# # # issue the electrocardiography ( ekg ) telemetry monitor is not functioning properly. # # # impact the ekg telemetry monitor is used to monitor a patient's heart rate and rhythm. if the monitor is not functioning properly, it may not be able to accurately detect or display the patient's heart activity. this could lead to delays in diagnosis and treatment, which could have serious consequences for the patient. # # # possible causes - faulty wiring or connections - damage to the ekg sensor - software or hardware problems with the monitor - interference from other medical devices # # # recommendations 1. * * check the wiring and connections between the ekg sensor and the monitor. * * make sure that all of the connections are secure and that there is no damage to the wires. 2. * * inspect the ekg sensor for any damage. * * if the sensor is damaged, it will need to be replaced. 3. * * restart the monitor. * * this may resolve any software or hardware problems that are causing the monitor to malfunction. 4. * * check for interference from other medical devices. * * if there are other medical devices in the area, try moving them away from the ekg monitor. 5. * * contact the manufacturer of the monitor for technical support. * * if you are unable to resolve the problem on your own, you should contact the manufacturer of the monitor for technical support. @topic:18


of the intellivue information center ( iic ) to make sure it is compatible. if the software revision of the iic is incomaptible or you are using iit, switch to a wired configuration ‘ ‘ other bed ” alarms are not appearing configuration problem verify configuration in pic, in monitor ( config mode ) and check that the feature is not temporarily disabled by the user ( bed info window ) 118 4 troubleshooting intellivue 802. 11 bedside adapter problems symptoms cause of failure failure isolation and remedy no network icon or network icon flashes. no association to central station. communication problem between the monitor and the intellivue 802. 11 bedside adapter or rssi value below 30. ensure that the network infrastructure is functioning properly. see troubleshooting tables in the intellivue 802. 11 a / g infrastructure installation and configuration guide for details. check the antenna cable connection on the intellivue 802. 11 bedside adapter. check that the intellivue 802. 11 bedside adapter is correctly connected to the panel adapter board. check that the indicator behind the rssi value ( main setup - > network - > wlan diagnostic - > rssi ) is rotating. if it is not, check intellivue 802. 11 bedside adapter hardware. replace antenna or intellivue 802. 11 bedside adapter if necessary. intellivue 802. 11 bedside adapter not yet operational check menu line ‘ wireless lan ’ ( main setup - > network - > wlan diagnostic - > wireless lan ). if it shows ‘ off ’, the wireless adapter is not yet operational. this does not indicate that wlan has been disabled by a setting. if problem persists, check for an installed wired lan cable. configuration problem using wep, wpa ( psk ), wpa2 ( psk ) @topic:16


# # # issue : bed rails cannot be adjusted # # # impact : - patient safety could be compromised due to inability to adjust bed rails to ensure patient security. # # # possible causes : - failure of one or more of the following components : - locking pins - actuator control unit ( acp unit ) - extension cable # # # recommendations : - * * replace locking pins : * * the locking pins may have become worn or damaged over time, causing them to fail to engage properly and prevent the bed rails from being adjusted. - * * replace acp unit : * * the acp unit may have malfunctioned, preventing it from sending signals to the motors that adjust the bed rails. - * * inspect and replace extension cable : * * the extension cable may have become damaged or disconnected, causing a loss of communication between the acp unit and the motors. - * * test system : * * once the affected components have been replaced, test the system thoroughly to ensure proper functionality and patient safety. @topic:1


# # # issue - the cause of failure is not clearly stated. # # # impact - the impact of the failure is not known. # # # possible causes - the equipment may have been damaged during use. - the equipment may have been improperly calibrated. - the equipment may have been used with incompatible accessories. # # # recommendations - the equipment should be inspected by a qualified technician to determine the cause of failure. - the equipment should be recalibrated if necessary. - the equipment should be used with compatible accessories. @topic:12


also possible to use an existing pc, connected to the same lan, to host the xds application software. for more details, including limitations and restrictions, refer to the intellivue xds application instructions for use. if a visitor screen is configured for your monitor, you can use it to clear the screen of all waves and numerics but continue to monitor the patient with active alarms and trend storage at the bedside and information center. you can change the name of the visitor screen in configuration mode. to activate this screen, select the screen name in the monitor info line to open the change screen menu, then select the name of the visitor screen configured for your monitor from the list of available screens. • to select a screen with waves and numerics again, select the visitor screen's name below the clock to open the change screen menu and select a different screen to show waves and numerics again. • understanding profiles profiles are predefined monitor configurations. they let you change the configuration of the whole monitor so you can adapt it to different monitoring situations. the changes that occur when you change a complete profile are more far reaching than those made when you change a screen. screens affect only what is shown on the display. profiles affect all monitor and measurement settings. the settings that are defined by profiles are grouped into three categories. each category offers a choice of'settings blocks'customized for specific monitoring situations. these categories are : display ( screens ) • each profile can have a choice of many different predefined screens. if you are using a second display, each display can have its own individual screen selection. when you change the profile, the screen selection configured for the new profile becomes activemeasurement settings. each profile can have a choice of different predefined measurement settings. these relate directlto individual measurements, for example, measurement on / off, measurement color, @topic:10


# # # issue - cuff bp not measuring accurately # # # impact - patient safety may be compromised if inaccurate blood pressure readings are obtained. # # # possible causes - cuff bp may be damaged or deteriorated - equipment may not be properly calibrated - user may not be following proper measurement procedures # # # recommendations - replace the cuff bp - calibrate the equipment according to manufacturer's specifications - train users on proper measurement procedures @topic:3


# # # issue - equipment not pumping air # # # impact - vital signs monitor cannot accurately measure blood pressure # # # possible causes - loose bp cuff connection - faulty air pump - kinked air hose - clogged air filter - software glitch # # # recommendations - check and tighten the bp cuff connection - inspect and replace the air pump if necessary - unkink the air hose - clean or replace the air filter - restart the monitor @topic:15


# # # issue - equipment : philips suresigns vs4 vital signs monitor - issue : equipment froze and then will not turn on when pressing the power button. # # # impact - the vital signs monitor is critical for monitoring patient's vital signs, such as heart rate, blood pressure, and oxygen saturation. - if the monitor is not working properly, it can delay or prevent the delivery of appropriate medical care. # # # possible causes - the most likely cause of the failure is a hardware issue, such as a faulty power supply or a loose connection. - less likely, the failure could be caused by a software issue, such as a corrupted firmware. # # # recommendations - the first step is to try to reset the monitor by unplugging it from the power source and then plugging it back in. - if the monitor still does not turn on, the next step is to contact the manufacturer for technical support. * * additional notes : * * - the user manual for the philips suresigns vs4 vital signs monitor states that if the monitor does not turn on, the user should contact technical support. - the biomedical engineer should also check the monitor's power cord and connections to make sure that they are secure. @topic:2


# # # issue - the central monitors are not displaying parameter values from the bedside physiologic monitor. # # # impact - the medical staff will not be able to monitor the patient's vital signs accurately. # # # possible causes - the lan cable connecting the monitor to the central monitors is not properly connected. - the monitor is not properly configured to communicate with the central monitors. - the central monitors are not properly configured to receive data from the monitor. # # # recommendations - reseat the lan cable connecting the monitor to the central monitors. - verify that the monitor is properly configured to communicate with the central monitors. - verify that the central monitors are properly configured to receive data from the monitor. @topic:16


# # # issue - the bed is not adjusting properly. # # # impact - the patient may not be able to get into or out of the bed safely. - the patient may not be able to get into a comfortable position. # # # possible causes - the bme has not adjusted the bed properly. - the remote control is not working properly. - the bed is not properly plugged in. - the bed is not calibrated properly. # # # recommendations - the bme should adjust the bed properly. - the bme should check the remote control to make sure it is working properly. - the bme should make sure the bed is properly plugged in. - the bme should calibrate the bed properly. @topic:1


# # # issue the philips suresigns vs2 monitor, physiologic, vital signs is not charging its battery. # # # impact the device will not be able to be used if the battery is not charged. this could lead to a delay in patient care or even a missed diagnosis. # # # possible causes there are several possible causes for this issue, including : * the battery is not properly seated in the device. * the battery is defective. * the charging cable is not properly connected to the device. * the charging cable is defective. * the charging port on the device is defective. # # # recommendations to troubleshoot this issue, the following steps should be taken : 1. ensure that the battery is properly seated in the device. 2. try using a different battery. 3. ensure that the charging cable is properly connected to the device. 4. try using a different charging cable. 5. if the issue persists, contact the manufacturer of the device for further assistance. @topic:11


# # # issue * nibp monitor displays " unable to measure " error. # # # impact * inaccurate blood pressure readings, leading to potential patient safety risks. * delay in patient diagnosis and treatment. # # # possible causes the following are some possible causes of the " unable to measure " error : 1. * * faulty connector * * : a damaged or loose connector can lead to poor electrical contact, resulting in the nibp monitor being unable to transmit data from the transducer to the monitor display. 2. * * defective transducer * * : a faulty transducer may not be able to accurately sense and convert blood pressure into an electrical signal. this can lead to incorrect or no readings being displayed on the monitor. 3. * * software malfunction * * : a software bug or corruption can cause the nibp monitor to malfunction and display erroneous readings or error messages. 4. * * improper patient positioning * * : incorrect patient positioning can lead to inaccurate blood pressure measurements. the patient should be seated or lying in a relaxed position with their arm supported at heart level. 5. * * occluded artery * * : an occluded or blocked artery can prevent the nibp monitor from detecting blood flow and obtaining an accurate measurement. this can be a sign of a more serious underlying medical condition. # # # recommendations 1. * * inspect the connector * * : check the connection between the nibp monitor and the transducer. ensure that the connector is clean, tight, and free of any damage. 2. * * test the transducer * * : use a simulator or another nibp monitor to check if the transducer is functioning correctly. if the transducer is found to be faulty, it should be replaced. 3. * * update software * * : check if a software update @topic:15


