting or disconnecting instruments,

make sure that each instrument is turned off

and the power cord is disconnected from the AC

socket. Otherwise, the patient or operator may

receive electrical shock or injury.

When several medical instruments are used

together, ground all instruments to the same one-

point ground. Any potential difference between

instruments may cause electrical shock to the

patient and operator.

WARNING

NOTE

• For details on connecting an external instrument to the monitor, contact

your Nihon Kohden representative.

• Leakage current may increase when interconnecting many medical

instruments to the monitor.

• Upgrade the main unit and each optional unit to the Nihon Kohden

recommended software version. Only use the speciﬁed conﬁguration of

units. If more than one BSM-6000 series bedside monitor is used in the

same facility, make sure the bedside monitors have the same software

version. If BSM-6000 series monitors with different software versions

are used together, correct system operation cannot be guaranteed.

Additional Safety Measures for Connecting External Instruments

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

potential difference between the instruments. Potential difference between

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

instruments, resulting in electrical shock. Never use any medical equipment in

patient treatment without proper grounding.

Always perform equipotential grounding as specied in IEC 60601-1-1 when

required. It is often required in the operating room, ICU room, CCU room,

cardiac catheterization room and X-ray room. Consult with a biomedical

engineer to determine if it is required.

Refer to the reference “General Requirements for Connecting Medical Electrical

Systems” in Section 4.

Administrator’s Guide BSM-6000 1.5

Page 18

1. INSTALLATION/CONNECTION

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

When a JA-690PA/JA-694PA data acquisition unit is not connected to the bedside monitor

Environment for External Instruments

Use external instruments in the following environment.

BSM-6301/6501/6701

(For MU-651R/671R)

Interface

QI-670P*

Main unit

MU-631R/

671R/651R

Medically-used room

Patient Environment

Interface

QI-631P

(For MU-631R)

Interface

QI-671P

Interface

QI-632P/634P

(For MU-631R)

QI-672P

Input unit

AY-660P*

Multigas unit

GF-110PA/210R*

Multigas/Flow unit

GF-120PA*/220R*

Neuro unit

AE-918P

Interface

QF series

Communication

cable

IF series

External

instruments

(IEC 60601-1 complied)

Mouse

Bar code reader

Outside the Patient Environment

Sub display

(IEC 60601-1 complied or

using the isolation transformer

complied to IEC 60601-1)

External

instruments

(IEC 60601-1 complied)

Non-medically used room

Sub display

(IEC 60601-1 complied or

using the isolation transformer

complied to IEC 60601-1)

Bedside monitor

BSM-1700 series

Input unit

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

AY-661P*/663P*

AY-671P/673P

Recorder

module

WS-671P

Transmitter

ZS-900P

Wireless LAN

station

QI-320PA/420PA

Smart

expansion unit

AA-672P/674P

Hyper isolation

transformer

HIT-100

Remote controller

RY-910PA

Central monitor Network printer

(IEC xxx complied)

1.6 Administrator’s Guide BSM-6000

Page 19

1. INSTALLATION/CONNECTION

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

When a JA-690PA/JA-694PA data acquisition unit is connected to the bedside monitor

Medically-used room

Outside the Patient Environment

Sub display

(IEC 60601-1 complied or

using the isolation transformer

complied to IEC 60601-1)

External

instruments

(IEC 60601-1 complied)

BSM-6301/6501/6701

(For MU-631R)

(For MU-651R/671R)

QI-632P/634P

(For MU-631R)

(For MU-651R/671R)

Interface

QI-670P*

Interface

QI-631P

Interface

QI-671P

Interface

QI-672P

Patient Environment

External

instruments

(IEC 60601-1 complied)

Interface

QF series

Communication

IF series

Multigas unit

GF-110PA/210R*

Multigas/Flow unit

GF-120PA*/220R*

Neuro unit

AE-918P

Mouse

Bar code reader

cable

Non-medically used room

Sub display

(IEC 60601-1 complied or

using the isolation transformer

complied to IEC 60601-1)

Main unit

MU-631R/

671R/651R

Interface unit

QI-600P

Recorder

module

WS-671P

Transmitter

ZS-900P

Wireless LAN

station

QI-320PA/420PA

External

instruments

(IEC 60601-1 complied)

Interface

QF series

Communication

cable

IF series

Data acquisition

unit

JA-690PA/694PA

Input unit

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

AY-661P*/663P*

AY-671P/673P

Smart

expansion unit

AA-672P/674P

Hyper isolation

transformer

HIT-100

Input unit

AY-660P*

Bedside

monitor

BSM-1700

series

External

instruments

(IEC 60601-1 complied)

Remote controller

RY-910PA

Central monitor Network printer

(IEC xxx complied)

Administrator’s Guide BSM-6000 1.7

Page 20

1. INSTALLATION/CONNECTION

** Not available for BSM-6000K series.

(For MU-651R/671R)

Connection Overview

Bedside monitor

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

YS-096P2/096P3 Unit connection cable

Data acquisition unit

JA-690PA

Input unit

JA-694PA

Input unit

Bedside monitor

BSM-1700

series

QI-600P

Interface unit

YS-096P5

Multi-link cable

WS-671P

Reccorder module

DI-590P*

Holder

To a wall outlet

To a wall ground terminal

HIT-100 Hyper isolation transformer

Network

QI-320PA/420PA

Wireless LAN station

AY-660P*

DH-600P Handle

Connected to multi-link socket

QF-801P/901P/902P/ 903P/904P/905P*/907P/ 908P/909P/911P*/921P** Interface

IF-912P/913P/914P/ 916P/917P/918P*/919P/ 920P*/922P/923P/925P/

927P/928P/930P/931P*/ 932P/933P*/934P*/935P/ 936P*/937P/938P/939P/ 942P/943P/944P/945P*/ 946P/948P/950P*/951P*

952P* Communication cable

* Not available for BSM-6000A series.

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

Smart expansion unit

AA-672P AA-674P

GF-110PA/210R Multigas unit GF-120PA*/220R* Multigas/flow unit

AE-918P Neuro unit

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

QI-631P

Interface

(For MU-631R)

Display, PC

ZS-900P*

Transmitter

QI-671P Interface

(For MU-651R/671R)

QI-672P QI-632PQI-634P

Connected to USB socket

Mouse Bar Code Reader

QI-672P Interface

QI-632P/634P

Interface

(For MU-631R)

QI-670P*

1.8 Administrator’s Guide BSM-6000

Page 21

1. INSTALLATION/CONNECTION

Tabs

Connector on the monitor

the input unit

Input unit

Smart expansion unit

Attaching the AA-672P or AA-674P Smart Expansion Unit to the AY series Input Unit

Attach the smart expansion unit to the input unit before mounting the input unit

onto the monitor. Only one smart expansion unit can be attached to the input

unit. For details on how to attach the smart expansion unit, refer to the manual

provided with the unit.

NOTE

The AA-672P or AA-674P smart expansion unit does not function when it

is attached to the AY-660P input unit.

Mounting the AY series Input Unit or BSM-1700 series Bedside Monitor onto the Monitor

The following procedure is for mounting the AY series input unit. For details on

mounting the BSM-1700 series bedside monitor, refer to the BSM-1700 series

bedside monitor operator’s manual.

1. Mount the input unit onto the rear of the monitor so that the tabs on the input

unit go into the slots on the monitor.

Slots

2. Slide the input unit in the direction of the arrow until it clicks into place.

Connector on

Administrator’s Guide BSM-6000 1.9

Page 22

1. INSTALLATION/CONNECTION

Using an Optional Handle

A DH-600P handle can be attached to the input unit so that the input unit can be

removed from the main unit and carried around easily. For details on the handle,

refer to the manual provided with the handle.

Handle

Attaching the ZS-900P Transmitter

The ZS-900P transmitter transmits data from the monitor to a cardiac telemetry

system or central monitor. A multiple patient receiver is necessary with the

central monitors.

To connect the transmitter to the monitor, the optional DI-590P holder is

required. Connect the transmitter to the monitor by referring to the DI-590P

holder installation guide.

When the transmitter is connected to the monitor, turn the monitor power on and

check that the LED on the transmitter lights in green. Also check that the channel

number displayed in the upper part of the screen is correct.

ZS-900P transmitter and DI-590P holder are not available for BSM-6000A series.

CAUTION

When using a ZS-900P transmitter, the

measurement values and displayed waveform on

the bedside monitor and receiving monitor may

differ due to timing delay of the display and other

factors. Be careful when reading the value and

waveform.

Channel number

CAUTION

When the ZS-900P transmitter is attached to the

bedside monitor, check the alarm, arrhythmia

and monitoring settings on the central monitor

or telemetry system. The transmitter does not

transmit the alarm, arrhythmia and monitoring

setting information.

CAUTION

The ZS-900P transmitter can only transmit

temperature data from 5 to 45°C (41 to 113°F).

Be careful when reading the value.

When transmitting CO2 data through a ZS-900P

transmitter to a receiving monitor, if the

transmitted CO2 data is out of the range of the

CAUTION

receiving monitor, the maximum value of the

receiving monitor is displayed instead. Be careful

when reading the value.

1.10 Administrator’s Guide BSM-6000

Page 23

1. INSTALLATION/CONNECTION

NOTE

• Before connecting the transmitter, turn off the monitor power.

• The ZS-900P transmitter does not comply with the CE mark.

• A ZB-800P or ZB-900P transmitter cannot be used on this monitor.

Installing the WS-671P Recorder Module

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

WS-671P recorder module installation guide. To load the recording paper, refer

to Operator’s Manual or Section 2 of the User’s Guide Part I.

Installing the QI-631P, QI-632P, QI-634P, QI-671P or QI-672P Interface

When the interface is installed in the monitor, external instruments can be

connected to the monitor.

The illustration on the left shows both the QI-671P and QI-672P

interfaces are installed in the BSM-6701 bedside monitor.

The interface has 2, 3, 4 or 6 sockets.

