# # # issue - failure of physiologic monitor due to broken spo2 cable. # # # impact - patient monitoring may be interrupted or inaccurate, which could have serious consequences. # # # possible causes - physical damage to the cable, such as cuts or crimps. - wear and tear over time. - poor maintenance of the equipment. # # # recommendations - regularly inspect the spo2 cable for damage and replace it if necessary. - handle the cable with care to prevent damage. - follow the manufacturer's maintenance guidelines for the equipment. @topic:4


# # # issue - at the leg rest of the patient does not lock into place # # # impact - the patient may not be able to get into a comfortable position for the procedure. - the patient may be at risk of falling if the leg rest does not lock into place. # # # possible causes - the locking mechanism may be broken or damaged. - the leg rest may not be properly aligned with the locking mechanism. - there may be something blocking the locking mechanism from engaging. # # # recommendations - inspect the locking mechanism for any damage or breakage. - make sure that the leg rest is properly aligned with the locking mechanism. - remove any objects that may be blocking the locking mechanism from engaging. @topic:6


# # # issue base of the device came off / loose. # # # impact the device may not be stable and may fall, causing damage to the device or injury to the patient or staff. # # # possible causes - loose or missing screws that hold the base in place. - damage to the base or the area where it attaches to the device. # # # recommendations - check all screws that hold the base in place and tighten them if necessary. - inspect the base and the area where it attaches to the device for any damage. if damage is found, the part should be replaced. - if the problem persists, contact the manufacturer for assistance. @topic:12


# # # issue - intermittent spo2 signal acquisition # # # impact - inaccurate patient monitoring - potential for delayed or missed diagnosis and treatment # # # possible causes - loose or dirty connectors - damaged cables - faulty sensors - software issues # # # recommendations - check and clean connectors - inspect cables for damage - replace damaged sensors - update software if necessary - ensure proper training and handling of equipment @topic:4


# # # issue - broken remote control for the electric bed. # # # impact - difficulty adjusting the bed's position for patients and healthcare providers. - patient discomfort and potential safety hazards. # # # possible causes - * * remote control malfunction : * * this can be due to electronic failure, physical damage, or software issues. - * * loose or damaged wiring : * * the wiring between the remote control and the bed may be loose, damaged, or disconnected, preventing communication. - * * power issues : * * the remote control or the bed may not be receiving sufficient power to function properly. - * * bed motor failure : * * the motor that adjusts the bed's position may have malfunctioned, causing the remote control to become ineffective. - * * software bugs : * * if the bed or remote control uses software to control its functionality, bugs or glitches in the software can lead to malfunction. # # # recommendations 1. * * inspect the remote control : * * visually inspect the remote control for any physical damage or signs of wear and tear. check the batteries or power source to ensure they are functioning properly. 2. * * check the wiring : * * inspect the wiring between the remote control and the bed. look for any loose connections, damaged insulation, or frayed wires. tighten or replace loose connections as necessary. 3. * * test the power supply : * * verify that the bed and remote control are receiving sufficient power by checking the electrical outlets and connections. ensure that the proper voltage and amperage are being supplied. 4. * * check the bed motor : * * if the remote control is functioning properly but the bed is not responding, the bed motor may be malfunctioning. consult a qualified technician to diagnose and repair the motor. 5. * * update software : * * if possible @topic:7


# # # issue : - failed central monitor ( monitors, physiologic, central station ) - model : hewlett packard m3150a # # # impact : - unable to monitor patient's vital signs accurately - potential delay in patient care # # # possible causes : - * * age of the equipment : * * the monitor is over 10 years old, which exceeds the expected lifespan of medical devices. - * * discontinued parts : * * the manufacturer has discontinued producing spare parts for this model, making it difficult to repair. # # # recommendations : - * * replace the monitor : * * acquire a new central monitor to ensure optimal patient monitoring capabilities. - * * consider preventive maintenance : * * implement a regular maintenance schedule to identify and address potential issues before they become major failures. - * * explore alternative repair options : * * investigate if third - party vendors or independent repair technicians can provide repair services using compatible parts. - * * establish a budget for equipment replacement : * * plan for the eventual replacement of aging medical devices to avoid service disruptions. @topic:2


# # # issue - technician found loose power plug during inspection. - bed is unable to adjust. # # # impact - inability to use the bed for patient care. # # # possible causes - loose connection in the power cord or outlet. - faulty or damaged power cord. - malfunctioning power supply unit within the bed. - issue with the bed's control system or motor. # # # recommendations - ensure that the power cord is securely plugged into both the bed and the wall outlet. - inspect the power cord for any visible damage or wear and tear. - if the power cord is damaged, it should be replaced. - check the power supply unit within the bed for any loose connections or damaged components. - if the issue persists, further troubleshooting of the bed's control system or motor may be necessary. @topic:9


# # # issue - equipment failure, specifically with the medical cart # # # impact - inability to use the medical cart, potentially affecting patient care # # # possible causes - software issue related to port 9001, as identified by the biomedical engineer ( bme ) - other hardware or software malfunctions within the medical cart # # # recommendations - verify the bme's diagnosis by thoroughly testing the medical cart and its software - contact the manufacturer ( bdms ) for further technical support and guidance - implement regular maintenance and software updates to prevent similar issues in the future - consider using a redundant system or backup device to minimize downtime in the event of future failures @topic:13


* * # # # issue : * * monitor / central station printer failure * * # # # impact : * * inability to print patient records, reports, or other essential documents. * * # # # possible causes : * * - * * paper / toner depletion : * * the printer may run out of paper or toner, causing printing to stop. - * * network connectivity issues : * * if the printer is connected to a network, network problems may prevent it from communicating with the monitor / central station. - * * software glitches : * * software errors or updates may cause the printer to malfunction. - * * hardware component failure : * * a hardware component within the printer, such as the printhead or fuser, may fail. * * # # # recommendations : * * 1. * * check paper / toner : * * verify that the printer has sufficient paper and toner. replace if necessary. 2. * * troubleshoot network : * * ensure that the network connection is stable. check for any loose cables or connectivity issues. 3. * * restart printer : * * turn the printer off and back on. this may clear any software glitches. 4. * * check printer settings : * * verify that the printer is properly configured for the monitor / central station. 5. * * contact manufacturer : * * if the above troubleshooting steps do not resolve the issue, contact the printer manufacturer for technical support. they may be able to diagnose and provide repair instructions for the hardware component failure. @topic:28


* * issue : * * medical cart display not showing anything * * impact : * * the medical cart cannot be used for its intended purpose, such as transporting patients or storing medical supplies. * * possible causes : * * - the display itself is faulty. - the connection between the display and the cart is loose or damaged. - the power supply to the cart is interrupted. - the software on the cart is corrupted. * * recommendations : * * - inspect the display for any physical damage. - check the connections between the display and the cart. - ensure that the cart is plugged into a power outlet and that the power cord is not damaged. - contact the manufacturer for assistance if the issue cannot be resolved by following the above steps. @topic:13


charger, insert the battery into the battery adapter and then insert the battery with adapter into the smart battery charger. conditioning a battery what is battery conditioning? battery conditioning recalibrates the battery to ensure that it has accurate information on the actual battery capacity. why is battery conditioning necessary? the capacity of a battery decreases gradually over the lifetime of a battery. each time a battery is charged its capacity decreases slightly. therefore, the operating time of a monitor running on batteries also decreases with each charge cycle. battery conditioning ensures that the value stored in the battery for its full capacity takes account of this decrease, so that the remaining battery charge can be calculated accurately, and the low battery warning given at the right time. when should battery conditioning be performed? battery conditioning should be performed when indicated by the battery status. note when the battery status signals a conditioning request, the displayed time to full ortime to empty may not be reliable. 105 what causes the conditioning message on the monitor? in addition to the value for the full capacity, the battery also stores a value for the max error. the max error tracks the maximum possible deviation of the estimated charge of a battery from the actual charge. if a battery is charged or discharged partially, or if it is charged while the monitor is being used, the accuracy of the “ reference points ” for the fully discharged and fully charged states decreases, causing an increase in the value for the max error ( see diagram, below ). when the max error rises over a certain limit, a message is displayed prompting the user to condition the battery, as described in conditioning batteries ( on page 106 ). pep bpp pee eee eee eal 100 oo charge n 7 discharging = [ 2 8 ve www vp yd ® d m l e charging o = e : e mon - max error a ai ai a ( alama ceres sala a lasi @topic:11


# # # issue * the remote control for the electric bed is not functioning properly. # # # impact * the patient is unable to adjust the bed to a comfortable position. * the nursing staff may have difficulty positioning the patient. # # # possible causes * the remote control may be damaged. * the batteries in the remote control may be dead. * the wiring between the remote control and the bed may be faulty. * the bed may not be responding to the remote control commands. # # # recommendations * check the remote control for any visible damage. * replace the batteries in the remote control. * inspect the wiring between the remote control and the bed. * test the bed by using the manual controls. * if the problem persists, contact the manufacturer of the bed for further assistance. @topic:7


sn xxse000001 ref : et315axxxxxxx ; et315 = module wcm ; a = revision ; xxxxxxx = a unique 7 - figure numerical code according configuration. • wcm module positioning on installation or after cleaning ( if it has been removed ), it is necessary to place the unit in the intended location and respecting cable routing : to maintain the wi - fi performance, • to not disturb the scale operation, • to avoid creating new entrapment areas. • connection information this information can be found on the label on the side of the unit miit id : 2020aj1915 cthis device complies with part 15 of the fcc rules. operation is subject to the following two conditions : ( 1 ) this device may not cause harmful interference, and ( 2 ) this device must accept any interference received, including interference that may cause undesired operation. contains : fcc id : z64 - wl18dbmod contains : ic id : 4511 - wl18dbmod mac : xx : xx : xx : xx : xx : xx ce oman - tra r / 9321 / 20 omplies with imda standards da108267 t013092 i this device complies with part 15 on the fcc rules. operation is subject to the following two condition : ( 1 ) this device may not cause harmful interference, and ( 2 ) this device must accept any interference received, including interference that may cause undesired operation. installation initialization : when the device is connected to the interface board, the on / off indicator light is red and the other indicator lights remain off for about 8 seconds the on / off indicator light is red and the other indicator lights flash red, then green, then go off, and so on, during the initialization cycle. 1. 2. the bed recognizes the @topic:10


