philips makes no warranty of any kind with regard to this material, including, but not limited to, the implied warranties or merchantability and fitness for a particular purpose. philips shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this material. passwords in order to access different modes within the monitor a password may be required. the passwords are hsted below. caution your hospital / organization is responsible that the passwords listed below are revealed to authorized personnel only. monitoring mode : no password required configuration mode : 71034 demo mode : 14432 service mode : 1345 consult the configuration guide before making any changes to the monitor configuration. 6 1 introduction ) safety information warnings and cautions in this guide : • a warning alerts you to a potential serious outcome, adverse event or safety hazard. failure to observe a warning may result in death or serious injury to the user or patient. • a caution alerts you where special care is necessary for the safe and effective use of the product. failure to observe a caution may result in minor or moderate personal injury or damage to the product or other property, and possibly in a remote risk of more serious injury. eiectricai hazards and interference warning grounding : to avoid the risk of electric shock, the monitor must be grounded during operation. if a three - wire receptacle is not available, consult the hospital electrician. never use a three - wire to two - wire adapter. electrical shock hazard : do not open the monitor or measurement device. contact with exposed electrical components may cause electrical shock. refer servicing to qualified service personnel. leakage currents : if multiple instruments are connected to a patient, the sum of the leakage currents may exceed the hmits given in lec / en 60601 - 1, lec 60601 @topic:10


# # # issue - bed cannot be adjusted to a higher position. # # # impact - patient discomfort - difficulty in providing care - potential safety hazard # # # possible causes - malfunctioning motor - broken gears or cables - electrical fault - user error # # # recommendations - check if the bed is plugged in and the power switch is turned on. - inspect the motor, gears, and cables for any damage or wear. - check the electrical connections for any loose or damaged wires. - test the bed with a different patient or load to isolate the issue. - consult with the manufacturer or a qualified technician for further troubleshooting and repair. @topic:1


screen keyboard and use this to enter the correct value. values edited manually are marked with an asterisk symbol ( * ). if you enter a value that has more decimal places than allowed for a particular input, the value you enter will be rounded off after you select enter. if you enter a value which cannot be stored, the message warning : value out of range will appear. enter a new value. in hemodynamic calculations, if the systolic and diastolic pressures are manually entered, the mean pressure is calculated and marked with an asterisk. the formula used to estimate the mean pressure is [ systolic + ( diastolic x 2 ) ] / 3. automatic value substitution if the monitor cannot find a value required for calculation, it automatically tries to find an equivalent source for this value. for example, if c. o. is required but unavailable, the monitor automatically looks for cco as a alternative source of c. o. values, or an alternative pressure label may be used instead of abp. the label of the value in the calculations window does not change. substituted values are marked with an asterisk ( * ). automatic unit conversion the monitor needs consistent units for performing calculations. it automatically converts units where necessary before it performs the calculation, for example, pressures sourced in kpa, cmh 2 0, or mbar are automatically converted to mmhg, or to cmh 2 0 for ventilation calculations. manual unit conversion if you need to convert units for other purposes you can use the unit conversion window : 1 select main setup - > calculations 2 select unit conversion. 3 select the field under the unit you know and use the on¬ screen keypad to enter the known value. the converted value automatically appears in the adjacent field. unit conversion fahrenheit celsius 104. 00 | 40. 00 inch centimeter 7. 48 | 19 @topic:17


# # # issue the cause of failure is not specified in the given input. # # # impact the impact of the failure is not specified in the given input. # # # possible causes since the cause of failure is not specified, the possible causes cannot be determined. # # # recommendations since the cause of failure is not specified, no recommendations can be made. @topic:12


# # # issue - bp ( blood pressure ) value is low. # # # impact - inaccurate or unreliable blood pressure readings, which can lead to incorrect diagnosis or treatment decisions. # # # possible causes - * * faulty cuff : * * deteriorated cuff fabric can result in poor sealing, leading to inaccurate pressure measurements. # # # recommendations - * * replace cuff : * * replace the deteriorated cuff with a new one to ensure proper sealing and accurate pressure readings. - * * regular maintenance : * * regularly check the cuff for signs of wear or damage and replace it as necessary to prevent similar failures. - * * calibrate equipment : * * after replacing the cuff, calibrate the equipment to ensure accurate and reliable readings. @topic:3


# # # issue - non - functional nibp ( non - invasive blood pressure ) pump # # # impact - patient monitoring is compromised - inability to obtain accurate blood pressure readings - delays in diagnosis and treatment # # # possible causes - hardware failure of nibp pump - software malfunction - electrical problems - insufficient maintenance or calibration - user error # # # recommendations - replace the faulty nibp pump - update software if necessary - check electrical connections and ensure proper grounding - establish regular maintenance and calibration schedules - train users on proper operation and troubleshooting techniques @topic:15


# # # issue - the patient monitor is unable to measure vital signs accurately due to a loose cuff. # # # impact - the patient's vital signs may not be monitored accurately, which could lead to delayed or incorrect treatment. # # # possible causes - the cuff may be the wrong size for the patient. - the cuff may be damaged or worn out. - the cuff may not be properly attached to the patient. # # # recommendations - ensure that the cuff is the correct size for the patient. - inspect the cuff for any damage or wear and tear. - properly attach the cuff to the patient. @topic:5


with a control unit on a flexible arm *, they can be ordered as sory with the p / n ad280b '. positioning the control unit on a flexible arm a the position of the flexible arm must be changed by two people and when the bed is to change the position of the flexible arm : before using this function, check that no obstacles ( e. g., objects, accessories, power cables ) or persons ( especially children ) are under the sleep surface and that none of the patient's limbs protrude beyond the edges of the sleep surface. an intermittent beep sounds when one of the bed's movements is hindered. when descending to the low position, make sure that : the drainage devices do not come into contact with the floor. - - the elevation arms do not hit the chassis of the viking xl patient hoist if the bed is eter casters *. use the hilow feature of the sleep surface to adjust the bed to the required height when the patient must be moved. hi - r hill - rom the hilow lock out on the foot control pendant or on the control unit on a flexible arm does not lock out the hilow pedal, which remains operational. by default, the pedal is locked to avoid accidental movement. it is necessary to unlock the hilow pedal before use. after about one minute, caregiver mode is deactivated automatically. raising / lowering the head and thigh sections [UNK] if the bed is fitted with an electric thigh section with the autocontour function, the thigh section function must be inhibited using the control unit in order to move the head section only. before adjusting the head section, check that there are no obstacles preventing the section from being lowered or moving ( e. g., limbs, electric cables, foreign bodies or accessories ). an intermittent beep sounds when one of the bed's movements is hindered @topic:9


# # # issue - the bed is not adjusting properly. # # # impact - the bed is not able to be used by patients. - the bed is not able to be used by medical staff. # # # possible causes - the electrical cord is damaged. - the electrical cord is not properly connected. - the electrical cord is not plugged into the wall. - the bed motor is not working properly. - the bed frame is damaged. - the bed is not properly assembled. # # # recommendations - check the electrical cord for damage. - check the electrical cord connections. - check the electrical cord is plugged into the wall. - check the bed motor for proper operation. - check the bed frame for damage. - check the bed is properly assembled. @topic:1


# # # issue * malfunctioning medical cart due to broken wheels, rendering it immobile. # # # impact * hindered mobility of the medical cart, leading to potential delays or disruptions in healthcare delivery. # # # possible causes * * * wear and tear : * * extensive use of the medical cart over time can lead to gradual deterioration and breakage of its components, including the wheels. * * * overloading : * * exceeding the designated weight capacity of the cart can put undue stress on its components, potentially causing premature failure. * * * defective manufacturing : * * faulty materials or improper assembly during manufacturing can result in weakened components that are more susceptible to breakage. * * * rough handling : * * improper handling or accidental impacts can damage the wheels, making them unserviceable. # # # recommendations * * * regular maintenance : * * periodically inspect and service the medical cart to identify and address potential issues early on, including checking the condition of the wheels. * * * proper usage : * * adhere to the recommended weight capacity and operate the cart carefully to prevent overloading or rough handling. * * * manufacturer guidelines : * * follow the manufacturer's instructions for assembly, maintenance, and usage to ensure the cart is used appropriately. * * * replacement : * * replace damaged wheels promptly to restore the cart's functionality and prevent further complications. @topic:24


* * issue : * * printer not working * * impact : * * inability to print patient data, reports, or other necessary documents. * * possible causes : * * * loose connection between the monitor and printer * faulty printer cable * printer hardware malfunction * software issues on the monitor or printer * paper jam or other mechanical issue within the printer * * recommendations : * * * * * verify and secure the connection between the monitor and printer : * * ensure that the plugs are securely inserted and that the cable is not damaged. * * * replace the printer cable : * * if the connection appears secure, replace the cable to eliminate any potential cable faults. * * * troubleshoot the printer : * * perform a diagnostic test on the printer to identify any hardware issues. contact the manufacturer for support if necessary. * * * check software settings : * * ensure that the correct printer is selected in the monitor's software settings. update printer drivers or software if required. * * * inspect the printer for mechanical issues : * * check for any paper jams or other obstructions that may prevent printing. ensure that the printer is properly ventilated and not overheating. @topic:28


# # # issue * failure of bedside physiologic monitor # # # impact * inability to accurately monitor patient's vital signs * potential for delayed or inaccurate diagnosis and treatment # # # possible causes * equipment malfunction * damage to monitor or accessories * failure to properly maintain equipment * user error # # # recommendations * * * equipment malfunction : * * contact the manufacturer for repair or replacement. * * * damage to monitor or accessories : * * inspect the monitor and accessories for visible damage. replace any damaged components. * * * failure to properly maintain equipment : * * follow the manufacturer's maintenance schedule for the monitor and accessories. * * * user error : * * train users on the proper operation and maintenance of the monitor and accessories. @topic:2


