# # # issue - * * medical cart drawer failure to release * * # # # impact - difficulty accessing medical supplies stored in the drawer - interruption of patient care due to inability to access necessary equipment # # # possible causes - * * defective drawer mechanism * * - * * malfunction of the lever or latch * * - * * accumulation of debris or obstruction in the drawer mechanism * * - * * misalignment or loosening of drawer components * * - * * improper usage or overloading of the drawer * * # # # recommendations - * * thoroughly inspect the drawer mechanism for any visible damage or obstructions * * - * * test the drawer's functionality by gently pulling and releasing it * * - * * if the drawer remains stuck, do not force it open as it may cause further damage * * - * * contact the medical equipment manufacturer or a qualified biomedical engineer for repair * * - * * ensure proper use of the drawer and avoid overloading it * * - * * regularly clean and maintain the drawer to prevent debris accumulation * * @topic:21


# # # issue * malfunctioning electric bed # # # impact * inability to adjust bed for patient comfort or medical procedures # # # possible causes * faulty wiring * broken remote control * malfunctioning motor in this specific case, the cause of failure was : # # # recommendations 1. inspect wiring for any visible damage or loose connections. 2. check remote control batteries and replace if necessary. 3. test motor functionality by attempting to adjust the bed manually. 4. if the issue persists, contact the manufacturer for troubleshooting assistance. @topic:1


# # # issue - vital signs monitor is not reading oxygen saturation ( spo2 ) values # # # impact - inability to accurately monitor patient's oxygenation status, which can lead to delayed diagnosis and treatment of hypoxia or hyperoxia # # # possible causes - faulty spo2 sensor - loose or damaged spo2 cable - incorrect sensor placement - interference from external light sources - patient movement or restlessness - equipment malfunction or software issue # # # recommendations 1. * * inspect spo2 sensor : * * check for any visible damage or contamination on the sensor. clean the sensor if necessary. 2. * * secure spo2 cable : * * ensure that the cable is securely connected to both the monitor and the sensor. check for any loose connections or frayed wires. 3. * * verify sensor placement : * * place the sensor on a clean and dry area of the patient's finger or earlobe. make sure the sensor is properly aligned and seated. 4. * * eliminate external light sources : * * turn off or dim nearby lights that may interfere with the spo2 signal. 5. * * monitor patient movement : * * ask the patient to remain as still as possible during the measurement. 6. * * restart equipment : * * turn off and unplug the monitor for a few minutes. then, restart the equipment and check if the issue is resolved. 7. * * contact biomed : * * if the issue persists despite troubleshooting, contact the biomedical engineering ( bme ) department for further assistance. they may need to perform advanced diagnostics or replace the sensor or equipment. @topic:4


# # # issue electric hospital bed is not adjustable. # # # impact patients may not be able to get into or out of bed, and caregivers may not be able to position patients properly. this can lead to discomfort, pain, and pressure sores. # # # possible causes * * * remote control is not working. * * the remote control may be damaged, or the batteries may be dead. * * * electrical problem. * * there may be a problem with the bed's electrical system, such as a loose wire or a blown fuse. * * * mechanical problem. * * there may be a problem with the bed's mechanical system, such as a broken gear or a jammed motor. # # # recommendations * * * check the remote control. * * make sure that the batteries are fresh and that the remote control is not damaged. * * * inspect the electrical system. * * look for loose wires or blown fuses. * * * check the mechanical system. * * look for broken gears or jammed motors. * * * if you are unable to find the cause of the problem, contact a qualified biomedical engineer. * * @topic:1


- 38 suresigns vs4 service guide 5 repairing the monitor disassembling the monitor this chapter contains the procedures for disassembling the monitor to replace defective assemblies or components. the monitor has three main assemblies : e rear case e main board e front case rear case assembly main board assembly ) ( front case assembly the monitor can be further disassembled into all major components, including : e printed circuit boards ( boards ) e battery e cables * lcd e measurement modules for more information about replaceable parts, see chapter 6, “ replacement parts and assembly drawings. ” repairing the monitor suresigns vs4 service guide 5 - 1 tools required for service warning before you open or disassemble the monitor, disconnect the ac power from the monitor and remove the battery. after any monitor repair, you must perform the recommended performance and safety tests before you put the monitor into operation. failure to perform these tests can result in erroneous monitor readings. for more information about performing safety and performance tests, see chapter 3, “ performance verification testing. ” caution observe esd ( electrostatic discharge ) precautions when working inside the monitor. tools required for service the following tools and additional test equipment are required to disassemble, repair, and re - assemble the monitor. ¢ # 1, # 2 phillips screwdrivers ¢ torx t10, t20 screwdrivers e small and medium flathead screwdrivers ¢ 10mm, 12 mm wrenches e needle nose pliers e plastic cable zip ties e wire - cutters e esd mat and wrist strap shutting down the monitor perform a hard shutdown whenever you need to power down the monitor for repair. performing a hard shutdown ensures that all patient and system data is saved in memory. to perform a hard shutdown : step 1 open the system menu. see “ accessing the system menu ” on page 3 @topic:19


thermal condition. choose the appropriate airway adapter and connect it to the sensor head. the airway adapter clicks into place when seated correctly. to zero the sensor : 3 expose the sensor to room air and keep it away from all sources of co2 including the ventilator, the patient's breath and your own. 43 when you see the message co2 calibration done at < date and time > on the status line, the zero calibration is finished and you can begin monitoring. install the airway adapter at the proximal end of the circuit between the elbow and the ventilator y - 4 warning to prevent stress on the endotracheal tube, support the sensor and airway adapter. position sensor cables and tubing carefully to avoid entanglement or potential strangulation. do not n to any cable. replace the airway adapter, if excessive moisture or secretions are observed in the tubing or if the co2 waveform changes unexpectedly without a change in patient status. to avoid infection, use only sterilized, disinfected or disposable airway adapters. inspect the airway adapters prior to use. do not use if airway adapter appears to have been damaged or broken. observe airway adapter color coding for patient population. plug the sensor cable into the monitor's co2 input connector. allow the sensor two minutes warm time 1 connect the cannula, airway adapter, or sample line as appropriate, to the sensor. it will click into place when seated correctly. 2 to zero the sensor : 3 244 expose the sensor to room air and keep it away from all sources of co2 including the ventilator, the patient's breath and your own. co2 calibration done at < date and time > on the status line, the when essa @topic:17


# # # issue - cuff is damaged. # # # impact - the monitor may not be able to accurately measure vital signs. - the patient may not receive the appropriate care. # # # possible causes - the cuff may have been overinflated. - the cuff may have been damaged by chemicals or fluids. - the cuff may have been used for an extended period of time. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of damage. - avoid overinflating the cuff. - use the cuff only for the recommended period of time. @topic:5


# # # issue - motor of the bed is damaged # # # impact - the bed is not able to function properly and cannot be used by patients # # # possible causes - the motor may have been damaged due to excessive use or wear and tear - the motor may have been damaged due to a power surge or other electrical issue - the motor may have been damaged due to a manufacturing defect # # # recommendations - replace the motor with a new one - inspect the electrical system to ensure that there are no other issues - perform regular maintenance on the bed to prevent future issues @topic:9


train staff : * * ensure that all staff who use the monitor are properly trained to operate it correctly and troubleshoot minor issues. @topic:12


# # # issue - equipment not connecting to the system # # # impact - inability to monitor patient's vital signs and deliver appropriate care # # # possible causes - loose or damaged cables - incorrect configuration - software or hardware issue - network connectivity issue # # # recommendations - check cables for damage or loose connections - verify network connectivity - restart the device - update software or firmware - contact vendor for technical support if issue persists @topic:16


* * issue : * * equipment failure of vital signs monitor, model 740 by casmed * * impact : * * interruption of patient monitoring capabilities, potentially compromising patient safety. # # # possible causes : * * * battery failure : * * the mentioned " bme " ( likely referring to a biomedical engineer ) replaced the battery, suggesting that a faulty or depleted battery may have caused the failure. * * * oxygen saturation sensor failure : * * the input indicates that the " oxyge sat " sensor was also not functioning properly. this could be due to : * defective sensor component * damaged cable connecting the sensor to the monitor * incorrect calibration or mounting of the sensor # # # recommendations : * * * confirm battery replacement : * * verify that the replaced battery is of the correct type and is properly installed. * * * test oxygen saturation sensor : * * perform diagnostic tests on the oxygen saturation sensor to identify any potential issues. this may involve replacing the sensor cable or recalibrating the sensor. * * * inspect monitor hardware : * * examine the monitor's internal circuitry, connections, and display for any signs of damage or loose components. * * * review maintenance history : * * check the device's maintenance records to determine if any previous repairs or upgrades could have contributed to the failure. * * * contact manufacturer : * * if the troubleshooting steps do not resolve the issue, contact the equipment manufacturer for technical support and potential firmware updates or component replacements. @topic:20


# # # issue : - device not charging # # # impact : - inability to use the device for patient monitoring # # # possible causes : 1. * * damaged power adapter cable : * * the description mentions that the technician found the " power adapter cable broken ". this could prevent the device from receiving power. 2. * * faulty power outlet : * * the technician may have plugged the device into a faulty power outlet that is not providing electricity. 3. * * internal component failure : * * there could be a problem with the device's internal power supply or circuitry, preventing it from charging properly. # # # recommendations : 1. * * replace power adapter cable : * * the technician should ensure that the power adapter cable is replaced with a new one to establish a proper connection between the device and the power source. 2. * * check power outlet : * * the technician should verify that the power outlet is functioning correctly by plugging in another device or using a power outlet tester. if the outlet is faulty, it should be repaired or replaced. 3. * * contact manufacturer : * * if replacing the power adapter cable and checking the power outlet does not resolve the issue, the technician should contact the manufacturer for further troubleshooting and potential repair. @topic:11