# # # issue the blood pressure ( bp ) readings from the philips suresigns vs4 vital signs monitor are inaccurate. # # # impact inaccurate bp readings can lead to incorrect diagnosis and treatment decisions. this can have serious consequences for patients, especially those with cardiovascular conditions. # # # possible causes * * * defective bp transducer : * * the transducer is the part of the monitor that measures blood pressure. if the transducer is defective, it can send inaccurate readings to the monitor. * * * clogged or kinked bp tubing : * * the bp tubing is the hose that connects the transducer to the patient's arm. if the tubing is clogged or kinked, it can restrict blood flow and lead to inaccurate readings. * * * improper cuff size : * * the bp cuff is the inflatable part of the monitor that is placed around the patient's arm. if the cuff is too small or too large, it can lead to inaccurate readings. * * * patient factors : * * certain patient factors, such as arrhythmias or irregular heartbeats, can affect the accuracy of bp readings. # # # recommendations * * * inspect the bp transducer for any signs of damage or wear. * * * * * check the bp tubing for any clogs or kinks. * * * * * measure the patient's arm circumference and use the correct cuff size. * * * * * take multiple bp readings and compare the results. * * * * * if the bp readings are still inaccurate, refer the monitor to the manufacturer for service. * * @topic:15


# # # issue - excessive noise after adjustment # # # impact - potential patient discomfort or interference with patient care # # # possible causes - loose or worn components - improper adjustment - interference with electrical components # # # recommendations - inspect the equipment for any loose or worn components and tighten or replace as necessary. - ensure that the equipment is adjusted according to manufacturer's specifications. - check the electrical connections and ensure that they are secure and not causing any interference. - if the issue persists, consult with the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:24


* * cause of failure : battery deterioration * * * * issue : * * - device battery is degraded, leading to reduced performance or inability to operate. * * impact : * * - reduced reliability and performance of the device. - potential downtime during critical situations, such as patient transport. * * possible causes : * * - repeated charging and discharging cycles over time. - exposure to extreme temperatures or harsh environmental conditions. - manufacturing defects or natural aging processes. * * recommendations : * * - replace the battery with a compatible, approved spare part. - regularly monitor battery health and replace it as recommended by the manufacturer. - follow proper charging and storage procedures to prolong battery life. - ensure that the device is used within specified environmental parameters. @topic:11


# # # issue the cause of failure is not specific enough. # # # impact the impact of the failure is not known. # # # possible causes the possible causes of the failure could be : - the batteries were not properly installed. - the batteries were not the correct type. - the batteries were not fully charged. - the battery terminals were not clean. - the battery connections were not tight. # # # recommendations the following recommendations could help prevent the failure from happening again : - make sure that the batteries are properly installed. - use the correct type of batteries. - fully charge the batteries before using them. - clean the battery terminals. - tighten the battery connections. @topic:11


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : equipment screen turned black and unresponsive. # # # impact - the medical cart is essential for patient care and its failure can disrupt medical procedures. # # # possible causes - software or hardware failure - loose or disconnected cables - power supply issues - overheating # # # recommendations - * * troubleshooting : * * - check if the power supply is connected securely. - check for loose or disconnected cables. - try resetting the equipment by unplugging and replugging it. - check for any physical damage or overheating. - * * technical support : * * - if troubleshooting fails, contact technical support for further assistance. - provide detailed information about the issue, including error messages or observations. - * * preventative maintenance : * * - regularly inspect and service the medical cart to prevent future failures. - update software and firmware as recommended by the manufacturer. - train staff on proper equipment handling and maintenance procedures. @topic:13


* * confirm that the nibp monitor is set up correctly for measuring spo2, including the correct patient type and finger placement settings. - * * eliminate interference : * * identify and minimize potential sources of electromagnetic interference by relocating equipment or using appropriate shielding measures. - * * assess patient factors : * * evaluate the patient's circulation and perfusion status. if necessary, warm the extremities or reposition the finger to improve the spo2 measurement. - * * consult with a biomedical engineer : * * if the issue persists after implementing the troubleshooting steps above, consult with a qualified biomedical engineer for further diagnosis and repair. @topic:4


# # # issue - remote control failure of bed, electric, huntleigh contoura 390 # # # impact - inability to operate the bed using the remote control # # # possible causes - defective remote control # # # recommendations - replace the remote control @topic:7


screws ( i ) from the retainers ( k ) ( see figure 4 - 12 on page 4 - 25 ). b. remove the retainers ( k ). c. remove the three screws ( l ) that attach the power supply cover ( m ) to the power supply ( n ). d. remove the power supply cover ( m ). note : the power supply cover is connected to the power supply rc. board by the battery cable. e. disconnect the battery cable from the power supply rc. board. f. remove the power supply cover ( m ) from the bed. page 4 - 24 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 7 knee section motor chapter 4 : removal, replacement, and adjustment procedures figure 4 - 12. b model beds 8. on the power supply p. c. board, disconnect the knee section motor connector ( number 5 ). 9. remove the cable cover on the central rail and remove the knee section motor cable. 10. remove the knee section motor cable from the bed. 11. remove the e - ring ( e ) from the rod end pin ( f ) ( see figure 4 - 13 on page 4 - 26 ). 12. remove the e - ring ( g ) from the motor end pin ( h ). 13. while supporting the motor ( j ), remove the rod end pin ( f ). 14. while supporting the motor ( j ), remove the motor end pin ( h ). 15. remove the knee motor ( j ) from the bed. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 25 4. 7 knee section motor chapter 4 : removal, replacement, and adjustment procedures figure 4 - 13. knee motor replacement 1. perform the removal procedure in reverse order @topic:26


# # # issue the ekg cable is not detecting values. # # # impact this issue can prevent accurate monitoring of the patient's heart rate and rhythm. # # # possible causes * the ekg cable may be damaged. * the ekg cable may not be properly connected to the monitor or to the patient. * the patient may have a skin condition that is interfering with the ekg signal. # # # recommendations * inspect the ekg cable for damage. if the cable is damaged, it should be replaced. * ensure that the ekg cable is properly connected to the monitor and to the patient. * clean the patient's skin at the electrode sites to remove any dirt or oil that may be interfering with the ekg signal. * if the problem persists, contact technical support. @topic:18


# # # issue - decreased blood pressure readings - broken connector - cuff deterioration # # # impact - inaccurate blood pressure readings - inability to take blood pressure measurements - increased risk of patient harm due to inaccurate readings # # # possible causes - cuff size mismatch - cuff bladder leak - connector damage - excessive wear and tear - improper storage or handling # # # recommendations - use the correct cuff size for the patient's arm circumference. - inspect the cuff and bladder for leaks or damage before each use. - handle the connector with care to prevent damage. - avoid excessive bending or stretching of the cuff. - store the device in a clean, dry environment. @topic:3


numbers part number ( used in production ) ordering part number ordering part number 12nc description new or exchange m4840 - 65708 m4840 - 65508 451261009031 iit module ( incl. antenna cable ) us version new 453564039251 n / a 453564053561 iit module ( incl. antenna cable ) non - us version new m4840 - 65708 m4840 - 68708 451261009041 iit module ( incl. antenna cable ) us version exchange 453564039251 n / a 453564053321 iit module ( incl. antenna cable ) non - us version exchange m8058 - 61001 m8058 - 61001 451261007891 iit flat ribbon cable us version new m8090 - 66491 m8090 - 66591 451261007901 pca adapter board itt us version new m8003 - 45201 m8003 - 45201 451261007911 itt box new m8080 - 61001 m8080 - 61001 453563484581 y - cable us version new m4842 - 61300 m4842 - 61300 453564007571 1. 4 ghz ap antenna us version new m4842 - 61400 n / a 453564052521 2. 4 ghz ap antenna non - us version new 216 intellivue 802. 11 bedside adapter part numbers * 6 parts intellivue 802. 11 bedside adapter part numbers * part number ( used in production ) ordering part number ordering part number 12nc description new or exchange m8096 - 67011 m8096 - 67511 451261013021 intel @topic:19


# # # issue - probe sat is damaged. # # # impact - cannot read data correctly, displaying erratic. # # # possible causes - probe sat may be damaged due to mishandling, aging, or other factors. # # # recommendations - replace the probe sat with a new one. @topic:4


# # # issue - battery failure in the casmed 740 monitors, physiologic, vital signs # # # impact - monitors may not hold a charge and may shut off prematurely. # # # possible causes - battery degradation over time # # # recommendations - replace the battery. @topic:11


# # # issue bme received the device after it was borrowed by samitivej chinatown hospital. # # # impact device condition is overall undamaged and can be used normally. # # # possible causes the device was not damaged while being borrowed by samitivej chinatown hospital. # # # recommendations none provided. @topic:12


