a pair of large tweezers. • in addition, for refitting the pump, you will need a large - bladed screwdriver. warning there is high voltage inside the instrument ( 800v ). do not connect the measurement server extension to a monitor while the extension housing is open. as well, parts inside the instrument may be contaminated with bacteria, protect yourself from possible infection by wearing examination gloves during these procedures. 171 5 repair and disassemblydisassembly procedures for the m3015a measurement server extension ( hw rev. a ) refitting the c0 2 scrubber warning the c0 2 scrubber contains lithium hydroxide monohydrate. this is a strong base. do not open or damage the c0 2 scrubber. if you come into contact with the c0 2 scrubber material, flush the area immediately with water and consult a doctor. to refit the c0 2 scrubber, do the following : 1 0 2 scrubber through the bracket to meet the extension intake tube. 2 push the intake tube firmly into the scrubber end to connect it. 3 holding the body of the c0 2 scrubber with tweezers, feed the c0 2 scrubber fresh air intake under the second bracket and position it. refitting the pump to refit the pump, do the following : 1 gently connect the power lead to the extension. n ote the power lead can only be connected one way. do not try to force the power lead into position. instead, align it correctly and connect it gently. 2 connect the flow tubing to the pump. note be sure to reconnect the inlet tube to the inlet valve and the outlet tube to the outlet valve. 1 being careful not to touch anything else in the extension, insert the pump into the bracket on the pc board. make sure that the pump is horizontal and does not touch the @topic:19


# # # issue - the central monitor is not printing. # # # impact - the central monitor is a critical piece of equipment in the hospital. it is used to monitor the vital signs of patients and to provide early warning of any potential problems. if the central monitor is not working, it can delay diagnosis or treatment, which could lead to a worse outcome for the patient. # # # possible causes - the printer is not connected to the central monitor. - the printer is out of paper. - the printer is not turned on. - the printer is not configured correctly. - the printer is damaged. - the central monitor is not sending the correct signals to the printer. # # # recommendations - check that the printer is connected to the central monitor. - check that the printer has paper. - check that the printer is turned on. - check that the printer is configured correctly. - inspect the printer for any damage. - contact the manufacturer of the central monitor or the printer for further assistance. @topic:28


- electrode cable sets ec part no. description length aami part no. 1. 0 m / 1. 6 m r grabber shielded m1973a 1974a 1. 0 m / 1. 6 m m1968a 1971a 1. 0 m / 1. 6 m m1645a m1644a 0. 7 m / 1. 3 m m1648a m1647a description length aami part no. ec part no.. 0 89803173131 icu grabber shielded 989803174211. 85 icu grabber shielded 989803173151 6 - electrode cable sets aami part no. description length iec part no. r grabber m1684a 1685a 1. 0 m / 1. 6 m icu grabber 1. 0 m / 1. 6 m m1680a m1681a cu sna1. 0 m / 1. 6 m 1683a m1682a 420 39 accessories 10 - electrode ( 5 + 5 ) cable sets length description aami part no. iec part no.. 0 m1976a m1978a m1604a. 0 m1602a m1984a. 0 m1979a for limb leads see 5 - electrode cable sets 10 - electrode ( 6 + 4 ) cable sets description length aami part no. iec part no.. 0 m1533a m1532a m1537a. 0 m1538a m1558a. 0 m1557a for limb leads see 6 - electrode cable sets lengt1. 0 m aami part no. description iec part no. 89803143171 3 - lead grabber, icu 989803143181. 0 5 - lead grabber, icu 9898031 @topic:19


# # # issue - unable to rotate the joint # # # impact - device cannot be used for patient monitoring # # # possible causes - mechanical failure of the joint - worn or damaged joint components - obstruction in the joint # # # recommendations - replace the joint with a new one - inspect and clean the joint for any obstructions - lubricate the joint - follow the manufacturer's instructions for maintenance and calibration @topic:26


# # # issue : bed is not adjustable # # # impact : - patient discomfort - impaired patient care # # # possible causes : - remote control is not working - electrical issue - mechanical failure # # # recommendations : - inspect the remote control for damage. replace if necessary. - check the electrical connections to the bed. ensure they are secure and not damaged. - inspect the bed for any mechanical issues, such as broken gears or loose bolts. repair or replace any damaged components. @topic:1


# # # issue - ssd ( solid state drive ) degradation # # # impact - computer instability # # # possible causes - hardware failure - battery failure # # # recommendations - replace ssd with a new one - test and verify the functionality of the computer after replacement @topic:13


# # # issue - bp error with nibp monitor # # # impact - unable to accurately measure blood pressure, which can lead to delayed or incorrect treatment decisions # # # possible causes - loose connector # # # recommendations - tighten the connector @topic:15


priority ossible causmessage information status message ; press ok information patient id required to a patient id match is required button to dismisstart intervainformation status message ; press ok button to dismiss. information clinician id required e data. a clinician id match is equired to save data information status message ; press obutton to dismiss. information clinician id required o start intervals. a clinician id match is to start intervals information status message ; press ok button to dismiss. information unable to auto save. the device was unable to auto save information status message ; press ok button to dismiss. information barcode scan noaccepted. barcode scanning is not available information status message ; press ok button to dismiss. nformation invalid nibp intervaparameter during interval capture. an invalid interval parameter as detected. information status message ; press ok button to dismiss. information the auto save is successful in office profile ave successfuinformation status message ; press obutton to dismiss. information unsent records : n of there are unsent records m waitinbarcode scanning is not available. enter patient information manually. information status message ; press ok information button to dismiss. barcode scanning is noavailable. enter patient information manually. invalid spo2 intervaparameter during interval capture. if spo2 intervals are enabled and spo2 informatioclip was removed, either stop the intervals or reattach the spo2 clip. information status message ; press ok button to dismiss. an invalid interval parameter etected. adio messagealarm priority ossible causmessagradio not functional. 50001 deserialization failure. there is check for a software update and apply it. if still present, replace the a software communication issue between the host and the radio. radio service manual troubleshooting 201 @topic:16


# # # issue - the electrical bed ( huntleigh 25800 e / l ) is not adjustable. # # # impact - the bed cannot be adjusted to the desired height or position, which could affect patient comfort and safety. # # # possible causes - faulty control box - electrical wiring issues - mechanical problems with the bed frame or motor # # # recommendations - * * check the control box : * * replace the control box if it has been diagnosed as faulty. - * * inspect electrical wiring : * * examine the wiring connections to ensure they are secure and not damaged. - * * test motor and bed frame : * * operate the bed and observe the movement of the frame and motor. if there are any abnormal noises or vibrations, mechanical issues may need to be addressed. @topic:1


. g.. jpg,. bmp or. pdf ) on the associated pc. the monitor can be set up to automatically capture alarm events, triggered by selected alarms. the output device for alarm recordings is set to " printer ". all settings must be made in configuratiomode. this automatically makes the alarm event documentation a realtime device for realtime reports is set to " database " the target the alarms to trigger the report are set up. the database is set to print automatically when a printer is available. when one of the selected alarms occurs, the monitor automatically captures the alarm and creates a n the database. 365 28 recording as soon as the monitor is connected to a printer, or to a pc or network with the intellivue xds application software, it will automatically print the report, or send it to a patient - specific folder as an electronic file. alarm - triggered realtime reports here is a sample of a realtime report triggered by an alarm event. bed1 jones, bob 12345678 realtime report 7 mar 13 16 : 43 : 54 ate of birth : 4 feb 1963 patient cat : adult paced mode : off gender : male weight : 80. 0 kg bsa : 1. 98 m2 age : 50 years eight : 178 on 100 / 66 ( 74 ) g от 376 mec qt - hr 60 bpm 92 hr low nbp от 7 mar 13 16 : 03 0 bp110 / 80 ( 91 ) hr art br sp02 2 0 / min pulse 59 bpm perf 16. 9 0 гpvc 376 seсте 16. 9 dote < - 49 mseii hahahahahrtruth bandwidth 0. 5 - 40 2 son - paced 10mm / 25mm / sec art [ mallgམ ་ [UNK] art [ mallg ] 3 es6 @topic:8


# # # issue * inability for the bed's end to be locked # # # impact * inability to secure the patient in a stable position * potential safety hazard for the patient # # # possible causes * detachment of the locking mechanism from the bed frame * damage to the locking mechanism * misalignment of the locking mechanism # # # recommendations * * * inspect the locking mechanism : * * check if the locking mechanism is properly attached to the bed frame and if there are any visible signs of damage. * * * test the locking mechanism : * * attempt to lock and unlock the bed's end to assess the functionality of the locking mechanism. * * * repair or replace the locking mechanism : * * if the locking mechanism is damaged or misaligned, it may need to be repaired or replaced. * * * follow manufacturer's guidelines : * * refer to the manufacturer's instructions for proper use and maintenance of the bed to prevent future issues. @topic:6


