* * issue : * * equipment failure * * impact : * * * propaq lt units are unavailable for use in the er, potentially delaying patient care. * * possible causes : * * * battery failure due to being a temporary replacement and not fully functional. * other unspecified issues with the units. * * recommendations : * * * obtain a replacement battery from the vendor as soon as possible to restore full functionality of the units. * thoroughly inspect the units upon return to identify and address any additional issues. * consider establishing a more robust battery replacement process to prevent similar failures in the future. * ensure that temporary equipment is fully functional before being put into service. @topic:11


# # # issue - monitor not charging # # # impact - the monitor cannot be used during a power outage. # # # possible causes - the ac power cord is loose or damaged. - the adapter is not plugged into the monitor correctly. - the battery is not making good contact with the monitor. # # # recommendations ensure that the ac power cor is securely connected to both the adapter and the monitor make sure that the adapter is plugged into the monitor fully check if the battery is making good contact with the monitor replace ac power cord if it is damaged @topic:11


# # # issue the cause of failure for the philips suresings vs2 vital signs monitor is that the user requested a cuff size that is not available. the cuff size requested, 33 - 47cm large, is not a standard size and is not available from the manufacturer. # # # impact the impact of this failure is that the monitor cannot be used to measure blood pressure. this could lead to a delay in diagnosis or treatment, which could have serious consequences for the patient. # # # possible causes the possible causes of this failure include : - the user may have misidentified the cuff size that they need. - the user may have been given incorrect information about the cuff size that they need. - the hospital may not have the correct cuff size in stock. # # # recommendations the following recommendations are made to prevent this failure from occurring in the future : - the hospital should ensure that all staff are properly trained on how to identify and use the correct cuff size. - the hospital should make sure that they have the correct cuff sizes in stock. - the hospital should develop a process for ensuring that the correct cuff size is used for each patient. @topic:15


11a ( ofdm ) : 6, 9, 12, 18, 24, 36, 48, 54 mbps 802. 11b ( dsss, cck ) : 1, 2, 5. 5, 11 mbps 802. 11g ( ofdm ) : 6, 9, 12, 18, 24, 36, 48, 54 mbps 802. 11n ( ofdm, ht20, mcs 0 - 7 ) : 6. 5, 13, 19. 5, 26, 39, 52, 58. 5, 72. 2 mbps agency approvals us : fcc part 15. 247 subpart c, fcc part 15. 407 subpart e europe : en 300 328 ( edr ) ( v1. 8. 1 ), en 300 328 ( le ) ( v1. 8. 1 ), en 301 489 - 1 ( v1. 9. 2 ), en 301 489 - 17 ( v2. 2. 1 ), en 301 489 - 17 ( v2. 2. 1 ), en 62311 : 2008, en 60950 - 1 canada : ( ic ) rss - 210 standard. ic 3147a - wb45nbt based on fcc testing protocols udp, dhcp, tcp / ip data transfcols udp / tcp / ip 39. 81mw typical, country - dependent output power ancillary iee802. 11d, 802. 11e, 802. 11h, 802. 11i, 802. 1x 1one time passwords are not supported. channel restrictions in the 5 - ghz band are determined by country. to ensure compliance with local regulations, be sure the correct country in which the access point is installed is selected. this product can be used with the following restriction ( s ) : norway - does not apply for the @topic:10


# # # issue - the bedside physiologic monitor ( philips suresigns vs4 ) is measuring values too low. # # # impact - the inaccurate measurements could lead to incorrect patient care decisions. # # # possible causes - * * sensor calibration : * * the sensor used to measure the patient's vital signs may be miscalibrated, leading to incorrect readings. - * * electrical interference : * * external electrical sources, such as nearby equipment or power lines, could be interfering with the monitor's sensors and causing inaccurate measurements. - * * software error : * * a software glitch or bug within the monitor could be causing it to calculate values incorrectly. - * * loose connections : * * loose connections between the sensor and the monitor or within the monitor itself could disrupt signal transmission and result in inaccurate readings. - * * incorrect patient positioning : * * improper patient positioning can affect the accuracy of the sensor readings. # # # recommendations - * * calibrate the sensor : * * ensure that the sensor is properly calibrated according to the manufacturer's instructions. - * * check for electrical interference : * * identify and eliminate any potential sources of electrical interference in the vicinity of the monitor. - * * update software : * * check for and install any available software updates for the monitor to address potential bugs. - * * inspect connections : * * thoroughly inspect all connections between the sensor and the monitor, and within the monitor, to ensure they are secure and functioning properly. - * * reposition the patient : * * ensure that the patient is positioned correctly for accurate sensor readings, following the manufacturer's guidelines. @topic:20


* * cause of failure : * * * * * electrical fault : * * the electrical fault could be due to a loose connection, broken wire, or faulty component in the electrical system. this could prevent power from reaching the control box. * * possible causes : * * * loose connections in the electrical system * broken wire or damaged cable * faulty component in the control box * power supply issue * * recommendations : * * * inspect the electrical connections and ensure they are secure. * check for any broken or damaged wires and replace them if necessary. * test the control box to identify any faulty components and replace them. * verify that the power supply is adequate and meets the device's requirements. @topic:12


# # # issue - cuff failure on bedside physiologic monitor # # # impact - interruption of patient monitoring - potential for inaccurate or misleading patient data # # # possible causes - * * cuff wear and tear : * * prolonged use, improper storage, or mishandling can cause the cuff to deteriorate over time. - * * defective materials : * * faulty materials used in the cuff's construction can result in premature failure. - * * excessive pressure : * * over - inflation or improper cuff application can put undue stress on the fabric, leading to damage. # # # recommendations - * * regular maintenance : * * scheduled inspections and preventive maintenance can help identify and address potential cuff issues early on. - * * proper cuff handling : * * train staff on how to correctly apply and remove the cuff to minimize wear and tear. - * * replace damaged cuffs promptly : * * if a cuff shows signs of deterioration, such as cracking or fraying, it should be replaced immediately. - * * use compatible cuffs : * * ensure that the cuff is designed specifically for the monitor being used. - * * monitor cuff pressure : * * regularly check the cuff pressure gauge and ensure that it is within the recommended range for the patient's age and size. @topic:5


# # # issue - fuse blown # # # impact - bed cannot be adjusted # # # possible causes - * * overcurrent : * * the fuse may have blown due to an overcurrent condition, such as a short circuit or overload. - * * aging : * * fuses can deteriorate over time and become more likely to blow at lower currents. - * * faulty fuse : * * the fuse itself may be defective or damaged. # # # recommendations - * * replace the fuse : * * replace the blown fuse with a new fuse of the same type and rating. - * * inspect the circuit : * * inspect the circuit for any short circuits or other potential sources of overcurrent. - * * test the bed : * * after replacing the fuse, test the bed to ensure that it is functioning properly. - * * monitor the bed : * * monitor the bed over time to ensure that the fuse does not continue to blow. @topic:9


# # # issue the electric bed's foot section could not be adjusted. # # # impact the patient would have difficulty getting in and out of bed and may have discomfort due to improper positioning, which could potentially lead to : - pressure sores - impaired circulation - increased risk of falls # # # possible causes * malfunctioning or disconnected control panel * faulty remote control * damaged or worn motor mechanism * electrical wiring issues * software errors * loose or broken mechanical components * misaligned sensors # # # recommendations * * technician actions * * * inspect the remote and the control panel for any obvious damage or loose connections * check for loose wires or disconnected cables * test the motor mechanism and ensure it is functioning properly * examine the mechanical components for wear or damage * realign sensors if necessary * update software if there are any available updates * * user actions * * * ensure that the bed is plugged into a working electrical outlet and that the power cord is not damaged * check that the remote is properly paired with the bed * avoid overloading the bed with excessive weight * report any unusual noises or behaviors to the appropriate personnel * * preventative measures * * * regular maintenance and inspection of the bed and its components * proper training and education for users on the correct operation of the bed * monitoring of the bed's performance and prompt resolution of any issues * use of high - quality components and materials in the manufacturing and maintenance of the bed @topic:1


# # # issue - cuff detachment - missing joint # # # impact - patient monitoring may be compromised if the cuff is not properly attached. - the device may be unstable or difficult to use if the joint is missing. # # # possible causes - cuff material degradation - excessive wear and tear on the joint - damage during handling or cleaning # # # recommendations - replace the cuff with a new one. - order a new joint from the manufacturer. - inspect the device regularly for signs of wear and tear. - handle and clean the device according to the manufacturer's instructions. @topic:5


# # # issue - equipment is not displaying vital signs. # # # impact - patient's vital signs cannot be monitored. # # # possible causes - * * faulty wiring. * * the wires that connect the equipment to the patient may be loose or damaged, preventing the equipment from receiving the necessary signals. - * * software glitch. * * the software that runs the equipment may have malfunctioned, causing the equipment to display incorrect or no data. - * * hardware failure. * * the electrical components within the equipment may have failed, preventing the equipment from functioning properly. - * * loose or damaged sensors. * * the sensors that measure the patient's vital signs may be loose or damaged, preventing accurate data from being collected. - * * dead or weak batteries. * * the batteries that power the equipment may be dead or weak, preventing the equipment from operating. # # # recommendations - inspect the wiring and connections to ensure that they are secure and undamaged. - update the software if necessary. - replace any faulty electrical components. - tighten or replace any loose or damaged sensors. - replace the batteries if necessary. - if the issue persists, contact the equipment manufacturer for assistance. @topic:2


