# # # issue : remote control wire exposed # # # impact : - potential electrical hazard for patients and staff - compromised functionality of the bed # # # possible causes : - * * improper handling : * * remote control cable may have been forcefully pulled or twisted, causing the wire to become exposed. - * * wear and tear : * * over time, repeated use and bending of the remote control cable can lead to damage and wire exposure. - * * manufacturing defect : * * there may have been a flaw in the design or production of the remote control cable, making it prone to wire exposure. # # # recommendations : - * * immediate action : * * - disconnect the bed from power to prevent electrical hazards. - remove the damaged remote control. - * * repair or replacement : * * - if possible, repair the damaged cable using appropriate insulation and protective measures. - otherwise, replace the remote control with a new one of the same model or equivalent specifications. - * * preventive measures : * * - train staff on proper handling of medical equipment, including remote controls. - regularly inspect remote control cables for any signs of damage or wear. - consider using durable remote controls or cable protectors to minimize the risk of damage. @topic:7


# # # issue - monitor screen black # # # impact - inability to display patient vital signs and other relevant information. # # # possible causes - loose hdmi cable connection. # # # recommendations - ensure that the hdmi cable is securely connected to both the monitor and the source device. - inspect the hdmi cable for any damage or breaks. - replace the hdmi cable if necessary. @topic:2


##1 vitalinetm h set adult / pediatric 89803159571 vitalinetm h set infant / neonate 989803159581 accessories for non - intubated patients 4689a m4690a m4691a 89803178011 m4680a m4681a 989803178001 iv linetm adult m4686a niv linetm pediatric m4687a nasal filterline® infant / neonatal 989803178021 989803179101 nasal filterline® o2 adult 989803179111 438 39 accessories part number for rsion description part number nasal filterline® o2 pediatric smart capnoline® o2 adult 989803179121 89803160281 m2522a 989803177951 smart capnoline® h o2 adult 989803177961 2520a 989803160271 smart capnoline® ho2 pediatric 989803177971 989803177981 89803160301 smart capnoline® adult m2526a smart capnoline® pediatric m2524a accessories for endoscopic procedures smart capnoline® guard 989803178031 smart capnoline® guard o2 989803178041 989803178071 989803178051 ook and loop stradescription part no. adult / pediatric flow sensor m2785a neonatal flow sensor m2786a adult / pediatric co2 / flow sensor m2781a neonatal co2 / flow sensor m2782a pediatric co2 / flow sensor m2783a measurement of co2 and spirometry @topic:8


# # # issue - the bed is not adjustable. # # # impact - the patient may not be able to get into or out of bed safely. - the patient may not be able to be positioned correctly for medical procedures. # # # possible causes - * * electrical problem : * * the bed may not be receiving power, or there may be a problem with the wiring. - * * mechanical problem : * * the bed's motors or other mechanical components may be damaged or malfunctioning. - * * remote control problem : * * the remote control may not be working properly. # # # recommendations - * * electrical problem : * * check the power cord and make sure it is securely plugged into an outlet. check the wiring for any damage. - * * mechanical problem : * * inspect the bed's motors and other mechanical components for any damage or wear. replace any damaged or worn components. - * * remote control problem : * * replace the batteries in the remote control. if the remote control still does not work, it may need to be replaced. # # # additional notes - if the bed is still not adjustable after following these recommendations, it may be necessary to contact the manufacturer for further assistance. @topic:1


# # # issue - the bed is unable to adjust. # # # impact - patients may be unable to get in or out of bed. - patients may be unable to adjust the bed to a comfortable position. - staff may be unable to move the bed to a different location. # # # possible causes - the remote control is locked. - the bed is not plugged in. - the bed is not turned on. - the bed is damaged. # # # recommendations - check the remote control to make sure it is unlocked. - make sure the bed is plugged in. - make sure the bed is turned on. - if the bed is damaged, contact a qualified technician. @topic:1


# # # issue - damaged insulation on the remote control cord # # # impact - potential electrical hazard if the damaged insulation comes into contact with conductive surfaces. # # # possible causes - physical damage to the cord, such as from being pinched or pulled. - age and wear of the cord, causing the insulation to deteriorate. # # # recommendations - replace the remote control cord with a new one that has intact insulation. - inspect the cord regularly for signs of damage and replace it if necessary. - train users to handle the cord carefully to avoid damaging it. @topic:7


indicators and lamps. main screen - close all open menus and windows and return to the main screen. main setup - enter main setup menu. smartkeys a smartkey is a configurable graphical key, located at the bottom of the main screen. it gives you fast access to functions. the selection of smartkeys available on your monitor depends on your monitor configuration and on the options purchased. enter profile menu, or revert to default profile change screen, or revert to default screen show bis sensor previous screen freeze waves quick admit a patient set alarm limits enter patient identification menu to admit / discharge / transfer change alarm volume end case to discharge a patient change qrs volume view information for patients in other beds enter standby mode - suspends patient monitoring. all waves and numerics disappear from the display. all settings and patient data information are retained. change screen brightness ( not for independent displays ) review beat labels ( annotate arrhythmia wave ) re - learn arrhythmia 23 1 basic operation operating and navigating 4 - change amplitude ( size ) of ecg wave enter cardiac output procedure - start / stop manual nbp measurement ■ < i > am - start auto series - stop current automatic measurement ir ml start nbp stat measurement within series r t § | @ stop automatic or stat nbp wm \ measurement and measurement series m 4 > start nbp measurement and measurement series jrhl stop current nbp measurement & fi m & start veni puncture ( inflate cuff to subdiastolic pressure ) access patient reports start a delayed recording access vital signs recording - function ■ * < k set wide automatic alarm limits access wedge procedure window review vital signs trend access event surveillance access the calculator gas analyzer - exit standby mode unpair equipment and continue central monitoring with the monitor access the spirometry @topic:8


# # # issue - connector missing # # # impact - device unable to be used - patient care may be delayed or compromised # # # possible causes - connector was not properly secured - connector was damaged - connector was lost # # # recommendations - ensure that all connectors are properly secured - inspect connectors for damage - have a spare connector available in case of loss @topic:2


name, and the second test begins. if the test fails, a red check appears to the left of the test name, followed by a prompt to rerun the test. you cannot proceed to the second test until the first test passes. rerun the power calibration test as needed until the test passes. 9. 10. if you did not set up your equipment for a full calibration intially, connect the 500cc volume to the device when prompted and then click next. note your cannot initialize the board without setting up the he pressure callibration test. 11. observe the pressure calibration messages onscreen and follow the onscreen prompts to manually adjust device pressure with the hand bulb to 250 ± 5 mmhg. 12. once you reach the targeted pressure, enter the exact value on the pressure meter in the o record this value. if the test passes, a green check appears to the left of the test name. if the test fails, a red check appears to the left of the test name, followed by a prompt to rerun the test. 13. rerun the pressure calibration test as needed until the test passes. 14. if the second test passes, click close. the nibp board is now initialized. 125 options and upgrades welch allyn supports option and software upgrades for most models. note software in the braun thermoscan pro 6000 is not upgradable in the field when installed in the connex spot monitor. to upgrade the braun themoscan pro 6000 software, return the monitor to a service center. option upgrades for devices still under warranty that require any installation inside the device must be performed by a welch allyn service center unless you participate in the partners in care biomed partnership program. if you want to install the options, we recommend you attend either the classroom or online technical training course for the device. @topic:17


* * issue : * * * loose lock nut on the bed leg assembly * * impact : * * * impaired bed functionality and safety concerns for patients and healthcare professionals * * possible causes : * * * * * insufficient tightening during assembly : * * the lock nut may not have been properly tightened during the initial assembly or repair. * * * vibration or mechanical stress : * * continuous use or movement of the bed can loosen the nut over time. * * * corrosion or wear : * * environmental factors such as moisture or chemical exposure can deteriorate the nut and its threads. * * * material defects : * * the lock nut may have a manufacturing defect that weakens its hold over time. * * recommendations : * * * * * proper assembly : * * ensure that the lock nut is properly tightened during assembly or repair, following manufacturer's instructions. * * * regular inspections : * * regularly inspect the bed assembly for loose or damaged components, including the lock nuts. * * * maintenance schedule : * * perform scheduled maintenance on the bed according to the manufacturer's recommendations, including tightening of lock nuts. * * * quality control : * * ensure that the lock nuts used in assembly meet specified quality standards and are free from defects. * * * training : * * provide training to staff on the proper assembly and maintenance procedures for the bed. @topic:6


##eceseesecesceecesceseeeeeeeeenceseecsecseecaecsaeaeceseseeeseneeneeenes a - 8 wireless module snoren tenein ia a rae e ee n ahead inate. a - 8 contents - 3 suresigns vs4 service guide b electromagnetic compatibility index contents - 4 instructions for o a csi eco e at eaa eea e e rn ais none ce, b - 1 reducing electromagnetic : interference.......... eeseseesseereresereesererstesessererereessesererserersrerereosererseeressee b - 1 restrictions for wso :. evs nis seb r ohana banter eek eee ee ree te ended te b - 2 emissions. and. mmunity : :. : 5 25 jkecia ened metin roel ba le ho a a ae b - 2 guidance and manufacturer ’ s declaration........... ccceceesesscesseescescesseeeceseeeeecaeesaecaecaecaeeseeseeeseneeeaes b - 2 recommended separation distances csecsenc e e i b - 5 suresigns vs4 service guide 1 overview intended audience this guide is for biomedical engineers or technicians responsible for troubleshooting, repairing, and maintaining philips patient monitoring systems. navigation controls the following table describes how to use the navigation controls on the suresigns® vs4 monitor : action description select touch a button, menu, or list item on the touch screen to select it. press press a front panel key or press the wheel. enter data using the touch the item to display the numeric keypad or the keyboard. touch the numeric keypad and | values, and then touch ok to close the keypad or keyboard. @topic:10


