on the monitor screen is shown more brightly if show alarmlimits is enabled and there is sufficient room on the screen. alarm lamp : a lamp on the monitor ’ s front panel flashes. the alarm lamp is divided into two sections. the right one flashes for a patient alarm, except for short yellow alarms where the lamp will light for approximately six seconds. the color is yellow or red corresponding to the highest priority patient alarm currently present. the left one lights continuously for a light blue inop and flashes for yellow or red inops as follows : inop lamp color modulation ( how long the lamp is on or off while flashing ) on off yellow 1. 0 seconds 1. 0 seconds red 0. 25 seconds 0. 25 seconds 56 audible alarm indicators 3 alarms if only patient alarms are present, and no inops, the patient alarms will use both left and right sections to flash ( for red and yellow alarms ) or light for approximately six seconds ( for short yellow alarms ). if only inops are present, and no patient alarms, red and yellow inops will use both left and right sections to flash but light blue inops will always light continuously in the left section only. nurse call systems : if configured to do so, red, yellow and light blue alarms are indicated on any device connected to the nurse call relay. audible alarm indicators the audible alarm indicators configured for your monitor depend on which alarm standard applies in your hospital. audible alarm indicator patterns are repeated until you acknowledge the alarm by switching it off or pausing it, or until the alarm condition ceases ( if audible alarm indication is set to non - latching ). warning • do not rely exclusively on the audible alarm system for patient monitoring. adjustment of alarm volume to a low level or off during patient monitoring may result in patient danger. remember that the most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment. • no alarms @topic:10


# # issue - equipment : bed, electric - band : hill - rom - model : 405, p1140b - description : loose ac cord # # impact - patient safety could be compromised if the bed malfunctions due to a loose ac cord. - the bed may not function properly, which could lead to discomfort or injury for the patient. - the loose ac cord could cause a fire or electrical hazard. # # possible causes - the ac cord was not properly connected when the bed was assembled. - the ac cord has become loose over time due to wear and tear. - the ac cord has been damaged by rodents or other pests. # # recommendations - check the ac cord connection to ensure that it is secure. - inspect the ac cord for any damage. if the cord is damaged, it must be replaced. - secure the ac cord so that it is not exposed to rodents or other pests. @topic:9


# # # issue - equipment not in use # # # impact - device unavailable for patient monitoring # # # possible causes - equipment being sent for calibration # # # recommendations - ensure that the equipment is properly calibrated and ready for use prior to being sent for calibration. @topic:2


# # # issue - equipment malfunction due to non - adhering bed rails # # # impact - potential for patient harm due to improper positioning or lack of support # # # possible causes - manufacturer defect - wear and tear - improper use - cuff change # # # recommendations - replace bed rails - inspect equipment regularly for signs of wear or damage - train staff on proper use of equipment @topic:6


# # # issue - equipment is unable to boot into the windows operating system normally. # # # impact - the medical cart cannot be used for its intended purpose. # # # possible causes - * * corrupted boot files : * * the files required to boot the operating system may be corrupted or missing. - * * hardware issues : * * there may be a problem with the storage device or other hardware components that are necessary for booting. - * * software issues : * * the operating system may have encountered an error that prevents it from booting properly. - * * bios settings : * * the bios settings may be configured incorrectly, preventing the operating system from booting. - * * power supply issues : * * the medical cart may not be receiving adequate power, causing it to fail to boot properly. # # # recommendations - * * check the bios settings : * * ensure that the boot options are set correctly and that the storage device is selected as the primary boot device. - * * test the hardware : * * use diagnostic tools to test the storage device and other hardware components to identify any potential issues. - * * repair or replace the corrupted files : * * if the boot files are corrupted, attempt to repair them using a boot repair tool or reinstall the operating system. - * * update the software : * * install any available software updates to resolve any known issues that may be preventing the operating system from booting properly. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the medical cart for further assistance. @topic:13


* * issue * * the electric bed is not adjustable. * * impact * * patients may not be able to get into or out of bed, or may not be able to be positioned comfortably. * * possible causes * * * the bed's motor may be faulty. * the bed's control panel may be faulty. * the bed's wiring may be faulty. * the bed's battery may be dead. * the bed's software may be malfunctioning. * * recommendations * * * inspect the bed's motor, control panel, wiring, and battery for any signs of damage or wear. * check the bed's software for any updates or errors. * if any damage or errors are found, replace the affected part or update the software. * if the problem persists, contact the bed's manufacturer for further troubleshooting assistance. @topic:1


##nburg function to make sure there is no tension in the cables on the column. 13. do the “ function checks ” on page 2 - 5. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 67 4. 22 foot ftilow column ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures 4. 22 foot hilow column ( b model and tools required : 13 mm socket extension t25 torx® 1 screwdriver wire cutters vise - grips® 2 string, 10'( 305 cm ) 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. newer beds ) ratchet ( 2 ) jack stands t15 torx® screwdriver antistatic strap marking pen warning : do not work under an unsupported load. install appropriate supports. failure to do so could cause personal injury or equipment damage. 6. place the jack stands under the articulating frame. 7. lower the articulating frame onto the jack stands. jg shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 8. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 9. remove the two screws ( a ) from the retainers ( c ) ( see figure 4 - 30 on page 4 - 69 ). 10. remove the retainers ( c ). 1. torx® is a registered trademark of acument intellectual properties, llc. 2. vise - grip® is a registered trademark of american tool companies, inc. page 4 - 68 careass @topic:26


# # # issue - equipment not functioning due to lack of power to control box. # # # impact - inability to use medical device for patient care. # # # possible causes - faulty electrical outlet - loose or damaged power cord - internal electrical component failure # # # recommendations - ensure electrical outlet is functioning properly. - replace power cord if loose or damaged. - contact manufacturer for further troubleshooting or repair if internal electrical component failure is suspected. @topic:12


# # # issue - patient bed adjustment buttons not functioning. # # # impact - inability to adjust patient bed height and position, potentially affecting patient comfort and safety. # # # possible causes - * * loose connector wires : * * o - rings prevent connector wires from becoming loose. missing o - rings can result in wire disconnection and button malfunction. - * * faulty control panel : * * the control panel manages button inputs. electrical issues or software glitches within the control panel can lead to button failure. - * * damaged button switches : * * prolonged use or physical damage can cause button switches to malfunction. # # # recommendations - * * check connector wires : * * ensure that all connector wires are properly connected and secured with o - rings. - * * inspect control panel : * * examine the control panel for any visible damage or loose connections. if necessary, contact the manufacturer for repair or replacement. - * * test button switches : * * use a multimeter to test the continuity of the button switches. replace any faulty switches as needed. @topic:7


# # # issue - lcd monitor screen not turning on # # # impact - inability to view patient data and monitor vital signs, compromising patient care. # # # possible causes - faulty power supply - loose or disconnected cables - incorrectly configured settings - damaged lcd panel # # # recommendations 1. check the power supply by ensuring it is properly connected and receiving power. 2. inspect all cables and connections, ensuring they are secure and not damaged. 3. verify that the monitor settings are correct, such as input source and brightness. 4. contact the medical equipment manufacturer for further troubleshooting or repair. 5. in cases of a damaged lcd panel, replace the monitor. @topic:2


problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. 867 ( 62 ) | temp module malfunc ( 62 ) the module is not replace the temperature module. see calibrated. “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. troubleshooting 4 - 22 suresigns vs4 service guide error codes code description possible cause action 867 ( 65 ) temp module malfunc ( 65 ) error saving to the module ’ s eeprom. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. if the problem persists, replace the front end assembly. see “ removing the front end assembly ” on page 5 - 24. 867 ( 66 ) temp module malfunc ( 66 ) the module ’ s non - volatile calibration memory error detection mechanism detected an error. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. if the problem persists, replace the front end assembly. see “ removing the front end assembly ” on page 5 - 24. 867 ( 67 ) temp module malfunc ( 67 ) error reading / writing to the module ’ s eeprom. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6 @topic:22


# # # issue - the cause of failure is not clearly stated. # # # impact - unable to determine the root cause of the failure, which could lead to recurrence. # # # possible causes - the technician may have entered the wrong information. - the cause of failure may be unknown. # # # recommendations - verify the cause of failure with the technician who entered the information. - if the cause of failure is unknown, further investigation may be necessary. @topic:12


# # # issue - broken bp adapter cable # # # impact - unable to accurately measure blood pressure # # # possible causes - * * over - tightening of the adapter cable * * when connecting to the patient or monitor - * * accidental tripping or pulling on the adapter cable * * - * * wear and tear due to prolonged use * * - * * defective adapter cable * * from the manufacturer # # # recommendations - * * train staff on proper handling and connection of the adapter cable. * * - * * ensure that the adapter cable is securely fastened * * but not over - tightened. - * * inspect the adapter cable regularly * * for any signs of damage or wear. - * * replace the adapter cable promptly * * if it becomes damaged or defective. - * * consider using a wireless bp monitor * * to eliminate the risk of damage to cables. @topic:14


# # # issue - the left leg support of the bed is loose. # # # impact - the patient may be uncomfortable or at risk of falling if the leg support is not secure. # # # possible causes - the technician may not have properly tightened the locking mechanism on the leg support. - the locking mechanism may be damaged. - the leg support may be bent or damaged. # # # recommendations - the technician should check the locking mechanism on the leg support and tighten it if necessary. - the technician should inspect the locking mechanism for any damage. - the technician should inspect the leg support for any bends or damage. - if the locking mechanism or leg support is damaged, the technician should replace the part. @topic:6


