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Bionet BM5 User Manual

Patient monitor
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BM5 User's Manual
BM5
User's Manual
Patient Monitor
Rev. 3.0
2019.11.22
Warning
To ensure proper use of this medical equipment, you must read and comply with this user manual.

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Summary of Contents for Bionet BM5

  • Page 1 BM5 User’s Manual User’s Manual Patient Monitor Rev. 3.0 2019.11.22 Warning To ensure proper use of this medical equipment, you must read and comply with this user manual.
  • Page 2 Reproduction in any manner, in whole or in part, except for brief excerpts in reviews and scientific papers, is prohibited without prior written permission of Bionet, Co., Ltd Before using Bionet devices, read all the manuals that are provided with your device carefully. Patient monitoring equipment, however sophisticated, should never be used as a substitute for the human care, attention, and critical judgement that only trained health care professionals can provide.

  • Page 3: Table Of Contents

    BM5 User’s Manual Table of Contents Intended Use ............................... 9 General Description ............................9 Patient Classification ........................... 10 Functional safety ............................10 Warning, Caution, Note ..........................11 Define groups ..............................12 General precaution on environment ....................13 Electromagnetic Compatibility ....................... 14 1.
  • Page 4 BM5 User’s Manual Monitor configuration ..........................34 Main menu setup ............................35 3. Network ................................. 42 Overview ................................ 42 Network connection ..........................42 IT Network connection .......................... 43 LAN Network ............................... 44 VLAN Network ............................44 If you use an inappropriate network ..................... 44 Remote View ...............................
  • Page 5 BM5 User’s Manual Trend setup ..............................62 Graphical trend............................64 Tabular trend ............................... 66 File export ..............................67 Popup trend ..............................69 7. ECG ................................... 71 Overview ................................ 71 ECG Precaution ............................72 Patient preparation ..........................75 ECG lead ................................. 76 ECG signal processing and display....................
  • Page 6 BM5 User’s Manual Display................................92 Quality of SPO2 Waveform ......................... 93 SPO2 Settings ............................. 94 Status messages ............................95 10. Respiration ..............................97 Overview ................................ 97 RESP precaution............................97 Patient Preparation ..........................98 Display................................100 RESP Settings ............................100 OxyCRG monitoring ..........................101 11.
  • Page 7 BM5 User’s Manual Precaution ..............................130 Sampling method ........................... 131 Display................................133 EtCO2 setup ............................... 133 Status Message ............................138 14. Temperature ............................141 Overview ..............................141 Display................................142 Temperature settings ..........................143 15. Printer ................................ 144 Overview ..............................144 Printer settings ............................
  • Page 8 BM5 User’s Manual Failure in battery recharge ........................ 154 Power failure ............................. 155 Data storage failure ..........................155 Periodic noises............................156 Print failure..............................156 17. Clean and Care ............................157 Overview ..............................157 Monitor and Peripherals ........................157 18. Technical Specification ........................162 Overview ..............................

  • Page 9: Intended Use

    This equipment is connected via BM central. Note All Bionet hardwares and screenshots in this user guide are for illustration purposes only. Actual products or screens may vary slightly. General Description...

  • Page 10: Patient Classification

    Patient Classification BM5 monitors are designed for use by adults, pediatrics and neonates. At this time, cardiac output, ST segment analysis and arrhythmia should be used for adults and pediatrics only.

  • Page 11: Warning, Caution, Note

    BM5 User’s Manual Warning, Caution, Note The following terms are defined in the User Guide to emphasize the agreement as follows: The user must follow all warnings and precautions. The specifications and functions shown in this manual are subject to change without prior notice.

  • Page 12: Define Groups

    BM5 User’s Manual Define groups The define groups for this product are users, service personnel, and experts. Define groups should read the user manual before using the product and be trained in the use, installation, reprocessing, maintenance and repair of the product.

  • Page 13: General Precaution On Environment

    BM5 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 Do not touch the direct sunlight equipment with wet hand.

  • Page 14: Electromagnetic Compatibility

    The monitor complies with the following standards pertaining to EMI emissions and susceptibility: EN60601-1-2. To reduce possible problems caused by electromagnetic interference, we recommend the following: Use only Bionet approved accessories.  Ensure that other products used in areas where patient monitoring and life ...

  • Page 15: Basic

    Please check the following before using the product. 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, 2.8A, BPM050 Made in BridgePower Co., Ltd.) 3.
  • Page 16 When these devices are near the Equipment, it can produce inaccurate measurements. For BM5 both independent circuit and stable grounding are essentially required. In the event that the same power source is shared with other electronic equipment, it can also produce inaccurate output.

  • Page 17: Biocompatibility

    If you have questions about this matter, please contact Bionet or its representatives. Product Configuration 1. Main body of BM5 Monitor 1 EA 2. 5-Lead patient Cable 3. Disposable electrodes 10 EA 4.

  • Page 18: Option Product

    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 19: Basic Unit

    BM5 User’s Manual Basic Unit Front view Alarm lamp handle Home key Alarm control key Rotary knob key Printer key Power ON/OFF Key Blood-pressure measurement key Battery status indicator -------------------------------------------------------------------------------------------------------------- Rev. 3.0...
  • Page 20 BM5 User’s Manual Right side view ECG connector Blood pressure Hose connector SpO2 connector Temperature connector EtCO2 connector IBP connector -------------------------------------------------------------------------------------------------------------- Rev. 3.0...
  • Page 21 BM5 User’s Manual Left side view Printer -------------------------------------------------------------------------------------------------------------- Rev. 3.0...
  • Page 22 BM5 User’s Manual Back side view Potential equivalent NURSE CALL connector USB connector (USB 2.0 5Vdc / Max. 500mA) DC input Service port connector Network connector HDMI output -------------------------------------------------------------------------------------------------------------- Rev. 3.0...
  • Page 23 BM5 User’s Manual Warning USB Compatible The BM5 is compatible with external USB memory drives up to 64GB.  We recommend brands products listed in the manual (Sandisk, PNY, Transcend,  Samsung). When using a product with high power consumption, such as an external hard drive, be ...

  • Page 24: Device Markings

    BM5 User’s Manual Device Markings Caution :Consult accompanying Ground terminal documents TYPE CF APPLIED PART TYPE BF APPLIED PART Printer Auxiliary Port LAN port HDMI HDMI external port DC Input Indicator USB port Battery Operation indicator DC input connector Temperature...

