# # # issue the physiologic monitor is malfunctioning. # # # impact the malfunctioning monitor may provide inaccurate or incomplete patient data, leading to incorrect diagnosis and treatment decisions. # # # possible causes - * * hardware failure : * * this can be caused by a variety of factors, such as a faulty sensor, a loose connection, or a damaged circuit board. - * * software failure : * * this can be caused by a bug in the monitor's software, which can lead to incorrect readings or system crashes. - * * operator error : * * this can occur if the monitor is not used properly, such as if the sensors are not properly placed or if the patient is not properly positioned. # # # recommendations - * * inspect the hardware : * * check for any loose connections, damaged components, or other signs of hardware failure. - * * update the software : * * contact the manufacturer to see if there are any software updates available that can fix the malfunction. - * * train the operators : * * make sure that all operators are properly trained on how to use the monitor. - * * send the monitor for repair : * * if the issue cannot be resolved by inspecting the hardware, updating the software, or training the operators, the monitor should be sent to a qualified technician for repair. @topic:2


within 5 seconds. • m1116b / c you can also make an ongoing recording continuous by pressing the run / cont key on the recorder 359 28 recording stopping recordings recordings stop automatically when the preset runtime is over, when the recorder runs out of paper, when you open the recorder door or when the recorder has an inop condition. to manually stop a recording, select the recordings smartkey and then select the pop - up key stop all recordng. m1116b / c you can also stop a recording by pressing the stop key on the recorder module. recording without a template to record without a pre - configured template, selecting the waves you require, either : select the recor - dings smartkey then select the pop - up key select waves. or : select the smartkey record waves. 1 use the pop - up keys to choose up to three measurement waves to be printed on the recording. if 2 you want fewer than three waves on the recording, select the waves you want then select thcontinue pop - up key. select one of the recording speed pop - up keys to set the required recording speed. 3 4 select the start pop - up key to start the recording. select waves recordings use default values for any recorder settings not defined : runtime is continuous, overlapping is set to non - overlapping. overview of recording types this table details settings for local recordings. for details on recordings made on the central recorder, use. procedure or context all ecg waves realtime ( rt ) delayed larm hires trend automatic, triggered by defined alarm conditions. manual, use the context type oecording manual manual manual manual indow's popcentral recording local recorder and local recorder and printer local recorder and local recorder destination central central local recorder local recorder only nlcentral central only from the start from the startrigger from the start trigger, in real @topic:8


# # # issue the cuff of the blood pressure ( bp ) monitor is deteriorated, causing a failure in the monitoring of vital signs. # # # impact - inaccurate blood pressure readings, which can lead to incorrect treatment decisions and patient harm. - interruption of patient care due to the unavailability of accurate blood pressure monitoring. # # # possible causes - wear and tear over time - improper handling or storage of the cuff - chemical spills or other exposure to harmful substances # # # recommendations - regularly inspect the cuff for signs of damage and replace it promptly if necessary. - handle and store the cuff properly according to the manufacturer's instructions. - ensure that the cuff is properly sized for the patient. - train staff on the proper use and maintenance of the blood pressure monitor and cuff. @topic:3


2 ) ventil : ( total : 1 ) arrhy / st : combi : 0 single : 0 manual : 1 a ( d ) 0 ( 0 ) b ( d ) : 2 ( 1 ) ab ( d ) : 1 ( 1 ) d : 0 m : 2 ( total : 5 ) ner combi : 0 single : 5 manual : 9 all ( total : 15 ) 3 roups : 1 2 vent total per event grou1 vent type2 total events in database 3 event groups 4 5 6 patient information and medical record no. 343 26 event surveillance in graphic event review recordings, events are represented by bars, and each event group is printed on a separate tandachannel. the timeline reflects the period stored in the database, either 24 hours ( divideinto 4 hour sections ) or 8 hours ( divideinto one - hour sections ). euro 09 : 0 1 : 0 1! 15 : 0 time group arameter 2 23 jan 02 07 : 56 bis low 51 < 60 1 euro esstandard 2 23 jan 02 07 : 59 3 23 jan 02 08 : 02 bis hr ( pulse ) 23 jan 02 08 : 12 tandard t - ii manual 4 standard hr ( pulse ) 5 23 jan 02 08 : 32 st - ii in tabular event review recordings, the events stored in the event database are shown in chronological order, with a number and time - stamp. the measurements in the event group are shown in the next columns, marked " parameter 1, parameter 2... ", along with the event values measured at the time of the event. for each event, the trigger values this section of the recording is a4 or letter size, so that it fits in a patient file. event episode recordings the first section shows the patient information and the event group of the episode with the event values for the group measurements. the trigger symbol marks the event @topic:8


# # # issue - broken hanging hook - damaged charging cable # # # impact - inability to securely mount the device - limited mobility of the device # # # possible causes - * * hanging hook : * * - excessive force applied to the hook - material fatigue due to age or use - * * charging cable : * * - physical damage ( e. g., cuts, bends ) - electrical fault # # # recommendations - * * hanging hook : * * - repair or replace the hook with a suitable material that can withstand the necessary loads - reinforce the attachment points for the hook - * * charging cable : * * - inspect the cable for any visible damage and test its continuity - replace the cable if it is damaged or faulty - ensure proper handling and storage of the cable to prevent future damage @topic:11


# # # issue the physiologic monitor ( bedside ) is not able to measure sat. # # # impact this issue can lead to inaccurate readings of patient's vital signs, which can delay or misinform patient care decisions. # # # possible causes - * * faulty sensor : * * the sensor used to measure sat may be damaged or incorrectly connected to the monitor. - * * equipment malfunction : * * the monitor itself may have a hardware or software issue that prevents it from measuring sat. - * * patient factors : * * the patient's condition or position may be affecting the sensor's ability to measure sat. - * * environmental factors : * * the environment in which the monitor is being used, such as high levels of electromagnetic interference, may be interfering with the sensor's ability to measure sat. - * * user error : * * the user may not be using the monitor correctly, or may not be properly trained on how to use the device. # # # recommendations - * * check the sensor : * * ensure that the sensor is properly connected to the monitor and that it is not damaged. - * * inspect the equipment : * * examine the monitor for any visible signs of damage or malfunction. - * * assess the patient : * * check the patient's condition and position to ensure that they are not affecting the sensor's ability to measure sat. - * * check the environment : * * identify any potential sources of electromagnetic interference and eliminate or mitigate them. - * * review user training : * * ensure that the user is properly trained on how to use the monitor and interpret the readings. @topic:20


# # # issue bp cuff deterioration # # # impact - inaccurate blood pressure readings - delayed or incorrect treatment # # # possible causes - prolonged use - wear and tear - exposure to excessive heat or moisture # # # recommendations - regularly inspect and replace bp cuffs according to manufacturer's recommendations - store cuffs in a cool, dry place - use cuffs that are appropriate for the patient's size and condition @topic:3


# # # issue - medical cart failure # # # impact - interruption of medical procedures and patient care - delay in patient treatment - loss of data or medical records # # # possible causes - power outage - electrical malfunction - software glitch - battery failure - loose connections - physical damage - overheating - user error # # # recommendations - check power supply and connections - inspect for electrical damage or loose wires - update software if necessary - replace batteries if needed - secure loose connections - inspect for physical damage or overheating - train users on proper handling and maintenance - conduct regular maintenance and inspections - consider backup systems or redundant equipment - document the cause of failure and any corrective actions taken @topic:13


* * issue : * * * cuff leakage in the bedside physiologic monitor * * impact : * * * compromised accuracy and reliability of blood pressure measurements * potential delay or misdiagnosis in patient care * * possible causes : * * * * * internal tubing damage : * * the cuff tubing may have cracks, punctures, or tears that allow for air leakage. * * * loose or disconnected tubing : * * the tubing may not be properly connected to the cuff or the monitor, causing air to escape. * * * defective cuff bladder : * * the bladder inside the cuff may have a small hole or be damaged, leading to air leaks. * * * overinflation of cuff : * * excessive pressure during cuff inflation can strain the tubing and bladder, potentially causing leaks. * * * wear and tear : * * extended use or repeated inflation / deflation cycles can weaken the cuff tubing and components over time. * * recommendations : * * * * * inspect tubing : * * examine the cuff tubing for any visible damage, such as cracks or punctures. replace the tubing if necessary. * * * secure connections : * * ensure that all tubing connections are tight and secure. * * * calibrate monitor : * * perform regular calibration of the monitor to ensure accurate pressure readings. * * * use appropriate cuff : * * choose the correct cuff size and type based on the patient's characteristics to minimize overinflation. * * * maintain equipment : * * regular maintenance and inspection can help identify potential issues and prevent failures. * * * replace cuff : * * if the cuff bladder is damaged or defective, replace the entire cuff assembly to ensure optimal functionality. @topic:3


# # # issue - unable to determine the actual cause of failure due to insufficient information. # # # impact - unknown. # # # possible causes - the cause of failure is not provided in the given input. # # # recommendations - gather more information about the actual cause of failure to properly diagnose and resolve the issue. @topic:12


# # # issue - broken bed frame # # # impact - patient safety hazard - inconvenience to patient and staff - potential for further damage to the bed # # # possible causes - excessive weight on the bed - impact or trauma to the bed - wear and tear over time - manufacturing defect # # # recommendations - inspect the bed for any other damage - repair or replace the broken frame - reassess the patient's weight and adjust bed settings accordingly - train staff on proper use of the bed - contact the manufacturer to report the defect and request a replacement @topic:6


