in this case. ) 51 27 protocolwatch the window reappears if :. a new hr or rr criteria is fulfilled, • the hr or rr value which previously fulfilled the criteria now triggers a * * rr high, * * hr high alarm or a * * * tachy xxx > yyy alarm, • after 8 hours ( configurable to 12 hours ) if at least one infection sign is still • two or more infection signs or symptoms confirmed if you have confirmed two or more infection signs in the first severe sepsis screening window, a new the patient history suggestive of a new infection?. if you select yes, the next screen appears requesting a lactate measurement. if you select no, the screening phase continues and the first severe sepsis screening window reappears in the situations described in " changing conditions " above. lactate measurement to enter the lactate value, select the enter lact key. if the value entered is > 4 mmol / l the check box select confirm when a value has been entered. what follows depends on the lactate value : if lactate is > 4 mmol / l : the value meets the criteria for severe sepsis and a window appears recommending authorized clinician review before entering the sepsis resuscitation bundle. • if lactate is ≤4 mmol / l : a further window appears requiring your input to determine on the basis of blood pressure values whether the patient meets the criteria for severe sepsis. if the lactate value was not above 4 mmol / 1, the next window asks whether the patient has persistent hypotension. the protocol defines hypotension as : sbp 90mmhg ( 12. 0kpa ), or • map 70mmhg ( 9. 3kpa ), or • sbp decrease > 40mmhg ( 5. 0kpa ) below @topic:8


# # # issue - the medical cart has an indication that a drawer is open, even after the drawer has been closed. # # # impact - this could lead to confusion and potential medical errors. for example, if a drawer is indicated as open but is actually closed, medications or other supplies could be misplaced or lost. - additionally, the false indication of an open drawer could lead to unnecessary alarms or other safety concerns. # # # possible causes - * * faulty solenoid : * * the solenoid is responsible for latching the drawer closed. if the solenoid is faulty, it may not be able to properly engage the latch, which would cause the drawer to appear open even when it is closed. - * * damaged latch : * * the latch itself may be damaged, preventing the drawer from being properly closed. - * * misalignment : * * the drawer may be misaligned, which could prevent the latch from engaging properly. - * * obstruction : * * there may be an obstruction preventing the drawer from closing completely. # # # recommendations - * * inspect the solenoid : * * check the solenoid for any signs of damage or wear. if the solenoid is faulty, it should be replaced. - * * inspect the latch : * * check the latch for any signs of damage or wear. if the latch is damaged, it should be replaced. - * * check alignment : * * ensure that the drawer is properly aligned with the frame of the medical cart. if the drawer is misaligned, it should be adjusted. - * * clear any obstructions : * * check for any obstructions that may be preventing the drawer from closing completely. if any obstructions are found, they should be removed. @topic:21


# # # issue - medical cart is not functioning properly. # # # impact - inability to transport medical equipment and supplies, potentially affecting patient care. # # # possible causes - * * power supply issue : * * damaged power cord, loose connections, or faulty power outlet. - * * mechanical failure : * * broken or jammed wheels, malfunctioning drawers or shelves. - * * electrical malfunction : * * faulty wiring, damaged circuits, or loose connections. - * * software glitch : * * software errors or bugs causing the cart to malfunction. - * * user error : * * improper use, overloading, or lack of regular maintenance. # # # recommendations - * * check power supply : * * ensure the power cord is securely connected and the outlet is functioning. - * * inspect mechanical components : * * examine wheels, drawers, and shelves for any signs of damage or blockage. - * * troubleshoot electrical issues : * * check for damaged wires, loose connections, or faulty circuit breakers. - * * update software : * * install the latest software updates to address any bugs or errors. - * * educate users : * * provide clear instructions and training on proper use and maintenance of the medical cart. - * * perform regular maintenance : * * regularly inspect and clean the cart to prevent minor issues from escalating. @topic:13


# # # issue - bp ( blood pressure ) not measuring correctly # # # impact - inaccurate patient monitoring - delayed or incorrect treatment decisions # # # possible causes - faulty connector causing air leakage - problem with the sensor - internal circuit board issue - software glitch # # # recommendations - ensure the connector is securely attached and that there are no air leaks. - inspect the sensor for damage or contamination. - check the circuit board for loose connections or damaged components. - update the software if necessary. - if the issue persists, seek further assistance from the manufacturer or a qualified biomedical engineer. @topic:15


# # # issue - cuff bp has a leak # # # impact - the device cannot measure blood pressure accurately. # # # possible causes - defective cuff - loose connection between the cuff and the device - puncture in the cuff # # # recommendations - replace the cuff. - check the connections between the cuff and the device. - inspect the cuff for any punctures. @topic:3


# # # issue : ekg print failure on m3150a central monitor # # # impact : delay in printout delivery, affecting patient care and decision - making. # # # possible causes : 1. * * printer malfunction : * * printer hardware failure or configuration issues. 2. * * communication error : * * miscommunication between the monitor and printer. 3. * * software bug : * * software glitch within the monitor or printer. 4. * * paper jam or empty paper tray : * * physical obstruction or lack of paper. 5. * * ink cartridge depletion : * * low or empty ink cartridge. 6. * * cable connection issue : * * loose or damaged cable connecting the monitor and printer. 7. * * monitor hardware failure : * * internal component malfunction within the monitor. # # # recommendations : 1. * * check printer hardware : * * verify if the printer is turned on, connected, and has paper. 2. * * restart devices : * * restart both the monitor and printer to reset any potential software errors. 3. * * inspect cables : * * ensure that the cable connecting the monitor and printer is secure and undamaged. 4. * * check ink levels : * * replace the ink cartridge if it is low or empty. 5. * * contact biomedical engineering : * * report the issue to the biomedical engineering team for further troubleshooting and repairs. 6. * * use alternative printout method : * * if possible, use an alternative method to print ekg results, such as exporting them electronically or using a different printer. @topic:28


# # # issue * the philips suresigns vsi vital signs monitor is over - inflating the patient's blood pressure cuff. # # # impact * this could result in inaccurate blood pressure readings. * it could also cause discomfort or injury to the patient. # # # possible causes * the cuff may be the wrong size for the patient. * the cuff may be defective. * the monitor may be malfunctioning. # # # recommendations * check the cuff size and ensure that it is the correct size for the patient. * inspect the cuff for any defects. * test the monitor with a known - good cuff to determine if the monitor is malfunctioning. * if the problem persists, contact philips technical support. @topic:15


# # # issue - the medical cart's med admin monitor displayed a black screen. # # # impact - the medical cart cannot provide the user with necessary information related to the patient's treatment. # # # possible causes - the monitor's power supply may be faulty. - the monitor's display may be damaged. - the monitor's connection to the medical cart may be loose or damaged. - the monitor's software may be malfunctioning. # # # recommendations - check the monitor's power supply and ensure that it is properly connected. - inspect the monitor's display for any damage or defects. - check the monitor's connection to the medical cart and ensure that it is secure. - reboot the monitor and verify if the issue persists. - if the issue persists, contact the manufacturer's support team for further assistance. @topic:13


* * issue : * * monitor display error ( " erron " ) * * impact : * * patient monitoring and treatment may be compromised due to lack of accurate vital sign data. * * possible causes : * * * * * hardware failure : * * * faulty display panel * damaged wiring * malfunctioning motherboard * * * software issue : * * * corrupted software * missing drivers * * * environmental factors : * * * extreme temperatures * power surges * * * human error : * * * improper operation or mishandling of the monitor * * recommendations : * * * * * troubleshooting : * * * check wiring for loose connections or damage. * reset the monitor to factory settings according to the manufacturer's instructions. * ensure the monitor is connected to a stable power source. * * * in - house repair : * * * if hardware failure is suspected, contact a qualified biomedical engineer to diagnose and repair the issue. * * * replacement : * * * if the monitor cannot be repaired, consider replacing it with a new or refurbished unit. * * * preventive measures : * * * regular maintenance and calibration to detect and correct any potential issues. * proper handling and storage of the monitor to prevent damage. * ensuring staff is adequately trained on the operation and troubleshooting of medical devices. @topic:2


# # # issue - plastic bed rail guard is loose. # # # impact - patient safety hazard. # # # possible causes - incorrect installation. - normal wear and tear. - manufacturing defect. # # # recommendations - tighten the plastic bed rail guard according to manufacturer's instructions. - inspect the bed rail guard regularly for any signs of wear or damage. - replace the plastic bed rail guard if it is damaged or defective. @topic:6


# # # issue - the bed does not adjust to a level position when the head is raised. # # # impact - the patient may be uncomfortable or at risk of injury if the bed is not level. # # # possible causes - the remote control may not be functioning properly. - the bed's sensors may not be calibrated correctly. - the bed's motors may be damaged or malfunctioning. # # # recommendations - replace the remote control with a new one and test to see if the issue is resolved. - calibrate the bed's sensors according to the manufacturer's instructions. - inspect the bed's motors for damage or malfunction and replace them if necessary. @topic:1


# # # issue the telemetric electrocardiography monitor ( model : intellivue trx, band : philips ) is reported to be malfunctioning after a battery replacement by a biomedical engineer ( bme ). # # # impact the malfunctioning monitor poses a risk to patient safety, as it may not provide accurate or reliable ecg readings. this could lead to delayed diagnosis, incorrect treatment decisions, or adverse events. # # # possible causes - * * improper battery replacement : * * the bme may not have followed the correct procedure for battery replacement, resulting in loose connections or damage to the device. - * * defective battery : * * the replacement battery may be defective or incompatible with the monitor. - * * electrical fault : * * there could be an underlying electrical fault within the monitor that was not detected or resolved during battery replacement. - * * software issue : * * the monitor may have experienced a software glitch or corruption during or after the battery replacement. # # # recommendations to troubleshoot the issue and prevent recurrence, the following recommendations should be considered : - * * verify battery replacement procedure : * * ensure that the bme followed the manufacturer's instructions for battery replacement and that all connections are secure. - * * test with a different battery : * * obtain a known - good battery and replace the current one to rule out a defective battery issue. - * * inspect the monitor for damage : * * examine the monitor for any visible signs of damage, such as cracks, loose components, or corrosion. - * * run diagnostic tests : * * use the built - in diagnostic tools or connect the monitor to a diagnostic device to identify any underlying electrical or software issues. - * * consult the manufacturer : * * if the issue persists, contact the manufacturer for technical support and potential repair or replacement options. - * * enhance monitoring @topic:11


puncture 210 ventilation calculations 325 iewing arrhythmia waves visible waves report 37visitor screen 39 visual latching ( arrhythmia alarms ) 161 vital signs 312 ecording vital signs report 319 volume 62 alarm 62 volume - flow loops 399 vuelink 387 alarm messages 389 device driver conflicts 390 31 532 part number 453564443141 published in germany 11 / 2013 philips @topic:8


