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BM3Plus User`s Manual

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1. ean at eas IM E 123 IO L ia uii ecc D 124 Printer anid Heat a Mead edet seo codo 124 Function and 125 10 2 Paper Hane oiii iei eo ao DU 128 IL MESSAGE 129 12 DEFAULT SETTING VALUE oe ve EU 130 US tole BM 130 2 Neonate IC S 132 5 Pediatric IC U Mod sue aee eds 134 IS TROUBLE SHOOTING ees dete Bose Recents 136 1 NOIS MEC Pom 136 PA ILE PAPIER TU I T 137 137 1 0 5 BM3Plus User s Manual 4 INIBPmalninclloll 138 5 Abnormality in NIBP 6 26 138 6 Failure in battery 2 22222202055 5 139 FOWEr 140 S Periodic 141 Print AMUN qe A MO 142 IL SPECIFICATION 5
2. 143 EdS6 OL TS ioco 144 Additonal EUtICHOTES cd c Qoo 144 Monitor Environmental Speciieatlons 15 25 144 POWCOE ate 144 Monitor Pertormance eas Mia rat ba E 144 Graphical and Tapular a uiti dv naevus eden 145 GCap ay st 145 SOs ciate dat 145 Respiration Perlormance gt 146 NIBP CAA CUE V c 146 Temperature Unit Performance Specifications nena re ea eu aeneo uva depu su ne a 146 JACCESSOLPIe SNC UO deaurato ee Mace 147 OPUS sea Ss a ade DIN 147 Hev 1 0 6 BM3Plus User s Manual 1 BASIC 1 1 CE Standard Information 1 2 Read before Use Warranty Period Warning Caution Note General Precaution on Environment General Precaution on Electric Safety Equipm
3. 33 How to 33 1 7 General Menu 34 34 LON coded 35 Mena Composti ois Du on pid 35 2 PATIENT DATA MANAGEMENT sssscccssssssccsssccccsccccsssscccssscccccssscccssscesesscecsescesonss 39 PAR WV P1 ia 40 NETT T 40 CHANGE ADNIT EINE O veka bead 41 42 ADNE CL 42 HBEIGELDLT ace cc PO NEN nm 43 E 43 22 ALARM TE 44 Alam fOr the aiio ____ _________ _____ 45 IS S CIR cc 46 ALARM PRIN e NE 46 UMP BUDE cc 47 ALARNUDBVELD ideas melee tt ee ie 47 PARANMETERJEENBELD s noci attese neuste qna d e cinta iuquit e dee 48 ALARM REVIEW ET 48 ex IE IE oU 40 SAVING COND PION pecia pie tme __ ______ 50 WURSE CALD code Sie eb 51
4. 84 ANALYSIS SETTING 84 C 90 M 91 SpO2 Connector Location and Measuring 91 0 2 SDO2 Data W 92 Dati Validity 93 Data H 95 RATE VOLUME Se 95 Sit nah cT 96 ALARM CIMT a ea 96 SOUND ctetu ence 97 ok erat te estate leet bata iu Ce aO Uu eUam Era Oa 98 SPO MESSA CS MED NU ccr TS 98 100 101 7 2 Respiration Data 102 73 Respiration Data 5 103 RESPIRATION 103 RESPIRATION 104 ALARM 10
5. SET TREND MENU RUE PARA 5 L lt gt lt gt MENU A A SET TREND PARA RETURN ON OFF HR ON ST ON SPO2 ON PR OFF RR OFF NIBP OFF TEMP OFF TREND PRINT Graphic select the number which selects a graphic trend and press print to print the selected trend Table select the table number to be print and press print to receive printout of all the data in the selected patient admit Admit table Rev 1 0 4 TREND 69 BM3Plus User s Manual 5 ECG 5 1 Outline Color and Name for Each Cable Size ECG Connector Location and Measurement Cable 5 Lead Electrode Attached Location 3 Lead Electrode Attached Location Method to Attach Electrode to Baby 5 2 ECG Data Window 5 3 ECG Data Setup TRACE 1 LEAD SELECT ALARM LIMIT ALARM QRS VOLUME ECG SIZE HEART RATE SOURCE ECG SPEED ANALYSIS SETTING Rev 1 0 70 BM3Plus User s Manual 5 1 Introduction It calculates the heart rate with 3 or 5 leads ECG signal acquisition and perform the alarm according to the setting value Colors and Standards of Cables AHA IEC Leadwire Color code Color code Left leg Red V1 precordial AHA American Heart Association U S A standard IEC International Electro technical Commission Europe standard Position of ECG Connector and Measuri
6. TR PUE 52 RA IA IO BI Leer HO 33 bilo db S deccm ccc 53 PETEAR NENNT 54 WAVE SELECT ori ener eee 54 SEDATE UME sian 55 So e cse USERS 55 SETDATBELUu 56 Rev 1 0 2 BM3Plus User s Manual HRPRS ELEC 56 E NTA EU 57 shes aa REM ete MM EE ELE 57 USER SERVIC 58 SEIDUNPIDNAANIE 58 SET BED NUMBER eiae doit d dedu animu M Ua 59 e Tc nc 60 tud MEER d MALI I d 61 MARKER SE RVC Boece creas o Dee e pid t ome UEM 61 d TREND T eae 62 D 63 GRAPHIC TREND i 64 TIME FER IOD Tc 65 TABULAR TRENDS 66 TIME INTER Ren co etaim 67 TREND WINDOW SETUP eite a a ai Pau deen scien 67 TIME PERIOD
7. 68 ooo teres id ew idum ME ES M M 69 TREND ERIN eee 69 70 TS 71 Stan ar 71 Position ECG Connector and Measuring Cable ccccscccecsessscenseececcssccccneeseccsnseccceeescanensecesaseees 71 Attachins Electrodes to the Patient asses us 12 Informatronvon Me ECO Wave asc on 73 enrol MU Ua dex etna 74 Position OF o Wier BIC CI ONG isosti Cun on mne 74 Howto the NBONATE BIGCUOGO 75 3 2 ESCRITO 706 5 9 ECG Sera p E 79 TRACE 79 PIV E 80 ALARM SOUND ss _ 81 Rev 1 0 3 BM3Plus User s Manual ORS VOLUME aaa a cae Yan 82 Nob 82 EGS RE 5 5 aaa 83 IO EU 83
8. Maintenance Regular preventive maintenance should be carried out annually Technical inspections You are responsible for any requirements specific to your country MPSO The use of a multiple portable socket outlet MPSO for a system will result in an enclosure leakage current equal to the sum of all individual earth leakage currents of the system if there is an interruption of the MPSO protective earth conductor Do not use an additional extension cable with the MPSO as will increase the chance of the single protective earth conductor interruption Negligence BIONET does not assume responsibility for damage to the equipment caused by improperly vented cabinets improper or faulty power or insufficient wall strength to support equipment mounted on such walls Rev 1 0 1 BASIC 14 BM3Plus User s Manual NOTES Power Requirements Before connecting the device to the power line check the voltage and frequency Ratings of the power line must be the same as those indicated on the unit s label If this is not the case do not connect the system to the power line until you adjust the unit to match the power source In U S A if the installation of this equipment will use 240V rather than 120V the source must be a center tapped 240V single phase circuit Restricted Sale U S A federal law restricts this device to sale by or on the order of a physician Supervised Use This equipment is intended for use under the direct supe
9. cC 20 e Mat acters ort PEOOGUGES ostio eu odit e eta 20 Prod ct OMIT OUT AU Diae ae Latus o tod e 21 Product ate 21 Product Body onfte boom Ee ei 22 ACCESSO ES 24 SITO bum vU S oto ay dake Stand E 25 and Key ME 28 External UC HOU 28 CPP TAO cto las 28 1 5 Standard Power Supply Application 30 WIG POW 30 1 6 Battery Power Supply Application ccccccssssccsssscsssscccssssccccsssscccssscccesscsscscscssssssssees 31 COPE TAG PP EIER 31 The Impact of Lithium Ion Battery Technology on the Battery 33 BBe 33 Rev 1 0 1 BM3Plus User s Manual Hle oo Beau
10. Move the KEY to select the volume from OFF to 100 When the ECG volume rate is set it turns OFF automatically Rev 1 0 7 Respiration 95 BM3Plus User s Manual ALARM Two menus ALARM LIMIT ALARM provided in the alarm menu RATE VOLUME ALARM LIMIT Number setting of alarm value of SpO2 is 0 100 1 Move the mark to select from RETURN SpO or SpOe H and press 2 After pressing at 5 move the cursor right or left to LOW and press 3 Once the color is changed move the cursor again to the selected value and press 4 Place the cursor to HIGH and press when the color changes move the cursor again to select the targeted value and press Finally move to SpOe and press You may decide to perform the process in the opposite order LOW to HIGH to have the same result 5 After pressing at SoO2 R move the cursor right or left to LOW and press 6 Once the color is changed move the cursor again to the selected value and press 7 Place the cursor to HIGH and press when the color changes move the cursor again to select the targeted value and press Finally move to SpO2 R and press 8 With the selection of RETURN the user gets out of the menu Rev 1 0 7 Respiration 96 BM3Plus User s Manual ALARM SOUND Warning sound or message displays configuration menu when an alarm is triggered ALARM SOUND ON ALARM SOUND Rev 1 0 7 Respiration 97 BM3Plus User s Manual LE
11. DISPLAY DEMO USER SERVICE MAKER SERVICE Rev 1 0 BM3Plus User s Manual 3 1 SETUP DISPLAY screen set menu USER SERVICE This is the menu to set the connection used to interface with an external computer MAKER SERVICE This is the basic adjustment menu used to adjust the features of this product SERVICE DISPLAY SET PARA Select measurement parameters WAVE SELECT Set wave pattern source at the bottom of the WINDOW in LARGE PARAMETER MODE SET DATE amp TIME Set and change date and time HR PR SELECT Set and select HR PR source COLOR SELECT Set screen display color SET SWEEP Set speed of ECG RESP WAVE DISPLAY MAIN WAVE SELECT MENU SET PARA ECG DATE amp TIME gt lt gt lt gt SET PREV SWEEP HR PR SELECT MENU ECG d 25mm s Rev 1 0 3 SETUP 53 BM3Plus User s Manual SET PARA Select measurement function to use MAIN WAVE SELECT SET MENU dara ECG DATE amp TIME ZEE lt gt SET PREV SWEEP HR PR SELECT MENU ECG 25mm s 2n 1 PARAMETER WINDOW SET gt RETURN WINDOW ON OFF AUTO ON ECG ON SPO2 ON RESP OFF NIBP OFF TEMP ON WAVE SELECT Select waveform to display in large parameter display MAIN WAVE SELECT SET MENU DATE amp TIME lt gt SET SWEEP HR PR SELECT MENU ECG 25mm s 1 0
12. 0 300 LEAD SELECT ANALYSIS QRS VOLUME SETTING OFF DISPLAY ALARM SOUND ALARM LIMIT ON ECG ALARM LIMIT RETURN HR Rev 1 0 5 ECG 80 BM3Plus User s Manual ALARM SOUND Set ON OFF of ECG alarm sound ANALYSIS QRS VOLUME SETTING ECG ALARM SOUND Rev 1 0 5 ECG 81 BM3Plus User s Manual QRS VOLUME Move the Key to select a volume rate from OFF 10 to 100 ANALYSIS QRS VOLUME SETTING OFF DISPLAY Set the sweep speed and waveform size ibd bd D LEAD SELECT MENU lt lt PREV ANALYSIS QRS VOLUME MENU SETTING OFF lt P PA 4 ALARM Rev 1 0 5 ECG 82 BM3Plus User s Manual ECG SPEED ECG speed is 25 mm s Speed is changeable to 6 25 12 5 25 50mm s b MAIN SWEEP SPEED ECG SIZE ea eee MENU 25 mm s 1 ECG gt PREV MENU 6 25 mm s 12 5 mm s 25 mm s 50 mm s ECG SIZE The size is changeable to X 0 25 X0 5 X1 X2 X4 MAIN SWEEP SPEED ECG SIZE MENU 25 mm s 1 HR SOURCE ECG gt lt lt gt gt PREV MENU ECG SIZE BM3Plus User s Manual HR SOURCE 8 DA b HR MAIN SWEEP SPEED ECG SIZE M
