# # # issue - leg of obstetrics and gynecology bed is detached. # # # impact - the bed cannot be used for patient care. # # # possible causes - the leg of the bed is not properly attached. - the leg of the bed is damaged. # # # recommendations - the technician should reattach the leg of the bed. - the technician should inspect the leg of the bed for damage. @topic:6


# # # issue - * * broken or damaged ultrasound transducer : * * the transducer is responsible for emitting and receiving sound waves. if it is damaged, it can interfere with the signal and cause inaccurate readings. - * * loose or disconnected cables : * * the cables that connect the transducer to the monitor can become loose or disconnected, which can also cause signal interference. - * * electrical interference : * * other electronic devices in the room can create electrical interference that can affect the monitor's readings. # # # impact - * * inaccurate fetal heart rate readings : * * if the monitor is unable to receive a clear signal from the transducer, it may display inaccurate fetal heart rate readings. this can be dangerous, as it could lead to incorrect medical decisions. - * * missed or delayed detection of fetal abnormalities : * * the monitor may not be able to detect fetal abnormalities if the signal is interfered with. this could lead to delayed or missed diagnosis, which could have serious consequences for the baby's health. - * * unnecessary interventions : * * if the monitor is displaying inaccurate readings, it may lead to unnecessary interventions, such as cesarean sections or inductions. # # # recommendations - * * inspect the transducer : * * check the transducer for any signs of damage or wear. if the transducer is damaged, it should be replaced. - * * check the cables : * * make sure that the cables connecting the transducer to the monitor are securely connected. if any of the cables are loose or damaged, they should be replaced. - * * move the monitor : * * if possible, move the monitor to a different location in the room to reduce electrical interference. - * * contact the manufacturer : * * if the problem persists, contact the manufacturer of the monitor for technical support. @topic:22


* * issue : * * broken temperature probe in the vital sign monitor. * * impact : * * * inaccurate temperature readings * potential delay in diagnosis and treatment * risk of adverse patient outcomes * * possible causes : * * * * * mechanical damage : * * the probe cable may have been pinched, stretched, or cut. * * * electrical malfunction : * * internal components of the probe may have failed due to power surges or short circuits. * * * corrosion : * * exposure to harsh chemicals or cleaning agents may have caused the probe's metal components to corrode. * * * improper storage : * * the probe may have been exposed to extreme temperatures or humidity, damaging its delicate internal components. * * recommendations : * * * inspect the probe cable and connections for any signs of damage. * test the probe using a dedicated test device or consult the manufacturer's instructions. * check the equipment's power supply and electrical connections to rule out any electrical issues. * clean the probe and ensure it is stored in a suitable environment according to the manufacturer's specifications. * replace the probe if any signs of damage or malfunction are found. @topic:20


# # # issue - the bed is not adjustable. # # # impact - the patient cannot be positioned correctly for their care. # # # possible causes - the ac plug is loose. - the control panel is not functioning properly. - the motor is not working. # # # recommendations - check the ac plug and make sure it is securely plugged in. - check the control panel for any damage or loose connections. - test the motor by manually adjusting the bed. if the motor is not working, it will need to be replaced. @topic:1


# # # issue : - remote control broken # # # impact : - inability to operate the bed electrically # # # possible causes : - physical damage to the remote control due to dropping or mishandling - wear and tear over time leading to weakened components - manufacturing defect # # # recommendations : - replace the broken remote control with a new one - handle the remote control with care to avoid accidental damage - if the remote control fails frequently, consider having it inspected by a qualified technician - explore alternative ways to operate the bed if the remote control is unavailable or inoperable @topic:7


# # # issue - head adjustment issue # # # impact - inability to properly position patient or perform procedures # # # possible causes - faulty control panel - mechanical failure - electrical malfunction # # # recommendations - inspect control panel for damage or loose connections. - test mechanical components for proper movement. - check electrical connections and wiring for continuity and integrity. - replace defective parts or components as necessary. - perform thorough testing to ensure proper functionality before returning to service. @topic:1


# # # issue : - inability to measure spo2 due to disconnected sensor cable. # # # impact : - inaccurate or lack of vital physiological data, affecting patient monitoring and treatment decisions. # # # possible causes : - * * cable disconnection * * : loose or damaged cable connections between the sensor and monitor. - * * sensor malfunction * * : defective sensor or internal hardware failure within the sensor module. - * * monitor port failure * * : faulty or loose connection between the sensor cable and the monitor port. - * * power issues * * : insufficient power supply to the sensor or monitor, causing it to malfunction. # # # recommendations : - * * inspect and reconnect cable * * : ensure secure connections between the sensor cable and both the monitor and the sensor module. - * * replace sensor * * : if the cable is intact, replace the sensor with a new or known - good one. - * * check monitor port * * : verify the proper insertion and alignment of the sensor cable into the designated port on the monitor. - * * troubleshoot power supply * * : ensure that both the monitor and the sensor are receiving adequate power and that there are no loose or damaged connections in the power supply system. - * * contact biomedical engineering ( bme ) * * : if the issue persists after troubleshooting, contact bme for further assistance and to rule out any underlying hardware or software malfunctions within the monitor or sensor system. @topic:4


* * issue : * * pin connector is bent on both sides. * * impact : * * bed alarm is not working properly. * * possible causes : * * - the connector was not inserted properly, causing it to bend. - the connector was subjected to excessive force, causing it to bend. - the connector was damaged during manufacturing or shipping. * * recommendations : * * - inspect the connector for any damage. - if the connector is damaged, replace it. - ensure that the connector is inserted properly. - use a torque wrench to tighten the connector to the specified torque. - handle the connector with care to prevent damage. @topic:26


# # # issue - keyboard on the medical cart is not working properly. # # # impact - this issue can impact the efficiency and accuracy of the medical staff using the medical cart. # # # possible causes - faulty keyboard - loose connections - software or driver issues - damaged or worn - out keys # # # recommendations - * * inspect the keyboard : * * check for any visible damage or loose connections. - * * test the keyboard : * * try using the keyboard with a different computer or device to isolate the issue. - * * update software and drivers : * * ensure that the medical cart is running the latest software and drivers for the keyboard. - * * replace the keyboard : * * if the above steps do not resolve the issue, consider replacing the keyboard with a new one. - * * retrain the medical staff : * * provide training on how to properly use and maintain the medical cart keyboard. @topic:27


# # # issue bp monitor is not taking accurate readings due to air leakage. # # # impact this could lead to inaccurate blood pressure readings, which could have serious consequences for patient care. # # # possible causes - broken or damaged connection - leaking valve - damaged tubing # # # recommendations - replace the connection - replace the valve - replace the tubing - calibrate the monitor @topic:14


# # # issue - the bedside monitor and ec80 were moved to a new location # # # impact - the medical device may not be functioning properly due to the move. # # # possible causes - the move may have damaged the medical device. - the medical device may not be properly calibrated in the new location. - the medical device may not be compatible with the new location. # # # recommendations - inspect the medical device for any damage. - calibrate the medical device in the new location. - ensure that the medical device is compatible with the new location. - contact the manufacturer of the medical device for further troubleshooting assistance. @topic:2


# # # issue the electric bed ( beds, electric ) manufactured by hill - rom ( model : care assist es ) is not adjusting properly. # # # impact * patients may not be able to get into or out of bed safely or comfortably. * nurses and other healthcare providers may have difficulty positioning patients in the bed. # # # possible causes * the wiring under the keypad may have become loose. * the keypad itself may be damaged. * the bed's motor or other electrical components may have failed. # # # recommendations * inspect the wiring under the keypad and make sure it is securely connected. * if the wiring is damaged, replace it. * if the keypad is damaged, replace it. * if the bed's motor or other electrical components have failed, contact the manufacturer for repair or replacement. @topic:32


* * issue : * * - equipment : medical cart - band : bdms - model : bdms 01 - description : - device is hanging and restarting on its own. - issue reported to scg for repair. - scg attempted to repair but was unsuccessful. - scg will return with it support on thursday, march 16th. - scg successfully repaired the device. * * cause of failure : * * - device hanging and restarting on its own. # # # possible causes : - software issues - hardware issues ( e. g., loose connections, faulty components ) - power supply issues - environmental factors ( e. g., temperature, humidity ) - user error # # # recommendations : - ensure that the software is up to date. - inspect hardware connections and components for any loose or damaged parts. - check the power supply and ensure it is providing a stable voltage. - monitor the operating environment to ensure it meets the device's specifications. - provide training to users on proper operation and maintenance procedures. - consider logging system data to identify any patterns or trends that may indicate potential problems. - establish a preventive maintenance schedule to regularly check and service the device to prevent future failures. @topic:13


# # # issue - the medical cart is not turning on. # # # impact - * * patient care : * * the medical cart may be needed to provide critical care to patients. if the cart is not functioning properly, patient care may be delayed or compromised. - * * staff productivity : * * the medical cart may be used by staff to transport patients, equipment, and supplies. if the cart is not functioning properly, staff productivity may be decreased. - * * financial : * * the cost of repairing or replacing the medical cart may be significant. # # # possible causes - the power cord is not properly connected. - the power switch is not turned on. - the battery is dead. - the circuit breaker has tripped. - there is a problem with the electrical system. # # # recommendations - check the power cord to make sure that it is properly connected. - turn on the power switch. - replace the battery. - reset the circuit breaker. - call a qualified technician to repair the electrical system. @topic:13


# # issue - ekg lead failure # # impact - inaccurate patient monitoring - delayed or missed diagnoses - potential harm to the patient # # possible causes - damaged or broken ekg lead - loose connections - faulty or outdated equipment - improper calibration # # recommendations - inspect the ekg lead for any visible damage or breaks. - ensure that all connections are secure and tight. - calibrate the equipment according to the manufacturer's specifications. - replace the ekg lead if necessary. - regular maintenance and preventive checks to ensure the proper functioning of the equipment. @topic:18


