Hemodynamics
Review Program
QP-033P
esCCO Program
QP-034P
0614-905804E
In order to use this product safely and fully understand all its functions, make sure to 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 and operate 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
Copyright Notice
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.
Contents
Conventions Used in this Manual ............................................................................................................................ i
Warnings, Cautions and Notes ..................................................................................................................... i
Explanation of the Symbol in this Manual and Product ........................................................................................... i
General ................................................................................................................................................................... 1
Preparing for esCCO Monitoring ............................................................................................................................ 3
Preparation Flowchart .................................................................................................................................. 3
Registering the Program ..............................................................................................................................4
Displaying the esCCO Window .................................................................................................................... 5
Changing Settings on the SYSTEM SETUP Window ...................................................................................6
Turning esCCO Monitoring On or Off ................................................................................................. 6
Changing Master Calibration Parameters ..........................................................................................6
Turning esCCO Monitoring On or Off on the OTHER Window .....................................................................7
Checking the Patient Information ................................................................................................................. 8
Calibration ....................................................................................................................................................8
Monitoring esCCO ................................................................................................................................................ 12
esCCO Information on the Home Screen ...................................................................................................13
esCCO Information on the esCCO Window ...............................................................................................13
Changing esCCO Settings ......................................................................................................................... 14
Changing the esCCO and esCCI Alarm Setting .............................................................................. 14
Selecting esCCO or esCCI for Trendgraph Display ..........................................................................15
Selecting Parameters to be Displayed on the Home Screen ........................................................... 16
Hemodynamics Graph Window (QP-033P Only) ..................................................................................................17
General .......................................................................................................................................................17
Displaying the HEMO GRAPH Window ...................................................................................................... 18
Window Explanations ................................................................................................................................. 19
TREND + TARGET Window ............................................................................................................. 19
TREND Window ...............................................................................................................................21
GRAPH Window (Target Graph Window) ......................................................................................... 22
Printing Hemodynamics Graph .................................................................................................................. 24
Selecting Parameters for Trendgraph Display ............................................................................................25
Changing the Trendgraph Scale ................................................................................................................. 25
Selecting Parameters for Target Graph Display .......................................................................................... 26
Selecting the Target Graph to be Displayed on the TREND + TARGET Window .......................................27
Changing the Master Graph Settings ......................................................................................................... 27
Screen Messages and Troubleshooting ................................................................................................................ 29
Screen Messages ....................................................................................................................................... 29
Troubleshooting .......................................................................................................................................... 29
Reference ............................................................................................................................................................. 30
Alarm Indications ........................................................................................................................................ 30
Automatically Setting All Upper and Lower Alarm Limits ...........................................................................30
Automatic Setting Range .................................................................................................................30
List of Setting Items and Default Settings (BSM-6000 series) ...................................................................31
TREND Window ...............................................................................................................................31
ALARM LIMITS Window ................................................................................................................... 33
esCCO Window ................................................................................................................................ 33
Operator’s Manual QP-033P/034P C.1
HEMO GRAPH Window (QP-033P Only) ........................................................................................34
SYSTEM SETUP Window ................................................................................................................ 35
List of Setting Items and Default Settings (BSM-3000 series) ...................................................................37
TREND Window ...............................................................................................................................37
ALARM LIMITS Window ................................................................................................................... 39
esCCO Window ................................................................................................................................ 39
HEMO GRAPH Window (QP-033P Only) ........................................................................................40
SYSTEM SETUP Window ................................................................................................................ 41
Specifications ............................................................................................................................................. 42
C.2 Operator’s Manual QP-033P/034P
Conventions Used in this Manual
Warnings, Cautions and Notes
Warnings, cautions and notes are used in this manual to alert or signal the reader to specic 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.
Explanation of the Symbol in this Manual and Product
Symbol Description
The CE mark is a protected conformity mark of the European Community. Products marked
with this symbol comply with the requirements of the Medical Device Directive 93/42/EEC.
Operator’s Manual QP-033P/034P i
General
The QP-033P hemodynamics review program and QP-034P esCCO program
is software for monitoring estimated continuous cardiac output (esCCO) of a
patient. QP-033P can also display a hemodynamics graph on the Review window
to show the circulation condition of the patient.
QP-033P QP-034P
esCCO monitoring Yes Yes
Hemodynamics graph Yes No
NOTE
When the QP-033P hemodynamics review program is installed, the
GRAPH 3 page of the TREND window is not available.
When the QP-033P hemodynamics review program is installed, the HEMO
GRAPH and MARK function keys are available on the KEYS window of the
SYSTEM SETUP window. For the KEYS window, refer to “KEYS Window”
in Section 3 of the bedside monitor administrator’s guide. For the MARK key
function, refer to “TREND + TARGET Window” section in this manual.
To monitor esCCO, you need to monitor ECG, SpO
(NIBP or IBP) and either CO, CCO or enter patient information (height, weight,
age and gender) depending on the calibration procedure.
, PWTT, blood pressure
2
WARNING
Do not diagnose a patient based only on data acquired by the
bedside monitor. Overall judgement must be performed by a
physician who understands the features, limitations and
characteristics of the bedside monitor and by reading the biomedical
signals acquired by other instruments.
CAUTION
esCCO monitoring has not been validated on neonates.
CAUTION
Only use Nihon Kohden specified electrodes, probes, transducers,
thermistors and catheters. Otherwise, the maximum performance
from the monitor cannot be guaranteed.
NOTE
• esCCO cannot be monitored with the AY-631P/633P/651P/653P input
unit and BSM-1733/1753 bedside monitor.
• esCCO cannot be monitored on the BSM-3532/3552/3733/3753
bedside monitor.
• esCCO must be calibrated before monitoring esCCO.
Operator’s Manual QP-033P/034P 1
• The screens in this manual are for BSM-6000 series bedside monitor.
This manual only describes the features and functions of esCCO monitoring and
the hemodynamics graph window. For details on the bedside monitor, refer to the
documents provided with the BSM-3000 or BSM-6000 series bedside monitor.
2 Operator’s Manual QP-033P/034P
Preparing for esCCO Monitoring
Preparation Flowchart
1. Register the QP-033P Hemodynamics Review Program or QP-034P esCCO
Program.
2. Change the necessary settings on the esCCO page of the PARAMETERS
window in the SYSTEM SETUP window. Check that <esCCO
MEASUREMENT> is set to On.
3. Select ON for <esCCO MEASUREMENT> on the OTHER window of the
esCCO window.
4. Check that the patient information (height, weight, age and gender) is
entered.
5. Depending on the calibration procedure, do either a) or b). For details on the
calibration, refer to the “Calibration” section.
a) Set up the catheter and system and monitor CO. Refer to Section 9 of the
BSM-3000 or BSM-6000 series bedside monitor User’s Guide Part II for
details.
b) Connect a CCO or PiCCO monitor to the bedside monitor with the QF
interface/IF communication cable.
6. Depending on the calibration procedure, do either a) or b). For details on the
calibration, refer to the “Calibration” section.
a) Set up the catheter and system and monitor IBP.
b) Connect the air hose and cuff and monitor NIBP.
7. Monitor ECG and SpO2.
8. Perform calibration.
9. Start monitoring esCCO.
For details on monitoring ECG, SpO2, IBP/NIBP, PWTT and CO, refer to the
BSM-3000 or BSM-6000 series bedside monitor User’s Guide Part II.
NOTE
Delete the data of the previous patient before monitoring esCCO.
Operator’s Manual QP-033P/034P 3
Registering the Program
An unlock code must be obtained from Nihon Kohden to use the program.
Tell us the registration code on the OPTIONS window of the SYSTEM
CONFIGURATION screen and we will tell you the unlock code. Use the
registration form at the end of the Administrator’s Guide.
NOTE
• The QP-033P hemodynamics review program and QP-034P esCCO
program cannot be used on the BSM-6000A series bedside monitor.
• When using the BSM-1763 or BSM-1773 bedside monitor as an input
unit for the BSM-6000K series bedside monitor:
- Also register the esCCO software for the BSM-1763 or BSM-1773.
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 SYSTEM CONFIGURATION screen. Refer to Section 2 of the
Administrator’s Guide for details.
2. Display the esCCO or HEMO GRAPH page of the OPTIONS window.
• esCCO page: for registering QP-034P
• HEMO GRAPH page: for registering QP-033P
3. Note the registration code in the REGISTRATION CODE box on the
window.
4. Fill in the registration form and fax or send it to your Nihon Kohden
representative.
5. 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.
4 Operator’s Manual QP-033P/034P
Displaying the esCCO Window
1. Display the MENU window.
• Press the [Menu] key on the monitor.
• Press the [MENU/HOME] key on the remote control.
• Touch the MENU function key on the screen.
2. Touch the “esCCO” key. The esCCO window appears.
Touching the esCCO numeric data on the home screen also displays the
esCCO window:
3. Close the window.
• Press the [Home] key on the monitor or data acquisition unit.
• Press the [MENU/HOME] key on the remote control.
• Touch the HOME function key on the screen.
• Touch the waveform or current trendgraph display area on the home
screen.
Operator’s Manual QP-033P/034P 5
Changing Settings on the SYSTEM SETUP Window
Turning esCCO Monitoring On or Off
1. Press the [Menu] key on the front panel to display the MENU window.
2. Touch the SYSTEM key on the MENU window.
3. Enter the password. For details on the password, refer to the BSM-3000 or
BSM-6000 series bedside monitor Administrator’s Guide.
4. Touch the PARAMETERS tab → esCCO tab.
5. Select On or Off in the <esCCO MEASUREMENT> box to turn esCCO
monitoring on or off.
6. Press the [Home] key to return to the home screen.
Changing Master Calibration Parameters
There are master CO and PP (pulse pressure) parameters for calibration. You can
still select CO and PP parameters for calibration on the CALIBRATION window
but these change back to the master parameters when:
• The monitor power is off for more than 30 minutes when <SHOW
ADMIT CONFIRMATION WINDOW> is set to “Off” in the SYSTEM
CONFIGURATION screen.
• The patient is admitted or discharged.
• The “PATIENT TYPE” setting is changed on the ADMIT DISCHARGE
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. Enter the password. For details on the password, refer to the BSM-3000 or
BSM-6000 series bedside monitor Administrator’s Guide.
4. Touch the PARAMETERS tab → esCCO tab.
6 Operator’s Manual QP-033P/034P
5. Select the master parameter for CO and PP for calibration.
6. Press the [Home] key to return to the home screen.
Turning esCCO Monitoring On or Off on the OTHER Window
The <esCCO MEASUREMENT> setting appears on the OTHER window only
when <esCCO MEASUREMENT> on the PARAMETERS – esCCO page of the
SYSTEM SETUP window is set to On. Refer to the previous “Changing Settings
on the SYSTEM SETUP Window” section for details.
1. Display the OTHER window of the esCCO window.
Press the [Menu] key → esCCO key → OTHER tab.
2. Select ON or OFF in the <esCCO MEASUREMENT> box to turn esCCO
monitoring on or off.
3. Press the [Home] key to return to the home screen.
Operator’s Manual QP-033P/034P 7
Checking the Patient Information
The patient information (height, weight, age and gender) displayed on the
PATIENT INFO window of the esCCO window are the values entered for the
patient information on the ADMIT DISCHARGE window. Because this data is
used in the calculation for BSA and esCCO monitoring, check that it is correct
before monitoring esCCO.
When these values are changed, the settings on the ADMIT DISCHARGE
window also change.
The units for height (cm or inch) and weight (kg or lbs) can be set on the
SYSTEM CONFIGURATION screen. Refer to Section 2 of the BSM-3000 or
BSM-6000 series bedside monitor Administrator’s Guide.
1. Display the PATIENT INFO window of the esCCO window.
Press the [Menu] key → esCCO key → PATIENT INFO tab.
