. combining patient surveillance and data management, it allows multi - measurement monitoring by linking separate modules with “ plug - and - play ” convenience. 1 1 basic operation introducing the intellivue family your monitor stores data in trend, event, and calculation databases. you can see tabular trends ( vital signs ) and document them on a local or remote printer. you can view measurement trend graphs, with up to three measurements combined in each graph, to help you identify changes in the patient ’ s physiological condition. you can view fast - changing measurement trends with beat to beat resolution and see up to four high resolution trend segments. event surveillance enhances documentation and review of physiologically significant events by automatically detecting and storing up to 50 user - defined clinical events over a 24 hour period. the intellivue x2 or mp5 can be connected to an intellivue mp20 to mp90 patient monitor, where it acts as a multi - measurement module, acquiring measurements for the host monitor. when connected to a host monitor, the host controls the connected device. you can recognize when an x2 or mp5 is connected to a host monitor by the following indication on the screen : companion mode no alarm display the x2 and mp5 can operate as fully independent, battery powered patient monitors. when the x2 or mp5 is disconnected from the the original host monitor, it continues to monitor the patient as a stand¬ alone monitor running on battery power, eliminating the need for a separate transport monitor. on connection to a new host monitor, the x2 or mp5 resumes its role as multi - measurement module, ensuring fully continuous monitoring. there is a choice of monitor configurations, as explained below. all models can also use computer devices such as a mouse, a trackball and a keyboard. intellivue mp20 / mp30 the intellivue mp20 / mp30 ( m80 @topic:8


# # # issue - battery not charging # # # impact - patient monitoring may be disrupted. # # # possible causes 1. defective battery 2. faulty charging cable 3. software issue with the monitor 4. problem with the power supply # # # recommendations 1. troubleshooting the power supply and charging cable : - verify that the power supply is functioning properly by testing it with another device. - check the charging cable for any visible damage or loose connections. 2. checking the battery : - ensure that the battery is fully inserted into the monitor. - if possible, try using a different battery to determine if the current one is defective. 3. restarting the monitor : - power off and unplug the monitor, then wait for a few minutes before restarting it. 4. contacting the equipment manufacturer : - if the problem persists after troubleshooting, contact the manufacturer of the monitor for further assistance or to schedule a repair. @topic:11


# # # issue - bed is not adjustable # # # cause of failure - latch locked - malfunctioning lights # # # impact - patient discomfort - inability to perform necessary medical procedures # # # possible causes - electrical malfunction - mechanical failure - user error # # # recommendations - check electrical connections - inspect and lubricate mechanical components - train users on proper operation procedures @topic:9


# # # issue cuff of monitor is broken # # # impact monitor cannot measure patient's vital signs accurately. # # # possible causes - cuff is old and worn out. - cuff is not properly inflated. - cuff is not the correct size for the patient. # # # recommendations replace the cuff with a new one. ensure that the cuff is properly inflated. use the correct size cuff for the patient. @topic:5


repeated once a second. • two - star yellow alarms and yellow inops : a lower pitched sound is repeated every two seconds. • one - star yellow alarms ( short yellow alarms ) : the audible indicator is the same as for yellow • standard inops : an inop tone is repeated every two seconds. iso / iec standard audible alarms red alarms and red inops : a high pitched tone is repeated five times, followed by a configurable • two - star yellow alarms and yellow inops : a lower pitched tone is repeated three times, followey a configurable pause. • one - star yellow alarms ( short yellow alarms ) : the audible indicator is the same as for yellow standard inops : a lower pitched tone is repeated twice, followed by a pause. • the alarm volume symbol at the top right of the monitor screen gives you an indication of the • to change the volume, select the volume symbol and then select the required volume from the 62 3 alarms if you want to see a numerical indication of the current alarm volume on a scale from zero to 10, or change the setting, select the alarm volume smartkey. the volume scale pops up. the current setting is indented. to change the setting, select the required number on the scale. any settings that are inactive ( " grayed out " ) have been disabled in the monitor's configuration mode. when the alarm volume is set to zero ( off ), the alarm volume symbol reflects this. if you switch the alarm volume off, you will not get any audible indication of alarm conditions. there is no alarm volume indication on the screen of an x2 when connected to a host monitor ( companion mode is indicated ). minimum volume for no central monitoring inop if your monitor is connected to an information center, and the connection is interrupted, the inop message no central monit. will appear within 30 seconds, accompanied @topic:8


# # # issue - warning message " alarm " appears on the capnostream 35 bedside monitor. # # # impact - medical staff may not be alerted to changes or events in a patient's state. # # # possible causes - the capnostream 35 monitor was displaying the incorrect date, which caused the alarm to be triggered. # # # recommendations - biomedical engineers ( bmes ) should ensure that the date and time settings on the capnostream 35 monitor are correct. @topic:22


# # # issue - the bed rail is not present. # # # impact - the patient may fall out of bed. - the patient may be injured. # # # possible causes - the bed rail was never installed. - the bed rail was removed and not replaced. - the bed rail was broken. # # # recommendations - inspect the bed to ensure that the bed rail is present and securely attached. - if the bed rail is missing or broken, replace it immediately. - educate the patient and staff on the importance of keeping the bed rail in place. @topic:6


# # # issue - the philips suresigns vsi monitor experienced a failure due to a degraded battery. # # # impact - the monitor could not provide accurate vital signs readings, potentially leading to delayed or incorrect treatment decisions. - interruption of patient care due to the unavailability of a functional monitor. - increased workload for healthcare professionals due to the need to manually monitor vital signs or use backup equipment. # # # possible causes - battery degradation over time due to repeated charging and discharging cycles. - improper storage or handling of the battery, leading to reduced capacity or lifespan. - battery damage caused by external factors such as physical impact or exposure to extreme temperatures. - manufacturer defect in the battery or charging system. # # # recommendations - regular battery maintenance and replacement according to manufacturer's guidelines. - proper storage of batteries in a cool, dry place to prevent degradation. - careful handling of batteries to avoid physical damage. - biomedical engineers should inspect batteries for signs of degradation, such as swelling, discoloration, or leakage. - if possible, use rechargeable batteries with a longer lifespan and a battery management system to monitor battery health. - train healthcare professionals on proper battery handling and maintenance procedures. @topic:11


the reports stored on the host monitor when a matching printer is available. reports stored in the companion database ( shown in gray on the reports job list ) must be manually sent to the printer. see “ checking report status and printing manually " on never will print no reports automatically ; all reports stored in the host or companion database must be manually sent to the printer. see " checking report status and printing manually " on printout location depending on availability, reports can be printed : on locally connected printers,. on printers connected to the information center or the application server, • to an intellivue xds application print service, • to an external pc - based print server with philips server software, • nto the print databprint jobs stored in the database are automatically printed when a print device with a matching paper size becomes available. print jobs in the print database are not deleted after a patient discharge. a new patient can be admitted and their reports are saved in addition to the previous reports. always admit your patient so that reports can be clearly assigned to a patient. 369 29 printing patient reports when an x2 is connected to a host monitor, reports requested or stored on the x2 can be printed via the host monitor. reports requested on the x2 when connected to a host monitor will not show any patient alarms or inops. in order to see alarms, reports should be requested on the host monitor. starting the different types of report how to start printing reporteport types vital signs reporeport contedepends on selected resolution, and period. in the vital signs window, select print / record, then group, data in the graphical trends window, select print. graphic trends report vent episodevents reportin the event episode or event review window, select the pop - up key print / record, then select print review or print episode. eeg waves, numerics, csas @topic:8


# # # issue the electric bed is not adjusting properly. # # # impact the patient may not be able to get into or out of bed safely. the patient may also be uncomfortable if the bed is not in the correct position. # # # possible causes - the bed's motor may be faulty. - the bed's wiring may be damaged. - the bed's control panel may be malfunctioning. # # # recommendations - check the bed's motor for any damage. if the motor is damaged, it will need to be replaced. - check the bed's wiring for any damage. if the wiring is damaged, it will need to be repaired. - check the bed's control panel for any damage. if the control panel is damaged, it will need to be replaced. @topic:1


# # # issue - equipment is not functioning properly due to a faulty component. # # # impact - the equipment is currently unusable. - patient care may be affected. # # # possible causes - the component may have been damaged during use. - the component may have failed due to wear and tear. - the component may have been manufactured with a defect. # # # recommendations - replace the faulty component using original manufacturer part. - inspect the equipment for any other potential issues. - follow the manufacturer's instructions for proper use and maintenance of the equipment. - train staff on proper use of the equipment to prevent future damage. @topic:12


) hill - rom warrants to the original purchaser that its products and replacement parts shall be free from defects in material and workmanship for a period of one ( 1 ) year from date of delivery. hill - rom ’ s obligation under this warranty is expressly limited to supplying replacement parts and / or service for, or replacing, at its option, any product which is, in the sole discretion of hill - rom, found to be defective. in addition to the foregoing one year warranty, hill - rom warrants to the original purchaser that the frame and welds on its products will be free from structural defects for the life of the product. any product upgrade or modification initiated by hill - rom does not affect the original product warranty. specific warranties mattress warranties hill - rom warrants to the original purchaser that its mattress product shall be free from defects in material and workmanship for a period of two ( 2 ) years from date of delivery. however, electro mechanical mattress components ( compressors, valves, printed circuit boards, hoses, and couplers ) are covered by the general one ( 1 ) year warranty. expendables warranties a sixty ( 60 ) day limited warranty from date of delivery applies to expendable parts such as cushions, coverlets, software diskettes, locator badge batteries, dome light incandescent bulbs, overhead fluorescent tubes, heating elements, temperature probes, filter sheets, and microspheres. this warranty is limited to replacement of the parts covered. to obtain parts and service in the united states, call hill - rom technical support department at ( 800 ) 445 - 3720, monday through friday. in canada, call hill - rom technical support department at ( 800 ) 267 - 2337, monday through friday. outside the united states and canada, call your authorized hill - rom distributor. in @topic:9


