# # # issue - the cause of failure is not specified in the given input. # # # impact - the input does not provide information about the impact of the failure. # # # possible causes - the equipment may have been damaged during transportation. - the equipment may have been improperly installed or configured. - the equipment may have been used incorrectly. - the equipment may have reached the end of its useful life. # # # recommendations - the technician should perform a thorough inspection of the equipment to identify the cause of the failure. - the technician should repair or replace the equipment as necessary. - the technician should provide training to the users of the equipment on how to properly use and maintain it. - the technician should develop a preventive maintenance plan to ensure that the equipment is regularly inspected and serviced. @topic:12


# # # issue - keypad malfunction, causing intermittent functionality. # # # impact - difficulty in using the equipment, potentially affecting patient care. # # # possible causes - internal wire breakage within the keypad. # # # recommendations - replace the faulty keypad with a new one as per the manufacturer's recommendation ( po. 4306059946 ). - consider regular maintenance and inspection of the equipment to prevent similar failures in the future. @topic:25


# # # issue - the remote control for the electric bed is malfunctioning. # # # impact - the patient may not be able to adjust the bed to a comfortable position. - this could lead to discomfort, pain, or pressure sores. # # # possible causes - the remote control may be damaged. - the batteries in the remote control may be dead. - the connection between the remote control and the bed may be loose. # # # recommendations - replace the remote control. - replace the batteries in the remote control. - check the connection between the remote control and the bed. @topic:7


the temperature module. 5 replace the temperature probe and the probe well. note — jf a temperature probe error was generated, the alarm stops. 6 remove the temperature probe from the probe well. 7 wait for the monitor to display the static temperature value. 8 check that the displayed temperature reads 36. 3 + 0. 1°c ( 97. 3 + 0. 2°f ). 9 if the value is not within tolerance, see “ temperature measurement problems ” on page 4 - 7. tympanic temperature test to verify the performance of the tympanic temperature module, you must do one of the following : e send the monitor to philips for calibration. contact the philips customer care center or your local philips representative e purchase a covidien calibration device, part number 303079. see the covidien web site for ordering information ( www. covidien. com ). note — the battery compartment in the tympanic temperature probe is not functional. performance verification testing 3 - 18 suresigns vs4 service guide safety tests safety tests use the following safety test procedures to verify safe service of the monitor. the setups and the acceptable ranges of values used for these tests are derived from local and international standards, but may not be equivalent. these tests are not a substitute for local safety testing where it is required for an installation or a service event. if you use the metron safety tester, perform the tests in accordance with your local regulations. for example, in europe, use iec 60601 - 1 / iec 60601 - 1 - 1 and in the united states, use ul 60601 - 1. the metron report should print results with the names listed below, together with other data. note — safety tests meet the standards of, and are performed in accordance with iec 60601 - 1, clause 19 ( @topic:20


# # # issue - remote control button malfunction # # # impact - inability to adjust the height of the bed # # # possible causes - faulty button on the remote control - damage to the wiring or circuitry within the remote control - interference from other electronic devices # # # recommendations - replace the remote control with a new one. - inspect the wiring and circuitry within the remote control for any damage. - check for any nearby electronic devices that may be interfering with the remote control's signal. @topic:7


# # # issue - equipment malfunction due to missing or damaged components. # # # impact - patient safety and care may be compromised due to inaccurate or unreliable monitoring. # # # possible causes - components not replaced or properly installed after repair. - components not stocked or readily available. - lack of inventory management or ordering process. - miscommunication or errors in ordering or delivery of components. # # # recommendations : - establish a comprehensive inventory management system to track equipment components. - ensure that all necessary components are stocked in a timely manner. - train staff on proper equipment maintenance and repair procedures. - implement clear ordering and delivery protocols to prevent errors. - consider using a centralized procurement system to streamline the ordering process. - regularly review equipment maintenance and repair records to identify trends and areas for improvement. @topic:12


# # # issue - the electric bed's hilow mechanism is faulty. # # # impact - the bed cannot be raised or lowered, which can make it difficult or impossible for patients to use. # # # possible causes - the hilow mechanism may be damaged due to wear and tear, or it may be malfunctioning due to a problem with the electrical system. # # # recommendations - replace the hilow mechanism. - inspect and test the electrical system to ensure that it is functioning properly. @topic:1


# # # issue - the shelf of the medical cart is damaged. # # # impact - the medical cart may not be able to be used to transport medical supplies and equipment. - this could lead to delays in patient care and treatment. # # # possible causes - the shelf may have been overloaded. - the shelf may have been damaged during transport. - the shelf may have been made of a material that is not strong enough to withstand the weight of the medical supplies and equipment. # # # recommendations - inspect the medical cart regularly for any damage. - do not overload the medical cart. - use a medical cart that is made of a strong material that can withstand the weight of the medical supplies and equipment. @topic:31


and the housing together on all sides after reassembly to make sure that it is seated correctly. 162 5 repair and disassembly ) removing the lcd panel ( mx550 ) 1 separate the front and back of the monitor as described in “ separating the front and back of the monitor ” on page 146. 2 if short range radio boards are installed, disconnect the short range radio connector ( s ) from the panel adapter board. 3 remove the screws from the two clamps holding the display housing frame. 4 release the two clamps by pushing them upwards. 5 release the latch at the bottom of the frame by pushing it forwards, then lift up the frame. 163 [ 5 repair and disassembly ] 6 remove the touch connector and the alarm led connector from the panel adapter board. 7 remove the video cable and the backlight cable. 8 remove the nine screws from the back of the lcd panel. 9 lift out the lcd panel. 164 5 repair and disassembly ) 10 remove the two screws on each side of the lcd panel chassis. 11 separate the lcd panel from its chassis. removing the touch bezel ( mx400 ) 1 separate the front and back of the monitor as described in “ separating the front and back of the monitor ” on page 146. 2 remove the panel adapter board as described in “ removing the panel adapter board ( mx400 ) ” on page 152. 3 remove the five screws from the lcd panel chassis. 165 [ 5 repair and disassembly ] 4 lift out the lcd panel. removing the touch bezel ( mx450 / mx500 ) 1 separate the front and back of the monitor as described in the section ‘ ‘ separating the front and back of the monitor ” on page 146. 2 remove the alarm led board as described in “ removing the alarm led board ( @topic:19


the probe is inserted correctly into the patient's finger. * * 3. eliminate environmental interference : * * move the patient to a location with minimal bright lights or excessive movement. this will reduce potential interference and improve the accuracy of the spo2 readings. * * 4. consider patient factors : * * if the patient has poor peripheral circulation or dark skin, use a different finger for the spo2 probe. alternatively, consider using a pulse oximeter with a different measurement technique, such as transcutaneous or reflectance pulse oximetry. * * 5. calibrate the monitor : * * regularly calibrate the patient transport monitor to ensure that its readings are accurate. this will help to identify and correct any potential drift in the monitor's measurements. @topic:4


# # # issue - cuff bp has leakage # # # impact - affects the accuracy of blood pressure measurements - can lead to incorrect patient diagnosis and treatment # # # possible causes - damage to the cuff - loose connections - malfunctioning valve # # # recommendations - inspect the cuff for any damage or tears - check the connections between the cuff and the monitor - replace the cuff if it is damaged - test the monitor to ensure it is functioning properly @topic:3


# # # issue - battery is not charging. # # # impact - the device cannot be used without a charged battery. # # # possible causes - battery is not properly seated. - battery is faulty. - battery charger is faulty. - device is faulty. # # # recommendations - check that the battery is properly seated. - try a new battery. - try a different battery charger. - contact the manufacturer for further troubleshooting assistance. @topic:11


# # # issue : - equipment failure # # # impact : - patient care may be compromised - increased workload for healthcare staff - potential for legal liability # # # possible causes : - * * battery replacement : * * the information provided indicates that the battery was replaced prior to the failure. it is possible that the battery was not replaced correctly, or that the new battery is defective. - * * charger malfunction : * * the charger used to charge the battery may be malfunctioning, resulting in the battery not being fully charged. - * * equipment defect : * * the equipment itself may have a defect that is causing it to fail. # # # recommendations : - inspect the battery and ensure that it is properly installed. - test the battery using a battery tester to verify that it is holding a charge. - inspect the charger for any signs of damage or malfunction. - contact the manufacturer of the equipment for troubleshooting assistance. - if the equipment is still not functioning properly, it should be replaced. @topic:11


# # # issue - the biomedical engineer ( bme ) found that the medical cart could not enter the medcart program code and could not connect to the host bme. # # # impact - delays or disruptions in patient care due to the inability to use the medical cart. - increased workload for bme to troubleshoot and resolve the issue. # # # possible causes - software issues with the medical cart - configuration issues with the host bme - network connectivity problems - physical damage to the medical cart or host bme # # # recommendations - * * software : * * - check for and install any available software updates. - reset the medical cart to factory settings and reconfigure it. - * * configuration : * * - verify that the host bme is properly configured to communicate with the medical cart. - ensure that the medical cart is using the correct network settings. - * * network : * * - test the network connection between the medical cart and host bme. - contact the it department if there are any network issues. - * * physical : * * - inspect the medical cart and host bme for any signs of physical damage. - replace any damaged cables or connectors. @topic:13