13. 3 SETUP 54 BM3Plus User s Manual a bd N MAIN WAVE SELECT MENU SET PARA ECG gt PREV SEU wr MENU SWEEP 25mm s SET DATE amp TIME It has sub menu to set date and time MAIN WAVE SELECT SET MENU SEV PANA ECG DATE amp TIME lt lt gt lt gt PREV SWEEP HR PR SELECT MENU ECG 25mm s N A A SET TIME Set time of equipment DA b MAIN SET MENU uz DATE lt gt lt gt MENU MAIN SET MENU TIME gt 4 10 58 01 Rev 1 0 3 SETUP 55 BM3Plus User s Manual SET DATE Set date of equipment MAIN SET MENU SET PARA SET TIME DATE gt lt gt lt gt lt PREV SET SET SET MENU RESP SWEEP SWEEP WAVE SOURCE 25mm s Jh 12 5mm s ECG 4 N N MAIN SET MENU DATE E 4 06 DEC 2007 PREV MENU HR PR SELECT This menu is used to set the source that displays heart and pulse rate The source be selected between ECG and 5 2 MAIN WAVE SELECT SET MENU SIE V PARA ECG DATE amp TIME gt lt gt 5 SET PREV SWEEP HR PR SELECT MENU ECG 25mm s HR PR SELECT Rev 1 0 3 SETUP 56 BM3Plus User s Manual SET SWEEP Set speed of drawing wave
14. Keep pacemaker patients under close observation PACEMAKER PATIENTS Rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest Do not rely entirely upon rate meter ALARMS Keep pacemaker patients under close surveillance Rev 1 0 5 ECG 86 BM3Plus User s Manual CAUTION FDA POSTMARKET SAFETY ALERT The United States FDA Center for Device and Radiological Health issued a safety bulletin October 14 1998 this bulletin states that minute ventilation rate adaptive implantable pacemakers can occasionally interact with certain cardiac monitoring and diagnostic programmed rate The FDA further recommends precautions to take into consideration for patients with these types of pacemakers These precautions include disabling the rate responsive mode and enabling an alternate pace mode For more information contact Office of Surveillance and Biometrics CDRH FDA 1350 Packard Drive Mail Stop HFZ 510 Rockville MD 20850 U S A NOTE ECG monitoring with patients in non invasive trans coetaneous pacemakers may not be possible due to large amounts of energy produced by these devices Monitoring ECG with an external device may be needed Rev 1 0 5 ECG 87 BM3Plus User s Manual Trouble shooting Problem Inaccurate heart rate and or false asystole Solution Check ECG signal from patient 1 Check adjust lead placement 2 Check perform skin preparation 3 Check replace
15. Manually completes measuring blood pressure 4 Printer Prints out the waves selected from the menu until the key is pressed to stop 5 Alarm Stop alarm sound First press stops the current alarm for one minute Second press stops the all alarm for five minutes Third press makes the alarm back to the original setting 6 Trim Knob This key is used to select menu by turning it clock or anticlockwise to move cursors Rev 1 0 1 BASIC 28 BM3Plus User s Manual 7 hd b d N ALL ALARM lt a LIMITS m A NURSE CALL ees ON oN A p Rev 1 0 1 BASIC 29 BM3Plus User s Manual 1 5 Standard Power Supply Application DC Power DC Power LED is lighted on when the DC Power is plugged into the inlet at the back of the product A press of the power key makes the machine ready for use Dc Power Bottom of side _ a When pressing the Power key the power 15 on e as gt DC LED is lighted Warning This equipment must only be connected to an outlet with protected earth Rev 1 0 1 BASIC 30 BM3Plus User s Manual 1 6 Battery Power Supply Application Battery power can be supplied for enabling portable use or for use during DC power failure Operation 1 Battery Power LED is lighted on when the machine is in use 2 The DC battery power is only sustainable for 1 hour ae 3 Battery is automaticall
16. Rev 1 0 7 Respiration 100 BM3Plus User s Manual 7 1 Outline Respiration increases the skin area of the chest upon inhalation causing changes in the resistance of skin Through this it calculates respiration value per minutes and performs the alarm function according to limit value Position of Detected Lead ue e m LUI aem Respiration Connector and Measuring Cable Respiration Connecter Respiration Measuring Cable Rev 1 0 8 NIBP 101 BM3Plus User s Manual 7 2 Respiration Data Window Breathe indicator Indicates the detected breath ee Respiration alarm limit Indicates respiration limits Breathing Number Displays the number of respiration per minute Rev 1 0 8 NIBP 102 BM3Plus User s Manual 7 3 Respiration Data Setup ALARM Respiration alarm setting menu RESP SIZE A menu to setup Wave Display SWEEP SPEED A menu to setup Wave Display of speed RESPIRATION SPEED Wave pattern speed is 25 mm s Rev 1 0 SWEEP SPEED 25mm s SWEEP SPEED 6 25mm s gt 6 25 mm s 12 5 mm s 25 mm s 8 NIBP 103 BM3Plus User s Manual RESPIRATION Set wave pattern size X2 X10 ALARM ALARM SOUND ON ALARM LIMIT Rev 1 0 8 NIBP 104 BM3Plus User s Manual ALARM LIMIT Alarm Limit of Respiration Numeric Value is 5 150bpm 1 Move the mark to select RETURN RESP and press 2 After a press in RESP move the cursor rig
17. any equipment connected to the patient After defibrillation the screen display recovers within 10 seconds if the correct electrodes are used and applied in accordance with the manufacturer s instructions ECG cables can be damaged when connected to a patient during defibrillation Check cables for functionality before using them again The peak of the synchronized defibrillator discharge should be delivered within 60ms of the peak of the R wave The signal at the ECG output on the patient monitors is delayed by a maximum of 30ms If the ECG waveform on the screen is too unstable to synchronize with the patient s heart beat because of the following reason remove the cause of an alarm message or unstable ECG and then use a stable ECG lead for synchronization ECG electrode is detached or broken Lead wire is detached or broken Lead wire moves AC interference EMG noise or noise from ESU 15 superimposed Connection cable is broken or has a short circuit Connector has poor contact Rev 1 0 5 ECG 77 BM3Plus User s Manual INTERFACING OTHER EQUIPMENT Devices may only be interconnected with each other or to parts of the system when it has been determined by qualified biomedical engineering personnel that there is no danger to the patient the operator or the environment as a result In those instances where there is any element of doubt concerning the safety of connected devices the user must contact the manufacturers conce
18. electrodes Check amplitude of ECG waveform 1 Select ECG parameter label 2 Select DISPLAY LEAD 3 Scroll through all ECG leads and check for 0 5mV amplitude at normal 1X size at least 0 5mV amplitude is required for QRS detection for borderline signals validate on a graph 4 If amplitudes are low electrodes may need to be repositioned or replaced Problem False ventricular calls Solution Check ECG signal from patient the chest lead may exhibit polarity changes which may occasionally cause an inaccurate call 1 Check adjust lead placement 2 Check perform skin preparation 3 Check replace electrodes if chest lead is a problem move the chest lead to another chest position or leg position Problem Inaccurate pacemaker detection Rev 1 0 5 ECG 88 BM3Plus User s Manual Solution Use pacemaker processing 1 Select ECG parameter label 2 Display the lead of ECG with the greatest amplitude in the top waveform position 3 Select ANALYSIS SETTINGS 4 SELECT DETECT PACE Rev 1 0 5 ECG 89 BM3Plus User s Manual 6 1 Outline 5 2 Connector Location and Measuring Cable 6 2 SpO2 Data Window 6 3 SpO2 Data Setup SWEEP SPEED RATE VOLUME ALARM ALARM LIMIT Rev 1 0 90 BM3Plus User s Manual 6 1 Outline SPO2 monitoring is a noninvasive technique used to measure the amount of oxygenated hemoglobin and pulse rate by measuring the absorption of selected wavelengths
19. less than 12 months BIONET recommends that you remove the battery and store it near the monitor until it is needed for transport How to Recycle the Battery When the battery no longer holds a charge it should be replaced The battery is recyclable Remove the old battery from the monitor and follow your local recycling guidelines WARNING EXPLOSION HAZARD DO NOT incinerate the battery or store at high temperatures Serious injury or death could result Rev 1 0 1 BASIC 33 BM3Plus User s Manual 1 7 General Menu Operation screen Composition Real Time Wave Parameter Window Windows 10 JAN 2007 12 23 X4 MAIN CHANGE MENU ADMIT INFO F 4 PREV HEIGHT WNIT WEIGHT UNIT DEFAULT MENU KG SETTING Menu Select Window Real Time Wave Window Displays measured results by up to three waves Menu Select Window Menus appear when they are activated Parameter Window Measured and setup data are displayed in five windows Rev 1 0 1 BASIC 34 BM3Plus User s Manual Menu Selection 10 JAN 2007 12 23 John X4 nd Turn or press the knob 3 02 X1 A 1 it BED 001 5 997 When the Trim Knob Key is turned menus are selected in the order indicated above The above screen shows that the MORE menus is selected The menus move to the righ
20. properly connected RESP LEAD FAULT Cable is not properly connected Cuff hose is not properly connected INFLATION FAILURE CHECK CUFF OVER PRESSURE DEFLATION FAILURE OVER TIME CUFF PRESSURE MEASUREMENT ERROR Cuff pressure is putting on excessively Cuff is bent preventing deflation Measure time exceeds the preset Level Measure signal absent TEMP LEAD FAULT Cable is not properly connected ALARM VOL OFF Alarm volume 15 off SILENCED Alarm key is pressed once ALARM PAUSE 5MIN Alarm key is pressed twice ALARM TREND PRINT NO PAPER No paper in the printer SETUP BATTERY LOW Low battery NO PATIENT DATA No patient s data input Rev 1 0 11 MESSAGE LIST 129 BM3Plus User s Manual 12 DEFAULT SETTING VALUE 1 Adult ICU Mode Alarm level 3 5 0 1409 _ 0 RR 40100 TC Parameter Limits Low High HR 50 150 NIBP S 80 200 40 139 NIBP D 20 120 90 100 SpO Rate 50 iu RR RESP 10 30 30 0 42 0 86 0 107 6 Rev 1 0 12 DEFAULT SETTING VALUE 130 BM3Plus User s Manual Display Patient Age Adult Color format Color Primary ECG Detect Off Print Waveform2 Off Print Waveform3 Off Alarm Print On NIBP Auto Off NIBP Cuff Size Adult RR RESP Lead Alarm Volume 50 QRS Volume Off Pulse Volume Off ECG Lead Fault Low Alarm SpO2 Probe Low Alarm Units for Height Cm Units for Weight Kg Tem
21. signal pattern in this widow MAIN WAVE SELECT SET MENU SET PARA ECG DATE amp TIME 4 SET HR PR SELECT MENU ECG 25mm s P Dvd N B N MAIN SET SET MENU SWEEP E is DATE amp TIME 5 mm s 25 mm s BOUE HR PR SELECT MENU ECG DEMO Set ON OFF DEMONTRATION of equipment USER SERVICE DISPLAY MAKER SERVICE Rev 1 0 3 SETUP 57 BM3Plus User s Manual USER SERVICE The user is able to set the communication parameters power supply filter and unit identification USER SERVICE MAKER SERVICE SET BED NUMBER 001 SET UNIT NAME AC FILTER SYSTEM 50HZ SET UNIT NAME oet up for Equipment name SET UNIT SET BED es NUMBER 001 AC FILTER 502 MAIN SET UNIT MENU NAME d PREV MENU Rev 1 0 3 SETUP 58 BM3Plus User s Manual SET BED NUMBER Set up for patient bed number Allowable settings are from 1 to 255 SET UNIT NAME SYSTEM AC FILTER SET UNIT NAME SYSTEM AC FILTER SET UNIT NAME AC FILTER Rev 1 0 SET BED NUMBER 001 SET BED NUMBER 001 3 SETUP 59 BM3Plus User s Manual AC FILTER AC FILTER is function where you can set power supply frequency This feature is required because power supply frequency can be different from one country to another The selectable fr
