# # # issue - bed cannot be adjusted upwards # # # impact - patient discomfort and inconvenience - difficulty in providing care # # # possible causes - loose connection between remote control and bed - faulty remote control - issue with bed motor or mechanism # # # recommendations - check and tighten the connection between the remote control and the bed. - test the remote control with another bed to isolate the issue. - inspect and test the bed motor and mechanism for any damage or malfunction. @topic:1


# # # issue telemetry monitor unable to establish connection with central monitor. # # # impact disruption of patient monitoring. # # # possible causes * telemetry not properly connected to the central monitor * central monitor not receiving telemetry data * telemetry unit malfunction * network issues # # # recommendations * check telemetry connection and ensure it is properly connected to the central monitor. * verify that the central monitor is operational and receiving telemetry data. * inspect telemetry unit for any damage or malfunction. * troubleshoot network connectivity issues, if applicable. * consult with manufacturer's technical support for further guidance. @topic:16


# # # issue - central monitor turns off after a period of use. # # # impact - monitoring of patient's vital signs is disrupted. - timely intervention in case of emergencies may be delayed or missed. # # # possible causes - * * power supply failure : * * the power supply unit ( psu ) that provides electricity to the monitor may have failed, causing the monitor to shut down. this is a common cause of failure in electronic devices. - * * overheating : * * the monitor may be overheating due to a faulty fan or ventilation system, which can damage internal components and lead to power supply failure. - * * electrical surge : * * a sudden voltage spike or surge in the power supply can damage the psu or other sensitive electronic components in the monitor. - * * manufacturing defect : * * there may be a manufacturing defect in the monitor's psu that caused it to fail prematurely. # # # recommendations - * * replace power supply unit : * * the first step is to replace the faulty power supply unit with a new or refurbished one. - * * inspect ventilation system : * * check the fan and ventilation system of the monitor to ensure they are functioning properly to prevent overheating. - * * use surge protector : * * install a surge protector between the monitor and the power outlet to protect it from electrical surges. - * * contact manufacturer : * * if the issue persists or if the power supply fails again, contact the manufacturer for further troubleshooting and possible warranty coverage. - * * regular maintenance : * * follow the manufacturer's recommended maintenance schedule, including periodic cleaning and component inspections, to reduce the risk of future failures. @topic:2


# # # issue - the bedside physiologic monitor is cracked but still functioning. # # # impact - the crack could potentially worsen over time, leading to a complete failure of the monitor. - the cracked monitor may not be able to provide accurate readings, which could lead to incorrect diagnoses and treatment decisions. # # # possible causes - the monitor may have been dropped or bumped. - the monitor may have been subjected to excessive heat or cold. - the monitor may have a manufacturing defect. # # # recommendations - the monitor should be replaced as soon as possible to avoid further damage or the risk of incorrect readings. - the biomedical engineer should investigate the cause of the crack and take steps to prevent similar incidents in the future. @topic:5


# # # issue - device gave incorrect readings due to dirty oxygen sensor cable causing miscommunication between the sensor and the monitor. # # # impact - inaccurate patient oxygen saturation readings can lead to incorrect medical decisions and potential harm to the patient. # # # possible causes - lack of regular cleaning and maintenance of the oxygen sensor cable. - exposure to contaminants in the hospital environment, such as dust, bodily fluids, or cleaning agents. - improper handling or storage of the equipment. # # # recommendations * * to prevent future failures and ensure accurate patient monitoring : * * - establish a regular schedule for cleaning and disinfecting all medical devices, including sensor cables. - train staff on proper handling and storage of medical equipment to minimize damage or contamination. - use protective covers or cases for equipment when not in use. - monitor the performance of medical devices regularly and perform preventative maintenance as needed. @topic:4


. 5. * * contact the manufacturer : * * if the above steps do not resolve the issue, the bme should contact the manufacturer for further assistance. @topic:12


# # # issue the spo2 cable is damaged. # # # impact the patient's vital signs cannot be accurately monitored. # # # possible causes * the cable may have been physically damaged, such as by being cut or pinched. * the cable may have been exposed to moisture or other environmental hazards. * the cable may have simply worn out over time. # # # recommendations * replace the damaged cable with a new one. * inspect the cable regularly for signs of damage. * take care not to expose the cable to moisture or other environmental hazards. @topic:4


# # # issue - the monitor's cuff has deteriorated. # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - age and wear and tear - exposure to harsh chemicals or cleaning agents - overinflation or underinflation of the cuff # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - avoid exposing the cuff to harsh chemicals or cleaning agents. - ensure that the cuff is properly inflated and deflated. @topic:3


# # # issue - bed cannot be adjusted upwards. # # # impact - inability to perform necessary patient positioning and procedures. # # # possible causes - mechanical failure of the bed frame or motor. - electrical fault in the bed's electrical system. - faulty remote control. - incorrect installation or assembly of the bed. # # # recommendations - check the bed frame and motor for any visible damage or obstructions. - inspect the electrical wiring and connections for any loose or damaged components. - test the remote control with another compatible bed to determine if it is functioning properly. - verify that the bed was assembled and installed according to the manufacturer's instructions. - consult with the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:1


* * issue : * * * cuff deterioration * * impact : * * * inaccurate blood pressure readings * patient discomfort * equipment downtime * increased risk of medical errors * * possible causes : * * * * * normal wear and tear : * * over time, the cuff can become stretched, torn, or frayed. * * * improper use : * * inflating the cuff too tightly or using it on a patient with an unusually shaped limb can damage the material. * * * environmental factors : * * exposure to extreme temperatures or moisture can weaken the cuff. * * * defective materials : * * in rare cases, the cuff may be manufactured with defects that make it more susceptible to deterioration. * * recommendations : * * * * * regular inspection : * * inspect the cuff regularly for signs of wear and tear. * * * proper fitting : * * ensure that the cuff is the correct size for the patient's limb and is inflated to the appropriate pressure. * * * careful handling : * * avoid inflating the cuff too tightly or bending it excessively. * * * environmental protection : * * store the cuff in a dry, temperature - controlled environment. * * * replace worn cuffs : * * replace the cuff when it shows signs of significant deterioration, even if it is still functional. * * * consider alternative cuffs : * * for patients with unusually shaped limbs or those who are particularly sensitive to discomfort, consider using a specialized cuff designed for their needs. @topic:3


# # # issue - program error # # # impact - the physiologic monitor may not be able to perform its intended functions, such as monitoring vital signs or delivering therapy. - this could put patients at risk of harm. # # # possible causes - a software bug or glitch - a hardware issue that is affecting the monitor's ability to run its software - a power surge or other electrical issue that has damaged the monitor's software # # # recommendations - inspect the monitor for any loose connections or damaged wires. - try restarting the monitor. - if the problem persists, contact the manufacturer for troubleshooting assistance. - in the meantime, use a backup monitor to ensure that patients are receiving the necessary monitoring and care. @topic:2


# # # issue - the spo2 board in the welch allyn connex spot monitor is not functioning. # # # impact - the monitor is unable to measure spo2 levels. # # # possible causes - the spo2 board may be defective. - the software for the spo2 board may be corrupted. - there may be a problem with the connection between the spo2 board and the rest of the monitor. # # # recommendations - contact the manufacturer of the monitor to request a replacement spo2 board. - update the software for the spo2 board. - check the connection between the spo2 board and the rest of the monitor. @topic:4


# # # issue interference during ecg measurement. # # # impact - inaccurate ecg readings. - potential for misdiagnosis or delayed treatment. # # # possible causes - dry gel residue on ecg lead clips. # # # recommendations - clean and remove any dry gel residue from the lead clips. - ensure proper connection between the lead clips and the patient's skin. @topic:18


* * issue : * * physiologic monitor ( bedside ) with philips m3 ( m3046a ) model is malfunctioning. * * impact : * * the device is unable to function properly due to battery degradation and a broken module lock. * * possible causes : * * * * * battery degradation : * * over time, batteries lose their capacity to hold a charge, which can lead to reduced performance and eventual failure. * * * broken module lock : * * the module lock is responsible for securely holding the battery in place. if the lock is broken, the battery may become loose or disconnected, causing power interruptions. * * recommendations : * * * * * replace the battery : * * the degraded battery should be replaced with a new one to restore optimal performance. * * * repair or replace the module lock : * * the broken module lock should be either repaired or replaced to ensure a secure connection between the battery and the device. * * * regular maintenance : * * to prevent future failures, regular maintenance should be performed on the device, including battery checks and module lock inspections. @topic:11


# # # issue - missing nibp cuff connector # # # impact - inability to measure patient's blood pressure # # # possible causes - the cuff connector may have been accidentally removed or disconnected during patient transport or handling. - the cuff connector may have become damaged or loose, causing it to detach from the monitor. - the cuff connector may have been stolen or misplaced. # # # recommendations - inspect the monitor and surrounding area for the missing cuff connector. - replace the missing cuff connector with a new one of the same type and model. - securely connect the cuff connector to the monitor and ensure that it is properly tightened. - train staff on the proper handling and storage of medical equipment, including the nibp cuff connector. @topic:14


# # # issue the electric bed by hill - rom ( model 900b ) is presenting a malfunction where the bed cannot be adjusted. # # # impact this malfunction could have a significant impact on patient care. a non - adjustable bed can make it difficult for patients to get in and out of bed, which can lead to falls. additionally, it can make it difficult for healthcare providers to perform procedures and treatments on patients. # # # possible causes there are several possible causes for the bed's malfunction. one possibility is that the remote control is not functioning properly. another possibility is that there is a problem with the bed's motor or electrical system. # # # recommendations the biomedical engineer should first troubleshoot the remote control. if the remote control is not functioning properly, it should be replaced. if the remote control is functioning properly, the biomedical engineer should then troubleshoot the bed's motor and electrical system. the biomedical engineer should also check the bed's power cord to ensure that it is securely plugged into an outlet. @topic:1