# # # issue - equipment malfunction # # # impact - interruption of patient monitoring - inaccurate vital signs readings - potential patient harm # # # possible causes - cuff damage - equipment malfunction - user error # # # recommendations - replace damaged cuff - ensure proper equipment maintenance - train users on proper equipment operation @topic:5


# # # issue - missing remote control for electric bed # # # impact - reduced functionality of bed, making it difficult for patient to adjust position - potential safety hazard if patient cannot lower bed to a safe level # # # possible causes - remote was misplaced or lost - remote is damaged # # # recommendations - check if the remote has been misplaced or hidden. - if the remote is not found, contact the manufacturer of the bed to order a replacement. - if the remote is damaged, contact the manufacturer of the bed for repair instructions. @topic:7


# # # issue - equipment failure : nerve stimulator not responding # # # impact - inability to perform nerve conduction studies and monitor nerve function # # # possible causes - malfunctioning components within the nerve stimulator - faulty or damaged cables connecting the stimulator to the patient - software issues or glitches # # # recommendations - * * thorough inspection and testing * * of the nerve stimulator and cables to identify the specific cause of failure. - * * consultation with the manufacturer * * for technical support and guidance on troubleshooting and ремонт processes. - * * replacement of faulty components or cables * * as necessary. - * * regular maintenance and calibration * * of the nerve stimulator to prevent future failures. - * * training and education * * for staff on proper handling and maintenance of the equipment. @topic:2


# # # issue - the capnograph is not working correctly. - there is a loud noise coming from the capnograph. # # # impact - the capnograph is unable to accurately measure co2 levels. - the noise is disruptive to staff and patients. # # # possible causes - the probe is damaged. - the capnograph is not calibrated correctly. - the capnograph is not receiving power. - the capnograph is not connected to the patient correctly. # # # recommendations - inspect the probe for damage. - calibrate the capnograph. - check the power supply to the capnograph. - ensure that the capnograph is connected to the patient correctly. # # # additional notes : the technician should also check the following : - the capnograph's alarm settings. - the capnograph's software. - the capnograph's history of maintenance and repairs. if the technician is unable to resolve the issue, they should contact the manufacturer for assistance. @topic:4


# # # issue - remote control cable failure # # # impact - the bed cannot be operated remotely. # # # possible causes - cable damage - loose connections - faulty remote control # # # recommendations - replace the damaged cable. - check and tighten all connections. - test the remote control for proper functionality. @topic:7


# # # issue - faulty cuff # # # impact - incorrect blood pressure measurements - delayed or inaccurate diagnosis and treatment - potential patient safety risk # # # possible causes - damaged or worn - out cuff - improper cuff maintenance or calibration - manufacturing defect # # # recommendations - replace the faulty cuff with a new one - regularly inspect and calibrate cuffs - follow manufacturer's guidelines for proper cuff maintenance - train staff on correct cuff usage and troubleshooting techniques - consider investing in automated cuff inspection systems to enhance reliability and efficiency @topic:3


# # # issue - main board failure # # # impact - the patient monitor is not functioning properly and cannot be used to monitor the patient's vital signs. # # # possible causes - power surge - voltage fluctuations - overheating - component failure - software errors - physical damage # # # recommendations - inspect the main board for any visible damage. - test the main board with a known - good power supply. - update the software to the latest version. - replace the main board if necessary. - implement a regular maintenance schedule to prevent future failures. @topic:2


# # # issue - medical cart ( bdms 01 ) is not charging properly. - when plugged in, the battery level remains at 55 %. - when unplugged, the battery level drops significantly. # # # impact - inability to use the medical cart for extended periods due to low battery. - potential safety concerns if the device fails during a critical procedure. # # # possible causes - battery charging board issue - battery degradation - power supply issue # # # recommendations 1. * * inspect the battery charging board : * * - check for any loose connections or damaged components. - measure the voltage output of the board ( should be within 28 - 30 volts ). - if the voltage is below the specified range, adjust it according to the manufacturer's instructions. 2. * * test the battery : * * - remove the battery and connect it to a battery tester. - observe the battery's voltage level and capacity. - replace the battery if it is found to be faulty. 3. * * check the power supply : * * - ensure that the power supply is providing the correct voltage and current to the device. - inspect the power cable for any damage or loose connections. @topic:13


install appropriate supports. failure to do so could cause personal injury or equipment damage. 5. place the jack stands under the articulating frame near the load cells being replaced. 6. remove the two screws ( a ) and washers ( b ) that attach the column cover ( c ) to the column ( d ) ( see figure 4 - 32 on page 4 - 74 ). 7. remove the column cover ( c ). 1. torx® is a registered trademark of acument intellectual properties, llc. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 73 m330 2 154 4. 23 load beams ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures 8. remove the screw ( e ) that attaches the load cell bracket ( f ) to the column ( d ). 9. lower the bed until the load cell bracket ( f ) is clear of the column ( d ). shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 10. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 11. remove the two screws ( h ) from the retainers ( j ). 12. remove the retainers ( j ). 13. remove the three screws ( k ) that attach the power supply cover ( l ) to the power supply ( m ). 14. remove the power supply cover ( l ). note : the power supply cover is connected to the power supply rc. board by the battery cable. 15. disconnect the battery cable from the power supply rc. board. 16. remove the power supply cover ( l ) from the bed. caution : when handling electronic components, wear an antistatic strap. failure @topic:26


# # # issue - keyboard malfunction. # # # impact - inability to enter data or control the medical cart. # # # possible causes - * * battery depletion : * * the keyboard may not function properly if the batteries are low or dead. - * * connection issues : * * the keyboard may not be properly connected to the medical cart, resulting in communication errors. - * * hardware failure : * * internal components within the keyboard ( e. g., switches, circuit boards ) may have failed, leading to malfunction. - * * software glitches : * * software issues, such as corrupted drivers or firmware, can cause the keyboard to malfunction. # # # recommendations - * * battery replacement : * * replace the batteries with new ones to ensure adequate power supply. - * * connection verification : * * inspect the cables and connectors to ensure a secure connection between the keyboard and the medical cart. - * * diagnostics : * * perform diagnostic tests to identify specific hardware or software issues. - * * replacement : * * if necessary, replace the malfunctioning keyboard with a new one. - * * software updates : * * check for and install any available software updates to address potential glitches. - * * regular maintenance : * * conduct routine maintenance and inspections to proactively identify and address potential issues that could lead to keyboard failure. @topic:27


# # # issue - * * broken remote control signal cable * * # # # impact - * * bed cannot be operated remotely * * # # # possible causes - * * excessive bending of the cable due to repeated folding of the bed rails * * # # # recommendations - * * handle the bed rails with care to avoid excessive bending of the cable * * - * * inspect the cable regularly for signs of wear and replace it if necessary * * - * * train staff on proper bed handling techniques to prevent damage to the cable * * @topic:7


# # # issue - faulty cuff on the vital signs monitor. # # # impact - the monitor may not be able to accurately measure blood pressure, heart rate, or other vital signs. this could lead to incorrect treatment decisions or delays in care. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged. - the cuff may not be the correct size for the patient. # # # recommendations - the cuff should be replaced with a new one. - the cuff should be checked regularly for signs of wear and tear. - the cuff should be the correct size for the patient. @topic:5


# # # issue - the patient monitor is displaying abnormally high readings. # # # impact - this could lead to inaccurate patient monitoring and potentially dangerous treatment decisions. # # # possible causes - * * malfunctioning sensor : * * the sensor responsible for measuring the patient's vital signs may be malfunctioning, leading to incorrect readings. - * * defective circuitry : * * a fault in the monitor's circuitry could be causing the high readings. - * * calibration error : * * the monitor may not have been calibrated properly, resulting in inaccurate measurements. # # # recommendations - * * recalibrate the monitor : * * calibrate the monitor according to the manufacturer's instructions to ensure accurate readings. - * * inspect the sensor : * * check the sensor for any signs of damage or improper placement. replace the sensor if necessary. - * * perform a thorough diagnostic test : * * run a complete diagnostic test on the monitor to identify any potential underlying issues. - * * consult the manufacturer : * * contact the manufacturer for technical support and guidance on resolving the issue. - * * monitor patient vitals closely : * * until the issue is resolved, monitor the patient's vital signs closely using an alternative method, such as a manual sphygmomanometer or pulse oximeter. @topic:15


# # # issue - cuff wear and tear # # # impact - inaccurate vital signs measurement - patient safety concerns # # # possible causes - normal wear and tear over time - excessive use or improper handling - environmental factors ( e. g., temperature, humidity ) # # # recommendations - regular inspection and maintenance of the cuff - replacement of the cuff when necessary - proper handling and storage of the cuff to prolong its lifespan @topic:5


# # # issue : - remote control not functioning. # # # impact : - inability to operate the medical device. # # # possible causes : - the wiring in the remote control is faulty, causing a break in the electrical connection. # # # recommendations : - replace the remote control with a new one. @topic:7


# # # issue - battery failure # # # impact - patient monitoring may be interrupted. - incorrect patient data may be recorded. # # # possible causes - battery is not properly installed. - battery is defective. - battery is not compatible with the device. # # # recommendations - ensure that the battery is properly installed. - replace the battery with a new one. - verify that the battery is compatible with the device. @topic:11


# # # issue - broken display screen, causing loss of heart rate ( hr ) readings # # # impact - inability to accurately monitor patient's vital signs, potentially leading to delayed or incorrect treatment # # # possible causes - physical damage to the display screen ( e. g., scratches, cracks ) - electrical malfunction within the display module - software issues causing display errors # # # recommendations - routine inspection and maintenance of medical equipment to identify potential damage - careful handling and storage of equipment to prevent physical damage - regular software updates and firmware patches to address potential software issues - prompt replacement or repair of damaged display screens to ensure accurate monitoring @topic:2


