# # # issue - bed not functioning properly # # # impact - patient care may be compromised - staff may be unable to provide adequate care - hospital may lose revenue # # # possible causes - the bed may be damaged or defective - the bed may not be properly calibrated - the bed may not be properly maintained - the bed may be overloaded - the bed may be used in an inappropriate environment # # # recommendations - inspect the bed for damage or defects - calibrate the bed according to the manufacturer's instructions - perform regular maintenance on the bed - do not overload the bed - use the bed in an appropriate environment @topic:9


nibp pump assembly 105920 6 105933 srv kit csm, nonin spo2 pcba 7 105931 srv kit csm, masimo spo2 pcba 8 105932 srv kit csm, nellcor spo2 pcba 9 105925 srv kit csm, main pca, and lcd frame 10 11 105930 srv kit csm, power harness 105938 srv kit csm, newmar antenna pcba 12 srv kit csm, newmar radio pcba 13 105936 service manual field replaceable units 95 material number description service kit number srv kit csm, bluetooth radio pcba 105937 14 srv kit csm, masimo spo2 insert 15 105926 srv kit csm, nellcor spo2 insert 105927 16 105928 srv kit csm, no spo2 insert 17 105929 srv kit csm, nonin spo2 insert 18 rv kit csm, lcd with to19a 108241 srv kit csm, combined lcd with touchscreen new 19b 1081211 105922 srv kit csm, lcd bezel 20 srv kit csm, front housing 105921 21 105941 22 srv kit csm, braun thermoscan pro 6000 module² 23 105940 srv kit csm, sure temp plus module 105943 srv kit csm, apm work surface 24 srv kit 9 cell lithium ion battery att99 25 srv kit csm, apm work surface, battery door 26 105972 connex spot power supply 27 7000 - ps * not available for direct purchase. 1 when using the 108121 ( srv kit csm, combined lcd with touchscreen new ), @topic:19


and prompting you for action 3 patient identification 12 close all open menus and windows and return to main screen 4 patient category 13 enter main setup menu 5 paced status 14 scroll right to display more smartkeys 6 date and time 15 smartkeys - these change according to your monitor ’ s configuration 7 access the profiles menu 16 scroll left to display more smartkeys 8 current screen name / enter change screen menu 17 pause alarms - pauses alarm indicators. pause duration depends on monitor configuration. if pause duration is infinite, this key is labeled alarms off. select again to immediately re - enable alarm indicators. 9 adjust alarm volume / level indicator 18 silence - acknowledges all active alarms by switching off audible alarm indicators and lamps permanently or temporarily, if alarm reminder ( realarm ) is configured on. 19 1 basic operation operating and navigating selecting screen elements select a screen element to tell the monitor to carry out the actions linked to the element. for example, select the patient identification element to call up the patient demographics window, or select the hr numeric to call up the setup ecg menu. select the ecg wave segment to call up the ecg lead menu. note that the space between each line of a menu may be configured to wide or narrow to facilitate your most common method of operation, either touch, speedpoint or navigation point, or mouse. using the setup menu mp20 / mp30 / mp40 / mp50 only setup alarm messages alarm limits alarm volume my care group change screen profiles admit / dischrg paced no network bed information date, time for the mp20 / mp30 and mp40 / mp50 monitors, the elements at the top of the screen are grouped together for ease of navigation. select any item at the top of the screen to open the setup menu ; scroll down the menu to highlight the element you want then press the navigation point to select the element. using the touchscreen select @topic:10


display brightness setting ♦ in the main setup menu, select user interface - > brightness - > optimum. this selects a level of brightness suitable for most monitoring locations that uses less battery power than brighter settings. satisfy yourself that this level of brightness is suitable for your monitoring location. note that your monitor may be configured to dim or brighten the display brightness automatically when you disconnect from power, to suit the most common transport scenario ( “ transportbrightn ” setting ). charging a battery a battery can be charged in monitors used to monitor patients. charging is quicker in monitors which are switched off. if you want to charge the battery on a connected x2, do not switch the host monitor off, but rather switch it to standby. you can also use the m8043a smart battery charger to charge batteries. 1 insert the battery / batteries into a monitor connected to mains power. the battery led will light yellow to indicate that charging is in process. 2 charge the battery until it is full, the battery led is green, and the battery power gauge is filled. conditioning a battery you must condition a battery when its “ battery requires maintenance ” symbol shows on the screen. do not interrupt the charge or discharge cycle during conditioning. caution do not use a monitor being used to monitor patients to condition batteries. the monitor switches off automatically when there is no battery power left. you can also use the m8043a smart battery charger for external battery conditioning ( requires adapter, order number 4512 610 17451 ). for details please see the instructions for use for the smart battery charger. do not use any other battery chargers or conditioners. to condition a battery using a monitor, 1 insert the battery into a monitor connected to mains power. 2 switch the monitor power off. 3 charge the battery until it is completely full. open the battery status window. check that the batteries fully @topic:11


# # # issue the electrocardiography ( ekg ) cable of the philips intellivue mx40 monitor was damaged. # # # impact the damaged ekg cable prevented the monitor from accurately recording and displaying the patient's heart activity. this could have led to delayed or incorrect diagnosis and treatment, potentially compromising patient safety. # # # possible causes there are several possible causes for the ekg cable to become damaged, including : - physical damage, such as being pinched, cut, or pulled - wear and tear from repeated use - improper storage or handling - exposure to moisture or chemicals # # # recommendations to prevent future cable damage, the following recommendations should be followed : - handle ekg cables with care, avoiding excessive bending or pulling. - store cables properly when not in use, avoiding exposure to moisture or extreme temperatures. - regularly inspect cables for signs of damage, such as fraying or cuts. - replace damaged cables immediately to ensure accurate and reliable monitoring. @topic:18


# # # issue - rusting of the bed rails # # # impact - potential safety hazard for patients, as they may fall out of bed due to the weakened rails. - discomfort for patients, as the rusty rails may cause skin irritation or discomfort. - negative impact on the hospital's reputation, as patients may be hesitant to return to a hospital where they experienced safety concerns. # # # possible causes - * * environmental factors : * * the bed may have been exposed to moisture or other corrosive elements, which has caused the rails to rust. - * * lack of maintenance : * * the bed may not have been properly cleaned or maintained, which has allowed rust to develop. - * * design defect : * * the bed may have been designed with materials or features that are prone to rusting. # # # recommendations - * * regular cleaning and maintenance : * * the bed should be cleaned and maintained regularly to prevent rust from developing. - * * use of rust - resistant materials : * * the bed should be made of materials that are resistant to rust, such as stainless steel or aluminum. - * * proper storage : * * the bed should be stored in a dry, climate - controlled environment to prevent exposure to moisture or other corrosive elements. - * * regular inspection : * * the bed should be inspected regularly for signs of rust or other damage. - * * replacement of rusty components : * * if the bed rails become rusty, they should be replaced immediately. @topic:6


externally. battery status / malfunction symbols : if a problem is detected with the battery, an inop may be issued, and the following symbols are displayed in the battery status window, where they may be accompanied by a battery status message providing more details. messages appear in the line where time to full / time to empty is shown. symbols indicating critical situations are colored red. 101 battery status symbols battery malfunction symbols d m ( red ) incompatible battery ( red ) battery has no power left battery requires maintenance charging stopped to protect the battery explanations of battery status and malfunction symbols : ( red ) battery temperature too high battery not charging as the temperature is above ( red ) battery malfunction or below the specified range battery is empty : the remaining capacity of the battery is € 10 min. recharge the battery as soon as possible. temperature outside specified range : the charging of the battery is stopped if the temperature is below 10°c or above 60°c in order to protect the battery. charging is resumed as soon as the temperature is within this range. battery requires maintenance : the battery requires conditioning. refer to “ conditioning batteries " for details. charging stopped to protect the battery : the charging of the battery is stopped to protect the battery if the temperature inside the monitor gets too high. remove the battery and reinsert it or switch off the mp2 / x2 if this situation occurs. incompatible battery : the inserted battery is checked for certain battery internal parameters. if these are not correct, the incompatible battery symbol is displayed. please use only m4607a batteries with the mp2 / x2 monitor. note that the incompatible battery symbol may also appear if there is a communication problem between the battery and the battery board. battery malfunction : communication between the battery and the battery board could not be established within about 4 minutes or battery internal data indicates malfunction. please see the @topic:11


# # # issue - the medcart program cannot be accessed. # # # impact - the medical staff cannot use the medcart program to perform their tasks. # # # possible causes - the medcart program files and the alisa - api - 1. 7. jar and json - 20180813. jar files are located in different directories. # # # recommendations - move the alisa - api - 1. 7. jar and json - 20180813. jar files to the same directory as the medcart program files. @topic:13


# # # issue - adjustable function is not working # # # impact - the patient may not be able to use the bed in a comfortable position. # # # possible causes - the remote control or its wiring may be damaged - the motors that control the bed's movement may have malfunctioned - the control board that regulates the bed's functions may be faulty # # # recommendations - check the remote control and its wiring for any damage. if the remote or its wiring is damaged, it will need to be replaced. - inspect the motors that control the bed's movement for any signs of wear or damage. if the motors are damaged, they will need to be replaced. - examine the control board that regulates the bed's functions for any signs of damage. if the control board is damaged, it will need to be replaced. @topic:1


# # # issue - fiber optic ekg cable failure # # # impact - inability to accurately measure ekg signals, compromising patient monitoring during mri procedures. # # # possible causes - physical damage to the cable, such as kinking, crushing, or cutting - connector issues, such as loose or damaged pins - degradation of the fiber optic material over time - electromagnetic interference from other equipment # # # recommendations - * * immediate action : * * - replace the damaged cable with a new one. - * * preventive measures : * * - inspect cables regularly for signs of damage and wear. - handle cables carefully to prevent kinking or crushing. - ensure proper storage of cables when not in use. - train staff on proper handling and storage of cables. - * * root cause investigation : * * - determine the specific cause of failure through further testing and examination. - consider factors such as usage history, environmental conditions, and previous repairs. - implement corrective measures to prevent similar failures in the future. @topic:18