# # # issue - lcd monitor displays a dim and blurry image. # # # impact - the monitor is not providing a clear and accurate display of medical data, which could impact patient care and safety. # # # possible causes - the monitor is set to the wrong video input mode. # # # recommendations - ensure that the monitor is set to the correct video input mode. @topic:2


is dry, replace the pic until it has dried. if this inop persists, contact your service personnel. bis sensor usage inop tone bis excessive sensor usage. replace sensor. a cyclic impedance check will start automatically. bis sqi < 15 % ( inop tone ) or bis sqi < 50 % ( no inop tone ) bis if the signal quality is below 50 %, bis numerics cannot be reliably derived. if the signal quality is below 15 %, no bis numerics can be derived. this may occur as a result of artifacts such as those generated from motion or the presence of electrocautery devices. make sure the sensor is properly attached to the patient. manually initiate a cyclic impedance check. make sure all electrodes pass the test. make sure the patient is completely relaxed ( even small motions of the facial muscles affect the signal quality ). bis unplugged inop tone bis plug in the bis module. silencing this inop switches off the measurement. bisx disconnected inop tone bis the bisx is not connected to the bis module or the bis interface board. silencing this inop switches the measurement off. bisx incompatible inop tone bis the bisx software is not compatible with the bis module or with the mp20 / mp30 monitor software. a software upgrade may be required. contact your service personnel. bisx malfunction inop tone bis the bisx is faulty. disconnect and reconnect it to the module or bis interface board. if the inop persists, replace the bisx. mp20 / mp30 - malfunction on interface board. if the inop persists, contact your service personnel. cannot analyze ecg ecg / arrhythmia the arrhythmia algorithm cannot reliably analyze the ecg data. check the ecg @topic:22


# # # issue - the dinamap pro 300v2 physiologic vital signs monitor fails to take accurate blood pressure measurements after the first reading. # # # impact - inability to accurately monitor patient vital signs, potentially leading to delayed or incorrect treatment decisions. # # # possible causes * * 1. faulty cuff : * * - the newly installed cuff may be defective or incompatible with the monitor, causing inaccurate readings. * * 2. air leak : * * - a leak in the cuff or tubing can cause the monitor to prematurely stop inflating the cuff, resulting in incorrect measurements. * * 3. sensor malfunction : * * - a malfunctioning sensor in the monitor may be unable to accurately detect the patient's blood pressure. * * 4. software glitch : * * - a software issue in the monitor may cause it to behave erratically, including failing to take accurate readings after the first attempt. # # # recommendations * * 1. check cuff and tubing : * * - verify that the newly installed cuff is the correct size and type for the patient and the monitor. - inspect the cuff and tubing for any tears, leaks, or other damage. * * 2. calibrate monitor : * * - perform a calibration test on the monitor using a calibrated blood pressure cuff to ensure its accuracy. * * 3. update software : * * - check if there is an available software update for the monitor. updating the software may resolve any bugs or glitches that may be causing the issue. * * 4. contact manufacturer : * * - if all other troubleshooting steps fail, contact the manufacturer of the monitor for further assistance or repair options. @topic:15


connection lines such as data lines or functional earth conductors may appear to act like protective earth connections. these may lead to incorrect measurements and need to be considered during testing. if necessary, unplug these connections. • during measurements, the device under test shall be isolated from earth ( e. g. test on an insulated work bench ), except the protective earth conductor in the power supply cord. • position all cables and cords in such a manner that they do not influence the safety tests. • measurement of insulation resistance is not required. • when testing a medical electrical system, where possible, test it such that potential ground voltage variations are present as they may be during actual use. 39 [ 3 testing and maintenance ] guideline for performance of safety tests this section introduces the general principle of performing recurrent safety tests. product specific test descriptions are described in the following sections. connect the detachable power cord of the device under test to the safety analyzer ’ s test mains port. connect the enclosure test lead of the safety analyzer to the enclosure of the device under test, e. g. to the equipotential connector or unearthed conductive accessible parts where applicable during equipment leakage current tests and applied part leakage current tests. for testing the applied part leakage current, connect all applied parts to the safety analyzer using the appropriate patient lead or adapter cable. for the ecg parameter all ten ecg - leads need to be connected to the safety analyzer. if necessary, use an adapter cable to connect all ten ecg - leads. if necessary, repeat the safety test procedure until ah available applied parts have been tested. refer to the documentation that accompanies the safety analyzer for further details on how to set up and perform the test. test lead instrument protective earth resistance test - setup example note the test lead needs to go to parts that require protective earthing. @topic:10


# # # issue barcode scanner on medical cart not opening drawer # # # impact inability to access medical supplies and equipment within the drawer # # # possible causes - faulty barcode scanner - software issue with the medical cart - communication error between the barcode scanner and the medical cart # # # recommendations - replace the barcode scanner - update the software on the medical cart - check the communication cables between the barcode scanner and the medical cart - re - calibrate the barcode scanner @topic:23


# # # issue - knob malfunction, rendering the device inoperable. # # # impact - inability to monitor vital signs accurately, potentially compromising patient care. # # # possible causes - defective knob assembly. - worn or damaged components within the knob mechanism. - electrical fault in the knob circuitry. # # # recommendations - replace the faulty knob assembly with a new one. - inspect and clean all components within the knob mechanism for any signs of wear or damage. - test the electrical connections in the knob circuitry to ensure proper functionality. - calibrate the device according to manufacturer's specifications to ensure accurate measurements. @topic:2


##231 1 scale display, ppm, rh 138230 1 scale display, ppm, lh 138233 1 display, ppm only, rh 138232 1 display, ppm only, lh 155086 1 scale display, with bed exit and navi - care, rh 155088 1 scale display, with bed exit and navi - care, lh 155089 1 display, with bed exit and navicare, no scale, rh 155090 1 display, with bed exit and navicare, no scale, lh 11 131724 1 display axel, weldment, short, lh 129658 1 display axel, weldment, long, rh 12 129441 1 pivot insert careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 83 head siderail — d model and newer beds chapter 5 : parts list item number part number quantity description 13 49199 1 spring 14 73004 1 cable assembly 15 133197 1 assembly, scale display p. c. board 16 141281 1 label, caregiver control, bed function, lh 141283 1 label, caregiver control, bed function and nurse call, lh 141280 1 label, caregiver control, bed function, bed exit, and nurse call, lh 141282 1 label, caregiver control, bed function, bed exit, lh 141217 1 label, caregiver control, bed function, rh 141219 1 label, caregiver control, bed function and nurse call, rh 141216 1 label, caregiver control, bed function, bed exit, and nurse call, rh 141218 1 label, caregiver control, bed function, bed exit, rh @topic:26


# # # issue - medical cart's drawer is stuck and cannot be closed. # # # impact - inconvenience to medical staff and potential delay in patient care. # # # possible causes - misaligned or damaged drawer components. - faulty lock mechanism. - key issues. # # # recommendations - * * mechanical inspection : * * examine the drawer components for any visible damage or misalignment. ensure that all components are properly lubricated. - * * lock mechanism evaluation : * * test the lock function by inserting the key and attempting to lock and unlock the drawer. check for any resistance or malfunction. - * * key examination : * * inspect the key for any bends or deformations that may prevent it from fully engaging the lock mechanism. replace the key if necessary. - * * additional considerations : * * - check if the medical cart has been recently serviced or modified, as this could have caused the drawer issues. - review user manuals and instructions to ensure proper operation and maintenance of the medical cart. - if the problem persists, contact the manufacturer or a qualified biomedical engineer for further diagnosis and repair. @topic:21


software ) save current alarm settings as default ) ( restore factory default alarm settings j ) f'h') allow alarm disable el ) allow audio off ( m ) demo mode return - n caution during system configuration, the system admin menu remains unlocked for 1 minute after you close it. this allows you to open the menu again without having to re - enter the password. do not leave the monitor unattended during the unlock time. 6. use this menu to set system parameters. the following section " system admin menu options ” shows all available options. configuring the monitor 5 - 3 accessing the system admin menu system admin menu options the following table describes all of the buttons in the system admin menu and the default settings. button description default diagnostics displays the system diagnostics menu. note that this button is unavailable when the monitor is running in demo mode. networking displays the network configuration menu. use this menu to set up the monitor for network use. shutdown shuts down the monitor ( for battery change ) after you press ok in the confinnation window. language specifies which language the monitor displays. depends on country ac power specifies the monitor ’ s ac cycles per second. the options are 50 and 60 hz. depends on country alarm tone specifies the type of alarm tones that the monitor uses. options are : philips, iec. philips minimum alann tone volume specifies the minimum alann tone volume to which you can set the monitor. the options are 1 - 10. 3 alarm pause duration specifies the amount of time for which alarms do not sound when alarms are paused by the user. the options are : 30, 60, 90, 120, 180 sec. 120 sec minimum nurse call alann priority specifies the minimum alann level that triggers the nurse call signal, e. g., if the value is set to medium, then medium and high priority alarms will @topic:10


* * issue : * * - bed is not adjusting * * impact : * * - patients may be unable to get out of bed - caregivers may have difficulty providing care * * possible causes : * * - remote control is faulty - actuators are not working - power supply is interrupted - mechanical failure of the bed frame * * recommendations : * * * * 1. check the remote control : * * - ensure that the remote is properly connected to the bed - replace the remote if it is damaged or not functioning * * 2. check the actuators : * * - verify that the actuators are connected to the bed frame and power supply - test the actuators by manually adjusting the bed - replace the actuators if they are not working * * 3. check the power supply : * * - ensure that the bed is plugged into a working power outlet - check the circuit breaker or fuse for the power outlet - ensure that the power cord is not damaged * * 4. check for mechanical failure : * * - inspect the bed frame for any visible damage or loose parts - tighten any loose bolts or screws - replace any damaged parts if necessary * * additional recommendations : * * - regularly inspect and maintain the bed to prevent future failures - train staff on proper use and care of the bed - keep a spare remote and actuators on hand for quick replacement @topic:1


# # # issue - bed is unable to adjust # # # impact - inability to provide proper patient care - discomfort for the patient - delay in patient treatment # # # possible causes - motor malfunction - control panel failure - power supply problems - software issues # # # recommendations - inspect the motor for any signs of damage or wear - check the control panel for any loose connections or damaged components - ensure that the power supply to the bed is stable and functioning properly - update the bed's software to the latest version if necessary @topic:1


