Bionet BM5 User Manual
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Bionet BM5 User Manual

Patient monitor
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BM5 (CS, CX) User's Manual
Patient Monitor
Rev. 3.1
Rev. 3.0

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  • Page 1 BM5 (CS, CX) User’s Manual Patient Monitor Rev. 3.1 Rev. 3.0...

  • Page 2: Table Of Contents

    BM5 (CS,CX) User’s Manual Table of Contents BM5 (CS, CX) User’s Manual ....................0 Table of Contents ..........................1 1. BASIC ..........................8 1.1 CE Standard Information ......................9 1.2 Read before Use ........................10 How to Contact Us ............................. 10 Warranty Period............................
  • Page 3 BM5 (CS,CX) User’s Manual Storage Guideline ............................42 How to Recycle the Battery ........................42 To insert and remove the battery pack......................43 1.7 General Manu Operation ......................44 Screen Composition ............................ 44 Menu Selection ............................47 Menu Composition ............................. 47 2.
  • Page 4 BM5 (CS,CX) User’s Manual DISPLAY ..............................70 SET PARA ..............................70 WAVE SELECT ............................71 SET DATE & TIME ........................... 74 SET TIME ..............................74 SET DATE ..............................74 COLOR SELECT ............................75 HR/PR SELECT ............................76 SET SWEEP ............................... 76 DEMO ................................
  • Page 5 BM5 (CS,CX) User’s Manual Attaching Electrodes to the Patient......................92 Choosing an ECG lead for Arrhythmia Monitoring ................... 93 Information on the ECG waveform ......................94 10 Position of 10-Lead ..........................94 5 Position of 5-Lead ........................... 94 Position of 3-Lead Wrier Electrode ......................95 How to Attach the NEONATE Electrode ....................
  • Page 6 BM5 (CS,CX) User’s Manual APNEA DETECT ............................ 135 LEAD SELECT ............................136 ALARM..............................136 8. NIBP ..........................138 8.1 Outline ............................ 139 8.2 NIBP Data Window ....................... 141 8.3 NIBP Data Setup........................142 ALARM..............................142 NIBP STAT .............................. 143 CUFF SIZE ............................... 144 UNIT SELECT ............................
  • Page 7 BM5 (CS,CX) User’s Manual 11.1 Outline ..........................180 11.2 Temperature Data Window ....................181 11.3 Temperature Data Setup ....................182 ALARM..............................182 UNIT SELECT ............................183 12. PRINT ........................... 184 12.1 Print ............................185 Printer and Heat Sensitivity Paper ......................185 Function and Setup Menu .........................
  • Page 8 BM5 (CS,CX) User’s Manual 15.3 Temp malfunction ....................... 203 15.4 NIBP malfunction ........................ 204 15.5 Abnormality in NIBP measurements ................. 204 15.6 Failure in battery recharge ....................205 15.7 Power failure ........................206 15.8 Periodic noises ........................207 15.9 Print failure .......................... 208 16.

  • Page 9: Bm5 (Cs,Cx) User's Manual

    BM5 (CS,CX) User’s Manual 1. BASIC 1.1 CE Standard Information 1.2 Read before Use Warranty Period Warning, Caution, Note General Precaution on Environment General Precaution on Electric Safety Equipment Connection, Maintenance & Washing Equipment Connection Product Components Product Outline Principal Characteristics of Product...

  • Page 10: Ce Standard Information

    BM5 (CS,CX) User’s Manual 1.1 CE Standard Information Electromechanical safety standards met: - EN 60601-1: 1990 + A1:1993 + A2: 1995 + A13:1996 Medical Electrical Equipment, Part 1, General Requirements for Safety. - IEC/EN 60601-1-2 :2001 Electromagnetic compatibility -Requirements and tests.

  • Page 11: Read Before Use

    BM5 (CS,CX) User’s Manual 1.2 Read before Use BIONET services are always available to you. The followings are address and phone number for contacting information, services, and product supplies. How to Contact Us Bionet Ltd. – Sales Department Product Supply Information #1101 ,11F E&C Venture Dream Tower3 38-21, Digital-Ro, 31-Gil,...

  • Page 12: Warranty Period

     Warranty period is 1 year.(Two year in Europe).  We will repair or replace any part of the BM5 (CS, CX) found to be defective in usual operating circumstance for free to you.  This warranty does not apply to any defect caused by improper abuse, misuse or exposure to poor management.

  • Page 13: Warning, Caution, Note

    BM5 (CS,CX) User’s Manual Warning, Caution, Note For special emphasis on agreement, terms are defined as listed below in user’s manual. Users should operate the equipment according to all the warnings and cautions. Warning To inform that it may cause serious injury or death to the patient, property damage, material losses against the “warning”...

  • Page 14: General Precaution On Environment

    BM5 (CS,CX) User’s Manual General Precaution on Environment - Do not keep or operate the equipment in the environment listed below. Avoid placing in an area exposed to moist. Avoid exposure to direct Do not touch the equipment sunlight with wet hand.
  • Page 15 BM5 (CS,CX) User’s Manual CAUTIONS Before Installation Compatibility is critical to safe and effective use of this device. Please contact your local sales or service representative prior to installation to verify equipment compatibility. Defibrillator Precaution Patient signal inputs labeled with the CF and BF symbols with paddles are protected against damage resulting from defibrillation voltages.
  • Page 16 BM5 (CS,CX) User’s Manual Magnetic and electrical fields are capable of interfering with the proper performance of the device. For this reason make sure that all external devices operated in the vicinity of the monitor comply with the relevant EMC requirements. X-ray equipment or MRI devices are possible source of interference as they may emit higher levels of electromagnetic radiation.
  • Page 17 MPSO as it will increase the chance of the single protective earth conductor interruption. Negligence BIONET does not assume responsibility for damage to the equipment caused by improperly vented cabinets, improper or faulty power, or insufficient wall strength to support equipment mounted on such walls.
  • Page 18 BM5 (CS,CX) User’s Manual NOTES Power Requirements Before connecting the device to the power line, check that the voltage and frequency. Ratings of the power line are the same as those indicated on the unit’s label. If this is not the case, do not connect the s ystem to the power line until you adjust the unit to match the power source.

  • Page 19: General Precaution On Electric Safety

    1. Be sure that AC power supply line is appropriate to use. (AC100 - 240V) 2. Be sure that the power source is the one supplied from Bionet. (DC18V, 2.5A, MW160KA1803) 3. Be sure that the entire connection cable of the system is properly and firmly fixed.

  • Page 20: Manufacturer's Declaration - Electromagnetic Emission

    Manufacturer’s declaration - electromagnetic emission The BM5 system is intended for use in the electromagnetic environment specified below. The customer or the user of BM5 system should assure that it is used in such an environment Emission test Compliance...
  • Page 21 Manufacturer’s declaration - electromagnetic immunity The BM5 system is intended for use in the electromagnetic environment specified below. The customer or the user of the BM5 system should assure that it is used in such an environment Immunity test IEC 60601...
  • Page 22 т is the a.c. mains voltage prior to application of the test level. The BM5 system is intended for use in the electromagnetic environment specified below. The customer or the user of the BM5 system should assure that it is used in such an environment Immunity test...
  • Page 23 BM5 (CS,CX) User’s Manual Radiated RF Recommended separation distance 3 V/m 3 V/m IEC 61000-4- 80.0 MHz to 2.5 80.0 MHz to 2.5 G Where is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufactur...
  • Page 24 Recommended Separation Distances Between Portable and Mobile RF Communications Equipment the BM5 system. The BM5 system is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The user of the BM5 system can help prevent electromagnetic...
  • Page 25 Guidance and manufacturer’s declaration - electromagnetic immunity The BM5 system is intended for use in the electromagnetic environment specified below. The customer or the user of the BM5 system should assure that it is used in such an environment Immunity test...
  • Page 26 BM5 (CS,CX) User’s Manual Radiated RF Field strengths outside the shielded loc 3 V/m 3 V/m IEC 61000-4- 80.0 MHz to 2.5 80.0 MHz to 2.5 ation from fixed RF transmitters, as det ermined by an electromagnetic site surv ey, should be less than 3V/m.a...
  • Page 27 BIONET or its representatives. Maintenance and Washing Equipment Connection Using various methods can clean BM5 (CS, CX) and its accessories. Please follow the methods mentioned below to avoid unnecessary damage or contamination to the Equipment. We do not repair with free of charge regardless of warranty period if it is contaminated or damaged with using dangerous material not designated for washing.

  • Page 28: Cleaning Applied Parts

    BM5 (CS,CX) User’s Manual Cleaning Applied Parts Do not permit any liquid to enter the monitor case and avoid pouring it on the monitor while cleaning. Do not allow water or cleaning solution to enter the connectors of jack cover.
  • Page 29 Warning Check the electrodes of batteries before changing them. · Operate BM5 (CS, CX) with internal electric power supply when unsure of external ground connection or installation occur. · Remove the 1st Battery when not using equipment for a while without any damage.

  • Page 30: Product Components

    BM5 OPERATION MANUAL Product Outline BM5 (CS, CX) monitor is a product used for monitoring biological information and occurrence of a patient. Main functions of the product include displaying information such as ECG, respiration, SpO2, NIBP, IBP, EtCO2 and temperature on its LCD screen and monitoring parameter, and alarming. It also prints out waves and parameters via a printer.

