# # # issue the physiologic monitor is not measuring blood pressure ( bp ). # # # impact the inability to measure bp can delay or prevent diagnosis and treatment of hypertension or other cardiovascular conditions. # # # possible causes * * 1. faulty o2 saturation ( o2sat ) cable : * * the input mentions that the o2sat cable was replaced due to deterioration. however, it's possible that the new cable is also faulty or not properly connected. * * 2. sensor malfunction : * * the bp sensor may have malfunctioned, resulting in incorrect or no readings. * * 3. loose connections : * * check for any loose connections between the monitor, bp cuff, and sensor. loose connections can disrupt signal transmission. * * 4. incorrect cuff size : * * an incorrectly sized bp cuff can lead to inaccurate or unreliable readings. # # # recommendations * * 1. verify cable connections : * * ensure that both ends of the o2sat cable are securely attached to the monitor and sensor. * * 2. test sensor : * * check the bp sensor for damage or defects. if possible, test the sensor on another monitor to rule out a sensor issue. * * 3. inspect connections : * * inspect all connections between the monitor, bp cuff, and sensor for tightness and proper alignment. * * 4. calibrate monitor : * * perform a calibration of the bp monitor to ensure accurate readings. * * 5. use correct cuff size : * * determine the appropriate cuff size for the patient and use the correct cuff for bp measurements. @topic:14


# # # issue medical cart's drawer fails to pop open automatically. # # # impact inconvenient for healthcare professionals accessing medical supplies and equipment. # # # possible causes - * * lubrication issues : * * the solenoid coil may have become stiff due to inadequate lubrication. - * * mechanical failure : * * the solenoid mechanism responsible for opening the drawer may have malfunctioned. - * * electrical problems : * * interruptions in power supply or faulty wiring can prevent the solenoid from activating. # # # recommendations - * * lubricate the solenoid coil : * * apply a suitable lubricant, such as wd40, to reduce friction and improve solenoid operation. - * * inspect the solenoid mechanism : * * check for any damage or misalignment that could impede the drawer's movement. if necessary, replace the solenoid. - * * verify electrical connections : * * ensure that the solenoid is securely connected to its power source and that there are no loose or damaged wires. @topic:21


# # # issue - the bed is unable to adjust its height. # # # impact - patients may be unable to get in or out of bed safely. - nurses may be unable to provide care to patients in bed. # # # possible causes - the sensor wire is being pinched by the bed rail. - the sensor wire is damaged. - the sensor is malfunctioning. # # # recommendations - move the sensor wire away from the bed rail. - inspect the sensor wire for damage. - if the sensor wire is damaged, replace it. - if the sensor is malfunctioning, replace it. @topic:1


# # # issue : - toco transducer head is damaged. # # # impact : - inaccurate or no fetal heart rate monitoring. - compromised patient safety during labor and delivery. # # # possible causes : - wear and tear from repeated use. - accidental damage during handling or cleaning. - manufacturing defects. # # # recommendations : - regular maintenance and calibration to check for any issues and prevent further damage. - proper handling and cleaning techniques to avoid accidental damage. - careful inspection of equipment before and after each use. - replacement of damaged parts as necessary to ensure accurate and reliable monitoring. @topic:2


# # # issue - lead2 is not displaying # # # impact - the patient's cardiac activity cannot be accurately monitored. # # # possible causes - the lead2 cable is damaged. - the lead2 electrode is not making good contact with the patient's skin. - the lead2 input on the monitor is faulty. # # # recommendations - replace the lead2 cable. - clean the lead2 electrode and ensure that it is making good contact with the patient's skin. - test the lead2 input on the monitor using another known - good lead2 cable. @topic:18


# # # issue : - no signal # # # impact : - the 4k icg set cannot be used. # # # possible causes : - the sdi cable for 4k was not properly connected. # # # recommendations : - make sure the sdi cable for 4k is properly connected. @topic:16


# # # * * issue * * - telemetric electrocardiography monitor ( intellivue trx ) is not displaying the signal on the central monitor. # # # * * impact * * - the medical staff may not be able to effectively monitor the patient's heart rhythm, which could lead to delayed or incorrect diagnosis and treatment. # # # * * possible causes * * - * * hardware failure : * * - faulty sensors or wires in the monitor or the patient's telemetry transmitter. - loose or damaged connections between the monitor and the transmitter. - * * software issues : * * - software bugs or glitches in the monitor or the telemetry system. - incorrect configuration or settings. - * * environmental factors : * * - electrical interference from other medical devices or equipment. - poor signal reception due to distance or obstacles. - * * patient factors : * * - patient movement or body position affecting the signal transmission. - electrode placement issues. # # # * * recommendations * * - * * troubleshooting : * * - inspect the monitor and telemetry transmitter for any visible damage or loose connections. - check the cables and wires for any breaks or damage. - verify the software version and ensure it is up to date. - * * testing : * * - perform a signal test using a signal generator or another known - good transmitter. - move the patient and the telemetry transmitter to different locations to test for signal interference. - * * repairs : * * - replace any faulty components in the monitor or transmitter, such as sensors or wires. - update the software if necessary. - * * calibration : * * - calibrate the monitor and telemetry transmitter according to the manufacturer's instructions to ensure accurate signal measurement and display. - * * training : * * - provide training to the medical staff on proper @topic:16


line filter to do so could cause component damage. 11. put on the antistatic strap. 12. disconnect the cables from the line filter ( g ). 13. remove the two screws ( h ) that attach the line filter ( g ) the bracket ( h ). 14. remove the line filter ( g ). replacement 1. do the removal procedure in reverse order. 2. do the “ function checks ” on page 2 - 5. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 91 4. 30 scale p. c. board ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures 4. 30 scale p. c. board ( b model and newer beds ) tools required : 13 mm socket ratchet needle nose pliers antistatic strap removal 1. set the brakes. 2. raise the head section to the full up position. warning : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 3. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 4. remove the two screws ( a ) from the retainers ( c ) ( see figure 4 - 39 on page 4 - 93 ). 5. remove the retainers ( c ). 6. remove the three screws ( d ) that attach the power supply cover ( e ) to the power supply ( f ). 7. remove the power supply cover ( e ). note : the power supply cover is connected to the power supply rc. board by the battery cable. 8. disconnect the battery cable from the power supply rc. board. 9. remove the power supply cover ( e ) power supply ( f ). 10. note the positions of the cables connected to the @topic:26


# # # issue : cuff measurement failure # # # impact : inability to accurately measure patient's vital signs, specifically blood pressure. # # # possible causes : - * * cuff deterioration : * * worn or damaged cuffs can result in inaccurate measurements. - * * improper cuff placement : * * cuffs that are not placed correctly or too loosely can affect the accuracy of readings. - * * defective pressure transducer : * * the pressure transducer is responsible for converting the cuff pressure into an electrical signal. a malfunctioning transducer can lead to inaccurate readings. - * * electrical issues : * * loose wires or faulty connections can disrupt the signal transmission and cause the monitor to malfunction. - * * software malfunction : * * software bugs or updates can sometimes introduce errors that affect the monitor's performance. # # # recommendations : - * * inspect the cuff : * * check for damage or wear and replace if necessary. - * * ensure proper cuff placement : * * follow the manufacturer's guidelines for cuff placement and make sure it fits snugly around the patient's arm. - * * test the pressure transducer : * * use a calibration device to verify the accuracy of the transducer. - * * check electrical connections : * * inspect all wires and connections for any loose or damaged components. - * * update software : * * keep the monitor's software up to date to minimize the risk of software malfunctions. - * * consider other potential causes : * * if the above steps do not resolve the issue, consider other potential causes such as patient movement or arterial stiffness that may affect the accuracy of the measurement. @topic:14


# # # issue - cause of failure in nibp monitor is calibration ( cal ). # # # impact - the nibp monitor may be providing inaccurate blood pressure readings, which could lead to incorrect diagnosis and treatment. # # # possible causes - the nibp monitor may not have been calibrated properly. - the nibp monitor may have been damaged during transport or use. - the nibp monitor may be using incorrect calibration parameters. # # # recommendations - refer to the manufacturer's instructions for proper calibration procedures. - ensure that the nibp monitor is calibrated regularly. - inspect the nibp monitor for any signs of damage before use. - use the correct calibration parameters for the nibp monitor. - if the nibp monitor has been damaged, do not use it. - contact the manufacturer or a qualified technician for assistance. @topic:15


* * issue : * * cuff bp is damaged * * impact : * * inaccurate blood pressure measurements * * possible causes : * * - normal wear and tear due to frequent use - physical damage, such as tears or punctures - age - related deterioration of the rubber material - inadequate maintenance or cleaning * * recommendations : * * - replace the cuff with a new one - regularly inspect and clean the cuff to prevent damage - train staff on proper usage and handling of the equipment - consider using more durable materials for the cuff to increase its lifespan - establish a preventive maintenance schedule to identify and fix potential issues before they escalate into failures @topic:3


##876 1 sidecom® communication system cable 2 71762 1 ( per side ) siderail cable 3 71761 1 pendant cable 4 136564 1 cable, night light and external alarm 5 ( not shown ) 71073 1 pendant, without sidecom® communication system 6 ( not shown ) 72781 1 pendant, with sidecom® communica¬ tion system careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 71 base frame — d model and newer beds chapter 5 : parts list base frame — d model and newer beds chapter 5 : parts list table 5 - 28. base frame — d model and newer beds item number part number quantity description 1 vi0610a 8 screw 2 132180 2 cover, column 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 140430 4 caster support 7 r00110a 1 ( non - 5 th wheel bed ) caster, brake / steer 8 r00108a 2 caster, brake, anti - static 9 vi0326 8 screw 10 vi0361 4 nut 11 vi0020 4 bolt 12 cag002 1 brake / steer pedal 13 s30527k 2 plastic bushing 14 f11203a 1 brake bar 15 vi0616a 16 washer 16 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, @topic:26