, 10a / 250v 133171 1 power cord, as3112 ( clear ), 10a / 250v 133172 1 power cord, gb2099. 1 - ’ 96, 10a / 250v 133173 1 power cord, bs546, 10a / 250v 133174 1 power cord, ce1, 23 - 16 - v11, 10a / 250v 133175 1 power cord, nema5 - 15p, 13a / 100v 133176 1 power cord, nema5 - 15p, 13a / 110v 17 vi0613a 1 screw 18 qd0663 2 washer 19 71082 2 bumper 20 s305342 2 end cover 21 s30283b 2 accessory socket careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 73 base frame — d model and newer beds chapter 5 : parts list item number part number quantity description 22 71438 2 adapter, iv pole 23 141340 1 shroud 24 ca0026 1 brake rod assembly, hex 25 ca0006 1 base frame assembly 26 132251 2 load beam assembly 27 qd1648g 1 switch 28 132054 2 slide block 29 ca0025 2 hilow column 30 132080 2 slide block assembly 31 vi0613a 4 screw 32 132369 2 wire guide, plastic 33 132822 2 cross beam weldment, non - scale 34 141258 1 brake pedal assembly, rh 35 141259 1 brake pedal assembly, lh 36 vi0020 2 screw 37 vi0616a 2 washer 38 141308 2 spacer, pedal 39 vi0610a 2 screw 40 vi0367 2 locknut 41 vi0616a 2 washer @topic:26


# # # issue the intellivue mp70 bedside physiologic monitor is not linking to the icca. # # # impact the monitor cannot be used to monitor patient vital signs. # # # possible causes - the icca is not powered on. - the icca is not connected to the monitor. - the icca is not configured correctly. - the monitor is not configured correctly. - there is a hardware fault with the monitor or the icca. # # # recommendations - check that the icca is powered on. - check that the icca is connected to the monitor. - check that the icca is configured correctly. - check that the monitor is configured correctly. - if the problem persists, contact the manufacturer of the monitor or the icca. @topic:16


# # # issue - the physiologic monitor is not functioning properly. # # # impact - the monitor cannot be used to accurately monitor patient vital signs. - this could lead to delayed or missed diagnosis and treatment, which could have serious consequences for the patient. # # # possible causes - the battery is not properly installed. - the battery is not fully charged. - the battery is faulty. - the monitor is not properly connected to the patient. - the monitor is not properly calibrated. # # # recommendations - check the battery to make sure it is properly installed and fully charged. - if the battery is faulty, replace it with a new one. - check the connections between the monitor and the patient to make sure they are secure. - calibrate the monitor according to the manufacturer's instructions. - if the problem persists, contact the manufacturer for technical support. @topic:2


# # # issue : - bed alarm is malfunctioning. # # # impact : - patients may not be able to call for help if needed. - staff may not be alerted to patient needs in a timely manner. # # # possible causes : - faulty wiring in the bed alarm system. - damaged or loose sensors in the bed. - malfunctioning control panel. # # # recommendations : - inspect the wiring in the bed alarm system for any damage or loose connections. - check the sensors in the bed to ensure they are properly connected and functioning. - test the control panel to ensure it is working properly. - replace any faulty components as necessary. - regularly maintain and inspect the bed alarm system to prevent future failures. @topic:26


# # # issue * equipment is measuring values too high # # # impact * inaccurate patient data * potential for incorrect treatment decisions # # # possible causes * loose bp connection * faulty sensor * software error # # # recommendations * check all connections * replace sensor * update software * calibrate equipment @topic:15


between 300 and 500 mmhg. do not block the inlet for longer than 25 seconds as this will lead to an “ occlusion ” inop. if the value is within the tolerance limits, there are no leakages and the leakage check is completed ; proceed to the pump check. 4. if the value is not within the tolerance limits, there is a leakage between the filterline inlet and the pump inlet. 5. check the filterline connections and open the m3015a or mp5 to check the tubing connections at the pump inlet and the m3015a or mp5 mco, gas inlet. if the connections are good, try replacing the filterline and repeating the leakage check. if the situation remains, there is a leakage in the tubing and the m3015a or the mco ; assembly of the mp5 must be exchanged. 86 barometric pressure check and calibration check the barometric pressure value in the m3015a mms extension or the mp5 as follows : 1. go into service mode and select setup co, menu. 2. connect a filterline to the microstream co ; input. this activates the pump in the m3015a mms extension or the mp5. 3. the status line at the bottom of the screen displays “ co, pressure reading ( ambient / cell ) xxx / yyy ” where xxx is the ambient pressure and yyy is the measured cell pressure. check whether the ambient pressure value ( x3 ) matches ( within the acceptable tolerance of + 12mm hg ) the reference value you have received. if so, proceed to the leakage check. if the value is not correct, calibrate as follows. a. select co, then select barom. press to activate a table of values. b. select the value in the table which matches @topic:17


the measurement numeric. 555 5 65 3 alarms while alarms are paused or off when red alarms are paused or off : the red alarms paused lamp on the monitor front panel is lit. • in the alarm field, the monitor displays the message al. paused x : yy or alarms off, together with the alarms paused symbol or the alarms off symbol. when yellow alarms are paused or off : the yellow alarms paused lamp on the monitor front panel is lit. • in the alarm field, the monitor displays the message yellowpaused x : yy or yellow alarms off, together with the alarms paused symbol or the alarms off symbol. for red and yellow alarms : alarms paused alarms off no alarms are sounded and no alarm messages are shown. • • the only exceptions are the inops cuff not deflated, nbp cuff overpress and inops relating atteries. these inops switch the alarms on, and the inop tones are sounded, even if alarms are paused or off. you need to remove the inop condition first before you can switch the alarm tones off again. the nurse call relay is not active. • if a disconnect inop is present and alarms are paused or switched off, the measurement in question may be switched off, depending on monitor configuration. to manually switch on alarm indication again after a pause, select the permanent key pause alarms ( oalarms off ) again. alarm indication starts again automatically after the pause period expires. if the monitor is configured, you must select alarms off again to restart alarm indication. to reset the timeout period, either select the alarms off or pause alarms permanent key and then reselect it, or • select reset alarming in the review alarms window or the alarm messages window. • if your monitor has extended alarm pause enabled, you can extend the alarm pause time. use this to prevent alarms being indicated, for example @topic:8


# # # issue - broken connector cable # # # impact - the patient monitor may not be able to display vital signs or provide alarms, which could delay or compromise patient care. # # # possible causes - physical damage to the cable, such as bending or crushing - improper handling or storage of the cable - manufacturing defect # # # recommendations - inspect the cable for any visible damage and replace it if necessary. - ensure that the cable is properly stored and handled to prevent damage. - contact the manufacturer if the cable appears to be defective. - train staff on proper handling and storage of medical equipment to prevent future incidents. @topic:2


# # # issue battery failure in monitor, patient transport model intellivue mp40 ( m8003a ) from philips. # # # impact device may not function properly or may shut down unexpectedly. # # # possible causes - battery has reached its end of life. - battery was not properly charged. - battery is not compatible with the device. # # # recommendations - replace the battery. - ensure that the battery is properly charged before use. - check that the battery is compatible with the device. @topic:11


# # # issue - bed alarm is not set properly # # # impact - patient safety - fall risk - injury # # # possible causes - user error - equipment malfunction - improper training # # # recommendations - ensure that the user is properly trained on how to set the bed alarm. - test the bed alarm regularly to ensure that it is functioning properly. - if the bed alarm is not functioning properly, contact the manufacturer or a qualified technician. @topic:26


##alarm lamps ( see " x2 controls anindicators " on page 23 ) 4 5 8 6 indicators " on page 23 ) measurement connectors ( see " x2 patient 7 connectors, right side " on page 24 ) 8 battery compartmenx2 controls and indicators 11 10 9 intellivue x2 philips adult 1 spd, lo ed11 8 0 * * 9100 90 silence hr 100 90 120 50 7 6 smart eynep pulse 60 uta 15 min 11. 00 21 / 83 ( 915 150 ai80 screen 1 2 3 1 external power led. green when monitor is powered from an external power source. 2 battery status led. yellow when charging. flashing red when battery is empty. on / standby led. green when monitor is on. red indicates an error. 3 on / standby switch. disabled when x2 is connected to a host monitor 4 main screen key : closes all open menus / windows and returns to the main screen. smartkeys key : brings up smartkeys on the screen. 5 6 7 alarms key : turns alarms on / off, or pauses them. 23 1 introduction ilence ke8 active alarm lamp. red or yellow, depending on alarm level. blinks until active alarm is acknowledged. 9 10 active inop alarm lamp in light blue. blinks until active inop is acknowledged. 11 alarms off indicator. when alarms are suspended, the lamp is red ( or yellow when yellow alarms e alarms off symbol is shown. x2 patient connectors, right side ressure ( option1 press co₂ 2 temperature ( option ) temp noninvasive blood 3 pressure nbp spo7 2 cg sync pulse outpu5 spo2 ecg / respiration 6 40 - л ecgo - n 4 7 cresp pressure and temperature ) x2 left side loudspeaker 1 2 @topic:10


# # # issue bed adjustment buttons are stuck. # # # impact the bed cannot be adjusted to the desired height, which can make it difficult for patients to get in and out of bed, and for healthcare professionals to provide care. # # # possible causes - broken or damaged button - loose or disconnected wires - malfunctioning motor # # # recommendations - replace the broken or damaged button - tighten or reconnect the loose or disconnected wires - repair or replace the malfunctioning motor @topic:1


# # # issue - equipment malfunction : the medical cart's display screen is freezing. # # # impact - interruption of patient care : the medical cart is an essential tool for providing patient care, and its malfunction can delay or disrupt treatment. - loss of data : if the medical cart stores patient data, the malfunction could result in the loss of this data. - safety hazard : a malfunctioning medical cart could pose a safety hazard to patients and staff. # # # possible causes - hardware malfunction : the medical cart's display screen or other hardware components may be malfunctioning. - software malfunction : the medical cart's operating system or software may be experiencing bugs or errors. - user error : the medical cart may have been used incorrectly, leading to the malfunction. - environmental factors : extreme temperatures, humidity, or other environmental factors may have caused the malfunction. # # # recommendations - * * restart the medical cart : * * this may resolve the issue if it is caused by a temporary software glitch. - * * check the hardware : * * inspect the medical cart's display screen and other hardware components for any visible damage or loose connections. - * * update the software : * * if the medical cart's software is outdated, updating it may resolve the issue. - * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the medical cart's manufacturer for technical support. - * * train users : * * ensure that all users are properly trained on how to use the medical cart correctly. - * * establish a preventive maintenance schedule : * * regularly inspect and maintain the medical cart to prevent future malfunctions. @topic:13