  • Page 31: Product Configuration

    Warning In order to avoid electrical shock, do not open the cover. Disassembling of the equipment should be done only by the service personnel authorized by BIONET Warning Users must pay attention on connection any auxiliary device via LAN port or nurse calling.
  • Page 32 BM5 (CS,CX) User’s Manual Features of Main Body FRONT Alarm Lamp Patient Monitor Silence Alarm Key Print Go/ Stop NIBP Go/Stop Key Function Key Trim Knob Control Key Power Key BACK Alarm Lamp Bionet Co., Ltd MADE IN KOREA Power Key #1101, E&C DREAM TOWER ,...
  • Page 33 BM5 (CS,CX) User’s Manual Right Side CONNECTOR NIBP CONNECTOR SpO2 CONNECTOR TEMPERATURE CONNECTOR EtCO2 CONNECTOR CONNECTOR Left Side Rev. 3.1 1.BASIC 32...

  • Page 34: Accessories

    BM5 (CS,CX) User’s Manual Accessories ECG Cable + Extension Cable Cable + Extension Cable NIBP Cuff+ Extension cable Temperature sensor (Option) Rev. 3.1 1.BASIC 33...

  • Page 35: Equipment Sign

    BM5 (CS,CX) User’s Manual Equipment Sign ATTENTION : Consult accompanying documents Defibrillator-proof TYPE CF APPLIED PART : Insulated (floating) applied part suitable for intentional external and internal application to the patient including direct cardiac application. "Paddles" outside the box indicate the applied part is defibrillator proof.
  • Page 36 BM5 (CS,CX) User’s Manual Ground Printer Serial Port LAN Port AUX Connector Port DC Input Indicator Battery Operation Indicator DC Input Connector NIBP Temperature Rev. 3.1 1.BASIC 35...
  • Page 37 BM5 (CS,CX) User’s Manual Function Power on Power off Respiration Heart Pulse Pulse Rate ALARM OFF Rev. 3.1 1.BASIC 36...

  • Page 38: Function And Key

    BM5 (CS,CX) User’s Manual 1.4 Function and Key External Function The front panel of this product consists of an LCD screen and five function keys and one trim knob. Alarm Lamp Parameter window Silence Alarm Print Go/Stop NIBP Go/Stop Funtion...
  • Page 39 BM5 (CS,CX) User’s Manual ALARM ALARM MAIN ALL ALARM PRINT: VOLUME: MENU LIMITS NURSE PREV ALARM ALARM CALL: MENU LEVEL REVIEW Rev. 3.1 1.BASIC 38...

  • Page 40: Standard Power Supply Application

    BM5 (CS,CX) User’s Manual 1.5 Standard Power Supply Application DC Power DC Power LED is lighted on when the DC Power is plugged into the inlet at the back of the product. A press of power key makes the machine ready for use.

  • Page 41: Battery Power Supply Application

    BM5 (CS,CX) User’s Manual 1.6 Battery Power Supply Application Battery power can be supplied for enabling a portable use or a use during DC power failure. Operation 1. Battery Power LED is lighted on when the machine is in use.
  • Page 42 The device will be turned off automatically after 5 minutes from that warning sign. In case of that warning sign with red and blink at icon box, charge the device immediately with DC power adaptor which is provided from BIONET. -Battery charging time: More than 6 hours...

  • Page 43: The Impact Of Lithium-Ion Battery Technology On The Battery

    12 months. BIONET recommends that you remove the battery and store it near the monitor until it is needed for transport.

  • Page 44: To Insert And Remove The Battery Pack

    BM5 (CS,CX) User’s Manual WARNING EXPLOSION HAZARD — DO NOT incinerate the battery or store at high temperatures. Serious injury or death could result. To insert and remove the battery pack. Assembly or replacement, as shown in the figure below.

  • Page 45: General Manu Operation

    BM5 (CS,CX) User’s Manual 1.7 General Manu Operation Screen Composition Real Time Wave Parameter Window Windows JOHN ICU110 10-MAY-09 12:23 PVC (/min)-- ST(mm) II X1 ST(mm)--.- 09:30 (93) 02:10 %SpO2 SpO2 RR II RR II (94) mmHg MAIN USER DISPLAY...
  • Page 46 BM5 (CS,CX) User’s Manual Display mode are consist of three mode. NORMAL MODE: It display with waveform and parameter value. BASIC PARAMETER MODE: It display with basic numeric value. FULL PARAMETER MODE: It display with all numeric value. NORMAL MODE...
  • Page 47 BM5 (CS,CX) User’s Manual ICU110 10-JAN-07 12:23 JOHN %SpO2 128.8 80.3 ℃ mmHg 128/80 128.5 40 32 09:60 (94) 02:10 EtCO2 40mmHg BED-001 FREEZE FULL PARAMETER MODE 10-JAN-07 12:23 JOHN ICU110 %SpO2 EtCO2 FiCO2 mmHg 128 80 EtCO2 ( 94)

  • Page 48: Menu Selection

    BM5 (CS,CX) User’s Manual Menu Selection JOHN ICU110 10-MAY-09 12:23 PVC (/min)-- ST(mm) II X1 ST(mm)--.- 09:30 (93) 02:10 Turn or press the knob. %SpO2 SpO2 RR II RR II (94) mmHg mmHg ℃ 36.7 42.0 30.0 36.7 42.0 BED-001 30.0...
  • Page 49 BM5 (CS,CX) User’s Manual Numerical value sign widow This window displays a measured parameter, function setup, and the boundary of parameter values. Parameter Breathing value rate Menu selection by using Trim Knob key As the key is turn to the right, the menu selection moves clockwise. As the key is turn to the left, the menu selection moves counterclockwise.
  • Page 50 BM5 (CS,CX) User’s Manual Word feature menu The following figure shows the screen where the word sequence menu is activated within the word sequence correction menu. Here, the cursor moves over the words when the Trim Knob key is turned in the clockwise direction.

  • Page 51: Patient/Data Management

    BM5 (CS,CX) User’s Manual 2. PATIENT/DATA MANAGEMENT 2.1 ADMIT CHANGE ADMIT INFO DISCHARGE HEIGHT WEIGHT 2.2 ALARM ALL LIMITS ALARM PRINT ALARM VOLUME ALARM LEVEL ARRHYTH LEVEL ALARM REVIEW ALARM LIST SAVE ALARM LEVEL NURSE CALL Rev. 3.1 2. PATIENT/DATA MANAGEMENT...
  • Page 52 BM5 (CS,CX) User’s Manual Additional setups are made foe each parameter function. One can make an overall setup for the entire monitor system. Rev. 3.1 2. PATIENT/DATA MANAGEMENT 51...

  • Page 53: Admit

    BM5 (CS,CX) User’s Manual 2.1 ADMIT CHANGE ADMIT INFO DISCHARGE HEIGHT UNIT WEIGHT UNIT DEFAULT SETTING DRUG CAL. ADMIT CHANGE MAIN TYPE: ADMIT DISCHARGE MENU INFO PREV DEFAULT DRUG CAL. UNITS MENU SETTING ADMIT TYPE Set the exercise environment of equipment in discharge status.

  • Page 54: Change Admit Info

    BM5 (CS,CX) User’s Manual CHANGE ADMIT INFO Last and first name (11 letters for each), sex (male or female), date of birth, weight, height, and patient ID (11 characters) ADMIT CHANGE MAIN TYPE: ADMIT DISCHARGE MENU INFO PREV DEFAULT DRUG CAL.

  • Page 55: Discharge

    BM5 (CS,CX) User’s Manual DISCHARGE Patient information and all numbers change to standard, and the screen displays, “ALL ALARMS OFF ADMIT PATIENT TO ACTIVE ALARMS.” ADMIT CHANGE MAIN TYPE: ADMIT DISCHARGE MENU INFO PREV DEFAULT DRUG CAL. UNITS MENU SETTING...

  • Page 56: Height

    BM5 (CS,CX) User’s Manual HEIGHT Unit of height is set as Cm / Inch. ADMIT CHANGE MAIN TYPE : ADMIT ADMIT MENU INFO PREV DEFAULT DRUG CAL. UNITS MENU SETTING MAIN WEIGHT: HEIGHT: MENU PREV MENU MAIN WEIGHT: HEIGHT: MENU...

  • Page 57: Default Setting

    BM5 (CS,CX) User’s Manual DEFAULT SETTING Register default values of patient information and alarm setting. ADMIT CHANGE MAIN TYPE: ADMIT ADMIT MENU INFO PREV DRUG DEFAULT UNITS MENU CALCS SETTING DRUG CALCULATION Menu to calculate drug dosage. ADMIT CHANGE MAIN...

  • Page 58: Titration Table

    BM5 (CS,CX) User’s Manual MAIN CHANGE TITRATION MENU VALUE TABLE DRUG QTY PREV RANGE: MENU 0.01~100 DOSE CALCULATIONS: RETURN UNITS LEVEL AMINOPHYLLINE DRUG NAME WEIGHT 60.0KG SOL VOLUME DRUG QTY DOSE/MIN 0.01 DOSE/HR 0.50 DOSE/KG/MIN 0.00 INF RATE ml/Hr 0.00...

