electric potentials of all the unprotected metal arts need to be equalized. the bed must be connected to the electrical installation. to equalize potentials if a grounded power connection is unavailable, connect the equipotential cable ( ac968a ) to the connection terminal on the bed and the device. it is fitted with two poag - wb 6 din type connectors and a 2 m long yellow and green cable. this cable permit to equalize the electric potentials of all metal parts of a device and the bed. the " nurse call " function is activated on the patient keypads, the caregiver keypads or the control pendant *. check that the cable connecting the bed to the hospital's communications system is connected and that the " nurse call " control is accessible by the patient. o activate : • the light under the nurse call symbol flashes for • 1 minute. if the system acknowledges reception of the signal during this time, the light turns green. otherwise, it goes out automatically. the light goes out if the caregivers confirm reception of the call. • if the bed detects a connection fault ( cable not connected or fault ), a continuous signal sounds if the nurse call control is activated. if the the " nurse call " control on the siderail patient keypads is not accessible by the patient, ensure that the another call solution is available ( eg. : control pendant * ) help with care fixed iv pole ( ad294a - 263627 ) * * the iv pole is mounted in the angle supports and is used to hold iv bags. safe working load : refer to the value indicated on the iv pole telescopic iv pole ( ad298a - ad299a ) * * the iv pole is mounted in the angle supports and is used to hold iv bags. a ensure that the iv pole is @topic:9


then select the accept reject pop - up key to accept or reject trials. if you are using a touch screen you can accept or reject trials directly by tipping on the trial curve. discard conspicuously different values. the background of rejected trials is red and the background of accepted trials is green. the monitor recalculates the average values after you reject or accept trials. if all values are different from each other, there may be true hemodynamic instability caused, for example, by severe cardiac arrhythmia. 3 save average c. o. values. to close a measurement series, you must save the average values by selecting the pop - up key save c. o. this sends the average c. o. numeric to be displayed on the main screen, and stores the averaged values in the trends and calculations databases. documenting c. o. measurements you can document c. o. measurements on the default printer or recorder. 208 13 monitoring cardiac output c. o. injectate guidelines 1 in the c. o. procedure window, select the pop - up key print / record. 2 from the pop - up list, choose : - print results to print the contents of the c. o. procedure window - record results to record the contents of the c. o. procedure window - record trial to send an individual trial curve to the recorder. c. o. injectate guidelines the greater the injectate volume and the colder the temperature, the more accurate the measurement. reduced injectate volume or higher injectate temperature may reduce the specified accuracy. for adult patients, to ensure the greatest measurement accuracy, use a cold injectate ( < 8°c ) of 10 ml volume, if not contra - indicated by the patient's condition. your choice of injectate volume should be based on the injectate temperature and the patient ’ s cardiac output @topic:17


# # # issue : equipment malfunction due to lack of proper calibration. # # # impact : - inaccurate readings - potential for patient harm - reduced reliability and efficiency of the device # # # possible causes : - device was not calibrated before use. - calibration was not performed correctly. - calibration was performed using outdated or inaccurate equipment. - device was damaged during calibration. # # # recommendations : - ensure that the device is calibrated before each use, following the manufacturer's instructions. - use calibrated equipment to perform calibration. - keep a record of all calibration procedures, including the date, time, and person who performed the calibration. - if the device is damaged during calibration, it should be inspected and repaired by a qualified technician. @topic:12


# # # issue the bed's headrest is unable to be adjusted downwards. # # # impact - patients may be uncomfortable or unable to receive proper care if the headrest cannot be adjusted to the desired position. - the bed may be unusable for certain procedures that require the headrest to be lowered. # # # possible causes - * * electrical issue : * * the motor that controls the adjustment of the headrest may be faulty or there may be a problem with the electrical wiring. - * * mechanical issue : * * there may be a problem with the gears or other mechanical components that allow the headrest to move. - * * hydraulic issue : * * if the bed is hydraulically operated, there may be a leak or other problem with the hydraulic system. - * * software issue : * * there may be a problem with the software that controls the bed's operation. # # # recommendations - * * electrical issue : * * check the wiring and connections to the motor. if necessary, replace the motor. - * * mechanical issue : * * inspect the gears and other mechanical components for damage or wear. lubricate or replace the components as necessary. - * * hydraulic issue : * * check for leaks or other problems with the hydraulic system. replace any damaged or leaking components. - * * software issue : * * update or reinstall the software. if necessary, contact the manufacturer for support. @topic:1


label > inops ( under temp ) uap inops press see < pressure label > inops ( under pressure ). unsupported lan inop tone monitor there is a problem with the communication to the network and central monitoring is currently not possible. check the connection. if the inop persists, switch off the monitor and contact your service personnel. user i / f malfunct. inop tone. monitor perform a visual and functional check of all the monitor input devices. contact your service personnel. uvp inops press see < pressure label > inops ( under pressure ). v lead off numeric is replaced by for 10 seconds ; inop tone. ecg the v electrode ( iec : c electrode ) has become detached from the patient or the lead set has been changed. reattach the electrode or select new lead setup in the setup ecg menu to confirm the new lead set. cvuelink option > chk cable inop tone. vuelink no cable or the wrong cable connected to the vuelink module, or incorrect device selected. silencing this inop switches the measurement off. vuelink inop abbreviations may differ slightly depending on the device category. cvuelink option > chk conf. inop tone. vuelink the wrong external device has been selected on the vuelink module, or the external device has not been correctly setup, or the wrong cable has been used to connect the device to the vuelink module. vuelink inop abbreviations may differ slightly depending on the device category. 98 technical alarm messages ( inops ) 4 patient alarms and inops inop message, indication source what to do < vuelink option > check setup inop tone. vuelink no information was received from the external device. the device may be switched off or disconnected. vuelink inop @topic:10


# # # issue monitors not displaying data from the center. # # # impact inability to monitor patient vitals centrally, leading to potential delays in care. # # # possible causes - incorrect ip address configuration on the monitors - network connectivity issues - software or hardware problems with the monitors # # # recommendations - verify and correct the ip address configuration on the monitors to match the center's network settings. - check network connections and ensure they are functioning properly. - contact the manufacturer for technical support and troubleshooting assistance. - consider preventative maintenance and regular software updates to minimize the risk of future issues. @topic:16


# # # issue - monitor lead 2 is not showing up on the bedside physiologic monitor. # # # impact - the patient's heart rate and rhythm cannot be accurately monitored, which could lead to delayed diagnosis and treatment. # # # possible causes - the lead wire connecting the monitor to the patient's lead is broken. - the monitor's input port for lead 2 is damaged. - the monitor's software is not functioning properly. # # # recommendations - check the lead wire for damage and replace it if necessary. - check the monitor's input port for lead 2 for damage and repair or replace it if necessary. - update the monitor's software to the latest version. @topic:18


51 ) a / d measurement timed out and did not finish in the allowed time slot. 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 ( 59 ) temp module malfunc ( 59 ) battery or power supply voltage below maximum value. replace the front end assembly. see “ removing the front end assembly ” on page 8 - 24. 867 ( 60 ) temp module malfunc ( 60 ) battery or power supply voltage exceeds minimum value replace the front end assembly. see “ removing the front end assembly ” on page 8 - 24. troubleshooting 7 - 21 error codes code description possible cause action 867 ( 61 ) temp module malfunc ( 61 ) reference voltage circuit under voltage or unstable. 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 ( 62 ) temp module malfunc ( 62 ) the module is not calibrated. return module to the factory for calibration. 867 ( 65 ) temp module malfunc ( 65 ) problem saving to the module ’ s eeprom. shut down and restart the monitor. if the problem persists, replace the front end assembly and the suresigns vm4 temperature module. see “ removing the front end assembly ” on page 8 - 24 and “ removing the suresigns vm4 temperature module ” on page 8 - 8. 867 ( 66 ) temp module malfunc ( 66 ) the module ’ s non - volatile calibration memory error detection mechanism detected an error. shut down and restart @topic:22


# # # issue - spo2 cable failure # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - defective spo2 cable - loose or disconnected cable connections - damage to the cable due to improper handling or wear and tear # # # recommendations - replace the faulty spo2 cable with a new or spare cable. - ensure that the cable connections are secure and properly seated. - inspect the cable for any visible damage or wear and replace if necessary. - train staff on proper handling and maintenance of medical equipment cables to prevent future failures. @topic:4


* * cause of failure : * * missing screw on the bedside bag hanger * * possible causes : * * * the screw was not properly tightened during assembly. * the screw was loosened due to repeated use or vibration. * the screw was damaged or broken. * * recommendations : * * * ensure that all screws are properly tightened during assembly. * regularly inspect the bedside bag hanger for loose or damaged screws. * replace any damaged or broken screws as soon as possible. * consider using a screw - locking agent to prevent loosening. * * additional information : * * * the bedside bag hanger is a critical component that supports the weight of medical equipment and supplies. * a loose or missing screw can cause the hanger to fail, potentially resulting in damage to equipment or injury to patients. * regular maintenance and inspection can help to prevent such failures. @topic:24


# # # issue - the spo2 sensor cable is damaged # # # impact - the monitor cannot accurately measure the patient's oxygen saturation levels. # # # possible causes - the cable may have been damaged during use. - the cable may have been exposed to excessive heat or moisture. - the cable may have been kinked or crushed. # # # recommendations - replace the damaged cable with a new one. - inspect the cable regularly for signs of damage. - avoid exposing the cable to excessive heat or moisture. - do not kink or crush the cable. @topic:4


