ees OPERATOR'S MANUAL BSM-7103K QI-703P Life Scope 8 BEDSIDE MONITOR BSM-7103/7113 BSM-7104/7114 BSM-7105/7115 BSM-7106/7116 BSM- 7 105K BSM-7115J BSM- 7115K BSN- 7106S BSN- 7106K BSM- 7116S BSN- 71 16K QN- O10PK YL-O01P 7B- 800PK 0614-0015141 200002 16 Ba NIHON KOHDENBSM-7103) QI-702P BSM-7103K QI-703P BSM-7113) BSM-7104) SM 714K Life Scope 8 ; BSM-710: | ures BEDSIDE MONITOR | ssirrioss BSM-7103/7113 | Bsm-7106K | asm-71161 BSM-7104/7114 BSM-7116K Qm-o10PK BSM-7105/7115 | YL-001P 7B-B00PK BSM-7106/7116 0614-0015141GENERAL HANDLING PRECAUTIONS This device is intended for use only by qualified medical personnel. Use only Nihon Kohden approved products with this device. Use of non approved products or in a non approved manner may affect the performance specifications of the device. This includes, but is not limited to, batteries, recording paper, pens and extension cables and cords for electrodes, input boxes and AC power. Please read these precautions thoroughly before attempting to operate the instrument, 1, To safely and effectively use the (6) Alleireuitry used for direct patient instrument, its operation must be fully understood. 2, When installing or storing the instru- ment, take the following precautions: (Q) Avoid moisture or contact with water, extreme atmospheric pressure, excessive humidity and temperatures, poorly ventilated areas, and dusty saline or sulphuric air. (2) Place the instrument on an even, level floor. Avoid vibration and mechanical shock even during moving. (8) Avoid placing in an area where chemicals are stored or where there is danger of gas leakage. (4) The power line souree to be applied to the instrument must correspond in frequency and voltage to specifications, and have sufficient current capacity. (5) Choose a room where a proper grounding facility is available. 3. Before Operation (1) Check that the instrumentis in perfect operating order. (2) Check that the instrument is grounded properly. (8) Check that all cords are connected properly. (4) Pay extra attention when the instrument is in combination with other instruments to avoid misdiagnosis or other problems. connection must be doubly checked. © Check that battery voltage and battery condition are perfect when using battery-operated models. 4, During Operation (1) Both the instrument and the patient must reeeive constant, careful attention, (2) Turn power off or remove electrodes and/or transducers when necessary to assure the patient's safety. (3) Avoid direct contact between the instrument and the patient. 5. To Shutdown After Use (Q) Turn power off with all controls returned to their original positions. (2) Remove the cords gently; do not use force to remove them. (8) Clean the instrument together with all accessories to keep them ready for their next use 6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrumentis not functioning properly, it should be clearly marked to avoid operation while itis out of order. 7. The instrument must not be altered or modified in any way.8, Maintenance and Inspection: @) The instrument and parts must undergo regular maintenance inspection at least every 6 months, (2) Ifstored for extended periods without being used, make sure prior to operation that the instruments in perfect ‘operating condition. (8) Technical information such as circuit, diagrams, parts list, descriptions, calibration instructions or other information is available for qualified ‘user technical personnel upon request from your Nihon Kohden distributor. 9. 10. When the instrumentis used with an electrosurgical instrument, pay careful attention to the application and/or location of electrodes and/or transducers to avoid possible burn to the patient. When the instrumentis used with a defibrillator, make sure that the instruments protected against, defibrillator discharge. Ifnot, remove patient cables and/or transducers from the instrument to avoid possible damage. WARRANTY POLICY Nihon Kohden Corporation (NKC) shall warrant its products against all defeets in materials and workmanship for one year from the date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are excluded from the warranty. NKC orits authorized agents will repair or replace any products which prove to be defective during the warranty period, provided these products are used as prescribed by the operating instructions given in the operator's and service manuals, No other party is authorized to make any warranty or assume liability for NKC's products, NKC will not recognize any other warranty, either implied or in writing. In addition, sorvico performed by someone other than NKC or its authorized agents or technical modification or change of products without prior consent of NKC may be cause for voiding this warranty. Defective products or parts must be returned to NKC or its authorized agents, along with an explanation of the failure, Shipping costs must be pre-paid. This warranty does not apply to products that have been modified, disassembled, reinstalled or repaired without Nihon Kohden approval or which have been subjected to neglect or accident, damage due to accident, fire, lightning, vandalism, water or other casualty, improper installation or application, or on which the original identification marks have been removed. In the USA and Canada other warranty policies may apply.EMC RELATED CAUTION This equipment ang/or system complies with the International Standard IEC 601-1-2 for electromagnetic compatibility for medical electrical equipment and/or system. However, an electromagnetic environment that exceeds the limits or levels stipulated in the IEC 601-1-2, can cause harmful interference to the equipment andior system or cause the equipment and/or system to fail to perform its intended function or degrade its intended performance. Therefore, during the operation of the equipment and/or system, if there is any undesired deviation from its intended operational performance, you must avoid, identity and resolve the adverse electromagnetic effect before continuing to use the equipment and/or system. The following describes