  • Page 59: Drug Qty Range

    BM5 (CS,CX) User’s Manual TITRATION TABLE: AMINOPHYLLINE RETURN SOL VOLUME: 250 DOSE QTY : 500 DOSE INF RATE DOSE INF RATE mg/hr ml/Hr mg/hr ml/Hr 0.00 0.00 0.60 0.30 0.00 0.00 0.70 0.35 0.00 0.00 0.80 0.40 0.00 0.00 0.90 0.45...
  • Page 60 BM5 (CS,CX) User’s Manual Drug Initial setting table Drug Name Drug QTY Solution Volume Dose AMINOPHYLLINE 500 mg 250 mL 0.50 mg/hr BRETYLIUM 1000 mg 250 mL 1.00 mg/min DOPAMINE 800 mg 500 mL 2.00 mcg/kg/min DOBUTAMINE 500 mg 250 mL 2.50 mcg/kg/min...

  • Page 61: Alarm

    BM5 (CS,CX) User’s Manual 2.2 ALARM Alarm is divided into two, alarm for the patient’s condition and for the product’s condition. The patient’s alarm sounds when the diagnostic functions (ASYSTOLE, VTAC/VFIB, and VTAC) are detected. Each alarm sound differs in order in order and volume according to the levels of HIGH, MEDIUM, LOW and MESSAGE.

  • Page 62: All Limits

    BM5 (CS,CX) User’s Manual ALARM LEVEL：Priority of each parameter alarm can be set up. ALARM REVIEW： Shows the priority order information for all alarms of each measurement. NURSE CALL： Set the ON/OFF feature of the NURSE CALL. ALARM ALARM MAIN...

  • Page 63: Alarm Print

    BM5 (CS,CX) User’s Manual ALL ALARM LIMIT & LEVEL ALARM RETURN UNITS HIGH LEVEL ON/OFF HIGH SPO2-% MEDIUM SPO2-R MEDIUM RESP RESP-A HIGH NIBP-S mmHg MEDIUM NIBP-M mmHg NIBP-D mmHg TEMP1 °C 30.0 42.0 MESSAGE TEMP2 °C 30.0 42.0 MESSAGE -1.0...

  • Page 64: Alarm Volume

    BM5 (CS,CX) User’s Manual ALARM VOLUME Set the alarm volume to be set at 10 grades. ALARM ALARM MAIN ALARM PRINT: VOLUME: MENU PREV NURSE ALARM MENU CALL REVIEW ALARM > MAIN VOLUME: MENU PREV 100% MENU ALARM REVIEW After an alarm is triggered the alarms and data wave pattern can be reviewed. Set up for priority of each parameter alarm.

  • Page 65: Alarm List

    BM5 (CS,CX) User’s Manual ALARM LIST When an alarm activates, this shows the order of the alarms. SAVING ECG WAVE MAIN ALARM CONDITION: SELECT: MENU LIST HIGH PREV MENU John 10-MAR-2007 12:23 ST(mm): PVC (0/min): 0 mmHg II x2 MEDI...

  • Page 66: Saving Condition

    BM5 (CS,CX) User’s Manual John John 10-JAN-2007 12:23 10-MAR-2007 12:23 PVC 0/min ST(mm) ST(mm): PVC (0/min): 0 II II < RETURN TIME ALARM REVIEW 09:30 (93) 02:10 MEDIUM 2007/02/24 07:22:10 ALARM REVIEW 02/23 22:22:60 %SpO2 RETURN IBP1:---/---(---) IBP2:---/---(---) EtCO2/FiCO2:---/---mmHg SPO2...

  • Page 67: Ecg Wave Select (Alarm List Ecg Lead Select)

    BM5 (CS,CX) User’s Manual ECG WAVE SELECT (ALARM LIST ECG LEAD SELECT) This set ECG LEAD which is indicated in the saved alarm list. SAVING ECG WAVE MAIN ALARM CONDITION: SELECT: MENU LIST HIGH PREV MENU ECG WAVE MAIN >...

  • Page 68: Nurse Call

    BM5 (CS,CX) User’s Manual ARRHYTH ALARM LEVEL MESSAGE RETURN HIGH ASYSTOLE HIGH VTAC HIGH VTAC/VFIB MESSAGE BIGEMINY MESSAGE ACC VENT MESSAGE COUPLET IRRGULAR PAUSE MESSAGE MESSAGE R ON T MESSAGE TRIGEMINY MEDIUM V BRADY MEDIUM SHORT RUN NURSE CALL When an alarm is triggered, this activated the NURSE CALL function.
  • Page 69 BM5 (CS,CX) User’s Manual - ONE TIME : When an alarm occurs, occurs 3seconds of nurse call , and after stopping - CYCLING : When an alarm occurs, repeat the nurse call signal every 1seconds. Maintain the patient’s condition returned to normal, or until you stop the alarm by nurse.

  • Page 70: Setup

    BM5 (CS,CX) User’s Manual 3. SETUP 3.1 SETUP DISPLAY DEMO USER SERVICE MAKER SERVICE Rev. 3.1 3.SETUP...

  • Page 71: Setup

    BM5 (CS,CX) User’s Manual 3.1 SETUP DISPLAY : screen set menu KEY SOUND : This is the menu to set the key sound generation. USER SERVICE : This is the menu to set the connection used to interface with an external computer.

  • Page 72: Wave Select

    BM5 (CS,CX) User’s Manual PARAMETER WINDOW SET RETURN WINDOW ON/OFF SPO2 RESP NIBP TEMP IBP I IBP II ETCO2 WAVE SELECT Select waveform to display in large parameter display. WAVE MAIN SELECT: MENU PARA DATE & TIME SWEEP PREV COLOR...
  • Page 73 BM5 (CS,CX) User’s Manual * The large parameter display at the selection of ECG ICU110 10-JAN-07 12:23 JOHN %SpO2 128.8 80.3 ℃ mmHg 128/80 128.5 40 32 36.8 (94) 09:60 02:10 ST : -99.9 BED-001 FREEZE * The large parameter display at the selection of SpO2...
  • Page 74 BM5 (CS,CX) User’s Manual * The large parameter display at the selection of RESP ICU110 10-JAN-07 12:23 JOHN %SpO2 128.8 80.3 ℃ mmHg 128/80 128.5 40 32 36.8 (94) 09:60 02:10 RR II X1 BED-001 FREEZE * The large parameter display at the selection of EtCO2...

  • Page 75: Set Date & Time

    BM5 (CS,CX) User’s Manual SET DATE & TIME It has sub menu to set date and time. MAIN WAVE SELECT: SET PARA MENU DATE & TIME HR/PR PREV COLOR SWEEP: SELECT: MENU SELECT 25mm/s SET TIME Set time of equipment.

  • Page 76: Color Select

    BM5 (CS,CX) User’s Manual MAIN MENU DATE: 06-DEC-2007 PREV MENU COLOR SELECT This is the menu to set the waveform and parameter color selection. It has ten color below table. The color of parameter could be changed in ten colors from following table.

  • Page 77: Hr/Pr Select

    BM5 (CS,CX) User’s Manual HR/PR SELECT This menu is used to set the source that detects heart and pulse rate. The source can select among ECG and SPO2. WAVE MAIN SELECT: MENU PARA DATE & TIME SWEEP HR/PR PREV COLOR...

  • Page 78: Demo

    SERVICE PREV UNIT DEMO: MAKER MENU SELECT SERVICE UNIT SELECT This is the menu for converting the units of BM5. The units of parameters for pressure, ST LEVEL, Temperature are able to convert. MAIN USER DISPLAY SOUND: MENU SERVICE PREV...
  • Page 79 BM5 (CS,CX) User’s Manual Pressure unit selection menu PRESS TEMP MAIN UNIT: UNIT: UNIT: MENU mmHg °C PREV MENU PRESS TEMP MAIN UNIT: UNIT: UNIT: MENU °C PREV MENU ST LEVEL unit selection menu PRESS TEMP MAIN UNIT: UNIT: UNIT:...

  • Page 80: User Service

    BM5 (CS,CX) User’s Manual USER SERVICE The user is able to set the communication parameters, power supply filter, and patient’s age. MAIN USER DISPLAY SOUND: MENU SERVICE PREV DEMO : MAKER SOUND: MENU SERVICE SET BED MAIN UNIT NUMBER MENU...

  • Page 81: Set Bed Number

    BM5 (CS,CX) User’s Manual SET BED NUMBER Set up for patient bed number. Allowable setters are from 1 to 255. SET BED MAIN UNIT NUMBER MENU NAME : 001 PREV W-LAN: SYSTEM FILTER: MENU 50HZ MAIN SET UNIT SET BED...

  • Page 82: System

    BM5 (CS,CX) User’s Manual SYSTEM System able to change and verify Equipment version information and system information SYSTEM RETURN CONTENTS MAIN VER 1.00.BHCDDCCAA EIA VER 1.01 NBP VER CENTRAL HOST IP 192 . 168 . 030 . 077 DEVICE IP 192 .

  • Page 83: Trend

    BM5 (CS,CX) User’s Manual 4. TREND 4.1 TREND GRAPHIC TREND TABLE TREND TREND WINDOW SETUP 4.TREND Rev. 3.1...

  • Page 84: Trend

    BM5 (CS,CX) User’s Manual 4.1 TREND TREND shows saved data graphically displayed with numeric values. Real-time data recording duration is 1 minute. Amount of saving time is for this data will be saving for 168hours. TREND MAIN GRAPHIC TABULAR WINDOW...

  • Page 85: Graphic Trend

    BM5 (CS,CX) User’s Manual GRAPHIC TREND Wave Data can be stored and seen according to section. TREND MAIN GRAPHIC TABULAR WINDOW MENU TREND TREND SETUP PREV MENU JOHN ICU110 10-MAY-09 12:23 PVC (/min)-- ST(mm) II X1 ST(mm)--.- GRAPHIC TREND 10-MAY-2009...

