# # # issue foot actuator assembly failure in a hill - rom care assist es220 electric bed. # # # impact the failure of the foot actuator assembly can prevent the bed from being properly positioned, which can make it difficult for patients to get in and out of bed, and can also be uncomfortable for patients. # # # possible causes * wear and tear * damage to the foot actuator assembly * electrical problems * software problems # # # recommendations * inspect the foot actuator assembly for signs of wear or damage. * test the electrical connections to the foot actuator assembly. * update the software on the bed. * replace the foot actuator assembly if necessary. @topic:1


during the event time and that the low hr trigger threshold was set to 110 when the event was triggered. if the event was manually triggered, the event value boxes display “ manual ”. annotating events 1 to annotate an event, in the event episode window, select the pop - up key select annotatn. 2 select the required annotation from the pop - up list of available annotations for the currently active event group. up to 20 annotations can be configured to let you add commonly - used clinical notes to event episodes for documentation purposes. to see the complete list of available annotations, in the event setup menu, select event annotation. documenting events you can print a report or make a recording of the events history stored in the database or of individual event episodes or a car seat assessment record. documenting event review 1 in the event review window, select the pop - up key print / record. this calls up the event documentation pop - up keys. 302 documenting events 24 event surveillance 2 for a graphic event review recording, select the record graphic pop - up key. for a tabular event review recording, select the record tabular pop - up key. for a car review report, select the print car pop - up key to print an event report, select the print review pop - up key. documenting an event episode 1 in the event episode window, select the pop - up key print / record. this calls up the event documentation pop - up keys. 2 to make an event episode recording, select the record pop - up key. to print an event episode, select the print episode pop - up key. event recordings event recordings can be sent to a locally - connected ml 116b recorder module. event review recordings each event review recording strip begins with a summary of the events stored in the event database. recording strip annotation is explained in the recording @topic:8


# # # issue - cuff of the monitor is squeezing continuously. # # # impact - inaccurate blood pressure readings - patient discomfort or injury - device malfunction # # # possible causes - faulty cuff bladder - damaged or kinked tubing - software error in the monitor - loose or disconnected connections # # # recommendations - replace the cuff bladder if it is damaged or defective. - inspect and ensure the tubing is not kinked or damaged. - update the monitor software if necessary. - check and tighten all connections securely. - calibrate the monitor according to the manufacturer's instructions. @topic:3


# # # issue - speaker on the monitor, central station is not producing sound in room 09 - 16. # # # impact - inability to monitor patient's vital signs and alarms accurately. # # # possible causes - faulty speaker - loose connections - software issue - motherboard issue # # # recommendations - replace the speaker. - check and tighten all connections. - update the software. - replace the motherboard if necessary. @topic:2


devices for acquiring measurements ” ( see page 13 ). the basic operation section gives you an overview of the monitor and its functions. it tells you how to perform tasks that are common to all measurements ( such as entering data, switching a measurement on and off, setting up and adjusting wave speeds, working with profiles ). the alarms section gives an overview of alarms. the remaining sections tell you how to perform individual measurements, and how to care for and maintain the equipment. familiarize yourself with all instructions including warnings and cautions before starting to monitor patients. read and keep the instructions for use that come with any accessories, as these contain important information about care and cleaning that is not repeated here. this guide describes all features and options. your monitor may not have all of them ; they are not all available in all geographies. your monitor is highly configurable. what you see on the screen, how the menus appear and so forth, depends on the way it has been tailored for your hospital and may not be exactly as shown here. in this guide : • a warning alerts you to a potential serious outcome, adverse event or safety hazard. failure to observe a warning may result in death or serious injury to the user or patient. • a caution alerts you to where special care is necessary for the safe and effective use of the product. failure to observe a caution may result in minor or moderate personal injury or damage to the product or other property, and possibly in a remote risk of more serious injury. • monitor refers to the entire patient monitor. display refers to the physical display unit. screen refers to everything you see on the monitors display, such as measurements, alarms, patient data and so forth. introducing the intellivue family the philips intellivue family of patient monitors offers a monitoring solution optimized for the surgical, cardiac, medical and neonatal care environments. @topic:10


# # # issue - the module pump bp is not working. # # # impact - the patient's blood pressure cannot be monitored accurately. # # # possible causes - the module pump bp is defective. - the power supply to the module pump bp is interrupted. - the communication between the module pump bp and the physiologic monitor ( bedside ) is disrupted. # # # recommendations - replace the module pump bp. - check the power supply to the module pump bp. - check the communication between the module pump bp and the physiologic monitor ( bedside ). @topic:15


# # # issue - broken oxygen saturation ( o2 sat ) cable # # # impact - inability to monitor patient's oxygen saturation levels - potential for incorrect or missed diagnoses - increased risk of patient harm # # # possible causes - physical damage to the cable ( e. g., stretching, crimping, cutting ) - wear and tear over time - improper storage or handling - manufacturing defects # # # recommendations - replace the broken cable immediately with a new one from an approved supplier - inspect all other cables and wires for signs of damage or wear - establish a regular maintenance schedule to check and replace cables as needed - train staff on proper handling and storage of medical equipment cables @topic:4


# # # issue - bed alarm malfunction # # # impact - inability to provide timely medical attention in case of an emergency - disruption of patient care and comfort - potential safety risks to patients # # # possible causes - faulty electrical connections or wiring - malfunctioning alarm sensor - power supply issues - software or firmware errors # # # recommendations - inspect and test all electrical connections for loose or damaged wires. - check the alarm sensor for proper function and calibration. - ensure a stable power supply to the bed unit. - update software or firmware if available and necessary. - contact the manufacturer for technical support or replacement parts. @topic:26


* * issue : * * missing cuff plug * * impact : * * the patient's blood pressure cannot be accurately measured. * * possible causes : * * * the cuff plug was not properly secured after the last use. * the cuff plug was misplaced or lost. * * recommendations : * * * check the cuff plug to make sure it is properly secured. * if the cuff plug is missing, replace it with a new one. * train staff on the importance of properly securing the cuff plug after each use. @topic:3


# # # issue - remote control is not functioning, causing the bed to be unable to adjust. # # # impact - patients may be unable to adjust the bed to a comfortable or functional position. - healthcare providers may have difficulty accessing patients or performing procedures. # # # possible causes - * * remote control failure : * * the remote control may have sustained physical damage, or its electronic components may have malfunctioned. - * * bed communication issue : * * there may be a communication problem between the remote control and the bed, preventing the bed from receiving adjustment commands. - * * power supply problem : * * the remote control or bed may not be receiving adequate power, hindering its operation. # # # recommendations - * * inspect the remote control : * * check for any visible damage or loose connections. clean the remote control contacts if necessary. - * * test the bed communication : * * use a different remote control to determine if the bed is responding to adjustment commands. - * * verify power supply : * * ensure that the remote control and bed are powered on and receiving power from a reliable source. - * * contact the manufacturer : * * if troubleshooting steps do not resolve the issue, contact the manufacturer for technical support or replacement parts. @topic:7


# # # issue - wood bed rail detached # # # impact - patient safety hazard - risk of falls - discomfort and inconvenience # # # possible causes - loose or missing bolts - worn or damaged bed rail brackets - excessive force applied to bed rails - manufacturing defect # # # recommendations - regularly inspect bed rails for loose bolts and other signs of damage. - tighten loose bolts as needed. - replace worn or damaged bed rail brackets. - use proper lifting techniques when adjusting bed rails. - contact the manufacturer if any defects are suspected. @topic:6


# # # issue the oxygen saturation ( spo2 ) probe attached to the patient transport monitor in the cpr room is not providing accurate readings. # # # impact this issue could lead to incorrect patient assessment and potentially inappropriate treatment decisions. without accurate spo2 readings, healthcare providers could underestimate or overestimate a patient's oxygen saturation levels, which could have significant consequences for their care. # # # possible causes * * 1. faulty spo2 probe : * * the spo2 probe itself may be faulty, resulting in inaccurate readings. this could be due to damage to the probe, such as a broken cable or a malfunctioning sensor. * * 2. loose connections : * * loose connections between the spo2 probe and the monitor can also lead to signal loss and inaccurate readings. this could occur due to improper insertion of the probe into the patient's finger or a loose cable connection between the probe and the monitor. * * 3. environmental interference : * * certain environmental factors can interfere with spo2 readings, such as bright lights or excessive movement. these factors can affect the accuracy of the signal received by the probe, resulting in unreliable readings. * * 4. patient factors : * * certain patient factors, such as poor peripheral circulation or skin pigmentation, can also affect the accuracy of spo2 readings. if the patient's finger is cold or has dark skin, the probe may struggle to obtain a reliable signal. # # # recommendations * * 1. inspect the spo2 probe : * * examine the spo2 probe for any visible damage, such as broken cables or loose connections. if any damage is found, replace the probe with a new one. * * 2. check connections : * * ensure that all connections between the spo2 probe and the monitor are secure. tighten any loose cables and ensure that the @topic:4


# # revised output # # # issue - equipment malfunction # # # impact - device is not operational - patient care may be delayed or compromised # # # possible causes - loose electrical connection at ac power cord - damaged electrical cord - faulty power supply - loose connection within the device itself # # # recommendations - inspect ac power cord for damage and ensure it is securely connected at both the device and wall outlet. - replace power cord if damaged. - contact the manufacturer for assistance if the problem persists or if there is any suspicion of an internal fault. @topic:12


# # # issue - broken drawer slides, preventing drawer from opening and closing smoothly. # # # impact - difficulty accessing medical supplies and equipment stored in the drawer. # # # possible causes - heavy loads being placed in the drawer. - drawer being opened and closed too forcefully. - worn or damaged drawer slides. # # # recommendations - replace the damaged drawer slides. - train staff on proper handling of drawers. - ensure that the drawers are not overloaded. - regularly inspect and maintain the medical cart to prevent further issues. @topic:21