some common interference sources and remedial actions: The equipment and/or system is not grounded: For AC powered equipment and/or system, use the provided grounding cable to connect the equipotential terminal of the equipment to the grounding system of the facility. Strong electromagnetic interference from a nearby emitter source such as an authorized radio station or cellular phone: Install the equipment and/or system at another location if itis interfered by an emitter source such as an authorized radio station. Keep the emitter source such as cellular phone away from the equipment andior system. Radiofrequency interference from other equipment through the AC power supply of the equipment and/or system: Identify the cause of this interference and if possible remove this interference source. If this is not possible, use a different power supply. Effect of direct or indirect electrostatic discharge: Make sure all users and patients in contact with the equipment and/or system are free from direct or indirect electrostatic energy before using it. A humid room can help lessen this problem. If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden Corporation subsidiary or distributor for additional suggestions.Explanation of the symbols in this manual/instrument The following symbols found in this manual/instrument bear the respective descriptions as given. Alternating current <> Data inputioutput Equipotential terminal r(] fa Alarm sound volume 7. AC power On IRS sync sound v (Connection to the mains) GS syne found selume, AC power Off (Disconnection from the Alarm offfsuspend mains) ° “In* position (Two-position push switch) QD Freeze “Out” position (Two-position push switch) inverbed Attention, consult operator's Display select manual IQ EID) P/O/—#) 2 Brightness Recording pattern select O a) Operator's Manual BSM-7100—— Paper empty” f ‘TYPE BF APPLIED PART gy QRS sync display Start (of action) aa Respiration sync display Dangerous voltage Alarm record off Vv calibration The CE mark is a registered trademark of the European Union, The products herewith comply with the requirements of the Medical Device Dire 93/42/EEC. Cy) Manual recording C) Periodicrecording Type CF equipment -| F vetibritatorproot ‘Type CF equipment o 4 DEBRILLATION-PROOF ‘TYPE BF APPLIED PART Operator's Manual BSM-7100Section 1 M 12 13 14 15 16 Section 2 | 2a 2-2 23 24 25 \ 26 27 28 29 210 241 Section 3 3 3-2 CONTENTS Introduction Introduction Features Bedside Monitor Components “ Monitor Remote Controller Memory Card 16-1 Data Storage 1.6.2 Transferring Data between Monitors Basic Operating Concepts Screen Displays Hard Keys and Soft (Function) Keys. Calling Up Screens and Functions Changing Settings Installing the Monitor Selecting a Suitable Location Grounding and Connecting the Power Cord Connecting the Alarm Pole (Option) Connecting the ZB-800P Transmitter (Option) ... Connecting the Central Monitor Attaching the Remote Control Color Label ‘Mounting the Monitor on a Wall Turning the Power ON Installing or Replacing the Remote Controller Battery Installing or Replacing the Memory Card Battery .... Loading the Recording Paper qa 12 14 16 1.10 ui Lit Liz 113 113 Lu 1.15 1.15 2.2 2.3 24 24 25 26 27 2.9 2.9 2.10 2.13 Changing Settings before Monitoring Checklist of Changing Settings Before Monitoring Changing Initial Settings on the System Setup Screen 321 Calling Up the System Setup Screen 322 How toChange the Settings 3-23. Listand Explanation of Settings Initializing the System Operator's Manual BSM-7100 32 3.3 33 35 36 3.16 ctC2 Section 4 4 42 43 46 46 47 48 Section 5 51 52 53 BA 55 56 Monitoring Waveforms and Data ‘Safety Precautions for Monitoring .... . 42 Waveform Screen and Large Numeric Data Screen . 44 42-1 WaveformScreen ... : sdedense pede 4-2-2 Large Numeric Data Screen * . 47 Monitor-related Settings .. Seued 2. 48 43-1 Changing the Date and Time = 48 4-3-2 Changing the Waveform Sweep | Speed o 410 43-3 External Instrument Selection ....... 4.11 43-4 Adjusting the Screen Brightness ...........- * 413 43-5 Adjusting the Alarm Sound Volume . varie | SB 43-6 Adjusting the Synchronous Sound Volume . a 413 Freezing Waveform ............-+ bia igh Paibel 414 ‘Turning Sleep Mode ON/OFF ieagnenese a 416 Selecting the Monitor with the Remote: Control (When Two or More Monitors are Close Together) ....... 4.18 Monitoring Another Patient’s Waveformsand Data ........ 4.19 4-7-1 Monitoring Alarm Occurrence at the Interbed ...... 4.20 47-2 Monitoring the Interbed Patient’s Status ........... 4.22 4-7-3 Interbed Function-related Settings . ingisety @28 Screen Messages and What to Do in Case of Trouble . 4.26 Managing Patient Data Admitting a New Patient re 5-1-1 Checklist of Procedures: rr . 52 5-1-2 Erasing All Data of the Previous Patient and Entering the Name and ID of the New Patient ..... 5.3 Vital Signs List: Viewing, Recording and Changing Settings .. 5.5 ‘Trendgraphs: Viewing, Recording and Changing Settings 5.10 ‘Using the Memory Card . 5.16 5-4-1 Overview 5.16 5-4-2 Precautions 5.16 5-4-3 Using the Write Protect Switch 5.17 5-4-4 Inserting the Memory Card into the Monitor Sii<2: 5.18 5-45 Removing the Memory Card from the Monitor 5.19 5-46 Formatting the Memory Card ened 5.20 ‘Saving Waveforms and Data .......... ives GD 5-5-1 Overview ....... 5.22, 5-5-2 Saving a Waveform in the Monitor Memory * 5.24 5-5-3 Saving Waveforms and Datain the MemoryCard ... 5.25 5-5-4 Erasing All Data from the Memory Card 5.29 Loading a Patient’s Data from the Memory Card ‘to the Monitor (Transferring Data from Another Monitor)5.31 Operator's Manual BSM-7100Section 6 61 62 63 Section 7 12 Reviewing or Recording Stored Waveforms in the Monitor Reviewing or Recording Waveforms and Data . from the Memory Card .......... 5-8-1 Calling Up Stored Waveforms and Data 3 5-82 Displaying (and Recording) WAVE DATA Waveforms Screen Messages When Memory Card Is Used Alarms Overview of Alarms ‘Alarm Indications 6-2-1 Explanation of Each Alarm. and Message 6-2-2 Description of Alarm Indications 6-2-3 Alarm Control Marks ... * Setting Alarms and Automatic Recording/Storage of Vital Signs/Arrhythmia Waveforms 6-3-1 General Explanation 682 Bnabling or Disabling All Alarms ... 