bpm-1200 1010 manual ver1.0 en 121004 - …ebionics.co.kr/bbs/download2.asp?filename=bpm-1200_1010_...

76
BIONICS Patient Monitor Series Operation Manual BPM-1200(PATRON) /1010(MATRON) Patient Monitor (Ver 1.0) 2012.10.04 www.ebionics.co.kr

Upload: trinhdieu

Post on 28-Sep-2018

214 views

Category:

Documents


0 download

TRANSCRIPT

BIONICS Patient Monitor Series

Operation Manual

BPM-1200(PATRON) /1010(MATRON) Patient Monitor (Ver 1.0) 2012.10.04

www.ebionics.co.kr

2

CONTENTS

◆ Before using the product ---- 3 ◆ ECG Measurement ------------ 37

◆ Contacts ---------------- 3 ▶ How to Connect ECG Cable ------- 37

◆ Product Guarantee -------- 4 ▶ Change of ECG Lead ------------ 38

◆ Symbols in the Manual ------ 5 ▶ Arrhythmia setting --------------- 39

◆ Precautions for use -------- 6 ▶ ST SEGMENT setting ------------ 40

◆ Precautions for Electrical Safety - 10 ◆ Respiration Measurement ---- 42

◆ Characteristics and Principles 11 ▶ How to measure Respiration ------- 42

◆ Composition(accessory) ---- 12 ▶ Change of Respiratory mode ------ 43

◆ How to set BPM-1200(1010) - 13 ◆ Blood Pressure Measurement ---- 44

▶ Precautions for Setting ------- 13 ▶ How to Measure Blood Pressure ----- 45

▶ Checkpoints Before Use ------ 13 ▶ Change of NIBP Mode ------------ 46

▶ Maintenance and Cleaning After

Use --------------------- 15 ◆ SpO2 Measurement --------- 47

▶ Precautions for Use ---------- ▶ How to Measure SpO2 ----------- 47

◆ C o m p o n e n t s O f B P M -

1200(1010) ------------- 19 ▶ Change of SpO2 Mode ----------- 49

▶ Front & Operation Panel ------ 19 ◆ Body Temperature Measurement - 50

▶ Right side ----------------- 20 ▶ How to Measure Body Temperature -- 50

▶ Left side ------------------ 21 ▶ Change of Temp Mode ----------- 50

▶ Back side ----------------- 23 ◆ Press Measurement (Optional) ---- 51

◆ Desc r i p t i on o f P r oduc t

Symbols --------------- 24 ▶ Press Setting ------------------- 51

▶ Initial Screen --------------- 25 ▶ Change of IBP Mode ------------- 56

◆ How to Use BPM-1200(1010) 28 ◆ EtCO2 Measurement (Optional) --- 58

▶ How to Use ---------------- 28 ▶ CO2 Gas Measurement ----------- 58

▶ Alarm -------------------- 29 ▶ Sidestream CO2 ---------------- 60

▶ Trend -------------------- 31 ▶ CO2 Calibration ------------- 61

▶ Setup Setting -------------- 33 ◆ Before Requesting After – Sale

Service ------------------- 66

◆ Print setup (Optional) ------ 34 ◆ Product Specifications --------- 69

◆ Power & Battery Specifications 35 ◆ Product Warranty ------------- 76

▶ AC Power ----------------- 35

▶ Battery Specifications -------- 36

3

Before Using the Product

Thank you for purchasing Patient Monitor

l For safe and efficient operation please read the manual to learn

about the functions of the product before use.

l Please keep this manual nearby to assist you with operating the

functions of the product.

The product should be used under the supervision of a medical-

related certified professional.

The product is used for examining patient’s abnormal condition. For

the safety of the patient, only the components or the accessories

recommended by our company should be used.

If you connect any accessories to the product that are not specified

in the manual, please be sure to notify our company or an agency

authorized to distribute our products.

For various services and product information, please feel free to contact our

salesperson at the following number.

For any questions about use or setup of the product, please contact the

following number.

Technical Support : BIONICS Co.,Ltd. Tel: 82-2-714-2962

* For reporting defects or abnormalities, please note the model name, product

serial number, purchasing date, and abnormal points before contacting us.

Contacts

4

Product Guarantee

l The product you have purchased comes with a 1-year warranty

from the purchasing date covering inferior materials and the

manufacturing process. For the disposable products, a warranty is

given for 6 months from the purchasing date or 6 months from its

first use covering inferior materials and the manufacturing process.

This warranty cannot be applied to consumption supplies such as

the battery, external cables, sensors, compress, hose and stands.

l We are not responsible for any physical, financial and mental loss

or damage and direct or indirect expenses caused by, or resultant

from, accidental or special circumstances during the use of the

product. The warranty is limited to the repair or exchange of the

product by the authority of the company or the agency, for

problems in materials or the manufacturing process which occurred

during use under normal circumstances.

l The company has no legal responsibility for the confirmation of

services, declarations or whole warranty beyond the warranty

specified above, which were supplied or will be supplied by the

agency or the staff of the company at their own discretion. The

user cannot request the company of services, declarations or

whole warranty which were supplied or will be supplied by the

agency or the staff of the company at their own discretion based

on the statements above.

l The contents of this warranty represent all other warranties

indicated or implied, and also represent all kinds of service- related

responsibilities of the product sellers for the product they sell.

l The product was manufactured under strict quality controls and the

inspection process of the company. The indemnification standard

for product repair and exchange is according to the Economic

Planning Board notification “Regulation for the indemnification of

consumer damage”

5

Symbols in the Manual

l Some symbols are used in this manual to help users or patients

use this product safely and appropriately and to prevent any risk

to patients or damage to materials. Please read and understand

all warnings and precautions.

l Each Symbols mean :

WARNING

The “Warning” symbol indicates that a dangerous situation may occur resulting in fatal injury or death of the patient, or may incur material and financial damage when the warning is ignored.

CAUTION

The “Caution” symbol indicates that a situation may occur resulting in injury or damage to the patient, though not life-threatening, when the caution is ignored.

NOTE

The “Note” symbol is used to inform you of important, but not dangerous, information regarding installation, use, and maintenance of the product.

◈ Use of this product is prohibited during MRI photographing. A

fire may breakout from the induced current, and the accuracy of

the product and the MRI may be influenced by cross

interference.

◈ All cables should be set properly. Cables and hoses etc. should

be kept away from the patient, so that there is no possibility of

the patient’s neck being entangled in them, and the cables and

lines should be well arranged for the safety of the staff in the

hospital.

◈ The computerized ECG analysis should be judged by qualified

medical professionals, and it should not be the sole basis in

determining necessity of treatment for the patient.

Warning

6

Precautions for Use

l Do not operate or store the equipment under the following

environments.

7

▶ Standard operational conditions are as follows.

- Temperature : 10℃ ~ 45℃ (50 ~ 113℉)

- Altitude : 70 ~ 106Kpa

- Humidity : 30 ~ 85%

▶ Standard storage and transportation conditions are as follows.

- Temperature : -10℃ ~ 50℃ (14 ~ 122℉)

- Altitude : 50 ~ 106Kpa

- Humidity : 20 ~ 95%

8

◈ Interpretation of the measurement value of arterial blood

pressure should be performed by medical professionals.

◈ Arterial blood pressure may be influenced by the patient’s

posture, physical condition and other factors such as a patient’s

movement.

◈ The product may not work well when it is kept or operated

beyond the temperature and humidity specified.

◈ Since the use of the inappropriate sensors such as a sensor

that is too tightly wrapped with adhesive tape or use of

additional adhesive tape, lack of a periodical check, or

inappropriate setting of sensors may lead to skin injuries and

inaccurate measurement results. The user should read the

manual and the precautions carefully before use.

◈ Premature neonates and patients with chronic pulmonary

disease should be checked for oxygenation levels before

starting treatment.

◈ Sensor-attached sites should be checked at least every 8 hours

(every 4 hours for reusable finger sensors on adults). Please

check if the sensors are properly attached, if the skin condition

is normal, and if the sensors are well positioned. Nail polish or

calluses may obstruct measurement. Special care is required for

patients with poor blood flow. If the sensor attachment status is

not checked periodically, it may lead to skin injury by extended

contact and necrosis from the pressure. Patients with weak

blood flow should be checked every 2 hours.