# # # issue - medical cart is experiencing lag and slow performance. # # # impact - delays in patient care and treatment. - frustration and inconvenience for healthcare professionals. - potential safety hazards if medical devices are not functioning properly. # # # possible causes - excessive garbage files accumulating on the medical cart's system. - outdated software or firmware. - hardware issues, such as a faulty hard drive or insufficient memory. - network connectivity problems. - interference from other medical devices or equipment. # # # recommendations - regularly clean up garbage files and perform system maintenance. - update software and firmware to the latest versions. - check and replace faulty hardware components as needed. - optimize network connectivity and ensure stable connections. - identify and resolve any potential interference from other devices. - monitor the medical cart's performance and address any issues promptly to prevent further deterioration. @topic:13


# # # issue - remote control is broken. # # # impact - affects the ability to operate the bed. # # # possible causes - dropping the remote control. - forceful handling of the remote control. - damage due to accidental impact. # # # recommendations - handle the remote control with care. - protect the remote control from accidental drops and impacts. - train staff on the proper handling of remote controls. - keep spare remote controls readily available to minimize downtime in case of failure. - perform regular inspections of all equipment to identify potential issues early on. @topic:7


* * issue : * * the electric bed ( model : care assist es ) is reportedly unable to adjust on the left side. * * impact : * * * inability to provide proper patient care due to restricted bed mobility. * potential discomfort or pain for the patient if the bed cannot be adjusted to an optimal position. * * possible causes : * * * * * electrical fault : * * a problem with the wiring, motor, or other electrical components may prevent the left side of the bed from adjusting properly. * * * mechanical failure : * * a malfunctioning part, such as a gear, linkage, or sensor, may be inhibiting the bed's movement. * * * software issue : * * a software error or glitch may be causing the bed to behave unexpectedly. * * * user error : * * the bed may not be programmed or operated correctly, resulting in an apparent failure. * * * other : * * external factors, such as power fluctuations or environmental conditions, may be affecting the bed's performance. * * recommendations : * * * * * troubleshooting : * * verify that the issue is not due to user error by following the manufacturer's instructions for operating the bed. * * * electrical inspection : * * examine the wiring, motor, and other electrical components for any damage or loose connections. * * * mechanical examination : * * inspect the gears, linkages, sensors, and other mechanical parts for any signs of wear, damage, or obstruction. * * * software update : * * if a software issue is suspected, check for firmware updates from the manufacturer and install them if available. * * * contact manufacturer : * * if the issue cannot be resolved through troubleshooting or inspection, contact the manufacturer for technical support and potential warranty coverage. * * * consider replacement : * * if the failure is significant and @topic:1


# # # issue - faulty spo2 cable # # # impact - inaccurate spo2 measurements - potential delays in patient care # # # possible causes - physical damage to the cable ( e. g., cuts, tears ) - wear and tear over time - improper handling or storage # # # recommendations - regularly inspect spo2 cables for any signs of damage - handle and store cables carefully - replace damaged cables promptly - consider using durable cables designed for hospital use - train staff on proper cable handling techniques @topic:4


# # # issue : - bed is not adjustable # # # impact : - patient discomfort and immobility - potential for pressure sores and other complications - difficulty in providing care # # # possible causes : - electrical fault in the control box - damaged or loose wiring - malfunctioning motor - faulty remote control # # # recommendations : - inspect electrical connections and wiring for damage or looseness - test the motor and remote control - replace any faulty components - retrain staff on proper use and maintenance of the bed - consider preventative maintenance schedule @topic:1


# # # issue - nibp is not measuring # # # impact - unable to accurately monitor blood pressure. # # # possible causes - loose or disconnected cables - incorrect or damaged nibp cuff - faulty nibp pump - software issues # # # recommendations - check all cables for secure connections. - ensure the nibp cuff is properly inflated and in good condition. - inspect the nibp pump for any damage or malfunctions. - update software if necessary. @topic:15


# # # issue - drawer cannot open # # # impact - unable to access medical supplies and equipment stored in the drawer # # # possible causes - * * drawer lock malfunction * * : the drawer lock may be faulty or damaged, preventing the drawer from opening. - * * misaligned drawer tracks * * : the drawer tracks may be out of alignment, causing the drawer to become stuck or jammed. - * * obstruction in drawer * * : an object or debris may be blocking the drawer from opening. # # # recommendations - * * inspect drawer lock * * : check the drawer lock for damage or malfunction. replace or repair the lock if necessary. - * * adjust drawer tracks * * : ensure that the drawer tracks are properly aligned and lubricated. adjust the tracks if needed to facilitate smooth drawer opening. - * * remove obstruction * * : clear any objects or debris that may be obstructing the drawer from opening. @topic:21


# # # issue : bed is not functioning properly. # # # impact : patient care may be compromised. # # # possible causes : - * * electrical issues : * * the bed may not be receiving power or there may be a loose connection. - * * mechanical issues : * * the bed may have a broken or jammed part. - * * usage issues : * * the bed may not be being used properly, which could lead to damage. # # # recommendations : - * * electrical issues : * * check the power cord and connections. if necessary, replace the power cord. - * * mechanical issues : * * inspect the bed for any broken or jammed parts. if necessary, replace the damaged part. - * * usage issues : * * train staff on proper use of the bed. @topic:9


# # # issue the bedside physiologic monitor, specifically a philips suresigns vs4, is not powering on. # # # impact the monitor is essential for monitoring vital signs and physiological parameters of patients. its malfunction can lead to delayed or inaccurate diagnoses, improper treatment decisions, and compromised patient safety. # # # possible causes * * 1. power supply issue : * * * loose power cord or damaged electrical outlet * faulty power supply unit within the monitor * * 2. battery failure : * * * depleted battery * malfunctioning battery charger * * 3. circuit malfunction : * * * component failure on the circuit board * short circuit or open circuit * * 4. software or firmware issue : * * * corruption or bug in the software or firmware * incompatible updates or modifications # # # recommendations * * 1. troubleshooting power supply : * * * inspect the power cord and outlet for damage or loose connections. * replace the power supply unit if necessary. * * 2. checking battery : * * * replace the battery and ensure it is properly seated. * inspect the battery charger for any visible defects. * * 3. examination by biomedical engineering team : * * * if troubleshooting the power supply or battery does not resolve the issue, the monitor should be examined by qualified biomedical engineers. * they can diagnose circuit malfunctions, repair or replace faulty components, and update or restore the software or firmware. @topic:2


# # # issue - bed is not adjustable # # # impact - patient discomfort - difficulty with patient care # # # possible causes - broken or loose remote control cable - defective bed lock # # # recommendations - check the remote control cable for any breaks or loose connections - inspect the bed lock for damage - replace the damaged cable or lock as necessary @topic:1


# # # issue mouse not working properly # # # impact unable to use the monitor or central station effectively # # # possible causes - mouse is dirty or dusty - mouse cable is damaged - mouse sensor is malfunctioning # # # recommendations - clean the mouse with a soft, dry cloth - inspect the mouse cable for any damage - replace the mouse if the cable is damaged or the sensor is malfunctioning @topic:30


regulated flowing gas mixture of 5 % c02, balance n2 to the airway adapter. 8 set the gas correction to off 69 [ 3 testing and maintenance ] 9 allow a few seconds for the gas mixture to stabilize and observe the c02 value. the expected value is 5 % of the ambient pressure ±2mmhg note make sure that you follow the above steps correctly. if the sensor fails this check it must be exchanged. the sensor cannot be calibrated. example for an expected test result : the expected test result for an altitude of 0 m ( sea level ) at approximately 760 mmhg ambient pressure is : test expected test results ( xl ) acceptance range mainstream c02 accuracy test 5 % of 760 mmhg pressure ±2mmhg 36 mmhg - 40 mmhg note the expected test results will differ depending on the conditions ( i. e. altitude or ambient pressure ). sidestream c02 accuracy check tools required : • cal gas flow regulator m2267a • cal tube 13907a • verification gas m2506a • straight sample line m2776a you also need a local barometric pressure rating received from a reliable local source ( airport, regional weather station or hospital weather station ) which is located at the same altitude as the hospital. procedure : 1 attach the m2741a c02 sensor to the patient monitor. attach the sample line and the cal tube to the sensor. make sure that the sensor is disconnected from the patient circuit. 2 switch on the patient monitor. 3 enter the monitor ’ s service mode. 4 using the sensor status provided in the m2741a serial protocol, wait for the m2741a sensor to warm up to its operating temperature. 5 zero the sensor. ensure zero gas is set to room air 6 attach a regulated flowing gas mixture of 5 % c02, balance n2 to the cal @topic:17


# # # issue - remote control not working # # # impact - inability to operate the bed, affecting patient care and safety # # # possible causes - * * faulty remote control * * : the remote control may have malfunctioned due to physical damage, moisture, or electrical issues. - * * weak batteries * * : batteries may have run out, causing the remote to lose power. - * * improper pairing * * : the remote may not be properly paired with the bed, preventing it from receiving commands. # # # recommendations - * * inspect the remote control * * : check for any visible damage or signs of moisture. replace the remote if necessary. - * * replace batteries * * : install new batteries and ensure proper polarity. - * * reprogram the remote * * : follow the manufacturer's instructions to reprogram the remote to the bed. - * * contact manufacturer * * : if the issue persists, contact the manufacturer of the equipment for further troubleshooting and support. @topic:7


# # # issue - malfunctioning electric bed - inability to use the bed safely due to missing lock # # # impact - patient safety hazard - reduced patient comfort - increased workload for healthcare staff # # # possible causes - wear and tear on the bed components - accidental damage - lack of maintenance # # # recommendations - replace the missing lock as soon as possible - inspect the bed regularly for any other signs of damage or wear - train staff on the proper use and maintenance of the bed @topic:6