  • Page 86: Time Period

    BM5 (CS,CX) User’s Manual TIME PERIOD One can set up and store data and time that one can see in a screen. JOHN ICU110 10-MAY-09 12:23 PVC (/min)-- ST(mm) II X1 ST(mm)--.- GRAPHIC TREND 10-MAY-2009 09:30 (93) HR(66 ) ST(12.4 )

  • Page 87: Tabular Trend

    BM5 (CS,CX) User’s Manual TABULAR TREND One can see the stored data at the time previously set up. TREND MAIN GRAPHIC TABULAR WINDOW MENU TREND TREND SETUP PREV MENU JOHN ICU110 10-MAY-09 12:23 PVC (/min)-- ST(mm) II X1 ST(mm)--.- TABULAR TREND...

  • Page 88: Time Interval

    BM5 (CS,CX) User’s Manual TIME INTERVAL One can store data and set up time. JOHN ICU110 10-MAY-09 12:23 PVC (/min)-- ST(mm) II X1 ST(mm)--.- TABULAR TREND 10-MAY-2009 09:30 (93) 10-MAY 10-MAY 10-MAY 10-MAY 10-MAY 02:10 12:10 12:09 12:08 12:07 12:06...

  • Page 89: Time Period

    BM5 (CS,CX) User’s Manual JOHN ICU110 10-MAY-09 12:23 PVC (/min)-- ST(mm) II X1 ST(mm)--.- 20.0 -20.0 NIBP 09:30 (93) 02:10 %SpO2 %SpO2 SpO2 TEMP RR II RR II 45.0 15.0 IBP1 (94) IBP2 mmHg EtCO2 mmHg ℃ 36.7 42.0 11:23 12:23 30.0...

  • Page 90: Set Trend Para

    BM5 (CS,CX) User’s Manual SET TREND PARA Set parameter for display in a screen. TIME MAIN SET TREND PERIOD: MENU PARA 30MINS PREV MENU SET TREND PARA RETURN ON / OFF SPO2 RESP NIBP TEMP IBP I IBP II ETCO2...

  • Page 91: Ecg

    BM5 (CS,CX) User’s Manual 5. ECG 5.1 Outline Color and Name for Each Cable Size ECG Connector Location and Measurement Cable 5 Lead Electrode Attached Location 3 Lead Electrode Attached Location Method to Attach Electrode to Baby 5.2 ECG Data Window 5.3 ECG Data Setup...

  • Page 92: Introduction

    BM5 (CS,CX) User’s Manual 5.1 Introduction It calculates the heart rate with 3 or 5 leads or10 leads ECG signal acquisition and perform the alarm according to the setting value. Colors and Standards of Cables AHA：American Heart Association (U.S.A. Certification) IEC：International Electro technical Commission (Europe Certification)

  • Page 93: Position Of Ecg Connector And Measuring Cable

    BM5 (CS,CX) User’s Manual Position of ECG Connector and Measuring Cable ECG connecter +detect cable Attaching Electrodes to the Patient 1. Shave excess hair. With a piece of cotton pad moistened with alcohol, clean the patient’s skin where the electrodes should be mounted. Avoid wrinkled or uneven skin areas. Wipe off the alcohol with a dry cotton pad.

  • Page 94: Choosing An Ecg Lead For Arrhythmia Monitoring

    BM5 (CS,CX) User’s Manual and the correct ECG cannot be obtained.  If the contact is bed before the expiration date on the package, replace the electrode with a new one. To obtain a stable ECG wave form rub the skin with “skin Pure” skin preparation gel or ...

  • Page 95: Information On The Ecg Waveform

    BM5 (CS,CX) User’s Manual Information on the ECG waveform When ECG signal is 80bpm T-wave duration is 180ms, and the QT interval is 350ms. 10 Position of 10-Lead 5 Position of 5-Lead Rev. 3.1 5.ECG...

  • Page 96: Position Of 3-Lead Wrier Electrode

    BM5 (CS,CX) User’s Manual Position of 3-Lead Wrier Electrode How to Attach the NEONATE Electrode Rev. 3.1 5.ECG...

  • Page 97: Ecg Data Window

    BM5 (CS,CX) User’s Manual 5.2 ECG Data Window QRS: Detects QRS, and Pace Detector flashes when QRS is Indicators: detected. Detects and displays the patient’s pace maker and flashes. Heart Rate Alarm Limit: Decides the QRS limits, and Heart Rate: gives an alarm if a value is over Displays heart rate per minute.
  • Page 98 BM5 (CS,CX) User’s Manual Safety Precautions Warning CABLES — Route all cables away from patient's throat to avoid possible strangulation. CONDUCTIVE CONNECTIONS — Extreme care must be exercised when applying medical electrical equipment. Many parts of the human/machine circuit are conductive, such as the patient, connectors, electrodes, transducers.
  • Page 99 BM5 (CS,CX) User’s Manual personnel that there is no danger to the patient, the operator, or the environment as a result. In those instances where there is any element of doubt concerning the safety of connected devices, the user must contact the manufacturers concerned (or other informed experts) for proper use.

  • Page 100: Ecg Data Setup

    BM5 (CS,CX) User’s Manual 5.3 ECG Data Setup A setup window appears at lower part of the screen when the Trim Knob Key is pressed in the ECG Parameter Window. Selection is made by pressing the Trim Knob Key, while movement across the menu is performed by turning the key either clock or anticlockwise.
  • Page 101 BM5 (CS,CX) User’s Manual > MAIN TRACE I: MENU PREV MENU LEAD 2 SELECT MENU MAIN TRACE I : TRACE II : MENU PREV MENU MAIN TRACE II: > MENU PREV MENU Alarm Limit is 0 ~ 350. MAIN LEAD...

  • Page 102: Qrs Volume

    BM5 (CS,CX) User’s Manual ECG ALARM LIMIT & LEVEL ALARM RETURN UNITS HIGH LEVEL ON/OFF MEDIUM -1.0 MEDIUM /min MEDIUM QRS VOLUME Move the Key to select a volume rate from OFF, 10% to 100%. MAIN LEAD ALARM VOLUME :...

  • Page 103: Ecg Sweep Speed

    BM5 (CS,CX) User’s Manual ECG SWEEP SPEED ECG speed is 25 mm/s. Speed is changeable to 6.25, 12.5, 25, 50mm/s. SWEEP MAIN VIEW SPEED : SIZE : MENU 25 mm/s PREV MENU SWEEP MAIN VIEW SPEED : 6.25 mm/s MENU 25 mm/s 12.5 mm/s...

  • Page 104: Analysis Setting

    BM5 (CS,CX) User’s Manual SWEEP MAIN VIEW SPEED : SIZE : MENU 25 mm/s PREV MENU SWEEP MAIN VIEW > SPEED : MENU 25 mm/s 12CH PREV MENU ANALYSIS SETTING Analysis setting is divided to 3 menus. MAIN LEAD ALARM...
  • Page 105 BM5 (CS,CX) User’s Manual MAIN FILTER : > MONITOR MENU MONITOR MODERATE MAXIMUM PREV DIAGONOSIS MENU PACE：Sets up ON/OFF to indicate that the patient has PACE. The PACE menu option enables/disables the pacemaker detection program. MAIN PACE : ARRHYTHM :...
  • Page 106 BM5 (CS,CX) User’s Manual ARRHYTH： Sets up ON/OFF to indicate detection of diagnosis (Asys, VTAC/VFIB and VTAC). OFF: Do not perform arrhythmia diagnosis. LETHAL: Performs the detection of Asys, VTAC/VFIB, and VTAC at the selected lead FULL: Performs the detection of all 13 arrhythmia.
  • Page 107 BM5 (CS,CX) User’s Manual BIGEMINY Occurs when two or more bigeminal cycles (a ventricular beat followed by a non-ventricular beat) are detected. BRADY Bradycardia is the average of the most recent eight R-to-R intervals at a heart rate less than the set low heart rate limit.
  • Page 108 BM5 (CS,CX) User’s Manual TRIGEMINY Occurs when two or more trigeminal cycles (a ventricular beat followed by two non- Ventricular beats) are detected. V BRADY Adult—Ventricular bradycardia occurs when a run of three or more ventricular beats is detected with an average heart rate that is less than or equal to 50 beats per minute.
  • Page 109 BM5 (CS,CX) User’s Manual TEMPLETE SELECT: TEMPLETE SELECT: Select a Representative Lead of ST LEVEL. The trace of the selected LEAD shows up at ST Window of POPUP TREND WINDOW * In case of 3 Lead, this is fixed to Lead II.