##0 rev 4 ) 2. 22 scale error 4 — c model and newer beds chapter 2 : troubleshooting procedures 2. 22 scale error 4 — c model and newer beds careassist® and careassist® es bed service manual ( man330 rev 4 ) page 2 - 39 2. 23 scale error 5 — c model and newer beds chapter 2 : troubleshooting procedures 2. 23 scale error 5 — c model and newer beds page 2 - 40 careassist® and careassist® es bed service manual ( man330 rev 4 ) 2. 24 service required led flashes — c model and newer beds chapter 2 : troubleshooting procedures 2. 24 service required led flashes — c model and newer beds careassist® and careassist® es bed service manual ( man330 rev 4 ) page 2 - 41 2. 25 side rail detection switch malfunction — f model beds chapter 2 : troubleshooting procedures 2. 25 siderail detection switch malfunction — f model beds yes i do the function checks. page 2 - 42 careassist® and careassist® es bed service manual ( man330 rev 4 ) chapter 3 theory of operation introduction the theories of operation for the careassist® and careassist® es bed are as follows : • mechanical system • electrical system ( a model beds ) • electrical system ( b model beds ) the interaction between these subsystems lets all the operational functions be used. the electrical functions are driven by low voltage actuators. each of the subsystems is described separately in the following sections. the schematic diagrams are located at the end of this chapter. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 3 - 1 mechanical system chapter 3 : theory of operation mechanical system the mechanical subsystem consists of two connected systems : • bed @topic:9


monitor until the alarm signal is available on the network, to the intellivue information center or for transmission to other systems. 1, 2, 3 minutes or infinite, depending on configuration pause duration xtended alarm paus5 or 10 minutes in. 0 db ( aound pressure rangax. 45 - 85 dreview alarms information of occurrence 300 items capacity real time clock from : january 1, 1997, 00 : 00 to : december 31, 2080, 23 : 59 range accuracy better than 4 seconds per day infinite if powered by ac ; otherwise at least 24 hours hold time buffered memorhold time active settings, trends, patient data, realtime reports, events, review alarms contents mx600 / 700 / 800 performance specifications x600 / 700 / 800 power consumption 200 w averagpower specifications ine voltag100 to 240 v current 1. 9 to 0. 9 a 50 / 60 hz frequency red or yellow led with crossed out alarms symbol indicators alarms n / standby / ereen / red led integrower switch external power audible feedback for user input sounds rompt ton4 different alarm sounds. remote tone for alarms on other beds in networtone for timer expired 466 40 specifications mx600 / 700 / 800 12, 16, 24 or 32 numerics @ 12 sec, 1 minute, 5 minute esolution trends resolution multiple choices of number of numerics, resolution and duration depending on trend option and application areafor example : information neonatal extended 12 numerics, 24 hours @ 12 secs or 32 numerics 32 hours @ 1 minute intensive care extended : 16 numerics 120 hours @ 5 minutes anesthesia extended 32 numerics 9 hours @ 12 seconds measurements available hr, spo2, resp, tcpo2, pulse, perf, tcpco2, co 2, abp, @topic:8


# # # issue - medical cart is not located in the correct department. # # # impact - the medical cart may not be easily accessible to staff in the current department. - this could lead to delays in patient care or even patient safety issues. # # # possible causes - the medical cart was moved from a previous department without updating the location in the system. - the medical cart was placed in the wrong location by mistake. # # # recommendations - update the location of the medical cart in the system to reflect its current location. - consider implementing a system to track the location of medical equipment to prevent future errors. - provide training to staff on the importance of proper equipment placement. @topic:30


# # # issue - cuff on the philips intellivue mp2 ( m8102a ) patient transport monitor has deteriorated. # # # impact - the monitor may not be able to provide accurate blood pressure readings. # # # possible causes - the cuff may have been over - inflated or under - inflated. - the cuff may have been used too frequently. - the cuff may have been exposed to harsh chemicals or environments. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly inflated and deflated. - avoid using the cuff too frequently. - protect the cuff from harsh chemicals and environments. @topic:14


# # # issue - spo2 sensor intermittently reading # # # impact - inaccurate or incomplete patient data, which could potentially affect patient safety # # # possible causes - damaged spo2 sensor probe cable - loose connection between the spo2 sensor probe and the monitor - faulty spo2 sensor - software issue within the monitor # # # recommendations - verify cable integrity, check the connection between the probe and monitor, replace the probe if necessary. - update the monitor software to the latest version. - if the issue persists, contact the manufacturer for further troubleshooting and support. @topic:4


# # # issue * * loose wheel bolt * * # # # impact * safety hazard for patients and staff * reduced functionality of the bed * potential for further damage to the bed # # # possible causes * * * insufficient tightening of bolts during assembly * * * * * wear and tear over time * * * * * mechanical stress on the bolts * * * * * incorrectly sized or type of bolts used * * * * * missing or damaged nuts * * # # # recommendations * * * inspect and tighten all wheel bolts regularly * * ( e. g., monthly ) * * * replace worn or damaged bolts and nuts * * * * * use the correct size and type of bolts for assembly * * * * * ensure that nuts are securely fastened * * * * * train staff on proper assembly and maintenance procedures * * @topic:6


module is experiencing bad probe gain module. temperature not functionaprobe malfunction. replace probe. if the temperature module has a bad the problem persists, replace the temperature not functioninternal malfunction. if the problem ersists, replace the module. the temperaturmodule is not functional temperature not funcunable to deserialize messages from the module internal malfunction. if the problem replace the module. temperature not functionainternal malfunction. if the problem s, replace the module. nsupportemessage receivfrom the internal malfunction. if the problem persists, replace the module. temperature not funcunable to send temperature not temperature module internal malfunction. if the problem e the module. communication times out temperature not functional. 03cd00 failed to upgrade the internal malfunction. if the problem persists, replace the module. emperature motemperature not funcunable to read pim retry the device update. file temperature not fupgrade file directory retry the device update could not be ccessed direct mode reading timeut information onnone check the tissue contact and try the measurement again. lost tissue contact nformation tissue contact lost. while attempting to acquire a temperature acquired easurement was limited tissue contact. temperature module temperature sensor reset unexpectedly none 196 troubleshooting welch [UNK] connex® spot monitor raun 6000 messagealarm possible causmessage priority temperature not funwacp message crc internal malfunction. if the problem mismatch. dule. temperature not functthis message is not implemented by thmodule. internal malfunction. if the problem persists, replace the module. temperature not functioninternal malfunction. if the problem this message is not supported by the module. the @topic:20


# # # issue - no cause of failure is specified in the input. # # # impact - unable to determine the reason for the device failure. - this can lead to delays in repairs and affect patient care. # # # possible causes - the input does not provide any information on the cause of failure. - the cause of failure could be related to the equipment, band, model, or other factors not mentioned in the input. # # # recommendations - provide a clear and detailed description of the cause of failure. - include specific information about the component or system that failed and the underlying reason for the failure. - conduct a thorough investigation to identify the root cause of the failure. - document the cause of failure in a maintenance report for future reference. - implement preventive maintenance measures to prevent similar failures in the future. @topic:12


# # # issue - the bed's side rails cannot be adjusted. # # # impact - the patient may be uncomfortable or at risk of falling out of bed. - nursing staff may be unable to properly care for the patient. # # # possible causes - the rails are not properly tightened. - the rails are damaged. - the bed's motor is not working properly. # # # recommendations - check the tightness of the rails and tighten them if necessary. - inspect the rails for any damage. if there is any damage, replace the rails. - check the bed's motor to make sure it is working properly. if the motor is not working properly, replace the motor. @topic:6


# # # issue - bedside electric bed's side rail is loose # # # impact - patient safety : loose side rail can be a hazard to patients, who could fall out of bed. # # # possible causes - worn or broken spring or latch - loose screws or bolts - misaligned side rail - broken or damaged side rail # # # recommendations - inspect the bed and side rail for any damage or defects. - tighten any loose screws or bolts. - repair or replace any broken or damaged parts. - check the alignment of the side rail and make sure it is properly installed. @topic:6


##2 or mp5 is connected to a host monitor ( companion mode is indicated ) : • the x2 / mp5 will adopt the operating mode of the host monitor : • you cannot change the operating mode at the x2 / mp5. standby mode standby mode can be used when you want to temporarily interrupt monitoring. to enter standby mode, • select the monitor standby smartkey or • select main setup, followed by monitor standby. the monitor enters standby mode automatically after the end case function is used to discharge a patient. standby suspends patient monitoring. all waves and numerics disappear from the display but all settings and patient data information are retained. a special standby screen is displayed. this can be configured to a moving image or a blank screen. if a patient location is entered at the information center, this will also be displayed on the standby screen ( availability depends on information center revision ). to resume monitoring, config 27 1 basic operation understanding screens ♦ select anything on the screen or press any key. if you connect an x2 or mp5 that is powered on ( and not in standby ) to a host monitor in standby mode, the host will leave standby mode. when connected to a host monitor, with both the host and the x2 / mp5 in standby mode, leaving standby on the x2 / mp5 will also make the host leave standby. understanding screens your monitor comes with a set of preconfigured screens, optimized for common monitoring scenarios such as or adult, or icu neonatal. a screen defines the overall selection, size and position of waves, numerics and smartkeys on the monitor screen when you switch on. you can easily switch between different screens during monitoring. screens do not affect alarm settings, patient category and so forth. when you switch from a complex @topic:10


# # # issue - the electric bed is not functioning properly. # # # impact - patients may not be able to use the bed, which could lead to discomfort or pain. # # # possible causes - the bed may have been damaged during use by the 14d department. - the bed may not have been properly maintained. # # # recommendations - the bed should be inspected by a qualified biomedical engineer to determine the cause of the failure. - the bed should be repaired or replaced if necessary. - the 14d department should be reminded of the proper use and care of the bed. - the bed should be regularly maintained to prevent future failures. @topic:9


# # # issue - cuff malfunction # # # impact - inaccurate blood pressure readings # # # possible causes - worn or damaged cuff - cuff not properly inflated or deflated - cuff size mismatch - cuff not securely attached to the patient # # # recommendations - replace the cuff - ensure proper inflation and deflation of the cuff - use the correct cuff size for the patient - securely attach the cuff to the patient @topic:3


manufacturer's guidelines for proper calibration procedures. * * 5. contact technical support : * * - if the issue persists after following the above recommendations, contact the philips technical support team for assistance. - provide detailed information about the monitor's behavior, error messages, and any troubleshooting steps taken. @topic:22


# # # issue - the bed is rocking. # # # impact - the patient may be uncomfortable or at risk of falling out of the bed. # # # possible causes - loose bolts or screws - worn or damaged castors - misalignment of the bed frame - uneven flooring # # # recommendations - tighten all loose bolts or screws. - replace any worn or damaged castors. - realign the bed frame according to the manufacturer's instructions. - level the flooring if necessary. @topic:6