2. Check the patient information. If necessary, change the setting. BSA is
automatically calculated when the height and weight are entered.
NOTE
If another window is opened before pressing the Enter key, the
entered value is deleted.
3. Press the [Home] key to return to the home screen.
Calibration
To perform calibration, the following parameters must be monitored.
ECG and SpO
HR and PWTT must be monitored for more than 4 minutes to do calibration.
2
CAUTION
Do not monitor SpO2 by attaching the probe on the foot.
8 Operator’s Manual QP-033P/034P
NOTE
Turn the AUTO LEAD CHANGE setting to OFF. The change in ECG lead
alters the value of esCCO.
NIBP or IBP
When using NIBP, measure NIBP more than once by manual or periodic
measurement. In periodic measurement, set the measurement interval to 2
minutes or longer. If calibration is not performed within 10 minutes from the last
NIBP measurement, the PP value for calibration becomes invalid.
When using IBP, IBP monitoring must be stable for more than 3 minutes. Zero
balance must be adjusted. If zero balance is not adjusted or calibration is not
performed within 10 minutes from starting stable IBP monitoring, the PP value
becomes invalid.
CO, CCO or patient information
Depending on the <CAL CO> setting on the CAL window, do the following.
When “CO FROM PATIENT INFO” is selected:
Enter height, weight, age and gender on the PATIENT INFO window.
When “CO FROM HEMO TREND” is selected:
Measure CO and register the result in the HEMO TREND window. More than
one measurement within 10 minutes is required.
When “CCO” is selected:
Monitor CCO or PiCCO by the CCO or PiCCO monitor connected to the bedside
monitor.
When “MANUALLY ENTER” is selected:
Enter CO value manually. If calibration is not performed within 10 minutes from
entering the CO value, the CO value for calibration becomes invalid.
Calibration Procedure
1. Display the CAL window of the esCCO window.
Press the [Menu] key → esCCO key → CAL tab.
The “CHECK CAL PARAMETER” message appears on the home screen
and esCCO window.
Operator’s Manual QP-033P/034P 9
2. Select the CO parameter for calibration.
CO FROM PATIENT INFO:
Value calculated by the monitor using patient information is
used for calibration. Enter height, weight, age and gender on the
PATIENT INFO window. If the gender of the patient is unknown
“(blank)”, the value is calculated as “MALE”.
CO FROM HEMO TREND:
Measured value registered on the HEMO TREND window by
measuring CO is used for calibration.
CCO: Measured value monitored by an external device using the QF
interface/IF communication cable is used for calibration.
MANUALLY ENTER:
Enter the value using the numeric keys on the window.
CAUTION
When using “CO FROM PATIENT INFO” for calibrating esCCO, the
automatically calculated CO value is an approximate and must be
checked by a physician. If the CO value is not appropriate, enter CO
value manually. Check that the CO is also appropriate after
calibration.
3. Select the PP parameter for calibration.
When using IBP, select the appropriate label.
NOTE
• Perform calibration within 10 minutes from the last NIBP
measurement or starting stable IBP monitoring. Otherwise the PP
value for calibration becomes invalid.
• If the IBP label for the PP parameter is changed, wait at least 10
minutes before performing calibration for esCCO.
4. When all values for calibration are obtained, the CAL key on the CAL
window becomes available and the “READY FOR CAL” message appears
on the home screen and esCCO window. Touch the CAL key.
10 Operator’s Manual QP-033P/034P
NOTE
• Calibration is not performed when any of the values necessary for
calibration are invalid.
• If PP value is invalid, measure again.
After calibration, the “CAL COMPLETE” message, esCCO value,
calibration date and time and CO and PP source are displayed.
NOTE
The heart rate on the home screen and CAL window of the esCCO
window differ due to the difference in averaging. Do not use the heart
rate on the esCCO window for monitoring the patient.
If calibration fails, the “CAL ERROR” message appears. Remove the cause
and calibrate again. The following points may be the cause for calibration
failure and invalid esCCO range after calibration.
• CO value is smaller than 0.5 L/min or larger than 20.0 L/min
• PWTT changed greatly
• HR changed greatly
• Pacing pulse is detected
CAUTION
When NIBP is measured at a short interval, PWTT changes greatly
which might not be correctly applied to the esCCO calibration.
When mounting an AY-600P series input unit or BSM-1700 series bedside
monitor on the BSM-6000 series bedside monitor
• To transport the calibration data with the AY-661P/663P/671P/673P input unit
or BSM-1763/1773 bedside monitor, the following conditions must be met.
- The software version of the BSM-6000 bedside monitor is 05-01 or later.
- For the BSM-1763/1773 bedside monitor, <DATA TRANSPORT USING
INPUT UNIT> on the DATA MANAGEMENT window of the SYSTEM
CONFIGURATION screen is set to ENABLE on both the BSM-1763/1773
and BSM-6000 series bedside monitors.
- For the AY-661P/663P/671P/673P input unit, a QM-600P memory unit is
installed in the input unit.
• When the AY-661P/663P/671P/673P input unit or BSM-1763/1773 bedside
monitor which has the calibration data for esCCO is connected, the “esCCO
ERROR” message may appear on the screen. If this appears, wait for a minute
until it disappears.
Operator’s Manual QP-033P/034P 11
Monitoring esCCO
When calibration is performed properly, esCCO data appears on the home
screen.
CAUTION
In the following cases, SQI may become low and correct esCCO
might not be obtained.
• During CPB (cardiopulmonary bypass)
• During displacement of the heart
• Hemodynamically unstable patients
• Change in IBP measurement sites after CPB
• Pacemaker patient
• Unstable pulse wave due to poor peripheral circulation
• Too many arrhythmias
• Patient movement
• Noise on ECG due to ESU
• IABP
• Low perfusion
• During construction of wall grafts in OPCAB
• NIBP measurement
• Transducer position change
CAUTION
In the following cases, calibrate again because correct esCCO
cannot be obtained.
• ECG monitoring lead is changed.
• Electrode attachment place is changed.
• SpO2 probe attachment place is changed.
• The AY series input unit or BSM-1700 series bedside monitor
which does not have the calibration data for esCCO is connected.
• Monitor power is turned off and on.
• Patient is admitted or discharged.
• Data is deleted.
• After patient movement or body position change, the esCCO value
has changed greatly.
NOTE
• esCCO data is not displayed when calibration is not performed or not
performed appropriately.
• When measured data is abnormal, SQI may become “Poor” and the
esCCO data is not reliable.
• To determine the SQI level, the PP parameter (NIBP or IBP) used for
calibration must be available for measurement while monitoring esCCO.
• When a pacing pulse is detected during esCCO monitoring, SQI level
degrades.
12 Operator’s Manual QP-033P/034P
esCCO Information on the Home Screen
esCCO monitoring values
(Up to four parameters selected
on the OTHER window of the
esCCO window)
SQI bar graph
esCCO SQI is indicated in four levels.
Good Medium Poor Invalid
Up to four esCCO numeric parameters can be displayed on the home screen.
esCCO Information on the esCCO Window
Patient information
SQI bar graph
esCCO or esCCI trendgraph
Operator’s Manual QP-033P/034P 13
Changing esCCO Settings
NOTE
To calculate esCCI, esSVI and esSVRI, patient information (BSA) must
be entered. Refer to the “Checking the Patient Information” section.
Change the settings on the esCCO window. The following settings can be
changed.
• esCCO and esCCI alarm limits
• esCCO or esCCI trendgraph display on the home screen
• Select esCCO parameters to be displayed on the home screen
The display color for esCCO can be set on the SYSTEM SETUP window.
Refer to Section 3 of the BSM-3000 or BSM-6000 series bedside monitor
Administrator’s Guide.
Changing the esCCO and esCCI Alarm Setting
CAUTION
When the alarm limit is set to Off, there will be no alarm for that limit.
Be careful when you set the alarm limit to Off.
You can set the upper and lower esCCO and esCCI alarm limits on the esCCO
window. You can set all alarms, including the upper and lower esCCO/esCCI
alarm limits, on the ALARM LIMITS window (See BSM-3000 or BSM-6000
series bedside monitor User’s Guide Part I, Section 5).
Setting Rage
esCCO upper limit: 0.60 to 20.00 L/min in 0.10 L/min steps, Off
esCCO lower limit: Off, 0.50 to 19.90 L/min in 0.10 L/min steps
esCCI upper limit: 0.60 to 20.00 L/min/m2 in 0.10 L/min/m2 steps, Off
esCCI lower limit: Off, 0.50 to 19.90 L/min/m2 in 0.10 L/min/m2 steps
1. Display the MAIN window of the esCCO window.
Press the [Menu] key → esCCO key → MAIN tab.
2. Touch the esCCO key to change the esCCO alarm setting.
Touch the esCCI key to change the esCCI alarm setting.
3. Touch and drag the sliders to the desired level on the setting bar. Use the
or key to adjust the setting.
If the upper limit is set to a value above the maximum, the upper limit alarm
is set to OFF. If the lower limit is set to a value below the minimum, the
lower limit alarm is set to OFF.
14 Operator’s Manual QP-033P/034P
Selected parameter
Setting bar
Current value of the selected parameter
4. Press the [Home] key to return to the home screen.
Selecting esCCO or esCCI for Trendgraph Display
Upper limit slider
Upper limit
Lower limit
Lower limit slider
Either esCCO or esCCI can be selected for the trendgraph on the home screen.
1. Display the OTHER window of the esCCO window.
Press the [Menu] key → esCCO key → OTHER tab.
2. Select either esCCO or esCCI in the <PARAMETER FOR CURRENT
TREND> box.
3. Press the [Home] key to return to the home screen.
Operator’s Manual QP-033P/034P 15
Selecting Parameters to be Displayed on the Home Screen
Up to 4 esCCO parameters can be selected to be displayed on the home screen.
1. Display the OTHER window of the esCCO window.
Press the [Menu] key → esCCO key → OTHER tab.
2. Select the parameter you want to change.
3. Select the parameter by touching the desired parameter key.
Selected parameters
4. Press the [Home] key to return to the home screen.
Available parameters
16 Operator’s Manual QP-033P/034P
Hemodynamics Graph Window (QP-033P Only)
General
The HEMO GRAPH window displays the hemodynamics data of a patient as a
trendgraph and target graph. A target graph has an X axis (horizontal axis) which
shows a parameter concerning preload and a Y axis (vertical axis) which shows a
parameter concerning heart’s pumping function, such as cardiac output. From the
target graph, you can visually grasp the patient’s circulation condition.
The scales can be changed and you can use the target zone to manage the
patient’s circulation.
The monitor has master graph settings on which parameters and scales of the
graphs are set. These settings can be changed any time on the graph windows but
these change back to the master settings when:
• The monitor power is off for more than 30 minutes when <SHOW
ADMIT CONFIRMATION WINDOW> is set to “Off” in the SYSTEM
CONFIGURATION screen.
• The patient is admitted or discharged.
• The “PATIENT TYPE” setting is changed on the ADMIT DISCHARGE
window.
The master graph settings are set on the HEMO GRAPH window of the
SYSTEM SETUP window.
* The “input unit” means the
AY-600P series input unit with
a QM-600P memory unit, or
the BSM-1700 series bedside
monitor.
NOTE for BSM-6000 series bedside monitor
• When <DATA TRANSPORT USING INPUT UNIT> is set to “DISABLE”,
and <SHOW ADMIT CONFIRMATION WINDOW> is set to “Off” in
the SYSTEM CONFIGURATION screen, the stored data remains in
memory for about 30 minutes after the power is turned off. After 30
minutes, the stored data is lost. When <DATA TRANSPORT USING
INPUT UNIT> is set to “ENABLE”, the patient data and settings remain
in the input unit*.