22. strong electromagnetic sources such as electro surgery equipments Operation of this device may be adversely affected in the presence of computed tomography CT equipments Misuse or improper handling of the device could result in damage to the device This may cause inaccurate readings Rev 1 0 7 Respiration 98 BM3Plus User s Manual CAUTIONS Do not autoclave ethylene oxide sterilize or immerse the device in liquid This device is intended for use by persons trained in professional health care who have a complete understanding of pulse Oximetry The operator must be thoroughly familiar with the information in this manual before using the device 5 2 measurements may be adversely affected in the presence of high ambient light Avoid exposure to high ambient light Dyes introduced into the bloodstream such as methylene blue indocyanine green indigo carmine fluorescein and patent blue V may adversely affect the accuracy of the SpO2 reading Any condition that restricts blood flow such as use of blood pressure cuff extremes in systemic vascular resistance or reduction of peripheral circulation caused by hypothermia may cause an inability to determine accurate pulse rate and SpO2 readings Rev 1 0 7 Respiration 99 BM3Plus User s Manual 7 RESPIRATION 7 1 Outline Respiration Connector and Measuring Cable 7 2 RESPIRATION Data Window 7 3 RESPIRATION Data Setup Respiration Size Alarm Limit
23. 1 2 Equipment Connection In the hospital doctors and patients are exposed to dangerous uncontrollable compensating currents These currents are due to the potential differences between connected equipment The safety solution to the problem is accomplished with EN60601 1 1993 Biocompatibility When used as intended the parts of the product described in this operator manual including accessories that come in contact with the patient during the intended use fulfill the biocompatibility requirements of the applicable standards If you have questions about this matter please contact BIONET or its representatives Maintenance and Washing Equipment Connection There are various methods to clean the BM3Plus and its accessories Please follow the methods mentioned below to avoid unnecessary damage or contamination to the Equipment We do not repair free of charge regardless of warranty period if it is contaminated or damaged with using dangerous material not approved for washing Rev 1 0 1 BASIC 17 BM3Plus User s Manual Cleaning Applied Parts Cables and Leadwires CAUTION Do not use acetone or ketone solvents for cleaning do not use an autoclave or steam cleaner Cables and leadwires can be cleaned with a warm damp cloth and mild soap or isopropyl alcohol wipes For more intensive disinfecting near sterile Ethylene Oxide ETO is acceptable but will reduce the useful lifetime of the cable or le
24. 2 30 00 13 00 00 37 0 diurNEAXENEHH S Rev 1 0 4 TREND 64 BM3Plus User s Manual TIME PERIOD One can set up and store data and time that one can see in a screen GRAPHIC TREND 10 SEP 2007 120 80 93 TEMP 36 7 gt SPO2 100 120mmHg 36 7 C 9996 me SpO2 100 12 00 00 12 30 00 13 00 00 370 Aw w Rev 1 0 4 TREND 65 BM3Plus User s Manual TABULAR TREND One can see the stored data at the time previously set up TREND WINDOW SETUP GRAPHIC TABULAR TREND 09 30 c 1hr 2 10 Rev 1 0 4 TREND 66 BM3Plus User s Manual TIME INTERVAL One can store data and set up time nanaon 10 JAN 2007 12 23 TABULAR TREND 10 SEP 2007 23 30 23 30 23 30 23 30 23 30 30 31 32 33 34 66 66 66 66 TREND WINDOW SETUP Set the trend display window that will show the real time wave window TREND GRAPHIC TABULAR WINDOW Rev 1 0 4 TREND 67 BM3Plus User s Manual 10 JAN 2007 12 23 John TIME PERIOD Set visible time period in a screen MAIN SET TREND MENU PARA 30MINS T PREV MENU wa N N MAIN TIME gt 30MINS MENU PERIOD 60MINS 90MINS 03 3HRS bz 6HRS 12HRS Rev 1 0 4 TREND 68 BM3Plus User s Manual SET TREND PARA Set parameter for display in a screen MAIN
25. 4 ALARM EIM 105 ALARM SOUND 106 BEAT Foy 107 108 9 2 NIBP Data WIldOoW 110 5 5 NIBP Data 111 Rev 1 0 4 BM3Plus User s Manual ALARM PP 111 ALARM EIM ie QUOI ENERO Ea iN ses RC em 112 ALARM SOUND ts es ba Popp ata EUR Gabe MURUS Eom is 113 CORP __ ee ae 113 SBEDBC ses apse Ate tutus ca dud ated st uo alld 114 INTER VA Er Sk daa sc Lares 114 od WS Gl MINNS UM MEET 115 INFEA TION aeons 115 d OLEMPERATLURE iib Pre Dr eU e 117 MEIN M K 118 9 2 Temperature Data Widow OE Ve POE P ENS oa eua nS 119 9 3 Temperature Data Setup m n 120 ALARM ccc TP 120 ALARM LIMP Rees 121 ALARM SOUND zeine a mela ast oma ai teas 122 LO Da tt Bes oll Sl ck Gal 122 OS STING
26. AD FAULT Condition When using a reusable finger probe there is a system alarm to alert you when the probe is off the Monitor The monitor defaults this LEAD FAULT condition as a System Warning alarm however you can set it as a System ALARM LEVEL in Monitor Defaults SPO2 Messages Below is a list of system status alarm messages which may be displayed in the SPO2 parameter window during monitoring CHECK PROBE Reusable finger probe is off the patient Check the probe The factory default for this alarm 15 MESSAGE ALARM PULSE SEARCH Detection by the monitor of a repeatable pulse has ceased Check the patient and the probe site POOR SIGNAL The 5 2 signal is too low SPO2 data is displayed This can be due to low patient pulse patient motion or some other interference Check the patient and the probe LOST SIGNAL data continues be displayed but the quality of the signal is questionable Check the patient and the probe WARNING Federal Laws of the United States restrict the use and sale of this device by or on the order of a physician Do not use this device in the presence of flammable anesthetics Do not use this device in the presence of magnetic resonance imaging MR or MRI equipments This device must be used in conjunction with clinical signs and symptoms This device is only intended to be an adjunct in patient assessment Operation of this device may be adversely affected in the presence of
27. BM3Plus User s Manual BM3Plus User s Manual Patient Monitor Rev 1 0 19 2 2006 12 23 150 80 200 j ADT z mn vr 1 FE ich x 2 2 10 PVE Umini 0 0 anm Bionet Bionet Rev 1 0 BM3Plus User s Manual Table of Contents BMSPIUS User csset SERE IEEE 0 Ne 1 7 LECE Standard Information e 8 1 2 Read before USC 9 Howto Contact Us o senso iot 9 Waranty oos 10 AVarime INDE Sissi oa Sono erede te i adco toe 10 General Precaution on BBaVIEODEDODLU ires blu nu uio 11 General Precautronc onsBlecteie Sally aisi oe e Fl ded 16 224 sas casa rs 18 13 Product OnipOnDelts iioi 20 Proda B tini aa
28. C 32 BM3Plus User s Manual The Impact of Lithium lon Battery Technology on the Battery The following are the key points you should know about Lithium lon 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 lon cells and the bias current required for the integrated electronics By the nature of Lithium lon cells the battery will self discharge The self discharge rate doubles for every 10 C 18 F rise in temperature The capacity loss of the battery degrades significantly at higher temperatures As the battery ages the full charge capacity of the battery will degrade and be permanently lost As a result the amount of charge that is stored and available for use is reduced Conditioning Guideline The battery in the monitor should be fully charged and discharged every six months and condition it using the battery charger Storage Guideline Store the battery outside of the monitor at a temperature between 20 C to 25 C 68 F to 77 F When the battery is stored inside a monitor that is powered by an AC power source the battery cell temperature increases by 15 C to 20 C 59 F to 68 F above the room s ambient temperature This reduces the life of the battery When the battery is stored inside a monitor that is continuously powered by an AC power source and is not powered by battery on a regular basis the life of the battery may be
29. E menu to activate printing during ALARM A 5 ALARM C ALARMPRINT C 4 Data is printed in a selected wave form along with personal information of the patient 3 channels select 3 parameters to print B gt PRINTER ECG RESP 2 Rev 1 0 10 PRINT 125 BM3Plus User s Manual PRINTER SPEED 50mm s MAIN 2 WAVE MENU 1 50mm s Y WAVE PREV MENU FORM2 SPO2 gt ECG SPO2 RESP OFF PRINTER SPEED 50mm s WAVE FORM2 gt ECG SPO2 RESP OFF FORM1 ECG Rev 1 0 PRINTER SPEED 50mm s 10 PRINT 126 BM3Plus User s Manual MAIN WAVE ME MENU FORMS gt ECG UM SPO2 ECG RESP PREV cae MENU Rev 1 0 10 PRINT 127 BM3Plus User s Manual 10 2 Paper Change Open the window of the printer Insert the paper roll offered with the product into the printing unit Place the roll in a proper way so that the printed paper can rolls out from the top of the roll Press the printer window until it is properly Shut Incomplete closure may cause failure in printing Rev 1 0 10 PRINT 128 BM3Plus User s Manual 11 MESSAGE LIST Function Message Details ECG LEAD FAULT Cable is not properly connected CHECK PROBE Patient s finger is off the probe opO2 LEAD FAULT Cable is not
30. ENU 25 mm s 1 i ire ECG PREV MENU DA b N MAIN SWEEP SPEED HEART RATE MENU 25 mm s SOURCE ECG 2 4 gt SPO2 PREV AUTO MENU ANALYSIS SETTING Analysis setting divided to 3 menus ECG FILTER One may select from three frequency types for WAVE FILTER MONITOR 0 5Hz 40 2 MODERATE 0 5Hz 25Hz MAXIMUM 5Hz 25Hz DIAGONOSIS is LEAD SELECT MENU gt lt gt ANALYSIS QRS VOLUME MENU SETTING OFF Rev 1 0 5 ECG 84 BM3Plus User s Manual FILTER MONITOR FILTER gt MODERATE MAXIMUM PACE Sets up ON OFF to indicate that the patient has PACE The PACE menu option enables disables the pacemaker detection program FILTER MONITOR Be aware of the following when monitoring a patient with a pacemaker Warning FALSE CALLS False low heart rate indicators or false asystole calls may result with certain pacemakers because of electrical overshoots MONITORING PACEMAKER PATIENTS WMonitoring of pacemaker patients can only occur with the pace program activated Rev 1 0 5 ECG 85 BM3Plus User s Manual PACEMAKER SPIKE An artificial pacemaker spike is displayed in place of the actual pacemaker spike All pacemaker spikes appear uniform Do not diagnostically interpret pacemaker spike size and shape PATIENT HAZARD A pacemaker pulse can be counted as a QRS during asystole in either pace mode