# # # issue - the blood pressure cuff is not staying attached to the patient. # # # impact - this can lead to inaccurate blood pressure readings, which can affect patient care. # # # possible causes - the cuff is the wrong size for the patient. - the cuff is not being inflated properly. - there is a leak in the cuff. - the cuff is not being attached to the patient correctly. # # # recommendations - check the cuff size and make sure it is the correct size for the patient. - inflate the cuff properly according to the manufacturer's instructions. - check for leaks in the cuff. - attach the cuff to the patient correctly. @topic:3


# # # issue - faulty connecting wire # # # impact - the patient's vital signs may not be accurately monitored, which could lead to delayed or incorrect treatment. # # # possible causes - the wire may have been damaged during use or storage. - the wire may have been incorrectly connected. - the wire may be of poor quality. # # # recommendations - inspect the wire for any damage. - ensure that the wire is securely connected. - replace the wire if it is damaged or of poor quality. @topic:18


# # # issue - medical cart cannot find ssd for boosting windows # # # impact - unable to use the medical cart # # # possible causes - faulty ssd - loose connections - bios settings not configured properly # # # recommendations - check if the ssd is properly installed and connected. - reset the bios settings to default. - replace the ssd if necessary. @topic:13


# # # issue - bed, electric, huntleigh, enterprise 8000 is not adjustable. # # # impact - the patient may not be able to be positioned properly for treatment or comfort. - the medical staff may not be able to perform their duties effectively. # # # possible causes - the remote control for the bed is broken, causing the cable to become loose and the bed to error out. - the remote control is not properly assembled. - the remote control is not properly glued. # # # recommendations - replace the broken remote control. - reassemble the remote control properly. - glue the remote control properly. @topic:7


# # # issue - remote control for the huntleigh enterprise 8000 electric bed is not functioning. # # # impact - patients may be unable to adjust the bed's position, leading to discomfort or difficulty in performing certain tasks. # # # possible causes - * * battery failure : * * the remote control may have dead or low batteries. - * * electrical malfunction : * * there could be a fault in the remote control's circuitry or wiring. - * * signal interference : * * other medical devices in the room may be interfering with the remote control's signal. - * * receiver malfunction : * * the bed's receiver may not be receiving or interpreting the signals from the remote control properly. # # # recommendations 1. * * check batteries : * * replace the remote control's batteries with new ones. 2. * * inspect electrical connections : * * ensure that the remote control and the bed's receiver are properly connected and that there are no loose wires or damaged connectors. 3. * * move away from other devices : * * if possible, move the bed to a location farther away from other medical equipment that may be causing interference. 4. * * reset the receiver : * * unplug the bed's receiver for a few minutes and then plug it back in to reset it. 5. * * contact the manufacturer : * * if the above troubleshooting steps do not resolve the issue, contact the manufacturer of the bed for further assistance or a replacement remote control. @topic:7


# # # issue battery failure in a huntleigh contoura 360 electric bed. # # # impact the bed may not be able to function properly, which could affect patient care. # # # possible causes - the batteries may have reached the end of their lifespan. - the batteries may have been incorrectly installed. - there may be a problem with the bed's electrical system. # # # recommendations - replace the batteries with new ones of the correct type and voltage. - ensure that the batteries are installed correctly. - have the bed's electrical system inspected by a qualified technician. @topic:9


# # # issue - battery replacement did not resolve the issue with the electric bed # # # impact - the electric bed is not functioning properly. # # # possible causes - the new batteries may be faulty. - there may be other electrical issues with the bed that are causing it to malfunction. - the technician may not have properly installed the new batteries. # # # recommendations - check the new batteries to make sure they are working properly. - inspect the bed for any other electrical issues that may be causing the malfunction. - reinstall the new batteries, making sure to follow the manufacturer's instructions. - if the problem persists, contact the manufacturer for further troubleshooting assistance. @topic:32


# # # issue - ekg lead failure # # # impact - inability to monitor patient's ekg # # # possible causes - broken or damaged ekg lead - loose connection between ekg lead and monitor - defective ekg monitor - improperly calibrated ekg monitor # # # recommendations - replace the ekg lead. - inspect the ekg lead and monitor for any damage. - ensure that the ekg lead is properly connected to the monitor. - calibrate the ekg monitor according to manufacturer's instructions. @topic:18


# # # issue - the temperature measurement of the vital signs monitor is increasing continuously. # # # impact - the accuracy and reliability of the temperature measurements are compromised, which could lead to incorrect treatment decisions and adverse patient outcomes. # # # possible causes - faulty temperature sensor - miscalibration of the device - incorrect usage of the device - external interference, such as electromagnetic radiation # # # recommendations - replace the temperature sensor if necessary. - calibrate the device according to the manufacturer's instructions. - ensure that the device is used correctly, as per the instructions. - identify and eliminate any potential sources of external interference. @topic:20


##4a ) off off gas corr. ( only m3014a ) off btps btps btps ff off off awrr on on on wrr alarms on on on high limit ( awrr ) 30 30 60 low limit ( awrr ) 30 8 8 0 se0 se0 seon on ipi low alarm ( ipion on yellow white white color yellow white yellow spirometry settings 20 20 20. 0 1 / min 2. 5 1 / min 0. 4 1 / min vexp h8. 0 1 / min 4. 0 1 / min 0. 8 1 / min ip hig40 25 20 peep low 0 0 0 peep hig25 25 25 high limit ( rrspir ) 30 8 8 low limit ( rrspir ) 30 30 60 cale ( awf±150 1 / min ±100 1 / min + 20 1 / min cale ( awv + 200 ml + 800 ml + 50 ml cale ( awp40 cmh240 cmh220 cmh218 41 default settings appendix tcgas default settings tcgas setting0 mmh0 mmh80 mmhg 0 mmh0 mmh50 mmhg on oon 0 mmhcpco2 highlim0 mmh0 mmh30 mmhon 0 mmh0 mmhon on site timer 4. 0 hours 4. 0 hours 4. 0 hours disable timer not allowed ot allowed not allowed heat switch off ( i. e., after site timer elapsed ) no no no transducer temp. 3. 0°c co2 correction ( severinghaus ) on on on metabolismfactor mmhmmhmmhmmhg tcgas unit mmhg mmhg °c °c °c lublue blue green green green intravascular oxygen saturation default settings so2 settings ow limit 70 % 70 % 70 % hr high limit @topic:17


# # # issue monitor not linking to the central system. # # # impact - inability to monitor patient data at the central station. - limited monitoring capabilities for healthcare professionals # # # possible causes - loose or disconnected lan cable - monitor lan port or configuration issues - central system connectivity issues # # # recommendations - verify lan cable is securely connected to both the monitor and network. - check monitor lan port and settings for proper configuration. - contact it support to verify central system connectivity. - perform a power cycle of the monitor and central system. @topic:16


# # # issue - the vsm system is not functioning properly. # # # impact - the bme technician is unable to complete the installation and testing of the connex spot monitor. # # # possible causes - * * connectivity issues : * * the vsm system may not be properly connected to the monitor or to the network. - * * configuration errors : * * the vsm system may not be properly configured to work with the monitor. - * * software bugs : * * there may be a software bug in the vsm system that is causing it to malfunction. # # # recommendations - * * check the connections : * * ensure that the vsm system is properly connected to the monitor and to the network. - * * verify the configuration : * * check the vsm system's configuration to ensure that it is correct. - * * contact the manufacturer : * * contact the manufacturer of the vsm system for assistance with troubleshooting and resolving the issue. @topic:16


# # # issue - the philips intellivue mx40 telemetry electrocardiography monitor is unable to connect to wi - fi. # # # impact - the monitor cannot transmit patient data wirelessly, which may delay or prevent timely diagnosis and treatment. # # # possible causes * * hardware : * * - faulty smartthopping - damage to the wi - fi antenna - network connectivity issues * * software : * * - outdated firmware - software bugs - incorrect network settings * * other : * * - physical obstruction or interference near the wi - fi antenna # # # recommendations * * hardware : * * - replace the smartthopping - inspect and repair the wi - fi antenna - ensure that there are no physical obstructions near the antenna * * software : * * - update the firmware to the latest version - check for and fix any software bugs - verify the network settings and ensure they are correct * * other : * * - move the monitor to a different location with better wi - fi connectivity - reduce or eliminate any potential sources of interference, such as other electronic devices or metal objects @topic:16


