# # # issue - medical cart's power board is malfunctioning, resulting in an incorrect battery percentage reading. # # # impact - incorrect battery percentage display may lead to unreliable power management and potential device shutdown. # # # possible causes - error in the power board's circuitry or software. - corroded or loose battery connections. - battery degradation over time. # # # recommendations - * * battery replacement : * * replace the battery if it shows signs of physical damage or if its capacity has significantly decreased. - * * power board reset : * * reset the power board by pressing the blue button on the board to clear any software errors. - * * connection inspection : * * ensure that the battery connections are secure and free of corrosion. - * * software update : * * check for any available software updates for the power board and apply them if necessary. - * * monitor usage : * * observe the device's battery performance over time and report any unusual behavior to the manufacturer or service provider. @topic:13


# # # issue - remote control failure - unable to adjust bed height # # # impact - inability to adjust patient positioning - potential discomfort or safety hazard for patient # # # possible causes - faulty wiring or connections - malfunctioning remote control - software or firmware issues - battery depletion # # # recommendations - inspect wiring and connections for any damage or loose connections - replace the remote control if necessary - ensure software and firmware are up - to - date - replace batteries if depleted - consult the manufacturer's service manual for additional troubleshooting steps @topic:7


# # # issue - the philips suresigns vs2 monitor's spo2 sensor is not providing accurate readings due to a faulty probe cable. # # # impact - inaccurate patient vital sign monitoring, such as oxygen saturation levels ( spo2 ). - potential for misdiagnosis and incorrect treatment decisions. # # # possible causes ( cause of failure ) - physical damage or wear to the probe cable, such as cuts, tears, or crimps. - loose or damaged connections between the probe cable and the monitor. - electrical interference caused by other medical equipment or faulty wiring. - software issues or firmware malfunction. # # # recommendations - inspect and replace the probe cable if it is damaged and ensure proper connections. - check for electrical interference and eliminate potential sources if necessary. - update the monitor's software or firmware to the latest version, if available. - perform regular maintenance and calibration of the monitor to prevent future failures. - train staff on proper handling and maintenance of the monitor and spo2 sensor. @topic:4


# # # issue the keypad on the philips suresings vsi vital signs monitor is not working. # # # impact the monitor cannot be used to record vital signs, which could delay or prevent patient care. # # # possible causes - the keypad is physically damaged. - the keypad is not connected properly to the monitor. - the keypad driver software is not functioning properly. # # # recommendations - physically inspect the keypad for damage. - ensure that the keypad is properly connected to the monitor. - update the keypad driver software. - if the issue persists, contact the manufacturer for further troubleshooting. @topic:2


setup menu, select global setting. select height unit and choose the height unit. 5. from the main setup menu, select global setting. select weight unit and choose the weight unit. configuring the equipment label if the information center is in fixed monitoring mode, it controls the equipment label. you do not need to follow this procedure. however, if you are on a wireless network, or your information center is configured for flexible monitoring mode, you must set the equipment label. this associates the monitor with a central monitoring sector. an identical monitor label must also be configured in the information center. 1. select the bed label screen element to call up the bed info menu. 2. select equipment label to call up the onscreen keyboard. 3. enter the system identifier. this needs to be set up in either the monitor or the information center. if the information center is in flexible monitoring mode, the monitor must be setup to match the information center ’ s monitor label. 213 configuring ip address, subnet mask and default gateway typically the automatic configuration via the bootp server of the central station is used. in this case all fields are set to 0. 0. 0. 0. for special requirements, it is possible to switch to a manual / fix ip address configuration. - only limited checks of the manual values are possible. therefore, it is mandatory that a manual configuration is only performed by an experienced service person to avoid problems such as duplicate ip addresses, non matching subnet mask, etc. - the second cpu of an mp90 does not support a manual configuration and therefore will always request the ip configuration via bootp. 1. select the bed label screen element to call up the bed info menu. 2. select ip address. if the ip address is set to 0. 0. 0. 0, all values are dynamically requested from a bootp server. otherwise the @topic:10


# # # issue - cuff of philips suresigns vs2 vital signs physiologic monitor is damaged. # # # impact - the vital signs monitor cannot take accurate blood pressure readings. # # # possible causes - the cuff may have been damaged by : - physical damage, such as being punctured or torn - wear and tear from repeated use - poor maintenance or storage # # # recommendations - replace the damaged cuff with a new one. - inspect the cuff regularly for any signs of damage. - handle the cuff with care to avoid damaging it. - train staff on the proper use and maintenance of the vital signs monitor. @topic:15


# # output # # # issue - the bed's legs are not adjustable. # # # impact - the bed cannot be used to adjust the patient's position. # # # possible causes - the motor that controls the leg adjustment is not working. - the wiring to the motor is damaged. - the control panel that operates the motor is not working. # # # recommendations - replace the motor. - repair the wiring to the motor. - replace the control panel that operates the motor. @topic:1


# # # issue - the telemetry monitor's ekg signal is intermittent and dropping out. # # # impact - the telemetry monitor cannot accurately monitor the patient's heart rhythm. - this could lead to missed diagnoses or delayed treatment. # # # possible causes - the telemetry monitor's transmitter is not properly connected to the patient. - the telemetry monitor's receiver is not properly connected to the monitor. - the telemetry monitor's battery is low. - the telemetry monitor's signal is being interfered with by other devices. - the telemetry monitor's software is not up to date. # # # recommendations - check the connections between the telemetry monitor's transmitter and the patient. - check the connections between the telemetry monitor's receiver and the monitor. - replace the telemetry monitor's battery. - move the telemetry monitor away from other devices that could be interfering with its signal. - update the telemetry monitor's software. @topic:18


# # # issue the bed cannot be adjusted. # # # impact the patient cannot be positioned comfortably or safely. # # # possible causes - the plug is not connected to the wall outlet. - the power cord is damaged. - the control panel is not functioning properly. - the motor is not functioning properly. - the mechanical linkages are damaged. # # # recommendations 1. check the plug to make sure it is connected to the wall outlet. 2. inspect the power cord for any damage. 3. check the control panel to make sure it is functioning properly. 4. listen for the motor to make sure it is running. 5. inspect the mechanical linkages for any damage. @topic:1


# # # issue - malfunctioning mount and keyboard on the bedside physiologic monitor. # # # impact - inability to effectively monitor and control the patient's physiological parameters. # # # possible causes - wear and tear due to prolonged use - faulty electrical connections - software or hardware defects # # # recommendations - bme has ordered and replaced the mount and keyboard. - regular maintenance and inspection of the equipment should be conducted to prevent similar issues in the future. - consider using more durable and reliable equipment to minimize the likelihood of future failures. @topic:2


# # # cause of failure : twisted drawer keyhole # # # issue the drawer keyhole is twisted, preventing the key from being inserted and the drawer from being opened. # # # impact the medical staff is unable to access the contents of the drawer, which may contain important medical supplies or equipment. # # # possible causes - the drawer was not properly closed, which caused the keyhole to become misaligned. - the drawer was forced open with excessive force, which damaged the keyhole. - the keyhole was clogged with dirt or debris, which prevented the key from being inserted. # # # recommendations - inspect the drawer to ensure that it is properly closed and that the keyhole is not damaged. - if the drawer is forced open, contact a biomedical engineer to repair the keyhole. - clean the keyhole regularly to prevent dirt and debris from accumulating. @topic:21


# # # issue - signal image is intermittent. # # # impact - the user is unable to use the monitor effectively. # # # possible causes - faulty signal cable. - electrical interference from the monopolar coagulator. # # # recommendations - replace the signal cable. - install a separate ground wire to prevent signal interference. - ensure that the equipment is properly grounded. @topic:2


c - shape head positioner ( 216054 ) and the c - shape single use foam pad ( p009426 ) that are used to support the patient's head in the prone position. refer to the installation instructions ( 214803 ) for more information about the adapteur refer to the instructions for use ( 773439 ) for more information about the allen c - brake and steer system brake and steer system always put the brake in the " stop " position, except during transport. once the brakes have been applied, push and pull the bed to make sure that it does not move. the brake bar, located at the foot of the bed, or the bilateral pedals at the head end, simultaneously control all four casters, including one steering caster. it has three positions : " stop " to prevent the bed from moving, • " neutral " to move the bed in all directions, " steering " for easier movement in a straight line. stop neutral steering label using the bar in the steering position without 5th wheel ( basic version ) : • all four wheels turn freely ( neutral ) and one wheel steers ( it no longer swivels ). n with 5th wheel with controlled release * : • when the brake and steer bar is in the steering position, the 5th wheel automatically switches to the steering position as soon as the bed moves forwards the wheel can be released by returning the brake bar to the " neutral " position. head foot note : before moving the bed sideways, check that the brake and steer bar is in th " neutral " position. " bed connected to power mains, brake not applied " detection * when the bed is plugged into the mains and the brakes are not applied, a continuous alert sounds until the brakes are applied or the bed is disconnected from the mains. this information can be sent to the duty nurse if the bed is connected to a hospital @topic:9


the picture below ). 2 place the measurement server on the back mount. if it is not tight against the mount, slip it in the direction of the measurement connectors until it is. 235 7 installation instructions installing remote devices 3 slip the measurement server forward until it clicks into place. detaching the measurement server from a mount 1 press and hold the latch ( in the middle at the top of the mount ) away from the measurement server. 2 slide the measurement server off the mount in the direction of the measurement connectors. positioning the measurement server on a clamp mount if you have your measurement server on the clamp mount, you can have it in one of four positions. you can reposition it as follows : 1 press and hold the mount latch toward the clamp screw. rotate the measurement server and mount until you get it to the position you want. 2 release the mount latch, and make sure it is clicked into one of the four slots on the back of the mount. 236 installing remote devices 7 installation instructions mounting the bis engine to the monitor n ote the bis engine mount is no longer orderable. 1 attach the mounting bracket of the bis engine to the bis mount. 237 7 installation instructions installing remote devices 2 attach the bis mount to the back of the monitor with four m3xl2 screws. 3 slide the bis engine onto the bracket. mounting the wireless ethernet adapter to the monitor n ote the mp40 / 50 with the intellivue instrument telemetry adapter complies with part 13 of the federal communications commission ( fcc ) rules. operation is subject to the condition that these devices do not cause harmful interference. operation of this equipment requires the prior coordination with a frequency coordinator designated by the fcc for the wireless medical telemetry service. note the following procedure applies to the proxim wireless ethernet adapter and the iit adapter only. to @topic:19