), the interval can range from 6 to 24 months. cleaning the air filter mats the air filters are located on the right and left side of the battery conditioner. perform the procedure below for each side. 1 remove the 2 screws securing the filter cover and take off the cover. 2 remove the filter mat and clean the dust out by shaking. 3 re - insert the mat and refit the cover and screws. 174 smart battery charger lg1480 ( m8043a ) 5 repair and disassembly replacing the fan 1 turn the battery conditioner upside down and remove the 5 screws at the bottom with a t20 screwdriver. it off. 2 lift the bottom cover up at the front and pull 3 unplug the fan connector from the main board. 175 5 repair and disassembly smart battery charger lg1480 ( m8043a ) 4 lift the fan out of the battery conditioner housing. 5 when replacing the fan make sure the connector is plugged in correctly as shown in the photograph below. 176 intellivue instrument telemetry ( iit ) 5 repair and disassembly intellivue instrument telemetry ( iit ) the following sections describe how to exchange the iit module, the iit pca board and the flex cable of the iit adapter for mp40 / 50 monitors. exchanging the pca board or the flex cable 1 remove the four screws at the bottom of the iit box. 2 lift up the bottom cover using a screwdriver. 177 5 repair and disassembly intellivue instrument telemetry ( nt ) 3 turn the iit box around and lift the top cover off completely. then unplug the flex cable from the pca board. 4 if you need to exchange the flex cable, unplug the @topic:19


* * # # cause of failure analysis * * * * issue : * * bed adjustment failure * * impact : * * patient discomfort, nursing care challenges, increased hospital stay * * possible causes : * * * * electrical : * * * faulty electrical wiring or connections * damaged electrical components * power outage or voltage fluctuations * overloaded electrical circuit * * mechanical : * * * worn or broken gears or pulleys * misaligned or obstructed moving parts * bent or damaged bed frame * * control system : * * * malfunction of the control panel or remote * software or firmware issues * interference from other electrical devices * * other : * * * user error ( incorrect operation or excessive weight ) * insufficient maintenance or cleaning * * recommendations : * * * conduct a thorough electrical safety check, including wiring, connections, and components. * inspect and test all mechanical components for wear, damage, or misalignment. * check the control panel and remote for proper functioning and software updates. * ensure proper electrical power and ground connections. * educate healthcare staff on proper use and maintenance of the bed. * schedule regular maintenance and inspections to prevent future failures. * consider using surge protectors to protect against voltage fluctuations. * consult the manufacturer's guidelines and service manuals for specific troubleshooting and repair instructions. @topic:9


# # # issue - module g5 not reading values # # # impact - inability to monitor patient's respiratory parameters ( e. g., oxygen saturation, carbon dioxide levels ) # # # possible causes - loose or disconnected signal cable between the g5 module and the monitor # # # recommendations - ensure that the signal cable is securely connected between the g5 module and the monitor. - inspect the cable for any damage or kinks. - if the cable is damaged, replace it promptly. - retrain staff on proper handling and maintenance of the equipment to prevent similar issues in the future. @topic:22


if assistance is needed, contact your local service representative. electromagnetic compatibility suresigns vs2 * and vsi service guide b - 1 emissions and immunity the suresigns vs2 * and vsi vital signs monitors are designed and evaluated to comply with the emissions and immunity requirements of international and national emc standards. see table b - 1 through table b - 4 for detailed information regarding declaration and guidance. the emc standards state that manufacturers of patient - coupled equipment must specify immunity levels for their systems. see table b - 2 and table b - 3 for this detailed immunity information. see table b - 4 for recommended minimum separation distances between portable and mobile communications equipment and the product. immunity is defined in the standard as the ability of a system to perform without degradation in the presence of an electromagnetic disturbance. degradation in system performance is a qualitative assessment which can be subjective. caution should, therefore, be taken in comparing immunity levels of different devices. the criteria used for degradation is not specified by the standard and can vary with the manufacturer. guidance and manufacturer's declaration the suresigns vs2 * and vsi vital signs monitors are intended for use in the electromagnetic environment specified in the following tables. the customer or the user of the product should assure that it is used in such an environment, table b - 1 electromagnetic emissions compliance electromagnetic environment guidance rf emissions group 1 the suresigns vs2 * and vsi vital signs monitors use rf cispr 11 energy only for their internal function. therefore, rf emissions are very low and not likely to cause any interference in nearby electronic equipment. rf emissions class a cispr 11 harmonic emissions class a the suresigns vs2 * and vsi vital signs monitors are iec 61000 - 3 - 2 suitable for use in all establishments other than domestic establishments and those directly connected to a low voltage power supply network which supplies building used for domestic purposes @topic:10


# # # issue - lock module ( blue ) on rack is broken ( room 7 ) - modulse m3001a bem017 s / n de22706103 ( green ) lock is broken ( currently in room 8 ) # # # impact - inability to use the physiologic bedside monitor - potential safety hazard for patients and staff if the equipment is not properly secured # # # possible causes - wear and tear - improper handling - manufacturing defect # # # recommendations - replace the broken lock modules - inspect all other lock modules for potential damage - train staff on proper handling of equipment - consider using more durable lock modules in the future @topic:12


# # # issue - equipment malfunction # # # impact - inability to monitor patient's neurological activity accurately - potential delay in diagnosis and treatment - increased risk of adverse events # # # possible causes - internal component failure ( as determined by meditop ) - outdated technology and lack of available parts - improper use or handling of the equipment # # # recommendations - replace the faulty equipment with a newer model - implement a regular maintenance schedule to prevent similar failures in the future - train staff on proper handling and operation of medical devices - consider investing in newer equipment with better reliability and support @topic:12


* * issue : * * wooden bed rails not locking into place. * * impact : * * patient safety hazard. * * possible causes : * * - loose or broken lock nut. - damaged or misaligned wooden rails. - worn or damaged lock mechanism. * * recommendations : * * - inspect and tighten lock nut thoroughly. - check wooden rails for any damage and replace if necessary. - inspect and lubricate lock mechanism as needed. @topic:6


behavior * 131 alarm lamps * 130 alarm tones * 130 altitude * 229 assembling the dual link bar * 176 assembly * 10 barometric pressure check and calibration * 90 basic performance assurance test ° 79 battery and display brightness * 107 charge status * 106 conserving power * 107 malfunction symbols * 103 power gauge * 103 replacing * 106 safety information * 111 battery conditioning in the monitor * 109 battery conditioning with an external charger * 110 battery handling, maintenance and good practices * 101 battery performance optimizing * 107 battery related problems * 123 battery safety information * 111 battery status checking * 102 battery status on the main screen * 103 index 251 battery status recording * 106 battery status window * 104 battery status window * 104 bedside network status icons * 119, 125 before each use e 35, 36 block diagram legend ¢ 24 boot phase failures * 119 c calibration verification * 92 cardiac output performance test « 93 carrying out and reporting tests * 98 case 1 medical device combined with medical device * 69 case 2 medical device combined with a non - medical device * 71 case 3 medical device combined with a medical or non - medical device with one device in a non - medically - used room * 75 charging a battery * 108 check for obvious problems * 116 checking battery charge * 106 checking battery charge * 106 checking country - specific default settings ° 212 checking out the monitor * 211 checking the battery status * 102 checklist delivery * 202 installation * 201 checks before opening the instrument * 116 checks before opening the instrument * 116 checks for obvious problems * 116 checks with the instrument switched off * 116 checks with the instrument switched on, external ac power connected, with battery * 116 checks with the instrument switched on, external ac power not connected, with battery * 117 claims for damage * 202 cleaning recommended substances * 137 cleaning the air filter mats * 184 co2 calibration verification * 92 flow rate check and calibration @topic:10


# # # issue - rail guard is pressing on the sensor wire, causing the bed to malfunction # # # impact - bed cannot be adjusted properly # # # possible causes - rail guard is not properly installed - sensor wire is damaged - rail guard or sensor wire has become misaligned # # # recommendations - check that the rail guard is properly installed and not pressing on the sensor wire - inspect sensor wire for damage and repair or replace if necessary - realign rail guard and sensor wire if they have become misaligned @topic:1


or 800 - 426 - 4224 www. thevest. com international hill - rom company, inc. tel : + 1 ( 0 ) 812 934 8173 fax : + 1 ( 0 ) 812 934 7191 www. hill - rom. com international @ hill - rom. com australia hill - rom australia pty. ltd. tel : + 61 ( 0 ) 2 8814 3000 fax : + 61 ( 0 ) 2 8814 3030 belgique / belgie hill - rom medical services bv tel : + 31 ( 0 ) 347 / 32 35 32 fax : + 31 ( 0 ) 347 / 32 35 00 canada hill - rom canada tel : 800 - 267 - 2337 hill - rom shanghai tel : + 86 ( 0 ) 21 5396 6933 fax : + 86 ( 0 ) 21 5383 3136 deutschland hill - rom gmbh tel : + 49 ( 0 ) 211 16450 0 fax : + 49 ( 0 ) 211 16450 182 espana hill - rom iberia s. l. tel : + 34 ( 0 ) 93 685 6009 fax : + 34 ( 0 ) 93 666 5570 france hill - rom sas tel : + 33 ( 0 ) 2 97 50 92 12 service : + 33 ( 0 ) 820 01 23 45 fax : + 33 ( 0 ) 2 97 50 92 00 sis hong kong hill - rom asia ltd. tel : + 852 ( 0 ) 2297 - 2395 fax : + 852 ( 0 ) 2297 - 0090 ireland hill - rom ltd. tel : + 353 ( 0 ) 1 413 6005 fax : + 353 ( 0 ) 1 413 6030 dublin. sales @ hill - rom. com italia hill - rom s. p. a. tel : + 39 ( 0 ) 02 @topic:19


# # # issue - touch screen is not working. # # # impact - inability to monitor patient's vital signs and other parameters. - reduced patient safety. # # # possible causes - damaged or faulty touch screen. - loose connections between the touch screen and the monitor. - software glitch or corruption. - power supply issues. # # # recommendations - inspect the touch screen for any visible damage or cracks. - check the connections between the touch screen and the monitor, and ensure they are secure. - restart the monitor. - if the issue persists, contact the manufacturer for technical support or replacement parts. @topic:2


