- О PRODUCT GUIDE. Patient Monitors and Defibrillators ! NIHON KOHDEN

- О PRODUCT GUIDE Patient Monitors and Defibrillators! NIHON KOHDEN :

NIHON KOHDEN Fighting Disease Witn Electronics Since its establishment in 1951, Nihon Kohden's goal has been to fight disease-the common enemy of all people-and ensure the dignity of each and every patient. Nihon Kohden developed its first bedside monitor in 1964 and since then has introduced a number of revolutionary systems, including Japan's first computerized ICUCCU patient monitoring system, the world's first telemetry patient monitoring system, the world's first monitor with built-in arrhythmia analysis function and the world's first digital multi-parameter telemetry patient monitoring system featuring dual-antenna diversity reception. Commitment to Quality and Reliability Under Nihon Kohden's comprehensive quality control and assurance system, test procedures are designed to exceed the provisions of the GMP (good manufacturing practice) codes of the FDA, DHSS and other agencies. As evidence of its commitment to quality and reliability, Nihon Kohden has received full ISO-9001 certification.

PATIENT MONITORS FROM NIHON KOHDEN Introduction From the ward to the operating room, Nihon Kohden monitors provide reliable monitoring in all areas of the hospitals. From simple and compact bedside monitors to complete hardwiredtelemetry central monitoring systems, Nihon Kohden has a wide range of products to meet your needs. Bedside Monitors: Bedside monitors can be divided in two types, modular and configured. In modular bedside monitors, parameters are measured by interchangeable head amplifiers. To handle the changing needs of more critical patients, simply plug in different head amplifiers. Configured bedside monitors have fixed, built-in parameters and a more compact size. Bedside monitors can be used in hardwired or telemetry systems. Hardwired systems are best where a wider range of monitoring parameters is required. Telemetry systems are best for patients in the progress of recovery who require fewer parameters and benefit from free movement around the bed. Central Monitors: Nihon Kohden provides three types of central monitoring systems; hardwired, telemetry and mixed systems. Hardwired systems have interbed function which review the data of another bed on the bedside monitor or central monitor. Telemetry systems have more flexibility in that you can easily move the bedside monitor to a different bed. Nihon Kohden telemetry systems use digital telemetry transmission and a diversity antenna system to ensure stable and accurate signal transmission. Mixed systems combine hardwired and telemetry in the same system.

MODULAR BEDSIDE MONITORS (HardwiredTelemetry) Life Scope 14 BSM-8800JK Our top of the line bedside monitor has a modular design with flexible parameters, selectable hardwiredtelemetry system, and large, easy-to-view color display screen. 14-inch color CRT screen Key pad operation 8 color-coded waveforms Switchable hardwiredtelemetry system Parameters depend on plug-in modules or transmitter (see pages 4 and 7) Dual antenna diversity reception Central monitor interface Vital signs graphic and tabular trending Dual-lead arrhythmia and ST segment analysis and review Hemodynamics calculation and data list Interbed communication Receives e-mail from central monitor Separate main unit, monitor, and keypad for easy maintenance Infrared remote control User-configurable displays and keys Drug calculation Enlarged numeric data display Options: 6- or 8-slot remote input box (see page 3) 2- or 4- channel thermal array recorder Memory card: expanded data storage and transfer between monitors for continuous surveillance of vital signals

MODULAR BEDSIDE MONITORS (Hardwired Telemetry) Life Scope 12 BSM-8502JK Modular bedside monitor with flexible parameters and selectable hardwired telemetry system. 12-inch CRT screen Function key operation 6 waveforms Switchable hardwiredtelemetry system Parameters depend on plug-in module or transmitter (see pages 4 and 7) Dual antenna diversity reception Central monitor interface Vital signs graphic and tabular trending Arrhythmia and ST segment analysis and review Hemodynamics calculation and data list Interbed communication Receives e-mail from central monitor Options: 6- or 8-slot remote input box (see below) 2- or 4-channel thermal array recorder Remote Input Boxes Head amplifiers can be plugged into one input box which mounts on a bed or IV pole. A single cable connects the input box to the bedside monitor and reduces cable congestion around the bed.