# # # issue - siderail locking pin came out of the bed, causing it to not lock when raised or lowered. # # # impact - patient safety hazard, as the siderail could move unexpectedly and cause the patient to fall. # # # possible causes - wear and tear - improper maintenance - manufacturing defect # # # recommendations - inspect siderail locking pins regularly for wear or damage. - replace worn or damaged pins promptly. - ensure that the bed is properly maintained and serviced according to the manufacturer's instructions. @topic:6


# # # issue - printer not printing # # # impact - inability to print patient data, reports, and other necessary documents. # # # possible causes - paper jam - printer error - connection issue between printer and central station # # # recommendations - check for and remove any paper jams - reset the printer - check the connection between the printer and the central station - contact the manufacturer for further troubleshooting assistance @topic:28


# # # issue - monitor is not displaying graphs. # # # impact - clinicians are unable to monitor patient vitals. # # # possible causes - apc power supply is faulty. # # # recommendations - replace the apc power supply with a new one or a backup unit from another department. @topic:2


# # # issue the bed is not weighing accurately. # # # impact this could lead to inaccurate patient weight measurements, which could affect their treatment. # # # possible causes - the bed's scale may be faulty. - the bed may not be calibrated correctly. - the bed may be overloaded. - the patient may not be positioned correctly on the bed. # # # recommendations - check the bed's scale to make sure it is working properly. - calibrate the bed according to the manufacturer's instructions. - make sure the bed is not overloaded. - position the patient correctly on the bed. @topic:25


* * issue : * * - battery failure in physiological vital signs monitor ( model : casmed 740 ) * * impact : * * - the monitor may not provide accurate vital signs readings, such as heart rate, blood pressure, and respiratory rate. - delays or interruptions in patient care due to unreliable monitor readings. * * possible causes : * * - * * battery degradation : * * batteries naturally lose capacity over time, leading to decreased performance and eventually failure. - * * excessive use or overcharging : * * using the monitor continuously or overcharging the battery can shorten its lifespan. - * * power surges or fluctuations : * * sudden voltage changes can damage the battery or its charging circuit. - * * environmental factors : * * extreme temperatures, moisture, or dust can affect battery performance and longevity. - * * manufacturer defect : * * occasionally, batteries may have inherent defects that lead to premature failure. * * recommendations : * * - * * regular battery monitoring : * * biomedical engineers should conduct periodic checks to assess battery health and replace them as needed. - * * proper charging practices : * * use the recommended charger and follow the manufacturer's guidelines for charging and storage. - * * adequate power supply : * * ensure the monitor is connected to a stable power source to minimize battery use and extend its lifespan. - * * environmental control : * * protect the monitor from extreme temperatures, moisture, and dust to maintain battery performance. - * * consider alternative power sources : * * explore options for alternative power sources, such as uninterrupted power supplies ( ups ), to minimize the risk of battery failure due to power outages. - * * collaboration with manufacturers : * * work with manufacturers to identify and address potential battery issues and improve battery performance and reliability. @topic:11


# # # issue - the bed produces a grinding noise when adjusted up or down. # # # impact - the noise can be disruptive and uncomfortable for patients and staff. - it can also indicate a problem with the bed's mechanism, which could lead to a malfunction or failure. # # # possible causes - * * lack of lubrication : * * the bed's moving parts may not be properly lubricated, causing metal - on - metal contact and grinding noises. - * * misalignment of components : * * the bed's components may be misaligned, causing them to rub against each other and create noise. - * * damaged gears or bearings : * * the bed's gears or bearings may be damaged or worn, causing them to create grinding noises. # # # recommendations - * * lubricate the bed's moving parts : * * apply a suitable lubricant to all moving parts, such as gears, bearings, and slides. - * * check and adjust the alignment of components : * * inspect the bed's components and adjust them as necessary to ensure proper alignment. - * * inspect gears and bearings for damage : * * remove any damaged gears or bearings and replace them with new ones. - * * test the bed's operation : * * after making any repairs or adjustments, test the bed's operation to ensure that the grinding noise has been eliminated. @topic:9


the test box. ensure each end is connected tightly and there are no leaks. to initiate the verification process, touch close valve. 6. use the blood pressure bulb to adjust the pressure to each threshold of 20 / 50 / 100 / 150 / 250 mmhg. 7. compare the pressure displayed on the nibp pressure verification screen and the pressure 8. meter. po2 testselect the procedure here that applies to your configuration to test the device's spo2 function. connect the test equipment according to the test setup diagram for your configuration presentehere. spo2 test setup for the spo2 test, connect the test equipment shown below. | | po2 1 2 3 no. item 1 connex spot monitor 2 power suppl3 116 functional verification and calibration overview welch [UNK] connex® spot monitor perform an spo2 test use this procedure to test only the device spo2 function. ower on the device. 1. connect the spo2 functional simulator to the spo2 input connector. 2. note in the following tests, if the simulator defaults are outside the device alarm limits, adjust the limits or silence the alarms. 3. adjust the simulator settings as follows : for nonin and nellcor configurations, set the simulator spo2 saturation to 90 % and pulse ratto 60 bpm. for masimo configurations, set the simulator spo2 saturation to 80 % and pulse rate to 6bpm. give the device up to 30 seconds to stabilize. 4. 5. verify the displayed saturation and pulse rate as follows : for nonin and nellcor configurations, saturation should be 90 % ±1 sat point, and pulse rate should be 60 ±1 bpm. for masimo configurations, saturation should be 80 % ±3 sat point, and pulse rate should b1±1 bpm. disco @topic:17


# # # issue - oxygen saturation ( spo2 ) sensor failure # # # impact - inability to monitor patient's spo2 levels, potentially leading to hypoxia and other complications. # # # possible causes - faulty sensor hardware - loose or damaged sensor cable - misalignment or improper placement of the sensor on the patient's finger or earlobe - interference from external factors such as ambient light or motion # # # recommendations - * * inspect the sensor hardware for damage or defects. * * replace the sensor if necessary. - * * ensure the sensor cable is securely connected * * and not crimped or damaged. - * * properly align and place the sensor * * on the patient's finger or earlobe, according to the manufacturer's instructions. - * * eliminate sources of interference * * such as bright lights or excessive movement. - * * consider using a backup spo2 monitor * * or pulse oximeter to ensure continuous monitoring of the patient's oxygen saturation levels. - * * if the issue persists after troubleshooting, escalate the problem to the manufacturer * * for further assistance or warranty support. @topic:4


bed initialization complete. 4. o * the screen also shows the date and time of the last initialization. last reset : 01 / 07 / 2018 at 02 : 35 note : if a load weighing more than 9 kg is added or removed, it is necessary to proceed with an to activate the bed exit alert detection : activating the bed exit detection to a given degree of sensitivity is subject to the following pre - conditions that guarantee effective patient detection. pre - conditions for activation the system has been initialized ( see " initializing the bed exit alerts system ". the patient is in the center of the bed and aligned with the hip position markers. • 1. press alerts on the gci. cac ca bed exit alert : is disarmed wait for the selection screen to open. activation iconfirmed by a beep. 2. position 13 note : exiting if the pre - conditions for activation are not met, an error message appears. in this case, follow the instructions and out of bed 3. select one or more modes from : bed exit alert : is armed position position exiting • exiting ut of bed • out of bed note : only one bed exit mode can be activated at a time. 4. the detection activation icon appears on the home screen. to deactivate the bed exit alert detection press alerts on the gci. 1. 2. 3. yes. this deactivates the bed exit detection. when an alert sounds when the bed exit detection is on and it detects an alert condition, an alert signal sounds, an alert message appears on the gci and the night light comes on. press the appropriate button to switch off the night light ( see " night light " page 68 ). bed exit alert uspend alert for 30 sec press suspend alert for 30 sec on the touch screen, then select the alert deactivation mode ( see " selecting @topic:26


# # # issue - the electric bed is not adjusting properly. # # # impact - inability to properly position the patient for medical procedures or comfort. - increased risk of injury to the patient or healthcare professionals. # # # possible causes - * * mechanical failure : * * - malfunctioning motors or actuators - broken or worn gears - obstructions in the adjustment mechanisms - * * electrical failure : * * - loose or damaged wiring - faulty control panel - power supply issues - * * software issues : * * - corrupted or outdated software - communication errors between components # # # recommendations - * * inspect the mechanical components : * * check for any obvious signs of damage or wear, such as loose or broken parts. ensure that there are no obstructions in the adjustment mechanisms. - * * test electrical connections : * * verify that all wires are securely connected and not damaged. inspect the control panel for any signs of malfunction. - * * update software : * * ensure that the bed is running the latest software version. check for any software updates available from the manufacturer. - * * consult a qualified technician : * * if the issue cannot be resolved through the above steps, contact a qualified biomedical engineer or technician for further diagnosis and repair. @topic:1


# # # issue - remote control cable is defective. # # # impact - the bed cannot be adjusted up or down. # # # possible causes - the cable may have been damaged or cut. - the cable may have become disconnected from the bed or the remote control. - the cable may be faulty. # # # recommendations - replace the remote control cable. - ensure that the cable is properly connected to the bed and the remote control. - test the bed to ensure that it is functioning properly. @topic:7


# # # issue - cuff bp deteriorated, causing the cuff to not tighten around the patient's arm. # # # impact - inaccurate blood pressure readings. - patient discomfort. # # # possible causes - cuff bp has reached the end of its lifespan. - cuff bp has been damaged due to improper use or storage. # # # recommendations - replace the cuff bp with a new one. - train staff on the proper use and storage of cuff bp. @topic:3


# # # issue - lead wire failure # # # impact - interruption of patient monitoring # # # possible causes - lead wire is crimped or broken - lead wire is damaged by patient movement - lead wire is disconnected from monitor or patient # # # recommendations - inspect lead wire for damage. - replace lead wire if damaged. - secure lead wire to prevent patient movement from damaging it. - ensure lead wire is properly connected to monitor and patient. @topic:18


