BT-770 Service Manual (770-ENG-SVM-EUR-D00)
BT-770 Service Manual (770-ENG-SVM-EUR-D00)
BT-770 Service Manual (770-ENG-SVM-EUR-D00)
Patient Monitor
Service Manual
BT-770
Proprietary Material
Information and descriptions contained in this manual are the property of Bistos Co., Ltd and may not be
copied, reproduced, disseminated, or distributed without express written permission from Bistos Co., Ltd.
Information furnished by Bistos Co., Ltd is believed to be accurate and reliable. However, no
responsibility is assumed by Bistos for its use, or any infringements of patents or other rights of third
parties that may result from its use. No license is granted by implication or otherwise under any patent or
patent rights of Bistos Co., Ltd.
Revision D00
November, 2017
th
7 Fl., A Bldg., Woolim Lions Valley 5-cha, 302,
Galmachi-ro, Seongnam-si, Gyeonggi-do,
Korea
Printed in Korea
Table of Contents
Section 1 Safety ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 3
1.1 Instructions for the Safe Operation and Use of the BT-770 patient monitor∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 3
1.2 General Precaution on Environment ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 4
1.3 Definition of Symbols ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ ∙∙∙ 4
Section 1
Safety
1.1 Instructions for the Safe Operation and Use of the BT-770 patient monitor
Examine the monitor and any accessories periodically to ensure that the cable, line cords,
transducers, and instruments do not have visible evidence of damage that may affect patient
safety or monitoring performance. The recommended inspection interval is once per week or
less. Do not use the device if there is any visible sign of damage.
Only the AC line cord supplied with the BT-770, or its equivalent, is approved for use with the
equipment.
Do not attempt to service the BT-770 patient monitor. Only qualified service personnel by
Bistos Co., Ltd. should attempt any needed internal servicing training.
The BT-770 is not specified or intended for operation during the use of defibrillators or during
defibrillator discharge.
The BT-770 is not specified or intended for operation in the presence of electrosurgical
equipment.
The BT-770 is not specified or intended for operation in conjunction with any other type of
monitoring equipment except the specific devices that have been identified for use in the
Operation Manual.
Perform periodic safety testing to ensure proper patient safety. This should include leakage
current measurement and insulation testing. The recommended testing interval is once per
year.
Do not operate the BT-770 patient monitor if it fails to pass the power on self-test procedure.
Symbol Description
Used to identify safety information.
Be well-known this information thoroughly before using BT-770.
During the operation, do not disconnect any cable.
Indicates the protection level against the ingress of liquid.
IPX1
IPX1 Protected against the vertically dripping water.
Refer to operation manual. Read manual before placing the device.
Section 2
Introduction
2.1 Product Overview
BT-770 patient monitors mainly to complete the monitoring of physiological parameters ECG, NIBP, SpO2,
TEMP, RESP, IBP, C.O., CO2, etc. (IBP, C.O., CO2 can be optional function). In order to complete these
functions, its function is mainly divided into the following main parts :
ECG electrode
Electrode for ECG measurement 1ea
(standard)
Adult SpO2
sensor SpO2 sensor for adult 1ea
(standard)
SpO2 extension
Cord to connect the SpO2 sensor and
cord 1ea
main body
(Standard)
NIBP extension
Tube to connect the NIBP cuff and
tube 1ea
main body
(standard)
Temperature
sensor Measures the body temperature 1ea
(Standard)
Adapter
For power supply 1ea
(Standard)
CO2 sensor
Measures the CO2 1ea
(Optional)
Name Description
Indicates the priority of physiological alarm and technical
alarms in different colors and flashing frequencies.
1 Alarm indicator - High priority: Red, fast flashing (1.4 ~ 2.8 Hz)
- Medium priority: Yellow, slow flashing (0.4 ~ 0.8 Hz)
- Low priority: Yellow, constant on
2 Display area Display the waveform and measured value
- Power On: Press down the key more than 2 seconds.
