BSM3000 UG Part I-K
BSM3000 UG Part I-K
BSM3000 UG Part I-K
Bedside Monitor
BSM-3532/BSM-3552
BSM-3562/BSM-3572
BSM-3733/BSM-3753
BSM-3763/BSM-3773
BSM-3000 series
0614-904565K
In order to use this product safely and fully understand all its functions, make sure to read this manual before using the
product.
Keep this manual near the instrument or in the reach of the operator and refer to it whenever the operation is unclear.
This product stores personal patient information. Manage and operate the information appropriately.
Patient names on the screen shots and recording examples in this manual are fictional and any resemblance to any
person living or dead is purely coincidental.
If you have any comments or suggestions on this manual, please contact us at: www.nihonkohden.com
Copyright Notice
The entire contents of this manual are copyrighted by Nihon Kohden. All rights are reserved. No part of this document
may be reproduced, stored, or transmitted in any form or by any means (electronic, mechanical, photocopied, recorded,
or otherwise) without the prior written permission of Nihon Kohden.
Trademark
The mark printed on the SD card that is used in this instrument is a trademark. The company name and model name are
trademarks and registered trademarks of each company.
Contents 1
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 patient’s 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 operator’s and service manuals.
No other party is authorized to make any warranty or assume liability for NKC’s products. NKC will not recognize any
other warranty, either implied or in writing. In addition, service, technical 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 product to sale by or on the order of a 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
representative for additional suggestions.
BSM-3000 complies with International Standard IEC 60601-1-2: 2001 and Amendment 1: 2004 which
requires CISPR11, Group 1, Class A. Class A EQUIPMENT is equipment suitable for use in industrial or
light industrial establishments and commercial environment.
WARNING
The bioelectric impedance measurement sensor of a minute ventilation rate-adaptive implantable
pacemaker may be affected by cardiac monitoring and diagnostic equipment which is connected to the
same patient. If this occurs, the pacemaker may pace at its maximum rate and give incorrect data to the
monitor or diagnostic equipment. If this occurs, disconnect the monitor or diagnostic equipment from the
patient or change the setting on the pacemaker by referring to the pacemaker’s manual. For more details,
contact your pacemaker representative or Nihon Kohden representative.
WARNING
A warning alerts the user to possible injury or death associated with the use or misuse of the instrument.
CAUTION
A caution alerts the user to possible injury or problems with the instrument associated with its use or
misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other
property.
NOTE
A note provides specific information, in the form of recommendations, prerequirements, alternative methods or
supplemental information.
Text Conventions
• Names of hard keys on the bedside monitor are enclosed in square brackets: [Menu]
• Messages that are displayed on the screen are enclosed in quotation marks: “CHECK ELECTRODES”
• Names of items that are displayed on the screen are enclosed in angle brackets: <SENSITIVITY>
On Panel
QI-372P Interface
QI-373P Interface
On screen
Cascade display
Administrator’s Guide
Describes how to install the bedside monitor. It also explains about the password protected settings on the SYSTEM
SETUP window and SYSTEM CONFIGURATION screen which only an administrator can change.
Service Manual
Describes information on servicing the bedside monitor. Only qualified service personnel can service the bedside monitor.
Safety Standards
The safety standard of this bedside monitor is classified as follows:
Type of protection against electrical shock: CLASS I EQUIPMENT (AC Powered)
Internally Powered EQUIPMENT (BATTERY Powered)
Degree of protection against electrical shock
Defibrillator-proof type CF applied part:
ECG, respiration (impedance method), IBP, temperature, SpO2, CO2, NIBP,
BIS, CCO (APCO)
CF applied part: CO
Degree of protection against harmful ingress of water:
IPX1 (protected against vertically falling water drops)
Degree of safety of application in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH
OXYGEN OR NITROUS OXIDE: Equipment not suitable for use in the presence of FLAMMABLE
ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN OR
NITROUS OXIDE
Mode of operation: CONTINUOUS OPERATION
Safety Information
This User’s Guide only contains safety information related to operation. Full information is in the BSM-3000 series
Bedside Monitor Operator’s Manual (code number: 0614-903771L).
Service personnel should perform the periodic inspection at least once every year. Make sure that the bedside monitor
operates properly and replace the consumables.
If you found abnormalities as a result of inspection and the bedside monitor is suspected to be faulty, attach an “Unusable”
or “Repair request” label to the bedside monitor and contact your Nihon Kohden representative. For inspection, refer to the
Service Manual.
Introduction........................................................................................................................................................... 1.2
General....................................................................................................................................................... 1.2
Applications...................................................................................................................................... 1.3
Features........................................................................................................................................... 1.3
Measurement Parameters and Applicable Units.............................................................................. 1.5
Composition.......................................................................................................................................................... 1.7
Network Composition........................................................................................................................................... 1.8
Panel Description................................................................................................................................................. 1.9
BSM-3532/BSM-3552/BSM-3562/BSM-3572 Bedside Monitor................................................................. 1.9
Front Panel....................................................................................................................................... 1.9
Left Side Panel................................................................................................................................. 1.9
Right Side Panel............................................................................................................................ 1.10
Rear Panel..................................................................................................................................... 1.12
BSM-3733/BSM-3753/BSM-3763/BSM-3773 Bedside Monitor............................................................... 1.13
Front Panel..................................................................................................................................... 1.13
Left Side Panel............................................................................................................................... 1.13
Right Side Panel............................................................................................................................ 1.14
Rear Panel..................................................................................................................................... 1.16
Basic Operating Concepts.................................................................................................................................. 1.17
Screen Displays....................................................................................................................................... 1.17
Using Touch Screen Keys......................................................................................................................... 1.23
Keys on the Bedside Monitor.................................................................................................................... 1.24
Using the Remote Control........................................................................................................................ 1.25
Using the MENU Window......................................................................................................................... 1.26
Introduction
General
The Life Scope VS BSM-3000 series bedside monitors are for one patient.
You can combine the monitor with other units and options depending on the
measurement parameters and use the monitor in a wide range of sites such as the
operating rooms and intensive care unit (ICU).
You can also connect this monitor to a network to communicate with a central
monitor and other bedside monitors.
WARNING
Do not diagnose a patient based on only part of the monitoring data
on the bedside monitor or only on the data acquired by the bedside
monitor. Overall judgement must be performed by a physician who
understands the features, limitations and characteristics of the
bedside monitor by reading this user’s guide thoroughly and by
reading the biomedical signals acquired by other instruments.
WARNING
Do not use the same monitor for more than one patient at the same
time. Do not connect different sensors from different patients to the
same monitor.
NOTE
• Upgrade the monitor and each optional unit to the Nihon Kohden
recommended software version. Only use the specified configuration of
units. If more than one BSM-3000 series bedside monitor is used in the
same facility, make sure the bedside monitors have the same software
version. If BSM-3000 series monitors with different software versions
are used together, correct system operation cannot be guaranteed.
• The ALARM CAP function is available on the following bedside
monitors, central monitors and multiple patient receivers.
- BSM-9101A software version 13-03 or later
- BSM-6000A series software version 04-01 or later
- Op No. 32A, 52A, 72A, 33A, 53A and 73A of BSM-3000 series
software version 04-12 or later
1.2 User’s Guide Part I BSM-3000
1. GENERAL
Applications
This system monitors biological information on a patient in an operating room,
recovery room, ICU, CCU, HCU, NICU or emergency room.
Features
• Components
You can connect an interface and other options to the monitor.
Standard components
• BSM-3532/3552/3562/3572/3733/3753/3763/3773 bedside monitor
• QI-372P interface (includes the two Multi-link, RGB and ECG/BP OUT
sockets)
For BSM-3532-Q01, BSM-3552-Q01, BSM-3562-Q01, BSM-3572-Q01,
BSM-3773-Q01, BSM-3753-Q01, BSM-3763-Q01 and BSM-3773-Q01, this
interface is installed at the factory.
• QI-373P interface (includes the two Multi-link, Nurse call and RS-232C
sockets)
• QI-374P interface (includes the two Multi-link, RGB and AA sockets)
• WS-371P recorder module
• SB-671P battery pack
*1 These units are not available for the Op No. 32A, 52A, 72A, 33A, 53A and 73A.
*2 RR, CO2 (Sidestream), O2, N2O, AGENT and MAC can be measured.
*3 RR, CO2 (Sidestream), O2, N2O, AGENT, MAC and FLOW/Paw can be measured.
*4 JP-600PK is not available for the Op No. 32A, 52A, 72A, 33A, 53A and 73A. JP-600PK can be
purchased through Nihon Kohden Europe. For other areas, JP-600P is available.
1
Composition
BSM-3733/3753/3763/3773 BSM-3532/3552/3562/3572
Hyper Isolation Transformer APCO/IBP Processor CO2 Unit Multigas Unit Multigas Unit/Multigas/Flow Unit
DH-220P
Mount Adapter
DH-223P
Unit Mount
GF-110PA/120PA*
QW-100Y(HIT-100) JP-600P/PK AG-400R AG-920R GF-210R/220R*
Transmitter Neuro Unit BIS Processor Wireless LAN Station Smart Expansion Unit
DI-590P
Holder*
* Not available for Op No. 32A, 52A, 72A, 33A, 53A and 73A.
** Only available for Op No. 32A, 52A, 72A, 33A, 53A and 73A.
Network Composition
In a central monitor network, on a central monitor, you can see data of any bed in
the network.
The data that can be displayed on the bedside monitor or central monitor depends
on the type of bedside or central monitor used.
The number of central monitors and bedside monitors that can be connected to a
central monitor network and the network communication method depends on the
Examples: CNS-9601
Examples: CNS-9701
CNS-9601 type of monitor used. For details, refer to the Network
CNS-9701and System Installation
Guide.
Network group
Example: ICU
Network group
Example: CCU
WARNING WARNING
Install all network devices, including printer and Check the software version number of the monitor
hubs, outside the patient environment (IEC before connecting it to the network. Different
60601-1-1). If they are installed inside the patient software versions have different communication
environment, the patient or operator may receive methods. More than one communication method
electrical shock or injury. For installation, contact in a network may cause communication failure.
your Nihon Kohden representative. For details, refer to the Network and System
Installation Guide.
1
Panel Description
MULTI socket
Connects to the connection cord of
TEMP socket
the parameter to be monitored (IBP,
Connects to the temperature probe cord.
CO, CO2, BIS or CCO (APCO)). The
type of parameter is automatically
recognized.
SpO2 socket
Connects to the SpO2 connection cord.
ECG/RESP socket
Connects to the ECG connection cord. NIBP socket
Connects to the air hose.
WARNING
When performing defibrillation during cardiac output monitoring,
never touch the CO connection cord. The discharged energy may
cause electrical shock or injury.
SD card slot
For the SD card or program card.
When the WS-371P recorder module and QI-373P interface are installed
When the WS-371P recorder module and QI-374P interface are installed
AA socket (QI-374P)
For the AA-372P and AA-374P smart expansion unit.
1
CAUTION CAUTION
When using the output signal from the monitor as Only a Nihon Kohden defibrillator can use the
the synchronization signal for other equipment output signal from the monitor as a
such as an IABP (intra-aortic balloon pump) or synchronization signal. Check that the delay time
defibrillator: of the output signal (heart rate trigger 20 ms
• Set the timing of the IABP by checking the maximum) is within the range of the connected
waveform on the IABP screen. defibrillator.
• Check the condition of the bedside monitor
at all times. The output signal may become
unstable.
• Check that the delay time of the output signal is
within the range of the connected equipment.
NOTE
• When using an IBP waveform as a synchronization signal for other
equipment, connect the IBP line to the MULTI socket on the monitor.
The IBP waveform that is used for the synchronization signal depends
on the “IBP ANALOG OUT” setting in the SYSTEM SETUP window.
- When “IBP ANALOG OUT” is set to “FIXED POSITION”:
The IBP line connected to the top MULTI socket on the monitor is
used.
- When “IBP ANALOG OUT” is set to “HIGHEST PRIORITY LABEL”:
When more than one IBP waveform is acquired, the IBP waveform of
the highest priority label is used.
IBP label priority:
ART > ART2 > RAD > DORS > AO > FEM > UA > LVP > P1 > P2 >
P3*1 > P4*2 > P5*2 > P6*2 > P7*2
*1 The P3 label is only available on the BSM-3733, BSM-3753,
BSM-3763 and BSM-3773 bedside monitor.
* The P4 to P7 labels are available only when the QI-374P interface
2
• The output signal from the ECG/BP OUT socket may become unstable
in the following conditions.
- Electrode is dry or detached.
- Electrode lead is damaged or disconnected from the electrode.
- Electrode lead is pulled.
- AC interference or EMG noise superimposed.
- Air bubbles or blood clog in the circuit for monitoring IBP.
- Cord or cable is disconnected or damaged.
• All instruments which are to be connected to the ECG/BP OUTPUT
socket must use a YJ-910P or YJ-920P ECG/BP output cable and
comply with the IEC 60601-1 safety standard for medical equipment.
Rear Panel
MULTI socket
Connects to the connection cord of
TEMP socket the parameter to be monitored (IBP,
Connects to the temperature probe cord. CO, CO2, BIS or CCO (APCO)). The
type of parameter is automatically
recognized.
SpO2 socket
Connects to the SpO2 connection cord.
ECG/RESP socket
Connects to the ECG connection cord.
NIBP socket
Connects to the air hose.
WARNING
When performing defibrillation during cardiac output monitoring,
never touch the CO connection cord. The discharged energy may
cause electrical shock or injury.
SD card slot
For the SD card or program card.
When the WS-371P recorder module and QI-373P interface are installed
When the WS-371P recorder module and QI-374P interface are installed
AA socket (QI-374P)
For the AA-372P and AA-374P smart expansion unit.
1
CAUTION CAUTION
When using the output signal from the monitor as Only a Nihon Kohden defibrillator can use the
the synchronization signal for other equipment output signal from the monitor as a
such as an IABP (intra-aortic balloon pump) or synchronization signal. Check that the delay time
defibrillator: of the output signal (heart rate trigger 20 ms
• Set the timing of the IABP by checking the maximum) is within the range of the connected
waveform on the IABP screen. defibrillator.
• Check the condition of the bedside monitor
at all times. The output signal may become
unstable.
• Check that the delay time of the output signal is
within the range of the connected equipment.
NOTE
• When using an IBP waveform as a synchronization signal for other
equipment, connect the IBP line to the MULTI socket on the monitor.
The IBP waveform that is used for the synchronization signal depends
on the “IBP ANALOG OUT” setting in the SYSTEM SETUP window.
- When “IBP ANALOG OUT” is set to “FIXED POSITION”:
The IBP line connected to the top MULTI socket on the monitor is
used.
- When “IBP ANALOG OUT” is set to “HIGHEST PRIORITY LABEL”:
When more than one IBP waveform is acquired, the IBP waveform of
the highest priority label is used.
IBP label priority:
ART > ART2 > RAD > DORS > AO > FEM > UA > LVP > P1 > P2 >
P3*1 > P4*2 > P5*2 > P6*2 > P7*2
*1 The P3 label is only available on the BSM-3733, BSM-3753,
BSM-3763 and BSM-3773 bedside monitor.
* The P4 to P7 labels are available only when the QI-374P interface
2
• The output signal from the ECG/BP OUT socket may become unstable
in the following conditions.
- Electrode is dry or detached.
- Electrode lead is damaged or disconnected from the electrode.
- Electrode lead is pulled.
- AC interference or EMG noise superimposed.
- Air bubbles or blood clog in the circuit for monitoring IBP.
- Cord or cable is disconnected or damaged.
• All instruments which are to be connected to the ECG/BP OUTPUT
socket must use a YJ-910P or YJ-920P ECG/BP output cable and
comply with the IEC 60601-1 safety standard for medical equipment.
Rear Panel
1
Basic Operating Concepts
Screen Displays
Following are the screens and windows available on the Life Scope VS
bedside monitor. For details about the individual screens and windows, see the
appropriate section.
The shadow of the previous screen may remain for a few minutes after changing
the screen.
Normally, the home screen is displayed. All screens (except for the LARGE
NUMERICS screen, SYSTEM CONFIGURATION screen, 12 LEAD
ANALYSIS window, DRUG window, INTERBED window and the MEASURE
page of the CO window) return to the home screen when there is no key
operation for about 3 minutes.
Home screen
• The home screen can be displayed anytime
by pressing the [Home] key on the bedside
monitor.
• Displays waveforms and data of the
monitoring parameters.
• Touching the patient name displays
the ADMIT page for changing patient
information.
• Touching the parameter data displays the
parameter setting window.
MENU window
The MENU window can be displayed anytime
by pressing the [Menu] key on the bedside
monitor. From the MENU window, you can
display any window except the home screen.
Review windows
• TREND GRAPH page for displaying 24 hour trendgraphs of up to 6 selected parameters.
• TREND TABLE page for displaying table of parameter data.
• NIBP TREND page for displaying vital signs data with NIBP measurement.
• HEMO TREND page for displaying hemodynamics data when CO is measured.
• LUNG TREND page for displaying lung function measurement data.
ALARM HISTORY window for displaying vital sign data at alarm occurrence.
FULL DISC window for displaying full disclosure waveforms. Up to 5 parameters can be saved.
ST window for displaying ST level recall waveforms. ST measurement condition can be changed. 1
12 LEAD window for displaying 12 lead ECG interpretation and analysis result data.
OCRG window for displaying OCRG trendgraph. Only available when the site mode is NICU.
ADMIT DISCHARGE window for admitting/discharging a patient. Data can be deleted on this window.
ALARM LIMITS window for setting vital signs alarm and ARRHYTH ALARMS window for setting arrhythmia alarms.
Other windows for monitoring.
12 LEAD ANALYSIS window for displaying simultaneous 12 lead ECG. 12 lead ECG interpretation can be performed. 1
Drug window for registering drug and units, calculating drug and displaying the table of the selected drug titration.
Interbed window for displaying interbed beds when the monitor is connected to a network.
TOUCH KEYS OFF window for turning touch screen function off.
There is a pip sound when a key or screen is touched, or the scroll bar on the
screen is used.
Setting bar
Touch or drag the sliders to the
desired level on the setting bar.
Cursor
Scroll key
Scroll bar
Scroll keys
The time width of the trendgraph on the home screen can be adjusted by touching the right edge of the trendgraph and
dragging it left or right.
Press the keys on the remote control to open/close a window. Move the selection
knob up/down/left/right to scroll the data or select a setting and press the
[ENTER] key to register the setting.
There is a pip sound when a key on the remote control is pressed or the selection
knob is moved to scroll the data.
1
NOTE
• Watch the monitor screen and check the operation when using the
remote control to avoid wrong operation.
• Make sure that the remote control is handled appropriately.
Section 3 Section 8
Section 5
Section 10
Section 4
Administrator’s Guide Section 4 Section 4 Section 9 Section 11
Section 7
For the alarm off key on the MENU window, refer to “Silencing and Suspending
Alarms” in Section 5.
Preparation Flowchart
2. Prepare battery pack, remote control and recorder. Refer to Section 2 in this
manual.
4. Check or change any initial settings on the SYSTEM SETUP window. These
settings are the password protected settings which only an administrator can
change. Refer to the Administrator’s Guide, Section 3.
7. Check or change all alarm items for the patient. Refer to Section 5
in this manual. The alarm settings return to the master settings when
the monitor power is off for more than 30 minutes and <SHOW
ADMIT CONFIRMATION WINDOW> is set to Off in the SYSTEM
CONFIGURATION screen or the patient is admitted or discharged.
10. Prepare the equipment (electrodes, transducers, probes, etc.) for monitoring
individual parameters and check or change the settings for each parameter.
Refer to the User’s Guide Part II.
Installation Conditions
2
Put the monitor on a stable and flat stand, on an optional KC-600P cart, KG-600P
counter top mount or KG-951P wall mount kit in a suitable location where the
screen is easy to see and does not reflect light. Follow the cautions below.
The optional DI-370P adapter is required to mount the monitor on the KC-600P
cart, KG-600P counter top mount or KG-951P wall mount kit.