# # # issue - bed is not functioning properly. # # # impact - patients may not be able to be moved or positioned properly. - staff may be injured trying to move patients. # # # possible causes - bed is old and has exceeded its useful life. - bed has been damaged or mishandled. - electrical components have failed. # # # recommendations - replace the bed with a new one. - have the bed serviced by a qualified technician. - train staff on proper use of the bed. - implement a regular maintenance schedule for the bed. @topic:9


# # # issue - the nibp monitor is not reading values after changing the cuff. # # # impact - inability to measure patient's blood pressure accurately. # # # possible causes - faulty cuff - loose or damaged connections between cuff and monitor - incorrect cuff size or placement - problem with the green button on the monitor # # # recommendations - verify that the cuff is new and not faulty. - ensure that the cuff is connected securely to the monitor. - check if the cuff size is appropriate for the patient's arm circumference. - inspect the cuff for any damage or leaks. - test the green button on the monitor with another cuff to rule out any issues with the button itself. - consult the manufacturer's instructions or contact technical support for further troubleshooting. @topic:15


# # # issue - cuff change # # # impact - unknown # # # possible causes - cuff may be misconnected - cuff may be damaged - cuff may be the wrong size for the patient # # # recommendations - check the cuff connections to ensure they are secure. - inspect the cuff for any signs of damage, such as tears or punctures. - ensure the cuff is the correct size for the patient. @topic:5


* * issue : * * medical cart battery level dropping rapidly. * * impact : * * - interruption of patient care due to unreliable medical equipment. - safety concerns if the cart's power fails during a critical procedure. - increased downtime for maintenance and repairs. * * possible causes : * * * * 1. battery degradation : * * battery life expectancy can deteriorate over time due to repeated charging and discharging cycles, resulting in reduced capacity. * * 2. electrical leakage : * * a fault in the electrical system or a loose connection can lead to current leakage, draining the battery even when the cart is not in use. * * 3. faulty charger : * * a malfunctioning charger may not effectively charge the battery or may overcharge it, damaging the battery and reducing its lifespan. * * 4. overuse or improper use : * * excessive use of the medical cart or using it for purposes beyond its intended function can put strain on the battery and accelerate its degradation. * * recommendations : * * * * 1. inspect and test battery : * * check the battery for any signs of damage, leakage, or corrosion. test the battery's capacity and replace it if it is below specification. * * 2. check electrical connections : * * inspect all electrical connections for tightness and ensure there are no loose wires or frayed cables. repair or replace any faulty connections as needed. * * 3. use the proper charger : * * ensure that the charger used is compatible with the battery type and is in good working condition. * * 4. manage battery usage : * * avoid overusing the medical cart or using it for tasks that it is not designed for. allow the battery to discharge and recharge fully before using it again. * * 5. monitor battery level : * * regularly check the battery level @topic:13


forth 4 monitor power on / standby switch. press to switch monitor on remotely. press and hold for one second to turn monitor off. 5 power on led - green when monitor is on docking station mp20 / 30 / the docking station provides quick mounting and connections in a one - step operation. by placing the 40 / 50 only monitor on the docking station and closing the lever you can make the connection to power and to a wired network, if present. keep the monitor in an upright position when placing it onto the docking station. warning if the docking station is in a tilted position, use the carrying handle to push the monitor towards the back of the docking station while closing the locking lever. when using the monitor for transport directly after use on the docking station, insert the batteries before placing the monitor on the docking station. 8 devices for acquiring measurements 1 basic operation 1 open position 2 power on led 3 data connector 4 power connector 5 locked position devices for acquiring measurements all the patient monitors acquire patient measurements using the devices described in this section. you can also extend the measurement capabilities of your monitor with such devices. of these measurement devices, only the x2 has its own power on / standby switch, and can be powered from an external power supply or a rechargeable battery in addition to taking power from a host monitor ( refer to the intellivue x2 instructions for use for details ). all the rest take their power exclusively from the monitor, and switch on automatically when you turn on the monitor. a green power - on led indicates when they are drawing power from the monitor. a permanently illuminated, or flashing, red led indicates a problem with the unit that requires the attention of qualified service personnel. all symbols used on the front panels are explained in the installation and specifications chapter, beginning on page 403. warning when connecting devices for acquiring measurements, always position cables and tubing carefully to avoid en @topic:10


# # # issue - battery failure # # # impact - vital signs monitoring may be interrupted. # # # possible causes - aging battery - battery mishandling # # # recommendations - replace the battery. - train staff on proper battery handling procedures. - implement a regular battery maintenance program to prevent future failures. @topic:11


# # # issue the lcd monitor ( fs - p3102ds ) is experiencing intermittent display issues. # # # impact the display issues are causing the monitor to be unreliable for use in medical applications. # # # possible causes - loose or damaged display port cable - faulty graphics card - issue with the monitor's internal hardware # # # recommendations 1. * * inspect the display port cable : * * ensure that the cable is securely connected to both the monitor and the computer. if the cable is damaged, replace it. 2. * * update the graphics card drivers : * * outdated or corrupt graphics card drivers can cause display issues. update the drivers to the latest version. 3. * * contact the manufacturer : * * if the issue persists after following the above steps, contact the manufacturer of the monitor for further troubleshooting and possible repairs. @topic:2


to import that information into the monitor, and mapping the exported data to an ehr. e suresigns vs4 quickalerts configuration guide : provides instructions for planning and configuring the quickalerts feature on the suresigns vs4 monitor. includes information about defining the set of alert messages, creating a file to import that information into the monitor, and mapping the exported data to an ehr. overview suresigns vs4 service guide 2 performing routine maintenance recommended frequency perform the maintenance procedures at the recommended frequency shown in the following table. caution the frequency recommendations in the following table do not supersede local requirements. always perform locally required testing in addition to the testing in this chapter. maintenance procedure frequency routine safety and operational checks e visual inspection of exterior for damage before use. e inspection of labels for legibility before use. cleaning and disinfecting according to your institution ’ s policy or between each patient. for complete cleaning instructions, see the suresigns vs4 instructions for use. maintaining the battery e charging as needed. e reconditioning when the max error is 10 % or greater. routine safety and operational checks philips recommends that you regularly : e visually inspect the monitor exterior for damage. e — inspect the monitor labels for legibility. if the labels on the rear case are not legible, you must replace the rear case. if the serial number label is not legible, you must return the monitor for label replacement. for detailed information, see “ visual test ” on page 3 - 12. philips recommends that you perform certain test and verification checks at least once a year and after each repair. for complete information about performing verification testing and checks, see chapter 3, “ performance verification testing. ” cleaning and disinfecting the monitor to clean or disinfect your monitor, use only cleaning agents approved by philips. for complete cleaning instructions, @topic:10


assembly, siderail interface p. c. board 7 127865 1 label, blank 8 132546 1 battery compartment assembly 9 132094 1 power cord mount 10 70611 1 line filter 11 150139 1 pc. board assy, scale and ppm, 400 lb 150140 1 pc. board assy, ppm only, 400 lb 150141 1 p. c. board assy, scale only, 400 lb 12 130628 1 electrical enclosure 13 vi0395 4 screw 14 4476703 1 utv adapter, zenith 92 4476701 1 utv adapter, standard analog 15 129741 1 sidecom® communication system p. c. board 133260 1 assembly, sidecom® communication system p. c. board, non - utv 16 132934 5 circuit board support ( standoff ) 17 132628 1 p. c. board, motor control 18 3976301 5 standoff 19 132935 2 circuit board support ( standoff ) 20 132093 1 scale board mount 21 vi0608a 2 screw 22 7061002 2 fuse, 2. 5a, 5 x 20 mm 23 133251 2 fuse, 5a, 0. 25 " x 1. 25 " 24 137692 1 cable careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 69 control cables — c model beds chapter 5 : parts list control cables — c model beds figure 5 - 27. control cables — c model beds 184 page 5 - 70 careassist® and careassist® es bed service manual ( man330 rev 4 ) control cables — c model beds chapter 5 : parts list table 5 - 27. control cables — c model beds item number part number quantity description 1 1318 @topic:26


* * issue : * * monitor lcd is slipping and the metal plate is open. * * impact : * * the monitor may fall, causing injury to patients or staff. * * possible causes : * * 1. the metal plate may not have been properly secured during the repair. 2. the brackets or screws that hold the metal plate in place may be damaged or loose. 3. the monitor may be too heavy for the metal plate. 4. the monitor may have been bumped or dropped, causing the metal plate to loosen. * * recommendations : * * 1. inspect the metal plate to ensure that it is properly secured and not damaged. 2. check the brackets or screws that hold the metal plate in place to make sure that they are not damaged or loose. 3. verify that the monitor is not too heavy for the metal plate. 4. train staff to handle the monitor with care to avoid bumping or dropping it. 5. if the issue persists, contact a qualified biomedical engineer for further troubleshooting and repair. @topic:2


of infrared light passing the respiratory gas is measured with a photo detector. as some of the infrared light is absorbed by the c0 2 molecules, the amount of light passing the gas probe depends on the concentration of the measured c0 2. when using a wet ventilator circuit, monitor mainstream c0 2 if available, in preference to sidestream co 2. the partial pressure is calculated from the gas concentration by multiplying the concentration value with the ambient pressure. the measurement provides : • a c0 2 waveform. • an end tidal c0 2 ( etc0 2 ) value : the c0 2 value measured at the end of the expiration phase. • an inspired minimum c0 2 ( imc0 2 ) : the smallest value measured during inspiration. • an airway respiration rate ( awrr ) : the number of breaths per minute, calculated from the c0 2 waveform. 215 14 monitoring carbon dioxide measuring c0 2 using m3014a or x2 depending on the max hold setting configured for your monitor, the etc0 2 numeric shows either the highest c0 2 value measured within the configured time period ( max hold set to 10 sec or 20 sec ) or the etc0 2 numeric shows breath - to - breath value ( max hold set to off ). refer to your gas module instructions for use, if you are using a gas module to monitor c0 2. warning correlation : the etc0 2 readings do not always correlate closely with pac0 2, especially in neonatal patients and patients with pulmonary disease, pulmonary embolism or inappropriate ventilation. pharmaceuticals in aerosols : do not measure c0 2 in the presence of pharmaceuticals in aerosols. explosion hazard : do not use in the presence of flammable anesthetics or gases, such as a flammable anesthetic mixture with air, oxygen or ni @topic:17