# # # issue equipment : philips suresigns vs2 vital signs monitor is not charging. # # # impact the patient's vital signs cannot be monitored accurately, which could lead to delays in diagnosis and treatment. # # # possible causes - the adapter is loose. - the adapter is faulty. - the charging port on the monitor is faulty. # # # recommendations - check that the adapter is securely plugged into the monitor. - if the adapter is loose, try plugging it into a different outlet. - if the adapter is still not working, try using a different adapter. - if the charging port on the monitor is faulty, the monitor will need to be repaired or replaced. @topic:11


# # # issue - the ekg lead wires are not detecting the patient's heart signals. # # # impact - the medical team cannot accurately monitor the patient's heart rhythm, which could lead to delayed or incorrect treatment decisions. # # # possible causes - loose connection between the lead wires and the monitor. - dirty or damaged lead wires. - faulty lead wires. # # # recommendations - check the connections between the lead wires and the monitor to ensure they are secure. - clean the lead wires with a mild detergent and water, and allow them to dry completely before use. - if the lead wires are damaged or faulty, they should be replaced. @topic:18


3. being careful not to touch anything else in the extension, insert the pump into the bracket on the pc board. make sure that the pump is horizontal and does not touch the pc board. ( vibration from the pump in operation will damage the extension if the pump touches the pc board. ) 4. replace the top part of the bracket and screw firmly into position. 181 note after replacing the pump, reset the displayed value using the reset pumpoptime selection ( service mode > co2 setup ). when the pumpoptime has been reset an inop will be generated : “ co, occlusion ". to clear this inop you must perform a flow check and store the flow in service mode ( select “ store flow ’ ’ ). refitting the extension bottom cover to refit the extension bottom cover, do the following : 1. latch the link bar end into place then press - click the bottom cover back into place covering the interior of the extension. 2. holding the bottom cover firmly in place, thread the two long mounting pins back into the extension making sure to thread them all the way to the end. 2 long mounting pins refitting the front cover to refit the front cover, press - click it back into place over the measurement connector hardware. general reassembly / refitting comments - ribbon connections — make sure male - female ribbon connections are correctly lined - up. - open component — do not allow anything to fall into the open component. following reassembly once you have reassembled the instrument, you must perform a safety and performance check on the instrument. refer to testing and maintenance. 182 smart battery charger lg1480 ( m8043a ) you should clean both air filter mats on a regular basis. depending on the frequency of use and the environmental conditions ( dust etc. ), the interval can range from 6 to 24 months. cleaning the air filter @topic:19


# # # issue - bme conducted an inspection and found that the bed could not be adjusted due to a broken remote control wire. - the wire was cut and reconnected, and the bed was tested and found to be functioning normally. # # # impact - the bed could not be adjusted, which could have a negative impact on patient care. # # # possible causes - the remote control wire may have been damaged due to wear and tear, or it may have been accidentally cut. # # # recommendations - to prevent future failures, the remote control wire should be inspected regularly for damage and replaced if necessary. - staff should be trained to handle the remote control wire with care to avoid accidental damage. @topic:7


# # # issue - battery voltage is too low. # # # impact - the medical cart may not be able to operate properly. # # # possible causes - the battery may be old and needs to be replaced. - the battery may not be properly connected. - the battery may be damaged. # # # recommendations - replace the battery with a new one. - check the battery connections to make sure they are tight and secure. - inspect the battery for any damage. if the battery is damaged, it should be replaced. @topic:13


the device. the on / off indicator light is red and the other 3. connection to the wireless network : press the on / off button. the on / off d the other lights are red. 4. wi - fi configuration of the mcw. it is necessary to update the wi - fi settings of the mcw in order to activate the device. use the hill - rom l1900b4 tool software to do this ( see manual 209584 ). 5. only qualified and authorized technician should perform this operation use wcm startup 1. press on / off button. the on / off light turns green 2. connecting to wi - fi facility network : the wi - fi light turns green. 3. connecting to the server facility : the server connection light turns green. 4. 5. bed location : the bed location light turns green. note : the bed is located automatically if it is connected to smartsync, and manually if it is connected to the hillrom digital health gateway. the bed can then transmit the information to the facility communication system and the bed is located and associated with the room. when moving the bed outside the room ( battery mode ), the wcm will turn off. after reconnecting the bed to the mains, make sure that all lights are green. if location light remains red, check that the room is equipped with a tracking systeand is operational. a the wi - fi system does not replace the visual and audible alerts generated by the bed. caregivers should use these local alerts and bed information to make a decision. 1. press on / off button. the on / off light is red and the other lights are off. 2. locating the bed manually with the gci wi - fi status the status of the wi - fi connection is displayed at the bottom of the various screens of the gcigci. for more details @topic:10


# # # issue - monitors lcd ( fsn : fs - p3102ds ) experiencing problems with video signals when using dvi cables. # # # impact - the use of dvi cables with 4k monitors is leading to video signal issues. - the hospital is experiencing problems with the video signals on their monitors. # # # possible causes - the dvi cable is not suitable for use with 4k monitors. - the dvi cable is faulty. # # # recommendations - the hospital should use displayport cables for their 4k monitors. - the hospital should make sure that the dvi cable is not faulty. @topic:2


# # # issue - bb not linking to icca # # # impact - patient monitoring is affected - delays in medical care - patient safety is compromised # # # possible causes - loose ac wire - faulty icca cable - internal component failure within the bb or icca - software issues # # # recommendations - ensure that the ac wire is securely connected - replace the icca cable - perform diagnostic tests on the bb and icca to identify the source of the failure - contact the manufacturer for technical support and updates @topic:16


# # # issue - monitor not charging # # # impact - inability to use monitor for patient monitoring # # # possible causes - broken ac cord # # # recommendations - replace ac cord - inspect other cords and cables for damage - ensure that the monitor is plugged into a working outlet @topic:11


# # # issue - bed is unable to adjust. # # # impact - patient discomfort - difficulty performing medical procedures - increased risk of injury to patient or staff # # # possible causes - * * electrical issue : * * - faulty wiring or connections - malfunctioning motor or control unit - * * mechanical issue : * * - jammed or obstructed moving parts - worn or damaged gears or bearings - * * software issue : * * - firmware error or corrupted software - * * user error : * * - improper operation or overloading the bed # # # recommendations - * * electrical issue : * * - inspect wiring and connections for damage or loose connections - test motor and control unit for proper functionality - * * mechanical issue : * * - clean and lubricate moving parts - inspect for obstructions or damage to gears and bearings - * * software issue : * * - update or reinstall firmware - contact manufacturer for technical support - * * user error : * * - provide proper training on equipment operation - ensure the bed is not overloaded @topic:1


* * issue : * * remote control button for adjusting bed head not working * * impact : * * inability to adjust bed head position for patient comfort and care * * possible causes : * * * failed remote control button * malfunctioning wires or connections within the remote control * faulty receiver unit in the bed frame * software glitch or firmware issue * * recommendations : * * * replace the remote control with a functional unit * inspect and test the wiring and connections between the remote control and bed frame * check for any firmware updates or software patches available for the bed system * contact the manufacturer or authorized service provider for further diagnostics and repairs @topic:7


# # # issue - * * component failure : * * the metal grating holding the blood pressure cuff on the patient monitor has rusted. # # # impact - * * device malfunction : * * the monitor may not be able to accurately measure the patient's vital signs due to poor cuff placement and securement. - * * patient safety : * * inaccurate vital sign readings can lead to delayed or incorrect treatment, potentially compromising patient care. - * * equipment damage : * * rust can spread and damage other components of the monitor, leading to further malfunctions or equipment failure. # # # possible causes - * * environmental conditions : * * exposure to moisture or humid environments can contribute to metal corrosion. - * * cleaning and maintenance neglect : * * inadequate cleaning and lubrication of the metal grating can lead to rust buildup. - * * design flaw : * * the grating may have been manufactured with insufficient protection against corrosion. # # # recommendations - * * preventative maintenance : * * regularly clean and lubricate the metal grating to prevent rust buildup. - * * environmental control : * * keep the monitor in a dry, controlled environment to minimize moisture exposure. - * * use rust - resistant materials : * * consider replacing the rusted grating with a more corrosion - resistant alternative. - * * regular inspections : * * conduct routine inspections of the monitor to identify any signs of rust or other damage. - * * training on equipment handling : * * train staff on proper handling and maintenance of medical equipment to prevent such issues from occurring in the future. @topic:5


# # # issue - monitor not connecting to central monitor # # # impact - inability to monitor patient's vital signs centrally # # # possible causes - faulty hardware components within the monitor - faulty communication cables - software issues - misconfiguration of network settings # # # recommendations 1. * * inspect hardware components : * * - check the monitor's power supply and ensure it is securely connected. - inspect the cables connecting the monitor to the central monitor for any damage or loose connections. 2. * * test communication cables : * * - use a cable tester to verify that the communication cables between the monitor and central monitor are functioning correctly. 3. * * check software updates : * * - ensure that the monitor and central monitor are running on the latest software versions. 4. * * configure network settings : * * - verify the network settings on both the monitor and central monitor to ensure they are configured correctly. 5. * * contact biomedical engineering ( bme ) : * * - if the issue persists after troubleshooting, contact bme for further assistance. they can provide expert diagnosis and repair services. @topic:16