# # # issue - remote control cord is brittle and frayed, causing noise. # # # impact - difficulty in operating the bed due to faulty remote control. - potential safety hazard if the cord becomes exposed or causes electrical issues. # # # possible causes - prolonged use without proper maintenance. - physical damage to the cord due to mishandling or improper storage. - exposure to extreme temperatures or moisture. # # # recommendations - replace the remote control cord with a new one. - regularly inspect the cord for signs of damage or wear and tear. - handle the cord with care to avoid damage. - ensure proper storage of the cord to prevent exposure to extreme conditions. - train staff on proper use and handling of the bed and remote control. @topic:7


# # # issue the suresings vs4 monitor is unable to send data to trackcare due to a loss of wi - fi connectivity. # # # impact the loss of data transmission to trackcare could result in : - delayed or inaccurate patient monitoring - reduced visibility and control over patient data - difficulty in accessing patient information for diagnosis and treatment # # # possible causes the following are potential causes of the wi - fi connectivity issue : - * * weak or unstable wi - fi signal : * * the monitor may be located in an area with poor wi - fi coverage or interference from other devices. - * * incorrect network configuration : * * the monitor may not be properly configured to connect to the hospital's wi - fi network. - * * hardware malfunction : * * there may be a problem with the monitor's wi - fi module or antenna. - * * software issue : * * a software bug or glitch could be preventing the monitor from establishing a stable wi - fi connection. # # # recommendations to resolve the issue, the following steps can be taken : - * * check the wi - fi signal strength : * * verify that the monitor is in an area with good wi - fi coverage. - * * reconfigure the network settings : * * ensure that the monitor is properly configured to connect to the correct wi - fi network and security settings. - * * inspect the hardware : * * check the wi - fi module and antenna for any damage or loose connections. - * * update the software : * * if available, install any software updates for the monitor that may address connectivity issues. - * * restart the monitor : * * power cycling the monitor can sometimes resolve software glitches that affect wi - fi connectivity. - * * contact technical support : * * if the issue persists, contact the manufacturer's technical support team for further @topic:16


# # # issue - equipment : monitor, physiologic, vital signs - band : casmed - model : 740 # # # impact - unable to measure o2 sat. # # # possible causes - defective detec cable # # # recommendations - replace the detec cable @topic:4


* * issue : * * * nut on the base of the patient transport monitor is loose. * * impact : * * * the monitor may not be stable and could fall, potentially injuring patients or staff. * * possible causes : * * * the nut may have been improperly tightened during assembly or maintenance. * the nut may have been loosened due to excessive vibration or shock. * the nut may have been damaged or stripped. * * recommendations : * * * tighten the loose nut to the proper torque specifications. * inspect the nut and base for any damage or wear. * replace the nut if it is damaged or stripped. * consider using a locking nut or thread locker to prevent future loosening. * regularly inspect and maintain the monitor to ensure that all fasteners are properly tightened. @topic:12


# # # issue - torn and damaged seat cushion # # # impact - inability to use the medical device properly - discomfort or injury to the patient # # # possible causes - excessive use and wear and tear - improper handling or maintenance - manufacturing defects # # # recommendations - regular inspection and maintenance of the medical device - proper handling and storage - contact the manufacturer for repairs or replacement if necessary @topic:12


# # # issue - the electric bed's remote is not working. # # # impact - the patient or caregiver cannot adjust the bed's position. # # # possible causes - * * remote control failure : * * the remote control may be defective or damaged. - * * loose connections : * * the wires or connections between the remote control and the bed may be loose or disconnected. - * * power supply issue : * * the bed may not be receiving power, or the power supply may be unstable. - * * electrical fault : * * there may be an electrical fault within the bed or the remote control. # # # recommendations - * * replace the remote control : * * if the remote control is defective or damaged, replace it with a new one. - * * check connections : * * inspect the wires and connections between the remote control and the bed. tighten any loose connections and replace any damaged wires. - * * verify power supply : * * ensure that the bed is connected to a reliable power source and that the power supply is stable. - * * contact the manufacturer : * * if the problem persists after troubleshooting, contact the manufacturer of the bed for further assistance or repairs. @topic:7


# # # issue - the philips intellivue x2 ( m3002a ) monitor is not reading blood pressure correctly. # # # impact - inaccurate blood pressure readings can lead to incorrect treatment decisions or delays in treatment, putting the patient at risk. # # # possible causes - loose connections in the air line - faulty sensor - software issue # # # recommendations - check the connections in the air line and make sure they are secure. - replace the sensor. - update the software. @topic:15


. * * 5. verify power supply : * * ensure that the monitor is connected to a stable power source and that the power cord is not damaged. if necessary, try connecting the monitor to a different outlet. * * 6. seek professional help : * * if the issue persists after following these steps, consider contacting the manufacturer or a qualified biomedical engineer for further diagnosis and repair. @topic:2


# # # issue - print failure # # # impact - inability to print patient data, waveforms, and other vital information. # # # possible causes - printhead malfunction - ink cartridge empty or defective - paper jam - software or driver issues - communication problems between the central monitor and the printer # # # recommendations - check the printhead for damage or obstructions. clean or replace if necessary. - replace the ink cartridge if it is empty or defective. - remove any paper jams from the printer. - update or reinstall the software or drivers for the printer. - verify the communication cables and connections between the central monitor and the printer. - bme made an error while fixing the paper jam, such as improper assembly or damage to the printer mechanism. @topic:28


# # # issue - noisy when adjusting the bed # # # impact - may cause discomfort to the patient - may interfere with patient care - may damage the equipment # # # possible causes - lack of lubrication - worn or damaged components - improper adjustment # # # recommendations - lubricate the bed according to the manufacturer's instructions - inspect the bed for any worn or damaged components and replace them if necessary - adjust the bed according to the manufacturer's instructions - if the problem persists, consult a qualified technician @topic:9


# # # issue monitor fell and screen cracked. # # # impact - interrupted patient care during surgery. - delay in diagnosis and treatment. - financial loss due to repair or replacement costs. # # # possible causes - loose or damaged accessories. - excessive tension on cables. - inadequate stability of the monitor stand. - inappropriate handling of the monitor. # # # recommendations - ensure that all accessories are securely attached and in good condition. - avoid excessive tension on cables by adjusting them properly. - use a stable and supportive monitor stand. - handle the monitor with care, avoiding any sudden movements or impacts. - conduct regular inspections of the monitor and its accessories to identify potential problems early on. - provide staff with proper training on the safe handling and maintenance of medical devices. @topic:2


# # # issue unable to open drawers on medical cart # # # impact medical staff unable to access necessary supplies and equipment # # # possible causes - faulty solenoid - broken or jammed drawer mechanism - electrical wiring issue - software glitch # # # recommendations - inspect and test solenoid for proper functionality - check drawer mechanism for obstructions or damage - inspect electrical wiring for loose connections or damage - reset device or update software if necessary @topic:21


# # # issue - monitor not connecting to bed # # # impact - inability to monitor patient's vital signs # # # possible causes - loose or disconnected cables - faulty monitor or bed connector - software or hardware configuration issues # # # recommendations - check and tighten all cables connecting the monitor to the bed. - test the monitor and bed connector using another known - good device. - update the software or reconfigure the device if necessary. @topic:16


# # # issue - lack of communication and coordination between departments. # # # impact - monitors were transferred without proper inspection. # # # possible causes - lack of a clear process for transferring equipment between departments. - insufficient communication between the receiving and sending departments. # # # recommendations - develop a clear process for transferring equipment between departments. - ensure that both the receiving and sending departments are aware of the equipment transfer and its condition. - establish a system for tracking equipment transfers. - provide training to staff on the equipment transfer process. @topic:12


nformation. button to dismiss. clinician authentication failure information status message ; press ok unable to identifclinician. information button to dismiss. touch clear to delete all data. information status message ; press ok button to dismiss. unable to identify patient. atient authentication fainformation touch clear to delete all data. database schema out the database was cleared due information status message ; press ok of data ; recreating. to a schema update button to dismiss. information button to dismiss. the database was unreadable press ok button to dismiss. during startup database is nreadable durintartup ; recreating. 1f0001 database corrupted whedevice is in operation error accessing pdm press ok button to dismiss. database ; restartinpdm. 1f0002 information status message ; press ok button to dismiss. maximum number of data was deleted as it information contained more than 400 ecords oldest record overwritten. information status message ; press ok button to dismiss. information no data saved. a manual save is not allowed information status message ; press ok button to dismiss. information save successful. a manual record was saved information status message ; press ok information patient id required to a patient id is required to save button to dismiss. ave data. data ata information status message ; press ok information patient id required to a patient id is required to start button to dismiss. start intervals. intervals intervals information status message ; press obutton to dismiss. information clinician id required e data. a clinician id is required to information status message ; press ok button to dismiss. information clinician id required o start intervals. a clinician id is required to tart intervals information status message ; press ok information patient id required to a patient id match is required button to dismiss 200 troubleshooting welch [UNK] connex® spot monitor alarm priority @topic:16


# # # issue equipment malfunction # # # impact equipment is unavailable for use # # # possible causes * * 1. mechanical failure : * * - worn or broken parts - loose or disconnected wires * * 2. electrical failure : * * - faulty wiring or connections - power supply issues - overheating * * 3. software issues : * * - bugs or errors in the firmware or software * * 4. user error : * * - improper use or handling of the equipment # # # recommendations * * 1. mechanical failure : * * - inspect the equipment for any visible damage or wear and tear - tighten any loose screws or connections - replace any broken or worn parts * * 2. electrical failure : * * - check the power supply and make sure it is providing the correct voltage and current - inspect the wiring harness for any damage or loose connections - if necessary, replace the faulty wiring or components * * 3. software issues : * * - reset the equipment to factory settings - update the firmware or software to the latest version - check for any software error messages or logs * * 4. user error : * * - provide training or instructions to users on the proper use and handling of the equipment - establish protocols for regular maintenance and calibration @topic:12


# # # issue - drawer cannot be closed # # # impact - the medical cart cannot be used properly, which can delay patient care. # # # possible causes - the latch that locks the drawer is loose or broken. - the drawer is misaligned. - the hinges on the drawer are damaged. # # # recommendations - check the latch that locks the drawer and tighten or replace it if necessary. - check the alignment of the drawer and adjust it if necessary. - check the hinges on the drawer and replace them if necessary. @topic:21