◈ If you want to turn off the BPM-1200(1010) while you’re

operating, please use the power switch where is the front of the

product.

CAUTION

9

◈ Leakage, heating, firing or disruption of the battery may cause

fire or injury.

u Do not use batteries beyond those specified in this manual.

u Do not short-circuit the battery and do not heat, integrate,

or dispose of it in a fire.

u Do not use the battery currently in use with a new battery,

another kind of battery, or batteries from other suppliers.

u Do not insert batteries with (+) and (-) ends reversed.

◈ When the product is not used for a long time, separate the

battery from the product.

◈ When the product has been moved, make sure to turn it off and

arrange the accessories in order, Injured cord or cables may

cause fire or electric shock.

◈ In order to obtain the best results, theses instructions for use

are especially important when applying the specified sensors,

and all warnings and cautions should be obeyed. If the

sensors are exposed to excess natural light, we recommend

that you cover the sensors with an opaque material.

Excessive light from operating lamps (especially xenon gas

lamps), bilirubin (red-yellow) lamps, fluorescent lamps and

direct sunlight may influence the measurement results.

◈ If results are not available at all or are inaccurate, please

check the following:

u If the patient has poor blood flow, attach the sensors to

other fingers or toes.

u Check if the sensor is properly placed.

u When the electric operation equipment is used, make

sure the sensors are not positioned close to the cables.

u The Sensor-attached site should be kept clean and not

oily, Clean the sensor and skin if necessary.

CAUTION

NOTE

10

Precautions for Electric Safety.

Please check the following points before use.

l Is the product supplied with the appropriate power? (100-240V~)

l Are all connecting parts (power cables or the product) properly

connected?

l Is the product completely grounded? (If not, noise may occur.)

l Before turning the power on, is the accessory for measuring the

target parameter well connected to the product?

To prevent electric noise during use, the product should be installed

apart from dynamo, X-ray equipment, broadcast equipment or portable

cables. An inaccurate result may occur when these equipment are placed

near the product. BPM-1200(1010) requires an independent power circuit

and a stable earth connection. Sharing power with other electric

equipment may result in inexact results.

BPM-1200(1010) is classified as follows :

◈ Type 1 for electric shock, CF grade for ECG, Resp, ICO and IBP

and BF grade for EtCO2, SpO2, NIBP and Temp.

◈ Please do not use this product near inflammable anesthetics

and diluents.

◈ The noise level is “B”Class according to the IEC/EN 60601-1

(Safety of Electric Medical Product), and the noise redemption

is “b”Level according to the IEC/EN 60601-1-2

(Electromagnetic Compatibility Requirements).

◈ Protection grade against water is “IPX 1”

NOTE

NOTE

11

Characteristics and Principles of BPM-1200(1010)

BPM-1200(1010) is a Patient-monitoring equipment. BPM-1200(1010)

measures the patient’s ECG, blood pressure (invasive and noninvasive at

two points), end-tidal partial pressure respiration (EtCO2), body

temperature(Temp), oxygen saturation of arterial blood and pulse (SpO2).

Information on the patient’s condition is displayed as numeric values and

waveforms.

BPM-1200(1010) provides a variety of information about the patient. The

user can choose the functions they want to use. The vital sign information

provided by the product includes ECG, heart rate, respiratory rate based

on respiration, maximum, minimum and mean blood pressure by invasive

and noninvasive methods, percentage of blood oxygen

concentration measured by the changes during a pulse cycle of arterial

blood, pulse, and temperature at two sites.

The patient’s vital signs and condition is displayed on an LCD screen in

real-time. The user can set alarms or adjust the setting values using the

buttons on the front.

BPM-1200(1010) provides the basic vital sign information of the patient to

the user.

12

Composition of BPM-1200(1010) (Accessories)

Standard Accessories

Main 1 set

ECG Cable

5 lead type (1EA)

SpO2 Finger Probe

(1EA)

3M Electrode

(5PCS/1set)

NIBP Hose (1EA)

Adult Cuff (1EA)

Power Cord (1EA)

Operation Manual

(1EA)

l Optional

- ECG Cable 3 lead type

- ECG Cable 10 lead type

- SpO2 extension Cable

- IBP Measuring Kit

- Printer Module

- Roll Paper

- EtCO2 Kit set

- TROLLEY

- Wall Mount

- DISPOSABLE SPO2 SENSOR

- NEONATE CUFF

- Temp Sensor (Rectal/Skin)

- 3M Electrode (50 PCS/1SET)

13

How to Set BPM-1200(1010)

(1) Precautions for Settings

Pay attention when setting BPM-1200(1010) for the following points

- Use BPM-1200(1010) under conditions of 10℃∼45℃ of

circumstantial temperature and 30%∼85% humidity.

- Check the connection status of the power cord.

- Do not connect multiple cords to the power supply.

- Place the main body on a flat area.

- If noise occurs, ground the equipment further.

- Do no use any electric cords generating connecting noise.

- Take care since the product can be broken by mechanical

shock.

- Get rid of dust or inflammable material near the product when setting it up.

(2) Checkpoints before Use

Check the following points before measuring the patient’s condition.

- Make sure there is no mechanical risk.

- Check the lead, power plug, and accessories connected on the

outside.

◎ Precautions Before Use ECG

① Do Not use product near dynamo, X-ray equipment, broadcast

equipment.

② Use disposable electrodes.

③ Do not twist the cable.

④ Attach each Lead properly.

⑤ Keep the patient motionless with comfortable position while

measuring.

⑥ Sterilize Lead periodically.

14

◎ Precautions Before Use SpO2

① Do Not use product near dynamo, X-ray equipment, broadcast

equipment.

② Keep the patient motionless with comfortable position while

measuring.

③ Sterilize sensor periodically.

◎ Precautions Before Use Temp

① Do Not use product near dynamo, X-ray equipment, broadcast

equipment.

② Sterilize sensor periodically.

③ Use disposable hygiene cover.

◎ Precautions Before Use NIBP

① Do Not use product near dynamo, X-ray equipment, broadcast

equipment.

② Do not twist hose.

③ Keep the patient motionless with comfortable position while

measuring.

◎ Precautions Before Use IBP

① Do Not use product near dynamo, X-ray equipment, broadcast

equipment.

② Keep the patient motionless with comfortable position while

measuring.

③ Do not twist cable

15

◎ Precautions Before Use EtCo2

① Do Not use product near dynamo, X-ray equipment, broadcast

equipment.

② Keep the patient motionless with comfortable position while

measuring.

③ Do not twist cable

◎ Precautions Before Use CO

① Do Not use product near dynamo, X-ray equipment, broadcast

equipment.

② Keep the patient motionless with comfortable position while

measuring.

③ Do not twist cable

(1) Maintenance and Cleaning After Use

A. Keep the product cleans by cleaning it using a soft cloth at least

once a month. Do not use thinner, ethylene, oxidant or lacquer

since these may damage the product.

B. Keep the accessories clean of dust or foreign materials. For

cleaning, use a soft cloth and clinical alcohol.

C. Do not soak the accessories in liquid or detergents. Keep the

product and accessories out of any liquid.

◎ Maintenance and Cleaning after using ECG

① Sterilize Lead periodically after using.

② Discard the disposable electrodes in designated locations.

③ Store the cable without twisting.

◎ Maintenance and Cleaning after using SpO2

16

① Sterilize the Probe periodically after using.

② Store the cable without twisting.

◎ Maintenance and Cleaning after using Temp

① Sterilize the Probe periodically after using.

② Discard the disposable covers in designated locations.

③ Store the cable without twisting.

◎ Maintenance and Cleaning after using NIBP

① Sterilize the hose after using.

② Store the hose without twisting.

◎ Maintenance and Cleaning after using IBP

① Not to impact the IBP Kit after sterilizing.

② Store the cable without twisting.

◎ Maintenance and Cleaning after using EtCo2

① Not to impact the EtCo2 module after sterilizing.

② Store the cable without twisting.

◎ Maintenance and Cleaning after using CO

① Store the cable without twisting.

17

(2) Precautions for Use

① Precautions for Equipment

ⅰ. Avoid the damp locations, and do not operate the equipment

with wet hands.

