Nihon Kohden BSM2353K PDF
Nihon Kohden BSM2353K PDF
Nihon Kohden BSM2353K PDF
SERVICE MANUAL
BSM- 2301C
BSM- 2301K
BSM- 2303C
BSM- 2303K
BSM- 2304A
BSM- 2351A
BSM- 2351C
BSM- 2351K
BSM- 2353C
BSM- 2353K
BSM- 2354A
WS- 231P
QI- 231P
QI- 236P BEDSIDE MONITOR
BSM-2300A/C/K
0634-001878G
CONTENTS
Contents
GENERAL HANDLING PRECAUTIONS ......................................................................... i
WARRANTY POLICY .................................................................................................... ii
EMC RELATED CAUTION ............................................................................................ iii
Conventions Used in this Manual and Instrument ........................................................ vi
Warnings, Cautions and Notes ........................................................................... vi
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.
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 patients safety.
(3) Avoid direct contact between the instrument housing and the patient.
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.
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 defibrillator, make sure that the instrument is protected against defibrillator
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 operators and service manuals.
No other party is authorized to make any warranty or assume liability for NKCs products. NKC will not recognize any other
warranty, either implied or in writing. In addition, service, technical modification 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 modified, disassembled, reinstalled or repaired without Nihon
Kohden approval or which have been subjected to neglect or accident, damage due to accident, fire, lightning, vandalism,
water or other casualty, improper installation or application, or on which the original identification marks have been
removed.
CAUTION
United States law restricts this device to sale by or on the order of physician.
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.
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.
If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden distributor or
representative for additional suggestions.
The CE mark is a protected conformity mark of the European Community. The products herewith comply
with the requirements of the Medical Device Directive 93/42/EEC.
NOTE about Waste Electrical and Electronic Equipment (WEEE) directive 2002/96/EEC
For the member states of the European Union only:
The purpose of WEEE directive 2002/96/EEC 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 at the end of its working life.
When installing the monitor, avoid locations where the monitor may receive strong electromagnetic
interference such as radio or TV stations, cellular phone or mobile two-way radios.
WARNING
Interaction Between Minute Ventilation Rate-Adaptive Pacemakers and Cardiac Monitoring and Diagnostic
Equipment*
The bioelectric impedance measurement sensor of a minute ventilation rate-adaptive implantable pacemaker
may be affected by cardiac monitoring and diagnostic equipment which is connected to the same patient. If
this occurs, the pacemaker may pace at its maximum rate and give incorrect data to the monitor or
diagnostic equipment. If this occurs, disconnect the monitor or diagnostic equipment from the patient or
change the setting on the pacemaker by referring to the pacemakers manual. For more details, contact your
pacemaker distributor or Nihon Kohden distributor.
* Minute ventilation is sensed in rate-adaptive pacemakers by a technology known as bioelectric impedance measurement
(BIM). Many medical devices in addition to pacemakers use this technology. When one of these devices is used on a
patient with an active, minute ventilation rate-adaptive pacemaker, the pacemaker may erroneously interpret the mixture
of BIM signals created in the patient, resulting in an elevated pacing rate.
Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information.
WARNING
A warning alerts the user to the 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.
Introduction
All replaceable parts or units of this instrument are clearly listed with exploded
illustration to help you locate the parts quickly.
The Maintenance section in this service manual describes the maintenance that
should be performed by qualified service personnel. The Maintenance section in
the operators manual describes the maintenance that can be performed by the user.
The information in the operators manual is primarily for the user. However, it is
important for service personnel to thoroughly read the operators manual and
service manual before starting to troubleshoot, service, maintain or repair this
instrument. This is because service personnel need to understand the operation of
the instrument in order to effectively use the information in the service manual.
CAUTION
Safety
There is the possibility that the outside surface of the instrument,
such as the operation keys, could be contaminated by contagious
germs, so disinfect and clean the instrument before servicing it.
When servicing the instrument, wear rubber gloves to protect
yourself from infection.
There is the possibility that when the lithium battery is broken, a
solvent inside the lithium battery could flow out or a toxic substance
inside it could come out. If the solvent or toxic substance touches
your skin or gets into your eye or mouth, immediately wash it with a
lot of water and see a physician.
Liquid Ingress
The instrument is not drip-proof, so do not install the instrument where
water or liquid can get into or fall on the instrument. If liquid
accidentally gets into the instrument or the instrument accidentally
drops into liquid, disassemble the instrument, clean it with clean water
and dry it completely. After reassembling, verify that there is nothing
wrong with the patient safety checks and function/performance checks.
If there is something wrong with the instrument, contact your Nihon
Kohden representative to repair.
Environmental Safeguards
Depending on the local laws in your community, it may be illegal to
dispose of the lithium battery and CRT unit in the regular waste
collection. Check with your local officials for proper disposal
procedures.
Transport
Use the specified shipment container and packing material to
transport the instrument. If necessary, double pack the instrument.
Also, put the instrument into the shipment container after packing so
that the buffer material does not get into the inside of the instrument.
When transporting the board or unit of the instrument, be sure to use
a conductive bag. Never use an aluminum bag when transporting the
power board, power unit or board on which a lithium battery is
mounted. Also, never use a styrene foam or plastic bag which
generates static electricity to wrap the board or unit of the
instrument.
Service Policy Our technical service policy for this instrument is to replace the faulty unit, board
or part or damaged mechanical part with a new one. Do not perform electrical
device or component level repair of the multilayer board or unit. We do not support
component level repair outside the factory for the following reasons:
Most of the boards are multilayer boards with surface mounted electrical
devices, so the mounting density of the board is too high.
A special tool or high degree of repair skill is required to repair the multilayer
boards with surface mounted electrical devices.
Service Parts Refer to Replaceable Parts List of this manual for the service parts for technical
service that we provide.
NOTE
When ordering parts or accessories from your Nihon Kohden
representative, please quote the NK code number and part name which
is listed in this service manual, and the name or model of the unit in
which the required part is located. This will help us to promptly attend
to your needs. Always use parts and accessories recommended or
supplied by Nihon Kohden Corporation to assure maximum
performance from your instrument.
Patient Safety Checks Periodic maintenance procedures and diagnostic check procedures are provided in
this manual to ensure that the instrument is operating in accordance with its design
and production specifications. To verify that the instrument is working in a safe
manner with regard to patient safety, patient safety checks should be performed on
the instrument before it is first installed, periodically after installation, and after any
repair is made on the instrument.
For patient safety checks, perform the following checks as described in the
International Electrotechnical Commissions standard, IEC 60601-1:1988 :
Protective earth resistance check
Earth leakage current check
Enclosure leakage current check
Patient leakage current check
Withstanding voltage check
Specifications
<BSM-2301/2303/2304/2351/2353>
Display
Display size: BSM-2301/2303/2304: 8.4 inch, TFT type color LCD
BSM-2351/2353: 10.4 inch, TFT type color LCD
Waveform display mode: Non-fade moving or non-fade fixed
Viewing area: BSM-2301/2303/2304: 170.4 mm 127.8 mm
BSM-2351/2353: 211.2 mm 158.4 mm
Resolution: 800 600 dots
Maximum number of waveform trace: BSM-2301/2351: 5 traces
BSM-2303/2304/2353: 6 traces
Sweep speed: 25 mm/s, 50 mm/s (Respiration and CO2 low speed: 1.56 mm/s, 6.25 mm/s)
Sweep width: BSM-2301/2303/2304: about 124 mm at 25 mm/s sweep speed
BSM-2351/2353: about 154 mm at 25 mm/s sweep speed
Waveform display color: 12
Numeric display color: 12
Waveform freeze: Provided
Display waveforms: ECG, respiration, IBP, SpO2 pulse wave and CO2
Numerical data display: Heart rate, VPC rate, ST level, respiration rate, IBP (systolic, diastolic, mean), NIBP
(systolic, diastolic, mean), SpO2, pulse rate, temperature, ETCO2 and FiCO2
Synchronization mark: Heart rate sync mark, pulse rate sync mark, respiratory sync mark
Sound
Sound type: Alarm, synchronization, click
Alarm sound: 3 types
Synchronization sound: Pitch variable for IBP and SpO2
Alarm
Alarm items: Upper/lower limits alarm, apnea alarm, arrhythmia alarm, connector disconnection
alarm, noise alarm, electrode off alarm, pulse waveform detecting alarm, probe off
alarm, cuff/hose check alarm, sensor check alarm, battery weak alarm, operating
environment alarm
Alarm levels: Crisis (red blinking), Warning (yellow blinking), Advisory (yellow lighting)
Alarm indication: Alarm indicator, highlighted message, alarm sound
Alarm suspend: Provided (for 1 or 2 min)
ECG
Electrode offset potential tolerance: 500 mV
Input dynamic range: 5 mV
Internal noise: 30 Vp-p (Refer to input)
Common mode rejection ratio: 95 dB
Input impedance 5 M (at 10 Hz)
Input bias current: 100 nA
Heart rate count
Calculation method: Moving average/Instantaneous beat to beat (selectable)
Counting range: 0, 12 to 300 beats/min (2 beats/min)
Arrhythmia analysis
Analysis method: Template matching method
Number of channels: 1 channel
VPC counting rate: 0 to 99 VPCs/min
Arrhythmia message: ASYSTOLE, VT, VF, VPC RUN, COUPLET, EARLY VPC, BIGEMINY, FREQ VPC,
TACHYCARDIA, BRADYCARDIA
Arrhythmia recall:
Number of recall files: 16
Storage time per file: 8s
ST level measurement:
Number of measurement channels:1 ch
Measuring range: 2.5 mV
Alarm limits: 2.0 mV in 0.01 mV steps, OFF
Pacemaker pulse rejection capability: 0.1 to 2 ms, 2 to 700 mV
ANSI/AAMI EC 13-1992 compatible
Pacing pulse detection ON/OFF
Defibrillation-proof: ECG input protected against 400 J
IEC 60601-2-27 17.101 compatible
ESU interference filter: Provided
Filters ON: Time constant 0.5 s, AC hum filter 0.3 to 23 Hz (> 3 dB), 16 dB (50 Hz or
60 Hz)
OFF: Time constant 3.2 s, 0.05 to 150 Hz (> 3 dB)
Lead:
3-electrode cable: I, II, III
6-electrode cable: I, II, III, aVR, aVL, aVF, V4, V5
Waveform display:
Display sensitivity: 10 mm/mV 5% (at 1 sensitivity)
Sensitivity control: 1/4, 1/2, 1, 2, 4, or AUTO
Pacing spike display: Available
Heart rate display update cycle: Every 3 s or when alarm is generated
Alarm items:
Upper limit range: 20 to 300 beats/min in 5 beats/min steps, OFF
Lower limit range: OFF, 15 to 295 beats/min in 5 beats/min steps
Alarm items: TACHYCARDIA, BRADYCARDIA, ASYSTOLE
SpO2 on BSM-2304A
Measuring range: 1 to 100%
Pulse rate counting range: 0, 20 to 250 beats/min
SpO2 accuracy: Adult: 2 digits (70% SpO2 100%)
Neonate: 3 digits (70% SpO2 < 100%)
SpO2 display:
Pulse rate display update cycle: Every 3 s or when alarm is generated
Sync tone modulation: Change in 20 steps at 81 to 100% SpO2
Waveform sensitivity: 1/8, 1/4, 1/2, 1, 2, 4, 8 or AUTO
Alarm:
Upper limit range: 51 to 100% SpO2 in 1% SpO2 steps, OFF
Lower limit range: OFF, 50 to 99% SpO2 in 1% SpO2 steps
Temperature
Measuring range: 0 to 45C
Measuring accuracy: 0.1C (25C Temp 45C)
0.2C ( 0C Temp < 25C)
Temperature drift: within 0.005C /C
Temperature range:
Display range: 0C to 45C (32 to 113F)
Display update cycle: Every 3 s or when alarm is generated
Alarm:
Upper limit range: 0.1 to 45C (32 to 113F) in 0.1C (1F) steps, OFF
Lower limit range: OFF, 0 to 44.9C (31 to 112F) in 0.1C (1F) steps
Multi-parameter Amplifier
Measuring parameters: IBP, respiration (thermistor method), and CO2 (mainstream)
Input impedance: 1 M 10%
Excitor output impedance: <2
Excitor current limiter: < 100 mA
Maximum current from +5 V DC connector: < 100 mA
Trendgraph
Trend parameters: Heart rate (or pulse rate), respiration rate, VPC rate, ST level, EVENT (arrhythmia),
apnea (time), apnea (frequency), SpO2, NIBP (systolic, diastolic and mean), IBP
(systolic, diastolic and mean), temperature, ETCO2 and PWTT
1.10 Service Manual BSM-2300
1. GENERAL
Trigger output
Output format: open collector
External application signal: voltage +5 to +15 V
current 500 A to 100 mA
QRS sync delay time: within 100 ms
Trigger output
Output format: TTL compatible
QRS sync delay time: within 20 ms
External Output
ZB-900PK: Provided
External monitor: Provided
Power Requirement
Line voltage: BSM-2301A/2304A/2351A: 117 V 10% AC
BSM-2301C/K, BSM-2303C/K
BSM-2351C/K, BSM-2353C/K: 100 to 240 V 10% AC
Line frequency: 50 or 60 Hz 2%
Battery pack (option): 10.8 to 15.0 V 5%
Power consumption: AC operation: BSM-2301A/2304A: 70 VA maximum
BSM-2301C/K, BSM-2303C/K: 86 VA maximum
BSM-2351A: 80 VA maximum
BSM-2351C/K, BSM-2353C/K: 95 VA maximum
Battery operation: 40 W maximum
Clock Accuracy
At operating temperature 25C: about 2 min 40 s/month maximum
At storage temperature 20 to 60C: about 5 min/month maximum
Environment
Operating environment
Temperature: 10 to 40C
Humidity: 30 to 90% RH (0 to 40C, non-condensing)
Atmospheric pressure: 70 to 106 kPa
Storage environment
Temperature: 20 to +60C
15 to +55C (Recording paper)
Humidity: 10 to 90% RH (0 to 40C, non-condensing)
Atmospheric pressure: 70 to 106 kPa
Electromagnetic Compatibility
IEC 60601-1-2:1993 Collateral Standard: Electromagnetic compatibility Requirement and tests
Emissions: CISPR11 Group 1, Class B
Safety Standard
Safety standard: IEC 60601-1:1988 Amendment 1:1991, Amendment 2:1995
IEC 60601-1-1 Amendment 1:1995
IEC 60601-2-27:1994 - Particular requirements for the safety of
electrocardiographic monitoring
IEC 60601-2-34:1994 - Particular requirements for the safety of direct blood
pressure monitoring equipment
IEC 60601-2-30:1995 - Particular requirements for the safety of automatic cycling
in in-direct blood pressure monitoring equipment
According to the type of protection against electrical shock:
CLASS I EQUIPMENT (AC Powered)
Internally Powered EQUIPMENT (BATTERY Powered)
According to the degree of protection against electrical shock
ECG, Respiration (impedance), Respiration (thermistor), IBP, Temperature, CO2:
Defibrillator-proof type CF applied part
SpO2, NIBP: Defibrillator-proof type BF applied part
For BSM-2301, depending on the serial number, the degree of protection against electrical shock for the specified
parameters may be as follows.