• When using an input unit* and data transport function is enabled,
- data for up to 24 hours is saved in the input unit*.
- the saved data remains in the main unit and input unit* even when
30 minutes elapse after monitor power off.
• The time of the data in the input unit* is adjusted to the time of the main
unit.
NOTE
The oldest data is deleted when the maximum number of data are
created.
Operator’s Manual QP-033P/034P 17
Displaying the HEMO GRAPH Window
1. Display the MENU window.
• Press the [Menu] key on the monitor.
• Press the [MENU/HOME] key on the remote control.
• Touch the MENU function key on the screen.
2. Touch the “HEMO GRAPH” key. The HEMO GRAPH window appears.
You can also display the HEMO GRAPH window by:
• Touching the “HEMO GRAPH” tab on another Review window.
• Touching the “HEMO GRAPH” function key on the screen or remote
control.
NOTE
When changing the review window, the data at the cursor on the
original window is displayed on the second window. For example,
when the HEMO GRAPH window is called up from the HEMO
TREND window, the trend and target graphs are displayed with the
time of the file selected on the HEMO TREND window.
18 Operator’s Manual QP-033P/034P
Window Explanations
3. Close the window.
• Press the [Home] key on the monitor or data acquisition unit.
• Press the [MENU/HOME] key on the remote control.
• Touch the HOME function key on the screen.
• Touch the waveform or current trendgraph display area on the home screen.
There are three types of graph windows for displaying hemodynamics data:
• The TREND window displays the trendgraphs of the six selected parameters.
• The GRAPH window has three target graphs of the selected parameters.
• The TREND + TARGET window shows the trendgraph and one of the target
graphs on one window.
Each window displays hemodynamics graphs for the past 24 hours. With the
optional QM-601P memory card, data of past 72 hours can be saved.
The displayed hemodynamics graph can be printed on the network printer when
the monitor is connected to a network.
CAUTION
When displaying the target area on the target graphs, set the
appropriate scale of the target area based on the patient condition.
Do not diagnose the patient based only on data of the
hemodynamics graph.
NOTE
• The entire graph might not be displayed on the screen depending on
the scale.
• The display color of the trendgraphs is the same color as the parameter
color selected on the SYSTEM SETUP window. To change the
parameter color, refer to Section 3 of the BSM-3000 or BSM-6000
series bedside monitor Administrator Guide.
TREND + TARGET Window
The TREND + TARGET window displays the trendgraph on the right side of
the window and one target graph on the left side of the window. The data at the
cursor position on the trendgraph is displayed on the target graphs.
The yellow bar just below the trendgraph is the display interval for the target
graphs which is set at target graph time. The target graphs are plotted at the
interval indicated in the parenthesis at target graph time.
A mark (blue triangle) is set on the trendgraph when the “MARK” function key
on the screen/remote control is pressed. An event mark is placed at the “MARK”
function key pressed position. The marked position appears as a blue triangle
below the trendgraph.
Operator’s Manual QP-033P/034P 19
When the cursor on the trendgraph is at the position where the left edge of the
yellow bar is at the mark, you can see the circulation condition at the marked
position. For example, touch the “MARK” function key on the screen or remote
control when a patient is medically treated and later display the TREND +
TARGET window of the HEMODYNAMICS GRAPH window to see the
changes in the circulation condition after the treatment.
On the trendgraph, when AP (arterial pressure) is selected for the displaying
parameter, the highest priority arterial blood pressure is used.
ART > ART2 > RAD > DORS > AO > FEM
Settings of trend time:
30 min/1 h/2 h/4 h/6 h/8 h/12 h/24 h
Settings with the optional QM-601P memory card:
30 min/1 h/2 h/4 h/6 h/8 h/12 h/24 h/48 h/72 h
Settings of target graph time:
30 min (2 min)/1 h (5 min)/2 h (10 min)/4 h (20 min)/6 h (30 min)/8 h (40
min)/12 h (1 hr)/24 h (2 hr)
Settings with the optional QM-601P memory card:
30 min (2 min)/1 h (5 min)/2 h (10 min)/4 h (20 min)/6 h (30 min)/8 h (40
min)/12 h (1 h)/24 h (2 h)/48 h (4 h)/72 h (6 h)
Displays the TREND window.
Target graph
Displays the target graph
selected on the SETTINGS
window. When the latest data
is displayed, the latest plot
blinks in blue. When past data
is displayed, the latest plot
lights in blue. The area in the
pink box is the target area.
Changes the target
graph to be displayed.
Draws the plots of the target
graph one after another from
the oldest data.
Target graph display interval
Touch
trendgraph. The interval in the parenthesis is the plotting interval of
the target graphs. On the example window, the average value of one
minute is plotted at 2-minute interval.
Displays the GRAPH window.
Opens other review windows.
Trendgraph display time width
Touch
time width of the trendgraph.
or to change the interval of the yellow bar below the
or to change the display
Cursor
The data at the cursor position is displayed
on the target graphs.
Trendgraph
Up to six parameters can be
displayed on the trendgraph.
The parameters are selected
on the SETTINGS window.
The numeric data at the
cursor position is displayed.
Target graph display interval
The interval is selected at
Target Graph Time.
Mark (blue triangle)
Prints the displayed trend and
target graphs on the network
printer.
NOTE
The display color of the trendgraphs is the same color as the parameter
color selected on the SYSTEM SETUP window. To change the parameter
color, refer to Section 3 of the BSM-3000 or BSM-6000 series bedside
monitor Administrator Guide.
20 Operator’s Manual QP-033P/034P
TREND Window
The TREND window displays the trendgraphs of the up to six parameters
selected on the SETTINGS window. When AP (arterial pressure) is selected for
the displaying parameter, the highest priority arterial blood pressure is used.
ART > ART2 > RAD > DORS > AO > FEM
Settings of trend time:
30 min/1 h/2 h/4 h/6 h/8 h/12 h/24 h
Settings with the optional QM-601P memory card:
30 min/1 h/2 h/4 h/6 h/8 h/12 h/24 h/48 h/72 h
Displays the TREND + TARGET window.
Trendgraph
Up to six parameters can be
displayed on the trendgraph.
The parameters are selected
on the SETTINGS window.
The numeric data at the cursor
position is displayed.
Displays the SETTINGS
window for changing the
parameters to be displayed.
Displays the SCALE SETUP
window for changing the scale
of the displayed parameters.
Displays the GRAPH window.
Trendgraph display time width
Touch or to change the display
time width of the trendgraph.
Opens other review windows.
Prints the displayed trendgraph
on the network printer.
NOTE
The display color of the trendgraphs is the same color as the parameter
color selected on the SYSTEM SETUP window. To change the parameter
color, refer to Section 3 of the BSM-3000 or BSM-6000 series bedside
monitor Administrator Guide.
Operator’s Manual QP-033P/034P 21
Displays the TREND +
TARGET window.
GRAPH Window (Target Graph Window)
The X axis (horizontal axis) shows a parameter for preload and the Y axis
(vertical axis) shows a parameter for the heart’s pumping function, such as
cardiac output. The target graph is plotted at the interval indicated in the
parenthesis of the target graph display interval. When the latest data is displayed,
the latest plot blinks in green. When past data is displayed, the latest plot is
purple. On the example window, the average value of 30 minute is plotted at
2 minute intervals.
There are three target graphs. The parameters for GRAPH 1 and 2 can be
changed on the SETTINGS window. GRAPH 3 is xed and cannot be changed.
The scales can be changed and you can use the target zone to manage the
patient’s circulation.
GRAPH 1 and GRAPH 2
Displays the TREND window.
Opens other review window.
Displays other target graph window.
Changes the scale of
the x and y axes.
Displays the SETTINGS
window for changing the
target graph settings.
Draws the plots of the target
graph one after another from
the oldest data.
The default settings for GRAPH 2 are based on the “Early Goal-Directed
Therapy”.
Target graph display interval
Touch
The interval in the parenthesis is the
plotting interval of the target graphs.
or to change the interval.
Target area
The area in the pink box is
the target area.
Prints the displayed target graph on the
network printer.
22 Operator’s Manual QP-033P/034P
Center scale of the y axis
To change the scale, touch the SCALE key. The SCALE SETUP window is
displayed. Use the and keys to change the scale.
Returns to the target graph
display
Displays the TREND +
TARGET window
Center scale of the x axis
Secondary scale of the x axis
GRAPH 3 (Forrester Classication)
The GRAPH 3 draws the target graph with PCWP on the x axis and CI/CCI on
the y axis. The data is updated when PCWP is registered to the HEMO TREND
window. The data of up to latest 12 PCWP measurements are plotted. The date
and time of the plot are displayed.
The HEMO TREND window can be displayed by pressing the [Menu] key →
TREND key → HEMO TREND tab. For details, refer to the bedside monitor
Operator’s Manual.
The scale can be changed by touching the SCALE key in the same way as the
GRAPH 1 and 2. There is no secondary scale for the x axis.
Displays other target graph windowDisplays the TREND window
Opens other review window
Target graph
Displays the target graph of
PCWP and CI/CCI
Displays the SETTINGS window
for turning the target area on or
off
Changes the center scale
of the x and y axes
Draws the plots of the target
graph one after another from
the oldest data
Prints the displayed target graph
on the network printer
Operator’s Manual QP-033P/034P 23
Printing Hemodynamics Graph
NK Hospital 17-1-2012 15:59
NIHON KOHDEN
The displayed hemodynamics graph can be printed on the network printer when
the monitor is connected to a network.
Touch the PRINT key on the window to print.
Print example
Bed ID ICU-001 Name
HR
AP
PPV
HR
[bpm]
100
200
esCCO
40
20.00
58
AP
[mmHg]
159/ 78(111)
PPV
[%]
6
esCCO
[L/min]
5.68
0
0
0
0.00
17-1-2012 13:00 13:20 13:40 14:00 14:20 14:40
esCCI
[L/min/m
4.40
2
]
2.20
17-01-2012 13:11 - 13:41
Gender Male Patient ID
0.00
PPV
[%]
0 31 62 10
24 Operator’s Manual QP-033P/034P
Selecting Parameters for Trendgraph Display
Up to six parameters can be displayed as trendgraphs on the TREND + TARGET
and TREND windows.
1. Display the TREND window of the HEMO GRAPH window.
Press the [Menu] key → HEMO GRAPH key → TREND tab.
2. Touch the SETTINGS key.
3. Select the position in the display order of the parameters for drawing the
trendgraph. The trendgraphs overlaps each other. The trendgraph of the top
parameter comes in front and the trendgraph of the other parameters are
drawn in the list order. However, PAP is always drawn at the back, AP comes
in front of PAP and NIBP is always drawn in front.
Select display order
Available parameters
4. Select the parameter you want to display on the trendgraph. Use the None
5. Repeat steps 3 and 4 to select other parameters.
6. Display the TREND + TARGET or TREND window and check the
Changing the Trendgraph Scale
You can change the trendgraph scale for each parameter.
1. Display the TREND window of the HEMO GRAPH window.
Press the [Menu] key → HEMO GRAPH key → TREND tab.
2. Touch the SCALE key.
key to deselect the parameter.
trendgraph display.
Operator’s Manual QP-033P/034P 25
3. Select the parameter to change the scale.
Select parameter
4. Select the scale for the trendgraph.
The entire trendgraph might not be displayed on the screen
depending on the scale. Select the appropriate scale.
5. Display the TREND + TARGET or TREND window and check the
trendgraph display.
Selecting Parameters for Target Graph Display
Select scale
NOTE
Select the parameters for the x axis and y axis of GRAPH 1 and 2. The
parameters for GRAPH 3 cannot be changed.
1. Display the GRAPH window of the HEMO GRAPH window.
Press the [Menu] key → HEMO GRAPH key → GRAPH 1 or 2 tab.