# # # issue - recivear board malfunctioning ( nbfm option 4 ) # # # impact - no ekg signal on the central monitor # # # possible causes - defective receiver board - loose or damaged connections - signal interference - software glitch # # # recommendations - replace the receiver board - inspect and tighten connections - check for any sources of interference ( e. g., nearby electrical devices ) - update software to the latest version @topic:18


# # # issue - the nibp monitor is unable to measure blood pressure. # # # impact - clinicians are unable to obtain accurate blood pressure readings, which can delay or compromise patient care. # # # possible causes - cuff has a leak, preventing proper inflation and measurement. - cuff is not properly attached to the patient's arm. - air tubing is kinked or blocked. - monitor is not properly calibrated. # # # recommendations - replace the cuff with a new one. - ensure the cuff is properly attached to the patient's arm, with the arrow pointing towards the brachial artery. - check the air tubing for kinks or blockages and replace if necessary. - calibrate the monitor according to the manufacturer's instructions. @topic:15


“ function checks ” on page 2 - 5 ). 1. check the mechanics of the cpr system : remove the seat, knee and foot sleep deck sections. make sure the mounting hardware is not damaged or missing from the release mechanism of the head section motor. all hardware is secure and not damaged. yes no ■i — > replace the missing or damaged parts, and then go to “ function checks ” on page 2 - 5. 2. check that the release cable is not broken or damaged. the cable is intact. yes no ■i — > go to step 4. 3. check that the adjustment of the release cable is correct ( refer to procedure 4. 6 on page 4 - 20 ). the adjustment is correct. yes no ■i — > adjust the release cable ( refer to procedure 4. 6 on page 4 - 20 ). 4. replace the head section motor ( refer to procedure 4. 5 on page 4 - 15 ) and release cable subassembly ( refer to procedure 4. 6 on page 4 - 20 ). this solves the problem. yes no ■i — > contact hill - rom technical support. 5. go to “ final actions ” on page 2 - 12. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 2 - 27 2. 11 braking malfunction chapter 2 : troubleshooting procedures 2. 11 braking malfunction 1. check that the screws or supports are not damaged, loose, or missing from the caster attachments. all the supports and screws are secure and not damaged. yes no ■i — » replace the missing parts, and then go to “ function checks ” on page 2 - 5. 2. check the brake / steer bar. set it to the brake position, and then check that the four casters are locked by trying to move the bed @topic:9


# # # issue broken remote # # # impact the inability to operate the hospital bed. # # # possible causes - wear and tear - improper handling - manufacturing defect # # # recommendations - regularly inspect the remote for any signs of damage. - handle the remote with care. - if the remote is damaged, replace it with a new one. - contact the manufacturer if the remote is still under warranty. @topic:7


# # # issue * * remote control for bed, electric, model uq2000b, brand universal quality is not functioning properly. * * # # # impact * * the bed cannot be adjusted remotely. * * # # # possible causes * * * remote control battery is dead. * * * * * remote control is damaged. * * * * * receiver on the bed is damaged. * * * * * wiring between the remote control and the bed is faulty. * * # # # recommendations * * * check the battery in the remote control. * * * * * inspect the remote control for any damage. * * * * * check the receiver on the bed for any damage. * * * * * inspect the wiring between the remote control and the bed for any breaks or loose connections. * * @topic:7


# # # issue electric bed lock issue # # # impact the bed can't be adjusted, which can cause discomfort or pain for the patient. # # # possible causes - faulty bed lock mechanism - loose or disconnected wiring - faulty control panel # # # recommendations - inspect the bed lock mechanism for any damage or wear. - check the wiring connections to ensure they are secure. - test the control panel to ensure it is functioning properly. - if the issue persists, contact the manufacturer for further assistance. @topic:6


# # # issue - wood barrier on bed is loose. # # # impact - patient safety hazard. # # # possible causes - wood barrier is not properly locked. - locking mechanism is broken. # # # recommendations - ensure that the wood barrier is properly locked. - inspect the locking mechanism for damage and repair or replace if necessary. @topic:6


# # # issue - stand is loose ( rocking ) # # # impact - may affect patient safety and comfort - patient may be at risk of falling if the stand is unstable - the monitor may not be positioned properly for optimal viewing by the medical team # # # possible causes - loose screws or bolts - the screws or bolts that secure the stand to the base or other components may have loosened over time - defective or worn components - the components that make up the stand may be defective or worn, causing them to loosen or break - improper assembly - the stand may have been assembled incorrectly, which could lead to looseness or instability # # # recommendations - inspect the stand for any loose screws or bolts and tighten them as necessary - check for any defective or worn components and replace them if needed - ensure that the stand is properly assembled and that all components are secure - monitor the stand regularly for any signs of looseness or instability, and take corrective action as needed - ensure staff are trained on proper assembly and maintenance procedures @topic:12


# # # issue : - bed is not functioning due to missing control box. # # # impact : - patient care may be compromised due to the lack of a functional bed. # # # possible causes : - the control box may have been damaged or lost during transport or storage. - the control box may have been stolen. - the control box may have been disconnected from the bed due to a loose connection. # # # recommendations : - inspect the bed for any signs of damage or tampering. - check the connections between the bed and the control box to ensure they are secure. - if the control box is missing, contact the manufacturer for a replacement. - implement a system to track and monitor medical devices to prevent future losses or damage. @topic:32


# # # issue the electric bed is unable to adjust its position. # # # impact the patient may be unable to get into or out of bed, or may be uncomfortable in the bed if it is not in the correct position. # # # possible causes - the bed's remote control is locked. - power outage - the bed's motor is not working. - the bed's electrical system is not working. - the bed's mechanical system is not working. - the bed's software is not working. # # # recommendations - try to move the bed with the remote control. - check if the power to the bed is turned on. - check the bed's motor for any signs of damage. - check the bed's electrical system for any signs of damage. - check the bed's mechanical system for any signs of damage. - contact the bed's manufacturer for assistance. @topic:1


c. o. / cco safety information 212 14 monitoring carbon dioxide 215 measuring co 2 using m3014a or x2 216 measuring mainstream c0 2 using m3016a 219 measuring microstream c0 2 using m3015a 221 setting up all c0 2 measurements 223 iv 15 monitoring airway flow, volume and pressure 225 attaching the flow sensor 226 zero calibration 228 automatic purging 228 manual purging 229 gas compensation 229 setting up spirometry 230 16 monitoring tcgas 233 identifying tcgas module components 233 setting the tcgas sensor temperature 234 using the tcgas site timer 234 setting the tcgas barometric pressure 235 remembraning the tcgas transducer 235 calibrating the tcgas transducer 235 applying the tcgas transducer 238 finishing tcgas monitoring 239 tcgas corrections 239 17 monitoring intravascular oxygen saturation 241 selecting a measurement label 242 preparing to monitor with the ml021a wide module 243 preparing to monitor with the m1011a narrow module 246 further information for both modules 248 18 monitoring eeg 249 eeg monitoring setup 250 using the eeg impedance / montage window 250 about compressed spectral arrays ( csa ) 253 changing eeg settings 254 eeg reports 255 eeg safety information 256 eeg and electrical interference 256 19 monitoring bis 257 bis monitoring setup 258 bis continuous impedance check 260 bis cyclic impedance check 260 bis window 261 changing the bis smoothing rate 261 switching bis and individual numerics on and off 262 changing the scale of the eeg wave 262 switching bis filters on or off 262 bis safety information 263 v 20 assigning two devices to one patient 265 how can you combine devices? 265 functions available when the telemetry data window is displayed 267 general telemetry - related functions 268 use models with telemetry 270 21 trends 271 viewing trends 271 setting up trends 274 documenting trends 277 trends databases 278 @topic:17


up to 24 hours ) short term ( up to 8 hours ) short term ( up to 8 hours ) oral / nasal nasal nasal oral / nasal nasal key applications 395 37 accessories spirometry accessories microstream accessory selection flowchart critical care or, ems, ed procedural sedation, critical care, sleep critical care, procedural ems, ed critical care, ems, lab, long - term sleep lab sedation, critical ed pain management care, ems, ed philips part numbers ( a = adult, p = pediatric, i = infant, n = neonate ) filterline set : filterline fi set : smart capnoline capnoline 1302 : capnoline h : smart capnoline : niv line : a / p : m1920a a / p : ml921a ^ 2 : a : m4680a a : m4689a a : m2526a a : 4686a filterline set long : i / n : m1923a a : m2522a p : m4681a p : m4690a p : m2524a p : m4687a a / p : 989803160241 * filterline el set long p : m2520a i / n : m4691a smart capnoline filterline : a / p : 989803160251 * smart capnoline 0 2 plus long m1925a * i / n : 989803160261 * vitaline fi set : a / p : 989803159571 * i / n : 989803159581 * filterline h : m1926a * long a : 989803160281 * p : 989803160271 * a : 989803160301 * * not available in all @topic:17


- issued two minutes after you acknowledge it. replace with the correct battery ( m4607a ). check battery in a different monitor. if inop persists replace battery. check msl power board using a known good battery. if inop persist, replace msl power board. insert full battery or recharge the battery replace the faulty battery. if the condition persists and the monitor is not connected to external power, this inop is re - issued two minutes after you acknowledge it. check the battery in a different monitor or in a battery charger. if the inop persists the battery is faulty. check the power board with known good battery. if the inop persists, replace power board. if the problem persists, replace main board. troubleshooting guide 4 troubleshooting charger malfunct | there is a problem with the switch the monitor off and inop tone, battery battery charger in the monitor. back on again. if the problem persists replace battery with cede ah known good battery. if the inop is shown again replace the power board. if the problem persists replace the main board. check batt temp | the temperature of the battery | check that the monitor is not is too high. tan inop tone is too hig exposed to heat!!! insert the monitor is connected to ac | insert a battery into the battery mains without a battery fully battery compartment. inserted. battery is required for inop tone l? qu sealing the battery compartment. bedside network status icons the following table shows the icons displayed on the monitor when network related issues occur. : : inverse icon : wireless icon | wired icon : i inop message what does it mean? | wireless icon video | blinks | comments p g monitor does not have a lan connection € m e » t — — a tem to talk to, @topic:16


