Bionet BM1 User Manual
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Bionet BM1 User Manual

Patient monitor
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BM1
User's Manual
Patient Monitor
Rev. 2.2
2021.05.04
BM1 Vital-Sign Monitor
Warning
To ensure proper use of this medical equipment, you must read and comply with this user manual.
1
Rev. 2.2

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  • Page 1 User’s Manual Patient Monitor Rev. 2.2 2021.05.04 BM1 Vital-Sign Monitor Warning To ensure proper use of this medical equipment, you must read and comply with this user manual. Rev. 2.2...
  • Page 2 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

    Table of Contents BM1 User Manual Intended Use ............................... 8 General Description ............................8 Patient Classification ............................9 Functional Safety .............................. 9 Warning, Caution, Note ..........................10 Define Groups ..............................11 General Precaution on Environment ....................12 Electromagnetic Compatibility ....................... 13 1.
  • Page 4 Battery Power ............................... 27 Getting Started............................. 32 2. Setup ................................36 Setup Overview ............................36 Monitor Configuration ..........................36 Main Menu Settings ..........................37 3. Network ................................. 43 Network Overview ............................43 Network Connection ..........................43 IT Network Connection ..........................46 LAN Network ..............................
  • Page 5 6. EWS(Early Warning Score) ........................63 EWS Overview .............................. 63 How to Use EWS ............................64 7. TREND ................................67 TREND Overview ............................67 Continuous Mode ............................67 File Export ............................... 70 Spot / Triage Mode ........................... 72 8. SpO2 ................................77 SpO2 Overview ............................
  • Page 6 NIBP Settings ..............................92 NIBP Status Messages ..........................93 10. EtCO2 ................................95 EtCO2 Overview ............................95 EtCO2 Precautions ............................95 EtCO2 Connector And Accessories ..................... 97 EtCO2 Connecting and Sampling Method ..................101 EtCO2 Display ............................. 103 EtCO2 Settings ............................103 EtCO2 Status Messages .........................
  • Page 7 13. Clean and Care ............................123 Clean and Care Overview ........................123 Monitor and Peripherals ........................123 14. Technical Specification ........................127 Technical Specification Overview ....................... 127 EMC Compatibility (EMC) ........................127 Manufacturer’s Declaration - Electromagnetic Emission ............129 Manufacturer’s Declaration - Electromagnetic Immunity ............129 System Specification ..........................

  • Page 8: Intended Use

    Intended Use The BM1 monitor is for patient vital-sign monitoring. The instrument generates visual and audible alarms, when the configured limits and time are exceeded, or when various physiological parameters are monitored. NOTE All hardware and screenshots in this user guide are for illustration purposes only. Actual products or screens may vary slightly.

  • Page 9: Patient Classification

    Patient Classification BM1 monitors are designed for use by adults, pediatrics and neonates. Functional Safety The essential performance of the patient monitor is to provide the clinician with meaningful parameter values and to sound an alarm when the established parameter value is exceeded or the function that provides the value is not working properly.

  • Page 10: Warning, Caution, Note

    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. WARNING “Warning”...

  • Page 11: Define Groups

    Define Groups The defined groups for this product are users, service personnel, and experts. Defined groups should read the user manual before using the product and be trained in the use, installation, reprocessing, maintenance and repair of the product. This product can only be used, installed, reprocessed, maintained and repaired by a defined group. User Users use the product for their intended use.

  • Page 12: General Precaution On Environment

    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 Do not touch the to direct sunlight. equipment with wet hand. Avoid placing in an Avoid in the area where there is a vicinity of Electric...

  • Page 13: Electromagnetic Compatibility

    The monitor complies with the following standards pertaining to EMI emissions and susceptibility : EN60601-1-2, CISPR 11 Class A. 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 support is used ...
  • Page 14 CAUTION Infectious devices and parts must be sanitized and cleaned before disposal. Rev. 2.2...

  • Page 15: Basic

    Please check the following before using the product. Be sure that AC power supply line is appropriate to use. (AC100 - 240V) Be sure that the power source is the one supplied from Bionet. (Manufacturer : BRIDGEPOWER, Model: JMW128, Rated Voltage: DC15V/2.0A) Be sure that the entire connection cable of the system is properly and firmly fixed.
  • Page 16 NOTE BM1 is classified as follows : BM1 classifies as Class II, BF & CF concerning electric shock. It is not proper to  operate this Equipment around combustible anesthetic or dissolvent. Noise level is A class regarding IEC/EN 60601-1 and the Subject of noise is A level ...

  • Page 17: Equipment Connection

    If you have questions about this matter, please contact Bionet or its representatives. Product Configuration Main Body of BM1 Monitor 1 EA NIBP Extended Hose 1 EA...