* * issue : * * spo2 sensor not lighting up * * impact : * * patient monitoring is compromised as oxygen saturation levels cannot be measured accurately. * * possible causes : * * - * * faulty spo2 cable : * * the cable connecting the sensor to the monitor may be damaged or loose, preventing proper signal transmission. - * * malfunctioning sensor : * * the sensor itself may have failed due to age, wear, or physical damage. - * * improper calibration : * * the sensor may not have been calibrated correctly, leading to inaccurate readings. - * * loose or disconnected connections : * * the sensor's connection to the monitor may be loose or disconnected, interrupting the signal flow. * * recommendations : * * - * * replace the spo2 cable : * * inspect the cable for any visible damage or loose connections and replace it if necessary. - * * check the sensor : * * examine the sensor for any damage or dirt. clean the sensor and replace it if it appears damaged. - * * calibrate the sensor : * * follow the manufacturer's instructions to calibrate the sensor according to the specific model. - * * secure connections : * * ensure that the sensor is firmly connected to the monitor. check for any loose wires or connections and tighten them as needed. @topic:4


# # # issue - the philips suresigns vm4 vital signs monitor is providing incorrect spo2 readings. # # # impact - incorrect spo2 readings can lead to inaccurate patient assessments and potentially life - threatening consequences. # # # possible causes - faulty sensor - loose connections - software glitch # # # recommendations - replace the spo2 sensor and test the monitor to verify accurate readings. - ensure all connections are secure and not loose. - contact philips technical support for assistance with software troubleshooting or updates. @topic:4


# # # issue * * * cause of failure : * * faulty bed plug # # # impact * the bed cannot be used due to a faulty plug, which can impact patient care and efficiency. * the bme department had to spend time troubleshooting and replacing the plug. # # # possible causes * the plug may have been damaged due to wear and tear, or it may have been defective from the manufacturer. # # # recommendations * regularly inspect and maintain bed plugs to prevent failures. * ensure that bed plugs meet safety standards and are compatible with the bed. * consider using surge protectors to protect plugs from voltage fluctuations. * train staff on proper handling and storage of bed plugs to minimize damage. @topic:9


# # # issue * cuff not squeezing ( unable to squeeze ) # # # impact * * * incorrect blood pressure readings : * * the device may not be able to accurately measure blood pressure if the cuff is not able to squeeze properly. * * * patient discomfort : * * a tight cuff can be uncomfortable for the patient. * * * prolonged monitoring time : * * if the cuff is not able to squeeze properly, it may take longer to obtain an accurate reading. # # # possible causes * * * defective cuff : * * the cuff may have a hole or tear that is preventing it from inflating properly. * * * damaged tubing : * * the tubing that connects the cuff to the monitor may be damaged or kinked, which is preventing the cuff from inflating properly. * * * loose or disconnected tubing : * * the tubing may have become loose or disconnected, which is preventing the cuff from inflating properly. * * * defective monitor : * * the monitor may be defective and not able to inflate the cuff properly. # # # recommendations * * * inspect the cuff : * * check the cuff for any holes or tears. replace the cuff if necessary. * * * inspect the tubing : * * check the tubing that connects the cuff to the monitor for any damage or kinks. replace the tubing if necessary. * * * reconnected tubing : * * make sure that the tubing is properly connected to the cuff and the monitor. * * * test the monitor : * * test the monitor to make sure that it is able to inflate the cuff properly. replace the monitor if necessary. @topic:3


* * issue : * * test failure during maintenance of a hill - rom care assist es220 electric bed. * * impact : * * the bed is unable to perform its intended functions, potentially affecting patient care and safety. * * possible causes : * * * * * sensor malfunction : * * the weight sensors may be faulty or miscalibrated, leading to inaccurate weight readings. * * * wiring issues : * * loose or damaged wires can disrupt the signal between the sensors and the display, preventing it from displaying the correct weight. * * * power supply problems : * * insufficient or fluctuating power supply can interfere with the bed's electrical components, including the weight scale. * * * software bugs : * * errors in the bed's software may cause incorrect weight calculations or other operational issues. * * * mechanical problems : * * obstructions or misalignments in the bed's mechanical components can prevent the weight scale from functioning properly. * * recommendations : * * * * * inspect the sensors : * * check the sensors for damage, cleanliness, and proper placement. calibrate the sensors according to the manufacturer's instructions. * * * check the wiring : * * inspect the wiring harness for loose or damaged connections. replace any faulty wires or connectors as necessary. * * * verify the power supply : * * ensure that the bed is receiving the correct voltage and amperage. check the power outlet and any surge protectors or uninterruptible power supplies ( ups ) connected to the bed. * * * update the software : * * the hospital should check for any available software updates from the manufacturer and apply them if necessary. * * * troubleshoot the mechanics : * * check the bed's mechanical components for any obstructions or misalignments. lubricate any moving parts as recommended by the manufacturer @topic:25


not shown m3015 - 44145 453563332391 m3015a front bezel, greek not shown m3015 - 44147 453563332401 m3015a front bezel, russian not shown m3015 - 44150 453563332411 m3015a front bezel, polish not shown m3015a sidestream c0 2 without press / temp m3015 - 44161 453563402591 m3015a front bezel without press / temp, english not shown m3015 - 44163 453563402601 m3015a front bezel without press / temp, german not shown m3015 - 44164 453563402611 m3015a front bezel without press / temp, dutch not shown m3015 - 44165 453563402621 m3015a front bezel without press / temp, spanish not shown m3015 - 44166 453563402631 m3015a front bezel without press / temp, italian not shown m3015 - 44167 453563402641 m3015a front bezel without press / temp, norwegian not shown m3015 - 44168 453563402651 m3015a front bezel without press / temp, swedish not shown m3015 - 44169 453563402661 m3015a front bezel without press / temp, finnish not shown m3015 - 44170 453563402671 m3015a front bezel without press / temp, japanese not shown m3015 - 44174 453563402681 m3015a front bezel without press / temp @topic:19


# # # issue - the bed's side rails cannot be lowered. # # # impact - the patient may be at risk of falling out of bed. # # # possible causes - the locking mechanism for the side rails is faulty. - the side rails are damaged or obstructed. - the motor that powers the side rails is not working. # # # recommendations - inspect the locking mechanism for the side rails and replace any faulty components. - check the side rails for damage or obstruction and remove any obstacles. - test the motor that powers the side rails and replace it if necessary. @topic:6


* * issue : * * - slak for pulling up the bed rails is loose * * impact : * * - risk of patient falling out of bed due to insufficient bed rail protection * * possible causes : * * - wear and tear due to frequent usage - improper assembly or maintenance - manufacturing defect * * recommendations : * * - check and tighten the slack regularly to ensure proper functioning of the bed rails - follow the manufacturer's guidelines for assembly and maintenance - if the issue persists or if the slack is damaged, contact the manufacturer or a qualified technician for repair or replacement @topic:6


life. replace the power cord, if damaged. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 6 - 7 preventive maintenance chapter 6 : general procedures function procedure leakage current unplug the bed from its power source. connect the bed to the safety tester and connect this device to the power outlet. check that the bed is correctly supplied by the test device : control unit leds lit ( unlock the functions if necessary ). measure the leakage current measures without operating any function. the value must be less than 100 pa. check the ac power cable and power supply unit if the value is outside of the specifications ( 0. 2 ohms ). replace the ac power cable or power supply unit if necessary. patient pendant disconnect the patient pendant and check the condition of the con¬ nector. then reconnect or replace the pendant. test each of the buttons to check that they activate the correct func¬ tion and that they do not work intennittently by pressing each button for several seconds. each movement must be continuous. replace the pendant if necessary. hilow columns inspect the column assembly for the presence and tightness of the attachment screws and the snap ring at the bottom of the column. repair as necessary. fully raise and lower the bed frame one time. make sure there is no friction or abnormal noises and that no audible overload indication can be heard during the movement. make sure the bed not down position indicator illuminates on the control pendant and goes out when the bed is in the low position. replace the defective column ( s ) in the event of a malfunction. troubleshoot in the event of a doubt. head section motor inspect the actuator assembly. make sure the pins and retaining clips are intact and not missing. fully raise and lower the head section. make sure @topic:9


# # # issue - adjusted bed side rail is broken. # # # impact - patient safety is compromised. - patient may fall out of bed. # # # possible causes - loose or missing screws. - damaged or worn - out components. - incorrect assembly or maintenance. - excessive force applied to the side rail. # # # recommendations - * * inspect the side rail for loose or missing screws. * * tighten or replace screws as necessary. - * * examine the components of the side rail for damage or wear. * * replace damaged or worn - out components. - * * ensure that the side rail is assembled and maintained according to the manufacturer's instructions. * * - * * avoid applying excessive force to the side rail. * * use the side rail only for its intended purpose. @topic:6


# # # issue - battery failure # # # impact - inability to use the medical cart # # # possible causes - battery is old and needs to be replaced. - battery is not properly connected. - battery is not charging properly. # # # recommendations - replace the battery. - check the battery connections. - check the battery charger. @topic:13


# # # issue - alarm lead ll off # # # impact - inaccurate patient monitoring data - potential for missed or delayed detection of cardiac arrhythmias or other medical conditions # # # possible causes - * * loose or disconnected lead ll cable * * - * * damaged lead ll cable * * - * * faulty lead ll electrode * * - * * loose or dirty electrode contacts * * - * * problems with the monitor * * # # # recommendations - * * check the lead ll cable for loose connections or damage. * * - * * replace the lead ll cable if it is damaged. * * - * * replace the lead ll electrode if it is faulty. * * - * * clean the electrode contacts with alcohol or a contact cleaner. * * - * * if the monitor is causing the problem, contact the manufacturer. * * @topic:18