# # # issue - the monitors, physiologic, vital signs equipment from philips ( model : suresigns vs4 ) failed to connect to the vsm system. # # # impact - the equipment is unable to transmit patient data to the vsm system, which could lead to delays in patient care and inaccurate medical records. # # # possible causes - * * incorrect time and date settings : * * the equipment's internal clock was reset to its default settings, which may have caused a communication error with the vsm system. - * * loose or damaged cables : * * the cables connecting the equipment to the vsm system may be loose or damaged, preventing data transmission. - * * software or firmware issues : * * there may be a software or firmware issue on the equipment or the vsm system that is preventing the connection. - * * network connectivity issues : * * the network connecting the equipment to the vsm system may be experiencing problems, preventing the devices from communicating. # # # recommendations - * * verify time and date settings : * * ensure that the equipment's time and date settings are correct. - * * inspect cables : * * check all cables connecting the equipment to the vsm system for any loose connections or damage. replace any damaged cables. - * * update software or firmware : * * check for any available software or firmware updates for both the equipment and the vsm system. install any necessary updates. - * * troubleshoot network connectivity : * * verify that the network connecting the equipment to the vsm system is functioning properly. contact the network administrator if necessary. - * * contact technical support : * * if the issue persists after following the above steps, contact the technical support team for both the equipment and the vsm system for further assistance. @topic:16


: global ejection fraction n y y not available * rlshnt : right - left - shunt fraction n n n not available pvr / pvri : pulmonary vascular resistance not available n n y lcw / lcwi : left cardiac work n n y n n y rcw / rcwi : right cardiac work not available n n y rvsw / rvswi : right ventricular stroke work not available n n y * currently not available in the u. s. a. or in clinical environments under fda control. 200 using the c. o. procedure window 13 monitoring cardiac output using the c. o. procedure window the c. o. procedure window displays up to six trials ( measurement curves ) with the trial number and the c. o. value under the thermodilution curve. when you open the window, a line of pop - up keys automatically appears to let you carry out c. o. - related tasks. this example shows the procedure window for the transpulmonary ( picco ) method. the window may be configured to look slightly different on your monitor. to open the c. o. procedure window, ♦ select cardiac output in the setup c. o. or setup cco menu, or ♦ select the cardiac output smartkey on the screen, if configured, or ♦ press the start hardkey on the front of the c. o. plug - in module, if available, or ♦ press a remote start switch, if you are using one. trial curves results table of current trial trial curve scale averaged values continuously measured prompt message field start stop select accept / savec. 0. print / table hemo change setup c. o. c. o. trial reject & cal cco record contents calc scale c. o. ♦ to change the measurement parameters shown in the results table of the c. o. procedure window, @topic:17


# # # issue - malfunctioning vital signs monitor # # # impact - inability to accurately monitor patient's vital signs, potentially leading to delayed or incorrect treatment decisions. # # # possible causes * * - battery failure : * * - the most likely cause of failure in this case, as indicated by the description, is a depleted or malfunctioning battery. batteries have a limited lifespan and need to be replaced periodically to ensure optimal device performance. # # # recommendations - * * replace the battery : * * the primary recommendation would be to replace the battery with a new one of the same type and specification. this can be done by a qualified biomedical engineer or trained technician. - * * regular maintenance : * * to prevent premature battery failure and ensure uninterrupted device operation, regular maintenance and inspection of the monitor and its components, including the battery, should be performed as per manufacturer's guidelines. - * * monitoring for early signs of battery depletion : * * biomedical engineers should monitor the monitor for early signs of battery depletion, such as reduced battery life or abnormal readings, and schedule a battery replacement before complete failure occurs. - * * consider alternative power sources : * * if the device allows, explore the possibility of using an external power source or a backup battery system to ensure continuous operation even in the event of battery failure. @topic:11


* * issue : * * printer not working * * impact : * * inability to print data from the physiological monitor, such as patient vital signs and waveforms. * * possible causes : * * 1. * * printer memory full : * * the printer memory may have become full, preventing it from receiving and storing new data from the physiological monitor. 2. * * printer malfunction : * * the printer itself may have experienced a hardware or software malfunction, causing it to stop working. 3. * * communication issue : * * there may be a communication issue between the physiological monitor and the printer, preventing the data from being transferred successfully. 4. * * incorrect printer settings : * * the printer settings may be incorrectly configured, such as incorrect paper size or print mode, resulting in printing issues. * * recommendations : * * 1. * * check printer memory : * * verify if the printer memory is full and clear any unnecessary data to free up space. 2. * * restart printer : * * unplug the printer from the power source and plug it back in to perform a power cycle. 3. * * check communication cables : * * ensure that the communication cables connecting the physiological monitor and printer are properly connected and undamaged. 4. * * verify printer settings : * * check the printer settings to ensure they are correct for the intended printing output. 5. * * contact manufacturer support : * * if the issue persists, contact the printer manufacturer's technical support for further assistance. @topic:28


cardiac overlay : avoid the liver area and the ventricles of the heart in the line between the respiratory electrodes. this is particularly important for neonates. 185 8 monitoring respiration rate ( resp ) lateral chest expansiosome patients, especially neonates, expand their chests laterally. in these cases it is best to platwo respiratory electrodes in the right midaxillary and left lateral chest areas at the patient's maximum abdominal breathing some patients with restricted chest movement breathe mainly abdominally. in these cases, you may need to place the left leg electrode on the left abdomen at the point of maximum abdominal expansion to optimize the respiratory wave. understanding the resp display the resp measurement is displayed on the monitor as a continuous wave and a numeric respiration rate. if the detected respiration rate is close to the heart rate, this is indicated by the text hr = rr next to the respiration wave if you are in manual monitoring mode. your monitor screen may look slightly different from the illustration. 2 resp rr 1 ohm 1 one ohm calibration bar 2 3 4 the resp detection level can be set either automatically or manually. to change the resp detection mode, in the setup resp menu, select detection to toggle betweethe settings.. auto detection mode in auto detection mode, the monitor adjusts the detection level automatically, depending on the wave height and the presence of cardiac artifact. note that in auto detection mode, 86 8 monitoring respiration rate ( resp ) the detection level ( a dotted line ) is not displayed on the waveform, • the algorithm expects a heart rate and therefore needs at least 3 electrodes attached to the patient. • if you are monitoring respiration with only two electrodes, the detection algorithm becomes less sensitive which may result in reduced breath detection performance. use auto detection mode for situations where @topic:17


* * issue : * * nibp monitor is not able to measure oxygen saturation ( spo2 ). * * impact : * * impaired patient monitoring and assessment, as spo2 is a critical vital sign for assessing respiratory function. * * possible causes : * * - * * faulty sensor : * * the spo2 sensor may be damaged or malfunctioning, leading to inaccurate or no readings. - * * cable connection issues : * * loose or damaged cables connecting the sensor to the nibp monitor can disrupt signal transmission. - * * software error : * * a software glitch or bug in the monitor's software may prevent proper spo2 measurement. - * * electrical interference : * * other medical devices or environmental factors may create electrical noise that interferes with the spo2 signal. - * * patient factors : * * skin pigmentation or motion artifacts can affect the accuracy of spo2 readings. * * recommendations : * * - * * check sensor : * * inspect the spo2 sensor for any visible damage or debris. clean and reconnect the sensor securely. - * * inspect cables : * * examine the cables for any cuts, tears, or loose connections. replace any damaged cables. - * * restart monitor : * * power cycle the nibp monitor to reset any software errors. - * * move device : * * position the monitor away from potential sources of electrical interference, such as other medical devices or electronic equipment. - * * adjust patient position : * * ensure that the patient's hand or foot where the sensor is placed is stationary and free from any obstructions. - * * consider alternative measurement : * * if the nibp monitor still fails to measure spo2, consider using an alternative spo2 monitoring device to obtain accurate readings. @topic:4


# # # issue medical cart device displays a " low battery " error message despite recent maintenance. # # # impact the device may not function properly due to insufficient battery power, potentially affecting patient care. # # # possible causes - * * depleted battery : * * the device's battery may have reached the end of its life and requires replacement. - * * malfunctioning battery : * * the device's battery may be damaged or faulty, preventing it from holding a charge. - * * loose battery connection : * * the battery may not be properly connected to the device, leading to intermittent power interruptions. - * * faulty charging system : * * the device's charging system may be malfunctioning, preventing the battery from charging effectively. # # # recommendations - * * replace battery : * * check the device's battery life and replace it if necessary. - * * test battery : * * use a battery tester to verify the battery's functionality. replace if needed. - * * inspect battery connections : * * ensure that the battery is securely connected to the device and that there are no loose wires or terminals. - * * check charging system : * * verify that the charging system is functioning properly by testing the charger and ensuring that the device is receiving power when connected. - * * contact manufacturer : * * if the above steps do not resolve the issue, contact the device manufacturer for further troubleshooting and repair guidance. @topic:13


# # # issue - damage to medical device during relocation # # # impact - inability to use medical device - potential patient safety hazard # # # possible causes - improper handling during relocation - transportation via inadequate means - lack of proper packaging and / or protection # # # recommendations - ensure proper handling techniques are followed during relocation. - use appropriate transportation equipment and methods. - provide adequate packaging and protection to prevent damage during transit. - conduct thorough inspections before and after relocation to identify any potential damage. @topic:12


# # # issue : - bed cannot be adjusted to a lower position. # # # impact : - patient comfort and safety may be compromised as the bed cannot be adjusted to the appropriate height for patient care. # # # possible causes : - * * mechanical failure in the bed's hydraulic system * * : this could prevent the bed from lowering correctly. - * * electrical fault * * : a problem with the electrical system, such as a loose connection or a faulty actuator, could interfere with the bed's ability to adjust. - * * control panel malfunction * * : if the control panel is not functioning properly, it may not be able to send the correct signals to the bed's motor. - * * weight distribution * * : if the weight is not evenly distributed on the bed, it may cause the bed to be unevenly supported and prevent it from lowering to the desired position. - * * obstruction * * : an object or debris may be obstructing the bed's mechanism, preventing it from adjusting. # # # recommendations : - * * inspect the hydraulic system * * : check for leaks, blockages, or other signs of damage. if necessary, replace faulty components. - * * examine the electrical connections * * : ensure that all connections are secure and not damaged. replace any loose or faulty wires. - * * test the control panel * * : use a diagnostic tool to check the functionality of the control panel. if necessary, reprogram or replace the control panel. - * * ensure proper weight distribution * * : make sure that the patient is positioned correctly on the bed, with weight evenly distributed. - * * clear any obstructions * * : remove any objects or debris that may be impeding the bed's movement. @topic:1


