# # # issue * * module breakage and case lock failure. * * # # # impact * * inability to use the medical device. * * # # # possible causes * * * electrical surge or power failure : * * this can cause the module to malfunction or break. * * * physical damage : * * the module or case may have been damaged due to rough handling or mishandling. * * * improper installation or maintenance : * * the module may not have been properly installed or maintained, leading to breakage. * * * manufacturing defect : * * the module or case may have a manufacturing defect that has caused the breakage. # # # recommendations * * * inspect the medical device for any visible signs of damage. * * * * * check the electrical connections and power supply to the device. * * * * * contact the manufacturer or a qualified technician to repair or replace the module or case. * * * * * follow the manufacturer's instructions for proper installation and maintenance of the medical device. * * * * * ensure that the device is used in a safe and appropriate environment. * * @topic:12


# # # issue : noise in line composite mode # # # impact : impaired image quality # # # possible causes : - * * faulty rca connector : * * corroded or damaged rca connector can cause noise interference in video signals. # # # recommendations : - * * replace rca connector : * * replacing the corroded or damaged rca connector with a new one should resolve the issue. - * * inspect and clean other connections : * * ensure that all other connections in the system, such as cables and ports, are properly connected and clean to minimize potential noise sources. @topic:2


# # issue - the cause of failure is not clearly stated. # # impact - the impact of the failure is not known. # # possible causes - the equipment may have been damaged during the move. - the equipment may have been improperly connected. - the equipment may have been turned on without being properly grounded. # # recommendations - the equipment should be inspected for damage. - the equipment should be properly connected. - the equipment should be turned on with proper grounding. - the cause of the failure should be determined and corrected. @topic:12


# # # issue - equipment is not functioning properly due to a remote control issue. # # # impact - may cause patient discomfort or delay in treatment. # # # possible causes - the remote control may be defective or damaged. - the remote control may not be properly paired with the bed. - the remote control may have a low battery. # # # recommendations - check the remote control for any visible damage. - replace the remote control if it is defective or damaged. - pair the remote control with the bed if it is not already paired. - replace the battery in the remote control if it is low. @topic:7


# # # issue - inability to measure spo2 ( oxygen saturation ). # # # impact - interruption in patient monitoring and inaccurate medical data. # # # possible causes - damaged or faulty spo2 sensor cable. - issues with the intellivue mx700 bedside monitor unit. - loose connections or improper installation of the sensor cable. - electrical interference from nearby devices. - patient movement or poor sensor placement. # # # recommendations - * * verify sensor cable integrity : * * inspect the spo2 sensor cable for any visible damage, cuts, or breaks. replace the cable if necessary. - * * check monitor unit : * * ensure that the intellivue mx700 bedside monitor unit is powered on and functioning properly. run self - diagnostic tests or consult the user manual for troubleshooting steps. - * * inspect connections : * * confirm that the sensor cable is securely attached to both the monitor and the patient's finger or earlobe. ensure that the connections are clean and free of any debris. - * * eliminate electrical interference : * * check for nearby devices or equipment that may be causing electrical interference. move the monitor or patient to a different location if possible. - * * assess patient positioning : * * ensure that the patient is still and that the spo2 sensor is properly placed on a clean area of the finger or earlobe. - * * contact the manufacturer : * * if the issue persists after trying the above recommendations, contact philips technical support for further assistance. @topic:4


# # # issue - * * cuff failure * * # # # impact - * * inability to accurately measure vital signs * * # # # possible causes - * * age - related deterioration of the cuff material * * - * * frequent use and wear and tear * * # # # recommendations - * * regular inspection and maintenance of the cuff * * - * * replacement of the cuff when it shows signs of wear or damage * * - * * use of high - quality cuffs that are designed for durability * * - * * avoid over - inflation or under - inflation of the cuff * * - * * train staff on proper cuff placement and handling techniques * * @topic:5


# # # issue the remote holder on the bed is loose. # # # impact the remote holder may break, making it difficult to use the bed. # # # possible causes - the remote holder is made of a weak material. - the remote holder is not properly attached to the bed. - the remote holder is being used incorrectly. # # # recommendations - replace the remote holder with a stronger one. - make sure the remote holder is properly attached to the bed. - instruct users on how to use the remote holder correctly. @topic:7


# # # issue * the bed is wobbling. # # # impact * this could lead to patient injury if the bed collapses. # # # possible causes * the nuts that secure the bed frame are loose. # # # recommendations * tighten the loose nuts. @topic:6


job - delete all repts to cancel all queued report printouts - scheduled rep. to toggle to of f and switch off scheduled reports. 332 setting up reports 27 printing patient reports setting up reports ecg report layout and auto reports settings must be defined in configuration mode. as the content of context - linked reports, such as cardiac output, calculations, and wedge, is defined by the content of the procedure window these reports do not need to be set up, however a target printer can be configured in the setup reports menu. the content you define in the individual setup reports menus will be used in all reports of this type : for example, if you set a print speed of 50 mm / sec in the ecg reports menu, every ecg report will be printed at this speed, irrespective of format. setting up ecg reports the settings you choose in the ecg reports menu apply for all ecg reports printed. to set up ecg reports, 1 select main setup - > reports - > ecg reports. note the report layout configured for your monitor, either internat. or cabrera. this setting is inactive ( “ grayed - out ” ) in monitoring mode and can only be changed in configuration mode. 2 select ecg gain and set the required ecg gain to define how ecg waves will appear on the ecg report printouts. 3 select speed and select the report print speed. 4 select annotation and toggle to on if the printed ecg wave should be annotated with beat labels or not. see the chapter on ecg for a list of beat labels. pace pulse marks are automatically printed beside the wave for paced patients. setting up vital signs and graphic trend reports the settings you choose in the vital signs report and graphical trend report menus apply for all vital signs and graphic trend reports printed. to set up vital signs and graphic @topic:8


# # # issue - brake detached from bed # # # impact - patient safety hazard - potential for bed to move unexpectedly # # # possible causes - wear and tear - improper use - manufacturing defect # # # recommendations - inspect brakes regularly for signs of wear or damage - train staff on proper use of bed - contact manufacturer for repair or replacement if brake is damaged @topic:6


# # # issue : bed lock button missing. # # # impact : the missing button prevents the locking mechanism from engaging, posing a safety hazard to patients and staff. # # # possible causes : - wear and tear : over time, heavy use of the lock button can cause it to become loose and fall off. - manufacturing defect : a defective component or inadequate assembly process may have resulted in a weak or improperly installed button. - accidental removal : the button may have been accidentally dislodged during cleaning, transportation, or handling. # # # recommendations : - * * replace the missing button : * * a qualified technician should promptly replace the missing button with a new one to restore the proper functioning of the locking mechanism. - * * inspect the locking mechanism : * * the entire locking mechanism should be thoroughly inspected to ensure it is operating correctly and no other components are damaged. - * * regular maintenance : * * establish a regular maintenance schedule to inspect and clean the bed, paying particular attention to moving parts and locking mechanisms to prevent similar issues in the future. - * * staff training : * * educate staff on the proper use and handling of the bed, emphasizing the importance of gently operating the lock button to avoid damage. @topic:6


# # # issue * device's battery indicator shows a red light. # # # impact * the battery may not be able to provide sufficient power to the device, resulting in reduced functionality or even complete failure. # # # possible causes * * * faulty battery : * * the battery may be defective or have reached the end of its useful life. * * * loose battery connection : * * the battery may not be properly connected to the device, preventing it from charging or providing power. # # # recommendations * * * check the battery : * * ensure that the battery is properly connected to the device. if necessary, replace the battery with a new one. * * * test the battery : * * use a battery tester or external power source to verify the battery's functionality. * * * inspect the device : * * check the device for any loose connections or damage that may affect battery functionality. * * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the device for further troubleshooting and support. @topic:11


# # # issue - monitor is displaying vital signs, but the display is flickering. # # # impact - clinicians will not be able to accurately monitor patient's vital signs. # # # possible causes - loose connection between the monitor and the patient's sensors. - faulty monitor display. - power supply issue. # # # recommendations - check the connections between the monitor and the patient's sensors. - if the connections are secure, then the monitor display may be faulty and needs to be replaced. - check the power supply to the monitor and make sure that it is providing the correct voltage and amperage. @topic:2


# # # issue - loose monitor lock platform # # # impact - monitor instability, potentially leading to safety hazards for patients and staff. # # # possible causes - loose or missing screws - worn or damaged components - improper installation # # # recommendations - tighten or replace loose screws - inspect and replace worn or damaged components - ensure proper installation and maintenance of the equipment @topic:12


# # # issue - spo2 sensor is not working # # # impact - inability to monitor patient's oxygen saturation levels, which is a critical vital sign. # # # possible causes - faulty spo2 sensor - loose or damaged cable connection - incorrect sensor placement on the patient - equipment software or hardware malfunction # # # recommendations - replace the spo2 sensor with a new one. - check the cable connections between the sensor and the monitor to ensure they are secure. - verify that the sensor is properly placed on the patient's finger or earlobe. - restart the monitor and perform a self - test to check for any software or hardware issues. - if the problem persists, contact the equipment manufacturer for further troubleshooting and repair. @topic:4


# # # issue the philips intellivue mp70 ( m8007a ) bedside physiologic monitor has been decommissioned due to unrepairable screen deterioration, per biomedical engineer ( bme ) inspection. # # # impact the monitor is no longer functional and cannot be used for patient monitoring. # # # possible causes - age and wear and tear - environmental factors ( e. g., temperature, humidity ) - improper use or handling # # # recommendations - replace the monitor with a new or refurbished unit. - ensure proper use and handling of medical devices to prevent future failures. - consider implementing a regular maintenance schedule to identify and address potential issues before they escalate into failures. @topic:2


the chest lead block from the trunk cable connector, the monitor will automatically recognize the new lead placement. remove individual leads by removing the electrodes. the monitor will issue a lead off inop message ; select new lead setup in the setup ecg menu and the inop message will disappear. • ecg lead fallback if fallback is configured on and there is a leads off inop in the primary lead ( and in the secondary lead, 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 colors electrode labels ec aami easi aami ec ra i r white red la s yellow l black ll a f red green rl n n green black c brown white v e hite / rc1 v1 39 6 ecg, arrhythmia, st and qt monitoring electrode labels electrode colors iec aami aami iec easi rown / yellc2 white / yellow v2 rown / grhite / grc3 v3 hite / brown c4 v4 brown / orange hite / blac5 v5 rown / violet v6 c6 white / violet standard 3 - lead placement ra place1 la placem2 3 40 6 ecg, arrhythmia, st and qt monitoring standard 5 - lead placement ra placem1 la placem2 3 v4 v placement : on the chest, the position epends on your required lead selection 5 4 @topic:8