# # # issue the bed is unable to adjust its levels, which could hinder patient mobility and comfort. # # # impact * reduced patient mobility and independence * decreased patient comfort and satisfaction * potential safety hazards if the bed cannot be lowered or raised to a safe level # # # possible causes * * * electrical malfunction : * * faulty wiring, loose connections, or damaged electrical components can prevent the bed from responding to adjustment commands. * * * mechanical failure : * * worn or broken gears, belts, or actuators can prevent the bed from moving smoothly. * * * software error : * * if the bed's control system is malfunctioning, it may not be able to interpret adjustment commands correctly. # # # recommendations * * * troubleshooting : * * verify that the bed is properly plugged in and connected. inspect wires and connections for damage or loose contacts. * * * electrical testing : * * use a multimeter to check for voltage and continuity in the electrical system. identify and repair any faulty components. * * * mechanical inspection : * * examine the bed's mechanical components, such as gears, belts, and actuators, for signs of wear, damage, or misalignment. replace or repair as necessary. * * * control system diagnostics : * * use a diagnostic tool or software to identify any errors in the bed's control system. reset or update the software as needed. * * * additional considerations : * * if the bed has been recently moved or serviced, ensure that all components were reconnected and calibrated correctly. consult the manufacturer's instructions for specific troubleshooting and maintenance procedures. @topic:9


# # # issue - bp cuff malfunction # # # impact - unable to accurately measure blood pressure - potential for patient harm if inaccurate readings are used to make treatment decisions # # # possible causes - damaged bp cuff - loss of air from bp cuff during inflation # # # recommendations - check the bp cuff for any visible damage or leaks. - if the cuff is damaged, replace it with a new one. - if the cuff is not damaged, check for leaks by inflating it and listening for any air escaping. - if there is a leak, repair or replace the cuff as necessary. @topic:3


* * issue : * * - monitor is malfunctioning due to a degraded display. * * impact : * * - hospital staff may be unable to properly monitor patient's vital signs, which could lead to delayed diagnosis or treatment. * * possible causes : * * - aging display components, such as leds or lcd panels - exposure to excessive heat or moisture - physical damage - software glitches - power surges * * recommendations : * * - replace the monitor with a new or refurbished unit. - inspect the environment to ensure proper temperature and humidity control. - handle the monitor carefully to prevent physical damage. - update software regularly to minimize glitches. - install surge protectors to prevent damage from power surges. - consider regular maintenance checks to identify and address potential issues early on. @topic:2


# # # issue - adapter malfunction # # # impact - inability to charge the battery, leading to potential device failure in case of power outage # # # possible causes - physical damage to the adapter - power surge or fluctuation - poor maintenance or cleaning # # # recommendations - inspect the adapter for any visible damage or loose connections - ensure the power supply is stable and within the specified range - regularly clean and inspect the adapter and its connections - consider using a surge protector or voltage regulator to protect against power fluctuations - replace the adapter if necessary @topic:11


# # # issue - equipment not booting into windows # # # impact - inability to monitor patient vital signs # # # possible causes - corrupted windows installation - hardware failure ( e. g., motherboard, ram ) - power supply issues - bios settings # # # recommendations - attempt to repair windows installation - replace hardware components as necessary - check power supply and bios settings - contact manufacturer for support @topic:13


# # # issue - missing probe sat cable # # # impact - inability to measure patient's oxygen saturation levels # # # possible causes - * * theft : * * the probe sat cable may have been stolen by a patient, visitor, or staff member. - * * misplacement : * * the cable may have been accidentally misplaced or discarded during cleaning or maintenance procedures. - * * malfunction : * * the cable may have become damaged or malfunctioned due to wear and tear, improper handling, or exposure to fluids or chemicals. # # # recommendations - * * inventory control : * * implement a system to track and control medical equipment and accessories, including probe sat cables, to reduce the risk of theft or misplacement. - * * regular inspections : * * conduct regular inspections of medical devices and accessories to identify any potential issues or damage, including missing or malfunctioning probe sat cables. - * * staff education : * * train staff on the importance of handling medical equipment carefully and reporting any missing or damaged items promptly. - * * preventive maintenance : * * establish a preventive maintenance program for medical devices, including regular cleaning, calibration, and replacement of components, to minimize the risk of malfunctions and ensure optimal functionality. - * * collaboration with procurement : * * work with the procurement department to establish a process for ordering and replacing missing or damaged medical equipment and accessories, such as probe sat cables, in a timely manner. @topic:4


# # # issue - bed not adjusting up and down # # # impact - patient discomfort - difficulty accessing patient for care # # # possible causes - broken remote control cable - faulty remote control - malfunctioning bed motor - electrical issue # # # recommendations - check the remote control cable for damage and replace if necessary. - replace the remote control if it is faulty. - inspect the bed motor for any signs of damage or wear and tear. - check the electrical connections to the bed and ensure they are secure. @topic:1


# # # issue - medical cart is unable to reboot into windows. # # # impact - the medical cart is not functional and cannot be used for patient care. # # # possible causes - * * software update : * * the software on the medical cart was updated to a newer version, and the update may have caused the cart to fail to reboot. - * * hardware malfunction : * * there may be a hardware issue with the medical cart that prevents it from rebooting. # # # recommendations - * * check software update : * * verify if the software update was done correctly and that the new version is compatible with the medical cart. - * * contact manufacturer : * * reach out to the manufacturer of the medical cart ( bdms ) for technical support and troubleshooting assistance. - * * perform hardware diagnostics : * * use diagnostic tools to identify any potential hardware issues that may be preventing the cart from booting up. - * * await scg technician : * * as scheduled, a technician from scg will visit the site on 28 / 10 / 65 to inspect and resolve the issue. @topic:13


# # # issue - equipment not printing # # # impact - inability to monitor patient vital signs and trends # # # possible causes - paper jam inside the equipment - printer malfunction - software issue - network connectivity issue # # # recommendations - check for and remove any paper jams. - reset the printer by turning it off and on. - update the printer software. - check the network connection and ensure it is stable. - if the issue persists, contact the equipment manufacturer for further troubleshooting and repair. @topic:28


# # # issue * central monitor not linked to the central bme system. # # # impact * inability to monitor patient data remotely. * delays in medical decision - making. # # # possible causes * incorrect ci address settings in the monitor. * server issues within the central bme system. * network connectivity issues between the monitor and the central bme system. # # # recommendations * verify the ci address settings in the monitor and ensure they are correct. * check the status of the central bme server and ensure it is functioning properly. * troubleshoot network connectivity between the monitor and the central bme system, checking for any physical or configuration issues. @topic:16


review the following configuration information : active config file name • date of generation date loaded to device supported features ( examples include : rrp, bluetooth low energy ) licensed features ( examples include : bluetooth low energy, rrp ) to load a new configuration from the network, touch load in the right pane and follow the onscreen prompts. 3. to save the current configuration to a usb drive, connect a compatible flash drive to the usb port, touch save to usb in the right pane, and follow the onscreen prompts. 4. dvanced settingwelch [UNK] connex® spot monitor 34 note not all flash drives are supported. see " usb flash drive the appendix for details. this procedure enables you to save the last 14 active log files to a usb flash drive. note the welch allyn service tool enables you to save only the 2 most recent in advanced settings, touch the service > log file tabs. 1. connect a flash drive to the usb port. 2. note not all flash drives are supported. see " usb flash drive the appendix for details. touch save to usb and follow the onscreen prompts. 3. restore factory default settings note this process does not restore the monitor to a custom configuration provided at delivery. instead, it deletes all custom configuration data and restores factory default settings. in advanced settings, touch the service > system tabs. 1. reset to defaults : 2. to restore radio settings to factory default values, select radio settings only. to restore all current settings to factory default values, select all settings. touch reset and follow the onscreen prompts. 3. the factory default settings are restored. if you selected radio settings only, the radio reboots, and the device remains powered on. if you selected all settings, the device reboots. review firmware status and load firmware from @topic:10


# # # issue - broken ekg lead # # # impact - inability to obtain accurate ekg measurements # # # possible causes - physical damage to the lead - loose connection - electrical fault # # # recommendations - inspect the lead for any visible damage. - ensure that the connections are secure. - test the lead with a known good device. - if the lead is damaged, replace it with a new one. @topic:18


for any available updates that may address known issues or bugs related to head adjustment. * * * contact manufacturer : * * if the issue cannot be resolved through the above steps, contact the manufacturer of the bed for technical assistance and guidance on further troubleshooting and repair options. @topic:1


configured with the service support tool. 385 in the drug calculator window, select the pop - up key record drugcalc to immediately start a recording of the current drug calculation. • in the titration table window, select the pop - up key print titr. tbl to print a report of the current titration table.. in the drip table window, select the pop - up key print drip tbl to print a report of the current • 86 vuelink modules a vuelink module transmits information from a connected external device to your monitor. each module can be connected to one of up to three preselected external devices, and supports alarms from the external device. data from vuelink modules cannot be included in monitor trends when the label is a free - text label. the external device may show more information than is available on the monitor. the number of waves and numerics you can view simultaneously on your monitor's main screen depends on the module type. type a modules support one wave and two numerics, type b modules support two merics. ype max. external devices module max. wave numeric auxiliary standalone measurement module a 1 2 ventilator entilators b 2 6 gas analyze22 b 2 6 anesthesia 9 anesthesia machines b 2 achine external multi - measurement devices b 2 6 odule nam1 vuelink m1032a t - 7 1 device label ventilator 2 - 23 pb 7200a / ae semens 100c / die neo 3 selection led siemens cide ad 4 vuelink 4 6 external device cable connector 5 setup indicator led 6 module 7 5 the device labels ( 2 ) on the module indicate for which external devices the module is configured. the selection led ( 3 ) shows which device is currently active. the device label text may differ slightly from the labels on the @topic:10