For BSM-6301:

• QI-631P: RS-232C, RGB

• QI-632P: USB, multi-link, alarm signal output

• QI-634P: USB, multi-link

For BSM-6501 and BSM-6701:

• QI-671P: Multi-link, RS-232C, alarm signal output, RGB

• QI-672P: 2 USB, 4 multi-link

QI-671PQI-672P

Install the optional interface in the monitor by referring to the manual

provided with the interface.

Administrator’s Guide BSM-6000 1.11

Page 24

1. INSTALLATION/CONNECTION

Connecting the Mouse

QI-672P interface

To connect the mouse, the QI-632P, QI-634P or QI-672P interface is required.

The QI-632P and QI-634P interfaces are for BSM-6301. The QI-672P interface

is for BSM-6501 and BSM-6701.

The illustration on the left shows both the QI-672P and QI-671P interfaces are

installed in the BSM-6701 bedside monitor.

Mouse

Connect the mouse cable to the USB socket on the interface which is installed in

the monitor.

Connecting the Bar Code Reader

To connect the bar code reader, the QI-632P, QI-634P or QI-672P interface is

required. The QI-632P and QI-634P interfaces are for BSM-6301. The QI-672P

QI-672P interface

Bar code reader

interface is for BSM-6501 and BSM-6701.

The illustration on the left shows both the QI-672P and QI-671P interfaces

installed in the BSM-6701 bedside monitor.

Connect the bar code reader cable to the USB socket on the interface which is

installed in the monitor.

Refer to “Setting the Bar Code Reader” later in this section for setting the bar

code reader.

Mounting the QI-670P Interface on the Monitor

When the QI-670P interface is mounted on the monitor, waveforms and numeric

data can be received from a TEC-5600 series or TEC-8300 series debrillator.

Mount the optional interface onto the monitor by referring to the manual

provided with the interface.

QI-670P interface

1.12 Administrator’s Guide BSM-6000

Page 25

1. INSTALLATION/CONNECTION

Connecting the JA-690PA or JA-694PA Data Acquisition Unit

To connect the JA-690PA or JA-694PA data acquisition unit, the YS-096P2 or

YS-096P3 unit connection cable is required. Connect the cable to the bedside

monitor and to the unit connection socket on the data acquisition unit.

For details on how to use the data acquisition unit, refer to the data acquisition

unit operator’s manual.

NOTE

• Connect the unit connection cable to the unit connection socket on the

data acquisition unit straight until it locks ﬁrmly.

• Keep the cable out of the way by running it along the ﬂoor or wall.

Otherwise people may trip over it, causing the instrument to fall and

injure the patient and operator.

YS-096P2/YS-096P3 unit connection cable

Administrator’s Guide BSM-6000 1.13

Page 26

1. INSTALLATION/CONNECTION

Connecting External Instruments

To connect the external instruments, the QI-632P or QI-634P interface for

BSM-6301 or QI-671P or QI-672P interface for BSM-6501 and BSM-6701 must

be installed in the monitor.

Connecting a GF-110PA or GF-210R Multigas Unit, GF-120PA or

GF-220R Multigas/Flow Unit or AE-918P Neuro Unit

GF-120PA and GF-220R multigas/ﬂow units are not available for the

BSM-6000A series.

Connect the GF-110PA or GF-210R multigas unit, GF-120PA or GF-220R

multigas/ow unit or AE-918P neuro unit to one of the multi-link sockets on the

QI-632P, QI-634P, QI-671P or QI-672P interface.

When a multigas unit or multigas/ﬂow unit is connected to the monitor

and the monitor is in operation, do not connect any other instrument to

the monitor with a multi-link cable. If another multi-link cable is connected

to the main unit during operation, the multigas unit or multigas/ﬂow unit

may enter warmup status and automatically restart monitoring

45 seconds (AG-920R, GF-110PA, GF-120PA) or 6 minutes (GF-210R,

GF-220R) after warmup.

NOTE

The following example shows both the QI-671P and QI-672P interfaces

installed in the BSM-6701 bedside monitor and a GF-120PA multigas/ow unit

connected.

Connecting Example

QI-671P interface

QI-672P interface

GF-120PA multigas/ﬂow unit

1.14 Administrator’s Guide BSM-6000

Page 27

1. INSTALLATION/CONNECTION

To external devices

QI-672P interface

Connecting an External Instrument Using a QF series Interface or IF

series Communication Cable

Connect the QF series interface cable or IF series communication cable to the

external instrument and to one of the multi-link sockets on the QI-632P, QI-634P,

QI-671P or QI-672P interface.

The following example shows both the QI-671P and QI-672P interfaces installed

in the BSM-6701 bedside monitor.

NOTE

Do not connect or remove the QF series interface or IF series

communication cable connector while the monitor power is on. The

monitor might not function properly.

QI-671P interface

QF series interface or IF series communication cable

Connecting a Sub Display

A sub display can be connected to the bedside monitor. Connect the sub display

to the RGB socket on the QI-631P interface for a BSM-6301 bedside monitor

or to the QI-671P interface for a BSM-6501 or BSM-6701 bedside monitor. The

sub display must meet the following specications. An NEC LCD191VXM or

equivalent display is recommended.

Minimum specications for BSM-6701 display:

• Resolution: 1024 × 768

• Input Analog RGB: 0.7 Vp-p

• V-sync: 60.0 Hz

• H-sync: 48.4 kHz

Minimum specications for BSM-6301 and BSM-6501 display:

• Resolution: 800 × 600

• Input Analog RGB: 0.7 Vp-p

• V-sync: 60.3 Hz

• H-sync: 37.9 kHz

Administrator’s Guide BSM-6000 1.15

Page 28

1. INSTALLATION/CONNECTION

To connect the display to the interface, use the YS-080P3 RGB cable (10 m). The

sub display must be connected to the SM-800R isolation transformer.

The screen to be displayed on the sub display can be set to either of the following

on the DISPLAY page of the SYSTEM SETUP window. Refer to Section 3.

• SLAVE: Same screen as the bedside monitor.

• HOME SCREEN: The home screen is always displayed.

1.16 Administrator’s Guide BSM-6000

Page 29

1. INSTALLATION/CONNECTION

Connecting the Power Cord and Grounding Lead

General

The monitor can operate on either battery or AC power.

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

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

When a battery pack is inserted and the power cord is disconnected or there is a

sudden power failure, the monitor automatically switches to battery power.

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

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

during monitoring.

The monitor can operate for about 90 minutes on the BSM-6301 and BSM-6501

or about 60 minutes on the BSM-6701 with a new fully charged battery pack

when:

• Used in normal temperature.

• Recorder is stopped.

• No alarm occurs.

• Monitoring ECG, respiration (impedance) and SpO2.

• <POWER SAVING MODE> on the SYSTEM SETUP window is set to ON.

• <SYNC SOUND VOLUME> on the VOLUME window is set to OFF.

• NIBP measurement interval is 15 minutes.

• QI-671P and QI-672P interfaces or QI-631P and QI-632P or QI-634P

interfaces are installed in the monitor.

• The input unit is an AY-600P series input unit and not a BSM-1700 series

bedside monitor.

Connecting the Power Cord

WARNING

Only use the provided power cord. Using other power cords may

result in electrical shock or injury to the patient and operator.

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

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

Administrator’s Guide BSM-6000 1.17

Page 30

1. INSTALLATION/CONNECTION

Grounding the Monitor

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

panel lights.

AC power lamp lights

NOTE

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

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.

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).

Cutting Off the Power Supply to the Monitor

To cut off the power supply to the monitor, disconnect the power cord of the

monitor from the wall AC outlet. When installing the monitor, position the

monitor so that it is easy to disconnect the power cord from the wall AC outlet.

1.18 Administrator’s Guide BSM-6000

Page 31

1. INSTALLATION/CONNECTION

Connecting the Monitor to the Network

The network connection method differs according to the installation location of

the monitor and the network components. The network connection must comply

with IEC 60601-1-1 “General Requirements for Safety of Medical Electrical

Equipment”. For details, refer to the “Network and System Installation Guide”

which is available from your Nihon Kohden representative.

WARNING

Connect the monitor to network as speciﬁed.

Otherwise the patient and operator may receive

electrical shock or injury. To connect the network,

contact your Nihon Kohden representative.

WARNING

Install all network devices, including printer

and hubs, outside the patient environment (IEC

60601-1-1). If they are installed inside the patient

environment, the patient or operator may receive

electrical shock or injury. For installation, contact

your Nihon Kohden representative.

In a network where this monitor is connected,

connect only the speciﬁed instruments.

Unspeciﬁed instruments may cause electrical

shock or injury to the patient and operator or

cause instrument malfunction, instrument stop, or

data loss.

Check the software version number of the

monitor before connecting it to the network.

Different software versions have different

communication methods. More than one

communication method in a network may cause

communication failure. For details, refer to the

Network and System Installation Guide.

WARNING

Administrator’s Guide BSM-6000 1.19

Page 32

1. INSTALLATION/CONNECTION

To network

Connecting the HIT-100 Hyper Isolation Transformer

Connect the monitor to the network with the specied LAN cable. Connect the

HIT-100 hyper isolation transformer between the monitor and network.

Do not use a damaged network cable. The patient or operator may

receive electrical shock when the damaged part is touched.

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.

HIT-100 Hyper isolation transformer

WARNING

NOTE

LAN cable

Connecting the QI-320PA or QI-420PA Wireless LAN Station

Connect the QI-320PA or QI-420PA wireless LAN station to the bedside monitor

with a specied wireless LAN access point. Refer to the QI-320PA or QI-420PA

wireless LAN station operator’s manual.

Wireless LAN station

1.20 Administrator’s Guide BSM-6000

Page 33

1. INSTALLATION/CONNECTION

Turning the Power On/Off

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

CAUTION

Do not turn the monitor off when the system check screen is

displayed. Otherwise the saved data may be damaged or deleted.

If the monitor is turned off during system check, delete all data

because the data is not reliable.

