19. 00 pound kilogram 154. 32 | 70. 00 bsa formula your monitor provides both the boyd and dubois formulas for the calculation of body surface area ( bsa ). for calculations, the monitor uses the setting defined in the patient demographics menu. all calculation results that use bsa are indexed to the selected formula. 286 documenting calculations 22 calculations ♦ to check the current setting, select the patient name to enter the patient demographics menu. bsa ( b ) indicates that the boyd formula is used ; bsa ( d ) indicates that the dubois formula is used. comparing dynamic compliance values if you compare the dynamic compliance value ( comp ) from the ventilation calculations with the value from the spirometry measurement you may see a difference. this comes from the different sampling methods : ♦ the algorithm in the ventilation calculations takes into account only two sets of paired awp / awv data : those from complete expiration and complete inspiration, when awf is zero. ♦ the algorithm in the spirometry application takes into account all sets of paired awp / awv data ( 125hz sampling rate ), over one complete breath cycle, and calculates an “ averaged ” compliance using a least square method. documenting calculations ♦ to send a calculations recording to a connected recorder, in the calculations window, select the print / record pop - up key, then select the record calc pop - up key. calculations recordings print the patient demographic information and the content of the current calculations window on the recorder strip. ♦ to print a report for the calculation group currently on the monitor screen, select the pop - up key print calc. to print the calculations review window, select the pop - up key print in the calculations review window. all the calculations in the current group will be printed in the report. calculation reports can be printed on central or local printers. this example report shows the oxygen calculation group. ventilation and @topic:17


# # # issue - bp cuff leaks at the connector. # # # impact - the bp cuff cannot be used to accurately measure blood pressure. - this could lead to incorrect diagnosis and treatment of patients. # # # possible causes - the connector is damaged or loose. - the tubing is cracked or leaking. - the cuff is not properly inflated. # # # recommendations - inspect the connector and tubing for damage or leaks. - replace the connector or tubing if necessary. - properly inflate the cuff according to the manufacturer's instructions. @topic:3


. 818 ( 119 ) | nbp equip malfunc ( 119 ) unable to verify inflation shut down ( see “ shutting down the cycle count and runtime data | system ” on page 5 - 2 ) and restart the written to non - volatile monitor. memory : if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 120 ) | nbp equip malfunc ( 120 ) a new message will be sent shut down ( see “ shutting down the to the host although the system ” on page 5 - 2 ) and restart the previous message is not monitor. finished. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 121 ) | nbp equip malfunc ( 121 ) pressure value from second shut down ( see “ shutting down the pressure sensor not available. | system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 122 ) | nbp equip malfunc ( 122 ) the 5 - volt supply voltage shut down ( see “ shutting down the value is too high or low. system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. suresigns vs2 * and vsi service guide troubleshooting 4 - 15 error codes code error message possible cause action 818 ( 123 ) nbp equip malfunc ( 123 ) error from the 5 - volt regulator. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor @topic:22


# # # issue - inability to connect ekg cable to the bedside physiologic monitor. this could result in the monitor being unable to accurately record and display the patient's vital signs. # # # impact - delay in patient care due to inaccurate monitoring of vital signs. - increased risk of adverse events due to undetected changes in vital signs. - reduced confidence in the accuracy of the monitor's readings. # # # possible causes - * * damaged ekg cable : * * broken wires, loose connections, or other damage to the ekg cable can prevent it from connecting properly to the monitor. - * * faulty tank cable : * * the tank cable connects the ekg cable to the monitor. a faulty tank cable can also cause a connection issue. - * * problem with the monitor : * * a problem with the monitor's input port or internal components could prevent it from recognizing the ekg cable connection. # # # recommendations - * * inspect the ekg cable and tank cable : * * check for any visible damage such as breaks, kinks, or loose connections. replace the cable if necessary. - * * ensure proper connection : * * make sure the ekg cable is securely plugged into the tank cable and the tank cable is properly connected to the monitor. - * * test the monitor's input port : * * use a known - good ekg cable and tank cable to test the monitor's input port. if the connection is still not working, the monitor may need to be repaired or replaced. - * * consider environmental factors : * * check the temperature and humidity levels in the surrounding area, as extreme conditions can affect the performance of electronic devices. @topic:18


# # # issue - remote control cable is damaged. # # # impact - unable to use the remote control to operate the bed. # # # possible causes - physical damage to the cable. - loose or corroded cable connections. - electrical fault in the cable. # # # recommendations - replace the damaged cable. - inspect and tighten all cable connections. - perform an electrical continuity test on the cable. @topic:7


# # # issue - cuff leak # # # impact - inaccurate blood pressure readings # # # possible causes - cuff not properly attached to the monitor - cuff or tubing damaged or leaking - sensor malfunction # # # recommendations - check that the cuff is properly attached to the monitor and the patient's arm. - inspect the cuff and tubing for any damage or leaks. - replace the cuff or tubing if necessary. - send the monitor for repair if the sensor is malfunctioning. @topic:3


# # # issue : - temp probe was reporting higher than normal temperature values. # # # impact : - inaccurate temperature readings could lead to incorrect diagnoses and inappropriate treatment decisions, potentially compromising patient safety. # # # possible causes : - * * faulty sensor : * * the temperature probe itself may be damaged or malfunctioning, leading to inaccurate readings. - * * electrical issues : * * loose connections or electrical faults within the device or probe could interfere with proper signal transmission, resulting in erroneous temperature values. - * * software malfunction : * * a software glitch or error within the device could disrupt the temperature measurement process, leading to incorrect readings. - * * environmental factors : * * extreme temperatures or other environmental conditions could affect the accuracy of the temperature probe. - * * user error : * * improper handling or calibration of the device could also contribute to inaccurate temperature readings. # # # recommendations : - * * thorough inspection : * * conduct a detailed inspection of the temperature probe and its connections to identify any visible damage or loose components. - * * diagnostic testing : * * perform diagnostic tests to assess the functionality and accuracy of the temperature probe using appropriate calibration equipment. - * * calibration and repair : * * if the diagnostic tests confirm a malfunction, calibrate or repair the temperature probe according to the manufacturer's instructions. - * * software updates : * * check for and install any available software updates, as they may include fixes for potential software bugs that could affect temperature readings. - * * environmental optimization : * * ensure that the device is operating within an appropriate temperature range and other environmental specifications to minimize the impact of external factors on temperature readings. - * * user training and adherence : * * educate users on proper handling and calibration techniques for the device to minimize the risk of user error @topic:20


# # # issue the provided input indicates that a bed, specifically a huntleigh contoura 390 electric bed, is not functioning properly. the issue is that the bed is unable to adjust, which affects its functionality and patient care. # # # impact the inability of the bed to adjust has several negative impacts : - * * patient discomfort : * * patients may experience discomfort if they cannot adjust the bed to a comfortable position. - * * impaired patient care : * * the inability to adjust the bed can hinder healthcare providers from providing proper care, such as examinations, treatments, or repositioning. - * * increased risk of accidents : * * a malfunctioning bed can increase the risk of accidents, such as falls or injuries, for both patients and healthcare staff. # # # possible causes based on the provided information, the following possible causes for the failure of the bed to adjust could be considered : - * * mechanical failure : * * issues with the bed's mechanical components, such as motors, gears, or cables, can prevent it from adjusting. - * * electrical failure : * * faulty electrical connections, damaged wiring, or a malfunctioning remote control can disrupt the power supply to the bed, preventing it from adjusting. - * * control system error : * * problems with the bed's control system, including software or firmware issues, can lead to the malfunction of the adjustment mechanisms. - * * other factors : * * external factors, such as power outages, voltage fluctuations, or environmental conditions ( e. g., moisture, dust ), could also contribute to the bed's failure to adjust. # # # recommendations to resolve the issue and ensure the proper functioning of the bed, the following recommendations can be made : - * * thorough inspection : * * conduct a comprehensive inspection of the bed, including mechanical, electrical, and control @topic:1


# # # issue - scanner is not powering on - scanner is not charging # # # impact - unable to use scanner - loss of patient data # # # possible causes - defective charging unit - faulty scanner battery - loose or damaged charging port - scanner motherboard failure # # # recommendations - inspect charging unit for damage or loose connections - replace scanner battery if necessary - clean charging port - contact manufacturer for further diagnosis and repair @topic:23


checks. page 2 - 30 careassist® and careassist® es bed service manual ( man330 rev 4 ) 2. 14 scale error 1 chapter 2 : troubleshooting procedures 2. 14 scale error 1 careassist® and careassist® es bed service manual ( man330 rev 4 ) page 2 - 31 2. 15 scale error 2 chapter 2 : troubleshooting procedures 2. 15 scale error 2 page 2 - 32 careassist® and careassist® es bed service manual ( man330 rev 4 ) 2. 16 scale error 3 chapter 2 : troubleshooting procedures 2. 16 scale error 3 careassist® and careassist® es bed service manual ( man330 rev 4 ) page 2 - 33 2. 17 scale error 5 chapter 2 : troubleshooting procedures 2. 17 scale error 5 page 2 - 34 careassist® and careassist® es bed service manual ( man330 rev 4 ) 2. 18 scale error 0 — c model and newer beds chapter 2 : troubleshooting procedures 2. 18 scale error 0 — c model and newer beds careassist® and careassist® es bed service manual ( man330 rev 4 ) page 2 - 35 2. 19 scale error 1 — c model and newer beds chapter 2 : troubleshooting procedures 2. 19 scale error 1 — c model and newer beds page 2 - 36 careassist® and careassist® es bed service manual ( man330 rev 4 ) careassist® and careassist® es bed service manual ( man330 rev 4 ) page 2 - 37 2. 21 scale error 3 — c model and newer beds chapter 2 : troubleshooting procedures 2. 21 scale error 3 — c model and newer beds page 2 - 38 careassist® and careassist® es bed service manual ( man330 @topic:9