# # # issue - medical cart program is not accessible. # # # impact - interruption of healthcare services. # # # possible causes - software malfunction or corruption. - hardware issues affecting program functionality. - user error or unauthorized modifications. # # # recommendations - thorough software diagnostics to identify and resolve software issues. - inspection and testing of hardware components to rule out any physical defects. - review of user access and ensure proper training to prevent unauthorized changes. - regular maintenance and updates of the medical cart system to address potential software vulnerabilities. - implementation of a comprehensive incident reporting and analysis system to proactively identify and resolve future issues. @topic:13


# # # issue : knop on the medical device has come loose. # # # impact : the technician had to disassemble part of the device to tighten the knop. this could lead to : - increased downtime for the device - potential for damage to the device if the knop is not properly tightened - safety concerns if the knop is not secure # # # possible causes : - the knop was not properly tightened during assembly - the knop was subjected to excessive force - the knop was damaged # # # recommendations : - ensure that the knop is properly tightened during assembly - avoid subjecting the knop to excessive force - inspect the knop for damage regularly - replace the knop if it is damaged @topic:12


* * issue : * * equipment failure ( monitor ) * * impact : * * patient care may be delayed or compromised * * possible causes : * * - * * hardware failure : * * the monitor's hardware components, such as the display, sensors, or electrical circuitry, may have malfunctioned. - * * software error : * * a software bug or corruption may have caused the monitor to malfunction or become unresponsive. - * * user error : * * the monitor may have been improperly used or damaged by the user. - * * maintenance issues : * * the monitor may not have been properly maintained or calibrated, leading to performance issues. - * * environmental factors : * * extreme temperatures, humidity, or electromagnetic interference may have affected the monitor's functionality. * * recommendations : * * - * * inspect the monitor : * * visually inspect the monitor for any obvious damage or loose connections. - * * check software updates : * * verify if the monitor's software is up - to - date with the latest version. - * * troubleshoot hardware issues : * * perform diagnostic tests or consult the manufacturer's instructions to identify and repair any hardware problems. - * * train users : * * provide clear instructions and training to ensure proper use and handling of the monitor. - * * establish regular maintenance schedule : * * implement a regular maintenance schedule to check, calibrate, and clean the monitor. - * * monitor environmental conditions : * * ensure that the monitor is used in a suitable environment that meets the manufacturer's specifications. - * * consider backup equipment : * * have a backup monitor available in case of emergencies or prolonged repairs. @topic:2


# # # issue the biomedical device is failing due to a problem with the connection between the device and the central monitor. # # # impact this issue is preventing the device from being used properly to monitor the patient's vital signs. # # # possible causes the following are some possible causes of this issue : - loose or damaged cables - faulty connectors - problems with the central monitor # # # recommendations the following are some recommendations for troubleshooting this issue : - * * check the cables : * * make sure that all of the cables between the device and the central monitor are securely connected and undamaged. - * * check the connectors : * * inspect the connectors on both the device and the central monitor for any damage or corrosion. - * * test the central monitor : * * if the cables and connectors appear to be in good condition, try testing the central monitor with another device to see if the problem persists. @topic:2


# # # issue the philips suresigns vs4 monitor is not displaying on the screen while the battery is charging. # # # impact the monitor cannot be used to monitor vital signs, which could lead to a delay in diagnosis and treatment. # # # possible causes * failed display panel * loose or damaged display cable * failed power supply to the display * software bug # # # recommendations * check the display cable connections and ensure they are secure. * test the display panel using a known - good display. if the display panel is defective, it must be replaced. * check if the power supply to the monitor is functioning correctly using a multimeter. if the power supply needs to be replaced, it must be replaced. * reset the monitor to factory settings. if the issue persists, the monitor may need to be sent in for repair. @topic:11


# # # issue - monitor is black # # # impact - cannot monitor patient's vital signs # # # possible causes - power supply issue - backlight issue - display issue - connection issue - software issue # # # recommendations - check power supply and connections - check backlight - check display - check software - contact manufacturer for support @topic:2


# # # issue - monitor not linking to central system # # # impact - inability to monitor patient data remotely - delayed or inaccurate data reporting - potential for patient safety concerns # # # possible causes - * * network connection issues : * * - loose or disconnected cables - firewall settings blocking communication - server downtime or maintenance - * * server configuration issues : * * - incorrect ci address - server software errors - * * device configuration issues : * * - incorrect network settings in the monitor - outdated firmware or software # # # recommendations - * * check network connections : * * - verify that all cables are properly connected and secured. - disable and re - enable network interfaces. - * * review server settings : * * - ensure that the ci address is set correctly in the server configuration. - check for any error messages or logs indicating server issues. - * * configure device settings : * * - verify that the network settings in the monitor are correct, including ip address, subnet mask, and gateway. - update firmware or software to the latest version if available. - * * contact vendor support : * * - if the issue persists after following the above recommendations, reach out to the manufacturer of the monitor or server for further assistance. @topic:16


# # # issue - sat cable deterioration # # # impact - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes - prolonged use - exposure to extreme temperatures or moisture - physical damage, such as kinking or stretching # # # recommendations - replace deteriorated sat cable - inspect cables regularly for signs of damage - store cables properly when not in use @topic:4


# # # issue - medical cart is unable to boot into windows properly. # # # impact - the medical cart cannot be used for its intended purpose, which may delay or impact patient care. # # # possible causes - bios settings are incorrect. - hardware failure. - software corruption. # # # recommendations - * * verify bios settings. * * ensure that the bios settings are correct, including the boot order, hard drive settings, and chipset settings. - * * test the hardware. * * run diagnostics on the hardware components, such as the motherboard, memory, and hard drive, to identify any potential failures. - * * reinstall the software. * * if the hardware tests pass, reinstall the windows operating system to repair any software corruption. @topic:13


# # # issue - the input indicates that the bed, electric, huntleigh, enterprise 8000 is experiencing an issue where it is unable to adjust its position. # # # impact - the inability to adjust the bed can have a significant impact on patient care. for example, a patient who is unable to sit up or lie down may experience discomfort or pain. in addition, the inability to adjust the bed can make it difficult for medical staff to perform certain procedures. # # # possible causes - there are several possible causes for the bed's inability to adjust. these include : - a problem with the bed's motor - a problem with the bed's controls - a problem with the bed's hydraulic system - a problem with the bed's electrical system # # # recommendations - the technician should begin by inspecting the bed's motor, controls, hydraulic system, and electrical system for any obvious signs of damage. if any damage is found, the technician should replace the damaged component. - if no obvious signs of damage are found, the technician should test the bed's motor, controls, hydraulic system, and electrical system to identify the source of the problem. once the source of the problem has been identified, the technician should repair or replace the faulty component. @topic:1


as described above. 2 remove the main board and the internal module rack, if present, as described above 3 remove the msl board as described above. 135 5 repair and disassembly removing the power supply assembly 4 remove the five screws and remove the power supply by pulling it up. pulling the power supply up may be difficult due to adhesive foil between the rear chassis and the power supply. caution be careful not to damage any components of the power supply board. 136 reassembling the power supply assembly 5 repair and disassembly reassembling the power supply assembly 1 clean the power supply assembly in the areas shown below and remove any rests of the old heat conducting foil. 137 5 repair and disassembly reassembling the power supply assembly 2 remove the protective layer from the new heat conducting foil, place the foil over the domes and press it onto the power supply assembly using your thumbs. note make sure there are no bubbles under the foil. if bubbles appear, remove the foil and position it again. 138 reassembling the power supply assembly 5 repair and disassembly caution make sure that none of the circled parts shown below are bent or damaged in any way. if they are damaged, return the power supply. 3 insert the power supply into the monitor rear housing as shown below. make sure the power supply snaps into the domes and is properly aligned with the screw holes. 139 5 repair and disassembly reassembling the power supply assembly 4 tighten the five screw in the order specified below. caution when reinserting screw no. l please take care not to damage the nearby capacitor. note insert screws carefully into the magnesium rear chassis of the monitor and do not tighten them too much as the material can break. 140 removing the loudspeaker 5 repair and disassembly _ removing the loudspeaker @topic:19


, 68, 70, 377 and resp electrode placement 186 conducted beats 156 accessories 242, 256 switchintemperature 211 10 - electrode cable sets 421 3 - electrode cable sets 420, 425 - electrode cable sets 420, 422 6 - electrode cable sets 420 c. o. 228, 230, 233, 247, 436 co2 243, 247, 248, 249 tone configuration 62 traditional 62 setting 67 st 171 volume, changing 62 vuelink and external devices 389 co2 ( mainstream ) 437, 438 wide 70 co2 ( microstream ) 43ecg 133 window 68 nalog outpualarm recording 360 ecg 133 nbp 423 larm source selection, disabladult cuffs 425 alarms 59 comfort cuffs 423 acknowledging 63 active 59 annotation 342 active spo2 source 201 alphabetical listing 75 pnea delay 251, 260 neonatal / infant cuffs ( single nt ) 426 apnea alarm reusable cuffs 423 apnea deand resp detection modes 187 154 single patient, adult / pediatric sofcuffs 425 audible indicators 61. awrr limits 252 haining 162 aberrantly con154. nellcor 429 sure 42atrial fibrillation and flutter 155 pulsion 426 419 co2 specific 251 beat labels 157 co2, apnea delay 251, 260 initiating learning 159, 160 set combiners and organizers 421, 423 co2, awrr 252 intermittent bundle branch block 156 learning during ventricular rhythm 160 levels of analysis 149, 154 po2 191, 192, 429 desat, spo2 200 nellcor adhesive sensors disposable ) 429 effect on pressure alarms during monitoring non - paced patients 155 philips sensors ( disposable ) 429 extending pause timty 59 onitoring paced patiehilips sensors ( reusasvo2 @topic:8