ⅱ. Use BPM-1200(1010) under conditions of 10℃∼45℃ of

circumstantial temperature and 30%∼85% humidity.

ⅲ. Do not use the locations where moisture level could go up

considerably or where air is not ventilated properly.

ⅳ. Do not use the locations close to electrical heating apparatuses.

ⅴ. Do not use the locations where exposed to direct sunlight.

ⅵ. Do not use the locations where sudden impact or vibration

could be received.

ⅶ. Do not use the locations exposed to chemical or explosive gas.

ⅷ. Make sure to prevent dust and especially metal debris, from

penetrating in.

② Precautions for Electric Safety.

ⅰ. To prevent electric noise during use, the product should be

installed apart from dynamo, X-ray equipment, broadcast

equipment or portable cables. An inaccurate result may occur

when these equipment are placed near the product.

ⅱ. Check the appropriate power supply of the product is suitable.

ⅲ. Check all connecting part is properly connected.

ⅳ. If The product is not completely grounded, the noise may occur.

③ Precautions for Use

ⅰ. Do not disassemble or Dismantle the product.

ⅱ. Completely unfinished product installation Do not connect the

power from the state.

18

ⅲ. Interpretation of the measurement value of arterial blood

pressure should be performed by medical professionals.

ⅳ. Arterial blood pressure may be influenced by the patient’s

posture, physical condition and other factors such as a patient’s

movement.

ⅴ. Since the use of the inappropriate sensors such as a sensor

that is too tightly wrapped with adhesive tape or use of

additional adhesive tape, lack of a periodical check, or

inappropriate setting of sensors may lead to skin injuries and

inaccurate measurement results. The user should read the

manual and the precautions carefully before use.

ⅵ. Premature neonates and patients with chronic pulmonary

disease should be checked for oxygenation levels before

starting treatment.

ⅶ. Sensor-attached sites should be checked at least every 8 hours

(every 4 hours for reusable finger sensors on adults). Please

check if the sensors are properly attached, if the skin condition

is normal, and if the sensors are well positioned. Nail polish or

calluses may obstruct measurement. Special care is required for

patients with poor blood flow. If the sensor attachment status is

not checked periodically, it may lead to skin injury by extended

contact and necrosis from the pressure. Patients with weak

blood flow should be checked every 2 hours.

ⅷ. Do not reuse electrodes. (noise can be a cause)

ⅸ. Do not short-circuit the battery and do not heat, integrate, or

dispose of it in a fire.

ⅹ. Do not insert batteries with (+) and (-) ends reversed.

19

Components of BPM-1200(1010)

(1) Front & Operation Panel

① Power Button ⑦ NIBP START/STOP Button

② Freeze Button ⑧ EXIT Button

③ ALARM ON/OFF Button ⑨ Information status LED

④ CHANGE SCREEN Button ⑩ Operating/ALARM status LED

⑤ EVENT Button ⑪ Joystick & push Button

⑥ PRINT START Button

① ② ③ ④ ⑤ ⑥ ⑦ ⑧ ⑨ ⑩ ⑪

20

(1) 우측면

① ② ③ ④ ⑤ ⑥ ⑦ ⑧ ⑨

① AC power LED ② Battery LED ③ Wave Go/ Freeze mark

④ Alarm ON/Mute/OFF mark ⑤ SCREEN CHANGE ⑥ Event Mode makr

⑦ Print operating (manual/auto) mark

⑧ NIBP Measurement mark(GO/STOP/AUTO)

21

(2) Right Side

(1)(2)(3)

(4)

(5)

(6)

(7)

(1) PRINT FEED button (2) PRINT ERROR LED (3) PRINT POWER LED

(4) RS-232C PORT (5) LAN PORT (6) VGA PORT

(7) Speaker

22

(3) Left Side

(1) ECG/RESP Connection Terminal (2) IBP 1/2 Connection Terminal (Option)

(3) SpO2 Connection Terminal (4) TEMP Connection Terminal 1/2/3/4(Option)

(5) EKG Connection Terminal (Option) (6) IBP 3/4 Connection Terminal (Option)

(7) GAS Module Connection Terminal (Option) (8) ICO Connection Terminal (Option)

(9) NIBP Connection Terminal (10) SD Card(Option)

23

(4) Back Side

(1) PORTABLE HANDLE (2) MAIN POWER SWITCH (3) GROUNDING PORT

(4) Battery Cover (5) AC POWER PORT

24

Icon Comments Icon Comments

Type CF Product,

Defibrillation protected Alarm On/Off

Type BF Product,

Defibrillation protected

Screen Change

(Screen)

Power stand-by switch

Stop Waveforms

(Freeze)

Attention, consult

Accompanying

documents

Non Invasive Blood

Pressure Manual

Measurement(NIBP)

Ground

Start Printing (Printer)

I / O SYSTEM POWER

On/Off Initial Screen (Exit)

Signal Output

Signal Input

IBP Invasive Blood Pressure TEMP Temperature

ECG/RESP Electrocardiograph/

Respiration SpO2 Oxygen Saturation

NIBP Non Invasive Blood

Pressure

RS-232C

Port

Use for Program

Upgrade

LAN Port Use for Central Monitoring VGA Port Screen transfer

SD Card Trend Data save IPX 1 Protection against vertically

falling drops of water (SpO2)

CE Mark IPX 7

Protected against the water from immersion

between 15cm and 1m. (Temp, IBP)

Description of Product Symbols

25

(1) Initial Screen

(1) ECG Wave(Depending on the ECG CABLE can be selected MAX: 12Wave)

(2) SpO2 Wave

(3) IBP Wave (Depending on IBP Wave CH can be selected MAX: 4Wave)

(4) EtCo2 & Resp Wave (5) HR (6) ST (7) SpO2

(8) RESP (9) IBP (10) NBP (11)TEMP (12) CO2 (13) Date

26

◈ BPM-1200(1010) provides 4 different screens to use “SCREEN

CHANGE” button.

- 4 screens are as follows.

A. Full Parameters Screen (Main Screen)

B. 4 Waves(select) and 4개 Parameters(select) Screen

C. 2 Waves(select) and Parameters(select) Screen

D. TREND Screen

(A)

(B)

(C)

(D)

NOTE

27

(Table 1). Explanation of Screen Icons

Icon Meaning How to display

NIBP Auto pressurization Fixed. Fixed

Battery in use Fixed

Alarm Status

Non-Fixed

(1-second interval)

NIBP Measurement mark.(Go)

Non-Fixed

(1-second interval)

NIBP Measurement mark.(Stop) Non-Fixed

Printer Action mark.(Go)

Non-Fixed

(1-second interval)

Printer Action mark.(Stop) Non-Fixed

Waveform stop

Non-Fixed

(1-second interval)

Touch screen Unlock Fixed

Touch screen lock Fixed

Menu to right move Fixed

Menu to left move Fixed

28

How to Use BPM-1200(1010)

(1) How to Use

Install on the main power switch at the back of the product.

Check the light-on status of the AC LED in the front, and

push the power switch 1~2 seconds to turn it on. (if any

problems occur, refer to the “How to solve the problems”

section in the manual)

If you want to change the setting value etc. during use,

push the Menu button to change the setting values per

each measurement parameter.

When the measurement sensor is connected to the patient, the

information on the patient is displayed as values and

waveforms on the LCD screen.

◈ Push the Power button 1~2 seconds when turn it off, display the

“Power off” massage on the screen.

Refer to the table below for the details of how to measure

each parameter.

- ECG measurement Page 39

- Respiration measurement Page 44

- Blood pressure measurement Page 46

- SpO2 measurement Page 48

- Body temperature measurement Page 51

- IBP(Press) measurement(optional) Page 52

- EtCO2 measurement(optional) Page 59

Step 1

Step 2

Step 3

NOTE

Step 4

29

(2) Alarm

Different alarms are provided in BPM-1200(1010) for the sake of the

user’s convenience. Please read carefully the contents of this section in

order to learn how to interpret and react appropriately to the alarms.

◈ The alarms in the product conform to the international standard

“IEC 60601-1-8 (2006).

- A High/Medium/Low/Information alarm and Information alarm

were adopted in BPM-1200(1010).

