Bionet BM5 User manual

Rev. 3.0
BM5 (CS, CX) User’s Manual
Patient Monitor
Rev. 3.1

Rev. 3.1 1
BM5 (CS,CX) User’s Manual
Table of Contents
BM5 (CS, CX) User’s Manual ............................................................................................... 0
Table of Contents.............................................................................................................................1
1. BASIC................................................................................................................................. 8
1.1 CE Standard Information.........................................................................................................9
1.2 Read before Use.......................................................................................................................10
How to Contact Us .....................................................................................................................................10
Warranty Period..........................................................................................................................................11
Warning, Caution, Note..............................................................................................................................12
General Precaution on Environment...........................................................................................................13
General Precaution on Electric Safety........................................................................................................18
Manufacturer’s declaration - electromagnetic emission ................................................ 19
Cleaning Applied Parts...............................................................................................................................27
1.3 Product Components...............................................................................................................29
Product Outline...........................................................................................................................................29
Principal Characters of Product..................................................................................................................29
Product Configuration ................................................................................................................................30
Option Product ...........................................................................................................................................30
Accessories.................................................................................................................................................33
Equipment Sign ..........................................................................................................................................34
1.4 Function and Key ....................................................................................................................37
External Function .......................................................................................................................................37
Operation Key ............................................................................................................................................37
1.5 Standard Power Supply Application .....................................................................................39
DC Power ...................................................................................................................................................39
1.6 Battery Power Supply Application ........................................................................................40
Operation....................................................................................................................................................40
The Impact of Lithium-Ion Battery Technology on the Battery.................................................................42
Conditioning Guideline ..............................................................................................................................42

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Storage Guideline.......................................................................................................................................42
How to Recycle the Battery........................................................................................................................42
To insert and remove the battery pack........................................................................................................43
1.7 General Manu Operation........................................................................................................44
Screen Composition....................................................................................................................................44
Menu Selection...........................................................................................................................................47
Menu Composition.....................................................................................................................................47
2. PATIENT/DATA MANAGEMENT ................................................................................. 50
2.1 ADMIT.....................................................................................................................................52
ADMIT TYPE............................................................................................................................................52
CHANGE ADMIT INFO...........................................................................................................................53
DISCHARGE.............................................................................................................................................54
ADMIT.......................................................................................................................................................54
HEIGHT.....................................................................................................................................................55
WEIGHT ....................................................................................................................................................55
DEFAULT SETTING ................................................................................................................................56
DRUG CALCULATION ...........................................................................................................................56
CHANGE VLAUE.....................................................................................................................................56
TITRATION TABLE.................................................................................................................................57
DRUG QTY RANGE.................................................................................................................................58
2.2 ALARM....................................................................................................................................60
Alarm for the Product.................................................................................................................................60
ALL LIMITS..............................................................................................................................................61
ALARM PRINT.........................................................................................................................................62
ALARM VOLUME....................................................................................................................................63
ALARM REVIEW.....................................................................................................................................63
ALARM LIST............................................................................................................................................64
SAVING CONDITION..............................................................................................................................65
ECG WAVE SELECT (ALARM LIST ECG LEAD SELECT)................................................................66
ARRHYTH LEVEL ...................................................................................................................................66
NURSE CALL ...........................................................................................................................................67
3. SETUP.............................................................................................................................. 69
3.1 SETUP......................................................................................................................................70

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DISPLAY...................................................................................................................................................70
SET PARA .................................................................................................................................................70
WAVE SELECT .........................................................................................................................................71
SET DATE & TIME...................................................................................................................................74
SET TIME..................................................................................................................................................74
SET DATE..................................................................................................................................................74
COLOR SELECT.......................................................................................................................................75
HR/PR SELECT.........................................................................................................................................76
SET SWEEP...............................................................................................................................................76
DEMO........................................................................................................................................................77
KEY SOUND .............................................................................................................................................77
UNIT SELECT...........................................................................................................................................77
USER SERVICE ........................................................................................................................................79
SET UNIT NAME......................................................................................................................................79
SET BED NUMBER..................................................................................................................................80
AC FILTER................................................................................................................................................80
W-LAN.......................................................................................................................................................80
SYSTEM ....................................................................................................................................................81
MAKER SERVICE....................................................................................................................................81
FREEZE MENU.........................................................................................................................................81
4. TREND ............................................................................................................................. 82
4.1 TREND.....................................................................................................................................83
GRAPHIC TREND ....................................................................................................................................84
TIME PERIOD...........................................................................................................................................85
TABULAR TREND...................................................................................................................................86
TIME INTERVAL .....................................................................................................................................87
TREND WINDOW SETUP.......................................................................................................................87
TIME PERIOD...........................................................................................................................................88
SET TREND PARA...................................................................................................................................89
TREND PRINT ..........................................................................................................................................89
5. ECG................................................................................................................................... 90
5.1 Introduction.............................................................................................................................91
Colors and Standards of Cables..................................................................................................................91
Position of ECG Connector and Measuring Cable.....................................................................................92