##harging and recharging it every six months. step 1 open the battery info menu. see “ viewing battery information ” on page 2 - 2. performing routine maintenance suresigns vs2 * and vsi service guide 2 - 3 maintaining the battery 2 select the recondition button. the battery reconditioning menu appears. the reconditioning proceeds automatically and the battery is discharged and recharged twice. the screen displays status messages during the process. when the process is complete, a message, reconditioning complete, appears. 3 select the return button. the battery info menu appears. note — / f the battery does not recharge after four reconditioning cycles, replace it. replacing the battery warning replace the battery if the following conditions occur : e after reconditioning, if the monitor operates for less than one hour on a fully charged battery before the low battery alarm occurs. e after reconditioning, if the max error value does not exceed 2 %. + ifthe battery does not recharge to full capacity after four reconditioning cycles. for information about replacing the battery, see “ removing the battery ” on page 5 - 3. dispose of used batteries in an environmentally responsible manner. do not dispose of the battery in normal waste containers. consult your hospital administrator to find out about local arrangements. battery messages and alarms 2 - 4 the condition of the battery is reported by messages, technical alarms, and error codes. when the monitor is in standby mode, the battery service required message appears if the following occurs : + the max error value exceeds 8 %. ¢ the full capacity value is half of the design capacity value. recondition the battery to clear the message. for information about the battery reconditioning procedure, see “ reconditioning the battery ” on page 2 - 3. technical alarms the following battery @topic:11


# # # issue - medical cart's battery is not charging and the device keeps powering off. # # # impact - the medical cart cannot be used without being plugged in. # # # possible causes - the battery is faulty. - the power supply is faulty. - the charging port is faulty. # # # recommendations - replace the battery. - check the power supply and replace it if necessary. - check the charging port and clean it if necessary. @topic:13


. - if the battery is weak or dead, replace it with a new battery. * * 5. contact manufacturer * * - if the issue persists after following the above recommendations, contact the manufacturer for further assistance. @topic:11


# # # issue - bed head not adjustable # # # impact - patient discomfort - difficulty in providing care # # # possible causes - faulty motor - faulty control panel - damaged wiring - mechanical obstruction # # # recommendations - inspect and test motor - inspect and test control panel - check wiring connections - remove any mechanical obstructions @topic:1


# # # issue - touch screen not responding accurately # # # impact - difficulty in using the device - incorrect readings - potential patient safety risks # # # possible causes - touch screen hardware issues - operating system glitches - software bugs - calibration errors - physical damage # # # recommendations - * * hardware issues : * * - inspect the touch screen for any cracks, scratches, or damage. - check the connection between the touch screen and the device. - * * operating system glitches : * * - restart the device to clear any temporary issues. - update the operating system to the latest version. - * * software bugs : * * - contact the device manufacturer for known software bugs and updates. - * * calibration errors : * * - calibrate the touch screen according to the manufacturer's instructions. - ensure that the device is placed on a stable surface during calibration. - * * physical damage : * * - if visible damage is detected, contact a qualified technician for repair or replacement. @topic:2


# # # issue - request to change the cuff # # # impact - the monitor may not be able to accurately measure vital signs. # # # possible causes - the cuff may be damaged or not properly sized. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. @topic:5


# # # issue - failed keyboard. # # # impact - inability to input data or control the medical device. # # # possible causes - damaged or missing keyboard keycaps. - loose or disconnected keyboard cable. - malfunctioning keyboard circuit board. - corroded or shorted keyboard contacts. - software or firmware issues. # # # recommendations - inspect the keyboard for any physical damage, including missing or damaged keycaps. - check the keyboard cable for any loose connections or damage. - test the keyboard circuit board using a diagnostic tool. - clean any corroded or shorted keyboard contacts. - update the keyboard software or firmware to the latest version. @topic:27


# # # issue - medical cart is not powering on # # # impact - inability to use the medical cart for patient care # # # possible causes - power cord is not plugged in - power switch is not turned on - electrical outlet is not working - fuse is blown - internal component failure # # # recommendations 1. check that the power cord is plugged into a working electrical outlet. 2. turn on the power switch. 3. if the power cord and power switch are working properly, try resetting the medical cart by unplugging it from the electrical outlet and then plugging it back in. 4. if the medical cart still does not power on, contact a qualified biomedical engineer for further troubleshooting and repair. @topic:13


known bugs or issues. 6. * * calibrate monitor : * * perform routine calibration of the monitor according to the manufacturer's guidelines to ensure accuracy. 7. * * contact manufacturer : * * if the problem persists after following the above recommendations, contact the manufacturer for further troubleshooting and support. @topic:2


# # # issue - bed cannot be raised or lowered # # # impact - patient discomfort - difficulty in patient care # # # possible causes - faulty control box - damaged electrical wiring - software glitch # # # recommendations - replace the control box - check and repair electrical wiring - update software @topic:1


# # # issue : - wall - mounted monitor displaying intermittent blackouts # # # impact : - reduced visibility and monitoring capabilities, potentially compromising patient safety # # # possible causes : - loose signal cable ( as reported in the given input ) # # # recommendations : - ensure that the signal cable is securely connected to the monitor and the wall outlet. - check for any physical damage to the cable or connectors. - if the issue persists, further troubleshooting may be required, including : - verifying the power supply to the monitor - testing the monitor with a different signal source - checking the signal source for any issues - inspecting the wall outlet for any loose connections or faulty wiring @topic:2


# # # issue - the locking mechanism of the medical cart's medication drawer is not functioning correctly. # # # impact - this failure prevents the secure storage of medications, posing a risk to patient safety and medication integrity. # # # possible causes - * * hardware failure : * * the locking mechanism may have become damaged or misaligned, preventing the drawer from locking securely. this could be due to excessive force or wear and tear. - * * software glitch : * * a software malfunction could disrupt the communication between the locking mechanism and the drawer, resulting in the drawer not receiving the correct locking command. - * * improper installation : * * the drawer may not have been installed correctly during assembly or maintenance, leading to misalignment and improper locking. - * * malfunctioning sensor : * * a sensor responsible for detecting the drawer's closed position may be faulty, preventing the locking mechanism from engaging. - * * electrical fault : * * an electrical fault in the wiring or power supply to the locking mechanism could prevent it from functioning correctly. # # # recommendations - * * inspection and repair : * * inspect the locking mechanism, drawer, and surrounding areas for any visible damage, misalignment, or loose connections. repair or replace any damaged components. - * * software update : * * check for any available software updates that may address the malfunctioning locking mechanism. install the updates as recommended by the manufacturer. - * * proper installation : * * ensure that the drawer is installed correctly according to the manufacturer's instructions. - * * sensor diagnostic : * * test the sensor responsible for detecting the drawer's closed position to determine if it is functioning correctly. replace the sensor if necessary. - * * electrical troubleshooting : * * check for any electrical faults in the wiring or power supply to the locking mechanism. repair or replace any @topic:21


alarm message from condition indication * * bis high bis the bispectral index value has exceeded the high alarm limit. numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone. * * bis low bis the bispectral index value has dropped below the low alarm limit. numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone. * * * brady / p xxx < yyy or * * * brady xxx < yyy press, sp0 2 the heart rate from the pulse signal has fallen below the bradycardia limit, xxx denotes the lowest measured value ; yyy is the bradycardia limit. numeric flashes and alarm limit is highlighted, red alarm lamp, alarm tone. * * cco / cci high cco continuous cardiac output or cc index is above the high alarm limit. numeric flashes and high alarm limit is highlighted, yellow alarm lamp, alarm tone. * * cco / cci low cco continuous cardiac output or cc index is below the low alarm limit. numeric flashes and low alarm limit is highlighted, yellow alarm lamp, alarm tone. * * cpp high cpp the cpp value has exceeded the high alarm limit. numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone * * cpp low cpp the cpp value has fallen below the low alarm limit. numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone. * * * desat or * * * desat xxx < yyy sp0 2 the sp0 2 value has fallen below the desaturation alarm limit, xxx denotes the lowest measured value, and yyy is the desaturation limit. numeric flashes, red alarm lamp, alarm tone. * * etc0 2 high co?, resp, agm the end tidal @topic:8


* * issue : * * monitor screen is not working ( black screen ) * * impact : * * inability to monitor patient vital signs and critical information. * * possible causes : * * * * * faulty display : * * the monitor's display panel may have failed and is no longer able to produce an image. * * * power supply issue : * * the monitor may not be receiving adequate power from its power supply or from the wall outlet. * * * connection problem : * * the display cable connecting the monitor to the computer or other source may be loose or damaged. * * * software glitch : * * a software issue on the monitor or connected device may be preventing the display from functioning correctly. * * recommendations : * * * * * check power supply : * * verify that the monitor is properly connected to a working electrical outlet and that the power supply is providing adequate voltage. * * * inspect connections : * * ensure that the display cable is securely connected to both the monitor and the computer or other source. * * * restart devices : * * if possible, restart the monitor and the connected devices ( e. g., computer ) to resolve any software glitches. * * * contact manufacturer's support : * * if the issue persists after troubleshooting, contact the manufacturer of the monitor or the hospital's biomedical engineering department for further support and repair. @topic:2


# # # issue - the bed's side rails are not locking into place properly. # # # impact - this could pose a safety hazard for patients, as they could potentially fall out of bed. # # # possible causes - the locking mechanism is not working properly. - the side rails are not aligned properly. - the bed frame is damaged. # # # recommendations - inspect the locking mechanism and make sure that it is working properly. - realign the side rails and make sure that they are locked into place. - inspect the bed frame for any damage. if there is any damage, it should be repaired or replaced. @topic:6