Temperature: CF applied part SpO2, Respiration (thermistor), CO2: BF applied part
According to the degree of protection against harmful ingress of water:
IPX0 (ordinary EQUIPMENT)
According to the 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
According to the mode of operation: CONTINUOUS OPERATION
<BSM-2354A>
Display
Display size: 10.4 inch, TFT type color LCD
Waveform display mode: Non-fade moving or non-fade fixed
Viewing area: 211.2 mm 158.4 mm
Resolution: 800 600 dots
Maximum number of waveform trace: 6 traces
Sweep speed: 25 mm/s, 50 mm/s (Respiration and CO2 low speed: 1.56 mm/s, 6.25 mm/s)
Sweep width: about 154 mm at 25 mm/s sweep speed
Waveform display color: 12
Numeric display color: 12
Waveform freeze: Provided
Display waveforms: ECG, respiration, IBP, SpO2 pulse wave and CO2
Numerical data display: Heart rate, VPC rate, ST level, respiration rate, IBP (systolic, diastolic, mean), NIBP
(systolic, diastolic, mean), SpO2, pulse rate, temperature, EtCO2 and FiCO2
Synchronization mark: Heart rate sync mark, pulse rate sync mark, respiratory sync mark
Sound
Sound type: Alarm, synchronization, click
Alarm sound: 3 types
Synchronization sound: Pitch variable for IBP and SpO2
Alarm
Alarm items: Upper/lower limits alarm, apnea alarm, arrhythmia alarm, connector disconnection
alarm, noise alarm, electrode off alarm, pulse waveform detecting alarm, probe off
alarm, cuff/hose check alarm, sensor check alarm, battery weak alarm, operating
environment alarm
Alarm levels: Crisis (red blinking), Warning (yellow blinking), Advisory (yellow lighting)
Alarm indication: Alarm indicator, highlighted message, alarm sound
Alarm suspend: Provided
Alarm signal delay in CNS network 4 s
ECG
Electrode offset potential tolerance: 500 mV
Input dynamic range: 5 mV
Internal noise: 30 Vp-p (Refer to input)
Common mode rejection ratio: 95 dB
Input impedance 5 M (at 10 Hz)
Input bias current: 100 nA
Heart rate count
Calculation method: Moving average/Instantaneous beat to beat (selectable)
Counting range: 0, 12 to 300 beats/min (2 beats/min)
Arrhythmia analysis
Analysis method: Template matching method
Number of channels: 1 channel
VPC counting rate: 0 to 99 VPCs/min
Arrhythmia message: ASYSTOLE, VT, VF, VPC RUN, COUPLET, EARLY VPC, BIGEMINY, FREQ VPC,
TACHYCARDIA, BRADYCARDIA
Arrhythmia recall:
Number of recall files: 16
Storage time per file: 8s
ST level measurement:
Number of measurement channels:1 ch
Measuring range: 2.5 mV
Alarm limits: 2.0 mV in 0.01 mV steps, OFF
Pacemaker pulse rejection capability: 0.1 to 2 ms, 2 to 700 mV
ANSI/AAMI EC 13-1992 compatible
Pacing pulse detection ON/OFF
Defibrillation-proof: ECG input protected against 400 J
IEC 60601-2-27 17.101 compatible
ESU interference filter: Provided
Filters ON: Time constant 0.5 s, AC hum filter 0.3 to 23 Hz (> 3 dB), 16 dB (50 Hz or
60 Hz)
OFF: Time constant 3.2 s, 0.05 to 150 Hz (> 3 dB)
Lead:
3-electrode cable: I, II, III
6-electrode cable: I, II, III, aVR, aVL, aVF, V4, V5
Waveform display:
Display sensitivity: 10 mm/mV 5% (at 1 sensitivity)
Sensitivity control: 1/4, 1/2, 1, 2, 4, or AUTO
Pacing spike display: Available
Heart rate display update cycle: Every 3 s or when alarm is generated
Alarm items:
Upper limit range: 20 to 300 beats/min in 5 beats/min steps, OFF
Lower limit range: OFF, 15 to 295 beats/min in 5 beats/min steps
Alarm items: TACHYCARDIA, BRADYCARDIA, ASYSTOLE
SpO2
Measuring range: 1 to 100%
Pulse rate counting range: 0, 20 to 250 beats/min
SpO2 accuracy: Adult: 2 digits (70% SpO2 100%)
Neonate: 3 digits (70% SpO2 100%)
SpO2 display:
Pulse rate display update cycle: Every 3 s or when alarm is generated
Sync tone modulation: Change in 20 steps at 81 to 100% SpO2
Waveform sensitivity: 1/8, 1/4, 1/2, 1, 2, 4, 8 or AUTO
Alarm:
Upper limit range: 51 to 100% SpO2 in 1% SpO2 steps, OFF
Lower limit range: OFF, 50 to 99% SpO2 in 1% SpO2 steps
Temperature
Measuring range: 0 to 45C
Measuring accuracy: 0.1C (25C Temp 45C)
0.2C ( 0C Temp < 25C)
Temperature drift: within 0.005C /C
Temperature range:
Display range: 0C to 45C (32 to 113F)
Display update cycle: Every 3 s
Alarm:
Upper limit range: 0.1 to 45C (32 to 113F) in 0.1C (1F) steps, OFF
Lower limit range: OFF, 0 to 44.9C (31 to 112F) in 0.1C (1F) steps
1.16 Service Manual BSM-2300
1. GENERAL
Multi-parameter Amplifier
Measuring parameters: IBP, respiration (thermistor method), and CO2 (mainstream)
Input impedance: 1 M 10%
Excitor output impedance: <2
Excitor current limiter: < 100 mA
Maximum current from +5 V DC connector: < 100 mA
Response time
TG-900P: 200 ms (typical) for steps from 10 to 90%
TG-920P: 120 ms (typical) for steps from 10 to 90%
TG-950P: 60 ms (typical) for steps from 10 to 90%, delay time 100 ms 10 ms
Detectable respiration rate
TG-900P: 3 to 600 breaths/min
TG-920P: 3 to 150 breaths/min
TG-950P: 0 to 150 breaths/min
Respiration rate counting accuracy: 2 breaths/min
Measuring accuracy:
TG-900P/TG-920P: 4 mmHg (0 CO2 40 mmHg)
10% reading (40 < CO2 76 mmHg)
(When 1 atmospheric pressure, N2O 70 %, no condensation)
TG-950P: 2 mmHg (0 CO2 40 mmHg)
5% reading (40 < CO2 70 mmHg)
7% reading (70 < CO2 100 mmHg)
(When no condensation, N2O 70 %)
CO2 value display update cycle: Every 3 s or when alarm is generated
Alarm:
Upper limit range: 2 to 99 mmHg in 1 mmHg in 1 steps, OFF
Lower limit range: OFF, 1 to 98 mmHg in 1 steps
Apnea time: OFF, 5 to 40 s
Trendgraph
Trend parameters: Heart rate (or pulse rate), respiration rate, VPC rate, ST level, EVENT (arrhythmia),
apnea (time), apnea (frequency), SpO2, NIBP (systolic, diastolic and mean), IBP
(systolic, diastolic and mean), temperature and EtCO2
Trend times: 1, 2, 4, 8, and 24 h
Data sampling time: 1 min for 1, 2, 4, 8 hours, 3 min for 24 hours
External Output
External monitor: Provided
Power Requirement
Line voltage: 117 V 10% AC
Line frequency: 50 or 60 Hz 2%
Battery pack (option): 10.8 to 15.0 V 5%
Power consumption: AC operation: 80 VA maximum
Battery operation: 40 W maximum
Clock Accuracy
At operating temperature 25C: about 2 min 40 s/month (maximum)
At storage temperature 20 to 60C: about 5 min/month (maximum)
Environment
Operating environment
Temperature: 10 to 40C
Humidity: 30 to 90% RH (0 to 40C, non-condensing)
Atmospheric pressure: 70 to 106 kPa
Storage environment
Temperature: 20 to +60C
15 to +55C (Recording paper)
Humidity: 10 to 90% RH (0 to 40C, non-condensing)
Atmospheric pressure: 70 to 106 kPa
Electromagnetic Compatibility
IEC 60601-1-2: 2001
Safety Standard
Safety standard: IEC 60601-1: 1988 Amendment 1: 1991, Amendment 2: 1995
IEC 60601-1-1: 2000
IEC 60601-2-27: 1994 - Particular requirements for the safety of
electrocardiographic monitoring
IEC 60601-2-34: 1994 - Particular requirements for the safety of direct blood
pressure monitoring equipment
IEC 60601-2-30: 1995 - Particular requirements for the safety of automatic cycling
in in-direct blood pressure monitoring equipment
IEC 60601-2-49: 2001
According to the type of protection against electrical shock:
CLASS I EQUIPMENT (AC Powered)
Internally Powered EQUIPMENT (BATTERY Powered)
According to the degree of protection against electrical shock
ECG, Respiration (impedance), Respiration (thermistor), IBP, CO2, Temperature:
Defibrillator-proof type CF applied part
SpO2, NIBP: Defibrillator-proof type BF applied part
Composition
UR-3643*1 NIBP & Hall Sensor Boards for all models except BSM-2354A
UR-3880*1 NIBP & Hall Sensor Boards for BSM-2354A
Interface (option)
Panel Descriptions
Front Panel
3
SILENCE
ALARMS
13
NIBP
INTERVAL
4
START/STOP
5
MENU
6
HOME
7
8
Without optional WS-231P recorder module
9 10 11 12
3
SILENCE
ALARMS
13
NIBP
INTERVAL
4
START/STOP
5
MENU
6
HOME
7
14
15 With optional WS-231P recorder module
9 10 11 12
NIBP socket
Battery box Connects to the air hose.
For the optional battery pack. Without optional WS-231P recorder module
NIBP socket
Connects to the air hose.
Battery box
With optional WS-231P recorder module
For the optional battery pack.
BSM-2304A/2354A
NELLCOR
PRESS 1 socket OxiMaxTM SpO2 socket
Connects to the IBP Connects to the SpO2 connection cord.
connection cord.
ECG/RESP socket
Connects to the ECG connection cord.
NIBP socket
Battery box Connects to the air hose.
Without optional WS-231P recorder module
For the optional battery pack.
NELLCOR
OxiMax
TM
SpO2 socket
PRESS 1 socket
Connects to the SpO2 connection cord.
Connects to the IBP
connection cord.
ECG/RESP socket
Connects to the ECG connection cord.
NIBP socket
Connects to the air hose.
Handle
PC card slot
Fuse holder
AC SOURCE power cord socket
For the AC power cord.
AUX socket
For connecting a display monitor ZB socket
or QI-231P/236P interface or AG-400R. For the ZB-900P transmitter.
Without optional WS-231P recorder module
Handle
PC card slot
Fuse holder
AC SOURCE power cord socket
For the AC power cord.
Paper window
For checking the amount of recording paper.
Recorder door release lever
Pull up the lever to open the recorder door. With optional WS-231P recorder module
Storage Before storing the instrument for a long time, perform the following steps:
Hard Keys The instrument has five hard keys: SILENCE ALARMS, NIBP interval, NIBP
START/STOP, MENU and HOME.
These keys always have the same functions, regardless of the screen display.
In this manual, hard keys are indicated by CAPITAL LETTERS.
Soft Keys When the MENU key is pressed or the screen is touched, the screen displays
several keys which have different functions depending on the screen display. For
example, when the HR numeric display is touched, the ECG setting screen appears
and several keys such as VITAL ALARM, ARRHYTH ALARM, OTHER SETTING,
etc are displayed.
In this manual, soft keys are indicated by quotation marks (for example, the
PATIENT INFO key).
CAUTION
Upgrading the system software and changing the language on screen
erases all system and individual bed settings. Write down these
settings so they can be re-entered after the software upgrade.
The instrument uses a program card for upgrading its system software and
changing the screen language. When the instrument detects that a program card is
inserted into its PCMCIA card slot during the booting stage after it is turned on, it
checks the program card for a system program or language. If the program card
contains a newer version of the system program or language, the instrument
automatically replaces its current system program or language information with the
new one. If the program card contains a system program whose version number is
the same or older than the current one in the instrument, you have the option to
replace or keep the current system program. If the program card does not contain a
system program, the instrument continues the boot-up process.
Procedure
1. Write down the System Setup settings and other monitoring settings of the
instrument.
2. Insert the program card into the PCMCIA card slot on the right side panel of
the instrument.
3. Turn on the instrument. The instrument performs the upgrading process and
self-check programs. The DIAGNOSTIC CHECK screen appears.
4. Touch and hold the SYSTEM INITIALIZE key for 2 seconds to initialize the
instrument until the PUSH 3 SECONDS message disappears from the screen.
When initializing is finished, the DIAGNOSTIC CHECK screen appears.
5. Confirm that the new system software version number appears.
6. Turn off the instrument.
7. Turn on the instrument again and check that the model number on the power
on self check screen is correct.
