* * issue : * * unable to adjust bed * * impact : * * patient comfort and care may be compromised. * * possible causes : * * * * * electrical issue : * * the remote control may not be sending a signal to the bed due to a faulty wiring or malfunctioning component. * * * mechanical issue : * * the bed's mechanism may be malfunctioning, preventing it from adjusting. * * * software issue : * * a software glitch or firmware update may be interfering with the bed's functionality. * * recommendations : * * * * * electrical : * * * inspect the remote control and its connection to the bed for any visible damage or loose connections. * verify the power supply to the bed and ensure it is receiving adequate voltage. * check the electrical wiring within the bed for breaks or shorts. * * * mechanical : * * * check the bed's motor and gears for any mechanical obstruction or wear and tear. * lubricate the moving parts of the bed as needed to reduce friction. * ensure that the bed's weight capacity is not exceeded. * * * software : * * * reset the bed's software by unplugging it from the power source and waiting a few minutes before plugging it back in. * check for any firmware updates available from the manufacturer and apply them if necessary. @topic:1


# # # issue - lqoos ( loose nut on the wheel axle ) # # # impact - noise from the wheels - inaccurate blood pressure measurements # # # possible causes - loose nut on the wheel axle # # # recommendations 1. tighten the nut on the wheel axle. 2. lubricate the wheel axles. 3. calibrate the blood pressure sensor. @topic:24


: up to 4600m ( 15000 ft. ) storage : up to 4600m ( 15000 ft. ) electrical and safety requirements voltage ranges : 90v to 264v voltage selection : wide range input, no voltage selection required max. power consumption : 40w remote displays ( m8031b ) space requirements size ( w x d x h ) 372mm x 308mm x 74. 1mm ( 14. 65 ” x 12. 13 ” x 2. 92 ” ) weight without deskstand : 5200g ( 11. 5lb ) with desk stand : 9000g ( 19. 8lb ) environmental requirements temperature operating : 0 to 40°c ( 32 to 104°f ) storage : - 20 to 60°c ( - 4 to 140°f ) humidity operating : 20 to 85 % rh ( non - condensing ) storage : 5 to 85 % rh ( non - condensing ) altitude operating : up to 4000m ( 13123. 36 ft. ) storage : up to 12000m ( 39370, 08 ft. ) 254. emote device site requirements 8 site preparation electrical and safety requirements voltage ranges : 90v to 264v voltage selection : wide range input, no voltage selection required power consumption : - 30w remote displays - m8033a space requirements size ( wxhx d ) landscape mode : 457mm x 457mm x 216mm ( 18 ” x 18 ” x 8. 5 ” ) portrait mode : 457mm x 495mm x 216mm ( 18 ” x 19. 5 ” x 8. 5 ” ) weight : 8. 9 kg ( 20 lbs ) environmental requirements temperature operating : 0 to 40°c ( 32 to 104°f ) storage : - 20 to 60°c ( - 4 to 140°f ) humidity operating : 10 to 90 % rh ( non - @topic:10


# # # issue the electric bed's side rail is stuck and cannot be raised or lowered. # # # impact the patient cannot be safely positioned in the bed, which can lead to discomfort, skin breakdown, and other health problems. # # # possible causes * the side rail is bent or damaged. * the side rail mechanism is jammed. * the electrical system is malfunctioning. # # # recommendations * inspect the side rail for damage and repair or replace it if necessary. * clean and lubricate the side rail mechanism. * check the electrical system for loose connections or other problems. * if the problem cannot be resolved, contact the manufacturer for assistance. @topic:6


* * possible cause of failure : * * * * * power supply issue : * * the equipment may not be receiving sufficient power to operate correctly. check the power supply to the equipment, including the power cord, outlet, and any applicable voltage regulators or surge protectors. * * * software malfunction : * * a software glitch or corruption may be preventing the equipment from functioning properly. consider updating the software or restarting the equipment. * * * mechanical failure : * * a mechanical component within the equipment may have failed, such as a jammed drawer or a broken switch. inspect the equipment for any visible damage or signs of wear and tear. * * * user error : * * the equipment may have been operated incorrectly, potentially causing damage or malfunction. review the operating instructions and ensure that the equipment is being used as intended. * * * environmental factors : * * extreme temperatures, humidity, or dust can affect the performance of medical devices. check the environmental conditions in the area where the equipment is located and ensure that they meet the recommended specifications. * * * intentionally caused damage : * * it is possible that the equipment was intentionally damaged or sabotaged. investigate any potential security breaches or malicious intent. * * recommendations : * * * investigate the potential causes listed above and rectify any issues found. * consult with the equipment manufacturer or a qualified technician for further assistance. * ensure that the equipment is operated and maintained according to the manufacturer's instructions. * establish a regular maintenance schedule to prevent future failures. @topic:12


# # # issue the monitor is not linking with the vsm system. # # # impact this issue prevents the monitor from transmitting patient data to the vsm system, which can lead to delays in diagnosis and treatment. # # # possible causes the following are some possible causes of this issue : - loose or disconnected cables - incorrect network configuration - software compatibility issues - hardware failure # # # recommendations to resolve this issue, the following steps should be taken : 1. check the cables and connections to ensure they are secure. 2. verify the network configuration to ensure that the monitor and vsm system are on the same network and that the correct ports are open. 3. check for software updates and install any necessary updates. 4. if the issue persists, contact the manufacturer for further assistance. @topic:16


asking complete transfer of this patient?. 5 select yes to complete the transfer. this re - admits the patient from the transfer list to the new monitor. this will upload the patient demographics, and, if configured, the measurement settings and trend data stored in the x2 / mp5 to the receiving monitor. 6 verify that the settings for patient category and paced mode are correct. transferring a centrally - monitored patient with x2 or mp5 using nt warning measurements from a mms extension connected to an x2 are not available when the x2 is running on battery power. they are only available when the x2 is running on external power, either when connected to a host monitor or the external power supply ( m8023a ). scenario : a centrally - monitored patient is moved with an x2 or mp5 to another monitoring location on the same information center database server without interrupting the collection of patient trend information. the x2 / mp5 has an intellivue instrument telemetry interface ( iit ), is connected to a host monitor, and is declared as a telemetry device at the information center. 106 transferring patients 5 managing patients note the transfer key is not available while the x2 / mp5 is connected to a host monitor ( companion mode is indicated ). 1 remove the x2 / mp5 and any connected extensions from the host monitor. 2 move the patient using the x2 / mp5 as the transport monitor. 3 at the new location, just before connecting the x2 / mp5 to the new host monitor : - open the patient demographics window. - select the transfer pop - up key. - wait until the transfer has completed. 4 connect the x2 / mp5 to the new host monitor. the monitor detects a patient mismatch and a window will open showing your patient ’ s data and asking complete transfer of this patient?. 5 select @topic:10


* * issue * * : battery not charging * * impact * * : the monitor cannot be used without a functioning battery. * * possible causes * * : * faulty battery * faulty charger * faulty charging port on the monitor * software issue * * recommendations * * : * check the battery for any physical damage or leaks. if the battery is damaged, replace it. * try using a different charger. * clean the charging port on the monitor with a cotton swab and rubbing alcohol. * update the software on the monitor. * contact the manufacturer for further assistance. @topic:11


# # # issue - the electric bed, model care assist es from hill - rom is making a loud noise while lowering the legs and occasionally gets stuck during adjustment. # # # impact - the malfunctioning bed can pose a safety hazard for patients and staff, causing discomfort, delays in treatment, and potential falls. # # # possible causes - worn or damaged components in the hilow column, such as the gears, motor, or cables. - malfunctioning sensors or electrical issues. - accumulated dirt or debris interfering with the smooth operation of the bed. # # # recommendations - replace the faulty hilow column as recommended by the manufacturer. - inspect and clean the bed regularly to prevent future issues. - train staff on proper use and maintenance of the bed to reduce wear and tear. @topic:9


# # # issue : - defecive spo2 and bp cables. # # # impact : - the patient's vital signs may not be accurately monitored. # # # possible causes : - the cables may have been damaged during use or storage. - the cables may not have been properly connected. - the cables may be incompatible with the monitor. # # # recommendations : - inspect the cables for damage. - ensure that the cables are properly connected. - verify that the cables are compatible with the monitor. # # # additional notes : - the bme should also check the monitor to ensure that it is functioning properly. - the bme should train the staff on how to properly use and care for the medical devices. @topic:4


# # # issue - bme received a report from the department that the lcd monitor displayed a dark screen with occasional lines while in use. # # # impact - surgical procedures may be delayed or compromised due to the inability to use the monitor effectively. # # # possible causes - faulty cables or connections between the monitor and other devices - internal hardware failure within the monitor - software issues or glitches - interference from other electrical devices # # # recommendations - check all cables and connections to ensure they are secure and free of damage. - restart the monitor and connected devices to clear any software glitches. - contact the manufacturer for support and troubleshooting assistance if the issue persists. - isolate the monitor from other electrical devices to eliminate interference. - consider replacing the monitor if the issue cannot be resolved through troubleshooting. @topic:2


# # # issue - broken and damaged bp hose # # # impact - inability to accurately measure blood pressure # # # possible causes - physical damage to the hose, such as cuts or nicks - degradation of the hose material over time - improper handling or storage of the hose # # # recommendations - inspect the hose regularly for any signs of damage or wear - follow the manufacturer's instructions for proper handling and storage of the hose - ensure that the hose is not subjected to excessive force or stress - replace the hose if it is found to be damaged or worn @topic:3


established to proactively identify and address potential issues with the physiologic monitor, including the speed knob, to extend its lifespan and reliability. @topic:20


