Bistos BT-750 User manual

Operational Manual
Distributor : BISTOS Co., Ltd.
7th FL., A Bldg., Woolim Lions Valley 5-cha, 302, Galmachi-ro, Jungwon-gu,
Seongnam-si, Gyeonggi-do , Korea
(Manufacturer) : INFUNIX Technology Co., Ltd.
2F, Joong-il B/D, 13, Wangsimni-ro 4ga-gil, Seongdong-gu, Seoul, Korea
B
BT T- -7 75 50 0

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Contents
GENERAL ..............................................................................................................................................5
WARRANTY...........................................................................................................................................6
SERVICE REQUIREMENTS..................................................................................................................6
HOW TO CONTACT US.........................................................................................................................7
CH. 1 HOW TO USE THIS MANUAL..................................................................................................8
1.1 CONTENTS OF MANUAL....................................................................................................................8
1.2 MEANING OF SYMBOLS USED IN THIS MANUAL ..................................................................................9
CH. 2 OPERATIONAL DO’S AND DON’TS......................................................................................10
2.1 DON’TS IN OPERATIONAL ENVIRONMENT.........................................................................................10
2.2 CAUTIONS FOR ELECTRICAL SAFETY ..............................................................................................11
2.3 CLASSIFICATIONS ..........................................................................................................................11
2.4 MAINTENANCE AND CLEANING........................................................................................................12
CH. 3 INTRODUCTION OF BT-750 ..................................................................................................14
3.1 FEATURE BT-750..........................................................................................................................14
3.2 COMPOSITION ...............................................................................................................................14
3.3 COMPONENTS ...............................................................................................................................15
3.4 DESCRIPTION OF PRODUCT SYMBOLS ............................................................................................19
3.5 DESCRIPTION OF EQUIPMENT SYMBOLS..........................................................................................19
CH.4 HOW TO SET BT-750 ..............................................................................................................20
4.1 SETTINGS .....................................................................................................................................20
CH.5 BT-750 GENERAL OPERATION .............................................................................................23
5.1 PRIOR TO THE USE OF BT-750.......................................................................................................23
5.2 BT-750 SERIES OPERATION ........................................................................................................23
5.3 BT-750 SERIES OPERATION NOTICE ............................................................................................23
5.4 TURN OFF THE MONITOR ................................................................................................................24
5.5 BASIC SCREEN..............................................................................................................................24
5.6 BASIC OPERATION.........................................................................................................................25
CH.6 MEASUREMENT OF EACH MODULE....................................................................................26
6.1 MEASUREMENT OF ECGAND RESPIRATION ....................................................................................26

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6.2 PREPARATION FOR SPO2MEASUREMENT .......................................................................................28
6.3 SETTING NIBP..............................................................................................................................30
6.4 TEMPERATURE MEASUREMENT ......................................................................................................31
6.5 IBPMEASUREMENT.......................................................................................................................32
6.6 ETCO2MEASUREMENT (OPTIONAL)...............................................................................................36
CH 7. THE SYSTEM SETUP.............................................................................................................40
7.1ADJUSTING THE SYSTEM SETUP.....................................................................................................40
7.2 THE MODIFICATION OF SYSTEM SETUP (2ND DISPLAY WINDOW) ..........................................................41
CH.8 ALARM SETUP........................................................................................................................42
8.1 MODIFICATION DISPLAY WINDOW FOR 1ST SETUP.............................................................................42
8.2 MODIFICATION DISPLAY WINDOW FOR THE 2ND SETUP......................................................................43
CH.9 ECG1,ECG2 SETUP ................................................................................................................44
9.1 ECG MENU DISPLAY .....................................................................................................................44
9.2 ECG2 MENU DISPLAY ...................................................................................................................45
CH.10 RESPIRATION MEASUREMENT ..........................................................................................48
10.1 RESPIRATION MENU DISPLAY .......................................................................................................48
CH.11 SETUP FOR SPO2 MEASUREMENT....................................................................................49
11.1 SPO2 MENU DISPLAY ..................................................................................................................49
CH.12 NIBP SETUP ..........................................................................................................................50
12.1 NIBP MENU DISPLAY...................................................................................................................50
CH.13 IBP SETUP.............................................................................................................................51
13.1 IBPMENU DISPLAY .....................................................................................................................51
CH.14 TEMPERATURE SETUP........................................................................................................53
14.1 TEMPERATURE SETUP DISPLAY.....................................................................................................53
CH.15 ETCO2 SETUP.......................................................................................................................54
15.1 CO2 SETUP DISPLAY...................................................................................................................54
CH. 16 TREND SETUP......................................................................................................................55
16.1 TREND DISPLAY ...........................................................................................................................55
CH.17 PRINTER SETUP...................................................................................................................56