  • Page 25: Power

    BM5 User’s Manual Power The BM5 monitor uses a DC adapter (100-240 VAC / 18VDC 2.8A). In the event of a power outage or cable shortage, the monitor automatically switches to battery power to continue patient monitoring without data loss. The built-in battery is intended for back- up use only during power-off.
  • Page 26 BM5 User’s Manual Operation 1. Battery Power LED is lighted on when the machine is in use. 2. Battery is automatically charged when the machine is connected to DC Power Supply. The charging status is displayed at the top right of the screen 3.
  • Page 27 To maximize the charge for transport, keep the monitor connected until  you are ready to transport the patient. Reconnect the monitor immediately after transport. Bionet recommends replacing the lithium ion battery after 24 months of  use. Battery life depends on usage. If battery life continues, battery life will ...
  • Page 28 Warning Be careful of the polarity when replacing the battery. We strongly recommend that you use the battery supplied by Bionet. Using unauthorized batteries may damage the equipment 5. Presence of battery: When the battery is disconnected from the equipment and it malfunctions, it shows 'X' as shown below.

  • Page 29: How To Replace The Battery

    BM5 User’s Manual How to replace the battery Please assemble and replace as shown below. The Impact of Lithium-Ion Battery Technology on the Battery The following are the key points you should know about Lithium-Ion battery technology: The battery will discharge on its own, even when it is not installed in a monitor. This discharge is the result of the Lithium-Ion cells and the bias current required for the integrated electronics.
  • Page 30 12 months. Bionet recommends that you remove the battery and store it near the monitor until it is needed for transport.

  • Page 31: Getting Started

    BM5 User’s Manual Getting Started Starting the monitor: Press the power key at the bottom right of the monitor front panel. The power light on the monitor lights up, the alarm bar lights up, the power is turned off, the screen lights up, the main screen is displayed after running the self-test.
  • Page 32 BM5 User’s Manual Numeric Window Menu Window The parameter box displays values, alarm limits and icons for the selected parameter. You can set the parameters and their associated waveforms so that they are easy to distinguish. The message appears at the top of the screen. The patient name bed label is displayed in the upper left corner of the screen.
  • Page 33 BM5 User’s Manual Function key On the right side of the monitor's front panel, the touch screen icon on the touch screen allows you to perform frequently-used functions. Fixed key Description Fixed key Description Opens a table where you This is an alarm mode key, so...

  • Page 34: Setup

    BM5 User’s Manual 2. SETUP Overview This chapter describes how to configure your monitor. Monitor configuration Main Menu tree -------------------------------------------------------------------------------------------------------------- Rev. 3.0...

  • Page 35: Main Menu Setup

    BM5 User’s Manual Parameter menu tree Main menu setup The Setup menu allows the user to access submenus, display screens, and perform specific monitor setup functions. 1. To display the Settings menu, click the Settings icon to open the submenu.
  • Page 36 BM5 User’s Manual A-7. HL7 A-8. ALARM SETUP A-9. DISPLAY OPTION A-10. HOSPITAL INFORMATION B. BIOSIGNAL CALIBRATION B-1. ECG & RESP B-2. NIBP B-3. IBP C. SCREEN CALIBRATION D. MAKER SERVICE D-1. MAC Address E. SW UPGRADE F. SW License A.
  • Page 37 BM5 User’s Manual A-2-6. GAS PRESSURE UNIT Gas measurement unit mmHg vol% A-2-7. MULTI GAS PRESSURE Select whether to set the pressure unit ON / OFF UNITS for each gas type. When OFF, unit setting menu by gas type is displayed A-3.
  • Page 38 BM5 User’s Manual Set language English, Korean French, Bulgarian Polish, German Chinese, Portuguese, Hungarian, Czech A-4-4.LANGUAGE Romanian, Italian Turkish, Spanish Russian, Greek Japanese A-5.NETWORK Network information and setup INFORMATION A-5-1.WIRELESS Wireless setup ON/OFF A-5-2.DHCP Auto IP allocation setting menu ON/OFF A-5-3.DEVICE IP...
  • Page 39 BM5 User’s Manual A-7-4. HL7 PERIOD Transmission cycle settings menu 10sec, 30sec, 1,3,5,10,15,30min, 1 hour, 6 hour A-7-5. HL7 NAK NAK Transmission menu setup ON/OFF A-7-6. EDIT HL7 LABEL Parameter label edit menu A-8. ALARM SETUP Alarm settings menu A-8-1. ALARM PASSWORD...
  • Page 40 BM5 User’s Manual B-1-2. RESP Calibration RESP calibration menu 1ohm 1cmm display B-2.NIBP B-2-1. ZERO Calibration NIBP Zero calibration menu Zero calibration menu at atmospheric pressure B-2-2. Gain Calibration NIBP Gain control menu Perform 250mmHg pressure calibration and select menu B-2-3.
  • Page 41 BM5 User’s Manual Parameter color Parameter Basic color Selectable colors Green, light blue, yellow, purple, blue, sky blue, orange, gray, light green, pink, white, red, light yellow ECG (ST) Green SpO2 Sky Blue RESP Yellow NIBP Purple TEMP Green IBP1...

  • Page 42: Network

    BM5 User’s Manual 3. Network Overview When you connect the monitor to the network, you can access patient information from another monitor or central station connected to the network. These devices provide main screen information for remote viewing from each other.

  • Page 43: Network Connection

     Upgrading or updating devices connected to the network Warning Recommendations for wireless connections BM5 has a change in the number of equipment connections depending on wireless AP  (Access Point) performance. When using a general AP, it is recommended to connect 8 units to the same network.

  • Page 44: Lan Network

    If the device is to be used as a layer-2-switch or layer-3-switch, the port setting must be configured on the network switch. Bionet equipment must be configured to make the network settings compatible with the specifications of the operating organization.

  • Page 45: Remote View

    BM5 User’s Manual If the network connection is interrupted: The alarm will not be delivered.  Reactivates with the alarm off or the alarm sound off  If you do not have firewall and antivirus software: Your data is not protected.-The device settings are changed.
  • Page 46 BM5 User’s Manual MENU Description Available Settings B2B VIEW MONITOR LIST sub menu REFRESH Menu to update monitor list connected to network Move to upper list DOWN Move to lower list MONITOR LIST List of monitor information connected to the network...

  • Page 47: Display Mode

    BM5 User’s Manual Display Mode Wave and Numeric Mode Numeric Mode -------------------------------------------------------------------------------------------------------------- Rev. 3.0...
  • Page 48 BM5 User’s Manual MENU Description Available settings A-1 SELECT WAVE Waveform selection menu to view The waveform selection menu for ECG, SPO2, IBP1, IBP2, A-1-1. TRACE I TRACE I in the B2B View window RESP,ETCO2, MULTIGAS The waveform selection menu for ECG, SPO2, IBP1, IBP2, A-1-2.

  • Page 49: Admission And Discharge

    BM5 User’s Manual 4. Admission and Discharge Overview The Patient admit menu allows you to enter and edit a patient’s personal data (name, ID, Birthday, Height, Weight). If your monitor is operating in a network monitoring, you can also review or change the monitor’s care unit and bed label assignments.