  • 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

    Basic Unit Front View ① ③ ② ① Alarm lamp ② Battery operation indicator ③ AC status indicator Rev. 2.2...
  • Page 20 Right Side View ① ② ③ ⑤ ⑥ ⑦ ④ ⑧ ① Alarm control key ② Blood-pressure measurement key ③ Operation mode/ home key ④ Power ON/OFF Key ⑤ SpO2 connector ⑥ Infra-Temperature connector ⑦ Blood pressure cuff hose connector ⑧...
  • Page 21 Left Side View ① ② ③ ④ ⑤ ⑥ ① Nurse-call connector ② USB port (USB 2.0 5Vdc / Max. 500mA / 2EA) ③ HDMI mini Output port ④ Ethernet port ⑤ Service Port ⑥ DC adaptor jack Rev. 2.2...
  • Page 22 Back Side View ② ③ ① ① Speaker Hole ② IV Pole Mount ③ Battery Cover Rev. 2.2...
  • Page 23 NOTE USB Compatible The BM1 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, ...
  • Page 24 Manufacturer Product name Product image Symbol LS-2208 ZEBEX Z-3110 Honeywell MS5145 1900GHD-1 Honeywell (QR code) CAUTION You must read the user manual of the barcode scanner to get complete information about it. The initialization codes for various products would be included. You must run the initialization after verifying the input type.

  • Page 25: Device Markings

    Device Markings Consult instructions for use. This symbol advises the reader to Caution : Consult Accompanying consult the operating instructions Documents for information needed for the proper use of the device. TYPE CF Applied Part TYPE BF Applied Part Drip proof protection to IPX1 SpO2 Connect Port IR Temperature Connect Port NIBP Connect Port...

  • Page 26: Power

    Power The BM1 monitor uses a DC adapter (100-240 VAC / 15VDC 2.0A). 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 27: Battery Power

    Battery Power DC adapter, it uses battery power when power failure and portable use. The battery is attached to the bottom of the equipment and the additional extended battery is connected to the left side. Operation Battery Power LED is lighted on when the equipment is in use. Battery is automatically charged when the equipment is connected to DC adaptor.
  • Page 28 Immediately connect the monitor to Your battery is charged at 25% the AC adapter. The internal battery is very low. Immediately connect the monitor to (The power will turn off about 2min) the AC adapter. There is no built-in battery. Connect the battery.
  • Page 29 To maximize battery performance 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 decrease and frequency of replacement will increase.
  • Page 30 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 31 12 months. Bionet recommends that you remove the battery and store it near the monitor until it is needed for transport.

  • Page 32: Getting Started

    Getting Started Starting the Monitor Press the power key at the bottom right side of the monitor front panel. The power light on the monitor lights up, the alarm bar lights up, the power is turned on, the screen lights up, the main screen is displayed after running the self-test.
  • Page 33 Operating Mode window You can change the operating mode by clicking the Operation Mode window and entering the user password. BM1 supports three operation modes. Continuous mode: It is used for short term patient monitoring. Spot mode: It is used to collect the patient’s vital sign during the round.
  • Page 34 Alarm Status Window The message appears at the top of the screen except for technical alarms. EWS Window EWS is provided in Triage mode. It can help you to quickly determine the degree of illness of a patient. Parameter Box Displays (Waveform & Numeric Window) The parameter box displays values, alarm limits and icons for the selected parameter.
  • Page 35 Displays the automatic blood pressure measurement interval setting menu. Device Status Information Displays the connection status of USB, Barcode Reader, screen lock and battery status. Fixed Key The fixed keys on the front panel of the monitor allow you to perform commonly performed functions.

  • Page 36: Setup

    2. Setup Setup Overview This chapter describes how to configure your monitor. Monitor Configuration Setup Menu tree Rev. 2.2...