# # # issue - equipment is not booting into windows normally # # # impact - device is not usable - patient care may be delayed or affected # # # possible causes - hardware issue ( e. g., faulty motherboard, hard drive, ram ) - software issue ( e. g., corrupted operating system, driver conflicts ) - power issue ( e. g., faulty power supply, loose connections ) - physical damage ( e. g., from a fall or impact ) # # # recommendations - * * hardware troubleshooting : * * - check all connections ( power supply, cables ) - reseat ram and other components - replace suspected faulty hardware ( e. g., motherboard, hard drive ) - * * software troubleshooting : * * - run system diagnostics and error checks - reinstall the operating system - update drivers - * * power issue troubleshooting : * * - check power supply voltage and connections - replace faulty power supply if necessary - * * physical damage troubleshooting : * * - inspect the device for any visible damage - contact the manufacturer for repair options @topic:13


# # # issue the philips suresigns vs4 physiologic vital signs monitor was returned to the department with a malfunctioning bmc11699 ear thermometer. # # # impact the malfunctioning ear thermometer could result in inaccurate temperature readings, which could lead to incorrect medical decisions. # # # possible causes * the ear thermometer may have been damaged during transport or handling. * the ear thermometer may have a manufacturing defect. * the ear thermometer may have been improperly calibrated. # # # recommendations * ensure that the ear thermometer is properly packaged and handled to prevent damage. * verify that the ear thermometer is properly calibrated and functioning according to manufacturer's specifications. * consider replacing the ear thermometer if it continues to malfunction. @topic:20


# # # issue - loud fan noise in medical device # # # impact - noise pollution - disruption of patient care - potential distraction or annoyance for medical staff # # # possible causes - faulty or damaged fan - excessive dust or debris build - up on fan - obstructed airflow - malfunctioning temperature sensor # # # recommendations - inspect and clean the fan, removing any dust or debris - check the temperature sensor for proper functionality - replace the fan if necessary - ensure proper airflow by clearing any obstructions in the device or surrounding area @topic:24


# # # issue - battery failure in a casmed 740 physiologic, vital signs monitor. # # # impact - the monitor may not be able to provide accurate vital signs measurements, which could lead to incorrect treatment decisions or patient harm. - the monitor may not be able to function properly if the battery is not replaced. # # # possible causes - the battery may have reached the end of its lifespan and is no longer able to hold a charge. - the battery may have been damaged by physical trauma or other external factors. - the battery may not have been properly installed or connected to the monitor. # # # recommendations - replace the battery with a new one of the same type and capacity. - ensure that the battery is properly installed and connected to the monitor. - regularly inspect the battery for signs of damage and replace it if necessary. - keep a spare battery on hand to prevent downtime in the event of a battery failure. * * additional notes : * * - it is important to use the correct type of battery for the monitor, as using an incorrect battery can damage the device or cause it to malfunction. - batteries should be disposed of properly according to local regulations. - to prevent battery failures, it is important to follow the manufacturer's instructions for charging and storing the battery. @topic:11


# # # issue - loose button for silencing alarms when bed is locked # # # impact - constant alarm noise # # # possible causes - button was not properly tightened during assembly or maintenance - button mechanism is damaged or worn out # # # recommendations - tighten the button securely - inspect the button mechanism for damage or wear and replace if necessary @topic:26


mcmmulti - mode mattress system - ad307a ( 230v ) ( 203 x 92 x 21. 5 cm ) x combined accella therapy + mcm multi - mode mattress system - ad307a ( 120v ) - ( 203 x 92 x 21. 5 cm ) p006792a x np50 - sw single - density foam mattress ( 198 x 85 x 14 cm ) - excluding uk and italy ass027 x ass028 np50 - sw single - density foam mattress ( 198 x 90 x 14 cm ) - excluding uk and italy [UNK] np50 - sw single - density foam mattress ( 198 x 85 x 14 cm ) - uk and italy only ass007 x np100 - sw dual - density foam mattress ( 198 x 85 x 14 cm ) - aly, without handles ass029 x np100 - sw dual - density foam mattress ( 198 x 90 x 14 cm ) - d italy, without handles ass031 x np100 - wd dual - density foam mattress ( 198 x 85 x 14 cm ) - ly, with handles ass030 x np100 - wd dual - density foam mattress ( 198 x 90 x 14 cm ) - xcluding uk and italy, with handles [UNK] ass032 ass022xt np100 - sw dual - density foam mattress ( 198 x 85 x 14 cm ) - uk and es x ss033 np150 - wd viscoelastic foam mattress ( 198 x 85 x 14 cm ) - x excluding uk and italy ass034 np150 - wd viscoelastic foam mattress ( 198 x 90 x 14 cm ) - d italy x ass004xt np150 - wd viscoelastic foam mattress ( 198 x 90 x 14 cm ) - uk and italy only x ss099 np150 x - ray viscoelastic foam mattress @topic:9


# # # issue - medical cart equipment not functioning properly. # # # impact - inability to use the scanner to connect to the server. # # # possible causes - scanner hardware or software issues. - network connectivity issues. - server configuration issues. # # # recommendations - troubleshooting equipment to determine if issue is caused by hardware or software. - ensuring stable network connection between scanner and server. - verifying server configuration to ensure proper communication with scanner. @topic:23


# # # issue - sensor malfunction in the spo2 cable # # # impact - inability to accurately measure and display spo2 values # # # possible causes - sensor degradation due to wear and tear - damage to the cable or sensor - software or firmware issues # # # recommendations - replace the defective spo2 cable with a new one - inspect the cable and sensor for any visible damage - ensure that the monitor software and firmware are up - to - date @topic:4


# # # issue faulty ekg lead wire # # # impact inability to accurately monitor patient's electrocardiogram, leading to delayed diagnosis and treatment. # # # possible causes - physical damage to the lead wire ( e. g., breaks, cuts ) - loose connections between the lead wire and the patient or the monitoring device - electrical interference from other devices or environmental sources - corrosion or oxidation of the lead wire material - end - of - life for the lead wire # # # recommendations - inspect lead wires regularly for any signs of damage or wear. - ensure proper handling and storage of lead wires to prevent physical damage. - tighten connections between the lead wire and the patient / device to eliminate loose connections. - use shielded lead wires to minimize electrical interference. - replace lead wires periodically based on the manufacturer's recommendations or as needed. - train staff on proper handling and maintenance of lead wires. @topic:18


* * issue : * * electrical shock to a staff member due to the simultaneous use of the laparoscopic monitor and the cautery device. * * impact : * * potential for serious injury or even death to the staff member. * * possible causes : * * - * * ground fault in the cautery device : * * this can cause electrical current to leak into the laparoscopic monitor, creating a pathway for the current to reach the staff member. - * * defective insulation : * * damaged or worn insulation on the electrical cords or connectors can also allow electrical current to leak and create a shock hazard. - * * improper grounding : * * the laparoscopic monitor or the cautery device may not be properly grounded, resulting in the accumulation of electrical charge and the potential for a shock. * * recommendations : * * - * * thoroughly inspect the cautery device and laparoscopic monitor for any signs of damage or wear : * * this includes checking the electrical cords, connectors, and insulation. - * * ensure proper grounding of both devices : * * verify that the grounding wires are securely connected to a proper grounding source. - * * test the devices before use : * * perform electrical safety tests on both the laparoscopic monitor and the cautery device to ensure they are functioning properly and are not posing a shock hazard. - * * follow manufacturer's instructions : * * always adhere to the manufacturer's instructions for safe operation and maintenance of the devices. - * * provide training to staff : * * educate staff members on the potential hazards associated with electrical equipment and the importance of following safety protocols. - * * establish a regular maintenance schedule : * * regularly inspect and service the laparoscopic monitor and cautery device to prevent potential failures and ensure their continued safe operation. @topic:12


# # # issue - the physiologic monitor is not accurately measuring the patient's vital signs. # # # impact - the patient's health could be compromised if the monitor is not providing accurate readings. - the healthcare team could make incorrect decisions about the patient's care if they are relying on inaccurate data from the monitor. # # # possible causes - the monitor may be malfunctioning. - the monitor may not be properly calibrated. - the monitor may be connected to the patient incorrectly. - the patient may have a medical condition that is interfering with the monitor's ability to measure their vital signs. # # # recommendations - the biomedical engineer should inspect the monitor for any obvious signs of damage. - the biomedical engineer should calibrate the monitor according to the manufacturer's instructions. - the biomedical engineer should check the monitor's connections to the patient and make sure they are secure. - the biomedical engineer should consult with the healthcare team to rule out any medical conditions that could be interfering with the monitor's ability to measure the patient's vital signs. @topic:20


# # # issue ups battery failure in central monitoring station. # # # impact - interruption of power supply to central monitors, potentially causing data loss or patient safety issues. - constant alarm noise, causing distraction and discomfort for healthcare staff and patients. # # # possible causes - battery age or degradation - battery not properly connected or maintained - issues with the ups system itself # # # recommendations - replace the ups battery with a new one. - ensure the battery is properly connected and maintained. - check the ups system for any other issues or replace the ups unit if necessary. - monitor the ups system regularly to prevent future failures. @topic:11


# # # issue - the bed, electric equipment with model care assist es manufactured by hill - rom is experiencing an error code 4. # # # impact - the equipment is unable to function properly and may not be safe for use. # # # possible causes - the error code could be caused by a variety of factors, including : - a problem with the electrical system - a problem with the mechanical system - a problem with the software # # # recommendations - the bme should troubleshoot the issue and take corrective action as needed. - the bme should also document the issue and any corrective actions taken. - depending on the severity of the issue, the bme may need to contact the manufacturer for support. @topic:9


# # # issue - equipment failure due to battery degradation # # # impact - inability to accurately monitor vital signs, potentially leading to delayed or incorrect diagnosis and treatment # # # possible causes - battery age and usage - overcharging or undercharging - exposure to extreme temperatures - manufacturing defects # # # recommendations - regular battery maintenance and replacement as per manufacturer guidelines - proper charging and storage practices - monitoring battery health and performance - investigating and addressing any underlying issues that may contribute to battery degradation @topic:11


