# # # issue - the bed's side rail cannot be lowered. # # # impact - the patient may not be able to get out of bed safely. - the patient may be uncomfortable or in pain if they cannot adjust the bed's position. # # # possible causes - * * wood damage : * * rail is worn and needs to be replaced - * * mechanical failure : * * mechanism is broken and needs to be repaired or replaced - * * electrical failure : * * wiring is damaged and needs to be repaired or replaced # # # recommendations 1. * * inspect the rail and mechanism : * * - look for any signs of damage or wear. - test the mechanism to see if it is working properly. 2. * * replace damaged parts : * * - if the rail or mechanism is damaged, it will need to be replaced. 3. * * repair electrical connections : * * - if the wiring is damaged, it will need to be repaired or replaced. 4. * * test the bed : * * - once the repairs are complete, test the bed to make sure it is working properly. @topic:6


c board ( b model beds ) 133167 1 power cord, nema5 - 15p, 10a / 250v 133168 1 power cord, 2073 : 2000, 10a / 250v 133169 1 power cord, bs1363 / a, 10a / 250v 133170 1 power cord, cee 7 / 7, 10a / 250v 133171 1 power cord, as3112 ( clear ), 10a / 250v 133172 1 power cord, gb2099. 1 - ’ 96, 10a / 250v 133173 1 power cord, bs546, 10a / 250v 133174 1 power cord, ce1, 23 - 16 - v11, 10a / 250v 133175 1 power cord, nema5 - 15p, 13a / 100v 133176 1 power cord, nema5 - 15p, 13a / 110v 134752 1 power cord, sb107 - 2 - d1 - 10a, 10a / 250v page 5 - 8 careassist® and careassist® es bed service manual ( man330 rev 4 ) recommended spare parts chapter 5 : parts list notes : careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 9 base frame — a model beds chapter 5 : parts list base frame — a model beds chapter 5 : parts list table 5 - 2. base frame — a model beds item number part number quantity description 1 vi0610a 8 screw 2 ca0010 2 cover, hilow column, painted 3 s30545k 4 cover 4 71649 1 label, brake / steer position, lh 71788 1 label, brake / steer position, rh 5 ca0011 1 foot end brake cover 6 @topic:26


# # # issue * central monitor not linking # # # impact * inability to monitor patient data from central station # # # possible causes * loose lan cable connection # # # recommendations * ensure that the lan cable is securely connected to the back of the monitor @topic:16


the + 3. 3v system board supply voltage must be working properly. this is indicated by the green led over the battery icon. the following table shows the boot and power on sequences. user action / monitor context description plug ac or battery ( or both ) into an unpowered monitor screen displays color bar for about five seconds. lcd is off and battery led lights ( when battery available ). press power button philips screen displays and a tone sounds the date / time window displays for a new time setting. after the date / time window is acknowledged, the screen displays. press the power button of a monitor ( with ac and / or battery ) that is off. screen displays color bar for about five seconds. lcd is off and battery led lights ( when battery available ). philips screen displays in one second and a tone sounds. the new patient window displays for new patient settings. after the new patient window is acknowledged, the screen displays. software reset ( system or user ) screen displays color bar for about five seconds. lcd turns off and battery led lights, ( when battery available ). philips screen displays in one second and a tone sounds. the screen displays. plug ac into a monitor that is off ( battery only ). screen displays color bar for about five seconds. lcd is off and battery led lights ( when battery available ). press power button philips screen displays and a tone sounds. new patient window displays for new patient settings. after the new patient window is acknowledged, the screen displays. press the power button when monitor is in suspended mode ( ac and / or battery ). a tone sounds. new patient window displays for new patient setting. after the new patient window is acknowledged, the screen displays. press the power button when monitor is on ( ac and / or battery ). philips screen displays and lcd turns off. press the shutdown button in the system admin menu. philips screen displays and a @topic:2


# # # issue remote control failure on huntleigh contoura 360 electric bed. # # # impact unable to adjust the bed's position, compromising patient comfort and safety. # # # possible causes * * * remote control hardware failure : * * faulty electronic components, damaged wiring, or broken buttons. * * * software malfunction : * * corrupted firmware or operating system, causing the remote to stop responding to inputs. * * * battery depletion : * * insufficient battery power to support remote operation. * * * radio frequency interference : * * external sources emitting radio waves can interfere with the remote's wireless communication. * * * physical damage : * * accidental drops or impact can damage the remote's internals. # # # recommendations * * * replace remote control : * * install a new remote that is compatible with the bed. * * * inspect remote hardware : * * visibly check for signs of damage, such as loose connections, burnt components, or broken wires. * * * update software : * * if applicable, install the latest software version to resolve any known bugs or performance issues. * * * replace batteries : * * ensure that the remote's batteries are fresh and provide adequate power. * * * eliminate radio frequency interference : * * identify and remove sources of electromagnetic interference that could disrupt the remote's signal. * * * handle remote carefully : * * avoid dropping or subjecting it to excessive impact. @topic:7


# # # issue - monitor not turning on - monitor not charging - monitor not powering on # # # impact - inability to monitor vital signs - delays in patient care - increased risk of patient complications # # # possible causes - power supply issues - battery failure - hardware malfunction # # # recommendations - check power supply and ensure it is properly connected - replace battery if necessary - contact biomedical engineer for hardware troubleshooting and repairs @topic:2


trend time 280 global 280 trend view st map 152 trending interval st map 154 trends automatic unit conversion 286 automatic value substitution 286 database configuration 278 resolution 276 screen trends 279 setting parameter scales 276 setup 274 viewing 271 trends pop - up keys 271 trends priority list 276 st map 153 trigger conditions events 296 triggers for events 294 troubleshooting c02 223, 230 trunk cables accessories 381, 383 ttymp 186 tvesic 186 u unfiltered ecg signal 122 unpairing 267 unplugging a module 10 upgrading effect on eeg configuration 256 user interface settings changing 39 y v electrode placement ( ecg ) 126 venous puncture 183 ventilation calculations 283 viewing arrhythmia waves 136 viewing trends 271 visible waves report 335 visitor screen 30 vislatching ( arrhythmia alarms ) 140 vital signs recording 272 report 272 vital signs report 278 volume alarm 58 volume - flow loops 359 vuelink alarm messages 353 device driver conflicts 353 language conflicts 353 module 347, 351 module options 351 module setup 352 visible waves and numerics 351 w warnings 1 wave adjusting 33 changing speed 34 scale ( c02 ) 223, 230 scale ( pressure ) 191 size ( c02 ) 223, 230 size ( pressure ) 191 wave channel speed 34 wave group speed 34 wave scale ( eeg ) changing 262 wave size resp 167 wave size ( ecg ) changing 121 wave speed eeg speed wave speed global speed 34 respiratory speed 34 wave speed ( eeg ) 255 wave speed ( resp ) 168 wedge balloon inflation 197 editing 197 printing 197 pulmonary artery 196 recording 197 reference waves 197 what ’ s new 45 wide alarms limits 65 wired network connection symbol 404 wireless device connection symbol 404 z zero effect on pressure alarms 189 zeroing pressure transducer 189 xii @topic:8


# # # issue - headboard lock failure # # # impact - patient safety hazard - reduced patient comfort - increased staff workload # # # possible causes - defective rubber boot lock - worn or damaged gears - bent or misaligned headboard # # # recommendations - replace the defective rubber boot lock - inspect and replace any worn or damaged gears - check the alignment of the headboard and adjust as necessary - perform regular maintenance and inspection of the bed to prevent future failures @topic:6


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. if you accidentally transfer a patient, use re - admit to restore this patient ’ s data to the information center. if you are not connected to the network, select clear transfer to leave transfer mode. the patient data remains in the monitor. transferring a patient with an xi ( no information center ) scenario : a patient is moved to another monitoring location using a transport monitor and re¬ admitted at the new monitor. 1 disconnect the xi from the original monitor and silence the resulting mms unplugged inop. if you are sure that the patient will not be returning to this monitor, you should perform a discharge or end - case. this prevents data from the next patient accidentally being mixed up with your current patient ’ s data. 2 connect the xi to the transport monitor and move the patient. 3 at the new monitoring location, remove the xi from the transport monitor and connect it to the new monitor. 4 if prompted, re - admit the patient to the new monitor : in the select patient window, select the patient in the xi to retain the data in the xi. this will upload the patient demographics, and, if configured, the measurement settings and trend data stored in the xi to the monitor. verify that the settings for patient category and paced mode are correct. transferring a patient with an x2 or mp5 ( no information center ) 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 powered from ac mains, either when connected @topic:10


# # # issue - equipment not measuring temperature accurately, displaying "?? ". # # # impact - incorrect temperature readings can lead to misdiagnosis and inappropriate treatment. # # # possible causes - dirty or malfunctioning probe - improperly inserted probe - faulty equipment # # # recommendations - clean the probe thoroughly. - insert the probe correctly. - check if the equipment is functioning properly. - if the issue persists, contact the manufacturer or a qualified technician. @topic:20


# # # issue - misunderstanding regarding the equivalence of perfusion index ( pi ) values between philips intellivue mp20 ( m8001a ) monitor and masimo monitor. # # # impact - potential misinterpretation of patient monitoring data. - increased workload for biomedical engineers due to unnecessary troubleshooting. - reduced patient safety. # # # possible causes - * * incorrect monitor settings : * * the perfusion index ( pi ) calculation may not have been configured correctly on the philips intellivue mp20 ( m8001a ) monitor. - * * hardware malfunction : * * the philips intellivue mp20 ( m8001a ) monitor may have a faulty sensor or other hardware issues that affect pi readings. - * * misinterpretation of monitor readings : * * the user may have misunderstood the pi values displayed on the philips intellivue mp20 ( m8001a ) monitor compared to the pi values on the masimo monitor. # # # recommendations - * * verify monitor settings : * * ensure that the perfusion index ( pi ) calculation settings on the philips intellivue mp20 ( m8001a ) monitor are configured correctly according to the manufacturer's instructions. - * * inspect hardware components : * * check the sensor and other hardware components of the philips intellivue mp20 ( m8001a ) monitor for any damage or malfunction that may affect pi readings. - * * clarify user interpretation : * * re - educate the user on the correct interpretation of pi values displayed on the philips intellivue mp20 ( m8001a ) monitor, emphasizing the equivalence to pi values on the masimo monitor. - * * monitor performance : * * regularly monitor the performance of the philips intellivue mp20 ( m8001a ) monitor to ensure that @topic:4