  • Page 37: Main Menu Settings

    Parameter Menu Tree Parameter (*)Option SpO2 NIBP Temp EtCO2(*) NIBP EtCO2 Alarm Alarm Parameters Parameters Alarm Setting Alarm Display Setting Option Measurement Apnea interval Detect Module NIBP Stat. Information Module Vital Sign Setup Review Zeroing Module Reset Main Menu Settings The Setup menu allows the user to access submenus, display screens, and perform specific monitor setup functions.
  • Page 38 Main Menu Main Menu Sub Menu A-1. PARAMETER SETUP A-2. USER SERVICES A. SETUP A-3. INFORMATION A-4. NETWORK INFORMATION A-5. HL7 B. BIOSIGNAL CALIBRATION C. SCREEN CALIBRATION D. MAKER SERVICE E. SW UPGRADE F. SW LICENSE G. DEFAULT SETTING (*c) (*c)Continuous mode only MENU Description...
  • Page 39 °C A-1-2-4. TEMPERATURE Temperature measurement unit °F mmHg A-1-2-5. GAS PRESSURE UNIT Gas measurement unit vol% 6.25 mm/s SpO2, EtCO2(*c) waveform sweep 12.5 mm/s A-1-3. SWEEP SPEED speed 25.0 mm/s 50.0 mm/s A-2. USER SERVICES User configuration menu GENERAL NICU A-2-1.
  • Page 40 version display English, Korean French, Bulgarian Polish, German Chinese, Portuguese, A-3-1-4. LANGUAGE Set language Hungarian, Czech, Romanian, Italian, Turkish, Spanish, Russian, Greek, Japanese A-3-2. HOSPITAL Set Hospital information INFORMATION A-3-2-1. NAME Hospital Name A-3-2-2. ADDRESS 1 Address information 1 A-3-2-3. ADDRESS 2 Address information 2 A-3-2-4.
  • Page 41 Enable patient info import via HL7 A-5-6. QUERY ON/OFF query A-5-7. CENTRAL CENTRAL NETWORK setting menu A-5-7-1. PROTOCOL VERSION Display network protocol version X.X.X Remote communication function A-5-7-2. CENTRAL COMM ON/OFF activation menu Remote server IP address setting A-5-7-3. CENTRAL IP XXX.XXX.XXX.XXX menu A-5-8.
  • Page 42 Parameter Color Parameter Basic color Selectable colors : Green, Magenta, Blue, White, Scarlet, Orange, Pink, Light Blue, Yellow, Sky Blue, Coral, Purple, Pale Green, Pale Yellow. SpO2 Light Blue NIBP Magenta TEMP Green EtCO2 Yellow Rev. 2.2...

  • Page 43: Network

    3. Network Network Overview When you connect the monitor to the network, you can access patient information from EMR server. In continuous mode, you can use BM Central. BM Central connects the monitors to the central station and each device to provide various monitoring functions. For more information of BM Central Station, please refer to the BM Central Station User Guide.
  • Page 44  WARNING Recommendations for wireless connections BM1 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 45 NOTE Supported USB Wifi Dongle BM1 supports the following USB Wifi dongle. TP-Link Model USB VID:PID Chipset TP-LINK T2U plus 2357:0120 Realtek 8821a TP-LINK T2U nano 2357:011e, 2357:0122 Realtek 8821a TP-LINK T2U v3 2357:011f Realtek 8821a 0bda:0811, 0bda:0821, 0bda:8822, Other 8821A-enabled products...

  • Page 46: Network Connection

    In addition to this, USB Wifi dongle using chipset below can be used. Chipset MediaTek 7650u / 7610u Ralink 7601U Realtek 3070 Realtek 5370 Realtek 8188CU/8192CU Realtek 8188EUS Realtek 8821a MediaTek 7650u Ralink 7610u NOTE It may take up to 5 seconds for the Wifi dongle to connect to the device and be recognized. At this time, please be careful as USB may not work when detached.

  • Page 47: Lan Network

    DDos defense system. If the device is used as a layer-2-switch or layer-3-switch, the port settings must be configured on the network switch. The Bionet equipment must be configured to make network settings compatible with the operating organization's.

  • Page 48: When Using An Inappropriate Network

    Network for medical devices in hospitals  Network for portable patient monitors  When Using an Inappropriate Network If your network does not meet the requirements, the following dangerous situations can occur. The following situations may occur with this unit. If the distributed alarm system is not safe: ...

  • Page 49: Patient

    4. Patient Patient Overview The Patient menu allows you to enter and edit a patient’s personal data (Type, ID, Name, Gender, Birthday, Weight, Height, Blood Type). There is a difference in the flow of patient management depending on the operating mode. Patient information is used separately for each mode of operation.

  • Page 50: Spot / Triage Mode

    4. Click on Admit. Patient Discharge(Continuous Mode) The patient should be discharged before the other patient is admitted. Otherwise, the data will be stored following the previous patient data. How to discharge a patient 1. Press the Patient window. 2. Press the Discharge button. 3.
  • Page 51 NOTE To change a patient's classification (adult, pediatric or neonate), access the patient  settings menu. If you change the patient's classification, you will have to select again because the  weight choices disappear. Additional settings (Gestational Age and Birth Weight) are available for neonate ...

  • Page 52: Patient Settings

    Patient Window By Operation Mode Mode Patient Window Continuous Spot & Triage Patient Settings Main Menu Sub Menu A. ADMIT / DISCHARGE B. PATIENT INFORMATION B-1. PATIENT INFORMATION C. DEFAULT SETTING D. USER DRUG CHANGE E-1. SETTING E. DRUG CALCULATION E-2.
  • Page 53 Null B Rh+/ Rh-/ -D-/ Rh Null O Rh+/ Rh-/ -D-/ Rh Null AB Rh+/ Rh-/ -D-/ Rh Null Unknown A-10. BED NO(*s,t) Bed number setting A-11. STAFF(*s,t) Staff setting How to Manage Patient Information Using the Barcode Scanner This product can input PATIENT ID in barcode format to the device by using USB barcode scanner. Connect the barcode scanner to the USB HOST connecter on the left side (from the front) of the device, as shown below.
  • Page 54 ID will be scanned then sent to device after aligning index LED from the scanner to desired barcode and pressing input button. The patient information dialog will be popped up with the id entered. by Admit : Using the HL7 Admit, the patient information stored in the server can be ...
  • Page 55 Rev. 2.2...

