# # # issue * cuff bp velcro strap has deteriorated and is no longer adhering. # # # impact * inability to accurately measure blood pressure. * potential for patient discomfort due to loose cuff. # # # possible causes * extended use and wear - and - tear on the velcro strap. * improper storage or handling of the device. * exposure to excessive heat or moisture. # # # recommendations * replace the cuff bp velcro strap with a new one as soon as possible. * check the velcro strap regularly for signs of wear and replace it if necessary. * follow the manufacturer's instructions for storage and handling of the device. * protect the device from excessive heat and moisture. * train staff on proper use and maintenance of the device. @topic:3


# # # issue the philips suresigns vs2 + monitor, physiologic, vital signs cannot measure vital signs because the cuff cannot be attached. # # # impact the device is unable to perform its intended function, which is to monitor vital signs. this could lead to delayed or missed diagnosis and treatment, which could have serious consequences for the patient. # # # possible causes the cuff may not be able to attach properly due to several reasons, including : - the cuff is damaged or worn out. - the cuff is not the correct size for the patient. - the cuff is not properly inflated. - the cuff is not properly attached to the device. # # # recommendations to troubleshoot the issue, the technician should : - inspect the cuff for damage or wear and tear. - check that the cuff is the correct size for the patient. - inflate the cuff properly. - reattach the cuff to the device according to the manufacturer's instructions. if the issue persists, the technician may need to replace the cuff or the device. @topic:15


# # # issue - bed cannot be adjusted # # # impact - patient discomfort - delays in patient care - increased workload for nursing staff # # # possible causes - loose wiring connection to the motor - faulty motor - control board malfunction - software glitch # # # recommendations - tighten the loose wiring connection. - inspect the motor for any damage or wear. - check the control board for any loose connections or burnt components. - update the software to the latest version. - contact the manufacturer for further troubleshooting assistance. @topic:1


# # # issue - battery failure in nibp monitor. # # # impact - the nibp monitor will not be able to function properly due to lack of power. - may result in inaccurate or unreliable blood pressure readings, which could lead to incorrect patient care decisions. # # # possible causes - battery degradation over time - improper battery handling or storage - malfunctioning battery charger or charging circuit # # # recommendations - regularly replace batteries as per the manufacturer's guidelines. - ensure proper battery handling and storage practices. - test batteries regularly and replace if necessary. - inspect battery charger and charging circuit for any issues. - train staff on proper battery maintenance and handling procedures. @topic:11


# # # issue - spo2 malfunction # # # impact - inaccurate oxygen saturation readings - delayed or missed diagnosis and treatment # # # possible causes - damaged spo2 sensor cable # # # recommendations - replace damaged spo2 sensor cable - regularly inspect and maintain spo2 equipment - ensure proper handling and storage of equipment @topic:4


# # # issue - loss of icons on the medical cart's display. # # # impact - inability to access and use the medical software programs. # # # possible causes - * * software glitch or corruption : * * the operating system or the medical software programs may have experienced a glitch or corruption, causing the icons to disappear. - * * hardware issue : * * the display or the graphics card may have malfunctioned, leading to the loss of icons. - * * user error : * * the technician may have accidentally deleted or moved the icons. # # # recommendations - * * restart the medical cart : * * this can clear any temporary glitches in the software. - * * reinstall the medical software programs : * * if the issue persists, the medical software programs may need to be reinstalled. - * * check the display and graphics card : * * ensure that the display and graphics card are functioning properly. - * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the medical cart for further support. @topic:13


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : bme has checked and found that the drawer can't be opened and more patients cannot be added, so they have made some initial fixes and called scg service for further repairs. the repairs have been completed and bme has checked and found that the device is now working normally. # # # impact - the medical cart cannot be used to store or transport medical supplies or equipment. - the medical cart cannot be used to add more patients to the system. # # # possible causes - the drawer is jammed or obstructed. - the drawer lock is broken or damaged. - the drawer mechanism is broken or damaged. - the drawer is not properly aligned. - the software that controls the drawer is not working properly. # # # recommendations - check the drawer for any obstructions or blockages. - check the drawer lock to make sure it is not broken or damaged. - check the drawer mechanism to make sure it is not broken or damaged. - check the drawer alignment to make sure it is properly aligned. - check the software that controls the drawer to make sure it is working properly. @topic:21


# # # issue - lead interfere # # # impact - the monitor may not be able to accurately display the patient's vital signs. # # # possible causes - the lead wires may be damaged or loose. - the lead wires may be connected to the wrong ports on the monitor. - there may be a problem with the monitor's internal circuitry. # # # recommendations - inspect the lead wires for any damage or loose connections. - make sure that the lead wires are connected to the correct ports on the monitor. - if the problem persists, contact the manufacturer of the monitor for further troubleshooting assistance. @topic:18


##u4, ccu - west, erl, step - down north, etc. • the radius of deployment, expressed in meters. imagine drawing a circle around the center of the clinical unit, that encloses / encompasses the unit. what is its radius? • the number of the highest floor on which a transmitting device will operate. • how many transmitting devices will be used, i. e. the total number of intellivue instrument telemetry adapter devices combined. • the effective radiating power : 9 mw • the equipment manufacturer : philips medical systems. • the model numbers : 866060 / 866062 / 866064 / 866066 # j45 intellivue instrument telemetry adapter used with 866060 ( mx400 ), 866062 ( mx450 ), 866064 ( mx500 ) or 866066 ( mx550 ) • the frequency range to be used : two separate coordinations are required : for the first one, click on the range of 1395. 0 through 1400. 0 mhz. for the second one, click on au the frequency ranges hsted in the range of 1427. 0 through 1432. 0 mhz. when both registration and frequency coordination have been successfully completed, the intellivue instrument telemetry system can be activated. note that this process is the responsibility of the customer, as the final ‘ ‘ operator ” of the transmitting equipment. philips intellivue information center please refer to the installation instructions and instructions for use of the intellivue information center rev. system j or higher. wireless lan installation of the wlan interface should be performed by philips service personnel. for detailed wlan specifications and wlan infrastructure information ( minimum rf signal level, minimum signal - to - noise ratio ) please refer to the “ specifications ” chapter in the instructions for use. short @topic:10


* * issue : * * - equipment not available for patient care - patient discomfort or safety risks due to lack of appropriate equipment * * impact : * * - delays in patient treatment or care - increased risk of adverse patient outcomes - poor patient satisfaction * * possible causes : * * - failure to return borrowed equipment on time - lack of clear communication between departments regarding equipment use - misplacement or loss of equipment - lack of inventory management system to track equipment location * * recommendations : * * - establish a clear policy for equipment borrowing and return deadlines - improve communication between departments regarding equipment use and availability - implement an inventory management system to track equipment location and usage - consider using a mobile asset tracking system to monitor equipment in real - time - train staff on proper equipment handling and maintenance procedures - conduct regular equipment audits to identify missing or misplaced items @topic:12


# # # issue - equipment malfunction : the bed, electric device is not operating correctly due to a faulty connection. # # # impact - downtime : the device is unavailable for use, potentially disrupting patient care and workflow efficiency. # # # possible causes - * * internal wiring failure : * * the internal wiring of the device may have become damaged or loose, leading to an interruption in the electrical connection. - * * external wiring damage : * * the external wiring connected to the device, such as the power cord or connecting cables, may have been damaged or disconnected. - * * loose connections : * * connectors and terminals may have become loose over time, causing a loss of electrical contact. # # # recommendations to resolve the issue and prevent further failures, the following recommendations are suggested : - * * inspect internal wiring : * * thoroughly inspect the internal wiring of the device, including all connections and solder joints. repair or replace any damaged or loose wires. - * * examine external wiring : * * check the external wiring to ensure there are no visible signs of damage or kinks. replace any damaged cords or cables. - * * tighten connections : * * ensure that all connectors and terminals are properly tightened to provide a secure electrical contact. - * * regular maintenance : * * establish a regular maintenance schedule for the device to identify and address potential problems before they escalate into larger issues. @topic:9


# # # issue - defective spo2 cable # # # impact - inaccurate spo2 readings - patient safety risk # # # possible causes - physical damage to the cable - aging and wear - manufacturing defect # # # recommendations - replace the spo2 cable immediately - inspect other spo2 cables regularly for signs of damage - consider using a wireless spo2 system to reduce the risk of cable damage @topic:4


* * issue : * * battery failure * * impact : * * vital signs monitor will not operate properly and may not be able to provide accurate readings. * * possible causes : * * * battery has reached the end of its life * battery has been damaged or overheated * battery has been improperly installed * charging system is faulty * * recommendations : * * * replace the battery with a new one. * inspect the battery for any damage or leaks. * check the charging system to ensure that it is functioning properly. * if the problem persists, contact the manufacturer for further troubleshooting. @topic:11


# # # issue - the electric bed is not adjustable. # # # impact - patients may not be able to be positioned comfortably or safely. - staff may have difficulty providing care to patients in the bed. # # # possible causes - the board on the bed is burned out, causing a loss of power to the bed. - the board on the bed is not properly connected. - the wiring to the bed is damaged. - the motor on the bed is not working. # # # recommendations - replace the burned out board. - check the connections on the board and make sure they are secure. - inspect the wiring to the bed for any damage and repair or replace as necessary. - test the motor on the bed to make sure it is working properly. @topic:1


# # # issue - defective ecg trunk cable # # # impact - inability to accurately monitor patient's electrocardiogram ( ecg ) # # # possible causes - prolonged use of the cable without proper maintenance - damage to the cable due to mishandling or improper storage - loose connections or faulty components within the cable # # # recommendations - replace the defective ecg trunk cable with a new one. - ensure proper maintenance and storage of all ecg cables. - regularly inspect ecg cables for any signs of damage or wear. - train staff on proper handling and storage techniques to prevent damage to cables. # # # additional notes - the failure of the ecg trunk cable was likely caused by the fact that it was left connected to the monitor without being attached to a patient. this can cause electrical interference and damage the cable over time. - it is important to follow proper procedures for connecting and disconnecting ecg cables to prevent damage and ensure accurate patient monitoring. @topic:18