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 or BSM-6701, the function and the position

of lamps are the same.

Administrator’s Guide BSM-6000 1.21

Page 34

1. INSTALLATION/CONNECTION

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

and the AC power lamp light and self check starts. When the check is complete,

the home screen appears.

Power lamp lights

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

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

control.

CAUTION

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

the red, yellow, cyan and green alarm indicator lamps blink once.

This shows that the alarm is functioning properly.

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

waiting for the electrodes and probe to be attached to the patient. The monitoring

starts when the connection cord is connected to the socket on the monitor and the

electrodes or probe are attached to the patient. The alarm activates when one of

the following occurs:

• 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).

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

min, 2 min or 3 min is selected for <ALARM ACTIVATION DELAY>).

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

ACTIVATION DELAY>).

1.22 Administrator’s Guide BSM-6000

Page 35

1. INSTALLATION/CONNECTION

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.

• The red, yellow, cyan and green alarm indicator 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).

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

make sure that the time displayed at the upper right of the screen is

correct. When the date or time is changed during monitoring, the date and

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

time on the printout.

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.

Stored Data Status at Power On

Stored data status at power on depends on the settings on the DATA

MANAGEMENT window of the SYSTEM CONFIGURATION screen, whether

the previous patient is discharged, and whether the power is off for more than

30 minutes. For details, refer to the Operator’s Manual or Section 5 of the User’s

Guide Part I.

NOTE

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

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

on battery power.

Administrator’s Guide BSM-6000 1.23

Page 36

1. INSTALLATION/CONNECTION

Turning the Power Off

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

discharged, the monitor turns off. When the AC power is restored, the monitor

turns on automatically. The patient data and settings are stored for about

30 minutes after power off when <DATA TRANSPORT USING INPUT

UNIT> is set to DISABLE and <SHOW ADMIT CONFIRMATION

WINDOW> is set to OFF in the SYSTEM CONFIGURATION screen.

When <DATA TRANSPORT USING INPUT UNIT> is set to ENABLE, the

patient data and settings are always stored.

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 or BSM-6701, the function and the position of

lamps are the same.

Press the [power] switch on the front panel for more than 3 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 for more than

three seconds on the remote control.

Check After and 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.

• Medical waste is disposed of properly.

• The monitor is stored properly.

1.24 Administrator’s Guide BSM-6000

Page 37

1. INSTALLATION/CONNECTION

Setting the Bar Code Reader

Scanning the Bar Code Reader Settings

You can use the Symbol LS2208 from Motorola, Inc. Refer to the manual. You

can download the manual from http://support.symbol.com on the Motorola

website.

Following are the minimum settings of the bar code reader. Scan the following

bar codes in order. When scanning the bar code, there is one short high beep. For

further settings, refer to the Symbol LS2208 manual.

* This setting is a default value. You can skip scanning this bar code if you have

already used this bar code reader with the default value.

Beeper Volume

Low Volume

USB Device Type

HID Keyboard Emulation*

USB Country Keyboard Types (Country Codes)

North American Standard USB Keyboard*

Transmit Code ID Character

None*

Scan Data Transmission Format

Scan Options

Administrator’s Guide BSM-6000 1.25

Page 38

1. INSTALLATION/CONNECTION

Enter

Transmit “No Read” Message

Disable No Read*

Enable/Disable Codabar

Enable Codabar

Initializing the Bar Code Reader

Scanning this bar code returns all data to the default values. Scan the following

bar code if you want to initialize the bar code reader.

Set All Defaults

Checking the Bar Code Reader Operation

Scan the bar code of the patient on the home screen or the PATIENT ID window

of the ADMIT page in the ADMIT DISCHARGE window and check the patient

ID is entered on the PATIENT ID window of the ADMIT page in the ADMIT

DISCHARGE window.

1.26 Administrator’s Guide BSM-6000

Page 39

1. INSTALLATION/CONNECTION

Calibrating the Touch Screen

Calibrate the touch screen when the pressed position and the activated position

do not match.

1. Turn the monitor power off.

2. Press the [power] switch while pressing the [Silence Alarms] key on the

front panel until the DIAGNOSTIC CHECK screen is displayed.

3. Press the [Menu] key. The TOUCHPANEL CALIBRATION screen appears.

4. Touch the @ mark at the upper left corner of the screen for 2 seconds. When

the mark is correctly touched, another mark appears in the lower right corner

of the screen. Touch the mark for 2 seconds.

When the marks are touched correctly, the “TOUCHPANEL

CALIBRATION SUCCEEDED” message appears, then the DIAGNOSTIC

CHECK screen appears.

5. Touch the RETURN key to display the home screen.

Administrator’s Guide BSM-6000 1.27

Page 40

1. INSTALLATION/CONNECTION

Using ECG/BP Output as the Synchronous Signal

The ECG, IBP and heart rate pulse trigger output signal from the monitor can

be used as the synchronizing signal on a medical electrical instrument, such as

IABP equipment or debrillator, which complies with IEC 60601-1.

When outputting the HT pulse signal, select the output polarity depending on an

external instrument. Refer to “OTHER Window” in Section 2 for details.

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. 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 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.

ECG/BP OUT socket

Outputs 1 V/1 mV ECG, 1 V/100 mmHg BP and open collector heart rate trigger

signals.

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

- Cord or cable is disconnected or damaged.

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

1.28 Administrator’s Guide BSM-6000

Page 41

1. INSTALLATION/CONNECTION

• 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.

• The AY-660P input unit has no ECG/BP OUT socket and no signal can

be output.

Connect the YJ-910P or YJ-920P ECG/BP output cable to the ECG/BP OUT

socket and the external instrument.

The following shows the delay time of the output signal.

Output Signal Delay Time

ECG 20 ms

BP 40 ms

Heart rate trigger 20 ms

Administrator’s Guide BSM-6000 1.29

Page 42

Section 2 Changing SYSTEM

CONFIGURATION Screen Settings

Overview ..............................................................................................................................................................2.2

Setting Items on the SYSTEM CONFIGURATION Screen ....................................................................... 2.2

Displaying the SYSTEM CONFIGURATION Screen ................................................................................. 2.3

Closing the SYSTEM CONFIGURATION Screen ..................................................................................... 2.5

SITE Window ....................................................................................................................................................... 2.6

NETWORK Window ............................................................................................................................................. 2.8

IP ADDRESS/PROTOCOL Page .............................................................................................................. 2.8

LS-NET Page ............................................................................................................................................2.9

HL7 Page ................................................................................................................................................2.10

UNITS Window .................................................................................................................................................. 2.12

DATA MANAGEMENT Window ..........................................................................................................................2.13

PC Window ........................................................................................................................................................ 2.17

CHANGE PASSWORD Window ........................................................................................................................2.18

OPTIONS Window ............................................................................................................................................. 2.19

OTHER Window ................................................................................................................................................2.20

Initializing the Monitor ........................................................................................................................................ 2.22

Administrator’s Guide BSM-6000 2.1

Page 43

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

Overview

The section explains how to change settings on the SYSTEM

CONFIGURATION screen.

The initial settings on the SYSTEM CONFIGURATION screen must be

changed before monitoring. Changing these settings during monitoring interrupts

monitoring. All other settings can be changed any time without interrupting

monitoring. You can check the contents of the SYSTEM CONFIGURATION

screen settings on the CONFIGURATION page of the SYSTEM SETUP window

so that the monitor power does not need to be turned off and monitoring is not

interrupted (refer to Section 3).

This section also explains how to initialize the monitor. This procedure returns

all settings to the factory default settings and deletes all stored data in memory.

Setting Items on the SYSTEM CONFIGURATION Screen

SITE window NETWORK window

HL7 tab is displayed only on BSM-6000K series.

UNITS window DATA MANAGEMENT window

2.2 Administrator’s Guide BSM-6000

Page 44

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

PC window CHANGE PASSWORD window

OPTIONS window OTHER window

<ALARM CAP> and <CRISIS VITAL ALARM MANAGEMENT> are displayed only on BSM-6000A series.

Displaying the SYSTEM CONFIGURATION Screen

This procedure interrupts all monitoring. Only change these settings

before or after monitoring.

1. Turn the monitor power off.

CAUTION

2. Press the [power] switch while pressing the [Silence Alarms] key on the

front panel until the DIAGNOSTIC CHECK screen is displayed.

Administrator’s Guide BSM-6000 2.3

Page 45

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

3. Touch the SYSTEM CONFIG key. The dialog box to enter the password

appears.

4. Enter the password with the number keys and touch the ENT key. The

SYSTEM CONFIGURATION screen appears.

The default password is “1234”.

5. Touch the desired tab to display the desired window.

6. Change any necessary settings.

2.4 Administrator’s Guide BSM-6000

Page 46

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

Closing the SYSTEM CONFIGURATION Screen

1. Touch the close button ( ) on the SYSTEM CONFIGURATION screen to

return to the DIAGNOSTIC CHECK screen.

2. Touch the RETURN key. The home screen appears.

Administrator’s Guide BSM-6000 2.5

Page 47

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

SITE Window

Select the site according to the operating environment. The default settings,

including alarm upper and lower limit settings, differ according to site.

OR: Sleep mode is not available. SIM mode for NIBP is available.

ICU: Sleep mode is available. SIM mode for NIBP is not available.

NICU: Sleep mode is available. SIM mode for NIBP is not available.

On BSM-6000A series bedside monitor, 12 lead analysis can be set to

on or off.

The sleep mode is only available when the ZS-900P* transmitter is connected or

the bedside monitor is connected to the central monitor network.

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

2.6 Administrator’s Guide BSM-6000

Page 48

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

To change the site, select the new site. The “SITE SETTING WILL BE

CHANGED. OK?” message appears. Touch the YES key to change the site.

When the site is changed, the settings change to the factory default settings

according to the new site. The factory default settings of the SYSTEM

CONFIGURATION screen and SYSTEM SETUP window are listed in the

“Factory Default Settings” in Section 4 of this manual. Other default settings are

listed in the Operator’s Manual.