# # # issue bed is not adjustable. # # # impact patient care may be compromised if the bed cannot be adjusted to a comfortable or appropriate position. # # # possible causes - mechanical failure of the bed's adjustment mechanism, such as a broken or jammed gear or motor. - electrical failure, such as a blown fuse or loose connection. - software failure, such as a corrupted or outdated firmware. - user error, such as improper use or overloading of the bed. - external factors, such as a power outage or a sudden jolt to the bed. # # # recommendations - inspect the bed's adjustment mechanism for any visible damage or obstructions. - check the bed's electrical connections and fuses to ensure they are secure and not damaged. - update the bed's firmware to the latest version if necessary. - train users on proper use and maintenance of the bed. - implement surge protection and backup power systems to prevent damage from power outages and surges. @topic:1


# # issue the nibp monitor, specifically the ge healthcare dinamap procare 100, is displaying an error code. # # impact the error code prevents the device from functioning properly, potentially affecting patient care. # # possible causes * * 1. malfunctioning sensor : * * the sensor used to measure blood pressure may be faulty or damaged, resulting in incorrect readings and error messages. * * 2. electrical faults : * * internal electrical connections may have become loose or damaged, causing the device to malfunction. * * 3. software glitches : * * the device's operating software may have encountered an error that is causing it to display an error code. * * 4. miscalibration : * * the device may have become miscalibrated over time, leading to inaccurate readings and error messages. * * 5. user error : * * the device may have been used incorrectly or operated outside of its specifications, causing an error to occur. # # recommendations * * 1. troubleshooting and repair : * * the first step is to troubleshoot the device by checking for loose connections, cleaning the sensor, and testing the software. if possible, the device should be repaired by qualified personnel. * * 2. replacement : * * if repairs are not feasible or the device has a history of errors, it may need to be replaced with a new or refurbished unit. * * 3. calibration : * * the device should be regularly calibrated to ensure accurate readings and prevent errors. * * 4. user training : * * ensure that staff are properly trained on the correct use and maintenance of the device to minimize the risk of user - related errors. @topic:15


# # # issue - ekg cable loose # # # impact - patient monitoring may be inaccurate or interrupted. # # # possible causes - the ekg cable may have been dislodged or damaged. - the ekg cable may be faulty. - the ekg machine may be faulty. # # # recommendations - check the ekg cable for damage or loose connections. - replace the ekg cable if it is damaged or loose. - test the ekg machine to ensure that it is functioning properly. - if the problem persists, contact the manufacturer for further assistance. @topic:18


* * issue : * * - cuff unable to measure values * * impact : * * - device cannot accurately monitor physiological parameters * * possible causes : * * - cuff is damaged or worn - connection between cuff and device is faulty - incorrect cuff size or placement - patient movement or agitation - air leak in cuff tubing * * recommendations : * * - replace the cuff with a new one - ensure the cuff is properly connected to the device - check that the cuff is the correct size and placed on the patient's arm correctly - instruct the patient to remain still during measurement - inspect the cuff tubing for any leaks and replace it if necessary - check the device's software and firmware for any updates that may address the issue @topic:5


# # # issue * equipment : nerve stimulator * brand : organon * model : tof - watch * * description : * * device does not power on when connected to a cable. # # # impact * inability to use the nerve stimulator for procedures. * potential delays in patient care. # # # possible causes * faulty cable connection * damage to the power supply or internal circuitry * software malfunction # # # recommendations * check the cable connection to the device and ensure it is secure. * if the cable connection is secure, power cycle the device by turning it off and on. * if the device still does not power on, it may require further troubleshooting or repair by a qualified biomedical engineer. @topic:2


# # # issue - mount issue # # # impact - unable to use the device. # # # possible causes - mount is mechanically damaged. - mount is electrically damaged. - mount is not installed correctly. # # # recommendations - inspect the mount for physical damage. - test the mount with a known - good device. - ensure that the mount is installed correctly. - replace the mount if necessary. @topic:12


point cable ) simply pull directly on the cable. 3 lift the board out to the right so the ecg out connector is pulled out of the monitor housing. note the connector must be unplugged from the main board. 128 removing the handle 5 repair and disassembly 4 pull off the lightpipe holder if necessary. it is snapped in on both sides of the board. reassembly note : make sure the snaps and feet are properly hooked into the ecg out board when reattaching the lightpipe holder. removing the handle 1 separate the front and back half of the monitor as described above. 2 remove the ecg out board as described above. 129 5 repair and disassembly removing the handle 3 remove the two screws securing the handle and remove the handle. 130 removing the main board 5 repair and disassembly removing the main board 1 remove the i / o and the system interface boards as described above. 2 separate the front and back half of the monitor as described above 3 if a battery board is included always remove it before the main board by removing the four screws on the board. 4 unplug the navigation point connector, the msl cable, the power suppy cable, the speaker cable and the ecg out / alarm led cable from the main board. power supply cable speaker cable navigation point connector ecg out / alarm led cable msl flat ribbon cable note to remove the flat ribbon cables with red connectors ( e. g. navigation point cable ) simply pull directly on the cable. the msl, power supply and speaker cables have different security locks and must be unlocked in order to be removed. 131 5 repair and disassembly removing the main board 5 remove the nine screws, pull the main board out of the rack connector and remove the board by moving it towards the bottom of the monitor. re @topic:19


# # # issue - motor failure, resulting in inability to adjust the bed's height # # # impact - impaired patient positioning and comfort - limited access to medical procedures and treatments - potential for patient injury # # # possible causes - mechanical wear and tear over time - damage to the motor due to mishandling or incorrect use - electrical faults or power surges - manufacturing defects # # # recommendations - * * immediate actions : * * - contact the manufacturer or authorized service provider to order a replacement motor. - ensure patient safety by using alternative positioning aids as necessary. - * * long - term actions : * * - implement a regular maintenance schedule to identify and address potential issues early on. - train staff on proper handling and use of the equipment to minimize the risk of damage. - consider upgrading to a more durable or technologically advanced bed to reduce future failure rates. @topic:9


# # # issue - scanner malfunction # # # impact - inability to use the scanner for patient care # # # possible causes - scanner not properly charged - scanner charging port clogged # # # recommendations - check if the scanner is properly plugged into the charging station - clean the scanner charging port - replace the scanner if the issue persists @topic:23


# # # issue keyboard not functioning due to depleted battery. # # # impact inability to input data or control the medical cart using the keyboard. # # # possible causes - exhaustion of battery power # # # recommendations - replace battery @topic:27


# # # issue the cause of failure is not specified in the given input. # # # impact the impact of the failure is not known. # # # possible causes there are many possible causes of failure for medical devices, including : - hardware failure - software failure - user error - environmental factors # # # recommendations the following recommendations can help to prevent and troubleshoot failures of medical devices : - * * regular maintenance and inspections : * * medical devices should be regularly maintained and inspected by qualified technicians to identify and correct potential problems. - * * proper training : * * users should be properly trained on how to use and maintain medical devices. - * * environmental controls : * * medical devices should be used in an environment that is free of extreme temperatures, humidity, and other environmental hazards. - * * documentation : * * all maintenance and inspections should be documented and kept on file. this will help to track the history of the device and identify any patterns that may indicate a potential problem. @topic:12


immediately. it does not have to be removed first. • an assignment can only be initiated from the remote control itself. • an unassignment can only be initiated from the monitor. • if you exchange the battery of a remote control the assignment to a monitor is kept. you do not need to reassign the remote control installing the tethering cable to attach the tethering cable to a remote control : 1 pull apart the ring on one end of the tethering cable. 257 [ 7 installation instructions ] 2 insert the end of the metal ring spiral into the hole at the top left corner of the remote control. exchanging the remote control battery 1 loosen the two screws on the back of the remote control and open the remote control. 258 7 installation instructions ] 2 remove the old batteries and insert the new batteries as shown below 3 close the remote control and tighten the screws on the back cover. 4 perform a functional test to make sure the remote control is functioning correctly. note use only non - rechargeable batteries with the remote control. never attempt to charge non - rechargeable batteries. to avoid leaking batteries, replace empty batteries immediately and do not use batteries after their expiration date. when a battery needs replacement, always change both batteries. when the remote control is not used for a longer period of time, remove the batteries. connecting the monitor to ac mains the monitor has a wide - range power supply that allows you to operate the monitor from an ac ( alternating current ) power source of 100 v to 240 v ( ± 10 % ) and 50 / 60 hz ( ± 5 % ). warning • always use the supplied power cord with the earthed mains plug to connect the monitor to an earthed ac mains socket. never adapt the mains plug from the power supply to fit an unearthed ac mains socket. • do not use ac mains @topic:19


# # # issue - equipment is not able to successfully login to the domain # # # impact - users are unable to access patient data - nurses will not be able to view patient's progress notes - equipment cannot retrieve patient's treatment plan from the patient management system - medical staff will not be able to send patient data to other hospital departments # # # possible causes - incorrect domain credentials - network connectivity issues - firewall or other security settings blocking access to the domain - equipment is not properly configured to join the domain # # # recommendations - check for incorrect domain credentials ( e. g. username, password, domain name ) - verify network connectivity and ensure that the equipment is connected to the hospital network - check firewall and other security settings to ensure that they are not blocking access to the domain - check if the equipment is properly configured to join the domain ( e. g. dns settings, ip addresses ) - contact it support for assistance - if the issue persists, the equipment may need to be replaced @topic:13


* * issue : * * medical cart computer fails to boot into windows. * * impact : * * the medical cart cannot be used for patient care. * * possible causes : * * - hardware failure ( e. g., failed hard drive, faulty motherboard ) - software corruption ( e. g., virus infection, corrupted windows files ) - bios settings incorrect ( e. g., incorrect boot order ) - power supply issues ( e. g., loose connections, faulty power supply ) * * recommendations : * * - * * hardware troubleshooting : * * - check the hard drive and motherboard for any physical damage or loose connections. - test the power supply with a multimeter to ensure it is providing the correct voltage. - * * software troubleshooting : * * - run a virus scan to detect and remove any malware. - use the windows recovery environment to repair corrupted windows files. - reinstall the windows operating system if necessary. - * * bios settings : * * - verify the boot order in the bios settings to ensure the computer is attempting to boot from the correct device. - reset the bios settings to default if they have been changed incorrectly. - * * additional considerations : * * - check the medical cart's power strip or outlet for any loose connections. - ensure there are no loose cables or peripherals connected to the medical cart. - contact the manufacturer for technical support if the issue cannot be resolved through troubleshooting. @topic:13