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Attaching Electrodes to the Patient.............................................................................................................92
Choosing an ECG lead for Arrhythmia Monitoring ...................................................................................93
Information on the ECG waveform............................................................................................................94
10 Position of 10-Lead ...............................................................................................................................94
5 Position of 5-Lead ...................................................................................................................................94
Position of 3-Lead Wrier Electrode............................................................................................................95
How to Attach the NEONATE Electrode ...................................................................................................95
5.2 ECG Data Window..................................................................................................................96
5.3 ECG Data Setup ......................................................................................................................99
QRS VOLUME ........................................................................................................................................101
DISPLAY.................................................................................................................................................101
ECG SWEEP SPEED...............................................................................................................................102
ECG SIZE.................................................................................................................................................102
VIEW ECG...............................................................................................................................................102
ANALYSIS SETTING.............................................................................................................................103
12 CH ECG ANALYSIS..........................................................................................................................109
6. SpO2................................................................................................................................ 122
6.1 Outline....................................................................................................................................123
SpO2 Connector Location and Measuring Cable .....................................................................................123
6.2 SpO2 Data Window...............................................................................................................124
Signal and Data Validity...........................................................................................................................125
6.3 SpO2Data Setup....................................................................................................................127
RATE VOLUME......................................................................................................................................127
ALARM....................................................................................................................................................127
LEAD FAULT Condition.........................................................................................................................129
SPO2 Messages ........................................................................................................................................129
7. RESPIRATION .............................................................................................................. 130
7.1 Outline....................................................................................................................................131
7.2 Respiration Data Window ....................................................................................................133
7.3 Respiration Data Setup.........................................................................................................134
RESPIRATION SPEED...........................................................................................................................134
RESPIRATION........................................................................................................................................135

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APNEA DETECT ....................................................................................................................................135
LEAD SELECT........................................................................................................................................136
ALARM....................................................................................................................................................136
8. NIBP ............................................................................................................................... 138
8.1 Outline....................................................................................................................................139
8.2 NIBP Data Window...............................................................................................................141
8.3 NIBP Data Setup....................................................................................................................142
ALARM....................................................................................................................................................142
NIBP STAT..............................................................................................................................................143
CUFF SIZE...............................................................................................................................................144
UNIT SELECT.........................................................................................................................................144
INTERVAL..............................................................................................................................................145
INFLATION.................................................................................................................................145
9. IBP.................................................................................................................................. 148
9.1 Description.............................................................................................................................149
9.2 IBP Data Window..................................................................................................................152
9.3 IBP Data Setting ....................................................................................................................153
10. EtCO2............................................................................................................................ 162
10.1 Introduction.........................................................................................................................163
10.2 EtCO2 Parameter Window.................................................................................................168
10.3 EtCO2 Parameter Setting Menu........................................................................................169
EtCO2 SWEEP SPEED............................................................................................................................170
WAVEFORM SCALE (Measured waveform scale setting) ....................................................................171
ZERO .......................................................................................................................................................171
SETTINGS (Various setting) ...................................................................................................................172
MODULE INFO.......................................................................................................................................175
MODULE RESET....................................................................................................................................176
APNEA DETECT ....................................................................................................................................176
10.4 TROUBLESHOOTING......................................................................................................178
11. TEMPERATURE.......................................................................................................... 179