# # # issue - bed not adjusting # # # impact - patient discomfort - inability to perform necessary medical procedures # # # possible causes - loose remote connection - faulty remote control - electrical issue - mechanical issue with the bed # # # recommendations - ensure that the remote control is securely connected to the bed. - test the remote control to ensure that it is functioning properly. - inspect the bed for any electrical or mechanical issues. - contact the manufacturer for further assistance if the issue cannot be resolved. @topic:1


# # # issue - ssd failure # # # impact - medical cart cannot boot into windows operating system # # # possible causes - ssd hardware failure - ssd firmware corruption - physical damage to the ssd # # # recommendations - replace the ssd with a new one - update the ssd firmware - inspect the ssd for any physical damage @topic:13


# # # issue erroneous blood pressure readings # # # impact inaccurate diagnosis and treatment # # # possible causes - malfunctioning sensor - faulty wiring - software glitch - clogged tubing - air bubbles in the system # # # recommendations - inspect the sensor for damage or debris - check the wiring for loose connections or breaks - update the software to the latest version - flush the tubing with saline solution - remove any air bubbles from the system @topic:15


* * issue : * * adjustable bed is not adjustable * * impact : * * patient cannot be positioned comfortably in the bed. * * possible causes : * * - * * remote control is not functioning properly. * * the remote control may not be communicating with the bed, or the buttons may not be working. - * * electrical problem. * * there may be a problem with the bed's electrical system, which is preventing it from adjusting. - * * mechanical problem. * * there may be a mechanical problem with the bed, such as a broken gear or motor. - * * user error. * * the user may not be using the bed correctly. * * recommendations : * * - * * check the remote control. * * make sure that the remote control is turned on and that the batteries are fresh. try resetting the remote control by removing the batteries and then reinserting them. - * * check the electrical system. * * inspect the bed's electrical system for any loose connections or damaged wires. - * * check the mechanical system. * * inspect the bed's mechanical system for any broken gears or motors. - * * provide training to the user. * * make sure that the user is trained on how to use the bed correctly. @topic:1


# # # issue - screen turns off when not in use # # # impact - inability to use the medical cart effectively # # # possible causes - the screen's power settings are not configured correctly - the screen's hardware is faulty - the power supply to the screen is interrupted # # # recommendations - * * check the screen's power settings. * * make sure that the screen is set to stay on when not in use. - * * inspect the screen's hardware. * * look for any visible damage to the screen or its cables. - * * test the power supply to the screen. * * make sure that the power supply is providing enough power to the screen. @topic:13


* * issue : * * medical cart fails to boot up * * impact : * * unable to use the medical cart for patient care * * possible causes : * * * hard disk drive ( hdd ) failure : the hdd may have become corrupted or damaged, resulting in the computer's inability to load the operating system. * bios settings : the bios settings may have been inadvertently changed, causing the computer to boot from the wrong device ( e. g., a usb drive instead of the hdd ). * motherboard : the motherboard may have malfunctioned, preventing the computer from communicating with its components. * power supply : the power supply unit ( psu ) may have failed, causing the computer to receive insufficient power. * ram : the ram may be corrupted or damaged, preventing the computer from loading the operating system. * * recommendations : * * * * * check the hdd : * * run diagnostics on the hdd to determine if it is faulty. if necessary, replace the hdd. * * * reset bios settings : * * reset the bios settings to their factory defaults. this can be done by removing the cmos battery or by using a jumper on the motherboard. * * * inspect the motherboard : * * look for any physical damage or signs of overheating on the motherboard. if necessary, replace the motherboard. * * * test the power supply : * * use a multimeter to test the voltage output of the psu. if the output is below specifications, replace the psu. * * * reseat the ram : * * remove the ram modules and reinstall them. ensure that they are properly seated in their slots. @topic:13


# # # issue - the bed's side rails cannot be lowered. # # # impact - the patient may be at risk of falling if the side rails cannot be lowered. # # # possible causes - the side rails may be obstructed by bedding or other objects. - the side rail release mechanism may be malfunctioning. - the bed's electrical system may be malfunctioning. # # # recommendations - inspect the side rails for any obstructions. - check the side rail release mechanism for proper function. - inspect the bed's electrical system for any damage or loose connections @topic:6


# # # issue - monitor wheels are stuck due to hair entanglement. # # # impact - difficulty in moving the monitor, which can affect patient care. # # # possible causes - hair or other fibers getting entangled in the monitor wheels. - lack of regular cleaning and maintenance. # # # recommendations - regularly clean and inspect the monitor wheels to remove any hair or debris. - ensure that the monitor is placed in a location where it is less likely to come into contact with hair or other fibers. - consider using anti - static materials around the monitor to reduce the attraction of hair and fibers. @topic:24


sensors and adapter cables directly from tyco healthcare. do not use more than one extension cable with any sensors or adapter cables. do not use an extension cable with : • masimo adapter cables, • philips reusable sensors or adapter cables with part numbers ending in - l ( indicates “ long ” version ). all listed sensors operate without risk of exceeding 4l°c on the skin, if the initial skin temperature does not exceed 35°c. always use the max - fast forehead sensor with the foam headband provided by nellcor. make sure that you use only the accessories that are specified for use with this device, otherwise patient injury can result. option a01 is the philips fast - sp0 2 version ; option a02 is the nellcor oximax - compatible version. the sp0 2 option a02 may not be available in all countries. some sensors may not be available in all countries. product number description compatible with : comments opt. a01 opt. a02 philips reusable sensors. 387 37 accessories sp0 2 accessories product number description compatible with : comments opt. a01 opt. a02 m1191a / b adult sensor ( 2m cable ), for patients over 50 kg. any finger, except thumb. yes no no adapter cable required. m1191al / bl m1191a / b with longer cable ( 3 m ) yes no m1192a small adult, pediatric sensor ( 1. 5m cable ) for patients between 15 kg and 50 kg. any finger except thumb. yes no m1193a neonatal sensor ( 1. 5m cable ) for patients between 1kg and 4 kg. hand or foot. yes no m1194a ear sensor ( 1. 5m cable ) for patients more than 40 kg. yes no m1195a infant sensor ( 1 @topic:8


* * issue : * * - physiologic monitor, philips suresigns vs3 buttons not functioning. * * impact : * * - inability to monitor vital signs accurately. * * possible causes : * * - faulty push buttons - damage to wiring - malfunctioning circuit board * * recommendations : * * - * * test push buttons : * * ensure they are making proper contact and not sticking. - * * inspect wiring : * * check for any breaks, loose connections, or damage to wires. - * * test circuit board : * * use a multimeter to check for continuity and voltage. - * * replace faulty components : * * if necessary, replace any damaged push buttons, wires, or circuit boards. - * * calibrate and verify : * * once repairs are made, calibrate the monitor and verify its accuracy against a known standard. @topic:2


# # # issue medical cart is unable to load the program. # # # impact the medical cart cannot be used for its intended purpose. # # # possible causes - software issue - hardware issue # # # recommendations - restart the medical cart. - update the software on the medical cart. - check the hardware connections on the medical cart. - contact the manufacturer for support. @topic:13


result memory passed spo2 passed nbp passed predictive temp passed 2 when all tests complete, select the return button to return to the main screen. detected errors are written to the error log with detailed error information and error codes. testing the speaker the audio test plays a sample sound on each of the different decibel ( db ) levels. to perform the audio test : step 1 in the system diagnostics menu, select the audio test button to start the test. the following message is displayed : listen for three short tones. 2 verify that the monitor sounds three short tones at different db levels. when the test completes, the audio test window closes. troubleshooting suresigns vs2 * and vsi service guide 4 - 31 testing the keys testing the keys the keys test verifies the functions of the system keys and, for the vs2 * monitor only, the wheel. if you do not get the expected results, see “ navigation wheel ( vs2 * monitor only ) and key problems ” on page 4 - 10. to run the keys test : step 1 in the system diagnostics menu, select the keys test button. the menu that appears depends on the monitor. on the suresigns vs2 * monitor, the keys / rotary wheel test menu appears. keys / rotary wheel test push rotary wheel to exit. aaa a on the suresigns vsi monitor, the keys test menu appears. keys test sag push y key to exit. ns sp iae 2 to test a system key, press a key on the monitor. if the key you press on the monitor is working properly, the corresponding icon lights with a border for five seconds. 3 on the suresigns vs2 * monitor, to test the navigation wheel, turn the wheel clockwise or counterclockwise. if the wheel is working properly, the black dots sequentially change @topic:22


on for your monitor, you will get an audible reminder of alarm conditions that remain active after you have acknowledged the alarm. this reminder may take the form of a repetition of the alarm tone for a limited time, or an unlimited repetition of the alarm tone ( this is the same as a new alarm ). alarm reminder is not available for standard, light blue inops but for yellow and red inops. in configuration mode, you can set the interval between silencing the alarm and sounding the reminder tone to one, two, or three minutes. the alarm reminder behavior at the information center is different to that at the monitor. refer to the information center instructions for use for further information. 59 3 alarms pausing or switching off alarms pausing or switching off alarms if you want to temporarily prevent alarms from sounding, for example while you are moving a patient, you can pause alarms. depending on your monitor configuration, alarms are paused for one, two, or three minutes, or infinitely. to view the alarm pause setting chosen for your unit, 1 select main setup - > alarms - > alarm settings 2 check the alarms offsetting. this setting can only be changed in configuration mode. to pause all alarms ♦ select the pause alarms permanent key. if your monitor is configured to infinite pause time, the permanent key is labelled alarms off, and selecting it switches alarms off. ♦ or press the alarms hardkey on the speedpoint or navigation point. the hardkey follows the behavior configured for the permanent key. depending on the configuration, you may need to select confirm to complete the change. to switch all alarms off you can only switch alarms off permanently if your monitor is configured to allow infinite alarms pause and the permanent key is labelled alarms off. ♦ select the alarms off permanent key. ♦ or press the alarms hardkey on the speedpoint or navigation point. the hardkey follows the behavior configured for the permanent key. depending on the @topic:10


