module. the error log is corrupt. temperature not functional. 3f0516 internal malfunction. if the problem hardware malfunction has been persists, replace the module. detected the module powerail is too low. temperature ninternal malfunction. if the problem ersists, replace the module. he module poweail is too high. temperature not functional. 3f0519 internal malfunction. if the problem ersists, replace the module. temperature not functionathe reference voltage internal malfunction. if the problem circuit was detected persists, replace the module. to be under voltage or unstable. temperature not functhe ambient temperature is too verify conditions are less than 104°f or 40°c. if conditions are valid and the problem persists, replace the probe. if the problem still persists, replace the module. temperature not functional. the ambient temperature is too verify conditions are greater than 50°f or 10°c. if conditions are valid and problem persists, replace the probe. if the problem still persists, replace the module. low temperature not functiinternal malfunction. if the problem s, replace the module. the battery is over the maximum voltage temperature not functional. 3f0833 internal malfunction. if the problem ts, replace the module. the sensor not functional temperature nlow battery recharge the battery. if the problem ersists, check the battery. unable to detect new temperature. retry measurement. no temperature measurement was available from the thermometer at thime it was docked. if a measurement should have been available, retry the measurement. if problem the persists, replace the module. information 198 troubleshooting welch [UNK] connex® spot monitor alarm priority ossible causmessage thermometer might be docked improperly. @topic:20


# # # issue - cuff tear # # # impact - inaccurate blood pressure measurements # # # possible causes - cuff ripped or damaged - velcro fastener worn out - cuff not properly attached to the monitor # # # recommendations - replace the cuff - inspect the cuff regularly for signs of wear and tear - ensure the cuff is properly attached to the monitor @topic:3


# # # issue - equipment failure - unable to measure # # # impact - patient safety - incorrect patient data - delay in treatment # # # possible causes - cuff leak - sensor malfunction - electrical issue # # # recommendations - replace cuff - check sensor - inspect electrical connections - calibrate equipment - contact manufacturer for further troubleshooting @topic:5


or power surges. - * * perform regular maintenance : * * schedule routine maintenance checks to identify and resolve potential issues before they cause failures. @topic:12


# # # issue - battery failure in physiologic monitor ( bedside ), model intellivue mp40 ( m8003a ) from philips. # # # impact - the physiologic monitor ( bedside ) is an essential device for monitoring patient's vital signs. a battery failure can lead to loss of monitoring data and potential harm to the patient. # # # possible causes - * * battery aging * * : batteries have a limited lifespan and can degrade over time. - * * excessive use or charging * * : frequent or prolonged use and charging of the battery can shorten its lifespan. - * * environmental factors * * : extreme temperatures, humidity, and vibrations can affect battery performance. - * * manufacturing defects * * : occasionally, batteries may fail due to manufacturing defects. # # # recommendations - * * battery replacement * * : replace the faulty battery with a new one of the same specifications and from a reputable manufacturer. - * * battery maintenance * * : follow the manufacturer's instructions for proper battery care and maintenance, including appropriate charging practices and storage conditions. - * * regular monitoring * * : periodically check the battery level and condition to anticipate potential failures. - * * consider backup power source * * : implement a backup power source, such as a ups ( uninterruptible power supply ), to maintain monitoring in case of battery failure. - * * contact manufacturer support * * : if the battery failure persists or if other issues arise, contact the manufacturer's technical support team for assistance and guidance. @topic:11


# # # issue * bed cannot be adjusted # # # impact * patient discomfort * difficulty providing care # # # possible causes * broken remote control cable * loose connection in the remote control * malfunctioning motor * power supply issue # # # recommendations * * * check the remote control cable for any breaks or damage. * * if the cable is damaged, replace it. * * * ensure that the remote control is properly connected to the bed. * * if the connection is loose, tighten it. * * * test the motor by manually adjusting the bed up and down. * * if the motor is not working, contact the manufacturer for repair. * * * check the power supply to the bed. * * make sure that the bed is plugged into a working outlet and that the power switch is turned on. @topic:7


# # # issue keypad malfunction # # # impact inability to use the device to monitor vital signs # # # possible causes - * * defective keypad : * * the keypad may be physically damaged or have electrical faults that prevent it from functioning correctly. - * * software glitch : * * a software issue may cause the keypad to become unresponsive or malfunction. - * * improper handling : * * rough handling or exposure to excessive moisture or heat can damage the keypad. # # # recommendations - * * replace the keypad : * * if the keypad is physically damaged or has electrical faults, it should be replaced with a new one. - * * update software : * * if the keypad malfunction is suspected to be caused by a software glitch, update the software to the latest version. - * * handle the device with care : * * avoid rough handling or exposing the device to extreme conditions to prevent damage to the keypad. @topic:25


# # # issue - malfunctioning remote control for electric hospital bed. # # # impact - inability to adjust bed position, hindering patient comfort and care. # # # possible causes - remote control physical damage ( e. g., cracked buttons ). - battery failure or low battery power. - loose or disconnected wires or connections. - malfunction of the receiver unit within the bed frame. - software or firmware issues. # # # recommendations 1. * * inspect the remote control : * * - check for any visible damage or cracks on the buttons. - ensure that the battery is correctly inserted and not depleted. 2. * * check connections : * * - verify that all wires and connections between the remote control and the bed frame are secure. 3. * * test the receiver unit : * * - if possible, test the receiver unit using another compatible remote control or by manually operating the bed controls. 4. * * software / firmware update : * * - if applicable, check for any available software or firmware updates for the bed or remote control system. 5. * * replacement : * * - if the issue persists or the remote control is irreparably damaged, consider replacing it with an original or compatible model. 6. * * regular maintenance and inspection : * * - establish a regular maintenance schedule to check and clean the remote control and the bed system to prevent similar issues in the future. @topic:7


# # # issue - central monitor not linking # # # impact - inability to monitor patient's vital signs centrally, potentially leading to delayed or missed interventions # # # possible causes - incorrect ip address configuration - network connectivity issues - hardware failure # # # recommendations - * * check the ip address configuration of the central monitor. * * ensure that it matches the ip address range of the other monitors in the room. - * * verify the network connectivity of the central monitor. * * make sure that it is connected to the hospital network and that there are no firewall or other network configuration issues preventing it from communicating with the other monitors. - * * inspect the hardware of the central monitor. * * look for any signs of damage, such as loose cables or broken components. if any hardware issues are found, they should be repaired or replaced. @topic:16


# # # issue - the bed's side rails are unable to be raised or lowered. # # # impact - this could pose a safety hazard to patients, as they may be able to fall out of bed. it could also make it difficult for nurses and other healthcare providers to access patients. # # # possible causes - the side rails may be obstructed by something. - the side rails may be damaged. - the motor that powers the side rails may be malfunctioning. - the control panel for the side rails may be damaged. # # # recommendations - check to see if anything is obstructing the side rails. - inspect the side rails for any damage. - test the motor that powers the side rails. - check the control panel for the side rails for any damage. @topic:6


# # # issue * central monitor is not working # # # impact * the hospital staff cannot monitor the patient's vital signs. # # # possible causes * the ups is not working. * the monitor is not getting power. * the monitor is faulty. # # # recommendations * check the ups and make sure it is working properly. * check the power cord and make sure it is securely connected to the monitor. * if the ups and power cord are working properly, then the monitor may be faulty and needs to be repaired or replaced. @topic:2


# # # issue - cuff deterioration # # # impact - the device may not be able to accurately measure blood pressure. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - inspect the cuff for damage before each use. - use the correct size cuff for the patient. @topic:3


# # # issue : - monitor not able to measure blood pressure ( bp ) due to detached velcro cuff. # # # impact : - inability to accurately monitor patient's vital signs, specifically their blood pressure. # # # possible causes : - degraded or worn - out velcro material on the cuff. - improper handling or storage of the equipment, leading to damage to the cuff. - prolonged use without proper maintenance and inspection. # # # recommendations : - replace the velcro cuff with a new one to ensure proper attachment. - regularly inspect and maintain the equipment, including the cuff, to prevent future issues. - ensure proper handling and storage of the equipment to minimize damage. - train staff on proper use and maintenance of the monitor to avoid potential failures. @topic:3


# # # issue medical cart unable to power on # # # impact - interruption in patient care - delays in medical procedures # # # possible causes 1. faulty electrical outlet 2. damaged power cord 3. malfunctioning internal components 4. software issues ( e. g., windows failure ) # # # recommendations 1. check the electrical outlet and power cord for any damage or loose connections. 2. if the power cord is intact, inspect the medical cart for any visible signs of damage or wear and tear. 3. if the medical cart is undamaged, contact a qualified biomedical engineer to assess the internal components and software. 4. if necessary, the biomedical engineer should perform a system recovery and testing to restore the medical cart to working condition. @topic:13


# # # issue - blood pressure monitor displaying error code c40. # # # impact - inability to use the blood pressure monitor for patient care. # # # possible causes - loose or faulty battery connection. - internal circuit malfunction. - software error. - faulty sensor or transducer. # # # recommendations - * * restart the device by removing and reinserting the battery. * * - * * check the battery connections for any loose or damaged contacts. * * - * * update the device software if available. * * - * * contact the manufacturer or a qualified biomedical engineer for further diagnostics and repair. * * @topic:15


instrument ( measurement value on the main screen, x7 ) matches the calculated mmhg value + 2. 6 mmhg. if the value is outside the tolerance, calibrate as described in step in this procedure onwards. 5. disconnect the 5 % calibration gas and connect the 10 % calibration gas. 6. calculate the expected measurement value and tolerance in mmhg as follows : 0. 1 x ( ambient pressure ) = value mmhg + 0. 07 x ( value mmhg ) = tolerance for example 0. 1 x 737 mmhg = 73. 7 mmhg ( with an ambient pressure of 737 mmhg ) + 0. 07 x 73. 7 mmhg = + 5. 16 mmhg tolerance 7. open the valve on the flow regulator to allow 10 % co » gas to flow into the extension. allow the value to stabilize. 8. check that the value on the instrument ( x8 ) matches the calculated mmhg value within the calculated tolerance. if so, the measurement extension is correctly calibrated. if the value is outside the tolerance, calibrate as follows. 9. if not already connected, connect the 5 % calibration gas. 10. select cal. cos. 11. select the value for the calibration gas. ( the default value is 5. 0 %. ) 88 12. open the valve on the calibration gas to allow co » gas to flow into the extension. allow the value to stabilize before the start of the calibration. leave the valve open until the instrument gives a prompt that gas can be removed. 13. the extension calibrates and prompts when calibration is successful. calibration verification 1. reopen the 5 % gas valve and allow the value to stabilize. 2. check that the value displayed on the monitor is correct within the tolerance ( see step above ) @topic:17