* * possible causes : * * * insufficient knowledge or training of the technician performing the maintenance * improper use of tools or equipment during maintenance * oversights or misunderstandings during the maintenance process * failure to follow proper protocols or procedures * environmental factors ( e. g., temperature, humidity ) affecting the device @topic:12


* * issue : * * clip lock module breakage on philips intellivue mp40 ( m8003a ) patient transport monitor * * impact : * * the broken clip lock module prevents the monitor from being securely attached to the patient transport, posing a safety risk and hindering its functionality. * * possible causes : * * * excessive force applied to the clip lock module during use * repeated use over time, leading to wear and tear * manufacturing defect * * recommendations : * * * replace the broken clip lock module with a new one to ensure the monitor can be safely attached to the patient transport. * train staff on proper handling and use of the monitor to prevent future damage to the clip lock module. * consider implementing a regular maintenance schedule to identify and address any potential issues with the monitor, including the clip lock module. * explore possible design improvements to enhance the durability of the clip lock module and reduce the risk of breakage. * contact the manufacturer ( philips ) to report the failure and request assistance in preventing similar issues in the future. @topic:2


# # # issue - drawer cannot be opened # # # impact - equipment cannot be used properly # # # possible causes - incorrect location setting # # # recommendations - change location settings to correct values @topic:21


equip malfunc ( 129 ) offset of pressure sensor 2 is out of range. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 818 ( 130 ) nbp equip malfunc ( 130 ) response of pressure sensor 2 to test signal is out of range. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 818 ( 131 ) nbp equip malfunc ( 131 ) the difference between the two pressure channels is too large. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 818 ( 132 ) nbp equip malfunc ( 132 ) one of the two valves was activated for too long. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the nbp module. see “ removing the nbp module ” on page 5 - 36. troubleshooting suresigns vs4 service guide 4 - 15 error codes code description possible cause action 818 ( 133 ) nbp equip malfunc ( 133 ) crc mismatch in calibration data. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 81 @topic:22


# # # issue - plugged power cord leg broken # # # impact - bed, electric device cannot be used. # # # possible causes - the power cord was not properly secured, causing the leg to break. - the power cord was damaged due to wear and tear. - the power cord was pulled or snagged, causing the leg to break. # # # recommendations - inspect the power cord regularly for any damage or wear. - ensure that the power cord is properly secured to prevent it from being pulled or snagged. - if the power cord is damaged, replace it immediately. @topic:25


# # # issue - screw of blood pressure monitor was loose. # # # impact - the monitor may not be able to provide accurate vital signs readings. - this could lead to incorrect diagnosis or treatment decisions. # # # possible causes - the screw may have become loose due to : - vibration from the machine - improper installation - normal wear and tear # # # recommendations - tighten the screw securely. - inspect the monitor for any other loose screws or components. - regularly maintain and calibrate the monitor according to the manufacturer's recommendations. @topic:15


# # # issue * ecg printer is not working # # # impact * inability to print ecg reports * delays in patient diagnosis and treatment # # # possible causes * printer cable is disconnected * printer is not turned on * printer is out of paper * printer is jammed * printer driver is not installed or corrupted * ecg machine is not properly configured to communicate with the printer # # # recommendations * check if the printer cable is connected securely to both the ecg machine and the printer * turn on the printer and make sure it is online * check if the printer has paper and replace it if necessary * clear any paper jams in the printer * reinstall the printer driver and make sure it is the correct driver for the printer model * check the ecg machine configuration to ensure that it is set to communicate with the printer correctly * contact the manufacturer for further assistance if the problem cannot be resolved @topic:28


# # # issue vital signs monitor is not taking accurate readings. # # # impact patient's vital signs may not be accurately monitored, which could lead to delayed or incorrect treatment. # # # possible causes - cuff is torn or leaking. - cuff is not the correct size for the patient. - cuff is not properly inflated. - equipment is malfunctioning. # # # recommendations - inspect the cuff for tears or leaks. - replace the cuff if it is torn or leaking. - ensure that the cuff is the correct size for the patient. - check that the cuff is properly inflated. - if the equipment is still malfunctioning, contact the manufacturer for service. @topic:5


# # # issue - unable to access the med cart program # # # impact - delays in patient care - reduced efficiency of medical staff - potential safety hazards # # # possible causes - * * network connectivity : * * the medical cart is not properly connected to the hospital's wi - fi network. - * * software configuration : * * the med cart software may not be properly configured or installed. - * * hardware issue : * * there may be a hardware issue with the medical cart or its components. - * * user error : * * the user may not have the necessary credentials or training to access the program. - * * outdated software : * * the med cart software may be outdated and require an update. # # # recommendations * * network connectivity : * * - verify that the medical cart is within range of the wi - fi network and has a strong signal. - check if the wi - fi network is functioning properly. - reset the wi - fi connection on the medical cart. * * software configuration : * * - ensure that the med cart software is installed and configured according to the manufacturer's instructions. - verify that the software is up - to - date. - check if any security settings are blocking access to the program. * * hardware issue : * * - inspect the medical cart for any physical damage or loose connections. - check if the battery is sufficiently charged. - contact the manufacturer or a biomedical engineer for further troubleshooting. * * user error : * * - provide the user with the necessary credentials and training to access the program. - ensure that the user is familiar with the software's functionality. * * outdated software : * * - check for software updates from the manufacturer. - install the latest software version and verify that the issue is resolved. @topic:13


# # # issue - the bed alarms when plugged into the power outlet. # # # impact - the bed cannot be used safely. - patients and staff may be exposed to electrical hazards. # # # possible causes - the safety switch is not properly adjusted. - the brake shaft is not properly adjusted. - a loose or damaged electrical connection. - faulty electrical component. # # # recommendations - check the safety switch and brake shaft adjustments. - inspect the electrical connections for any loose or damaged wires. - test the electrical components using a multimeter. - replace any faulty components. - retest the bed to ensure that it is functioning properly. @topic:9


to the temperature cable. 3 plug the probe or temperature cable into the temperature connector socket. 4 apply the probe to the patient. you are advised to use a protective rubber cover on rectal probes. 5 select an appropriate temperature label. 6 check that the alarm settings ( on or off, high and low limits ) are appropriate for this patient and this type of temperature measurement. warning make sure you set alarm limits for the correct label. the alarm limits you set are stored for that particular label only. changing the label may change the alarm limits. 185 11 monitoring temperature calculating temp difference selecting a temperature for monitoring tell the monitor which temperature you want to monitor by selecting its temperature label. the label is a unique identifier for each type of temperature. when you choose a label, the monitor uses that label ’ s stored color and alarm settings. 1 in the setup < temp > menu, select label. 2 select the appropriate label from the list. temp non - specific temperature label. trect rectal temperature tart arterial temperature tskin skin temperature tcore core temperature tven venous temperature tesoph esophageal temperature tnaso nasopharyngeal temperature extended temperature label set the following additional labels are available if label set is set to full. this setting can only be changed in configuration mode. note that if your monitor is connected to an information center, the additional labels in the extended label set may not be correctly displayed. see the configuration guide for your monitor for more information. tl, t2, t3, t4 non - specific temperature labels tamb ambient temperature tcereb cerebral temperature ttymp tympanic temperature tvesic vesical temperature calculating temp difference the monitor can calculate and display the difference between two temperature values by subtracting the second value from the first. the difference is labeled atemp. 1 in the main @topic:17


registered trademark of acument intellectual properties, llc. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 15 4. 5 head section motor chapter 4 : removal, replacement, and adjustment procedures figure 4 - 6. power supply 8. for b model beds, do as follows : a. remove the two screws ( o ) from the retainers ( q ) ( see figure 4 - 7 on page 4 - 17 ). b. remove the retainers ( q ). c. remove the three screws ( r ) that attach the power supply cover ( s ) to the power supply ( t ). d. remove the power supply cover ( s ). note : the power supply cover is connected to the power supply rc. board by the battery cable. e. disconnect the battery cable from the power supply rc. board. f. remove the power supply cover ( s ) from the bed. page 4 - 16 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 5 head section motor chapter 4 : removal, replacement, and adjustment procedures figure 4 - 7. b model beds 9. on the power supply p. c. board, disconnect the head section motor connector ( number 3 ). 10. remove the cable cover on the central rail and remove the head section motor cable. 11. using the cpr control, lower the head section to the flat position. 12. disconnect the cpr cable ( f ) from the head motor actuator ann ( g ) ( see figure 4 - 8 on page 4 - 18 ). 13. count the number of threads ( e ) on the cpr cable ( f ) that extend past the cable mount ( h ) on the head motor ( i ). careassist® and careassist @topic:26


# # # issue - co2 waveform is not displayed on the monitor # # # impact - the correct value of the co2 waveform can't be displayed on the bedside monitor. - the waveform is necessary for medical staff to monitor and assess the patient's respiratory values. # # # possible causes - issues with the co2 sensor - issues with the co2 sampling line - issues with the co2 analyzer - issues with the electrical connection between the co2 sensor and the monitor # # # recommendations - check the co2 sensor for any damage or malfunction. - check the co2 sampling line for any kinks or leaks. - check the co2 analyzer for any error messages or malfunction. - check the electrical connection between the co2 sensor and the monitor for any loose or damaged wires. @topic:4


