Life ScopeTR BSM-6000 series Administrators Guide Fifteenth Edition July 2013

In order to use this product safely and fully understand all its functions, make sure to read this manual before using the product. Keep this manual near the instrument or in the reach of the operator and refer to it whenever the operation is unclear. This product stores personal patient information. Manage and operate the information appropriately. Patient names on the screen shots and recording examples in this manual are fictional and any resemblance to any person living or dead is purely coincidental. The contents of this manual are subject to change without notice. If you have any comments or suggestions on this manual, please contact us at: www.nihonkohden.com

Copyright Notice The entire contents of this manual are copyrighted by Nihon Kohden. All rights are reserved. No part of this document may be reproduced, stored, or transmitted in any form or by any means (electronic, mechanical, photocopied, recorded, or otherwise) without the prior written permission of Nihon Kohden.

Trademark

The mark printed on the SD card that is used in this instrument is a trademark. The company name and model name are trademarks and registered trademarks of each company.

Contents

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GENERAL HANDLING PRECAUTIONS... i WARRANTY POLICY... ii EMC RELATED CAUTION . ...iii Conventions Used in this Manual and Instrument... v Warnings, Cautions and Notes... v Text Conventions... v Related Documentation... v Safety Standards... vi

Section 1

Installation/Connection... 1.1 Installation Conditions... 1.2 Optional Cart for the Bedside Monitor... 1.3 Optional Wall Mount Kit and Counter Top Mount for the Bedside Monitor... 1.3 Installation Flowchart... 1.4 Installing the Optional Units to the Monitor and Connecting External Instruments... 1.5 Connection Overview... 1.8 Attaching the AA-672P or AA-674P Smart Expansion Unit to the AY series Input Unit... 1.9 Mounting the AY series Input Unit or BSM-1700 series Bedside Monitor onto the Monitor... 1.9 Using an Optional Handle... 1.10 Attaching the ZS-900P Transmitter... 1.10 Installing the WS-671P Recorder Module... 1.11 Installing the QI-631P, QI-632P, QI-634P, QI-671P or QI-672P Interface... 1.11 Connecting the Mouse... 1.12 Connecting the Bar Code Reader... 1.12 Connecting the JA-690PA or JA-694PA Data Acquisition Unit... 1.13 Connecting External Instruments... 1.14 Connecting a GF-110PA or GF-210R Multigas Unit, GF-120PA or GF-220R Multigas/Flow Unit or AE-918P Neuro Unit... 1.14 Connecting an External Instrument Using a QF Series Interface or IF Series Communication Cable... 1.15 Connecting a Sub Display... 1.15 Connecting the Power Cord and Grounding Lead... 1.17 General... 1.17 Connecting the Power Cord... 1.17 Grounding the Monitor... 1.18 Cutting Off the Power Supply to the Monitor... 1.18 Connecting the Monitor to the Network... 1.19 Connecting the QW-100Y (HIT-100) Hyper Isolation Transformer... 1.20 Connecting the QI-320PA Wireless LAN Station... 1.20 Turning the Power On/Off... 1.21 Check Before Turning On the Power... 1.21 Turning the Power On... 1.21 Check After Turning On the Power and During Monitoring... 1.23 Stored Data Status at Power On... 1.23

Administrator’s Guide BSM-6000

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CONTENTS Monitor Status on Power Interruption... 1.23 Turning the Power Off... 1.24 Check After and Before Turning the Power Off... 1.24 Setting the Bar Code Reader... 1.25 Scanning the Bar Code Reader Settings... 1.25 Initializing the Bar Code Reader... 1.26 Checking the Bar Code Reader Operation... 1.26 Calibrating the Touch Screen... 1.27 Using ECG/BP Output as the Synchronous Signal... 1.28

Section 2

Changing SYSTEM CONFIGURATION Screen Settings... 2.1 Overview... 2.2 Setting Items on the SYSTEM CONFIGURATION Screen... 2.2 Displaying the SYSTEM CONFIGURATION Screen... 2.3 Closing the SYSTEM CONFIGURATION Screen... 2.5 SITE Window... 2.6 NETWORK Window... 2.8 UNITS Window... 2.9 DATA MANAGEMENT Window... 2.10 PC Window... 2.13 CHANGE PASSWORD Window... 2.14 OPTIONS Window... 2.15 OTHER Window... 2.16 Initializing the Monitor... 2.18