# # # issue - thermometer malfunction # # # impact - inability to accurately measure patient's temperature - potential delay in diagnosis and treatment - increased risk of patient harm # # # possible causes - faulty sensor - loose connection - software glitch - battery failure - incorrect calibration # # # recommendations - inspect the thermometer for any visible damage or loose connections. - check the battery and replace if necessary. - calibrate the thermometer according to manufacturer's instructions. - update the software if available. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:20


the module has run out of memory. temperature not finternal malfunction. if the problem ersists, replace the module. temperature not functinternal malfunction. if the problem no parameter provided for the specified message. internal malfunction. if the problem temperature not funhe parameteprovided is invalid for persists, replace the modulethe specified message. internal malfunction. if the problem he parametetemperature not fuprovided is outside of persists, replace the module. the allowable ange or the specifiemessage. the message requires internal malfunction. if the problem an object, but did not persists, replace the module. contain one. temperature not functional. 3f0207 temperature not functional. 3f0208 the object provided internal malfunction. if the problem replace the module. ith the messagcould not be eserialized. temperature not function3f0209 the object could not internal malfunction. if the problem be serialized. temperature not functionainternal malfunction. if the problem the message is erforming a the module state prohibits the request / action. temperature not funthe requested item is internal malfunction. if the problem not currently available due to the module state. temperature not funthe factory settings, and calibration internal malfunction. if the problem ace the module. service manual troubleshooting 197 alarm priority ossible causmessage information is orrupt. temperature not functional. 3f0504 the user settings are internal malfunction. if the problem corrupt. ersists, replace the module. tempethe calibration is not internal malfunction. if the problem set. temperature not functinternal malfunction. if the problem, replace the module @topic:22


# # # issue - bed, electric, ob & gyn is not able to lock the leg rest. # # # impact - the patient may not be able to get into or out of the bed safely. - the patient may fall out of the bed if the leg rest is not locked. # # # possible causes - the leg rest lock is broken. - the leg rest lock is not adjusted properly. - the leg rest lock is not engaged properly. - the bed is not level. # # # recommendations - inspect the leg rest lock for damage. - adjust the leg rest lock according to the manufacturer's instructions. - engage the leg rest lock properly. - level the bed. @topic:6


# # # issue - motor for adjusting the height of the knee is not working. # # # impact - the patient may not be able to use the bed properly. # # # possible causes - the motor may be defective. - the wiring to the motor may be damaged. - the control board for the motor may be faulty. # # # recommendations - replace the motor. - check the wiring to the motor for any damage and repair as needed. - test the control board for the motor to ensure it is functioning properly. @topic:9


# # # issue - bed is not adjusting properly. - the feet of the bed are not functioning. # # # impact - the patient may be uncomfortable or in pain. - the bed may not be able to be used, which could disrupt patient care. # # # possible causes - the control box may be faulty. - the motor that adjusts the bed may be malfunctioning. - the wiring or connections to the motor may be damaged. - the feet of the bed may be broken or damaged. # # # recommendations - inspect the control box for any signs of damage or malfunction. - test the motor that adjusts the bed to see if it is functioning properly. - check the wiring and connections to the motor for any damage. - inspect the feet of the bed for any signs of damage or breakage. - replace any damaged or malfunctioning parts. - retest the bed to ensure that it is functioning properly. @topic:1


( mx550 ) ” on page 157. 3 disconnect the touch connector from the panel adapter board. 4 remove the six screws from the back of the lcd panel. 166 5 repair and disassembly ) 5 lift out the lcd panel. removing the touch bezel ( mx550 ) 1 separate the front and back of the monitor as described in ‘ ‘ separating the front and back of the monitor ” on page 146. 2 remove the alarm led board as described in “ removing the alarm led board ( mx550 ) ” on page 157. 3 disconnect the touch connector from the panel adapter board. 4 remove the nine screws from the back of the lcd panel. 167 [ 5 repair and disassembly ] 5 lift out the lcd panel. removing the internal recorder ( mx400 / 450 ) 2 pull out the internal recorder. 168 5 repair and disassembly ) removing the rear housing 1 separate the front and back of the monitor as described in “ separating the front and back of the monitor ” on page 146. 2 disconnect all cables from the main board. 3 remove the nine screws from the metal chassis. 4 pull the chassis out of the rear housing. 169 [ 5 repair and disassembly ] replacing the rear housing when replacing the rear housing, make sure the regulatory plate, spillage cover, any blank covers for the i / o slots, the msl connector and the recorder incl. recorder board from the old rear housing are reused. for mx400 / 450 monitors without recorder, ensure that the internal blank cover from the old rear housing is reused. removing the recorder board ( mx400 / 450 ) 1 separate the front and back of the monitor as described in ‘ ‘ separating the front and back of the monitor ” on page 146. 2 remove the recorder as described in “ removing the internal @topic:19


# # # issue - nibp monitor ( dinamap procare ) is not charging. # # # impact - the nibp monitor cannot be used to measure blood pressure. # # # possible causes - battery is low. - adaptor is faulty. # # # recommendations - replace the battery. - replace the adaptor. @topic:20


the instruction sheet shipped with the mounting device for the adapter. note the wireless ethernet adapter is not waterproof and therefore should not be installed anywhere where liquid could spill onto it. refer to the intellivue 802. 11 a / g infrastructure installation and configuration guide for network installation instructions when using the intellivue 802. 11 bedside adapter. for instructions on connecting the intellivue 802. 11 bedside adapter, please refer to the hardware upgrade guide for your bedside monitor. nurse call relay connections traditional style. can be used with any existing alarm system newer connection, flexible relay, _ software configurable figure 29 flexible nurse call relay connections at monitor 244 ecg out functionality 7 installation instructions nurse call relay connectors contact isolation basic nurse call relay 3. 5 mm phone jack active closed contact only < 100 ma, < 24 vdc 1. 5 kv flexible nurse call relay 20 pin mdr ( mini d - ribbon ), active open and closed contacts, 3. 5 mm phone jack, active closed contact only < 100 ma, < 24 vdc 1. 5 kv see “ multi - port nurse call connector test ( flexible nurse call ) ” on page 54 for details on the nurse call relay connector pin assignment. ecg out functionality connections the cable ml 181a # a62 has both ends terminated. the photograph above shows the monitor side connection. if using a non - terminated cable : 1 strip 5 mm ( 3 / 16 " ) insulation from leads and twist conductor strands tightly. 2 solder leads to the connector as shown in the following diagram. i ip { ecg output and marker input ) black ring ( ecg output ) red 1 _ sleeve ( ground ). 1. warning according to aami specifications the peak of the synchronized defibrillator discharge should be delivered within 60 ms of the peak of the r wave. the signal at the ecg output @topic:10


# # # issue - the bed was requisitioned for another department. # # # impact - the patient will not have a bed to sleep in. - the hospital may have to pay a penalty for not providing adequate care. # # # possible causes - the bed was not properly labeled. - the bed was not properly inventoried. - the bed was not properly secured. # # # recommendations - ensure that all beds are properly labeled. - ensure that all beds are properly inventoried. - ensure that all beds are properly secured. @topic:9


# # # issue - the monitor, patient transport ( philips intellivue mp40 ( m8003a ) ) is malfunctioning. # # # impact - the device is not able to provide accurate patient monitoring. # # # possible causes - the device's settings were changed from adult to peditric, which may have caused the malfunction. # # # recommendations - check the device's settings and ensure that they are set to the correct values for the patient's age and condition. - if the device is still not functioning properly, contact the manufacturer for further troubleshooting and repair. @topic:22


# # # issue the cuff of the blood pressure monitor ( bp cuff ) is deteriorating, causing the cuff not to grip the patient's arm securely, leading to inaccurate blood pressure readings. # # # impact inaccurate blood pressure readings can have serious consequences, including misdiagnosis, incorrect treatment, and potential harm to the patient. # # # possible causes - * * normal wear and tear : * * over time, the bp cuff can become damaged due to repeated use and exposure to bodily fluids. - * * improper storage : * * storing the bp cuff incorrectly, such as in extreme temperatures or with excessive pressure, can shorten its lifespan. - * * manufacturing defects : * * rarely, manufacturing defects can cause premature deterioration of the bp cuff. # # # recommendations - * * replace the bp cuff : * * the most effective solution is to replace the worn - out or damaged bp cuff with a new one. - * * regular maintenance : * * inspect the bp cuff regularly for signs of damage and perform necessary cleaning and disinfection procedures. - * * proper storage : * * store the bp cuff in a cool, dry place away from direct sunlight and extreme temperatures. - * * training : * * train staff on proper cuff application techniques to minimize excessive pressure on the cuff and extend its life. @topic:3


# # # issue - cuff is damaged. # # # impact - patient's blood pressure may not be monitored accurately, which could lead to incorrect treatment decisions. # # # possible causes - the cuff may have been damaged during use, such as if it was overinflated or punctured. - the cuff may have been damaged during storage, such as if it was exposed to extreme temperatures or humidity. - the cuff may be damaged due to age or wear and tear. # # # recommendations - replace the cuff with a new one of the correct size. - inspect the cuff regularly for signs of damage, and replace it if necessary. - store the cuff in a cool, dry place when not in use. - train staff on the proper use and care of the cuff. @topic:3


# # # issue - bed is not locking # # # impact - the bed cannot be safely used, as it may move unexpectedly. # # # possible causes - worn or broken brake pads - loose or damaged brake mechanism - faulty brake lever - loose or damaged electrical connections # # # recommendations - inspect the brake pads and mechanism for wear or damage. - check the brake lever for proper operation. - inspect the electrical connections for looseness or damage. - replace any worn or damaged parts. - tighten all loose connections. - if the problem persists, contact the manufacturer for further troubleshooting assistance. @topic:6