##er 42 f11260a 1 5th wheel cover 43 ro0112a 1 caster ( 5th wheel ) 44 ve0142a 2 5th wheel gas cylinder 45 70778 2 brake / steer pedal, bottom ( large ) green 46 70779 2 brake / steer pedal, top ( large ) green 47 70780 2 brake / steer pedal, bottom ( small ) orange 48 70781 2 brake / steer pedal, top ( small ) orange 49 r00106a 1 ( non - 5th wheel bed ) or 2 ( 5th wheel bed ) caster page 5 - 74 careassist® and careassist® es bed service manual ( man330 rev 4 ) base frame — d model and newer beds chapter 5 : parts list notes : careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 75 articulating frame — d model and newer beds chapter 5 : parts list articulating frame — d model and newer beds figure 5 - 29. articulating frame — d model and newer beds page 5 - 76 careassist® and careassist® es bed service manual ( man330 rev 4 ) articulating frame — d model and newer beds chapter 5 : parts list table 5 - 29. articulating frame — d model and newer beds item number part number quantity description 1 s30531k 4 bearing 2 154393 1 thigh and leg weldment 3 qd0589 2 ear cap 4 vi0609a 8 screw 5 138036 2 led assembly ( night light ) 6 137762 2 night light housing 7 qd2346 1 ground strap, thigh frame to intermediate frame qd2345 1 ground strap, head frame to intermediate frame 8 vi0610a 2 screw 9 s10959a 6 pin, pivot 10 @topic:26


# # # issue the medical cart's scanner is not functioning properly and is unable to scan barcodes. # # # impact the inability to scan barcodes can lead to delays in patient care and medication administration. it can also lead to medication errors if the incorrect barcodes are scanned. # # # possible causes * the scanner may be defective. * the scanner may not be properly connected to the medical cart. * the scanner may be dirty or obstructed. * the scanner may need to be calibrated. # # # recommendations * a biomedical engineer should inspect the scanner to determine the cause of the failure. * if the scanner is defective, it should be replaced. * if the scanner is not properly connected, the connection should be checked and fixed. * if the scanner is dirty or obstructed, it should be cleaned or the obstruction should be removed. * if the scanner needs to be calibrated, the calibration procedure should be performed. @topic:23


africa power cord ( 919 ), 2 m 8120 - 5182 israel power cord ( 920 ), 2 m 8120 - 6869 argentina power cord ( 921 ), 4. 5 m 8120 - 6980 chile replacement parts and assembly drawings suresigns vs2 * and vsi service guide 6 - 5 power cords replacement parts and assembly drawings 6 - 6 suresigns vs2 * and vsi service guide block diagram components a theory of operation this section contains a system overview of the suresigns vs2 * and suresigns vsi vital signs monitors, including a high - level block diagram. the block diagram shows major components of the monitor, including the power supply, an isolated front end, the nbp control, spo, processing, and a microcontroller. the monitor is a full function monitor for use on adult, pediatric, and neonatal patients. the measurements performed by the system include : e blood pressure e blood oxygen saturation e temperature in addition to monitoring and displaying the status of physiological parameters, the monitor performs various microprocessor - programmed analytical functions, including : e creating visual and audible alarm signals when settings are violated note — the suresigns vsi monitor signals technical alarms only. e creating and displaying warning messages when conditions are detected that would degrade or prevent valid measurements e on the suresigns vs2 * monitor only, providing input to an optional recorder for printout of current waveforms or tabular data the monitor operates from either an ac power source or battery power. the monitor charges the battery when powered by an ac line. block diagram components the monitor contains several major blocks, including : e main board e communications board the monitor may contain optional modules. the following sections briefly describe many of the functional units in the block diagram. note — shaded items in the diagram indicate parts that @topic:10


* * issue : * * - malfunctioning of the electric bed's side rails. * * impact : * * - patient safety concerns due to the inability to prevent falls. - reduced patient comfort and mobility. - potential for injuries or accidents. * * possible causes : * * - * * mechanical failure : * * wear and tear, loose connections, or damage to the side rail components. - * * electrical issues : * * faulty wiring, power surges, or problems with the bed's control system. - * * other factors : * * improper installation, overloading of the bed, or tampering with the side rails. * * recommendations : * * - * * inspect the side rails : * * check for visible damage, loose parts, or obstructions. - * * test the side rails : * * manually operate the rails to ensure smooth movement and proper locking mechanisms. - * * check electrical connections : * * inspect wiring and connectors for any signs of damage or corrosion. - * * review maintenance records : * * confirm that routine maintenance and inspections have been performed according to schedule. - * * consult with the manufacturer : * * if the issue persists, seek guidance from the manufacturer's technical support team. - * * train staff : * * ensure that all staff members are trained on proper use and maintenance of the electric bed. - * * consider replacement : * * if the side rails cannot be repaired or the underlying cause is unresolved, consider replacing them with new or refurbished components. @topic:6


# # # issue - battery failure in the hewlett packard m3150a monitor and central station. # # # impact - interruption of patient monitoring and data collection. # # # possible causes - battery reached the end of its lifespan. - battery exposed to extreme temperatures or conditions. - battery not properly maintained or charged. # # # recommendations - replace the battery with a new one. - follow the manufacturer's guidelines for battery maintenance and charging to extend the battery's lifespan. - monitor the battery's health regularly and replace it when necessary to prevent unexpected failures. @topic:11


# # # issue - keypad detached from the bed frame. # # # impact - impaired functionality of the bed, affecting patient care and safety. # # # possible causes - * * degraded adhesive : * * the double - sided adhesive used to secure the keypad had weakened over time, causing the keypad to detach. - * * excessive force or vibration : * * rough handling or exposure to excessive vibration could have dislodged the keypad. # # # recommendations - * * inspect and replace adhesive : * * regularly inspect the adhesive securing the keypad and replace it when necessary to ensure proper bonding. - * * use protective measures : * * implement measures to minimize exposure to excessive force or vibration, such as using shock - absorbing mounts or limiting rough handling. - * * consider alternative mounting mechanisms : * * explore alternative mounting methods that provide a more secure attachment, such as screws or locking mechanisms. @topic:25


# # # issue : cuff on the physiologic vital signs monitor is malfunctioning. # # # impact : the malfunctioning cuff affects the accuracy of blood pressure readings. this could lead to incorrect patient data and delayed diagnosis or treatment. # # # possible causes : - defective cuff - firmware or software issues with the monitor - improper cuff placement or use # # # recommendations : - replace the cuff - update the firmware or software on the monitor - ensure proper cuff placement and use - test the monitor thoroughly after any repairs or updates @topic:5


# # # cause of failure : incorrect clock address ( cl address ) # # # issue - monitor was not linking with the central monitor. # # # impact - inability to monitor patient data remotely or centrally. # # # possible causes - the cl address of the monitor changed, causing it to lose connection with the central monitor. # # # recommendations - bme ( biomedical engineer ) verified the cl address and corrected it to the correct value. - the monitor was retested and verified to be functioning properly and linking with the central monitor. @topic:16


# # # issue - the connector cable of the nihon kohden pvm - 2701 bedside physiologic monitor is broken. # # # impact - the monitor cannot be used to monitor patient vital signs, such as heart rate, blood pressure, and oxygen saturation. # # # possible causes - the connector cable may have been damaged due to : - physical stress, such as being pulled or bent - exposure to moisture or chemicals - aging and wear # # # recommendations - replace the broken connector cable with a new one. - inspect the monitor and other cables for any signs of damage and repair or replace as necessary. - ensure that the monitor is used in a safe and appropriate manner to prevent future damage. @topic:2


ml / hrsqueeze macrodrip 20 989803181221 single dpt tp4, ( 213 cm, two 3 - way 183 cm ( 72 in ) 31 cm ( 12 in ) 84 in ), premium stripe 3 ml / hr, squeeze macrodrip 20 989803181231 dual dpt tp4, ( 183 cm72 in ), premium stripe four 3 - way 152 cm ( 60 in ) 31 cm ( 12 in ) 3 ml / hrqueeze macrodrip 10 989803181241 triple dpt tp4, ( 152 cm, six 3 - way 122 cm ( 48 in ) 31 cm ( 12 in ) 60 in ), premium stripe 3 ml / hr, squeeze macrodrip 10 989803181251 428 39 accessories extension primary stopcocks tubing drip quantity flush tubing escription part no. device chamber ( per box ) length length single neonatal dpt tp4 two 3 - way 61 cm ( 24 in ) 30 ml / hr 989803179841 20 61 cm, 24 in ) squeeze 31 cm ( 12 in ) 89803179851 single neonatal dpt tp30 ml / hr squeeze 20 way 46 cm ( 18 inthree ingle neonatal dp30 ml / hr squeeze 989803179881 20 3 - way luer sampling port & 10 ml in - line reservoir description part no. cable for philips monitors 3 m ( 10 ft ) 1 989803177921 cable for philips monitors 4. 5 m ( 15 ft ) 989803179941 1 cable for philips monitors 4. 5 m ( 15 ft ) 989803179951 20 trifurcated cable for philips monitors 4. 5 m ( 15 ft @topic:10


2. 1 ( c ) minimum recommended 1. 2 mv t - wave amplitude heart rate averaging method three different methods are used : normally, heart rate is computed by averaging the 12 most recent rr intervals. for runs of pvcs, up to 8 rr intervals are averaged to compute the hr. if each of 3 consecutive rr intervals is greater than 1200 ms ( that is, rate less than 50 bpm ), then the 4 most recent rr intervals are averaged to compute the hr. response time of heart rate meter to change in heart rate hr change from 80 to 120 bpm : range : [ 6. 4 to 7. 2 seconds ] average : 6. 8 seconds hr change from 80 to 40 bpm : range : [ 5. 6 to 6. 4 sec ] average : 6. 0 seconds heart rate meter accuracy and response to irregular rhythm ventricular bigeminy : 80 bpm slow alternating ventricular bigeminy : 60 bpm rapid alternating ventricular bigeminy : 120 bpm bidirectional systoles : 90 bpm accuracy of input signal reproduction methods a and d were used to establish overall system error and frequency response. pacemaker pulse rejection performance rejection of pacemaker pulses with amplitudes from ±2 mv to ±700 mv and widths from 0. 1 ms to 2. 0 ms ( method a ) respiration respiration performance specifications respiration rate range adult / pedi : 0 to 120 rpm neo : 0 to 170 rpm accuracy at 0 to 120 rpm ±1 rpm at 120 to 170 rpm ±2 rpm resolution 1 rpm bandwidth 0. 3 to 2. 5 hz ( - 6 db ) noise less than 25 mfl ( rms ) referred to the input 431 38 installation and specifications measurement specifications respiration alarm specifications range adjustment delay high adult / pedi : 10 to 100 rpm neo : 30 to 150 rpm under 20 rpm : 1 rpm @topic:8


