##0 - 4 - 11 note : u + is the nominal value of the supply voltage applied during the test. manufacturer's guide and declaration - electromagnetic immunity the hill - rom 900 accella bed and the wi - fi connectivity module are designed for use in the electromagnetic environment specified below. users must ensure that they are used in this environment. iec 60601 severity compliance immunity test conducted rf iec 61000 - 4 - 6 3 vrms 3 v 0. 15 mhz - 80 mhz 6 v in ism bands between 0. 15 mhz and 80 mhz 80 % am at 1 khz ms 0. 15 mhz - 80 mhz 6 v in ism bands between 0. 15 mhz and 80 mhz 80 % am at 1 khz rms 150 khz to 80 mhz 150 khz to 80 mhz the field levels emitted by fixed rf transmitters, as determined by an electromagnetic measurement of the site, must be below the level of compliance in each frequency band ". interference may occur close to devices identified with the following symbol : radiated rf iec 61000 - 4 - 3 3 v / m 3 v / m 80 mhz to 2. 7 ghz 80 mhz to 2. 7 ghz 80 % am at 1 khz 80 % am at 1 khz ( ( - ) ) these recommendations may not apply to certain situations. the propagation of electromagnetic waves is affected by absorption and reflection due to structures, objects and persons. a. the field levels of fixed transmitters, such as radio telephone bases ( cell / wireless ) and terrestrial mobile radios, amateur radios and am, fm and tv communication radios cannot be theoretically evaluated precisely. site measurements are required in order to obtain the electromagnetic environment due to fixed rf transmitters. if the field level measured in the working environment of the hill - rom 900 accella bed is greater than the above applicable levels of compliance, the operation of the hill - rom 900 accella bed must be checked. if any anomalies are detected, @topic:10


# # # issue - monitor not displaying ekg waveform. # # # impact - inability to monitor patient's ekg. # # # possible causes - damaged ekg lead. # # # recommendations - replace the ekg lead. @topic:18


* * issue : * * cuff is damaged. * * impact : * * the monitor may not be able to accurately measure blood pressure. * * possible causes : * * - the cuff may have been punctured or torn. - the cuff may have been overinflated. - the cuff may have been exposed to extreme temperatures. - the cuff may be old and worn out. * * recommendations : * * - inspect the cuff for any damage. - replace the cuff if it is damaged. - use the correct size cuff for the patient. - inflate the cuff to the correct pressure. - store the cuff in a cool, dry place. @topic:3


# # # issue - blood pressure monitor does not charge # # # impact - inability to use the blood pressure monitor to monitor patient's vital signs # # # possible causes - adapter not properly plugged into wall outlet or monitor - faulty adapter - faulty charging port on the monitor - battery may be dead # # # recommendations - ensure that the adapter is properly plugged into wall outlet and monitor - try using a different adapter - contact the manufacturer for further assistance @topic:11


# # # issue - monitor not responding to touch screen commands - unable to adjust alarm volume # # # impact - inability to monitor patient vital signs effectively - potential for missed alarms and delayed patient care # # # possible causes - loose connection between monitor and module - faulty touch screen display - software glitch - internal hardware failure # # # recommendations - ensure the monitor and module are securely connected and all cables are properly seated. - clean the touch screen display with a soft, lint - free cloth to remove any debris or smudges. - update the monitor's software to the latest version. - contact a qualified biomedical engineer if the issue persists to diagnose and repair any internal hardware failures. @topic:2


# # # issue - monitor, bedside, physiologic, philips, intellivue mp70 ( m8007a ) - failure of sat measurement # # # impact - inability to accurately monitor patient's oxygen saturation levels # # # possible causes - malfunctioning spo2 cable # # # recommendations - replace the spo2 cable. - ensure that the spo2 probe is properly connected to the cable and the patient's finger. - verify that the spo2 sensor is clean and free of debris. - calibrate the spo2 sensor. - check the spo2 settings on the monitor to ensure they are correct. @topic:4


# # # issue - the electric bed is not functioning properly. # # # impact - the patient cannot be properly positioned in the bed. - the patient may be at risk of falling out of the bed. # # # possible causes - the motor is not functioning properly. - the electrical cord is damaged. - the control panel is not working properly. - the bed is not properly assembled. - the weight of the patient is too heavy for the bed. # # # recommendations - inspect the motor, electrical cord, control panel, and assembly of the bed. - test the bed with a patient of similar weight to the patient who will be using the bed. - if the bed is not functioning properly, refer it to the manufacturer for repair. @topic:9


# # # issue the bed is not adjusting properly. # # # impact the patient may not be able to get into or out of bed safely. the patient may also be uncomfortable if the bed is not adjusted to the correct position. # # # possible causes - the * * reed switch * * in the remote control is * * faulty * *. - the * * remote control * * is * * not communicating * * with the bed. - the * * bed motor * * is * * not working properly * *. # # # recommendations - * * replace the reed switch * * in the remote control. - * * check the remote control * * for other issues. - * * test the bed motor * * to ensure that it is working properly. @topic:1


, additional measures must be taken, such as redirecting or relocating the reference equipment. b. the field level must be less than 3v / m above the frequency band 150 khz to 80 mhz. immunity to proximity fields from radio frequency wireless communications in addition to the radiated rf iec 61000 - 4 - 3 as shown in the table above, the wi - fi connectivity module has been tested as specified in the table below. 385 pulse modulation 18 hz 380 - 390 27 tetra 400 1, 8 0, 3 m + 5 khz deviat430 - 470 gmrs 460, frs460 28 450 2 0, 3 1 khz sine lte band 13, 17 pulse modulation 217 hz 704 - 787 710 0, 2 0, 3 9 745 780 800 - 960 pulse modulation gsm 800 / 900 tetra 800, iden 820, cdma 50, band lte 5 2 810 0, 3 28 18 hz 870 930 gsm 1800 ; 1700 - 1990 pulse modulation 217 hz 1720 2 0, 3 28 cdma 1900 ; 1845 gsm 1900 ; dect ; 1970 band lte 1, 3, 4, 25 ; umts 5100 - 5800 pulse modulation 217 hz is wlan s 0, 2 0, 3 9 802. 11 a / n recommended separation distances recommended separation distances between portable and mobile rf communications equipment and the hill - rom 900 accella bed and the wi - fi connectivity module. the hill - rom 900 accella bed and the wi - fi connectivity module are designed for use in an electromagnetic environment in which interference due to radiated rf is monitored. the user of the hill - rom 900 accella bed can contribute to the prevention of electromagnetic interference by keeping the hill - rom 900 accella bed at the recommended distances from portable and mobile rf equipment ( transmitters ) as shown below, according to the maximum power output of the communication equipment. maximum @topic:10


# # # issue - telemetry data cannot be viewed retrospectively. # # # impact - limited access to patient data for analysis and review. - potential delay in diagnosis and treatment. # # # possible causes - * * hardware failure : * * malfunction of the monitor or central station, such as a faulty sensor or data acquisition module. - * * software glitch : * * software bugs or compatibility issues that prevent the system from retrieving telemetry data. - * * network issues : * * interruptions or connectivity problems with the network that transmits telemetry data. - * * configuration error : * * incorrect settings or calibration that hinder the collection or retrieval of telemetry data. - * * human error : * * improper operation or mishandling of the equipment during setup or use. # # # recommendations - * * troubleshooting : * * perform a thorough inspection and testing of the equipment, including the monitor, central station, and network connections. - * * software update : * * check for and install any available software updates to resolve potential glitches. - * * network assessment : * * evaluate the network stability and ensure proper connectivity with the telemetry system. - * * configuration verification : * * review and ensure that the system settings and calibration are accurate and compatible with the required data retrieval. - * * user training : * * provide training to ensure that equipment operators understand the proper use and maintenance procedures. @topic:2


# # # issue - cvp manal is off. # # # impact - cannot monitor cvp. # # # possible causes - cvp sensor is not connected properly. - cvp sensor is malfunctioning. - cvp transducer is malfunctioning. - monitor is malfunctioning. # # # recommendations - check cvp sensor connection. - replace cvp sensor. - replace cvp transducer. - replace monitor. @topic:22


# # # issue - charge not entering the nibp monitor # # # impact - the nibp monitor cannot be used to measure blood pressure. # # # possible cause - defective adapter # # # recommendations - replace the adapter. @topic:15


# # # issue carescape v100 vital signs monitor cannot measure blood pressure due to deteriorated cuff. # # # impact this issue prevents the accurate measurement of blood pressure, which is essential for monitoring a patient's vital signs and making informed medical decisions. # # # possible causes - prolonged use of the cuff, leading to wear and tear - improper storage or handling of the cuff, causing damage - incompatible cuff with the monitor # # # recommendations to resolve this issue, the following recommendations are given : - regularly inspect the cuff for signs of wear and replace it if necessary. - store the cuff in a clean, dry place when not in use. - use the correct cuff size for the patient's arm circumference. - ensure that the cuff is properly attached to the monitor. - perform regular calibration and maintenance of the monitor. - train staff on the proper use and care of the monitor and its accessories. @topic:5


# # # issue : monitor and central station not displaying # # # impact : inability to monitor patient vitals and provide medical treatment. # # # possible cause : adapter failure due to loosening or faulty connection. # # # recommendations : 1. ensure the adapter is securely connected to both the device and power source. 2. inspect the adapter for any signs of damage or wear. 3. replace the adapter if necessary. 4. regularly monitor the adapter connections and condition to prevent future failures. 5. consider using a redundant power supply system to provide backup power in case of adapter failure. @topic:2