# # # issue - medical cart drawer cannot be opened # # # impact - delayed access to medical supplies and equipment - reduced efficiency in providing patient care # # # possible causes - * * design flaw : * * the design of the cart may not take into account the potential for loose or protruding nuts. - * * improper assembly : * * the cart may not have been assembled properly, resulting in loose nuts. - * * excessive vibration : * * constant movement of the cart may cause vibrations that loosen nuts over time. - * * wear and tear : * * repeated use of the cart can lead to wear and tear of the nuts, making them loose or dislodged. - * * corrosion : * * exposure to moisture or chemicals may cause the nuts to corrode and weaken. # # # recommendations - improve the design of the cart to prevent nuts from becoming loose or protruding. - ensure proper assembly and regular maintenance to tighten any loose nuts. - minimize vibrations or use vibration dampeners to reduce stress on nuts. - implement a regular inspection and maintenance schedule to check for loose or damaged nuts. - apply corrosion - resistant coatings or materials to protect nuts from environmental factors. @topic:21


# # # issue - equipment malfunction due to battery expiring. # # # impact - interruption of patient monitoring. - inaccurate or unreliable vital sign readings. - potential patient harm if critical data is not available or misrepresented. # # # possible causes - natural battery degradation over time. - heavy usage or improper charging practices. - environmental factors ( e. g., extreme temperatures, humidity ) affecting battery lifespan. # # # recommendations - * * regular maintenance and inspection : * * implement a schedule to routinely check and replace batteries before they expire. - * * use genuine and compatible batteries : * * ensure that batteries used are approved for the specific equipment model to prevent compatibility issues. - * * proper charging practices : * * follow manufacturer's instructions for charging batteries and avoid overcharging or undercharging. - * * monitor battery usage : * * track battery usage patterns to identify any potential problems or areas for improvement. - * * educate staff : * * provide training on battery maintenance and proper equipment handling to prevent damage or premature failure. @topic:11


and stays on. battery led is either green or yellow checks with the instrument switched on, ac not connected, with battery when the monitor is first switched on the power on / error led lights up red and then switches to green and stays on. o o no. description 1 power on / error led ( green / red ) 2 ac power led ( green ) 3 battery led ( green / red / yellow ) initial instrument boot phase the following table describes the regular initial boot phase of the monitor and its components. if the boot phase does not proceed as described below go to ‘ ‘ boot phase failures ” on page 107 for troubleshooting information. 105 [ 4 troubleshooting ] monitor boot phase : for these steps it is assumed that the monitor is powered correctly. this is indicated by the green power on led. time ( sec. ) after power on event 0 ac power led is always on when monitor is connected to ac power. when the power on / off button is pressed the red error led switches on immediately. 1 the alarm leds are switched on with low intensity. colors : left led : cyan ; middle led : red ; alarm suspend led ( right ) : red. 10 boot screen with the philips logo appears on the display. the red error led is switched to green on / standby led. 15 boot screen with the philips logo disappears 20 alarm leds are tested in the following sequence : cyan on - off ( left led only ) yeuow on - off ( ah leds ) red on - off ( all leds ) fixed screen elements ( for example smart keys, alarm fields ) appear on the screen. test sound is issued. 22 - 30 first measurement information appears on the screen, user input devices ( for example navigation point, mouse, touch ) are functional note the boot phase times may vary depending on the hardware and software revision of your monitor. troubleshooting tables the @topic:16


# # # issue - the bed is not able to be adjusted up or down. # # # impact - the patient cannot be positioned comfortably or safely in the bed. # # # possible causes - the remote control is not working. - the electrical cords are not properly connected. - the motor is not working. - the bed frame is damaged. # # # recommendations - check the remote control and replace it if necessary. - check the electrical cords and make sure they are securely connected. - test the motor and replace it if necessary. - inspect the bed frame for any damage and repair or replace it if necessary. @topic:1


# # # issue - battery cannot be charged. - the machine will turn off if the plug is unplugged. # # # impact - the medical cart cannot be used without a charged battery. - the medical cart may turn off unexpectedly if the plug is unplugged, which could lead to a loss of data or a disruption in patient care. # # # possible causes - the battery is not making good contact with the charger. - the battery is damaged. - the charger is not working properly. - the power outlet is not working properly. - the medical cart's internal circuitry is damaged. # # # recommendations - check that the battery is making good contact with the charger. - try a different battery. - try a different charger. - try a different power outlet. - contact a biomedical engineer to troubleshoot the medical cart's internal circuitry. @topic:13


# # # issue - the electric bed cannot be adjusted to its lowest position. # # # impact - patients may not be able to get in or out of the bed safely. - caregivers may have difficulty providing care to patients in the bed. # # # possible causes - the bed's limit switch is not working properly. - the bed's motor is not working properly. - the bed's wiring is damaged. - the bed's frame is damaged. # # # recommendations - inspect the bed's limit switch and motor to make sure they are working properly. - check the bed's wiring for damage. - inspect the bed's frame for damage. - if the bed is still not working properly, contact the manufacturer for assistance. @topic:1


# # # issue - remote control of the electric bed is not functioning properly. # # # impact - the patient may not be able to adjust the bed to a comfortable position. - the bed may not be able to be moved, which could create a safety hazard. # # # possible causes - the batteries in the remote control may be dead. - the remote control may be damaged. - the receiver in the bed may be malfunctioning. # # # recommendations - replace the batteries in the remote control. - check the remote control for any damage. - if the remote control and batteries are both working properly, the receiver in the bed may need to be replaced. @topic:7


corners under the cover. locate the heads of the two long mounting pins on the top housing and only remove these. 158 measurement server extensions - exchanging the top cover and the dual link bar 5 repair and disassembly 2 use the thin - bladed screwdriver to lift the pins gently out far enough so they can be removed manually. 3 remove the two pins and set them aside for refitting. n ote without these long mounting pins the mse will not function properly. 159 5 repair and disassembly measurement server extensions - exchanging the top cover and the dual link bar removing the dual link bar the dual link bar consists of three parts as shown below. follow the specific steps carefully to remove the link bar. caution do not try to remove the link bar with force as this can damage the msl flex cable 1 position the mse with the measurement connector hardware facing towards you. 2 hold the link bar as shown below. while pressing gently on part b, insert a thick - bladed screwdriver between the msl connector and part a. twist the screwdriver to the left and at the same time slide part b to the right, so it is released at the top. 160 measurement server extensions - exchanging the top cover and the dual link bar 5 repair and disassembly 3 repeat step 2 at the bottom. 4 slide part b to the right. if part b fails to move to the side, please repeat steps 2 and 3. 161 5 repair and disassembly measurement server extensions - exchanging the top cover and the dual link bar 5 now the msl flex connector can be moved to the right. note make sure that the movement of the screwdriver does not pinch the msl flex cable. 6 insert the thin - blade screwdriver behind the release mechanism of part c. carefully twist the screwdriver, then press gently so that part @topic:19


# # # issue - remote control not functioning properly # # # impact - inability to adjust the bed's position, which can affect patient comfort and safety # # # possible causes - * * defective remote control : * * the remote control may have a malfunctioning button or other internal issue. - * * battery failure : * * the remote control may not be functioning properly due to low or dead batteries. - * * connection issues : * * the remote control may not be properly connected to the bed, either physically or wirelessly. # # # recommendations - inspect the remote control for any visible damage or loose connections. - replace the batteries in the remote control. - check the connection between the remote control and the bed, ensuring that it is securely attached and making proper contact. - if all of the above steps fail to resolve the issue, consult the manufacturer's instructions or contact a qualified technician for further troubleshooting. # # # additional notes : - it is important to note that the given description only mentions that the remote control was repaired and tested to be working normally. however, the cause of failure was not explicitly stated as " remote not adjusting. " therefore, the possible causes and recommendations provided above are based on the assumption that the remote control's inability to adjust was the actual problem. @topic:7


# # # issue - unable to open drawer # # # impact - inability to access medical supplies stored in the drawer # # # possible causes - drawer lock is jammed - drawer slide is obstructed - drawer handle is broken # # # recommendations - inspect the drawer lock for any obstructions or damage. - lubricate the drawer slide to ensure smooth operation. - replace the drawer handle if it is broken or damaged. @topic:21


# # # issue the electric bed is not adjustable on the patient's side. # # # impact the patient may not be able to be positioned comfortably or safely. # # # possible causes * * * mechanical failure : * * a component of the bed's adjustment mechanism may have failed, preventing the bed from being adjusted. * * * electrical failure : * * a problem with the bed's electrical system may be preventing the bed from adjusting. * * * user error : * * the bed may not be being used correctly. # # # recommendations * * * mechanical failure : * * inspect the bed's adjustment mechanism for any obvious signs of damage or wear. if any damage is found, the bed should be taken out of service and repaired. * * * electrical failure : * * check the bed's electrical connections to make sure that they are secure. if any loose connections are found, they should be tightened. * * * user error : * * review the bed's operating instructions with the staff to make sure that they are using the bed correctly. @topic:1


# # # issue - equipment unable to work properly. # # # impact - delay in patient care - loss of revenue - reputational damage # # # possible causes - equipment not properly tested before being put into use. - equipment not properly maintained. - equipment not properly calibrated. - equipment not properly used. - equipment not compatible with other equipment in the system. - equipment not properly installed. # # # recommendations - ensure that equipment is properly tested before being put into use. - ensure that equipment is properly maintained. - ensure that equipment is properly calibrated. - ensure that equipment is properly used. - ensure that equipment is compatible with other equipment in the system. - ensure that equipment is properly installed. @topic:12


