Bedside Monitors BSM-3000 series
All for specialists
Nihon Kohden is Japan’s leading manufacturer, developer and distributor of medical electronic equipment with subsidiaries in the USA, Europe and Asia and distributors in nearly every country in the world.
Nihon Kohden actively contributes to the advance of medical technology. Nihon Kohden researchers have published valuable research in some of the world’s most prestigious medical, engineering and scientific journals. Nihon Kohden has significantly contributed to the advancement of modern medical treatment with many innovative products and technologies. Pulse oximetry, the technology to noninvasive measure oxygen in the blood, was invented by Dr. Takuo Aoyagi, a Nihon Kohden scientist.
Founded in 1951, our mission is to improve the quality of life through advanced medical technology.
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Common issues at acute care environment...
Intelligible fluid optimization
Fluid optimization is essential for reducing the risk of complications. Nihon Kohden’s innovative esCCO gives accurate flow information with a very simply and totally non-invasive process.
Improving the mortality rate in sepsis
Sepsis is common cause of death in ICU. Infusion solution within 6 hours is essential from sever sepsis or septic shock. Blood pressure and CVP target graphs can support therapy according to the guidelines for initial resuscitation of sever sepsis and septic shock.
Save the patients from respiratory-related harms
Respiratory-related claims may cause irreversible brain damage or death. ETCO2 is the most effective parameter to detect the trouble in breathing or ventilator.
Nihon Kohden innovative mainstream CO2 sensor, cap-ONE provides reliable ETCO2 monitoring for both intubated/non-intubated patients.
Nihon Kohden provides the solutions
• Fluid optimization
• Sepsis
• Respiratory-related harms
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Fluid optimization
Too low fluid or too much fluid, both increase patient risk of complications. The best fluid volume that fits to each patient is necessary.
Visualizing volumetric information
Nihon Kohden’s Hemodynamics Graph provides a more intuitive approach to diagnostic and therapeutic decision making in hemodynamic management. This new tool helps clinicians easily see the direction and trend of hemodynamic change while imagine the Frank-Starling curve.
Increased contractilityDuring exercise
Normal
Decreased contractilityHeart failure
Str
oke
vo
lum
e
Left ventricular end-diastolic volume (Preload)
Frank-Starling curve
Hemodynamics graph
I ntelligible fluid optimization
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PPV/SPV Less-invasive preload indicator
PPV (Pulse Pressure Variability) and SPV (Systolic Pressure Variability) is an indicator of intravascular volume. It is a useful indicator in guiding fluid therapy in patients receiving mechanical ventilation.
Non-invasive continuous cardiac output from ECG and SpO2
Nihon Kohden is redefining Quality of Care with new non-invasive technologies like PWTT (pulse wave transit time) and esCCO (estimated continuous cardiac output) by introducing volumetric information to all care levels.
esCCO provides real-time, continuous non-invasive cardiac output measurement alongside the familiar vital sign parameters of ECG and SpO2.
esCCO is provided over the entire series of Nihon Kohden patient monitors to enhance the level of care. It is also an economical solution which has no additional running costs or accessories.
APCO (Arterial Pressure Cardiac Output)
APCO processor connects a FloTrac sensor from Edwards Lifesciences. FloTrac is a pulse contour analysis-based hemodynamic monitoring tool that measures continuous cardiac output utilizing a standard arterial catheter.
Pulse Wave Transit Time derived from ECG and pulse oximetry signal
Peak of R-wave
Time
ECG
PeripheralPulse Wave
Edwards Lifesciences and FloTrac are trademarks of Edwards Lifesciences Corporation.
Smart Cable™
system supported
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10.0 -
8.0 -
6.0 -
4.0 -
2.0 -
0.0 -[mm/Hg]
60.0 -
50.0 -
40.0 -
30.0 -
20.0 -
10.0 -
0.0 -[mm/Hg]
CVP_ET
Respiration affects intrapleural pressure and CVP value becomes unstable. Nihon Kohden original technology CVP_ET used the CO2 signals to calculate the end tidal mean CVP. CVP_ET provides stable and physiologically-correct value of CVP.