# # # issue - adaptor of the beds, electric, metron elite 2 section is faulty. # # # impact - the beds, electric, metron elite 2 section cannot be used as intended. # # # possible causes - the adaptor may have been damaged due to : - power surge - physical damage - wear and tear # # # recommendations - replace the faulty adaptor. - inspect the equipment to ensure that there are no other damages. - monitor the equipment regularly to prevent future failures. @topic:9


french, danish and chinese, order also the local language bezel as shown in the previous " list of parts " 196 smart battery charger part numbers m3015 - 6832a | 451261005331 m3016 - 6801a | 453563332581 m3016 - 6831a | 453563483901 6 parts exchange m3015a mms extension without pressure / temperature, english. ( new hardware, s / n prefix : de435xxxxx ) * for all languages apart from french, danish and chinese, order also the local language bezel as shown in the previous “ list of parts ” not shown exchange m3016a mms extension with co2, english. # a01 for all languages apart from french, danish and chinese, order also the local language bezel as shown in the previous " list of parts ". exchange m3016a mms extension without co2, english. # a02 for all languages apart from french, danish and chinese, order also the local language bezel as shown in the previous " list of parts " not shown * the new m3015 hardware offers an improved warm up time compared to the old hardware and the gas sample flow rate specification has been changed to 50 ml / min - 7, 5ml / min / 415 ml / min. also, the suppress auto zero feature and the capability to turn off the m3015a pump have been added. the new hardware is backwards compatible with all mp20 - 90 host monitors, but the new features will only be available in combination with a monitor with sw rev. b. 1 or higher. smart battery charger part numbers exchange assemblies m8043 - 68000 non - exchange assemblies 451261001281 451261001291 m8043 - 60010 m8043 - 6001 1 45356 @topic:19


* * issue : * * equipment failure due to being borrowed * * impact : * * - delayed patient care - reduced patient satisfaction - increased risk of patient harm * * possible causes : * * - equipment was not properly returned after being borrowed - equipment was damaged while being borrowed - equipment was not properly maintained after being borrowed * * recommendations : * * - establish clear policies and procedures for borrowing equipment - track equipment that is borrowed - ensure that equipment is properly maintained and inspected before and after being borrowed - provide training to staff on the proper use and care of equipment @topic:12


where the monitor cannot detect any respiration activity and the indication of the apnea alarm. 1 in the setup resp menu, select apnea time. 2 select the appropriate setting. resp safety information warning respiration detection level if you do not set the detection level for the respiration correctly in manual detection mode, it may not be possible for the monitor to detect apnea. if you set the detection level too low, the monitor is more likely to detect cardiac activity, and to falsely interpret cardiac activity as respiratory activity in the case of apnea. apnea the respiration measurement does not recognize obstructive and mixed apneas — it only indicates an alarm when a pre - adjusted time has elapsed since the last detected breath. the safety and effectiveness of the respiration measurement method in the detection of apnea, particularly the apnea of prematurity and apnea of infancy, has not been established. interference if operating under conditions according to the emc standard en 60601 - 1 - 2 ( radiated immunity 3v / m ), field strengths above lv / m may cause erroneous measurements at various frequencies. therefore it is recommended to avoid the use of electrically radiating equipment in close proximity to the respiration measurement unit. resp accessories to monitor respiration, use only the non - or ecg accessories listed in the resp section of the accessories chapter. you cannot measure respiration if you are using an orange or ecg cable set. this is because of the higher internal impedance of the or cable set, required for use if electro - surgery is being performed. 168 resp safety information 8 monitoring respiration rate ( resp ) rate adaptive pacemakers : implanted pacemakers which can adapt to the minute ventilation rate may occasionally react on the impedance measurement used by patient monitors for the determination of the resp value and execute pacing with the maximum programmed rate @topic:17


# # # issue - loose basket # # # impact - unable to use the device safely or effectively - patient safety risk # # # possible causes - basket not properly secured - stand damaged # # # recommendations - ensure that the basket is properly secured before use - inspect the stand for damage and repair or replace as necessary - train staff on the proper use and maintenance of the equipment @topic:24


# # # issue - the patient's bed cannot be adjusted using the remote control. # # # impact - the patient may be uncomfortable or unable to get in and out of bed. - the patient may be at risk of injury if they try to adjust the bed manually. # # # possible causes - the remote control may be damaged. - the cable connecting the remote control to the bed may be damaged. - the bed's control panel may be malfunctioning. # # # recommendations - inspect the remote control for any damage. - inspect the cable connecting the remote control to the bed for any damage. - test the bed's control panel to ensure that it is functioning properly. - if the remote control, cable, or control panel is damaged, replace it. @topic:7


# # # issue - battery failure in the philips suresigns vm6 vital signs monitor. # # # impact - the monitor may be unable to power on or may shut down unexpectedly. - this can lead to a loss of vital patient data and a potential delay in diagnosis and treatment. # # # possible causes - the battery is old and has reached the end of its useful life. - the battery has been damaged due to mishandling or environmental factors. - the battery charger is malfunctioning. # # # recommendations - replace the battery with a new one. - check the battery charger to ensure that it is functioning properly. - follow the manufacturer's instructions for battery maintenance and replacement. @topic:11


# # # issue - battery failure # # # impact - equipment not able to operate properly # # # possible causes - battery end of life - battery not properly installed # # # recommendations - replace battery - inspect and clean battery contacts - ensure battery is properly installed @topic:11


* * issue : * * damaged wheels on medical cart * * impact : * * - compromised mobility and maneuverability of the medical cart - potential safety hazard to patients and staff * * possible causes : * * - * * excessive use and wear : * * over time, the wheels can become worn down or damaged due to continuous use. - * * improper handling : * * rough handling or overloading of the medical cart can put stress on the wheels, leading to damage. - * * defective wheels : * * in rare cases, the wheels may be defective from the manufacturer, causing premature failure. * * recommendations : * * - * * regular inspection and maintenance : * * regularly inspect the wheels for any signs of damage or wear. - * * proper handling : * * use the medical cart as recommended and avoid overloading or mishandling. - * * use high - quality wheels : * * when replacing wheels, ensure they are durable and suitable for the intended use of the medical cart. - * * train staff on proper handling : * * educate staff on the correct way to use and handle medical carts to prevent wheel damage. - * * monitor wear and replace wheels promptly : * * monitor the condition of the wheels and replace any damaged or worn wheels promptly to prevent further issues. @topic:24


to 110 mmhg ( stepbp ) pulse rate range ( using blood pressure determination ) adult : 30 to 200 bpm ( stepbp, surebp ) pediatric : 30 to 200 bpm ( stepbp, surebpneonate : 35 to 220 bpm ( stepbp ) pulse rate accuracy ( using blood pressurdetermination ) + 5. 0 % ( ±3 bpm ) adult : 300 mmhg ±15 mmhg pediatric : 300 mmhg ±15 mmhg neonate : 150 mmhg maximum service manual suretemp plus temperature module specifications suretemp plus temperature module specifications temperature range 80 °f to 110 °f ( 26. 7 °c to 43. 3 °c ) alibration accurac±0. 2 °f ( ±0. 1 °c ) ( direct mode ) braun thermoscan pro 6000 specifications braun thermoscan pro 6000 thermometer specifications ( refer to braun thermoscan pro 6000's instructions for use for additional information ) temperature range 68 °f to 108 °f ( 20 °c to 42. 2 °c ) alibration accurac + 0. 4 °f ( ±0. 2 °c ) for temperatures ranging from 95 °f to 107. 6 °f ( 35. 0 °c to 42 °c ) + 0. 5 °f ( ±0. 25 °c ) for temperatures outside of this range isplay resolution. 1 °f or °c po2 specificatirefer to sensor manufacturer's directions for use for additional information. note functional testers cannot be used to assess the accuracy of a pulse oximeter monitor. while functional testers may be useful for verifying that the pulse oximeter sensor, cabling, and monitor are functional, they are incapable of providing the data required to properly evaluate the accuracy of a system's spo2 measurements. fully evaluating the accuracy of the spo2 measurements requires, at a minimum @topic:17


5 kpa value exceeds the set limit range. tcpc0 2 10 to 195 mmhg 1. 0 to 26 kpa 10 to 30 mmhg : 1 mmhg 1. 0 to 4. 0 kpa : 0. 1 kpa 32 to 100 mmhg : 2 mmhg 4. 2 to 13 kpa : 0. 2 kpa 105 to 195 mmhg : 5 mmhg 13. 5 to 26 kpa : 0. 5 kpa intravascular oxygen saturation sv02 performance specifications sv0 2 range 10 % to 100 % accuracy ±2 % ( i. e. ±2 units ), 1 standard deviation over 40 % to 100 % range. resolution i % stability ( system ) drift < 2 % over 24 hours response time ( 10 % to 90 % ) 5 seconds sv0 2 alarm specifications range adjustment delay sv0 2 10 % to 100 % 1 % max. 15 + 4 seconds after value goes beyond the low / high alarm limit settings eeg complies with iec 60601 - 2 - 26 : 1994 / en60601 - 2 - 26 : 1994. 446 measurement specifications 38 installation and specifications eeg performance specifications leakage current < = 10 pa @ 110 v ac input signal range 1 mv p p differential input impedance > 15 mfl @ 10 hz max. dc input offset voltage ±320 mv input protection against defibrillation ( 5 kv ) and electrosurgery common mode rejection > 105 db @ 5 kq imbalance and 60 hz noise < 0. 4 pvrms ( 1 to 30 hz ) electromagnetic susceptibility < 10 | lvp p @ 3 vim, 26 - 1000 mhz electrode impedance range 0 to 30 ko measurement accuracy ±1 ko bandwidth 0. 5 hz to 50 hz ( - 3 db ) low filter cut - off frequencies 0. 5, 1. 0, @topic:8


# # # issue - the bed alarm system is not functioning correctly. the alarm is not sounding when the bed is in a zero position. # # # impact - this issue could lead to patient injury or death. if the bed is not in a zero position, the patient could fall out of bed. # # # possible causes - the bed alarm system is not properly calibrated. - the bed alarm system is not connected properly. - the bed alarm system is damaged. # # # recommendations - calibrate the bed alarm system. - check the connections to the bed alarm system. - replace the bed alarm system if it is damaged. @topic:26