* * issue : * * bed is not adjusting * * impact : * * patient discomfort, delayed procedures, potential safety hazard * * possible causes : * * - * * control box failure : * * the control box is responsible for receiving and interpreting commands from the user and sending signals to the bed's actuators. a malfunctioning control box can prevent the bed from responding to adjustment commands. - * * actuator malfunction : * * the actuators are responsible for physically adjusting the bed's position. a faulty actuator can prevent the bed from moving properly or may cause it to move erratically. - * * loose or disconnected wires : * * wires can become loose or disconnected due to wear and tear or improper maintenance. this can disrupt the communication between the control box and the actuators, causing adjustment problems. - * * software glitch : * * the bed's software may experience a glitch that prevents it from operating normally. this can be caused by a software update, a power surge, or other external factors. * * recommendations : * * - * * check the control box : * * inspect the control box for any visible damage or loose connections. replace or repair the control box if necessary. - * * test the actuators : * * manually operate the actuators to check their movement and response. if an actuator is malfunctioning, it should be replaced. - * * inspect the wiring : * * examine the wiring harness for any loose or damaged wires. secure or replace any faulty wires as needed. - * * update the software : * * check for any available software updates and apply them to the bed's system. this can resolve software glitches and improve overall performance. - * * contact the manufacturer : * * if the issue persists after troubleshooting, contact @topic:1


# # # issue - the battery of the intellivue mx450 bedside physiologic monitor is displaying an exclamation mark (! ). # # # impact - the battery may not be able to provide reliable power to the monitor, which could lead to disruption of patient care. # # # possible causes - the battery may be defective. - the battery may not be fully charged. - the battery may not be properly connected to the monitor. - there may be a problem with the monitor's charging circuit. # # # recommendations - inspect the battery for any physical damage. - verify that the battery is fully charged. - ensure that the battery is properly connected to the monitor. - test the monitor's charging circuit to ensure that it is functioning properly. - if the issue cannot be resolved, replace the battery. @topic:11


# # # issue - unable to measure etco2 # # # impact - patient's respiratory status cannot be accurately monitored # # # possible causes - occlusion in module gas g7 - malfunctioning sample line # # # recommendations - replace the sample line - clean or replace module gas g7 @topic:4


* * issue : * * monitor is not consistently taking accurate readings * * impact : * * patient's vital signs may not be accurately monitored, leading to potential health risks * * possible causes : * * * * * faulty sensor extension cable : * * the newly installed sensor extension cable may be defective or damaged, causing intermittent signal transmission. * * * loose connections : * * the cable may not be securely connected to the monitor or the sensor, leading to dropped signals. * * * sensor malfunction : * * the sensor itself may be faulty, resulting in inaccurate or inconsistent readings. * * * monitor software glitch : * * a software error in the monitor may be causing the intermittent readings. * * * electrical interference : * * other medical devices or electrical equipment in the vicinity may be causing interference with the sensor signals. * * recommendations : * * * * * check cable : * * inspect the sensor extension cable for any visible damage or loose connections. replace the cable if necessary. * * * secure connections : * * ensure that all connections between the monitor, cable, and sensor are secure and tight. * * * test sensor : * * use a known - good sensor and connect it to the monitor to rule out a sensor problem. * * * restart monitor : * * power cycle the monitor to reset its software and eliminate any temporary glitches. * * * isolate electrical interference : * * move the monitor and sensor away from potential sources of electrical interference, such as other medical devices or electrical cords. * * * contact manufacturer : * * if the issue persists after troubleshooting, reach out to the manufacturer of the monitor for technical support or repair. @topic:22


h ). 14. pull the p. c. board ( g ) off the standoff ( h ). 15. remove the p. c. board ( h ) from the power supply ( f ). replacement 1. do the removal procedure in reverse order. 2. do the “ function checks ” on page 2 - 5. page 4 - 86 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 28 sidecom® communication system p. c. board ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures 4. 28 sidecom® communication system p. c. board ( b model and newer beds ) tools required : 13 mm socket ratchet needle nose pliers antistatic strap 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 - 37 on page 4 - 88 ). 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 ) from the power supply ( f ). 1. torx® is a registered trademark of acument intellectual properties, llc @topic:26


* * issue : * * * the vital signs monitor is unable to measure spo2 ( blood oxygen saturation ) accurately. * * impact : * * * the device cannot provide accurate patient data, which can compromise patient safety. * * possible causes : * * * * * board failure : * * the spo2 measurement board may have malfunctioned, preventing the device from accurately measuring blood oxygen levels. * * * software issue : * * the spo2 software may have become corrupted or outdated, affecting the board's functionality. * * * lack of compatible spare parts : * * the available spo2 spare parts are not compatible with the device, preventing the technician from replacing the malfunctioning board. * * recommendations : * * * * * contact manufacturer : * * the technician should contact the manufacturer to inquire about available software updates or compatible spare parts. * * * investigate power supply : * * check if the device is receiving sufficient power, as inadequate power can cause malfunction. * * * inspect wiring and connections : * * verify that the connections between the spo2 board and the rest of the device are secure and not damaged. * * * perform functional testing : * * use a spo2 simulator or known - good peripherals to test the device's functionality and isolate the cause of failure. * * * document findings : * * thoroughly document the symptoms, troubleshooting steps, and any findings to aid in future maintenance and repairs. @topic:4


# # # issue - battery failure in an electronic sphygmomanometer # # # impact - inability to accurately measure blood pressure # # # possible causes - battery depletion - battery leakage - corrosion or damage to battery terminals # # # recommendations - replace the battery with a new one of the same type and voltage. - inspect the battery terminals for corrosion or damage and clean or repair as necessary. - if the battery continues to fail prematurely, investigate the underlying cause such as a faulty charging system or excessive power consumption. @topic:11


# # # issue - * * unable to measure spo2 ( oxygen saturation ) * * # # # impact - inability to monitor patient's oxygen levels, which is crucial for assessing respiratory function and making clinical decisions. # # # possible causes - * * damaged spo2 sensor cable : * * this is the most likely cause, as indicated by the description that the bme technician found a broken wire in the cable. - * * faulty spo2 sensor : * * less likely, but possible if the sensor itself has malfunctioned. - * * software or hardware issue with the monitor : * * this is unlikely, as the description indicates that the issue was resolved by replacing the cable. # # # recommendations - * * replace the spo2 sensor cable : * * this is the most immediate and effective solution, as it addresses the most likely cause of the failure. - * * test the monitor with a new spo2 sensor : * * if replacing the cable does not resolve the issue, then the spo2 sensor itself should be replaced. - * * check the monitor's software and hardware : * * if the issue persists with a new cable and sensor, then the monitor's software or hardware may need to be checked by a qualified technician. @topic:4


# # # issue the input does not provide any details about a failure, only that the device was checked. # # # impact - not applicable. # # # possible causes - the device may be functioning properly and no failures were found. - the technician may have not encountered any issues during the inspection. # # # recommendations - if the device is not functioning properly, further investigation is recommended to identify and resolve any underlying issues. - if the device is functioning properly, it is recommended to continue regular maintenance checks to prevent future failures. @topic:12


test is based on iec / en 60601 - 1, iec / en 62353, ul2601 - 1 ed. 2 / ul60601 - 1 : 2003 and csa 601. 1 - m90. report the highest value ( x2 ). expected test results equipment leakage current test x2 < = 300ua ( single fault condition - with mains cable ) note all values for current and voltage are the root mean square ( r. m. s. ) values, unless otherwise stated. 59 s ( 4 ) : applied part leakage current - mains on applied part note 60 during measurement of the applied part leakage current it is possible that the measured current can exceed the allowed limit ( per iec / en 60601 - 1 or iec / en 62353 ). this can occur when the safety tester is connected to the invasive blood pressure and temperature connectors at the same time during the applied leakage current measurement. the connectors for the invasive blood pressure and temperature are independently functioning connectors. although there are individual connectors on the front end, internally those parameters use the same electrical insulation interface and are hardwired to each other. this results in an electrical short of those connectors during measurement if a test current is applied simultaneously. therefore this should be avoided. due to the combined insulation interface, it is sufficient to connect to only one parameter interface ( that is, invasive blood pressure or temperature ) of the invasive blood pressure / temperature measurement block. this avoids a short and the potential of exceeding the limit for the current. test to perform : l ( n ) l c or 9 2 pf $ 1 n 3 b > " n ( l ) pe o measuring circuit for the measurement of applied part leakage current - direct method according to iec / en 62353. this test measures applied part leakage current from applied part to earth caused @topic:10


# # # issue - bed's foot end cannot be lowered fully. # # # impact - patient comfort and safety may be compromised. # # # possible causes - mechanical obstruction or damage to the foot end mechanism. - electrical fault in the control system. - software bug in the control system. # # # recommendations - inspect the foot end mechanism for any obstructions or damage. - test the electrical connections and control system. - check for software updates or patches. - if necessary, contact the manufacturer for technical support. @topic:1


# # # issue - cuff leak # # # impact - inaccurate blood pressure ( bp ) readings # # # possible causes - damaged or worn cuff - improperly connected cuff # # # recommendations - replace the cuff - ensure the cuff is properly connected to the monitor @topic:3


# # # issue - scan drawer not opening # # # impact - inability to access medical supplies and equipment stored in the drawer # # # possible causes - faulty solenoid - damaged wiring - software glitch # # # recommendations - replace the solenoid ( as already performed by the technician ) - inspect and repair any damaged wiring - reset or update the software if necessary - perform regular maintenance checks to prevent similar issues in the future @topic:21


# # # issue - the head of the electric bed is descending on its own due to a malfunctioning motor lock. # # # impact - patient safety is compromised as the unexpected movement of the bed could cause injury. # # # possible causes - malfunctioning motor : the motor responsible for adjusting the head of the bed may have a mechanical or electrical issue, preventing it from holding the desired position. - faulty sensor : a sensor that detects the position of the head of the bed and communicates with the motor may be malfunctioning, providing incorrect information to the motor. - electrical issue : a loose connection or damaged wiring could be causing intermittent power supply to the motor, leading to inconsistent locking. # # # recommendations - inspect the motor for mechanical or electrical issues, such as loose connections, worn components, or damaged windings. - test the sensor to ensure it is accurately detecting the position of the head of the bed and communicating correctly with the motor. - check the electrical connections and wiring to ensure proper power supply to the motor and sensor. - replace any faulty components, such as the motor, sensor, or wiring, as needed. - perform a thorough safety check of the bed to ensure it is operating correctly before returning it to patient care. @topic:1