* * issue : * * equipment is listed as a backup for another department. * * impact : * * * lack of access to equipment in the primary department. * potential delays or interruptions in patient care. * excess resources being allocated to backup equipment. * * possible causes : * * * primary equipment failure or maintenance. * anticipated patient surge or high demand for the equipment. * department policy or practice to maintain backup equipment. * * recommendations : * * * determine the reason why the equipment is being used as a backup. * assess the availability of the primary equipment and the time frame for its return. * consider transferring the backup equipment to the primary department if it is needed immediately. * re - evaluate the department's policy regarding backup equipment and determine if it is still appropriate. * establish a plan to ensure that equipment is available when needed and that backup equipment is used only when necessary. @topic:12


# # # issue * bed is not adjusting # # # impact * patient discomfort * difficulty providing care * potential for injury # # # possible causes * * * electrical issue : * * * loose or disconnected ac cord * faulty electrical components * * * mechanical issue : * * * broken or jammed parts * worn - out components * * * software issue : * * * malfunctioning control system * * * user error : * * * improper operation of bed controls # # # recommendations * * * electrical issue : * * * inspect and tighten ac cord connections. * test electrical components using a multimeter. * replace faulty components as necessary. * * * mechanical issue : * * * examine bed for broken or jammed parts. * lubricate and replace worn - out components. * * * software issue : * * * reset bed controls and check for software updates. * contact manufacturer for technical support. * * * user error : * * * train staff on proper bed operation. * provide clear instructions for patients and caregivers. @topic:1


# # # issue - software instability causing program freezing # # # impact - interruption of medical device operation, potentially affecting patient care # # # possible causes - software bugs or glitches - hardware issues ( e. g., memory or processor problems ) - virus or malware infection # # # recommendations - update or reinstall the software to address any bugs - check the hardware for any defects or replace faulty components - scan the system for viruses or malware and remove any detected threats - consider using a more stable software alternative or deploying redundancy measures to ensure uninterrupted device operation @topic:11


# # # issue med admin machine ( 12d ) rebooted due to failure in finding windows. # # # impact the medical admin machine was unable to function properly, potentially impacting patient care. # # # possible causes * * * hardware failure : * * the machine's hard drive or other hardware components may have failed, preventing it from accessing windows. * * * software corruption : * * the windows operating system on the machine may have become corrupted, causing it to fail to boot properly. * * * power surge or outage : * * a sudden power surge or outage could have damaged the machine's electrical components, leading to the reboot. * * * user error : * * the machine may have been accidentally shut off or rebooted by a user. * * * network issues : * * if the machine is connected to a network, network problems could have prevented it from accessing the windows server. # # # recommendations to prevent future occurrences, the following recommendations can be implemented : * * * regular maintenance : * * conduct regular maintenance checks on the machine's hardware and software to ensure optimal performance. * * * data backup : * * regularly back up the machine's data to a secure location in case of hardware failure or software corruption. * * * surge protection : * * use surge protectors to protect the machine from power surges or outages. * * * train users : * * train users on the proper operation of the machine and the importance of avoiding accidental shutdowns or reboots. * * * network troubleshooting : * * ensure that the network is stable and that the machine has proper connectivity. * * * consider hardware upgrades : * * if hardware failure is a recurring issue, consider upgrading the machine's components to improve reliability. * * * monitor usage : * * keep track of the machine ' @topic:13


# # # issue - unstable equipment # # # impact - inaccurate patient monitoring - potential patient injury # # # possible causes - loose base - worn - out components - improper assembly # # # recommendations - inspect the equipment regularly for loose components. - replace worn - out components as needed. - ensure proper assembly of the equipment according to the manufacturer's instructions. @topic:12


# # # issue - unable to adjust the bed # # # impact - reduced patient comfort and mobility - increased risk of pressure ulcers and other complications # # # possible causes - mechanical issue with the bed frame or motors - electrical issue with the control panel or wiring - software issue with the bed's operating system - user error or inadequate training # # # recommendations - inspect the bed frame and motors for any visible damage or obstructions. - check the electrical connections and wiring for any loose or damaged components. - update the bed's software to the latest version. - provide training to users on proper operation and adjustment procedures. - contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:1


* * issue : * * battery failure in philips expression mr200 physiological monitor. * * impact : * * the monitor may not be able to accurately measure and display patient vitals, potentially leading to delayed or incorrect treatment. * * possible causes : * * - * * battery life : * * batteries have a finite lifespan and must be replaced regularly to ensure optimal performance. - * * usage patterns : * * frequent or heavy use can shorten battery life. - * * environmental factors : * * extreme temperatures or moisture can degrade battery performance. - * * improper charging : * * charging the battery incorrectly or with an incompatible charger can damage the battery. * * recommendations : * * - * * regular maintenance : * * follow the manufacturer's guidelines for battery maintenance and replacement to extend battery life. - * * proper usage : * * avoid overusing the monitor and unplug it when not in use. - * * environmental control : * * keep the monitor in a temperature - controlled environment and protect it from moisture. - * * correct charging : * * use the correct charger and follow the charging instructions carefully. - * * contingency plans : * * have a backup battery or monitoring device available in case of battery failure. - * * training : * * ensure that medical staff is properly trained on battery maintenance and usage. @topic:11


# # # issue - inability to adjust the bed's height ( up / down ) # # # impact - compromised patient comfort and safety - difficulty accessing the patient for medical procedures # # # possible causes - malfunctioning or disconnected remote control - electrical wiring issues - failure of the bed's lifting mechanism # # # recommendations - replace the remote control and ensure proper wiring. - inspect the electrical connections and replace damaged wires as needed. - assess the bed's lifting mechanism and determine if repairs or replacement is necessary. @topic:1


* * issue : * * monitors cannot display st analysis values. * * impact : * * clinicians cannot accurately assess cardiac health and make timely interventions. * * possible causes : * * - incorrect st analysis setup : the required leads ( avr, avl, i, iii, avf, ii ) were not included in the setup. * * recommendations : * * - ensure the st analysis setup includes all necessary leads. - refer to the manufacturer's instructions or consult a biomedical engineer for proper setup guidance. - regularly check and verify the st analysis configuration to prevent future issues. @topic:17


# # # issue the telemetry unit of the philips m2601b electrocardiography monitor is not receiving a signal. # # # impact the patient's vital signs cannot be monitored remotely. # # # possible causes - the telemetry antenna is not connected properly. - the telemetry transmitter is not turned on. - the telemetry receiver is not turned on. - the telemetry receiver is not tuned to the correct frequency. - the telemetry signal is being blocked by an obstacle, such as a wall or a metal object. - the telemetry transmitter or receiver is malfunctioning. # # # recommendations - check that the telemetry antenna is properly connected to the monitor. - ensure that the telemetry transmitter is turned on. - turn on the telemetry receiver. - tune the telemetry receiver to the correct frequency. - remove any obstacles that may be blocking the telemetry signal. - test the telemetry transmitter and receiver to ensure that they are functioning properly. @topic:16


- - - - - - 8 - 15 removing the main pcb assembly from the rear case. - - - - 8 - 15 when assembling the pcb assembly. - - - - - - - - - - - - 8 - 19 rear case disassembly procedures - - - - - - - - - -. - - - - - - - - - - - - 8 - 21 removing the fan and / or speaker assembly - - - - - - - - - - - - - - - - - 8 - 21 removing the flandle - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8 - 22 main pcb assembly / disassembly procedures - - - - - - - - - - - - - - - - - - - - - - - 8 - 24 removing the front end assembly - - - - - - - - - - - - - - - - - - - - - 8 - 24 removing the front end assembly cover - - - - - - - - - - -. 8 - 26 removing the spce board - - - - -. - - - - - - - - - - - - 8 - 28 removing the power supply - - - - - - - - - - - - - - - - - - - - - - - - - 8 - 30 removing the main pcb - - - - - - - - -. - - - - - - - - - - - - 8 - 31 removing the nbp module - - - - - - - -. - - - - - - - - - - 8 - 33 when reinstalling the nbp module... - - - - - - - - - - 8 - 34 removing the nbp filter - @topic:19


# # # issue the bed is not adjusting. # # # impact the patient may not be able to get into or out of bed, or may be in an uncomfortable position. # # # possible causes - the remote control is not working. - the bed motor is not working. - the bed frame is damaged. - the bed is not properly plugged in. # # # recommendations - check the remote control batteries. - check the bed motor for any damage. - inspect the bed frame for any damage. - ensure that the bed is properly plugged in. @topic:1


# # # issue monitor, central station, band hewlett packard, model m3150a shows incorrect time. # # # impact incorrect time can affect the accuracy of medical records and the scheduling of patient care. # # # possible causes * the clock battery may be dead. * the clock may be set to the wrong time zone. * the clock may be malfunctioning. # # # recommendations * replace the clock battery. * set the clock to the correct time zone. * contact the manufacturer for service if the clock is malfunctioning. @topic:29


# # # issue - broken shelf on medical cart # # # impact - equipment malfunction - potential safety hazard for patients and staff - reduced efficiency and productivity in healthcare setting # # # possible causes - excessive weight or improper loading of equipment on the shelf - manufacturing defect - wear and tear from prolonged use # # # recommendations - inspect the medical cart regularly for signs of damage or wear - ensure proper weight distribution and loading of equipment on the shelf - follow manufacturer's guidelines for use and maintenance of the medical cart - replace the broken shelf promptly to prevent further damage or safety hazards @topic:31