Section 3

Changing SYSTEM SETUP Window Settings... 3.1 Overview... 3.3 Setting Items on the SYSTEM SETUP Window... 3.3 Displaying the SYSTEM SETUP Window... 3.8 Closing the SYSTEM SETUP Window... 3.9 The INFO Page of the INFO Window... 3.10 The CONFIGURATION Page of the INFO Window... 3.10 The MAINTENANCE Page of the INFO Window... 3.11 BATTERY Tab... 3.11 LOAD/SAVE SETTINGS Tab... 3.11 SYSTEM Window... 3.14 DISPLAY Page... 3.14 LAYOUT Page... 3.16 VOLUME Page... 3.19 INTERBED Page... 3.20 BED ID Window... 3.21 PARAMETERS Window... 3.22 ECG Page... 3.22 NIBP Page... 3.24 NIBP MODE Page... 3.25 STAT Tab... 3.25 SIM Tab... 3.26 INTERVAL Tab... 3.27 VENOUS PUNCTURE Tab... 3.27 INITIAL CUFF PRESS Tab... 3.28

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CONTENTS CO2 Page... 3.28 GAS Page... 3.29 MAINTENANCE Tab... 3.29 SETTINGS Tab... 3.29 INFO Tab... 3.31 FLOW/Paw Page... 3.31 CAL Tab... 3.31 SETTINGS Tab... 3.32 MAINTENANCE Tab... 3.32 INFO Tab... 3.33 EEG Page... 3.33 OTHER PARAM Page... 3.34 ALARM Window... 3.36 SILENCE/SUSPEND Page... 3.36 DISPLAY/SOUND Page... 3.38 ALARM PRIORITY Page... 3.40 ARRHYTH PRIORITY Page... 3.44 TECHNICAL PRIORITY Page... 3.45 SLEEP Page... 3.46 NETWORK Page... 3.47 ALARM CAP Page... 3.48 COLOR Window... 3.50 RECORD Window... 3.52 RECORDER Page... 3.52 PRINTER Page... 3.54 Using Network Printer... 3.55 MASTER Window... 3.57 PATIENT TYPE Page... 3.58 Renaming an Alarm Master... 3.58 MAIN ALARMS, ECG ALARMS, PRESS ALARMS, TEMP ALARMS, GAS ALARMS, OTHER ALARMS Pages... 3.59 ARRHYTH Page... 3.60 RY-910P/MOUSE Window... 3.62 KEYS Window... 3.63

Section 4

Reference... 4.1 Factory Default Settings... 4.2 SYSTEM CONFIGURATION Screen... 4.3 SYSTEM SETUP Window... 4.4 General Requirements for Connecting Medical Electrical Systems... 4.21 Connector Pin Assignment... 4.22 MU-631R/MU-651R/MU-671R Main Unit... 4.22 QI-631P Interface... 4.22 QI-632P Interface... 4.23 QI-634P Interface... 4.23 QI-671P Interface... 4.24 QI-672P Interface... 4.25 AY-631P/AY-633P/AY-651P/AY-653P/AY-661P/AY-663P/AY-671P/AY-673P Input Unit and BSM-1700 series Bedside Monitor... 4.25 Check Sheet for Unit Settings... 4.26

Administrator’s Guide BSM-6000

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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, extension cables, electrode leads, input boxes and AC power. Please read these precautions thoroughly before attempting to operate the instrument. 1. To safely and effectively use the instrument, its operation must be fully understood. 2. When installing or storing the instrument, take the following precautions. (1) Avoid moisture or contact with water, extreme atmospheric pressure, excessive humidity and temperatures, poorly (2) (3) (4)

ventilated areas, and dust, saline or sulphuric air. Place the instrument on an even, level floor. Avoid vibration and mechanical shock, even during transport. Avoid placing in an area where chemicals are stored or where there is danger of gas leakage. The power line source to be applied to the instrument must correspond in frequency and voltage to product specifications, and have sufficient current capacity.

