between the i and a electrodes. optimizing lead placement for resp if you want to measure resp and you are already measuring ecg, you may need to optimize placement of the two electrodes between which resp will be measured for some patients. repositioning ecg electrodes from standard positions, especially when you are using easi™ ecg electrode placement, results in changes in the ecg waveform and may influence st and arrhythmia interpretation. cardiac overlay cardiac activity that affects the resp waveform is called cardiac overlay. it happens when the resp electrodes pick up impedance changes caused by the rhythmic blood flow. correct electrode placement can help to reduce cardiac overlay : avoid the liver area and the ventricles of the heart in the line between the respiratory electrodes. this is particularly important for neonates. 165 8 monitoring respiration rate ( resp ) understanding the resp display lateral chest expansion some patients, especially neonates, expand their chests laterally. in these cases it is best to place the two respiratory electrodes in the right midaxillary and left lateral chest areas at the patient ’ s maximum point of breathing movement to optimize the respiratory wave. abdominal breathing some patients with restricted chest movement breathe mainly abdominally. in these cases, you may need to place the left leg electrode on the left abdomen at the point of maximum abdominal expansion to optimize the respiratory wave. understanding the resp display the resp measurement is displayed on the monitor as a continuous wave and a numeric respiration rate. if the detected respiration rate is close to the heart rate, this is indicated by the text hr = rr next to the respiration wave if you are in manual monitoring mode. your monitor screen may look slightly different from the illustration. changing resp detection modes the resp detection level can be set either @topic:8


# # # issue - nibp monitor cannot measure blood pressure. # # # impact - clinicians cannot obtain accurate blood pressure readings for patients. # # # possible causes - cuff is old and worn out. - cuff is not properly attached to the monitor. - air leak in the cuff or tubing. - malfunction of the monitor. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly attached to the monitor. - check for air leaks in the cuff or tubing. - if the issue persists, contact the manufacturer for further troubleshooting. @topic:15


##4 - 6891a 451261009461 ms _ rc02 oem exch. unit english ( # c07 ) m3015a 862393 microstream c02 extension m3015 - 6802a 451261005311 ms sc02 m3015a unit with p / t ( hw rev. b ) m3015 - 6832a 451261005331 ms sc02 m3015a unit wo p / t ( hw rev. b ) 453564293881 453564293881 ms sc02 oem exch. unit with p / t ( hw rev. c ) 453564293891 453564293891 ms sc02 exch. unit without p / t ( hw rev. c ) m3015b 865377 microstream c02 extension 453564270041 453564270041 ms _ sc02 m3015b with c02, p, p and t 453564312871 453564312871 ms _ sc02 top cover assy hw rev c intellivue x2 part numbers please refer to the intellivue x2 service guide for intellivue x2 part numbers. plug - in modules part numbers for inspection procedures ; preventive maintenance procedures ; cleaning procedures ; maintenance, and good practices used to maintain the instrument in good working order, see testing and maintenance. part number 12nc description mlool - 45011 453563490691 m _ ecg plast snap lock single 5040 - 4247 453563099401 plast snap lock ( cv color ) 235 m1006b invasive blood pressure module part number 12nc description exchange parts non rohs dom @topic:19


# # # issue failure to establish and maintain a successful connection between the philips suresigns vs4 monitor and the hospital's vital signs management ( vsm ) system during testing. # # # impact - inability to accurately and timely monitor patient vital signs. - incomplete or delayed patient data transmission. - potential for patient safety concerns. # # # possible causes * * 1. configuration errors : * * - incorrect network settings on the monitor or vsm system. - mismatched ip addresses, subnets, or gateways. - firewall or security restrictions blocking communication. * * 2. hardware issues : * * - faulty ethernet port or cable connecting the monitor to the network. - damaged or misconfigured network switch or router. - power fluctuations affecting the monitor or vsm system. * * 3. software issues : * * - outdated firmware or software on the monitor or vsm system. - compatibility issues between different versions of software. - bugs or glitches in the software causing communication failures. * * 4. human error : * * - incorrect cabling or connections. - misconfiguration during setup or maintenance procedures. - lack of proper training on the equipment or vsm system. # # # recommendations * * 1. verification and troubleshooting : * * - verify network settings and ensure correct ip configuration. - check cable connections and hardware integrity. - update firmware and software to the latest versions. - consult user manuals and technical support for guidance. * * 2. optimization and configuration : * * - configure firewalls and security settings to allow communication between the monitor and vsm system. - optimize network performance to ensure stable connectivity. - perform regular system maintenance and testing to identify and resolve any issues early on. * * 3. training and education : * * - provide comprehensive training to staff on equipment operation @topic:22


# # # issue : * intermittent oxygen saturation ( sat ) reading on bedside physiologic monitor. # # # impact : * inaccurate monitoring of patient's oxygen levels. * potential delay in diagnosis and treatment of respiratory issues. # # # possible causes : * * * broken oxygen sensor cable : * * as noted in the description, the bme ( biomedical engineer ) found a broken cable within the oxygen sensor blue probe. this break in the cable causes intermittent contact and resulting intermittent readings. # # # recommendations : * * * replace oxygen sensor cable : * * the broken cable should be replaced with a new one to restore proper functionality of the monitor. * * * inspect other cables : * * check all other cables connected to the monitor for any signs of damage or wear and tear, and replace as necessary. * * * regular maintenance : * * establish a regular maintenance schedule for the monitor to inspect and replace cables, sensors, and other components as needed to prevent future failures. @topic:4


. when the monitor detects certain events, a message appears in the device status area at the top of the screen. message types include the following : information messages, which appear on a blue background. • very low - priority alarms, which appear on a cyan background. • low - and medium - priority alarms, which appear on an amber background. • high - priority alarms, which appear on a red background. technical alarm messages are low or very low priority unless noted in the message column. alarm logs are not viewable by clinicians. however, all logs are transferred to welch allyn on a regularly scheduled basis. in the event of an unplanned power failure, all information, including device logs and patient data, are retained on the system. you can dismiss a message by touching the message on the screen, or, for some messages, you can wait for the message to time out. to use these tables, locate the message that displays on the monitor in the left column of the table. the remainder of the row explains possible causes and suggests actions that can resolve the issue. if you cannot resolve the issue, use the service tool to read the error log files or to perform a functional test on the module reporting the message. note performing functional tests on modules requires the service tool, gold edition. ibp messageossible causlarm prioritmessage clear the alarm and retry nibp. the nibp measurement wacancelled by user user cancelled nibp reading. information nibp not functional. the nibp measurement is not available internal malfunction. if the problem persists, replace the module. medium unable to determine ; check the nibp measurement may be make sure the nibp settings / inaccurate, patient motion occurred, or the settings for patient readings obtain might not be accurate patient mode is appropriate. the problem persists @topic:22


# # # issue - remote control is broken with a cut wire # # # impact - the bed's functionality may be impaired, affecting patient care. # # # possible causes - physical damage to the remote control, such as dropping or impact - wear and tear over time, leading to wire breakage - electrical malfunction within the remote control # # # recommendations - replace the faulty remote control with a new one. - inspect the wiring of the bed system to ensure there are no other damaged cables. - regularly maintain and inspect the bed and its components to prevent future failures. - consider using a wireless remote control to minimize the risk of wire breakage. - provide staff with proper training on the handling and care of medical equipment to prevent accidental damage. @topic:7


# # # issue * * cause of failure : * * oxygen saturation ( spo2 ) sensor failure due to sensor malfunction. # # # impact * * impact : * * inability to accurately measure and monitor patient's spo2 levels. this can lead to delayed or inaccurate medical interventions and potentially compromise patient safety. # # # possible causes * * possible causes : * * - * * sensor malfunction : * * defects or damage in the sensor itself, leading to incorrect spo2 readings. - * * electrical interference : * * faulty wiring or electromagnetic interference from nearby devices can disrupt the sensor's signal. - * * improper installation : * * incorrect placement or connection of the sensor can result in poor signal quality and inaccurate readings. - * * aging or degradation : * * over time, the sensor's performance can deteriorate due to wear and tear or environmental factors. # # # recommendations * * recommendations : * * - * * replace the sensor : * * immediately replace the faulty spo2 sensor with a new one. - * * check electrical connections : * * inspect and ensure all electrical connections are secure and free from damage. - * * ensure proper installation : * * verify that the sensor is correctly placed and connected according to manufacturer's guidelines. - * * perform routine maintenance : * * regularly schedule preventive maintenance and calibration of the monitoring equipment to prevent sensor failures. - * * consider patient factors : * * assess the patient's condition and other factors that may affect spo2 readings, such as skin pigmentation or motion artifacts. @topic:4


# # # issue - equipment not working due to missing cuff and o2. # # # impact - patient monitoring cannot be performed accurately. # # # possible causes - cuff not properly attached or missing. - o2 sensor not connected or malfunctioning. # # # recommendations - check and ensure that the cuff is properly attached and inflated. - inspect the o2 sensor and cable for any damage or loose connections. - replace the o2 sensor if necessary. @topic:5


# # # issue - cuff leak in the bedside physiologic monitor # # # impact - accurate blood pressure measurement may not be possible, potentially leading to incorrect patient care decisions # # # possible causes - damaged or loose cuff bladder - worn or cracked tubing - malfunctioning pressure transducer # # # recommendations - replace the cuff bladder and / or tubing - inspect the pressure transducer for damage - calibrate the monitor according to the manufacturer's instructions - ensure proper inflation and deflation of the cuff during use - monitor cuff pressure regularly for any signs of leakage @topic:3


# # # issue - nibp monitor cuff pressure not inflating # # # impact - inability to accurately measure patient's blood pressure # # # possible causes - loose bp cuff connector - faulty pressure sensor - damaged air line - software glitch # # # recommendations - tighten the bp cuff connector as per the description - inspect and replace the pressure sensor if necessary - check the air line for any damage or leaks - restart the monitor or update the software if available @topic:15


# # # issue - equipment is not showing blood pressure readings # # # impact - inability to monitor patient's vital signs # # # possible causes - defective transducer - faulty wiring - software glitch # # # recommendations - replace the transducer - check for loose connections and repair as necessary - update the software @topic:15