31. ENU CM ADMIT zu ADMIT CHANGE ADMIT ADMIT ADT INFO mmm HEIGHT WEIGHT quud DEFAULT pee ym SETTING ADMIT 2 TYPE ADMIT ADT PREV HEIGHT MENU CM Rev 1 0 2 PATIENT DATA MANAGEMENT 42 BM3Plus User s Manual HEIGHT Unit of height is set as Cm Inches e Tm ADMIT CHANGE E ADMIT ADMIT bea ADT INFO PREV ur DEFAULT MENU a m mu ADMIT CHANGE 2 ADMIT ADMIT INFO PREV Pre n DEFAULT HO NE ue SETTING WEIGHT Unit of weight is set as Kg LBS 5 m ADMIT CHANGE ADMIT ADMIT ADT INFO PREV joel DEFAULT MEN end SETTING zl ADMIT CHANGE ADMIT ADMIT ADT INFO PREV deri M DEFAULT MENU E pe SETTING BM3Plus User s Manual DEFAULT SETTING Resets the Alarm Limit settings to factory defaults as in 12 DEFAULT SETTING VALUE section E ADMIT i CHANGE i ADMIT DISCHARGE ADT INFO mm HEIGHT T WEIGHT Y m pet DEAULT due d SETTING 2 2 ALARM Alarm is divided into two alarm for the patient s condition and for the product s condition The patient s alarm sounds when the diagnostic functions are detected Each alarm sound differs in order and volume
32. Fault Low Alarm SpO2 Probe Low Alarm Units for Height cm Units for Weight kg Temperature Units oC NIBP Limit Type Systolic ECG Filter Monitoring Rev 1 0 12 DEFAULT SETTING VALUE 135 BM3Plus User s Manual 13 TROUBLE SHOOTING 1 Noise in ECG Gel is dry Electrodes do not stick well to skin The patient s skin Yes Apply ECG gel or water to the area of is extremely dry contact then use the electrode NO Replace the electrodes The electrode is Yes in poor condition Use CE compatible products No The cable lead wire Yes Replace lead wires is disconnected No Repair the ECG B D Rev 1 0 13 TROUBLE SHOOTING 136 BM3Plus User s Manual 2 malfunction Connectors are in bad condition The extension cables are disconnected Replace extension cables The Finger probe is Replace the finger probe Repair the ECG B D 3 Temp malfunction The probe is in bad condition Replace the probe Repair the Temp B D Rev 1 0 13 TROUBLE SHOOTING 137 BM3Plus User s Manual 4 NIBP malfunction Are leaks from the hose connector or cuff Replace the hose or cuff Repair the NIBP B D 5 Abnormality in NIBP measurements The patient moved Make sure the patient remains while measuring still during diagnosis No The measurements Yes appear low Loosen the cuff duri
33. Manual 9 Print failure The paper tray cover is properly shut Shut the cover tight The printing face of Reverse the paper face paper has been reversed Repair the printer and printer B D Rev 1 0 13 TROUBLE SHOOTING 142 BM3Plus User s Manual 14 SPECIFICATION Ease of use Customization Special Features Monitor Environmental Specifications Power adaptor Monitor Performance Specifications Graphical and Tabular Trends SpO2 Performance Specifications Respirations Performance Specifications NIBP Performance Specifications ECG Performance Specifications Temperature Unit Performance Specifications Accessories included OPTION Rev 1 0 143 BM3Plus User s Manual Ease of use Battery operation Attached printer Table and graphic trend Nellcor gt sensor interchanges Additional Function LAN Connection Monitor Environmental Specifications Operating Temperature 10 C to 40 C 50 F to 104 F Storage Temperature 10 C to 60 C 14 F to 140 Humidity 20 to 95 Operating Attitude 70 700 to 106Kpa 1060mbar Power 100 240V 50 60Hz Adapter 18 V 2 5 A Monitor Performance Specifications Screen 7 TFT LCD 800x480 Indicators Upto 3 wave patterns levels of alarm sound Visual alarm Pulse sound handle flashing Battery status LED external power supply LED Interfaces Generating power for LA
34. N Wireless LAN 5 0V max 0 9A Battery Li ion battery Hev 1 0 144 BM3Plus User s Manual Battery status display Operating time 2hours with fully charged Battery Thermal Printer Optional internal printer Speed 25 50 mm sec Paper width 58 mm Graphical and Tabular Trends Table Trend Memory Storage 128 hours Data Interval 1 minute Display Interval 1MIN 5 15 30 1HR Graphical Trend Display Period 30MINS 60 90 3HRS 6 12 ECG capacity Lead 3 5 pulse rate range 30 to 300 bpm pulse accuracy 3 bom Bandwidth 0 5 Hz to 40 Hz Display Sweep Speed 2 5mm sec ECG size Sensitivity 0 5 1 2 4mV cm Lead off Detection with display indicator Pace maker Detection Mode Differential Input Impedance gt 5 Common Mode Rejection gt 90 dB at 50 60 Hz DC Input Range 5 mV Defibrillator Discharge lt 5S Defibrillation Artifact Recovery Time lt 85 SpO capacity Saturation Range 0 to 100 oxygen proportion Pulse Rate Range 30 to 254 bpm SpO2 accuracy 70 to 100 2 digits 0 to 69 unspecified pulse accuracy 2 bom Rev 1 0 145 BM3Plus User s Manual Sensor Red 660nm 2mW typical Infrared 905nm 2 2 4mW typical Minimum Signal 0 05 modulation Low perfusion level performance and Amplitude limitation validation using FLUKE Index 2 Oximetry Simulator R
35. Otherwise patient and user may be exposed to danger BEFORE USE Before putting the system into operation visually inspect all connecting cables for signs of damage Damaged cables and connectors must be replaced immediately Before using the system the operator must verify that it is in correct working order and operating condition Periodically and whenever the integrity of the product is in doubt test all functions Rev 1 0 1 BASIC 20 BM3Plus User s Manual Product Configuration 1 Main body of BM3Plus Monitor 3 Lead Patient Cable ECG extension cable Disposable electrodes NIBP extension tube Adult cuff 25 35 Cm extension cable Probe finger type reusable DC Adaptor MW160 made in AULT Co Ltd N oO A Optional Products 1 Temperature Probe TEMPSENS 400 Printer PRN 400 Chart Paper PAPER 400 Co N 1EA 1 EA 3CBL 400 3WIRE 400 1 EA 10 EA ECGSENS 400 1 EA NBPCBL 400 1 EA ACUFF 400 1 EA SPCBL 400 1 EA SPASENS 400 1 EA 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 Users must pay attention on connection any auxiliary device via LAN port or nurse calling Always consider about summation of leakage current please check if the auxiliary device is qualified by IEC 60601 1 or consult y
36. P S and move to LOW and press again The user gets the same result regardless of the LOW HIGH or HIGH LOW order 3 When the color has changed move it again to select a target value and press 4 Press the key at HIGH When the color has changed move to the right to select a target value and press 5 Set up or revise the values of NIBP M and NIBP in the same way as above 6 With the selection of RETURN the user can get out of the window Rev 1 0 8 NIBP 112 BM3Plus User s Manual ALARM SOUND The menu to change the warning sign and message display settings when the respiration alarm is on MAIN MENU ALARM LIMIT CUFF SIZE The user can select a CUFF between ADULT and NEONATAL ALARM SOUND CUFF s ALARM SIZE ADT 1 UNIT SELECT INFLATION INTERVAL 170 mmHg MAIN CUFF MENU ante SIZE gt ADT gt PED UNIT NEO SELEC mmHg Rev 1 0 8 113 BM3Plus User s Manual UNIT SELECT It is a function to set blood pressure measurement unit The blood pressure measurement unit provides mmHg and kPa XY BA CUFF N ALARM SIZE ADT ZEE vU gt lt SELECT INFLATION INTERVAL 170mmHg OFF S mmHg DAS A B CUFF D HE ALARM SIZE ADT 2
37. SPO2 waveform which can be disrupted by a cough or other hemodynamic pressure disturbances Motion at the probe site is indicated by noise spikes in the normal waveform See the figure below It has been noted that letting the patient view the SPO2 waveform enables them to assist in reducing motion artifact SPO2 Waveform with Artifact Rev 1 0 7 Respiration 93 BM3Plus User s Manual Stability of SPO2 Values The stability of the displayed SPO2 values can also be used as an indication of signal validity Although stability is a relative term with a small amount of practice one can get a good feeling for changes that are artifactual or physiological and the speed of each Messages are provided in the SPO2 values window to aid you in successful SPO2 monitoring 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 Rev 1 0 7 Respiration 94 BM3Plus User s Manual 6 3 SpO Data Setup ALARM LIMIT Menu in which SpO limits set SWEEP SPEED speed SpO2 Waveform display setting menu RATE VOLUME Menu in which RATE VOLUME is set up RATE VOLUME RATE VOLUME
38. VEL REVIEW pu PA 4 SAVING CONDITION Rev 1 0 2 PATIENT DATA MANAGEMENT 48 BM3Plus User s Manual ALARM LIST When an alarm activates this shows the order of the alarms SAVING CONDITION ALARM REVIEW lt RETURN TIME KIND 02 23 22 22 60 ASYSTOLE 02 23 22 22 60 LOW 02 23 22 22 60 HIGH 02 23 22 22 50 MESSAGE 02 23 22 22 60 MESSAGE 02 23 22 22 60 MESSAGES 02 23 22 22 60 MESSAGE4 02 23 22 22 60 MESSAGES 02 23 22 22 60 MESSAGE 02 23 22 22 60 MESSAGES 02 23 22 22 60 MESSAGES Rev 1 0 2 PATIENT DATA MANAGEMENT 49 BM3Plus User s Manual 10 JAN 2007 12 23 ALARM REVIEW 50 00 30 89 5 02 1 ihr ee 22 22 14 SAVING CONDITION This determines the order in which triggered alarms are saved SAVING CONDITION SAVING CONDITION gt HIGH MEDIUM LOW MESSAGE Rev 1 0 2 PATIENT DATA MANAGEMENT 50 BM3Plus User s Manual NURSE CALL When an alarm is triggered this activates the NURSE CALL function MAIN ALL ALARM e MENU LIMITS PRINT VOLUME ON OFF NURSE 1 7 PREV CALL ALARM ALARM MENU ON LEVEL REVIEW MAIN ALL ALARM RAR MENU LIMITS PRINT VOLUME ON OFF NURSE T PREV CALL ALARM ALARM MENU OFF LEVEL REVIEW Rev 1 0 2 PATIENT DATA MANAGEMENT 51 BM3Plus User s Manual 3 SETUP 3 1 SETUP
39. according to the levels of HIGH MEDIUM LOW and MESSAGE MEDIUM LOW MESSAGE H Alarm sounds Number flashes Waves are printed out Alarm lamp flashes Rev 10 2 PATIENT DATA MANAGEMENT 44 BM3Plus User s Manual Alarm for the Product The machine gives alarm sounds for its system with a related message flashing LOW 1 d x Alarm Tex ALARM LIMITS The machine enables one to see and change the limits of alarm for all parameter functions ALARM PRINT with an ON OFF setup the related information is printed out whenever an alarm is given ALARM VOLUME volume of each alarm can be adjusted in 10 steps ALARM LEVEL Priority of each parameter alarm can be set up ALARM REVIEW Allows you to review previously saved alarm information and set the save status NURSE CALL Set the ON OFF feature of the NURSE CALL MAIN ALL ALARM MENU LIMITS PRINT VOLUME ON OFF NURSE PREV CALL ALARM ALARM MENU ON LEVEL REVIEW Rev 1 0 2 MANAGEMENT 45 BM3Plus User s Manual ALL LIMITS MAIN ALL ALARM MENU LIMITS PRINT VOLUME ON OFF T NURSE T T PREV CALL ALARM ALARM MENU ON LEVEL REVIEW S ye pu pu ALL ALARM LIMIT RETURN 2 RESP NIBP S TEMP HR PR ALARM PRINT Set ON OFF functions automatically When the alarm is activa