63-3 Setting Vital Signs Alarms . 634 Setting Arrhythmia-related Alarms and. ‘Automatic Storage/Recording of Arrhythmia Waveforms Temporarily Suspending an Alarm . Recording BSM-7103/7104/7105/7106 (with Built-in Recorder) 7-1-1 General 712 Settingand Changing Recording: Settings for All Recording Modes Changing Settings for Automatic Periodic Recording Changing Settings for Realtime/Delayed 7138 Th Waveforms Recording 7-1-5 Manually Recording Waveforms 7-1-6 What to Do in Case of Recording Trouble BSM-7113/7114/7115/7116 (without Built-in Recorder) 1 General 2 Manual Recording (Remote Recording) Printed Data Operator's Manual BSM-7100 5.34 5.39 5.39 541 5A5 62 64 65 67 6.10 6.12 6.12 6.13 6.15 6.18 6.22 7 7 73 14 C3ca Section 8 8-1 83 84 85 Section 9 oa 92, ECG Procedures Preparing for ECG Measurement Puss ois 13 788 8-1-1 LeadSelection . sieges 82 8-1-2 Selecting and Using Electrodes .... ange BA 8:13 Attaching the Electrode and Cable to the Patient 88 8-1-4 Connecting the Leads to the Bedside Monitor 8.10 Changing ECG Settings .......... figettee BAL 821 Selectingthe ECG Lead .......... - 811 822 Changing the ECG Sensitivity . 812 823 Changing the Heart Rate Alarm Limits wavige B18 824 Setting the ECG Amplifier Filter ...... 8.15 825 Turning the ECG Baseline Drift-free Filter ON/OFF 8.16 8-26 Turning Pacing Spike Detection ON/OFF .......... 817 8.27 Turning Arrhythmia Detection ON/OFF 8.18 82-8 Selecting the ECG Electrode Leads ...... 8.20 82-9 Changing the Syne Sound Souree B21 Measuring and Monitoring ECG ... 8.22 ECG Information on tho Monitoring Seren -... 822 Noise Detection and Display Fsiavence Bd Check Leads Detection and Display .........s.020+ 8.24 Using the ECG Output Signal as a Syne Signal for Other Equipment .... 8.26 Using with Electrosurgery Unit ..... 8.27 Displaying or Recording a Calibration Waveform 8.30 Learning the Reference ECG Waveform for Arrhythmia Detection ........ 8.31 Cleaning, Disinfecting, and Sterilizing the Cables 8.32 Screen Messages and What to Do in Case of Trouble 8.33 Respiration Procedures Preparing for Respiration Measurement ....... we OD -1 Selecting the Electrode Position -2 Selecting and Using Electrodes . ‘ |-8 Attaching the Electrode and Cable to the Patient si OP -4 Connecting the Leads to the Bedside Monitor .. 9.11 Changing Respiration Settings .... Sih SON 921 ‘Turning Respiration Measurement ON/OFF ........ 9.12 9-22 Changing the Respiration Sensitivity ... 9.13 9-23 Changing the Respiration and Apnee Alarm Limits . 9.14 9-2-4 Changing the Apnea Time Limit forTrendgraph .... 9.17 9.2.5 Turning the Respiration Low Sweep Speed WaveformON/OFF ...... 9.18 Operator's Manual BSM-71009.3 Respiration Information on the Monitoring Seren 9.19 9-4 Monitoring CO: Waveform . . . 9.20 9-4-1 CO2 Waveform Display Condition an vinnie: ~. 9.20 9-4-2 COz Information on the Monitoring: Seren 9.20 943 Changing the CO: Scale 9.21 944 Turning the CO2 Low Sweep Speed Waveform ON/OFF 9.22 9-4-5 Screen Message ..... ita a apa, 9-5 Cleaning, Disinfecting, and Sterilizing ‘the Cable + 9.24 9-6 Screen Message and What to Doin CaseofTrouble .......... 9.25 Section 10 SpOz Procedures 10-1 Preparing for SpO2 Measurement a 10.2 10-11 Selecting the Probe ..... 10.2 10-12 Precautions » 102 10-1-3 Attaching the Probe 104 101-4 Conneeting the Probe Cable to the Bedside Monitor... 10.7 10-2 Changing SpOoSettings ..............ecsceeeeeeeeeeeeee 10.8 10-2-1 Changing the Pulse Sensitivity .................... 10.8 10-2-2 Changing the SpO2 Alarm Limits .......... 10.10 10-2-3 Changing the Sync Sound Source 10.12 10-2-4 Selecting Variable or Fixed Pitch of Syne Sound 10.13 10-3 Monitoring SpO», 10.15 103-1 Precautions 10.15 10-3-2 SpO2 Information on the Monitoring Sereen niswnne ARM 10-3-3 AutoGain ..... we. 1015 10-3-4 Detection and Display of Measurement Condition 10.16 10-4 Cleaning, Disinfecting, Sterilizing the Probe ’ 10.17 10-5 Screen Messages and What to Do in Case of Trouble. 10.18 Section 11 Temperature Procedures 11-1 Preparing for Temperature Measurement n2 |-1 Selecting the Temperature Probe 11,2 -2 Attaching the Surface Temperature Probe 7 12 3 Attaching the Esophageal/Rectal Temperature Probe 11.3 11-1-4 Connecting the Probe Cable to the Bedside Monitor... 11.4 11-2 Monitoring Temperature . +98 sie7e ALB) 11-3 Cleaning, Disinfecting, Sterilizing the Probe... 116 11-4 Screen Message and What to Do in Case of Trouble ...... 7 Operator's Manual BSM-7100 csC6 Section 12 124 122 123 124 125 Section 13 13-1 13-2 NIBP Procedures Preparing for Non-invasive Blood Pressure Measurement ... 12.2 12-1-1 Occlusive-oscillometry Method . . 122 12-1-2 Selecting the Cuff ......... 12.3 12-1-3 Connecting the Cuff to the Bedside Monitor 12.4 121-4 Attaching the Cuff to the Patient 12.5 ‘Changing Non-invasive Blood Pressure Settings 12.7 12-2-1 Selecting the Patient .............. . 127 12-22 Selecting the Measurement Mode/Interval . 128 12-28 Changing the NIBP Alarm Limits 12.10 Monitoring Non-invasive Blood Pressure . 12.18 12-3-1 Precautions 12.13 12-3-2 Start and Stop NIBP Measurement 12.14 12-3-3 Pressure Information on the Monitoring Screen 12.15 12-3-4 Zero Balance Adjustment 12.17 Cleaning, Disinfecting, Sterilizing the Cuff and Hoses 12.18 Screen Messages and What to Do in Case of Trouble 12.19 Invasive Blood Pressure proceaures Preparing for Invasive Blood Pressure Measurement 13.2 18-1-1 Overview and Example ofa Typical Configuration .. 13.2 1-1-2 General Precautions .. sevescecccecces 13.2 15-1-3 Installing the Transducer Stand ....... - 188 18-1-4 Connecting the Transducer tothe Bedside Monitor .. 18.8 18-1-5 Preparing the Flush Solution (Saline Pack) and Monitoring Kit 134 13-16 Flushing the Dome and Extension Tube . 13.5 13-17 Connecting the Transducer to the Dome . 13.8 18-18 Removing Bubbles from the Fluid Path 13.9 13-1-9 Adjusting Auto-Zero Balance ........6...6+ 13.10 13-1-10 Connecting the Extension Tube to the Patient and Beginning Measurement ... 