# # # issue the hospital bed cannot be adjusted. # # # impact patients may not be able to get into or out of bed, or may not be able to be positioned comfortably. this can lead to increased patient discomfort and decreased patient satisfaction. # # # possible causes - the bed's electrical system is not functioning properly. - the bed's mechanical system is not functioning properly. - the bed's remote control is not functioning properly. # # # recommendations - check the bed's electrical system for any loose connections or damaged wires. - check the bed's mechanical system for any loose screws or gears. - replace the bed's remote control if it is not functioning properly. @topic:1


# # # issue - cuff deterioration - arm band pressure release # # # impact - inaccurate blood pressure readings - patient discomfort # # # possible causes - ageing of the cuff material - damage to the cuff material - loose connection between the cuff and the device # # # recommendations - replace the cuff - inspect the cuff for any damage - ensure the cuff is properly connected to the device @topic:3


# # # issue * unable to use the drawer program and trakcare, resulting in a lack of access to the internet. # # # impact * the medical cart cannot be used for its intended purpose, which may delay or prevent patient care. # # # possible causes * the medical cart is not connected to wi - fi. * the medical cart's software is not up to date. * there is a hardware issue with the medical cart. # # # recommendations * check the medical cart's wi - fi connection and ensure that it is connected to a stable network. * update the medical cart's software to the latest version. * if the issue persists, contact the medical cart manufacturer for further assistance. @topic:13


# # # issue - * * central monitor shutdown * * # # # impact - * * patient monitoring is interrupted * * - * * delayed diagnosis and treatment * * - * * increased patient risk * * # # # possible causes - * * power failure * * - * * system software crash * * - * * hardware component failure ( e. g., power supply, motherboard, cpu ) * * - * * faulty cabling or connections * * # # # recommendations * * immediate actions : * * - * * check power supply * * ( ensure power cord is plugged in, switch is on ) - * * restart the monitor * * ( turn off and on ) - * * inspect cables and connections * * ( ensure they are secure and free of damage ) * * troubleshooting : * * - * * check for any error messages * * displayed on the monitor - * * review system logs * * for any recent events or errors - * * test hardware components * * using diagnostic tools - * * contact the manufacturer * * for technical support * * preventive measures : * * - * * install an uninterruptible power supply ( ups ) * * to protect against power fluctuations - * * regularly maintain * * the monitor and replace any aging or faulty components - * * train staff * * on proper use and maintenance of the equipment - * * establish a preventive maintenance schedule * * to identify and address potential issues early on @topic:2


##irometry 260 263 identifying tcgas module components setting the tcgas sensor temperature the tcgas site timer 263 64 6setting thremembraning the tcgas transducer er 265 265 265 267 finishing tcgas monitoring 268 68 tcgas corrections 268 17 monitoring intravascular oxygen saturation 71 272 7275 further information for both modules 277 279 eeg monitoring setup 279 using the eeg impedance / montage window 280 about compressed spectral arrays ( csa ) 282 changing eeg settings 283 eg report284 284 eeg and electrical interference 284 bis monitoring setup 286 bis continuous impedance check 288 288 bis window 289 n 290 switching bi90 290 290 291 0 monitoring 293 stimulation modes 294 296 changing the nmt measurement settings 298 299 299 21 guardian early warning scoring 301 301 understanding guardian early warning scoring 303 304 using different types of scoring 305 22 using a telemetry device and a monitor ( piic only ) 307 how can you combine devices? 307 use models with telemetry 09 23 trends 311 vieds 311 315 documenting tretrends databases ds 319 319 20 24 calculations 325 326 327 327 328 329 331 changing the hi - res trend waves displayed 331 hi - res trend wave scales 331 hi - res trend waves and oxycrg 331 printing hi - res trend wave reports hi - res trend wave recordings 332 332 8 26 event surveillance 333 levels of event surveillance 333 vent group334 vent episode334 events pop - up key335 vent trigger336 the events database 339 340 342 342 27 protocolwatch 349 349 8 recordin357 paper - strip recording 357 electronic recording 29 printing patient reports 369 369 371 setting up reports 371 372 checking printer settings 373 printing a test report 374 switching printers on or off for reports 374 dashed lines on report374 unavailable printer : re - routing reports 374 checking report status and printing manuallprinter @topic:17


# # # issue telemetric electrocardiography monitor is not working. # # # impact patients may not be able to receive proper cardiac monitoring. # # # possible causes * tele machine 11 has inserted batteries and has flashing lights. # # # recommendations * check the batteries in the tele machine 11 to make sure they are properly installed and making good contact. * if the batteries are properly installed, then the tele machine may need to be repaired or replaced. @topic:16


# # # issue - cuff loses pressure during inflation # # # impact - patient discomfort due to increased cuff pressure # # # possible causes - cuff bladder or tubing leak - cuff connector leak - cuff size is too large or too small - cuff is damaged or has a hole # # # recommendations - inspect the cuff bladder and tubing for leaks. - check the cuff connector for leaks. - ensure that the cuff size is appropriate for the patient. - replace the cuff if it is damaged or has a hole. @topic:3


# # # issue - scanner malfunction in a medical cart # # # impact - inability to use the medical cart for patient care # # # possible causes - mechanical failure of the scanner - software glitch - power issue - connection issue - user error # # # recommendations - check the scanner for any physical damage or loose connections. - restart the scanner and the medical cart. - ensure that the scanner is properly connected to the medical cart. - check the power supply to the medical cart and scanner. - inspect the software settings of the scanner to ensure they are correct. - if the issue persists, contact the manufacturer for technical support. * * note : * * the provided cause of failure, " scanner is not working, " is not specific enough to identify the root cause of the problem. therefore, multiple possible causes have been listed to provide a comprehensive set of recommendations. @topic:23


# # # issue mindray no. 3 - alarm screen - - > > spo2 sensor error. and unable to measure oxygen values. # # # impact - inability to monitor patient's oxygen levels accurately, which could lead to delayed diagnosis and treatment. # # # possible causes - faulty spo2 sensor - loose or damaged spo2 cable connection - malfunction of the monitor's spo2 module # # # recommendations - replace the spo2 sensor ( if defective ) - check the spo2 cable connection for any loose or damaged contacts. - verify the functionality of the monitor's spo2 module. - ensure that the equipment is properly calibrated and maintained to prevent future failures. @topic:4


# # # issue - the bed is not adjusting. # # # impact - patients and staff may be unable to use the bed safely or comfortably. # # # possible causes - the control cable is loose. # # # recommendations - tighten the control cable. @topic:1


# # # issue - blue screen error on the hp m3150a monitor and central station. # # # impact - interruption of patient monitoring and treatment. - loss of patient data. - delays in diagnosis and treatment. # # # possible causes - faulty hardware components ( e. g., memory, graphics card, motherboard ) - software bugs or glitches - driver conflicts - virus or malware infection - overheating - power supply issues # # # recommendations * * technical evaluation : * * - run diagnostics on the device to identify any hardware or software issues. - check for bios updates or driver updates that may resolve software bugs. - verify that the monitor and central station are compatible and have been configured correctly. - rule out any virus or malware infections. * * physical inspection : * * - inspect the device for signs of physical damage or overheating. - check cables and connections to ensure they are secure and not damaged. - ensure proper ventilation around the device. * * maintenance : * * - clean the device regularly to remove dust and debris. - perform regular software updates to patch known security vulnerabilities. - back up patient data regularly to prevent data loss. * * contingency planning : * * - have a backup monitoring device available in case the primary device fails. - establish protocols for responding to device failures, including : - notifying medical staff and hospital administration - isolating the device to prevent spread of infection - arranging for repair or replacement @topic:2


# # # issue - data loss # # # impact - patient information may not be available for clinical decision - making. # # # possible causes - * * network issue : * * the network connection between the monitor and the hospital's electronic health record ( ehr ) system may be interrupted or unstable. - * * monitor configuration issue : * * the monitor may not be properly configured to send data to the ehr system. - * * ehr system issue : * * the ehr system may be experiencing technical difficulties that prevent it from receiving data from the monitor. - * * monitor hardware failure : * * a hardware component in the monitor may have failed, causing it to be unable to send data to the ehr system. # # # recommendations - check the network connection between the monitor and the ehr system. - verify that the monitor is properly configured to send data to the ehr system. - contact the hospital's it department to check if the ehr system is experiencing any technical difficulties. - if there is no network or configuration issue, contact the manufacturer of the monitor to troubleshoot potential hardware failures. @topic:16


# # # issue the medrad veris 8600 mri physiologic vital signs monitor is unable to measure spo2. # # # impact inability to accurately monitor oxygen saturation levels, which is critical for assessing patient health and making appropriate medical decisions. # # # possible causes - faulty spo2 sensor cable or probe. - loose connections between the sensor and the monitor. - malfunctioning spo2 module within the monitor. - interference from external sources, such as electromagnetic fields or ambient light. - software issues or firmware bugs in the monitor. # # # recommendations 1. * * check the spo2 sensor cable and probe : * * ensure that they are properly connected and undamaged. clean the sensor if necessary. 2. * * inspect the connections : * * verify that all cables are securely plugged into the monitor and the sensor. 3. * * restart the monitor : * * this can sometimes resolve software glitches or temporary malfunctions. 4. * * test the spo2 module : * * use a dedicated spo2 testing device to determine if the module is functioning correctly. 5. * * inspect for interference : * * move the monitor and patient away from potential sources of interference. 6. * * update firmware : * * if available, check for and install any pending software or firmware updates for the monitor. 7. * * contact technical support : * * if the issue persists or cannot be resolved through the above steps, contact the manufacturer or a certified medical equipment technician for further assistance and repairs. @topic:4