40. ade for each parameter function One can make an overall setup for the entire monitor system Rev 1 0 BM3Plus User s Manual 2 1 ADMIT ADMIT TYPE CHANGE ADMIT INFO DISCHARGE HEIGHT UNIT WEIGHT UNIT DEFAULT SETTING ant ADMIT ADMIT DISCHARGE ADT INFO HEIGHT T WEIGHT PREV B qued DEFAULT p em SETTING ADMIT TYPE Set the alarm limits environment of equipment in discharge status n t ADMIT CHANGE ADMIT DISCHARGE ADT INFO HEIGHT WEIGHT PREV GT oT DEFAULT MENU ES SETTING re ADMIT TYPE DISCHARGE ADT gt PREV NEO DEFAULT MENU SETTING Rev 1 0 2 MANAGEMENT 40 BM3Plus User s Manual CHANGE ADMIT INFO Last and first name 11 letters for each sex male or female date of birth weight height and patient ID 13 characters CHANGE ADMIT INFO RETURN Rev 1 0 2 PATIENT DATA MANAGEMENT 41 BM3Plus User s Manual DISCHARGE Patient information and all numbers change to standard and the screen displays ALL ALARMS OFF ADMIT PATIENT TO ACTIVE ALARMS m ADMIT CHANGE pig TYPE ADMIT DISCHARGE ADT INFO mm HEIGHT WEIGHT qni DEFAULT SETTING ADMIT ADT PREV HEIGHT M
41. adwire CAUTION The decision to sterilize must be made per your institution s requirements with an awareness of the effect on the integrity of the cable or leadwire The Equipment needs a safety inspection once a year Please refer to user s guide or service manual for the examine specifications Please check carefully both frame and sensor after cleaning the Equipment Do not use equipment that is worn out or damaged At least once a month clean and wipe off the frame by using a soft cloth after wetting it with water and alcohol Do not use lacquer thinner ethylene or oxidizer which may lead to damage to the equipment Make sure both cables and accessories are free of dust or contaminants and wipe them off with soft cloth wetted with warm water 40 and at least once a week clean them by using the clinical alcohol Rev 1 0 1 BASIC 18 BM3Plus User s Manual Do not submerge the accessories under any liquid or detergent Also make sure that no liquid penetrates into the Equipment or probes Caution Do not dispose of single use probe in any hazard place Always think about environmental contamination Caution There is a back up battery on board inside system When users dispose this battery Please conform to all local laws and regulations Check the electrodes of batteries before changing them Operate BM3Plus with internal electric power supply when unsure of external ground c
42. art rate When a new beat is detected the heart rate is recalculated using the latest 8beats The heart rate display is updated every 3 seconds Heart rate meter updates a new heart rate for a step increase or decrease in 10 seconds maximum When ventricular tachycardia is detected the alarm set in 5 seconds maximum Check that the delay time of the output signal alarm trigger 80ms maximum is within the range of the connected equipment Rev 1 0 5 ECG 76 BM3Plus User s Manual Safety Precautions CABLES Route all cables away from patient s throat to avoid possible strangulation CONDUCTIVE CONNECTIONS Extreme care must be exercised when applying medical electrical equipment Many parts of the human machine circuit are conductive such as the patient connectors electrodes transducers It is very important that these conductive parts do not come into contact with other grounded conductive parts when connected to the isolated patient input of the device Such contact would bridge the patient s isolation and cancel the protection provided by the isolated input In particular there must be no contact of the neutral electrode and ground DEFIBRILLATION Do not come into contact with patients during defibrillation Otherwise serious injury or death could result To avoid the risk of serious electrical burn shock or other injury during defibrillation all persons must keep clear of the bed and must not touch the patient or
43. d press After the color has changed move the cursor again to select a target value and press One may choose HIGH first to get the same result 5 Select RETURN to get out of the menu ALARM SOUND Rev 1 0 9 TEMPERATURE 121 BM3Plus User s Manual ALARM SOUND The menu to set warning sign and message display when the temperature alarm is on UNIT SELECT Able to select either C or F UNIT SELECT UNIT SELECT Rev 1 0 9 TEMPERATURE 122 BM3Plus User s Manual 10 PRINT 10 1 Print Printer and Heat Sensitivity Paper Function and Setup Menu 10 2 Paper Change Rev 1 0 10 PRINT 123 BM3Plus User s Manual 10 1 Print Printer and Heat Sensitivity Paper A printer used to print data onto thermal paper this product is offered as an option Size of the thermal paper roll 580mm wide x 380mm in diameter Any thermal paper of same size can be used for the printer Side View of Printer Rev 1 0 10 PRINT 124 BM3Plus User s Manual Function and Setup Menu 44 PRINTER Y WAVE SPEED FORM1 25mm s ECG WAVE T WAVE T FORM 2 FORMS paesi SPO2 RESP 1 Press the PRINT Key for continuous printing 2 Select Printing Speed 25 50 mm s PRINTER SPEED MAIN Pte WAVE WAVE MENU 1 FORM2 50mm s gt lt gt lt gt WAVE MENU FORMS 3 Set uo ALARM PRINT in the MOR
44. e Indicates the minimum limit of blood pressure Measurement time Indicates the completion time of measuring Interval Time Indicates Maan indicates mean Interval time when time blood pressure measures the blood Indicates the schedule pressure periodically counter time of measuring BM3 The manual press of external NIBP key can start or stop the operation of NIBP Rev 1 0 8 NIBP 110 BM3Plus User s Manual 8 3 NIBP Data Setup ALARM menu to set the Alarm CUFF SIZE A menu to select cuff size UNIT SELECT A menu to select the pressure unit INTERVAL INFLATION Initial Pressurization setting menu A menu to set Interval time to measure the blood pressure periodically CUFF ALARM SIZE ADT gt lt UNIT INFLATION INTERVAL SELECT 170mmHg OFF h ye 4 ALARM The alarm provides ALARM LIMIT and ALARM 8 B CUFF D 2 ALARM SIZE ADT TN UNIT T i INFLATION INTERVAL SELECT 170mmHg OFF pu mmHg ye gt MAIN ALARM 4 MENU LIMIT y lt gt lt PREV MENU Rev 1 0 8 NIBP 111 BM3Plus User s Manual ALARM LIMIT Alarm setting Numeric Value of Systolic Diastolic and mean pressure is 10 1 Move the mark to select one from RETURN 5 NIBP D and press 2 Press the key at NIB
45. ent Connection Maintenance amp Washing Equipment Connection 1 3 Product Components Product Outline Principal Characteristics of Product Product Configuration and Product Options Product Body Configuration 1 4 Function and Key External Function Operation Key 1 5 Standard Power Supply Application 1 6 Battery Power Supply Application 1 7 General Menu Operation Screen Composition Menu Selection Menu Composition Rev 1 0 BM3Plus User s Manual 1 1 CE Standard Information Electromechanical safety standards met EN 60601 1 1990 A1 1993 A2 1995 Medical Electrical Equipment Part 1 General Requirements for Safety IEC EN 60601 1 2 2001 Electromagnetic compatibility Requirements and tests EN 1060 1 1995 Non invasive sohygmomanometers Part 1 General requirements EN 1060 3 1997 Non invasive sohygmomanometers Part 3 Supplementary requirements for electro mechanical blood pressure measuring systems EN ISO 9919 2005 Medical electrical equipment Particular requirements for the basic safety and essential performance of pulse oximeter equipment for medical use ISO 9919 2005 EN 60601 2 27 2006 Medical electrical equipment Part 2 27 Particular requirements for the safety including essential performance of electrocardiographic monitoring equipment EN 60601 2 30 2000 Medical electrical equipment Part 2 30 Particular requirements for the safety including essential performance of automatic cyc
46. equencies 50Hz and 60Hz SET UNIT SET BED ae NUMBER 001 AC FILTER SYSTEM T SET UNIT SET BED bd NUMBER 001 AC FILTER SYSTEM Rev 10 0 60 BM3Plus User s Manual SYSTEM System able to adjust and verify Equipment version information and system information SYSTEM INFO SET RETURN CONTENTS MAIN VER 1 00BHCDDCX CENTRAL OFF HOST IP 192 168 30 100 DEVICE IP 192 168 30 101 SUBNET 299 209 299 0 GATEWAY 192 168 30 1 MAC ADD 00 02 BD 80 00 00 DISPLAY LCD MAKER SERVICE Maker service is a menu used by manufacturers Rev 1 0 3 SETUP 61 BM3Plus User s Manual 4 TREND 4 1 TREND GRAPHIC TREND TABLE TREND TREND WINDOW SETUP Rev 1 0 62 BM3Plus User s Manual 4 1 TREND TREND shows saved data graphically displayed with numeric values Real time data recording duration is 1 minute Amount of saving time for this data will be for 128hours TREND WINDOW GRAPHIC TABULAR Move to main screen Move within the tables EN Move up to other analysis function Move down to other analysis function 6 Time period set menu Rev 1 0 4 TREND 63 BM3Plus User s Manual GRAPHIC TREND Wave Data can be stored and seen according to section GRAPHIC TABULAR GRAPHIC TREND 10 SEP 2007 HR 66 gt RR 12 300BPM 150RPM 12 00 00 1
47. ere the cursor moves over the words when the Trim Knob key is turned in the clockwise direction SET UNIT NAME The above figure shows how the cursor moves on the screen The cursor moves according to the direction the Trim Knob Key is turned Press the Trim Knob key if you want to change a letter currently on the screen MAIN SET UNIT MENU NAME PREV MENU The above figure shows how the cursor is selected to change a letter Right hand turning of the Trim Knob Key makes it possible to select in the order of 0 9 A Z and a blank while left hand turning makes the movement in the opposite direction Once a letter or a number is selected the screen comes back to the condition where the same process of selection can be made One may move to Rev 1 0 1 BASIC 3 BM3Plus User s Manual the menu item in the left of the screen to end the process which is completed by pressing Trim Knob Key After completion the screen comes back to the earlier picture Operation menu The setup value changes without a selection when the menu 15 moved CHANGE ADMIT INFO ADMIT WEIGHT UNIT KG CHANGE ADMIT INFO ADMIT WEIGHT UNIT KG Rev 1 0 1 BASIC 38 BM3Plus User s Manual 2 PATIENT DATA MANAGEMENT 2 1 ADMIT CHANGE ADMIT INFO DISCHARGE HEIGHT WEIGHT 2 2 ALARM ALL LIMITS ALARM PRINT ALARM VOLUME ALARM LEVEL ALARM REVIEW ALARM LIST SAVE ALARM LEVEL NURSE CALL Additional setups are m
