BM3

User’s Manual

Patient Monitor

Rev. 4.00

May. 06, 2020

Warning

To ensure proper use of this medical equipment, you must read and comply with this user manual.

Rev. 4.00 1
BM3 User Manual
SoftwareⓒBionet Co., Ltd.
All rights reserved.

Reproduction in any manner, in whole or in part, except for brief excerpts in reviews and scientific
papers, is prohibited without prior written permission of Bionet Co., Ltd.
Before using Bionet devices, read all the manuals that are provided with your device carefully.
Patient monitoring equipment, regardless of the complexity of the equipment, should never be
used as a substitute for the patient care, attention, and critical judgment that only trained health
care professionals can provide.

CAPNOSTAT, LoFlo® is trademark of Respironics.

All other brand or product names are the property of their respective owners.

Rev. 4.00 2
Table of Contents
Intended Use ....................................................................................................................................................... 8

General Description ......................................................................................................................................... 8

Patient Classification ...................................................................................................................................... 8

Functional safety............................................................................................................................................... 9

Warning, Caution, Note ............................................................................................................................. 10

Defined groups ............................................................................................................................................... 11

General precaution on environment................................................................................................... 12

Electromagnetic Compatibility ............................................................................................................... 13

1. Basic ................................................................................................................................................................ 14

Overview ........................................................................................................................................................ 14

Electric safety precautions ................................................................................................................... 14

Biocompatibility ......................................................................................................................................... 16

Product Configuration............................................................................................................................ 16

Optional Products ..................................................................................................................................... 17

Basic Unit....................................................................................................................................................... 18

Device Markings ........................................................................................................................................ 23

Power ............................................................................................................................................................... 24

How to replace the battery ................................................................................................................. 28

Getting Started ........................................................................................................................................... 30

2. SETUP.............................................................................................................................................................. 33

Overview ........................................................................................................................................................ 33

Rev. 4.00 3
 Monitor configuration............................................................................................................................ 33

Main menu setup ...................................................................................................................................... 34

3. Admission and Discharge .................................................................................................................... 40

Overview ........................................................................................................................................................ 40

Patient admission ..................................................................................................................................... 40

Patient discharge ...................................................................................................................................... 41

Registration of patient ID using barcode.................................................................................... 43

4. Alarm .............................................................................................................................................................. 44

Overview ........................................................................................................................................................ 44

Alarm priority .............................................................................................................................................. 44

Alarm management ................................................................................................................................. 46

Alarm settings............................................................................................................................................. 47

Alarm Review .............................................................................................................................................. 48

5. TREND ............................................................................................................................................................ 49

Overview ........................................................................................................................................................ 49

Trend setup .................................................................................................................................................. 49

Graphical trend........................................................................................................................................... 51

Tabular trend............................................................................................................................................... 52

File export ..................................................................................................................................................... 54

Popup trend ................................................................................................................................................. 55

6. ECG ................................................................................................................................................................... 57

Overview ........................................................................................................................................................ 57

ECG Precaution ........................................................................................................................................... 58

Patient preparation .................................................................................................................................. 61

ECG lead ......................................................................................................................................................... 62

Rev. 4.00 4
 ECG signal processing and display.................................................................................................. 63

Alarm and alarm status ......................................................................................................................... 64

Display............................................................................................................................................................. 65

ECG Settings ................................................................................................................................................ 65

Trouble shooting ....................................................................................................................................... 68

7. SpO2 ................................................................................................................................................................ 70

Overview ........................................................................................................................................................ 70

Precaution ..................................................................................................................................................... 70

Patient preparation .................................................................................................................................. 71

Display............................................................................................................................................................. 73

Quality of SPO2 Waveform ................................................................................................................. 74

SPO2Settings ............................................................................................................................................... 76

Status messages ........................................................................................................................................ 76

8. RESPIRATION.............................................................................................................................................. 78

Overview ........................................................................................................................................................ 78

RESP precaution......................................................................................................................................... 78

Patient Preparation .................................................................................................................................. 79

Display............................................................................................................................................................. 81

RESP Settings .............................................................................................................................................. 81

9. NIBP................................................................................................................................................................. 83

Overview ........................................................................................................................................................ 83

Display............................................................................................................................................................. 85

NIBP Settings .............................................................................................................................................. 86

Measurement Limitations ..................................................................................................................... 89

Status Messages ........................................................................................................................................ 91

Rev. 4.00 5
10. EtCO2(*) ...................................................................................................................................................... 92

Overview ........................................................................................................................................................ 92

Precaution ..................................................................................................................................................... 97

Sampling method ..................................................................................................................................... 97

Display........................................................................................................................................................... 100

EtCO2 setup ............................................................................................................................................... 100

Status Message ........................................................................................................................................ 105

11. Temperature ........................................................................................................................................... 108

Overview ...................................................................................................................................................... 108

Display........................................................................................................................................................... 109

Temperature settings............................................................................................................................ 110

12. Printer ........................................................................................................................................................ 111

Overview ...................................................................................................................................................... 111

Printer settings ......................................................................................................................................... 112

Thermal Paper Storage ........................................................................................................................ 113

Paper Change ............................................................................................................................................ 115

13. Maintenance and Troubleshooting ........................................................................................... 116

Inspection Equipment........................................................................................................................... 116

Inspection Cables .................................................................................................................................... 116

Maintenance Task and Test Schedule ......................................................................................... 117

Noise in ECG .............................................................................................................................................. 118

SpO2 malfunction ................................................................................................................................... 119

Temperature malfunction................................................................................................................... 119

NIBP malfunction .................................................................................................................................... 120

Abnormality in NIBP measurements ............................................................................................ 120

Rev. 4.00 6
 EtCO2malfunction ................................................................................................................................... 120

Failure in battery recharge ................................................................................................................ 121

Power failure ............................................................................................................................................. 122

Data storage failure ............................................................................................................................... 122

Periodic noises.......................................................................................................................................... 123

Print failure................................................................................................................................................. 123

14. Clean and Care ...................................................................................................................................... 124

Overview ...................................................................................................................................................... 124

Monitor and Peripherals ..................................................................................................................... 124

15. Technical Specification ..................................................................................................................... 128

Overview ...................................................................................................................................................... 128

EMC Compatibility (EMC) ................................................................................................................... 128

Manufacturer’s declaration - electromagnetic emission................................................... 130

Manufacturer’s declaration - electromagnetic immunity ................................................. 131

Guidance and manufacturer’s declaration - electromagnetic immunity ................. 137

System Specification ............................................................................................................................. 139

Adult& Pediatric-ICU Mode..................................................................................................................... 145

Alarm level .................................................................................................................................................. 145

Neonate-ICU Mode ...................................................................................................................................... 146

Alarm level .................................................................................................................................................. 146

Parameter Limits .......................................................................................................................................... 146

Display ............................................................................................................................................................... 147

Abbreviations and Symbols ................................................................................................................... 148

PRODUCT WARRANTY ............................................................................................................................. 154

International Sales & Service Contact .............................................................................................. 155

Rev. 4.00 7
Intended Use

The BM3 monitor is for multi-parameter patient monitoring. The instrument generates
visual and audible alarms when a variety of physiological parameters are monitored over
a pre-set limit and time, or where recording begins.

Note

All Bionet hardware and screenshots in this user guide are for illustration purposes only.
Actual products or screens may vary slightly.

General Description

The BM3 monitor can monitor the following:

◼ Heart Rate
◼ Respiration Rate
◼ Non-Invasive blood pressure
◼ Temperature
◼ SpO2
◼ Pulse Rate
◼ EtCO2(option)
◼ FiO2(option)

This equipment is designed to be used in an environment where a health care

professional can determine when to use the equipment for its intended purpose, based
on an expert assessment of the patient's medical condition, including physicians, nurses.

Patient Classification

Rev. 4.00 8
BM3 monitors are designed for use on adults, pediatrics and neonates.

Functional safety

The essential performance of the patient monitor is to provide the clinician with
meaningful parameter values and to sound an alarm when the established parameter
value is exceeded or the function that provides the value is not working properly. We
assessed the risks associated with the use of these monitors in light of these essential
performance features and mitigated the risk of lowering the residual risk to a level that
could be used without compromise as long as the product maintained its regular
lifecycle maintenance and service recommendations.

Rev. 4.00 9
Warning, Caution, Note

The following terms are defined in the User Guide to emphasize the agreement as
follows:

The user must follow all warnings and precautions.

The specifications and functions shown in this manual are subject to change without
prior notice.

Warning

“Warning” A warning contains important information regarding possible danger to

you or the patient that is present during normal operation of the equipment

Caution

“Caution” A caution provides information or instructions that must be followed to

ensure proper operation and performance of the equipment.

Note

“Note” A note presents information that helps you operate the equipment or
connected devices.

Rev. 4.00 10
Defined groups

The defined groups for this product are users, service personnel, and experts.
Defined groups should read the user manual before using the product and be trained in
the use, installation, reprocessing, maintenance and repair of the product.
This product can only be used, installed, reprocessed, maintained and repaired by a
defined group.

User
Users use the product for their intended use.

Service personnel
Service personnel are responsible for the maintenance of the product.
They must be trained in the maintenance of the medical device, install, reprocess and
maintain the product.

Expert
The specialist repairs the product or performs complex maintenance tasks. The expert
has the knowledge and experience to perform complex maintenance tasks on your
product.

Rev. 4.00 11
General precaution on environment

- Do not keep or operate the equipment in the environment listed below.

Avoid placing in an area

exposed to moisture.
Avoid exposure to
Do not touch the direct sunlight
equipment with wet
hands.

Avoid placing in an area Avoid placing in

where there is a high the vicinity of
variation of temperature. Electric heaters

Avoid placing in an area Avoid placing in an

where there is an area where there is
excessive humidity rise an excessive shock
or ventilation problem. or vibration.

Avoid placing in an area Avoid inserting dust

where chemicals are and especially
stored or where there is metal material into
danger of gas leakage. the equipment

Power off when the

Do not disjoint or
equipment is not
disassemble the
fully installed.
equipment.
Otherwise,
This voids your
equipment could be
warranty.
damaged.

Rev. 4.00 12
Electromagnetic Compatibility

The monitor has been designed and tested for compliance with current regulatory
standards as to its capacity to limit electromagnetic emissions (EMI), and also as to its
ability to block the effects of EMI from external sources.
The monitor complies with the following standards pertaining to EMI emissions and
susceptibility: EN60601-1-2.

To reduce possible problems caused by electromagnetic interference, we recommend the

following:
⚫ Use only Bionet approved accessories.
⚫ Ensure that other products used in areas where patient monitoring and life
support is used comply to accepted emissions standards (CISPR 11, Class A).
⚫ Try to maximize the distance between electro-medical devices. High-power
equipment related to electrical simulators, electrosurgical instruments and
radiators (X-ray machines) as well as evoked potential devices may cause monitor
interference.
⚫ Strictly limit exposure and access to portable radio frequency sources (e.g.
cellular phones and radio transmitters). Be aware that portable phones may
periodically transmit even when in standby mode.
⚫ Maintain good cable management. Do not route cables over electrical equipment.
Do not intertwine cables.
⚫ Ensure all electrical maintenance is performed by qualified personnel.

Caution

Infectious devices and parts must be sanitized and cleaned before disposal.

사용안내서

Rev. 4.00 13
1. Basic

Overview

This patient monitor is for adult, pediatric, and neonatal monitoring. It can be used as an
independent device. Use of the monitor is limited to one patient at a time.

Electric safety precautions

Caution

Please check the following before using the product.

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,2.8A,BPM050
Made in Bridge Power Co., Ltd.)

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 problems
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.

Caution

Rev. 4.00 14
The Equipment should be placed far from generators, X-ray equipment,
broadcasting equipment or transmitting wires, so as to prevent electrical noises
from being generated during the operation, When these devices are near the
Equipment, it can produce inaccurate measurements. For BM3both 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.

Note

BM3 is classified as follows:

- BM3classifies as Class I, BF&CF concerning electric shock. It is not proper to

operate this Equipment around combustible anesthetic or dissolvent.

- Noise level is A class regarding IEC/EN 60601-1 and the subject of Nose is A level
concerning IEC/EN60601-1-2.

Warning

Do not touch the patient while using the defibrillator. The user may be at risk.

When using the defibrillator, be careful about safety and use only the supplied
cable.

Warning

In case the Equipment does not operate as usual or is damaged, do not use on
patient, and contact the medical equipment technician of the hospital or the
equipment supply division.

Rev. 4.00 15
 Equipment connection

Caution

Doctors and patients in hospitals are exposed to the risk of uncontrollable currents.
This current is caused by a potential difference between the equipment and a
conductive object that can be contacted. Use auxiliary equipment to meet this
requirement in accordance with EN60601-1; 2011.

Biocompatibility

When used as intended, the parts of the product described in this operator manual,
including accessories that come in contact with the patient during the intended use,
fulfill the biocompatibility requirements of the applicable standards. If you have
questions about this matter, please contact Bionet or its representatives.

Product Configuration

1. Main body of BM3 Monitor 1 EA

2. 3-Lead Patient Cable with extension cable 1EA

3. Disposable electrodes 10 EA

4. NIBP extension horse 1EA

5. Reusable Adult NIBP Cuff 1EA

6. SpO2 extension cable 1EA

7. Reusable Adult SpO2 Probe 1 EA

8. DC Adaptor (BPM050S18F02 made in Bridgepower Co., Ltd.) 1 EA

9. Operator`s Manual 1 EA

10. Thermal roll Paper 2ROLL

Rev. 4.00 16
Optional Products

1. Reusable Temperature Probe (Surface/Skin, TEMPSENS-430)

2. Sidestream EtCO2 Module (Respironics)

3. Mainstream EtCO2 Module (Respironics)

4. Sidestream EtCO2 airway adapter sampling kit

5. Mainstream EtCO2 airway adapter

6.5-Lead Patient Cable with extension cable

Warning

In order to avoid electrical shock, do not open the cover. Disassembling of the
equipment should be done only by the service personnel authorized by Bionet

Warning

Users must pay attention on connection any auxiliary device via LAN port or nurse
calling. Always consider about summation of leakage current, please check if the
auxiliary device is qualified by IEC 60601-1, or consult your hospital biomedical
engineer.

Rev. 4.00 17
 Basic Unit

Front view
1

1 Alarm lamp handle 5 Home key

2 Alarm control key 6 Rotary knob key

3 Printer key 7 Power ON/OFF Key

4 Blood-pressure measurement key 8 Battery status indicator

Rev. 4.00 18
Right side view

1 ECG connector

2 Blood pressure Hose connector

3 SpO2connector

4 Temperature connector

5 EtCO2 connector

Rev. 4.00 19
Left side view

1 Printer

Rev. 4.00 20
Back side view

1 2 3 4 5 6 7

1 Potential equivalent

2 NURSE CALL connector

3 USB connector (USB 2.0 5Vdc / Max. 500mA),

4 DC input

5 Service port connector

6 Network connector

Rev. 4.00 21
7 HDMI output

Warning

USB Compatible

⚫ The BM3 is compatible with external USB memory drives up to 64GB.

⚫ We recommend brands products listed in the manual (Sandisk, PNY, Transcend,

Samsung).

⚫ When using a product with high power consumption, such as an external hard
drive, be sure to use the provided adapter for suitable power supply. (Cannot be
used alone as a power supply)

⚫ You should save the data of connected device before connecting the additional
device.

⚫ It may not support some devices that require high power.