# # # issue - equipment is unable to make measurements # # # impact - inability to monitor vital patient signs accurately # # # possible causes - equipment malfunction - sensor failure - calibration issues # # # recommendations - request a replacement equipment - schedule calibration - contact the original manufacturer for inspection @topic:2


##02 values of drawn blood samples measured by hemoximetry. au accuracies are expressed as ± " x " digits. pulse oximeter equipment measurements are statistically distributed ; about two - thirds of pulse oximeter measurements can be expected to fall in this accuracy ( arms ) range. because scatter and bias of pulse oximeter sp02 and blood sa02 comparisons commonly increase as the saturation decreases, and accuracy specifications are calculated from data spanning the stated range, different accuracy values may result when describing partially overlapping ranges. 65 [ 3 testing and maintenance ] subjects used to validate sp02 measurement accuracies were healthy and recruited from the local population. comprised of both men and women, subjects spanned a range of skin pigmentations and ranged in age from 18 - 50 years old. oxygen saturation accuracy can be affected by certain environmental, equipment, and patient physiologic conditions ( as discussed in the instructions for use for the monitor ) that influence readings of sp02, sa02, or both. accordingly, observations of clinical accuracy may not achieve the same levels as those obtained under controlled laboratory conditions. pulse rate accuracy has been validated with an electronic pulse simulator. masimo set sp02 technology the sp02 accuracy ( except for lnop blue sensors ) has been validated in human studies against arterial blood sample reference measured with a co - oximeter. in a controlled desaturation study, healthy adult volunteers with saturation levels between 70 % and 100 % sp02 were studied. the population characteristics for those studies were : • healthy female subjects : 22 to 39 years of age ; light to dark skin pigmentation • healthy male subjects : 19 to 37 years of age ; light to dark skin pigmentation the lnop blue sp02 accuracy has been validated in human blood studies on neonatal, infant and pediatric patients with congenital cyano @topic:4


# # # issue - bed cannot be adjusted up or down # # # impact - patient may be uncomfortable or unable to get out of bed - caregivers may have difficulty providing care # # # possible causes - faulty remote control - problem with bed motor - broken or disconnected wires # # # recommendations - check the remote control and replace if necessary - inspect the bed motor for any damage or loose connections - check the wiring for any breaks or disconnections @topic:1


* * issue : * * equipment failure * * impact : * * inability to monitor patient's vital signs * * possible causes : * * * * * power supply issue : * * faulty power cord, loose connection, or internal power supply failure * * * hardware malfunction : * * damaged or faulty components, such as the display, buttons, or sensors * * * software glitch : * * bugs or errors in the software that prevent the equipment from functioning properly * * * operator error : * * incorrect setup or handling of the equipment * * recommendations : * * * * * check power supply : * * ensure the power cord is securely connected and that the power outlet is functioning. * * * inspect hardware : * * look for any visible damage, loose wires, or disconnected components. * * * restart the equipment : * * unplug the device and wait a few minutes before plugging it back in. this may reset any software glitches. * * * update software : * * if available, check for any software updates that may address the issue. * * * contact manufacturer : * * if the issue persists, contact the manufacturer for troubleshooting and repair options. @topic:2


# # # issue : medical cart enters sleep mode frequently. # # # impact : interruptions in patient care, delayed treatments, inconvenience for medical staff. # # # possible causes : - faulty power supply or battery : a weak or malfunctioning power supply or battery can cause the cart to enter sleep mode prematurely. - software glitches : bugs or errors in the cart's software can trigger unintended sleep mode activations. - network connectivity issues : if the cart relies on wireless or ethernet connectivity, unstable or intermittent connections can disrupt its functionality, leading to sleep mode activation. - settings misconfiguration : incorrect settings in the cart's power management options can cause it to enter sleep mode at inappropriate times. # # # recommendations : - check the power supply and battery : ensure the power supply is providing sufficient voltage and that the battery is in good condition. - update the software : if available, install the latest software updates to address any known software issues. - troubleshoot network connectivity : verify that the cart is connected to a stable network and that there are no connectivity issues. - adjust the power management settings : configure the power management settings to prevent the cart from entering sleep mode during active use. - consult the manufacturer : if the issue persists after following these recommendations, consult the medical cart manufacturer for further troubleshooting and support. @topic:13


# # # issue * cuff on the bedside physiologic monitor has deteriorated. # # # impact * blood pressure measurements may be inaccurate or unreliable. # # # possible causes * aging and wear - and - tear of the cuff material. * harsh cleaning chemicals or improper cleaning techniques. * excessive use or over - inflation of the cuff. # # # recommendations * replace the cuff with a new, compatible one. * inspect the cuff regularly for signs of wear or damage. * follow proper cleaning instructions for the cuff and avoid using harsh chemicals. * train staff on proper cuff inflation techniques to prevent over - inflation. @topic:3


ac power but network connection could not be established docking interface board not installed in monitor make sure that docking interface board is installed in the monitor lan cable not connected or defective check the lan cable connection. try the lan cable directly in the monitor. if it functions in the monitor but not in the docking station, see other possible causes below. if it doesn ’ t function in the monitor, exchange the lan cable flex cable in docking station not connected properly or defective check the flex cable connection in the docking station. exchange flex cable if necessary. docking station main board defective exchange docking station main board other network related problems. see network related problems monitor does not boot or constantly reboots but functions properly outside docking station flex cable in docking station not connected properly or defective check the flex cable connection in the docking station. exchange flex cable if necessary. docking connector soiled or blocked. make sure there is no dirt or other foreign bodies in the docking connectors docking station main board defective exchange docking station main board data flow marker in and ecg wave the following illustration of the data flow for marker in and ecg wave may assist in troubleshooting. 102 troubleshooting guide 4 troubleshooting defib cable status log many events that occur during start - up or regular monitoring are logged in the status log. the status log can be printed and cleared. not all entries in the status log are errors. monitor h 1720 20050 1 4 apr 02 16 : 37 c 1721 21050 1 4 apr 02 15 : 37 103 4 troubleshooting troubleshooting guide the window title is either monitor or measserv, dependent on which system component ’ s status log is currently displayed. the status log window shows logged events which caused a reboot of the system component ( monitor or measurement server ). to enter the status log window, select main setup - > revision. the following list opens up : • status log • product @topic:2


# # # issue the cuff of the bedside physiologic monitor by philips is leaking, resulting in a failure to obtain accurate readings. # # # impact - the monitor cannot provide accurate patient vital readings. - this can lead to delayed or incorrect diagnosis and treatment decisions. - patient safety may be compromised. # # # possible causes - the cuff may be damaged or worn out. - the connection between the cuff and the monitor may be loose or faulty. - the cuff may not be the correct size for the patient. # # # recommendations - replace the leaking cuff with a new one. - check the connection between the cuff and the monitor for any loose or damaged wires or ports. - ensure that the cuff is the correct size for the patient. - calibrate the monitor and cuff according to the manufacturer's instructions. @topic:3


# # # issue - no signal # # # impact - the monitor is unable to display any patient data, which could lead to a delay in diagnosis and treatment. # # # possible causes - the cable connecting the monitor to the central station is not properly connected. - the monitor or the central station is not turned on. - the software on the monitor or the central station is not functioning properly. - the monitor or the central station is damaged. # # # recommendations - check the connections between the monitor and the central station. make sure that the cables are securely plugged into both devices. - turn on the monitor and the central station. if either device is not turned on, the monitor will not be able to display any patient data. - restart the software on the monitor and the central station. this may resolve the issue if the software is not functioning properly. - if the issue persists, contact the manufacturer of the monitor or the central station for further troubleshooting. @topic:2


# # # issue - insufficient information to determine the cause of failure. # # # impact - equipment malfunction or downtime. # # # possible causes - incorrect battery replacement procedure - faulty battery - other underlying issues with the equipment # # # recommendations - gather more information to determine the root cause of failure : - review the equipment's service history and maintenance logs - check the battery manufacturer's specifications and installation instructions - consult with the equipment manufacturer or a qualified biomedical engineer - implement corrective actions based on the identified cause of failure : - reinstall the battery correctly or replace it with a new one - repair or replace any other damaged components - train technicians on proper battery replacement procedures - monitor the equipment's performance after the corrective actions to ensure it is functioning properly @topic:11


# # # issue - barcode scanner is not working. # # # impact - inability to scan barcodes, which can lead to delays in patient care. # # # possible causes - loose battery causing intermittent connectivity issues. # # # recommendations - bme has already resolved the issue by reseating the battery. @topic:23


# # # issue the brake pedal no longer triggers the alarm when depressed. # # # impact medical staff may not be alerted to potential safety hazards when the bed is moved, posing a risk to patients. # # # possible causes 1. * * misaligned safety switch : * * the safety switch may not be properly aligned with the brake pedal, preventing contact and triggering the alarm. 2. * * damaged brake pedal : * * the brake pedal may be worn, broken, or misaligned, affecting its ability to engage with the safety switch. 3. * * electrical fault : * * a loose connection or faulty wire in the alarm system may prevent the alarm from sounding when the brake pedal is depressed. # # # recommendations 1. * * inspect safety switch alignment : * * ensure that the safety switch is properly aligned with the brake pedal and that there is sufficient contact to trigger the alarm. 2. * * examine brake pedal condition : * * check the brake pedal for any signs of damage, wear, or misalignment. if necessary, replace the brake pedal. 3. * * test electrical connections : * * inspect the electrical connections associated with the alarm system for any loose wires or damaged components. ensure that the circuit is complete and that there is continuity between the brake pedal, safety switch, and alarm. @topic:26