# # # issue - monitor not detecting pacemaker activity # # # impact - inaccurate patient monitoring - delayed or incorrect medical interventions # # # possible causes - faulty monitor hardware - incompatible or damaged cable - incorrect monitor settings - pacemaker malfunction or battery depletion # # # recommendations - check the monitor hardware, including cables and connectors, for any damage or loose connections. - ensure that the monitor is properly configured to detect pacemaker activity. - inspect the pacemaker and its battery for any issues or replacements. - if the issue persists, consult with a qualified biomedical engineer or the device manufacturer for further troubleshooting and repairs. @topic:16


the module. nibp not functional. 5ff09 internal malfunction. if the problem persists, replace the wacp rendezvous failure applicatinibp not functional. 05ff0a internal malfunction. if the problem persists, replace the odule. upgrade. pim file is corrupt nibp not functional. 5ff0b internal malfunction. if the problem persists, replace the internal malfunction. if the problem persists, replace the nibp not functional. 5ff0c configured upgrot be accessed device configuration issue. 05ff0d configured parameter ( nibp or use configured parameters for spo2 ) used in intervals is intervals intervals nibp not functional. 05ffoe the nibp sensor unexpectedly clear the error and try again eset the nibp sensor firmware failed internal malfunction. if the to upgrade problem persists, replace the module. nibp not functional. 05ff0f the tube type settings and the actual tube type do not match change the tube type setting to match the actual tube type. nformation tube type does not match device configuration. po2 messageeneral spo2 messagelarm prioritpossible cause message spo2 not functional. spo2 module is not 044900 internal hardware malfunction in very low po2 module. replace module. responding informational error. indicates that very lohost software is attempting to clear an error by rebooting the spo2 module is not responding spo2 rebooting. 044a00 spo2 module. no action required. 176 troubleshooting welch [UNK] connex® spot monitor larm prioritossible causmessage the spo2 module stopped data spo2 rebooting044b00 informational error. the host @topic:20


# # # issue - motor noise during up - down movement # # # impact - potential discomfort or disturbance for patients - reduced efficiency and functionality of the bed - safety hazard if the motor malfunctions completely # # # possible causes - worn - out or damaged motor bearings - misalignment of motor components - electrical issues causing power fluctuations - obstruction or debris affecting motor movement # # # recommendations - * * immediate : * * - isolate the bed from patient use and label it as " out of service ". - * * diagnosis and repair : * * - inspect the motor and surrounding components for signs of wear, damage, or misalignment. - check electrical connections and power supply to ensure proper functioning. - * * replacement : * * - if the motor is beyond repair, order a replacement motor and schedule installation. - * * maintenance and inspection : * * - establish a regular maintenance schedule to lubricate the motor bearings and inspect for potential issues. @topic:9


# # # issue - cuff bp was worn and torn - cuff bp was deteriorated # # # impact - equipment malfunction - incorrect blood pressure readings # # # possible causes - normal wear and tear - prolonged use - improper handling or storage # # # recommendations - inspect cuff bp regularly for signs of wear or damage - replace cuff bp if it is worn or damaged - handle and store cuff bp carefully according to manufacturer's instructions @topic:3


# # # issue - * * missing connector between cuff and monitor * * - * * damaged cuff velcro * * - * * failure to lock securely * * # # # impact - inaccurate vital sign measurements - patient discomfort - potential for delayed diagnosis or treatment # # # possible causes - * * torn or stretched connector * * due to excessive use or mishandling - * * worn or contaminated cuff velcro * * from extended use or lack of cleaning - * * improper maintenance or handling * * leading to damage to the locking mechanism # # # recommendations - * * replace the cuff * * to ensure proper connection and secure locking - * * inspect and clean the cuff regularly * * to maintain its integrity - * * train staff on proper handling and maintenance * * to minimize the risk of damage - * * calibrate the monitor * * after replacing the cuff to ensure accurate measurements - * * consider using alternative monitoring methods * * such as non - invasive blood pressure cuffs or telemetry for patients with sensitive skin or damaged veins @topic:5


# # # issue medical cart reboots unexpectedly. # # # impact - interruption of healthcare services - delay in patient care - loss of patient data # # # possible causes - software issues - hardware issues ( e. g., loose connections, faulty components ) - power supply fluctuations - environmental factors ( e. g., extreme temperatures, humidity ) # # # recommendations * * troubleshooting : * * - check for software updates and install them. - inspect hardware connections and ensure they are secure. - test the power supply and ensure it is stable. - review environmental conditions and adjust them if necessary. * * preventive measures : * * - regularly scheduled maintenance and inspections can help identify and address potential issues before they cause failures. - use surge protectors to safeguard against power fluctuations. - ensure the medical cart is operated within its specified environmental limits. - train staff on proper handling and operation of the equipment. @topic:13


# # # issue the physiologic monitor's display is not working. # # # impact the monitor cannot be used to track patient vital signs, which could lead to delayed diagnosis or treatment. # # # possible causes - power supply failure - display failure - loose or damaged connections # # # recommendations - check the power supply to the monitor. - inspect the display for any damage. - check the connections between the display and the monitor. - contact the manufacturer for further troubleshooting assistance. @topic:2


# # # issue - bed alam joint breakage # # # impact - unable to use the equipment # # # possible causes - excessive force applied to the joint - wear and tear due to prolonged use - manufacturing defect # # # recommendations - inspect the equipment regularly for any signs of wear or damage - use the equipment as per the manufacturer's instructions - if the joint breaks again, contact the manufacturer for repair or replacement @topic:9


for example, implanted cardiac pacemakers. do not use the nmt measurement on patients with implanted medical devices unless so directed by a medical specialist. simultaneous use of the nmt with high frequency electrosurgical equipment may in unusual circumstances result in burns at the stimulation site and can also adversely affect measurement accuracy. do not use the nmt in close proximity to shortwave or microtherapy devices, there is a risk of adversely affecting the nmt measurement. explosion hazard : do not use in the presence of flammable anesthetics or gases, such as lammable anesthetic mixture with air, oxygen or nitrous oxide. use of the device in such an nvironment may present an explosion hazard. never apply the electrodes trans - thoracically ( across the chest ) or transcerebrally ( across the head ), there is a risk of seriously injuring the patient. apply the stimulation electrodes close together as described in the instructions for use. never apply electrodes to patients in areas where inflammation or injury is evident. when you are connecting the electrodes or the patient cable, make sure that the connectors do not, and cannot, come into contact with other conductive parts, or with earth. never touch the electrodes unless the stimulation has been stopped. patients with nerve damage or other neuromuscular problems may not respond properly to stimulation. the nmt measurement may show unusual patterns when monitoring muscle paralysis in hese patients. after repositioning the patient, check that the sensor is still applied and can move freely. 293 caution nmt monitoring is intended as an adjunct in patient assessment and must be used in conjunction with observation of clinical signs and symptoms. nmt stimulation can be painful to a non - sedated patient. it is recommended not to stimulate before. use only electrodes suitable for nerve stimulation deemed appropriate by the attending physician. @topic:10


# # # issue - defective ac power cord # # # impact - the monitor may not be able to power on or function properly. - patient monitoring may be interrupted. # # # possible causes - physical damage to the ac power cord, such as : - cuts or tears in the insulation - broken or loose wires - bent or crushed connectors - wear and tear over time - poor handling or storage of the ac power cord # # # recommendations - inspect the ac power cord regularly for any signs of damage. - replace the ac power cord if it is damaged. - handle and store the ac power cord carefully to avoid damage. - use a surge protector to protect the monitor from power surges. - train staff on proper handling and maintenance of medical devices, including the ac power cord. - implement a preventive maintenance schedule to regularly check and replace ac power cords as needed. @topic:12


( 1 ) : f / x1 / x2 s ( 2 ) : p / xl or s ( 2 ) : f / xl s ( 3 ) : p / xl or s ( 3 ) : f / xl 6 - 4 performance verification testing required test equipment required test equipment the following table lists the additional test equipment that you need to perform each of the tests in this chapter. many of these tests also use the standard accessories that are shipped with the monitor. to perform this test... you need this test equipment... “ visual test ” on page 6 - 6 none “ power - on self test ” on page 6 - 6 none “ alarms testing ” on page 6 - 6 • adult spo? transducer “ sp02 tests ” on page 6 - 7 • adult spo? transducer “ ecg / respiration perfonnance ” on page • patient simulator 6 - 8 • ecg patient cable “ ecg sync perfonnance ” on page 6 - 8 • defibrillator with ecg sync cable • patient simulator “ nbp test ” on page 6 - 9 • reference manometer ( includes hand pump and valve ), accuracy 0. 2 % of reading • expansion chamber ( volume 250 ml + / - 10 % ) • appropriate tubing “ ibp test ” on page 6 - 13 • patient simulator “ co 2 calibration test ” on page 6 - 14 • standard tools, such as screwdriver, tweezers • electronic flowmeter, ml026 - 60144 • gas calibration equipment : - cal 1 gas 15210 - 64010 ( 5 % c0 2 ) - cal gas flow regulator m2267a - cal tube 13907a “ predictive temperature ( suresigns • suresigns temperature calibration key ( part # 4535 vm4 ) @topic:10


* * issue : * * medical equipment is not available for use due to being borrowed by another ward. * * impact : * * patients on ward 4i may not have access to a bed, which can delay or impede treatment. * * possible causes : * * - ward 4i requested the equipment without following proper procedures. - the equipment was not returned by the borrowing ward in a timely manner. - there is a shortage of available beds in the hospital. * * recommendations : * * - establish clear protocols for requesting and borrowing medical equipment between wards. - implement a system to track borrowed equipment and ensure timely return. - explore options for increasing the number of available beds in the hospital, such as purchasing additional equipment or optimizing bed utilization. @topic:24


: * * if other recommendations do not resolve the issue, troubleshoot hardware components by testing them individually or seeking assistance from a qualified technician. @topic:2