( a model beds ) or power supply ( b model and newer beds ). 2. for a model beds, do as follows, otherwise go to step 3 : a. connect the switch cable to connector p13 on the interface p. c. board ( h ) ( see figure 4 - 26 on page 4 - 59 ). b. install the nine screws ( f ), to secure the interface box cover ( g ) to the interface box ( i ). 3. for b model beds, do as follows : a. connect the switch cable to connector p13 on the interface p. c. board ( p ) ( see figure 4 - 27 on page 4 - 60 ). b. put the power supply cover ( n ) on the power supply ( o ). c. connect the battery cable to the power supply p. c. board. d. install the cover ( n ) on the power supply ( o ). e. install the three screws ( m ) to attach the cover ( n ) to the power supply ( o ). f. install the retainers ( l ) on the cover ( n ). g. install the two screws ( j ) and washers ( k ) to attach the retainers ( l to the power supply ( o ). 4. lay one switch ( b ) on the seat section ( c ) ( see figure 4 - 26 on page 4 - 59 ). 5. install four plastic rivets ( a ) to secure the switch ( b ) to the seat section ( c ). 6. lay the other switch ( b ) on the knee section ( d ). careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 61 4. 20 bed exit switch chapter 4 : removal, replacement, and adjustment procedures 7. install four plastic rivets ( a ) @topic:26


# # # issue problem with physiological monitors ( mipm, model tesla m3 ) during monitoring. # # # impact unable to accurately monitor patient's physiological parameters during procedures. # # # possible causes - insufficient training of staff on correct use of equipment. - lack of regular maintenance and calibration of equipment. - defects or malfunctioning of equipment components. - electrical or software issues. # # # recommendations - provide comprehensive training to staff on proper use and maintenance of equipment. - establish a regular maintenance and calibration schedule for the equipment. - regularly inspect and test equipment for any defects or malfunctions. - ensure proper electrical grounding and software updates for the equipment. @topic:22


# # # issue - cuff of the monitor is deteriorated # # # impact - the monitor may not be able to accurately measure vital signs, such as blood pressure. - this could lead to incorrect diagnosis or treatment. # # # possible causes - the cuff may be old and worn out - the cuff may have been damaged by being folded or twisted - the cuff may have been exposed to chemicals or moisture # # # recommendations - the cuff should be replaced with a new one - the cuff should be inspected regularly for signs of wear and tear - the cuff should be stored in a cool, dry place - the cuff should not be folded or twisted @topic:5


* ventricular tachycardia * * pacer not capture * * pacer not pacing * * pvcs / min high ( pvc > limit / min ) * * afib * * supraventricular tach * * missed beat * * pause * * irregular hr * * ventricular rhythm * * run pvcs high * * pair pvcs * * r - on - t pvcs * * ventricular bigeminy * * ventricular trigeminy * * non - sustain vt * * multiform pvcs 130 using ecg alarms 6 ecg, arrhythmia, st and qt monitoring using ecg alarms ecg alarms can be switched on and off and the high and low alarm limits changed just like other measurement alarms, as described in the alarms section. special alarm features which apply only to ecg are described here. extreme alarm limits the extreme rate alarms, extreme tachy and extreme brady, generated by the active alarm source, either hr or pulse, are set in configuration mode by adding a set value ( the a value ) to the high and low alarm limits. a extreme brady a extreme tachy you need to know which value has been configured for your monitor. changing the high and low alarm limits automatically changes the extreme alarm limits within the allowed range. • to see the extreme rate alarms set for your monitor, in the setup ecg menu, see the menu items aextrtachy and aextrbrady. ecg alarms off disabled be aware that your hospital department may have decided to disable the setting ecg alarms off in the monitor ’ s configuration mode. in this case, hr alarms cannot be switched off in monitoring mode. if you try to switch off the hr alarms, you will see the message to activate enter config and enable alarms off. hr alarms when arrhythmia analysis @topic:8


: less han 14 seconds m3015a : less than 21 seconds. 2 to 20 mmhg ( 0. 3 to 3. 0 kpa ) imco2 high m3002a / m3014a / m3016a : less than 14 seconds m3015a : less than 21 seconds. adult / pedi : 10 to 100 rpneo : 30 to 150 rpm nder 20 rpm : 1 rpm stepver 20 rpm : 5 rpm steps wrr higm3002a / m3014a / m3016a : less than 14 seconds m3015a : less than 21 seconds. dult / pedi : 0 to 95 rpeo : 0 to 145 rpm 3015a : awrr low pm : less than 8 seconds 20 rpmless than 21 seconds m3002a / m3014a / m3016a 4 seconds ipi low ( m3015a / b only ) adult / pedi : 2 to 9 maximum 14 seconds after displayed value goes below the low alarm limit setting. second stepset apnea delay time ( m3002a / m3014a / m3016a ) or pnea delay 0 to 40 seconds 8 seconds ( m3015a with 2 m sample lines ) or 11 seconds ( m3015a with 4 m sample lines ). 488 40 specifications the specified deviations for m3002a / m3014a are valid when the appropriate corrections are switched on and set correctly. as level as or vapo3002a / m3014m3015a ( % volume fraction ) additional deviation due to gas interference, measured at 0 - 40 mmhg co2 1 mmhitrous oxide 60 % + 5 % 2 mmhhalothane + 5 % 4 % 2 mmh5 % enflurane 5 % 2 mmhisoflurane 5 % ± @topic:17


# # # issue vital signs monitor is not functioning properly due to cuff not inflating and spo2 cable being faulty. # # # impact the monitor cannot accurately measure and display vital signs, which can delay or compromise patient care. # # # possible causes - cuff inflation system malfunction ( e. g., leak or faulty valve ) - spo2 cable damage ( e. g., broken wires or loose connections ) # # # recommendations - replace the cuff and spo2 cable with new ones. - ensure the cuff is properly attached and inflate it manually to check for leaks. - inspect the spo2 cable for visible damage ( e. g., cuts, crimps ) and test its connectivity. - calibrate the monitor after replacing the components to ensure accurate readings. - document the maintenance and repair activities in the equipment maintenance log. @topic:14


# # # issue - hospital equipment, a philips intellivue x2 ( m3002a ) patient transport monitor, is not linking. # # # possible causes - software issue : the monitor may not be able to establish a connection due to a software glitch or incompatibility. - hardware malfunction : the monitor's hardware components, such as the network interface card or communication ports, may be damaged or faulty. - network connectivity issues : the monitor may not be able to connect to the hospital network or other devices due to network configuration problems or signal interference. - configuration errors : the monitor may not be properly configured for linking with other devices. # # # recommendations - check the software version and update it if necessary. - inspect the hardware components and replace any damaged parts. - verify the network configuration and signal strength to ensure proper connectivity. - reconfigure the monitor's settings to establish the link. @topic:16


# # # issue - worn cuff # # # impact - inability to accurately measure vital signs # # # possible causes - normal wear and tear - improper storage or handling - excessive use # # # recommendations - replace the cuff - store the device in a cool, dry place - handle the device with care - avoid excessive use @topic:5


# # # issue - battery voltage is low ( - 1 ) # # # impact - the device may not be able to power on or operate properly. # # # possible causes - the battery may be old or damaged. - the battery may not be properly connected. - the device may be drawing too much power. # # # recommendations - replace the battery. - check the battery connections. - have the device serviced by a qualified technician to determine if it is drawing too much power. @topic:11


# # # issue - equipment : bed, electric - band : stiegelmeyer - model : seta - issue : the bed cannot be locked # # # impact - this issue can have a significant impact on the use of the bed, as the patient may not be able to be safely secured in the bed. # # # possible causes - the cause of failure is that the bed's side rails are not properly attached. # # # recommendations - the technician should check the bed's side rails to ensure that they are properly attached. the technician should also check the bed's side rails for any damage or wear and tear. if the side rails are damaged or worn, they should be replaced. @topic:6


# # # issue - equipment not responding to adjustments # # # impact - inability to use the equipment for intended purpose # # # possible causes - malfunction of the control box - wiring issues - software errors # # # recommendations - inspect the control box for any visible signs of damage or loose connections. - check the wiring for any breaks or shorts. - update the software if available. - refer to the manufacturer's service manual for specific troubleshooting steps. @topic:24


* * issue : * * - broken remote control cable * * impact : * * - inability to operate the bed electrically * * possible causes : * * - physical damage to the cable, such as cuts or tears - wear and tear due to prolonged use - improper handling or storage - electrical faults within the cable * * recommendations : * * - inspect the cable for any visible damage, such as cuts or tears. - test the cable using a multimeter to ensure proper continuity and insulation. - replace the cable with a new one if it is found to be faulty. - handle and store the cable carefully to prevent future damage. - schedule regular maintenance checks to identify potential issues early on. @topic:7