(5) Choose a room where a proper grounding facility is available. 3. Before Operation (1) Check that the instrument is in perfect operating order. (2) Check that the instrument is grounded properly. (3) Check that all cords are connected properly. (4) Pay extra attention when the instrument is combined with other instruments to avoid misdiagnosis or other problems. (5) All circuitry used for direct patient connection must be doubly checked. (6) Check that battery level is acceptable and battery condition is good when using battery-operated models. 4. During Operation (1) Both the instrument and the patient must receive continual, 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 housing and the patient. 5. To Shutdown After Use (1) Turn power off with all controls returned to their original positions. (2) Remove the cords gently; do not use force to remove them. (3) Clean the instrument together with all accessories for their next use. 6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument is not functioning properly, it should be clearly marked to avoid operation while it is out of order. 7. The instrument must not be altered or modified in any way. 8. Maintenance and Inspection (1) The instrument and parts must undergo regular maintenance inspection at least every 6 months. (2) If stored for extended periods without being used, make sure prior to operation that the instrument is in perfect operating condition. Administrator’s Guide BSM-6000

i

(3) Technical information such as parts list, descriptions, calibration instructions or other information is available for qualified user technical personnel upon request from your Nihon Kohden representative. 9. When the instrument is 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. 10. When the instrument is used with a defibrillator, make sure that the instrument is protected against defibrillator discharge. If not, 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 defects 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 or its 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, service, technical modification or any other product change performed by someone other than NKC or its authorized agents 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.

CAUTION United States law restricts this product to sale by or on the order of a physician.

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Administrator’s Guide BSM-6000

EMC RELATED CAUTION This equipment and/or system complies with IEC 60601-1-2 International Standard for electromagnetic compatibility for medical electrical equipment and/or system. However, an electromagnetic environment that exceeds the limits or levels stipulated in IEC 60601-1-2, can cause harmful interference to the equipment and/or 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, identify 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: 1. 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. Keep the emitter source such as cellular phone away from the equipment and/or system, or turn off the cellular phone. 2. Radio-frequency 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. 3. 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. 4. Electromagnetic interference with any radio wave receiver such as radio or television: If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or system as far as possible from the radio wave receiver. 5. Interference of lightning: When lightning occurs near the location where the equipment and/or system is installed, it may induce an excessive voltage in the equipment and/or system. In such a case, disconnect the AC power cord from the equipment and/or system and operate the equipment and/or system by battery power, or use an uninterruptible power supply. 6. Use with other equipment: When the equipment and/or system is adjacent to or stacked with other equipment, the equipment and/or system may affect the other equipment. Before use, check that the equipment and/or system operates normally with the other equipment. 7. Use of unspecified accessory, transducer and/or cable: When an unspecified accessory, transducer and/or cable is connected to this equipment and/or system, it may cause increased electromagnetic emission or decreased electromagnetic immunity. The specified configuration of this equipment and/or system complies with the electromagnetic requirements with the specified configuration. Only use this equipment and/or system with the specified configuration.

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iii

Caution - continued 8. Use of unspecified configuration: When the equipment and/or system is used with the unspecified system configuration different than the configuration of EMC testing, it may cause increased electromagnetic emission or decreased electromagnetic immunity. Only use this equipment and/or system with the specified configuration. 9. Measurement with excessive sensitivity: The equipment and/or system is designed to measure bioelectrical signals with a specified sensitivity. If the equipment and/or system is used with excessive sensitivity, artifact may appear by electromagnetic interference and this may cause mis-diagnosis. When unexpected artifact appears, inspect the surrounding electromagnetic conditions and remove this artifact source. If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden representative for additional suggestions.

WARNING The bioelectric impedance measurement sensor of a minute ventilation rate-adaptive implantable pacemaker may be affected by cardiac monitoring and diagnostic equipment which is connected to the same patient. If this occurs, the pacemaker may pace at its maximum rate and give incorrect data to the monitor or diagnostic equipment. If this occurs, disconnect the monitor or diagnostic equipment from the patient or change the setting on the pacemaker by referring to the pacemaker’s manual. For more details, contact your pacemaker representative or Nihon Kohden representative.

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Administrator’s Guide BSM-6000

Conventions Used in this Manual and Instrument Warnings, Cautions and Notes Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information.

WARNING A warning alerts the user to possible injury or death associated with the use or misuse of the instrument.

CAUTION A caution alerts the user to possible injury or problems with the instrument associated with its use or misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other property. NOTE A note provides specific information, in the form of recommendations, prerequirements, alternative methods or supplemental information.