# # # issue - unable to sign in to the system # # # impact - inability to access patient information and perform medical tasks # # # possible causes - * * num lock key off : * * the num lock key must be turned on to use the number pad for inputting numbers and symbols. - * * incorrect password : * * the user may have entered an incorrect password or mistyped it. - * * account locked : * * the user account may have been locked due to multiple failed login attempts. - * * software / hardware issue : * * there may be an issue with the software or hardware of the system that is preventing the user from signing in. # # # recommendations - * * verify num lock key : * * ensure that the num lock key is turned on. - * * reset password : * * contact the system administrator to reset the user's password. - * * unlock account : * * contact the system administrator to unlock the user account if it has been locked. - * * troubleshoot software / hardware issue : * * contact the equipment vendor or technical support for assistance in troubleshooting and resolving any software or hardware issues. @topic:13


# # # issue - nibp monitor ( ge healthcare dinamap pro 300 ) is experiencing a failure. - the failure is related to a faulty bp cuff connector. # # # impact - the nibp monitor is unable to accurately measure blood pressure due to the faulty connector. - this could lead to inaccurate readings and potentially incorrect medical decisions. # # # possible causes - wear and tear on the connector over time - improper handling or storage of the equipment - damage caused by external factors # # # recommendations - replace the faulty bp cuff connector with a new one. - inspect the equipment regularly for any signs of damage or wear and tear. - handle and store the equipment properly to avoid damage. - train staff on the proper use and maintenance of the equipment. @topic:15


# # # issue - * * physiological monitor is producing disturbed ekg signals. * * # # # impact - * * incorrect or unreliable patient monitoring data : * * this can lead to delayed or incorrect diagnosis and treatment, potentially compromising patient safety. # # # possible causes - * * loose or damaged ekg leads : * * poor contact between the electrodes and the patient's skin can introduce noise and interference into the signal. - * * electrical interference : * * external sources, such as nearby electrical equipment or power lines, can generate electromagnetic fields that can interfere with the ekg signal. - * * patient movement : * * patient movement can cause artifacts in the ekg recording, resulting in distorted or incomplete signals. - * * equipment malfunction : * * a faulty physiological monitor or ekg amplifier can produce noisy or distorted signals. # # # recommendations - * * check ekg leads : * * ensure that the leads are securely attached to the patient's skin and that the connections are not loose or damaged. - * * eliminate electrical interference : * * move the physiological monitor away from potential sources of electrical interference or use shielded cables. - * * immobilize the patient : * * ask the patient to remain still during ekg recording to minimize movement artifacts. - * * inspect equipment : * * check the physiological monitor and ekg amplifier for any signs of damage or malfunction. consider calibration or repair if necessary. - * * consider using a different ekg system : * * if the problem persists, it may be necessary to use an alternative ekg system or recording technique to obtain a clear and reliable ekg signal. @topic:18


# # # issue - equipment : bed, electric - band : huntleigh - model : contoura 360 - failure : unable to adjust height # # # impact - patient discomfort - difficulty in patient care - delays in treatment # # # possible causes - loose wiring - faulty motor - malfunctioning control panel - software glitch # # # recommendations - inspect wiring for loose connections or damage. - test motor for proper operation. - examine control panel for any irregularities. - check for software updates or resets. - contact the manufacturer for further troubleshooting assistance. @topic:1


# # # issue - clock is running slow by 5 minutes # # # impact - accurate and timely patient monitoring is compromised # # # possible causes - internal clock malfunction - incorrectly set time - power outage or unstable power supply - software glitch # # # recommendations - replace or repair internal clock ( if malfunction is confirmed ) - double - check and reset the time according to the hospital's standard procedure - ensure a stable power supply or use a backup power source - update or troubleshoot software if necessary @topic:29


- 12. remove the lcd assembly. see “ removing the lcd assembly ” on page 5 - 44. repairing the monitor suresigns vs4 service guide 5 - 47 removing the navigation wheel assembly board 3 pull the wheel off of the stem. repairing the monitor 5 - 48 suresigns vs4 service guide removing the navigation wheel assembly board 5 remove the torx t10 self - tapping screw. 6 press the stem while lifting off the wheel assembly. note — when you reattach the wheel, line up the flat side of the wheel to the flat side of the wheel stem. repairing the monitor suresigns vs4 service guide 5 - 49 removing the touch screen board removing the touch screen board to remove the touch screen board : step 1 separate the front and rear case assemblies. see “ separating the front and rear case assemblies ” on page 5 - 12. disconnect the touch screen board ribbon cable. ribbon cable remove the two phillips screws from the board, and then remove the board from the lcd frame. removing the wireless module to replace the wireless module : step 1 separate the front and rear case assemblies. see “ separating the front and rear case assemblies ” on page 5 - 12. repairing the monitor 5 - 50 suresigns vs4 service guide removing the wireless module 2 pull the antenna cable upward to disconnect it from the wireless board. antenna cable ej ~ p ( navigation wheel board ) ( wireless board cable j } t sf ba y e ii be 3 disconnect the wireless board cable from the navigation wheel board. 4 remove the phillips screw from the wireless board and remove the board from the lcd frame. repairing the monitor suresigns vs4 service guide 5 - 51 removing the antenna removing the antenna to replace the antenna : step 1 separate the front and rear case assemblies. see “ separating the front and rear case assemblies ” on page 5 - @topic:19


calculated using ideal body weight ( ibw ). itbvi and gedvi are calculated using ideal body surface area ( ibsa ). ibw and ibsa are based on the patient category, gender and height that you have entered for the patient. the procedure window displays up to six trials ( measurement curves ) with the trial number and thc. o. value under the thermodilution curve. when you open the window, a line of pop - up keys automatically appears to let you carry out c. o. - related tasks. this example shows the procedure window for the transpulmonary ( picco ) method. the window may be configured to look slightly different on your monitor. 26 13 monitoring cardiac output open the procedure window, to select cardiac output in the setup c. o. or setup cco menu, or • select the cardiac output smartkey on the screen, if configured, or. press the start hardkey on the front of the c. o. plug - in module, if available, or • press a remote start switch, if you are using one. • 10 11 12 cardiac output ( transpulmonary ) 0. 3 °c 1 - 2 9 average unit trial # 1 # 2 # 4 cal 8. 77 7. 6 c. o. 17. 6 13. 2 u / min 3. 7 3. 7 cfi? 4. 0 3. 4 6. 62 u / min / m2 c. i. 6. 61 8. 85 4. 41 8. 87 172184 ml / m10. 0 ml / kg tbvi 764 4. 9 15. 0 10. 0 evlwi 10. 0 etvi 4. 9 15. 0 inj. 2. 0 2. 0 2. 0 " c njvol 15 15 15 15 ml tblood 8 bsa c. i. @topic:17


# # # issue * * cause of failure : * * probe spo2 was replaced. # # # impact the physiologic monitor was not able to accurately measure the patient's oxygen saturation levels. this could have resulted in delayed or incorrect treatment decisions, ultimately compromising the patient's safety. # # # possible causes - the probe may have been damaged or malfunctioning. - the probe may have been improperly attached to the patient. - the monitor may have been improperly calibrated. # # # recommendations - regularly inspect the probe for damage or wear. - ensure that the probe is properly attached to the patient. - calibrate the monitor regularly according to the manufacturer's instructions. - if the problem persists, contact the manufacturer for service. @topic:4


this telemetry device is not supported for direct connection to the monitor. the time has expired for the timer indicated in the inop text. clearing the timer clears the inop. abel > nop tone t - mon inop a transport monitor assigned to the patient is in an inop condition. check the detailed inop information at the information center and resolve the inop condition ( s ) at the transport monitor.!! t - mon inop!!! t - mon inonop tone transportequipment 83 4 patient alarms and inops what to do nop message, indicatiothere is a problem with the communication to the network and central monitoring is currently not possible. check the connection. if the inop persists, switch off the monitor and contact your service inop tonperform a visual and functional check of all the monitor input devices. contact your service personnel. inop tonnop message, indicatiwhat to do the monitor requires two batteries but can detect only one battery. insert the missing battery immediately. batt 1 missing batt 2 missinnop tone during this inop, alarms cannot the estimated remaining battery - powered operating time is less than 10 minutes. replace the battery immediately. batt empty! batt empty!! batt empty if the condition persists and the monitor is not connected to mains power, this inop is re - issued two minutes after you acknowledge it. inop tone, battery during this inop, alarms cannot d or switched off. att extensn malf there is a hardware error in the battery extension. contact your service personnel. nop tonbatt incompat the battery cannot be used with this monitor. replace with the correct battery as specified in this book. inop tone batt low the estimated battery - powered operating time remaining is less than 20 minutes. nop ton @topic:22


# # # issue - bed electric : huntleigh contoura 360's bed rails do not lock. # # # impact - this could lead to patients falling out of bed and sustaining serious injuries. # # # possible causes - the most likely cause of this issue is the failure of the locking mechanism on the bed rails. this could be due to a number of factors, including : - wear and tear over time - damage caused by accidental impact or misuse - improper installation or repair of the bed rails - loose screws or other fasteners - faulty wiring # # # recommendations - the following steps should be taken to address this issue : - inspect the locking mechanism on the bed rails for any signs of damage or wear. - check all screws and other fasteners to ensure they are tight. - test the locking mechanism to ensure it is working properly. - if the locking mechanism is damaged or not working properly, it should be replaced. - the bed should be thoroughly inspected for any other potential safety hazards. - staff should be trained on the proper use and maintenance of the bed. - regular maintenance should be performed on the bed to ensure it remains in good working order. @topic:6