# # # issue battery failure # # # impact - equipment downtime - loss of patient data - safety hazard # # # possible causes - battery life exceeded - battery not properly charged or discharged - battery damaged - battery not compatible with equipment # # # recommendations - replace battery with new one - check battery charging and discharging procedures - inspect battery for damage - verify battery compatibility with equipment @topic:11


# # # issue - the beds, electric ( model : enterprise 8000 ) cannot be adjusted. * * # # # impact * * - the medical device is not functioning properly and may not be able to provide the intended treatment or support to the patient. * * # # # possible causes * * - malfunctioning of the adjustment mechanism : the device's adjustment mechanism may be damaged or malfunctioning, preventing it from being adjusted properly. - issue with the control panel : the control panel may not be functioning correctly, preventing the user from inputting commands to adjust the device. - electrical issues : there may be electrical issues within the device, such as loose connections or faulty wiring, which could interfere with the adjustment functionality. - software glitches : if the device has software or firmware, there may be glitches or errors that are preventing the adjustment function from working correctly. - mechanical issues : there may be mechanical issues with the device's components, such as gears or motors, which are impeding its ability to adjust. * * # # # recommendations * * 1. * * inspect the adjustment mechanism : * * verify if there is any visible damage or obstructions in the adjustment mechanism. if there are any issues with the gears, motors, or other components, they may need to be repaired or replaced. 2. * * check the control panel : * * ensure that the control panel is functioning properly and that the buttons or knobs are not damaged. if there are any issues with the control panel, it may need to be repaired or replaced. 3. * * troubleshoot electrical issues : * * inspect the electrical connections and wiring within the device for any loose connections or damage. if there are any electrical issues, they need to be resolved to ensure proper functionality. 4. * * update software or firmware : * * if the device has software or firm @topic:1


measurement. you can silence this inop, but the inop message remains visible until the next measurement is started or the s top a11 smartkey is selected. check the condition and suitability of the patient for nbp monitoring. use another cuff to continue measuring. no central monit. inop tone monitor there is a problem with the communication to the network. central monitoring is currently not possible ( no patient alarms or information ). check the connection. contact your service personnel.!! /!!! no device data no device data intellibridge communication with connected device has been lost. no ecg at central monitor the ecg measured with the monitor ecg is not being sent to the information center via the telemetry device. no ecg source telemetry a telemetry device is paired with the monitor but the information center is not detecting a valid ecg signal from either of them. 89 4 patient alarms and inops technical alarm messages ( inops ) inop message, indication source what to do no ppv from meassrv mms or the measurement device does not supply a beat - to - beat arterial at information center fms pressure value. contact your service personnel. no ppv from < device > mms or fms the measurement device does not supply a beat - to - beat arterial pressure value. contact your service personnel. out of area telemetry the telemetry device has left the access point coverage area. p / p1 / p2 / p3 / p4 inops press see < pressure label > inops ( under pressure ). pap inops press see < pressure label > inops ( under pressure ). ppv bad < pressure label > signal ppv the arterial pressure source selected for ppv is not providing a pulsatile signal. ppv bad signal at information center ppv the arterial pressure source selected @topic:17


# # # issue - the physiological monitor is experiencing friction in its wheels. # # # impact - the physiological monitor may not be able to function properly. # # # possible causes - hair or other foreign objects may be wrapped around the wheels. - the wheels may be dirty or damaged. # # # recommendations - remove any hair or foreign objects from the wheels. - clean the wheels with a soft cloth and mild detergent. - if the wheels are damaged, replace them. @topic:24


# # # issue - cause of failure is invalid. # # # impact - incomplete documentation and lack of information for troubleshooting. # # # possible causes - inaccurate or incomplete record - keeping. - lack of technical knowledge or understanding of the device. - technician failed to properly identify the cause of failure. # # # recommendations - clearly document the cause of failure based on diagnostic tests and observations. - refer to technical manuals or consult with device manufacturers to ensure accurate identification of failure. - train technicians on proper troubleshooting and root cause analysis techniques. - establish a standardized process for recording maintenance and repair information to ensure complete documentation. @topic:12


# # # issue - the bed, electric could not be adjusted up or down. # # # impact - the patient cannot be positioned in the correct position for examination or treatment. # # # possible causes - the battery is faulty. # # # recommendations - replace the battery. @topic:9


# # # issue - the bed cannot be adjusted. # # # impact - the patient may not be able to get into or out of bed. - the patient may be uncomfortable. - the patient may be at risk for injury. # # # possible causes - the remote control is not working. - the bed motor is not working. - the bed frame is damaged. - the bed is not properly assembled. # # # recommendations - replace the remote control. - check the bed motor and connections. - inspect the bed frame for damage. - reassemble the bed according to the manufacturer's instructions. @topic:1


of supported devices and accessories, and for configuration information. 1 when using the module : insert the module into the fms or integrated module slot. 2 check that you have the correct ec5 id module for the external device - indicated on the ec5 label. connect the ec5 id module to the external device. 3 connect the ec5 to the ec10 module or interface board using the supplied cable. 4 switch the external device on. 5 391 the connection status led ( 4 ) will flash green until it has correctly identified the external device and started communication. check that the connection status led then lights green continuously ndicating that communication has been established. 6 changing waves and numerics displayed to change the waves and numerics from the intellibridge module or interface board displayed on the screen, select main setup, measurements, then < external device > to enter the setup menu for the connected device. 1 select setup driver. 2 select setup waves or setup numerics and make the changes required. 3 close the setup menu. the monitor takes a few seconds to activate the change. 4 ventilator ventilator demo device alarms ignored spirometer raw rppip mbar 30 15 mnawp mbar tv ml 20 0peep mbar 3. 0 minvol 1 / min 6. 00 i : e 1 : 2. 00 to view the intellibridge device data window, either select the setup key on the intellibridge module, if available, or • select the external devices smartkey and then select the pop - up key with the device name on it, • or in the setup < external device > menu, select show device data. • check that the correct external device id is shown in the window title. select the device data window then setup device to open the setup menu for the connected device. with the more data key you can page through additional data which @topic:10


# # # issue - user is unable to log in to the medical cart. # # # impact - the medical cart cannot be used for patient care. # # # possible causes - the user is entering the incorrect username or password. - the user's account has been locked. - the medical cart is not connected to the network. - the medical cart's operating system is corrupt. # # # recommendations - verify that the user is entering the correct username and password. - unlock the user's account if it has been locked. - ensure that the medical cart is connected to the network. - reinstall the medical cart's operating system if it is corrupt. @topic:13


# # # issue the philips suresigns vs2 vital signs monitor is not functioning properly. # # # impact the monitor is unable to accurately track and display vital signs, which can put the patient at risk. # # # possible causes - loose nut : the nut that secures the base of the monitor to the stand has become loose, causing the monitor to wobble and potentially fall. - damage to the base : the base of the monitor may have been damaged, causing the nut to become loose or the monitor to become unstable. - incorrect assembly : the monitor may have been assembled incorrectly, causing the nut to become loose or the monitor to become unstable. # # # recommendations - tighten the nut : the technician should tighten the nut that secures the base of the monitor to the stand. - inspect the base : the technician should inspect the base of the monitor for any damage that may have caused the nut to become loose or the monitor to become unstable. - reassemble the monitor : if the base is damaged or the monitor has been assembled incorrectly, the technician should reassemble the monitor according to the manufacturer's instructions. @topic:2


# # # issue the user reported that the organon tof - watch acceleromyograph was not working properly. # # # impact the user was unable to use the device to monitor their patient's neurological activity. # # # possible causes - the device may be malfunctioning. - the sensors may be damaged. - the user may not be using the device correctly. # # # recommendations - bme should inspect the device to determine if it is malfunctioning. - bme should inspect the sensors to determine if they are damaged. - bme should provide training to the user on how to use the device correctly. @topic:2


# # # issue : medical cart cannot boot windows properly # # # impact : the medical cart cannot be used for its intended purpose, which could impact patient care. # # # possible causes : - corrupted windows operating system files - hardware failure, such as a faulty hard drive or motherboard - malware infection - power supply issues - bios settings are incorrect # # # recommendations : - * * restart the medical cart. * * this may resolve the issue if it was caused by a temporary software glitch. - * * run a system restore. * * this will restore the medical cart to a previous point in time when it was working properly. - * * check the hardware. * * if the medical cart has been dropped or damaged, it may have damaged the hardware. check the hard drive, motherboard, and power supply for any signs of damage. - * * scan for malware. * * malware can corrupt windows files and cause boot problems. run a malware scan to identify and remove any malware infections. - * * update the bios. * * the bios is the software that controls the hardware of the medical cart. updating the bios can resolve issues with hardware compatibility and boot problems. - * * reinstall windows. * * if all else fails, you may need to reinstall windows. this will erase all data on the medical cart, so be sure to back up any important files before proceeding. @topic:13


# # # issue - the electric bed is not adjusting. # # # impact - the patient may not be able to get into or out of bed. - the patient may not be able to be positioned for medical procedures. # # # possible causes - broken or damaged electrical components - loose or disconnected wires - faulty control panel - software issues - mechanical issues with the bed frame or motor # # # recommendations - inspect the electrical components and wires for damage. - check the control panel for loose or disconnected buttons. - update the software if necessary. - inspect the bed frame and motor for mechanical issues. - replace any damaged or faulty parts. - calibrate the bed and test its functionality. @topic:1


# # # issue - cuff connector of the blood pressure monitor is broken # # # impact - the blood pressure monitor cannot be used to measure blood pressure. # # # possible causes - the cuff connector may have been damaged during use. - the cuff connector may have been damaged during transport. - the cuff connector may have been damaged during storage. # # # recommendations - inspect the cuff connector for damage. - replace the cuff connector if it is damaged. @topic:14