# # # issue - the electric bed is not adjusting properly. # # # impact - the patient may be unable to get in or out of bed. - the patient may be uncomfortable if the bed is not in the correct position. # # # possible causes - the motor that adjusts the bed is not working properly. - the electrical system that powers the motor is not working properly. - the control panel that operates the bed is not working properly. # # # recommendations - the technician should check the motor to see if it is working properly. - the technician should check the electrical system to see if it is supplying power to the motor. - the technician should check the control panel to see if it is operating properly. @topic:1


infrastructure frequency band 2. 4 ghz ism weight 350 g max. intellivue 802. 11 bedside adapter ( wireless network adapter ) internal wireless adapter option j35 technology ieee 802. 1 la / b / g frequency band 2. 4 ghz and 5 ghz ism band m4605a battery specifications mp20 / mp30 / two batteries are required for battery operation of the mp40 / mp50 monitors. the mp20 / mp30 mp40 / mp50 / monitors can operate with one battery. one battery is required for battery operation of the x2. x2 m4605a battery specifications physical specifications wxdxh 149 mm ( 5. 866 in ) x 89 mm ( 3. 504 in ) x 19. 8 mm ( 0. 78 in ) weight 490 g ( 1. 08 lb ) per battery performance specifications nominal voltage 10. 8 volt rated capacity at discharge c / 5 6000 mah continuous discharge capability 6. 5 a environmental specifications temperature range discharge 0 to 50°c ( 32 to 122°f ) charge 0 to 50°c ( 32 to 122°f ) storage and transportation : - 20 to 65°c ( - 4 to 140°f ) humidity range operating : 15 % to 95 % relative humidity ( rh ) storage and transportation : 5 % to 95 % relative humidity ( rh ) battery type smart battery 10. 8 v, 6000 mah, lithium ion safety complies with ul 2054 electromagnetic compatibility ( emc ) complies with the requirements for fcc type b computing device, and en 61000 - 4 - 2 and en 61000 - 3 - 2 communication standard complies with the smbus specification v 1. 1 428 measurement specifications 38 installation and specifications measurement specifications see the appendix on default settings for a list of the settings the monitor is initially shipped with. ecg / @topic:10


# # # issue - the physiologic monitor's screen is not displaying graphs. # # # impact - the healthcare provider cannot monitor the patient's vital signs, which could lead to delayed or incorrect treatment. # # # possible causes - the monitor's screen is not receiving a signal from the main unit. - the monitor's screen is defective. - the monitor's software is not functioning properly. # # # recommendations - check the connection between the monitor and the main unit. - inspect the monitor's screen for any damage. - update the monitor's software to the latest version. @topic:2


# # # issue - battery failure # # # impact - inability to monitor patient's vital signs accurately - potential diagnostic errors or delayed treatment # # # possible causes - battery degradation over time - overuse or excessive discharge - electrical faults within the battery or charging system # # # recommendations - regular battery maintenance and replacement according to manufacturer's specifications - use of high - quality batteries specifically designed for medical devices - inspection of the charging system for any signs of damage or malfunction - training of staff on proper handling and charging of batteries @topic:11


# # # issue - the bed's locking mechanism is not functioning properly. # # # impact - the bed cannot be locked securely, which could pose a safety hazard for the patient. # # # possible causes - the spring in the locking mechanism is too weak. - the locking mechanism is damaged. # # # recommendations - replace the spring in the locking mechanism. - if the locking mechanism is damaged, it should be repaired or replaced. @topic:6


# # # issue : - broken locking feet resulting in unstable equipment. # # # impact : - potential patient safety hazard due to unstable equipment. - inaccurate monitoring data due to unstable equipment. - reduced efficiency and productivity in the clinical setting. # # # possible causes : - excessive force applied to the locking feet during installation or removal. - frequent movement or relocation of the equipment. - damage to the locking mechanism due to improper handling or accidental impact. - wear and tear over time due to prolonged use. - incorrect replacement or use of non - genuine locking feet. # # # recommendations : - inspect locking feet regularly for any signs of damage or wear. - handle the equipment with care during installation, removal, and transportation. - avoid excessive force when tightening or loosening locking feet. - ensure that locking feet are properly installed and tightened according to manufacturer's instructions. - use genuine replacement parts when necessary. - train staff on proper handling and maintenance techniques. - consider implementing a preventive maintenance program to identify and address potential issues before they escalate. @topic:6


m3015a optional inlet 3 microstream connector co4 5 gas sample outlet mx600 / 700 / the optional m3016a mainstream co2 extension adds mainstream capnography and optionally either 800 3016a 1 pressure connector ( red ) 2 temperature connector ( brown ) mainstream / sidestream connector co2 3 optional ) 2 when a capnography extension is connected to an x2 mms with co2, the co2 from the extension will be automatically deactivated in favor of the one in the x2. if you prefer to use the co2 measurement on the extension, you can activate it via the measurement selection key ( see " resolvinlabel conflicts " on page 44 ). 26 1 introduction the cardiac output measurement in the m3014a is deactivated when the extension is used with an x2 mms, even if the x2 is connected to an external power supply. the cardiac output measurement is only available when the x2 is connected to a host monitor. m3012a hemodynamic mms extension cardiac output ( orange ; optional ) 1 connection to mms 2 3 pressure connectors ( red ) 3 4 the m3012a hemodynamic extension can be connected to the m3001a multi - measurement module to provide the following additional measurements : temperature, pressure, an additional pressure or temperature, and c. o. and cco measurements. the cardiac output measurement is deactivated when the extension is used with an x2 mms unless the x2 is connected to a host monitor. using mmss in a mixed software environment when an mms is used with monitors having different software revisions, be aware that functionality set up in a monitor with a newer revision will disappear when the mms is connected to a monitor with an older revision without that functionality. for example, if an x2 is used with a revision h @topic:8


# # # issue - cuff leak - velcro detachment # # # impact - inaccurate vital signs monitoring # # # possible causes - cuff damage - velcro wear and tear # # # recommendations - replace the damaged cuff - replace the worn velcro @topic:5


# # # issue - co2 sensor failure in the philips intellivue mp70 patient monitor # # # impact - inability to accurately measure co2 levels in patients - compromised patient care and safety # # # possible causes - * * hardware failure : * * malfunction of the co2 sensor itself, such as a faulty sensor or cable connection. - * * software errors : * * bugs or glitches in the monitor's software that interfere with co2 sensor functionality. - * * environmental factors : * * extreme temperatures, humidity, or electromagnetic interference that can damage or interfere with the sensor. - * * improper calibration or maintenance : * * neglecting to properly calibrate or maintain the monitor, which can affect the accuracy and reliability of the co2 readings. # # # recommendations - * * troubleshooting : * * - verify that the co2 sensor is properly connected and calibrated. - check for any loose connections or damaged components. - run diagnostic tests to identify any software or hardware issues. - * * replacement : * * - if the sensor cannot be repaired, replace it with a new mainstream co2 sensor. - ensure that the replacement sensor is compatible with the intellivue mp70 monitor. - * * preventive maintenance : * * - establish a regular maintenance schedule for the monitor, including co2 sensor calibration and cleaning. - protect the monitor from extreme environmental conditions and ensure proper power supply. - * * training : * * - train staff on the proper use, maintenance, and troubleshooting of the intellivue mp70 monitor, including the co2 sensor. @topic:4


# # # issue - nibp monitor is not measuring bp # # # impact - inability to monitor patient's blood pressure # # # possible causes - leaky tubing # # # recommendations - replace tubing @topic:15


desk stand for m8033a and m8033b display. m8033b m8033 - 60002 451261006271 m8033b new 17 ” medical grade display with touch m8033 - 64100 451261014891 m8033a and m8033b replacement kit m8033 - 60006 451261006291 power supply 12v for m8033b display m8033 - 64002 451261006301 power supply mounting for m8033b display m8033 - 04701 453563480981 monitor desk stand for m8033a and m8033b display m8033c m8033 - 60071 451261009151 m8033c new 17 ” medical grade monitor with touch m8033 - 68071 451261009161 m8033c exchange 17 ” medical grade monitor with touch m8031 - 04701 451261001901 monitor desk stand for m8031b / m8033c m8033 - 64603 451920880311 backlights for m8033c remote alarm device part numbers the remote alarm device contains no servicable parts and can only be replaced in its entirety ( part number m8025 - 60501 ( 12nc : 453563469801 ) ). for cable part numbers please see the site preparation section. figure 19 remote alarm device front and rear view 220 remote extension device part numbers 6 parts remote extension device part numbers the remote extension device contains no servicable parts and can only be replaced in its entirety ( part number : m8026 - 60504 ( 12nc : 453563469821 ) ). for cable part numbers, please see the site preparation section. figure 20 remote extension device front and rear @topic:19


# # # issue - medical cart is rebooting unexpectedly. # # # impact - interruption of patient care due to unreliable equipment. # # # possible causes - software glitch - hardware failure - power supply issue # # # recommendations - update software - inspect hardware for any loose connections or damaged components - check power supply for any voltage fluctuations or interruptions @topic:13


# # # issue : ekg cable worn out and needs to be replaced. # # # impact : - loss of accurate ekg monitoring. - patient safety may be compromised if ekg monitoring is essential for their care. # # # possible causes : - normal wear and tear of the cable. - improper handling or storage of the cable. - defects in the cable design or manufacturing. # # # recommendations : - replace the worn - out ekg cable with a new one. - inspect ekg cables regularly for signs of wear or damage. - handle and store ekg cables properly to prevent damage. - document the replacement of the ekg cable in the medical record. @topic:18


# # # issue - broken spo2 cable # # # impact - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes - physical damage to the cable, such as cuts, tears, or kinks. - wear and tear over time, leading to the degradation of the cable's insulation and conductors. - manufacturing defects or poor quality of the cable materials. # # # recommendations - regularly inspect spo2 cables for any signs of damage or wear. - handle cables carefully to prevent physical damage. - use high - quality cables from reputable manufacturers. - properly store and transport cables to avoid damage. - train staff on proper handling and maintenance procedures for spo2 cables. @topic:4