# # # issue : medical cart's program icon is missing from the desktop, preventing access to the program. # # # impact : * inability to use the medical cart's software functions, affecting patient care and workflow. # # # possible causes : * user error : accidental deletion or modification of the icon. * system error : corruption or removal of program files. * hardware malfunction : faulty hard drive or display. # # # recommendations : * * troubleshooting : * * 1. * * search for the icon : * * use the windows search bar to locate the program icon. if found, drag and drop it to the desktop. 2. * * check for corrupted files : * * run a system file checker ( sfc ) scan to identify and repair any corrupted system files. 3. * * reinstall the software : * * if the icon is not found or the sfc scan does not resolve the issue, reinstall the medical cart software from the original source. * * prevention : * * * create a backup of the program icon and store it in a safe location. * regularly perform system updates and maintenance to reduce the risk of file corruption. * use an antivirus and malware protection software to prevent malicious software from damaging or deleting files. @topic:13


not shown m3012a # c05 - cardiac output, pressure, temp & press / temp m3012 - 44131 451261000361 m3012a front bezel ( c : 0, press, temp, press / temp ), english ( also for danish, italian, simplified chinese, traditional chinese, japanese ) not shown m3012 - 44132 451261000371 m3012a front bezel ( c : 0, press, temp, press / temp ), french not shown m3012 - 44133 451261000381 m3012a front bezel ( c : 0, press, temp, press / temp ), german not shown m3012 - 44134 451261000391 m3012a front bezel ( c : 0, press, temp, press / temp ), dutch not shown m3012 - 44135 451261000401 m3012a front bezel ( c : 0, press, temp, press / temp ), spanish not shown m3012 - 44137 451261000411 m3012a front bezel ( c : 0, press, temp, press / temp ), norwegian not shown m3012 - 44138 451261000421 m3012a front bezel ( c : 0, press, temp, press / temp ), swedish not shown m3012 - 44139 451261000431 m3012a front bezel ( c : 0, press, temp, press / temp ), finnish not shown m3012 - 44144 451261000441 m3012a front bezel ( c : 0, press, temp, press / temp ), potuguese not shown m3 @topic:19


# # # issue - bed, electric, paramount bed, a9700e - 0204j is being used by the department of nursing. # # # impact - the bed is not available for patient use. # # # possible causes - the bed was borrowed by the department of nursing without proper authorization. - the bed was not returned to the correct location after use. - the bed was damaged while in use by the department of nursing. # # # recommendations - verify that the department of nursing has authorization to borrow the bed. - establish a system for tracking the location of beds when they are borrowed. - inspect the bed for damage before returning it to service. @topic:9


# # # issue - the bed's electric wooden guard is not locking. # # # impact - this could pose a safety hazard to the patient, as they could fall out of the bed. # # # possible causes - the wooden guard may be damaged or worn, preventing it from locking properly. - the locking mechanism may be faulty, preventing the wooden guard from engaging properly. # # # recommendations - the wooden guard should be inspected for damage or wear. if the wooden guard is damaged, it should be replaced. - the locking mechanism should be inspected and repaired or replaced if necessary. @topic:6


# # # issue - monitor lcd is not functioning properly. # # # impact - the monitor cannot be used to display patient data, which could delay or prevent diagnosis and treatment. # # # possible causes - the power cord is damaged. - the monitor is not receiving power. - the monitor is defective. - the monitor's settings are incorrect. # # # recommendations - inspect the power cord for damage. if the power cord is damaged, replace it. - check that the monitor is receiving power. if the monitor is not receiving power, troubleshoot the power source. - reset the monitor to its factory settings. - contact the manufacturer of the monitor for further assistance. @topic:2


# # # issue - broken ac plug # # # impact - the bed cannot be plugged in and used. # # # possible causes - the plug was stepped on or tripped over. - the plug was not properly inserted into the outlet. - the plug was damaged due to wear and tear. # # # recommendations - replace the broken plug with a new one. - ensure that the plug is properly inserted into the outlet. - inspect the plug regularly for damage and replace it if necessary. - use a surge protector to protect the bed from power surges. @topic:9


# # # issue - equipment : monitor, bedside, physiologic - band : philips - model : intellivue mp70 ( m8007a ) - problem : ekg signal intermittent, o2 sat signal present but no reading # # # impact - inability to accurately monitor patient's vital signs - potential for delayed or incorrect diagnosis and treatment # # # possible causes - * * ekg cable : * * - loose connection - damaged cable - faulty sensor - * * o2 saturation cable : * * - loose connection - dirty or damaged sensor - misalignment of sensor on patient's finger # # # recommendations - * * ekg cable : * * - inspect cable for damage or loose connections - replace cable if necessary - check sensor for proper placement and cleanliness - * * o2 saturation cable : * * - inspect cable for damage or loose connections - clean sensor with alcohol swab - ensure sensor is properly aligned on patient's finger - * * additional troubleshooting : * * - reboot the monitor - factory reset the monitor - contact the manufacturer for technical support @topic:18


# # # issue - head plug of the electric bed is damaged. # # # impact - the electric bed cannot be plugged in and used. # # # possible causes - the head plug could have been damaged due to : - physical damage ( e. g., being dropped, kicked, or crushed ) - electrical damage ( e. g., a power surge or short circuit ) - wear and tear over time # # # recommendations - replace the head plug of the electric bed. - inspect the electric bed for any other damage. - test the electric bed to ensure that it is functioning properly. @topic:9


software updates that may resolve the issue. install the updates if necessary. - * * replace the knee motor : * * if the problem persists, the knee motor may need to be replaced. contact the manufacturer or a qualified technician to perform the replacement. - * * regular maintenance : * * perform regular maintenance on the contoura 360 electric bed to prevent future failures. this includes cleaning, lubrication, and checking for any loose connections or damaged components. @topic:9


# # # issue - battery failure in the philips intellivue x2 ( m3002a ) patient transport monitor. # # # impact - the monitor may not be able to operate in the event of a power outage, which could compromise patient safety. # # # possible causes - battery has reached the end of its expected lifespan. - battery has been damaged due to improper handling or storage. # # # recommendations - replace the battery with a new one of the same type and capacity. - follow the manufacturer's instructions for proper handling and storage of the battery. - consider purchasing a spare battery to have on hand in case of an emergency. @topic:11


# # # issue unable to connect to hardware, specifically med admin can not connect to hardware # # # impact malfunctioning of the medical device, potentially compromising patient care # # # possible causes - * * hardware issues * * : - faulty cables or connections - malfunctioning hardware components within the device - * * software issues * * : - incorrect ip address configuration - software bugs or glitches - * * environmental factors * * : - power outages or surges - extreme temperatures or humidity # # # recommendations 1. * * check physical connections * * : verify that all cables and connectors are properly plugged in and secure. 2. * * reset ip address * * : reconfigure the ip address of the device to ensure proper communication. 3. * * update software * * : install any available software updates to fix potential bugs. 4. * * inspect hardware components * * : look for any visible damage or loose connections within the device. 5. * * troubleshoot network issues * * : check if the network is functioning properly and that the device has access to the necessary network resources. 6. * * contact manufacturer support * * : if the issue persists, reach out to the manufacturer for further assistance. @topic:16


# # # issue : printer failure on monitor or central station # # # impact : inability to print vital patient information # # # possible causes : - equipment : - faulty printer hardware - loose or damaged cables connecting the printer to the equipment - software : - corrupted printer driver software - incompatible printer settings - paper : - empty paper tray - paper jams - network : - connectivity issues between the equipment and the printer - other : - power supply issues - user error ( incorrect printer selection, etc. ) # # # recommendations : * * 1. check physical connections : * * - verify that all cables connecting the printer to the equipment are secure and not damaged. - ensure that the printer is powered on and receiving power. * * 2. inspect paper tray : * * - check the paper tray for paper and add more if necessary. - remove any paper jams by gently pulling out the jammed paper. * * 3. update or reinstall printer drivers : * * - download and install the latest printer drivers from the manufacturer's website. - if the drivers are already up to date, try reinstalling them. * * 4. adjust printer settings : * * - check the printer settings in the equipment's menu to ensure they are correct for the type of printer being used. - verify that the correct printer is selected as the default printer. * * 5. test network connectivity : * * - check if the equipment and the printer are connected to the same network. - restart the network connection ( router or switch ) to resolve any connectivity issues. * * 6. contact manufacturer : * * - if the problem persists after trying the above steps, contact the manufacturer of the equipment or the printer for further assistance. @topic:28


# # # issue the cuff on the philips suresings vs2 + vital signs monitor is deteriorating. # # # impact the cuff is used to measure blood pressure and other vital signs. if it is not functioning properly, the monitor will not be able to provide accurate readings. this could lead to incorrect treatment decisions. # # # possible causes the cuff may be deteriorating due to age, wear and tear, or exposure to chemicals or other harsh conditions. # # # recommendations the cuff should be replaced as soon as possible to ensure accurate readings from the vital signs monitor. the technician should also inspect the monitor for other signs of wear and tear and make any necessary repairs. @topic:15


# # # issue - ups central has a loud noise. # # # impact - the noise may be annoying or distracting to patients and staff. - the noise may indicate a serious problem with the ups, which could lead to a power outage. # # # possible causes - the ups battery is failing. - the ups is overloaded. - the ups is not properly grounded. - the ups is defective. # # # recommendations - replace the ups battery. - reduce the load on the ups. - ensure that the ups is properly grounded. - contact the manufacturer for support. @topic:9


# # # issue - sudden shutdown of the central monitor # # # impact - interruption of patient monitoring - delay in diagnosis and treatment - panic among healthcare providers and patients # # # possible causes - * * battery failure : * * the battery ups may have failed to provide backup power, causing the monitor to shut down abruptly. - * * power surge : * * a power surge could have damaged the monitor's electrical components. - * * software glitch : * * a software malfunction or bug may have caused the monitor to shut down unexpectedly. - * * hardware failure : * * a component within the monitor may have failed, leading to the shutdown. # # # recommendations - * * inspect the battery ups : * * check the battery ups for any damage or signs of failure. replace the battery if necessary. - * * test the power supply : * * ensure that the monitor is connected to a stable power supply. use a power surge protector to prevent damage from power surges. - * * monitor software : * * update the monitor's software to the latest version. this may address any bugs or glitches that could cause the monitor to shut down. - * * troubleshoot the hardware : * * contact the manufacturer or a qualified technician to diagnose and repair any hardware failures. - * * implement a maintenance schedule : * * regular preventive maintenance can help identify and resolve potential issues before they cause a failure. @topic:2


