# # # issue - the remote of the electric bed is not working. # # # impact - the bed cannot be adjusted, which can be a safety hazard for the patient. # # # possible causes - the remote itself is defective. - the receiver in the bed is defective. - one or more fuses are blown. - a cable is damaged. - the battery in the remote needs to be replaced. - the remote is not paired with the bed. # # # recommendations - check if the remote is paired with the bed. - if the remote is paired, try replacing the battery. - if the battery is new, try replacing the remote. - if the remote is new, try replacing the receiver in the bed. - if the receiver is new, try replacing the fuses. - if the fuses are new, try replacing the cable. @topic:7


# # # issue * motor head failure # # # impact * inability to adjust the head of the bed # # # possible causes * frozen cpr cable * faulty cpr cable * faulty motor head # # # recommendations * repaired cpr cable * replaced cpr cable * replaced motor head @topic:1


problem e - mail the status log to your local response center hardware failure if this does not rectify the problem follow instructions under “ red error led stays on continuously ”. alarm leds remain off check for inops and follow instructions cable between main board and panel adapter board not connected correctly or defective check cable connection between main board and panel adapter board. replace cable if necessary. cable between panel board and alarm led board not connected correctly or defective. check cable connection between panel adapter board and alarm led board. replace cable if necessary. alarm led board is defective ( mx450 / mx500 / mx550 ) exchange alarm led board panel adapter board defective ( mx400 ) exchange panel adapter board main board defective exchange main board no test sound check for inops and follow instructions issued speaker defective exchange speaker power switch / ecg out sync board defective exchange power switch / ecg out sync board main board defective exchange main board 109 [ 4 troubleshooting ] integrated display is biank symptoms possible causes of failure failure isolation and remedy integrated display is blank or brightness is reduced ( the information listed in this table is only valid if the boot phase has completed without error. see table for a description of the boot phase. display brightness is reduced when room temperature, or instruments placed near patient monitor, causes the monitor display to overheat. instrument should be placed in an environment that does not exceed 40°c or below 5°c. if you have an external display, connect it to the video port. if the external display works, you can eliminate the connector board and the main board as the cause of failure. backlight cable or cable from panel adapter board to main board not connected check cable connection of panel adapter board to backlight and main board. panel adapter board defective replace panel adapter board ambient light sensor on alarm led board defective replace alarm led board lcd flat panel defective @topic:16


# # # issue - the telemetric electrocardiography monitor from philips, model intellivue mx40, is not receiving a signal. # # # impact - the monitor cannot display the patient's electrocardiogram ( ecg ), which is essential for monitoring the patient's heart rhythm. # # # possible causes - the ecg leads are not properly connected to the patient. - the ecg cables are damaged or faulty. - the monitor's ecg input is not functioning properly. - there is a problem with the patient's ecg signal. # # # recommendations - check the connections of the ecg leads to the patient. - inspect the ecg cables for any damage or faults. - test the monitor's ecg input using a known good ecg signal. - if the problem persists, consult with a qualified biomedical engineer. @topic:18


* * issue : * * battery voltage display is - 1 * * possible causes : * * * battery is faulty or not connected properly * battery charger is malfunctioning * battery monitoring system is faulty * * recommendations : * * * check the battery connections and ensure they are secure. * replace the battery with a new one. * contact the manufacturer for service on the battery charger or battery monitoring system. @topic:13


. 7. disconnect the power cord connector ( d ) from the fuse board ( e ). 8. remove the screw ( f ) securing the power cord ground wire ( g ) to the bed frame ( h ). 9. remove the two screws ( i ) securing the power cord strain relief ( j ) to the bed frame ( h ). 10. remove the power cord ( k ). replacement 1. perfonn the removal procedure in reverse order. 2. plug the bed into an appropriate power source. 3. raise and lower the bed fully to make sure the power cord expands and contracts without any problems. 1. torx® is a registered trademark of acument intellectual properties, llc. page 4 - 6 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 2 ac power cord ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures 4. check that the earth continuity of the accessible metal parts is correct ( see “ leakage current ” on page 6 - 8 in the preventive maintenance schedule ). figure 4 - 2. power cord m330 069 careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 7 4. 2 ac power cord ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures shock hazard : an abnormally high leakage current is symptomatic of a degradation within the ac power cable and the power supply. personal injury could result if the value of the leakage current is above 500 microamperes. 5. check that the leakage current of the bed is compliant ( see “ leakage current ” on page 6 - 8 in the preventive maintenance schedule ). 6. to make sure the careassist® bed operates correctly, do the “ function checks ” on page 2 @topic:26


• creating both visual and audible alarm signals when settings are violated • creating and displaying warning messages when conditions are detected that would degrade or prevent valid measurements • creating and displaying trend waveforms or tabular data • providing a synchronizing pulse for defibrillator operation • providing input to an optional recorder for printout of current or trend waveforms or tabu¬ lar data the suresigns vm patient monitor operates from either an ac power source or battery power. the monitor charges the battery when powered by an ac line. block diagram components the suresigns vm patient monitor contains several major blocks, including : • front end assembly • main pcb • communications pcb • front panel assembly in addition, the suresigns vm patient monitor contains several optional modules. note — shaded blocks ( and items ) in the diagram indicate parts that are field replaceable. for more information, see chapter 9, replacement parts. the following sections briefly describe many of the functional units in the block diagram. a - 2 theory of operation nbp - - assembly - ac power connector _ _ _ and fuses block diagram components main pcb the main pcb contains these components : • intel x scale ^ processor - 32 mb flash memory - 64 mb sdram • lan controller - 10 / 100t • power management control - voltage regulator - smart battery charger that monitors status of battery • usb - 1. 1 compliant • lcd drivers • front end interface circuitry • fan control • lvds buffer for lcd interface • power distribution and monitoring • vga dac • audio • nbp pump control circuitry • connectors - etccl ( wire to etccl ) - dc input ( wire to ac / dc module ) - speaker - lcd - lcd backlight - control board - b2b : patient daughter board - b2b : vga daughter board - b @topic:10


all be available in all countries. please check availability with your local philips supplier. recommended cables trunk cables 3 - electrode cable set 5 - electrode cable set 6 - electrode cable set 10 - electrode cable set ( 5 + 5 ) 10 - electrode cable set ( 6 + 4 ) part no. m1669a m1668a m1667a m1663a m1665a length 2. 7m 2. 7m 2. 7m 2. 0m 2. 7m 381 37 accessories ecg / resp accessories 3 - electrode cable sets description length aami part no. iec part no. or grabber shielded 1. 0m m1675a m1678a icu grabber shielded 1. 0m m1671a m1672a icu snap shielded 1. 0m ml 673a m1674a icu clip non - shielded 0. 45m m1622a - icu clip non - shielded 0. 7m m1624a m1626a 5 - electrode cable sets description length aami part no. iec part no. or grabber shielded 1. 0m / 1. 6m ml 973a m1974a icu grabber shielded 1. 0m / 1. 6m m1968a m1971a icu snap shielded 1. 0m / 1. 6m m1644a m1645a icu miniclip non - shielded 0. 7m / 1. 3m m1647a m1648a 6 - electrode cable sets description length aami part no. iec part no. or grabber 1. 0m / 1. 6m m1684a m1685a icu grabber 1. 0m / 1. 6m m1680a m1681a icu snap 1. 0m @topic:10


# # # issue - broken remote housing of the bed, electric from hill - rom model 900b # # # impact - inability to use the remote to adjust the bed, compromising patient comfort and caregiver efficiency # # # possible causes - physical damage due to accidental dropping or collision - excessive force applied to the remote - wear and tear from prolonged use - manufacturing defect in the remote housing material # # # recommendations - * * inspect the remote : * * examine the physical condition of the remote to identify any signs of damage or wear. - * * test the remote : * * attempt to operate the remote to determine if it is functioning properly despite the broken housing. - * * replace the remote housing : * * if the remote is operational but the housing is broken, consider replacing only the housing to restore its functionality and aesthetics. - * * replace the remote : * * if the remote is damaged beyond repair or is not functioning properly, replacement of the entire remote may be necessary. - * * handle with care : * * instruct users to handle the remote with care to prevent accidental damage. - * * regular maintenance : * * schedule routine maintenance checks to identify and address any potential issues with the remote before they escalate into failures. @topic:7


# # # issue - no pulse rate displayed on philips suresigns vm6 monitor # # # impact - clinicians are unable to obtain an accurate reading of the patient's pulse rate, which is essential for monitoring vital signs and assessing overall health status. # # # possible causes - incorrect hr source setting # # # recommendations 1. check the hr source setting in the heart rate menu and ensure that it is set to " auto ". 2. if the issue persists, inspect the cables and connections associated with the pulse oximeter sensor to ensure they are secure and undamaged. 3. consult the manufacturer's documentation or contact technical support for further troubleshooting assistance. @topic:15


# # # issue - medical cart machine is running slowly. # # # impact - delays in patient care. - frustration for users. # # # possible causes - the machine has a large number of junk files. # # # recommendations - regularly delete junk files from the machine. - install a software program to automatically delete junk files. - train users on how to identify and delete junk files. @topic:13


# # # issue - equipment is not turning on. # # # impact - delay in patient care. - loss of data. # # # possible causes - battery terminals are loose. - power cord is not plugged in. - power switch is not turned on. - fuse is blown. - circuit breaker is tripped. # # # recommendations - check and tighten battery terminals. - ensure power cord is plugged into a working outlet. - turn on power switch. - check and replace fuse if necessary. - reset circuit breaker if necessary. - contact biomedical engineering department if problem persists. @topic:12