# # # issue - defective nibp hose # # # impact - inaccurate or unreliable blood pressure readings # # # possible causes - damage to the nibp hose due to wear, tear, or exposure to extreme temperatures - loose connections between the nibp hose and the monitor or patient - obstruction within the nibp hose, preventing proper airflow # # # recommendations - regularly inspect the nibp hose for any signs of damage or wear - ensure that the nibp hose is securely connected to the monitor and patient - replace the nibp hose if any defects or obstructions are found - calibrate the nibp monitor according to manufacturer's specifications after replacing the hose - train staff on proper handling and maintenance of the nibp monitor and its components @topic:15


o p / t symbols # a01 # a03 451261024421 451261024421 ms x1 bezel w p / t symbols # a01 # a03 451261024431 451261024431 ms _ x1 bezel nellcor w / o p / t eng. text # a02 # a04 451261024441 451261024441 ms _ x1 bezel nellcor w p / t eng. text # a02 # a04 451261024451 451261024451 ms _ x1 bezel nellcor w / o p / t symbols # a02 # a04 451261024461 451261024461 ms _ x1 bezel nellcor w p / t symbols # a02 # a04 232 6 parts ) mms extension parts ( m3012a, m3014a, m3015a / b ) exchange mms extensions are shipped with english front bezels only. if you require a bezel in another language ( compare the part numbers of your language to the english ones to check this ) the front bezel has to be ordered additionally. attach the appropriate bezel before putting the mms extension into operation. the part numbers in the following parts table below, are used to order parts from your philips representative. mms extension general support parts part number 12nc description comments m3014 - 64200 451261012731 ms _ rc02 mms ext clips + springs, loea old top housing m3012 - 64600 451261012721 ms _ hms mms ext. lever locks ( 5ea ) grey lever release mechnanism m3012 - 64620 451261016601 ms _ hms mse @topic:19


# # # issue - the electric bed failed to operate properly. # # # impact - patients may not be able to receive proper care. - staff may be injured while trying to move patients. # # # possible causes - the ac plug was loose. - the bed was not properly secured. # # # recommendations - ensure that the ac plug is securely plugged in. - ensure that the bed is properly secured. - test the bed to make sure that it is operating properly. @topic:9


* * issue : * * monitor is not connecting to g5 and unable to read gas values. * * impact : * * inability to accurately monitor gas levels during patient transport. * * possible causes : * * * faulty or damaged g5 cable connection * loose or disconnected g5 module * problem with the g5 gas sensor or settings * interference or compatibility issues between the monitor and g5 device * * recommendations : * * * * * check g5 cable connections : * * ensure that the g5 cable is securely connected to both the monitor and the g5 device. * * * inspect g5 module seating : * * verify that the g5 module is properly seated in the monitor and that the contacts are clean. * * * troubleshoot g5 gas sensor or settings : * * refer to the manufacturer's user manual or contact technical support for guidance on calibrating or troubleshooting the g5 gas sensor or settings. * * * check for compatibility issues : * * verify that the monitor and g5 device are compatible and that the operating system and software are up - to - date. * * * contact the manufacturer or a qualified biomedical engineer : * * if the issue persists after following the recommended steps, contact the manufacturer or a qualified biomedical engineer for further diagnosis and repair. @topic:20


# # # issue - faulty ekg cable # # # impact - inability to accurately monitor patient's ekg # # # possible causes - damage to the cable, such as cuts, tears, or kinks - loose connections at the cable ends - incompatible cable with the monitor # # # recommendations - replace the faulty ekg cable with a new one - ensure that the cable is properly connected at both ends - verify that the cable is compatible with the monitor - train staff on proper handling and maintenance of ekg cables @topic:18


# # # issue - equipment : vital signs monitor - brand : philips - model : suresings vs4 # # # impact - the device is unable to scan patient identification information. # # # possible causes - the scanner is not properly connected. - the scanner is faulty. - the software is not up to date. # # # recommendations - check the connection between the scanner and the monitor. - replace the scanner if it is faulty. - update the software to the latest version. @topic:22


# # # possible causes - keyboard is faulty - battery is dead - keyboard is not properly connected - software issue @topic:27


4 - 48. outlet power cord removal 10. loosen the two screws ( h ) that attach the mounting bracket ( i ) to the slide block assembly ( j ) ( see figure 4 - 49 on page 4 - 112 ). 11. remove the mounting bracket ( i ) from the slide block assembly ( j ). 12. remove the auxiliary outlet assembly ( k ) from the bed. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 111 4. 37 auxiliary outlet chapter 4 : removal, replacement, and adjustment procedures figure 4 - 49. outlet removal m330 4 209 replacement 1. do the removal procedure in reverse order. when you install the outlet power cord ( a ), do as follows : a. put the outlet power cord ( a ) along the inside of the intermediate frame ( g ) toward the head end of the bed ( see figure 4 - 50 on page 4 - 113 ). b. install cable ties ( l ) to hold the outlet power cord ( a ) to the intermediate frame ( g ) at the locations shown on the cord ( a ). c. at the head end of the bed, put the outlet power cord ( a ) in the wire guide ( f ) ( see figure 4 - 48 on page 4 - 111 ). d. install cable ties at the locations shown to hold the outlet power cord ( a ), bed power cord ( b ), and load cell cable to the wire guide ( f ). note : the black stripe on the outlet power cord should be at the foot - end edge of the wire guide. 2. make sure there is no continuity between the line, neutral, and ground lines on the auxiliary outlet to the bed frame. 3. do the “ function checks ” on page 2 - 5. make sure there is no interference between the outlet power cord and the bed frame @topic:26


# # # issue - drawer is difficult to open # # # impact - delays in patient care - frustration for healthcare providers - damage to the medical cart # # # possible causes - the drawer is not properly aligned. - the drawer glides are worn or damaged. - the drawer is overloaded. - the drawer latch is not working properly. # # # recommendations - check the alignment of the drawer. - inspect the drawer glides for wear or damage. - reduce the weight of the drawer. - replace the drawer latch. @topic:21


# # # issue electric bed not receiving ac power. # # # impact patient or hospital staff may not be able to use the bed. # # # possible causes - faulty electrical outlet. - damaged power cord. - loose connection in the bed. # # # recommendations - inspect the electrical outlet. - replace the power cord. - check electrical connections in the bed. - seek assistance from a qualified electrician if the problem cannot be resolved. @topic:9


# # # issue - the equipment is not functioning properly, specifically the bed rails are not locking. this could pose a safety hazard to the patient. # # # impact - the patient could fall out of bed and sustain serious injuries. # # # possible causes - the locking mechanism may be faulty. - the bed rails may be damaged. - the patient may be too heavy for the bed rails to hold. # # # recommendations - inspect the locking mechanism and bed rails for any damage or defects. - if the locking mechanism is faulty, it should be repaired or replaced. - if the bed rails are damaged, they should be replaced. - if the patient is too heavy for the bed rails to hold, a special bed should be ordered for the patient. @topic:6


# # # issue - inability to lower the foot of the bed # # # impact - patient discomfort - difficulty performing medical procedures - safety hazard for patient # # # possible causes - faulty remote control - electrical malfunction in the bed - mechanical failure in the bed's hydraulic system # # # recommendations - replace the remote control. - inspect the bed's electrical wiring and components for any damage or loose connections. - if the problem persists, consult a qualified biomedical engineer or technician for further diagnosis and repair. @topic:1


# # # issue - equipment : blood pressure monitor - band : welch allyn - model : 53n00 - issue : the device has become detached from its base. # # # impact - the device is unable to be used to measure blood pressure. - this could lead to delays in diagnosis and treatment, which could have serious consequences for the patient. # # # possible causes - the screws that hold the device to the base have become loose. - the base of the device has been damaged. - the device has been dropped or knocked over. # # # recommendations - tighten the screws that hold the device to the base. - inspect the base of the device for damage. - if the device has been dropped or knocked over, have it inspected by a biomedical engineer. @topic:14


the new lcd touchscreen, and to upgrade the software to 1. 41 or greater. contact welch allyn for further details. 2 when using a replacement service kit ( srv kit csm, braun thermoscanpro 6000 module ) in china substitute 108189 for 105941. this kit contains the new software version 5. 28. about 3rd edition service kits the tables describes the components of the device and apm and the associated service kits for replaceable parts for devices manufactured per iec60601 - 1 3rd edition from 2015 through 2018. to determine which year your device was manufactured in, refer to the serial number. the year of manufacture is listed as the last two digits of the serial number. service manual field replaceable units 93 future revisions of a part might not always be backwards compatible with a legacy part. to determine the correct replacement part for your unit, always provide the serial number and model when ordering. to repair a 3rd edition device component, you might need to use a service kit to upgrade the component. to determine whether you need to use an upgrade kit to replace a component for the first failure, consult the 3rd edition service kits for the first component failure table to locate the correct service kit to use with your device. note upgrading a component does not make the device 4th edition compliant. if the device encounters a failure after you upgrade a device component, consult the 3rd edition service kits for subsequent component failure table to determine which service kit to use. 3rd edition service kits for first component failure use this table to determine the correct part to order for the first component failure. nellcor braudock device main nonin braun thermom model board plus number eter 7 * ce 107156 107156 107156 107156 7 * ct 107155 107155 107155 7 * cx 107162 107162 107157 107157 107 @topic:19


# # # issue - the bed's side rails are not locking properly. # # # impact - this could pose a safety hazard for the patient, as they could fall out of the bed. # # # possible causes - the locking mechanism may be faulty. - the side rails may be bent or damaged. - the bed may not be level. # # # recommendations - the locking mechanism should be inspected and repaired or replaced as necessary. - the side rails should be inspected for any damage and repaired or replaced as necessary. - the bed should be leveled. @topic:6


# # # issue - low battery level ( 1 % ) # # # impact - potential for device to malfunction or become inoperable during use # # # possible causes - battery not charged or not charging properly - battery life has expired - battery not connected properly # # # recommendations - check battery charge level and replace battery if necessary - ensure battery is charging properly - check battery connections and ensure they are secure @topic:11


if the problem persists, replace the front end assembly. see “ removing the front end assembly ” on page 5 - 24. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 833 ( 20 ) | spo2 equip malfunc ( 20 ) spo > hardware defect. replace the spo > board. see “ removing the spo, board ” on page 5 - 28. 833 ( 40 ) | spo2 equip malfunc ( 40 ) spo, non - volatile memory corrupted. replace the spo, board. see “ removing the spo, board ” on page 5 - 28. 834 spo2 sensor malfunc malfunction of the spo > sensor or sensor cable. check the spo > sensor and extension cable. if the problem persists, check the cable between the front end board and spo, board. reseat it if necessary. if the problem persists, replace the spo, board. see “ removing the spo, board ” on page 5 - 28. if the problem persists, replace the front end assembly. see “ removing the front end assembly ” on page 5 - 24. 835 fpga fifo overrun spo > software error. informational message. no action required. 836 spo2 communication error spo > communication error. informational message. no action required. if the message continues, replace the spo, board. see “ removing the spo, board ” on page 5 - 28. troubleshooting 4 - 18 suresigns vs4 service guide error codes code description possible cause action 837 $ po2 error. the front end no data from spo,. allow the monitor to reset. replace the will now reset itself. spo > board. @topic:22