Main System Bus = Address Bus, Data Bus, Control Signal Bus Reset
TxD Reset
RxD TxD
ZB-900P
Interface
RxD
BSM-2301/2303/2304
VBUS
Bus
Two buffer
Sockets ADC RESP
Chip select lines DC to DC
for Recorder /Reset +3.3 V /Reset Converter
Interrupt Reset
/DTACK IC WDT Digital
/Reset ERC ECG
/Reset Opt-coupler
Card +5 V PCMCIA Card
/Reset snd (7:0)
Slot Interface
FM Sound
Generator
SpO2
VBUS Digital APU
ADC
Main ASIC Opt-coupler MP-506**
RxD ACORN VBUS
(CPU Peripheral) Multi
TxD
ADC
DC to DC
AUX Socket /Reset Converter Temp
+3.3 V
from Reset
Analog RGB Interface IC
WDT
** In BSM-2304A, the MP-506
Nellcor SpO2 unit replaces the
block surrounded by a dotted IBP
border. IBP Board*
Power Supply +3.3 V Graphic RAM-2 * BSM-2301 has no IBP board
Graphic ASIC
Unit VBUS DC to DC IBIS 2 M x 32 SDRAM
+5 V from ADC NIBP
Converter (LCD Control) Power Supply Measure Sensor
3.3 V_PS Character RAM Microcontroller Circuit
AC/Battery R (5:0), CLK, 512 k x 8 SRAM
Reset VBUS
G (5:0),
G H_Sync
B Alarm Indicator
SW IC Pump Valve
+15 V_PS B (5:0),
R V_Sync Interface
Reset VBUS
+12V_BT PWR Fail LED
+5 V Driver NIBP
Power Supply
Battery Pack Battery Touch Screen Safety
Microcontroller R G B Sensor
(Ni-MH) Interface Circuit
8 bit Microcontroller
Option
Buzzer Analog RGB Hall Sensor
VBUS Driver Interface Board
to VBUS
NIBP Board
Buzzer LED Driver Alarm
to
AUX Socket Indicator Board
Operation
Board
TFT LCD (Front Panel)
Inverter
800 x 600 Keypad
Power SW Board
(Front Panel) Speaker
Touch
screen
1.31
1. GENERAL
Super Lithium
battery
1.32
Boot ROM Capacitor MAIN Board
64 k x 16 EPROM
Host CPU
MC68SEC000 System ROM System RAM Backup RAM Real-time
20 MHz 1 M x 16 Flash 512 k x 16 SRAM 32 k x 8 EEPROM Clock DPU
1. GENERAL
Analog Board
Main System Bus = Address Bus, Data Bus, Control Signal Bus Reset
TxD Reset
RxD TxD
ZB-900P
Interface RxD
BSM-2351/2353/2354
VBUS
Bus
Two buffer
Sockets ADC RESP
Chip select lines DC to DC
for Recorder /Reset +3.3 V /Reset Converter
Interrupt Reset
/DTACK IC WDT Digital
/Reset ERC ECG
/Reset Opt-coupler
Card +5 V PCMCIA Card
/Reset snd (7:0)
Slot Interface
FM Sound
Generator
SpO2
VBUS Digital APU
ADC
Main ASIC Opt-coupler
MP-506**
RxD ACORN VBUS
(CPU Peripheral) Multi
TxD
ADC
DC to DC
AUX Socket /Reset Converter Temp
+3.3 V
from Reset
Analog RGB Interface IC
WDT
** In BSM-2354A, the MP-506
Nellcor SpO2 unit replaces the
block surrounded by a dotted IBP
border. IBP Board*
Power Supply +3.3 V Graphic RAM-2 * BSM-2351 has no IBP board
Graphic ASIC
Unit VBUS DC to DC IBIS 2 M x 32 SDRAM
+5 V from ADC NIBP
Converter (LCD Control) Power Supply Measure Sensor
3.3 V_PS Character RAM Microcontroller Circuit
AC/Battery R (5:0), CLK, 512 k x 8 SRAM
Reset VBUS
G (5:0),
G H_Sync
B Alarm Indicator
SW IC Pump Valve
+15 V_PS B (5:0),
R V_Sync Interface
Reset VBUS
+12V_BT PWR Fail LED
+5 V Driver NIBP
Power Supply
Battery Pack Battery Touch Screen Safety
Microcontroller R G B Sensor
(Ni-MH) Interface Circuit
8 bit Microcontroller
Option
Buzzer Analog RGB Hall Sensor
VBUS Driver Interface Board
to VBUS
NIBP Board
Buzzer LED Driver Alarm
to
AUX Socket Indicator Board
Operation
Board
LCD IF (Front Panel)
Inverter
Keypad
TFT LCD Power SW Board
800 x 600 (Front Panel) Speaker
Inverter IF
Touch
screen
Recorder ASIC
Bus (Address, Data, Control signals) BSM-2300
RACOON
(Host unit)
1.33
1. GENERAL
1.34
1. GENERAL
QI-231P Interface
+5 V supply voltage
TRIG/ECG jack
4 MHz
20-pin AUX socket for oscillator
4-bit switch Bit setting for ECG outputs
serial data communication ON: 1 0000: ECGHUM1
OFF: 0 0001: ECG1
0010: ECGHUM2
0011: ECG2
Trigger
output
15-pin RGB output socket
circuit
ECG and
trigger output
LED indicators
128 kHz
oscillator
Transformer 5 VF supply voltage
+5 V
4 MHz
oscillator
Micro-
controller
PIC16C63A
(PIC2)
4 MHz
oscillator
1.35
1. GENERAL
1. GENERAL
General
Use the troubleshooting tables to locate, identify and solve a problem in the
instrument. The problems are divided into general problem areas. Each category
has its own troubleshooting table for fast and easy troubleshooting.
Power-related Problems
Display Problems
Sound Problems
Key Operation Problems
ECG and Respiration by Impedance Method Problems
SpO2 Problems
NIBP Problems
Temperature Problems
Other Vital Sign Input Problems
Option Problems
Recording Problems
If these sections do not solve the problem, contact your Nihon Kohden
representative.
NOTE
Before contacting your Nihon Kohden representative for technical
support, please provide additional detailed information on the problem.
This will allow your Nihon Kohden representative to provide you with
the best support.
2. In the Problem column, find the trouble item that matches the problem.
4. If the problem is not solved, do the action for the next possible cause or
criteria.
5. If none of the actions solve the problem, contact your Nihon Kohden
representative.
Power-Related Problems
Display Problems
Sound Problems
SpO2 Problems
Temperature Problems
Option Problems
Recording Problems
Introduction
The instrument has two check programs which automatically or manually diagnose
the instrument. The automatic check program (power on self check) is executed
whenever the instrument is turned on. The manual check program can be executed
at any time.
All errors detected during the power on self check, manual check, and any time in
monitor mode are stored in an error history table that you can view.
The manual check, error history, system setup and initialization are accessed from
the DIAGNOSTIC CHECK screen.
If no error is detected, the monitor mode begins and the patient monitoring display
appears. If a serious error which does not allow the host CPU to execute the system
program any more is detected, the screen changes to the following DIAGNOSTIC
CHECK screen and the error mesage is displayed.
If a minor error such as Backup data is damaged is detected, the monitor mode
begins and the patient monitoring display appears after the power on self check.
The detected error is stored in the error history table. Refer to Calling Up the
Error History section.
The following data checks are also done. The data is corrected if necessary.
BACK UP CHECK: Checks the backed up data. If the backed up data has
something wrong, the data is initialized.
TIME CHECK: Checks correctness of the time.
GET TIME CHECK: Checks the period during the power off and adjusts the time
data if it is wrong.
Use this screen to view the error history or perform manual check or system setup
and initialization.
1. With the power off, press the Power switch while pressing the SILENCE
ALARMS key. Continue pressing the SILENCE ALARMS key until the
DIAGNOSTIC CHECK screen appears.
2. To exit the DIAGNOSTIC CHECK screen and return to the patient monitoring
mode, touch the MONITOR MODE key.
NOTE
After upgrading the instrument or adding the option to the instrument,
check that the software version is changed to the new one or a model
number of the option is displayed on the DIAGNOSTIC CHECK screen.
The ERROR HISTORY screen shows the error history of the instrument. The error
code, board name, time, and date the error occurred are listed on this screen. For an
explanation of error codes, see the Error Codes section. The error history data is
deleted whenever system initialization is performed.
1. From the DIAGNOSTIC CHECK screen, touch the HISTORY key. The
HISTORY screen appears. Then, touch the ERROR HISTORY key to display
the error history.
2. Touch the PRINT key to print the screen with the recorder.
3. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
Error Codes When a fault is detected during operation or during the power on self check, the
error is stored in the error history table. The error codes stored in the error history
are only deleted when system initialization is performed. If the memory space for
the error history is filled up, however, the oldest error code is deleted when a new
error code is added.
The message and description of each error code are described in the following
table:
System Errors A system error occurs when a fatal fault is detected during operation. All operation
of the instrument is halted and the CPU operation status data at the system error
appear on the left top of the screen. The system error is mostly stored in the error
history table. In a few seconds after the status data is displayed, the instrument
restarts. If the instrument repeats the restart, the MAIN board will be faulty.
You can delete all stored waveforms and data and the error history and return all
settings to the factory defaults.
CAUTION
Initializing the system deletes all the patient data and error history, and
returns the setting conditions to their default settings.
1. From the DIAGNOSTIC CHECK screen, touch the SYSTEM INITIALIZE key
until a SYSTEM INITIALIZE confirmation message appears. (Approximately 3
seconds)
All data and user settings are deleted.
2. To exit the DIAGNOSTIC CHECK screen and return to the patient monitoring
mode, touch the MONITOR MODE key.
CPU CHECK CRTC CHECK DPU CHECK APU CHECK COM CHECK Recorder and
Control Block
ROM Check Graphic Memory D/A adjust APU ROM Check WS Recorder Checks
Check Check
RAM Check AD test APU RAM Check SELF-TEST
Character Serial I/F Check PRO No. 1
Hard Key Memory Check ZB I/F Check
Check Network Card SELF-TEST
Graphic Draw NIBP Check Check PRO No. 2
Touch Key Check
Check ROM Check Battery Check SELF-TEST
Character Draw PRO No.3
Sound Check Check RAM Check Multi Parameter
Unit Check
Alarm Image Draw Power FREQ*
Indicator Check ECG Check
Check
* Not used on the BSM-2304A/2354A Output Check
Other Check
Memory Card
Check
Back Light
Check
In most of these checks, if a fatal error is detected during the check, the operating system hangs. When the system hangs, turn
off the instrument and remove the cause.
Calling Up the MANUAL 1. From the DIAGNOSTIC CHECK screen, touch the MANUAL CHECK key.
CHECK MENU Screen The MANUAL CHECK MENU screen appears.
2. To test each item from the MANUAL CHECK MENU screen, touch a menu
item key.
4. To exit the DIAGNOSTIC CHECK screen and return to the patient monitoring
mode, touch the MONITOR MODE key.
CPU Check Menu Items The CPU check menu items check the function of the CPU peripherals such as
ROMs, RAMs, switches, touch screen, sound generator, alarm indicator and
external memory card.
ROM Check
This item checks the ROMs on the MAIN board by the CRC (cyclic redundancy
check) technique. This check assigns a count number when one set of checks is
successfully completed. A set of checks takes about 2 minute and 20 seconds.
2. The instrument repeats the check and increments the pass count until you
touch the RETURN key.
3. If the check program finds an error, it displays the type of ROM (PROGRAM or
IMAGE) in the above area.
4. To return to the MANUAL CHECK MENU screen at any time, touch the
RETURN key.
RAM Check
This item checks the RAM on the MAIN board by comparing the test patterns (first
written to the RAM) with the test patterns (later read from the RAM). This test uses
15 test patterns and assigns a count number when a comparison of the 15 test
patterns is successfully completed. The comparison of all the test patterns in this
check takes about 4 minutes.
This check deletes the patient data. If an error message appears, the MAIN board
will be faulty.
2. The instrument repeats the check and increments the pass count until the
operator touches the RETURN key.
3. If the check program finds an error, it displays the address, write data and read
data as shown in the above table.
4. To stop the check temporarily, touch the STOP key. The START key name
changes to normal and the STOP key is highlighted.
5. To return to the MANUAL CHECK MENU screen at any time, touch the
RETURN key.
This item checks the operation of the hard keys on the front panel. The hard key
layout appear. Pressing the hard key usually highlights the corresponding hard
key on the screen.
If the pressed hard key is not highlighted, the key switch may be faulty. If more
than one hard key has this symptom, the operation board or MAIN board will be
faulty.
NOTE
The key does not give a key click sound when it is pressed in this
check.
Procedure to Start the Check Keys or to Exit the Key Check Program
1. To check the hard keys, touch the HARD KEY CHECK key.
2. In the above screen, confirm that the corresponding pressed key is highlighted
on the screen.
3. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
This item checks the touch key operation and positioning. When you start the
check, the screen changes to the touch key check screen, and indicates the position
where you touched. When you touch the screen and move your finger or touch
pen, the target mark traces your position.
If the position of the target mark and the touched position do not match, calibrate
the touch screen.
If you execute the touch key calibration and the position is still incorrect, the
MAIN board or touch screen will be faulty.
Procedure to Start the Touch Key Check or to Exit the Touch Key Check Program
1. To check the touch key, touch the TOUCH KEY CHECK key.
2. On the above screen, confirm that the touched position matches the target
mark on the screen.
Sound Check
This item checks the 7 types of sounds generated by the instrument. This check
can also be used to check the alarm circuit and the QRS beep circuit. Check the
quality of sound, loudness, noise, incorrect sound, etc.
If there is no sound or distorted sound, the speaker or MAIN board will be faulty.
5. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
This item checks the function of the alarm indicator located on the top of the
instrument. Check the light of indicator lamp according to the screen indication.
If the color does not light, the connection cable is loose or disconnected or the
MAIN board or indicator board will be faulty. If the indicator lights partially, the
indicator board is faulty.
2. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
OTHER Check
This item checks the clock IC and backup NVRAM (EEPROM). The NVRAM
contains the system setup data. The check program checks that there is no
difference between the data read from EEPROM and written data into EEPROM.
Therefore, this check does not damage the system setup data. If the clock IC and
NVRAM have no error, the OK message appears on the screen and current date
and time appear at the top of the screen. If an error message appears, the MAIN
board will be faulty.
The program starts the checking automatically and several minutes later, the
program displays the result of checking.
2. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
This item checks the inserted PCMCIA card and its interface. There are two
checks. The ATTRIBUTE CHECK displays the dump list of attribute area which is
in the PCMCIA card. The COMMON CHECK is the write/read check for common
area. This check continues until you touch the STOP key or RETURN key.
The check method is the same as the system RAM check.
If the PCMCIA card is not inserted, the program displays the CARD NOT
INSERTED message on the screen.
2. To display the dump list of attribute area which is in the memory card, touch
the ATTRIBUTE CHECK key.
If the check program finds an error, it displays the address, write data and read
data as shown in the above table.
4. To stop the check temporarily, touch the STOP key. The START key name
changes to normal and the STOP key is highlighted.
5. To return to the MANAUL CHECK MENU screen, touch the RETURN key.
Backlight Check
This item checks the brightness control of the LCD backlight. While the
brightness is manually changed, check that it changes smoothly with no twinkling.
Check that the backlight goes off or has no twinkling when the brightness is set to
minimum.
If the brightness does not change smoothly or the light goes off in the middle of
the brightness bar on the screen, it indicates the end of life of the backlight or
faulty inverter board.