* * issue : * * the input report does not provide any information about the cause of failure. * * impact : * * without an understanding of the cause of failure, it is impossible to prevent similar failures from occurring in the future. this could lead to significant downtime, wasted resources, and patient safety risks. * * possible causes : * * it is impossible to determine the possible causes of failure without further information. however, some common causes of medical device failures include : * design defects * manufacturing defects * improper use or maintenance * environmental factors * human error * * recommendations : * * * conduct a thorough investigation to determine the root cause of the failure. * implement corrective actions to prevent similar failures from occurring in the future. * train staff on proper use and maintenance of the device. * regularly inspect and maintain the device to identify and address potential problems early. @topic:12


guide table b - 2 electromagnetic immunity ( esd, eft, surge, dips and magnetic field ) immunity test iec 60601 compliance | electromagnetic environment - test level level guidance electrostatic + 6 kv contact + 6 kv contact | floors should be wood, concrete, or discharge ( esd ) | + 8 kv air freva ceramic tile. if floors are covered tec 61000 - 4 - 2 = ~ with synthetic material, the relative humidity should be at least 30 %. electrical fast + 1 kv differential + 1 kv in the event of reduced transient / burst mode + 1 kv performance, it may be necessary to iec 61000 - 4 - 4 > ew common tode = operate the patient monitor from a ~ filtered power connection or battery powered ( no electrical connection to the ac mains while monitoring. ) surge + 1 kv differential + 1kv mains power quality should be that iec 61000 - 4 - 5 mode + 2kv of a typical commercial and / or horv common mode = hospital environment. voltage dips, < 5 % uy < 5 % ur short ( > 95 % dip in ur ) for interruptions, and | 0, 5 cycle voltage variations on power supply 40 % ur : 40 % ur input lines ( 60 % dip in ur ) for 5 cycles iec 61000 - 4 - 11 70 % ur ( 30 % dip in uy ) 70 % ur for 25 cycles < 5 % uy ( > 95 % dip in ur ) for 5 sec < 5 % ur power frequency | 3 a / m 3 a / m power frequency magnetic fields ( 50 / 60 hz ) should be at levels characteristic of magnetic field a typical location in a typical iec 61000 - 4 - 8 commercial or hospital environment. note — uris the ac mains voltage prior to application of the test level. electromagnetic compatibility suresigns vs4 service @topic:10


# # # issue : keypad malfunction in hill - rom care assist es electric bed # # # impact : impairs bed functionality, hindering patient care and safety operations # # # possible causes : - * * physical damage : * * keypad buttons may have been damaged due to excessive pressure, spills, or accidental impact. - * * electrical fault : * * internal electrical connections within the keypad may have become loose, corroded, or shorted, disrupting signal transmission. - * * firmware issues : * * software or firmware within the keypad may have encountered glitches, causing it to malfunction. - * * manufacturing defect : * * there may have been a defect in the keypad during the manufacturing process, leading to its premature failure. # # # recommendations : - * * replace the keypad : * * the faulty keypad should be replaced with a new or refurbished one to restore bed functionality. - * * inspect electrical connections : * * verify that all electrical connections between the keypad and the bed's control unit are secure and free of corrosion. - * * update firmware : * * if applicable, check for any available firmware updates for the keypad and install them to address potential software bugs. - * * contact the manufacturer : * * if the problem persists after replacing the keypad, consider contacting the manufacturer for further troubleshooting and potential repair or replacement. @topic:25


# # # issue - cuff connector failure # # # impact - inaccurate or unreliable vital signs measurements # # # possible causes - wear and tear - damage during cleaning or disinfection - manufacturing defect # # # recommendations - regularly inspect the cuff connector for damage or wear. - handle the cuff and connector with care during cleaning and disinfection. - consider replacing the cuff connector if it shows signs of damage or if it causes repeated measurement errors. @topic:5


# # # issue physiological monitor ( mobile ) by ge healthcare model carescape v100 is experiencing spo2 failure. # # # impact the failure of the spo2 sensor can hinder the accurate measurement of oxygen saturation levels in patients, which can delay diagnosis and treatment. # # # possible causes 1. defective or damaged spo2 sensor. 2. loose or faulty connections between the spo2 sensor and the monitor. 3. electrical interference from nearby devices. 4. software issues within the monitor. # # # recommendations 1. replace the spo2 sensor with a new one ( lot 13kbs has been mentioned in the input ). 2. check and secure the connections between the spo2 sensor and the monitor. 3. identify and eliminate any sources of electrical interference in the vicinity of the monitor. 4. update the monitor's software to the latest version if available. 5. perform regular preventive maintenance and calibration of the monitor to minimize the risk of future failures. @topic:4


available in the list and cannot be switched on or off here. the monitor displays the inop message some ecg alarmsoff, if configured, when more alarms are switched off than configured in your active profile. switching all yellow arrhythmia alarms on or off all yellow arrhythmia alarms can be switched on and off together. to do this, in the setup arrhy menu, select all yellow off or all yellow on. • some arrhythmia alarms have limits which can be individually adjusted : vtach hr, vtach run, pvcs / min, vent rhythm, svt hr, svt run, asystole thresh., pause threshold, afib / ihr end dly. to adjust alarm limits, in the setup arrhy menu, select the alarm to be adjusted. 1 2 select the appropriate setting from the pop - up list. normally, an arrhythmia alarm is announced when an alarm condition is detected. however, there are certain situations that can inhibit the audible and visible indications of the alarm even though the alarm condition was detected. these include : if a more serious alarm condition is active in the same chain if a timeout period is in effect for a particular alarm • if a timeout period is in effect for a higher alarm in that chain. • see " arrhythmia alarm chaining " on page 162 for more details on alarm chains. what is a timeout period? timeout periods are automatically started when a yellow arrhythmia alarm is detected. during this period, the same alarm condition will not generate another alarm. alarm conditions further down the same arrhythmia alarm chain will also not generate an alarm, but alarms further up the chain will : see " arrhythmia alarm chaining " on page 162. to view the timeout period configured for your monitor @topic:8


battery technical alarms appear in the monitor ’ s message area : e low batt — remaining battery power is less than 30 %. + extreme low batt — remaining battery power is less than 21 %. error codes an error code ( for example, 257 system error, indicating battery charger power failure ) appears in the error log. to view the error log, see “ viewing, exporting, and printing ( vs2 * monitor only ) the error log ” on page 4 - 36. for a complete list of error codes and actions to take, see chapter 4, “ troubleshooting. ” performing routine maintenance suresigns vs2 * and vsi service guide 3 performance verification testing this chapter includes the following information : e testing and inspection guidelines + recommended frequency of performance tests ¢ test procedures following monitor repair or during routine maintenance e calibration procedures if the monitor fails any test, it must be repaired before it is returned to use. note — the procedures in this chapter assume knowledge of basic monitor operation. for information about using the monitor, see the instructions for use for your monitor. testing and inspection guidelines the following table lists the tests that philips requires you to complete after performing monitor installations, repairs, or software upgrades. for information about routine maintenance, see chapter 2, “ performing routine maintenance. ” for information about repair procedures, see chapter 5, “ repairing the monitor. ” after complete these tests upgrading the software power - on self test opening the monitor for any reason e power - on self test + alarms test e pneumatic leakage test e all safety tests replacing any internal parts e power - on self test ( except nbp module, spo, board, a pneumatic leakage test temperature module ) e all safety tests replacing the nbp module + power - on self test + nbp test e pneumatic leakage test e all safety tests replacing the @topic:11


# # # issue : excessive noise during pump operation # # # impact : - distraction for healthcare professionals - potential discomfort for patients # # # possible causes : - air bubbles in the pump system - faulty pump valves - worn or damaged pump components - insufficient lubrication - environmental factors ( e. g., high temperatures, humidity ) # # # recommendations : - * * verify air bubbles : * * check for and eliminate any air bubbles in the system. - * * inspect pump valves : * * ensure that the valves are functioning properly and free from debris. - * * examine pump components : * * inspect for signs of wear, damage, or misalignment. - * * lubricate : * * ensure that the pump components are adequately lubricated. - * * environmental checks : * * verify that the operating environment meets the manufacturer's specifications. - * * contact technical support : * * if the issue persists, contact the manufacturer's technical support team for further troubleshooting and repair. @topic:9


# # # issue - monitor not powering on # # # impact - inability to monitor patient's vital signs # # # possible causes - loose ac power cable - faulty power supply - internal hardware failure # # # recommendations - ensure the ac power cable is securely plugged into both the monitor and the power outlet. - if the power cable is secure, inspect the power supply for any visible damage or loose connections. - if the power supply appears to be intact, contact a qualified biomedical engineer to investigate potential internal hardware issues. @topic:2


# # # issue - the head section of the bed is not adjustable. # # # impact - the patient may not be able to be positioned comfortably in the bed. - the healthcare provider may not be able to access the patient's head or neck. # # # possible causes - electrical failure in the bed's motor or wiring. - mechanical failure in the bed's frame or gears. - loose or damaged connections. # # # recommendations - inspect the bed's motor, wiring, frame, and gears for any signs of damage or wear. - tighten any loose connections. - replace any damaged components. - test the bed to ensure that it is functioning properly. @topic:1


hard shutdown the configuration menu appears, for example : 1. rotate the wheel and press it to place a checkmark by each option in the monitor ; for example, ibp, c0 2 or large screen. 2. to save these settings to the main pcb, rotate the wheel to the return button. a confirmation window appears advising that the system will reboot. in the confirmation window, rotate the wheel to select yes and press the wheel. the monitor reboots. performing a hard shutdown perform a hard shutdown whenever you need to power down for a battery change. this ensures that all patient and system data is saved in memory. to perform a hard shutdown : 1. open the system admin section of the system menu. see “ accessing the system admin menu ” on page 5 - 2. 2. rotate the wheel until the shutdown button is highlighted and press the wheel. a confirmation window asks if you want to shut down the system. 3. in the confirmation window, answer yes. the system shuts down. 5 - 22 configuring the monitor 6 performance verification testing overview this chapter describes how to test the monitor following repairs or during routine maintenance. if the monitor fails any test, it must be repaired before it is returned to use. this chapter also includes information on testing and inspection guidelines and recommended frequency. important — many of the test procedures in this chapter assume knowledge of how to use the monitor. for details on using the monitor and its various menus, see the suresigns vm series patient monitors instructions for use. in this chapter • testing and inspection guidelines. 6 - 2 • recommended frequency. 6 - 3 • test recording. 6 - 4 • required test equipment. 6 - 5 • performing verification tests. 6 - 6 • visual test. 6 - 6 • power - on self test. 6 - 6 • alarms testing. @topic:10