Administrator’s Guide BSM-6000 2.7

Page 49

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

NETWORK Window

Set the network settings when the bedside monitor is connected to a central

monitor network. HL7 page is only available on BSM-6000K series bedside

monitor.

CAUTION

The network must be managed by the network

administrator. Make sure that each monitor in the

network has a different IP address. Otherwise,

data communication cannot be performed

properly. When adding a monitor to an already

operating network, set the IP address on the

monitor before connecting the monitor to the

network.

IP ADDRESS/PROTOCOL Page

CAUTION

When the monitor is connected to a central

monitor network, set the Bed Name (Bed ID)

and Group Name on the monitor. Otherwise,

the default settings are used for the bed name

and group name and the bed may be incorrectly

identiﬁed on the central monitor.

IP ADDRESS SETUP: AUTO, MANUAL

When set to AUTO, the IP address and subnet mask are set automatically.

When set to MANUAL, touch the EDIT key to set the IP address, subnet mask

and default gateway.

PROTOCOL: LS-NET, HL7

This setting is only available on BSM-6000K series.

2.8 Administrator’s Guide BSM-6000

Page 50

LS-NET Page

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

GROUP

Assign a group name for the bedside monitor. When the monitor has acquired the

information of the network to which it is connected, the group names assigned by

the central monitor appear. Select the group name from this list for the bedside

monitor. For details, refer to the central monitor operator’s manual.

PROTOCOL

This setting is not available on BSM-6000K series bedside monitors.

Select 1ST GEN when there are bedside monitors or central monitors which do

not have the 2ND GEN setting. Select 2ND GEN when you need AF detection.

NOTE

• When <PROTOCOL> is changed to 2ND GEN and the bedside

monitor is connected via 1ST GEN central monitor network, the “Lost

communication with instruments in the network” message appears on

the bedside monitor and the bedside monitor cannot be monitored on

the central monitor.

• 2ND GEN can only be used with the following combination of

instruments.

- CNS-6201 central monitor Ver. 03-40 or later

- CSM-1901 bedside monitor Ver. 01-21 or later

- BSM-6000A series bedside monitor Ver. 07-01 or later

- BSM-1700 series bedside monitor Ver. 01-15 or later

• <AVAILABLE ALARM TYPES> is ﬁxed to ALL when <PROTOCOL> is

set to 2ND GEN.

Administrator’s Guide BSM-6000 2.9

Page 51

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

HL7 Page

HL7 page is only available on BSM-6000K series. The entered items can be

checked on the HL7 tab of the INFO page in the SYSTEM SETUP window.

ORU

USE ORU: On, Off

Select whether to output the ORU (current numeric) data.

ORU PORT No.: 1024 to 65535

Select the port number to use for ORU data output.

ORU SAMPLING: 1 min, 5 min, 10 min, 30 min, 60 min

Select the interval to output the ORU data.

ORF

USE ORF: On, Off

Select whether to output the ORF (old numeric) data.

ORF PORT No.: 1024 to 65535

Select the port number for ORF data output.

QRY

USE QRY: On, Off

Select whether to request patient information.

HIS SERVER IP ADDRESS

Select the IP address of the HIS server.

HIS SERVER PORT No.: 1024 to 65535

Select the port number that is used by HIS server for receiving patient

information.

2.10 Administrator’s Guide BSM-6000

Page 52

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

ADT

USE ADT: On, Off

Select whether to output the admit and discharge, patient information update and

presence check information.

ADT MONITORING PORT No.: 1024 to 65535

Select the port number for admitting or discharging a patient from an external

system.

ADT PATIENT INFO PORT No.: 1024 to 65535

Select the port number for entering the patient information including patient ID

from an external system.

PATIENT LIST PORT No.: 1024 to 65535

Select the port number for requesting the admit condition of a patient from an

external system.

MSH SEGMENT

HL7 VERSION

Shows the HL7 version.

CHARACTER SET

Shows the character code type.

SENDING APPLICATION: Up to 32 characters

Select the names in the HL7 telegram.

SENDING FACILITY: Up to 32 characters

Select the names in the HL7 telegram.

RECEIVING APPLICATION: Up to 32 characters

Select the names in the HL7 telegram.

RECEIVING FACILITY: Up to 32 characters

Select the names in the HL7 telegram.

Administrator’s Guide BSM-6000 2.11

Page 53

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

UNITS Window

Select the unit for each parameter.

WARNING

ST, CO2, RESPIRATION, tcPO2/tcPCO2 and HEMOGLOBIN settings

only affect the individual bedside monitor, not on all monitors

connected to the network. The unit settings must be the same on all

bedside monitors and central monitors in the network. Otherwise,

the different measurement values and alarms will be displayed on

different monitors depending on the unit settings on each monitor.

NOTE

The CO2, respiration and tcPO2/tcPCO2 unit settings are not available on

the BSM-6000A series.

2.12 Administrator’s Guide BSM-6000

Page 54

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

DATA MANAGEMENT Window

DATA TRANSPORT USING INPUT UNIT: ENABLE, DISABLE

Select whether to enable the transport function. When the transport function is

enabled, the patient information and review data can be sent to another bed by

disconnecting the input unit from one monitor and connecting it into another

monitor.

NOTE

To use the transport function, set the <DATA TRANSPORT USING INPUT

UNIT> setting on both the original monitor and the destination monitor to

ENABLE.

ENABLE: Enable the transport function of the monitor.

DISABLE: Disable the transport function of the monitor.

USE SETTINGS IN INPUT UNIT: On, Off

This setting becomes available when “ENABLE” is selected for “DATA

TRANSPORT USING INPUT UNIT”.

On: Patient information, pacing detection On/Off, QRS detection type,

arrhythmia analysis On/Off, vital sign upper/lower alarm limits settings,

arrhythmia alarms settings, arrhythmia recall settings, parameters to be

saved for full disclosure and ECG lead settings of TRACE 1 and TRACE 2

are saved and applied to the destination monitor.

Off: Patient information, pacing detection On/Off and QRS detection type are

saved and applied to the destination monitor.

Administrator’s Guide BSM-6000 2.13

Page 55

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

On BSM-6000A series, if <CRISIS VITAL ALARM MANAGEMENT>

on the SYSTEM CONFIGURATION screen is turned on and “ALARM

PRIORITY” of the following parameters is set to CRISIS on the

destination monitor, the alarm settings on the destination monitor have

priority and the source monitor settings are not applied to the destination

monitor.

Parameters:

HR/PR UPPER, HR/PR LOWER, RR UPPER, RR LOWER, APNEA,

SpO2 UPPER, SpO2 LOWER, SpO2-2 UPPER, SpO2-2 LOWER, CO2 (E)

UPPER, CO2 (E) LOWER, arrhythmia alarms

TIME ZONE: 0 to ±12:00

This setting becomes available when “ENABLE” is selected for <DATA

TRANSPORT USING INPUT UNIT>.

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

CAUTION

Set the time zone in respect to GMT (Greenwich Mean Time). The time

difference can be selected in 30 minute steps.

This setting must be the same on all monitors in the same network. Otherwise

data communication problems may occur.

You can also change the time zone setting on the OTHER window of the

SYSTEM CONFIGURATION screen.

SHOW ADMIT CONFIRMATION WINDOW: On, Off

This setting is available when <DATA TRANSPORT USING INPUT UNIT> is

set to DISABLE.

On: The ADMIT CONFIRMATION window appears when the monitor is turned

on. On the ADMIT CONFIRMATION window, you can select whether or

not to monitor a new patient.

When <ADMIT MODE> is set to MANUAL and the patient was discharged

before turning the power off, the “DISCHARGED” message and the

STANDBY window appear instead of the ADMIT CONFIRMATION

window.

Off: The ADMIT CONFIRMATION window does not appear when the monitor

is turned on.

2.14 Administrator’s Guide BSM-6000

Page 56

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

When the monitor is turned on after the monitor has been off for 30 minutes

or more, the message appears indicating that the patient data at the power

off is deleted and the settings are initialized.

When the monitor is turned on within 30 minutes after the power was turned

off, the patient data and settings at the power off are kept and monitoring

resumes when the same conditions as the alarm function resuming after

suspending alarms are met.

ADMIT MODE: AUTO, MANUAL

Select whether to automatically start monitoring after a discharge procedure or

when the monitor is turned on.

AUTO: Starts monitoring when the same conditions as the alarm

function resuming after suspending alarms are met. The patient is

automatically admitted, but the previous patient data is not deleted

and the settings are not initialized.

When <SHOW ADMIT CONFIRMATION WINDOW> is set to

on, you can select whether or not to monitor a new patient.

MANUAL: When a patient is discharged, the “DISCHARGED” message and

the STANDBY window appear. The patient must be admitted to

start monitoring.

When a patient was not discharged at the monitor power off and

<SHOW ADMIT CONFIRMATION WINDOW> is set to off,

if the monitor is turned on more than 30 minutes after turning the

power off, the message appears indicating that the patient data

is deleted at the power off and the settings are initialized. If the

monitor is turned on within 30 minutes after turning the power off,

the patient data and settings at the power off are kept and

monitoring continues when the same conditions as the alarm

function resuming after suspending alarms are met.

Administrator’s Guide BSM-6000 2.15

Page 57

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

STANDBY MODE: On, Off

Select whether a patient can be admitted on the STANDBY window when

<ADMIT MODE> is set to MANUAL.

On: A MONITOR key is displayed on the STANDBY window. Pressing the

MONITOR key automatically admits the patient and displays the home

screen.

Off: An ADMIT key is displayed on the STANDBY window. Touch the ADMIT

key to admit a patient on the ADMIT window. The home screen appears

after the patient is admitted.

2.16 Administrator’s Guide BSM-6000

Page 58

PC Window

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

Change settings according to the PC connected to the bedside monitor.

Administrator’s Guide BSM-6000 2.17

Page 59

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

CHANGE PASSWORD Window

Set the 4-digit password required for displaying the SYSTEM SETUP window.