MODULAR BEDSIDE MONITORS (Hardwired) Life Scope 9 BSM-8300JK series Modular bedside monitor with flexible parameters. 9-inch CRT screen Touch-screen 6 or 7 waveforms (ECG, IBP x 4, EEG x 2) Parameters depend on plug-in modules (see pages 4 and 7) Vital signs graphic and tabular trending Arrhythmia and ST segment analysis and review Hemodynamics calculation and data list Interbed communication Receives e-mail from central monitor BSM-8301 К Options: 4 slots for head amplifiers or 6-slot remote input box (4-slots usable) (see page 3) 2- or 4-channel thermal array recorder Central monitor interface Head Amplifiers BSM-8301: Integrated NIBP unit BSM-8302: No integrated NIBP unit Parameters in hardwired monitors are measured by interchangeable head amplifiers. To handle the changing needs of more critical patients, simply plug in a different head amplifier. AC-800PJ : Dual-lead ECGRespiration (impedance method) AE-800PA: Dual-channel EEG AG-800PA: 2 AG-830PA: 2 AG-820PA: FiO 2 AH-800PA: Cardiac output AL-801P : SpO 2 AP-800PA: Dual IBP waveforms AP-851PA: NIBP (signal lumen) AP-860PA: NIBP (double lumen) AR-800PA: Respiration (thermistor method) AW-800PA: Dual-site Temperature

NFIGURED BEDSIDE MONITORS (Hardwired) Life Scope 8 BSM-7100JK series BSM-7106K Configured bedside monitor with compact body and 8 models with different parameters with or without a recorder. 7-inch CRT screen 2 waveforms 2-channel built-in thermal array recorder (some models, see below) Compact Arrhythmia and ST segment analysis and review Interbed communication Vital signs graphic and tabular trending Infrared remote control Enlarged numerical data display Options: Central monitor interface Alarm pole Memory card: expanded data storage and transfer between monitors for continuous surveillance of vital signals Transmitter for wireless network (transmits Life Scope 8 signals to central monitor) With recorder BSM-7103: ECG, Resp, NIBP BSM-7104: ECG, Resp, SpOa, Temp BSM-7105: ECG, Resp, NIBP, SpO 2, Temp BSM-7106: ECG, IBP, NIBP, SpO 2, Temp Above four types are available without recorder. (BSM-7113, BSM-7114, BSM- 7115, BSM-7116)

NRGURED BEDSIDE MONITORS (Hardwired) Life Scope LC BSM-3101JK Configured bedside monitor with a compact body and easy-to-view color display. 8.4-inch color TFT LCD screen 4 waveforms 2-channel built-in thermal array recorder Vital signs graphic and tabular trending Arrhythmia analysis and review Interbed communication Infrared remote control Enlarged numerical data display AC or 60-minute battery operation with 2 fully-charged batteries Options: Central monitor interface Alarm pole Transmitter for wireless network (transmits Life Scope LC signals to central monitor) Memory card: expanded data storage and transfer between monitors for continuous surveillance of vital signals (under development) BSM-3101 : ECG, Resp, Dual IBP, NIBP, SpC-2, Dual-site Temp

TELEMETRY BEDSIDE MONITORS Life Scope 8 BSM-7200JK series Compact telemetry monitoring. 7-inch CRT screen 2 waveforms Parameters depend on transmitter 2-channel built-in thermal array recorder (BSM-7201) Vital signs graphic and tabular trending Arrhythmia and ST segment analysis and review Interbed communication Infrared remote control Enlarged numerical data display Options: Central monitor interface Alarm pole Memory card: expanded data storage and transfer between monitors for continuous surveillance of vital signals BSM-7201K BSM-7201 BSM-7211 With recorder Without recorder Transmitters Lightweight, compact Five models: ZB-811PK Single-lead EGG ZB-822PK ECGRespiration ZB-823PK Dual-lead ECG ZB-831PK ECGRespiration, SpC-2 ZB-860PK ECGRespiration, 3-channel IBP, 2-channel Temperature Continuous 3 to 10 day operation on one to six 1.5V batteries (depending on model) Low battery warning sound Call button-activates recorder and nurse call at central monitor Remote control key (ZB-860PK only) Touch-proof electrode connector