# # # issue - battery failure in a vital signs monitor. # # # impact - the monitor may not be able to provide accurate or reliable readings, which could lead to patient harm. # # # possible causes - the battery may have reached the end of its lifespan. - the battery may have been damaged due to improper handling or storage. - the battery may not be compatible with the monitor. # # # recommendations - replace the battery with a new one that is compatible with the monitor. - inspect the monitor for any damage that may have caused the battery to fail. - train staff on proper handling and storage of batteries. @topic:11


issue persists, contact the manufacturer of the nibp monitor for further troubleshooting and support. @topic:15


# # # issue * bp ( blood pressure ) measurement is not functioning. # # # impact * accurate and timely blood pressure monitoring is crucial for patient care. * inaccurate or unavailable bp readings can delay diagnosis and treatment, potentially compromising patient safety. # # # possible causes * * * faulty sensor : * * the sensor responsible for measuring blood pressure may be malfunctioning or damaged. * * * loose connections : * * incorrect or loose connections between the sensor, monitor, and patient may interrupt signal transmission. * * * software glitch : * * the monitor's software may have encountered a bug or error that affects bp measurement. * * * hardware failure : * * internal components within the monitor, such as the processor or power supply, may have failed, impacting bp functionality. * * * external interference : * * nearby electrical devices or electromagnetic fields may be causing electromagnetic interference that disrupts bp readings. # # # recommendations * * * inspect sensor : * * check the bp sensor for any visible damage or contamination. clean or replace the sensor if necessary. * * * check connections : * * ensure that all connections, including the patient's cuff, are secure and properly plugged in. * * * restart monitor : * * power cycle the monitor to clear any software glitches or memory issues. * * * calibrate monitor : * * perform a calibration procedure to ensure accurate bp readings. * * * inspect internal components : * * if the above steps do not resolve the issue, consider inspecting the monitor's internal components for any damage or loose connections. * * * contact manufacturer : * * if the problem persists, contact the manufacturer for technical support and potential repair or replacement. @topic:15


malfunctioning pcb ( the original pcb that was installed when you started troubleshooting ) and continue troubleshooting as directed in this section. 73 4 troubleshooting software revision check software revision check some troubleshooting tasks may require that you identify the software revision of your monitor. you can find the software revision along with other information, such as the system serial number, in the monitor revision screen. to access the monitor revision screen : 1 enter the main setup menu and select revision 2 select product 3 select software revision 4 select the pop - up key for the device you want to check ( e. g. m8 0 04 a or m3 0 01a ) note the part numbers listed in the monitor revision screen do not necessarily reflect the part numbers required for ordering parts. please refer to the parts section for the ordering numbers. note the system serial number can also be found on the lower right corner on the front of the monitor. software compatibility matrix n ote the m8048a flexible module server ( fms ) and the m3000a mms are not supported. software revision marketing name m8003 / 4a m3001a b. o - supported released revison b. 05. 71 c. 00. 81 compatible revision b. 05. 67 a. 20. 27 b. 05. 73 b. 10. 83 d. 00. 54 e. oo. xx b. l - supported released revision b. 10. 86 c. 00. 81 compatible revision b. 10. 80 a. 20. 27 b. 10. 84 b. 05. 73 b. 10. 85 b. 10. 83 d. 00. 54 e. oo. xx c. o - supported released revision c. 00. 90 c. 00. 81 compatible revision b. 10. 80 a. 20. 27 b. 10. 84 b. 05. @topic:16


# # # issue - equipment malfunction due to loose knob on the medical device. # # # impact - interruption of patient monitoring due to unreliable or inaccurate data from the device. - potential risks to patient safety if vital signs are not accurately measured. - frustration and inconvenience for healthcare providers using the equipment. # # # possible causes - improper installation or tightening of the knob during initial setup or maintenance. - wear and tear over time due to frequent use or mishandling of the device. - manufacturing defect in the knob or its mounting mechanism. # # # recommendations - ensure proper training and guidelines for device handling and maintenance to prevent improper installation or tightening. - establish regular maintenance schedules to inspect and tighten loose components, including the knob. - report any manufacturing defects promptly to the device manufacturer for repair or replacement. - consider using locking knobs or other mechanisms to prevent accidental loosening during operation. @topic:12


# # # issue * monitor is not able to measure spo2 values accurately. # # # impact * clinicians may not be able to accurately monitor a patient's oxygen saturation levels, which can lead to delayed or incorrect treatment decisions. # # # possible causes * * * defective spo2 cable : * * the spo2 cable may be damaged or defective, preventing the monitor from receiving accurate data from the patient's finger. * * * loose connections : * * the spo2 cable may not be securely connected to the monitor or the patient's finger, resulting in intermittent readings or inaccurate data. * * * faulty spo2 sensor : * * the spo2 sensor in the monitor may be faulty or damaged, leading to inaccurate readings or no readings at all. * * * patient factors : * * patient factors such as poor circulation, skin pigmentation, or movement can interfere with accurate spo2 measurements. # # # recommendations * * * inspect the spo2 cable : * * check the spo2 cable for any visible damage or defects. replace the cable if necessary. * * * secure connections : * * ensure that the spo2 cable is securely connected to both the monitor and the patient's finger. * * * test the spo2 sensor : * * perform a test of the spo2 sensor using a calibration device to verify its accuracy. replace the sensor if necessary. * * * consider patient factors : * * take into account any patient factors that may affect spo2 measurements, such as poor circulation or movement, and adjust the monitoring strategy accordingly. @topic:4


* * issue : * * icu2 - 17 cannot control the bed / electric. * * impact : * * the bed cannot be used. * * possible causes : * * - short circuit in the power cord, causing the power to be cut off. * * recommendations : * * - replace the power cord. @topic:9


# # # issue - the remote for the bed is not functioning. # # # impact - patient or caregiver may not be able to use the bed comfortably or safely. - technician time and resources spent on troubleshooting and repair. # # # possible causes - battery failure - electrical malfunction within the remote - damage to the remote from mishandling or wear and tear # # # recommendations - replace the battery in the remote. - inspect the remote for any physical damage or loose connections. - if damage is found, repair or replace the remote as necessary. - educate staff and patients on proper handling and maintenance of the remote to prevent future issues. @topic:7


# # # issue - the medical cart is not powering on. # # # impact - the medical cart cannot be used to transport medical supplies and equipment. # # # possible causes - the power cord is not plugged in. - the power switch is not turned on. - the circuit breaker has tripped. - the fuse has blown. - the power supply is faulty. - the motherboard is faulty. # # # recommendations 1. check that the power cord is plugged in to a working outlet. 2. turn on the power switch. 3. reset the circuit breaker. 4. replace the fuse if it is blown. 5. contact a qualified biomedical engineer to troubleshoot the power supply or motherboard if the above steps do not resolve the issue. # # # additional information - the medical cart was restarted by a biomedical engineer ( bme ). - the bme tested the medical cart and found that it is working normally. - the cause of the failure is unknown. @topic:13


# # # issue - spo2 cable failure # # # impact - inability to measure patient's oxygen saturation levels # # # possible causes - damaged or defective cable # # # recommendations - cable replacement. @topic:4


the monitor's service mode. 83 4. using the sensor status provided in the m2741a serial protocol, wait for the m2741a sensor to warm up to its operating temperature. 5. zero the sensor. ensure zero gas is set to room air 6. attach a regulated flowing gas mixture of 5 % co2, balance n2 to the cal tube. 7. set the gas correction to off. 8. allow a few seconds for the gas mixture to stabilize and observe the co2 value. the expected value is 5 % of the ambient pressure + 2mmhg note make sure that you follow the above steps correctly. if the sensor fails this check it must be exchanged. the sensor cannot be calibrated example for an expected test result : the expected test result for an altitude of 0 m ( sea level ) at approximately 760 mmhg ambient pressure is : sidestream co2 accuracy 5 % of 760 mmhg pressure + 2mmhg 36 mmhg - test 40 mmhg note the expected test results will differ depending on the conditions ( 1. e. altitude or ambient pressure ). sidestream co2 flow check check the flow rate in the sidestream co2 extension as follows : 1. connect the flowmeter to the sample line 2. check on the flowmeter the flow that the sidestream co ; extension pump draws. it should be 50 ml / min + 10 ml / min. if the value is not within tolerance check your setup again and perform another flow check. if it fails again, the sensor must be replaced. the sensor cannot be calibrated. 84 microstream co2 performance test allow five seconds between individual service procedures to ensure stable equipment conditions. when certain monitor procedures are running, service procedures are not possible and trying to start them will result in a message service operation failed in the monitor ’ s status line. wait until the monitor completes the current operation, then @topic:17


# # # issue - masterkey sensor failure on medical cart bdms 01 # # # impact - inability to operate medical cart bdms 01 - potential delay in patient care # # # possible causes - physical damage to masterkey sensor - electrical malfunction of masterkey sensor - software issue causing sensor to malfunction # # # recommendations - replace masterkey sensor - inspect masterkey sensor for physical damage - check electrical connections to masterkey sensor - update software if necessary @topic:13