Text Conventions • Names of hard keys on the bedside monitor are enclosed in square brackets: [Menu] • Messages that are displayed on the screen are enclosed in quotation marks: “CHECK ELECTRODES” • Names of items that are displayed on the screen are enclosed in angle brackets: <SENSITIVITY>

Related Documentation The BSM-6000A/K series Bedside Monitor comes with the following manuals in addition to the Operator’s Manual. Administrator’s Guide Describes how to install the bedside monitor. It also explains about the password protected settings on the SYSTEM SETUP window and SYSTEM CONFIGURATION screen which only an administrator can change. User’s Guide, Part I Gives supplemental information on the operation of the bedside monitor. User’s Guide, Part II Describes the features and settings of the monitoring parameters. Service Manual Describes information on servicing the bedside monitor. Only qualified service personnel can service the bedside monitor.

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Safety Standards The safety standard of this bedside monitor is classified as follows: Type of protection against electrical shock: CLASS I EQUIPMENT (AC Powered) Internally Powered EQUIPMENT (BATTERY Powered) Degree of protection against electrical shock Defibrillator-proof type CF applied part: AY-631P, AY-633P, AY-651P, AY-653P, AY-661P, AY-663P, AY-671P and AY-673P: ECG, Respiration (impedance and thermistor method), IBP, Temperature, SpO2, SpO2-2, CO2, O2, NIBP, BIS, CCO (APCO) AY-660P: ECG, Respiration (impedance method), IBP, Temperature, SpO2, CO2, NIBP AA-672P, AA-674P, JA-694P: Respiration (thermistor method), IBP, Temperature, SpO2-2, CO2, O2, BIS, CCO (APCO) BSM-1700 series: ECG, Respiration (impedance method), IBP, Temperature, SpO2, SpO2-2, CO2, NIBP, BIS CF applied part: AY-631P, AY-633P, AY-651P, AY-653P, AY-661P, AY-663P, AY-671P, AY-673P, AA-672P, AA-674P, JA-694P and BSM-1700 series: CO Degree of protection against harmful ingress of water: IPX0 (non-protected) Degree of safety of application in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN OR NITROUS OXIDE: Equipment not suitable for use in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN OR NITROUS OXIDE Mode of operation: CONTINUOUS OPERATION

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Administrator’s Guide BSM-6000

Section 1 Installation/Connection Installation Conditions... 1.2 Optional Cart for the Bedside Monitor... 1.3 Optional Wall Mount Kit and Counter Top Mount for the Bedside Monitor... 1.3 Installation Flowchart... 1.4 Installing the Optional Units to the Monitor and Connecting External Instruments... 1.5 Connection Overview... 1.8 Attaching the AA-672P or AA-674P Smart Expansion Unit to the AY series Input Unit... 1.9 Mounting the AY series Input Unit or BSM-1700 series Bedside Monitor onto the Monitor... 1.9 Using an Optional Handle... 1.10 Attaching the ZS-900P Transmitter... 1.10 Installing the WS-671P Recorder Module... 1.11 Installing the QI-631P, QI-632P, QI-634P, QI-671P or QI-672P Interface... 1.11 Connecting the Mouse... 1.12 Connecting the Bar Code Reader... 1.12 Connecting the JA-690PA or JA-694PA Data Acquisition Unit... 1.13 Connecting External Instruments... 1.14 Connecting a GF-110PA or GF-210R Multigas Unit, GF-120PA or GF-220R Multigas/Flow Unit or AE-918P Neuro Unit... 1.14 Connecting an External Instrument Using a QF Series Interface or IF Series Communication Cable... 1.15 Connecting a Sub Display... 1.15 Connecting the Power Cord and Grounding Lead... 1.17 General... 1.17 Connecting the Power Cord... 1.17 Grounding the Monitor... 1.18 Cutting Off the Power Supply to the Monitor... 1.18 Connecting the Monitor to the Network... 1.19 Connecting the QW-100Y (HIT-100) Hyper Isolation Transformer... 1.20 Connecting the QI-320PA Wireless LAN Station... 1.20 Turning the Power On/Off... 1.21 Check Before Turning On the Power... 1.21 Turning the Power On... 1.21 Check After Turning On the Power and During Monitoring... 1.23 Stored Data Status at Power On... 1.23 Monitor Status on Power Interruption... 1.23 Turning the Power Off... 1.24 Check After and Before Turning the Power Off... 1.24 Setting the Bar Code Reader... 1.25 Scanning the Bar Code Reader Settings... 1.25 Initializing the Bar Code Reader... 1.26 Checking the Bar Code Reader Operation... 1.26 Calibrating the Touch Screen... 1.27 Using ECG/BP Output as the Synchronous Signal... 1.28 Administrator’s Guide BSM-6000