# # # issue - cuff failure in a bedside physiologic monitor. # # # impact - inaccurate or unreliable monitoring of patient vital signs, such as blood pressure, heart rate, and oxygen saturation. - potential for delayed or missed medical interventions. - reduced patient safety and well - being. # # # possible causes - * * normal wear and tear : * * cuffs are subject to repeated use and exposure to harsh environments, which can lead to deterioration over time. - * * improper use or handling : * * incorrect cuff placement or inflation can damage the cuff. - * * defective manufacturing : * * design flaws or material defects can result in cuff failure. - * * environmental factors : * * extreme temperatures, moisture, or chemicals can degrade the cuff's materials. # # # recommendations - * * regular inspection and maintenance : * * periodically check the cuff for signs of wear or damage, and replace it as needed. - * * proper use and handling : * * follow manufacturer's instructions for cuff placement and inflation. avoid excessive pressure or prolonged use. - * * quality control : * * ensure that cuffs are sourced from reputable suppliers and meet industry standards. - * * training : * * provide training to healthcare staff on proper cuff use and maintenance procedures. - * * use of advanced technology : * * consider utilizing wireless or disposable cuffs that may have improved durability and reliability. @topic:5


# # # issue : - monitor : propaq lt is displaying a failure message. # # # impact : - the device is unable to function properly and provide accurate patient monitoring. # # # possible causes : - propaq no. 3 button may be defective or not functioning correctly. - connection issues between propaq no. 3 and the attached adult cuff and o2sat % sensor. - software or hardware malfunction within the propaq lt device. # # # recommendations : - * * verify connections : * * ensure that all cables and connections between the propaq no. 3, adult cuff, and o2sat % sensor are secure and intact. - * * test equipment : * * run diagnostic tests on the propaq lt device and its attached sensors to identify any specific error codes or malfunctions. - * * inspect propaq no. 3 button : * * physically inspect the propaq no. 3 button for any visible damage or debris that may be causing it to malfunction. - * * troubleshoot software / hardware : * * if the above steps do not resolve the issue, consider updating the device software or consulting with the manufacturer for further troubleshooting and repair options. - * * alert clinicians : * * inform the relevant healthcare professionals about the failure and the steps being taken to resolve it promptly. @topic:15


# # # issue the cuff of the philips suresigns vs2 + monitor, physiologic, vital signs is deteriorated. # # # impact the device is unable to accurately measure blood pressure. # # # possible causes * the cuff is old and has been used extensively. * the cuff has been exposed to extreme temperatures or moisture. * the cuff has been damaged. # # # recommendations * replace the cuff with a new one. * inspect the cuff regularly for signs of wear and tear. * store the cuff in a cool, dry place when not in use. @topic:15


# # # issue the cause of failure is listed as " setting the device for use. " # # # impact this issue can result in the device not functioning properly or not being configured correctly for its intended use. this could lead to patient harm or incorrect medical treatment. # # # possible causes * the technician may not be properly trained on how to set up the device. * the device may be defective. * the device may not be compatible with the other equipment in the hospital. * the device may not be properly calibrated. # # # recommendations 1. ensure that the technician is properly trained on how to set up the device. 2. check the device for any defects. 3. verify that the device is compatible with the other equipment in the hospital. 4. calibrate the device according to the manufacturer's instructions. 5. follow the manufacturer's instructions for setting up the device. @topic:12


# # # issue - computer error - monitor not turning on # # # impact - inability to use the monitor for patient transport - potential delays in patient care # # # possible causes - faulty computer - power supply issues - loose connections - software issues - display issues # # # recommendations - verify power supply and connections - check for any loose or damaged cables - inspect the display for any physical damage - update software and drivers - contact the manufacturer for further troubleshooting assistance - replace faulty components as necessary @topic:2


# # # issue the cause of failure is not specified in the input. # # # impact the impact of the failure is not specified in the input. # # # possible causes there are several possible causes for the failure : - mechanical failure - electrical failure - software failure - human error # # # recommendations the following recommendations are made to prevent the failure from recurring : - inspect the equipment regularly for mechanical damage. - test the equipment regularly for electrical faults. - update the software regularly to fix bugs. - train staff on the proper use of the equipment. @topic:12


the same height as the bed. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 7. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 8. connect the foot hilow column to the power supply p. c. board. 9. perfonn the removal procedure in reverse order. 10. plug the bed into an appropriate power source. 11. operate the trendelenburg function to make sure there is no tension on the power supply cable of the column. shock hazard : the equipotential link and the grounding of the metal parts of the bed depend on the correct installation of the earth conductor and grounding spring blades. personal injury could result if the installation is not correct and / or if the earth continuity is compromised. 12. check that the earth continuity of the accessible metal parts is correct ( see “ leakage current ” on page 6 - 8 in the preventive maintenance schedule ). 13. to make sure the careassist® bed operates correctly, do the “ function checks ” on page 2 - 5. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 33 4. 10 foot ftilow column ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures 4. 10 foot hilow column ( a model beds ) tools required : 13 mm socket ratchet extension ( 2 ) jack stands vise - grips® 1 removal 1. set the brakes. 2. remove the footboard. 3. raise the head section to the full up position. 4. remove the seat section of the sleep deck. 5. remove the thigh section of the sleep deck. warning : do not work under an unsupported load. install applicable temporary supports. failure @topic:26


* * issue : * * * low battery level ( - 1 ) * * impact : * * * the medical cart may not function properly or may lose power unexpectedly. * * possible causes : * * * the battery is old and needs replacement. * the battery is not fully charged. * there is a fault in the battery or charging system. * * recommendations : * * * replace the battery with a new one. * fully charge the battery and ensure that the charging system is functioning properly. * contact the manufacturer for further troubleshooting if the issue persists. @topic:13


# # # issue - cuff bp failure # # # impact - inability to accurately measure blood pressure # # # possible causes - cuff tear - cuff leak - damaged inflation bulb # # # recommendations - replace cuff - inspect cuff for leaks - replace inflation bulb @topic:3


# # # issue - lcd monitor not displaying any image. # # # impact - inability to use the monitor for medical imaging, patient monitoring, or other purposes. # # # possible causes - loose connection between the monitor and signal source ( e. g., computer, imaging system ) - faulty signal cable or connector - power supply issues - internal hardware failure within the monitor # # # recommendations - check and tighten all signal cables and connections. - inspect the signal cable for any damage or defects. replace if necessary. - ensure that the monitor is receiving power and that the power cord is securely plugged into a working outlet. - if the issue persists or if there are any signs of internal damage ( e. g., smoke, burning smell ), contact a qualified biomedical engineer for further diagnosis and repair. @topic:2


# # # issue - cuff ( bp cuff ) is faulty # # # impact - inaccurate blood pressure readings # # # possible causes - wear and tear - damage during storage or transport - improper use # # # recommendations - replace the cuff with a new one - ensure proper storage and transport conditions - train staff on proper use of the equipment @topic:3


# # # issue - spo2 probe malfunction # # # impact - inability to accurately monitor patient's oxygen saturation levels # # # possible causes - damaged spo2 cable - loose connection between probe and monitor - faulty spo2 module in the monitor - patient movement or interference # # # recommendations - replace the spo2 cable - ensure a secure connection between the probe and monitor - test the spo2 module to ensure proper functionality - reposition the probe on the patient's finger or toe and minimize movement @topic:4


network = > setup network xefwork setup ip config bootp dynamic ip mandators'ip address o. o. o. o subnet mask o. o. o. o default gateway % o. o. o. o igmp off cl mode broadcast cl address o. o. o. o cl ttl 1 qos state off qos level 0 directoiy mode broadcast directors'addr o. o. o. o lldp on 274 7 installation instructions ] ip config dynamic ip ip address subnet mask default gateway icmp cl mode cl address cl ttl qos state qos level directory mode directory addr lldp store note lldp added with software rev. j. l directory mode, directory addr added with software rev. h. o cl mode, cl address, cl ttl and igmp added with software rev. g. o the setup network menu allows you to configure the following items : allows you to change the mode to acquire the ip address. choices are bootp, dhcp, dhcp restricted and manual. in dhcp restricted mode any true bootp responses are ignored. can be either mandatory ( default ) or optional. if mandatory is set the bedside will announce an inop if an ipv4 address could not be acquired. if ip config is set to manual, the ip address should be a valid ip address, e. g. not 0. 0. 0. 0. the configured value is ignored when ip config is not set to manual. the subnet mask must be provided for manual ip addresses. the subnet mask must consist of a single consecutive series of ‘ t ” bits ; e. g. 255. 255. 248. 0. the configured value is ignored when ip config is not set to manual. the ip address of the default gateway can @topic:10


# # # issue - cuff of the vital signs monitor was found to be broken, resulting in the inability to measure blood pressure accurately. # # # impact - inaccurate blood pressure readings can lead to misdiagnosis, incorrect treatment decisions, and potential harm to patients. # # # possible causes - cuff wear and tear over time due to frequent use and cleaning - improper handling or storage of the cuff, causing damage to the material - manufacturing defect in the cuff material or construction # # # recommendations - implement a regular inspection and maintenance schedule for all vital signs monitors to identify any signs of cuff damage early on. - train staff on the proper handling and storage of cuffs to prevent unnecessary wear and tear. - consider using cuffs with reinforced materials or designs to improve durability. - establish a process for prompt replacement of damaged cuffs to ensure accurate blood pressure measurement. - collaborate with the manufacturer to identify any potential design flaws or quality issues in the cuffs. @topic:5


# # # issue - bed not adjusting # # # impact - inability to properly position patient - patient discomfort - increased risk of injury # # # possible causes - loose ac cord - faulty electrical connection - damaged motor or gearbox - software malfunction # # # recommendations * * for loose ac cord : * * - inspect ac cord for damage or loose connections - securely connect ac cord to both the bed and power outlet * * for faulty electrical connection : * * - check for loose or corroded wires - inspect electrical components for damage - contact a qualified electrician for repairs * * for damaged motor or gearbox : * * - listen for unusual noises or vibrations - inspect motor and gearbox for visible damage - contact the manufacturer for replacement parts or service * * for software malfunction : * * - reset the bed's software - check for software updates - contact the manufacturer for technical support # # # additional notes : - always refer to the manufacturer's instructions for specific troubleshooting and repair procedures. - only qualified personnel should attempt repairs on medical equipment. - document all repairs and maintenance activities for future reference. @topic:1


# # # issue - broken cuff # # # impact - inaccurate vital signs measurements - patient discomfort # # # possible causes - cuff not properly inflated or deflated - cuff worn out or damaged - cuff not connected properly # # # recommendations - replace the cuff - inspect the cuff for any damage - ensure cuff is properly connected @topic:5