10 % c02 gas to flow into the extension. allow the value to stabilize. 6 check that the value displayed on the monitor is correct within the tolerance ( see step above ). if one or both values are not within tolerances, you must exchange the m3015a / b mms extension or the mp5 mc02 assembly. test expected test results leakage check parts 1 and 2 * xl = value of part 1 leakage check on flowmeter ( xl < 4. 0 ml / min ) x2 = value of part 2 leakage check on flowmeter ( x2 < 4. 0 ml / min ) leakage check without flowmeter reading on the digital barometer change is less than 20 mbar for 30 seconds barometric pressure check x3 = difference between the reference pressure and the measured ambient pressure displayed on the monitor ( x3 < 12 mmhg ) flow check x4 = difference between measured value and 50. 0 ml / min ( x4 = 50 + 15 / - 7. 5 ml / min ) noise check x5 = noise index displayed on monitor ( x5 < 3. 0 ) co 2 gas calibration check x6 = difference between measured co 2 value and calculated value, based on 5 % co 2 cal. gas. ( x6 < 2. 6 mmhg ) co 2 cal verification x7 = difference between measured co 2 value and calculated value, based on 10 % co 2 cal. gas. ( x7 < ± { 0. 07 x value calculated } ) * m3015a hw rev. b and fw revision < p. 01. 32 only 79 [ 3 testing and maintenance ] spirometry performance tests these tests verify the performance accuracy of the m1014a spirometry module. equipment required • leak test kit ( part number : ml 014 - 64100 ) • calibrated barometer @topic:17


# # # cause of failure the provided input does not explicitly state the cause of failure for the medical device. however, based on the information provided, a possible cause could be : * * * incorrect dvi cable connection : * * the description mentions connecting the dvi cable from the dvi output port on the storz monitor to the dvi input port on the olympus monitor. if the dvi cable is not connected properly or is damaged, it could lead to signal transmission issues, resulting in a failure of the device to display video or display it properly. @topic:2


# # # issue - inability to adjust the head of the bed downwards. # # # impact - limited functionality of the bed, making it difficult to position patients for certain procedures or treatments. # # # possible causes - faulty push button control for head - down adjustment. # # # recommendations - replace the faulty push button control. - verify that the replacement button functions properly. - periodically inspect and maintain the bed to prevent similar issues in the future. @topic:1


# # # issue - unable to determine the cause of failure. # # # impact - delay in equipment repair. - wasted time and resources. # # # possible causes - incomplete or inaccurate information provided by the user. - lack of understanding of the equipment by the technician. - miscommunication between the user and the technician. # # # recommendations - provide more detailed information about the failure, including any error messages or codes. - ensure that the technician is familiar with the equipment and its operation. - improve communication between the user and the technician, using clear and concise language. @topic:12


# # # issue the cuff plug is missing. # # # impact the patient's blood pressure cannot be accurately measured. # # # possible causes - the cuff plug was not properly attached. - the cuff plug was lost or damaged. - the cuff plug was not compatible with the monitor. # # # recommendations - ensure that the cuff plug is properly attached to the cuff. - inspect the cuff plug for any damage. - replace the cuff plug if it is damaged or lost. - use a cuff plug that is compatible with the monitor. @topic:3


# # # issue - cuff failure in monitoring system. # # # impact - inaccurate blood pressure readings, leading to potential patient safety concerns. # # # possible causes - cuff deterioration due to normal wear and tear, improper usage, or external factors. # # # recommendations - preventive maintenance by performing regular cuff inspections and replacements as per manufacturer's guidelines. - training staff on proper cuff handling and storage techniques. - using high - quality cuffs designed for the specific monitoring system. - calibrating the monitoring system regularly to ensure accurate readings. @topic:3


# # # * * issue * * : central monitor, hewlett packard m3150a, not functioning properly # # # * * impact * * : critical patient data may not be displayed, affecting patient care and safety # # # * * possible causes * * : 1. * * loose or damaged display cable * * : check if the cable connecting the display to the monitor is properly connected and not damaged. 2. * * faulty display panel * * : the lcd display panel may be defective, resulting in no display. 3. * * power supply issue * * : the monitor may not be receiving sufficient power to operate the display. check the power supply and connections. 4. * * graphics card failure * * : the graphics card inside the monitor may have malfunctioned, preventing the display from functioning. 5. * * software glitch * * : software issues or errors can sometimes cause display problems. restarting the monitor or updating the software may resolve the issue. # # # * * recommendations * * : - inspect the display cable for any loose connections or damage. tighten or replace the cable if necessary. - contact the manufacturer or a qualified technician to diagnose and repair the faulty display panel. - verify that the power supply is adequate and that the power cord is securely connected. if necessary, replace the power supply. - update the monitor's firmware or software to the latest version. - reset the monitor to factory settings to eliminate potential software glitches. @topic:2


( measured 1 meter from patient ’ s ear ) < 60 dba a. csa® is a registered trademark of canadian standards association, inc. page 1 - 6 careassist® and careassist® es bed service manual ( man330 rev 4 ) specifications chapter 1 : introduction electromagnetic emissions and immunity guidance the careassist® and careassist® es bed are intended for use in the electromagnetic environment specified in the tables below. the customer or the user of the bed should make sure that it is used in such an environment table 1 - 9. electromagnetic emissions guidance guidance and manufacturer's declaration — electromagnetic emissions the careassist® and careassist® es bed model p1170 is intended for use in the electromagnetic environment specified below. the customer or the user of the model pi 170 should make sure it is used in such an environment. emissions test compliance electromagnetic environment — guidance rf emissions cispr 11 group 1 the model pi 170 uses rf energy only for its internal functions. therefore, its rf emissions are low and are not likely to cause any interference in nearby electronic equipment. rf emissions cispr 11 class a the model p1170 is suitable for use in all establishments other than domestic and those directly connected to the public low - voltage power supply network that supplies buildings used for domestic purposes. harmonic emissions iec 61000 - 3 - 2 not applicable voltage fluctuations / flicker emissions iec 61000 - 3 - 3 not applicable table 1 - 10. electromagnetic immunity guidance guidance and manufacturer's declaration — electromagnetic emissions the careassist® and careassist® es bed model p1170 is intended for use in the electromagnetic environment specified below. the customer or the user of the model pi 170 should make sure it is used in such an environment. immunity test iec 60601 test level compliance level electromagnetic environment — guidance electrostatic discharge ( esd ) iec 61000 - 4 - 2 ± 6 kv @topic:10


# # # issue - power failure # # # impact - inability to use the bed # # # possible causes - electrical outlet not working - faulty power cord - blown fuse - internal electrical component failure # # # recommendations - check the electrical outlet to ensure it is working. - replace the power cord if it is damaged. - check the fuse and replace it if necessary. - contact a qualified electrician to inspect the internal electrical components and make repairs as needed. @topic:9


# # # issue - the electric bed's side rails cannot be adjusted. # # # impact - the patient's safety and comfort may be compromised. - the medical staff may have difficulty accessing the patient. # # # possible causes - * * mechanical failure : * * the adjustment mechanism may be broken or jammed. - * * electrical failure : * * the motor or electrical components may be malfunctioning. - * * software failure : * * the bed's computer system may be experiencing an error. - * * user error : * * the bed may not be being operated correctly. # # # recommendations - * * check the bed's user manual : * * this may provide troubleshooting tips for specific error codes or malfunctions. - * * inspect the bed's mechanical components : * * look for any visible damage or obstructions. - * * test the bed's electrical components : * * use a multimeter to check for continuity and voltage. - * * update the bed's software : * * if a software update is available, install it to address any known bugs or issues. - * * contact the manufacturer : * * if the problem cannot be resolved with the above steps, contact the manufacturer for further assistance. @topic:1


# # # issue : - broken spo2 cable # # # impact : - unable to accurately monitor oxygen saturation levels in patients # # # possible causes : - physical damage to the cable, such as cuts or kinks - excessive use or improper handling of the cable # # # recommendations : - regularly inspect the spo2 cable for any signs of damage and replace it as needed. - ensure that the cable is properly secured to the patient and the monitor to prevent excessive movement or strain. - educate hospital staff on the proper use and handling of the spo2 cable to minimize the risk of damage. @topic:4


* * issue : * * equipment failure * * impact : * * patient monitoring may be disrupted or inaccurate. * * possible causes : * * - faulty or damaged equipment - improper maintenance or calibration - environmental factors ( e. g., temperature, humidity ) - operator error * * recommendations : * * - * * immediate actions : * * - isolate the affected equipment and replace it with a backup. - contact the manufacturer for technical support. - * * preventive actions : * * - establish a regular maintenance and calibration schedule. - implement proper handling and storage procedures. - train operators on proper equipment usage and troubleshooting. - * * specific to the given input : * * - verify that the replacement band is compatible with the monitor. - check the monitor's settings to ensure that it is configured correctly. - inspect the monitor's environment for any potential hazards. @topic:2


# # # issue - intermittent loss of ekg signal due to a faulty data link cable # # # impact - inability to accurately monitor patient's ekg - potential delays in diagnosis and treatment - risk to patient safety # # # possible causes - damaged or loose data link cable - faulty connectors or pins - electrical interference # # # recommendations - replace the data link cable with a new one - inspect connectors and pins for any damage or debris - ensure proper grounding and shielding to minimize electrical interference @topic:18


##assist® es bed service manual ( man330 rev 4 ) clean and disinfect chapter 6 : general procedures 4. clean the bed. give special attention to these areas : • headboard — thoroughly clean as this is a high - touch area • footboard • siderails — thoroughly clean the high - touch areas such as the upper and under sides of the siderail releases, pendants, and patient controls • bed frame • casters • all other bed components • fully - extended iv pole • bed accessories that can be used again such as the mattress and patient helper note : if you turn the mattress to clean it, make sure the cleaning solution does not pool or flow on to the other side or edges of the mattress. this may permit fluid to get into the mattress air outlets and zipper closures that ordinarily are protected by the ticking flaps. 5. examine the condition of the mattress. if there are holes, tears, or other signs of damage or deterioration of the ticking, replace the mattress. 6. disinfect the bed as described below. disinfect wipe down all surfaces with a facility - approved disinfectant, used in accordance with the manufacturer's instructions. give special attention to high - touch areas such as the siderails, upper and under sides of siderail releases, pendants, patient controls, and headboards. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 6 - 3 component handling chapter 6 : general procedures component handling caution : to help prevent component damage, make sure your hands are clean, and only handle the p. c. board by its edges. caution : when handling electronic components, wear an antistatic strap. failure to do so could cause component damage. caution : for shipping and storage, place the removed p. c. board in an antistatic protective bag. @topic:9


# # # issue - keyboard not functioning properly # # # impact - inability to use the medical cart for data entry and documentation # # # possible causes - button stuck - faulty keyboard # # # recommendations - clean or replace the faulty button - replace the keyboard @topic:27