# # # issue - the electric bed is not able to adjust its head position. # # # impact - the inability to adjust the head position of the electric bed can make it difficult for patients to get comfortable and can also lead to pressure sores. # # # possible causes - the head position may be locked. - the adjustment motor may be faulty. - the control panel may be malfunctioning. # # # recommendations - check the head position lock and make sure it is unlocked. - test the adjustment motor by manually moving the head position. - if the motor is not working, replace it. - if the control panel is not working, replace it. @topic:1


* * issue : * * st map not showing a value * * impact : * * inability to monitor st map, which is important for assessing cardiovascular health * * possible causes : * * * * * off setting : * * the st map display may have been inadvertently turned off. * * * software glitch : * * a software error may have caused the st map display to malfunction. * * * hardware failure : * * a faulty component or connection may have prevented the st map value from being transmitted to the monitor. * * recommendations : * * * * * check settings : * * ensure that the st map display is turned on in the monitor's settings. * * * restart monitor : * * power off and restart the monitor to reset the software and clear any temporary errors. * * * inspect hardware : * * visually inspect the cables and connections associated with the st map sensor. look for loose connections, damage, or broken wires. * * * replace components : * * if the visual inspection does not reveal any issues, it may be necessary to replace faulty components, such as the st map sensor or cabling. * * * escalate to manufacturer : * * if the problem persists, contact the manufacturer for technical support or a repair. @topic:4


# # # issue - * * broken side lock on electric bed * * # # # impact - bed may be unstable and unsafe for patient use. - patient may be at risk of falling or injury. # # # possible causes - * * manufacturing defect * * - * * improper use or handling * * - * * wear and tear * * # # # recommendations - * * replace the broken side lock immediately. * * - * * inspect the bed for any other damage or defects. * * - * * train staff on proper use and handling of the bed. * * - * * consider implementing a regular maintenance schedule to prevent future failures. * * @topic:6


# # # issue - head of bed squeaks when raised # # # impact - noise disturbance # # # possible causes - stiffness in the head of bed joints # # # recommendations - lubricate the joints of the head of the bed with wd40 or other appropriate lubricant @topic:9


# # # issue - black monitor screen # # # impact - the inability to monitor the patient's vital signs. - the inability to accurately diagnose the patient's condition. - the inability to provide timely treatment to the patient. # # # possible causes - loose ac power cord - faulty power supply - blown fuse - faulty motherboard - faulty monitor - faulty display cable - software issue # # # recommendations - check the ac power cord connections and make sure they are secure. - replace the power supply if it is faulty. - replace the fuse if it is blown. - replace the motherboard if it is faulty. - replace the monitor if it is faulty. - replace the display cable if it is faulty. - update the software if it is out of date. @topic:2


# # # issue - the hospital is requesting the return of the monitoring cable. # # # impact - the hospital will be unable to use the vital signs monitor without the cable. # # # possible causes - the cable may be damaged or malfunctioning. - the cable may have been misplaced or stolen. # # # recommendations - the technician should return the cable to the hospital as soon as possible. - the technician should inspect the cable for any damage or malfunction. - the technician should replace the cable if it is found to be damaged or malfunctioning. @topic:2


# # # issue yang kepala kabel peralatan putus # # # impact - peralatan tidak dapat digunakan - pasien tidak dapat menerima perawatan yang seharusnya # # # possible causes - penggunaan yang tidak tepat - pemeliharaan yang tidak memadai - kerusakan fisik # # # recommendations - gunakan peralatan sesuai dengan petunjuk pabrikan - lakukan perawatan sesuai jadwal yang disarankan pabrikan - periksa peralatan secara teratur untuk mengetahui adanya kerusakan fisik - ganti bagian yang rusak bila perlu @topic:12


it is important to select a suitable lead for arrhythmia monitoring. guidelines for non - paced patients are : - qrs complex should be tall and narrow ( recommended amplitude > 0. 5 mv ) - r - wave should be above or below the baseline ( but not bi - phasic ) - t - wave should be smaller than 1 / 3 r - wave height - the p - wave should be smaller than 1 / 5 r - wave height. for paced patients, in addition to the above, the pace pulse should be : - not wider than the normal qrs - the qrs complexes should be at least twice the height of pace pulses - large enough to be detected, with no re - polarization. to prevent detection of p - waves or baseline noises as qrs complexes, the minimum detection level for qrs complexes is set at 0. 15 mv, according to aami - ec 13 specifications. adjusting the ecg wave size on the monitor display ( gain adjustment ) does not affect the ecg signal which is used for arrhythmia analysis. if the ecg signal is too small, you may get false alarms for pause or asystole. aberrantly - conducted beats as p - waves are not analyzed, it is difficult and sometimes impossible for the monitor to distinguish between an aberrantly - conducted supraventricular beat and a ventricular beat. if the aberrant beat resembles a ventricular beat, it is classified as ventricular. you should always select a lead where the aberrantly - conducted beats have an r - wave that is as narrow as possible to minimize incorrect calls. ventricular beats should look different from these ‘ normal beats ’. instead of trying to select two leads with a narrow r - wave, it may be easier to just select one lead and use single lead arrhythmia monitoring @topic:8


# # # issue : - bed, electric model 25800 e / l is not able to adjust downward. # # # impact : - the patient may not be able to get in or out of bed safely. - the patient may not be able to be positioned correctly for medical procedures. # # # possible causes : - the motor that adjusts the bed is not working. - the switch that controls the motor is not working. - the wiring that connects the motor to the switch is damaged. - the bed frame is damaged. # # # recommendations : - inspect the motor for damage. - inspect the switch for damage. - inspect the wiring for damage. - inspect the bed frame for damage. - replace any damaged components. - test the bed to ensure that it is working properly. @topic:1


##1 - 1 - 1, ul 60601 - 1. consult your service personnel. radio frequency interference : the monitor generates, uses and radiates radio - frequency energy, and if it is not installed and used in accordance with its accompanying documentation, may cause interference to radio communications. use environment warning explosion hazard : do not use in the presence of flammable anesthetics or gases, such as a flammable anesthetic mixture with air, oxygen or nitrous oxide. use of the devices in such an environment may present an explosion hazard. positioning equipment : the monitor should not be used next to or stacked with other equipment. if you must stack the monitor, check that normal operation is possible in the necessary configuration before you start monitoring patients. environmental specifications : the performance specifications for the monitors, measurements and accessories apply only for use within the temperature, humidity and altitude ranges specified in. liquid ingress : if you spill liquid on the equipment, battery, or accessories, or they are accidentally immersed in liquid, contact your service personnel or philips service engineer. do not operate the equipment before it has been tested and approved for further use. 7 [ 1 introduction ] prohibited environments : the monitors are not intended for use in an mri environment or in an oxygen - enriched environment ( for example, hyperbaric chambers ). alarms warning • do not rely exclusively on the audible alarm system for patient monitoring. adjustment of alarm volume to a low level or off during patient monitoring may result in patient danger. remember that the most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment. • be aware that the monitors in your care area may each have different alarm settings, to suit different patients. always check that the alarm settings are appropriate for your patient before you start monitoring. accessories warning philips ^ approval : use only philips - approved accessories. using other accessories may compromise device functionality and system @topic:10


# # # issue - push button on the remote control falls off. # # # impact - the remote control can no longer be used to operate the equipment. - this can lead to delays in patient care. # # # possible causes - the push button may have been worn out over time. - the push button may have been damaged during use. - the push button may have been improperly installed. # # # recommendations - replace the push button. - inspect the remote control for other damage. - train staff on proper use of the remote control. @topic:7


# # # issue * ekg lead is showing only one lead, not all 12 leads # # # impact * inaccurate ekg monitoring * inability to diagnose or treat cardiac conditions effectively # # # possible causes * broken or damaged ekg cable * loose connection between cable and patient * faulty ekg machine # # # recommendations * replace the ekg cable with a new one * ensure the cable is securely connected to the patient and machine * test the ekg machine to ensure it is functioning properly @topic:18


# # # issue : - unable to obtain accurate blood pressure ( bp ) readings. # # # impact : - inaccurate bp monitoring can lead to improper diagnosis and treatment. # # # possible causes : - leaking cuff connection # # # recommendations : - * * replace leaking cuff connection : * * replace the faulty connection with a new one to ensure proper sealing and accurate bp readings. @topic:3


# # # issue : - bed knee adjustment failure # # # impact : - inability to adjust the knee position of the electric bed # # # possible causes : - faulty remote control # # # recommendations : - replace the remote control as it was found to be the cause of failure. @topic:1


# # # issue - loose screws # # # impact - malfunction of the device - inaccurate readings - patient safety hazards # # # possible causes - improper installation or maintenance - frequent movement or vibration of the device - loose screw due to wear and tear # # # recommendations - ensure proper installation and maintenance by qualified technicians - regularly check all screws for tightness - minimize movement or vibration of the device - replace loose screws as necessary @topic:12


# # # issue equipment failure, specifically a monitor from philips. # # # impact the failure of the monitor can impact patient care and safety. # # # possible causes - power supply issues - hardware component failure - software bugs # # # recommendations - check the power supply and make sure it is properly connected. - inspect the monitor for any visible damage or loose connections. - update the software to the latest version. - contact philips technical support for further assistance. @topic:2