2. Touch the SETTINGS key.
3. Touch the axis key on the target graph you want to change. When the x axis
is selected, the parameters in the <X-axis> box become available. When the
y axis is selected, the parameters in the <Y-axis> box become available.
When an x axis key is
selected, x axis parameters
become available
When a y axis key is
selected, y axis parameters
become available
Axis key
4. Select the parameter from the <X-axis> or <Y-axis> box.
26 Operator’s Manual QP-033P/034P
5. Repeat steps 3 and 4 to change the parameters of other axes for the other
target graphs.
6. Select On or Off to display or not display the target area on the target graphs.
The pink box on the target graph is the target area.
CAUTION
When displaying the target area on the target graphs, set the
appropriate scale of the target area based on the patient condition.
7. Display the TREND + TARGET or GRAPH window and check the target
graph display.
Selecting the Target Graph to be Displayed on the TREND + TARGET Window
You can select the target graph to be displayed on the TREND + TARGET
window.
1. Display the TREND + TARGET window of the HEMO GRAPH window.
Press the [Menu] key → HEMO GRAPH key → TREND + TARGET tab.
2. Touch the SETTINGS key. The TARGET GRAPH window is displayed.
3. Select one target graph to be displayed on the TREND + TARGET window.
4. Touch to close the window.
5. Check the target graph display on the TREND + TARGET window.
Changing the Master Graph Settings
The monitor has master graph settings on which parameters and scales of the
graphs are set. These settings can be changed any time on the graph windows but
these change back to the master settings when:
• The monitor power is off for more than 30 minutes when <SHOW
ADMIT CONFIRMATION WINDOW> is set to “Off” in the SYSTEM
CONFIGURATION screen.
• The patient is admitted or discharged.
• The “PATIENT TYPE” setting is changed on the ADMIT DISCHARGE
window.
Operator’s Manual QP-033P/034P 27
1. Press the [Menu] key on the front panel to display the MENU window.
2. Touch the SYSTEM key on the MENU window.
3. Enter the password. For details on the password, refer to the BSM-3000 or
BSM-6000 series bedside monitor Administrator’s Guide.
4. Touch the HEMO GRAPH tab.
5. On the MASTER TREND window, set the parameters and scales for the
trendgraph display. The procedure is the same as changing trendgraph
settings on the TREND window. Refer to the “Selecting Parameters for
Trendgraph Display” and “Changing the Trendgraph Scale” section.
Select the target graphs
to be displayed on the
TREND + TARGET
window
When a y axis key is selected,
this center scale for the y axis
becomes available
6. Touch the MASTER TARGET tab and set the settings for the target graph
display. The procedure is the same as changing target graph settings. Refer
to the “Selecting Parameters for Target Graph Display” and “Selecting the
Target Graph to be Displayed on the TREND + TARGET window” section.
The scale can also be set on this window.
Axis key
When an x axis key is
selected, the parameters for
the x axis become available
When a y axis key is
selected, the parameters
for the y axis become
available
When an x axis key is selected, the center scale and
secondary scale for the x axis become available
7. Press the [Home] key to return to the home screen.
28 Operator’s Manual QP-033P/034P
Screen Messages and Troubleshooting
Screen Messages
An item with an asterisk (*) in the left column is an alarm.
If the problem cannot be solved after performing the countermeasure,
contact your Nihon Kohden representative.
Message Possible Cause/Criteria Action
— CAL COMPLETE
— CAL ERROR
CHECK CAL
—
PARAMETER
* esCCI ALARM
* esCCO ALARM
* esCCO ERROR
— READY FOR CAL
Calibration for esCCO monitoring is
complete.
Calibration failed. The following points
may be the cause of calibration failure.
• CO value is smaller than 0.5 L/min or
larger than 20.0 L/min
• PWTT changed greatly
• HR changed greatly
The parameter data required for
performing calibration are not monitored.
esCCI upper or lower limit alarm occurred
or the measured value is out of range.
esCCO upper or lower limit alarm
occurred or the measured value is out of
range.
Measured value is out of range.
NIBP is measured. —
The AY-600P series input unit or BSM1700 series bedside monitor which has the
calibration data for esCCO is connected.
The parameter data required for
performing calibration are ready.
NOTE
—
Check the patient and the data on the monitor.
Remove the cause and calibrate again.
PWTT, HR, CO and PP are necessary for
calibration. Check the patient and settings on the
esCCO window.
Check the patient condition.
Check the patient condition.
PWTT might not be an appropriate value. Check
—
monitoring
2
the patient and ECG and SpO
condition.
Calibrate.
Troubleshooting
For troubleshooting ECG, SpO2, NIBP, IBP and CO monitoring, refer to the
BSM-3000 or BSM-6000 series bedside monitor Operator’s Manual.
Operator’s Manual QP-033P/034P 29
Reference
Alarm Indications
When the QP-033P or QP-034P is installed, the following indications, range,
settings and specications are added. For other indications, range, settings and
specications, refer to the BSM-3000 or BSM-6000 series bedside monitor
manuals.
Alarm Alarm Level Alarm Sound Alarm Display
esCCO
esCCI
CRISIS
WARNING
ADVISORY
CRISIS
WARNING
ADVISORY
NK1 (Continuous pip sound),
NK2 (Continuous ping sound) or
IEC standard (ceg-gC)
NK1 (Continuous bing bong
sound), NK2 (Continuous ding
ding sound) or IEC standard (ceg)
NK1 and NK2 (Single beep
every 20 or 120 seconds) or IEC
standard (ec every 20 or 120
seconds)
NK1 (Continuous pip sound),
NK2 (Continuous ping sound) or
IEC standard (ceg-gC)
NK1 (Continuous bing bong
sound), NK2 (Continuous ding
ding sound) or IEC standard (ceg)
NK1 and NK2 (Single beep
every 20 or 120 seconds) or IEC
standard (ec every 20 or 120
seconds)
Highlighted numeric
data and “esCCO
ALARM” message
Highlighted numeric
data and “esCCO
ALARM” message
Highlighted numeric
data and “esCCO
ALARM” message
Highlighted numeric
data and “esCCI
ALARM” message
Highlighted numeric
data and “esCCI
ALARM” message
Highlighted numeric
data and “esCCI
ALARM” message
Sound/Display
Duration
During detection
During detection
Alarm
Indicator LED
Blinking red
Blinking yellow
Lights in cyan/
yellow
Blinking red
Blinking yellow
Lights in cyan/
yellow
Automatically Setting All Upper and Lower Alarm Limits
Automatic Setting Range
Alarm Item Automatically Set Upper Limit Value Automatically Set Lower Limit Value Unit
esCCO esCCO × 1.15 esCCO × 0.85 L/min
esCCI esCCI × 1.15 esCCI × 0.85 L/min/m
30 Operator’s Manual QP-033P/034P
2
List of Setting Items and Default Settings (BSM-6000 series)
OK: Remains in memory even when the power is turned off.
Master: When <DATA TRANSPORT USING INPUT UNIT> is set to “DISABLE”, and
<SHOW ADMIT CONFIRMATION WINDOW> is set to “Off” in the SYSTEM
CONFIGURATION screen, the setting remains in memory for about 30 minutes after
turning the power off. After that, the setting changes back to the master setting.
When <DATA TRANSPORT USING INPUT UNIT> is set to “ENABLE” or
<SHOW ADMIT CONFIRMATION WINDOW> is set to “On” in the SYSTEM
CONFIGURATION screen, the setting always remains in memory.
–: Returns to the default setting when the power is turned off.
TREND Window
Window Page Item Setting Item Default Setting Backup
esCCO 0.00-20.00 L/min 4.00-6.00 L/min
esCCI 0.00-20.00 L/min/m
esSV 0-300 mL 0-160 mL
SCALE
esSVI 0-200 mL/m
esSVR
esSVRI
GRAPH 1
TREND
GRAPH 2
GRAPH 3**
SETTINGS
* Not available for BSM-6000A series.
** When the QP-033P is installed, GRAPH 3 is not available.
0-3000 dyn•s•m
0.0-300.0 kPa•s•m2/L 0.0-200.0 kPa•s•m2/L
0-6000 dyn•s•m
0-600.0 kPa•s•m2/L 0.0-400.0 kPa•s•m2/L
HR, PR, VPC, RR, APNEA-T, APNEA-F,
NIBP, CO
2
PI(SpO2), SpO2-2, PI(SpO2-2), Tb, ST-I
to ST-V6, ART, ART2, RAD, DORS, AO,
FEM, UA, UV, PAP, CVP, RAP, RVP, LAP,
LVP, ICP, ICP2 to ICP4, P1 to P7, PPV,
SPV, Tskin, Tskin2, Tskin3, Trect, Tcore,
Tnaso, Teso, Ttymp, Tblad, Taxil, T1 to T4,
N2O(E), N2O(I), HAL(E), HAL(I), ISO(E),
ISO(I), ENF(E), ENF(I), DES(E), DES(I),
SEV(E), SEV(I), BIS, SQI(BIS), SR,
EMG, PWTT, CCO, CCI, SV, SVI, Sv-O2,
ScvO2, EDV, CF, SVR, SVRI, SVV, HRV,
PCCO, PCCI, DO2*, DO2I*, VO2*, VO2I*,
esCCO*, esCCI*, esSV*, esSVI*, esSVR*,
esSVRI*, TOFrat, TOFcnt, PTC, MV*,
TVe*, C*, R*, Re*, Ri*, Ppeak*, Pmean*,
PEEP*, tcPO2, tcPCO2, rSO2-1 to rSO2-4,
NONE
2
2
2
5
/cm
2
5
/cm
(E), CO2(I), O2(E), O2(I), SpO2,
4.00-6.00 L/min/m
0-80 mL/m
2
0-2000 dyn•s•m2/cm
0-4000 dyn•s•m2/cm
GRAPH 1
LEFT1: HR
LEFT2, 3: NONE
RIGHT1: SpO
2
RIGHT2, 3: NONE
GRAPH2
LEFT1: NIBP
LEFT2, 3: NONE
RIGHT1: ART
RIGHT2, 3: NONE
GRAPH3**
LEFT1: T1
LEFT2, 3: NONE
RIGHT1: T2
RIGHT2, 3: NONE
2
5
5
OK
Operator’s Manual QP-033P/034P 31
Window Page Item Setting Item Default Setting Backup
HR, PR, VPC, RR, NIBP-SYS, NIBP-DIA,
NIBP-MAP, NIBP-PR, CO2(E), CO2(I),
O2(E), O2(I), SpO2, PI(SpO2), SpO2-2,
PI(SpO2-2), Tb, ST-I to ST-V6, ART-SYS,
ART-DIA, ART-MEAN, ART2-SYS, ART2DIA, ART2-MEAN, RAD-SYS, RAD-DIA,
TABLE 1
TABLE 2
TABLE 3
TREND
NIBP
TREND
* Not available for BSM-6000A series.