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11.1 Outline..................................................................................................................................180
11.2 Temperature Data Window................................................................................................181
11.3 Temperature Data Setup ....................................................................................................182
ALARM....................................................................................................................................................182
UNIT SELECT.........................................................................................................................................183
12. PRINT........................................................................................................................... 184
12.1 Print......................................................................................................................................185
Printer and Heat Sensitivity Paper............................................................................................................185
Function and Setup Menu.........................................................................................................................186
PRINTER TIME.......................................................................................................................................188
PRINTER KEY.....................................................................................................................................188
Thermal Paper Storage...............................................................................................................189
12.2 Paper Change.......................................................................................................................191
13. MESSAGE LIST .......................................................................................................... 192
14. DEFAULT SETTING VALUE..................................................................................... 193
14.1 Adult-ICU Mode..................................................................................................................193
Alarm level...............................................................................................................................................193
Parameter Limits ......................................................................................................................................194
Display......................................................................................................................................................195
14.2 Neonate-ICU Mode..............................................................................................................196
Alarm level...............................................................................................................................................196
Parameter Limits ......................................................................................................................................197
Display......................................................................................................................................................198
14.3 Pediatric-ICU Mode............................................................................................................199
Alarm level...............................................................................................................................................199
Parameter Limits ......................................................................................................................................200
Display......................................................................................................................................................201
15. TROUBLE SHOOTING .............................................................................................. 202
15.1 Noise in ECG........................................................................................................................202
15.2 SpO2 malfunction................................................................................................................203

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15.3 Temp malfunction ...............................................................................................................203
15.4 NIBP malfunction................................................................................................................204
15.5 Abnormality in NIBP measurements.................................................................................204
15.6 Failure in battery recharge.................................................................................................205
15.7 Power failure........................................................................................................................206
15.8 Periodic noises......................................................................................................................207
15.9 Print failure..........................................................................................................................208
16. SPECIFICATION........................................................................................................ 209
Ease of use................................................................................................................................................210
Additional Function..................................................................................................................................210
Monitor Environmental Specifications.....................................................................................................210
Power........................................................................................................................................................210
Specification.............................................................................................................................................210
Accessories Included:...............................................................................................................................213
Option.......................................................................................................................................................213
Abbreviations and Symbols................................................................................................ 214
PRODUCT WARRANTY ................................................................................................... 217

Rev. 3.1 1.BASIC 8
BM5 (CS,CX) User’s Manual
1. BASIC
1.1 CE Standard Information
1.2 Read before Use
Warranty Period
Warning, Caution, Note
General Precaution on Environment
General Precaution on Electric Safety
Equipment Connection, Maintenance & Washing Equipment Connection
1.3 Product Components
Product Outline
Principal Characteristics of Product
Product Configuration and Option Product
Product Body Configuration
1.4 Function and Key
External Function
Operation Key
1.5 Standard Power Supply Application
1.6 Battery Power Supply Application
1.7 General Menu Operation
Screen Composition
Menu Selection
Menu Composition

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BM5 (CS,CX) User’s Manual
1.1 CE Standard Information
Electromechanical safety standards met:
- EN 60601-1: 1990 + A1:1993 + A2: 1995 + A13:1996 Medical Electrical Equipment, Part 1,
General Requirements for Safety.
- IEC/EN 60601-1-2 :2001 Electromagnetic compatibility -Requirements and tests.
- EN 1060-1:1995 Non-invasive sphygmomanometers - Part 1: General requirements
- EN 1060-3:1997 Non-invasive sphygmomanometers - Part 3: Supplementary requirements for
electro-mechanical blood pressure measuring systems
- EN ISO 9919:2005 Medical electrical equipment - Particular requirements for the basic safety and
essential performance
of pulse oximeter equipment for medical use (ISO 9919:2005)
- EN 60601-2-27:2006 Medical electrical equipment - Part 2-27: Particular requirements for the
safety, including essential performance,
of electrocardiographic monitoring equipment
- EN 60601-2-30:2000 Medical electrical equipment - Part 2-30: Particular requirements for the
safety, including essential performance,
of automatic cycling non-invasive blood pressure monitoring equipment
- EN 60601-2-34:2000 Medical electrical equipment - Part 2: Particular requirements for the safety,
including essential performance, of invasive blood pressure monitoring equipment
- EN 12470-4:2001 Clinical thermometers - Part 4: Performance of electrical thermometers for
continuous measurement
- EN 60601-2-49:2001 Medical electrical equipment - Part 2-49: Particular requirements for the
safety of multifunction patient monitoring equipment

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BM5 (CS,CX) User’s Manual
1.2 Read before Use
BIONET services are always available to you.
The followings are address and phone number for contacting information, services, and product
supplies.
How to Contact Us
Product Supply
Information
Bionet Ltd. –Sales Department
#1101 ,11F E&C Venture Dream Tower3 38-21, Digital-Ro, 31-Gil,
Guro-Gu, Seoul , REPUBLIC OF KOREA (ZIP 152-050)
Overseas sales dept.
Tel:++82-2-6300-6418
Fax : ++82-2-6300-6454
E-mail : [e-mail]
URL : http:// www.ebionet.com
※In the event of malfunction or failure, contact us along with the model name, serial number, and
product name of the equipment.
※If you need the supply circuit diagram, component list, description and calibration
instruction etc. you can contact us we will provide you with it.
The information in this manual only applies to BM5CS/CX patient monitor software version
1.01 . Due to continuing product innovation, specifications in this manual are subject to
change without notice.