# # # issue : monitor not linking to central monitor # # # impact - inability to remotely monitor patient vital signs - delay in response to critical events - increased workload for healthcare professionals # # # possible causes - monitor not properly connected to the network - network configuration issues - central monitor system malfunction - software compatibility issues - damaged cables or connectors # # # recommendations - ensure that the monitor is physically connected to the network through a stable connection. - check network settings on the monitor and ensure that it is configured to communicate with the central monitor system. - verify that the central monitor system is functioning properly. - update software on both the monitor and central monitor system if necessary. - inspect cables and connectors for damage and replace if necessary. @topic:16


# # # issue - solenoid in the medical cart is malfunctioning. # # # impact - drawers in the medical cart do not open smoothly. # # # possible causes - wear and tear on the solenoid over time. # # # recommendations - replace the solenoid with a new one. - regularly inspect and maintain the medical cart to prevent similar issues in the future. @topic:21


* * issue : * * bme noticed a leak in the cuff fabric. * * impact : * * the device is unable to take accurate measurements. * * possible causes : * * - wear and tear of the cuff fabric - improper storage or handling of the device - defects in the cuff fabric * * recommendations : * * - replace the cuff fabric with a new one. - ensure proper storage and handling of the device. - inspect the cuff fabric regularly for any signs of damage. @topic:5


# # # issue - bed's foot section cannot be folded # # # impact - inability to adjust the foot section of the bed can affect patient comfort and positioning. # # # possible causes - the cause of failure was determined as " cannot fold the mattress ". this suggests that the issue is not related to the electric motor or other mechanical components of the bed. # # # recommendations - to resolve the issue, the biomedical engineer ( bme ) performed the following actions : - removed the stainless steel rods and manually folded the foot section. - instructed the department on how to operate the bed correctly. - cleaned and tested the bed, confirming that it was functioning normally. @topic:1


# # # issue - alarm on the display shows " system error " # # # impact - nibp and sat measurements may be unavailable, potentially delaying patient care # # # possible causes - faulty software or hardware component - faulty sensor or cable connection - insufficient power supply # # # recommendations - [ ] contact the manufacturer for technical assistance. - [ ] check all cable connections to ensure they are secure. - [ ] verify that the device is receiving adequate power. - [ ] update the device's software to the latest version. - [ ] replace faulty components as necessary. @topic:22


# # # issue err code and alarm appear after turning on the monitor, physiologic, vital signs equipment. # # # impact the equipment is unable to perform vital signs monitoring, which can delay or affect patient care. # # # possible causes * faulty sensors or cables * software malfunction * power supply issues * internal hardware failure # # # recommendations * check and replace faulty sensors or cables. * restart the equipment and check for software updates. * ensure that the equipment is properly connected to a stable power source. * contact a qualified biomedical engineer for further troubleshooting and repairs if necessary. @topic:22


the speaker to replace the speaker : step 1 separate the front panel from the rear case assembly to disconnect the speaker cable. see “ removing the front panel ” on page 5 - 11. 2 remove the speaker by gently lifting it over the ridge and sliding it out of the rear case. 3 slide the speaker back into the rear case, connect the cable, and reassemble the monitor. 4 after you reassemble the monitor, ensure that the speaker works. verify that a tone sounds when you power on the monitor and test the alarms. see the “ testing the speaker ” on page 4 - 31. removing the nbp module caution after you replace the nbp module, you must reset the nbp cycle count and run the nbp test. for information about resetting the nbp cycle count, see “ viewing and resetting tracked parameters ” on page 4 - 35. for information about running the nbp test, see “ nbp tests ” on page 3 - 13. repairing the monitor suresigns vs2 * and vsi service guide 5 - 15 removing the nbp module 5 - 16 to remove the nbp module : step 1 separate the front panel from the rear case assembly. see “ removing the front panel ” on page 5 - 11. 2 disconnect the nbp cable from the main board. s s e ( nbp cable \ \ a 3 nbp tubing repairing the monitor suresigns vs2 * and vsi service guide removing the power supply 4 remove the three torx t10 screws from the metal bracket attaching the nbp module assembly to the main board. 5 remove the assembly from the front case. removing the power supply to remove the power supply : step 1 separate the front panel from the rear case assembly. see “ removing the front panel ” on page @topic:19


# # # issue - faulty power plug # # # impact - intermittent or complete loss of power to the medical device, potentially compromising patient care. # # # possible causes - damage to the power plug or its connecting wires due to physical trauma, such as being dropped or stepped on. - corrosion or other forms of wear and tear that weaken the electrical connections within the plug. - loose or improperly secured power plug, resulting in intermittent power supply. # # # recommendations to prevent future failures related to faulty power plugs : - regularly inspect power plugs and connecting wires for any signs of damage or wear. - ensure power plugs are properly seated and securely fastened to the device and electrical outlet. - avoid placing heavy objects or equipment on power cords, and keep them away from high - traffic areas to minimize the risk of physical damage. - if a power plug is damaged or suspected to be faulty, it should be replaced promptly to maintain reliable power supply to the medical device. @topic:12


# # # issue - part of the headboard can no longer be locked # # # impact - malfunction of the bed # # # possible causes - broken lock # # # recommendations - replace the broken part or fix it. @topic:6


# # # issue - battery failure # # # impact - the device may not be able to operate properly or may lose power unexpectedly. # # # possible causes - the battery may be old or damaged. - the battery may not be properly connected to the device. - the device may be experiencing a power surge or other electrical issue. # # # recommendations - replace the battery. - check the battery connections. - inspect the device for any damage or electrical issues. @topic:11


##ration 4500 - 30 lood pressure hose1 nibp 620216 1 nibp initialize the nibp board functional verification and calibration must be performed each time the device is disassembled or more frequently if your facilty's procedures require a full calibration on a specified basis. if you have just replaced a main pca board, your first step before performing a full verification and calibration is to initialize the nibp board. 1. set up the equipment for full functional verification as shown earlier in this section. 2. log in to the welch allyn service tool, highlight your device in the device list, and click select. 124 functional verification and calibration overview welch [UNK] connex® spot monitor this action opens the connex spot monitor > device information subtab. depending on your configuration, it could take 30 - 45 seconds to populate this subtab. select the verify and calibrate subtab. 3. select nibp sensor in the device field. 4. click calibrate. 5. this opens the verify and calibrate nibp sensor dialog. lick begin6. a list of tests appears in the left pane of the dialog along with three controls in the right paneclick initialize nibp board in the right pane. 7. a confirmation window appears with the message, " are you sure you want to reset the calibration offsets of the nibp board? " click yes. 8. this action places two tests in the queue for initialization : the power calibration test - primary / safety and the pressure calibration - primary / safety. note a message appears in the right pane to indicate the first tesis in progress. if the test passes, a green check appears to the left of the test name @topic:17


# # # issue - the bed is not able to adjust. # # # impact - the patient may not be able to get into or out of bed. - the patient may not be able to be positioned properly for treatment. - the patient may be uncomfortable. # # # possible causes - the signal cable is damaged. # # # recommendations - replace the signal cable. - retest the bed to ensure that it is working properly. @topic:1


# # # issue - broken nurse call cord # # # impact - inability to call for assistance # # # possible causes - physical damage to the cord - loose or disconnected connections - electrical malfunction # # # recommendations - inspect the cord for any visible damage or signs of wear and tear. - check the connections at both ends of the cord to ensure they are secure. - if the cord is damaged, replace it with a new one. - if the connections are loose, tighten them securely. - if the cord is not damaged and the connections are secure, the problem may be with the electrical system. in this case, it is recommended to contact a qualified technician for further troubleshooting and repair. @topic:12


# # # issue the motor on the huntleigh contoura 360 electric bed has failed. # # # impact the bed is not fully functional and cannot be used by patients. this can cause delays in patient care and may result in patient discomfort. # # # possible causes * the motor may have worn out over time. * the motor may have been overloaded. * the motor may have been damaged by a power surge. # # # recommendations * replace the motor with a new one. * inspect the bed for any other damage and repair as necessary. * train staff on proper use of the bed to prevent overloading or damage. @topic:9


# # # issue - limit switch not functioning correctly # # # impact - unable to open the drawer # # # possible causes - limit switch misaligned - limit switch malfunctioning # # # recommendations - realign the limit switch - replace the limit switch if necessary @topic:21


# # # issue the monitor is not linking with the central monitor. # # # impact the medical staff will not be able to monitor the patient's vital signs from the central monitor. # # # possible causes - the ip address of the monitor is not set correctly. - the ip address or cl address of the central monitor has changed to 10. 188. 168. 8. # # # recommendations - verify that the ip address and cl address of the monitor are set correctly. - consult with the vendor to verify if the ip address or cl address of the central monitor has changed. @topic:16


# # # issue * monitor time is inaccurate # # # impact * incorrect medical documentation * delays in patient care * patient safety risks # # # possible causes * battery depletion * software glitch * hardware malfunction # # # recommendations * ensure that the monitor is plugged into a power outlet at all times. * replace the battery if it is depleted. * contact the manufacturer for technical support if the problem persists. @topic:29