# # # issue - medical cart's med admin drawer cannot be opened. # # # impact - inability to access medical supplies and medications stored in the drawer, potentially delaying patient care. # # # possible causes - malfunctioning solenoid # # # recommendations - replace the solenoid. @topic:21


connector must be inserted as shown below. 160 9. insert the measurement spacer to guarantee correct seating. the measurements must be in one line. exchanging the main housing — remove the battery as decribed above. remove the handle as described above. remove the display as described above. remove the nbp pump assembly as described above. remove the power board as described above. remove the ecg out connector as described above. remove the loudspeaker as described above. remove the iit module as described above. se e sp we sp av 2e 19 remove the airways to the nbp pump as described above. — o. remove the rear housing as described above. — nen. remove the measurements as described above. — =. insert the filter membrane into the new housing. do not insert it into the ecg sync pulse out connector slot. by 13. reassemble the monitor by performing steps 1 to 11 in reverse order 161 14. if you are not using a handle insert the screw cover. 15. check the labeling on your old main housing and apply the respective labels to your new main housing. exchanging the silicon pads 1. remove the battery as described above. 2. remove the handle as described above. 3. remove the display as described above. 162 4. remove the battery release lever. 163 7. remove the battery release lever guide. 8. 9. remove the silicon pads. 10. for reassembly, perform the above steps in reverse order. 164 set reassembly note : make sure the battery release lever is positioned correctly ( see photo below ). mms extensions - exchanging the top cover, msl flex cable and the dual link bar this section describes the exchange procedures for : - the top cover with new release mechanism - the dual link bar incl. the msl flex cable. for all mms extension ( mse ) types @topic:19


accompanied by an inop tone. to help ensure that this inop, and any other active alarm, is not overlooked, the inop and alarm tones may be configured to have a minimum volume. in this case, inop and alarm tones will sound even if the monitor alarm volume is set to zero. minimum volume for severe yellow or red inops severe yellow or red inops require action to ensure the well - being of the patient. therefore the minimum volume for the inop tone is set to at least alarm volume 8, irrespective of the current alarm volume setting. the inop tone will sound even if the monitor alarm volume is set to zero. the severe inops for which this applies are : cuff not deflated ( configurable to yellow or red ) nbp cuff overpress ( configurable to yellow or red )!! insert battery - x2 ( yellow ) battery empty replace battery - ( configurable to light blue, yellow or red ) power loss tone when power is lost - no power is available via the power cable or battery ( where available ) - a buzzer will sound, if so configured. the tone can be silenced by pressing the on / off power switch. silence to acknowledge all active alarms and inops, select the silence permanent key. this switches off the audible alarm indicators and alarm lamps. 63 3 alarms alternatively, you can acknowledge alarms by pressing the silence hardkey on the mms or on the speedpoint. the hardkeys follow the behavior configured for the permanent key. a check mark beside the alarm message indicates that the alarm has been acknowledged monitor is configured to re - alarm, a dashed check mark will be shown t if the condition that triggered the alarm is still present after the alarm has been acknowledged, the alarm message stays on the screen with a check mark symbol beside it, except for nbp alarms and @topic:8


# # # issue * * bed is not able to adjust its height. * * # # # impact * * the patient may not be able to get in or out of bed, or may be uncomfortable in the bed. * * # # # possible causes * * 1. mechanical failure : * * * the motor that drives the bed's height adjustment mechanism may have failed. * the gears or other components of the height adjustment mechanism may have broken or become worn out. * * 2. electrical failure : * * * the power supply to the bed may have been interrupted. * the wiring or electrical components of the bed's height adjustment mechanism may have failed. * * 3. software failure : * * * the software that controls the bed's height adjustment mechanism may have crashed or become corrupted. # # # recommendations * * 1. mechanical failure : * * * inspect the motor, gears, and other components of the height adjustment mechanism for damage or wear. * replace any damaged or worn components. * * 2. electrical failure : * * * check the power supply to the bed. * inspect the wiring and electrical components of the bed's height adjustment mechanism for damage or loose connections. * repair or replace any damaged or loose components. * * 3. software failure : * * * restart the bed's software. * if the software does not restart, contact the manufacturer for assistance. @topic:1


# # # issue - the beds, electric with model basic care, p1440a manufactured by hill - rom is not functioning correctly. # # # impact - the bed is not able to be used by patients. # # # possible causes - the bed may be damaged beyond repair. - the bed may have a manufacturing defect. - the bed may not have been properly maintained. # # # recommendations - replace the bed with a new one. - contact the manufacturer for warranty support. - schedule regular maintenance for the bed to prevent future problems. @topic:9


# # # issue the power on - off button on the casmed 740 physiologic vital signs monitor is becoming harder to press. # # # impact this issue could potentially lead to the device becoming inoperable, which could have serious consequences for patients who rely on it for vital sign monitoring. # # # possible causes there are several possible causes for this issue, including : * * * mechanical damage : * * the button may have been damaged due to repeated use or impact. * * * electrical fault : * * there may be a fault in the electrical circuit that controls the button. * * * software glitch : * * a software glitch may be causing the button to behave erratically. # # # recommendations to resolve this issue, the following steps are recommended : * * * inspect the button : * * check the button for any signs of damage, such as cracks or dents. * * * test the electrical circuit : * * use a multimeter to test the electrical circuit that controls the button. * * * update the software : * * if there is a known software glitch that is causing the issue, update the software to the latest version. * * * contact the manufacturer : * * if the issue cannot be resolved by following the steps above, contact the manufacturer for further assistance. @topic:2


# # # issue - electric bed cannot lift its head. # # # impact - patient discomfort due to the inability to adjust the bed's head position. - delay in patient care due to the need to transfer the patient to another bed. # # # possible causes - * * electrical control system failure : * * the control unit that regulates the bed's movement may have malfunctioned. - * * motor malfunction : * * the motor responsible for lifting the head may have failed or is not receiving power. - * * mechanical blockage : * * something may be obstructing the bed's head movement, such as tangled cables or a broken spring. # # # recommendations - * * electrical control system check : * * verify the control unit's functionality, including its wiring and connections. - * * motor inspection : * * inspect the motor for signs of damage, overheating, or loose connections. test the motor's voltage and continuity. - * * mechanical blockage removal : * * remove any obstructions that may be preventing the bed's head from moving freely. - * * control box replacement : * * if the control unit is defective, replace it with a new one. - * * motor replacement : * * if the motor is malfunctioning, consider replacing it with a compatible model. @topic:1


# # # issue oxygen saturation monitoring via the ear is not functional. # # # impact accurate monitoring of oxygen saturation levels is essential for patient care. inability to obtain reliable readings can lead to delayed or incorrect treatment decisions. # # # possible causes * faulty ear sensor * loose or damaged cable connection * software error * interference from other medical devices # # # recommendations * replace the ear sensor with a new one. * inspect the cable connections for any damage or looseness and tighten accordingly. * perform a software update if available. * check for electromagnetic interference from nearby devices and relocate if necessary. * contact the manufacturer for further troubleshooting assistance if the issue persists. @topic:4


# # # issue - leaking cuff on the philips suresigns vs2 vital signs monitor. # # # impact - inaccurate blood pressure measurements. - potential for patient harm if blood pressure is not accurately measured. # # # possible causes - cuff wear and tear - cuff damage - manufacturing defect # # # recommendations - replace the leaking cuff with a new one. - regularly inspect the cuff for signs of wear or damage. - ensure that the cuff is properly inflated when taking blood pressure measurements. @topic:14


has been changed. reattach the electrode or select new lead setup in the setup ecg menu to confirm the new lead set. settings malfunc. inop tone. monitor the monitor cannot use the predefined settings for monitoring. contact your service personnel. < s0 2 label > cal failed numeric is replaced by -? - inop tone. so 2 the calibration failed. check the catheter - to - optical - module connection. manually restart the calibration. try another catheter and optical module. if the catheter is already inserted, perform an in - vivo calibration. < s0 2 label > cal mode numeric is replaced by -? - inop tone. so 2 pre - insertion calibration is complete, but the catheter tip is still inside the optical reference. the catheter is now ready for insertion. < s0 2 label > cal required numeric is replaced by -? - inop tone. so 2 there is no valid calibration data in the optical module. perform either a pre - insertion or an in - vivo calibration. < s0 2 label > cannot meas numeric is replaced by -? - inop tone. so 2 the signal is out of the normal range, and no oxygen saturation can be derived. perform an in - vivo calibration. if the inop persists, try another optical module and catheter. < s0 2 label > config error numeric is replaced by -? - inop tone. so 2 the optical module has been configured to sa0 2 mode. use change to venous in the setup menu to reconfigure to venous saturation mode. < s0 2 label > conn optmod numeric is replaced by -? - inop tone. so 2 the @topic:17


# # # issue - the spo2 graph is swinging # # # impact - the spo2 graph may not be accurate - the patient may not be receiving the correct treatment # # # possible causes - the spo2 probe is not properly attached to the patient - the spo2 probe is damaged - the spo2 sensor is malfunctioning - the monitor is malfunctioning # # # recommendations - check the spo2 probe to make sure it is properly attached to the patient - inspect the spo2 probe for damage - replace the spo2 probe if it is damaged - check the spo2 sensor to make sure it is functioning properly - replace the spo2 sensor if it is malfunctioning - check the monitor to make sure it is functioning properly - replace the monitor if it is malfunctioning @topic:4


# # # issue - monitor time is not synchronized with the wall clock time. # # # impact - inaccurate monitoring of patient vital signs, potentially leading to delayed or incorrect medical interventions. # # # possible causes - * * time synchronization settings : * * incorrect time synchronization settings on the monitor or central station. - * * synchronization hardware / software issues : * * faulty components or software bugs that prevent time synchronization from working properly. - * * network connectivity issues : * * interruptions in the network connection between the monitor and the central station, preventing time synchronization from being established. - * * ac power fluctuations : * * power outages or surges can reset the monitor's time settings. # # # recommendations - * * verify time synchronization settings : * * ensure that the time synchronization settings on the monitor and central station are correct. - * * inspect synchronization hardware / software : * * check for any loose connections or faulty components in the time synchronization system. update any outdated software to resolve potential bugs. - * * troubleshoot network connectivity : * * verify that the network connection between the monitor and the central station is stable and secure. - * * ensure stable power supply : * * install a surge protector to protect the monitor from power fluctuations. consider using an uninterruptible power supply ( ups ) to provide continuous power during outages. - * * establish a regular maintenance schedule : * * perform regular maintenance checks on the monitor and central station to ensure that the time synchronization system is functioning properly. @topic:29