range. incompatible battey : the inserted battery is checked for certain battery internal parameters. if these are not correct, the incompatible battery symbol is displayed. please use only m4605a batteries with the mx400 / 450 / 500 / 550 monitor. note that the incompatible battery symbol may also appear if there is a communication problem between the battery and the standard system interface board. battety malfunction : communic 2 ition between the battery and the standard system interface board could not be established or battery internal data indicates malfunction. please see the “ troubleshooting ” section for remedies. battery temperature too high '. this symbol is displayed if the battery temperature goes above 65°c. in addition the inop message check batt temp is displayed. if the battery temperature increases further above 70°c the batteries will switch off for safety reasons. auow the battery to cool down to avoid the monitor switching off. battery has no power left. if the monitor is not running on ac power : battery will switch off power delivery at any moment - in this case recharge the battery immediately - or, if the monitor is running on ac power, the battery is in deep discharge and requires pre - charging to restore communication. to avoid this condition charge batteries to 50 % for storage. note that the battery malfunction inop will eventually be issued if the pre - charging does not restore battery communication within about 4 minutes. 99 [ 3 testing and maintenance ] battery status window ♦ to access the battery status window and its associated pop - up keys, select the battery status information on the screen, or select main setup - > battery. battery status x batt full ( > 90 % ) state of charge : 94 % voltage : 11. 38 v current : 3008 ma temperature : 25. 6 °c cycles : 45 manufacturedate : 2008 - 04 - 23 state of @topic:11


# # # issue : - cuff tube breakage # # # impact : - monitor unable to accurately measure blood pressure # # # possible causes : - excessive bending or pulling of the tube - wear and tear over time # # # recommendations : - handle the tube with care, avoiding excessive bending or pulling - inspect the tube regularly for signs of wear and tear - replace the tube if any damage is found @topic:3


# # # issue - device : vital signs monitor - brand : philips - model : suresigns vs2 + - description : monitor was found to be loose and unstable. # # # impact - inaccurate readings - patient discomfort # # # possible causes - loose screws or bolts - worn or damaged components - improper installation or assembly # # # recommendations - check all screws and bolts for tightness and secure as necessary. - inspect components for any signs of wear or damage and replace as needed. - ensure that the device is properly installed and assembled according to manufacturer instructions. - regular preventive maintenance should be performed to prevent similar issues in the future. @topic:2


# # # issue - the bed cannot be adjusted. # # # impact - patients may not be able to get into or out of bed comfortably. - nurses and other caregivers may have difficulty providing care to patients. # # # possible causes - the connector between the keypad and the bed is not connected. # # # recommendations - connect the connector between the keypad and the bed. - test the bed to make sure it is working properly. @topic:32


# # # issue - vital signs monitor not functioning properly # # # impact - inability to accurately monitor patient's vital signs, which could lead to delayed or incorrect diagnosis and treatment. # # # possible causes - * * battery depletion : * * the battery may have reached the end of its lifespan and is no longer able to provide sufficient power to the monitor. - * * faulty battery : * * the battery may be defective or damaged, preventing it from charging or providing power to the monitor. - * * loose battery connections : * * the battery may not be properly connected to the monitor, resulting in intermittent power supply. - * * electrical issues : * * there may be an electrical problem within the monitor or its circuitry, affecting the battery's ability to function properly. # # # recommendations - * * replace battery : * * the battery should be replaced with a new, fully charged one to ensure adequate power supply. - * * check battery connections : * * inspect the battery and its connections to the monitor to ensure they are secure and free of damage. - * * troubleshoot electrical issues : * * if the battery and connections are intact, further troubleshooting is required to identify and resolve any electrical problems within the monitor. - * * consider battery life monitoring system : * * to prevent future battery - related failures, implement a system to monitor battery life and provide timely alerts for replacement. @topic:11


# # # issue - printer not printing # # # impact - inability to print patient data and reports # # # possible causes - paper jam in printer - printer software or firmware issues - hardware failure # # # recommendations - clear paper jam - check printer software and firmware for updates - contact biomedical engineering for further troubleshooting and repair @topic:28


# # # issue - bedside rails detached from the bed. # # # impact - patient safety hazard, as patients may fall out of bed. # # # possible causes - loose or missing screws or bolts. - damaged or worn rails. - incorrect assembly or installation. # # # recommendations - inspect the rails for loose or missing screws or bolts, and tighten or replace as necessary. - check the rails for damage or wear, and replace if necessary. - ensure that the rails are properly assembled and installed according to the manufacturer's instructions. @topic:6


* * issue : * * cuff bp damaged * * impact : * * patient monitoring accuracy may be compromised. * * possible causes : * * - wear and tear from frequent use - punctures or tears in the cuff material - improper storage or handling of the cuff - malfunctioning of the cuff's internal components * * recommendations : * * - regularly inspect the cuff for any signs of damage or wear. - handle the cuff with care to avoid punctures or tears. - store the cuff in a dry and protected environment when not in use. - calibrate the cuff according to the manufacturer's instructions to ensure accuracy. - consider replacing the cuff if it is damaged or shows signs of malfunction. @topic:3


# # # issue - nibp ( non - invasive blood pressure ) monitor is not charging. # # # impact - inability to accurately measure and monitor blood pressure. # # # possible causes - defective adaptor cable or port - damaged or malfunctioning cuff # # # recommendations - replace the adaptor cable or repair the port. - inspect and replace the cuff if damaged or worn. - ensure proper connection between the adaptor and the monitor. - verify that the power outlet is functioning correctly. @topic:15


the tube. the nbp module has malfunctioned. replace the nbp pump module. see “ removing the nbp module ” on page 8 - 33. the nbp pump filter is blocked. replace the nbp pump filter. see " removing the nbp filter ” on page 8 - 35. the main board has malfunctioned. replace the main board. see “ removing the main pcb ” on page 8 - 31. there are no nbp readings wrong cuff size, or incorrect cuff placement. use proper cuff size, ensure proper cuff placement. there is an incorrect initial pressure setting. set a proper initial pressure. see “ changing the initial nbp pressure ” on page 5 - 10. the tube is kinked or there is air leakage in the air tube or cuff. ensure that the tube is straight and not kinked. replace the cuff and ensure that there is no air leakage in tube. there has been some external problem. ensure that all external blood pressure reading requirements are met and that the patient is not moving excessively. the nbp pump filter is blocked. replace the nbp pump filter. see " removing the nbp filter ” on page 8 - 35. there is an nbp module error. replace the pump module or main board. see “ removing the nbp module ” on page 8 - 33 or “ removing the main pcb ” on page 8 - 31. i ’ m getting unreliable nbp readings wrong cuff size, or incorrect cuff placement. use proper cuff size, ensure proper cuff placement. there is an incorrect initial pressure setting. set the initial pressure properly. see “ changing the initial nbp pressure ” on page 5 - 10. there has been some external problem. ensure that all external blood pressure reading requirements are met and that the patient is not moving excessive @topic:15


pressed the monitor is not fixed on the mounting ) mp40 / mp50 led colors and their meanings on / standby led green when monitor is switched on error led red if there is a problem with the monitor battery led green, yellow, and red. see the section on using the batteries for details ac power led green while the monitor is connected to ac power ( mains ) intellivue mp60 / mp70 the intellivue mp60 / mp70 ( m8005a / m8007a ) patient monitors integrate the display unit, with a 15 ” color lcd display, and the data processing unit into one. up to eight waves can be shown on the screens, as well as the 12 - lead ecg screen. the mp60 uses the speedpoint as its primary input device while the mp70 uses touch screen operation but may have an optional speedpoint. the monitors can be connected to a multi - measurement modules ( mms ) and any one of the mms extensions, and to the flexible module rack ( m8048a ). the intellivue family plug - in measurement modules can be connected to its fms module slots with plug - and - play convenience. the mp60 / mp70 has two integrated slots for plug - in modules. you can combine one each of the following modules in these slots : pressure, temperature, c. o., bis, sp0 2, vuelink and intellibridge. two of the same type of module cannot be used. you can also use the two - slot recorder module in the integrated slots. 5 1 basic operation introducing the intellivue family mp60 / mp70 major parts and keys color coded alarm lamps alarms off lamp display model indicator speedpoint ( optional for mp70 ) part number and serial number mounting quick - release lever ( when this is pressed the monitor is not fixed on the @topic:10


# # # issue - the provided context does not specify any issue with the medical device. # # # impact - no impact information is provided in the context. # # # possible causes - the context indicates that the device is working normally, so there are no possible causes of failure. # # # recommendations - the context does not provide any recommendations for the technician. @topic:12


