Mediana HBP-T105 Series User manual

Operator’s Manual
HBP-T105/S series
(Patient Monitor)
EU representative
OBELIS S.A
Bd. Général Wahis, 53, 1030 Brussels, Belgium
Local distributor
Manufacturer
Mediana Co., Ltd.
Wonju Medical Industry Park, 1650-1 Donhwa-ri,
Munmak-eup, Wonju-si, Gangwon-do, Korea
Part Number: A7194-1
Revised Date: 1111
Copyright © 2011 All rights reserved.

Important
Be sure to fully read this manual before using the HBP-T105/S series monitor to ensure
correct and safe use.
After you have read this manual, store it near the monitor so that it can be used for
reference.
Caution
Limited Warranty
Mediana is committed to distributing the highest quality products equipped with
unsurpassed speed, accuracy, reliability, quality, and comfort.
Every COLIN®HBP-T105/S monitor purchased through Mediana or one of our
dealers is warranted to be free from defects in material and workmanship for a
period of two (2) years from date of purchase. Accessories and the rechargeable
battery are warranted to be free from defects in materials and workmanship for a
period of ninety (90) days from date purchase.
Exclusions
This warranty does not extend to any products (or parts thereof) that have been
subject to misuse, neglect or accident; that have been damaged by causes external
to the product, including but not limited to failure of or faulty electrical power; that
have been used or operated in any way other than described in the Instruction
Manual; to which any nonstandard accessory attachment has been affixed; on
which the serial number has been removed or made illegible; or that has been
modified or improperly disassembled, serviced or reassembled by anyone other
Mediana, unless authorized by Mediana.
Mediana makes no warranty (a) with respect to any consumable or disposable
products that are not warranted products, (b) with respect to any product purchased
from a person other than Mediana or an Mediana authorized distributor, or (c) with
any respect to any product sold under a brand name other than COLIN®.
Mediana will not be responsible for the safety, reliability, and/or performance of the
product if: (a) assembly operations, extension, readjustments, modifications, or
repairs are carried out by persons other than Mediana or persons authorized by
Mediana to perform repair service on Mediana's behalf; or (b) the electrical
installation does not comply with the requirements of the applicable national and
international standards, including requirements of the IEC; or (c) the product is not
used in accordance with Mediana's instruction for use.
In the event of a proven defect in the product, Mediana may be liable for injury or
death of any actual person, or damage to property, to the extent, but only to the
extent, that such liability is mandated under laws applicable to manufacturers in
general and to manufacturers of the product category to which the product belongs
and to the extent such damage is proven to have been caused by the defect.
Mediana's sole responsibility shall be to repair or replace the product within the
terms stated in this Limited Warranty Statement. Mediana SHALL NOT BE LIABLE
FOR ANY LOSS OR DAMAGE OF ANY KIND, INCLUDING INCIDENTAL OR
CONSEQUENTIAL DAMAGES RESULTING DIRECTLY OR INDIRECTLY FROM
ANY BREACH OF ANY WARRANTY, EXPRESS OR IMPLIED, OR ANY OTHER
FAILURE OF THIS
PRODUCT. ALL IMPLIED WARRANTIES, INCLUDING THE IMPLIED WARRANTIES
OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, ARE
LIMITED TO THE DURATION OF THE APPLICABLE WRITTEN WARRANTY,
WHICH SHALL SUPERSEDE ALL OTHER ORAL OR WRITTEN WARRANTIES.