* * issue : * * equipment failure * * impact : * * the equipment is not available for use, which could impact patient care. * * possible causes : * * * the equipment is not properly maintained. * the equipment is not used properly. * the equipment is damaged. * * recommendations : * * * ensure that the equipment is properly maintained according to the manufacturer's instructions. * train staff on how to properly use the equipment. * inspect the equipment for damage regularly. @topic:12


# # # issue - malfunctioning nibp monitor # # # impact - inability to accurately measure patient's blood pressure # # # possible cause - faulty wheels on the equipment cart # # # recommendations - inspect and replace worn or damaged wheels - ensure proper lubrication of wheel bearings - regularly maintain the equipment cart to prevent future issues @topic:24


# # # issue the bed, electric, huntleigh, contoura 390 is not able to be adjusted. # # # impact the patient may not be able to be positioned comfortably or safely in the bed. # # # possible causes - the motor may be faulty. - the control panel may be faulty. - the wiring may be faulty. # # # recommendations - replace the motor. - replace the control panel. - check the wiring and replace any faulty wires. @topic:1


# # # issue the cause of failure for the bedside physiologic monitor is a disconnected ekg lead. # # # impact this can lead to inaccurate or missing ekg data, which can affect patient monitoring and treatment decisions. # # # possible causes the ekg lead may have become disconnected due to : - loose connections - broken wires - damage to the lead or connector # # # recommendations to prevent this issue, it is important to : - ensure that the ekg lead is securely connected to both the patient and the monitor. - regularly inspect the ekg lead and connector for signs of damage. - replace the ekg lead if it is damaged. @topic:18


# # # issue - sling on bed guard is broken # # # impact - bed guard cannot be lowered # # # possible causes - sling was not properly maintained - sling was overloaded - sling was damaged during use # # # recommendations - inspect slings regularly for wear and tear - do not overload slings - handle slings with care @topic:6


# # # issue - ekg cable failure # # # impact - inability to accurately monitor patient's electrocardiogram ( ecg ) - interruption of patient care # # # possible causes - physical damage to the cable ( e. g., cuts, tears, excessive bending ) - loose connections at the cable ends - electrical interference from other equipment - aging and wear of the cable # # # recommendations - regular inspection and maintenance of ekg cables - proper handling and storage of cables to prevent physical damage - ensuring secure connections at the cable ends - shielding cables from electrical interference - replacing aging or worn cables @topic:18


# # # issue - the electric bed makes loud noises. # # # impact - the noise can be disruptive to patients and staff. - the noise can make it difficult for patients to sleep or rest. - the noise can be a distraction for staff who are trying to work. # # # possible causes - the bed frame may be loose or damaged. - the motor may be malfunctioning. - the gears may be worn or damaged. - the bed may be overloaded. - the bed may not be properly lubricated. # # # recommendations - inspect the bed frame for any loose or damaged parts. - test the motor to make sure it is functioning properly. - check the gears for any wear or damage. - make sure the bed is not overloaded. - lubricate the bed according to the manufacturer's instructions. @topic:9


man330 rev 4 ) page 2 - 3 initial actions chapter 2 : troubleshooting procedures table 2 - 4. safeview™ alerts problem possible cause solution both alerts flash yellow and green. there is a problem with the side - corn p. c. board, siderail interface p. c. board, or control pod p. c. board. if there is a problem with any of these boards, there will be addi¬ tional problems with the bed. determine which board the addi¬ tional problems are related to ( caregiver and patient controls, facility communication, or pod controls ), and then replace that board. only one alert flashes yellow and green. a cable is loose or disconnected. make sure the alert cables are fully connected to their correct locations. the cable on the faulty alert is damaged. switch the cable connections on the siderail interface p. c. board. if the faulty alert does not operate correctly, replace the light assem¬ bly. the p. c. board within the faulty alert assembly is damaged. replace the light assembly. only one alert is on. there is a problem with the side - rail interface p. c. board. switch the cable connections on the siderail interface p. c. board. if the faulty alert now operates cor¬ rectly, replace the board. other¬ wise, replace the light assembly. the bed is plugged in, and the alerts do not come on. the alerts have been deactivated. unplug the bed, and then plug the bed in. the bed exit system is not acti¬ vated. activate the bed exit system. both cables are loose or discon¬ nected. make sure the cables are fully connected to the correct locations. both cables are damaged. replace the light assembly. there is a problem with the side - rail interface p @topic:9


# # # issue - the electric bed is not functioning properly and cannot be adjusted. # # # impact - the patient cannot be positioned comfortably or safely in the bed. - the nursing staff is unable to provide proper care to the patient. # # # possible causes - the bed's electrical system is faulty. - the bed's mechanical components are damaged. - the bed's remote control is not working properly. - the bed's power supply is interrupted. # # # recommendations - inspect the bed's electrical system for any loose connections or damaged wires. - test the bed's mechanical components to ensure that they are functioning properly. - replace the bed's remote control if it is not working properly. - check the bed's power supply to ensure that it is providing power to the bed. @topic:9


# # # issue - monitor is stuck on the select patient screen. # # # impact - patient information cannot be entered, and monitoring cannot be started. # # # possible causes - profile configuration issue - software glitch - hardware failure # # # recommendations - reconfigure the profile. - restart the monitor. - if the problem persists, contact the manufacturer for hardware support. @topic:2


# # # issue - leaking blood pressure ( bp ) cuff # # # impact - inaccurate blood pressure readings - patient discomfort or injury # # # possible causes - damaged or worn cuff - improper cuff placement - cuff too loose or too tight - cuff not inflated to the correct pressure # # # recommendations - replace the damaged or worn cuff. - ensure that the cuff is placed properly on the patient's arm. - inflate the cuff to the correct pressure. - monitor the cuff pressure and adjust as needed. - calibrate the monitor regularly to ensure accurate readings. @topic:3


# # # issue the blood pressure cuff ( cuff bp ) on a vital signs monitor is not tightening around the patient's arm. # # # impact accurate blood pressure measurements cannot be obtained, which could lead to incorrect diagnosis and treatment. # # # possible causes * the cuff is not the correct size for the patient's arm. * the cuff is not connected to the monitor properly. * the inflation bulb is not working properly. * there is a leak in the cuff or tubing. # # # recommendations * check that the cuff is the correct size for the patient's arm. * ensure that the cuff is connected to the monitor properly. * replace the inflation bulb if it is not working properly. * inspect the cuff and tubing for any leaks. * if the problem persists, contact a biomedical engineer for assistance. @topic:3


# # # issue - the control board of the electric bed is damaged, causing the touchscreen to be unresponsive and the bed's functions to be inoperable. # # # impact - the bed cannot be adjusted or operated, which hinders patient care and safety. # # # possible causes - * * electrical surge or power outage : * * a sudden surge or drop in voltage can damage the electronic components of the control board. - * * wear and tear : * * extended use and aging can lead to the deterioration of the control board's circuitry. - * * defective components : * * faulty capacitors, resistors, or transistors on the control board can disrupt its operation. # # # recommendations - * * replace the control board : * * the damaged control board needs to be replaced with a new one to restore the bed's functionality. - * * check power supply : * * ensure that the bed is connected to a stable and reliable power source. - * * regular maintenance : * * implement a regular maintenance schedule to inspect and service the bed, including the control board, to prevent future failures. @topic:32


* * issue : * * * cuff ( blood pressure cuff ) is damaged. * * impact : * * * the monitor cannot accurately measure blood pressure. * patient safety may be compromised if inaccurate blood pressure readings are used to make clinical decisions. * * possible causes : * * * * * mechanical damage : * * the cuff may have been punctured, torn, or otherwise damaged during use or handling. * * * aging or wear and tear : * * the cuff may have deteriorated over time due to repeated use and exposure to moisture, heat, or chemicals. * * * defective materials : * * the cuff may have been manufactured with a defect that made it prone to damage. * * * improper storage or handling : * * the cuff may have been stored or handled in a way that caused it to be damaged. * * recommendations : * * * * * inspect the cuff regularly : * * regularly check the cuff for any signs of damage, such as punctures, tears, or fraying. * * * handle with care : * * avoid excessive force or bending of the cuff when connecting it to the monitor or when storing it. * * * use caution when cleaning : * * follow the manufacturer's instructions for cleaning the cuff. avoid using harsh chemicals or abrasive cleaners that could damage the material. * * * replace damaged cuffs promptly : * * if any damage is detected, replace the cuff immediately to ensure accurate blood pressure measurements. @topic:3


# # # issue - telemetric ecg monitor not connecting to central station # # # impact - lack of real - time patient monitoring data # # # possible causes - misconfiguration of telemetric ecg monitor - incorrect tele name setting - communication issues between the telemetric ecg monitor and the central station # # # recommendations - verify the tele name setting on the telemetric ecg monitor and ensure it matches the name on the central station - check for any loose connections or damaged cables between the telemetric ecg monitor and the central station - contact the equipment manufacturer for technical support if the issue persists @topic:16


# # # issue - the display on the physiologic monitor ( bedside ) from hewlett packard ( model m1205a ) is displaying lines. # # # impact - the medical staff will not be able to accurately monitor the patient's vital signs, which could lead to a delay in diagnosis or treatment. # # # possible causes - the display cable is loose or damaged. - the display driver board is faulty. - the lcd panel is damaged. # # # recommendations 1. * * check the display cable. * * ensure that the display cable is securely connected to both the monitor and the computer. if the cable is loose, tighten it. if the cable is damaged, replace it. 2. * * test the display driver board. * * remove the display driver board from the monitor and test it on a known - good monitor. if the display driver board is faulty, replace it. 3. * * inspect the lcd panel. * * look for any cracks or damage to the lcd panel. if the lcd panel is damaged, replace it. @topic:2