# # # issue - the scanner on the medical cart is not working. # # # impact - the medical cart cannot be used for scanning patients. # # # possible causes - the scanner is not connected properly. - the scanner is damaged. - the software for the scanner is not working properly. # # # recommendations - check the connection between the scanner and the medical cart. - inspect the scanner for any damage. - reinstall the software for the scanner. @topic:23


# # # issue - the medical cart has failed. # # # impact - the medical cart is unable to be used, which could affect patient care. # # # possible causes - the power cord is not properly connected. - the battery is dead. - the circuit breaker has tripped. - the power supply is malfunctioning. - the control board is malfunctioning. # # # recommendations - check the power cord to make sure it is properly connected. - replace the battery. - reset the circuit breaker. - contact the manufacturer for service. @topic:13


here > active directo > trusted publis > untrusted cer > third - party rd trusted peopl new taskpad view... refresh export list... > help > other people 10. follow the certificate import wizard and provide the active directory server certificate file path. service manual connex direct 237 note an example active directory server certificate is shown below. general details certification path certificate information this certificate is intended for the following purpose ( s ) : • proves your identity to a remote computer • ensures software came from software publisher • protects software from alteration after publication allows data on disk to be encrypted • protects e - mail messages • allows secure communication on the internet issued to : aaa certificate services issued by : aaa certificate services valid from 12 / 31 / 2003 to 12 / 31 / 2028 issuer statement ok import / install a certificate authority ( ca ) root certificate on the active directory server these instructions apply to active directory servers with windows server 2012 os and above : press the windows key + r to bring up the run command. 1. 2. type mmc and press enter to open the microsoft management console. run type the name of a program, folder, document, or internet resource, and windows will open it for you. open : mmc cancel rowse... ok 3. click the file menu and then select add / remove snap - in.... 4. select certificates from the list of snap - ins, and click add. 238 connex direct welch [UNK] connex® spot monitor add or remove snap - ins x you can select snap - ins for this console from those available on your computer and configure the selected set of snap - ins. for extensible snap - ins, you can configure which extensions are enabled. available snap - ins : selected snap - ins : console root edit extensions. @topic:10


# # # issue * bed not adjusting * indicator lights blinking # # # impact * patient immobility * difficulty performing procedures * increased risk of injury # # # possible causes * electrical failure * battery malfunction * control board issues # # # recommendations 1. * * check electrical connections : * * ensure that the bed is properly plugged in and that there are no loose or damaged cords. 2. * * inspect battery : * * verify that the battery is properly installed and fully charged. if the battery is weak or malfunctioning, replace it. 3. * * examine control board : * * look for any visible damage or loose connections on the control board. if any issues are found, contact the manufacturer for repair or replacement. 4. * * power cycle the bed : * * disconnect the bed from power for 10 - 15 minutes, then reconnect it. this may reset the control board and resolve any minor electrical issues. 5. * * contact manufacturer : * * if all the above steps fail to resolve the problem, contact the manufacturer for further troubleshooting and repair assistance. @topic:9


# # # issue - cuff for bp measurement is old and visibly dirty. # # # impact - patient discomfort and dissatisfaction. - potential inaccurate bp measurements, affecting patient care and safety. # # # possible causes - prolonged use of cuff without proper cleaning and maintenance. - exposure to harsh cleaning agents or environmental conditions. - lack of regular inspection and replacement schedule. # # # recommendations - establish a regular inspection and replacement schedule for cuffs based on usage and manufacturer guidelines. - train staff on proper cuff cleaning and handling techniques. - provide a cleaning and disinfection protocol for cuffs to prevent accumulation of dirt and bacteria. - monitor patient feedback and address any concerns related to cuff condition proactively. - consider using disposable cuffs for short - term or single - use applications to minimize contamination risks. @topic:3


# # # issue - the remote control for the electric bed is loose. # # # impact - the bed cannot be adjusted to the desired height or position. # # # possible causes - the remote control may have been knocked or dropped, causing the connection to become loose. - the remote control may be defective. # # # recommendations - * * immediate action : * * 1. tighten the connection between the remote control and the bed. 2. test the remote control to ensure it is working properly. - * * preventive action : * * 1. inspect the remote control and connection regularly for signs of damage or wear. 2. handle the remote control with care to avoid dropping or knocking it. 3. store the remote control in a safe place when not in use. @topic:7


# # # issue - the carescape v100 vital signs monitor is displaying an " error " message due to a leak in the blood pressure cuff connector. # # # impact - the monitor is unable to accurately measure blood pressure, which can lead to incorrect patient care decisions. # # # possible causes - the blood pressure cuff connector may be damaged or loose, allowing air to leak out. - the tubing connecting the cuff to the monitor may be kinked or blocked, restricting the flow of air. - the monitor's internal pressure sensor may be faulty. # # # recommendations - * * inspect the blood pressure cuff connector for damage or looseness. * * if the connector is damaged, it will need to be replaced. if the connector is loose, it can be tightened by hand. - * * check the tubing connecting the cuff to the monitor for kinks or blockages. * * if the tubing is kinked, it can be straightened out. if the tubing is blocked, it will need to be replaced. - * * contact the manufacturer of the monitor if the above steps do not resolve the issue. * * the manufacturer may be able to provide further troubleshooting assistance or repair the monitor. @topic:14


# # # issue - equipment not charging # # # impact - inability to use the medical device # # # possible causes - loose or disconnected power plug # # # recommendations - ensure that the power plug is securely connected to the device and the power outlet. - if the problem persists, contact a qualified biomedical engineer for further troubleshooting and repair. @topic:11


# # # issue - monitor is not working properly. # # # impact - the monitor may not be able to accurately display patient data, which could lead to incorrect treatment decisions. - the monitor may not be able to sound alarms, which could delay or prevent the detection of a patient's critical condition. # # # possible causes - the monitor may have a hardware problem, such as a loose or damaged connection. - the monitor may have a software problem, such as a corrupted file or a problem with the operating system. - the monitor may be incorrectly calibrated. - the monitor may be receiving power from an unreliable source. # # # recommendations - check the monitor's connections and make sure that they are tight and secure. - check the monitor's software and make sure that it is up - to - date and error - free. - calibrate the monitor according to the manufacturer's instructions. - make sure that the monitor is receiving power from a reliable source. @topic:2


# # # issue - leaking cuff # # # impact - inaccurate blood pressure readings - false alarms - patient discomfort # # # possible causes - damaged or worn cuff - punctured cuff - improperly inflated cuff - valve malfunction # # # recommendations - inspect the cuff for any damage or wear. - replace the cuff if it is damaged or worn. - inflate the cuff to the correct pressure and listen for any leaks. - if the cuff is properly inflated and there are still leaks, replace the cuff. - check the cuff valve for proper function. - replace the valve if it is not functioning properly. @topic:3


# # # issue the bed's side rail is not going down. # # # impact the patient may be at risk of falling out of bed. # # # possible causes - the wheel on the side rail has come off and is lodged in the side rail track. - the side rail track is damaged. - the motor that moves the side rail is not working. # # # recommendations - check the side rail wheels and make sure they are securely attached. - inspect the side rail track for any damage. - test the motor that moves the side rail to make sure it is working properly. @topic:6


the monitor automatically applies the associated configuration settings to this timer, but the timer continues counting and is not reset. to select a label, in the timers window : 1 select the required timer and display the setup window. 2 select label. 3 select a specific or non - specific label from the list. run time the run time can be set between 1 minute and 96 hours. no limit timers have no run time. to set the run time, in the timers window : 1 select the required timer and display the setup window. 2 select run time. 3 select a run time from the list. timer counting direction timers can count up or down, showing elapsed time or remaining time. no limit timers automatically count up. to change the direction, in the timers window : 1 select the required timer and display the setup window. 2 select direction to switch between up and down. 356 displaying a timer on the main screen 31 using timers notification when a timer expires ( except a no limit timer ), the color changes to red and a message appears in the status line on the main screen. be aware that if a timer has been configured to display in light red, the color will not visibly change when the timer expires. additional notification is also available and can be set to : alarm an inop alarm indicates the expiry of the timer sound a single tone indicates the expiry of the timer no sound no additional notification to set the additional notification, in the timers window : 1 select the required timer and display the setup window. 2 select notification and select the notification level required from the list. if an mp5 is connected to a host monitor, and notification is set on the mp5 to alarm, the inop alarm will appear on the host monitor timeexpired : mms. timer volume for all timers with the notification setting sound, you @topic:10


# # # issue - the monitor is not reading the blood pressure value when it is being measured. # # # impact - this can lead to inaccurate blood pressure readings, which can delay or misinform medical decisions. # # # possible causes - * * faulty sensor : * * the sensor that measures the blood pressure may be damaged or malfunctioning, preventing it from accurately detecting the pressure. - * * blocked tubing : * * the tubing that connects the sensor to the patient may be blocked, preventing the blood pressure from reaching the sensor. - * * software error : * * the monitor's software may have a bug that is preventing it from properly reading the blood pressure value. - * * electrical problem : * * there may be a problem with the monitor's electrical system that is preventing it from powering the sensor or processing the blood pressure data. # # # recommendations - * * inspect the sensor : * * check the sensor for any damage or debris that could be blocking it. replace the sensor if it is damaged. - * * clear the tubing : * * flush the tubing with clean water or saline to remove any blockages. - * * update the software : * * check if there is a software update available for the monitor. install the update if it is available. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the monitor for further troubleshooting and repair instructions. @topic:15


# # # issue the bed side rail has come loose. # # # impact the patient could fall out of bed and injure themselves. # # # possible causes - the side rail was not properly secured. - the side rail was damaged. - the bed was not level. # # # recommendations - inspect the side rail and ensure that it is properly secured. - if the side rail is damaged, it must be replaced. - ensure that the bed is level. @topic:6