# # # issue - spo2 cable failure causing inability to measure spo2 values # # # impact - inaccurate or missing vital sign monitoring data - delayed or improper medical intervention # # # possible causes - physical damage to the cable due to improper handling or storage - wear and tear from repeated use - loose or poorly connected cable - incompatible or defective cable # # # recommendations - inspect and replace damaged cables immediately - handle cables with care to prevent damage - ensure proper connection of cables at both ends - use cables that are compatible with the device and have passed safety inspections - consider using wireless spo2 monitoring to reduce the risk of cable failure @topic:4


reserved for maintenance must meet the iec 60950 - 1 requirements. contact our after sales service for any specific maintenance problem ( e. g., blockages, preventive maintenance a service manual and a catalog of spare parts are supplied on delivery, but can also be obtained on demand from hill - rom after - sales. hill - rom guarantees that the original functional parts or parts performing equivalent functions will remain available for 7 years after the corresponding range goes out of production. the product design life is validated on 10 years of normal use. the frequency of inspections must be adapted to the general condition of the product and it use, for example, if the bed is used by heavy patients. it is the responsibility of the facility to implement a preventive maintenance program for the bed's functions under its the bed and accessories should be inspected at least once a year to keep it in good condition and working properly. the following points should be given particular attention : movement mechanisms and cables ( actuators in particular ), • locking mechanisms ( head section, foot section, thigh section and autocontour ), • • bed movement and ancillary part bearings,. the condition of the electrical cables ( e. g., control pendant, power supply unit, combined mattress connecting cable ) in particular that they are not crushed or cut and thus could make contact with a metal part, earthing of the metal parts of the bed, protection of the ( can ) connector outside maintenance operation, siderails : check the play and the lock mechanisms ( condition. and working order ), weigh system and bed exit alerts system : frequency regarding national regulations. hill - rom approved supplier to inspect the actuators and the electrical systems in order to keep them in safe and good working order over time. depending on the maintenance operations and observations, the date of the next inspection must be recommended every time the device is serviced. batteries @topic:9


# # # issue - battery failure. # # # impact - the device may not function properly. # # # possible causes - the battery is old and has reached the end of its lifespan. - the battery has been damaged. - the battery is not compatible with the device. # # # recommendations - replace the battery with a new one. - check the device's compatibility with the battery. - inspect the battery for damage, and replace it if necessary. @topic:11


# # # issue - bp pump is slow # # # impact - delays in patient care - inaccurate bp readings # # # possible causes - software version mismatch - malfunctioning pump - occluded tubing - air in the system - incorrect cuff size # # # recommendations - ensure that the software version is up to date - inspect the pump for any signs of wear or damage - check the tubing for any kinks or blockages - bleed the system to remove any air - use the correct cuff size for the patient @topic:15


applied part signal parts ) in - and / or output other instrument ( * ) not present in class 2. ( * * ) can be multiple different connections to different equipment at same time. expected test results : ♦ normal condition maximum leakage current xl < loopa this measures leakage current of exposed metal parts of instrument under test ( iut ) and between parts of the system within the patient environment ; normal and reversed polarity using s2. safety test according iec 60601 - 1 / ul2601 - 1 s ( l ) part 2 : system enclosure leakage current - single fault ( open earth ) 60 expected test results : ♦ single fault maximum leakage current x2 < 500pa ( iec 60601 - 1 ) < 300pa ( ul2601 - 1 ) 3 testing and maintenance safety testing this measures leakage current of exposed metal parts of instrument under test ( iut ) with protective earth ( pe ) open circuit ( s4 = open ) and between parts of the system within the patient environment ; normal and reversed polarity using s2. s ( 2 ) protective earth continuity expected test results : ♦ with mains cable, maximum impedance x = 100 mohms ( iec 60601 - 1 and ul2601 - 1 ) this measures impedance of protective earth ( pe ) terminal to all exposed metal parts of instrument under test ( iut ), which are for safety reasons connected to the protective earth ( pe ). test current 25 amp applied for 5 to 10 seconds. s ( 3 ) patient leakage current - single fault condition ( s. f. c. ) mains on applied part expected test results : ♦ maximum leakage current, x = 50pa @ 250v ( iec60601 - 1 and ul2601 - 1 ) 61 3 testing and maintenance battery handling, maintenance and good practices measures patient leakage current from applied part to earth @topic:10


# # # issue - error bis unplugged # # # impact - the bis module is not functioning properly, which could lead to inaccurate patient monitoring. # # # possible causes - the bis module is not properly plugged into the monitor. - the lack of the monitor is damaged. - the bis module is malfunctioning. # # # recommendations - verify that the bis module is properly plugged into the monitor. - inspect the lack of the monitor for any damage. - if the bis module is still not functioning properly, replace the module. @topic:22


# # # issue - broken remote control cord - faulty control board # # # impact - inability to use the beds, electric equipment - patient discomfort or safety concerns # # # possible causes - physical damage to the remote control cord - electrical failure in the control board - manufacturing defects # # # recommendations - inspect and replace the remote control cord if damaged. - diagnose and repair or replace the control board as necessary. - consider regular preventive maintenance to prevent future failures. - ensure proper handling and storage of the equipment to minimize the risk of damage. @topic:7


# # # issue - cuff ( blood pressure cuff ) deterioration due to usage time. # # # impact - inaccurate blood pressure readings. # # # possible causes - normal wear and tear of materials such as rubber or nylon in the cuff. - prolonged exposure to heat, moisture, or chemicals. - improper storage or maintenance. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for any signs of damage or wear. - store the cuff in a cool, dry place when not in use. - follow the manufacturer's instructions for cleaning and calibration. @topic:3


# # # issue - the spo2 cable is deteriorated, causing the device to display a solid error light and fail to measure values. # # # impact - inaccurate or unavailable spo2 readings, which are essential for monitoring patient vital signs, can lead to delayed or inappropriate medical interventions. # # # possible causes - physical damage to the cable, such as kinks, cuts, or tears. - exposure to harsh environments, such as extreme temperatures or humidity. - normal wear and tear over time. # # # recommendations - * * replace the deteriorated spo2 cable * * with a new one of the same model ( m1191bl ). - * * inspect the cable regularly * * for any signs of damage and replace it if necessary. - * * handle the cable with care * * to avoid physical damage. - * * store the cable in a suitable environment * * to minimize exposure to extreme conditions. - * * train staff * * on proper handling and maintenance of spo2 cables to prevent future failures. @topic:4


function lockout management patient pendant or caregiver siderail control unit interfacing indication of bed not in low position ( see “ detection of bed not in low position ” on page 3 - 9 ) indication of bed connected to ac power but brakes not set ( see “ detection of bed connected to ac power but brakes not set ” on page 3 - 9 ) all of these functions are integrated into a complex programmable logic device ( cpld ). careassist® and careassist® es bed service manual ( man330 rev 4 ) page 3 - 7 electrical system ( a model beds ) chapter 3 : theory of operation patient pendant the patient pendant controls operate at 3. 3 v dc supplied by the main bed control and integrate three main principles : • filtering and amplification of inputs for electrostatic protection and signal formatting • multiplexing for the management of the controls • demultiplexing for the control of the indicators data from the controls and indicators are transmitted in series ( link type - spi ) so as to reduce the number of wires. the clock signal that starts these exchanges is controlled by the main bed control p. c board. all the data is sent in tens of milliseconds. when the system is in stand - by mode, the power is cut off and the clock signal is no longer controlled. the battery control is therefore directly wired so as to have continuous operation. motor characteristics for motor characteristics, see table 3 - 4 on page 3 - 8. table 3 - 4. motor characteristics and dimensions description hilow column motor head motor knee motor foot motor power 96 w ( x2 ) 120 w 84 w 84 w voltage 18 to 40 vdc 18 to 40 vdc 18 to 40 vdc 18 to 40 vdc intermittent service 10 % 3 min / 30 min 10 % 2 min / 18 min 10 % 6 min / 60 min 10 % 6 min @topic:9


* * issue : * * monitor not linking to central * * impact : * * inability to transmit patient data to central monitoring system * * possible causes : * * * incorrect ci address configuration in the monitor * network connectivity issues * server problems * * recommendations : * * * verify and correct ci address configuration in the monitor. * troubleshoot network connectivity issues by checking cables, connections, and switch settings. * contact it support to resolve server problems if necessary. @topic:16


# # # issue - the bed is not adjustable. # # # impact - the patient cannot be positioned comfortably or safely. - the bed cannot be used for its intended purpose. # # # possible causes - the power cord is not connected properly. - the power switch is not turned on. - the bed motor is not working properly. - the bed control panel is not working properly. - the bed frame is damaged. # # # recommendations - check the power cord and make sure it is connected properly. - turn on the power switch. - reset the bed motor by unplugging it from the power outlet and then plugging it back in. - check the bed control panel for any damaged buttons or switches. - inspect the bed frame for any damage. - if the problem persists, contact a qualified biomedical engineer. @topic:1


# # # issue - equipment : beds, electric - band : hill - rom - model : care assist es - description : the bed is rocking left and right. # # # impact - the bed is unstable and may be unsafe for patients. - the bed may be uncomfortable for patients. # # # possible causes - the hilow column is damaged. - the bed frame is damaged. - the bed is not properly assembled. # # # recommendations - replace the hilow column. - inspect the bed frame for damage. - reassemble the bed according to the manufacturer's instructions. @topic:1