# # # issue the cuff of the philips suresigns vs4 physiologic vital signs monitor is faulty. # # # impact the monitor cannot accurately measure blood pressure. # # # possible causes 1. the cuff could be too small or too large for the patient. 2. the cuff could be damaged or leaking air. 3. the connection between the cuff and the monitor could be loose or damaged. 4. the monitor itself could be malfunctioning. # # # recommendations 1. check the cuff size and make sure it is appropriate for the patient. 2. inspect the cuff for any damage or leaks. 3. check the connection between the cuff and the monitor. 4. if the problem persists, the monitor may need to be serviced or replaced. @topic:15


plug - in module slots 3 ecg analog output / marker input connector serial / mib ( rs232 ) connectors ( optional ), type rj45 parallel printer connector keyboard connector mouse / trackball connector main measurement link ( msl ) wired network connector wireless network connector analog video out connector equipotential ground connector ac power input protective earth screw hole 409 38 installation and specifications installation safety information left side of monitor ( mp60 / 70 ) 1 mms patient cable connectors 2 slot for integrated recorder module or measurement module 3 additional measurement link ( msl ) cable ( alternative or additional to msl on right of monitor ) 4 ecg analog output / marker input connector 410 installation safety information 38 installation and specifications mp80 / mp90 mp80 / mp90 ( rear of processing unit ) - mp80 does not have the top row of connectors 1 1 2 3 4 5 6 7 8 9 10 11 serial / mib ( rs232 ) connectors, type rj45 12 ecg analog output / marker input serial / mib ( rs232 ) connectors, type rj45 13 wired network connector independent display - remote alarm device connector 14 wireless network connector keyboard connector 15 primary measurement link independent display - remote speedpoint connector 16 parallel printer connector independent display - mouse / trackball connector 17 additional measurement link independent display - keyboard connector 18 remote speedpoint connector independent display analog video out connector 19 mouse / trackball connector primary display - analog video out connector 20 remote alarm connector independent display - digital video out connector primary display - digital video out connector 21 flexible nurse call interface d80 intelligent display the d80 intelligent display can have the following interfaces : primary measurement link, analog video out ( lx ), digital video out ( lx ), dual serial / mib ( rs232 ) ( up to 3x ), dual ps2 input device interface ( lx ) @topic:19


# # # issue - remote control failure # # # impact - inability to adjust the bed's height # # # possible causes - malfunctioning remote control - loose or damaged wiring - internal electrical issues - software or firmware glitches # # # recommendations - * * inspect the remote control : * * check for visible damage, loose buttons, or battery issues. - * * test the wiring : * * ensure that all cables are securely connected and undamaged. - * * diagnose electrical faults : * * use a multimeter or other diagnostic tools to identify any electrical faults in the bed or remote control. - * * update software or firmware : * * if applicable, check for available software or firmware updates that may address the issue. - * * replace malfunctioning components : * * if the remote control or any other component is found to be faulty, replace it with an oem - approved part. @topic:7


# # # issue user is experiencing difficulty raising and lowering the bed rails. # # # impact this issue can lead to patient falls and injuries. # # # possible causes * user error : the user may not be familiar with the correct way to operate the bed rails. * equipment malfunction : there may be a problem with the bed rails themselves. # # # recommendations * * * user error : * * the biomedical engineer should provide the user with training on how to properly operate the bed rails. * * * equipment malfunction : * * if the biomedical engineer determines that there is a problem with the bed rails, they should repair or replace the equipment. @topic:6


the one required by package. information the token file incompatible firmware. software update : information status message ; click ok button to dismiss. information swup nibp is not functional swup internal error 212 troubleshooting welch [UNK] connex® spot monitor alarm priority ossible causmessage software update : the software update manager information status message ; click ok information button to dismiss. check for software update and apply it. very low the radio software was not upgraded. radio softwupgrade failed. if message is still present, replace the radio. luetooth messagealarm priority possible cause message bluetooth not functional. 370001 reboot the monitor. if the problem persists, replace the bluetooth radio. if the problem persists, replace the main the monitor detected a bluetooth device that is not functional bluetooth not functional. 370002 replace the bluetooth raproblem persists, replace the main the monitor cannot detect a bluetooth module bluetooth device the bluetooth device connection successful connected information none. the bluetooth device failed to verify a successful pairing between the very low n / a device and the pc. if the problem is still present, verify the bluetooth signal strength. if the problem persists, verify authentication code, verify the computer hardware and configuration. if the problem persists, verify if the computer has prior pairing information for the monitor. the bluetooth device failed to version of stack on the pc does not pair with the monitor. n / a support simple secure pairdevice requires 2. 1 + edr bluetooth the bluetobluetooth device connection successful connected information the bluetooth device none. the bluetooth device did not connect with the monitor n / a n / a bt device connection dropped due to distance, application crash on host end. or rf connection not possible or rf connection possible, but cannot find device or service manual @topic:16


# # # issue the carescape v100 vital signs monitor is giving inaccurate blood pressure readings, measuring higher than expected. # # # impact * incorrect blood pressure readings can lead to misdiagnosis and inappropriate treatment. * patients may receive unnecessary or incorrect medications. * the monitor may become unreliable, leading to a lack of confidence in its readings. # # # possible causes * * * calibration error : * * the monitor may not have been calibrated correctly, resulting in inaccurate measurements. * * * sensor malfunction : * * the blood pressure sensor may be defective or not properly connected, leading to incorrect readings. * * * software bug : * * a software error in the monitor may be causing the inaccurate readings. * * * electrical interference : * * external electrical interference may be affecting the monitor's readings. * * * patient factors : * * the patient's blood pressure may be abnormally high due to underlying medical conditions. # # # recommendations * * * recalibrate the monitor : * * ensure that the monitor is properly calibrated according to the manufacturer's instructions. * * * inspect the sensor : * * check the blood pressure sensor for any damage or loose connections. clean or replace the sensor if necessary. * * * update software : * * check for any available software updates for the monitor and install them to address any potential bugs. * * * eliminate electrical interference : * * ensure that the monitor is not placed near any sources of electrical interference, such as radios or microwaves. * * * consider patient factors : * * take the patient's medical history and current condition into account when interpreting the blood pressure readings. @topic:15


# # # issue - cuff is damaged or broken, resulting in inaccurate or unreliable monitoring of physiological parameters. # # # impact - incorrect or missed readings of vital signs ( e. g., blood pressure, spo2, temperature ), leading to potential delays or errors in diagnosis and treatment decisions. - patient discomfort or injury due to improper cuff placement or over - inflation. # # # possible causes - cuff age and wear : cuffs can deteriorate over time, especially with frequent use and / or improper storage. - environmental factors : extreme temperatures, humidity, or exposure to chemicals can damage the cuff material. - user error : incorrect cuff placement or excessive inflation can strain or puncture the cuff. - manufacturing defects : occasionally, cuffs may have manufacturing flaws that result in premature failure. # # # recommendations - * * regular inspections and maintenance : * * regularly check the cuff for signs of damage or wear, and replace it promptly if necessary. - * * appropriate storage : * * store cuffs in a clean, dry, and temperature - controlled environment when not in use. - * * proper cuff placement : * * ensure the cuff is securely fastened and not too tight or loose. follow the manufacturer's guidelines for the correct arm position and cuff size. - * * avoid over - inflation : * * use an appropriate blood pressure monitor and follow the recommended inflation pressure. monitor the cuff pressure closely to prevent excessive inflation. - * * consider cuff usage life : * * consult with the manufacturer or healthcare professional for guidance on the expected lifespan of the cuff based on usage and environmental conditions. - * * training and supervision : * * ensure staff are properly trained in the use and maintenance of monitoring equipment, including cuff handling and troubleshooting. @topic:5


# # # issue - medical cart has a key lock indicator stuck on slot 6. # # # impact - the medical cart cannot be used properly. # # # possible causes - the key is not making proper contact with the sensor, causing the key lock indicator to remain on. # # # recommendations - increase the surface area of the key to make better contact with the sensor. @topic:27


# # # issue - defective medical cart shelf # # # impact - compromised stability of the cart - potential for equipment damage or injury to patients or staff # # # possible causes - excessive weight or improper distribution of load on the shelf - wear and tear on the shelf over time - manufacturing defects - improper installation or assembly of the shelf # # # recommendations - inspect the shelf regularly for any signs of damage or wear - ensure that the shelf is loaded evenly and within its weight capacity - report any defects to the manufacturer or service provider - schedule regular maintenance and inspections to prevent future failures @topic:31


##646. this is the only probe supported for use ; it can be used with room temperature injectate or with cold injectate. 8 check that the correct arterial catheter constant is selected. if the catheter is recognized by the monitor, the catheter constant is automatically displayed and cannot be changed manually. if it is not recognized, in the c. o. procedure window, select cathct and use the pop - up keypad to enter the correct value. the catheter constant is usually written either on the catheter or on the catheter packaging. 204 measuring c. o. using the picco method 13 monitoring cardiac output 9 make sure that the injectate volume setting matches the injectate volume you will use. to change the volume, in the c. o. procedure window, select in jvol and select the correct injectate volume from the pop - up list. if there is a problem with the volume or temperature you have chosen, the monitor will issue a curve alert message to inform you of this. 10 if you are measuring cco or cci, check that the correct pressure source is selected in the setup cco menu. the pressure label under cco from must match the pressure measured with the arterial catheter. to change the pressure source, select cco from to call up a list of available pressure labels and select the correct label. 11 if you are measuring cco or cci, verify that the correct alarm source is selected in the menu item alarms from. to change the alarm source, select alarms from and choose either cco or cci. performing picco c. o. measurements always wait for the monitor to indicate readiness for the next step before proceeding. if you are measuring cco, all measurements should be conducted within 15 minutes. older measurements “ expire ” for cco calibration @topic:17


# # # issue - battery replacement due to end - of - life. # # # impact - the device may experience power outages or reduced performance due to a depleted battery. # # # possible causes - normal battery aging and usage over time. - battery not properly charged or maintained. - battery damaged due to physical impact or exposure to extreme temperatures. # # # recommendations - follow the manufacturer's recommended maintenance and replacement schedule for the battery. - ensure the battery is properly charged and stored in a suitable environment. - handle the device with care to avoid physical damage to the battery. - consider using a backup battery or alternative power source to minimize the risk of device failure due to battery depletion. @topic:11