Service limitations
Maintenance and repair services performed by user personnel on the equipment
covered in this manual apply only to products that are out of warranty. All warranty
repairs must be performed only by qualified service technicians authorized by
Mediana. A comprehensive technical service manual for the COLIN®HBP-T105/S
containing specific information about operation, calibration, parts listing, and
schematics can be obtained by contacting the Mediana Technical Service
Department at [phone]
Shipping Procedures
If Mediana reasonably determines that a repair or replacement is covered by this
Warranty, Mediana shall bear the costs of shipping a loaner product and the
repaired or replacement product to Purchaser. Purchaser shall pay all other
shipping cost. Risk of loss or damage during shipments under this Warranty shall be
borne by party shipping the product.
Products shipped by Purchaser under this Warranty shall be suitably packaged to
protect the product. If Purchaser ships a product to Mediana in unsuitable
packaging, any physical damage present in the product on receipt by Mediana (and
not previously reported) will be presumed to have occurred in transit and will be the
responsibility of the Purchaser.
Returning the Unit
Prior to returning a unit for any reason, please:
Call Mediana Technical Service at [phone], explain problems observed,
verify the warranty and obtain a Return of Merchandise Authorization (RMA)
number.
Remove all accessories from the unit, unless directed otherwise by an Mediana
representative.
Package the monitor appropriately to prevent damage during transit. If a loaner unit
was requested, use that packaging for the monitor being returned.
Ship to:
Mediana Co., Ltd
Attn:RMANumber (the number provided when you called)
Wonju Medical Industry, 1650-1
Donghwa-ri, Munmak-eup, Wonju-si, Gangwon-do, Korea
(Zip: 220-801)
Optional Extended Limited Warranty
If an extended warranty was purchased at time of sale, it will cover only
components manufactured by Mediana, not the SpO2module, thermometry module,
or recorder.
Responsibility for loaned Equipment
Purchaser is responsible for any damage to or loss of any loaner equipment while it
is at Purchaser's location. Purchaser must return loaner equipment within 10 days
after receiving the repaired or replaced product or receiving notice from Mediana
that the product returned by Purchaser is not covered by the warranty. If Purchaser
does not return loaner equipment within 20 days after the return due date,
Purchaser agrees to pay Mediana the reasonable value of the loaner equipment or
reasonable daily rental fee, whichever Mediana selects.
Notes
No part of this instruction manual shall be reproduced without permission.
The contents of this manual are subject to change without notice.
The contents of this manual should be correct. If, for some reason, there are any
questionable points, please do not hesitate to contact Mediana.
The manual will be replaced it any pages are missing or collation is incorrect.

Trademark
Product brand names shown in this manual are likely to be the trademark or registered
trademark of the company concerned.
COLIN®is registered trademarks of Omron Healthcare Co., Ltd.
In March, 2010, Omron Colin Medical was purchased by Mediana and is now operating
under the name Mediana. Colin brand professional medical devices are now represented
worldwide by Mediana, based in Korea, and Omron is no longer affiliated with the Colin
business except in Japan.

i
INDEX
PREVIEW ........................................................................................................................................ iii
EXPLANATION OF ACRONYMS AND SYMBOLS ....................................................................... xiv
1. Outline............................................................................................................................................. 1
CONFIGURED PRODUCTS ........................................................................................................... 3
NAMES AND FUNCTIONS OF PARTS........................................................................................... 5
2. Preparation..................................................................................................................................... 9
PREPARATIONS BEFORE USE ....................................................................................................11
3. Non-Invasive Blood ..................................................................................................................... 15
Pressure Measurement ................................................................................................................... 15
MEASUREMENT PREPARATION................................................................................................. 17
HOW TO APPLY THE CUFF ......................................................................................................... 21
MANUAL MEASUREMENT ........................................................................................................... 23
AUTOMATIC MEASUREMENT (HBP-T105 only) ......................................................................... 25
CONTINUOUS MEASUREMENT (HBP-T105 only)...................................................................... 27
OTHER FUNCTIONS .................................................................................................................... 29
AFTER MEASUREMENT .............................................................................................................. 35
4. Pulse Oximeter (SpO2)................................................................................................................. 37
MEASUREMENT PREPARATION................................................................................................. 39
ATTACHING SpO2SENSOR ......................................................................................................... 43
MEASUREMENT ........................................................................................................................... 45
5. Temperature Measurement......................................................................................................... 47
MEASUREMENT PREPARATION................................................................................................. 49
MEASUREMENT ........................................................................................................................... 51
6. List Screen.................................................................................................................................... 55
LIST SCREEN ............................................................................................................................... 57
7. Alarms........................................................................................................................................... 59
ALARM SETTINGS (HBP-T105 only)............................................................................................ 61
ALARM OPERATIONS (HBP-T105 only) ...................................................................................... 63
8. Recorder....................................................................................................................................... 67
PREPARATIONS BEFORE USE ................................................................................................... 69
MANUAL RECORDING ................................................................................................................. 71
AUTOMATIC RECORDING ........................................................................................................... 75
9. Setup............................................................................................................................................. 79
HOW TO SETUP ........................................................................................................................... 81
SETTING MODE............................................................................................................................ 83
UTILITY MODE.............................................................................................................................. 89
10. Internal Battery......................................................................................................................... 101
INTERNAL BATTERY .................................................................................................................. 103
11. Appendix................................................................................................................................... 107
ERROR CODE TABLE ................................................................................................................ 109
PRINCIPLES.................................................................................................................................119
DEFAULT SETTING .................................................................................................................... 125
MAINTENANCE........................................................................................................................... 127
CHECKING BEFORE USE.......................................................................................................... 131
POWER ON DISPLAY ................................................................................................................. 133
MAINTENANCE CHECKS........................................................................................................... 135
TROUBLESHOOTING................................................................................................................. 137
DISPOSAL ................................................................................................................................... 143
SPECIFICATION.......................................................................................................................... 145
OPTIONAL ACCESSORIES ........................................................................................................ 161