- Power Off: Press down the keys more than 2 seconds
3
[Power] and the system will display the alarm message “The
system will shut down 3 seconds”.
- On: The battery is being charged or has been fully
charged.
4 Battery indicator
- Off: The battery has not been installed.
- Flashing: The monitor is being powered by the battery.
Turned on when the monitor is being powered by the
5 DC power indicator
adapter.
Name Description
Name Description
1 Handle Handle for main body transport
2 Speaker holes For alarm and synchronizing sound
2.4.1 Turn on
WARNING
If the pulse oximeter is damaged, or fails to work normally, do not use it. Please contact
the maintenance personnel or Bistos immediately.
If finish to check the pulse oximeter, it is ready to start the patient monitor.
Press the [Power] key, the yellow warning lights flash once and the system enter the program
reading interface; finally the system makes a “tick” sound, the boot screen disappears, and the system
enters the main interface.
• If any fatal error occurs during self-test, the system will alarm. If this case persists, please stop to
using the pulse oximeter and contact the maintenance personnel or Bistos.
• Check all available pulse oximeter functions to ensure that the pulse oximeter operate properly.
• If the pulse oximeter equipped with a battery, charge the battery after each use to ensure
sufficient power.
• After unpacking and use the pulse oximeter at first time, the pulse oximeter should be powered
with adapter.
Section 3
Disassemble & Assemble
This manual contains technical details for the BT-770 patient oximeter. It provides a technical foundation
to support effective troubleshooting and repair. It is not a comprehensive, in-depth explanation of the
product architecture or technical implementation. It offers enough information how to repair the patient
oximeter.
Only qualified service personnel should attempt to install the system, disassemble the monitor, remove or
replace any internal assemblies, or replace the transducer cable.
3.2 Disassembly
It should be unplugged the power and turned off the machine before disassembly patient monitor.
Unplug the cable on the display screen, use a Phillips screwdriver to remove the 5pcs M3 × 6 Cross pan
head combination screws and 1pcs M3 × 6 crosshead pan head screw with the fixed frame bracket to
remove the screen bracket as shown below
With a Phillips screwdriver to remove the fixed display of the 4pcs M3 × 6 cross pan head screws, you
can remove the display and touch screen, as shown below.
3.3 Assemble
Section 4
Maintenance & Conservation
BT-770 Multi-parameter Patient Monitor is a sophisticated, sophisticated electronic instrument. Good
maintenance of monitor can not only play the best performance of the machine, but also to ensure the
accuracy of long-term work and avoid a variety of measurement error. To prevent cross contamination,
make sure that the machine has been cleaned and disinfected before maintenance.
4.1 Checking
Before using the monitor, the following basic inspection work should be carried out:
• Check for any mechanical damage.
• Check all exposed wires, insert parts and accessories.
• Check all functions that may be used to monitor the patient and ensure it in good working
condition
Check all instrument functions that may be used to monitor the patient and ensure that the instrument is
in good working condition.
If you find evidence that the instrument is damaged, you may not use this monitor to perform any care on
the patient. Please contact your hospital's professional maintenance personnel or our customer service.。
All inspections that require disassembly the instrument must be carried out by qualified service personnel.
Safety and maintenance inspections may also be carried out by personnel of the Company.
Every 6-12 months or after each repair, the machine must conduct a comprehensive inspection of the
equipment by trained and qualified technical service personnel, including functional safety checks,
specific check items are as follows:
• Whether the environment and power supply meet the requirements.
• Whether the equipment and accessories have mechanical damage.
• Whether the power supply is worn and the insulation performance is good.
• whether to use the specified attachment。
• Whether the function of the alarm system is normal.
• Whether the performance of the battery meets the requirements.
• Whether the various monitoring functions are in good working condition.
• Whether the grounding impedance and leakage current meet the requirements.