# # # issue - loose remote control terminals, rendering the device inoperable. # # # impact - patient discomfort and inconvenience due to an inoperable bed. - potential risk to patient safety if the bed is not functioning properly. # # # possible causes - rough handling of the remote control or bed frame. - age - related wear and tear on the cable or terminals. - improper cleaning or maintenance of the equipment. # # # recommendations - inspect the remote control cable and terminals regularly for any signs of damage or looseness. - handle the equipment with care to avoid damage to the delicate components. - ensure proper cleaning and maintenance of the bed and remote control according to the manufacturer's guidelines. - provide staff training on the proper use and maintenance of medical devices. @topic:7


# # # issue * * bed was not adjustable * * # # # impact * patient discomfort * difficulty providing care * delays in treatment # # # possible causes * broken remote control cord * electrical malfunction in the bed * user error # # # recommendations * * * inspect the remote control cord. * * if it is broken, replace it. * * * test the electrical connections in the bed. * * if there is a malfunction, contact a qualified technician. * * * train users on how to properly operate the bed. * * @topic:1


# # # issue bed not adjusting down to its lowest position. # # # impact patient discomfort and safety concerns. # # # possible causes - mechanical failure in the bed's adjustment mechanism. - electrical issue with the motor or wiring. - software glitch in the bed's control system. # # # recommendations 1. inspect the bed's adjustment mechanism for any visible damage or obstructions. 2. check the motor and wiring for any loose connections or damage. 3. reset the bed's control system by disconnecting and reconnecting it from the power source. 4. contact the manufacturer for further troubleshooting and repair options. @topic:1


intellivue telemetry system transceiver. • an mp5 monitor or x2 multi - measurement module with a telemetry interface, declared as a telemetry device and with a telemetry equipment label. how can you combine devices? • with an indirect connection, using standard telemetry transmission - the data are sent to the monitor via the information center and arrive with a delay of several seconds at the monitor. • with a direct connection to the monitor - an mp5 or x2 connected via msl cable to the monitor, or - a telemetry transceiver with a short range radio adapter is assigned to an mp5 or x2 which is connected ( companion mode ) to a an mp20 - 90 host monitor the data arrive with a minimal delay on the monitor screen. indirect connection - manual pairing the telemetry device can be paired with the monitor at the information center or at the monitor. for detailed information regarding pairing and configuration at the information center, see the information center instructions for use. to pair the monitor with a telemetry device at the monitor : 1 select main setup then measurements 2 select telemetry the setup telemetry menu will appear with only one entry paired equipment. 3 enter here the equipment label of the telemetry device to be paired. 265 20 assigning two devices to one patient how can you combine devices? pairing at the monitor is only possible when the monitor already has a connection to the information center and the information center software version allows pairing at the monitor. telemetry data window the measurements from the telemetry device are shown in the telemetry data window on the monitor. warning all data presented in the telemetry data window are delayed for several seconds. if you need realtime data, for example for defibrillation, always use the monitor ecg instead of telemetry. as long @topic:10


# # # issue remote failure # # # impact the medical device cannot be operated remotely. # # # possible causes * the remote battery is dead or low. * the remote has a hardware issue. * the connection between the remote and machine is not working. # # # recommendations * replace the remote battery. * contact the manufacturer for repairs. * check the connection between the remote and the machine. @topic:7


# # # issue - the bed, electric is not adjusting. # # # impact - the patient cannot be positioned comfortably or safely. # # # possible causes - the control panel is faulty. - the battery is dead. - the motor is not working. - the wiring is damaged. # # # recommendations - inspect the control panel for any loose connections or damage. - replace the battery. - test the motor by manually adjusting the bed. - inspect the wiring for any breaks or damage. @topic:1


# # # issue - headboard not adjustable # # # impact - patient comfort and safety is compromised - nursing staff may have difficulty accessing the patient - delays in patient care # # # possible causes - * * electrical fault : * * the relay that controls the headboard adjustment may be faulty. - * * mechanical fault : * * there may be a problem with the gears or other mechanical components that move the headboard. - * * software glitch : * * the software that controls the headboard may be malfunctioning. # # # recommendations - * * electrical fault : * * - check the relay for continuity and replace if necessary. - inspect the wiring for any damage or loose connections. - * * mechanical fault : * * - inspect the gears and other mechanical components for wear or damage. - lubricate the moving parts as needed. - * * software glitch : * * - restart the system and update the software if necessary. - contact the manufacturer for technical support. @topic:1


# # # issue the printer is printing incorrectly. # # # impact the printer is not able to print correctly, which can lead to incorrect data being printed out. this can have a negative impact on patient care. # # # possible causes * the printer is the wrong type for the device. * the printer is not properly connected to the device. * the printer is not properly configured. * the printer is out of paper. * the printer is out of ink. * the printer is jammed. # # # recommendations * check that the printer is the correct type for the device. * check that the printer is properly connected to the device. * check that the printer is properly configured. * check that the printer has paper. * check that the printer has ink. * check that the printer is not jammed. @topic:28


# # # issue - spo2 sensor not providing readings # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - faulty spo2 sensor - loose or damaged spo2 cable - problems with the telemetry ekg module - issues with the intellivue trx model # # # recommendations - replace the spo2 sensor - check and tighten the spo2 cable - troubleshoot the telemetry ekg module - contact philips support for further assistance with the intellivue trx model @topic:4


# # cause of failure in medical device # # # issue * equipment : monitor, central station * band : hewlett packard * model : m3150a * description : biomedical engineer ( bme ) replaced the battery due to deterioration. * cause of failure : device shutdown after power outage. # # # impact * interruption of patient monitoring and potential patient harm. # # # possible causes * * * faulty replacement battery : * * the newly installed battery may be defective or incompatible with the device. * * * power supply issue : * * the power outage may have caused damage to the power supply or other components. * * * software malfunction : * * a power surge or outage may have corrupted the device's software, leading to a shutdown. * * * hardware failure : * * the power outage may have caused damage to the device's hardware, such as a short circuit or loose connections. # # # recommendations * * * verify battery installation : * * ensure that the replacement battery is compatible with the device and installed correctly. * * * inspect power supply : * * check the power supply for any damage or loose connections. repair or replace as necessary. * * * reset or update software : * * if the device has a software update available, install it to resolve any potential issues. * * * test device thoroughly : * * conduct comprehensive testing of the device to verify its functionality and identify any remaining problems. * * * document findings : * * record the cause of failure, corrective actions taken, and any relevant observations. * * * monitor device performance : * * continue to monitor the device's performance to ensure it is functioning reliably. @topic:11


# # # issue - cuff bp is worn out. - velcro is damaged. - outer fabric is rotten. # # # impact - cannot cuff the patient's arm. # # # possible causes - normal wear and tear. - improper storage. - excessive use. # # # recommendations - replace the cuff bp. - replace the velcro. - repair or replace the outer fabric. @topic:5


# # # issue - monitor displaying incorrect measurements # # # impact - inaccurate patient data - inability to monitor patient's vital signs effectively # # # possible causes - incorrect calibration - faulty sensor - loose connections - software glitch # # # recommendations - recalibrate the monitor - replace the faulty sensor - inspect and tighten loose connections - update the software @topic:20


# # # issue - monitors, bedside, physiologic equipment ( philips intellivue mp70 ) is not linking with the central monitor. # # # impact - inability to monitor patient's physiological parameters. # # # possible causes - loose or disconnected network cable. - configuration issues. - firmware errors. - hardware [UNK] [UNK]. # # # recommendations - * * verify network connectivity : * * ensure that the network cable is securely connected to both the monitor and the central monitor. - * * check network settings : * * verify the network configuration settings on the monitor to ensure they are correct. - * * update firmware : * * check for any available firmware updates for the monitor and install them if necessary. - * * contact technical support : * * if the issue persists, contact the manufacturer's technical support for further assistance. @topic:16


##n safety tester, perform the tests in accordance with your local regulations, for example, in europe, use iec 60601 - 1 / iec 60601 - 1 - 1 and in the united states, use ul 60601 - 1. the metron report should print results with the names listed below, together with other data. note — safety tests meet the standards of, and are performed in accordance with iec 60601 - 1, clause 19 ( en 60601 - 1 ). the suresigns vs2 * and vsi vital signs monitors have been classified as class i equipment. to perform these tests, you need a multimeter. the monitor safety tests include : + enclosure leakage e ground integrity e patient leakage current with mains voltage performance verification testing suresigns vs2 * and vsi service guide 3 - 17 safety tests enclosure leakage s ( 1 ) part 1 : enclosure leakage current - nc ( normal condition ) medical electrical equipment instrument under test signal parts | ( + ) signal parts in - and / or @ — — — — ® in - and / or output output other instrument ml ml tt applied part ( * ) not present in class 2. ( * * ) can be multiple different connections to different equipment at same time. expected test results normal condition maximum leakage current x1 < 100ua. this measures leakage current of exposed metal parts of instrument under test ( iut ) and between parts of the system within the patient environment ; normal and reversed polarity using s2. safety test according iec 60601 - 1 / ul 60601 - 1. s ( 1 ) part 2 : enclosure leakage current - single fault ( open earth ) medical electrical equipment instrument under test signal parte a signal pars in - and / or in - and / or output output other instrument applied part ( * * ) can be multiple @topic:10


# # # issue - printer malfunction # # # impact - inability to print patient monitoring data # # # possible causes - paper jam - printer not connected to the central station - printer not receiving power - printer not receiving data from the central station # # # recommendations - [ x ] check for and remove any paper jams. - [ ] ensure that the printer is properly connected to the central station. - [ ] verify that the printer is receiving power. - [ ] check the printer's cables and connections. - [ ] reboot the printer. - [ ] contact the manufacturer for further troubleshooting assistance. @topic:28