# # # issue physiological monitor is not displaying values and is not detecting any signals. # # # impact patients'vital signs cannot be monitored accurately, which can lead to delayed or incorrect treatment decisions. # # # possible causes * * electrical failure : * * - power cord is not properly connected or damaged. - internal wiring or circuit board failure. * * sensor failure : * * - spo2 sensor is not properly connected or damaged. - sensor is defective. * * software issue : * * - monitor software is not functioning correctly. # # # recommendations * * electrical troubleshooting : * * - check that the power cord is securely plugged into the monitor and the electrical outlet. - inspect the power cord for any damage or wear. - if the power cord is damaged, replace it with a new one. * * sensor troubleshooting : * * - verify that the spo2 sensor is properly connected to the monitor and the patient. - inspect the sensor for any damage or contamination. - replace the sensor if it is damaged or contaminated. * * software troubleshooting : * * - restart the monitor by turning it off and back on. - contact the manufacturer for technical support if the software issue persists. @topic:4


# # # issue electrocardiogram ( ekg ) leads are not providing accurate readings. # # # impact - inability to accurately monitor patient's cardiac activity. - misinformation or delay in diagnosing and treating cardiac abnormalities. # # # possible causes - faulty ekg cables or leads - loose connections between leads and the monitor - improper skin preparation or electrode placement - electrical interference from nearby equipment - patient movement or muscle artifact # # # recommendations - inspect ekg cables and leads for any visible damage or loose connections. - ensure that the leads are securely attached to the patient and the monitor. - prepare the patient's skin properly and apply the electrodes according to the manufacturer's instructions. - check for any potential sources of electrical interference in the vicinity. - reposition the patient or minimize movement artifacts to ensure accurate readings. - if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:18


* * issue : * * monitor unable to measure blood pressure ( bp ). * * possible causes : * * * * * pump failure : * * the pump responsible for inflating the blood pressure cuff may be malfunctioning or not working properly. * * * sensor issue : * * the sensor used to detect blood pressure may be damaged or not functioning correctly. * * * electrical issues : * * loose connections, damaged wires, or power supply problems can interfere with the monitor's ability to accurately measure bp. * * * software glitch : * * bugs or errors in the monitor's software can cause it to malfunction. * * * cuff issues : * * the blood pressure cuff may be too tight, loose, or damaged, leading to inaccurate readings. * * * calibration issues : * * the monitor may need to be recalibrated to ensure accurate readings. * * * user error : * * incorrect cuff placement or incorrect operation of the monitor can result in incorrect bp measurements. @topic:14


##bp ). pulse from nbp 182 assisting venous puncture 10 monitoring nbp assisting venous puncture you can use the nbp cuff to cause sub - diastolic pressure. the cuff deflates automatically after a set time ( adult / pediatric 170 seconds, neonatal 85 seconds ) if you do not deflate it. 1 in the nbp setup menu select venipuncture. 2 puncture vein and draw blood sample. 3 reselect venipuncture to deflate the cuff. during measurement, the nbp display shows the inflation pressure of the cuff and the remaining time in venous puncture mode. cuff pressure venous puncture measurement mode f i n es nbp ( vp 01 ^ 5 : eo ) time left in venous puncture mode calibrating nbp nbp is not user - calibrated. cuff - pressure transducers must be verified and calibrated, if necessary, at least once every two years by a qualified service professional. see the service guide for details. 183 10 monitoring nbp calibrating nbp 184 monitoring temperature warning measurements from an mms extension connected to an x2 are not available when the x2 is running on battery power. they are only available when the x2 is powered from ac mains, either when connected to a host monitor or the external power supply ( m8023a ). you can measure temperature using an xi or x2 multi - measurement module ( mms ), one of the mms extensions, or the temperature plug - in module. temp measurement automatically switches on when you connect a probe. you can switch the measurement off manually. making a temp measurement 1 select the correct type and size of probe for your patient. 2 if you are using a disposable probe, connect the probe to @topic:17


# # # issue - wood bed rail is shaking # # # impact - the patient may fall off the bed due to the shaking bed rail. # # # possible causes - the wood bed rail may be loose due to wear and tear. - the wood bed rail may be damaged due to impact or improper use. # # # recommendations - the wood bed rail should be tightened or replaced as needed. - the wood bed rail should be inspected regularly for wear and tear. - the wood bed rail should be used properly to avoid damage. @topic:6


# # # issue - head of the electric bed cannot be adjusted. # # # impact - the patient may not be able to get into a comfortable or safe position. - the medical team may not be able to perform certain procedures or treatments. # # # possible causes - loose cable on the head adjustment motor. - faulty head adjustment motor. - power outage. # # # recommendations - tighten the loose cable on the head adjustment motor. - replace the faulty head adjustment motor. - check the power supply to the bed. @topic:1


* * issue * * - monitor in trau room not linking to central station * * impact * * - inability to monitor patient vitals and respond to emergencies effectively * * possible causes * * - software issues ( e. g., program crashing ) - hardware issues ( e. g., faulty lan port ) - network issues ( e. g., faulty switch ports ) * * recommendations * * - * * software : * * uninstall and reinstall xds program - * * hardware : * * - check and replace any damaged lan cables or connectors - contact it team to repair faulty lan ports - * * network : * * - verify connectivity and troubleshoot any network issues - ensure that the correct ports are open and configured properly - * * other : * * - check if any security settings are blocking the connection - test the monitor with a different central station to rule out any device - specific issues - seek assistance from the manufacturer's technical support team if all else fails @topic:16


# # # issue * cuffs for large adults and adults are deteriorating. # # # impact * inaccurate blood pressure readings * patient discomfort * potential delays in diagnosis and treatment # # # possible causes * prolonged use * improper storage * exposure to extreme temperatures or humidity * cuffs made of low - quality materials # # # recommendations * replace the damaged cuffs with new ones. * regularly inspect cuffs for signs of wear and tear. * store cuffs in a cool, dry place. * handle cuffs gently to avoid damage. * purchase high - quality cuffs made of durable materials. @topic:3


* * issue : * * bed is not adjustable * * impact : * * patient discomfort, delays in treatment, increased workload for healthcare staff * * possible causes : * * * faulty remote control cord * malfunctioning motor * damaged control panel * power supply issues * software glitches * * recommendations : * * * inspect and replace the remote control cord if necessary. * check and repair any loose or damaged connections. * test the motor for proper function. * verify the power supply and ensure it is providing adequate voltage. * if electrical or software issues are suspected, consult the manufacturer's guidelines or seek assistance from a qualified biomedical engineer. @topic:1


# # # issue - the monitor's time is not accurate. # # # impact - this could lead to inaccurate patient data being recorded, which could have a negative impact on their care. # # # possible causes - the monitor's clock may not have been set correctly. - the monitor's clock may be malfunctioning. - the monitor may be receiving incorrect time information from the hospital's network. # # # recommendations - check the monitor's clock settings and make sure that they are correct. - if the monitor's clock is still not accurate, contact the manufacturer for assistance. - if the monitor is receiving incorrect time information from the hospital's network, contact the network administrator for assistance. @topic:29


* * cause of failure : n / a * * the provided information does not indicate the cause of failure for the medical device. the description only mentions that the bed lock bolt was replaced and the device now works properly. * * possible causes : * * without further information, it is not possible to determine the cause of failure with certainty. however, some possible causes could include : * * * manufacturing defect : * * the original bed lock bolt may have been defective or improperly installed, causing it to become loose and fall out. * * * wear and tear : * * over time, the bed lock bolt may have become worn or damaged, weakening its hold and eventually causing it to fail. * * * patient misuse : * * the bed lock bolt may have been damaged or loosened due to excessive or improper use by patients. * * * other factors : * * external forces or environmental conditions may have contributed to the failure of the bed lock bolt. * * recommendations : * * to prevent similar failures in the future, the following recommendations could be considered : * * * regular inspections : * * regularly inspect medical devices for any signs of wear, damage, or loose components. * * * preventive maintenance : * * perform scheduled maintenance to address potential issues before they become major problems. * * * patient education : * * instruct patients on the proper use and handling of medical devices to prevent misuse or damage. * * * reporting failures : * * encourage users to report any device failures or issues to the appropriate authorities or maintenance personnel. @topic:6


steps 2 to 6 from the accuracy test procedure so that you have 280 mmhg pressure on the expansion chamber. 2. watch the pressure value for 60 seconds. 3. calculate and document the leakage test value ( x2 ). x2 = pi - p2 where p1 is the pressure at the beginning of the leakage test and p2 is the pressure displayed after 60 seconds. the leakage test value should be less than 6 mmhg. 80 nbp linearity test 1. reduce the manometer pressure to 150 mmhg. wait 10 seconds for the measurement to stabilize. after these 10 seconds, compare the manometer value with the displayed value. document the value displayed by the monitor ( x3 ) a ue 9 if the difference is greater than 3 mmhg, calibrate the mms ( see steps 9 to 10 in the accuracy test procedure ). valve test 1. raise the pressure again to 280 mmhg. 2. select close valves : off. 3. wait five seconds and then document the value displayed. the value should be less than 10 mmhg. 4. document the value displayed by the monitor ( x4 ). expected test results for nbp accuracy test, leakage test, linearity test & valve test expected test results accuracy test x ] = value displayed by monitor difference < 3mmhg leakage test x2 = leakage test value x2 « 6 mmhg linearity test x3 = value displayed by monitor difference < 3mmhg valve test x4 = value « 10 mmhg invasive pressure performance test this test checks the performance of the invasive pressure measurement. tools required : patient simulator. 1. connect the patient simulator to the pressure connector. 2. set the patient simulator to o pressure. 3. make a zero calibration. 4. configure the patient simulator as p ( static ) = 200 mmhg. @topic:17