In that case, replace the inverter board or fluorescent tube (backlight lamp) with a
new one. Refer to Section 5 Disassembly and Assembly.
2. To return to the MANUAL CHECK MENU screen at any time, touch the
RETURN key.
CRTC Check Menu Items The CRTC check menu items check the function of the display control block,
including the LCD unit. These check results cannot be recognized by the host
CPU, so you must judge the result.
If the check program finds an error, it displays the address (and block bank),
write data and read data as shown in the above table.
2. To stop the check temporarily, touch the STOP key. The START key name
changes to normal and the STOP key is highlighted.
3. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
This item checks the function of the graphic draw plane. Check the figure of
display and colors. The solid color screen allows you to find wrong LCD pixels.
10 planes for wave/graphic screen are available and the check program displays 2
planes at a time.
If the screen has a wrong display, the MAIN board or LCD unit will be faulty.
After touching the screen again, the screen shows you a solid color. The
patterns are changed every time you touch the screen.
3. To change the plane combination, such as 2 planes or ALL, press the NIBP
INTERVAL key.
4. To scroll the waveform in the triangular waveform display mode, press the
MENU key.
5. To return to the GRAPHIC DRAW CHECK screen, press the HOME key.
6. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
Touch Key
MENU key
Touch Key
For the TFT LCD screen, it is considered normal if some pixels have randomly
abnormal color or do not light. (Up to 6 wrong pixels are considered normal at the
maximum brightness.)
This item checks the function of the character draw plane and ASCII font display.
Check the character display and colors. 2 planes for character screen are available
and the check program displays one plane at a time.
If the screen has a wrong display, the MAIN board or LCD unit will be faulty.
When the program starts, it draws the green characters on the black plane.
2. To reverse the plane color, touch the CHANGE BACK COLOR key.
If you press the MENU key, you can change the display mode in order of
normal blink reverse reverse and blink normal.
3. To change the color of the character, press the SILENCE ALARMS key.
4. To return to the CHARACTER DRAW CHECK screen, press the HOME key.
5. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
MENU
This item checks the function of the image draw plane and bit map character
display. All the icons messages and bitmap images are displayed one by one.
Check the image display and background colors.
If the screen has a wrong display, the MAIN board or LCD unit will be faulty.
When the program starts, it draws the white image on the black plane.
2. To reverse the plane color, touch the CHANGE BACK COLOR key.
To change the image one by one, touch the UP or DOWN key on the
screen.
4. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
DPU Check Menu Items The DPU check items check the communication between the Analog board and
DPU or between the NIBP board and DPU.
D/A ADJUST
This item is used to check the output voltage level of the D to A converter.
D to A output
DC 2.5 V 2.500 V 5%
DC 0 V CHECK 0 V 100 mV
DC +5 V CHECK +5.000 V 5%
AC 30 Hz 30 Hz 5%
2. To change the output voltage or waveform, touch each name of the other keys.
3. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
AD TEST
This is not a check. The AD Test table shows the A to D converted values of all the
analog parameters such as ECG, SpO2 and NIBP.
Each vital sign data are read from the A to D converter every 2 ms. The maximum
and minimum data of each vital sign data are displayed every 512 ms.
CH1 (ECG1): ECG1 waveform data with the hum filter set to off
CH2 (ECG1 HUM): ECG1 waveform data with the hum filter set to on
CH3 (ECG2): ECG2 waveform data with the hum filter set to off
CH4 (ECG2 HUM): ECG2 waveform data with the hum filter set to on
CH5 (RESP): Respiration waveform data
CH6 (PIC): Not used
CH7 (NIBP): NIBP measurement data
CH8 (SpO2): Plethysmographic pulse wave data
CH9 (MP1): Multi-parameter 1 socket input data
CH10 (MP2): Not used
CH11 (MP3): Not used
2. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
ZB I/F Check
This check is used to check the signal lines when the ZB-900PG/K transmitter is
connected to the instrument or the pins 2, 3 and 6 of the ZB socket short and pins 7
and 8 short for loop back test. If the signal lines have no problem, a ZB
CONNECTION message appears. If there is a problem, a ZB NO CONNECTION
message appears.
2. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
NIBP Check
This NIBP check program checks the two pressure sensors, safety opreation, pump,
valves, air leakage and block. The check program consists of the following check
items:
1. Calibration Sensor 1:Checks the pressure sensor for NIBP measurement circuit.
Calibration Sensor 2:Checks the pressure sensor for NIBP safety circuit.
2. Zero Calibration: Checks the zeroing.
3. Safety Check: Checks the safety circuit operation.
3-1 OVER PRESS1:Checks the pressure lmitter.
3-2 OVER PRESS2:Checks the pressure continuous time.
4. Inflation Speed: Checks the time that the inflation pressure reaches to the
specified pressure.
4-1 Adult: Checks the inflation speed with 700
mL dummy cuff.
4-2 Neonate: Check the inflation speed with 72
mL dummy cuff.
5. Pressure Hold: Checks that the inflation pressure is held for a specified
time.
6. Step Deflation: Checks the valve operation.
7. Air leak: Not used.
8. Air Circuit: Checks that there is no air block.
3. Touch the START key to start the check for the selected check item.
NOTE
Make sure there is no pressure applied on the cuff connector before
pressing the START key. The program considers the pressure of the
cuff connector as 0 mmHg at the start of the check.
4. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
1. Calibration
The Calibration Check program is not used for calibration but is used to display
the accuracy of the two pressure sensors (Sensor 1 and Sensor 2). The accuracy of
each sensor changes with the measuring pressure. The following table shows the
acceptable accuracy range of the two pressure sensors at different pressure ranges.
NOTE
Before performing the following check, perform 2. ZERO
CALIBRATION first and check that OK appears on the screen.
1. Connect the manometer and hand bulb pump to the dummy cuff using the Y-
branch connector and connect the dummy cuff to the instrument with the air
hose as shown on the next page.
Y-branch connector
4. Immediately start pumping the hand bulb pump. Stop pumping the hand bulb
pump when the pressure reading displayed on the NIBP Check display of the
instrument is within one of the above mentioned pressure ranges (0 to 300
mmHg at SENSOR1 or 0 to 15 mmHg, 16 to 200 mmHg or 201 to 300 mmHg
at SENSOR 2).
5. Compare the pressure reading displayed on the NIBP Check display with the
pressure reading on the manometer and check that the difference between the
two pressure readings is within the acceptable accuracy range.
If the accuracy of the pressure sensor for any of the two pressure ranges is out
of the acceptable accuracy range, replace the NIBP board or pneumatic
component such as air tube or valve with a new one.
2. Zero Calibration
This program is not used for calibration but is used for pressure zeroing.
3. Safety Check
This check program has the following two check items.
Y-branch connector
2. Touch the SELECT key or SELECT key to select the 3-1. OVER
PRESS1 item.
4. Immediately increase the pressure inside the dummy cuff and manometer with
the hand bulb pump until the pressure reaches to 300 mmHg (for adult) or 150
mmHg (for neonate).
5. After getting the specified pressure, slowly increase the pressure with the hand
bulb pump and check that the pressure is released within the range of 300 to
330 mmHg (for adult) or 150 to 165 mmHg (for neonate) by the safety valve.
Y-branch connector
2. Touch the SELECT key or SELECT key to select the 3-2. OVER
PRESS2 item.
4. Immediately increase the pressure inside the dummy cuff and manometer with
the hand bulb pump until the pressure reaches to 300 mmHg (for adult) or 150
mmHg (for neonate).
5. After getting the specified pressure, stop pumping the hand bulb pump and
check that the pressure is released within the range of 10 to 15 seconds by the
time limiter and safety valve.
4. Inflation Speed
This check program has the following two check items.
4-1. ADULT
Checking the Inflation Speed
1. Connect the 700 mL dummy cuff to the instrument with the 3.5 m long adult/
child air hose as shown below.
2. Touch the SELECT key or SELECT key to select the 4-1. ADULT
item.
3. Touch the START key to start the check program. The instrument increases
the pressure in the dummy cuff up to 200 mmHg.
4. Check that it takes 7 seconds or less to changes from zero pressure to 200
mmHg. If it takes more than 7 seconds, ERROR appears on the screen. In
this case, replace the NIBP board or pneumatic component such as pump,
valve or tube with a new one.
4-2. NEONATAL
Checking the Inflation Speed
1. Connect the 72 mL dummy cuff to the instrument with the 3.5 m long neonatal
air hose as shown below.
72
3. Touch the START key to start the check program. The instrument increases
the pressure in the dummy cuff up to 200 mmHg.
4. Check that it takes 7 seconds or less to changes from zero pressure to 200
mmHg. If it takes more than 7 seconds, ERROR appears on the screen. In
this case, replace the NIBP board or pneumatic component such as pump,
valve or tube with a new one.
5. Pressure Hold
Checking the Pressure Hold
1. Connect the 250 mL dummy cuff and hand bulb pump to the instrument with
the 3.5 m long adult/child air hose as shown below.
3. Touch the START key to start the check program. The START key
changes to MEASURE START key and blinks.
4. Immediately increase the pressure inside the dummy cuff with the hand bulb
pump up to about 250 mmHg and pinch the hose of the hand bulb pump.
5. When the pressure becomes stable, touch the blinking MEASURE START
key to measure the pressure. The blinking stops. The instrument displays the
values of the pressure 10 seconds after and pressure 20 seconds after the
MEASURE START key is pressed. Check that the pressure difference
between the two pressures is within 5 mmHg. If it is more than 5 mmHg, an
ERROR message appears and the NIBP board or pneumatic component such
as pump, valve or tube is faulty.
6. Step Deflation
6-1. V1 250 mmHg
Checking the Valve 1 at the High Pressure
1. Connect the 250 mL dummy cuff and hand bulb pump to the instrument with
the 3.5 m long adult/child air hose as shown below.
3. Touch the START key to start the check program. The START key
changes to MEASURE START key and blinks.
4. Immediately increase the pressure inside the dummy cuff with the hand bulb
pump up to about 250 mmHg and pinch the hose of the hand bulb pump.
5. When the pressure becomes stable, touch the blinking MEASURE START
key to measure the pressure. The blinking stops. The instrument displays the
pressure value after the valve 1 opens for 50 milliseconds. Check that the
pressure difference between the two pressures is within the range of 7 to 23
mmHg. If the pressure difference is out of the range, and ERROR message
appears and the NIBP board or pneumatic component such as pump, valve or
tube is faulty.
3. Touch the START key to start the check program. The START key
changes to MEASURE START key and blinks.
4. Immediately increase the pressure inside the dummy cuff with the hand bulb
pump up to about 250 mmHg and pinch the hose of the hand bulb pump.
5. When the pressure becomes stable, touch the blinking MEASURE START
key to measure the pressure. The blinking stops. The instrument displays the
pressure value after the valve 2 opens for 50 milliseconds. Check that the
pressure difference between the two pressures is within the range of 5 to 15
mmHg. If the pressure difference is out of the range, an ERROR message
appears and the NIBP board or pneumatic component such as pump, valve or
tube is faulty.
6-3. V1 20 mmHg
Checking the Valve 1 at the Low Pressure
1. Connect the 250 mL dummy cuff and hand bulb pump to the instrument with
the 3.5 m long adult/child air hose as shown below.
3. Touch the START key to start the check program. The START key
changes to MEASURE START key and blinks.
4. Immediately increase the pressure inside the dummy cuff with the hand bulb
pump up to about 20 mmHg and pinch the hose of the hand bulb pump.
5. When the pressure becomes stable, touch the blinking MEASURE START
key to measure the pressure. The blinking stops. The instrument displays the
pressure value after the valve 1 opens for 120 milliseconds. Check that the
pressure difference between the two pressures is within the range of 2 to 8
mmHg. If the pressure difference is out of the range, an ERROR message
appears and the NIBP board or pneumatic component such as pump, valve or
tube is faulty.
3.36 Service Manual BSM-2300
3. DIAGNOSTIC CHECK
6-4. V2 20 mmHg
Checking the Valve 2 at the Low Pressure
1. Connect the 72 mL dummy cuff and hand bulb pump to the instrument with
the 3.5 m long adult/child air hose as shown below.
3. Touch the START key to start the check program. The START key
changes to MEASURE START key and blinks.
4. Immediately increase the pressure inside the dummy cuff with the hand bulb
pump up to about 20 mmHg and pinch the hose of the hand bulb pump.
5. When the pressure becomes stable, touch the blinking MEASURE START
key to measure the pressure. The blinking stops. The instrument displays the
pressure value after the valve 2 opens for 100 milliseconds. Check that the
pressure difference between the two pressures is within the range of 2 to 8
mmHg. If the pressure difference is out of the range, an ERROR message
appears and the NIBP board or pneumatic component such as pump, valve or
tube is faulty.
7. Air Leak
Since 5. Pressure Hold check covers this check which requires the special tool
(not available locally), this check is not necessary for you.
8. Air Circuit
1. Disconnect any air hose from the NIBP socket on the instrument.
3. Touch the START key to start the check program. The pump works.
This item checks the ROM in the DPU on the MAIN board by the CRC (cyclic
redundancy check) technique. This check assigns a count number when one set of
checks is successfully completed.
The instrument repeats the check and increments the pass count until you
touch the RETURN key.
If the check program finds an error, it displays the ERROR message on the
screen.
2. To return to the MANUAL CHECK MENU screen at any time, touch the
RETURN key.
This item checks the RAM in the DPU on the MAIN board by comparing the test
patterns (first written to the RAM) with the test patterns (later read from the RAM).
Procedure to Start, Stop, and Exit the DPU RAM Check Program
1. To select the DPU RAM Check, touch the RAM CHECK key at the DPU
CHECK column. The check program automatically starts.
The START key is highlighted to indicate the process of checking.
If the check program finds an error, it displays the address, written data and
read data on the screen.
2. To stop the check temporarily, touch the STOP key. The highlighted
START key changes to normal and the STOP key is highlighted.
3. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
Power FREQ
This check program detects the line frequency and shows it.
APU Check Menu Items The APU check items check the APU on the Analog board.
This item checks the ROM in the APU on the Analog board by the CRC (cyclic
redundancy check) technique. This check assigns a count number when one set of
checks is successfully completed.
If an error message appears on the screen, the Analog board will be faulty.
The instrument repeats the check and increments the pass count until you
touch the RETURN key.
If the check program finds an error, it displays the ERROR message on the
screen.
2. To return to the MANUAL CHECK MENU screen at any time, touch the
RETURN key.