# # # issue - the nibp monitor is not working. # # # impact - the monitor is used to measure blood pressure. if it is not working, it can lead to incorrect readings and potentially dangerous decisions. # # # possible causes * * power supply issues * * - the power supply may be faulty. this could be due to a number of factors, such as a loose connection, a blown fuse, or a failed component. * * faulty wiring * * - the wiring between the power supply and the monitor may be faulty or damaged. this could cause the monitor to receive insufficient power or to malfunction. * * monitor malfunction * * - the monitor itself may be malfunctioning. this could be due to a software error, a hardware issue, or a combination of factors. # # # recommendations * * troubleshooting steps * * - check the power supply to ensure that it is functioning properly. - inspect the wiring for any loose connections, damage, or shorts. - restart the monitor to see if this resolves the issue. - update the monitor's software to the latest version. * * repair steps * * - if the power supply is faulty, it may need to be replaced. - if the wiring is faulty, it may need to be repaired or replaced. - if the monitor is malfunctioning, it may need to be repaired or replaced. @topic:15


# # # issue the head of the bed cannot be adjusted down. # # # impact the patient may be uncomfortable or unable to use the bed properly if the head cannot be adjusted down. # # # possible causes - the motor that adjusts the head of the bed may be faulty. - the electrical connections to the motor may be loose or damaged. - the control panel for the bed may be malfunctioning. # # # recommendations - check the motor for any signs of damage or [UNK] [UNK]. - inspect the electrical connections to the motor for any loose or damaged wires. - test the control panel to ensure that it is functioning properly. - if necessary, replace the motor, electrical connections, or control panel. @topic:1


# # # issue - broken wire in lead wire. # # # impact - the patient's vital signs may not be accurately monitored. - the patient may be at risk for injury or death if their vital signs are not monitored accurately. # # # possible causes - the lead wire may have been : - crimped or bent - cut or torn - exposed to moisture or extreme temperatures - improperly connected to the monitor or patient # # # recommendations - inspect the lead wire for any damage. - replace the lead wire if it is damaged. - ensure that the lead wire is properly connected to the monitor and patient. - protect the lead wire from moisture and extreme temperatures. - avoid crimping or bending the lead wire. @topic:18


# # # issue - nibp not showing # # # impact - inability to measure blood pressure, which is a critical vital sign for patient monitoring. # # # possible causes - loose rack - faulty nibp sensor or cable - software glitch - hardware malfunction # # # recommendations - * * loose rack : * * tighten the rack securely to eliminate any movement or vibration. - * * nibp sensor or cable : * * inspect the nibp sensor and cable for damage or disconnections. replace if necessary. - * * software glitch : * * restart the monitor to clear any software errors. if the issue persists, consider a software update. - * * hardware malfunction : * * if the above steps do not resolve the issue, it may indicate a hardware malfunction. contact the manufacturer or a qualified biomedical engineer for further diagnosis and repair. @topic:15


* * issue : * * equipment failure * * impact : * * patient care may be delayed or compromised * * possible causes : * * * * * electrical fault : * * loose wires, damaged connectors, or faulty components can cause electrical malfunctions. * * * mechanical fault : * * worn - out gears, broken bearings, or improper alignment can lead to mechanical problems. * * * age or wear : * * older equipment or devices that have been subjected to heavy use are more prone to failure. * * * insufficient maintenance : * * regular maintenance and inspections can help prevent failures by identifying and repairing potential issues early on. * * * user error : * * improper use, handling, or cleaning of the equipment can contribute to its failure. * * recommendations : * * * * * thorough inspection : * * inspect the equipment carefully for any loose wires, damaged connectors, or other signs of electrical or mechanical faults. * * * electrical testing : * * conduct electrical testing to identify any faults in the wiring, connectors, or components. * * * mechanical assessment : * * check for worn - out gears, broken bearings, or improper alignment. * * * maintenance schedule : * * implement a regular maintenance schedule to prevent failures and ensure optimal performance of the equipment. * * * user training : * * provide proper training to users on the correct operation, handling, and cleaning of the equipment. * * * consider replacement : * * if the equipment is too old or has been subjected to excessive wear, consider replacing it to prevent further failures and potential safety hazards. @topic:12


# # # issue - the lcd monitor was not displaying an image. # # # impact - the monitor could not be used to display patient data or medical images. # # # possible causes - the signal cable was not connected to the video converter box. # # # recommendations - the technician connected the sdi cable to the video converter box. - the monitor was tested and found to be working properly. @topic:2


* * issue : * * damaged insulation on power cable * * impact : * * * potential for electrical shock to users or patients * intermittent or unreliable operation of the device * increased risk of device failure * * possible causes : * * * * * physical damage : * * cable was pinched, crushed, or cut * * * environmental factors : * * sunlight, moisture, or chemicals caused the insulation to deteriorate * * * manufacturing defect : * * faulty insulation material or workmanship * * * improper handling : * * cable was over - bent or twisted * * recommendations : * * * replace the damaged power cable immediately. * inspect the remaining cables for any signs of damage or deterioration. * ensure proper handling and storage of cables to prevent future damage. * consider using protective cable covers or conduits to reduce the risk of physical damage. @topic:12


* * issue : * * - bed electric lock failure. * * impact : * * - patient safety hazard - reduced bed functionality - increased patient discomfort - prolonged hospital stay * * possible causes : * * - * * improper installation or maintenance : * * the bed lock may not have been properly installed or maintained, resulting in it becoming loose or damaged. - * * excessive force : * * the bed lock may have been subjected to excessive force, causing it to break or become dislodged. - * * wear and tear : * * over time, the bed lock may become worn or damaged due to frequent use, leading to its failure. - * * manufacturing defect : * * there may have been a defect in the manufacturing process of the bed lock, making it more susceptible to failure. * * recommendations : * * - * * regular maintenance : * * regularly inspect and maintain the bed lock to ensure it is properly installed and functioning. - * * proper installation : * * ensure the bed lock is installed correctly according to manufacturer's instructions. - * * avoid excessive force : * * instruct staff to avoid applying excessive force to the bed lock. - * * replace damaged components : * * inspect the bed lock regularly for wear and tear, and replace any damaged components promptly. - * * contact manufacturer : * * if the cause of failure cannot be determined, contact the manufacturer for further assistance or troubleshooting. - * * train staff : * * train staff on proper bed operation and handling to prevent damage. @topic:6


inside the monitor if it is not used for a longer period of time. batteries should be charged to a maximum of 50 % for storage. note the battery will discharge over time if it is stored inside the mp2 / x2 when not connected to ac power via a host monitor or the external power supply ( m8023a ). the reported values for " remaining capacity " and “ runtime ” will become less accurate when the battery is stored in this way for a longer period of time ( that is, several weeks ). do not store the battery for more than 9 months without usage. 107 battery safety information warning use only philips batteries part number m4607a. use of a different battery may present a risk of fire or explosion. do not open batteries, or dispose of them in fire, or cause them to short circuit. they may ignite, explode, leak or heat up, causing personal injury. dispose of used batteries promptly and in an environmentally - responsible manner. do not dispose of the battery in normal waste containers. consult your hospital administrator to find out about local arrangements. caution do not disassemble, heat above 100°c ( 212°f ) or incinerate the batteries, to avoid the risk of fire and burns. keep batteries out of the reach of children and in their original package until you are ready to use them. if battery leakage should occur, use caution in removing the battery. avoid contact with skin. refer to qualified service personnel. after installation, testing or repair 108 before handing the patient monitor over to the end - user, make sure it is configured appropriately and that it is in monitoring mode. ensure that the user receives the current revision of the monitor documentation. ly troubleshooting introduction this section explains how to troubleshoot the monitor if problems arise. links to tables that list possible monitor difficulties are supplied, along with probable causes, and recommended @topic:11


# # # issue : * cuff is not staying on the patient's arm # # # impact * inaccurate blood pressure readings * patient discomfort * wasted time and resources # # # possible causes : * damaged or worn velcro ( specifically degradation or tearing ) # # # recommendations : * replace the cuff with a new one * inspect the cuff regularly for signs of wear and tear * clean the cuff according to the manufacturer's instructions * if the problem persists, consult with the manufacturer or a qualified biomedical engineer @topic:3


# # # issue - scanner is not working. # # # impact - delay in patient care. # # # possible causes - power supply issue. - software issue. - hardware issue. - battery issue. # # # recommendations - check the power supply to the scanner. - restart the scanner. - update the software on the scanner. - contact the manufacturer for technical support. @topic:23


# # # issue - the remote control of the electric bed cannot be used to adjust the bed's height upwards. # # # impact - patients may not be able to adjust the bed's height to a comfortable or safe position. - healthcare professionals may not be able to position the bed for patient care or treatment. # # # possible causes - the remote control's buttons may be damaged or stuck. - the electrical connections between the remote control and the bed may be faulty. - the bed's height adjustment mechanism may be malfunctioning. # # # recommendations - inspect the remote control for any visible damage or stuck buttons. - check the electrical connections between the remote control and the bed. - test the bed's height adjustment mechanism by manually adjusting the bed's height. - if the problem persists, contact the manufacturer of the bed for further assistance. @topic:7


# # # issue - the bed's guardrails cannot be locked. # # # impact - the patient may be at risk of falling out of bed. # # # possible causes - the locking mechanism is broken. - the locking mechanism is not properly engaged. - the guardrails are not properly aligned. # # # recommendations - inspect the locking mechanism for damage. - ensure that the locking mechanism is properly engaged. - realign the guardrails. @topic:6


# # # issue - the bed cannot be adjusted into the head - down position. # # # impact - the patient cannot be positioned properly for certain medical procedures or examinations. # # # possible causes - * * malfunctioning control box : * * the control box is responsible for sending signals to the bed's motor to adjust its position. a malfunction in the control box could prevent the bed from responding to input commands, resulting in the inability to adjust the bed's head position. - * * faulty motor : * * the motor is responsible for moving the bed's head section. a faulty motor could prevent the bed from adjusting its head position, even if the control box is functioning properly. - * * damaged wiring : * * the wiring between the control box and the motor could be damaged, preventing the signals from being transmitted properly. # # # recommendations - * * inspect the control box : * * check for any visible damage or loose connections within the control box. if any issues are identified, repair or replace the control box as needed. - * * test the motor : * * using a multimeter or other appropriate testing equipment, verify that the motor is receiving power and functioning correctly. if the motor is faulty, replace it with a new one. - * * inspect the wiring : * * examine the wiring between the control box and the motor for any signs of damage or loose connections. repair or replace any damaged wiring as necessary. @topic:1


