# # # issue - * * monitor not connecting to system * * # # # impact - inability to monitor patient's physiological parameters - delays in treatment and decision - making - compromised patient safety # # # possible causes - * * configuration issues * * - incorrect network settings - missing or corrupted software - * * hardware issues * * - loose or disconnected cables - faulty network card - * * software issues * * - outdated or corrupted drivers - firmware bugs - * * external factors * * - network outages - power fluctuations # # # recommendations - * * check and reconfigure network settings * * - ensure correct ip address, subnet mask, and gateway - * * update software and drivers * * - install the latest software and firmware to eliminate bugs - * * inspect and tighten cables * * - verify that all cables are properly connected and secure - * * replace hardware if necessary * * - consider replacing the network card or other faulty components - * * monitor network and power status * * - ensure stable network connectivity and uninterrupted power supply @topic:16


# # # issue - the electric bed is not adjustable. # # # impact - the patient cannot be positioned comfortably or safely. - the bed cannot be moved to a different location. # # # possible causes - the ac power cord is loose or damaged. - the control panel is not functioning properly. - the bed motor is not working. # # # recommendations - inspect the ac power cord for any damage. if the cord is damaged, replace it. - inspect the control panel for any loose connections or damaged components. if the control panel is not functioning properly, replace it. - inspect the bed motor for any loose connections or damaged components. if the bed motor is not working, replace it. @topic:1


# # # issue - battery failure in philips intellivue mp5 ( m8105a ) patient monitor during patient transport. # # # impact - interruption of patient monitoring during transport, potentially compromising patient safety. # # # possible causes - * * battery degradation : * * batteries naturally degrade over time, reducing their capacity and lifespan. - * * excessive use : * * frequent or prolonged use of the monitor without recharging can accelerate battery degradation. - * * extreme temperatures : * * operating the monitor in extreme heat or cold can shorten battery life. - * * defective battery : * * manufacturing defects or improper handling can result in a defective battery. # # # recommendations - * * regular battery maintenance : * * schedule periodic battery inspections and replacements based on manufacturer recommendations. - * * optimal usage : * * use the monitor judiciously, avoiding unnecessary or excessive use. - * * temperature control : * * store and operate the monitor in an environment with appropriate temperature range. - * * quality assurance : * * ensure that replacement batteries are sourced from reputable suppliers and meet the original equipment manufacturer's specifications. - * * additional training : * * provide training to medical staff on proper battery handling and maintenance practices. @topic:11


# # # issue - the bed's guard rail is not locking in place. # # # impact - the patient could fall out of the bed, leading to serious injury or death. # # # possible causes - the guard rail's locking mechanism is broken. - the guard rail is not aligned properly with the bed. - the guard rail is obstructed by something ( e. g., bedding, pillows ). - the bed is not level. # # # recommendations - inspect the guard rail's locking mechanism for damage or wear and tear. - check if the guard rail is aligned properly with the bed. - ensure that the guard rail is not obstructed by anything. - level the bed. @topic:6


# # # issue - the monitors, bedside, physiologic from philips, model intellivue mx550, has an issue with the spo2 graph intermittently displaying. # # # impact - the intermittent display of the spo2 graph can lead to inaccurate or missed readings, which could potentially affect patient care. # # # possible causes - the extension connector for the spo2 sensor may be loose or damaged, causing intermittent contact. # # # recommendations - inspect the extension connector for the spo2 sensor. - if the connector is loose, tighten it securely. - if the connector is damaged, replace it with a new one. - retest the spo2 functionality to ensure proper operation. @topic:4


# # # issue - inability to raise or lower the bed # # # impact - compromised patient comfort and safety - reduced patient mobility # # # possible causes - relay malfunction - circuit damage - control panel failure - power supply issues - limit switch malfunction # # # recommendations - confirm correct power supply and connections - check and replace relay - inspect and repair any damaged circuits - diagnose and replace control panel if necessary - ensure proper calibration and functioning of limit switches @topic:1


# # # issue : cuff failure on philips intellivue mp70 ( m8007a ) physiologic monitor ( bedside ) # # # impact : patient monitoring may be inaccurate or unavailable, leading to delayed or incorrect medical interventions. # # # possible causes : - cuff deterioration due to age, usage, or environmental factors. cuffs are typically made of rubber or plastic, which can wear out over time. - cuff size or type mismatch, resulting in an improper fit and inaccurate readings. - damage to the cuff due to improper use, storage, or cleaning. - faulty wiring or connections between the cuff and the monitor. # # # recommendations : - regularly inspect cuffs for signs of deterioration and replace them as needed. - ensure that the correct cuff size and type is used for the patient. - handle cuffs with care to avoid damage during use, storage, and cleaning. - check the wiring and connections between the cuff and the monitor for any loose or damaged components. - conduct regular preventative maintenance on the monitor, including testing the cuff function. @topic:5


# # # issue - icon program has disappeared # # # impact - unable to access or use the program # # # possible causes - the icon may have been accidentally deleted or moved. - a virus or malware may have infected the system and deleted the icon. - the program may have been uninstalled intentionally or unintentionally. - the program files may have become corrupted or damaged. # # # recommendations - check the recycle bin to see if the icon has been deleted, and restore it if found. - run a virus and malware scan to check for any malicious software that may have caused the icon to disappear. - contact the it department or software vendor to reinstall the program if it has been uninstalled or the program files have been corrupted. @topic:13


. 5 kpa ) max. 12 seconds > 50 mmhg 5 mmhg ( 1 kpa ) extreme high difference to high limit 0 to 23 mmhg 5 mmhg steps ( 0. 5 kpa ) clamping at - 40 to 360 mmhg 5 mmhg steps ( 1. 0 kpa ) extreme low difference to low limit 0 to 25 mmhg 5 mmhg steps ( 0. 5 kpa ) clamping at - 40 to 360 mmhg 5 mmhg steps ( 1. 0 kpa ) 438 measurement specifications 38 installation and specifications invasive pressure alarm specifications range adjustment delay pulse 25 to 300 bpm adult : 1 bpm steps ( 25 to 40 bpm ) 5 bpm steps ( 40 to 300 bpm ) pedi / neo : 1 bpm steps ( 25 to 50 bpm ) 5 bpm steps ( 50 to 300 bpm ) tachycardia difference to high limit 0 to 50 bpm 5 bpm steps max. 14 seconds clamping at 150 to 300 bpm 5 bpm steps bradycardia difference to low limit 0 to 50 bpm 5 bpm steps max. 14 seconds clamping at 25 to 100 bpm 5 bpm steps temp complies with en 12470 - 4 : 2000. specified without transducer. temp performance specifications temp range - 1 to 45°c ( 30 to 113°f ) resolution 0. 1°c ( 0. 2°f ) accuracy ±0. 1°c ( ±0. 2°f ) average time constant less than 10 seconds temp alarm specifications range adjustment temp high / low alarms - 1 to 45°c ( 30 to 113°f ) - 1 to 35°c ( 30 to 95°f ), 0. 5°c ( 1. 0°f ) steps 35 to 45°c ( 95 to 113°f @topic:17


# # # issue co2 readings are not displayed on the monitor. # # # impact this issue can lead to inaccurate patient monitoring and delayed treatment. # # # possible causes - internal filter is clogged. - water trap o - ring is loose / missing. - internal components have deteriorated with age. # # # recommendations - replace the internal filter. - replace the water trap o - ring. - purchase a maintenance kit and replace the recommended components that have deteriorated with age. @topic:4


# # # issue - motor failure, resulting in the inability to adjust the knee section of the contoura 360 electric bed. # # # impact - restricted functionality of the bed, compromising patient comfort and safety. # # # possible causes - wear and tear of motor components due to extended use or heavy load - electrical [UNK] [UNK] in the motor circuit - misalignment or obstruction of moving parts # # # recommendations - replace the faulty motor with a new one. - inspect the motor circuit for any loose connections or damaged components and repair or replace as necessary. - check for any misalignment or obstruction in the bed's mechanics and correct it. - regularly maintain and service the bed to prevent similar issues in the future. @topic:9


# # # issue * cuff pressure leak # # # impact * inaccurate blood pressure measurement * patient safety risk # # # possible causes * * * damaged or defective cuff : * * * tears, holes, or leaks in the cuff material * * * improper cuff application : * * * cuff not inflated to the correct pressure * cuff placed too tightly or loosely * * * mechanical malfunction : * * * faulty valve or pressure gauge # # # recommendations * * * inspect the cuff : * * check for any visible damage or leaks. replace the cuff if necessary. * * * ensure proper cuff application : * * * follow the manufacturer's instructions for proper cuff inflation and placement. * * * troubleshoot mechanical issues : * * * check the valve and pressure gauge for proper functioning. contact a qualified technician if necessary. * * * calibrate the equipment : * * * ensure the monitor is calibrated regularly to ensure accurate pressure measurements. * * * use a different cuff size : * * * different patient sizes may require different cuff sizes. ensure the correct cuff size is used for the patient. @topic:3


# # # issue - failure of blood pressure cuff in patient transport monitor # # # impact - patient monitoring may be compromised. - accurate blood pressure measurements cannot be obtained. # # # possible causes - cuff is old and worn, leading to a tear. - cuff is not properly fitted to the patient, causing discomfort and potentially inaccurate readings. - cuff is damaged due to mishandling or improper storage. # # # recommendations - inspect cuffs regularly for wear and tear. - replace cuffs that are damaged or torn. - ensure cuffs are properly fitted to patients. - train staff on proper handling and storage of cuffs. @topic:3


# # # issue - charger not charging # # # impact - vital signs monitor cannot be used # # # possible causes - loose charging plug # # # recommendations - check and tighten the charging plug @topic:11


# # # issue - bed cannot be adjusted vertically # # # impact - patient discomfort - difficulty accessing medical devices - safety concerns # # # possible causes - broken or loose adjustment mechanism - faulty or disconnected motor - software or electrical issues - locked adjustment or safety feature in this specific case, the cause of failure was : # # # recommendations - inspect adjustment mechanism for damage, wear, or obstruction. - test motor and check for proper connections and functionality. - verify software and electrical systems are functioning correctly. - unlock any adjustment or safety features that may be preventing movement. - perform thorough testing and calibration after repairs or adjustments. @topic:1