# # issue - equipment : bed, electric - band : huntleigh - model : enterprise 8000 - description : the equipment cannot be adjusted up and down. - cause of failure : unknown # # impact the patient cannot be positioned properly for treatment or comfort. # # possible causes - the motor that controls the up and down movement of the bed is not working. - the electrical wiring to the motor is damaged. - the control panel is not functioning properly. - the bed frame is damaged. # # recommendations - check the motor to see if it is working. - inspect the electrical wiring to the motor for damage. - test the control panel to see if it is functioning properly. - inspect the bed frame for damage. - if any of these components are found to be damaged, they should be replaced. @topic:1


# # # issue - equipment : vital signs monitor - brand : welch allyn - model : connex spot monitor # # # impact - the equipment is not functioning properly. # # # possible causes - the equipment is defective. - the equipment is not properly calibrated. - the equipment is not being used correctly. # # # recommendations - contact the manufacturer for support. - calibrate the equipment according to the manufacturer's instructions. - train staff on the proper use of the equipment. @topic:22


, 20 v / m, duty cycle 1 : 24 - am : 1 khz immunity from 80 mhz to 1. 0 ghz ( any radio communication unit, broadcasting and tv transmitter ), 20 v / m, modulation factor 80 %. ( ecg : 20 v / m except 600 - 950 mhz where it is 10 v / m and temperature which holds 3 v / m over the full range ). caution temperature measurement accuracy may be compromised in the presence of strong electromagnetic fields ( 23 v / m ) in certain small frequency bands. 200 electromagnetic interference ( srr ) 7 installation instructions - operating ambient temperature testing over the range from 0 to 40°c ( 32 to 100°f ). - operating ambient humidity testing up to 95 % rh at 40°c ( 100°f ), non condensing. additional requirements can be necessary for transport situations in air, on water or in difficult terrain in certain countries, e. g. eu. electromagnetic interference ( srr ) commercially available short range radio 802. 15. 4 transceivers operate at very low rf power levels to transmit data and need to have high sensitivity receivers to achieve a good link budget. due to technological limitations the selectivity of the receiver is limited. consequently, the srr link is susceptible to other strong rf transmitters not only in the operating frequency band and 5 % around it, but also to non - transient rf disturbances stronger than 1 v / m at frequencies close to the operating frequency band ( 2. 0 to 2. 3 ghz ) installation checklist use this checklist to document your installation. perform initial inspection of delivery, unpack and check the shipment 2 ) mount the monitor as appropriate for your installation connect the monitor to ac mains via the external power supply using the supplied power cord or connect the mp2 / x2 to a host monitor : [ | creck ar tne cm aere tt ring er @topic:10


# # # issue - device failure due to damaged remote control. # # # impact - inability to operate the bed's functions remotely. # # # possible causes - physical damage to the remote control, such as dropping or impact. - malfunctioning of the remote control's electronic components. - loose or disconnected wires within the remote control. # # # recommendations - inspect the remote control for visible signs of damage. - check the remote control's battery and ensure it is properly installed. - test the remote control's buttons and ensure they are functioning properly. - if the remote control is damaged, replace it with a new one. - if the remote control is not functioning properly despite being undamaged, contact the manufacturer for troubleshooting assistance or repair. @topic:7


# # # possible causes - mechanical failure or misalignment - power supply issues - malfunctioning control panel - software errors - misuse or mishandling # # # recommendations - inspect the mechanical components for damage, wear, or misalignment. - check the power supply, connections, and fuses. - examine the control panel for proper functionality and response. - investigate any software updates or calibration required. - provide training to users on proper operation and maintenance procedures. @topic:12


to prevent stress on the endotrachial tube, support the sensor and airway adapter. position sensor cables and tubing carefully to avoid entanglement or potential strangulation. do not apply excessive tension to any cable or tubing. replace the sensor, if excessive moisture or secretions are observed in the tubing and cannot be removed by a purge cycle. reuse poses a patient hazard. do not disassemble, clean, disinfect or sterilize the sensor. a system leak may significantly affect readings of flow, volume, pressure and other respiratory mechanics parameters. do not leave the sensor in the patient circuit when not connected to the monitor. note • do not place the airway adapter between the endotrachial tube and the elbow ( pediatric / adult circuit ), as this may allow patient secretions to block adapter windows. • the striped tubing of the flow sensor should always be proximal to the patient. • position the airway adapter with the spirometry tubing pointing upwards. • to prevent “ rain - out ” and moisture from draining into the airway adapter, do not place the airway adapter in a gravity dependent position. • periodically check the flow sensor and tubing for excessive moisture or secretion build up. perform a purge cycle if droplets are visible within the sensor or tubing. repeat if necessary. if purging does not remove the droplets, replace the sensor. • for routine performance of airway care, separate the system between the endotrachial tube and the airway adapter ( neonatal circuit ), or between the endotracheal tube and elbow ( pediatric / adult circuit ). lavage and suctioning of the airway can then be performed without fluids and mucous accumulating on the airway adapter windows. • measurement values provided by a @topic:17


##way can then be performed without fluids and mucous ows. measurement values provided by a ventilator may differ significantly from the values provided by the spirometry module, due to different locations of the flow sensor. • incorrect entry of gas compensation parameters ( i. e. temperature, gas composition ) may reduce the accuracy of the measured values.. an abnormal volume waveform as displayed below may be an indicator of an air leak : • 400 in general, if mvexp or tvexp are significantly smaller than mvin or tvin, the tubing should be checked for leaks. the zero calibration maintains the accuracy of the spirometry waves and numerics by regularly compensating for drifts within the measurement section. it is performed automatically without user interaction and takes about 2 seconds to complete. the automatic zero calibration is normally carried out every ten minutes. during warm - up or when the ambient pressure changes, this interval may be reduced to two minutes. during the zero calibration the waveform is flat but the numerics remain on the screen. typically, a zero calibration is started at the beginning of a respiration cycle, therefore a waveform may begin normally and then immediately become flat for the time of the zero calibration. zero calibration rrspir rpm 25 8 pip ch20 40 1 3vexp 48520 tv in tv in utomatic purgina double lumen connecting line ( tubing ) connects the flow sensors to the patient monitor. the m1014a spirometry module includes an automatic and manual purge feature which provides a flush of room air to keep the sensor tubing free from water condensation and patient secretions. this feature is available for the adult, pediatric, and neonatal modes. the purge will begin with the exhalation portion of the ventilator cycle. @topic:17


# # # issue - loose cuff tubing connection # # # impact - incorrect or inaccurate blood pressure measurements # # # possible causes - cuff tubing not properly secured - cuff tubing damaged - equipment malfunction # # # recommendations - ensure cuff tubing is securely connected to both the cuff and the monitor. - inspect cuff tubing for any damage or leaks. - test the equipment to ensure proper functionality. @topic:3


your choice. the monitor automatically displays the patient demographics window after confirmation. verify that the settings shown are correct for the patient. gender, date of birth, height, weight, and nursing notes do not generate a mismatch. if these fields are different on different devices, the monitor resolves them itself. for example, it may take date of birth from the information center, whilst taking gender from the mms. always check the patient demographics after combining patients, to ensure that you are satisfied with the results. change them if necessary. warning after resolving a patient mismatch, check that the monitor settings ( especially patient category, paced status and alarm limits ) are correct for the patient. 109 5 managing patients data upload from an mms patient mismatch - if one set of patient data is correct ♦ if there is a mismatch between an information center and a monitor, or a monitor and an mms, choose the data set you want to continue using for this patient by selecting one of the sectors in the select patient window. after you resolve the mismatch, the monitor displays a confirmation window that shows the patient that has been selected and where data will be erased, if applicable. confirm your choice. the monitor automatically displays the patient demographics window after confirmation. verify that the settings shown are correct for the patient. patient mismatch - if neither patient data set is correct a patient mismatch where neither set of patient data is correct might occur if you connect a new mms to a monitor in order to prepare for a new patient, before you actually start measuring. ♦ select new patient if you are sure that none of the information is correct. this discharges all patients, erases all data in both the monitor and mms, resets all settings to the default profile, and lets you admit a new patient. patient mismatch - if both patient data sets are correct @topic:10


# # # issue - vital signs monitor physiologic monitor m1166a from hewlett packard is not displaying measurements. # # # impact - inability to accurately monitor patient's vital signs, such as heart rate, oxygen saturation, blood pressure, and temperature. - compromised patient safety and well - being. - inaccurate or delayed medical decisions due to unreliable data. - increased workload for healthcare professionals who have to manually monitor patient's vital signs. # # # possible causes - * * faulty sensors : * * the sensors responsible for detecting vital signs may be malfunctioning or disconnected. - * * hardware failure : * * internal components of the monitor, such as the processor or display, may have failed. - * * software issues : * * glitches or bugs in the monitor's software can cause it to display incorrect or incomplete data. - * * power supply problems : * * the monitor may not be receiving adequate power from the electrical outlet or battery. - * * external interference : * * electromagnetic interference from nearby equipment or devices can disrupt the monitor's operation. # # # recommendations - * * check connections : * * ensure that all sensors and cables are properly connected to the monitor. - * * calibrate sensors : * * follow the manufacturer's instructions to calibrate the sensors and verify their accuracy. - * * inspect hardware : * * examine the monitor for any visible damage or loose components. if necessary, contact a qualified technician for repairs. - * * update software : * * check for any available software updates from the manufacturer and install them to address potential bugs. - * * troubleshoot power supply : * * verify that the monitor is plugged into a working electrical outlet. check the battery if the monitor is battery - powered. - * * eliminate interference : * * identify and remove sources of electromagnetic interference that may be @topic:22