# # # issue the bed is being used as a spare bed in ward 15d. # # # impact the bed is not available for its intended use in ward 15d. # # # possible causes the bed was borrowed from another ward without authorization. the bed was not returned to its original location after use. the bed was damaged while being used as a spare bed. # # # recommendations the bed should be returned to its original location in ward 15d. the bed should be inspected for damage and repaired if necessary. a policy should be implemented to prevent beds from being borrowed without authorization. @topic:9


roceed with an initialization. bed exit alerts position mode : the " patient position " mode alert is activated when the patienstarts to move. exiting mode : the " exiting " mode alert is activated when the patient moves away from the center of the bed to try and get out. out of bed mode : this mode must be used when the caregivers want to allow the patient to move freely in the bed. the " out of bed " mode alert is activated when es the bed. [UNK] information can be sent to the duty nurse if the bed is connected to a hospital network with a compatible information system ( see " sending bed exit [UNK] using the patient position monitor system does not remove the need to secure the patient in the bed ( see " risk prevention " page 5 ). function sensitivity may be impacted if accessories are added or if the trendelenburg / reverse trendelenburg angle is ±8°. the bed exit alerts are no longer operational when the bed switches to battery mode. to activate the bed exit alert detection : activating the bed exit detection to a given degree of sensitivity is subject to the following pre - conditions that guarantee effective patient detection. pre - conditions for the activation of the position and exiting modes : the patient is in the center of the bed and aligned with the hip position markers. • note : if the pre - conditions for activation are not met, a beep sounds. in this case, follow the instructions and repeat the procedure. note : only one bed exit mode can be activated at a time. ut of bed exiting position press the button of the required function and hold it until activation ( the green light flashes during activation ). 1. a beep sounds and the light turns green to indicate that the function has been activated. 2. note : if the activation fails, a beep sounds three times and the light does not come on. to deact @topic:9


# # # issue : - cracked golden charging tray # # # impact : - difficulty in scanning barcodes, hindering device tracking and inventory management. # # # possible causes : - excessive force applied while pushing down on the charging tray. - wear and tear due to prolonged use. - manufacturing defect in the material of the charging tray. # # # recommendations : - replace the cracked charging tray with a new one. - handle the charging tray with care, avoiding excessive force. - inspect the tray regularly for signs of wear or damage. - if the issue persists despite replacing the charging tray, investigate the barcode scanner for any malfunctions. @topic:23


# # # issue the bed's wheels are not locking in place. # # # impact # # # possible causes - the brake lock nut is missing. # # # recommendations - replace the missing brake lock nut. @topic:6


# # # issue - railings on the electric bed are not adjustable up or down. # # # impact - patient safety hazard as the bed cannot be adjusted to a safe and comfortable position. # # # possible causes - the lock on the railings has come loose. # # # recommendations - the lock on the railings has been repaired. - the bed has been tested and is now functioning properly. @topic:6


# # # issue - loose connector - battery depletion # # # impact - inaccurate blood pressure readings - device malfunction # # # possible causes - wear and tear - ageing of the battery - improper handling or maintenance # # # recommendations - replace the loose connector - replace the battery with a new one - regularly inspect the device for any signs of damage or wear - follow the manufacturer's instructions for proper use and maintenance @topic:14


# # # issue - bed is displaying a blinking light. # # # impact - the bed cannot be used for patient care. # # # possible causes - the remote control is not properly paired with the bed. - the bed is not receiving power. - the bed's battery is low. # # # recommendations - ensure that the remote control is properly paired with the bed. - check that the bed is receiving power. - replace the bed's battery. @topic:7


# # # issue - the vital signs monitor ( vsm ) is not functioning properly. # # # impact - the vsm is essential for monitoring a patient's vital signs, such as heart rate, blood pressure, and oxygen saturation. if the vsm is not working properly, it could lead to a delay in diagnosis and treatment, which could have serious consequences for the patient. # # # possible causes - * * lack of security certificate : * * the vsm may not be functioning properly because it does not have a valid security certificate. this certificate is required to ensure that the vsm is communicating with the hospital's network securely. - * * software issue : * * the vsm may not be functioning properly due to a software issue. this could be caused by a bug in the software or a corrupted file. - * * hardware issue : * * the vsm may not be functioning properly due to a hardware issue. this could be caused by a faulty component or a loose connection. # # # recommendations - * * update security certificate : * * the first step is to update the security certificate on the vsm. this can be done by contacting the manufacturer of the vsm and requesting a new certificate. - * * update software : * * if the security certificate does not resolve the issue, the next step is to update the software on the vsm. this can be done by downloading the latest software update from the manufacturer's website. - * * contact manufacturer : * * if the software update does not resolve the issue, the next step is to contact the manufacturer of the vsm. they may be able to provide further troubleshooting assistance or repair the vsm. @topic:22


# # # possible causes : - sensor issue - cuff issue - air leak in the system - incorrect calibration - electrical issue - software issue @topic:3


# # # issue : - remote control cord is protruding. # # # impact : - patient safety could be compromised if the exposed wire poses an electrical hazard. - patient and staff discomfort due to improper functioning of the remote control. - potential damage to the bed or other equipment due to improper use of the remote control. # # # possible causes : - physical damage to the remote control cord, such as cuts or abrasions. - wear and tear due to prolonged use or improper handling. - manufacturing defect or design flaw. # # # recommendations : - replace the remote control immediately to eliminate the electrical hazard and restore proper functionality. - ensure proper handling and storage of the new remote control to prevent future damage. - inspect similar equipment for potential cord issues and address them promptly. - if the issue persists, consider contacting the manufacturer or a qualified technician for further investigation and repair. @topic:7


invalid | touch not calibrated perform touch calibration : ]. enter service mode 2. enter the main setup menu 3. select hardware 4. select touch driver settings 5. select calibrate or use the support tool to calibrate touch screen general monitor inop messages check monitor problem with too low voltages disconnect cables of : func ( sv, 12v ) in the monitor. alarm | - all measurement boards lamps, display or interfaces may | - iit not function correctly. - nbp pump and reconnect them one at a time to isolate any defective board. main board defective replace the main board check monitor the temperature inside the check the environment for temp monitor is too high possible causes battery temperature is too high check the battery. main board defective replace main board settings problem during cloning process. | reclone configuration file malfunction memory space in which the reclone configuration file. settings are stored has been this will reload the memory corrupted space. main board defective replace main board 119 4 troubleshooting battery related problems 120 batt empty inop tone, battery led flashes during this inop, alarms cannot be paused or switched off. batt incompat inop tone batt low inop tone batt malf inop tone, battery led flashes during this inop, alarms cannot be paused or switched off if the monitor is not connected to ac power. the estimated remaining battery - powered operating time of the battery is < 10 minutes. the indicated battery cannot be used with this monitor. communication problem between power board and main board. the estimated battery - powered operating time remaining is less than 20 minutes. the monitor cannot determine the battery status or there is a communication problem between the battery and the main board. troubleshooting guide insert full battery or recharge the battery immediately. if the condition persists, this inop is re - @topic:16


the monitor automatically takes a patient ’ s nbp. the monitor uses this default value for new patient starts. the default is off. to change the nbp auto interval value : 1. open the system admin section of the system menu. see “ accessing the system admin menu ” on page 5 - 2. 2. rotate the wheel until the default nbp auto interval menu is highlighted. 3. press the wheel and rotate it to select the interval at which the monitor automatically takes a patient ’ s nbp. the options are : • off • 1, 3, 5, 10, 15, 30, 60, 90 minutes 4. press the wheel to save the settings. 5. press the main screen button on the front panel to close the menu. changing the initial nbp pressure you can specify the initial nbp inflation pressure value for adult, pediatric, and neonatal patients. the monitor uses this default value for new patient starts. the default is : • adult : 160 • pediatric : 140 • neonatal : 100 to change the nbp and alarm setting values : 1. open the system admin section of the system menu. see “ accessing the system admin menu ” on page 5 - 2. 2. rotate the wheel until the default initial nbp inflation pressure menu is highlighted. 3. press the wheel and rotate it to select the initial nbp cuff inflation pressure. the options are : adult / pediatric : 80 - 240 mmhg in 20 mmhg steps neonate : 60 - 120 mmhg in 20 mmhg steps 4. press the wheel to save the settings. 5. press the main screen button on the front panel to close the menu. 5 - 10 configuring the monitor setting the trend display timeout setting the trend display timeout you can control the time that the monitor displays trend data when there is @topic:17


# # # issue - physiologic monitor, brand philips, model suresigns vs2, experienced equipment failure due to loose connection in the adapter supply. # # # impact - malfunction of the equipment, affecting patient monitoring and potentially compromising patient safety. # # # possible causes - the equipment was frequently disconnected and reconnected, causing the adapter connection to become loose. - the adapter itself may have been defective, leading to an unstable connection. # # # recommendations - ensure proper maintenance of the equipment, including regular inspection and testing of adapter connections. - provide training to staff on the correct handling and storage of medical devices to prevent frequent disconnections and reconnections. - consider using adapters with more secure locking mechanisms to prevent accidental disconnections. - replace any defective adapters promptly to maintain optimal equipment performance. @topic:2


# # # issue * the medical cart cannot be opened using the scan function. # # # impact * the cart cannot be used to transport medical supplies and equipment. # # # possible causes * the location of the cart is not updated in the system. # # # recommendations * the location of the cart should be updated in the system. @topic:23


# # # issue - o2 sat cannot be measured # # # impact - inability to accurately monitor oxygen saturation levels, which is essential for patient care. # # # possible causes - dirty or clogged contact points on the spo2 probe or the equipment. # # # recommendations - * * clean the contact points * * on both the probe and the equipment using an appropriate cleaning solution. - * * inspect * * the probe and cable for any damage or wear. - * * ensure * * that the probe is securely connected to the equipment. - * * if the issue persists * *, consider replacing the probe or the equipment, as necessary. @topic:4