# # # issue - cvp graph not showing up # # # impact - inability to monitor central venous pressure # # # possible causes - faulty cvp transducer - disconnected cvp line - problem with the physiologic monitor ( bedside ) # # # recommendations - check cvp transducer connections - replace cvp transducer - check physiologic monitor ( bedside ) settings - contact philips technical support @topic:15


# # # issue - probe failure # # # impact - inability to measure patient parameters # # # possible causes - physical damage to the probe - electrical malfunction - software glitch # # # recommendations - replace the probe - inspect the probe for physical damage and repair if possible - update the software if available - contact the manufacturer for technical support @topic:20


not supp ” is issued wrong software revison upgrade monitor and / or measurement server to a matching software version. refer to “ software compatibility matrix ” for a list of compatible measurement servers. too many measurement servers connected disconnect unsupported measurement servers for proper operation. unsupported type of measurement server ( for example m3000a on a m800xa monitor ) connected. disconnect the unsupported measurement server. refer to “ software compatibility matrix ” for a list of compatible measurement servers. prompt message “ measurement server not supported, unplug device, switch monitor off / on ” and inop “ bad measurement server are issued m3000a measurement server revision a is plugged. this measurement server is not compatible with the intellivue patient monitors disconnect the measurement server and cycle power. msl - related problems symptoms possible causes of failure failure isolation and remedy measurement server does not start up ( no leds active ), no inop or prompt displayed no power check msl cable and replace if necessary check msl connector board inch internal cable to main board and replace if necessary measurement server does not start but leds are normal communication lines in msl cable or msl connector broken check msl cable and msl connectors msl connector board defective check msl connector board inch internal cable to main board and replace if necessary system interface board is not connected check system interface board connection to main board 93 4 troubleshooting troubleshooting guide symptoms possible causes of failure failure isolation and remedy msl power high inop is issued note : if this condition persists for longer than 15 minutes, the inop msl power off will appear ( see below ) attached devices drawing too much power from the monitor. mms or cable defective. check msl cable and replace if necessary. msl power off inop is issued attached devices drawing too much power @topic:16


# # # issue : adjusted to an incorrect position. # # # impact : - the bed may be unstable or uncomfortable for the patient. - the patient may be at risk of injury if the bed is not properly adjusted. # # # possible causes : - the motor may be faulty. - the limit switches may be misadjusted. - the control panel may be damaged. # # # recommendations : - inspect the motor for any signs of damage. - check the limit switches to make sure they are properly adjusted. - test the control panel to make sure it is functioning properly. - if any of these components are found to be faulty, they should be replaced. @topic:1


# # # issue installation of the lcd monitor at icg station failed. # # # impact the medical team is unable to use the icg station to monitor patient data. # # # possible causes the cause of failure was not specified in the given input. however, based on the context, it is possible that the issue was caused by one of the following : - the monitor was not properly connected to the icg station. - the monitor was not properly configured. - the monitor was defective. # # # recommendations to resolve the issue, bme should : * check the connections between the monitor and the icg station. * reconfigure the monitor. * replace the monitor if it is defective. @topic:2


# # # issue the medical cart is not booting into windows. # # # impact the medical cart cannot be used for its intended purpose. # # # possible causes - the power supply is not connected or is faulty. - the motherboard is faulty. - the hard drive is faulty. - the operating system is corrupt. # # # recommendations - check the power supply and make sure it is connected properly. - if the power supply is faulty, replace it. - if the motherboard is faulty, replace it. - if the hard drive is faulty, replace it. - if the operating system is corrupt, reinstall it. @topic:13


# # # issue - annual battery replacement is due. # # # impact - the monitor may not be able to provide accurate readings or may not be able to function properly. # # # possible causes - the battery has reached the end of its lifespan. # # # recommendations - replace the battery with a new one. @topic:11


failed to start work thread. 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. 1037 system error cannot start polling thread. 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. 1039 system error cannot get front - end version. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the front end assembly. see “ removing the front end assembly ” on page 5 - 24. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. troubleshooting suresigns vs4 service guide 4 - 27 error codes code description possible cause action 1042 system error failed to start up network driver. 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. 1043 system error work thread timed out. 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. 1044 system error front end software error. 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. 1045 system error printing software error. shut down ( see @topic:22


# # # issue - cuff failure # # # impact - inaccurate blood pressure measurements - delays in patient care - patient discomfort # # # possible causes - cuff is too loose or too tight - cuff is damaged - cuff is not properly inflated # # # recommendations - inspect the cuff for damage and ensure it is the correct size for the patient. - inflate the cuff to the correct pressure and check for leaks. - replace the cuff if it is damaged or not working properly. @topic:3


# # # issue - lack of cuff # # # impact - inability to measure blood pressure # # # possible causes - cuff is not attached to the device - cuff is damaged or defective - cuff is not the correct size for the patient # # # recommendations - ensure that the cuff is properly attached to the device. - inspect the cuff for any damage or defects. - use the correct size cuff for the patient. - replace the cuff if it is damaged or defective. @topic:3


# # # issue - the work order was canceled because the department no longer needs the equipment. # # # impact - the equipment will not be repaired. # # # possible causes - the department may have decided that the equipment is no longer needed. - the department may have purchased new equipment. - the equipment may be too expensive to repair. # # # recommendations - the technician should contact the department to confirm that the work order has been canceled. - the technician should document the reason for the cancellation in the work order. - the technician should return the equipment to the department or dispose of it according to hospital policy. @topic:12


configure. 7. review the selections in each step and modify them as desired. 8. click save and continue to accept the selections or back to return to the previous screewithout saving. 9. clicking save and continue automatically moves you to the next step in that section of the progress summary. when you reach the last step in a section, cllicking save and continue returns you to the progress summary. 10. repeat steps 7 through 9 until you configure each section. 11. when you are finished, click list configurations on the navigation bar to see your install a configuration file to install a configuration file, you must first download the configuration file to a usb flash drive. if you have not done so already, complete the steps in " download a configuration file to install on another device, " then complete the following steps : 1. insert the flash drive into the device which needs to have the configuration loaded onto it. pears listing the configuration file ( s ) on your flash drive. 2. select the desired configuration file and touch load. ( depending on your facility's configuration, selecting " load " may require you to enter the advanced settings password. ) 3. repeat this process on as many devices as you wish. device configuration and setup welch [UNK] connex® spot monitor 106 107 functional verification and calibration functional verification tests the functional verification tests help to confirm the proper operation of the device and its options. the tests may also be useful as a diagnostic tool to help isolate a malfunction. it is not necessary to disassemble the device to perform these tests. for periodic service, you can — at a minimum - perform the basic functional verification tests described in this manual. if you have the gold edition of the service tool, you have the additional capabillity to perform a complete functional verification and calibration of the device, but this @topic:10


# # # issue - remote control for electric bed not working # # # impact - inability to adjust bed position - patient discomfort or safety hazard # # # possible causes - * * battery failure : * * remote control batteries may be dead or weak. - * * electrical malfunction : * * there may be a fault in the remote control's circuitry or the bed's receiver. - * * software glitch : * * the remote control or the bed's operating system may have malfunctioned. - * * physical damage : * * the remote control may have been dropped or otherwise damaged. - * * other remote control issues : * * the bed may be paired with multiple remote controls, or there may be interference from other wireless devices. # # # recommendations - * * inspect batteries : * * check if the remote control batteries are dead or weak and replace them if necessary. - * * restart device : * * turn off the remote control and the bed, then turn them back on to reset any software glitches. - * * ensure proper pairing : * * verify that the remote control is paired correctly with the bed and that there are no other conflicting remote controls. - * * check for electrical faults : * * inspect the remote control and the bed's receiver for any visible damage or loose connections. if possible, use a multimeter to test for electrical continuity. - * * consider physical damage : * * examine the remote control for any signs of damage that may affect its functionality. - * * reset remote control : * * refer to the manufacturer's instructions to reset the remote control if possible. - * * contact manufacturer : * * if the issue persists, contact the manufacturer of the bed or remote control for further troubleshooting assistance. @topic:7


# # # issue - the bed cannot be adjusted up or down. # # # impact - the patient cannot be positioned comfortably. - the bed cannot be moved to the desired location. # # # possible causes - the remote control cord is loose. - the remote control is not functioning properly. - the bed motor is not working. # # # recommendations - check the remote control cord and make sure it is securely plugged into the bed. - try a different remote control. - if the bed motor is not working, it will need to be replaced. @topic:1


# # # issue - the bed is not adjustable. # # # impact - patients may not be able to get into or out of bed. - patients may not be able to be positioned comfortably for treatment. - staff may not be able to access patients easily. # # # possible causes - the control box is not receiving power. - the control box is not communicating with the bed. - the bed motor is not functioning properly. # # # recommendations 1. inspect the power cord and make sure that it is plugged in securely. 2. check the fuses in the control box and replace any that are blown. 3. test the control box by plugging it into a different bed. 4. if the control box is not functioning properly, it will need to be repaired or replaced. 5. if the bed motor is not functioning properly, it will need to be repaired or replaced. @topic:1