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17.1 PRINTER MENU DISPLAY..............................................................................................................56
CH.18 DEFAULT SETUP...................................................................................................................57
18.1 DEFAULT SETUP ..........................................................................................................................57
CH.19 ALARM...................................................................................................................................60
19.1AUDIOALARM..........................................................................................................................60
19.2ALARM ICON................................................................................................................................60
19.3 SETTING UP ALARM HOLD............................................................................................................62
CH. 20 POWER .................................................................................................................................62
20.1AC POWER .................................................................................................................................62
20.2 BATTERY CHARGE........................................................................................................................62
20.3 BATTERY TYPE.............................................................................................................................63
CH. 21 EXTERNAL INTERFACE......................................................................................................64
CH. 22 TROUBLE SHOOTING GUIDE.............................................................................................65
CH. 23 BT-750(PATIENT MONITOR) SPECIFICATIONS.................................................................67
CH. 24 BT-750(PATIENT MONITOR) LIST OF STANDARDS .........................................................72

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GENERAL
Thank you for using BT-750 (Patient monitor). Please read this Operational Manual
carefully before operating this equipment for proper handling and maintenance, and
get familiar with all function and features of this equipment for safe handling and
reliable performance.
Please try to fully understand the features, operation and maintenance methods of this
equipment prior to actual operation by reading this manual thoroughly. This is the only
way to insure safe operation and reliable performance of the equipment for a long tim
e.
BISTOS provides reliable products only to our customers.
All of installing, assembling, extending, adjusting or repairing of this equipment
shall be carried out only by the service personnel authorized by our company.
Electrical connection or installation location has to comply with relevant regulati
ons.
Operate the equipment as directed by this manual.
In the event this equipment needs to be used by connecting with other equipment
that is not listed in this manual, be sure to notify us or our authorized dealers for
proper measures.
This is operation instructions and the products are protected by the Copyright Act.
No part of this instruction and the products may be reproduced or transmitted in any form or
by any means, electronic or mechanical recording, or any information storage and retrieval
system, without permission in writing from manufacturer. This operation instruction and the
products may contain printing or technical errors and are subject to change without notice.
Please do not alter or modify the products. Please do not use the product other than
normal purpose.
BISTOS is not reliable for damage caused by the use of the persons without appropriate
medical license or education.

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WARRANTY
This product is manufactured with the thorough quality control and strict inspection.
BISTOS warrants the product a period of one year.
But, LCD, Battery, SpO2probe, Adaptor and Accessory’s warranty is for 6 months.
For the malfunction or failure of the equipment under the normal handling,
BISTOS will repair without charge through our Service Center during the warranty
period.
In the event of a malfunction or failure, contact us with the model name, serial nu
mber, date of purchase and detail description of technical failure.
The repair shall be done with charge for the following malfunction or failure :
-> Natural disaster like fire, earthquake, lighting strike and etc.
-> Improper or inadequate movement and operation with careless handling
-> Repair or alter by the personnel without the authority from BISTOS for the Service
Requirement, the following is requested.
-> When found with malfunction, immediately stop operating and check again the manual
carefully.
-> Before service request, contact our service dept. after gathering the information of the
model, serial number, purchasing date and detail description of technical failure.
SERVICE REQUIREMENTS
The personnel authorized by BISTOS or its Customer Service Dept. is only qualified to
conduct repair service. In the event that the unauthorized person already performed
or attempt to repair, it causes the due warranty period as invalid.
For the service requirement from Customers Service Dept. from BISTOS or the authori
zed agent is liable for the service.
The prompt and satisfactory maintenance should be implemented in case of the equip
ment failure or possible health hazards from hospital, any individual or institution using
this equipment.
If there are any problems with the equipment, take the following steps.
Contact our Customer Service Dept. or our agent immediately.
After gathering the model name, serial number, date of purchase, and description of
the problem or any other enquiries contact us.
If you have still problem on the equipment after the temporary repairs by on-line co
nsultation, we will visit you to promptly solve out the problem.