# # # issue - bed scale button not functioning, resulting in the inability to weigh patients. # # # impact - delays and inaccuracies in patient weight measurements, which can affect treatment plans and medical decision - making. # # # possible causes - * * electrical fault : * * loose or disconnected electrical connections between the scale button and circuit board. - * * corrosion or debris : * * accumulation of dirt, dust, or moisture on the button or circuit board, interrupting electrical signals. - * * button malfunction : * * physical damage or wear and tear of the button itself, such as a broken spring or stuck mechanism. - * * software glitch : * * issues with the bed's software or firmware that may prevent the scale button from functioning properly. # # # recommendations - * * electrical inspection : * * carefully inspect electrical connections between the scale button and circuit board, ensuring they are secure and free of damage. - * * cleaning and maintenance : * * regularly clean the scale button and surrounding area to prevent debris accumulation. use isopropyl alcohol to gently remove any dirt or moisture. - * * button replacement : * * if the button appears damaged or worn, replace it with a new one of the same type and rating. - * * software update : * * check for any available software updates or patches for the bed's system and apply them if necessary. - * * technical support : * * if the issue persists after implementing these recommendations, consult with a qualified biomedical engineer or the equipment manufacturer for further assistance. @topic:25


# # # issue : - solenoid spring failure leading to inability to detect the lower left drawer. # # # impact : - impaired functionality of the medical cart, affecting its use for storage and organization of medical supplies and equipment. # # # possible causes : - deterioration of the solenoid spring due to old age # # # recommendations : - replace the old solenoid spring with a new one - test the functionality of the drawer to ensure proper detection @topic:21


# # # issue - cuff malfunction resulting in inaccurate blood pressure measurements. # # # impact - compromised patient care due to unreliable vital sign monitoring. # # # possible causes - * * defective cuff : * * physical damage or malfunction of the cuff material, leading to improper inflation or deflation. - * * damaged tubing : * * leaks or kinks in the tubing connecting the cuff to the monitor, preventing accurate pressure measurement. - * * malfunction in the monitor : * * internal hardware or software issues within the monitor that interfere with cuff inflation or blood pressure calculation. - * * incorrect cuff size : * * using a cuff that is too small or too large for the patient's arm size can lead to inaccurate readings. - * * patient factors : * * excessive movement, muscular tension, or improper positioning can also affect the accuracy of blood pressure measurements. # # # recommendations - * * inspect cuff : * * check the cuff for any visible damage, such as tears, punctures, or loose connections. - * * examine tubing : * * inspect the tubing for leaks, kinks, or blockages. replace if necessary. - * * calibrate monitor : * * ensure the monitor is calibrated regularly to maintain accuracy. - * * use correct cuff size : * * determine the appropriate cuff size for the patient's arm circumference and use it consistently. - * * patient positioning : * * position the patient comfortably, ensuring their arm is level with their heart and supported. - * * monitor patient factors : * * observe the patient for any factors that may affect blood pressure measurements, such as anxiety, movement, or pain. @topic:14


# # # issue : cuff leak and broken connector # # # impact : inaccurate blood pressure readings # # # possible causes : - defective cuff - worn or damaged connections - improper handling of equipment # # # recommendations : 1. replace the cuff with a new one. 2. inspect and replace any broken connectors. 3. train staff on the proper handling and maintenance of the nibp monitor. 4. establish a regular maintenance schedule for the device. @topic:15


# # # issue cannot connect to hardware # # # impact the medical cart cannot be used to its full capacity, which could lead to delays in patient care. # # # possible causes * the hardware is not properly connected. * the hardware is damaged. * the software is not properly installed. * the software is not compatible with the hardware. * the user does not have the proper permissions to access the hardware. # # # recommendations * check the connections between the medical cart and the hardware. * inspect the hardware for any damage. * reinstall the software. * contact the manufacturer of the hardware or software for support. * grant the user the proper permissions to access the hardware. @topic:13


# # # issue : - unknown cause of failure # # # impact : - device is not operational and cannot be used for patient care # # # possible causes : - technician error during inspection # # # recommendations : - retrain technicians on proper inspection procedures - establish a more thorough inspection protocol @topic:12


# # # issue - central monitor battery failure. # # # impact - the central monitor may not be able to function properly, which could lead to patient safety risks. # # # possible causes - the battery may have reached the end of its lifespan. - the battery may have been damaged. - the battery may not have been properly installed. # # # recommendations - replace the battery with a new one. - inspect the battery for any damage. - ensure that the battery is properly installed. @topic:11


param.. selecting none witches event notification off. setting the type of notification, or switching notification off, is done in configuration mode. 337 26 event surveillance post the episode type determines the and pre time. 1 event setup ner activated roup name : 1 - episode type : measurements used as event 2 all * * * / * * alarms riggers. hr ( pulse ) 3 current status : activated or deactivated all * * * * * alarms spo₂ 2 - ll * * * * * alaesp select main setup then event surveill. followed by setup events to enter the event setup window. 1 select the name of the current episode type to set the episode pre / post time. 2 set the event trigger for each measurement. select each trigger name and select, if available, either 3 an alarm trigger, or a user - defined trigger from the pop - up trigger list. if you select a user - defined level and delay time. set the trigger status to activated to start event triggering. if the status is deactivated event surveillance is effectively switched off. 4 select confirm to confirm 5 setting triggers and notification for advanced event surveillance notification type shows the 1 event setup ( group 4 ) roup name : ventil. eactivated 5 episode typgroup type : standard 2 1. notification type : none nd post time 2 - episode type : 3. enhanced... 3 at least one param. * * * extreme tachy * * extreme brady currently configured trigger hr ( pulse ) requirements all / alarms < blank > measurements used as event triggers po4 4 all alarm < blank > resp current status : activated or eactivated 5 all * * * * alarms tco < blank > select the 1 roup. set the trigger status to activated, to have this event group trigger events, or deactivated. 2 et the episode type3 @topic:8


/ alarms off not allowed - when the alarm priority is set to not allowed, alarms can no longer be switched off or paused. the pause alarms / alarms off key is disabled. • pause alarms / alarms off key can be removed from the screen - a configuration setting removes • the permanent key from the screen to avoid unintentional switching off of alarms. alarms can still be switched off or paused, in the alarms menu, under main setup. alarms paused after standby mode - alarms are automatically paused for 1 minute after standby mode to allow time for patient connection. • capture 12 - lead ecg enhancements ( with piic ix only ) the existing 12 - lead ecg capture functionality has been extended to offer : download of analysis results from the intellivue information center. • download of 12 - lead captures from the intellivue information center for review at the patient monitor. • 56 2 what's new? analysis results included in reports and additional report selections with st map. • remote operation of the 12 - lead export function at the intellivue information center. • remote operation of the 12 - lead lock / unlock function at the intellivue information center. • new filter settings that are used as a default for future 12 - lead captures. • new " end afib " and " end irregular hr " alarms the end of an atrial fibrillation or irregular hr phase is announced with an * * end afib or * * end irregular hr alarm. the delay time before the alarm is announced can be configured. information line changes patient category is now displayed as a symbol in front of the patient name and cannot be changed from the information line. paced mode is no longer displayed in the information line ; it appears next c. depending on your configuration, you will see the current profile name, and / or the screen name in the information line. the profiles menu @topic:8


county. - latitude and longitude that represents the center of the area where the transmitting devices will be deployed. comsearch can help provide this information ; www. comsearch. com provides contact information. - the name / s of the clinical unit / s using the devices ( e. g. icu4, ccu - west, eri, step - down north, etc. - the radius of deployment, expressed in meters. imagine drawing a circle around the center of the clinical unit, that encloses / encompasses the unit. what is its radius? - the number of the highest floor on which a transmitting device will operate. - how many transmitting devices will be used, i. e. the total number of intellivue instrument telemetry adapter devices combined. - the effective radiating power : 6. 3 mw. 217 - the equipment manufacturer : philips medical systems. - the model numbers : m8102a / m3002a # j45 intellivue instrument telemetry adapter used with m8102a / m3002a ( mp2 / x2 ) - the frequency range to be used : two separate coordinations are required : for the first one, click on the range of 1395. 0 through 1400. 0 mhz. for the second one, click on all the frequency ranges listed in the range of 1427. 0 through 1432. 0 mhz. when both registration and frequency coordination have been successfully completed, the intellivue instrument telemetry system can be activated. note that this process is the responsibility of the customer, as the final “ operator ” of the transmitting equipment. short range radio installation of the short range radio interface should be performed by philips service personnel. before installing an srr infrastructure it might be necessary to perform a site a survey to determine available channels. this should be performed by philips teleme @topic:10


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 spacer ( a ) ( see figure 4 - 33 on page 4 - 78 ). 5. slide the pod ( b ) towards the head end of the siderail ( c ). 6. pull out the foot end of the pod ( b ). 7. slide the pod ( b ) toward the foot end of the siderail ( c ) and remove it from the siderail ( c ). 8. remove the four screws ( d ) from the back of the pod ( b ). 9. remove the back of the pod ( e ). 10. note the routing of the cable ( f ). 11. disconnect the cable ( f ) from the p. c. board ( g ). 12. remove the weldment ( h ) from the spring ( i ). 1. torx® is a registered trademark of acument intellectual properties, llc. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 77 4. 24 scale control pod ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures replacement 1. do as follows to the new pod : a. remove the four screws ( d ) from the back of the pod ( b ). b. remove the pod back ( e ). c. disconnect the cable ( f ) from the rc. board ( g ). 2. put the new pod ( b ) in position next to the cable ( f ) that comes out of the siderail ( c ). 3. connect the cable ( f ) to the pc. board ( g ). 4. do the cable routing as noted earlier. 5. install the pod back ( @topic:26