* * issue : * * extorion cable failure * * impact : * * physiologic monitor cannot be used in bmb due to lack of backup cable. * * possible causes : * * - physical damage to the cable ( e. g., cuts, kinks ) - exposure to excessive force or bending - environmental factors ( e. g., moisture, heat ) - age and wear - and - tear - improper handling or storage * * recommendations : * * - inspect the extorion cable for visible damage. - ensure the cable is routed properly and protected from potential hazards. - avoid excessive bending or force on the cable. - store the cable in a cool, dry environment when not in use. - train users on proper cable handling practices. - consider purchasing a spare extorion cable for immediate replacement in case of failure. @topic:22


# # # issue * ekg lead not providing accurate readings # # # impact * interruption of patient monitoring * inaccurate medical diagnosis and treatment * potential patient harm # # # possible causes * * * faulty ekg lead : * * the lead may have a damaged wire or connector, preventing proper signal transmission. * * * improper connection : * * the lead may not be securely connected to the monitor or the patient's body. * * * electrode malfunction : * * the electrodes on the lead may be loose or dirty, resulting in poor skin contact and signal distortion. * * * outdated software or firmware : * * the monitor may not be compatible with the latest version of the software or firmware, affecting lead functionality. * * * environmental interference : * * electrical noise or other sources of electromagnetic interference can disrupt the ekg signal. # # # recommendations * * * inspect the lead : * * check for any visible damage to the wire, connectors, or electrodes. * * * verify connections : * * ensure that the lead is securely connected to both the monitor and the patient. * * * clean the electrodes : * * use alcohol wipes to clean the electrodes and improve skin contact. * * * update software / firmware : * * check if any updates are available for the monitor to ensure compatibility with the lead. * * * eliminate interference : * * move the monitor and patient away from potential sources of electrical noise. * * * replace the lead : * * if other troubleshooting measures fail, replace the faulty lead with a new one of the same type. @topic:18


# # # issue bp measurement is inaccurate. # # # impact - incorrect bp readings can lead to incorrect diagnosis and treatment. - delays in diagnosis and treatment can lead to adverse patient outcomes. # # # possible causes - loose connection between the monitor and the cuff. - cuff is not inflated to the correct pressure. - cuff is not positioned correctly on the patient's arm. - patient is moving during the measurement. - the monitor is not calibrated properly. # # # recommendations - check the connection between the monitor and the cuff. - ensure that the cuff is inflated to the correct pressure. - ensure that the cuff is positioned correctly on the patient's arm. - instruct the patient to remain still during the measurement. - calibrate the monitor according to the manufacturer's instructions. @topic:14


# # # issue - keyboard is unresponsive # # # impact - unable to use the medical cart effectively - delay in patient care # # # possible causes - faulty keyboard - loose connection between keyboard and medical cart - battery failure - software issue # # # recommendations - check if the keyboard is properly connected to the medical cart. - replace the batteries in the keyboard. - inspect the keyboard for any physical damage. - update the software on the medical cart. - contact the manufacturer for further assistance. @topic:27


# # # issue the lock on the bed's side rails is broken, causing the rails to not lock into place. # # # impact this issue can be dangerous, as it could allow patients to fall out of bed. # # # possible causes * the lock may have been damaged due to excessive force being applied to it. * the lock may have been worn out due to normal use. * the lock may have been manufactured with a defect. # # # recommendations * the lock should be replaced with a new one. * the bed should be inspected regularly to ensure that all of its components are in good working order. * staff should be trained on how to operate the bed safely. @topic:6


# # # issue - philips suresings vs2 monitor is not able to measure spo2 value. # # # impact - clinicians will not be able to monitor patient's oxygen saturation level. # # # possible causes - the spo2 cable is damaged. # # # recommendations - replace the spo2 cable. @topic:4


# # issue - wifi not connecting, preventing the device from turning on # # impact - the medical cart cannot be used for its intended purpose, such as transporting medical supplies or providing patient care. # # possible causes - * * network issue : * * the hospital's wifi network may not be functioning properly, or the medical cart may not be configured to connect to the correct network. - * * hardware issue : * * the medical cart's wifi module may be malfunctioning. - * * software issue : * * there may be a software bug or glitch that is preventing the medical cart from connecting to wifi. - * * power issue : * * the medical cart may not be receiving enough power to properly operate its wifi module. - * * security issue : * * the medical cart's wifi settings may be preventing it from connecting to the hospital's network due to security concerns. # # recommendations - * * network issue : * * verify that the hospital's wifi network is functioning properly and that the medical cart is configured to connect to the correct network. - * * hardware issue : * * inspect the medical cart's wifi module for any damage or loose connections. if necessary, replace the wifi module. - * * software issue : * * update the medical cart's software to the latest version. if the issue persists, contact the manufacturer for support. - * * power issue : * * ensure that the medical cart is receiving enough power. check the power cord and connections. if necessary, replace the power cord. - * * security issue : * * review the medical cart's wifi settings and ensure that they are configured correctly to allow it to connect to the hospital's network. @topic:13


# # # issue - the list of patients is not being displayed in the system. # # # impact - this issue can impact the efficiency of the medical staff as they may have to manually search for patient information or may not be able to access it at all. # # # possible causes * * 1. tack care system issue : * * - the issue is most likely caused by the tack care system not working properly. - this could be due to a software glitch or a hardware issue. - the tack care system is responsible for displaying the list of patients in the system. * * 2. communication issue : * * - the issue could also be caused by a communication issue between the tack care system and the other systems in the hospital. - this could be due to a network issue or a firewall issue. * * 3. access issue : * * - the medical staff may not have the proper access rights to view the list of patients. - this could be due to a configuration issue or a user permission issue. # # # recommendations * * 1. check the tack care system : * * - the first step is to check the status of the tack care system. - if the system is not running, it should be restarted. - if the system is running, the logs should be checked for any errors. * * 2. check the network : * * - the next step is to check the network connectivity between the tack care system and the other systems in the hospital. - this can be done by using a network testing tool. * * 3. check the access rights : * * - finally, the medical staff's access rights should be checked to ensure that they have the proper permissions to view the list of patients. - this can be done by contacting the system administrator. @topic:13


# # # issue - the cause of failure is not clear from the given input. # # # impact - the impact of the failure is not known. # # # possible causes - the bed may have been damaged during transport. - the bed may not have been properly assembled. - the bed may not be compatible with the patient's needs. # # # recommendations - the technician should inspect the bed to identify the cause of failure. - the technician should repair or replace the bed as necessary. - the technician should provide training to the staff on how to properly use the bed. @topic:9


# # # issue * * spo2 sensor cable failure in a philips suresigns vs2 vital signs monitor * * # # # impact * inability to accurately measure patient oxygen saturation levels * delays in patient care * potential for adverse patient outcomes # # # possible causes * * * equipment - related : * * * cable damage due to wear and tear * improper handling or storage * electrical fault within the cable * * * user - related : * * * incorrect cable connection * mishandling during patient setup or transportation * * * environmental factors : * * * extreme temperatures * moisture or dust buildup # # # recommendations * * * preventive maintenance : * * * regularly inspect cables for damage and replace as needed * properly store and handle equipment * * * training and education : * * * educate staff on proper cable handling and connection techniques * * * equipment upgrades : * * * consider using cables with more durable materials or improved shielding * * * redundant systems : * * * have backup cables available for immediate replacement in case of failure * * * prompt troubleshooting : * * * if a cable malfunction is suspected, promptly troubleshoot and replace the cable as necessary * * * regular calibration : * * * ensure monitors are regularly calibrated to maintain accuracy and reliability of measurements @topic:4


# # # issue - monitor not linking to the central system # # # impact - inability to monitor patient's vital signs remotely - potential delay in patient care # # # possible causes - loose lan cable at wall port - loose lan cable at monitor port - faulty lan cable - configuration issue with the monitor or central system # # # recommendations - ensure that the lan cable is securely connected to the wall port and the monitor port - replace the lan cable if it is suspected to be faulty - check the configuration settings of the monitor and central system to ensure that they are correct - contact the manufacturer for technical support if the issue persists @topic:16


# # # issue - monitor intermittently displays " battery low " alert. - monitor intermittently loses telemetry signal. # # # impact - intermittent loss of patient telemetry data. - potential for missed or delayed alarms. # # # possible causes - battery aging / deterioration. - loose connections between battery and monitor. - faulty rf transceiver. - interference from other rf devices. # # # recommendations - replace battery. - inspect and tighten connections between battery and monitor. - perform rf code test to verify transceiver functionality. - check for interference from other rf devices and relocate the monitor if necessary. @topic:11


# # # issue - malfunctioning vital signs monitor due to a defective bulb. # # # impact - impaired patient monitoring, leading to potential delays in identifying and responding to critical changes in patient status. # # # possible causes - * * natural wear and tear : * * the bulb may have reached the end of its lifespan or experienced excessive use, leading to its deterioration. - * * electrical issues : * * faulty wiring or power fluctuations might have damaged the bulb or its circuitry. - * * improper use : * * the bulb may have been mishandled or subjected to excessive force, resulting in breakage. - * * environmental factors : * * extreme temperatures or humidity can affect the bulb's lifespan. # # # recommendations - * * regular maintenance and inspections : * * biomedical engineers ( bmes ) should regularly inspect vital signs monitors to identify and replace aging or compromised bulbs. - * * proper handling and storage : * * bmes and healthcare professionals should handle bulbs with care and store them in a suitable environment to prevent damage. - * * training and education : * * healthcare staff should be trained on the proper use and maintenance of vital signs monitors to avoid mishandling. - * * collaboration with manufacturers : * * bmes should collaborate with device manufacturers to obtain recommendations on bulb replacement intervals and optimal storage conditions. - * * use of high - quality bulbs : * * bmes should procure and use high - quality bulbs designed for specific medical devices to ensure durability and reliability. @topic:20