# # # issue - inability to connect to the hardware of the medical cart # # # impact - interruption in the use of the medical cart - difficulty in monitoring patient data and delivering appropriate care # # # possible causes - loose or damaged connections between the hardware components - faulty hardware components ( e. g., motherboard, power supply ) - software issues ( e. g., outdated drivers, corrupted firmware ) - electromagnetic interference ( emi ) from nearby devices # # # recommendations * * troubleshooting steps : * * - check all cable connections and ensure they are secure. - restart the medical cart to reset any software errors. - update the drivers and firmware to the latest versions. - eliminate or minimize emi sources in the vicinity of the medical cart. * * further investigation : * * - if the troubleshooting steps do not resolve the issue, further investigation may be required : - perform hardware diagnostics to identify faulty components. - contact the manufacturer or a qualified technician for support. * * preventive measures : * * - regular maintenance and inspection of the medical cart and its components. - proper handling and transportation to prevent damage. - regular software updates to ensure optimal performance and security. - implementation of emi shielding measures to minimize interference from external devices. @topic:13


# # # issue - inability to adjust the electric bed. # # # impact - compromised patient care due to difficulty in positioning and mobility. - increased workload for healthcare staff. # # # possible causes - * * electrical : * * - broken or disconnected ac power cord - faulty electrical connections - power supply issues - * * mechanical : * * - damaged actuator or motor - obstructed or jammed mechanisms - wear and tear of components - * * control system : * * - software malfunction or bugs - malfunctioning sensors or controllers - wiring or communication issues # # # recommendations - * * thorough inspection : * * conduct a comprehensive visual and electrical inspection of the bed to identify any obvious defects or loose connections. - * * electrical troubleshooting : * * verify the integrity of the power cord, connections, and power supply. use a multimeter to check for continuity and voltage. - * * mechanical examination : * * inspect the bed frame, actuators, motors, and gears for signs of damage or obstruction. lubricate moving parts as necessary. - * * software update : * * if applicable, check for any available software updates or patches that may address known issues. - * * component replacement : * * if necessary, replace faulty components such as the power cord, actuator, or controller. - * * regular maintenance : * * establish a regular maintenance schedule to prevent future failures by inspecting, cleaning, and lubricating the bed components. - * * training : * * ensure that healthcare staff is adequately trained on the proper operation and maintenance of the electric bed. @topic:9


# # # issue * equipment not turning on # # # impact * inability to monitor patient's vital signs * delays in diagnosis and treatment # # # possible causes * power supply issues ( e. g., loose plug, faulty power cord ) * battery depletion * internal hardware or software malfunction # # # recommendations * check connections and ensure power supply is stable * replace batteries as needed * contact biomedical engineering team for further troubleshooting and repairs @topic:11


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : the biomedical engineer ( bme ) performed a check on the medical cart and found that the screen was displaying " - 1 " and " cannot connect to hardware ". the bme then restarted the system and found that it could be used normally. # # # impact - the medical cart could not be used properly due to the error messages on the screen. # # # possible causes - battery drain causing the system to display " - 1 ". - loose connection between the hardware and the system, causing the error message " cannot connect to hardware ". # # # recommendations - check the battery level and replace it if necessary. - check the connections between the hardware and the system, and tighten any loose connections. @topic:13


# # # issue - equipment malfunction due to improper usage. # # # impact - prolonged patient wait times due to lack of available equipment. - increased risk of patient safety incidents. # # # possible causes - the 5w department borrowed the bed as a backup without proper authorization or documentation. - insufficient training or understanding of proper equipment usage. - lack of clear policies and procedures for equipment borrowing and handling. # # # recommendations - establish clear policies and procedures for equipment borrowing and handling, including proper documentation and authorization. - provide regular training on proper equipment usage to all staff members. - implement a preventive maintenance schedule to identify and address potential equipment issues before they become major failures. - monitor equipment usage to identify any patterns of improper or unauthorized use. @topic:9


# # # issue - cuff of digital blood pressure monitor is damaged. # # # impact - the blood pressure monitor cannot measure blood pressure accurately. # # # possible causes - the cuff may be punctured or torn. - the cuff may be too small or too large for the patient's arm. - the cuff may not be attached properly to the blood pressure monitor. # # # recommendations - replace the damaged cuff with a new one. - make sure that the cuff is the correct size for the patient's arm. - attach the cuff to the blood pressure monitor properly. @topic:3


# # # issue - central monitor not displaying accurate time # # # impact - incorrect time information can affect patient care and treatment decisions. # # # possible causes - faulty internal clock - synchronization issues with external timekeeping systems - software or firmware malfunction - power outage or surge # # # recommendations - * * inspect the internal clock : * * check if the clock is damaged or malfunctioning. replace if necessary. - * * check synchronization settings : * * ensure that the monitor is properly synchronized with a reliable time server or external timekeeping system. - * * update software or firmware : * * install any available software or firmware updates that may address clock - related issues. - * * inspect power supply : * * make sure that the monitor is receiving stable electrical power without any fluctuations or outages. - * * reset the monitor : * * perform a power cycle or factory reset to restore default settings and resolve clock issues. - * * consult with the manufacturer : * * contact the manufacturer for technical support and guidance on troubleshooting timekeeping issues. @topic:29


# # # issue - the electric bed cannot be locked. # # # impact - the bed cannot be used safely for patient care. # # # possible causes - loose nut # # # recommendations - tighten the nut. @topic:6


# # # issue : - central monitor screen not displaying any signals. # # # impact : - inability to monitor patient's vital parameters. # # # possible causes : - power outage due to tripped breaker. - faulty power supply within the central monitor unit. - loose or disconnected cables. - hardware or software malfunction within the central monitor. # # # recommendations : 1. verify power supply by checking the electrical outlet and ensuring the breaker is in the " on " position. 2. inspect cables and connections to ensure they are secure and undamaged. 3. contact the equipment manufacturer or a qualified biomedical engineer for further troubleshooting and repair. 4. check for any software updates or firmware issues that may be affecting the unit's functionality. 5. perform a comprehensive diagnostic test using appropriate tools and procedures to identify the root cause of the failure. @topic:2


# # # issue - loose ac plug # # # impact - could lead to intermittent power connection or complete loss of power to the device. # # # possible causes - improper connection of the ac plug - damage to the ac plug or receptacle - loose or damaged wiring # # # recommendations - ensure that the ac plug is securely connected to the receptacle. - inspect the ac plug and receptacle for any damage. - if damage is found, replace the ac plug or receptacle. - check the wiring for looseness or damage. @topic:12


# # # issue * spring holding the side rail in place has detached # # # impact * side rail may become loose and unstable, posing a safety hazard to patients and staff # # # possible causes * wear and tear over time * improper handling or maintenance * manufacturing defect # # # recommendations * inspect the side rail and spring regularly for signs of wear or damage * handle and maintain the bed according to manufacturer's instructions * contact the manufacturer or a qualified technician for repairs if any issues are found @topic:6


14. remove the washer ( i ) and spacers ( j ) from the transformer ( g ). 15. remove the transfonner ( g ). replacement 1. do the removal procedure in reverse order. 2. do the “ function checks ” on page 2 - 5. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 97 4. 33 power cord ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures 4. 33 power cord ( b model and newer beds ) tools required : 13 mm socket ratchet wire cutters t25 torx® 1 screwdriver removal 1. set the brakes. 2. raise the head section to the full up position. warning : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 3. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 4. remove the two screws ( a ) from the retainers ( c ) ( see figure 4 - 42 on page 4 - 99 ). 5. remove the retainers ( c ). 6. remove the three screws ( d ) that attach the power supply cover ( e ) to the power supply ( f ). 7. remove the power supply cover ( e ). note : the power supply cover is connected to the power supply rc. board by the battery cable. 8. disconnect the battery cable from the power supply rc. board. 9. remove the power supply cover ( e ). 10. cut and remove the wire tie ( g ) that attaches the power cord ( h ) to the bracket ( i ). 11. cut and remove the cable ties that attach the power cord ( h ) to the wire guide ( j ). 1 @topic:26


# # # issue - battery indicates an error message represented by an exclamation mark (! ). # # # impact - potential inability to use the battery to power the bedside physiological monitor, resulting in interruption of patient monitoring. # # # possible causes - battery malfunction or degradation - incompatible battery - issue with battery charger or charging mechanism - software or firmware issue in the monitor that affects battery recognition or functionality # # # recommendations - * * inspect the battery : * * visually examine the battery for any physical damage, such as cracks, dents, or leaks. check the battery contacts for any corrosion or debris that may interfere with connections. - * * verify battery compatibility : * * ensure that the battery is of the correct type and model for the specific bedside physiological monitor. refer to the manufacturer's documentation for compatible battery specifications. - * * test battery with a different charger : * * if available, try charging the battery using a different compatible charger to eliminate the possibility of a charger issue. - * * update monitor software or firmware : * * check for any available software or firmware updates for the monitor that may address battery - related issues. follow the manufacturer's instructions for updating the software or firmware. - * * contact the manufacturer : * * if the issue persists after following the above recommendations, contact the manufacturer for further troubleshooting assistance or possible battery replacement. @topic:11


* * issue : * * * nodal failure in the medical device due to loose oxygen line. * * impact : * * * inaccurate patient monitoring and potential health risks. * * possible causes : * * * * * loose or damaged nuck : * * the oxygen line may have become loose or damaged, causing the nodal failure. * * * improper installation : * * the oxygen line may have been improperly installed, resulting in a weak connection. * * * malfunctioning equipment : * * the device itself may have malfunctioned, causing the nodal failure. * * recommendations : * * * * * tighten the nodal : * * check and tighten the nodal to ensure a secure connection. * * * inspect the oxygen line : * * examine the oxygen line for any damage or kinks. * * * test the equipment : * * perform a thorough test of the device to ensure proper functionality. * * * seek professional assistance : * * if the problem persists, contact a qualified biomedical engineer for further assistance. * * * regular maintenance : * * implement a regular maintenance schedule to prevent future issues. @topic:4