# # # issue - cuff of bedside physiologic monitor is deteriorated. # # # impact - the monitor may not be able to accurately measure vital signs. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged by improper use or storage. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - store the cuff properly when not in use. @topic:5


# # # issue - * * physiological vital signs monitor ( philips suresigns vs4 ) * * is not transmitting data to the patient monitoring system. # # # impact - * * delayed or inaccurate patient monitoring : * * without real - time vital sign monitoring, healthcare professionals may not be able to quickly identify changes in a patient's condition, leading to delayed or inappropriate interventions. # # # possible causes * * 1. configuration error : * * - incorrect settings or software configuration may prevent the monitor from sending data to the system. * * 2. network connectivity issues : * * - interruptions in network connectivity, such as loose cables or firewall blocks, can prevent the monitor from communicating with the server. * * 3. hardware malfunction : * * - faulty sensors, cables, or internal components within the monitor may cause data transmission failure. * * 4. software bugs or updates : * * - software defects or outdated firmware can disrupt the monitor's ability to send data. * * 5. it integration issues : * * - compatibility issues between the monitor and the patient monitoring system or it infrastructure can also lead to data transmission failure. # # # recommendations * * 1. troubleshooting configuration : * * - verify that the monitor is configured correctly and connected to the appropriate network. * * 2. check network connectivity : * * - ensure that the network is stable and that the monitor is connected with a secure cable or wireless connection. * * 3. inspect hardware : * * - examine cables, sensors, and the monitor itself for any signs of damage or disconnection. perform a hardware diagnostic test to identify potential faults. * * 4. update software : * * - install the latest firmware or software updates provided by the manufacturer to resolve any known software issues. * * 5. collaborate with it department : * * - consult with the it department to troubles @topic:22


# # # issue - malfunctioning push button on vital sign monitor. # # # impact - inability to accurately measure and monitor vital signs. # # # possible causes - wear and tear due to extended usage. # # # recommendations - regularly inspect and maintain medical equipment to prevent premature failure. - replace worn - out components promptly to avoid further issues. - train staff on proper usage and handling of equipment to prolong its lifespan. @topic:2


# # # issue - broken shelf # # # impact - medical equipment may not be stored properly - shelf may collapse, damaging equipment or causing injury # # # possible causes - heavy equipment placed on shelf - shelf not properly installed - shelf not strong enough to support the weight of the equipment # # # recommendations - ensure that medical equipment is properly stored on shelves that are rated to support the weight of the equipment - inspect shelves regularly for cracks or other damage - replace shelves that are damaged or not able to support the weight of the equipment @topic:31


# # # issue - medical cart does not turn on. # # # impact - the medical cart is unavailable for use, which can impact patient care. # # # possible causes - the boot order in the bios is incorrect, causing the computer to attempt to boot from a non - existent hard drive. # # # recommendations - disable the boot option for the hard drive in the bios. - ensure that the boot order is set to boot from the correct device, such as a usb drive or cd - rom. @topic:13


# # # issue - * * monitor not linking to central * * # # # impact - patient monitoring data cannot be transmitted to the central monitoring system. - clinicians may not be able to access real - time patient data, which could delay diagnosis and treatment. # # # possible causes - * * incorrect ci address configuration : * * the ci address is the unique identifier used by the monitor to connect to the central monitoring system. if the ci address is incorrect, the monitor will not be able to link to the central system. # # # recommendations - verify the ci address configuration in the monitor. - ensure that the ci address matches the address configured in the central monitoring system. - if the ci address is correct, check the network connectivity between the monitor and the central monitoring system. - restart the monitor and the central monitoring system. @topic:16


done at < date and time >, remove the manometer tubing, syringe and extra stopcock. we recommend you replace the transducer dome and tubing with sterile ones. 8 label the transducer with the calibration factor shown in the cal. factor field in the pressure ’ s setup menu. 9 reconnect the patient and start measuring again. troubleshooting the pressure calibration the status line lists the probable cause of an unsuccessful calibration. message corrective action unable to calibrate - equipment malfunction contact your service department. the pressure hardware is faulty. unable to calibrate - out of range make sure that you have selected the value for cal. press that you are applying to the transducer, and repeat the calibration. unable to calibrate - no transducer make sure that the transducer is connected and try again. unable to calibrate - unstable signal make sure there are no disturbances to the transducer, and repeat the calibration. unable to calibrate - perform zero first no valid zero. zero the transducer. calculating cerebral perfusion the monitor can calculate the difference between mean arterial pressure and the intracranial pressure. the difference is labeled cpp. 1 in the main setup menu, select measurements. 2 in the setup cpp menu, select abp, art, ao, bap or fap as the arterial pressure source. calculating pulse pressure variation note : pulse pressure variation can be calculated in two different ways on this monitor - directly from the pressure measurement or in conjunction with the cco measurement. refer to the cardiac output chapter for information on ppv from cco. only one ppv can be active at a time. pulse pressure variation ( ppv ) is calculated from beat - to - beat arterial pressure values. pulse pressure is the difference between the systo @topic:17


* * replacement parts : * * keep essential replacement parts on hand to promptly repair any failures. @topic:12


##mbly. attach the pump assembly to the main pca board place the pump manifold onto the main pca board transducer. ensure that the pump manifold is fully seated on the transducer. 1. ( see " remove the pump assembly, " step 1. ) 2. connect the pump to the main pca board. ( see " remove the pump assembly, " step 2. ) 3. secure the pump assembly to the main pca board with 2 t - 10 torx screws ( see the torquvalue table ). 4. ( see " remove the pump assembly, " steps 3 and 4. ) replace the main pca board as needed after removing all other components. note new pca boards must be prepared for first use after installing them. perform an nibp board initialization during the full device functionality and calbration using the welch allyn service tool, gold edition. see " initialize the nibp board " in the " full functional verification and calibration " section. service manual note when repairs are complete and the device is calibrated, the welch allyn service tool csm configuration screen includes a tab for " first boot settings " that allows you to place the device into the following first boot states : production complete ( formerly described as'state when it leaves the factory'). on boot up the and date / time are shown. disassemble the front housing remove the bezel from the front housing lift the rubber bezel up and over the power switch cable and the 6 bosses on the housing. eassembly nokit items : 105921, front housing ( housing, power switch, and 6 phillips screws ) note reassembly is not the reverse of assembly. attach the bezel to the front housing 1. align the bezel with the front housing and feed the power switch flex cable through the @topic:19


* * issue : * * broken remote control cable. * * * * impact : * * the remote control is detached from the cable, hindering the user's ability to control the device with the remote. * * possible causes : * * - physical damage to the cable due to mishandling or repeated stress. - wear and tear over time, leading to weakened or broken wires. - manufacturing defect. * * recommendations : * * - replace the damaged cable with a new one. - inspect the cable regularly for any signs of damage or wear. - handle the remote control with care to avoid physical damage to the cable. - consider using a cable protector to prevent damage from bending or pinching. @topic:7


# # # issue - inability to lock the bedside rail. # # # impact - compromised patient safety, increasing the risk of falls and injuries. # # # possible causes - * * damaged bedside rail joint : * * the joints that connect the bedside rail to the bed frame may have become worn or damaged, preventing the rail from locking securely. this could be due to excessive force being applied to the rail, or regular wear and tear. - * * improper maintenance : * * insufficient lubrication or regular inspections may have caused the joint to become stiff or jammed, hindering its proper functioning. # # # recommendations - * * inspect and repair the bedside rail joint : * * thoroughly examine the bedside rail joint for any damage, wear, or loose connections. if damage is found, replace or repair the affected components as necessary. - * * lubricate the bedside rail joint : * * apply a suitable lubricant to all moving parts of the bedside rail joint to ensure smooth operation and prevent further damage. - * * regular maintenance : * * establish a regular maintenance schedule for the bedside rail to prevent similar issues in the future. this should include periodic lubrication, inspections, and any necessary adjustments or repairs. @topic:6


# # # issue - the provided information does not specify any failure or issue with the equipment. # # # impact - the impact of the action is not clear. # # # possible causes - the information suggests that the technician replaced a battery in the equipment. it is possible that the battery was failing or had reached the end of its lifespan, leading to the need for replacement. # # # recommendations - ensure proper maintenance and regular battery checks to prevent future issues. - document the battery replacement and any observations made during the process. - consider using original or recommended batteries to maintain the equipment's performance and reliability. @topic:11


# # # possible cause of failure - cuff wear and tear # # # recommendations - regularly inspect the cuff for any signs of damage or wear - replace the cuff when necessary to ensure accuracy and reliability of blood pressure measurements @topic:3


# # # issue - the monitor is unable to capture signals and perform analysis. # # # impact - inability to accurately monitor patient's heart activity. # # # possible causes - faulty connector board. # # # recommendations - the technician has already replaced the connector board. further troubleshooting may be necessary to identify any additional underlying issues. @topic:2


# # # issue there is no information provided in the input to identify an issue with the medical device. # # # impact the input does not provide any information about the impact of the reported event. # # # possible causes the input does not provide any information about the root cause of the reported event. # # # recommendations no recommendations can be made based on the context provided. @topic:12