SETTINGS
SETTINGS
PARAMETER
SETUP
PARAMETER
SETUP
RAD-MEAN, DORS-SYS, DORS-DIA,
DORS-MEAN, AO-SYS, AO-DIA, AOMEAN, FEM-SYS, FEM-DIA, FEMMEAN, UA-SYS, UA-DIA, UA-MEAN,
UV-MAX, UV-MIN, UV-MEAN, PAP-SYS,
PAP-DIA, PAP-MEAN, CVP-MAX, CVPMIN, CVP-MEAN, RAP-MAX, RAP-MIN,
RAP-MEAN, RVP-SYS, RVP-DIA, RVPMEAN, LAP-MAX, LAP-MIN, LAPMEAN, LVP-SYS, LVP-DIA, LVP-MEAN,
ICP-MAX, ICP2-MAX to ICP4-MAX, ICPMIN, ICP2-MIN to ICP4-MIN, ICP-MEAN,
ICP2-MEAN to ICP4-MEAN, P1-SYS to
P7-SYS, P1-DIA to P7-DIA, P1-MEAN to
P7-MEAN, PPV, SPV, Tskin, Tskin2, Tskin3,
Trect, Tcore, Tnaso, Teso, Ttymp, Tblad,
Taxil, T1 to T4, N2O(E), N2O(I), HAL(E),
HAL(I), ISO(E), ISO(I), ENF(E), ENF(I),
DES(E), DES(I), SEV(E), SEV(I), O2 LEV,
HAL LEV, ISO LEV, ENF LEV, DES LEV,
SEV LEV, BIS, SQI(BIS), SR, EMG, CCO,
CCI, SV, SVI, Sv-O2, ScvO2, EDV, EDVI,
ESV, ESVI, EF, CF, SVR, SVRI, SVV, HRV,
PCCO, PCCI, DO2*, DO2I*, VO2*, VO2I*,
esCCO*, esCCI*, esSV*, esSVI*, esSVR*,
esSVRI*, TOFrat, TOFcnt, PTC, MV*,
TVe*, C*, R*, Re*, Ri*, Ppeak*, Pmean*,
PEEP*, tcPO2, tcPCO2, rSO2-1 to rSO2-4,
NONE
HR, PR, VPC, RR, NIBP-SYS, NIBP-DIA,
NIBP-MAP, NIBP-PR, CO2(E), CO2(I),
O2(E), O2(I), SpO2, PI(SpO2), SpO2-2,
PI(SpO2-2), Tb, ST-I to ST-V6, ART-SYS,
ART-DIA, ART-MEAN, ART2-SYS,
ART2-DIA, ART2-MEAN, RAD-SYS,
RAD-DIA, RAD-MEAN, DORS-SYS,
DORS-DIA, DORS-MEAN, AO-SYS,
AO-DIA, AO-MEAN, FEM-SYS, FEMDIA, FEM-MEAN, UA-SYS, UA-DIA,
UA-MEAN, UV-MAX, UV-MIN, UVMEAN, PAP-SYS, PAP-DIA, PAP-MEAN,
CVP-MAX, CVP-MIN, CVP-MEAN,
RAP-MAX, RAP-MIN, RAP-MEAN, RVPSYS, RVP-DIA, RVP-MEAN, LAP-MAX,
LAP-MIN, LAP-MEAN, LVP-SYS, LVPDIA, LVP-MEAN, ICP-MAX, ICP2-MAX
to ICP7-MAX, ICP-MIN, ICP2-MIN to
ICP4-MIN, ICP-MEAN, ICP2-MEAN to
ICP4-MEAN, P1-SYS to P7-SYS, P1-DIA
to P7-DIA, P1-MEAN to P7-MEAN, PPV,
SPV, Tskin, Tskin2, Tskin3, Trect, Tcore,
Tnaso, Teso, Ttymp, Tblad, Taxil, T1 to T4,
N2O(E), N2O(I), HAL(E), HAL(I), ISO(E),
ISO(I), ENF(E), ENF(I), DES(E), DES(I),
SEV(E), SEV(I), O2 LEV, HAL LEV, ISO
LEV, ENF LEV, DES LEV, SEV LEV, BIS,
SQI(BIS), SR, EMG, CCO, CCI, SV, SVI,
Sv-O2, ScvO2, EDV, EDVI, ESV, ESVI, EF,
CF, SVR, SVRI, SVV, HRV, PCCO, PCCI,
DO2*, DO2I*, VO2*, VO2I*, esCCO*,
esCCI*, esSV*, esSVI*, esSVR*, esSVRI*,
TOFrat, TOFcnt, PTC, MV*, TVe*, C*, R*,
Re*, Ri*, Ppeak*, Pmean*, PEEP*, tcPO2,
tcPCO2, rSO2-1 to rSO2-4, NONE
TABLE 1
1. HR, 2. PR, 3. RR,
4. SpO2, 5. ART-SYS,
6. ART-DIA,
7. ART-MEAN,
8. CVP-MEAN, 9. T1,
10. T2, 11. CO2(E),
12. O2(I), 13. SEV(E),
14. SEV(I), 15. NONE
TABLE2
1. HR, 2. PR, 3. VPC,
4. ST-II, 5. RR, 6. SpO2,
7. ART-SYS, 8. ART-DIA,
9. ART-MEAN,
10. CVP-MEAN,
11. T1, 12. T2,
13. to 15. NONE
TABLE3
1. HR, 2. PR, 3. RR,
4. SpO2, 5. O2(I),
6. T1, 7. to 15. NONE
1. NIBP-SYS,
2. NIBP-DIA,
3. NIBP-MAP,
4. NIBP-PR, 5. HR,
6. PR, 7. VPC, 8. ST-II,
9. RR, 10. SpO2,
11. ART-SYS,
12. ART-DIA,
13. ART-MEAN,
14. CVP-MEAN, 15. T1
OK
32 Operator’s Manual QP-033P/034P
ALARM LIMITS Window
Vital Signs Alarms
Window Page Setting Item Settings Range Step Default Setting Backup
ALARM
LIMITS
* Not available for BSM-6000A series.
OTHER ALARMS
esCCO*
esCCI*
Upper OFF, 0.60 to 20.00 L/min
Lower OFF, 0.50 to 19.90 L/min OFF
Upper OFF, 0.60 to 20.00 L/min/m
Lower OFF, 0.50 to 19.90 L/min/m
2
2
0.1
0.1
OFF
OFF
OFF
Master
esCCO Window
Window Page Item Setting Item Default Setting Backup
254 YEARS 11 MONTHS 30
esCCO
DATE OF BIRTH
HEIGHT
PATIENT INFO
WEIGHT
BSA (Calculated automatically)
GENDER MALE, FEMALE, (blank) (blank) OK
MAIN ALARMS
CAL CO
CAL
CAL PP
esCCO MEASUREMENT ON, OFF OFF
OTHER
NUMERIC DISPLAY
PARAMETER FOR CURRENT
TREND
cm 0.1 to 299.9 cm —
inch 0 ft 0.1 in to 9 ft 11.9 in —
kg 0.1 to 449.9 kg —
pound 0.1 to 654.9 lb —
esCCO
esCCI
DAYS before to the present
date
(Related to input height and
weight data)
The setting items and default setting are the same as the
ALARM LIMITS setting in OTHER ALARMS page.
CO FROM PATIENT INFO,
CO FROM HEMO TREND,
CCO, MANUALLY ENTER
ART, ART 2, RAD, FEM,
NIBP
SELECTABLE ITEMS:
esCCO, esCCI, esSV, esSVI,
esSVR, esSVRI, NONE
esCCO, esCCI esCCO
CO FROM PATIENT
INFO
ART
esCCO
—
— —
OK
Master
OK
Operator’s Manual QP-033P/034P 33
HEMO GRAPH Window (QP-033P Only)
Window Page Item Setting Item Default Setting Backup
SETTINGS TARGET GRAPH
TREND + TARGET
Target graph time
Trend time
SETTINGS
TREND
SCALE SETUP
HEMO
GRAPH
Trend time
SETTINGS
GRAPH
(Target graph)
SCALE SETUP
Target graph time
†
Only available when the QM-601P memory card is installed.
††
0% is positioned at right on the target graph.
HR, PR 0-100, 0-200, 0-300 bpm 0-200 bpm
AP, NIBP, AP(S),
AP(M)
PI 0-2, 0-5, 0-20%, 0.01-100 (log) 0.01-100 (log)
SVR, esSVR
SVRI, esSVRI
PAP, PAP(D),
CVP(M)
PPV, SPV, SVV 0-20, 0-40, 0-100% 0-40%
CCO, PCCO,
esCCO
CCI, PCCI, esCCI 0-4, 0-8, 0-20 L/min/m
SV, esSV 0-80, 0-160, 0-300 mL 0-160 mL
SVI, esSVI 0-40, 0-80, 0-200 mL/m
SvO2, ScvO
X-AXIS
Y-AXIS
TARGET AREA ON, OFF ON
CVP(M), PAP(D) 0 to 80 mmHg (0 to 10.0 kPa)
PPV, SPV, SVV 0 to 100%
esCCO, CCO,
PCCO
esCCI, CCI, PCCI 0 to 20 L/min/m
esSV, SV 0 to 300 mL 30 mL
esSVI, SVI 0 to 200 mL/m
AP(S), AP(M) 0 to 300 mmHg (0 to 40.0 kPa) 65 mmHg (8.8 kPa)
O2, ScvO
Sv
GRAPH 1, GRAPH 2,
GRAPH 3
30 min (2 min), 1 h (5 min),
2 h (10 min), 4 h (20 min),
6 h (30 min), 8 h (40 min),
12 h (1 h), 24 h (2 h)
30 min, 1 h, 2 h, 4 h, 6 h, 8 h,
12 h, 24 h, 48 h
†
, 72 h
†
HR, PR, AP, NIBP, PAP, PI,
SVR, SVRI, esSVR, esSVRI,
PAP(D), CVP(M), PPV, SPV,
SVV, CCO, CCI, PCCO, PCCI,
esCCO, esCCI, SV, SVI, esSV,
esSVI, AP(S), AP(M), Sv
ScvO
2
0-100, 0-200, 0-300 mmHg
0-13.5, 0-26.5, 0-40.0 kPa
0-1000, 0-2000,
0-3000 dyn*s/cm
5
0-100, 0-200, 0-300 kPa*s/L
0-2000, 0-4000,
0-6000 dyn*s*m
2
/cm
5
0-200, 0-400,
0-600 kPa*s*m2/L
0-20, 0-40, 0-80 mmHg
0-2.5, 0-5.5, 0-10.5 kPa
0-4, 0-8, 0-20 L/min 0-8 L/min
2
0-100, 50-100% 0-100%
2
30 min, 1 h, 2 h, 4 h, 6 h, 8 h,
12 h, 24 h, 48 h
†
, 72 h
†
PAP(D), CVP(M), PPV, SPV,
SVV
CCO, CCI, PCCO, PCCI,
esCCO, esCCI, SV, SVI, esSV,
esSVI, AP(S), AP(M), Sv
ScvO
2
††
0 to 20 L/min 3 L/min
2
2
0 to 100%
2
30 min (2 min), 1 h (5 min),
2 h (10 min), 4 h (20 min),
6 h (30 min), 8 h (40 min),
12 h (1 h), 24 h (2 h)
2
GRAPH 1 Master
1 h (5 min)
4 h
HR, AP, CVP(M), PPV,
esCCO
O2,
0-200 mmHg
0-26.5 kPa
0-2000 dyn*s/cm
0-200 kPa*s/L
0-4000 dyn*s*m2/cm
0-400 kPa*s*m2/L
0-40 mmHg
0-5.5 kPa
0-8 L/min/m
0-80 mL/m
2
2
4 h OK
GRAPH 1: PPV