  • Page 56: Alarm

    5. ALARM ALARM Overview In continuous mode 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. The bedside monitor is the primary alarm device, and there may be other secondary alarm devices depending on how you configured the device / network.
  • Page 57 are levels of HIGH, MEDIUM, LOW and MESSAGE, and there is a difference in the order and volume of the alarm. The patient status alarm provides the highest priority alarm. The features of each alarm are described as follows. The alarm priority is HIGH> MEDIUM> LOW> MESSAGE.

  • Page 58: Alarm Management

    : Blinking yellow alarm lamp on the front panel. : Blinking cyan alarm lamp on the front panel. Audible alarm Alarm priority BIONET 5 consecutive beeps for every HIGH 1 high sound per 5 seconds 5 seconds 3 consecutive beeps for every...
  • Page 59 is the silence period of the alarm, the alarm silence is canceled and the alarm sound is generated again. Alarm_Paused: It transitions to a paused alarm for a user-defined time period, suspending visual and audible alarms. A banner with the message Alarm Pause and a countdown timer are displayed on the screen. In this state, if the alarm continues to occur even if the user presses the alarm mode key again or the timeout period has elapsed during the alarm pause period, the alarm pause is canceled and the alarm display and alarm sound are generated again.

  • Page 60: Alarm Settings

    If the priority level is set to High , only high-priority alarms will sound on the Nurse Call system. NOTE Audio Paused and Audio Off mode stops only the Alarm sound, so a Touch or Key  Sound may occur. To adjust Touch or Key Sound, please use the Key Sound menu in Setup.
  • Page 61 A-3-1. ALARM VOLUME 10~ 100% to 10% to 100%. IEC-60601/ A-3-2. ALARM SOUND Alarm sound type BIONET A-3-3. ALARM PAUSE TIME Set alarm time in Alarm Paused mode. 1,2,3,5,10,15min A-4. NURSE CALL User setting menu NURSE CALL function ON / OFF; After A-4-1.
  • Page 62 Alarm Review Rev. 2.2...

  • Page 63: Ews(Early Warning Score)

    6. EWS(Early Warning Score) EWS Overview EWS(Early warning score) EWS(Early warning score) is a guideline used by clinicians to quickly determine the patient's risk. EWS can be used to monitor examination, pre- and post-operative, accident and emergency patients. Parameters Respiration Rate, O2 Saturation, Systolic Blood Pressure, Pulse Rate, Level of conciouness, Temperature, Urine.

  • Page 64: How To Use Ews

    How to Use EWS EWS Score Display (Triage mode only) ② ③ ① ③ ① EWS type ② Score by parameter ③ Total score Save EWS Data Automatic saving by trigger: The EWS study is automatically saved as Nibp or Temp is measured. By pressing the save button save directly(none measurement items): EWS window ->...
  • Page 65 EWS Type Setting EWS window -> Press the setting icon -> Enter the user password -> Select the desired EWS type and click the OK button EWS Type Export and Save EWS Import Insert the USB memory -> EWS window -> Press the setting icon ->...
  • Page 66 <Click the numeric window you want to edit> <Edit total score items> <Edit numeric items> <Edit text item> Rev. 2.2...

  • Page 67: Trend

    7. TREND TREND Overview The monitor can stores trend data for connected signal. Users can request trend recording and can also export the screen of trends displayed. Stores trends according to the characteristics of the operating mode. Continuous Mode Graphical Trend Trend graph shows saved trend data as individual graph type for each parameter.
  • Page 68 Tabular Trend The Trends table displays the trend data in an easy-to-read table format. Up to four 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 69 TREND Display (Continuous Mode) ① ② ③ ⑦ ④ ⑧ ⑨ ⑤ ⑥ ⑪ ⑫ ⑩ ① Graphic trend select button ② Tabular trend select button ③ Event list menu & Event previous/next menu ④ Patient information : ID and name. ⑤...

  • Page 70: File Export

    File Export The file extract function can transfer trend to a file using USB memory. Confirm USB memory connection. Press TREND > Export button. Set a start time, end time, export time period, and export order. Press Export button. The data is transferred to USB memory. A completion message is displayed when the transmission is completed.
  • Page 71 TREND Setup (Continuous Mode) Main menu Sub menu A. TREND MENU Description Available settings A. TREND SETUP A-1. GRAPHIC TREND A-2. TABULAR TREND A-3. EVENT LIST Graphic Trend : Graphic Trend : Saved data can be 30min, 60min, 90min, A-4. PERIOD viewed graphically in sections.