◈ We recommend that you listen to the alarms before using the

product.

l High Alarm

- The High alarm will sound when the measurement values

exceed the proper range.

- In High alarm, 5 alerting sounds ring for 2 seconds, for a

total of 10 times. After 8seconds, the alerting sounds are

repeated.

l Information Alarm

- Information Alarm rings to notify you of any announcements

or if there has been an error measurement.

- The information alarm sound like a chime bell, and rings at

an interval 5seconds to alert the user.

- The information alarm rings for the following situations:

a. If there is a failure in the NIBP measurement or

overpressure.

b. At Lead fault or Lead off during measurement.

c. If the finger is not attached to the finger probe during

measurement of SpO2.

d. If the battery is low.

- When the information alarm rings, it can be cancelled by

operating the function switch.

Note

30

l How to set the alarm

To change the alarm setting, touch the screen once to

wave or display. And touch the Bottom Alarm.

▶ Alarm Range

Parameter Setting range

HIGH LOW

ECG [bpm] 50 ~ 300, OFF OFF, 30 ~ 280

SpO2 [%] 21 ~ 99, OFF OFF, 20 ~ 98

IBP

[mmHg]

Systolic 40 ~ 295, OFF OFF, 30 ~ 290

Diastolic 30 ~ 289, OFF OFF, 25 ~ 280

Mean 35 ~ 290, OFF OFF, 26 ~ 285

RESP [rpm] 5 ~ 149, OFF OFF, 1 ~ 145

NIBP

[mmHg]

Systolic 40 ~ 295, OFF OFF, 30 ~ 290

Diastolic 30 ~ 285, OFF OFF, 25 ~ 280

Mean 35 ~ 290, OFF OFF, 30 ~ 285

TEMP [℃] 20.0℃ ~ 49.9℃, OFF OFF, 10.0℃ ~ 40.0℃

EtCO2 [%] 2% ~ 99%, OFF OFF, 1% ~ 98%

◈ For the sake of the user’s convenience. The function of Alarm

On/Off functions are added to each parameter. The state of Alarm

On/Off does not affect the setting values of the alarm.

Step 1

NOTE

31

(3) Trend

◈ BPM-1200(1010) Trend Data provides 43260 data in total at an

interval of 1minute for 720 hours.(30Day)

To check the Trend date for the

patient being measured, touch the

File Load in Trend Screen.

Note

Can be selected After Trend Data

Load

Check Day/Hour/Minute to touch

operation.

Display Wave/Date Recall when

Trend Data played.

32

① ② ③

(그림2. Trend 화면)

① Parameter name for measurement

② Time of the storage

③ Standard wave measurement parameter

◈ If you are touched ‘Play, Stop, Left navigation and Right

navigation’, function will be executed.

(4) Setup Setting

l The setting of system setup, time, print, unit selection can

be changed at the user’s convenience.

l Setup is as follows.

To change the SETUP setting, push the touch screen

once to select SETUP.

Step 1

NOTE

33

▶ By operating as detailed above, you can change the setting of each

SETUP menu.

Setting List Subsection

System Setup BED Number

Demo

Patient Mode

Nurse Call

1 ~ 99

On / Off

Adult / Neonate

On / Off

Time Clock Set

Time Format Change Setting

Print

Sync

Mode

Paper Length

Select Wave1

Select Wave2

Select Wave3

Manual / Alarm

Wave / Trend / Wave+Trend

150 mm ~ 300 mm

Change Wave1

Change Wave1

Change Wave1

Unit

BP Unit

TEMP Unit

Co2 Unit

mmHg / kPa

℃ / ℉

% / mmHg / kPa

Print Setup (Optional)

The patient’s information can be printed out using the printer.

To change the printer setup, push the menu button once

to select setup. 단계 1

34

▶ By operating as detailed above, you can select the function you

want for the Printer mode.

Setting Mode Range of change Explanation

Sync. Alarm / Manual When “Alarm” is selected, the date is automatically printed out if the data is out of range

Mode Wave+Trend / Wave

/ Trend Print the waveform and Trend Data/ waveform only/ Trend Data only.

Select Wave 1/2/3 ECG2/SpO2/IBP/

RESP

Select the waveform to be printed out (ECG waveform is printed out as a basic factor)

Paper Length 150 ~ 300mm

(To be adjusted at 25mm unit)

Select the length of printed paper.

◈ Do not print greater than consecutive 3 times

◈ There is possibility of fire, Do not use printing for 5min. after consecutive 3 times of printing.

<Ex: Trend printing>

<Ex: Wave printing>

CAUTION

35

Power & Battery Specifications

Both AC and DC power is used for BPM-1200(1010). Basically, AC

power is used and a rechargeable battery is available for portable use.

1. AC Power (110~240VAC)

If the AC power is connected to the main body of the product, a

blue color lights up on the AC LED on the front. If the product is not

being used, the power changes automatically to the recharging

mode.

◈ During operation using AC power, noise may occur in the

waveform. If this is the case, ground the product soundly.

◈ An AC power connection in a wet or damp area may cause

electric shock or fatal damage to the product.

2. Battery Specifications

When the AC power is disconnected and the switch is turned on, the

power is supplied using the battery, signaled by the orange light on

the battery LED.

A. Signs for Battery

Battery status Explanation

Battery full

After use for 10 ~ 15 minutes

Requiring recharging

Low Battery requiring recharging

B. Time for 1ea of Battery

Recharging time : 7 Hours or more

Use time : 60 Minutes

(optional : 2ea battery )

(recharging : 12hour, use time : 5hour))

CAUTION

36

◈ When the battery is disconnected, all data (Trend, Setup values

and time etc.) are saved in the memory within

PATRON/MATRON(BPM-1200/1010) for about 3 days. If the

product is kept off of the battery for more than 3 days, all the

data may be deleted.

C. Natural lifetime for spontaneous discharge of battery

The table below shows the lifetime for spontaneous discharge of

the battery when the product is unused

Storage temperature Life for spontaneous discharge

0℃ ~ 20℃ 9 months

21℃ ~ 30℃ 6 months

31℃ ~ 45℃ 3 months

D. Type of Battery

The Same sort of battery should be used for replacement.

- Model : 3S1P(LS18650)

– Type : LI-Ion

- Manufacturer : Ti-won tech

E. Time for the Battery exchange

The lifetime of the battery gets shorter if it is not 100%

recharged for use.

Charge / Discharge ration Number for use

100 % Charge / discharge 1200 times

50 % Charge / discharge 500 times

30 % Charge / discharge 200 times

The battery is recharged when AC power is confirmed and the

main switch is on at the back of the product.

◈ For the protection of the environment, please contact the

agency you purchased the product from when you wish to

discard the battery.

◈ Please contact the agency when exchange the Battery.

CAUTION

CUATION

37

ECG Measurement

(1) How to Connect the ECG Cable

◈ With the use of an electric pacemaker, do not touch the patient,

table, or other equipment.

◈ Check if the ECG cable is damaged before taking the ECG

measurement. (A damaged ECG cable cannot protect the

patient.)

◈ Do not use disposable electrodes. (They may cause noise.)

Connect the ECG cable to the ECG/RESP connection

terminal of the measurement module.

단계 1

WARNING

38

Attach the patient’s electrode to the sites shown blow.

<IF 5 lead are attached> <IF 3 lead are attached>

Lead Color of

electrode Attaching site

RA (R) White Just below the clavicle (scapula) near the right shoulder

LA (L) Black Just below the clavicle (scapula) near the left shoulder

LL (F) Red Lower area of the left side of the abdomen

RL (N) Green Lower area of the right side of the abdomen

V (C) Brown Select the candidate lead for measurement among the

chest leads

(2) Change of ECG Lead

▶ To change the setting of the ECG Lead waveform, touch the

ECG WAVE screen once to obtain the screens below.

단계 2

RA: White

LA: Black

V: Brown

RL: Green LL: Red

RA: White

LA: Black

LL: Red

39

(3) Arrhythmia

Arrhythmia on ECG is provided the function of the analysis that

Ventricle has problems or not. The diagnosis program “A” of

BIONICS Arrhythmia is provided the function of the 3 kind’s

arrhythmia analysis affecting the fatal injury of the patient.