  • Page 110: Ch Ecg Analysis

    BM5 (CS,CX) User’s Manual MAIN PACE : ARRHYTHM : FILTER : MENU FULL MONITOR PREV ARRHYTH ANALYSIS: MENU SETTING LEVEL ARRHYTH LEVEL: One can set up priorities when he or she uses the alarm for the diagnostic function. MAIN PACE :...
  • Page 111 BM5 (CS,CX) User’s Manual 12 CH MAIN ADMIT ANALYSIS REVIEW MENU INFO PREV CLEAR SENSITIVITY MENU 12LEAD ANALYSIS RUN This is the start command of 12 CH ECG ANALYSIS. 12 CH MAIN ADMIT ANALYSIS REVIEW MENU INFO PREV CLEAR SENSITIVITY...
  • Page 112 36.7 42.0 MENU BED-001 FREEZE 30.0 If ECG Board sends diagnosis code to BM5, it will display the interpretation of following table at the report and the screen. NUMBER CODE DESCRIPTION Sinus Node Rhythms and Arrhythmias 111 Normal Sinus Rhythm 112 Sinus Bradycardia (HR : 50-59) 113 Sinus Bradycardia (HR <...
  • Page 113 BM5 (CS,CX) User’s Manual 215 Multifocal Atrial Tachycardia 216 Nonsustained Atrial Tachycardia 217 Atrial Flutter 218 Atrial Fibrillation 219 (possible) Atrial Flutter with 2:1 AV conduction 221 Junctional Rhythm 222 Supraventricular Tachycardia(AV node dependent Tachycardia) 223 Nonsustained Supraventricular Tachycardia 231 PAC(Premature Atrial Contraction)
  • Page 114 BM5 (CS,CX) User’s Manual 332 EVR (Escape Ventricular Rhythm) AV and Intraventricular Conduction 411 AV Block I 412 AV Block II-1 413 AV Block II-2 414 2:1 AV Block 415 AV Block III 421 ICRBBB (Incomplete Right Bundle Branch Block)
  • Page 115 BM5 (CS,CX) User’s Manual 712 ST abnormality, possible subendocardial ischemia (Anterolateral) 713 ST abnormality, possible subendocardial ischemia (Anterior) 714 ST abnormality, possible subendocardial ischemia (High Lateral) 715 ST abnormality, possible subendocardial ischemia (Inferior) 720 ST abnormality, possible transmural injury 721 ST abnormality, possible transmural injury (Anteroseptal)
  • Page 116 BM5 (CS,CX) User’s Manual Warning This device uses a computerized 12-lead ECG analysis program which can be used as a tool in ECG tracing interpretation. This computerized interpretation is only significant when used in conjunction with clinical findings. All computer-generated tracings should be overread by a qualified physician.
  • Page 117 BM5 (CS,CX) User’s Manual ANALYSIS WAVE Showing interpreted ECG wave for 2.5 seconds period of each 3 channels in total 10 seconds from starting Interpretation. For example, each channel shows each time period as CH I, II, III show for 0~2.5 second section, CH aVR, aVL, aVF show in 2.5~5 second section, CH V1, V2, V3 show in 5~7.5 second section and CH V4, V5, V6 show in 7.5~ 10 second...
  • Page 118 BM5 (CS,CX) User’s Manual ADMIT INFO This is a menu for setup the configuration of interpretation. This is made up with 3 sub-menus. 12 CH MAIN ADMIT ANALYSIS REVIEW MENU INFO PREV CLEAR SENSITIVITY MENU CHANGE ADMIT INFORMATION RETURN DESCRIPTION...
  • Page 119 BM5 (CS,CX) User’s Manual CLEAR This is the deleting function for result of interpretation. The results of analysis report, average wave and analysis wave are deleted if this menu is selected. 12 CH MAIN ADMIT ANALYSIS REVIEW MENU INFO PREV...
  • Page 120 BM5 (CS,CX) User’s Manual CAUTION FDA POSTMARKET SAFETY ALERT The United States FDA Center for Device and Radiological Health issued a safety bulletin October 14, 1998. this bulletin states “that minute ventilation rate-adaptive implantable pacemakers can occasionally interact with certain cardiac monitoring and diagnostic programmed rate.”...

  • Page 121: Trouble Shooting

    BM5 (CS,CX) User’s Manual Trouble shooting Problem : Inaccurate heart rate and/or false a systole. Solution : Check ECG signal from patient: 1. Check/adjust lead placement. 2. Check/perform skin preparation. 3. Check/replace electrodes. Check amplitude of ECG waveform: 1. Select ECG parameter label.
  • Page 122 BM5 (CS,CX) User’s Manual Problem : Inaccurate pacemaker detection Solution : Use pacemaker processing: 1. Select ECG parameter label. 2. Display the lead of ECG with the greatest amplitude in the top waveform position. 3. Select ANALYSIS SETTINGS. 4. SELECT DETECT PACE.

  • Page 123: Spo

    BM5 (CS,CX) User’s Manual 6. SpO 6.1 Outline Connector Location and Measuring Cable 6.2 SpO2 Data Window 6.3 SpO2 Data Setup SWEEP SPEED RATE VOLUME ALARM ALARM LIMIT Rev. 3.1 6. SpO2...

  • Page 124: Outline

    BM5 (CS,CX) User’s Manual 6.1 Outline SPO2 monitoring is a noninvasive technique used to measure the amount of oxygenated hemoglobin and pulse rate by measuring the absorption of selected wavelengths of light. The light generated in the probe passes through the tissue and is converted into an electrical signal by the photodetector in the probe.

  • Page 125: Spo2 Data Window

    BM5 (CS,CX) User’s Manual 6.2 SpO Data Window Alarm Limit： Indicates an SpO alarm limit %SpO2 Strength indicators： Oxygen Concentration in the Indicates SpO Strength in a bar Blood(SpO2 value) graph. : Indicates %SpO in numbers. The current SPO2 value and the derived pulse rate (RATE) are displayed. The block sets indicate the strength of the signal (twenty block bars indicate the strongest signal).

  • Page 126: Signal And Data Validity

    BM5 (CS,CX) User’s Manual Signal and Data Validity It is extremely important to determine that the probe is attached to the patient correctly and the data is verifiable. To make this determination, three indications from the monitor are of assistance—signal strength bar, quality of the SPO2 waveform, and the stability of the SPO2 values.
  • Page 127 BM5 (CS,CX) User’s Manual Stability of SPO2 Values The stability of the displayed SPO2 values can also be used as an indication of signal validity. Although stability is a relative term, with a small amount of practice one can get a good feeling for changes that are artifactual or physiological and the speed of each.

  • Page 128: Spo Data Setup

    BM5 (CS,CX) User’s Manual 6.3 SpO Data Setup ALARM LIMIT： Menu in which SpO limits are set up. SWEEP SPEED: speed SpO2 Waveform display setting menu RATE VOLUME：Menu in which RATE VOLUME is set up RATE MAIN ALARM VOLUME: MENU RATE VOLUME Move the KEY to select the volume from OFF to 100%.
  • Page 129 BM5 (CS,CX) User’s Manual 4. Place the cursor to HIGH and press, when the color changes, move the cursor again to select the targeted value, and press. Finally move to SpO and press. (You may decide to perform the process in the opposite order, LOW to HIGH, to have the same result.)

  • Page 130: Lead Fault Condition

    BM5 (CS,CX) User’s Manual LEAD FAULT Condition When using a reusable finger probe, there is a system alarm to alert you when the probe is off the Monitor. The monitor defaults this “ LEAD FAULT” condition as a System Warning alarm. however, You can set it as a System ALARM LEVEL in Monitor Defaults.

  • Page 131: Respiration

    BM5 (CS,CX) User’s Manual 7. RESPIRATION 7.1 Outline Respiration Connector and Measuring Cable 7.2 RESPIRATION Data Window 7.3 RESPIRATION Data Setup Respiration Size Alarm Limit Rev. 3.1 7. RESPIRATION 130...

  • Page 132: Outline

    BM5 (CS,CX) User’s Manual 7.1 Outline Respiration via ECG Lead II electrode makes the skin area of the chest enlarged, causing changes in the resistance of skin. Through this it calculates respiration value per minutes and performs the alarm function according to limit value.
  • Page 133 BM5 (CS,CX) User’s Manual Respiration Connector and Measuring Cable Respiration Connecter Respiration Measuring Cable Rev. 3.1 7. RESPIRATION...

  • Page 134: Respiration Data Window

    BM5 (CS,CX) User’s Manual 7.2 Respiration Data Window Breathe indicator: Indicates the detected breath Apnea Limit Setting: Apnea limit sign Respiration alarm limit: Indicates respiration limits. Breathing Number: Displays the number of respiration per minute. Rev. 3.1 7. RESPIRATION...

  • Page 135: Respiration Data Setup

    BM5 (CS,CX) User’s Manual 7.3 Respiration Data Setup ALARM: Respiration alarm setting menu RESP SIZE: A menu to setup Wave Display SWEEP SPEED: A menu to setup Wave Display of speed APNEA DETECT: A menu to setup APNEA alarm display...

  • Page 136: Respiration

    BM5 (CS,CX) User’s Manual RESPIRATION Set wave pattern size X2~ X10. SWEEP RESP MAIN ALARM SPEED : SIZE : MENU 12.5mm/s APNEA LEAD DETECT : SELECT: RESP MAIN > X 2 ALARM SIZE : MENU APNEA DETECT : APNEA DETECT...

  • Page 137: Lead Select

    BM5 (CS,CX) User’s Manual LEAD SELECT This is for changing the reference LEAD for respiration LEAD I or LEAD II can be selected. SWEEP RESP MAIN ALARM SPEED : SIZE : MENU 25mm/s APNEA LEAD DETECT : SELECT: SWEEP RESP...
  • Page 138 BM5 (CS,CX) User’s Manual 6. When the color has changed, move the cursor to select the value, and press. 7. A press in the HIGH position, the color changes. Then move the cursor to select the value and press. Move again to RESP-A, and press.