# # # issue - the display screen is smaller than normal. # # # impact - the display screen is not usable for medical purposes. # # # possible causes - the f2 scan setting is not set to full. - the display screen is not properly connected to the computer. - the display screen is damaged. # # # recommendations - adjust the f2 scan setting to full. - check the connection between the display screen and the computer. - replace the display screen if it is damaged. @topic:2


# # # issue - the reddot lead connector is not securely attached, resulting in lead detachment during patient monitoring. # # # impact - loss of accurate patient data, potentially leading to delayed diagnosis or treatment. - increased risk of electrical shock or injury to the patient or healthcare workers. # # # possible causes - damaged or worn - out reddot lead connector - loose or improper connection between the lead and the device - defective or misaligned connector assembly # # # recommendations - inspect and replace any damaged or worn - out reddot lead connectors. - ensure proper connection between the lead and the device by firmly attaching and locking the connector in place. - check if the connector assembly is correctly aligned and free of obstructions. - train healthcare professionals on proper lead attachment and removal procedures. - implement regular device maintenance and calibration to prevent future connector issues. @topic:18


# # # issue - the electric bed cannot be adjusted. # # # impact - patients may not be able to get into or out of bed comfortably. - staff may have to manually adjust the bed, which can be difficult and time - consuming. # # # possible causes - the remote control cable is broken. - the electrical system is not working properly. - the motor is not working properly. # # # recommendations - inspect the remote control cable for any breaks or damage. if the cable is damaged, replace it. - check the electrical system for any loose connections or damage. if there is any damage, repair it. - inspect the motor for any signs of damage. if the motor is damaged, replace it. @topic:7


# # # issue the electric bed ( beds, electric ) manufactured by hill - rom ( model : care assist es ) is unable to adjust its height due to a malfunction. # # # impact patients and healthcare providers may experience difficulty or discomfort when using the bed, as they are unable to adjust its height to a comfortable or appropriate level. # # # possible causes according to the input, the biomedical engineer ( bme ) identified that the yoke used to secure the side rails of the bed had crushed the power cord of the bed's control panel, rendering it inoperable. # # # recommendations the bme took the following steps to resolve the issue : 1. reorganized the wiring to prevent further damage from crushing. 2. adjusted the positioning of the yoke to avoid putting pressure on the wires. 3. tested the bed to ensure that all functions were operating normally. @topic:9


# # # issue - keypad is not responding and not able to adjust the bed level. # # # impact - inability to adjust the bed level can cause discomfort and inconvenience to the patient. - it can also delay or prevent the patient from receiving necessary medical care. # # # possible causes - defective keypad - short circuit in the keypad - loose connections in the keypad wiring # # # recommendations - replace the defective keypad. - check for and repair any short circuits in the keypad. - tighten any loose connections in the keypad wiring. @topic:25


# # # issue - the bed's wooden side rails are not raising or lowering properly. # # # impact - the patient may be at risk of falling out of bed. # # # possible causes - the wooden side rails are loose or damaged. - the motor that powers the side rails is not working properly. - the electrical wiring to the motor is damaged. - the wheels on the side rails are not working properly. - bed frame is bent. # # # recommendations - inspect the wooden side rails for any damage or looseness. - test the motor that powers the side rails to make sure it is working properly. - check the electrical wiring to the motor for any damage. - check the wheels on the side rails to make sure they are free moving. - if the bed frame is bent, replace it with a new one. @topic:6


# # # issue - the user reported that the suresigns vs4 vital signs monitor is unable to measure blood pressure. # # # impact - the monitor is unable to perform its intended function, which is to measure and display the patient's vital signs. # # # possible causes - since the bme found no problems, checked the monitor was working correctly, the reported issue might have been a user error. # # # recommendations - provide training to the user on how to properly use the monitor. - ensure that the monitor is properly calibrated and maintained. @topic:15


# # # issue equipment information is incorrect. # # # impact incorrect equipment information can lead to confusion and errors in patient care. for example, if a medical cart is listed as being in a certain location but is actually in a different location, this could delay or prevent a patient from receiving the necessary treatment. # # # possible causes - equipment information may be entered incorrectly into the system. - equipment information may not be updated when the equipment is moved or repaired. - equipment may be moved without the knowledge of the department that is responsible for maintaining the equipment. # # # recommendations - implement a system to ensure that equipment information is accurate and up - to - date. - regularly audit equipment information to identify and correct any errors. - educate staff on the importance of maintaining accurate equipment information. @topic:12


# # # issue - cuff bp connector could not be attached. # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - the connector bp may be the wrong model or size. - the connector bp may be damaged. - the port on the monitor for the connector bp may be damaged. # # # recommendations - verify that the connector bp is the correct model and size for the monitor. - inspect the connector bp for any damage. - inspect the port on the monitor for the connector bp for any damage. - replace the connector bp if it is damaged. - replace the monitor if the port for the connector bp is damaged. - test the monitor to ensure that it is functioning properly. @topic:14


# # # issue etco2 sensor base detached from the pole. # # # impact the patient's etco2 levels cannot be monitored. # # # possible causes - the base was not properly attached to the pole. - the base was damaged. - the pole was damaged. # # # recommendations - inspect the base and the pole for damage. - if the base or the pole is damaged, replace it. - if the base is not properly attached to the pole, reattach it. @topic:4


# # # issue - the fetal monitor is displaying a scrolling screen. # # # impact - the scrolling screen makes it difficult to read the fetal monitor's display, which could lead to incorrect interpretation of the data and potentially adverse patient outcomes. # # # possible causes - faulty display panel - loose or damaged cable connections - software glitch - power supply issues # # # recommendations - inspect the display panel for any physical damage or loose connections. - check all cable connections to ensure they are secure and not damaged. - update the software to the latest version if available. - verify that the power supply is providing a stable and consistent voltage. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:2


# # # issue the patient bed's height adjustment malfunction was the issue. # # # impact patients and hospital staff may experience discomfort or inconvenience due to the bed's inability to adjust to the desired height. # # # possible causes 1. * * electrical fault : * * the motor or electrical components responsible for adjusting the bed's height may have failed. 2. * * mechanical failure : * * the mechanical components, such as gears or hydraulics, involved in the height adjustment mechanism may have become damaged or worn out. 3. * * software malfunction : * * the bed's software, which controls the height adjustment function, may have encountered a bug or corruption. 4. * * user error : * * the bed may not have been operated correctly or may have been subjected to excessive force or misuse. # # # recommendations 1. * * inspect the electrical components : * * check the motor, wiring, and electrical connections for any damage or loose contacts. perform necessary repairs or replacements. 2. * * examine the mechanical components : * * inspect the gears, hydraulics, and other mechanical parts of the height adjustment mechanism for wear, damage, or misalignment. lubricate or replace any faulty components. 3. * * update or reprogram the software : * * contact the manufacturer for the latest software updates or instructions on how to reprogram the bed's software. 4. * * train staff on proper operation : * * ensure that hospital staff is adequately trained on the correct operation and maintenance of the patient bed. @topic:1


# # # issue - the spo2 sensor cable is not illuminating. # # # impact - the patient's oxygen saturation levels cannot be monitored accurately. # # # possible causes - the spo2 sensor cable is damaged. - the spo2 sensor is not properly connected to the monitor. - the monitor is not functioning properly. # # # recommendations - inspect the spo2 sensor cable for any damage. if the cable is damaged, replace it. - ensure that the spo2 sensor is properly connected to the monitor. - verify that the monitor is functioning properly by performing a system test. @topic:4


# # # issue - spo2 sensor not reading data. # # # impact - inaccurate or missing spo2 readings can lead to incorrect medical decisions and delays in treatment. # # # possible causes - damaged or loose cable connection between the spo2 sensor and the monitor. - faulty or malfunctioning spo2 sensor. - interference from other medical devices or environmental factors. # # # recommendations - inspect the cable connection between the spo2 sensor and the monitor, ensuring it is secure and undamaged. - replace the spo2 sensor with a new one. - check for any potential sources of interference from other medical devices or environmental factors, such as strong magnetic fields or bright lights. @topic:4


# # # issue - cuff bp measurement failure # # # impact - inaccurate blood pressure readings - delays in patient care - increased risk of patient harm # # # possible causes - * * cuff leak : * * the cuff may have a leak, which prevents it from inflating properly and obtaining an accurate measurement. - * * cuff size : * * the cuff may be the wrong size for the patient's arm, which can also lead to inaccurate measurements. - * * blocked tubing : * * the tubing that connects the cuff to the monitor may be blocked, which can prevent the cuff from inflating properly. - * * faulty monitor : * * the monitor itself may be faulty, which can lead to inaccurate measurements or failure to inflate the cuff properly. # # # recommendations - * * inspect the cuff : * * check the cuff for any leaks or damage. replace the cuff if necessary. - * * ensure proper cuff size : * * use the correct cuff size for the patient's arm. - * * check the tubing : * * ensure that the tubing is not blocked or kinked. - * * inspect the monitor : * * inspect the monitor for any signs of damage or malfunction. if necessary, contact the manufacturer for service or repair. @topic:3


* * issue : * * device cancellation * * impact : * * the device is no longer in use and cannot be relied upon for monitoring patient vital signs. * * possible causes : * * * the device has reached the end of its useful life and is no longer supported by the manufacturer. * the device has been damaged or malfunctioning and cannot be repaired. * the device is no longer compatible with the hospital's other equipment or software. * * recommendations : * * * replace the device with a new one that is compatible with the hospital's systems. @topic:2


