. the service protocol developed for this purpose uses a raw access to the devices without the need for ip addresses etc. over a standard customer network installation, so that even defective devices can be upgraded as long as the few kbytes of initial boot code are working. the boot code itself can also be upgraded using the same protocol. the tool allows access to internal service information and to serial numbers. it can be remote - controlled, for example via a dial - up connection from a response center, provided the proper infrastructure is in place. for details see the instructions for use for the support tool. monitor software block diagram figure 8 shows the functional block diagram for the monitoring system. a legend explaining terms and diagram elements follows. the information below varies depending on the purchased monitor options. 30 monitor theory of operation 2 theory of operation figure 8 intellivue patient monitoring system functional block diagram 31 2 theory of operation monitor theory of operation block diagram legend functional block description services operating system the operating system ( os ) provides a layer of isolation between the specific hardware implementation and the application software. the os performs system checks and allocates resources to ensure safe operation when the system is first started. this includes internal self - tests on several hardware modules and configuration checks for validity of configuration with the operating software. during normal operation, the os continues to run checks on system integrity. if error conditions are detected the os will halt monitoring operations and inform the operator about the error condition. system services the system services provide generic common system services. in particular : they use a real - time clock component to track time. they synchronize to network time sources and verify the accuracy of the system time information. they are also responsible for managing persistent user configuration data for all measurement servers, flexible module servers and intellivue patient monitoring system software modules. user configuration data is stored in a non - volatile read / write storage device applications application server @topic:10


# # # issue - remote control failure # # # impact - inability to adjust the electric bed # # # possible causes - hardware failure of the remote control - software malfunction - electrical connection issues # # # recommendations - replace the remote control - update the software - check electrical connections @topic:7


# # # issue medical cart device is unable to boot into windows due to hdd not detected. # # # impact the device cannot be used for its intended purpose, which may impact patient care. # # # possible causes - hdd failure - hdd cable loose or disconnected - bios settings incorrect # # # recommendations 1. check the hdd cable connection and ensure it is secure. 2. enter the bios settings and verify that the hdd is detected and set as the primary boot device. 3. if the hdd is not detected in the bios, it may need to be replaced. @topic:13


* * issue : * * motor adjustment failure in huntleigh 25800 e / l electric bed. * * impact : * * limited mobility for patients, inconvenience for healthcare providers. * * possible causes : * * * * * defective motor : * * malfunction of the motor that is responsible for adjusting the bed's position. * * * damaged control unit : * * the electrical unit that controls the motor's movement may be faulty. * * * wiring issues : * * loose or broken wires connecting the motor to the control unit or power supply. * * * obstruction : * * something blocking the motor's movement, such as debris or foreign objects. * * * improper maintenance : * * lack of regular cleaning or lubrication, leading to motor wear and tear. * * recommendations : * * * * * inspect the motor : * * examine the motor for any signs of damage, wear, or loose connections. * * * test the control unit : * * use diagnostic tools to verify the proper functioning of the control unit. * * * check wiring : * * ensure all wires are securely connected and not damaged. * * * clear obstructions : * * remove any debris or objects that may be hindering the motor's movement. * * * lubricate and maintain : * * regularly clean and lubricate the motor to prevent excessive wear and failure. * * * consider replacement : * * if the motor or control unit is damaged beyond repair, consider replacing these components. @topic:9


5 - 4. foot extension — a model beds item number part number quantity description 1 71266 1 handle, foot extension release 2 s30314 2 stage poignee extension 3 71438 2 spacer, iv pole adapter 4 s30283b 2 accessory socket 5 s20998b 2 blade 6 71265 2 bar, foot extension 7 s30315a 4 guide, foot extend 8 71082 2 bumper 9 qd0663 2 push nut 10 s30534l 2 foot board socket 11 vi0554a 8 screw 12 ca0013 1 extension, foot weldment 13 vi0608a 2 screw 14 ca0005 1 extension, foot assembly 15 vi0613a 2 screw careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 17 head siderail — a model beds chapter 5 : parts list page 5 - 18 careassist® and careassist® es bed service manual ( man330 rev 4 ) head siderail — a model beds chapter 5 : parts list table 5 - 5. head siderail — a model beds item number part number quantity description 1 72862 4 or 8 screw with confirmer 2 71090 1 speaker cover 3 71091 1 speaker gasket 4 70746 1 speaker 5 71019 1 siderail, rh 71062 1 siderail, lh 6 71536 1 membrane switch, nurse call 72290 1 membrane switch, blank, kit 7 72656 4 standoff, p. c. board mount 8 72207 1 caregiver p. c. board, rh 71514 1 caregiver p. c. board, lh 9 72581 1 support, siderail p. c. board 10 vi0601a 12 or @topic:26


# # # issue - the bed's side rails cannot be raised due to a jammed joint. # # # impact - patient safety is compromised as the side rails cannot be used to prevent falls. # # # possible causes - lack of lubrication in the joint - wear and tear of the joint components - misalignment of the joint components # # # recommendations - lubricate the joint with a suitable lubricant. - inspect the joint components for wear and tear and replace as necessary. - ensure that the joint components are aligned correctly and tighten any loose screws or bolts. @topic:6


# # # issue vital signs monitor is unable to measure blood pressure ( bp ). # # # impact accurate monitoring of bp is crucial for patient care, as it provides essential information about the patient's cardiovascular health. inability to measure bp can lead to delayed or incorrect diagnosis and treatment. # # # possible causes - * * cuff leak : * * a leak in the cuff can prevent it from properly inflating and achieving the necessary pressure to measure bp. this can result in inaccurate or absent bp readings. - * * cuff size : * * improper cuff size can affect the accuracy of bp measurements. a cuff that is too small will overestimate bp, while a cuff that is too large will underestimate bp. - * * faulty transducer : * * the transducer is the component that converts the pressure in the cuff into an electrical signal. a faulty transducer can lead to incorrect bp readings. - * * electrical issues : * * loose connections or faulty wiring within the monitor can interfere with the electrical signals and result in inaccurate bp measurements. - * * software errors : * * software bugs or glitches can affect the monitor's ability to process and display bp readings. # # # recommendations 1. * * inspect cuff : * * check the cuff for any leaks or damage. replace the cuff if necessary. 2. * * verify cuff size : * * ensure that the cuff is the appropriate size for the patient's arm circumference. 3. * * test transducer : * * use a manometer or another bp measurement device to verify the accuracy of the transducer. 4. * * check electrical connections : * * inspect all electrical connections and ensure that they are secure. replace any damaged wires or connectors. 5. * * update software : * * if available, check for software updates and install them to address any known @topic:14


# # # issue the medical cart is unable to boot into windows due to a failed ssd. # # # impact the medical cart is essential for patient care and its failure can impact patient outcomes. # # # possible causes * the ssd may have been damaged due to physical shock or age. * the ssd may have been improperly installed or configured. * the ssd may have been infected with malware or a virus. * the ssd may have reached the end of its life cycle. # # # recommendations * replace the failed ssd with a new one. * ensure that the new ssd is properly installed and configured. * regularly back up the data on the medical cart to prevent data loss. * implement a maintenance plan to regularly check the health of the ssd and other critical components. @topic:13


of charge tells you the state of charge of the battery. time to empty tells you approximately how long you can continue to use the monitor with this battery. note that this time fluctuates depending on the system load ( how many measurements and recordings you carry out ), the age of the battery, and the remaining capacity of the battery. the time indication appears after ac has been unplugged for about 10 seconds ( after finishing calculation of the time to empty ) time to full is shown in place of time to empty if the monitor is connected to ac power, and tells you how much time is left until the battery is charged to 90 %. please allow indication to stabilize for 3 to 5 minutes after beginning the charging cycle. if the battery is charged over 90 % battery full ( > 90 % ) is displayed until they are charged to 100 %. then batt fully charged is displayed. documenting battery status to print all battery information in the battery status window, 1 select the battery status information on the screen or select main setup - > battery to open the battery status window 2 select the record status pop - up key to print the information on a recorder or select the print status pop - up key to print the information on a connected printer. conditioning a battery what is battery conditioning? battery conditioning recalibrates the battery to ensure that it has accurate information on the actual battery capacity. why is battery conditioning necessary? the capacity of a battery decreases gradually over the lifetime of a battery. each time a battery is charged its capacity decreases slightly. therefore, the operating time of a monitor running on batteries also decreases with each charge cycle. 100 3 testing and maintenance ] battery conditioning ensures that the value stored in the battery for its full capacity takes account of this decrease, so that the remaining battery charge can be calculated accurately, and the low battery warning given at the right time. when should battery conditioning be performed? battery @topic:11


# # # issue - faulty remote control. # # # impact - the device may not be able to be operated properly. # # # possible causes - damaged remote control wire. # # # recommendations - replace the remote control wire. @topic:7