  • Page 72: Spot / Triage Mode

    1min, 5min, 10min, 15min, 30min, 1hour, 2hour A-5. EXPORT Trend export menu. A-5-1. START TIME Parameter save start time setting menu hh:mm A-5-2. END TIME Parameter save last time setting menu hh:mm 1min, 5min, 10min, A-5-3. EXPORT TIME PERIOD Time period setting 15min, 30min, 1hour Descending A-5-4.
  • Page 73 How to View spot Study: Press the trend icon ( Spot studies saved during the set duration are displayed on the screen. Set the search condition by ID, name and duration. If the ID and name fields are empty, they are searched except for those conditions. If the ID is empty, the search field will search for all IDs.
  • Page 74 Study Management ① Search condition field. : ID, Name, Duration Clickable table header: ② You can sort by time, ID or name in ascending or descending order by pressed table header(time, ID or name header). ③ Page move button. Study management buttons. : You can select a study to delete, export, or transfer ④...
  • Page 75 TREND Setting Menu(SPOT / TRIAGE mode) Main Menu Sub Menu A. TREND Menu Description Available settings A. TREND A-1. Search ID A-2. NAME Search Name 1hour, 1day, 1week, A-3. DURATION Time the study was saved 1month, All A-4. CLEAR Delete ID and name A-5.
  • Page 76 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 BM1 patient monitoring device  is FAT32. Rev. 2.2...

  • Page 77: Spo2

    8. SpO2 SpO2 Overview SpO2 monitoring is a non-invasive technique that measures the total amount of oxygen in hemoglobin. The pulse rate is measured by measuring the absorption of the wavelength of the selected light. The light emitted by the sensor in the probe passes through the tissue and is converted into an electrical signal by the light-detecting sensor in the probe.

  • Page 78: Spo2 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 79: Spo2 Connector And Measurement Cable

    NOTE Read the documentation that came with your sensor for the best application technology and safety information. Never use a damaged sensor. If the sensor does not turn on after connecting the sensor, observe that a message appears on the monitor. If the sensor-LED does not turn on, replace the sensor. SpO2 Connector and Measurement Cable SpO2 Connector Rev.

  • Page 80: Spo2 Display

    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. SpO2 Display ① ② ③ ⑤ ④ ⑥ ⑦...

  • Page 81: Spo2 Signal And Data Validity

    ⑤ SpO2 Value display ⑥ SpO2 Value unit ⑦ SpO2 Pulse rate display The current SPO2 value and the derived pulse rate (RATE) are displayed. The block sets indicate the strength of the signal (ten block bars indicate the strongest signal). The SPO2 measurements are averaged over a 6-second period of time.
  • Page 82 pressure waveform. The typical SpO2 waveform indicates not only a good waveform, but helps the user find a probe placement with the least noise spikes present. The figure below represents an SpO2 waveform of good quality. If noise (artifact) is seen on the waveform because of poor probe placement, the photo detector may not be flush with the tissue.

  • Page 83: Spo2 Settings

    WARNING In the monitoring of patients the coincidence of adverse conditions may lead to a disturbed signal going unnoticed. In this situation artifacts are capable of simulating a plausible parameter reading, so that the monitor fails to sound an alarm. In order to ensure reliable patient monitoring, the proper application of the probe and the signal quality must be checked at regular intervals.
  • Page 84 Message Status Reusable finger probe is off the patient. Check the probe. The factory CHECK PROBE default for this alarm is MESSAGE ALARM. Detection by the monitor of a repeatable pulse has ceased. Check PULSE SEARCH the patient and the probe site. The SpO2 signal is too low.

  • Page 85: Nibp

    9. NIBP 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 Advancement Medical...
  • Page 86 With obesity, where a thick layer of fat surrounding a limb dampens the oscillations coming from the artery On an edematous extremity  The effectiveness of this sphygmomanometer has not been established in pregnant,  including preeclamptic patients WARNING Non-invasive blood pressure monitoring is not recommended for patients with hypotension, hypertension, arrhythmias or extremely high or low heart rate.

  • Page 87: Nibp Patient Preparation

    The quality of NIBP monitoring depends largely on the quality of the signals received by the monitor. 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 88 NOTE Safety Considerations Software and Hardware for Cuff pressure Blocking: The cuff is automatically reduced when the measurement time is longer than two minutes in Adult / Pediatric mode and more than 90seconds in Neonatal mode. Pressure limits are set for all patient categories to prevent overpressure on the patient.