# # # issue - unable to adjust the bed rails. # # # impact - the inability to adjust the bed rails can pose a safety risk to the patient, as it may prevent them from being able to get in and out of bed safely. additionally, it may make it difficult to care for the patient, as the bed cannot be adjusted to the optimal position. # # # possible causes - there are several possible causes for the inability to adjust the bed rails, including : - * * mechanical failure : * * the springs that adjust the bed rails may be broken or damaged, preventing them from functioning properly. - * * electrical failure : * * the motor that controls the bed rails may be malfunctioning, preventing it from receiving power or responding to commands. - * * software failure : * * the software that controls the bed rails may be malfunctioning, preventing it from sending the correct commands to the motor. - * * user error : * * the bed rails may not be adjusted properly, or the user may not be familiar with how to operate the bed. # # # recommendations - to resolve the issue, the following steps should be taken : - * * inspect the bed rails : * * look for any signs of damage, such as broken springs or loose screws. if any damage is found, the bed rails should be replaced. - * * check the electrical connections : * * verify that the motor is receiving power and that all of the electrical connections are secure. if any loose connections are found, they should be tightened. - * * test the software : * * use the manufacturer's instructions to test the software and verify that it is functioning properly. if any errors are found, the software should be updated or replaced. - * * train the user : * * ensure that the user is familiar with how to operate the bed rails. provide them with training and support @topic:1


# # # issue * * monitor, telemetric, electrocardiography * * of * * philips * * brand with model number * * m2601b * * is not functioning properly. # # # impact the malfunctioning of this device may cause delays in patient care, inaccurate medical data, and increased healthcare costs. # # # possible causes 1. incorrect frequency setting 2. faulty components within the device 3. interference from other electronic devices 4. power supply issues # # # recommendations 1. check the device's frequency and ensure it is set to the correct value of 439. 9250 2. inspect the device for any signs of physical damage or loose connections. 3. isolate the device from other potential sources of electronic interference, such as cell phones or other medical equipment. 4. verify that the device is receiving adequate power supply. 5. if the problem persists, contact the manufacturer for further troubleshooting and repair. @topic:16


# # # issue - keypad failure, specifically the left - hand control unit is non - functional. # # # impact - compromised patient care due to the inability to operate the bed effectively. - inconvenience and potential safety concerns for healthcare providers. # # # possible causes - * * electrical fault : * * damage to the electrical components or wiring within the keypad or its connection to the bed's control system. - * * mechanical failure : * * wear and tear, damage, or misalignment of the keypad buttons or other mechanical parts. - * * software glitch : * * a bug or malfunction in the bed's software that affects the keypad's functionality. # # # recommendations - * * immediate action : * * replace the faulty keypad assembly with a new one to restore functionality. - * * root cause investigation : * * conduct a thorough examination of the bed's electrical system, mechanical components, and software to identify and address the underlying cause of the failure. - * * preventive maintenance : * * implement regular maintenance schedules and inspections to proactively detect and mitigate potential equipment issues, including keypad functionality testing. - * * user training : * * ensure that healthcare providers are adequately trained on the proper operation and maintenance of the bed, including the keypad controls. @topic:25


##fo overrun sp0 2 software problem shut down and restart the monitor. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. troubleshooting 7 - 17 error codes code description possible cause action 836 sp0 2 communication error sp0 2 communication error replace the spo? board. see “ removing the spo? board ” on page 8 - 28. if the problem persists, replace the front end assembly. see “ removing the front end assembly ” on page 8 - 24. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 837 spo? error. the front end will now reset itself. no sp0 2 data replace the spo? board. see “ removing the spo? board ” on page 8 - 28. if the problem persists, replace the front end assembly. see “ removing the front end assembly ” on page 8 - 24. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 849 fpga fifo overrun co? software problem shut down and restart the monitor. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 850 co? error. the front end will now reset itself. no co? data replace the co? module. see “ removing the suresigns vm8 co? module ” on page 8 - 9. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 851 ( 1 ) c0 2 equip malfunc ( 1 ) co? calibration error check / re - calibrate the co? module. see @topic:22


# # # issue bed alarm installation # # # impact the alarm may not function properly. # # # possible causes the alarm may not be properly connected to the bed. the alarm may be faulty. # # # recommendations - check the alarm to make sure it is properly connected to the bed. - test the alarm to make sure it is working properly. - if the alarm is still not working properly, contact the manufacturer for assistance. @topic:26


# # # issue - issue : * * replacement of location not successful * * # # # impact - impact : * * medical cart cannot be located accurately within the hospital. * * # # # possible causes - * * location data not properly updated in the system. * * - * * bdms medical cart model bdms 01 may not be compatible with the new location system. * * - * * technical issue with the location system or medical cart. * * # # # recommendations - * * verify that the location data for the medical cart is correct and up - to - date in the system. * * - * * check if the bdms medical cart model bdms 01 is compatible with the new location system. * * - * * contact the manufacturer or it support for assistance with troubleshooting technical issues. * * @topic:13


# # # issue - the medical cart's battery displayed - 1 % # # # impact - the medical cart's battery was not functioning properly. # # # possible causes - outdated firmware # # # recommendations - firmware updated and device restarted - battery restored to normal @topic:13


# # # issue - the saddle rail of the bed, electric, model uq2000b cannot be lifted up. # # # impact - the user cannot access the side rail to insert or remove it. # # # possible causes - the saddle rail is obstructed by the head of the bed. # # # recommendations - lift the head of the bed before attempting to lift the saddle rail. @topic:6


# # # issue * * module bp pump failure * * # # # impact - inability to accurately monitor blood pressure. # # # possible causes - faulty module bp pump - clogged or damaged tubing - software or hardware errors # # # recommendations - replace the module bp pump. - check and clean tubing for any clogs or damage. - update software or troubleshoot hardware issues. @topic:15


* * issue : * * equipment cannot be adjusted * * impact : * * patient care may be compromised due to inability to adjust the equipment to meet patient needs. * * possible causes : * * * * * mechanical failure : * * * worn or broken gears or belts * loose or damaged screws or bolts * misalignment of components * * * electrical failure : * * * faulty wiring or connections * malfunctioning motor or controller * * * software failure : * * * bugs or glitches in the software that controls the adjustments * * recommendations : * * * * * inspect the equipment for any visible damage or wear : * * check for loose or broken components, misalignment, and any signs of electrical damage. * * * test the electrical system : * * use a multimeter to check for continuity and voltage in the wiring and electrical components. * * * update or troubleshoot the software : * * if applicable, check for any software updates or known bugs that could be causing the issue. * * * consult the manufacturer's technical manual : * * refer to the specific instructions for the equipment to identify any troubleshooting steps or potential causes of the failure. * * * seek professional assistance from a qualified biomedical engineer : * * if the issue cannot be resolved with basic troubleshooting, contact a biomedical engineer to assess and repair the equipment. @topic:24


# # # issue - the solenoid in the drawer is stuck, preventing the drawer from opening. # # # impact - the drawer cannot be opened, preventing access to the contents within. # # # possible causes - lubrication failure : the solenoid may not be receiving enough lubrication, causing it to stick. - mechanical failure : the solenoid may have a mechanical defect, preventing it from functioning properly. - electrical failure : there may be an electrical issue preventing the solenoid from receiving power or from functioning properly. # # # recommendations - * * lubricate the solenoid : * * apply a suitable lubricant to the solenoid to reduce friction and prevent sticking. - * * inspect the solenoid for mechanical defects : * * check for any visible damage or wear on the solenoid that may be causing it to malfunction. replace the solenoid if necessary. - * * troubleshoot the electrical system : * * ensure that the solenoid is receiving proper power and that there are no electrical faults in the system. @topic:21


# # # issue - battery depletion, leading to inability to retain charge # # # impact - reduced functionality of medical device when not connected to a power source - potential safety risk if device is relied upon for critical patient monitoring # # # possible causes - * * battery degradation : * * over time, batteries naturally lose their ability to hold a charge. this is especially true for batteries that are subjected to frequent charging and discharging cycles. - * * charging issues : * * improper charging practices, such as overcharging or using the wrong charger, can damage the battery and reduce its lifespan. - * * environmental factors : * * extreme temperatures and humidity can also affect battery performance and lifespan. # # # recommendations - * * regular battery replacement : * * replace batteries as per the manufacturer's recommended schedule to ensure optimal performance. - * * appropriate charging practices : * * follow the manufacturer's instructions for charging the battery. use the correct charger and avoid overcharging. - * * environmental considerations : * * store and use the device in an environment that is within the recommended temperature and humidity range. - * * consider using an external power source : * * for devices that are critical for patient monitoring, consider using an external power source as a backup in case of battery depletion. @topic:11


# # # issue - faulty temp probe # # # impact - incorrect temperature readings - compromised patient safety - reduced patient care quality # # # possible causes - manufacturing defect - physical damage - improper handling or storage - electrical malfunction # # # recommendations * * immediate actions : * * - remove the device from service. - contact the manufacturer or authorized service provider for technical assistance. - isolate the affected area to prevent patient exposure to potential hazards. * * preventive measures : * * - implement regular maintenance and calibration schedules. - train staff on proper handling and storage of medical devices. - establish clear guidelines for the use and cleaning of medical equipment. - review and update policies and procedures for device management. - consider implementing a remote monitoring system to proactively detect and address device issues. @topic:20