# # # issue - bed cannot be adjusted in height # # # impact - patient discomfort - difficulty in providing care - increased risk of falls # # # possible causes - control box or shock absorbers came loose from the locking mechanism # # # recommendations - * * verify * * that the control box and shock absorbers are properly installed and locked into place. - * * tighten * * any loose bolts or screws. - * * replace * * any damaged or worn - out components. - * * test * * the bed's functionality to ensure that it is operating properly. @topic:1


which does not fit on the first screen. when an infusion system is connected the data is presented differently. the data from each pump is displayed in a horizontal frame in the window. data from several infusion pumps can be displayed. to see a detailed information window for one of the pumps, you can select data for that pump on thscreen or select the more data pop - up key. 392 2 intellibridge using screens with external device data your monitor may be configured to show external device data permanently on the screens. select the device data window to display the pop - up keys that let you access the setup menu and make changes. alarms / inops from external devices the intellibridge module / interface board itself generates inops, but does not generate alarms. if the external device's alarms are on, the module / interface board transmits these to the monitor. a message in the external device data window tells you either device alarms ignored or device alarms accepted or no alarms available. external device alarms status symbols precede some, but not all, ls. the monitor is configured to accept external device alarms, but the alarms are switched off at the external device. alarms from external devices are transmitted to the monitor. for all numerics configured in the setup menu, an alarm condition is announced at the monitor. for one or more measurements not configured in the setup menu, an alarm is announced as a text message for the highest priority alarm. priority is determined at the external device. refer to the documentation supplied with the intellibridge ec5 id module for details of how alarms are announced on the monitor and the information center. inops from the intellibridge module / interface board inop text inop condition communication has been lost to a connected device when!! no device data!!! no device data!! a medium priority inop or patient alarm was present -!!! a @topic:10


# # # issue - intermittent saturation value monitoring # # # impact - inaccurate patient monitoring - incorrect medical diagnosis - prolonged hospital stays # # # possible causes - faulty or damaged pulse oximeter cable - loose connection between pulse oximeter sensor and patient - poor signal quality due to patient movement or low perfusion - interference from other electronic devices - patient positioning or anatomy affecting signal transmission - malfunctioning pulse oximeter device # # # recommendations - replace the pulse oximeter cable - ensure proper connection between sensor and patient - improve signal quality by repositioning the patient or minimizing external interference - check for and eliminate any possible sources of interference - inspect and calibrate the pulse oximeter device to ensure it is functioning properly @topic:4


# # # issue - spo2 hp may be inaccurate # # # impact - incorrect patient monitoring # # # possible causes - cuff not properly seated - cuff is too loose or too tight - cuff bladder is damaged - sensor is not properly connected - calibration is not performed correctly # # # recommendations - ensure that the cuff is properly seated on the patient's finger. - adjust the cuff to a snug fit, without being too tight or too loose. - inspect the cuff bladder for any damage. - ensure that the sensor is properly connected to the monitor. - repeat the calibration procedure according to the manufacturer's instructions. @topic:4


# # # issue - bed alarm malfunctioning due to worn - out jack # # # impact - increased risk of patient falls or other accidents due to lack of bed alarm functionality # # # possible causes - prolonged use of bed - frequent insertion / removal of bed alarm plug - exposure to moisture or other environmental factors # # # recommendations - replace the worn - out jack with a new one - use a bed alarm with a more durable jack - implement regular maintenance and inspection of bed alarms to prevent future failures @topic:26


# # # issue - the physiologic monitor is not providing accurate readings. # # # impact - the patient's vital signs may not be accurately monitored. - this could lead to delayed or incorrect treatment. # # # possible causes - the cuff is damaged. - the cuff is not the correct size for the patient. - the cuff is not properly inflated. - the cuff is not connected to the monitor correctly. # # # recommendations - replace the cuff. - use the correct size cuff for the patient. - inflate the cuff to the correct pressure. - make sure the cuff is connected to the monitor correctly. @topic:5


# # # issue : - bed not adjusting # # # impact : - patient discomfort - difficulty providing care - delays in patient recovery # # # possible causes : - loose or damaged ac power cord - faulty control box - broken electrical plug # # # recommendations : - inspect ac power cord for damage or loose connections - test control box for proper functionality - replace electrical plug if damaged * * in this specific scenario, the cause of failure is identified as a loose ac power cord. * * the technician observed that the ac power cord had detached from the control box and the plug was broken. this caused the bed to be unable to adjust, as it was not receiving power. the technician replaced the ac power cord and the bed was able to function normally again. @topic:9


# # # issue the remote control for the electric bed ( hill - rom 900b ) is not functioning properly. # # # impact the patient may not be able to adjust the bed to a comfortable position, which could lead to discomfort or pressure sores. # # # possible causes - the remote control's batteries may be dead. - the remote control may be damaged. - the wiring between the remote control and the bed may be damaged. - the bed's control unit may be malfunctioning. # # # recommendations 1. check the remote control's batteries. if the batteries are dead, replace them. 2. inspect the remote control for any damage. if the remote control is damaged, it will need to be replaced. 3. check the wiring between the remote control and the bed. if the wiring is damaged, it will need to be repaired or replaced. 4. if the above steps do not resolve the issue, the bed's control unit may be malfunctioning. in this case, the control unit will need to be repaired or replaced. @topic:7


measurement of bispectral index ( bis ). co. / cco measurement of blood temperature within the specified accuracy / error limits. alarming on blood temperature limit violations. ecg measurement of heart rate within ±10 % or ±5 bpm, whichever is greater. alarming on asystole, or heart rate limit violation within specified delay time. detection of vfib and alarming on it. ecg - out signal delay < 35 msec. eeg measurement of spectral edge frequency, mean dominant frequency, peak power frequency, total power, as wed as the percentage of power in bands alpha, beta, theta and delta. 305 [ 10 specifications ] parameter essential performance invasive pressure measurement of systolic, diastolic and mean blood pressure within ±4 % or ±4 mmhg, whichever is greater, and pulse rate within ±10 % or ±5 bpm, whichever is greater. alarming on systolic, diastolic and mean blood pressure and pulse rate limit violations. nbp measurement of systolic, diastolic and mean blood pressure and pulse rate within specified accuracy / error limits. automatic cycling. alarming on systolic, diastohc and mean blood pressure limit violations. nmt measurement of train - of - four, post - tetanic - count, double burst and single - twitch stimulation responses. alarming on tof count limit violation. respiration measurement of respiration rate within specified accuracy / error limits. alarming on apnea and on respiration rate limit violation. respiratory gases ( co 2, o 2, n 2 o, anesthetic agents ) measurement of respiratory gases within the following measurement accuracy ranges : halogenated agent : ± ( 0, 2 % absolute + 15 % of reading ) c02 : ± ( 0, 43 % absolute + 8 % of reading ) nitrous oxide : ± @topic:8


# # # issue - equipment not functioning properly # # # impact - patient care may be affected # # # possible causes - control box malfunction # # # recommendations - the control box should be inspected and repaired or replaced as necessary. - test the equipment to ensure that it is functioning properly before it is put back into use. - ensure that the equipment is calibrated and maintained according to the manufacturer's instructions. @topic:12


* * issue : * * keypad is damaged. * * impact : * * the bed's functionality may be impaired, preventing patients from adjusting their positions or accessing essential controls. * * possible causes : * * * * * wear and tear : * * prolonged use of the keypad can lead to mechanical fatigue and degradation of its components. * * * accidental damage : * * accidental dropping or impact on the bed can damage the keypad. * * * electrical fault : * * short circuits or voltage fluctuations can damage the keypad's electrical components. * * * design defect : * * poor design or manufacturing flaws could lead to premature keypad failure. * * recommendations : * * * * * regular maintenance : * * perform preventive maintenance checks to inspect the keypad and identify any potential issues early on. * * * careful handling : * * avoid rough handling of the bed to prevent accidental damage to the keypad. * * * use surge protectors : * * protect the bed from voltage fluctuations and power surges that could damage the keypad. * * * contact manufacturer : * * if the keypad failure is persistent or the cause cannot be identified, contact the equipment manufacturer for support and guidance on repairs or replacement. @topic:25


# # # issue : - faulty spo2 sensor - device malfunction # # # impact : - inability to monitor oxygen saturation levels - compromised patient care # # # possible causes : - wear and tear of the spo2 cable due to normal usage - manufacturing defect in the mindray no. 2 device # # # recommendations : - replace the faulty spo2 sensor with a new one - verify the functionality of the mindray no. 2 device according to the manufacturer's specifications - regularly inspect medical equipment for signs of wear and tear - train personnel on proper handling and maintenance of medical devices @topic:4


9 recorder, a - 7 speaker, a - 6 sp0 2 processing, a - 8 system overview, a - 2 temperature, a - 9 tools required for repairing monitors, 8 - 2 trend display timeout setting, 5 - 11 troubleshooting, 7 - 1 - 7 - 33 ac power, 7 - 6 audible alarms, 7 - 9 bench repair, 7 - 2 c0 2 readings, 7 - 11 continuous temperature readings, 7 - 10 diagnosing problems, 7 - 3 ecg readings, 7 - 12 front panel, 7 - 8 introduction, 7 - 2 nbp, 7 - 9 pt readings, 7 - 10 recorder, 7 - 13 respiration readings, 7 - 12 sp0 2 readings, 7 - 11 support strategies, 7 - 2 temperature measurement problems, 7 - 10 unit exchange, 7 - 2 u unit exchange, troubleshooting, 7 - 2 unpacking, 2 - 2 upgrades software, performing, 5 - 11 y values alarms, setting, 5 - 13 verification tests alarms, 6 - 6 c0 2 calibrating, 6 - 16 c0 2 gas measurement calibration, 6 - 14 c0 2 performance, 6 - 14 continuous temperature, 6 - 17 ecg synch performance, 6 - 8 ecg / respiration, 6 - 8 ibp, 6 - 13 nbp, 6 - 9 nbp accuracy, 6 - 9 nbp calibration, 6 - 11 nbp overpressure valve, 6 - 12 nurse call relay, 6 - 22 performing, 6 - 6 pneumatic leakage, 6 - 12 power - on self test, 6 - 6 predictive temperature, 6 - 16 safety, 6 - 17 sp0 2, 6 - 7 visual, 6 - 6 visual verification test, 6 - 6 w warning codes description, 7 - 14 index - 5 index - 6 @topic:10