# # # issue - remote holder broken # # # impact - unable to securely store remote control. # # # possible causes - poor handling or accidental impact. - faulty design or manufacturing defect. # # # recommendations - inspect the remote holder for any signs of damage or wear and tear. - consult the manufacturer's guidelines for proper handling and use. - consider using alternative methods to secure the remote, such as a lanyard or velcro strap. - notify the appropriate department or technician for further evaluation and repair if necessary. @topic:7


# # # issue - network problem # # # impact - data cannot be sent # # # possible causes - network cable is not properly connected - network switch is not working - firewall is blocking the data # # # recommendations - check the network cable and make sure it is properly connected - check the network switch and make sure it is working - check the firewall and make sure it is not blocking the data @topic:16


# # # issue - the medical cart is not working properly. # # # impact - the medical cart is essential for providing care to patients. when it is not working properly, it can delay or even prevent patients from receiving the care they need. # # # possible causes - the most likely cause of the failure is that the battery is low. the battery is responsible for providing power to the medical cart, and when it is low, the cart will not be able to function properly. - other possible causes of the failure include a problem with the electrical system or a problem with the software. # # # recommendations - the first step is to check the battery and replace it if necessary. - if the battery is not the problem, then the next step is to troubleshoot the electrical system and the software. - if you are unable to fix the problem yourself, you should contact a qualified technician. @topic:13


* * issue : * * - defective ecg cable * * impact : * * - inability to obtain accurate electrocardiogram ( ecg ) recordings - potential patient harm if ecg monitoring is essential * * possible causes : * * - physical damage to the cable, including cuts, punctures, or breaks - electrical malfunction within the cable - incompatibility between the cable and the monitoring device * * recommendations : * * - replace the defective cable with a new one of the same make and model. - inspect the new cable carefully for any signs of damage or defects before use. - ensure that the cable is properly connected to both the monitoring device and the patient. - perform regular maintenance and testing on the monitoring device and cable to prevent future failures. - consider using a different type of ecg cable if the current one is prone to failure. @topic:18


# # # issue - alarm cannot be adjusted # # # impact - * * patient safety : * * excessive noise levels can contribute to patient discomfort and anxiety. - * * staff communication : * * the alarm may interfere with staff communication and limit their ability to provide patient care effectively. - * * work environment : * * the constant noise can create a stressful and unpleasant work environment for staff. # # # possible causes - * * faulty alarm system : * * there may be a defect in the alarm system itself, preventing it from responding to adjustments. - * * software issues : * * a software glitch or corruption may be affecting the alarm functionality. - * * hardware issues : * * loose connections or damaged components within the monitor may interfere with the alarm's ability to adjust. - * * incorrect configuration : * * the alarm may not have been properly configured, limiting its adjustability. # # # recommendations - * * restart the device : * * a simple restart can sometimes resolve software issues. - * * check connections : * * ensure that all cables and connections are secure and properly seated. - * * reset the alarm configuration : * * verify the alarm settings and reconfigure them as necessary. - * * contact technical support : * * if the above steps do not resolve the issue, contact the manufacturer or a qualified technician for further assistance. @topic:26


# # # issue the electric bed is not able to adjust its height. # # # impact patients may not be able to get in or out of bed safely. the bed may not be able to be positioned correctly for medical procedures. # # # possible causes - the bed's motor may be malfunctioning. - the bed's electrical system may be damaged. - the bed's control panel may be malfunctioning. - the bed's weight may be too heavy for the motor. - the bed's frame may be bent or damaged. # # # recommendations - check the bed's motor for any signs of damage or malfunction. - check the bed's electrical system for any loose or damaged wires. - check the bed's control panel for any signs of damage or malfunction. - check the bed's weight to make sure that it is not too heavy for the motor. - check the bed's frame for any signs of bending or damage. @topic:1


select the continue pop - up key. 3 select one of the recording speed pop - up keys to set the required recording speed. 4 select the start pop - up key to start the recording. select waves recordings use default values for any recorder settings not defined : runtime is continuous, overlapping is set to non - overlapping. overview of recording types this table details settings for local recordings. for details on recordings made on the central recorder, see your information center instructions for use. 323 26 recording all ecg waves recordings delayed alarm realtime ( rt ) all ecg waves hirestrnd procedure or context type of recording manual automatic, triggered by defined alarm conditions manual manual manual manual, use the context window ’ s pop¬ up keys to start recording destination local recorder and central local recorder and central printer local recorder and central local recorder only local recorder only local recorder only information recorded from the start trigger minus the delay time from the start trigger minus the delay time n / a from the start trigger from the start trigger, in realtime from the start trigger minus delay time defined by the context number of waves up to 3 up to 3 n / a up to 3 all ecg waves currently monitored and available up to 3 high - resolution trends ( beat - to - beat ) waves up to 3 waves, or specific to the context, e. g. a wedge procedure speed 50, 25, 12. 5, 6. 25, 2. 5 mm / sec 50, 25, 12. 5, 6. 25, 2. 5 mm / sec n / a 50, 25, 12. 5, 6. 25, 2. 5 mm / sec 25 mm / sec 1, 2, 2. 5, 3, 6 cm / min defined by the context runtime 15, 20, 25, or 30 seconds 15, 20, 25, or 30 seconds n / a 6, 8, 10, 15 seconds or @topic:8


# # # issue : cuff malfunction on intellivue mx700 monitor. # # # impact : inability to accurately measure vital signs. # # # possible causes : - cuff wear and tear due to prolonged use. - cuff size mismatch with patient's arm circumference. - kinked or damaged cuff tubing. - loose connections between the cuff and the monitor. # # # recommendations : - replace the cuff with a new one of appropriate size. - inspect the cuff tubing for any damage or kinks. - ensure that the cuff is properly connected to the monitor. - calibrate the monitor regularly to ensure accurate readings. @topic:5


# # # issue - contral screen black out # # # impact - unable to monitor patient's vital signs - delay in diagnosis and treatment - possible adverse events for patient # # # possible causes - * * hardware failure : * * - failed display panel - faulty cables or connections - power supply issues # # # recommendations * * troubleshooting steps : * * - restart the central monitor and check if the issue persists - inspect cables and connections for damage or loose contacts - check the power supply and ensure it is providing sufficient voltage - contact the equipment manufacturer for specific troubleshooting guidance or repair * * preventive measures : * * - regular maintenance and calibration of the central monitor - ensure proper handling and storage of the device - provide staff with training on proper use and troubleshooting techniques @topic:2


# # # issue * malfunctioning ear clip spo2 sensor due to broken wire # # # impact * incomplete or inaccurate spo2 readings * interruption of patient monitoring * potential for health risks if spo2 levels remain undetected # # # possible causes * * * design flaw : * * the ear clip design may not be robust enough to withstand daily use or accidental bumps. * * * manufacturing defect : * * the wire used in the ear clip may have been faulty or damaged during production. * * * improper handling : * * the ear clip may have been accidentally dropped or mishandled, leading to the breakage. * * * aging or deterioration : * * the ear clip may have reached the end of its expected lifespan or degraded over time. * * * excessive force : * * the ear clip may have been tightened too strongly, causing undue stress on the wire. # # # recommendations * * * replace the ear clip : * * replace the broken ear clip with a new one of the same model and specification. * * * inspect other ear clips : * * examine other ear clips in use for similar signs of damage or wear. * * * handle with care : * * instruct clinical staff to handle the ear clip gently and avoid excessive force. * * * consider a more robust design : * * if recurrent ear clip failures occur, consider switching to a different model with a more durable design. * * * regular maintenance : * * establish a schedule for regular inspection and maintenance of all physiological monitors, including ear clip spo2 sensors. @topic:4


# # # issue - ekg electrode wire broken # # # impact - cannot accurately monitor patient's ekg signal. # # # possible causes - wear and tear of the electrode wire. - pulling or tugging on the electrode wire. - improper storage or handling of the electrode wire. # # # recommendations - regularly inspect the electrode wire for any signs of damage. - handle the electrode wire with care, avoiding pulling or tugging on it. - store the electrode wire in a cool, dry place when not in use. - if the electrode wire is damaged, replace it immediately with a new one. @topic:18


# # # issue - failure of the backup battery in the electric hospital bed. # # # impact - inability to use the bed's electric functions, which can delay patient care and cause discomfort. # # # possible causes - battery life expired - battery is not properly connected # # # recommendations - regularly check and replace the backup battery according to the manufacturer's recommendations. - ensure that the battery is securely connected and not loose. - train staff on the proper maintenance and handling of the electric hospital bed. @topic:9


# # # issue - the bed, electric, model enterprise 8000 is not adjustable. # # # impact - the bed cannot be adjusted to the desired height or position, which can make it difficult for patients to get in and out of bed, or for caregivers to provide care. # # # possible causes - the remote control is defective. - the bed's electrical system is malfunctioning. - the bed's mechanical components are damaged. # # # recommendations - replace the remote control. - inspect the bed's electrical system for any loose connections or damaged wires. - inspect the bed's mechanical components for any signs of damage or wear. @topic:1


then switched on again, or after a loss of power lasting longer than one minute, or when a patient is discharged, the monitor can be configured to restore either the alarm settings from the monitor's configured default profile, or the most recently used alarm settings. after any of these situations, you should check that the alarm settings are appropriate for your patient, and if necessary, select the correct profile and patient category. if power is lost for less than one minute, the alarm settings prior to the power loss are restored. alarm recordings you can set up your monitor so that it automatically triggers alarm recordings at the information center, or if configured, to a printer as a realtime report. 1 press the main setup smartkey. 2 select alarms trom the main setup menu. 3 select alarm recording from the alarms menu to open the alarm recordings menu. 4 select a measurement from those listed for which you want to change the alarm condition that triggers an alarm recording. this opens a pop - up list. 5 for the desired measurement ( s ), choose the alarm condition to trigger an alarm recording : red only : an alarm recording will automatically be triggered when the measurement enters a red alarm condition. red & yell : both yellow and red alarms will trigger an alarm recording. off : disables automatic alarm recording. refer to the chapter “ recording ” for details of how to set up a recording. 69 3 alarms alarm recordings 70 4 patient alarms and inops this chapter lists patient alarms and technical alarms ( inops ) alphabetically, irrespective of their priority. inops start on page 77. all alarms and inops are listed here ; the ones which can appear on your monitor will depend on the model and the individual options. for information on alarms and inops from the gas modules refer to your gas module instructions for use. patient alarm messages the measurement labels and abbreviations for pressure, temperature, sp0 @topic:8