# # # issue - the ekg graph is not displaying any waveforms. # # # impact - the clinician will not be able to monitor the patient's ekg activity. # # # possible causes - the ekg leads are not properly connected to the patient. - the ekg cable is damaged. - the ekg machine is not turned on or is not in the correct mode. - the ekg electrodes are not properly placed on the patient. # # # recommendations - check the ekg leads and make sure they are properly connected to the patient. - inspect the ekg cable for any damage. - make sure the ekg machine is turned on and is in the correct mode. - reposition the ekg electrodes on the patient. @topic:18


remote speedpoint < 400 g < 0. 9 lb 103 x 139 x 63 mm 4 x 3. 3 x 2. 5 in m8031b xga touchscreen lcd display < 4. 9 kg < 10. 8 lb 408 x 333 x 85 mm 16 x 13. 1 x 3. 4 in with mounting bracket m1006b invasive press module 190 g ( 6. 7 oz ) option # c01 : 225 g ( 7. 9 oz ) 36 x 99. 6 x 97. 5 mm 1. 4 x 3. 9 x 3. 8 in m1029a temperature module 215 g ( 7. 6 oz ) 36 x 99. 6 x 97. 5 mm, 1. 4 x 3. 9 x 3. 8 in m1012a cardiac output module 225 g ( 7. 9 oz. ) 36 x 99. 6 x 97. 5 mm 1. 4 x 3. 9 x 3. 8 in 415 38 installation and specifications emc and radio regulatory compliance product max weight wxhxd comments m1014a spirometry module 250 g ( 8. 8 oz. ) 36 x 99. 6 x 97. 5 mm 1. 4 x 3. 9 x 3. 8 in m1018a transcutaneous gas module 350 g ( 11. 3 oz ) 72. 5 x 99. 6 x 97. 5 mm, 2. 9 x 3. 9 x 3. 8 in m1020b sp0 2 module < 250 g 0. 55 lb 36 x 99. 6 x 97. 5 mm 1. 4 x 3. 9 x 3. 8 in m1021a mixed venous oxygen saturation module 460 g ( 13. 04 oz ) 72. 5 x 99. 6 x 97. 5 mm 2. 9 x 3. 9 x 3. 8 in ) m1027a electroencephalograph module @topic:8


# # # issue - equipment not linking to central monitor. # # # impact - inability to monitor patient vitals accurately. - delay in treatment due to lack of real - time data. - increased risk of adverse events. # # # possible causes - loose lan cable connection. - faulty lan cable. - network configuration issues. - central monitor malfunction. # # # recommendations - * * verify lan cable connection : * * ensure that the lan cable is securely connected to both the equipment and the central monitor. - * * test lan cable : * * use a cable tester to check the integrity of the lan cable. replace the cable if it is found to be faulty. - * * check network configuration : * * confirm that the equipment is assigned the correct ip address and subnet mask. ensure that the network switch is properly configured and functioning. - * * inspect central monitor : * * check for any visible signs of damage or malfunction. restart the central monitor and verify its network connectivity. - * * contact it support : * * if the issue persists, contact the it department for further assistance with network troubleshooting. @topic:16


# # # issue - cuff closure system failure # # # impact - inaccurate blood pressure measurements - patient discomfort or injury # # # possible causes - worn or damaged hook - and - loop closure - misalignment of cuff closure tabs - cuff too loose or too tight # # # recommendations - replace worn or damaged cuff closure system - ensure proper alignment of cuff closure tabs - adjust cuff size to fit patient's arm circumference snugly but not excessively tightly @topic:3


# # # issue - device not charging # # # impact - device will not function properly # # # possible causes - loose power cord - faulty power cord - faulty charging port - faulty battery # # # recommendations - check the power cord for any loose connections. - replace the power cord if it is damaged. - contact the manufacturer for further troubleshooting. @topic:11


# # # issue equipment link error # # # impact the medical device is not able to communicate with other devices or systems, which can lead to delays or errors in patient care. # # # possible causes - a loose or damaged cable - a problem with the device's firmware or software - a problem with the other device or system that the medical device is trying to communicate with # # # recommendations - check the cables and make sure that they are securely connected. - update the firmware or software on the medical device. - contact the manufacturer of the other device or system to troubleshoot the problem. @topic:16


# # # issue - spo2 measurement is not possible # # # impact - the patient's oxygen saturation level cannot be monitored, which could lead to patient harm if the oxygen saturation level drops too low. # # # possible causes - the cable that connects the spo2 sensor to the monitor is damaged. - the spo2 sensor is damaged. - the monitor is not functioning properly. # # # recommendations - check the cable that connects the spo2 sensor to the monitor for damage. if the cable is damaged, replace it. - check the spo2 sensor for damage. if the sensor is damaged, replace it. - check the monitor for proper function. if the monitor is not functioning properly, troubleshoot the issue and repair or replace the monitor as necessary. @topic:4


and + 50° transport / storage hygrometry 20 % - 85 % transport / storage atmospheric pressure 700 hpa to 1, 060 hpa during shipment or storage, beds should not be stacked one on top the other. m m technical specifications hill - rom has an ongoing continuous improvement policy. therefore e liable to be altered without notice. l1900b2 with long siderails l + w l b s 65° h h c l1900b0 / l1900b2 / l1900b3 / l1900b2 with half - siderails b1 b2 s1 value features maximum width ( w ) 995 mm / 1010 mm° maximum length ( without extension ) ( l ) maximum length ( with extension closed ) ( l ) maximum length ( with extension open ) ( l + ) length of long siderail protection ( b ) 2158 mm² 2158 mm² 2358 mm² 1421 mm / 1397 mm° long siderail protection height ( without mattress ) ( s ) length of the head half - siderail protection ( b1 ) length of the foot half - siderail protection ( b2 ) 385 mm / 380 mm 499 mm 631 mm long siderail protection height ( without mattress ) ( s1 ) 393 mm low position ( double - band 125° diameter casters ) ( h ) low position ( 125 diameter casters " ) ( h ) 386 m377 mm / 419 mm 389 mm / 431 mm low position ( double band 150° diameter casters ) ( h ) features value 397 mm / 439 mm low position ( 150 diameter casters ) ( h ) 55 mhigh position ( double - band 125 diameter casters ) ( h ) igh position ( 125 diameter casters ) ( h ) 748 mm / 788 mm high position ( double band 150 @topic:26


clamps to each other as shown below. 2 in service mode, select the setup nmt menu. 3 select start test. 4 select confirm. test expected test results nmt stimulation output test nmt stimulation output test passed is displayed on the monitor. 82 3 testing and maintenance ] nmt transducer test 1 go into service mode. in service mode the nmt bar graph only contains three bars instead of four. 2 place the nmt transducer on a flat surface with the flat side facing downwards. two of the three bars in the nmt bar graph should be at the same level and the third one should be higher than the other two. 3 turn the nmt transducer 180° and place it on a flat surface with the flat side facing upwards. the bar that was higher than the other two before should now be lower than the other two by approximately the same amount. test expected test results nmt transducer test first two bars in the nmt bar graph are at the same level, third bar is higher when the flat side of the transducer is facing downwards and lower by the same amount when the transducer is facing upwards. 83 [ 3 testing and maintenance ] intelmbridge performance test this test checks the performance of the intellibridge eclo & ecs modules. tools required : none / external device ( i. e. ventilator ) and the required intellibridge ecs module 1 plug the intellibridge ec 10 module into the philips patient monitor or run the test with the built - in ec 10 i / o board. 2 connect the service pc to the intellibridge eclo module or i / o board and make sure the correct drivers for the external devices are installed. ( see the chapter for details ). 3 depending on your external device, connect the appropriate ecs id module ( indicated on the ecs label ) to the @topic:17


# # # issue - cuff is deteriorated and needs to be replaced. # # # impact - the monitor may not be able to accurately measure the patient's vital signs. - this could lead to incorrect treatment decisions being made. # # # possible causes - the cuff may have been overinflated or underinflated. - the cuff may have been exposed to moisture or chemicals. - the cuff may have been used on a patient with a large or irregular limb. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - train staff on how to properly use the cuff. @topic:5


* * issue : * * - failure to obtain accurate patient vital sign readings. * * impact : * * - may delay or hinder patient care - may result in incorrect treatment or medication dosage * * possible causes : * * * * 1. sensor malfunction * * - faulty or damaged sensor probe - corroded or oxidized contacts - intermittent wire connections within the sensor cable * * 2. monitor malfunction * * - circuit board or display issues - software glitches or firmware corruption - faulty power supply or battery failure * * 3. user error * * - improper sensor placement or technique - inaccurate calibration or setup - use of incompatible accessories or cables * * recommendations : * * 1. * * check the sensor : * * - inspect the sensor probe for visible damage or debris - clean and disinfect the sensor and contacts - ensure the sensor is securely connected to the monitor 2. * * inspect the monitor : * * - examine the monitor for any physical damage or signs of malfunction - check the power supply and battery connections - verify the monitor settings and calibration are correct 3. * * review operator technique : * * - ensure the sensor is being placed correctly and securely on the patient - review proper sensor positioning and measurement protocols - test the sensor with a known accurate source for comparison 4. * * consider equipment service or repair : * * - if the above troubleshooting steps do not resolve the issue, consider seeking professional service from a qualified biomedical equipment technician. - they can perform more comprehensive diagnostics and repairs as needed. @topic:20


wrong external device has been selected on the vuelink module, or the external device has not been correctly setup, or the wrong cable has been used to connect the device to the vuelink module. vuelink inop abbreviations may differ slightly depending on the device category. inop tone malfunction in the vuelink module. if this message appears repeatedly, the module must be replaced. contact your service personnel. < vuelink option > equip malf vuelink inop abbreviations may differ slightly depending on the device category. inop ton < vuelink option > no config the vuelink module has not been configured during installation. the installation process should be completed by either your biomedical engineering department or the philips service engineer. vuelink inop abbreviations may differ slightly depending on the device category. inop tone < vuelink option > the vuelink module has been unplugged from the rack, or the whole rack has been disconnected. the measurement automatically disappears from the display. silencing this inop switches off the unplugged inop tonmeasurement. vuelink inop abbreviations may differ slightly depending on the device category. inop message, indicatiodevice check setup nop tone what to do device identification completed, but communication could not be established due to timeout. intellibridge inop abbreviations may differ slightly depending on the device category. device identification completed, but communication could not be established due to error. intellibridge inop abbreviations may differ slightly depending on the device category. device chk confinop tone device demo datinop tone the device connected to the intellibridge module reports demo data but the monitor is not in demo mode. device real datinop tone the monitor is in demo mode but the device connected to the intellibridge @topic:10