# # # issue the medical cart's barcode scanner is not functioning properly. # # # impact this issue can impact the efficiency of various hospital operations that rely on barcode scanning for accurate identification and tracking of medical equipment. for example, it can delay the delivery of equipment to the needed locations or result in errors in medication administration. # # # possible causes - * * loose battery connection : * * the battery connection to the barcode scanner may be loose, causing intermittent or complete failure of the scanner. - * * defective barcode scanner : * * the barcode scanner itself could be malfunctioning due to hardware or software issues. - * * software issues : * * the software that controls the barcode scanner may have encountered a glitch or become corrupted, preventing the scanner from functioning correctly. - * * environmental factors : * * extreme temperatures or excessive moisture can affect the performance of electronic devices like barcode scanners. # # # recommendations to resolve the issue and prevent future failures, the following recommendations can be implemented : - * * tighten battery connection : * * check the battery terminals and ensure they are securely connected to the barcode scanner. if necessary, replace the batteries. - * * test barcode scanner : * * conduct thorough testing of the barcode scanner to identify any hardware or software issues. if the scanner is found to be defective, it should be repaired or replaced. - * * update software : * * regularly update the software that controls the barcode scanner to ensure it is operating with the latest version and has any necessary bug fixes. - * * monitor environmental conditions : * * ensure that the medical cart and barcode scanner are operated within the recommended environmental conditions, such as temperature and humidity ranges. @topic:23


# # # issue - device unable to measure oxygen saturation ( spo2 ) levels. # # # impact - inability to accurately monitor patient's oxygen levels, which could lead to delayed or inadequate medical intervention. # # # possible causes - * * spo2 probe cable damaged or disconnected. * * examine the cable for any visible damage or loose connections. - * * defective spo2 sensor. * * the sensor may be malfunctioning or no longer accurate. - * * equipment software or hardware failure. * * a problem with the monitor's software or hardware could prevent it from correctly processing spo2 data. - * * patient interference. * * the patient may be moving or fidgeting, which can interfere with the sensor's ability to detect spo2 levels. # # # recommendations 1. * * check the spo2 probe cable. * * ensure that the cable is securely connected to both the monitor and the patient's finger. replace the cable if any damage is found. 2. * * test or replace the spo2 sensor. * * use a test probe or replace the sensor with a new one to determine if the sensor is faulty. 3. * * inspect the equipment. * * check the monitor for any signs of damage or malfunction. if necessary, consult the manufacturer's instructions for troubleshooting steps. 4. * * monitor the patient's condition. * * observe the patient for any signs of distress or abnormal oxygen levels. if the patient's condition worsens, seek immediate medical attention. @topic:4


# # # issue - the monitor lcd is not displaying a 3d signal. # # # impact - this issue prevents the user from being able to view the 3d image. # # # possible causes - the mode composite is faulty. - the main monitor and sub monitor are not set to the correct 3d mode. # # # recommendations - replace the mode composite. - check the main monitor and sub monitor settings and ensure they are set to the correct 3d mode. @topic:2


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. 818 ( 106 ) nbp equip malfunc ( 106 ) unable to write init flag data to non - volatile memory. 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. 818 ( 107 ) nbp equip malfunc ( 107 ) unable to verify init flag data written to non - volatile memory. 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 - 12 suresigns vs4 service guide error codes code description possible cause action 818 ( 109 ) nbp equip malfunc ( 109 ) unable to write nbp configuration data to non - volatile memory. 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. 818 ( 110 ) nbp equip malfunc ( 110 ) unable to write nbp configuration data to non - volatile memory. 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. 818 ( 111 ) nbp equip malfunc ( 111 ) calibration data checksum error. @topic:22


invalid radio check the radio configuration. if the very low problem is still present, reset the configuration. adio to factory defaults. if threconfigure and try problem persists, check update and apply it. if still present, e the radio. invalid radio configuration. reconfigure and try in. 350013 check the radio configuration. if the very low problem is still present, reset the radio to factory defaults. if the problem persists, check for software update and apply it. if still present, ce the radio. not in eap mode. there is an internal software error on the monitor : attempt to configure settings that don't apply in current authentication mode radio invalid radio configuration. reconfigure and try. 350014 invalid inner eap method. there is an internal software error on the monitor : attempt to configure settings that don't apply in current authentication mode on radio check the radio configuration. if the very low problem is still present, reset the radio to factory defaults. if the problem persists, check for software update and apply it. if still present, eplace the radio. check for a software update and apply it. if still present, replace the adio. radio not functional. 350015 out of memory. there is an internal software error on the radio radio not functional. 350016 check for a software update and apply it. if still present, replace the radio. invalid log level. there is a software communication issue e radio certificate path too long. there is an internal software error on the radio. the radio has a fixed path length radio not functional. 50017 check for a software update and apply it. if still present, replace the radio. missing client certificate. the radio attempted to configure for an eap mode that requires a client certificate and no @topic:16


* * issue : * * medical cart screen displays " 1 % " * * impact : * * unable to use medical cart * * possible causes : * * * battery failure * loose connection between battery and cart * faulty display panel * software glitch * * recommendations : * * * check and replace battery if necessary * inspect and tighten connections between battery and cart * contact manufacturer for display panel repair or replacement * perform a software update or reset to resolve the glitch @topic:13


# # # issue the bed is not adjusting. # # # impact the patient cannot be properly positioned for treatment or care. # # # possible causes - the control box is faulty. - the motor is faulty. - the wiring is faulty. - the remote control is faulty. # # # recommendations - check the control box for any damage or loose connections. - check the motor for any damage or loose connections. - check the wiring for any damage or loose connections. - check the remote control for any damage or loose connections. - if any of the above components are found to be faulty, replace them. - once the faulty component has been replaced, test the bed to ensure that it is functioning properly. @topic:1


# # # issue - the bed's side rails are not locking into place when raised, causing them to fall down. # # # impact - this poses a safety risk to patients, who could fall out of the bed if the side rails are not raised and locked into place. # # # possible causes - the locking mechanism on the side rails may be damaged or worn out. - the side rails may not be properly aligned with the bed frame. - the weight of the patient may be too heavy for the locking mechanism to hold. # # # recommendations - inspect the locking mechanism on the side rails for damage or wear. if any damage is found, replace the locking mechanism. - check that the side rails are properly aligned with the bed frame. if they are not aligned, adjust them until they are. - if the patient is too heavy for the locking mechanism to hold, use a different type of bed that is designed to support heavier patients. @topic:6


# # # issue - battery replacement failure on philips suresigns vs2 + vital signs monitor. # # # impact - inability to accurately monitor patient vital signs, potentially leading to delayed diagnosis and treatment. # # # possible causes - incorrect battery type or voltage used. - improper battery installation or connection. - damaged battery or battery terminals. - faulty battery charger or charging system. # # # recommendations - ensure the correct battery type and voltage are used as specified in the manufacturer's instructions. - verify proper battery installation and secure connections. - inspect the battery and battery terminals for any damage or corrosion. - check the battery charger and charging system for any malfunctions or signs of damage. - if the issue persists, contact the manufacturer for technical support or consider replacing the battery or related components. @topic:11


# # # issue - equipment not functioning properly - unable to adjust the head of the bed # # # impact - patient discomfort - difficulty providing care # # # possible causes - faulty control box - electrical issues - mechanical problems # # # recommendations - replace the control box if necessary - check electrical connections and wiring - inspect mechanical components for damage or wear @topic:1


may be an internal hardware problem that requires further diagnostic testing and repair by a qualified biomedical engineer. @topic:12


# # # issue - broken remote control cable # # # impact - inability to remotely adjust the bed. # # # possible causes - wear and tear of the cable, possibly due to frequent use or improper handling. # # # recommendations - replace the remote control cable with a new one. - ensure proper handling of the cable to prevent further damage. - regularly inspect and maintain the bed and its components to identify any potential issues early. @topic:7


if you are using multi - lead monitoring ) for longer than 10 seconds, and if another lead is available, this available lead automatically becomes the primary lead. this is known as lead fallback. when the leads off condition is corrected, the leads are automatically switched back. this setting can only be changed in configuration mode. ecg lead placements the labels and colors of the ecg electrodes differ according to the standards that apply for your hospital. the electrode placement illustrations in this chapter use the aami labels and colors. electrode labels electrode colors aami easi iec aami iec ra i r white red la s l black yellow ll a f red green rl n n green black v e c brown white vi cl brown / red white / red v2 c2 brown / yellow white / yellow v3 c3 brown / green white / green v4 c4 brown / blue white / brown v5 c5 brown / orange white / black v6 c6 brown / violet white / violet 124 ecg lead placements 6 ecg, arrhythmia, st and qt monitoring standard 3 - lead placement standard 5 - lead placement 6 - lead placement for a 6 - lead placement use the positions from the 5 - lead diagram above but with two chest leads. the two chest leads, va and vb, can be positioned at any two of the vi to v6 positions shown in the chest electrode diagram below. the va and vb lead positions chosen must be selected in the ecg setup menu to ensure correct labeling. 125 6 ecg, arrhythmia, st and qt monitoring ecg lead placements chest electrode placement for accurate chest electrode placement and measurement, it is important to locate the fourth intercostal space. 1 locate the second intercostal space by first palpating the angle of lewis ( the little bony protuberance where the body of the sternum @topic:8