# # # issue bed is not adjustable. # # # impact patient cannot be positioned comfortably or safely. # # # possible causes * remote control is loose or damaged. * bed motor is not working. * bed frame is obstructed. # # # recommendations * check the remote control for damage and replace if necessary. * inspect the bed motor and wiring for damage and repair or replace as necessary. * check the bed frame for obstructions and remove any that may be impeding movement. @topic:1


# # # issue : cuff failure # # # impact : inability to accurately measure patient's vital signs # # # possible causes : * defective cuff * damaged cuff tubing * loose cuff connection * incorrect cuff size for patient * cuff used beyond its expiration date * improper cuff maintenance or storage # # # recommendations : * replace the cuff with a new one of the appropriate size. * ensure that the cuff tubing is not damaged or kinked. * check that the cuff is properly connected to the monitor. * follow the manufacturer's instructions for cuff maintenance and storage. * regularly inspect the cuff for any signs of damage or wear and replace it as needed. @topic:5


# # # issue - cuff failure in the bedside physiologic monitor. # # # impact - inability to accurately monitor patient's vital signs, including blood pressure. # # # possible causes - cuff deterioration due to age, wear, or improper storage. - excessive use or mishandling of the cuff. - incompatibility of the cuff with the monitor or patient's anatomy. # # # recommendations - replace the cuff with a new, compatible one. - ensure the cuff is properly stored and handled to prevent further deterioration. - check the monitor and cuff compatibility before use. - train staff on proper use and maintenance of the cuff to prevent future failures. @topic:5


# # # issue - equipment : monitor, physiologic, vital signs - brand : philips - model : suresigns vs4 - description : the bme ( biomedical engineer ) found that the cuff wrap is not attached properly due to the deterioration of the velcro. the spare part was ordered from the stock and replaced. the device was tested and it is now functioning normally. # # # impact - the patient's vital signs could not be accurately monitored as the cuff wrap was not attached properly. this could have led to incorrect medical decisions being made. # # # possible causes - the velcro on the cuff wrap had become worn out over time due to repeated use. - the cuff wrap had not been properly attached to the patient. # # # recommendations - the bme should regularly inspect the cuff wrap for any signs of wear and tear. - the cuff wrap should be replaced if it is found to be damaged. - the bme should ensure that the cuff wrap is properly attached to the patient before use. @topic:5


# # # issue - the medical cart cannot boot into windows. # # # impact - the medical cart cannot be used for its intended purpose. # # # possible causes - the boot order in the bios is incorrect. - the hard drive is not properly connected. - the hard drive has failed. - the windows installation is corrupt. # # # recommendations - check the boot order in the bios and make sure that the hard drive is the first boot device. - reseat the hard drive. - run a diagnostic test on the hard drive. - reinstall windows. @topic:13


# # # issue : - the lcd monitor manufactured by olympus ( model : oev262h ) is experiencing a failure. # # # impact : - the specific impact of the failure is not explicitly mentioned in the provided information. however, it can be inferred that there may be issues with displaying or processing medical data and images. # # # possible causes : - * * cv malfunction contract olympus ( b40 ) : * * this cause of failure suggests that there may be an issue with the communication or interface between the lcd monitor and other equipment, particularly related to olympus. it could indicate a problem with the monitor's ability to receive or transmit signals properly. # # # recommendations : * * troubleshooting and resolution : * * 1. * * verify communication : * * check the connections and cables between the lcd monitor and other devices, ensuring they are secure and properly connected. 2. * * contact olympus : * * reach out to olympus technical support ( b40 ) to report the issue and seek assistance. they may provide specific troubleshooting steps or repair instructions. 3. * * inspect hardware : * * if possible, visually inspect the lcd monitor for any loose components or damage. check for any visible issues with the display or power supply. * * preventive measures : * * 1. * * regular maintenance : * * schedule regular preventative maintenance for the lcd monitor to ensure its optimal performance and longevity. 2. * * software updates : * * install any available software updates provided by the manufacturer to address bugs or improve functionality. 3. * * proper usage : * * ensure that the lcd monitor is used according to manufacturer guidelines to avoid any misuse or damage. @topic:2


##a sensor to warm up to its operating temperature. 5. the default setting for gas temperature is 22°c. if the gas temperature is significantly above or below this value, correct the gas temperature setting. 6. zero the sensor on the airway adapter being used in this test. ensure zero gas is set to room air 7. attach a regulated flowing gas mixture of 5 % co2, balance n2 to the airway adapter. 8. set the gas correction to off. 9. allow a few seconds for the gas mixture to stabilize and observe the co2 value. the expected value is 5 % of the ambient pressure + 2mmhg note make sure that you follow the above steps correctly. if the sensor fails this check it must be exchanged. the sensor cannot be calibrated. example for an expected test result : the expected test result for an altitude of 0 m ( sea level ) at approximately 760 mmhg ambient pressure 1s : table 6 : expected test results ( x1 ) acceptance range mainstream co2 accuracy | 5 % of 760 mmhg pressure + 2mmhg 36 mmhg - test 40 mmhg note the expected test results will differ depending on the conditions ( 1. e. altitude or ambient pressure ). sidestream co2 accuracy check tools required : - cal gas flow regulator m2267a - cal tube 13907a -. verification gas m2506a - straight sample line m2776a you also need a local barometric pressure rating received from a reliable local source ( airport, regional weather station or hospital weather station ) which is located at the same altitude as the hospital. procedure : 1. attach the m2741a co2 sensor to the patient monitor. attach the sample line and the cal tube to the sensor. make sure that the sensor is disconnected from the patient circuit. 2. switch on the patient monitor. 3. enter the @topic:17


power from the monitor. disconnect all mms from the monitor cycle power to restore power to the msl devices. if the message disappears, reconnect mms, waiting 15 minutes to see if message reoccurs. if yes, the respective mms is faulty. see multi - measurement server or printer for troubleshooting tasks. note : if an individual defective device is connected the msl power high or msl power overload inops will appear initially. the msl power off inop will not occur for at least 15 minutes. msl power overload inop is issued short circuit within msl system disconnect msl connection and reconnect device. if message persists, remove the msl connector board inch internal cable to main board. if message persists, replace main board. inop bad server link is issued unexpected data detected on msl check cable and power cycle the monitor an mms with an incompatible software revision is connected to the monitor. connect mms with compatible software revsion communication between the components not functioning check software versions and model number of devices for compatibility inop message serverlink malf is displayed, audible indicator : a beep every two seconds the hardware for communicating with the multi - measurement server is faulty. check msl cable, replace if necessary. check mms connector board. replace if necessary 94 troubleshooting guide 4 troubleshooting symptoms possible causes of failure failure isolation and remedy a measurement supported by a server does not come up on the monitor label conflict a parameter label from this measurement is already in use in the monitor. check the conflict window to select the measurement. prompt message “ too many < label > modules connected ” is issued there are more modules of the type < label > connected than supported by the software remove the unsupported module or use the lebel manager application in the monitor to disable the module. the @topic:16


* * issue : * * bed is constantly displaying warning lights. * * impact : * * this can be distracting and annoying for patients and staff, and it may also indicate a problem with the bed. * * possible causes : * * 1. the bed's sensors are not working properly. 2. the bed's software is not working properly. 3. there is a problem with the bed's electrical system. * * recommendations : * * 1. check the bed's sensors to make sure they are working properly. 2. update the bed's software to the latest version. 3. check the bed's electrical system for any problems. @topic:9


# # # issue - vital signs monitor ( philips suresigns vm4 ) is not displaying accurate readings or is not functioning properly. # # # impact - delay in patient care and treatment - misdiagnosis or inappropriate treatment # # # possible causes - cuff is worn or damaged, leading to inaccurate blood pressure measurements. - other components of the monitor, such as sensors, cables, or display, may be malfunctioning. # # # recommendations - replace the cuff with a new one. - inspect and test the other components of the monitor to identify any other issues. - perform routine maintenance and calibration of the monitor to ensure its accuracy and reliability. - train staff on proper use and care of the equipment. @topic:15


# # # issue - monitor not linking # # # impact - patient monitoring could be affected. # # # possible causes - ac power cord was loose - lan cable was loose # # # recommendations - bme checked the ac power cord and lan cable and made sure they were securely connected. - the monitor is now linking again. @topic:16


# # # issue - spo2 extension cable is not functional. # # # impact - patient monitoring may be compromised. # # # possible causes - the spo2 extension cable is damaged. - the spo2 extension cable is not compatible with the patient monitor. - the spo2 extension cable is not properly connected. # # # recommendations - inspect the spo2 extension cable for damage. - ensure that the spo2 extension cable is compatible with the patient monitor. - properly connect the spo2 extension cable. @topic:4


# # # issue : medical device failure due to battery replacement # # # impact : - potential patient safety hazards - device downtime - loss of patient data # # # possible causes : - incorrect battery type or voltage - improper battery installation - damage to battery or device during installation - failure to charge battery before use # # # recommendations : - ensure that the correct battery type and voltage are used as specified by the manufacturer. - follow manufacturer's instructions for battery installation carefully. - inspect battery and device for any damage before and after installation. - charge battery for the recommended time before use. - regularly monitor battery health and replace batteries as necessary to prevent device failure. @topic:11