Rev. 4.00 22
Device Markings

Caution :

Consult accompanying Ground terminal

documents

TYPE CF APPLIED PART TYPE BF APPLIED PART

Printer Auxiliary Port

LAN port HDMI HDMI external port

DC Input Indicator USB port

Battery Operation indicator DC input connector

Temperature NIBP

Power ON /OFF Function

WEEE (Waste Electrical and

ECG
Electronic Equipment)

European Medical Device

Date of manufacture
Directive 93/42/EEC

Consult instructions for use.

Safety Sign : To signify that the
This symbol advises the reader instruction manual must be
to consult the operating read. Reading the instruction
instructions for information manual before starting work or
needed for the proper use of before operating equipment.
the device.

Nurse call Change the Alarm Mode

Rev. 4.00 23
 IP (Ingress Protection)

Power

The BM3 monitor uses a DC adapter (100-240 VAC / 18VDC 2.8A). In the event of a
power outage or cable shortage, the monitor automatically switches to battery power to
continue patient monitoring without data loss. The built-in battery is intended for back-
up use only during power-off.

DC Product information
Manufacture: BRIDGEPOWER CORP.

Model name: BPM050S18F02

Input Power: 100~240V 1.2A

Output Power: 18 V, 2.8 A

DC Power LED is lighted on when the DC Power is plugged into the inlet at the back of
the product. A press of power key makes the machine ready for use.

Caution

This equipment must be connected to a protective earth grounded power supply.

Using non-standard products other than the adapters supplied by us may cause
signal distortion or noise. Be sure to use a genuine adapter that is supplied by our
company and is insulated.

Battery power

DC adapter, it uses battery power when power failure and portable use.

The battery is attached to the bottom of the equipment and the additional extended
battery is connected to the left side.

Rev. 4.00 24
- Battery: 3BL335-BIO-S (10.8V / 3250mAh, Li-ion) or

031PpTC3(3ICR19/65) (10.8V / 2150mAh, Li-ion)

The Lithium-Ion battery is a rechargeable battery containing Lithium-Ion cells. Each

battery contains an integrated electronic fuel gauge and a safety protection circuit.

Operation

1. Battery Power LED is lighted on when the machine is in use.

2. Battery is automatically charged when the machine is connected to DC Power Supply.

The charging status is displayed at the top right of the screen

3. The charging status of the batteries is displayed with 5 green boxes, each indicating a
different charging. (5% -> 25% -> 50% ->75% -> 100%)

4. When discharging, the battery image is displayed in Red.

The monitor automatically turns off when the battery is depleted. The table below
describes the function of the battery charging bar graph at the top of the screen.

Battery charge/discharge display

Display Charging remain time Description

Your battery is charging. Not applicable

Your battery is fully charged Not applicable

Your battery is 75% charged Not applicable

If possible, connect it to the AC

Your battery is charged at 50%
adapter.

Rev. 4.00 25
 Immediately connect the monitor to
Your battery is charged at 25%
the AC adapter.

The internal battery is very low. Immediately connect the monitor to

(The power will turn off about 5min.) the AC adapter.

There is no built-in battery. Connect the battery.

Caution

The battery charge display is displayed correctly only when the battery is operating
normally

Note

If no AC power is applied, the battery charge display will take up to 15seconds to

reflect the actual capacity of the internal battery.

Warning

Older or defective batteries will have significantly reduced capacity or operating

time.

note

⚫ To maximize the charge for transport, keep the monitor connected until
you are ready to transport the patient. Reconnect the monitor immediately
after transport.
⚫ Bionet recommends replacing the lithium ion battery after 24 months of
use.
⚫ Battery life depends on usage. If battery life continues, battery life will
decrease and frequency of replacement will increase.
⚫ To prevent pre-discharge, recharge after the battery is discharged.

Rev. 4.00 26
 Caution

The battery charge display is accurate only when the battery is operating normally.

-Battery Charging Time: more than 3hours

-Continuous Battery Usage Time: 2 hours or more when fully charged (measured every
15 minutes Nibp with SpO2 and ECG)

Warning

Be careful of the polarity when replacing the battery.

We strongly recommend that you use the battery supplied by Bionet.

Using unauthorized batteries may damage the equipment

5. Presence of battery: When the battery is disconnected from the equipment and it
malfunctions, it shows 'X' as shown below.

Note

Charging is not possible at low power (below 16V).

Cannot be used in vehicles with 24V power supply.

When replacing the battery, be sure to remove the DC adapter and replace it.

Rev. 4.00 27
 How to replace the battery

Please assemble and replace as shown below.

The Impact of Lithium-Ion Battery Technology on the Battery

The following are the key points you should know about Lithium-Ion battery technology:

The battery will discharge on its own, even when it is not installed in a monitor. This
discharge is the result of the Lithium-Ion cells and the bias current required for the
integrated electronics.

By the nature of Lithium-Ion cells, the battery will self-discharge.

The self-discharge rate doubles for every 10°C (18°F) rise in temperature.

The capacity loss of the battery degrades significantly at higher temperatures.

As the battery ages, the full-charge capacity of the battery will degrade and be
permanently lost. As a result, the amount of charge that is stored and available for use is
reduced.

Rev. 4.00 28
 Warning

When replacing the battery, only use the battery provided by Bionet. Check the battery is
properly secured to the bracket. Do not cause a serious impact on the battery.

Ignoring the above warnings will cause battery explosion and serious damage to devices.

Conditioning Guideline

The battery in the monitor full charged and discharged every six months and condition it using
the battery charger.

Storage Guideline

Store the battery outside of the monitor at a temperature between 20°Cto 25°C (68°F to 77°F).

When the battery is stored inside a monitor that is powered by an AC power source, the battery
cell temperature increases by 15°C to 20°C(59°F to 68°F) above the room’s ambient temperature.
This reduces the life of the battery.

When the battery is stored inside a monitor that is continuously powered by an AC power source
and is not powered by battery on a regular basis, the life of the battery may be less than 12
months. Bionet recommends that you remove the battery and store it near the monitor until it is
needed for transport.

How to Recycle the Battery

When the battery no longer holds a charge, it should be replaced. The battery is recyclable.
Remove the old battery from the monitor and follow your local recycling guidelines.

Warning

EXPLOSION HAZARD —

DO NOT incinerate the battery or store at high temperatures. Serious injury or death could
result.

Rev. 4.00 29
 Getting Started

Starting the monitor:

Press the power key (O) at the bottom right of the monitor front panel. The power light
on the monitor lights up, the alarm bar lights up, the power is turned on, the screen
lights up, the main screen is displayed after running the self-test.

Stopping the monitor:

Press and hold the power key (O) for 3 seconds. The screen goes off.

Main screen setup

After the monitor is turned on, the main screen is displayed.

3
1

1 Status Message 3 Numeric Window

2 Waveform Window 4 Menu Window

Rev. 4.00 30
The parameter box displays values, alarm limits and icons for the selected parameter.
You can set the parameters and their associated waveforms so that they are easy to
distinguish.
The message appears at the top of the screen. The patient name is displayed in the
upper left corner of the screen. The top right of the screen displays the time and device
management status.

Using Rotary knob switch

The rotary knob switch allows the user to navigate menus, select settings,
and perform menu functions. Rotate the rotary knob to move the menu item.
To confirm the selection, press the rotary knob switch.

Fixed key

The fixed keys on the front panel of the monitor allow you to perform commonly
performed functions.

Fixed key Description Fixed key Description

The alarm control key Start or end non-invasive

switches between Normal / blood pressure (NIBP)
Audio Paused and Alarm measurements.
Paused mode.
Press more than 3 seconds
to switch to Audio Off or
Alarm Off mode

Start or stop recording on Return to the main screen or

time. switch the extended parameter
screen mode.

Rev. 4.00 31
Function key

On the right side of the monitor's front panel, the touch screen icon on the touch screen
allows you to perform frequently-used functions.

Fixed key Description Fixed key Description

Opens a table where you This is an alarm mode key, so

can set the maximum and it enables to change Normal/
minimum alarm limits. Audio Paused/ Alarm Paused
mode.

Access the Hospital / Displays the setup menu.

Emergency menu.

Enable waveform stop Displays the automatic blood

function. pressure measurement interval
setting menu.

Displays the printer setup Displays trend menu.

menu.

Displays the mini Trend Set parameters in text screen.

window.

Rev. 4.00 32
2. SETUP

Overview

This chapter describes how to configure your monitor and how to upgrade your software.

Monitor configuration

Setup Menu tree

Parameter menu tree

Rev. 4.00 33
 Main menu setup

The Setup menu allows the user to access submenus, display screens, and perform specific
monitor setup functions.

1. To display the Settings menu, click the Settings icon to open the submenu.

2. Click the desired setting to access the submenu that performs the desired function or
goes one step further down.

3. Click Close at the bottom of the submenu list to return to the previous menu or screen.

Main menu Sub menu

A. SETUP A-1. PARAMETER SETUP

A-2. PARAMETER UNITS
A-3. USER SERVICES
A-4. SYSTEM INFORMATION
A-5. ALARM SETUP
A-6. DISPLAY OPTION
A-7. HOSPITAL INFORMATION
B. BIOSIGNAL CALIBRATION B-1. ECG & RESP
B-2. NIBP
C. SCREEN CALIBRATION
D. MAKER SERVICE D-1. MAC Address
D-2. Factory Reset
E. SW UPGRADE

F. SW LICENSE

Rev. 4.00 34
 A. SETUP menu

MENU Description Available settings

A-1.PARAMETER SETUP measurement on the monitor PARAMETER enable

Parameter selection and color setting ON/OFF
menu: ECG,SPO2,RESP,NIBP,TEMP, PARAMETER COLOR
ETCO2 setup
A-2.PARAMETER UNITS Unit setting menu used for monitor
measurement
A-2-1.Weight UNIT Weight measurement unit Kg
Lbs

A-2-2.Height UNIT Height measurement unit Cm

Inch

A-2-3.BLOOD PRESSURE blood pressure measurement unit mmHg

UNIT kPa
A-2-4.TEMPERATURE UNIT Temperature measurement unit °C
°F
A-2-5.GAS PRESSURE UNIT Gas measurement unit mmHg
kPa
vol%
A-2-6.MULTI GAS PRESSURE Select whether to set the pressure unit ON / OFF
UNITS for each gas type.
When OFF, unit setting menu by gas
type is displayed
A-3.USER SERVICES User configuration menu
Set Monitor Environment Group GENERAL
ICU
NICU
A-3-1.HOSPITAL UNIT
OR
CCU
USER DEFINE

Rev. 4.00 35
A-3-2.KEY Sound Set Key activation ON / OFF
A-3-3.KEY Volume Set Key sound OFF ~ 100%
A-3-4.AC FILTER Power filter settings OFF, 50Hz, 60Hz
A-3-5.SCREEN BRIGHTNESS Set screen brightness 10~100%
A-3-6.DATE DISPLAY Set type of date display ON / OFF
A-3-7.DEMO Set Demo ON / OFF
A-4.SYSTEM INFORMATION
A-4-1.MAIN VERSION Display main S/W version
A-4-2.NIBP VERSION Display NIBP Module version
Set language English, Korean
French, Bulgarian
Polish, German
Chinese, Portuguese
Hungarian, Czech
A-4-3.LANGUAGE
Romanian, Italian

Turkish, Spanish

Russian, Greek

Japanese

A-5. ALARM SETUP Alarm settings menu

A-5-1. ALARM PASSWORD Alarm setup password activation menu ON/OFF

A-5-2. SETUP PASSWORD Password setup menu

A-5-3. ALARM SOUND Alarm sound type selection menu IEC60601

BIONET

A-5-4. Patient Privacy Patient Information Privacy option ON/OFF

(used in Trend Export function)

A-6. DISPLAY OPTION

A-6-1. SWEEP SPEED 6.25 mm/sec

12.5 mm/sec

Rev. 4.00 36
(ECG/SPO2/RESP) 25 mm/sec (default)

50 mm/sec

A-6-2. SWEEP SPEED 6.25 mm/sec

12.5 mm/sec (default)

(RESP/ETCO2)
25 mm/sec

A-10. HOSPITAL Information Set Hospital information

A-10-1. Name Hospital Name

A-10-2. Address 1 Address information1

A-10-3. Address 2 Address information2

A-10-4. Postal Code Set postal Code

B. BIOSIGNAL CALIBRATION Set calibration menu

B-1.ECG & RESP

B-1-1. ECG Calibration ECG calibration menu 10mm/mV input

calibration display

B-1-2. RESP Calibration RESP calibration menu 1ohm 1cmm display

B-2.NIBP

B-2-1. ZERO Calibration NIBP Zero calibration menu Zero calibration menu at
atmospheric pressure

B-2-2. Gain Calibration NIBP Gain control menu Perform 250mmHg

pressure calibration
and select menu

B-2-3. Pneumatic Pump NIBP Pump control menu ON/ OFF

B-2-4. Pneumatic Valve NIBP valve control menu Close /Open

C. SCREEN Calibration Perform touch screen

calibration point input

D.MAKER SERVICES

Rev. 4.00 37
D-1. MAC ADDRESS Editing Enter a unique address
for the device

D-2. Factory Reset Reset menu for setting the device to Perform factory reset
factory default state

E. SW Upgrade Software Upgrade menu

F. SW LICENSE Software License menu

Rev. 4.00 38
Parameter color

Parameter Basic color

Selectable colors

Green, light blue, yellow, purple, blue, sky blue, orange, gray, light green, pink, white, red, light
yellow

ECG (ST) Green

SpO2 Blue

RESP Yellow

NIBP Purple

TEMP Green

ETCO2 Yellow

Rev. 4.00 39
3. Admission and Discharge

Overview

The Patient admission menu allows you to enter and edit a patient’s personal data (name,
ID, Birthday, Height, Weight). If your monitor is operating in a network monitoring, you
can also review or change the monitor’s care unit and bed label assignments.
Patient data and trends can also be transferred to PC. The transfer procedure depends
on whether the Inbound and Outbound monitors are connected to the Central network.

Patient admission

How to admit a patient:

1. Press the Patient icon button.

2. Click on Admit.
3. Click on Patient Information.
4. Please select a field. The data entry screen appears.
5. Click the letter of the word you want to input.
If you made a mistake, click Backspace and try again.
6. Click Enter to confirm your entry.
7. Click on the next field and repeat steps5 and 6.

Note:
⚫ To change a patient's classification (adult, pediatric or neonate), access the
patient settings menu.
⚫ Additional settings (Gestational Age) are available for neonate mode.

Rev. 4.00 40
 Patient discharge

The patient should be discharged before the other patient is admitted. Otherwise
The monitor attaches the existing data to the patient already admitted.

How to discharge a patient:

1. Press the Patient icon button.

2. Click on Discharge menu.
3. A discharge confirmation message is displayed.
4. Press the Yes button. The discharge procedure is in progress.
The monitor displays a Discharge message and a Discharge image in the upper left
corner.