# # # issue - broken remote control cord # # # impact - bed cannot be adjusted # # # possible causes - physical damage to the cord, such as being crushed or pinched # # # recommendations - replace the remote control cord with a new one - inspect the cord regularly for signs of damage and replace it if necessary - ensure the cord is not exposed to potential hazards, such as being placed under heavy objects or near sharp edges @topic:7


get additional information about that item. if you select a high or low limit alarm in the list, the graphical trends window will open to provide further data. if you select an alarm resulting from an event alarm notification, the event episode window for that event will open. if you select an alert other than a high or low alarm, a help text window opens with more information. this is the same as the help text window that opens in the alarm messages window. some items in the list are simply log items not related to a patient alert as such ( for example, alarms on or alarms off ). you cannot see any further information if you select one of these items. when you close these windows you will return to the review alarms window. the information in the review alarms window is deleted when a patient is discharged, and when you leave demonstration mode. the review alarms window pop - up keys appear when the window is opened. if alarm pause extension is disabled, the pause pop - up keys are inactive. selecting the active alarms pop - up key opens the alarm messages window. 67 3 alarms latching alarms alarm active pause a1. pause a1. limits alarms 5 min. 10 min. latching alarms the alarm latching setting for your monitor defines how the alarm indicators behave when you do not acknowledge them. when alarms are set to non - latching, their indicators end when the alarm condition ends. switching alarm latching on means that visual and / or audible alarm indications are still displayed or announced by the monitor after the alarm condition ends. the indication lasts until you acknowledge the alarm. viewing the alarm latching settings to see the alarm latching setting for your monitor 1 in the monitor ’ s main setup menu, select alarms. 2 select alarm settings, and see the visual latching and audible latching settings. this setting can only be changed in configuration mode. you should be aware of the settings chosen for your unit @topic:8


# # # issue - the vital signs monitor is not sending data to the hospital's central monitoring system ( vsm ). # # # impact - the clinical staff will not be able to remotely monitor the patient's vital signs, which could lead to delayed or missed interventions. # # # possible causes - the monitor is not properly connected to the network. - the monitor's ip address is not configured correctly. - the vsm is not configured to receive data from the monitor. - the monitor's software is not up to date. - the monitor is defective. # # # recommendations - verify that the monitor is properly connected to the network. - check the monitor's ip address and make sure it is configured correctly. - contact it to ensure that the vsm is configured to receive data from the monitor. - update the monitor's software to the latest version. - if the problem persists, contact the manufacturer for assistance. @topic:16


* * issue * * - device malfunction due to battery depletion * * impact * * - interruption of vital signs monitoring, compromising patient safety * * possible causes * * - battery end - of - life ( eol ) due to prolonged usage - battery charging issues or incorrect charging procedures - battery manufacturing defects or premature failure * * recommendations * * - regular battery maintenance and replacement according to manufacturer's instructions - proper battery storage and handling practices - use of high - quality batteries and chargers - monitoring of battery status and timely replacement - training for clinical staff on proper device operation and maintenance @topic:11


sure, here is an explanation of the cause of failure in the given input : * * issue : * * monitor not synchronizing * * impact : * * the monitor may not be able to display vital signs accurately, which could lead to incorrect treatment decisions. * * possible causes : * * it is possible that the fiber optic cables were not properly connected. this could cause the monitor to not receive the correct data from the patient's vital signs monitor. * * recommendations : * * - verify that the fiber optic cables are properly connected. - if the cables are properly connected, try restarting the monitor. - if the problem persists, contact the manufacturer for further troubleshooting assistance. in addition to the above, here are some other possible causes of failure : * * * faulty monitor : * * this is a less likely cause, but it is possible that the monitor itself is faulty. * * * software bugs : * * if the monitor is running on software, there may be a bug that is causing the synchronization issue. * * * electromagnetic interference : * * the monitor may be located too close to a source of electromagnetic interference, such as a mri machine. the biomedical engineer should investigate all of these possible causes to determine the root cause of the failure and recommend the appropriate corrective action. @topic:2


* * issue : * * - probe cable failure * * impact : * * - interruption of patient monitoring, potentially leading to delayed or inaccurate diagnoses and treatments. * * possible causes : * * - physical damage to the cable, such as cuts or crimps. - irregular or excessive bending of the cable. - degradation of the cable material due to age, heat, or chemical exposure. * * recommendations : * * - inspect the cable regularly for signs of damage. - handle the cable with care, avoiding excessive bending or pulling. - keep the cable away from sharp objects, heat sources, and chemicals. - replace the cable if any damage is detected or if it has exceeded its recommended lifespan. @topic:20


# # # issue - faulty cable # # # impact - the patient's vital signs may not be accurately monitored. - the device may not be able to function properly. # # # possible causes - the cable may have been damaged during use. - the cable may have been improperly connected. - the cable may be defective. # # # recommendations - replace the faulty cable with a new one. - inspect the cable for any damage. - ensure that the cable is properly connected. - test the device to verify that it is functioning properly. @topic:22


# # # issue - spo2 cable break # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - * * oxygen cable breakage * * - pulling on the cable - improper storage # # # recommendations - inspect the spo2 cable and replace if damaged - handle the cable with care - store the cable properly to prevent damage @topic:4


451261024651 m3016a front bezel co2, p / t symbols exchange parts list exchange parts are parts that have been returned to philips and reconditioned for further use. parts offered as exchange parts are in excellent service order according to rigorous philips standards but offer you a considerable price advantage. order also the local language bezel as m3012 - 6801a | 451261000201 shown in the previous “ list of parts ” m3012 - 6831a | 451261000341 exchange m3012a mms extension with not shown cardiac output, pressure, temperature, press / temp, for all languages apart from danish, italian, chinese and japanese, order also the local language bezel as shown in the previous “ list of parts " m3012 - 6861a | 451261000491 exchange m3012a mms extension with not shown continuous cardiac output, pressure, temperature, press / temp, for all languages apart from danish, italian, chinese and japanese, order also the local language bezel as shown in the previous “ list of parts ” m3014 - 6801a | 451261009281 exchange m3014a mms extension with not shown co2 for all languages apart from danish, italian, chinese and japanese, order also the local language bezel as shown in the previous “ list of parts ” exchange m3012a mms extension with not shown pressure, temperature, press / temp, for all languages apart from danish, french, italian, chinese and japanese, 195 6 parts mms extension parts ( m3012a, m3014a, m3015a and m3016a ) m3014 - 6831a | 451261009311 exchange m3014a mms extension with not shown co2, cardiac output, pressure @topic:19


# # # issue - leaking cuff on bedside physiologic monitor. # # # impact - inaccurate blood pressure readings, leading to potential misdiagnosis and mistreatment. - false alarms and unnecessary interventions, which can be stressful for patients and staff. - increased risk of infection due to the introduction of air into the blood pressure cuff. # # # possible causes - deterioration of the cuff material over time, leading to cracks or tears. - improper cuff inflation or deflation, causing damage to the cuff. - external damage, such as punctures or cuts, from mishandling or improper storage. - manufacturing defects in the cuff itself. # # # recommendations - * * regular inspection and maintenance * * : routinely check the cuff for signs of wear or damage. replace the cuff as necessary according to the manufacturer's guidelines. - * * proper inflation and deflation * * : ensure that the cuff is inflated and deflated according to the manufacturer's instructions to avoid damage to the cuff. - * * careful handling and storage * * : handle the cuff with care to avoid punctures or cuts. store it in a clean and dry environment when not in use. - * * consider using disposable cuffs * * : disposable cuffs can help reduce the risk of cross - contamination and are less likely to deteriorate over time. - * * report any issues promptly * * : if any issues with the cuff are observed, report them immediately to the appropriate technician for repair or replacement. @topic:3


# # # issue - the cause of failure is not clear from the given input. # # # impact - the impact of the failure is not known. # # # possible causes - the failure could be due to a hardware issue, software issue, or user error. - the failure could be due to a problem with the backup process. # # # recommendations - the technician should investigate the cause of the failure and take appropriate action to resolve the issue. - the technician should verify that the backup process is working correctly. - the technician should provide the hospital with a report detailing the cause of the failure and the steps taken to resolve the issue. @topic:12


# # # issue - ekg red button is broken # # # impact - unable to properly monitor patient's ekg # # # possible causes - broken or loose connection in the button - connector problems in the button - faulty button # # # recommendations - inspect the button for any visible damage or loose connections. - clean the button and connector to ensure proper contact. - replace the button if necessary. @topic:18


# # # issue - the bed's guardrail is locked. # # # impact - the patient may be at risk of falling out of bed. # # # possible causes - the guardrail is not properly installed. - the guardrail is damaged. - the guardrail is not being used correctly. # # # recommendations - ensure that the guardrail is properly installed. - inspect the guardrail for any damage. - train staff on the proper use of the guardrail. @topic:6


# # # issue - defectiveness in aibp lead wires. # # # impact - possibility of erroneous readings or complete failure of vital sign monitoring during patient care, leading to delayed or incorrect treatment decisions. # # # possible causes - physical damage to the lead wires due to improper handling, mishandling, or storage. - wear and tear over time due to repeated use or environmental factors like humidity or temperature extremes. - manufacturing defects or flaws in the design or production process. # # # recommendations - * * regular inspection and maintenance : * * periodically inspect and test all lead wires to identify any signs of damage or deterioration. - * * proper handling and storage : * * ensure that aibp lead wires are handled and stored carefully to prevent physical damage. - * * training and education : * * train staff on the correct handling and maintenance procedures for medical equipment, including aibp lead wires. - * * regular replacement schedule : * * implement a regular replacement schedule for lead wires based on the manufacturer's recommendations or established best practices. - * * use of protective covers or shields : * * consider using protective covers or shields to minimize the risk of damage during storage or transportation. - * * quality control : * * establish quality control measures during procurement and receiving to ensure that procured aibp lead wires meet the required standards and specifications. - * * communication and coordination : * * ensure effective communication and coordination between clinical staff, biomedical engineering, and procurement departments to identify and address any issues related to aibp lead wires promptly. @topic:18


# # # issue - equipment : bedside physiological monitor - brand : philips - model : m1205a - description : ekg cable and lead failure # # # impact - inability to obtain accurate patient vitals - delays in patient care - increased patient discomfort # # # possible causes - wear and tear : prolonged use of the ekg cable and lead can cause damage to the wires, insulation, or connectors. - mishandling : rough handling, such as pulling or bending the cable excessively, can compromise its integrity. - environmental factors : exposure to moisture, heat, or chemicals can degrade the materials used in the cable and lead. # # # recommendations * * preventive measures : * * - regularly inspect the ekg cable and lead for signs of damage or wear. - handle the equipment with care, avoiding excessive force or bending. - protect the cable and lead from extreme environmental conditions. * * corrective actions : * * - replace the damaged ekg cable and lead with new ones. - calibrate the monitor to ensure accurate readings. - monitor the patient closely for any changes in vital signs. @topic:18