# # # issue - impaired patient monitoring due to a faulty spo2 sensor cable. # # # impact - inaccurate or delayed vital signs monitoring, potentially compromising patient safety. # # # possible causes - * * natural wear and tear : * * the cable may have degraded over time due to repeated use, exposure to harsh environments, or improper handling. - * * mechanical damage : * * the cable may have been accidentally cut, pinched, or subjected to excessive force. - * * electrical malfunction : * * a flaw in the cable's electrical components, such as a loose connection or damaged insulation, could lead to cable failure. # # # recommendations - * * regular maintenance : * * conduct routine inspections to identify any signs of cable degradation and replace them as necessary. - * * careful handling : * * ensure proper handling of the cable to prevent mechanical damage. - * * proper storage : * * store the cable in a designated area to minimize environmental exposure when not in use. - * * training : * * provide training to staff on the proper use and maintenance of spo2 sensor cables. - * * consider cable redundancy : * * install backup spo2 sensor cables or have them readily available to minimize downtime in the event of a cable failure. @topic:4


# # # issue - the blood pressure ( bp ) cuff is faulty. # # # impact - incorrect bp readings. - the patient may not receive proper medical care. # # # possible causes - the bp cuff may be damaged. - the bp cuff may not be properly connected to the monitor. - the monitor may be malfunctioning. # # # recommendations - replace the bp cuff. - check the connections between the bp cuff and the monitor. - test the monitor to ensure it is functioning properly. @topic:3


# # # issue medical cart bdms 01 is unable to boot properly. # # # impact the medical cart is essential for providing patient care and support. a failure to boot up properly could prevent the cart from being used, which could delay or disrupt patient care. # # # possible causes * * * hardware failure : * * a hardware component, such as the motherboard or hard drive, may have failed. * * * software failure : * * the operating system or other software on the cart may have become corrupted or damaged. * * * user error : * * the cart may have been improperly shut down or the user may have made a mistake when configuring the bios settings. # # # recommendations * * * inspect the hardware : * * check the cart for any loose connections or damaged components. if any damage is found, the cart should be sent for repair. * * * reinstall the software : * * if the software is corrupted or damaged, it may need to be reinstalled. * * * reset the bios settings : * * if the bios settings have been misconfigured, they should be reset to the factory default settings. * * * contact the manufacturer : * * if the issue cannot be resolved by following the above steps, the manufacturer of the cart should be contacted for assistance. @topic:13


# # # issue - medical cart cannot connect to hardware # # # impact - the medical cart cannot be used for its intended purpose, which may delay or compromise patient care. # # # possible causes - loose or damaged hardware connections - faulty hardware component - software glitch - power supply issue # # # recommendations - * * check the hardware connections : * * ensure that all cables are securely plugged into the appropriate ports. inspect the cables for any damage or fraying. - * * test the hardware component : * * if possible, isolate the faulty component by replacing it with a known - good one. - * * restart the software : * * this may resolve software glitches that are causing the hardware connection issue. - * * check the power supply : * * ensure that the medical cart is receiving adequate power. check the power supply cable and make sure it is securely plugged into a power outlet. @topic:13


# # # issue - probe spo2 wire breakage # # # impact - inability to measure oxygen saturation levels # # # possible causes - physical damage to the probe - loose connections # # # recommendations - replace the probe - inspect the connections to ensure they are secure @topic:4


# # # issue - cuff of the blood pressure monitor is damaged and needs to be replaced. # # # impact - the blood pressure monitor cannot be used to measure blood pressure accurately. # # # possible causes - the cuff may have been damaged due to : - overinflation - punctures - wear and tear # # # recommendations - replace the damaged cuff with a new one. - inspect the cuff regularly for any signs of damage. - avoid overinflating the cuff. - handle the cuff with care to avoid punctures. @topic:3


take up to one minute to complete. 12. if the module is not in calibration, an error message appears. calibrate the module ( see “ calibrating the c0 2 module ” ). 13. turn off the flow of gas and rotate the wheel to return in the c02 test window. press the wheel to leave the test. performance verification testing 6 - 15 performing verification tests calibrating the c0 2 module important — since the monitor uses the current date and time as the calibration date / time, ensure that the system date and time is set correctly. note — the monitor always displays the co 2 module ’ s operating ( usage ) time in the c02 test window. 1. connect one end of the filterline tubing ( if not already connected ) to the c02 inlet on the monitor ; leave the other end unconnected. see steps 1 and 2 in “ co? gas measurement calibration check ” on page 6 - 14. 2. in the c02 test window, rotate the wheel to highlight start calibration and press the wheel. a confirmation window appears telling you to connect the gas to the c0 2 module. 3. connect the other end of the filterline tubing to the gas controller equipment inlet with a 5 % gas concentration. 4. open the valve on the gas controller equipment to allow 5 % co? gas to flow into the monitor. 5. rotate the wheel to yes in the confirmation window and press the wheel to begin calibrating. the monitor begins calibrating the co? module and displays the calibration value when complete. note — the calibration process can take up to one minute to complete. 6. turn off the flow of gas and rotate the wheel to return in the c02 test window. press the wheel to leave the test. 7. if the cal @topic:17


# # # issue - the physiological vital signs monitor is displaying an incorrect time. # # # impact - the incorrect time could lead to inaccurate patient data and incorrect treatment decisions. # # # possible causes - the monitor's time zone setting is incorrect. - the monitor's clock battery is dead. - the monitor's internal software is malfunctioning. # # # recommendations - verify that the monitor's time zone setting is correct. - replace the monitor's clock battery. - contact the manufacturer for support. @topic:29


* * possible causes : * * * * * defective cuff : * * the cuff may have a leak or other defect that prevents it from properly inflating and measuring blood pressure. * * * faulty air hose : * * the air hose may be damaged or obstructed, preventing air from reaching the cuff. * * * loose connections : * * the hose or cuff may be improperly connected to the monitor, causing an electrical fault. * * * software malfunction : * * the monitor's software may have a bug or issue that prevents it from properly controlling the cuff inflation or measuring blood pressure. * * * operator error : * * the operator may have inflated the cuff incorrectly or failed to follow proper maintenance procedures. * * recommendations : * * * * * check the cuff for defects : * * visually inspect the cuff for tears, holes, or other damage. inflate and deflate the cuff to ensure it is holding air properly. * * * inspect the air hose : * * disconnect the hose from both the monitor and cuff. check for kinks, cracks, or blockages. * * * tighten connections : * * ensure that the cuff and hose are securely connected to the monitor. inspect the electrical connections for any loose wires or contacts. * * * update software : * * check for any software updates for the monitor. if an update is available, install it and test the monitor with the new software. * * * train operators : * * provide training to ensure that operators are using the monitor and equipment correctly. @topic:14


vm4 only ) the probe has malfunctioned. replace the temperature probe. check calibration. calibrate the predictive temperature module. see “ predictive temperature ( suresigns vm4 ) ” on page 6 - 16 the front end has malfunctioned. replace the front end board. see “ removing the front end assembly ” on page 8 - 24. 7 - 10 troubleshooting troubleshooting charts sp0 2 measurement problems symptom possible cause action there are no spoj readings the sp02 module is in the learning phase. wait until the module finishes the learning phase. the sp0 2 sensor has malfunctioned. replace the sp0 2 sensor. see “ removing the sp0 2 board ” on page 8 - 28. the spc > 7 board has malfunctioned. replace the sp0 2 board. see “ removing the sp0 2 board ” on page 8 - 28. the main board has malfunctioned. replace the main board. see “ removing the main pcb ” on page 8 - 31. the spoi readings are unreliable there has been some external problem. ensure that all external sp02 reading requirements are met and that the patient is not moving excessively. perfusion is low. reset the sp0 2 function. see “ sp02 tests ” on page 6 - 7 etc0 2 measurement problems symptom possible cause action there are no co 2 readings the c0 2 module is initializing. wait until initialization is complete. the c0 2 tube is kinked. check the tube to ensure that it is straight. the c0 2 module has malfunctioned. replace the c0 2 module. see " removing the suresigns vm8 c0 2 module ” on page 8 - 9. the main board has malfunctioned. replace the @topic:20


# # # issue - monitor bed3 not linking to central monitor # # # impact - inability to monitor patient's vital signs centrally # # # possible causes - loose lan cable connection # # # recommendations - ensure that the lan cable is securely connected to both the monitor bed3 and the central monitor. @topic:16


# # # issue - touch screen not working # # # impact - difficulty in operating the device - potential patient safety concerns # # # possible causes - * * hardware failure : * * damage to the touch screen panel or its associated components - * * software glitch : * * issues with the software controlling the touch screen functionality - * * environmental factors : * * extreme temperatures, moisture, or static electricity - * * user error : * * improper use or handling of the device # # # recommendations - * * hardware inspection : * * inspect the touch screen panel, connectors, and associated components for any visible damage or loose connections. - * * software update : * * check for available software updates that may resolve the issue. - * * environmental adjustment : * * ensure the device is operating within the recommended temperature and humidity range, and avoid exposure to excessive static electricity. - * * user training : * * provide proper training to users on the correct handling and use of the device. - * * replacement : * * if other troubleshooting steps fail, the touch screen panel may need to be replaced. @topic:2


# # # issue defective ekg lead # # # impact - inaccurate or missing ekg data - delayed or incorrect diagnosis - patient safety concerns # # # possible causes - physical damage to the ekg lead, such as cuts, tears, or punctures - loose connections between the ekg lead and the patient or the monitor - corrosion or other environmental damage - manufacturing defects # # # recommendations - inspect the ekg lead for physical damage and ensure proper connections. - clean and maintain the ekg lead according to the manufacturer's instructions. - regularly calibrate the ekg monitor to ensure accuracy. - consider using a spare ekg lead if the primary one is suspected to be faulty. - contact the manufacturer or a qualified technician if the issue persists. @topic:18


# # # issue - cuff deterioration in the vital signs monitor # # # impact - inaccurate vital signs readings - potential for patient harm due to incorrect treatment decisions # # # possible causes - age and wear of the cuff - frequent use of the cuff - improper storage or handling of the cuff # # # recommendations - regular inspection and replacement of the cuff - proper training of staff on the use and care of the monitor - use of high - quality cuffs that are designed for the specific monitor and patient population @topic:5