Sepsis is an infection caused by bacteria invading the body and can be widespread in the bloodstream (often called “septicemia” or “blood poisoning”).
Sepsis is a medical emergency just like a heart attack because there is an interruption of oxygen and nutrients to the tissues including the vital organs such as the brain, intestines, liver, kidneys and lungs.
Sepsis is common cause of death in ICU. Infusion solution within 6 hours is essential from sever sepsis or septic shock.
Hemodynamics graph for sepsis treatment
Blood pressure and CVP (Central Venus Pressure) target graphs can support therapy according to the guidelines for initial resuscitation of sever sepsis and septic shock.
Target zone
Current data
Past data
I mproving the mortality rate in sepsis
< 8 mmHg
8-12 mmHg
< 65 mmHg
≥ 65 mmHg
Give �uid challengesof crystalloidsor colloids
Administervasopressors
Next Step
CVP
MAP
CVP/MAP initial resuscitation protocol in severe sepsis and septic shock
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CVP (Mean)
CVP_ET
Capnogram
CVP
F E
Air O2
Inadequateventilation
Disconnection
Apnea
ObstructionLeak
Esophagealintubation
Inadequategas �ow
Malfunction
Kink
Comparison of response time when oxygen supply stopped
SpO2
ECG
Pulse oximeter
CO2 monitor4 min left
1 min left
10 sec left
This unique design adapter catches both nasal/oral expiration.
Comparison of mainstream (cap-ONE) and sidestreamSidestream causes false alarms
CO2 (mmHg)
40
0
Nasal/oral adapter YG-121TYG-122T
Non-intubated Intubated
Durable and reliable CO2 sensor
- Fast response with no lag time- No warm-up time- No heater or motor- No sampling tube- Compact and lightweight
Respiratory-related claims may cause irreversible brain damage or death.
Guidelines recommend to measure CO2 for all patients receiving deep sedation and for patients whose ventilation cannot be directly observed during moderate sedation.
CO2 monitoring is also effective for the patients prescribed Opioid (Pain relief medication), especially with oxygen administration. Impedance respiration may miss the arrest of breathing.
ETCO2 measuring for safer monitoring
CO2 monitoring is most effective parameter to detect respiratory incidents. Nihon Kohden innovative main stream CO2 sensor, cap-ONE realizes ETCO2 monitoring for both intubated/non-intubated patients.
Certain detection of trouble in breathing
S ave the patients from respiratory-related harms
Smart Cable™
system supported
Early warning of these critical events
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MULTI sockets
Smart Cable™ system - new modular technology
When you plug a Smart Cable into a MULTI socket, it automatically detects the type of parameter and starts measuring. The combination of fixed basic parameters and flexible MULTI socket parameters allows flexible monitoring for different patient conditions. You get complete modular flexibility at a significantly reduced cost and without the inconvenience associated with traditional modular systems.
C utting edge technologies
Smart Cable™
system supported
APCO
BIS
IBP
IBP
CO
CO2
CO2
Before Smart Cable connected After Smart Cable connected
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Multiple Beds WindowWhen an alarm occurs in ICU 2, a monitor in ICU 1 alarms and indicates the alarm on the Interbed window.
Individual Bed WindowTouch the screen of the patient to display detailed data.
Interbed monitoring
You can use any bedside monitor to check the vital information and alarm status of another monitor in the network, even if there is no central monitor.Numeric data for 20 patients or numeric data and 2 waveforms for one patient can be displayed on the Interbed screen.