Display images by PATIENT TYPE

TYPE Male Female Discharge

Admit Admit

ADULT

PEDIATRIC

NEONATE

Rev. 4.00 41
 Main menu Sub menu
A. Admit / Discharge

B. Patient Information B-1. Patient Information

C. Default Setting
D. User Drug Change
MENU Description Available Settings
A. Admit / Discharge Admission and discharge setting
B. Patient Information
B-1. Patient Information
B-1-1. Patient Type Patient Typesetting ADULT,
PEDIATRIC,
NEONATE
B-1-2. ID Patient ID setting
B-1-3. First Name First Name setting
B-1-4. Last Name Last Name setting
B-1-5. Gender Gender setup MALE , FEMALE
B-1-6. Birthday Birthday setting menu YYYY/MM/DD
B-1-7. Weight Weight setting XXX.XX Kg
B-1-8. Height Height setting XXX.XX Cm
B-1-9. Blood Type Default setting A Rh+/ Rh-/ -D-/ Rh Null
B Rh+/ Rh-/ -D-/ Rh Null
O Rh+/ Rh-/ -D-/ Rh Null
AB Rh+/ Rh-/ -D-/ Rh Null
Unknown

C. Default Setting Set Patient Info to Default Value.

Rev. 4.00 42
 Registration of patient ID using barcode

This product can input the PATIENT ID in barcode format to the device using USB barcode
scanner. First, connect the barcode scanner to the USB HOST connector on the left as shown in

the figure below. After the BEEP sound is generated, the barcode icon ( ) appears at the
bottom of the instrument screen.

The barcode that you want to input is matched to the index LED generated by the scanner, and if
you press the input button, the corresponding ID is read and sent to the equipment. The sender
ID is displayed at the top center of the screen.

Rev. 4.00 43
4. Alarm

Overview

The monitor displays the alarm limits (parameter threshold) and can be configured by the user to
raise an alarm if exceeded. Limits are displayed both in the alarm limits table and in the
parameter box. If this limit is exceeded, a visual or audible alarm will occur.
The bedside monitor is the primary alarm device, and there may be other secondary alarm
devices depending on how you configured the device / network. Depending on the alarm
condition, the monitor generates an alarm using one or more of the following devices:

⚫ Auditory alarm reflecting alarm severity

⚫ Change the color in the parameter box of the alarm parameter
⚫ Alarm messages in the local message area
⚫ Alarm banner indicating alarm status
⚫ External alarm device such as nurse call system
⚫ Activate alarm recording
The monitor generates an alarm when the parameter in the Alarm Limits table is ON. It is not a
prerequisite that the parameter is displayed on the display or connected in the event of an alarm.

Alarm priority

The alarm type is divided into a patient status alarm and a product status alarm.
The patient status alarm sounds when the diagnostic function (ECG 3 auto diagnosis) and alarm
upper and lower limits are exceeded, and there are levels of HIGH, MEDIUM, LOW and MESSAGE,
and there is a difference in the order and volume of the alarm.
You can set the alarm level for each parameter and function.
The patient status alarm provides the highest priority alarm.
The features of each alarm are described as follows. The alarm priority is HIGH> MEDIUM> LOW>
MESSAGE. For alarms over MEDIUM, the printer output is supported when ARMRM PRINT ON is
set.

Rev. 4.00 44
Alarm priority Alarm sound Alarm Color Alarm printer Handle Alarm
Lamp
HIGH

Every 2 seconds 2.0 Times/Sec

-5
Blinking Blinking
MEDIUM

Every 2 seconds Every 2 seconds

-3
Blinking Blinking
LOW

Every 2 seconds
-2 Non Blinking
Blinking
MESSAGE

Non Blinking

: Alarm sounds

: Waveforms are printed when ALARM PRINT is set to ON.

: Red color alarm indicator on the screen.

: Yellow color alarm indicator on the screen.

: Blue color alarm indicator on the screen.

Audible alarm

Alarm priority BIONET IEC

HIGH 1 high tone every 5 seconds 5 consecutive beeps every 5 seconds

MEDIUM 1 high tone every 15 seconds 3 consecutive beeps every 15 seconds

Rev. 4.00 45
LOW 1 low tone every 30 seconds 2 consecutive beeps every 30 seconds

Alarm management

You can use the lock key on the front of the monitor to hold the alarm.

To change Alarm Mode: A short press of the alarm control key circulates through the Normal /
Audio_Paused / Alarm_Paused alarm modes. Press and hold the key for more than 3 seconds to
switch to Alarm_Off / Audio_Off mode using the mode selection dialog regardless of which alarm
mode the monitor is currently in

Audio_Paused: Stop the audible alarm for 1 minute but the visual alarm is activated still. Banner
with the message Audio Paused and countdown timer are displayed on the screen. After the user
switches to another alarm mode or after the timeout period has elapsed if the alarm occurs
still,visual and audible alarms will be activated again

Alarm_Paused: Stop visual and audible alarms during user defined time. Banner with the message
Alarm Paused and countdown timer are displayed on the screen. After the user switches to
another alarm mode or after the timeout period has elapsed if the alarm occurs still, visual and
audible alarms will be activated again

Alarm_Off: Stop visual and audible alarms. A banner with the message Alarm Off is displayed on
the screen. The monitor maintains Alarm Off mode until user switch to another alarm mode.

Audio_Off: Stop the audible alarm. A banner with the message Audio Off is displayed on the
screen. The monitor maintains Audio Off mode until user switch to another alarm mode

Alarm control:
Various alarm functions, such as alarm hold, validity and alarm limit indicators, can only be
configured in the alarm control menu, accessible only through the password protected unit
manager menu.

Nurse call:
If the monitor is sounding an alarm, the nurse call system is signaling.
When an audible alarm is silenced (Audio Paused or Audio Off) at the bedside unit, the nurse call
system will not alarm.
Your system administrator can change the alarm priority level for the nurse call signal.

Rev. 4.00 46
if the priority level is set to High, only high-priority alarms will sound on the nurse call system.

Note

⚫ Audio Paused and Audio Off modes only stop the audible alarm sound and touch or key
sound is activated always.
⚫ To adjust the Touch or Key Sound, use the Key Sound menu in Setup.

Alarm settings

Main menu Sub menu

A. Alarm Setup A-1.Parameter Alarm Limit

A-2.System Alarm Condition

A-3.Alarm Parameter

A-4.Nurse Call

B. Alarm Review

MENU Description Available Settings

A. Alarm Setup menu

A-1.Parameter Alarm Limit All parameter alarm, level, activate

Setup menu

A-2.SYSTEM ALARM System alarm, level, activate setting

CONDITION menu. LOW BATTERY

A-3.Alarm Parameter Alarm Settings menu

A-3-1.Alarm Volume The volume can be changed from OFF 10~ 100%

to 10% to 100%.

Rev. 4.00 47
A-3-2. Alarm Pause Time No sound for 5minutes, Release on 1,2,3,5,10,15min
alarm again

A-4. Nurse call User Settings menu.

NURSE CALL function ON / OFF; After ON/OFF

A-4-1. Nurse call on Alarm setting ON, check if relay sound is
heard in ALARM situation.

NORMAL CLOSE / NORMAL OPEN; Normal open

A-4-2.Call Type
ACTIVE state change check Normal close

One time

A-4-3.Duration ONE TIME / CONTINUE / CYCLING Continue

Cycling

Message/ Low/
A-4-4.Level
Medium/High

Alarm Review

Rev. 4.00 48
5. TREND

Overview

The monitor stores trend data for all connected signals. Users can request trend recording and
can also print the screen of trends displayed.

Triggered alarm events are displayed in red inverted triangles on the Event List and
Timeline

Trend setup

Main menu Sub menu

A. Trend Setup A-1. Popup Trend

B. Graphic Trend B-1. Graphic Trend

B-2. Tabular Trend

C. Tabular Trend C-1. Graphic Trend

C-2. Tabular Trend

D. Trend Export

Rev. 4.00 49
MENU Description Available settings

A. Trend Setup menu

A-1.Popup Trend

A-1-1.Time Period Show time interval setting menu 30min, 60min, 90min,

3hour, 6hour

A-1-2.Configure Parameters

B. Graphic Trend menu

B-1. Graphic Trend

B-1-1. Event List

B-1-2. Time Period Time Period Setting 30min, 60min, 90min,

2hour, 3hour, 4hour,

6hour, 8hour, 12hour

B-1-3. Display Group

B-1-4. Print Graph trend print out

C. Tabular Trend menu

C-1. Tabular Trend

C-1-1. Event List

C-1-2. Time Period Time period setting 1min, 5min, 10min,

15min, 30min, 1hour,
2hour
C-1-3. Display Group

C-1-4. Print Tabular trend print output

D. Trend Export menu

D-1. Start Time Parameter save start time setting menu hh:mm

Rev. 4.00 50
D-2. End Time Parameter Save Last Time Setting Menu hh:mm

D-3. Export Time Period Time period setting 1min, 5min, 10min,

15min, 30min, 1hour

D-4. Export Order Sequence of parameters Descending

Ascending

D-5. Export

Graphical trend

Trend graph shows saved trend data as individual graph type for each parameter. These graphs
show that the displayed parameters are active over a significant period of time Shows five
channels at a time. Confirmation color and scale Meter labels and numbers are displayed on the
left side of the trend channel. Vertical lines in each graph. This displays the time distribution.
Trends keeps the most up-to-date data. It is automatically updated on the right side of the graph.
1 2 3 4

8 9 10 11

Rev. 4.00 51
 ① Graphic trend select menu

② Tabular trend select menu

③ Event list menu

④ Event previous/next menu

⑤ Patient ID

⑥ Parameter numeric window

⑦ Interval search window

⑧ Trend interval setup menu

⑨ Parameter selection menu to show

⑩ Printer menu

⑪ Parameter window selection menu

Tabular trend

The Trends table displays the trend data in an easy-to-read table format. Up to six are displayed,
updated every minute. The time stamp above each column indicates the interval at which the
data in that column was trended. The value displayed is the last one acquired during the interval,
and the most recent data is displayed in the rightmost column.

Rev. 4.00 52
 1 2 3 4

8 9 10 11

① Graphic trend select menu

② Tabular trend select menu

③ Event list menu

④ Event previous/next menu

⑤ Patient ID

⑥ Numeric Parameter window

⑦ Selection Navigation window

⑧ Trend interval setting menu

⑨ Parameter selection menu

⑩ Printer menu

Rev. 4.00 53
 ⑪ Parameter select window menu

File export

The file extract function can transfer trend to a file using USB memory.

① Confirm USB memory connection.

② Press TREND > Trend Export button.

③ Set a start time, end time, export time period, and export order.

④ Press Export button

⑤ The data is transferred to USB memory. A completion message is displayed when the
transmission is completed.

Warning

USB Compatible

⚫ The BM3 is compatible with external USB memory drives up to 64GB.

⚫ We recommend product brands listed in the manual (Sandisk, PNY, Transcend,

Samsung).

⚫ When using a product with high power consumption, such as an external hard drive, be
sure to use the provided adapter for suitable power supply. (Cannot be used alone as a

Rev. 4.00 54
 power supply)

⚫ You should save the data of connected device before connecting the additional device.

⚫ Devises that require high power may not be supported.

Note

Saving Patient Data to a USB

⚫ Exported patient data on a USB memory drive is not encrypted and therefore raises privacy
concerns. So, only authorized personnel should be allowed to view, handle, store or transmit
patient data.
⚫ The file format of the USB memory drive used for the BM7 patient monitoring device is
FAT32.

Popup trend

The user can continue to monitor the main screen waveform and parameter box while displaying
trend data for up to 5 parameters for up to 6 hours. The pop-up trend graph follows the display
order indicated by each parameter in the trend setup and is updated with new trend data every
60seconds. When selecting pop-up trend.

If there is no parameter set in Trend setup> Configure parameters.

To change the popup menu window, touch the top and bottom of the popup menu with the
touch key, or select it with the rotary switch.

Popup trend window

Rev. 4.00 55
You can change the size of the popup menu by pressing and releasing the center of the popup
menu for at least 1second.

Rev. 4.00 56
6. ECG

Overview

The monitor can calculate heart rate and display ECG data. The electrocardiogram screen provides
1 channel display. It calculates the heart rate by detecting the electrocardiogram signal of the
patient and alarms according to the set upper and lower limit of alarm.

ECG connector position and measurement cable

SpO2
T

ECG
CO2 Connector

Electrode placement

1. If you have a lot of hair, shave. With alcohol-soaked cotton, wipe the patient's skin to
attach the electrode. Avoid wrinkled or uneven skin, and wipe off alcohol with a dry
cotton towel.

2. Unpack the electrode package and remove the electrode

3. Remove the rear mounting surface of the electrode. Be careful not to touch the adhesive
side.

4. Attach disposable electrodes to the previously sterilized skin.

Rev. 4.00 57
 5. Connect the lead of the electrode and the wire of the monitor

6. Fix the electrode to the skin, and secure the cable with the remaining length between the
instrument and the electrode with surgical tape. This fixation prevents the electrode from
moving.

Note

⚫ Make sure that the contact area of the disposable electrode is not dry to maintain a
good connection between the electrode and the skin.

⚫ If you suspect that the disposable electrode is in poor contact, replace it immediately
with a new electrode. Otherwise, the contact impedance of the skin and electrode will
increase, and the correct ECG signal will not be obtained.

⚫ If the contact condition gets worse before expiration date on the packaging, replace
with a new one.

⚫ To get a stable ECG waveform, rub the skin with gel or benzoin tincture.

ECG Precaution

Caution

⚫ Use caution when using evoked potential equipment as it may interfere with ECG
monitoring.

Warning

CABLES — Route all cables away from patient's throat to avoid possible strangulation.

CONDUCTIVE CONNECTIONS — Extreme care must be exercised when applying medical

electrical equipment. Many parts of the human/machine circuit are conductive, such as the
patient, connectors, electrodes, transducers. It is very important that these conductive parts
do not come into contact with other grounded, conductive parts when connected to the
isolated patient input of the device. Such contact would bridge the patient's isolation and
cancel the protection provided by the isolated input. In particular, there must be no contact

Rev. 4.00 58
of the neutral electrode and ground.

DEFIBRILLATION — Do not come into contact with patients during defibrillation. Otherwise
serious injury or death could result.

To avoid the risk of serious electrical burn, shock, or other injury during defibrillation, all
persons must keep clear of the bed and must not touch the patient or any equipment
connected to the patient.

After defibrillation, the screen display recovers within 10seconds if the correct electrodes are
used and applied in accordance with the manufacturer’s instructions.

Patient cables can be damaged when connected to a patient during defibrillation. Check
cables for functionality before using them again.

The peak of the synchronized defibrillator discharge should be delivered within 60ms of the
peak of the R wave. The signal at the ECG output on the patient monitors is delayed by a
maximum of 30ms.

If the ECG waveform on the screen is too unstable to synchronize with the patient’s heart
beat because of the following reason, remove the cause of an alarm, message, or unstable
ECG, and then use a stable ECG lead for synchronization.

✓ ECG electrode is detached or broken. Lead wire is detached or broken.

✓ Lead wire moves. AC interference, EMG noise or noise from ESU is superimposed.
✓ Connection cable is broken or has a short circuit. Connector has poor contact.

INTERFACING OTHER EQUIPMENT — Devices may only be interconnected with each other
or to parts of the system when it has been determined by qualified biomedical engineering
personnel that there is no danger to the patient, the operator, or the environment as a
result. In those instances where there is any element of doubt concerning the safety of
connected devices, the user must contact the manufacturers concerned (or other informed
experts) for proper use. In all cases, safe and proper operation should be verified with the
applicable

Manufacturer’s instructions for use and system standards IEC 60601-1-1/EN 60601-1-1 must
be complied with.