# # # issue : - battery not charging # # # impact : - inability to use the patient transport monitor without a charged battery # # # possible causes : - faulty battery - faulty charging port - faulty wiring - software issue # # # recommendations : - replace the battery - inspect the charging port for damage or debris - check the wiring for any breaks or loose connections - update the software to the latest version @topic:11


* * issue : * * central station monitor screen displays pink * * impact : * * inability to monitor patient vital signs accurately * * possible causes : * * * * * loose hdmi cable : * * the hdmi cable connecting the central station monitor to the display may not be securely plugged in, resulting in intermittent signal transmission and pink screen displays. * * recommendations : * * * * * check hdmi cable : * * inspect the hdmi cable for any damage or loose connections. ensure that the cable is securely plugged into both the central station monitor and the display. this should resolve the issue and restore the normal display. * * * if the issue persists : * * contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:2


# # # issue - failure to connect cuff bp. # # # impact - inability to monitor blood pressure. # # # possible causes - faulty connector or cuff bp. - connector not properly aligned or tightened. - cuff bp damaged or not compatible with the monitor. # # # recommendations - check if connector is properly aligned and tightened. - replace faulty connector or cuff bp if necessary. - ensure that cuff bp is compatible with the monitor. - contact biomedical engineering staff for further assistance. @topic:14


# # # issue - the spo2 extension cable is faulty # # # impact - the patient's spo2 levels cannot be monitored accurately # # # possible causes - the cable may be damaged or defective - the connector may be loose or corroded # # # recommendations - replace the spo2 extension cable - inspect the connector for damage or corrosion and clean or replace as necessary - regularly inspect all medical devices and cables for damage or wear and tear @topic:4


# # # issue : - cuff of vital signs monitor is deteriorated. # # # impact : - inability to accurately measure vital signs. # # # possible causes : - prolonged use and wear - and - tear - improper storage or handling - exposure to extreme temperatures or moisture # # # recommendations : - regular maintenance and inspection by biomedical engineers to assess cuff condition - proper cuff storage and handling guidelines for clinical staff - replacement of deteriorated cuffs to ensure optimal performance and accuracy of vital signs monitoring @topic:5


# # # issue - electric bed is unable to adjust. # # # impact - patients may be unable to get into or out of bed. - patients may be uncomfortable or in pain if they are unable to adjust the bed to a comfortable position. # # # possible causes - motor and control box have become detached from their original position. # # # recommendations - the bme should reattach the motor and control box to their original position. - test the bed to ensure that it is able to adjust properly. @topic:1


# # # issue - cuff of the sphygmomanometer, electronic, automatic ( dinamap procare 100 ) is deteriorated. # # # impact - inaccurate blood pressure measurements - potential for patient harm # # # possible causes - normal wear and tear - improper storage or cleaning - exposure to extreme temperatures - physical damage # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear or damage. - store the cuff in a cool, dry place when not in use. - clean the cuff according to the manufacturer's instructions. @topic:3


select annotatn. 1 select the required annotation from the pop - up list of available annotations for the currently activevent group. 2 up to 20 annotations can be configured to let you add commonly - used clinical notes to event episodes for documentation purposes. to see the complete list of available annotations, in the event setup tation. you can print a report 42 26 event surveillance in the event review window, select the pop - up key print / record. this calldocumentation pop - up keys. up the even1 for a graphic event review recording, select the record graphic pop - up keyfor a tabular event review recording, select the record tabular pop - up key. for a car review report, select the print car pop - up key 2 to print an event report, select the print review pop - up key. documenting an event episode in the event episode window, select the pop - up key print / record. this calls up documentation pop - up keys. he even1 to make an event episode recording, select the record pop - up key. 2 to print an event episode, select the print episode pop - up key. vent recordingevent recordings can be sent to a locally - connected m1116b / c recorder module. event review recordings each event review recording strip begins with a summary of the events stored in the event database. recording strip annotation is explained in the recording chapter. 6 green, sar01 0mi5 23 jan 02 10 : 43 standard combi : 0 combi : 0 combi : 0 single : 0 manual : 2 combi : 0 single : 1 manual : 1 single : 2 manual : single : 0 manual : single : 2 manual : 1 single : 0 manual : 2 ( total : 3 ) ( total : 2 ) neuro : hemo : total : 2 ) 4 total : 2 @topic:8


# # # issue - defective adapter cable # # # impact - inability to use the vital signs monitor, compromising patient monitoring. # # # possible causes - * * physical damage : * * damage to the cable due to improper handling, excessive bending, or wear and tear. - * * electrical malfunction : * * internal electrical faults within the cable's components, such as broken wires or faulty connections. - * * incompatibility : * * using an incompatible adapter cable with the monitor, leading to improper charging or data transmission. # # # recommendations - * * inspect the cable : * * check for physical damage, fraying, loose connections, or any other signs of wear or defects. - * * test the cable : * * use a voltage tester or diagnostic tool to verify the electrical integrity of the cable. - * * replace the cable : * * if the cable is damaged or faulty, order and replace it with a compatible adapter cable. - * * ensure compatibility : * * confirm that the replacement cable is compatible with the specific vital signs monitor model and brand. - * * preventative measures : * * handle the cable with care, avoid excessive bending or twisting, and store it properly to minimize damage and extend its lifespan. @topic:2


# # # issue - cuff of the bedside physiologic monitor ( intellivue mp70 ) is damaged. # # # impact - the monitor may not be able to accurately measure the patient's vital signs, such as blood pressure, heart rate, and respiratory rate. this could lead to delayed diagnosis and treatment, which could have serious consequences for the patient. # # # possible causes - the cuff may have been damaged during use, such as by being overinflated or by being punctured. - the cuff may have been damaged during cleaning or sterilization. - the cuff may have been damaged by exposure to heat or moisture. # # # recommendations - inspect the cuff for any visible damage, such as cracks, tears, or punctures. - if the cuff is damaged, replace it with a new one. - follow the manufacturer's instructions for cleaning and sterilizing the cuff. - store the cuff in a cool, dry place. @topic:5


# # # issue - keypad failure # # # impact - inability to use the electric bed # # # possible causes - wear and tear - electrical fault # # # recommendations - replace the keypad - inspect the electrical connections - perform regular maintenance @topic:25


performance is a qualitative assessment which can be subjective. caution should, therefore, be taken in comparing immunity levels of different devices. the criteria used for degradation is not specified by the standard and can vary with the manufacturer. electromagnetic compatibility b - 3 guidance and manufacturer ’ s declaration guidance and manufacturer ’ s declaration the suresigns vm patient monitor is intended for use in the electromagnetic environment specified in the following tables. the customer or the user of the product should assure that it is used in such an environment. table b - 1. electromagnetic emissions emissions test compliance electromagnetic environment guidance rf emissions cispr 11 group 1 the suresigns vm patient monitor uses rf energy only for its internal function. therefore, its rf emissions are very low and not likely to cause any interference in nearby electronic equipment. rf emissions cispr 11 class b the suresigns vm patient monitor is suitable for use in all establishments, including domestic establishments and those directly connected to the public low - voltage power supply network that supplies buildings used for domestic purposes. flarmonic emissions 1ec 61000 - 3 - 2 class a voltage fluctuations / flicker emissions iec 61000 - 3 - 3 complies b - 4 electromagnetic compatibility guidance and manufacturer ’ s declaration table b - 2. electromagnetic immunity ( esd, eft, surge, dips and magnetic field ) immunity test iec 60601 test level compliance level electromagnetic environment - guidance electrostatic + 6 kv contact + 6 kv contact floors should be wood, discharge ( esd ) iec 61000 - 4 - 2 + 8 kv air + 8 kv air concrete, or ceramic tile. if floors are covered with synthetic material, the relative humidity should be at least 30 %. electrical fast ± 1 kv ± 1 kv in the event of reduced transient / burst differential mode ±1 kv performance, it may be iec 61000 - 4 - 4 + 2 kv common mode necessary @topic:10


* * issue : * * equipment failure during charging * * impact : * * interruption of patient care and potential data loss * * possible causes : * * * * * battery failure : * * the battery may be damaged or depleted, causing the equipment to shut down unexpectedly during charging. * * * charging system malfunction : * * the charging system, including the charger or charging port, may be faulty, preventing the equipment from charging properly. * * * electrical connection issues : * * loose or damaged electrical connections between the equipment and the charging system may cause power interruptions. * * * software or firmware bugs : * * software or firmware issues may disrupt the charging process, leading to equipment failures. * * recommendations : * * * * * inspect battery and charging system : * * check the battery for damage or depletion. inspect the charging system, including the charger, charging port, and connections, for any irregularities or damage. * * * clean charging contacts : * * clean the charging contacts on the equipment and charger to remove any dirt or debris that may interfere with charging. * * * update software or firmware : * * if available, update the software or firmware on the equipment to address potential bugs that may be causing the issue. * * * contact manufacturer support : * * report the issue to the equipment manufacturer for further technical support and potential repairs. * * * implement preventive maintenance : * * schedule regular maintenance and inspections to monitor the equipment's condition and prevent future failures. @topic:11


# # # issue - the beds, electric equipment is not adjustable. # # # impact - the patient may not be able to get into or out of bed, or may not be able to position themselves comfortably. - the caregiver may not be able to properly position the patient, which could lead to discomfort or injury. # # # possible causes - the adjustment mechanism is broken or malfunctioning. - the power supply to the equipment is not working. - the control panel is not functioning properly. - the bed frame is damaged. # # # recommendations - inspect the adjustment mechanism for any damage or malfunction. - check the power supply to the equipment and make sure it is working properly. - inspect the control panel for any damage or malfunction. - inspect the bed frame for any damage. - if any damage is found, replace the damaged part. - if no damage is found, troubleshoot the equipment according to the manufacturer's instructions. @topic:1