18.12 Changing Invasive Blood Pressure Settings ............... 18.18 13-2-1 Changing the BP Scale 13.13 13-22 Changing the BP Alarm Limits ... 13.14 13-2-3 Changing the Sync Sound Source ... 13.16 182-4 Selecting Variable or Fixed Pitch of Syne Sound .... 18.17 Operator's Manual BSM-710013-8 134 13-5 Section 14 ua 14-2 143 4 Section 15 164 152 15-3 154 Monitoring Invasive Blood Pressure . 133-1 Precautions . tte 2 13-3-2 Pressure Information on the Monitoring Screen 13-3-3. Using the BP Output Signal as a Syne Signal for Other Equipment 13-3-4 When to Readjust Auto-Zero Balance 13-3-5 Displaying or Recording a Calibration Waveform Cleaning, Disinfecting, and Sterilizing the Cable, Transducer and Dome Screen Messages and What to Do in Case of Trouble Maintenance Maintenance Schedule Cleaning the Bedside Monitor Cleaning the Built-in Recorder Replacing the Clock Battery Reference Specifications Standard Accessories Options/Consumables Jack/Socket Pin Assignment Operator's Manual BSM-7100 13.19 13.19 13.20 13.21 13.21 13.22 13.23 13.27 141 142 143 144 15.2 158 15.10 15.16 c71. INTRODUCTION SECTION INTRODUCTION 4-1 Introduction 4-2 Features . " 1-3 Bedside Monitor Components 14 1-4 Monitor 1-5 Remote Controller . 1.40 1-6 Memory Card an 1-6-1 DataStorage - ce 1-6-2 Transferring Data between Monitors 112 4-7 Basic Operating Concepts... eins: 4-7-1 Screen Displays 113 4-7-2 Hard Keys and Soft (Function) Keys 1.14 1-7-3. Calling Up Screens and Functions 145 1-7-4 Changing Settings 115 Operator's Manual BSM-7100 1c1. INTRODUCTION Section 1 provides a general overview of the equipment and how to operate it. Ifyou have not used a Life Scope 8 monitor before, read this section first. © Features © Components in the system © Screen displays © How to use hard keys and soft keys © How tocall up any sereen or soft key display © How to change settings 1-1 Introduction ‘The Life Scope 8 bedside monitor comes in hardwire and telemetry models . This manual is for the hardwire models ~ BSM-7103J/K, BSM-7113J/K, BSM-7104J/K, BSM-7114J/K, BSM-7105J/K, BSM-7115J/K, BSM-7106J/K, and BSM-7116J/K. BSM-7103/7104/7105/7106J/K have a built-in recorder; BSM-7113/7114/7115/T1161/K do not have a built-in recorder. ‘The hardwire bedside monitor has several connectors for ECG, respiration, SpO2, temperature, NIBP, and invasive blood pressure measurements. Available measuring parameters depend on the type of the bedside monitor. ‘This manual contains information for all models and parameters. Your monitor may not have all the parameters and options described in this manual. For simplicity, the suffix J/K will be omitted in this manual. There is no differenee in operation among models with different suffixes unless otherwise specified. NOTE Use Nihon Kohden parts and accessories to assure maximum performance from your instrument. Major difference between models BSM-71031 BSM-7103K BSM-71135, BSM-7113K BSM-71045 BSM-7104K BSM-7114) BSM-7114K Bedside monitor am BSM-7105J, BSM-7105K BSM-71155 BSM-7115K BSM-7106J BSM-7106K BSM-7116J BSM-7116K Main voltage _| 100t0125V +10% | 220to240V 10% Operator's Manual BSM-7100 11. INTRODUCTION ‘The Life Scope 8 hardwire bedside monitor ean be used in the general ward, ICU, CCU, operating room, and other environments. 1. Hardwire system Measurement parameters differ according to the type of the bedside monitor. BSM-7103/7113: ECG, respiration, and NIBP BSM-7104/7114: ECG, respiration, SpOs, and temperature BSM-7105/7115: ECG, respiration, SpO2, temperature, and NIBP BSM-7106/7116: ECG, Spo, temperature, NIBP, and invasive blood pressure 2, Large size parameter data display ‘The CRT screen is easy to see, and large size parameter data can be displayed on the sereen for reading from a distance. Built-in 2-ch thermal array recorder with 50 mm width paper (BSM-7103/7104/7105/7106) Waveforms, numeric data, trendgraphs, and vital signs lists ean be recorded manually or automatically. 4, Infrared remote operation Recording, viewing another patient's data display, waveform freeze, display selection, enlarged numeric display, and alarm suspend can be controlled by the remote controller from up to 7 m away. If several monitors are close together, the remote controller can select one out of the three monitors. 5. Arrhythmia analysis and ST level measurement Upto 11 types of arrhythmia can be automatically detected. Up to 16 files, each containing an 8-second waveform trace can be stored. The optional memory eard ean store up to 580 files. ‘The ST lovel and ST level trendgraph can be displayed on the screen. 12 Operator's Manual BSM-71001. INTRODUCTION Memory card (option) © Data storage Waveforms, trendgraphs, and vital signs lists can be saved into the memory card. ‘The saved data can be called up and recorded* anytime without interrupting the current data being stored *BSM-7103/7104/7105/7106 only © ‘Transferring patient data between monitors ‘A patient's data can be acquired by one bedside monitor, saved into a memory card, then transferred to a different bedside monitor which accepts a memory card This allows continuous monitoring of the same patient on different monitors. For example, a transport monitor on a stretcher, then a bedside monitor in the ICU, Central monitor connection (QI-702P Interface is required) All data from bedside monitors, such as ECG, respiration, and alarm information, can be sent to the central monitor and recorded. ‘A number of bedside monitors can be connected to the central monitor, which allows communication between different bedside monitors. ‘Thus, the nursing staff.can use anearby bedside monitor to display the alarm status message, vital signs, and waveform of a remote patient, ‘Telemetry system (QI-703P Interface is required) When the ZB-800P transmitter (option) is connected to the bedside monitor, waveform(s) and parameter data from the bedside monitor can be sent to the WEP-8430 Cardiac Telemetry System and CNS-8200 Central Monitor via ORG-8200 ‘Multi-patient Receiver and recorded. (Available waveforms and parameter