# # # issue - broken oximeter cable # # # impact - inability to accurately measure patient's oxygen saturation levels - potential harm to patient if oxygen levels drop undetected # # # possible causes - physical damage to the cable, such as being kinked, crushed, or cut - loose connections at either end of the cable - cable not properly secured, causing it to move around and put stress on the connectors # # # recommendations - inspect the cable for any visible damage and repair or replace any damaged sections - ensure that the connectors are securely attached to the monitor and the patient's oximeter probe - secure the cable to prevent it from being pulled or knocked out of place - regularly inspect the cable and connectors for signs of wear and tear and replace them as needed @topic:4


line frequency and choose the line frequency. 3 from the main setup menu, select global setting. select ecg cable color and choose the cable color. 4 from the main setup menu, select global setting. select height unit and choose the height unit. 5 from the main setup menu, select global setting. select weight unit and choose the weight unit. configuring the equipment label if the information center is in fixed monitoring mode, it controls the equipment label. you do not need to follow this procedure. however, if you are on a wireless network, or your information center is configured for flexible monitoring mode, you must set the equipment label. this associates the monitor with a central monitoring sector. an identical monitor label must also be configured in the information center. 1 select main setup - > bed information to call up the bed information menu. 2 select equipment label to call up the onscreen keyboard. 3 enter the system identifier. this needs to be set up in either the monitor or the information center. if the information center is in flexible monitoring mode, the monitor must be setup to match the information center ’ s monitor label. configuring the printer 1 from the main setup menu select reports. 2 select printer settings and configure local to enabled if the printer is connected directly to the monitor. see configuration guide for further details. 273 [ 7 installation instructions ] setup network network setting changes with k. 2 setting default setting for < k. 2 default setting for > k. 2 comment network ip config bootp dhcp in dhcp mode, bootp replies are also accepted igmp off on cl mode broadcast multicast with the change to cl mode = multicast, the cl address 224. 0. 23. 63 will be used cl ttl 1 8 qos state off on qos level 0 6 wlan wmm mode disabled enabled main setup = > network @topic:10


# # # issue the medical cart experienced a reboot. # # # impact the medical cart was unavailable for use during the reboot. # # # possible causes * * - software glitch : * * a software glitch can cause the medical cart to reboot unexpectedly. * * - hardware failure : * * a hardware failure, such as a power supply issue or a motherboard failure, can also cause the medical cart to reboot. * * - user error : * * unintentional user actions, such as accidentally pressing the reset button, can also cause the medical cart to reboot. # # recommendations : * * - update software : * * keep the medical cart's software up to date to reduce the risk of software glitches. * * - perform regular maintenance : * * regular maintenance can help to identify and fix potential hardware problems before they cause the medical cart to reboot. * * - train users : * * train users on how to properly use the medical cart to reduce the risk of user error. * * - provide a backup system : * * consider providing a backup medical cart to ensure that there is always a working device available in case the primary medical cart experiences a reboot. @topic:13


# # # issue : - probe failure. # # # impact : - the physiologic monitor cannot accurately measure patient's vital signs, which can lead to incorrect treatment decisions and adverse patient outcomes. # # # possible causes : - probe not properly connected to the monitor. - damage to the probe cable or connector. - faulty probe sensor. - low battery in the probe. # # # recommendations : - check that the probe is properly connected to the monitor. - inspect the probe cable and connector for any damage. - replace the probe if it is damaged or faulty. - replace the battery in the probe if it is low. @topic:20


( local, central 2 - ch. or central 4 - ch. recorder, or a printer ( for realtime reports in alarm receording only ) ). • channels 1 - 4 : choose which waveform to record in each channel. if the wave assigned to a recording channel in a particular template is not available when a recording is triggered, the channel is left blank on the recording strip. the pop - up list of available ( currently monitored ) waves differs according to the recording type : - realtime, delayed and alarm recordings : the list shows all the currently available waves. - high - resolution recordings : the list shows all the available high - resolution waves. in addition to the currently available waves, you can choose from several other settings which make an automatic allocation when the recording starts : - alarm par will always record the measurement in alarm in the chosen recorder channel - primary lead will always record the current primary lead in the chosen recorder channel - secondary lead will always record the current secondary lead in the chosen recorder channel - agent will always record the currently selected anesthetic agent. for high - resolution recordings only the agent setting is available. • overlap : define whether the recorded waveforms will be printed overlapping or beside each other. • speed : choose the recording print speed. • delay time : delayed recordings start documenting on the recorder strip from a pre - set time before the recording is started. this interval is called the “ delay time ” and can be set as specified in the table on page 324. this setting can only be changed in configuration mode. • runtime : see how long this type of recording is configured to run. this setting can only be changed in configuration mode. continuous recordings run indefinitely. • central conf ig - if available in the general menu, select this setting to use the recording settings made for the centrally - connected recorder. changing ecg wave gain the ecg gain setting @topic:8


# # # issue - the bed is not working 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 a mechanical problem. - the bed may have an electrical problem. - the bed may have been damaged during transport or installation. - the bed may have been used incorrectly. # # # recommendations - the technician should inspect the bed to identify the problem. - the technician should repair or replace the bed as necessary. - the technician should provide the hospital with instructions on how to use the bed properly. @topic:9


# # # issue - loose signal cable # # # impact - the bedside physiologic monitor may not be able to accurately monitor the patient's vital signs. # # # possible causes - the signal cable may have become loose due to : - normal wear and tear - the cable being pulled or snagged - the cable not being properly connected # # # recommendations - inspect the signal cable for any damage or loose connections. - tighten any loose connections. - replace the signal cable if it is damaged. - ensure that the cable is properly routed and secured to prevent it from being pulled or snagged. - train staff on the proper use and handling of medical devices to prevent damage to cables and other components. @topic:2


# # # issue spo2 measurement is not possible. # # # impact patient monitoring is compromised. # # # possible causes - loose connector - faulty sensor - software glitch # # # recommendations - check and tighten the connector. - replace the sensor. - restart the device. @topic:4


# # # issue - the bed was borrowed to a patient's relative. # # # impact - the bed is not available for other patients who need it. - the hospital may be liable for any damage or injury caused by the bed while it is being used by a patient's relative. # # # possible causes - the bed was not properly secured or monitored while it was being used by the patient's relative. - the patient's relative was not properly trained on how to use the bed. - the bed was not in good working condition when it was borrowed. # # # recommendations - ensure that the bed is properly secured and monitored while it is being used by a patient's relative. - train the patient's relative on how to use the bed properly. - inspect the bed thoroughly before it is borrowed to ensure that it is in good working condition. @topic:9


# # # issue the electric bed cannot be adjusted. # # # impact the patient may be unable to get in and out of bed or may be uncomfortable in the bed. # # # possible causes * the remote control is not working. * the bed's motor is not working. * the bed's wiring is damaged. * the bed's control panel is not working. * the bed's software is not working. # # # recommendations * check the remote control's batteries and replace them if necessary. * check the bed's motor for any signs of damage or wear. * check the bed's wiring for any signs of damage or wear. * check the bed's control panel for any signs of damage or wear. * contact the bed's manufacturer for assistance. # # # additional information the technician was able to reset the remote control and the bed is now working properly. this suggests that the remote control was the cause of the problem. however, it is important to check the other possible causes to ensure that the problem does not recur. @topic:7


the battery operating 0 to 35°c ( 32 to 95°f ) humidity range operating 15 % to 95 % relative humidity ( rh ) storage including transportation 5 % to 95 % relative humidity ( rh ) altitude range operating - 500 m to 3000 m ( 10000 ft ) storage including transportation - 500 m to 4600 m 1 ( 15000 ft ) ingress protection x2 ip32 ( protected against ingress of water when the water is dripping vertically and the monitor is tilted up to 15° ) 1. sufficient tor flight altitudes up to 12, 000 m with pressurized cabins. 417 38 installation and specifications emc and radio regulatory compliance multi - measurement module m3001a, mms extensions m3016a m3015a, m3014a, m3012a, measurement modules, and flexible module rack m8048a item condition range temperature range operating 0 to 45°c ( 32 to 113°f ) non - operating - 40 to 70°c ( - 40 to 158°f ) humidity range operating 95 % relative humidity ( rh ) max. @ 40°c ( 104°f ). m3015a only non - condensing. non - operating 90 % relative humidity ( rh ) max. @ 65°c ( 150°f ) altitude range operating - 500 m to 4600 m ( - 1600 to 15000 ft ) non - operating - 500 m to 15300 m ( - 1600 to 50000 ft ) d80 intelligent display item condition range temperature range operating 0 to 35°c ( 32 to 95°f ) non - operating - 20 to 60°c ( - 4 to 140°f ) humidity range operating 20 % to 85 % relative humidity ( rh ) ( non condensing ) non - operating 5 % to 85 % relative humidity ( rh ) altitude range operating - 500 m to 3000 m ( 1000 @topic:19


# # # issue - monitor not linking with central station. # # # impact - lack of central monitoring and data acquisition, which can affect patient safety and treatment decisions. # # # possible causes - incorrect cl address ( ip address ) of the monitor, which prevents communication with the central station. # # # recommendations - verify the correct cl address and ensure it matches the network configuration. - check for any network connectivity issues or firewall settings that may be blocking communication. - if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:16


# # # issue - * * equipment not functioning properly * * # # # impact - * * patient care may be compromised * * - * * delays in treatment * * # # # possible causes - * * the equipment is not properly calibrated * * - * * the equipment is not being used correctly * * - * * the equipment is defective * * # # # recommendations - * * calibrate the equipment * * - * * instruct the staff on how to use the equipment correctly * * - * * if the equipment is defective, repair or replace it * * @topic:12