  • Page 50: Patient Discharge

    BM5 User’s Manual Patient discharge The patient should be discharged before the other patient is admitted. Otherwise The monitor attaches the existing data to the patient in the back of the hospital. How to discharge a patient: 1. Press the Discharge. fixed key.
  • Page 51 BM5 User’s Manual Main menu Sub menu A.Admit / Discharge B.Patient Information B-1. Patient Information C.Default Setting D.User Drug Change E.Drug Calculation E-1. Setting E-2. Titration Table MENU Description Available Settings A. Admit / Discharge Admission and discharge setting B. Patient Information B-1.
  • Page 52 BM5 User’s Manual E. Drug Calculation E-1. Setting E-1-1. DRUG TYPE Choose Drug Type in the List(21) AMINOPHYLLINE BRETYLIUM LIDOCAINE PROCAINAMIDE EPINEPHRINE LEVOPHED ISOPROTERENOL DOPAMINE DOBUTAMINE NITROGLYCERINE NITROPRUSSIDE INOCOR HEPARIN INSULIN STREPTOKINASE DRUG-1~5 E-1-2. Drug Quantity Set Drug Quantity E-1-3 Solution Volume E-1-4.
  • Page 53 BM5 User’s Manual E-2-6. WEIGHT Refer drug list bellow. E-2-7. DOSE STEP Refer drug list bellow. The table shows the formula for calculating the dosage of drugs below. Unit NameUnit Equation Dose ( mg/hr ) × SolutionVolume(ml) mg/hr AMINOPHYLLINE Flow rate ( ml/hr ) = Drug QTY(mg) Dose ( mg/min ) ×...
  • Page 54 BM5 User’s Manual Shows setting range for each stage. Dose Drug QTY Unit Setting range Unit Setting range mg/hr mg/min mg/kg/hr mg/kg/min 0.01 to 500 0.01 to 2000 mcg/hr mcg/min mcg/kg/hr mcg/kg/min units/hr 10 to 15000 Units 100 to 150000...

  • Page 55: Registration Of Patient Id Using Barcode

    BM5 User’s Manual Registration of patient ID using barcode This product can input the PATIENT ID in barcode format to the device using USB barcode scanner. First, connect the barcode scanner to the USB HOST connector on the left as shown in the figure below.

  • Page 56: Alarm

    BM5 User’s Manual 5. Alarm Overview The monitor displays the alarm limit (parameter threshold) and can be configured by the user to raise an alarm if exceeded. Limits are displayed both in the alarm limits table and in the parameter box. If this limit is exceeded, a visual or audible alarm will occur.
  • Page 57 BM5 User’s Manual Alarm priority Alarm sound Alarm Color Alarm printer Alarm lamp HIGH 0.5 Times/Sec 2.0 Times/Sec Blinking Blinking MEDIUM 0.5 Times/Sec 0.5 Times/Sec Blinking Blinking 0.5 Times/Sec Non Blinking Blinking MESSAGE Non Blinking : Alarm sounds : Waves are printed out...

  • Page 58: Alarm Management

    BM5 User’s Manual Alarm management You can use the lock key on the front of the monitor to hold the alarm. To change Alarm Mode: A short press of the alarm control key circulates through the Normal / Audio_Paused / Alarm_Paused alarm modes. Press and hold the key for more than 3 seconds to...

  • Page 59: Alarm Settings

    BM5 User’s Manual Note Audio Paused and Audio Off modes only stop the audible alarm sound and touch or key  sound is activated always. To adjust the Touch or Key Sound, use the Key Sound menu in Setup. ...
  • Page 60 BM5 User’s Manual A-3. SYSTEM ALARM System alarm level setting menu CONDITION LOW BATTERY A-4. Alarm Parameter Alarm Settings menu A-4-1. Alarm Volume OFF, 10~ 100% The volume can be changed from OFF to 10% to 100%. No sound for 5minutes, Release on alarm again A-4-2.

  • Page 61: Alarm Event

    BM5 User’s Manual Alarm event -------------------------------------------------------------------------------------------------------------- Rev. 3.0...

  • Page 62: Trend

    BM5 User’s Manual 6. Trend Overview The monitor stores trend data for all connected signals. Users can request trend recording and can also print the screen of trends displayed. Triggered alarm events are displayed in red inverted triangles on the Event List and...
  • Page 63 BM5 User’s Manual Sub menu Description Available settings A. Trend Setup menu A-1. Popup Trend A-1-1. Time Period Show time interval setting menu 30min, 60min, 90min, 3hour, 6hour A-1-2. Configure Parameters Configure the bio signal to be shown in the popup trend window B.

  • Page 64: Graphical Trend

    BM5 User’s Manual 15min, 30min, 1hour D-4. Export Order Sequence of parameters Descending Ascending D-5. Export Save data to USB memory E. ECG Waveforms Review menu E-1. Lead Select lead to display on screen I, II, III, AVR, AVL, AVF, E-2.
  • Page 65 BM5 User’s Manual Graphic trend select menu ① Tabular trend select menu ② Event list menu ③ Event previous/next menu ④ Patient ID ⑤ Parameter numeric window ⑥ Interval search window ⑦ Trend interval setup menu ⑧ Parameter selection menu to show ⑨...

  • Page 66: Tabular Trend

    BM5 User’s Manual Tabular trend The Trends table displays the trend data in an easy-to-read table format. Up to six are displayed, updated every minute. The time stamp above each column indicates the interval at which the data in that column was trended. The value displayed is the last one acquired during the interval, and the most recent data is displayed in the rightmost column.

  • Page 67: File Export

    BM5 User’s Manual Numeric Parameter window ⑥ Selection Navigation window ⑦ Trend interval setting menu ⑧ Parameter selection menu ⑨ Printer menu ⑩ Parameter select window menu ⑪ File export The file extract function can transfer trend to a file using USB memory.
  • Page 68 Exported patient data on a USB memory drive is not encrypted and therefore raises  privacy concerns. So, only authorized personnel should be allowed to view, handle, store or transmit patient data. The file format of the USB memory drive used for the BM5 patient monitoring device is  FAT32. --------------------------------------------------------------------------------------------------------------...

  • Page 69: Popup Trend

    BM5 User’s Manual Popup trend The user can continue to monitor the main screen waveform and parameter box while displaying trend data for up to 7 parameters for up to 6 hours. The pop-up trend graph follows the display order indicated by each parameter in the trend setup and is updated with new trend data every 60seconds.
  • Page 70 BM5 User’s Manual Popup ST window Popup enlarge trend window You can change the size of the popup menu by pressing and releasing the center of the popup menu for at least 1second. -------------------------------------------------------------------------------------------------------------- Rev. 3.0...

  • Page 71: Ecg

    BM5 User’s Manual 7. ECG Overview The monitor can calculate heart rate, detect arrhythmia (adult and pediatric patients), and display ECG data. The electrocardiogram screen provides 1 channel, 2 channel, 7 channel display. It calculates the heart rate by detecting the electrocardiogram signal of the patient and alarms according to the set upper and lower limit of alarm.