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1

1. INSTALLATION/CONNECTION This section describes installation conditions, connecting cables and power cords and check items for this bedside monitor. For simplicity, the suffix A/G/K will be omitted in this manual. There is no difference in operation among models with different suffixes unless otherwise specified.

Installation Conditions Note the following points for the installation location of your bedside monitor.

WARNING • Do not install the monitor and optional units above the patient. • Only use the specified tools or equipment when installing the monitor and units. Failure to follow this warning may result in the monitor or unit falling and injuring the patient.

CAUTION

CAUTION

Only use the specified stand, cart or equipment for installing the monitor and instruments. Using non-specified equipment may result in the instruments falling and causing injury.

When not using the specified cart, carefully set the monitor to prevent it from falling off or tipping over.

5 cm Rear

5 cm

• Install the monitor where you can see the monitor screen clearly. • Install the monitor on a strong shelf or dedicated cart (option). Secure the monitor to the shelf to prevent it from falling. • When moving a cart with a monitor, avoid collision. Strong impact may damage the monitor. • The monitor is not intended to be used in an ambulance. The monitor might not function properly in a moving vehicle. • The display screen is made of glass. Strong impact may damage it. • Avoid locations where the monitor is sprinkled with liquid. Avoid direct sprinkling, spray or moist air from a nebulizer or a humidifier. • Avoid exposing the monitor to direct sunlight. • Make sure that there is at least 5 cm of space between the 10 cm monitor and the wall for adequate ventilation. When the monitor is surrounded on all sides, 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 (104°F).

Side

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Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION • Do not cover the monitor with a blanket or cloth. It may affect monitoring. • Do not install the monitor in a dusty area. • Connect the power cord to an AC outlet which can supply enough AC current to the monitor. The monitor cannot function properly with low current. • When there is any problem on the monitor, turn off the power immediately and disconnect the power cord from the AC outlet. Take the monitor out of service and check for damage.

Optional Cart for the Bedside Monitor The KC-600P cart is available for installing the monitor. For details on how to use the cart, refer to the KC-600P cart installation guide.

CAUTION Only use the specified stand, cart or equipment for installing the monitor and instruments. Using non-specified equipment may result in the instruments falling and causing injury.

CAUTION When not using the specified cart, carefully set the monitor to prevent it from falling off or tipping over.

Optional Wall Mount Kit and Counter Top Mount for the Bedside Monitor For mounting the monitor on a wall, the KG-951P wall mount kit is available. For mounting the monitor on a shelf or table, the KG-600P counter top mount is available. For details on how to use the wall mount kit or counter top mount, refer to the installation guide of the KG-951P wall mount kit or KG-600P counter top mount.

KG-600P counter top mount

Administrator’s Guide BSM-6000

1.3

1

1. INSTALLATION/CONNECTION

Installation Flowchart You may not need to do all these. 1. Install the monitor. Refer to Section 1 in this manual. 2. Prepare the battery pack, remote control and recorder. Refer to Operator’s Manual or Section 2 of the User’s Guide Part I. 3. Check or change any initial settings on the SYSTEM CONFIGURATION screen. Changing these settings during monitoring interrupts monitoring. Refer to Section 2 in this manual. 4. Check or change any initial settings on the SYSTEM SETUP window. These settings are password protected settings which only an administrator can change. Refer to Section 3 in this manual. 5. Check or change the necessary settings before monitoring. Refer to Operator’s Manual or Section 3 of the User’s Guide Part I. • Date and time • Sound volume • Screen brightness • Waveform display settings 6. Enter the information of the new patient. Refer to “Admitting/Discharging Patient” in Operator’s Manual or Section 3 of the User’s Guide Part I. 7. Check or change all alarm items for the patient. The alarm returns to this master setting when: • The monitor power is off for more than 30 minutes and <SHOW ADMIT CONFIRMATION WINDOW> is turned off in the SYSTEM CONFIGURATION screen. • The patient is admitted or discharged. Refer to Operator’s Manual or Section 5 of the User’s Guide Part I. 8. Check or change settings for the review windows, such as trendgraphs, tables and arrhythmia recall files. Refer to Operator’s Manual or Section 6 of the User’s Guide Part I. 9. Check or change recording settings. Refer to Operator’s Manual or Section 10 of the User’s Guide Part I. 10. Prepare the equipment (electrodes, transducers, probes, etc.) for monitoring individual parameters and check or change the settings for each parameter. Refer to Operator’s Manual or User’s Guide Part II.