# # # issue - disconnected bp line # # # impact - potential for inaccurate bp readings or failure to monitor bp - may lead to patient safety risks if bp changes are not detected # # # possible causes - component failure in the bp line or monitor - improper assembly of the bp line - damage to the bp line or monitor # # # recommendations - inspect the bp line and monitor for damage or loose connections - ensure the bp line is properly assembled and secured - follow manufacturer's instructions for using and maintaining the monitor - perform regular preventative maintenance on the monitor and bp line @topic:14


# # # issue - equipment : bed, electric - band : huntleigh - model : enterprise 8000 - symptom : remote is locked # # # impact - the patient cannot adjust the bed to a comfortable position. - the caregiver cannot adjust the bed to a convenient position for providing care. # # # possible causes - the remote control is defective. - the remote control is not paired with the bed. - the bed's control panel is not functioning properly. # # # recommendations - check the remote control for any visible damage or defects. - if the remote control is not damaged, try pairing it with the bed again. - if the remote control is still not working, check the bed's control panel for any loose wires or damaged components. - if the problem persists, contact the manufacturer or a qualified technician for further assistance. @topic:7


# # # issue : medical cart not turning on # # # impact : prevents medical staff from accessing critical patient information and equipment # # # possible causes : - power supply issue - software malfunction - hardware failure # # # recommendations : - check if the power supply is connected properly - restart the device - contact the manufacturer for technical support @topic:13


# # # issue - lcd monitor displaying white screen with interference # # # impact - inability to use the monitor for medical imaging or patient monitoring # # # possible causes - loose or disconnected bnc cable connected to an unused port on the monitor # # # recommendations - verify that all bnc cables are securely connected to the appropriate ports. - disconnect any bnc cables that are not being used. - if the issue persists, contact the manufacturer for further troubleshooting assistance. @topic:2


25 mm / s, 12. 5 mm / s, 15 mm / s, 25 mm / s, 30 mm / s, 50 mm / s available for eeg and bis waves with ±5 % accuracy ( guaranteed only for integrated displays ) 12, 16, 24 or 32 numerics @ 12 sec, 1 minute, 5 minute esolution trends resolution multiple choices of number of numerics, resolution and duration depending on trend option and application areafor example : information neonatal extended 12 numerics, 24 hours @ 12 secs or 32 numerics 32 hours @ 1 minute intensive care extended : 16 numerics 120 hours @ 5 minutes anesthesia extended 32 numerics 9 hours @ 12 seconds measurements available. hr, spo2, resp, tcpo2, pulse, perf, tcpco2, co 2, abp, pap, cvp, icp, cpp, bis, cco, awp, anesthetic agents, delta po2, ino2 resolution measurement samples are taken at a resolution of four samples update speed information waves are drawn at a speed of 3 cm / minute trigger condition and time, event classification and associated detailed view of episode data events 4 minutes of high resolution trend or 20 minutes of numerics trend @ 12 sec. resolution or 15 seconds of 4 waves @ 125 samples / sec. ( snapshot ) including all current numerics, alarms and inops capacity ( max. ) 25 or 50 events for either 8 or 24 hours 65 40 specifications | mx400 / 450 / 500 / 55alarm signal system alarm delay less than 4 seconds the system alarprocessing time the system needs for any alarm to be indicated on the monitor, after the measurement has e alarm. delay for alarm availability on the etwork less than 5 seconds this is the time needed after alarm indication on the monitor @topic:8


# # # issue - equipment failure due to improper handling or operation # # # impact - patient safety and comfort compromised - disruption of patient care - increased workload for clinical staff - potential for legal liability # # # possible causes - 11d borrowing the bed without proper authorization or training - bed not being used for its intended purpose - bed being subjected to excessive force or misuse - bed not being maintained or inspected regularly # # # recommendations - establish clear policies and procedures for equipment borrowing and usage - provide proper training to staff on equipment handling and safety - enforce regular maintenance and inspection schedules - monitor equipment usage to identify potential problems early on - consider implementing a tracking system to monitor equipment location and usage @topic:9


# # # issue - equipment : bed, electric - band : huntleigh - model : contoura 360 - description : unable to adjust bed height ( up / down ) # # # impact - patient discomfort or harm - reduced patient mobility - increased staff workload # # # possible causes - * * leaking hydraulic fluid : * * this can cause the bed to lose pressure, preventing it from raising or lowering. - * * faulty hydraulic pump : * * the pump may not be able to generate enough pressure to lift the bed. - * * electrical failure : * * a loose wire or malfunctioning motor can prevent the bed from functioning properly. - * * blocked or damaged actuators : * * actuators are the mechanical components that raise and lower the bed. if they are blocked or damaged, the bed will not be able to move. - * * leaking air hose : * * an air hose leak can cause the bed to lose pressure, preventing it from raising or lowering. - * * damaged remote control : * * if the remote control is damaged, it may not be able to send signals to the bed to adjust its height. - * * loose or broken bolts : * * loose or broken bolts can prevent the bed from raising or lowering. # # # recommendations - check for any signs of hydraulic fluid leaks. - inspect the hydraulic pump for any signs of damage or wear. - check the electrical connections and wiring for any loose or damaged components. - inspect the actuators for any signs of blockage or damage. - inspect the air hose for any leaks or damage. - check the remote control for any signs of damage or malfunction. - tighten or replace any loose or broken bolts. @topic:1


# # # issue - cuff bp leak # # # impact - inaccurate blood pressure readings # # # possible causes - damaged cuff - loose connection between cuff and monitor - faulty cuff # # # recommendations - replace the cuff with a new one - check the connection between the cuff and the monitor - if the problem persists, contact the manufacturer for further troubleshooting @topic:3


# # # issue - * * cuff is damaged * * # # # impact - the vital signs monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may be punctured or torn. - the cuff may be too small or too large for the patient. - the cuff may not be properly inflated. # # # recommendations - inspect the cuff for any damage. - replace the cuff if it is damaged. - ensure that the cuff is the correct size for the patient. - inflate the cuff properly according to the manufacturer's instructions. @topic:3


# # # issue remote control for electric bed stops working. # # # impact inability to control bed functions, such as raising or lowering the bed or adjusting the position of the head or feet. # # # possible causes 1. * * loose connector : * * the connection between the remote control and the bed may be loose, causing intermittent or complete loss of function. 2. * * faulty remote control : * * the remote control itself may be malfunctioning due to electrical or mechanical issues, rendering it unusable. 3. * * damaged cable : * * the cable connecting the remote control to the bed may be damaged, preventing signals from being transmitted properly. 4. * * receiver issue : * * the receiver unit on the bed that receives signals from the remote control may be faulty, causing the bed to become unresponsive. 5. * * power supply issues : * * the bed or remote control may not be receiving adequate power, resulting in a lack of functionality. # # # recommendations 1. * * check the connector : * * ensure that the connector between the remote control and the bed is secure and fully inserted. 2. * * test the remote control : * * use a multimeter or other diagnostic tools to test the remote control for electrical functionality and button response. 3. * * inspect the cable : * * examine the cable connecting the remote control to the bed for any visible damage, such as cuts, kinks, or broken wires. replace the cable if necessary. 4. * * check the receiver : * * inspect the receiver unit on the bed for any obvious damage or loose connections. consult the manufacturer's documentation for specific troubleshooting steps related to the receiver. 5. * * verify power supply : * * ensure that both the bed and the remote control are receiving adequate power by checking the power cord connections and fuses. @topic:7


# # # issue - defective cuff : the cuff used for measuring blood pressure ( bp ) has deteriorated and cannot be used any longer. # # # impact - inability to accurately measure blood pressure : the faulty cuff prevents the device from obtaining reliable blood pressure readings, which can compromise patient care. # # # possible causes - * * wear and tear : * * cuffs are subject to regular use and over time, the material can become worn, stretched, or damaged, affecting its accuracy and ability to seal properly around the patient's arm. - * * improper storage : * * cuffs should be stored properly when not in use, away from extreme temperatures, moisture, and direct sunlight, to prevent premature deterioration. - * * manufacturer defect : * * in some cases, cuffs may have manufacturing defects that make them prone to failure or degradation. # # # recommendations - * * replace the cuff : * * the defective cuff should be replaced with a new, compatible cuff to ensure accurate blood pressure measurements. - * * regular maintenance : * * establish a regular maintenance schedule to inspect and test the cuff for signs of wear or damage. this includes checking for air leaks, proper inflation and deflation, and overall functionality. - * * proper storage : * * store the cuff as per the manufacturer's instructions to prolong its lifespan and prevent damage. - * * investigate cause of failure : * * if the cuff failure was due to a manufacturer defect, the issue should be reported to the manufacturer to prevent similar failures in the future. @topic:3


are some service errors related to battery function code description 257 battery charger power failure 261 battery is overcharged 264 temp value battery is over temperature for a complete list of error codes and actions to take, see chapter 7, troubleshooting. performance verification testing 6 - 21 performing verification tests nurse call relay test before you start : see “ required test equipment ’ ’ on page 6 - 5, for a list of the equipment that you need to perform this test. the nurse call relay test checks the nurse call alarm output relay. the nurse call alarm output in the suresigns vm patient monitor uses a phone jack connector tip or ring and is capable of both normally closed and normally open relay operation. only perform this test if your site uses the nurse call. to perform the nurse call relay test : 1. plug the phono connector into the nurse call connector on the back of the monitor. 2. use the ohmmeter and simulator to verify relay operation as follows. condition phone jack connector tip phone jack connector ring ( relay normally open ) ( relay normally closed ) alarm closed open no alarm open closed 6 - 22 performance verification testing 7 troubleshooting overview this chapter describes how to troubleshoot monitor problems. after using this chapter to diagnose a problem, see chapter 8, repairing the monitor, to remove and replace a part or assembly. in this chapter • introduction. 7 - 2 • support strategies. 7 - 2 • diagnosing a problem. 7 - 3 • boot and power sequences. 7 - 4 • troubleshooting charts. 7 - 5 • error codes. 7 - 14 • running system diagnostics. 7 - 25 • running the self test. 7 - 27 • testing the optional recorder. 7 - 28 • testing the battery. 7 - 29 • running the button test. 7 - 30 • testing the display. 7 - 31 • running the audio test. 7 - 31 @topic:11