# # # issue - control box for operating the bed has deteriorated due to use. # # # impact - inability to adjust the bed's height # # # possible causes - wear and tear from regular use - power surges or fluctuations - improper maintenance or cleaning # # # recommendations - * * replace the control box : * * the most direct solution is to replace the faulty control box with a new or refurbished one. - * * inspect and clean the electrical connections : * * ensure that all electrical connections are secure and free from corrosion or damage. - * * check for power supply issues : * * verify the power supply to the bed and check for any interruptions or voltage fluctuations. - * * implement regular maintenance : * * establish a regular maintenance schedule to inspect and clean the bed, including the control box, to prevent similar issues in the future. @topic:1


the network transceiver explained later. the scale pc. board has a single chip analog solution specially designed for scale transducers. the load beams are resistive bridge sensors excited by a regulated dc voltage. this regulated voltage is supplied to the beams and to the analog to digital converter ( adc ) reference input to minimize the effects of variations. each beam is connected to the differential input on the adc. the multiplexer and gain ( up to 128 ) are internally configured through software. the adc has the ability to detect open or shorted sensors. it also has a second stage sigma - delta converter. the serial interface is spi compatible and transfers between the micro controller on the scale p. c. board and the microcontroller on the display p. c. boards. the scale / bed exit system user interface consists of 5 seven - segment led digits, led indicators, and switches to start scale and bed exit functions. the scale p. c. board sends controller area network ( can ) messages to the scale display p. c. board which, illuminates the leds. the scale display p. c. board careassist® and careassist® es bed service manual ( man330 rev 4 ) page 3 - 17 electrical system ( b model and newer beds ) chapter 3 : theory of operation sends can messages to the scale p. c. board to start activation of the switches in the user interface. all of the scale functions are done by microcontrollers on the scale p. c. board. these include : • weigh • zero scale • add / delete items • select lb / kg display mode the bed exit system functions are shared between the scale p. c. board and the scale display p. c. board. these include : • arm / disarm bed exit • alann tone select • alann @topic:24


# # # issue - the medical cart is not functioning properly. - the display screen is black. # # # impact - the medical staff cannot use the medical cart to provide patient care. # # # possible causes - the power supply to the medical cart is not working. - the display screen is not connected properly. - the display screen is damaged. - the medical cart is not receiving a signal from the central monitoring system. # # # recommendations - check the power supply to the medical cart. - make sure that the display screen is connected properly. - inspect the display screen for any damage. - check the medical cart's connection to the central monitoring system. - contact the manufacturer of the medical cart for further assistance. @topic:13


##1 ml 181 - 61698 453563255291 3m xga video cable with right - angled connector. patient monitor to display. 10m xga video cable with right - angled connector. patient monitor to display. both ends are terminated with hdsub15 ( “ vga ” ) straight connectors a built on demand 257 8 site preparation remote device site requirements touch cable product option number part number 12nc part number description conduit sizes bend radius connector size ( lxw ) m8022a # tc2 m8081 - 61010 451261006551 touch cable, 1. 5m 30mm 2 25mm 35 x 16 mm m8022a # tc3 m8081 - 61011 451261006561 touch cable, 3m 30mm 2 25mm 35 x 16 mm m8022a # tc6 m8081 - 61012 451261006571 touch cable, 10m 30mm 2 25mm 35 x 16 mm m8022a # tc7 m8081 - 61013 451261006581 touch cable, 15m 30mm 2 25mm 35 x 16 mm m8022a # tc9 m8081 - 61014 451261006591 touch cable, 25m 30mm 2 25mm 35 x 16 mm remote alarm devices space requirements size ( w x d x h ) 62mm x 125mm x 63 mm ( 2. 4 ” x 5 ” x 2. 5 ” ) weight < 300 g ( < 0. 7 lb ) mounting table 9 remote alarm device mounting the mounts for the remote alarm device ship with the universal mounting clamp ( 5061 - 8363 ) product option number part number description n / a m8026 - 64001 wall mount cabling options and conduit size requirements the following table describes the cabling @topic:19


# # # issue : wood barrier does not lock. # # # impact : patient may be able to fall out of bed. # # # possible causes : 1. spring is broken or missing. 2. lock mechanism is damaged. 3. wood barrier is damaged. # # # recommendations : 1. inspect the spring and replace it if it is broken or missing. 2. inspect the lock mechanism and repair or replace it if it is damaged. 3. inspect the wood barrier for damage and replace it if necessary. 4. test the bed and ensure that the wood barrier locks securely. @topic:6


# # # issue - incorrect delivery of backup equipment # # # impact - delay in repairing the primary equipment - interruption in patient care - increased workload for staff # # # possible causes - miscommunication between technician and department - incomplete or inaccurate documentation - lack of clear procedures for equipment delivery and tracking # # # recommendations - establish clear procedures for equipment delivery and tracking - improve communication between technicians and departments - use a tracking system to monitor the status of equipment @topic:12


# # # issue the philips suresigns vs2 patient monitor is experiencing an issue due to a broken ac power cord. # # # impact the patient monitor cannot function properly without a working ac power cord. this could lead to a loss of vital patient data, which could have serious consequences. # # # possible causes - broken power cord - damaged power outlet - loose connection # # # recommendations - inspect the power cord for damage. - replace the power cord if it is damaged. - check the power outlet to make sure it is working properly. - contact a qualified electrician if necessary. @topic:2


##v chk sources the arterial pressure source selected for ppv is unplugged or switched off. when this inop has be switched off. a non - physiological event ( flush or blood sample ) is detected. a resulting limit alarm or non - pulsatilinop will be suppressed. < press label > artifacnumeric questionable 91 4 patient alarms and inops nop message, inwhat to do < press label > deactivated a pressure measurement label in the measurement device or extension has been deactivated, either by connecting a temp transducer in the shared press / temp socket, or by deactivating the label in the measurement selection window. nop tone nop tonthe measurement automatically disappears from the display. to switch the measurement on again, either reconnect a pressure transducer or reactivate the easurement selection window. < press label > equip malumeric is replaced by -? - inop tone contact your service personnel. < press label > no pulse this inop can only arise when a pressure is selected as the pulse source. it occurs when the pulse rate being measured is less than 25 beats per minute or the amplitude is less than three mmhg. check the catheter and connections to the patient. pulse numeric is replaced by -? inop tone < press label > no transducer make sure that the pressure transducer is connected to the measurement device or module. if you silence this inop, the measurement will be switched off. numeric is replaced by -? - nop ton < press label > noisy signal this inop can only arise when a pressure is selected as the pulse source. it occurs when the pulse detector finds a pulse rate above 350 bpm. this is usually caused by movement artifact or electrical interference. pulse numeric is replaced by -? nop tone < press @topic:17


# # # issue - equipment malfunction : the philips suresigns vs2 vital signs monitor experienced an issue with a burnt plug due to loose connections. # # # impact - disruption of patient care : the faulty monitor may have temporarily hindered the accurate monitoring of vital signs for patients, potentially delaying necessary interventions or adjustments in treatment. - safety concerns : electrical issues can pose a safety risk if not addressed promptly, potentially leading to shocks or electrical fires. # # # possible causes - plug looseness : the loose plug connection caused excessive electrical resistance, leading to heat buildup and eventually burning the plug. - worn or damaged plug : over time, plugs can become damaged or worn, reducing their effectiveness in maintaining a secure connection. - electrical surges : sudden power surges or fluctuations can damage electrical components, including plugs. # # # recommendations - regular maintenance and inspections : implement a routine maintenance schedule for all medical equipment to identify potential issues early on. this includes checking connections, plugs, and cables for tightness and damage. - staff training : ensure that staff members are properly trained on the safe handling and use of medical equipment. this includes connecting and disconnecting plugs correctly and avoiding excessive force. - surge protection : install surge protectors to minimize the impact of electrical surges, reducing the risk of damage to electrical components. - use of high - quality plugs and cables : invest in high - quality plugs and cables that are designed to handle the electrical demands of medical equipment. - prompt repair : if a plug failure is detected, replace it immediately to prevent further damage or safety hazards. @topic:12


cool place, ideally at 15°c ( 60°f ), with a state of charge of 20 % to 40 %. storing batteries in a cool place slows the aging process. the batteries should not be stored at a temperature outside the range of - 20°c ( - 4°f ) to 60°c ( 140°f ). do not store batteries in direct sunlight. stored batteries should be partially charged to 20 % to 40 % of their capacity every 6 months. they should be charged to fuu capacity prior to use. note storing batteries at temperatures above 38°c ( 100°f ) for extended periods of time could significantly reduce the batteries ’ kfe expectancy. battery lifetime management the lifetime of a lithium ion battery depends on the frequency and duration of use. when properly cared for, the useful life is approximately 3 years or 500 charge - discharge cycles, whichever comes first. in addition, experience indicates that the incidence of failure may increase with battery service kfe due to the accumulated stresses of daily use. we therefore strongly recommend that lithium ion batteries be replaced after 3 years or 500 charge - discharge cycles. the age of a lithium ion battery begins at the date of manufacture. to see the date of manufacture and the number of charge - discharge cycles, select the battery symbol on the patient monitor screen. the date of manufacture and the number of charge - discharge cycles are listed with other battery data on the screen. 96 3 testing and maintenance ] warning the risk of battery failure increases with age, when a battery remains in use longer than 3 years or 500 charge - discharge cycles. such failures can result in overheating that in rare cases can cause the battery to ignite or explode. disposal batteries should be disposed of in an environmentally - responsible manner. consult the hospital administrator or your local philips representative for local arrangements. discharge the batteries and insulate the terminals with tape before disposal. dispose @topic:11