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iii
PREVIEW
Thank you for choosing an HBP-T105/S series monitor.
This manual contains operational information for the HBP-T105/S series monitors.
Please be sure to read this Instruction Manual thoroughly to fully understand device operation,
cautions, performance and limitations.
INTENDED USE
The HBP-T105/S series monitor is intended to monitor a single patient's vital signs in the hospital,
acute care settings, outpatient surgery, healthcare practitioner facilities or in an environment where
patient care is provided by qualified healthcare personnel who will determine when use of this
device is indicated, based upon their professional assessment of the patient's medical condition.
The patient populations include adult, pediatric and neonatal. The device is capable of monitoring:
 Pulse rate (via oximetry data)
 Non-invasive pressure (systolic, diastolic and mean oscillometric (NIBP))
 Temperature
 Blood Oxygen Saturation (SpO2 via finger oximeter)
This device is intended for use by qualified healthcare personnel trained in its use.
Spec.
Model NIBP SpO2Temp Recorder Alarm Interval
Nellcor® Masimo®
HBP-T105
NXTP ne X X X X X X
NXTP ma X X X X X X
NXP ne X X X X X
NXP ma X X X X X
NTP X X X X X
NP X X X X
NXT ne X X X X X
NXT ma X X X X X
NX ne X X X X
NX ma X X X X
NT X X X X
N X X X
HBP-T105S
NXTP ne X X X X
NXTP ma X X X X
NXP ne X X X
NXP ma X X X
NTP X X X
NP X X
NXT ne X X X
NXT ma X X X
NX ne X X
NX ma X X
NT X X
N X
Nellcor®is a registered trademark of Nellcor Puritan Bennett Incorporated.
Masimo®is a registered trademark of Masimo Corporation.

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v
Symbols and Safety Terms
Safety symbols and terms pointing out incorrect or potentially unsafe use are shown in this
manual and on the actual products. The symbols and meanings are shown below, so please
read thoroughly and familiarize yourself with them.
DANGER indicates an imminently hazardous situation,
which, if not avoided, will result in death or serious injury.
WARNING indicates a potentially hazardous situation, which,
if not avoided, will result in death or serious injury.
CAUTION indicates a potentially hazardous situation, which,
if not avoided, may result in minor or moderate injury.

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vi
Other Labels
Note This indicates necessary information that should be taken into account
when using the device.
This symbol appearing in the text indicates that a highest-priority alarm
sounds in association with the error content. When the alarm sounds,
switch the power "OFF", then "ON" again.
Highest-priority rhythm.
♪♪♪♪♪♪♪ㆍㆍㆍ Continues to sound until the
power is cut off.
This symbol appearing in the text indicates that a high-priority alarm
sounds in association with the error content. Take appropriate measures if
the alarm sounds.
At this time, the measurement reading will be displayed flashing.
The format of the high-priority alarm is as follows.
♪♪♪ㆍ♪♪ㆍㆍㆍㆍ
|←―――2Sec.――→|
This alarm is sounded twice at
8 second intervals.
This symbol appearing in the text indicates that a medium-priority alarm
sounds in association with the error content. Measurement is prevented if
this alarm sounds. Check the patient and the machine. The measurement
reading will be displayed flashing.
The format of the medium-priority alarm is as follows.
♪ㆍ♪ㆍ♪ㆍㆍㆍㆍㆍㆍㆍㆍㆍㆍ
|←―――――――3Sec.―――――――→|
This alarm is sounded twice at
24 second intervals.

