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Bistos BT-750 Operation Manual

Patient monitor
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BT-750
PATIENT MONITOR
BT-750
P/N : OPM(BT-750)EN, Rev.02

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Summary of Contents for Bistos BT-750

  • Page 1 BT-750 PATIENT MONITOR BT-750 P/N : OPM(BT-750)EN, Rev.02...

  • Page 2: Proprietary Materials

    Prior to beginning In this document, all information for correct using and operation is included. If you need a help for instruction or questions, please contact Bistos Co.,Ltd. Bistos Co.,Ltd. and the authorized agency do not take responsibility for the harmful cases that are happened by user’s obvious carelessness or incorrect...

  • Page 3: Table Of Contents

    Prior to beginning……………………………………………………..1 1. SAFETY .................... 4 1.1 Intended Use ....................... 4 1.2 Instruction for the safe operation and use of the BT-750 ........4 1.3 General Precautions on Environment ..............4 1.4 General Precautions on Electric safety ............... 5 1.5 Definition of Symbols ..................
  • Page 4 BT-750 Operator Manual 7. MEASUREMENT OF SPO2 ............43 7.1 Preparation for SpO2 Measurement ..............43 8. MEASUREMENT OF NIBP ............45 8.1 Setting NIBP ..................... 45 9. MEASUREMENT OF TEMPERATURE ........46 9.1 Temperature Measurement ................46 10. MEASUREMENT OF IBP ............47 10.1 IBP Measurement ....................

  • Page 5: Safety

    Safety 1.1 Intended Use BT-750 is a patient monitor which displays state of patient’s data with wave form. Basic functions are measuring ECG 3lead select and respiration. Also it is possible to measuring arrhythmia, analysis ST level and detects pacemaker function. Other basic functions are measuring SpO2, pulse rate, NIBP, 2 IBP and 2 body temperatures.

  • Page 6: General Precautions On Electric Safety

    Caution product and the MRI may be influenced by cross interference. BT-750 is intended only to measure and assess patient state. It must be used in conjunction with Clinical signs and symptoms when Caution diagnosis is made.
  • Page 7 The level of electrical energy discharged from a system user or patient to the BT-750 can be significant enough to cause damage to the system or probes. The following precautions can help to reduce ESD: anti-static spray on carpets;...

  • Page 8: Definition Of Symbols

    Monitoring Table 1-1. Definitions of symbols 1.6 Description of equipment Symbols The symbols in the bottom of LCD indicates the present status of BT-750 and use bottoms for each function. Indicate that Audio alarm generates Display for current charging state of charger. So, make sure of the charging state when you use only with charger while the AC power is on.

  • Page 9: Introduction

    Chapter 2 Introduction 2.1 Feature BT-750 BT-750 is a patient monitor which display state of patient’s data with waveform. ※ Basic functions of Patient measuring - ECG 3 lead (I, II, III,) select and Respiration measurement - Arrhythmia measurement, ST Level analysis and Pacemaker Detect function...
  • Page 10 If the results are doubtful, please check the patient’s status using Caution other measuring equipment which is using in hospital. Use only authorized accessories supplied with BT-750. Use of any other accessories may result in out of specification performance and Caution possible safety hazards.

  • Page 11: Installation

    BT-750 Operator Manual Chapter 3 Installation 3.1 Description of the BT-750 Front Panel ▶ Function and Explanation Switch / LED Function Explanation When AC power is connected and main power switch is AC Indicator on, green light is on NIBP Switch It is used to measure blood pressure manually.

  • Page 12: Description Of The Bt-750 Rear Panel

    The communication port for connecting monitor and LAN Port external devices. Label Display Ground Port Port of Ground Cable Battery Store Port of Battery Portable Handle Handle of carry 3.3 Description of the BT-750 Right Panel P/N : OPM(BT-750)EN Bistos Co.,Ltd. Rev.02(2013.04.12)