# # # issue - cuff on the bedside physiologic monitor is deteriorated. # # # impact - the accuracy of the blood pressure measurements may be compromised. # # # possible causes - cuff is not properly inflated or deflated. - cuff is too small or too large for the patient. - cuff is damaged. - cuff has been exposed to extreme temperatures. - cuff has been used too frequently. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. - inspect the cuff for any damage. - store the cuff in a cool, dry place. - limit the use of the cuff to only when necessary. @topic:3


is defined as the mean arterial pressure. the point at which the system detects a rapid decrease in oscillation is defined as the diastolic pressure. sp0 2 processing sp0 2 is a measurement of oxygen saturation in the blood that uses an optical spectrophotometry technique. it is based on the differences in the absorption of red and infrared light by oxygenated and de - oxygenated hemoglobin. a pulse oximeter passes red and infrared light into an arteriolar bed and measures changes in light absorption during the pulsatile cycle. the light sources are red and infrared light emitting diodes ( leds ). a photo diode provides detection. to identify the oxygen saturation of arterial hemoglobin, the suresigns vm patient monitor uses the pulsatile nature of arterial flow. during systole, a new pulse of arterial blood enters the vacuolar bed, and both blood volume and light absorption increase. during diastole, blood volume and light absorption reach their lowest point. the measurement is based on the difference between maximum and minimum absorption, focusing on the pulsatile arterial blood. in addition to the oximetry function, the measurement can also provide the heart rate. a - 8 theory of operation block diagram components ecg processing the monitor measures the patient's ecg signals by sensing the varying potential difference between several points at the skin surface which respond to the electro - chemical actions of the muscular activity of the heart. up to five electrodes are attached to the patient ’ s body. the varying potentials at these locations are sent to the ecg circuitry. these signals are amplified and filtered and then digitized before being transmitted through opto - isolators to the ^ processor. the ^ processor executes algorithms to : • display the ecg data • compute the heart rate • detect a @topic:17


# # # issue - battery ups battery of monitor, central station ( hewlett packard, model : m3150a ) is degraded. # # # possible causes - battery has reached end of life - battery has been subjected to extreme temperatures - battery has been overcharged or discharged - battery has been damaged physically # # # recommendations - replace battery with new one. - ensure battery is stored in a cool, dry place. - avoid overcharging or discharging battery. - handle battery with care to avoid physical damage. @topic:11


errors. 4. establish a system for monitoring the printer inventory to prevent paper or ink outages. 5. consider redundant printing capabilities to ensure backup in case of failure. @topic:28


the caregiver controls operate correctly. a. disconnect the control unit. b. connect a known good control unit. the trendelenburg / reverse trendelenburg function works. yes no ■i — > replace the power supply ( a model beds ) ( refer to procedure 4. 3 ) or the motor control p. c. board ( b model and newer beds ) ( refer to procedure 4. 27 ). if this solves the problem perform the “ final actions ” on page 2 - 12, otherwise contact hill - rom technical support. 3. replace the affected control unit. this solves the problem. yes no ■i — > contact hill - rom technical support. 4. go to “ final actions ” on page 2 - 12. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 2 - 23 2. 9 bed connected to ac power, brakes not applied detection malfunction chapter 2 : troubleshooting procedures 2. 9 bed connected to ac power, brakes not applied detection malfunction initial conditions : the hilow function works ( see “ function checks ” on page 2 - 5 ). 1. at least one of the other functions is working. yes no i - > go to rap 2. 1. 2. do the following to make sure the brake detection switch is connected correctly. a. remove the foot end frame cover. b. make sure the brake detection switch connector is correctly connected to the foot column connector under the cable cover. the bed connected to ac power but brake not applied detector operates correctly. yes no ■1 — > go to step 4. 3. do the “ function checks ” on page 2 - 5. 4. do the following to make sure the brake detection switch operates correctly. a. disconnect the 2 - pin connector at the bottom of the foot column. b. using a @topic:9


# # # issue low blood pressure reading # # # impact inaccurate blood pressure readings, potentially leading to incorrect treatment decisions. # # # possible causes - * * defective blood pressure cuff : * * the cuff may be too loose or tight, or the bladder may be leaking air. - * * damaged pressure transducer : * * the transducer may be faulty, causing inaccurate pressure measurements. - * * loose or disconnected tubing : * * the tubing connecting the cuff to the monitor may be loose or disconnected, causing air leaks and inaccurate readings. - * * electrical interference : * * nearby electrical equipment may be interfering with the monitor's operation. - * * patient factors : * * the patient's position, posture, or movement may affect the blood pressure reading. # # # recommendations - * * inspect the blood pressure cuff : * * check that the cuff is the correct size for the patient and that it is snugly fitted. ensure that the bladder is not leaking air. - * * check the pressure transducer : * * calibrate the transducer according to the manufacturer's instructions. - * * examine the tubing : * * inspect the tubing for any loose connections or leaks. replace any damaged tubing. - * * assess for electrical interference : * * move the monitor away from any potential sources of electrical interference. - * * reposition the patient : * * ensure that the patient is in a comfortable and relaxed position, with their arm supported at heart level. @topic:14


# # # issue the propaq lt patient transport monitor manufactured by welch allyn displayed a system fault, rendering it inoperable. # # # impact - the monitor is essential for patient monitoring during transport, providing critical information such as vital signs and waveforms. - its failure poses a significant risk to patient safety, as healthcare providers may not have access to real - time patient data. # # # possible causes - external error : an external factor, such as a loose connection or a power surge, could have triggered the system fault. - software glitch : a malfunction in the monitor's software could have caused the fault. - hardware failure : a faulty component within the monitor, such as a sensor or circuit board, could have led to the issue. # # # recommendations * * immediate actions : * * - disconnect all external cables from the monitor and restart it. this step may resolve external error issues and software glitches. - if the issue persists, contact the manufacturer's technical support or a qualified biomedical engineer for further troubleshooting and repair. * * preventive measures : * * - regularly inspect and maintain the monitor according to the manufacturer's guidelines. - ensure proper grounding and power supply to minimize the risk of power surges. - train staff on the proper use and handling of medical devices. - consider implementing a proactive monitoring system to detect potential issues before they escalate into failures. @topic:2


# # # issue - bed is not able to adjust height # # # impact - patient discomfort - difficulty providing care # # # possible causes - faulty pr column ( pr 9000352589 ) # # # recommendations - replace the faulty pr column - check the bed's power supply and connections - inspect the bed's hydraulic system for any leaks or blockages @topic:1


# # # issue : - saturation ( sat ) does not read # # # impact : - patient's oxygen saturation level cannot be monitored. # # # possible causes : - faulty sensor cable - loose connection between the sensor and the monitor - defective sensor - problem with the monitor's software or hardware # # # recommendations : 1. * * check the sensor cable. * * ensure that the cable is securely connected to both the sensor and the monitor. inspect the cable for any damage or breaks. 2. * * clean the sensor. * * clean the sensor with a soft cloth and alcohol to remove any dirt or debris that may be obstructing the light path. 3. * * replace the sensor. * * if cleaning the sensor does not resolve the issue, replace the sensor with a new one. 4. * * contact the manufacturer. * * if the above steps do not resolve the issue, contact the manufacturer of the monitor for further troubleshooting assistance. @topic:4


* * issue * * monitor with no link to the patient transport * * impact * * inability to monitor patient's vital signs * * possible causes * * * faulty cable or connector * incorrectly configured network settings * software error * hardware malfunction * * recommendations * * * inspect the cable and connector for damage or loose connections. * check the network settings on both the monitor and the patient transport to ensure they are configured correctly. * update the software on both devices to ensure compatibility. * if the issue persists, contact the manufacturer for further troubleshooting and potential hardware repair. @topic:16


labels. the monitor is configured to accept external device alarms, but the alarms xternal device.! alarms status of this external measurement is unknown alarms from external devices are : transmitted to the monitor. for all numerics configured in the setup menu, an alarm condition is announced at the monitor. for one or more measurements not configured in the setup menu, an • alarm is announced as a text message for the highest priority alarm. priority is determined at the external device. always non - latching on the m • announced as a flashing numeric while the alarm condition persists.. announced audibly and visibly at the information center. • you should avoid language conflicts between the vuelink module device driver and the monitor. be aware that if you connect a vuelink module with a different operating language to the monitor, the measurement labels in the monitor language • alarm and inop texts in the vuelink module device driver language.. 390 32 an intellibridge ec10 module or interface board ( for mx400 / 450 / 500 / 550 ) transmits information from a connected external device to your monitor. the intellibridge ec5 id module is used to provide identification information from the external device. data imported from the external device, for example waveforms, measurement numerics, settings and alarms, can be displayed on the monitor, passed on to an information center and included in trends as appropriate. the external device may show more information than is available on the monitor. data from intellibridge ec10 cannot be included in monitor trends when the label is a free - text label. module / interface board name 1 1. indicator led 2 etusetup / data viewing key 3 5 2. connection status led 4 intellibridge 3 - external device cable connector 5 4. 5 odule interface board see the documentation supplied with the intellibridge ec5 id module for a list of @topic:10


* * cause of failure : * * insufficient information provided the given input does not specify a clear cause of failure. the description indicates that the bed was tested and found to be functioning normally. therefore, more information is needed to determine the actual cause of failure. * * possible causes : * * * incorrect testing procedures * user error * hidden defects * environmental factors * * recommendations : * * * review the testing procedures and ensure that they are appropriate for the device. * retest the bed to ensure that it is functioning properly. * if the bed remains malfunctioning, consult with the device manufacturer or a qualified biomedical engineer for further troubleshooting. @topic:9


# # # issue - * * charge battery failure * * # # # impact - inability to use the monitor during power outages. # # # possible causes - * * possible causes : * * - defective battery - faulty charging port - power supply issue - incorrect charging procedure # # # recommendations - * * recommendations : * * - replace the battery. - inspect the charging port for damage or debris. - ensure the power supply is functioning properly. - review the charging procedure to ensure it is being followed correctly. - contact the manufacturer or a qualified technician for further assistance. @topic:11