# # # issue - medical cart cannot boot into windows and is stuck on the bios screen. # # # impact - the cart cannot be used for its intended purpose, which may impact patient care. # # # possible causes - corrupted boot sector - damaged hard drive - loose or disconnected cables - bios settings that prevent the cart from booting from the hard drive # # # recommendations - * * check the boot order in the bios settings * * to ensure that the hard drive is set as the first boot device. - * * inspect the hard drive for any signs of damage * * and replace it if necessary. - * * reseat all cables * * connected to the hard drive and motherboard. - * * run a diagnostic test on the hard drive * * to check for errors or bad sectors. - * * restore the computer * * to a previous point in time when it was known to be working properly. - * * contact the manufacturer * * for support if the issue cannot be resolved by the above steps. @topic:13


# # # issue : bed unable to adjust head and foot sections # # # impact : patient discomfort, safety concerns # # # possible causes : - broken or damaged motor - electrical malfunction - mechanical obstruction - software glitch # # # recommendations : - inspect motor and electrical components for damage or loose connections - check for any obstructions or foreign objects that may be interfering with the adjustment mechanism - reset or update software if possible - contact manufacturer for support or replacement parts - in the meantime, use alternative methods to adjust the patient's position, such as manual controls or pillows @topic:1


# # # issue : - inability to use the lan cable on the philips suresigns vs2 monitor. # # # impact : - the monitor cannot be connected to the hospital network. # # # possible causes : - the lan cable is disconnected or damaged. - the network port on the monitor is damaged. - the network settings on the monitor are incorrect. - the hospital network is experiencing an outage. # # # recommendations : - check the lan cable and ensure it is securely connected to both the monitor and the network jack. - inspect the lan cable for any damage. - contact it support to verify the network is functioning properly. - check the network settings on the monitor and ensure they are correct. @topic:16


# # # issue - remote control not functioning properly # # # impact - patient may not be able to adjust bed position - nurse may not be able to adjust bed position - doctor may not be able to adjust bed position # # # possible causes - remote control not responding - remote control battery dead - remote control not paired with bed - remote control buttons not working - bed not functioning properly # # # recommendations - check remote control batteries - pair remote control with bed - clean remote control buttons - check bed function - replace remote control - replace bed @topic:7


# # # issue - motor failure. # # # impact - inability to use the bed electrically. # # # possible causes - motor burnout due to overload or excessive use - mechanical failure due to wear and tear or damage - electrical failure due to faulty wiring or components # # # recommendations - replace the motor and check for underlying issues such as excessive load or misalignment - inspect the bed for any mechanical damage or wear and tear and repair or replace as necessary - check the electrical wiring and components for any faults and repair or replace as necessary @topic:9


# # # issue - battery indicator shows low or no power. # # # impact - the device may not function properly or may shut down without warning. - this could lead to a delay in patient care or a loss of data. # # # possible causes - battery is loose or not properly seated. - battery is defective or has reached the end of its lifespan. - battery charger is not functioning properly. - device is not properly connected to a power source. # # # recommendations - * * check the battery. * * make sure that the battery is properly seated and that the terminals are clean. - * * replace the battery. * * if the battery is loose or not properly seated, replace it with a new battery. - * * test the battery charger. * * if the battery charger is not functioning properly, replace it with a new charger. - * * check the device's power connection. * * make sure that the device is properly connected to a power source. @topic:11


# # # issue - time displayed on the monitor is incorrect # # # impact - incorrect monitoring of patient data # # # possible causes - system clock is not set correctly - clock battery is dead - time zone is not set correctly - software glitch # # # recommendations - verify that the system clock is set correctly - replace the clock battery - ensure that the time zone is set correctly - contact the manufacturer for software updates @topic:29


* * issue : * * bp measurement is higher than normal * * possible causes : * * - cuff is too small for the patient's arm - cuff is not applied properly - patient is anxious or in pain - equipment is not calibrated properly - equipment is malfunctioning * * recommendations : * * - check the size of the cuff and make sure it is appropriate for the patient's arm. - apply the cuff properly, following the manufacturer's instructions. - calm the patient and make sure they are comfortable. - calibrate the equipment according to the manufacturer's instructions. - if the equipment is still not working properly, contact the manufacturer for service. @topic:3


##er 1 separate the front and back half of the monitor as described above. 2 remove the main board as described above 3 remove the white plastic frame from the monitor rear chassis by releasing the five snaps in the rear chassis. you can use a flat - tipped screw driver to do this. reassembly note : make sure the white frame snaps into place when reinserting. n bottom edge of housing 4 remove the two screws securing the loudspeaker and pull out the speaker along with its housing. 141 5 repair and disassembly removing the loudspeaker 5 remove the four screws to remove the speaker housing. reassembly note : when reinserting the speaker into its housing, make sure that the cables are pointing upwards. 142 changing the serial number plate 5 repair and disassembly changing the serial number plate in case the white plastic frame needs to be exchanged, the serial number plate needs to be removed and attached to the new frame. to remove the plate : 1 separate the front and back half of the monitor as described above. the serial number plate is located inside the white plastic frame. 2 insert a flat - headed screwdriver and bend the plastic spring to the left as shown in the diagram below. 143 5 repair and disassembly exchanging the battery door 3 hold the plate with the other hand and move the right side out. the other side can be removed from the front. exchanging the battery door the battery door must be exchanged if the the symbol should look like this : symbol is not printed on it. the battery door with 1 open the battery door. 144 exchanging the battery door 5 repair and disassembly 2 using a screwdriver, push the two pins inwards to release the battery door. 3 insert the new battery door and push the two pins outwards to secure it. 145 5 repair and disas @topic:19


# # # issue : - medical cart's computer is unable to boot into windows. # # # impact : - the medical cart cannot be used for patient care. # # # possible causes : - corrupted operating system - hardware failure ( e. g., motherboard, hard drive ) - power supply issue - bios settings incorrect # # # recommendations : - * * check bios settings : * * ensure that the bios settings are correct and that the computer is set to boot from the hard drive. - * * run diagnostics : * * perform diagnostic tests on the computer's hardware to identify any potential failures. - * * reinstall operating system : * * if the operating system is corrupted, reinstall the operating system. - * * replace hardware : * * if a hardware component is faulty, replace the component. - * * contact manufacturer : * * if the issue cannot be resolved, contact the manufacturer of the medical cart for further assistance. @topic:13


# # # issue - equipment : bed, electric - brand : huntleigh - model : contoura 390 - description : the biomedical engineer ( bme ) found that the power cord was broken. the bme spliced the power cord and tested the bed, and it is now working properly. - cause of failure : the bed is not adjustable. # # # impact - the bed cannot be adjusted to the desired height or position, which can make it difficult for patients to get in and out of bed, or for caregivers to provide care. # # # possible causes - the power cord is not properly connected. - the power cord is damaged. - the bed's motor is not working properly. - the bed's control panel is not working properly. # # # recommendations - check the power cord to make sure that it is properly connected. - if the power cord is damaged, replace it. - if the bed's motor is not working properly, replace it. - if the bed's control panel is not working properly, replace it. @topic:9


# # # issue - spring has come loose. # # # impact - the bed may not be able to be raised or lowered properly. this could pose a safety hazard for patients and staff. # # # possible causes - the spring may have become detached from its mount due to wear and tear. - the spring may have been damaged due to excessive force being applied to the bed. - the spring may have been installed incorrectly. # # # recommendations - the spring should be reattached to its mount. - the bed should be tested to ensure that it is functioning properly. - the bed should be inspected regularly to identify any potential problems. - the technician should receive training on how to properly install and maintain the bed. @topic:6


# # # issue - the bed can only be lowered on one side. # # # impact - the patient may be at risk of falling out of the bed. # # # possible causes - the following are possible causes of this issue : - the bed's motor is not working properly. - the bed's control panel is not working properly. - the bed's sensors are not working properly. - the bed's frame is damaged. # # # recommendations - the following are recommendations for troubleshooting this issue : - check the bed's motor to make sure that it is working properly. - check the bed's control panel to make sure that it is working properly. - check the bed's sensors to make sure that they are working properly. - check the bed's frame for any damage. - if the issue cannot be resolved, contact the bed's manufacturer for assistance. @topic:1


# # # issue the bed is making a loud noise when it is adjusted. # # # impact the noise may be disruptive to patients and staff. it may also make it difficult for patients to get a good night's sleep. # # # possible causes - the bed is not properly lubricated. - the bed is not properly aligned. - the bed is overloaded. - the bed is damaged. # # # recommendations - lubricate the bed according to the manufacturer's instructions. - align the bed according to the manufacturer's instructions. - reduce the weight on the bed. - inspect the bed for damage and replace any damaged parts. @topic:9


# # # issue " opened device cannot be turned on " error message appears. # # # impact inability to monitor vital signs of patients. # # # possible causes - battery depletion - loose battery connections - faulty power supply - software malfunction - hardware failure # # # recommendations - check battery level and replace if necessary. - ensure battery connections are secure. - inspect power supply for damage or loose connections. - restart the device to clear any software glitches. - if the issue persists, contact a qualified biomedical engineer for further diagnosis and repair. @topic:11