# # # issue the oxygen saturation cable ( spo2 ) for the bedside physiologic monitor has failed, resulting in inaccurate measurements. # # # impact * inability to accurately monitor patient's oxygen saturation levels. * delays in diagnosis and treatment due to unreliable data. * potential safety concerns if oxygen desaturation is not detected promptly. # # # possible causes * physical damage or breakage of the spo2 cable. * loose connections or improper insertion of the cable into the monitor. * electrical malfunction within the cable or the monitor's spo2 module. * interference from other medical devices or environmental factors. # # # recommendations * * immediate actions : * * * replace the damaged spo2 cable with a new one. * reconnect the cable securely to the monitor and the patient's finger. * test the monitor's spo2 function to ensure accurate readings. * * preventive measures : * * * handle spo2 cables with care to avoid damage. * regularly inspect cables for signs of wear or damage. * ensure proper storage and handling of cables when not in use. * use only compatible cables and accessories with the monitor. * train staff on proper use and maintenance of spo2 cables. * consider implementing a routine maintenance program to proactively identify and address potential issues with spo2 cables. @topic:4


# # # issue - equipment is not functioning properly ( screen not turning on ) # # # impact - inability to monitor patient vital signs and other physiological parameters accurately, which could lead to delayed or incorrect treatment decisions and potentially harm the patient. # # # possible causes - * * defective display : * * the display panel or its components ( e. g., backlight, inverter ) may have failed, preventing the screen from displaying any information. - * * loose connections : * * a loose connection between the display and the central station or internal components could interrupt the flow of power or data, causing the screen to remain blank. - * * power supply issue : * * a faulty power supply may not deliver adequate voltage to the display, resulting in its failure to operate. - * * software malfunction : * * a software issue or corrupted firmware could cause the system to malfunction and prevent the display from functioning properly. - * * overheating : * * excessive heat generated by the equipment can damage the display or its components, leading to screen failure. # # # recommendations - * * inspect and clean : * * thoroughly inspect the display and its connections for any obvious damage or loose fittings. clean any dust or debris that may have accumulated on the components. - * * reset the device : * * perform a hard reset on the central station by following the manufacturer's instructions. this may resolve minor software glitches and restore the display's functionality. - * * replace display : * * if the screen is physically damaged or has a defective component, a qualified biomedical engineer should replace it with a compatible display panel. - * * troubleshoot power supply : * * check the power supply unit to ensure it is providing adequate voltage and amperage to the display. if necessary, replace the power supply. - * * update software : * * if a software @topic:2


# # # issue electric bed with model 25800 e / l from huntleigh has a broken remote control wire. # # # impact the bed cannot be operated remotely, which can make it difficult for patients to adjust their position. # # # possible causes - the wire may have been damaged during use. - the wire may have been pinched or cut by furniture or other objects. - the wire may have been chewed by pets or rodents. # # # recommendations - inspect the wire for damage. - if the wire is damaged, replace it with a new one. - if the wire is not damaged, check the connections at both ends of the wire. - make sure that the remote control is properly programmed. @topic:7


# # # issue - inability to measure oxygen saturation ( o2sat ) using the nibp monitor # # # impact - impaired patient monitoring and assessment - delayed or inaccurate medical decision - making - potential for adverse patient outcomes # # # possible causes - damaged or disconnected extension cable - malfunctioning o2sat sensor - software or hardware issues with the nibp monitor - incorrect calibration or settings - interference from other devices # # # recommendations * * immediate actions : * * - verify the integrity of the extension cable and o2sat sensor connections. - check the monitor's display and settings for any error messages or abnormal readings. - attempt to recalibrate the monitor according to the manufacturer's instructions. * * troubleshooting : * * - if the extension cable has been replaced, ensure it is compatible with the nibp monitor. - test the o2sat sensor on a different patient or device to isolate the issue. - consult the manufacturer's troubleshooting guide for specific diagnostic steps. * * long - term solutions : * * - schedule regular maintenance and calibration intervals for the nibp monitor. - establish protocols for handling and storing medical devices to minimize damage. - train staff on the proper use and maintenance of medical equipment. @topic:4


# # # issue - medical cart model bdms 01 is experiencing a failure with the 32v power supply board. # # # impact - the medical cart is unable to provide power to its connected medical devices, potentially affecting patient care. # # # possible causes - the power supply board may have failed due to a number of factors, including : - age and wear - power surges - overheating - manufacturing defects # # # recommendations - replace the faulty power supply board with a new or refurbished unit. - inspect the medical cart for any other signs of damage or wear and tear. - consider implementing a preventive maintenance schedule to regularly inspect and test the medical cart and its components to prevent future failures. @topic:13


# # # issue - cuff is too small for the patient's arm. # # # impact - the blood pressure cuff may not be able to provide an accurate reading. - the patient may be uncomfortable during the blood pressure measurement. # # # possible causes - the wrong size cuff was ordered. - the cuff was not properly applied to the patient's arm. # # # recommendations - order the correct size cuff for the patient's arm. - properly apply the cuff to the patient's arm. @topic:3


# # # issue the propaq lt patient transport monitor from welch allyn displays a system failure message and has not been assigned a device number. # # # impact the patient transport monitor cannot be used to accurately monitor patient vital signs until the issue is resolved. # # # possible causes 1. the device may not have been properly initialized or registered with the hospital's network. 2. there may be a hardware or software issue with the device. 3. the device may have a damaged or missing component. # # # recommendations 1. verify that the device has been properly initialized and registered with the hospital's network. 2. inspect the device for any visible damage or missing components. 3. contact the manufacturer's technical support for further troubleshooting assistance. 4. if the issue cannot be resolved remotely, the device will need to be sent in for repair. @topic:22


# # # issue noisy bed # # # impact discomfort for patients and staff, potential disruption of healthcare services # # # possible causes - worn or damaged bearings - lack of lubrication - structural damage to the bed frame - loose or damaged electrical connections # # # recommendations - inspect and replace worn or damaged bearings - lubricate the bed as per manufacturer's instructions - check for any structural damage and repair or replace as necessary - inspect and tighten any loose or damaged electrical connections @topic:9


# # # issue - siderail is not locking in place. # # # impact - patient safety hazard. - patient could fall out of bed. # # # possible causes - siderail is damaged. - siderail is not properly installed. - siderail is not compatible with the bed. - wrong size siderail # # # recommendations - visually inspect the siderail for damage. - ensure that the siderail is properly installed according to the manufacturer's instructions. - verify that the siderail is compatible with the bed. - replace the siderail as necessary. @topic:6


g cm iec gibraltar 60 lb in aami greece 50 k g cm iec greenland 60 lb in aami grenada 50 k g cm aami guadeloupe 50 k g cm iec guam 60 ib in aami guatemala 60 k g cm aami guernsey 50 k g cm iec guinea 60 lb in aami guinea - bissau 60 lb in aami guyana 60 k g cm aami haiti 60 k g cm aami heard island and mcdonald islands 60 ib in aami holy see, vatican city state 60 ib in aami honduras 60 k g cm aami hong kong 50 k g cm iec hungary 50 k g cm iec iceland 50 k g cm iec india 50 k g cm iec indonesia 50 k g cm iec iran, islamic republic of 50 k g cm aami iraq 50 k g cm aami ireland 50 k g cm iec isle of man 50 k g cm iec israel 50 k g cm iec italy 50 k g cm iec jamaica 50 k g cm aami japan 60 k g cm iec jersey 50 k g cm iec jordan 50 k g cm aami kazakhstan 50 k g cm iec kenya 50 k g cm iec kiribati 60 lb in aami korea, democratic people ’ s republic of 60 lb in aami korea, republic of 60 k g cm aami kuweit 50 k g cm aami kyrgyzstan 60 ib in aami lao people ’ s democratic republics 50 k g cm iec latvia 50 k g cm iec lebanon 50 k g cm aami lesotho 50 k g cm iec 455 country - specific default settings 39 default settings appendix liberia 50 k g cm iec libyan arab. jamahiriya 60 lb in aami liechtenstein 60 lb in aami lithuania 50 k g cm iec luxembourg 50 k g cm iec macao 60 ib in aami macedonia, the former yugoslavian republic of 50 k g cm iec madagascar 50 k g cm iec malawi 50 k g cm iec malaysia @topic:19


this section describes the procedures you should follow to plan and prepare a site for an mp40 / mp50 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 mp40 / mp50 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. cabling : identifying the requirements for the cabling, conduiting and faceplates for connecting the various system components. roles & responsibilities this section describes the procedures necessary to prepare a site for a system installation. the procedures are grouped into two parts : procedures that local staff or contractors are responsible for, and procedures that philips personnel are responsible for. site preparation responsibilities local staff • ensure that all safety, environmental and power requirements are met. • provide power outlets. 247 8 site preparation introduction • prepare mounts. • pull cables, install conduit, install wallboxes. • terminate network cables if a philips clinical network is in use. • it may be necessary to certify the network cable plant, see philips clinical network installation manual for details. philips personnel • provide the customer with the safety, environmental and power requirements. • assemble mounts. • prepare monitor remote cabling. procedures for local staff the following tasks must be completed before the procedures for philips personnel may be started. @topic:19


# # # issue - the nibp monitor is unable to take accurate blood pressure readings. # # # impact - this can lead to incorrect diagnosis and treatment of patients. # # # possible causes - the blood pressure cuff is not properly inflated. - the blood pressure cuff is not the correct size for the patient. - the blood pressure cuff is not placed correctly on the patient's arm. - the blood pressure cuff is leaking air. - the blood pressure monitor is not properly calibrated. - the blood pressure monitor is faulty. # # # recommendations - check that the blood pressure cuff is properly inflated. - check that the blood pressure cuff is the correct size for the patient. - check that the blood pressure cuff is placed correctly on the patient's arm. - check that the blood pressure cuff is not leaking air. - calibrate the blood pressure monitor. - if the problem persists, replace the blood pressure monitor. @topic:15