# # # issue * spo2 readings are unstable and not within normal range. # # # impact * difficulty in monitoring patient's vital signs. * potential for inaccurate diagnosis and treatment. # # # possible causes * faulty spo2 cable ( non - genuine ) # # # recommendations * replace the spo2 cable with a genuine one from the manufacturer. * verify the equipment's performance after replacing the cable. * ensure regular maintenance and calibration of biomedical equipment to prevent such failures in the future. @topic:4


malfunction. if the problem temperatu ( rcal ) on the board is damaged or contaminated ( pulse oo short ). temperature not functional. 30805 internal malfunction. if the problem he temperaturmodule internal resistor ( ptb ) on the board is damage ( value is over ). he temperaturmodule internal internal malfunction. if the problem temperaircuit validatresistor ( ptb ) on the board is damaged ( value is under ). ambient temperature out of ange. clear to retry. 30807 the temperature module a / d verify conditions are greater than 50 °f very low or 10 °c. if conditions are valid and the measurement timed problem persists, replace the probe. if the problem still persists, replace the module. out out replace temperature probe. 30808 probe malfunction. replace the probe. very low he temperature module probe wanot characterized / calibrated if the problem persists, replace the odule. 192 troubleshooting welch [UNK] connex® spot monitor larm ossible causmessage priority he temperature module is missinthe probe well insert the probe well insert correct color - cod30809 internal malfunction. if the problem ersists, replace the module. temperature not functio3080a the temperaturmodule has a problem saving to the monitor eeprom in biotech mode internal malfunction. if the problem temperature not funhe temperaturodule errodetection mechanism detected n error probe malfunction. replace probe. if very low the problem persists, replace the odule. the temperature replace temperature probe. 3080c module probe errodetection mechanism detected an error probe malfunction. replace probe. if the problem persists, replace the module. temperature @topic:20


battery charge 373 checking paced status 118 cleaning infection control 365 method 366 monitoring accessories 367 recommended substances 366 recorder printhead 367 clock displaying on main screen 357 c02 airway adapter 222 alarms, apnea delay 224, 230 alarms, awrr 224 alarms, specific 224 awrr alarm limits 224 checking transducer accuracy 219 correction, humidity 223 correction, n20 223 corrections 223, 230 filterline 222 mainstream accessories 216, 226, 242 measuring mainstream 217, 219 measuring microstream 221 method, microstream 215 method, sidestream 215 microstream accessories 221 microstream extension 221 removing exhaust gases 219, 222 transducer, calibrating 220 transducer, using 220 troubleshooting 223, 230 wave scale, adjusting 223, 230 co 2 method, mainstream 215 c02 ( mainstream ). accessories 394, 395 c02 ( microstream ). accessories 395 code recording 326 combi - events 299 companion mode 2 companion mode pairing 267 compressed spectral arrays ( csa ) 253 computation constant ( rh ) 208 conditioning batteries 375 configuration drug calculator 344 trends database 278 configuration mode 27 conflict label 36 connecting bis accessories 258 connecting temperature probe 185 connection direction indicator symbol 403 connection direction symbol 403 connector ac power input 409 additional msl 410 analog video out 409 ecg analog ( sync ) output 406, 409, 410 equipotential ground 409 marker input 424 mms patient cable 410 mouse 409 printer 409 protective earth 409 recorder module 410 trackball 409 wired network 409 wireless network 409 connectors 405 serial / mib 407, 408, 409 continuous cardiac output 199 continuous impedance check ( bis ) 260 conventional 12 - lead ecg 127 correcting the nbp measurement 179 counting events 298 cpap ( resp ) 167 csa ( compressed spectral arrays ) 253 cuff pressure, nbp 180 selection, nbp @topic:8


# # # issue - spo2 sensor failure # # # impact - inability to accurately measure patient's blood oxygen saturation levels # # # possible causes - faulty sensor - damaged or loose cable connection - incorrect sensor placement - interference from external factors ( e. g., excessive light ) # # # recommendations - replace the spo2 sensor with a new one - inspect and ensure secure connection of the cable to both the sensor and the monitor - position the sensor correctly on the patient's finger or earlobe - minimize external interference by using a shielded cable or avoiding bright lights @topic:4


# # # issue - drawer not popping out # # # impact - difficulty in accessing medical supplies stored in the drawer - potential delay in patient care # # # possible causes - mechanical failure of the drawer mechanism - misalignment of the drawer rails - accumulation of debris or foreign objects in the drawer mechanism # # # recommendations - inspect the drawer mechanism for any visible damage or obstructions. - clean and lubricate the drawer rails and mechanism. - ensure that the drawer is properly aligned and seated within the cart. - consider replacing the drawer mechanism if necessary. @topic:21


nbp default settings nbp settings factory defaults h10 / h20 / h40 h30 ( deviations from h10 / 20 / 40 ) adult pedi neo adult pedi neo mode auto manual alarms from sys. high limit 160 / 90 ( 110 ) 120 / 70 ( 90 ) 90 / 60 ( 70 ) 180 / 90 ( 110 ) low limit 90 / 50 ( 60 ) 70 / 40 ( 50 ) 40 / 20 ( 24 ) 70 / 50 ( 65 ) alarms on nbp on repetition time 10 min 3 min pulse ( nbp ) on unit mmhg done tone off on start time synchronized notsynchron. vp pressure 60 mmhg 40 mmhg 30 mmhg reference auscultatory invasive color red magenta temperature default settings temp settings factory defaults h10 / h20 / h40 h30 ( deviations from hi0 / 20 / 40 ) adult pedi neo adult pedi neo low limit 36 35 high limit 39 alarms on unit °c range 35... 43 color green light green invasive pressure default settings abp, art, ao, bap, fap, p, pi, p2, p3, p4, uap settings factory defaults h10 / h20 / h40 h30 ( deviations from h10 / 20 / 40 ) adult pedi neo adult pedi neo alarms from sys. high limit 160 / 90 ( 110 ) 120 / 70 ( 90 ) 90 / 60 ( 70 ) 180 / 90 ( 110 ) low limit 90 / 50 ( 70 ) 70 / 40 ( 50 ) 55 / 20 ( 36 ) 70 / 50 ( 70 ) alarms on 465 invasive pressure default settings 39 default settings appendix a bp, art, ao, bap, fap, p, pi, p2, p3, p4, uap settings factory defaults h10 / @topic:8


# # # issue - remote control not working. # # # impact - inability to adjust the bed, compromising patient comfort and safety. # # # possible causes - malfunctioning remote control. # # # recommendations - replace the remote control. @topic:7


# # # issue - defective spo2 cable # # # impact - patient monitoring is compromised - inaccurate oxygen saturation readings # # # possible causes - cable damage ( e. g., cuts, punctures ) - connector issues ( e. g., loose connections, broken pins ) - manufacturing defects # # # recommendations - replace the defective spo2 cable with a new one. - inspect all spo2 cables regularly for signs of damage. - ensure proper handling and storage of spo2 cables to prevent damage. - consider using more durable or reinforced spo2 cables, if available. @topic:4


# # # issue - the bed's backup battery was replaced. # # # impact - none, the equipment is functioning normally after the battery replacement. # # # possible causes - the original backup battery had failed. # # # recommendations - none, the equipment is functioning normally and no further action is required. @topic:9


# # # issue - the electric bed's head cannot be adjusted. # # # impact - the patient cannot be positioned comfortably or safely. - the caregiver cannot access the patient easily. # # # possible causes - the head adjustment mechanism is broken. - the electrical connection to the head adjustment motor is loose or damaged. - the head adjustment motor is not receiving power. # # # recommendations - inspect the head adjustment mechanism for any damage or broken parts. - check the electrical connection to the head adjustment motor. - ensure that the head adjustment motor is receiving power. - replace any damaged parts. - tighten any loose electrical connections. - contact the manufacturer for further assistance if necessary. @topic:1


# # # issue - equipment not able to measure oxygen saturation ( sat ) # # # impact - unable to monitor patient's oxygen levels accurately, which can lead to complications or even death. # # # possible causes - damaged or loose spo2 sensor cable - faulty spo2 sensor - malfunctioning patient monitor # # # recommendations - replace the spo2 sensor cable - test the new spo2 sensor and verify its functionality - perform a thorough inspection of the patient monitor to identify any other potential issues @topic:4


# # # issue - medical cart is unable to turn on. # # # impact - the medical cart is an essential piece of equipment used for various medical procedures and patient care. its failure to operate can hinder the efficiency and effectiveness of healthcare services. # # # possible causes - malfunctioning power supply : the medical cart may not be receiving power due to a faulty power cord, power outlet, or internal electrical component. - hardware defects : there could be a hardware issue with the medical cart's power button, motherboard, or other internal components. - software glitches : the medical cart's operating system or software may be experiencing glitches that prevent it from booting up properly. - battery failure : if the medical cart is battery - powered, the battery may have depleted or malfunctioned. # # # recommendations - * * check power supply : * * ensure that the power cord is securely connected to both the medical cart and a functioning power outlet. inspect the power cord for any damage or loose connections. - * * reset the device : * * try resetting the medical cart by unplugging it from the power outlet and waiting a few minutes before plugging it back in. this can help clear any temporary software glitches. - * * contact manufacturer support : * * if the above steps do not resolve the issue, contact the manufacturer of the medical cart for technical assistance and troubleshooting guidance. - * * consider hardware repair : * * if the failure is determined to be hardware - related, the medical cart may require repair or replacement of the affected components. @topic:13


# # # issue - vsm system of the device has a connection issue. # # # impact - the device may not be able to accurately monitor vital signs, which could lead to patient safety concerns. # # # possible causes - loose or damaged cables - incorrect configuration of the vsm system - device not properly connected to the network # # # recommendations - check all cables and connections to ensure they are secure and undamaged. - verify that the vsm system is properly configured and that the device is properly connected to the network. - if the issue persists, contact the vendor for further support. @topic:22


# # # issue - bedside equipment not working properly. # # # impact - patient safety could be compromised. - delays in patient care. - equipment downtime could result in increased costs. # # # possible causes - equipment malfunction : the bed's electrical system could be faulty, or the mechanical components could be damaged. - user error : the bed may have been operated incorrectly, or it may have been overloaded. - environmental factors : the bed may have been exposed to extreme temperatures, humidity, or vibration. - inadequate maintenance : the bed may not have been properly maintained, or it may not have been inspected regularly. # # # recommendations - inspect the bed carefully for any signs of damage. - check the electrical connections and make sure they are secure. - test the bed's mechanical components to make sure they are working properly. - train staff on how to properly operate the bed. - establish a regular maintenance schedule for the bed. @topic:9