* * issue : * * failure of contoura 390 electric bed due to faulty knee motor. * * impact : * * inability to adjust the patient's position, compromising comfort and functionality. * * possible causes : * * * * * mechanical failure : * * wear and tear on the motor, causing it to malfunction. * * * electrical fault : * * faulty wiring or connections within the motor or bed system. * * * incorrect maintenance : * * lack of regular cleaning, lubrication, or calibration. * * * defective motor : * * manufacturing defects or improper installation. * * recommendations : * * * * * replace the knee motor : * * install a new, functioning motor to restore the bed's functionality. * * * inspect the electrical system : * * check wiring, connections, and fuses for any damage or loose connections. * * * perform regular maintenance : * * adhere to the manufacturer's maintenance schedule for cleaning, lubrication, and calibration. * * * use genuine parts : * * ensure that replacement parts are compatible with the device to avoid further issues. * * * train staff on proper usage : * * instruct staff on correct operation and maintenance of the bed to prevent premature failures. @topic:9


##assist® and careassist® es bed service manual ( man330 rev 4 ) 4. 22 foot hilow column ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures figure 4 - 30. power supply cover 11. remove the three screws ( d ) that attach the power supply cover ( e ) to the power supply ( f ). 12. remove the power supply cover ( e ). note : the power supply cover is connected to the power supply rc. board by the battery cable. 13. disconnect the battery cable from the power supply rc. board. 14. remove the power supply cover ( e ) from the bed. 15. install the vise - grips®'into the head hilow channel. 16. disconnect the column cable from the power supply rc. board. 17. tie the string around the end of the column cable. 1. vise - grip® is a registered trademark of petersen manufacturing company, inc. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 69 page 4 - 70 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 22 foot hilow column ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures 19. disconnect the brake detection switch cable ( h ). 20. remove the screw ( i ) that attaches the hilow column ground wire ( j ) to the bed ( k ). 21. remove the four screws ( l ) and washers ( m ) that attach the foot hilow column ( g ) to the bed ( k ). 22. remove the brake detection switch ( n ). 23. remove the four screws ( o ) that attach the foot hilow column ( g ) to the weigh frame @topic:26


# # # issue spo2 values are lost after a period of use. # # # impact accurate monitoring of spo2 levels is essential for patient safety. loss of spo2 values can lead to delayed or missed detection of oxygen desaturation, which can have serious consequences. # # # possible causes - faulty spo2 sensor cable - faulty spo2 extension cable - loose connections between the sensor cable and the monitor - loose connections between the extension cable and the sensor cable # # # recommendations - replace the spo2 sensor cable and the spo2 extension cable. - check the connections between the sensor cable and the monitor, and between the extension cable and the sensor cable, to ensure that they are secure. @topic:4


# # issue - cause of failure is not clear # # impact - lack of clear cause of failure can lead to delays in repairs, increased costs, and potential safety risks. # # possible causes - technician may not have properly diagnosed the cause of failure. - technician may not have the necessary documentation or training to properly diagnose the cause of failure. - equipment may be complex and difficult to diagnose. # # recommendations - technician should be trained on how to properly diagnose the cause of failure. - technician should have access to the necessary documentation and training to properly diagnose the cause of failure. - equipment should be designed to be easier to diagnose. @topic:12


# # # issue - the medical cart is not turning on. # # # impact - the medical cart is essential for transporting and storing medical supplies and equipment. without a functioning medical cart, the hospital staff may not be able to provide adequate care to patients. # # # possible causes - * * power supply issue : * * the medical cart may not be receiving power from the outlet. check the outlet and the power cord to ensure that they are functioning properly. - * * battery issue : * * the medical cart may have a dead battery. charge the battery or replace it with a new one. - * * circuit breaker issue : * * the medical cart may have a tripped circuit breaker. reset the circuit breaker and try turning on the medical cart again. - * * malfunctioning component : * * one of the components of the medical cart may be malfunctioning. this could be a problem with the power supply, the battery, or the circuit breaker. # # # recommendations - check the power outlet and power cord to ensure that they are functioning properly. - charge the battery or replace it with a new one. - reset the circuit breaker and try turning on the medical cart again. - if the above steps do not resolve the issue, contact a qualified technician to troubleshoot the problem. @topic:13


# # # issue - the bed's weight scale is not functioning properly. # # # impact - the inability to accurately measure a patient's weight can lead to incorrect dosing of medications, which can have serious consequences. additionally, it can make it difficult to track a patient's progress over time. # # # possible causes - the weight scale is not calibrated correctly. - the weight scale is damaged. - the weight scale is not connected to the bed properly. - the electrical wiring to the weight scale is faulty. - the battery in the weight scale is dead. - the software in the weight scale is malfunctioning. # # # recommendations - recalibrate the weight scale. - inspect the weight scale for any damage. - ensure that the weight scale is connected to the bed properly. - check the electrical wiring to the weight scale for any damage. - replace the battery in the weight scale. - update the software in the weight scale. @topic:25


# # # issue - loose monitor mounting bolts # # # impact - monitor instability and potential for injury # # # possible causes : - * * improper installation : * * the mounting bolts may not have been tightened properly during initial installation. - * * vibration or movement : * * constant movement or vibrations from the patient transport system can loosen the bolts over time. - * * corrosion or wear : * * exposure to moisture or other environmental factors can cause the bolts to corrode or wear out, weakening their hold. - * * overuse or excessive weight : * * applying excessive force or supporting excessive weight on the monitor can strain the mounting bolts. # # # recommendations : - * * regular maintenance : * * implement a scheduled maintenance plan to periodically inspect and tighten the monitor mounting bolts. - * * proper installation : * * ensure that the monitor is securely mounted according to manufacturer specifications. - * * use of anti - vibration pads : * * consider using anti - vibration pads or other dampening devices to reduce the impact of vibrations on the monitor. - * * protection from environmental factors : * * store and operate the monitor in a dry and controlled environment to minimize corrosion and wear. - * * monitor weight distribution : * * distribute the weight of the monitor evenly to avoid straining the mounting bolts. - * * training and handling : * * provide proper training to staff on the safe handling and use of the patient transport system with the monitor installed. @topic:12


# # # issue - unlocked drawer # # # impact - unauthorized access to medical supplies - theft of medical supplies - misuse of medical supplies # # # possible causes - key left in the drawer - faulty locking mechanism - damaged key # # # recommendations - ensure that keys are removed from drawers when not in use - inspect locking mechanisms regularly for damage - replace damaged keys promptly - consider using keyless locking systems - implement policies and procedures for key control - provide training to staff on key control practices @topic:21


# # # issue - equipment : beds, electric - manufacturer : hill - rom - model : 900 accella - issue : bed not able to set zero / tare value # # # impact - inaccurate patient weight measurements # # # possible causes - bed not plugged in - loose or damaged power cord - faulty power outlet - issue with bed's electrical system # # # recommendations - ensure the bed is properly plugged into a working power outlet. - inspect the power cord for any damage or loose connections. - contact the manufacturer or a qualified biomedical engineer to inspect the bed's electrical system for any issues. @topic:25


# # # issue - vital signs monitor is not measuring oxygen saturation ( spo2 ). # # # impact - clinicians cannot accurately monitor patient's oxygenation status. - delayed diagnosis and treatment of hypoxia can lead to patient harm. # # # possible causes - failed spo2 sensor - loose or disconnected spo2 cable - improper sensor placement - patient movement or artifact - equipment malfunction # # # recommendations - replace spo2 sensor. - inspect and ensure spo2 cable is properly connected. - reposition sensor on patient's finger or toe. - check for patient movement or artifact that may interfere with spo2 measurement. - if issue persists, troubleshoot equipment according to manufacturer's instructions. @topic:4


equip malf • nmt equip malfunct • nmt incompatible • nmt cal failed symptoms cause of failure failure isolation and remedy prompt message ‘ trint job could not be queued ” is issued. no print device is found. printer is disabled in the setup printers menu paper size of printer does not match paper size of report enable the correct printer in the setup printers menu change paper size of the printer in the setup printers menu or change paper size of the report in the setup reports menu. status message ‘ trint device local 1 ( local 2 ) unavailable ” is issued. printer job is stalled. printer not switched on printer paper tray empty cabling not connected correctly standard system interface board defective advanced system interface board defective switch on printer power fill printer paper tray check cabling replace standard system interface board replace advanced system interface board status message “ print device remote 1 ( remote 2, remote 3 ) unavailable ” is issued. printer job is stalled print error on philips information center network connection to philips information center not functioning print a test report on the philips information center. if this fails, refer to philips information center documentation check that the network connection between the monitor and the philips information center is working status message “ printing on device remote 1... ( remote 2, remote 3 ) ” is issued but no report is printed print queue on philips information center is full. reasons for this may be : - printer is not switched on - printer paper tray is empty switch on printer power fiu printer paper tray 128 4 troubleshooting recorder symptoms cause of failure failure isolation and remedy printouts are not as printer paper size is not correctly configure the paper size expected configured according to the inserted print printer resolution is not correctly media configured configure the printer resolution printer color support is configured according to the printer capabilities to “ on ” although the printer does not support color configure the @topic:28