# # # issue - battery charger plug cannot be inserted into the equipment. # # # impact - the battery cannot be charged, which may lead to the equipment becoming inoperable during use. # # # possible causes - the charging port on the equipment may be damaged or obstructed. - the battery charger plug may be damaged or not properly aligned. - the plastic piece holding the charging port in place may have become loose or broken. # # # recommendations - inspect the charging port on the equipment for any damage or obstructions. clean the port if necessary. - inspect the battery charger plug for any damage or misalignment. - check if the plastic piece holding the charging port in place is loose or broken. if it is loose, tighten it. if it is broken, replace it. - if the issue persists, contact the manufacturer for further assistance. @topic:11


the bed exit alerts 52° access to the mattress ontrols * 19 : 15 02 / 07 / 2020 } ) bed mb 3 c / 1 7 access to the parameters lerts volangle of the sleep surface section bed exit alerts * position mode : the " patient position " mode alert is activated when the patient starts to oveexiting mode : the " exiting " mode alert is activated when the patient moves away from the center of the bed to try to get out. out of bed mode : this mode must be used when the caregivers want to allow the patient to move freely in the bed. the " out of bed " mode alert is activated when the patient d. this information can be sent to the duty nurse if the bed is connected to a hospital network with a compatible information system. ( see " sending bed exit alerts * " pag38 ) the patient position monitor system does not remove the need to secure the patient in the bed ( see " risk prevention " page 5 ). function sensitivity may be impacted if accessories are added or if the trendelenburg / reverse trendelenburg angle is ±8°. the bed exit alerts are no longer operational when the bed switches to battery mode. note : if a load weighing more than 9 kg is added or removed, it is necessary to proceed with an initialization. initializing the bed exit alerts system if the bed is not equipped with a weigh system, it is necessary to proceed with take the same preliminary precautions as for a reset / tare operation of a weigh system ( see " preparing the bed for a reset / tare operation * or initializing the bed exit alerts system * " initializing 1. press the alerts control on the gci. bed exit alert : is disarmed res2. position follow the instructions. 3. xiting adjust the bed accordingly. h ut of bed @topic:9


# # # issue the medical cart's drawer cannot be opened. # # # impact [UNK] [UNK] [UNK] [UNK] を [UNK] [UNK] することかてきません 。 # # # possible causes - the drawer is jammed. - the drawer latch is broken. - the drawer slides are damaged. - the drawer is overloaded. - the drawer is not properly aligned. # # # recommendations - * * check the drawer for any obstructions. * * remove any objects that may be blocking the drawer from opening. - * * inspect the drawer latch for damage. * * if the latch is broken, it will need to be replaced. - * * examine the drawer slides for damage. * * if the slides are damaged, they will need to be replaced. - * * weigh the contents of the drawer. * * if the drawer is overloaded, remove some of the items. - * * realign the drawer. * * make sure that the drawer is properly aligned with the frame of the cart. - if you are unable to resolve the issue, contact a qualified biomedical engineer for assistance. @topic:21


# # # issue - lack of detail in the " cause of failure " field. # # # impact - difficulty in understanding the actual reason for the failure. - limited information for future troubleshooting and prevention. # # # possible causes - incomplete or incorrect data entry. - technician may not have provided enough context. - system limitation in capturing detailed failure information. # # # recommendations - train technicians on the importance of providing detailed failure descriptions. - implement a system that allows technicians to add more context to the " cause of failure " field. - regularly review failure reports to identify patterns and improve troubleshooting procedures. @topic:12


# # # issue printer malfunction, unable to print results. # # # impact - delay in diagnosis and treatment due to lack of patient data. - inaccurate or incomplete patient records, compromising patient care. # # # possible causes - * * failure of printer hardware : * * malfunctioning printhead, clogged ink cartridges, or faulty power supply. - * * communication error : * * loose or damaged cables connecting the printer to the central station. - * * software glitch : * * outdated drivers or corrupted firmware, causing the printer to malfunction. - * * paper jam or improper paper loading : * * misaligned or jammed paper can block the printing process. - * * network connectivity issues : * * intermittent or poor network connection can disrupt communication between the printer and the central station. # # # recommendations - * * hardware troubleshooting : * * inspect the printer for any physical damage or loose connections. clean the printhead and replace empty or clogged ink cartridges. - * * communication check : * * ensure that the cables connecting the printer to the central station are secure and undamaged. - * * software update : * * check for and install any available software or firmware updates for the printer. - * * paper handling : * * clear paper jams and ensure that the paper is properly loaded and aligned in the tray. - * * network troubleshooting : * * verify that the network is stable and that the printer is properly connected. @topic:28


# # # issue : medical cart drawer is stuck and cannot be opened. # # # impact : - difficulty accessing medical supplies and equipment stored in the drawer. - potential delays in patient care. # # # possible causes : - misaligned drawer tracks - loose or damaged screws - broken drawer latch - obstruction in the drawer path - structural damage to the drawer # # # recommendations : - physically inspect the drawer and tracks for any visible damage or obstructions. - check and tighten any loose screws or bolts securing the drawer. - ensure that the drawer latch is functioning properly and not obstructed. - remove any items that may be blocking the drawer from opening. - if the issue persists, consult the manufacturer's instructions for further troubleshooting or contact a qualified biomedical engineer for assistance. @topic:21


# # # issue - cuff deterioration # # # impact - inaccurate or unreliable vital sign readings # # # possible causes - age and wear of the cuff - improper storage or handling - exposure to extreme temperatures or humidity # # # recommendations - regular inspection and replacement of cuffs as per manufacturer's guidelines - proper storage of cuffs in a cool, dry environment - avoid exposing cuffs to extreme temperatures or humidity - training of staff on proper cuff maintenance techniques @topic:5


# # # issue - the spo2 cable is not reading values. # # # impact - the patient's oxygen saturation levels cannot be monitored. # # # possible causes - the spo2 cable is damaged. - the spo2 sensor is not properly connected. - the patient is not wearing the spo2 sensor correctly. - the monitor is not properly calibrated. # # # recommendations - replace the spo2 cable. - ensure that the spo2 sensor is properly connected. - instruct the patient on how to wear the spo2 sensor correctly. - calibrate the monitor. @topic:4


# # # issue - vital signs monitor ( philips suresigns vs4 ) failed to accurately measure temperature. # # # impact - incorrect temperature readings can lead to misdiagnosis and inappropriate treatment decisions. # # # possible causes - * * faulty temperature probe : * * the temperature probe may be damaged or malfunctioning, resulting in inaccurate readings. - * * loose or disconnected probe : * * the temperature probe may not be securely connected to the monitor, causing intermittent or incorrect readings. - * * improper calibration : * * the temperature probe may not have been calibrated or calibrated incorrectly, leading to inaccurate measurements. - * * environmental interference : * * external factors such as electromagnetic interference or extreme temperatures may affect the accuracy of the temperature readings. # # # recommendations - * * inspect the temperature probe : * * examine the probe for any visible damage or loose connections. replace the probe if any damage is found. - * * secure probe connection : * * ensure that the temperature probe is securely connected to the monitor. tighten any loose connections. - * * calibrate the probe : * * perform a calibration test using a certified calibration device to ensure accurate readings. - * * check environmental conditions : * * verify that the monitor is operating in an environment free from electromagnetic interference and extreme temperatures. - * * consult manufacturer : * * if the issue persists, consult the equipment manufacturer for further troubleshooting and repair options. @topic:20


* * issue : * * the footboard guardrail of the electric bed cannot be adjusted. * * impact : * * patients may fall out of bed if the footboard guardrail is not functioning properly. * * possible causes : * * - broken or damaged footboard guardrail - loose or disconnected screws or bolts - faulty switch or motor - electrical problems * * recommendations : * * - inspect the footboard guardrail for damage or breakage. - tighten any loose screws or bolts. - test the switch and motor to ensure they are functioning properly. - check for any electrical problems, such as loose wires or damaged insulation. @topic:6


# # # issue - monitor is unable to measure blood pressure ( bp ). # # # impact - inability to accurately monitor a patient's bp. # # # possible causes - loose or disconnected cables connecting the monitor to the bp cuff. - faulty bp cuff or tubing. - problem with the monitor's internal circuitry or software. # # # recommendations - check the cables connecting the monitor to the bp cuff and ensure they are securely connected. - replace the bp cuff or tubing if it is damaged or faulty. - contact a qualified biomedical engineer to diagnose and repair any internal issues with the monitor. - calibrate the monitor according to the manufacturer's instructions to ensure accurate bp readings. - perform regular preventive maintenance on the monitor to reduce the risk of future failures. @topic:15


full height of the screen for the ipc desktop. the monitoring screen content is then arranged on the right side of the screen. such ipc screens may be loaded automatically when the ipc key is selected. in this case the main screen key is replaced by a previous screen key, to give you a fast and easy method to switch back and forth between the ipc screen and the regular screen. the audio from the ipc is normally configured to be off. however, your monitor may have the ipc audio configured on for use with specific pc applications. warning always minimize the ipc audio volume or mute it completely when it is not needed for an ipc application. this will avoid ipc tones distracting from or masking tones from the monitor. you can connect input devices such as a mouse, trackball and keyboard to the rear of the patient monitor ( using the left hand row of usb connectors ) and use them for input to the monitor. correspondingly you can connect input devices to the rear of the patient monitor ( using the right hand row of usb connectors ) or to the front usb connector and use them for the ipc. input devices connected to the ipc can also be shared with the patient monitor. sharing input devices and touchscreen input requires a specific software application ; refer to the intellivue xds application instructions for use for details. if the ipc is switched off when input devices are shared, any input devices connected to it will not be available for use with the monitor. 51 1 introduction the ipc will be shut down automatically when the monitor is switched off. select main setup then internal pc. 1 in the internal pc menu, select switch pc off. 2 if there is a problem with the shutdown, and you need to switch off the ipc manually, 1 select main setup then internal pc. in the internal pc menu, select force pc off to force @topic:10