Full disclosure
Trend graph
Trend table
Arrhythmia recall
Smart data review
• Up to 72 hours of 5 selected full disclosure waveforms
• Time is synchronized across all trend screens
• Trend table and trend graph can be customized for each patient condition
• Vital sign trend table, NIBP trend table, trend graph, arrhythmia recall, full disclosure, and alarm history provide comprehensive review
ICU 1 ICU 2
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BIS, Covidien, Puritan Bennett are trademarks of Covidien AG.TOF-Watch is a trademark of MSD (Merck Sharp & Dohme).Edwards Lifesciences, Vigilance, and Vigileo are trademarks of Edwards Lifesciences Corporation.Q2, Q2 Plus and Q-Vue are trademarks of ICU Medical, Inc.PiCCO is a trademark of PULSION Medical Systems AG.Dräger, Evita, Evita 2 dura, Fabius, Primus and Savina are trademarks of Drägerwerk AG & Co. KGaA.FLOW-i, MAQUET, SERVO-i and SERVO-s are trademarks of MAQUET GmbH & Co. KG.Leoni Plus is a trademark of Heinen + Löwenstein GmbH & Co. KG.GALILEO, HAMILTON∙G5, HAMILTON∙C2, HAMILTON MEDICAL and RAPHAEL are trademarks of HAMILTON MEDICAL AG.
A Life Scope VS monitor can connect to various external units.
E xternal units
BSM-3000 series
Ventilators• Dräger
Evita 2, Evita 2 dura, Evita 4,Evita XL, Dräger Savina
• CovidienPuritan Bennett 740, Puritan Bennett 840, Puritan Bennett 7200
• MAQUETSERVO-i, SERVO-s
• HAMILTON MEDICALGALILEO, RAPHAEL,HAMILTON∙G5, HAMILTON∙C2
CO2 unitAG-400RK
Multigas unitGF-210R
Multigas/flow unitGF-220R
BIS processorQE-910P
TOF-Watch SX
CCO monitors• Edwards Lifesciences
Vigilance, Vigilance II, Vigileo
• ICU MedicalQ2, Q2 Plus, Q-Vue
• PULSION Medical SystemsPiCCO monitor
Neuro unitAE-918P
Anesthesia workstation• Dräger
Primus, Fabius
• MAQUETFLOW-i
• Heinen + LöwensteinLeoni Plus
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Transmitters
A Life Scope VS monitor with ZS-900PK transmitter can transmit data to the central monitor wirelessly.
Wireless LAN station option
Mobile monitoring is available with the wireless LAN* option.* You must confirm the radio communication regulations with your country’s distributor.
ViTrac™
Nihon Kohden’s Unified Gateway is a client/server based application which provides a secure method for monitoring and viewing a wide range of patient data from Nihon Kohden monitors and devices. Patient data can be viewed in near real-time on an Apple’s mobile iOS device within the hospital network or remotely via a VPN connection.
ViTrac provides medical personnel with monitoring information on multiple patients, any place any time.
HL7 Gateway
An HL7 gateway connects the LS-NET monitor network to the hospital or clinical information system (HIS, CIS). Vital sign data, alarm history, arrhythmia and ST recall, 12-lead analysis reports, and waveforms* in the bedside monitor can be transferred using HL7 protocol.
*Some limitations apply to transferring waveforms.
BSM-3562 with QI-320PA LAN transmitter
Apple is a trademark of Apple Inc.iOS is a trademark of Cisco.
ICU
OR
NICU
Doctor’s office
General ward
Unified gateway
Firewall
Web browser
Internet
CCU
General ward
HL7 Gateway
Hospital Network(HIS/CIS)
Transmitters
M onitoring system network
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This brochure may be revised or replaced by Nihon Kohden at any time without notice.