– Asystole (ASY)

– Ventricular Tachycardia (V-TAC)

– Ventricular Fibrillation (V-TAC/V-FIB)

The diagnosis program “B” of BIONICS Arrhythmia has more

function as below besides of 3 kind’s arrhythmia analysis.

–Ventricular Contraction (PVC)

–Ventricular (VENT)

–Ventricular Fibrillation (VFIB)

–Bradycardia (BRD)

–Bigeminy (BGM)

–Trigeminy (TGM)

–Couplet (COP)

–Missed Beat (MIB)

–R on T (ROT)

◈ The diagnosis program of Arrhythmia is designed to analyze that

Ventricular has problems or not. Guardian may happen to wrong

analyze about the existence of Arrhythmia. When Arrhythmia

displayed, it is necessary to judgment of a medical specialist

◈ When using of Arrhythmia analysis, please fix the LEAD of

channel 1 in LEAD II

WARNING

40

(4) ST SEGMENT Setting

ST Level value is going to be up and down, when myocardial

infarction occurs. According to clinical study, all ST Level value

should be examined.

The program of BIONICS ST Level analyzes each ST Level value

regarding the LEAD I and LEAD II. It displayed fixed screen CH-1 to

LEAD 1 and CH-2 to LEAD II.

ST Level unit is mV, it displayed + during up and – during down.

1) ST Level Condition

As shown on the picture 22 , BIONICS ST Level program

measured by datum point -78ms(ISO) + 109ms (ST) and

centering of R Peak.

[picture 22] Datum point ST Level measurement

ST Point Range of Change

ST Point

J Point + 0ms

J Point + 30ms

J Point + 40ms

J Point + 50ms

J Point + 60ms

J Point + 80ms

▶ By operating as detailed above, you can select each function of

the ECG mode.. (Menu of ST Level J Point setup change in

bottom)

41

ST Level Setup

42

Respiration Measurement

Changes in the chest impedance resulting from the patient’s respiration

is measured and displayed as a waveform and the values will appear on

the screen.

(1) How to Measure Respiration

◈ Respiration is measured with the ECG and HR etc., using the

ECG cable.

◈ Do not judge the patient’s condition only with the respiratory

value and the waveform.

Connect the ECG cable to the ECG/Res connection

terminal of the measurement module.

Attach the electrodes for respiration measurement by

referring to the figures below.

<Sites for 3 Leads attachment> <Sites for 5 Leads attachment>

Step 1

NOTE

Step 2

RA: White

LL: Red

RA: White

LL: Red

LA: Black

RL: Green

V: Brown

43

(2) Change of Respiration Mode

▶ To change the setting of respiratory waveform, touch the

RSP Wave once to select Config.

▶ By operating as detailed above, you can select each function

of the RESP mode.

Setting

Mode Range for Change Explanation

SIZE 1, 2, 3, 4, 5x Scale Set the size of RESP waveform

SPEED 3.12, 6.3, 12.5, 25, 50 mm/sec Set the speed of RESP waveform

RR Source RSP, CO2 Set the Detection Properties of

REST RR Rate

RESP LEAD LEAD I / LEAD II Set the Lead select of RESP

Apnea Suspend,15~60sec(unit:5sec) Set the Apnea

◈ Setup the APENA to use the RSP Wave Controls à Config MENU.

■ APNEA Range : Suspend, 15 ~ 60 second

(Change the 5 second interval)

NOTE

44

Blood Pressure Measurement

(1) How to Measure Blood Pressure

◈ Do not use the NIBP Cuff for other purposes than blood pressure

measurement. Blood pressure cannot be measured on the upper

arm of the patient, the artificial infusion set or catheter is inserted

at the site.

◈ Check if the cuff and hose are damaged before measuring blood

pressure. A damaged apparatus may cause inaccurate results.

◈ A patient’s movement during measurement may cause inaccurate

results.

◈ Choose the cuff type which is appropriate to the patient.

Connect the product with the gray hose as shown below.

NOTE

WARNING

Step 1

Cuff Hose

45

The cuff too tight or too loose on the measuring site may

cause errors in the value.

(2) Change of NIBP Mode

▶ To change the setting of NIBP mode, push the Menu button

once to select NIBP.

▶ By Operating as detailed above, you cans select each

function of the NIBP mode.

Set Mode Range for Change Explanation

Mode Adult / Neonate Set Adult / Neonate measurement Mode

Auto Interval 1Min~5Min / 10Min~30Min /

1Hour~10Hour

Select the time interval, when set to

automatic measurement

STAT

Duration

5Min~15Min Select the time interval, when set to

automatic measurement

Max

Pressure 50mmHg ~ 300mmHg Set the limit of max pressure.

VenousSTAT 20mmHg ~ 120mmHg Select the time 1min Venous Press.

Step 2

46

◈ The automatic measurement mode (AUTO pressing) is cancelled

in the following cases:

■ When the blood pressure measurement fails 3 consecutive

times.

■ When overpressure occurs. (Cuff pressure over 300 mmHg)

■ When the power is On/Off.

◈ When the automatic measurement mode is cancelled, the user

should reset the AUTO pressing to let it operate normally.

◈ After measuring Blood Pressure, push the “EXIT” button,

measuring data is going to be deleted on the screen (measuring

date stores Trend automatically.)

CAUTION

NOTE

47

SpO2 Measurement

The concentration of oxygen saturation means the saturation level of

hemoglobin which can transport the oxygen of the arterial blood. The

current transport level for the capacity of hemoglobin to transport the

oxygen is expressed as a percentage.

(1) How to Measure SpO2

◈ While the MRI is used, measurement using the sensor may cause

severe burning. If this occurs during normal use, remove the

product immediately from the patient.

◈ Do not place the probes at the site where the arterial catheter or

the venous infusion set is connected.

◈ For neonates, measurement should be made outside the

incubator using the disposable sensor. (Humid conditions in the

incubator may affect the measurement, resulting in inappropriate

data.)

◈ Strong light interferes with accurate measurement. In this case,

cover the sensor with an opaque material.

◈ For patients with thick or dark skin, or with weak blood flow and

weak signs, the oxygen concentration level may appear lower

than it is.

◈ In patients with abnormalities in the peripheral nervous system

including hypothermia, hypovolemia, hyperdynamia of vessels or

reduction in heart rate, the vital signs may not read properly due

to these abnormalities.

◈ In patients with an abnormal increase in oxyhemoglobin or

methemoglobin, the data for SpO2 will not be accurate.

◈ Check if the sensors release light, if the sensors are positioned

properly opposite, and if the light release to the patient’s tissue.

CAUTION

WARNING

48

Connect the SpO2 Probe to the connection terminal of the

measurement module.

The probe to the finger, (if measured with NIBP at the same

time, the SpO2 probe should be positioned on the opposite

arm. Concurrent use of other medical devices affecting

blood flow should be avoided. The probe should be

attached at a site that avoids those affected by medical

interference.)

For stable measurement, have the patient minimize their

movement and band the probe cable with the finger. Care

should be taken to not let the banding interfere with blood

flow.

단계 1

Step 2

Step 3

SpO2 Probe

49

(2) Change of SpO2 Mode

▶ To change SpO2 Mode, touch the SpO2 Wave once to select

Graph.

▶ By operating as detailed above, you can select each function

of the SpO2 mode.

Set Mode Range for Change Explanation

Size X 0.25, x 0.5, x 1, x 2, x 4 Set the size of SpO2 wave

SPEED 6.3, 12.5, 25 mm/sec Set the speed of SpO2 wave

APG Suspend / Expression APG Select

TRACE ON / OFF Set the display of waveform

50

Body Temperature Measurement

Changes in impedance according to the change in the patient’s body

temperature is perceived by the temperature sensor, and then displayed

numerically on the screen after a series of calculations.

(1) How to Measure Body Temperature

◈ The temperature sensor provided with the product is of the rectal

type.

◈ The temperature sensor should be sterilized before application to

another patient.

Connect the temperature sensor to the connection

terminal of the measurement module.

(2) Change of TEMP Mode

▶ To change Temp mode, touch the TEMP Numeric once to

select Temp.

▶ By operating as detailed above, you can select each function

of the TEMP mode.