# # # issue - monitor unable to read module bis # # # impact - inability to monitor patient's brain activity during surgery or other procedures # # # possible causes - faulty test monitor - incompatible module bis - hardware or software issues with the monitor - incorrect configuration of the monitor or module bis # # # recommendations - recalibrate the test monitor - test module bis with a different monitor - check for loose connections or damaged cables - ensure that the monitor and module bis are configured correctly - contact the manufacturer for technical support @topic:22


# # # issue - ssd failure # # # impact - computer cannot boot into windows normally # # # possible causes - ssd degradation # # # recommendations - replace the ssd with a new one @topic:13


# # # issue - keypad on electric bed not functioning # # # impact - inability to adjust bed height or position, potentially leading to patient discomfort or injury # # # possible causes - keypad malfunction due to electrical or mechanical failure - loose or disconnected wires within the keypad - circuit board damage within the keypad assembly - software issues with the keypad or bed control system # # # recommendations - * * inspect the keypad : * * check for any visible damage, loose connections, or debris that may be interfering with operation. - * * test the keypad : * * use a multimeter or diagnostic tool to assess the continuity and voltage of the keypad circuits. - * * replace the keypad : * * if the keypad is found to be faulty, replace it with a new one from the manufacturer. - * * update the software : * * if software issues are suspected, contact the manufacturer for any available updates or troubleshooting steps. - * * calibrate the bed : * * once the keypad is replaced or repaired, calibrate the bed according to the manufacturer's instructions to ensure proper operation and safety. @topic:25


# # # issue - medical cart battery indicator shows " - 1 % " # # # impact - unable to accurately determine battery level - risk of unexpected battery depletion # # # possible causes - battery failure - battery sensor malfunction - software glitch # # # recommendations - replace the battery - check the battery sensor and connections - update the software and restart the device @topic:13


s software. * * 5. adjust weight limit : * * - if the patient's weight exceeds the bed scale's limit, consider using an alternative method of weight measurement, such as a standing scale or a manual bed scale. @topic:25


# # # issue * equipment is making a loud noise when being adjusted up or down. # # # impact * the loud noise may be disruptive to patients and staff. * the noise may indicate a problem with the equipment that could lead to a malfunction or safety issue. # # # possible causes * * * lack of lubrication : * * the moving parts of the equipment may not be properly lubricated, causing them to make noise when they move. * * * worn or damaged parts : * * the moving parts of the equipment may be worn or damaged, causing them to make noise when they move. * * * misalignment : * * the moving parts of the equipment may be misaligned, causing them to make noise when they move. * * * electrical issue : * * there may be an electrical issue with the equipment that is causing it to make noise. # # # recommendations * * * lubricate the moving parts : * * apply a lubricant to the moving parts of the equipment to reduce noise. * * * inspect and replace worn or damaged parts : * * inspect the moving parts of the equipment for wear or damage. replace any worn or damaged parts. * * * realign the moving parts : * * realign the moving parts of the equipment to reduce noise. * * * contact the manufacturer : * * if the noise persists, contact the manufacturer of the equipment for further troubleshooting and repair. @topic:9


* * issue : * * * the electric bed with model uq2000b is not able to adjust the knee position. * * impact : * * * inability to properly position the patient for medical procedures or comfort. * delay in patient care and treatment. * * possible causes : * * * * * mechanical failure : * * * malfunctioning of the knee adjustment mechanism or motor. * worn or damaged components in the knee adjustment assembly. * * * electrical failure : * * * faulty wiring or connections. * power supply issues. * * * software glitch : * * * corruption or bugs in the software controlling the bed's functions. * * * operator error : * * * incorrect use or handling of the knee adjustment controls. * * recommendations : * * * * * troubleshooting : * * * check power supply and connections. * inspect the knee adjustment mechanism for any visible damage or obstruction. * * * manual adjustment : * * * if possible, manually adjust the knee position using the provided handle or lever. * * * software update : * * * contact the manufacturer for any available software updates or patches. * * * technical support : * * * consult with a qualified biomedical engineer or the manufacturer for further diagnosis and repair. * * * documentation : * * * record the cause of failure and any troubleshooting steps taken. * * * preventive maintenance : * * * schedule regular preventative maintenance to identify and address potential issues early on. @topic:9


original shipping carton with the original packing materials or into another appropriate shipping carton. c. write the welch allyn rma number with the welch allyn address on the outside of the shipping carton. d. 4 overview welch [UNK] connex® spot monitor recommended service intervals to confirm that the device is functioning within the design specifications, perform periodic service as indicated in the following table. customers who have the standard unlicensed edition of the welch allyn service tool can perform the basic functional verification and calibration procedures referenced in the table by following the instructions in this manual. service procedure ervice intervacomponent basic functional verification nibp module annually annually basic functional verification nnually basic functional verification braun thermoscan pro 6000 nnually1 basic functional verification battery annually² replace the battery 1 in addition to this annual service interval, welch allyn recommends cleaning the contacts of the braun thermometer and dock every 4 months because debris that accumulates in the contacts can interfere with data transmission. see " clean the braun thermoscan pro 6000 contacts " later in this manual. 2 battery performance is a function of clinical use and charge / discharge patterns. welch allyn recommends replacing the battery after 1 year or when its remaining capacity no longer meets workflow requirements. if you have the gold edition of the service tool, use the tool to perform a complete functional verification and calibration of the device in lieu of performing the basic tests. perform a complete functional verification and calibration of the device whenever any of the following conditions exist : the device does not meet specifications ( based on the basic functional verification ) • the device has been dropped or otherwise damaged the device is malfunctioning the case has been opened an internal part has been replaced ( battery excluded ) • note for instructions on using the gold edition, see the service tool help files. maintenance for device maintenance information @topic:10


* * issue : * * - failure to measure oxygen saturation ( o2sat ) * * impact : * * - decreased patient monitoring accuracy - delayed or incorrect medical interventions * * possible causes : * * - damaged o2sat cable - malfunctioning o2sat sensor - software error in propaq lt monitor - loose connections between the o2sat cable and the monitor / sensor * * recommendations : * * - replace damaged o2sat cable - calibrate or replace faulty o2sat sensor - troubleshoot software issues in propaq lt monitor - ensure secure connections between o2sat cable, monitor, and sensor - consider using a backup monitor or pulse oximeter if the propaq lt monitor remains malfunctioning @topic:4


# # # defect * cause of failure : screen is striped # # # impact * the monitor cannot be read by the medical staff. * this can lead to incorrect diagnoses and treatment. # # # possible causes * the monitor is not connected properly. * the monitor is faulty. # # # recommendations * ensure that the monitor is connected properly. * if the problem persists, replace the monitor. @topic:2


# # # issue - parameter ecg not showing # # # impact - inability to monitor patient's ecg, which is essential for assessing cardiac function. # # # possible causes - parameter ecg turned off in configuration - faulty sensor or wiring - software glitch - hardware malfunction # # # recommendations - * * check if parameter ecg is turned off in configuration : * * - access the device's settings and ensure that parameter ecg is enabled. - * * inspect sensor and wiring : * * - check if the ecg sensor is properly attached to the patient and if the wires are securely connected to the device. - * * restart the device : * * - power off the device and then power it back on to clear any software glitches. - * * contact philips technical support : * * - if the problem persists, contact philips technical support for further troubleshooting and repair. @topic:18


to the manufacturer's user manual or contact technical support. 6. * * check network connectivity : * * verify that the printer is connected to the network and that the network settings are correct. 7. * * contact bme for further assistance : * * if the issue persists despite following the above recommendations, contact bme for further troubleshooting and repairs. @topic:28


# # # issue - the cause of failure is not provided in the given input. # # # impact - the impact of the failure is not provided in the given input. # # # possible causes - the equipment may have a manufacturing defect. - the equipment may have been damaged during transport or storage. - the equipment may have been improperly used or maintained. # # # recommendations - the equipment should be inspected by a qualified technician to determine the cause of the failure. - the equipment should be repaired or replaced as necessary. - the staff should be trained on the proper use and maintenance of the equipment. @topic:12


# # # issue - * * equipment : * * bed, electric - * * band : * * huntleigh - * * model : * * contoura 360 - * * description : * * the bed does not adjust to the desired position when the remote control is used. # # # impact - the patient may not be able to get into or out of the bed safely or comfortably. - the patient may not be able to position themselves correctly for treatment or procedures. - the staff may have to manually adjust the bed, which can be time - consuming and difficult. # # # possible causes - the remote control is malfunctioning. - the bed's electrical system is not working properly. - the bed's mechanical system is not working properly. # # # recommendations - * * replace the remote control. * * - * * check the bed's electrical system for any loose connections or damaged wires. * * - * * check the bed's mechanical system for any broken or worn parts. * * - * * if the problem cannot be resolved, contact the manufacturer for assistance. * * @topic:7


# # # issue * the bedside physiologic monitor manufactured by philips, model m1205a is not starting up. # # # impact * the necessary data, such as the patient's vital parameters, cannot be monitored, which may impact patient assessment and treatment. # # # possible causes * faulty power supply * damaged power cord * internal hardware component failure ( such as a malfunctioning cpu ) # # # recommendations * check the power supply and the power cord to ensure they are functioning correctly. * examine the equipment for any signs of physical damage. * if internal hardware damage is suspected, replace the affected components as needed. * refer to the manufacturer's documentation for specific troubleshooting steps. @topic:2