7187 CAT.No.60-013C ’13.08. CLB. E Printed in Japan
SpecificationsDisplay
BSM-3500 12 inch, color TFT type LCD
BSM-3700 15 inch, color TFT type LCD
ResolutionBSM-3500 800 × 600 dots
BSM-3700 1024 × 768 dots
MULTI sockets
BSM-3532
2
Masimo SpO2 probe model
BSM-3552 Nellcor SpO2 probe model
BSM-3562 Nihon Kohden SpO2 probe model
BSM-3733
3
Masimo SpO2 probe model
BSM-3753 Nellcor SpO2 probe model
BSM-3763 Nihon Kohden SpO2 probe model
Number of waveformsBSM-3500 Max.14
BSM-3700 Max.15
Waveform display mode Non-fade moving or non-fade fixed
Parameters*ECG (3/6/10 lead), Resp, SpO2, NIBP, Temp, CO2 (mainstream, sidestream), IBP, CO, APCO (CCO), PPV, SPV, SVV, EEG (8 ch), BIS, Gas, FLOW/Paw
External devices* CCO, SvO2, tcPCO2, TOF, ventilator, anesthesia workstation
Saved waves 72 hours, max. 5 waves
Trend graph 72 hours
Numerical value list 72 hours
Arrhythmia recall 16,384 events
Alarm history 16,384 events
Hemodynamics data 1,024 files
Hemodynamics review programHemodynamic graph, esCCO, esCCI, esSV, esSVI, esSVR, esSVRI (with optional QP-033P)
esCCO, esCCI, esSV, esSVI, esSVR, esSVRI (with optional QP-034P)
Battery operation timeBSM-3500 1.5 h
BSM-3700 1.0 h
Recorder 3 traces (with optional WS-371P)
Network Interface Standard
Multi Link Interface 2 (with optional QI-372P**)
Transmitter interface Standard
Interbed 20 beds
RGB output (with optional QI-372P**)
ECG/BP output (with optional QI-372P**, delay time: ECG within 20 ms, BP within 40 ms)
DimensionsBSM-3500 370 W × 310 H × 172 D mm
BSM-3700 430 W × 350 H × 172 D mm
WeightBSM-3500 6.2 kg
BSM-3700 7.4 kg
* Monitoring parameters depend on configuration.** QI-372P interface (including 2 multilink ports, RGB and ECG/BP OUT sockets) for BSM-3532-Q01, BSM-3552-Q01, BSM-3562-Q01, BSM-3733-Q01, BSM-3753-Q01 and BSM-3763-Q01 is installed at the factory.
External devicesParameter Maker Equipment CableCO2 (sidestream) Nihon Kohden AG-400RA/RK QF-905P
Anesthetic gas Nihon Kohden
AG-920RA/RK QF-904P
GF-110PA/120PA
GF-210R/220R YJ-600P/YJ-601P
FLOW/Paw Nihon Kohden GF-120PA/GF-220R YJ-600P/YJ-601P (GF-220R)
EEG Nihon Kohden AE-918P
BIS monitor Covidien A-2000, BIS VISTA, BIS VIEW QF-902P
CCO/SvO2
Edwards Lifesciences Vigilance, Vigilance II, Vigileo QF-903P
PULSION Medical Systems PiCCO QF-911P
ICU Medical Q-VUE, Q2, Q2 plus computer IF-922P
tcPCO2 Radiometer MedicalMicroGas 7650 IF-913P
TCM4, TCM40 IF-914P
TOF MSD (Merck Sharp & Dohme) TOF watch SX QF-909P
Ventilator
Dräger Evita, Evita2, Evita4, Savina, EvitaXL QF-901P
CovidienPuritan Bennett 740 ventilator, Puritan Bennett 840 ventilator QF-907P
Puritan Bennett 7200 ventilator IF-923P
MAQUET Servo i, Servo s QF-908P
HAMILTON MEDICAL Galileo, Raphael, G5, C2 IF-917P
Anesthesia workstation
DrägerPrimus, Primus Infinity Empowered, Apollo, Pallas, Fabius GS, Fabius GS Premium, Fabius Tiro, Fabius plus
IF-920P
Heinen + Löwenstein Leon Plus IF-918P
MAQUET FLOW-i IF-932P
Accessory setY212A Y212B Y213A Y213B
Electrode lead (3 electrodes) K911, IEC type K911, IEC type K911A, AHA type K911A, AHA type
ECG connetion cord K922, IEC type K922, IEC type K922A, AHA type K922A, AHA type
Disposable electrode G203 G203 G203 G203
SpO2 connection cord (Nihon Kohden) K931 K931 K931 K931
Air hose for NIBP S902 S902 S902 S902
NIBP cuff S944B, 13 cm S944C, 15 cm S944B, 13 cm S944C, 15 cm
Denmark I Medidyne A/S I Tel. +45 35 25 12 48 I www.medidyne.dkSweden I Medidyne AB I Tel. +46 431 448 050 I www.medidyne.se