Set Mode Range for change Explanation

High limit 20 ~ 49 ℃ Set the maximum limit of alarm

Low limit 10 ~ 40 ℃ Set the minimum limit of alarm

ON / OFF ON, OFF Alarm ON, OFF

Step 1

NOTE

51

Press Measurement (Optional)

(1) Press Setting

◈ Only the transducer specified by the company can be used.

A transducer which can be protected from electric shock and

electrical impulses should be used. It can be used during the electric

operation of the device.

During defibrillation of a patient, the measurement values may be

inaccurate. After defibrillation and a continuous nomal state. Accurate

measurement values will return.

◈ Do not reuse the disposable transducer.

Composition of monitoring accessories

Connect the monitor interface cable to the press

connection terminal of the measurement module.

CAUTION

WARNING

Step 1

52

In a clean environment, open the package to check if all

parts are well connected and if the handle of the stopcock

is positioned properly.

All side ports of the stopcock are protected by the outlet

plugs and may not be removed till the system is full and the

foam have been removed. These outlet plugs should always

be replaced with other outlet plugs. (A pouch is included in

the kit.)

Connection of the converter interface cable.

1. Hold the backside of the clear cover surrounding the connector,

and connect the converter to the reusable monitor interface.

2. Push the connecter gently into position. If it is will fit the slot of the

reusable connecter snugly.

◈ Do not use the blood pressure monitoring kit with the non-

separated blood pressure monitor. Do not twist the cable.

Reusable interface cable cannot be sterilized by autoclaving.

Step 2

IBP 1/2

IBP 3/4

Step 3

CAUTION

53

Connecting area of transducer Monitor interface cable

3. To remove the converter from the cable, push the tap gently inside the

clear cover and then separate the reusable interface cable.

Hold both sides of the flush operator and pull upward gently.

Do not revolve the operator and take care not to put the

power on one side.

◈ If a fast flush is performed on the patient, the user should check

carefully for the presence of foam and particulate matter. If a

large volume is flushed by force, a short flush with an increase

rate less than 2cc is recommended to avoid central embolism.

◈ Blood pressure for a liquid infusion line over 300mmHg requires

an infusion of more than 3cc per hour. In this case, the blood

pressure must not exceed 15psi (775mmHg). A protective

function is set in the flush device, which prevents overpressure

of the converter by making the liquid bypass the device. If a

more precise control of fluid volume is required, it is necessary to

connect the infusion pump around the flush device.

Step 4

CAUTION

54

Priming and Tips

Priming should be done slowly! – Slow priming will lessen the effort to

remove air bubbles afterward.

Prime using gravity! – Pressing may result in leakage of liquid or bubbles

by forcing the liquid to flow into the system. If small bubbles flow too

slowly inside the system, lift up the supply bag.

1 inch corresponds to 2mmHg, and the primed 4-feet line gives a

pressure of about 100mmHg if it is completely spread out The solution

bag should be placed at a higher position than the converter and the

pressing tube, in order for priming using gravity.

1. Twist the sterilized solution bag lightly using a drip chamber spike.

2. Open the roller clamp and remove the air inside the bag completely

by squeezing using an infusion set or an 18-gauge needle inserted

into the injection port in the back. By emptying the back this way, it

can prevent air input into the patient’s body.

3. Before inputting the solution into the infusion set, push both sides

and fill the drip chamber partially.

4. Operate the flush device gently. Since air rises from the bottom,

make sure that the solution is in the bottom at all times.

5. Prime the side ports and the plug of the zero point stopcocks in

the converter using a door-lock plug. <Caution: The stopcocks of

the converter or the outlet should be locked before connecting the

door- lock plug.>

6. Check if bubbles are present in the monitoring system. To check

the presence of invisible bubbles, rap it lightly.

◈ If air foam or bubbles are present inside the system, it may cause

significant bias of the pressure waveform or air embolism.

7. Add pressure to the system up to 300mmHg using C-fusor or the

Step 5

CAUTION

55

clear cuff. Flush the system for 2~3 seconds. Check for the

presence of air bubbles which may result from a fast flush. Now,

the system is ready for zero point setting and measuring. Place the

stopcock in a 90 degree position to let it off state. Be sure to never

position it at 45 degrees. A wrong setting of the stopcock handle may

cause infection, bleeding, or air embolisms in the patient.

◈ Care should be taken not to let air bubbles inside the 3-way

outlet stopcock or the cannula reflush into the patient. To check,

confirm if the monitoring line is fully filled with liquid before

connecting the monitoring line and let a small volume of blood

flow through the cannula.

Zero Point Adjustment of the Converter

1. Place the zero point port at the area of the right atrium, the middle

of the axilla, and the fourth intercostals area, and then place the

converter and the kit in a proper operating site. Some version of

the blood pressure conversion kit is provided with the patient’s IV

rod or the accessories needed for various settings.

2. Lock the zero point stopcock (toward OFF) and release the

converter according to the air pressure.

3. Conduct zeroing by pushing the zeroing button of the module or

select zeroing-one from the menu in the IBP setting menu.

CAUTION

Step 6

56

If the fix plate is used, fix it as below

< Table for labels according to the site of measurement >

ABP Arterial blood pressure Artery group throughout the whole

body (systemic)

CVP Central venous pressure Central vein / atrium group

ICP Intracranial pressure Intracranial group

PAP Pulmonary arterial pressure Pulmonary artery group

(2) Change of IBP Mode

▶ To change IBP Mode, touch the IBP Wave area once.

57

▶ By operating as detailed above, you can select each function of

the IBP mode.

Set Mode Range for Change Explanation

Mode ABP, FEM, PA, CVP, LA,

RA, ICP, SP

Set the level according to the

measurement site of BP.

Change the alarm setting range

according to level.

Speed 6.25, 12.5, 25, 50mm/sec Set the speed of IBP waveform

Scale Maximum / 10 ~ 80mmHg Set the scale of IBP waveform

Center 0 ~ 120mmHg Set the base line of IBP waveform

Calibration Start / Cancel Adjust the zero point of the

transducer

TRACE ON / OFF Set the display of waveform

* Adjust the zeropoint of the transducer : In order to obtain accurate results, make

sure to adjust the zeropoint of the transducer before measuring the patient.

* Fixed : Basic value according to the established label (ABP:0~200,

CVP:0~50, ICP:0~50, PAP:0~50)

<Composition of IBP KIT>

BIOTRANS Model Name Explanation

BT4812-3 IBP D.P.T Monitor kit

AY-IBP-010 IBP Cable Y-Type(Double)

58

EtCO2 Measurement (Optional)

(1) CO2 Gas Measurement

The Resprionics of CO2 Module can be fitted onto BPM-1200(1010).

The Respironics CO2 Provides the function of EtCO2, and the

function to measure respiratory CO2 and respiration number using

the Side Stream/Main Stream.

◈ The maximum sampling rate of the nose tube is 50mL/min. The

product should not applied to patients who may experience

respiratory distress by the vacuum flow level.

◈ To prevent infection of the medical staff by the patient’s

respiration sample, the outlet of BPM-1200(1010) should be

connected to the air elimination system of the hospital.

Connection method (Respironics_Mainstream Co2)

Co2 module connector portion connected "click" until you hear the connections.

(Respironics_Sidestream Co2)

WARNING

59

Co2 module connector portion connected "click" until you hear the connections.

(PHASEIN_Co2)

Co2 module connector portion connected "click" until you hear the connections.

60

(2) Sidestream CO2

A. Connect on side of the gas outlet to the gas outlet of BPM-

1200(1010), and the other side to the air elimination system

of the hospital.

B. Open the spring-type door and connect the Filter-line

appropriately to the equipment. The other end is then

connected to the patient.

◈ The gas inspiring vacuum pressure (negative pressure) of the

gas elimination system should not exceed the pump outlet

standard of BPM-1200(1010), 1mmHg. Excessive pressure will

display the message of “OCCULSION” and it may damage the

BPM-1200(1010) product pump. During zeroing, the air

elimination system should be operating.

C. Respiratory is automatically changed during EtCO2

measurement. After stop the measurement, display the

calibrated impedance of chest.

◈ Connection of all tubes should be safe, and the nose cannula

should be kept away from the CO2-present area during the

warming up period (including the outlet of the ventilator and the

respiration of the user).