##8 nbp adult cuffs 386 comfort cuffs 385 disposable cuffs 385 multi - patient comfort cuff kits 385 neonatal / infant cuffs ( disposable ) 386 reusable cuffs 385 single - hose disposable cuffs 386 nellcor 387 pressure 386 pulsion 386 recorder paper 399 resp 381 set combiners and organizers 383, 384 sp02 387 nellcor adhesive sensors ( disposable ) 387 philips sensors ( disposable ) 387 philips sensors ( reusable ) 387 sv02 398 temperature 393 trunk cables 381, 383 active alarms 55 address, philips 402 addressograph ( printer configuration setting ) 338 adjusting st measurement points 148 adjusting wave scale ( pressure ) 191 adjusting wave size ( c02 ) 223, 230 admit editing information 103 quick admit 103 admitting a patient 101 advanced event surveillance 291 airway adapter c02, microstream accessory 222 alarm latching 68, 140 alarm limits changing 63 checking 62 manually adjusting 63 narrow 65 report 339 setting 61 st 150 switching auto limits on / off 66 using automatic limits 65 wide 65 window 62 alarm recording 323 choosing recorded measurements 325 alarm source selection, disabled 163 alarm status area 19 alarms acknowledging 59 active 55 active sp02 source 176 alphabetical listing 71 apnea delay 224, 230 apnea delay time ( resp ) 168 arrhythmia 55 audible indicators 57 awrr limits 224 chaining 142 c02 specific 224 c02, apnea delay 224, 230 c02, awrr 224 desat, sp02 175 effect on pressure alarms during zero 189 extending pause time 61 high priority 55 inop 55 iso / iec standard 58 limit, sp02 435 nbp source 182 patient messages 71 pausing 60 physiological 71 pleth as source 176 recordings 69 red 55 reminder 59 restarting 61 reviewing 66 @topic:8


# # # issue - control box failure # # # impact - equipment malfunction or failure to operate properly # # # possible causes - electrical or electronic component failure - overheating - moisture damage - physical damage # # # recommendations - replace the control box - inspect the equipment for any other signs of damage or wear and tear - consider scheduled maintenance to prevent future failures @topic:12


# # # issue the power plug of the vital signs monitor is faulty. # # # impact the vital signs monitor will not be able to function properly and may not be able to provide accurate readings. this could lead to incorrect patient care decisions. # # # possible causes * the power plug may have been damaged by being stepped on or pulled out of the wall too forcefully. * the power plug may have been exposed to moisture or other corrosive substances. * the power plug may have simply worn out over time. # # # recommendations * replace the power plug with a new one of the same type and size. * inspect the power cord for any damage and replace it if necessary. * ensure that the power plug is properly inserted into the wall outlet and that the cord is not kinked or damaged. @topic:2


# # # issue - wood slat stuck and unable to lock # # # impact - patient safety hazard - inconvenience for healthcare staff # # # possible causes - defective wood slat - worn or broken locking mechanism - improper installation of wood slat # # # recommendations - inspect and replace the wood slat if necessary. - repair or replace the locking mechanism if damaged. - ensure proper installation of the wood slat. @topic:6


in some cases, restarting the monitor may resolve the problem. to restart the monitor, turn it off and then back on. - * * contact a biomedical engineer : * * if you are unable to resolve the problem yourself, contact a biomedical engineer. they will be able to diagnose the problem and perform the necessary repairs. @topic:2


* * issue : * * bed not adjusting * * impact : * * patient discomfort, delayed care * * possible causes : * * * remote control malfunction * mechanical failure of the bed * electrical fault * * recommendations : * * * verify that the remote control is functioning properly by testing it with another bed or by replacing the remote control if necessary. * inspect the bed for any obvious mechanical issues, such as loose cables or damaged components. * check the electrical connections to the bed and ensure that the power supply is stable. * consult with the manufacturer's technical support for further troubleshooting and repair instructions. * if the problem persists, consider replacing the bed or calling for a professional repair technician. @topic:1


# # # issue - the medical cart is not functioning properly. # # # impact - the medical cart cannot be used to transport patients or equipment. # # # possible causes - the port server is being used by multiple devices. - the port server is not functioning properly. # # # recommendations - check if the port server is being used by multiple devices. if it is, then the port server should be replaced. - if the port server is not being used by multiple devices, then the port server should be tested to ensure that it is functioning properly. @topic:13


# # # issue - the monitor is not linking to the central system. # # # impact - the monitor cannot be used to monitor the patient's vital signs. - the patient's vital signs cannot be recorded in the central system. # # # possible causes - the monitor's ci address is not set correctly. - the server is not working properly. - the network is not working properly. # # # recommendations - check the monitor's ci address and set it correctly. - check the server to see if it is working properly. - check the network to see if it is working properly. @topic:16


# # # issue - woodlock of bed's right guardrail is jammed, making it impossible to adjust the height of the guardrail. # # # impact - patient safety is compromised, as they may fall out of bed due to the malfunctioning guardrail. # # # possible causes - the woodlock may be worn out or damaged due to improper use or lack of maintenance. - the woodlock may be obstructed by foreign objects or debris. # # # recommendations - * * immediate action * * : replace the woodlock with a new one. - * * preventive measures * * : - ensure regular maintenance and inspection of the bed to identify and address any potential issues. - train staff on proper use and handling of the bed to prevent damage to the woodlock. - provide clear instructions for use and maintenance of the bed to all users. @topic:6


# # # issue - probe spo2 failed on physiologic monitor - philips intellivue mp20 ( m8001a ) in nicu ward. # # # impact - inability to monitor patient's oxygen saturation levels accurately, potentially leading to delayed or incorrect medical interventions. # # # possible causes - * * defective probe : * * the probe itself may be faulty, leading to inaccurate readings. - * * improper connection : * * the probe may not be properly connected to the monitor, resulting in intermittent or no signal. - * * physical damage : * * the probe may have been damaged during handling or storage, affecting its functionality. - * * software issue : * * the monitor's software may have a glitch that affects the probe's operation. # # # recommendations - * * inspect probe : * * check the probe for any visible damage or loose connections. - * * test probe : * * use a test bench or simulator to verify probe functionality. - * * replace probe : * * if the probe is found to be defective, replace it with a new one. - * * check monitor settings : * * ensure the monitor's settings for spo2 monitoring are correct and match the probe's specifications. - * * contact manufacturer : * * if the issue persists, contact the manufacturer of the monitor or probe for technical support. @topic:4


# # # issue - vital signs monitor not displaying blood pressure ( bp ) readings. # # # impact - inability to monitor patient's bp, which is a critical vital sign for assessing overall health and making clinical decisions. # # # possible causes - * * incorrect mode : * * the monitor may be in a mode that does not allow for bp measurement. - * * sensor malfunction : * * the sensor used to measure bp may be faulty or not properly connected. - * * software glitch : * * a software issue in the monitor may be preventing it from displaying bp readings. - * * hardware failure : * * a hardware component in the monitor responsible for bp measurement may have failed. # # # recommendations * * troubleshooting : * * 1. * * check the mode : * * ensure that the monitor is in the correct mode for bp measurement. 2. * * inspect the sensor : * * check the sensor for any damage or loose connections. replace the sensor if necessary. 3. * * restart the monitor : * * turn off and restart the monitor to clear any software glitches. 4. * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for technical support or replacement parts. * * preventive maintenance : * * 1. * * regular calibration : * * calibrate the monitor regularly to ensure accurate bp readings. 2. * * component inspection : * * periodically inspect the sensor and other components for signs of wear or damage. 3. * * software updates : * * install any software updates released by the manufacturer to address bugs or improve functionality. 4. * * staff training : * * train staff on proper use and maintenance of the monitor to prevent incorrect operation or damage. @topic:15


# # # issue - equipment malfunction due to battery issues. # # # impact - interruption of patient monitoring, potentially compromising patient safety. - battery life may be shorter than expected, affecting the device's usability. # # # possible causes - battery failure due to age, usage, or manufacturing defects. - incorrect battery installation or maintenance. - battery not compatible with the device. # # # recommendations - replace the faulty battery with a new one that is compatible with the device. - check the battery connections and ensure they are secure. - if the problem persists, contact the manufacturer or a qualified technician for further troubleshooting. - establish a regular battery maintenance schedule to prevent future failures. - consider purchasing additional batteries to have on hand in case of emergencies. @topic:11


tonbatt malfunction the monitor cannot determine the battery status. if this inop persists, replace the faulty battery. if the condition persists and the monitor is not connected to mains power, this inop is re - issued two minutes after you acknowledge it. inop tone, battery led flashes during this inop, alarms cannot be paused or switched off unless place the battery in a different monitor or in a battery charger. if the same inop is shown, contact rvice personnel. the monitor is connected tains power. batteries empty!! batteries empty!!! batteries empty batt 1 empty!! batt 1 empty!!! batt 1 empty the estimated remaining battery - powered operating time of the indicated battery or batteries is less than 10 minutes. replace the batteries immediately. if the condition persists and the monitor is not connected to mains power, this inop is re - issued two minutes after you acknowledge it. batt 2 empty!! batt 2 empty!! batt 2 emptduring this inop, alarms cannot batteries incompabatt 1 incompat batt 2 incompat the indicated battery or batteries cannot be used with this monitor. replace with the correct battery or batteries as specified in this book. nop tonbatteries low att 1 low the estimated battery - powered operating time remaining is less than 20 minutes. batt 2 lonop tone 84 4 patient alarms and inops what to do the monitor cannot determine the battery status. if this inop persists, replace the faulty battery or batteries. if the condition persists and the monitor is not connected to mains power, this inop is re - issued two minutes after you acknowledge it. batteries malfunct batt 1 malfunction att 2 malfunction inop tone, battery led flashes during this inop, alarms can @topic:11