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# # # issue cuff is damaged # # # impact the physiological vital signs monitor will be unable to accurately measure blood pressure. # # # possible causes - the cuff may have been punctured or torn. - the cuff may have been over - inflated, causing it to stretch and weaken. - the cuff may not have been properly inflated, causing it to be too loose and unable to create a seal around the arm. - the cuff may have been exposed to moisture or extreme temperatures, causing it to deteriorate. # # # recommendations - replace the cuff with a new one. - inspect the equipment regularly for any signs of damage. - ensure that the cuff is properly inflated before each use. - store the equipment in a cool, dry place when not in use. @topic:3


# # # issue : - ear thermometer malfunction # # # impact : - inability to accurately measure body temperature - delay in patient diagnosis and treatment # # # possible causes : - * * hardware failure : * * faulty sensor, loose connections, or damaged components - * * software malfunction : * * incorrect calibration, outdated firmware, or software bugs - * * calibration error : * * improper calibration can lead to inaccurate temperature readings - * * environmental factors : * * extreme temperatures, humidity, or dust can affect thermometer performance # # # recommendations : - * * troubleshooting : * * check for loose connections, clean sensors, and inspect components for damage. - * * recalibration : * * ensure the thermometer is properly calibrated according to manufacturer instructions. - * * software updates : * * install the latest firmware updates to address software bugs or performance issues. - * * replacement : * * if the thermometer cannot be repaired, it may need to be replaced with a new or refurbished unit. - * * maintenance : * * regular cleaning and maintenance can help prevent future failures. - * * training : * * ensure that hospital staff is adequately trained on the proper use and maintenance of the thermometer. @topic:20


# # # issue - malfunctioning electric hospital bed # # # impact - patient discomfort or injury - disruption of hospital operations # # # possible causes - * * electrical short in the remote control : * * this can cause the bed to malfunction or even spark or catch fire. - * * faulty wiring or connections in the bed : * * this can lead to intermittent power outages or other electrical problems. - * * mechanical failure in the bed's motor or drive system : * * this can prevent the bed from moving or adjusting properly. - * * power supply issues : * * a problem with the hospital's electrical system can cause the bed to lose power or malfunction. # # # recommendations - * * inspect the remote control for any signs of damage or short circuits. * * replace it if necessary. - * * check the wiring and connections in the bed for loose or damaged wires. * * repair or replace as needed. - * * inspect the bed's motor or drive system for any signs of wear or damage. * * lubricate or replace any worn components. - * * verify the stability of the hospital's electrical system. * * ensure that the bed is connected to a reliable power source and that the voltage is within the specified range. @topic:9


# # # issue - inability to adjust the electric bed. # # # impact - patient discomfort and potential safety hazards. # # # possible causes - * * damaged or disconnected electrical wires : * * electrical wires connect the bed's motor to the control unit. loose or damaged wires can interrupt the flow of electricity, preventing the bed from adjusting. - * * malfunctioning control unit : * * the control unit receives commands from the user and sends signals to the motor. a faulty control unit can send incorrect or no signals, resulting in the bed being unable to adjust. - * * mechanical issues : * * mechanical components, such as gears or tracks, may be obstructed or damaged, preventing the bed's proper movement. # # # recommendations - * * electrical inspection : * * thoroughly inspect the electrical wiring for any signs of damage or disconnections. replace or repair any damaged wires. - * * control unit assessment : * * test the control unit to ensure it is receiving and transmitting signals correctly. if necessary, replace or repair the control unit. - * * mechanical examination : * * inspect the bed's mechanical components for any obstructions or damage. lubricate or replace any worn or damaged parts. - * * user education : * * instruct the user on the proper use and maintenance of the bed to prevent future failures. - * * regular maintenance : * * establish a regular schedule for inspecting and servicing the bed to identify and address potential issues before they escalate. @topic:1


# # # issue - the bed's railings are not locking properly. # # # impact - this could pose a safety hazard for the patient, as they could fall out of bed. # # # possible causes - the locking mechanism could be faulty. - the railings could be bent or damaged. - the patient could be trying to move the railings while they are locked. # # # recommendations - inspect the locking mechanism for any damage or wear and tear. - replace the locking mechanism if necessary. - inspect the railings for any bends or damage. - replace the railings if necessary. - instruct the patient on how to properly use the railings. @topic:6


# # # issue - cuff of vital signs monitor is damaged - spo2 is not reading the value # # # impact - the vital signs monitor is not able to measure the patient's vital signs accurately. - the spo2 is not able to measure the patient's oxygen saturation levels accurately. # # # possible causes - the cuff may be damaged due to wear and tear. - the spo2 sensor may be malfunctioning. - the spo2 cable may be damaged. # # # recommendations - replace the damaged cuff. - replace the malfunctioning spo2 sensor. - replace the damaged spo2 cable. @topic:4


# # # issue - physiologic monitor is not functioning properly. # # # impact - inability to monitor patient's vital signs accurately, which can lead to delayed diagnosis or treatment. # # # possible causes - faulty ac plug # # # recommendations - replace the ac plug. @topic:2


# # # issue - unable to adjust bed height # # # impact - patient discomfort - difficulty providing care - potential safety hazards # # # possible causes - broken remote - loose wire connection - faulty motor - power supply issues # # # recommendations 1. inspect the remote control for any damage or loose connections. replace the remote if necessary. 2. check all wire connections between the remote, bed, and power outlet. tighten or replace loose wires as needed. 3. if the remote and wire connections are intact, suspect a faulty motor. contact a qualified biomedical engineer for further diagnostics and repair. 4. ensure that the bed is connected to a reliable power source. check the power outlet and circuit breaker to rule out any power supply issues. @topic:7


activation of the apnea alarm could be up to 10 seconds plus the configured apnea delay time. • automatic alarm suppression if the automatic alarm suppression is switched on, all spirometry alarms are suppressed until breathing activity has been detected. this setting must be made in configuration mode. 260 15 monitoring airway flow, volume and pressure choosing measured awv components in the setup spirometry menu, select awv. 1 select mv to choose the measured components for minute volume ( inspiratory and / or expiratory 2 select tv to choose the measured components for tidal volume ( inspiratory and / or expiratory ooff ). note if mv and tv are set to off, there will be no alarming for these parameters. setting the gas compensation mode in the setup spirometry menu, select gas compensation. 1 select mode to choose the gas compensation mode : 2 select manual for manually entered gas concentrations or select gas analyzer for gas concentrations from the as - note gas concentrations from the gas analyzer are only available for philips gas analyzers, not for devices connected via a vuelink / intellibridge module.. if gas concentrations from the gas analyzer are selected but not all data is available, the missing data is taken from manually entered values. in case of invalid data or no data at all, the inop pens? is displayed. • in the setup spirometry menu, select gas compensation. 1 select balance gas to change the type of balance gas. 2 3 select the appropriate setting ( n2 or n2o ). changing the concentration of inspired 02 and the inspired agents in the setup spirometry menu, select gas compensation. 1 2 select inspired o2 to change the concentration of inspired o2. select inspired agent to change the concentration of the inspired agent ( s ). 3 select the appropriate setting. changing the temperature of the inspired gas @topic:17


# # # issue - vital signs monitor is not measuring oxygen saturation ( sat ) levels. # # # impact - clinicians will not be able to accurately monitor patient's oxygen saturation levels, which could lead to delayed diagnosis and treatment of hypoxia. # # # possible causes - * * faulty finger probe ( ds100a ) : * * the finger probe may be damaged or malfunctioning, preventing it from transmitting accurate readings to the monitor. - * * connection issues : * * the finger probe may not be properly connected to the monitor, or the cable may be damaged. - * * monitor malfunction : * * the monitor itself may have a hardware or software issue that is preventing it from receiving or displaying sat readings. # # # recommendations - * * inspect the finger probe ( ds100a ) : * * check for any visible damage or defects, such as cracks or broken wires. replace the finger probe if necessary. - * * check connections : * * ensure that the finger probe is firmly connected to the monitor and that the cable is not damaged. - * * restart the monitor : * * turn the monitor off and back on again to reset the system. - * * calibrate the monitor : * * follow the manufacturer's instructions for calibrating the monitor to ensure accurate readings. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the monitor for technical support and further troubleshooting. @topic:4


# # # issue battery does not charge # # # impact monitor cannot be used wirelessly # # # possible causes - battery is not properly seated - battery is defective - battery charger is defective - power supply to battery charger is interrupted # # # recommendations 1. ensure that the battery is properly seated in the battery charger. 2. replace the battery if it is defective. 3. replace the battery charger if it is defective. 4. check the power supply to the battery charger to ensure that it is uninterrupted. @topic:11


# # # issue : - bed locking mechanism failure # # # impact : - patient safety hazard due to the inability to secure the patient on the bed. # # # possible causes : - * * mechanical failure : * * - worn gears or cables - jammed or broken locking pins - * * electrical failure : * * - faulty electrical wiring - malfunctioning motor or solenoid - * * user error : * * - incorrect locking procedure or excessive force applied # # # recommendations : * * immediate actions : * * 1. * * remove patient from the bed : * * ensure the patient's safety by transferring them to a different bed. 2. * * isolate the bed : * * disconnect the bed from electrical power and prevent its use until the issue is resolved. * * troubleshooting and repair : * * 1. * * inspect the locking mechanism : * * visually examine the gears, cables, and pins for any visible damage or obstruction. 2. * * test the electrical system : * * use a multimeter to check for continuity and proper voltage in the electrical circuitry. 3. * * repair or replace faulty components : * * based on the troubleshooting results, repair or replace any damaged or malfunctioning parts. * * preventive measures : * * 1. * * regular maintenance : * * schedule periodic inspections and maintenance to identify and address potential issues before they escalate. 2. * * training for staff : * * provide proper training to ensure staff follow correct locking procedures and avoid excessive force. 3. * * documentation : * * maintain a record of maintenance and repair work performed on the bed to monitor its condition and identify any recurring issues. @topic:6