# # # issue - cuff of the vital signs monitor is damaged. # # # impact - the vital signs monitor cannot accurately measure blood pressure. # # # possible causes - * * defective cuff : * * the cuff may have a leak or other damage that prevents it from properly inflating and deflating. - * * improper use : * * the cuff may not have been properly applied to the patient, which can result in inaccurate readings. - * * mechanical failure : * * a mechanical failure within the cuff can also cause it to malfunction. # # # recommendations - bme should inspect the cuff for damage and replace it if necessary. - bme should also ensure that the cuff is properly applied to the patient. - if the cuff continues to malfunction, bme should contact the manufacturer for further troubleshooting and repair. @topic:5


# # # issue - cuff failure # # # impact - inaccurate vital sign measurements - potential for patient harm if vital signs are not accurate # # # possible causes - cuff is old and worn - cuff is not the correct size for the patient - cuff is not properly inflated - cuff is leaking air # # # recommendations - replace the cuff with a new one - ensure that the cuff is the correct size for the patient - properly inflate the cuff - inspect the cuff for leaks and replace it if necessary @topic:5


# # # issue - the hospital bed, model centuris by hill - rom, is not able to adjust or change positions. # # # impact - extended patient hospital stay due to unavailability of adjustable bed. # # # possible causes - equipment malfunction due to damaged extension cable and siderails. # # # recommendations - replace the damaged extension cable and siderails to allow the bed to adjust positions. - test the bed to ensure it is functioning properly. @topic:1


# # # issue - unable to repair the philips intellivue mp70 ( m8007a ) bedside physiologic monitor # # # impact - the monitor cannot be used to monitor patient vital signs, which could lead to a delay in diagnosis or treatment. # # # possible causes - * * power supply issues * * : the monitor may not be receiving power from the outlet or the power cord may be damaged. - * * hardware malfunction * * : there may be a problem with the monitor's internal hardware, such as the motherboard or display. - * * software issues * * : the monitor's software may be corrupted or outdated. - * * physical damage * * : the monitor may have been dropped or damaged in some other way. - * * environmental factors * * : the monitor may be exposed to extreme temperatures or humidity, which can damage the internal components. # # # recommendations - * * troubleshooting power supply * * : check the power outlet and power cord to ensure that the monitor is receiving power. - * * inspecting for physical damage * * : look for any signs of damage to the monitor's exterior, such as cracks or dents. - * * updating software * * : if the monitor's software is outdated, it may be necessary to update it to the latest version. - * * contacting technical support * * : if the monitor cannot be repaired by troubleshooting or updating the software, it may be necessary to contact technical support for further assistance. @topic:2


# # # issue - defective sat board in the welch allyn propaq lt monitor. # # # impact - inability to monitor patient's oxygen saturation levels, which is a critical parameter for assessing patient status and guiding treatment decisions. # # # possible causes - * * manufacturing defects : * * faulty components or assembly errors during the manufacturing process could lead to the sat board malfunctioning. - * * electrical damage : * * surges or fluctuations in the power supply, accidental short circuits, or improper handling can damage the electronic components on the sat board. - * * wear and tear : * * prolonged use or exposure to harsh environments can cause gradual wear and tear of components, leading to eventual failure. - * * software glitches : * * software bugs or corrupted firmware can disrupt the communication between the sat board and the rest of the monitor, causing it to malfunction. # # # recommendations - * * inspection and testing : * * regular maintenance and inspections by qualified biomedical engineers can help identify and resolve potential issues with the sat board before they lead to failure. - * * proper handling and storage : * * ensuring proper handling and storage conditions can minimize the risk of electrical damage or mechanical stress on the sat board. - * * software updates : * * timely software updates can address bugs and improve the performance and reliability of the monitor. - * * consideration of environmental factors : * * understanding the operating environment and potential hazards, such as extreme temperatures or humidity, can help in selecting the appropriate devices and taking necessary precautions to prevent damage. - * * training and awareness : * * educating healthcare professionals on proper use and maintenance of the monitor can reduce the risk of accidental damage or misuse. @topic:4


# # # issue * remote control failure # # # impact * inability to operate the bed remotely # # # possible causes * * * failure of remote control components : * * electronic components such as buttons, switches, or sensors may have malfunctioned. * * * battery depletion : * * low battery levels can prevent the remote control from transmitting signals. * * * radio frequency interference ( rfi ) : * * external sources of electromagnetic radiation can interfere with the communication between the remote control and the bed. * * * software glitches : * * software errors in the remote control or the bed system can cause communication issues. # # # recommendations * * * inspect remote control components : * * examine the buttons, switches, and sensors for physical damage or wear. * * * check battery level : * * replace batteries if necessary. * * * eliminate rfi : * * identify and remove any sources of electromagnetic interference. * * * update software : * * if applicable, inquire with the manufacturer about software updates that may address the issue. @topic:7


want to break off the early warning scoring process without storing the spotcheck record, use the clear vs key. to leave the ews procedure and return to your standard monitoring screen, select the appropriate screen from the screen list, or select the previous screen smartkey ( if configured ). 4 warning alarms : there will be no alarm indications for measurements in the entry screen. values : the values shown in the entry screen do not have the same annotation as the measurement values on other monitor screens. there is no special indication when a value has been manually entered and no timestamp showing when the value was measured / entered. be aware that values will remain visible until the freeze time is at an end, even when the measurement itself is no longer t values. understanding guardian early warning scoring an early warning score is an assessment aid used to help recognize the early signs of deterioration in medical patients. there are two basic types of scoring : single parameter scoring ( sps ) - a score is given for each of the vitals based on the measured / entered value. each vital sign has upper and lower thresholds assigned and the score registers the status as either " inside the thresholds " ( normal ) or " outside the thresholds " ( requires action ). when one of the vitals measured or entered is outside of the thresholds, an action is recommended. • how does sps work in guardian early warning scoring? sps results in a color - coded circle displayed next to the measured or entered values. the circle is white for the normal range and red for outside of the thresholds. as soon as one of the values crosses a threshold, a corresponding action will be recommended in the action list in the lower part of the screen. if several vitals have values outside of the thresholds, this will result in a list of actions. modified early warning scoring ( mews ) - a subscore @topic:8


# # # issue - the steering wheel is not working. # # # impact - the bed cannot be moved or positioned properly. # # # possible causes - the steering wheel is physically damaged. - the steering wheel is not properly connected to the bed frame. - the steering mechanism is malfunctioning. # # # recommendations - inspect the steering wheel for any physical damage. - check if the steering wheel is properly connected to the bed frame. - test the steering mechanism to see if it is functioning properly. - if the steering wheel is physically damaged, it will need to be replaced. - if the steering wheel is not properly connected to the bed frame, it will need to be reconnected. - if the steering mechanism is malfunctioning, it will need to be repaired or replaced. @topic:9


##metry data window a'* & set the nbp repeat time zero invasive pressure transducer access pop - up recording keys access select waves recording function set narrow automatic alarm limits access the loops window review graph trend access calculations access the drug calculator suppress zero for all gas measurements unpair equipment and continue central monitoring with the telemetry device access st map application 24 operating and navigating 1 basic operation start 12 - lead capture ( only available if information center is connected ) access remote applications ( if application server is connected ) access eeg csa access the eeg montage display external device information access timers access protocolwatch set standard or easi lead placement switch c0 2 pump off new lead setup ■ * 1123 enter data manually start / stop car seat assessment record open the histogram window open unit conversion window hardkeys a hardkey is a physical key on a monitoring device, such as the zero pressure key on the mms or a setup key on a module. pop - up keys pop - up keys are task - related graphical keys that appear automatically on the monitor screen when required. for example, the confirm pop - up key appears only when you need to confirm a change. using the on - screen keyboard use this as you would a conventional keyboard. enter the information by selecting one character after another. use the shift and capital lock keys to access uppercase letters. use the back key to delete single characters, or use the clr key to delete entire entries. select enter to confirm what you have entered and close the on - screen keyboard. if a conventional keyboard is connected to the monitor, you can use this instead of or in combination with the on - screen keyboard. 25 1 basic operation operating and navigating using the on - screen calculator you can use the on - screen calculator to perform any of the standard operations for which you would @topic:8


# # # issue - failure of the cuff nibp no bem 041, resulting in the inability to measure blood pressure accurately. # # # impact - compromised patient care as accurate blood pressure readings are essential for monitoring patient status and making appropriate clinical decisions. # # # possible causes - cuff nibp no bem 041 being heavily used and not maintained regularly. - cuff nibp no bem 041 being made of low - quality materials that degrade over time, leading to loss of integrity and accuracy. - cuff nibp no bem 041 being used improperly, such as overinflation or using the wrong size cuff, causing damage to the cuff. # # # recommendations - regular maintenance and inspection of the cuff nibp no bem 041 to ensure it is in good working order. - using high - quality cuffs made of durable materials to withstand repeated use and maintain accuracy. - training healthcare professionals on proper use and handling of the cuff nibp no bem 041 to prevent damage. - establishing a protocol for monitoring and replacing cuffs based on usage and wear and tear. @topic:15


llc. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 87 4. 28 sidecom® communication system p. c. board ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures 10. note the positions of the cables connected to the communication p. c. board ( g or h ). note : the communication p. c. board for b through e model beds is callout g ; for f model beds, the p. c. board is callout h. figure 4 - 37. communication p. c. board when handling electronic components, wear an antistatic strap. failure to do so could cause component damage. 11. put on the antistatic strap. 12. disconnect the cables from the communication p. c. board ( g or h ). 13. b through e model beds — pinch the ends of the standoffs, and remove the p. c. board ( g ) from the power supply ( f ). 14. f model bed — do as follows : page 4 - 88 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 28 sidecom® communication system p. c. board ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures a. pinch the ends of the standoffs, and remove the sidecom adapter bracket ( i ) from the power supply ( f ). b. remove the two screws ( j ) that attach the p. c. board ( h ) to the adapter bracket ( i ). c. pinch the ends of the standoffs, and remove the p. c. board ( h ) from the adapter bracket ( i ). replacement 1. do the removal procedure in reverse order. 2. do the “ function checks ” on @topic:26