# # # issue * the beds, electric : hill - rom : care assist es100 cannot be adjusted in height. # # # impact * the inability to adjust the height of the bed can affect the patient's comfort and safety, as well as the healthcare provider's ability to provide care. # # # possible causes * power supply issue * mechanical failure * hydraulic or pneumatic system failure * electrical component failure * control system failure * software error # # # recommendations * check and verify the power supply to the bed. * inspect the mechanical components, such as the motors, gears, and hydraulic or pneumatic cylinders, for any signs of damage or wear. * troubleshoot the electrical components, including the control panel, wiring, and connectors, for any faults. * check for software updates or firmware issues that may be causing the problem. * consult the manufacturer's documentation or seek professional assistance for further troubleshooting and repair. @topic:1


# # # issue - the vital signs monitor is not functioning correctly. # # # impact - the monitor may not be able to accurately measure and display patient vital signs. - this could lead to delayed diagnosis or treatment, which could have serious consequences for the patient. # # # possible causes - the battery may be dead or malfunctioning. - the monitor may have a loose connection or faulty wiring. - the monitor may be damaged due to physical impact or exposure to moisture. # # # recommendations - replace the battery. - check all connections and wiring. - inspect the monitor for any damage. - if the problem persists, contact the manufacturer for further troubleshooting and repair. @topic:2


* * cause of failure : * * the motor that adjusts the height of the knee is not functioning properly. * * possible causes : * * - * * electrical failure : * * the motor may have a faulty electrical connection or a blown fuse. - * * mechanical failure : * * the motor may have a damaged gear or bearing, or the drive shaft may be stuck. - * * software issue : * * the motor may not be receiving the correct commands from the control software. - * * improper installation : * * the motor may not have been properly installed or calibrated, causing it to malfunction. * * recommendations : * * - * * electrical inspection : * * check the electrical connections and fuse for the motor. replace any damaged or blown fuses. - * * mechanical inspection : * * inspect the motor for any visible damage, such as broken gears or bearings. check the drive shaft for any obstructions or binding. - * * software update : * * ensure that the software controlling the motor is up to date and free of any bugs. - * * re - installation : * * if necessary, remove the motor and reinstall it according to the manufacturer's instructions. calibrate the motor to ensure proper operation. @topic:9


# # # issue remote control is stuck. # # # impact headboard cannot be adjusted. # # # possible causes - remote control buttons are jammed. - remote control is not properly connected to the bed. - bed control unit is malfunctioning. # # # recommendations - check the remote control buttons for any obstructions or damage. - ensure that the remote control is properly connected to the bed. - test the bed control unit by using the manual override buttons. - if the issue persists, contact the manufacturer for further assistance. @topic:7


# # # issue - the electric bed's head cannot be adjusted. # # # impact - the patient may not be able to get into or out of bed comfortably. - the patient may not be able to be positioned properly for treatment. # # # possible causes - the control box is faulty : the control box is responsible for sending signals to the motors that move the bed's head. if the control box is faulty, it may not be able to send the correct signals, which could cause the head to not adjust properly. - the motor is faulty : the motor is responsible for moving the bed's head. if the motor is faulty, it may not be able to move the head properly, even if the control box is sending the correct signals. - the wiring is faulty : the wiring connects the control box to the motor. if the wiring is faulty, it may not be able to transmit the signals from the control box to the motor, which could cause the head to not adjust properly. # # # recommendations - replace the control box - replace the motor - check the wiring and replace any faulty wires. @topic:1


# # # issue - spo2 lead disconnected # # # impact - inability to monitor patient's oxygen saturation levels. # # # possible causes - * * incorrect connection : * * the oxygen saturation lead may not be properly connected to the patient monitor or the patient. - * * damaged lead : * * the oxygen saturation lead may be damaged, causing it to malfunction or disconnect. - * * loose connection : * * the oxygen saturation lead may have become loose, causing it to disconnect from the patient or the patient monitor. # # # recommendations - * * verify connection : * * ensure that the oxygen saturation lead is properly connected to the patient monitor and the patient. - * * inspect lead : * * check the oxygen saturation lead for any signs of damage, such as frayed wires or broken connectors. - * * tighten connection : * * if the lead is loose, tighten the connection to prevent it from disconnecting. - * * replace lead : * * if the lead is damaged, replace it with a new one. @topic:4


# # # issue - equipment failure, lcd monitor not working # # # impact - inability to use the lcd monitor for patient monitoring # # # possible causes - * * incomplete maintenance : * * the lcd monitor may not have been properly maintained, leading to a failure. - * * technical malfunction : * * there may have been a technical malfunction with the lcd monitor, such as a faulty component or a software issue. - * * accidental damage : * * the lcd monitor may have been accidentally damaged during handling or transportation. - * * incompatibility with other devices : * * the lcd monitor may not be compatible with other devices used in the patient monitoring system, leading to communication problems or malfunction. # # # recommendations - * * thorough maintenance : * * ensure that the lcd monitor is properly maintained according to the manufacturer's specifications. - * * regular testing : * * perform regular testing of the lcd monitor to identify any potential issues early on. - * * careful handling : * * handle the lcd monitor with care to avoid any accidental damage. - * * compatibility check : * * verify that the lcd monitor is compatible with other devices used in the patient monitoring system before connecting them. @topic:2


# # # issue - monitors displaying ekg signals alternating with asystole signals. # # # impact - asystole is a condition where there is no electrical activity in the heart that causes the heart to not beat, which can lead to serious health consequences. - inaccurate ekg signals can lead to misdiagnosis and incorrect treatment. # # # possible causes - the automatic detection of abnormal signals in the ekg settings may be causing the monitor to falsely identify asystole signals. # # # recommendations - bme disabled the automatic detection of abnormal signals in the ekg settings, which resolved the issue. @topic:18


# # # issue - vital signs monitor is unable to measure blood pressure ( bp ). # # # impact - clinicians are unable to monitor patient's blood pressure accurately, which can delay or prevent timely interventions. # # # possible causes - cuff fabric has deteriorated. # # # recommendations - replace cuff fabric. @topic:14


# # # issue * the bed is not adjustable. # # # impact * the patient may not be able to get in or out of bed. * the patient may not be able to be positioned comfortably. * the patient may be at risk for injury if the bed is not adjusted properly. # # # possible causes * broken wire in the remote control. * loose connection between the remote control and the bed. * faulty motor in the bed. * electrical problem with the bed. # # # recommendations * inspect the remote control for any broken wires. * check the connection between the remote control and the bed. * test the motor in the bed. * contact a qualified electrician to check the electrical system of the bed. @topic:1


##ing. safety tests use the following safety test procedures for verifying safe installation or service of the monitor. the setups used for these tests and the acceptable ranges of values are derived from local and international standards but may not be equivalent. these tests are not a substitute for local safety testing where it is required for an installation or a service event. if using the metron safety tester, perform the tests in accordance with your local regulations, for example in europe use iec60601 - 1 / iec60601 - 1 - 1 and in the us use ul2601 - 1. the metron report should print results with the names listed below, together with other data. note safety tests meet the standards of, and are performed in accordance with iec 60601 - 1, clause 19 ( en60601 - 1 : 1990 ). the suresigns vm patient monitors have been classified as class lib equipment. they are double insulated and do not require a protective earth ( ground ) wire. the monitor safety tests include : • system enclosure leakage • ground integrity • patient leakage current with mains voltage performance verification testing 6 - 17 performing verification tests system enclosure leakage s ( l ) part 1 : system enclosure leakage current - nc ( normal condition ) expected test results normal condition maximum leakage current xl < 100 lia this measures leakage current of exposed metal parts of instrument under test ( iut ) and between parts of the system within the patient environment ; normal and reversed polarity using s2. safety test according 1ec 60601 - 1 / ul2601 - 1 s ( l ) part 2 : system enclosure leakage current - single fault ( open earth ) expected test results single fault maximum leakage current x2 < 500pa ( iec 60601 - 1 ) < 300pa ( ul2601 - 1 ) this measures leakage current of exposed @topic:10


# # # issue - equipment malfunction due to broken connector cable. # # # impact - interruption of vital signs monitoring, potentially leading to delays in patient care. # # # possible causes - wear and tear from frequent use or improper handling. - manufacturing defect in the connector cable. # # # recommendations - replace the broken connector cable with a new one to restore equipment functionality. - implement regular preventative maintenance schedules to inspect and replace consumables such as cables. - train staff on proper handling techniques to minimize cable damage. @topic:2


* * issue : * * blurred or shaky image on physiological monitor screen * * impact : * * difficulty in viewing and interpreting patient data, which could lead to delayed or incorrect diagnosis and treatment. * * possible causes : * * * * * faulty display module : * * the display module may have malfunctioned, causing the image to appear blurry or shaky. * * * loose connections : * * loose connections between the display module and the main unit of the monitor may cause interruptions in image transmission, leading to flickering or distorted images. * * * power supply issues : * * fluctuations in power supply can affect the performance of the display module, resulting in unstable images. * * * software glitches : * * software bugs or updates can sometimes interfere with the monitor's display function, causing image distortion. * * * external interference : * * electrical or magnetic interference from nearby equipment can disrupt the monitor's display. * * recommendations : * * * * * inspect the display module : * * check for any physical damage or loose connections to the main unit. * * * test the power supply : * * ensure that the monitor is receiving a stable power supply. * * * update software : * * if applicable, check for any software updates for the monitor and install them if available. * * * identify external interference : * * look for any nearby equipment that may be causing electromagnetic interference and relocate the monitor or eliminate the source of interference. * * * contact technical support : * * if the issue persists or if the cause cannot be identified, contact the manufacturer's technical support for further assistance. @topic:2


# # # issue - railings on the electric bed ( huntleigh enterprise 8000 ) will not lock when raised or lowered. # # # impact - patient safety is compromised as the bed railings are an important safety feature to prevent falls. # # # possible causes - spring lock malfunction - loose or damaged locking mechanism - lack of lubrication # # # recommendations - replace the spring lock or repair the locking mechanism. - tighten any loose screws or bolts. - lubricate the locking mechanism regularly. - inspect the bed railings and locking mechanism regularly for signs of wear or damage. @topic:6