# # # issue - the bed is not adjusting properly. # # # impact - the patient may not be able to get into or out of bed safely. - the patient may not be able to be positioned comfortably for treatment. # # # possible causes - the electrical system is not functioning properly. - the mechanical components of the bed are not working correctly. - the bed has not been properly maintained. # # # recommendations - inspect the electrical system for damage or loose connections. - inspect the mechanical components of the bed for wear or damage. - check the bed's maintenance records to ensure that it has been properly maintained. - if the problem cannot be resolved, contact the manufacturer for assistance. @topic:1


results of safety tests. this may help to identify a problem early particularly if the test results deteriorate over a period of time. each individual piece of equipment of the monitoring system which has its own connection to mains or which can be connected or disconnected from mains without the use of a tool must be tested individually. the monitoring system as a whole must be tested according to the system test ( on page 61 ) procedure. accessories of the monitoring system which can affect the safety of the equipment under test or the results of the safety test must be included in the tests and documented. electrical safety tests for mp2 / x2 can be performed either on the individual device ( mp2 or x2 ) connected to the external power supply or on a connected host monitor ( e. g. mp20 - 90 ). note that if the electrical safety tests are performed with a host monitor the protective earth resistance and equipment leakage current come mainly from the host monitor. the earthing of mp2 / x2 is for functional purposes and does not provide protection against electric shock. the protection against electric shock in this device is provided by double and / or reinforced insulation. the protective earth resistance and equipment leakage current measurements for mp2 / x2 are optional. warnings, cautions, and safety precautions - these tests are well established procedures of detecting abnormalities that, if undetected, could result in danger to either the patient or the operator. - disconnect the device under test from the patient before performing safety tests. - disconnect the device under test from mains before performing safety tests. if this is not possible, ensure that the performance of these tests does not result in danger to the safety analyzer operator, patients or other individuals. - test equipment ( for example, a safety analyzer ) is required to perform the safety tests. please refer to annex c of iec / en 62353 for @topic:10


# # # issue - bdms 01 medical cart is not booting up to windows. # # # impact - the medical cart cannot be used for its intended purpose. # # # possible causes - the boot order in the bios may be incorrect. - the windows boot files may be corrupted. - the hard drive may be failing. # # # recommendations - check the boot order in the bios and ensure that the hard drive is set as the first boot device. - run a windows repair disc or usb drive to repair the boot files. - if the windows repair disc or usb drive does not resolve the issue, the hard drive may need to be replaced. @topic:13


is not fixed on the 121 / 82 ( 95 ) 12mounting ) 6 7 part number and serial number atemp nop now mnop 38. 0 $ 36. 3 6125 w 121 121 / 1900 1. 8 ww hardkeys ( silence, alarms off, ain screen ) 20 / 79 ( 88 ) 115 / 9938 ) mes 120 / 120 / 7 8830 " philips 6 7 5 8 x800 color coded alarm lamplarms off lamp 123 intellivue mx800 integrat60 ac er led 4 95 60 120 / 70 ( 91 ) 28 / 15 ( 21 ) ( when this is pressed the 120 / 70 ( 9 ) monitor is not fixed on the ( 91 ) 30 30 mounting ) 20 / 80 ( 90 ) 1. 7 ( 9 ) part number and serial number 6 18 : 51 philips 3 4 6 5 devices for acquiring measurements the patient monitor acquires patient measurements using the devices described in this section. you can also extend the measurement capabilities of your monitor with such devices. of these measurement devices, only the x2 has its own power on / standby switch, and can be powered from an external power supply or a rechargeable battery when not directly connected to the monitor ( refer to the intellivue x2 instructions for use for details ). all the rest take their power exclusively from the 18 1 introduction monitor, and switch on automatically when you turn on the monitor. a green power - on led indicates when they are drawing power from the monitor. a permanently illuminated, or flashing, red led indicates a problem with the unit that requires the attention of qualified service personnel. all symbols used on the front panels are explained in " symbols " on page 445. warning when connecting devices for acquiring measurements, always position cables and tubing carefully to avoid entanglement or potential strangulation. flexible module rack ( m @topic:10


# # # issue * * bed not adjustable * * # # # impact * patient discomfort * difficulty providing care * increased risk of injury # # # possible causes * * * mechanical failure : * * * broken cable * malfunctioning motor * loose connections * * * electrical failure : * * * power supply issues * faulty wiring * * * software error : * * * corrupted software * outdated firmware * * * user error : * * * incorrect operation * overloading the bed # # # recommendations 1. * * troubleshooting : * * * conduct a visual inspection of the bed and its components. * check power supply and connections. * test the bed's functionality in different positions. 2. * * repairs : * * * if a mechanical failure is identified, replace or repair the affected components. * if an electrical failure is identified, ensure proper wiring and power supply. * if a software error is suspected, update the firmware or reinstall the software. 3. * * user education : * * * provide staff with proper training on bed operation and maintenance. * ensure users are aware of the bed's limits and avoid overloading. 4. * * preventive maintenance : * * * implement regular inspections and maintenance to identify and address potential issues early on. * lubricate moving parts and check for loose connections. 5. * * consideration of replacement : * * * if the bed is old or has repeated failures, consider replacing it to ensure patient safety and prevent further disruptions. @topic:9


# # # issue * monitor is not linking to the central system. # # # impact * healthcare professionals cannot monitor patient data remotely. # # # possible causes * central server malfunction. * incorrect ci address configuration on the monitor. # # # recommendations * troubleshooting and repair the central server. * correctly configure the ci address on the monitor. @topic:16


# # # issue the philips suresigns vs4 physiologic vital signs monitor is experiencing battery failure. # # # impact the monitor may not be able to provide accurate vital signs readings, which could lead to patient safety concerns. # # # possible causes - the battery may have reached the end of its lifespan. - the battery may have been damaged or discharged too deeply. - the battery may not be compatible with the monitor. # # # recommendations - replace the battery with a new one that is compatible with the monitor. - check the battery connections to ensure they are clean and tight. - if the battery failure persists, contact the manufacturer for further assistance. @topic:11


# # # issue - remote control cord damaged. # # # impact - inability to operate the bed electrically. # # # possible causes - wear and tear - accidental damage - faulty manufacturing # # # recommendations - replace the damaged remote control cord with a new one. - inspect the bed and other electrical components for any other signs of damage or wear. - implement regular maintenance and inspection schedules to prevent future failures. @topic:7


# # # issue - lcd monitor not turning on # # # impact - inability to use the monitor for patient monitoring or other medical purposes. # # # possible causes - loose connection in the power or video cables - faulty power supply - internal component failure within the monitor # # # recommendations - check and tighten all connections, including power and video cables. - if the monitor still does not turn on, replace the power supply. - if the monitor still does not turn on, contact the manufacturer for further troubleshooting and repair. @topic:2


# # # issue - the bed cannot be adjusted. # # # impact - the patient cannot get in and out of the bed easily. - the patient may be uncomfortable if the bed is not in the correct position. - the bed may be unsafe if it is not in the correct position. # # # possible causes - the power supply to the bed is not working. - the control box for the bed is not working. - the motor that adjusts the bed is not working. - the frame of the bed is damaged. # # # recommendations - check the power supply to the bed. - check the control box for the bed. - check the motor that adjusts the bed. - check the frame of the bed for damage. @topic:1


# # # issue - the bed cannot be adjusted. # # # impact - the patient cannot be positioned properly for treatment or comfort. - the nurses and doctors cannot access the patient easily. # # # possible causes - the remote control cable is loose or disconnected. - the remote control is not working properly. - the bed motor is not working properly. - the bed frame is damaged. # # # recommendations - check the remote control cable and make sure it is securely connected. - test the remote control to make sure it is working properly. - check the bed motor to make sure it is working properly. - inspect the bed frame for any damage. @topic:1


# # # issue - delayed data transmission from the vital signs monitor. # # # impact - delays in providing critical patient information to healthcare professionals. - reduced efficiency and accuracy of patient monitoring and diagnosis. # # # possible causes - * * software glitch : * * the recent software upgrade may have introduced bugs or compatibility issues that are causing delays in data transmission. - * * hardware malfunction : * * a component of the monitor, such as the data transmission module or network interface, may be malfunctioning. - * * network congestion : * * the hospital network may be experiencing high traffic or interference, causing data transmission delays. - * * incorrect configuration : * * the monitor may not be properly configured to communicate with the hospital's data network or other receiving devices. # # # recommendations - * * re - evaluate software update : * * check with philips for any known issues or updates related to the software upgrade. if necessary, downgrade to a previous stable version. - * * inspect hardware : * * physically inspect the monitor for loose connections, damaged cables, or other hardware defects. test individual components to identify any malfunctions. - * * troubleshoot network : * * run network diagnostics to identify any bottlenecks, interference, or configuration issues. consult with the hospital's it department for assistance. - * * review configuration : * * verify the monitor's network settings, ip address, and firewall permissions. ensure compatibility with the receiving devices and the hospital's network infrastructure. @topic:16


# # # issue - cuff bp is damaged. # # # impact - blood pressure monitoring is inaccurate or unavailable. # # # possible causes - the cuff may be damaged due to : - wear and tear over time - punctures or tears - improper use or handling - the cuff may be incompatible with the monitor. # # # recommendations - replace the damaged cuff with a new one. - inspect the cuff regularly for signs of damage. - use the cuff properly according to the manufacturer's instructions. - ensure that the cuff is compatible with the monitor. @topic:3


# # # issue - cuff failure in vital signs monitor ( philips suresigns vs2 + ) # # # impact - inability to accurately measure vital signs ( blood pressure, pulse rate, etc. ) # # # possible causes - worn or damaged cuff material - improper cuff placement or sizing - defect in cuff manufacturing # # # recommendations - replace the cuff with a new one. - ensure proper placement and sizing of the cuff according to the manufacturer's instructions. - regularly inspect cuffs for signs of wear or damage. - train staff on proper cuff maintenance and usage techniques. - consider using cuffs with durability features designed to withstand frequent use. @topic:15