# # # issue - cuff bp failure # # # impact - vital signs cannot be accurately measured # # # possible causes - cuff bp is worn or damaged - velcro straps are no longer effective - fabric is torn or frayed # # # recommendations - replace the cuff bp - replace the velcro straps - repair or replace the fabric @topic:5


cm small adult 14. 0 21. 5 c10. 0 15. 0 cpediatric infant 424 39 accessories adult / pediatric single patient, gentle care cuffs atient categortubing limb circumference part no. dult ( thigh1598b ( 1. 5 m44 - 56 cm m4579b or 35 - 45 clarge adult x - long m4578b m1599b ( 3 m35 - 45 cm4577b dult x - lon27. 5 - 36 cm m4576b dult 27. 5 36 cm m4575b 20. 5 28. 5 cm small adult m4574b 14. 0 21. 5 cm pediatric m4573b 10 - 15 cinfant m4572b adult / pediatric single care cuffs atient categortubing limb circumference part no. 35. 0 45. 0 cm 89803182321 m1598b or dult x - lon27. 5 36. 0 cm 989803182311 m1599b 27. 5 36. 0 cm 89803182301 adult 20. 5 28. 5 cm small adult 989803182291 14. 0 - 21. 5 cm pediatric 89803182281 adult / pediatric value care cuffs atient categortubing limb circumference part no. 989803160861 989803160851 989803160841 989803160831 989803160821 989803160811 1598b ( 1. 5 m34. 0 43. 0 cm or 27. 0 35. 0 cm large adult x - long 1599b ( 3 m27. 0 35. 0 cm du @topic:5


# # # issue : - keyboard not functioning properly ( keys not being detected ) # # # impact : - inability to use the medical cart's keyboard, potentially affecting patient care and workflow. # # # possible causes : - * * battery depletion : * * the keyboard's batteries may have become depleted, resulting in a loss of power and preventing keystrokes from being registered. - * * loose connections : * * the keyboard may not be properly connected to the medical cart, resulting in intermittent or complete failure of keystroke detection. - * * malfunctioning keyboard : * * the keyboard itself may have developed a fault, such as a damaged circuit board or faulty switches, leading to the inability to detect keystrokes. # # # recommendations : - * * battery replacement : * * if the cause is identified as battery depletion, replace the keyboard's batteries with new ones to restore functionality. - * * connection check : * * ensure that the keyboard is securely connected to the medical cart and that all cables are properly inserted and tightened. - * * keyboard inspection and repair : * * if the issue persists, inspect the keyboard for any visible damage or loose components. if a fault is identified, consider contacting the manufacturer for repair or replacement. @topic:27


# # # issue - the knee motor of the bed is not adjustable. # # # impact - the patient may not be able to use the bed properly. - the patient may be uncomfortable or in pain. # # # possible causes - the motor is faulty. - the motor is not properly connected to the bed. - the motor is not properly calibrated. - the motor is not getting enough power. # # # recommendations - check the motor for any damage. - check the connections between the motor and the bed. - calibrate the motor. - check the power supply to the motor. @topic:9


# # # issue - machine not connected to central # # # impact - inability to monitor patient data centrally, which can delay or compromise patient care. # # # possible causes - * * configuration error : * * the machine may not have been properly configured to connect to the central network. - * * communication failure : * * there may be a problem with the network connection or the machine's communication interface. - * * physical damage : * * the machine's network port or cables may be damaged. # # # recommendations - * * check configuration : * * verify that the machine is configured with the correct ip address and other network settings. - * * troubleshoot communication : * * test the network connection by pinging the central server from the machine. check for any error messages or physical damage to cables or ports. - * * restart equipment : * * if possible, restart the machine and the central server to reset any communication issues. - * * contact vendor support : * * if the issue persists, contact the vendor's technical support team for assistance in resolving the connectivity problem. @topic:16


# # # issue telemetric electrocardiography monitor ( philips model : m2601b ) experiencing operational issues due to a frequency change. # # # impact - interruption in patient monitoring - potential inaccuracies in electrocardiography data - reduced quality of patient care # # # possible causes - incorrect frequency setting - malfunctioning frequency regulator - interference from other devices # # # recommendations - verify the correct frequency setting as per manufacturer's specifications. - inspect the frequency regulator for proper operation. - check for any nearby devices that may be causing interference. - calibrate the monitor if necessary. - retrain staff on proper device usage to prevent future misconfigurations. @topic:16


a wave on a report is drawn with dashed lines, this tells you that a setting that affects the appearance of the wave on the screen was changed while the report was printing. for example, if you change the wave scale while a report is printing, the wave scale and wave size are changed immediately on the monitor screen and on the report. to indicate that the scale information printed at the beginning of the report no longer matches the currently used scale, the wave will be printed using dashed lines, starting from the moment the change took place. some examples of settings that cause dashed lines in reports if changed during printing are : filter mode, ecg lead placement, wave scale, measurement unit, paced / non - paced setting, and measurement mode. note that as ecg waves are drawn with a fixed gain on reports ( either 10 mm / mv or 20 mm / mv ), changing the ecg wave scale will not cause dashed - line reports. to avoid dashed lines on reports, wait 15 seconds after changing a setting before you trigger a report. unavailable printer : re - routing reports if you send a report to be printed on a printer that is not available, for example, because it has run out of paper, this print job is suspended and stored in the monitor's memory. if the target device of this print job was set to unspecified, the monitor will periodically try to resend the print job to the first printer listed in the setup printers menu under printer that is set to enabled and that has paper of the correct size. to allow the report to print, you must either solve the problem with the target printer, or re - route the print job to another printer with paper of the correct size. to re - route a print job, 374 29 printing patient reports enable the new target printer by selecting it in the setup printers menu and toggling to enabled. as the monitor tries to send the report @topic:28


* * issue : * * raws of hospital's bed cannot be locked. * * impact : * * the bed cannot be used safely, which could lead to a patient falling out of bed. * * possible causes : * * - the locking mechanism is not engaged. - the locking mechanism is damaged. - the bed frame is damaged. * * recommendations : * * - check that the locking mechanism is engaged. - inspect the locking mechanism for damage. - inspect the bed frame for damage. - if the locking mechanism or bed frame is damaged, replace it. @topic:6


, wired monitor cannot hear anything on its lan connection ) " n monitor ha a lan connection but does not p yes central - n ati lan have an ip address assignment gy outline only ( after 1 minute ) ( wireless monitor has found an access point to talk to, wired monitor hears traffic on the lan ) “ no central monitor is connected to the lan and has an ip » address assignment, but the bed is not being monitoring : central - monitored at the central outline only 1. monitor is not assigned to a sector 2. there is another monitor on the network with the same " equipment label " central - normal operation - monitor assigned to a solid box, sector and is being monitored by a central network line this monitor also has overview functionality extended on other beds central - " wireless out of wireless monitor that currently is being solid box range ” monitored by a central is losing contact with the access point and cannot find another to talk to central - outline monitor lost connection to the information center : only, line for ” no central 1. lan cable was disconnected yes broken monitoring ” 2. information center was disconnected connection to 3. network infrastructure failure ( switch, etc. ) central 4. out of range ( wireless monitor ) central - normal operation - monitor assigned to a solid box sector and is being monitored by a central 121 4 troubleshooting network related problems 122 prompt message “ no central assigned to this bed " is issued inop “ unsupported lan " is issued. one of the following icons is displayed. no connectivity to intellivue information center ( iic ), no prompt or error message on monitor the monitor label is not set in the monitor ( 1f the beds are “ monitor labeled " in the intellivue information center ( iic ) ) problem with the intellivue information center ( iic ) to switch communication ( if the beds are “ port mapped ” in the @topic:16


# # # issue - software update issue # # # impact - device malfunction or performance issues # # # possible causes - incorrect software update procedure - software bugs or compatibility issues with the device - inadequate device preparation or testing prior to software update # # # recommendations - ensure proper software update procedure is followed - test and validate software updates thoroughly before deployment - back up device data and settings before updating software - contact manufacturer or authorized service provider for assistance with software updates @topic:12


# # # issue - cuff is damaged. # # # impact - blood pressure measurements may be inaccurate or unavailable. # # # possible causes - cuff may be : - torn - punctured - stretched out of shape - cuff may not be : - properly connected to the monitor - the correct size for the patient # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly connected to the monitor. - ensure that the cuff is the correct size for the patient. - follow the manufacturer's instructions for replacing the cuff. @topic:3


database are stored as measured by the monitor, they are not averaged values. the trend resolution defines how often a value is stored. in general, if more than one value is available for storage in the trends database, the most recent value is used. some values in the trends are marked with arrows. this indicates that for this time period, more values were available and the most recent. example database configuration in this example, we see that the monitor stores the most recent data at the highest resolution, older data are stored at a lower resolution. 319 3 trends " 4 hours @ 12 second resolution " means that the monitor stores trend data every 12 seconds, for the - 48 hours - 2hours - 4 hours now + tim4 hours @ 12 second resolution 24 hours @ 1 minute resolution 48 hours @ 5 minute resolution aperiodic trends do not count toward the maximum number of trends allowed by the trend configuration. trend data for aperiodic measurements is stored in a separate database and timestamped with the measurement time. some measurements generate multiple values, for example invasive pressure measurements can provide systolic, diastolic, and mean values. these values are trended as separate measurements. screen trends trends configured to display permanently on special monitor screens are called screen trends. the selection and number of measurement waves in the screen trend segment depends on your monitor configuration. screen trends are color - coded to match the measurement wave and numerics, and they can be viewed in graphical, tabular, histogram or horizon format. if you do not see screen trends on the monitor screen, select a different screen, one that is configured to show screen trends. screen trends are only available on specially designed screens. screen trend information is taken from the trends database. if you do not see a screen trend for a particular measurement on the screen, check the trend priority list to ensure that this measurement is to set the screentre @topic:8