# # # issue - vital signs monitor not measuring accurately # # # impact - incorrect vital signs readings can lead to misdiagnosis and incorrect treatment. # # # possible causes - leaking cuff # # # recommendations - replace the cuff @topic:14


# # output # # # issue monitor time is not accurate. # # # impact inaccurate monitoring of patient parameters, which could lead to incorrect diagnosis or treatment decisions. # # # possible causes - internal clock malfunction - power interruption - incorrect time setting - software or hardware glitch # # # recommendations - check the time setting and adjust it if necessary. - power cycle the monitor. - update the software or firmware. - contact the manufacturer for technical support. @topic:29


# # # issue - inability to connect to other devices or networks. # # # impact - limited functionality of the monitor. - inability to transmit patient data to other systems. # # # possible causes - faulty ethernet cable or port. - incorrect network configuration. - firewall or antivirus settings blocking the connection. # # # recommendations - check the ethernet cable and ensure it is securely connected at both ends. - verify the network configuration settings of the monitor and ensure they match the hospital's network. - disable any firewall or antivirus software that may be blocking the connection. - if the issue persists, contact the manufacturer or a qualified technician for further troubleshooting. @topic:16


# # # issue - inability to adjust the head of the electric bed due to a non - functioning relay. # # # impact - compromised patient care due to the inability to adjust the bed's position for comfort, access, or medical procedures. # # # possible causes 1. * * relay failure : * * the relay responsible for controlling the bed's head adjustment may have malfunctioned due to : - electrical surge or power fluctuations - wear and tear over time - corrosion or damage to the relay's internal components 2. * * electrical connection issues : * * loose or damaged electrical connections between the relay and the bed's motor or control system could prevent the relay from receiving or transmitting signals to adjust the head. 3. * * control system malfunction : * * the bed's control system, which includes the relay and other electronic components, may have experienced a software or hardware issue that is preventing the relay from operating correctly. # # # recommendations 1. * * relay replacement : * * identify the faulty relay and replace it with a new one of the same specifications. 2. * * electrical connection inspection : * * check all electrical connections related to the bed's head adjustment system, including those at the relay, motor, and control system. tighten any loose connections and repair or replace damaged wires. 3. * * control system diagnostics : * * perform a thorough inspection of the bed's control system to identify any potential software or hardware issues. if necessary, consult with the manufacturer or a qualified technician for further troubleshooting and repair. 4. * * regular maintenance : * * implement a regular maintenance schedule to inspect and test the bed's head adjustment system to prevent future failures. this should include checking electrical connections, relay operation, and control system functionality. @topic:1


# # # issue - keyboard malfunction # # # impact - inability to enter data or commands into the medical cart, hindering its functionality. # # # possible causes - physical damage to the keyboard, such as spills or impact. - electrical failure within the keyboard. - software malfunction or incompatibility with the medical cart. # # # recommendations - inspect the keyboard for visible damage or debris. - check the electrical connections between the keyboard and the medical cart. - update or reinstall the keyboard driver if necessary. - if the issue persists, consider replacing the keyboard with a compatible model. @topic:27


# # # issue - the bed is not functioning properly in icu5, room 12. # # # impact - patient care may be compromised due to the inability to use the bed for patient positioning or treatment. # # # possible causes - electrical malfunction within the bed or power supply - mechanical failure of bed components, such as motors or actuators - user error in operating the bed - damage to the bed due to improper handling or cleaning # # # recommendations 1. inspect the bed for any visible damage or loose connections. 2. check the power supply to ensure that the bed is receiving power. 3. test the bed's functionality by operating the controls and observing the response. 4. consult the bed's user manual for troubleshooting steps. 5. if the issue persists, contact the bed manufacturer or a qualified biomedical engineer for further assistance. @topic:9


# # # issue - battery failure # # # impact - interruption of patient monitoring - potential loss of critical patient data - reduced accuracy and reliability of patient monitoring # # # possible causes - battery aging - improper charging practices - environmental factors ( e. g., extreme temperatures ) - manufacturing defects - other underlying equipment issues # # # recommendations - regular preventive maintenance and battery replacement - proper charging and handling procedures - environmental monitoring and control - inspection of battery connections - assessment of other system components to identify any underlying issues @topic:11


# # # issue - * * the ekg lead is defective, causing abnormally high readings. * * # # # possible causes - the lead may be damaged or frayed. - the lead may be improperly connected to the patient or the monitor. - the lead may be incompatible with the monitor. # # # recommendations - inspect the lead for damage or fraying. replace the lead if necessary. - ensure that the lead is properly connected to the patient and the monitor. - verify that the lead is compatible with the monitor. @topic:18


# # # issue - scanner malfunction due to depleted battery # # # impact - interruption of medical scanning procedures - delays in patient diagnosis and treatment # # # possible causes - failure to monitor battery charge levels - insufficient charging time - battery degradation over time - faulty charging system # # # recommendations - establish a regular maintenance schedule to check battery health and charge levels - implement a system to notify biomedical engineers when batteries are low - train staff on proper charging procedures - consider using alternative power sources, such as a backup battery or wall outlet, for critical devices - evaluate the possibility of replacing batteries with longer - lasting or higher - capacity options - implement a quality control process to ensure batteries are properly installed and charged before use @topic:23


# # # issue - inability to adjust the knee section of the electric hospital bed. # # # impact - patient discomfort and decreased mobility. # # # possible causes 1. * * mechanical failure : * * - loose or jammed gears or cables in the adjustment mechanism. - damaged or worn components such as motors or switches. 2. * * electrical failure : * * - faulty wiring or connections in the electrical system. - malfunctioning motor or controller. 3. * * software issue : * * - corrupted software or firmware in the bed's control system. 4. * * user error : * * - incorrect operation or excessive force applied during adjustment. # # # recommendations - * * troubleshooting and repair : * * - check for any loose cables or damaged components. - run diagnostic tests to identify electrical faults or software issues. - replace or repair any faulty parts or components. - * * preventive maintenance : * * - regularly inspect and lubricate the adjustment mechanism. - check for any loose connections or frayed wires. - train staff on proper operation and handling of the bed. - * * communication and documentation : * * - notify the manufacturer or service provider if the issue cannot be resolved internally. - document the cause of failure and any actions taken to repair the device. @topic:9


# # # issue - the electric bed manufactured by hill - rom ( model : 900b ) is not functioning properly. in particular, the bed is unable to adjust its position. # # # impact - the malfunctioning bed poses a significant inconvenience to the hospital staff and patients. it may impede the provision of proper patient care and disrupt the workflow within the medical facility. # # # possible causes - electrical malfunction : this issue may arise from faulty electrical components within the bed's system, such as damaged wires or defective motors. - mechanical failure : mechanical parts of the bed, such as gears or hydraulic systems, may have worn out or become misaligned, leading to the inability to adjust the bed's position. - control system malfunction : the control system, which regulates the movement of the bed, may have malfunctioned due to software errors or hardware failure. # # # recommendations to resolve this issue effectively, the biomedical engineer should adopt a systematic approach : - * * inspection * * : conduct a thorough inspection of the bed, examining its electrical connections, mechanical components, and control system for any visible signs of damage or defects. - * * electrical troubleshooting * * : utilize diagnostic tools to identify electrical faults, such as loose connections, short circuits, or malfunctioning motors. - * * mechanical troubleshooting * * : if no electrical issues are detected, the engineer should focus on the mechanical components, checking for worn gears, misaligned parts, or hydraulic leaks. - * * control system evaluation * * : assess the functionality of the control system by running diagnostics and updating software if necessary. - * * maintenance and repair * * : once the cause of the malfunction is identified, the engineer should perform the appropriate repairs or maintenance tasks, such as replacing faulty components, adjusting mechanical settings, or rep @topic:9


the quality of the main power supply must be that of a typical commercial or hospital environment. fast transients in ± 2 kv for the ± 2 kv for the power supply lines + 1 kv for the input / output lines ( 100 khz repetition power supply lines + 1 kv for the input / output lines ( 100 khz repetition frequency ) ursts iec 61000 - 4 - 4 1 kv differentiaode the quality of the main power supply must be that of a typical commercial or hospital environment. voltage surgeiec 61000 - 4 - 5 1 kv differential mode 2 kv commomode 2 kv common mode 30 a / m 60 hz the magnetic field at the frequency of the mains supply must be characteristic of a typical commercial or hospital environment. magnetic of 30 a / m 60 hz he mains powesupply ( 50 / 60 hz ) iec 61000 - 4 - 8 0 % ut : 0. 5 cycle at 0°, 45°, 90°, 135°, 180°, 225°, 270°, and 315° the quality of the main power supply must be that of a typical commercial or hospital environment. if the user of the hill - rom 900 accella bed requires that the bed remain functional during outages of the mains power supply, it is advisable to power the hill - rom 900 accella bed using a ups or a battery. 0 % ut : 0. 5 cycle at 0°, 45°, 90°, 135°, 180°, 225°, 270°, voltage dips iec 61000 - 4 - 11 0 % ut : 1 cycle 0 % ut : 1 cycle 0 % ut : 30 cyc70 % ut : 25 / 30 ingle phase : at cycles single phase : at 0° ( see note ) ( see note ) 0 % u₁ for 300 voltage interruptions % ut for 250 / 300 ycles iec 6100 @topic:9


# # # issue - cuff leakage # # # impact - inaccurate blood pressure measurement - potential for patient harm # # # possible causes - cuff damage - over - inflation of cuff - cuff not properly attached # # # recommendations - inspect cuff for damage and replace if necessary - calibrate monitor and cuff to ensure accuracy - train staff on proper cuff use and maintenance @topic:3


# # # issue - battery is degraded # # # impact - device may not be able to operate without a power source - device may be unreliable # # # possible causes - battery is old - battery has been overcharged or discharged - battery has been exposed to extreme temperatures # # # recommendations - replace the battery - check the ups for any damages - if the ups is damaged, replace it @topic:11