# # # issue - bed not adjusting # # # impact - patient discomfort - difficulty providing care # # # possible causes - bed locked - electrical fault - mechanical failure # # # recommendations - check if bed is locked and unlock if necessary - inspect electrical connections and wires - test mechanical components for proper operation @topic:1


for more than 60 seconds. the limit violations for both leads must be with respect to same limit ; either both above the high limit or both below the low limit. ecg / st * * st multi ( on monitor ) numeric flashes, yellow alarm lamp, alarm tone the st depression or elevation is outside of the limit in two or more leads. check on the monitor ecg / st at information center two contiguous leads < n > and < n > are above numeric flashes, yellow alarm lamp, their respective ste limits alarm tone * ste < n >, < necg / st * st - < n > higecg / st the st elevation in lead < n > is higher than the limit. lead is not contiguous with any other numeric flashes and high alarm limit is highlighted, yellow alarm lamp, alarm tone numeric flashes and low alarm limiis highlighted, yellow alarm lamp, alarm tone * * st - < n > low the st depression in lead < n > is lower than the limit. lead is not contiguous with any other ecg / st lead. svecg / arrhythmia a run of supraventricular beats > the svt run numeric flashes, yellow alarm lamp, limit and heart rate > the svt hr limit. alarm ton12 79 4 patient alarms and inops alarm message condition indication from this is the alternative alarm message for * * * extreme tachy when the alarm text setting is enhanced. * * tachy / p xxx > yypress, spo2numeric flashes, alarm limit is highlighted, red alarm lamp, alarm or ecg * * tachy xxx > yytone heart rate > the extreme tachycardia alarm limit. xxx denotes the highest measured value ; is the tachycardia limit. yyy * tblood higthe blood temperature value has @topic:8


# # # issue - battery failure # # # impact - the device may not be able to function properly or may shut down unexpectedly. # # # possible causes - the battery may have reached the end of its lifespan. - the battery may have been damaged due to mishandling or environmental factors. # # # recommendations - replace the battery with a new one. - ensure that the battery is properly installed and connected. - follow the manufacturer's instructions for charging and maintaining the battery. @topic:11


# # # issue - ring bulb of monitor lcd is rotating freely # # # impact - impaired display of patient data, which can affect diagnosis and treatment decisions. # # # possible causes - loose or broken screw securing the ring bulb. # # # recommendations 1. tighten or replace the loose screw. 2. check if the screw threads are damaged and replace the screw if necessary. 3. ensure proper alignment of the ring bulb and the monitor casing. 4. test the stability of the ring bulb after making adjustments. @topic:2


# # # issue - medical cart drawer cannot close properly # # # impact - improper storage and organization of medical equipment and supplies - potential safety hazard for healthcare professionals and patients # # # possible causes - loose solenoid mounting screws - faulty solenoid - misalignment of drawer components - obstruction in drawer track or mechanism # # # recommendations - tighten loose solenoid mounting screws - inspect and replace faulty solenoid if necessary - ensure proper alignment of drawer components - clear any obstructions from drawer track or mechanism - perform regular maintenance and inspections on medical equipment @topic:21


# # # issue monitor vitalsign v4 not set up properly # # # impact monitor may not provide accurate or reliable readings, which could delay or compromise patient care. # # # possible causes - insufficient training or knowledge of the monitor's settings - incorrect or incomplete setup instructions - faulty equipment or malfunctioning components - environmental factors, such as excessive noise or vibrations # # # recommendations - ensure that the biomedical engineer ( bme ) responsible for the setup has received adequate training and has a thorough understanding of the monitor's settings. - provide clear and complete setup instructions to the bme. - test the equipment thoroughly before putting it into use. - monitor the equipment regularly for any signs of malfunction or deterioration. @topic:20


# # # issue - the telemetry electrocardiography ( ecg ) monitor is not displaying any signals. # # # impact - the monitor cannot be used to collect ecg data from patients, which can delay or prevent diagnosis and treatment. # # # possible causes - the monitor is not properly connected to the patient. - the patient's skin is not properly prepared for ecg monitoring. - the monitor's electrodes are damaged or dirty. - the monitor's cables are damaged or loose. - the monitor's power supply is not working. - the monitor's software is not functioning properly. # # # recommendations - check that the monitor is properly connected to the patient and that the patient's skin is properly prepared for ecg monitoring. - inspect the monitor's electrodes, cables, and power supply for any damage or loose connections. - if the monitor's software is not functioning properly, try restarting the monitor or contacting the manufacturer for technical support. - if the issue persists, the monitor may need to be repaired or replaced. @topic:18


# # # issue - equipment failure : the bed is unable to adjust its head position downward. # # # impact - inability to adjust the patient's head position, affecting patient comfort and recovery. - increased workload and discomfort for healthcare providers who rely on the bed for patient positioning. # # # possible causes - * * mechanical failure : * * - the backrest pad has detached and is interfering with the bed's adjustment mechanism. - * * electrical malfunction : * * - faulty wiring or electrical components prevent the bed from receiving or executing commands to adjust its head position. - * * software issue : * * - glitches or bugs in the software controlling the bed's functions. - * * improper use : * * - the bed may have been operated incorrectly or misused, causing damage to internal components. - * * wear and tear : * * - over time, components of the bed may experience wear and tear, leading to reduced functionality. # # # recommendations - * * immediate : * * - repair or replace the detached backrest pad. - reset the bed's electrical system by unplugging and re - plugging it. - check the software version and update if necessary. - * * short - term : * * - inspect the bed regularly for signs of damage or wear. - ensure proper use and operation by healthcare providers. - * * long - term : * * - implement a preventive maintenance program to identify and address potential issues early. - consider upgrading or replacing the bed if it experiences frequent failures. @topic:1


* * issue : * * spo2 measurement failure * * impact : * * inability to accurately monitor patient's oxygen saturation levels, leading to potential patient safety concerns. * * possible causes : * * * * * damaged spo2 cable : * * the cable connecting the sensor to the monitor may have become damaged, preventing proper signal transmission. * * * faulty sensor : * * the sensor itself may have malfunctioned, causing incorrect readings or no readings at all. * * * loose connection : * * a loose connection between the sensor and the cable or between the cable and the monitor can also prevent proper signal transmission. * * * settings errors : * * incorrect settings on the monitor or the sensor can result in inaccurate spo2 measurements. * * * patient factors : * * certain patient factors, such as skin pigmentation or low - perfused tissues, can affect spo2 readings. * * recommendations : * * * inspect the spo2 cable for any visible damage or loose connections. * replace the sensor if it is suspected to be faulty. * ensure that all connections are secure and tight. * verify the monitor and sensor settings to ensure they are correct. * consider patient factors that may affect spo2 measurements and take appropriate measures, such as using an alternative site for sensor placement. * document the cause of failure and any measures taken to resolve the issue. @topic:4


# # # issue - unable to adjust volume on the bedside physiologic monitor. # # # impact - the volume setting cannot be adjusted, which may affect the accuracy and reliability of the displayed readings. # # # possible causes - * * faulty volume control knob : * * the knob used to adjust the volume may be malfunctioning or loose. - * * loose / disconnected wire : * * the wire connecting the volume knob to the monitor's mainboard may have become loose or disconnected. - * * software bug : * * a software error in the monitor's operating system may be preventing the volume from being adjusted. - * * defective mainboard : * * the mainboard, which controls the monitor's functions, may be defective, causing the volume adjustment to malfunction. # # # recommendations - * * inspect the volume control knob : * * check the knob for any signs of damage or looseness. tighten the knob if necessary. - * * check the wire connections : * * ensure that the wire connecting the volume knob to the mainboard is firmly connected at both ends. - * * restart the monitor : * * a simple restart may resolve any software glitches that may be causing the volume issue. - * * contact biomedical engineering support : * * if the above steps do not resolve the volume issue, contact biomedical engineering support for further troubleshooting and potential repairs. @topic:2


# # # issue : battery failure in a philips intellivue mx450 bedside physiologic monitor. # # # impact : the monitor may be unable to function properly or may experience reduced battery life. # # # possible causes : - * * battery wear and tear : * * batteries degrade over time and may eventually fail to hold a charge. - * * overcharging or undercharging : * * improper charging practices can damage batteries and shorten their lifespan. - * * environmental factors : * * extreme temperatures, humidity, or vibration can affect battery performance. - * * manufacturing defects : * * in rare cases, batteries may have manufacturing defects that cause them to fail prematurely. # # # recommendations : - * * regular maintenance : * * schedule regular inspections and battery replacements to ensure optimal performance and prevent unexpected failures. - * * proper charging practices : * * follow the manufacturer's guidelines for charging and discharging batteries. avoid overcharging or undercharging. - * * environmental monitoring : * * ensure that the monitor is stored and operated in an environment that meets its performance specifications. - * * battery quality : * * purchase high - quality batteries from reputable manufacturers to minimize the risk of premature failure. - * * consider backup batteries : * * keep backup batteries available for critical situations where the primary battery fails. @topic:11


# # # issue - cuff of blood pressure ( bp ) monitor is damaged. # # # impact - accurate bp measurement cannot be obtained. # # # possible causes - cuff is old and worn out. - cuff is not properly inflated. - cuff is not the correct size for the patient. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly inflated. - use the correct size cuff for the patient. @topic:3


# # # issue - remote control malfunction # # # impact - inability to operate the electric bed remotely # # # possible causes * * 1. remote control circuit failure : * * - internal electrical component failure within the remote control circuit - loose or damaged solder joints - corrosion or contamination on circuit board * * 2. signal transmission failure : * * - weak or intermittent battery power - radio frequency ( rf ) interference from other devices - damage to or disconnection of antenna # # # recommendations * * 1. check remote control circuitry : * * - visually inspect for loose or damaged components - clean the circuit board with an anti - static brush and isopropyl alcohol - test the continuity of solder joints using a multimeter * * 2. troubleshoot signal transmission : * * - replace batteries and ensure they are making good contact - eliminate possible sources of rf interference, such as other wireless devices - check the antenna for damage or continuity issues @topic:7