# # # issue - cuff deterioration leading to inaccurate vital sign readings. # # # impact - compromised patient care due to unreliable vital sign data. # # # possible causes - prolonged use and wear without proper maintenance. - exposure to extreme temperatures or humidity. - physical damage or mishandling. # # # recommendations - regular cuff inspections and preventative maintenance to identify and address deterioration early. - proper storage and handling of cuffs to minimize damage. - adherence to manufacturer's guidelines for cuff replacement and maintenance. - training and education for staff on proper cuff care and handling. @topic:5


# # # issue - * * device malfunction : * * bed, electric is not adjusting as expected. # # # impact - * * patient care : * * the inability to adjust the bed can hinder patient comfort, treatment, and mobility. # # # possible causes - * * remote control malfunction : * * the remote control is not functioning correctly, preventing the bed from being adjusted. # # # recommendations - * * verify remote control : * * inspect the remote control for any physical damage or loose connections. ensure it is properly paired with the bed. - * * replace remote control : * * if the remote control is not repairable, it should be replaced with a new one. - * * check bed wiring : * * ensure that the wiring between the bed and the remote control is intact and secure. loose or damaged wiring can interrupt communication between the two components. - * * calibrate bed : * * the bed may require calibration to ensure it responds correctly to remote control commands. consult the manufacturer's guidelines for calibration procedures. @topic:7


# # # issue - unable to adjust the bed, electric # # # impact - inability to provide patient care due to malfunctioning equipment. # # # possible causes - faulty remote control - malfunctioning keypad - software issues - electrical problems - mechanical issues # # # recommendations - test the remote control and keypad for proper functionality. - check for any loose connections or damaged wires. - reset the device to its factory settings. - contact the manufacturer for further troubleshooting or repair. - consider replacing the device if necessary. @topic:7


# # # issue - oxygen sensor failure in physiologic monitor, philips suresigns vs3 # # # impact - inability to accurately measure oxygen saturation ( spo2 ) levels, potentially leading to delayed or incorrect medical interventions. # # # possible causes - hardware malfunction of the oxygen sensor - loose connections or damaged cables - interference from other medical devices or environmental factors - patient positioning or movement # # # recommendations - replace the defective oxygen sensor with a new one. - ensure all connections are secure and cables are not damaged. - minimize potential interference by keeping other medical devices away and avoiding electromagnetic sources. - position the patient properly and instruct them to remain still during the measurement. - calibrate the monitor according to the manufacturer's instructions to ensure accurate readings. - perform regular maintenance checks to identify and address potential issues early on and reduce the risk of failure. @topic:4


. 5 in the scale menu, select the parameter label you want to define settings for. select adult, pedi, and neo and use the pop - up keypad to enter new upper and lower scale definitions. graphical trend presentation graphical trends and screen trends for measurements with compound values ( for example abp or c0 2 ) can be viewed in line or band form. to change the presentation style, 1 select main setup - > trends 2 select global style and choose • line to display the trends as a continuous line • band to fill the area between the trend lines, for example, between the systolic and diastolic pressures, with color. this sample abp abp 240 trend shows the - - continuously - measured values for - - - _ h1 50 -'the systolic, diastolic and mean pressures displayed in band form. setting measurement and period for histograms to set the default for the measurement data to be used in the histogram, 1 select main setup - > trends 2 select setup histogram. 3 select data source. 4 select either a realtime sp0 2 or trended data. from the trended data list select the required measurement. to set the default period for the histogram, 1 select main setup - > trends 2 select setup histogram. 3 select select period and select the required time period from the list. when viewing a histogram, the data source, the period and the range can be changed using the pop - up keys. documenting trends to print a vital signs or graphical trends report. 277 21 trends trends databases ♦ in the vital signs or graph trends window, select the pop - up key print to print a report for the trend group currently on the monitor screen. reports include the most recent information in the trends database and extend backwards in time according to the selected trend interval and your monitor ’ s configuration @topic:8


the gain for the chest leads relative to the standard gain setting. aper speed defines the waveform speed. choices are 25 mm / sec and 50 mm / sec. defines the page layoutformat choices are 12x1, 6x2, 3x4, 3x4 1r, 3x4 3r, 3x4 st and 3×4 1r st. 1r and 3r refer to 1 or 3 rhythm leads, st formats contain an st map. time defines whether all leads show simultaneous or sequential intervals of time, when displaying or more columns. defines which lead will be used as rhythm lead 1, 2 or 3. choices are primary, secondary, i, ii, iii, avr, avl, avf, v1, v2, v3, v4, v5, v6, mcl this setting is only relevant when 3×4 1r, 3x4 1r st or 3×4 3r is selected aformat. lead sequence defines the sequence in which the leads are presented. choices are cabrera and internat. you can enter an order number that will then be associated with the 12 - lead ecg. to enter an ordenumber, select the enter orderno. pop - up key. the order number will be displayed in the title bar ohe pop - up keys. to store the previewed data on the monitor and send it to a connected information center for storage and analysis, select the store & send pop - up key. if the monitor is connected to an information center, use the store & send function before patient transport to store the 12 - lead ecg centrally, as the 12 - lead ecg data will not be uploaded from the mms to another monitor after transport. if the connection to the information center is not active while storing, the 12 - lead ecg will be automatically sent as soon @topic:8


# # issue - battery is displaying - 1 %. # # impact - the battery status of the medical cart is unreliable, which could lead to unexpected power outages and disruption of patient care. # # possible causes - mainboard malfunction causing incorrect battery status readings. - battery sensor malfunction or damaged wiring. - software issue with the battery monitoring system. # # recommendations # # # short - term - restart the medical cart to reset the battery monitoring system. - monitor the battery status closely for any abnormalities. - if the issue persists, contact the manufacturer for technical support. # # # long - term - consider scheduled maintenance to inspect and replace any faulty components, including the mainboard or battery sensor. - update the software to the latest version and patch any known bugs. - implement a regular battery testing protocol to ensure reliable battery performance. @topic:13


# # # issue - the laparoscopic - monitor lcd's ( model lmd - 1530md ) screen displays signal interference when the function menu is pressed. # # # impact - the monitor cannot be used for laparoscopic surgeries, as the signal interference makes it difficult to see the surgical field. # # # possible causes - the signal interference could be caused by a number of factors, including : - a faulty signal cable - a loose connection between the signal cable and the monitor - a problem with the monitor's internal circuitry # # # recommendations - the technician should first check the signal cable to make sure that it is not damaged and that it is securely connected to both the monitor and the laparoscope. - if the signal cable is not the problem, the technician should then check the monitor's internal circuitry for any loose connections or faulty components. - if the technician is unable to find and fix the problem, they should contact the manufacturer of the monitor for assistance. @topic:2


# # # issue : cuff bp is damaged # # # impact : vital signs monitor is not able to accurately measure blood pressure, which can lead to incorrect diagnosis and treatment. # # # possible causes : - cuff is old and worn out - cuff is not the correct size for the patient - cuff is not properly connected to the monitor - cuff is damaged by chemicals or moisture # # # recommendations : - replace the cuff with a new one - make sure the cuff is the correct size for the patient - connect the cuff to the monitor properly - store the cuff in a clean and dry place @topic:3


( 200 x 85 x 16 cm ) [UNK] [UNK] alternating pressure mattress system - ad237a p02062b x ( 203 x 85 x 18 cm ) [UNK] continuous pressure mattress - ad238a ( 203 x 85 x 18 cm ) p02063b [UNK] mcm alternating pressure mattress system - ad234a ( 203 x 85 x 18 cm ) [UNK] mcm continuous pressure mattress - ad235a 02065b x x ( 203 x 85 x 18 cm ) duo® 2 multi mode mattress system - ad140a ( 200 x 85 x 23 cm ) p02039b accella tm therapy multi - mode mattress system - ad305a ( 203 x 92 x 21. 5 cm ) p006783a accella tm therapy + mcmtm multi - mode mattress system - ad306a ( 203 x 92 x 21. 5 cm ) 00678np50 - sw single - density foam mattress ( 198 x 85 x 14 cm ), excluding uk and italy ass027 x np50 - sw single - density foam mattress ( 198 x 90 x 14 cm ), excluding uk and italy ass028 [UNK] np50 - sw single - density foam mattress ( 198 x 85 x 14 cm ) uk and italy only ass007 [UNK] x np50 - sw single - density foam mattress ( 198 x 90 x 14 cm ) uk and italy only ass024 np100 - sw dual - density foam mattress ( 198 x 85 x 14 cm ), xcluding uk and italy, without handles ass029 x np100 - sw dual - density foam mattress ( 198 x 90 x 14 cm ), xcluding uk and italy, without handles ass031 np100 - sw dual - density foam mattress ( 198 x 85 x 14 cm ), uk and italy only, with handles ass022 x @topic:9