# # # issue - remote control failure # # # impact - inability to operate the bed # # # possible causes - broken remote control cable - faulty remote control transmitter or receiver - damage to the bed's electrical system # # # recommendations - replace the remote control cable - test the remote control transmitter and receiver - inspect the bed's electrical system for any damage - ensure that the bed is properly grounded and connected to a stable power source @topic:7


# # # issue - equipment : monitors, physiologic, electrocardiography, telemetric - band : philips - model : intellivue mx40 - description : the bme found that the device would not power on due to a damaged battery tray. the bme repaired the device by using a copper sheet and solder. the bme tested the device and it is now functioning normally. # # # impact - the device was not able to be used until it was repaired. # # # possible causes - the battery tray may have been damaged due to a fall or other impact. - the battery tray may have been damaged due to corrosion. - the battery tray may have been damaged due to a manufacturing defect. # # # recommendations - the bme should inspect the device for any other damage. - the bme should replace the battery tray if it is damaged. - the bme should test the device to ensure that it is functioning properly. @topic:11


# # # issue - deteriorated and torn spo2 cable, with exposed wires. - the device is unsafe for patient use. # # # impact - the device cannot accurately monitor patient's oxygen saturation levels, leading to potential misdiagnosis or delayed treatment. - the exposed wires pose an electrical hazard to both the patient and healthcare providers. # # # possible causes - the spo2 cable was not properly secured or handled, leading to damage. - the cable may have been exposed to excessive heat or moisture, causing the insulation to deteriorate. - the cable may have been repeatedly bent or twisted, causing the wires to break. # # # recommendations - replace the spo2 cable with a new one. - inspect the device and other cables for any signs of damage or wear and tear. - ensure that all cables are properly secured and protected from damage. - provide training to staff on proper handling and maintenance of medical devices, including cables. - consider implementing a regular maintenance schedule for medical devices to identify and address potential issues before they become hazardous. @topic:4


# # # issue the provided information indicates that the electric bed in ward 5c is not functioning correctly. # # # impact the malfunctioning bed may hinder the comfort and well - being of patients, as well as the efficiency of the hospital staff. patients may experience discomfort, while staff may face challenges in providing proper care. # # # possible causes the cause of failure is not explicitly stated in the input, but some possible causes could include : - electrical issues - mechanical problems ( e. g., broken or loose components ) - user error ( e. g., improper operation or handling ) - software glitches # # # recommendations to address the issue, it is recommended that the biomedical engineer take the following steps : - examine the bed thoroughly to identify any visible signs of damage or malfunction. - perform electrical and mechanical tests to check for any electrical or mechanical issues. - check the user manual to ensure that the bed is being operated correctly. - if necessary, consult with the manufacturer or a qualified technician for further troubleshooting and repair. - document the findings and any actions taken to resolve the issue. @topic:9


* * issue : * * - equipment malfunction reported as " error " * * impact : * * - affects accuracy and reliability of blood pressure readings - potential for false or misleading readings - delays in patient care * * possible causes : * * * * 1. faulty cuff : * * - worn or damaged cuff can lead to inaccurate pressure measurements. * * 2. sensor failure : * * - the sensor that measures pressure may be malfunctioning or disconnected. * * 3. software malfunction : * * - software errors can cause the monitor to display incorrect readings or interfere with its operation. * * 4. electrical problems : * * - loose or faulty wiring can cause power interruptions or malfunctions. * * 5. user error : * * - improper cuff placement or calibration can lead to incorrect readings. * * recommendations : * * * * 1. replace cuff : * * - verify the cuff is in good condition and properly sized for the patient. * * 2. check sensor connection : * * - inspect the sensor and its connection to the monitor for any loose or damaged components. * * 3. reinstall software : * * - if software errors are suspected, contact the manufacturer for guidance on software updates or reinstallations. * * 4. inspect electrical connections : * * - check all cables and connections for loose or damaged wires. replace or repair any faulty components. * * 5. retrain users : * * - provide training to users on proper cuff placement, calibration, and operation of the monitor. @topic:14


# # # issue * cuff for blood pressure measurement ( cuff bp ) is causing the vital signs monitor to fail or provide inaccurate readings. # # # impact * unable to obtain accurate patient vital signs. * delays in patient care or incorrect decisions due to unreliable vital signs data. # # # possible causes * faulty or damaged cuff * cuff not properly connected or fitted * cuff size not appropriate for the patient * obstruction in the cuff tubing * software or firmware issues in the vital signs monitor # # # recommendations * replace the cuff with a new or functional one. * ensure the cuff is properly connected and fitted to the monitor and patient. * verify that the cuff size is appropriate for the patient's arm circumference. * check for obstructions in the cuff tubing. * contact the manufacturer or technical support for software or firmware updates if software or firmware issues are suspected. @topic:3


through the list from top to bottom and activates the first pulse rate that is switched on and vailable. 2 if your selected pulse source measurement becomes unavailable or is switched off, the monitor will use the next measurement from the list as system pulse until the selected pulse source measurement becomes available again. 8 to switch a particular pulse numeric on or off, enter the setup pulse menu via the measurement setup menu or wave menu of the pulse source. for example, to switch an spo2 pulse numeric on or off, 1 enter the setup pulse menu by selecting the pulse numeric or by selecting pulse in the setup spo2 menu. in the setup pulse menu, select the correct pulse label, e. g. pulse ( spo2 ), to toggle between on 2 you can change pulse rate alarm limits in the ecg / pulse alarms menu which can be accessed from the setup pulse menu or the setup ecg menu by selecting alarm source. changing the alarm limits for a specific pulse numeric changes the alarm limits for all pulse rate alarms and heart rate alarms. pulse alarms are only generated when the active alarm source is set to pulse, a pulse source is set as d pulse alarms are switched on. in most cases the hr and pulse numerics are identical. in order to avoid simultaneous alarms on hr and pulse, the monitor uses either ecg or pulse as its active alarm source. to change the alarm source, select alarm source in the ecg / pulse alarms menu, then select ecg / arrhythm : if you want the hr to be the alarm source for hr / pulse. • pulse : if you select pulse as the active alarm source, the monitor will prompt you to confirm your choice. be aware that if you select pulse as the alarm source, all arrhythmia and ecg hr alarms • auto : if the alarm source is set to auto @topic:8


# # # issue : vital signs monitor cuff failure # # # impact : inability to accurately measure patient's vital signs, such as blood pressure, heart rate, and oxygen saturation. # # # possible causes : - cuff damage due to wear and tear or improper handling - cuff size mismatch - loose or damaged cuff connections - electrical or mechanical issues within the cuff or monitor - calibration issues # # # recommendations : - replace the damaged cuff with a new one of the appropriate size. - ensure proper cuff placement and secure connections. - regularly inspect and maintain the cuff and monitor to prevent further damage. - calibrate the monitor and cuff according to manufacturer's guidelines. - train staff on proper cuff handling and maintenance techniques. @topic:5


# # # issue the earlyvue vs30 monitor is continuously alarming, indicating a need to replace the battery. # # # impact - inability to accurately monitor vital signs, which could lead to patient safety risks. - constant alarm noise, disrupting the patient's and staff's environment. - inability to silence the alarm, limiting the ability to respond to other critical alarms. # # # possible causes - battery degradation over time, reducing its ability to hold a charge. # # # recommendations - replace the battery promptly to resolve the alarm issue. - regularly monitor battery life and replace batteries before they become fully depleted to prevent similar issues in the future. - consider investing in rechargeable batteries to reduce the frequency of battery replacements and associated costs. @topic:11


# # # issue - spoiled spo2 cable # # # impact - the patient's oxygen saturation levels may not be accurately measured. # # # possible causes - the cable may have been damaged by being pulled or bent. - the cable may have been exposed to chemicals or heat. - the cable may have simply worn out over time. # # # recommendations - replace the spo2 cable with a new one. - inspect the cable regularly for signs of damage. - avoid pulling or bending the cable. - keep the cable away from chemicals and heat. @topic:4


##ops if the iit - capable device is operated in a non - iit environment. rf access instrument telemetry specific partitioning of the radio domain. displays ‘ ‘ disabled ” instead of rf code access code if instrument telemetry is disabled by global setting. instrument telemetry diagnostic window the instrument telemetry diagnostic window provides iit status information which can be used for troubleshooting purposes. main setup = > network = > iit diagnostic instrxuaent telemetry diagnostic mac iit 0097 3498 87ec rf access code 2 ip address 172. 31. 10. 03. server ip 172. 31. 10. 165. s \ ibnet mask 255. 255. 0. 0 rssi - 50 conn.. status active network to support troubleshooting of the network connection, the following fields are displayed : instrument addresses telemetry mac address, ip address, bootp / dhcp server ip address and subnet mask. rf access instrument telemetry specific partitioning of the radio domain. displays “ disabled ” instead of rf code access code if instrument telemetry is disabled by global setting. rssi received signal strength indicator. conn. status current connection status of the instrument telemetry subsystem. intellibridge ec10 the intellibridge eclo web based service interface allows you to : • upgrade the ec 10 firmware • upload or remove device drivers • generate and upload clone files 283 [ 7 installation instructions ] • view system information accessing the intellibridge ec10 service interface 1 connect the service pc to the intellibridge eclo module or intellibridge eclo interface board using a standard lan cable. 2 make sure that the tcp / ip settings of your local area connection properties on the service pc are set to " obtain ip address automatically ". 3 open your internet browser. internet explorer @topic:10