Rev. 4.00 59
Electrosurgery Unit

✓ Electrosurgical units (ESU) emit a lot of RF interference. If the monitor is used with an
ESU, RF interference may affect the monitor operation.
✓ Locate the monitor as far as possible from the ESU. Locate them on opposite sides of
the operating table, if possible.
✓ Connect the monitor and ESU to different AC outlets located as far as possible from
each other.
✓ When using this monitor with an electrosurgical unit, its return plate and the electrodes
for monitoring must be firmly attached to the patient. If the return plate is not attached
correctly, it may burn the patient’s skin where the electrodes are attached.

During surgery:

Use the appropriate orange electrode ECG safety cable, or lead cable with a red connector,
for measuring ECG in the operating room. These cables have extra circuitry to protect the
patient from burns during cautery, and they decrease electrical interference. This also
reduces the hazard of burns in case of a defective neutral electrode at the HF device. These
cables cannot be used for measuring respiration.

Rev. 4.00 60
 Patient preparation

Careful skin preparation and proper electrode placement allow you to receive a strong signal that
minimizes handwriting. If a technical alarm (e.g. lead disconnect) has occurred, prepare the patient
again according to the following recommendations.
Follow hospital approved clinical procedures to prepare the patient's skin. Change the electrode
every 24 to 48 hours to improve signal quality. You may need to replace the electrode more often
in the following situations:

⚫ ECG signal degradation

⚫ Excessive sweating of the patient
⚫ Patient's skin irritation

There are a variety of reusable and disposable electrodes available. Choose the electrode that
best fits your monitoring situation. Bionet recommends Ag / AgCl disposable electrodes.
If you are using an electrode with a gel beforehand, make sure that the electrode is sufficiently
gelled. Never use this product if the disposable electrode has expired or the gel is dry.
Determine the electrode location that will provide the best ECG in the configuration (P-wave and
T-wave amplitudes should not exceed 1/3 of the QRS amplitude). Choose a flat, muscular location
to maximize contact with the electrodes and minimize muscle fatigue. Avoid joints or bony
protrusions. When choosing a location for electrode placement, consider the following special
conditions: Surgery - Place electrodes as far away from the surgical site as possible. Burn patient -
use sterile electrodes. Thoroughly clean the equipment. Follow hospital infection control
procedures.
Use a waterproof tape (about 2 inches wide) or Steri-Drape to secure the electrode Protect from
liquids. Make a small loop from the lead wire just below the connection and secure with tape.

Rev. 4.00 61
ECG lead

5 LEAD electrode placements

3 LEAD electrode placement

How to attach neonate electrodes

Rev. 4.00 62
 Cable color and size

AHA：American Heart Association (U.S.A. standard)

IEC：International Electro technical Commission (Europe standard)

3LEAD / 5LEAD

AHA AHA IEC IEC

Lead wire
Color code Label Color code Label

Right arm White RA Red R

Left arm Black LA Yellow L

Right leg Green RL Black N

Left leg Red LL Green F

V1(precordial) Brown V1 White C1

ECG signal processing and display

The monitor is a QRS Complex with a QRS complex amplitude of 0.4 to 5.0 mV (0.2-5.0 mV with a
scale setting of 0.5 mV / cm or less) and an adult with a QRS width of 70-120ms (or a newborn
with a QRS / ARR Select chapter). The heart rate is calculated from 15 to 300 times per minute
using the last 10seconds of the R-R interval and the two longest intervals and the two shortest
intervals at the R-R interval. The remaining interval is averaged, and the current heart rate is
displayed in the HR parameter box of the main screen as a result.

Rev. 4.00 63
When the ECG signal is 80 BPM, the interval of the T wave is 180ms, and the QT period is 350ms.

Alarm and alarm status

High P-wave and T-wave - Long P-wave or T-wave with high amplitude duration can be detected
by QRS Complex. Place the leads on the ECG1 channel with the highest R-wave (compare to T-
wave and / or P-wave) to allow the monitor to properly detect low heart rate conditions in this
situation. If the monitor continues to misinterpret the P-wave or T-wave, use a pulse oximeter to
reposition the electrodes or monitor the patient's pulse rate.

Rev. 4.00 64
 Display

① ③

① Heart rate detector: It detects heart rate and flickers simultaneously.

② HR Alarm limits: Heart rate threshold is displayed.

③ Heart rate: Displays the heart rate per minute.

ECG Settings

Main menu Sub menu

ECG A.ECG Parameters A-1. Alarm

A-2. QRS Volume

A-3.Display Option

A-4.Pace Maker

A. ECG menu

MENU Description Available settings

A-1. Alarm ECG alarm setting menu

A-1-1.PARAMETER ALARM HR, alarm limits, level, activation setup

LIMIT menu.

Rev. 4.00 65
A-1-2.TECHNICAL ALARM ECG-LEADFAULT
CONDITION ECG-CHECKELECTRODE
ECG-HR-SEARCH
A-2.QRS VOLUME QRS detection volume setting menu. OFF, 0%~100%

When you set the SpO2 volume, it is

automatically set to OFF.

A-3.DISPLAY OPTION

A-3-1.SWEEP SPEED The speed of the ECG displayed on the 6.25mm/s, 12.5mm/s,
screen can be set. Default setting:
25mm/s, 50mm/s
25mm/s

A-3-2. FILTER The filter setting is MONITOR by MONITOR

default.
MODERATE
ECG FILTER：Selects among four
MAXIMUM
frequency bands to filter the signal.
DIAGONOSIS
MONITOR 0.5Hz ~ 40Hz
MODERATE 0.5Hz ~25Hz
MAXIMUM 5Hz ~ 25Hz
DIAGONOSIS 0.05Hz ~150Hz
Changes the display amplitude of the 0.25 , 0.5, 1, 2,
A-3-3. SIZE (SENSITIVITY)
ECG waveform. 4mm/mV

The cardiac source can be selected as ECG, SpO2,AUTO

A-3-4. HR SOURCE
ECG or SpO2, AUTO.

Number of channels in the ECG 1CH,

waveform to be shown on the screen.
A-3-5. VIEW CHANNEL
Display two lines of 1CH ECG
waveform.

The ECG channel is selectable from I to I, II, III, aVR, aVL, aVF,
V6. V

A-3-6.TRACE 1 3 When using the lead cable selection,

only TRACE I can select I, II, III.

5 lead cable selection I, II, III, aVR, aVL,

Rev. 4.00 66
 aVF, V can be selected.

A-4. Pace Maker Pace Maker detection display setting ON/OFF

Rev. 4.00 67
 Trouble shooting

Problem:

Inaccurate heart rate and/or false asystole.

Solution:

Check ECG signal from patient:

1. Check and adjust the electrode placement.

2. Check the electrode attachment to the skin and attach it correctly.

3. Check the condition of the electrode and replace it if necessary.

Check amplitude of ECG waveform:

1. Select ECG parameter label.

2. Select DISPLAY LEAD,

3. Scroll through all ECG leads and check for 0.5mV amplitude at normal (1X) size.(at
least0.5mV amplitude is required for QRS detection.) For borderline signals, validate on a
graph.

4. If amplitudes are low, electrodes may need to be repositioned or replaced.

Problem:

False ventricular fibrillation occurs.

Solution:

Check ECG signal from patient: (the chest lead may exhibit polarity changes which may
occasionally cause an inaccurate call.)

1. Check and adjust the electrode placement.

2. Check the electrode attachment to the skin and attach it correctly.

Rev. 4.00 68
3. Check the condition of the electrode and replace it if necessary. (if chest lead is a problem,
move the chest electrode to another chest position or leg position.)

Problem:

Inaccurate pacemaker detection

Solution:

Use pacemaker processing:

1. Select ECG parameter label.

2. Display the lead of ECG with the greatest amplitude in the top waveform position.

3. Select Pace Maker.

4. SELECT PACE MAKER ON.

Rev. 4.00 69
7. SpO2

Overview

SpO2 monitoring is a non-invasive technique that measures the total amount of oxygen in
hemoglobin. The pulse rate is measured by measuring the absorption of the wavelength of the
selected light. The light emitted by the sensor in the probe passes through the tissue and is
converted into an electrical signal by the light-detecting sensor in the probe. The monitor
processes the electrical signal and displays the waveform, %SpO2, and pulse rate on the screen as
quantified values. Red and infrared rays are passed through the capillaries of the fingertip to
detect the pulsating component, calculate HR and oxygen saturation, and alarm according to the
set alarm value.

Precaution

SpO2 measurements are particularly sensitive to arterial and arteriolar pulse rates. Patients
experiencing shock, hypothermia, anemia, or patients taking medications that reduce arterial
blood flow may have incorrect measurements.

Warning:
⚫ The pulse oximeter cannot be used as an apnea monitor.
⚫ High oxygen levels can make premature babies vulnerable to retrolental fibroplasia.
When this is the case, do not set the maximum alarm limit to 100%, such as the effect of
turning off the alarm. Percutaneous pO2 monitoring is recommended for premature
infants receiving supplemental oxygen.
⚫ Inspect the applied area every 2-3 hours to check the skin condition and check if it is
attached to the naked eye. If skin conditions change, move the sensor to another
location. Change the application site every 4 hours at least.
⚫ Use only Bionet-designated sensors. Other sensors may not provide adequate protection
against defibrillation or may put the patient at risk.
⚫ Disposable accessories (disposable electrodes, transducers, etc.) should be used only
once. Do not reuse disposable accessories.

Rev. 4.00 70
 Patient preparation

The accuracy of SpO2 monitoring is largely dependent on the strength and quality of the SpO2
signal.
If you use your fingers as a monitoring site, remove the nail polish. Cut the patient's fingernail if
needed to improve placement of the sensor. Only use sensors provided by Bionet and apply them
according to manufacturer's recommendations on a per-sensor basis.
If the sensor is not attached correctly, the ambient light may interfere with the pulse oximetry,
making the measurement irregular or causing the value to disappear. If you suspect interference
from ambient light, make sure that the sensor is properly positioned and that the sensor cover
with the opaque body is covered.

1. Select the sensor type and size that best suits your patient.
2. If the sensor can be reused, please wash it before use for each patient.
3. Position the sensor correctly and attach it to the patient.
4. Connect the sensor to the patient cable.
5. Check the application area of the sensor from time to time. If the sensor is too tight, it may
delay blood flow or overheat the skin and damage the tissue. Do not use a damaged sensor.

Note: Read the documentation that came with your sensor for the best application technology
and safety information. Never use a damaged sensor.

Note: If the sensor does not turn on after connecting the sensor, observe that a message appears
on the monitor. If the sensor-LED does not turn on, replace the sensor.

Rev. 4.00 71
 SpO2connector

SpO2

SpO2
T

SpO2
CO2 Connector

SpO2 measurementCable

Note

The signal input is a high-insulation port and it is defibrillator proof().

The insulated input ensures patient safety and protects the device during defibrillation and
electrosurgery.

Rev. 4.00 72
 Display
①
②

③ 150
60

④ ⑥

SpO2 pulse rate display

①

SpO2 PI (Perfusion Index) measurement display

②

SpO2 pulse rate alarm limits display

③

%SpO2 alarm limits display

④

SpO2 strength indicator

⑤

%SpO2 Value display

⑥

The current SPO2 value and the derived pulse rate (RATE) are displayed. The block sets indicate
the strength of the signal (twenty block bars indicate the strongest signal). The SPO2
measurements are averaged over a 6-second period of time.

The monitor display is updated every second.

The SPO2 monitoring features are found in the SPO2 menu. These features include alarm limit
adjustment, display of RATE, and RATE volume.

Rev. 4.00 73
 Note

SpO2 WAVE SIZE is changed automatically.

Signal and Data Validity

It is extremely important to determine that the probe is attached to the patient correctly and the
data is verifiable. To make this determination, three indications from the monitor are of
assistance—signal strength bar, quality of the SPO2 waveform, and the stability of the SPO2values.
It is critical to observe all three indications simultaneously when ascertaining signal and data
validity.

Signal Strength Bar

The signal strength bar is displayed within the SPO2 values window. This bar consists of 10 blocks
set depending on the strength of the signal. Proper environmental conditions and probe
attachment will help to ensure a strong signal.

Quality of SPO2 Waveform

Under normal conditions, the SPO2 waveform corresponds to (but is not proportional to) the
arterial pressure waveform. The typical SPO2 waveform indicates not only a good waveform, but
helps the user find a probe placement with the least noise spikes present. The figure below
represents an SPO2 waveform of good quality.

Good Quality SPO2 Waveform

Rev. 4.00 74
If noise (artifact) is seen on the waveform because of poor probe placement, the photodetector
may not be flush with the tissue. Check that the probe is secured and the tissue sample is not too
thick. Pulse rate is determined from the SPO2 waveform which can be disrupted by a cough or
other hemodynamic pressure disturbances. Motion at the probe site is indicated by noise spikes
in the normal waveform. (See the figurebelow.) It has been noted that letting the patient view the
SPO2 waveform enables them to assist in reducing motion artifact.

SPO2 Waveform with Artifact

Stability of SPO2Values

The stability of the displayed SPO2 values can also be used as an indication of signal validity.
Although stability is a relative term, with a small amount of practice one can get a good feeling
for changes that areartifactual or physiological and the speed of each. Messages are provided in
the SPO2 values window to aid you in successful SPO2 monitoring.

WARNING

In the monitoring of patients the coincidence of adverse conditions may lead to a disturbed
signal going unnoticed. In this situation artifacts are capable of simulating a plausible
parameter reading, so that the monitor fails to sound an alarm. In order to ensure reliable
patient monitoring, the proper application of the probe and the signal quality must be
checked at regular intervals.

Rev. 4.00 75
 SPO2Settings

A. SPO2menu

MENU Description Available Settings

A-1. Alarm SPO2 Alarm setup menu

A-1-1.PARAMETER ALARM PERCENT, PR parameter alarm , level ,

LIMIT activate setup menu

A-1-2.TECHNICAL ALARM SPO2-PROBEOFF

CONDITION
SPO2-CHECKPROBE

SPO2-POORSIGNAL

SPO2-LOSTPULSE

SPO2-ARTIFACT

SPO2-PULSE SEARCH

A-2.RATE VOLUME Menu in which RATE VOLUME is set up OFF, 0%~100%

When the ECG volume is set, it is
automatically set to OFF.

A-3.DISPLAY OPTION SPO2waveform display setting

A-3-1.SWEEP SPEED It can set the speed of SPO2 displayed 6.25mm/s, 12.5mm/s,
on the screen. Default: 25 mm/s.
25mm/s, 50mm/s

Status messages

Below is a list of system status alarm messages which may be displayed in the SPO2 parameter
window during monitoring.

CHECK PROBE

Reusable finger probe is off the patient. Check the probe. The factory default for this alarm is

Rev. 4.00 76
MESSAGE ALARM.

PULSE SEARCH

Detection by the monitor of a repeatable pulse has ceased. Check the patient and the probe site.

POOR SIGNAL

The SPO2 signal is too low. No SPO2 data is displayed. This can be due to a low patient pulse,
patient motion, or some other interference. Check the patient and the probe.

LOST SIGNAL

SPO2 data continues to be displayed, but the quality of the signal is questionable. Check the
patient and the probe.

ARTIFACT

It indicates that something happened to the pulses; determine if the artifact to be abnormal and
irregular

Rev. 4.00 77
8. RESPIRATION

Overview

Respiration via ECG Lead I or Lead II electrode makes the skin area of the chest enlarged, causing
changes in the resistance of skin. Through this it calculates respiration value per minute and
performs the alarm function according to limit value.
The monitor can use ECG leads I or II for breath detection, regardless of the leads selected for
QRS processing. The measurement range for impedance breath monitoring is 0 to 155 breaths
per minute. The alarm setting range is 5 ~ 150 breaths per minute. You can monitor the heart
rate, SpO2 using the appropriate accessories, and display the relevant values in the Oxy cardio
respirogram.