# # # issue : interfering ekg graph on physiologic monitor # # # impact : reduced accuracy of patient monitoring data # # # possible causes : - faulty ekg cable causing intermittent connection issues - loose connection between ekg leads and patient - electrical interference from other medical devices or equipment # # # recommendations : - replace the faulty ekg cable with a new one. - ensure secure connections between ekg leads and patient, using conductive paste or appropriate skin electrodes. - investigate and identify any potential sources of electrical interference and mitigate them, such as grounding devices or repositioning equipment. - consider using shielded ekg cables to minimize external interference. - regularly inspect and maintain all connected equipment to prevent future failures. @topic:18


# # # issue the cuff on the philips mp5sc vital signs monitor, a device used to measure vital signs such as blood pressure, was found to be defective during a routine inspection by a biomedical engineer ( bme ). # # # impact the defective cuff prevented the device from accurately measuring blood pressure, which could lead to incorrect or delayed diagnosis and treatment for patients. # # # possible causes - * * wear and tear * * : over time, the cuff material may deteriorate due to repeated use, causing it to become less effective at sealing around the patient's arm. - * * improper storage * * : storing the device in extreme temperatures or without proper protection could damage the cuff. - * * accidental damage * * : the cuff may have been accidentally punctured or torn during use or handling. # # # recommendations - * * regular inspections * * : to ensure proper functionality, the cuff should be inspected regularly by a qualified bme or technician. - * * proper storage * * : the device should be stored in a clean and dry environment with appropriate temperature and humidity levels. - * * careful handling * * : avoid dropping or mishandling the device to prevent damage to the cuff. - * * replacement * * : if the cuff is found to be defective, it should be promptly replaced with a new one to ensure accurate measurements. @topic:5


# # # issue - remote control cord is frayed # # # impact - the remote control may not function properly or may be unsafe to use. # # # possible causes - the remote control cord may have been damaged due to : - use over time - physical damage, such as being stepped on or crushed - exposure to chemicals or heat # # # recommendations - replace the remote control cord with a new one. - inspect the remote control cord regularly for signs of damage. - avoid using the remote control if the cord is damaged. - store the remote control in a safe place when not in use. @topic:7


# # # issue the beds, electric, hill - rom, model : 900 accella is experiencing an issue where it is displaying a flashing red light. # # # impact the flashing red light indicates that the bed is not functioning properly and may pose a safety hazard to patients and staff. # # # possible causes 1. * * low battery : * * the technician noted that the battery of the bed was low when they began troubleshooting. while the bed was able to operate normally after being plugged in and charged, it is possible that the battery is still not holding a charge properly and is causing the bed to malfunction. 2. * * electrical fault : * * there may be a fault in the electrical system of the bed, such as a loose connection or a damaged wire. this could be causing the bed to receive intermittent power, which could lead to the flashing red light. 3. * * control board issue : * * the control board is responsible for controlling the various functions of the bed, including the movement of the bed and the display of the status lights. a malfunctioning control board could cause the bed to behave erratically, including displaying a flashing red light. # # # recommendations 1. * * check the battery : * * the technician should check the battery of the bed to ensure that it is holding a charge properly. if the battery is not holding a charge, it should be replaced. 2. * * inspect the electrical system : * * the technician should inspect the electrical system of the bed for any loose connections or damaged wires. any loose connections should be tightened and any damaged wires should be replaced. 3. * * test the control board : * * the technician should test the control board of the bed to ensure that it is functioning properly. if the control board is malfunctioning, it should be replaced. @topic:9


measurement provides : • airway flow, airway volume and airway pressure waveform. • numerics for : - respiratory rate - tidal volume - minute volume - peep ( positive end - expiratory pressure ) - pip ( peak inspiration pressure ) - dynamic compliance - airway resistance • numerics for : ( only visible in spirometry values window, no alarming, no trending ) - peak inspiratory flow - peak expiratory flow - negative inspiratory pressure - mean airway pressure - plateau pressure numeric - i : e ratio the measurement also provides pressure - volume loops, flow - volume loops and pressure - flow loops. please see the respiratory loops chapter for details on loops. when using combined c0 2 / f1ow sensors you can also perform mainstream capnography with intubated adult, pediatric and neonatal patients. see the measuring c0 2 chapter for details on the c0 2 measurement and the accessories chapter for a list of compatible accessories. warning electrical shock hazard : do not open the module. contact with exposed electrical components may cause electrical shock. always turn off and remove power before cleaning the module. refer servicing to qualified service personnel. 225 15 monitoring airway flow, volume and pressure attaching the flow sensor attaching the flow sensor caution use the m1014a spirometry module with philips approved accessories only. refer to the instructions for use provided with the accessory. 1 select the appropriate flow sensor. make sure that you are using the correct sensor for the respective patient category. otherwise accuracy may be reduced. pediatric / adult flow sensor ( m2785a ). color : clear for intubated patients with endotracheal tube diameters > 4 mm. adds approximately 6. 5 cc of deadspace. infant / neonatal flow sensor ( m2786a ) color : violet for intubated patients @topic:17


# # # issue : remote control malfunction # # # impact : - inability to operate the electric bed - patient discomfort - hindrance to patient care # # # possible causes : - * * internal component failure : * * electrical damage, loose connections, or worn - out parts within the remote control. - * * battery issues : * * depleted or faulty batteries. - * * physical damage : * * drops, spills, or excessive force applied to the remote. - * * software malfunctions : * * glitches or errors in the remote's operating system or firmware. - * * compatibility issues : * * incompatible remote with the specific model of electric bed. # # # recommendations : - * * troubleshooting : * * check battery levels, ensure proper connections, and perform basic diagnostics. - * * remote replacement : * * if troubleshooting fails, replace the remote control with a compatible model. - * * internal repairs : * * if possible, identify and repair the specific internal component causing the malfunction. - * * software updates : * * update the remote's firmware or software to address any known bugs or compatibility issues. - * * proper handling : * * educate staff on the proper care and handling of remote controls to prevent damage. - * * regular maintenance : * * schedule routine maintenance checks to identify potential issues fruhzeitig and prevent remote failure. @topic:7


. c. board ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures 4. 15 interface p. c. board ( a model beds ) tools required : t15 torx® 1 screwdriver t25 torx® screwdriver removal 1. set the brakes. 2. raise the bed to its highest position. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 3. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. note : the interface rc. board is mounted on the interface box cover. 4. remove the nine screws ( a ) securing the interface box cover ( b ) to the interface box ( c ) ( see figure 4 - 23 on page 4 - 50 ). 5. lower the box cover ( b ). 6. disconnect all cables from the interface p. c. board ( d ). 7. remove the six screws ( e ) securing the interface p. c. board ( d ) to the box cover ( b ). 8. remove the interface rc. board ( d ). 1. torx® is a registered trademark of acument intellectual properties, llc. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 49 4. 15 interface p. c. board ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures figure 4 - 23. interface p. c. board replacement 1. perform the removal procedure in reverse order. 2. to make sure the careassist® bed operates correctly, do the “ function checks ” on page 2 - 5. page 4 - 50 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. @topic:26


# # # issue - the bed is not adjustable. # # # impact - the patient may not be able to be positioned comfortably or safely. - the healthcare provider may not be able to access the patient easily. # # # possible causes - the remote control is not working. - the bed motor is not working. - the bed frame is damaged. # # # recommendations - check the remote control batteries. - if the remote control batteries are good, check the wiring connection between the remote control and the bed. - if the wiring connection is good, the bed motor may need to be replaced. - if the bed motor is good, the bed frame may need to be repaired or replaced. @topic:1


# # # issue * * cause of failure : * * not provided # # # impact * * unknown * * # # # possible causes * * * no cause of failure provided * * # # # recommendations * * * obtain cause of failure from physician or technician. * * @topic:12


# # # issue - the base of the monitor is loose. # # # impact - the monitor may not be able to be used properly. # # # possible causes - the screws that hold the base in place may have become loose. - the base may have been damaged. # # # recommendations - inspect the base of the monitor and tighten any loose screws. - if the base is damaged, replace it. @topic:12


# # # issue * cuff deterioration in patient transport monitor # # # impact * inaccurate blood pressure readings * potential for patient harm due to incorrect treatment decisions # # # possible causes * * * wear and tear : * * cuffs are subjected to repeated use and stretching, which can cause them to deteriorate over time. * * * environmental factors : * * exposure to extreme temperatures, moisture, or chemicals can also damage cuffs. * * * improper cleaning and maintenance : * * failure to follow recommended cleaning and maintenance procedures can lead to premature cuff deterioration. # # # recommendations * * * regular inspection and maintenance : * * inspect cuffs regularly for signs of wear and tear. follow manufacturer's guidelines for cleaning and maintenance. * * * replacement : * * replace cuffs that show signs of deterioration or that are beyond their recommended service life. * * * proper storage : * * store cuffs in a cool, dry place to minimize environmental damage. * * * user training : * * ensure that users are trained on proper cuff usage and maintenance techniques. @topic:5


# # # issue - the lock module of the physiologic monitor ( bedside ) from philips ( model : intellivue mp40 ( m8003a ) ) is broken. # # # impact - the monitor cannot be properly secured, which could lead to it falling or being damaged. - this could result in patient injury or loss of data. # # # possible causes - the lock module may have been damaged during shipping or installation. - the lock module may have been weakened over time due to wear and tear. - the lock module may have been accidentally broken by a user. # # # recommendations - replace the broken lock module with a new one. - inspect the monitor for any other damage. - train users on how to properly use and care for the monitor. @topic:2


# # # issue - monitor intermittently beeps an alarm indicating that the battery needs to be replaced. # # # impact - the intermittent beeping can be disruptive to patients and staff. - the monitor may not be able to provide accurate readings if the battery is not replaced. # # # possible causes - the battery is reaching the end of its lifespan. - the battery is not properly connected. - the monitor is not properly configured. # # # recommendations - replace the battery with a new one. - check the connections between the battery and the monitor. - reset the monitor to factory default settings. @topic:11