# # # issue - * * cause of failure : * * 5w sent the blood pressure monitor for repair because the screen was loose. # # # impact - the blood pressure monitor was not able to be used to measure patients'blood pressure. this could have delayed or even prevented patients from receiving the care they needed. # # # possible causes - the most likely cause of the screen coming loose is that the screws that hold it in place were not properly tightened. it is also possible that the screws were damaged or stripped, which would have prevented them from holding the screen in place. - another possibility is that the screen was damaged in some way, which could have caused it to become loose. # # # recommendations - to prevent this issue from happening again, the following recommendations should be followed : - ensure that the screws that hold the screen in place are properly tightened. - inspect the screws regularly for damage or stripping. - handle the monitor with care to avoid damaging the screen. @topic:2


# # # issue - cuff bp was found to be damaged. # # # impact - blood pressure monitoring is inaccurate or unavailable. # # # possible causes - cuff bp range 25 to 35 cm is leaking. # # # recommendations - replace the cuff bp with a new one. - test the equipment to ensure it is functioning properly. @topic:3


* * contact technical support : * * if the issue persists after following these recommendations, contact the philips technical support team for further assistance. @topic:12


# # # issue - scanner battery drained, resulting in device malfunction. # # # impact - interruption of medical procedures and patient care. - potential for patient harm or discomfort. # # # possible causes - inadequate maintenance and battery monitoring. - faulty or expired battery. - excessive usage or improper charging practices. # # # recommendations - establish a regular maintenance schedule for battery checks and replacements. - ensure proper charging protocols are followed, including using compatible chargers and avoiding overcharging. - monitor battery life and replace batteries promptly when necessary. - consider using alternative power sources, such as external batteries or backup generators, to minimize downtime. @topic:23


# # # issue - the bed's side rails are not functioning properly. # # # impact - the patient may be at risk of falling out of bed. # # # possible causes - the side rails may be damaged or broken. - the side rails may not be properly attached to the bed. - the side rails may be obstructed by something, such as a blanket or pillow. # # # recommendations - inspect the side rails for any damage or breakage. - ensure that the side rails are properly attached to the bed. - remove any obstructions from the side rails. - test the side rails to ensure that they are functioning properly. @topic:6


# # # issue : remote control failure resulting in inability to adjust bed height. # # # impact : compromised patient comfort and safety, hindering medical interventions. # # # possible causes : 1. * * defective remote control : * * malfunction in the remote's circuitry, buttons, or sensors, rendering it unresponsive or unable to transmit commands to the bed. 2. * * damaged cable or connector : * * breaks or disconnections in the cable connecting the remote to the bed can interrupt signal transmission, preventing bed operation. 3. * * software glitches : * * bugs or errors in the bed's control software can lead to misinterpretation or non - execution of remote commands. 4. * * electrical interference : * * external sources of electrical noise or electromagnetic interference can interfere with the remote's wireless communication with the bed. 5. * * mechanical obstruction : * * physical barriers or obstructions, such as loose wires or accidental pressure, can hinder the remote's ability to send or receive signals. # # # recommendations : 1. * * inspect the remote control : * * visually check for any visible damage, dirt, or corrosion on the remote's buttons, display, and connectors. 2. * * test the cable and connector : * * ensure the cable connecting the remote to the bed is intact and properly connected at both ends. 3. * * update software : * * check for and install any available firmware updates for the bed's control system to address potential software bugs. 4. * * eliminate electrical interference : * * identify and remove any sources of electrical noise or interference that may be affecting the remote's communication. 5. * * clear obstructions : * * inspect and remove any objects or obstructions that may be blocking or interfering with the remote's signal transmission or reception. @topic:7


* * issue : * * medical cart malfunction * * impact : * * equipment failure, disruption of medical procedures, potential patient harm * * possible causes : * * * * * power failure : * * electrical outage or faulty power connection * * * software malfunction : * * bugs or glitches in the medical cart's operating system * * * hardware failure : * * component failure within the medical cart, such as a motherboard or power supply * * * operator error : * * mishandling or accidental damage to the medical cart * * * battery depletion : * * insufficient battery power to operate the medical cart * * * environmental factors : * * extreme temperature, humidity, or electromagnetic interference * * recommendations : * * * * * troubleshooting : * * check the power connection, restart the device, and verify that the software is up - to - date. * * * maintenance : * * regularly inspect the medical cart for signs of wear or damage, and schedule preventative maintenance checks. * * * training : * * provide proper training to operators on the safe and correct use of the medical cart. * * * redundancy : * * consider using a backup medical cart or having spare batteries available to minimize downtime in case of failure. * * * monitoring : * * establish a system to monitor the performance of the medical cart, and alert technicians when any issues arise. * * * incident reporting : * * document all incidents of failure to analyze patterns and identify potential areas for improvement. @topic:30


# # # issue - the carescape v100 vital signs monitor is unable to measure blood pressure. # # # impact - patients may not receive accurate blood pressure readings, which could lead to incorrect treatment decisions. # # # possible causes - the blood pressure cuff is not properly connected to the monitor. - there is a leak in the blood pressure cuff or tubing. - the monitor is not properly calibrated. - the patient is moving too much during the blood pressure measurement. # # # recommendations - check that the blood pressure cuff is properly connected to the monitor. - inspect the blood pressure cuff and tubing for any leaks. - calibrate the monitor according to the manufacturer's instructions. - ask the patient to remain still during the blood pressure measurement. - if the problem persists, contact the manufacturer for service. @topic:15


# # # issue - cuff failure in philips intellivue mp70 ( m8007a ) bedside physiologic monitor # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - damage or wear to the cuff - improper cuff application - cuff size mismatch - faulty cuff connection # # # recommendations - inspect the cuff for any damage or wear. replace the cuff if necessary. - ensure that the cuff is applied correctly to the patient's arm. - choose the appropriate cuff size for the patient's arm circumference. - verify that the cuff connection to the monitor is secure. - contact the manufacturer for technical support if the issue persists. @topic:14


# # # issue : electric bed cannot adjust head up # # # impact : difficulty positioning the patient, discomfort and potential injury to the patient and healthcare staff # # # possible causes : 1. * * mechanical failure * * : broken or damaged part in the head adjustment mechanism, such as the motor, gears, or support structure. 2. * * electrical fault * * : wiring issues, loose connections, or malfunctioning electrical components. 3. * * control system error * * : software or hardware issues in the control unit that regulates the bed movements. # # # recommendations : 1. * * thorough inspection * * : remove any bedding and pillows, and visually inspect the bed frame, head adjustment mechanism, and electrical connections for damage or loose parts. 2. * * electrical troubleshooting * * : check if the bed is properly plugged in and connected to the power outlet. if necessary, use a multimeter to test for continuity and voltage. 3. * * mechanical investigation * * : attempt to adjust the head manually to determine if the issue is mechanical or electrical. if the head does not move freely, check for obstruction or binding in the mechanism. 4. * * control system check * * : reset the bed's control unit and try to operate the head adjustment again. if the issue persists, consult with the manufacturer for technical support. * * additional considerations : * * * replace broken or damaged parts as necessary. * tighten loose bolts, screws, or connectors. * check the bed's maintenance history and schedule regular inspections to prevent future failures. * ensure that the bed is used according to the manufacturer's instructions and do not overload it. @topic:1


# # # issue - unable to adjust spo2 ( saturation of peripheral oxygen ) # # # impact - inability to accurately monitor patient's oxygen levels # # # possible causes - malfunctioning sensor - loose or disconnected cable - software glitch - hardware failure # # # recommendations - check the spo2 sensor for any visible damage or debris. clean the sensor if necessary. - ensure that the cable connecting the sensor to the monitor is properly attached at both ends. - restart the monitor to clear any software glitches. - if the issue persists, contact the manufacturer for further troubleshooting and potential hardware repair. @topic:4


# # # issue the capnocheck plus capnograph is not receiving power. # # # impact the capnograph cannot be used to monitor patients'respiratory status. # # # possible causes - the ac adapter is not plugged in or is [UNK] [UNK]. - the power cord is damaged. - the capnograph's internal fuse is blown. - the capnograph's power supply is [UNK] [UNK]. # # # recommendations 1. check that the ac adapter is plugged in and securely connected to the capnograph. 2. inspect the power cord for any damage. if the power cord is damaged, it should be replaced. 3. open the capnograph and check the internal fuse. if the fuse is blown, it should be replaced. 4. if the fuse is not blown and the other troubleshooting steps do not resolve the issue, the capnograph may need to be repaired or replaced. @topic:2


# # # cause of failure - * * motor failure : * * the motor that controls the up - and - down movement of the bed's footrest has failed. this could be due to a number of factors, such as wear and tear, electrical faults, or mechanical damage. # # # recommendations - * * replace the motor : * * the faulty motor should be replaced with a new one of the same type and specification. - * * check the wiring : * * the wiring that connects the motor to the bed's control panel should be checked for any damage or loose connections. - * * inspect the mechanical components : * * the mechanical components that allow the footrest to move up and down should be inspected for any signs of wear, damage, or misalignment. @topic:9


is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's board. a malfunction is detected. there very low spo2 rebooting. 042f00 there is a problem with the spo2 dsp i / o voltage failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's spo2 rebooting. 043000 there is a problem with the spo2 positive detector voltage a malfunction is detected. there very low are two possible causes of these failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be eplaced, and if problem is still 184 troubleshooting welch [UNK] connex® spot monitor ossible causlarm prioritmessage ain boarda malfunction is detected. there very low spo2 rebooting. 043100 there is a problem with the spo2 negative detector failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's spo2 rebooting043 @topic:20