* * issue : * * touch screen not responding correctly * * impact : * * users may not be able to use the monitor effectively to view patient data or adjust settings. * * possible causes : * * * damaged touch screen : the touch screen may have been scratched, cracked, or otherwise damaged, causing it to malfunction. * software issue : the software controlling the touch screen may be outdated or corrupted, leading to erratic behavior. * calibration error : the touch screen may have been improperly calibrated, resulting in inaccurate responses to user input. * hardware failure : the touch screen controller or other internal components may have failed, causing the touch screen to stop working altogether. * * recommendations : * * * * * inspect the touch screen : * * look for any visible damage or debris that could be interfering with its operation. * * * update software : * * check if any software updates are available for the monitor and install them if necessary. * * * recalibrate the touch screen : * * follow the manufacturer's instructions to recalibrate the touch screen and ensure accurate responses. * * * contact a qualified technician : * * if the issue persists after trying the above steps, it may be necessary to contact a qualified biomedical engineer to diagnose and repair the problem. @topic:2


# # # issue - remote control of the electric bed is broken. # # # impact - the bed cannot be operated remotely, which may cause inconvenience or delay in patient care. # # # possible causes - the remote control was dropped or hit, causing it to break. - the remote control was not properly stored or handled, leading to damage. - the remote control has a manufacturing defect. # # # recommendations - inspect the remote control for any visible damage or broken parts. - check the battery level and replace the batteries if necessary. - contact the manufacturer or an authorized repair technician for further assistance. - avoid dropping or hitting the remote control. - store the remote control in a safe and secure location when not in use. @topic:7


patient interface cable ( pic ) to the digital signal converter ( dsc ). attach the bis sensor to the patient following the instructions supplied with the sensor. make sure that the patient ’ s skin is dry. be aware that a wet sensor or a salt bridge may cause erroneous bis and impedance values. a variety of sensors are available for use in the or and icu environments : see the chapter on accessories for information. 3 connect the bis sensor to the patient interface cable. as soon as a valid sensor is detected, the impedances of all electrodes are measured automatically and the results are shown in the bis window. 258 bis monitoring setup 19 monitoring bis monitoring bis using the bisx 1 if you are monitoring bis using the bisx, a. connect the bisx device to the bis module or bis interface board connector ( mp20 / mp30 ) b. use the clip on the rear of the bisx device to affix it in a position convenient for your patient, not above the patients head. 2 attach the bis sensor / bis electrodes to the patient following the instructions supplied with the sensor. make sure that the patient ’ s skin is dry. be aware that a wet sensor or a salt bridge may cause erroneous bis and impedance values. a variety of sensors are available for use in the or and icu environments : see the chapter on accessories for information. caution ensure that the bisx does not come into prolonged contact with your patient ’ s skin, as it may generate heat and cause discomfort. the bisx may remain connected to a patient during defibrillation as long as the sensor is not located between the defibrillator pads. 3 with sensors for single - patient use : a. attach the patient interface cable ( pic ) to the bisx device. b. connect the bis sensor to the pic. with semi re - usable sensors : @topic:10


# # # issue the cause of failure in the given input is that the vital signs information is not entering the vsm ( vital signs monitor ) system. # # # possible causes * physical connection issue between the physio monitor and the vsm system * configuration issue in the physio monitor or the vsm system * software glitch or issue * hardware malfunction in the physio monitor or the vsm system * network connectivity issue # # # recommendations * double - check the physical connection between the physio monitor and the vsm system. * check and verify the configuration settings on the physio monitor and the vsm system to ensure that they are correct. * try restarting the physio monitor and the vsm system to troubleshoot any software glitches or issues. * contact the physio monitor and vsm system manufacturer's technical support to report the issue and seek assistance in troubleshooting. * if necessary, consider replacing the physio monitor or the vsm system to resolve the hardware malfunction. @topic:22


# # # issue - cuff bp is damaged # # # impact - patient monitoring may be inaccurate or unavailable. # # # possible causes - normal wear and tear - improper use or storage - manufacturing defect # # # recommendations - inspect cuff regularly for signs of damage. - replace cuff if it is damaged. - follow manufacturer's instructions for use and storage. - contact the manufacturer if the cuff fails prematurely. @topic:3


# # # issue - the physiological monitor is not able to measure ekg signals due to a faulty ekg cable. # # # impact - the monitor is unable to provide accurate ekg data, which can affect patient monitoring and diagnosis. # # # possible causes - the ekg cable is damaged or defective. - the cable is not properly connected to the monitor or the patient. - the monitor's ekg input is malfunctioning. # # # recommendations - replace the ekg cable with a new one. - ensure that the cable is securely connected to the monitor and the patient. - check the monitor's ekg input for any signs of damage or malfunction. - if the issue persists, contact the manufacturer for further troubleshooting assistance. @topic:18


# # # issue - the electric bed ( huntleigh contoura 360 ) cannot be adjusted. # # # impact - patients may not be able to get into or out of bed, or may not be able to be positioned comfortably. this can lead to discomfort, pain, and even pressure sores. # # # possible causes - the battery may be dead or not properly connected. - the motor may be burned out. - the wiring may be damaged. - the control panel may be malfunctioning. # # # recommendations - check the battery and make sure it is properly connected. - if the battery is dead, replace it. - if the motor is burned out, it will need to be replaced. - if the wiring is damaged, it will need to be repaired or replaced. - if the control panel is malfunctioning, it will need to be repaired or replaced. @topic:1


# # # issue the monitor, physiologic, central station ( hewlett packard m3150a ) is not linking. # # # impact the monitor cannot be used to monitor patient vital signs, which could lead to delayed or incorrect treatment. # # # possible causes - * * incorrect settings : * * the monitor may not be set up correctly to link with the central station. - * * hardware failure : * * there may be a hardware issue with the monitor or the central station. - * * software bug : * * there may be a software bug in the monitor or the central station that is preventing them from linking. # # # recommendations the bme should : - * * check the settings : * * verify that the monitor is set up correctly to link with the central station. - * * check the hardware : * * inspect the monitor and the central station for any signs of damage. - * * contact the manufacturer : * * if the issue cannot be resolved by checking the settings or hardware, contact the manufacturer for support. @topic:16


# # # issue * led monitor has become detached from the stand # # # impact * the monitor is no longer in an optimal position for use by medical staff. # # # possible causes * the equipment was not properly secured to the stand. * the stand may have been damaged, causing it to become unstable. * the monitor may have been knocked or bumped, causing it to become detached. # # # recommendations * inspect the equipment and the stand to identify any damage. * secure the equipment to the stand using the appropriate hardware. * replace the stand if it is damaged. @topic:2


# # # issue - spo2 sensor malfunction # # # impact - inability to accurately monitor patient's oxygen saturation levels # # # possible causes - damaged spo2 extension cable # # # recommendations - replace the damaged spo2 extension cable - ensure proper connection of the spo2 sensor to the patient and the monitor - regularly inspect and replace spo2 cables as needed - consider using wireless spo2 sensors to minimize the risk of cable damage @topic:4


# # # issue - ssd failure # # # impact - device unable to boot windows # # # possible causes - * * hardware failure : * * the ssd may have physically failed due to wear and tear, manufacturing defects, or external damage. - * * firmware corruption : * * software issues within the ssd's firmware may prevent it from functioning correctly. - * * environmental factors : * * extreme temperatures, humidity, or vibrations may have damaged the ssd. # # # recommendations - * * replace the ssd : * * the failed ssd should be replaced with a new one of compatible specifications. - * * check for firmware updates : * * ensure that the ssd's firmware is up to date to resolve any potential software issues. - * * monitor device health : * * periodically monitor the device's health using diagnostic tools or software to detect any potential problems early on. - * * consider external storage options : * * in critical scenarios, use alternative external storage devices ( e. g., usb drives, nas ) to store essential data and minimize the impact of future ssd failures. - * * implement preventive maintenance : * * establish regular maintenance schedules to inspect, clean, and test medical devices, including the ssd, to prevent failures and ensure optimal performance. @topic:13


# # # issue the monitor is unable to enter the program. # # # impact the monitor cannot be used for patient monitoring. # # # possible causes * software corruption * hardware failure * faulty power supply * loose connections # # # recommendations * * * software corruption : * * * reinstall the software. * contact the manufacturer for assistance. * * * hardware failure : * * * replace the failed component. * contact the manufacturer for assistance. * * * faulty power supply : * * * replace the power supply. * * * loose connections : * * * check and tighten all connections. @topic:2


# # cause of failure : insufficient information provided the provided input does not contain enough information to accurately determine the cause of failure for the medical device. the description only states that the biomedical engineer ( bme ) tested the bed and found it to be functioning normally, and that it was subsequently sent to a hospital room. # # issue the lack of specific information about the observed malfunction or error during the usage test makes it impossible to identify the root cause of the failure. # # impact without understanding the specific cause of failure, it is difficult to take appropriate corrective actions to prevent future occurrences. # # possible causes since no specific failure details were provided, potential causes could include : - incorrect setup or configuration - damage during transportation or handling - software glitches or bugs - mechanical defects - environmental factors # # recommendations to improve the accuracy of failure analysis and prevent recurrence, the following recommendations are suggested : - document all observed errors or malfunctions during the usage test, including any error messages or codes. - inspect the device thoroughly for any physical damage or loose connections. - verify that the device is configured and set up correctly according to the manufacturer's instructions. - if possible, review the device's logs or diagnostic data to identify any potential issues. - consult with the manufacturer or a qualified technician to troubleshoot the problem and determine the root cause. @topic:9


# # # issue - equipment : monitors, physiologic, vital signs - band : welch allyn - model : connex spot monitor - error : error 00001 # # # impact - the equipment cannot be used to monitor vital signs, which can have a negative impact on patient care. # # # possible causes - system failure - software glitch - hardware malfunction # # # recommendations - reboot the equipment. - check the equipment's firmware and update it if necessary. - contact the manufacturer for further assistance. @topic:16