# # # issue * electric bed is not receiving power. # # # impact * the bed cannot be used for patient care. # # # possible causes * * * cause of failure : * * ac power cord slot that plugs into the main board is broken. # # # recommendations * * * repair : * * solder the broken slot back onto the main board. * * * preventive maintenance : * * regularly inspect the power cord and slot for any signs of damage. @topic:9


# # # issue - faulty module lock button on bedside physiologic monitors. # # # impact - inability to securely lock the module into place, potentially leading to disconnection or instability. # # # possible causes - physical damage to the lock button, such as wear and tear or impact. - electronic failure within the button or its circuitry. # # # recommendations - * * replace the faulty module lock button. * * order and install a new lock button to restore the module's secure connection. - * * inspect and test the surrounding circuitry. * * check for any loose connections, damaged wires, or other issues that may have contributed to the button failure. - * * calibrate and test the monitor. * * after replacing the lock button, perform a full calibration and testing procedure to ensure optimal performance and accuracy. @topic:2


# # # issue - ecg cable damage # # # impact - the patient's ecg signal may not be accurately monitored. # # # possible causes - the ecg cable may have been damaged due to : - wear and tear - accidental damage - improper storage # # # recommendations - replace the ecg cable with a new one. - inspect the ecg cable regularly for signs of damage. - properly store the ecg cable when not in use. @topic:18


# # # issue - cuff leak # # # impact - inaccurate blood pressure readings - false alarms - patient discomfort # # # possible causes - damaged cuff bladder - loose cuff connection - obstruction in the cuff line - cuff size not appropriate for patient # # # recommendations - replace the damaged cuff bladder - tighten the cuff connection - clear any obstructions in the cuff line - ensure that the cuff size is appropriate for the patient @topic:3


# # # issue - cuff of the vital signs monitor is broken. # # # impact - inability to measure blood pressure accurately. # # # possible causes - damage to the cuff material - worn or loose connections - internal malfunction within the cuff # # # recommendations - replace the cuff with a new one. - inspect the connections to ensure they are secure. - if the issue persists, consider sending the monitor for further evaluation by a qualified biomedical engineer. @topic:5


# # # issue - cuff of the monitor is deteriorated. # # # impact - blood pressure ( bp ) cannot be measured. # # # possible causes - the cuff may be : - old and worn out - punctured - leaking air # # # recommendations - replace the cuff with a new one. - regularly inspect the cuff for signs of wear and tear. - replace the cuff if it is damaged or if it is not providing accurate readings. @topic:3


# # # issue : knee section of the bed is not adjustable # # # impact : patients cannot be positioned properly for treatment or surgery # # # possible causes : - * * control box failure : * * the control box is responsible for sending signals to the bed's motors to adjust the knee section. if the control box is damaged or malfunctioning, the knee section will not be able to move. - * * remote control failure : * * the remote control is used to send signals to the control box. if the remote control is damaged or malfunctioning, the user will not be able to adjust the knee section. - * * motor failure : * * the motors are responsible for moving the knee section. if one or more of the motors is damaged or malfunctioning, the knee section will not be able to move. - * * mechanical obstruction : * * there may be an obstruction, such as a loose wire or a piece of debris, that is preventing the knee section from moving. # # # recommendations : - * * inspect the control box : * * check the control box for any signs of damage or malfunction. if the control box is damaged, it will need to be replaced. - * * inspect the remote control : * * check the remote control for any signs of damage or malfunction. if the remote control is damaged, it will need to be replaced. - * * inspect the motors : * * check the motors for any signs of damage or malfunction. if a motor is damaged, it will need to be replaced. - * * check for mechanical obstructions : * * inspect the knee section for any obstructions that may be preventing it from moving. if an obstruction is found, it should be removed. @topic:9


# # # issue - scanner is not working. # # # impact - inability to use the medical cart for patient transport and care. # # # possible causes - the information provided does not specify the cause of failure for the scanner. however, it is possible that the scanner is not working due to a number of reasons, including : - scanner is not receiving power. - scanner is not properly connected to the medical cart. - scanner is faulty. # # # recommendations - check that the scanner is receiving power. - ensure that the scanner is properly connected to the medical cart. - if the scanner is still not working, contact the manufacturer for assistance. @topic:23


# # # issue : - malfunctioning remote control cord # # # impact : - impaired operation of the bed, electric huntleigh enterprise 5000 # # # possible causes : - wear and tear of the remote control cord - improper handling or storage # # # recommendations : - replace the damaged remote control cord with a new one @topic:7


##supported lan ” is issued telemetry device related problems ( taap ) tele disconnected invalid leadset inop message is issued replace battery t or battery low t inop message is issued 124 communication problem between the monitor and the ht adapter. mac instr. tele. field in instrument telemetry service window is 0000 0000 the srr link between the telemetry device and the inop message is issued | monitor is disrupted. see the instructions supplied with the telemetry device no battery is inserted in the telemetry device or the battery troubleshooting guide check that rf access code is set correctly and the network is correctly set up. check the connection between the main board and the iit module. check the antenna cable connection between the ht module and the antenna. replace antenna, antenna cable or iit module 1f necessary. position the srr device and the monitor closer to each other. check srr signal quality indicator for signal strength. check srr configuration settings. alternatively, use the taap cable connection between the telemetry device and the monitor. see the instructions supplied with the telemetry device insert / replace the battery in the telemetry device. note : if you are using the srr connection, you must silence the inops even when the battery has been replaced. for further details see the instructions provided with the telemetry device. troubleshooting guide tele equip malf inop message is issued telemetry device using srr not recognized by the monitor. no stable connection between the telemetry device and the monitor telemetry device not supported by the srr adapter short range radio interface problems measurement selection icon does not change to srr. measurement selection icon changes to srr but assignment of srr device to monitor fails. srr interference inop is issued assignment of srr device to @topic:16


# # # issue - the philips efficia cm10 physiological vital signs monitor cannot be turned on. # # # impact - the monitor cannot be used to monitor patient vital signs, which could delay or prevent the diagnosis and treatment of medical conditions. # # # possible causes - the most likely cause of the failure is a hardware problem, such as a faulty power supply or a loose connection. - less likely, the failure could be caused by a software problem, such as a corrupted operating system or a malfunctioning driver. # # # recommendations 1. * * check the power supply. * * make sure that the monitor is plugged into a working power outlet and that the power cord is securely connected to the monitor. 2. * * check the connections. * * inspect the cables that connect the monitor to the patient and to the hospital network. make sure that the cables are securely connected and that there is no damage to the cables. 3. * * try a hard reset. * * turn off the monitor and unplug it from the power outlet. wait for a few minutes and then plug the monitor back into the power outlet and turn it on. 4. * * contact the manufacturer. * * if you have tried all of the above steps and the monitor still does not turn on, contact the manufacturer for assistance. @topic:2


once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's spo2 rebooting. 042800 a malfunction is detected. there very low there is an spo2 anode are two possible causes of these failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be eplaced, and if problem is still 182 troubleshooting welch [UNK] connex® spot monitor ossible causlarm prioritmessage ain boardthere is a problem with the spo2 analog ground a malfunction is detected. there very low spo2 rebooting. 042900 failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's spo2 rebooting. 042a00 a malfunction is detected. there very low re two possible causes of these there is a problem with the spo2 digital ground failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's board. a malfunction is @topic:20


- rom lock control under the pedal * ( for use by caregivers only ) 12 caregiver half - siderail * control ( l1900b0 ) hill - ro night light * ( 1 ) electric emergenctrendelenburg * ( shock ) * ( 1 ) ( 2 ) lock control ( 1 ) caregiver half - siderail * control ( l1900b2 ) bed not in lowered osition indicator fault indicator light. hill - rom maintenance equired. night light * ( 14 lectric emergenctrendelenburg * ( shock ) ( 1 ) ( 2 ) lock control ( 1 ) 1. functions available only to the caregiver patient half - siderail * control ( l1900b0 / l1900b2 ) hill - rom 12 caregiver half - siderail * control ( l1900b3 ) bed not in lowered osition indicator nurse call ill - robattery charge indicator light fault indicator light. maintenance required. night light * ( 1 ) lock control ( 1 ) electric emergencytrendelenburg * ( shock ) ( 1 ) ( 2 ) 1. functions available only to the caregiver patient half - siderail * control ( l1900b3 ) nurse call hill - rom functions available only to the caregiver ( l1900b3 ) xiting sleep surface angle bed exit alert indicator alert atient positioalert 15 10 5 ° 5° 10° 15° initialization status light activation of the patiendetection system " do not touch the bed during initialization " light setting the alerts volume " suspend mode " alert 1. functions available only to the caregiver installing the patient before placing the patient on the bed assess the various risks, including but not limited to the following ( incomplete list ) : • make sure that all the functions of the bed are in @topic:9


valid. the mean value of the arterial pressure values used for pulse contour calculation for cco is below 0 mmhg or above 300 mmhg. the pulse rate of the pressure used for pulse contour calculation for cco is below 30 bpm or abov40 bpm. cco pulseoverrange numeric is replaced by -? - inop tone cco recalibrate numeric is replaced by -? - the most recent cco or cci calibration was made over 8 hours ago or the arterial pressure measurement used for cco calculation has been zeroed after the cco calibration was performed. you should recalibrate cco or cci with transpulmonary c. o. measurements at least every 8 hours or when the hemodynamic condition of the patient has changed. the pressure measurement must be zeroed before a cco calibration. cco / tbl notransdunumeric is replaced by -? - inop tone no transducer attached to the module or catheter disconnected. tblood overrange numeric is replaced by -? - tblood notransducenumeric is replaced by -? - inop tone tblood out of range 17°c - 43°c. no transducer attached to the module or catheter disconnected. cgas inoinop message, indication < tcgas label > cal failenumeric is replaced by -? - inop tone what to do a calibration failed. check the calibration unit, gas pressure, and tubing connections, then restart the calibration. if the calibration has failed more than once, remembrane the transducer and restart the calibration. if this inop persists, contact your service personnel. < tcgas labelwait until the tcpo2 @topic:17