WARNING WARNING
Never use the monitor in the presence of any Connect only the specified instrument to the
flammable anesthetic gas or high concentration monitor and follow the specified procedure.
oxygen atmosphere. Failure to follow this warning Failure to follow this warning may result
may cause explosion or fire. in electrical shock or injury to the patient
and operator, and cause fire or instrument
malfunction.
CAUTION CAUTION
Avoid collision when moving the monitor on a Avoid a location where the monitor is sprinkled
cart. Strong impact may damage the monitor. with liquids. Avoid direct sprinkling, spray or moist
air from a nebulizer or a humidifier.
CAUTION CAUTION
The display screen is made of glass. Strong Avoid locations where the monitor may receive
impact may damage it. strong electromagnetic interference such as radio
or TV stations, cellular phones or mobile two-way
radios.
CAUTION CAUTION
If fluids are accidentally spilled on the monitor, Avoid exposing the monitor to direct sunlight.
take the monitor out of service and check for
damage.
CAUTION CAUTION
Do not use the monitor in an ambulance. The Do not place blankets or cloth over the monitor. It
monitor may not function properly in a moving may affect monitoring.
vehicle.
CAUTION CAUTION
Do not place the monitor in a dusty area. Do not place the monitor in an MRI examination
room. The monitor may not function properly,
or noise from the monitor may interfere with the
MRI.
CAUTION CAUTION
Connect the power cord to an AC outlet which Make sure that there is more than 5 cm of space
can supply enough AC current to the monitor. The between the monitor and the wall for adequate
monitor cannot function properly with low current. ventilation. When the monitor is surrounded,
make sure that there is about 10 cm of space
above the monitor for ventilation so that the
CAUTION
operating temperature does not exceed 40°C
Do not use an electrical blanket. It may affect
(104°F).
monitoring.
10 cm
5 cm
CAUTION
When there is any problem on the monitor, turn 5 cm
off the power immediately and disconnect the
power cord from the AC outlet. Take the monitor
out of service and check for damage.
CAUTION
Avoid placing the monitor near a heater or
humidifier.
WARNING WARNING
Do not do the following to the battery pack. It may If the battery pack is damaged and the substance
cause leakage, overheating, explosion and fire. inside the battery contacts the eyes or skin, wash
• Short-circuit the + and – terminals on the immediately and thoroughly with water and see a
battery pack. physician. Never rub your eyes, because you may
• Put the battery pack into fire or heat the battery lose your eyesight.
pack.
• Disassemble or modify the battery pack.
WARNING
• Give strong impact to or deform the battery
• Do not immerse the battery pack in water. The
pack.
battery pack may heat up and rust and the
• Use the battery pack on unspecified
substance inside the battery pack may leak.
instruments.
• Do not leave the battery pack unused for more
• Charge the battery pack on unspecified
than about two years. The battery pack may
instruments.
leak.
• Install the battery pack with the wrong polarity.
• Leave the battery pack in the reach of patients.
CAUTION CAUTION
Do not expose the battery pack to direct sunlight Do not use a battery pack with a damaged cover.
or leave in a high temperature place. The The operator may receive electrical shock.
lifetime of the battery pack may be shortened,
the performance of the battery pack may be
degraded and the battery may leak.
CAUTION CAUTION
Do not leave the battery pack near the patient or Do not subject the battery pack to a strong
in reach of children. mechanical shock.
CAUTION CAUTION
Use the battery pack between 10°C (50°F) and Before disposing of the battery pack, check with
40°C (104°F). Temperatures out of this range your local solid waste officials for details in your
affect the working of the battery. area for recycling options or proper disposal. The
battery pack is recyclable. At the end of its useful
life, under various state and local laws, it may
CAUTION
be illegal to dispose of this battery pack into the
Do not use a battery pack which is past the
municipal waste stream.
expiration date written on the label.
NOTE
• Be careful when handling the fully charged battery pack. The battery
pack heats up to about 60°C (140°F).
• When replacing the battery pack, be careful not to drop the battery
pack.
NOTE
Error lamp Only use the specified recording paper, FQW50-2-100.
The error lamp on the bedside monitor lights and the “INSERT REC PAPER”
message appears on the screen when there is no paper.
1. Move the recorder door release lever in the direction of the arrow ( ) to
release the lock.
CAUTION
Do not touch the thermal head inside the recorder module. The
thermal head may be damaged by static electricity or become dirty
and cause printing failure.
3. Set the recording paper inside the recorder module so that the detection mark
(small black square on corner) of the paper is on the right side.
Mark
4. Draw out one page of paper toward you and close the recorder door.
If the out of paper lamp is still lit, the recorder door is not closed properly.
The monitor has a remote control sensor for receiving signals from the remote
control.
When the monitor cannot operate by remote control or the remote control
distance becomes short, the battery may be deteriorated. Change the battery with
new one. Use two AAA alkaline batteries and change the two batteries at the
same time.
WARNING WARNING
• Keep the batteries away from fire. They may If the battery is damaged and the substance
explode. inside the battery contacts the eyes or skin, wash
• Keep the batteries away from patients. immediately and thoroughly with water and see a
• Never short-circuit the + and – terminals on the physician. Never rub your eyes, because you may
battery. It may cause overheating and fire. lose your eyesight.
• Do not damage, disassemble, drop or give
impact to the battery.
NOTE
When not using the remote control for a long time, remove the batteries
from the remote control.
1. Remove the battery cover on the rear panel of the remote control as shown.
2. Insert two new AAA alkaline batteries into the remote control observing the
correct + and – position.
NOTE
• Remove the battery from the remote controller when not using the
battery.
• Check with your local solid waste officials for details in your area for
recycling options or proper disposable.
• Take care not dropping or losing the remote controller.
The infrared light emitted from the remote control has wide directivity and
reflects the ceiling and wall and may operate the other devices.
The remote control channel must be set by the administrator. The procedure is
described in the Administrator’s Guide.
CAUTION
• Set the remote control channel on the monitor to prevent the
remote control from operating a different monitor.
• When several monitors are installed close together, check that the
remote control operates only the desired monitor. If the remote
control operates a different monitor, recheck the channel setting.
Power
2
When the power cord is plugged into an AC outlet and the power switch on the
front panel is turned on, the monitor operates on AC power.
When an SB-671P battery pack is inserted into the battery slot and the power
cord is disconnected or there is a sudden power failure, the monitor automatically
switches to battery power.
When the battery pack is not used and there is a sudden power failure, the
patient data and settings are stored for about 30 minutes after power off when
<SHOW ADMIT CONFIRMATION WINDOW> is set to Off in the SYSTEM
CONFIGURATION screen.
The battery pack is charged when the power cord is plugged into an AC outlet
and the AC current is supplied to the monitor. The battery pack is also charged
during monitoring.
When the monitor is operated on battery power, the brightness of the screen can
be reduced to save battery power.
WARNING WARNING
Connect only the specified instrument to the When several medical instruments are used
monitor and follow the specified procedure. together, ground all instruments to the same one-
Failure to follow this warning may result point ground. Any potential difference between
in electrical shock or injury to the patient instruments may cause electrical shock to the
and operator, and cause fire or instrument patient and operator.
malfunction.
Connect the provided power cord to the AC SOURCE socket on the rear panel of
the monitor and plug the cord into a 3-prong AC outlet.
When the AC power is supplied to the monitor, the AC power lamp on the front
panel lights.
NOTE
If the AC power lamp does not light, check the power cord connection.
WARNING
When several medical instruments are used together, ground all
instruments to the same one-point ground. Any potential difference
between instruments may cause electrical shock to the patient and
operator.
When more than one electrical instrument is used, there may be electrical
potential difference between the instruments. The potential difference between
the instruments may cause current to flow to the patient connected to the
instruments, resulting in electrical shock.
CAUTION 2
When the monitor is turned on, check that a single beep sounds and
the red, yellow, cyan and green alarm indicator lamps blink once.
This shows that the alarm is functioning properly.
NOTE
• It takes a few minutes for the LCD screen to reach full brightness.
• The shadow of the previous screen may remain for a few minutes after
changing screens.
• There may be some dots on the LCD screen which are always on or
always off, but it does not affect monitoring. This is normal for all LCD
screens.
• The patient data and settings are deleted when the monitor power is
off for more than 30 minutes and <SHOW ADMIT CONFIRMATION
WINDOW> is set to “Off” in the SYSTEM CONFIGURATION screen.
Press the [Power] switch on the front panel to turn the power on. The power can
also be turned on by pressing the [POWER] button on the remote control. The
power lamp and the AC power lamp light and self check starts. When the check
is complete, the home screen appears.
If the AC power lamp does not light, check the power cord connection.
When the monitor power is turned on, alarms are suspended while the monitor is
waiting for the electrodes and probe to be attached to the patient. The monitoring
starts when the connection cord is connected to the socket on the monitor and the
electrodes or probe are attached to the patient. The alarm activates when one of
the following occurs:
• ECG, SpO2 or IBP is monitored or NIBP is measured and a value is displayed
(when AUTO is selected for <ALARM ACTIVATION DELAY> on the
ALARM window of the SYSTEM SETUP window).
• ECG, SpO2 or IBP is continuously monitored for the selected time (when 1
min, 2 min or 3 min is selected for <ALARM ACTIVATION DELAY>).
• NIBP is measured (when 1 min, 2 min or 3 min is selected for <ALARM
ACTIVATION DELAY>).
If the monitor power is turned off and on again within 60 seconds, the
monitoring continues.
NOTE
After turning the monitor on and when admitting a patient on the monitor,
make sure that the time displayed at the upper right of the screen is
correct. When the date or time is changed during monitoring, the date and
time of all stored data is also changed and may not match the date and
time on the printout.
Power and battery status are indicated by three lamps on the bedside monitor. A
discharged battery pack is also indicated by battery marks, screen message and
alarm.
NOTE
When charging the battery pack with the monitor power turned off, check
that the power lamp and battery charging lamp light. If the lamps do
not light even when the power cord is connected and the battery pack
is inserted, turn the power on, check that the battery charging lamp is
blinking or lit, then turn the power off.
When the “BATTERY WEAK” message appears, the remaining battery power
is less than 25%. The yellow alarm lamp lights with a continuous “bing bong”
sound.
NOTE
The new battery pack is not charged. Charge the battery pack before use.
CAUTION
When charging the battery pack, keep the ambient temperature at 2
approximately 20°C to maintain the optimal battery operation time.
If the battery pack is charged at less than 10°C (50°F) or more than
30°C (86°F), the maximum battery operation time will be 20% to
30% less than the optimal operation time.
Fast charging
It takes 2 hours of continuous charging to fully charge the battery pack when not
monitoring.
NOTE
Do not disconnect the power cord from the monitor during battery
charging.
Press the [Power] switch on the front panel for more than three seconds to turn
the power off. The screen becomes dark and the power lamp on the front panel
turns off. The power can also be turned off by pressing the [POWER] button on
the remote control.
When the power is on, the current time is displayed in the upper right corner of
the screen.
NOTE
When the date or time is changed during monitoring, the date and time of
all stored data is also changed and may not match the date and time on
the printout.
The DATE window can also be displayed by touching the time on the upper
right corner of the home screen.
5. Touch the SET key. The SET key must be touched before changing
windows. Otherwise the setting changes back to the previous setting.
When the set date is incorrect, the “OUT OF RANGE” message appears on
the screen. Enter the correct date.
On the VOLUME window, you can select sync sound on or off and adjust the 3
sync sound volume and alarm sound volume.
NOTE
Set the alarm volume depending on the monitoring environment.
When you drag the slider or touch the key to the lowest level, the
alarm sound goes to the minimum volume.
3. After changing settings, press the [Home] key to return to the home screen.
2. Touch the desired place on the setting bar in the <BRIGHTNESS> box. Use
the or key or drag the slider to the desired level on the setting bar to
adjust the setting.
The following items can be set for the home screen configuration. 3
2. Change settings.
To change the number of ECG waveforms, select 1, 2 or 3 in the <NO. ECG
WAVES> box.
To change the blood pressure waveform display mode, select one of the
following in the <PRESS SCALE> box.
SEPARATE: Blood pressure waveforms are displayed separately on
different scales.
COMMON: Blood pressure waveforms are displayed on the same scale.
DUAL: Blood pressure waveforms are separated into arterial blood
pressures and other type of blood pressures. The arterial blood
pressures are labeled ART, ART-2, RAD, DORS, AO, FEM,
UA, LVP and P1 to P7*1*2.
*1 The P3 label is only available on the BSM-3733, BSM-3753,
BSM-3763 and BSM-3773 bedside monitor.
* The P4 to P7 labels are available only when the QI-374P interface is
2
To change the sweep speed of waveforms other than respiration, CO2 and
EEG waveforms, select a speed in the <SWEEP SPEED> box.
User’s Guide Part I BSM-3000 3.5
3. NECESSARY SETTINGS BEFORE MONITORING
NOTE
• When both BIS and EEG are monitored, both EEG waveforms are
displayed.
• FLOW, Paw and VOL keys are not available for the Op No. 32A,
52A, 72A, 33A, 53A and 73A.
Admitting/Discharging Patient
Before admitting a new patient, you must first delete all data of a previous 3
patient. Refer to the “Discharging Patient” section.
CAUTION
When admitting a new patient, first delete all data of the previous
patient. Otherwise, the data of the previous patient and new patient
will be mixed together.
NOTE
After turning the monitor on and when admitting a patient on the monitor,
make sure that the time displayed at the upper right of the screen is
correct. When the date or time is changed during monitoring, the date and
time of all stored data is also changed and may not match the date and
time on the printout.
NOTE
The patient type setting and QRS detection type setting (on the ECG
window) are independent of each other.
2. Touch the PATIENT TYPE key. The PATIENT TYPE window is displayed.
Touch to enter
the patient ID.
Touch to enter capital Enter space. Moves the cursor one block (one character).
letters.
When the monitor is connected to a monitor network, the FREE window is not
available. When the patient name is entered from the FREE window and the
monitor is then connected to a network, the patient name on the bedside monitor
is deleted and the patient name entered on the central monitor appears on the
bedside monitor.
Enter patient
name. Deletes the character
after the cursor.
Touch to enter capital Enter space. Moves the cursor one block (one character).
letters.
3. Touch the ENT key. The patient name appears in the patient name area on
the home screen.
2. Write the patient name with your finger or touch pen in the free writing area.
Scrolls the writing area left or right in 11 steps. The displayed 3
Displays the keyboard. writing area is 1/4 of the total available writing area.
Sets the touch pen or finger to Sets the touch pen or Sets the touch pen or finger to
fill in a four block square. finger to fill in one block. erase instead of writing.
You can enter any character by drawing it. You can also edit names which
were previously entered by keyboard. For example, you can make European
language characters by drawing accent marks over English characters.
3. Touch the SET key. The patient name appears in the patient name area on the
home screen.
CAUTION
When the date of birth or age is not entered, 12 lead ECG
interpretation is performed with the patient as 35 years old.
1. Touch the DATE OF BIRTH key to display the DATE OF BIRTH window.
2. Touch YEAR, MONTH or DAY key or touch the box under the YEAR,
MONTH or DAY key to enter year, month and day.
4. Touch the ENT key. The number is entered under the YEAR, MONTH or
DAY box.
5. Touch the SET key. When the year, month and day are entered, age is
automatically calculated and appears at the AGE area on the DATE OF
BIRTH window.
2. Touch the HEIGHT or WEIGHT key or the box beside the HEIGHT or
WEIGHT key to enter height and weight.
4. Touch the ENT key. When the height and weight are entered, BSA is
automatically calculated and appears at the BSA area on the DATE OF
BIRTH window.
CAUTION
When the gender is not specified, 12 lead ECG interpretation is
performed with the patient as male.
2. Touch the MALE or FEMALE key. Touch the - key when the patient sex is
unknown.
The pacing spike detection can be turned on/off on the OTHER page of the
ECG window. The setting linked between the ADMIT page of the ADMIT
3
DISCHARGE window and the OTHER page of the ECG window.
When the pacing spike detection set to off, the non-paced mark ( ) is
displayed on the upper part of the screen.
WARNING WARNING
Turn the pacing pulse detection* to ON when Even when the pacing pulse detection is set to
monitoring a pacemaker patient. Otherwise the ON, the pacemaker pulse can be overlooked
pacemaker pulse is not rejected. However, even or detected as QRS. You cannot confirm the
when the pacing pulse detection is set to ON, the pacemaker operation only from the detected
pacemaker pulse might not be rejected. When the pacemaker pulse.
pacemaker pulse is not rejected, the pacemaker
pulse is detected as QRS and false heart rate may
be indicated or critical arrhythmia such as asystole
may be overlooked. Keep pacemaker patients
under close observation.
NOTE
When you monitor a premature baby or infant and the monitor miscounts
the narrow width QRS, set this to NO.
Admitting a Patient
WARNING
Check the alarm settings when admitting a new patient and
whenever the patient condition changes and change the alarm
settings if necessary. The alarm settings return to the alarm master
settings on the SYSTEM SETUP window when:
• A patient is admitted or discharged.
• <SHOW ADMIT CONFIRMATION WINDOW> is set to “Off” in the
SYSTEM CONFIGURATION screen and 30 minutes elapse after
monitor power off.
• “PATIENT TYPE” is changed on the ADMIT DISCHARGE window.
CAUTION
When admitting a new patient, first delete all data of the previous
patient. Otherwise, the data of the previous patient and new patient
will be mixed together.
After having entered patient information, you have to take the procedure for
admission.
• Upon admission, the following data is deleted.
- Data on the review windows
- Data on the 12 LEAD ANALYSIS window
- Data on the DRUG window
- Data on the LUNG FUNCTION window
- PCWP value on the CO window
- Thermodilution curve on the CO window
- CO table on the MEASURE page of the CO window
- Current trendgraph on the home screen
• Alarm settings are initialized to the alarm master value.
• Arrhythmia analysis on or off setting is initialized to the master setting.
• QRS detection type is initialized to the master setting.
• NIBP measurements are deleted, the interval at which to measure NIBP is
initialized to the interval master value and the initial cuff inflation pressure is
initialized to the master setting.
2. Touch the ADMIT key to admit the patient. The confirmation message 3
appears.
If the CANCEL key is touched, the procedure for admission is cancelled, the
previous data is not deleted and the settings are not initialized.
When admission is complete, the ADMIT DISCHARGE window closes and the
admitted patient name appears on the upper left of the screen.
Discharging a Patient
When monitoring the patient is no longer required, discharge the patient on the
DISCHARGE* page.
* For the Op No. 32A, 52A, 72A, 33A, 53A and 73A, the DISCHARGE tab
becomes the NEXT CASE tab when the site setting is OR.
CAUTION
When admitting a new patient, first delete all data of the previous
patient. Otherwise, the data of the previous patient and new patient
will be mixed together.
When monitoring the patient is no longer required, delete the data on the
DISCHARGE page. The alarm settings, arrhythmia analysis on or off and QRS
detection type return to the alarm master settings, and the NIBP measurement
mode returns to the INTERVAL MASTER setting on the SYSTEM SETUP
window.
After having discharged the patient, you have to take the procedure for discharge.
• Upon discharge, the following data is deleted.
- Patient information
- Data on the review windows
- Data on the 12 LEAD ANALYSIS window
- Data on the DRUG window
- Data on the LUNG FUNCTION window
- PCWP value on the CO window
- Thermodilution curve on the CO window
- CO table on the MEASURE page of the CO window
- Current trendgraph on the home screen
• Patient type setting returns to the master setting.
• Alarm settings are initialized to the alarm master value.
• Arrhythmia analysis on or off setting is initialized to the master setting.
• QRS detection type is initialized to the master setting.
• NIBP measurements are deleted, the interval at which to measure NIBP is
initialized to the interval master value and the initial cuff inflation pressure is
initialized to the master setting.
3. Check the following items to confirm that all data are deleted.
• Patient name on the home screen is deleted.
• The message on the DISCHARGE page is dimmed.
• ALARMS SUSPENDED message appears and alarms are suspended on
the monitor.
Patient name is deleted. ALARMS SUSPENDED message appears.