GRAPH 2: CVP(M)
GRAPH 1: CCI
O2,
GRAPH 2: AP(M)
Center Scale:
12 mmHg (1.6 kPa)
Secondary Scale:
8 mmHg (1.2 kPa)
Center Scale: 13%
Secondary Scale: 10%
2.2 L/min/m
20 mL/m
2
2
SvO2: 65%,
ScvO2: 70%
1 h (5 min) OK
5
Master
5
Master
OK
34 Operator’s Manual QP-033P/034P
SYSTEM SETUP Window
Window Page Setting Item Setting Range Default Setting Backup
esCCO MEASUREMENT On, Off On
PARAMETERS esCCO
MASTER CAL CO
CO FROM PATIENT INFO,
CO FROM HEMO TREND, CCO,
MANUALLY ENTER
CO FROM
PATIENT INFO
MASTER CAL PP ART, ART 2, RAD, FEM, NIBP A RT
ALARM
ALARM
PRIORITY
COLOR OTHER PARAM
PARAMETER
3
esCCO/esCCI*
esCCO
SVR/esSVR yellow green
FUNCTION KEYS
1
CRISIS, WARNING, ADVISORY ADVISORY
Green, cyan, salmon, sky blue, yellow,
white
light yellow, white, pink, yellow green,
purple, red, orange
FREEZE, TOUCHKEYS OFF,
ZERO ALL, SUSPEND ALARMS,
ALL ALARMS OFF*
2
, SUSPEND
MONITORING*3, SLEEP*4, BYPASS*5,
NIBP START/STOP, MARK*6,
1: MENU
2: TREND GRAPH
3: ZERO ALL
4: ALARM
HISTORY
MENU, HOME, LARGE NUMERICS,
DISCHARGE (BSM-6000K series
only), NEXT CASE (BSM-6000A series
only)*7, TRANSPORT DATA (BSM6000K series only)*8, X-PORT DATA
KEYS
(BSM-6000A series only)*8, VENOUS
PUNCTURE, 12 LEAD ANALYSIS,
REMOTE CONTROL
KEYS
CO, PCWP, GAS, INTERBED, DRUG,
LUNG FUNCTION, TIMER, TREND
NONE
GRAPH, TREND DATA, RECALL,
ALARM HISTORY, FULL DISC, ST
TREND*9, NIBP TREND, HEMO
TREND, LUNG TREND, OCRG*10,
12 LEAD, aEEG*11, HEMO GRAPH*6,
OK
PRINT WAVE, PRINT OCRG, RECORD
OCRG, RECORD WAVE, NONE
HR, PR, AP, NIBP, PAP, PI, SVR, SVRI,
PARAMETER
esSVR, esSVRI, PAP(D), CVP(M), PPV,
SPV, SVV, CCO, CCI, PCCO, PCCI,
esCCO, esCCI, SV, SVI, esSV, esSVI,
AP(S), AP(M), Sv
O2, ScvO
2
HR, AP, CVP(M),
PPV, esCCO
HR, PR 0-100, 0-200, 0-300 bpm 0-200 bpm
AP, NIBP,
AP(S), AP(M)
0-100, 0-200, 0-300 mmHg
0-13.5, 0-26.5, 0-40.0 kPa
0-200 mmHg
0-26.5 kPa
PI 0-2, 0-5, 0-20%, 0.01-100 (log) 0.01-100 (log)
HEMO
GRAPH*
5
MASTER TREND
SCALE
SVR, esSVR
SVRI, esSVRI
PAP(D), PAP,
CVP(M)
0-1000, 0-2000, 0-3000 dyn*s/cm
0-100, 0-200, 0-300 kPa*s/L
0-2000, 0-4000, 0-6000 dyn*s*m
0-200, 0-400, 0-600 kPa*s*m2/L
0-20, 0-40, 0-80 mmHg
0-2.5, 0-5.5, 0-10.5 kPa
2
5
/cm
0-2000 dyn*s/cm
0-200 kPa*s/L
0-4000 dyn*s*m2/
5
5
cm
0-400 kPa*s*m2/L
0-40 mmHg
0-5.5 kPa
5
PPV, SPV, SVV 0-20, 0-40, 0-100% 0-40%
CCO, PCCO,
esCCO
CCI, PCCI,
esCCI
0-4, 0-8, 0-20 L/min 0-8 L/min
0-4, 0-8, 0-20 L/min/m
2
0-8 L/min/m
2
SV, esSV 0-80, 0-160, 0-300 mL 0-160 mL
1
*
Not available for BSM-6000A series.
SVI, esSVI 0-40, 0-80, 0-200 mL/m
SvO2, ScvO
0-100, 50-100% 0-100%
2
2
0-80 mL/m
2
*2 Available when site is ICU or NICU and alarm off type is set to “ALL ALARMS OFF”, or when site is OR and alarm inactivation and alarm off type
are set to “ALL ALARMS OFF”.
*3 Available only when alarm inactivation is set to “SUSPEND ALARMS”.
*4 Available only when site is ICU or NICU and alarm inactivation is set to “SUSPEND ALARMS”.
*5 Available only when site is OR and alarm off type is “BYPASS”.
*6 Available only when the QP-033P is installed.
*7 Available only when site is OR.
*8 Available only when data transport setting is “ENABLE”.
*9 When site is NICU, available only when ST measurement is set to “ON”.
*10 Available only when site is NICU.
*11 Not available for BSM-6301A/K.
Operator’s Manual QP-033P/034P 35
Window Page Setting Item Setting Range Default Setting Backup
X-AXIS PAP(D), CVP(M), PPV, SPV, SVV
CCO, CCI, PCCO, PCCI, esCCO, esCCI,
Y-AXIS
SV, SVI, esSV, esSVI, AP(S), AP(M),
O2, ScvO
Sv
2
Graph 1: PPV
Graph 2: CVP(M)
Graph 1: CCI
Graph 2: AP(M)
Center Scale:
CVP(M),
PAP(D)
0 to 80 mmHg (0 to 10.0 kPa)
12 mmHg (1.6 kPa)
Secondary Scale:
8 mmHg (1.2 kPa)
Center Scale: 13%
HEMO
GRAPH*
MASTER TARGET
SCALE
PPV, SPV, SVV
esCCO, CCO,
PCCO
esCCI, CCI,
PCCI
esSV, SV
esSVI, SVI
AP(S), AP(M)
O2, ScvO
Sv
2
0 to 100%**
0 to 20 L/min 3 L/min
0 to 20 L/min/m
2
0 to 300 mL 30 mL
0 to 200 mL/m
2
0 to 300 mmHg (0 to 40.0 kPa) 65 mmHg (8.8 kPa)
0 to 100%
Secondary Scale:
10%
2.2 L/min/m
20 mL/m
2
2
SvO2: 65%,
ScvO2: 70%
TARGET AREA ON, OFF ON
TREND + TARGET GRAPH 1, GRAPH 2, GRAPH 3 GRAPH 1
* Available only when the QP-033P is installed.
** 0% is positioned at right on the target graph.
OK
36 Operator’s Manual QP-033P/034P
List of Setting Items and Default Settings (BSM-3000 series)
OK: Remains in memory even when the power is turned off.
Master: When <DATA TRANSPORT USING INPUT UNIT> is set to “DISABLE”, and
<SHOW ADMIT CONFIRMATION WINDOW> is set to “Off” in the SYSTEM
CONFIGURATION screen, the setting remains in memory for about 30 minutes after
turning the power off. After that, the setting changes back to the master setting.
When <DATA TRANSPORT USING INPUT UNIT> is set to “ENABLE” or
<SHOW ADMIT CONFIRMATION WINDOW> is set to “On” in the SYSTEM
CONFIGURATION screen, the setting always remains in memory.
–: Returns to the default setting when the power is turned off.
TREND Window
Window Page Item Setting Item Default Setting Backup
esCCO 0.00-20.00 L/min 4.00-6.00 L/min
esCCI 0.00-20.00 L/min/m
esSV 0-300 mL 0-160 mL
SCALE
esSVI 0-200 mL/m
esSVR
esSVRI
0-3000 dyn•s•m
0.0-300.0 kPa•s•m2/L 0.0-200.0 kPa•s•m2/L
0-6000 dyn•s•m
0-600.0 kPa•s•m2/L 0.0-400.0 kPa•s•m2/L
HR, PR, VPC, RR, APNEA-T, APNEA-F, NIBP,
(E), CO2(I), O2(E), O2(I), SpO2, PI(SpO2),
CO
2
Tb, ST-I to ST-V6, ART, ART2, RAD, DORS,
AO, FEM, UA, UV, PAP, CVP, RAP, RVP,
LAP, LVP, ICP, ICP2, ICP3*1, ICP4*2, P1, P2,
P3*1, P4*2, P5*2, P6*2, P7*2, PPV, SPV, Tskin,
TREND
GRAPH 1
GRAPH 2
GRAPH 3*
4
Tskin2, Tskin3*1, Trect, Tcore, Tnaso, Teso,
Ttymp, Tblad, Taxil, T1, T2, N2O(E), N2O(I),
SETTINGS
HAL(E), HAL(I), ISO(E), ISO(I), ENF(E),
ENF(I), DES(E), DES(I), SEV(E), SEV(I), BIS,
SQI(BIS), SR, EMG, PWTT, CCO, CCI, SV,
SVI, Sv-O2, ScvO2, EDV, CF, SVR, SVRI, SVV,
HRV, PCCO, PCCI, DO2*3, DO2I*3, VO2*3,
VO2I*3, esCCO*3, esCCI*3, esSV*3, esSVI*3,
esSVR*3, esSVRI*3, TOFrat, TOFcnt, PTC,
MV*3, TVe*3, C*3, R*3, Re*3, Ri*3, Ppeak*3,
Pmean*3, PEEP*3, tcPO2, tcPCO2, rSO2-1 to
rSO2-4, NONE
1
*
Not available when a BSM-3532, BSM-3552, BSM-3562, or BSM-3572 bedside monitor is used.
*2 Only available when the QI-374P interface is installed to the bedside monitor.
*3 Not available for Op No. 32A, 52A, 72A, 33A, 53A and 73A.
*4 When the QP-033P is installed, GRAPH 3 is not available.