48. espiration Performance Specifications Range 5 to 120 breaths min Accuracy 3 breaths min Display Sweep Speeds 25mm sec NIBP capacity Technique Oscillometric Measurement mode Manual Single Measurement Auto automatic Intervals of 1MIN 2 3 4 5 10 15 20 30 1HR 2 4 8 Pressure Display 0 to 300 mmHg Blood Pressure Measurement Range Adult Systolic Pressure Range 50 to 260mmHg Mean Pressure Range 30 to 220mmHg Diastolic Pressure Range 20 to 200mmHg Pediatric Systolic Pressure Range 50 to 220mmHg Mean Pressure Range 30 to 190mmHg Diastolic Pressure Range 20 to 170mmHg Neonate Systolic Pressure Range 50 to 120mmHg Mean Pressure Range 30 to 100mmHg Diastolic Pressure Range 20 to S0mmHg Temperature Unit Performance Specifications Range 15 C to 45 C 59 to 113 F Accuracy 25 C to 45 C 0 190 15 to 24 C 0 2 C Sensor YSI 400 Series compatibility Hev 1 0 146 BM3Plus User s Manual Accessories Included 3Lead patient cable 3CBL 400 3WIRE 400 1 ECG extension cable 1 EA Electrodes ECG SENS 400 10 EA NIBP extension tube NBPCBL 400 1EA adult cuff 25 35Cm ACUFF 400 1 EA DC adapter 18VDC 2 5A MW160 Made in AULT Co Ltd 1 EA Option Temperature sensor skin TEMPSENS 400 Printer Paper PAPER 400 5 lead patient cable 5 400 5WIRE 400 Rev 1 0 147 BM3Plus U
49. h hypotension hypertension arrhythmias or extremely high or low heart rate The software algorithm cannot accurately compute NIBP on patients with these conditions Rev 1 0 8 NIBP 108 BM3Plus User s Manual Note As the value of NIBP can vary according to the age and sex of a patient the user needs to set up right data in parameter Menu before measurement Tubes between the cuff and the monitor must not be kinked or blocked The air pad should be exactly over the branchial artery Tubing is immediately to the right or left of the branchial artery to prevent kinking when elbow is bent The maintenance is performed every 2 years Check the following list to ensure devise operates properly and safely at all times 1 Check for proper cuff size 2 Check for residual air left in the cuff from a previous measurement 3 Make sure cuff is not too tight or too loose 4 Make sure cuff and heart are at same level otherwise hydrostatic pressure will offset the NIBP value Minimize patient movement during measurement Watch for pulses paradox us Check for leak in cuff or tubing N Patient may have a weak pulse Rev 1 0 8 NIBP 109 8 2 NIBP Data Window z Alarm Limit Indicates alarm limit of blood pressure Indicates the level of systolic limits Systolic pressure s Indicates the maximum limit of blood pressure Diastolic blood pressur
50. he changes of temperature in numbers The function involves the process of transferring the changes into electric signals Temperature Connector and Measuring Cable Temperature Connector Temperature Measuring Cable Note Temperature probe is correctly positioned and fixed so as not to disconnect from the patient Temperature cable is attached to the monitor Rev 1 0 9 TEMPERATURE 118 BM3Plus User s Manual 9 2 Temperature Data Window Unit Displays temperature unit F 7 c Temperature x 36 0 z Displays temperature Alarm limit on the least low so temperature Indicates temperature limits The minimum measuring time required to obtain accurate readings at the specific body site is at least 3 minutes Rev 1 0 9 TEMPERATURE 119 BM3Plus User s Manual 9 3 Temperature Data Setup ALARM Temperature measurement alarm set UNIT Temperature measurement unit set UNIT SELEC T ALARM Alarm menu provide ALARM LIMIT and ALARM ALARM SOUND ON ALARM LIMIT Rev 1 0 9 TEMPERATURE 120 BM3Plus User s Manual ALARM LIMIT Setting numeric value is 15 0 45 0 1 Move the gt mark to select either RETURN or TEMP and press 2 After pressing the cursor at TEMP move it to LOW and press 3 When the color has changed move the cursor again to select a target value and press 4 Move the cursor to HIGH an
51. ht or left to LOW and press 3 After the color changed move the cursor right or left to the selected value and press 4 Place the cursor to HIGH and press When the color has changed move the cursor again to select the value and press Move to the RESP and press again You may decide to perform the process in the opposite order LOW to HIGH to have the same result 5 Select RETURN to get out of the window RESP ALARM LIMIT RETURN UNITS Rev 1 0 8 NIBP 105 BM3Plus User s Manual ALARM SOUND Warning sound or message displays activation setting when Respiration ALARM occurs amp NIBP 106 BM3Plus User s Manual 8 NIBP 8 1 Outline NIBP Connector Location and Cuff 8 2 NIBP Data Window 8 3 NIBP Data Setup ALARM LIMIT ALARM CUFF SIZE UNIT SELECT INTERVAL STAT INFLATION Rev 1 0 8 NIBP 107 BM3Plus User s Manual 8 1 Outline This function is to measure minimum Maximum and average blood pressure by using Oscillometric method Position of NIBP Connecter and cuff NIBP Connector Spo2 4 8 7 o9 9 9 9 9 5 o9 9 9 o9 9 9 9 9 9 9 9 9 o9 9 9 9 9 9 9 9 9 ADULT NIBP CUFF gt e Note As the value of NIBP can vary according to the age and sex of a patient the user needs to set up right data in Parameter Menu before measurement Noninvasive blood pressure monitoring is not recommended for patients wit
52. isposable electrode Rev 1 0 5 ECG 72 BM3Plus User s Manual Information on the ECG waveform Q 5 4 __ When ECG signal is 80bpm T wave duration is 180ms and the QT interval is 350ms Rev 1 0 5 ECG 73 BM3Plus User s Manual 5 Position of 5 Lead lt lt X 9 K 17979 Ne S yr 524 lt lt Mine Position of 3 Lead Wrier Electrode lt P EN 124 ye eo zd 294 4 2222 4 74 5 Rev 1 0 BM3Plus User s Manual How to Attach the NEONATE Electrode Rev 1 0 5 ECG 5 2 ECG Data Window ptt QRS Detects QRS and gt Pace Detector flashes when QRS is Indicators detected Detects and displays the patient s pace maker and flashes of of of of ot Heart Rate Alarm Limit Displays the QRS limits and eee Heart Rate gives an alarm if a value is over Displays heart rate per minute the limits ECG Wave Display is always on when the cable is connected The heart rate is calculated by a moving average The monitor detects 8 consecutive beats averages the R R intervals of the latest 8 beats and uses this average to calculate the current he
53. ling non invasive blood pressure monitoring equipment EN 12470 4 2000 Clinical thermometers Part 4 Performance of electrical thermometers for continuous measurement EN 60601 2 49 2001 Medical electrical equipment Part 2 49 Particular requirements for the safety of multifunction patient monitoring equipment Rev 1 0 1 BASIC 8 BM3Plus User s Manual 1 2 Read before Use BIONET services are always available to you The following are addresses and phone numbers for information services and product supplies How to Contact Us Product Supply Bionet America Inc Information 2691 Dow Ave Ste B Tustin CA 92780 Phone 714 734 1760 Fax 714 734 1761 E mail sales bionetUS com Consumable Supplies Phone 714 734 1760 USA Request Phone 82 2 6300 6477 Intenational A S and Technical For any technical inquiries or repair on the equipment Support Phone 714 734 1760 E mail service bionetUS com Home Page URL http AwwwbionetUS com X the event of malfunction or failure contact us along with the model name serial number and product name of the equipment X If you need the supply circuit diagram component list description and calibration instruction etc you can contact us and we will provide you with it Rev 1 0 1 BASIC 9 BM3Plus User s Manual Warranty Period e This product is manufactured and passed through strict quality control and through inspection We pr
54. lt gt lt gt lt INFLATION INTERVAL 170mmH OFF ih INTERVAL This menu is used for selecting intervals when measures the blood pressure automatically Select a target interval from 1min 2 3 4 5 10 15 20 30 1hour 2 4 8 AC bd CUFF 5 ALARM SIZE ADT TUT lt gt lt SEL INFLATION INTERVAL 170 ye P A Rev 1 0 8 NIBP 114 BM3Plus User s Manual gt OFF 15MINS INTERVAL 1MIN 30MINS MENU 2MINS 60MINS gt 5 90MINS 4MINS 2HRS died 5MINS 4HRS 10MINS SHRS INFLATION It is a function for pressurization pressure Numeric value is 80 100 120 140 160 180 200 220 and 240 NE CUFF oid ALARM SIZE ADT 4 UNIT SELECT INFLATION INTERVAL 170 J mmHg CUFF ALARM SIZE ADT UNIT INFLATION INTERVAL SELECT OFF Rev 1 0 8 115 BM3Plus User s Manual Warning Pay attention to not block connecting hose when you put cuff on patient Rev 1 0 8 NIBP 116 BM3Plus User s Manual 9 TEMPERATURE 9 1 Outline Temperature Connector and Measuring Cable 9 2 Temperature Data Window 9 3 Temperature Data Setup ALARM LIMIT UNIT SELECT Rev 1 0 9 TEMPERATURE 117 BM3Plus User s Manual 9 1 Outline This function is used to indicate the changes of resistance generated by t
55. n area where chemicals are stored or where there is danger of gas leakage Do not disjoint or disassemble the equipment We take no responsibility for your actions Before Installation Compatibility is critical to safe and effective use of this device Please contact your local sales or service representative prior to installation to verify equipment compatibility Rev 1 0 Avoid exposure to direct sunlight Avoid using or storing in the vicinity of Electric heaters Avoid placing in an area where there is excessive shock or vibration Avoid inserting dust and especially metal materials into the equipment Keep the power off when the equipment is not fully installed Otherwise equipment could be damaged 1 BASIC BM3Plus User s Manual Defibrillator Precaution Patient signal inputs labeled with the CF and BF symbols with paddles are protected against damage resulting from defibrillation voltages To ensure proper defibrillator protection use only the recommended cables and lead wires Proper placement of defibrillator paddles in relation to the electrodes is required to ensure successful defibrillation Disposables Disposable devices are intended for single use only They should not be reused as performance could degrade or contamination could occur Disposal All accessories and or waste related to this device must be disposed of according to all local regulations You are respo