NFIGURED TRANSPORT MONITORS (Hardwired) < Life Scope L BSM-2100JK series Thin and compact transport monitor for continuous monitoring during transportation. 6-inch LCD screen (same actual display area as a 7.5-inch CRT screen) 2 waveforms Compact and lightweight (12 cm thick, 3.4 kg with battery) Arrhythmia analysis and review AC or 90-minute battery operation Options: Transmitter for wireless network (transmits Life Scope L signals to central monitor) Alarm pole Memory card: expanded data storage and transfer between monitors for continuous surveillance of vital signals BSM-2101: ECG, NIBP, SpO 2 BSM-2102: ECG, IBP, SpO 2

CENTRAL MONITORS CNS-8300JK Series Displays all measured parameters, trends, and alarm information on a color screen. Up to 32 beds can be monitored in one system with up to four central monitors. 17-inch color CRT screen 8 waveforms for CNS-8311,16 waveforms for CNS-8351 Laser printer compatibility (local purchase) Full keyboard and touch-screen operation E-mail can be sent to other central and bedside monitors (Life Scope 9, 12 and 14) Control of bedside monitors' recording and alarm settings Dual antenna diversity reception (with ORG-8200) Arrhythmia and ST segment level display and review Tabular and graphic trending Hemodynamics data list (CNS-8311) Options: 2-channel thermal array recorder Central monitor access via remote PC ECG full disclosure CNS-8311: Hardwiredtelemetry network CNS-8351: Telemetry network Both system requires signal exchanger and or multi-patient receiver.

CENTRAL MONITORS CNS-8200JK Displays all measured parameters, trends, and alarm information. Up to 32 beds can be monitored in one system with up to four central monitors. 12-inch CRT screen 6 waveforms Built-in 1-channel thermal array recorder E-mail to other CNS-8200 central monitors and Life Scope 9, 12 and 14 bedside monitors Control of bedside monitors' recording and alarm settings Dual antenna diversity reception (with ORG-8200) Arrhythmia and ST segment level display and review Tabular and graphic trending Hemodynamics data list Options: 4-channel thermal array recorder Full keyboard Central monitor access via remote PC ECG full disclosure 10

DIGITAL CARDIAC TELEMETRY SYSTEM WEP-8430JK Monitors ECG data, trends, and alarms of up to 8 telemetry patients. 12-inch CRT screen 8 waveforms Built-in 1-channel thermal array recorder 4-channel thermal array recorder option Dual antenna diversity reception Displays: single ECG of 4, 6, or 8 patients, dual-lead ECG, bedside monitor display and more Arrhythmia and ST segment analysis and review 100 arrhythmia event memory VPC and ST segment level trending Options: (withqp-851pk) Waveform review and numeric data display of other parameters (parameters depend on transmitters) Vital signs list Vital alarm setting in bargraph format Dual-lead arrhythmia recall ST recall (with QM-800P) Full disclosure ECG Arrhythmia morphology template screen (with QP-851PK + QM-800P) Tabular trendgraphing Dual-lead full disclosure ECG 940 arrhythmia event memory Increase ST recall capacity 11

TELEMETRY SYSTEM Life Scope LCFour WEP-3204JK Compact four telemetry bed monitor with an easy-to-view color screen. 8.4-inch color LCD screen 8 waveforms (2 per bed) Built-in 2-channel thermal array recorder Compact Dual antenna diversity reception Arrhythmia analysis and review Tabular and graphic trending Full disclosure ECG option Multi-parameter monitoring Parameters depend on transmitters Option: Alarm pole 12