  • Page 72: Ecg Precaution

    BM5 User’s Manual 4. Attach disposable electrodes to the previously sterilized skin. 5. Connect the lead of the electrode and the wire of the monitor 6. Fix the electrode to the skin, and secure the cable with the remaining length between the instrument and the electrode with surgical tape.
  • Page 73 BM5 User’s Manual 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. It is very important that these conductive parts do not come into contact with other grounded, conductive parts when connected to the isolated patient input of the device.
  • Page 74 BM5 User’s Manual experts) for proper use. In all cases, safe and proper operation should be verified with the applicable Manufacturer’s instructions for use and system standards IEC 60601-1-1/EN 60601-1-1 must be complied with. Electro surgery Unit Electrosurgical unit (ESU) emits a lot of RF interference. If the monitor is used with an ...

  • Page 75: Patient Preparation

    There are a variety of reusable and disposable electrodes available. Choose the electrode that best fits your monitoring situation. Bionet recommends Ag / AgCl disposable electrodes. If you are using an electrode with a gel beforehand, make sure that the electrode is sufficiently gelled.

  • Page 76: Ecg Lead

    BM5 User’s Manual ECG lead 5 LEAD electrode placement 3 LEAD electrode placement How to attach neonate electrodes -------------------------------------------------------------------------------------------------------------- Rev. 3.0...

  • Page 77: Ecg Signal Processing And Display

    BM5 User’s Manual Cable color and size AHA：American Heart Association (U.S.A. standard) IEC：International Electro technical Commission (Europe standard) 3LEAD / 5LEAD Lead wire Color code Label Color code Label Right arm White Left arm Black Yellow Right leg Green Black...

  • Page 78: St Signal Processing And Display

    BM5 User’s Manual If arrhythmia monitoring is possible (except for neonatal patients), the HR parameter box will change accordingly. If you select Basic, you can display three basic arrhythmias called ASYS, VFIB, and VTAC. If Full is selected, a separate ARR parameter box will be displayed next to the HR parameter box (for details on selecting the arrhythmia mode, refer to the Arrhythmia setting chapter).

  • Page 79: Display

    BM5 User’s Manual situation. If the monitor continues to misinterpret the P-wave or T-wave, use a pulse oximeter to reposition the electrodes or monitor the patient's pulse rate. Display Heart rate detector: It detects heart rate and flickers simultaneously. ①...

  • Page 80: Ecg Settings

    BM5 User’s Manual ECG Settings Main menu Sub menu A. ECG Parameters A-1. Alarm A-2. QRS Volume A-3. Display Option A-4. Arrhythmia A-5. ST/PVC A-6. Pace Maker A. ECG menu MENU Description Available settings A-1. Alarm ECG alarm setting menu A-1-1.
  • Page 81 BM5 User’s Manual default. MODERATE ECG FILTER： Selects among four MAXIMUM frequency bands to filter the signal. DIAGONOSIS MONITOR 0.5Hz ~ 40Hz MODERATE 0.5Hz ~25Hz MAXIMUM 5Hz ~ 25Hz DIAGONOSIS 0.05Hz ~150Hz Changes the display amplitude of the 0.25 , 0.5, 1, 2, A-3-3.

  • Page 82: Trouble Shooting

    BM5 User’s Manual currently connected cable) ST Diagnostic ECG Channel Setup A-5-3. ST Analysis Menu A-5-4. ISO(R-) ISO Point Position Setting Menu 120 ~ 4ms A-5-5. ST(R+) ST point position setting Menu 4~160 ms ISO, ST point position initial value ISO : 80 A-5-6.
  • Page 83 BM5 User’s Manual 4. If amplitudes are low, electrodes may need to be repositioned or replaced. Problem: False ventricular calls. Solution: Check ECG signal from patient: (the chest lead may exhibit polarity changes which may occasionally cause an inaccurate call.) 1.

  • Page 84: Arrhythmia Monitoring

    BM5 User’s Manual 8. Arrhythmia Monitoring Overview Arrhythmia monitoring is available for adult and pediatric patients. The selected mode (Full, Lethal or OFF) determines which events are processed. Arrhythmia monitoring is not available for newborns. Arrhythmia monitoring is available for adult and pediatric patients only. The monitor compares the received beats to the reference beats that have been recorded and stored in the reference template.
  • Page 85 BM5 User’s Manual Ventricular asystole occurs whenever the displayed heart rate drops to zero. 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 86: Arrhythmia Settings

    BM5 User’s Manual Tachycardia is four R-to-R intervals at a heart rate greater than the set high heart rate limit. NOTE The Tachy limit matches the high heart rate limit. If the high heart rate limit is changed, the Tachy limit changes.
  • Page 87 BM5 User’s Manual LETHAL: Performs the detection of Asys, VTAC/VFIB, and VTAC at the selected lead FULL: Performs the detection of all 13 arrhythmia A-1-2. Arrhythmia Alarm Alarm setting menu by arrhythmia Condition type Warning Display Heart Beat Equipment Signal Hart Beat equipment signal displays when the PACE mode is.
  • Page 88 BM5 User’s Manual Certain conditions can delay the arrhythmia analysis. Detection and alarms associated with arrhythmias do not occur when arrhythmia conditions are delayed. This message is generated when the arrhythmia analysis is delayed: LEADS FAULT, ALARM PAUSE, ALL ALARMS OFF, DISCHARGED.

  • Page 89: Spo2

    If skin conditions change, move the sensor to another location. Change the application site every 4 hours at least. Use only Bionet-designated sensors. Other sensors may not provide adequate protection  against defibrillation or may put the patient at risk.

  • Page 90: Patient Preparation

    If you use your fingers as a monitoring site, remove the nail polish. Cut the patient's fingernail if needed to improve placement of the sensor. Only use sensors provided by Bionet and apply them according to manufacturer's recommendations on a per-sensor basis.
  • Page 91 BM5 User’s Manual SpO2 connector SpO2 measurement Cable Note The signal input is a high-insulation port and it is defibrillator proof ( The insulated input ensures patient safety and protects the device during defibrillation and electro surgery. -------------------------------------------------------------------------------------------------------------- Rev. 3.0...

  • Page 92: Display

    BM5 User’s Manual Display SpO2 pulse rate display ① SpO2 PI (Perfusion Index) display ② SpO2 Alarm limits display ③ SpO2 strength indicator ④ %SpO2 Value display ⑤ 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 93: Quality Of Spo2 Waveform

    BM5 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 94: Spo2 Settings

    BM5 User’s Manual SPO2 Waveform with Artifact 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 95: Status Messages

    BM5 User’s Manual SPO2-POORSIGNAL SPO2-LOSTPULSE SPO2-ARTIFACT SPO2-PULSE SEARCH A-2. RATE VOLUME Menu in which RATE VOLUME is set up OFF, 0%~100% When the ECG volume is set, it is automatically set to OFF. A-3. DISPLAY OPTION SPO2 waveform display setting A-3-1.
  • Page 96 BM5 User’s Manual ARTIFACT It indicates that something happened to the pulses; determine if the artifact to be abnormal and irregular Cleaning Do not autoclave, pressure sterilizes, or gas sterilizes this oximeter.  Do not soak or immerse the monitor in any liquid.