# # # issue battery displayed - 1 after a biomedical engineer ( bme ) [UNK] [UNK]. # # # impact the medical cart cannot function properly due to a battery issue. # # # possible causes port config crashed within the network. # # # recommendations - replaced the port configuration - restarted the device - tested and confirmed the device is functioning normally @topic:13


simultaneously in the setup eeg menu, or in the eeg impedance / montage window using the pop - up keys. if the limit is exceeded during monitoring, an inop will appear and the graphic impedance indicator will change. to change the impedance limit, either ♦ use the pop - up keys that appear with the eeg impedance / montage window, or ♦ in the setup eeg menu, select impedance limit to call up a list of selections between 1 and 30 kohm, then select the required limit from this list. 251 18 monitoring eeg using the eeg impedance / montage window about electrode - to - skin impedance electrode - to - skin impedance is the main quality indicator for the measured eeg signal. during normal eeg monitoring, electrode - to - skin impedance is measured continuously and disconnected electrodes are detected. the impedance value for each single, independent signal electrode is displayed in the eeg impedance / montage window. if the measured electrode - to skin impedance of one or more electrodes is above the limit, an inop will be issued. for impedance measurement at least two electrodes, plus the reference electrode, must be connected. impedance indicators electrode / skin impedance symbol color displayed impedance value action electrode not connected • red no value connect electrode noisy signal • gray 60 kq ( fixed ) check electrode - to - skin connections electrode connected, impedance above limit • yellow measured value ( e. g. 15 kq ) check limit, check electrode - to - skin contact electrode connected, impedance at or below limit 9 green measured value ( e. g. 3 kq ) no action necessary 252 about compressed spectral arrays ( csa ) 18 monitoring eeg about compressed spectral arrays ( csa ) the continuous eeg signal is sampled periodically and this value is stored in a frame. each frame is processed using @topic:8


# # # issue broken ekg extension cable due to physical damage. # # # impact - interruption of electrocardiogram ( ekg ) monitoring. - delay in diagnosis and treatment. - patient safety concerns. # # # possible causes - excessive wear and tear. - improper handling or storage. - cable damage due to pulling or bending. # # # recommendations - regular inspection of ekg cables for damage or wear. - proper handling and storage of cables, avoiding excessive bending or stretching. - use of cable protectors or covers to prevent damage from external forces. - prompt replacement of damaged or malfunctioning ekg cables. - training staff on proper cable handling and maintenance procedures. - implement a preventive maintenance program to identify and address potential cable issues before they cause failures. @topic:18


# # # issue * battery failure in the philips suresigns vs3 monitor, patient transport device. # # # impact * the device may not be able to operate properly or may not be able to hold a charge, which could lead to patient harm. # # # possible causes * the battery may have reached the end of its lifespan. * the battery may have been damaged by overcharging or overdischarging. * the battery may have been exposed to extreme temperatures or other environmental factors. # # # recommendations * replace the battery with a new one of the same type and capacity. * calibrate the battery according to the manufacturer's instructions. * avoid overcharging or overdischarging the battery. * store the battery in a cool, dry place. @topic:11


##20xxxxx ) * for all languages apart from french, danish and chinese, order also the local language bezel as shown in the previous “ list of parts ”. not shown m3015 - 6802a 451261005311 exchange m3015a measurement server extension with pressure / temperature, english. ( new hardware, s / n prefix : de435xxxxx ) * for all languages apart from french, danish and chinese, order also the local language bezel as shown in the previous “ list of parts ”. not shown m3015 - 6831a 453563477871 exchange m3015a measurement server extension without pressure / temperature, english. ( old hardware, s / n prefix : de020xxxxx ) * for all languages apart from french, danish and chinese, order also the local language bezel as shown in the previous “ list of parts ” not shown m3015 - 6832a 451261005331 exchange m3015a measurement server extension without pressure / temperature, english. ( new hardware, s / n prefix : de435xxxxx ) * for all languages apart from french, danish and chinese, order also the local language bezel as shown in the previous “ list of parts ” m3016 - 6801a 453563332581 exchange m3016a measurement server extension with c0 2, english. # a01 for all languages apart from french, danish and chinese, order also the local language bezel as shown in the previous “ list of parts ”. not shown m3016 - 6831a 453563483901 exchange m3016a measurement server extension without c0 2, english. # a02 for all languages apart from french, danish and chinese, order also the local language bezel as shown in the previous “ list of @topic:19


# # # issue - remote control not working # # # impact - bed adjustment is not possible # # # possible causes - remote control malfunction - receiver malfunction - electrical wiring issue # # # recommendations - replace remote control - test receiver functionality - inspect electrical wiring for damage or loose connections @topic:7


# # # issue - faulty spo2 connector cable # # # impact - inaccurate or unreliable spo2 readings - intermittent or complete loss of spo2 monitoring - delays in patient care due to troubleshooting and repair # # # possible causes - physical damage to the cable ( e. g., cuts, kinks, abrasions ) - loose or improperly connected cable ends - internal component failure within the cable - compatibility issues between the cable and the monitoring device # # # recommendations - * * inspect the cable : * * check for any visible signs of damage, such as cuts, kinks, or abrasions. - * * check connections : * * ensure that both ends of the cable are securely connected to the patient and the monitoring device. - * * test with a known - good cable : * * if possible, connect a known - good spo2 cable to the monitoring device to determine if the issue is with the cable or the device itself. - * * replace the cable : * * if the cable is damaged or suspected to be faulty, replace it with a new, compatible cable. - * * contact the manufacturer : * * if the issue persists after replacing the cable, contact the manufacturer for further troubleshooting assistance or repair. @topic:4


# # # issue - extensin spo2 cable broken - bp + cuff missing # # # impact - inability to monitor patient's vital signs accurately # # # possible causes - wear and tear - accidental damage - theft # # # recommendations - replace broken extensin spo2 cable - locate and retrieve missing bp + cuff - regularly inspect and maintain equipment to prevent future failures @topic:4


# # # issue bed does not lock and does not prevent the patient from falling. # # # impact high risk of patient fall, leading to serious injury or death. # # # possible causes - failure of the locking mechanism. - misalignment of the locking mechanism. - worn or damaged components. - electrical or software failure. # # # recommendations - inspect the locking mechanism for damage or misalignment. - replace any worn or damaged components. - test the electrical and software systems to ensure they are functioning properly. - perform regular maintenance and inspections to prevent future failures. @topic:6


# # # issue - cuff of nibp monitor is degraded. # # # impact - the accuracy of blood pressure measurements may be compromised. # # # possible causes - prolonged use of the cuff - improper storage or handling of the cuff - chemical degradation of the cuff material # # # recommendations - replace the cuff with a new one. - ensure that the cuff is stored and handled properly according to the manufacturer's instructions. @topic:15


# # # issue - remote control error # # # impact - difficulty adjusting the bed # # # possible causes - malfunctioning remote control - software issue in the bed control system - loose or damaged wiring # # # recommendations 1. * * check the remote control : * * - replace the batteries. - clean the battery terminals and the remote control contacts. - test the remote control with another bed. 2. * * inspect the bed control system : * * - check for any loose or damaged cables. - update the software to the latest version. - contact the manufacturer for further troubleshooting. 3. * * inspect the wiring : * * - check for any loose or damaged wires connecting the remote control to the bed. - tighten any loose connections or replace damaged wires as needed. 4. * * calibrate the bed : * * - follow the manufacturer's instructions to calibrate the bed, ensuring that it responds smoothly to remote control adjustments. @topic:7


# # # issue - equipment : monitor, bedside, physiologic - band : philips - model : intellivue mp70 ( m8007a ) - description : bme replaced the ekg cable # # # impact - the patient's ekg may not be accurately monitored. - the medical team may not be able to make informed decisions about the patient's care. # # # possible causes - the ekg cable may be damaged. - the ekg cable may not be properly connected to the monitor. - the monitor may be malfunctioning. # # # recommendations - check the ekg cable for damage. - ensure that the ekg cable is properly connected to the monitor. - test the monitor to ensure that it is functioning properly. - if the problem persists, contact the manufacturer for assistance. - if the ekg cable is damaged, replace it with a new one. - if the monitor is malfunctioning, repair or replace it. @topic:18


# # # issue - monitors in the orbgh operating room are displaying incorrect time. # # # impact - incorrect time displayed on monitors can lead to errors in patient care, such as incorrect dosage of medication or delays in treatment. # # # possible causes - the time settings on the monitors are not synchronized with the hospital's time server. - the monitors'internal clocks are malfunctioning. - there is a problem with the network connection between the monitors and the time server. # # # recommendations - verify that the monitors are connected to the hospital's time server and that the time settings are correct. - if the monitors are connected to the time server but the time is still incorrect, check the monitors'internal clocks to ensure they are functioning properly. - if the monitors'internal clocks are functioning properly, check the network connection between the monitors and the time server to ensure there are no issues. @topic:29


# # # issue - equipment malfunction : physiologic monitor ( bedside ) failed to display readings, leaving the patient without essential medical information. # # # impact - patient health risk : lack of vital signs monitoring can delay necessary interventions, affecting patient outcomes. - delayed diagnosis : the absence of real - time readings hinders accurate diagnosis and treatment planning. - increased healthcare costs : additional tests and unnecessary interventions may be performed due to insufficient monitoring. # # # possible causes - loose connector : as indicated in the description, a loose connector may have disrupted the power supply or signal transmission to the display. - hardware failure : the display panel or internal components may have malfunctioned, resulting in the loss of display. - software bug : a software error could have caused the monitor to fail to initiate or transmit the display information correctly. - power supply issue : an unstable or insufficient power source could have prevented the monitor from functioning properly. # # # recommendations - immediate inspection : thoroughly examine the connector to ensure it is securely fastened. - component testing : test the display panel, internal circuits, and power supply to identify and repair any faulty components. - software update : check for any available software updates that may address display - related issues. - power check : verify the power source and ensure it is providing stable and adequate voltage to the monitor. - equipment replacement : if the cause of failure cannot be resolved through troubleshooting and repairs, consider replacing the equipment to ensure patient safety and accurate monitoring. @topic:2