RESP precaution

⚫ Impedance breath monitoring should not be considered the only way to detect breathing
stops. Bionet recommends monitoring of additional parameters, such as EtCO2 and SpO2
that indicate the patient's oxygen supply status.
⚫ • If you use an ESU block or cable, the impedance breath monitor may not work and the
pacemaker detection performance may be degraded. If pacemaker detection is enabled,
ESU interference may be detected as a pacemaker.
⚫ • Large amplitude pacemaker pulses (>100mV) may interfere with the monitor's breath
measurement or detection function.

Rev. 4.00 78
 Patient Preparation

Skin preparation and electrode placement must be properly and carefully monitored in impedance
breath monitoring. You can produce reliable results. Follow the same recommendations as ECG
monitoring Please. In general, the electrodes should be placed as clean as possible with the 60Hz
noise minimized to make it possible to generate a signal. The best results can be obtained when
the electrode is firmly bonded and the electrode area is wide. To improve the RESP signal, use a
5-lead cable set (RL as a neutral electrode). It is recommended that the electrode be placed in the
maximum expansion and contraction range of the lung, especially if deep breathing is involved.
For newborns, place the RA and LA electrodes on the mid-armpit line with the nipple. Place the
LL electrodes under the diaphragm and navel. Avoid the liver and the ventricles of the heart to
prevent 60Hz noise from pulsatile blood circulation. The following figure shows where we
recommend placing ECG leads for impedance breathing in adults and neonates

Lead I

Respiration

position

LeadII

Respiration

position

Rev. 4.00 79
 Respiration connector and measurement cable

Respiration connector

SpO2
T

ECG
CO2 Connector

Respiration

cable

Note

Respiration Rate measures the cable and connector will be used as the ECG and common.

Rev. 4.00 80
 Display

Breathe indicator: indicates the detected breath

①

Breathing number : displays the number of respiration per minute

②

Respiration alarm limit: indicates respiration limits

③

RESP Settings

A. RESP menu

Menu Description Available Settings

A-1. Alarm RESP Alarm setting menu

A-1-1.PARAMETER ALARM LIMIT RR, , Activation setup menu

A-1-2.TECHNICAL ALARM RESP-CABLE OFF

CONDITION
RESP-LEAD FAULT

RESP-CHECK ELETRODE

A-2.DISPLAY OPTION This is for changing the reference

LEAD

for respiration

A-2-1.SWEEP SPEED A menu to setup Wave Display of 6.25mm/s,

speed
12.5mm/s,

25mm/s,

Rev. 4.00 81
A-2-2.SIZE A menu to setup Wave Display 2, 4, 6, 8, 10

A-2-3.LEAD SELECT This is for changing the reference LEAD I

LEAD

for respiration LEAD II

Respiration waveform

Rev. 4.00 82
9. NIBP

Overview

The monitor can acquire and process non-invasive blood pressure (NIBP) signals and display the
output. Blood pressure measurements are determined by the oscillometric method and are
equivalent to those obtained by intra-arterial methods, within the limits prescribed by the
Association for Advancement of Medical Instrumentation, Electronic Automated
Sphygmomanometers (AAMI/ANSI SP-10).

If the pulse signal is poor due to patient movements, improper cuff placement or noise in the
signal, the cuff deflates and the monitor attempts a second measurement. For causes and possible
remedies for a poor pulse signal see the alarm message tables. The hose connects the cuff to the
monitor to determine the contraction, expansion and mean blood pressure of an adult, pediatric
or neonatal patient. The monitor can start the blood pressure measurement alone with set
intervals, or persistence lasting more than 5minutes.

NIBP Connector

SpO2
T

NIBP
CO2 Connector

Rev. 4.00 83
Adult Cuff

Optional accessory list

Big Adult NIBP Cuff

Thigh Adult Cuff Size : 458 * 143
Arm circumference : 45 to 56.5CmOption

Big Adult NIBP Cuff

Big Adult Cuff Size : 458 * 143
Arm circumference : 35.5 to 46 Cm Option

Child NIBP Cuff

Child Cuff Size : 430 * 108
Arm circumference : 20.5 to 28.5 Cm Option

Pediatric NIBP Cuff

Pediatric Cuff Size : 313 * 88
Arm circumference : 13.8 to 21.5 Cm Option

Infant NIBP Cuff

Infant Cuff Size : 210 * 60
Arm circumference 9 to 14.8 Cm Option

Neonate NIBP Disposable Cuff Neonate 1 (3.3~5.6cm) Option

Rev. 4.00 84
 NIBP Disposable Cuff Neonate 2 (4.2~7.1cm) Option

NIBP Disposable Cuff Neonate 3 (5.0~10.5cm) Option

NIBP Disposable Cuff Neonate 4 (6.9~11.7cm) Option

Note

The NIBP should be set in the menu because the measured value differs depending on the
patient's age and gender.

Display

① ② ③ ④ ⑤

⑦ ⑧ ⑨ ⑩

① Measurement Cuff type.

② Pulse rates: Indicates pulse rate.

③ Measurement time: Indicates the complete on time of measuring.

Rev. 4.00 85
 ④ Measure time: Indicates the schedule counter time of measuring.

⑤ Indicates recent measurement data.

⑥ Systolic Alarm limit: Indicates alarm limit of blood pressure.

⑦ Interval Time: indicates interval time when measures the blood pressure
periodically.

⑧ Systolic blood pressure: Indicates the maximum limit of systolic blood

pressure.

⑨ Diastolic blood pressure: Indicates the maximum limit of diastolic blood

pressure.

⑩ Mean blood pressure: Indicates the maximum limit of mean blood pressure.

NIBP Settings

A. NIBP menu

Menu Description Available Settings

A-1. Alarm NIBP Alarm setup menu

A-1-1.PARAMETER ALARM SYS, MEAN, DIA Parameter alarm limit,

LIMIT level , activation setup

A-1-2.TECHNICAL ALARM NIBP-OVER PRESSURE

CONDITION NIBP-OVERTIME PRESSURE
NIBP-INFLATION FAILURE
NIBP-DEFLATION FAILUER
NIBP-MEASUREMENT ERROR
NIBP-PULSE TOO WEAK
NIBP-AIR LEAK
NIBP-EXCESSIVE MOTION
NIBP-SYSTEM FAULT

Rev. 4.00 86
A-3.INFLATION It is a function to set the range that is ADT :
usually used by setting pressure at the
120 – 250 mmHg
beginning because it can give pain to
the patient when the equipment is PED :

turned on and pressurized to the

80 – 170mmHg
maximum pressure range at the initial
NEO :
pressurization.
Default Settings value: 60 – 140mmHg
ADT : 170 mmHg
PED : 140mmHg
NEO : 120mmHg
A-4.SETTING TIME How to apply pressure value setting. Once,
Once: When the blood pressure is
Every Time
measured for the first time, the
pressure is set to the set pressure
value, but automatically adjusted
according to the patient's blood
pressure value.
Every Time: Whenever blood pressure
is measured, pressurize to the set
pressure value every time

A-5.AUTO MEASUREMENT A menu to set Interval time when 1min, 2, 3, 4, 5, 10,

measures the blood pressure 15, 20, 30, 1hour, 2,

INTERVAL
periodically. 4, 8

After setting INTERVAL, you must press

NIBP KEY to start NIBP START
periodically.

B-1.NIBP STAT Patients with severe state changes in OFF / ON

blood pressure are in continuous

mode for 5minutes to check for
changes in blood pressure
continuously.

Rev. 4.00 87
C-1.VITAL SIGN REVIEW Record the 40 most recently measured
blood pressure values.

Warning

Check periodically to see if the circulation from the cuff to the distal part of the patient's
arm is good.

1minute and 2minute intervals When using automatic measurement, check the patient's
condition frequently. It is not recommended for measuring blood pressure for a long time if
the measurement time period is set to 10minutes or less.

Note

Safety Considerations
Software and Hardware for Cuff pressure Blocking:
The cuff is automatically reduced when the measurement time is longer than two minutes in
Adult / Pediatric mode and more than 90seconds in Neonatal mode. Extension limits are set
for all patient categories to prevent overpressure on the patient.

The maintenance is performed every 2 years.

Check the following list to the ensure monitor operates properly and safely at all times.

1. Check for proper cuff size.

2. Check for residual air left in the cuff from a previous measurement.

3. Make sure cuff is not too tight or too loose.

4. Make sure cuff and heart are at same level, otherwise hydrostatic pressure will offset the
NIBP value.

5. Minimize patient movement during measurement.

6. Watch for pulses paradox us.

7. Check for leak in cuff or tubing.

Rev. 4.00 88
 8. Patient may have a weak pulse.

It is recommended the PATIENT position in NORMAL measurement, as below;

1) Comfortably seated

2) Legs uncrossed

3) Feet flat on the floor

4) Back and arm supported

5) Middle of the CUFF at the level of the right atrium of the heart

a recommendation that 5min should elapse before the first reading is taken

Measurement Limitations

Measurements are impossible with heart rate extremes of less than 40 bpm or greater than 300
bpm, or if the patient is on a heart-lung machine.

The measurement may be inaccurate or impossible:

• With excessive and continuous patient movement such as shivering or convulsions

• if a regular arterial pressure pulse is hard to detect

• With rapid blood pressure changes

• With severe shock or hypothermia that reduces blood flow to the peripheries

• With obesity, where a thick layer of fat surrounding a limb dampens the oscillations coming
from the artery

• On an edematous extremity.

The effectiveness of this sphygmomanometer has not been established in pregnant, including
preeclamptic patients.

Cuff Selection and Placement

The quality of NIBP monitoring depends largely on the quality of the signals received by the

Rev. 4.00 89
monitor.

For this reason, it is important to select the correct cuff size for your patient. Cuff sizes are clearly
marked on the cuff. Measure the circumference of your patient’s limb. Use only Bionet cuffs with
your monitor.

Warning

Non-invasive blood pressure monitoring is not recommended for patients with

hypotension, hypertension or extremely high or low heart rate. The software algorithm
cannot accurately compute NIBP or patients with these conditions.

Warning

As the value of NIBP can vary according to the age and sex of a patient, the user needs to
set up correct data in parameter Menu before measurement. Make certain tubes between
the cuff and the monitor are not kinked or blocked.

Pay attention to not block connecting hose when you put cuff on patient.

Check cuff and hose connection for leaks periodically. Measurements can be inaccurate if air
leaks.

The air pad should be exactly over the branchial artery. Tubing is immediately to the right
or left of the branchial artery to prevent kinking when elbow is bent.

Try to measure infants when they are calm. A kicking or crying baby may disturb or jiggle
the cuff, causing noise within the system and resulting in unstable blood pressure readings.
If necessary, hold the cuffed limb steady, without impeding circulation. Do not hold onto
the cuff and do not pat the cuffed limb to comfort the child.

NIBP cannot be taken under all conditions. Even manual methods, employing a
sphygmomanometer and stethoscope, will not work on unstable or active patients.

Pressurization of the CUFF can temporarily cause loss of function of simultaneously used
monitoring ME EQUIPMENT on the same limb

Ensure the need to check that operation of the NIBP does not result in prolonged

Rev. 4.00 90
 impairment of the circulation of the blood of the PATIENT

Status Messages

If the cuff hose is not connected properly →INFLATION FAILURE CHECK CUFF

When the cuff pressure is excessive → OVER PRESSURE

When the cuff breaks and cannot exhaust →DEFLATION FAILURE

When the cuff pressure exceeds the set time → OVER TIME CUFF PRESSURE

When there is no measurement signal →MEASUREMENT ERROR

Rev. 4.00 91
10. EtCO2(*)

Overview

On supported models only(*), the BM Series monitor measures concentrations of end-tidal CO2
(EtCO2) when this option is enabled and the EtCO2 module is connected to your monitor.
The EtCO2 module can perform mainstream measurements in all monitoring modes and
sidestream measurements in the adult and pediatric monitoring modes. For sidestream
measurements, the capnostat fits on the nasal sampling cannula tubing.

EtCO2 connector position and Accessory (Sidestream, Respironics)

EtCO2 connector

CO2

SpO2
T

EtCO2
Connector
CO2

LoFlo sidestream CO2 sensor and connector

Sidestream sensor Sidestream sensor connector

Rev. 4.00 92
Sidestream EtCO2 Accessories

Intubation Sidestream accessories

PART FIGURE Description type

3468ADU-00 NasalCO2 Sampling Cannula Adult

3468PED-00 Nasal CO2 Sampling Cannula Child

3468INF-00 Nasal CO2 Sampling Cannula Neonate

Oral/Nasal CO2 Sampling Cannula

3470ADU-00 Adult

3470PED-00 Oral/Nasal CO2 Sampling Cannula Child

Nasal CO2 Sampling Cannula w/ O2

3469ADU-00 Adult
Delivery

Nasal CO2 Sampling Cannula w/ O2

3469PED-00 Child
Delivery

Rev. 4.00 93
 Nasal CO2 Sampling Cannula w/ O2
3469INF-00 Neonate
Delivery

Oral/Nasal CO2 Sampling Cannula w/ O2

3471ADU-00 Adult
Delivery

Oral/Nasal CO2 Sampling Cannula w/ O2

3471PED-00 Child
Delivery

Intubation accessories

Airway Adapter Kit w/

Dehumidification Adult /chid
3473ADU-00
Tubing (ETTube Size>4.0 mm)

Airway Adapter Kit w/

Dehumidification child/Neonate
3473INF-00
Tubing (ETTube Size<=4.0 mm)

Rev. 4.00 94
EtCO2 Placements and Accessories (Mainstream, Respironics)

EtCO2 connector

CAPNOSTAT 5 mainstream CO2 sensor and connector

Mainstream Sensor / Mainstream Sensor Connector

Rev. 4.00 95
Mainstream EtCO2 Accessories

Intubation patient Airway adaptor

Model Picture Description

6063-00 Adult/Neonate(disposable)

312-00 Neonate(Disposable)

7007-00 Adult/Neonate (Reusable)

7053-00 Neonate(Reusable)

Rev. 4.00 96
 Precaution

Warning

⚫ The CO2 alarm is not activated until the first breath is detected after the monitor is
turned on or the patient is discharged.
⚫ Accuracy of the CO2 and breathing rate measurements may be impaired due to
improper attachment of the sensor or due to certain patient conditions and certain
environmental conditions.
⚫ If the tube connection is faulty, loose or damaged, gas may leak and the accuracy
of the measurement may be lowered, resulting in poor breathing. To prevent this,
connect all component is securely and check the connection according to standard
clinical procedures to ensure that there are no leaks.

Warning

⚫ Industrial safety: Carefully dispose of used sampling tubes and T-connectors as

they may cause infection. There is a risk of infection. Dispose of all equipment in
accordance with local regulations.
⚫ Optimize reaction time by minimizing dead space and keeping sample collection
tubes as short as possible. Long sampling tubes can lead to poor accuracy and
slow response times for sidestream measurement techniques.
⚫ Do not place the airway adapter between the suction catheter and the
endotracheal tube when using the sample collection line as a closed suction device
for tuberous patients. This is to ensure that the airway adapter does not interfere
with the function of the suction catheter.

Sampling method

Connecting the CAPNOSTAT® 5 CO2 Sensor to the Host System

1. Insert the CAPNOSTAT 5 CO2 Sensor connector into the receptacle of the host monitor as
shown in Figure 1.

Rev. 4.00 97
2. Make sure the arrows on the connector are at the top of the connector and line up the two
keys of the connector with the receptacle and insert.