# # issue : keyboard input is not working properly # # impact : the medical cart cannot be used as intended, which could delay or interrupt patient care. # # possible causes : - * * faulty keyboard : * * the keyboard itself may be defective or damaged. - * * loose connections : * * the keyboard may not be properly connected to the medical cart. - * * software issue : * * the software controlling the keyboard may be malfunctioning or outdated. - * * battery issue : * * a weak or depleted battery can interfere with the operation of the keyboard. # # recommendations : - * * inspect the keyboard : * * visually inspect the keyboard for any signs of damage or loose keys. - * * check connections : * * ensure that the keyboard is securely connected to the medical cart. - * * update software : * * verify that the software controlling the keyboard is up - to - date. - * * replace battery : * * if the battery is weak or depleted, replace it with a new one. - * * contact manufacturer support : * * if the issue persists, contact the manufacturer of the medical cart for technical assistance. @topic:27


bed's footboard to ensure it is not too long. - lower the bed's headboard to ensure it is not too tall. - widen the bed's frame to ensure it is not too narrow. - narrow the bed's frame to ensure it is not too wide. - lengthen the bed's frame to ensure it is not too short. - shorten the bed's frame to ensure it is not too long. - raise the bed's frame to ensure it is not too low. - lower the bed's frame to ensure it is not too high. @topic:9


# # # issue - cuff on the philips suresigns vm4 monitor was damaged. # # # impact - the monitor was unable to accurately measure vital signs. # # # possible causes - the cuff may have been damaged due to : - normal wear and tear - improper use or storage - accidental damage # # # recommendations - the cuff was replaced with a new one and the monitor was tested to ensure that it was functioning properly. - the bme should inspect the cuff regularly for signs of damage and replace it if necessary. - the bme should provide training to staff on the proper use and storage of the monitor and its accessories. @topic:15


# # # issue - monitor cannot measure blood pressure # # # impact - clinicians cannot obtain accurate blood pressure readings for patient monitoring - may lead to delayed or incorrect treatment decisions # # # possible causes - cuff size is incorrect - cuff is not properly connected to the monitor - kinked or damaged air hose - monitor software or hardware malfunction - patient movement or muscle tension # # # recommendations - verify that the correct cuff size is being used for the patient - ensure that the cuff is properly connected to the monitor and that the air hose is not kinked or damaged - check the monitor software and hardware for any updates or error messages - monitor the patient for movement or muscle tension that may interfere with the measurement - if the issue persists, contact the manufacturer for technical support @topic:14


# # # issue - cuff of nibp monitor is worn out. # # # impact - inaccurate blood pressure readings. - potential for patient harm due to incorrect treatment decisions. # # # possible causes - prolonged use of the cuff without replacement. - exposure to moisture or other environmental factors. - improper storage or handling of the cuff. # # # recommendations - regularly inspect the cuff for signs of wear or damage. - replace the cuff according to the manufacturer's recommendations. - store and handle the cuff properly to minimize damage. - ensure that the cuff is the correct size for the patient. @topic:15


# # # issue * bed cannot be lowered fully. # # # impact * patient may be unable to get out of bed safely. * caregivers may have difficulty providing care to the patient. # # # possible causes * limit switch is not properly adjusted. * motor is not functioning properly. * wiring is faulty. # # # recommendations * check the limit switch adjustment and make sure it is set properly. * test the motor to ensure that it is functioning properly. * inspect the wiring for any loose connections or damage. @topic:1


# # issue - monitor shows incorrect bp, bpm, and spo2 values # # impact - incorrect patient vital sign readings could lead to inappropriate treatment decisions. # # possible causes - incorrect calibration - faulty sensor - hardware or software malfunction # # recommendations - recalibrate the equipment using a known - good calibration device. - replace the sensor or other faulty components as necessary. - update the software or firmware, if available. - inspect the equipment for any signs of damage or loose connections. - ensure that the equipment is properly grounded and powered. @topic:15


# # # issue the hospital bed is not able to adjust. # # # impact patients may not be able to get into or out of bed. patients may not be able to be positioned comfortably. nurses and other caregivers may have to manually adjust the bed, which can be difficult and time - consuming. # # # possible causes the remote control is not working. the bed's motor is not working. there is a problem with the bed's electrical system. # # # recommendations check the remote control batteries. if the remote control batteries are good, try resetting the remote control by pressing and holding the up and down arrow buttons simultaneously for 5 seconds. if the remote control still does not work, check the bed's motor. the motor is located under the bed. if the motor is not running, check the bed's electrical system. if the bed's electrical system is not working, call a qualified biomedical engineer. @topic:7


number of measurements and the time interval between the measurements. 4 to have measurements continue after the sequence, set the number of measurements for your last cycle to continuous and this cycle will run indefinitely. 181 10 monitoring nbp choosing the nbp alarm source caution be aware that, if none of the cycles are set to continuous, nbp monitoring will end after the last measurement of the cycle. when the nbp measurement mode is set to sequence, the repetition time for auto mode cannot be changed. choosing the nbp alarm source you can monitor for alarm conditions in systolic, diastolic and mean pressure, either singly or in parallel. only one alarm is given, with the priority of mean, systolic, diastolic. in the setup nbp menu, select alarms from and choose from : menu option pressure value monitored sys. systolic dia. diastolic mean mean sys & dia systolic and diastolic in parallel dia & mean diastolic and mean in parallel sys & mean systolic and mean in parallel sys & dia & mean all three pressures in parallel if mean is not selected as alarm source ( sys, dia, or sys & dia selected ), but the monitor can only derive a mean value, mean alarms will nevertheless be announced using the most recent mean alarm limits. when no value can be derived an nbp measure failed inop will be displayed. switching pulse from nbp on / off in the process of making the nbp measurement, a pulse value can be derived and displayed. the pulse value is displayed together with the time the measurement was made. after one hour the value becomes invalid. there are no alarms associated with pulse from nbp. to switch the display of the pulse value on or off : ♦ in the nbp setup menu select pulse ( nb @topic:17


# # # issue - control failure in an electric hospital bed, model 25800 e / l, manufactured by huntleigh. # # # impact - the bed may not be able to be adjusted or positioned correctly, which could lead to discomfort or injury to the patient. # # # possible causes - the control unit may have malfunctioned due to : - electrical surge - overuse - wear and tear - manufacturing defect # # # recommendations - replace the control unit. - inspect the bed frame, motors, and other components for any signs of damage or wear. - regularly maintain and calibrate the bed according to the manufacturer's instructions. - train staff on the proper use and care of the bed. @topic:9


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : the medical cart is experiencing a black screen issue. # # # impact - the medical cart cannot be used for its intended purpose, which may impact patient care. # # # possible causes - power supply issue - hardware failure - software issue - loose connection # # # recommendations * * troubleshooting steps : * * 1. * * check the power supply : * * ensure that the medical cart is properly plugged into a power outlet and that the power cord is not damaged. 2. * * check the hardware : * * inspect the medical cart for any loose connections or damaged components. 3. * * check the software : * * if possible, restart the medical cart to see if the issue resolves itself. 4. * * contact the manufacturer or a qualified technician : * * if the troubleshooting steps above do not resolve the issue, contact the manufacturer or a qualified technician for further assistance. * * preventive measures : * * - regular maintenance : perform regular maintenance on the medical cart to prevent issues from occurring. - proper handling : handle the medical cart with care to avoid damage. - staff training : train staff on the proper use and maintenance of the medical cart. @topic:13


# # # issue - difficulty in pressing the buttons on the nibp monitor's front panel. # # # impact - decreased efficiency and accuracy in monitoring patient vital signs. - potential for incorrect readings and misdiagnosis. - frustration and inconvenience for healthcare professionals using the device. # # # possible causes - worn or damaged keypad buttons. - electrical or mechanical issues within the buttons. - accumulation of dirt or debris on the keypad surface. - misalignment or loose connection between the keypad and the monitor. # # # recommendations 1. * * inspect the keypad and buttons : * * visually check for any physical signs of damage, such as cracks, scratches, or loose buttons. 2. * * clean the keypad : * * use a soft cloth or cotton swab dampened with a mild cleaning solution to remove dirt and debris. avoid using harsh chemicals or abrasives. 3. * * test the buttons : * * check all the buttons for proper functionality by pressing them gently. identify any buttons that are sticking, not responding, or giving incorrect readings. 4. * * check connections : * * ensure that the keypad is properly connected to the monitor. tighten any loose cables or connectors. 5. * * request a professional assessment : * * if the issue persists after following the above steps, it may indicate a more serious electrical or mechanical fault. contact a qualified biomedical engineer to diagnose and repair the device. 6. * * preventive maintenance : * * establish regular maintenance schedules to clean and inspect the keypad, ensuring its optimal performance and reducing the risk of future failures. @topic:25


# # # issue * * monitor has a worn cuff. * * # # # impact * * the monitor may not be able to accurately measure vital signs. * * # # # possible causes * * the cuff may be old and need to be replaced. * * # # # recommendations * * the cuff should be replaced as soon as possible. * * @topic:5


# # # issue - malfunctioning push button panel # # # impact - inability to operate device or access important functions # # # possible causes - worn or damaged push button switches - electrical issues within the panel - firmware or software glitches # # # recommendations - * * replace the push button panel : * * remove the old panel and install a new one. - * * check electrical connections : * * inspect the panel for loose or damaged wires and ensure proper connections. - * * update firmware or software : * * if available, install any necessary software or firmware updates that may address the issue. - * * contact the manufacturer : * * report the issue to the manufacturer and seek their technical support. @topic:7


# # # issue - failure of the control unit of the huntleigh enterprise 8000 electric bed. # # # impact - the bed is unable to be used by patients, potentially delaying or compromising their care. # # # possible causes - the control unit may have failed due to a variety of factors, including : - electrical surges - mechanical damage - manufacturer defects - wear and tear # # # recommendations - the control unit should be replaced as soon as possible to restore the bed to full functionality. - the cause of the failure should be investigated to prevent recurrence. this may involve consulting with the manufacturer or a qualified technician. - regular maintenance and inspections can help to identify and prevent potential problems with medical equipment. @topic:9