# # # issue - equipment malfunction : electric ob / gyn bed # # # impact - inability to use the bed for patient care # # # possible causes - loose nut on footrest # # # recommendations - check and tighten all nuts and bolts on the bed, paying particular attention to the footrest. - inspect the bed regularly for any signs of loose or missing hardware. - if any loose or missing hardware is found, replace it immediately to prevent further damage or injury. @topic:1


# # # issue - cuff is deteriorated. # # # impact - the device may not be able to accurately measure blood pressure. # # # possible causes - cuff is old and has been used frequently. - cuff is not the correct size for the patient. - cuff is not properly inflated. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. - properly inflate the cuff. @topic:3


credentials and authorizations. - review the med cart's configuration settings and ensure they are correct. - consult with a qualified technician if user error troubleshooting does not resolve the issue. @topic:13


# # # issue - broken ac power cord connector # # # impact - the monitor, physiologic, vital signs cannot be used. # # # possible causes - the ac power cord connector was damaged during use. # # # recommendations - replace the ac power cord. - inspect the ac power cord for any other damage. - if the ac power cord is damaged, replace it immediately. @topic:2


# # # issue the central monitor is not displaying the correct time. # # # impact this could lead to errors in patient care, as the correct time is essential for accurate documentation and medication administration. # # # possible causes the most likely cause of this issue is that the time was not set correctly when the monitor was installed or after a power outage. it is also possible that the internal clock battery has failed, which would require replacement. # # # recommendations the technician should check the time setting on the monitor and ensure that it is correct. if the time is not correct, the technician should reset it to the correct time and date. the technician should also check the internal clock battery and replace it if necessary. @topic:29


# # # issue - physiologic monitor is not measuring spo2 accurately. # # # impact - clinicians may not have accurate information about the patient's oxygen saturation levels, which could lead to delayed or incorrect treatment decisions. # # # possible causes - faulty spo2 board - damaged spo2 module, cable, or probe - incorrect calibration of the monitor - patient factors, such as poor circulation or skin pigmentation # # # recommendations - replace the spo2 board - inspect and replace the spo2 module, cable, and probe if necessary - calibrate the monitor according to the manufacturer's instructions - assess the patient's circulation and skin pigmentation @topic:4


##cer. new / dried out transducers remembrane all new or dried out transducers twice before using. after the first remembraning, unplug the transducer from the module and leave it for 24 hours with the cap on. remembrane again before if you need to store a sensor for more than 24 hours, protect it for up to 28 days by putting two dropof electrolyte solution into the cap. screw the cap on the sensor. remembrane if it dries out or after 2ays. you can use either a philips ( 15210b ) or a radiometer tcc3 calibration unit and a gas cylinder whose pressure indicator is above the'out - of - gas'zone ( black on 15210b, red on tcc3 ). to maintain accuracy,, it is recommended to calibrate the transducer every four hours, even if the monitor does not so. you must calibrate when : • you change the transducer heat setting • 65 6 monitoring ou doubt the measurement accuracyou start a new monitoring period or use a new site • the monitor displays the calibration required inop message. • connect the calibration unit to the inlet on the side of the module's calibration chamber using the recommended gas tubing. different tubing will cause inaccurate measurements. 1 2 ) u2 plug the transducer cable into the module. swing the calibration chamber cover open and insert the transducer into the chamber. close the cover to secure the transducer. set the transducer w. migli l on the 15210b calibration unit, turn the timer control clockwise as far as you can. on the radiometer calibration unit, press the button with the green arrow once. 3 lilil llp press cal on @topic:17


# # # issue - bp basket loose # # # impact - bp basket could fall off during use, causing injury to patient or staff - inaccurate bp readings # # # possible causes - wear and tear - loose cable tie - inadequate initial installation # # # recommendations - inspect bp basket regularly for signs of wear or damage - ensure cable tie is tight and secure - reinstall bp basket if necessary @topic:24


# # # issue - the biomedical engineer ( bme ) is unable to fix the vital signs monitor due to a faulty sensor probe. - the machine can't connect to the forehead thermometer because the vs4's parameter board does not support it. # # # impact - the vital signs monitor is not able to provide accurate readings. - the hospital is not able to use the forehead thermometer with the vital signs monitor. # # # possible cause - the sensor probe is faulty. - the parameter board of the vs4 does not support the forehead thermometer. # # # recommendations - replace the sensor probe. - purchase a new vital signs monitor that supports the forehead thermometer. @topic:20


patient's vicinity must be powered via a separating transformer ( compliant with iec / en 600601 - 1 - 1 ) that ensures mechanical fixing of the power cords and covering of any unused power outlets. 63 system installation requirements - ensure that the the medical electrical system is installed in a way that the user achieves optimal use. - make sure the user is informed about the required cleaning, adjustment, sterilization and disinfection procedures listed in the instructions for use. - the medical electrical system must be installed in such a way that the user is able to carry out the necessary cleaning, adjustment, sterilization and disinfection procedures listed in the instructions for use. - ensure that the medical electrical system is installed in a way that an interruption and restoration of power to any part of the medical electrical system does not result in a safety hazard. - werecommend using fixed mains socket outlets to power the medical system or parts thereof. avoid using multiple portable socket - outlets. - any multiple portable socket outlets used must be compliant with iec 60884 - 1 and iec 60601 - 1 - 1. - ensure that any part of the system connected to multiple portable socket - outlets is only removable with a tool, i. e. the multiple portable socket - outlet provides a locking mechanism to prevent power cords from being plugged or unplugged unintentionally. otherwise, the multiple portable socket - outlet must be connected to a separation device. multiple socket outlets used within the medical electrical system must only be used for powering medical electrical equipment which is part of the system. - ensure that any functional connections between parts of the medical electrical system are isolated by a separation device according to iec 60601 - 1 - 1 to limit increased equipment leakage currents caused by current flow through the signal connections. this only works if the equipment leakage current of the @topic:10


# # # issue : - electric bed ( beds, electric ) is not adjustable. # # # impact : - this malfunction prevents the bed from being used for patient care. # # # possible causes : - faulty keypad - broken signal wires between the keypad and the control board # # # recommendations : - bme replaced the faulty keypad and repaired the broken signal wires. - bme is contacting the manufacturer to obtain a quote for replacement parts. @topic:32


# # # issue - hard disk failure # # # impact - inability to store and access patient data - interruption of patient monitoring and treatment # # # possible causes - physical damage to the hard disk - age - related degradation - software or firmware issues - power surge or other electrical problems # # # recommendations - replace the hard disk with a compatible model - back up patient data regularly to prevent data loss - ensure proper power supply and surge protection - perform regular maintenance and inspections @topic:12


# # # issue - the ups is not holding a charge. # # # impact - the central monitor will not be able to function during a power outage. - this could be life - threatening for patients who are reliant on the monitor. - the hospital could be at risk of losing accreditation if the central monitor is not fixed. # # # possible causes - the ups battery is old and needs to be replaced. - the ups is not properly connected to the power source. - the ups is damaged. # # # recommendations - replace the ups battery. - check the connections between the ups and the power source. - contact a qualified technician to inspect the ups. @topic:11


# # # issue bed cannot be tilted or adjusted. # # # impact patient cannot be positioned properly for treatment or comfort. # # # possible causes - faulty remote control - malfunctioning bed motor - broken or loose wiring - software glitch # # # recommendations - replace remote control - inspect and repair or replace bed motor - check and tighten wiring connections - reset or update software @topic:1


# # # issue - bed is not adjustable # # # impact - patient discomfort and inconvenience - delays in patient care - increased workload for healthcare staff # # # possible causes - loose electrical connections - faulty electrical components - mechanical issues ( e. g., broken gears, worn cables ) - software malfunction # # # recommendations * * 1. check electrical connections : * * - ensure that all electrical connections are secure and free of corrosion. - use a multimeter to check for continuity and proper grounding. * * 2. inspect electrical components : * * - visually inspect all electrical components, including wires, fuses, and circuit boards, for damage or corrosion. - perform electrical tests to identify any faulty or malfunctioning components. * * 3. check mechanical components : * * - inspect the bed's mechanical components, such as gears, cables, and pulleys, for signs of wear or damage. - manually operate the bed to identify any areas of resistance or binding. * * 4. troubleshoot software malfunction : * * - check for any software updates or patches that may address the issue. - reset the bed's software to default settings. - contact the manufacturer for technical support. * * 5. preventive maintenance : * * - establish a regular preventive maintenance schedule to identify and address potential issues before they become major failures. - perform routine electrical safety checks and mechanical inspections. @topic:9


# # # issue - bed is not adjusting # # # impact - patient discomfort - prolonged hospital stay - increased workload for nursing staff # # # possible causes - loose or disconnected remote control cord - faulty remote control - malfunctioning bed motor - electrical issue # # # recommendations - check and reconnect the remote control cord if loose. - replace the remote control if faulty. - inspect the bed motor for any signs of damage or malfunction. - contact a qualified biomedical engineer for further troubleshooting and repair if necessary. @topic:1