, or pulse rate values reach levels of clinical concern. the ipi is available for all three groups of pediatric patients ( 1 - 3 years, 3 - 6 years, and 6 - 12 years ), and for adult patients. it is displayed as a single value between 1 and 10. measuring co2 using m3014a or x2 the m3014a capnography extension or the x2 with the co2 option measures partial pressure of carbon dioxide in a patient's expired gas using the mainstream method or the sidestream method. the mainstream co2 measurement can be used, with appropriate accessories, with intubated adult, pediatric and neonatal patients. the sidestream co2 measurement can be used, with appropriate accessories, with intubated and non - intubated adult, pediatric, infant and neonatal patients. 42 with intubated patients, a sample of the respiratory gas is drawn from the patient's breathing circuit through an airway adapter and a gas sampling tube. with non - intubated patients, the gas sample is drawn through a nasal or oral - nasal cannula. warning altitude setting : the monitor is not equipped with automatic barometric pressure compensation. before the co2 measurement is used for the first time, the altitude must be set to the correct value. an incorrect altitude setting will result in incorrect co2 readings. the co2 readings will typically deviate ery 1000 m difference. caution use the co2 measurement with philips approved accessories only. refer to the instructions for use provided with the accessory. you must perform a zero as described in this procedure each time you use a new airway adapter. 1 attach the sensor connector to the co2 connector on the mms extension, or on the x2 ( when the optional co2 measurement is integrated ). 2 wait 2 minutes, allowing the sensor to reach its operating temperature and a stable thermal @topic:17


# # # issue - the vital signs monitor is experiencing intermittent loss of saturation ( spo2 ) readings. # # # impact - the monitor cannot accurately monitor the patient's oxygen saturation levels, which can lead to a delay in or missed diagnosis of hypoxia. # # # possible causes - * * loose or disconnected cable : * * the cable connecting the spo2 sensor to the monitor may be loose or disconnected, causing intermittent signal loss. - * * faulty spo2 sensor : * * the spo2 sensor may be malfunctioning, resulting in inaccurate or intermittent readings. - * * interference from other devices : * * electromagnetic interference from other medical devices, such as defibrillators or electrosurgical units, can affect the accuracy of spo2 measurements. - * * dirty or damaged sensor : * * dirt or damage to the spo2 sensor can obstruct light transmission, leading to inaccurate readings. - * * software issue : * * a software glitch or bug in the monitor can cause intermittent signal loss or processing errors. # # # recommendations - * * check cable connections : * * ensure that the cable connecting the spo2 sensor to the monitor is securely attached and not damaged. - * * replace spo2 sensor : * * if the cable connections are intact, replace the spo2 sensor to eliminate the possibility of a faulty sensor. - * * identify and eliminate interference : * * identify any nearby medical devices that may be emitting electromagnetic interference and relocate them or take steps to shield them. - * * clean or inspect sensor : * * clean the spo2 sensor with a lint - free cloth to remove any dirt or debris. inspect the sensor for damage, such as cracks or dents. - * * contact manufacturer : * * if the issue persists after troubleshooting the above causes @topic:4


# # # issue - the remote control for the bed, electric medical device is not functioning correctly. # # # impact - the medical device cannot be operated as intended, which could impact patient care. # # # possible causes - the remote control may be defective. - the remote control may not be compatible with the medical device. - the batteries in the remote control may be dead. - there may be a problem with the wiring or connections between the remote control and the medical device. # # # recommendations - check the batteries in the remote control and replace them if necessary. - inspect the wiring and connections between the remote control and the medical device for any damage or loose connections. - try using a different remote control to see if the issue is with the remote control itself or with the medical device. - contact the manufacturer of the medical device for further troubleshooting assistance or to request a repair. @topic:7


* * issue : * * - pump motor malfunctioning, leading to non - functional device. * * impact : * * - inability to monitor patient's respiration and pulse oximetry, which are critical parameters for assessing their health status. * * possible causes : * * - * * motor pump board failure : * * the board that controls the pump motor may have malfunctioned due to : - component failure - overheating - voltage fluctuations - * * electrical malfunction : * * faulty wiring or loose connections between the pump motor and the power supply could cause the pump to fail. - * * improper maintenance : * * lack of regular maintenance or incorrect maintenance procedures can lead to pump malfunction. * * recommendations : * * - * * inspect motor pump board : * * test and replace the board if necessary. - * * check electrical connections : * * ensure proper wiring and secure all connections between the pump motor and the power supply. - * * perform regular maintenance : * * adhere to the manufacturer's recommended schedule for cleaning, calibration, and other maintenance tasks to prevent future failures. - * * consider technical expertise : * * if the cause of failure cannot be determined or repaired in - house, it is advisable to seek assistance from qualified biomedical engineers or the manufacturer's authorized service center. @topic:15


# # # issue - the suresigns vs4 monitor is displaying inaccurate temperature readings. # # # impact - inaccurate temperature readings can lead to incorrect diagnosis and treatment. # # # possible causes - the sensor may be dirty. - the sensor may be malfunctioning. - the monitor may be malfunctioning. # # # recommendations - clean the sensor. - replace the sensor if it is malfunctioning. - replace the monitor if it is malfunctioning. @topic:20


# # # issue - touchscreen not working # # # impact - inability to use the monitor for patient monitoring - delay in patient care # # # possible causes - faulty touchscreen - loose connection between touchscreen and motherboard - damaged motherboard # # # recommendations - replace touchscreen - check and tighten connections - replace motherboard if necessary @topic:2


defined criteria and then guides you through the recommended treatment protocol. use of the ssc sepsis protocol requires thorough knowledge of the complete ssc guidelines for management of severe sepsis and septic shock. due to space limitations on the screen, the recommendations cannot always be reproduced in the full detail available in the printed and on - line guidelines. the ssc sepsis protocol is not a diagnostic or therapeutic tool and is not intended to replace the competent judgement of a clinician. the ssc sepsis protocol consists of three separate consecutive phases : severe sepsis screening - measurement values and patient status are compared to the severe sepsis screening criteria. when these criteria have been met, the clinician confirms the presence of infection and sepsis - related organ dysfunction and can authorize entering the sepsis resuscitation bundle. sepsis resuscitation bundle - the recommendations for sepsis resuscitation are listed and can be checked off as they are implemented. after achievement of all the sepsis resuscitation goals, or at the latest after 6 hours, the sepsis resuscitation bundle is completed and the sepsis management bundle begins. 2. surviving sepsis campaign guidelines for management of severe sepsis and septic shock - 2008 january © surviving sepsis campaign, ( all rights reserved ) 309 25 protocolwatch ssc sepsis protocol sepsis management bundle - the recommendations to maintain patient status are listed and can be checked off as they are implemented. the sepsis management bundle ends when 24 hours have passed since the sepsis resuscitation bundle began. depending on the option your monitor has, it may be that only the severe sepsis screening phase is implemented. if, at the end of this phase sepsis has been confirmed, and the patient is transferred for treatment in the resuscitation and management phases, you can transfer the current state, the settings and the log from the @topic:8


# # # issue : cuff not working properly # # # impact : patient monitoring may be inaccurate # # # possible causes : - cuff may be damaged or leaking - cuff may not be the correct size for the patient - cuff may not be properly connected to the monitor # # # recommendations : - replace the cuff - check the size of the cuff and ensure it is the correct size for the patient - ensure the cuff is properly connected to the monitor @topic:5


* * issue : * * battery failure * * impact : * * the equipment may not be able to function properly or may shut down unexpectedly. * * possible causes : * * * battery life is exceeded. * the battery is not properly connected to the equipment. * the battery is damaged. * * recommendations : * * * replace the battery with a new one. * make sure the battery is properly connected to the equipment. * inspect the battery for any damage. @topic:11


* * issue : * * test failure during bedside monitor inspection * * impact : * * inability to accurately monitor patient's physiological parameters * * possible causes : * * * incorrect test setup or procedure * malfunctioning bedside monitor * defective test equipment * environmental factors ( e. g., temperature, humidity ) * user error * * recommendations : * * * review test procedure and ensure proper execution * inspect bedside monitor for any visible damage or defects * verify test equipment is calibrated and functioning correctly * check environmental conditions meet recommended parameters * consult with a more experienced technician or medical device manufacturer for further troubleshooting and support @topic:2


# # # issue - crowdstrike security system crashed during a version update, resulting in a windows blue screen error. # # # impact - the user is unable to access the system or utilize any of its functions. # # # possible causes - corruption or errors in the crowdstrike update - hardware or software incompatibility issues - system security vulnerabilities # # # recommendations - * * immediate actions : * * - contact the it department for assistance in troubleshooting the crowdstrike issues. - follow the provided steps to remove the corrupt crowdstrike files : - enter safe mode ( f4 / f5 during startup ) - navigate to windows > > system32 > > drivers > > crowdstrike - enter username :. \ $ user $ and password : - - delete " c - 00000291 *. sys " files - rename the crowdstrike folder to crowdstrike. bak - restart the device - update the crowdstrike software to the latest stable version. - * * preventive measures : * * - regularly maintain and update the crowdstrike security system. - ensure compatibility between crowdstrike and the device's hardware and software. - implement robust security measures to prevent system vulnerabilities. - conduct regular backups of the system to minimize data loss in case of further issues. - consider alternative security solutions if crowdstrike continues to experience stability problems. @topic:13


# # # issue - equipment : medical cart - brand : bdms - model : bdms 01 - description : incorrect department location due to relocation from previous department. # # # impact - potential inconvenience for staff and patients due to the cart being in the wrong location. # # # possible causes - lack of communication during relocation process. - misplacement of the cart during transportation. - incorrect documentation or labeling. # # # recommendations - * * improve communication : * * ensure clear communication between departments regarding equipment relocation to prevent misunderstandings. - * * enhance tracking : * * implement a system to track equipment movements to ensure proper placement. - * * review documentation : * * verify and update equipment documentation and labeling to reflect the correct department location. - * * train staff : * * provide training to staff on proper equipment handling and relocation procedures. @topic:12