1. Enter the current password in the <OLD PASSWORD> boxes using the

number keys on the screen. The default password is “1234”.

2. Touch the ENT key. The “PLEASE ENTER NEW PASSWORD” message

appears.

3. Enter the new password in the <NEW PASSWORD> boxes using the

number keys on the screen.

4. Touch the ENT key to register the new password.

2.18 Administrator’s Guide BSM-6000

Page 60

OPTIONS Window

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

When the optional QP-033P Hemodynamics Review Program or QP-034P

esCCO program is installed, you need to obtain an unlock code from Nihon

Kohden to use the program. Tell us the registration code on the OPTIONS

window and we will tell you the unlock code. Use the registration form at the

end of the manual.

NOTE

• The QP-033P Hemodynamics Review Program and QP-034P esCCO

program are not available for BSM-6000A series.

• When using the BSM-1700 series bedside monitor as an input unit for

the BSM-6000K series bedside monitor,

- also authorize the esCCO software for the BSM-1700 series. Refer to

the QP-172P esCCO program Operator’s Manual.

- set <DATA TRANSPORT USING INPUT UNIT> on the DATA

MANAGEMENT window of the SYSTEM CONFIGURATION screen to

ENABLE.

1. Display the esCCO or HEMO GRAPH page of the OPTIONS window.

• esCCO page: for registering QP-034P

• HEMO GRAPH page: for registering QP-033P

2. Note the registration code in the REGISTRATION CODE box on the

window.

3. Fill in the registration form and fax or send it to your Nihon Kohden

representative.

4. After you receive the unlock code, display the esCCO or HEMO GRAPH

page of the OPTIONS window on the SYSTEM CONFIGURATION screen

and enter the code number in the PASSWORD box using the number and

alphabet keys on the screen. When the ENT key is touched, the lock is

unlocked.

Administrator’s Guide BSM-6000 2.19

Page 61

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

OTHER Window

<ALARM CAP> and <CRISIS VITAL ALARM MANAGEMENT> are displayed only on BSM-6000A series.

ZS-900P TYPE: TYPE 8, TYPE A

Select the parameter group for transmitting data by the ZS-900P transmitter. CO2

data cannot be received by a monitor on which CO2 is not available.

TYPE 8: ECG, SpO2, NIBP, IBP connected to MULTI socket 1 or 2,

temperature connected to the TEMP sockets and respiration

(thermistor) connected to MULTI socket 1 or 2

TYPE A: ECG, SpO2, NIBP, IBP connected to MULTI socket 1 or 2,

temperature connected to the TEMP sockets and CO2 or respiration

(thermistor) connected to MULTI socket 1 or 2

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

HT PULSE OUTPUT: POSITIVE, NEGATIVE

Select the polarity of the HT pulse signal which is output from the ECG/BP OUT

socket.

TIME ZONE: 0 to ±12:00

Set the time zone in respect to GMT (Greenwich Mean Time). The time

difference can be selected in 30 minute steps.

This setting must be the same on all monitors in the same network. Otherwise

data communication problems may occur.

ALARM CAP

When this item is checked, the “ALARM CAP” setting becomes available. Refer

to “ALARM CAP Page” in Section 3 for details.

This is only available on BSM-6000A series.

2.20 Administrator’s Guide BSM-6000

Page 62

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

CRISIS VITAL ALARM MANAGEMENT

Select whether to manage the high priority vital alarms.

This is only available on BSM-6000A series bedside monitor.

NOTE

If this item is checked and “ALARM PRIORITY” of the following

parameters is set to CRISIS, the alarm setting for that parameter is set to

the alarm master setting and the alarm master cannot be set to OFF.

Parameters:

HR/PR UPPER, HR/PR LOWER, RR UPPER, RR LOWER, APNEA,

SpO2 UPPER, SpO2 LOWER, SpO2-2 UPPER, SpO2-2 LOWER, CO2 (E)

UPPER, CO2 (E) LOWER

SIMULATION MODE

When this item is checked, it enters SIMULATION MODE and when it returns

to the home screen, simulated waveforms and numeric value appear on the

screen. These can be used for demonstration of the monitor.

When the power is turned off after SIMULATION MODE is checked,

SIMULATION MODE is turned off.

For normal monitoring, uncheck this item.

DATE FORMAT: YYYY-MM-DD, DD-MM-YYYY, MM-DD-YYYY

Select the date format.

TIME FORMAT: HH:MM, HH:MM:SS

Select the time format.

Administrator’s Guide BSM-6000 2.21

Page 63

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

Initializing the Monitor

Use the following procedure to initialize the monitor. Initializing the monitor

sets all settings to the factory default settings for ICU mode. The factory default

settings of the SYSTEM CONFIGURATION screen and SYSTEM SETUP

window are listed in the “Factory Default Settings” in Section 4 of this manual.

Other default settings are listed in the Operator’s Manual.

All patient data and stored data are deleted and all settings return to

the factory default settings.

1. If the monitor power is on, turn it off.

CAUTION

2. Press the [power] switch while pressing the [Silence Alarms] key on the

front panel until the DIAGNOSTIC CHECK screen is displayed.

3. Touch the INITIALIZE key. The dialog box to enter the password appears.

4. Enter the password with the number keys and touch the ENT key. The

conrmation dialog box appears.

The default password is “1234”.

2.22 Administrator’s Guide BSM-6000

Page 64

2. CHANGING SYSTEM CONFIGURATION SCREEN SETTINGS

5. Touch the YES key to initialize the monitor.

Touch the NO key to cancel initializing.

When initializing is nished, the “SYSTEM INITIALIZED” message

appears.

6. Touch the RETURN key on the DIAGNOSTIC CHECK screen to display

the home screen.

Administrator’s Guide BSM-6000 2.23

Page 65

Section 3 Changing SYSTEM SETUP

Window Settings

Overview ..............................................................................................................................................................3.3

Setting Items on the SYSTEM SETUP Window ........................................................................................3.3

Displaying the SYSTEM SETUP Window .................................................................................................3.9

Closing the SYSTEM SETUP Window ....................................................................................................3.10

The INFO Page of the INFO Window ...................................................................................................... 3.11

The CONFIGURATION Page of the INFO Window ................................................................................. 3.11

The MAINTENANCE Page of the INFO Window.....................................................................................3.12

BATTERY Tab ................................................................................................................................ 3.12

LOAD/SAVE SETTINGS Tab ........................................................................................................3.12

SYSTEM Window .............................................................................................................................................. 3.15

DISPLAY Page ........................................................................................................................................ 3.15

LAYOUT Page .........................................................................................................................................3.17

VOLUME Page ........................................................................................................................................ 3.20

INTERBED Page ..................................................................................................................................... 3.21

BED ID Window ................................................................................................................................................. 3.22

PARAMETERS Window ..................................................................................................................................... 3.23

ECG Page ...............................................................................................................................................3.23

NIBP Page ............................................................................................................................................... 3.25

NIBP MODE Page ................................................................................................................................... 3.27

S TAT Ta b ....................................................................................................................................... 3.27

SIM Tab ......................................................................................................................................... 3.28

INTERVAL Tab ..............................................................................................................................3.29

VENOUS PUNCTURE Tab ........................................................................................................... 3.29

INITIAL CUFF PRESS Tab ............................................................................................................3.30

CO2 Page.................................................................................................................................................3.30

GAS Page ...............................................................................................................................................3.31

MAINTENANCE Tab ..................................................................................................................... 3.31

SETTINGS Tab .............................................................................................................................. 3.31

INFO Tab ....................................................................................................................................... 3.33

FLOW/Paw Page .....................................................................................................................................3.33

CAL Tab ......................................................................................................................................... 3.33

SETTINGS Tab .............................................................................................................................. 3.34

MAINTENANCE Tab ..................................................................................................................... 3.34

INFO Tab ....................................................................................................................................... 3.35

EEG Page ...............................................................................................................................................3.35

OTHER PARAM Page .............................................................................................................................3.36

ALARM Window .................................................................................................................................................3.38

SILENCE/SUSPEND Page .....................................................................................................................3.38

DISPLAY/SOUND Page .......................................................................................................................... 3.40

ALARM PRIORITY Page ......................................................................................................................... 3.42

ARRHYTH PRIORITY Page .................................................................................................................... 3.48

TECHNICAL PRIORITY Page ................................................................................................................. 3.49

SLEEP Page ...........................................................................................................................................3.50

Administrator’s Guide BSM-6000 3.1

Page 66

NETWORK Page .....................................................................................................................................3.51

ALARM CAP Page ..................................................................................................................................3.52

LATCHING Page ..................................................................................................................................... 3.53

COLOR Window ................................................................................................................................................ 3.55

RECORD Window .............................................................................................................................................3.57

RECORDER Page...................................................................................................................................3.57

PRINTER Page .......................................................................................................................................3.59

Using Network Printer ................................................................................................................... 3.60

MASTER Window .............................................................................................................................................. 3.62

PATIENT TYPE Page ............................................................................................................................... 3.63

Renaming an Alarm Master .......................................................................................................... 3.63

MAIN ALARMS, ECG ALARMS, PRESS ALARMS, TEMP ALARMS, GAS ALARMS, OTHER

ALARMS Pages ......................................................................................................................................3.64

ARRHYTH Page ...................................................................................................................................... 3.65

RY-910P/MOUSE Window ................................................................................................................................. 3.67

KEYS Window ...................................................................................................................................................3.68

3.2 Administrator’s Guide BSM-6000

Page 67

Overview

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

This section explains how to change settings on the SYSTEM SETUP window.

The SYSTEM SETUP window can only be entered by an administrator who has

the password to access these windows. Changing the settings on the SYSTEM

SETUP window does not interrupt monitoring, but it is recommended to check

and change them before monitoring a patient because these settings involve basic

measurement conditions.

Setting Items on the SYSTEM SETUP Window

SYSTEM - DISPLAY page SYSTEM - LAYOUT page

SYSTEM - VOLUME page SYSTEM - INTERBED page

BED ID window PARAMETERS - ECG page

* AF detection is not available for BSM-6000K series.