* * issue : * * * failure of spo2 sensor cable * * impact : * * * inability to measure oxygen saturation levels through pulse oximetry * * possible causes : * * * damaged spo2 sensor cable * faulty connection between the cable and the sensor or monitor * loss of power to the sensor * * recommendations : * * 1. * * replace the spo2 sensor cable : * * verify that the new cable is compatible with the monitor and sensor. 2. * * check the connections : * * ensure that the cable is securely connected to the sensor and monitor, and there are no loose or damaged connectors. 3. * * verify power : * * confirm that the monitor and sensor are receiving adequate power. 4. * * inspect the sensor : * * check the sensor for any physical damage or defects. 5. * * troubleshoot the monitor : * * if the issue persists, troubleshoot the monitor according to the manufacturer's guidelines. * * additional notes : * * * the cause of failure in this scenario is likely due to a damaged spo2 sensor cable. * it is important to ensure that the replacement cable is of good quality and compatible with the equipment. * regular maintenance and inspection of medical devices can help prevent future failures. @topic:4


( en60601 - 1 ). the suresigns vs4 vital signs monitors have been classified as class i equipment. to perform these tests, you need a multimeter. the monitor safety tests include : e enclosure leakage e ground integrity e patient leakage current with mains voltage enclosure leakage s ( 1 ) part 1 : enclosure leakage current - nc ( normal condition ) medical electrical equipment instrument under test signatparts | ( e ) signal paris in - and / or in - and / or output output other instrument = o p iad ( applied part ( * ) not present in class 2. ( * * ) can be multiple different connections to different equipment at same time. expected test results normal condition maximum leakage current x1 < 100ua. this measures leakage current of exposed metal parts of instrument under test ( iut ) and between parts of the system within the patient environment ; normal and reversed polarity using s2. safety test according iec 60601 - 1 / ul 60601 - 1. s ( 1 ) part 2 : enclosure leakage current - single fault ( open earth ) performance verification testing suresigns vs4 service guide 3 - 19 safety tests ~ medical electrical equipment instrument under test signal parts es signal parte in - and / or @ — _ @ in - and / or output output other instrument applied part ( * * ) can be multiple different connections to different equipment at same time. expected test results single fault maximum leakage current x2 < 5004a ( iec 60601 - 1 ). < 300ua ( ul 60601 - 1 ) this measures leakage current of exposed metal parts of instrument under test ( iut ) with protective earth ( pe ) open circuit ( s4 = open ) and between parts of the system within the patient environment ; normal and reversed polarity using s2. ground integrity s ( @topic:10


# # # issue - equipment fails to power on # # # impact - device is unavailable for patient care - delays in patient treatment - increased patient discomfort # # # possible causes - * * faulty power cord or outlet * * - * * loose or disconnected internal wiring * * - * * defective power switch * * - * * blown fuse * * - * * software or firmware issues * * - * * user error * * ( e. g., incorrect button sequence, using the wrong power cord ) - * * manufacturing defect * * # # # recommendations * * to troubleshoot and resolve the issue, consider the following steps : * * 1. * * inspect the power cord and outlet. * * ensure that the cord is securely connected and that the outlet is providing power. 2. * * check for loose or disconnected internal wiring. * * open the equipment cautiously and inspect the wires and connections. tighten any loose connections or reconnect any disconnected wires securely. 3. * * examine the power switch. * * if the switch appears damaged or loose, it may need to be replaced. 4. * * check for a blown fuse. * * locate the fuse and check if it is blown. if so, replace it with a new fuse of the same amperage. 5. * * update software or firmware. * * if the issue is related to software or firmware, check for any available updates and install them. 6. * * review the user manual. * * ensure that the device is being used correctly. if there are any specific button sequences or other operating instructions, follow them carefully. 7. * * contact the manufacturer. * * if the issue persists or cannot be resolved with the above steps, contact the manufacturer for further assistance or to schedule a repair. @topic:12


2 accessories ( for m3016a ) 37 accessories description part no. airway adapter set h, et = < 4. 0 mm m2773a straight sample lines straight sample line m2776a straight sample line h m2777a mainstream c0 2 accessories ( for m3016a ) description part no. c0 2 sensor m1460a standard airway adapter ( reusable ) m1465a small airway adapter ( reusable ) 14363a microstream c0 2 accessories • “ filterline set ” is a combination of a filterline with an airway adapter. • “ h ” in the accessory name indicates suitability for humidified ventilation and longer usage due to the active removal of humidity from the sample line. • “ smart capnoline ” is a combined oral - nasal filterline. • “ smart capnoline 0 2 ” is a combined oral - nasal - 0 2 - c0 2 filterline. • “ niv line ” is a nasal filterline suitable for mask ventilation ( for example, c - pap ). • “ single purpose ” means c0 2 measurement only, “ dual purpose ” means c0 2 measurement and 0 2 delivery. • the accessories are supplied in packs of 25. • the m1923a filterline h set infant / neonatal used for microstream c0 2 measurement with the m3015a extension is not compatible with the m2786a infant / neonatal flow sensor for the spirometry measurement ( m1014a ). microstream accessory selection flowchart is the patient intubated? yes no does the patient need oxygen? yes no short - term ( up to 6 hours ) long - term ( up to 72 hours ) short term ( up to 8 hours ) long term ( up to 24 hours ) long - term ( up @topic:17


# # # issue - bed is missing # # # impact - patients without beds to rest or receive treatment # # # possible causes - bed was loaned to another department ( department 5c ) # # # recommendations - track the location of all medical equipment - establish a procedure for lending out equipment - ensure that equipment is returned promptly after use @topic:9


. / cco curve alert messages after each measurement trial, the monitor analyzes the thermodilution curve. if the curve appears abnormal, a curve alert message appears in the c. o. procedure window. a question mark symbol ( “? ” ) may appear next to the cardiac output numeric if any of these messages appear. the curve alert messages are not error messages and do not necessarily mean that the measured values are invalid. c. o. / cco curve alert messages possible causes tinj off scale the tinjectate is out of the range - 1°c and 30°c. cool down or heat up the injectate or change the injectate solution and repeat the measurement. noisy baseline a blood temperature baseline drift that could not be compensated was detected during the c. o. measurement. possible causes are : - interference may be caused by a ventilator. - interference may be caused by an infusion pump : infusions of significant volume through the central line should be paused at least 30 seconds before the first thermodilution measurement in a series and should not recommence until the measurement series is completed. - do not administer injections through the central line during a measurement series. - electrical devices in the vicinity can cause interference : check for infusion pumps connected to the central catheter, cables parallel to the thermodilution cable, electrocautery. make sure all devices are properly grounded. - wait until measurement results are displayed before moving the patient or catheter. - close the stopcock to the injectate syringe after the injection. - do not rinse the catheter during measurement, to avoid temperature fluctuations. temperature baseline drift may occur if patient is recovering from open heart surgery, or if patient was cooled down for surgery and is in the process of regaining normal body temperature when the measurement is made @topic:17


# # # issue * the scale portion of the beds, electric, hill - rom, care assist es is not functioning. # # # impact * inability to accurately measure patient weight, which can impact medication dosing, treatment plans, and overall patient care. # # # possible causes * power supply issue * internal component failure * loose connections * software glitch # # # recommendations * verify that the equipment is properly plugged into a power source. * inspect the power cord for any damage or fraying. * check if the internal batteries need to be replaced. * troubleshoot the equipment by following the manufacturer's instructions. * contact the manufacturer for further assistance if the issue persists. * calibrate the scale according to the manufacturer's specifications to ensure accuracy. @topic:25


theory of operation figure 2 mp40 / 50 rear with internal intellivue 802. 11 bedside adapter ( left ) and with external iit adapter ( us only ) ( right ) n ote the intellivue 802. 11 bedside adapter and the iit adapter require a monitor with software rel. c. o or higher. compatible devices figure 3 m8045a docking station 22 monitor theory of operation 2 theory of operation figure 4 m3001a multi - measurement server ( mms ) figure 5 m3012a, m3014a, m3015a, m3016a mms extensions 23 2 theory of operation monitor theory of operation figure 6 parameter modules list of supported modules : • ml006b invasive blood pressure module • ml029a temperature module • m1012a cardiac output / continuous cardiac output module • m1018a transcutaneous gas module • m1020b sp0 2 module • m1027a eeg module • m1034a bis module • ml 116b thermal array recorder module • m1032a vuelink device interface module 24 monitor theory of operation 2 theory of operation power supply ac / dc 14v / 80w battery board dc / dc dc / dc backlight inverter back¬ light tubes remote hif, led's, wireless isolating dc / dc converter i / o boards isolated msl, mms, mms - ext dc / dc dc / dc integrated 4 - slot rack dc / dc converter cpu, i / o board non - isolated front end modules figure 7 power supply architecture the ac / dc converter transforms the ac power coming from the power plug into 14 v / 80w dc source and isolates the monitoring system from the ac power mains. the 14v is distributed via power bus and supplies power to all the components of the system @topic:10


# # # issue - the medical cart equipment from bdms ( model bdms 01 ) experienced a blue screen error and became stuck in a restart loop. # # # impact - the medical cart was temporarily unavailable for use, potentially impacting patient care. # # # possible causes - insufficient memory or storage space - corrupted software or operating system - hardware failure ( e. g., faulty ram, motherboard ) - malware or virus infection # # # recommendations - * * check system requirements : * * ensure the medical cart meets the minimum memory and storage requirements for the operating system and software. - * * update software and drivers : * * regularly update the operating system, software, and device drivers to address potential bugs or security vulnerabilities. - * * run hardware diagnostics : * * perform hardware diagnostics to identify any faulty components, such as ram or the motherboard. - * * scan for malware : * * run an antivirus or antimalware scan to detect and remove any malicious software that may have infected the system. - * * consider hardware upgrades : * * if the system is consistently experiencing resource constraints or performance issues, consider upgrading the ram or storage capacity. - * * contact the manufacturer : * * if the issue persists despite implementing the above recommendations, contact the manufacturer of the medical cart for further troubleshooting assistance. @topic:13


# # # issue - unable to measure nbp every 5 minutes # # # impact - delay in patient monitoring - potential for missed critical events # # # possible causes - incorrect repeat time nbp setting - equipment malfunction - software glitch # # # recommendations - verify the repeat time nbp setting is set to 5 minutes - check for any error messages on the device - restart the device - contact the manufacturer for technical support @topic:15