# # # issue : - noisy obstetrics bed # # # impact : - inability to use the bed for its intended purpose - discomfort for patients and staff # # # possible causes : - worn or damaged gears - loose or misaligned parts - faulty motor # # # recommendations : - inspect the bed for any visible damage or loose parts - lubricate all moving parts - tighten any loose screws or bolts - if the issue persists, contact the manufacturer for further assistance @topic:9


according to a protocol that indicates in which situations and when the panels can be used. a [UNK] not use when the extension is deployed. do not use with afssaps half - siderails. do not use with ad271a and ad272a siderails. do not store at the head of the bed and remove from the foot of the bewhen not in use. a fittings for the restraining strap handles'do not attach the restraining straps to any part of the bed ( particularly the siderails ) other than those provided for this purpose. when the patient is restrained by the straps, the electric functions must be locked out. when the patient is restrained with an abdominal strap, a system used to restrict the ankles must also be used. 1. only to be used in compliance with local regulations. immobilize patients on the bed using the fittings provided. the sleep surface has three fittings on each side of the bed located on the head, tions. thread the straps through the bars. a restraining devices must not be used as a replacement for the nursing care required by the patient. even when correctly installed, physical restraining devices. may become entangled and injure the patient or even cause death, especially if the patient is agitated and confused. whenever containment devices are used, the patient must be observed in accordance with legal requirements and protocol. restraining devices must be secured to the articulated sections of the bed using appropriate attachment points in order to avoid injury to the patient. a never use restraining straps for the ankles when the bed is in the seated position or lowered. adjust the restraining systems and articulations so as to prevent any risk of the patient slipping or moving. electrical function management the electrical functions are controlled by the general lock - out unit * located on the right of the bed or the caregiver units located on the right * or left * of the @topic:9


o. / cco prompt messages possible causes may be caused by thermal baseline drift. no c. o. value calculated. curve below baseline, measurement terminated the curve exceeds the upper limit. this may be caused by an njectate that was too cold. no c. o. value calculated. excessive curve height, unstable baseline, injection not recommended! the baseline is unstable. wait until the baseline is stable before injecting. if this does not occur within a reasonable time, injection is possible but the accuracy of the measured values excessive baseline drift, don't ow! no measurement is possible. measured values are incorrect.. o. / cco warning messagec. o. / cco warning messages possible causes six curves are stored, this is the maximum possible. if another measurement is stored, the oldest thermodilution curve will be next measuremenprevious c. o. setup data replaced a c. o. module or measurement extension module has been plugged in with different c. o. setup data from the previous data. the new c. o. setup data is read from the new c. o. device, and replaces the current data. the message disappears when the start c. o. pop - up key is pressed. 238 13 monitoring cardiac output c. o. / cco warning messages possible causes verify c. o. setup data connected to the c. o. interface cable. poor or invalid pressure signal, for example if pressure was not check arterial pressure, cco cal currently not possible zeroed. verify the computation constant a new catheter has been plugged in, or the computation constant has been changed and start c. o. has not been selected. previous comp. constant eplaced a new c. o. module or measurement extension module with a different computation constant from the current one has been connected. the new computation constant is read from @topic:17


bed service manual ( man330 rev 4 ) page 4 - 59 4. 20 bed exit switch chapter 4 : removal, replacement, and adjustment procedures 12. for a model beds, do as follows, otherwise go to step 13 : a. remove the nine screws ( f ) securing the interface box cover ( g ) to the interface box ( i ). b. lower the cover ( g ). c. disconnect the switch cable from the interface rc. board ( h ). d. remove the switch cable from the central rail. e. remove the switches ( b ) from the bed. 13. for b model beds, do as follows : a. remove the two screws ( j ) from the retainers ( l ) ( see figure 4 - 27 on page 4 - 60 ). figure 4 - 27. b model beds b. remove the retainers ( l ). c. remove the three screws ( m ) that attach the power supply cover ( n ) to the power supply ( o ). d. remove the power supply cover ( n ). page 4 - 60 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 20 bed exit switch chapter 4 : removal, replacement, and adjustment procedures note : the power supply cover is connected to the power supply p. c. board by the battery cable. e. disconnect the battery cable from the power supply p. c. board. f. remove the power supply cover ( n ) from the bed. g. disconnect the switch cable from the interface p. c. board ( p ). replacement note : the tape switch assembly consists of two tape switches connected to a single cable that connects to the interface p. c. board. 1. route the switch cable through the central rail toward the head end of the bed to the interface box ( @topic:26


# # # issue vital signs monitor not measuring bp ( blood pressure ) # # # impact - inability to accurately monitor patient's blood pressure - potential for inaccurate or delayed treatment decisions # # # possible causes - damaged or leaking bp connector - faulty or miscalibrated monitor - problem with the blood pressure cuff or tubing - patient - related factors ( e. g., arrhythmias, hypotension ) # # # recommendations - replace or repair the bp connector - calibrate the monitor according to manufacturer's instructions - inspect and replace any damaged tubing or components - monitor patient's condition and consider other methods of bp measurement if necessary - consult with a physician to rule out underlying medical conditions @topic:14


leads are reset to default ( v2, v5 ) if the configured va or vb lead for the telemetry device is not one of vi through v6 269 20 assigning two devices to one patient use models with telemetry if later the patient is disconnected from the telemetry device, and reconnected to the monitor again, any changes in the settings made in the meantime will be passed on to the monitor. in this way, settings continuity is preserved when the ecg source changes. settings synchronization can only take place when there is no patient information mismatch between the monitor and the information center. if a check ecg settings or check pairing inop appears always check that the ecg settings, especially the paced setting, are appropriate for your patient. use models with telemetry the standard use model combining a monitor and a telemetry device involves pairing the two devices so that the data measured by the telemetry device appears on the monitor screen - and at the information center in the same patient sector as the monitor data. the following variations are possible : 1 the monitor is paired with a telemetry transceiver - indirect connection - telemetry data appear on the monitor 2 an mp5 or x2 is declared as a telemetry device and paired with one of the larger monitors ( mp20 - 90 ) - direct or indirect connection - mp5 / x2 measurement data appear on the monitor it is paired with - a telemetry transceiver cannot be used with the mp5 / x2 3 a telemetry transceiver directly connected ( srr or for mp5 cable ) to an mp5 or x2, that is connected ( companion mode ) to a larger host monitor ( mp20 - mp90 ) - direct connection. - telemetry data appear on the host monitor - telemetry transceiver is paired with @topic:10


# # # issue - the biomedical engineer is unable to determine the cause of failure for the bedside physiologic monitor. # # # impact - the monitor is not operational and cannot be used to monitor patients'vital signs. - this could have a negative impact on patient care, as the monitor is an essential piece of equipment for monitoring patients'heart rate, respiratory rate, and blood pressure. # # # possible causes - the cuff may be defective. - the cuff may not be properly connected to the monitor. - the monitor may be malfunctioning. # # # recommendations - the biomedical engineer should inspect the cuff for any defects. - the biomedical engineer should check the connection between the cuff and the monitor. - the biomedical engineer should test the monitor to ensure that it is functioning properly. - if the problem cannot be resolved, the biomedical engineer should contact the manufacturer for further assistance. @topic:15


##k / intellibridge have their own power switches. caution when using an mp90 monitor with a d80 intelligent display, always switch power on directly at the mp90 or at a remote speedpoint or remote alarm device directly connected to the mp90. power on / power off behavior the general rules determining the behavior of the monitor when connected to, or disconnected from power are as follows : • a monitor that was switched on prior to a temporary power loss switches on again when power is restored. • a monitor that was switched off prior to a temporary power loss remains off when power is restored. • when ac mains power is lost, a battery powered monitor continues to run without interruption on battery power. • an mms or mp5 switches on automatically when connected to a running host monitor. • when an x2 or mp3 is disconnected from a running host monitor, the x2 or mp5 continues to run without interruption on battery power. setting up the modules 1 decide which measurements you want to make. 2 connect the required modules, mmss, or mms extensions. 41 1 basic operation disconnecting from power 3 check that you have the correct patient cables and transducers plugged in. the connectors are color - coded to the patient cables and transducers for easy identification. starting monitoring after you switch on the monitor, 1 admit your patient to the monitor. 2 check that the profile, alarm limits, alarm and qrs volumes, patient category and paced status and so forth are appropriate for your patient. change them if necessary. 3 refer to the appropriate measurement section for details of how to perform the measurements you require. warning during mr imaging, remove all transducers, sensors and cables from the patient. induced currents could cause burns. disconnecting from power the on / standby switch does not disconnect the monitor from the ac power source. to disconne @topic:10


be set to cutting mode & = on. wiring schematic 4. use a small screwdriver to connect the two drain wires to the pcb, see the wiring schematic in. 5. slide the pcb back on to the metallic mounting flange. 6. use screws to fasten the mounting flange to the wall. note us version only : fasten the rectangular wall - mounting plate to the wall. attach the mounting flange to the wall - mounting plate. 7. mount the plastic cover. the plastic cover consists of two pieces : - frame - angled cover put the frame over the mounting insert and the pcb. place the angled cover on top and fasten with two screws. 8. connect the monitor and the measurement server to the wall installation. 9. perform the following tests as described in the test and maintenance section of this manual : - power - on test blocks - safety test blocks - ecg sync performance test 224 site preparation introduction this section describes the procedures you should follow to plan and prepare a site for an mp2 / x2 monitor installation. it describes : - site planning. - roles and responsibilities for local and philips personnel. - remote installation planning. site planning the careful planning of the site for the mp2 / x2 monitor is essential for its safe and efficient operation. a consulting schedule should be established between the customer and philips sales and support representatives, to ensure that all preparations are completed when the system is delivered. the site planning phases prior to equipment installation are : location : planning the location of the various system components. environment : confirming and correcting, as necessary, the environment of the proposed installation site ( s ). system capabilities : explaining the possibilities for system expansion. mounting : referencing the mounting hardware information website for the listing of suitable mounting hardware recommended for use with the various system components, and all details on the available mounts and accessories. @topic:19