  • Page 89: Nibp Connector And Measurement Cable

    NIBP Connector and Measurement Cable NIBP Connector Adult Cuff Rev. 2.2...
  • Page 90 Optional Accessory List Type Figure Description Bign Adult NIBP Cuff Thigh Adult Cuff Size: 458 * 143 Arm Size: 45 to 56.5 Bign Adult NIBP Cuff Bign Adult Cuff Size: 458 * 143 Cm Arm Size: 35.5 to 46 Cm Child NIBP Cuff Child Cuff Size: 430 * 108 Cm...

  • Page 91: Nibp Display

    NOTE The NIBP should be set in the menu because the measured value differs depending on the patient's age and gender. NIBP Display ① ② ③ ④ ⑤ ⑦ ⑧ ⑨ ⑥ ① Current display data measurement time ② Measurement mode display ③...

  • Page 92: Nibp Settings

    NIBP Settings Menu Description Available Settings A. NIBP A-1. ALARM NIBP Alarm setup menu A-1-1. PARAMETER ALARM SYS, MEAN, DIA, PR Parameter alarm LIMIT limit, level and activation setup NIBP-OVER PRESSURE NIBP-OVERTIME PRESSURE NIBP-INFLATION FAILURE NIBP-DEFLATION FAILUER A-1-2. TECHNICAL ALARM NIBP-MEASUREMENT ERROR CONDITION NIBP-PULSE TOO WEAK...

  • Page 93: Nibp Status Messages

    the patient's blood pressure value. Every Time: The set pressure is applied every time blood pressure is measured. Whenever blood pressure is measured, pressurize to the set pressure value. A menu to set Interval time when measures the blood pressure periodically.
  • Page 94 PULSE TOO WEAK When the cuff is in the incorrect position AIR LEAK When the cuff is leaking EXCESSIVE MOTION When the patient moves too much SYSTEM FAULT When something goes wrong Rev. 2.2...

  • Page 95: Etco2

    10. EtCO2 EtCO2 Overview When an EtCO2 module is connected to the BM1 monitor, the concentration of end-tidal Co2 (EtCO2) can be measured. The EtCO2 module can perform mainstream measurements in all monitoring modes and sidestream measurements in the adult and pediatric monitoring modes.
  • Page 96 the measurement may be lowered, resulting in poor breathing. To prevent this, connect all component is securely and check the connection according to standard clinical procedures to ensure that there are no leaks. WARNING Industrial safety: Carefully dispose of used sampling tubes and T-connectors as they ...

  • Page 97: Etco2 Connector And Accessories

    EtCO2 Connector And Accessories EtCO2 Connector LoFlo Sidestream CO2 Sensor and Connector <Sidestream Sensor> <Sidestream Sensor Connector> Rev. 2.2...
  • Page 98 Sidestream EtCO2 Accessories Intubation Sidestream Accessories Part Figure Description Type 3468ADU-00 NasalCO Sampling Cannula Adult 3468PED-00 Nasal CO Sampling Cannula Child 3468INF-00 Nasal CO Sampling Cannula Neonate 3470ADU-00 Oral/Nasal CO Sampling Cannula Adult 3470PED-00 Oral/Nasal CO Sampling Cannula Child Nasal CO Sampling Cannula w/ O 3469ADU-00 Adult...
  • Page 99 Oral/Nasal CO Sampling Cannula w/ O 3471PED-00 Child Delivery Intubation Accessories Airway Adapter Kit w/ Adult /Chid 3473ADU-00 Dehumidification (ET Tube Size >4.0 mm) Tubing Airway Adapter Kit w/ Child/Neonate 3473INF-00 Dehumidification (ET Tube Size <=4.0 mm) Tubing Rev. 2.2...
  • Page 100 CAPNOSTAT 5 Mainstream CO2 Sensor and Connector <Mainstream Sensor> <Mainstream Sidestream Sensor Connector> Mainstream EtCO2 Accessories Intubation Patient Airway Adaptor Accessories Part Figure Description Adult/Neonate(disposable) 6063-00 Neonate(Disposable) 6312-00 Adult/Neonate (Reusable) 7007-00 Neonate( Reusable) 7053-00 Rev. 2.2...

  • Page 101: Etco2 Connecting And Sampling Method

    EtCO2 Connecting and Sampling Method Connecting the CAPNOSTAT® 5 CO2 Sensor to the Host System Insert the CAPNOSTAT 5 CO2 Sensor connector into the receptacle of the host monitor as shown in Figure 1. 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 102 Connecting the LoFlo Sample Kit 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. A “click” will be heard when the sample cell is properly inserted.