The following tasks can only be approved by the company's professional maintenance staff to complete。
Please connect with maintenance staff if need the following services. It should be cleaned and disinfected
Before testing or maintenance
During the use of the monitor, due to hardware or software problems, the displayed ECG signal may
appear inaccurate. Mainly for the waveform amplitude becomes larger or smaller. At this point, you need
to calibrate the ECG.
Preparing the following instrument before detection:
• ECG simulator。
• ECG cable and lead-wires。
• Vernier caliper。
• Calibration operation as follows:
• Connect ECG cable to monitor
• Connect ECG electrode sheet to ECG simulator.
You can achieve touch screen calibration after following the steps below:
4.5 Cleaning
The device should be cleaned regularly. In the heavily polluted environment, increase the frequency of
cleaning. Before cleaning, please consult the hospital about device cleaning requirements.
Before cleaning:
• Turn off the monitor, disconnect the power cord and remove the battery.
• Use a soft cotton ball to adsorb appropriate amount of cleaning agent and wipe the display
screen.
• Use a soft lint-free cloth to adsorb appropriate amount of cleaning agent and wipe the surface of
the device.
• If necessary, use a clean, dry, lint-free cloth to remove any excess detergent.
• Dry the device naturally in a ventilated cool environment.
WARNING • Before cleaning the monitor or sensor, turn off the power and disconnect
the DC power.
Note • Wipe the monitor and sensor surface with medical alcohol, dry it
naturally or with clean, dry, lint-free clot.
4.6 Disinfection
In order to avoid damage to the product, we recommend that the product is disinfected only when it is
deemed necessary by the hospital maintenance procedures. We also recommend that the instrument to
be disinfected must first be cleaned.
• To prevent damage to the monitor, do not disinfect the monitor with gas
CAUTION
(EtO) or formaldehyde.
Section 5
Troubleshooting
BT-740 patient monitor in the transport, storage, use the process, due to various factors (such as power
grid voltage instability, ambient temperature changes, falling and impact, aging components, etc.) may
affect the failure of normal use. At this time should be a certain degree of electronic medical equipment
maintenance experience with the following professionals refer to the following classification of fault
classification. The so-called component-level maintenance refers to the components through the analysis,
replacement, test run, the fault will be positioned to the instrument components, such as the power board,
the main control board, components, measuring cables or parameter modules. Parts of the maintenance
that is component-level maintenance, manufacturers must have extensive experience in the maintenance
of engineers using specialized equipment, in a specific environment and conditions.
RR Too High Patient PR value is higher than the upper alarm limit or
lower than the lower alarm limit. Check the patient's
M*
RR Too Low physiological condition, and check if the patient category
and alarm limit settings are appropriate for the patient.
Resp
The patient’s respiratory signal is too weak, and the
Apnea(RESP) H system can’t analyze. Check the patient's condition,
electrodes, cables and leads.
RESP ARTIFACT H* Respiration heartbeat interference
T1 Too High T1/T2 value is higher than the upper alarm limit or lower
T1 Too Low than the lower alarm limit. Check the patient's
T2 Too High physiological condition, and check if the patient category
T2 Too Low and alarm limit settings are appropriate for the patient.
Temp M*
TD value is higher than the upper alarm limit or lower
than the lower alarm limit. Check the patient's
TD Too High
physiological condition, and check if the patient category
and alarm limit settings are appropriate for the patient.
SpO2 Too High SpO2 value is higher than the upper alarm limit or lower
than the lower alarm limit. Check the patient's
SpO2 Too Low physiological condition, and check if the patient category
and alarm limit settings are appropriate for the patient.
SpO2 M*
PR Too High PR value is higher than the upper alarm limit or lower
than the lower alarm limit. Check the patient's
PR Too Low physiological condition, and check if the patient category
and alarm limit settings are appropriate for the patient.
NIBP signal weak NIBP value is higher than the upper alarm limit or lower
NIBP-Sys Too High than the lower alarm limit. Check the patient's
NIBP-Sys Too Low physiological condition, and check if the patient category
NIBP M* and alarm limit settings are appropriate for the patient.