# # explanation the given input does not include any information about the cause of failure. therefore, i am unable to provide an output explaining the cause of failure. @topic:12


# # # issue the bed's guardrails are not locking securely. # # # impact the patient may be at risk of falling out of bed. # # # possible causes * * * the guardrails are not properly adjusted. * * * * * the guardrails are damaged. * * * * * the locking mechanism is malfunctioning. * * * * * the bed frame is damaged. * * # # # recommendations * * * inspect the bed and guardrails for any damage. * * * * * adjust the guardrails to the correct height and position. * * * * * test the locking mechanism to ensure that it is functioning properly. * * * * * if any damage is found, contact the manufacturer for repair or replacement parts. * * @topic:6


# # # issue - wheels flat # # # impact - the patient's vital signs cannot be monitored accurately. - the monitor cannot be moved easily, which can delay patient care. # # # possible causes - hair or other debris may have become lodged in the wheels, causing them to become flat. - the wheels may be worn out. - the wheels may have been damaged during transport or use. # # # recommendations - inspect the wheels for any debris and remove it. - if the wheels are worn out, replace them. - if the wheels have been damaged, contact the manufacturer for repair or replacement. @topic:24


##c power 5 v, 100 ma ( max ) connector dvi compatible devices printers pcl5 capability required examples : hp laserjet 1200 ( monochrome ) hp laserjet 2100 ( monochrome ) hp deskjet 2500 c + ( color ) do not use printers that emulate pcl5 displays ( must be approved for medical use ) mp20 / 30 / 40 / 50 / 60 / 70 / 80 / 90, d80 m8031b xga color 15 ” lcd touchscreen m8033c sxga color 17 ” lcd touchscreen mp80, mp90, d80 m8033b / m8033c sxga color 17 ” lcd touchscreen intellivue instrument telemetry wireless network ( usa only, x2, mp20 / 30 / 40 / 50 only ) internal wmts adapter ( x2 / mp20 / mp30 ) technology compatible with philips cellular telemetry system ( cts ), cellular infrastructure frequency band wmts, 1395 - 1400 mhz and 1427 - 1432 mhz external wmts adapter m2638a ( mp40 / mp50 ) technology compatible with philips cellular telemetry system ( cts ), cellular infrastructure frequency band wmts, 1395 - 1400 mhz and 1427 - 1432 mhz weight 350 g max. 427 38 installation and specifications m4605a battery specifications compatible devices intellivue instrument telemetry wireless network ( except usa, x2, mp20 / 30 / 40 / 50 only ) internal ism adapter ( x2 / mp20 / mp30 ) technology compatible with philips cellular telemetry system ( cts ), cellular infrastructure frequency band 2. 4 ghz ism external ism adapter m26xxx ( mp40 / mp50 ) technology compatible with philips cellular telemetry system ( cts ), cellular infrastructure @topic:10


# # # issue : bed alarm not working # # # impact : patient safety is compromised as the bed alarm is an essential safety feature that alerts staff when the patient is at risk of falling or other incidents. # # # possible causes : - disconnected or damaged wire or cable - faulty sensor - power supply issue - problem with the alarm system itself - programming or configuration error # # # recommendations : - * * check connections : * * ensure that all wires and cables are securely connected and undamaged. replace any damaged wires or cables. - * * inspect sensors : * * check if the sensors are functioning properly. replace any faulty sensors. - * * verify power supply : * * ensure that the bed is receiving power. check the electrical outlet and power cord. - * * troubleshoot alarm system : * * inspect the alarm system to ensure it is functioning correctly. reset the alarm if necessary. - * * reprogram or reconfigure : * * refer to the manufacturer's instructions to reprogram or reconfigure the bed alarm system. - * * contact manufacturer : * * if the issue persists, contact the manufacturer for technical support and replacement parts if necessary. @topic:26


# # # issue - cuff bp replacement # # # impact - patient monitoring is disrupted # # # possible causes - cuff is damaged # # # recommendations - replace the cuff with a new one @topic:3


# # # issue - battery not charging # # # impact - inability to monitor vital signs of patients continuously - risk of data loss if battery is not replaced in time # # # possible causes - faulty charging port - damaged battery - power outlet issue - faulty charger # # # recommendations - check if the power outlet is functioning properly. - inspect the charging port for any damage or debris. - try using a different charger. - replace the battery if it is damaged. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:11


# # # issue - ekg cable failure # # # impact - interruption of patient monitoring - inability to accurately measure and display patient's ekg # # # possible causes - physical damage to the cable, such as cuts or breaks - loose connections at the cable ends - electrical interference from nearby devices # # # recommendations - inspect the ekg cable for any visible damage. - ensure that the cable is securely connected at both ends. - check for any potential sources of electrical interference, such as nearby cell phones or other electronic devices. - if the cable is damaged, replace it with a new one. - if the connections are loose, tighten them. - if electrical interference is suspected, try moving the equipment to a different location or shielding the cables from the source of interference. @topic:18


# # # issue - bed alarm d7 - 14 is sent for repair. # # # impact - the bed may not be able to alert the nurse or caregiver if the patient needs assistance. # # # possible causes - * * broken wire : * * the wire that connects the bed alarm to the control unit may have been broken. - * * faulty control unit : * * the control unit may be malfunctioning and not sending the correct signal to the bed alarm. - * * loose connection : * * the wire may not be properly connected to the bed alarm or the control unit. # # # recommendations - * * check the wire : * * inspect the wire for any breaks or damage. if the wire is broken, it will need to be replaced. - * * test the control unit : * * use a multimeter to test the control unit to make sure that it is sending the correct signal to the bed alarm. - * * check the connections : * * make sure that the wire is properly connected to the bed alarm and the control unit. @topic:26


6 lcd removing, 8 ^ 11 leds testing, 7 - 33 logs error, printing, 7 - 15 m main pcb theory of operation, a — 4 maintenance menu accessing, 7 - 26 memory clearing, 5 - 21 monitored temperature theory of operation, a - 10 monitors disposing of, 3 - 4 overview, 1 - 2 n navigation wheel theory of operation, a - 6 navigation wheel assembly removing, 8 ^ 13 nbp troubleshooting, 7 - 9 nbp accuracy performance verification test, 6 - 9 nbp assembly theory of operation, a - 8 nbp auto interval setting, 5 - 10 nbp calibration verification test, 6 - 11 nbp filter removing, 8 - 35 nbp module removing, 8 - 33 nbp overpressure valve verification test, 6 - 12 nbp performance verification test, 6 - 9 nbp pressure changing initial, 5 - 10 network configuring, 5 - 15 nurse call alarm priority, setting, 5 - 9 nurse call contacts theory of operation, a - 6 nurse call relay verification test, 6 - 22 p parts exchange unit, 9 - 10 replacement, 9 - 2 patient data clearing all, 5 - 21 pcb theory of operation, a - 4 pcb assembly removing, 8 - 15 pcb, main removing, 8 - 31 performance verification tests, 6 - 1 - 6 - 19 pneumatic leakage verification test, 6 - 12 power and boot sequences description, 7 - 4 power connector fuse removing, 8 - 7 power frequency setting, 5 - 7 power supply removing, 8 - 30 theory of operation, a - 7 power supply and cables, 9 - 9 power - on self test verification test, 6 - 6 predictive temperature theory of operation, a - 9 verification test, 6 - 16 pressure, nbp setting initial, 5 - 10 @topic:19


# # # issue - the central monitor from hewlett packard, model m3150a, has experienced a failure. # # # impact - the impact of this failure is unknown, but it may have affected the ability of the monitor to function properly. # # # possible causes - the possible cause of the failure is a faulty battery ups. # # # recommendations - the technician has replaced the battery ups and tested the monitor, which is now functioning normally. to prevent this issue from recurring, the technician should regularly check the battery ups and replace it as needed. @topic:2


##dv / gedvi 200 getting started 40 global trend time 280 graphic trend report 272 graphic trends 272 graphic trends report 278 gridlines ( eeg ) 254, 262 ground check ( bis ) 260 h hardkeys 25 help inops 67 hemodynamic calculations 283 hemodynamic measurement module extension 18 hemodynamic parameters 200 high filter ( eeg ) 255 high pass filter ( bis ) 262 high resolution recording 323 high - res trend event episodes 293 high - res trend waves about 289 oxycrg 289 high - res waves in reports 290 list of available measurements 421 recordings 290 elirestrnd see high - res trend 293 horizon trend trend time 280 hr = rr ( resp ) 166 hr alarms when arrhythmia off 131 hr alarms off ( config mode ) 131 hr and pulse alarm source selection 163 hr from ( heart rate source ) 162 humidity correction c02 223 hypotension evaluation 313 i iec ecg lead labels 124 if 269 impedance indicators ( bis ) 261 impedance quality indicators 252 imv ( resp ) 167 independent display connection symbol 404 infection control cleaning 365 disinfecting 365 sterilizing 365 information center central recording 322 transferring patients 105, 106 transferring patients using iit 106 injectate guidelines for c. o. 209 injectate volume setting ( c. o. ) 205 inops from external devices 353 indicators 55 silencing 59 input defibrillator 424 installation connectors 405 instructions for use intended audience 1 integrated module slots ( mp40 50 60 70 ) 321 intellivue family 1 intermittent bundle branch block 135 intermittent mandatory ventilation ( resp ) 167 interruption symbol 403 intravascular dyshemoglobins ( sp02 ) 173 intrinsic rhythm 132 invasive pressure 187 in - vivo calibration, sv02 244, 247 iso point ( st ) 148 itbv / it @topic:8