##ctivate the bed exit alert monitor press the button of the required function and the green light goes off. when an alert sounds when the bed exit monitor is active and it detects alert conditions, a continuous alert signal sounds, the green light corresponding to the function flashes, the night light comes on and a signal is sent to the duty nurse ( see “ sending bed exit alerts " page 51 ). press the " alert mode suspension " button to deactivate the alert for 30 seconds or 5 minutes ( see " selecting the duration of the alert suspension " page 51 ). note : if a load weighing more than 9 kg is added or removed, it is necessary to alert suspension mode an active monitoring system can be suspended using the " alert mode suspension " button, without having to deactivate the monitor. to activate the alert mode suspension press the " alert mode suspension " button. the patient can now move and follow procedures without analerts sounding. selecting the duration of the alert suspension press the button once to suspend the alert for 30 seconds. press the button twice to suspend the alert for 5 minutes. the light flashes during the alert suspension. to extend the duration of the alert suspension, reactivate the suspension mode and select the required duration. to deactivate the alert mode suspension press the " alert mode suspension " button. o 30 " 5 the volume of the alerts can be set to three levels of intensity. 1 press the " alerts volume setting " button several times to increase the volume from 1 to 3 or to return to level 1, etc. 2 3 check that the bed is connected to the hospital's communications system. when a bed exit alert is raised, a signal is automatically sent to the duty • nurse. if the bed has a " nurse call " function, the light under the nurse call symbol flashes for 1 minute. if the system acknowledges reception of the signal during this @topic:26


* * issue : * * cuff failure * * impact : * * inability to measure blood pressure accurately * * possible causes : * * * * * 1st cause of failure : * * cuff wear and tear due to aging or repeated use * * * 2nd cause of failure : * * external damage to the cuff, such as punctures or tears * * recommendations : * * * regularly inspect the cuff for any signs of damage or wear * if damage is detected, replace the cuff immediately * handle the cuff carefully to avoid further damage * train staff on proper cuff care and maintenance @topic:3


# # # issue : - the control box of the electric bed is not functioning properly. # # # impact : - the bed cannot be adjusted, which can make it difficult for patients to get in and out of bed or to be positioned comfortably. # # # possible causes : - relay failure - loose connections - software malfunction # # # recommendations : - replace the relay. - check the connections and tighten them if necessary. - reset the software. @topic:1


# # # issue the nibp monitor is difficult to move due to damaged wheels. # # # impact the mobility of the monitor is impaired, making it difficult to use in different patient care areas. # # # possible causes - the wheels may be worn or damaged due to excessive use or improper handling. - the wheel bearings may be misaligned or damaged, causing the wheels to bind. - the base of the monitor may be bent or warped, affecting the alignment of the wheels. # # # recommendations - inspect the wheels for any signs of wear, damage, or misalignment. replace any damaged wheels. - inspect the wheel bearings and ensure they are properly lubricated and aligned. - check if the base of the monitor is bent or warped, and replace it if necessary. - perform regular maintenance and cleaning of the monitor, including the wheels and base, to prevent future issues. @topic:24


* * issue : * * cuff failure in the bedside blood pressure monitor. * * impact : * * inability to accurately measure blood pressure, potentially leading to incorrect patient care decisions. * * possible causes : * * - degradation of cuff material over time due to wear and tear. - improper handling or storage of the cuff. - exposure to extreme temperatures or humidity. - damage to the cuff from accidental punctures or cuts. * * recommendations : * * - regularly inspect the cuff for signs of damage or wear, especially at the connection points to the monitor. - replace the cuff as needed to ensure optimal performance and accuracy. - handle and store the cuff carefully to minimize the risk of damage. - avoid exposing the cuff to extreme temperatures or humidity. - train users on the proper care and handling of the cuff to prevent accidental damage. @topic:3


these guidelines may not apply in all situations. electromagnetic propagation is affected by absorption and reflection from structures, objects and people. electromagnetic compatibility suresigns vs2 * and vsi service guide b - 5 electromagnetic compatibility b - 6 suresigns vs2 * and vsi service guide index a absolute charge, 2 - 3 ac power connector, removing, 5 - 19 ac power, troubleshooting, 4 - 6 address, philips medical systems, 11 alarms battery, 2 - 4 testing, 3 - 12 troubleshooting, 4 - 7 antenna, removing, 5 - 33 assemblies, main, 5 - 1 assembly drawings, 6 - 3 audible alarms, troubleshooting, 4 - 7 audience, for this guide, 1 - 1 audio, testing, 4 - 31 b battery disposal, 5 - 3 information, viewing, 2 - 2 installing, 5 - 5 maintaining, 2 - 2 messages and alarms, 2 - 4 power rating, a - 4 reconditioning, 2 - 3 removing, 5 - 3 replacing, 2 - 4 block diagram, a - 1 board communications, removing, 5 - 31 main, removing, 5 - 23 spo,, removing, 5 - 22 wireless, removing, 5 - 32 c cables, power, 6 - 5 calibration, nbp, 3 - 15 cases, front and rear, separating, 5 - 11 clearing patient data, 4 - 37 codes, error, description, 4 - 12 communications board removing, 5 - 31 theory of operation, a - 3 component usage, tracking, 4 - 35 configuration of monitor, viewing, 4 - 2 system, setting, 5 - 27 configuration menu, system, accessing, 3 - 4 contact information, ii cycle count, 2 - 3 d data, patient, clearing, 4 - 37 deleting patient data, 4 - 37 demo mode description, 3 - 5 enabling, 3 - 6 @topic:10


inop may also be caused by a saturated or overloaded ecg amplifier. numeric is replaced by -? inop tone ecg noisy elec < ecg lead > the ecg signal from the named ecg electrodes [ ra, la, ll, rl, v ( or c ) ] is noisy. check the ecg connections and make sure that the electrode indicated is attached. the ecg signal is too noisy. check that the electrodes are properly placed and have not dried out. remove any possible sources of signal noise ( such as power cords ) from the area around the cable anhe patient. ecg noisy signanop tone ecg out equip malf inop tone!! ecg / ar alarmsoff there is a problem with the device connected to the ecg out connector. contact your service all ecg alarms have been switched off, or the hr alarm source is not ecg. to resume ecg alarm generation, switch ecg alarms on or select ecg as the alarm source. ecg / arrh a!! ecg / ar alarms off all ecg alarms have been switched off, or the hr alarm source is not ecg. to resume ecg alarm generation, switch ecg alarms on or select ecg as the alarm source. the la electrode has become detached from the patient or the lead set has been changed. reattach the electrode or select new lead setup in the setup ecg menu to confirm the new lead set. numeric is replaced by -? - for 10 seconds. inop tone the ll electrode has become detached from the patient or the lead set has been changed. reattach the electrode or select new lead setup in the setup ecg menu to confirm the new lead set. numeric is replaced by -? - for 10 seconds. nop tonthe ra electrode has become detached from the patient or @topic:10


# # # issue - the spo2 sensor cable is damaged. # # # impact - the patient's spo2 levels cannot be accurately monitored. # # # possible causes - the cable may have been damaged due to mishandling, wear and tear, or a manufacturing defect. - the cable may have been crimped or bent, causing the wires inside to break. - the cable may have been exposed to excessive heat or moisture, causing the insulation to deteriorate. # # # recommendations - replace the damaged cable with a new one. - inspect the cable regularly for signs of damage, such as cuts, crimps, or bends. - handle the cable carefully to avoid damaging it. - store the cable in a cool, dry place when not in use. @topic:4


# # # issue : failed spo2 cable # # # impact : patient monitoring is affected as accurate spo2 readings cannot be obtained. # # # possible causes : - * * defective cable : * * the spo2 cable may have a manufacturing defect or may have been damaged during use. - * * loose connections : * * the connections between the cable and the monitor or sensor may be loose, causing intermittent or no signal. - * * improper calibration : * * the spo2 cable may not have been properly calibrated, resulting in inaccurate readings. - * * interference from other devices : * * electromagnetic interference from other medical devices or equipment can affect spo2 signal transmission. # # # recommendations : 1. * * verify cable connections : * * check all connections between the spo2 cable, sensor, and monitor to ensure they are secure and free of damage. 2. * * replace cable : * * if the connections are secure but the issue persists, replace the spo2 cable with a new one. 3. * * calibrate cable : * * calibrate the spo2 cable according to the manufacturer's instructions to ensure accurate readings. 4. * * check for interference : * * identify potential sources of electromagnetic interference, such as other medical devices or equipment, and relocate or shield them as necessary. 5. * * document the issue : * * record the failure and any corrective actions taken in the equipment maintenance log for future reference and troubleshooting. @topic:4


# # # issue the physiologic monitor is not working properly. the spo2 function is malfunctioning. # # # impact the physiologic monitor is used to monitor a patient's vital signs, including blood pressure, heart rate, and oxygen saturation. if the spo2 function is not working properly, the monitor will not be able to accurately measure the patient's oxygen saturation, which could lead to serious health problems. # # # possible causes there are several possible causes of the spo2 malfunction, including : - * * damaged or faulty sensor : * * the sensor that is used to measure the patient's oxygen saturation may be damaged or faulty. - * * loose or disconnected wires : * * the wires that connect the sensor to the monitor may be loose or disconnected. - * * software problems : * * the software that controls the spo2 function may be experiencing problems. # # # recommendations to fix the issue, you should first try the following : - * * check the sensor : * * make sure that the sensor is properly attached to the patient's finger and that it is not damaged or faulty. - * * check the wires : * * make sure that the wires that connect the sensor to the monitor are properly connected and that they are not damaged. - * * restart the monitor : * * restarting the monitor may help to fix any software problems that are causing the malfunction. if these steps do not resolve the issue, you may need to replace the sensor or the monitor. @topic:4