* * possible cause of failure : * * * * * damaged or faulty limit switch : * * the limit switch detects when the bed rails are fully raised or lowered and prevents the bed from moving beyond these positions. a damaged or faulty limit switch could prevent the bed rails from rising fully. * * * mechanical obstruction : * * something may be obstructing the bed rails from moving upward, such as a misplaced mattress or sheets. * * * electrical fault : * * a loose or damaged wire could prevent power from reaching the motor that drives the bed rails. * * * software error : * * a malfunction in the bed's software could prevent the motor from receiving the correct commands to raise the bed rails. * * * hydraulic system failure : * * if the bed is hydraulically operated, a leak or failure in the hydraulic system could prevent the bed rails from lifting. * * recommendations : * * * check the limit switch for damage or faults. * clear any obstructions that may be preventing the bed rails from moving. * inspect the electrical connections and wiring for any loose or damaged components. * update or troubleshoot the bed's software if necessary. * if the bed is hydraulically operated, check for leaks or failures in the system. @topic:1


1600 to 10000 ft ) - 500 m to 4600 m ( - 1600 to 15000 ftipx1 storage x2 ( m3002a ) and external power supply ( m8023a ) x2 ( m3002a ) and external power supply ( m8023a ) ondition item range 0 to 40°c ( 32 to 104°f ) temperature range operating - 20 to 60°c ( - 4 to 140°f ) storage including transportation perating temperature range charging the battery or when equipped with intellivue instrument telemetry or the intellivue 802. 11 bedside 0 to 35°c ( 32 to 95°f ) 459 40 specifications x2 ( m3002a ) and external power supply ( m8023a ) condition item range 15 % to 95 % relative humidity ( rh5 % to 95 % relative humidity ( rh ) humidity range storage including transportation operating ltitude rang - 500 m to 3000 m ( - 1600 to 10000 ft ) storage including transportation - 500 m to 4600 m ( - 1600 to 15000 ft ) ip32 ( protected against ingress of water when the water is dripping vertically and the monitor is tilted up to 15° ) 2 60 40 specifications devices for acquiring measurements and 8 - slot flexible module rack multi - measurement module m3001a, mms extensions m3016a m3015a, m3014a, m3012a, measurement modules, and 8 - slot flexible module rack m8048a condition item range 0 to 45°c ( 32 to 113°f ) temperature range perating - 40 to 70°c ( - 40 to 158°f ) non - operating 95 % relative humidity ( rh ) max. 2 40°c ( 104°f ). m3015a only non - condensing. humidity range operating 90 % relative humidity ( @topic:10


# # issue battery failure in philips intellivue mp40 ( m8003a ) patient transport monitors. # # impact - potential interruption of patient monitoring services during transport. # # possible causes - end of battery life cycle - battery depletion due to prolonged usage or improper charging practices - battery malfunction or damage # # recommendations * * preventive measures : * * - establish regular maintenance schedules to monitor battery health and replace batteries before reaching end of life. - ensure proper charging practices by using compatible chargers and following manufacturer's instructions. - train staff on battery handling and maintenance procedures. * * corrective measures : * * - replace the failed battery with a new one that meets the specified voltage and capacity requirements ( 10. 8v 6ah ) - verify the functionality of the monitor after battery replacement, including testing alarm and monitoring systems. @topic:11


measurement module stores eight hours of patient trend data at one - minute resolution. it also stores patient demographic information and the measurement settings and calibration data for the measurements carried out by the mms and any connected extensions. this data can be uploaded to an intellivue patient monitor, if your monitor is configured to do so and if at least five minutes of trend information is stored in the mms. your monitor's data upload settings are defined in configuration mode to suit your patient transfer use how data is uploaded to the host monitor depends on the configuration mode settings trend upload and settings upload. if there is a patient mismatch and you select continue monitor, no data will be uploaded from the mms. n you connect together devices which store patient demographic data, for example : an mms and a monitor, when • an x2 and a host monitor,. a monitor and an information center,. the system compares patient category, paced status, and unique patient identifsynchronize this information. if configured to do so, the monitor indicates a mismatch if the thdepending on your monitor's configuration, this mismatch may be automatically resolved or you may have to resolve it manually. if your monitor is configured to resolve mismatches automatically, depending on the configuration, either the monitor or the multi - measurement module data is warning it is important to resolve the mismatches as soon as they are identified. failure to do so could result in using incorrect / confusing data to make clinical decisions. certain settings, for example paced mode and patient cat., may not match between the information center and the monitor. if the paced mode is set incorrectly, the system could mistake a pace pulse for a qrs and fail to alarm in the case of asystole. it is important that the patient category is set correctly so the ecg can be @topic:10


# # issue - the cause of failure is not specified. # # impact - the impact of the failure is not known. # # possible causes - the equipment may have been damaged during use. - the equipment may have been improperly maintained. - the equipment may have been used in a way that it was not designed for. # # recommendations - the equipment should be inspected by a qualified technician to determine the cause of failure. - the equipment should be properly maintained according to the manufacturer's instructions. - the equipment should be used in a way that it was designed for. @topic:12


, part c is correctly inserted. 166 measurement server extensions - exchanging the top cover and the dual link bar 5 repair and disassembly refitting the front cover to refit the front cover, press it back into place over the measurement connector hardware until you hear a click. 167 5 repair and disassemblydisassembly procedures for the m3015a measurement server extension ( hw rev. a ) final inspection perform a final inspection to ensure that : • the link bar is positioned correctly • there are no gaps between the link bar parts • there is no gap between the top and bottom cover testing to ensure that the mse is functioning correctly, you must perform a performance check on it. please refer to the sections " maintaining the instrument " and " testing the instrument ". disassembly procedures for the m3015a measurement server extension ( hw rev. a ) it is recommended that you replace all the replaceable parts in the extension ( c0 2 scrubber and pump ) after 15 000 hours ( approximately 3 years ) of continuous use. tools required : • a thin - bladed screwdriver. • a pair of large tweezers. • in addition, for removing the pump, you will need a large - bladed screwdriver. warning there is high voltage inside the instrument ( 800v ). do not connect the measurement server extension to a monitor while the extension housing is open. as well, parts inside the instrument may be contaminated with bacteria. protect yourself from possible infection by wearing examination gloves during these procedures. removing the front cover to remove the front cover, do the following : 1 remove the server and the monitor from the extension. 168 disassembly procedures for the m3015a measurement server extension ( hw rev. a ) 5 repair and disassembly 2 use a thin - bladed screwdriver to prise @topic:19


# # # issue - lcd monitor is not displaying any image. # # # impact - inability to use the monitor for patient monitoring or other medical purposes. # # # possible causes - faulty lcd panel - loose or damaged cables - power supply issues - hardware or software malfunction - incompatibility with other equipment # # # recommendations - troubleshooting steps : - check if the monitor is receiving power and is turned on. - inspect the cables connecting the monitor to the computer or other equipment for any damage or loose connections. - if possible, try connecting the monitor to a different computer or power outlet to eliminate any issues with the source device or power supply. - if the issue persists, contact the manufacturer or a qualified biomedical engineer for further diagnosis and repair. - preventive measures : - ensure proper handling and storage of the monitor to prevent damage to the lcd panel. - regularly inspect and maintain the cables and connectors to avoid loose connections. - keep the monitor firmware and software up to date to address any potential bugs or compatibility issues. - schedule regular maintenance and calibration to ensure optimal performance of the monitor. @topic:2


# # # issue monitor, philips intellivue x2 ( m3002a ) is not linking to the system. # # # impact the monitor is unable to display patient data and communicate with other devices on the network. this can lead to delays in diagnosis and treatment. # # # possible causes * the monitor is not properly connected to the network. * the monitor is not configured correctly. * the monitor has a hardware issue. # # # recommendations * check the monitor's connections and make sure that they are secure. * reconfigure the monitor according to the manufacturer's instructions. * if the problem persists, contact the manufacturer for technical support. @topic:16


# # # issue * * device : * * monitors, physiologic, vital signs * * brand : * * philips * * model : * * suresigns vs4 * * problem : * * the cuff of the device is not staying attached. # # # impact - the device cannot be used to accurately measure vital signs. - this could lead to incorrect treatment decisions being made. # # # possible causes - the cuff is damaged or worn out. - the cuff is not properly attached to the device. - the velcro on the cuff is damaged. # # # recommendations - * * inspect the cuff for damage or wear. * * - * * ensure that the cuff is properly attached to the device. * * - * * replace the cuff if it is damaged or worn out. * * - * * clean the velcro on the cuff if it is dirty or damaged. * * # # # additional notes - the technician should also check the air hoses and connectors for leaks. - the technician should also calibrate the device to ensure that it is accurate. @topic:5


# # # issue - bp systolic value is high. # # # impact - inaccurate blood pressure readings, which can lead to incorrect diagnosis and treatment decisions. # # # possible causes - sensor or solenoid malfunction - calibration issues # # # recommendations - check and replace the sensor and solenoid if necessary. - perform calibration test to ensure accurate readings. @topic:15


# # # issue - remote control for the huntleigh contoura 360 electric bed is cracked. # # # impact - inability to operate the bed remotely, which could cause inconvenience or delay in patient care. # # # possible causes - physical damage due to accidental drop or mishandling. # # # recommendations - replace the cracked remote control with a new one. - train staff on proper handling and storage of medical equipment to prevent future damage. - consider adding a protective case or cover to the remote control for additional protection. - regularly inspect medical equipment for signs of damage or wear and tear to address any issues promptly. @topic:7


# # # issue - battery malfunction - battery failure # # # impact - medical device malfunction - medical device downtime - patient safety risk # # # possible causes - overuse of medical equipment - battery not properly maintained - battery not properly charged - battery not compatible with medical equipment # # # recommendations - regularly check battery life and replace when necessary - properly maintain battery by following manufacturer's instructions - charge battery fully before use - use compatible batteries with medical equipment - follow manufacturer's instructions for use and maintenance of medical equipment @topic:11