# # # issue - the cause of failure is not related to the reported issue. # # # impact - the technician may not be able to accurately identify and resolve the actual cause of the failure, leading to potential safety risks or prolonged downtime of the medical device. # # # possible causes - miscommunication or misunderstanding of the reported issue. - incomplete or inaccurate information provided to the technician. - limited knowledge or experience of the technician to troubleshoot the specific issue. # # # recommendations - ensure clear and concise communication of the reported issue to the technician. - provide detailed information, including any error messages, observations, or previous troubleshooting steps taken. - train technicians thoroughly on the specific medical devices they are responsible for servicing. - establish a system for documenting and tracking maintenance and repair activities to facilitate accurate diagnosis and resolution of future issues. @topic:12


serc dao ni dates aan ora a ett tin ds bog cree 4 - 12 running system diagnostics..... 2. 0... cece nent er eben tebe been e eees 4 - 29 accessing the maintenance options............. 0c cece cette teen teenies 4 - 30 running ‘ the self testi a ta si 4 - 30 ‘ resting the speaker... ae e een he oh con ae hats pee ee eee hae eles peor te ae 4 - 31 “ pesting the : keys s0 coe cota tvs ces a eo a ee sea hs a sd 0 aad fo notas n 4 - 32 ‘ esting. the ; display 83. 002 soutien a dd ee aa 4 - 33 testing the optional recorder ( vs2 * monitor only )... o... usuusu ccc cece ce o 4 - 34 esting the : charging ped a oe en ee ree cia ete bees 4 - 34 viewing and resetting tracked parameters..... 0. 0. 0. 0... 0. cece eee t enc tet e eens 4 - 35 resetting : parameters ’ 40 - 5 iit be a a a er a 4 - 35 viewing, exporting, and printing ( vs2 monitor only ) the error log........... 0... eee eee ee eee 4 - 36 clearing patient data : ec. oocysts te eee mit caves apt eee eis ele ee bese bop nese ala a eee saige ek ae a 4 - 37 5. repairing the monitor disassembling the monitor... @topic:10


# # # issue : - battery tray damaged # # # impact : - the device is not able to hold the battery securely. - this can lead to the battery falling out or becoming disconnected, which can cause the device to malfunction or shut down. # # # possible causes : - the battery tray may have been damaged due to : - excessive wear and tear - physical impact - corrosion # # # recommendations : - replace the battery tray with a new one. - inspect the device regularly for any signs of damage. - handle the device with care to prevent further damage. @topic:11


| not offered | not offered | not offered ssc sepsis protocol p02 not offered 1 not offered 1 not offered 1 not offered 1 not offered 1 not offered 1 optional 1 optional 1 optional 1 optional hardware add - ons add attached speedpoint e02 not offered not offered not offered not offered not offered not offered standard optional not offered not offered built - in recorder e05 optional not offered optional optional not offered not offered not offered not offered not offered not offered two internal module slots e10 not offered not offered not offered not offered not offered not offered optional optional not offered not offered four internal module slots e12 not offered not offered not offered not offered optional optional not offered not offered not offered not offered multi - measurement server mount e20 standard standard standard standard standard standard standard standard not offered not offered bed hanger mount e21 optional not offered optional optional not offered not offered not offered not offered not offered not offered quick release mount e22 optional not offered optional optional standard standard standard standard not offered not offered battery operation e25 standard not offered optional optional optional optional not offered not offered not offered not offered single cpu upgrade ( 100mhz - 8mb ) e31 not offered not offered not offered not offered not offered not offered optional optional not offered optional rev. b - 4 mbyte performance extension e35 not offered not offered not offered not offered not offered not offered not offered not offered not offered optional rev. b - 8 mbyte performance extension e36 not offered not offered not offered not offered not offered not offered not offered not offered not offered optional interfaces serial interface / mib ready ( 2 ports ) j13 optional not offered optional optional optional optional optional optional optional optional parallel printer interface j14 not offered not offered optional optional optional optional optional optional optional optional bis ready ( 1 port ) j16 not offered not offered optional optional not offered not offered not offered not offered not offered not offered additional msl @topic:19


compatible which transfers the data to the embedded controller. the raw digital information is translated and further filtered in software before it is put on the network. if necessary, the accelerometer or motor position can be used to detect the level of the bed with respect to the floor and then correct for the cosine error. the display has 5 seven - segment digits. the scale node sends a network variable for the caregiver to display. switches, located on the display board are available to the user to start functions like zero and display weight. when engaged the network variable gets updated and read by the scale node. switches located on the outside of the head end siderail are available to the caregiver to start functions such as mode selection, off, and alarm volume level. the leds show the status of the bed exit alann system. all of the scale and bed exit alarm system functions revolve around the microprocessor on the control board. this is an 8052 variant with internal 32k flash program and 256 + 1. 2k eeprom data memory. external to the microprocessor are the can transceiver, accelerometer, watch dog reset circuit, 2k eeprom and audio enunciator with three volume settings. all of the scale functions below are performed by the microcontroller on the scale p. c. board : • weigh • zero the scale • add / delete items • select the lb / kg display mode • manual weight adjustment careassist® and careassist® es bed service manual ( man330 rev 4 ) page 3 - 19 electrical system ( b model and newer beds ) chapter 3 : theory of operation the bed exit alarm system functions below are shared between the scale p. c. board and the scale display p. c. board : • arm / disarm the bed exit alarm system @topic:26


# # # issue - cuff bp leak # # # impact - inaccurate blood pressure readings # # # possible causes - damaged or worn cuff - improper cuff placement - loose connections # # # recommendations - replace the cuff bp with a new one - ensure that the cuff is placed correctly on the patient's arm - check the connections between the cuff and the monitor @topic:3


# # # issue - remote control buttons not functioning. # # # impact - inability to adjust the patient's bed remotely, leading to delays and inconvenience in patient care. # # # possible causes - the connector between the remote control and the bed is loose. # # # recommendations - secure the connector to ensure a stable connection between the remote control and the bed. - inspect the remote control and the bed for any visible damage or defects. - refer to the manufacturer's guidelines for proper maintenance and troubleshooting procedures. @topic:7


# # # issue - spo2 sensor can't measure - nibp button is hard to press # # # impact the patient may not receive accurate blood pressure and oxygen saturation readings, which could potentially lead to incorrect diagnosis or treatment. # # # possible causes * * spo2 sensor : * * - sensor is not properly connected to the patient - sensor is damaged - patient has poor circulation * * nibp button : * * - button is broken - button is stuck - wires are loose # # # recommendations * * spo2 sensor : * * - ensure that the sensor is properly connected to the patient - check the sensor for damage - reposition the sensor on the patient's finger * * nibp button : * * - try pressing the button multiple times - contact the manufacturer or a medical equipment repair technician for assistance @topic:4


# # # issue - test toco is not functioning # # # impact - inability to monitor fetal heart rate during labor. # # # possible causes - faulty sensor - damaged cable - configuration error - software malfunction # # # recommendations - inspect the sensor for any visible damage. - replace the sensor if damaged. - inspect the cable for any cuts or breaks. - ensure proper connection of the cable to the monitor and the sensor. - check the monitor's configuration settings to ensure the correct settings for toco monitoring. - contact philips technical support if the issue persists. @topic:20


# # # issue - battery failure in a medical cart # # # impact - the medical cart may not be able to provide power to the medical devices it carries, which could lead to a disruption of patient care. # # # possible causes - the battery may have reached the end of its lifespan. - the battery may have been damaged by a power surge or other electrical event. - there may be a problem with the battery charger or the electrical system of the medical cart. # # # recommendations - replace the battery with a new one. - inspect the battery charger and the electrical system of the medical cart for any damage or problems. - test the medical cart to ensure that it is functioning properly. @topic:13


# # # issue the electric bed is not adjusting. # # # impact the patient may be uncomfortable or unable to get in or out of bed. # # # possible causes - the remote control is not working. - the bed motor is not working. - the bed frame is broken. # # # recommendations - check the remote control batteries. - check the bed motor connections. - inspect the bed frame for damage. - if the problem cannot be resolved, contact the manufacturer for service. @topic:1


# # # issue : the nibp monitor ( brand : casmed, model : 740 ) is displaying inaccurate blood pressure readings. # # # impact : the incorrect blood pressure readings can compromise patient safety and lead to incorrect treatment decisions. # # # possible causes : * * hardware issues : * * - faulty sensor or transducer - loose connections within the device - damaged or clogged tubing * * software issues : * * - software bugs or glitches - corrupted data or calibration settings * * user error : * * - incorrect cuff placement or sizing - movement or vibrations during measurement - improper calibration or maintenance # # # recommendations : * * troubleshooting steps : * * - check the cuff placement and sizing. - ensure that the patient is still and relaxed during measurement. - inspect the tubing and connections for any damage or leaks. - perform a recalibration and verification of the device according to manufacturer's instructions. * * repair and maintenance actions : * * - if the troubleshooting steps do not resolve the issue, contact the manufacturer or a qualified biomedical engineer for repair. - perform regular maintenance and calibration according to the manufacturer's guidelines to prevent future failures. * * user training and awareness : * * - train staff on proper cuff placement and measurement techniques. - emphasize the importance of regular device maintenance and calibration. @topic:15


# # # issue - discolored lcd display # # # impact - the accuracy of the medical device may be compromised. - the medical device may be difficult to use. # # # possible causes - bad connection between the lcd display and the rest of the medical device - faulty lcd display - incorrect settings on the medical device - power supply issue to the lcd display - aging of the lcd display # # # recommendations - check the connection between the lcd display and the rest of the medical device. - replace the lcd display. - check the settings on the medical device. - check the power supply to the lcd display. - contact the manufacturer of the medical device for troubleshooting assistance. @topic:2