# # # issue - unable to adjust the bed ( up and down ) # # # impact - patients may not be able to comfortably adjust their bed to a comfortable position. - healthcare staff may not be able to easily adjust the bed to facilitate patient care. # # # possible causes - * * loose electrical connection : * * the electrical connection between the bed and the power outlet may have become loose, causing the bed to lose power. - * * faulty electrical component : * * a component of the bed's electrical system may have malfunctioned, preventing the bed from adjusting. - * * mechanical issue : * * a mechanical issue, such as a broken gear or motor, may be preventing the bed from adjusting. - * * software glitch : * * a software glitch in the bed's control system may be preventing it from responding to adjustment commands. # # # recommendations - * * check the electrical connection : * * ensure that the electrical connection between the bed and the power outlet is secure. - * * inspect electrical components : * * inspect the bed's electrical components for any signs of damage or malfunction. replace any faulty components as necessary. - * * troubleshoot mechanical issues : * * if the bed is making unusual noises or vibrations, it may indicate a mechanical issue. refer to the bed's maintenance manual for troubleshooting steps. - * * update software : * * if the bed has a software control system, ensure that the software is up to date. contact the bed manufacturer for software updates. @topic:1


# # # issue - low battery # # # impact - inability to accurately measure blood pressure # # # possible causes - battery is old and needs to be replaced - battery is not properly connected - battery is not charging properly # # # recommendations - replace the battery with a new one - check the battery connections - check the battery charging system @topic:11


# # # issue - cuff deterioration # # # impact - accurate blood pressure measurement may be compromised # # # possible causes - prolonged use and wear - improper storage - exposure to extreme temperatures or humidity # # # recommendations - replace the cuff with a new one of the same size and model - store the cuff in a cool, dry place - avoid exposing the cuff to extreme temperatures or humidity - inspect the cuff regularly for signs of wear or damage - consider using a disposable cuff for patients with sensitive skin or in high - risk environments @topic:3


# # # issue * medical carts are not able to admit patients in the correct ward. # # # impact * patient records can be mixed up, leading to incorrect treatment. * this can lead to delays in treatment, which can have a negative impact on patient outcomes. * it can also lead to distrust between patients and healthcare providers. # # # possible causes * the medical carts do not have a way to verify the identity of the patient. * the medical carts are not able to communicate with the hospital's patient management system. * the medical carts are not able to store patient records securely. # # # recommendations * implement a way to verify the identity of the patient, such as a barcode scanner or rfid reader. * integrate the medical carts with the hospital's patient management system so that they can share patient information. * implement security measures to protect patient records, such as encryption and access controls. @topic:13


* * issue : * * left rear wheel not rotating * * impact : * * patient mobility may be impaired, hindering necessary transfers and treatments. * * possible causes : * * * * * mechanical failure : * * the wheelchair's left rear wheel may have a loose connection or damaged parts that prevent it from rotating. * * * electrical malfunction : * * the motor responsible for powering the left rear wheel could have a faulty connection or electrical issue. * * * software error : * * the wheelchair's control system may have encountered a software error that is preventing the left rear wheel from functioning correctly. * * recommendations : * * * * * inspect the mechanical components : * * check for any loose connections, damaged gears, or debris that could be obstructing the wheel's rotation. * * * troubleshoot the electrical system : * * test the electrical connections to the motor and inspect for any shorts or breaks. * * * update the software : * * if a software error is suspected, update the wheelchair's control system to the latest version. * * * consult the manufacturer : * * if the issue cannot be resolved through basic troubleshooting, contact the wheelchair manufacturer for further assistance. they may provide specialized tools or expertise to diagnose and repair the problem. @topic:24


make sure the careassist® bed operates correctly, do the “ function checks ” on page 2 - 5. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 37 4. 11 brake detection switch chapter 4 : removal, replacement, and adjustment procedures 4. 11 brake detection switch tools required : small screwdriver 13 mm socket ratchet extension removal 1. set the brakes. 2. raise the bed to the highest position. 3. raise the right, foot end siderail to the up and locked position. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 4. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 5. remove the foot frame cover ( a ) ( see figure 4 - 19 on page 4 - 39 ). 6. remove the cover ( b ) from the bed right side of the foot hilow column ( c ). 7. disconnect the cable ( d ) from the brake detection switch ( f ). 8. open the cable track located under the foot crossbar on the frame, and remove the brake detection switch cable. 9. remove the screw ( e ) securing the brake detection switch ( f ) to the frame. 10. remove the brake detection switch ( f ). replacement 1. perfonn the removal procedure in reverse order. 2. to make sure the careassist® bed operates correctly, do the “ function checks ” on page 2 - 5. page 4 - 38 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 12 brake / steer bar chapter 4 : removal, replacement, and adjustment procedures 4. 12 brake / steer bar tools required : 13 mm socket ratchet extension 13 @topic:26


##05 - cardiac output, mainstream c0 2, pressure & press / temp m3014 - 44131 451261009321 m3014a front bezel ( c. o., c0 2, press / temp ), english ( also for danish, italian, simplified chinese, traditional chinese, japanese ) not shown m3014 - 44132 451264009331 m3014a front bezel ( c. o., c0 2, press / temp ), french not shown m3014 - 44133 451261009341 m3014a front bezel ( c. o., c02, press / temp ), german not shown m3014 - 44134 451261009351 m3014a front bezel ( c. o., c02, press / temp ),, dutch not shown m3014 - 44135 451261009361 m3014a front bezel ( c. o., c02, press / temp ), spanish not shown m3014 - 44137 451261009371 m3014a front bezel ( c. o., c02, press / temp ), norwegian not shown m3014 - 44138 451261009381 m3014a front bezel ( c. o., c02, press / temp ), swedish not shown m3014 - 44139 451261009391 m3014a front bezel ( c. o., c02, press / temp ), finnish not shown m3014 - 44144 451261009401 m3014a front bezel ( c. o., c02, press / temp ), portuguese not shown m3014 - 44145 45126100 @topic:8


# # # issue - the blood pressure monitor is continuously inflating and does not stop. # # # impact - inaccurate blood pressure readings. - patient discomfort. # # # possible causes - leaking blood pressure cuff. - faulty pressure sensor. - malfunctioning inflation pump. - software glitch. - user error. # # # recommendations - replace the blood pressure cuff and connectors. - check the pressure sensor for proper calibration. - inspect the inflation pump for any mechanical defects. - update the software if necessary. - train users on proper operation of the device. # # # additional notes - the user reported that the device was inflating for an extended period, which could indicate a leak in the cuff or a faulty pressure sensor. - it is important to investigate all possible causes to ensure that the issue is fully resolved and does not recur. @topic:14


# # # issue - bed alarm not working due to no power supply. # # # impact - inability to monitor patient's condition and respond to alarms. # # # possible causes - * * faulty bed alarm * * : the bed alarm may be defective and not receiving power. - * * damaged power cord * * : the power cord connecting the bed alarm to the electrical outlet may be damaged or loose. - * * faulty electrical outlet * * : the electrical outlet where the bed alarm is plugged in may be malfunctioning. - * * improperly connected wires * * : the wires connecting the bed alarm to the bed may be improperly connected or loose. # # # recommendations - * * inspect bed alarm * * : check the bed alarm for any visible damage or defects. - * * test power cord * * : use a multimeter to test the continuity of the power cord. replace the cord if it is damaged. - * * check electrical outlet * * : ensure that the electrical outlet is functioning properly by plugging in another device. - * * verify wire connections * * : inspect the wires connecting the bed alarm to the bed and ensure that they are securely connected. replace any damaged or loose wires. @topic:26


# # # issue - monitor screen is black. - alarm : " unplug " is triggered. # # # impact - inability to monitor patient's vital signs. - alarm may cause unnecessary panic or confusion. # # # possible causes - faulty power supply or connection. - damaged display module. - software malfunction. # # # recommendations - check power cord connections and ensure they are securely plugged in. - inspect the display module for any visible damage or loose connections. - restart the monitor by turning it off and on again. - if the issue persists, contact the manufacturer's technical support for further assistance. # # # additional notes - the technician's description indicates that the monitor was tested and found to be working normally after running a demo mode for 12 hours. - however, it is possible that a fault developed after the demo mode was completed. - it is crucial to thoroughly investigate all potential causes before replacing any components. @topic:2


# # # issue - the bed's side rails cannot be locked into place. # # # impact - this poses a safety hazard to the patient, as they may be able to fall out of the bed. additionally, the bed may not be able to be used for its intended purpose. # # # possible causes - the locking mechanism is faulty. - the side rails are not aligned properly. - the bed frame is damaged. # # # recommendations - inspect the locking mechanism for any damage or wear. if necessary, replace the locking mechanism. - ensure that the side rails are aligned properly and that they are securely attached to the bed frame. - inspect the bed frame for any damage. if necessary, repair or replace the bed frame. @topic:6


# # # issue - equipment : bed, electric - band : hill - rom - model : affinity 4 ( p3700 ) - description : unable to adjust the bed. # # # impact - the patient may not be able to get into or out of the bed safely. - the patient may not be able to be positioned properly for medical treatment. # # # possible causes - the power switch may be turned off. - the control panel may be malfunctioning. - the wiring may be damaged. - the motor may be malfunctioning. # # # recommendations - check the power switch to make sure it is turned on. - check the control panel for any signs of damage. - inspect the wiring for any damage or loose connections. - if the problem persists, call a qualified technician to troubleshoot and repair the bed. @topic:1


# # # issue * * equipment is not meeting the needs of the department. * * # # # impact * * the department is unable to use the equipment to monitor patients'vital signs. * * # # # possible causes * the incorrect type of equipment was ordered. * the equipment is not functioning properly. * the department's needs have changed since the equipment was purchased. # # # recommendations * * * verify the type of equipment that is needed. * * * * * inspect the equipment to ensure that it is functioning properly. * * * * * contact the manufacturer or service provider for assistance. * * * * * consider purchasing a different type of equipment. * * @topic:2