# # # issue - the telemetric electrocardiography monitor ( philips m2601b ) is not displaying any signals. # # # impact - inability to monitor patient's heart activity, which can lead to delayed diagnosis and treatment. # # # possible causes : * * hardware failure : * * - faulty sensor or lead wires - malfunctioning display unit - power supply issues * * software malfunction : * * - corrupted software or firmware - software bugs * * environmental conditions : * * - electromagnetic interference - excessive heat or moisture * * patient - related factors : * * - poor skin contact between electrodes and patient's skin - movement or displacement of electrodes # # # recommendations : - * * inspect equipment : * * check for loose connections, damaged wires, or any physical abnormalities. - * * test sensors : * * use a signal generator to verify sensor functionality. - * * update software : * * check for available software updates and install if necessary. - * * calibrate the monitor : * * ensure that the monitor is calibrated according to manufacturer's instructions. - * * optimize environmental conditions : * * reduce electromagnetic interference and maintain appropriate temperature and humidity levels. - * * examine patient factors : * * ensure good skin contact between electrodes and patient's skin, and minimize movement or displacement of electrodes. - * * contact manufacturer support : * * if the issue cannot be resolved through troubleshooting, contact the manufacturer for technical assistance. @topic:18


measurement to avoid affecting the cuff seal and causing leaks. @topic:3


* * issue : * * the biomedical engineer ( bme ) did not find any symptoms of failure as reported and tested the equipment again. the test showed that the equipment was working normally. however, the equipment was not displaying the measured blood pressure values. * * impact : * * this issue can lead to inaccurate or delayed monitoring of a patient's vital signs, which can have serious consequences for their health. * * possible causes : * * 1. faulty sensor : the sensor responsible for measuring blood pressure may be malfunctioning or damaged, leading to incorrect or no readings. 2. loose connections : loose connections between the sensor and the monitor can interrupt the signal transmission and prevent the display of blood pressure values. 3. software glitch : a software glitch in the monitor may be causing the incorrect processing of sensor data, resulting in no display of blood pressure values. 4. hardware defect : there may be a hardware defect within the monitor or sensor, causing the equipment to malfunction and fail to display blood pressure readings. * * recommendations : * * 1. * * inspect the sensor : * * check the blood pressure sensor for any visible damage or loose connections. clean the sensor and its contact points to ensure proper signal transmission. 2. * * secure connections : * * inspect all connections between the sensor and the monitor to ensure they are secure and free from corrosion or damage. re - tighten any loose connections. 3. * * update software : * * if possible, check for any available software updates for the monitor and install them to address potential software glitches. 4. * * contact manufacturer : * * if the issue persists after troubleshooting the sensor, connections, and software, contact the manufacturer of the equipment for further assistance or repair. 5. * * monitor patient closely : * * while the equipment is being repaired, monitor the patient closely for any signs @topic:15


# # # issue - remote control malfunction # # # impact - patient's inability to adjust the bed for comfort or medical purposes # # # possible causes - battery failure - electrical fault in the remote control - damage to the remote control buttons or circuitry - wireless interference from other devices # # # recommendations - replace the remote control batteries - inspect the remote control for any visible damage or loose connections - test the remote control with a different bed unit to isolate the fault - consult the manufacturer's documentation for troubleshooting steps specific to the remote control model @topic:7


# # # issue - the switch button could not be used to adjust the function. # # # impact - the vital signs monitor could not be used to accurately monitor the patient's vital signs. # # # possible causes - * * defective switch button : * * the switch button may be defective and not making contact when it is pressed. - * * damaged wiring : * * the wiring that connects the switch button to the circuit board may be damaged, preventing the button from sending a signal to the circuit board. - * * faulty circuit board : * * the circuit board that controls the switch button may be faulty and not responding to the signal from the button. - * * software glitch : * * the software that controls the switch button may have a glitch that is preventing the button from working properly. # # # recommendations - * * replace the switch button : * * if the switch button is defective, it should be replaced with a new one. - * * inspect the wiring : * * the wiring that connects the switch button to the circuit board should be inspected for any damage. if any damage is found, the wiring should be repaired or replaced. - * * test the circuit board : * * the circuit board that controls the switch button should be tested to ensure that it is functioning properly. if the circuit board is faulty, it should be replaced. - * * update the software : * * if the software that controls the switch button has a glitch, it should be updated to the latest version. @topic:2


# # # issue - broken monitor base # # # impact - the monitor cannot be used. # # # possible causes - the base was accidentally knocked over. - the base was not properly secured. - the base was made of a weak material. # # # recommendations - replace the base with a new one. - secure the base properly. - use a base made of a stronger material. @topic:2


service guide suresigns vs4 vital signs monitor release a. 04 english philips part number 4535 643 03951 printed in usa june 2012 first edition mau ia n d n philips suresigns vs4 vital signs monitor service guide release a. 04 english philips notice proprietary information this document contains proprietary information, which is protected by copyright. copyright copyright © 2012 koninklijke philips electronics n. v. all rights reserved trademark acknowledgements suresigns is a registered trademark of koninklijke philips electronics n. v. other product names may be trademarks of their respective owners. manufacturer philips medical systems 3000 minuteman road andover, ma 01810 - 1085 ( 978 ) 687 - 1501 document number 453564303951 warranty disclaimer the information contained in this document is subject to change without notice. philips medical systems makes no warranty of any kind with regard to this material, including, but not limited to, the implied warranties or merchantability and fitness for a particular purpose. philips medical systems shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this material. printing history new editions of this document incorporate all material updated since the previous edition. update packages may be issued between editions and contain replacement and additional pages to be merged by a revision date at the bottom of the page. pages that are rearranged due to changes on a previous page are not considered revised. the documentation printing date and part number indicate its current edition. the printing date changes when a new edition is printed. ( minor corrections and updates that are incorporated at reprint do not cause the date to change. ) the document part number changes when extensive technical changes are incorporated. first editioners ) oie e sa bl tt bk oe dn @topic:10


# # # issue - loose bed rails # # # impact - patient safety hazard - potential for falls - reduced patient comfort # # # possible causes - worn or loose nuts and bolts - damage to the bed rails - improper assembly or installation # # # recommendations - inspect the bed rails regularly for any signs of damage or looseness. - tighten any loose nuts and bolts. - replace damaged bed rails if necessary. - ensure that the bed is assembled and installed correctly according to the manufacturer's instructions. @topic:6


* * issue : * * bed not adjusting up or down * * impact : * * patient safety, mobility * * possible causes : * * * * * electrical fault : * * power supply not reaching control box, faulty wiring, or damaged control box * * * mechanical failure : * * actuator not functioning properly, obstruction or binding in moving parts, worn gears or bearings * * * faulty control panel : * * buttons or switches not responding, malfunctioning circuit board * * recommendations : * * * * * verify power supply : * * check for power at the outlet and ensure the bed is properly plugged in. * * * inspect wiring and connections : * * look for any loose or damaged wires, especially at connection points. * * * inspect control box : * * examine for any visible damage, loose connections, or burned - out components. replace if necessary. * * * troubleshooting actuator : * * check for proper voltage and functionality of the actuator. if faulty, replace or repair. * * * lubricate moving parts : * * apply lubricant to gears, bearings, and any other moving parts to reduce friction and potential binding. * * * test control panel : * * verify that buttons and switches are functioning properly and that the circuit board is operational. @topic:1


* * issue : * * - bed railing peeling - bed footboard damaged * * impact : * * - compromised patient safety due to risk of falls * * possible causes : * * - wear and tear from frequent use - improper cleaning and disinfection - structural defects in the materials * * recommendations : * * - regular inspection and maintenance of the bed - proper cleaning and disinfection according to manufacturer's instructions - replacement of damaged parts or the entire bed if necessary - review of patient handling and transfer procedures to minimize stress on the bed - consideration of installing additional safety measures, such as bed alarms or side rails @topic:6


# # # issue : - monitor is unable to boot due to non - rotating cpu. # # # impact : - inability to use the monitor for physiological measurements. # # # possible causes : - * * cpu fan failure : * * the fan responsible for cooling the cpu may have malfunctioned, leading to overheating and system shutdown. - * * power supply issue : * * insufficient power may be reaching the cpu, preventing it from rotating. - * * motherboard malfunction : * * a faulty motherboard may be unable to provide the necessary signals to the cpu fan or power supply. - * * cpu socket issue : * * a loose or damaged cpu socket may prevent proper contact between the cpu and the motherboard, resulting in power and cooling issues. # # # recommendations : - * * replace the cpu fan : * * if the fan is confirmed to be faulty, replace it with a new one. - * * check power supply : * * ensure that the monitor is receiving adequate power by checking the power cable and voltage. if necessary, replace the power supply. - * * inspect motherboard : * * examine the motherboard for any visible damage or loose connections. if necessary, contact the manufacturer for repair or replacement. - * * verify cpu socket : * * check the cpu socket for any bent or broken pins. if necessary, reseat the cpu or replace the socket. @topic:2


# # # issue - water trap has excessive water. # # # impact - water may enter the module system if used continuously. # # # possible causes - water trap is not properly maintained. # # # recommendations - replace the water trap. - perform regular maintenance on the water trap to prevent excessive water accumulation. @topic:12


# # # issue - waveform is not displayed. # # # impact - the waveform provides important information for clinical decisions. # # # possible causes - loose connection between the lead and the patient. - loose connection between the lead and the monitor. - lead damage. - monitor malfunction. # # # recommendations 1. check the connection between the lead and the patient. 2. check the connection between the lead and the monitor. 3. replace the lead. 4. contact the equipment manufacturer for further assistance. @topic:16


