Saadat ALBORZ B9 User manual

POOYANDEGAN RAH SAADAT
OPERATOR’S MANUAL
ALBORZ B9 Patient Monitor
D00132-15

POOYANDEGAN RAH SAADAT CO.
No. 4, 1st East St., Ettehad Blvd., Damavand St., TEHRAN,
IRAN.
Post box: 1658916599
Tel: [phone]
Fax:[phone]
Customer Services:
Tel: [phone]
Cell: [phone]
Fax: [phone]
Legal responsible: Trionara Technologies AB
Polygonvägen 21. 18766. Täby. Sweden
Tel: [phone]
Web site: www.saadatco.com
Email: [e-mail]

Manual Purpose
This manual provides the instructions necessary to operate bedside monitor in accordance with its
intended use. It also describes all parameters and options that your monitor may have depending on the
way it has been customized.
Study of this manual is a prerequisite for proper operation and ensures patient and operator safety. If
you have any question about the bedside, please contact our customer service. This manual is an
essential part of and should always be kept close to the bedside monitor to be available whenever
necessary.
Intended Audience
This manual is provided for the clinical medical professionals. Clinical medical professionals are
expected to have working knowledge of medical terminology and procedures as required for patient
monitoring.
Version Information
This manual has a version number. The version number changes whenever the manual is updated due
to software or technical specification changes. The version information of this manual is as follows.
Release date
Version number
Aug 2020
D00132-15

Operator’s Manual
Title
Chapter
Introduction
01
System Configuration
02
ALARM
03
Patient Information
04
ECG
05
Arrhythmia
06
ST
07
RESP
08

& RainbowSPO2
09
NIBP
10
TEMP
11

IBP
12

(Mainstream)GAS
13

(Sidestream)GAS
14

BFA
15

C.O
16
SIGMA,TREND,ALARM RECALL
17
Recorder
18
Drug Calculation
19

Bed to Bed
20
Patient Safety
21
TECHNICAL SPECIFICATION
22
Accessories
23
Care & Cleaning (PM)
24
Troubleshooting
25
Default Settings
APPENDIX I
EMC
APPENDIX II
Note:
This guide describes all features and functions of SAADAT Co. patient
monitors. Your monitor is highly customizable and may not have some of
these features. Optional features are marked with*.

Chapter 1: Introduction User Manual
1-1
Chapter 1, Introduction
1.1 General Warnings..............................................................................................2
1.2 Getting Start.......................................................................................................6
1.3 General Information..........................................................................................8
1.4 Display Screen..................................................................................................10
1.5 Buttons Function..............................................................................................13
1.6 Interfaces...........................................................................................................15
1.7 Built-in Battery.................................................................................................18

Chapter 1: Introduction User Manual
1-2
1.1 General Warnings
Warning
Patient monitor is intended for clinical monitoring application with operation only granted
to appropriate medical staff.
Warning
Before use, carefully read this manual, directions for use of any accessories, all precautions,
and all specifications.
Warning
The vital sign monitor is intended for use only as an adjunct in patient assessment. It must
be used in conjunction with clinical signs and symptoms.
Warning
If the accuracy of any measurement does not seem reasonable, first check the patient's vital
signs by alternate means and then check the monitor for proper functioning.
Warning
To avoid risk of electric shock, this equipment must only be connected to a mains supply
with protective earth.
Warning
Do not use the patient monitor during magnetic resonance imaging (MRI) scanning.
Induced current could potentially cause burns. The monitor may affect the MRI image,
and the MRI unit may affect the accuracy of monitor measurements.
Warning
Do not place the monitor in any position that might cause it to fall on the patient.

Chapter 1: Introduction User Manual
1-3
Warning
There could be hazard of electrical shock by opening the monitor casing. All servicing and
future upgrading to this equipment must be carried out by personnel trained and
authorized by manufacturer.
Warning
Equipment is not suitable for use in the presence of a flammable anaesthetic mixture with
air or oxygen.
Warning
The operator must check that system and accessories function safely and see that it is in
proper working condition before being used (e.g. Calibration date of the system must be
valid).
Warning
Alarm must be set according to different situations of individual patient. Make sure that
audio sounds can be activated when an alarm occurs.
Warning
Do not use cellular phone in the vicinity of this equipment. High level of electromagnetic
radiation emitted from such devices may result in strong interference with the monitor
performance.
Warning
Do not touch the patient, table nearby, or the equipment during defibrillation.
Warning
The equipment and devices connected to it should form an equipotential body to ensure
effective grounding.
Warning
The physician shall consider all well-known side-effects when using the patient monitor.