##signs vm patient monitor and associated accessories can be susceptible to interference from other rf energy sources and continuous, repetitive, power line bursts. examples of other sources of rf interference are other medical electrical devices, cellular products, information technology equipment, and radio / television transmission. if interference is encountered, as demonstrated by artifact on the ecg or dramatic variations in physiological parameter measurement values, attempt to locate the source. assess the following : • is the interference due to misplaced or poorly applied electrodes or sensors? if so, re - apply electrodes and sensors correctly according to directions in the product ’ s instructions for use. • is the interference intermittent or constant? • does the interference occur only in certain locations? • does the interference occur only when in close proximity to certain medical electrical equipment? • do parameter measurement values change dramatically when the ac line cord is unplugged? once the source is located, attempt to attenuate the interference by distancing the product from the source as much as possible. if assistance is needed, contact your local service representative. b - 2 electromagnetic compatibility restrictions for use restrictions for use artifact on ecg and other physiological waveforms caused by electromagnetic interference should be evaluated by a physician or physician authorized personnel to determine if it will negatively impact patient diagnosis or treatment. emissions and immunity the suresigns vm patient monitor is designed and evaluated to comply with the emissions and immunity requirements of international and national emc standards. see tables 1 through 4 for detailed information regarding declaration and guidance. the emc standards state that manufacturers of patient - coupled equipment must specify immunity levels for their systems. see tables 2 and 3 for this detailed immunity information. see table 4 for recommended minimum separation distances between portable and mobile communications equipment and the product. immunity is defined in the standard as the ability of a system to perform without degradation in the presence of an electromagnetic disturbance. degradation in system performance @topic:10


# # # issue - the battery on the schiller argus csm monitor is failing. # # # impact - the monitor may not be able to provide accurate readings or may stop working altogether. # # # possible causes - the battery may be old and have reached the end of its life. - the battery may have been damaged by a power surge or other event. - the battery may not be properly connected to the monitor. # # # recommendations - replace the battery with a new one. - inspect the battery and monitor for any damage. - ensure that the battery is properly connected to the monitor. @topic:11


distribution architecture 16 the dc / dc converter transforms the dc power ( 36 - 60 v dc range ) coming from the msl plug into a 16 v dc source and isolates the monitoring system from the dc msl. the 16v dc is distributed via the power board to the battery charging circuit and to the main board. the power is used to charge the battery and supply the monitoring system. as soon as the dc power source is disconnected, the battery starts and keeps the system powered ( battery mode ). the main board contains power supply circuits, which convert the 16 v dc into several voltages supplying the particular components of the monitoring system. the realtime clock and the buffered ram is supplied with cont. 3. 6 v dc power, provided either by the 16 v dc system power or by the battery power and converted to 3. 6 v dc. the cpu board has an mpc852 mhz processor in the patient monitor that provides a number of on - chip, configurable interfaces. an array of fast uarts with configurable protocol options are implemented in an asic ( along with other system functions such as independent watchdogs, video, etc. ), providing interfacing capabilities to integrated measurements. the main board contains additional video hardware. the cpu provides a lan interface to connect to the philips clinical network ( ethernet ). system interfaces the lan interface on the measurement link ( msl ) is used as the network interface. 17 compatible devices m3012a, m3014a, m3015a, m3016a mms extensions note the mms extensions are not supported if the intellivue mp2 / x2 is powered from the internal battery. although they can still be attached, they will not function in this case. 18 data flow the following diagram shows how data is passed through the monitoring system. the individual stages of data @topic:10


# # # issue - bed is not adjustable # # # impact - inability to position the patient correctly for treatment or comfort # # # possible causes - * * motor failure : * * the motor that controls the adjustment of the bed may have failed. - * * electrical fault : * * there may be a fault in the electrical system of the bed that is preventing the motor from functioning properly. - * * mechanical failure : * * there may be a mechanical problem with the bed, such as a broken gear or worn - out component, that is preventing the motor from adjusting the bed. # # # recommendations - * * check the motor : * * inspect the motor and its connections for any signs of damage or wear. test the motor to ensure it is functioning properly. - * * check the electrical system : * * inspect the electrical wiring and connections for any signs of damage or loose connections. use a multimeter to test for continuity and voltage. - * * inspect the mechanical components : * * visually inspect the mechanical components of the bed, such as gears, springs, and cables, for any signs of wear, damage, or misalignment. @topic:1


# # # issue medical cart ( bdms 01 ) malfunctioned and displayed an error code of 4s2. # # # impact the malfunctioning medical cart disrupted patient care and potentially compromised patient safety. # # # possible causes - power supply issues - battery failure - electrical connection issues - software bugs or glitches - mechanical failure # # # recommendations - inspect the power supply and ensure it is securely connected to the medical cart. - check the battery level and replace if necessary. - verify all electrical connections are secure and not damaged. - update the software to the latest version to address any potential bugs or glitches. - perform a thorough mechanical inspection for any signs of damage or wear. @topic:13


# # # issue the electric bed is not adjusting. # # # impact patients may not be able to get into or out of bed safely. the bed may not be able to be positioned correctly for medical procedures. # # # possible causes - the bed is not plugged in. - the power cord is damaged. - the control panel is not working. - the motor is not working. - the bed frame is damaged. # # # recommendations - check that the bed is plugged in and that the power cord is not damaged. - if the control panel is not working, check the connections and replace the control panel if necessary. - if the motor is not working, replace the motor. - if the bed frame is damaged, contact the manufacturer for repair. @topic:1


alarms 243 catheter insertion 244 catheter preparation 243 hospira, accessories 241 in - vivo calibration 244, 247 light intensity calibration 244 measurement principle 241 monitoring 243 svr / svri 200 switching on monitor 41 symbols 403 synchronization marks ( defibrillator ) 118 system pulse 161 systolic blood pressure, nbp, early 180 t tabular trends 273 tamb 186 task window for st map 153 tcereb 186 tcgas 233 sensor temperature 234 transducer, calibrating 235 tcgas site timer 234 technical alarms messages see inops 77 telemetry alarms 268 suspending at bedside 268 telemetry device controlling from bedside 267 silencing alarms at bedside 268 unpairing 267 temperature 185 accessories 393 alarm settings 185 connecting probe to monitor 185 difference, calculating 186 dual temp measurement 186 extended label set 186 first 186 label 186 making a measurement 185 probe, disposable 185 probe, selecting 185 second 186 tcgas sensor 234 temperature probe connecting 185 templates creating for recordings 324 testing alarms 69 time, setting 40 timers 355 counting direction 356 displaying on main screen 357 notification 357 selecting label 356 setting up 355 viewing 355 tinj probe type 204 titration table ( drug calculator ) 346 tone configuration, alarm 57 tone mod ( sp02 ) 176 tone modulation 176 total power ( tp ) 249 total power numeric ( bis ) 257 touchscreen 20 disabling 20 tp ( total power ) 249 tp numeric ( bis ) on / off 262 trackball connector 409 trackball, using 22 trademarks 402 transcutaneous gas measurements 233 transducer c02, accuracy 219 c02, calibrating 220 pressure, zeroing 189 tcgas, calibrating 235 transferring centrally - monitored patients 105, 106 x using iit 106 transferring patients with mms 107 transport brightness setting 375 trend @topic:8


# # # issue - battery issue # # # impact - the battery does not charge fully and sounds an alarm. # # # possible causes - the battery is old and degraded. # # # recommendations - the battery should be replaced with a new one. @topic:11


# # # issue - ekg lead failure, resulting in inaccurate ekg readings. # # # impact - impaired patient monitoring and diagnosis. - delay in treatment, potentially leading to adverse outcomes. # # # possible causes - damaged or loose ekg lead wires. - loose connections at the patient or monitor end. - faulty ekg lead cable or sensor. - electrical interference from other devices. - patient positioning or movement affecting lead contact. # # # recommendations - * * verify the ekg leads : * * inspect the wires and connections for damage or loose contacts. ensure proper placement and securement of the leads on the patient. - * * test the ekg cable and sensor : * * use a dedicated ekg tester to evaluate the integrity of the cable and sensor. replace if necessary. - * * check for electrical interference : * * identify and eliminate sources of electrical noise, such as nearby equipment or power lines. - * * adjust patient positioning and movement : * * reposition the patient or adjust their movement to minimize lead displacement or interference. - * * consider alternative monitoring options : * * if ekg lead failure persists, explore alternative monitoring methods, such as transcutaneous or telemetric ekg. - * * document the issue and corrective actions : * * record the failure, troubleshooting steps, and any corrective measures taken for future reference and accountability. @topic:18


* * issue : * * * the electrical hospital bed has a loose nut. * * impact : * * * the bed may not be stable or safe for patients. * the bed may malfunction or break down. * * possible causes : * * * * * normal wear and tear : * * nuts and bolts can loosen over time due to repeated use and vibration. * * * improper assembly : * * the nut may not have been tightened properly during initial assembly or after maintenance. * * * defective nut or bolt : * * the nut or bolt may have been manufactured with a defect, such as stripped threads. * * * corrosion : * * rust or other corrosion can weaken the nut and bolt, causing them to loosen. * * recommendations : * * * * * regular maintenance : * * inspect the bed regularly for loose nuts, bolts, and other components. * * * proper assembly : * * ensure that all nuts and bolts are tightened properly according to the manufacturer's specifications. * * * use high - quality components : * * replace loose or defective nuts and bolts with new, high - quality components. * * * address corrosion : * * prevent or remove corrosion by cleaning and lubricating the bed regularly. @topic:6


* * issue : * * vital signs are not being transmitted to the icca system from the bedside monitor. * * impact : * * the icca system will not be able to receive and display the patient's vital signs, which could lead to delays in patient care. * * possible causes : * * * * * faulty communication cable : * * the cable that connects the monitor to the icca system may be damaged or loose. * * * incorrect icca configuration : * * the icca system may not be configured to receive data from the monitor. * * * software glitch : * * a software glitch in either the monitor or the icca system could be preventing data transmission. * * * hardware malfunction : * * a hardware malfunction in either the monitor or the icca system could be preventing data transmission. * * recommendations : * * * * * inspect the communication cable : * * check the cable for any visible damage or loose connections. if the cable is damaged, replace it. * * * verify icca configuration : * * ensure that the icca system is configured to receive data from the monitor. consult the icca system manual for instructions on how to do this. * * * restart the monitor and icca system : * * restarting both the monitor and the icca system can sometimes resolve software glitches. * * * contact biomedical engineering : * * if the above steps do not resolve the issue, contact biomedical engineering for assistance. @topic:16