# # # issue - equipment malfunction due to damaged ox sat cable. # # # impact - inaccurate or unreliable patient vital signs monitoring. - risk of patient harm or incorrect medical decisions. # # # possible causes - cable wear and tear due to excessive use or mishandling. - poor cable maintenance or storage practices. - compatibility issues between the cable and the monitor. - manufacturing defects. # # # recommendations - * * regular inspection and maintenance : * * regularly inspect cables for any signs of damage, such as tears, cuts, or loose connections. - * * proper handling and storage : * * handle cables with care, avoid sharp bends or excessive force, and store them properly when not in use. - * * compatibility checks : * * ensure compatibility between the cable and the monitor before use. - * * quality control : * * implement quality control measures during cable manufacturing and procurement to minimize the risk of defects. - * * training for staff : * * provide training to staff on proper cable handling, maintenance, and troubleshooting techniques. - * * immediate repair or replacement : * * promptly repair or replace damaged cables to prevent further issues and ensure accurate patient monitoring. @topic:4


# # # issue * monitor not powering on # # # impact * inability to monitor vital signs * potential patient safety hazard # # # possible causes * loose power cord connection * faulty power supply * internal hardware failure # # # recommendations * ensure the power cord is securely connected to the monitor and power outlet. * inspect the power supply for any damage or loose connections. * if the issue persists, contact a qualified biomedical engineer for further evaluation and repair. @topic:2


# # # issue - the biomedical engineer is facing a problem with a philips suresigns vs4 vital signs monitor. - the issue is that the ear thermometer is swapped. # # # impact - the swapped ear thermometer may cause inaccurate temperature readings. - this could lead to incorrect diagnoses and improper treatment. # # # possible causes - the ear thermometer may have been accidentally or intentionally placed in the wrong location. - the sensor may be damaged or malfunctioning. - the software may be corrupted or out of date. # # # recommendations - check the ear thermometer and make sure it is securely seated in the correct location. - inspect the sensor for any damage or abnormalities. - update the software to the latest version. - if the problem persists, contact the manufacturer for further assistance. @topic:20


# # # issue electric bed from paramount bed ( model : ka - 64000 ) has an error code h02, preventing the adjustment of the bed. # # # impact the malfunctioning bed restricts the provision of proper patient care and comfort. # # # possible causes - the error code h02 may indicate multiple potential issues, such as an electrical fault in the control box due to a power surge. - the control box may have been damaged in other ways, such as liquid spills or physical impacts. - the error could also be caused by faulty wiring or connections within the bed's electrical system. # # # recommendations - the issue should be resolved promptly to minimize the impact on patient care. - the recommended solution is to replace the damaged control box as suggested by the company. - if the problem persists even after replacing the control box, further investigation is required to check for any underlying electrical issues or faulty components within the bed's system. @topic:9


# # # issue : blood pressure cuff failure # # # impact : affects accuracy of blood pressure readings, leading to potential misdiagnosis or mismanagement of patient care. # # # possible causes : - * * defective cuff : * * the cuff may have a hole or tear, preventing it from holding air properly and providing an accurate reading. - * * incompatible cuff : * * the cuff may not be the correct size or model for the patient, resulting in improper fit and inaccurate pressure measurements. - * * overinflation or deflation : * * excessive pressure in the cuff or rapid deflation can damage the cuff material and affect its performance. - * * clogged or damaged tubing : * * blockage or damage in the tubing connecting the cuff to the monitor can prevent air from flowing properly, resulting in inaccurate readings. - * * electrical malfunction : * * malfunctions within the cuff sensor or monitor can affect the accuracy of pressure measurements. # # # recommendations : - * * inspect the cuff : * * check for any visible holes or tears and ensure it is the appropriate size for the patient. - * * maintain proper inflation : * * follow manufacturer guidelines for inflation pressure and avoid overinflation or rapid deflation. - * * handle with care : * * avoid excessive force or stretching of the cuff material. - * * clean and disinfect regularly : * * following manufacturer instructions, clean and disinfect the cuff and tubing to prevent dirt or contamination. - * * calibrate regularly : * * periodic calibration ensures accuracy and reliability of the monitor and its components. - * * replace defective components : * * if the cuff or any component is damaged, replace it immediately to avoid further malfunctions. @topic:3


if you connect an x2 that is powered on ( and not in standby ) to a host monitor in standby mode, the host will leave standby mode. when connected to a host monitor, with both the host and the monitor in companion mode in standby mode, leaving standby on the monitor in companion mode will also make the host leave standby. understanding screens your monitor comes with a set of pre - configured screens, optimized for common monitoring scenarios such as " or adult ", or " icu neonatal ". a screen defines the overall selection, size and position of waves, numerics and other elements on the monitor screen when you switch on. you can easily switch between different screens during monitoring. screens do not affect alarm settings, ory and so forth. when you switch from a complex to a less complex screen layout, some measurements may not be visible but are still monitored in the background. if you switch to a more complex screen with, for example, four invasive pressure waves but you have only two pressures connected to the monitor, the " missing " two pressures are either left blank or the available space is filled by another measurement. to switch to a different screen, select the current screen name in the monitor info line, or select the change screen smartkey. 1 choose the new screen from the pop - up list. 2 if you do not want to change the entire screen content, but only some parts of it, you can substitute individual waves, numerics, high - res waves, or trends. be aware that these changes cannot be stored itoring mode. to change the selection of elements on a screen, select the element you want to change. 1 2 from the menu that appears, select change wave, change numeric, or change hirestrend, anthen select the wave or numeric you want, or select the high - resolution trend wave you @topic:10


* * cause of failure : * * information not provided in the given input. @topic:12


# # # issue - faulty extension spo2 cable # # # impact - interruption of physiological monitoring # # # possible causes - extended use and wear - and - tear - improper handling or storage # # # recommendations - regular inspection and testing of extension cables - proper handling and storage techniques - consider periodic replacement based on manufacturer's guidelines - ensure adequate training for staff on proper handling and maintenance of equipment @topic:4


# # # issue - monitor no link # # # impact - inability to monitor patient's vital signs centrally, leading to potential delays in diagnosis and treatment. # # # possible causes - incorrect or lost central monitor address ( cl address ) in the monitor configuration. # # # recommendations - ensure that the correct cl address is set on the monitor. - verify that the monitor is connected to the hospital network securely. # # # additional notes - confirm that the version of the software installed on the monitor is the latest recommended version. - inspect the network connectivity of the monitor and make sure there are no loose connections or network outages. - check for any active alarms or errors in the monitor's logs that may indicate a problem with the network or configuration. @topic:16


# # # issue - faulty railig in both sides - missing hi - low column on one side # # # impact - inability to use the bed safely # # # possible causes - wear and tear - improper maintenance - manufacturing defect # # # recommendations - replace the faulty railig - install missing hi - low column - inspect the bed regularly and perform necessary maintenance - train staff on proper use of the bed @topic:6


# # # # issue - spo2 cable failure # # # # impact - inaccurate or no spo2 readings - potential patient harm # # # # possible causes - cable damage - connector issues - software glitches # # # # recommendations - inspect the spo2 cable for visible damage. - ensure the cable is properly connected at both ends. - update the software on the monitor. - if the issue persists, replace the spo2 cable. @topic:4


# # # issue : nibp monitor not measuring accurately, alarms sounding # # # impact : inability to obtain accurate blood pressure readings, potential patient harm if not detected timely # # # possible causes : - loose connector causing intermittent electrical contact : this issue was identified during the initial inspection and has been resolved by tightening the connection. # # # recommendations : - continue monitoring the device to ensure stable and accurate readings. - if the problem persists or other issues arise, consider further troubleshooting or requesting manufacturer support for further diagnosis and repair. @topic:15


# # # issue : bed cannot be adjusted # # # impact : patient discomfort, delayed treatment, increased workload for healthcare staff # # # possible causes : - * * faulty button * * : the button responsible for adjusting the bed may be malfunctioning, preventing it from sending signals to the motor. - * * electrical issue * * : a loose connection or damage to the electrical wiring can disrupt the power supply to the motor, rendering it unable to operate. - * * mechanical failure * * : the motor or its gears may be damaged or obstructed, preventing it from moving the bed. - * * software glitch * * : if the bed is controlled by a computerized system, a software error could prevent the motor from receiving the correct commands. - * * disabled function * * : the bed's adjustment function may have been intentionally disabled by a healthcare professional to prevent unauthorized use or accidents. - * * user error * * : the person attempting to adjust the bed may not be familiar with the correct procedure or may be exerting too much force in the wrong direction. # # # recommendations : - * * inspect the button * * : check if the button is loose, damaged, or obstructed. clean the button and its contacts, and test it by pressing it gently. - * * examine electrical connections * * : inspect the power cord, plugs, and outlets for any visible damage or loose connections. tighten any loose connections and replace damaged components if necessary. - * * listen for motor sounds * * : when attempting to adjust the bed, listen for any unusual noises coming from the motor. a loud grinding or screeching sound could indicate a mechanical issue. - * * check software updates * * : if the bed has a computerized system, make sure it has the latest software updates installed. refer to the manufacturer's manual for @topic:1


##2 or mp5 with a host monitor if you change the monitor screen while a remote application is running, and the pre - defined area on the second screen is smaller, the remote application cannot be shown at full size. you must select a suitable monitor screen to display the remote application again. using the x2 or mp5 with a host monitor host monitors that can support the x2 or mp5 as a multi - measurement module require software revision f. o or higher. when you connect an x2 or mp5 to a host monitor, an integrated system is formed for monitoring a single patient. the following general observations and considerations apply to such a system : • the host monitor is the “ master ” of the system, and you have full control over all the system ’ s operation only via the host monitor. • functions you can operate on an x2 or mp5 are restricted to measurements originating in that device. if you try to operate controls that are disabled, you are prompted by the message not available in companion mode. • depending on how it is configured, your host monitor can determine whether the user interface of a connected x2 or mp5 is completely disabled or not, and what is displayed on the screen ( a standard main screen, or a blank screen indicating companion mode ). this is controlled by two monitor settings that are applied to the x2 or mp5 on connection. you can change the settings in configuration mode. • global settings from the host monitor are applied to the x2 or mp5 on connection. when disconnected from the host, the x2 or mp5 applies its own global settings. • no audible alarms are available on an x2 or mp5 when connected to a host monitor. the only visual alarm indication is provided by the alarm lamps which are controlled by the host monitor. alarms become active again as soon as the x2 or mp5 is disconnected from the host monitor. @topic:10