* * issue : * * temperature probe readings are abnormally high. * * impact : * * inaccurate patient temperature measurements, potentially leading to incorrect diagnoses and treatment decisions. * * possible causes : * * * * * faulty temperature probe : * * the probe may be damaged or malfunctioning, resulting in inaccurate readings. * * * calibration error : * * the probe may not have been calibrated correctly, leading to readings that deviate from the true temperature. * * * environmental factors : * * extreme temperatures or humidity can affect the accuracy of the probe. * * * operator error : * * the probe may not have been used correctly or positioned properly on the patient. * * recommendations : * * * * * inspect the temperature probe : * * visually inspect the probe for any damage or signs of wear and tear. * * * recalibrate the probe : * * ensure that the probe is calibrated regularly according to the manufacturer's specifications. * * * check environmental conditions : * * ensure that the room temperature and humidity are within the recommended operating range for the equipment. * * * train operators : * * provide proper training to operators on the correct use and positioning of the temperature probe. * * * consider replacing the probe : * * if the probe is found to be faulty or cannot be calibrated successfully, it should be replaced with a new one. @topic:20


# # # issue - torn armrests # # # impact - patient safety and comfort - device functionality # # # possible causes - wear and tear - accidental damage - poor maintenance # # # recommendations - inspect armrests regularly for signs of damage - repair or replace damaged armrests promptly - provide clear instructions to patients on how to use the device properly - consider using protective covers for the armrests @topic:6


##nr ) of 25 db should be provided at the monitor location. these guidelines may not apply in all situations. electromagnetic propagation is affected by absorption and reflection from structures, objects, and people. electrosurgery interference / defibrillation / electrostatic discharge the equipment returns to the previous operating mode within 10 seconds without loss of any stored data. measurement accuracy may be temporarily decreased while performing electrosurgery or defibrillation. this does not affect patient or equipment safety. do not expose the equipment to x - ray netic fields ( mri ). fast transients / bursts the equipment will return to the previous operating mode within 10 seconds without loss of any stored data ( m1032a within 30 seconds ). if any user interaction is required, the monitor indicates this with a technical alarm ( inop ). restart time after a power interruption, an ecg wave will be shown on the display after 30 seconds maximum. if an x2 is connected to a host monitor, it can take up to a maximum of 45 seconds until the ecg wave is shown. 499 40 specifications 500 efault settings appendithis appendix documents the most important default settings of your monitor as it is delivered from the factory. for a comprehensive list and explanation of default settings, see the configuration guide supplied with your monitor. the monitor's default settings can be permanently changed in note : if your monitor has been ordered pre - configured to your requirements, the settings at delivery will be different from those listed here. certain default settings are specific to a particular country. these are listed here for all countries alphabetically. country - description line frequencecg cable color units units weight height 0 / 60 [ hzin, cm afghanistan aami 50 cm aland islands 50 kg iec cm albania kg iec cm algeria 50 kg ec cm american samoa 60 aami lb in andorra 60 lb aami in @topic:8


dut during testing. this safety test is based on lec / en 62353. 48 3 testing and maintenance ] report the highest value ( xi ). test expected test results equipment leakage current test ( normal condition - with mains cable ) xi < = 100 | xa note all values for current and voltage are the root mean square ( r. m. s. ) values, unless otherwise stated. in case of an it - power system, this safety test measurement requires a special measuring circuit, for example with its own integrated tn - system or use of an external isolation transformer attached to the safety test device. s ( 3 ) : equipment leakage current test - single fault condition test to perform : measuring circuit for the measurement of equipment leakage current - direct method according to lec / en 62353. this test measures leakage current of accessible conductive and non - conductive metal parts of the monitor and the functional earth leakage current. it tests normal and reversed polarity. perform the test with si open ( single fault condition ). there are no parts of the equipment that are not protectively earthed. disconnect any data cables and any connections that may provide an extraneous earth path. test the device under test ( dut ) on an insulated surface. do not touch the dut during testing. this safety test is based on lec / en 62353. report the highest value ( x2 ). test expected test results equipment leakage current test ( single fault condition - with mains cable ) x2 < = 300 ^ a note all values for current and voltage are the root mean square ( r. m. s. ) values, unless otherwise stated. 49 [ 3 testing and maintenance ] in case of an it - power system, this safety test measurement requires a special measuring circuit, for example with its own integrated tn - system @topic:10


# # # issue > the bed cannot be lowered. # # # impact > the patient cannot be positioned properly for treatment or care. # # # possible causes > - the wooden bed rails are missing or damaged. > - the bed motor is not functioning properly. > - the bed control panel is not working. # # # recommendations > - * * inspect the bed rails * * to ensure that they are present and in good condition. replace any damaged or missing rails. > - * * test the bed motor * * by trying to raise and lower the bed. if the motor is not functioning properly, it may need to be repaired or replaced. > - * * check the bed control panel * * to make sure that all of the buttons are working properly. if any of the buttons are not working, the control panel may need to be repaired or replaced. @topic:1


me teeth ew dae ead ee we a 3 - 20 contents - 1 suresigns vs2 * and vsi service guide 4. troubleshooting when you cannot correct a problem...... 2. 0... ec cnet eens 4 - 1 viewing system information oo... 4 - 2 diagnosing a problem. it ola ead 4 - 3 start - up - and power sequences : a oe eee re ee eee vi ae eae e gee gone 4 - 3 troubleshooting tables ean e a a ene nen een eben tee e tet e teens 4 - 5 power problems ie 0. 20. ti a ee ae ee re oe 4 - 6 display problems a eee ak eee st ge tt ke chet las 4 - 7 alarm problems ii eee ae ee ek ees cha se ee eee eee ors ee 4 - 7 nbp problems sic inchoate oder a ae ers as 4 - 8 temperature measurement problems............ 0... nanana 4 - 9 spo > measurement problems....... oocoococcoccoocco eee e beeen eee 4 - 9 navigation wheel ( vs2 * monitor only ) and key problems............. 0.. 0. 00e0ee0ee. 4 - 10 recorder problems ( vs2 * monitor only )....... 000. 00 00 ccc cece eee e cece cece eee eens 4 - 10 nurse callproblems. 2 singhs ced eat eae ts tah bee oe oe es 4 - 11 usb hub ‘ problems lied a bad 4 - 11 error codes ’ ser @topic:22


##783a 989803105251 sync cable 12 - pin 2. 5m. ( 8ft. ) one end is terminated with ecg 12 pin and one end is terminated with phone plug m5526a 989803129001 24 ’ sync cable one end is terminated with ecg 12 pin and one end is terminated with phone plug 302 9 gas analyzers for details on the m1013a intellivue g1 and the m1019a intellivue g5, please refer to the respective service guides on the gas analyzers ’ documentation cd. for details on configuring the rs232 / mib port for the gas analyzers, see'‘ connection of devices via the rs232 / 5v interface or mib / rs232 i / o board ” on page 261 in the installation instructions chapter 303 [ 9 gas analyzers ] 304 10 specifications for detailed device specifications please refer to the instructions for use. this section provides information on the essential performance and the mdd classification of the monitor. essential performance characteristics this chapter defines the essential performance for intellivue patient monitors, in combination with multi - measurement - modules ( mmss ), mms extensions, measurement ( plug - in ) modules and intellivue cableless measurement devices. under normal and single fault conditions either at least the performance / functionality listed in the table below is provided or failure to provide this performance / functionality is readily identifiable by the user ( e. g. technical alarm, no waves and / or numeric values, complete failure of the monitor, readily identifiable distorted signals, etc. ). parameter essential performance general no interruption or cessation of current operating mode ( e. g. no reboot, display ok ). no spontaneous operation of controls ( e. g. no activation of touch screen without user interaction ). bis measurement @topic:10


# # # issue : teang locked and cannot be used. # # # impact : the patient cannot be moved or positioned safely, which could lead to discomfort or injury. # # # possible causes : * electrical fault in the motor or control unit * mechanical failure in the locking mechanism * broken or damaged wiring * software glitch # # # recommendations : * check the electrical connections to the motor and control unit. * inspect the locking mechanism for any damage or obstruction. * check the wiring for any breaks or damage. * reset the software by unplugging the bed and plugging it back in. @topic:6


3 - 12 at the rear of this manual. figure 3 - 13. bed wiring schematic ( b model beds ) refer to fold - out fo 3 - 13 at the rear of this manual. figure 3 - 14. bed wiring schematic ( c model and newer beds without the safeview™ alerts or the navicare® patient safety module ) refer to fold - out fo 3 - 14 at the rear of this manual. figure 3 - 15. bed control board motor current limiter ( d model and newer beds ) refer to fold - out fo 3 - 15 at the rear of this manual. figure 3 - 16. sidecom® communication system ( f model beds ) refer to fold - out fo 3 - 16 at the rear of this manual. figure 3 - 17. siderail interface p. c. board ( beds with the safeview™ alerts or the navicare® patient safety module ) refer to fold - out fo 3 - 17 at the rear of this manual. figure 3 - 18. bed wiring schematic ( beds with the safeview™ alerts or the navicare® patient safety module ) refer to fold - out fo 3 - 18 at the rear of this manual. page 3 - 22 careassist® and careassist® es bed service manual ( man330 rev 4 ) chapter 4 removal, replacement, and adjustment procedures tool and supply requirements to service the careassist® and careassist® es bed, the following tools and supplies are required : • ratchet • extension, 6 " • 10 mm wrench ( 2 required ) • 13 mm wrench • 13 mm socket • t25 torx® 1 screwdriver • t15 torx® screwdriver • tr25 tamper resistant torx® screwdriver • 10 mm hex key • small screwdriver • @topic:26


# # # issue * * faulty cuff * * # # # impact - inaccurate blood pressure readings - patient discomfort - delayed treatment # # # possible causes - cuff damage due to wear and tear - improper cuff size - cuff not properly attached - corroded or loose connections # # # recommendations - replace the cuff with a new one of the correct size - inspect the cuff for any damage and replace it if necessary - ensure the cuff is securely attached - clean and tighten any loose connections @topic:3