vii
Only properly trained medical personnel should use this device. Do not allow patients to operate
this device.
If the device cannot take a measurement or the measurement readings seem questionable, check
the condition of the patient first.
If any abnormality appears in the patient or the device, take appropriate measures, such as
stopping the measurement and/or turning off the device, to ensure the safety of the patient.
Before use, thoroughly read this Instruction Manual and any manuals supplied with accessories
and options to ensure correct use.
When any of the following occur, remove all accessories (cuffs, probes, etc.) from the patient, turn
the power "OFF", and unplug the AC adapter cable from the AC socket.
 There is smoke or a strange odor leaking out of the device.
 The device has been dropped or impacted by an object.
 Liquid or foreign matter gets inside the device.
 If you think the device may be broken.
If there is condensation on the device, dry it thoroughly before turning the power "ON".
Always follow your facility's infection control procedures and applicable regulations when
disposing of anything that has been used on patients.
Observe the following points when using a defibrillator.
 Have everyone in the area stand back from the patient and from any cords and devices
connected to the patient. Otherwise, they could receive an electrical shock from the energy
conducted by the defibrillator.
 Stand as far away as possible from the electrodes mounted on the chest section when applying
the defibrillation or move the electrodes to an appropriate position. Applying defibrillation with
the defibrillator paddles touching the electrodes will cause burns.
Observe the following points when using electrosurgical/cautery equipment.
 If the electrode and ground pad are not properly mounted, they may cause burns where they
are attached to the patient.
For details, carefully read the cautions in the electrosurgical/cautery equipment operation manual.
 Noise from the electrosurgical/cautery equipment may cause incorrect measurements to be
displayed.
Always perform pre-work inspections and maintenance inspections.
Do not open, disassemble or alter the device.

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viii
The HBP-T105/S series conforms to the requirements of the EMC standard (IEC 60601-1-2:2001),
so it can be used at the same time as other electrical simulators. However, it may be affected by
electrical scalpels and microwave treatment devices and there may be an impact on measurement
precision for patients using cardiac pacemakers and similar equipment. Check the operation of
this device during and after use of such equipment and with such patients.
If the patient shows symptoms of skin irritation or allergic reaction to any component, discontinue
use immediately.
The device can be damaged or cause injury if it falls. Do not pull on cables or accessories while
attached to the device. There is a risk of the device falling or toppling.
In order to save battery power, turn off the device when it is not in use. You can also set "Battery
Operation Selection" to "SAVE". When the "Battery Operation Selection" is set to "SAVE", the
device automatically shuts down after 30 minutes of non-use.

ix
Installation
Do not take or use the device in locations where combustible anesthetics or flammable gases are
used or in high-pressure oxygen rooms or inside oxygen tents.
Use with the specified AC voltage and frequency only.
Use a grounded AC outlet for the power supply to ensure the device is grounded.
Do not connect a grounding wire to a gas pipe or water pipe.
For accessories mounted on the patient, optional parts, and consumables, use only those supplied
or specified by Mediana.
Do not plug the AC adapter cable onto an AC outlet (or unplug it) with wet hands.
Do not install this device in the following locations:
 Locations where gases and flames are used
 Locations where the air includes dust, salt, or sulfur
 Locations exposed to prolonged direct sunlight
 Locations where water and steam may come into contact with device
 Locations that vibrate or are subject to sharp impacts
 Locations near heating equipment
 Locations where chemicals are stored
 This device can not be used in any room in which noise-generating apparatuses are used.
(such as an MRI room, CT room, X-ray room, etc.)
Do not place anything on this device.
Before moving this device, remove all accessories from the patient, turn the power "OFF", and
unplug the AC adapter cable.
Observe the following cautions when connecting this device with other equipment:
 Ensure that the connected equipment is in accordance with the IEC60601-1 or IEC safety
standards.
 Use additional protective measures (e.g., additional protective grounding) as necessary.
This device meets the restricted level of leakage current required for medical devices.
Therefore, this device cannot be connected to a device that would give a combined total of
leakage current beyond the restricted level. Do not connect devices that do not meet medical
safety standards.

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x
NIBP
Do not wrap the cuff around any of the following locations. Doing so can cause an accident.
 Anywhere on the four limbs that a venous pulse is secured, such as where there is an IV or
blood transfusion.
 Any limb with an artificial dialysis shunt
When the cuff hose is bent or blocked, there could still be air in the cuff even though the pressure
display reads 0mmHg. This may block the blood flow in the arm, which may in turn cause
peripheral function disorders.
Never set the measurement mode to "Adult/Pediatric" when using a neonate/infant cuff. Doing
so could cause the cuff to inflate to a dangerously high pressure.
To ensure an accurate blood pressure measurement, it is recommended to take the blood
pressure on the upper arm.
Measurements taken on the thigh may not be as accurate as on the upper arm.
Check at least every eight hours to see that there is no abnormality or damage to the area
measured. If there is, change the measurement site, as failure to do so may lead to patient
perspiration-related inflammation or damage.
With any patient whom the doctor has pointed out as having a tendency to bleed or hypo- or
hyper-coagulate, circulatory obstruction due to a thrombus or dot hemorrhage may occur after
measurement.
Do not measure continuously for long periods of time. This can cause extremity function
obstruction.
If the cuff is touched or the patient moves, the device may interpret that the inflation pressure is
insufficient and inflate to high pressure.
In the following cases, pressurization may rupture the cuff bladder:
 A cuff is used with a frayed cuff cover.
 A blood pressure measurement starts with the cuff not wrapped around an arm.
 The cuff measurement interval is not set to OFF when cuff is removed from the patient.
Always follow your facility's infection control procedures and applicable regulations when
disposing of anything that has been used on patients.