##low pedal with caregiver mode * the hilow pedals are positioned on each side on the chassis. they are to be used by caregivers. ट a before using this function, check that no obstacles ( e. g., objects, accessories, power cables ) or persons ( especially children ) are under the sleep surface and that none of the patient's limbs protrude beyond the edges of the sleep surface. an intermittent beep sounds when one of the bed's movements is hindered. when descending to the low position, make sure that : - the drainage devices do not come into contact with the floor. - the elevation arms do not hit the chassis of the viking xl patient hoist if the bed is meter casters *. use the hilow feature of the sleep surface to adjust the bed to the required height when the patient must be moved. 2 j 9. 99 / 2 the hilow lock out on the controls built into the half - siderails does not lock out the hilow pedal, which remains operational. by default, the pedal is locked to avoid accidental movement. it is necessary to unlock the hilow pedal before use. after about one minute, caregiver mode is deactivated automatically. to move the head section only, disable the adjustable thigh section function on controls built into the half - siderails. before adjusting the head section, check that there are no obstacles preventing the section from being lowered or moving ( e. g., limbs, electric cables, foreign bodies or accessories ). an intermittent beep sounds when one of the bed's movements is hindered. when the thigh section is fully raised, the foot section is inclined at an angle of surface. electric autocontour the autocontour is available when both the adjustable head section and the section functions are enabled.. the autocontour simultaneously raises the head section and @topic:9


# # # issue - request for a large size bp cuff # # # impact - inaccurate blood pressure measurements # # # possible causes - the patient may be obese - the current cuff size is too small # # # recommendations - use a large size bp cuff - check the patient's weight and height to determine the appropriate cuff size - follow the manufacturer's instructions for using the bp cuff @topic:3


# # # issue - fractured headstock slider shaft # # # impact - inability to adjust the headstock position # # # possible causes - excessive force applied to the headstock - wear and tear due to prolonged use - manufacturing defect # # # recommendations - inspect the headstock for any signs of damage or excessive wear. - ensure that the headstock is not being subjected to excessive force during operation. - regularly lubricate the headstock according to the manufacturer's instructions. - consider replacing the headstock shaft if it is found to be damaged or worn. @topic:1


* * issue : * * cannot connect to hardware. * * impact : * * the medical cart cannot be used as intended. * * possible causes : * * - faulty hardware - loose or damaged cables - software issues - interference from other devices * * recommendations : * * - check all cables and connections to ensure they are secure and undamaged. - restart the device to refresh the system. - check for any software updates that may address the issue. - contact the manufacturer for technical support if the problem persists. @topic:13


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 au ceilings, walls, and mounting rails that supports mounting hardware are suitable for their proposed load. warning it is the customer's responsibility to have the attachment of the mounting hardware to the ceiling, wall, or mounting rail and the construction of the ceiling, wall, or mounting rail evaluated for structural integrity and compliance with all local, state and any other required codes by a registered, professional, structural and / or mechanical engineer. although considerable effort has been made to ensure the safety of the ceiling mount installation and or mounting guidelines, it is to be understood that the installation itself is beyond the control of philips medical systems. accordingly, philips medical systems will not be responsible for the failure of any such installation. the following figures show the dimensions required for the m1180a # c53 wall and the table mounting bracket which ships with the monitor. 290 8 site preparation ] wall mounting bracket dimensions table mounting tracket dimensions • providing conduit where a remote installation is required, for example the installation of a remote display, the customer is responsible for the following hardware installations : — providing conduit and / or trunking of a sufficient cross - sectional area for the planned cables and possible future expansion ( for additional components or systems ). see for cable specifications for remote installations. - providing and / or installing suitable wall boxes to accommodate the faceplates. • pulling cables warning never run power cables through the same conduit or trunking used for system cables. • installing wall boxes it is the customer ’ s responsibility to provide and install wauboxes to house faceplates. the customer must notify the philips installation coordinator of which size is to be used. 291 [ 8 site preparation ] procedures for philips personnei before you begin the procedures in the @topic:19


##mic parameters available with each method, whether they are measured continuously, and whether they can be shown on the monitor's main screen or in the ns window. picco method ( transpulmonarhermodilution ) measured and calculated hemodynamic parameters and indexes hemocalc window main main screen hemocalc continuous? continuous? screen window blood temperature ( tblood ) yes yes no yes no yes c. o. / c. i. : cardiac output no no yes yes yes yes cco / cci : continuous cardiac output ot availayes ( in the yes yes. o. fieldno no. svr / svri : systemic vascular resistance both yes yes yes yes eboth no no es ot available svv : stroke volume variation yes yes yes * dpmax : left ventricular contractility index ot available yes yes yes cfi : cardiac function index no yes not available yes yes ppv : pulse pressure variation not available yes yes eitbv / itbvi : intrathoracic blood volume yes not available evlw / evlwi : extravascular lung water no yes not available yes gedv / gedvi : global end - diastolic volume no ot available yes yes * pvpi : pulmonary vascular permeability index no yes not available yes not available * gef : global ejection fraction yes yes o no * rlshnt : right - left - shunt fraction no not available pvr / pvri : pulmonary vascular resistance no not available yes no no cw / lcwi : left cardiac no yes no yes no rcw / rcwi : right cardiac work not available no yes rvsw / rvswi : right ventricular stroke work not available no no yes * currently not available in the u. s. a. and territories relying on fda market note evlwi is calculated @topic:17


* * issue : * * no signal is displayed on the lcd monitor. * * impact : * * inability to use the monitor for patient monitoring or other purposes. * * possible causes : * * * * * loose display port ( dp ) cable : * * the description mentions that the biomedical engineer ( bme ) found the dp cable that connects the monitor to the computer was loose. this can cause intermittent or complete loss of signal. * * * faulty dp cable : * * the dp cable itself may be damaged or malfunctioning, resulting in signal transmission issues. * * * problem with the monitor : * * the monitor's internal hardware or circuitry may be faulty, causing it to fail to display a signal. * * * problem with the computer's graphics card : * * if the computer is not sending a signal to the monitor, it could be due to an issue with the graphics card. * * recommendations : * * * * * check the dp cable : * * ensure that the dp cable is firmly connected at both ends. inspect the cable for any damage or fraying. if possible, try using a different dp cable to rule out a faulty cable. * * * restart the computer and monitor : * * turn off the computer and monitor and restart them. this can sometimes resolve signal issues. * * * check the monitor's settings : * * verify that the monitor is set to the correct input source. adjust the brightness and contrast settings to ensure that the signal is visible. * * * contact the manufacturer or a qualified technician : * * if the above steps do not resolve the issue, contact the manufacturer of the monitor or a qualified technician for further assistance. @topic:2


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : bme reset the machine and the test passed. - cause of failure : the machine would not turn on. # # # impact - the medical cart is essential for the delivery of patient care. when it is not functioning properly, it can delay or prevent patients from receiving the care they need. # # # possible causes - the power cord is not plugged in. - the power switch is not turned on. - the circuit breaker has tripped. - the battery is dead. - the motherboard has failed. # # # recommendations - check the power cord to make sure it is plugged in and the power switch is turned on. - if the circuit breaker has tripped, reset it. - if the battery is dead, replace it. - if the motherboard has failed, contact the manufacturer for repair. @topic:13


# # # issue - patient cannot be moved up or down in the bed. # # # impact - patient discomfort and inconvenience. - difficulty providing care to the patient. # # # possible causes - button has been locked. # # # recommendations - unlock the button by pressing it. @topic:1


# # # issue : fire does not enter the box # # # impact : - the device cannot be used. - patients may not receive the necessary care. # # # possible causes : - the power cord is not properly plugged in. - the power outlet is not working. - the fuse in the device is blown. - the circuit breaker in the device is tripped. - there is a loose connection in the device. - the device is defective. # # # recommendations : 1. check the power cord and make sure it is properly plugged into the power outlet. 2. check the power outlet to make sure it is working. 3. check the fuse in the device and replace it if it is blown. 4. check the circuit breaker in the device and reset it if it is tripped. 5. check the connections in the device and make sure they are tight. 6. if the problem persists, contact the manufacturer of the device. @topic:12


# # # issue - broken oximeter cable # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - physical damage to the cable - wear and tear over time - improper handling # # # recommendations - replace the oximeter cable with a new one - inspect the cable regularly for signs of damage - handle the cable carefully to avoid damaging it @topic:4


# # # issue - * * equipment : * * capnograph - * * description : * * equipment is operating normally, but co2 measurement is not accurate. # # # impact - inaccurate co2 measurements can lead to incorrect patient care decisions. - co2 monitoring is essential for monitoring patient respiratory status, especially during anesthesia and critical care. # # # possible causes - * * calibration error : * * the equipment may not have been properly calibrated or the calibration may have drifted over time. - * * sensor malfunction : * * the co2 sensor may be faulty or damaged. - * * gas leak : * * there may be a gas leak in the sampling line or the equipment itself. - * * software error : * * a software issue may be causing the equipment to display incorrect co2 values. # # # recommendations - * * perform calibration check : * * ensure that the equipment is properly calibrated and that the calibration is up - to - date. - * * inspect sensor : * * check the co2 sensor for any signs of damage or contamination. replace the sensor if necessary. - * * check for gas leaks : * * inspect the sampling line and the equipment for any leaks. tighten any loose connections or replace the sampling line if necessary. - * * contact manufacturer : * * if the issue persists, contact the manufacturer of the equipment for technical support and troubleshooting guidance. @topic:4


. • 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. warning it is the customer's responsibility to have the attachment of the mounting hardware to the ceiling, wall, or mounting rail and the construction of the ceiling, wall, or mounting rail evaluated for structural integrity and compliance with all local, state and any other required codes by a registered, professional, structural and / or mechanical engineer. although considerable effort has been made to ensure the safety of the ceiling mount installation and or mounting guidelines, it is to be understood that the installation itself is beyond the control of philips medical systems. accordingly, philips medical systems will not be responsible for the failure of any such installation. • providing conduit where a remote installation is required, for example the installation of a remote display, the customer is responsible for the following hardware installations : 248 monitor m8003a and m8004a site requirements 8 site preparation - providing conduit and / or trunking of a sufficient cross - sectional area for the planned cables and possible future expansion ( for additional components or systems ). see cabling options and conduit size requirements for cable specifications for remote installations. - providing and / or @topic:19