# # # issue : broken plug on electric bed # # # impact : - bed cannot be operated properly - patient safety hazard if bed malfunctions # # # possible causes : - plug was damaged during use - plug was not properly inserted into the outlet - electrical cord was damaged # # # recommendations : - replace the broken plug - inspect the electrical cord for damage - ensure that the plug is properly inserted into the outlet @topic:9


# # # issue : alarm cuff leak # # # impact : * inaccurate patient monitoring * potential for patient harm if measurements are not accurate # # # possible causes : * cuff damage or deterioration * improper cuff placement * mechanical failure # # # recommendations : * replace the cuff immediately. * ensure the cuff is properly placed on the patient. * inspect the cuff regularly for any signs of damage or deterioration. * train staff on proper cuff placement and maintenance techniques. @topic:3


# # # issue the cause of failure is not specified. # # # impact the impact of the failure is not specified. # # # possible causes the possible causes of the failure are not clear, as no specific information is provided about the equipment or the problem encountered. # # # recommendations to address this issue, the following recommendations are suggested : 1. review the maintenance records for the equipment to determine if any issues were identified during the recent maintenance visit by the thai medic are company. 2. conduct a thorough assessment of the equipment to identify any potential issues that may have contributed to the failure. 3. contact the manufacturer or a qualified service provider to obtain specific troubleshooting and repair instructions. 4. ensure that the equipment is used and maintained according to the manufacturer's specifications to minimise the risk of future failures. @topic:12


# # # issue : monitors cannot measure blood pressure ( bp ). # # # impact : inaccurate or missing bp measurements can lead to delayed or incorrect diagnosis and treatment decisions. # # # possible causes : - faulty cuff - air leak in the cuff or tubing - problem with the transducer or pressure sensor - internal electrical or mechanical failure in the monitor - software error # # # recommendations : - check the cuff for damage, leaks, or obstructions. - if the cuff is not at fault, try swapping it with a known working cuff. - inspect the tubing for leaks or kinks. - test the transducer or pressure sensor for proper function. - if the hardware components check out, examine the software for updates or compatibility issues. - if the problem persists, consult the manufacturer's service manual or contact technical support. @topic:14


# # # issue - the medical cart is displaying an error of - 1. # # # impact - the medical cart cannot be used to transport and store medical supplies. # # # possible causes - the battery is not properly connected. - the power supply is not working. - the fuse is blown. - the motherboard is faulty. # # # recommendations - check the battery connections and make sure they are secure. - check the power supply and make sure it is providing power to the medical cart. - replace the fuse if it is blown. - contact the manufacturer for assistance if the motherboard is faulty. @topic:13


# # # issue : - time is inaccurate # # # impact : - incorrect or delayed patient care # # # possible causes : - internal clock failure - power outage - user error # # # recommendations : - replace internal clock - check power supply - retrain users on device operation @topic:29


# # # issue - ekg signal not displaying on the monitor - distorted color display on the monitor # # # impact - patient monitoring is compromised due to the lack of ekg data - inaccurate monitoring information due to distorted color display # # # possible causes * * ekg signal not displaying * * - faulty ekg cable or connection - loose connection between the monitor and the patient - problem with the monitor's ekg input circuit * * distorted color display * * - loose connection between the monitor and the display panel - faulty display panel - problem with the monitor's video output circuit # # # recommendations * * troubleshooting steps for ekg signal issue : * * 1. check the ekg cable and connections for any damage or loose contacts. 2. ensure that the patient is properly connected to the monitor's ekg leads. 3. if the issue persists, contact the manufacturer for further troubleshooting assistance. * * troubleshooting steps for color display issue : * * 1. check the connection between the monitor and the display panel. tighten any loose cables or connectors. 2. if the issue persists, inspect the display panel for any damage or defects. 3. contact the manufacturer for display panel replacement or repair if necessary. @topic:18


# # # issue medical cart cannot find the windows operating system, resulting in a black screen. # # # impact the medical cart is unable to be used, affecting patient care and workflow. # # # possible causes * * * corrupted or missing operating system files : * * the medical cart's hard drive may have become corrupted or an update may have failed, causing windows to become unbootable. * * * hardware malfunction : * * the medical cart's motherboard, ram, or other hardware components may have failed, preventing the operating system from booting. * * * bios misconfiguration : * * the medical cart's bios settings may have been improperly configured, preventing the operating system from loading. * * * disk failure : * * the medical cart's hard drive may have failed, leading to a loss of the operating system and data. # # # recommendations * * * restart the medical cart : * * turn off the medical cart and turn it back on. this may resolve temporary software glitches. * * * check bios settings : * * ensure that the bios settings are correct and that the boot order is set to prioritize the hard drive. * * * run diagnostics : * * use built - in diagnostic tools to identify any hardware malfunctions that may be preventing the operating system from booting. * * * reinstall the operating system : * * if the operating system files are corrupted or missing, reinstall windows using a bootable usb or dvd drive. * * * replace the hard drive : * * if the hard drive has failed, replace it with a new one and reinstall the operating system. * * * contact vendor support : * * if the issue persists after following these recommendations, contact the medical cart vendor's support team for assistance. @topic:13


# # # issue - lcd monitor goes blank during use of cautery machine. # # # impact - inability to monitor patient's vital signs during surgery. # # # possible causes - loose or faulty power connection to the monitor. - interference from the cautery machine's electrical field. - internal hardware failure within the monitor. # # # recommendations - check and tighten all power connections to the monitor. - ensure that the monitor is plugged into a separate power outlet from the cautery machine. - test the monitor with a different power cord or outlet. - if the problem persists, contact the manufacturer for further troubleshooting and repair. @topic:2


# # # issue : - the cause of failure for the monitors lcd, model fs - p3102ds, is not clearly specified in the provided information. # # # impact : - the impact of this failure is not explicitly stated, but it is likely that the device is not functioning as intended and may not be able to be used for clinical purposes. # # # possible causes : - * * breakdown of internal components : * * the device may have experienced a failure of one or more of its internal components, such as the display, power supply, or sensors. - * * external factors : * * the device may have been damaged during transport or storage due to factors such as shock, vibration, or moisture. - * * software issues : * * the device may be experiencing software bugs or glitches that are preventing it from functioning properly. - * * third - party devices : * * the failure may be related to the use of other devices or systems that are not compatible with the monitors lcd. # # # recommendations : - * * further investigation : * * conduct a thorough investigation to identify the specific cause of the failure. this may involve disassembly, inspection, and testing of the device. - * * replacement or repair : * * if the device is repairable, determine the cost and timeframe for the repair. if the device is not repairable, procure a replacement device or consider alternative solutions. - * * preventive maintenance : * * implement regular preventive maintenance schedules to minimize the risk of future failures. this may include periodic inspections, cleaning, and firmware updates. - * * education : * * provide training to users on proper handling and use of the device to minimize the risk of damage. - * * collaboration : * * consult with the manufacturer, service provider, or other technical experts to assist in troubleshooting and resolving the issue @topic:2


2, abp, pap, cvp, icp, cpp, bis, cco, awp, anesthetic agents, delta sp0 2, in0 2 resolution measurement samples are taken at a resolution of four samples per second update speed waves are drawn at a speed of 3 cm / minute events information trigger condition and time, event classification and associated detailed view of episode data episode data configurable ( except mp20 / 30 ), either : 4 minutes of high resolution trend or 20 minutes of numerics trend @ 12 sec. resolution or 15 seconds of 4 waves @ 125 samples / sec. ( snapshot ) including all current numerics, alarms and inops for mp20 / 30 : 4 minutes of high resolution trend capacity ( max ) 25 or 50 events for either 8 or 24 hours alarm signal system delay less than 3 seconds pause duration 1, 2, 3 minutes or infinite, depending on configuration extended alarm pause 5 or 10 minutes review alarms information all alarms / inops, main alarms on / off, alarm silence and time of occurrence capacity 300 items real time clock range from : january 1, 1997, 00 : 00 to : december 31, 2080, 23 : 59 accuracy < 2 seconds per day ( typically ) hold time infinite if powered by ac ; otherwise at least 48 hours ( typical : > 72 hours ) buffered memory hold time if powered by ac : infinite without power : at least 48 hours ( typical : > 72 hours ) contents active settings, trends, patient data, realtime reports, events, review alarms 421 38 installation and specifications monitor performance specifications x2 ( m3002a ) performance specifications power specifications power consumption < 12 w average < 30 w while battery is loading operating voltage 36 to 60 v dc floating battery specifications operating time ( with new, fully charged battery at 25°c ) basic monitoring configuration : 2. 5 hours ( brightness @topic:8


# # # issue - bed is not adjustable. # # # impact - patient may not be able to be positioned comfortably or safely. # # # possible causes - intermittent power loss at the wall outlet - faulty power cord or wall plug connection - loose wire inside the bed frame - malfunctioning control panel or handset - worn or broken parts within the bed frame - obstruction under the mattress or between the bed rails - bent or damaged bed frame - electrical short circuit # # # recommendations - check the power supply and connections. - inspect the power cord and wall plug for damage. - inspect the bed frame for loose wires or connections. - remove all obstructions from under the mattress and between the bed rails. - check the control panel or handset for any signs of damage or malfunction. - consult the manufacturer's instructions or contact a qualified biomedical engineer for further troubleshooting and repair. - document the issue and any actions taken in the maintenance log or repair ticket. @topic:1


# # # issue - tv screen not turning on # # # impact - patient transport is affected due to lack of monitoring equipment. # # # possible causes - faulty tv display - loose or disconnected cables - power supply issues # # # recommendations - inspect the tv display for any physical damage or loose connections. - check and ensure that all cables are securely fastened and not frayed. - verify the power supply by testing the outlet and ensuring the equipment is properly plugged in. - if the issue persists, contact the manufacturer for further troubleshooting and potential repair. @topic:2