1 connect an adult sp02 transducer to the sp02 connector. 2 measure the sp02 value on your finger ( this assumes that you are healthy ). 3 the value should be between 95 % and 100 %. test expected test results sp02 performance test 95 % and 100 % procedure for masimo set sp02 technology : the end user may verify sp02 performance via commercially available sp02 simulators specifically designed to work with masimo pulse oximeter technology. optical simulators are recommended as they use the patient cable and sensor as part of the test setup. additionally, a test that includes placing the sensor on a healthy subject and confirming the device reads a normal saturation and pulse rate and displays a clean pleth waveform ( while the subject is still ) may further increase the confidence that the device is functioning properly. measurement validation note a functional tester cannot be used to assess the accuracy of a pulse oximeter monitor or sensor. however, it can be used to demonstrate that a particular pulse oximeter monitor reproduces a calibration curve that has been independently demonstrated to fulfill a particular accuracy specification. philips fast sp02 technology the sp02 accuracy has been validated in human studies against arterial blood sample reference measured with a co - oximeter. in a controlled desaturation study, healthy adult volunteers with saturation levels between 70 % and 100 % sa02 were studied. the population characteristics for those studies were : • about 50 % female and 50 % male subjects • age range : 19 to 39 • skin tone : from light to dark brown pulse rate accuracy has been validated with an electronic pulse simulator. nellcor oximax technology accuracy specifications are based on controlled hypoxia studies with healthy non - smoking adult volunteers over the specified saturation sp02 range ( s ). pulse oximeter sp02 readings were compared to sa0 @topic:17


# # # issue - bed not adjusting # # # impact - inability to position patient comfortably or safely - discomfort or pain for patient - prolonged hospital stay or increased risk of complications # # # possible causes - mechanical failure - broken or loose wires or cables - faulty motor or actuator - damaged or worn gears - electrical failure - power supply issues - faulty electrical components - software malfunction - bugs or glitches in the control software - corrupted data - human error - improper use or maintenance of the bed - accidental damage # # # recommendations to prevent or resolve this issue, biomedical engineers should consider the following recommendations : - * * thorough inspection : * * perform a thorough inspection of the bed, including the electrical wiring, motors, actuators, and gears, to identify any visible damage or loose connections. - * * electrical testing : * * test the power supply, electrical components, and wiring to ensure proper voltage and continuity. - * * software updates : * * check for software updates and install any necessary patches or firmware to address potential bugs or glitches. - * * proper use and maintenance : * * provide clear instructions on the proper use and maintenance of the bed to hospital staff and patients. - * * regular maintenance : * * establish a regular maintenance schedule for the bed, including cleaning, lubrication, and functional testing, to prevent future failures. - * * staff training : * * train hospital staff on the safe and proper operation of the bed, including troubleshooting common issues. @topic:9


31. troubleshooting suresigns vs4 service guide 4 - 11 error codes code description possible cause action 818 ( 15 ) nbp equip malfunc ( 15 ) nbp abnormal, unrecoverable system errors with internal firmware. replace the main board. see “ removing the main board ” on page 5 - 31. 818 ( 25 ) nbp equip malfunc ( 25 ) nbp hardware malfunctioned because there is no data. replace the nbp module. see “ removing the nbp module ” on page 5 - 36. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 818 ( 101 ) nbp equip malfunc ( 101 ) task overrun. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 818 ( 102 ) nbp equip malfunc ( 102 ) interrupt stack overwritten. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 818 ( 103 ) nbp equip malfunc ( 103 ) user stack overwritten. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 818 ( 104 ) nbp equip malfunc ( 104 ) data validity check failed. shut down ( see “ shutting down the monitor ” on @topic:22


# # # issue : oxygen saturation ( spo2 ) readings are lower than expected. # # # impact : - inaccuracy in patient monitoring. - delayed or incorrect medical decisions. # # # possible causes : - faulty or improperly calibrated oxygen sensor. - low battery or power issues. - loose or damaged sensor cable. - interference from other medical devices or external factors. - patient factors, such as skin pigmentation or movement. # # # recommendations : - check the oxygen sensor's calibration and replace it if necessary. - ensure adequate battery power and check for power outages. - inspect the sensor cable for any damage or loose connections. - address potential sources of interference, such as nearby electrical equipment or electromagnetic fields. - account for patient - specific factors that may influence spo2 readings. @topic:4


# # # issue the cause of failure for the physiologic monitor ( bedside ) by philips, model intellivue mp40 ( m8003a ), is a faulty board pump module. # # # impact the faulty board pump module prevents the device from measuring blood pressure ( bp ). # # # possible causes the faulty board pump module could be due to : - electrical component failure - mechanical failure - software glitch # # # recommendations to resolve the issue, the following recommendations are suggested : - contact the manufacturer to obtain the correct spare part. - have a qualified technician replace the faulty board pump module. - ensure that the software is up to date. - perform regular maintenance on the device to prevent similar issues in the future. @topic:15


# # # issue the cuff used to measure blood pressure is damaged and cannot hold the patient's arm securely. # # # impact the inability to properly secure the cuff can lead to inaccurate blood pressure readings, which could result in delayed or incorrect treatment. # # # possible causes * cuff is old and worn out * velcro straps are damaged * fabric is torn or frayed # # # recommendations * replace the cuff with a new one * repair the velcro straps * sew or patch the torn or frayed fabric @topic:3


supply. ml 097 - 61604 453563241721 adapter cable. ml 097 - 04702 453563241631 desk stand for m1097a display. ml 097 - 64100 451261012741 replacement kit for m1097a & m8031a m8031b m8031 - 60001 451261001911 15 ” medical grade display with touch m8031 - 68001 451261001941 exchange 15 ” medical grade display with touch m8031 - 60005 451261001921 power supply 12v for m8031b display m8031 - 64001 451261001931 power supply mounting for m8031b display m8031 - 04701 451261001901 monitor desk stand for m8031b / m8033c 2090 - 0860 453563463201 backlights for m8031b 218 external display part numbers v ^ l — 6 parts figure 17 m8033a and m8033b external sxga displays figure 18 m8033c external sxga display 219 6 parts remote alarm device part numbers table 5 external sxga display parts product number part number 12nc part no. description m8033a m8033 - 60001 453563480941 17 ” sxga color touch screen display m8033 - 68001 453563480951 exchange 17 ” sxga color touch screen display. m8033 - 64100 451261014891 m8033a and m8033b replacement kit m8033 - 64001 453563480971 power supply bracket mount m8033 - 60005 453563480961 power supply. m8033 - 04701 453563480981 desk @topic:19


necessary to operate the patient monitor from a filtered power connection or battery powered ( no electrical connection to the ac mains while monitoring. ) surge ± 1 kv ± 1 kv mains power quality should iec 61000 - 4 - 5 differential mode + 2 kv common mode + 2 kv be that of a typical commercial and / or hospital environment. voltage dips, short interruptions, and voltage < 5 % u t ( > 95 % dip in u t ) for 0, 5 cycle < 5 % u x variations on power supply input lines iec 61000 - 4 - 11 40 % u x ( 60 % dip in u t ) for 5 cycles 70 % u x ( 30 % dip in u x ) for 25 cycles < 5 % u x ( > 95 % dip in u x ) for 5 sec 40 % u x 70 % u x < 5 % u x power frequency ( 50 / 60 hz ) magnetic field iec 61000 - 4 - 8 3 a / m 3 a / m power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. electromagnetic compatibility b - 5 guidance and manufacturer ’ s declaration immunity test iec 60601 test level compliance level electromagnetic environment - guidance note : u t is the ac mains voltage prior to application of the test level. table b - 3. electromagnetic immunity ( rf radiated and conducted ) immunity test iec 60601 test level compliance level electromagnetic environment - guidance portable and mobile rf communications equipment should be used no closer to any part of the suresigns vm patient monitor, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. conducted rf iec 61000 - 4 - 6 3 vrms 0. 15 to 80 mhz outside ism bands 3 v rms recommended separation distance d = [ y ] vp : 0. 150 to 80 mhz b - 6 electromagnetic compatibility guidance and @topic:10


# # # issue - the electric bed is unable to adjust on the right side. # # # impact - the patient may be unable to get in or out of bed safely. - the patient may be uncomfortable or in pain if they are unable to adjust the bed to a comfortable position. # # # possible causes - * * the sensor cable is not properly connected. * * this can happen if the cable has become loose or if it has been damaged. - * * the sensor is faulty. * * this can happen if the sensor has been damaged or if it has become worn out. - * * the control board is faulty. * * this can happen if the control board has been damaged or if it has become worn out. # # # recommendations - * * check the sensor cable to make sure that it is properly connected. * * if the cable is loose, tighten it. if the cable is damaged, replace it. - * * test the sensor to make sure that it is working properly. * * if the sensor is not working properly, replace it. - * * test the control board to make sure that it is working properly. * * if the control board is not working properly, replace it. @topic:1