# # # issue - spring of the bed rail came off. # # # impact - bed cannot be used. # # # possible causes - the spring may have been damaged due to excessive use or improper handling. - the spring may have been installed incorrectly. # # # recommendations - inspect the spring for damage and replace it if necessary. - ensure that the spring is installed correctly. - train staff on proper handling of the bed. @topic:6


# # # issue - the telemetric electrocardiography monitor ( philips m2601b ) is not linking with the central system. # # # impact - the telemetry monitor cannot transmit patient data to the central monitoring system, limiting the ability of healthcare professionals to monitor patients remotely. # # # possible causes - * * broken / damaged board : * * the board responsible for transmitting data from the telemetry monitor to the central system may be broken or damaged. - * * loose / dislodged connections : * * the cables or connections between the telemetry monitor and the central system may have become loose or dislodged, preventing data transmission. - * * software / firmware issues : * * the telemetry monitor or central system may be experiencing software or firmware issues that are interfering with data transmission. # # # recommendations - * * replace board : * * if the board is determined to be the issue, it should be replaced with a new one. - * * check connections : * * inspect the cables and connections between the telemetry monitor and the central system to ensure they are secure and undamaged. - * * update software / firmware : * * the telemetry monitor and central system should be checked for any available software or firmware updates that may address known issues with data transmission. # # # additional information - * * maintenance history : * * it is mentioned that the equipment was previously sent for repair due to similar issues, indicating a potential recurring problem. - * * test results : * * the initial testing of the equipment after the repair showed normal operation, but it is unclear if this testing included linking with the central system. @topic:16


# # # issue - the physiological bedside monitor cannot secure the cuff in place. # # # impact - accurate patient monitoring may be compromised due to the inability to obtain reliable vital sign readings. # # # possible causes - * * degraded velcro on the cuff : * * over time, the velcro on the cuff can become worn and ineffective, preventing the cuff from being securely attached to the patient's limb. - * * mechanical failure within the cuff : * * internal mechanisms within the cuff, such as springs or levers, may malfunction, leading to the cuff's inability to maintain its grip. - * * improper cuff size : * * using a cuff that is too large or too small for the patient's limb can result in the cuff not fitting snugly and staying in place. # # # recommendations - * * inspect the cuff : * * examine the velcro on the cuff for signs of wear or damage. if the velcro is compromised, replace the cuff. - * * check the cuff's internal components : * * disassemble the cuff and inspect its internal components for any signs of damage or malfunction. replace any faulty parts as necessary. - * * use the appropriate cuff size : * * ensure that the cuff being used is the correct size for the patient's limb. refer to the manufacturer's recommendations for sizing guidelines. - * * train staff on proper cuff placement : * * provide training to staff on how to correctly place and secure the cuff on the patient to prevent future issues. @topic:5


# # # issue - monitor not connecting to central monitor # # # impact - inability to monitor patient's vital signs centrally - delays in medical intervention - increased risk of patient complications # # # possible causes - incorrectly connected lan cables - faulty lan cables - issues with the central monitor - network configuration issues # # # recommendations - verify that lan cables are connected correctly. - replace lan cables if they are found to be faulty. - check the central monitor for any issues. - contact the network administrator to resolve any network configuration problems. @topic:16


# # # issue - waveform not displaying on the physiologic monitor. # # # impact - inability to monitor patient's vital signs, which can lead to delayed or improper medical treatment. # # # possible causes - * * broken wire : * * the description states that a broken wire was found and replaced, which suggests that a damaged wire could be the cause of the issue. - * * loose connection : * * a loose connection between the monitor and the patient's leads or between the monitor and the power outlet can also cause the waveform to not display correctly. - * * faulty sensor : * * the sensors that detect the patient's vital signs may be faulty, which can result in inaccurate or no waveform readings. - * * software malfunction : * * a software malfunction in the monitor can also cause issues with the waveform display. # # # recommendations - * * inspect the wires : * * ensure that all wires are securely connected and that there are no breaks or damage. - * * check the connections : * * verify that the monitor is properly connected to the patient's leads and to the power outlet. - * * test the sensors : * * use a test device or consult the manufacturer's instructions to test the functionality of the sensors. - * * update software : * * if a software malfunction is suspected, contact the manufacturer for updates or troubleshooting assistance. @topic:2


( rh ) max. @ 65°c ( 150°f ) non - operating ltitude rang - 500 m to 4600 m ( - 1600 to 15000 ft ) operating non - operating - 500 m to 15300 m ( - 1600 to 50000 ft ) 4 - slot flexible module rack 4 - slot flexible module rack 865243 condition item range 0 to 40°c ( 32 to 100°f ) operating temperature range - 20 to 60°c ( - 4 to 140°f ) storage 15 % to 95 % relative humidity ( rh ) ( non condensing ) humidity range 5 % to 95 % relative humidity ( rh ) toragaltitude rang - 500 m to 3000 m ( - 1600 to 10000 ft ) operating storage - 500 m to 4600 m ( - 1600 to 15000 ft ) ipx1 thermal array recorder module m1116b / c thermal array recorder module m1116b / c condition item range + 5 to 45°c ( 41 to 113°f ) temperature range operating - 10 to 70°c ( 14 to 158°f ) non - operating operating 95 % relative humidity ( rh ) max. @ 40°c ( 104°f ) ( non humidity range 90 % relative humidity ( rh ) max. @ 65°c ( 150°f ) ( non condensing ) non - operating altitude rangoperating on - operating p to 3048 m ( 10000 ft ) 461 40 specifications remote control remote control 865244 condition item ange temperature range 0 to 40°c ( 32 to 100°f ) operating - 20 to 60°c ( - 4 to 140°f ) storage 15 % to 95 % relative humidity ( rh ) ( non condensing ) humidity range peratin5 % to 95 % relative humidity ( rh ) storage altitude rangoperatinstorage - 500 m to @topic:19


# # # issue - medical cart is not powering on. # # # impact - inability to use the medical cart for patient care. # # # possible causes - faulty power supply - loose connection in the wiring - malfunctioning power button - software issue # # # recommendations - check the power supply and ensure it is securely connected. - inspect the wiring for any loose connections or damage. - verify the functionality of the power button by pressing it firmly. - reset the medical cart software to its factory default settings. - if the issue persists, consult the manufacturer's technical support for further assistance. @topic:13


# # # issue - battery failure # # # impact - inability to use the medical cart # # # possible causes - battery degradation over time - overcharging or undercharging of the battery - battery damage due to physical impact # # # recommendations - replace the failed battery with a new one - ensure that the battery is properly charged and used within its specified voltage range - avoid physical damage to the battery by handling it carefully @topic:13


# # # issue - the side rails on the huntleigh enterprise 8000 bed are unable to be lowered. # # # impact - the patient is unable to get out of bed safely. - the bed cannot be moved safely. # # # possible causes - the side rails are obstructed by something. - the side rails are not properly latched. - the side rail release mechanism is malfunctioning. # # # recommendations - check to make sure that the side rails are not obstructed by anything. - check to make sure that the side rails are properly latched. - test the side rail release mechanism to make sure that it is functioning properly. - if the problem persists, contact the manufacturer for further assistance. @topic:6


# # # issue * * failed to lock the leg rest * * # # # impact * * the patient may be injured if the leg rest is not locked securely. * * # # # possible causes 1. * * the locking mechanism is broken. * * 2. * * the leg rest is not properly aligned with the locking mechanism. * * 3. * * the patient is applying too much weight to the leg rest. * * # # # recommendations 1. * * inspect the locking mechanism for any damage. * * 2. * * realign the leg rest with the locking mechanism. * * 3. * * ask the patient to apply less weight to the leg rest. * * @topic:6


##h 2 o plateau pressure numeric range 0 to 120 cmh 2 0 resolution 1 citlh 2 o positive end - expiratory pressure numeric ( peep ) range 0 to 99 cmh 2 0 resolution 1 citlh 2 o barometric pressure numeric ( pb ) range 400 to 800 mmhg resolution 1 mmhg peak inspiratory flow numeric ( pif ) range 0. 3 to 25 1 / min ( neonatal ) 1 to 100 1 / min ( pediatric ) 2 to 180 1 / min ( adult ) resolution 0. 1 1 / min ( neonatal ) 1 1 / min ( pediatric / adult ) peak expiratory flow numeric ( pef ) range 0. 3 to 25 1 / min ( neonatal ) 1 to 100 1 / min ( pediatric ) 2 to 180 1 / min ( adult ) resolution 0. 1 1 / min ( neonatal ) 1 1 / min ( pediatric / adult ) inspiration to expiration ratio numeric ( i : e ) range 1 : 0. 2... 9. 9 resolution 0. 1 444 measurement specifications 38 installation and specifications cardiac output / continuous cardiac output c. o. / cco performance specifications c. o. ( right heart ) range 0. 1 to 20. 0 1 / min accuracy instrument specification ( electrical ) : ±3 % or 0. 1 1 / min system specification : ±5 %. or 0. 2 1 / min repeatability instrument specification ( electrical ) : ±2 % or 0. 1 1 / min system specification : + 3 %. or 0. 1 1 / min c. o. ( transpulmonary ) range 0. 1 to 25. 0 1 / min accuracy instrument specification ( electrical ) : + 4 % or 0. 15 1 / min system specification : ±5 % or 0. 2 1 / min repeatability instrument @topic:17


# # # issue - malfunctioning of the bed's wooden barrier # # # impact - potential safety hazard for patients, as the barrier is intended to prevent falls and entrapment. # # # possible causes * * 1. wear and tear : * * prolonged use and repeated mechanical stress can weaken the wooden barrier, making it prone to breakage. * * 2. inappropriate handling : * * rough handling of the barrier, such as forceful pulling or pushing, can damage its structural integrity. * * 3. manufacturing defect : * * a flaw in the material or construction of the barrier could compromise its strength and durability. # # # recommendations * * 1. regular maintenance and inspection : * * establish a schedule for regular inspection and maintenance of the bed, including checking the condition of the wooden barrier for any signs of wear or damage. * * 2. proper handling and use : * * provide clear instructions and training to staff on proper handling and use of the bed, emphasizing the importance of avoiding excessive force on the barrier. * * 3. replacement : * * if the barrier is damaged beyond repair, replace it promptly with a new one that meets the manufacturer's specifications. * * 4. material improvement : * * consider using alternative materials for the barrier that are more resistant to wear and tear, such as reinforced plastic or metal. @topic:6