Administrator’s Guide BSM-6000 3.3

Page 68

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

PARAMETERS - NIBP page PARAMETERS - NIBP MODE - STAT tab

PARAMETERS - NIBP MODE - SIM tab (OR site only) PARAMETERS - NIBP MODE - INTERVAL tab

PARAMETERS - NIBP MODE - VENOUS PUNCTURE tab PARAMETERS - NIBP MODE - INITIAL CUFF PRESS tab

PARAMETERS - CO2 page PARAMETERS - GAS - MAINTENANCE tab

3.4 Administrator’s Guide BSM-6000

Page 69

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

PARAMETERS - GAS - SETTINGS tab PARAMETERS - GAS - INFO tab

PARAMETERS - FLOW/Paw* - CAL tab PARAMETERS - FLOW/Paw* - SETTINGS tab

PARAMETERS - FLOW/Paw* - MAINTENANCE tab PARAMETERS - FLOW/Paw* - INFO tab

PARAMETERS - EEG page PARAMETERS - OTHER PARAM page

* The FLOW/Paw tab is not available for BSM-6000A series.

Administrator’s Guide BSM-6000 3.5

Page 70

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

ALARM - SILENCE/SUSPEND page ALARM - DISPLAY/SOUND page

ALARM - ALARM PRIORITY page ALARM - ARRHYTH PRIORITY page

ALARM - TECHNICAL PRIORITY page ALARM - SLEEP page

ALARM - NETWORK page ALARM - ALARM CAP page*

* ALARM CAP page is only available on BSM-6000A series and when <ALARM CAP> on the SYSTEM CONFIGURATION screen is turned on.

3.6 Administrator’s Guide BSM-6000

Page 71

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

ALARM - LATCHING page* COLOR window

RECORD - RECORDER page RECORD - PRINTER page

MASTER - PATIENT TYPE page MASTER - MAIN ALARMS page

MASTER - ARRHYTH page RY-910P/MOUSE window

* LATCHING page is only available on BSM-6000A series.

Administrator’s Guide BSM-6000 3.7

Page 72

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

KEYS window

3.8 Administrator’s Guide BSM-6000

Page 73

Displaying the SYSTEM SETUP Window

1. Press the [Menu] key on the front panel to display the MENU window.

2. Touch the SYSTEM key on the MENU window.

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

3. Enter the password with the number keys and touch the ENT key. The

SYSTEM SETUP window appears. (The default password is “1234”.)

The password is set on the CHANGE PASSWORD window of the SYSTEM

CONFIGURATION screen. Refer to Section 2.

Administrator’s Guide BSM-6000 3.9

Page 74

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

4. Touch the desired setting tab to display the desired window.

Setting tabs

5. Change any necessary settings.

Closing the SYSTEM SETUP Window

Touch the close button ( ) or press the [Home] key. The home screen appears.

3.10 Administrator’s Guide BSM-6000

Page 75

The INFO Page of the INFO Window

The INFO page shows the software version of the monitor. The page also lists

the options installed in the monitor.

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

The CONFIGURATION Page of the INFO Window

The CONFIGURATION page shows the settings on the SYSTEM

CONFIGURATION screen of the DIAGNOSTIC CHECK screen. This lets you

check the contents of the settings without having to restart the monitor to display

the SYSTEM CONFIGURATION screen.

NOTE

The settings on the SITE and CHANGE PASSWORD windows are not

displayed.

Administrator’s Guide BSM-6000 3.11

Page 76

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

The MAINTENANCE Page of the INFO Window

The MAINTENANCE page has two tabs.

BATTERY Tab

The BATTERY tab shows the status of the batteries installed in the monitor.

LOAD/SAVE SETTINGS Tab

On the LOAD/SAVE SETTINGS tab, you can save settings on the monitor as a

le to the SD card and copy the settings to a different monitor.

Backing Up Settings

NOTE

For BSM-6000A series, the settings return to the settings saved in the

internal SD card when:

• A patient is admitted or discharged.

• <SHOW ADMIT CONFIRMATION WINDOW> is turned off in the

SYSTEM CONFIGURATION screen and 30 minutes elapse after

monitor power off.

Check that the current settings is appropriate before saving the settings.

For the returned settings, consult your Nihon Kohden representative.

3.12 Administrator’s Guide BSM-6000

Page 77

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

1. Touch BACK UP TO INTERNAL SD in <BACK UP SETTINGS>.

2 Touch OK to back up the settings.

3. Close the SYSTEM SETUP window by touching .

Loading Settings

1. Touch LOAD FROM BACKUP in <LOAD SAVED SETTINGS>.

2. Touch OK to execute loading the settings.

Administrator’s Guide BSM-6000 3.13

Page 78

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

3. Close the SYSTEM SETUP window by touching .

4. Turn off the power to the monitor and then turn it on to restart the monitor.

3.14 Administrator’s Guide BSM-6000

Page 79

SYSTEM Window

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

DISPLAY Page

The SYSTEM window has four pages.

WAVE DISPLAY: MOVING, FIXED

Select waveform sweep mode on the home screen.

MOVING: Waveform sweeps from the right.

FIXED: Waveform does not sweep; it is refreshed from the left.

DISPLAY COLOR MODE: PARAMETER, ALARM

There are two color display modes.

PARAMETER: A different color can be set for each parameter. When an alarm

occurs, the alarmed parameter data is highlighted.

ALARM: The same color selected at <ALARM MODE COLOR> of

the COLOR window is set for all parameters. When an alarm

occurs, the alarmed parameter color changes according to the

color set at <ALARM PRIORITY COLOR> of the ALARM

window.

SUB DISPLAY: SLAVE, HOME SCREEN

Select the screen to be displayed on the sub display.

SLAVE: Same screen as the bedside monitor is displayed on the sub

display.

HOME SCREEN: The home screen is always displayed.

When FIXED is selected for <WAVE DISPLAY> and HOME SCREEN is

selected for <SUB DISPLAY>, trendgraph and OCRG cannot be displayed.

Administrator’s Guide BSM-6000 3.15

Page 80

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

CURRENT TREND: NORMAL, OCRG 1 cm/min, OCRG 3 cm/min, OFF

Select the trendgraph type displayed on the home screen.

NORMAL: Trendgraph

OCRG 1 cm/min: OCRG display with the horizontal scale 1 cm/min

OCRG 3 cm/min: OCRG display with the horizontal scale 3 cm/min

OFF: No trendgraph/OCRG display on the home screen

POWER SAVING MODE: On, Off

When operating the monitor on battery power, the brightness of the screen can be

adjusted to save battery power.

On: Dim, longer battery operation time

Off: Normal screen brightness, shorter battery operation time

FILL IN CO2 WAVEFORM: On, Off

When set to On, the CO2 waveform is lled in.

CO2 waveform is ﬁlled in

CASCADE DISPLAY: On, Off

Select whether or not to cascade the ECG waveform on the home screen. This

setting is only available when the NUMERIC PARAMETER AREA setting on

the LAYOUT page is set to LEFT SIDE.

When On is selected for <CASCADE DISPLAY> and HOME SCREEN is

selected for <SUB DISPLAY>, <CURRENT TREND> is automatically set to

OFF.

On Off

3.16 Administrator’s Guide BSM-6000

Page 81

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

ECG WAVEFORM AT TOP OF SCREEN OVERLAPS WINDOW: On, Off

Select whether or not to overlap the ECG waveform on the window.

On Off

LAYOUT Page

NUMERIC PARAMETER AREA: SIDE, SIDE + SMALL BOTTOM,

SIDE + LARGE BOTTOM

Select the area for displaying numeric values on the home screen.

SIDE: The numeric values are displayed at the left side of

the home screen.

SIDE + SMALL BOTTOM: The numeric values are displayed at the left and

bottom of the home screen. The values at the

bottom of the screen are small.

SIDE + LARGE BOTTOM: The numeric values are displayed at the left and

bottom of the home screen. The values at the

bottom of the screen are large.

Administrator’s Guide BSM-6000 3.17

Page 82

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

SIDE SIDE + SMALL BOTTOM

SIDE + LARGE BOTTOM

LARGE NUMERIC SCREEN LAYOUT: 2 × 2, 3 × 4

Select the layout type for the LARGE NUMERICS window.

2 × 2 3 × 4

3.18 Administrator’s Guide BSM-6000

Page 83

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

NUMERIC PARAMETER AREA (SIDE): LEFT, RIGHT

Select whether to display the numeric data on the left or right side of the home

screen.

LEFT RIGHT

NIBP NUMERIC AREA: BOTTOM, SIDE, BELOW PRESS

Select the area for displaying NIBP numeric data on the home screen.

BOTTOM: The NIBP numeric data is displayed at the bottom of

the home screen when <NUMERIC PARAMETER

AREA> is set to SIDE + SMALL BOTTOM or

SIDE + LARGE BOTTOM.

SIDE: The NIBP numeric data displayed at the left or

right side of the home screen when <NUMERIC

PARAMETER AREA> is set to SIDE + SMALL

BOTTOM or SIDE + LARGE BOTTOM.

BELOW PRESS (On, Off): The NIBP numeric data is displayed below the IBP

numeric data when <NUMERIC PARAMETER

AREA> is set to SIDE or <NIBP NUMERIC

AREA> is set to BOTTOM.

PRESS COMMON SCALE AREA: NORMAL, LARGE

Select the IBP waveform display area on the home screen.

NORMAL LARGE

Administrator’s Guide BSM-6000 3.19

Page 84

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

NORMAL: Display the IBP waveform in the IBP waveform display area.

LARGE: Expand the IBP waveform display area to the NIBP waveform

display area and show the IBP waveform in a larger area.

VOLUME Page

ALARM MINIMUM VOLUME

Set the minimum volume for the alarm sound.