* * issue : * * the electric bed cannot be adjusted. * * impact : * * patients may not be able to get into or out of bed, or may not be able to be positioned comfortably. * * possible causes : * * - faulty wiring - broken motor - faulty control panel * * recommendations : * * - check the wiring for any loose connections or damage. - test the motor to see if it is working properly. - replace the control panel if necessary. @topic:1


* * issue : * * cuff leak in physiologic bedside monitor ( intellivue mp70 ) * * impact : * * - inaccurate blood pressure readings - potential for patient harm due to incorrect monitoring * * possible causes : * * - cuff leakage due to : - wear and tear over time - damage during cleaning or handling - incorrect cuff size * * recommendations : * * - replace the cuff with a new one of the appropriate size. - ensure proper cleaning and handling procedures are followed to prevent damage. - train staff on proper cuff fitting and maintenance techniques. - regularly inspect cuffs for signs of damage or leakage. - consider using cuffless blood pressure monitoring devices to eliminate cuff - related issues. @topic:3


problem is still present, verify module functionality by replacing the sensor with an applicable spo2 tester. if the message persists, low pl confidence spo2 low signal qualityreapply the sensor to the patient. very low if the problem is still present, replace the spo2 seproblem is still present, replace the cable. if the problem is still nt, verify module check sensor. 045100 service manual roubleshooting 187 ossible causlarm prioritmessage functionality by replacing the sensor with an applicable spo2 tester. if the message persists, replace the module. low rrp confidence reapply the sensor to the patient. very low move the sensor to a better perfused site, or a site with less movement. if the problem is still present, replace the spo2 sensor. if the problem is still present, replace the cable. if the problem is still present, verify module functionality by replacing the sensor with an applicable spo2 tester. if the message persists, eplace the module. check sensor. 045200 demo mode is reported when you plug a masimo demo tool into the patient cable connector. this tools simulates a patient being connected, and is only used in a development environment. because this tool simulates a patient without a patient actually being connected, it should never be present in a clinical setting. ellcor messageossible causlarm prioritessage sensor not connected. the spo2 sensor is not lear to retry. 043900 connected connect spo2 sensor. if the problem is still present, replace the spo2 cable. if the problem is still present, verify the module functionality by replacing the sensor with an applicable spo2 tester. if the message persists, eplace the module. searching for pa00 high one spo @topic:17


##er for touch operation and yellow lan indicator ring. 261 8 site preparation nurse call relay interface figure 31 cable and adapter set nurse call relay interface table 16 nurse paging cable product option number part number 12nc part no. description conduit sizes bend radius connector size m8022a # nc3 m1181 - 61648 453563375601 3m traditional nurse paging relay cable. one end terminated with phone plug, one end without connector. 13 mm 2 20 mm diameter 12 mm m8022a # nc6 m8087 - 61001 453563484741 10m flexible nurse paging cable. one end terminated with straight mdr connector, one end without connector. 40 mm 2 30 mm 35 x 16 mm ecg out interface table 17 ecg out cable product option number part number 12nc part no. description conduit sizes bend radius connector size ( diameter ) m8022a # a62 8120 - 1022 453563198151 3m cable ( both ends are terminated with. 25 ” phone plugs ) 40 mm 2 30 mm 13 mm n / a ml 181 - 61625 453563255091 cable kit consisting of : 25 m raw cable, 2 x 1 / 4 ” socket, 1 x 1 / 4 ” plug 262 9 j gas analyzers for details on the m1026a / b anesthetic gas module and the m1013a essential gas module, please refer to the respective service guides on your documentation cd. 263 9 gas analyzers 264 appendix a philips 1521 ob calibration unit the philips 1521 ob calibration unit consists of a gas cylinder connected to a gas outlet via a time controlled valve. the valve is normally closed, ensuring that no gas is lost when the unit is not in use. when the unit is set up @topic:10


# # issue - the battery replacement did not resolve the issue with the electric bed. # # impact - the electric bed is not fully functional, which could impact patient care. # # possible causes - the new batteries are not compatible with the bed. - the battery terminals are not properly connected. - there is another issue with the bed that is preventing it from working properly. # # recommendations - verify that the new batteries are compatible with the bed. - check the battery terminals to ensure that they are properly connected. - perform further troubleshooting to determine if there is another issue with the bed. @topic:9


# # # issue the remote control for the bed, electric, huntleigh, model 25800 e / l is not functioning properly. # # # impact the bed cannot be adjusted using the remote control. # # # possible causes * the remote control may be damaged. * the remote control may not be properly paired with the bed. * the batteries in the remote control may be dead. * there may be a problem with the bed's electrical system. # # # recommendations * inspect the remote control for any damage. * ensure that the remote control is properly paired with the bed. * replace the batteries in the remote control. * contact a qualified biomedical engineer to troubleshoot the bed's electrical system if the problem persists. @topic:7


# # # issue - broken ac plug. # # # impact - inability to power the device. # # # possible causes - damage to the plug during handling or storage. - faulty wiring in the plug. - loose connection between the plug and the device. # # # recommendations - inspect the plug for damage and replace if necessary. - ensure that the wiring is secure and properly connected. - tighten any loose connections between the plug and the device. @topic:12


directly by tipping on the trial curve. discard conspicuously different 205 13 monitoring cardiac output measuring c. o. using the picco method values. the background of rejected trials is red and the background of accepted trials is green. the monitor recalculates the average values after you reject or accept trials. if all values are different from each other, there may be true hemodynamic instability caused, for example, by severe cardiac arrhythmia. saving and calibrating picco c. o. measurements when you have finished editing the trials, you must save the results. this closes the measurement series, sends the average c. o. numeric to be displayed on the main screen, and stores the averaged values in the trends and calculations databases. before the monitor can calculate cco, you must calibrate the measurement. you should also calibrate cco every eight hours, or if the hemodynamic condition of the patient changes consistently in the same direction over 15 minutes, or if there are large or sudden changes in the patient ’ s condition. the monitor only uses c. o. measurements from within the last 15 minutes for calibrating cco. to save and calibrate, ♦ in the c. o. procedure window, select the pop - up key savec. o. & cal cco to use the averaged c. o. value to calibrate continuous cardiac output ( cco ). your monitor may be configured to have two separate pop - up keys, save c. o. and cal cco, instead of the combined savec. o. & cal cco. warning cco calibration is patient - specific. when the c. o. module or measurement extension module is plugged in after the patient has changed, make sure that the correct cco calibration is used. when in doubt perform a new cc @topic:17


# # # issue - loose headrest cover on hospital bed # # # impact - potential safety hazard for patients as the headrest may not provide adequate support, leading to discomfort or injury. - reduced functionality of the bed as the headrest may not be able to be adjusted properly. # # # possible causes - wear and tear over time, causing screws or bolts to loosen. - rough handling or accidental impacts. - improper maintenance or repairs. - manufacturing defects. # # # recommendations - tighten the screws or bolts holding the headrest cover in place. - inspect the headrest assembly for any loose or damaged components and replace as necessary. - advise the hospital staff to handle the bed with care to prevent further damage. - schedule regular maintenance and inspections to prevent similar issues in the future. - consider contacting the manufacturer if the problem persists or if there is any suspicion of a manufacturing defect. @topic:1


# # # issue * electric bed not adjusting # # # impact * patient discomfort * inability to perform necessary medical procedures * increased workload for nursing staff # # # possible causes * electrical fault * mechanical failure * software issue * user error # # # recommendations * check the power supply and electrical connections. * inspect the mechanical components, such as the motor, gears, and hydraulics, for wear or damage. * update the software if necessary. * train users on proper operation of the bed. @topic:1


# # # issue - board failure # # # impact - medical cart malfunction # # # possible causes - manufacturing defect - overheating - electrical surge - water damage - physical damage # # # recommendations - inspect the board for any visible damage or corrosion. - test the board with a multimeter to check for continuity and resistance. - replace the board if it is found to be faulty. - implement preventive maintenance measures to prevent future failures, such as regular cleaning and inspection, and providing adequate ventilation to prevent overheating. @topic:30


* * issue : * * knee adjustment malfunction * * impact : * * patient discomfort and potential harm from improper positioning * * possible causes : * * * * * faulty remote control cable : * * the cable may be damaged, loose, or disconnected, preventing the remote control from sending signals to the bed's adjustment mechanisms. * * * malfunctioning adjustment motor : * * the motor responsible for moving the knee section may have become defective, causing it to fail to respond to remote control commands. * * * obstruction in the adjustment mechanism : * * foreign objects or loose parts may be hindering the proper movement of the knee section. * * recommendations : * * * * * inspect the remote control cable : * * ensure it is securely connected to both the remote control and the bed. check for any visible damage or loose connections. * * * test the adjustment motor : * * manually move the knee section and observe if the motor rotates. if it does not, the motor may need to be replaced. * * * inspect the adjustment mechanism : * * look for any obstructions, such as loose bolts or foreign objects, that may be interfering with the knee's movement. clean or remove any obstacles if necessary. @topic:9


# # # issue - loss of data from bed in room 4 on the central station monitor. # # # impact - inability to monitor vital signs and other patient data from the affected bed. - delay in diagnosis and treatment decisions. - alarm fatigue and desensitization due to false alarms caused by the loss of data. # # # possible causes - disconnected twisted pair communication line. - damaged twisted pair communication line. - faulty port on the central station or the bed unit. - software glitch or configuration error. - interference from other electronic devices in the vicinity. # # # recommendations 1. * * inspect the twisted pair communication line : * * ensure it is properly connected at both ends, with no visible damage. 2. * * replace the twisted pair communication line : * * if damage is found, replace the cable with a new one. 3. * * test the port : * * connect a known good device to the suspected faulty port on the central station or the bed unit to determine if the port is functioning correctly. 4. * * check software settings : * * verify that the software configuration is correct and that the device is properly recognized by the system. 5. * * eliminate interference : * * identify and remove potential sources of electronic interference, such as mobile phones or wireless devices, from the vicinity of the equipment. @topic:16