◈ Range for Measuring : 0 ~ 150bpm

D. If BPM-1200(1010) senses proper respiratory movement, it

displays EtCO2, FiCO2, and respiration rate after 3 seconds.

E. The respiratory waveform and data of EtCO2 is displayed. If

the waveform does not appear, set the Menu --> EtCO2 --->

TRACE -->ON.

F. If necessary, the size of the CO2 waveform can be adjusted

CAUTION

NOTE

61

using the menu.

◈ Waste from SideStream/MainStream and CO2 filter should be

treated as fatal biological materials for the human body.

(3) CO2 CALIBRATION

The accuracy calibration for the Respironics CO2 is performed once a

year or when the measurement results are not accurate.

◈ For the best accuracy, a warm-up of about 20 minutes is

required.

A. Touch the EtCO2 Graph → Zero Calibration.

B. The message of “CALBRATION IN PROGRESS” will be displayed

on the screen of EtCO2 Wave.

C. The message “Zero In Progress” will be displayed and it means

calibration is completed.

◈ Refer to the following diagrams during the EtCO2 measurement.

* During measurement mode

Massage Explanation

Sensor For Wait Initialize the EtCO2 Module when power on

CAUTION

NOTE

NOTE

62

(It doesn’t measure during this period.)

Check Adaptor Not connected to the accessory

Zero Require Need the Calibration

* During calibration mode

Massage Explanation

Zero In Progress Progressing the CALIBRATION

63

Explanation of ICO (Optional)

(1) ICO Measurement Heart (Left or Right Ventricular) for 1 minute to export this amount of

blood "CO - Cardiac output" is called.

CO units of L / min is.

As a time of ventricular contraction is the release of blood, the amount

of SV (Stroke Volume) is called,

The formula CO = SV x HR will be established.

Thermodilution measurement of the use of ICO, and is measured by

calculating the following:

CO = V x (TB - TI) x (SI x CI) x 60 x CT x K

A (SB x CB) 1

WHERE:

CO = cardiac output

V = volume of injectate (ml)

A = area of thermodilution curve in square mm divided by paper speed (mm/sec)

K = calibration constant in mm/°C

TB, TI = temperature of blood (B) and injectate (I)

SB, SI = specific gravity of blood and injectate

CB, CI = specific heat of blood and injectate

(SI x CI ) = 1.08 when 5% dextrose is used

(SB x CB)

60 = 60 sec/min

CT = correction factor for injectate warming

Catheter's the Edwards Swan-Ganz Standard Thermodilution Pulmonary Artery

Catheter Use.

.

◈ Edward is validated in the company, Bionics other products in

the supply cable or the sensor should not be used ICO

WARNING

64

Connection method

ICO cable in connect to the ICO Terminal. Swan-Ganz Standard Thermodilution Pulmonary Artery Catheter

Thermistor Connector

Thermistor connector cable to connect to the ICO of the Catheter.

ICO screen the feature is activated (ICO automatic measurement)

65

1) ICO injection quantity and the temperature and constant.

2) ICO's measurements, and edit and save information about the measure.

66

Before Requesting After-Sales Service

This section shows how to treat simple problems encountered during

use.

Please check the following points before requesting after-sales service.

▣ Problems in Display

Sign How to treat

The power of the product is

not turned on.

1. Check if the AC power is supplied.

2. Press and hold the power button for 1-2 seconds.

The power of the product

turns off suddenly during us

1. Check if the power is off due to battery release.

2. Check if AC power is supplied to the product

The power of the product

doesn’t turn off

1. Press and hold the power button for 1-2 seconds and then

check the “Power off” massage on the screen.

The waveform is not normal.

1. Check if there is any equipment with a strong magnetism

around the product.

2. Check if the cable connection is stable.

3. Check if the product is grounded.

▣ Problems in ECG / Respiration measurement

Sign How to treat

The message “LEAD FAULT”

is displayed.

1. Check the ECG cable and ensure that the gel in the

electrode is not dry.

2. Try using another ECG cable.

The ECG waveform is not

displayed.

1. Check if the cable connection is stable.

2. Check if the ECG cable is damaged.

Severe noise on the

waveform

1. Check if the electrode attached to the patient is stable.

2. Check if the disposal electrode is one provided by the

company. (Noise may occur according to the kind of

electrode.)

67

▣ Problems in SpO2 Measurement

Sign How to treat

SpO2 measurement is

unstable.

1. Check if the probe is affected by strong light in

the area.

2. Check if the connection is normal; if the red

light of the sensor flickers or does not turn on,

it is an inferior probe.

3. Check if there are any factors interfering with

the patient’s blood flow. (For example, if the

device is connected to the arm being measured

for blood pressure, or if the probe is banded

on the finger for too long a time.)

4. Check if the probe is properly positioned to the

patient.

5. Check if the patient is shaking their finger or

pressing the probe.

6. Check if the probe is damaged.

▣ Problems in NIBP Measurement

Sign How to treat

NIBP measurement is

patient or the unstable.

1. Check if air has leaked out due to bending or

damage of the NIBP cuff or hose.

2. Check if the proper type of cuff is used for the

patient.

3. Check if the posture of the measurement site is

proper.

4. Check if the patient moves during

measurement.

5. Check if the cuff is attached too loose or too

tight.

68

▣ Problems in IBP Measurement

Sign How to teat

Blood pressure

measurement is

unstable.

Pour out the contents of the tube carefully and

remove the bubble, then shorten the tubing length.

Severe noise or bias in

the waveform.

Do not shake or touch the connection area of the

IBP sensor.

▣ Problems in EtCO2 Measurement

Sign How to treat

Check Adaptor The filter-line and Airway Adaptor is not connected

to the main body. Try again.

Failure Contact the agency.

Occlusion

Check if the sampling line and filter is obstructed,

and clean it up if possible. It should be changed if

necessary. To remove this message, disintegrate

the filter-line and then reconnect it.

▣ Problems in PRINTER Measurement (Optional)

Sign How to treat

No printing

1. Check if the message “PRINTER” is displayed

on the screen.

2. Check if the power LED lights up on the printer.

3. Check if the paper is set normally.

4. Check if the printer door is closed.

Noise during printing

1. Check if the roller is contaminated with foreign

materials or if the gear is out of position.

2. Check if the problem is due to a paper jam.

(change the paper)

69

Product Specifications

1) Measurement Parameter

ECG, SpO2, NBP, 4IBP, RESP, 4TEMP, EtCO2, Multi Gas, ICO, HRV,

OXY-CRG, APG detect analysis, ST level display, mini trend, ECG

Recall, Drug Dose, Color change, Temp TD, NIBP Text trend.

2) Monitor Performances Specifications (Display Method)

- TFT Color LCD Display

- Waveform Display Method : Scrolling Method

- Display Size : 12.1inch (10.4inch)

- Resolution : VGA (800Х600)

- Sweep Speed : 3.12, 6.25, 12.5, 25, 50mm/sec

- Display waveform Time : 4 sec

- Waveform Freeze : Function of waveform freeze

- Waveform Display : ECG, SpO2, IBP 4ch, Resp, EtCO2

- Waveform Traces : 12 Trace

- Measurements Value Display : Heart Rate, SpO2, Pulse Rate, NIBP,

IBP, Temp, EtCO2, FiCO2, Multi Gas

3) ECG Measurement

- ECG Lead : 3 lead / 5 lead( I, II, III, / aVR, aVL, aVF, C1 )

10 lead (I, II, III, aVR, aVL, aVF, C1, C2, C3, C4, C5 C6)

- Input : Installed the circuit for protecting form the high frequency

electric potential of ESU, Defibrillator and so on.

- Frequency Filter : High frequency noise remove filter / Install the

50/60Hz power noise remove filter.