  • Page 97: Respiration

    Impedance breath monitoring should not be considered the only way to detect breathing  stops. Bionet recommends monitoring of additional parameters, such as EtCO2 and SpO2, that indicate the patient's oxygen supply status. • If you use an ESU block or cable, the impedance breath monitor may not work and the ...

  • Page 98: Patient Preparation

    BM5 User’s Manual Patient Preparation Skin preparation and electrode placement must be properly and carefully monitored in impedance breath monitoring. You can produce reliable results. Follow the same recommendations as ECG monitoring Please. In general, the electrodes should be placed as clean as possible with the 60Hz noise minimized Make it possible to generate a signal.
  • Page 99 BM5 User’s Manual Respiration connector and measurement cable Respiration connector Respiration cable Note Respiration Rate measures the cable and connector will be used as the ECG and common. -------------------------------------------------------------------------------------------------------------- Rev. 3.0...

  • Page 100: Display

    BM5 User’s Manual Display Breathe indicator: indicates the detected breath ① Breathing number : displays the number of respiration per minute ② Respiration alarm limit: indicates respiration limits ③ Apnea limit Setting: Apnea limit sign ④ RESP Settings A. RESP menu...

  • Page 101: Oxycrg Monitoring

    BM5 User’s Manual A-2-1. SWEEP SPEED A menu to setup Wave Display of 6.25mm/s, speed 12.5mm/s, Default setting is 25mm/s. 25mm/s, A-2-2. SIZE A menu to setup Wave Display 2, 4, 6, 8, 10 A-2-3. LEAD SELECT This is for changing the reference...
  • Page 102 BM5 User’s Manual Cursor When you select the cursor box, a vertical bar is displayed in the trend area of the screen. The number on the left of the screen no longer indicates the scale value, but the parameter value of the time marked with the cursor is displayed.

  • Page 103: Nibp

    BM5 User’s Manual 11. NIBP Overview The monitor can acquire and process non-invasive blood pressure (NIBP) signals and display the output. Blood pressure measurements are determined by the oscillometric method and are equivalent to those obtained by intra-arterial methods, within the limits prescribed by the Association for Advancement of Medical Instrumentation, Electronic Automated Sphygmomanometers (AAMI/ANSI SP-10).
  • Page 104 BM5 User’s Manual NIBP Connector Adult Cuff Optional accessory list Big Adult NIBP Cuff Thigh Adult Cuff Size : 458 * 143 45 to 56.5 Arm circumference : Cm Option Big Adult NIBP Cuff Big Adult Cuff Size : 458 * 143 35.5 to 46...
  • Page 105 BM5 User’s Manual Pediatric NIBP Cuff Pediatric Cuff Size : 313 * 88 13.8 to 21.5 Arm circumference : Cm Option Infant NIBP Cuff Cuff Size : 210 * 60 Infant 9 to 14.8 Arm circumference Cm Option NIBP Disposable Cuff Neonate 1 (3.3~5.6cm) Option NIBP Disposable Cuff Neonate 2 (4.2~7.1cm) Option...

  • Page 106: Display

    BM5 User’s Manual Display ① Measurement Cuff type. Pulse rates: Indicates pulse rate. ② ③ Measurement time: Indicates the completion time of measuring. ④ Measure time: Indicates the schedule counter time of measuring. ⑤ Indicates recent measurement data. Systolic Alarm limit: Indicates alarm limit of blood pressure.

  • Page 107: Nibp Settings

    BM5 User’s Manual NIBP Settings A. NIBP menu Menu Description Available Settings A-1. Alarm NIBP Alarm setup menu A-1-1. PARAMETER ALARM SYS, MEAN, DIA Parameter alarm limit, LIMIT level , activation setup A-1-2. TECHNICAL ALARM NIBP-OVER PRESSURE CONDITION NIBP-OVERTIME PRESSURE...
  • Page 108 BM5 User’s Manual ADT : 170 mmHg PED : 140mmHg NEO : 120mmHg * After INFLATION setting, initial pressurization pressurizes to INFLATION setting value, but then pressurization differs depending on patient's blood pressure value. A-4. SETTING TIME How to apply pressure value setting.
  • Page 109 BM5 User’s Manual Warning Check periodically to see if the circulation from the cuff to the distal part of the patient's arm is good. 1minute and 2minute intervals When using automatic measurement, check the patient's condition frequently. It is not recommended for measuring blood pressure for a long time after the measurement time period is set to 10minutes or less.

  • Page 110: Measurement Limitations

    BM5 User’s Manual It recommended PATIENT position in NORMAL measurement, as below; 1) Comfortably seated 2) Legs uncrossed 3) Feet flat on the floor 4) Back and arm supported 5) Middle of the CUFF at the level of the right atrium of the heart...
  • Page 111 BM5 User’s Manual For this reason, it is important to select the correct cuff size for your patient. Cuff sizes are clearly marked on the cuff. Measure the circumference of your patient’s limb. Use only Bionet cuffs with your monitor.

  • Page 112: Status Messages

    BM5 User’s Manual Status Messages If the cuff hose is not connected properly  INFLATION FAILURE CHECK CUFF When the cuff pressure is excessive  OVER PRESSURE When the cuff breaks and cannot exhaust  DEFLATION FAILURE When the cuff pressure exceeds the set time ...

  • Page 113: Invasive Blood Pressure

    BM5 User’s Manual 12. Invasive Blood pressure Overview 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 114 BM5 User’s Manual IBP CONNECTOR Reusable Pressure Transducers Cartridges and Monitoring kit Model number Description MX9604A Logical® 60°(152㎝) single monitoring kit MX9602A Logical® double monitoring kit -------------------------------------------------------------------------------------------------------------- Rev. 3.0...
  • Page 115 BM5 User’s Manual MX960 Logical® transducer mounting plate MX261 Logical® clamp for transducer bracket MX262 Logical® braket for two transducer mounting plates Disposable Pressure Transducers Cartridges and Monitoring kit Model number Description MX9504T TranStar® 60° single line monitoring kit --------------------------------------------------------------------------------------------------------------...
  • Page 116 BM5 User’s Manual MX800 Modular transducer mounting plate MX240 Pole clamp for mounting a transducer plate MX4810 C-fuser® 1000ml Pressure Infusor complete unit with squeeze bulb and pressure gauge -------------------------------------------------------------------------------------------------------------- Rev. 3.0...

  • Page 117: Precaution

    BM5 User’s Manual Precaution The following precautions apply to IBP procedures. See the hospital's clinical guidelines for details. Warning All parts, except Transducer, should not be conductive. Otherwise discharge energy may induce a shock to operators during cardio version. single-use ACCESSORIES are not to be reused Use of non-approved transducers may compromise this protection.