# # # issue - cuff of the patient transport monitor is damaged. # # # impact - patient's blood pressure cannot be accurately measured. - this could lead to incorrect treatment decisions. # # # possible causes - cuff is old and has been used frequently. - cuff has been damaged by being dropped or punctured. - cuff has been exposed to extreme temperatures. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for any signs of damage. - do not drop or puncture the cuff. - store the cuff in a cool, dry place. @topic:3


# # # issue - bent plug # # # impact - inability to connect to power outlet # # # possible causes - physical damage to plug - improper handling # # # recommendations - inspect plug for signs of damage. - replace or repair bent plug as necessary. - train staff on proper handling procedures to prevent future damage. @topic:12


. to connect a friction connector, grasp each connector mating half and insert one half into the other. zif ( zero insertion force ) : the device uses flex cables and zif flex cable connectors. flex cables and zif connectors require special care when handling. zif connectors use a sliding outer piece that latches and unlatches to secure and release the flex cable. zif cables cannot be successfully connected or disconnected without properly unlatching and latching the sliding outer piece. 44 disassembly and repair welch [UNK] connex® spot monitor caution do not use excessive force when releasing pressure othe connector. excessive force may result in breaking the sliding outer piece. to remove a zif connector caution remove a flex cable only after the zif latch is open. a using a suitable tool ( for example, a paper clip, small flat - head screwdriver, or needle - nose pliers ), slide the latching piece of the connector away from the connector body. 1. remove the cable. 2. to connect a zif connector slide the latching piece of the connector away from the connector body. 1. insert the flex cable into the connector. this may require using a suitable tool to keep the 2. slide the latching piece toward the connector body until it locks into place. 3. coaxial : coaxial connectors, a type of pressure connector in this case, are components attached to the ends of a coax cable - they make it possible to connect to other devices. the connector has a wire conductor in the center, surrounded by an outer conductor, and an insulation between the two. in this device, the coaxial connector connects the antenna to the wireless radio board. service manual note this connector is labeled pb because of its location on the wireless radio board. to remove a coaxial connector, lift the connector away from @topic:19


the standard use the scvo2 label when the catheter / probe will be located in a central vein ( measuring central use the so2 label in all other cases. to select a measurement label : select main setup then measurements followed by < so₂ label > 1 select label. 2 3 select the appropriate label for the catheter / probe location. preparing to monitor with in addition to the measurement module, you need a hospira opticath catheter, and 50131 optical module. use only the hospira accessories listed in the accessories section. 272 17 monitoring intravascular oxygen saturation 1 balloon inflation stopcock 2 4 3 4 enter setup / calibration 5 connect the optical module ( hospira 50131 ) to the measurement module. allow the optical module to warm up before you perform a calibration. although the warm up message disappears from the screen after one minute, hospira recommends letting the optical module warm up for 15 minutes for best ccuracy. please refer to the instructions for the optical module. to avoid false alarms during the pre - insertion calibration and insertion of the catheter into the patient, the monitor automatically suspends alarms during the pre - insertion calibration, for up to three minutes after you remove the catheter tip from the optical reference. after light intensity calibration, or after three minutes ( whichever comes first ), the monitor returns to the alarm state it was in prior to pre - insertion calibration. warning it is strongly recommended to carry out a pre - insertion calibration prior to all insertions. if this is not ration after insertion. refer to the instructions for use that accompany the catheter. do not use the catheter if the packaging is damaged. if you have to disconnect the monitor from the patient ( for example, when transferring the patient from one location to @topic:17


# # # issue : - unable to charge the battery. # # # impact : - the vital signs monitor cannot be used wirelessly. # # # possible causes : - the battery is not making proper contact with the charging terminals. - the battery is faulty. - the charger is faulty. # # # recommendations : - reseat the battery and ensure it is making proper contact with the charging terminals. - if reseating the battery does not resolve the issue, try a different battery. - if a different battery does not resolve the issue, the charger may be faulty and should be replaced. @topic:11


# # # issue * cuff pressure cuff ( bp cuff ) is damaged. # # # impact * the vital signs monitor cannot accurately measure blood pressure. * this can lead to incorrect treatment decisions. # # # possible causes * the cuff may be torn or punctured. * the cuff may be the wrong size for the patient. * the cuff may be improperly inflated. * the cuff may be connected to the monitor incorrectly. # # # recommendations * inspect the cuff for any damage. * replace the cuff if it is damaged. * ensure that the cuff is the correct size for the patient. * properly inflate the cuff. * connect the cuff to the monitor correctly. * retrain staff on the proper use of the vital signs monitor. @topic:3


# # # issue * * cause of failure : * * adjust failed. # # # impact * * possible impact : * * - patient discomfort or pain due to inability to adjust the bed. - delays in patient care due to the need to troubleshoot and repair the bed. # # # possible causes * * possible causes of failure : * * - * * electrical issues : * * faulty wiring or components in the bed's electrical system could prevent it from adjusting properly. - * * mechanical issues : * * wear or damage to the bed's mechanical components, such as the motors or gears, could also prevent it from adjusting. - * * remote control issues : * * as mentioned in the input, it is likely that the failure to adjust the bed is due to a faulty or damaged remote control. this could be caused by broken buttons, internal wiring, or other mechanical or electronic problems. # # # recommendations * * recommendations to prevent failure : * * * * electrical system : * * - regularly inspect and maintain the bed's electrical system to ensure that all connections are secure and that there are no signs of damage or wear. - have the bed serviced by a qualified electrician as needed to prevent electrical faults. * * mechanical components : * * - perform routine maintenance on the bed's mechanical components, such as lubricating and inspecting the motors, gears, and other moving parts. - replace any worn or damaged mechanical components promptly to prevent further issues. * * remote control : * * - handle the remote control with care to prevent damage. - regularly clean the remote control and check for any signs of wear or damage. - keep a spare remote control on hand in case the primary remote control fails. @topic:1


# # # issue the bed's side rails cannot be adjusted to lower. # # # impact * patient safety : the patient may fall from the bed if the side rails cannot be lowered. * patient comfort : the patient may be uncomfortable if the side rails are too high. * staff efficiency : staff may have difficulty accessing the patient if the side rails are too high. # # # possible causes * the spring that pulls the locking mechanism is broken. * the locking mechanism is jammed. * the side rails are not properly aligned. # # # recommendations * replace the broken spring. * clean and lubricate the locking mechanism. * check the alignment of the side rails and adjust as necessary. @topic:6


* * issue : * * relay not working, preventing adjustment of bed head. * * impact : * * patient discomfort and inconvenience, reduced functionality of bed. * * possible causes : * * - * * malfunctioning relay : * * the relay may be faulty or damaged, preventing it from properly switching the circuit. - * * loose connections : * * poor connections in the wiring harness or control box may interrupt the electrical signal to the relay. - * * faulty control board : * * the control board may be malfunctioning, causing it to send incorrect signals to the relay. - * * mechanical issue : * * the mechanism for adjusting the bed head may be mechanically obstructed or malfunctioning. * * recommendations : * * - * * test and replace relay : * * verify the relay function using an appropriate test equipment. if found faulty, replace with a compatible relay. - * * inspect and secure connections : * * check for loose or damaged connections in the wiring harness and control box. tighten or repair connections as needed. - * * troubleshoot the control board : * * verify the functionality of the control board by testing its outputs and inputs. replace the board if found defective. - * * examine the mechanical system : * * inspect the bed frame, linkages, and actuators for any obstructions or mechanical failures. adjust or replace components as necessary. @topic:1


cable ) 14 453563233721 n / a m1034 - 61650 bis sensor simulator 453563233731 212 plug - in modules part numbers 6 parts exchange part number new part number description m1034 - 68520 m1034 - 60020 bis engine 12 453563233761 453563233661 ml 034 - 68102 ml 034 - 60102 bis dsc - xp 13 453563233741 453563233681 n / a m1034 - 61610 bis module cable ( 0. 8 m ) 11 453563233701 n / a m1034 - 61620 bis module cable ( 2. 0 m ) 11 453563233711 bis solution components aspect bis engine 185 - 0111 bis module \ a'aspect digital signal converter 185 - 0124 / v aspect patient i interface cable 186 - 0131 < & aspect bis sensor figure 14 bis solution components with bis engine and dsc bisx solution replacable parts exchange part number new part number description n / a m1034 - 61630 bis pic ( patient inetrface cable ) 453563233721 n / a m1034 - 61650 bis sensor simulator 453563233731 m1034 - 68521 n / a bisx power link 451261003621 n / a m1034 - 61660 bisx host cable 213 6 parts plug - in modules part numbers exchange part number new part number description n / a m1034 - 68500 453563233751 ml 034 - 47600 n / a bisx bulkhead connector bis interface module bisx solution components bis module 145 - ph aspect bis sensor aspect plitient interface cable 186 - 0131 figure @topic:19


# # # issue - * * band : * * universal quality - * * model : * * uq2000b - * * description : * * - the technician found that the bed rail lock was loose. - they tightened the bed rail lock. - they tested the bed and it worked properly. - * * cause of failure : * * - the bed rail lock was loose. # # # impact - the patient could have fallen out of bed if the bed rail lock had not been tightened. # # # possible causes - the bed rail lock was not tightened properly during assembly. - the bed rail lock was damaged. - the bed rail lock was not designed properly. # # # recommendations - tighten the bed rail lock properly during assembly. - inspect the bed rail lock for damage before each use. - design the bed rail lock so that it is more difficult to loosen. @topic:6


# # # issue the finger probe on the beneview t1 monitor is malfunctioning, resulting in the inability to measure oxygen saturation ( o2 sat ) levels. # # # impact patients may not receive accurate o2 sat readings, which can lead to delayed or incorrect treatment decisions. # # # possible causes - faulty finger probe - loose connection between finger probe and monitor - software glitch - hardware malfunction within the monitor # # # recommendations - replace the finger probe with a new one. - ensure that the finger probe is securely connected to the monitor. - check for software updates and install them if necessary. - contact the manufacturer's technical support for further troubleshooting or repair. @topic:4