# # # issue : - monitor screen does not display any image. # # # impact : - inability to monitor patient's physiological parameters. # # # possible causes : - * * faulty monitor display : * * the monitor's display unit may have malfunctioned, resulting in no image being displayed. - * * defective video cable : * * the cable connecting the monitor to the signal source may be damaged or loose, causing signal failure. - * * input signal issue : * * the signal from the patient monitoring unit ( pmu ) or other signal source may not be reaching the monitor. - * * power supply failure : * * the monitor may not be receiving sufficient power to function properly. - * * software glitch : * * a software malfunction within the monitor may be preventing the display from functioning correctly. # # # recommendations : - * * check the monitor display : * * inspect the monitor's screen for any physical damage or defects. - * * inspect the video cable : * * ensure that the video cable is securely connected between the monitor and the signal source. - * * verify the input signal : * * check if the pmu or other signal source is functioning correctly and providing a signal to the monitor. - * * troubleshoot power supply : * * ensure that the monitor is receiving adequate power from its power source. - * * restart the monitor : * * power down the monitor and restart it to reset its software and hardware. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the monitor for further assistance or repair. @topic:2


on page 5 - 44. the monitor keypad is worn. replace the front panel. see “ removing the lcd ” on page 5 - 28. the main board malfunctioned. replace the main board. see “ replacing the main board ” on page 5 - 22. the monitor turns on with ac power, but does not with battery power. the battery is not charged. charge the battery. for more information, see “ maintaining the battery ” on page 2 - 2. the battery connector is loose. reseat the battery cable. the battery is not connected to the main board. confirm that the battery is connected to the main board. the main board malfunctioned. replace the main board. see “ replacing the main board ” on page 5 - 22. the monitor does not turn on with either ac or battery power. the power cord is unplugged and the battery is not installed or is not charged. ensure the monitor is connected to power and that a fully charged battery is installed. see “ installing the battery ” on page 5 - 5. verify that the ac power led and the charging led are lit. the cables are disconnected. ensure that the power input module and battery cables are connected. see “ removing the battery ” on page 5 - 3. the main board malfunctioned. replace the main board. see “ replacing the main board ” on page 5 - 22. the membrane switch assembly malfunctioned. replace the front panel assembly. see “ removing the lcd ” on page 5 - 28. only one of the battery charging led colors is displayed. the membrane switch assembly malfunctioned. replace the front panel assembly. see “ removing the lcd ” on page 5 - 28. the following message is displayed : battery service required the max error value exceeds 8 %. the full capacity value is half of the design capacity value. recondition the battery @topic:16


# # # issue - equipment : monitors, physiologic, multipurpose, mri safe / conditional - band : mipm - model : tesla m3 - description : the biomedical engineer ( bme ) received a report that the monitor was not displaying output. upon inspection, the bme found that the connection signal had become disconnected. the connection was re - established, and the monitor was tested. the monitor is now functioning normally. - cause of failure : the monitor was not displaying output because the connection signal had become disconnected. # # # impact - the patient may not be able to receive the necessary monitoring. - the medical staff may not be able to make informed decisions about the patient's care. # # # possible causes - the connection cable may have become loose. - the connection port may be damaged. - the monitor may be malfunctioning. # # # recommendations - inspect the connection cable and port for any damage. - if the cable or port is damaged, replace it. - if the monitor is malfunctioning, contact the manufacturer for repair. @topic:2


# # # issue - pump not running - pump not inflating # # # impact - inability to monitor vital signs accurately - potential patient harm # # # possible causes - faulty pump - clogged tubing - electrical issue - software glitch # # # recommendations - inspect pump for damage or debris - check tubing for kinks or blockages - verify electrical connections - update software if necessary - contact manufacturer for technical support @topic:15


# # # issue - the monitor is unresponsive and the screen is frozen on the windows login screen. # # # impact - the monitor cannot be used to monitor patient vital signs. # # # possible causes - the monitor's motherboard may have failed. - the monitor's software may have crashed. - the monitor's power supply may have failed. # # # recommendations - inspect the monitor's motherboard for any signs of damage. - reset the monitor's software. - replace the monitor's power supply. @topic:2


# # # issue - battery failure # # # impact - the nibp monitor may not be able to power on or function properly. # # # possible causes - the battery may be : - drained - damaged - incompatible with the nibp monitor # # # recommendations - replace the battery with a new one that is compatible with the nibp monitor. - ensure that the battery is properly installed. - charge the battery before using the nibp monitor. @topic:11


# # # issue - unable to access the " med cart " program. # # # impact - the medical team may not be able to use the medical cart to its full potential, which could impact patient care. # # # possible causes - the medical cart is not connected to the correct wifi network. - the " med cart " program is not installed on the medical cart. - the " med cart " program is not configured correctly. - the user does not have the correct permissions to access the " med cart " program. # # # recommendations - verify that the medical cart is connected to the correct wifi network. - check if the " med cart " program is installed on the medical cart. - ensure that the " med cart " program is configured correctly. - grant the user the correct permissions to access the " med cart " program. @topic:13


repair welch [UNK] connex® spot monitor l - - - note see the model number and label for further information. kit item : 7000 - ps, connex spot power supply. 1. ensure that the side with the screw holes is facing upward, and then insert the power supply socket into the support frame. 2. holding the power supply unit snugly to the frame, attach the power supply to the bracket using the 2 phillips screws. 3. thread the power cable from the power supply through one of the spaces next to the pole to reach the device, and then connect the power cable to the device. 4. connect the power cord to the mains outlet. 5. power up the device. this section applies to csm devices with a 4400 - mbs or 7000 - ms3 mobile stand meeting these criteria : 4400 - mbs or 7000 - ms3 mobile stand manufactured after 02 / 2022 * or later upply manufactured after 02 / 2022 * or later service manual power supply model : fw8031m / dt / 15 note see the model number and label for further information. power down the device. 1. disconnect the power cable from the device and disconnect the power cord from the wall. 2. with one hand holding the power supply, remove the 2 phillips screws that attach the power 3. note set the screws aside for reassembly. 4. remove the power supply unit. recycle or dispose of the power supply unit in an environmentally safe manner consistent with local regulations. section b, attach the power supply to the stand this section applies to csm devices with a 4400 - mbs or 7000 - ms3 mobile stand meeting thescriteria : 4400 - mbs or 7000 - ms3 mobile stand manufactured after 02 / 2022 * or later 7000 - ps @topic:19


cco calibration first. cco calibration status indicators each measurement trial is tagged with a calibration status indicator next to its trial number. reflecting the quality of the pressure signal during the thermodilution measurement, this tag indicates each trial ’ s validity to be used in a cco calibration. for a trial to be eligible for calibration, the pressure signal must be continuously available and undisturbed starting 30 seconds before the first c. o. measurement of the series. do not zero the pressure measurement, change the pressure label, or disturb the pressure signal in any other way during this time. cal a pressure signal for cco was available during the measurement ( valid for calibration )? cal a disturbed pressure signal for cco was available during the measurement ( valid for calibration ) n / a no adequate pressure signal for cco was available during the measurement ( no valid calibration data ) exp this trial is more than 15 minutes older than the most recent trial and has expired for cco calibration ( no valid calibration data ) 206 measuring c. o. using the right heart thermodilution method 13 monitoring cardiac output measuring c. o. using the right heart thermodilution method in the right heart thermodilution method, a fluid of known volume and temperature is injected into the right atrium through the proximal port of a pulmonary artery ( pa ) ( swan - ganz ) catheter. the injectate bolus mixes with the blood in the right ventricle and the change in blood temperature is measured with a thermistor at the distal end of the catheter in the pulmonary artery. setting up rh c. o. measurements 1 set up the pa line using a pa catheter. 2 attach the injectate temperature probe housing to the pa line @topic:17


# # # issue * cuff failure # # # impact * inability to accurately measure blood pressure * potential for patient harm # # # possible causes * * * cuff degradation : * * over time, the cuff can become worn or damaged, leading to leaks or inaccuracies in pressure measurement. * * * improper cuff selection : * * using a cuff that is too small or too large for the patient's arm can result in inaccurate readings. * * * mechanical failure : * * the cuff may experience mechanical failure, such as a leak in the inflation bladder or a malfunctioning valve. # # # recommendations * * * regular cuff maintenance : * * replace the cuff regularly according to the manufacturer's recommendations. * * * proper cuff selection : * * use a cuff that is the correct size for the patient's arm. * * * cautious handling : * * avoid excessive stretching or bending of the cuff. * * * training and education : * * ensure that technicians and clinicians are properly trained on cuff maintenance and replacement procedures. * * * regular inspection and testing : * * perform regular inspections and testing of the cuff to identify any potential issues. @topic:3


# # # issue - unable to adjust bed # # # impact - patient discomfort or safety risk due to inability to adjust bed position. - interruption of patient care or treatment. # # # possible causes - faulty electrical wiring ( e. g., broken wire, loose connection ) - defective control board or motor - damage to mechanical components ( e. g., gears, cables ) - software malfunction or corruption # # # recommendations - verify power supply and check electrical connections for damage or loose wires. - inspect control board and motor for signs of damage or malfunction. - examine mechanical components for broken gears, frayed cables, or other issues. - update or re - install software if necessary. - follow manufacturer's instructions for troubleshooting and repair. - if repairs are beyond the scope of the technician, contact the manufacturer for assistance. @topic:1


# # # issue * * low blood pressure readings * * # # # impact * * inaccurate blood pressure measurements * * can lead to incorrect diagnosis and treatment decisions. # # # possible causes * faulty blood pressure cuff * improper cuff application * technical issue with the blood pressure monitor # # # recommendations * * * replace * * the blood pressure cuff. * * * train * * staff on proper cuff application techniques. * * * calibrate * * the blood pressure monitor to ensure accuracy. * * * monitor * * blood pressure readings closely and consult a healthcare professional if readings are consistently low. @topic:14