# # # issue the bed, electric, hill - rom, care assist es100 is not able to adjust the head down. # # # impact the patient may not be able to be positioned correctly for medical procedures or comfort. # # # possible causes * the motor that controls the head movement may be faulty. * the electrical connections to the motor may be loose or damaged. * the control panel may be malfunctioning. # # # recommendations * inspect the motor and electrical connections for any damage or loose connections. * if the motor or electrical connections are damaged, replace them. * if the control panel is malfunctioning, replace it. * * note : * * this is a possible cause of the failure, but other factors may also be involved. it is important to have the equipment inspected by a qualified technician to determine the exact cause of the failure. @topic:1


# # # issue - bed alarm not sounding # # # impact - patient safety may be compromised due to the inability to alert staff of any emergencies. # # # possible causes - * * faulty wiring : * * the cut and reconnected wires may not have been properly connected or insulated, resulting in a loss of electrical continuity. - * * damaged bed alarm system : * * the bed alarm system itself may have been damaged during the repair process or may have a separate issue that is preventing it from functioning properly. - * * software malfunction : * * a software issue in the bed alarm system could prevent it from sounding. # # # recommendations - * * inspect wiring : * * ensure that all wires are properly connected and insulated. use a continuity tester to check for proper electrical flow. - * * test bed alarm system : * * utilize a diagnostic tool or manufacturer's instructions to test the functionality of the bed alarm system. - * * check software updates : * * if applicable, check for and install any available software updates for the bed alarm system. - * * contact manufacturer : * * if the issue persists, contact the manufacturer of the bed for technical support and assistance. @topic:26


to procedure 4. 31 ) ( b model and newer beds ) on the affected siderail. 4. do the following to make sure the caregiver siderail controls operate properly : a. disconnect the control unit. b. connect a known good part. c. press the function on the caregiver control panel. all the leds flash ( * ). yes no ■i — > replace the siderail control panel ( refer to procedure 4. 17 on page 4 - 53 ) with the proper configuration. if this solves the problem perform the “ final actions ” on page 2 - 12, otherwise contact hill - rom technical support. 5. go to “ final actions ” on page 2 - 12. page 2 - 16 careassist® and careassist® es bed service manual ( man330 rev 4 ) 2. 3 hilow malfunction chapter 2 : troubleshooting procedures 2. 3 hilow malfunction 1. at least one of the other functions is working. yes no i - > go to rap 2. 1. 2. identify the relevant hilow column. one hilow column does not operate. yes no ■i — > go to step 5. 3. swap the hilow column connectors # 6 and # 4 ( yellow ) on the power supply pc. board ( see table 4 - 1 on page 4 - 11 ). the faulty column operates properly. yes no ■i — » replace the defective column : head hilow ( refer to procedure 4. 9 on page 4 - 31 ) or foot hilow ( refer to procedure 4. 21 on page 4 - 63 ). 4. replace the power supply ( refer to procedure 4. 3 on page 4 - 9 ) or motor control pc board ( b model and newer beds ) ( refer to procedure 4. 27 on page 4 - 85 ). 5. go to “ final @topic:9


# # # issue the electric bed, model 900b from hill - rom, cannot be adjusted. # # # impact the patient cannot be moved into a comfortable or safe position. # # # possible causes - the remote control is not functioning properly. - the bed's motor is not working. - the bed's electrical system is not functioning properly. # # # recommendations - reset the remote control. - check the bed's motor and electrical system. - replace the remote control, motor, or electrical system as necessary. @topic:1


# # # issue - bed not adjusting # # # impact - patient discomfort - difficulty in providing care # # # possible causes - electrical fault - mechanical failure - software error # # # recommendations - * * electrical fault : * * - check power supply and connections. - inspect wires and cables for damage. - replace any faulty components. - * * mechanical failure : * * - inspect actuators and motors for mechanical damage. - lubricate moving parts. - replace any worn or damaged components. - * * software error : * * - reset the system. - check for software updates. - reinstall the software if necessary. # # # additional notes - the error message provided by the system may also provide clues to the cause of the failure. - if the issue persists after following these recommendations, consult with a qualified biomedical engineer. @topic:1


##ing, it may need to be updated. contact the manufacturer of the bed for more information on how to update the software. @topic:1


# # # issue - the following equipment is failing the pm : ge carescape v100 blood pressure monitor - the failure mode is " error. " - the unit has a leaking cuff. # # # impact - this equipment is essential for monitoring patient vital signs. - a leaking cuff can lead to inaccurate blood pressure readings, which could result in incorrect treatment decisions. # # # possible causes - the cuff may be damaged. - the cuff connector may be loose. - the cuff may be the wrong size for the patient. # # # recommendations - replace the leaking cuff. - inspect the cuff connector and ensure it is properly tightened. - use the correct size cuff for the patient. - calibrate the monitor and verify it is functioning properly. @topic:14


# # issue insufficient information provided for failure analysis. # # impact unknown # # possible causes unable to determine from the provided information. # # recommendations request additional information from the technician, including : - detailed description of the failure symptoms - any error codes or messages displayed - any recent maintenance or repairs performed on the equipment - environmental conditions in which the equipment is operating - any other relevant details that may help identify the cause of failure @topic:12


# # # issue - electric bed cannot be adjusted up or down # # # impact - patient discomfort - difficulty in providing care # # # possible causes - loose wire connections - faulty motor - mechanical issues # # # recommendations - check and tighten wire connections - test motor for proper function - inspect mechanical components for damage @topic:1


• leakage check, either with ml026 - 60144 flowmeter or with 453564178121 mass flowmeter * • barometric pressure check and calibration, if required. * • flow check and calibration, if required • noise check • c02 cal check and calibration, if required • c02 cal verification perform all checks in the same session. • not applicable for all hw revisions. see individual test sections for details. note the m3015a / b hw rev c is indicated as hw rev. q. xx. xx in the intellivue revision screen. leakage check with m1026 - 60144 flowmeter ( only for m3015a with hw rev. a and b and firmware revision < p. 01. 32 ) the leakage check consists of checking the tubing between : • the pump outlet and the mc 02 outlet and • the pump inlet and calibration line inlet. check the user ’ s guide of the flowmeter for details on how to make a correct flow reading. part 1 1 go into service mode and select setup c02 menu. 2 connect a calibration line to the microstream co 2 input to start the pump running. 3 check the ambient pressure and the cell pressure shown in the monitor ’ s status line. the cell pressure should be approximately 20 mmhg lower than ambient pressure. ( this test is only to check that the pump starts and is running, which is also indicated by the noise generated by the running pump. ) 4 connect the flowmeter outlet to the calibration line inlet using a flexible connecting tube. 5 block the mc02 outlet using your fingertip and observe the flowmeter display. the value on the flowmeter ( xl ) should decrease to between 0 and 4 ml / min, accompanied by an audible increase in @topic:17


# # # issue - monitor not turning on # # # impact - inability to use the monitor for patient monitoring and / or treatment # # # possible causes - * * power supply issue : * * loose or disconnected cables, faulty power adapter, or power outage - * * hardware failure : * * damage to the monitor's internal components, motherboard, or screen - * * software issue : * * malfunctioning operating system or application - * * other : * * physical damage, user error, or environmental factors such as extreme temperatures # # # recommendations - * * troubleshooting power supply : * * - check if the power cord is securely plugged into the monitor and power outlet. - inspect the power adapter for any visible damage or loose connections. - test the power outlet using another device to rule out an electrical issue. - * * checking hardware components : * * - open the monitor's casing ( if possible ) and visually inspect for any loose cables, damaged components, or burnt spots. - if necessary, perform diagnostic tests on individual components. - * * updating software : * * - check for software updates from the manufacturer's website. - follow the installation instructions carefully and restart the monitor after updating. - * * other : * * - rule out physical damage by examining the monitor for any cracks or dents. - ensure that the operating environment meets the specified temperature and humidity requirements. - consult the user manual for specific troubleshooting steps or contact the manufacturer for technical support. @topic:2


. if the very low nibp not calibrated. calibrate the module. problem persisnibp command not implemented nibp not functio5060c internal malfunction. if the problem persists, replace the module. nibp not functional. 5060d internal malfunction. if the problem persists, replace tnibp data range erronibp not functional. 5060e internal malfunction. if the problem persists, replace the odule. internal malfunproblem persists, replace the nibp not functional. 0f nibp no post error to clear nibp not functional. 50610 nibp cannot cleainternal malfunction. if the problem persists, replace the odule. nibp command not command internal malfunction. if the type problem persists, replace the module. nibp not functional. 050611 nibp not functional. 050612 nibp communication timeout internal malfunction. if the problem persists, replace the 174 troubleshooting welch [UNK] connex® spot monitor larm prioritossible causessage nibp not functional. nibp response header wrong internal malfunction. if the problem persists, replace the module. nibp response checwrong nibp not functional. 050614 internal malfunction. if the problem persists, replace the module. too much nibp data was received nibp not functional. 050615 internal malfunction. if the problem persists, replace the nibp fprom erase error nibp not functional. 050616 internal malfunction. if the problem persists, replace the odule. nibp fprom programming nibp not functional. @topic:22


# # # issue - equipment failure # # # impact - inability to monitor patient's vital signs - potential patient safety risk # # # possible causes - hardware malfunction - software glitch - power failure - incorrect configuration - user error # # # recommendations - * * troubleshoot and repair the equipment as soon as possible. * * - * * contact the manufacturer for support if necessary. * * - * * implement a regular maintenance schedule to prevent future failures. * * - * * train staff on proper use and maintenance of the equipment. * * - * * consider purchasing a backup monitor to ensure continuous patient monitoring in the event of a failure. * * @topic:2