NIBP COMPLETION

Set the volume for the NIBP measurement completion sound. The NIBP

measurement completion sound is enabled when <COMPLETION SOUND>

on the NIBP page of the PARAMETERS window is set to NK1 or NK2. When

<COMPLETION SOUND> is set to Off or the volume is set to minimum, there

is no sound.

KEY CLICK

Set the volume for the click sound when a key on the screen is touched. When set

to minimum, there is no click sound.

INTERBED ALARM

Set the volume for the interbed alarm sound. The interbed alarm sound is enabled

when <INTERBED ALARMS TO DISPLAY> on the INTERBED page of the

SYSTEM window is set to ALL, CRISIS AND WARNING, or CRISIS. When

<INTERBED ALARMS TO DISPLAY> is set to NONE, there is no sound.

3.20 Administrator’s Guide BSM-6000

Page 85

INTERBED Page

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

INTERBED ALARMS TO DISPLAY: ALL, CRISIS AND WARNING,

CRISIS, NONE

Select which alarm priorities generate an interbed alarm on this bedside monitor.

The alarm sound is three pings.

ALL: All alarm priorities are indicated on this bedside

monitor.

CRISIS AND WARNING: The crisis and warning alarm priorities are indicated

on this bedside monitor.

CRISIS: The crisis alarm priority is indicated on this bedside

monitor.

NONE: There is no sound indication but the bed ID of the

alarmed bed is indicated at the upper right corner of

the home screen on this bedside monitor.

When alarms occur at several interbed beds at the same time, the alarms are

displayed on this bedside monitor one after the other.

NOTE

When ALL, CRISIS AND WARNING, or CRISIS is selected, the alarm

sounds near the patient. If the sound indication is unwanted, select

NONE.

Administrator’s Guide BSM-6000 3.21

Page 86

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

BED ID Window

Enter an identication name for the bed. Up to 10 alphanumeric characters can

be entered.

When the monitor is connected to a central monitor network, set the

Bed Name (Bed ID) and Group Name on the monitor. Otherwise, the

default settings are used for the bed name and group name and the

bed may be incorrectly identiﬁed on the central monitor.

1. Touch the EDIT key. The keyboard appears.

CAUTION

2. Touch the desired letters and numbers to enter the bed ID.

3. Touch the ENT key to register the bed ID.

3.22 Administrator’s Guide BSM-6000

Page 87

PARAMETERS Window

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

ECG Page

The PARAMETERS window has eight pages.

ECG ELECTRODES: IEC, AHA

Select the electrode lead type.

IEC: R, L, F, RF, C

AHA: RA, LA, LL, RL, V

SYNC SOUND PITCH: HIGH, MIDDLE, LOW

Select high, middle, or low pitch synchronized sound.

HUM FILTER: 50 Hz, 60 Hz

Select the hum lter.

50 Hz: Set to 50 when operating only in 50 Hz area

60 Hz: Set to 60 when operating only in 60 Hz area

NOTE

Make sure that the appropriate line frequency is selected. Otherwise,

noise may interfere on the ECG waveforms.

Administrator’s Guide BSM-6000 3.23

Page 88

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

ARRHYTHMIA TYPE: STANDARD, EXTENDED

There are 2 patterns of arrhythmia analysis. Normally, use “STANDARD”.

STANDARD: ASYSTOLE, VF, VT, VPC RUN, TACHYCARDIA,

BRADYCARDIA, COUPLET, EARLY VPC, BIGEMINY,

FREQ VPC, VPC

EXTENDED: ASYSTOLE, VF, VT, EXT TACHY, EXT BRADY, VPC RUN,

V BRADY, SV TACHY, TACHYCARDIA, BRADYCARDIA,

PAUSE, COUPLET, EARLY VPC, MULTIFORM, V

RHYTHM, BIGEMINY, TRIGEMINY, FREQ VPC, VPC, AF*,

IRREGULAR RR, PROLONGED RR, NO PACER PULSE,

PACER NON-CAPTURE

* Not available for BSM-6000K series.

• If arrhythmia type is changed to “EXTENDED” and the bedside monitor

is connected via network to a central monitor that has old software, the

“Lost communication with instruments in the network” message appears

on the bedside monitor and the bedside monitor cannot be monitored

on the central monitor.

• When the data is transported from the source monitor whose

arrhythmia type is set to STANDARD to the destination monitor whose

arrhythmia type is set to EXTENDED, the STANDARD settings of

the source monitor are copied to the destination monitor. However,

depending on the other various settings, the STANDARD settings may

be changed. Make sure to check the arrhythmia alarm settings before

monitoring on the destination monitor.

NOTE

AF DETECTION: On, Off

This setting is not available on BSM-6000K series bedside monitors.

AF detection can be used when AF DETECTION is set to On and

when <PROTOCOL> on the NETWORK window in the SYSTEM

CONFIGURATION screen is set to 2ND GEN.

NOTE

If <PROTOCOL> is changed to 2ND GEN and the bedside monitor is

connected via network to a central monitor that has old software, the

“Lost communication with instruments in the network” message appears

on the bedside monitor and the bedside monitor cannot be monitored on

the central monitor.

3.24 Administrator’s Guide BSM-6000

Page 89

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

PACING MARK POSITION: ABOVE WAVE, OVERLAP WAVE

Select the pacing mark position on the ECG waveform displays on the home

screen and ECG window.

ABOVE WAVE: Pacing mark is displayed above the wave.

OVERLAP WAVE: Pacing mark is displayed overlapping wave.

Pacing mark

ABOVE WAVE OVERLAP WAVE

ALARM INDICATOR QRS SYNC

When this is checked, the green lamp of the alarm indicator blinks in

synchronization with the patient’s QRS.

NEONATE ST MEASUREMENT

When the patient type is set to NEONATE, ST measurement can be turned on or

off.

NIBP Page

NIBP INTERVAL KEY STARTS NIBP

When this is checked, the rst NIBP measurement starts in auto measurement

when [NIBP Interval] key is pressed to select the interval.

SIM: On, Off

Select On when using SIM mode for NIBP. This setting is only available when

the site is OR.

COMPLETION SOUND: OFF, NK1, NK2

When set to NK1 or NK2, a sound is generated when NIBP measurement is

complete. The volume for this sound is set at <NIBP COMPLETION> on the

DISPLAY-VOLUME page.

Administrator’s Guide BSM-6000 3.25

Page 90

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

START TIME: CLOCK, PERIOD

Select the interval measurement mode from CLOCK and PERIOD.

CLOCK: Measurement begins at the nearest preset interval based on the clock

hour.

PERIOD: Measurement begins immediately.

Example

When you start periodic measurement at 12:03 at 5 min interval, measurement is

performed at:

CLOCK: 12:03, 12:05, 12:10, 12:15 ...

PERIOD: 12:03, 12:08, 12:13 ...

When you start periodic measurement at 12:03 at 30 min interval, measurement

is performed at:

CLOCK: 12:03, 12:30, 13:00, 13:30 ...

PERIOD: 12:03, 12:33, 13:03 ...

NIBP-PR DISPLAY: On, Off

Select whether to display the pulse rate on the NIBP display area of the home

screen.

INTERVAL MASTER: MANUAL, STAT, SIM, 1, 2, 2.5, 5, 10, 15, 30 min,

1, 2, 4 or 8 h

Select the initial NIBP measurement mode. The NIBP measurement mode

returns to this master setting when:

• The monitor power is off for more than 30 minutes and <SHOW

ADMIT CONFIRMATION WINDOW> is turned off in the SYSTEM

CONFIGURATION screen.

• The patient is admitted or discharged.

SIM mode is only available when the site is OR and <SIM> is turned on.

OLD DATA DISPLAY: DIM, HIDE

Select whether to dim or hide the NIBP data on the home screen when the time

in <TIME UNTIL DATA IS OLD> elapses after the last NIBP measurement.

TIME UNTIL DATA IS OLD: 5 min, 10 min, 30 min, 1 h or 24 h

Select how long to wait after NIBP measurement to dim or hide the NIBP data

on the home screen.

NOTE

When 24 h is selected, the NIBP data is hidden 24 hours after

measurement even when DIM is selected for <OLD DATA DISPLAY>.

3.26 Administrator’s Guide BSM-6000

Page 91

NIBP MODE Page

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

The NIBP MODE page has ve tabs.

STAT Tab

Set the program for the STAT mode measurement.

The STAT mode is for measuring blood pressure during induction of general

anesthesia. There are two stages. In <STAGE 1>, repetitive measurement

is performed at the interval set for <INTERVAL> for the period set for

<OPERATING TIME>. After stage 1 nishes, periodic measurement starts at the

interval set for <STAGE 2>.

Setting Items

STAGE 1 INTERVAL: STAT/1 min*

STAGE 1 OPERATING TIME: 5 min/10 min

STAGE 2 INTERVAL: MANUAL/1 min/2 min/2.5 min/5 min/

10 min/15 min/30 min

* 1 minute interval measurement reduces burden on the patient.

Administrator’s Guide BSM-6000 3.27

Page 92

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

SIM Tab

Set the program for the SIM mode measurement. This tab appears only when

<SIM> is set to On on the NIBP page.

The SIM mode is for measuring blood pressure during infusion of local

anesthesia such as spinal anesthesia (also called lumbar anesthesia or

subarachnoid block) and epidural anesthesia. There are two stages. In <STAGE

1>, repetitive measurement is performed at the interval set for <INTERVAL>

for the period set for <OPERATING TIME>. After stage 1 nishes, periodic

measurement starts at the interval set for <STAGE 2>.

Setting Items

STAGE 1 INTERVAL: 1 min/2 min/2.5 min

STAGE 1 OPERATING TIME: 5 min/10 min/15 min

STAGE 2 INTERVAL: 2 min/2.5 min/5 min

3.28 Administrator’s Guide BSM-6000

Page 93

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

INTERVAL Tab

Select the measurement mode to be displayed on the NIBP INTERVALS window

which appears on the left part of the screen when the [NIBP Interval] key is

pressed.

