An x73-PHD system and an automatic firmware update method using the same thereof are disclosed. The x73-PHD system comprises an x73-PHD adaptor and an x73-PHD gateway. The x73-PHD gateway communicates with a physiology monitor via the x73-PHD adaptor. The method comprises following steps. A matching serial number corresponding to the physiology monitor is got. It is determined whether a current firmware of the x73-PHD adaptor needs to update according to the matching serial number to generate a response result. The current firmware is updated to the updating firmware corresponding to the matching serial number when the response result indicates that the current firmware needs to update. A communication link is built according to the updating firmware to upload physiology information sensed by the physiology monitor.一種x73-PHD系統及其韌體自動更新方法。x73-PHD系統包括x73-PHD轉換器及x73-PHD閘道器。x73-PHD閘道器係藉由x73-PHD轉換器與生理監測器溝通,韌體自動更新方法包括如下步驟。取得對應於生理監測器之配對序號。根據配對序號判斷是否需更新x73-PHD轉換器之目前韌體以產生回應結果。當回應結果為目前韌體需更新時,將目前韌體更新為與配對序號相對應之更新韌體。根據更新韌體建立通訊連線,以上傳生理監測器所感測之生理資訊。S1~S5‧‧‧步驟