# # # issue - faulty remote control button on the bedside unit. # # # impact - inability to adjust bed settings and other functions remotely, compromising patient comfort and safety. # # # possible causes - wear and tear due to frequent use - electrical malfunction within the remote control - damage to the remote control's internal components - software issues or firmware bugs - interference from other wireless devices # # # recommendations - * * repair : * * replace the faulty remote control button or repair the electrical components. - * * replacement : * * if the remote control is beyond repair, consider replacing it with a compatible model. - * * regular maintenance : * * implement a preventative maintenance schedule to inspect and test the remote control regularly to identify any potential issues early. - * * training : * * provide proper training to staff on the proper use and handling of the remote control to minimize damage. - * * environmental factors : * * ensure the remote control is stored and used in an appropriate temperature and humidity range to prevent damage to internal components. @topic:7


grounding point position ( t a warning : electrical shock hazard servicing by qualified personnel only. this bed is provided with two power cords. unplug all power cords before servicing bed electrical enclosures ^ or auxiliary receptacle enclosure ^, auxiliary outlet warning auxiliary outlet warning [ a warning for transportation the bed shall l ^ be put in the lowest position. transportation position warning iv pole warning m330 _ 4 206 careassist® and careassist® es bed service manual ( man330 rev 4 ) page 1 - 13 warning and caution labels chapter 1 : introduction notes : page 1 - 14 careassist® and careassist® es bed service manual ( man330 rev 4 ) chapter 2 troubleshooting procedures getting started only facility - authorized personnel should service the careassist® and careassist® es bed. servicing by unauthorized personnel could result in personal injury or equipment damage. begin each procedure in this chapter with step 1. follow the sequence outlined ( each step assumes the previous step has been completed ). in each step, the normal operation of the product can be confirmed by answering yes or no to the statement. your response will lead to another step in the procedure, a repair analysis procedure ( rap ), or a component replacement. if more than one component is listed, replace them in the given order. to begin gathering information about the problem, start with initial actions. to isolate or identify a problem and to verify the repair after completing each corrective action ( replacing or adjusting a part, seating a connector, etc. ), perform the function checks. to verily the repair, perform the final actions after the function checks. if troubleshooting procedures do not isolate the problem, call hill - rom technical support at 800 - 445 - 3720 for assistance. careassist® and careassist® esbed service manual ( man330 rev 4 ) page 2 - @topic:9


for the loops is indicated in the loops window title. • select the setup device pop - up key to view the settings of the current source device. if the source device is changed, all reference loops from a previous device are cleared from the reference list when the first loop from the new source device is captured. reconnecting the previous device recalls its reference list. 361 32 respiratory loops documenting loops documenting loops 1 in the loops window, select the pop - up key print loop 2 from the list of available loops, select an individual loop, or select print all to print a report of all for each loop, the report prints • the currently - displayed loop, with the loop capture timestamp • up to six realtime numerics provided by the loop source device • sp0 2, etc0 2, p0 2, and pc0 2 numerics from the patient monitor, if available. lastname, firstname bed label respiratory loops report 10 jan 13 : 30 source device loop captured at 10 jan 2004 13 : 10 tv 550 ml mv 7. 15 l / min k 1 1 awrr 13 rpm 2. 0 - 1 - - d - in0 2 100 mmhg 1 1 etc0 2 38 mmhg 1 — r / 1 1 imc0 2 0. 1 mmhg - i 1 sp0 2 99 % a / 1 / 1 sp0 2 1 98 % wi. o - v / r - / 1 ~ sp0 2 r 99 % v [ i ] i 1 / \ / a 1 1 1 0. 0 - y l l i i i i i 1 1 - t - > 0 awp [ mmhg ] 50 philips hospital name page number 362 33 laboratory data laboratory data can be entered manually at the information center or at the monitor. for details on manual entry at the monitor, see “ entering measurements manually ” on page 39. selected @topic:8


# # # issue - propaq charger # 2 not charging # # # possible causes - faulty charging dock - damaged power cord - internal electrical failure # # # recommendations - inspect the charging dock for any damage or loose connections. - replace the power cord if it is damaged. - contact the manufacturer for further troubleshooting and repair. # # # impact - patient transport monitor cannot be charged, potentially leading to device failure during patient transport. @topic:11


# # # issue - the cuff of the vital signs monitor has deteriorated. # # # impact - the cuff's inability to properly inflate and deflate can lead to inaccurate blood pressure readings. this could lead to incorrect medical decisions being made. # # # possible causes - cuff deterioration can be caused by a number of factors, including : - age and wear and tear - exposure to heat or moisture - improper storage or handling - use on patients with unusually large or small arms # # # recommendations - bme conducted an inspection and found that the cuff is damaged. therefore, the bme requested replacement parts and proceeded to replace them. after testing, the vital signs monitor is now functioning normally. - in order to prevent future cuff deterioration, the following recommendations should be followed : - inspect the cuff regularly for signs of wear and tear. - replace the cuff if it shows any signs of damage. - store the cuff in a cool, dry place. - avoid exposing the cuff to extreme temperatures. - handle the cuff with care. @topic:5


be configured to display permanently on all screens. it shows the status of the battery, with the battery power remaining and, when the battery is not charging, an estimate of the monitoring time this represents. battery power gauge : this shows the remaining battery power. it is divided into sections, each representing 20 % of the total power. if three sections are filled, as in this example, this indicates that 60 % battery power remains. if no battery is detected, a blank battery gauge marked with a flashing red x 1s displayed. if no data is available from the battery, a question mark is shown in the gauge. battery status / malfunction indicator : normal battery function is indicated by the battery power gauge, together with the remaining operating time, on the main screen. you are informed of problems or changes in the status of the battery by the battery status / malfunction indicator. this consists of a blank battery gauge containing a symbol. if the symbol is red, this indicates a critical situation. you can check the specific cause of the problem by looking at the symbol ( s ) displayed in the battery status window. battery status indicator battery malfunction indicator alternates with the battery gauge on the main the red! flashes. critical battery screen. situation or malfunction. check in the battery status window check in the battery status le to see which malfunction indicator is window to see which status symbol is displayed displayed, or refer to the inop, to to identify the cause. identify the cause. indicator for missing battery ( flashing red x ). an inop is issued when the battery compartment is empty, and the mp2 / x2 is connected to external power ( a host monitor or the optional external power supply ). this!! insert battery inop is suppressed for 15 seconds while the monitor is connected to ac mains power, allowing you sufficient time to load a new battery. after @topic:11


replace the spo, board assembly. see “ removing the spo, board ” on page 5 - 22. 835 fpga fifo overrun spo > software error. informational message. no action required. 836 spo2 communication error spo ) communication error. informational message. no action required. if the message continues, replace the spo, board assembly. see “ removing the spo, board ” on page 5 - 22. 837 spo2 error. the front end will now reset itself. no data from spo >. allow the monitor to reset. replace the spo, board assembly. see “ removing the spo, board ” on page 5 - 22. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 865 fpga fifo overrun temperature software error. informational message. no action required. troubleshooting suresigns vs2 * and vsi service guide 4 - 19 error codes code error message possible cause action 866 ( 21 ) temp probe error ( 21 ) the probe is operating in replace the probe. temperature conditions above if the problem persists, replace the 112 f / 43. 3 c. probe tip is temperature module. see “ removing the defective : heater is too close temperature module ” on page 5 - 6. to thermistor. 866 ( 22 ) temp probe error ( 22 ) excessive heater energy. repeat the measurement. heater is not working or it if the problem persists, replace the could have taken too long to temperature probe. predict. 866 ( 32 ) temp probe error ( 32 ) thermistor pulled away from | repeat the measurement. the tip or heater broken. if the problem persists, replace the temperature probe. 866 ( 33 ) temp probe error ( @topic:22


# # # issue - unable to open the program on the medical cart # # # impact - the medical cart cannot be used for its intended purpose, which could delay or disrupt patient care. # # # possible causes - software corruption - hardware failure - power supply issue - network connectivity issue # # # recommendations 1. * * restart the medical cart : * * this will often resolve software glitches. 2. * * check the software version : * * make sure that the medical cart is running the latest version of the software. 3. * * inspect the hardware : * * look for any loose connections or damaged components. 4. * * check the power supply : * * make sure that the medical cart is properly connected to a power source. 5. * * check the network connectivity : * * make sure that the medical cart is connected to the hospital's network. 6. * * contact the manufacturer : * * if the issue cannot be resolved, contact the manufacturer for technical support. @topic:13


# # # issue - equipment : monitor, bedside, physiologic - band : philips - model : intellivue mp70 ( m8007a ) - cause of failure : faulty cable # # # impact - patient monitoring may be compromised due to inaccurate or incomplete data. - delay in diagnosis and treatment. # # # possible causes - physical damage to the cable, such as cuts, kinks, or tears. - internal wire breakage or corrosion. - loose connections or improper installation. # # # recommendations - perform regular inspections and maintenance of the cable, including visual checks and continuity testing. - handle and store the cable carefully to prevent physical damage. - ensure secure connections and proper installation according to the manufacturer's instructions. - replace the cable if any damage or faults are detected. - consider using redundant or backup cables to minimize the risk of downtime. @topic:22


# # # issue - inability to adjust the bed # # # impact - compromised patient comfort and safety - difficulty in providing optimal care # # # possible causes - malfunctioning control box - faulty wiring - software glitch # # # recommendations - replace the control box with a new one - inspect the wiring for any damage or loose connections - update the software to the latest version - perform routine maintenance and calibration of the bed to prevent future issues @topic:1


# # # issue - bed locks intermittently. # # # impact - patient safety risk. - staff frustration and inefficiency. # # # possible causes - loose or damaged lock mechanism. - worn or broken bed components. - malfunctioning electrical system. - incorrect adjustment of lock settings. # # # recommendations - inspect and clean the lock mechanism. - replace any worn or damaged components. - check the electrical connections and ensure they are secure. - verify that the lock settings are adjusted properly. @topic:6