# # # issue - the bed, electric is not adjusting properly. # # # impact - the patient may not be able to get into or out of bed. - the patient may not be able to be positioned properly for treatment. # # # possible causes - the outlet that the bed is plugged into is loose. - the bed's power cord is damaged. - the bed's motor is burned out. - the bed's control panel is not working properly. # # # recommendations - inspect the outlet that the bed is plugged into and make sure that it is tight. - check the bed's power cord for any damage. - contact the manufacturer of the bed for assistance if the motor or control panel is not working properly. @topic:1


# # # issue - ekg cable is not picking up readings # # # impact - inability to accurately monitor patient's ekg # # # possible causes - damaged ekg cable - loose connection between cable and ekg machine - issues with ekg machine itself # # # recommendations - inspect ekg cable for any visible damage - ensure that the cable is securely connected to both the patient and the ekg machine - if the issue persists, test the ekg machine with a known - good cable or consult the manufacturer for further troubleshooting @topic:18


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : scanner cannot open the drawer via scanning # # # impact - inability to access the contents of the medical cart # # # possible causes - loose connection between the scanner and the medical cart # # # recommendations - ensure the connector is firmly attached to both the scanner and the medical cart @topic:23


# # # issue - cuff bp damaged # # # impact - patient monitoring may be inaccurate or unreliable - patient safety may be compromised # # # possible causes - cuff bp not properly maintained - cuff bp damaged during use - cuff bp expired # # # recommendations - regularly inspect and maintain cuff bp - replace cuff bp if damaged - follow manufacturer's instructions for proper use and maintenance @topic:3


* * issue : * * plugged device failure * * impact : * * - equipment malfunction or downtime - potential safety hazards or patient discomfort * * possible causes : * * - * * loose or damaged plug : * * the plug may have become loose or damaged due to wear and tear, improper handling, or environmental factors. - * * worn or faulty outlet : * * the outlet may have become worn or faulty, causing poor electrical contact with the plug. - * * electrical surge : * * a power surge or voltage spike may have damaged the plug or electrical components within the device. - * * incorrect installation : * * the plug may have been incorrectly installed, resulting in poor electrical contact. * * recommendations : * * - * * inspect and secure plug : * * ensure that the plug is securely connected to the outlet and that the connection is not loose or damaged. - * * check outlet : * * verify that the outlet is functioning properly by plugging in a known working device. if the outlet is not working, contact a qualified electrician for repair. - * * avoid electrical surges : * * use surge protectors to protect equipment from voltage spikes. - * * install correctly : * * follow the manufacturer's instructions for proper installation of the plug and equipment. - * * regular maintenance : * * schedule routine maintenance to inspect electrical connections and ensure proper functioning. @topic:12


* * issue : * * battery failure ( batt - 1 ) * * impact : * * the medical cart may not be able to operate properly, which could impact patient care. * * possible causes : * * * battery not properly charged or connected * battery life depleted * battery damaged or defective * charger or power supply malfunction * main board or power supply issue * * recommendations : * * * inspect the battery connections and ensure they are secure. * charge the battery fully and test it again. * replace the battery if necessary. * check the charger or power supply for any issues. * if the problem persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:13


available 200 injectate guidelines 209 picco method 202 procedure window 201 prompt messages 211 results table 201 right heart thermodilution method 207 saving measurements ( picco ) 206 setup for picco method 204 setup for rh method 207 setup menu 202 temperature unit 201 warning messages 212 c. o. / cco safety information 212 calc type 283 calculating drug infusions 343 calculating cerebral perfusion 195 calculating oxygen extraction 248 calculating pulse pressure variation 195, 203 calculating temperature difference 186 calculations 283 pop - up keys 284 calculations reports 287 calculations review 285 calculator 26 calibrating c02 transducer 220 tcgas transducer 235 calibrating c. o. measurements 206 calibration interval, nbp 378 nbp 183 pressure 195 pressure transducer 194 sv02 light intensity 244 sv02, in - vivo 244, 247 sv02, pre - insertion 243 calibration status indicators ( c. o ) 206 capnography mainstream 16 microstream 16 capturing loops 360 carbon dioxide, see c02 215, 225 cardiac output how the measurement works 199 report 341 cardiac overlay and resp detection modes 167 when measuring resp 165 cardiotach alarms 130 care groups alarm notification 116 other bed window 114 pop - up window 116 catheter sv02, insertion 244 catheter constant, setting ( picco ) 204 catheter preparation sv02 243 cautions 1 cco calibration status indicators 206 choosing the correct pressure source 205 how the measurement works 199 picco method 202 central recorder choosing 325 cerebral perfusion 195 cfi 200 chaining 142 change screen menu 28 changing ecg lead sets 123 changing eec wave scale 254 changing eec wave speed 255 changing resp detection mode 166 changing resp wave size 167 changing resp wave speed 168 changing screen content 28 changing screens 28 changing wave scale eec 262 channels recorder 325 checking battery @topic:17


# # # issue - care assist es230 hospital bed has a malfunctioning locking system, preventing it from being moved or adjusted safely. # # # impact - the bed is not safe for use and could pose a danger to patients and staff. - the bed cannot be moved or adjusted, which could hinder patient care and comfort. # # # possible causes - damaged or malfunctioning locking mechanism - electronic control failure - software glitch # # # recommendations - inspect and test the locking mechanism to identify any damage or malfunctions. - check the electronic control unit for any signs of failure. - update or re - install the software to address any potential glitches. - consult with the manufacturer or a qualified biomedical engineer for further diagnosis and repair. @topic:6


# # # issue - broken ekg lead clamp # # # impact - inability to obtain accurate ekg readings # # # possible causes - physical damage to the lead clamp - corrosion of the lead clamp - excessive force applied to the lead clamp # # # recommendations - inspect the lead clamp regularly for any signs of damage or corrosion. - handle the lead clamp with care, avoiding excessive force. - properly secure the lead clamp to the patient's body to prevent movement. - replace the lead clamp if it becomes damaged or corroded. @topic:18


# # # issue - equipment malfunction - cuff unable to measure values # # # impact - inability to accurately monitor patient's vital signs - delay in diagnosis and treatment # # # possible causes - faulty cuff - loose or damaged connection between cuff and monitor - software or hardware failure in the monitor # # # recommendations - replace the cuff with a new one - check the connection between the cuff and the monitor, ensuring it is secure and undamaged - contact the manufacturer for further troubleshooting or repair guidance @topic:5


# # # issue the electric hospital bed is unable to lock. # # # impact the inability to lock the bed can pose a safety hazard to patients. for example, if the patient is in a position where they need to be able to move or get out of bed, they may be at risk of falling if the bed is not locked in place. # # # possible causes - loose or damaged nuts or bolts. - damaged or misaligned locking mechanism. - electrical issues with the locking system. # # # recommendations - inspect the bed for any loose or damaged nuts or bolts and tighten or replace as necessary. - check the locking mechanism for any signs of damage or misalignment and adjust or repair as needed. - test the electrical system of the locking mechanism to ensure it is functioning properly. @topic:6


# # # issue - malfunctioning electric bed # # # impact - discomfort and inconvenience for patients - potential safety hazard for patients and staff # # # possible causes - damage to the remote control cable # # # recommendations - replace the damaged remote control cable - regularly inspect and maintain the bed to prevent future failures @topic:7


# # # issue - faulty spo2 cable # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - mindray no. 1 monitor malfunction - damaged spo2 cable # # # recommendations - replace faulty spo2 cable - inspect mindray no. 1 monitor for any other potential issues - regularly maintain and calibrate medical equipment to prevent future failures @topic:4


# # # issue the medical device is not malfunctioning. # # # impact the medical device is not available for use by patients. # # # possible causes * the technician has not properly tested the device. * the device is not properly calibrated. * the device is not compatible with the hospital's equipment. # # # recommendations * the technician should retest the device to ensure that it is functioning properly. * the technician should calibrate the device according to the manufacturer's instructions. * the technician should ensure that the device is compatible with the hospital's equipment. @topic:12


# # # issue - broken ekg lead wires # # # impact - inability to accurately monitor patient's ekg # # # possible causes - physical damage to the lead wires, such as cuts or tears - loose connections between the lead wires and the monitor - faulty lead wires # # # recommendations - inspect the lead wires for any damage and replace any damaged wires. - ensure that the lead wires are securely connected to the monitor. - test the lead wires using a known good patient or a simulator to verify proper functionality. - regularly inspect and maintain the lead wires to prevent future failures. @topic:18


# # # issue - faulty battery # # # impact - the vital signs monitor may not be able to function properly during power outages, which could compromise patient safety. # # # possible causes - battery was not replaced according to the manufacturer's recommended schedule. - battery was not properly installed or maintained. - battery is defective. # # # recommendations - replace the battery according to the manufacturer's recommended schedule. - ensure that the battery is properly installed and maintained. - test the battery regularly to ensure that it is functioning properly. @topic:11


* * issue * * * worn insulation on ekg lead, exposing wires. * * impact * * * patient safety risk due to potential electrical shock or malfunction. * * possible causes * * * * * improper storage * * or handling of lead, leading to damage to insulation. * * * excessive use * * or wear and tear, causing insulation to deteriorate. * * * environmental factors * * such as exposure to moisture or chemicals. * * recommendations * * * * * regular inspection and testing * * of ekg leads to identify potential issues early. * * * proper storage and handling * * to prevent damage to insulation. * * * replacement of damaged leads * * to ensure patient safety. * * * staff training * * on proper handling and storage of ekg leads. * * * consideration of alternative lead materials * * with improved durability or insulation resistance. @topic:18