# # # issue - cuff bp not available for use. # # # impact - delay in patient monitoring and treatment. # # # possible causes - equipment malfunction. - cuff bp not compatible with the monitor. - cuff bp not available in the correct size. # # # recommendations - test the monitor to ensure it is functioning properly. - check the compatibility of the cuff bp with the monitor. - order a new cuff bp in the correct size. @topic:5


# # # issue - cuff leak # # # impact - inaccurate vital signs measurement - potential patient harm # # # possible causes - cuff damage - cuff failure - cuff connection issues # # # recommendations - replace the cuff - inspect the cuff and its connections for damage - ensure the cuff is properly connected to the monitor - calibrate the monitor and the cuff - follow the manufacturer's instructions for cuff maintenance and replacement - regularly monitor the cuff and the monitor for signs of wear and tear @topic:5


# # issue the scanner on the medical cart is not working. # # impact the medical cart cannot be used to scan patient records or other important documents. this could delay patient care and lead to errors. # # possible causes - the scanner is not properly configured. - the scanner is not receiving power. - the scanner is defective. # # recommendations - check the scanner's configuration settings. - ensure that the scanner is receiving power. - if the scanner is still not working, contact a biomedical engineer for further assistance. @topic:23


# # # issue - fuse blown # # # impact - device not functioning properly # # # possible causes - power surge - short circuit - overloading # # # recommendations - replace the blown fuse - inspect the device for any other damage - check the power source for any problems - ensure that the device is not overloaded - if the problem persists, contact the manufacturer for further assistance @topic:12


##274 4 clip 19 72854 1 backrest weldment 20 s30555k 1 cover, short cable tray 21 s30548k 1 cover, long cable tray 22 71494 2 weldment, drainage hook 23 vi0609a 2 screw 24 71991 2 nut 25 si 1002a 1 axis ( pivot pin, cpr ) 26 72619 1 bracket, cpr gas spring mount 27 72494 1 gas spring 28 rm74804a 1 retaining e - ring careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 61 articulating frame — c model beds chapter 5 : parts list item number part number quantity description 29 vi0616a 4 washer 30 vi0608 4 screw 31 138154 1 alarm, external assembly page 5 - 62 careassist® and careassist® es bed service manual ( man330 rev 4 ) articulating frame — c model beds chapter 5 : parts list notes : careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 63 head siderail — c model beds chapter 5 : parts list head siderail — c model beds chapter 5 : parts list table 5 - 25. head siderail — c model beds item number part number quantity description 1 72290 1 label, blank, speaker cover 2 72862 4 or 8 screw hi - lo 3 71090 1 speaker cover 4 71091 1 gasket, cover 5 70746 1 speaker 6 28562 4 nut 7 128804 1 siderail, rh ( scale beds ) 129656 1 siderail, lh ( scale beds ) 71019 1 siderail, rh ( non - scale beds ) 71062 1 siderail, lh ( @topic:26


# # # issue - the philips suresigns vs4 monitor is not displaying a pulse rate when measuring spo2. # # # impact - clinicians cannot accurately monitor a patient's vital signs, specifically their heart rate, which is essential for assessing their overall health and condition. # # # possible causes - * * hr source setting : * * the hr source setting in the heart rate menu is set to ecg only, excluding the spo2 sensor as a source for pulse rate measurement. # # # recommendations - navigate to the heart rate menu and select the hr source option. - change the hr source setting to " auto " to enable the monitor to use both the ecg and spo2 sensors for pulse rate measurement. - retest the monitor to verify that it is now displaying the pulse rate when measuring spo2. @topic:4


##pads, remote controls and control luster arms ), • do not use accessories such as high pressure hoses ( a ). it is preferable to use soft non - metallic brushes ( b ) and microfiber support ( c ) in such a way as to reduce the pressure to an acceptable level. a b steam cleaning areas clean with a microfiber support only. clean with a soft non - metallic brush or a microfiber support. prevent water and steam from getting into connectors that are not in use, • do not brush and use reduced pressure on labels and markings, • maintenance only facility - authorized personnel should perform maintenance of the hibefore maintenance or servicing works : ensure that the bed has been immobilized ( if no movements are required ), lock out all electrical functions, • • disconnect the bed from the mains if no electrical operations are planned, • secure the sleep surface and take whatever steps are necessary to prevent. do not work on the bed when it is occupied. • all devices connected to the can socket, used exclusively for maintenance operations, must meet the requirements of iec 60950 - 1. for all problems with actuators ( e. g., blockage ), contact our after - sales service. preventive maintenance [UNK] service manual and a catalog of spare parts are supplied on delivery, but can also be obtained on demand from hill - rom after - sales. hill - rom guarantees that the original functional parts or parts performing equivalent functions will remain available for 7 years after the corresponding range goes out of production. [UNK] product test plan is based on 10 years of normal use. [UNK] the frequency of inspections must be adapted to the general condition of the product and it use, for example, if the bed is used by heavy patients. it is the responsibility of the facility to implement a preventive maintenance program for the bed's functions @topic:9


] documentation that accompanies the test equipment. only certified technicians should perform safety testing. • the consistent use of a safety a ^ natyf ^ er as a routine step in closing a repair or upgrade is emphasized as a mandatory step to maintain user and patient safety. you can also use the safety analjj ^ er as a troubleshooting tool to detect abnormalities of line voltage and grounding plus total current loads. • during safety testing, mains voltage and electrical currents are applied to the device under test. ensure that there are no open electrical conductive parts during the performance of these tests. avoid that users, patients or other individuals come into contact with touch voltage. • for europe and asia / pacific, the monitor complies with : lec 60601 - 1 : 1988 + al : 1991 + a2 : 1995 ( ed. 2 ) ; en60601 - 1 : 1990 + al : 1993 + a2 : 1995 ( ed. 2 ) ; lec 60601 - 1 - 1 : 2001 ; en 60601 - 1 - 1 : 2001 ; lec 60601 - 1 - 2 : 2001 + a1 : 2004 ; en 60601 - 1 - 2 : 2001 + a1 : 2006. for usa, the monitor complies with : ul60601 - 1 : 2003 for canada, can / csa c22. 2 # 601. 1 - m90 + s1 + a2 • local regulations supersede the testing requirements listed in this chapter. • if a non - medical electrical device is connected to a medical electrical device, the resulting medical electrical system must comply lec 60601 - 1 - 1 : 2000 / en 60601 - 1 - 1 : 2001 or lec 60601 - 1 : 2005 / en 60601 - 1 : 2006 + a1 : 2012 ( ed. 3 ) section 16 " me systems @topic:10


# # # issue - rupture of cuff tubing # # # impact - inaccurate blood pressure readings - patient discomfort - wasted time and resources # # # possible causes - cuff not properly connected - cuff overinflated - defective cuff tubing - cuff damaged by sharp object # # # recommendations - ensure that the cuff is properly connected before inflating. - avoid overinflating the cuff. - visually inspect the cuff tubing for any damage. - replace the cuff if it is damaged. @topic:3


# # # issue : equipment : bed, electric model : mb - acc73 manufacturer : huntleigh issue : bed does not adjust up / down # # # impact : patients may not be able to be positioned comfortably or safely in the bed. # # # possible causes : - * * power supply * * : ensure the bed is plugged into a working power outlet. - * * electrical connections * * : check that all electrical connections are secure and not damaged. - * * power switch * * : verify that the power switch is in the " on " position. - * * hand control * * : the hand control may be faulty or damaged. - * * motor * * : the motor that controls the up / down adjustment may be malfunctioning. - * * mechanical obstruction * * : ensure that there are no obstructions preventing the bed from adjusting. # # # recommendations : - * * inspect power supply * * : ensure the bed is plugged into a working electrical outlet and that the power cord is not damaged. - * * check electrical connections * * : tighten any loose electrical connections and replace any damaged connectors. - * * manually test power switch * * : attempt to turn the power switch on and off manually to confirm functionality. - * * test hand control * * : try using a different hand control or test the existing hand control with a multimeter to check for continuity. - * * contact vendor * * : if the issue persists, contact the vendor or a qualified technician for further diagnosis and repair. - * * consider replacement * * : if the bed is beyond repair or the issue is a manufacturing defect, consider replacing the bed with a new unit. @topic:1


* * issue * * the central monitor is not able to print. * * impact * * the patient's vital signs and other important information cannot be printed for documentation and monitoring purposes. * * possible causes * * * paper jam * printer driver issue * hardware malfunction * software malfunction * * recommendations * * * check for paper jam and remove any obstructions. * restart the printer and the central monitor. * update the printer driver. * contact the manufacturer or a qualified technician to diagnose and repair the issue if the above steps do not resolve the problem. @topic:28


# # # issue spo2 cable failure in philips intellivue mx700 bedside physiologic monitor # # # impact - inability to accurately monitor patient's oxygen saturation levels - potential for patient harm if oxygen saturation levels drop undetected # # # possible causes - physical damage to the cable, such as cuts or kinks - loose connections at the cable ends - electrical interference from other devices - manufacturing defect # # # recommendations - inspect the spo2 cable for any physical damage or loose connections. replace the cable if any damage is found. - ensure that the spo2 cable is properly connected to the monitor and the patient. - check for any other devices in the vicinity that may be causing electrical interference. - contact the manufacturer if the problem persists after following the above steps. @topic:4


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : the drawer cannot be opened # # # impact - the medical cart cannot be used to store or transport medical supplies or equipment. # # # possible causes - the drawer is jammed. - the drawer lock is broken. - the drawer latch is broken. # # # recommendations - check the drawer for any obstructions that may be blocking it from opening. - ensure that the drawer lock is functioning properly, if present - ensure that the drawer latch is functioning properly. - if the drawer is still unable to be opened, contact a qualified biomedical engineer for assistance. @topic:21


# # # issue - time & date not synchronized # # # impact - incorrect patient records - misinterpretation of data - delays in diagnosis and treatment # # # possible causes - central monitor clock battery failure - central monitor software glitch - incorrect time or date configuration - network connectivity issues # # # recommendations - replace the central monitor clock battery. - update the central monitor software to the latest version. - check the time and date configuration and make sure they are correct. - ensure that the central monitor is connected to a reliable network with accurate time synchronization. @topic:29