# # # issue - motor knee failure # # # impact - knee cannot be adjusted # # # possible causes - failure of the motor itself - problem with the motor controller - wiring issues # # # recommendations - replace the motor with a new one - check the motor controller and wiring for any problems - calibrate the bed to ensure that the knee is adjusting properly @topic:9


radio to factory defaults. if the problem peupdate and apply it. if still present, e radio. dhcp option corrupt. the dhcp option file is not in the ected format check for a software update and apply it. if still present, replace the radio. radio not functional. 350042 cannot delete file. there is ainternal software error on thradio ( occurs for option 60 upload and factory default ) check for a software update and apply it. if still present, replace the radio. radio not functional. 350043 invalid sdc value. there is a software issue on the when trying to configure the radio. check for a software update and apply it. if still present, replace thradio. radio not functional. 350046 no ip address after 30 seconds. check essid and radio mode settings. very low unable to associate. unable to establish etwork communications. radio out of netw00 no ip address after 30 seconds. check radio security settings. unable to authenticate invalid radio onfiguration. econfigure and try no ip address after 30 seconds. check dhcp server settings. unable to obtain dhcp radio card dhcp timeout. 350300 address. 206 troubleshooting welch [UNK] connex® spot monitor alarm priority ossible causmessage ensure the access point is still radio lost association lost network powered on and in range. communications. radio out of network adio not functional. ost failure power cycle the device and re - enable very low the radio. if the problem persists, 350500 the radio software upgradfailed. restart the monitor. information radio software upgrade failed. clock needs to be set properly, or the very low certificate needs to be updated. radio certificate is out indicates that the radio of date. 350800 certificate is out of dat @topic:16


# # # issue - equipment failure # # # impact - patient monitoring may be interrupted or delayed. - patient safety may be compromised. # # # possible causes - the borrowed equipment is not compatible with the patient's needs. - the borrowed equipment is not functioning properly. - the borrowed equipment is not being used correctly. # # # recommendations - ensure that the borrowed equipment is compatible with the patient's needs. - inspect the borrowed equipment for any damage or defects. - train the staff on how to use the borrowed equipment correctly. @topic:12


# # # issue - equipment is not functioning correctly. # # # impact - patients may not be able to receive proper care. - staff may not be able to use the equipment effectively. # # # possible causes * * equipment - related : * * - loose or disconnected wires - malfunctioning motor - broken gears * * user - related : * * - improper use of equipment - overloading of equipment - lack of maintenance # # # recommendations * * equipment * * - inspect wires and connections - test motor and gears - perform regular maintenance * * user * * - train staff on proper use of equipment - monitor equipment usage - establish procedures for regular maintenance @topic:12


# # # issue * bed cannot adjust its height. # # # impact * patients may be unable to get in or out of bed. * staff may be unable to position patients properly. # # # possible causes * the relay that controls the bed's motor has failed. * the motor itself has failed. * the wiring or connections to the motor have become loose or damaged. # # # recommendations * replace the relay. * replace the motor. * check the wiring and connections to the motor and make sure they are secure. @topic:1


# # # issue : - faulty spo2 cable # # # impact : - inaccurate or unreliable spo2 measurements # # # possible causes : - physical damage to the cable, such as cuts, kinks, or pinching - loose connections at either end of the cable - internal electrical issues # # # recommendations : - inspect the cable for any visible damage - ensure that the connections at both ends of the cable are secure - if the cable is damaged or not functioning properly, replace it with a new one - regularly inspect and maintain spo2 cables to prevent future failures @topic:4


# # # issue - nbp interrupted is displayed causing the monitor to malfunction # # # impact - the patient's vital signs may not be accurately measured resulting in delayed or incorrect treatment # # # possible causes - the nbp cuff is not properly positioned on the patient's arm - the nbp hose is kinked or obstructed - the nbp transducer is malfunctioning - the software in the monitor is experiencing bugs # # # recommendations - inspect the nbp cuff and ensure it is properly positioned on the patient's arm - inspect the nbp hose for any kinks or obstructions - check the nbp transducer for any damage or loose connections - update the software in the monitor to the latest version @topic:15


# # # issue the monitor is not linking with the central monitor. # # # impact the medical staff will not be able to monitor the patient's vital signs remotely. # # # possible causes * the ip address of the monitor is not the same as the ip address of the central monitor. * the port number used to establish the connection is incorrect. * the firewall on the monitor is blocking the connection. * the monitor or central monitor is not properly connected to the network. # # # recommendations * verify that the ip address of the monitor is the same as the ip address of the central monitor. * check the port number used to establish the connection. refer to the documentation for the central monitor to get the correct port number. * disable the firewall on the monitor. * check the physical connection between the monitor and the central monitor. make sure that the cables are securely connected and that there are no breaks in the cables. @topic:16


# # # issue - battery has deteriorated due to its age. # # # impact - the device may not be able to operate properly or may not be able to operate at all. - the device may not be able to provide accurate readings. - the device may be a hazard to the patient. # # # possible causes - the battery has reached the end of its lifespan. - the battery has been exposed to extreme temperatures. - the battery has been damaged. # # # recommendations - replace the battery with a new one. - store the battery in a cool, dry place. - avoid exposing the battery to extreme temperatures. - handle the battery with care. @topic:11


# # # issue - solenoid failure # # # impact - inability to close drawer # # # possible causes - the solenoid is stuck or not receiving power - the solenoid is not properly connected to the drawer - the drawer is obstructed # # # recommendations - inspect solenoid - check power supply - ensure proper connection - remove obstruction @topic:21


# # # issue - the lcd monitor is not displaying any image. # # # impact - the medical staff cannot use the monitor to display patient data or medical images, which can delay or compromise patient care. # # # possible causes - * * power supply issue : * * the monitor may not be receiving power from the wall outlet or from the internal power supply. - * * backlight failure : * * the backlight that illuminates the lcd screen may have failed. - * * display panel failure : * * the lcd display panel itself may be damaged or faulty. - * * cable connection issue : * * the cable connecting the monitor to the computer or other device may be loose or damaged. - * * software issue : * * the monitor's software may have become corrupted or may not be compatible with the connected device. # # # recommendations - * * check the power supply : * * ensure that the monitor is plugged into a working wall outlet and that the internal power supply is functioning properly. - * * examine the backlight : * * in a dark room, check if the backlight is illuminating the screen. if not, the backlight may need to be replaced. - * * inspect the display panel : * * look for any cracks, scratches, or other damage to the lcd panel. if visible damage is present, the panel will need to be replaced. - * * check the cable connection : * * ensure that the cable connecting the monitor to the computer or other device is securely plugged in and undamaged. - * * update the software : * * if possible, check for and install any available software updates for the monitor. - * * contact a qualified technician : * * if the issue cannot be resolved by following the above steps, it is recommended to contact a qualified biomedical engineer or technician for further diagnosis and repair. @topic:2


the installation sections, ensure that the customer has completed all necessary preparations outlined in the previous section, " procedures for local staff. " monitor mx400 / 450 / 500 / 550 site requirements space requirements the situating of the monitor should be planned such that the nursing staff are able to monitor the patient with relative ease, with all patient connectors and controls readily available and the displays clearly visible. the location should also allow access to service personnel without excessive disruption and should have sufficient clearance all round to allow air circulation. maximum dimensions and weight : monitor model size ( w x h x d ) weight mx400 274mm x 288mm x 178mm 5kg ( ±5 % ) mx450 327mm x 288mm x 182mm 5. 6kg ( ±5 % ) mx500 327mm x 288mm x 182mm 5. 7kg ( ±5 % ) mx550 404mm x 308mm x 184mm 7kg ( ±5 % ) environmental requirements the environment where the mx400 / 450 / 500 / 550 monitor will be used should be reasonably free from vibration, dust and corrosive or explosive gases. the ambient operating and storage conditions for the mx400 / 450 / 500 / 550 monitor must be observed. if these conditions are not met, the accuracy of the system will be affected and damage can occur. temperature operating : 0 to 40°c ( 32 to 104°f ), 0 to 35°c ( 32 to 95°f ) when charging battery or m3002a is mounted on the back of the monitor or with intellivue instrument telemetry adapter storage : - 20 to 60°c ( - 4 to 140°f ) humidity operating : 15 % to 95 % relative humidity ( rh ) ( non - condensing ) storage : 5 % to 95 % relative humidity ( rh ) altitude operating : - 500m to @topic:10


# # # issue - link to monitor cannot be established # # # impact - monitor cannot be used for patient monitoring # # # possible causes 1. faulty network connection 2. misconfiguration of monitor settings 3. software issue # # # recommendations - check network connection and make sure it is secure. - verify monitor settings to ensure they are correct. - update monitor software if necessary. @topic:16


# # # issue - * * bed alarm not working * * # # # impact - * * patient safety hazard * * - * * increased risk of falls or other injuries * * - * * non - compliance with regulatory requirements * * # # # possible causes - * * faulty alarm system * * - * * loose or disconnected wiring * * - * * software glitch * * - * * user error * * - * * power outage * * # # # recommendations - * * inspect the alarm system for any faults * * - * * check the wiring for any loose or disconnected connections * * - * * update the software to the latest version * * - * * train users on the proper use of the equipment * * - * * ensure that the equipment is plugged into a reliable power source * * @topic:26


# # # issue - error 183 on dinamap procare 100 nibp monitor from ge healthcare. # # # impact - inability to accurately measure blood pressure. # # # possible causes - loose connection in the tubing or sensor. # # # recommendations - tighten the connections in the tubing and sensor. - replace the tubing or sensor if necessary. - calibrate the device to ensure accuracy. @topic:15