- Input Impedance : Greater 5 M ohm (50/60 Hz)

- Input for Initial Electric currency : Below 50 μA

- CMRR : 120dB

- Frequency Bandwidth) : 0.5 ~ 20 Hz, 0.5Hz ~ 40Hz, 0.05Hz ~

80Hz

70

- Gain : 2.5, 5, 10, 15, 20 mm/mV

- QRS Detection range : -0.5mVpp ~ + 5mVpp

- ST-Level : -0.2mV ~ +0.2mV(Max : 0.01mV~0.99mV ,

Min : -0.99mV~ 0.01mV)

- Alarm Range : High alarm limit : 10~300bpm ,

Low alarm limit : 5~295bpm

- ARRHYHMIA Detect

① Asystole

② Ventricular Tachycardia

③ Ventricular Bradycardia

④ Ventricular Fibrillation

⑤ PVC

⑥ R-on-T

⑦ Missed Beat

⑧ Tachycardia

⑨ Bradycardia

⑩ Bigeminy

⑪ Trigeminy

⑫ Couplet

4) HR (Heart RATE)

- Measurement Range : 0 ~ 300bpm

- Accuracy : ± 2bpm (Measurement Value)

- HR Calculation : 4 ~ 16QRS wave

- Alarm Range : High alarm limit - 10 ~ 300, OFF

Low alarm limit - 5 ~ 295

5) SpO2, Pulse Oximetery

- Measurement Range : 0~ 100%SpO2

- Accuracy : 70 ~ 100% SpO2 : ± 2%

50 ~ 69% SpO2 : ± 3%

0~ 49% SpO2 : Unspecified

71

- Alarm Range : High limit - 21 ~ 99%, OFF SpO2

Low limit - OFF, 20 ~ 98% SpO2

- Pulse Range : 0 ~ 300bpm

- Pulse measurement Accuracy : ±2 bpm

- Low Perfusion : 0.1% up to

6) NIBP (Non-invasive Blood Pressure Measurement)

- Measurement Method : Oscillometric, Automatic measurement

- Display Value : Systolic, Diastolic, Mean Pressure

- Measurement Range :

PRESSURE ADULT NEONATE

SYSTOLIC 60~270 mmHg 50~130 mmHg

MEAN 45~255 mmHg 40~120 mmHg

DIASTOLIC 40~245 mmHg 30~100 mmHg

- Accuracy : 0~200mmHg : ± 3mmHg ,

200~270mmHg : ± 4mmHg

- Range : 0~300mmHg

- Alarm Range

NIBP

[mmHg]

Display High Low

Systolic 40 ~ 295, OFF OFF, 30 ~ 290

Diastolic 30 ~ 285, OFF OFF, 20 ~ 280

Mean 35 ~ 290, OFF OFF, 25 ~ 285

-Auto Pressure : Manual, Automatic (1~59Min,1~12Hour interval)

-Measurement Sensitivity : 1mmHg

7) Respiration

- Measurement Range : 0 ~ 150 bpm

- Accuracy : ± 2 bpm

- Measurement Sensitivity : 1bpm

- Apnea Alarm Range : OFF, 10 ~ 60sec

- Apnea Alarm Range : High : 5~149 , low : 1~145

72

8) IBP (Invasive Blood Pressure) – Optional

- Measurement Range : -50 ~ 400mmHg

- Accuracy : ± 2mmHg

- Measurement Sensitivity : 1mmHg

- Alarm Range

IBP

[mmHg]

Display High Low

Systolic 40 ~ 295, OFF OFF, 30 ~ 290

Diastolic 30 ~ 285, OFF OFF, 25 ~ 280

Mean 35 ~ 290, OFF OFF, 30 ~ 285

9) Temp

- Measurement Range : 0 ~ 50℃

- Measurement Sensitivity : 0.1℃

- Accuracy : ± 0.1℃ (25.0 ~ 50.0℃)

± 0.2℃ (0.0 ~ 24.9℃)

- Alarm range : High alarm limit 20.0℃ ~ 49.0℃

Low alarm limit 10.0℃ ~ 40.0℃

10) EtCO2 : End-Tidal CO2 – Optional

- Transducer Type: Mainstream/Sidestream CO2 Sensor

- Range : 0~150mmHg(0~19.7%)

- Measurement Temperature : 0~45℃

- Accuracy:

- Alarm Range : High: 2~99mmHg , Low : 1~98mmHg

CO2 Density Accuracy

0~40mmHg ±2mmHg

41~70mmHg ±5% of reading

71~100mmHg ±8% of reading

101~150mmHg ±10% of reading

73

11) Multi Gas – Optional

- Transducer Type: Mainstream CO2 Sensor

- Range(Accuracy) :

Co2 : 0~15% ±(0.2% +2% of reading)

N20 : 0~100% ±(2% +2% of reading)

HAL, ISO, ENF : 0 ~ 8% ±(0.15% +5% of reading)

SEV : 0~10% ±(0.15% +5% of reading)

DES : 0~22% ±(0.15% +5% of reading)

- Measurement Temperature : 0~45℃

- Alarm Range :

Co2 High: 1~15% , Low : 0~14%

N20 High: 1~100% , Low : 0~99%

HAL, ISO, ENF High: 1~8% , Low : 0~7%

SEV High: 1~10% , Low : 0~9%

DES High: 1~22% , Low : 1~21%

12) Cardiac Output - Optional

- Measurement Method : Thermodilution

- Measurement range : 0.1 ~ 20 L/min

- Repeatability : 2% or 0.2 L/min

- Injectate temperature range : 0 ~ 27 ℃

- Blood temperature range : 30 ~ 40 ℃

- Injectate volume: 3, 5, 10cc

- Catheter : Swan-Ganz Standard Thermodilution

Pulmonary Artery Catheter

(Edward’s Life Sciences)

13) Printer – Optional

- Print Method : Thermal

- Type : Internal

- Paper width : 58 mm

- Valid Width : 150 ~ 300mm (Change to 25mm unit)

- Wave Printer : 3CH (All Parameter Selection.)

74

14) Trend

- Parameter : Heart Rate, SpO2, Pulse Rate, NIBP, IBP,

Temperature, EtCO2

- 720 Hours (1 minute step : Saving data 43,200ea)

15) Interface

- RS-232C port (SW Update)

- SD Port (SW Update or Trend Data Backup)

- LAN Port (Central Monitor)

- VGA Port (Display Transferring)

16) Physical Specifications

- Size: 310 × 160 × 290 ㎜ (W×D×H)

- Weight : 7.0Kg(Include battery)

- Power Requirement : 100~240 V~ , 50/60 ㎐ , 120VA

- Battery: LI-Ion , 10.8Vd.c , 2600mAh

Optional (Battery 2Pack : 10.8Vd.c 4400mAh x 2)

17) Operating Environment - Temperature : (Operating : 10°C ~ 45°C / Storage : -10°C ~ 50°C)

- Humidity : (Operating : 30 ~ 85% / Storage : 20 ~ 95%)

- Atmospheric Pressure : (Operating : 70 ~ 106kPa

/ Storage : 50 ~106kPa)

18) Standard Accessories

- Patient Cable 1 ea

- NIBP cuff for adult 1 ea

- Hose for NIBP cuff 1 ea

- Power Code 1 ea

- Electrode (5pcs/set) 1 set

- SpO2 Sensor (Reusable) 1 ea

- Operation Manual 1 copy

75

19) Option

- ECG Cable (3 lead type)

- ECG Cable (10 lead)

- SpO2 Extension Cable

- Press Measuring Kit

- Printer Module

- Roll Paper

- EtCO2 Kit set (EtCO2 when installing)

- 3M Electrode (50 PCS/1SET)

- Battery

- TROLLEY (=CART)

- Wall Mount

- SKIN/ TEMP PROBE

- DISPOSABLE SpO2 SENSOR

- NIBP CUFF for Child

- NIBP CUFF for Neonate

76

Product Name Patient Monitor

Model Code BPM-1200(1010)

(BRAND NAME : PATRON(MATRON)

Manufacture Approval No.

Manufacture Approval Date

Manufacture Serial No.

Warranty Period One year after the purchase date

Purchase Date Date Month Year

Customer

Information

Name of

Hospital

Address

Name

Tel Tel) Fax)

Name of Distributor

Name of Manufacture BIONICS Co., Ltd.

● Thank you for using BPM-1200(1010).

● Only the products that have Passed our extensive and thorough

quality tests are offered to our customers.

● This product is a medical device.

● Our policies on repairing, exchange and refund complies with”

Regulation on Consumer Protection & Compensation Standards”

issued by Economic Planning Board of Korea.

Product Warranty

0120