# # # issue - defective control box # # # impact - equipment malfunction # # # possible causes - wear and tear - electrical surge - manufacturing defect # # # recommendations - regular maintenance and inspection - surge protection - contact the manufacturer for support @topic:12


# # # issue the cuff on the philips suresigns vs2 + vital signs monitor was found to be damaged. # # # impact the damaged cuff prevented the monitor from accurately measuring vital signs, such as blood pressure. # # # possible causes there are several possible causes for the cuff damage, including : * normal wear and tear over time * improper storage or handling of the cuff * exposure to extreme temperatures or humidity * damage caused by cleaning or disinfecting the cuff # # # recommendations to prevent future cuff damage, the following recommendations should be followed : * inspect the cuff regularly for signs of damage, such as cracks or tears. * store and handle the cuff carefully, avoiding exposure to extreme temperatures or humidity. * clean and disinfect the cuff according to the manufacturer's instructions. * if the cuff is damaged, replace it immediately. @topic:15


visible. the setting diag selects the highest available ecg bandwidth which is 0. 05 to 150 hz for the adult, pedi and neo patient category. the term “ diagnostic ” relates only to the ecg bandwidth requirements for diagnostic electrocardiographic devices as outlined in the ansi / aami standard ec11 - 1991. selecting positions of va and vb chest leads ( for 6 - lead placement ) the two chest leads for the 6 - lead placement can be positioned at any two of the vi to v6 positions. select the positions you have used in the setup ecg menu, so that the chest leads will be correctly labeled. 1 in the setup ecg menu, select va lead. 2 select the position used from the list. 3 select vb lead and select the position used from the list 122 choosing easi or standard lead placement 6 ecg, arrhythmia, st and qt monitoring choosing easi or standard lead placement you must enable either standard lead placement or easi lead placement. ♦ in the setup ecg menu, select lead placement and then standard or easi. easi is shown beside the lmv calibration bar on the ecg wave on the display, and easi is marked on any recorder strips and printouts. see the section on easi ecg lead placement for electrode placement diagrams. about ecg leads to make it possible to compare measured ecg signals, the electrodes ( or lead sets ) are placed in standardized positions, forming so - called “ leads ”. to obtain ecg signals optimized for use in diagnosis and patient management in different care environments, different lead sets in varying lead placements can be used. you can use either standard lead placements or easi lead placements with this monitor. when placing electrodes, choose a flat, non - muscular site where the signal will not be interfered with by either @topic:8


# # # issue - solenoid valve sticking, causing the drawer to not release properly. # # # impact - inability to access medical supplies and equipment stored in the drawer. - delays in patient care. # # # possible causes - accumulation of dirt or debris on the solenoid valve. - lack of lubrication on the solenoid valve. - malfunctioning of the solenoid valve itself. # # # recommendations - clean the solenoid valve to remove any dirt or debris. - apply a small amount of lubricant to the solenoid valve to reduce friction. - if cleaning and lubrication do not resolve the issue, replace the solenoid valve. @topic:21


# # issue - cuff bp connector is detached from the cable. # # impact - unable to measure blood pressure. # # possible causes - cuff bp connector is not properly attached to the cable. - cuff bp cable is damaged. # # recommendations - check if the cuff bp connector is properly attached to the cable. - inspect the cuff bp cable for any damage. - replace the cuff bp cable if it is damaged. - contact philips technical support for further assistance. @topic:3


# # # issue - oxygen saturation ( spo2 ) readings are intermittent or unreliable. # # # impact - inaccurate spo2 readings can lead to delayed or incorrect medical decisions, such as the need for supplemental oxygen or intubation. # # # possible causes - loose connection between the spo2 sensor and the monitor - faulty spo2 sensor - electrical interference from other medical devices - patient movement or poor circulation # # # recommendations - check the connection between the spo2 sensor and the monitor. ensure that the sensor is securely attached and that there are no loose wires. - replace the spo2 sensor if it is damaged or malfunctioning. - move the patient or the monitor to a different location to reduce possible electrical interference. - ensure that the patient is still and that their circulation is adequate. @topic:4


139 [ 5 repair and disassembly ] removing the bedhanger 1 remove the four screws securing the bedhanger from the bottom housing and remove the 2 when reinstalling the bedhanger, do not use the same screws, because their locking varnish will have been damaged. use a new set of screws. removing the spillage cover 1 remove the two screws securing the spillage cover. 2 remove the spillage cover by lifting it upwards. 140 5 repair and disassembly ) removing the battery compartment door 1 slide the battery compartment door towards the rear of the monitor to open it. 2 open the battery door all the way and apply a slight pressure to the hinges. 3 pull off the battery door. 4 to reassemble the battery door, attach it to the outer hinge first, and then snap the other hinges into place. 5 check that the battery door opens and closes properly, to ensure that it has been reassembled correctly. 141 [ 5 repair and disassembly ] removing the bottom housing 1 remove the battery from the monitor. 2 remove the six screws and pull off the bottom housing. 3 disconnect the cable connecting the power switch / ecg sync out board to the main board. removing the power switch / ecg sync out board and power button 1 remove the bottom housing as described in'‘ removing the bottom housing ” on page 142. 2 unplug the speaker cable from the power switch / ecg sync out board. 142 5 repair and disassembly ) 3 remove the two screws. 5 remove the power switch / ecg sync out board. 143 [ 5 repair and disassembly ] removing the loudspeaker 1 2 remove the bottom housing as described in ‘ ‘ removing the bottom housing ” on page 142. if no quick mount is installed, you w @topic:19


# # # issue - the monitor's cuff connection was loose, causing inaccurate blood pressure readings. # # # impact - incorrect blood pressure readings could lead to misdiagnosis or inappropriate treatment. # # # possible causes - the cuff may not have been properly attached to the monitor. - the cuff may have become loose over time due to repeated use. # # # recommendations - ensure that the cuff is properly attached to the monitor before taking a blood pressure reading. - inspect the cuff regularly for signs of wear and tear, and replace it if necessary. - train staff on proper cuff attachment procedures. @topic:3


# # # issue - * * sp02 sensor malfunction due to usage. * * # # # impact - inability to accurately measure and monitor patient's blood oxygen saturation levels. # # # possible causes - * * excessive wear and tear : * * prolonged use of the sensor without proper maintenance or calibration. - * * physical damage : * * accidental drops, collisions, or exposure to excessive force. - * * electrical issues : * * malfunctioning circuits or faulty connections within the sensor or monitor. - * * software glitches : * * software errors or bugs in the monitor's software can affect the sensor's functionality. - * * environmental factors : * * exposure to extreme temperatures, humidity, or electromagnetic interference can impact the sensor's accuracy. # # # recommendations - * * regular maintenance and calibration : * * follow the manufacturer's recommended maintenance schedule and ensure proper calibration of the sensor and monitor. - * * proper handling : * * handle the sensor with care, avoid unnecessary bending or twisting, and store it in a safe and dry environment. - * * routine inspection : * * periodically inspect the sensor for any visible damage, loose connections, or signs of wear and tear. - * * software updates : * * keep the monitor's software up to date to address any software - related issues affecting the sensor's functionality. - * * environmental monitoring : * * ensure that the operating environment meets the specified conditions for temperature, humidity, and electromagnetic interference. - * * consider alternative sensors : * * if the issue persists, consider using alternative sp02 sensors compatible with the monitor. @topic:4


# # # issue - ekg cable damage # # # impact - ekg signal interference - inability to accurately monitor patient's heart activity # # # possible causes - worn or damaged cable - loose or disconnected cable - excessive movement or pulling of the cable - manufacturing defect # # # recommendations - inspect ekg cables regularly for signs of damage or wear - secure cables properly to prevent loose connections or disconnections - avoid excessive movement or pulling of cables - contact the manufacturer if any defects are suspected @topic:18


# # # issue : - wood bed guard is shaking. # # # possible causes : - attachment of the wood bed guard to the bed frame is loose. - bed frame damage. - worn wood bed guard. # # # recommendations : - tighten the screws or bolts that secure the wood bed guard to the bed frame. - inspect the bed frame for any damage and repair or replace as needed. - replace the worn wood bed guard if necessary. @topic:6


# # # issue - bp connector loose # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - the bp connector may have become loose over time due to normal wear and tear. - the bp connector may have been improperly attached to the monitor. # # # recommendations - tighten the bp connector securely. - inspect the bp connector and tubing for any damage. - if the bp connector is damaged, replace it with a new one. @topic:14


# # # issue - cover of monitor, physiologic, vital signs, band : casmed, model : 740 is loose. # # # impact - the loose cover may interfere with the proper functioning of the monitor. - it may also pose a hazard to the user or patient. # # # possible causes - the cover may not have been properly secured during assembly. - the cover may have become loose due to wear and tear. # # # recommendations - ensure that the cover is properly secured. - replace the cover if it is damaged. - regularly inspect the monitor to ensure that all covers are secure. @topic:2


# # # issue - bed electric cannot be adjusted # # # impact - patient cannot be positioned comfortably - nursing staff cannot access the patient # # # possible causes - broken or loose remote control cable - low battery in the remote control - failure of the control panel on the bed # # # recommendations - * * check the remote control cable for breaks or loose connections. * * if the cable is broken, it will need to be replaced. - * * replace the battery in the remote control. * * - * * contact the manufacturer or a qualified biomedical engineer for further troubleshooting. * * @topic:7


# # # issue - unable to measure spo2 ( oxygen saturation ) # # # impact - patient's oxygen levels cannot be accurately monitored, leading to potential health risks # # # possible causes - damaged or loose probe sensor cable - faulty probe sensor - malfunctioning monitor module ( less likely, as per technician's diagnosis ) # # # recommendations - replace the probe sensor cable with a new one. - if replacing the cable does not resolve the issue, consider replacing the probe sensor. - if both cable and sensor replacement fail, further investigation into the monitor module may be necessary ( although this is less likely ). @topic:4


# # # issue loss of parameter values # # # impact inaccurate monitoring of patient's vital signs. # # # possible causes - loose module connection. # # # recommendations - ensure that the module is properly seated and securely connected. - verify that the module is compatible with the device. - contact the manufacturer for further troubleshooting. @topic:22