4
Safety Precautions for Monitoring........................................................................................................................ 4.3
Using an Electrosurgical Unit..................................................................................................................... 4.3
Using a Defibrillator.................................................................................................................................... 4.3
Overview............................................................................................................................................................... 4.4
Home Screen............................................................................................................................................. 4.4
Review Windows........................................................................................................................................ 4.4
Sync Sound................................................................................................................................................ 4.4
Adjusting the Sync and Alarm Sound Volume............................................................................................ 4.4
Changing Settings and Performing Other Tasks During Monitoring........................................................... 4.4
Site Mode................................................................................................................................................... 4.5
Recording/Printing on the Home Screen.................................................................................................... 4.5
Interbed Monitoring.................................................................................................................................... 4.5
Home Screen........................................................................................................................................................ 4.6
Settings for the Home Screen ................................................................................................................... 4.7
Waveform Sweep Mode and Speed................................................................................................. 4.7
Waveform Display on the Home Screen.......................................................................................... 4.7
Pacing Mark Position on the ECG Waveform................................................................................... 4.7
ST Waveform and Reference ST Recall Waveform Display on the Home Screen On or Off........... 4.7
Blood Pressure Waveform Display Mode......................................................................................... 4.8
IBP Waveform Display Area on the Home Screen........................................................................... 4.8
PPV or SPV Display on the Home Screen....................................................................................... 4.8
Pulse Rate Display on the Home Screen......................................................................................... 4.8
Current Average CO and PCWP Values Display on the Home Screen............................................ 4.9
Trendgraph/OCRG Display on the Home Screen On or Off............................................................. 4.9
Scale Setting for the Trendgraph on the Home Screen.................................................................... 4.9
Parameter Colors............................................................................................................................. 4.9
Waveform Sensitivity........................................................................................................................ 4.9
Cascade ECG Waveform................................................................................................................. 4.9
Displaying Other Windows from the Home Screen.................................................................................. 4.10
Displaying OCRG............................................................................................................................................... 4.11
Freezing Waveforms........................................................................................................................................... 4.12
Using Sleep Mode.............................................................................................................................................. 4.13
Turning Sleep Mode On........................................................................................................................... 4.14
Turning Sleep Mode Off........................................................................................................................... 4.14
Displaying the LARGE NUMERICS Screen....................................................................................................... 4.15
Using the Timer.................................................................................................................................................. 4.18
This section explains how to monitor the patient’s waveforms and data.
In this section:
• “Overview” gives general information for all monitoring.
• “Displaying OCRG” explains about displaying OCRG.
• “Freezing Waveforms” explains how to freeze waveforms.
• “Using Sleep Mode” explains how to use sleep mode.
• “Displaying LARGE NUMERICS screen” explains about displaying large
numeric data.
• “Using the Timer” explains how to use the timer.
Before beginning monitoring, observe the following safety precautions and the
safety precautions in the User’s Guide Part II for ECG and other parameters.
4
WARNING WARNING
Electrosurgical units (ESU) emit a lot of RF Locate the monitor as far as possible from the
interference. If the monitor is used with an ESU, ESU. Locate them on opposite sides of the
RF interference may affect the monitor operation. operating table, if possible.
WARNING WARNING
Connect the monitor and ESU to different AC When the monitor is used with an electrosurgical
outlets located as far as possible from each other. unit (ESU), firmly attach the entire area of the
ESU return plate. Otherwise, the current from
the ESU flows into the electrodes of the monitor,
causing electrical burn where the electrodes are
attached. For details, refer to the ESU manual.
Using a Defibrillator
WARNING
Before defibrillation, all persons must keep clear of the bed and must
not touch the patient or any equipment connected to the patient.
Failure to follow this warning may cause electrical shock or injury.
If the ECG waveform on the screen is too unstable to synchronize with the
patient’s heart beat because of the following reason(s), remove the cause(s)
of an alarm, message, or unstable ECG, and then use a stable ECG lead for
synchronization.
Overview
Home Screen
When you first begin monitoring, a home screen appears. The home screen
displays waveforms and numeric data for ECG and other parameters. Any time
you press the [Home] key, the home screen appears.
When the monitor power is turned on, alarms are suspended while the monitor is
waiting for the electrodes and probe to be attached to the patient. The monitoring
starts when the connection cord is connected to the socket on the monitor and
electrodes or probe is attached to the patient.
NOTE
When <SHOW ADMIT CONFIRMATION WINDOW> is set to “Off” in the
SYSTEM CONFIGURATION screen, the stored data remains in memory
for about 30 minutes after the power is turned off. After 30 minutes, the
stored data is lost.
Review Windows
The trend, arrhythmia recall, alarm history, full disclosure, ST level recall and
12 lead windows display the stored data. For details about the review windows,
refer to Section 6.
Sync Sound
During monitoring, a continuous “pip” sounds in synchronization with either
the QRS or pulse waveform. QRS is the default setting. Refer to “Changing the
Sync Sound Source” in Section 1, 4 or 6 of the User’s Guide Part II to change the
source of the sync sound.
Site Mode
The site mode can be selected from OR, ICU and NICU according to the
environment. The default settings, including alarm upper and lower limit
settings, differ according to site. Refer to the Administrator’s Guide, Section 2.
When “ALL ALARMS OFF” is selected for ALARMS OFF TYPE on the
ALARM window of the SYSTEM SETUP window, the “ALL ALARMS OFF”
key is displayed instead of the “BYPASS” or “SUSPEND MONITORING” key
on the MENU window. Refer to “Alarm Window” in the Administrator’s Guide,
Section 3.
When “PRINT WAVE” is assigned to one of the function keys at the upper left
corner of the screen, all monitoring waveforms and numeric data can be printed
on the network printer when the function key is touched.
Interbed Monitoring
When the bedside monitor is connected to a central monitor, the bedside monitor
data can be sent to the central monitor. Up to 20 beds in the network can be
registered as “interbed” beds and monitoring data of the selected interbed bed
can be displayed on the INTERBED window. When an alarm occurs at an
interbed bed, the highlighted bed name appears on the upper right corner of the
home screen. The interbed alarm can also be silenced from this bedside monitor.
Refer to Section 9 “Interbed Window”.
Home Screen
When you first begin monitoring, a home screen appears. To return to the home
screen from another window or screen, press the [Home] key.
When a window is displayed and there is no operation for about 3 minutes, the
screen automatically returns to the home screen.
The home screen is automatically laid out according to the measured parameters.
The layout changes when a measuring parameter changes.
ECG
VPC
sensitivity
ST level
ECG lead
NIBP
SYS/DIAS ECG filter
(MAP) mode
NIBP
measurement QRS
time detection
type
NIBP
measurement IBP scale
mode
IBP IBP
SYS/DIAS waveforms
(MEAN)
SpO2 pulse
sensitivity
SpO2 pulse
Temperature SpO2 Respiration rate Trendgraph Respiration waveform waveform
The respiration rate can only be detected from one parameter. When CO2,
respiration and anesthetic gas are monitored at the same time, the respiration rate
is detected in the following priority.
Gas > FLOW > CO2 > impedance respiration
You can “freeze” (stop sweeping) the waveforms on the home screen. By
freezing the waveforms, you can observe one part of a waveform in detail.
The numerical data on the screen are not frozen. For details, refer to “Freezing
Waveforms” section.
The timer can be displayed on the home screen. Refer to the “Using the Timer”
section.
The sweep speed of waveforms other than respiration/CO2 and EEG waveforms
on the home screen can be selected from one of four speeds: 6, 12.5, 25 or 50
mm/s at <SWEEP SPEED> on the DISPLAY window.
The respiration and CO2 waveform sweep speed on the home screen can be
selected from one of four speeds: 1, 6, 12.5 or 25 mm/s at <RESP/CO2 SWEEP
SPEED> on the DISPLAY or RESP/CO2 window.
On the BSM-3552/3753 bedside monitor, the pulse rates display in the SpO2
areas on the home screen can be set to on or off on the NUMERIC DISPLAY
page of the SpO2 window. Refer to the “Displaying Pulse Rate on the Home
Screen” in the User’s Guide Part II, Section 4-2.
On the BSM-3532/3733 bedside monitor, the pulse rate and perfusion index
(PI) display in SpO2 area on the home screen can be set to on or off. Refer to the
“Displaying Pulse Rate and Perfusion Index (PI) on the Home Screen” in the
User’s Guide Part II, Section 4-3.
Parameter Colors
The parameter colors are set on the COLOR window of the SYSTEM SETUP
window. Refer to “COLOR Window” in the Administrator’s Guide, Section 3.
Waveform Sensitivity
Waveform sensitivity can be changed on the parameter window. Refer to the
User’s Guide Part II.
Item Window
Numeric value: Parameter setting window
Patient name: ADMIT DISCHARGE window
Time: DATE window
Function key: Window assigned to the function key
Displaying OCRG
When the optional WS-371P recorder module is installed in the monitor, OCRG
can be recorded. To record OCRG at any time, assign “RECORD OCRG” to
one of the function keys at the upper left corner of the screen. The OCRG on the
home screen is recorded when the “RECORD OCRG” function key is pressed.
Refer to “KEYS Window” in the Administrator’s Guide, Section 3.
The OCRG on the home screen can be printed on the network printer. To print
OCRG, assign PRINT OCRG key to one of the function keys. Refer to “KEYS
Window” in the Administrator’s Guide, Section 3.
Freezing Waveforms
Normally, the waveforms continuously sweep across the screen. You can also
“freeze” (stop sweeping) the waveforms. By freezing the waveforms, you can
observe one part of a waveform in detail. The numerical data on the screen are
not frozen.
To freeze waveforms, the freeze function must be assigned to one of the function
keys in the upper left corner of the screen. Refer to “KEYS Window” in the
Administrator’s Guide, Section 3.
When the freeze function is assigned to a function key, waveforms on the home
screen can be frozen any time by touching the FREEZE key.
When the waveforms are frozen, the “FREEZE” message appears with the frozen
time.
When the waveforms are unfrozen by pressing a hard key, the function of that
hard key is also performed. For example, if the [NIBP Start/Stop] key is
pressed, NIBP measurement in manual mode is performed.
4.12 User’s Guide Part I BSM-3000
4. HOME SCREEN
In sleep mode, the screen is darkened and sync sound is turned off. The sleep
mode is available only when the site mode is set to ICU or NICU and ZS-900P*
transmitter is connected or the bedside monitor is connected to the central 4
monitor network. To change the site mode, refer to “SITE Window” in the
Administrator’s Guide, Section 2.
* The ZS-900P transmitter is not available in USA.
Use this mode when you want to prevent the monitor from disturbing the patient,
such as during sleep.
When the time is set in the <SLEEP MODE WILL END AT> box on the SLEEP
window of the SYSTEM SETUP window, the monitor exits the sleep mode on
the set clock time.
When the communication between the bedside monitor and central monitor is
interrupted, the bedside monitor exits sleep mode.
WARNING
When using sleep function, monitor the patient on the central
monitor or telemetry system. Otherwise, the bedside monitor alarm
may be overlooked. When <EXIT SLEEP MODE ON CRISIS
ALARM> check box on the ALARM page of the SYSTEM SETUP
window is OFF, bedside monitor alarms and sync sound appear on
the central monitor but do not appear on the bedside monitor during
sleep mode.
When SLEEP is assigned to one of the function keys at the upper left of the
screen or one of the function keys on the remote control keys, the SLEEP
window can be displayed by touching the SLEEP function key. Refer
to “KEYS Window” in the Administrator’s Guide, Section 3 to assign a
function to the function key.
When the sleep mode is turned off by pressing a hard key, the function of that
hard key is also performed. For example, if the [NIBP Start/Stop] key is
pressed, NIBP measurement in manual mode is performed.
The numeric data of all monitoring parameters are enlarged on the LARGE
NUMERICS screen. This window is useful for viewing at a distance.
4
Two types of the LARGE NUMERICS screen are provided. For the difference,
refer to the next page. You can select either type on the DISPLAY page of the
SYSTEM SETUP window. Refer to “SYSTEM Window” in the Administrator’s
Guide, Section 3.
When respiration by impedance method, CO2 and anesthetic gas are monitored
at the same time, the respiration rate data on the LARGE NUMERICS screen is
detected in the following priority.
2×2
Heart rate
IBP SYS/
DIAS
(MEAN)
CVP
SpO2
3×4
Heart rate
IBP SYS/
DIAS
(MEAN)
CVP
SpO2 NIBP
2. Touch the TIMER key. The TIMER window appears on the home screen.
When TIMER is assigned to one of the function keys at the upper left of the
screen or one of the function keys on the remote control keys, the TIMER
window can be displayed by touching the TIMER function key. Refer
to “KEYS Window” in the Administrator’s Guide, Section 3 to assign a
function to the function key.
4. Touch the STOP key to stop the timer. To restart the timer, touch the START
key. 4
5. When stop using the timer, touch the RESET key to reset the timer. The time
returns to 00:00:00.
When ALL ALARMS OFF or BYPASS is assigned to one of the function keys
at the upper left of the home screen and the ALL ALARMS OFF or BYPASS
function key is touched, the TIMER window appears on the home screen and it
starts counting up automatically.
Overview of Alarms
WARNING WARNING
A physician must be within the range where he/she Do not diagnose a patient based on only the alarm
can hear the alarm sound of the bedside monitor information of the bedside monitor. An alarm may
while monitoring a patient on the bedside monitor. not be indicated due to alarm level or alarm on/off
If the physician cannot hear the alarm sound, setting and critical changes on the patient may be
critical changes on the patient may be overlooked. overlooked.
WARNING WARNING
Check the alarm settings when admitting a If more than one medical equipment is used
new patient and whenever the patient condition together in the same facility, make sure all
changes and change the alarm settings if equipments have the same alarm default settings
necessary. The alarm settings return to the alarm (alarm master). If the medical equipments
master settings on the SYSTEM SETUP window have different alarm default settings and when
when: initialized, the alarm settings differ with the other
• A patient is admitted or discharged. equipments and alarm cannot be managed
• <SHOW ADMIT CONFIRMATION WINDOW> is appropriately in the facility. If using different alarm
set to “Off” in the SYSTEM CONFIGURATION default settings according to areas or wings in the
screen and 30 minutes elapse after monitor facility, manage the alarms appropriately.
power off.
• “PATIENT TYPE” is changed on the ADMIT
DISCHARGE window.
WARNING
When an alarm occurs:
• Check the patient first and take necessary
measure to ensure patient’s safety.
• Remove the cause of the alarm.
• Check the alarm settings on the bedside monitor
and change the alarm settings if necessary.
What is an Alarm
When the monitor detects an abnormal patient condition, it can generate an alarm
sound, screen indication and alarm lamp indication. When the optional recorder
is installed in the monitor, ECG waveforms and data can be recorded at an alarm
occurrence. You can set each individual alarm condition. There are four types
of alarms: vital signs, arrhythmias, technical and interbed alarms, and three
levels of alarm: crisis, warning and advisory. The different alarm types are fully
explained in the “Alarm Types” section and different alarm levels are explained
5
in the “Alarm Indications” section.
NOTE
When admitting a new patient, check the alarm settings.
Alarm indicator Silence Alarms key
Alarm message
Alarm sound
Alarm Level
There are three alarm levels.
CRISIS: Patient is in critical condition and the patient’s life may be at
risk. Immediate action must be taken. Electrodes or probe off, or
incorrect lead or other cable connections may also cause this alarm.
WARNING: Patient is in critical condition. Prompt action should be taken.
Electrodes or probe off, or incorrect lead or other cable
connections may also cause this alarm.
ADVISORY: Electrodes, probe, cuff, lead and other cable connections
or settings on the monitor are not appropriate for accurate
measurement. Prompt action should be taken.
Alarm Escalation
If the APNEA, SpO2, ECG CHECK ELECTRODES, CANNOT ANALYZE
or SpO2 CHECK PROBE alarm occurs and no action is taken for a selected
duration, the alarm level can be escalated. If an SpO2 value drops below a set
level for a selected duration, the alarm level can also be escalated. Refer to the
Administrator’s Guide, Section 3.
Alarm Priority
Alarm Sound/Alarm Indicator
When several alarms occur at the same time, only the alarm with the highest
alarm level is indicated.
Only one interbed ID can be displayed at a time on the home screen. When more
than one interbed alarm occurs, the alarm messages for each alarming interbed
ID are alternately displayed in the alarm level color when the <INTERBED
ALARMS TO DISPLAY> is set to ALL, CRISIS AND WARNING, or CRISIS.
Silencing/Suspending Alarms
You can temporarily silence current alarm sounds and indications for a 1, 2 or 3
minute period. For details, refer to “Silencing and Suspending Alarms” later in
this section. You can also silence an interbed alarm from this bedside monitor but
the alarm silence time depends on the setting on the alarmed bed. For interbed
alarms, refer to Section 9 “Interbed Window”.
WARNING WARNING
During alarm suspension (“ALARMS Do not turn all alarms off with the ALL ALARMS
SUSPENDED” or “ALL ALARMS OFF” message OFF or BYPASS key when there is no medical
displayed), all alarms are turned off. Be careful staff around the patient or when the patient is
when you suspend the alarm. connected to a ventilator.
The BYPASS key is only available in OR mode. The site mode is set on the
SYSTEM SETUP window. Refer to the Administrator’s Guide, Section 3.
When the monitor connected to the central monitor network, the bedside monitor
alarm can be silenced by touching the Silence Alarms key on the central monitor.
For details, refer to the central monitor Operator’s Manual.
Alarm Master
For fast and easy alarm setup, a group of alarm items can be set all together
at one time. For example, there may be typical alarm settings at your hospital,
or you may have certain alarm settings for certain patients. There is one alarm
master for vital signs and one alarm master for arrhythmias. The alarm masters
are set by the administrator on the MASTER window of the SYSTEM SETUP
window.
5
Even when alarms are set by an alarm master, individual alarm settings can still
be changed on the ALARM LIMITS and ARRHYTH ALARMS windows or the
alarm setting window of each parameter window. Refer to “Setting Alarms” in
this section.
WARNING
If more than one medical equipment is used together in the same
facility, make sure all equipments have the same alarm default
settings (alarm master). If the medical equipments have different
alarm default settings and when initialized, the alarm settings
differ with the other equipments and alarm cannot be managed
appropriately in the facility. If using different alarm default settings
according to areas or wings in the facility, manage the alarms
appropriately.
Automatic Recording
When the optional recorder is installed in the monitor, you can set the monitor to
automatically record ECG waveforms and data when an alarm occurs. Refer to
“Turning Automatic Alarm Recording On/Off” later in this section.
If a higher level alarm occurs during another alarm recording, the present alarm
recording is canceled and the higher level alarm is recorded.
From the bedside monitor, the alarm recording cannot be recorded on the
recorder of the connected central monitor.
Alarm Setting
Usually, alarms are set before monitoring, but alarms can be set or changed
anytime without interrupting monitoring.
All alarm settings return to the alarm master settings of the SYSTEM SETUP
window when:
• The monitor power is off for more than 30 minutes when <SHOW
ADMIT CONFIRMATION WINDOW> is set to Off in the SYSTEM
CONFIGURATION screen.
• The patient is admitted or discharged.
• PATIENT TYPE is changed on the ADMIT DISCHARGE window.
To set a parameter alarm to off, set the upper and lower limits to OFF.
WARNING WARNING
Check the alarm settings when admitting a If more than one medical equipment is used
new patient and whenever the patient condition together in the same facility, make sure all
changes and change the alarm settings if equipments have the same alarm default settings
necessary. The alarm settings return to the alarm (alarm master). If the medical equipments
master settings on the SYSTEM SETUP window have different alarm default settings and when
when: initialized, the alarm settings differ with the other
• A patient is admitted or discharged. equipments and alarm cannot be managed
• <SHOW ADMIT CONFIRMATION WINDOW> is appropriately in the facility. If using different alarm
set to “Off” in the SYSTEM CONFIGURATION default settings according to areas or wings in the
screen and 30 minutes elapse after monitor facility, manage the alarms appropriately.
power off.
• “PATIENT TYPE” is changed on the ADMIT
DISCHARGE window.