# # # issue - bed is not adjustable # # # impact - patient care may be delayed or compromised - patient comfort may be affected - staff may be unable to perform certain procedures # # # possible causes - * * defective remote control wire : * * the wire that connects the remote control to the bed may be damaged or disconnected. - * * malfunctioning remote control : * * the remote control itself may be malfunctioning and not sending the correct signals to the bed. - * * electrical issue : * * there may be an electrical issue with the bed or the power supply. - * * mechanical issue : * * there may be a mechanical issue with the bed, such as a broken gear or motor. # # # recommendations - * * inspect the remote control wire : * * check the wire for any damage or disconnections. if the wire is damaged, it will need to be replaced. - * * test the remote control : * * use a multimeter to test the remote control to ensure that it is sending the correct signals. if the remote control is malfunctioning, it will need to be replaced. - * * check the electrical connections : * * ensure that the bed is properly plugged into the power outlet and that the power cord is not damaged. if there is an electrical issue, it will need to be resolved by a qualified electrician. - * * inspect the bed for mechanical issues : * * look for any obvious signs of damage, such as broken gears or motors. if there is a mechanical issue, it will need to be repaired by a qualified technician. @topic:7


# # # issue - loose connection on the blood pressure ( bp ) monitor cable # # # impact - inability to measure bp accurately # # # possible causes - wear and tear - improper handling - loose connection during maintenance # # # recommendations - tighten the loose connection on the cable - inspect all cable connections to ensure they are secure - train staff on proper handling and maintenance of medical devices @topic:14


, g, mwhere stands for gram amount quantity of mixture of diluent and drug ml volume ratio of the amount of drug to the solution volume amount unper concentration ml / hr 1 ml volume of the mixture to be standardized rate delivered to the patient per hour * be aware that your hospital may use either'ug'or'mcg'as an abbreviation for microgram. these abbreviations are equivalent. warning before you 1 administer any drug, always check that the correct calculation units and patient category are decisions on the choice and dosage of drugs administered to patients must always be made by the physician in charge. the drug calculator performs calculations based on the values input during use, does not check the plausibility of the calculations performed. it 381 to access the drug calculator, select main setup then calculations followed by drug calculator, or drug calc smartkey, if configured. select the using the service support tool, a list of drugs can be configured for the monitor containing pre - defined dosage recommendations and unit settings. selecting the arrow beside the drug name in the drug calculator window opens a list of configured drugs. contact your pharmacist if you have any ut the drugs in the list. if any drug is the only entry in the list of drugs, no drugs have been pre - configured for monitor. drug calculations can be performed for non - specific drugs. you must have a support tool to add additional drugs to the drug calculator. about the rule of six if the rule of six has been enabled for use with individual drugs in your drug calculator, you can use the formula in crisis situations to quickly calculate the amount of a drug needed to yield a target dose for continuous infusion for neonatal or pediatric patients ( the drug amount is given in " mg ", the patient weight in " kg " ). the rule of six @topic:17


# # # issue : biomedical equipment failure due to battery malfunction # # # impact : interruption of patient monitoring, potential patient harm if monitoring data is not available # # # possible causes : - * * battery failure : * * the battery may have reached the end of its lifespan, or it may have been damaged due to mishandling, overcharging, or other factors. - * * battery connection issues : * * the battery may not be properly connected to the equipment, or the battery terminals may be corroded or damaged. - * * equipment malfunction : * * the equipment may have a fault that is preventing it from properly charging or using the battery. # # # recommendations : - * * replace the battery : * * the most common cause of battery failure is simply reaching the end of its lifespan. replace the battery with a new one of the same type and voltage. - * * check battery connections : * * ensure that the battery is properly connected to the equipment by checking the battery terminals and cables. clean or replace any corroded or damaged connections. - * * inspect the equipment : * * if the battery and connections are in good condition, the equipment may have a fault that is causing the battery to fail. contact the manufacturer or a qualified technician for further troubleshooting and repair. - * * monitor battery health : * * regular monitoring of battery health can help identify potential problems before they cause a failure. this can be done by checking the battery voltage and capacity, and observing the battery's performance during use. @topic:11


# # # issue - battery failure # # # impact - device may not be able to function properly during power outages or when unplugged - loss of data or patient information # # # possible causes - battery degradation over time - improper charging practices - faulty battery or charging system # # # recommendations - regularly monitor battery health and replace when necessary - follow proper charging instructions - contact the manufacturer for assistance if battery issues persist @topic:11


# # # issue - defective cable # # # impact - intermittent or complete loss of monitoring data - patient safety concerns # # # possible causes - cable damage due to : - physical abuse ( e. g., pinching, bending ) - electrical faults ( e. g., short circuits ) - wear and tear over time # # # recommendations - inspect cables regularly for damage - replace damaged cables immediately - use proper cable management techniques to prevent damage - consider using more durable cables in high - risk areas @topic:2


# # # issue - the cause of failure is due to broken spring on the spo2 probe. # # # impact - the broken spring can lead to spo2 probe to not work properly. # # # possible causes - the spring is damaged or broken # # # recommendations - replace the broken spring with new one. @topic:4


/ arrhythmia / st / qt complies with iec 60601 - 2 - 25 : 1993 + al : 1999 / en60601 - 2 - 25 : 1995 + al : 1999, iec 60601 - 2 - 27 : 2005 / en60601 - 2 - 27 : 2006, iec 60601 - 2 - 51 : 2003 / en 60601 - 2 - 51 : 2003 and aami ec11 / ec13 : 1991 / 2002. ecg / arrhythmia / st performance specifications cardiotach range adult / pedi : 15 to 300 bpm neo range : 15 to 350 bpm accuracy ± 1 % of range resolution 1 bpm sensitivity > 200 pv pcak pvc rate range 0 to 300 bpm resolution 1 bpm st numeric range - 20 to + 20 mm accuracy ±0. 5 mm or 15 %, whichever is greater resolution 0. 1 mm qt numeric range 200 to 800 ms accuracy ±30 ms resolution 8 ms qtc numeric range 200 to 800 ms resolution 1 ms aqtc numeric range - 600 to + 600 ms resolution 1 ms qt - hr numeric range - adult 15 to 300 bpm range - pediatric and neonatal 15 to 350 bpm sinus and sv rhythm brady adult : 15 to 59 bpm ranges pedi : 15 to 79 bpm neo : 15 to 89 bpm normal adult : 60 to 100 bpm pedi : 80 to 160 bpm neo : 90 to 180 bpm tachy adult : > 100 bpm pedi : > 160 bpm neo : > 180 bpm bandwidth diagnostic mode adult / neo / pedi : 0. 05 to 150 hz extended monitoring mode neo / pedi : 0. 5 to 150 hz monitoring mode adult : 0. 5 to 40 hz neo / pedi : 0. 5 to 55 hz @topic:8


# # # issue * the spo2 sensor cable is faulty. # # # impact * the patient's spo2 levels cannot be accurately monitored. * this could lead to delayed or incorrect treatment decisions. # # # possible causes * the cable may be damaged or frayed. * the cable may be loose or disconnected. * the sensor may be faulty. # # # recommendations * replace the spo2 sensor cable. * inspect the cable for damage or fraying. * ensure that the cable is securely connected to the sensor and the monitor. * test the sensor to ensure that it is functioning properly. @topic:4


# # # issue - the central monitor is not turning on. # # # impact - the healthcare team will not be able to monitor the patient's vital signs. - this could lead to a delay in diagnosis and treatment, which could have serious consequences for the patient. # # # possible causes - the power supply to the central monitor may be interrupted. - the central monitor may be malfunctioning. - the central monitor may have been damaged. # # # recommendations - check the power supply to the central monitor. - if the power supply is interrupted, reset the ups and reboot the central monitor. - if the central monitor is still not turning on, contact the manufacturer for technical support. - if the central monitor has been damaged, it may need to be replaced. @topic:2


# # # issue - the medical cart's display screen intermittently turns on and off, rendering the device unusable. # # # impact - inability to use the medical cart for transporting and monitoring patients, which can delay or disrupt medical procedures. # # # possible causes - loose connections in the display circuitry - faulty display panel - power supply issues - software glitches # # # recommendations - * * immediate action : * * - restart the device to reset any temporary software issues. - check and tighten all cable connections to the display screen. - * * further troubleshooting : * * - if restarting and reconnecting cables do not resolve the issue, contact the manufacturer's technical support for assistance. - run diagnostic tests on the display panel to identify any hardware malfunctions. - check the power supply to ensure it is providing stable voltage to the device. - * * long - term solution : * * - consider replacing the display panel if it is found to be faulty. - update the device's software to the latest version to address any potential software bugs. - implement regular maintenance and inspection schedules to prevent future occurrences of this issue. @topic:13


* * issue : * * - power over ethernet ( poe ) hub failure * * impact : * * - loss of monitoring capabilities for physiological parameters of patients * * possible causes : * * - * * faulty power supply : * * the power supply unit that provides power to the poe hub may have malfunctioned, causing the hub to lose power. - * * overheating : * * the poe hub may have overheated due to excessive use or poor ventilation, leading to damage to its internal components. - * * component failure : * * a critical component within the poe hub may have failed, causing a loss of power distribution to connected devices. - * * environmental factors : * * exposure to moisture, dust, or extreme temperatures can damage the poe hub, leading to failure. - * * software issues : * * a software glitch or corruption may have affected the operation of the poe hub, causing it to lose power. * * recommendations : * * - * * replace the power supply : * * test and replace the power supply unit if it is confirmed to be faulty. - * * ensure proper ventilation : * * provide adequate ventilation around the poe hub to prevent overheating. - * * regular maintenance : * * perform regular preventive maintenance on the poe hub to identify and address any potential issues early on. - * * consider a redundant system : * * implement a redundant poe hub system to provide backup in case of a failure. - * * contact the manufacturer : * * consult with the manufacturer of the poe hub for technical support and guidance on troubleshooting and repair procedures. @topic:2