# # # issue - the knob control is broken and cannot be adjusted. # # # impact - the nibp monitor cannot be used to accurately measure blood pressure. # # # possible causes - the knob control may have been damaged by physical wear and tear. - the knob control may have been damaged by a power surge or other electrical fault. - the knob control may have been damaged by improper use or maintenance. # # # recommendations - replace the knob control. - inspect the nibp monitor for any other damage. - ensure that the nibp monitor is used and maintained in accordance with the manufacturer's instructions. @topic:15


to make sure the measurement results are accurate. the measurements requiring these reported tests are nbp and microstream c0 2. the accuracy and performance procedures are designed to be completed as specified in the following sections or when readings are in question. test reporting authorized philips personnel report test results back to philips to add to the product development database. hospital personnel, however, do not need to report results. this table shows you what to record on the service record after completing the tests in this chapter. test what to record visual v : p or v : f power on po : p or pot pnibp pn : p / x1 / x2 / x3 / x4 or pnt / x1 / x2 / x3 / x4 pco 2 pc02 : p / x1 / x2 / x3 / x4 / x5 / x6 / x7 / x8 or pc02t / x1 / x2 / x3 / x4 / x5 / x6 / x7 / x8 safety s ( l ) : p / xl / x2 or s ( l ) : f / xl / x2 s ( 2 ) : p / xl or s ( 2 ) : f / xl s ( 3 ) : p / xl or s ( 3 ) : f / xl where p = pass, f = fail and x / x are the measured values as defined in the tests described in this chapter. 37 3 testing and maintenance frequency frequency the testing checklist appears in the next section of this chapter. perform the procedures as indicated in the suggested testing timetable. these timetable recommendations do not supersede local requirements. suggested testing timetable frequency preventive maintenance tests required • nbp performance steps 9 ff. • once every two years, or more often if specified by local laws. • microstream c0 2 calibration • once @topic:10


# # # issue - inability to use the weight - measuring function from the right side of the bed # # # impact - patient care may be compromised due to difficulty in accurately weighing the patient. # # # possible causes - wiring issue caused by the weight - measuring scale cable being crushed or damaged - faulty weight - measuring scale - software glitch or malfunction # # # recommendations - inspect the weight - measuring scale cable for any damage or crushing and replace it if necessary. - test the weight - measuring scale to ensure it is functioning correctly. - update the bed's software or firmware if available. - contact the manufacturer for further troubleshooting and support. @topic:25


all other troubleshooting steps fail, contact bdms for further assistance and potential repair or replacement of the device. @topic:12


# # # issue - battery not charging # # # impact - medical cart is not operational # # # possible causes - faulty battery - faulty charging port - firmware issue # # # recommendations - replace the battery - replace the charging port - update the firmware @topic:13


# # # issue - equipment : monitors, physiologic, vital signs - band : philips - model : suresigns vs2 + - description : bme technician found that the device had a faulty battery and replaced it. after replacing the battery, the device was functioning normally. # # # impact - the device was not functioning properly due to a faulty battery. - the device could not be used to monitor vital signs. # # # possible causes - the battery may have been damaged due to age or improper use. - the battery may have been incorrectly installed. # # # recommendations - regularly inspect the device for any signs of damage or wear and tear. - replace the battery when it is no longer functioning properly. - ensure that the battery is properly installed according to the manufacturer's instructions. @topic:11


# # # issue - the medical cart is not charging properly. # # # impact - the medical cart cannot be used to transport patients or medical supplies. - the patient's recovery may be delayed. # # # possible causes - the power cord is not properly plugged into the outlet. - the power cord is damaged. - the charging port on the medical cart is damaged. - the battery is dead. # # # recommendations - check the power cord and make sure it is properly plugged into the outlet. - if the power cord is damaged, replace it. - if the charging port on the medical cart is damaged, contact the manufacturer for repairs. - if the battery is dead, charge it for 24 hours. @topic:13


# # # issue - malfunctioning monitor # # # impact - delayed patient care - inaccurate patient monitoring - safety concerns # # # possible causes - loose or damaged wires - internal hardware failure - software glitches - human error - environmental factors ( e. g., power surges, humidity ) # # # recommendations - * * verify power supply : * * ensure that the monitor is properly plugged in and receiving power. - * * inspect cables and connections : * * check for loose, damaged, or frayed cables and ports. tighten any loose connections and replace damaged cables. - * * reset the monitor : * * turn off the monitor and unplug it for a few minutes before turning it back on. this may resolve minor software glitches. - * * test the monitor : * * use a diagnostic tool or perform a self - test to identify any hardware or software issues. - * * contact the manufacturer or a qualified technician : * * if the problem persists, contact the manufacturer or a qualified technician for further assistance. in this specific scenario, the cause of failure was identified as hair getting stuck in the castors, causing them to drag and become less smooth. the recommendation in this case would be to clean and remove any debris from the castors to restore their proper function. @topic:2


# # # issue - keypad of the bed is loose. # # # impact - the bed may not be able to be adjusted properly, which could lead to discomfort or injury to the patient. # # # possible causes - the adhesive on the keypad may have failed. - the keypad may have been damaged. - the keypad may not have been properly installed. # # # recommendations - inspect the keypad for damage. - replace the adhesive on the keypad. - reinstall the keypad. @topic:25


# # # issue : - battery failure in philips intellivue mx450 bedside physiologic monitor # # # impact : - device may not be able to function properly or provide accurate patient data. - patient care could be compromised if the device is not functioning properly. # # # possible causes : - battery has reached the end of its lifespan. - battery has been damaged due to overcharging or improper handling. - battery has not been properly maintained or calibrated. - battery has been exposed to extreme temperatures or humidity. # # # recommendations : - replace the battery with a new one. - ensure that the battery is properly charged and calibrated. - follow the manufacturer's instructions for handling and storage of the battery. - monitor the battery's performance regularly and replace it if necessary. @topic:11


# # # issue the medical cart is not functional due to a power board issue. # # # impact the medical cart is essential for the operation of the hospital. its failure can delay or disrupt patient care. # # # possible causes - the power board is not properly configured. - the battery is not charged. - there is a fault in the power board. # # # recommendations - reconfigure the power board according to the manufacturer's instructions. - charge the battery. - replace the power board if necessary. @topic:13


# # # issue - bed, electric, hill - rom, model 900b is not adjustable up and down. # # # impact - patients may not be able to get into or out of bed. - patients may not be able to be positioned comfortably for procedures. - nurses and other caregivers may have difficulty moving patients. # # # possible causes - the remote control is not working properly. - the cables connecting the remote control to the bed are damaged. - the motor that adjusts the bed is not working properly. - the control board that regulates the bed's movement is not working properly. # # # recommendations - check the remote control to make sure that it is working properly. - check the cables connecting the remote control to the bed for damage. - if the remote control and cables are working properly, then the motor or control board may need to be replaced. @topic:1


lcd turns off. select the shutdown button in the system menu. the philips screen appears and the lcd turns off. troubleshooting 4 - 4 suresigns vs2 * and vsi service guide troubleshooting tables troubleshooting tables use the following tables to diagnose and fix monitor problems. the tables describe a monitor problem by symptom, list possible causes, and suggest actions. check the first possible cause listed, and then perform the associated action to repair the problem. perform all actions in the order that they appear in a table. monitor problems can be related to : power display alarms measurements, including : — nbp — temperature — spo, recorder ( vs2 * monitor only ) navigation wheel ( vs2 * monitor only ) and keys nurse call usb hub if you cannot resolve a problem by using the following troubleshooting tables, see “ running system diagnostics ” on page 4 - 29, troubleshooting suresigns vs2 * and vsi service guide 4 - 5 troubleshooting tables power problems symptom possible cause action the monitor does not power up with ac power, but does with battery power. the power cord is unplugged. ensure that the power cord is plugged into an outlet. the power cord is broken. replace the power cord if necessary. a fuse is blown. replace the fuse. see “ replacing a fuse ” on page 5 - 18. the power supply cable malfunctioned. replace the dc - in cable. see “ removing the power supply ” on page 5 - 34. the power supply malfunctioned. check the output voltage on the power supply. if it does not measure 15 v, replace the power supply. see “ removing the power supply ” on page 5 - 34. the ac power connector malfunctioned. replace the ac connector. see “ removing the ac power connector ” on @topic:2


# # # issue - monitor is not turning on. # # # impact - inability to monitor patient's vital signs, which can lead to delayed or incorrect treatment. # # # possible causes - lack of power to the device - faulty lack - damaged monitor screen - loose or disconnected cables - software or firmware issues # # # recommendations - check the power supply to the device and ensure it is plugged in and turned on. - replace the lack with a known good one. - inspect the monitor screen for any cracks or damage. - check all cables and connections to ensure they are secure. - update the device's software or firmware if necessary. @topic:2


# # # issue - cuff failure # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may be punctured or torn. - the cuff may be the wrong size for the patient. - the cuff may not be properly inflated. # # # recommendations - replace the cuff. - use the correct size cuff for the patient. - properly inflate the cuff. @topic:3


possible in the necessary configuration before you start monitoring patients. avoiding electromagnetic interference ( resp and bis ) the respiration ( resp ) and bis measurements are very sensitive measurements that measure very small signals. technological limitations do not allow higher immunity levels than 1 v / m for radiated rf electromagnetic fields and 1 vrms for conducted disturbances induced by rf fields. electromagnetic fields with field strengths above 1 v / m and conducted disturbances above 1 vrms may cause erroneous measurements. therefore philips recommends that you avoid using electrically radiating electromagnetic immunity the monitor is suitable for use in the specified electromagnetic environment. the user must ensure that it is used in the appropriate environment as described below. iec 60601 - 1 - 2 electromagnetic environment guidance electrostatic discharg ( esd ) floors should be wood, concrete, or ceramic tile. if floors are covered with synthetic material, the relative humiditshould be at least 30 %. 6 kv contac + 8 kv air + 6 kv contac + 8 kv air iec 61000 - 4 - 2 mains power quality should be thatypical commercial and / or hospital + 2 kv for power supply lines + 1 kv for input / output lines electrical fast transient / burst ±2 kv for power supply lines ±1 kv for input / output lines iec 61000 - 4 - 4 mains power quality should be that of a typical commercial and / or hospital + 1 kv differential mode ±2 kv common mode surge + 1 kv differential mode ±2 kv common mode. iec 61000 - 4 - 5 voltage dips, short interruptions and voltage variations on power supply input lines iec 61000 - 4 - 11 < 5 % ut ( > 95 % dip in ut ) for < 5 % ut ( > 95 % dip in ut ) for mains power quality should be that of a. 5 cycle. 5 cycletypical commercial and / or hospital environment. if the user @topic:10