# # # issue : the carescape v100 monitor is not turning on. # # # impact : the monitor cannot be used to monitor vital signs, which could lead to delayed or incorrect diagnosis and treatment. # # # possible causes : - the battery is dead. - the power cord is not connected. - the monitor is not receiving power from the wall outlet. - the monitor is defective. # # # recommendations : - check the battery and replace it if necessary. - make sure the power cord is securely connected to the monitor and the wall outlet. - try plugging the monitor into a different wall outlet. - contact ge healthcare technical support if the problem persists. @topic:2


# # # issue : printer not working on central monitor # # # impact : inability to print monitoring data and patient information # # # possible causes : - printer driver not installed or outdated - printer is not connected properly to monitor - printer is out of paper - printer is malfunctioning - communication error between printer and monitor # # # recommendations : - ensure that the correct printer driver is installed and up - to - date - check that the printer is properly connected to the monitor using the correct cables - load paper into the printer and make sure it is aligned correctly - restart the printer and the monitor - if the issue persists, replace the printer or contact the manufacturer for further troubleshooting @topic:28


# # # issue > the vital signs monitor is unable to connect to the vsm system. # # # impact unable to accurately monitor patient vital signs # # # possible causes > 1. faulty vsm module > 2. loose or damaged vsm cable > 3. vsm software is not functioning properly > 4. firewall is blocking vsm connection > 5. network connectivity issues # # # recommendations > 1. verify that the vsm module is properly installed and functioning. > 2. check that the vsm cable is securely connected and not damaged. > 3. update the vsm software to the latest version. > 4. ensure that the firewall is not blocking the vsm connection. > 5. troubleshoot network connectivity issues. @topic:22


# # # issue * unable to boot into windows # # # impact * the medical cart cannot be used for its intended purpose, which may impact patient care. # # # possible causes * corrupted windows operating system * hardware failure * bios settings incorrect # # # recommendations * troubleshooting the boot process by checking the boot order in the bios settings * reinstalling the windows operating system * replacing the affected hardware component @topic:13


# # # issue - the bed alarm cable is damaged. # # # impact - the bed alarm may not function properly, which could result in a patient falling out of bed. # # # possible causes - the cable may have been damaged by being pinched, cut, or pulled. - the cable may have been damaged due to normal wear and tear. - the cable may have been damaged by a power surge. # # # recommendations - inspect the cable for any damage. - replace the cable if it is damaged. - ensure that the cable is not pinched, cut, or pulled. - use a power surge protector to protect the cable from power surges. @topic:26


# # # * * issue : * * vital signs monitor is not working properly. # # # * * impact : * * - inability to monitor patient's vital signs accurately. - potential delays in patient care. - increased risk of adverse events. # # # * * possible causes : * * - battery failure - malfunctioning spo2 sensor - loose or damaged cables - software issues - hardware malfunctions # # # * * recommendations : * * - replace the battery with a new one. - inspect the spo2 sensor and replace it if necessary. - check all cables for loose connections or damage and replace them if needed. - update the software to the latest version. - contact the manufacturer for further troubleshooting and repair if the issue persists. @topic:22


# # # issue : modnl ( module? ) has problems linking signals. # # # impact : main board failure, rendering the mp70 module inoperable. # # # possible causes : - faulty modnl ( module? ) component - issue with main board for hwc - signal interference or obstruction - software or firmware issue # # # recommendations : - inspect and test the modnl ( module? ) component for any physical damage or defects. - verify the compatibility of the main board for hwc with the mp70 module. - check for any environmental factors or other devices that may be interfering with the modnl's ( module's? ) signal transmission. - update the software or firmware on the mp70 module and modnl ( module? ) to resolve any potential software issues. @topic:16


# # # issue * cuff rotation failure # # # impact * inaccurate blood pressure measurements * potential patient harm # # # possible causes * cuff connector damage * cuff obstruction * cuff tubing damage * cuff inflation pump malfunction # # # recommendations * replace the damaged cuff connector. * inspect the cuff for obstructions and remove any blockages. * check the cuff tubing for damage and replace if necessary. * test the cuff inflation pump to ensure proper functionality. @topic:3


# # # issue - battery is not charging # # # impact - vital signs monitor cannot be used to monitor patient's vital signs. # # # possible causes - battery is defective. - battery charger is defective. - battery is not properly seated in the battery charger. - battery contacts are dirty or corroded. # # # recommendations - replace the battery. - inspect the battery charger for damage. - clean the battery contacts with a cotton swab dipped in rubbing alcohol. - ensure that the battery is properly seated in the battery charger. @topic:11


functions under its conditions of use. the bed and accessories should be inspected at least once a year to keep it in good condition and working properly. the following points should be given particular attention : movement mechanisms and cables ( actuators in particular ), locking mechanisms ( head section, foot section, thigh section and autocontour ), • the accessory mechanisms, bed movement and ancillary part bearings, • the condition of the electric cables ( e. g., control unit, power supply unit ),. • waterproofing of electrcan socket protection when no maintenance operationare in progress, • siderails : check the play and the lock mechanisms • ( condition and working order ), patient position monitor system. • service or a hill - rom approved supplier to inspect the actuators and the electrical systems in order to keep them in safe and good working order over time. depending on the maintenance operations and observations, the date of the next inspection must be recommended every time the bed is serviced. de - commissioning the bed and its accessories should be cleaned and disinfected before de - commissioning. de - commissioned equipment materials ( plastics, electrical components, etc. ) must be recycled in accordance with local recycling regulations. please, previously check and comply with the local environmental policy ( directive 2012 / 19 / eec ). as regards the battery : • never dispose of the lead - acid dry fit battery which contains substances and dangerous metals for the environment and the health ( directive 2006 / 66 / eec ). the bed is designed for easy dismantling so that it can be destroyed or reused in accordance with the applicable recycling regulations ( e. g., electric parts, plastics, metal ). at the end of the bed's life, hill - rom recommends that you contact a specialist in the dismantling of beds or, if the bed can still be used, to donate the @topic:9


# # # issue the philips intellivue mx450 bedside physiologic monitor is not linking to the central server. # # # impact the monitor cannot be used to collect and display patient data. # # # possible causes - the central no link error message indicates that the monitor is not able to establish a connection with the central server. - this could be due to a number of factors, including : - a problem with the network connection - a problem with the monitor's configuration - a problem with the central server # # # recommendations - check the network connection between the monitor and the central server. - make sure that the monitor is configured correctly. - contact the vendor for support. @topic:16


# # # issue - bed adjustment malfunction # # # impact - potential patient safety hazard - inconvenience to healthcare staff # # # possible causes - loose nut in adjustment mechanism # # # recommendations - tighten the loose nut - check other nuts and bolts on the bed for tightness - test the bed to ensure proper adjustment functionality @topic:1


# # # issue - the bed is immobile. # # # impact - the bed cannot be moved, which can hinder patient care and safety. # # # possible causes - the wheels are damaged or broken. - the wheel locks are engaged. - the brakes are engaged. - the motor is malfunctioning. # # # recommendations - inspect the wheels for damage or breakage. - check if the wheel locks are engaged and release them if necessary. - check if the brakes are engaged and release them if necessary. - contact the manufacturer or a qualified technician to troubleshoot the motor if necessary. @topic:9


# # # issue - ventilator is not able to generate accurate tidal volume and pressure. # # # impact - patient may not receive adequate ventilation and oxygenation, which can lead to respiratory distress and other complications. # # # possible causes - * * leakage in the ventilator circuit * * - * * faulty sensors * * - * * software issues * * # # # recommendations - * * check the ventilator circuit for leaks * * and replace any damaged components. - * * calibrate the ventilator sensors * * according to the manufacturer's instructions. - * * update the ventilator software * * to the latest version. @topic:20


# # # issue : - remote cable failure # # # impact : - unable to use the bed, electric to adjust its position - may cause patient discomfort or difficulty in accessing the bed # # # possible causes : - physical damage to the cable ( e. g., cuts, tears, kinks ) - internal electrical issues within the cable - incompatible remote cable # # # recommendations : - replace the remote cable with a new one that is compatible with the bed, electric model - inspect the cable for any visible signs of damage and replace if necessary - test the remote and cable connection to ensure proper functionality - handle the cable with care to prevent future damage @topic:7


# # # issue bme found that the battery holder is broken, causing the battery to drain quickly. # # # impact the device is unable to operate properly due to the battery draining quickly. # # # possible causes the battery holder may have been damaged due to : - incorrect handling or installation - normal wear and tear - manufacturing defects # # # recommendations - replace the battery holder with a new one. - inspect the device for any other damage. - request the manufacturer to provide a warranty for the new battery holder. @topic:11


# # # issue the time displayed on the philips intellivue mp40 ( m8003a ) monitors in some orbgh rooms is inaccurate. # # # impact incorrect time readings can lead to errors in patient monitoring and treatment. # # # possible causes * * 1. outdated or unsynchronized time server settings * * - the internal clock in the monitor may not be synchronized with the hospital's or network's time server, resulting in time discrepancies. * * 2. power outages or fluctuations * * - power interruptions or voltage fluctuations can reset the internal clocks in the monitors, leading to inaccurate time readings. * * 3. software bugs or glitches * * - software errors in the monitor's operating system can cause incorrect time display. * * 4. user error * * - the time settings may have been accidentally or intentionally modified, leading to time inaccuracies. # # # recommendations * * 1. verify time server settings * * - ensure that the monitor's internal time settings are synchronized with a reliable time server within the hospital network. * * 2. check power stability * * - verify that the power supply to the monitors is stable and without any fluctuations. if necessary, consider using a surge protector or uninterruptible power supply ( ups ). * * 3. update software * * - install the latest software updates for the monitor's operating system, which may include fixes for time - related issues. * * 4. reset time settings * * - if other troubleshooting steps fail, try resetting the time settings on the monitor to the default values and then re - synchronizing with the time server. * * 5. contact vendor support * * - if the issue persists despite following the above recommendations, contact the equipment vendor for further assistance or troubleshooting guidance. @topic:29