# # # issue - knob monitor on the multipurpose mri safe / conditional monitor is broken and damaged due to deterioration over time. # # # impact - the broken knob monitor may affect the accuracy and reliability of the monitor's readings, potentially leading to incorrect diagnoses or treatment decisions. - it may also hinder the user's ability to operate the monitor effectively. # # # possible causes - wear and tear due to prolonged use - improper handling or accidental damage - exposure to extreme temperatures or humidity - electrical surges or power fluctuations # # # recommendations - order a replacement knob monitor and schedule its installation promptly to restore the monitor's functionality. - conduct regular maintenance and inspections to monitor the condition of the monitor and identify any potential issues early on. - provide training and guidelines for proper handling and operation of the monitor to prevent future damage. - consider implementing a preventive maintenance program to regularly service and replace components that are prone to wear and tear. @topic:2


# # issue - time displayed on the device is incorrect. # # impact - inaccurate timekeeping can lead to errors in clinical processes, patient safety, and record - keeping. # # cause of failure - internal clock malfunction - synchronization issue with external time source - software bug - user error during time adjustment # # recommendations * * troubleshooting : * * 1. check if the device is connected to an external time source, such as a server or ntp service. verify that the time source is accurate. 2. reset the device's internal clock by following the manufacturer's instructions. 3. inspect the device for any damage or wear that could affect its timekeeping functionality. 4. update the device's software to the latest version if applicable. * * preventive measures : * * 1. establish clear procedures for setting and adjusting the time on medical devices. 2. regularly calibrate and synchronize devices with a reliable time source. 3. provide training to staff on the importance of accurate timekeeping and the proper use of medical devices. 4. implement a proactive maintenance schedule to identify and resolve potential issues before they cause failures. @topic:29


# # # issue ac plug malfunction # # # impact the malfunctioning ac plug prevents the equipment from receiving power, rendering it inoperable. # # # possible causes - physical damage to the ac plug, such as broken or bent prongs. - loose or disconnected wires within the plug. - damage to the wall outlet or power cord. # # # recommendations - inspect the ac plug for any physical damage and repair or replace it as necessary. - check the connections between the wires and the plug and tighten any loose ones. - verify that the wall outlet is functioning properly and replace it if needed. - ensure that the power cord is in good condition and free of any cuts or damage. @topic:12


# # # issue - scanner not working # # # impact - inability to use the medical cart for scanning purposes # # # possible causes - dirty scanner contacts - faulty scanner module - loose connections - software issues # # # recommendations - clean the scanner contacts thoroughly - inspect the scanner module for any visible damage - check all connections to ensure they are secure - update the software to the latest version - if the issue persists, contact the manufacturer for further assistance @topic:23


# # # issue - equipment not returned after being borrowed # # # impact - bed unavailable for patient use - delays in patient care # # # possible causes - lack of clear policy or procedure for borrowing equipment - miscommunication between borrowing and lending departments - lack of accountability for borrowed equipment # # # recommendations - implement a clear policy or procedure for borrowing equipment, including : - who is authorized to borrow equipment - what types of equipment can be borrowed - how long equipment can be borrowed for - how to notify the lending department when equipment is no longer needed - train staff on the new policy - hold staff accountable for borrowed equipment @topic:24


# # # issue - spo2 sensor malfunction # # # impact - inability to accurately measure oxygen saturation levels, potentially leading to patient complications or delayed diagnosis. # # # possible causes - faulty sensor connection - damage to the sensor or its cable - hardware failure within the sensor - expired or low - quality sensor # # # recommendations - verify connections and ensure the sensor is properly attached to the patient and the device. - replace the spo2 sensor with a new one if the connections are secure and the device continues to malfunction. - schedule regular maintenance and calibration of the vital signs monitor to prevent sensor issues and ensure accurate readings. - train clinical staff on proper spo2 sensor usage and maintenance techniques to minimize the risk of premature failure. @topic:4


# # # issue - no link to central monitor # # # impact - inability to monitor patient data remotely. - potential delay in patient care. # # # possible causes - * * network issue : * * there could be a problem with the network connection between the bedside monitor and the central monitoring system. - * * incorrect ci address : * * the ci address is the address of the central monitoring server which the bedside monitor needs to connect to. an incorrect ci address will prevent the bedside monitor from connecting to the central monitoring system. - * * hardware issue : * * there could be a hardware issue with the bedside monitor or the central monitoring system that is preventing the connection. # # # recommendations - * * network issue : * * check the network connection between the bedside monitor and the central monitoring system. ensure that both devices are connected to the same network and that there are no firewalls or other network devices that are blocking the connection. - * * incorrect ci address : * * verify that the ci address in the bedside monitor is correct. the ci address can typically be found in the monitor's settings menu. if the ci address is incorrect, update it to the correct value. - * * hardware issue : * * if the network connection and ci address are correct, then there may be a hardware issue with the bedside monitor or the central monitoring system. contact the manufacturer of the device for further troubleshooting assistance. @topic:16


# # # issue - display not illuminating # # # impact - inability to monitor patient's vital signs, such as heart rate, blood pressure, and oxygen saturation. # # # possible causes - faulty display panel - loose connection between display panel and main unit - power supply issue - software malfunction # # # recommendations 1. * * check the power supply : * * ensure that the monitor is properly plugged into a power outlet and that the power cord is not damaged. 2. * * inspect the display panel : * * look for any visible damage or cracks on the display panel. 3. * * check the connections : * * verify that the display panel is securely connected to the main unit by checking all cables and connectors. 4. * * restart the monitor : * * turn off the monitor, wait for a few seconds, and then turn it back on. this may resolve any software glitches. 5. * * reset the monitor to factory settings : * * if the above steps do not resolve the issue, try resetting the monitor to its factory settings. refer to the manufacturer's instructions for specific steps. 6. * * contact a qualified biomedical engineer : * * if the problem persists, contact a qualified biomedical engineer to assess the issue and perform necessary repairs. @topic:2


main board ” on page 5 - 31. 1030 system error ( 1030 ) an error occurred when the system shut down front end devices. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 1031 system error ( 1031 ) the monitoring and watchdog thread could not initialize. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. troubleshooting 4 - 26 suresigns vs4 service guide error codes code description possible cause action 1032 system error could not open audio files. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 1033 system error unspecified error. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 1034 system error failed to load product info. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 1035 system error cannot initialize the front - end manager. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 1036 system error failed @topic:22


monitor, in the setup arrhy menu, see the menu items timeout 1st and timeout 2nd. 161 6 ecg, arrhythmia, st and qt monitoring this setting can only be changed in configuration mode. * * afib and * * irregular hr alarms do not have a timeout period. these alarms can be generated immediately after the corresponding end alarm was generated. when * * hr high and * * hr low alarms are configured as standard yellow alarms, they do not have timeout period. to reset the timeout period, either select the alarms off or pause alarms permanent key and then reselect it, or select reset alarming in the review alarms window or the alarm messages window. • how are yellow arrhythmia alarms indicated? when a yellow arrhythmia alarm is generated, it triggers visual and audible indicators. yellow arrhythmia alarms are always set to latch visually for three minutes except hr high / low alarms, if configured to standard yellow. depending on the alarm condition, audible and visual alarm indicators alarm condition example alarm messagdisplayed short yellow alarm tone sounds or 3 minutes ( latching time ) when alarm condition is initially detected non - sustained v - acinstance when alarm condition is initially detected and - as an alarm reminder every time the configured timeout period has expired until the alarm ondition stops, plus aximum of three inutes latching time continuous alarm condition same intermittent pair of pvcs alarm condition each time the alarm condition is detected, provided that the configured timeout period has expired if you silence a yellow arrhythmia alarm and the alarm condition still exists, the visual indicators continue until the condition stops. you will get an alarm reminder every time the configured timeout if you silence a yellow arrhythmia alarm and the alarm condition has stopped, the visual indicators are immediately cleared. @topic:8


# # # issue - the bed, electric is not adjusting up or down. # # # impact - the patient / nurse cannot use the bed to adjust their position, which can lead to discomfort or injury. # # # possible causes - the remote control may not be working properly. - the bed may not be plugged in or the power cord may be damaged. - the bed motor may be faulty. - the bed frame may be damaged. - the bed may be overloaded. # # # recommendations - check the remote control to make sure it is working properly. - check the power cord to make sure it is plugged in and undamaged. - check the bed motor to make sure it is functioning properly. - check the bed frame for any damage. - check the bed to make sure it is not overloaded. - if the problem persists, contact the manufacturer or a qualified technician for further assistance. @topic:1


# # # issue - the bed cannot be adjusted. # # # impact - the patient may not be able to get into or out of the bed. - the patient may not be able to be positioned comfortably. # # # possible causes - the bed's motor is not working. - the bed's control panel is not working. - the bed's frame is damaged. # # # recommendations - check the bed's motor to see if it is working. - check the bed's control panel to see if it is working. - inspect the bed's frame for any damage. - if the bed's motor or control panel is not working, replace it. - if the bed's frame is damaged, repair it. @topic:1


# # # issue : - cut and replaced 2 connector cables. - bp line is leaking at the junction. - display digits are not illuminated. # # # impact : - patient monitoring is compromised due to inaccurate or missing physiological data. # # # possible causes : - improper crimping or soldering of connector wires during replacement. - damage to the bp line during handling or replacement. - faulty or damaged display components. # # # recommendations : 1. * * connector wires : * * - verify the correct crimping or soldering techniques according to manufacturer specifications. - inspect the wires for any loose connections or breaks. 2. * * bp line : * * - identify the location of the leak and replace the damaged bp line segment. - ensure secure connections at the junction and any other fittings. 3. * * display components : * * - check if the display module is firmly seated in its connector. - test individual components within the display unit, such as leds or lcd segments, for continuity or functionality. - replace faulty display components as needed. @topic:2