# # # issue : - limit switch issue # # # impact : - inability to adjust the bed's height or position # # # possible causes : - faulty limit switch - loose or damaged wiring - incorrect calibration # # # recommendations : - replace the limit switch - inspect and tighten all wiring connections - calibrate the bed according to the manufacturer's instructions @topic:1


# # issue - cuff is damaged # # impact - inaccurate vital signs readings - patient discomfort - delays in patient care # # possible causes - wear and tear over time - excessive use - improper cleaning and disinfection - chemical spills - user error # # recommendations - * * regular inspection and maintenance : * * inspect the cuff for any signs of damage or wear and tear. replace the cuff if it shows any signs of deterioration. - * * educate users : * * train users on proper use and handling of the vital signs monitor, including how to avoid damage to the cuff. - * * set up preventive maintenance program : * * establish a maintenance schedule to regularly inspect and clean the vital signs monitor, including the cuff. this will help to identify potential problems before they cause failures. - * * use high - quality cuffs : * * invest in high - quality cuffs that are designed to withstand heavy use and frequent cleaning. - * * handle the cuff properly : * * avoid dragging or pulling the cuff when connecting it to the monitor. always store the cuff in a proper location to prevent damage. @topic:5


# # # issue - patient's name missing # # # possible causes - the name label was not attached to the patient's chart or is illegible. - the patient's chart was accidentally placed in the wrong drawer. - there was a mix - up with the patient's identification. # # # recommendations - ensure that all patient charts are clearly labeled with the patient's name and identification number. - train staff on proper patient identification procedures. - implement a system for tracking patient charts to prevent mix - ups. @topic:13


# # # issue - the telemetry ekg module is not functioning properly. # # # impact - the patient's vital signs may not be accurately monitored. # # # possible causes - the ekg lead wires may be disconnected or damaged. - the telemetry transmitter may be malfunctioning. - the receiver may be malfunctioning. # # # recommendations - check the ekg lead wires for any disconnections or damage. - replace the ekg lead wires if they are damaged. - check the telemetry transmitter and receiver for any damage. - replace the telemetry transmitter or receiver if it is damaged. - contact the manufacturer of the telemetry ekg module for further troubleshooting assistance. @topic:18


# # # issue * remote control for the electric bed is not working properly. # # # impact * patients cannot adjust the bed's position, which can lead to discomfort and inconvenience. * other functions of the bed, such as raising and lowering the head or foot of the bed, may also be affected. # # # possible causes * * * defective remote control : * * the remote control may have a faulty component or may have been damaged. * * * loose connections : * * the wiring between the remote control and the bed may be loose or disconnected. * * * software malfunction : * * the software in the remote control or the bed may be malfunctioning. * * * battery failure : * * the batteries in the remote control may be dead or low. # # # recommendations * * * inspect the remote control : * * check for any visible damage or loose connections. * * * replace the batteries : * * if the batteries are dead or low, replace them with new ones. * * * reset the remote control : * * if the remote control is still not working, try resetting it by following the manufacturer's instructions. * * * contact the manufacturer : * * if the remote control cannot be repaired, contact the manufacturer for assistance. @topic:7


# # # issue monitor's display is intermittently flickering. # # # impact the intermittent flickering of the monitor's display can make it difficult for healthcare professionals to accurately monitor the patient's vital signs, which could lead to delays in diagnosis and treatment. # # # possible causes * * hardware issues : * * - faulty display panel or backlight - loose or damaged cables or connections - power supply problems * * software issues : * * - corrupted or outdated software - incorrect monitor settings # # # recommendations * * troubleshooting steps : * * - * * check the cables and connections : * * ensure that all cables and connections are securely fastened and free of damage. - * * restart the monitor : * * turn off the monitor and unplug it from the power outlet for a few minutes. then, plug it back in and turn it on. - * * adjust the monitor settings : * * check the display settings to ensure that the brightness, contrast, and resolution are correctly adjusted. - * * update the software : * * download and install the latest software updates for the monitor. * * if the troubleshooting steps do not resolve the issue, consider the following : * * - * * contact the manufacturer or a qualified technician : * * they can diagnose the problem and perform repairs or replacements as necessary. - * * replace the monitor : * * if the problem is caused by a hardware issue, it may be necessary to replace the monitor. @topic:2


# # # issue the hospital bed is unable to adjust its position. # # # impact the inability to adjust the bed's position can have the following impacts : - patient discomfort and pain - difficulty performing medical procedures - increased risk of falls and injuries # # # possible causes based on the given information, the possible causes of the failure could be : - * * malfunctioning motor : * * the motor responsible for adjusting the bed's position may have failed. - * * damaged wiring : * * the wiring connecting the motor to the control panel may have been damaged during the repair process. - * * loose connections : * * the connections between the motor, control panel, and power source may have become loose, interrupting power flow. - * * faulty control panel : * * the control panel that operates the bed's functions may have malfunctioned. # # # recommendations to resolve the issue and prevent future failures, the following recommendations can be considered : - * * inspect the motor : * * test the motor using a diagnostic tool or multimeter to determine if it is functioning properly. if the motor has failed, it may need to be replaced. - * * examine the wiring : * * check the wiring for any visible damage or loose connections. securely reconnect any loose wires and replace damaged ones as necessary. - * * tighten connections : * * ensure that all electrical connections are tight and secure. use the appropriate tools, such as a screwdriver or wrench, to tighten any loose connections. - * * test the control panel : * * operate the control panel to check if all functions are working correctly. replace the control panel if it is found to be faulty. @topic:1


version default peap l « bel default user nsme username password secret anonymous ident. anonymous certificatecheck enabled ca certificate installed the setup wireless lan menu allows you to configure the following items : country country setting for the wlan card to adapt to the local frequency and transmit power regulations. the default value 1000 should be left to support adapting to country provided by the ap. ip address ip address of the wlan card. typically the automatic configuration via the bootp / dhcp server of the central station is used. in this case the field is set to 0. 0. 0. 0. for special requirements, it is possible to switch to a manual / fix ip address configuration. manually entered ip addresses are marked by the suffix'‘ manual ” 278 7 installation instructions ] wmm mode mode ssid security mode wep key size wep key wep key index wpa password authenticatio n inner authenticatio n peap version peap label username note • the subnet mask and the gateway address of the wlan card will be taken from the corresponding fields in the bed information or setup network menu. • only limited checks of the manual values are possible. therefore it is mandatory that a manual configuration is only performed by experienced service personnel to prevent problems such as duplicate ip addresses, non matching subnet mask, etc. changes to wmm ( wireless multimedia mode ) mode for the wlan adapter supporting this feature. defines the wlan operating mode / ieee 802. 11 standard. valid values are either 802. 11 ah, 802. 1 ibg, 802. 1 ig, auto or none. none indicates that no wireless connection should be estab - lished although a wireless adapter is available and operational. set identifier : logical wlan network name. wep, wpa ( psk ) or wpa2 ( psk ), w @topic:10


# # # issue - equipment is not functioning properly. # # # impact - patients may not be able to receive proper medical care. - hospital staff may be delayed in providing care. # # # possible causes - the equipment may not be properly calibrated. - the equipment may be damaged. - the equipment may be used incorrectly. - the equipment may be outdated. # # # recommendations - check the equipment's calibration. - inspect the equipment for damage. - train staff on the proper use of the equipment. - replace the equipment if it is outdated. @topic:12


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# # # issue - teing part of foot can not be adjusted. # # # impact - patient may not be able to get into or out of bed safely or comfortably. - patient may be at risk for pressure sores or other injuries. # # # possible causes - the remote control is not working properly. - the motor that controls the foot section of the bed is not working properly. - the wiring or other electrical components of the bed are damaged. # # # recommendations - inspect the remote control and replace it if necessary. - inspect the motor that controls the foot section of the bed and replace it if necessary. - inspect the wiring and other electrical components of the bed and repair or replace as necessary. @topic:1


# # # issue * the bed's side rails cannot be raised due to an obstruction caused by wiring. # # # impact * the patient's safety is compromised as they may be at risk of falling out of bed. * the hospital staff may be unable to properly care for the patient due to the limited access to the patient. # # # possible causes * the wiring is incorrectly routed, causing it to interfere with the movement of the side rails. * the wiring is damaged, causing it to become loose and obstruct the side rails. * a component of the side rail mechanism is faulty, causing it to become stuck. # # # recommendations * inspect the wiring to ensure that it is correctly routed and not damaged. * replace any damaged wiring or components. * test the side rails to ensure that they are functioning properly. @topic:6


# # # issue the oxygen saturation ( o2 sat ) probe is not providing consistent measurements, causing it to intermittently fail. # # # impact this issue can compromise patient safety by providing inaccurate or unreliable data, which can lead to delayed or incorrect treatment decisions. # # # possible causes * * 1. loose connection : * * - the connection between the probe and the monitoring equipment may not be secure, leading to intermittent signal loss. * * 2. faulty probe : * * - the probe itself may be damaged or malfunctioning, resulting in unreliable measurements. * * 3. electrical interference : * * - electromagnetic interference from nearby devices or electrical lines can disrupt the signal transmission from the probe. # # # recommendations * * 1. inspect the connection : * * - check the connection between the probe and the monitoring equipment to ensure it is secure and free of damage. * * 2. test the probe : * * - use a test bench or another monitoring system to verify if the probe is functioning properly. replace the probe if necessary. * * 3. eliminate electrical interference : * * - move the monitoring equipment away from potential sources of electrical interference, such as electrical cords or other medical devices. * * 4. contact manufacturer : * * - if all troubleshooting steps fail, contact the manufacturer of the equipment for further assistance and support. @topic:4