# # # issue - invalid patient profile setting. # # # impact - monitoring data may not be accurate or reliable. # # # possible causes - user error while setting up the patient profile. - software glitch that caused the profile to be reset. # # # recommendations - verify that the patient profile is set to " adult " and not " neo ". - check for any software updates that may have caused the issue. - if the problem persists, contact the equipment manufacturer for technical support. @topic:2


13 mm wrench 10 mm hex key 8 mm pin punch soft faced hammer ( 2 ) 4 " x 4 " x 2 ’ piece of wood 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. 4. remove the head frame cover. warning : use correct lifting techniques. failure to do so can cause personal injury or equipment damage. 5. using a second person, lift the foot end of the bed and place a piece of wood under the foot hilow column. 6. using a second person, lift the head end of the bed and place a piece of wood under head the hilow column. 7. remove the foot frame cover ( a ) ( see figure 4 - 20 on page 4 - 41 ). 8. remove both right side casters ( b ) ( refer to procedure 4. 13 ). 9. from the left side of the bed, drive the brake bar hex rod ( c ) out of the left foot caster. page 4 - 40 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 12 brake / steer bar chapter 4 : removal, replacement, and adjustment procedures note : driving the brake bar hex rod out of the caster will break the white plastic bushing on the right side brake / steer tube. 10. remove the foot end brake bar ( d ). 11. from the left side of the bed, drive the brake bar hex rod out of the left head caster. note : driving the brake bar hex rod from the caster will break the white plastic bushing on the right side brake / @topic:26


# # # issue - battery failure # # # impact - inability to monitor vital signs accurately - potential patient safety hazard # # # possible causes - battery age : the battery in the device was over 2 years old, which is beyond its expected lifespan. - battery quality : the battery may have been defective or of poor quality. - device usage : heavy or continuous use of the device may have depleted the battery's capacity. - charging issues : the device may not have been properly charged, leading to battery depletion. # # # recommendations - * * replace the battery : * * install a new, high - quality battery in the device. - * * monitor battery status : * * regularly check the battery level and replace it when necessary. - * * optimize device usage : * * avoid unnecessary or excessive use of the device to conserve battery life. - * * ensure proper charging : * * follow the manufacturer's instructions for charging the device and always use a compatible charger. - * * regular maintenance : * * schedule routine maintenance of the device, including battery testing and replacement as needed. @topic:11


# # # issue - loose connection # # # impact - loss of patient data - delay in patient care - inaccurate patient data # # # possible causes - poorly designed or manufactured equipment - improper installation or maintenance - damage to the equipment - wear and tear - excessive use # # # recommendations - inspect the equipment regularly for loose connections. - tighten any loose connections. - replace any damaged parts. - follow the manufacturer's instructions for installation and maintenance. - train staff on proper use of the equipment. @topic:12


# # # issue - motor is loose # # # impact - unable to adjust bed end # # # possible causes 1. worn or loose wire connections 2. damaged motor 3. control board failure # # # recommendations 1. inspect the motor wires for any wear or loose connections. tighten any loose connections. 2. test the motor for proper function. if the motor is damaged, it will need to be replaced. 3. if the motor and wires are in good condition, the control board may need to be replaced. @topic:1


# # # issue physiologic monitor philips intellivue mp40 ( m8003a ) spo2 probe cable failure # # # impact - inability to monitor patient's oxygen saturation levels - potential for delayed or incorrect diagnosis and treatment # # # possible causes - damaged or faulty spo2 probe cable - loose or disconnected cable connections - incompatible spo2 probe cable with monitor - electrical interference from other devices - software or firmware issues within the monitor # # # recommendations - inspect the spo2 probe cable for any visible damage or defects. - ensure that the cable is properly connected to the patient and the monitor. - check the compatibility of the spo2 probe cable with the model of the monitor. - identify and eliminate any sources of electrical interference. - update the software or firmware of the monitor to the latest version. @topic:4


dom ( date of manufacture ) < 2014 - 03 or no dom is present modules m1006 - 69601 453563463061 m _ prs ibp module eng, nrohs m1006 - 69602 453564463261 m _ prs ibp module symbol multilang, nrohs modules with analog out m1006 - 69651 453563463071 m _ prs ibp module eng, w. analog - out nrohs m1006 - 69652 453564463281 m _ prs ibp mod col symbol multilang nrohs rohs compliant dom > 2014 - 03 modules m1006 - 69701 453564453101 m _ prs ibp module eng m1006 - 69702 453564463301 m _ prs ibp module symbol multilang modules with analog out m1006 - 69751 453564453131 m _ prs ibp module eng, w. analog - out m1006 - 69752 453564463321 m _ prs ibp mod col symbol multilang replacement parts front housings m1006 - 60201 453563462101 m _ prs frt housg ibp, eng ml 006 - 60202 453564463341 m _ prs frt housg ibp, symbol multilang front housings with analog out m1006 - 60251 453563462091 m _ prs frt housg ibp col, eng m1006 - 60252 453564463351 m prs frt housg ibp col, symbol multilang bezel ml 006 - 42202 453563463211 m _ @topic:19


# # # issue the medical cart door is difficult to open. # # # impact - the medical cart cannot be used to transport medical supplies. - the medical cart is a safety hazard. # # # possible causes - the door hinge is damaged. - the door latch is damaged. - the door is misaligned. # # # recommendations - inspect the door hinge and latch for damage. - if the door hinge or latch is damaged, replace it. - if the door is misaligned, adjust it. @topic:21


# # # issue - the electric bed ( bed, electric ) is not working. # # # impact - the bed is not available for use by patients. # # # possible causes - the bed was damaged during transport to room 5. - the bed was not properly assembled or installed in room 5. - the bed's electrical system is malfunctioning. # # # recommendations - inspect the bed for any damage. - reassemble and install the bed correctly. - test the bed's electrical system. - if the problem persists, contact the manufacturer for further assistance. @topic:9


# # # issue - loose nut # # # impact - equipment malfunction - patient safety hazard # # # possible causes - improper assembly - wear and tear - vibration # # # recommendations - tighten all nuts and bolts to manufacturer's specifications - regularly inspect equipment for loose nuts and bolts - replace damaged or worn nuts and bolts - train staff on proper assembly and maintenance procedures @topic:24


# # # issue no failure was reported. # # # impact none # # # possible causes the equipment was functioning properly at the time of testing. # # # recommendations none @topic:12


# # # issue the philips suresigns vs4 vital signs monitor is not measuring blood pressure ( bp ) accurately. # # # impact the inaccurate bp measurements could lead to incorrect patient diagnosis and treatment decisions. # # # possible causes * cuff bp may leak or be damaged. * the monitor may not be calibrated correctly. * the sensor may be faulty. * the patient may not be positioned correctly during bp measurement. # # # recommendations * check the cuff for leaks or damage and replace if necessary. * calibrate the monitor according to the manufacturer's instructions. * check the sensor for any visible damage or loose connections. * ensure that the patient is relaxed, sitting upright, and with their arm resting at heart level during bp measurement. @topic:15


# # # issue - the bed, electric equipment from contoura, model mb - acc73 is not able to adjust the foot position. # # # impact - patient discomfort and potential health risks due to improper positioning. - delays in patient care and increased workload for healthcare providers. # # # possible causes * * 1. mechanical problem : * * - faulty motor or motor controller - broken gears or drive belt - obstruction in the foot adjustment mechanism * * 2. electrical problem : * * - loose connections or damaged wiring - malfunctioning power supply or circuit board - software glitch * * 3. human error : * * - incorrect assembly or maintenance procedures - overload or misuse of the equipment # # # recommendations * * 1. troubleshooting and repair : * * - check if the new motor is properly installed and functioning. - inspect the foot adjustment mechanism for any physical damage or obstructions. - test the electrical connections and power supply. * * 2. maintenance and prevention : * * - regular maintenance and cleaning to prevent mechanical wear and tear. - proper handling and storage to avoid damage. - user training to ensure correct operation and avoid misuse. * * 3. replacement or upgrade : * * - if the issue cannot be resolved, consider replacing the equipment or upgrading to a more reliable model. @topic:1


# # # issue : failure of telemetry electrocardiography monitor # # # impact : patient monitoring may be interrupted or inaccurate. # # # possible causes : - incorrect frequency setting - equipment malfunction - interference from other devices - loose or damaged cables - software or firmware issues # # # recommendations : - ensure the telemetry monitor is set to the correct frequency. - perform a thorough inspection of the equipment for any obvious signs of damage or malfunction. - check for any potential sources of interference from nearby devices. - inspect cables for any loose connections or damage. - contact the manufacturer for technical support if necessary. @topic:16


# # # issue - cuff bp leak # # # impact - inaccurate blood pressure readings, which can lead to incorrect medical decisions. # # # possible causes - cuff wear and tear - improper cuff placement - patient movement during measurement - equipment malfunction # # # recommendations - inspect the cuff regularly for any signs of wear or damage. - replace the cuff as soon as any signs of wear are detected. - ensure the cuff is properly placed on the patient's arm, snug but not too tight. - immobilize the patient during blood pressure measurement to prevent cuff movement. - calibrate the blood pressure monitor regularly to ensure accuracy. @topic:3


# # # issue - wood barrier came loose and became tangled. # # # impact - potential patient safety hazard if the patient were to fall out of bed. # # # possible cause - wood barrier was not properly secured. - wood barrier was damaged. - wood barrier was not inspected regularly. # # # recommendations - inspect wood barriers regularly to ensure they are properly secured and not damaged. - replace wood barriers if they are damaged. - tighten the nuts on the wood barrier to ensure it is secure. - educate staff on the importance of properly securing wood barriers. @topic:6