# # # issue - the medical cart cannot connect to wi - fi. # # # impact - the medical cart cannot be used for its intended purpose. # # # possible causes - the wi - fi network is down. - the medical cart is not configured correctly. - the medical cart's antenna is damaged. # # # recommendations - check the status of the wi - fi network. - verify that the medical cart is configured correctly. - inspect the medical cart's antenna for damage. @topic:13


# # # issue - medical cart is not functioning properly. # # # impact - the medical cart cannot be used to transport medical supplies and equipment, which can delay or disrupt patient care. # # # possible causes - the medical cart may have been overloaded, causing the wheels to break or the frame to bend. - the medical cart may have been dropped or bumped, causing damage to the electrical components. - the medical cart may have been exposed to water or other liquids, causing corrosion or electrical damage. # # # recommendations - inspect the medical cart for any damage. - if the medical cart is overloaded, remove some of the supplies and equipment. - if the medical cart has been dropped or bumped, have it inspected by a qualified technician. - if the medical cart has been exposed to water or other liquids, have it cleaned and inspected by a qualified technician. # # # additional notes - a medical cart is a vital piece of equipment in a hospital. it is important to keep the medical cart in good working order to ensure that patient care is not disrupted. - if you have any questions about the medical cart, please contact the biomedical engineering department. @topic:30


# # # issue - blood pressure ( bp ) measurement failure. # # # impact - accurate bp monitoring is crucial for patient assessment and management. - inability to measure bp may lead to delayed diagnosis, improper treatment, and adverse patient outcomes. # # # possible causes - * * cuff deterioration : * * degraded cuffs can result in inaccurate bp readings. - * * malfunctioning transducer : * * the transducer within the cuff may be faulty, affecting pressure detection. - * * electrical issues : * * loose connections, damaged wires, or power supply problems can disrupt the device's functionality. - * * software errors : * * software glitches or corrupted firmware can compromise measurement accuracy. - * * patient factors : * * factors such as patient positioning, hypotension, and arrhythmias can affect bp readings. # # # recommendations - * * replace cuff : * * replace the deteriorated cuff to restore accurate pressure readings. - * * inspect transducer : * * examine the transducer for any damage or wear. replace it if necessary. - * * check electrical connections : * * ensure that all electrical connections are secure and intact. - * * update software : * * check for software updates and install them to address any known bugs or performance issues. - * * consider patient factors : * * reposition the patient, treat hypotension, or address arrhythmias to optimize bp measurements. - * * monitoring : * * regularly monitor the device's performance and perform periodic maintenance to prevent future failures. @topic:14


# # # issue - the wooden bed bar lock came off. # # # impact - the bed rail cannot be lowered. # # # possible causes - the lock on the bed rail is broken. - the bed rail is not properly aligned. # # # recommendations - replace the lock on the bed rail. - realign the bed rail. @topic:6


# # # issue - the electric bed is not adjusting. # # # impact - patients may not be able to get into or out of bed. - patients may be uncomfortable or in pain if they cannot be positioned properly. - staff may be injured if they have to manually adjust the bed. # # # possible causes - the power cord is disconnected or damaged. - the control panel is not working. - the motor is not working. - the bed frame is damaged. # # # recommendations - check the power cord and make sure it is plugged in and not damaged. - check the control panel and make sure it is working properly. - test the motor by manually adjusting the bed. - inspect the bed frame for any damage. - if the problem cannot be resolved, contact a qualified technician. @topic:1


# # issue low battery life in medical cart # # impact potential for medical cart to lose power during use, which could disrupt patient care. # # possible causes - degraded power supply, resulting in slower battery charging # # recommendations - request a quote for a replacement power supply. @topic:13


# # # issue the electric bed cannot be adjusted. # # # impact the bed cannot be used for patient care. # # # possible causes - the control panel is not functioning properly. - the electrical wiring is damaged. - the motor is not working properly. - the bed frame is damaged. # # # recommendations - check the control panel for any loose connections or damaged components. - inspect the electrical wiring for any damage. - test the motor to ensure that it is functioning properly. - inspect the bed frame for any damage. @topic:9


# # # issue - lcd monitor display flickering / colour mismatch # # # impact - impaired patient monitoring capabilities # # # possible causes - faulty 12g signal box # # # recommendations - replace 12g signal box - adjust monitor colours for uniformity - test monitor functionality to ensure normal operation @topic:2


##i data. 253 254 15 monitoring airway flow, volume and pressure the m1014a spirometry module - labeled as spiro - is designed to be used in combination with philips - branded airway flow sensors and combined co2 / airway flow sensors. it produces a real time wave for flow, volume and pressure of respiratory gases together with numerics for analysis of ics. the measurement provides : airway flow, airway volume and airway pressure waveform.. numerics for : • tidal volume minute volume peep ( positive end - expiratory pressure ) pip ( peak inspiration pressure ) - dynamic compliance - - numerics for : ( only visible in spirometryvalues window, no alarming, no trending ) negative inspiratory pressure mean airway pressure i : e ratio the measurement also provides pressure - volume loops, flow - volume loops and pressure - flow loops. see " respiratory loops " on page 399 for details on loops. when using combined co2 / flow sensors you can also perform mainstream capnography with intubated adult, pediatric and neonatal patients. see the " monitoring carbon dioxide " chapter for details on the co2 measurement and the " accessories " chapter for a list of compatible accessories. 55 warning electrical shock hazard : do not open the module. contact with exposed electrical components may cause electrical shock. always turn off and remove power before cleaning the module. refer servicing to qualified service personnel. caution use the m1014a spirometry module with philips approved accessories only. refer to the instructionfor use provided with the accessory. select the appropriate flow sensor. make sure that you are using the correct sensor for the respective e reduced. pediatric / adult flow sensor ( m2785a ). color : clear for intubated patients with endotracheal tube diameters > 4 mm. adds approximately 6 @topic:17


# # # issue - equipment : monitor, bedside, physiologic - brand : philips - model : suresigns vs2 + - description : bme has checked and found that the charger is not charging, so it has sent it to test ok company for repair. # # # impact - the monitor cannot be used to monitor patients'vital signs. # # # possible causes - the charger is faulty. - the battery is faulty. - the power supply is faulty. - the charging port is faulty. # # # recommendations - replace the charger. - replace the battery. - check the power supply. - clean the charging port. @topic:11


# # # issue - equipment : nibp monitor - band : ge healthcare - model : dinamap procare - cause of failure : machine alarm low battery # # # impact - the device will not be able to measure blood pressure accurately. - the device may shut off unexpectedly. # # # possible causes - the battery is low. - the battery is not properly connected. - the battery is not compatible with the device. # # # recommendations - replace the battery. - ensure that the battery is properly connected. - use a compatible battery. @topic:11


##yclable 15 % japan's pse approval symbol for category a medical device md atmospheric pressure 1060 limitation 700 - welch [UNK] connex® spot monitor obile stand symbolmaximum safe working load limits mass in kilograms ( kg ) caution the caution statements in this manual identify conditions or practices that could result in damage to the equipment or other property, or loss of data. a creen symboprocess indicator for activities like acquiring measurements and connecting to a laptop 5 safety all users of the monitor must read and understand all safety information presented in this manual before using or repairing the monitor. united states federal law restricts this device to sale, distribution, or use by or on the order of a licensed medical practitioner. warning safety risk. make frequent electrical and visual checks on cables, sensors, and electrode wires. all cables, sensors, and electrode wires must be inspected and properly maintained and in proper working order to allow the equipment to function properly and to protect patients. warning safety risk. place the monitor and accessories in locations where they cannot harm the patient should they fall from a shelf or mount. warning fire and explosion hazard. do not operate the monitor in the presence of a flammable anesthetic mixture with air, oxygen, or nitrous oxide ; in oxygen - enriched environments ; or in any other potentially explosive environment. a warning inaccurate measurement risk. dust and particle ingress can affect the accuracy of blood pressure measurements. use the monitor in clean environments to ensure measurement accuracy. if you notice dust or lint build - up on the monitor's vent openings, have the monitor inspected and cleaned by a qualified service technician. warning defective batteries can damage the monitor. if the battery shows any signs of damage or cracking, it must be replaced immediately and only with a ed by welch allyn. a caution before disassembling the device or installing options, disconnect the patient @topic:10


# # # issue the welch allyn connex spot monitor, a vital signs monitor used to measure vital signs such as pulse, respiration rate, oxygen saturation, and temperature, is not receiving readings from the temperature probe. an error message is displayed on the monitor. # # # impact the inability to accurately measure body temperature can delay or compromise patient care. temperature monitoring is crucial for assessing a patient's overall health and well - being, as well as for diagnosing and managing infections. # # # possible causes - * * faulty temperature probe : * * the temperature probe may be damaged or malfunctioning, preventing it from transmitting accurate readings to the monitor. - * * loose connections : * * the connections between the temperature probe and the monitor may be loose or faulty, resulting in intermittent or no readings. - * * internal hardware issue : * * there may be a problem with the internal hardware of the monitor, such as a faulty sensor or circuit board, that is preventing it from processing temperature readings correctly. - * * software glitch : * * a software glitch or bug in the monitor's operating system may be causing it to misinterpret or reject temperature readings. - * * depleted battery : * * the monitor's battery may be depleted, affecting its ability to power the temperature probe and receive readings. # # # recommendations - * * inspect the temperature probe : * * check if the temperature probe is damaged, frayed, or has any visible defects. ensure that it is securely connected to the monitor. - * * test the temperature probe : * * use a thermometer to measure the temperature of a warm object ( e. g., a bottle of warm water ) and compare the reading to that displayed on the monitor. if there is a significant discrepancy, the temperature probe may be faulty. - * * @topic:20