# # # issue - cuff failure # # # impact - inaccurate blood pressure measurements - inability to monitor patient's vital signs effectively # # # possible causes - cuff damage due to improper handling or storage - cuff deterioration over time - incompatible cuff with the device # # # recommendations - replace the cuff with a new one - inspect the cuff regularly for any signs of damage - ensure proper storage and handling of the cuff - verify the compatibility of the cuff with the device - follow the manufacturer's instructions for cuff maintenance and replacement @topic:3


# # issue - medical cart cannot be turned on # # impact - medical staff cannot access necessary medical supplies and equipment. - delay in patient care. # # possible causes - power supply issue - faulty power button - malfunctioning cpu - software glitch # # recommendations - check the power supply and ensure it is properly connected. - inspect the power button for any damage or obstruction. - if the power button is functional, try resetting the cpu by unplugging it from the power source and plugging it back in after a few minutes. - contact the manufacturer for further troubleshooting and repair instructions. @topic:13


the display as shown in the photograph. touch connector ( optional ) power video mounting the 15 ” remote display ( m8031b ) mounting solutions for the m8031b must be purchased separately. please refer to the installation instructions which ship with the mounting solution purchased. 232 installing remote devices 7 installation instructions connections connect the cables to the display as shown in the photographs below. 3 optional touch connector power llll 11 llll i ii iii ii ii ii ii ii ii - _ intaiininiiiiaiihiii * nbba v. ^. analog video digital video mounting the 17 ” remote display ( m8033a / b / c ) mounting solutions for the m8033a / b / c must be purchased separately. please refer to the installation instructions which ship with the mounting solution purchased. connections connect the cables to the display as shown in the photographs below. analog video digital video power optional touch connector figure 24 connections m8033a 233 7 installation instructions installing remote devices figure 25 connections m8033b ( old and new version ) power optional touch. cqnnector digital yiiko., analog video 1 j a *. figure 26 connections m8033c 234 installing remote devices 7 installation instructions video cable wiring schematics circuit diagram pi _ wire | p2 1 - red coax. cenier - i 2 - grey coax. center - 2 3 - blue coax. center - 3 5 -, - black -, - 3 10 - 1 i - 10 6 - red coax. shield - 6 7 - grey coax. shield - 7 8 - blue coax. shield - 8 11 - brown 11 13 - yellow 13 14 - white 14 shell - over shield - shell figure 27 analog video cable wiring schematic multi - measurement server attaching the mms to a mount 1 make sure the measurement server is oriented correctly relative to the mount ( see the @topic:19


# # # issue battery failure in the philips intellivue mp40 ( m8003a ) monitor, patient transport. # # # impact the monitor, patient transport may not function properly without a functioning battery. this could have a negative impact on patient care. # # # possible causes the battery has reached the end of its life cycle. # # # recommendations replace the battery with a new one. @topic:11


# # # issue : ekg lead clip broken # # # impact : ekg lead clip broken, resulting in an inability to monitor patient's ekg # # # possible causes : - rough handling of the ekg lead - excessive force applied to the ekg lead clip - damaged ekg lead wire or connection # # # recommendations : - inspect the ekg lead wire and connection for any signs of damage - replace the ekg lead clip if necessary - use caution when handling the ekg lead and avoid applying excessive force to the ekg lead clip @topic:18


# # # issue leak in connector. # # # impact the device may not be able to accurately measure blood pressure. # # # possible causes - the connector may be damaged or loose. - the tubing may be kinked or blocked. - the sensor may be malfunctioning. # # # recommendations - inspect the connector for damage or looseness. - check the tubing for kinks or blockages. - test the sensor to ensure that it is functioning properly. - replace the connector, tubing, or sensor as necessary. @topic:14


# # # issue - cuff is damaged. # # # impact - the monitor may not be able to accurately measure vital signs. # # # possible causes - the cuff may be old or worn out. - the cuff may have been damaged by being over - inflated or by being punctured. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - inflate the cuff to the correct pressure and do not over - inflate it. - use the correct size cuff for the patient. @topic:5


# # # issue - loose limit switch mounting bolts # # # impact - drawer cannot be closed # # # possible causes - normal wear and tear - improper tightening of mounting bolts - vibration or shaking of the medical cart # # # recommendations - inspect all limit switch mounting bolts regularly and tighten them as necessary. - ensure that the medical cart is not subject to excessive vibration or shaking. - if the problem persists, the limit switch should be replaced. @topic:21


patient monitor, if configured trend information can be uploaded from an mms to a patient monitor, if configured. different sets of patient and measurement - related data are stored in the monitor and the multi - measurement module. understanding this will help you to understand what happens to patient datwhen you transfer patients. patient information stored in monitor stored in x1 mms and xtensions stored in x2 mms and xtensions patient demographics ( name, yes es yes | dob, patient ids ) monitor settings ( alarm no no yes, for all mms and mms extension measurements yes, for all mms extension measurement settings for all measurements ( alarm limits, measurement on / off, etc. ) yes measurements yes, most recent 8 hours of information, for all mms and extensions measurements yes, most recent 8 hours of information. a standalone x2 stores all mms and mms extension measurements ( up to a maximum of 50 yes, for all mms, mms extension and measurement module measurements ( up to a maximum of 24 or 32 or 5or 100, depending on your database configuration ) trend data the x2 stores all mms and mms extension by the host monmeasurement modules ( up to a maximum of 50 11 5 managing patients and equipment patient information stored in x1 mms and extensions stored in x2 mms and xtensions calculation data ( hemocalc yes ata ) no yes events data no no warning if the monitor is not battery - powered, you cannot monitor during transport. measurements from an mms extension connected to an x2 are not available when the x2 is running on its own battery power. they are only available when the x2 is powered by external power : when connected to a host monitor, to the external power supply ( m8023a ) or to the battery extension ( 865297 ). the following sections describe @topic:10


# # # issue - bed not adjusting positions # # # impact - inability to provide appropriate patient positioning - prolonged patient discomfort - increased risk of pressure injuries # # # possible causes - electrical malfunction - mechanical failure - software glitch - user error # # # recommendations - check power supply and connections - inspect wiring and cables for damage - reset the bed's software and run diagnostics - consult the manufacturer's service manual for troubleshooting guidance - ensure proper training and technique for operating the bed - perform regular preventive maintenance to minimize future failures @topic:1


# # # issue - battery failure in a nibp monitor # # # impact - the nibp monitor will not be able to function properly or take accurate blood pressure measurements. # # # possible causes - battery is old and has reached the end of its lifespan. - battery is not properly connected or has become loose. - battery is not compatible with the nibp monitor. # # # recommendations - replace the battery with a compatible model with correct specification. - ensure that the battery is properly connected and secured. - check the manufacturer's guidelines for recommended battery type and replacement procedures. @topic:11


connection from the power switch / ecg out board to the main board. exchange power switch / ecg out board if necessary. if problem persists exchange main board. image sticking if a static image is displayed for a long time on an lcd display, image sticking, i. e. a temporarily retained image, may occur. to eliminate image sticking, switch off the display and switch it back on again. it is also recommended to use the moving image in standby mode. testing the functionality of power distribution warning high voltage - voltages dangerous to life are present in the instrument when it is connected to the mains power supply. if you are unsure whether the standard interface board or the main board is defective, perform the following tests : 1 separate the front and back of the monitor, but keep the internal cable connections connected. place the front sub - assembly latches on top of the bottom housing to ensure that the cable connections are not disconnected or damaged. 134 4 troubleshooting 2 place one multimeter probe on the metal chassis and the other on the following test points ( see pictures below ). overview : if the monitor is ac powered and switched on, the measured voltage should be 15v ( ±3 % ). if this is the case, the power supply and the standard interface board are functioning correctly. 135 [ 4 troubleshooting ] 24v : if the measured voltage is 24v ( ±5 % ) the standard interface board is functioning correctly. status log many events that occur during start - up or regular monitoring are logged in the status log. the status log can be printed and cleared. not all entries in the status log are errors. monitor h 1720 20050 1 4 apr 02 16 : 37 c 1721 21050 1 4 apr 02 15 : 37 the window title is either monitor or measserv, dependent on which system component ’ s status log is currently displayed. the status log @topic:16


to a stable power source. - check the battery life and replace it if necessary. @topic:11


# # # issue - siderail of the bed is stiff on all four sides, making it difficult to adjust. # # # impact - patients may be unable to adjust the siderails to a comfortable or safe position. - this could lead to falls, injuries, or other safety hazards. # # # possible causes - the springs of the siderails may be rusted or corroded. - the siderails may not have been lubricated properly. - the siderails may be bent or damaged. # # # recommendations - inspect the siderails for rust, corrosion, or damage. - lubricate the siderails according to the manufacturer's instructions. - if the siderails are bent or damaged, they should be replaced. @topic:6


. equipment damage can occur. p. c. board when servicing the p. c. board, follow good handling practices. mishandling a p. c. board can cause the following : • p. c. board damage • shortened p. c. board life • unit malfunctions observe the following p. c. board handling rules : • make sure your hands are clean and free of moisture, oily liquids, etc. • only handle the p. c. board by its outer edges. • do not touch the p. c. board components. finger contact with the board surface and / or with its components can leave a deposit that will result in board ( and component ) deterioration. • when working with electronics, wear an appropriate antistatic strap, and make sure it is properly grounded. • service the removed p. c. board at a static - free workstation that is properly grounded. • for shipping and storage, place the removed p. c. board in an antistatic protective bag. page 6 - 4 careassist® and careassist® es bed service manual ( man330 rev 4 ) lubrication requirements chapter 6 : general procedures lubrication requirements there are no lubrication requirements for the careassist® and careassist® es bed. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 6 - 5 preventive maintenance chapter 6 : general procedures preventive maintenance warning : only the facility - authorized personnel should service the careassist® and careassist® es bed. servicing performed by unauthorized personnel could result in personal injury or equipment damage. the careassist® and careassist® es bed should be subject to an effective maintenance program. this will ensure the long life and productivity of the careassist® and careassist® es bed and help to reduce downtime due @topic:9