# # # issue - detached plastics beside the bed # # # impact - safety hazard for patients and healthcare providers - impaired bed functionality # # # possible causes - physical damage due to improper handling - wear and tear from prolonged use - manufacturing defects # # # recommendations - inspect the bed thoroughly for any other loose or damaged components. - replace the detached plastic component securely. - ensure proper training and handling techniques for the bed to prevent future damage. - consider regular maintenance and inspections to identify any potential issues early on. @topic:9


# # # issue - bed alarm is not connected to the bed. # # # impact - patient safety is compromised as they may not be able to call for assistance if needed. # # # possible causes - the bed alarm cable is not plugged in securely. - the bed alarm cable is damaged. - the bed alarm is not turned on. - the bed alarm is not working properly. # # # recommendations - inspect the bed alarm cable and ensure that it is plugged in securely. - if the bed alarm cable is damaged, replace it. - turn on the bed alarm and test it to ensure that it is working properly. - if the bed alarm is not working properly, contact the manufacturer for repair or replacement. @topic:26


# # # issue : - equipment reports spo2 sensor malfunction # # # impact : - unable to monitor patient's oxygen saturation levels accurately # # # possible causes : - incorrect input provided ( spo2 sensor instead of oxygen cable ) - spo2 sensor cable actually damaged - incorrect testing procedure or equipment # # # recommendations : - verify the reported issue and ensure that the input is accurate. - inspect the spo2 sensor cable for any visible damage or wear and tear. - if possible, test the sensor using an alternative method or device to confirm its functionality. @topic:4


* * issue : * * scanner not working * * impact : * * patient care may be delayed or compromised * * possible causes : * * * * * loose or disconnected battery : * * the battery may have become loose or disconnected during use, resulting in loss of power to the scanner. * * * depleted battery : * * the battery may have become depleted and is unable to provide sufficient power to the scanner. * * * faulty battery charger : * * the battery charger may be malfunctioning and unable to charge the battery properly. * * * defective scanner : * * the scanner itself may have a mechanical or electrical fault that prevents it from functioning properly. * * recommendations : * * * * * check battery connection : * * verify that the battery is properly connected and secure. * * * replace battery : * * replace the battery with a fully charged one. * * * test battery charger : * * ensure that the battery charger is functioning correctly using a known - good battery. * * * contact manufacturer : * * if the issue persists, contact the manufacturer of the scanner for further troubleshooting and repair. @topic:23


* * issue : * * unable to adjust bed * * impact : * * patient discomfort, potential for injury * * possible causes : * * - * * electrical : * * - loose ac cord connection in control box - faulty electrical connections within the bed - * * mechanical : * * - motor failure - gearbox malfunction - * * electronic : * * - control board failure - sensor malfunctions * * recommendations : * * - * * electrical : * * - inspect ac cord connections and ensure they are secure. - check for any loose or burnt wires within the bed. - * * mechanical : * * - listen for any unusual noises coming from the motor or gearbox. - inspect the gearbox for any signs of wear or damage. - * * electronic : * * - perform diagnostics on the control board to identify any faults. - check sensor connections and ensure they are properly seated. - * * additional : * * - reset the bed by disconnecting it from power for a few minutes. - consult the manufacturer's technical documentation for further troubleshooting steps. @topic:1


# # # issue - blood pressure ( bp ) cuff is torn or damaged. # # # impact - patient's blood pressure cannot be accurately measured. - delays in diagnosis and treatment. - patient discomfort during bp measurement. # # # possible causes - normal wear and tear. - improper handling of the cuff. - cuff not being properly stored. - cuff not being properly attached to the monitor. - physical damage to the cuff, such as punctures or cuts. # # # recommendations - regularly inspect the bp cuff for signs of damage. - handle the cuff with care, avoiding excessive stretching or folding. - store the cuff in a cool, dry place. - ensure that the cuff is properly attached to the monitor before use. - if the cuff is damaged, it should be replaced immediately. @topic:3


# # # issue the physiological monitor is not linking to the central system. # # # impact the monitor cannot transmit patient data to the central system, which can delay diagnosis and treatment. # # # possible causes * * * network connectivity issues * * the monitor may not be connected to the network or the network may be experiencing problems. * * * software issues * * the monitor's software may be outdated or corrupted. * * * hardware issues * * the monitor's hardware may be damaged. # # # recommendations * * * check the network connection. * * ensure that the monitor is connected to the network and that the network is functioning properly. * * * update the monitor's software. * * check the manufacturer's website for the latest software updates and install them on the monitor. * * * contact the manufacturer. * * if the problem persists, contact the manufacturer for technical support. @topic:16


# # # issue cuff velcro is damaged. # # # impact the cuff may not be able to securely fasten around the patient's limb, which could lead to inaccurate blood pressure readings. # # # possible causes - the cuff may have been damaged during use. - the cuff may have been exposed to excessive wear and tear. - the cuff may have been improperly stored. # # # recommendations - replace the cuff. - inspect the cuff regularly for damage. - store the cuff in a clean, dry place. @topic:3


# # # issue : physiologic monitor not turning on # # # impact : inability to monitor patient's vital signs # # # possible causes : - faulty power supply board - loose or damaged power cord - internal electrical short circuit - software malfunction # # # recommendations : 1. check the power cord and make sure it is securely connected to both the monitor and the power outlet. 2. inspect the power supply board for any visible damage or burnt components. 3. if the power supply board is confirmed to be faulty, replace it with a new one. 4. if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:2


# # # issue - vital signs monitor is not powering on. # # # impact - clinicians are unable to monitor patient's vital signs, which can delay diagnosis and treatment. # # # possible causes - faulty power cord or outlet - internal power supply failure - damaged electrical components # # # recommendations 1. verify that the power cord is securely plugged into a working outlet. 2. inspect the power cord for any damage or loose connections. 3. contact the manufacturer or a qualified biomedical engineer to troubleshoot the internal power supply or electrical components. 4. replace the power cord or outlet if necessary. 5. calibrate the monitor according to the manufacturer's instructions. @topic:2


# # # issue - equipment : bed, electric - band : universal quality - model : uq2000b - issue : - cannot adjust up or down - remote not working # # # impact - patient discomfort - difficulty in patient care - delays in treatment # # # possible causes * * 1. electrical issues * * - faulty wiring - damaged motor - blown fuse * * 2. mechanical issues * * - broken gear or chain - obstructed wheels or casters - worn - out bearings * * 3. remote issues * * - battery failure - damaged circuit board - poor connection between the remote and the bed # # # recommendations * * 1. electrical issues * * - check wiring and connections - test motor and replace if necessary - check and replace fuse * * 2. mechanical issues * * - inspect and repair gear or chain - remove obstructions from wheels or casters - lubricate bearings * * 3. remote issues * * - replace batteries - inspect and repair circuit board - ensure proper connection between the remote and the bed @topic:7


# # # issue - cuff bp leakage # # # impact - inaccurate blood pressure measurements - delays in patient care - increased risk of patient harm # # # possible causes - cuff damage ( e. g., punctures, tears ) - cuff misalignment - improper cuff size - loose cuff connections - equipment malfunction # # # recommendations - inspect the cuff for any damage or misalignment. - ensure the cuff is the correct size for the patient. - tighten any loose cuff connections. - test the equipment to ensure proper functioning. - replace the cuff if necessary. - train staff on proper cuff application and maintenance. - establish a regular maintenance schedule for the equipment. @topic:3


# # # issue - loss of cuff bp connector. # # # impact - inability to measure blood pressure. - loss of patient monitoring data. - potential harm to the patient if blood pressure is not monitored properly. # # # possible causes - the cuff bp connector was not properly secured. - the cuff bp connector was damaged. - the cuff bp connector was stolen. # # # recommendations - inspect the cuff bp connector for damage and ensure that it is properly secured. - replace the cuff bp connector if it is damaged. - secure the cuff bp connector to the monitor, patient transport to prevent theft. - train staff on the proper use and care of the cuff bp connector. @topic:5


# # # issue - bedside rail is not locking # # # impact - patient safety hazard - patient could fall out of bed # # # possible causes - broken or loose lock mechanism - bent or damaged rails - misaligned or obstructed locking mechanism # # # recommendations - inspect the lock mechanism for damage or wear - check the rails for alignment and damage - ensure the locking mechanism is unobstructed - replace any damaged or worn components - realign the rails and locking mechanism if necessary - test the locking mechanism to ensure it is functioning properly - document the repair and test results @topic:6


* * issue : * * equipment failure * * impact : * * loss of use of the equipment, which could delay patient care or compromise patient safety. * * possible causes : * * * the bed may have been overloaded, causing the lock to fail. * the bed may have been bumped or jostled, causing the lock to disengage. * the lock may have been faulty or defective. * the bed may not have been properly assembled, causing the lock to not engage properly. * * recommendations : * * * inspect the equipment for any damage or defects. * check the bed's weight capacity and ensure that it is not being overloaded. * secure the bed in a stable position to prevent it from being bumped or jostled. * check the lock mechanism to ensure that it is functioning properly. * if the lock is faulty or defective, replace it immediately. * if the bed was not properly assembled, reassemble it according to the manufacturer's instructions. @topic:6


# # # issue - * * the bed's wooden side rail lock has come loose. * * # # # impact - * * the bed is unsafe to use without a functional side rail lock. * * - * * the patient could fall out of the bed and be injured. * * # # # possible causes - * * the lock was not properly tightened during assembly. * * - * * the lock has become loose over time due to wear and tear. * * - * * the lock has been damaged. * * # # # recommendations - * * tighten the lock. * * - * * inspect the lock for damage. * * - * * replace the lock if it is damaged. * * - * * regularly inspect the bed for any loose or damaged components. * * @topic:6


# # # issue - the bed makes a noise when it is adjusted. # # # impact - the noise may be disruptive to patients and staff. - the noise may be a sign of a more serious problem with the bed. # # # possible causes - lack of lubrication - worn or damaged parts - loose connections # # # recommendations - lubricate the bed according to the manufacturer's instructions. - inspect the bed for any worn or damaged parts. - tighten any loose connections. # # # additional notes - if the problem persists, contact the manufacturer for further assistance. @topic:9