# # # issue - motor failure in the knee joint of a hill - rom care assist es230 electric bed. # # # impact - patient discomfort and potential safety hazard due to bed malfunction. - interruption of patient care and increase in workload for healthcare staff. # # # possible causes - * * motor malfunction : * * mechanical failure or electrical issues within the motor assembly. - * * excessive wear and tear : * * prolonged use or improper handling of the bed, leading to wear on motor components. - * * power supply issues : * * fluctuations or interruptions in electrical power supply can damage the motor. - * * external damage : * * accidental damage to the motor or its components, such as collision or liquid spills. # # # recommendations - * * inspect and test the motor : * * examine the motor for any physical damage or signs of wear. perform electrical tests to verify its functionality. - * * replace faulty components : * * if the motor is found to be defective, replace the affected components, such as the motor gearbox or brushes. - * * check other related systems : * * inspect the control system, wiring, and electrical connections to ensure they are functioning properly. - * * monitor and maintain regularly : * * establish a schedule for periodic maintenance and inspection of the bed to prevent future failures. - * * train staff on proper handling : * * provide training to healthcare staff on the correct use and handling of the bed to minimize wear and tear on the motor. @topic:9


disconnect the simulator. 6. thermometry tests thermometry test setup for the thermometry test, connect the test equipment shown below. note the drawing shows a suretemp plus configuration, but the setup for a braun thermoscan pro 6000 configuration is identical minus the cal - key. service manual functional verification and calibration overview 117 3 1 1 ( 2 ) no. item no. item onnex spot monitor ester, calibration, 9600 1 3 cal - key, assembly, m690 / 692 ( used only with suretemp ) power supply 2 4 suretemp temperature system test the suretemp temperature system test is performed using a calibration key ( cal - key ). the calibration key tests the system using a fixed resistance to display a temperature of 97. 3 ± 0. 2 °f note if your facility requires you to test the temperature probes, you will also need to have heaters at three temperature settings to test the probes. see " suretemp temperature probe and system test. " perform a suretemp temperature system test with the system power on and the temperature probe in the well, disconnect the probe cable from the temperature input connector on the bottom of the device. 1. 2. connect the calibration key to the temperature input connector. 3. remove the probe from the well. 4. verify that the displayed temperature is 97. 3 ± 0. 2 °f ( 36. 3 ± 0. 1 °c ). 118 functional verification and calibration overview welch [UNK] connex® spot monitor suretemp temperature probe and system test use this procedure to test the temperature function while verifying the temperature probe. to achieve accurate results, you must perform this test with the device in direct mode. test each probe at the low, medium, and high set points on @topic:20


# # # issue - the medical cart equipment is not turning on. # # # impact - the medical cart cannot be used for patient care. # # # possible causes - the power cord is not connected to the power outlet. - the power switch is not turned on. - the fuse is blown. - the power board is not connected to the power supply. - the power supply is not working. - the control panel is not working. # # # recommendations - check the power cord and make sure it is connected to the power outlet. - turn on the power switch. - check the fuse and replace it if it is blown. - check the power board and make sure it is connected to the power supply. - check the power supply and make sure it is working. - check the control panel and make sure it is working. @topic:13


* * possible causes * * * scanner hardware malfunction * software issues * power supply problems * environmental factors ( e. g., temperature, humidity ) * improper usage or maintenance * age and wear - and - tear @topic:23


# # # issue loose signal cable on the central station physiologic monitors from hp # # # impact intermittent loss of data from the patient to the central station, which could lead to delays in diagnosis and treatment. # # # possible causes - damaged or loose cable - faulty connection port - loose or damaged connection at the patient end # # # recommendations - inspect the cable and connections for any damage or looseness. - replace the cable if it is damaged. - tighten the connections at both the patient end and the central station end. - if the issue persists, contact the manufacturer for further troubleshooting and support. @topic:22


# # # issue - * * spo2 sensor is not able to measure spo2 values. * * # # # impact - * * inaccurate monitoring of spo2 levels can lead to delayed or incorrect medical interventions. * * # # # possible causes - * * defective spo2 sensor cable * * - * * loose connection between the spo2 sensor and the monitor * * - * * malfunctioning spo2 sensor * * - * * improper calibration of the spo2 sensor * * - * * interference from other medical devices * * # # # recommendations - * * inspect the spo2 sensor cable for damage or loose connections. * * - * * re - calibrate the spo2 sensor according to the manufacturer's instructions. * * - * * consult the manufacturer's manual for troubleshooting steps. * * - * * consider replacing the spo2 sensor if the above steps do not resolve the issue. * * @topic:4


§ philips general hospital event summary reports ( advanced event surveillance only ). the event summary report shows a graphical view and a tabular view of all events in the database for all groups. bed13 event surveillance : episode 25 oct 04 18 : 41 : 18 standard combi : 0 single : 1 manual : 0 ( total : 1 ) (? ) neuro combi : 0 single : 0 manual : 0 ( total : 0 ) hemo combi : 0 single : 1 manual : 1 ( total : 2 ) (? ) j ventil. combi : 0 single : 5 manual : 0 ( total : 5 ) (? ) 1 arrhy / st combi : 0 single : 0 manual : 0 ( total : 0 ) ner a ( d ) : 0 ( 0 ) b ( d ) : 0 ( 0 ) a8 ( d ) : 0 ( 0 ) d : 3 m : 0 ( total : 3 ) (? ) all groups combi : 0 single : 10 manual : 1 ( total : 11 ) (? ) 22 00 2 00 6 00 10 00 14 00 18 00 # time group parameter 1 parameter 2 parameter 3 parameter 4 1 25 oct 17 * 46 ventil. sp02 : low : 78 < 90 2 25 oct 17 : 46 heao hr ( pulse ) : manual sp02 : manual 8p02 : low : 78 < abp : manual cvp : manual 3 25 oct 17 : 54 ventil. 90 4 25 oct 17 : 54 standard sp02 : low : 78 < 90 5 2 5 oct 17 : 54 hemo 3p02 : low : 78 < 40 6 25 oct 17 : 54 kbr sp02 » pbsat : 78 « 80 7 25 oct 17 : 56 ventil. 6p02 : desat : 78 < 80 s 25 oct 17 : 58 ker sp0 @topic:8


# # # issue - the bedside physiologic monitor ( philips intellivue mp20 ) is experiencing intermittent connectivity with the spo2 sensor. # # # impact - the monitor may not accurately or reliably display spo2 values, which could lead to patient safety concerns. # # # possible causes - * * damaged or faulty spo2 cable * * : the cable connecting the spo2 sensor to the monitor may be damaged or faulty, causing intermittent signal transmission. - * * damaged or loose connections * * : the connections between the spo2 cable and the monitor, or between the cable and the sensor, may be loose or damaged, leading to signal interruptions. - * * electrical interference * * : electromagnetic interference ( emi ) from nearby equipment or other sources can disrupt the signal transmission from the spo2 sensor. - * * sensor malfunction * * : the spo2 sensor itself may be malfunctioning, resulting in inaccurate or unreliable readings. # # # recommendations - * * replace the spo2 cable * * : if the cable is suspected to be damaged, replace it with a new one. - * * inspect and tighten connections * * : ensure that all connections between the spo2 cable, the monitor, and the sensor are secure. - * * check for emi sources * * : identify and eliminate any potential sources of emi that could be interfering with the spo2 signal transmission. - * * test the spo2 sensor * * : if the issue persists, test the spo2 sensor using a separate monitor to confirm its functionality. - * * consider a different band * * : if the issue is specific to the philips band, consider using a different brand of spo2 sensor. @topic:4


# # # issue - knop are not working # # # impact - patient cannot be monitored properly # # # possible causes - knop is broken or damaged - wiring is loose or damaged - control board is malfunctioning # # # recommendations - replace the knop - check and tighten all wiring - replace the control board if necessary @topic:12


# # # issue - battery not charging # # # impact - monitor cannot be used during emergencies without ac power # # # possible causes - faulty battery - loose connection between battery and monitor - faulty charging circuit in the monitor # # # recommendations - replace the battery - clean the contacts between the battery and the monitor and reconnect - test the charging circuit in the monitor @topic:11


intellivue mp40 / 50 service guide intellivue patient monitor mp40 / 50 patient monitoring philips part number m8000 - 9361e 451261018641 philips table of contents 1 introduction 13 who should use this guide 13 how to use this guide 13 abbreviations 13 responsibility of the manufacturer 14 passwords 14 warnings and cautions 14 2 theory of operation 17 monitor theory of operation 17 system boundaries 17 hardware building blocks 19 intellivue mp40 19 intellivue mp50 20 optional hardware 21 compatible devices 22 power supply 25 cpu boards 25 system interface and i / o boards 26 data flow 27 data acquisition 27 data provider system service 27 persistent data storage system service 28 display and user interface service 28 data output 28 monitor applications 28 internal lan ( measurement server link ) 28 philips clinical network 29 how does the support tool work with the monitor 30 monitor software block diagram 30 block diagram legend 32 3 testing and maintenance 37 concepts 37 test reporting 37 frequency 38 tests when performing... 39 installation 39 repair 39 3 preventive maintenance 39 performance verification 40 upgrades 40 preventive maintenance procedures 40 nbp performancetests 40 nbp accuracy test 41 nbp leakage test 42 nbp linearity test 42 valve test 42 microstream c0 2 performance test 43 barometric pressure check and calibration 43 leakage check 44 pump check 45 flow rate check and calibration 45 noise check 45 c0 2 gas measurement calibration check 45 calibration verification 46 reset time counters 46 c0 2 pump / c0 2 scrubber replacement 47 tests 47 visual test 48 power on test 48 temperature performance test 48 ecg / resp performance test 48 ecg performance 48 respiration performance 48 invasive pressure performance test 49 sp0 2 performance test 49 measurement validation 49 m3014a capnography extension performance tests 49 mainstream c02 accuracy check 49 sidestream c0 @topic:10