# # # issue - remote control is broken and damaged. - the electric bed cannot be adjusted. # # # impact - the patient cannot adjust the bed to a comfortable position. - this can lead to discomfort, pain, and pressure sores. - it can also make it difficult for the patient to get in and out of bed. # # # possible causes - the remote control may have been dropped or damaged. - the remote control may have been exposed to water or other liquids. - the circuit board in the remote control may have failed. - the battery in the remote control may be dead. - the connection between the remote control and the bed may be broken. - the motor in the bed may be damaged. - the bed may have been overloaded. # # # recommendations - replace the remote control. - check the connection between the remote control and the bed. - test the motor in the bed. - inspect the bed for any damage. - contact the manufacturer for further assistance. @topic:7


, pap, cvp, icp, awp, anesthetic agents. • hi - res trend waves from fast numeric trends include : btbhr, sp0 2, tcp0 2, tcpc0 2, pulse, perf, cpp, bis, cco, in0 2, delta sp0 2. hi - res trend waves from waves use the wave scale as their display scale. changing the wave scale changes the hi - res trend wave scale. hi - res trend waves from numerics use a pre - defined display scale dependent on the patient category. hi - res trend waves and oxycrg oxycrg is a combination of three hi - res trend waves, btbhr, sp0 2, and resp, mainly used in neonatal monitoring. 289 23 high resolution trend waves printing hi - res trend wave reports printing hi - res trend wave reports to print hi - res trend waves on reports, you can choose to print either • all visiblewaves - prints all waves and hi - res trend waves currently displayed • all waves - prints realtime waves and hi - res trend waves for all currently - monitored measurements • hires waves - prints hi - res trend waves for the currently - monitored measurements • oxycrg waves - prints hi - res trend waves for btbhr, sp0 2, and resp. for each hi - res trend wave, a maximum of six minutes of measurement data will be printed. see the section on reports for more information on setting up reports. hi - res trend wave recordings the selection of waves in hi - res trend wave recordings and the recording speed are defined by the pre - configured hirestrd recording template. see the section on recordings for more information. to start a hi - res trend waves recording, 1 select the recordings smartkey, if configured, or select main setup - > recordings @topic:8


# # # issue : non - invasive blood pressure ( nibp ) monitor not measuring oxygen saturation ( spo2 ). # # # impact : clinicians are unable to monitor patient's oxygen levels, which can lead to delays in identifying and treating respiratory distress. # # # possible causes : - * * faulty sensor : * * the spo2 sensor on the nibp monitor may be defective or damaged, preventing it from accurately reading oxygen saturation levels. - * * loose connections : * * loose connections between the spo2 sensor and the monitor can disrupt the signal transmission, resulting in inaccurate readings or failure to measure spo2. - * * software glitch : * * a software glitch or bug in the nibp monitor can affect its ability to process spo2 data, leading to incorrect or missing readings. - * * incorrect settings : * * the nibp monitor may not be configured correctly to measure spo2, such as using the wrong patient type or finger placement settings. - * * interference from other devices : * * electromagnetic interference from nearby equipment, such as defibrillators or surgical instruments, can interfere with the spo2 measurement process, causing inaccurate readings. - * * patient factors : * * factors such as poor circulation, low perfusion, or nail polish can affect the spo2 reading accuracy. # # # recommendations : - * * inspect the spo2 sensor : * * visually inspect the sensor for any damage or dirt. clean and reattach the sensor as necessary. - * * check connections : * * ensure that all connections between the sensor and the monitor are secure and free from any loose wires or frayed cables. - * * update software : * * check if there are any software updates available for the nibp monitor and install them as needed. - * * verify settings : * @topic:4


catheter - optical module connection may impair light transmission. if you place the catheter in the patient without performing the pre - insertion calibration, you must perform an in - vivo calibration once the catheter is in place. perform a light intensity calibration after the catheter is in its proper position. when the catheter is positioned properly, the light intensity indicator must cover at least two small divisions above the midpoint. 80 70 73 in the setup < so2 label > menu, select start light cal. • calibration is complete after a few seconds. if you doubt existing light intensity readings, recalibrate. perform an in - vivo calibration : if you place the catheter in a patient without performing a pre - insertion calibration.. if the catheter was disconnected from the optical module. • when the catheter has been in the patient for 24 hours. • if any significant change in light intensity occurs that the monitor cannot correct automatically. • check for : • relatively stable oxygen saturation in patient.. that the light intensity indicator is indicating a stable medium to high level.. 274 17 monitoring intravascular oxygen saturation be prepared to draw a blood sample from the patient. 1 in the setup < so2 label > menu, select start in - vivocal. 2 to clear the distal lumen, draw off and discard at least 2 ml of blood before taking the sample. 3 draw a blood sample from the distal port of the catheter and flush the line according to standard hospital practice. 4 5 obtain laboratory analysis of the sample using direct measurements. select calibration value and select from the list the value received from the lab. 6 7 complete the calibration by selecting store in - vivocal ( even if the stored calibration value did not change ) and select confirm. @topic:17


solid circle indicates a standard feature and a hollow circle, an optional feature. feature suresigns vm4 suresigns vm6 suresigns vm8 nbp • • • spo, • • • ecg • • • 3 - lead 3 - and 5 - lead 3 - and 5 - lead respiration • • arrhythmia analysis • • ibp 0 • predictive temperature 0 continuous temperature • • o o k > 0 recorder 0 0 0 display ( inches ) 8. 4 8. 4 10. 4 max. number of 2 4 4 waveforms introduction 1 - 3 2 installing the monitor overview this chapter gives overview information on installing and setting up the monitor. in this chapter • setting up and installing. 2 - 2 • unpacking. 2 - 2 • submitting a damage claim. 2 - 2 • repacking components. 2 - 2 • setting up the monitor. 2 - 2 installing the monitor 2 - 1 setting up and installing setting up and installing unpacking to unpack the monitor : 1. open the shipping container and remove the monitor from the container. 2. examine the monitor for visible damage, like broken components, cables, dents, or scratches on the surface of the equipment. 3. save the packaging material for possible reuse. submitting a damage claim if there is physical damage, or if an item does not meet specified operational requirements, notify the carrier and the nearest philips medical systems sales / service office. philips will arrange for immediate repair or replacement of the damaged / inoperative part. repacking components if you ship the components to a philips medical systems sales / service office, securely attach a tag showing the name and address of the owner, the component model and serial number, and the repairs ( or symptoms of the fault ) required. the original shipping container protects the instrument while in transit @topic:10


2 ip config bootp dsnamic ip mandatoiy ip address 172. 31. 10. 03 subnet mask 255. 255. 0. 0 default gateu ay 172. 31. 20. 10 bootp sers er 172. 31. 10. 165 ipa 6 address fe80 : : 0209 : fbff : fe6e : d163 igmp off ct mode broadcast ct address 172. 31. 255. 255 ct ttl 1 qos state off qos level 0 directoi ^'mode broadcast directoi ^'addr. 172. 31. 255. 255 lldp on lldp svstem name switch lldp chassis id 0023 ac71 b600 lldp port id fao / 4 lldp port status 10 mbps / hd displays the current active network type ( lan, nt, wlan ) mac address of lan adapter mac address of intellivue instrument telemetry adapter ( only when iit is enabled ) intellivue instrument telemetry specific partitioning of the radio domain ( only when iit is enabled ) advertised system name of the link partner. this is normally a switch or router. 276 7 installation instructions ] lldp chassis advertised chassis id of the link partner. chassis id is an administratively assigned name that id identifies the particular chassis. lldp port id advertised port id of the link partner. port id is a string that identifies the port component of the link partner. lldp port shows the current ethernet duplex mode and the speed of the link partner. status the mac address, current ip address configuration ( ip address, subnet mask, default gateway, server ip address and cl mode / cl address / cl ttl ) and bootp / dhcp server is displayed. the ip address configuration can be changed in service mode only. manually entered ip addresses are @topic:10


# # # issue - * * wheel seized * * # # # impact - * * patient transport delayed or prevented * * # # # possible causes - * * hair wrapped around wheel * * # # # recommendations - * * clean and remove hair from wheel * * @topic:24


# # # issue - keypad malfunction on the huntleigh enterprise 8000 electric bed # # # impact - impaired patient mobility and comfort - reduced bed functionality - potential safety hazards for patients and healthcare staff # # # possible causes - wear and tear from frequent use - electrical faults - spills or ingress of liquids - physical damage to the keypad assembly # # # recommendations - replace the faulty keypad with a compatible model - inspect the bed wiring and connections for any loose or damaged components - implement a regular maintenance schedule to prevent future keypad issues - train staff on proper use and handling of the bed to minimize keypad wear and tear @topic:25


# # # issue - deterioration of the cuff in a vital signs monitor. # # # impact - inaccurate vital signs readings - risk of misdiagnosis or delayed treatment # # # possible causes - normal wear and tear over time - improper storage or handling - exposure to extreme temperatures or humidity - ageing of the cuff material - use of incompatible cuffs with the monitor # # # recommendations - regular inspection and replacement of the cuff as per the manufacturer's guidelines. - proper storage and handling of the cuff to avoid damage. - use of compatible cuffs with the monitor. - training of staff on proper use and maintenance of the monitor and cuff. - early reporting of any signs of cuff deterioration to prevent further issues. @topic:5


* * issue : * * failure of medical device ( monitors lcd ) * * impact : * * unavailable medical equipment * * possible causes : * * * * * damaged during transport : * * the equipment may have been mishandled during the move from orbgh to orbht, resulting in damage. * * * oversight during maintenance : * * the bme team may have overlooked or missed a potential issue during their inspection and maintenance. * * * underlying system issue : * * an undetected problem with the equipment's system could have caused the failure, despite the initial inspection indicating normal functionality. * * * software malfunction : * * a software bug or update issue could have disrupted the equipment's operation. * * * electrical fault : * * a problem with the electrical system, such as a loose connection or power surge, could have caused the failure. * * recommendations : * * * * * thorough investigation : * * conduct a detailed investigation to determine the exact cause of failure, including a physical inspection, system diagnostics, and review of maintenance records. * * * repairs or replacement : * * depending on the cause of failure, repairs may be necessary. if the equipment is unrecoverable, a replacement should be acquired. * * * improved transport protocols : * * implement stricter protocols for transporting medical equipment to prevent damage during moves. * * * enhanced maintenance procedures : * * review and revise maintenance procedures to ensure thorough inspections and early detection of potential issues. * * * regular software updates : * * ensure that the equipment's software is up - to - date to address any known vulnerabilities or bugs. * * * electrical system inspection : * * conduct regular inspections of the electrical system to prevent power surges or loose connections. * * * training and accountability : * * provide training to bme personnel on proper equipment handling and maintenance procedures @topic:12