# # # issue - cuff bp stand damaged # # # impact - blood pressure cannot be measured # # # possible causes - cuff worn out - cuff not properly connected to the monitor # # # recommendations - replace the cuff - check the connection between the cuff and the monitor @topic:3


# # # issue keypad of the beds, electric equipment manufactured by hill - rom and model care assist es230 is faulty. # # # impact the faulty keypad may hinder the proper functioning of the medical equipment, affecting patient care and safety. # # # possible causes - wear and tear due to prolonged use - damage caused by accidental impact or mishandling - electrical malfunctions within the keypad circuitry # # # recommendations - replace the faulty keypad with a new one to restore the equipment's functionality. - consider implementing regular maintenance and inspection schedules to identify potential issues early on and prevent future failures. - train staff on proper handling and maintenance procedures to minimize the risk of damage to the equipment. @topic:25


# # # issue ekg signals are not reaching the patient # # # impact the patient's ekg readings will not be accurate, which could lead to incorrect diagnosis and treatment. # # # possible causes * the ekg cable is not properly connected to the patient. * the ekg cable is damaged. * the ekg electrodes are not properly attached to the patient. * the ekg machine is not functioning properly. # # # recommendations * check the ekg cable connections and make sure that the cable is not damaged. * replace the ekg electrodes if they are not properly attached to the patient. * restart the ekg machine. * if the problem persists, contact the manufacturer for service. @topic:18


# # # issue - monitors are switching data between bed 5 and bed 10. # # # impact - incorrect patient data could be displayed on the monitors, leading to potential errors in patient care. # # # possible causes - the monitors are not properly linked to the central system. # # # recommendations - ensure that the monitors are properly linked to the central system by checking the network connections and configurations. - if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting. @topic:16


# # # issue - broken spring in the spo2 probe cover # # # impact - inability to accurately measure oxygen saturation levels # # # possible causes - * * wear and tear : * * the spring may have weakened over time due to repeated use. - * * improper handling : * * the device may have been mishandled, causing the spring to break. - * * manufacturing defect : * * the spring may have been defective from the manufacturer. # # # recommendations - * * inspect the spo2 probe regularly : * * check for any signs of damage or wear and tear. - * * handle the device carefully : * * avoid dropping or mishandling the device. - * * use the correct probe : * * ensure that the spo2 probe being used is compatible with the device. - * * contact the manufacturer : * * if the spring breaks despite proper care, contact the manufacturer for repair or replacement. @topic:4


# # # issue : patient monitor sat probe not detecting signal # # # impact : accurate monitoring of patient's oxygen saturation levels is compromised. # # # possible causes : 1. * * defective sat probe : * * the sat probe may be damaged or faulty, leading to poor signal detection. 2. * * loose connection : * * the sat probe may not be properly connected to the patient monitor, resulting in intermittent or no signal. 3. * * improper patient positioning : * * the sat probe may not be placed correctly on the patient, leading to weak or obstructed signal transmission. 4. * * excessive patient movement : * * movement can disrupt the signal between the sat probe and the patient, affecting accuracy. 5. * * electromagnetic interference : * * nearby electronic devices, such as mobile phones, can interfere with the sat probe's signal reception. 6. * * software glitch : * * a software issue within the patient monitor may affect the sat probe's function. # # # recommendations : 1. * * inspect the sat probe : * * check for any physical damage to the probe, such as cracks or broken wires. replace if necessary. 2. * * ensure proper connection : * * make sure the sat probe is securely connected to the patient monitor and the patient. 3. * * optimize patient positioning : * * place the sat probe on a clean and dry area of the patient's skin, avoiding areas with hair or tattoos. 4. * * minimize patient movement : * * encourage the patient to remain still during monitoring to ensure stable signal transmission. 5. * * eliminate electromagnetic interference : * * keep electronic devices away from the patient monitor and sat probe to reduce signal interference. 6. * * contact technical support : * * if the issue persists, contact the manufacturer's technical support team for further assistance or software updates. @topic:4


# # # issue - slak on the bed rail is broken and cannot be lowered. # # # impact - the patient cannot get out of bed safely. - the bed cannot be moved easily. # # # possible causes - the slack has been damaged due to repeated use. - the slack has been bent or broken due to an impact. - the slack has been improperly installed. # # # recommendations - replace the slack. - inspect the slack regularly for damage. - properly install the slack. @topic:6


# # # issue - inability for the patient to rest their legs during a procedure # # # impact - discomfort or pain for the patient - difficulty in performing the procedure - potential for the patient to fall # # # possible causes - loose or missing screws - worn or damaged screws - stress on the leg rest - improper assembly of the equipment # # # recommendations - inspect all bolts and screws on the leg rests and tighten or replace any that are loose or damaged. - avoid excessive force or weight on the leg rests. - ensure that the equipment is assembled correctly according to the manufacturer's instructions. - perform regular maintenance and inspections of the equipment to identify and address any potential issues. @topic:6


# # # issue - the monitor is not turning on. # # # impact - the monitor cannot be used to monitor the patient's vital signs. - this could lead to a delay in diagnosis and treatment, which could have serious consequences. # # # possible causes - the power cord is not plugged in. - the power outlet is not working. - the fuse in the monitor has blown. - the monitor's power supply is faulty. - the monitor's motherboard is faulty. # # # recommendations - check that the power cord is plugged in and that the power outlet is working. - if the fuse in the monitor has blown, replace it with a new one. - if the monitor's power supply is faulty, replace it with a new one. - if the monitor's motherboard is faulty, the monitor will need to be repaired or replaced. @topic:2


very low problem is still present, reset the radio to factory defaults. if the problem persists, check for software update and apply it. if still present, eplace the radio. configuration. econfigure and trcheck for a software update and apply it. if still present, replace thradio. serialization failure. there is ainternal software error on the radio or the monitor radio not functional. radio not functional. missing pac file. there is a check the radio configuration. if the very low problem is still present, reset the misconfiguration of the radio ( configured for eap - fast and manual pac but none 350034 radio to factory defaults. if the problem persists, cheupdate and apply it. if still present, the radio. invalid pac file password. there is a misconfiguration of the radio ( configured for eap - fast and manual pac but password for pac is incorrect ) invalid radio configuration. reconfigure and try gain. 350035 check the radio configuration. if the very low problem is still present, reset the radio to factory defaults. if the problem persists, check for software update and apply it. if still present, e the radio. invalid bssid format. there was an internal software error on the radio ( related to ap scan feature, may not occur with current laird software ) radio not functional. 350036 check for a software update and apply it. if still present, replace the radio. unknown certificate id. there is an internal software error on the monitor : attempt to query a certificate status for a certificate that does not exist check the radio configuration. if the very low problem is still present, reset the radio to factory defaults. if the problem persists, check for software update and apply it. if still present, eplace the radio. radio not @topic:16


# # # issue - cuff deterioration # # # impact - inaccurate or incomplete vital signs monitoring - false alarms or missed alerts - patient discomfort or injury # # # possible causes - normal wear and tear due to repeated use - damage from improper cleaning or handling - exposure to moisture or extreme temperatures - chemical degradation # # # recommendations - regular inspection of cuffs for signs of wear or damage - proper cleaning and storage of cuffs - replacement of cuffs according to manufacturer's guidelines - education of staff on proper cuff maintenance and handling @topic:5


# # # issue bedside rail lock not engaging # # # impact patient safety hazard. patient could fall out of bed if rail is not properly locked. # # # possible causes - worn or damaged lock mechanism - misaligned rail - obstruction preventing rail from engaging with lock # # # recommendations - inspect lock mechanism for damage or wear. replace if necessary. - check alignment of rail and ensure it is not bent or obstructed. - clean and lubricate lock mechanism to ensure proper operation. @topic:6


# # # issue - equipment : bedside physiologic monitor - manufacturer : philips - model : intellivue mx550 - description : lead ll is broken, resulting in no signal being displayed on the monitor. # # # possible causes - physical damage to the lead wire or connectors. - intermittent electrical connection due to loose or damaged contacts. - software issue preventing recognition of the lead. # # # recommendations - replace the lead wire with a new one. - inspect the connectors and ensure they are clean and firmly attached. - update the monitor's software or firmware to the latest version. # # # cause of failure - the specific cause of failure is not specified in the provided information. however, based on the observed symptoms and possible causes, the most likely cause is : * * physical damage to the lead wire. * * this could have been caused by improper handling, accidental pulling or bending, or exposure to harsh conditions. @topic:18


# # # issue - the cause of failure is stated as " swapped the positions of the monitor ( on top ) with the ec80 box ( on bottom ). " # # # impact - swapping the positions of the monitor and the ec80 box may have caused the equipment to malfunction, leading to potential patient safety concerns or interruptions in healthcare delivery. # # # possible causes - lack of training or inadequate understanding of the equipment's configuration could have led to the technician incorrectly swapping the positions of the monitor and the ec80 box. - misinterpretation of instructions or a misunderstanding during the repair process could also have contributed to the issue. # # # recommendations - * * technician training : * * ensure that technicians receive appropriate training and have a thorough understanding of the equipment's configuration and proper procedures for [UNK] [UNK]. - * * standardized procedures : * * establish clear and concise sops ( standard operating procedures ) for equipment maintenance and repair to minimize errors and ensure consistency. - * * verification and validation : * * implement a rigorous verification and validation process to confirm the proper functioning of the equipment after any maintenance or repair interventions. - * * regular maintenance : * * schedule regular preventive maintenance to proactively identify and address potential issues before they lead to failures. - * * documentation : * * maintain detailed records of all maintenance and repair activities to track progress and identify potential trends or recurring issues. @topic:2


# # # issue - spo2 cable damage. # # # impact - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes - wear and tear due to frequent use. - improper storage or handling. - manufacturing defects. # # # recommendations - regularly inspect spo2 cables for signs of damage. - store and handle cables properly to prevent damage. - use high - quality cables from reputable manufacturers. - replace damaged cables as soon as possible to ensure accurate patient monitoring. - train staff on proper use and care of medical equipment to minimize damage. @topic:4