* * issue : * * remote control failure * * impact : * * * inability to operate the bed, leading to inconvenience for patients and healthcare providers. * * possible causes : * * * damage to the remote control itself * loose connections between the remote control and the bed * battery failure * software glitches * * recommendations : * * * * * inspect the remote control * * for any visible damage, such as cracks or broken buttons. * * * check the connections * * between the remote control and the bed, ensuring they are secure. * * * replace the batteries * * if the remote control uses batteries and they appear weak. * * * contact the manufacturer * * or a qualified technician if the problem persists after trying the above steps. * * * consider using a spare remote control * * if available to prevent downtime. * * * train staff * * on proper handling and usage of medical devices, including remote controls, to minimize the risk of damage. * * * establish a preventive maintenance schedule * * for medical devices to identify and address potential issues before they lead to failures. @topic:7


# # # issue - cuff failure # # # impact - inability to accurately measure vital signs ( e. g., blood pressure, oxygen saturation ) - potential delays in diagnosis and treatment # # # possible causes - cuff age and use - physical damage ( e. g., tears, punctures ) - improper storage or maintenance # # # recommendations - regularly inspect cuffs for signs of wear and tear - replace cuffs according to manufacturer's recommendations - store cuffs in a cool, dry place - avoid exposing cuffs to extreme temperatures or moisture - follow manufacturer's instructions for cleaning and disinfection @topic:5


# # # issue - the medical cart from bdms ( model bdms 01 ) displayed an error message " - 1 ". # # # impact - the medical cart was unable to function properly. # # # possible causes - the error message " - 1 " could indicate a communication issue between the software and the hardware. this issue might be caused by a loose connection or a faulty component. # # # recommendations - * * check the connections : * * ensure that all cables are securely connected, both on the back of the medical cart and at the power source. - * * restart the device : * * turn off the medical cart, wait a few moments, and then turn it back on. this can help reset any software glitches that may have caused the error message. - * * update the software : * * if available, install any software updates for the medical cart. this can resolve bugs and improve the stability of the device. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the medical cart for further troubleshooting and repair options. @topic:13


# # # issue - * * medical cart's medcart program icon is missing from the desktop. * * # # # impact - * * inability to access the medcart program. * * this can disrupt workflow and patient care. # # # possible causes - * * user error : * * the icon may have been accidentally deleted or moved. - * * software issue : * * a software update or glitch may have caused the icon to disappear. - * * hardware issue : * * a problem with the computer's display or graphics card could cause the icon not to be shown. # # # recommendations - * * check the recycle bin : * * if the icon was accidentally deleted, it may be in the recycle bin. - * * search the computer : * * use the computer's search function to look for the medcart program file. - * * reinstall the program : * * if the program file cannot be found, reinstall the medcart program. - * * contact the it department : * * if the issue persists, contact the it department for assistance. @topic:13


# # # issue - unsupport signal # # # impact - the lcd monitor cannot receive a signal from the olympus oev - 261h image processor. # # # possible causes - the dvi cable is not compatible with the olympus monitor's port. # # # recommendations - replace the dvi cable with one that is compatible with the olympus monitor. @topic:2


# # # issue - ekg lead cable failure # # # impact - inability to accurately monitor patient's electrocardiogram ( ecg ) # # # possible causes - damaged or frayed lead cable - poor connection between lead cable and electrodes - faulty lead cable connector # # # recommendations - inspect lead cable for damage or fraying - ensure proper connection between lead cable and electrodes - replace faulty lead cable connector - replace lead cable if necessary - preventive maintenance and regular cleaning of lead cables and connectors to prevent future failure @topic:18


# # # issue : scanner malfunction due to loose contact # # # impact : device inoperable, affecting patient care # # # possible causes : - loose or damaged connectors on the scanner or power supply - internal circuit board failure - software glitches or incompatible updates # # # recommendations : - * * inspect connectors : * * ensure all connections are secure and not damaged. clean any corrosion or debris. - * * check internal circuitry : * * use a multimeter to test for continuity and identify any faulty components. replace or repair as necessary. - * * update software : * * ensure the scanner is running the latest stable software version and that there are no compatibility issues with other equipment. - * * consider environmental factors : * * check for extreme temperatures, humidity, or vibration that may affect the device's performance. - * * seek professional assistance : * * if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:23


# # # issue - equipment malfunction due to faulty control panel and buttons. # # # impact - interruption of essential medical treatments. - delayed patient care. - increased workload for healthcare professionals. - potential safety hazards for patients and staff. # # # possible causes - * * design defects : * * poor quality control during manufacturing can lead to faulty components. - * * wear and tear : * * prolonged use and inadequate maintenance can result in component failure. - * * power surges or fluctuations : * * electrical instability can damage delicate electronic components. - * * accidental damage : * * dropping or mishandling the equipment can cause physical damage. - * * software glitches : * * software errors can interfere with the system's functionality. # # # recommendations - * * regular maintenance : * * conduct scheduled preventive maintenance to identify and address potential issues early on. - * * use of high - quality components : * * ensure that the equipment is made from durable and reliable materials. - * * proper training of staff : * * provide comprehensive training to staff on the proper use and handling of medical devices. - * * establish a preventive maintenance plan : * * develop a schedule for regular inspections and servicing to prevent component failure. - * * consider redundant systems : * * implement backup systems or redundancies in critical systems to minimize the impact of equipment failures. @topic:12


# # # issue cuff bp deterioration # # # impact unable to measure blood pressure accurately. # # # possible causes * extensive use * damage due to improper cleaning or storage * natural wear and tear # # # recommendations * replace the cuff bp with a new one. * train staff on proper cleaning and storage procedures. * establish a regular maintenance schedule to inspect and replace cuffs as needed. @topic:3


# # # issue - equipment malfunction : the patient transport monitor's basket is not staying in place. # # # impact - safety hazard : the basket could fall and injure a patient or staff member. - inconvenience : the monitor cannot be used properly if the basket is not secure. # # # possible causes - the basket's locking mechanism is not working properly. - the basket is not properly aligned with the monitor. - the weight of the equipment in the basket is causing it to sag. # # # recommendations - inspect the basket's locking mechanism and make sure it is functioning properly. - align the basket correctly with the monitor. - redistribute the weight of the equipment in the basket so that it is evenly distributed. @topic:24


# # # issue - cuff bp missing # # # impact - monitor cannot measure blood pressure # # # possible causes - the cuff may have been removed accidentally. - the cuff may have been damaged. # # # recommendations - check if the cuff is present. - if the cuff is missing, replace it with a new one. - if the cuff is damaged, repair or replace it. @topic:3


# # # issue the remote control for the huntleigh contoura 390 electric bed is not responding when pressed. # # # impact this issue can prevent the patient or healthcare provider from adjusting the bed's position, which can be uncomfortable or unsafe for the patient. # # # possible causes * * * dead or weak batteries : * * the remote control may not be functioning properly if the batteries are dead or weak. * * * faulty remote control buttons : * * one or more of the buttons on the remote control may be malfunctioning, preventing them from registering when pressed. * * * loose or disconnected wires : * * there may be loose or disconnected wires within the remote control or the bed itself, which can disrupt communication between the two devices. * * * software glitch : * * a software glitch or bug in the bed's or remote control's software could be causing the remote to malfunction. # # # recommendations * * * check and replace batteries : * * inspect the batteries in the remote control and replace them if they are dead or weak. * * * clean remote control buttons : * * clean the buttons on the remote control with a soft cloth and rubbing alcohol to remove any dirt or debris that may be hindering their operation. * * * inspect and tighten wires : * * check for any loose or disconnected wires within the remote control and the bed, and tighten or reconnect them as necessary. * * * reset the bed : * * disconnect the bed from power for a few minutes to reset it. once reconnected, try using the remote control again. * * * contact the manufacturer : * * if the above recommendations do not resolve the issue, contact the manufacturer of the bed for further troubleshooting and potential repair or replacement of defective components. @topic:7


# # # issue - the cause of failure for the lcd monitors ( fsn brand, model fs - p3102ds ) is not explicitly stated in the input. # # # impact - the impact of the failure is not specified in the input. # # # possible causes - * * incorrect wiring : * * when the icg monitor and the 4k monitor were swapped, the wiring may not have been properly reconnected, leading to a failure in the signal transmission. - * * compatibility issues : * * the 4k monitor ( fsn brand, model unknown ) may not be compatible with the icg system, causing display issues or other malfunctions. - * * physical damage : * * the monitors may have been damaged during the swapping process, resulting in a failure of the display or other components. # # # recommendations - * * verify wiring : * * ensure that all cables are securely connected and that the correct cables are used for the specific devices. - * * check compatibility : * * confirm that the 4k monitor is compatible with the icg system by consulting the manufacturer's specifications or contacting technical support. - * * inspect for damage : * * carefully examine the monitors for any physical damage, such as cracked screens or loose connections. - * * test functionality : * * perform thorough testing of the monitors with the icg system to ensure proper operation. - * * document findings : * * keep a detailed record of the troubleshooting process, including the steps taken, observations made, and any potential causes identified. @topic:2


# # # issue - battery failure - device turns off after a short period without being connected to a power outlet # # # impact - patient safety and monitoring quality may be compromised - device may not operate as intended # # # possible causes - battery may be old and near the end of its lifespan - battery may not be making proper contact with the device - device may be consuming more power than the battery can provide # # # recommendations - replace the battery - ensure that the battery is making proper contact with the device - check the device for excessive power consumption - ensure that a backup battery is always available and ready to use in case of a power failure @topic:11


* * issue * * equipment : monitors, patient transport brand : philips model : intellivue mp40 ( m8003a ) description : biomedical engineer ( bme ) found that the ekg cable had constant interference signals. the bme swapped the cable with another machine and it worked normally. the bme ordered a new ekg cable for the department on 02 / 06 / 2023. the company delivered the cable and the bme replaced it on the machine ( lead cable ). testing showed that it was working normally. * * impact * * ekg measurements showed abnormal signals and interference. * * possible causes * * - faulty ekg cable - interference from other equipment or devices - loose connections * * recommendations * * - replace the ekg cable with a new one - check for interference from other equipment or devices and resolve any issues - ensure that all connections are secure and tight @topic:18