# # # issue - the electric bed cannot be adjusted. # # # impact - patients may be unable to get into or out of bed. - patients may be uncomfortable or in pain if they cannot adjust the bed to a comfortable position. - nurses and other healthcare providers may have difficulty providing care to patients if they cannot adjust the bed. # # # possible causes - the bed's motor may be damaged. - the bed's electrical system may be faulty. - the bed's remote control may be broken. - the bed's software may be malfunctioning. # # # recommendations - check the bed's motor for damage. if the motor is damaged, it will need to be replaced. - check the bed's electrical system for faults. if the electrical system is faulty, it will need to be repaired. - check the bed's remote control for damage. if the remote control is broken, it will need to be replaced. - check the bed's software for malfunctions. if the software is malfunctioning, it will need to be updated. @topic:1


fast sp02 mms exchange numbers 196 m3001a # a02 nellcor oximax - compatible mms exchange numbers 197 m3001a # a03 mms with masimo set sp02 - exchange numbers 197 mms part numbers - label kits 197 measurement server extension parts ( m3012a, m3014a, m3015a and m3016a ) l97 mms extension part numbers - release mechanisms 198 mms extension part numbers - top cover and link bar 198 mms extension part numbers - front bezels 198 exchange parts list 205 plug - in modules part numbers 207 part number table 207 exchange modules, table 1 207 exchange modules, table 2 208 plug - in modules replaceable parts 211 single - width plug - in module 211 double - width plug - in module 211 plug - in module replaceable parts 212 plug - in module language specific front housing kits ( inch silicone buttons, frames & bezels ), table 1 212 plug - in module language specific front housing kits ( inch silicone buttons, frames & bezels ), 8 table 2 213 plug - in module specific bezels 214 bis solution replaceable parts 214 bis solution components 215 bisx solution replacable parts 215 bisx solution components 216 tcp02 / tcpc02 module accessories 216 smart battery charger part numbers 217 intellivue instrument telemetry part numbers 218 intellivue 802. 11 bedside adapter part numbers * 219 docking station part numbers 219 external display part numbers 220 remote alarm device part numbers 222 remote extension device part numbers 223 7 installation instructions 225 unpacking the equipment 225 initial inspection 226 mechanical inspection 226 electrical inspection 226 claims for damage and repackaging 226 claims for damage 226 repackaging for shipment or storage 226 installing the monitor ( m8003a or m8004a ) 226 mounting instructions @topic:19


# # # issue - cuff is damaged. # # # impact - the patient's vital signs may not be accurately measured. - the patient may not receive the appropriate treatment. # # # possible causes - the cuff may have been punctured or torn. - the cuff may have been overinflated. - the cuff may have been used on a patient who is too large or too small. # # # recommendations - inspect the cuff for any damage. - replace the cuff if it is damaged. - use the correct cuff size for the patient. - do not overinflate the cuff. @topic:5


# # # issue - bed is not adjustable # # # impact - patient discomfort - difficulty providing care - delays in patient treatment # # # possible causes - faulty remote control - damaged electrical wiring - malfunctioning control panel - mechanical failure # # # recommendations - verify that the new remote control is functioning properly. - inspect the electrical wiring for any signs of damage or loose connections. - test the control panel to ensure it is sending the correct signals to the bed motor. - consult with a qualified biomedical engineer or manufacturer's representative to determine if any mechanical repairs are necessary. @topic:1


must check the time counters on the microstream co ; extension before calibrating the instrument. as well, when parts are replaced, the appropriate counters must be reset to zero. the counters for co ; pump, ir src and last cal are displayed in the status line. the values are updated when entering the setup co2 menu. observe the following guidelines : - when calibrating the co ; extension, if no parts have been replaced, check the displayed values of reset pumpoptime and reset irsourcetime selections to make sure that they are within suggested guidelines for use ( 15, 000 hours of continuous use ). if the counter time is greater than 15, 000 hours, replace the appropriate part. see repair and disassembly for details. - when calibrating the co » extension, if parts have been replaced, reset the appropriate values using the reset pumpoptime and reset irsourcetime selections. see repair and disassembly for details. resetting the pumpoptime generates the inop : “ co, occlusion ". to clear this inop you must perform a flow check and store the flow in service mode ( select store flow ). co2 pump / co2 scrubber replacement this procedure only applies to m3015a with the old hardware rev. a ( i. e. serial no. deo20xxxxx refer to the repair and disassembly section for the replacement procedures. cardiac output performance test these tests check the performance of the cardiac output measurement. 1. connect the patient simulator to the c. o. module using the patient cable. 2. configure the patient simulator as follows : injection temperature : 2 °c computation const : 0. 542 ( edward's catheter ) flow : 5 l / min 3. check displayed value against the simulator configuration. 4. expected test @topic:17


# # # issue - broken cuff # # # impact - cannot measure blood pressure accurately # # # possible causes - worn or damaged cuff - improper cuff size or placement - kinked or obstructed air hose # # # recommendations - replace the cuff with a new one - ensure proper cuff size and placement - inspect the air hose for kinks or obstructions @topic:3


# # # issue - spo2 reading is unstable # # # impact - inaccurate spo2 readings can lead to incorrect patient care decisions. # # # possible causes - * * bme speculated * * : - loose sensor probe attachment - faulty sensor probe # # # recommendations - * * bme's actions * * : - replaced the sensor probe - tested the monitor and confirmed normal operation # # # notes - the technician has not specified whether the replaced sensor probe was new or used. - further investigation may be necessary to determine the root cause of the issue and prevent recurrence. @topic:4


# # # issue - the nibp monitor is displaying an e 83 error, indicating that the connector is not fixed. # # # impact - the nibp monitor cannot be used to measure blood pressure until the error is resolved. # # # possible causes - the connector may not be properly seated in the monitor. - the connector may be damaged. - the cuff may not be properly inflated. # # # recommendations - check that the connector is properly seated in the monitor. - if the connector is damaged, replace it with a new connector. - if the cuff is not properly inflated, inflate it to the correct pressure. @topic:15


# # # issue - equipment malfunction - patient interface module error - simulator self test error - blue screen # # # impact - unable to use the device - potential patient safety hazard - wasted time and resources # # # possible causes - hardware failure - software failure - user error # # # recommendations - contact the manufacturer for service - check the device for any loose connections - update the software - replace the patient interface module - replace the simulator - replace the laptop - retire the device if it is no longer supported by the manufacturer @topic:12


# # # issue * the electric bed is not adjustable. # # # impact * the patient may not be able to get into or out of bed safely. * the patient may be uncomfortable if the bed is not in the correct position. * the medical staff may have difficulty providing care to the patient. # # # possible causes * the remote control is not working properly. * the bed control panel is not working properly. * the bed motor is not working properly. * there is a problem with the wiring. # # # recommendations * check the remote control batteries and replace them if necessary. * check the bed control panel for any loose connections or damage. * check the bed motor for any signs of overheating or damage. * check the wiring for any loose connections or damage. * if the problem cannot be resolved, contact the manufacturer for assistance. @topic:1


# # # issue * * display failure * * # # # impact * inability to monitor patient data * interruption of patient care # # # possible causes * * * damaged display : * * physical damage to the lcd screen or backlight. * * * electrical failure : * * power supply or circuit board malfunction. * * * software glitch : * * bugs or errors in the monitor's software. * * * external factors : * * power surges, lightning strikes, or other environmental hazards. # # # recommendations * * * inspect the display : * * check for physical damage, such as cracks or dents. * * * test power supply : * * verify that the monitor is receiving power from the outlet and that the power cord is not damaged. * * * reset the monitor : * * unplug the monitor and plug it back in to reset its software. * * * contact the manufacturer : * * if the issue persists, contact hewlett packard for technical support. @topic:2


# # # issue - the philips suresigns vs4 monitor is experiencing an audio failure. # # # impact - the monitor is unable to provide audible alarms or notifications, which could compromise patient safety. # # # possible causes - loose or damaged audio cable - faulty audio speaker - software glitch # # # recommendations - inspect the audio cable and connections for damage or looseness. - replace the audio speaker if necessary. - update the monitor's software to the latest version. - if the issue persists, contact philips technical support for further assistance. @topic:2


qtc high alarm or aqtc high alarm to toggle between on and off. changing qtc alarm limits set the high alarm limits based on your assessment of the patient's clinical condition, unit protocols, physician orders or medication specified limits. 1 in the setup qt analysis menu, select qtc high limit. 2 select the appropriate setting. 3 select aqtc high limit. 4 select the appropriate setting. switching qt monitoring on and off ♦ to switch all qt monitoring on or off, in the setup qt analysis menu, select qt analysis to switch between on and off. 159 6 ecg, arrhythmia, st and qt monitoring switching qt monitoring on and off 160 7 | monitoring pulse rate the pulse numeric counts the arterial pulsations that result from the mechanical activity of the heart in beats per minute ( bpm ). you can display a pulse from any measured sp0 2 signal ( pleth wave ), or any arterial pressure ( p, abp, art, ao, pap, uap, fap, bap : see the pressure section for an explanation of the pressure labels ). the displayed pulse numeric is labeled and color - coded to match its source wave. if the pulse numeric is not displayed, see the setup pulse menu to check whether it is switched on. entering the setup pulse menu if a pulse numeric is displayed on the screen, select it to enter the setup pulse ( pulse source ) menu. if no pulse numeric is visible, in the setup sp0 2 menu or a setup arterial pressure menu, select pulse ( pulse source ). system pulse source the currently selected system pulse source is shown in the setup menus of the pulse source measurements. the pulse rate chosen as system pulse : • is monitored as system pulse and generates alarms when you select pulse as the active alarm source • is sent @topic:8


# # issue test failure after the installation of the fsn monitor back to station 4k. # # impact the failure of the monitor could result in disruption of patient care and inaccurate monitoring of vital signs. # # possible causes - faulty monitor - incorrect installation - incompatible equipment - software issues # # recommendations - verify that the monitor is functioning properly by conducting a thorough inspection and testing. - ensure that the monitor is installed correctly according to the manufacturer's instructions. - check for compatibility issues between the monitor and the other equipment connected to station 4k. - update the software on the monitor and the connected equipment if necessary. @topic:2