* * issue : * * remote detached from medical device * * impact : * * impaired device functionality, leading to potential patient safety concerns * * possible causes : * * - * * physical damage : * * impact, mishandling, or accidental collision - * * mechanical fault : * * internal component failure or loose connections - * * electrical fault : * * damaged wiring or circuitry - * * improper assembly : * * incomplete or incorrect reassembly of the device * * recommendations : * * - * * inspection : * * thoroughly examine the device and remote for visible damage or loose connections - * * maintenance : * * perform regular preventive maintenance to identify and address potential issues early on - * * training : * * ensure that staff is adequately trained on proper handling and assembly of the device - * * replacement : * * if necessary, consider replacing the remote or other affected components - * * user education : * * instruct users to handle the device with care and report any observed issues promptly - * * documentation : * * keep a record of all maintenance and repairs performed on the device, including the cause of failure @topic:7


on page 3 - 12 temperature probe and well “ spo, test ” on page 3 - 13 adult spo, sensor “ nbp tests ” on page 3 - 13 e reference manometer ( includes hand pump and valve ), with an accuracy 0. 2 % + expansion chamber ( volume 250 ml + 10 % ) e appropriate tubing “ temperature test ” on page 3 - 16 ¢ temperature well and probe e suresigns temperature calibration key ( part number 4535 640 33691 ) “ safety tests ” on page 3 - 17 multimeter “ nurse call relay test ” on page 3 - 20 e patient simulator e ohmmeter e phono connector test recording authorized philips personnel report test results back to philips to add to the product development database. hospital personnel, however, do not need to report results. the following table describes what to record on the service record after you complete the tests in this chapter. note — p = pass, f = fail, x = measured value as defined in tests in this chapter. test what to record visual v : p or v : f power - on po : p or po : f nbp nbp : p / x1 / x2 / x3 or nbp : f / x1 / x2 / x3 safety su ) : p / x1 / x2 or s ( 1 ) : f / x1 / x2 sq ) : p / x1 or sq ) : f / x1 s ( 3 ) : p / x1 or s ( 3 ) : f / x1 performance verification testing suresigns vs2 * and vsi service guide 3 - 3 accessing the system menu accessing the system menu use the system menu to configure the monitor, view system information, shut down the monitor, and access the system admin menu. for more information about using @topic:10


output power of the communications equipment. table b - 4. recommended separation distances between portable and mobile rf communication equipment and the suresigns vm patient monitor frequency of transmitter 150 khz to 80 mhz 80 to 800 mhz 800 mhz to 2. 5 ghz equation „ - [ fp „ - [ mp t ^ lco ii ^ 3 rated maximum output power of transmitter ( watts ) separation distance ( d ) ( meters ) separation distance ( d ) ( meters ) separation distance ( d ) ( meters ) 0. 01 0. 12 0. 12 0. 23 0. 1 0. 37 0. 37 0. 74 1 1. 17 1. 17 2. 33 10 3. 69 3. 69 7. 38 100 11. 67 11. 67 23. 33 for transmitters rated at a maximum output power not listed above, the separation distance d can be estimated, in meters, using the equation in the corresponding column, where p is the maximum output power rating of the transmitter in watts according to the transmitter ’ s manufacturer. these guidelines may not apply in all situations. electromagnetic propagation is affected by absorption and reflection from structures, objects and people b - 8 electromagnetic compatibility index a ac power troubleshooting, 7 - 6 ac power connector removing, 8 - 36 alarm and audio disables setting, 5 - 14 alarm pause duration setting, 5 - 8 alarm priority nurse call, setting, 5 - 9 alarm setting values setting default, 5 - 13 alarm settings factory default, 5 - 13 alarm tone setting, 5 - 7 alarm tone volume, minimum setting, 5 - 8 alarms testing, 6 - 6 troubleshooting, 7 - 9 audible alarms troubleshooting, 7 - 9 audio testing, 7 - 31 audio and alarms disable permission, 5 - 14 auto interval nbp, setting, 5 - 10 b backlight board removing, 8 ^ 15 battery charging, 3 - 3 installing, 8 @topic:10


# # # issue - oxygen saturation ( spo2 ) cable failure # # # impact - inaccurate spo2 readings - potential for missed or delayed care # # # possible causes - cable damage due to : - physical stress ( e. g., pulling, twisting ) - environmental factors ( e. g., heat, moisture ) - connector damage ( e. g., loose connection, bent pins ) - manufacturing defect # # # recommendations - regularly inspect spo2 cables for any visible damage. - replace cables that show signs of wear or damage. - handle cables with care, avoiding excessive bending or pulling. - ensure proper storage of cables in a cool, dry environment. - train staff on proper cable handling and maintenance procedures. - consider using more durable cables or connectors to reduce the risk of damage. @topic:4


# # # issue - equipment : telemetry ekg module - band : philips - model : m2601b # # # impact - machine 8 is not turning on. # # # possible causes - the power supply to the machine may be faulty. - the machine's internal components may have failed. - the machine's software may be corrupted. # # # recommendations - check the power supply to the machine. - inspect the machine's internal components for any signs of damage. - reinstall the machine's software. - contact the manufacturer for further assistance. @topic:16


function checks. 2 - 5 scale and bed exit function check. 2 - 10 final actions. 2 - 12 no functions work. 2 - 13 lockout malfunction. 2 - 16 hilow malfunction. 2 - 17 knee section malfunction. 2 - 18 head section malfunction ( excluding automatic contour ). 2 - 19 battery backup malfunction. 2 - 20 careassist® and careassist® es bed service manual ( man330 rev 4 ) page v foot section malfunction. 2 - 21 trendelenburg / reverse trendelenburg malfunction. 2 - 23 bed connected to ac power, brakes not applied detection malfunction. 2 - 24 cpr malfunction. 2 - 27 braking malfunction. 2 - 28 steering malfunction. 2 - 29 scale error 0. 2 - 30 scale error 1. 2 - 31 scale error 2. 2 - 32 scale error 3. 2 - 33 scale error 5. 2 - 34 scale error 0 — c model and newer beds. 2 - 35 scale error 1 — c model and newer beds. 2 - 36 scale error 2 — c model and newer beds. 2 - 37 scale error 3 — c model and newer beds. 2 - 38 scale error 4 — c model and newer beds. 2 - 39 scale error 5 — c model and newer beds. 2 - 40 service required led flashes — c model and newer beds. 2 - 41 siderail detection switch malfunction — f model beds. 2 - 42 chapter 3 : theory of operation introduction. 3 - 1 mechanical system. 3 - 2 retractable head section. 3 - 2 emergency cpr release. 3 - 2 extendable foot section. 3 - 2 hilow system. 3 - 2 casters. 3 - 3 braking. 3 - 3 steering. 3 - 3 head and footboards. 3 - 3 page @topic:9


# # # issue - cannot log in to wifi # # # impact - medical cart cannot be used for its intended purpose # # # possible causes - incorrect login credentials - network connectivity issues - configuration error - software bug # # # recommendations - verify login credentials with the hospital's it department - check network connectivity and ensure the medical cart is within range of a strong wifi signal - reset the medical cart's network settings and reconnect to wifi - contact the manufacturer of the medical cart for technical support @topic:13


# # # issue * unable to remove medication from the medical cart # # # impact * delays in medication administration * potential medication errors * patient safety concerns # # # possible causes * malfunction of the medication dispensing system * mechanical obstruction within the cart * user error in operating the system * software glitch # # # recommendations * * * check the medication dispensing system : * * ensure that the system is properly connected to power and that all cables are intact. test the system by attempting to dispense medication. * * * inspect the cart for mechanical obstructions : * * remove any objects or debris that may be blocking the medication dispensing mechanism. check the track and guide rails for any damage or obstructions. * * * review user instructions : * * consult the manufacturer's user manual to verify the correct operating procedures for the medical cart. train staff on proper use of the system. * * * contact biomedical engineering : * * if the issue cannot be resolved by troubleshooting, contact biomedical engineering for further assistance. they can diagnose the problem and perform repairs or maintenance as necessary. * * * update software : * * if the medical cart has software, check for any updates or patches that may address known issues. install any available updates to ensure the system is running on the latest version. @topic:13


contact your service personnel. eeg equip malf inop tone eeg the eeg hardware is faulty. contact your service personnel. 86 technical alarm messages ( inops ) 4 patient alarms and inops inop message, indication source what to do eeg impedance high or eeg1 and / or eeg2 imped. high eeg the signal electrode in one or both channels exceeds the user - selected impedance limit, or the impedance of a single electrode exceeds the limit. check the impedance. if the impedance is too high, reconnect the electrodes according to the eeg monitoring setup guidelines. if the inop persists, contact your service personnel. eeg < x > lead off < n > [ x = channel, n = electrode ] eeg reconnect specified electrode. eeg < x > lead off [ x = channel ] at information center eeg one or more electrodes are not connected. check in the eeg impedance / montage window on the monitor which electrode ( s ) are affected and reconnect the electrodes. eeg < x > leads off [ x = channel \ eeg two or more electrodes are not connected. check in the eeg impedance / montage window which electrodes are affected and reconnect the electrodes. eeg line noise eeg 1 or 2 line noise eeg excessive line noise has been detected in either channel eeg 1 or eeg2, or in both eeg channels. keep all cables together and away from metallic bodies, other cables & radiated fields. eeg muscle noise eeg 1 or 2 muscle noise eeg too much power above 30 hz has been detected in channel eeg1 or eeg2, or both. check the electrode - to - skin impedance and reposition the electrode away from possible muscle activity, if necessary. eeg @topic:10