# # # issue * dangling bed rails # # # impact * increased patient fall risk * personal injury # # # possible causes * worn or broken bed rail latches * weak or stretched bed rail cables * misalignment of bed rails * excessive force when raising or lowering bed rails * improper installation or assembly # # # recommendations * inspect and replace bed rails as needed * tighten bed rail cables and ensure latches are secure * adjust bed rail alignment * train staff on proper bed rail use and maintenance * ensure bed rails are properly installed and assembled @topic:6


##g signal quality of the selected primary and secondary leads. if necessary, improve lead position or reduce patient motion. if you have arrhythmia analysis on, and you are not getting a reliable hr because the signal is below a minimum amplitude, unstable, or contains artifact, and you have tried to improve the system performance by choosing another lead and changing electrodes, you should consider turning arrhythmia analysis off. cannot analyze qt qt the qt algorithm cannot generate a valid qt value for more than 10 minutes, or 1 minute in the initial phase. cannot analyze st st the st algorithm cannot generate a valid st value. possible causes are large variations in the measured st values for consecutive beats, or ventricular paced beats. review the ecg signal quality and the st measurement points. if the patient has a ventricular pacemaker, st analysis is not possible. 80 technical alarm messages ( inops ) 4 patient alarms and inops inop message, indication source what to do cci no bsa cci numeric unavailable inop tone c. o. cci cannot be calculated because the patient's body surface area is unknown. enter the patient weight and height to provide the bsa for cci calculation. cco bad press sign numeric is replaced by inop tone c. o. the arterial pressure wave can currently not be used for pulse contour calculation for cco or cci measurement. possible causes are air bubbles in the tubing or a physiological condition, for example severe arrhythmia. cco no < pressure label > numeric is replaced by inop tone may sound c. o. cco / cci cannot be calculated. make sure that the pressure chosen in the setup cco menu under cco from matches the pressure measured with the arterial catheter for cco measurement. a pressure from an external device cannot be @topic:8


# # # issue : - inability to accurately measure spo2 levels. # # # impact : - compromised patient monitoring, leading to potential delays in critical medical decision - making. # # # possible causes : - * * faulty sensor cable : * * the deterioration of the original cable may have resulted in intermittent or unreliable signal transmission, leading to incorrect spo2 readings. - * * loose connection : * * the newly installed cable may not have been properly connected, leading to signal loss or interference. - * * sensor malfunction : * * the sensor itself may have developed a defect, resulting in incorrect spo2 readings. - * * calibration issues : * * the device may not have been properly calibrated, leading to inaccurate measurements. # # # recommendations : - * * verify cable integrity : * * inspect the new cable for any visible damage or loose connections. ensure that the connections are secure at both ends. - * * test sensor functionality : * * perform a thorough test of the sensor to confirm its functionality. this may involve using a test solution or connecting it to a known good device. - * * recalibrate the device : * * ensure that the device is properly calibrated according to the manufacturer's guidelines. this will help ensure accurate measurements. - * * consider other possible causes : * * investigate other potential factors that may be affecting the spo2 readings, such as patient movement, ambient light, or interference from other medical devices. @topic:4


or transducer contact ) since the last zeroing. • finishing tcgas monitoring when changing the application site after a measuring period, some users leave the fixation rings in position to allow them to quickly move the transducer from site to site. always unscrew the transducer from the fixation ring before removing the fixation ring from the skin. when you start a calibration, the heatpowerdisplay is set to absolute. when you switch to relative, it automatically zeros. zero again if you change application site. tcgas corrections processes transcutaneous pco2 values tend to be higher than arterial values due to the metabolic the skin and the effect of heating on the blood under the transducer. depending on your monitor's configuration, one or both of these corrections may automatically apply. the transducer temperature causes an increase in partial co2 pressure. your monitor may be 268 16 monitoring tcgas in the setup tcgas menu, look at the menu item co2 correction. if correction is enabled, it is set • metabolism correction for tcpco2 co2 production in the epidermis increases the co2 value. your monitor may be configured to automatically deduct a metabolism factor ( only applies when co2 correction is on ). in the setup tcgas menu, look at the value shown for the menu item metabolismfactor. this is deducted from the co2 value. 269 270 17 monn depending on the probe or catheter used and the measurement location, the two modules, m1011a and m1021a, measure the central venous oxygen saturation or mixed venous oxygen saturation continuously and invasively. the two modules can be differentiated by their size and their labeling. the m1011a is a single - width module ( narrow ) and is labeled so2. the m1021a is a double @topic:17


# # # issue : - blood pressure cuff is not measuring accurately. # # # impact : - patient's blood pressure cannot be accurately monitored. - this could lead to incorrect treatment decisions. # # # possible causes : - the cuff is not the correct size for the patient. - the cuff is not properly inflated. - there is a leak in the cuff. - the cuff is not connected properly to the monitor. # # # recommendations : - check that the cuff is the correct size for the patient. - ensure that the cuff is properly inflated. - check for leaks in the cuff. - make sure that the cuff is connected properly to the monitor. - if the problem persists, replace the cuff. @topic:14


# # # issue : - bed is not adjusting properly # # # impact : - patient discomfort - difficulty providing proper care - increased risk of falls # # # possible causes : - electrical fault in the plug - damaged wiring - malfunctioning motor - control panel issues - software glitches # # # recommendations : - check the electrical connections, including the plug and wiring. - test the motor and control panel to ensure proper functionality. - update software if necessary - consult with the manufacturer for further troubleshooting or replacement. - advise medical staff to avoid using the bed until it is fully repaired. @topic:1


# # # issue physiologic monitor displays incorrect cvp readings. # # # impact inability to accurately monitor a patient's cvp, which can lead to delayed or incorrect treatment decisions. # # # possible causes - defective pressure transducer - faulty wiring - incorrect calibration # # # recommendations - replace the pressure transducer - inspect and repair the wiring - calibrate the monitor according to the manufacturer's instructions @topic:15


# # # issue bdms 01 medical cart cannot access the medcart program. # # # impact the medical cart cannot be used for its intended purpose, which may impact patient care. # # # possible causes - the medical cart is not connected to the hospital's wi - fi network. - the medcart program is not installed on the medical cart. - the medcart program is not configured correctly. - there is a problem with the medical cart's hardware or software. # # # recommendations - ensure that the medical cart is connected to the hospital's wi - fi network. - check if the medcart program is installed on the medical cart. - if the medcart program is installed, ensure that it is configured correctly. - if the medical cart is connected to the wi - fi network and the medcart program is installed and configured correctly, then there may be a problem with the medical cart's hardware or software. in this case, the medical cart should be serviced by a qualified technician. @topic:13


# # # issue - battery failure # # # impact - inability to use the medical device, leading to potential safety risks and disruption of patient care. # # # possible causes - battery age and usage : batteries have a limited lifespan and can degrade over time with repeated charging and discharging cycles. - battery storage : improper storage conditions, such as extreme temperatures or high humidity, can affect battery performance and shorten its lifespan. - battery charging problems : faulty chargers or charging cables can lead to incomplete or excessive charging, which can damage the battery. - battery manufacturing defects : in rare cases, batteries may have manufacturing defects that can cause premature failure. # # # recommendations - * * regular battery maintenance : * * perform periodic inspections and testing to monitor battery condition and replace batteries when they are nearing the end of their lifespan. - * * proper battery storage : * * store batteries in a cool, dry place within the recommended temperature range provided by the manufacturer. - * * use genuine batteries and chargers : * * ensure that only approved batteries and chargers are used with the medical device to prevent compatibility issues and potential damage. - * * avoid deep discharge : * * regularly recharge batteries to avoid complete discharge, as this can permanently damage the battery's capacity. - * * consider battery backup systems : * * for critical medical devices, implement battery backup systems to provide uninterrupted operation in case of primary battery failure. @topic:11


, “ replacement parts and assembly drawings. ” theory of operation suresigns vs4 service guide a - 1 block diagram components block diagram note — shaded items are replaceable. a - 2 patient isolation theory of operation suresigns vs4 service guide speaker k fan a ) main board sdram flash memory communications board = lan usb hub usb nurse call d front panel assembly front end interface regulator, battery charger main board block diagram components the main board contains these components : intel x _ scale microprocessor — 32 mb flash memory — 64mb sdram lan controller — 10 / 100t power management control — voltage regulator — smart battery charger that monitors status of battery usb — 1. 1 compliant lcd drivers front end interface circuitry fan control lvds buffer for lcd interface power distribution and monitoring vga dac audio nbp pump control circuitry connectors — dc input ( wire to ac / dc module ) — speaker — - lcd — touch screen — control board — b2b : patient daughter board — b2b : vga daughter board — b2b : i / o daughter board — b2b : recorder board front end board the front end board contains circuitry for the following functional inputs : analog circuitry : spo2 temperature isolation circuitry : power transformers opto - isolator to provide patient isolation from the monitor theory of operation suresigns vs4 service guide a - 3 block diagram components in addition, the front end board contains a patient connector block that is soldered onto the board. the patient connector block contains b2b connector ( s ) to the main board. the patient connector block circuitry sends low - level analog measurement signals that are converted to dc, and then fed ( serially ) to the main board for analysis. for example : analog a / d spo2 signal | conversion serial digital data communications ( lan ) board @topic:10


# # # issue * block control failure # # # impact * inability to adjust the bed's height or position * discomfort or inconvenience for the patient * potential safety hazard if the bed cannot be moved to a safe position # # # possible causes * * * electrical failure * * in the block control unit * * * mechanical failure * * in the bed's lifting mechanism * * * software bug * * in the bed's control system * * * improper use * * of the bed, such as overloading it or using it on an uneven surface # # # recommendations * * * troubleshoot the electrical system * * by checking for power to the block control unit and testing the wiring. * * * inspect the mechanical system * * for any signs of damage or wear and tear. * * * update the bed's software * * if a new version is available. * * * train staff * * on the proper use of the bed. @topic:9