# # # issue the nibp monitor ( ge healthcare dinamap pro 300 ) is not measuring correctly. # # # impact the inaccurate blood pressure readings can lead to incorrect diagnosis and treatment. # # # possible causes - leakage in the pneumatic system - faulty bp hose connection # # # recommendations - replace the faulty bp hose connection ( bp08 - bp09 ) @topic:15


# # # issue * * cuff deterioration * * # # # impact * reduced accuracy of blood pressure measurements * potential for patient harm if inaccurate measurements are used to make clinical decisions # # # possible causes * age and wear of the cuff * overinflation of the cuff * exposure to extreme temperatures or humidity * animal bites or punctures # # # recommendations * * to prevent cuff deterioration : * * * use a cuff that is the appropriate size for the patient's arm. * inflate the cuff to the recommended pressure and release it slowly. * store the cuff in a cool, dry place when not in use. * inspect the cuff regularly for signs of wear or damage. * * to address cuff deterioration : * * * replace the cuff if it is damaged or worn. * calibrate the monitor to ensure accurate measurements. * monitor the patient's blood pressure closely to ensure that measurements are consistent with other clinical observations. @topic:3


# # # issue - the bed is not adjustable. # # # impact - the patient may be uncomfortable or in pain. - the bed may not be able to be used for its intended purpose. # # # possible causes - there could be a problem with the electrical system, the hydraulic system, or the mechanical system. - the bed may have been overloaded. - there may be a problem with the control panel. # # # recommendations - the technician should inspect the electrical system, the hydraulic system, and the mechanical system for any problems. - the technician should check the bed for any signs of overloading. - the technician should check the control panel for any problems. @topic:1


# # # issue the internal blood pressure ( ibp ) cable is not connecting to the bedside physiologic monitor. # # # impact the monitor will not be able to display the patient's blood pressure waveform or values. # # # possible causes * * 1. incompatible cable : * * the ibp cable may not be compatible with the specific model of monitor. * * 2. damaged cable : * * the ibp cable may have physical damage, such as a broken connector or frayed wires. * * 3. loose connection : * * the ibp cable may not be securely connected to either the monitor or the patient. * * 4. software glitch : * * the monitor software may have a glitch that is preventing it from recognizing the ibp cable. # # # recommendations * * 1. verify cable compatibility : * * ensure that the ibp cable is compatible with the specific model of monitor. * * 2. inspect cable for damage : * * examine the ibp cable for any visible damage, such as broken connectors or frayed wires. if damage is found, replace the cable. * * 3. check connections : * * firmly connect the ibp cable to both the monitor and the patient. ensure that the connectors are fully engaged and there is no slack in the cable. * * 4. restart monitor : * * if the above steps do not resolve the issue, try restarting the monitor. this may clear any software glitches that may be preventing the ibp cable from being recognized. * * 5. contact manufacturer : * * if the issue persists after trying the recommended solutions, contact the manufacturer of the monitor for further assistance. @topic:15


# # # issue - equipment : physiologic, vital signs monitors - brand : philips - model : suresigns vs2 - description : the basket was found to be at a lower level than normal ( making it difficult to pick up and deliver items in the basket ). # # # impact - difficulty in accessing items in the basket. - potential delay in patient care. # # # possible causes - the basket was not properly adjusted during installation. - the basket was accidentally knocked or bumped, causing it to become misaligned. - wear and tear over time may have caused the basket to sag. # # # recommendations - adjust the basket to the proper level, ensuring that it is easy to access and use. - inspect the basket regularly for any signs of damage or misalignment. - if the basket is damaged or cannot be adjusted, contact the manufacturer for repair or replacement. @topic:24


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 # # # impact - inability to open the drawer due to a faulty solenoid. # # # possible causes - solenoid malfunction # # # recommendations - replaced the faulty solenoid with a new one. - tested the equipment to ensure proper functionality. @topic:21


# # # issue - thermoscan not properly charging due to loose connector # # # impact - thermoscan battery may deplete rapidly, leading to potential device malfunction or downtime # # # possible causes - user error ( not properly connecting the thermoscan to the charging station ) - faulty connector on either the thermoscan or charging station - loose or damaged connection between the connector and the internal circuitry of the device # # # recommendations 1. user education : - ensure that users are properly trained on how to correctly connect the thermoscan to the charging station. - provide clear instructions and visual aids to guide users in the process. 2. equipment inspection : - regularly inspect the connector on both the thermoscan and charging station for any signs of damage or wear. - replace any damaged or faulty connectors promptly to prevent connection issues. 3. connection stability : - check the stability of the connection between the connector and the internal circuitry of the device. - ensure that the connection is secure and not prone to movement or disconnection. 4. battery monitoring : - monitor the battery level of the thermoscan regularly and ensure that it is charged before use. - consider implementing a battery monitoring system to alert users when the battery is low. 5. preventive maintenance : - establish a regular preventive maintenance schedule for the thermoscan and charging station. - perform thorough cleaning and inspections to ensure optimal performance and prevent potential connection issues. @topic:11


# # # issue equipment failure # # # impact patient care may be delayed or compromised. # # # possible causes * the equipment may be malfunctioning. * the equipment may have been damaged. * the equipment may not be properly calibrated. * the equipment may not be compatible with other equipment. * the equipment may not be being used properly. # # # recommendations * inspect the equipment for any obvious damage. * check the equipment's calibration. * verify that the equipment is compatible with other equipment. * ensure that the equipment is being used properly. * contact the manufacturer for support. @topic:12


# # # issue - * * central monitor not linking * * # # # impact - the issue prevented the monitor from communicating with the central system. # # # possible causes - the server had ip issues. # # # recommendations - * * the bme team fixed the issue by resetting the ip address on the server. * * @topic:16


# # # issue * the led monitor is no longer securely attached to the mount, as the attachment bracket has broken. # # # impact * the monitor may fall from the mount, posing a safety hazard to patients and staff. * the monitor may not be able to be used in its intended location, which could disrupt patient care. # # # possible causes * the bracket may have been damaged due to improper handling or installation. * the bracket may have been weakened over time due to repeated use or environmental factors. * the monitor may have been knocked off the mount by accident. # # # recommendations * replace the broken bracket with a new one. * inspect the monitor and mount for any other damage. * ensure that the monitor is properly installed and secured to the mount. * train staff on proper handling and installation of medical equipment. * establish regular maintenance and inspection schedules for medical equipment. @topic:12


# # # issue - battery depletion in vital signs monitor # # # impact - intermittent or inaccurate monitoring of vital signs - equipment downtime if battery backup is not sufficient # # # possible causes - normal wear and tear - battery reaching end of its lifespan - faulty charging system # # # recommendations - regularly monitor battery life and replace batteries as needed - implement a preventive maintenance schedule to check battery status and replace batteries before they fail - consider using equipment with extended battery life or backup power options @topic:11


# # # issue - button on the electric bed is not working # # # impact - inability to adjust the bed's position, which can affect patient comfort and safety. # # # possible causes - twisted or damaged wiring harness due to repeated bed adjustments and pressure on the wires. # # # recommendations - * * inspect the wiring harness : * * check for any visible damage or kinks in the wires. - * * uncoil and straighten the wires : * * gently uncoil any twisted wires and ensure they are not obstructed by other components. - * * test the button functionality : * * once the wires are straightened, test the button to verify proper operation. - * * secure the wiring harness : * * use cable ties or other methods to secure the wiring harness and prevent future twisting or damage. - * * regular maintenance : * * perform periodic inspections and maintenance of the bed to identify and address any potential wiring issues early on. @topic:7


# # # issue : - nibp monitor band casmed model 740 cannot measure patients'blood pressure. # # # impact : - delay in patient care due to delayed and inaccurate readings. # # # possible causes : - battery is deteriorated. # # # recommendations : - replace the battery. @topic:15


# # # issue - cuff on vital signs monitor is deteriorated. # # # impact - vital signs monitor may not be able to accurately measure blood pressure. # # # possible causes - cuff may be old and worn out. - cuff may have been damaged by improper use or storage. - cuff may have been incorrectly sized for the patient. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. - train staff on proper use and storage of the cuff. @topic:5


# # # issue - intermittent loss of signal from spo2 monitor. # # # impact - inaccurate or unreliable spo2 readings, which can lead to delayed or incorrect treatment decisions. - patient discomfort or anxiety due to repeated attempts to obtain a stable signal. - increased workload for healthcare professionals due to the need to troubleshoot and resolve the issue. # # # possible causes - * * defective spo2 sensor : * * the sensor may be damaged or have a loose connection, resulting in intermittent signal loss. - * * damaged or loose spo2 cable : * * the cable may be crimped, cut, or loose, causing signal disruptions. - * * malfunctioning spo2 module : * * the electronic components within the monitor that process the spo2 signal may be faulty. - * * software or firmware issues : * * software or firmware bugs can disrupt the operation of the spo2 monitor. - * * external interference : * * strong electromagnetic fields or other electrical devices can interfere with the spo2 signal. - * * poor skin perfusion : * * factors such as cold extremities or low blood pressure can affect skin perfusion and make it more difficult to obtain a stable spo2 signal. # # # recommendations - * * inspect the spo2 sensor and cable : * * check for any visible damage or loose connections. replace the sensor or cable if necessary. - * * restart the spo2 monitor : * * this can sometimes resolve software or firmware issues. - * * update the spo2 monitor software or firmware : * * ensure that the monitor is running the latest software version. - * * identify and eliminate sources of external interference : * * move the monitor away from other electrical devices or electromagnetic sources. - * * check skin perfusion : * * ensure that the patient's @topic:4


# # # issue - worn or damaged cuff # # # impact - cuff may not fit properly and provide accurate readings - patient may experience discomfort or pain # # # possible causes - age of cuff - improper use or storage - exposure to extreme temperatures or moisture # # # recommendations - replace cuff per manufacturer's recommendation - handle cuff gently and store in a cool, dry place - inspect cuff for damage before each use @topic:3