##sassembly plug - in modules plug - in modules the snap lock holds the plug - in module in the fms. to remove the snap lock : 1 grip the module firmly in one hand and using your thumb, pull the front edge of the snap lock away from the plug - in module so that the lug on the snap lock clears the retaining edge of the module. 2 push on the rear edge of the snap lock to move the snap lock through the slot toward the front of the module until it is clear. to replace the snap lock : 1 locate the snap lock into the slot on the bottom of the module. 2 slide the snap lock toward the rear of the module until the lock snaps into position. plug - in module disassembly disassembly of the parameter module enables replacement of the front assembly. figure 10 removing the module front housing 146 plug - in modules 5 repair and disassembly warning when you disassemble / assemble a plug - in module a patient leakage current test must be performed before it is used again for monitoring. to disassemble a plug - in module : remove the front housing. - place the module on a flat surface and insert a card ( similar to a credit or cheque type card ) into one side of the module to disengage the 2 tabs securing the front housing to the module housing. - pull the edge of the front housing away from the module housing. - carefully turn the module over so the free edge does not reengage and repeat the first two steps on the other side of the module. the front housing should now be free of the module housing. to reassemble a plug - in module : snap - fit the front housing onto the front of the module case so the openings in the front housing match the leds and keys. tcp02 / tcpc0 @topic:19


separate mains. 56 3 testing and maintenance ] me device ( lec 60601 - 1 ) me device ( lec 60601 - 1 ) device inside or outside of patient vicinity device inside or outside of patient vicinity - 1 1 hecessdry 1 multiple portable socket outlet mains medically used room case 2 : medical device combined with a non - medicai device if you combine a medical device with a non - medical device to form a medical electrical system according to lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + a1 ed. 3 clause 16, additional protective measures are required, e. g. usage of a separation device. the medical electrical devices or the it equipment may be located in or outside the patient vicinity in a medically used room. after system installation incl. protective measures, a system test is required to ensure that the resulting equipment leakage current and applied part leakage current does not exceed the limits of lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + al ed. 3 clause 16. me device device ( lec 60601 - 1 ) 60601 - 1 ) device inside or outside of patient vicinity separiation dfevice, if hecessdry 1 device inside or outside of patient vicinity mains mains medically used room 57 [ 3 testing and maintenance ] for any it equipment ( iec60950 - 1 ) operated in patient vicinity ensure that the equipment leakage current does not exceed the limits described in lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + a1 ed. 3 clause 16. use a separation device to ensure compliance. after installation of it equipment in patient vicinity, an equipment leakage current test is required. me device it equipment ( lec @topic:10


# # # issue battery replacement due to end of life # # # impact the medical device may not function properly due to a weak or depleted battery. this could lead to patient discomfort, delays in treatment, or even medical emergencies. # # # possible causes - natural aging of the battery - frequent use of the device - battery not being properly maintained or charged # # # recommendations - replace the battery regularly according to the manufacturer's recommendations. - properly maintain and charge the battery to extend its lifespan. - consider using a battery management system to optimize battery performance and longevity. @topic:11


# # # issue - equipment not functioning properly - indicates a problem with the electrical system or control box - may cause significant delays or disruption in patient care # # # impact - inability to use the equipment for patient treatment - delays in patient care, impacting patient outcomes - potential safety hazards if the equipment malfunctions unexpectedly # # # possible causes - * * electrical malfunction : * * faulty wiring, loose connections, or damaged components in the electrical system - * * control box issues : * * malfunctioning or defective control box, leading to improper signal transmission or control over the equipment's functions - * * software glitches : * * bugs or errors in the software that controls the equipment's operation - * * mechanical problems : * * worn or damaged components, such as motors or gears, that interfere with the equipment's movement - * * user error : * * incorrect operation or maintenance of the equipment, leading to unintended consequences # # # recommendations - * * check electrical connections : * * ensure that all wiring is secure and free from damage. tighten any loose connections or replace damaged wires. - * * inspect control box : * * examine the control box for any signs of damage or malfunction. reset the control box to restore normal operation. - * * update software : * * check for software updates and install the latest version to address any known bugs or issues. - * * lubricate moving parts : * * apply lubricant to gears, motors, and other moving components to reduce friction and prevent wear. - * * train users : * * provide thorough training to users on proper operation and maintenance procedures to avoid potential misuse. - * * regular maintenance : * * establish a regular maintenance schedule to inspect, clean, and calibrate the equipment to prevent future issues. - * * contact manufacturer : * * if the issue persist @topic:12


# # # issue - equipment is not measuring blood pressure accurately # # # impact - patient's vital signs may be inaccurate - patient may not receive appropriate treatment # # # possible causes - cuff is loose or not properly inflated - cuff is the wrong size for the patient - air leak in the cuff or tubing - faulty pressure transducer - software error # # # recommendations - check the cuff for looseness or leaks. - ensure that the cuff is the correct size for the patient. - replace the cuff or tubing if necessary. - calibrate the pressure transducer. - update the software if necessary. @topic:14


# # # issue - vital signs monitor not transmitting data # # # impact - clinicians may not have access to real - time patient data, which could delay or compromise patient care. # # # possible causes - network problems - incorrect ip configuration - hardware or software issues with the monitor # # # recommendations - verify network connectivity and troubleshoot any issues. - check the ip configuration of the monitor and ensure it is correct. - inspect the monitor for any physical damage or loose connections. - contact the manufacturer for technical support if the issue persists. @topic:22


# # # issue - defective ekg cable # # # impact - intermittent or inaccurate ekg monitoring - potential for patient harm if ekg data is not reliable # # # possible causes - damage to the ekg cable, such as cuts or fraying - loose connections between the ekg cable and the monitor or patient - electrical interference from other medical devices or environmental sources # # # recommendations - replace the ekg cable with a new one - inspect the ekg cable for any damage or loose connections - ensure that the ekg cable is not routed near other electrical devices or sources of interference - test the ekg cable to verify that it is functioning properly @topic:18


# # # issue - cuff adult deterioration # # # impact - inaccurate blood pressure readings - patient discomfort # # # possible causes - cuff damage from prolonged use or improper handling - cuff size mismatch # # # recommendations - replace the deteriorated cuff adult with a new one of the appropriate size. - inspect cuffs regularly for signs of wear and tear, and replace them as needed. - train staff on proper cuff handling techniques to minimize damage. @topic:3


# # # issue - the temperature sensor on the philips suresigns vs4 monitor is measuring high and providing unstable readings. # # # impact - inaccurate temperature readings can lead to incorrect diagnoses and treatment decisions. - unstable readings can make it difficult to track patient progress and respond to changes in their condition. # # # possible causes - * * defective temperature sensor : * * the sensor may be malfunctioning or damaged, causing it to provide inaccurate readings. - * * calibration error : * * the monitor may not have been calibrated correctly or its calibration may have drifted over time. - * * environmental factors : * * external factors such as temperature or humidity can affect the accuracy of the temperature sensor. - * * software issue : * * a software glitch or bug could be causing the monitor to display incorrect temperature readings. # # # recommendations - replace the temperature sensor : if the sensor is defective, it should be replaced with a new one. - calibrate the monitor : the monitor should be calibrated according to the manufacturer's instructions. - check the environment : ensure that the monitor is being used in an environment that meets the manufacturer's specifications for temperature and humidity. - update the software : if a software issue is suspected, the monitor's software should be updated to the latest version. - consult the manufacturer : if the problem persists, consult with the manufacturer for further troubleshooting and support. @topic:20


# # # issue the cuff on the bedside physiologic monitor has deteriorated and needs to be replaced. # # # impact this will impact the accuracy and reliability of the monitor's readings, which could potentially lead to patient harm. # # # possible causes - the cuff is old and has been used extensively. - the cuff has been exposed to moisture or other environmental factors that have damaged it. - the cuff is not the correct size for the patient. # # # recommendations - replace the cuff with a new one that is the correct size for the patient. - inspect the cuff regularly for signs of wear and tear. - store the cuff in a dry, clean environment when not in use. @topic:5


# # # issue the rail guard of the electric bed cannot be adjusted upward. # # # impact the patient may be at risk of falling out of bed. # # # possible causes - the rail guard is damaged or obstructed. - the motor or gears that control the rail guard are not working properly. - the electrical system that powers the rail guard is not working properly. # # # recommendations - inspect the rail guard for damage or obstructions. if any damage is found, replace the rail guard. - inspect the motor and gears that control the rail guard. if any damage is found, replace the motor or gears. - inspect the electrical system that powers the rail guard. if any damage is found, repair or replace the electrical system. @topic:6


# # # issue - remote control breakage # # # impact - inability to operate the bed remotely # # # possible causes - accidental drop or impact - wear and tear from prolonged use # # # recommendations - handle the remote control with care to prevent damage. - regularly inspect the remote control for any signs of damage and replace it if necessary. - if the remote control is frequently dropped or damaged, consider purchasing a more durable model or using a protective case. @topic:7


s new in release a. 2? 12 - lead ecg recordings : 12 - lead ecg waves and numerics can be sent to a connected recorder high - resolution trend report : high - resolution trend report can be sent to a connected printer st snippets st snippets, showing a one second wave segment for each measured st lead, can be permanently displayed on the screen or called up as required. eeg wave speed : new eeg - specific wave speeds have been added to the list of wave speeds available drug calculator : this new feature helps you to calculate drug dosages for your patients on - screen calculator : a mathematics calculator can be used on the screen visitor screen : this new screen is designed to hide sensitive patient information from the screen. monitoring and alarm generation function as usual. touch selection volume control : the volume of the audio prompt given when a screen element is selected is now adjustable vuelink interface : the vuelink on - screen appearance and controls are improved m3001a : trend upload from the multi - measurement server ( m3001a ) improved screen trends : lets you display patient trend information in graphic form permanently on the screen alarm limits page : lets you view and control alarm settings for all measurements in one window new option for event surveillance : a new neonatal event review option # c04 is introduced second display to simultaneously show two different screens, a second display can be connected to the mp90. the second display is for viewing only. 54 3 alarms the alarm information here applies to all measurements. measurement - specific alarm information is discussed in the sections on individual measurements. the monitor has two different types of alarm : patient alarms and inops. patient alarms are red and yellow alarms. a red alarm indicates a high priority patient alarm such as a potentially life threatening situation ( for example, asystole ). a yellow @topic:8


# # # issue - cuff leak # # # impact - unable to accurately measure blood pressure # # # possible causes - cuff is damaged or punctured - cuff is not properly inflated - hose connection between cuff and monitor is loose or damaged # # # recommendations - check the cuff for damage or punctures. if found, replace the cuff. - ensure that the cuff is properly inflated according to the manufacturer's instructions. - check the hose connection between the cuff and the monitor for loose or damaged connections. tighten or replace the hose as necessary. @topic:3


# # # issue monitor does not link # # # impact the patient's vital signs cannot be monitored, which could lead to a delay in diagnosis and treatment. # # # possible causes - the monitor is not properly connected to the patient. - the monitor is not properly configured. - the monitor is not compatible with the patient's equipment. # # # recommendations - check the connections between the monitor and the patient. - check the monitor's configuration settings. - contact the manufacturer of the monitor or the patient's equipment for compatibility information. @topic:16