# # # issue - monitor is not linking. # # # impact - inability to transmit physiological data to the central monitoring system. - limited visibility of patient's vital signs by healthcare providers. - potential delays in clinical decision - making and patient care. # # # possible causes - loose lan cable connection. - faulty lan port on the monitor. - network connectivity issues within the hospital. - malfunctioning of the central monitoring system. # # # recommendations - verify and tighten the lan cable connection at both the monitor and the network outlet. - if the lan cable connection is secure, check the lan port on the monitor for any physical damage or debris. - contact the network administrator to ensure that the network connectivity is stable and the central monitoring system is functioning properly. - if the issue persists, consider replacing the lan cable or consulting with a biomedical engineer for further troubleshooting. @topic:16


# # # issue - bed not able to be operated as intended # # # impact - inability to provide proper patient care - increased risk of patient injury # # # possible causes - * * mechanical failure * * of the bed's electrical system, such as a loose wire or broken motor - * * improper use or maintenance * * of the bed, such as not following the manufacturer's instructions - * * defective components * * within the bed's electrical system # # # recommendations - inspect the bed's electrical system for any loose wires or broken motors - ensure that the bed is being used and maintained according to the manufacturer's instructions - replace any defective components within the bed's electrical system @topic:9


# # # issue - equipment malfunction due to damaged spo2 cable. # # # impact - inaccurate or interrupted monitoring of patient's oxygen saturation levels. # # # possible causes - physical damage to the cable, such as cuts, tears, or crimps, due to improper handling or storage. - wear and tear over time, leading to degradation and breakage of the cable. - faulty manufacturing or material defect. # # # recommendations - regular inspection and preventive maintenance of medical equipment, including cables and other accessories. - proper handling and storage practices to avoid physical damage. - use of high - quality cables and accessories that meet industry standards. - prompt replacement of damaged or defective cables to ensure reliable monitoring. @topic:4


# # # issue - iv cannula leak # # # impact - infiltration of fluid into the surrounding tissue - infection - pain and discomfort for the patient - delay in treatment # # # possible causes - improper placement of the iv cannula - damage to the vein - movement of the patient - clogging of the iv cannula # # # recommendations - ensure proper placement of the iv cannula by : - using aseptic technique - selecting the appropriate vein size - inserting the cannula at a 15 - 30 degree angle - secure the iv cannula in place with tape or a dressing - monitor the iv site for any signs of leakage or infiltration - flush the iv cannula regularly with saline to prevent clogging - if leakage or infiltration occurs, remove the iv cannula and insert a new one at a different site @topic:5


# # # issue - electric bed ( seta em4 ) is malfunctioning. - remote control is not functioning properly. # # # impact - patients may not be able to use the bed properly, which could impact their comfort and safety. # # # possible causes - * * remote control failure : * * the remote control may be defective or damaged, preventing it from sending signals to the bed. - * * electrical issues : * * there may be electrical problems with the bed or the remote control, causing them to malfunction. - * * software malfunctions : * * the bed's software may have encountered a glitch, causing it to behave erratically. - * * mechanical issues : * * the bed's mechanics may be faulty, preventing it from responding to the remote control. # # # recommendations - * * inspect the remote control : * * check the remote control for any physical damage or loose connections. replace the batteries and ensure it is properly programmed. - * * test the bed's electrical system : * * use a multimeter to check the voltage and current flow in the bed's electrical system. identify any faulty wiring or components. - * * check the bed's software : * * contact the manufacturer for updates or troubleshooting assistance. - * * inspect the bed's mechanics : * * look for any loose screws, damaged gears, or misaligned components. lubricate any moving parts and tighten any loose connections. @topic:7


# # # issue - nibp monitor ( ge healthcare dinamap pro 300 ) is not measuring oxygen saturation ( o2 sat ). # # # impact - inability to accurately monitor patient's oxygen saturation levels, which can lead to delayed diagnosis and treatment of respiratory conditions. # # # possible causes - malfunctioning or damaged extension cable. # # # recommendations - replace the damaged extension cable with a new one. - use a spare mtd cable as a temporary solution until the new extension cable arrives. @topic:4


# # # issue * the electric bed is not locking properly. # # # impact * patients may not be able to safely use the bed. * staff may have difficulty moving patients in and out of the bed. # # # possible causes * * * mechanical failure : * * the locking mechanism may be damaged or broken. * * * electrical failure : * * the electrical components that control the locking mechanism may be malfunctioning. * * * improper use : * * the bed may have been used in a way that damaged the locking mechanism. # # # recommendations * inspect the locking mechanism for damage or breakage. * check the electrical components that control the locking mechanism for malfunctions. * review the user manual for the bed to ensure that it is being used properly. * if the problem cannot be resolved, contact the manufacturer for assistance. @topic:6


# # # issue - cuff of physiologic monitor is damaged. # # # impact - patient's vital signs may not be accurately monitored. - delays in patient care. # # # possible causes - cuff is old and worn out. - cuff is punctured or torn. - cuff is not the correct size for the patient. - cuff is not properly inflated. # # # recommendations - inspect the cuff for any damage. - replace the cuff if it is damaged. - ensure that the cuff is the correct size for the patient. - properly inflate the cuff according to the manufacturer's instructions. @topic:5


may cause undesired operation. any changes or modifications to this equipment not expressly approved by philips medical systems may cause harmful radio frequency interference and void your authority to operate this equipment. 413 38 installation and specifications emc and radio regulatory compliance the radio device used in this product is in compliance with the essential requirements and other relevant provisions of directive 1999 / 5 / ec ( radio equipment and telecommunications terminal equipment directive ). class 2 radio equipment. member states may apply restrictions on putting this device into service or placing it on the market. this product is intended to be connected to the publicly available interfaces ( pai ) and used throughout the eea. intellivue 802. 11 bedside adapter ( option j35 wireless network adapter ) - fcc and industry canada radio compliance : this device complies with part 15 of the fcc rules and rss - 210 of industry canada. operation is subject to the following two conditions : ( 1 ) this device may not cause harmful interference, and ( 2 ) this device must accept any interference received, including interference that may cause undesired operation. any changes or modifications to this equipment not expressly approved by philips medical systems may cause harmful radio frequency interference and void your authority to operate this equipment. the maximum antenna gain permitted ( for devices in the 5250 - 5350 mhz and 5470 - 5725 mhz bands ) complies with the e. i. r. p. limits as stated in rss - 210. the maximum antenna gain permitted ( for devices in the 5725 - 5825 mhz band ) complies with the e. i. r. p. limits specified for point - to - point operation, as stated in rss - 210. the device for the band 5150 - 5250 mhz is only for indoor usage to reduce potential for harmful interference to co - channel mobile satellite systems. the oem radio device used in this @topic:10


# # # issue - alarm system fault code 19010a9 # # # impact - the patient monitor may not be able to alert caregivers to potential patient emergencies. this could lead to delayed or missed treatment, which could have serious consequences for the patient. # # # possible causes - * * battery failure : * * the fault code 19010a9 is typically caused by a battery failure. this can occur if the battery is old or damaged, or if it has not been properly maintained. - * * power supply problems : * * the fault code can also be caused by power supply problems. this could be due to a loose connection, a faulty power cord, or a power outage. - * * software problems : * * in some cases, the fault code can be caused by software problems. this could be due to a corrupted software file or a software bug. # # # recommendations - * * replace the battery : * * the first step is to replace the battery. if the battery is old or damaged, it will need to be replaced with a new one. it is important to use the correct type of battery for the patient monitor. - * * check the power supply : * * once the battery has been replaced, check the power supply to the patient monitor. make sure that the power cord is securely connected and that there is no power outage. - * * update the software : * * if the battery replacement and power supply check do not resolve the issue, the software may need to be updated. this can be done by downloading the latest software update from the manufacturer's website. if the above recommendations do not resolve the issue, it is important to contact the manufacturer for further assistance. @topic:2


# # # issue - remote control not responding # # # impact - inability to adjust bed settings remotely - inconvenience for patients and staff # # # possible causes - faulty remote control - electrical connection issues - software malfunction # # # recommendations - replace the remote control - inspect electrical connections and ensure they are secure - contact the manufacturer for troubleshooting assistance - update the software if necessary @topic:7


# # # issue - * * premature failure of the control panel and buttons on the centuris p750 bed. * * # # # impact - * * increased downtime for the bed, inconvenience to patients and staff, potential safety concerns. * * # # # possible causes - * * defective components in the replacement control panel or buttons. * * - * * improper installation of the replacement components. * * - * * unknown underlying electrical or mechanical issue with the bed. * * # # # recommendations - * * contact hill - rom technical support for guidance. * * - * * inspect the replacement components for any visible damage or defects. * * - * * ensure the components were installed correctly according to the manufacturer's instructions. * * - * * check the bed's electrical system for any loose connections or other issues. * * - * * monitor the bed's performance closely after the repair to ensure the issue has been resolved. * * @topic:9


# # # issue - scan barcode not working # # # impact - difficulty in identifying and tracking equipment - delays in patient care # # # possible causes - defective charging station - loose connections or faulty wiring - software or firmware issues # # # recommendations - inspect and troubleshoot the charging station - check connections and wiring for looseness or damage - update software or firmware if necessary - contact the equipment manufacturer for technical support @topic:23