* * possible causes : * * 1. * * faulty display panel : * * the lcd display panel could be damaged or malfunctioning, resulting in distorted or discolored pixels. 2. * * loose or damaged connections : * * poor connections between the display panel and other components could cause intermittent or distorted images. 3. * * power supply issues : * * insufficient or unstable power supply can affect the display's performance, leading to lines or flickering. 4. * * control board failure : * * the control board manages the display and other functions, and a malfunction can result in display issues. 5. * * environmental factors : * * extreme temperatures or humidity can disrupt the display's performance. * * recommendations to resolve the issue : * * 1. * * inspect the display panel : * * check for any physical damage, scratches, or cracks on the lcd panel. 2. * * check connections : * * verify that all cables and connectors between the display panel and other components are secure. 3. * * test power supply : * * use a multimeter to measure the voltage and current supplied to the display. 4. * * diagnose control board : * * perform diagnostic tests on the control board to identify any malfunctions. 5. * * examine environmental factors : * * ensure that the equipment is operating within the recommended temperature and humidity range. 6. * * contact manufacturer : * * if the issue persists, contact the manufacturer for technical support or replacement parts. @topic:2


to the instrument. failure to adhere to this warning could cause serious injury or death. replacement level supported the replacement level supported for this product is to the printed circuit board ( pcb ) and major subassembly level. once you isolate a suspected pcb, follow the procedures in the repair and disassembly section, to replace the pcb with a known good pcb. check to see if the symptom disappears and that the monitor passes au performance tests. if the symptom persists, swap back the replacement pcb with the suspected malfunctioning pcb ( the original pcb that was installed when you started troubleshooting ) and continue troubleshooting as directed in this section. 103 [ 4 troubleshooting ] software revision check some troubleshooting tasks may require that you identify the software revision of your monitor. you can find the software revision along with other information, such as the system serial number, in the monitor revision screen. to access the monitor revision screen : 1 enter the main setup menu and select revision 2 select product 3 select software revision 4 select the pop - up key for the device you want to check ( e. g. 866060 or m3001 a ) note the part numbers listed in the monitor revision screen do not necessarily reflect the part numbers required for ordering parts. please refer to the parts section for the ordering numbers. note the system serial number can also be found on the lower right corner on the front of the monitor. software compatibility matrix for a detailed software compatibility matrix, please refer to the intellivue compatibility matrix on incenter or in the service bulletin sb86202000x, where x is the latest revision. for further information on m3001a hw / sw compatibility, please refer to the parts section. obtaining repiacement parts see parts section for details on part replacements. troubieshooting @topic:22


# # # issue - battery failure # # # impact - the physiologic monitor ( bedside ) may not function properly or at all if the battery is not functioning properly. - this could lead to a delay in patient care or even a medical emergency. # # # possible causes - the battery may be old or worn out. - the battery may have been damaged. - the battery may not be properly installed. # # # recommendations - replace the battery with a new one. - ensure that the battery is properly installed. - have the physiologic monitor ( bedside ) serviced by a qualified technician if the problem persists. @topic:11


# # # issue - central monitor not linking with the central system # # # impact - inability to monitor patient vital signs from a central location - potential delay in treatment if vital signs cannot be monitored remotely # # # possible causes - * * central server issues : * * the central server may be experiencing technical difficulties that are preventing it from communicating with the bedside monitors. - * * ci address error : * * the ci address is a unique identifier that allows the bedside monitor to connect to the central server. if the ci address is incorrect, the monitor will not be able to link to the server. - * * bedside monitor hardware issue : * * there may be a hardware issue with the bedside monitor that is preventing it from connecting to the central server. # # # recommendations - * * check the central server : * * verify that the central server is up and running and that there are no known technical issues. - * * verify the ci address : * * ensure that the ci address programmed into the bedside monitor is correct and matches the address of the central server. - * * inspect the bedside monitor hardware : * * inspect the bedside monitor for any loose connections or damaged components. if any issues are identified, replace the affected components or contact a biomedical engineer for assistance. - * * power cycle the equipment : * * power cycling the bedside monitor and the central server can sometimes resolve connectivity issues. - * * contact the equipment manufacturer : * * if the issue persists after following the above recommendations, contact the equipment manufacturer for technical support. @topic:16


# # # issue - monitor screen is flickering. # # # impact - vital signs data may be difficult to read or inaccessible. - patient monitoring may be compromised. # # # possible causes - loose power connection. - faulty monitor screen. - internal hardware malfunction. # # # recommendations - check and tighten power connections. - inspect monitor screen for any damage. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:2


# # # issue - broken cord on the left bed rail # # # impact - bed rails cannot be raised or lowered, which poses a safety hazard for patients. # # # possible causes - * * improper use : * * the bed rails may have been forced or pulled in a way that caused the cord to break. - * * wear and tear : * * the cord may have weakened over time due to frequent use or exposure to chemicals. - * * defective material : * * the cord may have been made from a defective material that was not able to withstand the intended use. # # # recommendations - * * inspect the bed rails : * * examine the condition of the cords and ensure they are not frayed or damaged. - * * use proper technique : * * train staff on how to safely operate the bed rails and avoid placing excessive force on them. - * * replace damaged cords : * * if a cord is broken, it should be replaced immediately with a new one that meets the manufacturer's specifications. - * * consider upgrading : * * if the bed rails are old or have a history of problems, consider upgrading to a newer model with more robust cords. @topic:9


# # # issue * * the ekg lead wire is not functioning correctly. * * # # # impact * * the patient's ekg signal cannot be accurately monitored. * * # # # possible causes * the lead wire is damaged. * the lead wire is not properly connected to the patient or the monitor. * the monitor is not functioning properly. # # # recommendations * inspect the lead wire for damage. if the lead wire is damaged, replace it. * ensure that the lead wire is properly connected to the patient and the monitor. * if the lead wire and connections are intact, troubleshoot the monitor. @topic:18


# # # issue the cause of failure is incorrect monitor nbp settings, resulting in an incorrect countdown timer for the next measurement. # # # impact this issue may lead to inaccurate patient vital signs measurements, potentially affecting diagnosis and treatment decisions. # # # possible causes - incorrect configuration of monitor nbp settings - human error during device setup - software bug or malfunction # # # recommendations - ensure that qualified and trained personnel perform device setup and maintenance. - double - check settings before using the device. - follow manufacturer's guidelines for proper device operation. - report any suspected device malfunction or error to the responsible authorities. - regularly update and maintain the device software to address any potential bugs or issues. @topic:20


# # # issue - the ecg cable on the bedside physiologic monitor has failed. # # # impact - the monitor cannot be used to measure ecg signals, which are essential for patient monitoring. # # # possible causes - the ecg cable may have been damaged due to normal wear and tear, or it may have been accidentally cut or pinched. # # # recommendations - replace the ecg cable as soon as possible. - inspect the monitor and other cables for any other damage. - contact the manufacturer or a qualified technician if the problem persists. @topic:18


. 0. 0. 0. 0... cc ent n ene e bebe n teen tenn e eens 5 - 1 tools required fot service weenie a ah ee tt ee ee a oe te the ee 5 - 2 shutting : down the : system =. txi - se0 take teed iti ti ia 5 - 2 removing the battery. s i. 3. 0. 02. 0n - 2253 sih a le todas see 5 - 3 installing the battery... 0... cette nent n tne t net e en neas 5 - 5 removing the temperature module... 1... 0... een eben cnet eet e nen 5 - 6 removing the recorder faceplate nnn tenen eeo ea ea e a a e e t a tenet nents 5 - 7 removing the optional recorder ( vs2 * only )... 2. 0. 00 ccc cece cee cence teen tenet rrer 5 - 9 removing the front panel n siros eee aei etn nnn en ene e bebe teen eens 5 - 11 reassembling the monitor.......... 0. 00 cece tte nett nen eens 5 - 14 replacing the : speakers = : no : snes ick ocak ors ea ca poe acd a n he ois rs 5 - 15 removing the nbp module........... a cece n a n teen nent n a a a 5 - 15 removing the power supply......... 0. 0 ccc ee tenn teen ete eben teen eens 5 - 17 replacing a fuses crer eeo het eet @topic:19


# # # issue - wifi is slow, causing data to not be sent to the bme. # # # impact - the bme is not able to receive data from the monitors, which could lead to delayed or inaccurate patient care. # # # possible causes - the wifi network may be congested or experiencing other issues. - the monitors may not be properly configured to connect to the wifi network. - the vsm may not be properly configured to receive data from the monitors. # # # recommendations - check the wifi network for any issues. - ensure that the monitors are properly configured to connect to the wifi network. - ensure that the vsm is properly configured to receive data from the monitors. @topic:16


# # # issue - cuff leak # # # impact - the leak in the cuff can lead to inaccurate blood pressure readings. this can pose a risk to patient safety, as incorrect blood pressure readings can lead to incorrect treatment decisions. # # # possible causes - cuff is old or damaged - cuff is not properly inflated - cuff is not properly positioned on the patient's arm - tube connecting the cuff to the monitor is damaged or kinked # # # recommendations - inspect the cuff for any signs of damage or wear and tear. replace the cuff if necessary. - ensure that the cuff is properly inflated according to the manufacturer's instructions. - position the cuff correctly on the patient's arm. the cuff should be snug but not too tight. - inspect the tube connecting the cuff to the monitor for any signs of damage or kinks. replace the tube if necessary. @topic:3