* * issue : * * physiologic monitor malfunction * * impact : * * inability to accurately monitor patient's vital signs, which could lead to delayed or incorrect treatment decisions. * * possible causes : * * - loose lag module ( as mentioned in the input ) - faulty wiring or connections - software glitches - hardware failure * * recommendations : * * - * * inspect and tighten the lag module : * * ensure that the module is securely plugged into the monitor and all connections are tight. - * * check wiring and connections : * * inspect for any loose or damaged wires, connectors, or cables. - * * update software : * * if available, check for software updates that may address known issues or bugs. - * * contact manufacturer for support : * * if the issue persists or cannot be resolved through the above steps, contact the manufacturer's technical support for further assistance or replacement of defective components. - * * use alternative monitoring devices : * * consider using a backup monitoring device if available to ensure continuous monitoring of the patient's vital signs. @topic:2


usually results in large amplitude spikes making the ecg signal look irregular. low frequency interference usually leads to a wandering or rough baseline. in the operating room, the filter reduces artifacts and interference from electrosurgical units. under normal measurement conditions, selecting filter may suppress the qrs complexes too much and thus interfere with the clinical evaluation of the ecg displayed on the monitor. this does not affect the ecg analysis med by the monitor. if autofilter is set to on in configuration mode, the filter setting will automatically be set to rference is detected. diag : use when diagnostic quality is required. the unfiltered ecg wave is displayed so that changes such as r - wave notching or discrete elevation or depression of the st segments are visible. the setting diag selects the highest available ecg bandwidth which is 0. 05 to 150 hz for the adult, pedi and neo patient category. the term " diagnostic " relates only to the ecg bandwidth requirements for diagnostic electrocardiographic devices as outlined in the ansi / aami standard ec11 - 1991. selecting positions of va and vb chest leads ( fo6 - lead placement ) the two chest leads for the 6 - lead placement can be positioned at any two of the v1 to v6 positions. select the positions you have used in the setup ecg menu, so that the chest leads will be correctly labeled. in the setup ecg menu, select va lead. 1 select the position used from the list. 2 3 select vb lead and select the position used from the list. choosing easi or standard lead placement you must enable either standard lead placement or easi lead placement. in the setup ecg menu, select lead placement and then standard or easi.. easi is shown beside the 1 mv calibration bar on the ecg wave on the display, and easi is marked on any @topic:8


information center ix. use environment the monitors are suitable for use in all medically used rooms which fulfill the requirements regarding electrical installation according to iec 60364 - 7 - 710 " requirements for special installations or locations - medical locations ", or corresponding local regulations. warning the monitors are not intended for use in an mri environment or in an oxygen - enriched environment ( for example, hyperbaric chambers ). onsider physicaaccess to the monitor must be limited to authorized users. it is important that security measures to ensure that unauthorized users cannot gain access. manufacturer's information you can write to philips at this address philips medizin systeme boeblingen gmbh hewlett - packard - str. 2 71034 boeblingegermany visit our website at : www. healthcare. philips. com / us /. © copyright 2013. koninklijke philips n. v. all rights reserved. bis manufacturer's information bisx, the bis engine, the dsc, the patient interface cable and the bis sensor are manufactured by covidien llc 15 hampshire sta 02048 usa 444 40 specifications trademark and license acknowledgment picco™ is a trademark of pulsion medical systems ag. bispectral index and bis are trademarks of covidien llc, and are registered in the usa, eu and other countries. microstream ®, filterline®, and smart capnoline® are trademarks or registered trademarks of oridion systems ltd. r r citrix and ica ( independent computing architecture ) are registered trademarks of citrix systems, inc. the following are trademarks of nellcor puritan bennett incorporated : nellcor®, durasensor®, dura - y®, oxiband®, oxicliq®, oximax®. max - fast® @topic:10


# # # issue - the electric bed is not able to be adjusted to a higher or lower level. # # # impact - the bed cannot be used to provide optimal care to patients. # # # possible causes - the relay that controls the bed's height adjustment has failed. - there may be a problem with the electrical wiring or power supply to the bed. - the bed's control panel may be malfunctioning. # # # recommendations - replace the failed relay. - inspect the electrical wiring and power supply to the bed for any damage or loose connections. - test the bed's control panel to ensure it is functioning properly. @topic:1


# # # issue scanner on medical cart is not working. # # # impact medical staff may not be able to use the medical cart to scan patient information. # # # possible causes - scanner is not properly connected to the medical cart. - scanner is not receiving power. - scanner is faulty. # # # recommendations - check if the scanner is properly connected to the medical cart. - check if the scanner is receiving power. - if the scanner is still not working, replace it. @topic:23


# # # issue - bed is not adjustable # # # impact - patient discomfort - difficulty providing care - increased risk of injury to patient or staff # # # possible causes - electrical fault - mechanical fault - software issue - loose or damaged cables - faulty or damaged components # # # recommendations - inspect the electrical connections and ensure they are secure. - inspect the mechanical components for any signs of damage or wear. - update the software to the latest version. - replace any loose or damaged cables. - test the bed thoroughly to ensure it is functioning properly. @topic:1


# # # issue the lead ekg wire was found to be broken. # # # impact the patient's vital signs may not be accurately monitored. # # # possible causes - the wire may have been damaged during use. - the wire may have been exposed to excessive heat or cold. - the wire may have been kinked or bent. # # # recommendations - inspect the wire for any visible damage. - replace the wire if it is damaged. - ensure that the wire is not exposed to excessive heat or cold. - avoid kinking or bending the wire. @topic:18


# # # issue - the display on the philips intellivue mx40 telemetric electrocardiography monitor is not functioning. # # # impact - the monitor cannot be used to monitor patient electrocardiographic data. # # # possible causes - the display is faulty. - the connection between the display and the rest of the monitor is faulty. - the power supply to the display is faulty. - the software that controls the display is faulty. # # # recommendations - replace the display. - repair the connection between the display and the rest of the monitor. - check the power supply to the display. - update the software that controls the display. @topic:16


repositioned by touching the required point on the wave, or using the speedpoint or another pointing device or touch : use the right / left arrow keys to movthe vertical cursor. 2 the vertical cursor moves through the time axis and the current value is displayed next to the cursor. use the up / down arrow keys to activate and move the horizontal cursor. 3 the horizontal cursor measures the wave value, which is displayed above the cursor line. if the wave is a pressure wave, the cursor value can be stored as a systolic, diastolic or mean pressure value ; if the pressure wave is a pap wave it can also be stored as a pawp value ; for pressure waves p, p1 to p8 it can also be stored as an iap value. the stored value appears in the trend database as alue. changing the wave speed lowering the wave speed compresses the wave and lets you view a longer time period. increasing the speed expands the waveform, giving you a more detailed view. to change the wave speed : select the frozen wave. 1 2 select change speed. 3 elect a speed from tto update the wave, that is freeze the current wave : select the frozen wave. 1 2 select freeze again. 43 1 introduction o release frozen wavesselect a frozen wave. 1 select unfreeze waves. 2 all frozen waves are released. every measurement associated with a monitor is identified by a unique label. you may have more than one instance of some measurements, for example pressure, being used simultaneously. the monitor uses the labels to distinguish between them. the default settings defined in the profile ( such as measurement color, wave scale, and alarm settings ) are stored within each label. when you assign a label to a measurement, the monitor automatically applies these default settings to the measurement. the @topic:8


# # # issue * * malfunctioning of electric bed ( hill - rom model basic care, p1440a ) * * # # # impact * * patient care issues : * * - * * impaired patient mobility : * * difficulty for patients to get in and out of bed, adjust positions, or transfer to other equipment. - * * increased patient discomfort : * * inability to adjust the bed to a comfortable position can lead to pain and pressure sores. - * * delays in patient care : * * prolonged bed rest and inability to move can lead to complications such as muscle atrophy and respiratory issues. * * operational efficiency issues : * * - * * interruption in bed availability : * * a malfunctioning bed may not be available for patient use, leading to delays in hospital operations. - * * increased workload for nursing staff : * * manual handling of patients without the assistance of an electric bed can strain nursing staff and increase the risk of injuries. # # # possible causes * * equipment - related : * * - * * mechanical failure : * * wear and tear of components such as motors, gears, or electrical circuits. - * * electrical issues : * * short circuits, loose connections, or power supply problems. - * * improper maintenance : * * lack of regular inspections, lubrication, or calibration. * * user - related : * * - * * excessive weight or improper use : * * overloading the bed or using it for unintended purposes can put undue stress on mechanisms. - * * patient tampering : * * unauthorized attempts to adjust or repair the bed can lead to damage. * * other factors : * * - * * environmental conditions : * * extreme temperatures, humidity, or moisture can affect the performance of electrical components. - * * y14 using backup bed : * * using a backup bed @topic:9


# # # issue the electric bed cannot be adjusted. # # # impact the patient cannot be positioned correctly for treatment or comfort. # # # possible causes * the remote control is not functioning properly. * the wiring in the bed is damaged. * the motor in the bed is not working. # # # recommendations * check the remote control for damage or loose connections. * inspect the wiring in the bed for any visible damage. * test the motor in the bed to ensure that it is functioning properly. * replace any damaged components. @topic:1


# # # issue - the nibp monitor is not turning on. # # # impact - the monitor cannot be used to measure blood pressure. # # # possible causes - the battery is dead. - the power cord is not plugged in. - the fuse is blown. - the monitor is defective. # # # recommendations - replace the battery. - plug in the power cord. - check the fuse and replace it if necessary. - contact the manufacturer for repair or replacement. @topic:15