# # # issue - equipment malfunction # # # impact - delay in patient care - loss of revenue - damage to reputation # # # possible causes - equipment not properly maintained - equipment not properly calibrated - equipment not properly used - equipment not properly serviced - equipment not properly designed # # # recommendations - ensure that all equipment is properly maintained, calibrated, used, and serviced. - regularly inspect equipment for signs of damage or wear. - train staff on proper use of equipment. - purchase equipment from reputable manufacturers. - follow manufacturer's instructions for maintenance and calibration. @topic:12


cal tube. 7 set the gas correction to off 8 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 70 3 testing and maintenance ] 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 ( x2 ) acceptance range sidestream 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 flow check check the flow rate in the sidestream c02 extension as follows : 1 connect the flowmeter to the sample line 2 check on the flowmeter the flow that the sidestream co 2 extension pump draws. it should be 50 ml / min ± 10 ml / min. if the value is not within tolerance check your setup again and perform another flow check. if it fails again, the sensor must be replaced. the sensor cannot be calibrated. 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 ( x3 ) acceptance range sidestream c02 flow check 50 ml / min ±10 ml / min 40 ml / min - 60 ml / min note the expected test results will differ depending on the conditions ( i. e. altitude or ambient pressure ). microstream c02 performance test allow five seconds between individual service procedures to ensure stable equipment conditions. when certain monitor procedures are running, service procedures are not possible and trying @topic:17


# # # issue lcd screen not displaying a clear and bright image during a medical procedure # # # impact compromised visibility and decision - making capabilities during the procedure # # # possible causes - incorrect display mode setting ( e. g., composite mode instead of the preferred mode for medical use ) # # # recommendations - verify and adjust the display mode settings to the appropriate configuration for the intended medical application - ensure that the monitor is properly calibrated and meets the required brightness and sharpness standards - consider external factors, such as ambient lighting and reflections, that may affect image quality @topic:2


* * issue : * * - bed not adjusting * * impact : * * - patient discomfort - impaired patient care * * possible causes : * * - power cord disconnection * * recommendations : * * - ensure power cord is securely connected to the control box. - inspect power cord for damage or wear. - verify power supply is functioning properly. @topic:1


# # # issue - failed main board # # # impact - inability to monitor patient vital signs, potentially leading to delayed or incorrect diagnosis and treatment. # # # possible causes - * * extended usage : * * the equipment has been in operation for an extended period, increasing the likelihood of component failure due to wear and tear. - * * power surges or fluctuations : * * unstable power supply can damage sensitive electronics, such as the main board. - * * environmental factors : * * extreme temperatures, humidity, or exposure to dust can degrade electronic components over time. - * * manufacturing defects : * * although rare, there is a possibility that the main board had inherent flaws or weaknesses that contributed to its failure. # # # recommendations - * * regular maintenance and inspections : * * establish a schedule for routine maintenance to identify and address potential issues before they become critical. - * * use of surge protectors : * * protect the equipment from power surges and fluctuations by using surge protectors. - * * environmental control : * * maintain an appropriate operating environment for the equipment, including temperature, humidity, and cleanliness. - * * purchase high - quality equipment : * * invest in well - designed and manufactured medical devices with a track record of reliability. - * * maintain spare modules : * * keep backup modules available to minimize downtime in case of component failures. @topic:2


# # # issue * cuff connector failure # # # impact * inaccurate blood pressure measurements * loss of monitoring data * potential patient harm # # # possible causes * prolonged use and wear * excessive force applied to the connector * improper handling or storage * defects in the connector material or design # # # recommendations * regularly inspect and maintain the cuff connector, especially after prolonged use. * avoid applying excessive force or twisting the connector. * handle and store the equipment properly according to manufacturer's instructions. * replace the cuff connector if it shows signs of damage or wear. * consider using a cuff with a more durable connector to minimize the risk of failure. * train staff on proper use and handling of the equipment. @topic:3


# # # issue - barcode scanner not working # # # impact - inability to scan barcodes, which could lead to errors in patient identification or medication administration # # # possible causes - loose lan cable connection to barcode scanner - faulty barcode scanner - software issue with barcode scanner # # # recommendations - check and tighten the lan cable connection to the barcode scanner - ensure that the barcode scanner is properly plugged into a power outlet - restart the barcode scanner - contact the manufacturer for troubleshooting assistance @topic:23


* * issue : * * - monitor screen flickering * * impact : * * - inaccurate or intermittent patient data display - difficulty in monitoring patient's vital signs - potential for misdiagnosis or delayed treatment * * possible causes : * * the provided context does not mention any cause of failure related to the dynamap id5617 device. however, based on the information given, the following possible causes can be considered : - * * loose display ribbon cable : * * this is a common issue that can cause screen flickering in medical monitors. the ribbon cable connects the display to the motherboard and if it becomes loose, it can disrupt the signal transmission. - * * faulty display panel : * * the display panel itself may have a manufacturing defect or could have been damaged, leading to flickering. - * * power supply issue : * * if the power supply to the monitor is unstable or intermittent, it can cause the screen to flicker. - * * software glitch : * * a software issue in the monitor's firmware or operating system can also cause screen flickering. * * recommendations : * * to address this issue, the following recommendations can be made : 1. * * reseat the display ribbon cable : * * open the monitor casing and check if the ribbon cable connecting the display to the motherboard is loose. if it is, carefully reseat it to ensure a secure connection. 2. * * examine the display panel : * * check the display panel for any physical damage or defects. if any damage is found, the panel will need to be replaced. 3. * * inspect power connections : * * verify that all power connections to the monitor are secure and that the power supply is stable. 4. * * update firmware : * * if possible, update the monitor's firmware to the latest version, as this may resolve software - related @topic:2


calibration is successful, the last calibration date and hours to calibration in the c02 test window reset. to check this, re - open the c02 test window. 8. if the module is not able to calibrate itself, an error message appears. replace the c0 2 module predictive temperature ( suresigns vm4 ) 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 welchallyn suretemp® plus temperature measurement. use a fixed temperature value to verify the calibration of the temperature measurement. this test applies only to the suresigns vm4 patient monitor. to test the performance of the predictive temperature measurement : 1. remove any suretemp probe connected to the monitor. 2. connect the suresigns temperature calibration key. 3. wait for the monitor to display the static temperature value. 4. check that the displayed temperature reads 36. 3 + / - 0. 1 °c ( 97. 3 + / - 0. 2 °f ) 5. if the value is not within tolerance, see chapter 7, troubleshooting. 6 - 16 performance verification testing performing verification tests continuous temperature before you start : see “ required test equipment ” for a list of the equipment that you need to perform this test. to test the performance of the continuous temperature measurement : 1. connect the patient simulator to the temperature connector on the monitor or measurement server extension. 2. configure the patient simulator to 40 °c ( 100 °f ). 3. wait for the monitor to display the static temperature value. 4. the value should be 40 °c ± 0. 2 °c ( 100 °f ± 0. 4 °f ). 5. if the value is not within tolerance, see chapter 7, troubleshooting @topic:17


hz filter mode adult / neo / pedi : 0. 5 to 20 hz 429 38 installation and specifications measurement specifications ecg / arrhythmia / st performance specifications bandwidth when the ecg is transmitted from a telemetry device via short range radio diagnostic mode adult / neo / pedi : 0. 05 to 40 hz extended monitoring mode neo / pedi : 0. 5 to 40 hz monitoring mode adult : 0. 5 to 40 hz neo / pedi : 0. 5 to 40 hz filter mode adult / neo / pedi : 0. 5 to 20 hz differential input impedance > 2 mq ra - ll leads ( resp ) > 5 mq at all other leads ( at 10 hz including patient cable ) common mode rejection ratio diagnostic mode : > 86 db ( with a 51 kq / 47 nf imbalance ). filter mode : > 106 db ( with a 51 kq / 47 nf imbalance ). electrode offset potential tolerance ±500 mv auxiliary current ( leads off detection ) active electrode : < 100 na reference electrode : < 900 na input signal range ±5 mv ecg / arrhythmia / st / qt alarm specifications range adjustment hr 15 to 300 bpm maximum delay : 10 seconds according to aami ec 13 - 1992 standard adult : 1 bpm steps ( 15 to 40 bpm ) 5 bpm steps ( 40 to 300 bpm ) pedi / neo : l bpm steps ( 15 to 50 bpm ) 5 bpm steps ( 50 to 300 bpm ) extreme tachy difference to high limit 0 to 50 bpm 5 bpm steps clamping at 150 to 300 bpm 5 bpm steps extreme brady difference to low limit 0 to 50 bpm 5 bpm steps clamping at 15 to 100 bpm 5 bpm steps run pvcs 2 pvcs not adjustable by user pvcs rate @topic:8


* * issue : * * medical cart battery indicator displays - 1 % * * impact : * * - inaccurate battery level indication - potential for unexpected device shutdown * * possible causes : * * * * 1. software issue : * * - a glitch in the software responsible for battery monitoring - corrupted or outdated firmware * * 2. hardware issue : * * - faulty battery or battery sensor - loose or damaged wiring * * 3. user error : * * - incorrect calibration of the battery indicator * * recommendations : * * 1. * * recalibrate the battery indicator : * * - this can be done using the manufacturer's instructions or by a qualified technician. 2. * * update software and firmware : * * - ensure the medical cart is running on the latest software and firmware versions. 3. * * inspect battery and wiring : * * - visually inspect the battery for any damage or corrosion. - check wiring connections for any loose or broken wires. 4. * * replace faulty components : * * - if the battery or battery sensor is found to be faulty, it should be replaced. 5. * * contact manufacturer or service provider : * * - if the issue persists, contact the manufacturer or an authorized service provider for further assistance. * * additional considerations : * * - keep the medical cart plugged into a power source whenever possible. - monitor the battery level closely, especially during extended use. - train staff on proper handling and maintenance of medical equipment. @topic:13