# # # issue - the remote control for the bed, electric, huntleigh, enterprise 5000 is not functioning properly. # # # impact - the medical device cannot be adjusted or controlled remotely, which may impact patient care and staff efficiency. # # # possible causes - * * defective remote control : * * the remote control may have a malfunctioning circuit, broken buttons, or a weak battery. - * * damaged remote control receiver : * * the receiver located on the medical device that receives signals from the remote control may be damaged or disconnected. - * * interference : * * other electronic devices in the vicinity may be interfering with the remote control's signal. # # # recommendations - * * test remote control : * * check the remote control's battery and replace if necessary. use a different remote control to verify if the issue persists. - * * inspect remote control receiver : * * examine the receiver on the medical device for any visible damage or loose connections. ensure it is properly plugged in or connected. - * * eliminate interference : * * move any other electronic devices away from the medical device to minimize potential interference. - * * contact manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the medical device for further assistance or troubleshooting instructions. @topic:7


# # # issue - the bed is tilted. # # # impact - the patient may be uncomfortable or at risk of injury. # # # possible causes - the bed frame is not level. - the bed mattress is not evenly distributed. - the bed motor is not working properly. # # # recommendations - check the bed frame for levelness. - adjust the bed mattress evenly. - inspect the bed motor for any damage or wear. @topic:1


# # # issue - the medical cart does not turn on. # # # impact - the medical cart cannot be used to transport medical supplies and equipment. this could lead to delays in patient care and treatment. # # # possible causes - power supply issue - electrical issue - mechanical issue # # # recommendations - * * power supply issue : * * check the power cord and outlet. make sure that the power cord is securely plugged into the outlet. try using a different power cord or outlet. - * * electrical issue : * * check the circuit breaker or fuse. if the circuit breaker has tripped or the fuse has blown, reset the circuit breaker or replace the fuse. - * * mechanical issue : * * check the wheels and casters. make sure that the wheels and casters are not damaged or loose. if the wheels or casters are damaged or loose, replace them. @topic:13


# # # issue - * * equipment : * * philips efficia cm100 bedside physiologic monitor - * * symptom : * * monitor displays unstable readings. # # # impact - intermittent or inaccurate patient monitoring, potentially compromising patient safety. # # # possible causes - * * incorrectly connected cables : * * the " reddot " cable may not be securely connected or may be damaged at the connector, causing intermittent signal transmission. # # # recommendations for troubleshooting 1. * * verify cable connections : * * ensure that the " reddot " cable is securely connected at both ends. inspect the connectors for any visible damage or corrosion. 2. * * test cable continuity : * * use a cable tester to verify that the " reddot " cable is transmitting signals properly. 3. * * replace cable if necessary : * * if the cable fails the continuity test or if physical damage is evident, replace it with a new " reddot " cable. 4. * * retest monitor functionality : * * once the new cable is installed, retest the monitor to ensure stable and accurate readings. # # additional considerations - the " reddot " cable transmits sensitive patient data, so it is crucial to use the correct type of cable and ensure proper connections. - regular preventive maintenance and inspections can help identify and address potential cable issues before they cause problems. - technicians should be trained in proper cable handling and connection techniques to minimize the risk of future failures. @topic:2


# # # issue - bed cannot be adjusted upward # # # impact - inability to use the bed in the desired position for patient comfort and care # # # possible causes - malfunctioning of the electrical system - mechanical failure of the adjustment mechanism - obstruction in the adjustment path # # # recommendations - verify the power supply to the bed and ensure it is functioning correctly - inspect the electrical connections and wiring for any loose or damaged components - check for any mechanical obstructions that may be preventing the bed from adjusting - lubricate and clean the adjustment mechanism as necessary - replace any faulty components or parts as needed - perform a thorough final test to ensure the bed is functioning as intended @topic:1


# # # issue - equipment not receiving patient data # # # impact - inability to monitor patient vital signs - lack of access to real - time patient information - delayed or incorrect treatment decisions # # # possible causes - network connectivity issues ( e. g., ip address conflicts, firewall restrictions ) - software bugs or glitches - hardware malfunctions ( e. g., faulty sensor, damaged cable ) - incorrect equipment configuration # # # recommendations - * * network connectivity : * * - check network settings and ensure proper ip address configuration - verify network cable connections and troubleshoot any connectivity issues - * * software updates : * * - install the latest software updates from the manufacturer - ensure that all software components are up - to - date - * * hardware inspection : * * - inspect the equipment for any physical damage or loose connections - test sensors and cables to identify any malfunctions - * * equipment configuration : * * - review the equipment configuration settings and ensure they are correct - refer to the manufacturer's instructions for proper setup procedures @topic:16


# # # issue remote control failure # # # impact the remote control is necessary for operating the electric bed, which can be inconvenient for patients and staff. # # # possible cause * * 1. physical damage * * - the remote control cable may have been cut or damaged, causing it to malfunction. - the remote control unit itself may have been dropped or damaged, causing internal components to fail. * * 2. electrical issues * * - the remote control may not be receiving power from the bed, due to a loose connection or a faulty power supply. - the remote control's batteries may be dead or malfunctioning, preventing it from transmitting signals to the bed. # # # recommendations * * 1. inspect the remote control and cable * * - check for any visible damage to the cable or remote control unit. - ensure that the cable is securely connected to the bed and that there are no loose connections. * * 2. replace the batteries * * - if the remote control uses batteries, check if they are still functional. replace them with new batteries if necessary. * * 3. test the remote control * * - once the remote control has been repaired or replaced, test it to ensure that it is functioning properly. * * 4. preventative maintenance * * - regularly inspect the remote control and cable for any signs of damage or wear. - clean the remote control and cable to remove any dirt or debris that could cause malfunction. @topic:7


look slightly different. 118 monitoring paced patients 6 ecg, arrhythmia, st and qt monitoring 1 lead label of the displayed wave 2 1 mv calibration bar 3 pacer spikes 4 pace pulse markers 5 current heart rate 6 current heart rate alarm limits 7 easi lead placement label 8 ecg filter label ecg hr numeric : this is the heart rate derived from the monitored ecg. pace pulse markers : these are shown if the paced status has been set to yes, the pacer spikes are not configured to have a fixed size, and the patient has a paced signal. pacer spikes : the pacer spikes are shown in white, unless the ecg wave is white, then they will be green. if the pacer spikes have been configured to have a fixed size, they will be displayed in the background as a dotted line. 1 pacer spikes configured to have a fixed size defibrillator synchronization marks : if an hp / agilent / philips defibrillator is connected, the synchronization marks ( vertical lines on the ecg wave ) are shown on the ecg wave. the synchronization marks will be shown in yellow, unless the ecg wave is yellow, then they will be green. st numerics in ecg wave : st numerics can be configured to show underneath the ecg wave on the left side. monitoring paced patients an ecg optimized for monitoring a paced patient should look like this : 119 6 ecg, arrhythmia, st and qt monitoring monitoring paced patients 2 1 normal beats 2 pace pulses / beats you should choose a lead as primary or secondary lead that has these characteristics : • the normal qrs complex should be either completely above or below the baseline and it should not be biphasic. for paced patients, the qrs complexes should be at @topic:8


* * issue : * * broken module lock * * impact : * * inability to secure modules, potentially leading to malfunction or safety hazards. * * possible causes : * * * excessive force applied to the lock * damage to the lock mechanism * wear and tear due to repeated use * * recommendations : * * * inspect the lock mechanism for damage and clean if necessary. * handle the lock with care to avoid excessive force. * use proper maintenance techniques, including lubrication and replacement of worn components. * if the lock is damaged beyond repair, replace it promptly. * consider implementing a lockout / tagout procedure to prevent unauthorized use and potential damage. @topic:12


# # # issue : - bed not adjusting properly # # # impact : - patient discomfort - difficulty in providing care - increased risk of falls # # # possible causes : - loose bed parts, such as the wooden base or footboard - misalignment of the bed frame - electrical malfunction - hydraulic leak # # # recommendations : - inspect the bed for loose parts and tighten as needed - realign the bed frame - check the electrical connections and replace any damaged wires - repair or replace any hydraulic leaks @topic:1


# # # issue - the bed's side rail is not able to be raised. # # # impact - the patient may be at risk of falling out of bed. - the patient may be uncomfortable if they are unable to adjust the height of the side rail. # # # possible causes - the latch that holds the side rail in place may be jammed or broken. - the side rail may be bent or damaged. - the motor that raises the side rail may be malfunctioning. # # # recommendations - inspect the latch that holds the side rail in place for any damage or debris. if the latch is damaged, it will need to be replaced. - if the side rail is bent or damaged, it will need to be replaced. - if the motor that raises the side rail is malfunctioning, it will need to be repaired or replaced. @topic:6


# # # issue the cause of failure for the medical device is not specified in the provided input. the only information provided is that the biomedical engineer ( bme ) observed the device to be turning on and off intermittently, and sent it to xovic for repair, where it was fixed and tested to be operational. # # # impact the impact of this issue is not specified in the provided input. however, it can be assumed that the intermittent turning on and off of the device could have caused delays or interruptions in patient monitoring or treatment. # # # possible causes since the cause of failure is not specified in the provided input, it is not possible to determine the exact cause. however, some possible causes of intermittent turning on and off of medical devices include : - loose connections - faulty power supply - overheating - software glitches # # # recommendations to prevent similar issues in the future, it is recommended that the bme : - regularly inspect medical devices for loose connections and other signs of wear and tear. - ensure that the power supply is functioning properly and is not overloaded. - monitor the temperature of medical devices to prevent overheating. - keep software up to date to avoid glitches. - train staff on the proper use and maintenance of medical devices. - establish a regular maintenance schedule for medical devices to prevent unexpected failures. @topic:12


# # # issue : - broken lock module - inability to measure co2 # # # impact : - device malfunction and inability to provide accurate co2 readings # # # possible causes : - physical damage to the lock module during handling or use - excessive force applied while locking or unlocking the module # # # recommendations : - replace the broken lock module with a new one - ensure proper handling and use of the device to prevent damage - provide training to staff on the correct operation of the device - regularly inspect and maintain the device to detect any potential issues early on @topic:4