# # # issue * electric bed is frequently locking up. # # # impact * patients may be unable to use the bed, which could lead to discomfort or injury. * staff may be unable to move patients, which could lead to delays in care. # # # possible causes * faulty wiring or loose connections * damaged motor or gearbox * software glitch # # # recommendations * inspect the wiring and connections for any damage or loose connections. * if the wiring and connections are intact, replace the motor or gearbox. * if the motor and gearbox are not the issue, update the software to the latest version. * contact the manufacturer for further assistance if the problem persists. @topic:9


# # # issue - the ear thermometer is measuring temperature incorrectly # # # impact - patients may receive inaccurate temperature readings, which could lead to incorrect diagnoses and treatment decisions. # # # possible causes - the ear thermometer probe may be dirty or damaged. - the ear thermometer may not be calibrated correctly. - the ear thermometer may be used incorrectly. - there may be a problem with the electrical connection between the ear thermometer probe and the monitor. # # # recommendations - clean or replace the ear thermometer probe. - calibrate the ear thermometer according to the manufacturer's instructions. - train staff on how to use the ear thermometer correctly. - check the electrical connection between the ear thermometer probe and the monitor. - replace the ear thermometer if the problem cannot be resolved. @topic:20


##3 m3012a 27 comfort cuffs 423 3015a 25 cuff m3016a 25 cuff, applying 205 measurement modules 48 measurement points, st 168 measurement selection window 44. measurement settings 39 merging patient data 118 methemoglobin ( spo2 ) 192 microstream capnography 25 microstream co2 248, 249 accessories 242, 256 measuring 243, 247 mismatch 117 cuff, selecting 205 lateral chest expansion ( neonates ) 186 monitoring resp 186 cuff, tightness 205 sable cuffs 425 lcw / lcwi 226 how the measurement works 203 lead fallback 160 measurement correctiomeasurement limitations 204 measurement methods, auto 204 measurement methods, manual 204 measurement methods, sequence 204 and arrhythmia relearning 160 lead fallback ( ecg ) 139 lead labels ( ecg ) 139 lead placement 138, 185 activating easi / standard 13for resp measurement 185 leads monitored ( ecg ) 139 leads off inop ( ecg ) 139 levels of arrhythmia analysis 154 easurement methods, stameasurement, stopping 207 neonatal cuffs ( disposable ) 426 numerics 206 patient data, resolving 117 mms 115 oscillometric method 203 using for patient transfer 115 modified 12 - lead ecg 143 modified screen history 37 levels of event surveillance 333 line frequency interference ( bis ) 290 loops 399, 400, 401 screens 37, 39 epetition time, settinmodule 263, 387, 391 reusable cuffs 423 loops report 401 tcgas 263 single patient, adult / pediatric soft uffs 42vuelink 387 volume - flow 399 site inspection 192 vuelink type a and type b 387 monitor 49 low filter ( eeg ) 283 time of last measurement 20units 206 pass filter ( bis ) 290 low tarting monitoring lvci 226 @topic:17


# # # issue - the vital signs monitor is not working. # # # impact - the healthcare team is unable to monitor the patient's vital signs, which could lead to a delay in diagnosis or treatment. # # # possible causes - the battery needs to be replaced. - the charging cord is not properly connected. - the monitor is not turned on. - the monitor is malfunctioning. # # # recommendations - check the battery level and replace it if necessary. - ensure that the charging cord is properly connected to the monitor and to a power source. - turn the monitor on and off to see if it resets. - if the above steps do not resolve the issue, contact the biomedical engineering department for assistance. @topic:2


* * issue : * * equipment failure due to bp cuff replacement * * impact : * * inability to accurately monitor vital signs * * possible causes : * * * * * incorrect cuff size or type : * * using an incompatible cuff can lead to inaccurate readings or damage to the equipment. * * * improper cuff placement : * * the cuff must be properly positioned on the patient's arm to ensure accurate readings. * * * damaged or worn - out cuff : * * a cuff that is damaged or has excessive wear may not provide reliable readings. * * * faulty cuff connection : * * a loose or damaged connection between the cuff and the monitor can cause errors in readings. * * recommendations : * * * * * verify the compatibility of the bp cuff : * * ensure that the cuff being used is compatible with the specific monitor and patient size. * * * provide proper training on correct cuff placement : * * biomedical engineers and other staff should be trained on proper cuff placement techniques. * * * inspect and replace cuffs as necessary : * * regularly inspect cuffs for damage or wear and replace them if necessary. * * * ensure secure connections : * * verify that the cuff connection to the monitor is secure and free from damage. * * * consider using non - invasive bp monitoring alternatives : * * in cases where accurate cuff - based bp measurement is not feasible, consider using alternative non - invasive methods such as oscillometry or plethysmography. @topic:3


# # # issue - broken electrical wire # # # impact - electrical short circuit - potential fire hazard - equipment malfunction # # # possible causes - physical damage to the wire, such as cuts or abrasions - wear and tear over time, leading to insulation failure - loose connections or faulty wiring # # # recommendations - inspect the electrical wiring regularly for any damage or signs of wear and tear - tighten loose connections and replace any damaged wiring - use cable protectors to prevent physical damage to the wire - use surge protectors to prevent voltage spikes from damaging the wiring - train staff on proper handling and storage of electrical equipment @topic:12


# # # issue - equipment malfunction : the bed cannot be adjusted as intended. # # # impact - inability to position the patient comfortably or safely for medical procedures or recovery. # # # possible causes - loose ac cord connection in the control box # # # recommendations - technician checked and reconnected the loose ac cord in the control box, resolving the issue and restoring the bed's functionality. @topic:1


# # # issue : unknown cause of failure after installing beacon monitor on station icg. # # # impact : - possible disruption of icg testing services. - potential for patient delays or safety concerns if icg testing is unavailable. # # # possible causes : - incomplete or improper installation of the beacon monitor. - compatibility issues between the beacon monitor and the existing icg system. - software or hardware malfunctions within the beacon monitor or icg system. # # # recommendations : - conduct a thorough inspection of the installation to ensure proper connection and configuration. - verify the compatibility of the beacon monitor with the existing icg system by consulting with the manufacturer or technical documentation. - perform diagnostic tests on both the beacon monitor and the icg system to identify any hardware or software issues. - contact the manufacturer of the beacon monitor or the icg system for technical support and troubleshooting assistance. - document the cause of failure and any corrective actions taken to prevent similar issues in the future. @topic:16


# # # issue : spo2 sensor not reading values # # # impact : inability to monitor patient's oxygen saturation levels accurately # # # possible causes : - faulty spo2 adapter - damaged spo2 probe or cable - loose connections between the spo2 sensor and the monitor - malfunctioning monitor - patient movement or improper sensor placement # # # recommendations : - replace the spo2 adapter - inspect and replace the spo2 probe or cable if damaged - ensure proper connections between the spo2 sensor and the monitor - check the monitor for any hardware or software issues - reposition the spo2 sensor on the patient's finger or earlobe and ensure it is secure # # # * * possible cause : propaq no. 2 * * this additional information from the input suggests that another propaq device, possibly a backup unit, may also be experiencing issues. it's recommended to investigate this issue separately to determine the cause of failure for that specific device. @topic:4


nbp calibration once every two years, or more often if specified by local laws. microstream c0 2 calibration first calibration at 1200 hours of continuous use. after first calibration, once a year or after 4, 000 hours — whichever comes first. perfonn following any instrument repairs or the replacement of any instrument parts. replace entire c02 module after 20, 000 hours continuous use. performance • predictive ( suresigns vm4 only ) and continuous temperature accuracy • ecg / respiration • invasive blood pressure • nbp accuracy test • s p o 2 • nurse call relay 1 • ecg sync 1 once every two years, or if you suspect the measurement is incorrect. c0 2 accuracy once a year. safety in accordance with iec 60601 - 1 • system enclosure leakage current • ground integrity • patient leakage current once every two years and after repairs where the unit has been opened ( front and back separated ) or the monitor has been damaged by impact. 1. when used as part of facility protocols performance verification testing 6 - 3 test recording test recording authorized philips personnel report test results back to philips to add to the product development database. hospital personnel, however, do not need to report results. the following table describes what to record on the service record after you complete the tests in this chapter. note : p = pass, f = fail, x = measured value as defined in tests in this chapter test what to record visual v : p or v : f power - on po : p or pot nbp nbp : p / x1 / x2 / x3 or nbp : f / x1 / x2 / x3 o o to c02 cal : p or c02 cal : f safety s ( 1 ) : p / x1 / x2 or s ( @topic:10


# # # issue - cuff failure # # # impact - inaccurate vital signs monitoring - patient safety concerns # # # possible causes - cuff deterioration : cuffs can deteriorate over time due to wear and tear, exposure to chemicals, or improper storage. - cuff size mismatch : using a cuff that is too large or too small can result in inaccurate readings. - cuff placement error : cuffs must be placed correctly on the arm to ensure accurate measurements. - cuff inflation issues : if the cuff does not inflate or deflate properly, it can affect the accuracy of the measurements. # # # recommendations - regular cuff maintenance : cuffs should be inspected and replaced regularly to ensure optimal performance. - cuff sizing : technicians should use the appropriate cuff size for the patient's arm circumference. - proper cuff placement : cuffs should be placed snugly around the arm and positioned correctly. - cuff inflation testing : technicians should test the cuff's inflation and deflation mechanism before using it. @topic:5


# # # issue - electric bed lock failure # # # impact - patient safety hazard - inconvenience for medical staff # # # possible causes - broken or worn lock mechanism - loose or damaged electrical connections - software glitch # # # recommendations - replace defective lock - inspect and tighten electrical connections - update software if necessary @topic:6