  • Page 139: Nibp

    BM5 (CS,CX) User’s Manual 8. NIBP 8.1 Outline NIBP Connector Location and Cuff 8.2 NIBP Data Window 8.3 NIBP Data Setup ALARM LIMIT ALARM CUFF SIZE UNIT SELECT INTERVAL STAT INFLATION Rev. 3.1 8.NIBP...

  • Page 140: Outline

    BM5 (CS,CX) User’s Manual 8.1 Outline This function is to measure minimum, Maximum and average blood pressure by using Oscillometric method Position of NIBP Connecter and cuff NIBP Connector ADULT CUFF Note As the value of NIBP can vary according to the age and sex of a patient, the user needs to set up right data in Parameter Menu before measurement.
  • Page 141 BM5 (CS,CX) User’s Manual Note As the value of NIBP can vary according to the age and sex of a patient, the user needs to set up right data in parameter Menu before measurement. Tubes between the cuff and the monitor are not kinked or blocked.

  • Page 142: Nibp Data Window

    BM5 (CS,CX) User’s Manual 8.2 NIBP Data Window Alarm Limit：Indicates alarm limit of blood pressure. Systolic pressure： Indicates the maximum limit of blood pressure display mmHg Diastolic blood 09:30 pressure：Indicates 1 HR the minimum limit of (93) Measurement time 0:54...

  • Page 143: Nibp Data Setup

    BM5 (CS,CX) User’s Manual 8.3 NIBP Data Setup ALARM： A menu to set the Alarm STAT: A menu to start 5 minutes of continuous, sequential NIBP measurements. CUFF SIZE：A menu to select cuff size UNIT SELECT: A menu to select the pressure unit INTERVAL ：A menu to set Interval time when measures the blood pressure periodically...

  • Page 144: Nibp Stat

    BM5 (CS,CX) User’s Manual NIBP CUFF MAIN STAT: ALARM SIZE: MENU UNIT INFLATION: INTERVAL: SELECT: 170mmHg mmHg NIBP ALARM LIMIT & LEVEL ALARM RETURN UNITS HIGH LEVEL ON/OFF mmHg MEDIUM NIBP-S NIBP-M mmHg NIBP-D mmHg NIBP STAT Start 5 minutes of continuous, sequential NIBP measurements.

  • Page 145: Cuff Size

    BM5 (CS,CX) User’s Manual CUFF SIZE The user can select a CUF between ADULT and NEONATAL. NIBP CUFF MAIN STAT: ALARM SIZE: MENU UNIT INFLATION: INTERVAL: SELECT: 170mmHg mmHg MAIN CUFF ALARM MENU SIZE: > ADT UNIT SELECT: mmHg UNIT SELECT It is a function to set blood pressure measurement unit.

  • Page 146: Interval

    INFLATION It is a function for set the maximum initial inflation pressure value. The range of initial inflation pressure value of BM5 (CS, CX) is as follows. ADT/PED : Numeric value is 80, 90, 100, 110, ~ 230, and 240.
  • Page 147 INTERVAL: SELECT: 80mmHg mmHg The range of initial inflation pressure value of BM5 CX is as follows. ADT : Numeric value is 120 – 250mmHg PED : Numeric value is 80 – 170mmHg Numeric value is 60 – 140mmHg CUFF...
  • Page 148 BM5 (CS,CX) User’s Manual Warning Pay attention to not to block connecting hose when you put cuff on patient. Rev. 3.1 8. NIBP 147...

  • Page 149: Ibp

    BM5 (CS,CX) User’s Manual 9. IBP 9.1 Description IBP Connectors & Accessories 9.2 IBP Data Window 9.3 IBP Data Setting CHANGE NAME (Configuration of measuring position) SCALE (Configuring size of measurement waveform) ALARM LIMITS (Maximum / Minimum Alarming Values) SETTINGS (Various Settings) ZERO (Zero-Point Setting) Rev 3.1...

  • Page 150: Description

    BM5 (CS,CX) User’s Manual 9.1 Description IBP has an alarming function based on the maximum & minimum alarming values configured by measuring the systolic, diastolic and mean blood pressure values with signal processing of electric signals which are transformed from changes in impedance components according to the changes of blood flow in vessels.
  • Page 151 BM5 (CS,CX) User’s Manual TranStar Disposable Pressure Transducers Cartridges and Monitoring kit Rev 3.1 9. IBP 150...
  • Page 152 BM5 (CS,CX) User’s Manual Rev 3.1 9. IBP 151...

  • Page 153: Ibp Data Window

    BM5 (CS,CX) User’s Manual 9.2 IBP Data Window Different data windows are displayed on the screen according to the measuring positions. Measuring Position: Position of blood pressure measurement Systolic Blood Pressure: Indicating maximum blood pressure value Diastolic Blood Pressure: Indicating minimum blood pressure value...

  • Page 154: Ibp Data Setting

    BM5 (CS,CX) User’s Manual 9.3 IBP Data Setting Labels for measuring positions are described on each menu. CHANGE NAME: Menu to set measuring position SCALE: Menu to set size of measurement waveform on screen. LIMITS: Menu to set alarming range.
  • Page 155 BM5 (CS,CX) User’s Manual List & Description of IBP Measurement Parameter Label Parameter Window, Scales Menu Window or Alarm Limits Pop-up Menu will appear according to the Labels. IBP displays the measuring positions based on 10 labels shown in the below table.
  • Page 156 BM5 (CS,CX) User’s Manual SCALE (Setting size of measurement waveform) You can set the pressure range for measurement waveform on this menu. The selectable values mean the maximum blood pressure range value that can be shown in a waveform. CHANGE...
  • Page 157 BM5 (CS,CX) User’s Manual The below table shows the settable values of standard alarm limits and scales of parameters for label setting. Adult Neonatal Parameter High Scale High Scale ART-S ART-D ART-M ART-PR FEM-S FEM-D FEM-M FEM-PR UAP-S UAP-D UAP-M...
  • Page 158 BM5 (CS,CX) User’s Manual IBP SETTING (Setting Various Functions) Other menus are to be applied for special functions to process pressure signals in various ways. CHANGE MAIN SCALE: NAME ALARM MENU :ART ZERO SETTING MAIN FILTER: MENU PREV MENU Setting three labels of ART, FEM and UAP displaying PULSE-RATE among labels, the functions of PULSE-RATE DISPLAY and DISCONNECT ALARM will be added.
  • Page 159 BM5 (CS,CX) User’s Manual DISCONN. MAIN FILTER: ALARM: MENU > 12 Hz 20Hz PREV MENU PULSE RATE: Setting display of blood pressure pulse rate. PULSE DISCONN. MAIN FILTER: RATE: ALARM: MENU PREV MENU PULSE DISCONN. MAIN FILTER: RATE: ALARM: MENU...
  • Page 160 BM5 (CS,CX) User’s Manual Midium alarming sound will be generated when the DISSCONNECTED ALARM is activated, and the alarming message “DISCONNECTED” will be displayed on the parameter screen. PULSE DISCONN. MAIN FILTER: RATE: ALARM: MENU PREV MENU PULSE DISCONN. MAIN...
  • Page 161 BM5 (CS,CX) User’s Manual ZERO ART: (Zero-point Adjustment) Use ZERO option to set the zero-point of Transducer. CHANGE MAIN SCALE: NAME ALARM MENU :ART ZERO SETTING Procedures (Zero reference) 1) Close the transducer stopcock on the patient’s side. 2) Open the venting stopcock on the air side.
  • Page 162 BM5 (CS,CX) User’s Manual Note  Check if there is a scratch on the catheter balloon before using.  Do not reuse disposal parts and accessories.  Do not use Saline packs with passed expiration dates.  Do not use pressure measurement kits in torn packages.

  • Page 163: Etco2

    BM5 (CS,CX) User’s Manual 10. EtCO2 10.1 INTRODUCTION Position of EtCO Connector and Accessory EtCO ACCESSORY 10.2 EtCO Parameter Window 10.3 EtCO Parameter Setting Menu ALARM SWEEP SPEED WAVEFORM SCALE: APNEA DETECT SETTINGS ZERO 10.4 TROUBLESHOOTING Rev 3.1 10.EtCO2 162...

  • Page 164: Introduction

    BM5 (CS,CX) User’s Manual 10.1 Introduction ETCO2(End-Tidal CO2) is a device to see the concentration of end-tidal carbon dioxide, which uses a method of measurement based on the non-dispersed IR absorption of CO2 using IR ray by sampling a certain part of respiration through pipe during respiration.
  • Page 165 BM5 (CS,CX) User’s Manual EtCO2 accessories for sidestream applications EtCO2 monitoring accessory uses the accessories for LoFlo™ sidestream module of Respironics Company. The airway adapters for sidestream intubated applications 3473ADU-00 Airway Adapter Weight: 4.5 grams Deadspace – adds approximately 7...
  • Page 166 BM5 (CS,CX) User’s Manual 2. Inserting the sample cell into the receptacle automatically starts the sampling pump. Removal of the sample cell turns the sample pump off. 3. To remove the sampling kit sample cell from the sample cell receptacle, press down on the locking tab and pull the sample cell from the sample cell receptacle.
  • Page 167 BM5 (CS,CX) User’s Manual The airway adapters for mainstream intubated applications 6063-00 Single-Patient Use Airway Adapter 6312-00 Single-Patient Use Airway Adapter 7007-00 Reusable Airway Adapter 7053-00 Reusable Airway Adapter Connecting the CAPNOSTAT® 5 CO2 Sensor to the Host System 1. Insert the CAPNOSTAT 5 CO Sensor connector into the receptacle of the host monitor as shown in Figure 1.
  • Page 168 BM5 (CS,CX) User’s Manual Shown below is the CAPNOSTAT 5 CO Sensor connection to a Respironics Novametrix CO adapter Shown below is the CAPNOSTAT 5 CO Sensor with a patient circuit: Rev 3.1 10. EtCO2...