- 1 in this chapter - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8 - 1 tools required for service... - - - - - - - -.... 8 - 2 monitor disassembly - - -.... 8 - 2 repairing the monitor without disassembly - - - - - - - - - - -. - - - - - - 8 - 3 removing the suresigns vm 6 / vm 8 bed rail hook assembly - - - - - - - - - 8 - 3 removing the battery - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8 - 4 installing the battery - - - - - -... 8 - 5 removing a power connector fuse. - - - - - - - - - - - - - - - 8 - 7 removing the suresigns vm4 temperature module - - - - - - - - - - - - - - 8 - 8 removing the suresigns vm 8 c0 2 module - - - - - - - - - - - - - - - - - - 8 - 9 disassembling the monitor for repairs - - - - - - - - - - - - - - - - - - - - - - - - - - - 8 - 10 contents - 3 separating the front and rear case assemblies - - - - - - - -. 8 - 10 when assembling the front and rear cases - - - - - - - - - - - - - - 8 - 14 removing the main pcb assembly. - - - - - - - - - - - @topic:19


# # # issue - cuff is damaged. # # # impact - the monitor may not be able to accurately measure vital signs. # # # possible causes - the cuff may have been torn or punctured. - the cuff may be too small or too large for the patient. - the cuff may not be properly inflated. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. - properly inflate the cuff. @topic:5


# # # issue - bed exit alarm not sounding # # # impact - patients may exit the bed without staff being alerted, increasing the risk of falls and injuries. # # # possible causes - loose or disconnected wiring - faulty alarm unit - software malfunction # # # recommendations - inspect all wiring connections and ensure they are secure. - test the alarm unit by manually triggering the alarm. - update the software if necessary. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:26


types ( m3012a, m3014a, m3015a, m3016a ). dual link bar — a msl connector = ) ( msl flex cable inside the dual link bar ) top cover — — — — 777 > a e n j 165 in ar exchange procedures note please follow the disassembly and reassembly steps closely. tools required : a thin - bladed screwdriver and a thick - bladed screwdriver, esd mat and wrist strap warning - do not open the mse while it is connected to a monitor. - parts inside the instrument may be contaminated with bacteria. protect yourself from possible infection by wearing examination gloves during this procedure. note once you have reassembled the mse, you must perform a performance check on it. please refer to the sections " maintaining the instrument " and " testing the instrument ". removing the front cover 1. position the thin - bladed screwdriver in the small slot provided for this purpose. the front cover ( bezel ) then clicks away from the extension. remove the front cover note there might be a slight resistance when you remove the front cover. 166 ape removing the mounting pin 1. position the mse on the dual link bar with the measurement connector hardware facing upwards and the arm of the dual link bar away from you. there are four long mounting pins threaded into the mse in each of the four corners under the cover. locate the heads of the two long mounting pins on the top housing and only remove these. 2. usethe thin - bladed screwdriver to lift the pins gently out far enough so they can be removed manually. 3. remove the two pins and set them aside for refitting. note without these long mounting pins the mse will not function properly. 167 ink bar removing the dual link bar the dual link bar consists of three parts as shown below. @topic:19


/ adapter cables for philips and nellcor sensors m1941a extension cable ( 2 m ) yes yes for use with philips reusable sensors and adapter cables. m1943a adapter cable ( 1. 1m cable ) yes no adapter cable for philips / nellcor disposable sensors. m1943al adapter cable ( 3 m cable ) yes no 390 sp0 2 accessories 37 accessories product number description compatible with : comments opt. a01 opt. a02 m1943nl oximax adapter cable ( 3 m cable ) no yes adapter cable for philips disposable / nellcor disposable and reusable sensors. oc - 3 adapter cable for oxicliq sensors yes yes available from nellcor only. product number description compatible with : philips part number opt. a01 opt. a02 masimo lnop reusable sensors. lnop dc - i adult finger sensor ( > 30 kg ) yes no 989803140321 lnop dc - ip pediatric finger sensor ( 10 - 50 kg ) yes no 989803140331 lnop yi multi - site sensor ( > 1 kg ) yes no n / a lnop tc - i ear sensor ( > 30 kg ) yes no 989803140341 masimo lncs reusable sensors. lncs dc - i adult finger sensor ( > 30 kg ) yes no 989803148281 lncs dc - ip pediatric finger sensor ( 10 - 50 kg ) yes no 989803148291 lncs tc - i ear sensor ( > 30 kg ) yes no 989803148301 masimo lnop disposable adhesive sensors. lnop adt adult sensor ( > 30 kg ) yes no 98 @topic:8


# # # issue the bed is not adjusting. # # # impact the patient cannot be positioned correctly for treatment or comfort. # # # possible causes - the remote control is not working. - the bed motor is not working. - the bed frame is damaged. - the bed is not properly connected to the power supply. # # # recommendations - inspect the remote control for damage. - check the connection between the remote control and the bed. - inspect the bed motor for damage. - inspect the bed frame for damage. - check the connection between the bed and the power supply. @topic:1


# # # issue the electric bed ( beds, electric ; brand : hill - rom ; model : care assist es ) is reported to be unable to adjust. # # # impact patients may not be able to be positioned comfortably or safely. # # # possible causes - the bed's motor or control unit may be malfunctioning. - the bed's power supply may be interrupted. - the bed's control panel may be damaged. - the bed's sensors may be misaligned. # # # recommendations - check the bed's power supply to ensure that it is functioning properly. - inspect the bed's motor and control unit for any signs of damage or malfunction. - check the bed's control panel for any signs of damage or malfunction. - check the bed's sensors to ensure that they are properly aligned. - if the bed is still not functioning properly, contact the manufacturer for further assistance. @topic:9


* * issue : * * remote control for adjusting the patient bed is not functioning. * * impact : * * patient discomfort and difficulty for healthcare providers to adjust the bed. * * possible causes : * * * * * battery failure : * * the remote control may have low or depleted batteries, preventing it from transmitting signals to the bed. * * * electrical fault : * * there may be a fault in the wiring or circuitry within the remote control, causing it to malfunction. * * * receiver malfunction : * * the receiver unit on the bed that receives signals from the remote may be faulty, preventing it from responding to adjustments. * * * software issue : * * a software bug or glitch in the remote control or bed system may be interfering with communication. * * * mechanical damage : * * the remote control may have sustained physical damage, such as impact or water damage, affecting its functionality. * * recommendations : * * * * * check batteries : * * replace the batteries in the remote control to ensure a power supply. * * * inspect wiring : * * check the wiring connections between the remote control and the bed to ensure they are secure and undamaged. * * * troubleshoot electrical issues : * * if electrical faults are suspected, contact a qualified electrician for further diagnosis and repair. * * * update software : * * check for any available software updates for both the remote control and the bed system. install updates to address any potential software bugs. * * * assess mechanical damage : * * if physical damage is evident, such as cracks or water ingress, the remote control may need to be replaced. @topic:7


# # possible cause of failure : - faulty or damaged power supply - loose or corroded electrical connections - internal component failure ( e. g., relay, capacitor, transformer ) - software or firmware issues - interference from external electromagnetic sources - excessive voltage or current fluctuations # # recommendations : - inspect and test the power supply and electrical connections. - perform diagnostic tests to identify faulty components. - update or reinstall software or firmware if necessary. - shield the device from external electromagnetic interference. - ensure proper voltage and current regulation. - replace failed components as needed. - monitor the device's performance regularly to prevent recurrence of the issue. @topic:12


# # # issue - user is unable to send vital signs data through the vsm system and is unable to set up interval monitoring for nibp and spo2. # # # impact - delays in patient care due to manual data entry and lack of real - time monitoring. # # # possible causes - insufficient training or knowledge of the vsm system and interval monitoring settings. - misconfigured device or software. - hardware or software malfunction. # # # recommendations - * * retrain users * * on the proper use of the vsm system and interval monitoring settings. - * * verify device configuration * * and ensure compatibility with the vsm system. - * * check for software updates * * and install any necessary updates. - * * inspect hardware components * * for damage or loose connections. - * * perform diagnostic tests * * on the device to identify any underlying issues. - * * contact the device manufacturer or a qualified biomedical engineer * * for further assistance if the issue persists. @topic:22


# # # issue the medical cart's battery level is displaying - 1 %. # # # impact the medical cart may not be able to operate properly if the battery level is too low. # # # possible causes - the battery may be damaged or faulty. - the battery may not be properly connected to the medical cart. - the medical cart's charging system may be malfunctioning. # # # recommendations 1. inspect the battery for any damage or corrosion. if the battery is damaged, it should be replaced. 2. ensure that the battery is properly connected to the medical cart. 3. check the medical cart's charging system to ensure that it is functioning properly. if the charging system is malfunctioning, it should be repaired or replaced. @topic:13


- i neonatal softcare sensor ( patient size 1. 5 - nno nust use m1943nl maxfast no es oximax maxr no oximax sc - a yes yes no kgpre - term infant softcare sensor ( patienize < 1. 5 kg ) oximax sc - pr - i yes no oxisensor ii d - 25 adult sensor ( patient size > 30 kg ) must use m1943a o1943al adapter es no oxisensor ii d - 20 pediatric sensor ( patient size 10 - 50 kg ) es no cable. infant sensor ( patient size 3 - 20 kg ) oxisensor ii i - 20 es no oxisensor ii n - 25 neonatal sensor ( patient size < 3 kg or es no 40 kgoption a01 : use m1943a or m1943al adapter cable together with oc - 3 adapter cable. see oximax maxa es es see oximax maxp es es see oximax maxi see oximax maxn es m1943nl adapter cable together with oc - 3 adapter cable. oxiband oxi - a / adult / neonatal sensor ust use m1943nl yes no n oxiband oxi - p / i pediatric / infant sensor es no adult finger clip sensor ( patient size durasensor es no 40 kgds100a - 1 dura - y d - ys y - sensor yes no extension cables and adapter cables for philips and nellcor sensors product number description comments for use with philips eusable sensors and extension cable ( 2 m ) m1941a es no m1943a adapter cable. m1943a m1943al adapter cable ( 1. 1 m cable ) es no philips / nellcdisposable sensors. adapter cable ( 3 m cable @topic:8