# # # issue - cuff bp ( blood pressure cuff ) is deteriorated and cannot be used to measure patient's blood pressure. # # # impact - inability to monitor patient's blood pressure accurately. # # # possible causes - cuff bp is deteriorated due to : - normal wear and tear - improper storage - exposure to extreme temperatures # # # recommendations - replace cuff bp with a new one. - store cuff bp in a cool, dry place. - avoid exposing cuff bp to extreme temperatures. - regularly inspect cuff bp for signs of deterioration. @topic:3


# # # issue - the ear temperature probe attached to the vital signs monitor is not working. # # # impact - inability to accurately measure patient's tympanic temperature. # # # possible causes - * * faulty ear temperature probe * * : the probe itself may be defective or damaged, resulting in inaccurate temperature readings. - * * loose connection * * : the probe may not be properly connected to the monitor, leading to intermittent or incorrect temperature readings. - * * malfunctioning monitor * * : there may be an issue with the monitor's circuitry or software that is affecting the functionality of the ear temperature probe. - * * calibration issues * * : the ear temperature probe may not be properly calibrated, leading to inaccurate temperature readings. - * * environmental factors * * : extreme temperatures or humidity can affect the accuracy of the ear temperature probe. - * * operator error * * : the user may not be using the ear temperature probe correctly, resulting in incorrect readings. # # # recommendations - * * inspect the ear temperature probe * * : check if the probe is damaged or visibly faulty. ensure that the probe is clean and free of debris. - * * check connections * * : verify that the ear temperature probe is securely connected to the monitor. inspect the connection for any loose wires or damaged connectors. - * * test the monitor * * : use a known - working ear temperature probe to test the functionality of the monitor. this will help determine if the issue is with the monitor or the probe. - * * calibrate the ear temperature probe * * : ensure that the ear temperature probe is calibrated according to the manufacturer's instructions. this will ensure accurate temperature readings. - * * consider environmental factors * * : avoid using the ear temperature probe in extreme temperatures or humidity. - * * train operators * * : provide training to @topic:20


maximum radio - frequency power transmitted in the frequency bands in which the radio equipment operates 2, 4 ghz canal 1 to 13 < 13 dbm 1. press parameters on the gci. ress wif2. wifi elect the network3. press to activate the wi - fi connection. 4. the wi - fi connection is active wifi on 5. 6. follow the information system supplier's instructions to pair and couple the bed. navicare system * navicare is a system used to connect and check hillrom beds and mattresses. it sends alerts to caregivers. refer to the navicare system instructions for use for more detailed information about the use of this system. smartsync * or hillrom digital health gateway the hill - rom smartsync connectivity system or the hillrom digital health gateway enable caregivers to receive information ( see " list of information that can be sent by wi - fi " page 53 ). refer to the smartsync or hillrom digital health gateway user instructions for more detailed information about the use of this system. features value frequency bands in which the radio equipment, 4 g5 ghz operates maximum radio - frequency power transmitted in the frequency bands in which the radio equipment < 20 dbm perates wi - fi connection module ( wcm ) - ad315a * * on / off button bed location on / off light server connection ight wi - fi ight light identification to identify your mcw ad315a model, its serial number sn ( xxsexxxxxx ) and its date of manufacture, refer to the identification label on the back of the module. hill - rom s. a. s - zi du talhouet 6330 pluvigner - france myyyy - mmm - dd ad315a l1900b4 ref et315axxxxxxx s @topic:10


# # # issue - battery failure # # # impact - the monitor may not be able to function properly or at all without a working battery. # # # possible causes - battery age and usage : batteries have a limited lifespan and will eventually need to be replaced. frequent or heavy use of the monitor can shorten the battery's lifespan. - battery charging issues : if the battery is not charging properly, it may not be able to hold a charge. this could be due to a faulty charger, a problem with the battery itself, or a problem with the monitor's charging system. - environmental factors : extreme temperatures or humidity can damage the battery and reduce its lifespan. - physical damage : the battery may be damaged if it is dropped or subjected to other forms of physical stress. # # # recommendations - regularly replace the battery as recommended by the manufacturer or when it shows signs of wear or reduced performance. - ensure that the battery is charged properly and that the charger is in good working order. - avoid exposing the battery to extreme temperatures or humidity. - handle the battery with care to avoid physical damage. @topic:11


# # # issue the patient cable ( lnc - 04 ) of the welch allyn connex spot monitor is found to be damaged and cannot be repaired. this damage could interfere with signal readings. # # # impact the monitor may not be able to accurately measure spo2 levels, which could lead to incorrect patient care decisions. # # # possible causes * normal wear and tear * physical damage to the cable * electrical fault # # # recommendations * the cable should be replaced immediately to ensure accurate spo2 readings. * the hospital should contact the manufacturer to request a replacement cable and to verify the warranty status of the device. * the hospital should consider implementing regular maintenance and inspection procedures to prevent future cable failures. @topic:4


for trends 276 probes disposable temperature 185 profiles 30 default profile 32 patient category 32 swapping 32 swapping setting block 32 prompt messages c. o. 211 protective earth 409 protective earth symbol 403 protocol log 319 protocoiwatch 309 ssc sepsis 309 pulse alarms 162 system pulse source 161 pulse numerics for sp02 172 pulse pressure variation 195, 203 pulsion medical systems ag 402 pv loops 359 pvc - related alarms 143 pvr / pvri 200 q qrs tone 163 changing volume 39 qrs tone pitch, sp02 176 qrs volume, changing 121 qt alarms 158 qt baseline 157 qt measurement algorithm 155 qt monitoring limitations 156 qt / qtc monitoring 155 quick admit 103 quick mount release symbol 403 r radiated field immunity resp 168 rate adaptive pacemakers and ecg monitoring 133 ratemeter ( drug calculator ) 345 rcw / rcwi 200 realtime recording 323 realtime report 340 realtime reports content 335 reconnecting a module 10 recorder 321 4 - channel 322 cleaning the print head 367 paper accessories 399 recorder module connector 410 recorder status messages 329 recording alarm 323 annotation 326 battery status 373 beat - to - beat 323 c. o. measurements 208 central 322 changing recording type 325 channels 325 choosing recorder 325 choosing recording speed 325 context 323 creating templates 324 delayed 323 drug calculations 346 ecg gain 325 extending 323 high resolution 323 local 321 preventing fading ink 327 procedure 323 realtime 323 recording strip 326 recording strip code 326 reloading paper 328 runtime 325 setting the runtime 325 setup menu 324 viii st segments 148 starting and stopping 322 types 323 wave overlap 325 wave scale 325 waveforms recorded 327 wedge 197 with the plug - in recorder 321 recording alarms 69 recording delay time 325 recording events 302 recycling 379 reference waves, wedge measurement 197 refresh 43 rejecting pace pulses 118 related products power - on led 9 @topic:8


# # # issue - schrauben sind lose. # # # impact - der medizinwagen ist nicht sicher zu bedienen. # # # mogliche ursachen - der medizinwagen wurde nicht ordnungsgemaß zusammengebaut. - die schrauben wurden nicht richtig angezogen. - der medizinwagen wurde einer ubermaßigen belastung ausgesetzt. # # # empfehlungen - uberprufen sie den medizinwagen auf lose schrauben. - ziehen sie alle schrauben richtig an. - stellen sie sicher, dass der medizinwagen nicht uberlastet wird. @topic:12


# # # issue - the input does not provide any information about the cause of failure for the medical device. # # # impact - the lack of information about the cause of failure makes it difficult for the biomedical engineer to diagnose and repair the device. this can lead to delays in patient care and increased costs. # # # possible causes - the input may be incomplete or inaccurate. - the technician may not have been able to determine the cause of failure. # # # recommendations - the technician should re - examine the device to try to determine the cause of failure. - the technician should consult with the manufacturer of the device to see if they have any information about the cause of failure. @topic:12


# # # issue - broken shelf # # # impact - unable to store medical supplies and equipment safely and securely - increased risk of injury to staff and patients - reduced efficiency in patient care # # # possible causes - excessive weight on the shelf - poor maintenance - manufacturing defect # # # recommendations - inspect shelves regularly for any signs of damage - ensure that shelves are not overloaded - report any damage to the appropriate personnel promptly - consider replacing old or damaged shelves with new ones - work with the manufacturer to identify and address any potential design or manufacturing issues @topic:31


# # # issue - scanner failure to charge # # # impact - inability to use the scanner, which is essential for medical procedures. # # # possible causes - accumulation of dirt and debris on the charging contacts # # # recommendations - regularly clean the scanner's charging contacts to prevent the accumulation of dirt and debris. - use a proper cleaning solution to remove any dirt or debris that may have accumulated on the charging contacts. - inspect the charging contacts regularly for any damage or wear and replace them if necessary. @topic:23


##back network policy server certificate serial number generate elect certificate folder c : \ certs \ browse network policy server certificate password confirm password....... generate network policy server certificate package load select existing package browse load network policy server certificate close once the folder path of the certificates is entered, ( and the server verification only or client authentication is chosen ), click generate network policy server certificate package and a browse to the destination folder where the written'waclientcert. pim'file will appear. 1. please select a location where certificate package is enerated libraries [UNK] user e computer local disk ( c : ) srecycle. bin xeda boot certs ancemake new folder ok for convenience, we suggest writing the'waclientcert. pim'file into the same directory as the certificate files. 2. after selecting the destination location and clicking ok, the'compressing ','generating ', and'success'status windows appear. the destination folder now contains the'waclientcert. pim'file along with the certificate files. load a waclientcert. pim file onto the device with a newmar radio via the welch allyn service tool ( wast ) disconnect the usb link between the pc and the device. 1. launch the welch allyn service tool ( wast ) on the pc. 2. reboot the device and allow it to come up to a usable state. 3. connect the usb link from the pc to the device. 4. service manual connex direct 233 click select to choose the desired device from the wast'device list '. 5. si welch allyn service tool [UNK] file administration help welcome, administrator wednesday 2021 / 07 / 21 09 : 17 og off device list work list to view device details, click on the desired row, and then @topic:10