Chapter 1: Introduction User Manual
1-4
Warning
There will be some risks of polluting the environment associated with the disposal of the
device and cables at the end of their useful lives. The device and accessories shall be
disposed in accordance with national laws after their useful lives. Contact your
municipality to check where you can safely dispose of old batteries.
Warning
Do not expose the system near any local heating item such as the direct radiation.
Warning
Do not use one monitor for two or more patients at the same time.
Warning
It is possible to increase leakage current when several systems are connected to the patient
simultaneously.
Warning
Monitor software is designed in a way that hazards arising from errors in the software
programmed are minimized.
Warning
Do not connect items not specified as parts of the monitor.
Warning
Vital sign monitor needs to be installed and put into service according to the EMC
information provided in the APPENDIX II.
Warning
To prevent EMC effect on the monitor, the system should not be used adjacent to or
stacked with other equipment and that if adjacent or stacked use is necessary, the
equipment should be observed to verify normal operation in the configuration in which it
will be used.
Warning
If any liquid is spilled on the system or accessories, immediately turn off the system and
wipe up it by a soft cloth.

Chapter 1: Introduction User Manual
1-5
Warning
Make sure that cables and accessories are not under tension during monitoring.
Warning
When using a defibrillator, parameters and signals will be temporarily interrupted until
electroshock is finished.

Chapter 1: Introduction User Manual
1-6
1.2 Getting Start
Open the Package and Check
Open the package and take out the monitor and accessories carefully. Keep the package for
possible future transportation or storage.
■Check for any mechanical damage.
■Check for the existence of the power cable and accessories.
If there is any problem, contact the distributor immediately.
Place the battery fuse
When you use the system for the first time, you should place the fuse on the rear panel.
Connect the Power Cables
Connection procedure of the AC power line:
■Make sure the AC power supply complies with following specification: 100-240 VAC,
50 /60Hz
■Plug the power cable to power supply socket of the monitor. Connect the other end of the
power cable to a grounded power receptacle.
NOTE:
Make sure that the battery indicator lights. If it does not light, check your local
power supply and power cable connection. If the problem still exists, contact the
local After Sale Service.
Power on the Monitor
Press POWER key to power on the monitor. At the same time a beep sound will be heard and
yellow and red indicators light simultaneously. After 30 seconds or more that the system self-
tests are performed, the main screen will be displayed and you can start monitoring.
Perform the following settings before monitoring:

Chapter 1: Introduction User Manual
1-7
- New patient information (For details, please refer to chapter Configuration, PATIENT
INFORMATION)
- Patient mode (Adult/Neonate/ Pediatric) before NIBP measurement
- Alarm sound
- Alarm limits
- Zeroing before IBP measurement (For more information, see chapter IBP)
- Pulse oximetry (For more information, see chapter SpO2)
- RESP (For more information, see chapter RESP)
NOTE:
Check all the functions of modules that may be used and make sure that the monitor
is in good connection.
Warning
If any sign of damage is detected, or the monitor displays any error messages, do not use it
on any patient. Contact biomedical engineer in the hospital or local After Sale Service
immediately.
Connect Patient Sensors
Connect all the necessary accessories between the monitor and the patient.
NOTE:
For any information about correct connection of accessories, refer to each module's
chapter.

Chapter 1: Introduction User Manual
1-8
1.3 General Information
Environment:
Temperature Operating 5 to 40ºC
Transport and Storage -25 to 60ºC
Humidity Operating 20-90%
Transport and Storage 10-100%
Altitude -200 to 3000m
Power Supply 100-240 VAC, 50/60Hz
Pmax= 72W
①
Power switch is located on the front panel
②
The green indicator lights when the device is
powered on
③
The alarm indicator flashes when an alarm
occurs
④
The patient monitor is a user-friendly device
which can be easily operated using some
buttons, a rotary knob
⑤
The battery indicator is green when the
battery is fully charged, otherwise it is
orange
⑥
Alarms button is inactive
The monitoring system is used for effective and safe patient care and is adaptable to adult,
pediatric and neonatal patients in healthcare centers. It can continuously display vital signs data
such as ECG, Respiratory Rate, ST Segment, 13 types of Arrhythmia, Rainbow parameters,
(AWRR, RR), SpO2, CO2, N2O, O2, AA, NIBP, C.O, 4 channels IBP, Dual-TEMP and depth of
anesthesia (BFA). The patient monitor consists of different modules, a recorder and an alarm
system and can be connected to the Central system and slave monitor.
.