# # # issue the remote control for the huntleigh enterprise 5000 bed, electric is not functioning properly. # # # impact the patient may be unable to use the bed to their full potential, which could lead to discomfort or even pain. # # # possible causes - the remote control may be damaged. - the batteries in the remote control may be dead. - the receiver on the bed may be malfunctioning. - there may be loose or disconnected wires. - the software in the remote control or bed may be malfunctioning. # # # recommendations - inspect the remote control for any visible damage. - replace the batteries in the remote control. - check the receiver on the bed for any loose or disconnected wires. - contact a qualified biomedical engineer to troubleshoot and repair the device if necessary. @topic:7


# # # issue - equipment : beds, electric - band : hill - rom - model : 900b - description : the bed cannot be adjusted downwards. # # # impact - the bed cannot be used for patient care. # # # possible causes - the bed's motor is not working. - the bed's control panel is not working. - the bed's wiring is damaged. - the bed's frame is damaged. # # # recommendations - inspect the bed's motor, control panel, wiring, and frame for any damage. - if any damage is found, replace the damaged parts. - if no damage is found, troubleshoot the bed's electrical system. - if the bed's electrical system is functioning properly, then the bed may need to be recalibrated. @topic:1


• # 2 phillips head screwdriver • soft faced hammer • 8 mm pin punch • loctite® 2 242 adhesive • e - ring installation tool • ( 2 ) jack stand • scissor jack • 3 / 32 " punch • marking pen 1. torx® is a registered trademark of acument intellectual properties, llc. 2. loctite® is a registered trademark of loctite corporation, inc. careassist™ bed service manual ( man330 rev 4 ) page 4 - 1 tool and supply requirements chapter 4 : removal, replacement, and adjustment procedures • tape • ( 2 ) 4 " x 4 " x 2 ’ piece of wood • rags • isopropyl alcohol • wire cutters • vise - grip® 1 • antistatic strap • string 10 ’ ( 305 cm ) • needle nose pliers • small - bladed screwdriver ( 2 ) 1. vise - grip® is a registered trademark of american tool companies, inc. page 4 - 2 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 1 sleep deck chapter 4 : removal, replacement, and adjustment procedures 4. 1 sleep deck tools required : # 2 phillips head screwdriver e - ring installation tool 10 mm wrench marking pen tape removal 1. set the brakes. 2. raise the head section to the high position. 3. lower the knee and foot sections to the flat position. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 4. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 5. for the foot section, grip the section ( a ) on either end and remove it from the bed ( see figure 4 - 1 on page 4 - 4 ). @topic:26


# # # issue - cuff of suresisgn vsi monitor is damaged. # # # impact - cuff is an important part of the vsi monitors to measure vital signs. without cuff, the device cannot function properly. # # # possible causes - cuff is a disposable part and needs replacement after a certain period of use. - cuff can be damaged due to improper storage or handling. # # # recommendations - replace the cuff with a new one. - train staff on proper storage and handling of cuffs to prevent future damage. @topic:5


can identify i / o boards by means of a serial eeprom device that stores type and version information. the operating system detects the i / o boards and automatically connects them with the associated ( interface driver ) application. for some multi - purpose cards it is necessary to configure the card for a particular purpose first ( for example the dual mib / rs232 card can support external touch display ( only slave display ), data import, data export ). monitor applications the monitor applications provide additional system functionality over the basic measurement and monitoring capabilities. this includes for example trending, report generating, event storage or derived measurements. in general, the monitor applications use the data provider system service to access the measurement data. application interfaces to the other system services allow the application to visualize data, to store data over extended periods of time or to output data to other devices. internal lan ( measurement server link ) all components of the monitoring system ( including measurement servers and cpus in the monitor ) communicate using an ieee802. 3 / ethernet lan in the measurement server link ( msl ). this network is used to distribute data between the components, for example : • digitized patient signals including wave data, numerical data and status information ( typically from the measurement server to a display unit ) 28 monitor theory of operation 2 theory of operation • control data representing user interactions ( typically from the display unit to a measurement server ) • shared data structures, for example representing patient demographical data and global configuration items the internal lan allows plug and play configuration of the monitoring system. the system automatically detects plugging or unplugging of measurement servers and configures the system accordingly. the components on the internal lan are time - synchronized to keep signal data consistent in the system. dedicated hardware support for synchronization eliminates any latency of the network driver software. the integrated lan provides deter @topic:10


# # # issue - alarm no central monitor # # # impact - inability to monitor patient's vital signs and receive alarms remotely. - delay in response time to critical events. - potential compromise of patient safety. # # # possible causes - faulty lan cable. - defective network card in the monitor. - configuration issues with the central monitoring system. - software bugs or updates. - interference from other wireless devices. # # # recommendations - replace the lan cable with a new and undamaged one. - ensure that the network card in the monitor is functioning correctly. - consult the manufacturer for any known configuration issues related to the central monitoring system. - update the software to the latest version if available. - check for and eliminate any potential sources of wireless interference. @topic:16


no damage to threading of mx400 / 450 / 500 / 550. quick release button comes back out gradually and regularly. 89 [ 3 testing and maintenance ] reporting of test results philips recommends all test results are documented in accordance with local laws. authorized philips personnel report the test result back to philips. while hospital personnel ( biomedical engineers or technicians ) do not need to report results to philips, philips recommends that they record and store the test results in accordance with local laws. the following table lists what to record after completing the tests in this chapter. record the results in the empty column in the test and inspection matrix. the following is a guide as to what your documentation should include : • identification of the testing body ( for example, which company or department carried out the tests ). • name of the person ( s ) who performed the tests and the concluding evaluation. • identification of the device ( s ) and accessories being tested ( serial number, etc. ). • the actual tests ( incl. visual inspections, performance tests, safety and system tests ) and measurements required • date of testing and of the concluding evaluation. • a record of the actual values of the test results, and whether these values passed or failed the tests. • date and confirmation of the person who performed the tests and evaluation. the device under test should be marked according to the test result : passed or failed. 90 3 testing and maintenance ] carrying out and reporting tests test report testing organization : name of testing person : date : ( check one of the following three options ) test before putting into service ( reference value ) recurrent test test after repair responsible organization : device under test : id - number product number : serial no. : accessories : measurement equipment ( manufacturer, type, serial no., calibration date ) : safety test method used functional test ( parameters tested ) : mains voltage and frequency used during safety testing : test and @topic:10


# # # issue cuff bp is faulty. # # # impact the monitor cannot measure blood pressure accurately. # # # possible causes - the cuff may be punctured or torn. - the cuff may be the wrong size for the patient. - the cuff may not be properly inflated. - the cuff may be connected to the monitor incorrectly. # # # recommendations - inspect the cuff for any damage. - ensure that the cuff is the correct size for the patient. - inflate the cuff properly. - connect the cuff to the monitor correctly. @topic:3


# # # issue - broken bed rail # # # impact - patient safety hazard - inconvenience to patients and staff - potential for further damage to the bed # # # possible causes - excessive force applied to the bed rail - manufacturing defect - wear and tear - improper installation # # # recommendations - inspect the bed rail for any visible damage or defects. - replace the broken bed rail with a new one. - ensure that the bed rail is properly installed and secured. - train staff on the proper use of the bed and how to avoid applying excessive force to the bed rail. @topic:6


# # # issue - motor failure in the bed, electric, universal quality, model uq2000b. # # # impact - the bed is not functional and cannot be used for patient care. # # # possible causes - wear and tear over time - electrical fault - manufacturing defect - improper use or maintenance - power surge # # # recommendations - replace the motor with a new one from the manufacturer or a reputable supplier. - check the electrical connections and wiring for any loose or damaged components. - perform regular maintenance and inspections on the bed to prevent future failures. - train staff on proper use and maintenance of the bed. - consider purchasing a service contract from the manufacturer or a third - party provider to ensure timely repairs and maintenance. @topic:9


# # # issue - the bedside physiologic monitor's screen is not responding to touch input correctly. # # # impact - the monitor may not be able to accurately display patient data or respond to commands, potentially leading to delays in diagnosis and treatment. # # # possible causes - * * hardware failure : * * the touchscreen panel or the underlying electronics may be damaged, preventing touch input from being registered correctly. - * * software glitch : * * a software issue may be causing the monitor to incorrectly interpret touch input or resulting in unresponsive areas on the screen. - * * environmental factors : * * extreme temperatures, humidity, or electromagnetic interference could affect the monitor's touch functionality. # # # recommendations - * * troubleshooting : * * - check the touchscreen panel for any visible damage, scratches, or cracks. - try cleaning the touchscreen panel with a soft, slightly damp cloth. - restart the monitor to refresh the software. - * * hardware repair : * * - if the troubleshooting steps do not resolve the issue, the touchscreen panel or other hardware components may need to be replaced. - * * software update : * * - check for any available software updates from the manufacturer. installing the latest software may address software - related issues. - * * environmental optimization : * * - ensure that the monitor is operating within the recommended temperature and humidity ranges. - minimize exposure to electromagnetic interference by maintaining a distance from other electronic devices. @topic:2


# # # issue - remote is not working # # # impact - patient cannot control the bed functions # # # possible causes - the remote may be damaged - the batteries in the remote may be dead - there may be a problem with the receiver in the bed # # # recommendations - replace the remote - replace the batteries in the remote - check the receiver in the bed for any problems ( if possible ) @topic:7


# # # issue technical support provided by the biomedical engineer ( bme ) to train staff on how to use a new vital signs monitor. # # # impact the staff is now able to use the monitor correctly. # # # possible causes the staff was not familiar with the new monitor model. # # # recommendations provide clear and concise instructions on how to use the monitor. train the staff on the different functions of the monitor. allow the staff to practice using the monitor before using it on patients. @topic:22