This item checks the RAM in the APU on the Analog board by comparing the test
patterns (first written to the RAM) with the test patterns (later read from the RAM).
If an error message appears on the screen, the Analog board will be faulty.
Procedure to Start, Stop and Exit the APU RAM Check Program
1. To select the APU RAM Check, touch the RAM CHECK key at the APU
CHECK column. The check program automatically starts. The START key
is highlighted to indicate the process of checking.
If the check program finds an error, it displays the address, written data and
read data on the screen.
2. To stop the check temporarily, touch the STOP key on the screen. The
highlighted START key changes to normal and the STOP key is
highlighted.
3. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
COM Check Menu Items The COM check items check the communication between the host CPU and
recorder CPU and serial communication at the AUX socket.
WS RECORDER Check
This item checks the dual port RAM in the ASIC (RACOON) and recorder CPU
peripherals with the communication between the host CPU and recorder CPU. The
optional recorder is one of the peripherals for the host CPU.
If an error is found, the MAIN borad or REC MAIN board will be faulty.
2. Touch the PRINT TEST PATTERN START key. The host CPU
communicates with the recorder CPU so that the above test pattern is recorded
on the paper.
If the magazine is open or there is no paper, these status are displayed on the
screen. If the status is not displayed in such condition, the MAIN board, REC
MAIN board or recorder unit will be faulty.
To perform this check without a personal computer, you must make the following
short circuits at the AUX socket.
Pins 8 and 18
Pins 9 and 19
Pins 10 and 20
To check the serial communication interface, the check program changes the baud
rate, data bit length and parity check condition.
The check program recognizes the type of card and displays the attribute data
which is memorized in the card.
If the QI-101P network card is not inserted, the INSERT NETWORK CARD
message appears on the screen instead of the above screen example. At that
time, when you insert the network card, a few seconds later, the above screen
appears automatically.
If the check program can read the attribute data at the CARD ATTRIBUTE
correctly and there is no error at the attribute data at COMMON RAM CHECK
BY HOST but the instrument has no communication with the network, the
network cable or hub will be faulty. If an error message appears at one of the
five checks, the network card or MAIN board will be faulty.
2. Touch the ROM CHECK key on the screen. The CPU of the network card
checks the program data of the ROM in the CPU using the check sum method
and displays the check result on the following screen.
3. Touch the SYSTEM RAM CHECK key on the screen. The CPU of the
network card checks the system RAM in the CPU by writing the check data as
a pattern and reading the stored check data and comparing the written data
with the read data. If an error is found, the host CPU on the MAIN board
displays the address at the error occurrence, written data and read data on the
following screen.
4. Touch the COMMON RAM CHECK BY CARD key on the screen. The CPU
of the network card checks the common memory of the network card. The host
CPU on the MAIN board receives the check result and displays it on the
screen. If an error is found, the host CPU displays the address at the error
occurrence, written data and read data on the following screen.
5. Touch the COMMON RAM CHECK BY HOST key on the screen. The host
CPU on the MAIN board checks the common memory of the network card and
displays the check result on the screen. If an error is found, the host CPU
displays the address at the error occurrence, written data and read data on the
following screen.
6. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
BATTERY Check
This check program checks the temperature of the optional battery pack and
thermistor for the battery temperature detection. If DISCONNECTION appears at
the THERMISTOR check item but the battery pack is firmly connected, the
battery pack or MAIN board will be faulty.
2. To return to the MANUAL CHECK MENU screen, touch the RETURN key.
Procedure to Start and Exit the MULTI PARAMETER UNIT Check Program
1. To select the MULTI PARAMETER UNIT Check, touch the MULTI
PARAMETER UNIT CHECK key at the COM CHECK column.
ECG Check
This check is for factory use.
NOTE
These ECG monitoring settings do not affect the monitor mode.
OUTPUT Check
When the optional QI-231P interface is connected to the bedside monitor, this
check program shows that the interface LED lamp selected on this screen is lit.
When the ANALOG is selected on the screen, the ECG lamp on the interface is
lit. When the TRIGGER is selected on the screen, the TRIG lamp on the
interface is lit.
Recorder and Control This check program checks the thermal array recorder and recorder control block
Block Checks (recorder CPU peripherals) without communication with the host CPU. Therefore,
this check is independent from the manual check menu.
This check allows you to inspect the quality of print, paper speed and feed, etc.
Procedure to start and exit the Recorder and Control Block Check Program
1. To start the check program, press and hold the record key on the recorder
module and NIBP INTERVAL key until the monitoring screen appears when
you turn on the power. The SELF-TEST-PRO No.1 check program is ready for
the execution.
2. To select one of the three check programs for the recorder and control block
checks, press the record key. Each time the record key is pressed, the check
program changes as follows:
SELF-TEST-PRO No. 1 SELF-TEST-PRO No. 2 SELF-TEST-PRO No. 3
SELF-TEST-PRO No. 1
3. To start the selected check program, press the NIBP INTERVAL key.
SELF-TEST-PRO No.1
This check program checks the peripheral circuits of the recorder CPU, e.g. ROM,
RAM and DIP switch setting status. The check result and recorder software version
number are recorded on the paper as shown below approx. 30 seconds after the
NIBP INTERVAL key is pressed. The recording starts soon after the black square
on the paper is detected.
If an error is found, one of the following error codes appears on the paper.
SELF-TEST-PRO No.2
This check program checks the paper speed, slip and snaking. A 0.5 Hz rectangular
waveform and bar graph are recorded on the paper at 25 mm/s paper speed by
pressing the NIBP INTERVAL key.
25 mm/sec
10 mm
25 mm/s +5%
(47.5 to 52.5 mm)
SELF-TEST-PRO No.3
This check program checks the recording quality. There are the following three
recording patterns for scale, character and thermal array head checks.
The recording pattern changes automatically after the NIBP INTERVAL key is
pressed for the recording start. The recording starts soon after the black square on
the paper is detected.
Scale Check: Checks the circuit related to the scale recording in the recorder
control block on the REC MAIN board. If the recording has something wrong,
the REC MAIN board will be faulty.
Character Check: Checks the circuit related to the character recording in the
recorder control block on the REC MAIN board. If the recording has something
wrong, the REC MAIN board will be faulty.
Thermal Array Head Check: Checks the thermal array head condition and RAM
for the storage of the data for the heat elements of the head. If there is a dot
missing, faint dot or dark and faint dots mixed on the paper, check that the
thermal array head is firmly attached and is not dirty. Replace the thermal array
head with a new one if the head is cleaned but the problem still occurs. If the
recording pattern has something wrong, the REC MAIN board will be faulty.
Scale Check
Character Check
Calibration of Touch When you replace the touch screen or MAIN board with a new one, the touch
Screen screen must be calibrated. Or, depending on the setting position, the effective
point may slightly shift due to viewing angle. In that case, re-calibrate after the
instrument is set up.
2. Press the MENU key in this mode to display the TOUCH PANEL
CALIBRATION screen.
3. A target mark will be displayed from upper left corner to lower right corner
(total of 9 points). Touch the center of the target mark for more than 2 seconds
until it moves to the next location.
4. After the calibration, you can confirm the recognized position. Touch
anywhere on the screen and the target mark tracks your touching position.
MAIN Board
The MAIN board consists of system control block, display control block, DPU
block and power control block.
The system control block has the host CPU which controls the peripherals to
receive the operation key status and display the waveforms and numeric data. The
program is stored in the 2 MB system ROM (flash EEPROM) for host CPU, 128 KB
Boot ROM in the system control block and 1 MB system ROM (flash EEPROM) for
CPU on the REC MAIN board of the optional recorder module.
When the instrument is turned on, the host CPU executes the program in the Boot
ROM. According to the program, the host CPU checks if the program card is
inserted into the slot on the MAIN board. When the host CPU recognizes that the
correct program card is inserted, the host CPU writes the program from the card to
each system ROM. This is called Boot. Therefore, this Boot system allows you to
upgrade the instrument without opening it. On the other hand, when the program
card is not inserted into the slot, the host CPU switches from the Boot ROM to the
system ROM on the MAIN board and executes the system program.
<When the program card is inserted> <When the program card is not inserted>
An MC68SEC000 is used as the host CPU. The clock frequency is 20 MHz. The
host CPU controls the dedicated gate array, ASIC (Application Specific Integrated
Circuit) ACORN, which controls the hard keys, touch screen, alarm indicator, QRS
synchronous sound, alarm sound, real time clock, PCMCIA card interface, DPU
communication and RS-232C communication.
The large capacity capacitor (Super capacitor) allows the 1 MB system RAM
(SRAM) to back up the trendgraph, vital sign list, arrhythmia recall, monitoring
conditions for each parameter and alarm settings for 30 minutes or more after the
power is turned off. When the instrument is turned on after more than 30 minutes
power off is past, the host CPU regards the backup data as damaged and initializes
them if the Super capacitor is discharged too much to back up the various data.
The lithium battery allows the real-time clock IC to update the date and time while
the power is turned off. The lifetime of the lithium battery is approx. 6 years or
more.
The PCMCIA card interface selects the bank at every 512 KB and can select the
attribute memory or common memory from the PCMCIA card.
The host CPU periodically reads the status of all the hard keys on the instrument
through the ACORN and executes the process according to the key status.
The audio circuit uses an FM sound generator (sound source IC) so that the QRS
sound, alarm sound and key sound are generated at the same time. The sound
volume control data as well as the tone and pitch data is written to the FM sound
generator by the host CPU. The audio output signal from the FM sound generator
is amplified by the audio power amplifier so that the speaker sounds.
Host CPU
When the IBIS receives a display control command from the host CPU, the IBIS
accesses these memories to get the display data and arranges the display data for
RGB outputs. There are two RGB outputs. One is RGB output for the LCD. The
other one is RGB output for a locally available RGB monitor.
c) DPU block
The DPU block has the DPU (H8S/2633 microcontroller) which works with 20
MHz clock. The DPU (Data Processing Unit) communicates with the floating
amplifiers and ZB-900P transmitter interface on the Analog board and with the
NIBP board. The DPU acquires the various data from these communications and
processes the data to communicate with the host CPU. The DPU periodically
writes the processed data into the system RAM on the main bus so that the data
communication between the DPU and host CPU is done through the system RAM.
There are 256 KB flash EEPROM and 16 KB SRAM in the DPU. When the
software is upgraded, the host CPU replaces the current program in the flash
EEPROM with the new one in serial data communication.
Host CPU
System DPU
RAM
Data flow in normal operation
+15 V from the power supply unit or +12 V from the rechargeable battery is
converted to +3.3 V and +5 V supply voltages by the DC to DC converters and
power supply microcontroller.
When the line voltage is supplied to the instrument and the battery is inserted into
the instrument, the power supply microcontroller charges the battery with approx.
370 mA (normal charge) for 16 hours (maximum). After the normal charging, the
controller uses trickle charging to charges the battery with approx. 370 mA for 1.2
seconds at interval of 1 minute so that the fully charged battery condition is
maintained.
If the normal or trickle charging is interrupted for five hours or less by power
failure or disconnection of the power cord and the battery is not removed from the
instrument, the controller memorizes how many hours the battery is charged before
the interruption. After it is removed, the controller charges the battery under the
memorized condition to protect the battery against excessive charge.
Analog Board
The Analog board consists of the ECG/RESP block, SpO2 block, MP block and ZB-
900P interface block. The ECG/RESP block, SpO2 block and MP block are
electrically isolated from the ground, so these blocks are in the floating area. The
ZB-900P interface block is not electrically isolated from the ground so this block
is in the non-floating area. The vital sign input signals are digitized with the A to
D converters in the floating area as shown below. Especially, the process such as
calculation for the SpO2 data is done in the floating area and the SpO2 data goes to
the DPU on the MAIN board through the non-floating area.
Optical isolation
TEMP A to D
converter APU
MP A to D
converter
SpO2
or MP-506* Trans-
Power
Supply former
DPU
ECG A to D
converter ERC
RESP
Power Trans-
Supply former ZB-900P
ECG/RESP Block There is a dedicated microcontroller ERC (PIC16C63A) in the ECG/RESP block.
This ERC (ECG/Resp Controller) communicates with the DPU and controls the A
to D converter and selects the time constant and filter settings.
The ECG circuit has two individual amplifiers, time constant setting circuits and
hum and low pass filter setting circuits so that two lead ECG waveforms selected
from the eight ECG leads (I, II, III, aVR, aVL, aVF and 2 chest leads) are
simultaneously displayed on the screen when 6-wire type disposable electrode
lead is used.
The impedance method respiration circuit also is in this block. The constant
current generator (exciter) and impedance change detection circuits are included.
The voltage proportional to the impedance change (including the electrode
contact impedance) between the two electrodes for the pickup is multiplexed and
digitized in this block.
SpO2 and MP Blocks In these blocks including the temperature block, there is a dedicated
microcontroller APU (H8S/2633) which works with 20 MHz clock. The APU
(Analog-block Processing Unit) communicates with the DPU and controls the
respective A to D converters and executes each data processing for SpO2,
temperature and the other vital sign such as blood pressure connected to the multi-
parameter socket.
There is a flash EEPROM in the APU. When the software is upgraded, the host
CPU replaces the current program in the flash EEPROM with the new one.
SpO2 Block
This block has the following circuits.
Differential amplifier: Amplifies the electrical signals detected by the
photodiode when the red LED and infrared LED in the SpO2 probe alternatively
transmits the lights to the subject.
R-IR separator: Separates the electrical signals caused by the red LED and
infrared LED transmissions to the subject.
Pulse wave amplifier: Amplifies the red LED and infrared LED pulse waves.
Multiplexer: Multiplexes the analog signals such as pulse waves.
LED drive current control: Controls the drive currents for the red LED and
infrared LED.
Probe ID recognition: Detects the probe ID and sends the status data to the APU.
Probe failure detector: Detects the short circuit in the probe and sends the status
data to the APU.
The APU controls the SpO2 block totally and calculates the SpO2 data from the
various data digitized by the A to D converter (in BSM-2301A/C/K, BSM-2303C/
K, BSM-2351A/C/K and BSM-2353C/K) or receives the SpO2 data from the MP-
506 Nellcor SpO2 unit (in BSM-2304A/2354A).
SpO2 APU
LED driver LED control
probe Light intensity control (H8S/2633)
Gain control
Probe ID
recognition
MP-506*
* In BSM-2304A/2354A, the MP-506 Nellcor SpO2 unit replaces the block surrounded by a dotted border.
MP Block
The MP block consists of the blood pressure amplifier circuit, thermistor method
respiration circuit and temperature block. The APU recognizes which sensor/
transducer is connected to the multi-parameter socket and selects the exciter
voltage. When the CO2 sensor is connected to the socket, the APU communicates
with the CO2 sensor
The APU receives the digital data from the A to D converter every 2 ms and sends
the data to the DPU.