Chapter 1: Introduction User Manual
1-9
Warning
To verify proper function of indicators, they light when the system is powered on.
Portable Patient Monitor will provide you with the following vital signs data:
Vital signs monitor provides different functions such as visible & audible alarms, storage of
trend data, NIBP measurements and 150 arrhythmia events.
Heart Rate (HR), ST segment, PVCs/min, Arrhythmias, ECG waveforms
ECG
Respiratory Rate (RR) , Respiration Waveform
RESP
Saturation pulse oximetery (SpO2), Pulse Rate (PR),SpO2 Plethysmogram
If MASIMO Rainbow* module is used, the following parameters will be
measurable:
Note:
Each of the below parameters can be used only if its software is enabled by the
manufacturer and its specific probe is available.
Arterial pulse signal strength (PI)
Total amount of hemoglobin in the blood (SpHb)
Oxygen content in the blood (SpOC)
Carboxyhemoglobin saturation percent in the blood (SpCO)
Methemoglobin saturation percent in the blood (SpMet)
Index for PI changes that occur during the respiratory cycle (PVI)
SpO2
Systolic pressure(SYS), Diastolic pressure (DIA), Mean arterial pressure (MAP)
NIBP
Channel-1 temperature (T1), Channel-2 temperature (T2)
TEMP
4-channel IBP (IBP1, IBP2, IBP3, IBP4)
IBP*
EtCo2, FiCo2, AWRR
CO2*
EtN2O, FiN2O, EtO2, FiO2, EtAA, FiAA, AA is included 5 anesthesia agents
(DES, ISO, SEV, HAL and ENF)
Multi-gas*
BFI %, BS%, SQI%, EMG%
BFA*
Cardiac output
CO*

Chapter 1: Introduction User Manual
1-10
1.4 Display Screen
Patient monitor has a color LED display. The patient Parameters, waveforms, alarm messages,
bed number, date, system status and error messages are displayed on the screen.
The screen is divided into four areas: Header Area; Waveform Area/ Menu Area; Parameter Area
and Message Area (see figure 1-2).
Header Area:
The Header Area is at top of the screen displaying operating state of the monitor and status of the
patient.
The parameters in Header Area are page number, bed number, type of patient (adult, pediatric or
neonate), patient name, current date and time.
The above information appears on the screen throughout the monitoring process.
Other information of the Header Area comes up only with respective monitoring status.
They are:
■appears when the system is connected to central system.
■appears when the system is recording.
■indicates the remaining battery charge.
■blinks along with a countdown timer (120 sec) when the alarm silence button is pressed.

Chapter 1: Introduction User Manual
1-11
Waveform / Menu Area :
All waveforms can be displayed at the same time. The waveforms from top to bottom are: ECG,
SpO2, IBP1, IBP2, EEG and RESP/CO2/Multi-gas.
Gain, filter, lead and sweep of the ECG are displayed as well .The three dotted lines from top to
bottom show the highest scale, cursor and lowest scale of IBP waveform. These values can be
manually set.
All menus in monitor always appear at fixed areas on the screen. When a menu is displayed,
some waveforms become invisible. The menu with regard to its size will cover 2, 3, 4 or 5
waveforms.
Parameter Area:
Numeric values of each parameter are displayed at a fixed position on the screen and with a color
corresponding to its waveform. The parameters values refresh every second, except that the
NIBP and CO values refresh each time the measurement is over.
Message Area:
Different messages are displayed based on alarm priority in this area. Background color changes
for different alarm levels (I, II and III).
Level I alarm message: Red background –Black text
Level II alarm message: Yellow background –Black text
Level III alarm message: Cyan background –Black text
If no alarm is triggered, the message will be displayed with gray background.
NOTE:1- When using the monitor, the screen should be protected from direct sunlight in
order to get a clear view of what is displayed.
2- To make the monitor readable outdoor, transfer it to shade or a dark
environment.
3- If the monitor is used outdoor, place it in a location that is not exposed to direct
sunlight.
Alarm indicator:
In normal mode, the alarm indicator is not lit.
In alarm mode, the alarm indicator lights and flashes.

Chapter 1: Introduction User Manual
1-12
Warning
Always verify the audible and visible alarms when monitor is powered on. Please refer to
chapter Alarm for details.