data differ according to the receiving monitor.) Operator's Manual BSM-7100 131, INTRODUCTION 3 Bedside Monitor Components Life Scope 8 Bedside Monitor (with bui BSM-7103)* BSM-7104)* BSM-7105)* BSM-7106)" in recorder) BSM-7103K** BSM-7104K** BSM-7105K** BSM-7106K=* Remote Controller RY-001PK Alarm Pole (option) 14 YL-0017 Life Scope 8 Bedside Monitor (without built-in recorder) BSM-7113J* BSM-7113K** BSM-7114)* —_BSM-7114K=* BSM-7115J* BSM-7115K** BSM-7116)* _ BSM-7116K** = & ** Refer to Section 1-1. Memory Card (option) QM-010PK Transmitter (option) 7B-800PK Operator's Manual 8SM-71001.INTRODUCTION ® Front Panel 4 Remote control color label Corresponds to one of the MONITOR SELECT keys on the remote controller. ECG, RESP, SpO2, BP/NIBP, and | When display of soft (function) keys is displayed on the screen, ETC hard/soft (function) keys RECORD key REC PATT key these keys function as the displayed function keys. When display of soft (function) keys is not displayed on the screen, these keys function as the hard keys which call up the ECG, RESP, Sp02, BP/NIBP setting screens and ETC screen, respectively. Key names are different according to the type of bedside monitor. Press to start or stop recording. Press to select a combination (pattern) of recording (BSM-7103/7104/7105/7106 only) | waveform(s). Operator's Manual BSM-7100 151, INTRODUCTION euvan Paper magazine release lever Push down to open the paper magazine. (BSM-7103/7104/7105/7106 only) PAPEREMPTY lamp Blinks when the paper is empty or the paper magazine is open. (BSM-7103/7104/7105/7106 only) POWER lamp POWER switch Recorder Lights while the monitor power is on. Push to turn the monitor power on ém) or off (2). 2-ch thermal array recorder. (BSM-7103/7104/7105/7106 only) ‘Remote control sensor Connectors panel Memory card slot Memory card eject button 16 For the remote control. Connectors differ according to the type of the bedside monitor. See page 1.8. For a memory card. Press to eject the memory card. Operator's Manual BSM-7100‘Memory card lamp Memory card key Synchronous sound volume control Alarm sound volume control DISPLAY key INTERBED key FREEZE key SUSPEND key 1.INTRODUCTION Lights while data is being copied from/to the memory card. Press to start or stop data copying to the memory card. Turn clockwise to increase the synchronous sound volume. ‘Turn clockwise to increase the alarm sound volume. Press to change the screen display. The screens change in this order: Waveform screen 1—> Waveform screen 2—> Waveform screen 3 > Large Numeric screen — List screen > Trend screen > Waveform screen 1 Press to display another patient's data. Press to freeze or unfreeze the waveforms, Press to temporarily suspend the alarm function — alarm sound, alarm detection, and screen messages. Operator's Manual 8SM-7100 WwW1.INTRODUCTION 18 ®@ Connectors Panel BSM-7103/7113 BSM-7105/7115 BSM-7104/7114 BSM-7106/7116 ECG/RESP socket (BSM-7108/7118/7104/7114/7105/7115) ECG socket (BSM-7106/7116) NIBP startistop key CUFF sockets TEMP jack ‘SpO> socket PRESS socket Connects to the ECG connection cable for measuring ECG and/or respiration by the impedance method. Connects to the ECG connection cable. Starts or stops NIBP measurement. Connects to the NIBP cuff hoses. Connects to the temperature probe. Connects to the SpO2 probe. Connects to the pressure transducer. Operator's Manual BSM-71001. INTRODUCTION @ Rear Panel ee | Brightness control ‘Turn clockwise to increase screen brightness, ALARM POLE socket For the alarm pole cable. ECG output jack Outputs the ECG waveform (1 V/V). BP output jack Outputs the BP waveform (1 V/100 mmHg). Not functional for the BSM-7103/7118/7104/7114/7105/7115. AC SOURCE power cord socket | For the AC power cord. Equipotential ground terminal _ | For an equipotential ground cable. Fuse holders For two T2.5A/250V or T1.25A/250V fuses. Speaker For alarm and QRS synchronous sounds. Operator's Manual BSM-7100 191. INTRODUCTION 1-5 Remote Controller Signal emitter Battery cover MONITOR SELECT keys (red, blue, green) RECORD key INTERBED key FREEZE key MAG NUM key DISPLAY key SUSPEND key 4.10 ‘Aim this emitter at the remote control sensor on the monitor, then press the desired key on the remote controller. Slide the cover open to insert the batteries. Pross to select an individual monitor when two or more monitors are close together. A different color is assigned to adjacent monitors. Press to start or stop recording, Press to display another patient's data. Press to freeze or unfreeze the waveforms on the screen. Press to call up the Large Numeric sereen. Prossing the key again returns to the previous screen. Press to change the screen display. The screens change in this order: Waveform screen 1 > Waveform screen 2 + Waveform screen 3 > Large Numoric screen — List screen —+ Trend screen + Waveform sereen 1 Press to temporarily suspend the alarm funetion —alarm sound, alarm detection, and sereen messages. Operator's Manual BSM-71001. INTRODUCTION 1 Memory Card ‘The optional 1 Mbyte memory card allows data storage and transferring patient data between different monitors. Data Storage ‘The format determines the storage capacity for each item, You can select one of the following formats |Continuous, realtime ECG waveforms ‘Memory card storage capacity Format 2 30 minutes | 75 minutes Format 3 Format 4 30 minutes Trendgraphs 24 hours"! 