: * * if a software glitch is suspected, resetting the bed's software to its default settings may be necessary. this can be done by following the manufacturer's instructions or consulting with a qualified biomedical engineer. - * * inspect mechanical components : * * in rare cases where mechanical failure is suspected, a thorough inspection of the bed's mechanical components, such as gears and motors, should be conducted. any worn or damaged parts should be identified and replaced accordingly. - * * preventive maintenance : * * to prevent similar issues in the future, regular preventive maintenance is essential. this includes periodic inspections, cleaning, lubrication, and software updates to ensure the bed's optimal performance and longevity. @topic:9


equipment damage. 3. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 4. for the mains fuses, do as follows, otherwise go to step 5. a. remove the two screws ( a ) from the retainers ( c ) ( see figure 4 - 43 on page 4 - 102 ). b. remove the retainers ( c ). c. remove the three screws ( d ) that attach the power supply cover ( e ) to the power supply ( f ). d. remove the power supply cover ( e ). note : the power supply cover is connected to the power supply rc. board by the battery cable. e. disconnect the battery cable from the power supply rc. board. f. remove the power supply cover ( e ). caution : when handling electronic components, wear an antistatic strap. failure to do so could cause component damage. g. put on the antistatic strap. 1. torx® is a registered trademark of acument intellectual properties, llc. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 101 4. 34 fuses ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures figure 4 - 43. power supply cover h. remove the both fuses ( g ) from the interface rc. board ( h ) ( see figure 4 - 44 on page 4 - 103 ). note : replace both fuses at the same time. note : the large fuses are for the 100 v through 127 v beds. the smaller fuses are for the 220 v through 240 v beds. 5. for the battery fuses, do as follows : a. remove the three screws ( i ) from the battery cover ( j ). b. remove the battery @topic:26


# # # issue - scanner cannot be used due to failure to start - keyboard tray cannot be pulled out # # # impact - delay in patient care - inconvenient for staff # # # possible causes - scanner power supply issue - keyboard tray stuck due to loose screw # # # recommendations - check scanner power cord and connections - remove loose screw and reassemble keyboard tray @topic:23


' s heart rate drops to a level where pacing is needed. proper detection and classification of the en be determined. filtered ecg signal from external instruments : instruments such as defibrillators or telemetry units produce a filtered ecg signal. when this signal is used as an input to the bedside monitor, it is filtered again. if this twice - filtered signal is passed to the arrhythmia algorithm, it may cause the algorithm to fail to detect pace pulses, pacemaker non - capture, or asystole, thus compromising paced patient monitoring performance. external pacing electrodes : when a pacemaker with external pacing electrodes is being used on a patient, arrhythmia monitoring is severely compromised due to the high energy level in the pacer pulse. this may result in the arrhythmia algorithm's failure to detect pacemaker noncapture or asystole. fusion beat pacemakerspacemakers that create fusion beats ( pace pulse on top of the qrs complex ) cannot be detected by the monitor's qrs detector. rate adaptive pacemakers : implanted pacemakers which can adapt to the minute ventilation rate may occasionally react on the t used by patient monitors for the determination of the resp value and execute pacing with the maximum programmed rate. switching off the resp measurement can prevent this. 153 6 ecg, arrhythmia, st and qt monitoring line isolation monitor transients : when electrodes or lead wires are loose or detached, the monitor becomes susceptible to switching transients from some types of line isolation monitors. line isolation monitor transients may resemble actual cardiac waveforms and thus inhibit heart rate alarms. to minimize the chance of this occurring, always adhere to the instructions for skin preparation and electrode placement given in this chapter. about arrhythmia monitoring arrhythmia analysis provides information on your patient's condition, @topic:8


# # # issue - cuff bp is leaking # # # impact - the device may not be able to accurately measure blood pressure. # # # possible causes - the cuff may be damaged. - the cuff may not be properly inflated. # # # recommendations - replace the cuff. - ensure that the cuff is properly inflated. @topic:3


# # # issue - spo2 values disappear after a period of use. # # # impact - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes - faulty spo2 or extension cables. # # # recommendations - replace both the spo2 and extension cables. @topic:4


# # # issue - central monitor is not working # # # impact - unable to monitor patient's vital signs - may lead to patient harm # # # possible causes - set time is not properly set - equipment is not properly connected - power issues - software issues # # # recommendations * * set time issue * * - check if set time is properly configured - reset set time if necessary * * connection issue * * - verify that all cables and connections are secure - check if the equipment is properly connected to ac power * * power issue * * - check if the equipment is receiving power - verify that the power cord is not damaged * * software issue * * - check if the software is up to date - if the software is not up to date, install the latest version @topic:2


##ibration other regular tests and tasks visual inspection perform visual inspection test block 30 when to perform tests 3 testing and maintenance power on test perform power on test block repairs repairs where the monitor has been damaged | perform visual inspection, power on, all by impact, liquid ingression, fire, short circuit | safety tests and full performance assurance or electrical surge. tests repairs where the msl power board is perform visual inspection, power on, all removed or replaced safety tests and basic performance assurance test repairs where the main board has been perform visual inspection, power on, basic replaced. performance assurance test and nbp accuracy test and calibration. repairs where the measurement block has perform visual inspection, power on, all been removed or replaced safety tests and basic performance assurance test. if a certain parameter seems suspicious, perform full performance assurance test for this parameter. repairs of intellivue instrument telemetry perform visual inspection, power on test ( iit ) module block and iit communication test repairs of intellivue 802. 11 bedside perform visual inspection, power on and adapter intellivue 802. 11 bedside adapter communication test repairs of short range radio ( srr ) perform visual inspection, power on and srr interface communication test repairs where the rear housing has been perform visual inspection, power on, all removed or replaced. safety tests and basic performance assurance test. repairs where the nbp pump has been perform visual inspection, power on, all replaced safety tests, basic performance assurance test and nbp performance test and calibration repairs of the m3015a mms extension perform visual inspection, power on, all safety tests, basic performance assurance test 31 3 testing and maintenance 32 all other intellivue monitoring system repairs ( except when msl power board is removed ) when to perform tests perform visual inspection, power on test and basic performance assurance test performance assurance basic performance assurance @topic:10


mm 40 mm x 17 mm m3081 - 61625 453563484491 cbl msl instal. 25m unterminated 72mm ^ 40 mm 40 mm x 17 mm faceplates m3081 - 68707 453563484531 cbl mslface plate pair of boxes non us 72mm ^ 40 mm 40 mm x 17 mm m3081 - 68708 453563484541 cbl msl face plate pair of boxes us 72mm ^ 40 mm 40 mm x 17 mm insertion tool m3086 - 43801 453563484771 msl insertion tool for unterminated cbl 72mm ^ 40 mm 40 mm x 17 mm mounting table 10 m3001a multi - measurement module ( mms ) and m3002a inteuivue x2 mounts product option number part number 12nc part no. description m3080a # a01 n / a wad mounting plate remote displays ( 865299 ) space requirements size ( w x h x d ) 429mm x 359mm x 61mm ( 16. 89 ” x 14. 13 ” x 2. 4 ” ) weight 6. 1 kg ( 13. 45 lbs. ) 297 [ 8 site preparation ] environmental requirements temperature operating : 0 to 40°c ( 32 to 104°f ) storage : - 20 to 60°c ( - 4 to 140°f ) humidity operating : 30 to 70 % rh ( non - condensing ) storage : 10 to 90 % rh ( non - condensing ) altitude operating : up to 4000m ( 13123. 36 ft. ) storage : up to 12000m ( 39370, 08 ft. ) eiectricai and safety requirements voltage ranges : loov to 240v voltage selection : wide range @topic:19


# # # issue - equipment : beds, electric - band : huntleigh - model : contoura 360 - description : equipment cannot adjust the head down # # # impact - patient discomfort - difficulty in providing care - delays in treatment # # # possible causes - faulty relay - faulty motor - broken wires - software glitch # # # recommendations - inspect the relay and motor for any visible damage. - test the continuity of the wires to ensure there are no breaks. - update the software if available. - refer to the manufacturer's manual for specific troubleshooting steps. - contact a qualified technician if the issue cannot be resolved with the above steps. @topic:1


# # # issue - loose nut on the bed rail # # # impact - the loose nut could cause the bed rail to become unstable, which could lead to a patient injury. # # # possible causes - the nut may have been improperly tightened during assembly. - the nut may have loosened over time due to vibration or wear. - the nut may have been damaged. # # # recommendations - inspect the bed rail and tighten the nut properly. - if the nut is damaged, replace it. - monitor the bed rail for any further signs of instability. @topic:6


” in the numeric ibp pane. 4. set the patient simulator to atmosphere ( atm ). the monitor displays ibp zero required in the status pane. 5. rotate the wheel until the ibp waveform is highlighted and press the wheel to open the ibp waveform menu. 6. rotate the wheel until the ibp zero button is highlighted and press the wheel to begin zeroing the pressure. the ibp waveform menu closes. the message ibp zero - in progress appears in the ibp waveform pane. 7. configure the patient simulator as p ( static ) = 200 mmhg. note — you might have to use the blood pressure menu on the monitor to set 0 - 300 on the scale menu in order to configure the patient simulator to 200 mmhg. 8. ensure that the ibp waveform is on the 0 mmhg reference line. 9. change the sweep speed to 25 mm / sec. 10. wait for the display and make sure that the ibp waveform corresponds to a steady pressure of 200 mmhg ± 5 mmhg. 11. if the value is outside these tolerances, check the transducer. 12. if you still do not get the expected results, see chapter 7, troubleshooting. performance verification testing 6 - 13 performing verification tests c0 2 calibration test before you start : see “ required test equipment " for a list of the equipment that you need to perform this test. this test checks the co 2 calibration of the microstream co 2 gas measurement. the cce calibration test is required after 4, 000 hours of continuous use, or every year — whichever comes first. in addition, perform the calibration tests when the instrument is repaired or when parts are replaced. this test uses calibration equipment that you can order. refer to the documentation @topic:17


* * issue : * * broken footing steel leg * * impact : * * - inability to use the electric bed * * possible causes : * * - excessive weight or force applied to the leg - fatigue or stress on the metal over time - manufacturing defect * * recommendations : * * - inspect the leg for any signs of damage or weakness - reinforce the leg with additional support or replace it if necessary - monitor patient weight and limit use of the bed by heavy individuals - follow proper installation and maintenance procedures for the bed @topic:9