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HOW TO CONTACT US
To open a Service call with BISTOS, contact the numbers listed below.
You can get the various supports for service and product purchase any time.
Supply products
and Order
Accessories
Sales Dept. / BISTOS Co., Ltd.
Tel : [phone], Fax : [phone].
Service Support &
Technical Support
Customer Service Dept. / BISTOS Co., Ltd.
Tel : [phone]
When you contact us to request product service, have some
information handy about your product’s model number, serial
number and the symptom.
Internet Support
Home page : http://www.bistos.co.kr
E_Mail : [email protected].kr
EC Representative
EXCLUSIVAS PASCUAL Y FURIÓ S.A.
Add.:CALLE ISLAS CANARIAS, 1, POL.IND.FUENTE DEL JARRO-2a
FASE, 46988 PATERNA, VALENCIA SPAIN
TEL : [phone] / FAX : [phone]

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CH. 1 HOW TO USE THIS MANUAL
1.1 Contents of Manual
This Manual contains all the information needed to operate our patient monitor,
BT-750 which have been designed by giving most consideration on users’ conveni
ence, and it provides exact information on the conditions of the patients including
only the measured values (Oxygen saturation in blood, Pulse Rate , NIBP/IBP, Te
mperature, CO2, Respiration).
Because the chapters in the Manual are constructed so that each chapter can be
used independently, some contents may appear in more than one chapter.
This manual is written to help users effectively operate BT-750.Each feature oft
his equipment could be more effectively, if relevant medical books are referenced
for clearer understanding of clinical meaning and pathology.
Please keep the operational manual after careful reading. You may refer it for pro
per handling.
In case some problems occur during the operation of our products, contact our co
mpany or the Customer Service Dept.

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1.2 Meaning of Symbols Used in this Manual
Symbols are used to specially emphasize the agreed details as follows. Users nee
d to surely follow all the cautions and notes listed in this manual.
In the event that the product is damaged due to misuse or negligence by a user,
the manufacturer or the authorized agents shall not be responsible for any damag
e or loss to the product.
WARNING
The title “Warning” is used to inform the user of possible causes that could inflict the injury,
death or property damage to the patients.
CAUTION
The title of “Note” is used to inform the users of items that are of importance in terms of
installation, operation or maintenance of the equipment although the failure does not for
the physical harm to the patients.
The title of “Caution” is used to inform the users of possible causes that could inflict the
injury to the patients although it might not be severe enough to cause deaths.
NOTE

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CH. 2 OPERATIONAL DO’S AND DON’TS
2.1 Don’ts in Operational Environment
Do not operate or store the equipment under the following environments.
Avoid the damp
locations, and do not
operate the
equipment with wet
hands.
Location where exposed to
direct sunlight
Location where the
temperature
fluctuation is rather
than big (Operational
temperature range:
5~40℃, Moisture
level: 80% RH max)
Location close to electrical
heating apparatus
Locations where
moisture level could go
up considerably or
where air is not
ventilated
Location where sudden
impact of vibration could
occur
Location exposed to
chemical or explosive
gas
Location where sudden
impact of vibration could
occur
Disassembling of
equipment should be
done only by the
authorized personnel.
Otherwise, we will not
be liable for any system
failure or malfunction.
Do not plug in the power
until the installation is
completed. Otherwise, it
can cause damage to the
equipment.
Standard operational conditions are as follows.
Temperature : 5℃~ 40℃(50℉~ 113℉)
Humidity : 80% RH max @40℃(104℉)
Pressure : 500hPa ~ 1060hPa
Standard storage and transportation conditions are as follows.
Temperature : -20℃~ 80℃(-4℉~ 176℉)
Humidity : 90% RH max @50℃(122℉)
Pressure : 500hPa ~ 1060hPa