  • Page 169: Etco2 Parameter Window

    BM5 (CS,CX) User’s Manual 10.2 EtCO2 Parameter Window EtCO2 FiCO2 EtCO2 FiCO2 AWRR 0 20 Upper/lower limit value of alarm APNEA detection time S: Display of apnea setting time in second unit Upper/lower limit value of alarm: Display of alarm setting range value for concentration of CO...

  • Page 170: Etco2 Parameter Setting Menu

    BM5 (CS,CX) User’s Manual 10.3 EtCO2 Parameter Setting Menu ALARM : A menu to set the alarm limit and sound. SWEEP SPEED: EtCO2 sweep speed is changeable to 6.25, 12.5, 25mm/s. WAVEFORM SCALE: A menu to set the screen scale of measured waveform.

  • Page 171: Etco2 Sweep Speed

    BM5 (CS,CX) User’s Manual EtCO2 ALARM LIMIT RETURN UNITS HIGH mmHg EtCO2 mmHg FiCO2 AWRR APNEA The following table shows standard alarm limit of parameter and setting value of scale when setting the label. Adult Neonatal Parameter High Scale High...

  • Page 172: Waveform Scale (Measured Waveform Scale Setting)

    BM5 (CS,CX) User’s Manual SWEEP MAIN ALARM SPEED: MENU > 6.25mm/s 6.25mm/s 12.5mm/s APNEA 25mm/s DETECT: WAVEFORM SCALE (Measured waveform scale setting) This sets the range of measured waveform versus pressure. Selectable numerical value means the maximum pressure range value that is shown with waveform.

  • Page 173: Settings (Various Setting)

    BM5 (CS,CX) User’s Manual 1. Set the Host to the zeroing function. 2. Connect the CAPNOSTAT 5 CO2 Sensor 3. Place the CAPNOSTAT 5 CO2 Sensor onto a clean and dry CO2 adapter that is exposed to room air and away from all sources of CO2, including the ventilator, the patient’s breath and your own.
  • Page 174 BM5 (CS,CX) User’s Manual MODULE SETUP RETURN CONTENTS BAROMETRIC PRESSURE 760 mmHg 36.5 ℃ GAS TEMPERATURE NO BREATH DETECT TIMEOUT 0 SEC O2 COMPENSATION 21 % ANESTHETIC AGENT 0.0 % BALANCE GAS ROOM AIR CURRENT ETCO2 TIME PERIOD 0000-00-00-00 CURRENT CO2 UNIT...
  • Page 175 BM5 (CS,CX) User’s Manual Mode command [command 80h] and the CO Waveform Mode command [command 90h] ) MUST NOT be active when this command is used otherwise this command will be ignored and the setting will remain unchanged. SLEEP MODE: Sleep mode is used to save power when the host monitor is in standby mode.

  • Page 176: Module Info

    BM5 (CS,CX) User’s Manual MODULE INFO This is information for handling the EtCO2 module. MAIN MODULE MODULE MODULE MENU SETUP INFO RESET PREV MENU MODULE INFORMATION SET RETURN CONTENTS SENSOR PN 1022054 OEM ID 0X01 SENSOR SN SN6412 HW REVISION NUM TOTAL USE TIME 148830 MIN.

  • Page 177: Module Reset

    BM5 (CS,CX) User’s Manual MODULE RESET This command is used to cause a system watchdog reset in the sensor. When this command is issued, the system enters an infinite loop and a watchdog timer resets the system one second later.
  • Page 178 BM5 (CS,CX) User’s Manual Warning If defibrillation is performed while doing CO2 monitoring, remove the CO2 FilterLine from patient Getting in touch with sensor cable without removing the FilterLine can result in serious electrical burn, shock, or injury due to electric discharge energy.

  • Page 179: Troubleshooting

    BM5 (CS,CX) User’s Manual 10.4 TROUBLESHOOTING Following is a list of some of the message that may appear on the monitor when monitoring CO2. The message should clear when normal operating criteria are met or a solution is found. * SENSOR OVER TEMP - Cause : The sensor temperature is greater than 40’C...

  • Page 180: Temperature

    BM5 (CS,CX) User’s Manual 11. TEMPERATURE 11.1 Outline Temperature Connector and Measuring Cable 11.2 Temperature Data Window 11.3 Temperature Data Setup ALARM LIMIT UNIT SELECT Rev. 3.1 11.TEMPERATURE 179...

  • Page 181: Outline

    BM5 (CS,CX) User’s Manual 11.1 Outline This function is used to indicate the changes of resistance generated by the changes of temperature in numbers. The function involves the process of transferring the changes into electric signals. Temperature Connector and Measuring Cable...

  • Page 182: Temperature Data Window

    BM5 (CS,CX) User’s Manual 11.2 Temperature Data Window Unit： Displays temperature unit. ℃ 36.7 Temperature： 37.0 Displays 35.0 136.7 93.0 temperature. 135.0 Alarm limit on the least low temperature ： Indicates temperature limits Note The minimum measuring time required to obtain accurate readings at the specific body site is at least 3 minutes.

  • Page 183: Temperature Data Setup

    BM5 (CS,CX) User’s Manual 11.3 Temperature Data Setup ALARM： Temperature measurement alarm set UNIT: Temperature measurement unit set UNIT MAIN ALARM SELECT: MENU °C ALARM Alarm menu provide ALARM LIMIT and ALARM. Setting numeric value is 0.0℃ ~ 50.0℃. UNIT...

  • Page 184: Unit Select

    BM5 (CS,CX) User’s Manual TEMP ALARM LIMIT & LEVEL ALARM RETURN UNITS HIGH LEVEL ON/OFF ℃ TEMP1 30.0 42.0 MEDIUM TEMP2 30.0 42.0 MEDIUM UNIT SELECT Able to select unit with °C, °F. UNIT MAIN ALARM SELECT: MENU °C UNIT...

  • Page 185: Print

    BM5 (CS,CX) User’s Manual 12. PRINT 12.1 Print Printer and Heat Sensitivity Paper Function and Setup Menu 12.2 Paper Change Rev. 3.1 12. PRINT 184...

  • Page 186: Print

    BM5 (CS,CX) User’s Manual 12.1 Print Printer and Heat Sensitivity Paper A printer used to print data onto thermal paper. Size of the thermal paper roll: 58mm wide x 38mm in diameter any thermal paper of same size can be used for the printer.

  • Page 187: Function And Setup Menu

    BM5 (CS,CX) User’s Manual Function and Setup Menu PRINTER PRINTER WAVE MAIN SPEED: KEY: FORM1: MENU 25mm/s REAL TIME WAVE WAVE PRINTER PREV FORM2: FORM3: TIME: MENU RESP 30SEC. 1. Press the PRINT Key for continuous printing. 2. Select Printing Speed 25, 50 mm/s.
  • Page 188 BM5 (CS,CX) User’s Manual WAVE MAIN FORM1: SPO2 > II MENU RESP EtCO2 PREV IBP1 MENU IBP2 PRINTER PRINTER WAVE MAIN SPEED: KEY: FORM1: MENU 25mm/s REAL TIME WAVE WAVE PRINTER PREV FORM2: FORM3: TIME: MENU RESP 30SEC. WAVE MAIN...

  • Page 189: Printer Time

    This is configuration of printed time in normal printing. If the print out is not stopped in manual by PRINTER KEY, BM5 print out for setup time after starting print out with PRINTER KEY. The configuration of time could be setup with 4 types in CONTINUOUS, 10 sec, 20 sec and 30 sec.

  • Page 190: Thermal Paper Storage

    BM5 (CS,CX) User’s Manual PRINTER PRINTER WAVE MAIN SPEED: KEY: FORM1: MENU 25mm/s DELAY WAVE WAVE PRINTER PREV FORM2: FORM3: TIME: MENU RESP 30SEC. If there is no print sheet, no paper icon of appears. Thermal Paper Storage To avoid fading of traces or deterioration, follow these precautions:...
  • Page 191 BM5 (CS,CX) User’s Manual Plastic document protectors, envelopes, or sheet separators made of polystyrene, polypropylene, or polyethylene will not degrade thermal traces in themselves. However, these materials afford no protection against fading from external causes. Paper manufacturers advise us that these thermal products should retain their traces when properly imaged and stored for about 3-5 years.

  • Page 192: Paper Change

    BM5 (CS,CX) User’s Manual 12.2 Paper Change Open the window of the printer. Insert the paper roll offered with the product into the printing unit. Place the roll in a proper way so that the printed paper can roll out upwards.

  • Page 193: Message List

    BM5 (CS,CX) User’s Manual 13. MESSAGE LIST Function Message Details LEAD FAULT Cable is not properly connected. Patient’s finger is off the probe. CHEK PROBE LEAD FAULT Cable is not properly connected. LEAD FAULT Cable is not properly connected. RESP APNEA APNEA gives an alarm.

  • Page 194: Default Setting Value

    BM5 (CS,CX) User’s Manual 14. DEFAULT SETTING VALUE 14.1 Adult-ICU Mode Alarm level High Medium Message Asystole Vfib/VTac V Tach ACC VENT BIGEMINY COUPLET IRREGULAR PAUSE R ON T TRIGEMINY V BRADY NIBP - S NIBP - M NIBP - D...