# # # issue - cuff of the bedside physiologic monitor is damaged. # # # impact - the monitor may not be able to accurately measure patient's vital signs, such as blood pressure, heart rate, and oxygen saturation. - this could lead to delayed or incorrect treatment decisions. # # # possible causes - the cuff may have been damaged during use or storage. - the cuff may have been exposed to moisture or other environmental factors that have caused it to deteriorate. - the cuff may have been used on a patient with unusually large or small extremities, which could have caused it to stretch or tear. # # # recommendations - replace the damaged cuff with a new one. - inspect the new cuff carefully for any signs of damage before using it on a patient. - store the cuff in a dry, clean environment when not in use. - use the cuff only on patients with appropriate size extremities. - train staff on proper use and storage of the cuff. @topic:5


# # # issue - solenoid has deteriorated, causing reduced pressure and a lack of springiness in the drawer. # # # impact - the drawer does not open and close smoothly, hindering the efficient use and storage of medical supplies. # # # possible causes - prolonged use and wear of the solenoid, leading to its gradual deterioration. # # # recommendations - replace the solenoid with a new one to restore the drawer's functionality. - regularly maintain and inspect the medical cart to prevent similar issues in the future. @topic:21


# # # issue - scanner is making abnormal noises. # # # impact - the scanner cannot be used. - patients may not be able to get the scans they need. - the hospital may lose revenue. # # # possible causes - the scanner is not properly calibrated. - the scanner is not properly maintained. - the scanner is damaged. # # # recommendations - calibrate the scanner. - perform maintenance on the scanner. - inspect the scanner for damage. @topic:23


, those taking psychoactive medications, and in children below the age of 1. warning conductive parts : the conductive parts of sensors and connectors should not contact other conductive parts, including earth. high - frequency surgery : to reduce the hazard of burns in the high - frequency surgical neutral electrode connection, the bis sensor should not be located between the surgical site and the return electrode. defibrillation : the bis sensor must not be located between defibrillator pads when a defibrillator is used on a patient connected to the patient monitor. securing cables : to minimize the risk of patient strangulation, the patient interface cable ( pic ) must revisions : the system will only function if all component revisions are compatible. otherwise, an incompatibility inop is displayed. if the dsc has an older software revision than the bis engine, the dsc will automatically be upgraded by the bis engine. do not disconnect the dsc from the bis engine, or disconnect the bis module from the monitor, or switch the monitor power off within the first ten seconds after connection, as this will disrupt a possible software upgrade and cause damage to the dsc. impedance checks : impedance checks may influence data acquisition of other alographic devices. 91 9 monitoring bis 292 20 neuro muscular transmission ( nmt ) and its measurement enables the evaluation of muscle relaxation of patients under neuromuscular block by measuring the strength of muscle reaction after electrically stimulating the dedicated motor nerve. the nmt monitor electrodes are placed on the patients skin over the ulnar nerve, a controllable current source delivers stimulation pulses to two skin surface electrodes for the nerve stimulation, the muscle response is measured with an acceleration ensor. warning the nmt measurement may not be used for neonatal patients and is therefore not supported in nmt stimulation current pulses may interfere with other sensitive equipment, for @topic:10


# # # issue scanner of medical cart is not working. # # # impact - delay in patient care - lack of access to patient information - inability to monitor patient vital signs # # # possible causes - scanner is not properly connected - scanner is defective - software issue - power issue # # # recommendations - check connections and make sure they are secure - if possible, try a different scanner - check for software updates - contact vendor for support @topic:23


# # # issue - the lead wires for the electrocardiogram ( ekg ) on the bedside physiologic monitor have failed. # # # impact - the monitor will not be able to accurately record the patient's ekg. - this could lead to a delay in diagnosis or treatment, which could have serious consequences for the patient. # # # possible causes - the lead wires may have become damaged due to wear and tear. - the lead wires may have become disconnected from the monitor or the patient. - the lead wires may be incompatible with the monitor. # # # recommendations - replace the lead wires with new ones. - ensure that the lead wires are properly connected to the monitor and the patient. - verify that the lead wires are compatible with the monitor. @topic:18


# # # issue - knee adjustment failure # # # impact - patient discomfort or inability to use bed properly # # # possible causes - faulty remote control - mechanical issue with the bed's knee adjustment mechanism - electrical issue preventing the bed from responding to remote control commands # # # recommendations - verify that the new remote control is functioning correctly. - inspect the bed's knee adjustment mechanism for any visible damage or obstructions. - check electrical connections to ensure there is no interruption of power to the bed. - if the issue persists, consult the manufacturer's technical support for further troubleshooting and repair. @topic:7


# # # issue - electric bed remote not functioning # # # impact - patient discomfort - difficulty adjusting bed position - potential safety hazard # # # possible causes - * * cut or damaged remote cord * * - malfunctioning remote unit - loose connections in the bed frame # # # recommendations - * * inspect the remote cord for any cuts or damage. replace the cord if necessary. * * - test the remote unit with a known - good cord. replace the remote if needed. - check connections in the bed frame and tighten any loose ones. @topic:7


# # # issue - video recorder panasonic dmr - eh59 sn : vn4bc001066 is broken. # # # impact - monitors lcd model lmd - 1951md cannot be used properly. # # # possible causes - the video recorder might be physically damaged. - the video recorder might have a software issue. - the video recorder might not be compatible with the monitors lcd. # # # recommendations - replace the video recorder with a new one. - update the software on the video recorder. - check the compatibility of the video recorder with the monitors lcd. @topic:2


# # # issue : - bedside rails are not functioning. # # # impact : - patient safety is compromised. - nursing and staff efficiency is reduced. # # # possible causes : - defective motor or drive system. - broken or disconnected electrical connections. - faulty sensors or switches. - software malfunction. - mechanical obstruction or blockage. # # # recommendations : - troubleshoot the electrical connections and wiring. - verify the functionality of the motor and drive system. - inspect and test the sensors and switches. - update or reconfigure the software if necessary. - remove any physical obstructions or blockages. - consult with the manufacturer for specialized support. @topic:6


* * issue : * * cuff leak in the monitor. * * impact : * * the monitor may not be able to accurately measure blood pressure. * * possible causes : * * * damaged cuff * loose cuff * cuff not properly attached to the monitor * * recommendations : * * * replace the cuff with a new one. * tighten the cuff. * ensure that the cuff is properly attached to the monitor. @topic:3


# # # issue : battery failure in a physiological vital signs monitor. # # # impact : - loss of vital patient data monitoring. - risk of patient harm if critical parameters are not monitored. # # # possible causes : - battery module deterioration over time. - battery module not properly installed or maintained. - excessive heat or cold exposure. - electrical surge or power outage. # # # recommendations : - regularly inspect and replace battery modules according to manufacturer's recommendations. - ensure proper installation and maintenance of the battery module. - control the temperature environment of the monitor to avoid extreme temperatures. - install surge protectors to protect the monitor from power fluctuations. - implement a preventive maintenance program to monitor battery health and identify potential failures early on. @topic:11


* * issue * * : blurry monitor screen * * impact * * : difficulty in monitoring patient's physiological data and interpreting waveforms, which can delay diagnosis and treatment. * * possible causes * * : * faulty display panel or backlight * loose or damaged cables connecting the monitor to the main unit * software or firmware issues * excessive dust or moisture accumulation on the screen * electrical interference from nearby equipment * * recommendations * * : * inspect the display panel and backlight for any visible damage or defects. * check and tighten all cables connecting the monitor to the main unit. * update the software or firmware if an update is available. * clean the screen regularly to remove dust and moisture. * assess the environment for any potential sources of electrical interference, such as other electronic devices or high - power equipment. * consider replacing the monitor if the issue persists after troubleshooting and repairs. @topic:2


# # # issue - technician reported inability to identify the cause of failure for the electric bed. # # # impact - downtime of the electric bed, potentially affecting patient care and workflow. # # # possible causes - incomplete or inadequate data provided in the input information. - lack of specific error codes or diagnostic messages from the bed equipment. - technician may not have the necessary expertise or tools to diagnose the issue effectively. - communication issues between the technician and reporting staff. # # # recommendations - gather more detailed information from the reporting staff, including any error messages or observed symptoms. - consult with the bed manufacturer or technical documentation for troubleshooting guidance. - utilize diagnostic tools or equipment to identify the specific issue within the bed's electrical system or components. - ensure proper training and resources are available for technicians to address similar issues in the future. - establish clear communication channels to facilitate effective reporting and escalation of equipment issues. @topic:9


# # # issue - electric bed cannot lower the legs. - loud noise during adjustment. # # # impact - inability to properly position the patient for medical procedures or comfort. - distraction and noise pollution in the medical setting. # # # possible causes - mechanical failure in the leg adjustment mechanism. - electrical fault in the control unit or wiring. - worn or damaged components, such as gears, motors, or bearings. - software malfunction in the bed's control system. - incorrect assembly or improper maintenance. # # # recommendations * * immediate actions : * * - isolate the bed from use to prevent further damage or injury. - contact the manufacturer or authorized repair service for technical support. * * troubleshooting : * * - inspect the leg adjustment mechanism for any visible damage or obstructions. - check electrical connections and ensure they are secure. - listen for unusual noises that may indicate mechanical issues. - attempt to reset the bed's control system if possible. * * remedial actions : * * - replace or repair damaged components as necessary. - update software or firmware if required. - ensure proper assembly and maintenance procedures are followed. * * preventive measures : * * - perform regular inspections and maintenance on the bed as recommended by the manufacturer. - train staff on proper handling and operation of the bed. - consider investing in a monitoring system to detect and prevent equipment failures. @topic:9