3. To remove the connector, grasp the body portion of the connector back and remove.

Note: Do not remove by pulling cable.

Shown below is the CAPNOSTAT 5 CO2 Sensor connection to a Respironics Novametrix CO 2

adapter:

Shown below is the CAPNOSTAT 5 CO2 Sensor with a patient circuit:

Rev. 4.00 98
Connecting the LoFlo Sample Kit

1. The sample cell of the sampling kit must be inserted into the sample cell receptacle of the
LoFlo CO2 Module as shown in Figure 1. A “click” will be heard when the sample cell is properly
inserted.

2. Inserting the sample cell into the receptacle automatically starts the sampling pump.

Removal of the sample cell turns the sample pump off.

3. To remove the sampling kit sample cell from the sample cell receptacle, press down on the
locking tab and pull the sample cell from the sample cell receptacle.

Rev. 4.00 99
 Display

② ① ③

EtCO2 CO2 concentration alarm upper and lower limit value display
①

Display CO2 concentration value at exhalation

②

Display the carbon dioxide concentration value at inhalation

③

Show respiratory rate per minute

④

EtCO2 setup

A. EtCO2 menu

Menu Description Available settings

A-1. Alarm EtCO2 Alarm Setup Menu

A-1-1.PARAMETER ALARM ETCO2, FICO2, AWRR, APNEA

LIMIT parameter alarm ,level , action setup
menu

A-1-2.TECHNICAL ALARM ETCO2-MODULE OFF

CONDITION
ETCO2-CHECK ADAPTOR

Rev. 4.00 100

 ETCO2-CHECK LINE

ETCO2-CHECK LINE DISCONNECT

ETCO2-CO2 INVALID

ETCO2-OVER RANGE

ETCO2-ZERO REQUIRED

ETCO2-SYSTEM FAULT

ETCO2-TEMP UNSTABLE

A-2. DISPLAY OPTION EtCO2Parameter Wave Display Setup

Menu

A-2-1. SWEEP SPEED Waveform sweep speed setup 6.25mm/s,

12.5mm/s,

25mm/s

A-2-2. SCALE Display waveform scale setup. 40mmHg (5.3 vol%)

The selectable value is the maximum 50mmHg (6.6 vol%)

pressure range shown in the waveform.
60mmHg (7.9 vol%)
When you select a range value, the
80mmHg (10.5 vol%)
selected pressure range value is
displayed below the dotted line above 100mmHg(13.2 vol%)

the two dotted lines in the left middle

150mmHg(19.7 vol%)
of the WAVE window.

A-2-3. FILL Choose whether to fill the waveform ON/OFF

inside

A-2-4. Gas Pressure Unit Choose Gas Pressure Unit mmHg

kPa

vol%

A-2-5. Use One Gas Unit Choose to set the pressure unit for ON/OFF

Rev. 4.00 101

 each gas type

Unit setting menu by gas type appears

when OFF

A-4.MODULE INFORMATION

A-3-1.SENSOR PN The sensor part number PNXXXXXX

A-3-2.OEM ID The id is a 7bit identifier which is set 0X01

at the factory to a unique value for
each OEM.

A-3-3.SENSOR SN The serial number of the module.

A-3-4.H/W VERSION The hardware version number of the

module.

A-3-5.TOTAL USAGE TIME Total use time of the module.

A-3-6.LAST ZERO TIME This is the total time that has elapsed Min. display
with the sensor in service the last zero.

A-3-7.PUMP TOTAL TIME This is the total time the pump has Min. display
been on. (LoFlo only)

A-3-8.PUMP MAX TIME This value indicates the maximum Min. display
rated lifetime of the sampling pump.
(LoFlo only)

A-4.MODULE SETUP

A-4-1.CURRENT PERIOD This setting is used to set the 1 BREATH,

calculation period of the ETCO2 value.
10SEC,
The end-tidal CO2 value is the highest
peak CO2 value of all end of 20SEC

expirations (end of breaths) over the

selected time period. If less than two
breaths exist in the selected time
period, the value will be the maximum

Rev. 4.00 102

 ETCO2 value for the last two breaths.

A-4-2. BALANCE GAS This setup mode to setup the gas in ROOM AIR
the measurement.
N2O
the type of gas that is mixed with the
HELIUM
breathing gas measuring

A-4-3. SLEEP MODE Sleep mode is used to save power NORMAL MODE
when the host monitor is in standby
TURNOFF MODE
mode. There are two sleep modes
available for the Capnostat. Using POWER SAVING

Sleep Mode 1 maintains the heaters so

the Capnostat is able to run
immediately after exiting the sleep
mode. Mode 2 will require the
Capnostat to go through its warm up
sequence when exiting this mode and
a delay will be introduced until the
system has stabilized.

A-4-4. BARO. PRESSURE This setting is used to set current 760mmHg

Barometric Pressure.

A-4-5. GAS TEMPERATURE This setting is used to set temperature 35.0°C

of the gas mixture. This setting is
useful when bench testing using static
gasses where the temperature is often
room temperature or below.

A-4-6. O2 COMPENSATION Use this setting to correct for the

compensation of the gas mixture
administered to the patient.

A-4-7. ANESTHETIC AGENT Anesthetic agent is ignored when the

balance gas is set to helium.

This
A-4-8.
function
ZEROis used
TYPE to initiate a ROOM AIR

Rev. 4.00 103

 When performing a zero on room air, N2
this setting should be set to room air
(the default). Only change to nitrogen
(N2) when performing a zero on 100%
N2 gas; this is provided for use in a
laboratory environment.

B-1.ZEROING This function is used to initiate a

Capnostat Zero.

A zero is used to correct for

differences in airway adapter types.

The Capnostat zero must be

performed free of any CO2

1. Set the Host to the zeroing

function.

2. Connect the CAPNOSTAT 5 CO2

Sensor

3. Place the CAPNOSTAT 5 CO2

Sensor onto a clean and dry CO2
adapter that is exposed to room
air and away from all sources of
CO2, including the ventilator, the
patient’s breath and your own.

Start the adapter zero. The maximum

time for a CAPNOSTAT zero is
40seconds. The typical time for a zero
is 15~20seconds.

C-1.MODULE RESET EtCO2 MODULE initializing.

Rev. 4.00 104

 Note

For best result, connect the CAPNOSTAT 5 CO2 Sensor to an adapter and wait
2minutesbefore performing the Adapter Zero procedure.

Status Message

Following is a list of some of the message that may appear on the monitor when monitoring CO2.
The message should clear when normal operating criteria are met or a solution is found.

* SENSOR OVER TEMP

- Cause : The sensor temperature is greater than 40’C

- Solution : Make sure sensor is not exposed to extreme heat(heat lamp etc.)

* SENSOR FAULTY

- Cause: One of the following conditions exist : Capnostat Source Current Failure

EEPROM Checksum Faulty , Hardware Error

- Solution : Check that the sensor is properly plugged in. Reinsert or reset the sensor if
necessary.

* SENSOR WARM UP

- Cause : Sensor under temperature , Temperature not stable, Source Current unstable

- Solution : This error condition is normal at startup. This error should clear when the warm up
is complete.

* CHECK SAMPLING LINE

- Cause : This error occurs whenever the pneumatic pressure is outside the expected range.

- Solution : Check that the sampling line is not occluded or kinked. Replace the sample line

Rev. 4.00 105

 * ZERO REQUIRED

- Cause : Zero Required , Zero Error

- Solution : To clear, check airway adapter and clean if necessary. If this does not correct the
error, perform an adapter zero. If you must adapter zero more than once, a possible
hardware error may exist.

* CO2 OUT OF RANGE

- Cause : The value being calculated is greater than the upper CO2 limit( 150mmHg )

- Solution : If error persists, perform a zero.

* CHECK AIRWAY ADAPTER

- Cause: Usually caused when the airway adapter is removed from the Capnostat or when there
is an optical blockage on the windows of the airway adapter. May also be caused
by failure to perform Capnostat zero to when adapter type is changed.

- Solution: To clear, clean airway adapter if mucus or moisture is seen. If the adapter is clean,
perform a Capnostat zero.

message status solution

It occurs when the equipment and module Verify module connections

MODULE OFF
are separated. Message output Service request

CO2 measurement failure

CO2 value is not output, or numerical error.

Troubleshoot procedure

1. Check the connection between the main unit and the module
2. Check the module line connection with the filter line or airway
3. Replace filter line or airway
4. Service Request

Rev. 4.00 106

 Note

In the following monitoring conditions, the measured values may be inaccurate. Read the
measured values carefully.

1. When using this in an environment of using nitrous oxide gas of high concentration

2. When using this in an environment where abrupt temperature change takes place

3. When using this in an environment with severely high humidity.

Caution

⚫ The measured values may be inaccurate when using this equipment for patients who
have very fast or irregular respiration.
⚫ When measuring CO2 from the patient under the anesthesia, check it when gas mixture
comes in. Otherwise, the measured result values may be inaccurate.
⚫ When using a anesthesia machine that uses a volatile anesthetic, CO2 values may be
inaccurate.

Rev. 4.00 107

 11. Temperature

Overview

This function is used to indicate the changes of resistance generated by the changes of
temperature in numbers. The function involves the process of transferring the changes into
electric signals.

Temperature Connector and Measuring Cable

SpO2
T

Temperature
CO2 Connector

Temperature measuring Cable

Rev. 4.00 108

 Note

Temperature probe is correctly positioned and fixed to not disconnect on the

patient. Temperature cable is attached to the monitor.

Display

Temperature alarm limit display

①

Temperature value display

②

Temperature unit display

③

Note

The minimum measuring time required to obtain accurate readings at the specific
body site is at least 3minutes.

If the measurement site is directly exposed to air, the temperature may be lower

than normal.

It takes about 20 ~ 30minutes to reach temperature equilibrium by attaching this

sensor.

Rev. 4.00 109

 Warning

To measure the ambient temperature, connect the probe to your ankle or wrist.

If the patient is sweating or moving heavily, fix the pads with surgical tape.

Temperature settings

A. Temp menu

MENU Description Available Settings

A-1. Alarm Temp Alarm Settings menu

A-1-1.PARAMETER ALARM TEMP1 Parameter Alarm level , Action

LIMIT setup menu

Settings range from 0℃ to 50.0℃/ 32°

F to 122°F.

A-1-2.TECHNICAL ALARM TEMP1-PROBE OFF

CONDITION

Rev. 4.00 110

12. Printer

Overview

The monitor can print out monitoring data, including trends and alarm data. Recordings
of waveforms are either timed or continuous and print at a recording speed of 25mm/s.
All recordings are identified by the patient’s name, ID as well as the date and time of the
recording request. The monitor can trigger alarm recordings automatically for life-
threatening alarms and limit violations, if the Record function is enabled on the alarm
limits table.
A printer is used to print data onto thermal paper.

Size of the thermal paper roll: 58mm wide x 38mm in diameter any thermal paper of
same size can be used for the printer.

Side view of printer

Rev. 4.00 111

 Caution

⚫ Due to the nature of thermal paper, it generates heat when continuously

output, so it is recommended to pause after 5minutes of output and after
10minutes of idle time.

Printer settings

Menu Description Available settings

A. Print Setup menu

A-1. Printer Setup

A-1-1. Use Of Printer PRINTER activation menu ON / OFF

A-1-2. Printer Speed Printer speed can select between 25 and 25 mm/s
50mm/s.
50 mm/s

A-1-3. Waveform1 Channel 1 waveform select menu OFF, SPO2, RESP,

ETCO2, ECG
A-1-4. Waveform2 Channel 2 waveform select menu

A-1-5. Waveform3 Channel 3 waveform select menu

A-1-6. Print From Time This is configuration of printed time in Real Time

normal printing. Delay (5sec)

If the print out is not stopped in

manual by PRINTER KEY, BM3 print out
for setup time after starting print out
with PRINTER KEY.

REAL TIME: Prints the data from the

point where the PRINTER key was
pressed.

Rev. 4.00 112

 DELAY: Prints data before 5seconds
when PRINTER key is pressed

A-1-7. Time Interval Continue, 10sec,

Set the time for printing the printout on
normal printout. If you do not stop 20sec, 30sec
manually after pressing the PRINTER
KEY, the output will be output only for
the following period of time.

Note

During printing time, the wave forms of IBP1, IBP2, ETCO2, M-GAS(D-GAS) on paper look
different from the wave forms on screen. That is the reason that the wave forms on screen
cannot be scaled, but the wave forms on paper can be scaled.

Thermal Paper Storage

To avoid print quality degradation or attenuation of printouts, follow these precautions:

Note

These precautions apply to both unused paper as well as paper that has already been run
through the printer.

• Store in cool, dark locations. Temperature must be below 27°C (80°F). Relative humidity
must be between 40% and 65%.

• Avoid exposure to bright light or ultraviolet sources such as sunlight, fluorescent, and
similar lighting which causes yellowing of paper and fading of tracings.

• AVOID CONTACT WITH: cleaning fluids and solvents such as alcohols, ketones, esters,
ether, etc.

• DO NOT STORE THERMAL PAPER WITH ANY OF THEFOLLOWING:

Rev. 4.00 113

 • Carbon and carbonless forms.

• Non-thermal chart papers or any other products containing tributylphosphate, dibutyl

phthalate, or any other organic solvents. Many medical and industrial charts contain
these chemicals.

• Document protectors, envelopes, and sheet separators containing polyvinyl chloride

or other vinyl chlorides.

• DO NOT USE: mounting forms, pressure-sensitive tapes or labels containing solvent-

based adhesives.

To assure MAXIMUM TRACE IMAGE LIFE, thermal paper should be stored separately in:
manilla folders, polyester or polyimide protectors.

Plastic document protectors, envelopes, or sheet separators made of polystyrene,

polypropylene, or polyethylene will not degrade thermal traces in themselves. However,
these materials afford no protection against fading from external causes.

Paper manufacturers advise us that these thermal products should retain their traces
when properly imaged and stored for about 3-5 years.

If your retention requirements exceed these guidelines, we recommend you consider

alternate image storage techniques.

Rev. 4.00 114

Paper Change

Open the window of the printer.

2
Insert the paper roll offered with the product
into the printing unit. Place the roll in a
proper way so that the printed paper can roll
out upwards.

3
Press the printer window until it is properly
shut. Inaccurate shutting may cause failure
in printing.

Rev. 4.00 115

13. Maintenance and Troubleshooting

Inspection Equipment

You should perform a visual inspection before every use, and in accordance with your
hospital’s policy. With the monitor switched off:

⚫ Examine unit exteriors for cleanliness and general physical condition. Make sure that
the housings are not cracked or broken, that everything is present, that there are no
spilled liquids and that there are no signs of abuse.
⚫ If the EtCO2module is mounted on the monitor, make sure that they are locked into
place and do not slide out without releasing the locking mechanism.
⚫ Inspect all accessories (cables, transducers, sensors and so forth). If any show signs of
damage, do not use.
Switch the monitor on and make sure the backlight is bright enough. Check that screen is at
its full brightness. If the brightness is not adequate, contact your service personnel or your
supplier

Warning

Use of this equipment adjacent to or stacked with other equipment should be avoided
because it could result in improper operation. If such use is necessary, this equipment and
the other equipment should be observed to verify that they are operating normally

Inspection Cables

 Examine all system cables, the power plug for damage. Make sure that the prongs of
the plug do not move in the adaptor. If damaged, replace it with an appropriate
Bionet power cord and adaptor.
 Inspect the parameter cable and ensure that it makes good connection with the
Monitor. Make sure that there are no breaks in the insulation.
 Apply the transducer or electrodes to the patient, and with the monitor switched on,
flex the Patient cables near each end to make sure that there are no intermittent faults

Rev. 4.00 116

 Warning

To avoid contaminating or infecting personnel, the environment or other equipment,

make sure you disinfect and decontaminate the monitor appropriately before disposing
of it in accordance with your country's laws for equipment containing electrical and
electronic parts. For disposal of parts and accessories such as thermometers, where not
otherwise specified, follow local regulations regarding disposal of hospital waste.