  • Page 103: Etco2 Display

    EtCO2 Display ① ② ③ ④ ⑤ ⑥ ⑦ ⑧ ① EtCO2 wave window ② Text window ③ EtCO2 CO2 concentration alarm upper and lower limit value display ④ EtCO2 value (Concentration value at exhalation) ⑤ FiCO2 value (Carbon dioxide concentration value at inhalation) ⑥...
  • Page 104 When you select a range value, the 100mmHg (13.2vol%) selected pressure range value is 150mmHg (19.7vol%) displayed below the dotted line above the two dotted lines in the left middle of the WAVE window. B. EtCO2 Menu In Text Window Menu Description Available settings...
  • Page 105 ETCO2-SYSTEM FAULT ETCO2-TEMP UNSTABLE B-2. DISPLAY OPTION EtCO2 wave display Setup Menu 6.25mm/s, B-2-1. SWEEP SPEED EtCO2 Waveform sweep speed setup 12.5mm/s, 25mm/s Display waveform scale setup. The selectable value is the maximum 40mmHg (5.3vol%) pressure range shown in the 50mmHg (6.6vol%) waveform.
  • Page 106 The end-tidal CO value is the highest 20SEC peak CO value of all end of expirations (end of breaths) over the selected time period. If less than two breaths exist in the selected time period, the value will be the maximum ETCO value for the last two breaths.
  • Page 107 balance gas is set to helium. When performing a zero on room air, this setting should be set to room air (the default). Only change to nitrogen B-5-8. ZERO TYPE ROOM AIR / N2 ) when performing a zero on 100% N gas;...

  • Page 108: Etco2 Status Messages

    EtCO2 Status Messages 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. Message Cause Solution SENSOR OVER The sensor temperature is greater Make sure sensor is not exposed TEMP...

  • Page 109: Etco2 Measurement Failure

    type is changed. It occurs when the equipment and Verify module connections MODULE OFF module are separated. Message , Service request output EtCO2 Measurement Failure CO2 value is not output, or numerical error. Troubleshoot procedure 1. Check the connection between the main unit and the module 2.

  • Page 110: Temperature

    11. Temperature 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 Measurement Cable Temperature Connector Rev.
  • Page 111 Temperature Measuring Cable HuBDIC FS-300 Thermometer (Optional) FS-300 NOTE Do not change the mode after using the FS-300, but use it in body temperature mode. <Body Temperature> <Wide temperature> Able to perform measurement only when the FS-300 is in Body Mode. ...
  • Page 112 Do not take the temperature with this product near heat sources such as in direct  sunlight, near a fireplace or stove. Do not use this product if it is not working properly, contact Bionet support.  There are no user serviceable parts the only service required is battery replacement ...

  • Page 113: Temperature Display

    0.2°C ( ± 0.4°F). Measurement should not be taken until completely relaxed at normal room  temperature. Please note that measurement may be incorrect after exercising, bathing or getting  wet in the rain. Temperature between right and left forehead could be different. ...

  • Page 114: How To Take A Temperature

    How to Take a Temperature NOTE Temperature readings may vary according to the location of measurement from forehead to temple. Therefore we recommend to measure the temperature at more than 2 points on the forehead. Use the highest temperature rating as the most accurate reading. NOTE If sweating on the forehead is present we recommend changing the measurement point to behind the earlobe.

  • Page 115: Temperature Settings

    NOTE The body temperature is reflected on the temporal artery. Temporal artery is the artery located closest to the skin and is spread on the forehead. If the blood with body temperature reflection passes the temporal artery on forehead, corresponding amount of infrared rays will be generated. From the infrared rays, the body temperature can be measured.

  • Page 116: 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 Monitor.

  • Page 117: Maintenance Task And Test Schedule

    WARNIING To avoid contaminating or infecting personnel, the environment or other equipment, make sure you disinfect and decontaminate the monitor appropriately before disposing of it in accordance with your country's laws for equipment containing electrical and electronic parts. For disposal of parts and accessories such as thermometers, where not otherwise specified, follow local regulations regarding disposal of hospital waste.

  • Page 118: Troubleshooting

    Troubleshooting Power Failure Is the adapter Replace the adapter connector in bad condition? Is the output voltage Replace the adapter of the adapter lower than 15V? Contact the place of purchase or customer service Failure in Battery Recharge (the battery does not fully recharge in 6 hours or more) Replace the adapter Is the output voltage (If the charging Voltage is lower...
  • Page 119 SpO2 Malfunction Is the extension cable Replace the extension cables connected poorly? Replace the finger Is the SpO2 probe in probe poor condition? Contact the place of purchase or customer service NIBP Malfunction NIBP Connector connection status, confirmation that the hose is normally connected Are leaks from the Replace the hose of cuff hose connector of cuff...
  • Page 120 Abnormality in NIBP measurements Make sure the patient stay still The patient moved during diagnosis While measuring Loosen the cuff during The measurements diagnosis appear higher The measurements Loosen the cuff during appear lower? diagnosis Loosen the cuff during diagnosis Contact the place of purchase or customer service...
  • Page 121 EtCO2 Malfunction The extension cables Replace extension cables Are disconnected The module is in bad Replace the module condition? Repair the adaptor Temperature Malfunction Rev. 2.2...