CAUTION CAUTION
When the alarm limit is set to OFF, there will be When the alarm is turned OFF for an arrhythmia,
no alarm for that limit. Be careful when you set there will be no alarm for that arrhythmia type.
the alarm limit to OFF. There is no message or mark to indicate that a
certain arrhythmia alarm is turned off. Therefore,
be careful when you turn off an arrhythmia alarm.
CAUTION
When the ZS-900P transmitter is attached to the
bedside monitor, check the alarm, arrhythmia
and monitoring settings on the central monitor
or telemetry system. The transmitter does not
transmit the alarm, arrhythmia and monitoring
setting information.
CAUTION
After the monitor power is turned on, parameter-related alarms do
not function until the parameters are monitored.
When the monitor power is turned on, alarms are suspended while the monitor is
5
waiting for the electrodes and probe to be attached to the patient. The monitoring
starts when the connection cord is connected to the socket on the monitor and the
electrodes or probe are attached to the patient. The alarm activates when one of
the following occurs:
• ECG, SpO2 or IBP is monitored or NIBP is measured and a value is displayed
(when AUTO is selected for <ALARM ACTIVATION DELAY> on the
ALARM window of the SYSTEM SETUP window).
• ECG, SpO2 or IBP is continuously monitored for the selected time (when 1
min, 2 min or 3 min is selected for <ALARM ACTIVATION DELAY>).
• NIBP is measured (when 1 min, 2 min or 3 min is selected for <ALARM
ACTIVATION DELAY>).
Interbed Alarm
When an alarm occurs on an interbed bed, the interbed alarm occurs on this
bedside monitor. For details, refer to “Interbed Alarm” later in this section.
Alarm Types
Alarms are divided into four categories: vital signs, arrhythmia, technical and
interbed alarms. The alarm name is displayed on the screen when an alarm
occurs. For the vital signs and arrhythmia alarms, waveforms and data can be
recorded in automatic alarm recording when an optional recorder is installed in
the monitor.
For the alarm types which are not classified into alarm levels, only the message
is displayed.
Arrhythmia Alarms
Arrhythmia Name Description
Longer than 3 to 10 seconds (selectable) with no
ASYSTOLE
QRS complex.
VF Ventricular fibrillation longer than 4 seconds.
Ventricular tachycardia. 3 to 9 (selectable*1) or more
VT consecutive VPCs when heart rate exceeding the VT
heart rate limit (16 to 300 beats/min selectable*1).
Extreme tachycardia exceeding the EXTREME
EXT TACHY*1
TACHY limit.
Extreme bradycardia dropping below the
EXT BRADY*1
EXTREME BRADY limit.
Ventricular bradycardia. 3 or more consecutive
V BRADY*1 VPCs when heart rate dropping below V BRADY
heart rate limit (15 to 299 beats/min selectable).
VPC short run. 3 to 8 (selectable) consecutive VPCs
VPC RUN when heart rate exceeds the VPC RUN heart rate
limit (16 to 300 beats/min selectable*1).
Supraventricular tachycardia. 3 to 9 (selectable)
or more consecutive normal QRS of regular R-R
SV TACHY*1
interval when heart rate exceeding the SV TACHY
heart rate limit (16 to 300 beats/min selectable).
TACHYCARDIA Heart rate above the upper heart rate limit.
BRADYCARDIA Heart rate below the lower heart rate limit.
PAUSE*1 1 to 3 seconds (selectable) with no QRS.
V RHYTHM*1 Ventricular rhythm. 3 or more consecutive VPCs.
COUPLET VPC couplet (paired VPCs). 2 consecutive VPCs.
Early VPC including R-on-T type. VPC with a time
interval from the preceding normal QRS complex of
EARLY VPC less than approximately one-third of the normal R-R
interval, at heart rate dropping below
120*2 beats/min.
Two different shaped VPCs within the last
MULTIFORM*1
3 minutes.
When an arrhythmia alarm is generated, even if the patient recovers quickly from
the arrhythmia, the alarm status continues for a short time. The time depends on
the alarm level.
• CRISIS: 30 s
• WARNING: 20 s
• ADVISORY: 10 s
Technical Alarms
ECG Related Alarms
CO Related Alarms
Other Alarms
Alarm Name Description
– – – ALARM Alarm concerning the – – – (parameter name).
BATTERY ERROR Battery problems.
BATTERY WEAK Battery pack is fully discharged.
CLOCK IC FAILURE The clock IC is damaged.
COMMUNICATION
LAN cable problems or incorrect network settings.
LOSS
The settings for HL7 are not correct.
HIS SYNC ERROR
The entered patient ID is not correct.
MPU MODULE
MPU circuit malfunction.
ERROR
Communication failure between QF series
MULTILINK CONFIG
interface or IF series communication cable and
ERROR
monitor.
MULTILINK POWER
Multi-link power supply failure.
ERROR
PARAMETER NOT Connected cord or cable of the parameter is not
AVAILABLE available on the monitor.
PRINT ERROR Printing failed.
--- THIS PARAMETER
More than the specified number of channels are used
IS ALREADY
for a parameter.
REGISTERED
TRANSMITTER The connection cord of the transmitter is
CONNECTOR OFF disconnected from the monitor.
Messages
The following messages are monitoring information and are not considered
alarms.
Message Description
ARRHYTHMIA
Arrhythmia analysis is turned off.
ANALYSIS OFF
ECG AUTO LEAD Monitoring lead is being changed by auto lead
CHANGE change function.
Noise interference for more than 30 seconds and
CANNOT ANALYZE* heart rate cannot be counted and arrhythmia cannot
be analyzed.
ECG LEARNING Learning QRS for arrhythmia analysis.
The baseline is not stable due to respiration or body
movement.
EMG noise is superimposed.
The electrode is pulled by the lead.
The electrode is dry.
ECG NOISE* The contact between the lead and electrode is poor.
High electrode impedance.
An electric blanket is used.
Equipment which emits strong electromagnetic
interference is nearby. e.g. ESU, cellular phone.
Equipotential grounding is not acquired.
Paced QRS is detected. (This message appears only
ECG PACING
when <PACING DETECT> is set to ON.)
Message Description
Respiration monitoring in impedance mode is turned
RESP OFF
off.
Message Description
Zero calibration is not performed when using a
CO2 CAL??
TG-950P, TG-970P or TG-980P CO2 sensor kit.
CO2 CAL COMPLETE Calibration is complete. (Sidestream method only)
CO2 CAL ERROR Calibration failed. (Sidestream method only)
Measurement of the sensitivity calibration is
CO2 PLEASE WAIT completed and calculation is started. (Sidestream
method only)
Purging to remove clogging of the sampling path.
CO2 PURGING
(Sidestream method only)
The CO2 unit is warming up. (Sidestream method
CO2 WARMING UP
only)
Message Description
CO2 ZERO Zero calibration is being performed. (Sidestream
CALIBRATING method only)
Zero calibration is being performed when using a
TG-900P or TG-920P CO2 sensor kit.
CO2 CALIBRATING
Calibration is being performed. (Sidestream method
only)
CO2 measurement value exceeds the measurement
OUT OF RANGE*
range.
UNSPECIFIED Temperature or pressure exceeds the operating 5
ACCURACY* environment.
* These messages are displayed when <AVAILABLE ALARM TYPES> is set to
ALL on the SYSTEM SETUP window.
Message Description
SpO2 CANNOT
Pulse cannot be detected.
DETECT PULSE
SpO2 CHECK PROBE The probe is not attached to the appropriate site or
SITE the probe is damaged.
Searching for the correct pulse wave. Auto gain
SpO2 DETECTING control is being done. When the message is
PULSE* displayed for more than 20 seconds, the detected
pulse is too small to measure.
SpO2 LOW QUALITY
Pulse waveform is not stable.
SIGNAL
SpO2 WEAK PULSE Poor peripheral circulation.
* When this message is displayed for more than 30 seconds, the message
changes to the “CANNOT DETECT PULSE” alarm.
Message Description
NIBP INFLATION
Insufficient cuff inflation pressure.
PRESS LOW
NIBP INFLATION
Venous puncture cuff inflation time is passed.
TIME PASSED
NIBP MEASURING
Start venous puncture during NIBP.
NIBP
Measurement and cuff inflation started before the
NIBP PLEASE WAIT
cuff is deflated enough.
NIBP REMEASURING Remeasuring NIBP.
NIBP zero balance adjustment is performed. If
NIBP ZEROING the message does not disappear, the monitor has a
malfunction.
NIBP WEAK PULSE Patient’s pulse is small.
Message Description
PRESS OUT OF
The measured value is outside the measurable range.
RANGE
PRESS ZERO
Zero balance adjustment is performed.
CALIBRATING
PRESS ZERO
Zero balance is not adjusted.
IMBALANCE
PRESS ZERO OUT OF
Cannot adjust zero balance.
RANGE
PRESS ZERO
Unstable zero balance.
UNSTABLE
PRESS ZEROING
Zero balance adjustment is complete.
COMPLETE
Message Description
The impedance between the BIS sensor and skin
BIS HIGH
is too high. (when using a BIS processor or a BISx
IMPEDANCE
only)
BIS CHECKING The impedance of the BIS sensor is being checked.
IMPEDANCE (when using a BIS processor or a BISx only)
Noise interference. (when using a BIS processor or a
BIS NOISE
BISx only)
CO Related Messages
Message Description
CO BASELINE DRIFT Baseline is not stable.
CO CHECK Ti TEMP* The injectate temperature is not measured.
CO DETECTING
Searching for the baseline of the blood temperature.
BASELINE
CO INJECT Injectate is not injected.
CO INJECTION TIME
The injectate is not injected within the specified time.
OUT
CO MEASURING CO Measuring the CO value.
CO OUT OF RANGE Measured value is outside the measurable range.
CO Tb TEMP ERROR The blood temperature is out of range.
CO Returned to the baseline of the thermodilution curve
THERMODILUTION too late.
CURVE ERROR Possible endocardial shunt.
CO Ti TEMP ERROR The injectate is not cooled.
* On the Op No. 32K, 52K, 62K, 72K, 33K, 53K, 63K and 73K, when
<“CHECK Ti TEMP” MESSAGE> on the OTHER PARAM window of the
SYSTEM SETUP window is turned off, this message does not appear. Refer to
“OTHER PARAM Page” in Section 3 of the Administrator’s Guide.
Message Description
GAS CALIBRATING Air or gas calibration is being performed.
Air or gas calibration is complete. (GF-110P/120P
GAS CAL COMPLETE
and GF-210R/220R only)
The sampling line or exhaust gas tube is clogged.
Contaminated air due to leaking prevented air
calibration.
GAS CAL ERROR The pressure in the gas cylinder is less than 0.1 MPa. 5
(AG-920R and GF-110PA/120PA only)
Correct gas is not used for calibration. (AG-920R
and GF-110PA/120PA only)
The measured value is outside the measurable range.
GAS OUT OF RANGE
The measurement sensitivity has shifted.
Purging to remove clogging from the sampling line.
GAS PURGING
(AG-920R only)
The measured value is outside the accuracy range.
GAS UNSPECIFIED (AG-920R only)
ACCURACY The measurement sensitivity has shifted. (AG-920R
only)
GAS WARMING UP The unit is still warming up.
Message Description
The patient’s gender, age and/or BSA are not
CCO CHECK PATIENT entered.
INFORMATION The patient’s gender, age and/or BSA are out of
range.
The arterial waveform is not accurate enough for
measuring CCO.
The IBP line is not appropriate.
CCO UNSTABLE
The arterial systolic pressure is too high or arterial
diastolic pressure is too low.
The patient’s pulse is getting low.
CCO ZERO
Zero balance is not adjusted.
IMBALANCE
The circuit is not exposed to air during zero balance
CCO ZERO adjustment.
UNSTABLE
The pressure of zero balance is unstable.
CCO ZEROING
Zero balance adjustment is complete.
COMPLETE
Message Description
FLOW CAL
Zero calibration is complete.
COMPLETE
There was vibration during calibration and zeroing
failed.
FLOW CAL ERROR
Nearby device was generating a strong noise during
calibration and zeroing failed.
FLOW OUT OF
The measured value is outside the measurable range.
RANGE
Message Description
FLOW ZERO
Zero calibration is being performed.
CALIBRATING
Message Description
The CAL key on the EEG window is touched to
EEG CALIBRATING
display the calibration waveforms.
EEG CHECKING
Checking electrode impedance.
IMPEDANCE
EEG HIGH
The electrode impedance is too high.
IMPEDANCE
EEG RESETTING The RESET key on the EEG window is touched to
BASELINE return all EEG waveforms to the baseline position.
Message Description
CO2 PURGING Purging to remove clog from the sampling path.
The external instrument is warming up.
CO2 WARMING UP
Measurement is not possible.
CO2 ZERO
Auto zero balance adjustment is being performed.
CALIBRATING
Other Messages
Message Description
ALARMS SILENCED Alarm is suspended.
The [Silence Alarms] key was pressed before
ALARMS SUSPENDED
alarm occurrence.
ALARMS SUSPENDED: X min Remaining suspended time.
ALL ALARMS OFF All alarms are OFF.
CALIBRATING Monitor is calibrated.
CLOSE PAPER MAGAZINE Recorder door is open.
FREEZE Waveforms are frozen.
INSERT REC PAPER No recording paper.
Alarm occurred on an interbed bed of the
Bed name INTERBED ALARM
bed name.
INVALID CARD Invalid SD card is inserted.
MONITOR OFF Monitor cannot access to interbed bed.
PRINTING Printing now.
SIMULATED DATA The displayed data is simulated data.
UPDATING DATA Changing the parameter on the trend screen.
Alarm Indications
Overview
The monitor can indicate alarms both visually and audibly:
• Alarm sound
• Alarm message or highlighted numeric data on the screen
• Alarm indicator: red blinking, yellow blinking or cyan or yellow lit LED 5
Alarm control marks indicating that various alarm functions are turned off are
also displayed.
There are two color display modes. The color mode and colors are set on the
SYSTEM SETUP window. Refer to the Administrator’s Guide, Section 3.
PARAMETER: Different colors can be set for each parameter. When an
alarm occurs, the alarmed parameter data is highlighted.
ALARM: The same color is set for all parameters. When an alarm
occurs, the alarmed parameter color changes according to
the alarm level set on the SYSTEM SETUP window.
CRISIS: red
WARNING: yellow
ADVISORY: cyan
or,
CRISIS: red
WARNING: orange
ADVISORY: yellow
The alarm indicator on the monitor indicates three alarm levels: crisis, warning and
advisory. The lamp blinks or lights according to the alarm level. The colors are set
on the SYSTEM SETUP window.
CRISIS: Blinking red
WARNING: Blinking yellow
ADVISORY: Lights in cyan or yellow
Vital sign alarm display area ARRHYTHMIA ANALYSIS Interbed alarm display area
(Numeric data is highlighted) message display area
* Not available for the Op No. 32A, 52A, 72A, 33A, 53A and 73A.
Arrhythmia Alarms
* Available only when <ARRHYTHMIA TYPE> on the ECG page of the SYSTEM SETUP window is set to
EXTENDED.
Technical Alarms
ECG related alarms
Alarm Sound/Display Alarm
Alarm Alarm Sound Alarm Display
Level Duration Indicator LED
NK1 (Continuous bing bong
Highlighted
ECG CHECK sound), NK2 (Continuous
WARNING numeric data and Blinking yellow
ELECTRODES ding ding sound) or IEC
message
standard (ceg)
ECG CHECK During detection
ELECTRODE – – NK1 and NK2 (Single beep
Highlighted Lights in cyan/
ADVISORY every 20 or 120 seconds) or
message yellow
ECG MODULE IEC standard (ec)
ERROR
CO2 CHANGE
ADAPTER
CO2 SENSOR
ERROR
*1 These alarms are displayed when <AVAILABLE ALARM TYPES> is set to ALL on the SYSTEM SETUP window.
*2 This alarm is displayed when <AVAILABLE ALARM TYPES> is set to MAIN on the SYSTEM SETUP window.
Sidestream method
CO2 NO
FILTERLINE
SpO2 CHECK
PROBE SITE
SpO2 MODULE
ERROR
NIBP CANNOT
DETECT PULSE
NIBP CHECK
INTERVAL
SETTING NK1 and NK2 (Single beep
During Lights in
ADVISORY every 20 or 120 seconds) or Highlighted message
detection cyan/yellow
NIBP MEAS IEC standard (ec)
TIME-OUT
NIBP MODULE
ERROR
NIBP SYSTOLIC
OVER
PRESS*
NK1 and NK2 (Single beep
CONNECTOR OFF During Lights in
ADVISORY every 20 or 120 seconds) or Highlighted message 5
detection cyan/yellow
IEC standard (ec)
PRESS* THIS
LABEL IS
ALREADY
REGISTERED
* The labels are displayed for BP.
TEMP
NK1 and NK2 (Single beep
CONNECTOR OFF During Lights in
ADVISORY every 20 or 120 seconds) or Highlighted message
detection cyan/yellow
IEC standard (ec)
TEMP THIS
LABEL IS
ALREADY
REGISTERED
BIS CHECK
SENSOR
BIS MODULE
FAILURE
NK1 and NK2 (Single beep
During Lights in
ADVISORY every 20 or 120 seconds) or Highlighted message
BIS SENSOR detection cyan/yellow
IEC standard (ec)
ERROR
BIS SENSOR
EXPIRED
BIS THIS
PARAMETER
IS ALREADY
REGISTERED
CO related alarms
GAS CHECK
EXTERNAL
NK1 and NK2 (Single beep
DEVICE During Lights in
ADVISORY every 20 or 120 seconds) or Highlighted message
detection cyan/yellow
IEC standard (ec)
GAS CHECK
WATERTRAP
GAS DEVICE
ERROR
GAS OVERHEAT
CCO CHECK
WAVEFORM
CCO
NK1 and NK2 (Single beep
CONNECTOR OFF During Lights in
ADVISORY every 20 or 120 seconds) or Highlighted message
detection cyan/yellow
IEC standard (ec)
CCO MODULE
FAILURE
CCO SVV:
HIGHLY
VARIABLE PULSE
RATE
FLOW DEVICE
ERROR
EEG
CONNECTOR OFF
Other Alarms
Sound/
Alarm Alarm
Alarm Alarm Sound Alarm Display Display
Level Indicator LED
Duration
BATTERY ERROR
- - - THIS PARAMETER IS
ALREADY REGISTERED
TRANSMITTER
CONNECTOR OFF
Interbed Alarms
The interbed alarm indication depends on the <INTERBED ALARMS TO
DISPLAY> setting on the INTERBED page of the SYSTEM SETUP window.
When set to ALL, CRISIS AND WARNING, or CRISIS, the highlighted bed
name is displayed on the upper right corner of the home screen and three ping
sounds at detection. When set to NONE, only the bed ID of the alarmed bed is
indicated at the upper right corner of the home screen. For details, refer to the
Administrator’s Guide, Section 3.
Alarms are suspended infinitely or vital sign alarm limit is set to off.
Set this setting at <LIMIT DISPLAY> of the ALARM window on the SYSTEM
SETUP window. Refer to the Administrator’s Guide, Section 3. The default
setting is VALUES.
When <LIMIT DISPLAY> is set to VALUES, for the Op No. 32A, 52A, 72A,
33A, 53A and 73A series, when the limit is set to OFF, “OFF” is displayed. For
Op No. 32K, 52K, 62K, 72K, 33K, 53K, 63K and 73K, when the limit is set to
OFF, “---” is displayed.