# # # issue - unable to measure spo2 # # # impact - patient monitoring is compromised # # # possible causes - defective spo2 sensor cable - malfunctioning spo2 module - software glitch # # # recommendations - replace the spo2 sensor cable with a new one - reset the spo2 module - contact the manufacturer for further troubleshooting and repair @topic:4


# # # issue - * * description : * * the philips intellivue mp40 ( m8003a ) is not able to measure spo2. # # # impact - loss of patient monitoring data. # # # possible causes 1. faulty spo2 sensor 2. faulty spo2 cable 3. faulty monitor # # # recommendations 1. replace the spo2 sensor. 2. replace the spo2 cable. 3. perform a * * comprehensive diagnostics * * of the monitor to identify any other potential issues. @topic:4


# # # issue - monitor is not linking to central station # # # impact - inability to monitor patient's vital signs centrally - potential for delayed or missed interventions - increased risk to patient safety # # # possible causes - faulty monitor - faulty central station - loose or damaged cables - incorrect network configuration - software issues # # # recommendations - check if the monitor is properly connected to the central station and that the cables are secure. - restart both the monitor and the central station. - check the network configuration to ensure that the monitor is connected to the correct network and subnet. - update the software on both the monitor and the central station to the latest version. - contact the manufacturer for technical support if the issue persists. @topic:16


# # # issue - graph interference # # # impact - inability to accurately read graph data # # # possible causes - electrical interference from line voltage # # # recommendations - use an uninterruptible power supply ( ups ) to isolate the device from the line voltage @topic:22


# # # issue - the electrical bed's battery is not charging. # # # impact - the bed cannot be used in the event of a power outage. # # # possible causes - faulty power cord - malfunctioning battery - faulty charging port - software glitch # # # recommendations - inspect the power cord for any damage. - replace the battery if necessary. - contact the manufacturer for further assistance. @topic:9


# # # issue : - bed's head section is not adjustable. # # # impact : - impaired patient positioning and comfort. - difficulty in performing procedures and examinations. # # # possible causes : - * * remote control malfunction : * * the newly replaced remote control may be defective or incompatible with the bed. - * * electrical connection issue : * * loose or damaged wiring between the remote control and the bed's control unit could disrupt communication. - * * control unit failure : * * the electronic circuitry responsible for controlling the bed's movements may have malfunctioned. - * * mechanical problem : * * components within the bed's adjustment mechanism, such as motors or gears, could be damaged or obstructed. # # # recommendations : 1. * * verify remote control functionality : * * test the remote control with another compatible device to confirm its proper operation. 2. * * inspect electrical connections : * * ensure secure connections between the remote control and the bed's control unit. 3. * * troubleshoot control unit : * * check for any error codes or indicators on the control unit. consider resetting or replacing the unit if necessary. 4. * * examine mechanical components : * * inspect the bed's adjustment mechanism for any visible signs of damage or obstruction. 5. * * consult manufacturer's documentation : * * refer to the equipment's manual for specific troubleshooting and repair instructions. @topic:1


# # # issue - spo2 reading is not accurate # # # impact - delay in diagnosis or treatment - inability to monitor patient's vital signs # # # possible causes - loose connection between the sensor and the monitor - faulty sensor - incorrect calibration of the monitor - interference from other electrical devices # # # recommendations - check the connection between the sensor and the monitor - replace the sensor - calibrate the monitor - move the monitor away from other electrical devices @topic:4


# # # issue medical cart cannot be turned on. # # # impact medical staff cannot use the medical cart to provide patient care. # # # possible causes - power supply issue - faulty power switch - internal hardware failure # # # recommendations - check the power supply and make sure that the medical cart is plugged into a working outlet. - try turning the medical cart on and off a few times to see if the power switch is faulty. - if the power supply and power switch are both working properly, then the medical cart may have an internal hardware failure. in this case, the medical cart will need to be repaired or replaced. @topic:13


page 5 - 22. note — philips recommends using a sandisk® or kingston® usb flash drive for software upgrades. to upgrade the software : step 1 connect the monitor to an ac power source and press the on / standby key. note — your monitor must be connected to ac power and have a fully charged battery before you upgrade the software. 2 insert the usb flash drive with the software upgrade into the usb port on the back of the monitor. note — the software upgrade folder must be located in the top directory of the usb flash drive ( for example, en. performance verification testing suresigns vs2 * and vsi service guide 3 - 7 upgrading the software insert the usb flash drive with the software upgrade into the usb port on the back of the monitor. note — the software upgrade folder must be located in the top directory of the usb flash drive ( for example, f : \ ). access the system admin menu. for detailed information, see “ accessing the system admin menu ” on page 3 - 4. select the service button. the service menu appears. select the upgrade software button. the monitor searches for a valid software image on the usb flash drive and displays the updated image information in the upgrade software menu. upgrade software current version : new version : language pack : upgrade note — jf the usb flash drive is not detected, ensure that the drive is completely inserted into the usb connector. select the appropriate language pack to install. the following message appears : upgrade software current version : new version : language pack : language pack a : english, spanish, french, dutch, german, italian, polish language pack b : english, portuguese, norwegian, danish, finnish, russian, swedish note — / f you upgrade the software using the same language pack that is currently installed, the current language is the default if you upgrade to a different language pack, the default language is english. @topic:22


# # # issue - inability to adjust the bed using the buttons on the right side # # # impact - limited patient mobility and comfort - increased risk of patient falls # # # possible causes - faulty buttons or wiring on the right side of the bed - malfunctioning control panel - loose connections or damaged cables # # # recommendations * * troubleshooting : * * 1. inspect the buttons on the right side of the bed for any visible damage or loose connections. 2. verify that the control panel is properly connected and functioning. 3. check for loose cables or connections between the buttons, control panel, and bed motor. * * repair : * * 1. replace damaged buttons or repair faulty wiring. 2. troubleshoot and repair any issues with the control panel. 3. secure loose cables and connections. * * preventive maintenance : * * 1. regularly inspect the bed and its components for any potential issues. 2. clean and lubricate the buttons and control panel as recommended by the manufacturer. 3. ensure proper training of staff on the correct use and maintenance of the bed. @topic:1


# # # issue - monitor is not connecting to central bme system. # # # impact - inability to monitor patient's vital signs centrally. # # # possible causes - monitor ci address not set correctly. # # # recommendations - set the correct ci address in the monitor. @topic:16


from the gas analyzer. note if you unintentionally switch the gas compensation to the incorrect setting, the accuracy of the measured flow and volume values may be significantly reduced. the tables below show examples of incorrect gas compensation settings and the resulting inaccuracies : n2 n₂o agent difference between easured and actual 02 values actual gas composition 40 60 40 15 % gas compensation setting incorrect balance gas setting ( n2o instead of n₂ ) 259 n2 n₂o agent difference between measured and actual values 02 actual gas composition 55 40 5 60 40 0 15 % gas compensation setting incorrect agent percentage setting setting up spirometry the following settings can be accessed through the setup spirometry menu. optimizing scale settings in the setup spirometry menu, select optimize scales. the scale settings for all three spirometry waves ( awf, awp, awv ) will be optimized. you can view all spirometry measurement data in the spirometry data window. in the setup alues. alarms and alarm limits alarms can be derived from peep, pip, mv and rrspir. in the setup spirometry menu you can set the alarm limits. refer to the alarms chapter of this manual for details on alarm settings. changing the apnea alarm delay this determines the time limit after which the monitor alarms if the patient stops breathing. in the setup spirometry menu, select rrspir. 1 in setup rrspir menu, select apnea time. 2 apnea alarm delay time. hoose the 3 warning safety and effectiveness of the respiration measurement method in the detection of a apnea, cularly the apnea aturity and apnea of infancy, has not been established. • if an apnea occurs during a zero calibration or purge, the time delay between the start of apnea and the activation @topic:17


# # # issue - remote control for bed in room 11d - 01 is broken - unable to adjust bed head position # # # impact - patient discomfort - impaired nursing care # # # possible causes - failed remote control unit - malfunctioning bed control box - broken connection between remote control and bed # # # recommendations - replace remote control unit - inspect and repair or replace bed control box - check and secure connections between remote control and bed @topic:7


# # # issue cuff bp is unable to fit around the arm. # # # impact vital signs cannot be accurately measured. # # # possible causes - cuff bp is damaged or worn out. - cuff bp is not the correct size for the patient. - cuff bp is not being properly inflated or deflated. # # # recommendations - replace the cuff bp with a new one. - ensure that the cuff bp is the correct size for the patient. - ensure that the cuff bp is being properly inflated or deflated. @topic:5


# # # issue - unknown. the description only mentions changing a cuff and does not provide any specific details about the cause of failure. # # # impact - the lack of information about the cause of failure makes it difficult to determine the impact of the issue. # # # possible causes - the cause of failure is not specified. # # # recommendations - further investigation is necessary to determine the cause of failure. - the biomedical engineer should provide more detailed information about the issue in order to facilitate troubleshooting and preventive maintenance. @topic:5


# # # issue - medical cart unable to connect to drawer board. # # # impact - inability to use the medical cart. # # # possible causes - battery level is low ( - 1 % ). # # # recommendations - charge the battery or replace it if necessary. - check the connection between the medical cart and the drawer board. - restart the service med - cart driver. @topic:13


# # # issue * cuff failure on philips intellivue mp40 ( m8003a ) monitor. # # # impact * patients may not receive accurate blood pressure measurements. # # # possible causes * cuff wear and tear. * incorrect cuff size. * defective cuff. # # # recommendations * regularly inspect and replace cuffs per manufacturer's guidelines. * use the correct cuff size for the patient. * test cuffs for proper function before use. * maintain a stock of spare cuffs to ensure availability. @topic:14