56. ng Cable ECG connecter detect cable Rev 1 0 5 ECG 71 BM3Plus User s Manual Attaching Electrodes to the Patient 1 Shave excess hair With a piece of cotton pad moistened with alcohol clean the patient s skin where the electrodes should be mounted Avoid wrinkled or uneven skin areas Wipe off the alcohol with a dry cotton pad 2 Open the electrode package and take out the electrode 3 Remove the backing paper from the electrode Be careful not to touch the adhesive side 4 Attach the disposable electrode to the previously cleaned skin Avoid wrinkled and uneven skin areas 5 Attach the electrode lead which is connected to the monitor onto the electrode 6 Fasten the electrode lead to the skin with surgical tape with an extra length of wire between the tape and the electrode This prevents body movement from moving the electrode lead To maintain good contact between the electrode and skin check that the paste of the disposable electrode is not dry When contact of the disposable electrode becomes poor replace the electrode with a new one immediately Otherwise contact impedance between the skin and electrode increase and the correct ECG cannot be obtained If the contact is bad before the expiration date on the package replace the electrode with a new one To obtain a stable ECG waveform rub the skin with skin Pure skin preparation gel or tincture of Benzoin Shall use only the CE certified d
57. ng diagnosis No There is a delay Yes in measuring Tighten the cuff during diagnosis No Repair the NIBP B D Rev 1 0 13 TROUBLE SHOOTING 138 BM3Plus User s Manual 6 Failure in battery recharge The battery does not fully recharge in 6 hours or more The output voltage of Replace the adapter the adapter is 18V the battery will not be charged at a rate lower than 17V The battery voltage is lower than 5V Replace the battery Repair the power B D Rev 1 0 13 TROUBLE SHOOTING 139 BM3Plus User s Manual 7 Power failure The adapter connector is in bad condition Replace the adapter The output voltage of the Replace the adapter adapter is lower than 18V Repair the power B D Execute the admit function Admit has been Yes No data will be stored during battery selected in the menu discharge No The Digital B D dig Yes Battery has been lower than 3 Replace the battery 3volt No Repair the Dig B D Rev 1 0 13 TROUBLE SHOOTING 140 BM3Plus User s Manual 8 Periodic noises Yes All alarms have bee turned off No Display lead fault Yes Turn functions not in use off message appears Mode Display Set para No The printer Yes functions abnormally Replace the printer Repair the accompanying Equipment Rev 1 0 13 TROUBLE SHOOTING 141 BM3Plus User s
58. nsible for knowing and complying with your local disposal procedures Electrocute Precautions To prevent skin burns apply electrocute electrodes as far as possible from all other electrodes a distance of at least 15 cm 6 in is recommended EMC Magnetic and electrical fields are capable of interfering with the proper performance of the device For this reason make sure that all external devices operated in the vicinity of the monitor comply with the relevant EMC requirements X ray equipment or MRI devices are possible sources of interference as they may emit higher levels of electromagnetic radiation Also keep cellular phones and other telecommunication equipment away from the monitor Rev 1 0 1 BASIC 13 BM3Plus User s Manual CAUTIONS Instruction for Use For continued safe use of this equipment it is necessary that the instructions are followed However instructions listed in this manual in no way supersede established medical practices concerning patient care Loss of Data Should the monitor at any time temporarily lose patient data the potential exists that active monitoring is not being done Close patient observation or alternate monitoring devices should be used until monitor function is restored If the monitor does not automatically resume operation within 60 seconds power cycle the monitor using the power on off switch Once monitoring is restored you should verify correct monitoring state and alarm function
59. nt is completely grounded If not this might cause a problem to occur in the product 5 The equipment should not be placed in the vicinity of electric generators X ray broadcasting apparatus to eliminate electrical noise during operation Otherwise it may cause incorrect result The Equipment should be placed far from generators X ray equipment broadcasting equipment or transmitting wires so as to prevent electrical noises from being generated during operation When these devices are near the Equipment it can produce inaccurate measurements For BM3Plus both independent circuit and stable grounding are essentially required In the event that the same power source is shared with other electronic equipment it can also produce inaccurate output Do not have contact with the patient while operating the machine It may cause serious danger to the users Use only the provided cable In case the Equipment does not operate as usual or is damaged do not use on patient and contact a medical equipment technician of the hospital or the equipment supply division Rev 1 0 1 BASIC 16 BM3Plus User s Manual Note is classified as follows BM3Plus classifies as Class l BF amp CF concerning electric shock It is not proper to operate this Equipment around combustible anesthetic or dissolvent Noise level is B class regarding IEC EN 60601 1 and the subject of Nose is B level concerning IEC EN60601
60. of light The light generated in the probe passes through the tissue and is converted into an electrical signal by the photodetector in the probe The monitor processes the electrical signal and displays on the screen a waveform and digital values for SpO2 and pulse rate It detects SpO2 in the way of transmitting the red and infrared rays into the capillary vessel to take the pulsation Also perform the alarm function according to the setting value SpO2 Connector Location and Measuring Cable 5 0 connector Spo2 4 A H SpO Measuring Cable 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 electrosurgery Rev 1 0 6 5 2 91 BM3Plus User s Manual 6 2 SpO Data Window Pulse Rate SpO Alarm Limit Indicates pulse rate in beats Indicates 5 02 alarm limits per minute T SpO Strength indicators ons Oxygen Concentration in the Indicates SpO Strength in a bar Blood SpO2 value Indicates 5 in numbers The current SPO2 value and the derived pulse rate RATE are displayed The block sets indicate the strength of the signal twenty block bars indicate the strongest signal The SPO2 measurements are averaged over a 6 second period of time The monitor display is updated every second The SPO2 monitoring features are found in the SPO2 menu These fea
61. onnection or installation occur Remove the battery when not using equipment for a while to avoid any damage For other applied parts such as temperature sensors pulse oximetry probes and NiBP cuffs you must consult the manufacturer for cleaning sterilization or disinfecting methods Rev 1 0 1 BASIC 19 BM3Plus User s Manual 1 3 Product Components Product Outline BM3Plus monitor is a product used for monitoring biological information and occurrence of a patient Main functions of the product include displaying information such as ECG respiration SpO2 NIBP and temperature on its LCD screen and monitoring parameter and alarming It also prints out waves and parameters via a printer Principal Characters of Product BM3Plus is small size multifunctional monitoring device for a patient designed for easy usage during movement It features devices for hanging its handle from the patient s bed The equipment also measures major parameters such as ECG SpO2 NIBP temperature and pulse displaying it on a 7 inch color LCD screen It also enables users to check waves and parameters and other vital signs of a patient via the 58mm thermal printer and monitor the patient by the remote controlled alarm system It also enables to build a central monitoring system by linking devices used for separate patients so that one can monitor several patients at a time Warning Use only the supplement accessories provided by us
62. our hospital biomedical engineer Hev 1 0 1 BASIC 21 BM3Plus User s Manual Product Body Configuration FRONT AL ARM LAMP SILENCE ALARM KEY PRINT GO STOP KEY GO STOP KEY FUNCTION KEY TRIM KNOB CONTROL KEY POWER KEY II ALARM LAMP Defib Sync RS 232C Serial Port RJ45 LAN Port VGA Output ET C em S DC Power Input Port Protective Ground Terminal Rev 1 0 1 BASIC 22 Right Side Rev 1 0 ECG Measuring Connector NIBP Measuring Connector Temp Measuring Connector 5 2 Measuring Connector Printer 1 BASIC 23 BM3Plus User s Manual Accessories ECG Cable Extension Cable SpO2 Cable Extension Cable NIBP Cuff Extension cable bionet Temperature sensor Option Rev 1 0 1 BASIC 24 BM3Plus User s Manual Equipment Sign IL Hev 1 0 ATTENTION Consult accompanying documents TYPE CF APPLIED PART Insulated floating applied part suitable for intentional external and internal application to the patient including direct cardiac application Paddles outside the box indicate the applied part is defibrillator proof Medical Standard Definition F type applied part floating insulated complying with the specified requirements of IEC 60601 1 UL 2601 1 CSA 601 1 Medical Standards to provide a higher degree of p
63. ovide a 1 year warranty period for main body with 6 months warranty for accessories We will repair or replace any part of the BM3Plus found to be defective in usual operating circumstance for free to you his warranty does not apply to any defect caused by improper use misuse or abuse Warning Caution Note For special emphasis on agreement terms are defined as listed below in user s manual Users should operate the equipment according to all the warnings and cautions Rev 1 0 1 BASIC 10 BM3Plus User s Manual To inform that it may cause serious injury or death to the patient property damage material losses against the warning sign To inform that it may cause no harm in life but lead to injury against the caution sign To inform that it is not dangerous but important note sign for proper installation operation and maintenance of the equipment General Precaution on Environment Do not keep or operate the equipment in the environment listed below Rev 1 0 1 BASIC 11 BM3Plus User s Manual CAUTIONS Avoid placing in an area exposed to moisture Do not touch the equipment with wet hands Avoid placing in an area where there is a high variation of temperature Operating temperature ranges from 10 C to 40 C Operating humidity ranges from 30 to 85 Avoid placing in an area where there is an excessive humidity rise or ventilation problem Avoid placing in a