# # # issue - insufficient information provided in the cause of failure section. # # # impact - difficulty in determining the actual reason for the equipment failure, leading to delays in repair and potential safety concerns. # # # possible causes 1. lack of proper documentation : the cause of failure section does not provide specific details about the issues identified during testing and packaging. 2. incomplete testing : the testing process may not have been comprehensive enough to identify all potential failure points. 3. human error : there could have been errors made during the testing or packing process that contributed to the equipment failure. 4. environmental factors : the equipment may have been exposed to adverse environmental conditions during storage or transportation, leading to damage or malfunction. 5. manufacturing defects : there could be inherent defects in the equipment design or manufacturing process that contributed to the failure. # # # recommendations 1. enhance documentation : improve the documentation process to ensure that the cause of failure section captures specific details about the issues identified during testing and packaging. 2. conduct thorough testing : implement a comprehensive testing protocol to identify all potential failure points and ensure the equipment meets performance specifications. 3. minimize human error : train technicians on proper testing and packaging procedures to reduce the likelihood of errors. 4. control environmental conditions : ensure that the equipment is stored and transported in appropriate environmental conditions to prevent damage or malfunction. 5. investigate manufacturing defects : work with the manufacturer to investigate any potential manufacturing defects and implement appropriate corrective actions. @topic:12


# # # issue - cuff of the vital signs monitor is damaged. # # # impact - the vital signs monitor cannot accurately measure blood pressure. # # # possible causes - the cuff is old and has become brittle. - the cuff has been over - inflated or under - inflated. - the cuff has been exposed to heat or moisture. - the cuff has been used on a patient with a large or unusual arm size. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - do not over - inflate or under - inflate the cuff. - do not expose the cuff to heat or moisture. - use the proper size cuff for the patient's arm size. @topic:5


6. if the problem persists, replace the front end assembly. see “ removing the front end assembly ” on page 5 - 24. 867 ( 68 ) temp module malfunc ( 68 ) error reading / writing to the module ’ s eeprom. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. if the problem persists, replace the front end assembly. see “ removing the front end assembly ” on page 5 - 24. troubleshooting suresigns vs4 service guide 4 - 23 error codes code description possible cause action 867 ( 69 ) | temp module malfunc ( 69 ) error reading / writing to shut down ( see “ shutting down the the module ’ s eeprom. monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. if the problem persists, replace the front end assembly. see “ removing the front end assembly ” on page 5 - 24. 867 ( 74 ) | temp module malfunc ( 74 ) internal error. module is shut down ( see “ shutting down the trying to initialize the monitor ” on page 5 - 2 ) and restart the eeprom if it detects that | monitor. it has not been initialized if the problem persists, replace the before. temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. 867 ( 82 ) | temp module malfunc ( 82 ) signal htr _ q is on and shut down ( see “ shutting down the signal h @topic:22


# # # issue - probe thermometer display is off # # # impact - the probe thermometer cannot be used to measure temperatures. # # # possible causes - the battery in the probe thermometer is dead. - the probe thermometer is not properly connected to the monitor. - the probe thermometer is damaged. # # # recommendations - replace the battery in the probe thermometer. - check the connection between the probe thermometer and the monitor. - if the probe thermometer is damaged, replace it. @topic:20


* * issue : * * cuff bp leak * * impact : * * incorrect blood pressure readings, potential patient harm * * possible causes : * * - cuff damaged due to age or wear and tear - cuff not properly inflated - cuff too small or large for patient's arm * * recommendations : * * - replace damaged cuff with a new one of appropriate size - ensure cuff is properly inflated according to manufacturer's instructions - reassess patient's blood pressure to ensure accurate readings @topic:3


# # # issue - barcode scanner malfunction # # # impact - inability to accurately scan and identify medical items and patient information # # # possible causes - broken pin on charging dock # # # recommendations - replace the charging dock with a spare from stock - inspect the barcode scanner for any other potential damage - ensure proper maintenance and handling of medical equipment to prevent similar failures in the future @topic:23


approximately six seconds ( for short yellow alarms ). if only inops are present, and no patient alarms, red and yellow inops will use both left and right sections to flash but light blue inops will always light continuously in the left section only. mx400 / 450 / if the screen brightness is configured to automatically adapt to ambient light conditions, the alarm 500 / 550 lamps will also adapt their brightness accordingly. nurse call systemif configured to do so, red, yellow and light blue alarms are indicated on any device connected to the nurse call relay. audible alarm indicators the audible alarm indicators configured for your monitor depend on which alarm standard applies in your hospital. audible alarm indicator patterns are repeated until you acknowledge the alarm by switching it off or pausing it, or until the alarm condition ceases ( if audible alarm indication is set to non - latching ). 61 3 alarms warning do not rely exclusively on the audible alarm system for patient monitoring. adjustment of alarm volume to a low level or off during patient monitoring may result in patient danger. remember that the most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment. • no audible alarm indicators are available on an x2 when connected to a host monitor ( companion mode is indicated ). alarms become active again as soon as the x2 is disconnected from the host monitor. • alarm tone configuration the audible alarm indicators of your monitor are configurable. in the monitor's configuration mode, increase the alarm volume of unacknowledged alarms at regular intervals • change the interval between alarm sounds ( iso / iec standard alarms only ) • change the base volume of the red and yellow alarm tones and the inop tones • change the alarm sound to suit the different alarm standards valid in different countries. • traditional audible alarms ( hp / agilent / philips / carenet ) red alarms and red inops : a high pitched sound is repeated @topic:8


# # # issue : - deteriorated suction cups # # # impact : - inability to adhere to the patient's skin, potentially leading to inaccurate or unreliable vital signs monitoring. # # # possible causes : - * * aging and wear : * * over time, suction cups can deteriorate due to repeated use, exposure to cleaning agents, and changes in temperature. - * * improper usage : * * using the device in an environment where the suction cups are subjected to excessive force or friction can accelerate their degradation. - * * manufacturing defects : * * in rare cases, suction cups may have manufacturing imperfections that make them more susceptible to failure. # # # recommendations : - * * regular inspections : * * regularly inspect the suction cups for signs of wear or damage. replace them promptly if necessary. - * * proper usage : * * handle the device with care and avoid using it in conditions that could damage the suction cups. - * * manufacturer guidelines : * * follow the manufacturer's guidelines for cleaning, disinfection, and maintenance to extend the life of the suction cups. - * * oem parts : * * use only genuine oem replacement parts to ensure proper fit and functionality. @topic:12


* * issue : * * bed not adjusting * * impact : * * patient discomfort, delayed treatment, increased workload for healthcare staff * * possible causes : * * - * * malfunctioning control box : * * the control box is responsible for receiving and interpreting signals from the remote control or other input devices. a defective control box can prevent the bed from receiving commands to adjust. - * * faulty wiring : * * broken or loose wires can disrupt the electrical signals between the control box, motors, and other components. - * * mechanical failure : * * wear and tear over time can cause mechanical components in the bed's frame or base to fail, preventing proper adjustment. * * recommendations : * * - * * check control box : * * verify that the control box is properly connected and receiving power. if necessary, replace the control box. - * * inspect wiring : * * examine all electrical connections for breaks, loose contacts, or short circuits. repair or replace damaged wires as needed. - * * lubricate and maintain : * * regularly lubricate moving parts and inspect the bed's mechanical components for signs of wear or damage. - * * calibrate system : * * perform periodic calibration to ensure that the bed's adjustments are accurate and consistent. - * * seek professional assistance : * * if the issue cannot be resolved through basic troubleshooting, contact a qualified biomedical engineer for expert diagnosis and repair. @topic:1


# # # issue bed's electric rail is stuck. # # # impact the patient may not be able to get in or out of bed safely. # # # possible causes * the spring that attaches the rail to the bed is stuck. * the rail is bent or damaged. * the motor that powers the rail is not working properly. # # # recommendations * the bme should check the spring that attaches the rail to the bed. if the spring is stuck, the bme should lubricate it with wd - 40 or a similar product. * if the rail is bent or damaged, the bme should replace it. * if the motor that powers the rail is not working properly, the bme should repair or replace it. @topic:1


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : bme performed a check and found that the drawer cannot be opened by scanning. upon investigation, it was found that the location was still set to the old ward ( 4w ). the location was then corrected to the current ward ( 6d1 ) and the device is now functioning normally. - cause of failure : scanning could not open the drawer. # # # impact - the inability to open the drawer by scanning could hinder the efficient use of the medical cart, potentially affecting patient care. # # # possible causes - incorrect location setting in the device's system, preventing it from recognizing the scanning command in the current location. - technical issues or malfunctions within the scanning mechanism or the device's software. - physical obstruction or damage to the scanning sensor or the drawer mechanism. # # # recommendations - verify the correct location setting in the device's system and ensure it matches the current location where the device is being used. - perform a thorough inspection of the scanning mechanism and the drawer mechanism for any signs of damage or obstruction. - contact the manufacturer or a qualified technician for further troubleshooting and repair if necessary. - implement regular maintenance and inspection protocols for medical equipment to minimize the risk of similar issues in the future. @topic:23


# # # issue : motor failure in electric bed # # # impact : patient's immobility and discomfort, disruption of care # # # possible causes : - excessive use or weight on the bed - electrical component failure, such as motor burnout - mechanical wear and tear over time # # # recommendations : - check the bed's weight capacity and ensure it is not exceeded - inspect the electrical components regularly and address any loose connections or faulty wiring - perform preventive maintenance and lubrication to minimize mechanical wear - have a backup motor available for quick replacement in case of failure @topic:9


# # # issue - time displayed in the alarm review is not aligned with the time on the central station. # # # impact - incorrect time display in the alarm review may lead to inaccurate or delayed response to alarms, potentially compromising patient safety. # # # possible causes - disparity in time settings between the monitor and the central station. - failing or depleted battery in the monitor's bios ( basic input / output system ), which maintains system time. # # # recommendations - ensure that the time settings on both the monitor and the central station are synchronized and accurate. - regularly check and replace the bios battery in the monitor to prevent time discrepancies. - perform periodic testing to verify the alignment of time between the monitor and the central station. @topic:29


# # # issue - hilow function is not working properly. # # # impact - the bed cannot be adjusted to the desired height, which can make it difficult for patients to get in and out of bed. - the bed may be unsafe to use if the hilow function is not working properly. # # # possible causes - the motor that controls the hilow function may be damaged or malfunctioning. - the keypad that controls the hilow function may be damaged or malfunctioning. - the wiring that connects the motor to the keypad may be damaged or loose. - the software that controls the hilow function may be malfunctioning. # # # recommendations - replace the motor that controls the hilow function. - replace the keypad that controls the hilow function. - check the wiring that connects the motor to the keypad for damage or loose connections. - update the software that controls the hilow function. @topic:1