# # # issue the bedside physiologic monitor is not measuring blood pressure ( bp ). # # # impact accurate bp monitoring is essential for assessing a patient's overall health and for making informed clinical decisions. failure to measure bp can lead to delayed or incorrect diagnosis, treatment, and patient outcomes. # # # possible causes * * user error : * * - incorrect cuff size or placement - insufficient cuff inflation - patient movement during measurement * * equipment failure : * * - faulty sensor or transducer - electrical or software malfunction # # # recommendations * * user troubleshooting : * * - recheck cuff size and placement - ensure adequate cuff inflation - request the patient to remain still during measurement * * technical troubleshooting : * * - inspect the sensors and transducers for any damage or loose connections - check the electrical connections and cables - update software if necessary * * additional recommendations : * * - ensure that the patient is in a comfortable and relaxed position - use a certified bp monitoring device - document the findings and any troubleshooting steps taken in the patient's medical record @topic:14


# # # issue - * * breakdown of lcd monitors due to faulty wheelchair casters and degraded ups battery. * * # # # impact - disruption of patient monitoring and critical care services, leading to potential patient harm. - extended downtime and increased healthcare costs. # # # possible causes * * faulty wheelchair casters : * * - substandard construction or materials. - wear and tear due to frequent usage. - lack of proper maintenance and inspection. * * degraded ups battery : * * - aging or prolonged usage. - power surges or fluctuations. - inadequate battery backup capacity. # # # recommendations * * preventive measures : * * - implement regular inspections and preventative maintenance schedules for wheelchair casters and ups batteries. - ensure timely replacement of worn - out or damaged components. * * corrective actions : * * - replace faulty wheelchair casters with high - quality replacements. - test and replace ups batteries as per manufacturer's guidelines. - conduct thorough assessments of the electrical system to identify any potential sources of power issues. * * additional measures : * * - invest in robust ups systems with sufficient battery capacity to provide extended backup during power outages. - utilize surge protectors to mitigate the impact of power surges. - train staff on proper handling and maintenance of medical equipment, including wheelchair casters and ups batteries. @topic:11


* * issue : * * damaged mount and deteriorated keyboard * * impact : * * impaired functionality of the philips intellivue mp90 ( m8010a ) bedside physiologic monitor * * possible causes : * * * * * age and wear : * * continuous usage and environmental factors can lead to wear and tear of the mount and keyboard. * * * accidental damage : * * rough handling or impacts can cause physical damage to the components. * * * electrical issues : * * fluctuations in voltage or power surges can harm electronic components, affecting the functionality of the mount and keyboard. * * * design flaws : * * poor engineering or manufacturing defects can result in premature failure of the components. * * recommendations : * * * * * regular maintenance : * * conduct periodic inspections and preventative maintenance to identify potential issues and address them early. * * * proper handling : * * ensure careful handling of the equipment to prevent damage during transportation or use. * * * environmental control : * * maintain optimal environmental conditions for the equipment, including temperature, humidity, and power supply stability. * * * supplier collaboration : * * work with the equipment manufacturer to address any known design flaws or provide technical support. * * * regular replacement : * * plan for the eventual replacement of aging components based on manufacturer recommendations or observed deterioration. @topic:2


# # # issue - cuff is damaged # # # impact - vital signs monitor cannot provide accurate blood pressure readings # # # possible causes - normal wear and tear - physical damage to the cuff ( e. g., punctures, tears ) - excessive use or improper handling of the cuff # # # recommendations - replace the damaged cuff with a new one - inspect the cuff regularly for signs of damage - handle the cuff with care, avoiding excessive stretching or bending - ensure the cuff is the correct size for the patient @topic:3


# # # issue : broken bed guard casters # # # impact : patient safety hazard # # # possible causes : - normal wear and tear - excessive force applied to the bed rails - improper cleaning or maintenance # # # recommendations : - inspect bed guard casters regularly for signs of wear or damage. - handle bed rails gently and avoid applying excessive force. - clean and lubricate bed guard casters according to the manufacturer's instructions. - replace damaged casters promptly to ensure patient safety. @topic:6


# # # issue - spo2 sensor malfunction # # # impact - inaccurate or missing data on the vital signs monitor - delay in patient care - increased risk of patient harm # # # possible causes - faulty or damaged spo2 sensor - loose connection between the sensor and the monitor - software or hardware error in the monitor # # # recommendations - replace the spo2 sensor - check the connection between the sensor and the monitor - update the software or hardware on the monitor - if the issue persists, contact the manufacturer for technical support @topic:4


# # # issue - defective ekg cable # # # impact - inability to monitor patient's ekg signals accurately # # # possible causes - physical damage to the cable ( e. g., cuts, tears ) - loose connections - electrical interference from nearby devices # # # recommendations - replace the defective ekg cable with a new one. - ensure proper handling and storage of the ekg cables to minimize physical damage. - check the connections between the cable and the monitor and patient to ensure secure contact. - identify and eliminate any sources of electrical interference in the vicinity of the ekg monitoring equipment. @topic:18


# # # issue - broken bed rail # # # impact - patient safety hazard - discomfort for patient - inconvenience for staff # # # possible causes - wear and tear - improper use - manufacturing defect # # # recommendations - inspect bed rails regularly for damage. - train staff on proper use of bed rails. - contact the manufacturer if any defects are found. @topic:6


it is essential that patients are discharged when monitoring ends. as a reminder, the monitor can be configured to display a pop - up window when the monitor has been switched off, in standby mode, or not monitoring basic vitals for a certain time. the window asks whether a new patient is being monitored and offers a pop - up key to discharge the previous patient if this is the case. the window ust be configured in configuration mode. when the previous patient is discharged, this clears the protocol log, resets the timers and deletes manually entered measurement values. 55 27 protocolwatch 356 28 ecordinthere are two ways to record data using your monitor. if a paper - strip recorder is available, you can make paper recordings, selecting from a variety of recording types. if no paper - strip recorder is available, or if you want to record data in an electronic form, you can use electronic recording. see " paper - strip recording " on page 357 and “ electronic recording " on page 365 for further details paper - strip recording mx500 / 550 / the m1116b / c plug - in recorders record numerics for all active measurements and up to three 600 / 700 / 800 waveforms. you can use them for local recording mounted in the monitor's fms. - continue led lights if a continuous recording is ongoing 1 m1116b - run / cont key - starts a delayed recording, 2 extends the current recording or makes the current us recorder stop key stops the current recording - 3 - ru cont 2 3 top 357 28 recording ह 1116ontinue led 1 3 2 recording is ongoing. 2 run / cont key - starts a delayed recording, extends the current recording or makes the 31 21 2 top key 3 ecorder door latch. 4 run / cont stop mx400 / 450 the optional integrated recorder records numerics for @topic:8


dvanced settingwelch [UNK] connex® spot monitor 26 specify advanced averaging interval settings averaging intervals are available in the office profile. in advanced settings, touch the parameters > averaging tabs. 1. 2. specify settings. action / description setting ibp averaging prograselect the averaging program to view or modify. you can change the name of the averaging rogram. readings to average select which readings in a series to use for averaging ( and the number of readings to average s a result ). delay to start ( minutes ) enter the number of minutes to wait before the averaging program starts ( after touching " start time between ( minutes ) enter the number of minutes to wait between readings. keep if or ( mmhg ) enter the range that the program uses as criteria to accept or reject readings and establish the baseline reading. for more information about how this setting affects the program, refer to the section " excluded readings " below. ummary display box displays currently selected settings. do one of the following : 3. to continue in advanced settings, touch another tab. to exit advanced settings and return to the home tab, touch exit. specify advanced program interval settings 1. in advanced settings, touch the parameters > program tabs. 2. specify settings. 1. action / description setting select the program to view or modify. you can change the name of the program. rogram intervals specify up to five sets of interval readings program. for each set, specify the number of minutes between interval readings and the number of times that each interval should run ( repetitions ) before proceeding to the next set. do one of the following : 3. to continue in advanced settings, touch another tab. to exit advanced settings and return to the home tab, touch exit. network tab specify radio settings this task is applicable only to monitors that have a wireless radio installed. devices can be ireless or a bluetooth @topic:10


# # # issue - vital signs monitor unable to measure blood pressure ( bp ). # # # impact - inability to accurately monitor patient's vital signs, potentially leading to delayed or incorrect treatment. # # # possible causes - * * large cuff : * * the cuff used to measure bp is too large for the patient's arm, resulting in inaccurate readings. # # # recommendations - * * replace cuff : * * use a cuff of the appropriate size for the patient's arm to ensure accurate bp measurements. - * * verify cuff size : * * train staff on how to correctly measure and select the appropriate cuff size for patients. - * * regular cuff inspection : * * establish a regular maintenance schedule to inspect and replace cuffs when necessary to prevent deterioration and ensure optimal functionality. @topic:14


##ducive to a swift recovery. they are also easy to use for caregivers. age 1 this instructions for use contains different typefaces and icons designed to improve readability and increase understanding of its content. note the following examples : standard text - normal character style used for " basic " information. • boldface text - emphasizes a word or phrase. • highlights special information or explains very important instructions, • the symbols below represent different risks or hazards : • description symbol warning this symbol indicates that the failure to follow the associated recommendation can put the patient or the user in danger, or damage the equipment. • a this symbol indicates that the failure to follow the associated recommendation can result in damage the equipment. • a tip risk of falling caught hazard warning risk of crushing an upper limb haz chemical hazard warning electric shock hazard age 2 bed model and country of use certain features or accessories may be available or not, depending on the destination country. these features are identified with an asterisk ( * ) and the accessories or the additional parts are identified by two asterisks ( * * ). to identify your bed model, its serial number sn ( hrpxxxxxxxxx ), its udi and its date of manufacture, refer to the identification label ( see " overview " page 13 ). your l1900b4 bed is made up of a chassis / sleep surface, with a ref reference starting with cs900b4 and two endboards ( a headboard and a footboard ).. hill - rom s. a. s zi du talhouet 56330 pluvigner - france yyyy - mm - do hil - rom 900 accella # l190084 ef cs900b4xxxxxx m hrpxxxxmd ( 01 ) 00887761907127 @topic:9