# # # issue : - the drawer in slot 4 is difficult to open. # # # impact : - the medical cart cannot be used properly. - the medical staff may not be able to access the necessary medical supplies. # # # possible causes : - the drawer is not aligned properly. - the drawer tracks are damaged. - the drawer is overloaded. - the drawer latch is not working properly. # # # recommendations : - inspect the drawer and tracks for damage. - make sure the drawer is not overloaded. - adjust the drawer alignment. - replace the drawer latch. @topic:21


# # # issue - the bed's guardrails are not locking into place. # # # impact - this could lead to a patient falling out of bed and injuring themselves. # # # possible causes - the locking mechanism is broken. - the guardrails are not properly aligned. - the bed is not level. # # # recommendations - inspect the locking mechanism and replace any broken parts. - make sure the guardrails are properly aligned and tightened. - level the bed. - test the bed to make sure the guardrails are locking into place properly. @topic:6


# # # issue the philips suresings vs2 + vital signs monitor is not functioning properly due to stiff wheels. # # # impact the device is unable to be moved easily, which can hinder its use in a clinical setting. # # # possible causes the stiff wheels could be due to : - a lack of lubrication - damage to the wheels or axles - a buildup of dirt or debris # # # recommendations - lubricate the wheels and axles - inspect the wheels and axles for damage and replace if necessary - clean the wheels and axles to remove any dirt or debris @topic:24


# # # issue - monitor screen does not display any readings. # # # impact - inability to monitor patient's physiological parameters. # # # possible causes - * * faulty main board : * * the main board is responsible for controlling the monitor's functions, including the display of readings. a faulty main board can prevent the monitor from displaying any data. - * * loose or damaged connections : * * loose or damaged connections between the main board and the display panel can also cause the monitor to display no readings. - * * faulty display panel : * * the display panel itself may be faulty, preventing it from displaying any readings. # # # recommendations - * * replace the main board : * * if the main board is found to be faulty, it should be replaced with a new one. - * * check and tighten connections : * * all connections between the main board and the display panel should be checked and tightened to ensure secure contact. - * * test the display panel : * * the display panel should be tested using a known - good monitor or by connecting it to a different device to determine if it is functioning properly. @topic:2


# # # issue the module in the patient transport monitor, philips intellivue mp40 ( m8003a ) is not functioning properly. # # # impact the failure of the module in the patient transport monitor has resulted in the inability to use the device for patient monitoring. this can have significant impact on the patient's care, as the monitor is used to track vital signs and other important medical information. # # # possible causes the cause of the module failure is not specified in the given input. however, some possible causes include : - * * hardware failure : * * the module may have failed due to a hardware issue, such as a defective component or a loose connection. - * * software failure : * * the module may have failed due to a software issue, such as a bug or a corrupted file. - * * improper use : * * the module may have failed due to improper use, such as being dropped or exposed to extreme temperatures. # # # recommendations to resolve the issue, the technician should : - * * inspect the module : * * the technician should inspect the module for any visible damage or loose connections. - * * test the module : * * the technician should test the module using a diagnostic tool to identify any hardware or software issues. - * * replace the module : * * if the module is found to be defective, the technician should replace it with a new one. - * * update the software : * * if the module failure is due to a software issue, the technician should update the software to the latest version. - * * train users : * * the technician should provide training to users on how to properly use and care for the device to prevent future failures. @topic:2


status and command windows on the internal lcd panel. these commands are interpreted by the display manager application. this application controls the dedicated video hardware which includes video memory and a special hardware in the asic. user input is acquired from the touchscreen. the system software makes sure that the user input is directed to the application which has the operating focus. monitor applications 20 the monitor applications provide additional system functionality over the basic measurement and monitoring capabilities. this includes for example trending, report generating, event storage or derived measurements. in general, the monitor applications use the data provider system service to access the measurement data. application interfaces to the other system services allow the application to visualize data, to store data over extended periods of time or to output data to other devices. internal lan ( measurement link ) the mp2 / x2 communicates using an ieee802. 3 ethernet lan in the measurement link ( msl ). this network is used to distribute data between the components, for example : - digitized patient signals including wave data, numerical data and status information ( typically from the measurement server to a display unit ) - control data representing user interactions ( typically from the display unit to a measurement server ) - shared data structures, for example representing patient demographical data and global configuration items the internal lan allows plug and play configuration of the monitoring system. the system automatically detects plugging or unplugging of measurement servers and configures the system accordingly. the components on the internal lan are time - synchronized to keep signal data consistent in the system. dedicated hardware support for synchronization eliminates any latency of the network driver software. the integrated lan provides deterministic bandwidth allocation / reservation mechanisms so that the real - time characteristic of signal data and control data exchange is guaranteed. this applies to the data flow from the x2 to the host monitor ( for example measurement signal data ) and the data @topic:10


# # # issue - the systolic alarm on the intellivue mp40 ( m8003a ) monitor was set too low, at 130 mmhg, which could have prevented the monitor from alarming and alerting caregivers to a patient's deteriorating condition. # # # impact - failure to alarm at the appropriate systolic pressure could delay or prevent timely medical intervention, potentially leading to adverse patient outcomes. # # # possible causes - human error : the alarm settings may have been inadvertently changed by a caregiver or technician, or the monitor may not have been properly calibrated. - equipment malfunction : a fault in the monitor's alarm system or sensors could have prevented it from alarming correctly. # # # recommendations - * * verification of alarm settings : * * regularly check and verify the accuracy of alarm settings on all monitors to ensure they are set appropriately for the patient's condition. - * * staff training : * * provide training to caregivers and technicians on the importance of proper alarm settings and how to adjust them as needed. - * * equipment maintenance : * * regularly calibrate and maintain monitors to ensure their accuracy and reliability. - * * alarm system monitoring : * * implement a system to monitor alarm activity and identify any trends or patterns that may indicate potential problems with alarm settings or equipment function. - * * patient - specific alarm settings : * * consider using patient - specific alarm settings based on their individual risk factors and medical condition to enhance the accuracy and effectiveness of alarms. @topic:20


# # # issue - unable to log in to the medical cart # # # impact - the medical cart cannot be used until the issue is resolved. # # # possible causes - the it department changed the med admin passwords and did not notify the bme department. - the bme department is not aware of the new passwords. - the bme department is entering the incorrect passwords. # # # recommendations - the bme department should contact the it department to obtain the new passwords. - the bme department should update its records with the new passwords. - the bme department should test the new passwords to ensure that they are working correctly. @topic:13


##02 accessories 387 active alarm source 176 alarms specific to 174 arterial pulsation 171 assessing suspicious reading 173 calculating difference between values 176 connecting the cables 172 lx disposable sensors 171 dual sp02 176 extension cable 172 fast technology 171 nellcor adhesive sensors ( disposable ) 387 perfusion indicator 171, 173, 175 philips sensors ( disposable ) 387 philips sensors ( reusable ) 387 pleth as alarm source 176 pleth wave 175 pleth waveform 171 pulse numerics 172 qrs tone 176 signal quality 173 site inspection 173 site selection 171 tone modulation 176 sp02 desat alarm 175 sp02 limit alarms 174 sp - v02 248 sqi numeric on / off 262 sqi numeric ( bis ) 257 sr numeric ( bis ) 257 on / off 262 ssc guidelines 309 ssc sepsis 309 st adjusting alarm limits 150 alarms 130, 150 baseline, updating 147 ensuring diagnostic quality 145 filtering 145 measurement points, adjusting adjusting 148 multi - lead alarms 150 numerics in ecg wave 119 snippets 147 st display 146 st map baseline, updating 154 current view 151 report, printing printing st map report 154 scale, changing scale st map 154 task window 153 trend view 152 trending interval, changing 154 trending priority 153 st maps 151 st point 148 standard 10 - lead placement 127 standard 3 - lead placement 125 standard 5 - lead placement ( ecg ) 125 standardized rate 343 standby symbol 403 starting monitoring 42 status line 19 status log printing 379 status messages printer 337 recorder 329 status messages ( arrhythmia ) 137 ectopic 138 rhythm 137 sterilizing infection control 365 stopping reports printouts 332 suppression ratio ( bis ) 257 surgical ecg cable 132 surviving sepsis campaign 309 suspended alarm 60 suspicious sp02 reading 173 sv / si 200 sv02 accessories 398 alarms @topic:8


proper port appears in the host port field. verify that the network's tcp host port is open. your network firewall is blocking the tcp port being used for the hl7 host connection server authentication failed load the proper root certificate on the server and the proper ca root certin the device using the device ion tools. service manual connex direct 247 ossible causproblem the configured custom data cannot be imported into themr verify the custom data configuration and make sure the fields going to the emr match what the emr is expecting. emr response does not match device interface verify emr response to the device's hl7 interface specification. the emr rejected the clinician id verify clinician id sent from the device is a valid clinician id for emr or interface engine idown call your emr or system administrator. data was rejected for one of check the emr or interface the following reasons : engine message logs to determine root cause. atient id not folinician id not found vitals date / time in the future device received a notification onnex direct welch [UNK] connex® spot monitor 248 249 identifying the monitor and subsystems this explanation of the monitor labeling is provided to assist you in identifying these particular parts by serial number. the part numbers appearing on the labels are internal part numbers and will not be found in the list of field replaceable units ( frus ) included in this manual. future revisions of a part may not always be backward compatible with a legacy part. to determine the correct replacement part for your unit always provide the serial number and model when monitor serial number and model label the model number and serial number can be found on a label on the back housing. gtin sn 000000 serial number and format code mmmxxxxwwyy serial number mmmm manufacturing plant xxxx week of manufacture ww year @topic:16


without the mains power supply,. make sure that all the moving parts are in good working order, check the time and language settings, • make sure that the bed has been cleaned and disinfected ( see " decontaminatinhe bed " page 85 ). • risk prevention general recommendations n generalcheck that nothing ( e. g. objects, accessories, power cable, maintenance cable or nurse call cable ) or any persons ( e. g. children, limbs ) will interfere with the movement of the mobile parts of the bed before actuating them. an intermittent beep sounds when one of the bed's movements is hindered. during a movement or combination of movements of a mobile part of the bed ( eg, backrest, sleep surface, siderail ), be vigilant ( for oneself, the patient or any other person ) on the risks of pinching or crushing between moving parts or with a fixed part.. always check ( e. g. to and fro movements ) that the various locking mechanisms are in good working order ( e. g. siderails, extensions, brakes ). [UNK] sufficiently qualified nursing staff determines the usage condition suitable for the various functions and the degree of supervision to ensure that the atient uses the bed safely. a hen the patient is left unapply the brakes to prevent any risks of falling, especially if the patient leans on the bed when getting in or out, • leave the sleep surface in the lowest position to avoid serious t of falling, use the siderails to secure the patient and reduce the risk of falling accidentally, lock any function that, if misused, could worsen existing injuries or pathologies, or even result in bodily injury,. never leave the bed in the trendelenburg position. never modify the bed without hill - rom's prior written consent. alterations could result in injury to the patient @topic:9