Blood pressure
amp MPX APU
A to D converter
(H8S/2633)
Thermistor method
Multi- respiration amp
parameter
socket
IBP Board
The IBP board has the input block for invasive blood pressure measurement. This
board consists of the exciter voltage generator and input amplifier. The amplified
blood pressure signal is sent to the multiplexer and A to D converter of the MP
block in the floating area on the Analog board. The digitized data of the blood
pressure signal is sent to the microcontroller APU on the Analog board.
IBP2
Amp
x 195.3 (Gain)
Wire beaking
detector IBP2_CHK
NIBP Board
The NIBP board has the pressure sensor for NIBP measurement to detect the cuff
pressure and convert it to an electrical signal. There is no adjustment which can be
done locally.
A microcontroller for safety control, pressure sensor for safety, solenoid valve,
pump and power supply cut-off circuit for the valve and pump are on the NIBP
board. The cuff pressure is individually monitored by this safety circuit and the
DPU on the MAIN board. If a wrong operation such as excessive cuff inflation
caused by the faulty MAIN board or the faulty measurement circuit on the NIBP
board occurs, the safety circuit on the NIBP board provides the multi safety
functions so that the patient is protected from the wrong operation.
If the microcontroller works for the safety, the drive voltage is not supplied to the
pump and valve for 30 sec. This prevents the cuff from inflating during this
period.
Since the measurement data from the measurement circuit and safety circuit are
compared and the operation of the safety circuit is always monitored, the Safety
Circuit Error status message immediately appears on the screen if the NIBP
measurement has something wrong.
Exciter
DC amp
Amp A to D
Pressure Pulse complex MPX
offset Gain control
sensor detector
adj.
To
Hall MAIN
IC baord
Microcontroller
NIBP
socket +15 V
Exciter
Pump Pump drive circuit
The power supply block consists of the power supply unit (+15 V DC output), rear
chassis, fuse holder built-in type AC inlet socket, ground terminal and line
frequency detection coil. Refer to Section 8 REPLACEABLE PARTS LIST.
This power supply unit same as in the BSM-1101/1102, BSM-4100 series and
WEP-4204/4208 is used.
LCD Unit
8.4/10.4 inch TFT color LCD which has 800 dots 600 dots (SVGA) is used as the
display. This LCD unit can display maximum 512 colors. 12 colors can be
assigned for waveforms and each vital sign parameter by the user.
Since the LCD unit is covered with a polarization filter which is weak against an
impact and pressure, it requires your attention during service.
The LCD unit has two cold cathode tubes to backlight the LCD. The high voltage
for the two tubes is supplied from the inverter board.
It takes approx. 50,000 hours (about 5 years and 9 months) for the brightness to
decrease from maximum to half brightness (lifetime of the backlight) if the two
tubes at the maximum brightness work in continuous operation. Therefore, the
tube may need to be replaced after 50,000 hours of use.
The recorder module has the REC MAIN board and recorder unit as shown below.
REC MAIN Board The REC MAIN board has the CPU (20 MHz MC68SEC000), 1 MB system ROM
for program storage, 512 KB system RAM for the CPU working area and a
dedicated recorder control ASIC RACOON.
The CPU on this board communicates with the host CPU on the MAIN board
through the RACOON. The RACOON controlled by the CPU on this board
controls all the recording functions such as the paper drive motor control and
thermal array head control.
When the instrument is upgraded, the bus on this board is directly connected to the
main bus on the MAIN board and the 1 MB system ROM takes a part of the
memory for the upgrade program. The host CPU replaces the previous program in
the 1 MB system ROM with the new one.
ROM RAM
RACOON
Recorder Unit The recorder unit consists of thermal array head, paper drive motor, gears, recorder
chassis, sensor board (paper and mark detectors included) and sensor control board.
The RACOON (ASIC) on the REC MAIN board allows the recorder unit to record
the 3 channel waveforms, vital sign list and trendgraph.
Since the thick membrane type thermal array head is used, it does not require the
adjustment of the supply voltage to the head. The lifetime of the heating elements
on the head is 100 million heating times.
A stepping pulse motor is used as the paper drive motor. The lifetime of the motor
is approx. 3,000 hours continuous operation.
When the paper detector or mark detector (LED and phototransistor assembly) on
the sensor board is replaced with a new one, the gain control VR on the sensor
control board must be adjusted. See Section 7 ADJUSTMENT.
Photo Excessive
ECG or trigger digital signal controller D to A Filter ECG or
voltage
RGB coupler converter trigger output
protection
Serial data communication circuit
following three blocks.
+5 V supply voltage
TRIG/ECG jack
4 MHz
20-pin AUX socket for oscillator
4-bit switch Bit setting for ECG outputs
serial data communication ON: 1 0000: ECGHUM1
OFF: 0 0001: ECG1
0010: ECGHUM2
0011: ECG2
Trigger
output
15-pin RGB output socket
circuit
ECG and
trigger output
LED indicators
128 kHz
oscillator
Transformer 5 VF supply voltage
The interface has the IO ANALOG OUT board inside. This board consists of the
ECG, QRS Synch or Alarm Data of the ECG, QRS synch or alarm trigger signal from the AUX socket of the
Trigger Signal Output bedside monitor are sent to the floating area of the board through the photo
Block coupler. In the floating area, the data are sent to the microcontroller
(PIC16C63A) which communicates with the bedside monitor, selects the output
signal with the analog switch, controls the D to A converter, selects the ECG1
or ECG2 with or without hum filter according to the 4-bit switch setting and
lights the ECG or TRIG LED. When the ECGHUM1 is selected, the hum filtered
ECG1 analog signal from the D to A converter goes to the output jack.
Serial Data Communication The current software does not support this communication.
Relay Block
When an external device which has an RS232C port is connected to the
RS232C socket on this board, the serial data will be communicated between the
external device and bedside monitor through this board if the same
communication protocol is used between the external device and bedside
monitor.
RGB Relay Block The RGB analog signals are sent to the RGB output socket on this board
through the AUX socket of the bedside monitor.
ECG
RGB
Micro-
ECG 12-bit D to A Sensitivity Filter Full-wave T-wave Comparator HT
controller
Dedicated serial data selector rectifier discriminator
PIC16C63A converter
communication between (PIC1)
BSM-2300 and QI-236P
Interface (Option, QI-236P)
two blocks.
+5 V
4 MHz
oscillator
Micro-
controller
PIC16C63A
(PIC2)
4 MHz
oscillator
ECG and QRS Synch Data of the ECG signal from the AUX socket of the bedside monitor are sent to
Trigger Signal Output the microcontroller (PIC16C63A:PIC1) which controls the D to A converter.
Block The data from the D to A converter goes to two circuits. One is the QRS detection
circuit. This signal is output as the QRS synch trigger signal HT. The HT
signal is sent to the microcontroller (PIC16C63A:PIC2) which communicates with
the bedside monitor. The other is a filtered ECG analog signal which goes to the
output connector as ECG.
RGB Relay Block The RGB analog signals are sent to the RGB output socket on this board
through the AUX socket of the bedside monitor.
CAUTION
Turn off the instrument and disconnect the power cord from the
instrument before beginning the disassembly procedure.
Before placing the instrument on a table, if its surface is dirty, hard or
rough, cover the table with a clean, soft and smooth material to avoid
making the screen dirty and damaging the screen.
2-1b. Disconnect the battery pack from the battery cable and remove the battery
box from the instrument.
2-2b. Gently pull the battery cable until the connectors come out from the
recorder module.
2-2c. Disconnect the battery cable from the battery pack of the recorder module.
2-2d. Press the latches at both ends of the upper flat cable connector to release the
lock and disconnect the upper flat cable from the instrument. Press the
latches at both ends of the lower flat cable connector to release the lock and
disconnect the lower flat cable from the instrument. Remove the recorder
module from the instrument.
Latches
3. Remove the 5 screws from the rear enclosure and remove the rear enclosure
from the instrument as shown below. The rear chassis appears.
4. Remove the 2 screws from the left and right side panels and remove them from
the chassis block.
CAUTION
To disconnect the touch screen cable (film cable), pull up the black
flange of the socket on the MAIN board so that the cable is set free.
Before disconnecting the touch screen cable (film cable), wear gloves
to protect the film cable from fingerprints and any damage.
When connecting the touch screen cable (film cable) to the socket,
check that the flange is set to the original position after the cable is
properly inserted into the socket.
7. Slightly lift the chassis block and disconnect the inverter board cable from the
chassis block.
9. Remove the speaker holder from the rear chassis by gradually swinging the
speaker holder rightward and leftward.
Speaker wires
Perform the following procedure after the Removing the chassis block
procedure.
1. Remove the 5 screws (two M2 screws included) which secure the MAIN board
as shown below.
Two M2 screws
2. Slightly lift the MAIN board as shown below and separate the connector on
the MAIN board from the connector on the Analog board.
3. Pull the MAIN board holder outward as shown below and pull the tab of the
MAIN board upward to remove the tab from the slot.
4. Put the MAIN board beside the chassis block and disconnect the power cable
and NIBP cable from the MAIN board.
NIBP cable
Power cable
5. Remove the 7 screws (marked with circles in the following picture) from the
MAIN board and remove the shield cover from the MAIN board.
NOTE
Do not remove the 4 screws marked with X which secure the PCMCIA
card slot socket.
Cable clamp
Cable clamp
Slot
Perform the following procedure after the Replacing the MAIN Board procedure
step 4.
1. Remove the 3 screws (marked with circles in the following picture) which
secure the Analog board to the chassis block.
NOTE
If the 3 screws are left in the holes, it may be difficult to slide the Analog
board.
ZB socket
2. Slide the Analog board in the direction of the arrow in the picture below to
avoid obstruction of the ZB socket and remove the Analog board from the
chassis block.
In case of BSM-2303/2304/2353/2354, Disconnect the connection cable
which connects between the Analog board and IBP board.
The BSM-2304A and BSM-2354A monitor have the MP506 Oximax pulse
oximetry module which is attached to the Analog board. When replacing this
module with a new one, check that the settings of the DIP switch SW1 on the new
module are correct and that the pin protector is removed from the new module.
Refer to Section 8 Replaceable Parts List.
Since a pin protector is attached to this socket, remove the pin protector
from the socket. Otherwise, the module cannot be attached to the Analog
board.
Perform the following procedure after the Replacing the Analog Board
procedure.
1. Disconnect the NIBP cable and line frequency detection wire from the NIBP
board.
2. Remove the 4 screws (marked with circles in the following picture) which
secure the NIBP board to the chassis block.
NIBP cable
Line frequency
detection wire
3. Remove the spacer bolt from the NIBP board and remove the NIBP board from
the chassis block. Spacer bolt
To prevent the pump holder from coming off, there is a rubber lock inserted into
the one-side feet of the NIBP pump holder on the underside of the NIBP board as
shown below.
When replacing the NIBP board with a new one, check that the rubber locks are
inserted into the same position on the new NIBP board as the old one. Since the
rubber locks are not included in NIBP board, the rubber locks are separately
available if new rubber locks are necessary.
Perform the following procedure after the Replacing the NIBP Board procedure.
1. Remove the 2 screws (marked with circles in the following figure) which
secure the IBP board to the NIBP board. Remove the IBP board from the NIBP
board.
2. Remove the 2 screws which secure the holder to the IBP board. Remove the
IBP board from the holder.
Perform the following procedure after the Removing the Chassis Block
procedure.
1. Disconnect the backlight lamp cable from the cable of the inverter board.
CAUTION
Since the pin terminals of the connector may be removed if you pull the
backlight lamp cable, you must pull the connector housing for the cable
disconnection. If a pin terminal is removed from the connector, you
must replace the cable with a new one.
2. Remove the 3 screws which secure the inverter board with the top chassis to
the front enclosure and remove the inveter board and the top chassis from the
front enclosure.
3. Remove the 2 screws which secure the inverter board to the top chassis and
remove the inverter board from the top chassis.
Perform the follwing procedure after the Removing the Chassis Block procedure.
2. Remove the 4 screws marked with circles in the following picture. Remove the
inverter board, inverter IF board and board holder from the front enclosure.
3. Remove the 2 screws marked with circles in the following picture and remove
the inverter board from the board holder.
4. Remove the spacer bolt and screw marked with circles in the following picture.
Remove the inverter IF board from the board holder.
Perform the following procedure after the Replacing the Inverter Board (BSM-
2301/2303/2304) procedure step 2.
1. Remove the 6 screws which secure the LCD unit with the holder to the front
enclosure and remove the LCD unit and the holder from the front enclosure.
CAUTION
If the LCD unit is adhered to the touch screen of the front enclosure,
carefully peel the touch screen off from the edges to the center.
Since the touch screen is covered with glass, do not apply excessive
mechanical shock such as dropping or pressure to the touch screen.
Pay attention to the sharp glass parts such as the touch screen edges.
It can cause cuts and injuries.
Front enclosure
Touch screen
2. Remove the 4 screws which secure the LCD unit to the holder and remove the
LCD unit from the holder.
Perform the following procedure after the Replacing the Inverter Board and
Inverter IF board (BSM-2351/2353/2354) procedure step 2.
1. Remove the filament tape which covers the touch screen cable.Remove the 10
screws marked with circles in the following picture. Remove the metal fitting
for the ferrite core of the cable between the MAIN board and LCD IF board.
2. Slide the operation board holder as shown below and remove the holder.
Remove the LCD unit and LCD holder from the front enclosure.
Operation board
holder
Touch screen
Front enclosure
CAUTION
If the LCD unit is adhered to the touch screen of the front enclosure,
carefully peel off the touch screen from the edges to the center.
Since the touch screen is covered with glass, do not apply excessive
mechanical shock such as dropping or pressure to the touch screen.
Be careful the sharp glass parts such as the touch screen corner
edges. They can cause cuts and injuries.
3. Remove the 4 screws marked with circles in the following picture. Remove the
LCD unit from the LCD holder.
Remove the LCD IF board from the LCD unit after the Replacing the LCD Unit
procedure.
LCD IF board
Perform the following procedure after the Replacing the LCD Unit (BSM-2301/
2303/2304) procedure.
1. Place the LCD unit face down on the table covered with a clean, soft and
smooth material.
3. Peel off the conductive tape marked with arrow 2 in the following picture.
CAUTION
Since the LCD unit and lamps in the backlight lamp unit are covered
with glass, do not apply a mechanical shock such as dropping or
pressure to them.