Op No. 32A, 52A, 72A, 33A, Op No. 32K, 52K, 62K, 72K,
53A and 73A 33K, 53K, 63K and 73K
Start monitoring
Suspend all alarms indefinitely
Set the upper/lower limits ARRHYTHMIA ANALYSIS on Connect the monitor to the
on the ALARM LIMIT or off on the ECG window network
window or parameter
Alarm setting and alarm behaviors
window
Off Not connected
Arrhythmia is No interbed
On not analyzed Connected operation
Silence Alarms
Identify the cause of the generated alarm and silence the alarm Identify the cause of the
Silence an alarm
Overview
Silencing an Alarm
When an alarm occurs, you can silence the alarm sound and indications for one,
two or three minutes by pressing the [Silence Alarms] key on the bedside
monitor or remote control. When a vital signs alarm or arrhythmia alarm is
silenced, the alarm resumes after the alarm silence ends. When a vital signs
alarm other than NIBP or arrhythmia alarm is silenced, the alarm resumes after
the alarm silence ends. When a technical alarm other than the following alarms is
silenced, the alarm indication does not resume after the alarm silence ends. If the
following alarms are silenced, the alarm resumes after the alarm silence ends.
• BATTERY ERROR
• BATTERY WEAK
• CO2 CHANGE ABSORBENT
• CO2 LINE BLOCK
• ECG CANNOT ANALYZE
• EXTERNAL DEVICE ALARM
• GAS CHECK SAMPLE LINE
• GAS LINE BLOCK
• MULTILINK CONFIG ERROR
• MULTILINK POWER ERROR
• NIBP CUFF OCCLUSION
• NIBP SAFETY CIRCUIT RUNNING
• SpO2 CHANGE PROBE
When several alarms occur together and the [Silence Alarms] key is pressed,
all alarms are silenced. To cancel vital sign or arrhythmia alarm silence, press the
[Silence Alarms] key. <SILENCE ALARMS TIME> is set on the ALARM
window of the SYSTEM SETUP window. Refer to the Administrator’s Guide,
Section 3.
Suspending Alarms
All alarms can also be suspended before they occur. During alarm suspension, all
alarms are off. This monitor has three types of alarm suspension according to the
site mode.
Setting Condition
Alarm function activates when ECG, SpO2 or IBP*2 is
monitored or NIBP*3 is measured and a value is displayed.
*2 When SYS > DIA, the difference between these two values
is 3 mmHg and this status continues for more than three
AUTO
seconds.
*3 When SYS, DIA or MAP value is measured.
The BYPASS key is only available in OR mode. The site mode is set on the
SYSTEM CONFIGURATION screen. Refer to the Administrator’s Guide,
Section 2.
SUSPEND ALARMS
BYPASS key
Use this key when the patient is connected to a heart-lung machine. When this
key is touched, all alarms and NIBP STAT/SIM and auto measurements are
indefinitely suspended. Touch the BYPASS key and touch the YES key on the
confirmation window. Alarms resume when the BYPASS key is touched again.
If another alarm occurs during alarm silence, the alarm sound, indication and
recording occur as usual. The alarm silence does not affect alarms which occur
after the [Silence Alarms] key is pressed. (A new occurrence of the silenced
alarm condition is treated as a different alarm.)
Silencing an Alarm
Press the [Silence Alarms] key. The “ALARMS SILENCED” message and the
alarm silenced mark and the minutes remaining in the alarm silence are displayed
on the screen.
Resuming Alarms
Alarms resume when the set minutes elapses or when the [Silence Alarms]
key is pressed again.
The BYPASS key is displayed on the MENU window when the site mode is OR
and BYPASS is selected at <ALARMS OFF TYPE> on the ALARM window of
the SYSTEM SETUP window. Refer to the Administrator’s Guide, Section 3.
WARNING
Do not turn all alarms off with the ALL ALARMS OFF or BYPASS
key when there is no medical staff around the patient or when the
patient is connected to a ventilator.
2. Touch the BYPASS key. The following window appears for confirmation.
When BYPASS is assigned to one of the function keys at the upper left of
the screen, touching the BYPASS function key also opens the following
window.
NOTE
If the [Silence Alarms] key is pressed when this window is
displayed, the BYPASS function is cancelled and the alarm is silenced
or suspended.
The “BYPASS” and “ALL ALARMS OFF” messages appear on the screen
alternately.
When BYPASS is assigned to one of the function keys at the upper left of the
screen, touching the BYPASS function key displays the TIMER window. It starts
counting up automatically so that elapsed time can be checked. Refer to “Using
the Timer” in Section 4 for details on the timer.
To resume alarms, touch the “BYPASS” key again. Alarms can only resume by
touching the “BYPASS” key.
WARNING
Do not turn all alarms off with the ALL ALARMS OFF or BYPASS
key when there is no medical staff around the patient or when the
patient is connected to a ventilator.
2. Touch the ALL ALARMS OFF key. The following window appears for
confirmation.
When ALL ALARMS OFF is assigned to one of the function keys at the
upper left of the screen, touching the ALL ALARMS OFF function key also
opens the following window.
NOTE
If the [Silence Alarms] key is pressed when this window is
displayed, the ALL ALARMS OFF function is cancelled and the alarm
is silenced or suspended.
When ALL ALARMS OFF is assigned to one of the function keys at the upper
left of the screen, touching the ALL ALARMS OFF function key displays the
TIMER window. It starts counting up automatically so that elapsed time can be
checked. Refer to “Using the Timer” in Section 4 for details on the timer.
To resume alarms, touch the ALL ALARMS OFF key (or the ALL ALARMS
OFF function key) again. Alarms can only resume by touching the ALL
ALARMS OFF key.
You can select which waveform(s) to record by changing the recording pattern.
Refer to Section 10 “Recording”.
To cancel recording while an automatic vital signs alarm is being recorded, press
the [Record] key.
NOTE
When an arrhythmia alarm is turned OFF on the ARRHYTH ALARMS or
ARRHYTH ALARMS window of the ECG window, there will be no alarm
recording for that arrhythmia type even when <ALARM RECORDING> is
set to ON on the RECORD window.
2. Touch the ON or OFF key in the <ALARM RECORDING> box to set alarm
recording on or off.
Setting Alarms
Overview
There are three ways to set alarm limits and on/off settings:
• Set all alarm limits at the same time on one window.
• Set a group of alarm items all together to a preset pattern using an alarm
master.
• Set the alarms for individual parameters separately from the ECG, RESP/CO2,
SpO2, NIBP, PRESS, TEMP, BIS, CO, GAS, FLOW/Paw and EEG windows.
Refer to the User’s Guide Part II.
Vital signs alarm limits can be set on two different windows: the ALARM
LIMITS window and the alarm setting page for the individual parameter. When
you change an alarm setting on one window, the same setting on the other
window is also automatically changed.
Arrhythmia alarm limits can be set on two different windows: the ARRHYTH
ALARMS window and the ARRHYTH window of the ECG window. When you
change an alarm setting on one window, the same setting on the other window is
also automatically changed.
The alarm settings return to the master settings when the monitor power is off for
more than 30 minutes and <SHOW ADMIT CONFIRMATION WINDOW> is
set to Off in the SYSTEM CONFIGURATION screen or the patient is admitted
or discharged.
To set NIBP alarm limits for neonate, the cuff for neonates must be connected to
the NIBP socket on the monitor.
Master: Returns to this master setting when the monitor power is off for more
than 30 minutes and <SHOW ADMIT CONFIRMATION WINDOW>
is set to Off in the SYSTEM CONFIGURATION screen or the patient
is admitted or discharged.
WARNING
Change the anesthetic alarm settings by referring to anesthetic
agent reference information.
CAUTION
When the alarm limit is set to OFF, there will be no alarm for that
limit. Be careful when you set the alarm limit to OFF.
Window Page Setting Items Settings Range Step Default Setting Backup
ADULT: 140 beats/min
OFF, 16 to 300 CHILD: 170 beats/min
Upper
HR/PR beats/min*1*3*4 NEONATE:
(When <SYNC 200 beats/min 5
1
SOURCE> is set to ADULT: 50 beats/min
ECG) OFF, 15 to 299 CHILD: 75 beats/min
Lower
beats/min*2*3*4 NEONATE:
100 beats/min
ADULT: 140 beats/min
OFF, 31 to 300 CHILD: 170 beats/min
Upper
HR/PR beats/min*1*3*4 NEONATE:
(When <SYNC 200 beats/min
1
SOURCE> is set to ADULT: 50 beats/min
SpO2 or PRESS) OFF, 30 to 299 CHILD: 75 beats/min
Lower
beats/min*2*3*4 NEONATE:
100 beats/min
OFF, 2 to 150
Upper
counts/min*3*4
RR 2 OFF
OFF, 0 to 148
Lower
counts/min*3*4
APNEA Upper OFF, 5 to 40 s*3*4 5 20 s
OFF, 2 to 99 mmHg*3*4 1
Upper OFF
ALARM MAIN OFF, 0.2 to 13.0 kPa*3*4 0.1
CO2 Master
LIMITS ALARMS OFF, 1 to 98 mmHg*3*4 1
Lower OFF
OFF, 0.1 to 12.9 kPa*3*4 0.1
ADULT, CHILD:
OFF,
Upper OFF
51 to 100%SpO2*3*4
NEONATE: 95%SpO2
SpO2 1
ADULT, CHILD:
Lower OFF, 50 to 99%SpO2* * 3 4
90%SpO2
NEONATE: 85%SpO2
Upper OFF, 1 to 100 OFF
BIS 1
Lower OFF, 0 to 99 40
ADULT: 180 mmHg
CHILD: 140 mmHg
OFF, 15 to 260 mmHg 5
NEONATE:
Upper 100 mmHg
ADULT: 24.0 kPa
OFF, 1.5 to 35.0 kPa 0.5 CHILD: 18.5 kPa
NIBP-SYS NEONATE: 13.5 kPa
ADULT: 80 mmHg
OFF, 10 to 255 mmHg 5 CHILD: 65 mmHg
NEONATE: 50 mmHg
Lower
ADULT: 10.5 kPa
OFF, 1.0 to 34.5 kPa 0.5 CHILD: 8.5 kPa
NEONATE: 6.5 kPa
*1 When EXT TACHY alarm setting is ON, HR setting range is 16 (or 31) to EXT TACHY limit, OFF.
*2 When EXT BRADY alarm setting is ON, HR setting range is EXT BRADY limit to 299, OFF.
*3 On the Op No. 32A, 52A, 72A, 33A, 53A and 73A, if <ALARM PRIORITY> is set to CRISIS, the alarm setting is set
to the alarm master setting.
*4 On the Op No. 32A, 52A, 72A, 33A, 53A and 73A, the alarm setting is affected by the <ALARM CAP> setting.
Window Page Setting Items Settings Range Step Default Setting Backup
OFF, 15 to 260 mmHg 5
Upper OFF
OFF, 1.5 to 35.0 kPa 0.5
NIBP-DIA
OFF, 10 to 255 mmHg 5
Lower OFF
MAIN OFF, 1.0 to 34.5 kPa 0.5
ALARMS OFF, 15 to 260 mmHg 5
Upper OFF
OFF, 1.5 to 35.0 kPa 0.5
NIBP-MAP
OFF, 10 to 255 mmHg 5
Lower OFF
OFF, 1.0 to 34.5 kPa 0.5
ADULT: 140 beats/min
OFF, 16 to 300 CHILD: 170 beats/min
Upper
beats/min*1*2 NEONATE:
200 beats/min
HR/PR 1
ADULT: 50 beats/min
OFF, 15 to 299 CHILD: 75 beats/min
ECG Lower
beats/min*1*2 NEONATE:
ALARMS 100 beats/min
VPC*3 Upper OFF, 1 to 99 beats/min 1 OFF
OFF, –1.99 to 2.00 mV 0.01
Upper OFF
OFF, –19.9 to 20.0 mm 0.1
ST-I to ST-V6
OFF, –2.00 to 1.99 mV 0.01
Lower OFF
OFF, –20.0 to 19.9 mm 0.1
OFF, –48 to 300 mmHg 2
ALARM Upper OFF
P1-SYS to OFF, –6.0 to 40.0 kPa 0.5 Master
LIMITS
P7-SYS*4*5 OFF, –50 to 298 mmHg 2
Lower OFF
OFF, –6.5 to 39.5 kPa 0.5
OFF, –48 to 300 mmHg 2
Upper OFF
PRESS1 P1-DIA to OFF, –6.0 to 40.0 kPa 0.5
ALARMS P7-DIA*4*5 OFF, –50 to 298 mmHg 2
Lower OFF
OFF, –6.5 to 39.5 kPa 0.5
OFF, –48 to 300 mmHg 2
Upper OFF
P1-MEAN to OFF, –6.0 to 40.0 kPa 0.5
P7-MEAN*4*5 OFF, –50 to 298 mmHg 2
Lower OFF
OFF, –6.5 to 39.5 kPa 0.5
OFF, –48 to 300 mmHg 2
Upper OFF
OFF, –6.0 to 40.0 kPa 0.5
ART-SYS* , 2
ADULT: 80 mmHg
ART2-SYS,
OFF, –50 to 298 mmHg 2 CHILD: 66 mmHg
RAD-SYS,
NEONATE: 50 mmHg
AO-SYS, Lower
PRESS2 FEM-SYS ADULT: 10.5 kPa
ALARMS OFF, –6.5 to 39.5 kPa 0.5 CHILD: 9.0 kPa
NEONATE: 6.5 kPa
ART-DIA*2, OFF, –48 to 300 mmHg 2
Upper OFF
ART2-DIA, OFF, –6.0 to 40.0 kPa 0.5
RAD-DIA, AO-DIA, OFF, –50 to 298 mmHg 2
FEM-DIA Lower OFF
OFF, –6.5 to 39.5 kPa 0.5
*1 On the Op No. 32A, 52A, 72A, 33A, 53A and 73A, if <ALARM PRIORITY> is set to CRISIS, the alarm setting is set
to the alarm master setting.
*2 On the Op No. 32A, 52A, 72A, 33A, 53A and 73A, the alarm setting is affected by the <ALARM CAP> setting.
*3 Only when <ARRHYTHMIA ANALYSIS> is set to ON.
*4 P3 is only available on the BSM-3733/3753/3763/3773 bedside monitor.
*5 P4 to P7 are available only when the QI-374P interface is installed to the bedside monitor.
Window Page Setting Items Settings Range Step Default Setting Backup
OFF, –48 to 300 mmHg 2
Upper OFF
OFF, –6.0 to 40.0 kPa 0.5
ART-MEAN*,
ART2-MEAN, ADULT: 60 mmHg
RAD-MEAN, OFF, –50 to 298 mmHg 2 CHILD: 46 mmHg
AO-MEAN, NEONATE: 30 mmHg
Lower
FEM-MEAN ADULT: 8.0 kPa
OFF, –6.5 to 39.5 kPa 0.5 CHILD: 6.0 kPa
NEONATE: 4.0 kPa
ADULT: OFF 5
OFF, –48 to 300 mmHg 2 CHILD: 200 mmHg
NEONATE: OFF
Upper
ADULT: OFF
OFF, –6.0 to 40.0 kPa 0.5 CHILD: 26.5 kPa
NEONATE: OFF
DORS-SYS
ADULT: 80 mmHg
OFF, –50 to 298 mmHg 2 CHILD: 66 mmHg
NEONATE: 50 mmHg
Lower
ADULT: 10.5 kPa
OFF, –6.5 to 39.5 kPa 0.5 CHILD: 9.0 kPa
NEONATE: 6.5 kPa
OFF, –48 to 300 mmHg 2 OFF
Upper
OFF, –6.0 to 40.0 kPa 0.5 OFF
DORS-DIA
OFF, –50 to 298 mmHg 2 OFF
Lower
ALARM PRESS2 OFF, –6.5 to 39.5 kPa 0.5 OFF
ADULT: OFF Master
LIMITS ALARMS
OFF, –48 to 300 mmHg 2 CHILD: 186 mmHg
NEONATE: OFF
Upper
ADULT: OFF
OFF, –6.0 to 40.0 kPa 0.5 CHILD: 25.0 kPa
NEONATE: OFF
DORS-MEAN
ADULT: 60 mmHg
OFF, –50 to 298 mmHg 2 CHILD: 46 mmHg
NEONATE: 30 mmHg
Lower
ADULT: 8.0 kPa
OFF, –6.5 to 39.5 kPa 0.5 CHILD: 6.0 kPa
NEONATE: 4.0 kPa
OFF, –48 to 300 mmHg 2
Upper OFF
OFF, –6.0 to 40.0 kPa 0.5
UA-SYS
OFF, –50 to 298 mmHg 2
Lower OFF
OFF, –6.5 to 39.5 kPa 0.5
OFF, –48 to 300 mmHg 2
Upper OFF
OFF, –6.0 to 40.0 kPa 0.5
UA-DIA
OFF, –50 to 298 mmHg 2
Lower OFF
OFF, –6.5 to 39.5 kPa 0.5
OFF, –48 to 300 mmHg 2
Upper OFF
UA-MEAN, OFF, –6.0 to 40.0 kPa 0.5
UV-MEAN OFF, –50 to 298 mmHg 2
Lower OFF
OFF, –6.5 to 39.5 kPa 0.5
* On the Op No. 32A, 52A, 72A, 33A, 53A and 73A, the alarm setting is affected by the <ALARM CAP> setting.
Window Page Setting Items Settings Range Step Default Setting Backup
OFF, –48 to 300 mmHg 2
PAP-SYS*1, Upper OFF
OFF, –6.0 to 40.0 kPa 0.5
RVP-SYS,
OFF, –50 to 298 mmHg 2
LVP-SYS Lower OFF
OFF, –6.5 to 39.5 kPa 0.5
OFF, –48 to 300 mmHg 2
PAP-DIA*1, Upper OFF
OFF, –6.0 to 40.0 kPa 0.5
RVP-DIA,
OFF, –50 to 298 mmHg 2
LVP-DIA Lower OFF
OFF, –6.5 to 39.5 kPa 0.5
PRESS3
ALARMS PAP-MEAN* 1,
1
Window Page Setting Items Settings Range Step Default Setting Backup
OFF,
Upper OFF
2 to 150 counts/min*1*2
RR 2
OFF,
Lower OFF
0 to 148 counts/min* *
1 2
Window Page Setting Items Settings Range Step Default Setting Backup
ADULT: 10.0 L/min
OFF,
Upper 0.1 CHILD: 6.0 L/min
0.1 to 30.0 L/min
NEONATE: OFF
MV*
ADULT, CHILD:
OFF,
Lower 0.1 2.0 L/min
0.0 to 29.9 L/min
NEONATE: OFF
ADULT, CHILD:
Upper OFF, 1 to 100 cmH2O 40 cmH2O
NEONATE: OFF
Ppeak* 1
ADULT, NEONATE:
Lower OFF, 0 to 99 cmH2O OFF
CHILD: 8 cmH2O
ADULT, CHILD:
Upper 1 to 50, OFF cmH2O 10 cmH2O
ALARM OTHER
NEONATE: OFF Master
LIMITS ALARMS PEEP* 1
ADULT, NEONATE:
Lower OFF, 0 to 49 cmH2O OFF
CHILD: 2 cmH2O
Upper OFF, 1.0 to 60.0 Hz OFF
SEF 0.5
Lower OFF, 0.5 to 59.5 Hz OFF
Upper OFF, 0.02 to 9.99 nW OFF
TP 0.01
Lower OFF, 0.01 to 9.98 nW OFF
Upper OFF, 1.1 to 20.0 L/min OFF
CCO*
Lower OFF, 1.0 to 19.9 L/min OFF
OFF, 0.1
Upper OFF
1.1 to 20.0 L/min/m2
CCI*
OFF,
Lower OFF
1.0 to 19.9 L/min/m2
* These parameters are not available for Op No. 32A, 52A, 72A, 33A, 53A and 73A.