# # # issue - equipment : electric bed - band : huntleigh - model : contoura 390 - description : the bed makes a loud noise when it is adjusted. # # # impact - the noise from the bed can be disruptive to patients and staff. - the noise can also make it difficult to hear other sounds, such as alarms or conversations. - the noise can be a sign of a problem with the bed, which could lead to a breakdown or injury. # # # possible causes - * * lack of lubrication. * * the bed may not have been lubricated properly, which can cause the moving parts to rub against each other and make noise. - * * worn or damaged parts. * * the bed may have worn or damaged parts, which can also cause noise. - * * misalignment. * * the bed may be misaligned, which can put stress on the moving parts and cause them to make noise. # # # recommendations - * * lubricate the bed. * * the bed should be lubricated regularly, according to the manufacturer's instructions. - * * inspect the bed for worn or damaged parts. * * if any worn or damaged parts are found, they should be replaced. - * * align the bed. * * the bed should be aligned properly, according to the manufacturer's instructions. @topic:9


# # # issue * the biomedical engineer team failed to identify the correct cause of failure for a bedside physiological monitor. * the team ultimately determined that the cause of failure was a faulty ekg cable, but their initial diagnosis was incorrect. * the incorrect diagnosis led to a delay in repairs and potentially compromised patient care. # # # impact * the delayed repair time could have resulted in a patient not receiving the necessary monitoring, which could have had serious consequences. * the incorrect diagnosis could have also led to the use of incorrect repair parts or procedures, which could have further damaged the monitor or put patients at risk. # # # possible causes * the biomedical engineer team may have been understaffed or overworked, leading to errors. * the team may have lacked the necessary training or experience to correctly diagnose the problem. * the team may have been using outdated or incorrect diagnostic equipment. # # # recommendations * increase staffing levels or reduce workload to ensure that biomedical engineers have adequate time to diagnose and repair equipment properly. * provide additional training and experience to the biomedical engineer team. * ensure that the team has access to the latest diagnostic equipment and procedures. * implement a quality control process to review the work of the team and identify any errors. @topic:12


# # # issue - bed is not adjustable. # # # impact - the bed cannot be used to provide the patient with the necessary care. # # # possible causes - the bed's motor is not working. - the bed's electrical system is not working. - the bed's hydraulic system is not working. - the bed's controls are not working. # # # recommendations - check the bed's motor to see if it is working properly. - check the bed's electrical system to see if it is working properly. - check the bed's hydraulic system to see if it is working properly. - check the bed's controls to see if they are working properly. - if the bed's motor, electrical system, hydraulic system, or controls are not working properly, they should be replaced. @topic:1


# # # issue - faulty nibp sensor # # # impact - inaccurate blood pressure readings - potential patient harm if accurate blood pressure measurements are not available # # # possible causes - sensor beschadigt - sensor beschadigt - loose connection between sensor and monitor - monitor malfunction # # # recommendations - replace the faulty sensor with a new one - ensure the connection between the sensor and monitor is secure - test the monitor to ensure it is functioning properly - perform regular maintenance and calibration on the monitor to prevent future failures @topic:15


# # # issue - inability to lock and unlock bed rails properly # # # impact - patient safety hazard - increased risk of falls - decreased patient comfort # # # possible causes - worn or loose lock mechanism - broken or jammed lock mechanism - lack of lubrication - improper installation or adjustment - damaged bed rails # # # recommendations - inspect and adjust the lock mechanism to ensure proper alignment and function - lubricate the lock mechanism regularly - replace any worn or damaged components - ensure the bed rails are properly installed and adjusted - check the bed rails for damage and replace if necessary @topic:6


# # # issue - * * nbp ( non - invasive blood pressure ) is reading inaccurate values. * * # # # impact - * * inaccurate nbp readings can lead to incorrect patient diagnoses and treatment plans. * * # # # possible causes - * * faulty sensor or transducer : * * the nbp sensor may be malfunctioning, leading to inaccurate pressure readings. - * * damaged or loose cables : * * loose or damaged cables can interfere with the signal transmission between the sensor and the monitor. - * * miscalibration : * * the monitor may be miscalibrated, resulting in incorrect pressure readings. - * * obstruction in the cuff : * * a kinked or obstructed cuff can prevent accurate pressure measurement. - * * patient factors : * * factors such as irregular heartbeat or vessel narrowing can affect the accuracy of nbp readings. # # # recommendations - * * check the nbp sensor and transducer : * * ensure the sensor and transducer are properly connected and are in good condition. - * * inspect cables : * * examine the cables for any damage or loose connections. replace cables if necessary. - * * calibrate the monitor : * * perform regular calibrations to ensure the monitor is reading accurately. - * * check for cuff obstructions : * * ensure the cuff is not kinked or obstructed and is properly inflated. - * * consider patient factors : * * take into account any patient factors that may affect the accuracy of nbp readings. - * * seek expert assistance : * * if the cause of the failure cannot be identified or resolved, consult with a biomedical engineer or manufacturer representative for further troubleshooting. @topic:15


* * issue : * * remote control for electric bed is malfunctioning. * * impact : * * patients may be unable to adjust the bed's position, which can lead to discomfort and impaired mobility. * * possible causes : * * * * * hardware failure : * * damage to the remote control's internal components, such as the buttons, circuit board, or wiring. * * * software glitch : * * a software bug or corruption that affects the remote control's functionality. * * * battery issues : * * weak or dead batteries can prevent the remote control from powering on or functioning properly. * * * malfunctioning receiver : * * the bed's receiver unit, which communicates with the remote control, may be damaged or have loose connections. * * * environmental factors : * * exposure to moisture, dust, or extreme temperatures can impact the remote control's performance. * * recommendations : * * * * * inspect the remote control : * * examine the buttons, circuit board, and wiring for any visible damage. * * * check batteries : * * replace weak or dead batteries as needed. * * * test the receiver unit : * * verify that the bed's receiver unit is connected and functioning correctly. * * * reset the remote control : * * if possible, reset the remote control to its factory settings. * * * consult the manufacturer's manual : * * refer to the manufacturer's instructions for troubleshooting and repair procedures. * * * contact biomedical engineering department : * * if the remote control cannot be repaired on - site, contact the biomedical engineering department for further assistance. @topic:7


38 installation and specifications frequency of transmitter 150 khz to 80 mhz 80 mhz to 800 mhz 800 mhz to 2, 5 ghz d = 1, 2 a / p d = 1, 2 a / p d = 2, 3 a / p equation for respiration and bis : d = 3, 5 a / p for respiration and bis : d = 3, 5 a / p for respiration and bis : d = 7, 0 a / p rated max. output power of transmitter ( w ) separation distance ( m ) separation distance ( m ) separation distance ( m ) 0. 01 0. 1 ( 0. 4 ) 0. 1 ( 0. 4 ) 0. 2 ( 0. 7 ) 0. 1 0. 4 ( 1. 1 ) 0. 4 ( 1. 1 ) 0. 7 ( 2. 2 ) 1 1. 3 ( 3. 5 ) 1. 3 ( 3. 5 ) 2. 3 ( 7. 0 ) 10 3. 8 ( 11. 1 ) 3. 8 ( 11. 1 ) 7. 3 ( 22. 1 ) 100 12. 0 ( 35. 0 ) 12. 0 ( 35. 0 ) 23. 0 ( 70. 0 ) electrosurgery interference / defibrillation / electrostatic discharge the equipment returns to the previous operating mode within 10 seconds without loss of any stored data. measurement accuracy may be temporarily decreased while performing electro - surgery or defibrillation. this does not affect patient or equipment safety. do not expose the equipment to x - ray or strong magnetic fields ( mri ). fast transients / bursts the equipment will return to the previous operating mode within 10 seconds without loss of any stored data ( ml032 within 30 seconds ). if any user interaction is required, the monitor indicates with a technical alarm ( inop ). restart time after power interruption, an ecg wave will be shown @topic:8


be adapted to current conditions, for example episode types and threshold levels can be changed. vent episodeevent triggevent pre - timevent post - timvent episodwhen an event occurs, information for a predefined duration is stored. this is the event episode. it includes information from a defined period before the trigger, called the event pre - time. the episode time after the event is called the event post - time. if a further event occurs during the event post - time it changes a single event to a combined event ( combi - event ). manually - triggered event episodes document patient information from the time leading up to the event trigger ; they do not have a post - time. the episode type defines the level of detail captured in an event episode. the higher the data resolution, the shorter the period that the monitor can store in its memory. high - resolution data is 334 26 event surveillance suited for neonatal applications, where the clinical situation may change very quickly. in adult monitoring, where the patient's status typically changes more gradually, a longer trend may be more event episode types pre - time post - time 2 minutes 18 minutes 4 minutes 16 minutes 20 minutes, five samples per minute 6 minutes 14 minutes 12 minutes 8 minutes 10 minutes 10 minutes 12 minutes 8 minutes 14 minutes 6 minutes 4 minutes 16 minutes 18 minutes 2 minutes irestrend 3 minutes 1 minute 2 minutes 2 minutes four minutes, four samples per second. neonatal event review ( ner ) is a type of irestrend 3 minutes 1 minute realtime wave snapshot 5 seconds 0 seconds 5 seconds 10 seconds 15 seconds vents pop - up keydepending on the events view you choose, a selection of the events pop - up keys let you navigate through the stored events and carry out events - related tasks. pop - up keys selecting this pop - up key lets you... @topic:8


# # # issue the electric bed model 900b by hill - rom is not able to adjust its height. # # # impact the bed cannot be adjusted to the patient's desired height, which can make it difficult for them to get in and out of the bed. additionally, it can make it difficult for the healthcare team to provide care to the patient. # # # possible causes the issue could be due to a failure of the control box, which is responsible for sending signals to the bed's motor to adjust its height. # # # recommendations - replace the control box. - check the wiring between the control box and the motor. - check the motor for any damage. @topic:1