##p 179 current view st map 151 curve alert messages ( c. o. ) 210 cyclic impedance check ( bis ) 260 d d80 intelligent display 7 damage mechanical 41 database events 298 database configuration trends 278 date, setting 40 dc power symbol 404 default profile 32 default settings 453 defibrillation and arrhythmia monitoring 132 and ecg monitoring 132 and monitoring bis 263 during eec monitoring 256 synchronization marks 118 defibrillator input 424 defibrillator proof symbol 403 defibrillator synch maintenance interval 378 delay time recording 325 delayed recording 323 deleting events 298 demonstration mode 27 desat alarm, sp02 175 detection modes ( resp ) 166 device driver language conflict with monitor 350, 353 diagnostic ( ecg filter setting ) 122 digital interface symbol 404 digital video device connection symbol 404 disabling touch operation 20 discharging a patient 104 disconnect inops silencing 59 disinfecting infection control 365 recommended substances 366 display arrhythmia 135 connecting a second display 29 ecg 118 nbp 179 resp 166 st 146 display brightness 375 display settings 30 disposal gas cylinder 379 parts and accessories 379 docking station 8 documenting events 302 dosemeter ( drug calculator ) 345 dpmax 200 drip table ( drug calculator ) 346 drug calculator 343 dsc ( bis ) software revision 263 dual sp02 176 dual temp measurement 186 dyshemoglobins intravascular ( sp02 ) 173 e early systolic blood pressure, nbp 180 easi activating 123 ecg monitoring 129 lead placement 129 easi ecg lead labels 124 ecg 117 accessories 381 alarms off ( config mode ) 131 changing lead sets 123 choosing electrode sites 123 conventional 12 - lead 127 external pacing electrodes 133 filter settings 122 fusion beat pacemakers 133 intrinsic rhythm 132 @topic:8


##pm 90 1 www - - 1 15 : 37 tco30 30 30 30 30 30 30 30 30 30 이 이 이 0 0 imco₂ 0 0 0 0 0 rr 15 15 - - - - www 30 awrr 30 30 30 30 30 30 30 30 30 120 120 abps 120 120 120 120 120 120 120 120 70 70 abpd 70 70 70 70 70 70 70 70 91 abpm 91 91 91 91 91 91 91 91 91 28 28 28 paps 28 28 28 28 28 28 28 papd 15 15 15 15 15 15 15 15 15 15 apm 21 21 21 21 21 21 21 21 21 21 15 : 33 15 : 34 15 : 35 15 : 36 15 : 37 15 : 38 16 apr 15 : 29 15 : 30 15 : 31 15 : 32 1 aperiodic values are shown with a timestamp the currently - selected column is highlighted. the values can be configured to display in the same colors as the waves and numerics on the realtime display. any values available for display before the next scheduled update are shown in the right hand column, if more than one value is available for an aperiodic trend for a certain trend period, all measured valueare stored in the database and the value closest to the timestamp is shown in the vital signs display marked with an arrow. 13 3 trends to view the vital signs trend with one column for each nbp measurement ( see " defining the column interval using the nbp measurement " on page 317 ) : with the vital signs trend open, select interval. 1 select nbp from the pop - up list2 histogram : spo2 ( 12hrs @ 1sec ) 23 % 62 % 20 % 11 % 11 % 11 % % 87 % 15 % 5 % 2 % 1 % ≤80 81 82 83 84 85 86 87 88 89 90 91 92 @topic:8


serial number label is not legible, return the monitor for label replacement. philips recommends that you perform certain tests and verification checks at least once a year and after each repair. for complete information about performing verification testing and checks, see chapter 3, “ performance verification testing. ” cleaning and disinfecting to clean or disinfect your suresigns monitor, use only the cleaning agents approved by philips. for complete cleaning instructions, see the instructions for use for your monitor. performing routine maintenance suresigns vs2 * and vsi service guide 2 - 1 maintaining the battery maintaining the battery the rechargeable lithium ion battery used in the monitor is a smart battery with built - in circuitry that communicates battery status information to the monitor. battery power lasts a minimum of 4. 5 hours during continuous monitoring with no printing ( vs2 * only ) and one nbp measurement every 15 minutes. observe these guidelines : if a battery shows damage or signs of leakage, replace it immediately. never use a faulty battery in the monitor. never dispose of the battery in a normal waste container. never leave a battery inside the monitor if it is not used for a long period of time. never store a battery that is more than 50 % charged. note — for information about the battery status indicators, see the suresigns vsi instructions for use or the suresigns vs2 * instructions for use. viewing battery information as a battery ages, its capacity decreases and the battery status indicator becomes increasingly less accurate, relative to the total number of charges and discharges. the battery info menu displays battery parameters. to view information about the battery : step 1 access the system admin menu. see “ accessing the system admin menu ” on page 3 - 4, 2 select the service button. 3 select the diagnostics button. performing routine maintenance 2 - 2 suresigns @topic:11


# # # issue - faulty lead ekg cable # # # impact - intermittent or complete loss of ekg data - inaccurate ekg readings - potential patient safety hazards # # # possible causes - physical damage to the cable, such as cuts or tears - loose connections at the cable ends - corrosion or contamination of the cable contacts - manufacturing defects # # # recommendations - inspect the lead ekg cable for physical damage or loose connections. - clean and disinfect the cable contacts. - replace the lead ekg cable if necessary. - perform regular preventive maintenance checks on the equipment to identify and address potential issues before they cause failures. @topic:18


# # # * * issue * * : bed's knee adjustment not functioning. # # # * * impact * * : inability to adjust the patient's knee position during medical procedures or patient care. # # # * * possible causes * * : - * * faulty knee adjustment mechanism : * * mechanical failure in the components responsible for knee adjustment, such as gears, motors, or sensors. - * * electrical malfunction : * * interruptions in the electrical circuit supplying power to the knee adjustment mechanism, including loose connections, damaged wires, or a faulty control panel. - * * software glitch : * * issues with the software controlling the knee adjustment mechanism, leading to incorrect operation or malfunction. - * * mechanical obstruction : * * physical barriers preventing the knee adjustment mechanism from moving, such as debris, loose parts, or excessive friction. # # # * * recommendations * * : 1. * * initial inspection * * : - ensure the equipment is properly plugged in and powered. - visually inspect the knee adjustment mechanism for any obvious signs of damage or obstruction. 2. * * electrical troubleshooting * * : - check electrical connections and wiring for any loose or damaged components. - test the continuity of the electrical circuit using a multimeter. 3. * * mechanical troubleshooting * * : - manually attempt to adjust the knee with the power turned off to rule out electrical issues. - lubricate any moving parts to reduce friction and ensure smooth operation. - inspect gears, motors, and sensors for any signs of wear or damage. 4. * * software diagnostics * * : - check for any firmware updates or patches available from the manufacturer. - reset the equipment to factory settings if possible. 5. * * further evaluation * * : - if the above steps do not resolve the issue, contact the manufacturer or a qualified biomedical engineer for professional repair @topic:9


1 ) post - tetanic - count stimulation mode ptc manual minimum recovery time min double - burst stimulation mode manual minimum recovery time 0 senmt alarm specification * * tofcnt high larm delarange max. 4 sec system delay after value above the high alarm limit setting goes safety and performance tests you must observe any national regulations on the qualification of the testing personnel and suitable measuring and testing facilities. see the maintenance section for a list of required tests. safety and performance tests, and what to do if the instrument does not meet these specifications, are described in the service guide. electromagnetic compatibility ( emc ) specifications take special precautions regarding electromagnetic compatibility ( emc ) when using medical electrical equipment. you must operate your monitoring equipment according to the emc information provided in this book. portable and mobile radiofrequency ( rf ) communications equipment can affect medical electrical equipment. accessories compliant with emc standards all accessories listed in the accessories section comply, in combination with the patient monitor, with c 60601 - 1 - 2 : 2001 + a1 : 2004. warning using accessories other than those specified may result in increased electromagnetic emission or decreased electromagnetic immunity of the monitoring equipment. the monitor is suitable for use in the electromagnetic environment specified in the table below. you sed in such an environment. 495 40 specifications emissions test compliance the monitor uses rf energy only for its internal function. therefore, its rf emissions are very low and are not likely to cause any interference in nearby electronic equipment class a the monitor is suitable for use in all establishments other than domestic and those directly connected to the public low - voltage power supply network that supplies buildings used for domestic urposes rf emissions cispr 11 harmonic emissions iec 61000 - 3 - 2 n / a n / a warning the monitor should not be used next to or stacked with other equipment. if you must stack the monitor, you must check that normal operation is possible @topic:10


# # # issue - side rail of the hospital bed cannot be lowered. # # # impact - patients may not be able to get out of bed safely. - nurses may not be able to access patients easily. # # # possible causes - the cable inside the side rail release lever has become disconnected. # # # recommendations - the technician reinserted the cable and tested the side rail release lever to ensure it is working properly. - the technician should also inspect the other side rail release lever to ensure it is working properly. @topic:6


# # # issue bed cannot be adjusted # # # impact patient comfort and safety compromised # # # possible causes - loose connector # # # recommendations - ensure all connectors are tightened securely @topic:1


# # # issue the ekg graph is not displaying. # # # impact the inability to view the ekg graph can hinder the proper monitoring of the patient's cardiac activity. this can lead to delayed diagnosis and treatment of cardiac arrhythmias or other cardiovascular issues. # # # possible causes * * 1. damaged ekg cable : * * the most common cause of an ekg graph not displaying is a damaged or faulty ekg cable. this can occur due to wear and tear, improper handling, or external damage. * * 2. loose or disconnected cable : * * if the ekg cable is not properly connected to the patient or the monitor, it can result in the ekg graph not displaying. * * 3. equipment malfunction : * * in some cases, the failure to display the ekg graph may be due to a malfunction within the monitor itself. this could be caused by hardware issues, software errors, or electrical faults. # # # recommendations * * 1. inspect the ekg cable : * * inspect the ekg cable for any visible damage, such as cuts, fraying, or loose connections. if damage is found, replace the cable with a new one. * * 2. check cable connections : * * ensure that the ekg cable is securely connected to both the patient and the monitor. tighten any loose connections and verify that they are properly seated. * * 3. restart the monitor : * * turn off the monitor and then turn it back on. this can help reset any software or hardware issues that may be affecting the ekg graph display. * * 4. contact biomedical engineering : * * if the above steps do not resolve the issue, contact the biomedical engineering department for further assistance. they have specialized knowledge and equipment to diagnose and repair the monitor. @topic:18