# # # issue - scanner failure at 7d ( bmc17143 ) due to battery deterioration. # # # impact - temporary unavailability of the scanner at 7d. # # # possible causes - battery reaching the end of its lifespan. # # # recommendations - replace the faulty scanner with a new one. - ensure regular monitoring and maintenance of scanner batteries to prevent future failures. @topic:23


reassembly note : hold the main board with your left hand on the plastic tip and re - insert it, making sure that the board is properly aligned with the protruding noses of the rear chassis and the slit for the internal module rack board and that the board is connected properly to the rack connector. the screws must be reinserted in the order specified in the picture above. screw number 3 is attached to a black spacer which is not shown in this picture. align with internal rack press firmly on rack connector 132 removing the main board 5 repair and disassembly note the main board must be removed before removing : the power supply, the internal module rack with the rack board, the msl board and the speaker 133 5 repair and disassembly removing the msl board removing the msl board 1 separate the front and back half of the monitor as described above. 2 remove the main board as described above. 3 remove the screw securing the msl board and pull the board out upwards along with its housing. 4 pull the msl board out of its housing if required. reassembly note : the msl board and its housing must be properly aligned. push down on the spring to slide the board into its position. 134 removing the internal module rack 5 repair and disassembly removing the internal module rack 1 separate the front and back half of the monitor as described above. 2 remove the main board as described above 3 loosen the two screws securing the module rack ( do not remove them completely! ) and pull out the rack to the left. removing the power supply assembly note when replacing the power supply, the monitor must have the serial number reloaded. a support tool is required to perform this task. please see the support tool instructions for use document for details on how to load a new serial number. 1 separate the front and back half of the monitor as @topic:19


# # # issue - the telemetry ekg module is not receiving a signal. # # # impact - the telemetry ekg module cannot be used to monitor the patient's heart rhythm. # # # possible causes - the sensor is not attached to the patient's skin properly. - the sensor is not functioning properly. - the cable connecting the sensor to the module is damaged. - the module is not functioning properly. # # # recommendations - check that the sensor is attached to the patient's skin properly. - check that the sensor is functioning properly. - check that the cable connecting the sensor to the module is not damaged. - check that the module is functioning properly. - if the issue persists, contact the manufacturer for further assistance. @topic:18


# # # issue the bed's headboard is loose and causing the bed to wobble. # # # impact this could cause the patient to feel uncomfortable or unstable, and could lead to falls or other injuries. # # # possible causes - the headboard may not have been properly secured during assembly. - the headboard may have become loose over time due to wear and tear. - the bed frame may be damaged, causing the headboard to become loose. # # # recommendations - check the headboard to make sure it is properly secured. tighten any loose screws or bolts. - if the headboard is still loose, it may need to be replaced. - inspect the bed frame for any damage. if the frame is damaged, it will need to be repaired or replaced. @topic:6


##rhythmia analysis on, and you are not getting a reliable hr because the signal is below a minimum amplitude, unstable, or contains artifact, and you have tried to improve the system performance by choosing another lead and changing electrodes, you should consider turning arrhythmia analysis off. 86 4 patient alarms and inops inop message, indication cannot analyze qt what to do he qt algorithm cannot generate a valid qt value for more than 10 minutes, or 1 minute in thnitial phase. cannot analyze st the st algorithm cannot generate a valid st value. possible causes are large variations in the measured st values for consecutive beats, or ventricular paced beats. review the ecg signal quality and the st measurement points. if the patient has a ventricular pacemaker, st analysis is not possible. cannot analyze ste the ste algorithm cannot generate valid st elevation values. possible causes are large variations in the measured st values for consecutive beats, or ventricular paced beats. review the ecg signal quality and the st measurement points. contact your service personnel. ecg equip malf umeric is replaced by -? - nop tone the ecg hardware is faulty. < ecg lead > lead off!! < ecg lead > lead off!!! < ecg lead > lead ofumeric is replaced by -? - inop tone not all the required leads for ecg monitoring are connected. check the ecg connections and make sure that the electrode indicated by < ecg lead > [ ra, la, ll, rl, v or c ] electrodes is attached. in easi mode, all 5 electrodes must be connected. ecg leads off!! ecg leads off!! ecg leads off check that all of the required ecg leads are attached, and that none of the electrodes have been displaced. the in @topic:10


# # # issue - bed is not adjusting # # # impact - patient discomfort - prolonged hospital stay - increased risk of complications # # # possible causes - faulty motor - damaged wiring - software glitch - mechanical obstruction # # # recommendations - inspect the motor for signs of damage or wear - check the wiring for any breaks or loose connections - reset the software - clear any mechanical obstructions from the bed's path - contact the manufacturer for further assistance if the problem persists @topic:1


# # # issue cuff leak in philips suresigns vs3 monitor # # # impact the monitor may deliver inaccurate vital signs readings, leading to mismanagement of patient care. # # # possible causes * cuff damage * cuff connector issue * improper cuff inflation or deflation * worn or loose cuff bladder # # # recommendations * replace the cuff with a new one, as has been done. * inspect the cuff connector for damage and replace if necessary. * ensure proper inflation and deflation of the cuff. * regularly inspect and maintain the cuff and cuff bladder to prevent future leaks. @topic:14


# # # issue - knee adjustment malfunction # # # impact - inability to properly position the patient's knee # # # possible causes - mechanical failure of the knee adjustment mechanism - electrical malfunction in the control circuits for the knee adjustment - battery or power supply issues affecting the function of the knee adjustment # # # recommendations - inspect the mechanical components of the knee adjustment mechanism for any signs of damage or wear - check the electrical connections and wiring for the knee adjustment, ensuring they are secure and free of damage - test the battery or power supply to ensure it is providing the correct voltage and current for the knee adjustment mechanism @topic:9


# # # issue the patient bed's knee adjustment is not functioning properly. # # # impact the patient may not be able to achieve a comfortable and safe position in the bed. # # # possible causes - motor is loose and not properly connected. - wiring issue preventing motor from receiving power. - worn or damaged gears or other mechanical components. - faulty control panel or switch. # # # recommendations - verify that the motor is securely fastened and that all wiring is properly connected. - inspect the gears and other mechanical components for wear or damage, and replace as necessary. - test the control panel and switch to ensure proper functionality. @topic:9


# # # issue - the bed's remote control is flickering. # # # impact - the bed cannot be adjusted. # # # possible causes - loose electrical connections - faulty remote control - software glitch # # # recommendations - check the electrical connections and tighten them if necessary. - replace the remote control if it is faulty. - update the software if a newer version is available. @topic:7


# # # issue - cuff bp is not working. # # # impact - the patient's blood pressure cannot be measured. # # # possible causes - the cuff is not properly connected to the monitor. - the cuff is damaged. - the monitor is not working properly. # # # recommendations - check the connection between the cuff and the monitor. - replace the cuff if it is damaged. - contact the manufacturer of the monitor if the monitor is not working properly. @topic:3


siderail assembly, foot end, rh 71061 1 siderail assembly, foot end, lh 20 71656 1 label 21 qd1653a 1 level ball 22 72792 1 spring, siderail, foot careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 51 footboard and headboard — b model beds chapter 5 : parts list footboard and headboard — b model beds figure 5 - 19. footboard and headboard — b model beds table 5 - 19. footboard and headboard — b model beds item number part number quantity description 1 71650 1 label 2 ca0004 1 footboard or headboard assembly 3 71549 1 cpr label page 5 - 52 careassist® and careassist® es bed service manual ( man330 rev 4 ) plastic sleep deck — b model beds chapter 5 : parts list careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 53 motor control box — b model beds chapter 5 : parts list motor control box — b model beds chapter 5 : parts list table 5 - 21. motor control box — b model beds item number part number quantity description 1 vi0601a 7 screw 2 132547 1 cover assembly, battery compartment 3 qd1642a 2 battery, 12 v 4 132219 2 washer 5 128816 1 transformer, north america 128829 1 transfonner, international 6 129816 1 assembly, siderail interface p. c. board 130189 1 assembly, siderail interface p. c. board, non - scale 7 127865 1 label, blank 8 132546 1 cover 9 132094 1 bracket 10 70611 1 line filter 11 132787 1 p. c @topic:26


# # # issue - unable to reassemble central telemetry # # # impact - central telemetry is not functioning properly - patient monitoring is compromised # # # possible causes - incorrect reassembly of components - faulty telemetry module - damaged cables or connectors - software issues # # # recommendations 1. verify that all components are correctly reassembled according to the manufacturer's instructions. 2. inspect the telemetry module for any signs of damage or malfunction. 3. check all cables and connectors for proper connection and integrity. 4. contact the manufacturer for technical support and troubleshooting guidance. 5. if necessary, replace the faulty components or cables. 6. update the software to the latest version if available. @topic:16


* * issue : * * cuff bp adult 25 to 35 cm blue, bed 4, not connected to the pressure measurement cable * * impact : * * the blood pressure ( bp ) measurement for the patient in bed 4 cannot be performed. * * possible causes : * * * * * missing or disconnected cable : * * the cable connecting the cuff to the pressure measurement device may have become loose or disconnected. * * * faulty cuff : * * the cuff itself may be damaged, preventing it from properly inflating and measuring pressure. * * * incompatibility : * * the cuff may not be compatible with the specific pressure measurement device being used. * * * user error : * * the cuff may not have been properly attached to the patient or the pressure measurement device. * * recommendations : * * * * * inspect the cable : * * check the cable for any signs of damage or loose connections and ensure it is securely attached to both the cuff and the pressure measurement device. * * * test the cuff : * * inflate the cuff manually and listen for any air leaks. if there are leaks, the cuff may need to be replaced. * * * verify compatibility : * * ensure that the cuff is designed for the specific pressure measurement device being used. * * * train staff : * * provide training to staff on the proper use and maintenance of the equipment, including the cuff and pressure measurement device. @topic:3