# # # issue - remote control button is damaged. # # # impact - the patient is unable to use the bed's remote control to adjust the bed's height, position, or other functions. # # # possible causes - the remote control button may have been damaged due to : - physical damage, such as being dropped or hit. - electrical damage, such as a short circuit or power surge. - wear and tear over time. # # # recommendations - replace the damaged remote control button with a new one. - inspect the bed's electrical system for any damage or loose connections. - train the patient on how to use the bed's remote control properly to avoid future damage. @topic:7


the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. if the problem persists, replace the nbp module. see “ removing the nbp module ” on page 5 - 15. 818 ( 137 ) nbp equip malfunc ( 137 ) valve 2 is defective or blocked. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the nbp module. see “ removing the nbp module ” on page 5 - 15. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 141 ) nbp equip malfunc ( 141 ) inflation time for selected patient type exceeded. verify that the appropriate cuff size is being used for the selected patient type. if the problem persists, shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. troubleshooting suresigns vs2 * and vsi service guide 4 - 17 error codes code error message possible cause action 818 ( 199 ) nbp equip malfunc ( 199 ) no data from nbp block. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 819 nbp equip malfunc - not calibrated nbp not calibrated. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, recalibrate the nbp module. see “ nbp calibration procedure ” on page 3 @topic:20


# # # issue - bed brake is not working. # # # impact - patient safety hazard. - bed may move uncontrollably, causing injury to the patient or staff. # # # possible causes - loose or missing nuts or bolts. - worn or damaged brake pads. - hydraulic fluid leak. - electrical fault. # # # recommendations - inspect the bed brake system for any loose or missing nuts or bolts. tighten or replace as necessary. - check the brake pads for wear or damage. replace if necessary. - check the hydraulic fluid level and for any leaks. refill or repair as necessary. - inspect the electrical wiring for any damage. repair or replace as necessary. - test the bed brake system to ensure it is working properly. @topic:9


* * issue : * * * bedside rail does not lock. * * impact : * * * * * patient safety : * * patients may fall out of bed due to the unsecured rail. * * * staff safety : * * staff may be injured when trying to restrain the patient. * * possible causes : * * * * * physical damage : * * the rail may be bent or broken, preventing it from locking securely. * * * mechanical failure : * * the locking mechanism may be faulty, such as a broken spring or worn gear. * * * operator error : * * the rail may not be properly engaged or locked by the user. * * * improper assembly : * * the rail may not have been installed correctly during assembly. * * recommendations : * * * * * physical inspection : * * examine the rail for any visible damage or misalignment. * * * mechanical testing : * * test the locking mechanism to ensure it engages and releases smoothly. * * * user training : * * ensure that users are properly trained on how to operate the bedside rail. * * * regular maintenance : * * schedule regular inspections and maintenance to prevent mechanical failures. * * * replacement : * * if the rail is damaged beyond repair, replace it with a new one. * * * investigate potential design flaws : * * if the same issue occurs repeatedly, investigate potential design flaws that may contribute to the failure. @topic:6


# # # issue - monitor is no longer functioning and cannot be repaired. # # # impact - inability to monitor patient's vital signs accurately. - delayed or missed diagnosis and treatment. - increased risk of patient complications. # # # possible causes - * * monitor screen degradation : * * over time, the monitor screen can deteriorate, leading to diminished image quality and difficulty in reading patient data. - * * environmental factors : * * exposure to extreme temperatures, humidity, or dust can damage the monitor's components. - * * power surges or outages : * * sudden changes in electrical power can cause damage to the monitor's circuitry. - * * user mishandling : * * improper handling or accidental damage can result in monitor failure. # # # recommendations - * * regular maintenance : * * conduct routine inspections and maintenance to identify and address potential issues early on. - * * environmental control : * * ensure the monitor is stored in an environment with appropriate temperature, humidity, and dust levels. - * * proper power management : * * use surge protectors and uninterruptible power supplies ( ups ) to protect the monitor from power fluctuations. - * * user training : * * provide proper training to users on how to handle and operate the monitor safely. - * * immediate repair or replacement : * * if the monitor fails, prompt repair or replacement is essential to ensure patient safety and continuity of care. @topic:2


# # # issue monitor is not linking. # # # impact patient monitoring is compromised. # # # possible causes - loose or disconnected cables - software or hardware malfunction - communication errors between devices - power supply issues # # # recommendations - ensure that all cables are securely connected. - restart the monitor and other connected devices. - check for software updates or hardware issues. - verify the communication settings between the devices. - inspect the power supply and ensure that it is providing adequate power. @topic:16


# # # issue monitor, physiologic, vital signs ( philips suresigns vs2 ) failed to charge. # # # impact the monitor cannot be used to monitor vital signs. # # # possible causes - faulty ac cord - problem with the charging port - battery issues - power supply issues # # # recommendations - inspect the ac cord for any damage or loose connections. replace if necessary. - check the charging port for any debris or obstructions. clean if necessary. - test the battery using a voltmeter to ensure it is holding a charge. replace if necessary. - verify that the power supply is providing the correct voltage and amperage. @topic:11


# # # issue - the battery of the electric bed was replaced. # # # impact - the electric bed may not be able to function properly without a working battery. # # # possible causes - the battery may have been faulty. - the battery may not have been properly installed. - the battery may not be compatible with the electric bed. # # # recommendations - ensure that the battery is in good condition and properly installed. - check the compatibility of the battery with the electric bed. - if the problem persists, contact the manufacturer of the electric bed for further assistance. @topic:32


# # # issue - remote is not working # # # impact - cannot adjust the bed up or down # # # possible causes - remote is defective - remote is not properly paired with the bed - bed is not receiving power # # # recommendations - replace the remote - re - pair the remote with the bed - check the bed's power cord and make sure it is plugged into a working outlet @topic:7


# # # issue - device obstructing suction # # # impact - suction equipment cannot be used # # # possible causes - device was moved or positioned incorrectly # # # recommendations - reposition the device to allow for proper operation of the suction equipment @topic:12


# # # issue - cuff bp cannot be inserted # # # impact - vital signs cannot be monitored accurately - delays in patient care # # # possible causes * * operator error * * - cuff bp not inserted correctly - cuff bp not compatible with the device * * device malfunction * * - screw that secures the cuff is loose or damaged - cuff port is damaged # # # recommendations * * operator checks * * - ensure that the cuff is compatible with the device - insert the cuff bp correctly according to the manufacturer's instructions * * technician checks * * - inspect the screw that secures the cuff for looseness or damage - inspect the cuff port for damage - replace any damaged components as necessary - calibrate the device after repairs @topic:5


# # # issue - remote control malfunction # # # impact - inability to operate the bed # # # possible causes - the remote control may be damaged or defective. - the remote control may not be properly paired with the bed. - the remote control may not be receiving power. # # # recommendations - inspect the remote control for any visible damage or defects. - check the battery in the remote control and replace it if necessary. - ensure that the remote control is properly paired with the bed. - contact the manufacturer of the remote control or the bed for further assistance. @topic:7


# # # issue - failed component : monitor cable # # # impact - the monitor may not be able to display vital signs, which could delay or prevent medical staff from making appropriate treatment decisions. # # # possible causes - the cable may have been damaged during use, such as by being pinched or cut. - the cable may have been improperly connected or disconnected. - the cable may have been damaged by moisture or other environmental factors. # # # recommendations - replace the damaged cable with a new one. - inspect the cable for any other damage and replace it if necessary. - ensure that the cable is connected and disconnected properly. - store the cable in a dry, protected location when not in use. @topic:2


# # # issue - the spo2 sensor line is faulty. # # # impact - unable to obtain accurate spo2 readings for patient monitoring. # # # possible causes - damage to the sensor line due to : - physical wear and tear ( e. g., kinking, pinching ) - chemical exposure ( e. g., contact with cleaning agents ) - electrical malfunction # # # recommendations - replace the faulty sensor line with a new one. - inspect the sensor line regularly for signs of damage. - handle the sensor line carefully to prevent physical damage. - avoid contact with chemicals and ensure proper cleaning procedures. @topic:4


# # # issue : battery failure in physiologic monitor ( bedside ) ( philips intellivue mp20 ) # # # impact : - interruption of patient monitoring - potential safety risks if vital signs cannot be accurately monitored # # # possible causes : - battery depletion due to extended use or age - battery malfunction or defect - improper battery installation or connection - pcb is likely malfunctioning # # # recommendations : - replace faulty batteries with new ones - inspect battery terminals and connection points for corrosion or damage - ensure proper battery installation according to manufacturer's instructions - test the device thoroughly after battery replacement - consider regular battery maintenance and replacement schedule to prevent premature failures - monitor the device performance and battery life - if the problem persists, contact the manufacturer or a qualified technician for further troubleshooting and repairs @topic:11


# # # issue - the cause of failure is not clearly identified. # # # impact - the equipment may not be functioning properly and could pose a risk to patients. - the hospital may be unable to provide adequate care to patients. # # # possible causes - the equipment may have been damaged during transport or storage. - the equipment may have been improperly installed or configured. - the equipment may have been used in a manner that is not consistent with its intended purpose. # # # recommendations - the equipment should be inspected by a qualified technician to determine the cause of the failure. - the equipment should be repaired or replaced as necessary. - the hospital should review its policies and procedures for equipment handling and maintenance. @topic:12


# # # issue suresigns vs4 blood pressure cuff is leaking. # # # impact the suresigns vs4 is used to measure blood pressure. if the cuff is leaking, it will not be able to provide accurate readings. this could lead to incorrect treatment decisions being made. # # # possible causes the cuff may be leaking because : - the cuff is old and worn. - the cuff has been damaged. - the cuff is not properly fitted. - the cuff is not properly inflated. # # # recommendations 1. inspect the cuff for any damage. 2. make sure the cuff is properly fitted. 3. make sure the cuff is properly inflated. 4. if the cuff is still leaking, it should be replaced. @topic:14