SELECTION GUIDE Hardwired modular parameters depend on the head amplifiers. Telemetry parameters depend on the transmitter. -j 1 1 4 о -J! J 1% & 4 0) 1 * j CM ^Q> & & J ч- T» Q) & %. ^ JS.-2 11 HARDWIRED TELEMETRY Configured Modular ECG Resp IBP NIBP Temp SpO 2 ECG Resp IBP NIBP SpO 2 Pulse Temp All Wireless Network (CNS-831 183518200, WEP-84303204) Hardwired Network (CNS-831 18200) 0 CM S Ю * CM о CM s 1 о 2 Ф?5 о ^я m \ s ^1 i о h- m $ in ^ 5? о г- S m t <o i о N- S m t BSM-720111 о m *i CM о m ^ *2 CM о ЮopЙ m i d о о со со s со m S со со со Z О Ю со со со Z О о см со со Z о о со «* со о. ш t t t t ^~о CM Q. Ш Memory Card Data StorageTransfer * 3 t requires optional QP-851 P software. $ requires ZB-800P transmitter transmits monitor data to central or other telemetry monitor. * 1 Head Amplifier AP-860PA and AP-851 PA not usable. * 2 Head Amplifier AP-860PA not usable. * 3 Under development.

SYSTEM NFIGURATIONS Hardwired Network Bedside Monitors JJ-810R signal exchanger CNS-8311 central monitors JJ-820R signal exchanger Life Scope 14 Life Scope 12 Life Scope 9 Life Scope 8 Life Scope LC Measurement of various parameters In addition to measuring parameters, the central monitor can display and change items such as alarms and trendgraphs for individual bedside monitors Interbed communication-lf one monitor sends an alarm, you can immediately view that monitor's vital signs and alarm information on any other monitor in the network (available for up to 16 beds connected to one signal exchanger) E-mail from the central monitor to any monitors in the network Wireless Network Life Scope 8 telemetry transmitter ZB-831P Life Scope 8' hardwired CNS-8351 Central monitor Life Scope L* *With optional transmitter, ZB-800P ZB-810811P ZB-821822P ZB-820823P ZB-860P transmitters Flexible monitoring configurations with no fixed wiring or electrical conduits If a patient's condition suddenly becomes critical, an extra "float" monitor, such as the telemetry Life Scope 8, can be rushed to the bedside to display the patient's vital signs A telemetry patient is free to move about and can be transported quickly Transmitters can replace bedside monitors for monitoring of less critical, ambulatory patients 14

Hardwired Wireless Networks Wireless Network Up to 4 or 8 transmitters transmit directly to a WEP-3204 or WEP-8430 cardiac telemetry monitor, or to an ORG- 8200 multi-patient receiver which is installed under a CNS-8200, CNS-8311 or CNS-8351 central monitor. Hardwired Network A JJ-810R or JJ-830R signal exchanger connects up to 8 bedside monitors and up to 2 CNS-8200 or CNS-8311. A JJ-820R signal exchanger connects up to 16 bedside monitors and up to 4 CNS-8200 or CNS-8311 central monitors. Mixed WirelessHardwired Network Wireless and hardwired networks can be combined in the same system. The ORG-8200 multi-patient receiver receives telemetry and hardwired signals and interfaces up to 8 transmitters and bedside monitors and up to two CNS-8200 or CNS-8300 central monitors. Large Central Monitoring Systems ( 8 to 32 beds) A JJ-810820R signal exchanger can be connected to another JJ-810820R signal exchanger or to an ORG-8200 multi-patient receiver. Two optional interface QI-808P required for connection of two JJ-810820R. JJ-820R signal exchanger ZB-810811P ZB-831P ZB-820823P transmitters ZB-831P Central Monitor Bedside Monitors CNS-8311 i Life Scope 14 Life Scope 12 Life Scope 9 Life Scope LC Life Scope 8* Life Scope L* * With optional transmitter ZB-800P 15

DEFIBRILLATORS FROM NIHON KOHDEN Introduction In an emergency, reliable performance and easy operation is essential in a defibrillator. To meet your needs, Ninon Kohden provides a line of safe, easy to operate compact defibrillators, from semi-automated defibrillators to high-end defibrillators with ECG monitoring. All Nihon Kohden defibrillators share the same quick ECG recovery and easy operation. Quick ECG Recovery After discharging, the ability to view the ECG waveform is important for judging the effect of defibrillation. All Nihon Kohden defibrillators have a quick ECG waveform recovery after discharging. Easy Operation Easy operation is appreciated by all operators in an emergency. Nihon Kohden defibrillators employ simple 1-2-3 operation. Stepl: Turn on the defibrillator and set the energy level. For some models, the energy level is automatically set to 200J. Step 2: Charge the energy. Step 3: Discharge the energy. 16