xi
SpO2
Do not look at the light from the SpO2sensor for a long period of time.
If the adhesive tape irritates the patient's skin, stop using it.
Do not fasten sensors with tape. This can cause hemostasis or edema.
 The SpO2sensor should be checked every two to three hours, and the sensor location changed
when abnormality is observed. For a patient with extremity or circulatory obstruction, failure to
change the sensor location can cause a rash low-temperature burn, or other problems.
 SpO2sensors (single-patient use only) can be reused only with the same patient.
 Do not insert the finger too far into the sensor. Doing so could cause injury.
This device has no alarm function for SpO2. (HBP-T105S only)
For models with Masimo® SpO2
Possession or purchase of this device does not convey any express or implied license to use the
device with unauthorized sensors or cables which would, alone or in combination with this device,
fall within the scope of one more of the patents relating to this device.
Temperature
For best product performance and measurement accuracy, use only accessories supplied or
recommended by Mediana. Use accessories according to the manufacturer's directions for use.
Never reuse a probe cover. Reusing a probe cover creates a danger of infection.
When measuring in the mouth cavity or rectum, be careful not to damage any mucous membrane.
To avoid injury, use probes according to the manufacturer's directions for use only.
To prevent injury, use special care when using temperature probes for children and infants.
When measuring in the mouth cavity, make sure the patient does not swallow the probe or probe
cover.
If the body temperature is measured without the probe cover, there is a danger of infection,
allergic reaction or injury of the person being measured. Do not measure body temperature
without using a probe cover.

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xii
Alarm
Set the alarm volume loud enough to be heard adequately in the actual use environment.
If the alarm sounds, first check the patient's condition.
For the alarm range, set the value appropriate to the patient to whom this device is attached.
(HBP-T105 only)
Internal Battery
In the following cases, battery solution could erupt out of the battery and cause heating, fire,
and rupture:
 If the battery is thrown into a fire or overheated.
 If the battery is disassembled or altered.
 If a battery that is leaking, deformed, or discolored is used.
 If the battery is subject to strong mechanical shock.
 If the battery is forced into the device.
 If the + and – terminals of the battery are connected with a metal needle or the like.
 If the battery is carried together with a metal object, such as a metal necklace or hair pin.
 If the battery is charged in any manner other than that specified.
If battery solution comes into contact with skin or clothing, wash it off with clean water. If battery
solution comes into contact with the eye, rinse the eye out thoroughly with clean water and seek
immediate medical attention. There is a danger of loss of eyesight.
Keep water off the battery and do not allow it to become wet. If the battery gets wet, rust may be
generated and leakage may then occur.
Do not leave the battery unused for a prolonged period of time (more than two years). Doing so
could cause battery solution leakage.
Do not leave a battery mounted in the device if the use time between charges has become short
or the battery has stopped working. Doing so could result in battery solution leaking within the
device causing corrosion and fire.
The battery is a lead acid battery. Follow local government ordinances and recycling instructions
regarding disposal or recycling of batteries.

xiii
Maintenance
Before conducting maintenance work, turn the power "OFF" and unplug the AC adapter cable from
the AC socket to prevent electric shock.
Do not soak the device or accessories in any medical liquid. Also, keep liquids out of the device
and accessories.
When using disinfectant solutions, follow the manufacturer's directions.
After cleaning, allow the components to dry completely before plugging the AC adapter cable into
the AC socket.
Clean this device with care. Using this device with the ventilation port blocked could cause a
breakdown.

xiv
EXPLANATION OF ACRONYMS AND SYMBOLS
SYS : Systolic Pressure
MAP : Mean Arterial Pressure
DIA : Diastolic Pressure
PR : Pulse Rate
SpO2: Arterial Oxygen Saturation by Pulse Oximeter
TEMP : Temperature
Meaning of the Symbols
Symbol Description Symbol Description
This shows the type BF
device with defibrillator Measurement mode
This shows the type BF
device. Measurement mode (Neonate)
See warnings and cautions Current time
Refer to manual Elapsed time
Alarm Mute Power ON
CUFF Start/Stop Power OFF
Cuff Interval (HBP-T105 only) Internal battery
Clear Display
(HBP-T105S only) Body temperature measurement
Menu switching Cuff connection terminal
Record Start/Stop External input/output terminal
Indoor use only

1
1. Outline

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