# # # issue - equipment : monitor, bedside, blood pressure - band : ge healthcare - model : dinamap procare 100 # # # impact - the device is not charging properly, which could lead to it malfunctioning and being unable to provide accurate readings. # # # possible causes - the battery may not be properly seated in the device. - the charging cable may be damaged. - the charger may be faulty. - there may be a problem with the device's power supply. # # # recommendations - check the battery to make sure that it is properly seated in the device. - inspect the charging cable for any damage. - try using a different charger. - contact the manufacturer of the device for further troubleshooting assistance. @topic:11


# # # issue the electric bed, model care assist es220 by hill - rom, failed during a functional test of its weighing function. # # # impact the bed's inability to accurately weigh patients could lead to incorrect dosing of medications or treatments, potentially compromising patient safety. # # # possible causes - malfunction of the weighing scale sensor - loose electrical connections in the weighing system - software glitch in the bed's control module - damage to the bed's frame or structure affecting the load - bearing capacity # # # recommendations - * * thorough inspection : * * conduct a detailed visual inspection of the weighing system, including the sensor, wiring, and control module, to identify any visible damage or loose connections. - * * functional testing : * * perform comprehensive functional tests to verify the accuracy and precision of the weighing function under various load conditions. - * * software update : * * check for and install any available software updates that may address known issues related to the weighing function. - * * calibration : * * calibrate the weighing system to ensure its compliance with established standards and accuracy requirements. - * * maintenance and preventive care : * * implement regular maintenance and preventive care measures, such as cleaning, lubrication, and periodic inspections, to minimize the risk of future failures. @topic:25


* * issue : * * - solenoid sensor malfunction * * impact : * * - inability to detect open - close status of drawer - compromised security and usability of medical cart * * possible causes : * * - loose or damaged solenoid wiring - defective solenoid sensor - accumulation of debris or foreign objects in the solenoid assembly - mechanical wear and tear of solenoid components - electrical surges or power fluctuations * * recommendations : * * - inspect solenoid wiring for any loose connections or damage. - replace the solenoid sensor with a new one. - regularly clean the solenoid assembly to prevent debris accumulation. - perform preventive maintenance checks to identify and address potential issues early on. - ensure that the medical cart is operated within the specified electrical requirements to avoid voltage fluctuations. @topic:21


# # # issue - plugged ac cord cannot be retracted # # # impact : - medical cart cannot be used as intended. # # # possible causes : - the spring mechanism in the cord reel is broken or damaged - the cord is tangled or obstructed - there is a problem with the electrical outlet # # # recommendations : - inspect the cord reel and check for any damage or broken parts. - unplug the ac cord and inspect it for any damage or tangles - check the electrical outlet to ensure that it is working properly - if any problems are found, repair or replace the damaged components as necessary - train staff on proper handling and storage of medical carts to prevent similar issues in the future @topic:31


# # # issue - wood bar can't be adjusted. # # # impact - increased risk of patient injury. - increased risk of staff injury. - patient discomfort. - decreased efficiency. # # # possible causes - the wood bar is bent or damaged. - the wood bar is not properly attached to the bed frame. - the wood bar is not properly adjusted. - the bed frame is not level. - the bed frame is not properly assembled. - the motor is not working properly. - the control panel is not working properly. - the wiring is damaged. # # # recommendations - inspect the wood bar for damage. - inspect the wood bar attachment to the bed frame. - inspect the wood bar adjustment. - inspect the bed frame for level. - inspect the bed frame assembly. - inspect the motor. - inspect the control panel. - inspect the wiring. - replace any damaged or defective parts. - reattach the wood bar properly. - adjust the wood bar properly. - level the bed frame. - assemble the bed frame properly. - replace the motor if necessary. - replace the control panel if necessary. - replace the wiring if necessary. - test the bed to ensure that it is working properly. @topic:1


* * issue : * * bed adjustment failure ( head down adjustment not functioning ) * * impact : * * patient discomfort and potential for medical complications due to improper positioning * * possible causes : * * * * * faulty control board : * * the technician identified a defect in the control board, which is responsible for regulating the bed's movements. * * * power supply issues : * * a power outage or loose wiring could prevent the control board from receiving the necessary power to operate the bed. * * * mechanical obstruction : * * debris or a foreign object may be blocking the movement of the bed's mechanisms. * * * software malfunction : * * a software bug or corruption could interfere with the communication between the control board and the bed's motors. * * * wear and tear : * * extended use or improper maintenance can lead to wear and tear of the bed's components, including motors, gears, and cables. * * recommendations : * * * * * verify power source : * * ensure that the bed is properly connected to a stable power supply. * * * inspect mechanical components : * * check for any obstructions or signs of damage to the bed's frame, motors, or gears. * * * update software : * * if applicable, check for any software updates that may resolve potential issues with the control board. * * * contact maintenance team : * * if the above steps do not resolve the issue, contact a qualified biomedical engineer or maintenance team for further diagnosis and repair. * * * regular maintenance : * * implement a regular maintenance schedule to prevent future failures and ensure the safe and reliable operation of the bed. @topic:1


# # # issue - spo2sat reading is intermittent ( flickering on and off ) # # # impact - inability to obtain accurate oxygen saturation readings, which can compromise patient care and safety. # # # possible causes - * * faulty spo2 sensor : * * damaged or malfunctioning sensor cable or probe. - * * loose connections : * * poor contact between the sensor and the monitor or between the sensor cable and the probe. - * * electrical interference : * * electromagnetic fields from nearby devices can interfere with the sensor signal. - * * patient movement : * * motion can cause the sensor to lose contact with the patient's skin. - * * hypoperfusion : * * reduced blood flow to the extremities, which can result in unreliable spo2 readings. # # # recommendations 1. * * inspect the spo2 sensor and cable : * * check for any visible damage, loose connections, or kinks in the cable. 2. * * reposition the sensor : * * ensure the sensor is securely attached to the patient's finger, toe, or earlobe. 3. * * eliminate electrical interference : * * move nearby electronic devices away from the patient and monitor. 4. * * monitor the patient's movement : * * stabilize the patient's limb or position to minimize motion. 5. * * assess for hypoperfusion : * * check the patient's skin temperature, color, and capillary refill time to rule out reduced blood flow. 6. * * consider replacing the spo2 sensor or cable : * * if all other troubleshooting steps fail, replace the faulty components to resolve the issue. @topic:4


# # # issue the vsm ( vital signs monitor ) is not displaying patient names. # # # impact the lack of patient names on the vsm can cause confusion and errors in patient care, as it makes it difficult to identify patients and track their vital signs. # # # possible causes * the vsm is not properly configured to display patient names. * the vsm is not receiving patient data from the bedside monitor. * the bedside monitor is not sending patient data to the vsm. * the network connection between the vsm and the bedside monitor is faulty. * the vsm software is not up - to - date. # # # recommendations * check the vsm configuration to ensure that it is set to display patient names. * verify that the vsm is receiving patient data from the bedside monitor. * check the bedside monitor to ensure that it is sending patient data to the vsm. * test the network connection between the vsm and the bedside monitor. * update the vsm software to the latest version. @topic:22


# # # issue * the telemetry ekg module is not working on ward 6r. # # # impact * patients on ward 6r will not be able to use the telemetry ekg module for monitoring their heart activity. # # # possible causes * the telemetry ekg module may not be compatible with the equipment on ward 6r. * the telemetry ekg module may not be properly configured for ward 6r. * the telemetry ekg module may be damaged. * ward 6r may not have the necessary infrastructure to support the telemetry ekg module. # # # recommendations * check the compatibility of the telemetry ekg module with the equipment on ward 6r. * configure the telemetry ekg module for ward 6r. * test the telemetry ekg module to ensure that it is working properly. * ensure that ward 6r has the necessary infrastructure to support the telemetry ekg module. @topic:18


# # # issue - broken or missing bp cuff connector # # # impact - inability to connect bp cuff to monitor - inaccurate or incomplete blood pressure measurements # # # possible causes - damaged connector due to mishandling or wear and tear - loose or disconnected connector - missing connector due to theft or loss # # # recommendations - inspect the bp cuff connector for damage or looseness. - securely connect the connector to the monitor. - request a replacement connector from the manufacturer if damaged or missing. - train staff on proper handling and storage of medical equipment. - implement a system to track and inventory medical device accessories. @topic:5


# # # issue the technician could not fix the device because the cuff bp requested by the department was not the correct size. # # # impact the patient could not receive the necessary medical care. # # # possible causes the department may have ordered the wrong size cuff bp. the technician may have not checked the size of the cuff bp before attempting to fix the device. # # # recommendations the department should ensure that they are ordering the correct size cuff bp. the technician should check the size of the cuff bp before attempting to fix the device. @topic:5


278 screen trends 279 22 calculations 283 viewing calculations 283 reviewing calculations 285 performing calculations 285 entering values for calculations 286 documenting calculations 287 23 high resolution trend waves 289 changing the hi - res trend waves displayed 289 hi - res trend wave scales 289 hi - res trend waves and oxycrg 289 printing hi - res trend wave reports 290 hi - res trend wave recordings 290 24 event surveillance 291 levels of event surveillance 291 event groups 292 event episodes 293 events pop - up keys 293 event triggers 294 the events database 298 viewing events 298 annotating events 302 documenting events 302 25 proto co i watch 309 ssc sepsis protocol 309 26 recording 321 starting and stopping recordings 322 overview of recording types 323 all ecg waves recordings 324 creating and changing recordings templates 324 vi changing ecg wave gain 325 recording priorities 326 sample recording strip 326 reloading paper 328 recorder status messages 329 27 printing patient reports starting report printouts 331 stopping reports printouts 332 setting up reports 333 setting up individual print jobs 334 checking printer settings 335 printing a test report 335 switching printers on or off for reports 336 dashed lines on reports 336 unavailable printer : re - routing reports 336 checking report status and printing manually 336 printer status messages 337 sample report printouts 338 28 using the drug calculator accessing the drug calculator 343 performing drug calculations 344 charting infusion progress 346 using the titration table 346 documenting drug calculations 346 29 intellibridge ec10 module connecting an external device changing waves and numerics displayed viewing the intellibridge device data window using screens with external device data alarms / inops from external devices language conflict with external device drivers 30 vuelink modules connecting an external device changing vuelink waves and numerics displayed viewing the vuelink device data window using vuelink screens switching vuelink on and off alarms / inops from external devices language conflict with external device drivers 31 using timers viewing timers 355 @topic:8