# # # issue the bed cannot adjust the knee section downwards. # # # impact the patient may not be able to be positioned comfortably or safely in the bed. # # # possible causes - * * defective remote control. * * the remote control may not be sending the correct signal to the bed. - * * faulty wiring. * * the wiring between the remote control and the bed may be damaged or loose. - * * malfunctioning motor. * * the motor that powers the knee adjustment may be faulty. - * * mechanical obstruction. * * there may be an obstruction preventing the knee section from moving downwards, such as a loose screw or a piece of debris. # # # recommendations 1. try using a different remote control. 2. check the wiring between the remote control and the bed for any damage or loose connections. 3. if the issue persists, contact the manufacturer of the bed for further assistance. 4. inspect the bed for any mechanical obstructions that may be preventing the knee section from moving downwards. @topic:9


* * issue : * * monitor propaq cannot measure oxygen saturation ( spo2 ). * * impact : * * patients may not receive accurate or timely monitoring of their oxygen levels, which can lead to adverse health outcomes. * * possible causes : * * * faulty extension cable ( which has already been replaced ) * malfunctioning sensor or sensor cable * problem with the monitor itself * * recommendations : * * * thoroughly inspect the sensor and sensor cable for any damage or loose connections. * test the sensor using a known - good patient or simulator. * perform a diagnostic check on the monitor to identify any potential hardware or software issues. * if the problem persists, the monitor may need to be sent for further repair or replacement. * ensure that all equipment is regularly maintained and calibrated to prevent similar issues in the future. @topic:4


# # # issue - spo2 not detected # # # impact - affects the patient's continuous monitoring and assessment. # # # possible causes - broken or damaged spo2 probe or cable - loose connection between the probe and the monitor - malfunctioning of the spo2 module within the monitor - incorrect patient positioning or interference from external light sources # # # recommendations - check and ensure proper connection of the spo2 probe to the patient and the monitor. - replace the spo2 probe or cable if any damage is observed. - troubleshoot the monitor to identify any potential issues with the spo2 module. - reposition the patient or adjust external light sources to eliminate any interference. - consult the manufacturer's guidelines or service manuals for further troubleshooting and repair steps. @topic:4


# # # issue - the lcd monitor exhibits excessive brightness. # # # impact - the monitor's excessive brightness can strain the user's eyes, causing discomfort and fatigue. - it can interfere with the accurate interpretation of medical images and data, potentially compromising patient care. # # # possible causes - * * incorrectly connected signal cable * * : the olympus technician's report indicates that the signal cable was incorrectly connected. this could have resulted in a mismatch between the monitor's expected input and the signal it was receiving, leading to the excessive brightness. - * * defective monitor * * : while less likely, there is a possibility that the monitor itself is defective, causing the abnormal brightness levels. # # # recommendations * * to address the issue and prevent its recurrence, the following recommendations are suggested : * * - * * confirm correct cabling * * : verify that the signal cable is securely connected to the correct ports on both the monitor and the source device. ensure that the cables are not damaged or loose. - * * test with different source devices * * : connect the monitor to alternative source devices to determine if the excessive brightness persists. this will help isolate the issue to the monitor or the original source device. - * * contact manufacturer * * : if the issue persists after verifying the cabling and testing with different source devices, contact the manufacturer, olympus, for further troubleshooting and potential repair or replacement. - * * regular maintenance * * : implement a regular maintenance schedule for all medical equipment to ensure proper functioning and prevent future failures. this may include periodic inspections, cleaning, and software updates. - * * staff training * * : provide training to technical staff on the proper installation, operation, and maintenance of medical equipment to minimize the risk of user errors and ensure optimal equipment performance. @topic:2


# # # issue monitor not linking with central monitor # # # impact patient monitoring data cannot be transmitted to the central monitoring system, which can result in : - delayed detection of patient deterioration - reduced efficiency of patient care - increased risk of patient harm # # # cause of failure - incorrect cl address on the monitor - incorrect ip address on the central monitor - faulty network connection - software glitch - hardware failure # # # recommendations - verify the cl address on the monitor and ensure it matches the ip address of the central monitor. - consult with the vendor or it department to confirm the correct ip address for the central monitor. - check the network connection between the monitor and the central monitor. - restart the monitor and central monitor to reset any software glitches. - contact the vendor or a qualified biomedical engineer if the issue persists or if there is a hardware failure. @topic:16


# # # issue - ekg lead not showing waveform # # # impact - unable to monitor patient's heart activity # # # possible causes - * * faulty ekg cables or lead wires : * * check if the ekg cables or lead wires are properly connected and not damaged. - * * improper electrode placement : * * ensure that the electrodes are correctly positioned on the patient's body according to the manufacturer's guidelines. - * * loose connections or poor grounding : * * inspect all connections for looseness or corrosion and ensure proper grounding of the patient and the equipment. - * * malfunctioning monitor : * * the monitor or amplifier may be faulty. # # # recommendations - * * replace ekg cables or lead wires : * * disconnect and reconnect the ekg cables or lead wires to eliminate any loose connections. if the cables or lead wires are damaged, replace them with new ones. - * * adjust electrode placement : * * reposition the electrodes on the patient's body according to the manufacturer's instructions. - * * check connections and grounding : * * inspect all electrical connections for looseness or corrosion. ensure the patient and equipment are properly grounded. - * * restart the monitor : * * turn off and restart the monitor to reset the system and clear any errors. - * * contact technical support : * * if the issue persists after troubleshooting, contact the manufacturer's technical support for further assistance. @topic:18


# # # issue - the medical cart scanner is intermittently not powering on. # # # impact - this can lead to delays in patient care. # # # possible causes - loose connection in the power supply. - faulty power supply - faulty scanner. # # # recommendations - check the power supply connections - test the power supply with a multimeter. - replace the power supply or scanner if necessary. @topic:23


# # # issue - sensor is flickering on and off, leading to an inability to read the value # # # impact - unable to monitor the patient's vital signs accurately # # # possible causes - faulty spo2 cable or sensor # # # recommendations - replace the spo2 cable or sensor with a new one @topic:4


# # # issue - equipment not adjusting properly # # # impact - inability to use the equipment for its intended purpose - delays in patient care - safety hazards # # # possible causes - faulty wiring - malfunctioning adjustment mechanism - software issues - user error # # # recommendations - inspect the equipment for any visible damage or loose connections. - check the adjustment mechanism for any debris or obstructions. - update the software if necessary. - train users on the proper operation of the equipment. @topic:12


* * issue : * * equipment not linking to vsm ( vital signs monitor ) * * impact : * * inability to monitor patient's vital signs accurately and effectively. * * possible causes : * * * network connectivity issues * software compatibility problems * physical damage to the vsm or its connecting cables * device configuration errors * * recommendations : * * * verify network connectivity and ensure proper cabling. * check for software updates and ensure compatibility with the connected vsm. * inspect the vsm and connecting cables for any damage or loose connections. * reconfigure the device according to manufacturer's instructions. * contact the vendor's technical support team if the issue persists. @topic:16


# # # issue * * battery not charging. * * # # # impact the device may not be able to operate properly if the battery is not charged. # # # possible causes * * * bad battery : * * the battery may be old or damaged and no longer able to hold a charge. * * * faulty charger : * * the charger may be malfunctioning and not able to properly charge the battery. * * * faulty charging port : * * the charging port on the device may be damaged or dirty, preventing the battery from charging properly. # # # recommendations * * * replace the battery : * * if the battery is old or damaged, it should be replaced with a new one. * * * check the charger : * * make sure that the charger is functioning properly and that the charging cable is not damaged. * * * clean the charging port : * * if the charging port is dirty, it should be cleaned with a cotton swab and alcohol. @topic:11


# # # issue - remote control malfunction # # # impact - unable to adjust bed height, causing discomfort or difficulty for patients and healthcare providers. # # # possible causes - * * defective remote control : * * internal circuitry or buttons may be faulty. - * * weak or depleted batteries : * * insufficient power to operate the remote. - * * signal interference : * * nearby electronic devices or wireless networks may disrupt communication between the remote and the bed. - * * damage to the receiver : * * loose wires or broken components in the bed's receiver module may prevent it from receiving signals from the remote. # # # recommendations - * * replace the remote control : * * if the remote is defective, replace it with a new or refurbished unit. - * * check batteries : * * ensure that the batteries are fresh and properly installed. - * * identify and eliminate signal interference : * * move the bed or electronic devices that may be causing interference away from each other. - * * inspect the receiver : * * visually check for loose wires or damaged components. if necessary, contact the manufacturer or a qualified technician for repairs. @topic:7


# # # issue - bed is not able to adjust its headrest. # # # impact - patient discomfort and inconvenience during procedures or treatments. - delayed or interrupted medical care. # # # possible causes - * * motor failure : * * the motor responsible for adjusting the headrest may have malfunctioned or become damaged. - * * electrical fault : * * there may be a short circuit or other electrical issue preventing the motor from receiving power. - * * mechanical obstruction : * * something may be blocking the movement of the headrest, such as a loose or damaged part. - * * control system error : * * the electronic control system that operates the bed may have experienced a software or hardware failure. # # # recommendations - * * inspect the motor : * * check if the motor is receiving power and if it is functioning properly. if necessary, replace the motor. - * * verify electrical connections : * * ensure that all electrical wires and connections are secure and free of damage. - * * clear any obstructions : * * identify and remove any objects or debris that may be hindering the movement of the headrest. - * * troubleshoot the control system : * * diagnose any errors in the control system using diagnostic tools or consult the manufacturer's support. - * * perform regular maintenance : * * to prevent future failures, establish a regular schedule for inspecting and servicing the bed, including the motor, electrical system, and control system. @topic:1