# # # issue - equipment : electric bed - brand : hill - rom - model : basic care, p1440a - description : bed is unable to adjust # # # impact - patient discomfort - difficulty providing care - increased risk of injury # # # possible causes - broken remote control cable - malfunctioning motor - damaged control panel # # # recommendations - inspect the remote control cable for damage and replace if necessary. - test the motor and control panel to ensure proper functionality. - perform regular maintenance on the bed to prevent future failures. @topic:1


# # # issue - the capnograph is displaying an " occlusion " message and is not showing co2 values. # # # impact - inability to accurately monitor a patient's end - tidal co2 levels, which is important for patient care and could lead to incorrect treatment decisions. # # # possible causes - clogged or wet capnograph filter - kinked or blocked sampling line - faulty co2 sensor # # # recommendations - check and replace the capnograph filter if it is clogged or wet. - inspect and clear any kinks or blockages in the sampling line. - calibrate and / or replace the co2 sensor if necessary. @topic:4


# # # issue - the medical cart is making a loud noise when plugged in. # # # impact - the noise can be disruptive to patients and staff. - it can also be a sign of a more serious problem with the cart. # # # possible causes - a missing screw is causing the fan to vibrate and make noise. - the fan is damaged or faulty. - the motor that drives the fan is faulty. # # # recommendations - check the screws that hold the fan in place. if any are missing, replace them. - if the screws are tight, the fan may be damaged or faulty. replace the fan. - if the fan is not damaged or faulty, the motor that drives the fan may be faulty. replace the motor. @topic:13


# # # issue - unable to measure ekg and spo2 # # # impact - inability to monitor patient's vital signs # # # possible causes - faulty spo2 cable - faulty ekg cable - faulty monitor # # # recommendations - replace the spo2 cable - replace the ekg cable - verify the functionality of the monitor using a different patient or simulation equipment @topic:4


# # # issue : - physiologic monitor ( mobile ) philips suresigns vs2 + is not working due to a faulty power cord connection. # # # impact : - the device cannot be used to monitor patient vital signs, which can delay diagnosis and treatment. # # # possible causes : - the power cord is damaged or has a loose connection. - the power supply is not providing sufficient voltage to the device. - the device's power supply port is damaged. # # # recommendations : - inspect the power cord for any damage or loose connections. replace the power cord if necessary. - check the power supply to ensure it is providing the correct voltage to the device. - if the power supply is functioning properly, the device's power supply port may be damaged. this will require repair by a qualified biomedical engineer. # # # additional notes : - the technician should also check the device's battery to ensure it is charged and functioning properly. - if the device is still not working after replacing the power cord and checking the power supply, the technician should contact the manufacturer for further troubleshooting assistance. @topic:11


. interval 0 sealarm low 2 4 alarmvol. + 2 red alarm volume yell. alarm volume alarmvol. + 0 inop volume utolncrease vol alarmvol. + 0 2 steps increase voldelay 20 seno keep blinking r & y & c red & yellow red cyan relaylatency seyel. relaylatency sealarm text standard nocentrmonmin vol onecg, arrhythmia, st and qt default settings h30 ( deviations from h10 / h20 / h40 ) factory defaults h10 / h20 / h40 ecg settingdulpedi pedi neo neo 00 bp60 bp20 bp0 bp5 bp00 bpow limit on on on utalarm source uto auto auto ecg on on on 1 1 1 | | v v v multi lead multi lead multi lead lead placement standard tandard standard ff mod. leadplacment filter monitor monitor off ize x1 monitor off size x1 filter utofiltoff default ecg size size x1 olor green green green 509 41 default settings appendix h30 ( deviations from h10 / h20 / h40 ) ecg settings eddult edult edi neo. 0 se4. 0 se. 0 se0 bp0 bp0 bpa extrtachy 20 bp00 bp40 bptachy clamp 0 bp0 bp0 bpa extrbrady 0 bp0 bp0 bp0 bp0 bpbrady clamp 0 bpecg alm off inop yacyan cyan fallback on on on enabled larms off enabled enabled enabled alarmsource sel. enabled a lead v2 vb lead v5 v5 v5 medium medium medium on on on ulsealarms tele enabled enabled nablarrhythmia default settings h @topic:8


# # # issue - keyboard is not functioning and unresponsive when pressed, affecting the usability of the medical cart. # # # impact - impaired ability for healthcare professionals to accurately input data, affecting patient care and documentation. - delays in patient care due to the inability to use the medical cart efficiently. # # # possible causes - * * hardware failure : * * - malfunctioning keyboard buttons due to wear and tear or damage. - loose connections or damaged cables between the keyboard and the medical cart. - * * software issue : * * - incompatible or outdated software drivers for the keyboard. - corrupted operating system or software programs. - * * environmental factors : * * - exposure to extreme temperatures, moisture, or dust, affecting the functionality of the keyboard. - * * user error : * * - accidental spills or excessive force applied to the keyboard, causing damage. - * * unknown factor : * * - intermittent or unknown issues that cannot be immediately identified. # # # recommendations - * * diagnostics : * * - inspect the keyboard for physical damage or loose connections. - update software drivers and check for system updates. - perform a system diagnostic test to identify any software or hardware issues. - * * repair or replacement : * * - replace the keyboard if it is physically damaged or malfunctioning. - reconnect loose cables or replace damaged ones. - * * maintenance : * * - regularly clean and maintain the keyboard to prevent dust accumulation. - avoid exposing the device to extreme temperatures or moisture. - train users on proper handling and cleaning procedures to minimize damage. - * * monitoring : * * - monitor the performance of the new keyboard and address any issues promptly. - implement regular inspections of the medical cart to identify potential failures and address them before they impact patient care. @topic:27


you can view approximately six minutes of hi - res trend wave trace. the hi - res waves are drawn at a speed of 3 cm / minute. the availability of hi - res trend waves depends on your monitor configuration and on the options changing the hi - res trend waves displayed to change the selection of hi - res trend waves on the screen : select a displayed hi - res trend wave. 1 select the required hi - res trend wave from the pop - up. list. 2 if there are no hi - res trend waves on the screen, you must change to a screen with hi - res trend waves. hi - res trend wave scales hi - res trend waves are either compressed realtime waves or fast numeric trends. hi - res trend waves from compressed realtime waves include : resp, co2, abp, pap, cvp, icp, • hi - res trend waves from fast numeric trends include : btbhr, spo2, tcpo2, tcpco2, pulse, perf, cpp, bis, cco, ino2, delta spo2. • hi - res trend waves from realtime waves use the wave scale as their display scale. changing the wave scale changes the hi - res trend wave scale. hi - res trend waves from numerics use a pre - defined display scale dependent on the patient category. hi - res trend waves and oxycrg oxycrg is a combination of three hi - res trend waves, btbhr, spo2, and resp, mainly used ineonatal monitoring. 331 hr 420100 160 111 / 7bp ( 85 ) 90 1 - 560 100 po90 80 spo2 $ 99 95 70 60 85 esrr 20 100 www. 30 printing hi - res trend wave reports to print hi - res trend waves on reports, you can choose to print @topic:8


* * issue : * * user needs a pediatric cuff for the vital signs monitor. * * impact : * * the user is unable to use the monitor to measure the patient's vital signs accurately. * * possible causes : * * * the technician has not provided the correct size cuff for the patient. * the cuff is damaged or defective. * the cuff is not properly connected to the monitor. * the monitor is not properly configured for pediatric use. * * recommendations : * * * the technician should provide the correct size cuff for the patient. * the technician should inspect the cuff for damage or defects. * the technician should ensure that the cuff is properly connected to the monitor. * the technician should verify that the monitor is properly configured for pediatric use. @topic:5


# # # issue - inability to perform accurate vital sign monitoring beyond the first measurement. # # # impact - delays in patient care due to unreliable vital sign readings. - potential for inaccurate treatment decisions based on faulty data. # # # possible causes - faulty cuff connection or calibration - malfunction of the pressure transducer - software or hardware issues within the device - electrical connection problems # # # recommendations - ensure proper cuff connection and calibration. - inspect the pressure transducer for any visible damage or loose connections. - update the device software to the latest version. - perform a thorough electrical inspection of the device, checking for loose wires or faulty components. - replace the device if necessary after troubleshooting has failed to resolve the issue. @topic:15


# # # issue - broken ground wire in the monitor # # # impact - the monitor may not be able to accurately measure vital signs, which could lead to incorrect treatment decisions. - the monitor may be at risk of electrical shock. # # # possible causes - the ground wire may have been damaged during handling or installation. - the ground wire may have been loose or corroded. # # # recommendations - replace the ground wire with a new one. - ensure that the ground wire is properly connected to the monitor and to the electrical outlet. - inspect the monitor regularly for any signs of damage to the ground wire or other components. @topic:2


the transducer. peel protection film from fixation ring. using a finger, press the sticky side of the ring on to clean, dry skin. press around the outside to ensure a good seal. apply three to five drops of contact fluid remove transducer from chamber. 1 lllllklkilalign the arrow on the transducer with the tab on the ring and fasten by turning a quarter - turn clockwise. wait 10 - 20 minutes for readings to stabilize. 2 67 6 monitoring apply the transducer as soon as possible after you see the message indicating that calibration is complete. if you wait longer than 30 minutes, the heat supply to the transducer switches off to prevent the electrolyte from drying out and a new calibration is necessary. 3 optimize the measurement by selecting a site with high capillary density and blood flow, thin epidermis and no cardiovascular disorders. most physicians use the abdomen, chest and back. warning you must either remove the transducer before defibrillating, or remembrane and calibrate the transducer after defibrillating. caution to avoid transducer damage, remove it from the patient during high frequency surgical procedures. selecting the tcgas heatpowerdisplay mode the heat power display gives an indication of the skin's perfusion below the transducer and of the transducer's contact with the skin. if the transducer loses contact, the heat power value drops significantly. when perfusion is poor you need less heat power to maintain the transducer temperature. in the setup tcgas menu, select heatpowerdisplay and then relative or absolute. choose relative when the skin temperature is stable ( the < tcgas label > stabilizing inop disappears ). this indicates subsequent changes in the relative heat power ( and therefore changes in perfusion or @topic:17