Maintenance Task and Test Schedule

All maintenance tasks and performance tests are documented in detail in the service
documentation

Maintenance and Test Schedule Frequency

Monitor Tests

Safety checks. Selected tests on the basis of At least once every two years, or as needed,
IEC 60601-1 after any repairs where the power supply is
removed or replaced, or if the monitor has
been dropped

Monitor Maintenance

Check ECG synchronization of the monitor and At least once every two years, or as needed.
defibrillator (only if hospital protocol requires
use of monitor during defibrillation)

Replace backlight (integrated displays only) 35,000 - 40,000 hours (about four years) of
continuous usage, or as needed.

Parameter Module Tests

Performance assurance for all measurements At least once every two years, or if you suspect
not listed below. the measurement values are incorrect.

Parameter Module Maintenance

NBP calibration At least once every two years, or as specified

by local laws.

Rev. 4.00 117

Mainstream and sidestream CO2 At least once a year, or if you suspect the
measurement values are incorrect.
calibration check

Battery Maintenance

Battery See the section on Maintaining Batteries in

chapter 1.

Noise in ECG

- Gel is dry
- Electrodes do not stick well to skin

The patient's skin Apply ECG gel or water to the area of

Yes
is extremely dry contact then use the electrode

Relpace the electrodes

(Use CE compatable products)

No

Replace lead wires

Repair the ECG B/D

Rev. 4.00 118

 SpO2 malfunction

Connectors of the equipment are in bad condition?

The extension cables

Yes Replace extension cables
Are disconnected

No

The finger probe is

Yes Replace the finger probe
in bad condition?

No

Repair the ECG B/D

Temperature malfunction

- If the temperature cannot be measured, check the connection with the equipment

The probe is
Yes Replace the probe
In bad condition?

No

Repair the Temp B/D

Rev. 4.00 119

NIBP malfunction

- Connector connection status, confirmation that the hose is normally connected

Abnormality in NIBP measurements

The patient moved Make sure the patient stay

Yes
While measuring still during diagnosis

No

The measurements appear lower Yes Loosen the cuff during diagnosis

No

The patient's skin

Yes Tighten the cuff during diagnosis
is extremely dry

No

Repair the NIBP B/D

EtCO2malfunction

Rev. 4.00 120

 The extension cables
Yes Replace extension cables
Are disconnected

No

The module is
Yes Replace the module
in bad condition?

No

Repair the adaptor

Failure in battery recharge

(the battery does not fully recharge in 6 hours or more)

Rev. 4.00 121

Power failure

The adapter connector is in bad condition Yes Replace the adapter

No

The output voltage of the adpateris lower

Yes Replace the adapter
than 18V

No

Repair the power B/D

Data storage failure

Execute the "admit" function

"Admit" has been selected in the menu Yes
(No data will be stored during battery discharge)

No

The Digital B/D(Digi)

Yes Replace the battery (3volt)
Battery has been lower than 3V

No

Repair the Digi B/D

Rev. 4.00 122

Periodic noises

All alarm has been

turned off

No

Display lead fault Turn functions not in use off

Yes
Message appears (Mode display set para)
Yes

No

The printer function abnormally Yes Replace the printer

No

Repair the accompanying Equipment

Print failure

The paper tray cover is properly shut Yes Shut the cover tight

No

The printing face of paper

Yes Reverse the paper face
has been reversed

No

Repair the printer and printer B/D

Rev. 4.00 123

14. Clean and Care

Overview

Clean the monitor and all accessories after each patient or daily according to your hospital’s
standard protocol. We recommend the following cleaning solution and procedures. To avoid
contamination and unnecessary damage to the equipment, follow the instructions below.

Bionet does not claim responsibility for the following chemical efficacy, disinfectant method, the
ability of the drug to inhibit bacterial infection, environmental impact, safe handling or
precautions related to use. For more information on these topics, see the information provided by
the detergent manufacturer.

Monitor and Peripherals

Moisture can damage the monitor and peripherals. (For example, around connectors, EtCO2
modules).

Please read the following instructions carefully before cleaning the basic unit or peripherals.

The following pages contain precautions for cleaning certain equipment and peripherals.

⚫ Do not spray detergent on the monitor or peripheral devices. Wipe it off with a damp
cloth.
⚫ Disinfect the surface with gauze with diluted alcohol.
⚫ Dry thoroughly with a lint-free cloth.

CAUTION

Do not wet or rinse the monitor and accessories. Disconnect the unit from the power source
if you accidentally spilled liquid on the equipment. Contact your technician for stability
before operating the equipment.

To prevent damage to the equipment, do not use sharp tools or abrasives. Never immerse
the electrical connector in water or other liquids. When cleaning, be careful not to let the

Rev. 4.00 124

 liquid stick to the edge of the screen.

Patient’s Cable

⚫ Clean the patient cables with a gauze pad moistened with a soap solution.
⚫ To disinfect patient cables, wipe the cables with a gauze moistened with diluted alcohol
or a glutaraldehyde-based dis-infectant.
⚫ Ethylene oxide is suitable for intensive disinfection (almost sterilization), but it shows that
the service life of cables and lead wires is reduced.
⚫ Dry thoroughly with a lint-free cloth.

CAUTION

Do not use disinfectants that contain phenol as they can spot plastics. Do not autoclave or
clean accessories with strong aromatic, chlorinated, ketone, ether, or ester solvents. Never
immerse electrical connectors.

When cleaning, do not apply excessive pressure or bend the cable unnecessarily. Excessive
pressure can damage the cable.

Reusable ECG Electrodes

Clean the electrode cup regularly with a toothbrush. When removing gel-like residues, use a soft
brush with flowing water. Wipe the electrode with a soapy cloth moistened with soapy water.

⚫ Sterilize the electrode by soaking the diluted alcohol in cloth.

⚫ Dry thoroughly with a lint-free cloth.

Reusable SpO2sensor

Clean the SpO2 sensor by wiping it with soapy water soaked gauze. Disinfect the sensor by
wiping with 70% alcohol solution. Dry the sensor completely with a lint-free cloth before applying
to the patient.

Capnostat sensor

Rev. 4.00 125

Wipe the sensor surface and sensor window with a damp cloth. Do not attempt to wet the sensor
or disinfect it with hot water. Allow to dry completely with a lint-free cloth. Make sure the sensor
window is clean and dry before use.

Reusable Temperature probes and cables

Do not use excessive pressure or flex the cables as this can stretch the covering and break the
internal wires.

⚫ Clean the probes with a 3% hydrogen peroxide or 70% alcohol.

⚫ Quickly immerse the cables in a detergent solution.
⚫ Make sure the probe’s tip is firmly connected.

CAUTION

Never boil or autoclave the cable. Vinyl withstands temperatures up to 100°C but begins to
soften at around 90°C. Handle gently when hot and wipe away from the tip toward the
cable.

CAUTION

Decisions on disinfection should be made by the user organization in accordance with the
integrity of the wires or lead wires.

Note

The equipment should be inspected regularly once a year. For inspection items, refer to the
user manual or service manual.

Carefully inspect the main unit and sensor after cleaning the equipment. Do not use damaged or
old equipment.

Clean the exterior of the equipment at least once a month using a soft cloth moistened with

Rev. 4.00 126

lukewarm water or alcohol. Do not use lacquers, thinners, ethylene, or oxidizers that could
damage the equipment.

Make sure that the cables and accessories are free from dust and dirt, then wipe them with a soft
cloth moistened with 40 ° C water. Please wipe it with clinical alcohol at least once a week.

Do not immerse the accessories in liquid or detergent. Also, make sure that no liquid penetrates
the instrument or probe.

Caution

Do not dispose of the disposable probe in a potentially hazardous area.

Always be careful about environmental pollution.

Caution

There is a backup battery inside the system.

When disposing of the battery, dispose of it in an appropriate place for environmental

protection.

Warning

When replacing the backup battery, check the battery electrode.

·If you suspect the installation or disposition of the external ground wire, operate the equipment
by means of the internal power supply.

·If the unit is not used for a certain period of time, remove the backup battery so safety hazards
do not occur.

Rev. 4.00 127

15. Technical Specification

Overview

The monitor is not user installable. It must be installed by qualified service personnel.

The monitor is intended to be used for monitoring, recording, and alarming of multiple
physiological parameters of adults, pediatrics, and neonates in health care facilities. The device is
to be used by trained health care professionals.

The monitor is intended for use in health care facilities; the BM3 Monitor is additionally intended
for use in transport situations within the hospital setting.

EMC Compatibility (EMC)

Much of the information below has been borrowed from the requirements set forth in
the Electromagnetic Compatibility Standard IEC 60601-1-2 for medical electrical
equipment issued by the International Electro technical Commission and is available from
a variety of sources. Although primarily aimed at equipment manufacturers, most of the
information contained here is useful for users interested in medical equipment.
The information contained in this section (such as separation distance) is generally
information about the Bionet Patient Monitor detailed above. The numbers provided
here are not guaranteed, but are provided with reasonable assurance of error-free
operation. This information may not apply to other medical and electrical systems, and
older equipment may be particularly susceptible to interference.

Note
Medical electrical equipment requires special precautions for electromagnetic compatibility and
must be installed and serviced in accordance with the EMC information in this section and in the
operating instructions supplied with the monitor.
Portable and mobile RF communication equipment can affect medical electrical equipment.
Cables and accessories not specified in the user guide are not certified. Using other cables and /
or accessories may adversely affect safety, performance, and electromagnetic compatibility
(increased electromagnetic emissions and reduced immunity).
This equipment should not be used near or on top of other equipment. If you need to

Rev. 4.00 128

use it on its side or stacked, you should observe the equipment to make sure it works
properly within your configuration.
This patient monitoring device communicates over a 2.4 GHz 802.11b / g wireless
network. Other equipment may interfere with data reception on this wireless network.
This is also true if the equipment complies with the CISPR emission requirements. When
using patient monitoring equipment to communicate over a wireless network, be sure to
check that it is compatible with existing or new wireless systems (eg, cell phones, pager
systems, cordless phones, etc.). For example, a Bluetooth-compliant device using the 2.4
GHz frequency band may interfere with the wireless communication of the patient
monitor. For more information on wireless deployment, please contact your Bionet
representative.

Low amplitude signals such as EEG and ECG are particularly sensitive to interference
from electromagnetic energy. This equipment complies with the tests listed at the
bottom, but does not guarantee complete operation. The "quiet" electrical environment
is better. In general, the greater the distance between electrical equipment, the lower the
likelihood of interference.

Rev. 4.00 129

 Manufacturer’s declaration - electromagnetic emission

The BM3system is intended for use in the electromagnetic environment specified below. The customer
or the user of BM3system should assure that it is used in such an environment

Emission test Compliance Electromagnetic environment - guidance

RF emissions Group 1 The BM3system uses RF energy only for its internal
function. Therefore. Its RF emissions are very low
CISPR 11
and are not likely to cause any interference in
nearby electronic equipment

RF emissions Class A The BM3system is suitable for use in all establishm

ents other than domestic and those directly conne
CISPR 11
cted to the public low-voltage power supplies buil
Harmonics emission A
dings used for domestic purposes.
IEC 61000-3-2

Voltage fluctuation Complies

IEC 61000-3-3

Rev. 4.00 130

 Manufacturer’s declaration - electromagnetic immunity

The BM3system is intended for use in the electromagnetic environment specified below.

The customer or the user of the BM3system should assure that it is used in such an environment

Immunity test IEC 60601 Compliance level Electromagnetic

Test level Environment -guidance

Electrostatic disc 6kV Contact 6kV Contact Floors should be wood ,conc
harge (ESD) rete or ceramic tile. If floors
8kV Air 8kV Air
are covered with synthetic m
IEC 61000-4-2
aterial, the relative humidity
should be at least30%

Electrical fast 2kV for power supply 2kV for power supply lines
Mains power quality should
lines1kV for input/out
Transient/burst 1kV for input/output lines be that of a typical commerc
put lines
ial or hospital environment.
IEC 61000-4-4

Surge 1kV differential mode 1kV differential mode Mains power quality should
be that of a typical commerc
IEC 61000-4-5 2kV common mode 2kV common mode
ial or hospital environment.

Power frequency 3.0 A/m 3.0 A/m Power frequency magnetic fie
lds should be at levels chara
(50/60Hz)
cteristic of a typical location
Magnetic field in a typical commercial or h
ospital environment.
IEC 61000-4-8

Rev. 4.00 131

Voltage dips, sh <5% Uт(>95% dip in <5% Uт(>95% dip in Uт) Mains power quality should
ort Uт) be that of a typical commerc
for 0.5cycle
ial or hospital environment. If
Interruptions an for 0.5cycle
the user of the BM3system r
d
equire continued operation d
40% Uт(60% dip in Uт )
Voltage variation uring power mains interrupti
40% Uт(60% dip in Uт
s for 5 cycle ons, it is recommended that
)
the BM3system be powered fr
on power suppl
for 5 cycle om an uninterruptible power
y
70% Uт(30% dip in Uт) supply or a battery
input lines
for 25 cycle
70% Uт(30% dip in U
IEC 61000-4-11
т)

for 25 cycle <5% Uт(<95% dip in Uт )

for 5 s

<5% Uт(<95% dip in

Uт )

for 5 s

Note: Uт is the a.c. mains voltage prior to application of the test level.

Rev. 4.00 132

 The BM3system is intended for use in the electromagnetic environment specified below.

The customer or the user of the BM3system should assure that it is used in such an environment

Immunity test IEC 60601 Compliance level Electromagnetic environment -guidance

Test level

Conducted RF 3 Vrms 3 Vrms Portable and mobile RF communications

150 kHz to 80MH 150 kHz to 80MHz equipment should be used no closer to
IEC 61000-4-6
z any part of the BM3system, including ca
bles, than the recommended separation
distance calculated from the equation ap
plicable to the frequency of the transmitt
er.

Recommended separation distance

Rev. 4.00 133

Radiated RF 3 V/m 3 V/m Recommended separation distance
80.0 MHz to 2.5G 80.0 MHz to 2.5GH
IEC 61000-4-3
Hz z

Where P is the maximum output power r

ating of the transmitter in watts (W) acc
ording to the transmitter manufacturer a
nd d is the recommended separation dist
ance in meters (m).

Field strengths from fixed RF transmitters,

as deter-mined by an electromagnetic sit
e survey,

(a) Should be less than the compliance le

vel in each frequency range (b).

Interference may occur in the vicinity of

equipment marked with the following sy

mbol:

Note 1) Uт is the A.C. mains voltage prior to application of the test level.

Note2) At 80 MHz and 800 MHz, the higher frequency range applies.

Note3) These guidelines may not apply in all situations. Electromagnetic propagation is affected b
y absorption and reflection from structures, objects and people.