  • Page 13: Description Of The Bt-750 Right Panel

    When Printer is in malfunction ,red light is on FEED Switch Printer Paper selection Printer Cover Inserting the printer paper and close the cover 3.4 Description of the BT-750 Left Panel Figure 3-4. Left panel Item Function Explanation ECG/RESP Connection Terminal...
  • Page 14  Get rid of dust or inflammable material near the product when setting it up. 3.5.1. How to Use when power is on. 1) Insert AC Adaptor to AC-IN Connector at the rear of BT-750 2) Turn on the On/Off switch at the rear of BT-750 ( If the power is in Stand-by , battery starts to charge.
  • Page 15 Contact to Bistos head quarter or authorized agent, when you need battery replacement. If a side of power cord is put to power port of BT-750, power is supplied to the equipment. Make sure that each cord is connected to input / output terminal correctly. If there is incorrect connection, it may cause problem.
  • Page 16 21 °C to 30 °C 12 months 31 °C to 40 °C 6 months ※ Battery Replacement Replace the battery with a same type of battery. [The product supplied by Bistos Co.,Ltd.]  Type: Rechargeable Lithium-Ion Battery  Company : LG Chem ※...
  • Page 17 BT-750 Operator Manual Connect the accessories for measurement to each mating port of the equipment. 3.5.4 Replacing Roll paper ① Verify if the printer is receiving the data, otherwise it will lose the receiving data. ② Open the printer door by pushing the button at the both side of the printer slightly as shown the figure below.

  • Page 18: Bt-750 Operation

    BT-750 Operator Manual Chapter 4 BT-750 Operation Prior to the Use of BT-750 Make sure of followings prior to check the state of patient.  Check if there is any factor to occur mechanical problem  Review the cosmetic state of probe ...

  • Page 19: Display

    BT-750 Operator Manual 4.3 Displays Basic screen composition Press the button in front of BT-750 for power-on. Display window shows company logo for 2 seconds and is changed to default setting. ▶ Menu Sweep Speed IBP2 Diastolic Battery Status Date and Year...

  • Page 20: Basic Operation

    BT-750 Operator Manual 4.4 Basic Operation 4.4.1 Simple operation Order Operation Method Push the power switch for 1~2 second If you want to change the setting value etc. during use, push the Menu button to change the setting values per each measurement parameter.

  • Page 21: System & Alarm Setup

    BT-750 Operator Manual Chapter 5 System & Alarm Setup You can set up alarm range, volume, date, time of BT-750 in this menu. 5.1 System Setup 1) Press the button “ ” to select setup menu. 2) Use the trim knob to go to required location and press the trim knob to set the location to be modified.
  • Page 22 BT-750 Operator Manual 5.1.1 Factory Setting Parameter Item Name Adult Pediatric Neonate 1st CH LEAD II LEAD II LEAD II LEAD 2st CH LEAD III LEAD III LEAD III 1st CH ⅹ1 ⅹ1 ⅹ1 GAIN 2st CH 1st CH SPEED...
  • Page 23 BT-750 Operator Manual ON / OFF ALARM HIGH 30rpm 30rpm 100 rpm 8rpm 8rpm 30 rpm MANUAL MANUAL MODE MANUAL INTERVAL 60 MIN 60 MIN 60 MIN UNIT mmHg mmHg mmHg ON / OFF NIBP 90/40(70)mmHg 160/90(110)mmHg 120/70(90)mmHg HIGH 12.0/8.0(9.3) ALARM 21.3/12.0(14.7)kPa...
  • Page 24 BT-750 Operator Manual -50mmHg 50mmHg 2st CH -50mmHg 1st CH 2st CH 160/90(110)mmHg 120/70(90)mmHg 90/40(70)mmHg HIGH 21.3/12.0(14.7)kPa 16.0/9.3(12.0) kPa 12.0/8.0(9.3) kPa 1st CH 90/50(60)mmHg 70/40(50)mmHg 60/20(30)mmHg 12.0/6.7(8.0) kPa 9.3/5.3(6.7) kPa 5.3/2.7(4.0) kPa ALARM 160/90(110)mmHg 120/70(90)mmHg 90/40(70)mmHg HIGH 21.3/12.0(14.7)kPa 16.0/9.3(12.0) kPa 12.0/8.0(9.3) kPa...