# # # issue - ekg lead ( red ) not displaying waveforms after reconnecting # # # impact - inability to monitor patient's electrocardiogram # # # possible causes - faulty ekg lead - loose connection between ekg lead and patient - damaged or disconnected lead wire - incorrect lead placement on patient - improper lead selection on monitor # # # recommendations - * * verify ekg lead functionality : * * test the lead on a known - good patient or use a lead tester. - * * check connections : * * ensure the lead is securely connected to the patient and monitor. - * * inspect lead wire : * * examine the lead wire for any damage or breaks. replace if necessary. - * * reposition ekg lead : * * ensure the lead is correctly positioned on the patient's chest. - * * confirm lead selection : * * verify that the correct lead is selected on the monitor. - * * restart monitor : * * if all else fails, restart the monitor to reset any potential software glitches. @topic:18


# # # issue - color distortion on lcd monitor # # # impact - inaccurate display of medical data and images, which can affect patient care and diagnosis. # # # possible cause - faulty or misconfigured graphics card - loose or damaged cables connecting the monitor to the computer - incorrect color settings on the monitor itself - color inaccuracies due to aging or wear and tear of the monitor panel # # # recommendations - check the graphics card and cables for any loose connections or damage. replace or repair as necessary. - adjust the color settings on the monitor to correct the color distortion. - if the issue persists, consider replacing the monitor panel or the entire monitor unit. @topic:2


# # # issue - black and white display when using dvd signal. # # # impact - proper image display is crucial for accurate medical diagnosis and monitoring. a black and white display can hinder the accurate interpretation of medical images, potentially leading to misdiagnosis or delayed treatment. # # # possible causes - loose dvd signal cable connection. # # # recommendations - ensure secure connections of all signal cables, particularly the dvd signal cable. - regularly inspect cables for damage or wear and replace as necessary. - consider using a cable tester to verify signal integrity and identify any potential issues with the cable or connections. - train biomedical engineering staff on proper cable handling and maintenance techniques to minimize the risk of loose connections and signal issues in the future. @topic:2


# # # issue non - functional keypad ( bp measurement, settings, and alarm buttons ) on philips suresigns vsi vital signs monitor. # # # impact - inability to accurately monitor vital signs ( e. g., blood pressure, heart rate, oxygen saturation ) - difficulty adjusting settings or acknowledging alarms - potential delays in patient care # # # possible causes - physical damage to the keypad ( e. g., spills, drops ) - electrical malfunction - software glitch - faulty wiring # # # recommendations - * * inspection : * * visually examine the keypad for any visible damage. check for any loose connections or debris. - * * testing : * * test the keypad by pressing all buttons and observing the response on the display. - * * reseating connections : * * disconnect and reconnect any cables or wires associated with the keypad. - * * software update : * * if possible, check for any available software updates that may address keypad issues. - * * replacement : * * if the keypad is physically damaged or cannot be repaired, replace it with a new one. - * * troubleshooting : * * consult the manufacturer's manual or contact technical support for specific troubleshooting steps. @topic:15


##mmhg to the monitor and record this value as pi. 3. let the manometer pressure stabilize for 15 seconds. 4. watch the pressure value in the nbp test window for 60 seconds, and record this value as p2. 5. calculate and document the leakage test value x3 ( where x3 = pi - p2 ). the leakage test value should be less than or equal to 6mmhg. 6. if the leakage test value exceeds 6mmhg, check the test setup cuff and tubing, then test again. if the test still fails, check the pneumatic tubing inside the monitor. 7. if you cannot eliminate the leak, see chapter 7, troubleshooting. nbp overpressure valve test to check the overpressure operation of the nbp valves. 1. when performing the static pressure test ( see “ nbp accuracy ” on page 6 - 9 ), squeeze the manometer pump to apply a pressure of 290mmhg to the monitor. 2. verify that the valves open, releasing pressure on the manometer. the monitor displays an nbp overpressure message. 3. if you do not get the expected results, see chapter 7, troubleshooting. 6 - 12 performance verification testing performing verification tests ibp test before you start : see “ required test equipment ” for a list of the equipment that you need to perform this test. this test checks the performance of the invasive blood pressure measurement. to perform the ibp test : 1. connect the patient simulator to the ibp connector on the suresigns vm6 or vm8 patient monitor. 2. open the blood pressure menu and make sure that the enable ibp checkbox is checked. 3. ensure that the ibp waveform displays in one of the sectors on the monitor. you should see a “? ” @topic:17


# # # issue the cuff blood pressure ( bp ) on the casmed 740 vital signs monitor is malfunctioning. # # # impact - inaccurate or unreliable bp readings - compromised patient care - potential for misdiagnosis or incorrect treatment decisions # # # possible causes - cuff bp deterioration over time - exposure to harsh chemicals or environments - excessive use or improper handling - electrical or mechanical failure # # # recommendations - * * replace the cuff bp : * * remove the old, deteriorated cuff and install a new one. - * * inspect the monitor : * * check for any loose connections, damage to the tubing, or display errors. - * * calibrate the monitor : * * ensure accurate readings by performing routine calibration according to the manufacturer's instructions. - * * handle with care : * * train staff on proper use and handling techniques to prevent future damage. @topic:5


# # # issue - icon for the medical cart software is missing. # # # impact - the software cannot be accessed or used. # # # possible causes - the icon file was accidentally deleted or corrupted. - the software was not properly installed or configured. # # # recommendations - check the recycle bin for the missing icon file. - reinstall the software. - update the software to the latest version. - contact the software vendor for support. @topic:13


# # # issue - login to windows failed. # # # impact - the user is unable to access the medical cart. # # # possible causes - the user's account has been disabled or locked. - the user's password has expired. - the user is not authorized to log in to the medical cart. - there is a problem with the medical cart's hardware or software. # # # recommendations - verify that the user's account is active and unlocked. - if the user's password has expired, reset it. - verify that the user is authorized to log in to the medical cart. - if there is a problem with the medical cart's hardware or software, contact the manufacturer for support. @topic:13


# # # issue the physiologic monitor ( bedside ) from philips model suresigns vs3 is not measuring heart rate accurately. # # # impact the inaccurate heart rate measurement can lead to misdiagnosis and improper treatment of patients. # # # possible causes - malfunctioning sensor - software glitch - hardware defect - calibration issue # # # recommendations 1. * * check the sensor * * : ensure that the sensor is properly attached to the patient and that there are no obstructions between the sensor and the patient's skin. 2. * * calibrate the device * * : follow the manufacturer's instructions to calibrate the device. 3. * * inspect the hardware * * : look for any loose connections or damaged components. 4. * * update the software * * : if there is a software update available, install it. 5. * * replace the device * * : if none of the above steps resolve the issue, the device may need to be replaced. @topic:15


# # # issue - signal loss between bedside monitor and central monitor # # # impact - inability to monitor patient's physiological parameters accurately - delayed or incorrect medical decisions - potential patient harm # # # possible causes - loose or damaged cable connections - faulty or disconnected sensor - configuration error in either the bedside monitor or central monitor - interference from other electronic devices # # # recommendations - * * troubleshooting connections : * * - check the physical connections between the bedside monitor and central monitor, ensuring that they are secure and undamaged. - replace any damaged cables or connectors. - * * sensor inspection : * * - verify that the sensor is properly connected to the patient and the bedside monitor. - check for any damage or defects in the sensor or its cable. - * * configuration verification : * * - review the configuration settings in both the bedside monitor and central monitor to ensure that they are matching and compatible. - consult the manufacturer's instructions for specific configuration details. - * * electromagnetic interference mitigation : * * - identify any potential sources of electromagnetic interference ( e. g., mri scanners, mobile phones ) in the vicinity of the monitoring system. - implement appropriate measures to minimize or eliminate interference, such as shielded cables or distance separation. @topic:2


# # # issue - cuff of nibp monitor is deteriorated due to usage. # # # impact - the nibp monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may be old and worn out. - the cuff may have been punctured or damaged. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - use the correct size cuff for the patient. @topic:15


# # # issue - cuff failure in philips intellivue mp70 ( m8007a ) bedside physiologic monitor # # # impact - inability to accurately measure patient vital signs, such as blood pressure # # # possible causes - cuff deterioration due to age, wear, or mishandling # # # recommendations - regularly inspect and maintain cuffs, including : - checking for leaks, cracks, or other damage - cleaning and disinfecting as per manufacturer's instructions - replace cuffs as needed to ensure accurate measurements @topic:5


# # # issue - cuff not inflating # # # impact - inability to measure vital signs accurately - compromised patient care # # # possible causes - faulty cuff - leakage in the air tubing - problem with the pump mechanism # # # recommendations - inspect the cuff for any physical damage or wear and tear. replace if necessary. - check the air tubing for any leaks or blockages. tighten or replace connections as needed. - troubleshoot the pump mechanism according to manufacturer's instructions. consider replacing if repairs are unsuccessful. @topic:5


# # # issue : - raugkan has failure # # # impact : - patient fall risk, long repair time # # # possible causes : - break handle lock knob - broken frame - missing or damaged mounting hardware # # # recommendations : - replace handle lock knob - replace frame - install or replace mounting hardware @topic:6


* * issue : * * ekg lead wire failure * * impact : * * patient monitoring may be compromised due to inaccurate or incomplete data. * * possible causes : * * * * * deterioration of the ekg lead wire : * * over time, the lead wire can become damaged due to wear and tear, resulting in breaks or shorts. * * * improper handling or storage : * * rough handling or improper storage can damage the lead wire, leading to its failure. * * * interference from other devices : * * electromagnetic interference from nearby medical devices can interfere with the lead wire's signal, causing it to malfunction. * * recommendations : * * * * * regular inspection and maintenance : * * monitor should be regularly inspected for any signs of lead wire damage. proper maintenance should be performed to prevent premature failure. * * * careful handling and storage : * * lead wire should be handled with care and stored properly to prevent damage. * * * elimination of interference : * * ensure that the monitor is placed away from potential sources of electromagnetic interference. * * * equipment upgrades : * * consider upgrading to a newer monitor model that may have improved lead wire durability and interference resistance. @topic:18