# # # issue - equipment malfunction # # # impact - delay in patient care - increased risk of patient harm - loss of revenue # # # possible causes - equipment not properly maintained - equipment not calibrated - equipment damaged - equipment used improperly * * - equipment lent to other department * * # # # recommendations - establish a regular maintenance schedule for all medical devices. - calibrate equipment according to manufacturer's specifications. - train staff on proper use of equipment. - handle equipment with care. - * * do not lend equipment to other departments without proper documentation and authorization. * * @topic:12


# # # issue the blood pressure ( bp ) cuff is not staying attached to the patient's arm. # # # impact the patient's blood pressure cannot be accurately measured. # # # possible causes - the cuff is the wrong size. - the cuff is not being inflated properly. - the cuff is damaged. - the patient's arm is too small or too large for the cuff. - the patient is moving around too much. # # # recommendations - check that the cuff is the correct size for the patient's arm. - make sure that the cuff is being inflated properly. - inspect the cuff for any damage. - if the patient's arm is too small or too large for the cuff, use a different cuff size. - ask the patient to remain still during the blood pressure measurement. @topic:3


* * issue : * * - spo2 value is zero or not displayed. * * impact : * * - the vital signs monitor cannot accurately measure the patient's blood oxygen saturation levels ( spo2 ). - this may lead to delayed or incorrect patient assessment and treatment decisions. * * possible causes : * * * * equipment : * * - * * faulty or damaged spo2 sensor : * * the sensor that measures the patient's spo2 levels may be defective. - * * loose or disconnected spo2 cable : * * the cable connecting the spo2 sensor to the monitor may be loose or disconnected. - * * problems with the monitor's spo2 processing unit : * * the unit responsible for analyzing and displaying the spo2 readings may be malfunctioning. * * patient : * * - * * weak or intermittent pulse : * * if the patient's pulse is weak or irregular, the spo2 sensor may have difficulty detecting the pulsations and accurately measuring the spo2 levels. - * * excessive patient movement : * * excessive patient movement can cause the spo2 sensor to lose contact with the skin, leading to inaccurate readings. - * * fingernail polish or other obstructions : * * fingernail polish or any obstruction covering the fingertip can prevent the light from the spo2 sensor from reaching the blood vessels and impede the accurate measurement of spo2 levels. * * recommendations : * * * * equipment : * * - * * inspect the spo2 sensor : * * check the sensor for any signs of damage or defects. if it appears damaged, replace it with a new one. - * * secure the spo2 cable : * * ensure that the cable connecting the spo2 sensor to the monitor is securely plugged in and there are no loose contacts. - * @topic:4


# # # issue - battery is only charging up to 75 % - battery status indicator is red # # # impact - device may not be able to operate for extended periods of time without being plugged into an outlet - battery may not provide enough power to operate the device at full capacity - device may shut down unexpectedly if the battery is not replaced # # # possible causes - battery is old and has reached the end of its lifespan - battery has been damaged - battery is not making good contact with the charging terminals - charging system is malfunctioning # # # recommendations - replace the battery with a new one - clean the battery and charging terminals - check the charging system for any damage or loose connections - if the problem persists, contact the manufacturer for assistance @topic:11


to provide the codes in the correct form to the monitor. refer to the installation note " installing and testing the 4600g barcode scanner " on the intellivue documentation dvd for details. installing remote devices this section provides instructions for philips products. installation instructions for devices not sold by philips must be provided by the device manufacturer. hardware settings • this section lists settings grouped in the hardware settings block which are available in service mode. these settings are set once per monitor and are the same in every profile. any changes you make to the hardware settings configuration are automatically stored, there is no need to save them in an extra step. hardware settings must be entered for each monitor individually, they are stored in the monitor, and they are not cloned. to enter the hardware settings menu, select main setup - > hardware. • keyboard - this setting allows you to select the language of the keyboard connected via usb. see usb keyboard / mouse section in this chapter for details. • setup video - this setting allows you to set the correct display resolution for the external displays and to choose between the basic ( black background ) or classic ( photo of nurse and child in the background ) standby / boot screen. • mib / rs232 - see section in this chapter for details. 263 [ 7 installation instructions ] multi - measurement module attaching the mms to a mount 1 make sure the measurement server is oriented correctly relative to the mount ( see the picture below ). 2 place the measurement server on the back mount. if it is not tight against the mount, shp it in the direction of the measurement connectors until it is. 3 slip the measurement server forward until it clicks into place. detaching the measurement server from a mount 1 press and hold the latch ( in the middle at the top of the mount ) away from the measurement server. 2 slide the measurement server off the mount in the direction @topic:10


# # # issue - medical cart cannot be turned on. # # # impact - the medical cart cannot be used for patient care. # # # possible causes - power cord is not properly connected. - power supply is not functioning properly. - internal components of the medical cart have failed. # # # recommendations - check that the power cord is properly connected to both the medical cart and the power outlet. - try using a different power outlet. - contact the manufacturer of the medical cart for further troubleshooting and repair. @topic:13


2 - 2 shutdown, hard performing, 5 - 22 software upgrades performing, 5 - 11 spare parts, 9 - 2 speaker theory of operation, a - 6 sp0 2 verification test, 6 - 7 sp0 2 board removing, 8 - 28 sp0 2 processing theory of operation, a - 8 sp0 2 readings troubleshooting, 7 - 11 support strategies, 7 - 2 suresigns monitor configuring, 5 - 1 - 5 - 22 installing, 2 - 1 suresigns monitors cleaning, 3 - 2 configurations, 1 - 3 disposal, 3 - 4 models, 1 - 2 setting up, 2 - 2 suresigns vm monitor repairing, 8 - 1 - 8 - 46 suresigns vm monitors overview, 1 — 1 — 1 — 3 system admin menu accessing, 5 - 2 options, 5 - 4 system configuration setting, 5 - 21 system diagnostics running, 7 - 25 window, 7 - 26 system overview theory of operation, a - 2 t temperature calibrating, 5 - 18 theory of operation, a - 9 temperature measurement problems troubleshooting, 7 - 10 temperature module, vm4 index - 4 removing, 8 - 8 test equipment required, 6 - 5 testing recommended frequency, 6 - 3 testing and inspection guidelines, 6 - 2 tests performing, 6 - 6 tests, performing recording results, 6 ^ 1 theory of operation, a - l - a - 11 block diagram, a - 2 ecg processing, a - 9 etc0 2, a - 10 front end pcb, a - 5 front panel assembly, a - 6 ibp, a - 9 main pcb, a - 4 monitored temperature, a - 10 navigation wheel, a - 6 nbp assembly, a - 8 nurse call contacts, a - 6 power supply, a - 7 predictive temperature, a - 9 @topic:19


it equipment in the patient environment, an equipment leakage current test is required. 54 3 testing and maintenance ] case 1 : medical device combined with medical device if you combine a medical device with another medical device ( incl. philips specified displays ) to form a medical electrical system according to lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + a1 ed. 3 clause 16, no additional protective measures are required. the medical electrical devices may be located in or outside the patient vicinity in a medically used room. this is valid as long as the medical devices are connected to separate mains outlets. no system test is required. note the pictures below and in the following chapters show the mx800 monitor as an example. all cases apply to the mx400 / 450 / 500 / 550 / 600 / 700 monitors as well. 55 [ 3 testing and maintenance ] me device device ( lec 60601 - 1 ) 60601 - 1 ) device inside or outside of patient vicinity medically used room me device ( lec 60601 - 1 ) device inside or outside of patient vicinity functional connection philips specified display device inside or outside of patient vicinity medically used room if the combined medical devices are connected to the same multiple portable socket outlet an enclosure leakage current test of the entire device combination on the multiple portable socket outlet is required to ensure that the resulting protective earth leakage current and equipment leakage current does not exceed the hmits of lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + a1 ed. 3 clause 16. avoid using multiple portable socket outlets. the medical electrical devices may be located in or outside the patient vicinity in a medically used room. if the limits are exceeded, additional protective measures are required, e. g. a separation device or the connection of each device to separate @topic:10


# # # issue - wood barrier lock is not locking # # # impact - patient safety hazard - increased risk of falls # # # possible causes - spring malfunction - loose or damaged components - improper assembly # # # recommendations - replace or adjust the spring - tighten or replace loose components - verify proper assembly - test and document the repair @topic:6


# # # issue the time displayed on the monitor is not accurate. # # # impact this could lead to incorrect patient data being recorded, which could have serious consequences. for example, if a patient's heart rate is not recorded accurately, it could lead to the patient receiving the wrong medication or treatment. # # # possible causes - the monitor's internal clock is not set correctly. - the monitor is not receiving the correct time signal from the hospital's network. - the monitor's software is not working properly. # # # recommendations - check the monitor's internal clock and set it to the correct time. - check the monitor's connections to the hospital's network and make sure that it is receiving the correct time signal. - update the monitor's software to the latest version. @topic:29


all geographies. spirometry accessories description part no. adult / pediatric flow sensor m2785a neonatal flow sensor m2786a adult / pediatric c0 2 / flow sensor m2781a neonatal c0 2 / flow sensor m2782a pediatric c0 2 / flow sensor m2783a measurement of c0 2 and spirometry with neonates for measurement of c0 2 and spirometry with neonates, the use of the m3014a mainstream c0 2 extension, the m1014a spirometry module and the m2782a combined c02 / flow sensor is recommended. the m1923a filterline h set infant / neonatal used for microstream c0 2 measurement with the m3015a extension is not compatible with the m2786a infant / neonatal flow sensor for the spirometry measurement ( m1014a ). tcgas accessories this symbol indicates that the specified transducer ( but not its membranes ) is designed to have special protection against electric shocks ( particularly regarding allowable leakage currents ), and is defibrillator proof. - i * 396 eeg accessories 37 accessories description part no. tcp0 2 / c0 2 transducer m1918a accessory kit for m1918a ( o - ring remover, absorbent paper, electrolyte solution, 12 replacement membranes ) 15209 - 60010 application kit for m1918a ( 4x25 disposable fixation rings, contact fluid ) 15209 - 60020 tcp0 2 / c0 2 transducer m1918b 1 accessory kit for m1918b ( 10 replacement membranes, electrolyte solution ) 989803151951 1 application kit for m1918b ( 4x25 disposable fixation @topic:17