  • Page 25: The Modification Of System Setup

    BT-750 Operator Manual 5.2 The modification of system setup (2 display window) On operating the service mode such as CHANNEL SET, Date /Time, Printer setup, additional active window is opened. 5.2.1 Selection of CHANNEL 1) Go to the required location with trim knob and select the location, then the display window becomes active.
  • Page 26 BT-750 Operator Manual 5.3 Alarm Setup 5.3.1 Modification Display Window for 1 Setup (SpO2,Respiration and Temp.) 1) Press button “ ” to go to adjustment display of alarm 2) Select the menu to change with trim knob and press the trim knob to set the location to be modified.
  • Page 27 BT-750 Operator Manual 5.3.2 Modification Display Window for the 2 Setup (IBP, NIBP, ECG HR, EtCO2, ST) 1) Press the button “ ” to go to adjustment display 2) Select the menu to change with trim knob and press the trim knob to set the location to be modified.
  • Page 28 5.3.3 Alarm properties BT-750 offers Alarm function to user. User should have full knowledge about this chapter and take right action on alarming. BT-750 provides alarm service in two ways. One is audio Alarm and the other is alarm message.
  • Page 29 BT-750 Operator Manual 2) Alarm icon The alarm icon appears on the information window of the lower screen.. Function Message Description Probe is connected but the finger is out of probe. STAND BY CHECK PROBE Finger probe is out of probes...

  • Page 30: Ecg1, Ecg2 Setup

    BT-750 Operator Manual 5.4 ECG1, ECG2 Setup 5.4.1 ECG Menu Display 1) “Press the button “ ” to go to adjustment display 2) Select the menu to change with trim knob and press the trim knob to set the location to be modified.
  • Page 31 BT-750 Operator Manual 5.4.2 ECG2 Menu Display 1) “Press the button “ ” to go to adjustment display 2) Select the menu to change with trim knob and press the trim knob to set the location to be modified. Then, selected menu is displayed.
  • Page 32 BT-750 Operator Manual 5.4.2.1 ST Analysis (When ST Segment is on) ST Level is measured by horizontal comparison between PR-segment and ST-segment. User can adjust J point and P-R point at 1~250 4m/sec interval. These measured values are available only in normal heart rate. In case of abnormal and pacemaker, for example, Premature Ventricular Contraction, Ventricular Tachycardia etc., it is except ST analysis...

  • Page 33: Spo2 Setup

    BT-750 Operator Manual 5.5 SpO2 Setup [SpO2 Menu Display] 1) Press the button “ ” to go to adjustment display. 2) Select the menu to change with trim knob and press the trim knob to set the location to be modified. Then, selected menu is displayed.

  • Page 34: Nibp Setup

    BT-750 Operator Manual 5.6 NIBP Setup [NIBP Menu Display] 1) Press the button “ ” to go to adjustment display. 2) Select the menu to change with trim knob and press the trim knob to set the location to be modified. Then, selected menu is displayed.
  • Page 35 BT-750 Operator Manual 5.7 IBP Menu Display 1) Press the button “ ” to go to adjustment display. 2) Select the menu to change with trim knob and press the trim knob to set the location to be modified. Then, selected menu is displayed.
  • Page 36 BT-750 Operator Manual ●IBP measurement range Setup Mode Range of change Description WAVE 6.5, 12.5, 25,50 mm/sec Set the speed of IBP waveform SPEED Set the level according to the measurement site of BP. Change the BP1 LABEL P1 , ABP alarm setting range according to level.

  • Page 37: Temperature Setup

    BT-750 Operator Manual 5.8 Temperature Setup 1) Press the button “ ” to go to adjustment display. 2) Select the menu to change with trim knob and press the trim knob to set the location to be modified. Then, selected menu is displayed.

  • Page 38: Co2 Setup

    BT-750 Operator Manual 5.9 CO2 Setup 1) Press the button “ ” to go to adjustment display. 2) Select the menu to change with trim knob and press the trim knob to set the location to be modified. Then, selected menu is displayed.

  • Page 39: Trend Setup

    BT-750 Operator Manual 5.10 Trend Setup 1) Press the button “ ”to convert to Trend display window. 2) Adjust the tram knob and select SCAN Then, selected bar becomes active. Adjust the bar to the required location with tram knob.

  • Page 40: Printer Setup

    BT-750 Operator Manual 5.11 Printer Setup [Pinter Menu Display] 1) Press the menu button “ ” to go to Setup Printer Setup. 2) Select the menu to change with trim knob and press the trim knob to set the location to be modified.

  • Page 41: Measurement Of Ecg And Respiration

    BT-750 Operator Manual Chapter 6 Measurement of ECG and Respiration 6.1 Setup Connections 1) Connect the ECG cable to the ECG connection terminal of the measurement module. ECG Connector ● The process of depolarization and polarization of the myocardium generates electronic potentials that are sensed by ECG electrodes on the skin surface.
  • Page 42 BT-750 Operator Manual 3) Description of Lead IEC(AAMI) Lead Color of Attaching site electrode R(RA) Red (White) Just below the clavicle (scapula) near the right shoulder L(LA) Yellow(Black) Just below the clavicle (scapula) near the left shoulder F(LL) Green(Red) Lower area of the left side of the abdomen...