# # # issue - battery failure in philips suresigns vs4 vital signs monitor. # # # impact - inability to monitor patient's vital signs, such as heart rate, blood pressure, and oxygen saturation. - potential delays in patient care and treatment. # # # possible causes - * * battery degradation : * * batteries have a limited lifespan and can degrade over time, especially when exposed to extreme temperatures or improper charging practices. - * * manufacturing defect : * * the battery may have had a manufacturing defect that prevented it from storing or releasing energy properly. - * * electrical fault : * * a short circuit or other electrical fault in the device or battery could have caused the battery to fail. - * * charging issues : * * the battery may not have been charged properly or the charger itself may have malfunctioned. - * * incompatible battery : * * if the wrong type of battery was installed, it may not have been compatible with the device and could have caused damage. # # # recommendations - * * replace the battery : * * install a new, compatible battery and ensure it is properly charged before use. - * * inspect the device and battery : * * examine the device and battery for any signs of damage, such as cracks, leaks, or corrosion. - * * check charging practices : * * ensure that the device is being charged correctly and in accordance with the manufacturer's instructions. - * * monitor battery health : * * regularly inspect the battery for signs of degradation or failure, and replace it as needed. - * * consider backup power : * * use an external power source or a backup battery to ensure uninterrupted monitoring in case of battery failure. @topic:11


# # # issue - knee adjustment malfunction # # # impact - inability to adjust the height of the bed, affecting patient comfort and healthcare professional accessibility. # # # possible causes - * * mechanical failure : * * - failure of the electric motor responsible for knee adjustment. - worn or broken gears in the knee adjustment mechanism. - misalignment or obstruction of mechanical components. - * * electrical failure : * * - damage to electrical wiring or connections. - faulty control panel or switches. - power supply issues. - * * software issues : * * - corrupted software or firmware. # # # recommendations - * * troubleshooting : * * - check power supply and ensure the equipment is properly plugged in. - inspect for any visible damage or loose connections. - perform a manual knee adjustment test to rule out mechanical issues. - * * repair or replacement : * * - if the motor is faulty, replace the motor assembly. - inspect and repair or replace damaged gears or mechanical components. - address any electrical issues by checking wiring, connections, and the control panel. - * * calibration and testing : * * - after repair or replacement, calibrate the knee adjustment mechanism according to manufacturer's instructions. - perform thorough testing to ensure proper functionality before putting the bed back into service. - * * preventative maintenance : * * - regular inspections and preventive maintenance can help identify potential issues and prevent future failures. - train healthcare professionals on proper operation and maintenance of the bed. @topic:9


# # # issue - the bedside physiological monitor's display is not showing co2 readings. # # # impact - clinicians will not be able to accurately monitor a patient's co2 levels, which can lead to delayed or incorrect treatment decisions. # # # possible causes - no power supply to the monitor - faulty display - faulty co2 sensor - software glitch # # # recommendations - check the power supply to the monitor and ensure that it is securely connected. - if the power supply is secure, try restarting the monitor. - if the monitor still does not display co2 readings, contact the manufacturer for further troubleshooting and repair. @topic:4


# # # issue - motor making noise when moving up and down # # # impact - may affect the ability of the bed to be used for patient care # # # possible causes - motor failure - gearbox failure - misalignment of components - faulty wiring # # # recommendations - replace the motor - replace the gearbox - realign the components - check the wiring and replace any faulty cables @topic:9


# # # issue * broken plastic connector on the nibp monitor. # # # impact * inability to use the nibp monitor to measure blood pressure. * potential delay in patient care due to the delay in replacing the plastic connector. # # # possible causes * * * mechanical stress : * * excessive force applied to the plastic connector during its installation or removal. * * * material fatigue : * * prolonged use of the plastic connector, leading to its structural weakening and eventual breakage. * * * defective material : * * manufacturing defects in the plastic connector. * * * improper storage : * * exposure to extreme temperatures or humidity, causing the plastic connector to become brittle and fragile. * * * other factors : * * exposure to chemicals or other environmental factors that could compromise the integrity of the plastic connector. # # # recommendations * * * proper training : * * ensure that technicians are adequately trained in the proper installation and removal of the plastic connector. * * * regular maintenance : * * inspect the plastic connector regularly for signs of damage or wear. * * * replacement schedule : * * implement a planned replacement schedule to prevent connector failures due to material fatigue. * * * use of high - quality materials : * * specify the use of durable and reliable plastic materials for the connector to minimize the risk of breakage. * * * environmental considerations : * * store the nibp monitor and plastic connector in a controlled environment to prevent damage from excessive temperatures or humidity. * * * failure analysis : * * conduct a failure analysis on the broken plastic connector to identify the root cause of the failure and implement corrective measures to prevent similar incidents in the future. @topic:15


# # # issue - malfunctioning bed # # # impact - patient discomfort - difficulty providing care # # # possible causes - loose connection in the motor - faulty motor - broken wiring # # # recommendations - check the connection in the motor and ensure it is secure. - if the connection is secure, test the motor to determine if it is faulty. - if the motor is faulty, replace it. - if the wiring is broken, repair or replace the wiring. @topic:9


* * issue : * * unable to use medcart program on the medical cart * * impact : * * the user cannot access or utilize the features and functions of the medcart program, which may hinder their work efficiency and patient care. * * possible causes : * * - * * hardware disconnection : * * the hardware associated with the medcart program ( e. g., card reader, scanner ) might not be properly connected or functional. - * * software issue : * * the medcart program itself may be experiencing a software glitch or error that prevents it from launching or functioning correctly. - * * network interruption : * * if the medical cart is connected to a network, an interruption in the network connectivity could lead to hardware disconnection or software issues. - * * corrupted files : * * essential files or configuration settings related to the medcart program may have become corrupted or damaged, causing the program to fail. * * recommendations : * * - * * check hardware connections : * * ensure that all hardware components necessary for the medcart program, such as cables and peripherals, are firmly connected and functioning properly. - * * restart program and device : * * restart the medcart program and, if necessary, the medical cart itself. this can help reset any temporary software issues or reconnect hardware components. - * * check network connectivity : * * verify that the medical cart is connected to the network and that there are no disruptions in the network connection. - * * run system diagnostics : * * utilize built - in system diagnostics tools or consult the manufacturer's recommendations to identify any hardware or software issues that may be causing the failure. - * * update software : * * ensure that the medcart program and any relevant software drivers are up to date with the latest versions, as updates often include bug @topic:13


# # # issue - monitor in the mri room is not linked to the monitor in the control room. # # # impact - this could prevent the medical staff in the control room from monitoring the patient's vital signs during an mri procedure. # # # possible causes - the spo2 module battery was dead. - the battery was not properly charged. - the spo2 module was not properly connected to the monitor. - the monitor in the mri room was not properly configured. - the monitor in the control room was not properly configured. # # # recommendations - replace the spo2 module battery. - make sure the battery is properly charged. - check the connection between the spo2 module and the monitor. - check the configuration of the monitor in the mri room. - check the configuration of the monitor in the control room. @topic:4


# # # issue : broken blood pressure ( bp ) cuff # # # impact : inaccurate blood pressure readings, which could lead to incorrect treatment decisions. # # # possible causes : - * * normal wear and tear : * * blood pressure cuffs are made of elastic material, which can break down over time. - * * improper storage : * * cuffs that are not stored properly can be damaged by moisture or heat. - * * aggressive cleaning : * * using harsh chemicals or scrubbing the cuff can damage the material. - * * animal chewing : * * if the cuff is left unattended, it could be chewed by animals, causing damage. # # # recommendations : - * * regular inspection : * * cuffs should be inspected regularly for signs of wear and tear. - * * proper storage : * * cuffs should be stored in a cool, dry place, away from direct sunlight. - * * gentle cleaning : * * use mild soap and water to clean cuffs, and avoid scrubbing or using harsh chemicals. - * * secure storage : * * when not in use, cuffs should be stored in a secure location to prevent animal chewing. @topic:3


ensure that the temperature, humidity, and other conditions are within the recommended ranges for the device. - * * training for operators : * * provide proper training to users on the correct operation and handling of the monitor to minimize the risk of accidental damage or misuse. - * * consider a replacement : * * if the cause of failure cannot be resolved or the device is repeatedly experiencing issues, it may be necessary to consider replacing the monitor to ensure reliable and accurate performance. @topic:2


* * issue : * * - spo2 cable failure * * impact : * * - inability to accurately monitor blood oxygen saturation * * possible causes : * * - * * electrical failure : * * loss of power or damage to electrical components in the cable. - * * physical damage : * * cuts, punctures, or other damage to the cable's insulation or conductors. - * * connector issues : * * loose or faulty connections at the cable's interface with the monitor or patient. - * * aging or environmental factors : * * degradation of cable materials over time or exposure to extreme temperatures, humidity, or chemicals. - * * compatibility issues : * * incorrect cable type or configuration for the specific monitor or patient device. * * recommendations : * * * * * inspect the cable and connectors : * * look for visible signs of damage, loose connections, or corrosion. * * * test the cable : * * use appropriate test equipment to verify electrical continuity and signal integrity. * * * replace the cable : * * if the cable is damaged or faulty, it should be replaced with a new one that meets the manufacturer's specifications. * * * inspect the monitor and patient device : * * ensure that the monitor and patient device are operating properly and that they are compatible with the spo2 cable. * * * check the power supply : * * verify that the monitor is receiving adequate power and that the electrical cord is not damaged. * * * review maintenance procedures : * * establish regular maintenance schedules to inspect and test cables and other components to prevent premature failures. @topic:4