24 hours"? Periodie vital signs list 240 data sets 240 data sets INIBP list (vital signs list in. NIBP measurement) 240 data sets 240 data sets [Stored waveform files from monitor memory (1 file = 8 seconds of waveform) the 300 240 "1 9 parameters: HR, VPC, RR, APNEA (T), APNEA (F), BP1, NIBP, SpO2, EVENT *2 21 parameters: HR, VPC, ST, RR, APNEA (1), APNEA (F), BP1, BP2, BP3, BP4, NIBP, T1, T2, Tb, SpO2, EVENT, MARK, ETCO2, Fi02, tePO2, tePCOs (Life Scope 8 cannot measure BP2, BP3, BP4, T2, Tb, MARK, ETCOs, Fiz, tePOz, tePCO) Operator's Manual BSM-71001. INTRODUCTION 1-6-2 Transferring Data between Monitors A patient's data ean be acquired by one bedside monitor, saved into a memory card, then transferred to a differont bedside monitor which accepts a memory card. This allows continuous monitoring of the same pationt. [Operating room ‘While monitoring the patient in the operating room, save the data into the memory card. Life Scope 14 bedside monitor During patient transport, insert the memory card into the portable monitor and save the data into the memory card, Patient transport Life Scope L bedside monitor ‘Then, while monitoring the patient in the ICU, insert the memory card into this bedside monitor and save the data into the memory card. ‘The patient's complete data acquired in the operating room, during patient transport and in the ICU ean be displayed on the sereen of the bedside monitor in the ICU, Life Scope 8 bedside monitor 1.12 Operator's Manual 8SM-710041.INTRODUCTION Basic Operating Concepts 4-7-1 Screen Displays Following are examples of every type of screen available on the Life Scope 8 monitor. For details about individual sereens, see the appropriate section. ‘Monitoring sereens Setting screen «© Waveform sereen ‘© Setup screen + Large numeric screen ‘System Setup screen SETUP veN RETHRC] aDRCT, T ea | RY Psa | — Fa sero | Brees ExPEa tren, “153/84 “OB 66 108 97.7. 2 Be Alarm limits setting screen Stored data display screen «Alarm limits setting sereen for each List screen parameter © ‘Trend screen © Alarm Limits screens 2 (arrhythmia-related) * Memory/Recall screen (displays stored waveforms) Operator's Manual 8SM-7100 1.431. INTRODUCTION 172 Hard Keys and Soft (Function) Keys ‘The five front panel keys below the screen function as either hard keys or soft (function) keys, depending on the screen display. When a Waveform or Large Numeric screen is displayed, the five keys function as the ECG, RESP, SpO2, BP/NIBP, or BTC hard keys. The hard keys call up the ECG, RESP, p02, BP/NIBP setting screens, and BTC screen, respectively. ‘When any other sereen is displayed, display of soft (function) keys appears at the bottom ofthe screen and the five front panel keys function as the displayed function keys. Inthis manual, hard keys are identified by the name printed on the panel, for example, SpOz key, and soft keys are identified by “ ”, for example, “SCALE” key. In the example on the left, the middle front panel key functions as the SpO2 key. In the example on the right, the same key functions as the “SCALE” key. 53/84 “OB 58 ihe t E@lO) bob} 97.7% ran seme | err | 114 oo Co Operator's Manual 8SM-71001-7-3 1-7-4 1 INTRODUCTION Calling Up Screens and Functions Every procedure in this manual begins from a “monitoring” sereen. A “monitoring” screen is any Waveform screen or Large Numeriesereen. You can always get toa monitoring sereen by pressing the DISPLAY key. ‘You can call up any screen or function by using the hard and soft keys described at the beginning of each procedure. After doing any procedure in this manual, press the DISPLAY key to return toa monitoring screen. Changing Settings ‘Most settings have a default setting. Unless otherwise indicated, when you change a setting, the new setting remains in memory, even after the power is turned off and the unit unplugged. All settings, except for the settings on the System Setup screen, can be changed anytime, without interrupting monitoring. When you change a setting, one realtime ECG waveform is constantly displayed at the top of the screen. Operator's Manual BSM-7100 11524 22 23 24 25 26 27 28 29 240 241 2. INSTALLING THE MONITOR SECTION INSTALLING THE MONITOR Selecting a Suitable Location... Grounding and Connecting the Power Cord. ‘Connecting the Alarm Pole (Option) Connecting the 28-800? Transmitter (Option) Connecting the Central Monitor... Attaching the Remote Control Color Label ...... Mounting the Monitor on a Wall Turning the Power ON. ......... Instal Installing or Replacing the Memory Card Battery Loading the Recording Paper .. Operator's Manual BSM-7100 19 or Replacing the Remote Controller Battery. 2.10 2.43 2012. INSTALLING THE MONITOR ‘This section explains how to install the monitor. It also explains how to install the batteries in the remote controller and memory card, and load the recording paper. Connecting probes, transducers and measuring equipment for individual parameters is, covered in the individual parameter sections. (Sections 8 to 13) Section 2 explains all the preparation you need to do before turning on the monitor. Section 3 explains all preparation you need to do after installing the monitor and before ‘turning on the power. Operator's Manual 8SM-7100 242. INSTALLING THE MONITOR 22 g a Suitable Location Put the monitor in a suitable location according to the following cautions. WARNING © Never use this monitor under any flammable anesthetic gas condition. Failure to follow this warning may result in explosion. © Before connecting any other equipment to this monitor, confirm that the equipment complies with safety standards. When connecting a personal computer to this monitor, use a locally available isolation transformer unit for medical use between the computer and monitor. CAUTION ‘© Avoid a location where the monitor is sprinkled with liquids. ling, spray or moist air from a nebulizer or a humidifier. © Avoid exposing the monitor to direct sunlight. © Make sure that there is more than 5 cm of space between the monitor and the wall for adequate ventilation. When the monitor is surrounded, make sure that there is about 10 cm of space above the monitor for ventilation so that the operating temperature does not exceed 40°C. ‘Avoid placing the monitor near a heater or humidifier. Sem Rear panel Operator's Manual BSM-7100 EET2. INSTALLING THE MONITOR 2-2 Grounding and Connecting the Power Cord # Connecting the Power Cord © 3.prong AC Outlet Connect the provided power cord to the AC SOURCE socket on the monitor and plug the cord into a 3-prong AC outlet. © 2-prong AC Outlet Use the following procedures only when a 3-prong AC outlet is not available anda 2-contact AC outlet is not legally prohibited. 