Chapter 1: Introduction User Manual
1-13
1.5 Buttons Function
The monitor can be operated via the front panel buttons, rotary knob and touch screen*
Press to power on or off the system.
Power
①
When in normal mode, press to freeze all waveforms on the screen.
When in freeze mode, press to restore the waveform refreshing.
Freeze
②
Press to start a real time recording of ECG signal and all monitoring
parameters by the central system or internal recorder of the monitor.
Press during recording to stop it.
REC/STOP
③
Press to open HOME WINDOW. Please refer to Chapter Configuration
for details.
HOME/MENU
④
Press to start a blood pressure measurement. While measuring, press it
again to stop the measurement.
START/STOP
⑤
Press it to disable alarm for 120 s. A countdown timer appears and
Silence symbol blinks on the Header area every 5 sec. If you press it
again, the system will exit from silence mode and alarm sound will be
enabled.
Alarm Silence
⑥
NOTE:For more specific information on alarms of each parameter, refer to Appendix II.
NOTE:If a new alarm occurs under alarm silence condition, silence mode will be removed.
This knob can be used to select and change the settings. Operations can
be performed by turning it clockwise, counter clockwise or pressing it
down.
The square frame that moves with the knob turning, functions as a
"cursor".
Rotary Knob
⑦
When no menu is displayed, turning the knob clockwise can locate the
2
5
8
6
9
18
1
4
3
17
10
11
12
13
14
15
16
7

Chapter 1: Introduction User Manual
1-14
cursor at: ECG, NIBP, SpO2, IBP, BFA (for 12"or larger), TEMP or
RESP/CO2/Multi gas parameter area of the screen. When the cursor is
located on a specific parameter area, you can change setting of that
parameter as follows:
1. A menu pops up, by pressing the knob.
2. Move the cursor frame to related parameter in opened menu by turning
the knob.
3. Change the content by pressing the knob on the special parameters and
choose your setting and confirm your selection by pressing it.
Press to call up HOME/ALARM Window and change the alarm setting
of each parameter.
Alarm Limits
⑧
Press to call up ECG/LEAD Window and change lead setting.
ECG Lead
⑨
Press to access different pages of the system.
Pages
⑩
Press to capture a picture of what is on your screen and saving it in a
window in which you can see, delete or print the picture.
This button currently is not applicable
Print Screen
⑪
Press to view list of arrhythmia events
Arr List
⑫
Press to call up NIBP/NIBP LIST Window.
NIBP List
⑬
Press to call up HOME/TREND Window.
Trend
⑭
This button is not still active.
Silence
⑮
Press to call up ECG/GAIN Window and change gain setting.
ECG Gain
⑯
Press one of these keys to call up the IBP/ZERO WINDOW. Press this
key again to perform zeroing procedure for IBP1,2 channels.
BP1,2 Zero
⑰
Press one of these keys to call up the IBP3,4/ZERO WINDOW. Press
this key again to perform zeroing procedure for IBP3,4 channels.
(F1:IBP3)(F2:IBP4)
F1,F2

Chapter 1: Introduction User Manual
1-15
Warning
Before using the system on the patient, user must check the buttons function and make
sure that it is in proper working condition as described above.
1.6 Interfaces
①
Connector for ECG cable
②
Connector for Spo2 Sensor
③
Connector for IBP1 transducer
④
Connector for IBP2 transducer
⑤
Connector for NIBP cuff
⑥
Connector for TEMP1 probe
⑦
Connector for TEMP2 probe
⑧
Connector for CO catheter
⑨
Connector for IBP3 transducer
⑩
Connector for IBP4 transducer
⑪
Connector for CO2/ GAS and BFA sensors
11

Chapter 1: Introduction User Manual
1-16
The following sockets are located on the side panel .
■Power Supply: 100-240 (VAC), 50/60 Hz (Socket )
■VGA SLAVE MONITOR (Socket )
Monitor interface for external standard VGA color monitor.
Working mode: 800×600,256 colors
Interface: D-sub 15 pins
Pin 1. Red Video Pin 9. NC
Pin 2. Green Video Pin 10. Ground
Pin 3. Blue Video Pin 11. NC
Pin 4. Ground Pin 12. NC
Pin 5. NC Pin 13. Horizontal Sync
Pin 6. Red Ground Pin 14. Vertical Sync.
Pin 7. Green Ground Pin 15. NC
Pin 8. Blue Ground
How to use:
1) Install the VGA slave monitor in the same room with the patient but keep it away from
the patient more than 1.5m. The monitor is intended to be used as an assistant monitoring
device.
2) Plug the connection cable while the VGA slave monitor is off.
3) Power on the VGA slave monitor, same time or after powering on the monitor.
4) Adjust brightness and contrast properly.