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2.2 Cautions for Electrical Safety
Prior to operation of the equipment, make sure to check followings:
Whether power supply is appropriate. (100 –240VAC)
Whether connections (power line or selected equipment) are properly made to the
equipment. For proper connections, refer to Chapter 4.
Whether the correct measuring accessory for required parameter is connected to
the equipment prior to turning on the equipment.
●BT-750 can be used alongside with defibrillator while the accuracy of the product
may be fallen in a short time
●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.
●BT-750 is intended only to measure and assess patient state. It must be used
in conjunction with Clinical signs and symptoms when diagnosis is made.
●The computerized ECG analysis should be judged by qualified medical professionals,
and should not be the sole basis in determining necessity of treatment for the patient.
●Leakage, heating, firing or disruption of the battery may cause fire or injury.
●Do not use batteries beyond those specified in this manual.
●Do not short-circuit the battery and does not heat, integrate, or dispose of it in a
fire.
2.3 Classifications
●BT-750 is “Class IIb” equipment.
●It is type “CF grade” for ECG, RESP, IBP,EtCO2, SpO2and “BF grade” for NIBP and
TEMP.
Although BT-750 have been value of measurement in compliance with existing EMI/EMC
requirements, use of this system in the presence of an electromagnetic field can cause momentary
degradation of the SpO2waveform. If this occurs often, BISTOS suggests a reviewof the environment in
which the system is being used, to identify possible sources of electromagnetic waves. These waves could be
from other electrical devices used within the same room or an adjacent room. Communication devices such as
cellular phones and pagers can cause these waves. The existence of radio, TV or microwave transmission
equipment located nearby can cause electromagnetic waves. If EMI causes disturbances, it maybe necessary
CAUTION

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torelocateyoursystem.
Electrostatic discharge (ESD), commonly referred to as a static shock, is a naturally occurring
phenomenon. ESD is the most prevalent during conditions of low humidity, which can be caused by
heating or air conditioning. During low humidity conditions, electrical charges naturally build up on
individuals and can create static shocks. An ESD condition occurs when an individual with an
electrical energy build-up comes in contact with objects such as metal door knobs, file cabinets,
computer equipment, and even other individuals. The static shock or ESD is a discharge of the
electrical energy build-up from a charged individual to a lesser or non-charged individual or object.
The level of electrical energy discharged from a system user or patient to the BT-750 can be
significant enough to cause damage to the system or probes. The following precautions can help to
reduce ESD: anti-static spray on carpets; anti-static spray on linoleum; anti-static mats.
2.4 Maintenance and Cleaning
BT-750 and its accessories can be cleaned by using various methods. Please follow
the methods below to avoid unnecessary damage or contamination to the equipment.
Keep the equipment far from the place possibly water sprinkling or soaking int
o the equipment.
Avoid the place possibly affecting to the correct measurement with air pressur
e, temperature, humidity, ventilation, sunlight, dust or air including with salt, ion.
Storage Temperature
Packaged storage (in box) : -20℃to 80℃
Unpackaged storage : -20℃to 60℃
Storage Humidity : 0 to 80% under 12℃to 60℃range
Keep it safe from tilt, vibration or impact.
Avoid the location exposed to chemical or explosive gas.
Keep the equipment clean for the next operation.
Stop operating and contact the right personnel immediately when malfunction
occurs.
Never let the unauthorized person disassemble, repair or alter.
At least once a month, clean and wipe off the monitor by using the soft cloth after
wetting it in lukewarm water or alcohol. Do not use lacquer, thinner, ethylene or
oxides which could be harmful to the equipment.
Make sure both cables and accessories are free of dust or contaminants and wipe them off with
soft cloth wet by lukewarm water (40℃/104℉) and at least once a week clean them with clinic
alcohol. Do not soak the accessories in any liquid or detergent.. Also, don't let the liquid
penetrate into the equipment or probe.
How to clean Accessories