# # # issue - monitor, central station checkup by bme detected data absence, and a restart resolved the issue. # # # impact - no data display on the central monitor. # # # possible causes - central monitor malfunction. # # # recommendations - further investigation of the central monitor is recommended to identify the root cause of the data absence issue and prevent recurrence. @topic:16


# # # issue - monitor not linking to central system # # # impact - inability to monitor patient data remotely - delays in patient care - increased risk of patient complications # # # possible causes - network connectivity issues - server issues - incorrect ip address configuration - software glitches - hardware failure # # # recommendations - verify network connectivity and ensure that the server is operational - check and reconfigure the ip address settings on the monitor - update software and firmware - troubleshoot hardware issues - escalate to the vendor or manufacturer for further support @topic:16


# # # issue - battery not charging # # # impact - patient monitors and transport equipment cannot operate on battery power, which could lead to patient safety issues in the event of a power outage. # # # possible causes - faulty battery charger - damaged battery - loose or corroded connections between the battery and the charger # # # recommendations 1. verify that the battery charger is functioning properly by testing it with a known - good battery. 2. inspect the battery for any signs of damage or corrosion. if the battery is damaged, replace it. 3. check the connections between the battery and the charger for any loose or corroded wires. if the connections are loose, tighten them. if the connections are corroded, clean them with a wire brush or sandpaper. 4. if the issue persists, contact the manufacturer for further troubleshooting and repair instructions. @topic:11


# # # issue - the bed's side rails are not locking properly. # # # impact - this can be a safety hazard for patients, as they may be able to fall out of bed. # # # possible causes - the side rails may be damaged or misaligned. - the locking mechanism may be faulty. # # # recommendations - inspect the side rails for damage or misalignment. - check the locking mechanism to ensure that it is functioning properly. - if the side rails or locking mechanism are damaged, they should be replaced. @topic:6


# # # issue - remote control not functioning properly. # # # impact - inability to adjust bed height. # # # possible causes - internal remote control failure. - damage to remote control cables. - misalignment of remote control receiver. # # # recommendations - inspect remote control for any visible damage or loose connections. - test remote control functionality using a continuity tester. - check remote control receiver for proper alignment and connections. - consult the manufacturer's instructions for specific troubleshooting steps. @topic:7


# # # issue * motor failure, possibly due to overloading # # # impact * affected bed, electric device * impaired patient care ( if the bed is inoperable ) # # # possible causes * * * overloading * * : the patient's weight exceeded the rated capacity of the motor, leading to excessive strain and failure. # # # recommendations * * * confirm patient weight * * : ensure that the patient's weight does not exceed the device's specifications before using the bed. * * * regular maintenance * * : schedule periodic inspections and servicing to catch potential issues early on and prevent failures. * * * consider higher - rated motor * * : if the patient's weight consistently exceeds the current motor's capacity, consider replacing it with a higher - rated one to prevent further issues. * * * staff training * * : educate staff on the device's weight limitations and proper handling to minimize overloading. @topic:9


# # # issue - the philips suresigns vs4 monitor is not auto - saving data. # # # impact - the loss of patient data can compromise their care and make it difficult to track their progress over time. - it can also lead to inaccurate billing and reimbursement for services rendered. # # # possible causes - the auto - save function may be disabled in the monitor's settings. - there may be connectivity issues between the monitor and the network. - a software glitch may be preventing the auto - save function from working properly. - faulty hardware may be preventing the monitor from saving data. # # # recommendations - check the monitor's settings to ensure that the auto - save function is enabled and configured correctly. - verify that the monitor is properly connected to the network. - restart the monitor and software to clear any temporary software glitches. - if the issue persists, contact a qualified biomedical engineer to diagnose and repair any faulty hardware. @topic:22


# # # issue - damaged power cord # # # impact - device is inoperable # # # possible causes - physical damage to the cord ( e. g., cuts, tears, punctures ) - loose connections at the plug or device - overuse or overloading of the cord # # # recommendations - inspect the power cord for any visible damage. - ensure that the connections at the plug and device are secure. - avoid overloading the cord by using multiple devices on the same outlet. - replace the power cord if it is damaged. @topic:12


* * issue : * * failure of the bed, electric equipment * * impact : * * - patient discomfort or inconvenience - delay in medical procedures - safety concerns due to lack of control over bed functionality * * possible causes : * * - * * lack of remote control * * : the input states that the cause of failure is the absence of a remote control for the bed. without the remote control, the patient cannot adjust the bed's position or other settings, leading to discomfort, inconvenience, and potential safety issues. * * recommendations : * * - verify that the remote control for the bed is available and functional. - if the remote control is missing or damaged, procure a replacement and ensure it is paired correctly with the bed. - train staff on the proper use and maintenance of the remote control to prevent future instances of loss or damage. @topic:32


* * issue : * * equipment malfunction : icp monitor displaying intermittent blackouts * * impact : * * - inaccurate or delayed patient monitoring - potential patient harm * * possible causes : * * * * hardware issues : * * - loose or damaged wiring - malfunctioning components ( e. g., sensors, display, power supply ) * * software issues : * * - bugs or glitches in the device's software - compatibility issues with other connected devices * * environmental factors : * * - power outages or surges - electromagnetic interference from nearby equipment * * user error : * * - incorrect device setup or maintenance - mishandling or improper storage * * recommendations : * * * * troubleshooting steps : * * - check all cables and connections for looseness or damage - inspect components for any physical defects ( e. g., cracks, burns ) - perform software updates ( if available ) - test device with known - good components ( e. g., different cables or sensors ) * * maintenance : * * - follow recommended maintenance schedules from the manufacturer - ensure proper storage and handling of the device - calibrate the device regularly * * training : * * - provide adequate training for staff on proper device operation and maintenance * * external support : * * - consult with the device manufacturer or a qualified technician for advanced troubleshooting or repairs @topic:2


# # # issue - blood pressure monitor providing inaccurate readings # # # impact - potential for incorrect patient assessment and treatment # # # possible causes - malcalibration of the device - faulty sensors - obstruction or leak in the pressure line - improper cuff placement or inflation - patient movement or restlessness # # # recommendations - * * verify calibration : * * perform a full calibration of the device using a certified calibration pump. - * * inspect sensors : * * check the sensors for damage, dirt, or loose connections. replace any faulty sensors as necessary. - * * inspect pressure line : * * examine the pressure line for any kinks, leaks, or obstructions. replace or repair the line as needed. - * * check cuff placement : * * ensure the cuff is properly placed and inflated according to manufacturer instructions. - * * minimize patient movement : * * request the patient to remain still and avoid talking or moving during the measurement. - * * consider patient factors : * * factors such as obesity, diabetes, or arrhythmias can affect blood pressure readings. take these into consideration when interpreting the results. - * * seek professional assistance : * * if the problem persists despite following these recommendations, contact a qualified biomedical engineer or manufacturer representative for further troubleshooting and repair. @topic:14


# # # issue - cuff not inflating properly # # # impact - inaccurate vital sign measurements - potential patient discomfort # # # possible causes - cuff bladder leak - air line leak - occlusion in air line - cuff tubing disconnected - cuff too loose or too tight # # # recommendations 1. check the cuff bladder for leaks by inflating it and submerging it in water. look for bubbles. 2. check the air line for leaks by listening for hissing sounds or spraying soapy water on the line. 3. check for occlusions in the air line by blowing through it. 4. check that the cuff tubing is securely connected to the monitor and the cuff. 5. adjust the cuff to fit snugly but not too tightly on the patient's arm. @topic:5


# # issue restraint malfunction : restraints are designed to provide support and protection to patients, but when they become loose or damaged, they can pose a risk to patient safety. loose bed rails or restraints can allow patients to fall out of bed or become entangled, which can lead to serious injuries. # # impact - * * patient injuries : * * loose or damaged restraints can lead to falls, entrapment, and other injuries. - * * increased patient discomfort : * * loose restraints can cause discomfort and pain, especially for patients who are already in pain or have sensitive skin. - * * missed patient care : * * if restraints are not functioning properly, patients may need to be monitored more closely, which can take away time from other essential patient care activities. # # possible causes - * * wear and tear : * * restraints can become loose or damaged over time due to normal use and wear and tear. - * * improper installation : * * restraints that are not properly installed may not provide the necessary support or protection. - * * inadequate maintenance : * * restraints should be regularly inspected and maintained to ensure that they are in good working condition. - * * patient abuse : * * patients who are agitated or uncooperative may intentionally damage restraints. - * * defective equipment : * * in some cases, restraints may be defective due to manufacturing errors or design flaws. # # recommendations - * * preventative maintenance : * * regular inspection and maintenance of restraints can help to prevent them from becoming loose or damaged. - * * proper installation : * * ensure that restraints are installed correctly according to the manufacturer's instructions. - * * patient education : * * educate patients and their families about the importance of keeping restraints in good condition and reporting any problems immediately. - * * replacement : * * restraints that are loose, damaged, or defective should be replaced as soon as possible. - @topic:6