” on page 8 - 31. ican turn on the monitor with ac power, but not battery power. the battery has lost its charge. charge the battery. for more information, see “ charging the battery ” on page 3 - 3. the battery or connector is loose. reseat both the battery and battery cable. the battery does not have a connection to the main board. replace the battery board. see " removing the battery connector board ” on page 8 - 38. the main board has malfunctioned. replace the main board. see " removing the main pcb ” on page 8 - 31. i can't get the monitor to turn on with either ac or battery power. the lcd, cables, battery, power supply, or main pcb has malfunctioned. follow the steps in the decision tree in the following power problem diagram. 7 - 6 troubleshooting troubleshooting charts display problems symptom possible cause action power is on, but the monitor screen is blank the monitor is in power save mode. push the power button to end power save mode. the speaker and / or fan cables are not connected to the main pcb. make sure that the speaker and fan cables are securely connected to the main pcb. there is a bad connection with the backlight lcd ensure that there is a proper connection between the cable, lcd, backlight and main board. there is a bad backlight inverter. replace the lcd. see “ removing the lcd " on page 8 - 41. there is a bad lcd. replace the backlight board. see removing the backlight board on page 8 - 45 the main board has malfunctioned. replace the main board. see “ removing the main pcb ” on page 8 - 31. the monitor displays random / distorted graphics with a white background. the lcd cable is not attached correctly open the monitor and @topic:2


analysis is switched off when arrhythmia analysis is switched off, only these hr - related alarms will be detected : • the asystole alarm • the ventricular fibrillation / tachycardia alarm • the extreme tachycardia and extreme bradycardia alarms • the high heart rate and low heart rate alarms. enhanced asystole detection in order to improve alarming on asystole under certain conditions, you can set asystole detect. in configuration mode to enhanced. in enhanced mode an asystole alarm will be suppressed for up to five seconds if a valid beat - to - beat pulse is detected from a pressure. 131 6 ecg, arrhythmia, st and qt monitoring ecg safety information ecg safety information caution interference from instruments near the patient and esu interference can cause problems with the ecg wave. see the monitor specifications for more information. warning defibrillation and electro surgery : do not touch the patient, or table, or instruments, during defibrillation. after defibrillation, the screen display recovers within 10 seconds if the correct electrodes are used and applied in accordance with the manufacturers instructions. ecg cables can be damaged when connected to a patient during defibrillation. check cables for functionality before using them again. according to aami specifications the peak of the synchronized defibrillator discharge should be delivered within 60 ms of the peak of the r wave. the signal at the ecg output on the intellivue patient monitors is delayed by a maximum of 30 ms. your biomedical engineer should verify that your ecg / defibrillator combination does not exceed the recommended maximum delay of 60 ms. when using electrosurgical ( es ) equipment, never place ecg electrodes near to the grounding plate of the es device, as this can cause a lot of interference on the @topic:8


male conductor coloring 1 blue 2 grey 3 nink 4 jf eer 1 5 wk 31 ellow 6 « tx 3 brown j red a 9 10 « 11 k | 12 ae k o typ - 13 14 15 16 t 18 19 - 20 nce « — — — — — — — — — — — — — sheld nc 54 mps predicitive temperature : wiring schematic plug 8 - pin / plug banana male / conductor coloring 1 < a oue 2 k | ae ) 3 ae pink i ae les > 4 5 « duk ellow 6 « uk brown 7 ae | red 8 « [ * x | | nce ~ ~ — shed s nc 55 mp5 taap : wiring schematic plug 8 - pin / plug banana male | conductor coloring 1 = e dll blue 2 ar iz 3 e 1e 4 ar eer — 5 « — dk allow 6 e eom fi — lk | = 8 aek | 56 s ( 1 ) : detachable power cord protective earth test ( optional ) this test can be performed upon request by the customer. test to perform : use an ohmmeter to measure the earth wire resistance of the detachable power cord. this safety test is based on iec / en 60601 - 1, iec / en 62353, ul2601 - 1 ed. 2 / ul60601 - 1 : 2003 and csa 601. 1 - m90. report the highest value ( x1 ). expected test results protective earth resistance test x1 < = 100mohms note - if the protective earth resistance test fails, testing must be discontinued immediately and the device under test must be repaired or labeled as defective. - hlex the power cord during the protective earth resistance test to evaluate its integrity. if it does not pass the test, exchange the power cord. - @topic:10


them with the knowledge and skills to identify potential issues and address them promptly, minimizing the risk of device failure. @topic:12


# # # issue - the endosmart box is not turning on. # # # impact - the endosmart box is a critical piece of equipment used during laparoscopic surgeries. if it is not functioning properly, it could delay or even cancel the surgery. # # # possible causes - the adapter for the endosmart box is loose or disconnected. - the endosmart box is not receiving power. - the endosmart box is defective. # # # recommendations - check the adapter to make sure that it is properly connected. - check the power cord to make sure that it is plugged into a working outlet. - if the adapter and power cord are both secure, then the endosmart box may be defective and will need to be replaced. @topic:13


* * issue : * * unable to adjust the feet of the electric bed. * * impact : * * the bed cannot be adjusted to the desired height for patient comfort or medical procedures. * * possible causes : * * * * 1. misaligned or damaged locking mechanism : * * * the locking mechanism that secures the feet in place may be misaligned or damaged, preventing the adjustment of the feet. * * 2. obstructed or broken cables : * * * the cables connecting the foot controls to the motor may be obstructed or broken, hindering the transmission of signals for foot adjustment. * * 3. faulty motor or control unit : * * * the motor or control unit responsible for operating the feet may be faulty, causing them to malfunction or become unresponsive. * * 4. software error : * * * in advanced beds with computerized controls, a software error may prevent the system from executing commands for foot adjustment. * * recommendations : * * * * 1. inspect and realign locking mechanism : * * * check if the locking mechanism is properly aligned and secure. if it is misaligned, adjust it accordingly. if it is damaged, replace it. * * 2. examine and repair cables : * * * inspect the cables for any cuts, breaks, or obstructions. repair or replace any damaged cables. * * 3. test motor and control unit : * * * disconnect the bed from power and carefully inspect the motor and control unit for any visible damage or loose connections. if possible, perform diagnostic tests to identify any faults. * * 4. check for software updates : * * * for beds with computer controls, check if any software updates are available and install them if necessary. * * 5. seek professional assistance : * * * if the above steps do not resolve the issue, it is recommended @topic:1


as a manual blood pressure cuff or pulse oximeter, to ensure accurate and timely monitoring of the patient's vital signs. @topic:17


verification testing suresigns vs4 service guide 3 - 13 nbp test nbp test these tests check the performance of the non - invasive blood pressure measurement : e nbp accuracy e nbp calibration procedure ( if required ) e nbp pneumatic leakage to perform these tests, you need : e a reference manometer ( includes hand pump and valve ), accuracy 0. 2 % of reading e an expansion chamber ( volume 250 ml + 10 % ) e appropriate tubing nbp accuracy to test the nbp accuracy : step 1 connect the manometer and the pump with tubing to the nbp connector on the monitor. 2 connect the tubing to the expansion chamber ( 250 ml cylinder ). expansion chamber manometer monitor 3 open the maintenance options in the system diagnostics menu. see “ accessing maintenance options ” on page 3 - 11. performance verification testing 3 - 14 suresigns vs4 service guide nbp test step 4 select nbp test. the nbp test window appears. nbp test start static pressure test nbp calibration firmware version : 0. 33 5 select the start static pressure test button to start the test. 6 squeeze the manometer pump and apply a pressure of 280 mmhg. 7 wait 10 seconds for the pressure to stabilize. note the pressure displayed in the nbp test window. the value should be 280 mmhg + 3 mmhg. note — philips employees record this value as x1. 8 squeeze the manometer pump to apply a pressure of 150 mmhg to the monitor. 9 wait 10 seconds for the pressure to stabilize. note the pressure displayed in the nbp test window. the value should be 150 mmhg + 3 mmhg. note — philips employees record this value as x2. 10 select the stop static pressure test button to @topic:17


sensor not connected facility = < pri > ÷8 = 150÷8 = 18. 75 = 18 when rounded down = service messages ( aka local - 2 ) severity = < pri > - ( facility x 8 ) = 150 - ( 18 x 8 ) = 150 - 144 = 6 = info 158 troubleshooting welch [UNK] connex® spot monitor ossible caussymptom general plug the device into the electrical outlet and then connect the power supply to he device. all tests for the device were not. the device is not connected to a power run with the welch allyn service tool. supply. upplyre - boot the device and the pc. relaunch the welch allyn service tool and retest the device. initialization of the device and the welch allyn service tool is required. connect ac power to wake up the battery. the device does not power up. a new battery was installed. connect ac power to charghe battery. the battery is discharged. replace the power switch. check the output voltage on the power supply. the voltage should be 15 v± 0. 45v dc. if iis not, replace the power supply. charge the battery for 5 houif the battery icon on the display still shows an empty battery symbol, replace the attery. the main board is defective. touchscreen needs calibration. the touchscreen is unresponsive. calibrate the touchscreen. run the host calibratiosequence from the service replace the lcd / touchscreen. the device does not signal alarm limit settings are set too high or too low. adjust the alarm limit settings. alarm conditions for the nursall option. audio alarms have been silenced. turn on audio alarms. run the host calibration sequence from the servicool. a hardware component has failed. service manual troubleshooting 159 ossible caussym @topic:22


# # # issue - equipment failure : the beds, electric equipment, specifically the huntleigh model contoura 390, has been reported as non - functional and beyond repair. # # # impact - patient care : the failure of this equipment may impact the availability of necessary medical equipment for patient care, potentially leading to delays or disruptions in patient treatment. - safety : a non - functional medical device can pose a safety risk to patients and staff, if not handled appropriately. # # # possible causes - missing control box : the reported cause of failure is the absence of the control box, an essential component for the proper functioning of the equipment. - wear and tear : extended use and aging equipment may lead to component failures or degradation, including the control box. - electrical malfunction : electrical faults or damage to the control box or other electrical components can result in equipment failure. # # # recommendations - prompt investigation : the hospital's biomedical engineering ( bme ) team should conduct a thorough investigation to determine the exact cause of the failure and assess the extent of the damage. - repair or replacement : depending on the findings of the investigation, the bme team should determine whether the equipment can be repaired or if a replacement is necessary. - preventative maintenance : regular maintenance and inspection of medical equipment can help prevent failures and extend the lifespan of the equipment. - staff training : ensure that staff responsible for operating and maintaining medical equipment are adequately trained and follow proper protocols. - vendor support : contact the equipment vendor for technical assistance or repair options if necessary. @topic:9