2
2
2
5
/cm
2
5
/cm
4.00-6.00 L/min/m
0-80 mL/m
0-2000 dyn•s•m2/cm
0-4000 dyn•s•m2/cm
2
2
5
5
GRAPH 1
LEFT1: HR
LEFT2, 3: NONE
RIGHT1: SpO
2
RIGHT2, 3: NONE
GRAPH2
LEFT1: NIBP
LEFT2, 3: NONE
RIGHT1: ART
RIGHT2, 3: NONE
GRAPH3*
4
LEFT1: T1
LEFT2, 3: NONE
RIGHT1: T2
RIGHT2, 3: NONE
OK
Operator’s Manual QP-033P/034P 37
Window Page Item Setting Item Default Setting Backup
HR, PR, VPC, RR, NIBP-SYS, NIBP-DIA, NIBP-
TREND
TABLE 1
TABLE 2
TABLE 3
SETTINGS
PARAMETER
SETUP
MAP, NIBP-PR, CO
PI(SpO
), Tb, ST-I to ST-V6, ART-SYS, ART-DIA,
2
ART-MEAN, ART2-SYS, ART2-DIA, ART2MEAN, RAD-SYS, RAD-DIA, RAD-MEAN,
DORS-SYS, DORS-DIA, DORS-MEAN, AO-SYS,
AO-DIA, AO-MEAN, FEM-SYS, FEM-DIA,
FEM-MEAN, UA-SYS, UA-DIA, UA-MEAN, UVMAX, UV-MIN, UV-MEAN, PAP-SYS, PAP-DIA,
PAP-MEAN, CVP-MAX, CVP-MIN, CVP-MEAN,
RAP-MAX, RAP-MIN, RAP-MEAN, RVP-SYS,
RVP-DIA, RVP-MEAN, LAP-MAX, LAP-MIN,
LAP-MEAN, LVP-SYS, LVP-DIA, LVP-MEAN,
ICP-MAX, ICP2-MAX, ICP3-MAX*
2
MAX*
, ICP-MIN, ICP2-MIN, ICP3-MIN*1,
ICP4-MIN*
1
MEAN*
, ICP4-MEAN*2, P1-SYS, P2-SYS, P3-
1
SYS*
, P4-SYS*2, P5-SYS*2, P6-SYS*2, P7-SYS*2,
P1-DIA, P2-DIA, P3-DIA*
2
P6-DIA*
MEAN*
, P7-DIA*2, P1-MEAN, P2-MEAN, P3-
1
, P4-MEAN*2, P5-MEAN*2, P6-MEAN*2,
P7-MEAN*
Trect, Tcore, Tnaso, Teso, Ttymp, Tblad, Taxil,
T1, T2, T3*
ISO(E), ISO(I), ENF(E), ENF(I), DES(E), DES(I),
SEV(E), SEV(I), O
ENF LEV, DES LEV, SEV LEV, BIS, SQI(BIS),
SR, EMG, CCO, CCI, SV, SVI, Sv-O
EDVI, ESV, ESVI, EF, CF, SVR, SVRI, SVV,
HRV, PCCO, PCCI, DO
3
esCCO*
, esCCI*3, esSV*3, esSVI*3, esSVR*3,
3
esSVRI*
, TOFrat, TOFcnt, PTC, MV*3, TVe*3,
3
C*
, R*3, Re*3, Ri*3, Ppeak*3, Pmean*3, PEEP*3,
tcPO
, tcPCO2, rSO2-1 to rSO2-4, NONE
2
HR, PR, VPC, RR, NIBP-SYS, NIBP-DIA, NIBPMAP, NIBP-PR, CO
PI(SpO
), Tb, ST-I to ST-V6, ART-SYS, ART-DIA,
2
ART-MEAN, ART2-SYS, ART2-DIA, ART2-
(E), CO2(I), O2(E), O2(I), SpO2,
2
1
, ICP4-
2
, ICP-MEAN, ICP2-MEAN, ICP3-
1
, P4-DIA*2, P5-DIA*2,
2
, PPV, SPV, Tskin, Tskin2, Tskin3*1,
1
, N2O(E), N2O(I), HAL(E), HAL(I),
LEV, HAL LEV, ISO LEV,
2
, ScvO2, EDV,
2
*3, DO2I*3, VO2*3, VO2I*3,
2
(E), CO2(I), O2(E), O2(I), SpO2,
2
TABLE 1
1. HR, 2. PR, 3. RR,
4. SpO2, 5. ART-SYS,
6. ART-DIA,
7. ART-MEAN,
8. CVP-MEAN, 9. T1,
10. T2, 11. CO2(E),
12. O2(I), 13. SEV(E),
14. SEV(I), 15. NONE
TABLE2
1. HR, 2. PR, 3. VPC,
4. ST-II, 5. RR, 6. SpO2,
7. ART-SYS, 8. ART-DIA,
9. ART-MEAN,
10. CVP-MEAN,
11. T1, 12. T2,
13. to 15. NONE
TABLE3
1. HR, 2. PR, 3. RR,
4. SpO2, 5. O2(I),
6. T1, 7. to 15. NONE
MEAN, RAD-SYS, RAD-DIA, RAD-MEAN,
DORS-SYS, DORS-DIA, DORS-MEAN, AO-SYS,
AO-DIA, AO-MEAN, FEM-SYS, FEM-DIA,
FEM-MEAN, UA-SYS, UA-DIA, UA-MEAN, UVMAX, UV-MIN, UV-MEAN, PAP-SYS, PAP-DIA,
PAP-MEAN, CVP-MAX, CVP-MIN, CVP-MEAN,
RAP-MAX, RAP-MIN, RAP-MEAN, RVP-SYS,
NIBP
TREND
SETTINGS
PARAMETER
SETUP
RVP-DIA, RVP-MEAN, LAP-MAX, LAP-MIN,
LAP-MEAN, LVP-SYS, LVP-DIA, LVP-MEAN,
ICP-MAX, ICP2-MAX, ICP3-MAX*
2
MAX*
, ICP-MIN, ICP2-MIN, ICP3-MIN*1,
ICP4-MIN*
MEAN*
SYS*
P1-DIA, P2-DIA, P3-DIA*
P6-DIA*
MEAN*
P7-MEAN*
Trect, Tcore, Tnaso, Teso, Ttymp, Tblad, Taxil,
T1, T2, T3*
2
, ICP-MEAN, ICP2-MEAN, ICP3-
1
, ICP4-MEAN*2, P1-SYS, P2-SYS, P3-
1
, P4-SYS*2, P5-SYS*2, P6-SYS*2, P7-SYS*2,
2
, P7-DIA*2, P1-MEAN, P2-MEAN, P3-
1
, P4-MEAN*2, P5-MEAN*2, P6-MEAN*2,
2
, PPV, SPV, Tskin, Tskin2, Tskin3*1,
1
, N2O(E), N2O(I), HAL(E), HAL(I),
1
1
, ICP4-
, P4-DIA*2, P5-DIA*2,
1. NIBP-SYS,
2. NIBP-DIA,
3. NIBP-MAP,
4. NIBP-PR, 5. HR,
6. PR, 7. VPC, 8. ST-II,
9. RR, 10. SpO2,
11. ART-SYS,
12. ART-DIA,
13. ART-MEAN,
14. CVP-MEAN, 15. T1
ISO(E), ISO(I), ENF(E), ENF(I), DES(E), DES(I),
SEV(E), SEV(I), O
ENF LEV, DES LEV, SEV LEV, BIS, SQI(BIS),
SR, EMG, CCO, CCI, SV, SVI, Sv-O
EDVI, ESV, ESVI, EF, CF, SVR, SVRI, SVV,
HRV, PCCO, PCCI, DO
3
esCCO*
, esCCI*3, esSV*3, esSVI*3, esSVR*3,
3
esSVRI*
, TOFrat, TOFcnt, PTC, MV*3, TVe*3,
3
C*
, R*3, Re*3, Ri*3, Ppeak*3, Pmean*3, PEEP*3,
tcPO
, tcPCO2, rSO2-1 to rSO2-4, NONE
2
1
*
Not available when a BSM-3532, BSM-3552, BSM-3562, or BSM-3572 bedside monitor is used.
LEV, HAL LEV, ISO LEV,
2
, ScvO2, EDV,
2
*3, DO2I*3, VO2*3, VO2I*3,
2
*2 Only available when the QI-374P interface is installed to the bedside monitor.
*3 Not available for Op No. 32A, 52A, 72A, 33A, 53A and 73A.
OK
38 Operator’s Manual QP-033P/034P
ALARM LIMITS Window
Vital Signs Alarms
Window Page Setting Item Settings Range Step Default Setting Backup
ALARM
LIMITS
* Not available for Op No. 32A, 52A, 72A, 33A, 53A and 73A.
OTHER ALARMS
esCCO*
esCCI*
Upper OFF, 0.60 to 20.00 L/min
Lower OFF, 0.50 to 19.90 L/min OFF
Upper OFF, 0.60 to 20.00 L/min/m
Lower OFF, 0.50 to 19.90 L/min/m
2
2
0.1
0.1
OFF
OFF
OFF
Master
esCCO Window
Window Page Item Setting Item Default Setting Backup
254 YEARS 11 MONTHS 30
esCCO
DATE OF BIRTH
HEIGHT
PATIENT INFO
WEIGHT
BSA (Calculated automatically)
GENDER MALE, FEMALE, (blank) (blank) OK
MAIN ALARMS
CAL CO
CAL
CAL PP
NUMERIC DISPLAY
OTHER
PARAMETER FOR CURRENT
TREND
cm 0.1 to 299.9 cm —
inch 0 ft 0.1 in to 9 ft 11.9 in —
kg 0.1 to 449.9 kg —
pound 0.1 to 654.9 lb —
esCCO
esCCI
DAYS before to the present
date
(Related to input height and
weight data)
The setting items and default setting are the same as the
ALARM LIMITS setting in OTHER ALARMS page.
CO FROM PATIENT INFO,
CO FROM HEMO TREND,
CCO, MANUALLY ENTER
ART, ART 2, RAD, FEM,
NIBP
esCCO, esCCI, esSV, esSVI,
esSVR, esSVRI
esCCO, esCCI esCCO
CO FROM PATIENT
INFO
ART
esCCO
—
— —
OK
Master
OK
Operator’s Manual QP-033P/034P 39
HEMO GRAPH Window (QP-033P Only)
Window Page Item Setting Item Default Setting Backup
SETTINGS TARGET GRAPH
TREND + TARGET
Target graph time
Trend time
SETTINGS
HR, PR 0-100, 0-200, 0-300 bpm 0-200 bpm
AP, NIBP, AP(S),
AP(M)
PI 0-2, 0-5, 0-20%, 0.01-100 (log) 0.01-100 (log)
SVR, esSVR
TREND
SVRI, esSVRI
SCALE SETUP
PAP, PAP(D),
CVP(M)
PPV, SPV, SVV 0-20, 0-40, 0-100% 0-40%
CCO, PCCO,
HEMO
GRAPH
esCCO
CCI, PCCI, esCCI 0-4, 0-8, 0-20 L/min/m
SV, esSV
SVI, esSVI
SvO2, ScvO
Trend time
X-AXIS
SETTINGS
Y-AXIS
TARGET AREA ON, OFF ON
CVP(M), PAP(D) 0 to 80 mmHg (0 to 10.0 kPa)
GRAPH
(Target graph)
SCALE SETUP
PPV, SPV, SVV 0 to 100%
esCCO
PCCO
esCCI
PCCI
esSV†3, SV 0 to 300 mL 30 mL
esSVI
AP(S), AP(M) 0 to 300 mmHg (0 to 40.0 kPa) 65 mmHg (8.8 kPa)
Sv
Target graph time
†1
Only available when the QM-601P memory card is installed.
†2
0% is positioned at right on the target graph.
†3
Not available for BSM-3532, BSM-3552, BSM-3733, BSM-3753.