# # # issue - the medical cart restarts itself every 10 minutes. # # # impact - interruption of medical procedures - loss of data - patient safety hazards # # # possible causes - automatic windows updates - overheating - power supply issues - software conflicts - hardware malfunction # # # recommendations - disable automatic windows updates. - check for overheating and ensure proper ventilation. - inspect power supply cables and connections. - run diagnostics to identify software conflicts or hardware issues. - contact the manufacturer for further support if necessary. @topic:13


# # # issue - the medical cart restarts itself every 10 minutes. # # # impact - interruption of patient care - loss of data - frustration for users # # # possible causes - windows update is enabled - hardware issue - software issue # # # recommendations - disable windows update - check hardware for loose connections or damaged components - reinstall or update software @topic:13


replacing the main board ” on page 5 - 22. 818 ( 132 ) nbp equip malfunc ( 132 ) one of the two valves was activated for too long. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the nbp module. see “ removing the nbp module ” on page 5 - 15. troubleshooting 4 - 16 suresigns vs2 * and vsi service guide error codes code error message possible cause action 818 ( 133 ) nbp equip malfunc ( 133 ) crc mismatch in calibration data. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 134 ) nbp equip malfunc ( 134 ) crc mismatch in error log data. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 135 ) nbp equip malfunc ( 135 ) crc mismatch in inflation cycle count and runtime data. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 136 ) nbp equip malfunc ( 136 ) the pneumatic safety switch is defective. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the @topic:22


expected test results msl assurance test pins of connector not jolted / bent ( pass / fail ) power loss alarm buzzer performance test 1 switch on the monitor. 2 disconnect the monitor from ac power. 3 the power loss alarm buzzer should beep for about one minute. 4 to switch off the alarm sound, either press the power button or connect the monitor to ac power test expected test results power loss alarm buzzer performance test beep for one minute intellivue 802. 11 bedside adapter communication test 1 make sure the lan cable is disconnected from the rear of the monitor, then switch on the monitor. 2 go into service mode and select main setup - > network - > setup wlan. in the setup wlan menu : - set mode to either 802. 1 1 ah, 802. 1 1g, 802. 1 1 bg ( not recommended ). auto ( not recommended ) or none ( this setting disables the wireless lan functionality permanently ), to match your wireless infrastructure installation. - set ssid to match your installation. - set the country code to ‘ dooo ”. setting the country code to this value will automatically adjust the regulatory domain to match the configuration of the infrastructure. do not set the country code to values other than ‘ dooo ” unless otherwise instructed. 87 [ 3 testing and maintenance ] — set the security mode to match your installation. — enter the required keys / passwords. 3 select main setup - > network - > wlan diagnostic to access the wlan diagnostic window. 4 proper installation of the intellivue 802. 11 bedside adapter is assured by connecting to an access point over the wireless link. place the monitor with the intellivue 802. 11 bedside adapter installed in close proximity to the access point ( e. g. if the access point is mounted on the ceiling, place the monitor directly below ). @topic:10


high 6 you need to know which values have been configured for your monitor. changing the high and low alarm limits automatically changes the extreme alarm limits within the allowed range. to see the extreme pressure alarms set for your monitor, in the setup < press label > menu, see the menu items a extreme high and a extreme low. • the extreme pressure e alarms are high priority, red alarms, marked * * * in the alarm message. depending on your monitor's configuration, you may be able to perform a calibration in monitoring mode. perform a mercury calibration when you use a new transducer, and at regular intervals according to your hospital policy. you require : standard sphygmomanometer. • sterile 10cc syringe with heparinised solution. • 3 - way stopcock. • approximately 25 cm of tubing. • warning never perform the invasive pressure calibration while a patient is being monitored. 1 zero the transducer. 2 connect the syringe and manometer. a. attach the tubing to the manometer. b. connect the 3 - way stopcock to the stopcock that is not connected to the patient catheter when you measure a patient. attach the syringe to one port and the manometer tubing to the other c. 19 3 1 tubing to manometer 4 patient connection stoppered off move the syringe barrel in and raise the mercury to 200 mmhg ( 30 kpa ). 200 mmhg is threcommended calibration pressure. 3 in the setup < press label > menu, select cal. press. 4 select the calibration pressure from the list, for example 200 mmhg. 5 select confirm to recalculate the calibration factor using the applied pressure. 6 7 when the monitor displays < press label > mercury calibr. done at < @topic:17


# # # issue lcd monitor ( sony lmd - 2451mt ) fails to turn on. # # # impact the failure of the lcd monitor prevents its use for patient monitoring, potentially affecting patient care. # # # possible causes - faulty power adapter - malfunction of internal components - damage to cabling or connections # # # recommendations 1. * * verify power adapter : * * - ensure the replacement power adapter ( sn 3524837 ) is compatible with the lcd monitor. - check the power cable and connections for any damage or loose connections. 2. * * inspect internal components : * * - if the power adapter is functioning correctly, contact the manufacturer or a qualified technician to diagnose and repair any internal component failures. 3. * * examine cabling and connections : * * - inspect the signal cable and connections between the lcd monitor and the source device ( e. g., medical workstation ). - ensure that all cables are securely connected and free from damage. @topic:2


# # # issue - color distortion on the lcd monitor # # # impact - impaired image quality, leading to potential misinterpretation of medical data # # # possible causes - loose signal cable connection # # # recommendations - * * immediate action : * * reconnect the signal cable securely and test the monitor to ensure proper functionality. - * * preventative measures : * * - conduct regular inspections of equipment, including cable connections, to identify and address potential issues early on. - provide training to staff responsible for handling equipment, emphasizing the importance of secure cable connections. - consider implementing cable management systems to prevent loose or disconnected cables. - use high - quality cables that are compatible with the equipment and maintain appropriate cable length to prevent excessive stress on connections. @topic:2


# # # issue - device failure : the bedside physiologic monitor is experiencing a display issue, exhibiting dark spots on the screen. # # # impact - compromised patient monitoring : the faulty display hinders the effective monitoring of a patient's vital physiological parameters, such as heart rate and blood pressure. - reduced clinical efficiency : the malfunctioning monitor disrupts the workflow of healthcare professionals, impeding timely and accurate patient care. - safety concerns : inaccurate or incomplete data from the monitor can lead to incorrect clinical decisions, potentially jeopardizing patient safety. # # # possible causes - hardware malfunction : the monitor's display panel may be defective, resulting in abnormal pixel behavior and the appearance of dark spots. - software glitches : software bugs or outdated firmware can cause display errors, leading to the observed symptoms. - external factors : the monitor may have been subjected to physical damage, such as impact or exposure to extreme temperatures, affecting its functionality. # # # recommendations - troubleshooting : perform a comprehensive inspection of the device, including its cables and connections, to identify any physical issues. - software updates : check for available software updates or patches from the manufacturer. installing these updates can resolve software - related display problems. - replacement : if the issue persists after troubleshooting and software updates, consider replacing the monitor with a functional unit to ensure reliable patient monitoring. - preventive maintenance : establish regular maintenance and calibration schedules to minimize the risk of future failures. @topic:2


behavior follows the pause alarms main screen - close all open menus and windows and return to the main screen. 3 smartkeys - display a block of smartkeys specially configured for remote tasks ( see below ) 4 back go back one step to the previous menu. 5 6 enter mark the end of data entry - - keypad 7 type numeric data on the keypad and press the enter key to enter the data on the monitor. 8 rotate the knob to highlight screen elements, then press to select the highlighted element. the remote control can be used with a usb cable connection to the monitor or without a cable using short range radio. when used without a cable, the remote control must be assigned to the monitor. he assignment is made in configuration or service mode. 34 1 introduction caution when using a remote control without a cable, it is important that the user knows which remote control is assigned to which monitor. use the tethering cable delivered with the remote control to attach it to a bed rail or iv pole, or label the remote control with the bed or monitor id. using the smartkeys key the smartkeys hard key on the remote control displays a block of smartkeys on the monitor screen. nine smartkeys appear in a 3 by 3 matrix which corresponds to the layout of the numeric pad on the abc def martkeys 3 2 3 2 x end case quick monitor standby ghi jkl mno admit 6 6 5 vitals calcs trend tuv pqrs wxyz § 8 9 h 7 8 9 ecor wedge dings a - a 0 v a pressing the 1 key on the remote control selects the top left smartkey, pressing the 8 key selects the bottom center smartkey. the. and the key can be used to select the arrow keys to page up and down in the available smartkeys. the smartkeys which appear @topic:10


# # # issue - the bed is not able to be adjusted. # # # impact - the patient is not able to be positioned comfortably or safely. - the staff is not able to perform procedures on the patient safely and efficiently. # # # possible causes - the motor that tilts the bed is not working properly. - the motor that raises and lowers the bed is not working properly. - the control panel is not working properly. - the wiring is damaged. - the software is not working properly. # # # recommendations - inspect the motor and check for any damage or wear. - inspect the control panel and check for any damage or wear. - inspect the wiring and check for any damage or wear. - update the software if necessary. @topic:1


# # # issue - the bed is not functioning properly. # # # impact - patients may not be able to use the bed, which could lead to discomfort or pain. - the hospital may lose revenue if the bed is not available for use. # # # possible causes - the bed may have been damaged due to improper use or maintenance. - the bed may have a manufacturing defect. - the bed may have been replaced with a different bed. # # # recommendations - the technician should inspect the bed to identify the cause of the failure. - the technician should repair or replace the bed as necessary. - the hospital should implement a preventive maintenance program to help prevent future failures. @topic:9