Quick Review of Differences between CardioLife Defibrillators Power Supply Number of Discharges (DC) Waveform Display Recorder External Paddles Disposable pads Internal Paddle Option Synchronized Cardioversion Semi-Automatic EGG Lead Selection Non-invasive Pacing Telemetry Option TEC-7531 * «I CardioLife TEC-7521 TEC-751 1 TEC-6100 ACDC 50 times of 360J f 5.5-inch CRT Option v< 30 times of 360J * Connection cable for disposable pads is standard. Disposable pads are option. f TEC-2202 CardioLife S DC TEC-2203 50 times of 360J BacklitLCD, 122x92 mm TEC-7500K series 17

CardioLife TEC-7500K series TEC-7521K Combines the functions of defibrillator, patient monitor, and ECG monitor in one package. Easy 3-step operation from power-on to discharge Selectable cardioversion synchronization trigger Short energy charging time (5 sec in AC operation) 5.5-inch CRT display Quick ECG waveform recovery after discharge-3 seconds or less ECG monitoring capability Built-in thermal array recorder with manual or discharge-triggered ECG recording Telemetry transmitter and receiver option for ECG monitoring SpOa value measured by transmitter can be displayed using optional receiver ACDC operation Battery performance test under simulated conditions of energy charging and defibrillation discharge The high voltage capacitor can be tested Paddle contact indicator (TEC-75217531) Non-invasive pacing (TEC-7531) TEC-7511 : Standard model TEC-7521 : Optional direct internal paddles and disposable pads for hands-free defibrillation, and a paddle contact indicator on the sternum paddle TEC-7531 : All the features of TEC-7521, plus non-invasive pacing capability. Includes a disposable pads connection cable. 18

CardioLife TEC-61OOJK Compact with reliable performance and easy operation. Easy 3-step operation from power-on to discharge Short energy charging time 122 x 92 mm backlit LCD display Quick ECG waveform recovery after discharge-3 seconds or less ACDC operation Battery test function Energy discharge test function TEC-61 OOK 19

CardioLife TEC-2200K series TEC-2203K Light and compact-an excellent choice where space is an important consideration, such as in an ambulance. Easy 3-step operation from power-on to discharge Short energy charging time 122 x 92 mm backlit LCD display Quick ECG waveform recovery after discharge-3 seconds or less Build-in thermal array, recorder Shock advisory mode by screen messages and voice prompts ECGvoice recorder (TEC-2203) Automatic energy charging when a shockable rhythm is detected in semiautomatic mode TEC-2202 : No ECGvoice recorder TEC-2203: ECGvoice recorder 20

NIHON KOHDEN PRODUCT LINEUP Electroencephalographs Patient Monitoring Systems Evoked Potential Measuring Systems Electrocardiographs Electromyographs Defibrillators Cardiac Catheterization Systems Polygraph Systems Electrophysiologica Instruments

NIHON KOHDEN NIHON KOHDEN RPORATION 31-4 Nishiochiai 1-chome. Shinjuku-ku, Tokyo 161, Japan Phone 81(3)5996-8036-9 Fax 81(3)5996-8100 Telex J24804 MEKOHDEN Overseas Sales Subsidiaries: Nihon Kohden America, Inc. 2601 Campus Drive, Irvine, CA 92612, U.S.A. Phone: (714)250-3959 Fax: (714)250-3210 Nihon Kohden Europe GmbH SaalburgstraBe 157, Burohaus 1, D-61350 Bad Homburg v.d.h., Germany European Marketing Division Phone:49-6172-96710 Fax: 49-6172-967199 German Sales Division Phone: (06172) 309200 Fax: (06172) 303611 Nihon Kohden UK Ltd 462 London Road, Isleworth, Middlesex TW7 4EP, U.K. Phone: 0181-568-5655 fax: 0181-560-9066 Nihon Kohden Singapore РТЕ LTD 70 Shenton way, #14-05 Marina House, Singapore 079118 6 Phone: 224-6700 Fax: 224-6216 z «р ^ h- CD О ОЭ Г- -г- О -г- CAT. No. PG-MONDEF-2 Printed in Japan