Rev. 4.00 134

a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephon
es and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot
be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed R
F transmitters, an electromagnetic site survey should be considered. If the measured field strength
in the location in which the EUT is used exceeds the applicable RF compliance level above, the E
UT should be observed to verify normal operation. If abnormal performance is observed, additiona
l measures may be necessary, such as re-orienting or relocating the EUT.

B Over the frequency range 150 kHz to 80 MHz, field strengths should be less than [V1] V / m.

Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and

BM3 system.

The BM3 system is intended for use in an electromagnetic environment in which radiated RF
disturbances are controlled. The user of the BM3 system can help prevent electromagnetic interference
by maintaining a minimum distance between portable and mobile RF communications equipment
(transmitters) and the BM3 system as recommended below, according to the maximum output power
of the communications equipment.

Rated maximum output Separation distance (m) according to frequency of transmitter

power (W) of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz

0.01 0.12 0.12 0.23

0.1 0.37 0.37 0.74

1 1.17 1.17 2.33

10 3.70 3.70 7.37

100 11.70 11.70 23.30

For transmitters rated at a maximum output power not listed above, the recommended separation
distance (d) in meters (m) can be estimated using the equation applicable to the frequency of the
transmitter, where P is the maximum output power rating of the transmitter in watts (W) accordin
g to the transmitter manufacturer.

Rev. 4.00 135

Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies

Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected b
y absorption and reflection from structures, objects, and people.

Immunity and Compliance Level

Immunity test IEC 60601 Test Level Actual Immunity Level Compliance Level

Conducted RF 3Vrms, 150kHz to 3Vrms, 150kHz to 3Vrms, 150kHz to

80MHz 80MHz 80MHz
IEC 61000-4-6

Radiated RF 3V/m, 80MHz to 2.5GHz 3V/m, 80MHz to 2.5GHz 3V/m, 80MHz to 2.5GHz

IEC 61000-4-3

Rev. 4.00 136

 Guidance and manufacturer’s declaration - electromagnetic immunity

The BM3system is intended for use in the electromagnetic environment specified below.

The customer or the user of the BM3system should assure that it is used in such an environment

Immunity test IEC 60601 Compliance level Electromagnetic environment -guidance

Test level

Conducted RF 3 Vrms 3 Vrms BM3system must be used only in a shiel

150 kHz to 80MH 150 kHz to 80MHz ded location with a minimum RF shieldin
IEC 61000-4-6
z g effectiveness and, for each cable that e
nters the shielded location with a minimu
m RF shielding effectiveness and, for eac
h cable that enters the shielded location

Radiated RF 3 V/m 3 V/m Field strengths outside the shielded locati

80.0 MHz to 2.5G 80.0 MHz to 2.5GH on from fixed RF transmitters, as determi
IEC 61000-4-3
Hz z ned by an electromagnetic site survey, sh
ould be less than3V/m.

Interference may occur in the vicinity of

equipment marked with the following sy
mbol:

Note 1) These guidelines may not apply in all situations. Electromagnetic propagation is affected
by absorption and reflection from structures, objects and people.

Note 2) It is essential that the actual shielding effectiveness and filter attenuation of the shielded
location be verified to assure that they meet the minimum specification.

Rev. 4.00 137

A Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telepho
nes and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot
be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed
RF transmitters, an electromagnetic site survey should be considered. If the measured field strengt
h outside the shielded location in which the EUT is used exceeds 3V/m, the EUT should be obser
ved to verify normal operation.

If abnormal performance is observed, additional measures may be necessary, such as relocating th

e EUT or using a shielded location with a higher RF shielding effectiveness and filter attenuation.

Note

For Type A Professional ME Equipment intended for use in domestic establishment instructions for
use includes a warning:
This ME equipment is intended for use by professional healthcare personnel only.

Warning

Portable RF communications equipment (including peripherals such as antenna cables and external
antennas) should be used no closer than 30 cm (12 inches) to any part of the [ME EQUIPMENT or ME
SYSTEM], including cables specified by the manufacturer

Warning

Use of accessories and cables other than those specified or provided by the manufacturer of this
equipment could result in increased electromagnetic emissions or decreased electromagnetic
immunity of this equipment and result in improper operation

Rev. 4.00 138

 System Specification

Physical

Dimension(H x W x D) 250 x 238 x 163 mm

Weight Approx. 3.1kg

Indicator 3 LED

Cooling Air flow

Interface RJ45 , USB , HDMI

Power AC 100-240V (50/60Hz) Adapter18 V, 2.8 A

Power consumption < 50Watts

Operating Mode Continuous

Environments

Temperature Operating:5 ~ +40 °C (41 ~ 104 °F)

Storage: –20 ~ +60 °C (–4 ~ +140 °F)

Humidity Operating: 30% ~ 85%,

Storage: 10% ~ 95% (PACKAGE)

Operating Attitude Operating: 525 ~ 795 mmHg (70 ~ 106 kPa)

Storage: 375 ~ 795 mmHg (50 ~ 106 kPa)

Display TFT-LCD

Resolution 800 X 600

Display size 8”

Measurement ECG, Heart Rate, Respiration Rate, SpO2, Pulse Rate, Systolic BP,
Diastolic BP, Mean BP, Temperature, EtCO2, FiCO2, Airway
Parameter
Respiration Rate

TRACE 4 waveforms : 2*ECG, SpO2, RR or EtCO2

Sweep speed : 6.25, 12.5, 25, 50 mm/sec

Rev. 4.00 139

Indicator Categorized alarms (3 priority levels), Visual alarm lamp handle

SpO2 pulse pitch tone, Battery status, External power LED

Interface DC input connector : 18VDC, 2.8A

LAN digital output for transferring data

Nurse call system connection

DC output : 5VDC, 1A Max

Battery Rechargeable Li-ion battery

Thermal Printer (option) Speed : 25, 50mm/sec, Paper width : 58mm

Data Storage 168hours trends, 20cases of 10sec alarm waveform

Language English, French, Spanish, Italian, Germany, Chinese, Russian, Czech,

Bulgarian, Portuguese, Romanian, Hungarian, Turkish, Polish

Rev. 4.00 140

ECG

Lead type 3-lead, 5-lead(option)

Lead Selection 3-lead : I, II, III

5-lead : I, II, III, aVR, aVL, aVF, V

ECG waveforms 3-lead : 1 channel

5-lead :1 channel

Heart Rate Range Adult : 30 – 300 bpm

Neonate/Pediatric : 30 – 350 bpm

Heart Rate Accuracy ±1bpm or ±1%, whichever is greater

Sweep speed 6.25, 12.5, 25, 50 mm/sec

Filter Diagnostic mode : 0.05Hz - 150Hz

Monitoring mode : 0.5 – 40 Hz

Surgical mode :0.5 – 25 Hz

Pacemaker Detection Indicator on waveform display (user selectable)

Mode

Protection Against electrosurgical interference and defibrillation

Respiration Performance

Method Thoracic impedance

Channel selection RA-LL

Measurement range 5 – 120 Breath per minute

Accuracy ±1 Breath per minute

SpO2 Performance

Saturation range 0 to 100%

Saturation accuracy 70 to 100% ±2 digits

0 to 69% unspecified

Pulse rate range 30 to 254 bpm

Pulse rate accuracy ±2 bpm

Rev. 4.00 141

NIBP Performance

Method Oscillometry with linear deflation

Operation Mode Manual/Automatic/Continuous

Measurement range Adult Pressure : 20 to 260 mmHg

Pediatric Pressure : 20 to 230 mmHg

Neonate Pressure : 20 to 120 mmHg

Accuracy mean error : less than ±5 mmHg

standard deviation : less than 8 mmHg

Temperature Performance

Measurement range 0 to 50℃ (0 to 122℉)

Accuracy 25℃to 50℃: ±0.1℃

0℃to 24℃: ±0.2℃

Compatibility YSI Series 400 temperature probes

Sidestream CO2 (Option)

Measurement range 0 to 150 mmHg, 0 to 19%

Accuracy 0-40mmHg ±2 mmHg,

41-70mmHg ±5% of reading

71-100mmHg ±8% of reading,

101-150mmHg ±10% of reading

Respiration rate 2 to 150 breath per minute

Respiration accuracy ±1breath per minute

Mainstream CO2 (Option)

Measurement range 0 to 150 mmHg, 0 to 19%

Accuracy 0-40mmHg ±2 mmHg,

Rev. 4.00 142

 41-70mmHg ±5% of reading

71-100mmHg ±8% of reading,

101-150mmHg ±10% of reading

Respiration rate 0 to 150 breath per minute

Respiration accuracy ±1breath per minute

C.O. (Option)

Method Thermodilution Technology

Measuring Range TB : 23 ~ 45℃

TI : 0 ~ 27℃

Alarm range 23 ~ 45℃

Product Configuration

1. Main body of BM3 Monitor 1 EA

2. 3-Lead patient Cable 1EA

3. Disposable electrodes 10 EA

4. NIBP extension horse 1EA

5. Reusable Adult NIBP Cuff 1EA

6. SpO2 extension cable 1EA

7. Reusable Adult SpO2 Probe 1 EA

8. DC Adaptor (BPM050S18F02 made in Bridgepower Co., Ltd.) 1 EA

9. Operator`s Manual 1 EA

10. Thermal roll Paper 2ROLL

Option Product

1. Reusable Temperature Probe (Surface/Skin, TEMPSENS-430) 1 EA

2. Sidestream EtCO2 Module (Respironics) 1 SET

3. Mainstream EtCO2 Module (Respironics) 1 SET

Rev. 4.00 143

 4. Sidestream EtCO2 airway adapter sampling kit 1 EA

5. Mainstream EtCO2 airway adapter 1 EA

6. Mainstream EtCO2 airway adapter 1 EA

7. 5-Lead Patient Cable with extension cable 1 EA

Rev. 4.00 144

Adult& Pediatric-ICU Mode
Alarm level
High Medium Low Message

HR 0
NIBP - S 0

NIBP - M 0

NIBP - D 0

NIBP- PR 0

SpO2 0

SpO2-Rate 0

RR 0
T1(ْ C) 0

EtCO2 0
FiCO2 0

AWRR 0

LEAD FAULT 0
CABLE OFF 0

LOW BATTERY 0

Rev. 4.00 145

Neonate-ICU Mode
Alarm level
High Medium Low Message

HR 0

NIBP - S 0

NIBP - M 0

NIBP - D 0

NIBP- PR 0

SpO2 0

SpO2-Rate 0

RR 0

T1(ْ C) 0

EtCO2 0

FiCO2 0
AWRR 0

LEAD FAULT 0
CABLE OFF 0

LOW BATTERY 0

Parameter Limits

Adult Pediatric Neonate

HR 50 – 150 50 – 160 50 – 170

NIBP-S 80 – 200 60 – 160 40 – 100

NIBP-M 40 – 140 40 – 120 30 – 70

NIBP-D 20 – 120 30 – 100 20 – 60

NIBP-PR 50 – 150 50 – 160 50 – 170

SpO2 90 – 100 90-100 88-100

SpO2-Rate 50 – 150 50 – 160 50 – 170

Rev. 4.00 146

RR(RESP) 10 – 30 10 – 50 15-100

34.0/93.2 - 34.0/93.2 - 34.0/93.2 -

T1°C/°F
39.0/102.2 39.0/102.2 39.0/102.2

AWRR 10 – 30 10 – 50 15 – 100

EtCO2 25 – 50 25 – 50 25 – 50

FiCO2 0–5 0–5 0–5

Display

Patient Age Adult PEDIATRIC NEONATE

Primary ECG II II II

Detect Pace Off Off Off

Print Waveform1 LEAD II LEAD II LEAD II

Print Waveform2 SpO2 SpO2 SpO2

Print Waveform3 Resp Resp Resp

Alarm Print Off Off Off

NIBP Interval Off Off Off

NIBP Cuff Size Adult PEDIATRIC NEONATE

RR(RESP) Lead II II II

Alarm Volume 50% 50% 50%

QRS Volume Off Off Off

Pulse Volume Off Off Off

ECG Lead Fault Message Message Message

SpO2 Probe Off Message Message Message

Units for Height cm cm cm

Units for Weight Kg kg kg

Temperature Units ْ C ْ C ْ C

NIBP Limit Type Systolic Systolic Systolic

ECG Filter Monitor Monitor Monitor

Rev. 4.00 147

Abbreviations and Symbols
Abbreviations and symbols are alphabetized by reference, which can be read while reading the
manual or using the equipment.

Abbreviations
A

A amps

AC alternating current

ADT adult

Auto, AUTO automatic

AUX Auxiliary

aVF left foot augmented lead

aVL left arm augmented lead

aVR right arm augmented lead

BPM beats per minute

C Celsius

CAL calibration

cm, CM centimeter

D diastolic

DC direct current

Rev. 4.00 148

DEFIB, Defib defibrillator

DIA diastolic

ECG electrocardiograph

EMC electromagnetic compatibility

EMI electromagnetic interference

ESU electrosurgical cautery unit

F Fahrenheit

g gram

HR heart rate, hour

Hz hertz

ICU intensive care unit

Inc incorporated

kg, KG kilogram

Rev. 4.00 149

kPa kilopascal

L liter, left

LA left arm, left atrial

LBS pounds

LCD liquid crystal display

LED light emitting diode

LL left leg

M mean, minute

m meter

MIN, minminute

MM, mm millimeters

MM/S millimeters per second

MMHG, mmHg millimeters of mercury

mV millivolt

NIBP non-invasive blood pressure

NEO, Neo neonatal

OR operating room

Rev. 4.00 150

 P

PED pediatric

QRS interval of ventricular depolarization

RA right arm, right atrial

RESP respiration

RL right leg

RR respiration rate

sec second

SpO2 arterial oxygen saturation from pulse oximetry

SYNC, Sync synchronization

Temp, TEMP temperature

V precordial lead

V volt

Rev. 4.00 151

 X

X multiplier when used with a number (2X)

Symbols

& and

° degree(s)

> greater than

< less than

– minus

# number

% percent

± plus or minus

Rev. 4.00 152

Rev. 4.00 153
 PRODUCT WARRANTY

Product Name Patient Monitor

Model Name BM3

Approval
Number

Approval Date

Serial Number

Warranty Period 2 year from date of purchase

Date of Purchase

Hospital Name :

Customer Address :
section Name :
Phone :

Sales Agency

Manufacturer

* Thank you for purchasing BM3

* The product is manufactured and passed through strict quality control and through inspection.

* Compensation standard concerning repair, replacement, refund of the product complies with
“Consumer’s Protection Law” noticed by Korea Fair Trade Commission.

Rev. 4.00 154

 International Sales & Service Contact
Bionet Co.,Ltd. :

#5F, 61 Digital-ro 31 gil,

Guro-gu, Seoul, REPUBLIC OF KOREA

Tel : +82-2-6300-6418 / Fax : +82-2-6300-6454 / e-mail: [email protected]

Website: www.ebionet.com

U.S.A sales & service representative

Bionet America, Inc. :

2691, Dow Ave, Suite B

Tustin, CA 92780 U.S.A.

Toll Free : 1-877-924-6638 FAX : 1-714-734-1761 / e-mail: [email protected]

Website : www.bionetus.com

European sales & service representative

MGB Endoskopische Geräte GmbH Berlin :

Schwarzschildstraß e 6

D-12489 Berlin, Germany

Tel. +49(0)306392-7000 / Fax. +49(0)306392-7011 / e-mail: [email protected]

Website: www.mgb-berlin.de

BIONET CO., LTD.

Rev. 4.00 155