  • Page 118: Display

    BM5 User’s Manual Display ① ② ③ A R T 2 00 (94) m m H g ④ ⑤ ⑥ ① C V P 1. 46 2 .0 0 .4 k P a ② ⑤ ⑥ Measuring Position: Position of blood pressure measurement ①...

  • Page 119: Ibp Settings

    BM5 User’s Manual IBP settings A. IBP menu Menu Description Available settings A-1. Alarm IBP Alarm settings menu A-1-1. PARAMETER ALARM IBP-SYS, MEAN, DIA, PR parameter LIMIT alarm , level , activate setup A-1-2. TECHNICAL ALARM IBP-CABLEOFF CONDITION IBP-DISCONNET A-2.
  • Page 120 BM5 User’s Manual waveform on screen. A-3-4. PULSE RATE Menu to Set display of blood pressure pulse B-1. ZEROING Menu to set zero-point of Transducer. If zero adjustment is not performed, "IMBALANCE" message is displayed in the waveform window. Procedures (Zero reference) 1) Close the transducer stopcock on the patient’s side.
  • Page 121 BM5 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 122 BM5 User’s Manual The below table show 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 UAP-PR...
  • Page 123 BM5 User’s Manual CVP-PR RAP-S RAP-D RAP-M RAP-PR LAP-S LAP-D LAP-M LAP-PR UVP-S UVP-D UVP-M UVP-PR ICP-S ICP-D ICP-M ICP-PR BP1(BP2)-S BP1(BP2)-D BP1(BP2)-M BP1(BP2)-PR -------------------------------------------------------------------------------------------------------------- Rev. 3.0...
  • Page 124 BM5 User’s Manual DISCONN. ALARM DISCONN ALARM MENU will be displayed when measurement label is set for ART, FEM and UAP. This function will be activated upon the following two conditions. 1. In case MEAN PRESSURE is not higher than 25mmHg.

  • Page 125: Etco2

    BM5 User’s Manual 13. EtCO2 Overview On supported models only(*), the BM Series monitor measures concentrations of end-tidal CO2 (EtCO2) when this option is enabled and the EtCO2 module is connected to your monitor. The EtCO2 module can perform mainstream measurements in all monitoring modes and sidestream measurements in the adult and pediatric monitoring modes.
  • Page 126 BM5 User’s Manual Sidestream EtCO2 Accessories Intubation Sidestream accessories PART FIGURE Description type 3468ADU-00 Nasal CO Sampling Cannula Adult 3468PED-00 Nasal CO Sampling Cannula Child 3468INF-00 Nasal CO Sampling Cannula Neonate Oral/Nasal CO Sampling Cannula 3470ADU-00 Adult 3470PED-00 Oral/Nasal CO...
  • Page 127 BM5 User’s Manual Nasal CO Sampling Cannula w/ O 3469INF-00 Neonate Delivery Oral/Nasal CO Sampling Cannula w/ O 3471ADU-00 Adult Delivery Oral/Nasal CO Sampling Cannula w/ O 3471PED-00 Child Delivery Intubation accessories Airway Adapter Kit w/ Dehumidification Adult /chid 3473ADU-00 Tubing (ET Tube Size >4.0 mm)
  • Page 128 BM5 User’s Manual EtCO2 Placements and Accessories (Mainstream, Respironics) EtCO2 connector CAPNOSTAT 5 mainstream CO2 sensor and connector Mainstream Sensor Mainstream Sensor Connector -------------------------------------------------------------------------------------------------------------- Rev. 3.0...
  • Page 129 BM5 User’s Manual Mainstream EtCO2 Accessories Intubation patient Airway adaptor Model Picture Description 6063-00 Adult/Neonate(disposable) 312-00 Neonate(Disposable) 7007-00 Adult/Neonate (Reusable) 7053-00 Neonate( Reusable) -------------------------------------------------------------------------------------------------------------- Rev. 3.0...

  • Page 130: Precaution

    BM5 User’s Manual Precaution Warning The safety and efficacy of breath measurement methods for apnea detection,  especially apnea of premature babies and apnea of infants, have not yet been established. Patient monitors that measure CO2, anesthetics, and / or respiratory mechanics ...

  • Page 131: Sampling Method

    BM5 User’s Manual Sampling method 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. 2. Make sure the arrows on the connector are at the top of the connector and line up the two keys of the connector with the receptacle and insert.
  • Page 132 BM5 User’s Manual Shown below is the CAPNOSTAT 5 CO Sensor with a patient circuit: Connecting the LoFlo Sample Kit 1. The sample cell of the sampling kit must be inserted into the sample cell receptacle of the LoFlo CO Module as shown in Figure 1.

  • Page 133: Display

    BM5 User’s Manual Display ① ② A W R R E tC O 2 F iC O 2 5 0 / 3 0 S ③ ④ ⑤ EtCO2 CO2 concentration alarm upper and lower limit value display ① Apnea alarm set time in seconds ②...
  • Page 134 BM5 User’s Manual ETCO2-CHEKC LINE DISCONNECT ETCO2-CO2 INVALID ETCO2-OVER RANGE ETCO2-ZERO REQUIRED ETCO2-SYSTEM FAULT ETCO2-TEMP UNSTABLE A-2. DISPLAY OPTION EtCO2 Parameter Wave Display Setup Menu A-2-1. SWEEP SPEED Waveform sweep speed setup 6.25mm/s, 12.5mm/s, 25mm/s A-2-2. SCALE Display waveform scale setup.
  • Page 135 BM5 User’s Manual Unit setting menu by gas type appears when OFF A-3. APNEA DETECT APNEA detection menu ON/OFF A-4. MODULE INFORMATION A-4-1. SENSOR PN PNXXXXXX The sensor part number A-4-2. OEM ID The id is a 7bit identifier which is set...
  • Page 136 BM5 User’s Manual ETCO value for the last two breaths. A-5-2. BALANCE GAS ROOM AIR This setup mode to setup the gas in the measurement. the type of gas that is mixed with the HELIUM breathing gas measuring A-5-3. SLEEP MODE...
  • Page 137 BM5 User’s Manual This function is used to initiate a When performing a zero on room air, A-5-8. ZERO TYPE ROOM AIR this setting should be set to room air (the default). Only change to nitrogen ) when performing a zero on 100% gas;...

  • Page 138: Status Message

    BM5 User’s Manual Note For best result, connect the CAPNOSTAT 5 CO2 Sensor to an adapter and wait 2minutes before performing the Adapter Zero procedure. Status Message Following is a list of some of the message that may appear on the monitor when monitoring CO2.
  • Page 139 BM5 User’s Manual - Solution : To clear, check airway adapter and clean if necessary. If this does not correct the error, perform an adapter zero. If you must adapter zero more than once, a possible hardware error may exist.
  • Page 140 BM5 User’s Manual Note In the following monitoring conditions, the measured values may be inaccurate. Read the measured values carefully. 1. When using this in an environment of using nitrous oxide gas of high concentration 2. When using this in an environment where abrupt temperature change takes place 3.