# # # issue : - cuff bp no. 4 is damaged. # # # impact : - the patient's blood pressure cannot be accurately measured, which could lead to incorrect treatment decisions. # # # possible causes : - the cuff may have been damaged due to improper use or maintenance. - the cuff may have been exposed to excessive moisture or heat. - the cuff may have a manufacturing defect. # # # recommendations : - replace the damaged cuff with a new one. - inspect the other cuffs for any signs of damage. - train staff on the proper use and maintenance of blood pressure cuffs. - follow the manufacturer's instructions for cleaning and disinfecting cuffs. @topic:3


values for dose, amount and volume are the configured start values for this drug. the rate is then calculated. if other values are required you can calculate any value by entering the remaining three values as described in " performing calculations for a non - specific drug ”. the column on the right of the drug calculator window shows either drug dose or dosage rate, whichever is the calculated value. the current calculated value is shown on a scale with the recommended range in green. if the current calculated value lies outside the recommended range it is shown in red. if you have changed values in the drug calculator and you want to revert to the configured values, select reset values key at any time. 345 charting infusion progress 28 using the drug calculator charting infusion progress the drip table shows you at a glance how much of the infusion has been administered to your patient and how much time is left. ♦ to see the drip table, in the drug calculator window, select the drip table pop - up key. if the drip time exceeds 24 hours, the drip time timestamp shows using the titration table use the titration table to see at a glance what dose your patient would receive of a drug at different infusion rates. by clicking on the title row of the table you can switch between the dose increments and rate increments view. values outside of the recommended range are shown in red. to see the titration table, ♦ in the drug calculator window, select the pop - up key titr. table. the titration table is configured with the service support tool. documenting drug calculations ♦ in the drug calculator window, select the pop - up key record drugcalc to immediately start a recording of the current drug calculation. ♦ in the titration table window, select the pop - up key print titr. @topic:17


# # # issue co2 zero fail. # # # impact the monitor cannot accurately measure co2 levels, which can lead to incorrect diagnosis and treatment. # # # possible causes - faulty co2 sensor - damaged co2 line - incorrect calibration # # # recommendations - replace the co2 sensor. - inspect the co2 line for damage and replace if necessary. - calibrate the monitor according to the manufacturer's instructions. @topic:4


pixel size depends on size of display external wxga display mp80, mp90, d80 only resolution 1280 x 768 pixel refresh frequency 60 hz useful screen depends on size of display pixel size depends on size of display 426 monitor performance specifications 38 installation and specifications display specifications external wxga + display mp80, mp90, d80 only resolution 1366 x 768 pixel refresh frequency 60 hz useful screen depends on size of display pixel size depends on size of display external wsxga display ( e. g. m8033c ), mp80, mp90, d80 only resolution 1440 x 900 pixel refresh frequency 60 hz useful screen depends on size of display pixel size depends on size of display video interface mp20 / 30, mp40 / 30, mp60 / 70 specifications must be the same as the integrated display video interface svga mp20 / mp30 horizontal frequency 37. 9 khz video signals 0. 7 vpp @ 75 ohm, hsync / vsync signals ttl connector 15 pin d - sub video interface svga mp40 / mp50 horizontal frequency 37. 5 khz video signals 0. 7 vpp @ 75 ohm, hsync / vsync signals ttl connector 15 pin d - sub video interface mp60 / mp70 / mp80 / mp90 sxga ( mp80, mp90, d80 only ), xga horizontal frequency 48. 4 khz or 60. 0 khz or 64. 0 khz video signals 0. 7 vpp @ 75 ohm, hsync / vsync signals ttl ddc signals i2c compliant, 5 v, 100 ma ( max ) ( m8010 only ) connector 15 pin d - sub digital video mp80, mp90, d80 only video signals single link tmds ddc signals i2c compliant ddc @topic:19


# # # issue - monitor not linking to central monitor # # # impact - inability to monitor patient's vital signs remotely - delay in medical intervention - increased risk of adverse events # # # possible causes - loose lan cable connection - network configuration issues - software glitches - hardware malfunctions # # # recommendations - * * loose lan cable connection : * * ensure that the lan cable is securely plugged into both the monitor and the network port. - * * network configuration issues : * * verify the network settings on the monitor and ensure that it is configured to connect to the correct network. - * * software glitches : * * restart the monitor to clear any temporary software issues. - * * hardware malfunctions : * * if the issue persists after trying the above steps, the monitor may have a hardware malfunction and may require repair or replacement. @topic:16


recommendations, contact the manufacturer or a qualified technician for assistance. @topic:12


# # # issue - slak holding the bed rail broke off # # # impact - bed rail cannot be raised and locked into place # # # possible causes - * * wood deterioration : * * the wooden bed rail may have weakened over time due to wear and tear, or may have been damaged during use. - * * incorrect assembly : * * the bed rail may not have been assembled correctly, resulting in a loose or improperly secured slat. - * * trauma : * * the bed rail may have been damaged by an external force, such as a fall or collision with other objects. # # # recommendations - * * replace the wooden bed rail : * * the damaged bed rail should be replaced with a new one to ensure proper function and patient safety. - * * inspect the bed frame for damage : * * the bed frame should be thoroughly inspected for any damage that may have contributed to the slat failure. - * * review assembly instructions : * * the bed rail should be assembled according to the manufacturer's instructions to ensure proper fit and security. - * * retrain staff on proper bed handling : * * staff should be trained on how to properly raise, lower, and lock the bed rails to minimize the risk of damage. @topic:6


# # # issue the philips intellivue mp70 ( m8007a ) bedside physiologic monitor is not displaying an electrocardiogram ( ekg ) signal. # # # impact this issue could affect the patient's care by preventing the healthcare provider from accurately monitoring the patient's heart rate and rhythm. # # # possible causes - faulty ekg cable - loose connection between the ekg cable and the monitor - faulty ekg sensor on the patient - problem with the monitor's ekg amplifier # # # recommendations 1. inspect the ekg cable for any damage or loose connections. replace the cable if necessary. 2. ensure that the ekg cable is securely connected to both the monitor and the patient. 3. inspect the ekg sensor on the patient's chest for proper placement and secure attachment. 4. if the issue persists, contact the manufacturer's technical support for further troubleshooting. @topic:18


* * issue : * * cuff not sticky * * impact : * * the cuff is not able to be used to take accurate blood pressure readings. * * possible causes : * * * cuff bladder is damaged * cuff material is worn or torn * cuff is not sized correctly * cuff is not properly inflated * * recommendations : * * * replace the cuff * check the cuff for any damage or tears * make sure the cuff is the correct size for the patient * inflate the cuff according to the manufacturer's instructions @topic:3


# # # issue - monitor not linking to central # # # impact - inability to monitor patient's vital signs remotely. - potential delays in medical intervention. # # # possible causes - faulty network connection. - incorrect configuration settings on the monitor. - hardware failure in the monitor. # # # recommendations - check network connectivity and ensure that the monitor is connected to the correct network. - verify the configuration settings on the monitor and update them if necessary. - perform a hardware diagnostic test on the monitor to identify any potential issues. - if the problem persists, contact the manufacturer for further support. @topic:16


# # # issue - bme performed an inspection and found that the vital signs monitor was malfunctioning. # # # impact - the patient may not be receiving accurate vital sign readings, which could lead to delayed or incorrect treatment. # # # possible causes - cuff bp might be broken # # # recommendations - bme replaced the cuff bp. - tested the monitor and it is now working properly. @topic:5


. cabling : identifying the requirements for the cabling, conduiting and faceplates for connecting the various system components. 225 roles & responsibilities this section describes the procedures necessary to prepare a site for a system installation. the procedures are grouped into two parts : procedures that local staff or contractors are responsible for, and procedures that philips personnel are responsible for. site preparation responsibilities local staff - ensure that all safety, environmental and power requirements are met. - provide power outlets. - prepare mounts. - a pull cables, install conduit, install wallboxes. - terminate network cables if a philips clinical network is in use. - it may be necessary to certify the network cable plant, see philips clinical network installation manual for details. alternatively, the following procedures can be performed by philips personnel - provide the customer with the safety, environmental and power requirements. - assemble mounts. - prepare monitor remote cabling. procedures for local staff the following tasks must be completed before the procedures for philips personnel may be started. - providing power outlets one power outlet for each display and for any peripheral device ( for example, a printer or slave display ) is required by the system. provide a power outlet in the vicinity ( 1 m or 3 ft. ) of each component that requires power. warning only the power cables provided with the system may be used. for reasons of safety, power ( mains ) extension cables or adapters shall not be used. - preparing mounts where ceiling, wall, or shelf mounts are required for mounting the equipment, the customer is responsible for the following : - providing and installing all hardware which is required to install the mounting hardware supplied by philips as detailed in the installation notes. - making sure that all ceilings, walls, and mounting rails that supports mounting hardware are suitable for their proposed load. 226 warning it is the customer's responsibility to have the attachment of the mounting hardware to the ceiling @topic:19


# # # issue : monitor is not charging # # # impact : the monitor cannot be used to monitor patient vital signs. # # # possible causes : - the battery is degraded ( replaced by bme ) - the charger is not functioning properly ( not mentioned in input ) - the charging port on the monitor is damaged ( not mentioned in input ) # # # recommendations : - replace the battery ( completed by bme ) - check the charger and charging port ( not mentioned in input ) @topic:11


# # # issue - * * equipment : * * monitors, physiologic, vital signs - * * band : * * welch allyn - * * model : * * connex spot monitor - * * description : * * the thermometer does not work. # # # impact - the device cannot accurately measure patient temperature. # # # possible causes - * * loose battery : * * the battery was not properly seated in the device, causing it to lose power. # # # recommendations - * * inspect the battery : * * check if the battery is loose or damaged. if necessary, replace the battery. - * * ensure proper seating : * * insert the new battery into the device securely, ensuring that it is making good contact with the terminals. - * * test the device : * * after replacing or reseating the battery, turn on the device and test its functionality by taking a temperature measurement. @topic:20