# # # issue - cuff leaking # # # impact - the patient may not be receiving accurate blood pressure readings. - the patient may be at risk for infection if the cuff is not properly disinfected. # # # possible causes - the cuff may have been damaged during use. - the cuff may be the wrong size for the patient. - the cuff may not have been properly inflated. - the cuff may have a leak in the tubing. # # # recommendations - inspect the cuff for damage. - make sure the cuff is the correct size for the patient. - properly inflate the cuff. - check the tubing for leaks. - replace the cuff if it is damaged or leaking. @topic:3


# # # issue - the electric bed is not adjustable. # # # impact - the bed cannot be adjusted to the patient's comfort or medical needs. # # # possible causes - * * motor failure : * * the motor that adjusts the bed may have failed, preventing the bed from moving. - * * electrical issue : * * there may be a problem with the electrical wiring or connections in the bed, preventing power from reaching the motor. - * * control panel malfunction : * * the control panel that operates the bed may be malfunctioning, preventing the user from adjusting the bed. - * * mechanical failure : * * there may be a mechanical issue within the bed's frame or components, preventing it from moving smoothly. # # # recommendations - * * inspect the motor : * * check the motor for any signs of damage or wear. if the motor is damaged, it will need to be replaced. - * * check electrical connections : * * inspect the electrical wiring and connections in the bed. make sure all connections are secure and there are no loose wires. - * * test the control panel : * * use the control panel to operate the bed. if the bed does not respond, the control panel may need to be repaired or replaced. - * * examine mechanical components : * * inspect the bed's frame and components for any signs of damage or wear. if any components are damaged, they will need to be replaced. @topic:1


# # # issue - the bed's headrest cannot be adjusted. # # # impact - the patient may not be able to position themselves comfortably. - the medical staff may not be able to access the patient's head and neck for medical procedures. # # # possible causes - the remote control is faulty. - the connection between the remote control and the bed is faulty. - the motor that adjusts the headrest is faulty. - the control board that controls the motor is faulty. # # # recommendations - replace the remote control. - check the connection between the remote control and the bed. - test the motor that adjusts the headrest. - replace the control board that controls the motor. @topic:1


# # # issue - touch screen is not working on the bedside physiologic monitor. # # # impact - the monitor cannot be used to view or input patient data. # # # possible causes - the touch screen is damaged. - the touch screen controller is not working. - the software that controls the touch screen is not working. # # # recommendations - replace the touch screen. - replace the touch screen controller. - reinstall the software that controls the touch screen. @topic:2


# # # issue - monitor not displaying graphs # # # impact - inability to monitor patient's vital signs - delayed or incorrect treatment decisions # # # possible causes - loose or damaged cables - faulty sensor - software glitch - hardware malfunction # # # recommendations 1. * * check cables : * * ensure that all cables are securely connected and not damaged. 2. * * inspect sensor : * * examine the sensor for any visible damage or loose connections. clean the sensor with a soft cloth if necessary. 3. * * restart monitor : * * unplug the monitor from the power outlet for a few minutes and then plug it back in. this can reset any software glitches. 4. * * contact manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for further troubleshooting assistance or a replacement. @topic:22


# # # issue - battery failure # # # impact - interruption of patient monitoring - decreased mobility of patients # # # possible causes - battery aging - overcharging or undercharging - extreme temperatures - mechanical damage # # # recommendations - regular maintenance and inspection of batteries - proper charging and storage practices - use of high - quality batteries - training of staff on battery handling and maintenance @topic:11


# # # issue monitor not displaying any images # # # impact unable to monitor patient's vital signs, such as heart rate, blood pressure, and oxygen levels. # # # possible causes - * * faulty power supply : * * the monitor may not be receiving the necessary power to function properly. - * * damaged display panel : * * the display panel itself may be cracked or damaged, preventing the display of images. - * * loose or damaged cables : * * loose or damaged cables can disconnect the monitor from the power source or computer, inhibiting its operation. - * * software malfunction : * * software glitches or errors can cause the monitor to malfunction and not display images. - * * internal component failure : * * internal components of the monitor, such as the graphics card or motherboard, may have failed, leading to the display issue. # # # recommendations - * * check the power supply : * * ensure that the monitor is properly connected to a functioning power outlet and that the power cord is not damaged. - * * inspect the display panel : * * examine the display panel for any visible damage, such as cracks or scratches. - * * tighten or replace cables : * * check all cables connecting the monitor to the power source and computer. replace any loose or damaged cables. - * * restart the monitor : * * disconnect the monitor from the power source, wait a few minutes, and then reconnect it. this may resolve software - related issues. - * * contact a biomedical engineer : * * if the issue persists, it may be necessary to contact a biomedical engineer who can diagnose and repair the problem. @topic:2


# # # issue the philips suresigns vs4 vital sign monitor is not able to enter the vsm ( vital signs monitor ) system. # # # impact this issue can have a significant impact on the patient's care, as the monitor will not be able to provide accurate and up - to - date information on the patient's vital signs. this could lead to delayed diagnosis and treatment, which could have serious consequences for the patient's health. # # # possible causes there are several possible causes for this issue, including : - * * hardware issue : * * the monitor's hardware may be damaged, preventing it from communicating with the vsm system. - * * software issue : * * the monitor's software may be out of date or corrupted, preventing it from communicating with the vsm system. - * * network issue : * * the network connection between the monitor and the vsm system may be faulty, preventing the monitor from communicating with the vsm system. # # # recommendations the following steps should be taken to troubleshoot this issue : 1. * * check the hardware : * * inspect the monitor for any damage. if any damage is found, the monitor should be replaced. 2. * * update the software : * * check the monitor's software for updates. if any updates are available, they should be installed. 3. * * check the network connection : * * check the network connection between the monitor and the vsm system. if the connection is faulty, it should be repaired. @topic:22


# # # issue - cuff of nibp monitor is deteriorated and needs to be replaced. # # # impact - inaccurate blood pressure measurements # # # possible causes - cuff has been used excessively or not maintained properly - cuff has been exposed to moisture or chemicals - cuff has been damaged physically, such as being punctured or torn # # # recommendations - replace the cuff with a new one of the same size and type - inspect the cuff regularly for signs of wear and tear - store the cuff in a clean, dry place when not in use @topic:15


# # # issue - drawer 25 of the medical cart cannot be opened. # # # impact - the medical cart cannot be used as intended. # # # possible causes - the screws holding the drawer in place have become loose. - the drawer is jammed due to debris or damage. - the drawer mechanism is faulty. # # # recommendations - tighten the screws holding the drawer in place. - remove any debris or damage that may be jamming the drawer. - if the drawer mechanism is faulty, replace the drawer or the entire medical cart. @topic:21


# # # issue - the philips suresigns vs4 vital signs monitor is unable to accurately measure body temperature. # # # impact - inability to accurately measure body temperature can lead to incorrect diagnoses and treatment plans. # # # possible causes - * * malfunctioning temperature probe : * * the temperature probe may be damaged or faulty, preventing it from accurately detecting body temperature. - * * loose or damaged connections : * * loose or damaged connections between the temperature probe and the monitor can disrupt the flow of data, leading to inaccurate readings. - * * miscalibration : * * the monitor may be miscalibrated, [UNK] [UNK] [UNK] [UNK] 示 不 正 [UNK] 的 [UNK] [UNK] [UNK] [UNK] 。 - * * software errors : * * software errors within the monitor can affect its ability to accurately measure temperature. - * * environmental factors : * * extreme temperatures or electromagnetic interference can interfere with the monitor's ability to accurately measure temperature. # # # recommendations - * * inspect the temperature probe : * * verify that the temperature probe is intact and free of damage. clean the probe thoroughly and ensure that it is properly connected to the monitor. - * * check connections : * * inspect all connections between the temperature probe and the monitor. ensure that all connections are secure and free of damage. - * * calibrate the monitor : * * perform a calibration of the monitor following the manufacturer's instructions. this will ensure that the monitor is accurately reading temperature values. - * * update the software : * * check for any available software updates for the monitor. installing the latest updates can resolve software errors that may be affecting the temperature measurement functionality. - * * rule out environmental factors : * * ensure that the monitor is not exposed to extreme temperatures or electromagnetic interference. if necessary, relocate the monitor to a more suitable environment. - * * consult the manufacturer : * * @topic:20


##um joins the manubrium ). this rise in the sternum is where the second rib is attached, and the space just below this is the second intercostal space. 2 palpate and count down the chest until you locate the fourth intercostal space. v1 placement : on the fourth intercostal space at the right sternal border v2 placement : on the fourth intercostal space at the left sternal border v3 placement : midway between the v2 and v4 electrode positions v4 placement : on the fifth intercostal space at the left midclavicular line v5 placement : on the left anterior axillary line, horizontal with the v4 electrode position v6 placement : on the left midaxillary line, horizontal with the v4 electrode position v3r to v6r placement : on the right side of the chest in positions corresponding to those on the left ve placement : over the xiphoid process v7 placement : on posterior chest at the left posterior axillary line in the fifth intercostal space v7r placement : on posterior chest at the right posterior axillary line in the fifth intercostal space 126 ecg lead placements 6 ecg, arrhythmia, st and qt monitoring 10 - lead placement when monitoring 12 - leads of ecg, using a 10 - electrode lead placement, it is important to correctly place electrodes and to label all 12 - lead ecg reports with the correct lead placement. conventional 12 - lead ecg 1 - vi - v6 2 - la 3 - ll 4 - rl 5 - ra in conventional 12 - lead ecg using 10 electrodes, an electrode is placed on the right arm, left arm, right leg, and left leg. six v - electrodes are placed on the chest. the right leg electrode is the reference electrode. limb electrodes : - place @topic:8


this time, the light turns green. otherwise, it oes out automatically. • my the light also goes out if the caregivers confirm reception of the alert. [UNK] the bed detects a connection fault ( cable not connected or fault ), a discontinuous signal sounds when the bed exit alert is raised. navicare® system navicare™ is a system used to connect and check hill - rom beds and mattresses. it sends alerts to caregivers. refer to the navicare tm system user manual for more detailed information about the use of this system. securing the patient siderails the hill - [UNK] 900 electric bed is fitted with long detachable metal or integrated half - siderails. [UNK] if the bed was not originally fitted with siderails, the long siderails can be ordered 271b or ad272b. a always ensure that there are no obstacles before raising or lowering a siderail ( e. g., person's limb, objects, accessories ). they are not designed to restrain or immobilize the patient. no containment devices must be fastened to the siderails ( e. g. straps ). a evaluate patients for entrapment risk according to protocol, and monitor patients appropriately. ensure that all siderails are fully latched when in the raised position. [UNK] are intended to show patients where the edges of the bed are. they are not patient - restraining devices. when appropriate, hill - rom recommends that medical personnel determine the proper methods necessary to ensure a patient remains safely in bed without being constantly observed. do not place accessories ( respiratory or other medical devices ) on the siderail in a manner that could prevent the siderail from being lowered when emergency access to the patient is required. the siderails must be handled according to the instructions in al. the ad271b or ad27 @topic:9