  • Page 195: Parameter Limits

    BM5 (CS,CX) User’s Manual AWRR LEAD FAULT BATTERY Parameter Limits High NIBP-S NIBP-M NIBP-D -Rate RR(RESP) RR-Apnea T1 ْ C/ ْ F 30.0/86.0 42.0/107.6 -4.0 T2 C/ ْ F 30.0/86.0 42.0/107.6 IBP1/2-S (ART) IBP1/2-M (ART) IBP1/2-D (ART) IBP1/2-S (CVP) IBP1/2-M...

  • Page 196: Display

    BM5 (CS,CX) User’s Manual Display Patient Age Adult Primary ECG Arrhythemia LETHAL Detect Pace Print Waveform2 Print Waveform3 Alarm Print NIBP Auto NIBP Cuff Size Adult RR(RESP) Lead Alarm Volume QRS Volume Pulse Volume ECG Lead Fault Message Probe Off...

  • Page 197: Neonate-Icu Mode

    BM5 (CS,CX) User’s Manual 14.2 Neonate-ICU Mode Alarm level High Medium Message Asystole Vfib/VTac V Tach ACC VENT BIGEMINY COUPLET IRREGULAR PAUSE R ON T TRIGEMINY V BRADY NIBP - S NIBP - M NIBP - D -Rate RR-Apnea T1( ْ C) T2 ْ...

  • Page 198: Parameter Limits

    BM5 (CS,CX) User’s Manual Parameter Limits High NIBP-S NIBP-M NIBP-D -Rate RR(RESP) RR-Apnea T1 ْ C/ ْ F 30.0/86.0 42.0/107.6 -4.0 T2 C/ ْ F 30.0/86.0 42.0/107.6 IBP1/2-S (ART) IBP1/2-M (ART) IBP1/2-D (ART) IBP1/2-S (CVP) IBP1/2-M (CVP) IBP1/2-D (CVP) IBP1/2-R...

  • Page 199: Display

    BM5 (CS,CX) User’s Manual Display Patient Age NEONATE Primary ECG Arrhythemia LETHAL Detect Pace Print Waveform2 Print Waveform3 Alarm Print NIBP Auto NIBP Cuff Size NEONATE RR(RESP) Lead Alarm Volume QRS Volume Pulse Volume ECG Lead Fault Message Probe Off...

  • Page 200: Pediatric-Icu Mode

    BM5 (CS,CX) User’s Manual 14.3 Pediatric-ICU Mode Alarm level High Medium Message Asystole Vfib/VTac V Tach ACC VENT BIGEMINY COUPLET IRREGULAR PAUSE R ON T TRIGEMINY V BRADY NIBP - S NIBP - M NIBP - D -Rate RR-Apnea T1( ْ C) T2 ْ...

  • Page 201: Parameter Limits

    BM5 (CS,CX) User’s Manual Parameter Limits High NIBP-S NIBP-M NIBP-D -Rate RR(RESP) RR-Apnea T1 ْ C/ ْ F 30.0/86.0 42.0/107.6 -4.0 T2 C/ ْ F 30.0/86.0 42.0/107.6 IBP1/2-S (ART) IBP1/2-M (ART) IBP1/2-D (ART) IBP1/2-S (CVP) IBP1/2-M (CVP) IBP1/2-D (CVP) IBP1/2-R...

  • Page 202: Display

    BM5 (CS,CX) User’s Manual Display Patient Age PEDIATRIC Primary ECG Arrhythemia LETHAL Detect Pace Print Waveform2 Print Waveform3 Alarm Print NIBP Auto NIBP Cuff Size PEDIATRIC RR(RESP) Lead Alarm Volume QRS Volume Pulse Volume ECG Lead Fault Message Probe Off...

  • Page 203: Trouble Shooting

    BM5 (CS,CX) User’s Manual 15. TROUBLE SHOOTING 15.1 Noise in ECG - Gel is dry - Electrodes does not stick well to skin The patient’s skin Apply ECG gel or water to the area of is extremely dry contact then use the electrode...

  • Page 204: Spo2 Malfunction

    BM5 (CS,CX) User’s Manual 15.2 SpO malfunction Connectors of the equipments are in bad condition? The extension cables Replace extension cables are disconnected The Finger probe is Replace the finger probe in bad condition? Repair the ECG B/D 15.3 Temp malfunction...

  • Page 205: Nibp Malfunction

    BM5 (CS,CX) User’s Manual 15.4 NIBP malfunction Are leaks from the hose Replace the hose of cuff connector of cuff Repair the NIBP B/D 15.5 Abnormality in NIBP measurements The patient moved Make sure the patient stay still while measuring...

  • Page 206: Failure In Battery Recharge

    BM5 (CS,CX) User’s Manual 15.6 Failure in battery recharge ( the battery does not fully recharge in 6 hours or more) Replace the adapter The output voltage of (the battery will not be changed the adapter is 18V at the rate lower than 17V)

  • Page 207: Power Failure

    BM5 (CS,CX) User’s Manual 15.7 Power failure The adapter connector Replace the adapter is in bad condition The output voltage of the Replace the adapter adapter is lower than 18V Repair the power B/D Execute the “admit:” function “Admit” has been...

  • Page 208: Periodic Noises

    BM5 (CS,CX) User’s Manual 15.8 Periodic noises All alarm has been turned off Display lead fault Turn functions not in use off message appears (Mode-Display-Set para) The printer Replace the printer function abnormally Repair the accompanying Equipment Rev. 3.1 15. TROUBLE SHOOTING...

  • Page 209: Print Failure

    BM5 (CS,CX) User’s Manual 15.9 Print failure The paper tray cover Shut the cover tight is properly shut The printing face of Reverse the paper face paper has been reversed Repair the printer and printer B/D Rev. 3.1 15. TROUBLE SHOOTING...

  • Page 210: Specification

    BM5 (CS,CX) User’s Manual 16. SPECIFICATION Ease of use Customization Special Features Monitor Environmental Specifications Power adaptor Monitor Performance Specifications Graphical and Tabular Trends SpO2 Performance Specifications Respirations Performance Specifications NIBP Performance Specifications ECG Performance Specifications Temperature Unit Performance Specifications...

  • Page 211: Ease Of Use

    BM5 (CS,CX) User’s Manual Ease of use · Battery operation · Attached printer · Table and graphic trend Additional Function · Able to use auto mobile power supply · LAN Connection Monitor Environmental Specifications · Operating Temperature： 15°C to 40°C (59°F to 104°F) ·...
  • Page 212 BM5 (CS,CX) User’s Manual ECG waveforms 3-lead : 1 channel 5-lead : 3/7 channels 10-lead: 12 channels Adult : 30 – 300 bpm Heart Rate Range Neonate/Pediatric : 30 – 350 bpm Heart Rate Accuracy ±1bpm or ±1%, whichever is greater Sweep speed 6.25, 12.5, 25, 50 mm/sec...
  • Page 213 BM5 (CS,CX) User’s Manual Channels Measurement range -50 to 300mmHg <100mmHg : ±1mmHg Accuracy >=100mmHg : ±1% of reading Pulse rate measurement 0 to 300bpm range Range : ±200mmHg Zero balancing Accuracy : ±1mmHg Drift : ±1mmHg over 24hours Transducer sensitivity 5µV/mmHg...

  • Page 214: Accessories Included

    BM5 (CS,CX) User’s Manual Accessories Included: 1. Main body of BM5 (CS, CX) Monitor 1 EA 2. 5-Lead ECG Cable (MECA5(AHA), MECE5(IEC)) 1 EA 3. NIBP extension tube 1 EA 4. Reusable Adult NIBP cuff 1 EA 5. SpO sensor extension cable 1 EA 6.

  • Page 215: Abbreviations And Symbols

    BM5 (CS,CX) User’s Manual Abbreviations and Symbols Abbreviations and symbols which you may encounter while reading this manual or using the monitor are listed below with their meanings. Abbreviations amps alternating current adult ARRYTHM arrhythmia ASYS asystole Auto, AUTO automatic...
  • Page 216 BM5 (CS,CX) User’s Manual kilopascal liter, left left arm, left atrial pounds liquid crystal display light emitting diode left leg M mean, minute meter MIN, min minute MM, mm millimeters MM/S millimeters per second MMHG, mmHg millimeters of mercury millivolt...
  • Page 217 BM5 (CS,CX) User’s Manual multiplier when used with a number (2X) Symbols & ° degree(s) > greater than < less than – minus number percent ± plus or minus Rev. 3.1 Abbreviations and Symbols...

  • Page 218: Product Warranty

    Phone : Sales Agency Manufacturer * Thank you for purchasing BM5 (CS, CX) * The product is manufactured and passed through strict quality control and through inspection. * Compensation standard concerning repair, replacement, refund of the product complies with “Consumer’s Protection Law” noticed by Korea Trade Fair Commission.
  • Page 219 Website : www.bionetus.com European sales & service representative MGB Endoskopische Geräte GmbH Berlin : Schwarzschildstraß e 6 D-12489 Berlin, Germany Tel. +49(0)306392-7000 / Fax. +49(0)306392-7011 / e-mail: sales@mgb-berlin.de Website: www.mgb-berlin.de BIONET CO., LTD. Product Name: BM5 (CS, CX) Rev. 3.1...

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