# # # issue - cuff leak in philips intellivue x2 ( m3002a ) monitor during patient transport. # # # impact - inaccurate blood pressure readings, leading to potential patient harm. # # # possible causes - * * cuff damage or deterioration : * * over time, the cuff material can become weakened or cracked, resulting in air leaks. - * * improper cuff application : * * loose or improperly sized cuffs can allow air to escape, causing inaccurate readings. - * * valve malfunction : * * the valve responsible for sealing the cuff and maintaining pressure may become faulty or clogged, leading to leaks. - * * manufacturing defect : * * there could be a manufacturing issue with the cuff itself, such as a defective seam or material flaw. # # # recommendations - * * regular maintenance : * * inspect cuffs periodically for signs of wear and tear. replace cuffs that are damaged or have exceeded their recommended lifespan. - * * proper cuff application : * * ensure that the cuff is the correct size for the patient's arm circumference and that it is applied snugly but not excessively tight. - * * valve inspection : * * check the valve regularly to ensure that it is clean and functioning properly. - * * training : * * provide training to healthcare staff on proper cuff application and maintenance techniques. - * * consider alternative cuff : * * explore using a different type or brand of cuff that may be more durable or less prone to leakage. @topic:3


##6. 25mm / sec general hospital philips age 1 ( la1 patient demographic information, time stamp 2 active alarms and inops, followed by vital signs measurement waves section 3 the data in the report are from the period before the alarm triggered the report. the span of time covered by the wave data depends on the wave speed of the individual waves. the time stamp on the report is the time the report was created and may not exactly correspond with the time the alarm was indicated on the monitor. more information about the print database the reports captured in the database will remain there until they are printed, even after patient discharge. when they have been sent to the printer they will be automatically deleted from the database. note the monitor cannot check for printer errors. if a report is sent to a printer but cannot be printed due to an error, it may be lost. use an xds print server set up to save the reports as electronic files, to ensure that no reports are lost. 66 28 recording the maximum number of reports that can be stored in the database varies depending on the database configuration and the size of the reports. when the database is full, no new reports can be stored. in orts to make space available in the database. 367 28 recording 368 29 printing patient reports most patient reports can be printed by selecting main setup then reports ( or the print reports smartkey ) and then selecting the report name in the top half of the reports menu. report names are shown only for reports that have been correctly set up. data from the time of the print request is printed, even if the print job is delayed in the printer queue. your monitor can also be set up to automatically print all reports when a matching printer is available. to set this select main setup then select reports 1 select auto print dbs. 2 always will print all reports when a matching printer is available. - host only will print the @topic:8


# # # issue - the monitor, central station is not displaying on two screens as expected. # # # impact - the inability to view data on two screens may hinder the efficiency and accuracy of patient monitoring and diagnosis. # # # possible causes - * * incorrect display settings : * * the display settings on the monitor or central station may not be configured correctly to support dual - screen output. - * * hardware malfunction : * * there may be a hardware issue with the monitor, video card, or other components that prevents the display from working on two screens. - * * software issues : * * outdated or corrupted software drivers may interfere with the proper functioning of the display hardware. - * * compatibility issues : * * the monitor or central station may not be compatible with the operating system, video card, or other hardware components in use. - * * loose or faulty connections : * * poor connections between cables or components can disrupt the display output. # # # recommendations - * * verify display settings : * * check the display settings on the monitor and central station to ensure they are configured for dual - screen output. - * * inspect hardware : * * inspect the monitor, video card, and other hardware components for any physical damage or loose connections. - * * update software drivers : * * install the latest drivers for the monitor, video card, and any other relevant hardware. - * * test compatibility : * * ensure that the monitor and central station are compatible with the operating system, video card, and other hardware components in use. - * * tighten connections : * * check and tighten all cables and connections between the components. - * * seek professional assistance : * * if the issue persists after following these recommendations, contact a qualified technician for further diagnosis and repair. @topic:2


##mi sp10 - 1992 177 automatic mode, enabling 181 calibrating 183 calibration interval 378 comfort cuff kits 385 comfort cuffs 385 vi cuff pressure 180 cuff, applying 179 cuff, selecting 179 cuff, tightness 179 disposable cuffs 385 how the measurement works 177 measurement correction 179 measurement limitations 178 measurement methods, auto 178 measurement methods, manual 178 measurement methods, sequence 178 measurement methods, stat 178 measurement, starting 180 measurement, stopping 180 neonatal cuffs ( disposable ) 386 numerics 179 oscillometric method 177 pediatric cuffs 386 preparing to measure 178 repeat time 179 repeat time for automatic 181 repetition time, setting 181 reusable cuffs 385 single - hose disposable cuffs 386 site inspection 179 time of last measurement 179 units 179 venous puncture 183 neonatal event counting 299 neonates resp electrode placement 166 ner setup 296 network connection indicator 19 network connector, wired 409 network connector, wireless 409 networked monitoring 43 new features 45 non - invasive blood pressure. see nbp non - paced patients arrhythmia monitoring 134 notch filter ( bis ) 262 numerics explanation of nbp display 179 nurse call 61 nurse call relay connection symbol 404 o on screen calculator 26 operating 19 mouse 22 permanent keys 22 smartkeys, using 23 trackball 22 operating modes 27 configuration 27 demonstration 27 vii monitoring 27 passcode protection 27 service 27 operating room ecg cable 132 orange ecg cable 132 organizers 383, 384 oridion systems ltd 403 original calc pop - up key 285 oscillometric nbp measurement method 177 other bed window 114 output ecg 424 overlap in recordings 325 overlapping screen trends 280 oxycrg 289 event counting 299 oxycrg event episodes 293 oxygen extraction 248 oxygenation calculations 283 p pace pulse rejection ( ecg ) about 118 switching on / off 120 paced patients ar @topic:17


# # # issue - equipment : nibp monitor ( non - invasive blood pressure monitor ) - brand : ge healthcare - model : carescape v100 # # # impact - the device is not functioning properly and is unable to accurately measure blood pressure. this can lead to incorrect treatment decisions and patient harm. # # # possible causes - the connector on the device is damaged or faulty. this can prevent the device from properly connecting to the patient's arm or leg, resulting in inaccurate readings. # # # recommendations - the technician should replace the damaged connector with a new one. - the technician should test the device to ensure that it is functioning properly before returning it to service. @topic:15


# # # issue - bed and electric device is not able to lock properly. # # # impact - the patient may fall out of bed if the guard rail is not locked properly. # # # possible causes - the guard rail may be damaged or broken. - the locking mechanism may be faulty. - the springs may be worn or damaged. # # # recommendations - check the guard rail for any damage or breakage. - check the locking mechanism for any faults. - replace the springs if they are worn or damaged. @topic:6


# # # issue - connector is dirty and has green residue around it. # # # impact - ekg lead cannot measure values. # # # possible causes - lack of maintenance or cleaning of the connector. - contact with chemical substances that cause corrosion or oxidation. - exposure to moisture or fluids. # # # recommendations - regular maintenance and cleaning of connectors to prevent dirt and debris accumulation. - proper handling and storage of the device to prevent contact with corrosive substances or moisture. - using appropriate cleaning agents and procedures to remove dirt and residue without damaging the connector. @topic:18


# # # issue - the blood pressure bedside monitor is unable to measure blood pressure. # # # impact - the monitor cannot be used to monitor blood pressure, which is a critical parameter for patient care. # # # possible causes - the cuff may be damaged or worn out. - the monitor may be in the wrong mode. - the monitor may be malfunctioning. # # # recommendations - * * inspect the cuff. * * look for any damage or wear and tear. if the cuff is damaged, it will need to be replaced. - * * check the monitor mode. * * make sure that the monitor is in the correct mode for measuring blood pressure. - * * test the monitor. * * if the cuff and mode are both correct, the monitor may be malfunctioning. test the monitor with a known - good blood pressure cuff. - * * replace the monitor. * * if the monitor is malfunctioning, it will need to be replaced. @topic:14


# # # issue - bed not adjusting at the head # # # impact - patient discomfort - difficulty with patient care - increased risk of falls # # # possible causes - mechanical failure - electrical failure - user error # # # recommendations - inspect the bed for any visible damage. - check the electrical connections. - reset the bed to factory settings. - contact the manufacturer for further assistance. @topic:1


# # # issue - equipment malfunction due to software update # # # impact - inability to accurately monitor patient's vital signs - disruption of patient care and treatment # # # possible causes - the software update may not have been installed correctly or may be incompatible with the device's operating system. - there may be a hardware issue with the device that prevents it from functioning properly after the software update. - the technician may have failed to properly test the device after installing the software update. # # # recommendations - verify that the software update was installed correctly and is compatible with the device's operating system. - perform a thorough hardware inspection of the device to identify any potential issues. - retest the device after installing the software update to ensure that it is functioning properly. - if the problem persists, contact the manufacturer for technical assistance. @topic:2


# # # issue - spo2 sensor malfunction # # # impact - inability to accurately measure patient's oxygen saturation levels. # # # possible causes - faulty spo2 sensor cable or connector - loose or damaged connection between sensor and monitor - incorrect placement or alignment of sensor on patient's finger - interference from other light sources ( e. g., ambient light, surgical lights ) - software or firmware issues with the monitor # # # recommendations - replace the spo2 sensor cable / connector if damaged or faulty. - ensure secure connection between sensor and monitor. - verify proper placement and alignment of sensor on patient's finger. - identify and eliminate potential sources of interference. - contact the manufacturer for technical support if software or firmware issues are suspected. @topic:4


