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