VENOUS PUNCTURE Tab

Slider

VENOUS PUNCTURE

When this is checked, venous puncture mode is available for NIBP.

TARGET CUFF PRESSURE

Set the maximum cuff pressure for each patient type in venous puncture mode.

1. Select the patient type by touching the ADULT, CHILD or NEONATE key.

2. Touch and drag the slider to select the cuff pressure. Use the or key to

adjust setting.

Administrator’s Guide BSM-6000 3.29

Page 94

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

INITIAL CUFF PRESS Tab

Set the master setting for the initial cuff ination pressure. The initial cuff

ination pressure on the NIBP window returns to this master setting when:

• The monitor power is off for more than 30 minutes and <SHOW

ADMIT CONFIRMATION WINDOW> is turned off in the SYSTEM

CONFIGURATION screen.

• The patient is admitted or discharged.

When the air hose for neonates (1.5 m) is connected to the monitor and

the initial cuff pressure is set to 125 mmHg or more, the actual pressure

may be less than the setting.

NOTE

CO2 Page

Use this page for inspecting CO2 measurement accuracy. For details, refer to the

Service Manual.

3.30 Administrator’s Guide BSM-6000

Page 95

GAS Page

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

The GAS page has three tabs.

NOTE

GF-120PA or GF-220R multigas/ﬂow unit is not available for the

BSM-6000A series.

MAINTENANCE Tab

Use this page for gas calibration. For details, refer to the Service Manual.

CAUTION

When the monitoring value is not appropriate, perform gas

calibration. Perform gas calibration once a year for stable measuring

accuracy.

MAINTENANCE page when GF-110PA or GF-120PA is connected

SETTINGS Tab

Set the settings on the SETTINGS tab when monitoring anesthetic gas with a

GF-110PA or GF-210R multigas unit or GF-120PA or GF-220R multigas/ow

unit.

MAINTENANCE page when GF-210R or GF-220R is connected

Administrator’s Guide BSM-6000 3.31

Page 96

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

AGENT HOLD TIME: 10 to 60 min (5 min steps)

Set the time to delete the anesthetic agent data from the home screen after the

end of gas monitoring.

MAX Ttot: 20 to 40 s (5 s steps)

Set the time to display spontaneous value instead of Fi/ET values for gas values

when there is apnea.

TEMPERATURE AND HUMIDITY COMPENSATION: ATPD, STPD,

Select the temperature and humidity for compensating the gas measurement

values (it is assumed that the sensor temperature is 22ºC (71.6ºF) and humidity

40%).

ATPD: Ambient Temperature 25ºC (77ºF), atmospheric Pressure, Dry (0%)

STPD: Standard Temperature 0ºC (32ºF), 1 atmospheric Pressure, Dry (0%)

BTPS: Body Temperature 37ºC (98.6ºF), atmospheric Pressure, Saturated

(100%)

BTPS

MAC: UNCORRECTED, AMBIENT PRESSURE CORRECTED,

ENHANCED

NOTE

This setting is not available on the BSM-6000A series.

Select the type of MAC to be displayed. When using an AG-920RA/K Multigas

Unit, uncorrected MAC is always displayed. For details on the MAC calculation

method when the AG-920RA/K Multigas Unit is used, refer to the Operator’s

Manual.

For details on the MAC calculation method when the GF-110PA, GF-120PA,

GF-210R or GF-220R Multigas Unit is used, refer to the Multigas Unit

Operator’s Manual.

UNCORRECTED: Displays uncorrected MAC. Labeled

“MAC” on the screen.

AMBIENT PRESSURE CORRECTED: Displays ambient pressure-corrected

MAC. Labeled “MAC-Ambnt” on the

screen.

ENHANCED: Displays enhanced MAC correction.

Labeled “MAC-Enhnc” and

“MAC-Awake” on the screen.

3.32 Administrator’s Guide BSM-6000

Page 97

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

INFO Tab

The INFO tab shows information about the GF-110PA or GF-210R multigas unit

or GF-120PA or GF-220R multigas/ow unit. For details, refer to the Service

Manual.

INFO page when GF-120PA is connected

FLOW/Paw Page

INFO page when GF-220R is connected

The FLOW/Paw page has four tabs.

NOTE

GF-120PA and GF-220R multigas/ﬂow unit are not available for

BSM-6000A series.

CAL Tab

Use this page for gas calibration. For details, refer to the Service Manual.

Administrator’s Guide BSM-6000 3.33

Page 98

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

SETTINGS Tab

GAS SAMPLING CORRECTION: AUTO, OFF

This setting is available only when using a GF-120PA or GF-220R multigas/ow

unit. When the sampling line for gas monitoring is attached to the sampling port

on the ow adapter or connected between the ow tube and patient, there will

be a difference between the ventilation volume setting on the anesthetic machine

and the actual ventilated volume of the patient because of the gas sampled by

the multigas/ow unit. This difference is compensated for in ow measurement

when this item is set to AUTO. For example, if the sampling volume is set to 200

mL/min on the GAS window, 3.3 mL/min is subtracted from the measured ow

value. The ow volumes are also calculated from the compensated ow value.

AUTO: When <GAS MEASUREMENT> on the GAS window is set to On, the

ow value is compensated whenever patient respiration is detected by

the monitor.

OFF: No compensation.

MAINTENANCE Tab

Use this page for inspecting the GF-120PA or GF-220R multigas/ow unit. For

details, refer to Service Manual.

3.34 Administrator’s Guide BSM-6000

Page 99

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

INFO Tab

The INFO tab shows the model and software version of the GF-120PA or

GF-220R multigas/ow unit.

EEG Page

AUTO IMPEDANCE CHECK: ON, OFF

When auto check is turned On, measurement signals of two frequencies higher

than the EEG frequency band are applied to check impedance while measuring

EEG. If the result is not “PASS”, the “CHECK ELECTRODES” or “HIGH

IMPEDANCE” message appears on the screen.

The impedance for the Z electrode cannot be automatically checked. Check

impedance for the Z electrode manually.

Administrator’s Guide BSM-6000 3.35

Page 100

3. CHANGING SYSTEM SETUP WINDOW SETTINGS

Never check the skin-electrode impedance with the needle electrode

inserted in the patient. Failure to follow this caution causes electrical

burn where electrodes are inserted.

It is recommended to use auto impedance check function so that

electrode off, lead disconnection and high impedance of an electrode can

be automatically detected. However, noise from the automatic impedance

check may affect other devices. In that case, set the automatic impedance

check to Off.

BAND SETTINGS: 0 to 60.0 Hz

If necessary, change the frequency band setting.

OTHER PARAM Page

CAUTION

NOTE

The above screen example is for BSM-6000A series.

PRESS FILTER: 12 Hz, 20 Hz

Select the noise lter for IBP monitoring. For normal monitoring, set the lter to

12 Hz. To see the IBP waveforms in detail, set the lter to 20 Hz.

IBP ANALOG OUT: FIXED POSITION, HIGHEST PRIORITY LABEL

Select the IBP output condition.

FIXED POSITION: IBP line connected to the top MULTI socket is

used for IBP output.

HIGHEST PRIORITY LABEL: IBP line of the highest priority label is used for

IBP output.

Label priority:

3.36 Administrator’s Guide BSM-6000

ART > ART2 > RAD > DORS >

AO > FEM > UA > LVP > P1 >

P2 > P3 > P4 > P5 > P6 > P7

Nihon Kohden BSM-6301, BSM-6501, BSM-6701 Administrator manual [gb]

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

Related Documentation

Safety Standards

Periodic Inspection

Section 1 Installation/Connection

Installation Conditions

Optional Cart for the Bedside Monitor

Optional Wall Mount Kit and Counter Top Mount for the Bedside Monitor

Installation Flowchart

Connection Overview

Attaching the AA-672P or AA-674P Smart Expansion Unit to the AY series Input Unit

Mounting the AY series Input Unit or BSM-1700 series Bedside Monitor onto the Monitor

Using an Optional Handle

Attaching the ZS-900P Transmitter

Installing the WS-671P Recorder Module

Installing the QI-631P, QI-632P, QI-634P, QI-671P or QI-672P Interface

Connecting the Mouse

Connecting the Bar Code Reader

Mounting the QI-670P Interface on the Monitor

Connecting the JA-690PA or JA-694PA Data Acquisition Unit

Connecting External Instruments

Connecting a Sub Display

Connecting the Power Cord and Grounding Lead

General

Connecting the Power Cord

Grounding the Monitor

Cutting Off the Power Supply to the Monitor

Connecting the Monitor to the Network

Connecting the HIT-100 Hyper Isolation Transformer

Connecting the QI-320PA or QI-420PA Wireless LAN Station

Turning the Power On/Off

Check Before Turning On the Power

Turning the Power On

Check After Turning On the Power and During Monitoring

Stored Data Status at Power On

Monitor Status on Power Interruption

Turning the Power Off

Check After and Before Turning the Power Off

Setting the Bar Code Reader

Scanning the Bar Code Reader Settings

Initializing the Bar Code Reader

Checking the Bar Code Reader Operation

Calibrating the Touch Screen

Using ECG/BP Output as the Synchronous Signal

Overview

Setting Items on the SYSTEM CONFIGURATION Screen

Displaying the SYSTEM CONFIGURATION Screen

Closing the SYSTEM CONFIGURATION Screen

SITE Window

NETWORK Window

IP ADDRESS/PROTOCOL Page

LS-NET Page

HL7 Page

UNITS Window

DATA MANAGEMENT Window

PC Window

CHANGE PASSWORD Window

OPTIONS Window

OTHER Window

Initializing the Monitor

Overview

Setting Items on the SYSTEM SETUP Window

Displaying the SYSTEM SETUP Window

Closing the SYSTEM SETUP Window

The INFO Page of the INFO Window

The CONFIGURATION Page of the INFO Window

The MAINTENANCE Page of the INFO Window

BATTERY Tab

LOAD/SAVE SETTINGS Tab

SYSTEM Window

DISPLAY Page