NIBP-Mean Too High
NIBP-Mean Too Low
NIBP-Dia Too High
IBP Art-Sys Too High M* IBP value is higher than the upper alarm limit or lower
PA-Sys Too High than the lower alarm limit. Check the patient's
P1-Sys Too High physiological condition, and check if the patient category
P2-Sys Too High and alarm limit settings are appropriate for the patient.
Art-Dia Too High
PA-Dia Too High
P1-Dia Too High
P2-Dia Too High
Art-Mean Too High
PA-Mean Too High
CVP-Mean Too High
LAP-Mean Too High
RAP-Mean Too High
ICP-Mean Too High
P1-Mean Too High
P2-Mean Too High
CO2 EtCO2 Too High M* EtCO2 or FiCO2 or AWRR value is higher than the upper
EtCO2 Too Low alarm limit or lower than the lower alarm limit. Check the
FiCO2 Too High patient's physiological condition, and check if the patient
FiCO2 Too Low category and alarm limit settings are appropriate for the
AWRR Too High patient.
AWRR Too Low
H The patient’s respiratory signal is too weak, and the
APNEA(CO2) system can’t analyze. Check the patient's condition,
electrodes, cables and leads.
C.O. BT Too High M* BT value is higher than the upper alarm limit or lower
BT Too Low than the lower alarm limit. Check the patient's
NIBP signal saturated Motion signal amplitude is too large due to movement
L
and other reasons.
NIBP over pressure Cuff overpressure, and gas blockage may occur; check
L
the gas path, and then re-measure.
NIBP module reset error; check the gas path is blocked,
Module reset failed L
and then restart the measurement.
IBP IBP1&IBP2 Comm. Stop H IBP module failure, or communication failure between
IBP1 & IBP2 the module and the host; please restart the device.
H
Comm. Error
IBP1 Sensor Off L IBP sensor falls off from the patient or monitor,
malfunctions, or sensor other than specified in this
Manual is used. Check the sensor mounting position,
L
whether the sensor is damaged or sensor type.
IBP2 Sensor Off Reconnect the sensor or use new sensor.
CO2 CO2 Comm. Stop H CO2 module failure, or communication failure between
the module and the host; please restart the device and
CO2 Comm. Error H
check the CO2 module.
Please check whether the CO2 sensor is connected well
CO2 Sensor Off H
with the host.
Replace O2 Sensor M please change another O2 sensor.
maybe there is something wrong with the adapter,
Check Adapter M
please check the adapter
maybe there is something wrong with the sampling line,
Check Sampling Line M
please check the sampling line
one param accuracy err M the accuracy of the parameter is error
Sensor Err(CO2) M the CO2 sensor is not match to the module
O2 calib required M please calibration the O2
Air calib required M please calibration the Air
Software Error(CO2) M the software of the CO2 is error
Hardware Error(CO2) M the hardware of the CO2 is error
Motor out of Motor out of accuracy
M
accuracy(CO2)
Factory Calibration please do the factory calibration
M
lost(CO2)
O2 Sensor Error M the O2 sensor is not match to the module
Replace Adapter M change another adapter
Sampling line clogged M please replace the sampling line
No Sampling line M please connect the sampling line
No Adapter M there is no adapter, please connect the adapter
O2 Port Error M the O2 port error, please check the O2 port
CO2 out of accuracy M CO2 out of accuracy
N2O out of accuracy M N2O out of accuracy
O2 out of accuracy M O2 out of accuracy
Temp out of Temp out of accuracy(CO2)
M
accuracy(CO2)
Pressure out of Pressure out of accuracy(CO2)
M
accuracy(CO2)
Zero required(CO2) M Perform zeroing operation
Me CO2 module is zeroing
CO2 is zeroing ssa
ge
CO2 is sleeping Me the mode is standby
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