# # # issue monitor not linking with central monitor # # # impact physicians and nurses cannot remotely monitor patient's physiological parameters from the central monitoring station. # # # possible causes * * configuration error * * - incorrect client ( cl ) address configured on the bedside monitor. * * network issue * * - connectivity issues between the bedside monitor and the central monitoring system. - firewall or security settings blocking communication between the devices. * * hardware failure * * - faulty network interface card ( nic ) or cable on the bedside monitor. - malfunctioning central monitoring system. # # # recommendations * * configuration error * * - refer to the manufacturer's instructions to set the correct cl address on the bedside monitor. * * network issue * * - check network connectivity between the bedside monitor and the central monitoring system. - verify that firewalls or security settings are not blocking communication between the devices. * * hardware failure * * - inspect the network interface card ( nic ) and cable on the bedside monitor for any damage or loose connections. - contact the manufacturer for service if the central monitoring system is suspected to be malfunctioning. @topic:16


* * issue : * * cause of failure in the given input to biomedical engineer. * * impact : * * the medical device is not functioning properly and may pose a risk to patient safety. * * possible causes : * * - the technician may have made a mistake during the repair of the device, which could have resulted in a loose connection or a damaged component. - the device may have been dropped or otherwise damaged, which could have caused the button to malfunction. * * recommendations : * * - the technician should re - inspect the device to ensure that all of the components are properly connected and that there are no damaged components. - if the technician is unable to identify the cause of the malfunction, the device should be sent back to the manufacturer for repair. @topic:12


# # # issue - the battery of the electric bed failed. # # # impact - the bed cannot be adjusted, which can affect the patient's comfort and safety. # # # possible causes - the batteries may have reached the end of their lifespan. - the batteries may have been damaged due to improper handling or storage. - the battery charger may be faulty. - the bed's electrical system may be faulty. # # # recommendations - replace the batteries with new ones. - check the battery charger and the bed's electrical system for any faults. - if the problem persists, contact a qualified biomedical engineer for further assistance. @topic:9


was too high for too long and the msl has been switched off. contact your service personnel. msl power overload inop tone. monitor the power consumption of the devices connected to the measurement link ( msl ) cable is much too high or there has been a short circuit. the msl has been switched off. contact your service personnel. nbp deactivated inop tone. nbp the nbp measurement label in the measurement device has been deactivated by deactivating the label in the measurement selection window. the measurement automatically disappears from the display. to switch the measurement on again, reactivate the measurement label in the measurement selection window. nbp equip malf numeric is replaced by -? - inop tone. nbp remove the cuff from the patient. the nbp hardware is faulty. contact your service personnel. you can silence this inop, but the inop message remains visible until the next measurement is started or the s top a11 smartkey is selected. nbp interrupted numeric is replaced by -? - inop tone. nbp check the tubing and cuff for leakages or kinks. check that you are using the correct cuff size and placement, and that the correct patient category is selected. try restarting the measurement. if the inop occurs repeatedly, contact your service personnel. you can silence this inop, but the inop message remains visible until the next measurement is started or the s top a11 smartkey is selected. this inop arises when the measurement needed longer than the maximum time for inflation, deflation or the total measurement. nbp measure failed numeric may be displayed with a -? - inop tone. nbp check that you are using the correct cuff size and placement, and that the correct patient category is selected. try restarting the measurement @topic:20


# # # issue - bed alarm error # # # impact - the bed alarm may not function properly, which could put the patient at risk. # # # possible causes - the connector bed alarm and connector nurse call were connected to the wrong channels. # # # recommendations - bio medical engineer should check the connector bed alarm and connector nurse call are connected to the correct channels. @topic:26


# # # issue - vital signs monitor is unable to send blood pressure ( bp ) data. # # # impact - clinicians will not have access to accurate and timely bp readings, which can delay or compromise patient care. # # # possible causes - * * communication issue between the monitor and the central station : * * this could be due to a loose or damaged cable, a software glitch, or a problem with the central station itself. - * * failure of the bp sensor : * * the sensor may be malfunctioning or may not be properly calibrated. - * * internal hardware problem within the monitor : * * a component failure or circuit board issue could be preventing the monitor from sending bp data. # # # recommendations - * * check the cable connections between the monitor and the central station : * * ensure that the cables are securely plugged in and not damaged. - * * restart the monitor and the central station : * * this can sometimes resolve software glitches. - * * calibrate the bp sensor : * * follow the manufacturer's instructions to calibrate the sensor to ensure accurate readings. - * * inspect the monitor for any loose connections or damaged components : * * if any problems are found, contact the manufacturer for repair or replacement. * * additional notes : * * - if the issue persists after following the above recommendations, it may be necessary to replace the monitor. - it is important to document the troubleshooting steps taken and the outcome of the repair. - regular maintenance and preventative inspections can help to prevent similar issues in the future. @topic:15


# # # issue - ekg cable failure # # # impact - patient monitoring data may be inaccurate or incomplete - patient safety may be compromised # # # possible causes - cable damage - loose connections - faulty equipment # # # recommendations - replace the ekg cable - inspect the cable for damage and replace as necessary - tighten the connections - test the equipment to ensure it is functioning properly # # # cause of failure - * * damaged ekg cable : * * the ekg cable was found to be damaged, which prevented it from transmitting accurate monitoring data. # # # additional notes - the technician replaced the damaged ekg cable with a new one. - the equipment was tested and found to be functioning properly. @topic:18


operation unit travel up or down 15. 7 " ( 400 mm ). upper and lower end of travel ( eot ) switches that are backed up to make sure of electrical security. the system does not require any special maintenance during its designed period of use. however, the columns can be replaced in the event of a failure, but should never be dismantled or repaired except by hill - rom personnel. casters the bed has four casters : three brake and one brake / steer. each caster has a 30° inclination activation mechanism and three positions : • brake caster — brake / neutral / neutral • steer caster — brake / neutral / steer the brake / steer caster is located on the left side, foot end. antistatic brake casters are standard for the remaining caster positions. they are identified by a yellow dot on the tire. braking the braking system comprises four brake casters that are controlled by the brake / steer bar. the bar consists of two hexagonal bars with a connecting bar situated in the right - hand box - section of the lower frame. the brake / steer bar is directly mounted on the foot end hexagonal bar of the bed. steering the left foot end caster is the steering caster. it is controlled by the brake / steer bar. head and footboards the headboard and footboard feature an extruded / blow - moulded plastic structure with chrome - plated steel clasps for assembly and decorative laminated panels. the headboard and footboard are interchangeable and can be used as a cpr backboard. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 3 - 3 electrical system ( a model beds ) chapter 3 : theory of operation electrical system ( a model beds ) the specifications of the bed are as follows : table 3 - 1. specifications description specification type careass @topic:26


* * issue : * * defective monitor due to damaged suction cups * * impact : * * inability to securely attach the monitor to the patient, compromising patient safety and monitoring accuracy. * * possible causes : * * * prolonged use without proper maintenance * physical damage ( e. g., accidental drops or impacts ) * ageing or material deterioration * improper cleaning or sterilization * * recommendations : * * * regularly inspect and clean the suction cups to prevent wear and tear. * handle the monitor with care to avoid accidental damage. * replace suction cups promptly if any signs of damage are observed. * ensure proper cleaning and sterilization procedures to maintain the integrity of the materials. * adhere to maintenance schedules to prolong the life of the suction cups. @topic:12


# # # issue - lid not popping out # # # impact - inability to access medical supplies # # # possible causes - solenoid coil is stuck - lubrication is insufficient # # # recommendations - replace the solenoid coil - apply wd - 40 to the solenoid coil for lubrication @topic:21


tcp02 ( desaturations ), and supporting the operator in visualizing apnea situations. adt the adt ( admit / discharge / transmit ) service maintains the patient demographics information. the operator may admit a new patient, discharge the old patient and enter or modify the patient demographics. the adt service also supports the transport of a patient ( trend database ) with the m3001a multi - measurement module. the adt service controls the deletion of old patient data, the upload of trend data from the m3001a and the switching back of all settings to user defaults. it also synchronizes patient information with a central station on the network. events the events application captures physiological data from episodes for later review and documentation purposes. events can be triggered automatically by an alarm condition, by user - defined conditions or manually by the operator. 26 2 theory of operation ) functional block description protocol watch protocolwatch allows the execution of pre - defined clinical protocols in the intellivue patient monitor by combining events such as automatically triggered events, time and manually triggered events with textbook knowledge thus aiding the operator to follow clinical guidelines. protocolwatch notifies the operator when certain combinations of clinical conditions occur and it documents the developments and clinician actions in a log which can be reviewed on the monitor and documented on a printer. calc param the calc param ( calculated parameters ) service accesses current, stored and manually entered physiological data as input to calculation formulas. with these formulas, derived hemodynamic, oxygenation and ventilation variables are computed. the calculation results, including the input parameters, are stored for later review using the trend service. heart mgr. the heart manager application allows the selection of the alarming source to be either heart rate ( from ecg ) or the system pulse rate. the system pulse rate can be chosen from any of the possible pulse @topic:8


# # # issue - central monitor not linking # # # impact - inability to monitor patient vital signs centrally # # # possible causes - server issues - incorrect ci address # # # recommendations - troubleshoot server issues - set the correct ci address in the device @topic:16


# # # issue - equipment : philips intellivue mp40 ( m8003a ) patient transport monitor - description : broken ekg cable resulting in asystole display on the monitor. # # # impact - inaccurate or misleading patient vitals displayed, potentially leading to incorrect medical decisions. - potential for patient harm due to delayed or inaccurate diagnosis. # # # possible causes - physical damage to the ekg cable, such as a cut or fraying. - loose or disconnected connections between the cable and the monitor or patient. - electrical interference or electromagnetic noise. # # # recommendations - replace the ekg cable with a new one. - inspect all cable connections to ensure they are secure. - check for any environmental factors that may be causing electrical interference. - regularly inspect and maintain the monitor and cables to prevent future failures. @topic:18