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BM5 (CS,CX) User’s Manual
Warranty Period
This product is manufactured and passed through strict quality control and through
inspection.
Warranty period is 1 year.(Two year in Europe).
We will repair or replace any part of the BM5 (CS, CX) found to be defective in usual
operating circumstance for free to you.
This warranty does not apply to any defect caused by improper abuse, misuse or exposure to
poor management.

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BM5 (CS,CX) User’s Manual
Warning, Caution, Note
For special emphasis on agreement, terms are defined as listed below in user’s manual. Users
should operate the equipment according to all the warnings and cautions.
Warning
To inform that it may cause serious injury or death to the patient, property damage, material
losses against the “warning” sign
Caution
To inform that it may cause no harm in life but lead to injury against the “caution” sign
Note
To inform that it is not dangerous but important “note” sign for proper installation, operation, and
maintenance of the equipment.

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BM5 (CS,CX) User’s Manual
General Precaution on Environment
- Do not keep or operate the equipment in the environment listed below.
Avoid placing in an area
exposed to moist.
Do not touch the equipment
with wet hand.
Avoid exposure to direct
sunlight
Avoid placing in an area
where there is a high variation
of temperature.
Operating temperature
ranges from 10(C to
40(C. Operating humidity
ranges from 30% to 85%.
Avoid in the vicinity of
Electric heater
Avoid placing in an area where
there is an excessive
humidity rise or ventilation
problem.
Avoid placing in an area
where there is an
excessive shock or
vibration.
Avoid placing in an area where
chemicals are
stored or where there is danger
of gas leakage.
Avoid being inserted
dust and especially
metal
material into the
equipment
Do not disjoint or disassemble
the equipment.
We take no responsibility for it.
Power off when the
equipment is not fully
installed.
Otherwise, equipment
could be damaged.

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BM5 (CS,CX) User’s Manual
CAUTIONS
Before Installation
Compatibility is critical to safe and effective use of this device. Please contact your local sales or
service representative prior to installation to verify equipment compatibility.
Defibrillator Precaution
Patient signal inputs labeled with the CF and BF symbols with paddles are protected against
damage resulting from defibrillation voltages. To ensure proper defibrillator protection, use only the
recommended cables and lead wires.
Proper placement of defibrillator paddles in relation to the electrodes is required to ensure
successful defibrillation.
Disposables
Disposable devices are intended for single use only. They should not be reused as performance
could degrade or contamination could occur.
Disposal of your old appliance
1. When this crossed out wheeled bin symbol is attached to a product it means
the product is covered by the European Directive 2002/96/EC.
2. All electrical and electronic products should be disposed of separately from
the municipal waste stream via designated collection facilities appointed by
the government or the local authorities.
3. The correct disposal of your old appliance will help prevent potential negative
consequences for the environment and human health.
4. For more detailed information about disposal of your old appliance, please
contact your city office, waste disposal service or the shop where you
purchased the product.
Electrocute Precautions
To prevent skin burns, apply electrocute electrodes as far as possible from all other electrodes, a
distance of at 15 cm/6 in. is recommended.

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BM5 (CS,CX) User’s Manual
EMC
Magnetic and electrical fields are capable of interfering with the proper performance of the device.
For this reason make sure that all external devices operated in the vicinity of the monitor comply with
the relevant EMC requirements. X-ray equipment or MRI devices are possible source of interference
as they may emit higher levels of electromagnetic radiation.
Also, keep cellular phones to other telecommunication equipment away from the monitor.

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BM5 (CS,CX) User’s Manual
CAUTIONS
Instruction for Use
For continued safe use of this equipment, it is necessary that the instructions are followed. However,
instructions listed in this in no way supersede established medical practices concerning patient care.
Loss of Data
Should the monitor at any time temporarily lose patient data, the potential exists that active
monitoring is not being done. Close patient observation or alternate monitoring devices should be
used until monitor function is restored.
If the monitor does not automatically resume operation within 60 seconds, power cycle the monitor
using the power on/off switch. Once monitoring is restored, you should verify correct monitoring
state and alarm function.
Maintenance
Regular preventive maintenance should be carried out annually (Technical inspections). You are
responsible for any requirements specific to your country.
MPSO
The use of a multiple portable socket outlet (MPSO) for a system will result in an enclosure leakage
current equal to the sum of all individual earth leakage currents of the system if there is an
interruption of the MPSO protective earth conductor. Do not use an additional extension cable with
the MPSO as it will increase the chance of the single protective earth conductor interruption.
Negligence
BIONET does not assume responsibility for damage to the equipment caused by improperly vented
cabinets, improper or faulty power, or insufficient wall strength to support equipment mounted on
such walls.