# # # issue - the battery has deteriorated which results in the failure in the blood pressure monitor device. # # # impact - the accuracy and reliability of the blood pressure monitor may be compromised, leading to potential errors in patient monitoring and diagnosis. # # # possible causes - overuse of the device, leading to battery depletion faster than expected. - improper handling or maintenance of the device, such as exposing it to extreme temperatures or dropping it. - battery may have reached the end of its lifespan # # # recommendations - regularly inspect and replace the battery as per the manufacturer's recommendations. - properly store and handle the device to prolong battery life. - consider using a rechargeable battery to reduce the need for frequent battery replacements. @topic:11


# # # issue - equipment : monitors, physiologic, vital signs - brand : philips - model : suresigns vs4 - description : the biomedical engineer ( bme ) found that when the device was unplugged, it would immediately turn off and could not be used to measure patient vital signs in the ward. inspection of the charging cycle revealed that it exceeded the specified battery life. a new battery was ordered to replace the old one, and a purchase order has been raised and is pending approval. # # # impact - inability to monitor patient vital signs accurately and continuously, which could delay diagnosis and treatment. # # # possible causes - battery deterioration due to : - extended use beyond the specified battery life. - frequent charging and discharging cycles. - exposure to extreme temperatures or environments. # # # recommendations - regularly inspect and replace batteries according to the manufacturer's specifications. - avoid overcharging or undercharging batteries. - store batteries in a cool, dry place when not in use. - consider using a battery management system to monitor battery health and optimize charging cycles. - train staff on proper battery handling and maintenance procedures. @topic:11


# # # issue - bed cannot be adjusted up or down. # # # impact - inability to properly position the patient for medical procedures or comfort. # # # possible causes - the bed adjustment lock is engaged. # # # recommendations - ensure that the bed adjustment lock is disengaged. - test the bed to verify proper functionality. @topic:1


# # # issue - the monitor intermittently fails to link with the module, resulting in inconsistent functionality. # # # impact - delays in patient monitoring and diagnostic procedures - errors in patient data management and interpretation # # # possible causes - loose or damaged cables - faulty connectors or ports - software compatibility issues - interference from external devices or electromagnetic fields # # # recommendations - inspect and tighten all cables and connections. - replace damaged or faulty connectors as needed. - check software versions for compatibility and update as necessary. - identify and mitigate any potential sources of interference, such as nearby equipment or medical devices. - perform a comprehensive system test to verify functionality before returning the equipment to service. @topic:16


apnea time. " x : yy " denotes the apnea * * apnea x : y * * * apnea > 10 min * * asystolnumeric flashes, red alarm lamplarm tone no qrs detected for a period > the asystole larm threshold ecg * awrr hignumeric flashes and high limit ihighlighted, yellow alarm lamp, alarm tone the airway respiration ra * awrr lohighlighted, yellow alarm lamplarm tone the low alarm limit. * bis hignumeric flashes and high limit ihighlighted, yellow alarm lamp, alarm tone the bispectrbis * bis lothe bispectral index value has dropped below numeric flashes and low limit is the low alarm limit. bis highlighted, yellow alarm lamp, alarm tone 75 4 patient alarms and inops alarm message condition indication from * * * brady / p xxx < yypress, spo2 this is the alternative alarm message for * * * extreme brady, when the alarm text setting ced. numeric flashes and alarm limit is highlighted, red alarm lamp, alarm * * brady xxx < yyectone heart rate the extreme bradycardia alarm limit. xxx denotes the lowest measured value ; yyy is the extreme bradycardia limit. continuous cardiac output or cc index is above the high alarm limit. * cco hignumeric flashes and high alarm limit is highlighted, yellow alarm amp, alarm tone cco * cci hig * * cco low numeric flashes and low alarm limiis highlighted, yellow alarm lamp, larm tone cco continuous cardiac output or cc index is below the low alarm limit. * cci lo * cpp hignumeric flashes and high limit ihighlighted, yellow alarm lamp, alarm tone the cpp value @topic:8


# # # issue medical cart is unable to open programs. # # # impact unable to use the medical cart for its intended purpose. # # # possible causes - not connected to the internet - software issue - hardware issue # # # recommendations 1. check the internet connection of the medical cart. 2. update the software on the medical cart. 3. contact a biomedical engineer to diagnose and repair any hardware issues. @topic:13


# # # issue - equipment : telemetry ekg module - manufacturer : philips - model : m2601b - failure description : equipment cannot receive signals # # # impact - inability to monitor patient's electrocardiogram ( ekg ) remotely. - delays in diagnosis and treatment. - increased risk of adverse patient outcomes. # # # possible causes 1. * * antenna malfunction : * * the antenna responsible for receiving signals may be damaged or not connected properly. 2. * * transmitter issues : * * the transmitter that sends signals to the ekg module may not be functioning correctly or may be out of range. 3. * * signal interference : * * electromagnetic noise or interference from other medical devices or environmental factors can disrupt signal transmission. 4. * * software glitches : * * software bugs or errors in the ekg module or transmitter can prevent proper signal reception. 5. * * power issues : * * insufficient power to the ekg module or transmitter can affect its ability to receive signals. # # # recommendations 1. * * check antenna : * * inspect the antenna for damage, loose connections, or proper positioning. 2. * * verify transmitter : * * ensure that the transmitter is functioning correctly and is within the appropriate range. 3. * * address interference : * * identify and eliminate sources of electromagnetic interference in the area. 4. * * update software : * * check for available software updates for the ekg module and transmitter and install them if necessary. 5. * * inspect power supply : * * confirm that the power supply to the ekg module and transmitter is adequate. @topic:18


# # # issue : * * remote control buttons not functioning * * # # # impact : * * inability to operate the bed, electric device * * # # # possible causes : * * - electrical malfunction in the remote control : * * loose wiring, faulty components, or damage to the circuit board. * * - wear and tear : * * prolonged use or mishandling could have caused the buttons to stick or become unresponsive. * * - software glitch : * * a software bug or update error could have affected the remote control's functionality. * * - battery issues : * * low battery power or a faulty battery could prevent the remote control from operating correctly. * * - interference : * * external factors such as electromagnetic fields or proximity to other electronic devices could interfere with the remote control's signal. # # # recommendations : * * - inspect the remote control for physical damage or loose connections : * * check the wiring, circuit board, and battery contacts. * * - clean the buttons : * * use a soft cloth and alcohol to remove any dirt or debris stuck under or around the buttons. * * - update the software : * * consult the manufacturer's instructions for any available software updates that could address the issue. * * - replace the battery : * * ensure the battery is fully charged or replace it with a new one. * * - test the remote control away from potential sources of interference : * * move the device to a location where it is not affected by other electronic equipment or electromagnetic fields. * * - consult the manufacturer's manual or contact technical support : * * for further guidance and troubleshooting steps specific to the model and brand of the device. @topic:7


# # # issue - incorrect blood pressure measurements # # # impact - inaccurate patient monitoring and potential patient harm # # # possible causes - loose connection in the propaq exam 1 # # # recommendations - tighten the connection in the propaq exam 1 - calibrate the propaq exam 1 to ensure accuracy @topic:14


# # # issue - printer not printing documents # # # impact - inability to print essential documents, such as patient records, reports, and labels. # # # possible causes - * * exhausted ink cartridges : * * the printer may not be able to print if the ink cartridges are empty or low on ink. - * * faulty ink cartridges : * * the ink cartridges may be defective or damaged, preventing the printer from printing correctly. - * * clogged print heads : * * the print heads may be clogged with dried ink or debris, obstructing the flow of ink. - * * software issues : * * software drivers or operating system settings may be interfering with the printer's functionality. - * * hardware malfunctions : * * internal components of the printer, such as the print mechanism or electrical circuits, may have failed. # # # recommendations - * * replace ink cartridges : * * install new, compatible ink cartridges and ensure they are properly seated. - * * clean print heads : * * follow the manufacturer's instructions to clean the print heads using a cleaning kit or software utility. - * * update software : * * check for available software updates and install them to resolve any software - related issues. - * * troubleshoot hardware : * * if the issue persists, consult the manufacturer's documentation or contact technical support for further diagnosis and repair. @topic:28


# # # issue * equipment : bed, electric * brand : paramount bed * model : ka - 64000 * description : bme reset the remote control and it worked normally. * cause of failure : the bed got stuck. # # # impact * the patient may not be able to use the bed properly. * the patient may be uncomfortable or in pain. * the bed may not be able to be used for other patients. # # # possible causes * the remote control may not be working properly. * the bed may have a mechanical problem. * the bed may not be properly plugged in. # # # recommendations * check the remote control batteries. * check the bed for any loose wires or connections. * ensure the bed is plugged into a working outlet. * if the problem persists, contact the manufacturer for service. @topic:7


# # # issue * * battery failure * * # # # impact * * equipment malfunction * * # # # possible causes - battery life cycle exceeded - battery not properly maintained or stored - excessive heat or cold - physical damage # # # recommendations - regular battery inspection and replacement - proper battery maintenance and storage - temperature monitoring - physical protection @topic:11


# # # issue - faulty sensor # # # impact - inability to measure spo2, which is essential for monitoring patient's oxygenation status. # # # possible causes - damaged probe or sensor - loose connections - software or hardware malfunction # # # recommendations - replace the faulty sensor. - check and tighten all connections. - perform a diagnostic test on the device. - refer to the manufacturer's user manual for troubleshooting instructions. # # # additional considerations - ensure that the probe is properly placed on the patient's finger or earlobe. - verify that the patient is not moving excessively, as this can affect the accuracy of the reading. - monitor the patient's spo2 levels closely, especially if they have respiratory or cardiovascular conditions. @topic:4