1. Connect the equipotential ground terminal of the monitor to a ground post with the ground lead. 2. Connect the provided power cord to the AC SOURCE socket on the monitor and plug the cord into an AC outlet. © Equipotential Grounding ‘CAUTION Equipotential grounding may be required for patient safety. Consult with a qualified biomedical engineer. When equipotential grounding is required to ensure patient safety, connect the equipotential ground terminal on the monitor to the equipotential ground terminal on the wall with the ground lead. Operator's Manual BSM-7100 232. INSTALLING THE MONITOR 2-3 Connecting the Alarm Pole (Option) When an alarm occurs, the red or yellow lamp blinks according to the level of the alarm. Select the red (emergency) or yellow (warning) lamp for TR, BP or SpOz alarm occurrence on the System Setup sereen in self check program, See Section 3-2. ‘The green lamp blinks synchronizing with the QRS when the ALARM POLE QRS SYNC is set to ON on the ‘System Setup screen in self check program. See Section 32, Connect the alarm pole connector to the ALARM POLE socket on the rear panel 2-4 Connecting the ZB-800P Transmitter (Option) NOTE ‘The optional QI-703P Interface is required to connect the ZB-800P transmitter to the bedside monitor. ‘The ZB-800P transmits the data measured at the bedside monitor to the Cardiae Telemetry System WEP-8430 or Central Monitor CNS-8200 via Multi-patient Receiver ORG-8200. 78-800P Conneet the transmitter cable to the ZB socket on the Qi-703P. 24 Operator's Manual BSM-71002. INSTALLING THE MONITOR 2-5 Connecting the Central Monitor NOTE The optional QI-702P Interface is required when the bedside monitor is connected to ‘the CNS-8200 Central Monitor (MU-820R Main Unit) via the Signal Exchanger 4J-810R/820R/830R or Multi-patient Receiver ORG-8200. Connection example Bedside Monitor Signal Exchanger JJ-810R/820R Operator's Manual BSM-7100 Central Monitor Main Unit MU-820R 252. INSTALLING THE MONITOR 2-6 Attaching the Remote Control Color Label Remote control label 2.6 ‘When two or more monitors are close together, the remote controller may change the settings of all the neighboring monitors. To prevent this, you can use the red, blue, or green MONITOR SELECT key on the remote controller to select an individual monitor. Altach either the red, blue or green colored remote control label to the front panel of the bedside monitor. (Select different colors for neighboring monitors referring to Section 3-2.) Operator's Manual BSM-71002, INSTALLING THE MONITOR Mounting the Monitor on a Wall Rail 1. Before installation of the anchor rail, check the composition and construction of the wall. Itshould be able to support at least 15 kg and sufficiently bear external stress such as earthquakes. wal =| \ adaptor ‘arm 2. Calculate hole placement in the wall, referring to the figure on the left j<———353,1 ——>| _ Zz unit: mm Wall w Less than 4 mm Rail 3. Mount the anchor rail on the wall, placing the side Screw or bolt with many positioning hollows to the right. ‘The head of the screw or bolt used to attach the anchor rail to the wall must be less than 4 mm in, height. Screw hole (6.3 mm dia.) By 7 jj Stopper Ti] 1524 + F 4826 ||| fi] { FI) 1524 i 7 ay 4 GI} 1s2.4 ql Positioning 4 hollow SH neha ail Kal fiy (unitsmm Operator's Manual BSM-7100 272. INSTALLING THE MONITOR Nut Monitor Stopper Wall-mount bracket (arm) 4, Loosen the nut of the bracket arm. | { 5. Slide the adaptor into the bracket arm and retighten the nut. 6. Fasten the adaptor to the bracket arm with two flat- head screws M4x 10 @, two flat-washers M4 @, and two nuts M4 © 7. Remove the upper stopper from the anchor rail attached to the wall. 8, Remove the stopper from the bracket arm, and slide the arm into the rail. 9. Fasten the armat the desired height with the stopper. 10. Put the upper stopper back to the original position in the anchor rail. Bracket arm Anchor rail 11. Remove the four rubber feet from the monitor. ‘Mount the monitor on the adaptor. Fasten the monitor to the adaptor with four pan-head screws M4x8@. =e eae ase Flat-head serew M4X 10 Anchor rail @ | NutM4 Adaptor DI-802P 28 © _|Pan-head screw M4x8 ala] fos Flat-washer M4 Operator's Manual BSM-71002. INSTALLING THE MONITOR 2-8 Turning the Power ON After monitor installation is completed, set the POWER switch to ON (a). The POWER lamp lights, “CHECK PROGRAM RUNNING? message appears on the screen, then the Waveform screen appears. CAUTION Turn the power off and disconnect the power cord if POWER switch ‘the self-check function detects any instrument failure after turning the power ON. 2-9 g or Replacing the Remote Controller Battery CAUTION At the end of battery's useful life, under various state and local laws, it may be illegal to dispose of this battery into the municipal waste stream. Check with your local solid waste officials for details in your area for recycling options or proper dispos 1. Slide the eover off as shown left, then remove the expired batteries. Se Cover 2 Insert twonew batteries (LR6, size AA) into the SS remote controller according to the polarity SJ indication. , 3. Put the cover back on, Batteries NOTE When the distance required to operate the bedside ‘monitor from the remote controller decreases or the keys on the remote controller have no function, the batteries are depleted. Replace the batteries with new ones. Operator's Manual BSM-7100 292. INSTALLING THE MONITOR 2-10 Installing or Replacing the Memory Card Battery © When to Replace the Battery CAUTION © The battery life is approx. 5 years. After 5 years, the data may be erased. © Atthe end of battery's useful life, under various state and local laws, it may be illegal to dispose of this battery into the municipal waste stream. Check with your local solid waste officials for details in your area for recycling ‘options or proper disposal. ‘When the battery of the memory eard is weak, a“ LOW BATTERY” message appears on the Memory Card screen. Replace the battery with a new one immediately. NOTE © When the battery is removed from the memory card, the data in the memory card is backed up for about 10 minutes by the built-in sub-battery. ‘© When “LOW BATTERY” is displayed on the Memory Card screen, no memory card operations are available. BED-001 13:05 LOW BATTERY Message When ordering the battery, please specify “QM-010PK battery: BR2325.” 