# # # issue : discrepancy between measured and expected respiration rate ( rr ) values on a connex spot monitor by welch allyn. # # # impact : inaccurate rr readings can lead to delayed or incorrect diagnosis and treatment, potentially compromising patient safety. # # # possible causes : - patient - related factors ( e. g., irregular breathing patterns, respiratory distress ) - equipment malfunction ( e. g., sensor issues, calibration errors ) - user error ( e. g., incorrect probe placement, improper calibration ) # # # recommendations : 1. * * verify patient status : * * assess the patient's respiratory rate manually to rule out patient - related factors. 2. * * recalibrate the monitor : * * follow the manufacturer's instructions to ensure the monitor is calibrated accurately. 3. * * inspect the sensor : * * check the sensor for any damage or loose connections. clean the sensor if necessary. 4. * * perform a thorough equipment check : * * verify the functionality of all components, including the display, buttons, and alarms. 5. * * document findings : * * record the results of the troubleshooting and any corrective actions taken. 6. * * consider additional factors : * * explore potential environmental or technical factors that may affect the accuracy of rr measurements, such as electromagnetic interference. @topic:20


hif, integral, ps / 2 new n / a n / a m8087 - 67501 453563469681 i / f ; flexible nurse call relay new n / a n / a m8086 - 67521 453563469661 remote i / f new n / a n / a m8003 - 60005 451261015961 battery door assembly 189 6 parts mp40 / mp50 parts part number ( used in production ) ordering part number ordering part number 12nc description new or exchange no. in diagram m8003 - 64006 m8003 - 64006 451261016311 small parts kit 1 incl. : new lx frame speaker 1 lx shielding speaker 2 lx snaplock 3 lx holder lightpipes 4 2x holder connector 5 2x holder cable 6 lx cover rack blank 7 lx assy rack mechanics 8 lx cover knob release 9 lx plate battery delete option 10 lx msl cable 11 5x screw torx m3x6 12 5x screw torx m4xl0 13 5x screw torx m3x5 14 lox screw ejot m3x8 torx 15 lox screw ejot m3x6 torx 16 lox screw torx m3x8 17 4x bumper foot 18 4x holder foot 19 lx ghost label 20 m8003 - 64003 m8003 - 64003 453563499011 small parts kit 2 incl. : new 4x bumper foot 1 4x holder foot 2 lx key silicone navigation point 3 lx key silicone on / off 4 lx knob navigation point 5 lx assy handle 6 lx cover branding mp50 7 lx cover branding mp40 8 lx cover branding @topic:19


##assist® bed type of protection against electric shock ( according to iec 60601 - 1 ) class i degree of protection against electric shock ( according to iec 60601 - 1 ) type b protection against harmful ingress of water ( according to iec 60529 ) ipx4 intermittent operation 10 % 3 min / 30 min voltage 120 v ( + 10 %, - 15 % ) ac voltage and earth frequency 60 hz maximum power load 4. 2 a refer to the schematic diagram at the end of this section to obtain specific information for the cabling. the bed is operated by a power supply unit. this unit controls the electrical functions of the bed : hilow, head section and knee section with automatic contour, and foot section. these functions are perfonned by motors using very low voltages. page 3 - 4 careassist® and careassist® es bed service manual ( man330 rev 4 ) electrical system ( a model beds ) chapter 3 : theory of operation power supply unit characteristics table 3 - 2. power supply unit characteristics description specification input characteristics ( see table 3 - 1 on page 3 - 4 ) fuse rating on primary 2. 2 slo - blo® a maximum power load 360 va output voltage 18 to 40 v ac rectified, filtered output power 360 va continuos operation at 10 va a. slo - blo® is a registered trademark of littlefuse, inc. the power supply unit is composed of the following components : • power stage • functions controlled by relays and transistors • battery charging circuit • control logic and specific functions the functions are activated after electronically unlocking each of them by using one of the following : • patient pendant • caregiver controls power stage the power stage is composed of a 120 v ac input transformer, protected at the input by 2 antisurge fuses of 2 @topic:9


# # # issue - inability to adjust the head section of the bed. # # # impact - patient discomfort - impaired patient care # # # possible causes - the button controlling the head section adjustment may be locked. - the button may be malfunctioning. - the electrical system controlling the bed may be faulty. - the motor responsible for adjusting the head section may be malfunctioning. # # # recommendations - check if the button controlling the head section adjustment is locked. if so, unlock it. - test the button by pressing it several times. if it does not respond, replace it. - check the electrical system controlling the bed for any loose connections or damaged wires. repair or replace as necessary. - inspect the motor responsible for adjusting the head section for any signs of damage or wear. if necessary, replace the motor. @topic:1


# # # issue engineer made a mistake and incorrectly set the repeat time for nbp to 5 minutes instead of 15 minutes. # # # impact the vital signs monitor was taking nbp measurements too frequently, which could lead to inaccurate readings and unnecessary alarms. # # # possible causes - the engineer may have misread the request from the clinical staff. - the engineer may have been distracted or in a hurry. - the engineer may not have been properly trained on the specific equipment. # # # recommendations - the engineer should be retrained on the specific equipment. - the engineer should be more careful when making changes to the equipment settings. - the engineer should double - check all changes with the clinical staff before making them. - the hospital should consider implementing a policy that requires engineers to have a second person verify all changes to equipment settings. @topic:20


# # # issue - broken bed # # # impact - patient discomfort - patient safety hazard - loss of bed availability # # # possible causes - excessive weight on the bed - rough handling - manufacturing defect # # # recommendations - inspect the bed for any visible damage. - check the weight limit of the bed and ensure that it is not exceeded. - handle the bed with care when moving it. - contact the manufacturer if you suspect a manufacturing defect. @topic:6


# # # issue - scanner unable to scan # # # impact - delay in patient diagnosis and treatment # # # possible causes - faulty scanner - loose connection between scanner and base - depleted battery # # # recommendations - replace faulty scanner - tighten loose connection - charge battery @topic:23


# # # issue port rs 232 on the physiologic central station monitor is intermittently reading values. # # # impact the monitor may not be able to accurately display patient data, which could lead to incorrect diagnosis or treatment decisions. # # # possible causes * loose or damaged rs 232 cable * dirty or corroded rs 232 port * faulty rs 232 transceiver * faulty monitor # # # recommendations * check the rs 232 cable for any loose or damaged connections. * clean the rs 232 port on the monitor and the cable with a cotton swab and alcohol. * replace the rs 232 cable if it is damaged. * replace the rs 232 transceiver if it is faulty. * replace the monitor if it is faulty. @topic:22


repair and disassembly docking station 3 remove the guide pins next to the flex connector on the front side of the power block. 4 remove the two screws from the bottom cover of the power block. reassembly note : when reassembling the bottom cover of the power block, make sure that the grounding cable, the optic fiber and the flex cable run through the holes provided in the cover. 184 docking station 5 repair and disassembly _. 5 remove the black split core and pull out the flex cable from the bottom. 6 perform the above steps in reverse order to reassemble the docking station. reassembly note : when re - inserting the flex cable it is recommended to secure it with the guide pins immediately. 185 5 repair and disassembly docking station 186 6 parts this section lists the replacement and exchange parts for the following philips intellivue patient monitoring system components : • mp40 / mp50 parts • multi - measurement server parts • measurement server extension parts ( m3012a, m3014a, m3015a and m3016a ) • plug - in modules part numbers • smart battery charger part numbers • external display part numbers • remote alarm device part numbers • remote extension device part numbers 187 6 parts mp40 / mp50 parts mp40 / mp50 parts 188 mp40 / mp50 parts 6 parts part number ( used in production ) ordering part number ordering part number 12nc description new or exchange no. in diagram m8003 - 35201 m8003 - 69201 453563499101 rear housing new 1 m8003 - 40504 m8003 - 69604 453563499161 frame new 2 m8052 - 66401 m8052 - 69501 453563499171 @topic:19


# # # issue - spo2 cable failure in philips intellivue mp70 bedside physiologic monitor. # # # impact - inability to accurately monitor patient's oxygen saturation level. - delays in diagnosis and treatment. - potential harm to the patient. # # # possible causes - * * cable damage : * * physical damage to the cable can cause signal distortion or interruption. this can be due to : - accidental pulling or bending of the cable - wear and tear over time - improper storage or handling - * * connector issues : * * loose or damaged connectors can prevent proper signal transmission. - faulty or misaligned pins - improper connection of the cable to the monitor or sensor - * * sensor malfunction : * * the sensor itself may be malfunctioning, leading to inaccurate readings. - dirty or contaminated sensor - loose or damaged sensor cable - sensor placement errors # # # recommendations - * * inspect the cable : * * visually inspect the cable for any visible damage, such as cuts, tears, or loose connections. - * * test the cable : * * use a cable tester to verify the cable's functionality and signal integrity. - * * clean the connectors : * * clean the connectors on the cable and the monitor or sensor with an appropriate cleaning solution. - * * check the sensor : * * ensure that the sensor is properly placed on the patient's finger or toe and that the sensor cable is securely connected. - * * replace the cable : * * if the inspection, testing, and cleaning steps do not resolve the issue, replace the spo2 cable. - * * calibrate the monitor : * * after replacing the cable, calibrate the monitor according to the manufacturer's instructions to ensure accurate readings. @topic:4


* * issue : * * medical device failure due to missing mounting base screw * * impact : * * * device may be unstable or insecure, posing a safety hazard * impaired functionality of the device, affecting patient care * * possible causes : * * * screw was not properly tightened during assembly * screw loosened over time due to vibration or wear * screw was removed intentionally or accidentally without being replaced * screw was not included with the device or was misplaced during installation * * recommendations : * * * inspect the device carefully for any loose or missing screws or fasteners. * tighten all screws and fasteners to the manufacturer's specifications. * if the screw is missing, obtain a replacement screw of the correct size and type. * ensure that screws are properly tightened and periodically inspect the device for any loose screws. * train staff on proper device assembly and maintenance procedures to prevent such failures. @topic:12


# # # issue no signal # # # impact the lcd monitor is not displaying any images. # # # possible causes 1. the sdi cable is not properly connected. 2. the sdi cable is damaged. 3. the sdi port on the monitor is damaged. 4. the sdi source is not outputting any signal. # # # recommendations 1. check that the sdi cable is properly connected to both the monitor and the sdi source. 2. if the sdi cable is damaged, replace it. 3. if the sdi port on the monitor is damaged, contact a qualified technician to repair it. 4. if the sdi source is not outputting any signal, check the source device to ensure that it is functioning properly. @topic:2


# # issue - the bed is not working properly. # # impact - the bed cannot be used by patients. # # possible causes - the bed was damaged when it was being moved. - the bed was not properly maintained. - the bed is old and needs to be replaced. # # recommendations - inspect the bed for damage. - perform maintenance on the bed. - replace the bed if it is old or damaged. @topic:9