# # # issue - inability to obtain accurate weight readings from the bed scale. # # # impact - compromised patient care due to inaccurate weight measurements. # # # possible causes - * * loose wire connection : * * the board connector for the keypad was likely not making proper contact, resulting in intermittent or complete loss of functionality. # # # recommendations - * * secure connection : * * the bme technician correctly identified and addressed the issue by reseating the loose wire, restoring proper electrical contact. - * * regular maintenance : * * to prevent similar issues in the future, it is recommended to periodically inspect and tighten all electrical connections on the bed and its associated equipment. - * * training : * * ensure that hospital staff are adequately trained to recognize signs of electrical issues and know how to respond appropriately to maintain patient safety and device reliability. @topic:25


# # # issue - battery failure # # # impact - the medical cart cannot be used. - the medical cart may not be able to provide power to the medical devices that are connected to it. - the medical devices that are connected to the medical cart may not be able to function properly. # # # possible causes - the battery is not properly connected. - the battery is not fully charged. - the battery is old and needs to be replaced. - the battery is defective. # # # recommendations - check the battery connections. - charge the battery fully. - replace the battery if it is old or defective. - contact the manufacturer of the medical cart for further assistance. @topic:13


# # # issue - elevated spo2 readings - co2 waveform baseline offset # # # impact - inaccurate patient monitoring - misinterpretation of patient's respiratory status # # # * * possible causes * * * * spo2 inaccuracies : * * - faulty spo2 sensor - interference from ambient light or motion - poor probe placement * * co2 waveform baseline offset : * * - water condensation in the co2 sampling line - clogged co2 sensor - malfunctioning co2 analyzer # # # * * recommendations * * * * spo2 inaccuracies : * * - replace the spo2 sensor - ensure adequate probe placement - shielding the sensor from external light sources * * co2 waveform baseline offset : * * - drain any accumulated water from the co2 sampling line - replace the co2 sensor - calibrate the co2 analyzer @topic:4


# # # issue - battery failure # # # impact - device malfunction - patient safety concerns # # # possible causes - battery depletion - battery malfunction - improper battery installation or maintenance # # # recommendations - regular battery maintenance and replacement according to manufacturer's guidelines - use of high - quality batteries - proper battery installation and handling techniques - training of staff on battery maintenance procedures - use of battery monitoring devices to track battery life - consider using rechargeable batteries to reduce maintenance costs and environmental impact @topic:11


# # # issue - physiologic monitor ( bedside ) is not receiving probe sat. # # # impact - the monitor may not be able to display accurate patient data. - this could lead to incorrect treatment decisions being made. # # # possible causes - the probe sat may be damaged or faulty. - the cable connecting the probe sat to the monitor may be damaged or faulty. - the port on the monitor that the probe sat is plugged into may be damaged or faulty. - the monitor's software may not be configured correctly to receive data from the probe sat. # # # recommendations - inspect the probe sat, cable, and port for damage. replace any damaged components. - ensure that the probe sat is plugged into the correct port on the monitor. - check the monitor's software configuration to ensure that it is set to receive data from the probe sat. - if the problem persists, contact the manufacturer of the monitor for further troubleshooting assistance. @topic:20


# # # issue - cuff bp nihon large adult has deteriorated and the velcro is damaged, causing it to not stay on the patient's arm. # # # impact - inaccurate blood pressure readings - patient discomfort - potential for harm if blood pressure is not accurately monitored # # # possible causes - normal wear and tear - improper use or storage - age of the cuff # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - store the cuff properly when not in use. - train staff on the proper use of the cuff. @topic:3


# # # issue - broken ac power cord # # # impact - device cannot be powered on and used - patient monitoring and data recording is interrupted # # # possible causes - physical damage to the cord ( e. g., cuts, punctures ) - wear and tear over time - electrical faults within the cord # # # recommendations - inspect the ac power cord for any visible damage or defects. - replace the damaged cord with a new one that meets the manufacturer's specifications. - ensure that the cord is properly connected to the device and the power outlet. - implement regular maintenance and inspection of medical equipment, including ac power cords, to prevent future failures. @topic:12


# # # issue electric bed is not adjustable. # # # impact patients may not be able to be positioned comfortably or safely. # # # possible causes - electrical issue with the bed - mechanical issue with the bed - software issue with the bed # # # recommendations 1. check the electrical connections to the bed. 2. inspect the bed for any mechanical damage. 3. update the software on the bed. @topic:1


# # # issue - medcart cannot be turned on. # # # impact - inability to use the medcart for patient care. # # # possible causes - * * battery depletion : * * the medcart's battery may be completely discharged, preventing it from turning on. - * * faulty power supply : * * the power supply to the medcart may be interrupted or malfunctioning, preventing it from receiving power. - * * hardware failure : * * a component within the medcart, such as the power button or internal circuitry, may have failed, preventing it from turning on. - * * software issue : * * a software glitch or malfunction may be preventing the medcart from responding to power commands. # # # recommendations - * * check battery status : * * inspect the medcart's battery and verify that it is fully charged. if the battery is depleted, charge it and try turning on the medcart again. - * * inspect power supply : * * ensure that the power cord is securely connected to the medcart and to a working power outlet. if the power supply is faulty, replace it with a new one. - * * contact technical support : * * if the battery and power supply are functioning properly, contact the manufacturer's technical support team for assistance in diagnosing and resolving the issue. they may provide further troubleshooting steps or schedule a repair. @topic:13


system • select patient position, bed exiting, and out - of - bed modes • select the alarm tone • select the alarm volume • alann if the bed exit alarm system is anned, ac power is removed, and the bed is equipped with the sidecom® 1 communication system, the display p. c. board will cause the sidecom® communication system to send a nurse call. if the bed exit system is armed and the display p. c. board loses communication with the scale p. c. board, the display p. c. board will cause the sidecom® communication system to send a nurse call. there is a circuit on the siderail interface p. c. board that detects when a bed articulation control ( head up, head down, knee up, knee down and such ) is pressed and generates a signal to the scale p. c. board. if the scale based bed exit alarm system is armed, it will suspend operation in the patient position and bed exiting modes until the articulation control is released and the signal to the scale p. c. board is removed. once the signal goes away, the patient position or bed exiting mode starts again and nonnal operation resumes. if any bed exit mode is armed, the out - of - bed mode is always active, even during bed articulation. when the bed is unplugged from ac power, neither the scale nor the bed exit alann system will function. 1. sidecom® is a registered trademark of hill - rom services, inc. page 3 - 20 careassist® and careassist® es bed service manual ( man330 rev 4 ) electrical system wiring diagram chapter 3 : theory of operation electrical system wiring diagram figure 3 - 1. sidecom® communication system ( a through e model beds ) refer to fold - out fo 3 - 1 at the rear of @topic:9


# # # issue * scanner is not working. # # # impact * patients may not be able to receive necessary medical treatment. * medical staff may be delayed in providing care. * the hospital may lose revenue if patients are unable to receive treatment. # # # possible causes * * * electrical failure : * * the scanner may not be receiving power or may have a faulty electrical connection. * * * mechanical failure : * * the scanner's moving parts may be jammed or damaged. * * * software failure : * * the scanner's software may be corrupt or outdated. * * * user error : * * the scanner may have been operated incorrectly. # # # recommendations * * * electrical failure : * * check the power supply and electrical connections to the scanner. if the problem persists, call a qualified electrician. * * * mechanical failure : * * inspect the scanner's moving parts for any signs of damage or jamming. if necessary, contact the manufacturer for repairs. * * * software failure : * * update the scanner's software to the latest version. if the problem persists, contact the manufacturer for support. * * * user error : * * ensure that the scanner is being operated correctly. refer to the manufacturer's instructions if necessary. @topic:23


# # # issue the medical cart experienced a failure due to a windows crash. # # # impact the medical cart was unable to function properly. # # # possible causes * the windows operating system may have encountered a software error or corruption. * a hardware component, such as the hard drive or memory, may have malfunctioned. * a peripheral device, such as a printer or scanner, may have caused a conflict with the operating system. * a virus or malware infection may have damaged the operating system or critical system files. # # # recommendations * * * restart the medical cart. * * this may resolve the issue if it was caused by a temporary software glitch. * * * run a system diagnostic test. * * this will help to identify any hardware or software problems. * * * reinstall the windows operating system. * * this may be necessary if the operating system has been corrupted or damaged. * * * update the device drivers. * * this will ensure that all hardware components are compatible with the operating system. * * * scan for вирусы and malware. * * use an antivirus program to scan and remove any malicious software. * * * contact the manufacturer for support. * * the manufacturer may be able to provide additional troubleshooting steps or repair instructions. @topic:13


# # # issue - battery failure # # # impact - inability to use the monitor in the absence of a power source - potential loss of vital sign data # # # possible causes - * * battery aging ( spare part ) : * * over time, batteries lose their ability to hold a charge, leading to decreased battery life and eventual failure. - * * excessive use : * * frequent or prolonged use of the monitor can drain the battery prematurely. - * * electrical issues : * * faulty wiring or components can cause the battery to drain quickly or not charge properly. - * * environmental factors : * * extreme temperatures or humidity can affect battery performance and longevity. # # # recommendations - * * regular battery maintenance : * * regularly inspect and replace batteries as per the manufacturer's recommendations. - * * proper usage : * * avoid excessive or prolonged use of the monitor. - * * electrical troubleshooting : * * if electrical issues are suspected, have the monitor inspected by a qualified technician. - * * environmental control : * * ensure the monitor is operated within the specified temperature and humidity ranges. - * * consider ups ( uninterruptible power supply ) : * * use a ups to provide backup power in case of power outages, ensuring the monitor can continue operating even without a battery. @topic:11