2.10 Operator's Manual BSM-71002. INSTALLING THE MONITOR @ Howto Replace the Battery Insert the battery into the memory eard before using. Ifthe memory card without a battery is inserted, a “LOW BATTERY” message appears on the screen. CAUTION Do not expose the memory card to high temperature or high humidity. The panels may deform. © Donot bend the memory card. It may damage the memory. © Donot get the memory card wet. It may damage the memory. © Donot touch the connector. Static electricity may damage the memory and. stored data. Connector © Donot put the battery in fire. It will cause an explosion 1, Place the rear panel of the memory card up. Rear panel of memory card ‘Unscrew and remove the cover with the provided screwdriver. Screw Screwdriver Operator's Manual BSM-7100 au2. INSTALLING THE MONITOR 2. Insert the battery (+ side down) into the memory card. 3, Latch and close the cover pushing the battery in. 4, Tighten the serew. Screwdriver 5. Write today’s date on the battery replacement date list on the rear panel. Battery replacement date list 242 Operator's Manual 8SM-71002. INSTALLING THE MONITOR ‘The PAPER EMPTY lamp blinks when there is no paper (or the paper magazine is open). 1. Move the paper magazine release lever in the direction of the arrow (V7) to release the lock. Pull the paper magazine toward you. 2. Set the recording paper (FQW50-3-100) inside the magazine so that the detection mark (small black square on corner) of the paper is on the right side. Black square on lower right 3, Draw out one page of paper toward you and close the paper magazine. Push the paper magazine until it clicks. NOTE ‘Check the PAPER EMPTY lamp. If the lamp is still blinking, the magazine is not closed properly. Operator's Manual BSM-7100 2433. CHANGING SETTINGS BEFORE MONITORING SECTION CHANGING SETTINGS BEFORE MONITORING 3-1 Checklist of Changing Settings Before Monitoring . 32 3-2. Changing Initial Settings on the System Setup Screen 33 3-2-1. Calling Up the System Setup Screen 33 3-2-2 How toChange the Settings . ! 3-2-3 Listand Explanation of Settings. 36 3-3. Initializing the System eea.06) Operator's Manual BSIM-7100 3.c13. CHANGING SETTINGS BEFORE MONITORING. ‘This section explains how to change settings after tho monitor is installed and before the power turned on, Initial settings on the System Sotup screen must be changed before monitoring. Otherwise, monitoring is interrupted. See Section 3-2. Alllother settings can be changed any time without interrupting monitoring. These settings are explained in Sections 4-3. Section 3-1 gives you a checklist of all settings so you can change all settings before monitoring. The first time you use the monitor, you may want to cheek every setting. After that, you can check or change the settings as needed. Section 3-3 explains how to initialize the system. This procedure returns all settings to the default settings and erases all data in memory. This procedure is not usually performed. Operator's Manual 8SM-7100 343. CHANGING SETTINGS BEFORE MONITORING 32 ‘You may not need to do all these. a Install the monitor and do the procedures in Section 2. Check or change any initial settings on the System Setup sereen. These items usually do not need to be changed. See Section 3-2 Check or change the monitor-related settings in Section 4-3. Enter the name and ID ofa new patient. (Section 5-1) Check or change settings for the vital signs list and trendgraph. (Sections 5-2 and 5- 3) Check or change all alarm items for the patient, Alarm settings return to the default setting 30 minutes after the monitor is turned off. (Section 6) Check or change recording settings. (Section 7) Prepare the equipment (transducers, probes, etc.) for measuring individual parameters and check or change the settings for each parameter. Section8 ECG Section 9 Respiration Section 10 Sp02 Section 11 ‘Temperature Section 12 Non-invasive blood pressure Section 13 Invasive blood pressure Operator's Manual BSM-71003. CHANGING SETTINGS BEFORE MONITORING. jal Settings on the System Setup Screen ‘These settings do not usually need to be changed. Only change these settings before or after monitoring. WARNING ‘This procedure interrupts all monite 3-2-1 Calling Up the System Setup Screen 1. Turn the power switch on the front panel OFF. 2. Set the power switch to ON while pressing the SUSPEND key on the front panel until the highlighted message “CHECK PROGRAM RUNNING” appears on the sereen. SUSPEND 3. The Diagnostic Check and System Setup screen appears. Press the “SYSTEM SETUP” key to call up the System Setup screen. ‘4 DIAGNOSTIC CHECK AND SYSTEM SETUP =* POWER ON CHECK RESULT--OK OPTION--aI-702P PARAM---ECG, BP, NIBP, SpO2, TEMP -- WS REVISION -- -- BSM-7000 REVISION (MAIN) Rev. 91-05 Rev. 2-04 SUM 3¢58 iBDI SUM,E13B 2066 1439 55C9. FAIE 805E (BOOT) Rev. 1-03 Bae. | SyeTeM | ce MONITOR auecr | Sevur’ [uretony MODE Operator's Manual BSM-7100 333. CHANGING SETTINGS BEFORE MONITORING 1a |15. PERIODIC FREE~ i16. TEMPERATURE UNIT- rent | rem | <= |_| return NOTE ‘The “ERROR HISTORY” and “MANUAL CHECK’ keys are for technical use only. See the service manual. 34 ‘Operator's Manual BSM-71003. CHANGING SETTINGS BEFORE MONITORING 3-2-2. How to Change the Settings 1. Press the “ITEM 1” or “ITEM |” key to move the cursor to the desired item. RETURN ay UCU te fo 2. Press thee ”,“1",“ |”, or “[*]" key to select the setting condition. When the “{*]” key is pressed, a window opens to set the item, 3, Repeat steps 1 and 2 to set another item if necessary. 4, After you change all desired settings, press the “RETURN” key. ‘The new settings are entered and the screen returns to the Diagnostic Check and System Setup sereen. 5. Press the “MONITOR MODE” key. After a fow seconds, the Waveform sereen appears, MANUAL | SYSTEM ERROR MONITOR CHECK SETUP HISTORY MODE Operator's Manual BSM-7100 35