# # # issue the philips suresigns vs4 vital signs monitor is displaying inaccurate temperature readings. # # # impact this issue could lead to incorrect patient diagnosis and treatment. # # # possible causes - faulty temperature probe - connection issue between the probe and the monitor - software error - incorrect calibration # # # recommendations - replace the temperature probe - check the connection between the probe and the monitor - update the monitor's software - calibrate the monitor according to the manufacturer's instructions @topic:20


##an event has occurred and the event. notification is configured to alarm. check othe monitor for more details on event group. ( on monitor ) event group name flashes, yellow or red alarm lamand alarm tone event surveillance * even * * evenat information center * event : < event group > event surveillance event group name flashes, yred alarm lamp and alarm tone an event has occurred and the event notification is configured to alarm. * * event : < event group > * * * event : < evenroup > 76 76 4 patient alarms and inops alarm message condition indication from * * extreme bradnumeric flashes and alarm limit is ighlighted, red alarm lamp, alarm ecg heart rate the extreme brady alarm limit. tone * * extreme tachnumeric flashes and alarm limit is ighlighted, red alarm lamp, alarm ecg tone hr higeart rate the high hr aecg numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone. if configured to short yellow, the sound switches off after 5 seconds if arrhythmia is switched * hr higon. hr lonumeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone. if configured to short yellow, the sound switches off after 5 seconds if arrhythmia is switched heart rate the low hr alarm limit ecg * hr lon * ipi lonumeric flashes, and low limit ihighlighted, yellow alarm lamp, alarm tone the ipi value has fallen below the low alarm limit. co2 numeric flashes, yellow alarm lampshort yellow audible alarm numeric flashes and high limit is high - lighted, yellow alarm lamp, larm tone irregular hr ecg / arrhythmia consistently irregular rhythm ( irregular r - r intervals ). the temperature value has exceeded the high alarm limit. * * < itemp label > high item @topic:8


# # issue - signals are intermittent. # # impact - inaccurate or unreliable patient data. - delays in patient diagnosis and treatment. - potential harm to patients. # # possible causes - loose connector on the back of the monitor. # # recommendations - ensure that all connectors are securely tightened. - inspect the monitor for any other loose connections or damage. - if the problem persists, contact the manufacturer or a qualified technician. @topic:2


# # # issue - the electric bed is not adjusting. # # # impact - this can prevent the patient from being positioned properly for treatment or care. - it can also make it difficult for the patient to get in and out of bed. # # # possible causes - power supply issue - loose connections - faulty motor - damaged control panel - software issue # # # recommendations - check the power supply to the bed. make sure that the bed is plugged in and that the power cord is not damaged. - check the connections between the bed and the control panel. make sure that the connections are tight and that there is no corrosion. - inspect the motor for any signs of damage. if the motor is damaged, it will need to be replaced. - check the control panel for any signs of damage. if the control panel is damaged, it will need to be replaced. - update the software on the bed. @topic:1


# # # issue - broken fiber optic cable in capnograph device # # # impact - inability to accurately measure and monitor patient's respiratory parameters # # # possible causes - * * defective cable : * * manufacturing defects or mishandling during installation or maintenance can lead to cable damage. - * * excessive bending or stress : * * repeated bending or stretching of the cable can weaken its internal structure and cause breakage. - * * improper connection : * * loose or improperly connected fiber optic cables can introduce signal loss, leading to cable damage and failure. - * * age and degradation : * * over time, fiber optic cables can deteriorate due to aging or environmental factors, making them more susceptible to breakage. # # # recommendations - * * regular inspection and maintenance : * * conduct periodic inspections of fiber optic cables to identify and repair any damage or looseness. - * * careful handling : * * handle and store fiber optic cables with care, avoiding excessive bending or stretching. - * * proper installation : * * ensure proper connection and alignment of fiber optic cables to minimize signal loss and damage. - * * use of protective covers : * * consider using protective covers or conduit to shield fiber optic cables from external damage. - * * replacement with high - quality cables : * * replace damaged cables with high - quality fiber optic cables that meet manufacturer specifications to ensure reliability. @topic:20


) use the export key to remotely start the 12 - lead export functionality of the intellivue information center. information center remote lock / unlock ( piic ix only ) use the lock key to remotely lock the 12 - lead capture at the intellivue information center. if it is already locked, the unlock key will be displayed. capture 12 - lead pop - up keys here is a summary of all the pop - up keys available during the 12 - lead ecg procedure : pop - up keys admit patient selecting this pop - up key lets you age and gender for the patient, to allow analysis of the 12 - lead enter switch between the single column and two - column display of the realtime capture washow waves capture the current ecg open the preview window. choose settings for filter, gain, display layout, etc. enter an order number that is stored with the capture and displayed in thitle bar of the pop - up keys. enter orderno. rint a 12 - lead reportprint report 148 6 ecg, arrhythmia, st and qt monitoring selecting this pop - up key lets you pop - up keys store the captured 12 - lead ecg in the monitor and send it to the information center. tore & senview a list of 12 - lead captures available at the monitor or at the intellivue information center, and select one for review. review 12 lead show analysis export download analysis results from the intellivue information center remotely export 12 - lead ecg data from the intellivue information center to an ecg management system ( see the information center instructions for use for details ). remotely lock / unlock the 12 - lead capture at the intellivue informatiocenter. lock / unlock you can make settings that will be stored and used in future as default settings for each 12 - lead ecg select the hr numeric @topic:8


of water ( 1 : 256 ) applied tuffie5 cleaning wipes viraguard wipes not approved for use on the display dilution rate of 1 / 2 oz per gallon of water ( 1 : 256 ) applied o a clean cloth virex ii ( 256 ) (. 5 % - 1 % sodium hypochlorite ) applied to a clean cloth remove liquid spills from the monitor liquids can damage electronics inside the monitor. follow these steps if liquids spill on the monitor. power down the monitor. 1. disconnect the power cord from the mains outlet and the power source. 2. remove battery pack from the monitor. 3. 4. 5. reinstall battery pack. reconnect the power cord. 6. 7. power on the monitor and verify that the monitor functions normally before using it. if liquids possibly entered the monitor, remove the monitor from use until it has been properly dried, inspected, and tested by qualified service personnel. lean the equipmenthe screen lock blocks the display of patient information and prevents any input, which may be useful when cleaning the display. follow the cleaning agent manufacturer's instructions to prepare solution, if applicable, and clean all exposed surfaces of the monitor, apm work surface, accessory bin ( s ) and basket, cords and cables, and stand. wipe all surfaces until no visible soil remains. change the wipe or cloth throughout the cleaning procedure as needed. 100 cleaning requirements welch [UNK] connex® spot monitor warning electric shock hazard. do not open the monitor or attempt repairs. the monitor has no user - serviceable internal parts. only perform routine cleaning and maintenance procedures specifically described in this manual. inspection and servicing of internal parts shall only be performed by qualified service personnel. caution sterlizing the monitor could damage the device. disconnect the ac power cord from the mains outlet. 1. p of the monito @topic:10


# # # issue - continuous sounding of alarms # # # impact - falsely elevated panic levels among users - unable to correctly track patient parameters - impaired patient care # # # possible causes - incorrect alarm settings - faulty sensor - internal hardware malfunction # # # recommendations 1. check whether alarm settings are appropriate and within acceptable limits for the patient. 2. inspect and test the sensor to ensure it is properly seated and functioning optimally. 3. if the issue persists, suspect an internal hardware malfunction and consider further investigation by a qualified biomedical engineer. @topic:26


* * issue : * * the electric bed ( hill - rom 405, p1140b ) cannot be adjusted. * * impact : * * * patients may not be able to position themselves comfortably in the bed. * healthcare staff may have difficulty carrying out patient care activities that require the bed to be adjusted. * * possible causes : * * * * * malfunctioning control box : * * the control box is responsible for receiving commands from the user and controlling the movement of the bed. a damaged or malfunctioning control box could prevent the bed from responding to adjustment commands. * * * defective relays : * * relays are electromechanical switches that control the flow of current to the bed's motors. faulty relays could interrupt the current flow, preventing the motors from operating. * * * electrical connection issues : * * loose or damaged electrical connections can disrupt communication между control box and the motors, leading to failure of the bed to adjust. * * * mechanical issues : * * mechanical components of the bed, such as gears or cables, may become worn or damaged, preventing the bed from moving smoothly or adjusting properly. * * recommendations : * * * * * inspect the control box : * * examine the control box for any visible signs of damage, such as loose connections or burnt components. * * * test the relays : * * using a multimeter or other diagnostic tool, test the relays to ensure they are functioning properly. * * * check electrical connections : * * inspect all electrical connections between the control box, motors, and other components for tightness and integrity. * * * inspect mechanical components : * * examine the mechanical components of the bed, such as gears, cables, and pulleys, for wear or damage. * * * consult the manufacturer : * * if the issue cannot be resolved through the above steps @topic:1


# # # issue - alarm remote is constantly activated at 2e. # # # impact - the constant activation of the alarm remote can be disruptive to the patient and healthcare staff. it can also lead to unnecessary interventions and increased anxiety. # # # possible causes - faulty alarm remote - loose or damaged wiring - issues with the bed control unit - software glitch # # # recommendations - replace the alarm remote - inspect and tighten wiring - check the bed control unit for any issues - update the software @topic:26


# # # issue - failure due to damaged ekg cable connector # # # impact - interruption of patient monitoring - inaccurate or missing vital sign data - potential patient safety risks # # # possible causes - physical damage to the connector due to mishandling, improper storage, or excessive wear and tear - corrosion or oxidation due to exposure to moisture or cleaning agents - manufacturing defect # # # recommendations - inspect ekg cables regularly for signs of damage, especially at the connectors - handle and store cables carefully to avoid physical damage - use appropriate cleaning methods and avoid exposing cables to harsh chemicals - replace damaged connectors or cables promptly - train staff on proper handling and maintenance of biomedical equipment @topic:18