# # # issue : - bed cannot be adjusted up or down # # # impact : - patient discomfort - difficulty with patient care # # # possible causes : - faulty remote control - electrical issue with the bed - mechanical issue with the bed # # # recommendations : - replace the remote control - check the electrical connections to the bed - inspect the mechanical components of the bed @topic:1


# # # issue : bed cannot be adjusted # # # impact : patient discomfort, delayed care # # # possible causes : - faulty power supply - broken motor - damaged control panel - faulty wiring - mechanical obstruction # # # recommendations : - check the power supply and ensure it is properly connected. - listen for any unusual noises or vibrations coming from the motor. - inspect the control panel for any visible damage or loose connections. - examine the wiring for any cuts or breaks. - remove any objects or debris that may be obstructing the bed's movement. - consider consulting with a qualified biomedical engineer for further diagnosis and repair. @topic:1


for recordings made at speeds greater or equal to 6. 25 mm / s. this sample recording strip shows a typical initial annotation : recording strip code recording speed measurement numerics patient informa and medical record no. alarms and inops 90din 25 nim / sec hr 120 bpm cci 23 jan 02 10 : 43 bed 3 sp02 95 % etc0 2 40 mmhg green, sarah 37549201 pulse 120 bpm imc0 2 0 mmhg perf 10. 0 awrr _ abp 120 / 70 ( 91 ) mmhg * * * extreme brady pap 28 / 15 / 21 ) mmhg * * abps high nbp 120 / 80 ( 90 ) mmhg 23 jan 02 10 : 31 * * papd high c. o. cco no calibration c. i. _ some ecg alarms off cco -? - 1 / min recording strip code the recording strip code printed in the first line of the initial annotation has up to seven characters, specifying recording type, operating mode, application area, patient category, and delay time, if applicable. 326 sample recording strip 26 recording code meaning recording type 90 realtime 8a delayed ob alarm 91 context ( procedures ) operating mode m monitoring d demo c configuration s service application area i icu o or c ecu n nicu patient category a adult p pediatric n neonatal recorded waveforms a selection of up to three waveforms is recorded, marked with wave labels and wave scale information. wave scale information can be in the form of a calibration bar, like the 1 mv calibration bar for ecg, or calibration steps before the waveform starts. maintaining recording strips recording ink sometimes fades when covered with transparent tape. avoid covering any part of a recording that is clinically relevant ( annotation or waveforms ) when taping @topic:8


value has exceeded the high alarm cpp * cpp lonumeric flashes and low limit ihighlighted, yellow alarm lamp, alarm tone cpp the cpp value has fallen below the low alarm. limit. * * desathe spo2 value has fallen below the desaturation alarm limit. xx denotes the lowest measured value, and yy is the desaturation limit. numeric flashes, red alarm lamp, alarm tone spo2 * * desat xx < y * * ec10 alarm ( on monitor ) ylamp ; the alarm text is defined by e device driver ec10 intellibridge a yellow ( * * ) or red ( * * * ) patient alarm is present on the intellibridge module. check the monitor display for more detailed alarm * * ec10 alart information * end afib yellow alarm lamp, short yelloalarm tone ecg / arrhythmia atrial fibrillation no longer detected for the fib end delay time * end irregular hr ecg / arrhythmiyellow alarm lamp, short yelloalarm tone irregular hr no longer detected fconfigured irregular hr end delay time. the end tidal co2 high alarm limit has been * etco2 hignumeric flashes and high limit ihighlighted, yellow alarm lamp, alarm tone * * etco2 low numeric flashes and low limit ihighlighted, yellow alarm lamp, larm tone the end tidal co2 value has fallen below the ow alarm limit. * etoz hignumeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone the end tidal o2 high alarm limit has been xceeded. * eto2 lothe end tidal o2 value has fallen below the low numeric flashes, and low limit is highlighted, yellow alarm lampalarm tone evenan @topic:8


# # # issue * broken remote control cable for an electric bed # # # impact * inability to adjust the bed's position using the remote control # # # possible causes * physical damage to the cable, such as cuts or breaks * wear and tear over time * poor cable quality * improper handling or storage # # # recommendations * inspect the remote control cable for any visible damage, such as cuts or breaks. * if the cable is damaged, replace it with a new one of the same quality or better. * ensure proper handling and storage of the remote control and cable to minimize future damage. * consider using a surge protector to protect the equipment from voltage spikes and fluctuations. * regular maintenance and inspection can help identify potential issues early and prevent failures. @topic:7


# # # issue - monitor, patient transport, philips, suresigns vs2 is not functioning properly. # # # impact - the device is not able to be used for patient monitoring. # # # possible causes - the cuff is faulty. # # # recommendations - the bme has replaced the cuff and the device is now functioning properly. @topic:15


# # # issue - the bed frame has broken in the middle. # # # impact - the bed is unsafe to use and could cause injury to patients or staff. # # # possible causes - the bed was overloaded. - the bed was not assembled correctly. - the bed was damaged during transport. - the bed has a manufacturing defect. # # # recommendations - inspect the bed frame for any damage. - assemble the bed according to the manufacturer's instructions. - transport the bed carefully. - contact the manufacturer if you suspect a manufacturing defect. @topic:6


. once activated, the night light comes on and changes color according to the height of the sleep surface. • • cpr never allow a non - qualified person to operate this function and check that no obstacles ( e. g., limbs, accessories, objects, power cables ) or persons are under the head section. p this function is used in emergencies ( e. g. : reanimation, cardiac massage ) or in the event of a power cut. it is operated by a handle located centrally and bilaterally under the sleep surface or under the head section, if the bed is fitted with half - siderails. [UNK] head section actuator is automatically re - enabled after the yellow cpr handle is released. never use cpr to raise the head section. failure to connect the equipotential cable may result in corporal injury. arowhen direct intravascular or intracardiac connections are in use, the electric potentials of all the unprotected metal parts need to be equalized. the bed must be connected to the electrical installation. to equalize potentials if a grounded power connection is unavailable, connect the equipotential cable ( ac968a ) to the connection terminal on the bed and the device. equipotential cable ( ad968a ) it is fitted with two poag - wb 6 din type connectors and a 2 m long yellow and green cable. a urse [UNK] * use the controls on the patient keypads, the caregiver keypads or the control ate the " nurse call " function. [UNK] that the cable connecting the bed to the hospital's communications to activate : press a nurse call control. • the light under the nurse call symbol flashes for 1 minute. if • time, the light turns green. otherwise, it goes out automatically. the light goes out if the caregivers confirm @topic:9


# # # issue - equipment malfunction # # # impact - inability to use the medical cart properly - potential safety hazard # # # possible causes - loose connection between the power cord and the motherboard - faulty motherboard - faulty battery # # # recommendations - ensure that the power cord is securely connected to the motherboard. - test the motherboard to identify any faults. - replace the battery if it is faulty. @topic:13


, troubleshooting steps, and corrective actions taken for future reference and tracking. @topic:12


# # # issue - * * cuff bp deterioration * * - the cuff bp has deteriorated and needs to be replaced. # # # impact - * * inaccurate blood pressure readings * * - the cuff bp is responsible for measuring blood pressure, so if it is deteriorated, it will not be able to provide accurate readings. this could lead to incorrect diagnoses and treatment decisions. # # # possible causes - * * normal wear and tear * * - cuff bp's are made of rubber and other materials that can deteriorate over time, especially with frequent use. - * * improper use * * - cuff bp's should be used according to the manufacturer's instructions. if they are used incorrectly, they can be damaged. - * * defects * * - in some cases, cuff bp's may be defective from the factory. # # # recommendations - * * regular inspection * * - cuff bp's should be inspected regularly for signs of deterioration. - * * proper use * * - cuff bp's should be used according to the manufacturer's instructions. - * * replacement * * - cuff bp's should be replaced when they show signs of deterioration or if they are not working properly. @topic:3


# # # issue - bed spring came off, causing the bed rails to be unable to be lowered. # # # impact - patient safety : the bed rails are essential for preventing falls and other injuries. with the bed rails unable to be lowered, the patient is at increased risk of falling out of bed. - patient comfort : the bed rails can also be used to help patients get in and out of bed. with the bed rails unable to be lowered, the patient may have difficulty getting in and out of bed, which can lead to discomfort and pain. - staff efficiency : the bed rails can also be used to help staff move patients. with the bed rails unable to be lowered, staff may have difficulty moving patients, which can lead to delays in care. # # # possible causes - the spring may have been damaged or dislodged due to excessive force being applied to the bed rails. - the spring may have been damaged or dislodged due to wear and tear. - the spring may have been improperly installed. # # # recommendations - inspect the bed rails and the spring for any damage or dislodgement. - if the spring is damaged or dislodged, replace it. - if the spring is properly installed, but continues to come off, consult with the manufacturer for further assistance. @topic:6