# # # issue the blood pressure cuff on the philips suresigns vs4 monitor has a leak. # # # impact patients may not be able to have their blood pressure accurately measured, which could lead to incorrect diagnoses or treatments. # # # possible causes * the cuff may be punctured or torn. * the cuff may not be properly attached to the monitor. * the cuff may be the wrong size for the patient. # # # recommendations * inspect the cuff for any punctures or tears. * make sure the cuff is properly attached to the monitor. * use the correct size cuff for the patient. @topic:14


# # # issue - leakage current exceeds the acceptable limit. # # # impact - increased risk of electrical shock to patients and healthcare providers. - potential damage to the equipment. # # # possible causes - damaged or faulty power cord. - loose connections within the equipment. - internal component failure. # # # recommendations - replace the power cord with a new one that meets the manufacturer's specifications. - inspect the equipment for loose connections and tighten them as necessary. - contact the manufacturer for further troubleshooting and repair options if the issue persists. @topic:12


# # # issue the medical bed is unable to adjust its head position downwards. # # # impact this issue prevents patients from being properly positioned for medical procedures or for comfortable rest. # # # possible causes - motor malfunction - faulty electrical connections - mechanical blockage - software glitch # # # recommendations - inspect the motor for any signs of damage or wear and tear. - check electrical connections for loose or damaged wires. - examine the mechanical components, including the gears and linkages, for any obstructions or misalignment. - if a software glitch is suspected, reset the bed's computer or update its firmware. # # # additional considerations * * immediate action : * * to mitigate the impact, the bed should be manually adjusted to a safe and comfortable position for the patient. * * preventive maintenance : * * regular maintenance and inspections of the medical bed can help prevent similar issues from occurring in the future. these maintenance tasks should include : - lubricating moving parts - tightening loose screws or bolts - inspecting electrical wiring for any damage - updating software as needed @topic:1


# # # issue equipment : medical cart model : bdms 01 issue : latch solenoid stuck causing drawer can't be closed # # # impact - unable to store or access medical supplies in the drawer, compromising patient care and safety. # # # possible causes - mechanical jamming of the latch solenoid - electrical malfunction within the solenoid - insufficient lubrication, causing friction and resistance in the solenoid's movement # # # recommendations - * * inspect the latch solenoid : * * check for any visible obstructions or damage. - * * clean and lubricate the solenoid : * * apply a suitable lubricant to the moving parts of the solenoid to reduce friction and ensure smooth operation. - * * test the solenoid : * * activate the solenoid to verify its proper functioning. - * * consider replacing the solenoid : * * if cleaning and lubrication do not resolve the issue, the solenoid may need to be replaced. - * * check electrical connections : * * ensure that all electrical connections to the solenoid are secure and free of corrosion or damage. @topic:21


# # # issue the cause of failure is listed as " send cuff for inspection. " this indicates that the cuff was sent for inspection to determine the cause of failure. it is not known what the outcome of the inspection was, so it is not possible to determine the exact cause of failure. # # # impact the impact of the failure is not known. it is possible that the failure caused the monitor to malfunction, which could have had a negative impact on patient care. # # # possible causes there are several possible causes for the failure of the cuff. these include : * the cuff was not properly connected to the monitor. * the cuff was damaged. * the cuff was not the correct size for the patient. * the cuff was not properly inflated. # # # recommendations to prevent similar failures in the future, the following recommendations are made : * ensure that the cuff is properly connected to the monitor. * inspect the cuff for damage before each use. * use the correct cuff size for the patient. * properly inflate the cuff. @topic:5


# # # issue - ekg lead is not working properly. # # # impact - inability to accurately monitor patient's cardiac activity. # # # possible causes - faulty ekg lead wire - loose connection between ekg lead and monitor - problem with the monitor's ekg input # # # recommendations - * * inspect the ekg lead wire * * for any damage or breaks. - * * check the connection * * between the ekg lead and the monitor to ensure it is secure. - * * test the monitor's ekg input * * using a known - good ekg lead. - * * if the problem persists * *, contact the manufacturer for further troubleshooting assistance. @topic:18


# # # issue - monitor not linking into the central monitor. # # # impact - limited visibility for clinicians into the patient's vital signs. - delayed or incorrect medical decisions. - potential patient harm. # # # possible causes - * * hardware failure * * : a malfunctioning component in the monitor or central monitor could prevent the two devices from linking. - * * software incompatibility * * : different software versions or outdated drivers on the monitor or central monitor could hinder communication. - * * configuration error * * : incorrect or missing network settings could be preventing the devices from connecting. # # # recommendations - * * hardware troubleshooting * * : perform a physical examination of the monitor and central monitor. check cables, connections, and inspect for any visible damage. - * * software update * * : ensure that both the monitor and central monitor are running the latest software versions. update drivers if necessary. - * * network configuration verification * * : confirm that the monitor and central monitor are on the same network and are assigned correct ip addresses and subnet masks. - * * contact manufacturer * * : if the issue persists after troubleshooting, contact the equipment manufacturer for further assistance. @topic:16


measurement device has been deactivated by deactivating the label in the measurement selection window. the measurement automatically disappears from the display. to switch the measurement on again, reactivate the measurement label in the measurement selection window. < sp0 2 label > equip malf numeric is replaced by -? - inop tone. s p o 2 the mms or module is faulty. unplug and replug the mms or module. if the inop persists, contact your service personnel. < sp0 2 label > erratic numeric is replaced by -? - inop tone. s p o 2 check the sensor placement. try another adapter cable and sensor. if the inop persists, contact your service personnel. < sp0 2 label > extd. update label is displayed with a -? - ( questionable numeric ) s p o 2 the update period of displayed values is extended due to an nbp measurement on the same limb or an excessively noisy signal. < sp0 2 label > interfernce numeric is replaced by -? - inop tone. s p o 2 there is too much interference, caused by a high level of ambient light and / or electrical interference. cover the sensor to minimize ambient light. if the inop persists, make sure that the sensor cable is not damaged or positioned too close to power cables. < sp0 2 label > low perf label is displayed with a -? - ( questionable numeric ) s p o 2 accuracy may be compromised due to very low perfusion. stimulate circulation at sensor site. if inop persists, change the measurement site. < sp0 2 label > noisy sign. numeric is replaced by -? - inop tone. s p o 2 excessive patient movement or electrical interference is causing irregular pulse patterns. try to reduce patient movement or to relieve the @topic:20


t the radiated output power of the module is far below the fcc radio frequency exposure limits. nevertheless, the module must be used in such a manner that the potential for human contact during normal operation is minimized. to avoid the possibility to exceed the fcc radio frequency exposure limits, you should keep a distance of at least 8 " ( 20 cm ) between you ( or any other person in the vicinity ) and the ntenna that is built into the wireless module. interference statement for fcc note : " harmful interference " is defined by the fcc as follows : any emission, radiation, or induction that endangers the functioning of a radio navigation service, or of other safety services, or seriously degrades, obstructs, or repeatedly interrupts a radio communications service, operating in accordance with fcc rules. these devices comply with part 15 of the fcc rules. operation of the devices is subject to these two conditions : ( 1 ) the devices may not cause harmful interference, and ( 2 ) the devices must accept any interference that may cause unwanted operation. this equipment has been tested and found to comply with the limits for a class b digital device, pursuant to part 15 of the fcc rules. these limits are designed to supply reasonable protection against harmful interference in a residential installation. this equipment generates, uses, and can radiate radio frequency energy. if the equipment is not installed and used in accordance with the instructions, the equipment may cause harmful interference to radio communications. there is no guarantee, however, that such interference will not occur in a particular installation. if this equipment does cause harmful interference to radio or television reception ( which can be determined by turning the equipment off and on ), the user is encouraged to take one of these measures to try to correct the interference : move this device. • increase the separation between the device and the receiver. connect the device to an outlet on a circuit different from that of other @topic:10


in venous congestion distal from the application site, leading to interstitial edema, hypoxemia and tissue malnutrition. skin irritations or lacerations may occur as a result of the sensor being attached to one location for too long. to avoid skin irritations and lacerations, periodically inspect the sensor application site and change the application site regularly. venous pulsation : do not apply sensor too tightly as this results in venous pulsation which may severely obstruct circulation and lead to inaccurate measurements. ambient temperature : at elevated ambient temperatures be careful with measurement sites that are not well perfused, because this can cause severe burns after prolonged application. all listed sensors operate without risk of exceeding 41°c on the skin if the initial skin temperature does not exceed extremities to avoid : avoid placing the sensor on extremities with an arterial catheter, an nbp cuff ous infusion line. connect the sensor cable to the color - coded socket on the measurement device ( mms or module ). you can connect some philips sensors directly to the measurement device. for other sensors, use the. aution extension cables : do not use more than one extension cable ( m1941a ). do not use an extension able with philips reusable sensors or adapter cables with part numbers ending in - l ( indicates " long " able version ). electrical interference : position the sensor cable and connector away from power cables, to avoid electrical interference. humidity : for neonatal patients, make sure that all sensor connectors and adapter cable connectors are outside the incubator. the humid atmosphere inside can cause inaccurate measurements. measuring spo2 1 select the correct patient category setting ( adult / pediatric and neonatal ), as this is used to optimize the calculation of the spo2 and pulse numerics. 92 @topic:17


| issue | impact | possible causes | recommendations | | - - - | - - - | - - - | - - - | | pressure measurement button is difficult to press | inability to accurately measure blood pressure | damage to the button switch | replace or repair button switch | @topic:15


# # # issue battery status indicates red light. # # # impact medical devices failed to operate as intended. # # # possible causes - battery fault # # # recommendations - * * replace battery * * - * * recalibrate battery * * - * * perform preventative maintenance * * @topic:11