  • Page 43: Respiration Menu Display

    BT-750 Operator Manual Inspection does not carry out the patients with arrhythmia, premature ventricular contraction or ventricular tachycardia. Caution 6.2 Respiration Menu Display 1) Press the button “ ” to go to adjustment display. 2) Select the menu to change with trim knob and press the trim knob to set the location to be modified.

  • Page 44: Measurement Of Spo2

    BT-750 Operator Manual Chapter 7 Measurement of SpO2 7.1 Preparation for SpO2 Measurement 1) Connect SpO2 probe to the probe port. SpO2 Connector 7.1.1 Setting SpO2 Probe 1) Clean the body part (a finger or a toe) to be inserted to probe for measurement with alcohol.
  • Page 45 When probe is used incorrectly, inaccurate value or waveform can come out as below. ● When the patient uses the probes without certification of Bistos Note Technology.

  • Page 46: Measurement Of Nibp

    BT-750 Operator Manual Chapter 8 Measurement of NIBP 8.1 Setting NIBP 1) Choose the proper cuff for the patient. 2) Connect the cuff hose to cuff. 3) Connect the cuff hose to NIBP font. 4) Put the cuff on the patient.

  • Page 47: Measurement Of Temperature

    BT-750 Operator Manual Chapter 9 Measurement of Temperature 9.1 Temperature Measurement ● Changes in impedance according to the change in the patient’s body temperature is perceived by the temperature sensor, and then displayed numerically on the screen after a series of calculations. Measured Temp 1) Connect the temperature sensor to the connection terminal of the measurement module and sensor to patient.

  • Page 48: Measurement Of Ibp

    BT-750 Operator Manual Chapter 10 Measurement of IBP 10.1 IBP Measurement Arterial Blood Pressure is the pressure exerted by the blood against the walls of the arterial vessels. The cardiac cycle consists of a period of relaxation called Diastole, during which the heart fills with blood, followed by a period of contraction called Systole.
  • Page 49 BT-750 Operator Manual 2) Set up the patient circuit according to the directions for use of the transducer, monitoring kit. 3) “Hold the backside of the clear cover surrounding the connector, and connect the converter to the reusable monitor interface.
  • Page 50 BT-750 Operator Manual 5) How to use Flush Hold both sides of the flush operator and pull upward gently. Do not revolve the operator and take care not to put the power on one side. If a fast flush is performed on the patient, the user should check carefully for the presence of foam and particulate matter.

  • Page 51: Adjustment Of Zero Point Of The Converter

    BT-750 Operator Manual The stopcocks of the converter or the outlet should be locked before connecting the door-lock plug. Caution << Priming and Tips >> ● Priming should be done slowly! - Slow priming will lessen the effort to remove air bubbles afterward.

  • Page 52: Measurement Of Etco2

    11.1 EtCO2 Measurement (Optional) Sidestream CO2 Gas Measurement Sidestream CO2 module can be fitted onto BT-750. Sidestream CO2 provides the function of ETCO2 and the function to measure respiratory CO2 and respiration numbers using the small filterline based on a small lumen type filterline. In the Sidestream CO2 type, the level is measured through the cannula (non-tubing type) attached to the nose or a sampling line equipped in the respiratory circuit (tubing type).

  • Page 53: How To Measure Sidestream Co2

    BT-750 Operator Manual 11.2 How to measure Sidestream CO2 1) Attach the gas/tube to BT-750 Sidestream port and the other side attach to hospital gas device 2) Respiration numeric is automatically changed when EtCO2 is measured. 3) EtCO2 will be displayed on BT-750 screen after 20 seconds when it detect proper input.

  • Page 54: Maintenance

    Chapter 12 Maintenance 12.1 Maintenance and Cleaning BT-750 and its accessories can be cleaned by using various methods. Please follow the methods below to avoid unnecessary damage or contamination to the equipment.  Keep the equipment far from the place possibly water sprinkling or soaking into the equipment.
  • Page 55 BT-750 Operator Manual When harmful (unaccepted) materials are used for cleaning, we shall not offer the service without charge in regardless of warranty period. Check carefully both monitor and probe after cleaning the equipment. Caution Do not use the equipment that is worn out or damaged.