# # issue - the cause of failure is not clear from the provided input. # # impact - the impact of the failure is unknown. # # possible causes - the test performed may not have been comprehensive enough to identify the actual cause of failure. - the failure may have been caused by a combination of factors that were not identified during the test. - the failure may be intermittent and only occurs under certain conditions that were not present during the test. # # recommendations - perform a more thorough test to identify the actual cause of failure. - review the maintenance history of the device to see if there have been any previous failures or repairs that may provide clues to the cause of the current failure. - consult with the manufacturer of the device to see if they have any recommendations for troubleshooting the failure. - replace the device if the cause of failure cannot be identified or if the repair would be too costly. @topic:12


# # # issue - control box of the electric bed is broken. # # # impact - the electric bed cannot be used properly. # # # possible causes - the control box may have been damaged due to : - physical impact - electrical surge - water damage - overuse # # # recommendations - replace the control box with a new one. - inspect the electric bed for any other damage. - perform regular maintenance on the electric bed to prevent future problems. @topic:9


##ible caussymptom replace the temperaturmodule. the main board malfunctioned. temperature measurements are the probe is disconnected from the monitor. ensure that the temperature not displayed. probe is connected and probe is connected and seated in the probe well before taking a measurement. probe is placed improperly. ensure that the probe is properly placed in the measurement site. for oral temps, place the probe in the most posterior sublingual replace the probe. the probe malfunctioned. erform temperaturfunctional checks. replace the temperature module. a software issue occurred. replace the temperature module. the probe or the window is dirty or ed. clean the probe or window. replace the probe. the main board malfunctioned. the hardware or software between the host retry software update. and the ethernet module is incompatible. attempt to upgrade the software failed. replace the temperature module. retry software update. 166 troubleshooting welch [UNK] connex® spot monitor ossible caussymptom the monitor lost communication with thnetwork or a timing issue occurred during the upgrade. replace the temperaturmodule. replace the temperature module. update thin board. the main board malfunctioned. placed the thermometer in the cradle. the thermometer is not in the cradle. the thermometer contacts are dirty. clean the thermometer contacts. replace the thermometer place the thermometer in thradle to charge. the thermometer batteries are dead. clean the thermometer contacts. replace the thermometer batteries. eplace the thermometer. replace the thermometer place the thermometer in thradle to charge. the thermometer malfunctioned. clean the thermometer anmodule contacts. clean the probe or window. replace the probe cover. perform temperat @topic:20


# # # issue - remote control malfunction # # # impact - inability to adjust bed settings # # # possible causes - damaged remote control - loose connections - faulty wiring # # # recommendations - replace or repair damaged remote control - check and tighten loose connections - inspect and replace faulty wiring @topic:7


# # # issue - monitor power outage # # # impact - inability to monitor patient's vital signs - potential patient safety hazard # # # possible causes - loose or disconnected power cord - faulty power supply - internal electrical fault # # # recommendations - check the power cord and ensure it is securely connected to the monitor and to a working electrical outlet. - inspect the power supply for any visible damage or loose connections. - contact a qualified biomedical engineer to inspect the monitor for internal electrical faults. @topic:2


* * issue : * * broken storage compartment on the back of the medical cart * * impact : * * the cart cannot be used to store and transport medical supplies securely. * * possible causes : * * * * * excessive weight : * * the storage compartment was overloaded, causing it to break under the strain. * * * rough handling : * * the cart was dropped or mishandled, resulting in damage to the compartment. * * * defective material : * * the compartment was made of a weak or brittle material that was not suitable for the intended use. * * * improper assembly : * * the compartment was not properly attached to the cart, leading to its failure. * * recommendations : * * * * * enforce weight limits : * * ensure that the medical cart is not overloaded and that it is handled with care. * * * use durable materials : * * choose medical carts with compartments made of strong and durable materials. * * * inspect regularly : * * regularly inspect the cart and its components, including the storage compartment, for any signs of damage or wear. * * * proper assembly : * * ensure that the cart is properly assembled and that all components are securely attached. * * * repair or replace : * * if the storage compartment is damaged, it should be promptly repaired or replaced to ensure the safe use of the cart. @topic:31


# # # issue - the blood pressure ( bp ) cuff fails to measure bp accurately. # # # impact - delay in patient assessment and treatment. - inaccurate bp readings can lead to misdiagnosis and improper treatment decisions. # # # possible causes - * * damaged bp cuff : * * punctures, tears, or leaks in the cuff can result in inaccurate readings. - * * faulty cuff connection : * * loose or malfunctioning connections between the cuff and the patient monitor can disrupt signal transmission. - * * obstruction in the cuff line : * * kinks or blockages in the line connecting the cuff to the monitor can prevent proper inflation or deflation. - * * malfunctioning pressure transducer : * * the transducer responsible for sensing bp may have failed, leading to inconsistent or inaccurate readings. - * * software issues : * * bugs or glitches in the monitor's software can affect cuff operation. # # # recommendations - * * inspect the bp cuff : * * check for physical damage, punctures, or tears. replace the cuff if necessary. - * * secure connections : * * ensure the cuff is properly connected to the patient and the monitor. tighten connections and check for any loose wires or ports. - * * clear obstructions : * * inspect the cuff line for any kinks, blockages, or debris. clear any obstructions and ensure the line is unobstructed. - * * calibrate the transducer : * * if the issue persists, calibrate the pressure transducer according to the manufacturer's instructions to ensure accurate readings. - * * update software : * * check for software updates for the patient monitor and install them if available. @topic:14


# # # issue - machine failure # # # impact - the medical cart could not be used, which could delay patient care. # # # possible causes - the technician did not press the power button. # # # recommendations - the technician should always check the power button before assuming that there is a problem with the machine. - the hospital should provide training on the proper use of medical equipment to all staff members. @topic:13


# # # issue * equipment is not adjustable # # # impact * patient discomfort or inability to use the bed * difficulty for healthcare providers to provide care * delays in patient recovery # # # possible causes * electrical malfunction * mechanical failure * software error * user error # # # recommendations * * electrical malfunction : * * * inspect electrical connections for loose wires or shorts * check circuit breakers and fuses * use a multimeter to test for voltage and continuity * * mechanical failure : * * * inspect for damaged or loose screws, gears, or belts * lubricate moving parts as needed * replace worn or damaged parts * * software error : * * * update software to the latest version * reset the bed to factory settings * contact the manufacturer for technical support * * user error : * * * provide training on proper use of the bed * create and post operating instructions near the bed * supervise patients using the bed to ensure they are following instructions correctly * * additional recommendations : * * * perform regular maintenance and inspections to prevent future failures * keep a log of all repairs and maintenance performed on the bed * train staff on how to troubleshoot and resolve common issues @topic:9


# # # issue the bed, electric model name contoura 360 is unable to be adjusted. # # # impact the inability to adjust the bed may result in patient discomfort or inconvenience. it may also make it difficult for healthcare professionals to provide care. # # # possible causes * the motor that controls the adjustment is not functioning properly. * the electrical wiring is damaged. * the control panel is not working properly. * the bed frame is damaged. # # # recommendations * inspect the motor and electrical wiring for damage. * test the control panel to ensure it is working properly. * check the bed frame for any damage. * if any of the above components are damaged, they should be repaired or replaced. @topic:1


pumpoptime has been reset an inop will be generated : “ co2 occlusion ". to clear this inop you must perform a flow check and store the flow in service mode ( select “ store flow " ) 180 refit procedures for the mms extension tools required : - a thin - bladed screwdriver. - a pair of large tweezers. - in addition, for refitting the pump, you will need a large - bladed screwdriver. warning there is high voltage inside the instrument ( 800v ). do not connect the mms extension to a monitor while the extension housing is open. as well, parts inside the instrument may be contaminated with bacteria. protect yourself from possible infection by wearing examination gloves during these procedures. refitting the co2 scrubber warning the co2 scrubber contains lithium hydroxide monohydrate. this is a strong base. do not open or damage the co2 scrubber. if you come into contact with the co2 scrubber material, flush the area immediately with water and consult a doctor. to refit the co2 scrubber, do the following : 1. o2scrubber through the bracket to meet the extension intake tube. 2. pushthe intake tube firmly into the scrubber end to connect it. 3. holding the body of the co2 scrubber with tweezers, feed the co2 scrubber fresh air intake under the second bracket and position it. refitting the pump to refit the pump, do the following : 1. gently connect the power lead to the extension. note the power lead can only be connected one way. do not try to force the power lead into position. instead, align it correctly and connect it gently. 2. connect the flow tubing to the pump. note be sure to reconnect the inlet tube to the inlet valve and the outlet tube to the outlet valve. 3 @topic:17


# # # issue cuff bp leak, causing the device to be unable to measure blood pressure. # # # impact delay in patient care, as accurate blood pressure readings are essential for diagnosis and treatment. # # # possible causes - cuff bp range ( 25 - 35 cm ) is too small for the patient. - cuff bp is damaged or faulty. - connection between the cuff and the device is loose or damaged. # # # recommendations - check if the cuff bp range is appropriate for the patient's arm circumference. - inspect the cuff bp for any damage or leaks. - ensure the connection between the cuff and the device is secure. - if the issue persists, replace the cuff bp and / or contact the manufacturer for further troubleshooting. @topic:3