# # # issue monitor is not charging. # # # impact battery life will be limited, which could lead to the monitor running out of power and becoming unusable in an emergency. # # # possible causes - bad connection between the monitor and the charging cable. - faulty charging cable. - faulty power supply. - faulty battery. - faulty motherboard. # # # recommendations - check the connection between the monitor and the charging cable. - try using a different charging cable. - try using a different power supply. - contact the manufacturer of the monitor for further support. @topic:11


# # # issue : - bed not moving # # # impact : - patient cannot be repositioned. # # # possible causes : - motor failure - control board failure - power supply failure - mechanical failure ( such as a broken gear or cable ) - software issue # # # recommendations : - check the power supply to the bed. make sure that the bed is plugged in and that the power cord is not damaged. - reset the bed by turning it off and then back on. - inspect the motor and control board for any damage. - check the software for any updates or errors. - if the problem persists, contact the manufacturer for further assistance. @topic:1


# # # issue - * * reoccurring computer reboots * * # # # impact - * * interruption in medical cart operations * * - * * loss of access to patient data and records * * - * * potential delays in patient care * * # # # possible causes - * * overheating : * * excessive heat can cause the computer to malfunction and reboot. - * * hardware failure : * * a malfunctioning component, such as a faulty hard drive or ram, can lead to computer reboots. - * * software corruption : * * corrupted software or operating system can result in unexpected reboots. - * * power supply issues : * * an unstable or insufficient power supply can cause the computer to reboot abruptly. - * * virus or malware infection : * * malicious software can disrupt computer operations, causing it to reboot repeatedly. - * * outdated or incompatible software : * * running outdated or incompatible software can lead to system instability and reboots. - * * improper configuration : * * incorrect software settings or driver conflicts can cause system failures and reboots. - * * physical damage : * * accidental damage or wear and tear can affect the computer's hardware components, potentially leading to reboots. # # # recommendations - * * regular maintenance and cleaning : * * regularly clean the computer to remove dust and debris that can contribute to overheating. - * * hardware diagnostics : * * run hardware diagnostics to identify any potential hardware failures. - * * software updates : * * ensure that the computer is running the latest compatible software and operating system. - * * power supply inspection : * * check the power supply unit and ensure it is providing adequate and stable power. - * * virus and malware scans : * * regularly run antivirus and anti - malware software to protect the system @topic:13


# # # issue - broken connector on the nibp monitor # # # impact - inability to use the nibp monitor to measure blood pressure # # # possible causes - physical damage to the connector - manufacturing defect - wear and tear # # # recommendations - replace the broken connector - inspect the nibp monitor for any other damage - follow the manufacturer's instructions for maintenance and use of the nibp monitor @topic:15


* * issue * * : machine not functioning. * * impact * * : non - functional nibp monitor. * * possible causes * * : - malfunctioning connector. - other internal issues preventing the machine from functioning. * * recommendations * * : - replace connector. - perform further diagnostic testing to determine root cause of the issue and perform necessary repairs. @topic:15


# # # issue - equipment : medical cart # # # impact - the medical cart is experiencing an error code of - 1, indicating a problem with the cart's operation. # # # possible causes - the error code - 1 can be caused by various factors, including : - loose or damaged cables - faulty sensors - software glitches - power supply issues - internal hardware malfunctions # # # recommendations to troubleshoot the issue, the biomedical engineer should perform the following steps : - * * inspect the cables and connections : * * ensure that all cables are properly connected and secure. look for any signs of damage or loose connections. - * * check the sensors : * * verify that all sensors are functioning correctly and are properly calibrated. refer to the cart's manual for specific testing procedures. - * * update the software : * * if available, check for software updates and install them. software updates may include bug fixes or improvements that could resolve the error code. - * * check the power supply : * * ensure that the cart is receiving adequate power. inspect the power cord and connections for any damage. use a multimeter to measure the voltage at the power inlet. - * * inspect the internal hardware : * * if the previous steps do not resolve the issue, the biomedical engineer may need to inspect the internal hardware components of the cart. this involves disassembling the cart and visually inspecting the circuit boards, wires, and other components for any signs of damage or malfunction. @topic:13


# # # issue * * machine is not releasing air from the cuff * * # # # impact - incorrect blood pressure measurements - discomfort or pain to the patient # # # possible causes * * cuff - related * * - cuff bladder leak - cuff tube leak - cuff is too small or large for the patient's arm * * machine - related * * - solenoid valve failure - air leak in the machine - software error # # # recommendations # # # troubleshooting - is the cuff the correct size for the patient? if not, replace it with the correct size. - inspect the cuff bladder and tube for leaks. replace any damaged components. - check the air lines for leaks. replace any damaged lines. # # # repair - replace the solenoid valve. - repair any air leaks in the machine. - update the machine's software. @topic:3


for maintain glucose < 8. 3 mmol / l ( 150 mg / dl ) and maintain insp. plateau pressure < = 30cmh2o can only be checked when the timer has reached 20 hours to ensure that the stabilization of these values is achieved long - term. check these boxes if the recommendation has been fulfilled. recommendations which have been fulfilled are shown in gray with the time fulfillment was entered. to see more details about the recommendations, select the show details key. select confirm when the check boxes reflect the current treatment status. 354 27 protocol watch the sepsis management bundle normally ends 24 hours after the sepsis resuscitation bundle started, as documented by the bundle timer on the protocolwatch screen. you are asked to confirm with the yes key that routine monitoring should now resume. by selecting no you can extend the sepsis bundle phase by an additional 6 hours. after completion of the sepsis management bundle a sepsis standby phase begins which allows time for further patient stabilization and recovery. during this phase severe sepsis screening is suspended. the standby phase is by default 7 days but the length can be adjusted in configuration mode. viewing and printing the protocol log the protocol log stores all user interactions, alarms and phase transitions while the ssc sepsirotocol is running. to view the log select main setup then protocol watch followed by protocol log you can choose between three different views of the protocol log : summary view - a short form which does not include when the windows were triggered. - full view a complete log of all user interactions, alarms and phase transitions • - phase view - you can view log entries for one phase by selecting that phase on the orientation line • when the log consists of several pages, you can move through the pages with the previous page annext page keys. to start a protocol log printout, select print. the log is cleared whenever a patient is discharged. it @topic:8


# # # issue - ac plug pin broken # # # impact - the device cannot be used. # # # possible causes - the plug was not properly inserted into the socket. - the plug was damaged due to excessive force. - the plug was damaged due to corrosion. # # # recommendations - ensure that the plug is properly inserted into the socket. - use a surge protector to protect the device from power surges. - inspect the plug regularly for any damage. - replace the plug if it is damaged. @topic:12


# # # issue the equipment is not working properly because it was borrowed with the mattress. # # # impact the equipment cannot be used for its intended purpose, which may delay patient care. # # # possible causes * the mattress may be too heavy for the equipment to support. * the mattress may be causing the equipment to overheat. * the mattress may be blocking the equipment's sensors. # # # recommendations * remove the mattress from the equipment and return it to its proper location. * inspect the equipment for any damage. * if the equipment is still not working properly, contact the manufacturer for assistance. @topic:9


# # # issue - bed not adjusting # # # impact - patient discomfort and safety concerns # # # possible causes - faulty electrical components ( e. g., wiring, control panel ) - mechanical issues ( e. g., worn gears, hydraulic leaks ) - user error or mishandling # # # recommendations - inspect electrical components for damage or loose connections. - check mechanical systems for signs of wear or damage. - train staff on proper operation and maintenance procedures. - consider upgrading or replacing the bed if repairs are extensive or repeated failures occur. @topic:1


# # # issue - spo2 sensor failure # # # impact - inability to monitor patient's oxygen saturation levels, which can lead to adverse outcomes. # # # possible causes - sensor cable damage - loose sensor connection - sensor malfunction - interference from other devices - patient movement # # # recommendations - inspect sensor cable for damage and replace if necessary. - ensure sensor is securely connected to the monitor and patient. - troubleshoot the sensor by connecting it to a different patient or monitor. - check for any other devices that may be interfering with the sensor. - request a new sensor from the manufacturer if the issue persists. @topic:4


* * cause of failure : * * cuff is damaged and measures high blood pressure. * * issue : * * the blood pressure cuff is damaged and is causing the monitor to provide inaccurate high blood pressure readings. * * impact : * * this could lead to incorrect treatment decisions being made, which could have serious consequences for the patient. * * possible causes : * * - the cuff may be old and worn out. - the cuff may have been damaged during use. - the cuff may be the incorrect size for the patient. * * recommendations : * * - replace the damaged cuff with a new one. - ensure that the cuff is the correct size for the patient. - inspect the cuff regularly for signs of damage. @topic:3


##re is given for each of the vitals based on the measured or entered value. when all the required vital signs have been entered or measured, the subscores are added together to give the mews score. each subscore has a color coding, to indicate the level of risk associated with it, for example : • normal subscore 0 white observe at risk yellow subscore 1 warning orange subscore 2 subscore 3 urgent red 303 21 guardian early warning scoring the mews score also uses the same color coding and risk levels, which determine the action that is recommended. how does mews work in guardian early warning scoring? mews results in a subscore displayed in a circle with the corresponding color, next to each measured or entered value. actions are only then recommended when all required vitals have been measured or entered, and the mews score has been calculated. the content of the action list depends upon the risk band severity the mews score falls into. for each risk band severity ( normal, observe - at risk, warning and urgent ) a separate action list can be configured. which type of scoring is being used? the type of scoring used in your department, whether it is sps or mews, or a combination of both, was configured during your system setup. normally, the configuration is based on an assessment method already in use before the system was set up. which vitals are needed for scoring, and which actions are recommended for specific scores or risk bands, was also configured individually. independent of the type of scoring used, there may be additional vital signs or clinical observations which are configured to be included in the entry screen. they do not contribute to scoring but are included in the spotcheck record. to view trend data, select the spotchk trend smartkey. a tabular trend will be shown, with all measured and entered data and any calculated @topic:8