  • Page 141: Temperature

    BM5 User’s Manual 14. Temperature Overview 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 142: Display

    BM5 User’s Manual Note Temperature probe is correctly positioned and fixed to do not disconnect on the patient. Temperature cable is attached to the monitor. Display ① ② ③ ④ Temperature alarm limit display ① Temperature value display ② Temperature difference value display ③...

  • Page 143: Temperature Settings

    BM5 User’s Manual Warning To measure the ambient temperature, connect the probe to your ankle or wrist. If the patient is sweating or moving heavily, fix the pads with surgical tape. Temperature settings A. Temp menu MENU Description Available Settings A-1.

  • Page 144: Printer

    BM5 User’s Manual 15. Printer Overview The monitor in order to print out monitoring data, including trends and alarm data. Recordings of waveforms are either timed or continuous and print at a recording speed of 25mm/s. All recordings are identified by the patient’s name, ID as well as the date and time of the recording request.

  • Page 145: Printer Settings

    Real Time normal printing. Delay (5sec) 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. REAL TIME: Prints the data from the point where the PRINTER key was pressed.

  • Page 146: Thermal Paper Storage

    BM5 User’s Manual Thermal Paper Storage To avoid print quality degradation or attenuation of printouts, follow these precautions: Note These precautions apply to both unused paper as well as paper that has already been run through the printer. • Store in cool, dark locations. Temperature must be below 27°C (80°F). Relative humidity must be between 40% and 65%.

  • Page 147: Paper Change

    BM5 User’s Manual 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. If your retention requirements exceed these guidelines, we recommend you consider alternate image storage techniques.

  • Page 148: Maintenance And Troubleshooting

    Examine all system cables, the power plug for damage. Make sure that the prongs of  the plug do not move in the adaptor. If damaged, replace it with an appropriate Bionet power cord and adaptor. Inspect the parameter cable and ensure that it makes good connection with the ...

  • Page 149: Maintenance Task And Test Schedule

    BM5 User’s Manual Monitor. Make sure that there are no breaks in the insulation. Apply the transducer or electrodes to the patient, and with the monitor switched on,  flex the Patient cables near each end to make sure that there are no intermittent faults...
  • Page 150 BM5 User’s Manual use of monitor during defibrillation) Replace backlight (integrated displays only) 35,000 - 40,000 hours (about four years) of continuous usage, or as needed. Parameter Module Tests Performance assurance for all measurements At least once every two years, or if you suspect not listed below.

  • Page 151: Noise In Ecg

    BM5 User’s Manual Noise in ECG - Check that the filter settings are appropriate. - Check whether the electrode is attached well. - Check if the gel on the electrode is dry Apply ECG gel or water to the area of...

  • Page 152: Spo2 Malfunction

    BM5 User’s Manual SpO2 malfunction Connectors of the equipment’s 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 Temperature malfunction - If the temperature cannot be measured, check the connection with the equipment...

  • Page 153: Nibp Malfunction

    BM5 User’s Manual NIBP malfunction - Connector connection status, confirmation that the hose is normally connected Are leaks from the hose Replace the horse of cuff connector of cuff? Repair the NIBP B/D Abnormality in NIBP measurements Make sure the patient stay...

  • Page 154: Etco2 Malfunction

    BM5 User’s Manual EtCO2 malfunction The extension cables Replace extension cables Are disconnected The module is Replace the module in bad condition? Repair the adaptor Failure in battery recharge (the battery does not fully recharge in 6 hours or more)

  • Page 155: Power Failure

    BM5 User’s Manual Power failure Replace the adapter The adapter connector is in bad condition The output voltage of the adpateris lower Replace the adapter than 18V Repair the power B/D Data storage failure Execute the "admit" function "Admit" has been selected in the menu...

  • Page 156: Periodic Noises

    BM5 User’s Manual Periodic noises All alarm has been turned off Turn functions not in use off Display lead fault Message appears (Mode display set para) Replace the printer The printer function abnormally Repair the accompanying Equipment Print failure Shut the cover tight...

  • Page 157: Clean And Care

    We recommend the following cleaning solution and procedures. To avoid contamination and unnecessary damage to the equipment, follow the instructions below. Bionet does not claim the right to the following chemical efficacy, disinfectant method, the ability of the drug to inhibit bacterial infection, environmental impact, safe handling or precautions related to use.
  • Page 158 BM5 User’s Manual liquid stick to the edge of the screen. Patient’s Cable Clean the patient cables with a gauze pad moistened with a soap solution.  To disinfect patient cables, wipe the cables with a gauze moistened with diluted alcohol ...
  • Page 159 BM5 User’s Manual Wipe the sensor surface and sensor window with a damp cloth. Do not attempt to wet the sensor or disinfect it with hot water. Allow to dry completely with a lint-free cloth. Make sure the sensor window is clean and dry before use.
  • Page 160 BM5 User’s Manual Clean the exterior of the equipment at least once a month using a soft cloth moistened with lukewarm water or alcohol. Do not use lockers, thinners, ethylene, or oxidizers that could damage the equipment. Make sure that the cables and accessories are free from dust and dirt, then wipe them with a soft cloth moistened with 40 °...
  • Page 161 BM5 User’s Manual ·If you suspect the installation or disposition of the external ground wire, operate the equipment by means of the internal power supply. ·If the unit is not used for a certain period of time, remove the backup battery if safety hazards do not occur.

  • Page 162: Technical Specification

    The device is to be used by trained health care professionals. The monitor is intended for use in health care facilities; the BM5 Monitor is additionally intended for use in transport situations within the hospital setting.
  • Page 163 For example, a Bluetooth-compliant device using the 2.4 GHz frequency band may interfere with the wireless communication of the patient monitor. For more information on wireless deployment, please contact your Bionet representative. Low amplitude signals such as EEG and ECG are particularly sensitive to interference ...

  • Page 164: Manufacturer's Declaration - Electromagnetic Emission

    BM5 User’s Manual 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 165: Manufacturer's Declaration - Electromagnetic Immunity

    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 166 0.5cycle rcial or hospital environmen Interruptions an for 0.5cycle t. If the user of the BM5 system requires continued o 40% Uт (60% dip in Uт ) Voltage variation peration during power main 40% Uт...
  • Page 167 BM5 User’s Manual 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 Compliance level...
  • Page 168 BM5 User’s Manual Radiated RF 3 V/m 3 V/m Recommended separation distance 80.0 MHz to 2.5 G 80.0 MHz to 2.5 G IEC 61000-4-3 Where P is the maximum output power r ating of the transmitter in watts (W) acco...
  • Page 169 Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and 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 interference...
  • Page 170 BM5 User’s Manual 3.70 3.70 7.37 11.70 23.30 11.70 For transmitters rated at a maximum output power not listed above, the recommended separation distance (d) in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) accordin g to the transmitter manufacturer.