# # # issue - cuff leak on casmed 740 vital signs monitor # # # impact - inaccurate blood pressure readings - patient safety hazard # # # possible causes - damaged cuff bladder - loose or disconnected air hose - air leak in the cuff tubing # # # recommendations - replace the damaged cuff - tighten or reconnect the air hose - inspect the cuff tubing for any leaks - calibrate the monitor according to the manufacturer's instructions @topic:3


pressure displayed in the status line at the bottom of the screen is the same as the value which you selected from the list in step b. test expected test results barometric pressure check x3 = difference between the reference pressure and the measured ambient pressure displayed on the monitor ( x3 < 12 mmhg ) flow rate check and calibration check the fiow rate in the m3015a / b mms extension or the mp5 as follows : 1 connect the calibration line to the mc02 inlet and the flowmeter outlet to the calibration line. 2 check on the flowmeter the flow that the m3015a / b mms extension or mp5 mc02 pump draws ( x5 ). it should be 50 + 15 / - 7. 5 ml / min. if the value is within tolerance, proceed to the co 2 gas calibration check. if the value is not within tolerance, calibrate as follows. a. adjust the flow in the instrument by selecting increase flow or decrease flow until it is as close as possible to 50 ml per minute as indicated on the flowmeter gauge. 76 3 testing and maintenance ] b. when you are satisfied that the flow is set as close as possible to 50 ml per minute, select store flow and confirm the setting. if you do not store the adjusted flow within 60 seconds of the adjustment, the old flow setting is restored. c. if you cannot adjust the flow to within tolerance, replace the pump. if you still cannot make the flow adjustment, this indicates a fault in the measurement extension, which must be replaced. note that the pump can only be replaced on m3015a with the old hardware rev. a ( i. e. serial no. de020xxxxx ) test expected test results flow rate check flow rate is 50 + 15 / - 7. 5 ml / min noise check @topic:17


# # # issue - printer not printing # # # impact - inability to print patient charts, reports, and other important documents. # # # possible causes - dirty print head - clogged print nozzles - paper jam - firmware issue - hardware failure # # # recommendations - clean the print head and nozzles. - check for and clear any paper jams. - update the firmware. - contact technical support for further assistance. @topic:28


# # # issue the bed is not adjusting properly. # # # impact the patient may not be able to get into or out of bed safely. the patient may also be uncomfortable if the bed is not in the correct position. # # # possible causes - the bed's electrical plug is bent. - the bed's battery is dead. - the bed's motor is not working. - the bed's remote control is not working. # # # recommendations - check the bed's electrical plug to make sure that it is not bent. if the plug is bent, straighten it out and try again. - check the bed's battery to make sure that it is charged. if the battery is dead, charge it and try again. - check the bed's motor to make sure that it is working. if the motor is not working, replace it. - check the bed's remote control to make sure that it is working. if the remote control is not working, replace it. # # # additional notes if you have tried all of the above recommendations and the bed is still not adjusting properly, you should contact a qualified biomedical engineer for assistance. @topic:1


# # # issue - equipment malfunction : the monitor, patient transport is not measuring vital signs accurately. # # # impact - incorrect patient data : the inaccurate readings can lead to incorrect diagnoses and treatment decisions. - patient safety : inaccurate readings can put patients at risk of harm. # # # possible causes - cuff bp is damaged. # # # recommendations - replace the cuff bp. - test the equipment to ensure it is functioning properly. - monitor the equipment regularly to prevent future failures. @topic:5


* * issue : * * battery failure in philips suresigns vs4 vital signs monitor * * impact : * * monitor will not be able to function properly and may not provide accurate vital sign readings. * * possible causes : * * - * * degraded battery : * * batteries degrade over time and may not be able to hold a charge or provide enough power to the monitor. - * * improper charging : * * the battery may not be charging properly due to a faulty charger or charging port. - * * battery not connected properly : * * the battery may not be properly connected to the monitor, preventing it from receiving power. * * recommendations : * * - * * replace battery immediately : * * the first step is to replace the battery with a new one to ensure the monitor has sufficient power. - * * inspect the equipment : * * check the charger, charging port, and battery connections to ensure they are all functioning properly. - * * calibrate the equipment : * * once the new battery is installed, calibrate the monitor to ensure accurate readings. @topic:11


# # # issue bed, electric is not adjustable # # # impact patient cannot be positioned properly for treatment or comfort # # # possible causes - faulty remote control - damaged wiring or connections - malfunctioning motor # # # recommendations - verify that the remote control is functioning properly - inspect the wiring and connections for any damage or loose connections - test the motor for proper operation - replace any faulty components as necessary @topic:1


or continuously 4 seconds per wave 10 minutes, or continuously defined by the context stops automatically automatically n / a automatically if limited, manually if continuous automatically automatically if limited, manually if continuous defined by the context delay time 10, 15 seconds 10, 15 seconds n / a none none 6, 5, 4, 3, 2, 1 minutes defined by the context overlap up to 3 waves up to 3 waves n / a up to 3 waves none up to 3 waves defined by the context n / a = not applicable all ecg waves recordings an all ecg waves recording shows a 4 second recording of each lead with a calibration bar preceding each ecg lead. all available leads are recorded sequentially in the standardized lead order. the recording is realtime, that is, the information recorded is not simultaneous. creating and changing recordings templates to save you defining recording settings each time you start a recording, you can create templates for commonly - used types of recordings in the setup recording menu. you can create templates for one delayed recording, one alarm recording, three realtime recordings ( two for mp20 / 30 ), and one high resolution recording. all ecg waves recordings do not need to be configured, they always use the same format. changing recordings templates changes the settings that will be used each time a recording of this name is triggered. 1 select the main setup permanent key to call up the main setup menu. 2 select recordings to enter the setup recordings menu. 324 changing ecg wave gain 26 recording 3 select the name of the template you want to create or change. each recording name is linked to a recording type, delayed, alarm, realtime, and hi - res trends. recording names can be changed in the monitor ’ s configuration mode. 4 design the template by selecting each menu item and entering the information for the template. • recorder : choose which recorder the recording will print to ( @topic:8


# # # issue - the philips suresigns vs2 + monitor is not working after being plugged into the patient transport equipment. # # # impact - the patient's vital signs cannot be monitored. - this could lead to a delay in diagnosis and treatment, which could have serious consequences for the patient's health. # # # possible causes - the power cord may not be properly connected. - the monitor may not be compatible with the patient transport equipment. - there may be a problem with the monitor itself. # # # recommendations - check that the power cord is properly connected. - verify that the monitor is compatible with the patient transport equipment. - contact the manufacturer of the monitor for troubleshooting assistance. @topic:2


* * issue : * * equipment failure * * impact : * * inability to accurately monitor vital signs * * possible causes : * * - failure of probe cable * * recommendations : * * - replace probe cable - test equipment to ensure proper functionality @topic:22


# # # issue - cuff on the physiologic monitor is deteriorated. # # # impact - inaccurate blood pressure readings. - potential for patient harm. # # # possible causes - cuff is old and has not been replaced regularly. - cuff has been exposed to harsh chemicals or environments. - cuff has been over - inflated or under - inflated. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - follow the manufacturer's instructions for proper use and maintenance of the cuff. @topic:3


. 2. tip the monitor and insert a slotted screwdriver into the opening just under the battery cover. 3. slightly twist the screwdriver to pop the battery cover off of the case. 8 - 4 repairing the monitor repairing the monitor without disassembly caution : never try to remove the battery case cover by inserting the screwdriver into the slots on the cover. this can damage the battery case cover. 4. press down on the metal battery retaining clips, and pull the battery out of the monitor by the short black ribbon. installing the battery to install the battery : 1. orient the battery so that the contacts and ribbon are on the right. 2. insert the battery into the empty battery compartment and push it in until the battery snaps into place behind the metal retaining clips. repairing the monitor 8 - 5 repairing the monitor without disassembly 3. replace the battery cover by inserting it into the battery case opening with the two small case cover clips up. 4. snap the battery cover into place by pressing it firmly against the monitor case. 8 - 6 repairing the monitor repairing the monitor without disassembly removing a power connector fuse to remove a fuse in the ac power connector : 1. remove the ac cord from the rear of the monitor. 2. remove the battery from the monitor ( see “ removing the battery ” on page 8 - 4 ). 3. use a small slotted screwdriver to lift the fuse holder away from ac power connector. 4. replace the fuse ( s ), then push the fuse holder back into the power connector until it snaps into place. repairing the monitor 8 - 7 repairing the monitor without disassembly removing the suresigns vm4 temperature module to remove the temperature module : 1. remove the ac cord from the rear of the monitor. 2. remove the battery from the monitor ( @topic:19


# # # issue - the exfenhan cable has broken or snapped. # # # impact - the physiologic monitor, a philips intellivue mp20 ( m8001a ) model, is unable to function properly. # # # possible causes - * * physical damage * * : the cable may have been accidentally pulled, twisted, or bent excessively. - * * wear and tear * * : over time, the cable may have become weakened due to repeated use or exposure to harsh conditions. - * * manufacturing defect * * : there may have been a flaw in the cable's manufacturing process that made it more susceptible to breakage. # # # recommendations - * * inspect the cable * * : check the cable for any visible signs of damage, such as cuts, fraying, or breaks. - * * test the cable * * : use a compatible testing device to verify the cable's functionality. - * * replace the cable * * : if the cable is damaged or defective, it should be replaced with a new one. - * * handle cables carefully * * : avoid pulling, twisting, or bending cables excessively. store cables properly when not in use. - * * regular maintenance * * : regularly inspect and test cables to identify any potential issues early on. @topic:22