# # # issue - sensor is not detecting # # # impact - the patient's vital signs cannot be accurately monitored. - this could lead to a delay in diagnosis and treatment, which could have serious consequences for the patient. # # # possible causes - the sensor is not properly connected to the patient. - the sensor is damaged. - the sensor is not compatible with the monitor. - the monitor is not properly calibrated. - the patient is moving too much. # # # recommendations - check that the sensor is properly connected to the patient. - inspect the sensor for any damage. - ensure that the sensor is compatible with the monitor. - calibrate the monitor according to the manufacturer's instructions. - ask the patient to remain still during monitoring. - if the problem persists, contact the manufacturer for further assistance. @topic:20


# # # issue - inability to adjust bed using remote control. # # # impact - hindered patient comfort and safety due to difficulty in adjusting bed position. - increased workload for healthcare staff as they may need to manually adjust the bed. # # # possible causes - * * remote control malfunction : * * the remote control may be defective or damaged, leading to communication failure with the bed. - * * electrical connection issues : * * loose or faulty electrical connections between the remote control, bed, or power source can disrupt signal transmission. - * * software or hardware bugs : * * glitches or errors in the firmware or hardware of the remote control or bed can prevent proper functioning. - * * user error : * * improper handling or use of the remote control can cause damage or malfunction. # # # recommendations - * * inspect and test the remote control : * * check the battery, buttons, and display for any signs of damage or malfunction. test the remote control's functionality using a multimeter or diagnostic software. - * * examine electrical connections : * * verify the integrity of all electrical cables and connectors by inspecting for loose connections, frayed wires, or damaged plugs. - * * update software or firmware : * * check for any available software or firmware updates for both the remote control and bed. install the updates if necessary. - * * train staff on proper use : * * provide thorough training to healthcare staff on the correct handling and use of the remote control to prevent accidental damage. @topic:7


# # # issue medical cart cannot access the desktop. # # # impact the medical cart cannot be used as intended, which may delay patient care. # # # possible causes - password has expired. - password is not in the correct format. - password is not being entered correctly. - other factors # # # recommendations - reset the password. - ensure that the password is in the correct format. - verify that the password is being entered correctly. - if the issue persists, contact the it department. @topic:13


# # # issue : right button adjustment failure on huntleigh enterprise 8000 electric bed # # # impact : patient discomfort and potential safety concerns # # # possible causes : - malfunctioning electrical components - worn or damaged button mechanism - software or firmware issues - obstruction or contamination of button components # # # recommendations : - * * electrical assessment : * * perform a thorough electrical check of the bed, including voltage measurements and insulation testing. look for any loose connections or damaged wires. - * * button mechanism examination : * * inspect the button for any signs of wear, damage, or misalignment. test the button's functionality with a multimeter. - * * software / firmware update : * * check if any software or firmware updates are available for the bed. if so, apply these updates and test the button's functionality. - * * button cleaning and decontamination : * * if necessary, clean and decontaminate the button and surrounding components to remove any obstructions or contamination. - * * lubrication : * * apply appropriate lubrication to the button mechanism to ensure smooth operation. - * * replacement : * * if the issue persists, replace the button or the entire button module. @topic:7


# # # issue - medical cart is not functioning properly. - keyboard and mouse are not responding. # # # impact - inability to use the medical cart for patient care. - loss of productivity. # # # possible causes - loose usb cable connections between the keyboard, mouse, and medical cart. - malfunctioning keyboard or mouse. - software or driver issues. # # # recommendations - check the usb cable connections between the keyboard, mouse, and medical cart to ensure they are secure. - try using a different keyboard or mouse to see if the issue is resolved. - update the software or drivers for the keyboard and mouse. - contact the manufacturer for further troubleshooting and support. @topic:27


# # # issue - noisy wheels # # # impact - the noise from the wheels may interfere with patient care and communication between healthcare professionals. it may also create an unpleasant working environment for staff. # # # possible causes - the wheels may be dirty or worn, causing them to grind against the floor. - the bearings in the wheels may be damaged or misaligned, causing them to squeak or rattle. - the wheels may be too small or not properly attached to the bed, causing them to wobble and make noise. - the floor may be uneven or obstructed, causing the wheels to bump or vibrate. # # # recommendations - clean the wheels thoroughly and lubricate them if necessary. - check the bearings for damage or misalignment and replace or adjust them as needed. - ensure that the wheels are the correct size for the bed and that they are properly attached. - inspect the floor for unevenness or obstructions and make any necessary repairs or modifications. - if the noise persists, consult with a qualified biomedical engineer for further troubleshooting and repair. @topic:24


# # # issue * the bed's end is extending on only one side. # # # impact * the bed is not stable and could cause the patient to fall. * the bed is not comfortable for the patient. # # # possible causes * the end of the bed is not properly lubricated. * the end of the bed is not properly adjusted. * the end of the bed is damaged. # # # recommendations * lubricate the end of the bed. * adjust the end of the bed. * replace the end of the bed if it is damaged. @topic:6


# # # issue - the bed is not adjustable and the lights are blinking continuously. # # # impact - the bed cannot be used to treat patients, which can delay or prevent their care. # # # possible causes - the keeped is faulty. - there is a problem with the electrical system. - there is a problem with the control panel. # # # recommendations - replace the keeped. - inspect the electrical system for any loose connections or damaged wires. - inspect the control panel for any damaged buttons or switches. @topic:1


# # # issue - failure of the philips suresigns vs2 + vital signs monitor to accurately measure spo2 levels. # # # impact - inaccurate spo2 readings can lead to delayed diagnosis and treatment of conditions such as hypoxia and hyperoxemia. # # # possible causes - damaged spo2 probe clamp # # # recommendations - replace the damaged spo2 probe clamp. - ensure that the spo2 probe is properly attached to the patient's finger. - verify the accuracy of the spo2 reading by comparing it with another device. @topic:4


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# # # issue - bedside rail broken : the bedside rail on the hill - rom 900b bed in ward 9d room 15 is broken and needs to be replaced. # # # impact - patient safety : a broken bedside rail poses a safety risk to patients, as they could potentially fall out of bed. - patient comfort : a broken bedside rail can also be uncomfortable for patients, as they may not be able to use it to support themselves when getting in or out of bed. - staff efficiency : a broken bedside rail can also be a hindrance to staff, as they may have to spend time repositioning the bed or finding another way to support the patient. # # # possible causes - wear and tear : bedside rails can become damaged over time through regular use. - improper use : bedside rails can also be damaged if they are not used properly, such as if they are used to lift the patient or if they are hit with a heavy object. - manufacturing defect : in some cases, bedside rails may be damaged due to a manufacturing defect. # # # recommendations - replace the broken bedside rail : the broken bedside rail should be replaced as soon as possible to ensure the safety and comfort of the patient. - inspect other bedside rails : once the broken bedside rail has been replaced, it is important to inspect the other bedside rails on the bed to ensure that they are in good condition. - educate staff on proper use of bedside rails : staff should be educated on the proper use of bedside rails to help prevent damage. - report any manufacturing defects : if a manufacturing defect is suspected, it should be reported to the manufacturer so that they can investigate and take corrective action. @topic:6


# # # issue equipment failure of an electric bed # # # impact - reduced patient comfort and mobility - increased workload for nursing staff - potential delays in patient care # # # possible causes - * * electrical malfunction : * * faulty wiring, loose connections, or a power surge could have damaged the electrical components of the bed. - * * mechanical failure : * * wear and tear or damage to the bed's mechanical components, such as the motors, gears, or hydraulics, could have caused it to malfunction. - * * human error : * * improper use or maintenance of the bed by staff or patients could have contributed to its failure. - * * software issues : * * a glitch or bug in the bed's software could have caused it to malfunction. # # # recommendations - * * electrical check : * * inspect the bed's wiring and connections for any damage or loose connections. if necessary, replace any faulty components. - * * mechanical inspection : * * examine the bed's mechanical components for any signs of wear, tear, or damage. lubricate moving parts and tighten any loose bolts. - * * software update : * * check for any available software updates for the bed and install them if necessary. - * * training for staff : * * provide training to staff on the proper use and maintenance of the bed. - * * regular maintenance : * * establish a regular maintenance schedule to inspect and service the bed to prevent future failures. @topic:9


# # # issue - battery failure. # # # impact - interruption of patient monitoring. - loss of vital patient data. # # # possible causes - end of battery life. - battery not properly installed. - battery malfunction. # # # recommendations - replace the battery with a new one of the same type and voltage. - ensure that the battery is properly installed. - test the battery to ensure that it is functioning correctly. - regularly inspect the battery for signs of damage or wear. - have the equipment serviced by a qualified technician. @topic:11