Arrhythmia Alarms
Window Page Setting Items Settings Range Step Default Setting Backup
ON fixed ADULT, CHILD: 5 s
ASYSTOLE 1
3 to 10 s NEONATE: 3s
VF ON fixed — ON
ON fixed — ON
ADULT, CHILD:
V BRADY alarm limit
1 100 bpm
VT to 300 bpm
NEONATE: 140 bpm 5
Value set in VPC RUN
1 6 beats
to 9 beats
Op No. 32A, 52A, 72A,
33A, 53A and 73A: ON
ON, OFF — Op No. 32K, 52K, 62K,
72K, 33K, 53K, 63K
EXT TACHY*
and 73K: OFF
ADULT: 160 bpm
Upper heart rate alarm
1 CHILD: 190 bpm
limit to 300
NEONATE: 220 bpm
ARRHYTH ALARMS
Window Page Setting Items Settings Range Step Default Setting Backup
ON, OFF — OFF
ADULT, CHILD:
SV TACHY* 16 to 300 bpm 1 170 bpm
NEONATE: 210 bpm
3 to 9 beats 1 6 beats
ON, OFF — ON
PAUSE* ADULT, CHILD: 3.0 s
1.0 to 3.0 s 0.1
NEONATE: 1.5 s
ARRHYTH ALARMS
CAUTION
When the alarm limit is set to OFF, there will be no alarm for that
limit. Be careful when you set the alarm limit to OFF.
Current measured
value
Upper limit
Selected
parameter
Upper limit slider
Parameter keys
Setting bar
Lower limit
2. Touch the parameter key for the limit you want to change. To change the
displaying parameters, use the tabs to change the parameters.
3. Touch and drag the sliders to the desired level on the setting bar. Use the
or to adjust the setting.
If the upper limit is set to a value above the maximum or the lower limit is
set to a value below the minimum, the alarm is set to OFF.
NOTE
You cannot automatically set any parameters not currently measured or
assigned with invalid values.
2. Touch “YES”. All upper and lower alarm limits are replaced by the values
according to current measurements.
NOTE
Check for valid automatic settings.
You can also change individual alarm settings, as described in previous pages,
after setting all alarms with an alarm master.
The alarm masters are set by the administrator on the MASTER window of the
SYSTEM SETUP window.
2. Touch the YES key to apply all settings of the alarm master. The master
setting is applied to the both vital sign upper/lower limit alarm and
arrhythmia alarm settings.
Touch the NO key to cancel changing the alarm settings to the alarm master
setting.
WARNING
For arrhythmia monitoring, set <ARRHYTHMIA ANALYSIS> on the
ECG window to ON. Otherwise, there is no sound or indication for
arrhythmia alarms (except for ASYSTOLE).
CAUTION
When the alarm is turned OFF for an arrhythmia, there will be no
alarm for that arrhythmia type. There is no message or mark to
indicate that a certain arrhythmia alarm is turned off. Therefore, be
careful when you turn off an arrhythmia alarm.
NOTE
If arrhythmia type is changed to “EXTENDED” and the bedside monitor
is connected via network to a central monitor that has old software, the
“Lost communication with instruments in the network” message appears
on the bedside monitor and the bedside monitor cannot be monitored on
the central monitor.
2. Touch the ON or OFF key for each arrhythmia type to set it on or off.
These arrhythmias
are fixed to ON.
Threshold settings
3. For “ASYSTOLE”, “VPC RUN” and “FREQ VPC”, set the detecting
condition with the or key.
NOTE
For Op No. 32A, 52A, 72A, 33A, 53A and 73A:
• Items can be turned on/off but thresholds are fixed and cannot
be changed. The thresholds are set by the administrator on the
MASTER window of the SYSTEM SETUP window.
• Arrhythmia alarm whose priority is set to CRISIS on the ALARM
window of the SYSTEM SETUP window cannot be set to OFF.
Refer to the Administrator’s Guide, Section 3.
• When the “EXT TACHY” or “EXT BRADY” alarm is set to OFF,
the heart rate limit range is 15 to 300 beat/min or OFF.
You can also change individual alarm settings, as described in previous pages,
after setting all alarms with an alarm master.
5
The alarm masters are set by the administrator on the MASTER window of the
SYSTEM SETUP window.
WARNING
For arrhythmia monitoring, set <ARRHYTHMIA ANALYSIS> on the
ECG window to ON. Otherwise, there is no sound or indication for
arrhythmia alarms (except for ASYSTOLE).
CAUTION
When the alarm is turned OFF for an arrhythmia, there will be no
alarm for that arrhythmia type. There is no message or mark to
indicate that a certain arrhythmia alarm is turned off. Therefore, be
careful when you turn off an arrhythmia alarm.
2. Touch the YES key to apply all settings of the alarm master. The master
setting is applied to the both vital sign upper/lower limit alarm and
arrhythmia alarm settings.
Touch the NO key to not change the alarm settings to the alarm master
settings.
Interbed Alarm
When the bedside monitor is connected to a central monitor network, the bedside
monitor can display monitoring data and alarms of up to 20 other beds in the
network on the INTERBED window if the other beds are registered as “interbed”
bed. When an interbed alarm occurs, the monitor acts as follows. The monitor
action depends on the <INTERBED ALARMS TO DISPLAY> setting on the 5
SYSTEM SETUP window. Refer to Section 9 of this manual and Section 3 of the
Administrator’s Guide for details.
NOTE
• Parameters which cannot be measured on this monitor are displayed
as “ALARM”.
• The interbed alarm for another bed is lower level than any other alarm
for this bed. Therefore, the interbed alarm might not be indicated during
an alarm for this bed.
After is touched. Bed ID: remain highlighted Bed ID: remain in white font
Interbed alarm message is
displayed
The bed ID and interbed alarm
Multiple message is highlighted in the alarm
Beds priority color.*1*2
Window
General................................................................................................................................................................. 6.3
Review Recording...................................................................................................................................... 6.4
Event Bar.............................................................................................................................................................. 6.5
Changing the Displayed Event Types......................................................................................................... 6.6 6
Changing the Time Scale of the Event Bar and Review Window............................................................... 6.6
Scrolling the Event Bar and Review Window.............................................................................................. 6.7
Trend Window....................................................................................................................................................... 6.8
GRAPH 1, GRAPH 2, GRAPH 3 Page....................................................................................................... 6.8
Displaying the GRAPH 1, GRAPH 2 or GRAPH 3 Page................................................................ 6.10
Selecting Parameters for the Trendgraph Display.......................................................................... 6.11
Changing the Trendgraph Scale..................................................................................................... 6.12
Changing the Trendgraph Display Format...................................................................................... 6.13
Recording the Trendgraph.............................................................................................................. 6.14
Printing the Trendgraph.................................................................................................................. 6.15
TABLE 1, TABLE 2, TABLE 3 Page........................................................................................................... 6.17
Displaying the TABLE 1, TABLE 2 or TABLE 3 Page...................................................................... 6.18
Scrolling the Trend Table................................................................................................................ 6.19
Selecting Parameters for the Trend Table Display.......................................................................... 6.19
Selecting the Measurement Interval............................................................................................... 6.20
Recording a Trend Table................................................................................................................. 6.20
Printing a Trend Table..................................................................................................................... 6.21
NIBP TREND Page.................................................................................................................................. 6.23
Displaying the NIBP TREND Page................................................................................................. 6.24
Scrolling the NIBP Trend Table....................................................................................................... 6.25
Selecting Parameters for the NIBP Trend Display.......................................................................... 6.25
Recording a NIBP Trend Table....................................................................................................... 6.26
Printing a NIBP Trend Table........................................................................................................... 6.27
HEMO TREND Page................................................................................................................................ 6.29
Displaying the HEMO TREND Page.............................................................................................. 6.29
Scrolling the Hemodynamics Table................................................................................................ 6.30
Explanation of the Hemodynamics Table....................................................................................... 6.31
Recording a Hemodynamics Table................................................................................................. 6.32
Printing a Hemodynamics Table..................................................................................................... 6.33
LUNG TREND Page................................................................................................................................. 6.34
Displaying the LUNG TREND Page............................................................................................... 6.34
Explanation of the Lung Trend Table.............................................................................................. 6.35
Recording the Lung Trend Table..................................................................................................... 6.36
Printing a Lung Trend Table............................................................................................................ 6.37
Arrhythmia Recall Window.................................................................................................................................. 6.38
General..................................................................................................................................................... 6.38
Arrhythmia List............................................................................................................................... 6.38
Displaying the Arrhythmia Recall Window................................................................................................ 6.40
Selecting the Arrhythmia Types to be Saved as a Recall File.................................................................. 6.41
General
You can review saved data on the following review windows. You can expand
the memory of the monitor from 128 MB to 1 GB with the optional QM-601P
memory card.
The parentheses show the capacity when the QM-601P memory card is installed
in the monitor.
6
• TREND window
GRAPH page: Displays the trendgraph of the past 24 hours
(72 hours).
TABLE page: Displays the vital sign data of the past 24 hours
(72 hours).
NIBP TREND page: Displays vital sign data at the NIBP
measurement. Up to 512 files (1,024 files) can
be saved.
HEMO TREND page: Displays the hemodynamic data when CO is
measured. Up to 512 files (1,024 files) can be
saved.
LUNG TREND page: Displays data acquired at the lung function
measurement. Up to 128 files (128 files) can be
saved.
• RECALL window: Displays arrhythmia waveforms of 4 seconds
before and 4 seconds after the arrhythmia
detection. Up to 8,192 files (16,384 files) can
be saved.
• ALARM HISTORY window: Displays the table of vital sign alarms and
arrhythmia alarms. Up 8,192 files (16,384 files)
can be saved.
• FULL DISC window: Displays and up to 24 hours (72 hours) of
compressed and expanded waveforms of up to
5 parameters.
• ST window: Displays the ST level waveforms of the past
24 hours (72 hours). All monitoring ECG can
be saved.
• 12 LEAD window: Displays the 12 lead analysis result data of up
to 6 files (18 files). Refer to the Section 7 “12
LEAD/12 LEAD ANALYSIS Windows”.
• OCRG window: Displays the OCRG trendgraph of the past 24
hours (72 hours).
NOTE
• When changing the review window, the data at the cursor on the
original window is displayed on the second window. For example, when
the FULL DISC window is called up from the ALARM HISTORY window,
the full disclosure is displayed with the time of the file selected on the
ALARM HISTORY window.
User’s Guide Part I BSM-3000 6.3
6. REVIEW WINDOWS
Review Recording
Available review recordings are listed below. For details of recording, refer to the
Section 10 “Recording”.
Recording Printing
Review Window
Record Page Record All Print Page Print All
TREND - GRAPH Available Not available Available Not available
TREND - TABLE Available Available Available Available
TREND - NIBP TREND Available Available Available Available
TREND - HEMO TREND Available Available Available Available
TREND - LUNG TREND Available Available Available Available
RECALL Available Not available Available Not available
ALARM HISTORY Available Available Not available Not available
Compressed waveform Available Not available Available Not available
FULL DISC
Actual waveform Available Not available Available Not available
ST Not available Not available Available Not available
OCRG Available Available Available Available
12 LEAD - 12 LEAD Available Not available Not available Not available
12 LEAD - ANALYSIS WAVE Available Not available Available Not available
12 LEAD - REPORT Available Not available Available Not available
12 LEAD - AVERAGE WAVE Not available Not available Available Not available
Event Bar
An event bar near the bottom of the review window shows events during
displayed review time. The event bar and review window are synchronized. They
have the same time scale and scroll together.
Event bar
Scroll keys
Cursor
: Scrolls to the oldest time.
The cursor on the event bar is
: Scrolls to the latest time.
synchronized with the cursor on
: Scrolls one page back.
the review window. When the
: Scrolls one page forward.
cursor is on the latest time, the
Date and time at Event at the cursor review window and event bar are
the cursor (parameter and message) continuously refreshed.
1. Touch an event name. You can change the types of events which are
displayed in the event bar. The EVENT BAR SETUP window appears.
2. You can change the types of events which are displayed in the event bar.
Select the top to bottom on the event bar where you want to display an event
type. Then select an event type from the right side. Use the NONE key to not
assign any event.
Changing the Time Scale of the Event Bar and Review Window
Touch the or key to change the time scale of the event bar and review
windows. (1, 2, 4, 8 or 24 hours)
Current time scale
You can also move the cursor by touching the event display area. The touched
area becomes the center of the event bar and cursor location.
Trend Window
The maximum, mean and minimum values of all monitoring parameters are
automatically acquired every 1 minute for the trendgraph. The acquired values
are 1 minute averaged data. The frequency of data display depends on the
selected trend time.
1, 2, 4 or 8 hours: 1 minute
24 hours: 3 minutes
The following table shows the available trend parameters, screen displays and
scales.
NOTE
• When <SHOW ADMIT CONFIRMATION WINDOW> is set to “Off” in
the SYSTEM CONFIGURATION screen, the stored data remains in
memory for about 30 minutes after the power is turned off. After 30
minutes, the stored data is lost.
• Do not disconnect the power cord while the monitor power is on. Data
may be lost.
When TREND GRAPH is assigned to one of the function keys at the upper
left of the screen or one of the function keys on the remote control keys,
the trendgraph window can be displayed by touching the TREND GRAPH
function key. Refer to “KEYS Window” in Administrator’s Guide, Section 3
to assign a function to the function key.
3. Touch the GRAPH 1, GRAPH 2 or GRAPH 3 tab. The graph page appears.
Displays other review windows Cursor can be dragged with your finger
Changes the
trendgraph page
Scale
You can select up to six parameters for displaying the trendgraphs on GRAPH
1, GRAPH 2 and GRAPH 3 page on the SETTINGS window, the scale on the
SCALE window and the display format by touching the MAX-MIN or MEAN
key on under the event bar.
For details on the event bar, refer to the previous “EVENT BAR” section.
2. Select the display position of the trendgraph. The parameter selected for the
“LEFT” is displayed on the left side of the page.
Trendgraph display
position
Selectable
parameters
Deselects the
parameter.
Keys for
displaying other
parameters
For setting threshold for the apnea trendgraph
3. Select the parameter by touching the desired parameter key. Use the
or key to display other parameters. Use the NONE key to unselect the
parameter.
You can change the time threshold for the apnea trendgraph by touching the
desired time in the <APNEA TREND TIME> box.
1. Touch the SCALE key on the GRAPH 1, GRAPH 2 or GRAPH 3 page. The
SCALE SETUP window appears.
Trendgraph
display position
Setting bar 6
2. Select the display position of the trendgraph. The scale selected for the
“LEFT” is displayed on the left side of the page.
3. Touch and drag the sliders to the desired level on the setting bar.
MAX-MIN
MEAN
Recording example
3. Touch the PRINT PAGE key in the <PRINTER> box. Printing starts.
Printing example
The trend table of selected time period can be recorded on the optional recorder
or printed on the network printer.
The following table shows the available trend parameter and screen display.
6
Parameter Description Parameter Description
HR Heart rate (beats/min) ESVI End systolic volume index (mL/m2)
PR Pulse rate (beats/min) EF Ejection fraction (%)
VPC VPC rate (count/min) CF Calibration factor
RR Respiration rate (count/min) Systemic vascular resistance
SVR
Systolic non-invasive blood pressure (mmHg, (dyn•s/cm5, kPa•s/L)
NIBP-SYS
kPa) Systemic vascular resistance index (dyn•s•m2/
SVRI
Diastolic non-invasive blood pressure (mmHg, cm5, kPa•s•m2/L)
NIBP-DIA
kPa) SVV Stroke volume variation (%)
Mean non-invasive blood pressure (mmHg, HRV Heart rate variation (%)
NIBP-MAP
kPa) PCCO Pulse contour cardiac output (L/min)
Pulse rate measured from non-invasive blood Pulse contour cardiac output index
NIBP-PR PCCI
pressure (count/min) (L /min/m2)
ST ST level (mV, mm) DO2*2 Oxygen delivery (mL/min)
CO2(E) DO2I*2 Oxygen delivery index (mL/min/m2)
CO2 partial pressure (mmHg, kPa)
CO2(I) VO2*2 Oxygen consumption (mL/min)
O2(E), O2(I) Oxygen concentration (%) VO2I*2 Oxygen consumption index (mL/min/m2)
Saturated oxygen from pulse oximeter TOFrat TOF ratio (%)
SpO2
(%SpO2) TOFcnt TOF counts (times)
Masimo: Perfusion index (%) PTC Post tetanic counts (times)
PI (SpO2)
Nihon Kohden: Pulse-amplitude index (%) MV*2 Minute volume (L/min)
Tb (CO) Blood temperature (°C, °F) TVe*2 Expiratory tidal volume (mL)
PRESS*1 IBP (mmHg, kPa) C*2 Compliance (mL/cmH2O, mL/hPa)
PPV Pulse pressure variability (%) R*2 Airway resistance (cmH2O/L/s, hPa/L/s)
SPV Systolic pressure variability (%) Expiratory airway resistance (cmH2O/L/s,
TEMP*1 Temperature (°C, °F) Re*2
hPa/L/s)
AGENT*1(E), Inspiratory airway resistance (cmH2O/L/s,
Agent concentration from gas monitoring (%) Ri*2
AGENT*1(I) hPa/L/s)
BIS Bispectral index Ppeak*2 Peak airway pressure (cmH2O, hPa)
SQI (BIS) Signal quality indicator (%) Pmean*2 Mean airway pressure (cmH2O, hPa)
SR Suppression ratio (s) PEEP*2 Positive end expiratory pressure (cmH2O, hPa)
EMG Electromyelogram (dB) Transcutaneous oxygen partial pressure
tcPO2*2
CCO Continuous cardiac output (L/min) (mmHg, kPa)
Continuous cardiac output index Transcutaneous carbon dioxide partial pressure
CCI tcPCO2*2
(L/min/m2) (mmHg, kPa)
SV Stroke volume (mL) rSO2 Regional saturation of oxgen
SVI Stroke volume index (mL/m2) O2 LEV Oxygen consumption (L)
SvO2 Mixed venous oxygen saturation (%) HAL LEV Halothane consumption (mL)
ScvO2 Central venous oxygen saturation (%) ISO LEV Isoflurane consumption (mL)
EDV End diastolic volume (mL) ENF LEV Enflurane consumption (mL)
EDVI End diastolic volume index (mL/m2) DES LEV Desflurane consumption (mL)
ESV End systolic volume (mL) SEV LEV Sevoflurane consumption (mL)
NOTE
• When <SHOW ADMIT CONFIRMATION WINDOW> is set to “Off” in
the SYSTEM CONFIGURATION screen, the stored data remains in
memory for about 30 minutes after the power is turned off. After
30 minutes, the stored data is lost.
• Do not disconnect the power cord while the monitor power is on. Data
may be lost.
When TREND DATA is assigned to one of the function keys at the upper
left of the screen or one of the function keys on the remote control keys,
the trend table window can be displayed by touching the TREND TABLE
function key. Refer to “KEYS Window” in Administrator’s Guide, Section 3
to assign a function to the function key.
3. Touch the TABLE 1, TABLE 2 or TABLE 3 tab. The table page appears.
Displays other review windows
Changes the
trend data page Selected file
Date and
time
Displays the
parameters
selected in the
SETTINGS
window
Records or prints the
Event bar trend data of the selected
time period on the
WS-671P recorder
module or connected
network printer
Displays the Displays the INTERVAL
SETTINGS window SETUP window
For details on the event bar, refer to the “EVENT BAR” section.
2. Select the display position from the left column. Select the parameter from
the right column. The selected parameter appears in the display order on the
left column.
Selected parameters in the display order.
Up to 15 parameters can be selected.
Selectable
parameters
Unselects the
parameter
2. Select the measurement interval for the trend table on the INTERVAL
SETUP window.
Time slider
2. Set the RECORD START TIME and RECORD END TIME with the or
key or time slider.
The initial RECORD START TIME and RECORD END TIME depend on
the REVIEW setting on the RECORDER page of the SYSTEM SETUP
window. For details, refer to “RECORDER page” in the Administrator’s
Guide, Section 3.
3. Check the number of pages and touch the RECORD key in the
<RECORDER> box. 6
Recording example
Time slider
2. Set the RECORD START TIME and RECORD END TIME with the or
key or time slider.
The initial RECORD START TIME and RECORD END TIME depend on
the REVIEW setting on the RECORDER page of the SYSTEM SETUP
window. For details, refer to “RECORDER page” in Administrator’s Guide,
Section 3.
3. Check the number of pages and touch the RECORD key in the <PRINTER>
box. The “PRINTING” message appears on the screen and the table is
printed.
Printing example
The NIBP trend table of selected time period can be recorded on the optional
recorder or printed on the network printer. With the optional QM-601P memory
6
card, data of up to 1,024 files can be saved.