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For cleaning the SpO2finger probes, be directed below.
CAUTION
When harmful (unaccepted) materials are used for cleaning, we shall not offer the service
without charge in regardless of warranty period.
Check carefully both monitor and probe after cleaning the equipment.
Do not use the equipment that is worn out or damaged.
CAUTION
You can get incorrect measurement figure under the following conditions.
- The patients’ excessive motion
- Using electrical operational instrument with high-frequency or the instrument for
cardio version
- Venous blood pulse
-Appling to the monitor parts to measure blood pressure or use arterial catheter/bandage
and intravascular parts
- When the patients are on low blood pressure, severe vasoconstriction, severe anemia
or low body temperature
- Arterial occlusion nearby probes
- When the patients are on cardiac arrest or shock.
Premature neonates and patients with chronic pulmonary disease should be checked
for oxygenation levels before starting treatment.
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.
●To ensure patient is electrically isolated, connect only to other equipment that
provides patient electrical isolation. When the patient with pacemaker use the
monitor, only qualified personnel should operate and control all functions of the monitor.
Chemicals
How to clean
Alcohol
Isopropyl Alcohol
Wash with wet gauze
Liquid soap
Benzalconium
chloride
0.05 W/V%(200x diluted)/Wash with wet gauze
0.01 W/V%(50x diluted)/Wash with wet gauze
Iodine
Povidone Iodine
0.02 W/V%(50x diluted)/Wash with wet gauze
Glutaral
C5H8O2
2 W/V%(experiment solution)/Wash with wet gauze

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CH. 3 INTRODUCTION OF BT-750
3.1 Feature BT-750
BT-750 is a patient monitor which display state of patient’s data with waveform
※Basic functions of Patient measuring
- ECG 3 lead (I, II, III,) select and Respiration measurement
- Arrhythmia measurement, ST Level analysis and Pacemaker Detect function
- SpO2and Pulse Rate measurement
- NIBP, 2 IBP measurements
- Body Temperature (2 Temp)
※Optional functions of Patient measuring
- ECG 5 lead (I, II, III, aVR, aVL, aVF, V) select
- End-tidal partial pressure respiration (EtCO2)
※Etc
- Trend Data Saving for 72 hours
- VGA (Reserved)
- LAN (Option)
- Built-in 3 channel Printer. (Option)
3.2 Composition
Standard Accessories
①BT-750 Monitor
(1 EA)
②SpO2Finger Probe(Adult) 1M
(1 EA)
③SpO2 Extension CABLE 2M
(1 EA)
④NIBP Cuff(Adult)
(1 EA)
⑤NIBP HOSE
(1 EA)
⑥ECG Cable 3 lead type
(1 EA)
⑦ECG electrode
(3 EA)
⑧Power cord
(1 EA)
⑨Operation Manual
(1 EA)

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Optional Accessories
SpO2Finger Probe(Child, Neonate)
IBP KIT
Disposable SpO2Finger Probe(Neonate)
IBP Extension cable 2M
NIBP Cuff (BIGAdult, Child, Pediatric, Infant)
ECG Cable 5 lead Type
Printer Module
EtCO2Kit set
Roll Paper
Temperature Sensor
IBP SET(IBP Extension cable 2M and Sensor)
Temperature sensor ( Rectal or Skin type)
Ground Cable
3.3 Components
Front & Operation Panel
▶Function and Explanation
No
Switch / LED
Function Explanation
1
AC Indicator
WhenAC power is connected and main power switch is on, green light
is on
2
NIBP Switch
It is used to measure blood pressure manually.
3
Power Switch
It supplies power to the monitor
4
Printer Switch
Start/Stop Printer
5
Battery
Charge Indicator
On Battery charged, orange LED is on and while AC power is
disconnected, LED is off.
6
Alarm Switch
Used for alarm or alarm silence