, go to the setup c0 2 menu, and scroll down to look at hum. corr or humiditycorr. n 2 o ( m3016a mainstream and m3015a microstream only ) in the setup c0 2 menu, select n 2 0 corr. and turn on or off. if n 2 0 is present in the ventilation gas mixture, you must turn this on. if the n 2 0 correction is not available in the setup c0 2 menu, the c0 2 measurement in your mms extension does not require n 2 0 correction or it is setup with gas corr. ( see below ). gas ( m3014a only ) in the setup c0 2 menu, select gas corr. and select helium, n 2 0 or turn off. if helium or n 2 0 is present in the ventilation gas mixture, you must make the appropriate selection. if the gas correction is not available in the setup c0 2 menu, the c0 2 measurement in your mms extension does not require n 2 0 or helium correction or the n 2 0 correction is setup with n 2 0 corr. ( see above ). agent ( m3014a only ) in the setup c0 2 menu, select agt. corr. and select the concentration of the anesthetic agent ( between 0. 0 % and 20. 0 % ). if an anesthetic agent is present in the ventilation gas mixture, you must select the appropriate concentration. suppressing sampling ( not mainstream c0 2 ) to temporarily stop sampling, ♦ in the setup c0 2 menu, select pump 15min of f or use the c0 2 pump of f smartkey if available. 223 14 monitoring carbon dioxide setting up all co 2 measurements selecting pump 15min off again before fifteen minutes have passed resets the timer to fifteen minutes. to re - start the pump @topic:17


product • appl. sw • config • boot • language select status log. the first column in the log identifies the event class ( “ c ” : caused a cold start, “ h ” : caused a hot start, “ n ” : no retstart, for information only ). column 3 and 4 identify the event source and event code. column 4 counts the number of occurrences of the event. the last column shows the time and date of the last occurrence of the event. the following pop - up keys overlay the smartkeys : clear m8003a m3001a statlog clear statlog this key clears the currently displayed status log m8003a or m8004a this key switches to the monitor revision window m3001a this key switches to the multi measurement server ( mms ) revision window if an event occurs repeatedly, contact your philips service representative. note it is possible, using the support tool, to download the status log and send it to your philips service representative as a file ( for example via e - mail ). list of error codes there are no error codes at this point. 104 troubleshooting guide 4 troubleshooting troubleshooting with the support tool using the support tool you can : • access the full status log which can be saved as a file • reload software • identify defective devices • reset touch screen calibration for details on how to perform these tasks see the support tool user manual. troubleshooting the individual measurements or applications for problems isolated to an individual parameter or application such as event review, please consult the instructions for use and configuration information. if the instructions for use did not resolve an individual parameter problem, then another module or measurement server should be tried. if you are getting questionable readings for individual measurements you may want to do the performance verification tests in the testing and maintenance section. the performance of the @topic:22


# # # issue - knee does not adjust up and down # # # impact - patients may not be able to be positioned correctly for procedures or treatment - can cause discomfort or pain for patients - can delay procedures or treatment # # # possible causes - faulty motor - broken gears or cables - electrical issues - software issues # # # recommendations - check the motor for any visible damage or signs of wear and tear - inspect the gears and cables for any broken or worn components - check the electrical connections for any loose or damaged wires - check the software for any updates or bugs - if the issue cannot be resolved, contact the manufacturer or a qualified technician @topic:9


# # # issue - monitor displays incorrect vital signs readings # # # impact - delay in patient assessment and treatment - misdiagnosis or incorrect treatment due to inaccurate readings # # # possible causes - faulty battery - loose battery connection - internal circuit failure - software malfunction # # # recommendations - replace the battery with a new one of the correct type and voltage. - ensure that the battery is securely connected to the monitor. - test the monitor's function with a known - good battery to verify that the internal circuit is working properly. - update the monitor's software to the latest version to address any potential bugs or glitches. in this specific case, the cause of failure is most likely a faulty battery, as the technician has already replaced the battery and the monitor is now functioning normally. however, it is important to note that other factors may have contributed to the failure, such as loose connections or internal circuit problems. therefore, it is essential to thoroughly investigate all potential causes to prevent future failures. @topic:2


# # # issue - the cause of failure for the medical device is not specified in the input. # # # impact - the impact of the failure is not specified in the input. # # # possible causes - the medical device may have failed due to a number of reasons, including : - * * improper use or maintenance * * - * * defective components * * - * * environmental factors * * # # # recommendations - * * proper use and maintenance * * - 1. the medical device should be used and maintained in accordance with the manufacturer's instructions. - 2. this includes regular cleaning and calibration. - * * defective components * * - 1. if a component fails, it should be replaced with a new one. - 2. this should be done by a qualified technician. - * * environmental factors * * - 1. the medical device should be operated in a clean and dry environment. - 2. it should also be protected from extreme temperatures and humidity. @topic:12


* * issue : * * central monitor not linking. * * impact : * * patient monitoring may be compromised. * * possible causes : * * * * * central server problem : * * the server that the monitor is linked to may be experiencing issues. * * * incorrect ci address : * * the ci address ( connection information address ) in the monitor may be incorrect. * * * network connectivity issues : * * there may be problems with the network connection between the monitor and the central system. * * * hardware failure : * * the monitor or the central system may have experienced a hardware failure. * * recommendations : * * * * * check the central server : * * ensure that the server is functioning properly and that it is connected to the network. * * * verify the ci address : * * confirm that the ci address in the monitor is correct. * * * troubleshoot network connectivity : * * check the network cables and connections between the monitor and the central system. * * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the monitor or the central system for technical support. @topic:16


with the motor's operation. - * * battery replacement : * * if the bed is battery - operated, replacing weak or faulty batteries can restore optimal power supply to the motor. - * * professional repair : * * in cases where the issue cannot be resolved through basic troubleshooting, consulting a qualified biomedical engineer or technician is advisable for further diagnosis and repair. @topic:9


# # # issue - cuff of the bedside physiologic monitor is damaged. # # # impact - the monitor may not be able to accurately measure the patient's vital signs, which could lead to delayed or incorrect treatment. # # # possible causes - the cuff may have been damaged during use, such as being pinched or torn. - the cuff may have been improperly stored, such as being exposed to extreme temperatures or moisture. - the cuff may have been used on a patient with a large or irregular arm, which could put excessive stress on the cuff. # # # recommendations - inspect the cuff for any damage, such as tears, punctures, or bulges. - replace the cuff if it is damaged. - store the cuff in a cool, dry place. - use the correct size cuff for the patient's arm. @topic:5


# # # issue - the bed's knee adjustment is not working. # # # impact - the patient cannot be positioned correctly in the bed, which can lead to discomfort and pressure sores. # # # possible causes - the knee motor is faulty. - the knee adjustment mechanism is jammed. - the electrical connection to the knee motor is loose. # # # recommendations - replace the knee motor. - unjam the knee adjustment mechanism. - tighten the electrical connection to the knee motor. @topic:9


# # # issue lcd monitor not displaying an image. # # # impact the patient's vital signs cannot be monitored, which could lead to a delay in diagnosis and treatment. # # # possible causes - loose connection in the splitter box. - damaged cable or connector. - faulty monitor. # # # recommendations - check the connections in the splitter box and ensure that they are secure. - inspect the cable and connector for any damage. - if the cable and connector are undamaged, replace the monitor. @topic:2


# # # issue - remote control for the electric bed is broken. # # # impact - patient cannot adjust the bed position. # # # possible causes - remote control is physically damaged ( e. g., cracked, broken buttons ). - battery inside the remote control is drained or dead. - interference or obstruction in the wireless signal between the remote control and bed receiver. - internal fault in the remote control's circuitry. - compatibility issues between the remote control and bed receiver. # # # recommendations - * * inspect the remote control for physical damage. * * if there are visible cracks, broken buttons, or loose components, replace the remote control. - * * check the batteries in the remote control. * * replace the batteries with new ones if necessary. - * * ensure there are no obstructions between the remote control and the bed receiver. * * remove any objects or furniture that may be blocking the signal. - * * contact the bed manufacturer or a qualified biomedical engineering technician * * for further troubleshooting and repair. @topic:7


# # # issue - difficulty opening the drawer due to a stuck internal lock. # # # impact - inability to access medical supplies or equipment stored in the drawer. # # # possible causes - faulty or worn - out lock mechanism - misalignment of lock components - presence of debris or foreign objects interfering with the lock mechanism # # # recommendations - * * repair or replace the lock mechanism : * * if the lock is damaged or worn out, it may need to be replaced or repaired to ensure proper functioning. - * * adjust lock alignment : * * misaligned lock components can prevent the lock from engaging correctly. realigning the components may resolve the issue. - * * clean and inspect the lock : * * debris or foreign objects can interfere with the lock's operation. cleaning and inspecting the lock mechanism may identify and remove any obstructions. @topic:21


# # # issue - cuff damage # # # impact - patient monitoring may be inaccurate or incomplete. - the device may not be able to provide appropriate alarms or alerts. # # # possible causes - cuff is not the correct size for the patient. - cuff is not properly inflated or deflated. - cuff is damaged or has a leak. - cuff is not connected properly to the monitor. # # # recommendations - ensure that the cuff is the correct size for the patient. - inflate and deflate the cuff properly. - inspect the cuff for damage or leaks. - connect the cuff properly to the monitor. @topic:5


# # # issue - ecg module failure # # # impact - inability to monitor patient's ecg # # # possible causes - defective ecg module - loose connections within the device - software malfunction - electrical interference # # # recommendations - replace the ecg module - inspect and secure all connections - update the device software - investigate potential sources of electrical interference and mitigate them @topic:18