The following table shows the available trend parameter and screen display.
NOTE
• When <SHOW ADMIT CONFIRMATION WINDOW> is set to “Off” in
the SYSTEM CONFIGURATION screen, the stored data remains in
memory for about 30 minutes after the power is turned off. After
30 minutes, the stored data is lost.
• Do not disconnect the power cord while the monitor power is on. Data
may be lost.
3. Touch the NIBP TREND tab. The NIBP TREND page appears.
When NIBP TREND is assigned to one of the function keys at the upper
left of the screen or one of the function keys on the remote control keys,
the NIBP TREND page can be displayed by touching the NIBP TREND
function key. Refer to “KEYS Window” in Administrator’s Guide, Section 3
to assign a function to the function key.
Displays
the selected
parameters in
the SETTINGS
window Records or prints 6
the NIBP data
of the selected
Event bar time period on
the WS-671P
recorder module or
connected network
printer
NOTE
The HR on the NIBP TREND page is the HR at the completion of NIBP
measurement. The HR on the TABLE page and NIBP TREND page may
be different.
For details on the event bar, refer to the previous “EVENT BAR” section.
2. Select the display position from the left column. Select the parameter from
the right column. The selected parameter appears in the display order on the
left column.
Selected parameters in the display order. Up to 15 parameters can be selected.
Selectable
parameters
Unselects the
parameter.
2. Set the RECORD START TIME and RECORD END TIME with the or
key or time slider.
The initial RECORD START TIME and RECORD END TIME depend on
the REVIEW setting on the RECORDER page of the SYSTEM SETUP
window. For details, refer to “RECORDER page” in Administrator’s Guide,
Section 3.
3. Check the number of pages and touch the RECORD key in the
<RECORDER> box.
Recording example
2. Set the RECORD START TIME and RECORD END TIME with the or
key or time slider.
The initial RECORD START TIME and RECORD END TIME depend on
the REVIEW setting on the RECORDER page of the SYSTEM SETUP
window. For details, refer to “RECORDER page” in Administrator’s Guide,
Section 3.
3. Check the number of pages and touch the RECORD key in the <PRINTER>
box. The “PRINTING” message appears on the screen and the table is
printed.
Printing example
With the optional QM-601P memory card, data of up to 1,024 files can be saved.
6
The hemodynamics table of selected time period can be recorded on the optional
recorder or printed on the network printer.
NOTE
• When <SHOW ADMIT CONFIRMATION WINDOW> is set to “Off” in
the SYSTEM CONFIGURATION screen, the stored data remains in
memory for about 30 minutes after the power is turned off. After
30 minutes, the stored data is lost.
• Do not disconnect the power cord while the monitor power is on. Data
may be lost.
Display other
trend window
Scroll to display
Display data other parameters.
from CO
window
Records or prints
the hemodynamic
Event bar data of the selected
time period on the
WS-671P recorder
module or connected
network printer
3. Touch the HEMO TREND tab. The HEMO TREND page appears.
When HEMO TREND is assigned to one of the function keys at the upper
left of the screen or one of the function keys on the remote control keys,
the HEMO TREND page can be displayed by touching the HEMO TREND
function key. Refer to “KEYS Window” in Administrator’s Guide, Section 3
to assign a function to the function key.
For details on the event bar, refer to the previous “EVENT BAR” section.
2. Set the RECORD START TIME and RECORD END TIME with the or
key or time slider.
The initial RECORD START TIME and RECORD END TIME depend on
the REVIEW setting on the RECORDER page of the SYSTEM SETUP
window. For details, refer to “RECORDER page” in Administrator’s Guide,
Section 3.
3. Check the number of pages and touch the RECORD key in the
<RECORDER> box.
Recording example
2. Set the RECORD START TIME and RECORD END TIME with the or
key or time slider.
The initial RECORD START TIME and RECORD END TIME depend on
the REVIEW setting on the RECORDER page of the SYSTEM SETUP
window. For details, refer to “RECORDER page” in Administrator’s Guide,
Section 3.
3. Check the number of pages and touch the RECORD key in the <PRINTER>
box. The “PRINTING” message appears on the screen and the table is
printed.
Printing example
The lung trend table of selected time period can be recorded on the optional
recorder.
NOTE
• When <SHOW ADMIT CONFIRMATION WINDOW> is set to “Off” in
the SYSTEM CONFIGURATION screen, the stored data remains in
memory for about 30 minutes after the power is turned off. After
30 minutes, the stored data is lost.
• Do not disconnect the power cord while the monitor power is on. Data
may be lost.
3. Touch the LUNG TREND tab. The LUNG TREND page appears.
When LUNG TREND is assigned to one of the function keys at the upper
left of the screen or one of the function keys on the remote control keys,
the LUNG TREND page can be displayed by touching the LUNG TREND
function key. Refer to “KEYS Window” in Administrator’s Guide, Section 3
to assign a function to the function key.
Displays data
from LUNG
FUNCTION
window 6
For details on the event bar, refer to the previous “EVENT BAR” section.
To add the calculation results to the lung trend table, refer to “Adding the
Calculation Result to the LUNG TREND Table” in Section 8.
2. Set the RECORD START TIME and RECORD END TIME with the or
key or time slider.
The initial RECORD START TIME and RECORD END TIME depend on
the REVIEW setting on the RECORDER page of the SYSTEM SETUP
window. For details, refer to “RECORDER page” in Administrator’s Guide,
Section 3.
3. Check the number of pages and touch the RECORD key in the
<RECORDER> box.
Recording example
2. Set the RECORD START TIME and RECORD END TIME with the or
key or time slider.
The initial RECORD START TIME and RECORD END TIME depend on
the REVIEW setting on the RECORDER page of the SYSTEM SETUP
window. For details, refer to “RECORDER page” in Administrator’s Guide,
Section 3.
3. Check the number of pages and touch the RECORD key in the <PRINTER>
box. The “PRINTING” message appears on the screen and the table is
printed.
Printing example
General
An ECG waveform of 4 seconds before and 4 seconds after the arrhythmia
detection is saved as an arrhythmia recall file. Up to 8,192 files can be created.
When more than 8,192 files are created, the oldest file is automatically deleted.
With the optional QM-601P memory card, data of up to 16,384 files can be
saved.
NOTE
• When <SHOW ADMIT CONFIRMATION WINDOW> is set to “Off” in
the SYSTEM CONFIGURATION screen, the stored data remains in
memory for about 30 minutes after the power is turned off. After
30 minutes, the stored data is lost.
• Do not disconnect the power cord while the monitor power is on. Data
may be lost.
The Arrhythmia Recall window displays the recall files. Up to 8 files can be
displayed on one page. The actual size arrhythmia waveform can be displayed by
touching a recall file.
Arrhythmia List
The arrhythmias are listed in the priority of highest to lowest. When several
arrhythmias occur at the same time, only the arrhythmia of the highest priority is
saved as the recall file.
When RECALL is assigned to one of the function keys at the upper left
of the screen or one of the function keys on the remote control keys, the
ARRHYTH HISTORY page can be displayed by touching the RECALL
function key. Refer to “KEYS Window” in Administrator’s Guide, Section 3
to assign a function to the function key.
Displays other review windows
Arrhythmia type
Compressed ECG
of the recall file Recall file
Scroll to display
Date and time of other recall files
file creation
Selected file
Records or prints
Event bar
the arrhythmia recall
data on the WS-671P
recorder module or
connected network
Displays the ARRHYTHMIA printer
EVENT SETUP window
For details on the event bar, refer to the previous “EVENT BAR” section.
Selected arrhythmia
type is highlighted.
Displaying the Actual Size Waveform of the Selected Arrhythmia Recall File
The ARRHYTH HISTORY window displays the actual size ECG of the selected
recall file with the ECG of one before and one after the selected file.
1. Touch the or key to select the arrhythmia recall waveform which you
want to display in actual size.
2. Touch the center key. The arrhythmia waveform is displayed in the actual
size.
Displays other review windows.
Selected file
Date and time
of file creation
Recording example
3. Touch the PRINT PAGE key in the <PRINTER> box. Printing starts.
Printing example
The 8 seconds of selected arrhythmia waveform and the previous and the next
waveforms are printed.
Alarm data can be listed on the ALARM HISTORY window. Up to 8,192 files
can be saved and up to 8 data can be displayed on the ALARM HISTORY
window. The alarm history is created anytime when an alarm occurs.
With the optional QM-601P memory card, data of up to 16,384 files can be
saved.
6
When the FULL DISC window is displayed from the ALARM HISTORY
window, the waveforms of the selected alarm file on the ALARM HISTORY
window can be displayed.
The alarm history file displayed on the ALARM HISTORY window can be
recorded on the optional recorder or printed on the network printer.
NOTE
• When <SHOW ADMIT CONFIRMATION WINDOW> is set to “Off” in
the SYSTEM CONFIGURATION screen, the stored data remains in
memory for about 30 minutes after the power is turned off. After
30 minutes, the stored data is lost.
• Do not disconnect the power cord while the monitor power is on. Data
may be lost.
Parameter
Alarm type Scrolls files
Alarm
message
Event bar
For details on the event bar, refer to the previous “EVENT BAR” section.
2. Set the RECORD START TIME and RECORD END TIME with the or
key or time slider.
The initial RECORD START TIME and RECORD END TIME depend on
the REVIEW setting on the RECORDER page of the SYSTEM SETUP
window. For details, refer to “RECORDER page” in Administrator’s Guide,
Section 3.
3. Check the number of pages and touch the RECORD key in the
<RECORDER> box.
Recording example
ECG and up to four other parameter full disclosure of 24 hours can be saved.
With the optional QM-601P memory card, data of past 72 hours can be saved.
The full disclosure waveforms can be reviewed, scrolled and recorded, in either
compressed or expanded form.
NOTE
• When <SHOW ADMIT CONFIRMATION WINDOW> is set to “Off” in
the SYSTEM CONFIGURATION screen, the stored data remains in
memory for about 30 minutes after the power is turned off. After 30
minutes, the stored data is lost.
• Do not disconnect the power cord while the monitor power is on. Data
may be lost.
The FULL DISC window displays one minute full disclosure waveform on
each line. The 12 second actual size waveform selected by the cursor on the full
disclosure is displayed on the actual size ECG window.
2. Touch the FULL DISC key to display the FULL DISC window.
When FULL DISC is assigned to one of the function keys at the upper left of
the screen or one of the function keys on the remote control keys, the FULL
DISC page can be displayed by touching the FULL DISC function key.
Refer to “KEYS Window” in Administrator’s Guide, Section 3 to assign a
function to the function key.
Displayed time
range
Date and time ECG lead
of file creation
60 second
full disclosure Scrolls time
waveform
Vital signs
numeric values 6
at the cursor
Event bar
Displays the
DISPLAY/
SAVE and Displays the Zoom In window to display Records or prints the full disclosure
WAVEFORMS the enlarged waveforms of the 6 seconds data on the WS-671P recorder
settings window selected by the cursor module or connected network
printer
For details on the event bar, refer to the previous “EVENT BAR” section.
NOTE
It may take some time for the data to be displayed.
When the FULL DISC window is called up from the ARRHYTH RECALL
window, the full disclosure is displayed with the time of the ARRHYTH
RECALL window.
When the FULL DISC window is called up from the ALARM HISTORY
window, the full disclosure is displayed with the time of the file selected on the
ALARM HISTORY window.
To display the enlarged waveform of the compressed waveform, touch the part
on the FULL DISC window where you want to see the enlarged waveform and
touch the ZOOM IN key. To return to the compressed waveform window, press
the ZOOM OUT key.
ECG lead
Displayed time
range
6 second
actual size Scrolls time.
waveform
Cursor
Event bar
NOTE
• When the saved parameters are changed, the data for the parameter
which is no longer saved is deleted.
• The IBP parameters must be correctly labeled. Otherwise, the IBP
waveform may distort.
6
• This setting is independent from the setting on the central monitor or
network server. Even when a parameter is selected to be saved on the
bedside monitor, that parameter must also be selected to be saved
on the central monitor/server. Otherwise the full disclosure for that
parameter cannot be displayed on the central monitor.
3. Select the parameters you want to save the full disclosure data for.
5. Select the position from the <DISPLAYED WAVES> box and select the
parameter to save from the <SAVED WAVES> box. Use the NONE key to
unselect the parameter.
Recording example
Printing example
Recording example
3. Touch the PRINT PAGE key in the <PRINTER> box. Printing starts.
Printing example
The ST recall waveform and ST level of all monitoring ECG leads for up to
24 hours can be saved. With the optional QM-601P memory card, data of past
72 hours can be saved.
The ST level recall can be printed when the monitor is connected to a network
printer.
The ST level alarm limits can be set on the ST ALARM page of the ECG
window. Refer to “Changing the ST Alarm Limits” in User’s Guide Part II,
Section 1. You can set all alarms, including the ST of all leads alarm limits, on
the ALARM LIMITS window. Refer to Section 5 “Alarm Function”.
The ST level unit (mV or mm) can be set on the SYSTEM CONFIGURATION
screen. Refer to “UNITS Window” in Administrator’s Guide, Section 2.
NOTE
• The ST window is not available when the patient type is neonate and
<NEONATE ST MEASUREMENT> on the PARAMETERS window of
the SYSTEM SETUP window is set to OFF.
• Although the ST algorithm has been tested for accuracy of the ST
analysis result, the significance of the ST level changes need to be
determined only by a physician.
• When <SHOW ADMIT CONFIRMATION WINDOW> is set to “Off” in
the SYSTEM CONFIGURATION screen, the stored data remains in
memory for about 30 minutes after the power is turned off. After 30
minutes, the stored data is lost.
• Do not disconnect the power cord while the monitor power is on. Data
may be lost.
When ST TREND is assigned to one of the function keys at the upper left
of the screen or one of the function keys on the remote control keys, the ST
INTERVAL page can be displayed by touching the ST function key. Refer to
“KEYS Window” in Administrator’s Guide, Section 3 to assign a function to
the function key.
Displays other review windows
Event bar
Displays the SETTINGS window Registers the selected file as the reference file
For details on the event bar, refer to the previous “EVENT BAR” section.
To return to the home screen, press the [Home] key.
2. Touch the ON or OFF key in the <ST WAVE ON HOME SCREEN> box to
select on or off.
When set to ON, select the lead for each of the three ST recall waveforms on
the home screen.
1. Select a file to save as a reference file and touch the SAVE AS REF key. A
“SAVE AS REFERENCE?” message appears.
2. Touch the ON or OFF key in the <ST REF WAVE ON HOME SCREEN>
box.
When set to ON, select the lead for each of the 3 reference ST recall
waveforms on the home screen.
2. Touch the PRINT PAGE key in the <PRINTER> box. Printing starts.
Printing example
OCRG Window
The OCRG window displays heart rate and SpO2 acquired every 1 minute for the
trendgraph and compressed respiration waveform of the past 24 hours. With the
optional QM-601P memory card, data of past 72 hours can be saved.
NOTE
• When <SHOW ADMIT CONFIRMATION WINDOW> is set to “Off” in
the SYSTEM CONFIGURATION screen, the stored data remains in
memory for about 30 minutes after the power is turned off. After
30 minutes, the stored data is lost.
• Do not disconnect the power cord while the monitor power is on. Data
may be lost.
• The OCRG window is available only when the site mode is NICU. Refer
to “SITE Window” in Administrator’s Guide, Section 2 to change the site.
The following table shows the available trend parameters, screen displays and
scales.
When OCRG is assigned to one of the function keys at the upper left of the
screen or one of the function keys on the remote control keys, the OCRG
page can be displayed by touching the OCRG function key. Refer to “KEYS
Window” in Administrator’s Guide, Section 3 to assign a function to the
function key.
Displays other review windows. Cursor can be dragged with your finger.
Scale
6
Event bar
Displays the
SETTINGS
window.
Displays the SCALE SETUP window. Records or prints the trendgraph on the WS-671P
recorder module or connected network printer.
For details on the event bar, refer to the previous “EVENT BAR” section.
1. Touch the SETTINGS key on the OCRG window to display the SETTINGS
window.
Changing the Trendgraph Scale for Heart Rate and SpO2 and Sensitivity for Respiration
You can change the trendgraph scale for heart rate and SpO2 and sensitivity for
respiration.
1. Touch the SCALE key on the OCRG window to display the SCALE SETUP
window.
2. Touch the HR or SpO2 key on the left and select the desired scale on the
right.
1. Display the OCRG trend you want to record on the OCRG page.
3. Set the RECORD START TIME and RECORD END TIME with the or
key or time slider.
The initial RECORD START TIME and RECORD END TIME depend on
the REVIEW setting on the RECORDER page of the SYSTEM SETUP
window. For details, refer to “RECORDER page” in Section 3 of the
Administrator’s Guide.
4. Check the number of pages and touch the RECORD key in <RECORDER>
box.
Recording example
3. Set the RECORD START TIME and RECORD END TIME with the or
key or time slider.
The initial RECORD START TIME and RECORD END TIME depend on
the REVIEW setting on the RECORDER page of the SYSTEM SETUP
window. For details, refer to “RECORDER page” in Section 3 of the
Administrator’s Guide.
4. Check the number of pages and touch the RECORD key in the <PRINTER>
box. The “PRINTING” message appears on the screen and the OCRG is
printed as displayed on the OCRG window.
Printing example
When the monitor is connected to the CNS-9601 central monitor with QP-964P
program kit or CNS-9701 central monitor with QP-974P program kit, the
12 lead ECG interpretation result and ECG waveforms are automatically sent to
the central monitor and can be reviewed and printed on the central monitor.
Preparation Flowchart
1. Display the PATIENT INFO window on the 12 LEAD ANALYSIS window
and check that the age and gender are correct. To correct the age and gender,
refer to “Entering the Patient’s Date of Birth and Gender” in this section.
2. Check that the electrodes are attached to the patient and leads are connected
appropriately.
3. Display the 12 LEAD ANALYSIS window and check that ECGs on the
window are stable. Refer to the next “Displaying the 12 LEAD ANALYSIS
Window” section.
CAUTION
When the date of birth or age is not entered, 12 lead ECG
interpretation is performed with the patient as 35 years old.
1. Touch the YEAR, MONTH and DAY key to enter year, month and day
respectively.
2. Enter the numbers by using the numeric keypad, then touch the ENT key.
3. Touch the SET key. When the year, month and day are entered, age is
automatically calculated and appears in the age area.
CAUTION
When the gender is not specified, 12 lead ECG interpretation is
performed with the patient as male.
WARNING
Do not use 12 lead ECG interpretation results
and measured values from the Mason-Likar
modification for diagnosis because the limb
electrode placement is not the same as the
standard 12 lead ECG. This may cause wrong
diagnosis since 12 lead ECG interpretation of this
monitor is based on the standard 12 lead ECG.
CAUTION CAUTION 7
• The 12 lead ECG interpretation is performed When the gender is not specified, 12 lead ECG
for acquired ECG waveforms only and does not interpretation is performed with the patient as
reflect all conditions of the patient. The results male.
of the analysis might not correspond to the
judgement of a physician.
CAUTION
• Overall judgement must be performed by the
When the date of birth or age is not entered, 12
physician, referring to the analysis result,
lead ECG interpretation is performed with the
clinical findings and other examination results.
patient as 35 years old.
After the physician’s overall judgement, the
analysis results should be signed or initialed by
the physician.
NOTE
• When electrodes are not attached to the limbs, the analysis result
concerning the ECG axis (such as axis deviation) may differ from the
analysis with electrodes attached to limbs.
• Noise is rejected from the analyzed waveforms by the 50/60 Hz filter,
but noise other than these frequencies might not be rejected.
Touch the START key to start analyzing ECGs. The “SAVING. PLEASE WAIT”
message appears and 10 second ECG of all leads are acquired and analyzed.
Recording example
Printing example
12 LEAD Window
The 12 LEAD window has the following pages related to 12 LEAD ANALYSIS
window.