# # # issue - the spo2 sensor on the philips intellivue mp70 bedside physiologic monitor is not providing accurate readings. # # # impact - the monitor may not be able to accurately measure the patient's oxygen saturation levels. - this could lead to incorrect medical decisions being made. # # # possible causes - the spo2 sensor cable is damaged. - the spo2 sensor is not properly attached to the patient's finger. - the spo2 sensor is not calibrated correctly. # # # recommendations - check the spo2 sensor cable for damage. if the cable is damaged, it should be replaced. - make sure that the spo2 sensor is properly attached to the patient's finger. the sensor should be placed on the patient's fingertip and secured with the provided strap. - calibrate the spo2 sensor according to the manufacturer's instructions. @topic:4


# # # issue : - device not responding # # # impact : - impaired patient monitoring # # # possible causes : - loose electrode connections - equipment malfunction # # # recommendations : - ensure secure electrode connections - test equipment at different current levels - verify equipment functionality with known good input signals - consult manufacturer's service manual for troubleshooting @topic:2


. o. menu, select method and then select check that you are using the correct probe - the m1646. this is the only probe supported for use ; it can be used with room temperature injectate or with cold injectate. 7 check that the correct arterial catheter constant is selected. 8 if the catheter is recognized by the monitor, the catheter constant is automatically displayed and cannot be changed manually. if it is not recognized, in the procedure window, select cathct and use the pop - up keypad to enter the correct value. the catheter constant is usually written either on the catheter or on the catheter packaging. will use. you make sure that the injectate volume setting matches the injectate volume to changthe volume, in the procedure window, select injvol and select the correct injectate volume from the pop - up list. will useou 9 if there is a problem with the volume or temperature you have chosen, the monitor will issue a urve alert message to inform you of this. 10 if you are measuring cco or cci, check that the correct pressure source is selected in the setup cco menu. the pressure label under cco from must match the pressure measured with the arterial catheter. to change the pressure source, select cco from to call up a list of available els and select the correct label. if you are measuring cco or cci, verify that the correct alarm source is selected in the menu item alarms from. to change the alarm source, select alarms from and choose either cco or cci. 11 always wait for the monitor to indicate readiness for the next step before proceeding. if you are measurin1 enter the procedure window. when you see the message ready for new measurement, start the measurement by selecting the pop - up key @topic:17


# # # issue : - equipment malfunction # # # impact : - inaccurate patient monitoring - potential patient harm # # # possible causes : - * * defective equipment : * * the bp monitor may be faulty, leading to incorrect readings - * * incorrect calibration : * * the bp monitor may not have been properly calibrated, resulting in inaccurate readings - * * external factors : * * environmental factors such as temperature or humidity may have affected the equipment's performance # # # recommendations : - * * verify equipment integrity : * * inspect the equipment for physical damage or loose connections. ensure that the equipment is from a reputable manufacturer and has been properly maintained. - * * calibrate the equipment : * * ensure that the bp monitor has been recently calibrated using a certified calibration device. follow the manufacturer's instructions for calibration procedures. - * * isolate the issue : * * if possible, test the equipment in a controlled environment to eliminate the influence of external factors. this will help identify if the issue is with the equipment itself or due to other factors. - * * seek professional assistance : * * if the issue persists or the cause cannot be determined, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:15


instructions for use intellivue patient monitor mx400 / 450 / 500 / 550 / 600 / 700 / 800 mx400 / 450 / 500 / 550 release k with rev. k. 1x. xx mx600 / 700 / 800 release j with revison j. xx. xx patient monitoring philips table of contents 1 introduction 333 3 13 safetatio11237 333341 444448 49 515635322 3 7 7 7 47 % % 2514 devices for acquiring measurements 18 operating and navigating 27 37 connecting additional displays using the xds remote display 38 39 39 39 understanding settings 41 hanging wave speed42 42 44 entering measurements manually 46 48 48 49 etworked monitorin50 50 using your monitor with a monitor in companion mode 2 what's new? 55 what's new in release k. 1 ( for mx400 / 450 / 500 / 550 only ) 55 what's new in release k. 0 55 what's new in release j. o 56 3 alarms 59 visual alarm indicators 60 audible alarm indicators 61 64 alarm limits 67 71 lats 73 alarm behavior at power on 73 larm recording73 4 patient alarms and inops 75 atient alarm message75 technical alarm messages ( inops ) 81 5 managing patients and equipment 105 atient concept105 equipment concepts 105 106 managing equipment 119 are group126 information center compatibility 132 6 ecg, arrhythmia, st and qt monitoring 133 133 133 134 134 understanding the ecg display 134 135 136 137 changing the ecg filter settings 137 selecting positions of va and vb chest leads ( for 6 - lead placement ) 138 138 about ecg leads 138 ecg lead fallback 139 ecg lead placements 139 easi ecg lead placement 145 146 149 151 152 about arrhythmia monitoring 154 154 choosing an ecg lead for arrhythmia monitoring 155 at @topic:10


* * issue : * * - the barcode scanner on the medical cart is not working. * * impact : * * - the barcode scanner is used to scan patient ids and medications, so its failure can lead to delays in patient care and medication administration. * * possible causes : * * - the barcode scanner's battery is dead or not properly connected. - the barcode scanner's cable is damaged or not properly connected. - the barcode scanner's scanning window is dirty or obstructed. - the barcode scanner's software is not up to date. * * recommendations : * * - check the barcode scanner's battery and make sure it is properly connected. - check the barcode scanner's cable and make sure it is not damaged or properly connected. - clean the barcode scanner's scanning window. - update the barcode scanner's software. @topic:23


# # # issue - ekg signal dropout, resulting in no display on the central monitor. # # # impact - inability to monitor patient's ekg, which is essential for patient care. # # # possible causes - * * defect in the telemetry equipment : * * the telemetry equipment may be malfunctioning, leading to signal dropout. - * * improper configuration : * * the telemetry equipment may not be properly configured to transmit and receive ekg signals. - * * loose connections : * * loose connections between the ekg leads and the telemetry equipment can cause signal dropout. - * * interference : * * radio frequency interference or other electromagnetic signals can interfere with the ekg transmission. - * * software issue : * * a software bug in the telemetry equipment or central monitor can disrupt signal transmission. - * * improper assignment of the telemetry device : * * the telemetry device was not assigned to the correct central monitor, preventing signal display. # # # recommendations * * troubleshooting : * * - check the telemetry equipment for any visible defects or damage. - verify that the telemetry equipment is properly configured and set to the correct frequency. - ensure that all connections between the ekg leads and the telemetry equipment are secure. - conduct a signal strength test to rule out any interference or signal attenuation. - update the software on the telemetry equipment and central monitor if any updates are available. * * resolution : * * - assign the telemetry device to the correct central monitor. - ensure that the ekg signal is properly transmitted and received by the telemetry equipment. - replace any defective equipment or components as necessary. @topic:18


# # # issue - remote unit malfunction # # # impact - inability to properly control or operate the medical device ( bed, electric ) # # # possible causes - remote unit hardware failure ( e. g., faulty buttons, circuitry ) - battery depletion or malfunction - electrical interference or connectivity issues - software glitches or bugs # # # recommendations - replace the faulty remote unit with a new or refurbished one. - ensure proper battery installation and maintenance. - check for electrical interference and resolve any sources of it. - inspect and update the medical device's software if necessary. - perform regular maintenance and inspections on the medical device and its accessories, including the remote unit, to prevent or detect any potential issues early on. @topic:7


# # # issue - cuff measurement failure # # # impact - blood pressure measurement accuracy may be compromised - delays in diagnosis and treatment of hypertension or hypotension # # # possible causes - cuff leak or damage - loose or disconnected tubing - sensor malfunction - software glitch # # # recommendations - replace or repair the cuff - inspect and tighten tubing connections - test the sensor using a simulator or calibration tool - check for software updates or contact the manufacturer for support @topic:3


# # # issue - missing bp hose # # # impact - patient monitoring is compromised - accurate blood pressure readings cannot be obtained - delay in patient care # # # possible causes - theft - misplacement - accidental disposal # # # recommendations - conduct a thorough search of the department for the missing hose - check with other departments to see if the hose was borrowed - order a replacement hose from the manufacturer - implement a system to track and inventory medical equipment @topic:14


# # # issue - inability to measure ekg signals # # # impact - delayed diagnosis and treatment - patient discomfort - increased workload for medical staff # # # possible causes - * * defective ekg cable : * * broken wires, damaged connectors, or poor cable quality can lead to signal interruptions. - * * loose connections : * * improperly connected cables or connectors may cause intermittent signal loss. - * * electrical interference : * * external sources, such as electromagnetic signals from nearby equipment, can interfere with ekg signal transmission. - * * patient factors : * * skin irritation or movement can affect signal quality. # # # recommendations - * * replace the ekg cable : * * this is the most common solution to address a faulty ekg cable. - * * check connections : * * ensure that all cables and connectors are securely fastened. - * * minimize electrical interference : * * keep the device away from potential sources of electromagnetic noise. - * * consider patient factors : * * use conductive gel to improve skin contact and minimize movement artifacts. - * * regular maintenance : * * schedule routine inspections and preventive maintenance to prevent future cable failures. @topic:18


# # # issue battery failure in nibp monitor # # # impact - inability to accurately measure blood pressure - delay in patient care - potential for patient harm # # # possible causes - battery is old and worn out - battery is not properly installed - battery is not compatible with the monitor - electrical fault in the monitor # # # recommendations - replace the battery with a new one of the correct type and size - ensure that the battery is properly installed - inspect the monitor for any electrical faults - contact the manufacturer for further troubleshooting assistance @topic:11


# # # issue - bed adjustment malfunction # # # impact - patient discomfort or safety hazards due to inability to adjust bed position # # # possible causes - broken remote control wire # # # recommendations - replace or repair the remote control wire @topic:7