# # # issue - broken wheel # # # impact - equipment cannot be moved properly - patient may be injured if the equipment is not moved safely - staff may be injured if they try to move the equipment with a broken wheel # # # possible causes - the wheel was not properly maintained - the wheel was overloaded - the wheel was damaged in an accident # # # recommendations - inspect the wheels regularly and replace them if they are worn or damaged - do not overload the equipment - handle the equipment carefully to avoid accidents @topic:24


persists, replace the suresigns vm4 temperature module. see " removing the suresigns vm4 temperature module ” on page 8 - 8. 866 ( 70 ) temp probe error ( 70 ) problem reading the probe's eeprom. shut down and restart the monitor. if the problem persists, replace the suresigns vm4 temperature module. see “ removing the suresigns vm4 temperature module ” on page 8 - 8. 866 ( 75 ) temp probe error ( 75 ) problem reading the probe's eeprom correctly or the probe was not factory tested. shut down and restart the monitor. if the problem persists, replace the suresigns vm4 temperature module. see " removing the suresigns vm4 temperature module ” on page 8 - 8. 867 ( 24 ) temp module malfunc ( 24 ) ambient temperature too high. check that the fan is running. check all venting slots of the suresigns vm4 temperature module. check the thermal shield plate in the module. verify that the ambient temperature does not exceed operating specifications. if the problem persists, replace the temperature probe. if the problem persists, replace the suresigns vm4 temperature module. see “ removing the suresigns vm4 temperature module ” on page 8 - 8. 7 - 20 troubleshooting error codes code description possible cause action 867 ( 25 ) temp module malfunc ( 25 ) ambient temperature too low. verify that the ambient temperature does not exceed operating specifications. if the problem persists, replace the temperature probe. if the problem persists, replace the suresigns vm4 temperature module. see “ removing the suresigns vm4 temperature module ” on page 8 - 8 867 ( 27 @topic:20


# # # issue - faulty spo2 cable [UNK] [UNK] [UNK] [UNK] [UNK] 法 [UNK] [UNK] spo2 [UNK] 。 # # # impact - [UNK] [UNK] 的 [UNK] [UNK] [UNK] 和 [UNK] [UNK] [UNK] 不 [UNK] [UNK] ， [UNK] [UNK] 会 [UNK] [UNK] 治 [UNK] 。 # # # possible causes - spo2 [UNK] [UNK] [UNK] [UNK] 。 - [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] 不 良 。 - [UNK] [UNK] [UNK] [UNK] 。 # # # recommendations - [UNK] [UNK] [UNK] [UNK] 的 spo2 [UNK] [UNK] 。 - [UNK] 保 [UNK] [UNK] [UNK] [UNK] 地 [UNK] [UNK] [UNK] [UNK] [UNK] 和 [UNK] [UNK] 。 - [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] ， [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] 有 [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] 。 @topic:4


when the intrathoracic pressure is fairly constant. you can use the respiration waveform as a reference when assessing the pawp waveform, to ensure constant measurement timing relative to the respiratory cycle. the monitor displays the pawp value for up to 24 hours or until you admit a new patient. warning the pressure receptor in the catheter records pressure changes that occur only in front of the occlusion. even though the catheter tip is in the pulmonary artery, the receptor records pressure changes transmitted back through the pulmonary circulation from the left side of the heart. while performing the wedge procedure, the monitor switches off the pressure alarms for pulmonary due to a slight measurement delay, you should not use sidestream co2 as a direct reference for determining the end expiratory point in the pressure curve. to start the wedge procedure, in the main setup menu, select wedge to display the wedge procedure window. 1 prepare and check the pressure line according to your hospital policy. 2 use the refernce wave 1 and refernce wave 2 pop - up keys to select any ecg or respiratory 3 wave as reference waves. select change speed if you want to change the speed of the displayed wave. the speed can also be changed in the screen for editing the wedge. 4 select change scale to change the wave scale of the pap. the same scale will be used in the screen for editing the wedge. if the setting optimum scale is used, the wave scale will be optimized when a wedging waveform is recognized and will revert to the previous scale when the e window is closed. 5 inflate the balloon when the monitor prompts you : ready for balloon inflation. the waveform changes from the pap to the pawp wave. the measurement takes approximately 12 seconds. on completion, the monitor stores the pawp waveform display and prompts you to deflate the balloon @topic:17


shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1032 system error could not open audio files. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1033 system error unspecified error. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1034 system error failed to load product info. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1035 system error cannot initialize front end manager. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 4 - 26 troubleshooting suresigns vs2 * and vsi service guide error codes code error message possible cause action 1036 system error failed to start work thread. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1037 system error cannot start polling thread. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the @topic:22


# # # issue - bed is not levelling flat # # # impact - patient may be uncomfortable or at risk of injury if the bed is not level. # # # possible causes - the user may have inadvertently adjusted the bed to an incorrect position. # # # recommendations - ensure that the bed is adjusted to a flat position before use. - train users on how to correctly adjust the bed. @topic:1


# # # issue * the bed cannot be adjusted downwards # # # impact * the patient may not be able to get into or out of bed comfortably. * the patient may not be able to be positioned correctly for medical procedures. * the patient may be at risk of injury if the bed is not adjusted correctly. # # # possible causes * the remote control is not working properly. * the actuator that moves the bed is not working properly. * the power supply to the bed is not working properly. * the software that controls the bed is not working properly. # # # recommendations * check the remote control to make sure that it is working properly. * check the actuator to make sure that it is working properly. * check the power supply to the bed to make sure that it is working properly. * check the software that controls the bed to make sure that it is working properly. * if the problem cannot be resolved, contact the manufacturer of the bed. @topic:1


# # # issue the provided input describes that a biomedical engineer ( bme ) encountered a failure with a medical cart ( medica cart ) and was unable to connect to the hardware. # # # impact the inability to connect to the hardware prevents the proper functioning of the medical cart, potentially impacting patient care and hospital operations. # # # possible causes based on the provided information, the following possible causes could have contributed to the failure : - * * loose or damaged cables or connectors : * * if the cables connecting the device to the hardware are loose or damaged, they may not be making proper contact and preventing data transmission. - * * hardware malfunction : * * a hardware component, such as the motherboard or a peripheral device, may have malfunctioned, leading to connection issues. - * * software conflicts : * * incompatible software or outdated drivers can sometimes cause conflicts that affect hardware connectivity. - * * power issues : * * if the device or hardware is not receiving sufficient power, it may not be able to connect properly. - * * configuration errors : * * incorrect settings or configurations in the device or hardware may be preventing the connection. # # # recommendations to resolve the issue, the bme could consider the following recommendations : 1. * * check cables and connectors : * * inspect the cables and connectors for any signs of damage or loose connections. ensure that they are firmly plugged in. 2. * * restart the device and hardware : * * power down the medical cart and the hardware, then restart them. this may resolve any temporary software glitches. 3. * * update drivers : * * check if there are any available updates for the device drivers or hardware firmware. installing the latest updates can fix known issues and improve compatibility. 4. * * troubleshoot hardware : * * if the issue persists, the bme may need to @topic:13


# # # issue the bed is not adjusting. # # # impact the patient may not be able to be positioned comfortably or safely. # # # possible causes - the power supply to the bed is not working. - the control panel is not functioning properly. - the motor that adjusts the bed is not working. - the bed frame is damaged. # # # recommendations - check the power supply to the bed. make sure that the power cord is plugged in and that the circuit breaker is not tripped. - inspect the control panel for any damage or loose connections. - test the motor that adjusts the bed. if the motor is not working, it may need to be replaced. - inspect the bed frame for any damage. if the frame is damaged, it may need to be repaired or replaced. @topic:1


# # # issue - monitors, bedside, physiologic device is not linking with the central system # # # impact - the device cannot be monitored or controlled remotely. - the device may not be able to provide accurate readings. # # # possible causes - central monitor is not functioning properly. - network connection is not working properly. - device is not configured correctly. # # # recommendations - check the central monitor to make sure it is functioning properly. - check the network connection to make sure it is working properly. - check the device configuration to make sure it is correct. @topic:16


# # # issue cuff failure in a philips suresigns vsi vital signs monitor. # # # impact the monitor may not be able to accurately measure blood pressure, which could lead to incorrect patient assessment and treatment decisions. # # # possible causes * normal wear and tear * damage to the cuff during storage or handling * improper cuff inflation * cuff not properly attached to the monitor # # # recommendations * replace the cuff with a new one that is compatible with the monitor. * inspect the cuff regularly for signs of damage and replace it if necessary. * handle the cuff carefully to avoid damage. * ensure that the cuff is properly inflated and attached to the monitor. * train staff on the proper use and maintenance of the monitor and cuff. @topic:15


# # # issue - leaking cuff # # # impact - inaccurate blood pressure readings # # # possible causes - cuff is damaged or punctured - cuff is not properly inflated - cuff is too loose or too tight # # # recommendations - replace the cuff with a new one - ensure that the cuff is properly inflated - ensure that the cuff is the correct size for the patient @topic:3


# # # issue the cause of failure is not specified in the given input. # # # impact the impact of the failure is not specified in the given input. # # # possible causes - the bnc cable may be damaged or faulty - the monitor may be faulty - the laparo olympus unit may be faulty # # # recommendations - check the bnc cable for damage or faults - test the monitor with a known - good cable - test the laparo olympus unit with a known - good monitor - if the problem persists, contact the manufacturer for further troubleshooting assistance @topic:2