# # # issue : bed is not adjusting. # # # impact : the bed is not able to be used to provide care to patients. # # # possible causes : - the motor is not functioning properly. - the control panel is not working. - there is a problem with the wiring. - the bed is not properly assembled. # # # recommendations : 1. inspect the motor for any damage or loose connections. 2. check the control panel for any loose connections or damaged buttons. 3. inspect the wiring for any damage or loose connections. 4. ensure that the bed is properly assembled according to the manufacturer's instructions. 5. if the problem persists, contact the manufacturer for further assistance. @topic:1


# # # issue - equipment : patient monitor - band : welch allyn - model : propaq lt - description : ces found that the joint connected to the cuff was leaking. - ces replaced the old joint with a new one ( the old spare part was in good condition ) and tested the blood pressure measurement several times. it was found that the measurement was normal. # # # impact - unable to measure blood pressure - devices sent : charging dock, bp measuring cable, ekg, and o2 sat # # # possible causes - joint connection to the cuff is leaking ( ces has replaced a new joint ) - malfunction of the blood pressure measuring device - malfunction of the charging dock # # # recommendations - ces should further investigate the cause of the blood pressure measuring device malfunction. - ces should check the charging dock to ensure that it is functioning properly. @topic:14


reports basic arrhythmia 234 nellor oximax compatible | : masimo spo? algorithm | : lan & video output 9 » | a ze i : sere be toile > | > ze ecg. resp. nbp, spo2 t | | a o w to = + ee ta e ecg. resp, nbp, spo2 + ibp & temp ecg, resp, nbp, spo2 + co2 mmibo vel bole 2. p / t + microstream co2. 2x p / t + microstream co2 + wjt 2 ci ea 235 236 |.. [ add ibp & temp | — | add respironies co2 ready capability mmi conventional 12 - lead and ibp & temp 45. 2. a oem li al se a e tapp neonatal event review | | dmgcakultr | c05 ; | — | basic event surveillance — — — — — — | c06 | | [ time distribution bar graph ( histograms ) | — | conventional ] 2leadecg scc | | srtmap — — a — — os | [ full networking | _ _ | 4 - wavexds connectivity — ss x04 | | jo - wave xds connectivity — | x06 | | [ xdsremoteconzod ] o | x2 |. [ xds clinical workstation | [ built - in recorder | | rellstand with mounting plate cei? | [ jamislppad — ooo ooo y yi ls [ jcemimg9mp es ] mms mount e20 | [ bed hanger mount — — | e [ quick release mount o | e ] | — | protectivecover ce @topic:8


# # # issue - bme found that the bed's plug had deteriorated due to use. # # # impact - the bed could not be used. # # # possible causes - the plug was not properly maintained. - the plug was exposed to excessive heat or moisture. - the plug was damaged by physical impact. # # # recommendations - regularly inspect the bed's plug for damage. - keep the plug clean and dry. - avoid exposing the plug to excessive heat or moisture. - handle the plug with care to avoid damaging it. @topic:9


# # # issue - keyboard inputs are not corresponding to the displayed characters on the keyboard. # # # impact - difficulty or errors in data entry and documentation. - potential delays or interruptions in patient care. # # # possible causes - numlock is activated, causing the numeric keypad to be active instead of the alphabetic keys. - faulty or damaged keyboard hardware. - software or firmware issues that interfere with keyboard input. - loose or disconnected cables between the keyboard and the device. # # # recommendations * * immediate actions : * * - check if numlock is activated and turn it off if necessary. - swap the keyboard with a known - good one to test if the issue persists. - inspect the keyboard for any visible damage or loose connections. * * further troubleshooting and resolution : * * - update software or firmware drivers if available. - check device settings to verify that the keyboard input is correctly mapped. - if the issue persists with a different keyboard, consult with a biomedical engineer or vendor for further diagnosis and repair. @topic:27


##si value above 30 performance test iit communication test 1. make sure the lan cable is disconnected from the rear of the monitor, then switch on the monitor. 2. go into configuration mode and, in the network menu, set the rf access code in each profile to match your installation. 3. go into service mode. select main setup - > instr. telemetry to access the instrument telemetry service window. 4. proper installation of the iit module is assured by connecting to an access point over the wireless link. place the monitor with the iit module installed in close proximity to the access point ( e. g. if the access point is mounted on the ceiling, place the monitor directly below ). wait until the conn. status field in the instrument telemetry service window shows active. take the monitor approximately 5 m away from the access point. there should be no walls or other obstacles between the monitor and the access point. the following should apply : - observe the rssi ( received signal strength indicator ) value for at least 5 - 10 seconds. the rssi value should be around - 50 + 10 in a 5 m distance from the access point used and the iit link should be active, 1. e. the conn. status field should be active and the other fields should contain values. if the rssi value is significantly lower, check the distance to the access point and the antenna orientation at both the monitor and the access point ( both should be vertical ). - remove the antenna. the rssi value should be around - 90 + 10. the iit link may be active but the connection could be unreliable. the conn. status field may toggle between / nactive and seeking. if the difference between the rssi values measured with and without antenna is significantly lower, check the antenna and the antenna connector for damage and verify that the cable fom @topic:10


* * issue : * * wheeled medical device is difficult to move due to friction * * impact : * * - delays in patient care - reduced efficiency of healthcare staff - potential safety hazards for patients and staff * * possible causes : * * - * * bearing failure : * * worn or damaged bearings can create excessive friction between the wheels and the device, making it difficult to move. - * * wheel alignment issues : * * misaligned wheels can cause uneven weight distribution and increased friction. - * * lack of lubrication : * * insufficient lubrication can increase friction between moving parts. - * * corrosion : * * rust or corrosion on the wheels or bearings can create additional friction. - * * foreign objects : * * debris or other foreign objects caught in the wheels can hinder movement. * * recommendations : * * * * * inspection : * * regularly inspect the wheels and bearings for wear, damage, or misalignment. * * * lubrication : * * ensure adequate lubrication of all moving parts according to the manufacturer's recommendations. * * * bearing replacement : * * replace worn or damaged bearings promptly. * * * wheel alignment : * * adjust the wheel alignment if necessary to ensure proper weight distribution. * * * preventive maintenance : * * conduct regular preventive maintenance checks to identify and address potential issues before they cause equipment failure. * * * training : * * provide training to healthcare staff on proper handling and maintenance of wheeled medical devices. @topic:24


# # # issue - the medical cart is displaying an error message ( - 1 ). # # # impact - the medical cart cannot be used to transport or store medical supplies. # # # possible causes - hardware problem with the medical cart - software problem with the medical cart - user error # # # recommendations - reset the medical cart's hardware and software. - check the medical cart's cables and connections. - test the medical cart's functionality. - contact the medical cart's manufacturer for assistance. @topic:13


# # # issue - monitor lcd screen displays lines or distortions. # # # impact - inability to accurately view patient data and medical images. # # # possible causes - incompatibility between the monitor and the olympus labparlo lamp system. - electrical interference or electromagnetic compatibility ( emc ) issues. - faulty or damaged monitor cables or connections. - internal hardware or software problems within the monitor. # # # recommendations - verify the compatibility of the monitor with the olympus labparlo lamp system and ensure proper cable connections. - check for potential sources of electrical interference or emc issues, such as nearby medical equipment or power lines. - inspect the monitor cables and connections for any damage or loose connections. - update the monitor's software or firmware to the latest version if available. - contact the manufacturer for further troubleshooting and repair options. @topic:2


is positioned facing towards the bed and not outwards as shown in the following illustration. using the iv pole ( ad298a ) * * to adjust the height or angle of the iv pole : 3 2 ro using the iv pole ( ad299a ) * * to adjust the height or angle of the iv pole : 5 31 4 linen holder * a the linen holder must not be used to support luggage or as a seat, even for young children. do not sit or climb on the linen holder safe working load : 15 kg ". - = 15kg δ 1. the safe working load specifications allow for a substantial safety margin. the urine bags attached to my pins will not be taken into account in weighing. oxygen cylinder holder ( ac959a - ad101a - ad102a ) * * ( 1 ) safe working load : 15 kg ( " ( 1 ) the oxygen cylinder holder is designed to accept an oxygen cylinder and must only be fitted on the patient helper supports at the head end of the bed outside the sleep surface. it can be rotated through 80°. each type of holder corresponds to a cylinder model and must never be used with a different cylinder. see below. ac959a for cylinder model b5 ( 01 ) ad102a fcylinder model e ( 0100 ) ad101a cylinder model d ( 0100 ) 1. the safe working load specifications allow for a substantial safety margin. 194412 ( 13 ) - hill - rom 900 accella bed - instructions for use the following recommendations are designed to prevent any possible incidents so that this accessory can be used in optimum safety conditions for both the patient and nursing staff. check that the cylinder is correctly • positioned at the base of the cylinder holder. never use a different oxygen cylinder model from the model that is specified above ( danger of dropping the cylindeor interfering with @topic:9


# # # issue - bp ( blood pressure ) measurement failure on patient monitor. # # # impact - inability to accurately monitor patient's vital signs. - potential delays in diagnosis and treatment. - increased risk of patient harm. # # # possible causes - equipment malfunction ( e. g., faulty sensor, pump failure ) - electrical issues ( e. g., power surge, loose connections ) - software glitches - user error ( e. g., incorrect settings, improper handling ) # # # recommendations - * * immediate : * * - isolate the monitor from the patient and power source. - contact the manufacturer or a qualified biomedical engineer for assistance. - * * troubleshooting : * * - check for any loose connections or damaged wires. - verify that the sensor is properly attached to the patient. - check the monitor's settings to ensure they are correct. - * * repairs : * * - replace any faulty components or sensors. - update the monitor's software if necessary. - * * preventive measures : * * - regular maintenance and calibration of the monitor by qualified technicians. - train staff on proper operation and handling techniques. - implement a system for reporting and tracking equipment failures. @topic:15