* * issue : * * - the patient transport monitor sometimes fails to release air, resulting in inaccurate blood pressure measurements. * * impact : * * - inaccurate blood pressure measurements can lead to incorrect diagnoses and treatments. * * possible causes : * * - * * air leak in the tubing : * * a leak in the tubing can prevent the monitor from properly releasing air. - * * faulty air release mechanism : * * the air release mechanism may be malfunctioning, causing it to fail to release air. - * * improper calibration : * * the monitor may not have been calibrated correctly, leading to inaccurate readings. * * recommendations : * * - * * inspect the tubing for leaks : * * check the tubing for any holes or cracks that could allow air to escape. - * * test the air release mechanism : * * manually test the air release mechanism to ensure it is functioning properly. - * * recalibrate the monitor : * * the monitor should be calibrated according to the manufacturer's instructions to ensure accurate readings. - * * replace faulty components : * * if the issue persists, replace any faulty components, such as the tubing or air release mechanism. @topic:15


c helper trendelenburg ( shock ) ab ontrol pendand m extension + linen holderª foot control pendant bumper ( 4 ) e n central brake and steer bar control f o control unit on a flexible arm head section " cpr " control 150 mm diameter single band g p casters bilateral hilow pedal with head section angle indicator h q hrp and identification label r night light a. equipment varies depending on bed model b. incompatible with the 250 kg swl version l1900b2 long siderails b e s f ill - ron h g cpr u o r m hill - rom l k j tename item name lectric emergenca l trendelenburg ( shock ) ab 150 mm diameter single band b m removable metal siderails * casters headboard footboard c n ontrol pendanumper d p e 2 sockets for i. v. pole and extension + linen holder atient helper bilateral hilow pedal with f hrp and identification label q head section " cpr " control central brake and steer bar g r control foot control [UNK] head section angle indicator s h j t night light control unit on a flexible arm lateral caregiver [UNK] u k maintenance indicator a. equipment varies depending on bed model b. incompatible with the 250 kg swl version l1900b2 bed with half siderails d b a pc item name name item patient siderail keypad a control [UNK] d e hrp and identification labels b caregiver siderail keypad head section " cpr " control c a. equipment varies depending on bed model. l1900b3 k h b l m g pf p item tename name leep surface angle a j headboard k footboard b two sockets for i. v. pole and control pendant l c patient helper m d extension + linen - holder e patient half - siderail @topic:9


# # # issue - monitor, bedside, physiologic ( philips, intellivue mp70 ( m8007a ) ) - unable to connect to monitor # # # impact - inability to monitor patient's vital signs - delay in diagnosis and treatment # # # possible causes - damaged connecting cable - faulty monitor port - software glitch - incorrect configuration settings # # # recommendations - inspect connecting cable for damage and replace if necessary - check monitor port for loose connections or debris - restart monitor and check software updates - reset monitor to factory default settings @topic:2


# # # issue - unable to adjust bed due to faulty remote control # # # impact - patient discomfort and potential safety risks if bed cannot be adjusted for proper positioning # # # possible causes - damage to remote control : physical impact, water damage, or electronic malfunction - battery failure : low battery power or battery connection issues - malfunction of the receiver unit in the bed : faulty wiring, loose connections, or electronic component failure # # # recommendations - replace faulty remote control - check battery and connections, replace if necessary - inspect receiver unit in bed for loose connections or damaged components, repair or replace as needed - ensure proper handling and storage of remote control to prevent future damage @topic:7


# # # issue - loose guardrail fasteners - damaged guardrail casters # # # impact - patient safety hazard - reduced functionality of the bed # # # possible causes - missing or loose fasteners - worn or damaged casters - improper maintenance or use of the bed # # # recommendations - inspect and tighten all guardrail fasteners regularly. - replace damaged or worn casters as needed. - follow the manufacturer's instructions for proper maintenance and use of the bed. @topic:6


# # # issue - remote cord is damaged. # # # impact - the bed cannot be controlled remotely. # # # possible causes - the cord may have been cut or frayed. - the cord may have been pinched or crushed. - the cord may have been damaged by water or chemicals. # # # recommendations - replace the remote cord. - inspect the cord for any damage and repair or replace as necessary. - protect the cord from being cut, frayed, pinched, crushed, or damaged by water or chemicals. @topic:7


* * cause of failure : * * * * loose mounting nuts * * * * issue : * * loose mounting nuts can cause the nibp monitor to become unstable or fall, potentially injuring patients or staff. * * impact : * * - * * safety hazard : * * loose mounting nuts can create a tripping hazard and cause the monitor to fall, potentially injuring people nearby. - * * inaccurate readings : * * a loose monitor may not be able to provide accurate blood pressure measurements, which could lead to misdiagnosis or delayed treatment. - * * equipment damage : * * loose mounting nuts can damage the monitor itself or other equipment connected to it. * * possible causes : * * - * * improper installation : * * the mounting nuts may not have been tightened sufficiently during initial installation. - * * wear and tear : * * over time, mounting nuts can loosen due to vibration or movement. - * * corrosion : * * exposure to fluids or other corrosive substances can weaken the nuts and cause them to loosen. * * recommendations : * * - * * regular maintenance : * * inspect the mounting nuts regularly and tighten them as needed. - * * proper installation : * * ensure that the mounting nuts are tightened sufficiently during installation using the appropriate tools. - * * use thread - locking compound : * * apply a thread - locking compound to the nuts to prevent them from loosening. - * * replace damaged nuts : * * if the mounting nuts are damaged or worn, replace them with new ones. - * * monitor for loose nuts : * * pay attention to any unusual noises or movement from the monitor that could indicate loose mounting nuts. @topic:26


# # # issue - mouse and keyboard dongles are damaged, rendering the medical cart inoperable. # # # impact - inability to use the medical cart for patient care, leading to potential delays and inefficiencies. # # # possible causes * * 1. electrical failure : * * power surges or fluctuations could have damaged the dongles'electrical components. * * 2. physical damage : * * mishandling or accidental impact could have physically damaged the dongles. * * 3. faulty dongles : * * manufacturing defects or inherent design flaws could have contributed to the dongle failure. * * 4. incompatible drivers : * * outdated or incorrect drivers may have interfered with the dongle's functionality. # # # recommendations * * 1. replace dongles : * * replace the damaged dongles with compatible and functional ones. * * 2. inspect power source : * * ensure that the medical cart is connected to a stable and reliable power source. * * 3. handle with care : * * instruct staff to handle the dongles carefully and avoid mishandling or impacts. * * 4. update drivers : * * check for any available driver updates for the medical cart and install them if necessary. * * 5. regular maintenance : * * implement regular maintenance schedules to inspect and clean the dongles, preventing future damage. * * 6. spare parts : * * keep spare dongles on hand to minimize downtime in case of future failures. @topic:30


# # # issue - central station monitor display is not working # # # impact - inability to monitor patient vital signs and other parameters - delays in patient care and treatment - potential patient safety risks # # # possible causes - loose or damaged connections - power supply issues - faulty display panel - software or firmware glitches - overheating or other environmental factors # # # recommendations - check and secure all connections - verify power supply and ensure proper voltage and amperage - inspect display panel for any damage or cracks - update software or firmware if necessary - ensure proper ventilation and temperature control - contact the manufacturer or a qualified service technician for further assistance @topic:2


# # # issue * broken spo2 cable # # # impact * inability to measure spo2 values # # # possible causes * physical damage to the cable ( e. g., pinching, pulling, excessive bending ) * wear and tear over time * manufacturing defects # # # recommendations * perform a thorough inspection of the cable for any visible damage. * check for any signs of kinks, cuts, or loose connections. * replace the damaged cable with a new one of the same type and model. * train staff on proper handling and maintenance of the equipment to prevent future damage. * consider implementing a regular preventive maintenance schedule to identify and address any potential issues early on. @topic:4


# # # issue - power board failure in the philips intellivue mp70 ( m8007a ) bedside physiologic monitor. # # # impact - inability to use the monitor for patient care, as it is a critical piece of equipment for monitoring vital signs. - potential safety hazard to patients if the monitor is not functioning properly. - loss of revenue for the hospital due to the downtime of the monitor. # # # possible causes - overheating of the power board due to faulty components or inadequate ventilation. - power surges or fluctuations that damage the power board. - worn or damaged wiring within the power board. - manufacturing defects in the power board. # # # recommendations - replace the power board with a new or refurbished one. - inspect the monitor for any other potential issues that may have contributed to the power board failure. - review the maintenance history of the monitor to identify any previous issues or repairs that may have weakened the power board. - implement a preventative maintenance program to regularly inspect and service the monitor to prevent future failures. - consider purchasing or leasing a backup monitor to minimize downtime in the event of a failure. @topic:2


interfaces or hardware upgrades where the power supply of the monitor or interface boards of the monitor need to be removed. perform visual inspection, power on test, basic performance tests and au safety tests combining or exchanging system components ( non - medical equipment connected to an intellivue monitor or medical system equipment operated on a multiple socket outlet ) perform the system test for the respective system components 35 [ 3 testing and maintenance ] note it is the responsibility of the facility operator or their designee to obtain reference values for recurring safety and system tests. these reference values are the results of the first test cycles after an installation. you may also purchase this service from philips. testing sequence summary of the recommended sequence of testing : note if any single test fails, testing must be discontinued immediately and the device under test must be repaired or labeled as defective. visual inspection before each use check au exterior housings for cracks and damage. check the condition of au external cables, especially for splits or cracks and signs of twisting. if serious damage is evident, the cable should be replaced immediately. check that au mountings are correctly installed and secure. refer to the instructions that accompany the relevant mounting solution. 36 3 testing and maintenance ] after each service, maintenance or repair event check : • the integrity of mechanical parts, internally and externally • any damage or contamination, internally and externally • that no loose parts or foreign bodies remain in the device after servicing or repair. • the integrity of all relevant accessories. power on test 1 connect the monitoring system to mains and switch it on. this includes connected displays, mms, mms extensions, x2, and parameter modules, gas analyzers and intellibridge devices. 2 make sure that all steps listed in the table initial instrument boot phase in the troubleshooting section are completed successfully and that an ecg wave appears on the screen. the expected test result is pass : the monitor boots up and displays @topic:22


# # # issue - module failure # # # impact - inaccurate or no patient monitoring - delays in patient care # # # possible causes - defective module - damaged module slot - software glitch # # # recommendations - replace the failed module - clean the module slot and reinsert the module - update the device software @topic:2


##ing, contact the manufacturer for technical support and guidance on advanced diagnostic procedures or part replacements. @topic:12