# # # issue - * * equipment request * * - plan wants a non - invasive spo2 sensor # # # impact - * * equipment failure * * - the current device is a bedside vital signs monitor not equipped with an spo2 sensor # # # possible causes - * * miscommunication * * - the plan's request for an spo2 sensor was not clearly communicated to the biomedical engineer ( bme ). # # # recommendations - * * improved communication * * - implement a clear communication channel between the plan and bme to ensure accuracy and completeness of device requests. - * * training * * - conduct training sessions to educate the plan on the capabilities and limitations of various medical devices. - * * centralized inventory system * * - establish a centralized inventory system to track the availability and usage of medical equipment, preventing confusion and misallocation. - * * regular device check - ups * * - schedule regular inspections of medical devices by the bme to identify potential issues and ensure proper functionality. @topic:4


# # # issue - equipment : nibp monitor - brand : ge healthcare - model : dinamap procare 100 - symptom : unable to measure oxygen levels # # # impact - inability to accurately monitor patient's oxygen saturation levels, which is crucial for proper diagnosis and treatment. # # # possible causes - * * faulty oxygen sensor : * * the oxygen sensor may be damaged or malfunctioning, leading to inaccurate readings or no readings at all. - * * damaged cabling : * * the cables connecting the oxygen sensor to the monitor may be damaged, causing an interruption in communication and preventing the monitor from receiving oxygen readings. - * * software glitch : * * a software glitch within the monitor may hinder its ability to interpret the oxygen sensor's signals, resulting in incorrect readings or no readings at all. - * * incorrect probe placement : * * the oxygen probe may not be properly placed on the patient, causing it to fail in accurately measuring oxygen saturation levels. # # # recommendations - * * inspect oxygen sensor : * * carefully examine the oxygen sensor for any signs of damage or improper connection. ensure that the sensor is securely attached and has no loose wires or connections. - * * check cabling : * * inspect the cables connecting the oxygen sensor to the monitor for any visible damage, such as cuts, breaks, or loose connections. replace any damaged cables as necessary. - * * update software : * * if a software update is available for the nibp monitor, install it to ensure the latest software version is running and any previously reported bugs have been addressed. - * * ensure proper probe placement : * * verify that the oxygen probe is positioned correctly on the patient's finger or earlobe, as per the manufacturer's guidelines. make sure the probe is clean and properly attached to ensure accurate readings. @topic:4


# # # issue : battery burnout # # # impact : - inability to use the nibp monitor - potential danger to patients and staff due to battery burnout # # # possible causes : - overcharging of the battery - damage to the battery - battery not replaced for a long time # # # recommendations : - check the battery voltage and replace it if necessary - inspect the battery for any signs of damage - follow the manufacturer's recommendations for battery replacement and maintenance - train staff on proper battery handling and disposal procedures @topic:11


# # # issue - low battery level ( - 1 % ) # # # impact - potential interruption of medical cart use - impaired functionality of medical equipment relying on the cart # # # possible causes - depleted battery life - faulty battery - battery charging issues - improper battery maintenance # # # recommendations - replace the depleted battery with a fully charged one. - inspect the battery for any damage or defects. - ensure proper charging practices are followed. - regular maintenance and testing of the medical cart and its components to prevent similar issues in the future. @topic:13


# # # issue - truchscreen not working properly # # # impact - inability to use the monitor to display patient data, affecting patient care. # # # possible causes - * * contamination : * * dirt, dust, or other contaminants on the touchscreen surface can interfere with its operation. - * * hardware failure : * * issues with the touchscreen panel, digitizer, or connection to the monitor's mainboard. - * * software glitch : * * software errors or corrupted drivers can affect touchscreen functionality. - * * improper cleaning : * * using harsh or abrasive cleaning agents can damage the touchscreen surface or underlying sensors. # # # recommendations - * * cleaning : * * gently clean the touchscreen using a lint - free cloth and an appropriate cleaning solution recommended by the manufacturer. avoid using paper towels or other abrasive materials. - * * hardware inspection : * * if cleaning does not resolve the issue, inspect the touchscreen panel and connections for any visible damage or loose connections. consult with a qualified biomedical engineer for further troubleshooting. - * * software update : * * check for and install any available software updates for the monitor from the manufacturer's website. - * * calibration : * * calibrate the touchscreen using the manufacturer's instructions to ensure its accuracy and responsiveness. @topic:2


# # # issue - damaged ekg lead # # # impact - patient monitoring may be inaccurate or unavailable. # # # possible causes - physical damage to the lead, such as cuts, tears, or punctures. - electrical [UNK] [UNK], such as a short circuit or open circuit. # # # recommendations - replace the damaged lead with a new one. - inspect the lead for any signs of damage before use. - handle the lead with care to avoid damage. - follow the manufacturer's instructions for the proper use and maintenance of the lead. @topic:18


# # # issue - broken air plug connector on the nibp machine # # # impact - the nibp machine cannot be used to measure blood pressure. # # # possible causes - the air plug connector is damaged. - the hose is damaged. # # # recommendations - inspect the air plug connector and hose for damage. - if the air plug connector is damaged, replace it. - if the hose is damaged, replace it. @topic:15


* * issue * * : central monitor screen not turning on * * impact * * : inability to monitor patient vital signs, leading to potential delays in care and patient safety concerns. * * possible causes * * : - * * loose or disconnected power adapter cable : * * the adapter cable may have accidentally disconnected, interrupting the power supply to the monitor. - * * faulty power outlet or circuit : * * the electrical outlet or circuit supplying power to the monitor may be malfunctioning, causing power interruptions. - * * internal hardware failure : * * a malfunctioning component within the monitor, such as the power supply or display panel, could prevent the screen from turning on. * * recommendations * * : - * * check power connections : * * ensure that the power adapter cable is securely connected to both the monitor and the power outlet. verify that the outlet is functioning properly by testing with another device. - * * inspect power supply : * * examine the power supply unit within the monitor for any visible signs of damage or loose connections. replace the power supply if necessary. - * * contact manufacturer support : * * if the issue persists after checking the power connections and power supply, contact the manufacturer or authorized service provider for further troubleshooting and repair. @topic:2


# # # issue fetal monitor screen is displaying lines, blurriness, and is flickering. # # # impact the affected display on the fetal monitor can hinder proper monitoring and interpretation of fetal heart rate and other vital parameters during labor and delivery, compromising patient safety and care. # # # possible causes - * * faulty screen or display panel : * * internal damage or deterioration of the screen or display panel can lead to visual disruptions such as lines, flickering, and blurriness. - * * loose or damaged cable connections : * * loose or damaged cables connecting the screen to other components can cause signal interruptions, resulting in screen abnormalities. - * * power supply issues : * * fluctuating or inadequate power supply can affect the function of the monitor and display. - * * software glitches or firmware bugs : * * software or firmware issues can introduce display errors or malfunctions. - * * physical trauma or impact : * * dropping or mishandling the monitor can cause damage to the screen or internal components, leading to display failures. # # # recommendations - * * inspect cable connections : * * ensure that all cables are securely connected and free of any damage or loose contacts. - * * check power supply : * * verify that the monitor is receiving stable and adequate power. - * * update software and firmware : * * install any available software or firmware updates to address potential bugs or performance issues. - * * calibrate the display : * * follow the manufacturer's instructions to calibrate the display for optimal performance and accuracy. - * * contact technical support or manufacturer : * * if the issue persists, contact the manufacturer or technical support for further assistance and possible repairs or replacements. @topic:2


# # # issue - cuff is damaged. # # # impact - inability to measure blood pressure accurately. # # # possible causes - cuff is old and worn. - cuff is not properly inflated. - cuff is not properly placed on the limb. - cuff is too loose or too tight. - cuff is punctured or torn. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly inflated. - ensure that the cuff is properly placed on the limb. - ensure that the cuff is not too loose or too tight. - inspect the cuff for any punctures or tears. @topic:3


# # # issue - equipment malfunction : the electric bed is not responding to control inputs and cannot be adjusted. # # # impact - patient care : the bed is essential for patient comfort, positioning, and mobility. its malfunction can hinder patient recovery and well - being. - workflow efficiency : a non - functional bed can disrupt hospital operations and reduce staff productivity. # # # possible causes - electrical failure : interruption in power supply, faulty wiring, or damaged electrical components. - mechanical failure : issues with the bed's motors, gears, or frame that prevent movement. - control system malfunction : defects in the electronic control panel or communication systems. - software errors : glitches or bugs in the bed's operating software. - user error : improper use or handling of the bed, leading to accidental damage or malfunction. # # # recommendations - troubleshooting : perform a thorough inspection of the bed's electrical connections, mechanical components, and control system. - electrical testing : use a voltmeter or other diagnostic tools to check for electrical continuity and voltage. - mechanical assessment : inspect the motors, gears, and frame for signs of damage, wear, or misalignment. - control system diagnostics : check the control panel, cables, and communication ports for any issues. - software updates : if necessary, install any available software updates or patches to address known bugs or compatibility issues. - user training : provide proper instructions and training to staff on the safe and proper use of the bed. - preventive maintenance : establish a regular maintenance schedule to inspect and service the bed to prevent future failures. @topic:9


* * issue * * monitor is not displaying ekg * * impact * * inability to monitor patient's ekg, which is necessary for proper diagnosis and treatment. * * possible causes * * * faulty ekg lead cable * loose connection between ekg lead cable and monitor * problem with the monitor's ekg input circuitry * * recommendations * * * check ekg lead cable for damage and replace if necessary * ensure ekg lead cable is securely connected to monitor * test monitor's ekg input circuitry using a known - good ekg lead cable @topic:18


the pc board. ( vibration from the pump in operation will damage the extension if the pump touches the pc board. ) 2 replace the top part of the bracket and screw firmly into position. note after replacing the pump, reset the displayed value using the reset pumpoptime selection ( service mode > c0 2 setup ). when the pumpoptime has been reset an inop will be generated : “ c0 2 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 172 disassembly procedures for the m3015a measurement server extension ( hw rev. a ) 5 repair and disassembly 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. 173 5 repair and disassembly smart battery charger lg1480 ( m8043a ) smart battery charger lg 1480 ( m8043a ) you should clean both air filter mats on a regular basis. depending on the frequency of use and the environmental conditions ( dust etc. ) @topic:19