  • Page 122: Storage Lifetime Issues

    Cyber security related issues 1) If device is stolen or lost, immediately report it to the hospital staff or manufacturer. Upon receipt of a report, the hospital network administrator must take measures to prevent the device from accessing the hospital network. 2) If a cyber security threat is detected while using the device, immediately disconnect the device from the network and contact the hospital staff or manufacturer.

  • Page 123: Clean And Care

    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 124 To prevent damage to the equipment, do not use sharp tools or abrasives. Never immerse the electrical connector in water or other liquids. When cleaning, be careful not to let the liquid stick to the edge of the screen. Patient’s Cable Clean the patient cables with a gauze pad moistened with a soap solution.
  • Page 125 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. NOTE The equipment should be inspected regularly once a year. For inspection items, refer to the user manual or service manual.
  • Page 126 CAUTION There is a backup battery inside the system. When disposing of the battery, dispose of it in an appropriate place for environmental protection. WARNING When replacing the backup battery, check the battery electrode. Installation and Storage of Equipment If you suspect the installation or disposition of the external ground wire, operate the equipment by means of the internal power supply.

  • Page 127: Technical Specification

    The device is to be used by trained health care professionals. The monitor is intended for use in health care facilities; the BM1 Monitor is additionally intended for use in transport situations within the hospital setting.
  • Page 128 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 129: Manufacturer's Declaration - Electromagnetic Emission

    Manufacturer’s Declaration - Electromagnetic Emission The BM1 system is intended for use in the electromagnetic environment specified below. The customer or the user of BM1 system should assure that it is used in such an environment. Emission test Compliance Electromagnetic environment - guidance...
  • Page 130 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 131: System Specification

    System Specification Hardware specifications Dimension, Weight 188(W) X 180(H) X 60(D)mm, Approx. 1.5kg (Battery pack excluded) Categorized alarms (3 priority levels), Visual alarm lamp handle Visual indicator SpO2 pulse beep, Percent(%) SpO2 pitch tone Battery status, External power LED, Touch screen Display, Resolution 7”...
  • Page 132 SpO2 Performance Saturation range 0 to 100% 70 to 100% ±2 digits Saturation accuracy 0 to 69% unspecified Pulse rate range 30 to 254 bpm Pulse rate accuracy ±2 bpm NIBP Performance Method Oscillometric with linear deflation Operation Mode Manual/Automatic/Continuous Adult Pressure : 20 to 260 mmHg Measurement range Pediatric Pressure : 20 to 230 mmHg...
  • Page 133 101-150mmHg ±10% of reading Respiration rate 2 to 150 breath per minute Respiration accuracy ±1breath per minute Mainstream CO2 (Option) Measurement range 0 to 150 mmHg, 0 to 19% 0-40mmHg ±2 mmHg, 41-70mmHg ±5% of reading Accuracy 71-100mmHg ±8% of reading, 101-150mmHg ±10% of reading Respiration rate 0 to 150 breath per minute...

  • Page 134: Default Alarm Level

    Default Alarm Level High Medium Message NIBP - S ○ NIBP - M ○ NIBP - D ○ NIBP- PR ○ ○ -Rate ○ TEMP ○ EtCO2 ○ FiCO2 ○ AWRR ○ APNEA ○ ○ LEAD FAULT CABLE OFF ○ LOW BATTERY ○...

  • Page 135: Default Display

    Default Display Item Value NIBP Interval Alarm Volume Pulse Volume SpO2 Probe Off Message Units for Height Units for Weight Temperature Units ℃ NIBP Limit Type Systolic Rev. 2.2...

  • Page 136: Abbreviations

    Abbreviations Abbreviations and symbols are alphabetized by reference, which can be read while reading the manual or using the equipment. amps alternating current adult ARRYTHM arrhythmia ASYS asystole Auto, AUTO automatic Auxiliary left foot augmented lead left arm augmented lead right arm augmented lead beats per minute Celsius...
  • Page 137 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 M mean, minute meter MIN, minminute MM, mm millimeters MM/S millimeters persecond MMHG, mmHg millimeters of mercury millivolt...
  • Page 138 NEO, Neo neonatal operating room pediatric premature ventricular complex interval of ventricular depolarization right arm, right atrial RESP respiration right leg respiration rate systolic second SpO2 arterial oxygen saturation from pulse oximetry SYNC, Sync synchronization systolic Temp temperature precordial lead volt V-Fib, VFIB ventricular fibrillation...

  • Page 139: Symbols

    Symbols & ° degree(s) > greater than < less than – minus number percent ± plus or minus Rev. 2.2...
  • Page 140 Manufacturer * * This product is a “medical device”. * Thank you for purchasing BM1 * 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”...
  • Page 141 International Sales & service 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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