# # # issue - monitor producing a loud noise during bp measurement # # # impact - may cause discomfort or annoyance to patients and staff - may interfere with accurate bp measurement # # # possible causes - * * normal function : * * the monitor is operating as intended and the noise is part of its normal operation. - * * loose connections : * * internal components or connections may be loose, causing rattling or humming noises. - * * defective parts : * * a malfunctioning component, such as a fan or pump, can produce excessive noise. # # # recommendations 1. * * verify normal operation : * * check the user manual or consult with the manufacturer to confirm that the noise is expected during bp measurement. 2. * * inspect for loose connections : * * disconnect and reconnect all cables and connections to ensure a secure fit. 3. * * contact manufacturer : * * if the noise persists or is excessive, contact the manufacturer for technical support or repair. 4. * * monitor performance : * * observe the monitor's operation closely during subsequent bp measurements to ensure that the noise does not interfere with accuracy or reliability. @topic:15


# # # issue : - ekg cable is damaged. # # # impact : - the patient's ekg signal may not be accurately monitored. - this could lead to incorrect diagnosis or treatment. # # # possible causes : - the cable may have been damaged during use. - the cable may have been exposed to moisture or other environmental factors. - the cable may have been improperly stored. # # # recommendations : - replace the damaged cable. - inspect the cable regularly for damage. - store the cable in a safe and dry place. - train staff on the proper handling and storage of medical devices. @topic:18


# # # issue - medical cart displaying " - 1 " error # # # impact - the medical cart is not functioning correctly, potentially affecting patient care and workflow. # # # possible causes - * * software glitch : * * a software error or bug may be causing the " - 1 " error. - * * hardware malfunction : * * a faulty component, such as a sensor or display, could be responsible for the error. - * * power supply issues : * * intermittent or insufficient power supply can lead to erratic behavior of the medical cart. - * * connection problems : * * loose or damaged connections between components can disrupt communication and cause errors. - * * user error : * * incorrect operation or mishandling of the medical cart may have triggered the error. # # # recommendations - * * restart the system : * * power cycling the medical cart can resolve software glitches and clear any stored error messages. - * * check connections : * * inspect all cables and connectors to ensure they are secure and undamaged. - * * update software : * * if available, install any software updates or patches that may address the specific error. - * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the medical cart for technical support or warranty repair. - * * document the error : * * keep a record of the error message, time of occurrence, and any troubleshooting steps taken, as this information can aid in future troubleshooting. @topic:13


# # # issue - equipment : monitor, bedside, physiologic - brand : philips - model : intellivue mp70 ( m8007a ) # # # impact - the equipment is not able to measure blood pressure ( bp ) due to a broken cuff. # # # possible causes - the cuff was not properly connected to the equipment. - the cuff was damaged. - the cuff was not compatible with the equipment. # # # recommendations - check that the cuff is properly connected to the equipment. - replace the cuff if it is damaged. - use a cuff that is compatible with the equipment. - send the bp cuff out for testing to determine the cause of the failure. @topic:14


# # # issue - medical cart display turns black and displays " boot " message # # # impact - inability to use the medical cart for its intended purpose # # # possible causes - * * software issues : * * corrupted operating system or application files, missing or outdated drivers, malware or virus infection - * * hardware issues : * * faulty display or graphics card, loose connections, power supply problems # # # recommendations - * * software troubleshooting : * * - restart the medical cart and check if the issue resolves. - update the operating system and software drivers. - run a malware or virus scan. - reinstall the operating system if necessary. - * * hardware troubleshooting : * * - check the display connections and ensure they are secure. - replace the display or graphics card if necessary. - check the power supply and ensure it is providing adequate power to the medical cart. @topic:13


# # # issue - broken remote control cable - the remote control unit is not functioning properly. # # # impact - the medical device cannot be operated remotely. - medical staff will have to manually operate the device, which may take longer and be less convenient. # # # possible causes - the remote control cable may have been damaged accidentally, or it may have become worn out over time. - the remote control unit may have been damaged by water or other liquids. - the remote control unit may have been dropped or otherwise damaged. - the remote control unit may have become faulty due to a manufacturing defect. # # # recommendations - replace the remote control cable. - replace the remote control unit. - inspect the remote control unit for any visible damage. - test the remote control unit to ensure that it is functioning properly. - if the remote control unit is still not functioning properly, contact the manufacturer for assistance. @topic:7


# # # issue - the bed's knee joint cannot be adjusted. # # # impact - the patient cannot be positioned comfortably or safely in the bed. # # # possible causes - the knee motor is faulty. - the knee joint is jammed. - the control panel is not functioning properly. # # # recommendations - replace the knee motor. - unjam the knee joint. - repair or replace the control panel. @topic:9


# # # issue - cuff failure on the philips suresigns vsi physiologic vital signs monitor. # # # impact - inaccurate or unreliable vital signs measurements, which can delay or compromise patient care. # # # possible causes - cuff degradation due to normal wear and tear, aging, or improper use. # # # recommendations - replace the damaged cuff with a new one to restore the monitor's functionality. - regularly inspect and maintain the monitor and its components to prevent future failures. - train staff on proper cuff handling and maintenance techniques to minimize future damage. @topic:5


# # # issue : monitor screen is not displaying any content. # # # impact : vital signs monitoring is unavailable. # # # possible causes : - faulty lcd display - loose or disconnected cable connection - power supply issue - motherboard failure # # # recommendations : - inspect the lcd display for any signs of damage. - check and ensure all cables are securely connected to the monitor and power source. - verify if the power supply is providing the correct voltage and amperage to the monitor. - contact the manufacturer or a qualified technician to further diagnose and repair the issue. @topic:2


cpr function for 2 hours. when this battery is low, the bed must be connected to the mains power supply for at least 24 hours to fully recharge the battery. otherwise, the cpr function cannot be • a beep sounds regularly to indicate that modes are inactive. • if a patient whose weight is close to the swl exits the bed, the internal pressure of the mattress may suddenly drop, causing a low safety pressure to error to occur. in this case, reconnect to the main power supply to reset the system. • the mattress can be temporarily deflated without stopping it. 1. press mattress n the gci. press deflate. 2. deflate the corresponding control turns green.. 3. accella therapy to switch off the deflation mode, press deflate or the boost button. deflate in progress... 4. atz clp www 5. the mattress switches to initialization mode. alp mcm p - max after 20 minutes, the system automatically returns to the initial therapeutic mode in order to reduce the risks incurred in the non - therapeutic mode. ( stop deflate 9 : 15 02 / 07 / 20bed mb _ 3 _ c / 1 age 4 du gci1. press mattress ress stop2. ↓ stop the mattress deflates in about 1 minute. 3. a sound signal indicates that the mattress can be disconnected. 4. confirm that the mattress has been stopped. 5. note : if the mattress is disconnected without properly following the procedure to stop the attress, it switches to fault mode. disconnecting and storing the mattress 1. make sure that the mattress has been stopped properly ( see " stopping thmattress " page 50 ). disconnect the bed power cord from the wall outlet. 2. open the head end zip fastener. unscrew the deflation plug. 3. @topic:9


# # # issue - the buttons on the huntleigh enterprise 8000 electric bed are not working. # # # impact - the patient may not be able to operate the bed, which could lead to discomfort or injury. - the nurse may not be able to adjust the bed, which could make it difficult to care for the patient. # # # possible causes - the control panel is not connected to the bed correctly. - the wires in the control panel are damaged. - the buttons on the control panel are damaged. - the control board is damaged. # # # recommendations - inspect the control panel to make sure that it is connected to the bed correctly. - if the control panel is connected correctly, check the wires for damage. - if the wires are not damaged, check the buttons for damage. - if the buttons are not damaged, check the control board for damage. @topic:7


# # # issue : failure of a vital signs monitor due to cuff degradation # # # impact - inaccurate patient vital signs measurements - interruption of patient care and monitoring # # # possible causes - wear and tear over time - exposure to extreme temperatures or humidity - improper storage or handling - physical damage # # # recommendations - regular inspection and maintenance of the cuff for signs of degradation - proper storage and handling of the monitor and its accessories - training of healthcare staff on the correct use and maintenance of the equipment - prompt replacement of the cuff if it becomes damaged or worn @topic:5


# # # issue - dirty equipment # # # impact - equipment may not function properly - equipment may be uncomfortable to use - equipment may be unsightly - equipment may be a source of infection # # # possible causes - equipment was not cleaned properly after previous use - equipment was exposed to dirt or dust - equipment was not stored in a clean environment # # # recommendations - clean equipment regularly - store equipment in a clean environment - use a cover or drape to protect equipment from dirt and dust - train staff on proper cleaning procedures @topic:12


# # # issue - wooden bed rails cannot be adjusted. # # # impact - the patient may be at risk of falling out of bed. - the patient may be uncomfortable or in pain. # # # possible causes - the wooden bed rails may be damaged or broken. - the electrical connections to the bed rails may be loose or damaged. - the bed rails may be obstructed by something. # # # recommendations - inspect the wooden bed rails for damage or breakage. - check the electrical connections to the bed rails. - remove any obstructions that may be blocking the bed rails. - if the issue cannot be resolved, contact the manufacturer for assistance. @topic:6


# # # issue - no signal # # # impact - delay in patient care - incorrect diagnosis - increased risk of patient harm # # # possible causes - incorrect cable connection - faulty cable - faulty source device - faulty monitor # # # recommendations - check cable connections and ensure they are secure. - replace cable if necessary. - check source device and ensure it is outputting a signal. - check monitor and ensure it is receiving a signal. @topic:2


# # issue - cuff ( blood pressure cuff ) is damaged and leaking # # impact - blood pressure measurements cannot be obtained accurately, leading to potential patient safety issues # # possible causes - cuff may have been damaged during use or storage, such as from excessive stretching, tearing, or punctures - cuff may be too loose or too tight, causing improper inflation and inaccurate measurements - cuff may have developed a leak due to age, wear, or other factors # # recommendations - replace the damaged cuff with a new one of the appropriate size - inspect the cuff regularly for any signs of damage or wear - handle the cuff carefully to avoid further damage - ensure the cuff is properly inflated and seated on the patient's arm to obtain accurate measurements @topic:3