* * issue : * * * bed does not adjust down * * impact : * * * patient discomfort * difficulty in providing patient care * potential safety hazard * * possible causes : * * * * * leaking air hose : * * the description mentions that the air hose for adjusting the bed up and down was replaced due to a leak. this suggests that the leak may have caused the bed to be unable to adjust down. * * * electrical fault : * * the equipment is an electric bed. an electrical fault in the motor or control system could prevent the bed from adjusting down. * * * mechanical failure : * * there could be a mechanical issue, such as a broken gear or jammed component, that is preventing the bed from adjusting down. * * recommendations : * * * * * inspect and test the air hose : * * ensure that the new air hose is securely attached and not leaking. * * * check for electrical faults : * * measure the voltage and continuity throughout the electrical system to identify any faults. * * * examine the mechanical system : * * inspect the gears, motors, and other mechanical components for any signs of damage or wear. * * * consult the manufacturer's instructions or service manual : * * refer to the documentation for troubleshooting and repair procedures. * * * replace faulty components : * * if necessary, replace any faulty components, such as the air hose, motor, or control board. * * * calibrate the bed : * * after repairs, calibrate the bed to ensure it is functioning correctly. * * * monitor the bed regularly : * * perform regular checks on the bed to detect any potential issues early on. @topic:1


1. press failure codes. 2. failure codes wait for the codes to appear, then press the close button. 3. the list of codes and the history appear on thgci screen. 4. failure codes : ref first last numbexx xxxx ote : xxx xxxx xx / xx / xxxx xx / xx / xxxx xx / xx / xxxx о xxx xxxx xx / xx / xxxx xx / xx / xxxx if the fault is with an accella therapy mattress, there is a button to pause the alert for 10 minutes on the failure codes screen. xx / xx / xxxx xx / xx / xxxx xx / xx / xxxx xx / xx / xxxx xx / xx / xxxx xx / xx / xxxx xxxx xxxx xxxx xxxx xxx xx / xx / xxxx xxx xx / xx / xxxx xxx xx / xx / xxxx xxxx / xx / xxxx xxxx / xx / xxxx xxx ° xxxx ° xxxx xxxx xxx a list of codes, their descriptions and associated solutions can be found in the service manual of the bed or mattress. 1xxx codes relate to the mattress. 0 close wi - fi connection when the bed is connected and located, it sends the data by wi - fi. list of information that can be sent by wi - fi the information retrieved depends on the hospital's communications system. this list the version of the bed. patient weight, with the date and time bed identification • brake bar position : brake applied / not applied error codes • • bed in low position indicator •. half - siderail locked / unlocked function lockout status • • cpr status. · head section angle scales reset notification " • • ast scales function u • • bed exit alerts bed battery charge level • • a. by smartsync. @topic:9


# # # issue the neuroacceleromyograph monitor, organon tof - watch, displays a constant " 0 " reading after stimulation. # # # impact - accurate assessment of neurological function is compromised. # # # possible causes * * 1. patient - related factors : * * - patient may be in a deep sleep, resulting in a " 0 " reading. - patient may have a neurological condition that affects the response to stimulation. * * 2. equipment - related factors : * * - sensor or lead malfunction - electrode placement error - software glitch # # # recommendations * * 1. patient - related factors : * * - confirm the patient's level of consciousness. - consider if any underlying neurological conditions may be interfering with the results. - reposition the patient to ensure optimal electrode placement. * * 2. equipment - related factors : * * - inspect the sensor, lead, and electrodes for damage or looseness. - ensure the electrodes are placed correctly according to the manufacturer's instructions. - restart the equipment or update the software if necessary. - test the equipment on a known - responsive individual ( e. g., staff member ) to verify functionality. - if possible, obtain a spare device for continuous monitoring and to avoid downtime. - consult with the manufacturer or a biomedical engineering team for further troubleshooting and repair. @topic:2


# # # issue # # # co2 sensor is not measuring values # # # impact the patient's respiratory status cannot be monitored accurately, which could lead to delayed diagnosis and treatment of respiratory issues # # # possible causes : - sensor malfunction - loose connection between sensor and monitor - incorrect calibration of sensor - faulty wiring in the sensor or monitor - software glitch in the monitor # # # recommendations : - replace the sensor - check and tighten all connections - calibrate the sensor according to the manufacturer's instructions - inspect the wiring for any damage or loose connections - update the software on the monitor if necessary @topic:4


* * issue : * * the bed's side rails ( wood ) are not able to be adjusted downward. * * impact : * * the patient may be at risk of falling out of the bed if the side rails cannot be raised to a safe height. * * possible causes : * * - the screws or bolts that hold the side rails in place may be loose or missing. - the gears or other mechanisms that allow the side rails to be adjusted may be damaged. - the motor that powers the side rails may be malfunctioning. * * recommendations : * * 1. inspect the side rails for any loose or missing screws or bolts. tighten or replace any loose screws or bolts. 2. inspect the gears or other mechanisms that allow the side rails to be adjusted for any damage. replace any damaged gears or mechanisms. 3. inspect the motor that powers the side rails for any signs of malfunction. repair or replace the motor if necessary. 4. test the side rails to ensure that they are functioning properly. @topic:6


# # # issue : - remote control for electric bed is broken. - unable to adjust bed height due to faulty motor. # # # impact : - patient discomfort and inconvenience. - difficulty in providing proper care and treatment. - potential safety hazard if bed cannot be adjusted to a safe position for patient transfer or medical procedures. # # # possible causes : - faulty wiring or connections in the remote control. - damaged or worn - out buttons or switches. - electrical surge or power outage that caused damage to the remote control or motor. - user error or mishandling of the remote control. # # # recommendations : - replace the remote control with a new or refurbished unit. - inspect the wiring and connections in the remote control and motor to identify any damage or loose connections. - test the functionality of the motor with a different remote control to confirm the issue is not with the motor. - provide training to users on proper handling and care of medical equipment. - consider implementing a preventive maintenance program to regularly inspect and service medical devices to prevent future failures. @topic:7


# # # issue - knee adjustment function is not working # # # impact - patient discomfort - difficulty in positioning the patient # # # possible causes - loose connection in the control box wiring # # # recommendations - technician tightened the loose connection in the control box wiring, then checked the adjustment function and verified it working properly. @topic:9


# # # issue - cuff failure in philips suresigns vs2 vital signs monitor. # # # impact - inability to accurately measure blood pressure, which can delay diagnosis and treatment. # # # possible causes - normal wear and tear - misuse or mishandling - age of the device # # # recommendations - replace the cuff with a new one. - inspect the cuff for any visible damage or leaks. - train staff on proper use and handling of the device. - regularly calibrate and maintain the device according to manufacturer's instructions. @topic:15


##4 % or 0. 15 1 / min : ±5 % or 0. 2 1 / min accuracy instrument specification ( electrical ) : ±2 % or 0. 1 1 / min cification : ±3 % or 0. 1 1 / min repeatability evlw 0 to 5000 ml range 10 % or 1 ml / kg 50 to 6000 ml standard deviation itbv range 10 % or 30 ml accuracy repeatability + 5 % or 20 ml 91 40 specifications c. o. / cco performance specifications. 1 to 25. 0 1 / min cco angstandard deviation 10 % or 0. 3 1 / min 2 seconds nominal display update 17. 0 to 43°c ( 62. 6 to 109, 5°f ) blood temperature rang - 1 to 30°c ( 30. 2 to 86. 0°f ) injectate temperature angc. o. / cco alarm adjustment elarange 10 seconds after the value exceedhe set limit range tblood 17 to 43°c steps of 0. 5°c ( 17 to 35°c ) steps of 0. 1°c ( 35 to 43°c ) steps of 1°f ( 63 to 95°f ) steps of 0. 2°f ( 95 to 109°f ) 10 seconds after the value exceedhe set limit range 0. 1 to 25. 0 1 / min 0. 1 1 / min ( 0. 1 to 10. 0 1 / min ) 0. 5 1 / min ( 10. 0 to 25. 0 1 / min ) cco tcgas complies with iec 60601 - 2 - 23 : 1999 / en 60601 - 2 - 23 : 2000. tcgas performance specifications cpo2 0 to 750 mmhg ( 0 to 100 kpa ) range resolution 1 mmhg ( 0. 1 kpa ) overall accurac0 to 20. @topic:17


# # # issue - cuff deterioration # # # impact - accuracy and reliability of vital signs monitoring may be compromised # # # possible causes - normal wear and tear due to frequent use - improper storage or handling - exposure to extreme temperatures or humidity - use of incompatible cleaning agents # # # recommendations - regular inspection and maintenance of cuffs, including cleaning and replacement as needed - proper storage and handling of cuffs - use of cuffs that are compatible with the device - avoid exposing cuffs to extreme temperatures or humidity - follow manufacturer's guidelines for cuff maintenance and replacement @topic:5


nbp measurement every 15 minutes ) extended monitoring configuration : 4 hours ( brightness set to optimum, mms and mms extension connected, nbp every 15 minutes, recorder, every 15 minutes ) operating time ( with 1 new, fully charged battery ) basic monitoring configuration : 2. 5 hours ( brightness set to optimum, mms connected, nbp measurement every 15 minutes ) extended monitoring configuration : 2 hours ( brightness set to optimum, mms and mms extension connected, nbp every 15 minutes, recorder, every 15 minutes ) charge time when monitor is off : 4 hours when monitor is in use : 5 to 12 hours, depending on monitor configuration indicators alarms off red ( crossed - out alarm symbol ) led alarms red / yellow / light blue ( cyan ) led on / standby green led ac power green led error red led battery led ( mp20 / 30 / 40 / 50 only ) red / yellow / green led sounds audible feedback for user input prompt tone qrs tone, or sp0 2 modulation tone 4 different alarm sounds remote tone for alarms on other beds in network tone for timer expired 420 monitor performance specifications 38 installation and specifications mp20 / 30, mp40 / 50, mp60 / 70 / 80 / 90 trends resolution 12, 16, 24 or 32 numerics @ 12 sec, 1 minute, 5 minute resolution information multiple choices of number of numerics, resolution and duration depending on trend option and application area. for example : neonatal extended 12 numerics, 24 hours @ 12 secs or 32 numerics 32 hours @ 1 minute intensive care extended : 16 numerics 120 hours @ 5 minutes anesthesia extended 32 numerics 9 hours @ 12 seconds high - res trend waves measurements available hr, sp0 2, resp, tcp0 2, pulse, perf, tcp0 2, c0 2 @topic:8