# # # issue - the electric bed's head section is unable to be adjusted. # # # impact - the bed cannot be properly positioned for patient care. # # # possible causes - * * defective motor * * : the motor responsible for adjusting the head section may have failed. - * * mechanical obstruction * * : there may be an obstruction preventing the motor from operating properly. - * * electrical fault * * : a fault in the electrical wiring or components may be preventing the motor from receiving power. # # # recommendations - * * replace the motor * * : if the motor is confirmed to be defective, it should be replaced with a new one. - * * inspect for mechanical obstructions * * : check for any debris or other objects that may be blocking the motor's movement. remove any obstructions found. - * * troubleshoot electrical faults * * : use a multimeter to test the electrical components and wiring for continuity and proper voltage. repair or replace any faulty components as necessary. @topic:1


for all active measurements and up waveforms. 1 хол 358 28 recording entral recordinfor central recording from the bedside, your monitor must be connected via a network to an information center. you can use either the m1116b 2 - channel recorder or the standalone m3160a 4 - channel recorder. recordings made on the m3160a may look slightly different to those described here. see the documentation supplied with the information center for information on the 4 - channel recorder. starting and stopping recordings the recordings pop - up keys let you start and stop recordings. select the recordings smartkey to call up the line of pop - up keys. scroll right or left to see any pop - up keys not displayed. the selection of pop - up keys available depends on the monitor you are using. ital signdelayed recording rt a recordng alarm limits rt b recordng st segments rt c recording ste segmentecg qt select waves hires recordng setup recordng top all recordng all ecg waves quickstarting recordings to quickstart any type of recording using a pre - configured recordings template, select the recordings smartkey and then select the pop - up key of the recording type you want • to start. alternatively, you can • select the main setup smartkey, select recordings, then select the recording type. to quickstart a delayed recording, • select the smartkey delayed record to immediately start a delayed recording. • m1116b / c you can also start a delayed recording by pressing the run / cont key on the recorder module. only extending recordings timed ( non - continuous ) recordings stop when their runtime is over. continuous recordings continue ondition. to extend an ongoing recording by its runtime, reselect its start pop - up key once. • to make an ongoing recording continuous, reselect its start pop - up key twice within @topic:8


can be optionally configured. the configured value must be within the range of the subnet mask. the configured value is ignored when ip config is not set to manual. enables or disables igmp support ( on / off ). the mode in which cl messages ( connect indication messages ) are sent ( broadcast, multicast, manual ). multicast address for device connect indication ( only used if cl mode is set to manual ). if cl mode is set to broadcast, the cl address is implicitly the subnet broadcast address. if cl mode is set to multicast the cl address is implicitly 224. 0. 23. 63 sets the ttl ( time to live ) of the cl message. qos ( quality of service ) can be switched on or off. the qos level ( dscp cos value ) can be entered between 0 and 7. the mode in which directory service requests are received ( broadcast, multicast ) multicast address for directory service requests ( if directory mode set to multicast ). lldp ( link layer discovery protocol ) enables information exchange with other devices. can be switched on or off. the entered values are verified when the “ store ” softkey is pressed. a valid configuration is immediately activated and the window closed. if any field is invalid ( e. g. invalid subnet mask or gateway not in subnet ), an error popup window is shown and the configuration is not applied. network status window the network status window provides network status information which can be used for troubleshooting purposes. main setup = > network = > network status 275 [ 7 installation instructions network type mac address mac nt rf access code lldp system name ] nemork status network ts'pe lax > lvc address 0030 d301 376b > l4c iit 0097 3498 87ec rf access code 2 @topic:10


= nonin t = suretemp plus x blank / none t = taiwan = italx blanknone z = brazil 2 = europe 74 = 7400 wifi - ready series c c covidien / nellcor m = masimo e = braun thermoscan pro 6000 ir 3 = israel 4 united kingdom r = masimo spo2 / rrp w = nonin x t = suretemp plus blank / none switzerland 5 x 6 australia / new zealand 7 south africa braun thermoscan 75 7500 wifi series c covidien / nellcor pro 6000 ir m = masimo r = masimo spo2 / rrp w = nonin t = suretemp plus x blank / none welch [UNK] connex® spot monitor 25service and maintenance toolset connex spot monitor the following is the listing of tools and test equipment required to perform basic functional verification checks, full functional verification checks and calibration, and service and maintenance on the welch allyn connex spot monitor. please refer to the device service manual for detailed instructions to service your device. note tools and test equipment must also be readily available to complete welch allyn technical service training for this device. usage material no. description tulbasic general test equipment service test box 106270 1 x icro usb cable 106275 x 1 wireless router, a / b / g or equivalent n / a x 1 n / a ethernet cable x 1 n / a x x 1 web download welch allyn service tool x x 1 001120 welch allyn service tool, gold license x 1 ibp testinbp test volume repair fixture 113670 x x 407672 1 pressure meter ( must include at least two decimal points and be accurate to within ±0. 5 mmhg ) / x x 1 blood pressure y - tube n / @topic:10


# # # issue unknown cause of failure for the physiologic monitor. # # # impact the physiologic monitor is not functioning properly and cannot be used to monitor patients. # # # possible causes the possible causes of failure for the physiologic monitor could include : * power supply issues * software glitches * hardware malfunctions * user error * environmental factors ( e. g., temperature, humidity ) * age and wear of the device * lack of proper maintenance or calibration # # # recommendations to determine the exact cause of failure, the following steps could be taken : * check the power supply and ensure that the device is properly connected to a power source. * visually inspect the device for any obvious signs of damage or wear. * check the software version and ensure that it is up - to - date. * contact the manufacturer or a qualified technician for further troubleshooting and repair. * implement a regular maintenance and calibration schedule to prevent future failures. * train users on the proper operation and handling of the device. @topic:2


# # # issue - malfunctioning of the ekg lead connected to the bedside physiologic monitor - this would directly affect patient monitoring and compromise the quality of patient care # # # impact - patient safety and well being - lack of accurate patient data for clinical decision making and timely intervention - increased risk of adverse events due to delayed or inaccurate patient data # # # possible causes - * * defective ekg lead : * * loose connection, damaged insulation, or faulty wiring - * * incorrect connection : * * improper placement of lead on patient's skin or loose connections at the equipment end. - * * compatibility issues : * * ekg lead not compatible with the bedside physiologic monitor # # # recommendations - * * troubleshooting : * * - check for any obvious physical damage or loose connections. - ensure proper placement of ekg leads on the patient's skin and secure connections to the monitor. - * * replacement : * * - if troubleshooting fails, order a new ekg lead from the recommended vendor. - verify compatibility of the new lead with the bedside physiologic monitor. - * * maintenance : * * - implement regular inspection and maintenance schedule for ekg leads and related equipment. - train staff on proper lead handling and connection techniques. @topic:18


shown on the display after 30 seconds maximum. 451 38 installation and specifications safety and performance tests 452 39 default settings appendix this appendix documents the most important default settings of your monitor as it is delivered from the factory. for a comprehensive list and explanation of default settings, see the configuration guide supplied with your monitor. the monitor ’ s default settings can be permanently changed in configuration mode. note : if your monitor has been ordered preconfigured to your requirements, the settings at delivery will be different from those listed here. country - specific default settings certain default settings are specific to a particular country. these are listed here for all countries alphabetically. country - description line frequency units weight units height ecg cable color 50 / 60 [ hz ] kg, lb in, cm iec, aami afghanistan 50 k g cm aami aland islands 50 k g cm iec albania 50 k g cm iec algeria 50 k g cm iec american samoa 60 lb in aami andorra 60 ib in aami angola 50 k g cm iec anguilla 60 ib in aami antarctica 60 ib in aami antigua and barbuda 50 k g cm aami argentina 50 k g cm aami armenia 50 k g cm iec aruba 60 k g cm aami australia 50 k g cm aami austria 50 k g cm iec azerbaijan 50 k g cm iec bahamas, the 60 k g cm aami bahrain 50 k g cm aami bangladesh 60 lb in aami barbados 50 k g cm aami belarus 50 k g cm iec belgium 50 k g cm iec 453 country - specific default settings 39 default settings appendix belize 60 lb in aami benin 60 lb in aami bermuda 60 k g cm aami bhutan 60 lb in aami bolivia 50 k g cm aami bosnia and herzegovina 50 k g cm iec botswana 50 k g cm iec bouvet island 60 ib in aami brazil 60 k g cm aa @topic:10


# # # issue - vital signs monitor not measuring spo2 accurately. # # # impact - inability to monitor patient's oxygen saturation levels, which can lead to delayed or missed diagnosis and treatment of critical conditions. # # # possible causes - * * damaged or faulty spo2 sensor : * * the sensor responsible for measuring spo2 may be damaged or malfunctioning due to wear and tear, improper handling, or manufacturing defects. this can lead to inaccurate or intermittent readings. - * * faulty cable or connection : * * the cable connecting the spo2 sensor to the monitor may be damaged or loose, causing intermittent signal loss or distorted readings. - * * improper patient placement : * * the spo2 sensor may not be properly placed on the patient's finger or earlobe, resulting in inconsistent or inaccurate measurements. - * * interference from other medical devices : * * other medical devices, such as electrosurgical units or defibrillators, may generate electromagnetic interference that can disrupt the spo2 signal. # # # recommendations - * * inspect and test the spo2 sensor : * * visually inspect the sensor for any damage or contamination. clean and disinfect the sensor as per manufacturer's recommendations. test the sensor using a known oxygen source to verify its accuracy. - * * check the cable and connection : * * inspect the cable for any visible damage or loose connections. ensure that the cable is securely connected to both the sensor and the monitor. - * * properly position the sensor : * * place the spo2 sensor on the patient's finger or earlobe according to the manufacturer's instructions. make sure that the sensor is securely attached and not obstructed by any external factors. - * * identify and eliminate sources of interference : * * check if there are any nearby medical devices that may be generating electromagnetic interference. if @topic:4