240 ms for adult mode ( measured with filterline h for adult ) sample flow rate 50 + 15 / - 7. 5 ml / minute gas sampling delay time maximum : 3 seconds ( 2m sample lines ) 6 seconds ( 4m sample lines ) sound pressure acoustic noise : < 45 dba total system response time the total system response time is the sum of the delay time and the rise time. microstream c0 2 humidity correction factor either btps or atpd can be selected as the humidity correction factor for the microstream c0 2 readings. the formula for the correction calculation is : p btps = ( p atpd'° - 94 ) m3014a mainstream c0 2 performance specifications co 2 range 0 to 150 mmffg ( 0 to 20. 0 kpa ) accuracy after 2 minutes warmup : for values between 0 and 40 mmhg : ±2. 0 mmhg ( ±0. 29 kpa ) for values from 41 to 70 mmhg : ±5 % of reading for values from 71 to 100 mmhg : ±8 % of reading the specifications are valid for standard gas mixtures, balance air, fully hydrated at 35°c, p a b s = 760 mmhg, flow rate = 2 1 / min. resolution numeric : 1. 0 mmhg ( 0. 1 kpa ) wave : 0. 1 mmhg ( 0. 01 kpa ) stability : short term drift long term drift ±0. 8 mmhg over four hours accuracy specification will be maintained over a 120 hour period awrr range 2 to 150 rpm accuracy ±1 rpm warm - up time 2 minutes with c0 2 transducer attached for full accuracy specification response time less than 60 ms ( with adult or infant reusable or disposable adapter ) 440 measurement specifications 38 installation and specifications m3014a sidestream c0 2 performance specifications co 2 @topic:17


201 alarm ossible causmessage riority permissions. there is an internal software error on the check for a software update and apply it. if still present, replace the radio not functional. 350002 radio radio not functional. unsupported operating 350003 ere is an intecheck for a software update and apply it. if still present, replace the adio. system. there is an insoftware error on the radio check for a software update and apply it. if still present, replace the o. radio not functional. unknown. there is an internal software error on the radio invalid authentication. there is an internal software error on the radio radio not functional. 350006 check for a software update and apply it. if still present, replace the radio. radio not functional. 350008 unknown sdc error. there is an check for a software update and internal software error on the apply it. if still present, replace the radio check for a software update and apply it. if still present, replace thradio. invalid sdc configuration. there is an internal software rror on the radio radio not functional. 350009 radio not functional. 35000a check for a software update and apply it. if still present, replace the adio. invalid sdc profile. there is an internal software error on the radio invalid sdc wep type. there is an internal software error on the monitor. attempt to configure settings that don't apply in current authentication mode on radio invalid radio configuration. reconfigure and try gain. 35000b check the radio configuration. if the very low problem is still present, reset the radio to factory defaults. if the problem persists, check for software update and apply it. if still present, radio. invalid sdc eap type. there is an internal software error on the @topic:22


maximum assigned ower output of thseparating distance versus the frequency of the transmitter m ransmi150 khz to 80 mhz 80 mhz to 800 mhz 800 mhz to 2. 5 ghz w = 2, 23√0. 12 0. 01 0. 12 0. 24 0. 1 0. 37 0. 37 0. 74 2. 33 1. 12. 12 1 3. 67 7. 37 10 3. 67 23. 3 100 11. 6 11. 6 for transmitters with a maximum power output that is not in the list above, the recommended separation distance in meters ( m ) can be calculated using the equation that applies to the frequency of the transmitter, where p is the maximum output power of the transmitter in watts ( w ) ssigned by the manufacturer of the transmitter. note : at 80 mhz and 800 mhz, the separating distance in the upper frequency band applies. note : these recommendations may not apply to certain situations. the propagation of electromagnetic waves is affected by absorption and reflection due to structures, objects and persons. wireless connectivity the wireless connectivity characteristics are available in the service manual of the bed : changes and / or modifications not expressly approved by hill - rom co., inc. could void the user's authority to operate the equipment. the module must be installed and used in accordance with the hill - rom user and installation instructions. hill - rom is not responsible for any radio or television interference caused by unauthorized modification of the devices included with the hill - rom module, or the substitution or attachment of connection cables and equipment other than that specified by hill - rom co., inc. the correction of interference caused by such unauthorized modification, substitution, or attachment is the responsibility of the user. hill - rom is not liable for any damage or violation of government regulations that may arise from the user failing to comply with these requirements. usa - federal communications commission ( fcc ) radiation t @topic:10


# # # issue : - equipment malfunction # # # impact : - the equipment is not functioning as intended, which could lead to delays in patient care or inaccurate results. # # # possible causes : - the given input does not provide specific information about the cause of failure. however, some common causes of equipment failure in biomedical engineering include : - electrical faults ( e. g., short circuits, loose connections ) - mechanical failures ( e. g., worn or broken parts ) - software or firmware issues - human error ( e. g., incorrect operation, improper maintenance ) # # # recommendations : - * * further investigation : * * perform thorough testing and diagnostics on the equipment to determine the specific cause of failure. - * * repair or replacement : * * once the cause of failure is identified, replace or repair the faulty components. - * * preventive maintenance : * * implement regular maintenance schedules to proactively identify and address potential issues before they cause equipment failure. - * * user training : * * ensure that users are adequately trained on the proper operation and maintenance of the equipment. - * * support from the manufacturer : * * contact the manufacturer for technical assistance or parts replacement if necessary. @topic:12


# # # issue - motor failure in the bed, electric, huntleigh, contoura 360. # # # impact - the bed may be unable to move, which could affect patient care. # # # possible causes - the motor may have burned out due to overuse or a power surge. - the motor may have been damaged by a foreign object. - the motor may have a manufacturing defect. # # # recommendations - inspect the motor for any visible damage. - test the motor with a multimeter to check for continuity. - replace the motor if it is damaged or defective. - inspect the electrical system for any loose connections or shorts. - train staff on proper use and maintenance of the bed. @topic:9


# # # issue - the physiologic monitor ( bedside ) from welch allyn ( model : propaq lt ) is experiencing intermittent issues. - the issues include the machine shutting down on its own and difficulty taking accurate measurements, such as battery level and blood pressure. # # # impact - the faulty equipment can compromise patient monitoring and impact the quality of care provided. - incorrect or delayed readings can lead to delayed diagnosis or incorrect treatment decisions. # # # possible causes - * * faulty battery : * * the battery may not be providing a stable power supply, causing the machine to shut down unexpectedly. - * * sensor malfunction : * * the sensors responsible for measuring battery level and blood pressure may be faulty, resulting in inaccurate readings. - * * software glitches : * * the software controlling the machine may contain bugs or errors that cause it to malfunction. - * * loose connections : * * loose connections between the sensors and the machine can disrupt signal transmission, leading to incorrect readings or system shutdowns. # # # recommendations - * * battery inspection : * * check the battery and ensure it is properly connected. replace the battery if necessary. - * * sensor calibration : * * calibrate the battery level and blood pressure sensors to ensure accurate readings. - * * software update : * * check for any available software updates and install them to address potential glitches. - * * connection inspection : * * inspect all connections between the sensors and the machine for any damage or loose contacts. - * * further diagnostics : * * if the issue persists after implementing the above recommendations, further diagnostics may be necessary to identify and resolve the underlying cause of failure. @topic:2


be affecting the monitor's operation. - * * consider replacement : * * if troubleshooting fails to resolve the issue, it may be necessary to replace the monitor with a functional unit. @topic:2


# # # issue - the central monitor ( hewlett packard, model m3150a ) keeps turning off every morning. # # # impact - the monitor is essential for patient monitoring and treatment, so its failure can have serious consequences. # # # possible causes - * * power supply issue : * * the monitor may be receiving insufficient power, causing it to turn off. - * * circuit board issue : * * the description of the repair indicates that the circuit board had issues, which could be causing the monitor to turn off. - * * software glitch : * * a software glitch in the monitor could be causing it to shut down unexpectedly. - * * overheating : * * if the monitor is overheating, it may automatically turn off to protect its components. - * * faulty component : * * a faulty component, such as a capacitor or resistor, could be causing the monitor to turn off. # # # recommendations - * * check power supply : * * ensure that the monitor is receiving adequate power. inspect the power cord and connections, and consider replacing the power supply if necessary. - * * inspect circuit board : * * have a qualified technician inspect the circuit board for any damage or loose connections. repair or replace the circuit board if needed. - * * update software : * * check for any available software updates for the monitor and install them to address potential software glitches. - * * check for overheating : * * monitor the temperature of the monitor during use. if it is overheating, clean the vents and ensure proper ventilation around the device. - * * identify and replace faulty component : * * if none of the above steps resolve the issue, use diagnostic tools to identify and replace any faulty components within the monitor. @topic:2


# # # issue - cuff deterioration # # # impact - inaccurate blood pressure measurements # # # possible causes - * * natural wear and tear over time * * - * * improper handling or storage * * - * * exposure to extreme temperatures * * - * * defects in the cuff material * * # # # recommendations - replace the cuff as soon as possible to ensure accurate blood pressure readings. - train staff on proper handling and storage of the equipment to prevent premature deterioration. - inspect the equipment regularly for any signs of damage or wear. - consider using alternative blood pressure measurement devices, such as a wrist cuff or an oscillometric device, if the cuff is frequently damaged. - investigate the cause of the cuff deterioration to determine if there are any systematic issues that need to be addressed, such as environmental factors or maintenance practices. @topic:3


# # # issue - cuff not sticking ( band : philips, model : intellivue mp70 ( m8007a ) ) # # # impact - inaccurate readings during patient monitoring # # # possible causes - worn or damaged cuff - incorrect placement of the cuff on the patient - faulty cuff connection to the monitor # # # recommendations - replace the cuff with a new one - ensure proper fit and placement of the cuff on the patient - inspect the cuff connection to the monitor for any damage or loose connections @topic:5