# # # issue - faulty knee motor # # # impact - impaired bed mobility - reduced patient comfort - increased nursing burden # # # possible causes - worn or damaged gears - misalignment of gears - motor overload - electrical short circuit # # # recommendations - * * inspection and testing : * * thoroughly inspect the knee motor assembly for any signs of damage or wear. conduct electrical testing to check for short circuits or other electrical faults. - * * gear replacement : * * if damaged gears are found, replace them with new gears according to the manufacturer's specifications. - * * alignment adjustment : * * ensure that the gears are properly aligned and adjusted to avoid excessive wear and stress on the motor. - * * motor maintenance : * * regularly inspect and maintain the motor according to the manufacturer's guidelines. lubricate moving parts, check for loose connections, and inspect for signs of overheating. - * * staff training : * * train nursing staff on the proper use and operation of the bed to prevent motor overload and other potential causes of failure. @topic:9


start car window to start a car seat assessment record ( car ) period or stop a currently running car. car histogrm open the window showing the car sp0 2 histogram move the cursor left or right to the next event to navigate through the him events database. placing the cursor over an event highlights it and shows the event values for the selected event. jump to the first or last event in the event database. in 1 ml vitals view graphic view toggle between a tabular and graphic version of the event episode window currently viewed. table review graphic review car review toggle between a tabular and graphic version of the event review window currently viewed. delete event delete the currently - selected event from the database. the monitor asks you to confirm this deletion. you cannot retrieve deleted events. select annotatn. access the list of available annotations to add a nursing note for the current event episode ( advanced event surveillance only ). print / record access the printing and recording pop - up keys to document events. event triggers you can trigger event capture manually, for example, if you want to record a patient ’ s condition before a procedure. you can also set events to trigger automatically, when the patient ’ s values cross a predefined threshold value, or when a particular measurement or procedure is carried out, for example, when an nbp measurement or a cardiac output or wedge procedure is carried out. 294 event triggers 24 event surveillance if more than one trigger is available for the measurements in the active event group, the trigger condition may be at least one param., at least two param., at least three par., or all four parameter. if the trigger is at least one param. ( this is short for ‘ at least one measurement parameter ’ ), the monitor starts an event capture if a trigger occurs in @topic:8


# # # issue - monitor not linking to the central system # # # impact - inability to monitor patient data remotely - delay in patient care - increased risk of medical errors # # # possible causes - * * network connectivity issues : * * the monitor may not be connected to the network or the network may be experiencing problems. - * * incorrect configuration of the monitor : * * the monitor may not be configured correctly to connect to the central system. - * * hardware failure : * * the monitor or the central system may have a hardware failure that is preventing communication. # # # recommendations - * * check network connectivity : * * ensure that the monitor is connected to the network and that the network is functioning properly. - * * verify configuration : * * check the monitor's configuration to ensure that it is set up correctly to connect to the central system. - * * reset the monitor : * * reset the monitor to its factory settings and then reconfigure it to connect to the central system. - * * contact technical support : * * if the issue persists, contact technical support for assistance. @topic:16


# # # issue - cuff degradation # # # impact - the vital signs monitor may not be able to accurately measure blood pressure. # # # possible causes - normal wear and tear - exposure to heat or chemicals - improper storage or handling # # # recommendations - inspect the cuff regularly for signs of damage. - replace the cuff if it shows signs of wear or damage. - store the cuff in a cool, dry place. - handle the cuff carefully to avoid damage. - calibrate the vital signs monitor regularly to ensure accuracy. @topic:3


describe the transfer procedures with a piic ix, a piic or with a standalone monitor. you can transfer demographic data and trend data from one iic to another by selecting transfer on the patient monitor. trend data is not shared between information centers and monitors. transferring patients with intellivue information center ix piic ix there are several ways to transfer a patient from or to another bed. when a patient is transferred to the destination bed, information center monitoring continues in the destination bed and equipment that is not transferred with the patient is freed up. piic ix to transfer a patient using the transfer function provided on the patient monitor by the informatiocenter : 1 select the patient name or the not admitted text at the top of the monitor screen to open the patient demographics window. 2 select the transfer pop - up keythe transfer window opens. if a patient is currently admitted, the window offers the possibility to transfer that patient to another bed ( to other bed ). if no patient is currently admitted, the window offers the possibility to transfer a patient from another bed using the patient search as described in " using " find patient " to search for patient data ” on page 107. with to other bed, if more than one unit is configured, a list of units will appear. when you have selected a unit, or if only one unit is configured, a list of free beds will ppear. 3 select a bed from the list. 4 you will be asked to confirm the transfer of the patient to this bed. 5 select confirm to complete the transfer. 112 5 managing patients and equipment if the system is configured to support transfer with equipment, the next step iyou move tpatient together with the equipment, e. g. multi - measurement module, to the destination bed you have selected. if the equipment is still connected to the source bed, the transfer with equipment window opens requesting you to move the patient and @topic:10


# # # issue - equipment : monitor, patient transport - band : welch allyn - model : propaq lt # # # impact - the hanging stand of the equipment is broken, which affects the stability and safety of the equipment. # # # possible causes - the hanging stand may have been subjected to excessive force or weight, causing it to break. - the hanging stand may have been made of a material that is not strong enough to withstand the weight of the equipment. # # # recommendations - the hanging stand should be replaced with a new one that is made of a stronger material and is designed to withstand the weight of the equipment. - the equipment should be handled with care to avoid putting excessive force or weight on the hanging stand. @topic:12


# # # issue - faulty wiring # # # impact - potential electrical hazard - device malfunction # # # possible causes - physical damage to the wiring - loose connections - overheating # # # recommendations - inspect the wiring for any visible damage. - check all connections to ensure they are secure. - if the wiring is overheating, identify the source of the heat and take appropriate corrective action. @topic:12


# # # issue - equipment not working properly - displaying lines on the screen - blinking # # # impact - inability to monitor patient data - delays in patient care - potential safety hazard # # # possible causes - loose dvi cable connection - faulty dvi cable - faulty image processor - software issue # # # recommendations - check the dvi cable connection and ensure it is secure. - replace the dvi cable if necessary. - contact the manufacturer of the image processor for troubleshooting and repair. - update the software to the latest version if available. @topic:2


* * issue : * * broken bed * * impact : * * patient safety, equipment downtime * * possible causes : * * - * * manufacturing defect : * * faulty design or materials used in the bed's construction. - * * excessive weight load : * * the bed may have been subjected to excessive weight beyond its intended capacity. - * * improper use or handling : * * the bed may have been moved or handled roughly, causing damage to the frame or components. - * * wear and tear : * * over time, the bed's components may experience wear and tear, weakening them and making them susceptible to breakage. * * recommendations : * * - * * thorough inspection : * * examine the bed thoroughly for any visible signs of damage or wear. - * * materials testing : * * test the materials used in the bed's construction to ensure they meet the required specifications. - * * weight limit enforcement : * * establish and enforce clear weight limits for the bed to prevent overloading. - * * proper handling : * * provide clear instructions on how to properly move and handle the bed to minimize the risk of damage. - * * regular maintenance : * * perform regular maintenance and inspections to identify and address potential issues before they cause major failures. @topic:9


# # # issue - malfunctioning carbon dioxide ( co2 ) module in a physiological monitor # # # impact - inability to use the monitor until the module is repaired or replaced # # # possible causes - the cause of the co2 module failure is not explicitly stated in the input, but it could be due to : - manufacturing defect - wear and tear from regular use - damage during transport or handling - software issues # # # recommendations - * * replace the co2 module : * * the faulty module should be replaced with a new or refurbished one to restore the monitor's functionality. - * * investigate the root cause of failure : * * if the failure was due to a manufacturing defect or design flaw, the biomedical engineering ( bme ) team should work with the manufacturer to identify and address the issue. - * * implement preventive maintenance schedule : * * regular maintenance and inspections can help identify potential issues early on and prevent unexpected failures. - * * consider having a backup module on hand : * * having a spare co2 module readily available can minimize downtime in case of future failures. - * * train staff on proper equipment handling : * * improper handling of the monitor or gas module could contribute to damage or premature failure. @topic:4


# # # issue the fetal monitor's lead was trapped by the cart's wheels, causing it to malfunction. # # # impact the fetal monitor is unable to accurately monitor the fetal heart rate and other vital signs. this could lead to delayed diagnosis and treatment of potential complications. # # # possible causes - the lead was not properly secured to the cart. - the cart was moved too quickly or roughly, causing the lead to become trapped. - the lead was damaged or frayed, making it more vulnerable to becoming trapped. # # # recommendations - ensure that the lead is properly secured to the cart before using the fetal monitor. - move the cart slowly and carefully to avoid trapping the lead. - inspect the lead regularly for damage or fraying and replace it if necessary. @topic:2


# # # issue - equipment not working due to low battery. # # # impact - inability to use the equipment for patient monitoring. # # # possible causes - battery not charged before use. - battery life cycle exceeded. - battery not properly connected. # # # recommendations - ensure that the battery is fully charged before use. - replace the battery if the life cycle has exceeded. - check the battery connections to ensure proper contact. @topic:11