# # # issue - equipment : nibp monitor - brand : casmed - model : 740 - description : the cuff connector is damaged. # # # impact - the device cannot be used to measure blood pressure accurately. # # # possible causes - the cuff connector may have been damaged during use or storage. - the cuff connector may have been made of poor quality materials. # # # recommendations - replace the cuff connector with a new one. - inspect the cuff connector regularly for damage. - handle the device with care to avoid damaging the cuff connector. @topic:15


# # # issue battery low indication persists after replacing the adapter. # # # impact inability to use the device without a power source. # # # possible causes - incorrectly repaired adapter - damaged battery - faulty wiring or connections - problem with the device's power supply system # # # recommendations - verify that the adapter is properly connected to the device and to a power outlet. - replace the battery with a new one of the correct type. - inspect the wiring and connections for any damage or loose contacts. - contact the manufacturer or an authorized service provider for further troubleshooting and repair. @topic:11


# # # issue - defective spo2 sensor cable # # # impact - inability to measure oxygen saturation levels - incorrect patient monitoring - potential patient harm # # # possible causes - physical damage to the cable - loose connections - electrical faults # # # recommendations - replace the spo2 sensor cable - inspect the cable for damage - ensure the cable is properly connected - test the spo2 sensor to verify proper functionality - perform regular maintenance and calibration of the bedside monitor @topic:4


# # # root cause analysis * * issue : * * hilow column malfunction * * impact : * * patient safety and comfort compromised * * possible causes : * * - * * mechanical failure : * * worn or broken gears, cables, or actuators - * * electrical failure : * * faulty wiring, short circuits, or component damage - * * user error : * * improper operation or excessive use * * recommendations : * * - * * immediate actions : * * - remove the bed from service and isolate it for further inspection. - conduct a comprehensive examination to identify the root cause of the failure. - * * long - term solutions : * * - replace or repair any faulty components. - enhance preventive maintenance and inspection schedules to prevent similar failures. - provide staff with proper training on the safe operation of the bed. @topic:9


. contact your service personnel to check the remote alert device and its connections. the monitor cannot use the predefined settings for monitoring. contact your service personnel. inop tonspeaker malfunct inop tone contact your service personnel to check the speaker and the connection to the speaker. srr incompatiblnop tone the short range radio component has compatibility problems. contact your service personnel. srr interferencnop tone the short range radio connection has interference from another device. try using another channel. srr invalid chanop tone the channel configuration of the short range radio is invalid. check channel and channel mask rr malfunction malfunction in the short range radio device. if the inop persists contact your service personnel. nop tontaap disabled the currently selected telemetry configuration on the monitor does not allow connection of telemetry devices to the monitor. inop tone tele config unsupinop tone telemetry workflow configuration not supported. check revision and configuration of monitor and central. contact your service personnel. tele ecg malfunct. numeric is displayed with a -? inop tone the ecg in the telemetry device is faulty. tele equip malnop tone the telemetry device has a malfunction. disconnect and reconnect the telemetry device. if the inop tele incompatible srr - enabled telemetry device is not supported by this central software revision. please check tele inop a telemetry device assigned to the patient is in an inop condition. check the detailed inop information at the information center and resolve the inop condition ( s ) at the telemetry device.!! tele inop!!! tele inop tele unsupported nop tone timeexpired : < timer this @topic:22


# # # issue - cuff deterioration # # # impact - inability to accurately measure vital signs # # # possible causes - extensive use - lack of proper maintenance - exposure to harsh environmental conditions # # # recommendations - replace the cuff - ensure regular maintenance of the device - store the device in a controlled environment @topic:5


# # # issue - the medlab cap10 bedside monitor is unable to measure eeg signals. # # # impact - this issue can impact the accurate monitoring and interpretation of patient's brain activity. # # # possible causes - based on the provided information, the most likely cause of failure is an obstruction in the oxygen tube connection, which could have affected the proper functioning of the eeg module. # # # recommendations - ensure that the oxygen tube is properly connected and clear of any obstructions. - perform a comprehensive inspection of the eeg module and associated cables to identify any loose connections or damaged components. - if the issue persists, contact the manufacturer for further troubleshooting and potential repair. @topic:2


* * issue : * * motor failure, resulting in the bed's head not being able to adjust to a 90 - degree angle. * * impact : * * * patient discomfort and safety concerns due to inability to adjust the bed's position comfortably. * delays in patient care and inconvenience for staff. * potential damage to the bed or other equipment if the motor is not repaired promptly. * * possible causes : * * * * * electrical malfunction : * * wiring issues, loose connections, or electrical board failure. * * * mechanical failure : * * wear and tear of the motor or its components, such as bearings or gears. * * * software glitch : * * control unit malfunction or software error that affects motor functionality. * * * improper maintenance : * * lack of regular servicing or lubrication, leading to motor degradation. * * * overloading : * * the motor being subjected to excessive weight or strain beyond its capacity. * * recommendations : * * * * * troubleshooting : * * check electrical connections, wiring, and the electrical board. inspect the motor for any visible damage or wear. * * * repair : * * contact the manufacturer or a qualified technician to diagnose and repair the motor. this may involve replacing worn components or repairing electrical faults. * * * calibration : * * after repairing the motor, ensure that it is properly calibrated to the bed's control unit to ensure accurate and safe operation. * * * preventative maintenance : * * implement a regular maintenance schedule for the bed to prevent future motor failures. this includes cleaning, lubrication, and periodic inspections. * * * upgrade : * * if the motor is old or has a history of failures, consider upgrading to a newer model that provides improved reliability and functionality. @topic:9


# # # issue the medical cart's shelf is damaged. # # # impact the shelf may be unable to support the weight of the medical equipment, which could cause the cart to collapse. this could result in injury to patients or staff, or damage to the equipment. # # # possible causes the shelf may have been damaged due to : - excessive weight being placed on the shelf - the shelf being hit or bumped - the shelf being made of a defective material # # # recommendations the following recommendations should be taken to prevent the issue from recurring : - ensure that the weight placed on the shelf does not exceed the shelf's weight capacity. - protect the shelf from being hit or bumped. - use a shelf that is made of a durable material. @topic:31


* * issue * * monitor not linking with central system * * impact * * monitor cannot send data to central system, which may result in delayed or incorrect patient care. * * possible causes * * * incorrect ci address settings in the monitor * problem with the server in the central system * firewall issues blocking communication between the monitor and central system * cable or network connectivity issues * * recommendations * * * verify the ci address settings in the monitor * check the status of the server in the central system * check firewall settings to ensure communication is allowed * inspect cables and network connections for any damage or loose connections @topic:16


. 0. 0. 0 wlan mac address : 00 - 20 - cb - ff - 13 - e1 wlan ip address : 0. 0. 0. 0 language : english configuration : vs2 * spo2 temp nbp - p recorder wireless notes ¢ the serial number is also displayed on the back of the monitor. ¢ the hardware id is the version of each of the following components : < main board > - 0 - < fpga id > troubleshooting 4 - 2 suresigns vs2 * and vsi service guide diagnosing a problem diagnosing a problem before you begin to troubleshoot a problem or open the monitor for repair, check the following basics : 1. is the power turned on? 2. is the battery adequately charged? 3. is the power cord connected to the monitor and plugged into an ac outlet? 4. is the display functioning? 5. are the leds on the front panel lit as you expect? note — it may take several seconds for the ac power led to light or turn off after the power cord has been connected or disconnected. if the monitor is not receiving power : 1. see “ start - up and power sequences ” on page 4 - 3, and then follow the troubleshooting steps in “ power problems ” on page 4 - 6. 2. ifthe monitor has no display or an incorrect display, follow the troubleshooting steps in “ display problems ” on page 4 - 7. when the monitor has power and a functioning display, you can use the information in this chapter to diagnose other monitor problems. start - up and power sequences the following table describes the start - up and power on phases of the monitor and its components. if the monitor does not behave as described in the following table, see “ power problems ” on page 4 - 6. for the monitor to start correctly, @topic:16


# # # issue - the bed cannot be adjusted. # # # impact - the patient may not be able to get into or out of bed. - the patient may not be able to be positioned comfortably. - the bed may not be able to be used for procedures. # # # possible causes - the keypad is faulty and not sending signals to the bed's motor. - the motor is not functioning properly. - there is a problem with the electrical system. # # # recommendations - the faulty keypad should be replaced - the motor should be checked for proper function and replaced if necessary. - the electrical system should be checked for problems and repaired if necessary. @topic:25


see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 1047 system error monitoring software error. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 1048 system error an exception was detected in the alarming software. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 1050 system error failed to stop work thread. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 4 - 28 troubleshooting suresigns vs4 service guide running system diagnostics code description possible cause action 1051 system error cannot initialize nbp. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 1052 system error memory error. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 1053 system error loss of monitoring. informational message. no action required. running system diagnostics running the self test if you cannot identify a problem by using the troubleshooting tables beginning on page 4 - 3 or @topic:22


# # # issue - * * bed does not power on * * - * * bed rails do not lock * * # # # impact - patient safety hazard - inconvenience to patient and staff # # # possible causes * * bed does not power on : * * - faulty electrical connection - damaged electrical cord - malfunctioning power supply - circuit breaker tripped * * bed rails do not lock : * * - worn or damaged locking mechanism - misalignment of rails - obstruction in locking mechanism # # # recommendations * * bed does not power on : * * - inspect electrical connections and cord for damage - replace damaged cord or power supply - reset circuit breaker - contact a qualified biomedical engineer * * bed rails do not lock : * * - inspect locking mechanism for wear or damage - ensure rails are properly aligned - remove any obstructions from locking mechanism - contact a qualified biomedical engineer @topic:9