  • Page 56: Troubleshooting

    BT-750 Operator Manual Chapter 13 Troubleshooting This chapter explains the solutions to simple problems. One might feel difficulty to use while operating the monitor. At this moment, before regarding it as breakdown, check the following points. Problem Sign Solution ☞ Connect to AC power properly.
  • Page 57 BT-750 Operator Manual ▣ NIBP measurement Problem Solution NIBP measurement is not done - Reset the power properly - Contact our customer service center or repair center. -Make sure if the patient uses proper cuff. -Make sure if the posture of the patient and the portion to NIBP measurement is failed be measured are suitable.

  • Page 58: Specification

    BT-750 Operator Manual Chapter 14 Specification 14.1 Mechanical, Electrical and Performance Specifications : Main Body Power Voltage: 100240 VAC Frequency: 50/60 Hz Power Consumption: 100 VAmax 10.4” Color TFT LCD Dimension: 800 ⅹ3(RGB) ⅹ480 Resolution: 3/5 electrodes, detected automatically ECG Module Ⅰ, Ⅱ, Ⅲ, aVR, aVL, aVF, V (Chest Lead)
  • Page 59 BT-750 Operator Manual NIBP Module Cuff Inflation Rate 3 to 18 seconds Auto mode Repetition 1,3,5,10,30,60,90,120,240 minutes Measurement Time (Typical at HR > 60bpm) 25 seconds Accuracy Maximum Standard Deviation ±8 mmHg Maximum Mean Error ±5 mmHg Adult / pediatric Mode...
  • Page 60 BT-750 Operator Manual Channel 2 Channel Method Type Pressure Transducer Method Pulse rate range 20 to 250 bpm Pulse rate accuracy ±1 % or ±1 bpm Pressure Measurement range 0 to +300 mmHg Parameter Displayed P1, ABP P2, CVP, PAP, LAP More than 1 M Ω...

  • Page 61: Mechnical, Electric And Performance Specifications : Accessories

    BT-750 Operator Manual Respiratory rate range 0 to 150 breath/min Respiratory rate accuracy ±1 breath Scale 0~12 mmHg 0~25 mmHg 0~50 mmHg 0~700 mmHg 0~100 mmHg 0~150 mmHg Printer 8 dots/mm Resolution: 203 dots/mm Total number of dots: 48 mm...

  • Page 62: Compliances

    BT-750 Operator Manual IBP kit Disposable Pressure Kit (BIOSENSOR Inc.) CO2 kit(option) Sidestream Sensor (RESPIRONICS Inc.) No calibration required 50 ml/min. sampling rate Pump Rating : 24,000 hours EtCO2 range : 0~150 mmHg, 0~19.7 % or 0~20 Li-ion Battery 10.8 VDC / 2,200 mA...

  • Page 63: List Of Standards

    BT-750 Operator Manual 14.5 List of Standards Year of Reference Title of harmonized standard ratification Medical electrical equipment – Part 1: Cenelec 1996 EN 60601-1 General requirement for safety Medical electrical equipment – Part 1-1: General requirement for safety. Cenelec...
  • Page 64 BT-750 Operator Manual Medical electrical equipment — Part 2-34: Particular requirements for the safety, Cenelec 2000 EN 60601-2-34 including essential performance, of invasive blood pressure monitoring equipment Non-invasive sphygmomanometers EN 1060-1 2002 - Part 1: general requirement Non-invasive sphygmomanometers-Part 3 : supplementary requirements –...

  • Page 65: Warranty

    BT-750 Operator Manual Chapter 15 Warranty Product Name Patient monitor Model Name BT-750 Permission No. 11-185 Serial No. Warranty Period 2 years from purchasing date Date of purchase Hospital : Address : Name : Contact : Manufacturer Bistos Co.,Ltd. ※ Thanks for your purchasing our product.
  • Page 66 BT-750 Operator Manual Service Telephone and Fax. Numbers Telephone: +82 31 750 0340 Fax: +82 31 750 0344 Bistos Co., Ltd. Fl., A Bldg., Woolim Lions Valley 5-cha, 144-3, Sangdaewon-dong, Jungwon-gu, Seongnam-si, Gyeonggi-do, Korea www.bistos.co.kr bistos@bistos.co.kr Model Name: BT-750 EC Representative: Medical Econet Gmbh...

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