  • Page 171: Guidance And Manufacturer's Declaration - Electromagnetic Immunity

    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 172 BM5 User’s Manual a- Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telepho nes and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered.

  • Page 173: System Specification

    BM5 User’s Manual System Specification Physical Dimension (H x W x D) 250 x 270 x 184.5 mm Weight Approx. 4.0kg Indicator RED LED Cooling Air flow Interface RJ45 , USB , HDMI Power AC 100-240V (50/60Hz) Adapter 18 V, 2.8 A Power consumption <...
  • Page 174 BM5 User’s Manual TRACE 6 waveforms : 2*ECG, SpO2, RR or EtCO2, 2*IBP Sweep speed : 6.25, 12.5, 25, 50 mm/sec Indicator Categorized alarms (3 priority levels), Visual alarm lamp handle SpO2 pulse pitch tone, Battery status, External power LED Interface DC input connector : 18VDC, 2.8A...
  • Page 175 BM5 User’s Manual Lead type 3-lead, 5-lead, 10-lead(option) Lead Selection 3-lead : I, II, III 5-lead : I, II, III, aVR, aVL, aVF, V ECG waveforms 3-lead : 1 channel 5-lead : 2/7 channels Heart Rate Range Adult : 30 – 300 bpm Neonate/Pediatric : 30 –...
  • Page 176 BM5 User’s Manual SpO2 Performance Saturation range 0 to 100% Saturation accuracy 70 to 100% ±2 digits 0 to 69% unspecified Pulse rate range 30 to 254 bpm Pulse rate accuracy ±2 bpm NIBP Performance Method Oscillometry with linear deflation...
  • Page 177 BM5 User’s Manual >=100mmHg : ±1% of reading Pulse rate measurement 0 to 300bpm range Zero balancing Range : ±200mmHg Accuracy : ±1mmHg Drift : ±1mmHg over 24hours Transducer sensitivity 5µV/mmHg Pulse rate measurement 0 to 300bpm range Sidestream CO2 (Option)
  • Page 178 BM5 User’s Manual Product Configuration 1. Main body of BM5 Monitor 1 EA 2. 5-Lead patient Cable 3. Disposable electrodes 10 EA 4. NIBP extension horse 5. Reusable Adult NIBP Cuff 6. SpO2 extension cable 7. Reusable Adult SpO2 Probe 1 EA 8.

  • Page 179: Adult & Pediatric - Icu Mode

    BM5 User’s Manual Adult & Pediatric - ICU Mode Alarm level High Medium Message Asystole VTAC/VFIB VTAC SHORT RUN ACC VENT BIGEMINY COUPLET IRREGULAR PAUSE R ON T TRIGEMINY V BRADY PVC Count NIBP - S NIBP - M NIBP - D...

  • Page 180: Neonate-Icu Mode

    BM5 User’s Manual T2 ْ ◌ C) TEMP- DT IBP1(S/M/D/PR) IBP2(S/M/D/PR) EtCO2 FiCO2 AWRR APNEA LEAD FAULT CABLE OFF LOW BATTERY Neonate-ICU Mode Alarm level High Medium Message Asystole VTAC/VFIB VTAC SHORT RUN ACC VENT BIGEMINY COUPLET IRREGULAR PAUSE R ON T...
  • Page 181 BM5 User’s Manual PVC Count NIBP - S NIBP - M NIBP - D NIBP - PR -Rate RR-Apnea T1( ْ ◌ C) T2 ْ ◌ C) TEMP – DT IBP1(S/M/D/PR) IBP2(S/M/D/PR) EtCO2 FiCO2 AWRR APNEA LEAD FAULT CABLE OFF...

  • Page 182: Parameter Limits

    BM5 User’s Manual Parameter Limits Adult Pediatric Neonate 50 – 150 50 – 160 50 – 170 NIBP-S 80 – 200 60 – 160 40 – 100 NIBP-M 40 – 140 40 – 120 30 – 70 NIBP-D 20 – 120 30 –...
  • Page 183 BM5 User’s Manual FEM- SCALE IBP1-S (PAP) 20 –50 20 –50 40 – 100 IBP1-M (PAP) 10 – 40 10 – 40 30 – 70 IBP1-D (PAP) 5 – 30 5 – 30 20 – 50 PAP- SCALE IBP1-M (RAP) 3 –...

  • Page 184: Display

    BM5 User’s Manual FiCO2 0 – 5 0 – 5 0 – 5 Apnea 0 - 20 0 - 20 0 - 15 Display Patient Age Adult PEDIATRIC NEONATE Primary ECG Arrhythmia LETHAL LETHAL LETHAL Detect Pace Print Waveform1 LEAD II...

  • Page 185: Abbreviations And Symbols

    BM5 User’s Manual Abbreviations and Symbols Abbreviations and symbols are alphabetized by reference, which can be read while reading the manual or using the equipment. Abbreviations amps alternating current adult ARRYTHM arrhythmia ASYS asystole Auto, AUTO automatic Auxiliary left foot augmented lead...
  • Page 186 BM5 User’s Manual electrocardiograph electromagnetic compatibility electromagnetic interference electrosurgical cautery unit Fahrenheit gram heart rate, hour hertz intensive care unit incorporated kg, KG kilogram kilopascal liter, left left arm, left atrial pounds liquid crystal display light emitting diode left leg -------------------------------------------------------------------------------------------------------------- Rev.
  • Page 187 BM5 User’s Manual M mean, minute meter MIN, minminute MM, mm millimeters MM/S millimeters per second MMHG, mmHg millimeters of mercury millivolt NIBP non-invasive blood pressure NEO, Neo neonatal operating room pediatric premature ventricular complex interval of ventricular depolarization right arm, right atrial...
  • Page 188 BM5 User’s Manual second SpO2 arterial oxygen saturation from pulse oximetry SYNC, Sync synchronization systolic Temp, TEMP temperature precordial lead volt V-Fib, VFIB ventricular fibrillation VTAC ventricular tachycardia multiplier when used with a number (2X) Symbols & ° degree(s) >...

  • Page 189: Product Warranty

    Phone : Sales Agency Manufacturer * Thank you for purchasing BM5 * 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 Fair Trade Commission.

  • Page 190: International Sales & Service Contact

    BM5 User’s Manual International Sales & Service Contact Bionet Co., Ltd. : #5F, 61 Digital-ro 31 gil, Guro-gu, Seoul, REPUBLIC OF KOREA Tel : +82-2-6300-6418 / Fax : +82-2-6300-6454 / e-mail: sales@ebionet.com Website: www.ebionet.com U.S.A sales & service representative Bionet America, Inc. : 2691, Dow Ave, Suite B Tustin, CA 92780 U.S.A.

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