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 # # # impact - battery failure, preventing the use of the medical cart # # # possible causes - battery degradation - incorrect battery charging - battery connection issues - electrical system malfunction # # # recommendations - inspect and replace the battery if necessary - ensure proper charging procedures are followed - check battery connections and electrical system for any faults - contact the manufacturer or a qualified biomedical engineer for further assistance @topic:13


##2 board. " ) attach the power harness to the insert align the power harness with the insert and secure it with 2 t - 10 torx screws ( see the torquvalue table ). 60 disassembly and repair welch [UNK] connex® spot monitor attach the spo2 insert to the main pca board 1. align the insert with the edge of the main pca board. connect the pump tubing to the insert as shown and press firmly. adjust the insert to fit snugly along the side of the board. 2. connect the power harness to the main pca board. 3. turn over the board and secure the insert to the main pca board with 2 t - 10 torx screws. service manual remove the spo2 board the monitor is configured with one of the following spo2 boards : masimo, nellcor, nonin, or none. proceed with the disassembly steps that apply to your device. remove the masimo board 1. remove the 2 phillips screws from the spo2 board. lift the spo2 board to remove it from the adapter board. 2. 3. remove the 2 phillips screws that hold the adapter board to the main pca board. 62 disassembly and repair welch [UNK] connex® spot monitor 4. firmly grasp the adapter board and lift it straight up to disconnect the pins. remove the nellcor board 1. remove the 2 phillips screws from the spo2 board. lift the spo2 board to remove it from the adapter board. service manual 3. remove the 2 phillips screws that hold the adapter board to the main pca board. irmly grasthe adapter board and lift it straight up to disconnect the pins. 4. 1. remove the 2 phillips screws @topic:19


then restart the service procedure. this test checks the performance of the microstream co2 measurement. the microstream co2 measurement can either be integrated into the intellivue mps monitor or, for other intellivue monitors, into the m3015a mms extension. the microstream co2 performance test is required once per year and when the instrument is repaired or when parts are replaced. this test uses calibration equipment that you can order ( see the parts section for the part number ). the procedure is summarized in the following steps. refer to the documentation accompanying the equipment for detailed instructions. tools required : - standard tools, such as screwdriver, tweezers - a hlectronic flowmeter, m1026 - 60144 - gas calibration equipment : - call gas 15210 - 64010 ( 5 % co ; ) -. cal2 gas 15210 - 64020 ( 10 % co2 ) - cal gas flow regulator m2267a - cal tube 13907a - calibration line m3015 - 47301 you also need a local barometric pressure rating received from a reliable local source ( airport, regional weather station or hospital weather station ) which is located at the same altitude as the hospital. the co2 calibration for the microstream extension consists of the following steps : - leakage check - barometric pressure check and calibration, if required. - pump check - flow check and calibration, if required - noise check - | co2 cal check and calibration, if required -. co2 cal verification using 2nd cal gas perform all checks in the same session. 85 leakage check the leakage check consists of checking the tubing between : - the pump outlet and the mco ; outlet and - the pump inlet and filterline inlet. check the user's guide of the flow @topic:17


# # # issue - cuff on the patient transport monitor has failed and needs to be replaced. # # # impact - the patient transport monitor cannot be used to accurately measure patient vital signs. # # # possible causes - the cuff may be old and worn out. - cuff may not be properly attached to the monitor. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly attached to the monitor. - calibrate the monitor after replacing the cuff. @topic:5


# # # issue - ekg trunk cable degradation # # # impact - incorrect or unreliable ekg readings - potential delays in patient diagnosis and treatment # # # possible causes - normal wear and tear over time - improper handling or storage of the cable - electrical interference from other devices # # # recommendations - replace the ekg trunk cable as needed based on manufacturer recommendations or when signs of degradation are observed. - handle and store the cable carefully to avoid damage. - ensure proper electrical grounding of the equipment to minimize interference. @topic:18


# # # issue - equipment not functioning properly - unable to adjust bed up or down # # # impact - patient discomfort and safety - delays in patient care - poor patient experience # # # possible causes - malfunctioning remote control - loose plug connections - software or hardware issues - mechanical failure # # # recommendations * * 1. troubleshooting remote control : * * - ensure that the batteries are correctly installed. - test the remote on another compatible device. - clean the contacts on the remote and the bed. * * 2. checking plug connections : * * - verify that the remote control plug is securely connected to the bed. - inspect the plug for any signs of damage or corrosion. - clean the plug and reconnect it firmly. * * 3. software and hardware diagnostics : * * - reset the bed's power supply by unplugging it for a few minutes. - if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting. * * 4. mechanical inspection : * * - check for any loose or damaged parts in the bed's mechanism. - lubricate moving parts as necessary. - inspect the cables for any breaks or damage. @topic:7


♦ to activate this screen, select the screen name in the monitor info line to open the screen menu, then select the name of the visitor screen configured for your monitor from the list of available screens. ♦ select any element on the screen to open the screen menu and select a different screen to show waves and numerics again. understanding profiles profiles are predefined monitor configurations. they let you change the configuration of the whole monitor so you can adapt it to different monitoring situations. the changes that occur when you change a complete profile are more far reaching than those made when you change a screen. screens affect only what is shown on the display. profiles affect all monitor and measurement settings. the settings that are defined by profiles are grouped into three categories. each category offers a choice of ‘ settings blocks ’ customized for specific monitoring situations. these categories are : ♦ display ( screens ) 30 understanding profiles 1 basic operation - each profile can have a choice of many different predefined screens. if you are using a second display, each display can have its own individual screen selection. when you change the profile, the screen selection configured for the new profile becomes active. • measurement settings - each profile can have a choice of different predefined measurement settings. these relate directly to individual measurements, for example, measurement on / off, measurement color, alarms limits, nbp alarm source, nbp repeat time, temperature unit ( °f or °c ) pressure unit ( mmhg or kpa ). • monitor settings - each profile can have a choice of different predefined monitor settings. these relate to the monitor as a whole ; for example, display brightness, alarms off / paused, alarm volume, qrs tone volume, tone modulation, prompt tone volume, wave speed, resp wave speed, pulse source. / 7 you can change from one complete profile to another or swap individual settings blocks ( @topic:10


# # # issue - cause of failure is not specified. # # # impact - the technician cannot determine the reason for the equipment failure. # # # possible causes - the technician may have overlooked a detail in the equipment's history or condition. - the technician may not have the necessary expertise to diagnose the cause of failure. - the equipment may have a design defect or manufacturing flaw. # # # recommendations - the technician should review the equipment's history and condition more carefully. - the technician should consult with a more experienced technician or engineer. - the technician should contact the equipment manufacturer for support. @topic:12


# # # issue - bp repeat time returns to 10 min after device is turned off. # # # impact - blood pressure is not measured as frequently as desired, which could lead to missed diagnoses or delayed treatment. # # # possible causes - the device is not properly calibrated. - the device's settings are not saved correctly. - there is a problem with the device's firmware. # # # recommendations - calibrate the device according to the manufacturer's instructions. - make sure that the device's settings are saved correctly. - contact the manufacturer if the problem persists. @topic:15


* * issue : * * pump bp failure * * impact : * * patient monitoring is compromised * * possible causes : * * * faulty pump mechanism * electrical malfunction * software bug * leakage or obstruction in the pressure lines * * recommendations : * * * replace the pump bp with a new one. * calibrate the device to ensure accurate measurements. * inspect the pressure lines for any leaks or obstructions. * update the software if necessary. * train the nursing staff on the proper use and maintenance of the device. * consider preventive maintenance schedule to avoid future failures. @topic:15


# # # issue - cuff leakage # # # impact - inaccurate blood pressure readings # # # possible causes - cuff bladder defect - loose or damaged cuff connector - improper cuff application # # # recommendations - replace cuff bladder - inspect and tighten cuff connector - instruct nursing staff on proper cuff application @topic:3


##ess the profiles menscroll right to display more smartkeys 6 15 name, depending on configuration smartkeys - these change according to your monitor's configuration 7 16 creen menscroll left to display more smartkeys 8 17 pause alarms or alarms off - stops alarms being announced for a set time or switches them off. select again to immediately switch alarms on again. can be onfigured not to appear here. alarm status area showmessages or alarms off symbol when 9 18 silence - acknowledges all active alarms by switching off audible alarm indicators and lamps permanently or temporarily, if alarm reminder ( realarm ) is configured 19 on. 29 1 introduction 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, remote control or a pointing device such as a ouse. select screen elements by pressing them directly on the monitor's screen. disabling touchscreen operation to temporarily disable touchscreen operation of the monitor, press and hold the main screen permanent key. a padlock will appear on the main screen permanent key. press and hold the main screen permanent key again to re - enable the touchscreen operation. if you are using a mouse or trackball, select screen elements by clicking on them ( press and release the left mouse button ). while you are moving the mouse, a cursor appears and a highlight shows your current position. you can move windows and menus using the touchscreen or a mouse. to move a window, 1 select the title of the window @topic:10


# # # issue - equipment : electric bed - model : uq2000b - issue : bedside rails are loose # # # impact - safety hazard for patients # # # possible causes - improper installation or maintenance - loose screws or bolts - damaged or worn - out components # # # recommendations - inspect the bed and rails regularly for any signs of damage or wear. - tighten any loose screws or bolts. - replace any damaged or worn - out components. - ensure that the bed is properly installed and maintained according to the manufacturer's instructions. @topic:6