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1. INSTALLATION/CONNECTION

1

Installing the Optional Units to the Monitor and Connecting External Instruments WARNING

WARNING

Connect only the specified instrument to the monitor and follow the specified procedure. Failure to follow this warning may result in electrical shock or injury to the patient and operator, and cause fire or instrument malfunction.

When several medical instruments are used together, ground all instruments to the same onepoint ground. Any potential difference between instruments may cause electrical shock to the patient and operator.

CAUTION Before connecting or disconnecting instruments, make sure that each instrument is turned off and the power cord is disconnected from the AC socket. Otherwise, the patient or operator may receive electrical shock or injury. NOTE • For details on connecting an external instrument to the monitor, contact your Nihon Kohden representative. • Leakage current may increase when interconnecting many medical instruments to the monitor. • Upgrade the main unit and each optional unit to the Nihon Kohden recommended software version. Only use the specified configuration of units. If more than one BSM-6000 series bedside monitor is used in the same facility, make sure the bedside monitors have the same software version. If BSM-6000 series monitors with different software versions are used together, correct system operation cannot be guaranteed. Additional Safety Measures for Connecting External Instruments When more than one electrical instrument is used, there may be electrical potential difference between the instruments. Potential difference between instruments may cause current to flow to the patient connected to the instruments, resulting in electrical shock. Never use any medical equipment in patient treatment without proper grounding. Always perform equipotential grounding as specified in IEC 60601-1-1 when required. It is often required in the operating room, ICU room, CCU room, cardiac catheterization room and X-ray room. Consult with a biomedical engineer to determine if it is required. Refer to the reference “General Requirements for Connecting Medical Electrical Systems” in Section 4.

Administrator’s Guide BSM-6000

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1. INSTALLATION/CONNECTION Environment for External Instruments Use external instruments in the following environment. When a JA-690PA/JA-694PA data acquisition unit is not connected to the bedside monitor Medically-used room Patient Environment

Outside the Patient Environment

Non-medically used room

BSM-6301/6501/6701

Interface QI-631P

Sub display

(For MU-631R)

Interface

Sub display

QI-671P (For MU-651R/671R)

Multigas unit

(IEC 60601-1 complied or using the isolation transformer complied to IEC 60601-1)

(IEC 60601-1 complied or using the isolation transformer complied to IEC 60601-1)

GF-110PA/210R*

Multigas/Flow unit GF-120PA*/220R*

Neuro unit AE-918P**

Interface QI-632P/634P

Interface

(For MU-631R)

QF series

QI-672P

Communication cable

(For MU-651R/671R)

IF series

External instruments

(IEC 60601-1 complied)

External instruments

(IEC 60601-1 complied)

Main unit

MU-631R/ 671R/651R

Input unit

Mouse Bar code reader

AY-660P*

Remote controller

Bedside monitor

RY-910PA

BSM-1700 series

Input unit AY-631P/633P AY-651P/653P AY-661P*/663P* AY-671P/673P

Smart expansion unit AA-672P/674P

Recorder module WS-671P

Transmitter ZS-900P

Wireless LAN station

Hyper isolation transformer QW-100Y (HIT-100)

Central monitor Network printer (IEC xxx complied)

QI-320PA

* These units are not available for BSM-6000A series. ** AE-918P is pending FDA clearance.