# # # issue - the lock on the bed rails has come loose # # # impact - the patient may be at risk of falling out of bed # # # possible causes - the lock may not have been properly engaged - the lock may be damaged - the bed rails may be loose # # # recommendations - check the lock to ensure that it is properly engaged - inspect the lock for any damage - tighten the bed rails if necessary @topic:6


# # # issue battery failure in philips suresigns vs2 monitor, physiologic, vital signs device. # # # impact the device is unable to hold a charge, which can lead to unexpected shutdowns and loss of vital patient data. # # # possible causes - * * battery degradation : * * over time, batteries lose their capacity to hold a charge. this is especially true for batteries that are frequently charged and discharged. - * * faulty charging system : * * the device's charging system may be malfunctioning, preventing the battery from being properly charged. - * * loose connections : * * loose connections between the battery and the device can prevent the battery from making contact and being charged. # # # recommendations - * * replace the battery : * * if the battery is degraded, it will need to be replaced with a new one. - * * check the charging system : * * the device's charging system should be checked to ensure that it is functioning properly. - * * tighten connections : * * any loose connections between the battery and the device should be tightened to ensure proper contact. @topic:11


# # # issue - the bed is not adjusting as intended. # # # impact - the bed cannot be used to properly position patients, which can impact their comfort and safety. # # # possible causes - the remote control cord has a problem with the ac power cord. # # # recommendations - the ac power cord has been replaced and the bed is now working properly. @topic:1


# # # issue - the electric bed has faulty lock buttons. # # # impact - the bed cannot be adjusted properly, which can pose a safety hazard to patients and staff. # # # possible causes - worn or broken buttons - malfunctioning control panel - wiring or circuit issues # # # recommendations - replace the faulty buttons or control panel. - inspect and test the wiring and circuits. - retrain staff on proper bed operation to prevent accidental damage. # # # additional notes - the biomedical engineer ( bme ) should have documented the specific symptoms and behavior of the bed during the inspection. - the cause of failure may be difficult to determine without further testing and analysis. - regular maintenance and inspection of medical equipment can help prevent such failures and ensure patient safety. @topic:9


# # # issue * * headboard does not lock. * * # # # impact * * patients cannot be safely positioned in the bed. * * # # # possible causes - user put the headboard in place incorrectly. # # # recommendations - make sure that the headboard is properly locked in place. @topic:6


to decrease the size. selecting auto size lets the monitor choose the optimal adjustment factor for all available ecg 2 waves. to change the size of all the ecg waves on the screen by a fixed adjustment factor, in the setup ecg menu, select adjust size. 1 select the required adjustment factor from the line of pop - up keys. 2 size x0. 5 to halve the wave size - size x1 to display the wave without zoom size x2 to double the wave size size x4 to multiply the wave size by four previous size : to return one step to the previous size - auto size : to let the monitor choose the optimal adjustment factor for all the ecg waves. the qrs tone is derived from either the hr or pulse, depending on which is currently selected as the alarm source. the qrs volume can be set from 0 to 10 ( 0 means off ). to change the qrs volume, in the setup ecg menu select qrs volume and then select the appropriate volume from the pop - up list. changing the ecg filter settings the ecg filter setting defines how ecg waves are smoothed. an abbreviation indicating the filter type is shown underneath the lead label on the monitor display. filter settings do not affect st easurement. to change the filter setting, in the setup ecg menu, select filter and then select the appropriate setting. monitor : use under normal measurement conditions. - ext. monitor : use when diagnostic quality is required but low frequency interference or a wandering baseline may be expected. the upper edge frequency is the same as the diag setting and the lower edge frequency is the same as the monitor setting. 137 6 ecg, arrhythmia, st and qt monitoring filter : the filter reduces interference to the signal. it should be used if the signal is distorted by high frequency or low frequency interference. high frequency interference usually @topic:8


# # # issue * * monitor is not linking * * # # # impact * unable to monitor patient's vital signs * potential for patient harm if vital signs are not monitored # # # possible causes * * 1. loose or damaged cables : * * - poor connection between the monitor and the patient transport - check and tighten all cables * * 2. software compatibility issue : * * - monitor software is not compatible with the patient transport - contact the manufacturer for compatibility information and updates * * 3. hardware malfunction : * * - faulty monitor or patient transport - test the monitor and patient transport with known working devices * * 4. network connectivity issue : * * - monitor and patient transport are not connected to the same network - ensure both devices are connected to the same network # # # recommendations * * 1. check cables : * * - inspect cables for damage or loose connections - tighten or replace cables as needed * * 2. update software : * * - check for software updates for both the monitor and patient transport - install updates as recommended by the manufacturer * * 3. test hardware : * * - swap out the monitor and patient transport with known working devices - if the problem persists, troubleshoot the faulty device * * 4. troubleshoot network : * * - verify that both devices are connected to the same network - reset network settings if necessary @topic:16


# # # issue battery failure # # # impact - device may not be able to function properly - patient may not be able to receive proper care # # # possible causes - battery has reached the end of its lifespan - battery is not properly installed - battery is not compatible with the device # # # recommendations - replace the battery with a new one - ensure that the battery is properly installed - verify that the battery is compatible with the device @topic:11


# # # issue - remote control is not functioning properly. # # # impact - the patient is unable to adjust the bed's position or settings. - this can lead to discomfort or pain for the patient. # # # possible causes - the remote control may be damaged. - the batteries in the remote control may be dead. - the remote control may be out of range of the bed. - the bed's receiver may be malfunctioning. # # # recommendations - inspect the remote control for any damage. - replace the batteries in the remote control. - check if the remote control is within range of the bed. - contact the manufacturer or a qualified technician to repair or replace the bed's receiver if necessary. @topic:7


# # # issue - cuff of the physiologic vital signs monitor is defective. # # # impact - the monitor may not be able to accurately measure vital signs, such as blood pressure, which could lead to incorrect diagnosis and treatment decisions. # # # possible causes - the cuff may have been damaged during use or storage. - the cuff may have been used on a patient who was too large or too small for the cuff, which could have caused the cuff to stretch or tear. - the cuff may have been punctured or cut by a sharp object. # # # recommendations - inspect the cuff for any damage. if the cuff is damaged, it should be replaced. - use the correct size cuff for the patient. - store the cuff properly when not in use. - train staff on how to properly use and care for the cuff. @topic:5


# # # issue - monitor not capturing signal # # # impact - inability to monitor patient's electrocardiogram ( ecg ) # # # possible causes - loose or disconnected lead wires - faulty lead wires - issues with the monitor's hardware or software - electromagnetic interference - patient movement or muscle noise # # # recommendations - ensure that all lead wires are securely connected to both the patient and the monitor. - inspect the lead wires for any signs of damage or wear. - check the monitor's hardware and software for any updates or error messages. - identify and eliminate any sources of electromagnetic interference. - position the patient comfortably and instruct them to remain still during the ecg monitoring. @topic:18


# # # issue * battery degradation * cuff tear # # # impact * incorrect blood pressure measurements * device malfunction # # # possible causes * * * battery degradation : * * * overcharging * undercharging * improper storage * long - term use * * * cuff tear : * * * physical damage * wear and tear * improper handling # # # recommendations * * * battery maintenance : * * * follow manufacturer's charging instructions * store batteries at room temperature * replace batteries according to manufacturer's recommendations * * * cuff maintenance : * * * inspect cuffs regularly for tears or damage * clean cuffs with a mild disinfectant * store cuffs in a dry, protected location @topic:5


# # # issue - equipment not charging # # # impact - medical cart cannot be used # # # possible causes - battery is not properly connected - charger is not working - battery is dead # # # recommendations - check the battery connections - replace the charger - replace the battery @topic:13


##d pbtp = = p = pbtps partial pressure at body temperature saturated and ressure, = = temperature and pressure, = dry pabs absolutpressure m3016a mainstream co2 performance specifications co2 - 4 to 150 mmhg ( - 0. 5 to 20. 0 kpa ) range accuracy after 20 minutes warmup and calibration : for values between 0 and 40 mmhg : ±2. 2 mmhg ( ±0. 29 kpa ) for values between 40 and 76 mmhg : ±5. 5 % of reading the specifications are valid for 45 % o2 and n2 or n2o balance. outside these conditions the accuracy reaches at a minimum the requirements of en864 / iso9918. numeric : 1. 0 mmhg ( 0. 1 kpa ) resolution wave : 0. 1 mmhg ( 0. 01 kpa ) ±1. 0 mmhg over a 7 day period stability 487 40 specifications m3016a mainstream co2 performance specifications to 150 rprange accuracy + 2 rpm 20 minutes with co2 transducer attached for full accuracy specification less than 125 ms ( for step from 10 % to 90 % ) mainstream co2 humidity correction factor either btps or atpd can be selected as the humidity correction factor for the mainstream co2 readings. the formula for the correction calculation is : where : p abs patpd = pbtps and pressure, = pbtps partial pressure at body temperature = patpd partial pressure at temperature pressure, pabs = absolute pressure = = co2 alspecifications etco2 high 2 low delay range adjustment 1 mmhg ( 0. 1 kpa ) 20 to 95 mmhg ( 2 to 13 kpa ) 10 to 90 mmhg ( 1 to 12 kpa ) m3002a / m3014a / m3016a : @topic:17