# # # cause of failure : insufficient ac voltage to power supply. # # # recommendations - ensure that the ac voltage to the power supply is within the required range. - check that the power supply is connected to a stable and reliable power source. - if the issue persists, contact the manufacturer for further assistance. @topic:12


# # # issue the monitor is not working due to a battery issue. # # # impact the patient's vital signs cannot be monitored, which could lead to a delay in diagnosis or treatment. # # # possible causes - the battery is dead or dying. - the battery is not making good contact with the terminals. - the battery is not the correct type for the monitor. # # # recommendations - replace the battery with a new one. - make sure the battery is making good contact with the terminals. - use the correct type of battery for the monitor. @topic:11


# # # issue * * vital signs monitor sat probe failure * * # # # impact * * patient monitoring is compromised due to inaccurate or missing saturation readings. * * # # # possible causes * * * * - damaged or loose sat probe connection - defective probe cable - faulty sensor in the probe - interference from other medical devices, such as an electrocautery unit - settings issue on the monitor # # # recommendations * * * * - visually inspect the sat probe and probe cable for any damage or loose connections. - try connecting a different sat probe to the monitor to rule out any issues with the probe itself. - ensure the monitor is properly grounded and shielded from potential sources of interference. - check if the sensor is properly seated within the probe. - verify the monitor settings for the sat probe, such as the sampling rate and alarm limits. @topic:4


# # # issue - cuff bp of monitor suresigns vs2 is deteriorated. # # # impact - patient's vital signs cannot be measured accurately. # # # possible causes - cuff bp is not properly maintained. - cuff bp is used beyond its lifespan. - cuff bp is damaged due to improper handling. # # # recommendations - replace the cuff bp with a new one. - train staff on proper maintenance and handling of cuff bp. - establish a regular maintenance schedule for cuff bp. @topic:5


inspired minute range 0. 01 to 5 1 / min ( neonatal ) volume numeric 0. 06 to 30 1 / min ( pediatric ) ( mvin ) 0. 4 to 60 1 / min ( adult ) resolution 0. 01 1 / min ( neonatal / pediatric ) 0. 1 1 / min ( adult ) 443 38 installation and specifications measurement specifications spirometry performance specifications expired minute volume numeric ( mvexp ) range 0. 01 to 5 1 / min ( neonatal ) 0. 06 to 30 1 / min ( pediatric ) 0. 4 to 60 1 / min ( adult ) resolution 0. 01 1 / min ( neonatal / pediatric ) 0. 1 1 / min ( adult ) inspired volume numeric ( tvin ) range 5 to 100 ml ( neonatal ) 30 to 400 ml ( pediatric ) 200 to 3000 ml ( adult ) resolution 1 ml ( neonatal / pediatric ) ) 10 ml ( adult ) expired volume numeric ( tvexp ) range 5 to 100 ml ( neonatal ) 30 to 400 ml ( pediatric ) 200 to 3000 ml ( adult ) resolution 1 ml ( neonatal / pediatric ) 10 ml ( adult ) lung compliance numeric range 0 to 500 ml / cmh 2 0 resolution 1 ml / cmp ^ o airway resistance numeric range 0 to 500 cmh 2 0 / l / s ( neonatal ) 0 to 250 cmh 2 0 / l / s ( pediatric ) 0 to 100 cmh 2 0 / l / s ( adult ) resolution 1 cmh 2 0 / l / s peak inspiratory pressure numeric ( pip ) range 0 to 120 cmh 2 0 resolution 1 citlh 2 o negative inspiratory pressure numeric range - 20 to 0 cmh 2 0 resolution 1 cmh20 mean airway pressure range 0 to 120 cmh 2 0 resolution 1 citlh @topic:17


after silencing, the inop reappears every 10 seconds until a battery is loaded. 100 monitoring time available : while the mp2 / x2 is running on battery power, a time is displayed below the battery power gauge. no time is displayed when the mp2 / x2 is running on external power via a host monitor or the external power supply ( m8023a ). this is the estimated monitoring time available with the current battery power. note that this time fluctuates depending on the system load ( the display brightness and how many measurements you carry out ), the age of the battery, and the remaining capacity of the battery. battery status window ^ to access the battery status window and its associated pop - up keys, select the battery status information on the screen, or select main setup - > battery. capacity, remaining tells you how much power is left in the battery. capacity, full charge tells you how much power the battery can hold when fully charged. time to empty tells you approximately how long you can continue to use the monitor with this battery. note that this time fluctuates depending on the system load ( the display brightness and how many measurements and recordings you carry out ), the age of the battery, and the remaining capacity of the battery. time to full isshown in place of time to empty if the mp2 / x2 is connected to mains power via a host monitor or the m8023a external power suppply, and tells you how much time is left until the battery is charged to 90 %. please allow indication to stabilize for 3 to 5 minutes after beginning the charging cycle. if the battery is charged over 90 % battery full ( > 90 % ) is displayed until they are charged to 100 %. then batt fully charged is displayed. you can use the m8043a smart battery charger to charge the batteries externally @topic:11


refer to the same patient " on 3 4 new patient - see " patient mismatch - if neither patient data set is correct " on page 118. 4 after you resolve the mismatch, the monitor displays a confirmation window that shows the patient that has been selected and where data will be erased, if applicable. confirm your choice. the monitor automatically displays the patient demographics window after confirmation. verify that the settings shown are correct for the patient. patient mismatch - if neither patient data set is correct a patient mismatch where neither set of patient data is correct might occur if you connect a new mms to a monitor in order to prepare for a new patient, before you actually start measuring. select new patient if you are sure that none of the information is correct. this uses the bed, monitor and mms for a new patient, erases all data in both the monitor and mms, resets all settings to the default profile, and lets you admit a new patient. patient mismatch - if both patient data sets refer to the same patient a patient mismatch where both sets of patient data are correct might occur if you admit a new patient at the monitor ( or information center ) before the patient arrives at your unit and then connect the mms that was used during the patient transport to the monitor. select same patient if the patient information is different, but you are sure it is the same patient. this merges the demographics and updates them in the information center, monitor, and mms, according to this table. be aware that your monitor may be configured to merge trend data from the mms and the monitor, and to upload measurement settings from the mms to the monitor. patient information this information is taken from... atient namthe monitor, if the patient was admitted there. for centrally - admitted patients, this information is taken from the information center. @topic:10


# # # issue - cuff is damaged # # # impact - patient monitoring may be inaccurate or unreliable - patient safety may be compromised # # # possible causes - cuff is old and worn out - cuff has been damaged by patient or staff - cuff has been improperly inflated or deflated - cuff is the wrong size for the patient # # # recommendations - replace the cuff with a new one - inspect the cuff regularly for any signs of damage - train staff on proper cuff inflation and deflation techniques - ensure that the cuff is the correct size for the patient @topic:5


# # # issue - cuff leak # # # impact - inaccurate blood pressure readings - patient safety risk # # # possible causes - cuff damage - loose or damaged tubing - improper cuff application # # # recommendations - inspect the cuff and tubing for damage or leaks. - replace the cuff if damaged. - tighten or replace loose tubing. - ensure proper cuff application according to manufacturer's guidelines. - regularly calibrate the equipment to ensure accurate readings. @topic:3


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* * issue : * * vital signs monitor's o2 sensor failing to clamp. * * impact : * * accurate oxygen saturation readings cannot be obtained. * * possible causes : * * * * * defective spring : * * a faulty spring may have prevented the sensor from clamping properly. * * * loose connections : * * poor connections between the sensor and the monitor could have caused intermittent or unreliable readings. * * * foreign object : * * debris or other objects may have obstructed the sensor's ability to clamp. * * * mechanical failure : * * internal components of the sensor, such as gears or motors, may have malfunctioned. * * * software glitch : * * software errors could have prevented the sensor from functioning correctly. * * recommendations : * * * * * inspect the spring : * * examine the spring for any damage or defects, and replace if necessary. * * * check connections : * * ensure that all connections between the sensor and the monitor are secure and not loose. * * * clean the sensor : * * remove any debris or foreign objects that may be obstructing the sensor. * * * test the sensor : * * perform thorough testing to verify that the sensor is clamping properly and providing accurate readings. * * * update the software : * * if possible, update the monitor's software to address any known software glitches that may affect the sensor's operation. @topic:4


# # # issue - malfunctioning patient monitor # # # impact - inability to accurately monitor patient's vital signs during transport # # # possible causes - faulty cuff - damaged connecting cable - software glitch - hardware failure # # # recommendations 1. * * verify the cuff : * * ensure that the cuff is securely attached to the patient and that the bladder is inflated to the appropriate pressure. 2. * * inspect the connecting cable : * * check for any visible damage or loose connections. 3. * * restart the device : * * turn the device off and on again to reset the software. 4. * * contact the manufacturer : * * if the issue persists, contact the manufacturer for technical support or to request a replacement device. @topic:15


# # # issue - medical cart is unable to encode. # # # impact - delays in patient care due to slow or inaccurate data entry. # # # possible causes - port 9001 conflict. # # # recommendations - * * short - term : * * - techcian has already resolved the issue by updating the software and testing the device. - * * long - term : * * - establish a process to prevent port conflicts in the future. - regularly monitor the device to identify any potential issues. @topic:13


# # # issue - bed is missing. # # # impact - patient care may be delayed or compromised. # # # possible causes - bed was borrowed without authorization. - bed was stolen. - bed was damaged and discarded. # # # recommendations - implement a system to track the location of all medical devices. - educate staff on the importance of not borrowing medical devices without authorization. - improve security measures to prevent theft. - establish a process for reporting damaged medical devices. @topic:24