64. perature Units oC NIBP Limit Type Systolic ECG Filter Monitoring Rev 1 0 12 DEFAULT SETTING VALUE 131 BM3Plus User s Manual 2 Neonate ICU Mode Alarm level m 0 9 0 Parameter Limits Low High HR 90 200 NIBP S 40 100 NIBP M 30 20 NIBP D 20 60 RR RESP 15 100 TCC SF 30 0 42 0 86 0 107 6 Rev 1 0 12 DEFAULT SETTING VALUE 132 BM3Plus User s Manual Display Patient Age 0 2 years Color format Color Primary ECG Detect Off Print Waveform2 Off Print Waveform3 Off Alarm Print On NIBP Auto Off NIBP Cuff Size Neonate RR RESP Lead Alarm Volume 50 QRS Volume Off Pulse Volume Off ECG Lead Fault Low Alarm Units for Height cm Units for Weight kg Temperature Units c NIBP Limit Type Systolic ECG Filter Monitoring Rev 1 0 12 DEFAULT SETTING VALUE 133 BM3Plus User s Manual 3 Pediatric ICU Mode Alarm level m 0 3 RR ____ _____ ee T 0 Parameter Limits Low High HR 70 180 NIBP S 60 160 NIBP M 40 120 NIBP D 30 100 SpO 90 100 SpO Rate 70 180 RR RESP 10 50 T C 30 0 42 0 86 0 107 6 Rev 1 0 12 DEFAULT SETTING VALUE 134 BM3Plus User s Manual Display Patient Age Adult Color format Color Primary ECG Detect Off Print Waveform2 Off Print Waveform3 Off Alarm Print On NIBP Auto Off NIBP Cuff Size Adult RR RESP Lead Alarm Volume 50 QRS Volume Off Pulse Volume Off ECG Lead
65. rned or other informed experts for proper use In all cases safe and proper operation should be verified with the applicable Manufacturer s instructions for use and system standards IEC 60601 1 1 60601 1 1 must be complied with Electrosurgery Unit Electrosurgical units ESU emit a lot of RF interference If the monitor is used with an ESU HF interference may affect the monitor operation Locate the monitor as far as possible from the ESU Locate them on opposite sides of the operating table if possible Connect the monitor and ESU to different AC outlets located as far as possible from each other When using this monitor with an electrosurgical unit its return plate and the electrodes for monitoring must be firmly attached to the patient If the return plate is not attached correctly it may burn the patient s skin where the electrodes are attached Rev 1 0 5 ECG 78 BM3Plus User s Manual 5 3 ECG Data Setup A setup window appears at lower part of the screen when the Trim Knob Key is pressed in the ECG Parameter Window Selection is made by pressing the Trim Knob Key while movement across the menu is performed by turning the key either clock or anticlockwise ANALYSIS QRS VOLUME TRACE 1 LEAD SELECT Select channels from to V in ECG ALARM ANALYSIS QRS VOLUME SETTING OFF LEAD SELECT aVR Rev 1 0 5 ECG 19 BM3Plus User s Manual ALARM LIMIT Alarm Limit is
66. rotection against electric shock tan that provided by type CF applied parts TYPE BF APPLIED PART Insulated floating applied part suitable for intentional external and internal application to the patient excluding direct cardiac application Paddles outside the box indicate the applied part is defibrillator proof Medical Standard Definition F type applied part floating insulated complying with the specified requirements of IEC 60601 1 UL 2601 1 CSA 601 1 Medical Standards to provide a higher degree of protection against electric shock than that provided by type BF applied parts 1 BASIC 25 BM3Plus User s Manual 18V 2 5V Rev 1 0 Ground Printer Serial Port LAN Port AUX Connector Port DC Input Indicator Battery Operation Indicator DC Input Connector 1 BASIC 26 BM3Plus User s Manual Temperature Function Power O BASIC 27 BM3Plus User s Manual 1 4 Function and Key External Function The front panel of this product consists of an LCD screen and five function keys and one trim knob Parameter windows n Alarm T Printer Measure Blood Pressure Function Trim Knob RR II Power ON OFF X 128 8 nea Ver 4 00BHCDDC 128 8 Battery Power LED Screen DC Power LED Operation Key 1 Power Switches on and off the Power 2 Function Key 3 Blood Pressure
67. rvision of a licensed health care practitioner Ventilation Requirements Set up the device in a location which affords sufficient ventilation The ventilation openings of the device must not be obstructed The ambient conditions specified in the technical specifications must be ensured at all times the monitor in a location where you can easily see the screen and access the operating controls This product is protected against the effects of cardiac defibrillator discharges to ensure proper recovery as required by test standards the screen may blank during a defibrillator discharge but recovers within second as required by test standards Interpretive Results Interpretive results are intended only as guidance for the qualified physicians and must not be relied upon as diagnoses Reference Literature Medical Device Directive 93 42 EEC EN 60601 1 1990 A1 1993 A2 1995 Medical electrical equipment General requirements for safety EN 60601 1 1 9 1994 A1 12 95 General requirements for safety Rev 1 0 1 BASIC 15 BM3Plus User s Manual General Precautions on Electrical Safety Check the items listed below before operating the equipment 1 Be sure that AC power supply line is appropriate to use AC 100 240V 2 Be sure that the power source is the one supplied from Bionet DC18V 2 5A 3 Be sure that the entire connection cable of the system 15 properly and firmly fixed 4 Be sure that the equipme
68. ser s Manual PRODUCT WARRANTY Product Name Patient Monitor Model Name BM3Plus Approval Number 000000000 ET CHEM Hospital Name Customer Address Section Name Phone Thank you for purchasing BM3Plus The product is manufactured and passed through strict quality control and through inspection Compensation standard concerning repair replacement refund of the product complies with Consumer s Protection Law noticed by Economic Planning Dept Rev 1 0 148 BM3Plus User s Manual BIONET CO LTD Product Name BM3Plus Rev 1 0 149
69. t in the order of MORE MENU ECG NIBP S9pO2 RESP TEMP Menu Composition More Menu Window When the additional menu is selected it will display your available options MAIN USER SERVICE MAKER SERVICE Rev 1 0 1 BASIC 35 BM3Plus User s Manual Numerical value sign widow This window displays a measured parameter function setup and the boundary of parameter values Breathing Parameter rate value Menu selection by using Trim Knob key As the key is turned to the right the menu selection moves clockwise As the key is turned to the left the menu selection moves counterclockwise The menu selection is activated when you depress USER SERVICE MAKER SERVICE Trim Knob key Menu selection with arrows Upward Movement Turns the Trim Knob key to the left Downward Movement Turns the Trim Knob key to the right Selection is made by pressing the Trim Knob key One exits the menu after the selection gt ENGLISH LANGUAGE FRENCH SPANISH ITALIAN GERMAN CHINESE Rev 1 0 1 BASIC 36 BM3Plus User s Manual When moving within the quadrilateral the text color reverses and the numeric value applies immediately N N gt OFF 60 QRS VOLUME 10 70 1 4 20 80 30 90 PREV 40 100 MENU 50 Word feature menu The following figure shows the screen where the word sequence menu 15 activated within the word sequence correction menu H
70. ted the corresponding information is printed on heat sensitive paper MAIN ALL ALARM arid LIMITS PRINT VOLUME ON OFF T NURSE T T PREV CALL ALARM ALARM MENU ON LEVEL REVIEW S pu pu pu Rev 1 0 2 PATIENT DATA MANAGEMENT 46 BM3Plus User s Manual ALARM VOLUME Set the alarm volume to be set at 10 grades 7 MAIN ALL ALARM peel EN PRINT VOLUME ME PREV bibis ALARM ALARM MENU s LEVEL REVIEW di N MAIN gt OFF 60 MENU ALARM VOLUME 10 70 20 80 30 90 pid 40 100 MENU 500 ALARM LEVEL Set the order of priority in each alarm MAIN ALL ALARM ERU MES PRINT VOLUME ALARM ALARM MENU ang LEVEL REVIEW PARAMETER LEVEL Rev 1 0 2 PATIENT DATA MANAGEMENT 47 BM3Plus User s Manual PARAMETER LEVEL PARAMETER ALARM LEVEL RETURN ALARM LEVEL MEDIUM MEDIUM LOW MESSAGE MEDIUM MEDIUM MEDIUM MESSAGE LEAD FAULT MESSAGE LOW BATTERY MESSAGE ALARM REVIEW After an alarm is triggered the alarms and data wave pattern can be reviewed Set up for priority of each parameter alarm bd bd MAIN ALARM ees AARM ane PRINT VOLUME ON OFF T T PREV 1 ALARM ALARM MENU M LE
71. tures include alarm limit adjustment display of RATE and RATE volume 5 WAVE SIZE is changed automatically Rev 1 0 6 5 2 92 BM3Plus User s Manual Signal and Data Validity is extremely important to determine that the probe is attached to the patient correctly and the data is verifiable To make this determination three indications from the monitor are of assistance signal strength bar quality of the SPO2 waveform and the stability of the SPO2 values It is critical to observe all three indications simultaneously when ascertaining signal and data validity Signal Strength Bar The signal strength bar is displayed within the SPO2 values window This bar consists of a 20 block set depending on the strength of the signal Proper environmental conditions and probe attachment will help to ensure a strong signal Quality of SPO2 Waveform Under normal conditions the SPO2 waveform corresponds to but is not proportional to the arterial 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 Good Quality SPO2 Waveform If noise artifact is seen on the waveform because of poor probe placement the photodetector may not be flush with the tissue Check that the probe is secured and the tissue sample is not too thick Pulse rate is determined from the
72. y charged when the machine is connected to DC Power Supply Battery LED is lighted on after blinking 4 The charging status of the batteries is displayed with 5 green boxes each indicating a different charging 0 gt 25 gt 50 gt 75 gt 100 Battery LS1865L2203S1PMXZ 11 1V 2200mA Li ion The Lithium lon battery is a rechargeable battery containing Lithium lon cells Each battery contains an integrated electronic fuel gauge and a safety protection circuit a E 5 The discharge condition of battery is indicated with on of 5 yellow boxes each box showing a different level of charge available 1 00 gt 75 gt 50 gt 25 gt 0 Rev 1 0 1 BASIC 31 BM3Plus User s Manual L1 gt IN gt UN When the battery power remains 25 the message of Low Battery is displayed The power is automatically cut off after 5 minutes from the appearance of the message The machine will no longer operate when the Low Battery indication is on Charge the batteries with the power adaptor which BIONET provided Battery charging time More than 6 hours Continuous battery use time Lowest 1 hour to highest 2 hours continuous use buffering Warning Check the electrodes of batteries before charging them 6 Battery status indication When battery is disconnected from equipment or out of order it is shown by a red X as shown below Rev 1 0 1 BASI

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