# # # issue - reboot medical cart failed # # # impact - delay in patient care, reduced efficiency of healthcare providers # # # possible causes - software glitch - hardware malfunction - user error - power outage # # # recommendations - check power source and ensure it is connected securely. - try restarting the device again. - contact the manufacturer's technical support team for assistance. - if possible, use a backup medical cart while the affected one is being repaired. - regularly update software and firmware to prevent future failures. - provide training to users on proper operation and maintenance of the medical cart. @topic:13


to 3000 m ( - 1600 to 10000 ft ) - 500 m to 4600 m ( - 1600 to 15000 ft ) emc and radio regulatory compliance this ism device complies with canadian ices - 001. cet appareil ism est conforme a la norme nmb - 001 du canada. short range radio interface ( monitors and 865244 remote control ) fcc and industry canada radio compliance : this device complies with part 15 of the fcc rules anrss - 210 of industry canada. operation is subject to the following two conditions : ( 1 ) this device manot cause harmful interference, and ( 2 ) this device must accept any interference received, including interference that may cause undesired operation. any changes or modifications to this equipment not expressly approved by philips medical systems may cause harmful radiofrequency interference and void your authority to operate this equipment. the radio component contained in this device is in compliance with the essential requirements and other relevant provisions of council directive 1999 / 5 / ec ( radio equipment and telecommunications terminal equipment directive ) in addition the product complies with : etsi en 300 328 ; as / nzs 4771 + a1 ; arib std - t66class 1 radio equipment. to obtain a copy of the original declaration of conformity, please contact philips at the address given in the " manufacturer's information " section of these instructions for use. intellivue 802. 11 bedside adapter ( option j35 wireless network adapter ) fcc and industry canada radio compliance : this device complies with part 15 of the fcc rules and rss - 210 of industry canada. operation is subject to the following two conditions : ( 1 ) this device may not cause harmful interference, and ( 2 ) this device must accept any interference received, including interference that may cause undesired operation. any changes or modifications to this @topic:10


# # # issue - cuff leak # # # impact - inaccurate blood pressure readings # # # possible causes - cuff is damaged - cuff is not properly fitted # # # recommendations - replace the cuff - ensure the cuff is properly fitted @topic:3


# # # issue : medical cart drawer unable to close # # # impact : - inability to access or store medical supplies and equipment. - risk of items falling out of the drawer and causing harm. # # # possible causes : - * * loose or misaligned nuts or bolts holding the solenoid : * * this can prevent the solenoid from properly engaging with the drawer, causing it to remain open. # # # recommendations : - * * tighten or realign the loose nut : * * using the appropriate tools, tighten the nut that is securing the solenoid to the drawer. ensure that the nut is properly aligned and secured. - * * inspect the solenoid for damage : * * if the solenoid appears damaged or has any loose connections, it should be replaced. - * * test the drawer functionality : * * once the nut is tightened or replaced, test the drawer functionality by opening and closing it multiple times to ensure it operates smoothly and securely. @topic:21


mp5 to be transferred to another monitor. when the mp5 is connected to a host monitor, no alarms will be announced on the mp5. pairing x2 and mp5 with a monitor the x2 and mp5 ( with iit ) can be declared as telemetry devices at the information center and paired with a monitor. the data from the mp5 / x2 will then be shown on the same sector on the information center as that from the monitor. nbp - programmable measurement sequence up to four measurement cycles can be set up which will run consecutively. for each cycle you can set the number of measurements and the interval between them. by setting the last cycle to run continuously you can have regular measurements continue after the sequence has run. 47 2 what ’ s new? what ’ s new in release e. o? new printing options for reports reports can now also be printed via an external pc - based print server or to an internal print database, when no printer is available ( for example, during transport ). as soon as a printer becomes available, the reports stored in the database will print automatically. cardiac output - automatic detection of injections an auto mode is now available in the cardiac output measurement which allows you to make multiple cardiac output measurements without having to press the start button every time. the injections are automatically detected after the first measurement of a series has been started. manual pairing at monitor previously, devices could only be manually paired at the information center. you can now pair devices at the monitor as long as the monitor is already connected to the information center. moving windows and menus windows and menus can now be moved on the monitor screen. using touch or a mouse you can select the title of a window and then “ drag ” it across the screen. some positions on the screen are not allowed, such as ones overlapping the alarm field or the monitor info line. @topic:10


# # # issue - ekg lead failure # # # impact - inability to monitor patient's ekg # # # possible causes - broken or damaged ekg lead wires - loose connections between lead wires and monitor - faulty ekg monitor # # # recommendations - inspect and replace damaged lead wires - tighten loose connections - test ekg monitor with known good lead wires - if problem persists, contact manufacturer for support @topic:18


maintenance : * * schedule routine inspections and maintenance to monitor the condition of the keypad and identify any potential issues early on. - * * staff training : * * provide training to staff on proper usage and handling of the electric bed, including proper bed rail operation. @topic:25


##601 - 2 - 52. age 6 a other mattresses may be used, but the manufacturer must always be consulted to make sure that the bed / mattress / siderail combination does not affect the bed's erformance, its suitability for use or its safety characteristics. if the bed is fitted with an electrically powered air mattress, the power cord must be routed so as to prevent it from being cut by the moving parts of the bed ( refer to the instructions of the mattress ). users must check the compatibility of the patient's weight and the accessories placed on the bed and the mattress system in view of the specifications of the medical bed anthe mattress system. if the mattress power cord is unplugged, it is advisable to store it on the support mattress supplier. recommendations for the function lockouts the electrical function management control prevents any unintended bed movements that might cause injury to the patient. [UNK] [UNK] for safety reasons, it is advisable to use the lock - out functions when treating the patient or working on the bed ( e. g., examinations, transfers, maintenance ), when the patient is left unattended and when caregivers believe that the patient is not in a fit state of health to operate the controls in safety. it is thus the responsibility of the nursing staff to authorize the patient to use certain bed functions, including the hilow. the " shock " *, trendelenburg, reverse trendelenburg, chair * and return to flat * functions must only be accessible to caregivers. age 7 electrical safety when direct intravascular or intracardiac connections are in use, the electric potentials of all the unprotected metal parts need to be equalized. the bed must be connected to a mains electric power supply with earth protection. in an environment where the electrostatic discharges are prevalent, we recommend the @topic:9


# # # issue - spo2 sensor not reading values # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - faulty spo2 sensor - broken or malfunctioning spo2 cable - incorrect connection between spo2 sensor and monitor - settings issue on the monitor # # # recommendations - replace the spo2 sensor - inspect and replace the spo2 cable if any damage is found - ensure the spo2 sensor is securely connected to the monitor - check the settings on the monitor to make sure they are correct for spo2 measurement @topic:4


to see the extreme pressure alarms set for your monitor, in the setup < press > menu, see the menu items a extreme high and a extreme low. the extreme pressure alarms are high priority, red alarms, marked * * * in the alarm message. 193 12 monitoring invasive pressure calibrating reusable transducer cpj840j6 calibrating reusable transducer cpj840j6 depending on your monitor ’ s configuration, you may be able to perform a calibration in monitoring mode. perform a mercury calibration when you use a new transducer, and at regular intervals according to your hospital policy. you require : • standard sphygmomanometer. • sterile locc syringe with heparinised solution. • 3 - way stopcock. • approximately 25cm of tubing. making the pressure calibration warning never perform the invasive pressure calibration while a patient is being monitored. 1 zero the transducer. 2 connect the syringe and manometer. a. attach the tubing to the manometer. b. connect the 3 - way stopcock to the stopcock that is not connected to the patient catheter when you measure a patient. c. attach the syringe to one port and the manometer tubing to the other port. d. open the port to the manometer. 3 move the syringe barrel in and raise the mercury to 200mmhg ( 30kpa ). 200mmhg is the recommended calibration pressure. 194 calculating cerebral perfusion 12 monitoring invasive pressure 4 in the setup pressure menu, select cal. press. 5 select the calibration pressure from the list, for example 200 mmhg. 6 select confirm to recalculate the calibration factor using the applied pressure. 7 when the monitor displays < press > calibration done @topic:17


# # # * * issue * * the railed bed's side rails are not able to be locked in place. # # # * * impact * * this can pose a safety hazard to patients, as they may be able to fall out of the bed. # # # * * possible causes * * the following are some possible causes of this issue : - the bed rails are not properly installed. - the latching mechanism is damaged. - the side rails are not the correct size for the bed. - the bed is not level. # # # * * recommendations * * the following are some recommendations for resolving this issue : - check that the side rails are properly installed according to the manufacturer's instructions. - inspect the latching mechanism for any damage. if the latching mechanism is damaged, it should be replaced. - make sure that the side rails are the correct size for the bed. - ensure that the bed is level. @topic:6


# # # issue the electric bed is not able to be adjusted. # # # impact the patient may be uncomfortable or unable to use the bed properly. # # # possible causes 1. the remote control is not working properly. 2. the bed's motor is not working properly. 3. the bed's wiring is damaged. # # # recommendations 1. check the remote control to make sure it is working properly. 2. check the bed's motor to make sure it is working properly. 3. check the bed's wiring for any damage. 4. if the problem cannot be found, call a qualified biomedical engineer to repair the bed. @topic:1