• 12 LEAD page for displaying the 12 lead analysis result data
• ANALYSIS WAVE page for displaying ECG waveforms used for analysis
• REPORT page for displaying clinical findings
• AVERAGE WAVE page for displaying averaged ECG waveforms
NOTE
• When <SHOW ADMIT CONFIRMATION WINDOW> is set to “Off” in 7
the SYSTEM CONFIGURATION screen, the stored data remains in
memory for about 30 minutes after the power is turned off. After 30
minutes, the stored data is lost.
• Do not disconnect the power cord while the monitor power is on. Data
may be lost.
12 LEAD Page
To see the 12 lead analysis result data, touch the 12 LEAD tab. Up to six files
can be saved and up to four files can be displayed on the 12 LEAD page.
Selected file
Scroll bar
Event bar
When 12 LEAD is assigned to one of the function keys at the upper left of the
screen, the 12 LEAD page can be displayed by touching the 12 LEAD function
key. Refer to “KEYS Window” in the Administrator’s Guide, Section 3 to assign
a function to the function key.
Recording example
7
Lead
ST level
Analyzed ECG
(about 2 s)
Rhythm waveform
(about 10 s)
Event bar
Recording example
2. Touch the PRINT PAGE key in the <PRINTER> box. Printing starts.
7
3. Touch the key to close the window.
Printing example
REPORT Page
To see analysis results, touch the REPORT tab. The REPORT page appears. For
details about the findings, refer to the ECAPS 12C program User’s Guide.
When the analysis result on the REPORT window is recorded or printed, the
recorded/printed data must be examined by a physician. After the physician’s
overall judgement, the “UNCONFIRMED REPORT” message on the recording/
printing paper must be crossed out and signed by the physician.
Up to six analysis results can be saved in the monitor. When another analysis
is performed, the older data is deleted. If necessary, record or print the analysis
result before performing another analysis on the 12 LEAD ANALYSIS window.
Measured values
Event bar
Recording example
2. Touch the PRINT PAGE key in the <PRINTER> box. Printing starts.
Printing example
Averaged ECG
(about 2 s)
Cursor
Event bar
2. Touch the PRINT PAGE key in the <PRINTER> box. Printing starts.
Printing example
DRUG Window
On the DRUG window, you can calculate the flow rates and dosages for
medication titrations. The flow rate is calculated from the following equation.
The dosage can also be calculated when the flow rate is known.
There are three windows for the drug calculation. On the DOSE window, you can
see the table of the selected drug titration. The drug name and unit are selected
on the DRUG window. On the SETTING window, you can change drug amount
(AMOUNT), solution amount (VOLUME), dosage (DOSE), flow rate (SAMPLE
RATE), patient weight and dose step. The settings on the DRUG and SETTING
windows are used for the drug calculation and you can see the calculation result
on the DOSE window. The dosage and flow rate calculated from the setting on
the SETTING window are highlighted in blue.
Drug name
selected on the
DRUG window
Titration table
Value calculated from
the settings on the
SETTING window
Set on the SETTING window. Select the dose step. Prints the titration table and the drug on the
recorder or network printer.
NOTE
• When using the DRUG window for the first time after shipment or after
settings are initialized, you must set the drug names and other settings.
• When the patient weight is changed on the ADMIT page of the ADMIT
DISCHARGE window, the titration is automatically recalculated with the
new weight.
17 drugs and drug amount, solution amount, dosage and dose step for each drug
are preset on the monitor. The dosage and flow rate are calculated from the
equations listed in the “Flow Rate Equations” section. You can set four other
drugs on the DRUG window and change the settings on the EDIT window.
BRETYLIUM
Dosage (mg/min) × Solution amount (mL) × 60
mg/min LIDOCAINE Flow rate (mL/h) = –––––––––––––––––––––––––––––––––––––––––
Drug amount (mg)
PROCAINAMIDE
EPINEPHRINE
ISOPROTERENOL Dosage (µg/min) × Solution amount (mL) × 60
µg/min Flow rate (mL/h) = ––––––––––––––––––––––––––––––––––––––––––
NOREPINEPHRINE Drug amount (mg) × 1000
PHENYLEPHRINE
AMRINONE
DOPAMINE
Dosage (µg/kg/min) × Weight (kg) × Solution amount (mL) × 60
µg/kg/min DOBUTAMINE Flow rate (mL/h) = –––––––––––––––––––––––––––––––––––––––––––––––––
Drug amount (mg) × 1000
NITROGLYCERINE
NITROPRUSSIDE
For DRUG A to D, when using the same dosage unit in the previous table, the
same equation is used. When using other units, refer to the table below.
When DRUG is assigned to one of the function keys at the upper left of the
screen, touching the DRUG function key also opens the DRUG window.
Select a drug.
Touching the PRINT key prints the titration table and the drug data on the
left.
Recording example
2. Select the drug by touching the drug name key. When the drug is selected,
drug amount, solution amount (BASE VOLUME), dosage (DOSE) and step
(DOSE STEP) set for that drug and concentration and flow rate (SAMPLE
RATE) which are automatically calculated appear on the window.
NOTE
• DOPAMINE, DOBUTAMINE, NITROGLYCERIN and
NITROPRUSSIDE need patient weight to calculate the flow rate.
For these drugs, enter the patient weight on the ADMIT page of
the ADMIT DISCHARGE window or the SETTINGS window of the
DRUG window.
• For the DRUG A to D, assign the drug name and set the unit on the
DRUG window and set the drug amount, solution amount, dosage
and step on the SETTINGS window.
When using a drug other than the 17 preset drugs, you can assign a drug name
and dosage unit to DRUG A to D. When the dosage unit is set, the flow rate
unit is automatically set. When using this function, you must also set the drug
amount, solution amount (BASE VOLUME), dosage (DOSE) and step (DOSE
STEP) so that the dosage and flow rate (SAMPLE RATE) can be calculated.
3. Touch the EDIT key. The keyboard for entering drug name appears.
Cursor
Delete key (deletes
one character)
5. Select the unit. When the dosage unit is set, the flow rate unit is
automatically set as follows.
The following items can be changed for the drug calculation. When the settings
are changed, the dosage and flow rate are automatically recalculated.
• Drug amount
• Solution amount (Base volume)
• Dosage (Dose)
• Flow rate (Sample rate)
• Weight
• Step (Dose step)
NOTE
• Enter the data in the units displayed on the window.
• When using the drug which is assigned to DRUG A to D, you must
set the unit on the DRUG window before changing the setting on the
SETTINGS window.
Changing the Drug Amount, Solution Amount, Dosage, Flow Rate and Weight
1. Display the SETTINGS window.
Press the [Menu] key → DRUG key → SETTINGS tab.
Select a setting item.
2. Select the item you want to change the setting for by touching the item name
key.
For DRUG A to D
There are two windows in the LUNG FUNCTION window. The DATA ENTRY
window calculates the patient’s respiration dynamics and the LUNG FUNCTION
window displays the calculation result. The following data required for this
calculation is automatically acquired from the monitoring parameters when the
window is opened.
• Patient’s height and weight entered on the ADMIT page of the ADMIT
DISCHARGE window
• CCO value (When CCO is measured, the CCO value is used as the CO value)
• O2 when O2 or anesthetic gas is monitored
The calculation result displayed on the LUNG FUNCTION page can be recorded
8
on the optional recorder.
2. Touch the LUNG FUNCTION key. The DATA ENTRY page appears.
3. Touch the LUNG FUNCTION tab. The LUNG FUNCTION page appears.
The values in this
column can be changed
The values in on the DATA ENTRY
this column are window.
automatically
calculated Adds the values on the
according to the window to the LUNG
values in the TREND page in the
DATA ENTRY TREND window.
column.
Numeric keypad
2. If necessary, change values using the numeric keypad. Select the item you
want to change the settings by touching the item name key.
3. Change the value using the numeric keypad on the window, then touch the
ENT key.
When height or weight is changed, the same setting on the ADMIT page
of the ADMIT DISCHARGE window and windows which use height
and weight are also changed. The respiration dynamics are recalculated
according to the entered values.
2. Touch the ADD key on the LUNG FUNCTION page to add the calculation
results to the table on the LUNG TREND page in the TREND window.
2. Touch the SHOW key on the LUNG FUNCTION window to display the
table on the LUNG TREND page in the TREND window.
Recording example
When the bedside monitor is connected to a central monitor network, the bedside
monitor data can be sent to the central monitor. The bedside monitor can display
monitoring data of up to 20 other beds in the network on the INTERBED
window. If you have previously registered other beds as interbed beds on the
INTERBED window, an alarmed interbed bed ID appears on the home screen
and alarm sounds on this bedside monitor.
WARNING
Do not monitor a patient’s vital signs only by the interbed function.
The patient must be monitored on the interbed bed or central
monitor.
WARNING
When an alarm occurs:
• Check the patient first and take necessary measure to ensure
patient’s safety.
• Remove the cause of the alarm.
• Check the alarm settings on the bedside monitor and change the
alarm settings if necessary.
NOTE
The monitor must be connected to a network to use the interbed function.
To view another bed, you must register the bed as an interbed bed. Only
registered beds can be viewed. You can register up to 20 interbed beds. Any bed
in the monitor network can be registered as an interbed bed.
9
Registered beds
Group
Beds in the
selected group
Scroll beds.
2. In the <SELECTED BEDS> box, select the position to register the interbed
bed.
3. Touch the GROUP key to select the group to which the desired bed belongs
and select the bed from the bed list. The beds which are already registered as
interbed beds cannot be selected.
4. Check that the selected bed appears in the <SELECTED BEDS> box.
The numeric data of all registered interbed beds can be displayed on the VIEW
OTHER BEDS window. There are two display patterns for this window.
To see more parameters on the VIEW OTHER • When no interbed beds are registered in the bottom three rows on the SELECT
BEDS window, register beds only in the top BEDS window, the heart rate, SpO2, blood pressure, CO2, BIS and temperature
two rows of the SELECT BEDS window.
of the interbed beds are displayed on the VIEW OTHER BEDS window.
• When interbed beds are registered in the bottom three rows on the SELECT
BEDS window, only the heart rate and SpO2 of the interbed beds are displayed
on the VIEW OTHER BEDS window.
Touching a patient name opens the individual bed window. Refer to the next
“Displaying the Interbed Bed Data” section for details.
9.4 User’s Guide Part I BSM-3000
9. INTERBED WINDOW
On the individual bed window of the INTERBED window, heart rate and ECG
waveform of the first trace are always displayed. Other numerical data and one
waveform from the following list can be displayed. Other parameters cannot be
displayed.
Numeric Data
• Heart rate
• VPC
• ST
• Respiration rate
• CO2
• SpO2
9
• NIBP
• BIS
• T1
• T2
• O2
• P1
• P2
• P3
Waveform
• Respiration/CO2/FLOW
• SpO2
• P1
• P2
• P3
NOTE
When the instrument which is registered to the interbed bed is turned off
or not connected to the network correctly, the “MONITOR OFF” message
is displayed and measurement value and alarm are not displayed.
Waveform display
area
Changes sensitivity
or scale of the
waveform.
Numeric display
area
2. Touch the desired bed on the VIEW OTHER BEDS window to display the
individual bed window.
To change beds, touch the key to close the window and select the desired
bed.
To change the second waveform, touch the numeric data of the parameter
you want to display for the waveform in the numeric display area.
To not display the second waveform, touch the numeric value of the second
parameter in the waveform display area.
You can also change the waveform sensitivity or scale by using the and
keys.
Even when ECG is not monitored, pulse rate is displayed on the screen when IBP
or SpO2 is monitored.
Interbed Alarm
WARNING
When an alarm occurs:
• Check the patient first and take necessary measure to ensure
patient’s safety.
• Remove the cause of the alarm.
• Check the alarm settings on the bedside monitor and change the 9
alarm settings if necessary.
NOTE
When the alarm function is turned off by “all alarms off” or “alarm
suspended” on the interbed bed, the interbed alarm does not occur on
this bedside monitor.
Only one interbed ID can be displayed at a time on the home screen. When more
than one interbed alarm occurs, the alarm message appears and the alarming
interbed IDs are alternately displayed one at a time.
On the INTERBED window, the bed ID and patient name of the alarmed bed is
highlighted.
NOTE
The interbed alarm for another bed is lower level than any other alarm for
this bed. Therefore, the interbed alarm might not be indicated during an
alarm for this bed.
You can also silence the interbed alarm by touching the key on the individual
bed window of the INTERBED window. Silencing the interbed alarm on this
monitor also silences the alarm on the alarmed bed itself. The alarm silence
indication on the alarmed bed depends on the alarmed bed specifications. The
alarm silence time depends on the setting on the alarmed bed.
NOTE
When several interbed alarms occur, all interbed alarms are silenced
by touching the key on the individual bed window of the INTERBED
window.
CAUTION
The interbed window only appears on the home screen when an
interbed alarm occurs and <AUTO INTERBED DISPLAY> is set to
ON.
Overview of Recording
The “Changing the Recording Pattern” section explains how to change the
recording pattern for all recordings except for the review data recordings.
Recording Modes
The following recording modes are available.
Recording/Printing OCRG
OCRG on the home screen can be recorded. Periodic OCRG recording is also
available. Refer to the “Periodic Recording” section below.
With recorder: Recorded on the optional recorder when the RECORD OCRG
function key on the home screen is touched.
No recorder: Not available.
Periodic Recording
There are three types of recording data for periodic recording.
• Up to three waveforms with numerical data:
Up to three waveforms selected on the RECORD window and vital signs data
are recorded automatically at the set interval.
• OCRG:
The trendgraphs of HR and SpO2 and compressed respiration waveform are
recorded at 5 or 15 minute intervals.
Recording examples 10
OCRG recording
Alarm Recording
When a vital sign alarm or arrhythmia alarm occurs, up to three waveforms
selected on the RECORD window and vital sign data are automatically recorded.
The recorded waveforms are from 8 seconds before to 12 seconds after the alarm
occurrence. The alarm recording is only available on the optional recorder.
Set alarm recording on or off on the RECORD window. For details, refer to
Section 5 “Alarm Function”.
CAUTION
Alarm recording is not performed when:
• Alarm is suspended.
• Alarm recording is set to Off.
Recording examples
Arrhythmia alarm recording
10
P-V LOOP, F-V LOOP: FLOW data and loops displayed on the FLOW window
is recorded. Refer to the User’s Guide Part II, Section
14 “FLOW/Paw Monitoring”.
EEG: EEG waveform recording. Refer to the User’s Guide
Part II, Section 15 “EEG Monitoring”.
ANALOG: Analog waveform recording. Refer to the User’s Guide
Part II, Section 17 “ANALOG Monitoring”.
Recording Priority
If more than one recording mode is activated at the same time, only the highest
priority mode is used.
10
During alarm recording, if a higher priority alarm occurs, the current recording is
canceled and the higher priority alarm is recorded for 20 seconds.
Recording Sensitivity
The sensitivity of the waveforms recorded on the recording paper is the same as
the sensitivity of the waveforms displayed on the screen.
To change the sensitivity, change the sensitivity setting on the parameter setting
window as described in the User’s Guide Part II.
Recording Speed
The recording speed can be set at <RECORDING SPEED> on the RECORD
window. Refer to “Changing the Recording Speed” in this section.
Recorded/Printed Data
The following data can be printed.
Recording speed can be selected from 12.5, 25 or 50 mm/s for recording with the
optional recorder.
Recording speed and waveform sweep speed on the screen can be set separately.
10
2. Select the speed by touching the speed key in the <RECORDING SPEED>
box.
FLOW, Paw and VOL are not available for the Op No. 32A, 52A, 72A, 33A,
53A and 73A.
2. Select the trace in the <TRACES> box and select the parameter by touching
the parameter key in the <SELECTABLE PARAMETERS> box. Select the
NONE key to not assign any parameter.
When RECORD WAVE is assigned to one of the function keys at the upper
left of the screen, touching the RECORD WAVE function key also starts
Record key manual recording. Refer to “KEYS Window” in the Administrator’s Guide,
Section 3 to assign a function to the function key.
Recording example
NOTE
Record key
Even if RECORD WAVE is assigned to one of the function keys at the
upper left of the screen, touching the RECORD WAVE function key does
not start recording on the central monitor recorder.
The OCRG can also be printed on the network printer. The OCRG displayed on
the home screen can be printed when the PRINT OCRG function key is touched.
To print the OCRG, the print function must be assigned to one of the function
keys in the upper left corner of the screen. Refer to the Administrator’s Guide,
“KEYS Window” in Section 3.
For details about printing on the network printer, refer to “Printing on a Network
Printer” in this section.
Recording starts at the nearest half-hour for 30 min interval, at the nearest hour
for 60 or 120 min interval and at the next FREE interval for FREE recording.
10
For example, if you start automatic periodic recording at 9:20 with a 30 min
interval, periodic recording will be performed at 9:30, 10:00, 10:30 and so on. If
you start at 9:20 with a 120 min interval, periodic recording will be performed at
10:00, 12:00, 14:00 and so on. If you start at 9:20 with a FREE interval of
65 min, periodic recording will be performed at 10:25, 11:30, 12:35 and so on.
OCRG
The trendgraphs of HR and SpO2 and compressed respiration waveform are
recorded. The OCRG is recorded every 5 minutes when the 5 (OCRG) is selected
in the <PERIODIC REC INTERVAL> box on the RECORD window, and every
15 minutes when the 15 (OCRG) is selected. To select the 5 (OCRG) or the
15 (OCRG), OCRG must be selected for <CURRENT TREND> on the
SYSTEM window of the SYSTEM SETUP window. Refer to the Administrator’s
Guide, Section 3.
The OCRG recording has two pages. The first page contains HR and SpO2
trendgraphs and the second page contains compressed respiration waveform.
NOTE
Printing cannot be canceled once it is started.
The data of selected time period can be printed when RECORD key on the
PRINT window of the TREND TABLE, NIBP TREND, HEMO TREND or
LUNG TREND page is touched.
The displayed 8 seconds of arrhythmia recall waveform and the one file before
and after of arrhythmia recall waveform is printed when the PRINT PAGE key
on the PRINT window of the RECALL window is touched.
The compressed or actual size full disclosure waveform selected by the cursor
can be printed when the PRINT PAGE key on the PRINT window of the FULL
DISC window is touched.
The displayed ST recall files and the previous three ST recall files are printed
when the PRINT PAGE key on the PRINT window of the ST window is
touched.
11
Clock Accuracy
At storage temperatures between –20 and +60°C (−4 and +140°F), the accuracy
of the clock IC of this monitor is about ±6 min per month.
Periodically check that the time in the upper right corner of the monitor screen is
correct.
To change the time setting, refer to “Changing Date and Time” in Section 4.
NOTE
When the date or time is changed during monitoring, the date and time of
all stored data is also changed and may not match the date and time on
the printout.
Code No./
Description Expected Life Span
Model
BSM-3000 series Bedside Monitor
Battery pack (option) SB-671P Approx. 1 year
WS-371P Recorder Module (option)
Approx. 370 stacks of recording
paper
Thermal array head, After 370 stacks of recording
662311
AJ048-8E802 paper, the thermal array head is
deteriorated and the recording
becomes thin.
Approx. 9,000 stacks of
recording paper (continuous
Motor Assy recording)
(Paper drive motor) CD-0004 After 9.000 stacks of recording
paper, the paper drive motor is
11
deteriorated and cannot feed the
recording paper.
Approx. 6 years
When the platen roller is
Platen roller, Ø 8 6114-135436
deteriorated, the paper cannot
be fed.
Must be replaced with a new
Retainer ring, G-3 675369 one when the platen roller is
replaced.
Nihon Kohden Corporation (NKC) shall stock repair parts (parts necessary to
maintain the performance of the instrument) for a period of 8 years from the
date of delivery. In that period NKC or its authorized agents will repair the
instrument. This period may be shorter than 8 years if the board or part necessary
for the faulty section is not available.
Contact information is accurate as of January 2016. Visit www.nihonkohden.com for the latest information.
The model and serial number of your instrument are identified on the rear or bottom of the unit.
Write the model and serial number in the spaces provided below. Whenever you call your representative concerning
this instrument, mention these two pieces of information for quick and accurate service.
Your Representative