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7
Trend Switch
The equipment stores SpO2and pulse rate for 72 hours in every 1
minute and used to check it
8
Alarm Indicator
When the alarm is on it will show on led
9
Menu Switch
It shows menu on the monitor
10
Speaker
Sound of Alarm and Heart rate.
11
Selection trim knop
It shows entire menu selection.
[Right Side]
No.
Item
Function Explanation
1
Printer Power LED
When Printer Power is connected, green light is on
2
Printer Error LED
When Printer is in malfunction, red light is on
3
FEED Switch
Printer Paper selection
4
Printer Cover
Inserting the printer paper and close the cover

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[Left Side]
No.
Item
Function Explanation
1
ECG/RESP Connection Terminal
It is connector of Measuring ECG/RESP
2
SpO2Connection Terminal
Connector of SpO2Sensor
3
IBP 1
Connector of IBP 1
4
IBP 2
Connector of IBP 2
5
TEMP 1 Connection Terminal
Connector of Temp 1 Sensor
6
TEMP 2 Connection Terminal
Connector of Temp 2 Sensor
7
Cuff Connection Terminal
Connector of NIBP Cuff Sensor
8
CO2Input, Output Connection Terminal
Connector of CO2Input and Output

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[Back Side]
No.
Item
Function Explanation
1
AC Power
Input Port
Port for AC adopter to connect exterior power to the monitor.
2
VGA Port
Reserved
3
RS232 Port
The communication port for connecting monitor and computer.
4
LAN Port
The communication port for connecting monitor and computer (Optional).
5
Label
Display
6
Ground Port
Port of Ground Cable
7
Battery Store
Port of Battery
8
Portable Handle
Handle of carry

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3.4 Description of Product Symbols
Symbol
Description
Symbol
Description
Type CF Product,
Defibrillation protected
Power Switch
Type BF Product,
Defibrillation protected
Alarm On/Off
Noninvasive Blood
Pressure
Manual Measurement(NIBP)
TREND
Warning Sign
Period of Auto Blood Pressure
Measurement
Refer to instruction
manual/ booklet
Date of Manufacture
T1~2
Measuring Temp.
Start Printing (Printer)
CO2 In/Output
EtCO2
Gas Input/Output
Menu ON/OFF
SPO2
SPO2 Measurement
Ground
P 1~2
Invasive Blood Pressure
RS232 port and nurse call
ECG
Electrocardiograph /
Respiration
Reserved
NIBP
Non Invasive Blood Pressure
Use for Central Monitoring
3.5 Description of Equipment Symbols
The symbols in the bottom of LCD indicate the present status of BT-750 and us
e bottoms for each function.
Indicate that Audio alarm generates
: Display for current charging state of charger. So, make sure of the charging state when
you use only with charger while the AC power is on.
: Indicate that AC power is on

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Ch.4 HOW TO SET BT-750
4.1 Settings
Precautions for Settings
Pay attention when setting BT-750 for the following points
● Use BT-750 under conditions of 10℃∼40℃of circumstantial temperature and within
80％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.
All information is stored in the internal memory, even in the case of power on and off.
Do not 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.
4.1.1. How to Use when power is on.
1) Insert AC Adaptor to AC-IN Connector at the rear of BT-750
2) Turn on the On/Off switch at the rear of BT-750
(If the power is in Stand-by, battery starts to charge)
3) If AC lamp of the front side (Green light) is on and you press the power switch
[The front side of the product][AC Adaptor Ports]
If you continuously press the sub power switch for about 1
seconds, the power is on.
Lamp is on during battery charging. (Orange light)
If you turn on the main power switch, the lamp lights
up while AC adaptor is connected. (Green light)