11 channel 1 for wlan and has no iit devices or dect phones in the srr channels 15 or 16, these channels can be used for srr. philips telemetry experts will identify available srr channels by performing a site survey. when using the philips intellivue 802. 11 bedside adapter we recommend that you use the 5 ghz band to free the 2. 4 ghz band for srr usage. note short range radio signals are low power signals and therefore have a relatively short range. you can use this fact if the number of unused channels is low, and you run out of channels. provided the distance between two srr groups is large enough, i. e. none of the short range radio signals transmitted by the one group can interfere with signals of the other group, you may attempt to assign the same srr channel to both groups. take into consideration that portable components ( such as telemetry transceiver, mp5 / mp5t or an x2 ) belonging to one group may be temporarily used within the range of another group. the range of srr signals cannot be clearly defined as it depends on external factors such as the components and structure of walls, ceilings, etc. 270 7 installation instructions ] ecg out functionality connections ecg out connector the cables 8120 - 1022 and ml 181 - 61625 have both ends terminated. the photograph above shows the monitor side connection. if using a non - terminated cable : 1 strip 5 mm ( 3 / 16 " ) insulation from leads and twist conductor strands tightly. 2 solder leads to the connector as shown in the following diagram. ring ( analog or digital sync pulse ) tip ( analog signal ) - • - ^ black red n r sleeve ( ground ) warning according to aami specifications the peak of the synchronized defibrillator discharge should be delivered within 60 ms of the peak of the r wave @topic:10


# # # issue - physiologic monitor is not turning on when connected to the power source. # # # impact - inability to monitor patient's vital signs, such as heart rate, blood pressure, and oxygen saturation. # # # possible causes - * * faulty power cord : * * the power cord may be damaged or loose, preventing power from reaching the monitor. - * * defective power supply : * * the internal power supply within the monitor may be malfunctioning, causing it to fail to power up. - * * loose or disconnected internal connections : * * internal wires or connectors may have become loose or disconnected, disrupting the flow of power. - * * battery depletion : * * if the monitor is battery - operated, the batteries may be depleted and need to be replaced. - * * software issue : * * a software glitch or corruption can prevent the monitor from functioning properly, including powering up. # # # recommendations 1. * * inspect the power cord : * * ensure that the power cord is securely connected to the monitor and the power outlet. if any damage is observed, replace the cord. 2. * * check the power supply : * * if the power cord is in good condition, check the internal power supply by using a multimeter to measure voltage or continuity. if the power supply is defective, it should be replaced. 3. * * examine internal connections : * * open the monitor's housing and visually inspect the internal wires and connectors. ensure that all connections are secure and free of damage. 4. * * replace batteries : * * if the monitor is battery - operated, replace the batteries with fresh ones. 5. * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for further troubleshooting assistance. they may provide software updates, technical @topic:2


* * issue : * * biomedical engineering ( bme ) team experienced a failure after testing the equipment after it was borrowed and returned by phayathai hospital. * * impact : * * * inability to use the equipment for patient care or research * * possible causes : * * * the equipment may have been mishandled or damaged during the loan period. * there may have been a pre - existing fault with the equipment that was not detected before it was loaned. * the equipment may have been subjected to extreme conditions ( e. g., temperature, humidity ) during the loan period. * * recommendations : * * * conduct a thorough investigation to determine the exact cause of the failure. * implement stricter protocols for handling and loaning equipment. * perform regular preventive maintenance and calibration on the equipment to identify and address any potential issues. * collaborate with the hospital to ensure that they have adequate training and resources to properly use and care for the equipment. @topic:12


# # # issue : * * medical cart drawer closure failure * * # # # impact : - difficulty storing and accessing medical supplies and equipment - potential safety hazard if items fall out of open drawers # # # possible causes : * * based on the provided information, the possible cause of failure is : * * - * * misalignment of drawer rails or hinges : * * - the drawer may not close properly if the rails or hinges are misaligned. # # # recommendations : * * to address the issue, the following recommendations can be considered : * * 1. * * inspect and adjust : * * - check the alignment of the drawer rails and hinges. - adjust or tighten any loose screws or bolts to ensure proper alignment. 2. * * lubricate : * * - apply a small amount of lubricant to the rails and hinges to reduce friction and improve sliding. 3. * * check for obstructions : * * - ensure that there are no objects or debris obstructing the drawer's movement. 4. * * professional maintenance : * * - if the issue persists, it is recommended to consult with a qualified biomedical engineer or technician for further diagnosis and repair. @topic:21


# # # issue - equipment failure # # # impact - inability to use the equipment for its intended purpose # # # possible causes - * * misuse of equipment : * * the equipment may have been used improperly, which could have caused damage. in this case, the equipment was used for a purpose that it was not intended for, which may have led to its failure. - * * lack of maintenance : * * the equipment may not have been properly maintained, which could have led to its failure. - * * defective equipment : * * the equipment may have been defective from the start, which could have led to its failure. # # # recommendations - * * properly train operators on the correct use of the equipment : * * this will help to prevent misuse of the equipment and reduce the risk of damage. - * * establish a regular maintenance schedule : * * this will help to keep the equipment in good working order and reduce the risk of failure. - * * inspect equipment regularly : * * this will help to identify any potential problems before they cause the equipment to fail. - * * consider replacing the equipment if it is defective : * * if the equipment is defective, it may be necessary to replace it to prevent further problems. @topic:12


# # # issue charger adapter failure # # # impact the nibp monitor cannot be used to measure blood pressure. # # # possible causes * the battery is not making proper contact with the adapter. * the adapter is not providing the correct voltage to the battery. * the battery is faulty. * the adapter is damaged. # # # recommendations * check the battery contacts and make sure they are clean and free of corrosion. * check the adapter voltage output and make sure it is within the correct range. * replace the battery if it is faulty. * replace the adapter if it is damaged. @topic:15


# # # issue - equipment not functioning properly # # # impact - inability to use the equipment for patient care # # # possible causes - faulty remote control cord # # # recommendations - replace the remote control cord @topic:32


< 13. 1 lb ) mx500 monitor < 5. 9 kg ( < 12. 9lb ) mx450 monitor < 5. 2 kg ( < 11. 5lb ) mx400 monitor < 650 g ( < 1. 4 lb ) m3001 a multi - measurement module ( mms ) < 1. 25 kg ( < 2. 8 lb ) including battery, without handle ooptions m3002a multi - measurement module ( mms ) < 550 g ( < 1. 2 lb ) < 190 x 98 x 40 mm < 7. 5 x 4 x 1. 6 in < 190 x 98 x 40 mm < 7. 5 x 4 x 1. 6 in < 190 x 98 x 40 mm < 7. 5 x 4 x 1. 6 in < 190 x 98 x 40 mm < 7. 5 x 4 x 1. 6 in < 320 x 135 x 120 mm 12. 6 x 5. 3 x 4. 7 in < 194 x 139 x 110 mm < 7. 64 x 5. 47 x 4. 33 in 62 x 125 x 63 mm m3012a < 500 g ( < 0. 99 lb ) m3014a m3015a < 550 g ( < 1. 21 lb ) microstream co2 mms extension < 450 g ( < 0. 99 lb ) m3016a mainstream co2 mms extension ithout plug - imodules < 3500 g ( < 7. 7 lb ) m8048a 8 - slot flexible module rack ( fms - 8 ) 6524 < 950 g ( < 2. 09 lb ) without mms mount 4 - slot flexible module rack ( fms - 4 ) m8025a < 300 g ( < 0. 7 lb ) remote alarm device 2. 4 x 5 x 2. 5 in 190 g ( 6. 7 oz ) 36 x 99. 6 x @topic:19


# # # issue - adjustment mechanism for the bed is not functioning. # # # impact - inability to adjust the bed to the desired height, incline, or position, which can hinder patient care and comfort. # # # possible causes - mechanical failure of the adjustment mechanism - electrical malfunction in the control system - software issues within the bed's computer system - component wear and tear due to prolonged use or improper maintenance # # # recommendations - * * electrical inspection : * * verify the electrical connections and wiring for any loose connections or damage. inspect the control panel for any visible signs of damage or malfunction. - * * mechanical examination : * * inspect the mechanical components of the adjustment mechanism, such as gears, motors, and actuators, for signs of wear, damage, or misalignment. check for any obstructions or foreign objects that may be hindering movement. - * * software troubleshooting : * * if the bed is equipped with a computer system, check for any error messages or software updates that may affect the adjustment functionality. contact the manufacturer or a qualified technician for assistance with software troubleshooting. - * * replacement of components : * * if the inspection and troubleshooting steps do not resolve the issue, it may be necessary to replace the faulty components. the specific components to be replaced will depend on the identified cause of failure. - * * regular maintenance : * * implement a regular maintenance schedule to prevent future failures by inspecting and servicing the bed according to the manufacturer's recommendations. this includes lubrication of moving parts, checking for loose connections, and performing software updates. @topic:1


# # # issue the cause of failure is not clearly stated in the input. it is simply stated that the bed is a " temporary backup bed ". this leaves it unclear what the actual cause of failure is. # # # impact the impact of the failure is also not clear. it is possible that the bed is not functioning properly, which could pose a risk to patients. however, it is also possible that the bed is simply not needed at the moment and is therefore being used as a backup. # # # possible causes there are several possible causes for the failure of the bed. these include : * * * electrical problems : * * the bed may have electrical problems that are preventing it from functioning properly. * * * mechanical problems : * * the bed may have mechanical problems that are preventing it from functioning properly. * * * user error : * * the bed may have been damaged by a user error. * * * other : * * the bed may have failed due to other factors, such as a power outage or a natural disaster. # # # recommendations the following recommendations are made to address the issue : * * * determine the actual cause of failure. * * this will help to ensure that the correct repairs are made. * * * repair the bed. * * once the cause of failure has been determined, the bed should be repaired as soon as possible. * * * test the bed thoroughly before putting it back into service. * * this will help to ensure that the bed is functioning properly and is safe for patients to use. @topic:9