# # # issue battery failure # # # impact device may not be able to function properly during a power outage. # # # possible causes * * 1. battery degradation : * * - over time, the battery's capacity to hold a charge diminishes. - excessive charging or discharging cycles can accelerate battery degradation. * * 2. faulty charging system : * * - damaged charging port or cable. - problem with the device's charging circuitry. * * 3. other factors : * * - extreme temperatures ( too hot or too cold ) can affect battery performance. - physical damage to the battery or device. # # # recommendations * * 1. battery replacement : * * - replace the battery with a new one if it has significantly degraded. * * 2. charging system inspection : * * - check the charging port, cable, and device circuitry for any damage or defects. repair or replace if necessary. * * 3. environmental considerations : * * - keep the device away from extreme temperatures. - avoid exposing the battery to excessive charging or discharging cycles. * * 4. regular maintenance : * * - regularly check the battery health and replace it if necessary. - clean the charging port periodically to prevent debris accumulation. * * 5. user training : * * - educate users on proper charging and handling practices to prolong battery life. @topic:11


# # # issue - equipment : monitors, physiologic, vital signs - band : philips - model : suresigns vs2 - description : the biomedical engineer ( bme ) checked the equipment and found that the ac power cord was broken. the bme repaired the cord and the equipment is now working properly. # # # impact - the broken ac power cord could have caused the equipment to malfunction or even become a fire hazard. # # # possible causes - the ac power cord may have been damaged by being stepped on, pinched, or chewed by a rodent. - the ac power cord may have been frayed or corroded over time. - the ac power cord may have been improperly installed or connected. # # # recommendations - regularly inspect ac power cords for damage or wear and tear. - replace any damaged or frayed ac power cords immediately. - ensure that ac power cords are properly installed and connected. - do not place ac power cords in areas where they can be damaged or become a tripping hazard. @topic:12


# # # issue - cuff on the vital signs monitor is faulty # # # impact - vital signs may not be accurately measured, which could lead to incorrect treatment decisions. # # # possible causes - cuff is old and worn out - cuff has been damaged - cuff is not the correct size for the patient - cuff is not properly inflated - monitor is not properly calibrated # # # recommendations - replace the cuff with a new one - check the cuff for damage and replace it if necessary - make sure the cuff is the correct size for the patient - properly inflate the cuff according to the manufacturer's instructions - calibrate the monitor regularly @topic:5


# # # issue - monitor lcd is experiencing intermittent blackouts. # # # impact - inability to accurately display patient data, potentially leading to misdiagnosis or delayed treatment. # # # possible causes - loose connections in the power supply or data cables - faulty internal components, such as the backlight or display panel - software glitches or driver issues - power fluctuations or surges - physical damage to the screen or casing # # # recommendations 1. * * inspect the power supply and data cables : * * ensure that all connections are secure and not loose. 2. * * test with a different power source : * * connect the monitor to a known working power outlet to rule out electrical issues. 3. * * inspect the monitor internally : * * open the casing ( if possible ) and check for any loose wires, damaged components, or signs of overheating. 4. * * update software and drivers : * * ensure that the monitor is running the latest software and driver versions, as outdated versions can cause glitches. 5. * * contact the manufacturer : * * if the problem persists after performing these troubleshooting steps, consult with the manufacturer for further assistance or a possible repair. @topic:2


# # # issue - spo2 values are intermittent # # # impact - inaccurate spo2 readings can lead to delayed or incorrect diagnosis and treatment. # # # possible causes - faulty sensor or cable - loose connection - interference from other devices - improper calibration # # # recommendations - inspect the sensor and cable for damage or loose connections. - ensure that the sensor is properly placed on the patient. - check for any nearby devices that may be causing interference. - recalibrate the device according to the manufacturer's instructions. @topic:4


# # # issue - equipment malfunction due to battery failure. # # # impact - interruption of vital sign monitoring, affecting patient care. - potential inaccurate or unreliable patient data. # # # possible causes - battery reaching its end of life. - battery not properly installed or maintained. - battery exposed to extreme temperatures or other environmental factors. # # # recommendations - regular preventive maintenance and battery replacement as per manufacturer's guidelines. - ensuring proper installation and handling of batteries. - storing batteries in appropriate temperature and humidity conditions. @topic:11


# # # issue - bed is not adjustable # # # impact - patient discomfort - difficulty for healthcare professionals to provide care # # # possible causes - electrical malfunction - mechanical failure - software issue # # # recommendations - inspect electrical connections - check for any loose or damaged components - update software @topic:1


# # # issue - the medical cart is not powering on. # # # impact - the medical cart cannot be used to transport or store medical equipment. # # # possible causes - the medical cart is not plugged into a power source. - the power cord is damaged. - the power supply is not working. - the battery is dead. - the motherboard is damaged. # # # recommendations - check that the medical cart is plugged into a power source. - if the medical cart is plugged into a power source, check the power cord for damage. - if the power cord is not damaged, check the power supply. - if the power supply is working, check the battery. - if the battery is charged, replace the motherboard. @topic:13


# # # issue the hospital bed is not able to adjust. # # # impact this issue can prevent the patient from being properly positioned for treatment or rest, which can lead to discomfort or injury. # # # possible causes * * * electrical issue : * * the bed's electrical system may not be functioning properly, preventing the motors from adjusting the bed. * * * mechanical issue : * * the bed's mechanical components, such as the gears or linkages, may be damaged or misaligned, preventing the bed from adjusting. * * * software issue : * * the bed's software may not be functioning properly, preventing the motors from receiving the correct signals to adjust the bed. # # # recommendations * * * electrical issue : * * the technician should check the bed's electrical system for any loose connections or damaged wires. * * * mechanical issue : * * the technician should inspect the bed's mechanical components for any damage or misalignment. * * * software issue : * * the technician should check the bed's software for any updates or patches that may be needed. @topic:1


* * issue : * * * nibp monitor ( casmed 740 ) is unable to measure blood pressure and cannot be charged. * * impact : * * * inability to monitor blood pressure, a vital parameter for patient care. * interruption of patient care and potential safety concerns. * * possible causes : * * * * * faulty battery : * * the newly replaced battery may be defective or not properly installed. * * * damaged charging port : * * the charging port on the device may be damaged or obstructed, preventing charging. * * * circuitry issue : * * a malfunction within the device's circuitry or components may lead to measurement and charging issues. * * * software glitch : * * an error in the device's software may interfere with its functionality. * * * defective sensor : * * the sensor responsible for measuring blood pressure may be faulty or miscalibrated. * * recommendations : * * * * * inspect battery : * * verify that the battery is properly installed and ensure it is not defective by testing it with another compatible device. * * * examine charging port : * * check the charging port for any damage, debris, or corrosion. clean or repair the port as necessary. * * * perform circuitry diagnostics : * * use diagnostic tools to identify any hardware issues or component failures. replace or repair faulty components. * * * update software : * * if the device has software updates available, install them to address potential software bugs or glitches. * * * calibrate sensor : * * re - calibrate the blood pressure sensor according to the manufacturer's instructions to ensure accurate measurements. @topic:15


* if the issue persists, contact the manufacturer of the monitor for further troubleshooting and support. @topic:2


so2 label > incompatnop tone the so2 module or optical module is not supported. contact your service personnel. < so₂ label > in - vivo cal the in - vivo calibration is not yet complete. lab values must be stored to the optical module to complete the calibration. either continue with the next steps of the current calibration or recall the 14 94 4 patient alarms and inops what to do < so₂ label > light intennumeric is replaced by -? - inop tone the intensity changed considerably since the last light intensity calibration. this may indicate that the catheter tip is positioned against a blood vessel wall or that there is low blood flow. reposition the catheter ( and perform a light intensity calibration ). < so2 label > low lighumeric is replaced by -? - nop tone the optical signal levels are too low. check that the catheter is either in the optical reference or inserted into the patient. check the catheter - to - optical module connection. if inop persists, try another catheter and optical module. < so₂ label > no optmod connect the optical module. if the inop persists, try another optical module. silencing this inop switches the measurement off. numeric is replaced by -? inop tone < so₂ label > optmod malf the optical module memory is faulty, and calibration data cannot be stored for transport or during power failure. if this capability is needed, use another optical module. < so₂ label > pre - ins caumeric is replaced by -? - nop tone the pre - insertion calibration is running. this typically takes one minute. during this time alarms are switched off. wait until the calibration is complete. < so₂ label > unpl @topic:17


##400 / 450 / 500 / 550 monitor note there are different mounting options available for the monitor. this section covers the general concepts of safe mount installations and specific steps for the mounting options sold by philips. instructions which ship with a mounting solution should always take precedence over the instructions described in this chapter. you must follow the instructions that ship with the mounting solution, regardless of manufacturer. 247 [ 7 installation instructions ] mounting instructions assembling mounts • every type of compatible mounting solution is delivered with a complete set of mounting hardware and instructions. refer to the documentation delivered with the mounting hardware for instructions on assembling mounts. compatible table mounts are : — m8000 - 64100 ( table mount with gray tops and marked with date code 10 / 31 or higher ), or — 453564239731 ( completely made of stainless steel ). warning • it is the customer ’ s responsibility to have the attachment of the mounting hardware to the ceiling, wau, or mounting rail and the construction of the ceiling, wad, or mounting rail evaluated for structural integrity and compliance with ah local, state and any other required codes by a registered, professional, structural and / or mechanical engineer. • ensure that this commitment has been met before assembling mounts. • incorrect mounting and use of inappropriate mounting material may lead to injury. it is the customer ’ s responsibility to ensure that the mounting procedures have been performed correctly and the appropriate mounting devices have been used. please mount the monitor using either the philips quick mount or fix mount solution or another approved mounting solution. the mounting shah be done in a manner that no patient, operator or other person can be harmed by a monitor removed intentionally or released accidentally from the mount. when using the quick mount, be aware of the danger of accidental activation of the quick mount release button when lifting or moving items located under the monitor, such as pole mounts, etc. if in doubt @topic:19


# # # issue - bed is not adjusting # # # impact - patient discomfort - difficulty performing procedures - increased risk of injury # # # possible causes - motor failure - control block failure - wiring issues - software malfunction # # # recommendations - inspect motor and control block for damage or wear. - test wiring connections for continuity. - check software for any updates or errors. - contact manufacturer for technical support if necessary. @topic:1