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NOTES
Power Requirements
Before connecting the device to the power line, check that the voltage and frequency. Ratings of the
power line are the same as those indicated on the unit’s label. If this is not the case, do not connect
the system to the power line until you adjust the unit to match the power source.
In U.S.A, if the installation of this equipment will use 240V rather than 120V, the source must
be a center-tapped, 240V, single-phase circuit.
Restricted Sale
U.S.A federal law restricts this device to sale by or on the order of a physician.
Supervised Use
This equipment is intended for use under the direct supervision of a licensed health care practitioner.
Ventilation Requirements
Set up the device in a location which affords sufficient ventilation. The ventilation openings of the
device must not be obstructed. The ambient conditions specified in the technical specifications must
be ensured at all times.
·Put the monitor in a location where you can easily see the screen and access the operating controls.
·This product is protected against the effects of cardiac defibrillator discharges to ensure proper
recovery, as required by test standards. (the screen may blank during a defibrillator discharge but
recovers within second as required by test standards.)
Reference Literature
Medical Device Directive 93/42/EEC
EN 60601-1/1990 +A1: 1993 +A2 : 1995 : Medical electrical equipment.
General requirements for safety
EN 60601-1-1/9. 1994 +A1 12.95: General requirements for safety.

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BM5 (CS,CX) User’s Manual
General Precaution on Electric Safety
Warning
BM5 OPERATION MANUAL
Check the item listed below before operating the equipment.
NOT
1. Be sure that AC power supply line is appropriate to use. (AC100 - 240V)
2. Be sure that the power source is the one supplied from Bionet. (DC18V, 2.5A, MW160KA1803)
3. Be sure that the entire connection cable of the system is properly and firmly fixed.
4. Be sure that the equipment is completely grounded. (If not, there might be the problem occur in
the product.)
5. The equipment should not be placed in the vicinity of electric generator, X-ray, broadcasting
apparatus to eliminate the electric noise during operation. Otherwise, it may cause incorrect result.
Note
The Equipment should be placed far from generator, X-ray equipment, broadcasting equipment
or transmitting wires, so as to prevent the electrical noises from being generated during the
operation, When these devices are near the Equipment, it can produce inaccurate
measurements. For BM5 (CS, CX) both independent circuit and stable grounding are
essentially required. In the event that the same power source is shared with other electronic
equipment, it can also produce inaccurate output.
Warning
Do not contacts with the patient while operate the machine It may cause serious danger to the
users. Use only the provided cable.
A warning that other cables and accessories may negatively affect EMC performance
Warning
In case the Equipment does not operate as usual or damaged, do not use on patient, and
contact to the medical equipment technician of the hospital or the equipment supply division.

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Note
BM5 (CS, CX) is classified as follows:
- BM5 (CS, CX) classifies as Class I, BF & CF concerning electric shock. It is not proper to
operate this Equipment around combustible anesthetic or dissolvent.
- Noise level is B class regarding IEC/EN 60601-1 and the subject of Nose is B level concerning
IEC/EN60601-1-2.
Equipment Connection
For measurements in or near the heart we recommend connecting the monitor to the potential
equalization system. Use the green and yellow potential equalization cable and connect it to the pin
labeled with the symbol .
Manufacturer’s declaration - electromagnetic emission
The BM5 system is intended for use in the electromagnetic environment specified below. The
customer or the user of BM5 system should assure that it is used in such an environment
Emission test
Compliance
Electromagnetic environment - guidance
RF emissions
CISPR 11
Group 1
The BM5 system uses RF energy only for its
internal function. Therefore. Its RF emissions are
very low and are not likely to cause any
interference in nearby electronic equipment
RF emissions
CISPR 11
Class B
The BM5 system is suitable for use in all establi
shments other than domestic and those directly
connected to the public low-voltage power sup
plies buildings used for domestic purposes.
Harmonics emission
IEC 61000-3-2
A
Voltage fluctuation
IEC 61000-3-3
Complies