If a lamp in the backlight lamp unit has a small crack, the gas
composition in the lamp will gradually change and the characteristics
may deteriorate too much in a short period.
Do not strain the cable of the backlight lamp unit.
Check that the cables between the inverter board and backlight lamp
unit are not damaged. If a cable has even slight damage, it may break
the vinyl of the wire and short circuit may occur because a high
voltage is output for the lamps through the cable.
Carefully handle the edges of the backlight lamp unit and holding
plate because their edges are sharp and can cause cuts and injuries.
1 2
4. Lift the backlight lamp unit at the cable side as shown below and pull the
lamp unit in the direction of the arrow in the picture.
5. Replace the lamp unit with a new one and insert the tab of the lamp unit into
the groove marked with the circle in the following picture.
6. Fasten the lamp unit with the screw. It requires approximately 1.5 kgf torque
with a torque controllable screwdriver.
Perform the following procedure after the Replacing the LCD Unit (BSM-2351/2353/
2354) procedure.
1. Put the LCD unit face down on a table covered with a clean, soft and smooth
material.
CAUTION
Since the LCD unit and backlight lamp are glass, do not apply a
mechanical shock such as dropping or pressure to them. If the
backlight lamp gets even a small crack, the gas composition in the
lamp will gradually change and the characteristics may deteriorate too
much in a short period.
Do not strain the cable of the backlight lamp.
Check that the cables of the backlight lamp are not damaged. If a
cable has even slight damage, it may break the vinyl of the wire and
short circuit may occur because a high voltage is output to the lamps
through the cable.
Dispose of used backlight lamps according to your local laws because
fluorescent material is used.
2. Remove the connector marked with a circle in the following picture by using a
flat-blade screwdriver.
3. Remove the backlight lamp from the LCD unit as shown with the arrow.
Perform the following procedure after the Replacing the MAIN Board procedure.
1. Replace the lithium battery on the MAIN board with a new one as shown
below.
After the battery replacement, check the continuity between the battery
terminal and receptacle terminal with a multimeter.
CAUTION
Use a glove to handle the new lithium battery. If you touch it with your
bare hand, it may cause an increase of resistance at the battery
terminals and shorten the lifetime.
Never charge, short-circuit, disassemble, deform, heat, or throw the
battery into fire. This may cause overheating, explosion, or fire.
Before disposing of the battery, cover it with insulation tape to prevent
short circuit between the positive and negative terminals. Otherwise,
the battery may heat, explode or burn if the battery is disposed of with
other batteries or electrically conductive materials.
Discard used batteries according to your local laws.
1. Place the instrument face down on the table as shown to the left.
Screws
2. Remove the 3 screws from the bottom of the instrument with a long Phillips
screwdriver. Separate the battery box from the instrument and put the battery
box close to the instrument because the battery cable is connected to the
battery pack in the battery box.
Battery box
3. Disconnect the battery pack from the battery cable and remove the battery
pack from the battery box.
Battery cable
Battery pack
CAUTION
If the battery pack is incorrectly placed in the space for the battery pack,
the battery pack does not fit the space. To check the position of the
battery pack, check that the direction of the label on the battery pack is
correct.
6. Arrange the cable in the space at the right side of the battery pack as shown
below so that it does not come out.
2. Remove the 2 pan head screws with washer and 2 binding head screws from
the rear and bottom of the recorder module. Remove the bottom plate from the
recorder module.
Insulation sheet
Bottom plate
3. Remove the half transparent insulation sheet from the recorder module.
4. Gently pull the battery pack outward until the cable of the battery pack can be
disconnected from the battery cable.
Battery pack
5. Disconnect the battery pack from the battery cable and remove the battery
Battery cable pack from the recorder module.
6. Connect a new battery pack to the battery cable and arrange the cable as
shown below so that it does not come out.
7. Install the new battery pack into the original position as shown below.
CAUTION
If the battery pack is incorrectly placed in the space for the battery pack,
the battery pack does not fit the space. To check the position of the
battery pack, check that the direction of the label on the battery pack is
correct.
Label
8. Put the insulation sheet back to the original position as shown below.
9. Fasten the bottom plate to the recorder module with the 4 screws.
2. Remove the screw which secures the earth wire of the AUX connection
cable. Disconnect the 2 connectors of the AUX connection cable from the
board. Loosen the nut which fastens the AUX connection cable to the
bottom case. Remove the AUX connection cable from the bottom case.
Nut
Earth wire
Screw
3. Remove the 2 pan head screws (QI-231P) or 2 hexagonal head screws (QI-
236P) and the 2 hexagonal head screws which secure the sockets on the
board to the bottom case. Remove the screw which secures the board to
the bottom case.
Pan-head screws (QI-231P)
or Hexagonal head screws (QI-236P) Hexagonal head screws
Screw
To Be Replaced Periodically
Required Tools
To repair, check, or adjust the instrument, the following measuring and test
equipment or equipment with similar function and performance is required.
Digital Voltmeter
A digital tester with at least 3-1/2 digits LCD display that can measure voltage,
current, and resistance.
Cathode-ray Oscilloscope
An oscilloscope with a bandwidth of more than 1 MHz and a sensitivity of more
than 10 mV/cm.
Function Generator
A function generator with a range of 1 Hz to at least 1 kHz with 1% or better
frequency accuracy.
Extension Board
Designed for the maintenance of the boards. The MAIN board and Analog board
can be connected through the extension board.
The extension board consists of the following components.
Printed circuit board: 6190-022193
Connector: 611082
Connector: 611073
These components must be assembled locally.
A maintenance check sheet is provided at the end of this section. Make a copy of
this check sheet before using it. The check items are grouped as follows:
External
Input conditions
Operation
Display
Recorder
Interface
Vital sign parameters
Power
Data backup
Safety
Others
External
Item Check Procedure Action
Dirt, stain or crack Check that there is no dirt, stain and If the instrument is dirty, clean it with a cloth
crack on the instrument. moistened with water, neutral soap or alcohol. If
the instrument has stain or crack, remove it or
replace the stained or cracked part with a new one.
Damaged switch or key Check that there are no physically If any switch or key top cover is damaged, replace
top cover damaged switches and key top it with a new one.
covers.
Input Conditions
Item Check Procedure Action
Contact between input socket Check that there is good contact Remove the cause if there is a poor contact
on the instrument and between the input socket and between them.
connector of connection cord connector of the connection cord.
Input socket on the Visually check that there is no If the input socket or connector is
instrument or connector of damaged input socket and connector. damaged, replace it with a new one.
connection cord
Electrode lead wire or Visually check that there is no damage If the electrode lead wire or connection
connection cord of the lead wire and connection cord. cord has a damage, replace it with a new
one.
Operation
Item Check Procedure Action
Key function on the Check that the function of each key on the Remove the cause if the key function is
operation panel control panel works correctly. wrong.
Touch screen key Check that the function of each key on the Remove the cause if the key function is
function screen works correctly. wrong.
Display
Recorder
Item Check Procedure Action
Waveform and character Check that the waveform and character If the waveform or character data is not
data on paper data on the paper are clear. clear, clean the thermal array head. Refer
to the operators manual.
Recording paper Check that Nihon Kohden recording paper If unspecified paper is used, replace it with
is used. Nihon Kohden specified paper.
Paper drive check Check that the paper moves at a preset Remove the cause if the paper moves
paper speed without snaking. abnormally.
Abnormal sound Check that the motor and gears do not Remove the cause if there is abnormal
generate abnormal sound. sound.
Mark detection Check that the mark detection works Remove the cause if the mark detection
correctly. does not work.
Recorder check in WS Check that there is no error on the paper Replace the MAIN board or other
Check mode when performing the recorder check in the component with a new one according to
WS Check mode. Refer to Section 3. the WS Check Mode section.
Printed date and time Check that the correct date and time are Remove the cause if the date and time is
check printed on the paper. wrong or not printed.
Interface
Power
Data Backup
Item Check Procedure Action
System Setup data Check that the System Setup data is The EEPROM* which stores the System Setup
backup stored for a long time after the power is data is faulty if the data is not stored so long
turned off. time.
Alarm setting data Check that the setting data is correctly If the setting data disappears within 30 minutes
backup stored after turning off the instrument after the power off, replace the super capacitor
for 30 minutes or less and turning on. on the MAIN board with a new one.
Clock function backup Check that the date and time is updated If the clock stops while the instrument is turned
when the power is turned on. off, replace the lithium battery on the MAIN
board with a new one.
*Since the minimum backup period of the data stored at the EEPROM and system ROM is 10 years, the data can be
damaged over 10 years after the last setup or upgrade. Every 10 years, perform the upgrade and setup again.
Safety
Perform the following patient safety check after repairing the instrument.
Others
Item Check Procedure Action
Line voltage Check that the line voltage is within the range of Use only the line voltage within the
nominal voltage 10%. correct range.
Connection to other Check that the instrument is correctly connected If there is a wrong connection, connect
equipment to other equipment according to the operators the equipment to the instrument correctly
manual. according to the operators manual.
Vibration or Check that the instrument has no abnormal Remove the cause of abnormal vibration
resonant sound vibration or resonant sound. or resonant sound.
Screws Check that there are no loose screws. If any screw is loose, tighten it.
Option check Check that there is no error on the screen when Remove the cause if an error occurs.
performing the optional card checks such as ATA
Card Check and Network Card Check on the
Manual Check Menu screen.
Installation Check that the instrument is installed in a suitable If the conditions are not suitable, improve
condition check location according to the operators manual. them.
External
There is no dirt, stain, and crack on the instrument. Yes No
There are no damaged switches and key top covers. Yes No
The warning and caution labels are clearly readable. Yes No
Input Conditions
There is good contact between the input socket on the instrument and connector of the connection cord. Yes No
There is no damage on the input socket and connection cord connector. Yes No
There is no damage and internal cut on the lead wire and connection cord. Yes No
Operation Keys
The function of each key on the operation panel works correctly. Yes No
The function of each key on the screen works correctly. Yes No
Display
The brightness is correctly adjusted. Yes No
There is no distortion on the screen. Yes No
Alarm indicator works properly. Yes No
Recorder
Waveforms are clearly recorded on the paper. Yes No
Alphanumeric data is clearly recorded on the paper. Yes No
Date and time is recorded on the paper. Yes No
Specified recording paper is used. Yes No
Data Backup
System setup data is saved. Yes No
Clock function works properly while the instrument is turned off. Yes No
Power
Power cord (and ground lead) are not damaged. Yes No
Instrument is firmly grounded to a dedicated grounding terminal. Yes No
Fuse is the correct rating. Yes No
Safety
Protective earth impedance is less than prescribed limit. Yes No
Earth leakage current is less than prescribed limits. Yes No
Enclosure leakage current is less than prescribed limits. Yes No
Patient leakage current is less than prescribed limits. Yes No
Withstand voltages of instrument are prescribed voltage and time limits or more. Yes No
Others
Line voltage is within the range of nominal voltage 10%. Yes No
Instrument is correctly connected to other equipment. Yes No
All screws are tight. Yes No
After you replace the sensor board of the recorder unit with a new one, adjust the
paper and mark detection output voltages on the sensor control board as shown
below.
Adjusting the Output 1. Connect 150 resistors to pins 9 and 11 of the 12-pin connector cable from
Voltages with Digital or the sensor control board as shown below.
Analog Multimeter
2. Connect +5 V DC of a +5 V DC power supply to the two resistors and pin 7 of
the 12-pin connector as shown below.
3. Connect the ground terminal of the +5 V DC power supply to pin 8 of the 12-
pin connector.
4. Set the recording paper inside the paper magazine according to the operators
manual Loading the Recording Paper in Section 2 PREPARATIONS.
5. Draw out one page of the recording paper so that the small black square on the
corner of the paper is not over the mark detection sensor.
6. Adjust the PAPER VR and MARK VR so that pins 10 (PAPER output) and 12
(MARK output) of the 12-pin connector output a voltage within the range of
3.5 V DC to 4.0 V DC, respectively when the two sensors detect the white part
of the paper.
+5 V
6
12 150
11
10 150
MARK VR 9
8
7
1
PAPER VR
GND
1
CN101
When ordering parts or accessories from your nearest Nihon Kohden Corporation
distributor, please quote the NK code number and part name which are listed in
this service manual, and the name or model of the unit in which the required part
is located. This will help us to promptly attend to your needs. Always use Nihon
Kohden parts and accessories to assure maximum performance from your
instrument.