* * issue : * * - vital signs monitor not displaying spo2 readings - spo2 probe shows error message * * impact : * * - inability to accurately monitor patient oxygen saturation levels - possible delayed or incorrect diagnosis and treatment * * possible causes : * * - damaged spo2 cable ( most likely ) - loose connection between the spo2 cable and the monitor or probe - faulty spo2 probe - software / firmware issue - electrical issues within the monitor or probe * * recommendations : * * - * * confirm that the spo2 cable is not damaged : * * inspect the cable for any cuts, tears, or breaks. replace the cable if necessary. - * * check the connections : * * ensure that the spo2 cable is securely connected to both the monitor and the probe. - * * test with a different spo2 probe : * * if available, connect a different probe to the monitor to see if the issue persists. - * * update software / firmware : * * check if there is any available software or firmware updates for the monitor or probe. install updates as necessary. - * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the monitor or probe for further troubleshooting and repair options. @topic:4


# # # issue - bed not adjusting # # # impact - patient discomfort - delays in patient care # # # possible causes - electrical issue - mechanical issue # # # recommendations - check electrical connections - inspect mechanical components - replace faulty parts - calibrate the bed @topic:1


. keyboard select or clear check | touch a check box to select or clear it. boxes scroll touch the list and drag your finger to scroll up and down. touch the up or down arrows to display the next or previous page in the list. ( you can also use the wheel to scroll and select items in the list. ) a scroll bar to the right of the list indicates the current location in the list. touch an item to select it. suresigns vs4 documentation suresigns vs4 documentation includes : ¢ suresigns vs4 installation and configuration guide : provides instructions for unpacking, installing, and connecting all hardware. includes initial testing and configuration procedures. also includes instructions for returning the monitor. ¢ suresigns vs4 instructions for use : provides information for day to day operation of the monitor. also includes safety information, monitor specifications, and a list of compatible accessories. e suresigns vs4 quick card : provides brief descriptions of commonly used functions. e suresigns vs4 service guide : provides instructions for repairing and testing the monitor. includes assembly diagrams, spare parts lists and troubleshooting information. e suresigns vs4 data export guide : provides detailed information about the hl7 data export feature, including hl7 message syntax and procedures for exporting hl7 data from the monitor. overview suresigns vs4 service guide 1 - 1 suresigns vs4 documentation e suresigns vs4 network configuration guide : provides instructions for configuring your monitor to connect to a network using a wired lan connection, a wireless lan connection, or an rs - 232 serial adapter. « suresigns vs4 quickcapture configuration guide : provides instructions for configuring the quickcapture feature on the monitor. includes information about defining the set of observations and assessments, creating a file to @topic:10


. whether this is so, and which limit is applied, is set in the monitor ’ s configuration mode. if you have manually measured scv0 2 or cvp, you can enter the values using the enter scvc > 2 and enter cvp keys. the box is checked automatically if the value fulfils the recommendation. the boxes for map, scv02 / sv02 and cvp can also be checked manually ( for cases where the monitor does not measure them ) but only when the timer has reached 4 hours to ensure that these values are achieved and maintained mid - term. check these boxes if the recommendation has been fulfilled. to see more details about the recommendations, select the show details key. 316 ssc sepsis protocol 25 protocolwatch select confirm when the check boxes reflect the current treatment status. checking the sepsis resuscitation bundle window during the sepsis resuscitation bundle you can open the sepsis resuscitation bundle window at any time to check the status or to make entries. the recommendations are shown as follows : • recommendations which are not yet fulfilled are shown in black. they also appear in the list on the lower area of the protocolwatch screen. • recommendations which are overdue are shown in red. • recommendations which have been fulfilled and confirmed are shown in gray. they no longer appear in the list on the lower area of the protocolwatch screen. previewing the sepsis management bundle at any time during the sepsis resuscitation bundle you can preview the management bundle in order to see which recommendations will follow there. ♦ select the preview managemt key. ending the sepsis resuscitation bundle when all recommendations have been fulfilled and confirmed, or when 6 hours have passed since the bundle started, the sepsis resuscitation bundle is ended. you are asked to confirm with the yes key that the sepsis management bundle should @topic:8


# # # issue the bed is making noise when it is being adjusted up and down. # # # impact the noise may be disruptive to patients and staff. it may also indicate a problem with the bed that could lead to a more serious failure. # # # possible causes the cause of failure could be : - the nut on the actuator that extends the legs of the bed is loose. - the actuator is damaged. - the motor that drives the actuator is damaged. # # # recommendations the technician should : - check the nut on the actuator and tighten it if necessary. - if the nut is tight, then the actuator or motor may need to be replaced. - the technician should also check the wiring to the actuator and motor to make sure that there are no loose connections. @topic:9


. alarms testing to verify that the general monitor alarms are working, test them while using the sp0 2 monitoring function. to test the monitor alarm : 1. with the monitor turned on, make sure that all alarms are enabled ( the monitor is not in audio pause or audio off mode ). 2. make sure the sp0 2 alarm is enabled ( the crossed bell icon does not appear in the sp02 numeric pane ). 3. if the sp0 2 alarm is disabled, open the sp0 2 menu and enable it. 6 - 6 performance verification testing performing verification tests 4. place the spo? transducer on your finger and wait for a value to appear in the sp0 2 numeric pane. 5. remove the sensor from your finger. 6. check that the sp0 2 non - pulsatile message appears in the message area and an alarm tone sounds. 7. if you do not get the results in step 6, see chapter 7, troubleshooting. sp0 2 tests before you start : see “ required test equipment ” for a list of the equipment that you need to perform this test. this test checks the performance of the sp0 2 measurement and alarm : 1. connect an adult sp0 2 transducer that you know to be working correctly to the sp0 2 connector on the monitor. ensure that the red led in the sensor in the transducer is lit. 2. connect the other end of the transducer to your finger ( this assumes that you are healthy ). 3. verify that the sp0 2 value displayed on the monitor is between 95 % and 100 %. if it is not, try the test again with a patient simulator. 4. if you still do not get the results in step 3, see chapter 7, troubleshooting. caution the sp02 accuracy has been validated in human studies @topic:4


# # # issue - broken temperature probe # # # impact - inability to accurately measure patient temperature # # # possible causes - physical damage to the probe - electrical malfunction - software glitch # # # recommendations - replace the temperature probe - inspect the probe for any visible damage - check the electrical connections - update the software if necessary @topic:20


* * issue : * * equipment failure * * impact : * * medical cart is unable to operate, impacting patient care. * * possible causes : * * * * * defective solenoid : * * the solenoid, a key electrical component responsible for controlling the movement of the cart, may have malfunctioned, leading to the equipment's inability to operate. * * * electrical fault : * * an electrical fault or short circuit within the cart's electrical system could have damaged the solenoid or other components, resulting in the failure. * * * software glitches : * * software issues or glitches within the cart's operating system could potentially have caused the solenoid to behave abnormally or fail to respond to commands. * * * excessive usage : * * the cart may have been subjected to excessive usage or overloading, putting undue stress on the solenoid and other components, leading to premature failure. * * * lack of maintenance : * * regular maintenance and inspections could have helped identify potential issues with the solenoid or other components and prevented the failure. * * recommendations : * * * * * replace solenoid : * * if the cause of failure is a defective solenoid, it should be replaced with a new one to restore the cart's functionality. * * * electrical inspection : * * a comprehensive electrical inspection should be performed to identify any potential faults or damage to the wiring, connectors, or other electrical components. * * * software update : * * if software issues are suspected, the cart's operating system should be updated to the latest version to address any potential bugs or glitches. * * * usage monitoring : * * establish guidelines for appropriate usage and limit excessive loads on the cart to prevent future failures. * * * regular maintenance : * * implement a regular maintenance schedule to inspect the @topic:30


battery conditioning should be performed once per year or when indicated by the battery status. note when the battery status signals a conditioning request, the displayed time to full or time to empty may not be reliable. what causes the conditioning message on the monitor? in addition to the value for the fuu capacity, the battery also stores a value for the max error. the max error tracks the maximum possible deviation of the estimated charge of a battery from the actual charge. if a battery is charged or discharged partially, or if it is charged while the monitor is being used, the accuracy of the “ reference points ” for the fully discharged and fully charged states decreases, causing an increase in the value for the max error ( see diagram, below ). when the max error rises over a certain limit, a message is displayed prompting the user to condition the battery, as described in. you can reset the value for the max error before the battery needs conditioning, by performing the steps described in ” conditioning batteries ”. the minimum value of the max error after conditioning is 2 %. 101 [ 3 testing and maintenance ] conditioning batteries battery conditioning can either be performed in the monitor or with an external battery charger. philips recommends using the 865432 smart battery conditioner to condition batteries. battery conditioning in the monitor caution do not use a monitor being used to monitor patients to condition batteries. the monitor switches off automatically when the battery is empty. you should condition a battery when its'‘ battery requires maintenance ” symbol shows on the screen. if conditioning is not performed immediately the monitor will still function according to specifications. however, the displayed time to empty and time to full will show increasing inaccuracy. do not interrupt the charge or discharge cycle during conditioning. to condition a battery, 1 insert the battery into a monitor connected to mains power. 2 charge the battery until it is completely fuu. switch the monitor off to decrease the @topic:11


# # # issue - cuff of the bedside physiologic monitor is broken. # # # impact - the monitor may not be able to accurately measure the patient's vital signs, such as blood pressure, heart rate, and respiratory rate. - this could lead to incorrect treatment decisions and potentially harm the patient. # # # possible causes - cuff was subjected to excessive force or pressure - cuff was not properly maintained or cleaned - cuff was damaged by a sharp object # # # recommendations - inspect the cuff regularly for any signs of damage. - do not overinflate the cuff. - clean the cuff regularly according to the manufacturer's instructions. - replace the cuff if it is damaged. @topic:5