# # # issue - ppv value is not displayed. # # # impact - clinicians may not have access to accurate patient vital signs, which can delay diagnosis and treatment. # # # possible causes - abp ( arterial blood pressure ) sensor is not properly connected. - abp sensor is malfunctioning. - monitor is not receiving data from the abp sensor. - monitor is not programmed to display ppv value. # # # recommendations 1. check the connection between the abp sensor and the monitor. 2. replace the abp sensor. 3. check the monitor's settings to ensure that it is programmed to display ppv value. 4. contact the manufacturer for further assistance. @topic:15


# # # issue battery failure # # # impact the medical device may not be able to operate properly, which could lead to a patient safety incident. # # # possible causes * the battery may have reached the end of its lifespan. * the battery may have been damaged. * the battery may not have been properly installed. # # # recommendations * replace the battery with a new one. * inspect the battery for any damage. * ensure that the battery is properly installed. @topic:11


# # # issue - head of the bed cannot be adjusted. # # # impact - patient discomfort - difficulty in providing medical care - increased risk of accidents # # # possible causes - faulty lock button - mechanical failure in the adjustment mechanism - electrical fault # # # recommendations - inspect the lock button and ensure it is functioning properly. - check the adjustment mechanism for any signs of wear or damage. - test the electrical connections and ensure they are secure. @topic:1


# # # issue - sensor simulator cable malfunction # # # impact - bis ( bispectral index ) monitoring is not available # # # possible causes - cable damage # # # recommendations - replace the sensor simulator cable with a new one @topic:22


# # # issue - medical cart is showing high temperature and humidity readings. # # # impact - inaccurate temperature and humidity readings can lead to improper storage of medical supplies, which could compromise their quality and effectiveness. # # # possible causes - incorrect configuration of temperature and humidity offset values. # # # recommendations - recalibrate the medical cart's temperature and humidity sensors using a standard reference instrument. - adjust the temperature and humidity offset values to appropriate levels to ensure accurate readings. @topic:20


# # # issue - defunct lock module # # # impact - inability to secure the monitor to the bedside, posing a safety risk to patients and healthcare professionals. # # # possible causes - physical damage due to mishandling or accidental impact - excessive force applied to the lock module during installation or removal - wear and tear over time due to frequent use - manufacturing defect # # # recommendations - inspect the lock module regularly for any signs of damage or wear. - handle the monitor with care to prevent physical damage. - ensure proper installation and removal of the lock module according to manufacturer instructions. - report any concerns or defects to the manufacturer promptly. - consider upgrading to a monitor with a more robust lock mechanism to minimize the risk of future failures. @topic:2


# # # issue - bed fails to adjust to desired position. # # # impact - patient discomfort and / or injury - delays in patient care # # # possible causes - * * electrical failure : * * the bed's electrical system may have malfunctioned, preventing the motors from functioning properly. - * * mechanical failure : * * the bed's mechanical components, such as the gears or hydraulics, may have failed, preventing the bed from adjusting smoothly. - * * control panel malfunction : * * the bed's control panel may have become damaged or unresponsive, preventing the operator from adjusting the bed's position. - * * operator error : * * the operator may have incorrectly operated the bed, causing it to malfunction. # # # recommendations - check the bed's electrical connections and ensure that the power supply is stable. - inspect the bed's mechanical components for any signs of damage or wear. - test the bed's control panel to ensure that it is functioning properly. - provide training to operators on the proper use and maintenance of the bed. @topic:1


# # # issue - equipment is malfunctioning ( turning on and off intermittently ). # # # impact - the equipment is unavailable for use, which could delay or compromise patient care. # # # possible causes - the main board is faulty. # # # recommendations - replace the main board. @topic:12


# # # issue - co2 leak from the cylinder # # # impact - the medical device may not function properly or may be damaged. - the leak could pose a safety hazard to patients and staff. # # # possible causes - loose connection between the cylinder and the device - damaged cylinder valve - faulty regulator # # # recommendations - check the connection between the cylinder and the device and tighten if necessary. - inspect the cylinder valve for damage and replace if necessary. - replace the regulator if it is faulty. @topic:4


touch screen. the touch screen is locked. on the system menu, select the unlock touch screen button. see “ accessing the system menu ” on page 3 - 4. the touch screen is not configured. in the configuration menu, select the touch screen button. for more information, see the “ setting the system configuration ” on page 5 - 35. the touch screen is not calibrated. calibrate the touch screen. see “ calibrating the touch screen ” on page 3 - 22. the touch screen malfunctioned. replace the touch screen. see “ removing the lcd assembly ” on page 5 - 44. recorder problems symptom possible cause action the recorder paper is jamming. the paper is not installed correctly. remove paper and reinstall correctly. the wrong type of paper is installed. use only the recommend recorder paper. the recorder has a mechanical problem. replace the recorder module. see “ removing the faceplate or recorder ” on page 5 - 16. suresigns vs4 service guide troubleshooting 4 - 9 troubleshooting tables symptom possible cause action the recorder does not print. the recorder is out of paper. install a new roll of paper. the recorder door is open. open the recorder door, and then close it again. the system does not recognize the recorder. check the recorder ’ s physical connections. see “ removing the faceplate or recorder ” on page 5 - 16. the recorder module malfunctioned. | replace the recorder module. see “ removing the faceplate or recorder ” on page 5 - 16. the main board malfunctioned. replace the main board. see “ removing the main board ” on page 5 - 31. nurse call problems symptom possible cause action the nurse call function does not signal alarm conditions. minimum nurse call alarm priority | specify an appropriate minimum nurse is set too high. call alarm @topic:22


# # # issue - the electric bed by hill - rom ( model : care assist es230 ) is not able to adjust. # # # impact - the patient may not be able to get in or out of bed safely. - the patient may not be able to be positioned comfortably for treatment or procedures. # # # possible causes - the bed's electrical system may be malfunctioning. - the bed's mechanical components may be damaged. - the bed's software may be corrupted. # # # recommendations - check the bed's electrical connections and fuses. - inspect the bed's mechanical components for damage. - update the bed's software if necessary. - if the problem persists, contact the manufacturer for further troubleshooting assistance. @topic:9


# # # issue : - vital signs monitor ( connex spot monitor ) displays an error message indicating that the temperature sensor is not functioning ( error code : 3fff01 ). # # # impact : - inability to accurately measure and monitor patient's temperature, which is crucial for assessing their overall health status and identifying potential health issues. # # # possible causes : - * * hardware malfunction : * * the temperature sensor or its associated circuitry may have failed due to component wear, manufacturing defects, or exposure to extreme conditions. - * * software issue : * * the software controlling the temperature measurement may have encountered a bug or corruption, resulting in inaccurate readings or error messages. - * * loose connections : * * poor connections between the temperature sensor and the monitor can disrupt signal transmission, leading to erroneous temperature readings. - * * sensor degradation : * * over time, the temperature sensor may become less sensitive or accurate due to prolonged use or exposure to certain environmental factors. - * * environmental factors : * * extreme temperatures, humidity, or electromagnetic interference can potentially affect the performance of the temperature sensor. # # # recommendations : - * * troubleshoot hardware : * * - inspect the temperature sensor and its connections for any visible damage or loose contacts. - perform diagnostic tests to verify the functionality of the sensor and associated circuitry. - * * update software : * * - check for any available software updates and install them to address potential bugs or compatibility issues. - * * replace sensor : * * - if the temperature sensor is confirmed to be faulty, replace it with a new one to restore accurate temperature measurements. - * * environmental control : * * - ensure that the monitor and temperature sensor are used within the specified environmental conditions to prevent interference or degradation. - * * regular maintenance : * * - perform regular preventive maintenance tasks, such as cleaning, calibration, @topic:20


* * issue : * * - keypad malfunction resulting in intermittent flashing and inability to adjust the bed. * * impact : * * - compromised patient care and comfort due to the inability to adjust the bed position. - potential for increased pressure ulcers and respiratory complications. * * possible causes : * * - * * short circuit in the keypad : * * electrical current flowing between two points on the keypad where it should not, causing erratic behavior or failure. - * * loose connections or faulty wiring : * * inadequate contact or broken wires between the keypad and other components. - * * liquid or debris ingress : * * contaminants entering the keypad can cause corrosion or short circuits. - * * manufacturing defects : * * faulty components or assembly errors. - * * overuse or mishandling : * * excessive force or repeated use can damage the keypad's delicate circuitry. * * recommendations : * * - * * troubleshooting : * * inspect the keypad for any visible damage, loose connections, or contamination. - * * replacement : * * if troubleshooting does not resolve the issue, consider replacing the keypad with an oem - recommended part. - * * maintenance : * * regular cleaning and inspection of the bed and its components can help prevent keypad failure. - * * training : * * provide user education on proper handling and care of the bed to minimize misuse and damage. - * * monitoring : * * regularly monitor the bed's functionality and report any abnormalities promptly to avoid potential safety concerns. @topic:25


# # # issue battery failure in a bedside physiologic monitor # # # impact - interruption of patient monitoring - potential for inaccurate or delayed patient data # # # possible causes - depleted battery - loose or corroded battery connections - faulty battery - excessive heat or cold # # # recommendations - regularly inspect and replace batteries as needed - ensure that battery connections are clean and tight - use high - quality batteries from reputable manufacturers - store and operate equipment within recommended temperature ranges @topic:11


# # # issue : battery and cuff failure # # # impact : inaccurate blood pressure readings # # # possible causes : - battery depletion : the battery may have reached the end of its life and is no longer able to provide sufficient power to the monitor. - cuff damage : the cuff may be damaged, causing air leaks or inaccurate pressure readings. # # # recommendations : - replace the battery with a new one of the same voltage and amperage. - inspect the cuff for any damage and replace it if necessary. @topic:14