# # # issue beds, electric - care assist es230 not responding to keypad inputs. # # # impact the bed cannot be adjusted, which could impact the patient's comfort and mobility. # # # possible causes - keypad malfunction - loose or disconnected connector - software glitch - electrical fault # # # recommendations - inspect the keypad for any signs of damage or malfunction. - check the connector between the keypad and the bed's control unit for loose connections. - reset the bed's software and firmware. - contact the manufacturer for further troubleshooting assistance. @topic:25


# # # issue - monitor not linking to central system # # # impact - inability to monitor patient vitals and data remotely # # # possible causes - monitor not properly configured - central system experiencing issues - network connectivity problems # # # recommendations - verify monitor configuration and settings - check central system status and logs - troubleshoot network connectivity issues @topic:16


# # # issue the cuff of the bedside physiologic monitor is worn out and needs to be replaced. # # # impact the patient's blood pressure cannot be accurately measured with the worn cuff. # # # possible causes the cuff may have been overinflated, causing it to stretch and lose its elasticity. the cuff may have also been exposed to heat or chemicals, which can damage the material. # # # recommendations the cuff should be replaced with a new one of the appropriate size. the new cuff should be inflated to the correct pressure and should be checked regularly for signs of wear and tear. @topic:5


fibrillation analysis using information about the rr irregularity, pr interval variability and p wave variability. in order to generate an afib alarm the following criteria must be detected for 1 minute : normal beat rr intervals must be irregular • pr interval deviation must be large • • atrial fibrillation analysis is only available for adult patients and atrial fibrillation detection cannot be an * * end afib alarm will occur when no atrial fibrillation waveform was detected for a configured since most atrial flutters have regular rr intervals, they cannot be detected by the atrial fibrillation an * * afib can be falsely detected in the presence of : sinus arrhythmia, • • muscle noise, or electrode motion artifact. • if you also have monitors with earlier software revisions, the * * afib and * * end afib alarms will not be generated after a transfer to one of these monitors. always leave the irregular hr alarm switched rm can be generated in such situations. see the application note on arrhythmia / st supplied on your documentation dvd for detailed information on the arrhythmia algorithm and ecg analysis. 5 6 ecg, arrhythmia, st and qt monitoring as p - waves are not analyzed, it is difficult and sometimes impossible for the monitor to distinguish between an aberrantly - conducted supraventricular beat and a ventricular beat. if the aberrant beat resembles a ventricular beat, it is classified as ventricular. you should always select a lead where the aberrantly - conducted beats have an r - wave that is as narrow as possible to minimize incorrect calls. ventricular beats should look different from these'normal beats '. instead of trying to select two leads with a narrow r - wave, it may be easier to just select one lead and use single lead @topic:8


# # # issue - buttons on the bed are not responsive. # # # impact - the bed cannot be adjusted, which can be uncomfortable for patients and make it difficult for caregivers to provide care. # # # possible causes - buttons are locked - buttons are damaged - control panel is malfunctioning - wiring is loose or damaged # # # recommendations - check if the buttons are locked. if they are, unlock them. - inspect the buttons for damage. if any buttons are damaged, they will need to be replaced. - check the control panel for any signs of damage. if the control panel is damaged, it will need to be replaced. - inspect the wiring for any loose or damaged connections. if any wires are loose or damaged, they will need to be repaired or replaced. @topic:7


: a. attach the sensor cable to the bisx device. b. snap the sensor cable onto the electrodes. as soon as a valid sensor is detected, the impedances of all electrodes are measured automatically and the results are shown in the bis window. the number of uses remaining for the semi re - usable sensor is shown in the status line when the bis window is open. 259 19 monitoring bis bis continuous impedance check manufacturer ’ s information bisx, the patient interface cable and the bis sensors are manufactured by aspect medical systems. bis continuous impedance check this checks : • the combined impedance of the signal electrodes plus the reference electrode. this is done continuously and does not affect the eec wave. as long as the impedances are within the valid range, there is no notification of this check or its results. • the impedance of the ground electrode. this is done every ten minutes and takes approximately 4 seconds. it causes an artifact in the eec wave, and the message ground check is shown on the monitor screen during the check. if the ground electrode does not pass this check, another check is started. this continues until the ground electrode passes the check. if the continuous impedance check interferes with other measurements, it can be switched off. to do this : 1 in the setup bis menu, select cont. imp. check. 2 select on / off to toggle between the settings. caution switching the continuous impedance check off will disable automatic notification to the user of impedance value changes, which may lead to incorrect bis values. therefore, this should only be done if the check interferes with or disturbs other measurements. when a semi - reusable sensor is in use the continuous impedance check cannot be switched off. if it is switched off when the sensor is connected, it will automatically be switched on again. bis cyclic impedance check @topic:10


# # # issue - central monitor is not printing results. # # # impact - inability to obtain patient data for diagnosis and treatment. # # # possible causes - low or depleted printer ink. # # # recommendations - replace the printer ink cartridge. @topic:28


matches the reference value received from a reliable local source ( airport, regional weather station or hospital weather station ). ( the values are displayed with a resolution of 2 mmhg up to 500 mmhg and a resolution of 1 mmhg from 500 mmhg to 825 mmhg. ) note : the selected value must be within + 10 % of the current measured ambient pressure, otherwise an error message will occur at restarting the monitor. c. confirm the barometric pressure setting. d. check that the ambient pressure displayed in the status line at the bottom of the screen is the same as the value which you selected from the list in step b. pump check 1. connect the flowmeter inlet to the mco ; gas outlet. 2. connect the filterline to the mco ; inlet. 3. block the inlet of the filterline using your fingertip and observe the cell pressure on the monitor display. the cell pressure ( x4 ) should be more than 120 mmhg below the ambient pressure shown. if the pressure difference is less than 120 mmhg, the pump is not strong enough and you should replace it, irrespective of the pump optime. flow rate check and calibration check the flow rate in the m3015a mms extension or the mp5 as follows : 1. connect the flowmeter to the co » filterline. 2. check on the flowmeter the flow that the m3015a mms extension or mp5 mco2 pump draws ( x5 ). it should be 50 ml / min + 7. 5 ml / min. if the value is within tolerance, proceed to the co » gas calibration check. if the value is not within tolerance, calibrate as follows. 3. adjust the flow in the instrument by selecting increase flow or decrease flow until it is as close as possible to 50 ml per minute as indicated on @topic:17


sc ) anterolateral infarct, acute, 159 st 0. 20, v2 - 1. orso 352 ot 2 te 415 45 - 789 - 2114 order encounter h ore 12 bunal bc 796 - 31 ansorial eco 6 requested by : dr. smith decosfined diagnosis 12 lead ecg report ( standardi 0. 30v avr vi avi 111 yf 0. 30 5 3 111 7 12 んんんんんんんんんんvi 0. 13 √2 0. 19 93 0. 20 v4 0. 20 vs 0. 18 ve 0. 16 av - 0. 05 0. 07 vi - 5. 15 te 0. 24 avy 0. 21 [ 1 ] ] ] 0. 28 philips 0 - 0. 15 - 100 paloos c pt peed : 25 m / devices mont limb 10 m / ky hests 10 / patient data 1 2 analysis data from the information center ( piic ix only ) 2 - lead wave are3 data related to the wave presentation 4 st map with related st numerics ( optional ) 5 administrative data - including optional custom text fields 6 7 hospital id data - institution, facility and department, if configured ther reportsee the sections on trends and calculations and the chapter on event surveillance for other example reports. 8 30 drug mixtures for intravenous ( iv ) drug infusions combine information on drug dose, rate, amount, volume, concentration, and standardized rate. the drug calculator helps you to manage infusions by alues at a time. units definition term total quantity of drug to be delivered to amount units per time or per kg / the patient over time time, if the drug is weight - dependent dose volume of the mixture to be delivered to ml / hour the patient over time rate amount of drug to ng, mcg *, mg, @topic:8


# # # issue bed cannot be adjusted. # # # impact patient cannot be positioned properly for treatment. # # # possible causes * remote control cable is broken or frayed. * remote control is not functioning properly. * bed motor is not functioning properly. * bed frame is damaged. # # # recommendations * inspect the remote control cable for any damage. if the cable is broken or frayed, it will need to be replaced. * test the remote control to ensure that it is functioning properly. if the remote control is not functioning properly, it will need to be repaired or replaced. * inspect the bed motor to ensure that it is functioning properly. if the bed motor is not functioning properly, it will need to be repaired or replaced. * inspect the bed frame for any damage. if the bed frame is damaged, it will need to be repaired or replaced. @topic:1


between the monitor and information center has failed. check that the spo2t settings in use are appropriate. nop toninvalid leadset the leadset plugged in cannot be used with the telemetry device. leadset unplugged the leadset has been unplugged from the telemetry device. no ecg source a telemetry device is paired with the monitor but the information center is not detecting a valid ecg!! repl. telele batt the battery in the telemetry device is almost empty and must be replaced. severe yellow / red inop tone during this inop, alarms cannot e paused or switched off. tele battery low the battery in the telemetry device is low and must be replaced soon.!! tele disconnect telemetry transceiver was disconnected or short range radio link was lost. for cable connections ; check telemetry interface, cable connection and setup.!!! tele disconnect severe yellow / red inop tone for short range radio connections : if the telemetry transceiver has not moved out - of - range, check for interference sources close to the monitor ( bluetooth devices, dect phones, cellular phones, microwaves, etc. ). if this inop persists, ask your service personnel to survey the interference sources. check for further details at the information center or in the telemetry data window on the monitor.!! tele inop!!! tele inop severe yellow / red inop tontele sync unsupp. inop tone the mms in use does not support synchronization of ecg and spo2 settings between the monitor and central station after a telemetry device has been paired. use an mms with revision e. 0 or above. protocolwatch inops nop message, @topic:22


# # # issue - bed is not adjustable # # # impact - patient discomfort - difficulty performing procedures - prolonged hospital stays # # # possible causes - loose ac power cord - faulty motor - damaged electrical components - software malfunction # # # recommendations - inspect and tighten ac power cord connections. - check motor for any visible damage or unusual noises. - verify that all electrical components are functioning properly. - update software if necessary. - consult with the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:1