# # # issue - print not working # # # impact - inability to obtain patient data from central monitor # # # possible causes - * * paper jam * * : paper may have become jammed in the printer due to improper placement of the leey board. # # # recommendations - * * remove paper jam * * : carefully remove the jammed paper from the printer. ensure that the leey board is properly positioned to prevent future jams. @topic:28


# # # issue - missing dvi port nut # # # impact - the lcd monitor cannot be connected to a dvi source # # # possible causes - the nut was not properly tightened during assembly. - the nut was loosened due to vibration or impact. - the nut was lost due to mishandling. # # # recommendations - inspect the dvi port for any damage. - if the port is damaged, replace the monitor. - if the port is not damaged, tighten the nut securely. - handle the monitor carefully to prevent the nut from loosening or getting lost. @topic:2


# # # issue - cuff of philips intellivue x2 ( m3002a ) monitor is damaged. # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may have been damaged during use. - the cuff may have been exposed to excessive heat or moisture. - the cuff may have been punctured. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for any signs of damage. - store the cuff in a cool, dry place. - avoid exposing the cuff to excessive heat or moisture. @topic:5


# # # issue the cuff of the bedside physiologic monitor is degraded. # # # impact the monitor may not be able to accurately measure blood pressure. # # # possible causes * the cuff may be old and worn out. * the cuff may have been damaged by improper use or storage. * the cuff may be the wrong size for the patient. # # # recommendations * replace the cuff with a new one. * inspect the cuff regularly for signs of wear and tear. * store the cuff in a cool, dry place. * use the correct cuff size for the patient. @topic:5


# # # issue - broken bp cuff tubing # # # impact - inability to accurately measure blood pressure # # # possible causes - wear and tear - improper handling or storage - manufacturing defect # # # recommendations - replace the bp cuff tubing - inspect the cuff and tubing regularly for signs of damage - handle and store the equipment carefully - ensure the cuff is not over - inflated - contact the manufacturer if the issue persists @topic:3


# # # issue - battery failure in the philips intellivue mp40 ( m8003a ) monitor. # # # impact - the monitor may not be able to power on or function properly. - patient data may be lost if the battery is not replaced in time. # # # possible causes - the battery has reached the end of its service life. - the battery has not been replaced for an extended period of time. - the battery has been damaged physically or electrically. # # # recommendations - replace the battery with a new one. - charge the battery for 8 - 12 hours before using the monitor. - inspect the battery and battery compartment for any damage. - if the battery fails prematurely, contact the manufacturer for further troubleshooting and warranty assistance. @topic:11


* * issue : * * - screw securing the device to the cart is missing. * * impact : * * - device may not be secure and could fall, causing injury or damage. * * possible causes : * * - screw was not properly tightened during the last maintenance. - screw vibrated loose due to excessive movement of the cart. - screw was intentionally removed by someone. * * recommendations : * * - tighten or replace the missing screw to secure the device to the cart. - check the other screws to ensure they are properly tightened. - inspect the cart for signs of damage and repair as necessary. - instruct users to handle the cart with care to prevent excessive movement. - establish a regular maintenance schedule to prevent similar issues in the future. @topic:31


##s and various power supplies are located on this board. additionally, this board contains the msl interface, the recorder interface, the ecg out hardware and various other interfaces. system information is stored in serial eeproms to support the automatic configuration of the operating system at boot time. i / o boards a dual mib / rs232 board, a flexible nurse call relay board or an intellibridge board can be added optionally. 19 [ 2 theory of operation ] data flow the following diagram shows how data is passed through the monitoring system. the individual stages of data flow are explained below. data dlow data acquisition monitoring data ( for example patient measurement data in the form of waves, numerics and alerts ) is acquired from a variety of sources : • measurement servers the measurement servers connected to the internal lan convert patient signals to digital data and apply measurement algorithms to analyze the signals. • external measurement devices data can be also acquired from devices connected to interface boards of the monitor. software modules dedicated to such specific devices convert the data received from an external device to the format used internally. this applies to parameter modules and the anesthetic gas module. • server systems on the philips clinical network to enable networked applications such as the other bed overview, data can be acquired from server systems attached to the philips clinical network, for example a philips information center data provider system service all data that is acquired from measurement servers or external measurement devices is temporarily stored by a dedicated data provider system service. all monitor applications use this central service to access the data in a consistent and synchronized way rather than talking to the interfaces directly. this service makes the applications independent of the actual type of data acquisition device. the amount of data stored in the data provider system service varies for the different data types. for example several seconds of wave forms and the full set of current numerical values are temorarily stored in ram. 20 2 @topic:10


that could cause the bed to malfunction. * * 4. have the bed serviced by a qualified technician on a regular basis. * * this will help to identify and fix any potential problems before they cause the bed to fail. @topic:9


# # # issue - missing icon for medical cart program on the desktop # # # impact - inability to access the medical cart program quickly and easily # # # possible causes - accidental deletion of the icon - corruption of the icon file - antivirus software quarantining the icon file - system update removing the icon # # # recommendations - check the recycle bin for the deleted icon and restore it if found - re - create the icon by locating the program's executable file and creating a shortcut on the desktop - scan the system for viruses and malware and remove any threats detected - contact the it department or the manufacturer of the medical cart software for further assistance @topic:13


# # # issue - bp cuff failure # # # impact - inability to accurately measure blood pressure # # # possible causes - cuff degradation - leaks in the cuff or tubing - faulty pressure transducer - electrical issues in the monitor or cuff # # # recommendations - replace the cuff - check for leaks in the cuff and tubing - inspect the pressure transducer for damage or malfunction - ensure the monitor and cuff are properly connected and functioning correctly @topic:3


* * issue : * * drawers cannot be closed. * * impact : * * inability to store or access medical supplies and equipment properly, potentially compromising patient care. * * possible causes : * * * * * misalignment or obstruction : * * the drawers may be misaligned with the tracks or obstructed by debris or foreign objects. * * * damaged locking mechanism : * * the locking mechanism may be faulty or damaged, preventing the drawers from latching securely. * * * weak drawer guides : * * the drawer guides may be worn or damaged, causing the drawers to sag or become loose. * * * assembly error : * * the drawers may not have been assembled correctly, resulting in improper alignment or function. * * * excessive weight : * * overloading the drawers may strain the locking mechanism or drawer guides, leading to failure. * * recommendations : * * 1. * * inspect the drawers : * * visually check for any obvious misalignment, obstructions, or damage to the drawers, tracks, or locking mechanism. 2. * * test the locking mechanism : * * manually operate the locking mechanism to ensure it engages and disengages properly. 3. * * check drawer alignment : * * verify that the drawers are aligned correctly with the tracks and that they slide smoothly. 4. * * inspect drawer guides : * * examine the drawer guides for any signs of wear, damage, or debris that may be impeding movement. 5. * * adjust or replace components : * * if necessary, adjust the drawer alignment or replace any damaged components, such as locking mechanisms or drawer guides. 6. * * lubricate drawer components : * * apply a light lubricant to the drawer tracks and locking mechanism to reduce friction and improve functionality. 7. * * avoid overloading drawers : * * ensure that the drawers are not @topic:21


# # # issue - system crashes while updating crowdstrike, resulting in blue screen of death ( bsod ) on windows. # # # impact - inability to access any system functions. # # # possible causes - crowdstrike system security issue during update. # # # recommendations 1. remove crowdstrike files and change file extensions : - enter recovery mode and select advanced options. - choose startup settings and select safe mode ( f4 / f5 ). - navigate to drive c and select windows > > systems32 > > drivers > > crowdstrike. - enter username as ". \ $ user $ " and password as " ". - delete the file " c - 00000291 *. sys ". - rename the crowdstrike folder to crowdstrike. bak. - restart the device. 2. contact it support for assistance with crowdstrike system security issues. 3. regular system updates and maintenance to prevent similar issues in the future. @topic:13


# # # issue : - inability to adjust bed height due to motor failure # # # impact : - compromised patient care and comfort - reduced mobility and safety for both patients and healthcare providers # # # possible causes : * * 1. worn or damaged motor : * * - overuse or aging can cause the motor to wear down or break, resulting in loss of functionality. * * 2. electrical fault : * * - issues with wiring, connections, or the power supply can disrupt motor operation. * * 3. mechanical obstruction : * * - blockages or obstructions in the bed's mechanisms, such as debris or misaligned parts, can prevent the motor from adjusting the bed height. * * recommendations : * * * * 1. motor replacement : * * - replace the defective motor with a new one that meets the manufacturer's specifications. * * 2. electrical inspection and repair : * * - inspect wiring, connections, and the power supply to identify and fix any electrical issues that may be affecting the motor. * * 3. mechanical adjustment : * * - check and clear any obstructions or misalignments in the bed's mechanisms to ensure smooth operation. * * 4. regular maintenance : * * - implement a regular maintenance schedule to prevent future motor failures by addressing minor issues early on. @topic:9


# # # issue - cuff deterioration leading to frequent error messages # # # impact - intermittent and unreliable blood pressure monitoring - potential for inaccurate readings, affecting patient safety # # # possible causes - wear and tear of the cuff over time - improper storage or handling of the cuff - excessive use or pressure placed on the cuff during measurements # # # recommendations - replace the deteriorated cuff with a new one - ensure proper storage and handling of the cuff to extend its lifespan - train staff on correct cuff usage and maintenance - consider using cuffs designed for specific patient populations or usage scenarios - regularly inspect and calibrate the blood pressure monitor to ensure accuracy @topic:3


# # # issue - loose rubber band on the back of the telemetry ekg module # # # impact - the telemetry ekg module may not be able to effectively transmit patient data. # # # possible causes - the rubber band may have become stretched or damaged over time. - the rubber band may have been incorrectly installed during a previous repair. # # # recommendations - replace the rubber band with a new one. - ensure that the rubber band is properly installed in the designated groove on the back of the telemetry ekg module. @topic:18