†3
†3
†3
†3
, CCO,
†3
, CCI,
†3
, SVI 0 to 200 mL/m
O2, ScvO
GRAPH 1, GRAPH 2,
GRAPH 3
30 min (2 min), 1 h (5 min),
2 h (10 min), 4 h (20 min),
6 h (30 min), 8 h (40 min),
12 h (1 h), 24 h (2 h)
30 min, 1 h, 2 h, 4 h, 6 h, 8 h,
12 h, 24 h, 48 h
HR, PR, AP, NIBP, PAP,
PI, SVR, SVRI, esSVR
†1
, 72 h
†1
†3
esSVRI†3, PAP(D), CVP(M),
PPV, SPV, SVV, CCO, CCI,
PCCO, PCCI, esCCO†3,
esCCI†3, SV, SVI, esSV†3,
esSVI†3, AP(S), AP(M), SvO2,
ScvO
2
0-100, 0-200, 0-300 mmHg
0-13.5, 0-26.5, 0-40.0 kPa
0-1000, 0-2000,
†3
0-3000 dyn*s/cm
5
0-100, 0-200, 0-300 kPa*s/L
0-2000, 0-4000,
0-6000 dyn*s*m2/cm
†3
0-200, 0-400,
5
0-600 kPa*s*m2/L
0-20, 0-40, 0-80 mmHg
0-2.5, 0-5.5, 0-10.5 kPa
0-4, 0-8, 0-20 L/min 0-8 L/min
2
0-80, 0-160, 0-300 mL 0-160 mL
0-40, 0-80, 0-200 mL/m
0-100, 50-100% 0-100%
2
30 min, 1 h, 2 h, 4 h, 6 h, 8 h,
12 h, 24 h, 48 h
†1
, 72 h
†1
PAP(D), CVP(M), PPV, SPV,
SVV
CCO, CCI, PCCO, PCCI,
†3
, esCCI†3, SV, SVI,
esCCO
esSV†3, esSVI†3, AP(S), AP(M),
SvO2, ScvO
2
†2
0 to 20 L/min 3 L/min
2
2
2
0 to 20 L/min/m
0 to 100%
30 min (2 min), 1 h (5 min),
2 h (10 min), 4 h (20 min),
6 h (30 min), 8 h (40 min),
12 h (1 h), 24 h (2 h)
GRAPH 1 Master
1 h (5 min)
4 h
,
HR, AP, CVP(M), PPV,
esCCO
0-200 mmHg
0-26.5 kPa
0-2000 dyn*s/cm
0-200 kPa*s/L
0-4000 dyn*s*m2/cm
5
Master
5
0-400 kPa*s*m2/L
0-40 mmHg
0-5.5 kPa
0-8 L/min/m
2
0-80 mL/m
2
2
4 h OK
GRAPH 1: PPV
GRAPH 2: CVP(M)
GRAPH 1: CCI
GRAPH 2: AP(M)
Center Scale:
12 mmHg (1.6 kPa)
Secondary Scale:
8 mmHg (1.2 kPa)
Center Scale: 13%
Master
Secondary Scale: 10%
2.2 L/min/m
20 mL/m
2
2
SvO2: 65%,
ScvO2: 70%
1 h (5 min) OK
OK
40 Operator’s Manual QP-033P/034P
SYSTEM SETUP Window
Window Page Setting Item Setting Range Default Setting Backup
esCCO MEASUREMENT ON, OFF ON
CO FROM PATIENT INFO,
PARAMETERS esCCO
MASTER CAL CO
CO FROM HEMO TREND, CCO,
MANUALLY ENTER
MASTER CAL PP ART, ART 2, RAD, FEM, NIBP ART
ALARM
ALARM
PRIORITY
COLOR OTHER PARAM
PARAMETER
3
esCCO/esCCI*
esCCO
SVR/esSVR yellow green
1
CRISIS, WARNING, ADVISORY ADVISORY
Green, cyan, salmon, sky blue, yellow,
light yellow, white, pink, yellow green,
purple, red, orange
FREEZE, TOUCHKEYS OFF,
FUNCTION KEYS
ZERO ALL, SUSPEND ALARMS,
ALL ALARMS OFF*
2
, SUSPEND
MONITORING*3, SLEEP*4, BYPASS*5,
NIBP START/STOP, MARK*6,
MENU, HOME, LARGE NUMERICS,
DISCHARGE (Op No. 32K, 52K, 62K,
72K, 33K, 53K, 63K and 73K only),
NEXT CASE (Op No. 32A, 52A, 72A,
KEYS
REMOTE CONTROL
KEYS
33A, 53A and 73A only)*7, VENOUS
PUNCTURE, 12 LEAD ANALYSIS,
CO, PCWP, GAS, INTERBED, DRUG,
LUNG FUNCTION, TIMER, TREND
GRAPH, TREND DATA, RECALL,
ALARM HISTORY, FULL DISC, ST
TREND*8, NIBP TREND, HEMO
TREND, LUNG TREND, OCRG*9,
12 LEAD, HEMO GRAPH*5, PRINT
WAVE, PRINT OCRG, RECORD
OCRG, RECORD WAVE, NONE
HR, PR, AP, NIBP, PAP, PI, SVR, SVRI,
esSVR*10, esSVRI*10, PAP(D), CVP(M),
PARAMETER
PPV, SPV, SVV, CCO, CCI, PCCO,
PCCI, esCCO*10, esCCI*10, SV, SVI,
esSV, esSVI, AP(S), AP(M), SvO2, ScvO
HR, PR 0-100, 0-200, 0-300 bpm 0-200 bpm
AP, NIBP,
AP(S), AP(M)
0-100, 0-200, 0-300 mmHg
0-13.5, 0-26.5, 0-40.0 kPa
PI 0-2, 0-5, 0-20%, 0.01-100 (log) 0.01-100 (log)
5
HEMO
GRAPH*
5
MASTER TREND
SCALE
SVR, esSVR*
SVRI,
10
esSVRI*
PAP(D), PAP,
CVP(M)
0-1000, 0-2000, 0-3000 dyn*s/cm
10
0-100, 0-200, 0-300 kPa*s/L
0-2000, 0-4000, 0-6000 dyn*s*m2/cm
0-200, 0-400, 0-600 kPa*s*m2/L
0-20, 0-40, 0-80 mmHg
0-2.5, 0-5.5, 0-10.5 kPa
PPV, SPV, SVV 0-20, 0-40, 0-100% 0-40%
1
*
Not available for Op No. 32A, 52A, 72A, 33A, 53A and 73A.
CCO, PCCO,
10
esCCO*
CCI, PCCI,
10
esCCI*
SV, esSV*
SVI, esSVI*
SvO2, ScvO
0-4, 0-8, 0-20 L/min 0-8 L/min
0-4, 0-8, 0-20 L/min/m
10
0-80, 0-160, 0-300 mL 0-160 mL
10
0-40, 0-80, 0-200 mL/m
0-100, 50-100% 0-100%
2
2
2
*2 Available when site is ICU or NICU and alarm off type is set to “ALL ALARMS OFF”, or when site is OR and alarm inactivation and alarm off type
are set to “ALL ALARMS OFF”.
*3 Available only when alarm inactivation is set to “SUSPEND ALARMS”.
*4 Available only when site is ICU or NICU and alarm inactivation is set to “SUSPEND ALARMS”.
*5 Available only when site is OR and alarm off type is “BYPASS”.
*6 Available only when the QP-033P is installed.
*7 Available only when site is OR.
*8 When site is NICU, available only when ST measurement is set to “ON”.
*9 Available only when site is NICU.
*10 Not available for BSM-3532, BSM-3552, BSM-3733, BSM-3753.
CO FROM
PATIENT INFO
white
1: MENU
2: TREND GRAPH
3: ZERO ALL
4: ALARM
HISTORY
NONE
HR, AP, CVP(M),
PPV, esCCO*
2
0-200 mmHg
0-26.5 kPa
0-2000 dyn*s/cm
0-200 kPa*s/L
0-4000 dyn*s*m2/
5
5
cm
0-400 kPa*s*m2/L
0-40 mmHg
0-5.5 kPa
0-8 L/min/m
0-80 mL/m
OK
10
5
2
2
Operator’s Manual QP-033P/034P 41
Window Page Setting Item Setting Range Default Setting Backup
2
,
Graph 1: PPV
Graph 2: CVP(M)
Graph 1: CCI
Graph 2: AP(M)
X-AXIS PAP(D), CVP(M), PPV, SPV, SVV
CCO, CCI, PCCO, PCCI, esCCO*
Y-AXIS
esCCI*2, SV, SVI, esSV*2, esSVI*2,
AP(S), AP(M), SvO2, ScvO
2
Center Scale:
CVP(M),
PAP(D)
0 to 80 mmHg (0 to 10.0 kPa)
12 mmHg (1.6 kPa)
Secondary Scale:
8 mmHg (1.2 kPa)
Center Scale: 13%
Secondary Scale:
10%
2.2 L/min/m
2
HEMO
GRAPH*
1
MASTER TARGET
SCALE
PPV, SPV, SVV 0 to 100%*
2
, CCO,
esCCO*
PCCO
esCCI*
PCCI
2
, CCI,
0 to 20 L/min 3 L/min
0 to 20 L/min/m
3
2
esSV*2, SV 0 to 300 mL 30 mL
2
, SVI 0 to 200 mL/m
esSVI*
2
20 mL/m
2
AP(S), AP(M) 0 to 300 mmHg (0 to 40.0 kPa) 65 mmHg (8.8 kPa)
O2, ScvO
Sv
2
0 to 100%
SvO2: 65%,
ScvO2: 70%
TARGET AREA ON, OFF ON
TREND + TARGET GRAPH 1, GRAPH 2, GRAPH 3 GRAPH 1
1
Available only when the QP-033P is installed.
*
*2 Not available for BSM-3532, BSM-3552, BSM-3733, BSM-3753.
*3 0% is positioned at right on the target graph.
OK
Specifications
Measuring Range
esCCO: 0.50 to 20.00 L/min
esCCI: 0.50 to 20.00 L/min/m
2
esSV: 0 to 300 mL
esSVI: 0 to 200 mL/m
2
Reproducibility
esCCO: ±5% or 0.1 L/min whichever is larger
esCCI: ±5% or 0.1 L/min/m2 whichever is larger
esSV: ±5%
esSVI: ±5%
Display resolution
esCCO: 0.01 L/min
esCCI: 0.01 L/min/m
2
esSV: 1 mL
esSVI: 1 mL/m
2
42 Operator’s Manual QP-033P/034P
Manufacturer
NIHON KOHDEN CORPORATION
1-31-4 Nishiochiai, Shinjuku-ku Tokyo 161-8560, Japan
Phone + 81 3-5996-8036
Fax + 81 3-5996-8100
NIHON KOHDEN ITALIA S.r.l.
Via Fratelli Bronzetti 28, 24124 Bergamo, Italy
Phone + 39 035-219543
Fax + 39 035-232546
North and South America
NIHON KOHDEN AMERICA, INC.
15353 Barranca Parkway, Irvine, CA 92618, U.S.A.
Toll-free +1-800-325-0283
Phone +1 949-580 -1555
Fax +1 949-580 -1550
NIHON KOHDEN LATIN AMERICA S.A.S
Carrera 16 No.93A-36 Of. 802. Bogota D.C., Colombia
Phone + 57 1- 300-1742
Fax + 57 1- 300 -1825
NIHON KOHDEN DO BRASIL LTDA.
Rua Gomes de Carvalho
1507-Bloco A 9 andar-cjto 91A Vila Olimpia
CEP 04547-005 Sao Paulo-SP. Brasil
Phone + 55 11-3841- 9943
Fax + 55 11-3044-0463
Europe
European Representative
NIHON KOHDEN EUROPE GmbH
Raiffeisenstrasse 10, D-61191 Rosbach, Germany
Phone + 49 6003-827-0
Fax + 49 6003-827-599
NIHON KOHDEN FRANCE SARL
8, rue Francois Delage, 94 230 Cachan, France
Phone + 33 1-49-08-05-50
Fax + 33 1-49-08-93-32
NIHON KOHDEN UK LTD
Trident Court 118, 1 Oakcroft Road
Chessington, Surrey KT9 1BD, UK
Phone + 44 20-8391- 6800
Fax + 44 20-8391- 6809
Asia
SHANGHAI KOHDEN
MEDICAL ELECTRONIC INSTRUMENT CORP.
567 Huancheng Bei Road
Shanghai Comprehensive Industrial Development Zone
Shanghai 201401, China
Phone + 86 21-5743-6998
Fax + 86 21-5743-6939
NIHON KOHDEN SINGAPORE PTE LTD
1 Maritime Square, #10-34 HarbourFront Centre
Singapore 099253
Phone + 65 6376-2210
Fax +65 6376-2264
NIHON KOHDEN INDIA PVT. LTD.
308, Tower A, Spazedge, Sector 47, Sohna Road
Gurgaon-122 002 Haryana, India
Toll-free +91 1800-103-8182
1 1
Phone + 9
Fax + 9
NIHON KOHDEN MIDDLE EAST FZE
P.O.Box 261516, JAFZA View 19
Room 308 Jebel Ali Free Zone, Dubai, U.A.E
Phone + 9
Fax + 9
24-493-1000
1 1
24-493-1029
71 4-
71 4-
880-0122
884-0080
NIHON KOHDEN IBERICA S.L.
C/Ulises 75A, E-28043 Madrid, Spain
Phone + 34 91-7-161080
Fax + 34 91-3-004676
Contact information is accurate as of Jan 2015. Visit www.nihonkohden.com for the latest information.
NIHON KOHDEN KOREA, INC.
5F Miso Bldg.
890-47 Daechi-dong, Gangnam-gu, Seoul, 135-280 Korea
Phone + 82 2- 3273 -2310
Fax + 82 2- 3273 - 2352
The model and serial number of your instrument are identified on the rear or bottom of the unit.
Write the model and serial number in the spaces provided below. Whenever you call your representative concerning
this instrument, mention these two pieces of information for quick and accurate service.
Model
Your Representative
Serial Number
Loading...