# # # issue - the bed's side rails are not able to be raised. # # # impact - the patient may be at risk of falling out of bed. # # # possible causes - the side rail lock is not properly engaged. - the side rail motor is not functioning properly. - the side rail track is damaged. # # # recommendations - check the side rail lock to make sure it is properly engaged. - if the side rail lock is properly engaged, test the side rail motor by trying to raise and lower the side rails. - if the side rail motor is not functioning properly, replace the motor. - if the side rail track is damaged, replace the track. @topic:6


# # # issue - monitoring equipment is not functioning properly. # # # impact - delays in patient care due to lack of accurate monitoring data. # # # possible causes - the replacement telemetry equipment provided by the company may be faulty or incompatible with the existing system. - the telemetry equipment was moved to another department ( 6r ) without proper testing and setup. # # # recommendations - verify that the replacement telemetry equipment is functioning correctly and compatible with the existing system. - ensure that the telemetry equipment is properly tested and set up in the appropriate location. @topic:2


# # # issue - the bed's side rails cannot be lowered. # # # impact - the patient cannot get out of bed safely. - the patient may be injured if they fall out of bed. # # # possible causes * * * the side rails are damaged. * * * * * the side rails are not properly aligned. * * * * * the side rails are not properly secured. * * * * * the bed's motor is not working properly. * * * * * the bed's controller is not working properly. * * # # # recommendations * * * inspect the side rails for damage. * * * * * make sure the side rails are properly aligned. * * * * * make sure the side rails are properly secured. * * * * * test the bed's motor and controller. * * * * * if necessary, replace the damaged side rails, motor, or controller. * * @topic:6


# # # issue - bed gaurd broken, causing wheels to fall off # # # impact - bed is unsafe for patient use - patient could fall out of bed # # # possible causes - bed gaurd was not properly secured - bed gaurd was damaged due to mishandling or overuse # # # recommendations - inspect bed gaurds regularly for damage - properly secure bed gaurds when in use - handle beds with care to avoid damaging bed gaurds @topic:6


and etvi values ( picco only ) when deciding on an injectate volume and temperature, you must consider your patient's ideal body weight ( ibw ) and extra - vascular thermal volume index ( etvi ). ibw is based on the patient category, gender and height that you have entered for the patient. the calculated ibw is displayed in the window that opens when select the injvol field. you the dilution of injectate is influenced by extravascular tissue and fluid. the accuracy of the picco method may be reduced in patients with high extra - vascular thermal volume index ( etvi ) values. usthe table below as a guide in selecting the correct injectate temperature. as shown in the table, if your patient has an etvi > 10, you must use cold injectate. weight use the table below as a guide in choosing an injectate volume appropriate for the patient weight. old injectatroom temperature injectate bw etvi < 10 etvi ≥ 10 etvi < 10 etvi ≥ 10 use cold injectat3 kml 2 ml 2 ml 10 km3 ml 3 ml 25 kml 3 ml 50 k10 ml 5 ml 10 ml 100 k10 ml 15 ml 15 ml 100 k20 ml 20 ml 15 ml c. o. / cco curve alert messages after each measurement trial, the monitor analyzes the thermodilution curve. if the curve appears abnormal, a curve alert message appears in the procedure window. a question mark symbol ( "? " ) may appear next to the cardiac output numeric if any of these messages appear. the curve alert messages ssages and do not necessarily mean that the measured values are invalid.. o. / cco curvpossible causes messages the tinjectate is out of the range - 1°c and 30°c. cool @topic:17


# # # issue broken leg adjustment mechanism on ob & gyn electric bed # # # impact inability to adjust the bed's height, compromising patient comfort and staff ergonomics. # # # possible causes - * * excessive weight or force on the adjustment mechanism : * * overloading the bed or applying excessive force to the leg adjustment mechanism can cause it to break. - * * mechanical wear and tear : * * over time, repeated use of the adjustment mechanism can lead to wear and tear, weakening the components and eventually causing a breakage. - * * design flaw or manufacturing defect : * * in some cases, a design flaw or manufacturing defect can make the adjustment mechanism more susceptible to breakage. # # # recommendations - * * inspect the bed regularly : * * perform regular inspections of the bed, paying attention to the condition of the leg adjustment mechanism and other components. - * * avoid overloading the bed : * * ensure that the bed is not overloaded with patients or equipment, and avoid applying excessive force to the adjustment mechanism. - * * properly maintain the bed : * * follow the manufacturer's instructions for maintenance and lubrication of the bed, including the leg adjustment mechanism. - * * consider a replacement : * * if the broken adjustment mechanism cannot be repaired, consider replacing the bed with a new or refurbished unit to ensure patient safety and staff ergonomics. @topic:1


# # # issue - change of battery # # # impact - the device may not function properly or may not have enough power to operate effectively. # # # possible causes - the battery may not be compatible with the device. - the battery may not be properly installed. - the battery may be defective or worn out. # # # recommendations - ensure that the battery is compatible with the device. - properly install the battery according to the manufacturer's instructions. - test the battery to ensure that it is functioning properly. - regularly maintain the battery by charging it according to the manufacturer's instructions. @topic:11


monitor should be observed to verify normal operation. if abnormal performance is observed, additional measures are necessary, such as re - orienting or relocating the suresigns vs3 vital signs monitor.? over the frequency range 150 khz to 80 mhz, field strengths should be less than 3 v / m. recommended separation distances the suresigns vs4 vital signs monitor is intended for use in an electromagnetic environment in which radiated rf disturbances are controlled. the customer or the user of the product can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile rf communications equipment ( transmitters ) and the product as recommended below, according to the maximum output power of the communications equipment. table b - 4 recommended separation distances between portable and mobile rf communication equipment and the suresigns vs3 vital signs monitor frequency of transmitter 150 khz to 80 mhz 80 to 800 mhz 800 mhz to 2. 5 ghz equation a - [ a eda + l rated maximum output power of transmitter separation distance ( d ) separation distance ( d ) separation distance ( d ) ( watts ) ( meters ) ( meters ) ( meters ) 0. 01 0. 12 0. 12 0. 23 0. 1 0. 37 0. 37 0. 74 1 1. 17 1. 17 2. 33 10 3. 69 3. 69 7. 38 100 11. 67 11. 67 23. 33 for transmitters rated at a maximum output power not listed above, the separation distance d can be estimated, in meters, using the equation in the corresponding column, where p is the maximum output power rating of the transmitter in watts according to the transmitter ’ s manufacturer. these guidelines may not apply in all situations. electromagnetic propagation is affected by absorption and reflection from structures, objects and people. electromagnetic compatibility suresigns vs4 service guide b - 5 electromagnetic compatibility b - 6 suresigns vs4 service guide index a absolute charge, 2 @topic:10


# # # issue : faulty casters # # # impact : - reduced maneuverability of the equipment - potential safety hazard for healthcare staff and patients - restricted mobility of the equipment within the healthcare facility # # # possible causes : - wear and tear due to frequent use - poor maintenance and lubrication - impact damage or collision - manufacturing defects # # # recommendations : - regular inspection and preventive maintenance of the equipment, including the casters - proper handling and storage to prevent accidental damage - prompt replacement of worn or damaged casters - contact the manufacturer or authorized service provider for repairs or replacement as necessary - consider using anti - static wheels to reduce the risk of electrical interference or static buildup @topic:24


# # # issue the cause of failure in the given input is that the scanner is not working. # # # impact the impact of this failure is that the vital signs monitor cannot receive data from the scanner. this could lead to inaccurate or incomplete patient data, which could have serious consequences for the patient's care. # # # possible causes there are several possible causes for this failure, including : - the scanner is not properly connected to the monitor. - the scanner is not turned on. - the scanner is not properly calibrated. - the scanner is defective. # # # recommendations to resolve this issue, the biomedical engineer should : 1. check the connection between the scanner and the monitor. 2. turn on the scanner. 3. calibrate the scanner. 4. if the scanner is still not working, replace the scanner. @topic:22


# # # issue : - mouse not functioning. # # # impact : - inability to use the computer effectively. # # # possible causes : - batteries inserted upside down. # # # recommendations : - check the polarity of the batteries and insert them correctly. - inspect the mouse for any other damage or loose connections. - test the mouse on a different computer to rule out any software issues. @topic:30


# # # issue - cuff failure # # # impact - inability to measure vital signs accurately # # # possible causes - worn or damaged cuff due to friction and tearing - degraded or loose material on the velcro strap # # # recommendations - inspect the cuff regularly for signs of wear or damage. - replace the cuff if it shows signs of deterioration. - ensure the velcro strap is fastened securely to prevent excessive strain on the cuff material. @topic:5


# # # issue - spo2 sensor is not detecting saturation # # # impact - inaccurate or missing spo2 readings, which are critical for patient monitoring and assessment # # # possible causes - faulty spo2 sensor or cable - loose or disconnected spo2 sensor - patient movement or vibration - interference from other devices or equipment # # # recommendations - check the spo2 sensor and cable for any damage or loose connections. - ensure the sensor is securely attached to the patient's finger or earlobe. - minimize patient movement or vibration during measurements. - identify and eliminate any potential sources of interference, such as other medical devices or electromagnetic fields. @topic:4


# # # issue - ekg interference # # # impact - inaccurate ekg readings - misdiagnosis or delayed diagnosis - patient harm # # # possible causes - loose or damaged ekg cables - dry or dirty ekg electrodes - electrical interference from other devices - problem with the ekg monitor itself # # # recommendations - inspect ekg cables and electrodes for damage or wear - clean ekg electrodes with alcohol swabs - move other electrical devices away from the ekg monitor - test the ekg monitor using a known - good ekg signal - if the problem persists, contact the manufacturer for service @topic:18


# # # issue - loose headboard lock # # # impact - patient safety hazard - discomfort or injury to patient # # # possible causes - wear and tear - faulty lock design - improper maintenance # # # recommendations - replace the headboard lock - inspect and maintain the lock regularly - train staff on proper use and maintenance of the bed @topic:6