# # # issue the cause of failure for the bed, electric from hill - rom, model 900b is not specified. # # # impact the impact of the failure is not known. # # # possible causes the possible causes of the failure could be : * * * electrical : * * the bed may have a faulty electrical component, such as a blown fuse or a loose wire. * * * mechanical : * * the bed may have a mechanical problem, such as a broken gear or a jammed motor. * * * software : * * the bed may have a software problem, such as a corrupted file or a malfunctioning program. * * * other : * * the bed may have failed due to another factor, such as excessive use or improper maintenance. # # # recommendations to troubleshoot the failure, the technician should : * * * inspect the bed for any obvious damage. * * * * * check the electrical connections to the bed. * * * * * check the mechanical components of the bed for any problems. * * * * * check the software on the bed for any errors. * * * * * if the technician cannot find the cause of the failure, they should contact the manufacturer for assistance. * * @topic:9


##bound type 257 service record ime : date : device nameserial number : echnician : service tool version : ibp testeak tesactual readinspecification fail pass max : 5 overpressure test actual readinpecification mode adult mode : 280.... 329 neonate mode : 130.... 164 arget pressure ± 5 mpressure meter ervice tfail pass 1 mmh0 mmhg mmhg mmhg 0 mmh3 mmhmmhg mmhg 50 mmh3 mmhmmhg mmhg 258 welch [UNK] connex® spot monitor 50 mmh + 3 mmhg mmhg mmhg masimo spo2 tests actual reading specification test pass fail spo2 heart rat1 bpm pulse rate 61 + 1 bpm bpm 59 to 61 bpm spo2 saturatio % saturation 80 % ±3 % sat point 78 to 84 % nonin or nellcor spo2 and pulse rate test ctual readintest pecificatioasfail pulse rate 60 + 1 bpm spo2 pulse rate bpm 0 bp59 to 61 bpm spo2 saturation 90 % saturation 90 % + 1 sat point 89 to 91 % % thermometry tests calibration key temperature test for suretemp plus actual reading fail temperature test pass 97. 3 °f ( 36. 3 °c ) 7. 1 to 97. 5 °f °f or °c 36. 2 to 36. 4 °c actual reading temperature tested specification ± 0. 2 °f ( ±0. 1 °c ) pass fail 96. 8 °f ( 36. 0 °c ) 5. 9 °c to 36. 1 6. 6 °f to 97. 0 °f °f or °c service manual service record 259 101. 3 °f ( 38. 5 °c ) 101. 1 °f to 101. 5 °f @topic:17


value below 30. ensure that the network infrastructure is functioning properly. see troubleshooting tables in the intellivue 802. 11 a / g infrastructure installation and configuration guide for details. check the antenna cable connection on the intellivue 802. 11 bedside adapter. check the cable connection between the intellivue 802. 11 bedside adapter and the system interface board. replace cable, antenna or intellivue 802. 11 bedside adapter if necessary configuration problem. make sure that the mode, ssid, country and security settings in the setup wlan menu match your installation leds on intellivue 802. 11 bedside adapter are off and remain off communication problem check that the cable connection from the intellivue 802. 11 bedside adapter to the system interface board is correct. disconnect and reconnect the cable and try again. if problem persists, switch monitor off and on again. if problem persists, exchange cable and or intellivue 802. 11 bedside adapter. if the new adapter does not function either, exchange system interface board. when functioning correctly the leds on the bedside adapter should both light up for about 3 seconds after the monitor is switched on or the bedisde adapter is first connected via the network cable. if the wireless lan functionality has been disabled permanently both leds will remain off during monitor operation. in this case, to check the electrical connection, power - cycle the monitor and observe the leds on the adapter. 92 troubleshooting guide 4 troubleshooting multi - measurement server symptoms possible causes of failure failure isolation and remedy prompt message “ measurement server an unsupported measurement server extension has been connected disconnect the measurement server extension configuration not supported ” is issued measurement server extension is defective replace measurement server extension measurement server defective replace measurement server inop message “ msmtsrv not @topic:16


# # # issue - defective remote control unit # # # impact - inability to adjust bed settings, compromising patient comfort and safety # # # possible causes - wear and tear on remote control components - electrical failure - software malfunction # # # recommendations - replace the damaged remote control unit with a new or refurbished one - inspect the bed's electrical system for any loose connections or damage - update the bed's software if any updates are available @topic:7


# # # issue - broken cuff connector on the beneview t1 patient monitor # # # impact - inaccurate blood pressure readings - potential patient harm if inaccurate readings are not detected # # # possible causes - wear and tear of the cuff connector over time - improper handling or storage of the monitor - manufacturing defect # # # recommendations - regularly inspect the cuff connector for signs of wear or damage. - handle and store the monitor according to the manufacturer's instructions. - contact the manufacturer if any issues with the cuff connector are identified. @topic:5


# # # issue - the blood pressure ( bp ) cuff of the philips suresigns vs2 + vital signs monitor has deteriorated and needs to be replaced. # # # impact - the monitor will not be able to accurately measure bp, which could lead to incorrect treatment decisions. # # # possible causes - the cuff may have been used excessively or not properly maintained. - the cuff may have been exposed to excessive heat or moisture. - the cuff may have been damaged by chemicals or sharp objects. # # # recommendations - replace the bp cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - follow the manufacturer's instructions for cleaning and disinfecting the cuff. - store the cuff in a cool, dry place when not in use. @topic:5


# # # issue the cause of failure is that the hospital bed cannot be adjusted downward. # # # impact this failure may impact the patient's ability to get in and out of bed, which can lead to falls and other injuries. it may also make it difficult for the patient to be cared for by staff. # # # possible causes there are several possible causes for this failure : * a mechanical issue with the bed frame or motor * a problem with the electrical system * a software issue * a user error # # # recommendations to troubleshoot this issue, the biomedical engineer should : 1. inspect the bed frame and motor for any visible damage or obstructions. 2. check the electrical connections to the bed to make sure they are secure. 3. update the software on the bed, if necessary. 4. provide training to the staff on how to properly use the bed. @topic:1


# # # issue - entidal co2 wave not showing on monitor, patient transport # # # impact - inability to monitor co2 levels during patient transport # # # possible causes - faulty mainboard # # # recommendations - replace mainboard ( if available ) - contact manufacturer for support or alternative solutions - consider using a different device that can monitor co2 levels @topic:4


to 300 bpm cardiotach range neo range : 15 to 350 bpm note : for rates equal to or less than 15 bpm, the displayed heart accuracy ±1 % of range bpresolution ≥200 uv sensitivity eak 0 to 300 bppvc rate range bpresolution - 20 to + 20 mm st numeric ±0. 5 mm or 15 %, whichever is greater accuracy. 1 mresolution 200 to 800 ms range accuracy + 30 mmresolution 200 to 800 ms range mresolution - 600 to + 600 ms range mresolution 15 to 150 bpm 15 to 180 bpadult : 15 to 59 bppedi : 15 to 79 bpm neo : 15 to 89 bpm sinus and sv rhythm ranges brady adult : 60 to 100 bppedi : 80 to 160 bpm neo : 90 to 180 bpm normal adult : > 100 bptachy edi : > 160 bpeo : > 180 bpadult / neo / pedi : 0. 05 to 150 hz bandwidth adult / neo / pedi : 0. 5 to 150 hz extended monitoring mode mode adult : 0. 5 to 40 hz neo / pedi : 0. 5 to 55 hz filter mode nostic mode adult / neo / pedi : 0. 5 to 20 hz andwidadult / neo / pedi : 0. 05 to 40 hz when the ecg is transmitted from a telemetry device via short range extended monitoring mode ing mode adult / neo / pedi : 0. 5 to 40 hz adult : 0. 5 to 40 hz neo / pedi : 0. 5 to 40 hz radio adult / neo / pedi : 0. 5 to 20 hz filter mode differential input impedance > 2 mq ra - ll leads ( resp ) > 5 mq at all other leads ( at 10 hz including patient cable ) common @topic:8


on the flowmeter gauge. 4. when you are satisfied that the flow is set as close as possible to 50 ml per minute, select store flow and confirm the setting. if you do not store the adjusted flow within 60 seconds of the adjustment, the old flow setting is restored. 87 5. if you cannot adjust the flow to within tolerance, replace the pump. if you still cannot make the flow adjustment, this indicates a fault in the measurement extension, which must be replaced. note that the pump can only be replaced on m3015a with the old hardware rev. a ( i. e. serial no. deo20xxxxx noise check 1. with the monitor in service mode, select setup co ; menu. disconnect the flowmeter and connect the 5 % calibration gas and flow regulator in its place. open the valve to apply the 5 % calibration gas and wait until the value is stable. p xe x check the noise index ( x6 ) displayed next to the co ; value on the display ( this indicates the level of noise on the co » wave ). if the value exceeds 3 mmhg, replace the measurement extension. co2 gas measurement calibration check after switching the measurement extension on, wait at least 20 minutes before checking the calibration. check the calibration of the co ; gas measurement as follows : 1. check that the 5 % calibration gas and flow regulator are connected. 2. calculate the expected measurement value in mmhg as follows : 0. 05 x ( ambient pressure ) = value mmhg for example 0. 05 x 736 2 36. 8 mmhg ( with an ambient pressure of 736 mmhg ) 3. open the valve on the flow regulator to allow 5 % co » gas to flow into the extension. allow the value to stabilize. 4. check that the value on the instrument @topic:17


# # # issue * * monitor not displaying data * * # # # impact * * inability to monitor patient's vital signs accurately. * * # # # possible causes * * possible causes for the issue are : * * - loose signal cables - malfunctioning sensors - software or hardware issues - power supply problems # # # recommendations * * recommended actions to resolve the issue : * * - * * check and tighten signal cables : * * ensure that all signal cables are securely connected to the monitor and the patient. - * * inspect sensors : * * examine the sensors for any damage or contamination. replace faulty sensors as needed. - * * restart the monitor : * * turn off the monitor and unplug it for a few minutes. then, plug it back in and turn it on. - * * check software and hardware : * * if the issue persists, consult the manufacturer's instructions for troubleshooting software or hardware problems. - * * contact technical support : * * if the issue cannot be resolved by following the above steps, contact biomedical engineering technical support for assistance. @topic:2