8.3
8. REPLACEABLE PARTS LIST
8. REPLACEABLE PARTS LIST
*1 For BSM-2303/2304
8.5
8. REPLACEABLE PARTS LIST
8. REPLACEABLE PARTS LIST
*1 For BSM-2303/2304
8.7
8. REPLACEABLE PARTS LIST
8. REPLACEABLE PARTS LIST
K BSM-2354 only 55
19
AD 21 57
22
23'
b
20 21'
L AD
72
58 56
18 71
22 52
M
c 73
17
BSM-2351/2353/2354
8.9
8. REPLACEABLE PARTS LIST
70 20
8. REPLACEABLE PARTS LIST
K BSM-2354 only 55
19
AD 21 57
22
23'
b
20 21'
L AD
72
58 56
18 71
22 52
M
c 73
17
BSM-2351/2353/2354
8.11
8. REPLACEABLE PARTS LIST
70 20
8. REPLACEABLE PARTS LIST
K BSM-2354 only 55
19
AD 21 57
22
23'
b
20 21'
L AD
72
58 56
18 71
22 52
M
c 73
17
BSM-2351/2353/2354
8.13
8. REPLACEABLE PARTS LIST
70 20
8. REPLACEABLE PARTS LIST
15
BC
13
E
1
2
11
10
5
14
D
12
QI-231P Interface
QI-236P Interface
MAIN Board
Signal Description Signal Name Pin Number Signal Name Signal Description
Digital ground E2 1 2 A1 Address bit 1
Address bit 2 A2 3 4 A3 Address bit 3
Address bit 4 A4 5 6 A5 Address bit 5
Digital ground E2 7 8 A6 Address bit 6
Address bit 7 A7 9 10 A8 Address bit 8
Address bit 9 A9 11 12 E2 Digital ground
Data bit 0 D0 13 14 D1 Data bit 1
Data bit 2 D2 15 16 D3 Data bit 3
Digital ground E2 17 18 D4 Data bit 4
Data bit 5 D5 19 20 D6 Data bit 6
Data bit 7 D7 21 22 E2 Digital ground
Digital ground E2 23 24 MOP_5 Paper magazine status signal
Out of paper lamp PAP_LED 25 26 +3.3V +3.3 V supply voltage
+5 V supply voltage +5V 27 28 +15V +15 V supply voltage
+15 V supply voltage +15V 29 30 KEY8 Interval key
Digital ground E2 31 32 ACCD0 Option status 0 signal
Chip select signal X80SL 33 34 XPWRRST Power reset
Digital ground E2 35 36 RXW Read/Write control signal
System reset XSYSRST 37 38 XDTACK Data acknowledge
Recorder interrupt request INTREC 39 40 E2 Digital ground
Signal Description Signal Name Pin Number Signal Name Signal Description
Digital ground E2 1 2 A10 Address bit 10
Address bit 11 A11 3 4 A12 Address bit 12
Address bit 13 A13 5 6 A14 Address bit 14
Digital ground E2 7 8 A15 Address bit 15
Address bit 16 A16 9 10 A17 Address bit 17
Address bit 18 A18 11 12 E2 Digital ground
Data bit 8 D8 13 14 D9 Data bit 9
Data bit 10 D10 15 16 D11 Data bit 11
Digital ground E2 17 18 D12 Data bit 12
Data bit 13 D13 19 20 D14 Data bit 14
Data bit 15 D15 21 22 E2 Digital ground
Digital ground E2 23 24 PEMP_5 Paper status signal
Not connected NC 25 26 +3.3V +3.3 V supply voltage
+5 V supply voltage +5V 27 28 +15V +15 V supply voltage
+15 V supply voltage +15V 29 30 K3 Record key
Digital ground E2 31 32 ACCD1 Option status 1 signal
Recorder reset XRESWS 33 34 XRSTPRO Program reset
Digital ground E2 35 36 PRTREQ Record request
Paper/mark detection signal SNSON 37 38 24VOK +24 V status signal
Recorder module connection signal EXTWS 39 40 E2 Digital ground
Signal Description Signal Name Pin Number Signal Name Signal Description
Digital ground E2 1 2 MEMD3 Memory card data bit 3
Memory card data bit 4 MEMD4 3 4 MEMD5 Memory card data bit 5
Memory card data bit 6 MEMD6 5 6 MEMD7 Memory card data bit 7
Memory card chip enable 1 XMEMCE1 7 8 MEMA10 Memory card address bit 10
Memory card output enable XMOE 9 10 MEMA11 Memory card address bit 11
Memory card address bit 9 MEMA9 11 12 MEMA8 Memory card address bit 8
Memory card address bit 13 MEMA13 13 14 MEMA14 Memory card address bit 14
Memory card write enable XMWE 15 16 XMCBSY Memory card busy
+5 V supply voltage +5V 17 18 +5V +5 V supply voltage
Memory card address bit 16 MEMA16 19 20 MEMA15 Memory card address bit 15
Memory card address bit 12 MEMA12 21 22 MEMA7 Memory card address bit 7
Memory card address bit 6 MEMA6 23 24 MEMA5 Memory card address bit 5
Memory card address bit 4 MEMA4 25 26 MEMA3 Memory card address bit 3
Memory card address bit 2 MEMA2 27 28 MEMA1 Memory card address bit 1
Digital ground E2 29 30 MEMD0 Memory card data bit 0
Memory card data bit 1 MEMD1 31 32 MEMD2 Memory card data bit 2
Memory card write protect MCWP 33 34 E2 Digital ground
Digital ground E2 35 36 XMCD1 Memory card detect bit 1
Memory card data bit 11 MEMD11 37 38 MEMD12 Memory card data bit 12
Memory card data bit 13 MEMD13 39 40 MEMD14 Memory card data bit 14
Memory card data bit 15 MEMD15 41 42 XMEMCE2 Memory card chip enable 2
Not connected NC 43 44 NC Not connected
Not connected NC 45 46 MEMA17 Memory card address bit 17
Memory card address bit 18 MEMA18 47 48 BANK0 Memory bank select bit 0
Memory bank select bit 1 BANK1 49 50 BANK2 Memory bank select bit 2
+5 V supply voltage +5V 51 52 +5V +5 V supply voltage
Memory bank select bit 3 BANK3 53 54 BANK4 Memory bank select bit 4
Memory bank select bit 5 BANK5 55 56 BANK6 Memory bank select bit 6
Not connected NC 57 58 XMRST Memory card reset
Not connected NC 59 60 NC Not connected
Attribute/common memory select XREG 61 62 XMCBAT2 Memory card battery status bit 2
Memory card battery status bit 1 XMCBAT1 63 64 MEMD8 Memory card data bit 8
Memory card data bit 9 MEMD9 65 66 MEMD10 Memory card data bit 10
Memory card detect bit 2 XMCD2 67 68 E2 Digital ground
1 NC Not connected
2 TOUCH_U Touch screen U signal
3 NC Not connected
4 TOUCH_R Touch screen R signal
5 NC Not connected
6 TOUCH_A Touch screen A signal
7 NC Not connected
8 TOUCH_L Touch screen L signal
9 NC Not connected
10 TOUCH_B Touch screen B signal
11 NC Not connected
12 TOUCH_D Touch screen D signal
13 NC Not connected
14 TOUCH_C Touch screen C signal
15 NC Not connected
Signal Description Signal Name Pin Number Signal Name Signal Description
Red output RED 1 11 RRET Red output return
Green output GREEN 2 12 GRET Green output return
Blue output BLUE 3 13 BRET Blue output return
Vertical synchronous signal VSYNC 4 14 E2 Digital ground
Horizontal synchronous signal HSYNC 5 15 E2 Digital ground
Inhibit (Reserve 01) RESV01 6 16 +5V +5 V supply voltage
Inhibit (Reserve 02) RESV02 7 17 E2 Digital ground
Data Transmit (RS232C) RSTXD 8 18 RSRXD Data Receive (RS232C)
Request to Send (RS232C) XRSRTS 9 19 XRSCTS Clear to Send (RS232C)
Data Set Ready (RS232C) XRSCD 10 20 XRSDTR Data Termination Ready (RS232C)
1 E2 Digital ground
2 +3.3V +3.3 V supply voltage
3 +3.3V +3.3 V supply voltage
4 E2 Digital ground
5 LCDENB LCD enable signal
6 LCD_B2 LCD blue 5
7 LCD_B1 LCD blue 4
8 LCD_B0 LCD blue 3
9 LCD_B2 LCD blue 2
10 LCD_B1 LCD blue 1
11 LCD_B0 LCD blue 0
12 E2 Digital ground
13 LCD_G2 LCD green 5
14 LCD_G1 LCD green 4
15 LCD_G0 LCD green 3
16 LCD_G2 LCD green 2
17 LCD_G1 LCD green 1
18 LCD_G0 LCD green 0
19 E2 Digital ground
26 E2 Digital ground
30 E2 Digital ground
Signal Description Signal Name Pin Number Signal Name Signal Description
ERC reset XRST_ECG 1 2 TXD_ECG ECG serial communication
(Transmit)
ECG serial communication RXD_ECG 3 4 FCLK Clock for floating power
(Receive)
+15 V supply voltage +15V 5 6 +15V +15 V supply voltage
+15 V supply voltage +15V 7 8 +5V +5 V supply voltage
+5 V supply voltage +5V 9 10 +5V +5 V supply voltage
Digital ground E2 11 12 E2 Digital ground
Digital ground E2 13 14 E2 Digital ground
Digital ground E2 15 16 E2 Digital ground
Digital ground E2 17 18 XRST_H8A APU reset
APU mode select signal MODE_H8A 19 20 TXD_SPO2 SpO2 serial communication
(Transmit)
SpO2 serial communication RXD_SPO2 21 22 RXD_MP MP serial communication
(Receive) (Receive)
Board status 0 DPUSEL0 23 24 DPUSEL1 Board status 1
ZB respiration signal ZB_RESP 25 26 ZB_CNFM ZB recognition signal
ZB initialize signal ZB_INIT 27 28 ZB_RST ZB reset
ZB serial communication RXD_ZB 29 30 TXD_ZB ZB serial communication
(Receive) (Transmit)
Signal Description Signal Name Pin Number Signal Name Signal Description
CUFF 0 return CUFF0_RET 1 2 CUFF1_RET CUFF 1 return
Over pressure error OVER_PRES 3 4 TIME_OUT Time out error
Inflation interval error SHORT_REST 5 6 INT_RET INTERVAL return
Zeroing signal ZERO 7 8 INST1 Instantaneous recovery 1
Instantaneous recovery 2 INST2 9 10 GAIN Gain select
Periodic measurement interval INTERVAL 11 12 CUFF0 Measurement mode 0
Measurement mode 1 CUFF1 13 14 BRAKE Pump brake
Pump control PUMP 15 16 VALVE3 Valve 3 control
Valve 2 control VALVE2 17 18 VALVE1 Valve 1 control
A to D control AD_TXD 19 20 AD_RXD A to D data receive
A to D control clock AD_SCK 21 22 XADMP0 A to D channel select 0
A to D channel select 1 XADMP1 23 24 +15V +15 V supply voltage
Digital ground E2 25 26 +15V +15 V supply voltage
Digital ground E2 27 28 E2 Digital ground
Digital ground E2 29 30 E2 Digital ground
Line frequency detection (+) FREQ+ 31 32 FREQ Line frequency detection ()
Speaker sound (+) SND+ 33 34 SND Speaker sound ()
Analog Board
CN502
Pin Number Signal Name Signal Description
1 DETECTOR (+)
2 DIGITAL GND
3 DIGITAL SIGNAL
4 DETECTOR ()
5 INNER SHIELD
6 N.C.
7 LED ()
8 N.C.
9 LED (+)
10 OUTER SHIELD
CN602
1 N.C.
2 AEF
3 AEF
4 XNELL_RST
5 AEF
6 N.C.
7 5VAF
8 Rx_4
9 Tx_4
10 +5VSPO
11 AEF
12 AEF
13 +5VDF
14 AEF
NIBP Board
IBP Board
Operation Board
Signal Description Signal Name Pin Number Signal Name Signal Description
SILENCE ALARMS key XKEY1 1 11 LED_BATCHG Battery charging LED
MENU key XKEY4 2 12 LED_BATOP Battery power LED
HOME key XKEY5 3 13 LED_STBY AC power LED
NIBP START/STOP key XKEY3 4 14 +5V +5 V supply voltage
NIBP INTERVAL key XKEY2 5 15 +15V +15 V supply voltage
Digital ground E2 6 16 Not connected
Digital ground E2 7 17 Not connected
Digital ground E2 8 18 Not connected
Digital ground E2 9 19 Not connected
Power switch POWER_KEY 10 20 Not connected
Power SW Board
Inverter Board
1 E2 Digital ground
2 +3.3V +3.3 V supply voltage
3 +3.3V +3.3 V supply voltage
4 E2 Digital ground
5 LCDENB LCD enable signal
6 LCD_B2 LCD blue 5
7 LCD_B1 LCD blue 4
8 LCD_B0 LCD blue 3
9 LCD_B2 LCD blue 2
10 LCD_B1 LCD blue 1
11 LCD_B0 LCD blue 0
12 E2 Digital ground
13 LCD_G2 LCD green 5
14 LCD_G1 LCD green 4
15 LCD_G0 LCD green 3
16 LCD_G2 LCD green 2
17 LCD_G1 LCD green 1
18 LCD_G0 LCD green 0
19 E2 Digital ground
20 LCD_R2 LCD red 5
21 LCD_R1 LCD red 4
22 LCD_R0 LCD red 3
23 LCD_R2 LCD red 2
24 LCD_R1 LCD red 1
25 LCD_R0 LCD red 0
26 E2 Digital ground
27 HSYNC Horizontal synchronization signal
28 VSYNC Vertical synchronization signal
29 DCLK LCD dot clock
30 E2 Digital ground
Signal Description Signal Name Pin No. Signal Name Signal Description
Signal Description Signal Name Pin Number Signal Name Signal Description
Motor control VR 0 1A 1B Phase 1 Motor phase control
Motor control VR 1 2A 2B Phase 0 Motor phase control
Paper/mark sensor enable SNSON 3A 3B XPEMP Paper detected signal
signal
Mark detected signal XPMARK 4A 4B XMOPEN Magazine condition detected signal
Record request signal PRTREQ 5A 5B 24VOK +24 V status
Digital ground E2 6A 6B E2 Digital ground
+3.3 V supply voltage +3.3V 7A 7B +5V +5 V supply voltage
+15 V supply voltage +15V 8A 8B +15V +15 V supply voltage
+15 V supply voltage +15V 9A 9B +15V +15 V supply voltage
Digital ground E2 10A 10B E2 Digital ground
Digital ground E2 11A 11B E2 Digital ground
Thermal array head data XTHEN 12A 12B XTHSTB Thermal array head data strobe
enable signal signal
Thermal array head serial THCLK 13A 13B THDAT Thermal array head serial data
data transfer clock
Record key status KEY3 14A 14B E2 Digital ground
Out of paper LED indicator PAP LED 15A 15B THRM Thermistor data
CN001
CN002
1 EF Floating ground
2 OUTPUT ECG or trigger output
CN005
1 R Red output
2 G Green output
3 B Blue output
4 NC
5 VSYNC GND Vertical synchronous signal return
6 RGND Red output return
7 GGND Green output return
8 BGND Blue output return
9 NC
10 HSYNC GND Horizontal synchronous signal return
11 NC
12 NC
13 HSYNC Horizontal synchronous signal
14 VSYNC Vertical synchronous signal
15 NC
CN003
1 NC
2 NC
3 NC
4 NC
5 NC
6 NC
7 SIG Data of ECG or trigger signal
8 RSTXD Data receive
9 XRSRTS Request to send
10 XRSCD Data set ready
11 NC
12 NC
13 NC
14 NC
15 NC
16 +5 V +5 V supply voltage
17 GND Digital ground
18 RSRXD Data transmit
19 XRSCTS Clear to send
20 RSDTR Data termination ready
CN004
1 R Red output
2 RGND Red output return
3 G Green output
4 GGND Green output return
5 B Blue output
6 BGND Blue output return
7 VSYNC Vertical synchronous signal
8 VSYNC GND Vertical synchronous signal return
9 HSYNC Horizontal synchronous signal
10 HSYNC GND Horizontal synchronous signal return
IO CT OUT Board
CN002
CN003
1 R Red output
2 G Green output
3 B Blue output
4 NC
5 VSYNC GND Vertical synchronous signal return
6 RGND Red output return
7 GGND Green output return
8 BGND Blue output return
9 NC
10 HSYNC GND Horizontal synchronous signal return
11 NC
12 NC
13 HSYNC Horizontal synchronous signal
14 VSYNC Vertical synchronous signal
15 NC