# # # issue - bed alarm is not sounding. # # # impact - the patient may not be able to call for help if they need it. # # # possible causes - the alarm cord is broken. - the alarm system is not turned on. - the alarm system is not working properly. # # # recommendations - * * bme should inspect the alarm cord for damage and repair or replace it if necessary. * * - bme should ensure that the alarm system is turned on. - bme should test the alarm system to ensure that it is working properly. @topic:26


* check the connections : * * inspect the connections between the temperature probe and the monitor to ensure they are secure and free of any damage. tighten any loose connections or replace faulty cables as necessary. - * * restart the monitor : * * turn off the monitor, wait a few minutes, and then turn it back on. this may resolve any temporary software glitches. - * * contact technical support : * * if the issue persists after trying the above steps, contact the manufacturer's technical support for further troubleshooting and possible repairs or replacements. @topic:20


the ecg out / marker in function does not funcion hardware problem check msl cable check ecg out hardware in the monitor check the msl connector in the measurement server alarm issues alarm lamps symptoms possible causes of failure failure isolation and remedy inop message check alarm lamps is issued ecg out / alarm led board cable disconnected reconnect ecg out / alarm led board to mainboard ecg out / alarm led board defective replace ecg out / alarm led board main board defective replace main board alarm occurs, but no led lights up environmental lighting too bright place monitor in a darker environment ecg out / alarm led board cable disconnected reconnect ecg out / alarm led board to mainboard alarm led board defective replace ecg out / alarm led board main board defective main board alarm tones symptoms possible causes of failure failure isolation and remedy inop message speaker malfunction is displayed speaker cable disconnected reconnect speaker cable speaker defective replace speaker sound amplifier on main board defective replace main board 95 4 troubleshooting troubleshooting guide symptoms possible causes of failure failure isolation and remedy alarm occurs but no alarm sound is issued audible alarm indicators have been switched off switch audible alarm indicators back on volume set to 0 increase volume speaker defective replace speaker sound amplifier on main board defective replace main board alarm occurs on device connected to vuelink but no alarm sound is issued on the monitor configuration of vuelink is incorrect check vuelink configuration alarm behavior if your monitor did not alarm in the way in which the end user expected, please consult the instructions for use for possible setup issues or configuration settings which could affect alarm behavior. individual parameter inops if any of the following parameter inop messages are issued try the respective parameter in another device. if the inop message persists replace the parameter module, the mms or other indicated device. • 0o 2 equip malf • ecg equip malf • @topic:22


# # # issue - cuff leak # # # impact - inaccurate blood pressure measurements # # # possible causes - cuff is old and worn - cuff is not properly inflated - cuff is damaged # # # recommendations - replace the cuff - check the inflation pressure - inspect the cuff for any damage @topic:3


# # # issue the given input does not provide a clear description of the cause of failure for the medical device. # # # impact the lack of a clear cause of failure makes it difficult for the biomedical engineer to identify the root cause of the problem and develop an effective repair strategy. # # # possible causes based on the limited information provided, the following could be possible causes of the failure : * software glitches * hardware malfunctions * environmental factors * user error # # # recommendations to troubleshoot and resolve the issue, the biomedical engineer should : * review the maintenance and usage logs for the device to identify any recent changes or unusual events. * perform a thorough visual inspection of the device to check for any physical damage or loose connections. * test the device with different settings and inputs to isolate the problem. * consult with the manufacturer or technical support for assistance in troubleshooting and resolving the issue. * record the cause of failure and any corrective actions taken for future reference. @topic:12


# # # issue - monitor screen is not turning on. # # # impact - inability to monitor patient's vital signs, leading to potential delays in diagnosis and treatment. # # # possible causes - * * loose signal cables : * * if the signal cables connecting the monitor to the patient are loose or disconnected, it can disrupt the transmission of vital sign data and prevent the screen from displaying. - * * power supply issues : * * a faulty power supply or loose power connection can prevent the monitor from receiving power and functioning properly. - * * hardware failure : * * internal hardware components within the monitor, such as the display panel or circuit board, may have malfunctioned or failed. - * * software bugs : * * software errors or glitches can cause the monitor to behave abnormally or freeze, leading to screen display issues. - * * environmental factors : * * extreme temperatures, humidity, or electromagnetic interference can affect the monitor's functionality and cause the screen to malfunction. # # # recommendations - * * inspect signal cables : * * check all signal cables connecting the monitor to the patient and ensure they are securely connected and not damaged. - * * verify power supply : * * ensure the power supply is properly connected and functioning, and check for any loose connections or faults. - * * restart the monitor : * * powering off and restarting the monitor can sometimes resolve temporary software glitches or hardware issues. - * * contact manufacturer : * * if the issue persists after checking the above factors, contact the manufacturer for technical support or to arrange for repairs. - * * regular maintenance : * * implement a regular maintenance schedule to proactively check for loose connections, power issues, or potential hardware failures. @topic:2


/ intellibridge module. • if gas concentrations from the gas analyzer are selected but not all data is available, the missing data is taken from manually entered values. in case of invalid data or no data at all, the inop message spiro gas compens? is displayed. changing the type of balance gas 1 in the setup spirometry menu, select gas compensation. 2 select balance gas to change the type of balance gas. 3 select the appropriate setting ( n 2 or n 2 0 ). changing the concentration of inspired 0 2 and the inspired agents 1 in the setup spirometry menu, select gas compensation. 2 select inspired 0 2 to change the concentration of inspired 0 2. select inspired agent to change the concentration of the inspired agent ( s ). 231 15 monitoring airway flow, volume and pressure setting up spirometry 3 select the appropriate setting. changing the temperature of the inspired gas depending on the type of ventilator environment ( e. g. if you are using a heat moisture exchanger ) you may want to change the temperature setting of the inspired gas : 1 in the setup spirometry menu, select gas compensation. 2 select inspired temp to change the temperature of the inspired gas. 3 select the appropriate temperature setting. note changing the temperature setting unintentionally will result in approximately 3 % reduced accuracy per 10°c ( 18°f ) temperature setting change. 232 16 monitoring tcgas the tcgas module measures the partial pressure of the oxygen and carbon dioxide that diffuses through the skin, thereby providing a measure of these gases in the capillary blood. the monitor ’ s settings for altitude and barometric pressure influence the measurement. the tcp0 2 / tcpc0 2 measurement is valid for an infant patient not under gas anesthesia. anesthetic agents, such as halothane, can cause incorrect or drifting readings. trans @topic:17


# # # issue the electric bed's remote control is malfunctioning. # # # impact the patient cannot adjust the bed's height or position, which could lead to discomfort or injury. # # # possible causes - the remote control is defective. - the batteries in the remote control are dead. - the receiver in the bed is malfunctioning. - the wiring between the remote control and the bed is damaged. # # # recommendations - replace the remote control. - replace the batteries in the remote control. - inspect the receiver in the bed for damage. - inspect the wiring between the remote control and the bed for damage. @topic:7


# # # issue - failure of cuff on blood pressure monitor # # # impact - patient monitoring may be inaccurate or delayed. - patient safety may be compromised. # # # possible causes - cuff is not the correct size for the patient - cuff is not properly inflated or deflated - cuff is damaged or defective # # # recommendations - verify that the cuff is the correct size for the patient. - ensure that the cuff is properly inflated and deflated. - inspect the cuff for damage or defects. - replace the cuff if it is damaged or defective. @topic:3


# # # issue - * * display issue : * * the patient monitor's screen is displaying a purple hue. # # # impact - * * impaired patient monitoring : * * the abnormal display color can compromise the accurate interpretation of patient vital signs and data, potentially leading to delayed or incorrect medical interventions. # # # possible causes - * * loose hdmi connection : * * the hdmi cable connecting the monitor to the cpu was loose, causing intermittent or disrupted signal transmission. # # # recommendations - * * secure hdmi connection : * * - ensure that the hdmi cable is firmly plugged into both the monitor and the cpu. - verify that the cable is undamaged and free of any bends or kinks. - * * test display : * * - power cycle the monitor and observe if the display returns to normal. - if the issue persists, consider using a different hdmi cable or monitor to rule out hardware defects. - * * monitor software updates : * * - check for any available software updates for the monitor and ensure they are installed. - software updates can address display - related issues and improve the overall performance of the monitor. - * * contact technical support : * * - if the above troubleshooting steps do not resolve the display issue, contact the manufacturer's technical support for further assistance. @topic:2


# # # issue - diastolic blood pressure reading is too low. # # # impact - falsely low diastolic blood pressure reading can lead to inaccurate diagnosis and treatment decisions. # # # possible causes - * * improper cuff size : * * using a cuff that is too small or too large can result in inaccurate blood pressure readings. - * * improper cuff placement : * * the cuff should be placed snugly around the upper arm, with the lower edge of the cuff 1 - 2 cm above the elbow crease. - * * patient movement : * * movement during blood pressure measurement can lead to inaccurate readings. - * * equipment malfunction : * * the blood pressure monitor may be malfunctioning and giving inaccurate readings. - * * other factors : * * certain medications, such as vasodilators, can affect blood pressure readings. # # # recommendations - * * ensure proper cuff size : * * use a cuff that is the appropriate size for the patient's arm circumference. - * * place the cuff correctly : * * position the cuff snugly around the upper arm, with the lower edge of the cuff 1 - 2 cm above the elbow crease. - * * instruct the patient to remain still : * * ask the patient to remain still during the blood pressure measurement. - * * check the equipment : * * ensure that the blood pressure monitor is calibrated and functioning properly. - * * consider other factors : * * be aware of any medications or other factors that may affect blood pressure readings. @topic:14