# # # issue * spo2 sensor is losing signal during use. # # # impact * inaccurate or unreliable spo2 readings. * inability to monitor patient's oxygen saturation levels. # # # possible causes 1. * * defective spo2 sensor : * * this is the most likely cause, as determined by the technician after testing with a different sensor. 2. * * faulty cable or extension : * * the cable or extension connecting the sensor to the monitor could be damaged or loose, causing intermittent signal loss. 3. * * software or hardware issue with the monitor : * * a problem with the monitor's software or hardware could also cause signal loss from the sensor. # # # recommendations 1. * * replace the faulty spo2 sensor : * * the technician has already requested a spare part from the supplier, which is the recommended solution to ensure reliable signal transmission. 2. * * inspect and test the cable and extension : * * if the issue persists after replacing the sensor, check the cable and extension for any damage or loose connections. replace if necessary. 3. * * contact the equipment manufacturer for technical support : * * if the issue cannot be resolved by replacing the sensor or inspecting the cable, contact the equipment manufacturer for technical support. they may be able to provide troubleshooting assistance or repair the monitor. @topic:4


# # # issue - the bed's headrest cannot be adjusted. # # # impact - the patient may be uncomfortable or unable to use the bed properly. - the hospital staff may be unable to position the patient properly for medical procedures. # # # possible causes - the control box is damaged. - the cables connecting the control box to the bed are damaged. - the motor that adjusts the headrest is damaged. - the software that controls the bed is not working properly. # # # recommendations - replace the control box. - replace the damaged cables. - replace the motor. - update the software. - calibrate the bed. @topic:1


# # # issue - battery display shows - 1. # # # impact - staff cannot monitor the battery level of the medical cart. - the medical cart may suddenly run out of battery during use, which can lead to disruption of patient care. # # # possible causes - faulty battery. - faulty charging port. - faulty charging cable. - software issue. # # # recommendations - replace the battery. - clean the charging port. - replace the charging cable. - restart the system. - contact the manufacturer for further troubleshooting. @topic:13


# # # issue - bed, electric not adjusting # # # impact - patient discomfort - delays in patient care # # # possible causes - relay not working - loose remote control plug - mechanical failure # # # recommendations - replace relay - tighten remote control plug - contact manufacturer for further troubleshooting @topic:1


or select ecg as the alarms source. ao inops press see < pressure label > inops ( under pressure ). art inops press see < pressure label > inops ( under pressure ). awf change scale spirometry airway flow signal exceeds range of selected scale. adjust scale to display complete wave. awp change scale spirometry airway pressure signal exceeds range of selected scale. adjust scale to display complete wave awv change scale spirometry airway volume signal exceeds range of selected scale. adjust scale to display complete wave. bad serverlink inop tone monitor 1 ) an mms with an incompatible software revision is connected to the monitor. this combination does not allow monitoring, or 2 ) you cannot use this combination of monitor, mms and cable. switch off the monitor and contact your service personnel. bap inops press see < pressure label > inops ( under pressure ). batt empty inop tone, battery led flashes during this inop, alarms cannot be paused or switched off. battery the estimated remaining battery - powered operating time is less than 10 minutes. replace the battery immediately. if the condition persists and the monitor is not connected to mains power, this inop is re - issued two minutes after you acknowledge it. batt incompat inop tone battery the battery cannot be used with this monitor. replace with the correct battery ( m4607a ). batt low inop tone battery the estimated battery - powered operating time remaining is less than 20 minutes. batt malfunction inop tone, battery led flashes during this inop, alarms cannot be paused or switched off unless the monitor is connected to mains power. battery the monitor cannot determine the battery status. if this inop persists, replace the faulty battery. if the condition persists and the monitor is not connected to mains power, this inop @topic:22


revision fo ) mms whole unit exchange part numbers note the mms always ships with the latest software revision. in order to make it compatible with the respective monitor the mms may need to be upgraded or downgraded. from support tool version 228 6 parts ) e. 03. 01 onwards the mms can be up - or downgraded with every support tool license key ( except general ). part number 12nc description non rohs, hw rev : c ; sn prefix : de610 / de632 / de717 / de907 option : aol m3001 - 68105 451261013041 ms x1 51d w / o p / t - eng - hw c nrohs m3001 - 68205 451261013061 ms _ x1 51d w p / t - eng - hw c nrohs m3001 - 68305 453564146221 ms x1 121d wo p / t - eng - hw c nrohs m3001 - 68405 451261013081 ms x1 121d w p / t - eng - hw c nrohs m3001 - 68505 451261013101 ms x1 51d w / o p / t - sym - hw c nrohs m3001 - 68605 451261013121 ms x1 51d w p / t - sym - hw c nrohs m3001 - 68705 453564146241 ms x1 121d w / o p / t - sym - hw c nrohs m3001 - 68805 451261013141 ms x1 121d w p / t - sym - hw c nrohs option @topic:19


# # # issue - cuff bp is damaged. # # # impact - the patient's blood pressure cannot be measured accurately. # # # possible causes - the cuff may have been damaged by being over - inflated or under - inflated. - the cuff may have been damaged by being exposed to moisture or heat. - the cuff may have been damaged by being dropped or knocked over. # # # recommendations - replace the cuff with a new one. - inspect the cuff for any damage before using it. - store the cuff in a cool, dry place. - handle the cuff with care. @topic:3


shutting down the error detection mechanism | monitor ” on page 5 - 2 ) and restart the detected an error. monitor. if the problem persists, replace the front end assembly and the temperature module. see “ removing the front end assembly ” on page 5 - 24 and “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. 866 ( 79 ) | temp module malfunc ( 79 ) the module ’ s non - volatile | shut down ( see “ shutting down the error log memory error monitor ” on page 5 - 2 ) and restart the detection mechanism monitor. detected an error. if the problem persists, replace the front end assembly and the temperature module. see “ removing the front end assembly ” on page 5 - 24 and “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. troubleshooting 4 - 20 suresigns vs4 service guide error codes code description possible cause action 866 ( 80 ) | temp probe error ( 80 ) software is trying to turn shut down ( see “ shutting down the off the probe heater, but monitor ” on page 5 - 2 ) and restart the the heater feedback monitor. signals that it is still on. if the problem persists, replace the temperature probe. if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. 866 ( 81 ) | temp probe error ( 81 ) software is trying to turn shut down ( see “ shutting down the on the probe heater, but monitor ” on page 5 - 2 ) and restart the the heater feedback signal | monitor. says it is still off. if the problem persists, replace the temperature probe. if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover @topic:20


# # # issue - cuff deterioration # # # impact - inability to accurately measure blood pressure # # # possible causes - cuff age and usage - improper storage or handling - leakage or other damage # # # recommendations - replace the cuff as needed - inspect the cuff regularly for signs of wear or damage - store the cuff properly when not in use - train staff on proper handling and storage of the cuff @topic:3


# # # issue : the hospital bed ( bed, electric ) is not adjusting properly. # # # impact : * patients may not be able to be positioned comfortably or safely. * healthcare staff may have difficulty performing procedures or providing care. * the hospital may lose revenue if patients are not able to be accommodated due to a non - functioning bed. # # # possible causes : * * * electrical malfunction : * * there may be a problem with the bed's electrical system, such as a loose connection or faulty wiring. * * * mechanical failure : * * the bed's mechanical components, such as the motors or gears, may be damaged or worn out. * * * control panel malfunction : * * the bed's control panel may not be functioning properly, preventing the user from adjusting the bed's position. * * * software glitch : * * the bed's software may have a glitch that is preventing it from adjusting properly. * * * user error : * * the bed may not be adjusting properly due to user error, such as overloading the bed or using it incorrectly. # # # recommendations : * * * troubleshooting : * * the technician should troubleshoot the bed to identify the cause of the failure. this may involve checking the electrical connections, examining the mechanical components, and testing the control panel. * * * repairs : * * once the cause of the failure has been identified, the technician should repair the bed accordingly. this may involve replacing faulty parts, repairing damaged components, or reprogramming the software. * * * maintenance : * * regular maintenance should be performed on the bed to prevent future failures. this may involve cleaning and lubricating the mechanical components, checking the electrical connections, and updating the software. * * * training : * * healthcare staff should be trained on how to use the bed @topic:9


# # # issue * * bed rail detached * * # # # impact * patient safety hazard * inconvenience to patient and staff # # # possible causes * * * patient misuse * * ( e. g., excessive force applied to bed rail ) * * * manufacturing defect * * * * * wear and tear * * # # # recommendations * * * educate patients and staff on proper use of bed rails * * * * * inspect bed rails regularly for damage * * * * * replace bed rails if damaged * * * * * consider using alternative bed safety devices, such as bed alarms or restraints * * @topic:6


# # # issue - lcd monitor is lowered # # # impact - the lowered monitor may obstruct the view of the medical staff, making it difficult to monitor the patient's condition. - the lowered monitor may be at risk of being damaged if it is bumped or knocked over. # # # possible causes - loose screws or bolts holding the monitor in place - damage to the monitor arm or mount - faulty electrical connection # # # recommendations - inspect the monitor and its mount for any loose screws or bolts and tighten them accordingly. - check the monitor arm or mount for any damage or wear and replace it if necessary. - ensure that the electrical connection to the monitor is secure and not damaged. @topic:2


# # # issue - spo2 probe cable is malfunctioning, causing the sensor to fail to detect oxygen saturation levels. # # # impact - inaccurate oxygen saturation readings can lead to delayed diagnosis and treatment, potentially compromising patient safety. # # # possible causes - damaged or worn - out spo2 probe cable - loose or improper connection between the probe and the monitor - electrical interference or electromagnetic noise - patient movement or motion artifacts - sensor probe malfunction # # # recommendations - replace the faulty spo2 probe cable with a new one. - ensure proper connection and secure the cable to prevent movement. - check for any sources of electrical interference or electromagnetic noise and eliminate them if possible. - minimize patient movement during the spo2 measurement. - inspect the sensor probe for any signs of damage or malfunction. - calibrate the monitor and spo2 sensor regularly to ensure accuracy. @topic:4