# # # issue - equipment not functioning properly - unable to adjust the bed # # # impact - patient discomfort - delays in patient care - increased risk of injury to patients and staff # # # possible causes - loose wiring in the control box - malfunctioning electrical components - power supply issues # # # recommendations - inspect the wiring in the control box and tighten any loose connections. - test the electrical components to identify any malfunctions. - check the power supply to ensure that it is providing adequate voltage. - if the issue persists, refer the equipment to a qualified biomedical engineer for further diagnosis and repair. @topic:1


# # # issue the electrical cable of the beds, electric, band stiegelmeyer, model seta em4 device is exposed and the cable housing is damaged. # # # impact the exposed electrical cable poses a safety hazard to patients and staff. the damaged cable housing may also lead to electrical malfunctions or further damage to the device. # # # possible causes one possible cause of the exposed electrical cable and damaged cable housing is excessive wear and tear. the device may have been subjected to repeated bending or twisting of the cable, which can weaken the insulation and housing material over time. another possible cause is improper handling or storage, such as dropping the device or exposing it to excessive heat or cold. # # # recommendations to address this issue, the following recommendations are made : * replace the damaged electrical cable. * inspect the device for any other signs of damage or wear and tear. * train staff on proper handling and storage of the device to prevent future damage. * consider using a protective sleeve or conduit to protect the electrical cable from damage. @topic:24


# # # issue - remote control failure # # # impact - inability to operate the bed remotely # # # possible causes - * * remote control malfunction : * * the remote control may be defective or have a damaged circuit board, buttons, or other components. - * * battery depletion : * * the remote control may not have sufficient battery power to operate. - * * signal interference : * * radio frequency ( rf ) signals from other devices or environmental factors may interfere with the communication between the remote control and the bed. - * * misalignment of receiver : * * the receiver on the bed may be misaligned or damaged, preventing it from receiving signals from the remote control. # # # recommendations - * * replace remote control : * * if the remote control is malfunctioning, replace it with a new or refurbished unit. - * * check battery : * * ensure that the remote control batteries are fresh and have sufficient power. - * * eliminate signal interference : * * identify and remove any potential sources of rf interference, such as other wireless devices or electrical equipment. - * * inspect receiver : * * check the receiver on the bed for any misalignment or damage. if necessary, adjust the receiver or replace it if damaged. @topic:7


# # # issue - symptom : unable to adjust the head of the bed. - equipment : beds, electric - brand : hill - rom - model : care assist es230 # # # impact - patient discomfort and inconvenience. - potential delay in treatment or recovery. # # # possible causes - * * mechanical failure : * * - faulty motor or actuator - broken or jammed gears - worn or damaged components - * * electrical failure : * * - faulty wiring or connections - malfunctioning control panel - * * software glitch : * * - corrupted or outdated software - communication issues between components - * * user error : * * - incorrect assembly or operation of the bed # # # recommendations - * * troubleshooting : * * - check all electrical connections and wiring. - inspect the motor, actuator, gears, and other mechanical components for any damage or wear. - verify that the software is up to date and functioning properly. - * * repair : * * - if possible, repair or replace the faulty component ( s ) using manufacturer - approved parts. - * * calibration : * * - once the repairs are complete, calibrate the bed according to the manufacturer's instructions to ensure proper functionality. - * * training : * * - train staff on the proper use and maintenance of the bed to prevent future issues. - * * preventative maintenance : * * - schedule regular preventative maintenance checks to identify and address potential problems before they become major failures. @topic:1


# # # issue - broken ekg lead wire # # # impact - inability to monitor patient's electrocardiogram ( ecg ) - interruption of patient care # # # possible causes - physical damage to the lead wire, such as a cut or break - loose connections between the lead wire and the monitor or patient - defective lead wire # # # recommendations - inspect the lead wire for any visible damage. - check the connections between the lead wire and the monitor or patient to ensure they are secure. - if the lead wire is damaged, replace it with a new one. - if the connections are loose, tighten them. - if the lead wire is defective, contact the manufacturer for troubleshooting assistance. @topic:18


# # # issue - the medical cart failed to operate and was not able to be used. # # # impact - the failure of the medical cart may have caused delays in patient care or may have prevented the necessary medical care from being provided. # # # possible causes - the cause of the failure was identified as the machine shutting off. this could have been caused by a number of factors, including : - a power outage - a problem with the machine's power supply - a problem with the machine's internal components - a problem with the machine's software - a problem with the machine's user interface # # # recommendations - the following steps should be taken to prevent a similar failure from occurring in the future : - the power supply to the medical cart should be checked to ensure that it is adequate. - the medical cart's internal components should be inspected to ensure that they are functioning properly. - the medical cart's software should be updated to the latest version. - the medical cart's user interface should be checked to ensure that it is functioning properly. - the medical cart should be tested regularly to ensure that it is functioning properly. @topic:13


with various operations could occur ). prevent any impact when moving a bed equipped with a cylinder holder. if the cylinder holder does not allow the bed to go through a doorway, position the holder in front of the bed, otherwise lace it and the cylinder on the mattress • ( remember to put the holder in its normal position after moving the bed ). monitor stand ( ad244b ) * * safe working load : 15 kg " the monitor stand fits into the sockets at the foot of the bed. a when fitting the monitor, ensure that the folded table is located on the outer edge of the bed. the table must be folded away when he bed. if the bed is in trendelenburg or reverse trendelenburg, any devices must be placed on the monitor stand. 1. the safe working load specifications allow for a substantial safety margin. to fit a monitor stand : syringe - driver holder ( ac963a ) * * safe working load : 15 kg " do not position the accessory facing inwards, particularly under the hwhen it is raised, so as to prevent any risk of the accessory obstructing the head section or siderail when being handled. this accessory is designed to accept a syringe - driver and is fitted at the head end of the bed in the sockets provided. hold the tablet and loosen the knob, • position the tablet as required and then tighten the knob. • 2 3 traction frame using traction frames on beds fitted with a weigh system compromises the accuracy of the results of the weighing operation and of the bed exit alert detection. traction equipment can be installed at four points : two at the head end and two at the foot end. the caregivers must assess the patients to prevent them from becoming trapped or being asphyxiated when using the traction equipment. a follow the establishment's protocol applying to the disabling of the bed @topic:9


pressure > high press the measured pressure value is above the high alarm limit, s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit. numeric flashes, high limit is highlighted, yellow alarm lamp, alarm tone. * * * < pressure > low press the measured pressure value is below the extreme low alarm limit, s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit. numeric flashes and low limit is highlighted, red alarm lamp, alarm tone. * * < pressure > low press the measured pressure value is below the low alarm limit, s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit. numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone. * * pulse high press sp0 2 the pulse rate has exceeded the high alarm limit. numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone. * * pulse low press s p o 2 the pulse rate has dropped below the low alarm limit. numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone. * / * * pvcs / min high ecg / arrhythmia more premature ventricular contractions have been detected in a minute than the limit. numeric flashes, yellow alarm lamp, short yellow audible alarm. * * qtc high ecg / qt qtc value has exceeded the qtc high limit for more than 5 minutes numeric flashes, yellow alarm lamp, alarm tone. * * aqtc high ecg / qt aqtc value has exceeded the aqtc high limit for more than 5 minutes numeric flashes, yellow alarm lamp, alarm tone. * / * * r - on - t pv @topic:8


# # # issue - cuff leak on a patient monitor. # # # impact - inaccurate blood pressure readings. - inability to monitor patient's vital signs. # # # possible causes - damaged or loose cuff. - worn or deteriorated tubing. - faulty cuff gauge. # # # recommendations - replace damaged or loose cuff. - inspect and replace worn or deteriorated tubing. - calibrate cuff gauge according to manufacturer's instructions. @topic:3


# # # issue reduced image brightness # # # impact difficulty in viewing images # # # possible causes - backlight failure - inverter failure - display panel failure - software settings # # # recommendations - check the backlight and inverter for any signs of damage or failure. - inspect the display panel for any cracks or damage. - check the software settings to ensure that the brightness is set correctly. - contact the manufacturer for further troubleshooting and support. @topic:2


) to secure the switch ( b ) to the knee section ( d ). 8. do the “ function checks ” on page 2 - 5. page 4 - 62 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 21 head hilow column ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures 4. 21 head hilow column ( b model and newer beds ) tools required : 13 mm socket ratchet extension ( 2 ) jack stands t25 torx® 1 screwdriver t15 torx® screwdriver wire cutters antistatic strap removal 1. set the brakes. 2. remove the headboard. 3. raise the head section to the full up position. warning : do not work under an unsupported load. install appropriate supports. failure to do so could cause personal injury or equipment damage. 4. place the jack stands under the articulating frame. 5. lower the articulating frame onto the jack stands. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 6. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 7. remove the two screws ( a ) from the retainers ( c ) ( see figure 4 - 28 on page 4 - 64 ). 8. remove the retainers ( c ). 9. remove the three screws ( d ) that attach the power supply cover ( e ) to the power supply ( f ). 10. remove the power supply cover ( e ). 1. torx® is a registered trademark of acument intellectual properties, llc. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 63 4. 21 @topic:26


# # # issue the vsm system is not currently being used on the philips suresings vs4 monitor. # # # impact * the monitor cannot be remotely monitored or controlled. * this could lead to delayed or missed patient care. # # # possible causes * the vsm system is not properly configured. * the vsm system is not installed on the monitor. * the monitor is not connected to the network. # # # recommendations * recheck the vsm system configuration. * install the vsm system on the monitor, if it is not already installed. * connect the monitor to the network. @topic:22