Bionics Patient Monitor Series User manual

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
◆ D e s c r i p t i o n o f P r o d u c 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)
This manual suits for next models
2
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