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Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION When a JA-690PA/JA-694PA data acquisition unit is connected to the bedside monitor Medically-used room Patient Environment

Outside the Patient Environment

Sub display

Interface QI-631P

Interface QI-671P

External instruments

External instruments

(IEC 60601-1 complied)

Interface Interface (For MU-631R)

QI-672P (For MU-651R/671R)

(IEC 60601-1 complied or using the isolation transformer complied to IEC 60601-1)

(IEC 60601-1 complied or using the isolation transformer complied to IEC 60601-1)

(IEC 60601-1 complied)

(For MU-651R/671R)

QI-632P/634P

Non-medically used room

Sub display

BSM-6301/6501/6701

(For MU-631R)

1

QF series

Communication cable IF series

Multigas unit

GF-110PA/210R*

Multigas/Flow unit GF-120PA*/220R*

Neuro unit AE-918P**

Mouse Bar code reader External instruments

Main unit

(IEC 60601-1 complied)

MU-631R/ 671R/651R

External instruments

(IEC 60601-1 complied)

Interface QF series

Communication cable IF series

Interface unit QI-600P

Data acquisition unit JA-690PA/694PA

Remote controller Input unit

Recorder module WS-671P

Transmitter

AY-631P/633P AY-651P/653P AY-661P*/663P* AY-671P/673P

Smart expansion unit

Input unit

RY-910PA

AY-660P*

Bedside monitor BSM-1700 series

AA-672P/674P

ZS-900P

Hyper isolation transformer Wireless LAN station

QW-100Y (HIT-100)

Central monitor Network printer (IEC xxx complied)

QI-320PA

* These units are not available for BSM-6000A series. ** AE-918P is pending FDA clearance.

Administrator’s Guide BSM-6000

1.7

1. INSTALLATION/CONNECTION

Connection Overview Bedside monitor

To a wall outlet To a wall ground terminal

Hyper isolation transformer QW-100Y (HIT-100) MU-671R

MU-651R

Network

MU-631R

YS-096P2/096P3 Unit connection cable Bedside monitor

Data acquisition unit

WS-671P Reccorder module QI-600P Interface unit DI-590P* Holder

JA-690PA

JA-694PA

Input unit

QI-320PA Wireless LAN station

BSM-1700 series YS-096P5 Multi-link cable

Input unit

ZS-900P* Transmitter AY-660P*

AY-631P/651P/ AY-633P/653P/ 661P*/671P 663P*/673P

QI-631P QI-671P Interface Interface (For MU-631R) (For MU-651R/671R)

Smart expansion unit QI-672P

QI-672P Interface (For MU-651R/671R) QI-632P/634P Interface (For MU-631R) QI-634P

QI-632P

DH-600P Handle AA-672P

AA-674P

Display, PC

Connected to multi-link socket

QF-901P/902P/903P/ 904P/905P*/907P/908P/ 909P/911P*/921P** Interface IF-912P/913P/914P/ 916P/917P/918P*/919P/ 920P*/922P/923P/ 925P/928P/930P/931P/ 932P/933P/934P/935P/ 936P/937P/938P/939P/ 942P/943P Communication cable

GF-110PA/210R Multigas unit GF-120PA*/220R* Multigas/flow unit

Connected to USB socket

Mouse

Bar Code Reader

AE-918P Neuro unit***

* These units are not available for BSM-6000A series. ** These unit is not available for BSM-6000K series. *** AE-918P is pending FDA clearance.

1.8

Administrator’s Guide BSM-6000

1. INSTALLATION/CONNECTION

Attaching the AA-672P or AA-674P Smart Expansion Unit to the AY series Input Unit Input unit

1

Attach the smart expansion unit to the input unit before mounting the input unit onto the monitor. Only one smart expansion unit can be attached to the input unit. For details on how to attach the smart expansion unit, refer to the manual provided with the unit. NOTE The AA-672P or AA-674P smart expansion unit does not function when it is attached to the AY-660P input unit.

Smart expansion unit

Mounting the AY series Input Unit or BSM-1700 series Bedside Monitor onto the Monitor The following procedure is for mounting the AY series input unit. For details on mounting the BSM-1700 series bedside monitor, refer to the BSM-1700 series bedside monitor operator’s manual. 1. Mount the input unit onto the rear of the monitor so that the tabs on the input unit go into the slots on the monitor. Slots Tabs

Tabs

2. Slide the input unit in the direction of the arrow until it clicks into place.

Connector on the monitor

Connector on the input unit

Administrator’s Guide BSM-6000

1.9