# # # issue - battery degradation # # # impact - reduced device functionality - potential patient safety concerns # # # possible causes - normal battery wear and tear over time - improper charging or maintenance practices - manufacturing defects # # # recommendations - replace the battery with a new one - follow proper charging and maintenance guidelines - inspect the device regularly for any signs of battery degradation @topic:11


# # # issue - the cause of failure is not specified in the input. # # # impact - the impact of the failure is not specified in the input. # # # possible causes - the failure could be due to a variety of factors, including : - a hardware failure - a software failure - a configuration error - a user error # # # recommendations - to troubleshoot the failure, the biomedical engineer should : - inspect the equipment for any obvious signs of damage. - check the software and firmware versions to ensure that they are up to date. - verify the configuration settings to ensure that they are correct. - if the problem persists, contact the manufacturer for support. @topic:12


# # # issue the ev1000 cardiac output monitor is not functioning due to an expired evhrs ( edwards hemodynamic recording system ). # # # impact the ev1000 is unable to provide accurate cardiac output measurements, which can lead to incorrect patient care decisions. # # # possible causes the evhrs is a consumable item that must be replaced periodically. the evhrs on the ev1000 expired on 01 / 03 / 2020, which means that it has exceeded its useful life and is no longer providing accurate measurements. # # # recommendations replace the expired evhrs with a new one. the evhrs can be purchased from edwards lifesciences corp. or from a medical equipment supplier. once the new evhrs is installed, the ev1000 should be recalibrated to ensure that it is providing accurate measurements. @topic:16


— | ada respironies co2 ready capability | c14 | conventional 12 - lead and ibp & temp c8 | | full arrhythmia capability co | | — | neonatal event review c4 | | | drug calculator os fe sn et otis op em time distribution bar graph e ele conventional 12 lead ecg | [ | stmp — — 0 0 5 80 5 0 0 0 | | full networking m cs mi 3 - - — — : 7 [ [ bwavexdsceneciviy o c [ xul | [ 6 - wave xds connectivity — — — — — — — | x06 | [ xds remote control | x20 xds clinical workstation x30 [ [ buitein recorder sscs ceos [ — [ rell stand with mounting plate | eu | [ — lawisippd — — — — — — | ei $ | [ jmimssup sss ei o mmsmem — — — — — — — — [ ex [ bed hanger moat — — — — — — — [ eh | l — lquckriexemowt — | e22 [ [ protective cover es [ add 1 x lithium ton batey — [ | e | [ jada 2x liu lea battery | e % [ power and network adapter — | e27 | [ fhande lei | | companion mode — — — — — — — — — [ mij | [ intellivue 802. 11 bedside adapter | 135 | | [ instrument telemetry 14ghz | 45 | | [ short range radio — — — — — — — | 346 | | [ instrument telemetry 2. 4ghz | 347 | ecg sync signal cable $ c4 srl connect cable - 4. 0 m $ c6 @topic:8


# # # issue equipment failure in the bedside physiological monitor. # # # impact - lack of accurate physiological data for patient monitoring. - delays in diagnosis and treatment due to unreliable information. - increased risk of patient safety incidents. # # # possible causes - cuff deterioration : the blood pressure ( bp ) cuff used to measure patient bp may have become damaged or worn over time, leading to inaccurate readings. - cuff damage : the cuff may have been physically damaged during use or storage, resulting in compromised functionality. # # # recommendations - monitor equipment regularly : preventive maintenance and inspections can identify signs of cuff deterioration and prevent failures. - follow manufacturer guidelines : ensure the cuff is used and stored according to the manufacturer's instructions to prolong its lifespan. - train staff on proper use : educate staff on proper cuff handling, storage, and maintenance techniques. - maintain proper inventory : keep a sufficient stock of replacement cuffs to ensure timely repairs and minimize downtime. @topic:3


# # # issue - the given input indicates that the electric bed is not able to weigh the patient. # # # impact - the inability to weigh patients can affect accurate monitoring of their health status and progress. # # # possible causes - * * faulty load sensor * * : the load sensor, which is responsible for measuring the patient's weight, may have malfunctioned and needs to be replaced. - * * loose wiring or connections * * : loose wires or connections can disrupt communication between the load sensor and the bed's control system. - * * software malfunction * * : a software issue could cause the bed's weighing function to malfunction, preventing it from accurately measuring the patient's weight. - * * mechanical failure * * : mechanical issues, such as a damaged or misaligned component, can affect the bed's ability to weigh patients. # # # recommendations - * * inspect the load sensor * * : check the load sensor for any damage or loose connections. test the sensor using a known weight to ensure it is functioning correctly. - * * examine wiring and connections * * : verify that all wires and connections are secure and not damaged. tighten any loose connections and replace any damaged wires. - * * update software * * : if applicable, check for any available software updates and install them to resolve any potential software issues. - * * contact the manufacturer * * : if the issue persists or cannot be identified through the above steps, contact the manufacturer for further assistance and guidance on troubleshooting and repair options. @topic:25


* * issue : * * patient names disappearing from the medical cart display * * impact : * * inability to access patient information and provide appropriate care * * possible causes : * * * * * software glitch : * * a malfunction in the software or operating system of the medical cart could lead to patient names being lost or corrupted. * * * data transmission error : * * an interruption or failure during data transfer between the medical cart and the hospital's electronic health record ( ehr ) system could cause patient names to be lost. * * * user error : * * incorrect or accidental actions by the biomedical engineer or other user may have inadvertently removed patient names from the display. * * * hardware failure : * * a physical defect or [UNK] [UNK] in the medical cart's hardware, such as a faulty display or memory module, could prevent patient names from being displayed correctly. * * recommendations : * * * * * check software updates : * * ensure that the medical cart is running on the latest software version and install any available updates to address any known software issues. * * * verify network connectivity : * * test the network connection between the medical cart and the ehr system to ensure data transfer is stable and reliable. * * * review user actions : * * consult with the biomedical engineer or other users who have recently interacted with the medical cart to determine if any actions may have unintentionally removed patient names. * * * inspect hardware : * * inspect the medical cart's hardware components for any obvious defects or damage. consider performing diagnostic tests to identify any underlying hardware issues. * * * contact technical support : * * if the issue persists or the cause cannot be readily identified, contact the manufacturer of the medical cart or the hospital's it support team for specialized assistance. @topic:13


# # # possible causes - battery is damaged or faulty - battery contacts are dirty or corroded - charging circuit is faulty - power supply is not providing enough power - software issue @topic:11


# # # issue - equipment failure during blood pressure measurement # # # impact - the failure of the equipment during blood pressure measurement can lead to inaccurate readings, which can impact patient care and treatment decisions. # # # possible causes - * * defective pump * * : a defective pump can cause the equipment to fail during blood pressure measurement. the pump is responsible for inflating the cuff and measuring the pressure, and a defect in the pump can lead to inaccurate readings or equipment failure. - * * software issues * * : software issues can also cause the equipment to fail during blood pressure measurement. the software is responsible for controlling the equipment's operation, and a bug or glitch in the software can lead to equipment failure. - * * electrical issues * * : electrical issues can cause the equipment to fail during blood pressure measurement. the equipment requires electricity to operate, and a power surge or other electrical issue can damage the equipment and cause it to fail. - * * user error * * : user error can also cause the equipment to fail during blood pressure measurement. if the user does not properly follow the instructions for using the equipment, it can lead to equipment failure. # # # recommendations - * * regular maintenance and calibration * * : regular maintenance and calibration of the equipment can help to prevent failures and ensure that the equipment is operating properly. - * * user training * * : proper user training can help to prevent user error and ensure that the equipment is used correctly. - * * software updates * * : software updates can help to fix bugs and glitches that can cause equipment failure. - * * use of a backup device * * : having a backup device available can help to ensure that patient care is not disrupted in the event of a equipment failure. @topic:14


# # issue - unable to adjust the bed # # impact - patient discomfort - difficulty in providing care - safety hazard # # possible causes - mechanical failure ( e. g., broken gears, loose connections ) - electrical failure ( e. g., faulty wiring, damaged motor ) - software malfunction ( e. g., programming error ) - user error ( e. g., improper use of controls ) # # recommendations 1. inspect the bed for any visible signs of damage or loose connections. 2. check the electrical connections and ensure they are secure. 3. reboot the software system. 4. train users on the proper operation of the bed. 5. call the manufacturer for technical assistance if the issue persists. @topic:1


nmt cable unknowinop tone the patient cable connected to the nmt module is not supported or cannot be identified. replace it with a supported cable. mt cal faithe nmt calibration cycle failed. check that the sensor and the electrodes are placed properly, then start another calibration. ensure that patient's arm is kept still before and during the calibration cycle. if calibration fails again, replace the patient cable. if inop persists, contact your service personnel. an nmt calibration is running. wait until the calibration is complete. nmt cal running nmt cannot measurinop tone nmt is unable to reliably derive measurement values. check that the sensor and the electrodes are placed properly and start another measurement. if this inop persists, try another patient cable. there is a problem with the nmt hardware. unplug the nmt measurement module then plug it in again. if the inop persists contact your service personnel. nmt equip malfuncinop tone nmt impedance high the impedance of the nmt stimulation electrodes has exceeded the allowed limit. check that the perly, have firm skin contact and have not dried out. nmt incompatiblnop tone nmt lead off inop tone this version of the nmt measurement module is not supported, or the module firmware is incomplete and needs to be upgraded. contact your service personnel. one or both nmt stimulation electrodes have become detached from the patient. check that both electrodes have firm skin contact, that the electrodes are placed properly and that the lead wires are connected. nmt neo patientinop tone the nmt measurement does not support neonatal patients. check the patient category. nmt noisy signanop tone the nmt signal is too noisy to derive @topic:22