# # # issue - the remote control for the electric bed is malfunctioning and cannot be adjusted. # # # impact - patients may be unable to adjust the bed to a comfortable position, which can lead to discomfort and pain. - nurses and other healthcare professionals may have difficulty accessing patients in the bed, which can slow down care. # # # possible causes - * * remote control malfunction : * * the remote control may be defective or damaged, preventing it from sending signals to the bed. - * * loose connections : * * the wires or cables connecting the remote control to the bed may be loose or disconnected, interrupting the signal. - * * battery failure : * * the remote control may be powered by batteries that have run out of charge. - * * bed motor failure : * * the motor in the bed that adjusts its position may be faulty, preventing it from responding to signals from the remote control. # # # recommendations - * * inspect the remote control : * * check the remote control for any obvious signs of damage or defects. replace the remote control if it is damaged. - * * check connections : * * inspect the wires and cables connecting the remote control to the bed for any loose or disconnected connections. tighten or reconnect any loose connections. - * * replace batteries : * * if the remote control is powered by batteries, replace the batteries with new ones. - * * test bed motor : * * use the manual controls on the bed to test the bed motor. if the bed motor does not respond to manual controls, it may need to be repaired or replaced. @topic:7


name and the pid of the program or process that sent the log message in program [ pid ] : format. it includes a trailing whitespace. msghdr msg the text of the log message from the sending program or process. this is a free - format a new - line character. ( sp ) ( new - line ) a new - line character. sample log messages : < 13 > 2014 - 09 - 26t12 : 18 : 45. 000 + 00 : 00 wa _ nibpd [ 1326 ] : nibpmanualbpcancelstate - > enter service manual roubleshooting 155 < 150 > 2014 - 09 - 08t05 : 55 : 00. 000 + 00 : 00 wa _ spo2nonind [ 1521 ] : code 1, spo2 sensor not onnected as noted above, the calculations performed using pri values have little significance for most users but are valuable for welch allyn engineers. therefore, the following instructions for calculating facilty and severity numbers target welch allyn engineers. 156 troubleshooting welch [UNK] connex® spot monitor to obtain the facility number, divide the pri value by 8 ( dropping the fraction from the result ). the facility number is one of the following : facility number description ernel message0 ser - level message1 ail syste2 3 security / authorization messages ( auth ) messages generated interally by syslogd 5 line printer subsystem 6 network news subsystem 7 uucp subsystem 8 clock daemon 9 security / authorization messages ( authpriv ) 10 11 ftp daemon ntp subsystem 12 13 14 clock daemon ( cron ) 15 biomed messages ( aka local - 0 ) 16 17 service messages ( aka local - 2 ) 18 19 not used ( aka local - 4 ) 20 not used @topic:10


# # # issue - equipment not adjusting # # # impact - patient discomfort - difficulty providing care # # # possible causes - loose wiring - broken actuator - faulty power supply # # # recommendations - check and tighten wiring connections - inspect actuator for damage - test power supply and replace if necessary @topic:24


# # # issue - failed to display spo2 values # # # impact - inability to monitor patient's oxygen saturation levels, which is crucial for assessing respiratory function and overall health. # # # possible causes - defective spo2 cable - loose connection between the cable and the monitor - faulty sensor in the spo2 probe - malfunctioning monitor # # # recommendations - replace the spo2 cable with a new one. - ensure that the cable is securely connected to both the monitor and the probe. - inspect the spo2 probe for any damage or contamination. - if the issue persists, contact the manufacturer or a qualified technician for further diagnosis and repair. @topic:4


the latch with one hand and pull the tab on the top of the battery with your other hand to remove the battery from its slot. service manual kit items : batt99, 9 - cell lithium - ion battery, single pack 105972, apm work surface, battery door ( if needed ) note reassembly is the reverse of disassembly. disassembly the following table provides an at - a - glance view of the service kits that are compatible with the combination of mobile stand and power supply based on the date of manufacture. this section is divided into four major subsections, defined in the table below. csm devices with a 4400 - mbs or 7000 - ms3 mobile stand meeting these criteria : section a 4400 - mbs or 7000 - ms3 mobile stand manufactured before 02 / 2022 * oearlier 7000 - ps power supply manufactured before 02 / 2022 * or power supply model : menb1035a1500f02 csm devices with a 4400 - mbs or 7000 - ms3 mobile stand meeting these criteria : section b 4400 - mbs or 7000 - ms3 mobile stand manufactured after 02 / 2022 * or 7000 - ps power supply manufactured after 02 / 2022 * or later power supply model : fw8031m / dt / 15 78 disassembly and repair welch [UNK] connex® spot monitor csm devices with a 4400 - mbs or 7000 - ms3 mobile stand meeting thescriteria : section c 4400 - mbs or 7000 - ms3 mobile stand manufactured before 02 / 2022 * or earlier 7000 - ps power supply manufactured after 02 / 2022 * or later ower supply model : fw8031m / dt / 15 csm devices with a 4400 - mbs @topic:19


# # # issue : - the bed, electric, hill - rom, model 900b is not adjustable. # # # impact : - the patient may not be able to get into or out of bed, or may be uncomfortable in bed. - the healthcare provider may not be able to properly position the patient for treatment. # # # possible causes : - the adjustment mechanism is broken. - the electrical system is not working. - the remote control is not working. - the bed is not properly assembled. # # # recommendations : 1. check the adjustment mechanism for damage or broken parts. 2. check the electrical system for loose connections or damaged wires. 3. check the remote control for damage or dead batteries. 4. make sure the bed is properly assembled. 5. if the problem cannot be fixed, contact the manufacturer for service. @topic:1


# # # issue : - equipment not functioning, charging issue. # # # impact : - the bed may not be usable, affecting patient care and hospital operations. # # # possible causes : - * * battery issue : * * the battery may be faulty, preventing it from charging or holding a charge. - * * faulty charger : * * the charger may be malfunctioning, failing to provide power to the battery. - * * electrical connection : * * loose or damaged electrical connections can prevent charging. - * * motherboard issue : * * a malfunction in the bed's motherboard can affect its ability to charge. # # # recommendations : 1. * * check battery : * * test the battery with a multimeter to confirm it is functioning correctly. replace if necessary. 2. * * inspect charger : * * ensure the charger is properly connected to a power source and test its output voltage. replace if faulty. 3. * * examine electrical connections : * * inspect all electrical connections for loose or damaged wires. tighten or repair as needed. 4. * * consult manufacturer : * * if the issue persists, contact the manufacturer for further troubleshooting and repair guidance. 5. * * record repair : * * document the cause of failure, repair actions taken, and any necessary parts replacements for future reference. @topic:9


# # # issue - the bed, electric, huntleigh, contoura 360 is not able to adjust the knee. # # # impact - the patient may not be able to get into or out of the bed comfortably. - the patient may not be able to position themselves for surgery or other procedures. # # # possible causes - the remote control for the bed is not working properly. - the electrical connection between the remote control and the bed is faulty. - the motor that adjusts the knee is not working properly. - the gears that adjust the knee are worn out or damaged. # # # recommendations - check the remote control and its batteries. - check the electrical connection between the remote control and the bed. - check the motor that adjusts the knee. - check the gears that adjust the knee. @topic:9


# # # issue the organon tof - watch neuro monitroing equipment was found to be faulty and displaying a constant reading of 4 throughout its use at the satharanchit hospital. # # # impact - inaccurate monitoring of neurological activity, potentially leading to misdiagnosis or delayed treatment. - disruption of patient care and potential safety risks. - loss of trust in the equipment and the manufacturer. - financial implications due to the need for repairs or replacement. # # # possible causes - faulty cable connection - internal hardware malfunction - software errors - interference from electromagnetic fields # # # recommendations * * immediate actions : * * - isolate the equipment from use to prevent further inaccuracies. - contact the manufacturer or a qualified technician for diagnosis and repair. * * root cause analysis : * * - conduct a thorough investigation to determine the exact cause of failure. - review maintenance records and previous repairs to identify any underlying issues. - check the compatibility of the equipment with other devices in the operating environment. * * preventive measures : * * - implement regular maintenance and calibration schedules. - improve cable management and ensure proper connections. - provide training to staff on the proper use and handling of the equipment. - consider redundant systems or backup equipment to minimize downtime in case of failures. * * follow - up actions : * * - monitor the equipment regularly after repairs to ensure it is functioning correctly. - communicate the findings and recommendations to the manufacturer to improve product quality and support. - update the hospital's equipment inventory and maintenance records accordingly. @topic:2


* * issue : * * equipment failure * * impact : * * medical cart not functioning properly, causing delays or disruption in patient care. * * possible causes : * * - * * scanner settings : * * the scanner is set to " enter after scan " instead of " tab after scan. " this prevents the drawer from opening automatically after a patient's hn ( hospital number ) is scanned. - * * hardware malfunction : * * there may be a problem with the scanner or drawer mechanism, preventing it from opening properly. * * recommendations : * * 1. * * adjust scanner settings : * * change the scanner settings to " tab after scan " to allow the drawer to open automatically. 2. * * inspect hardware : * * visually inspect the scanner and drawer mechanism for any damage or obstructions. 3. * * test operation : * * scan a patient's hn to verify that the drawer opens properly. if the issue persists, further troubleshooting or repair may be required. @topic:23


# # # issue the cause of failure of the biomedical equipment is not specified in the input. # # # impact the impact of the failure is also not specified in the input. # # # possible causes the possible causes of the failure could be : - battery not holding charge - faulty charger - issue with the charging port - issue with the electrical system of the equipment # # # recommendations to troubleshoot the issue, the biomedical engineer can : - check the battery and replace it if necessary. - check the charger and replace it if necessary. - check the charging port for any damage or debris. - check the electrical system of the equipment for any loose connections or damage. - contact the manufacturer for further assistance if the issue cannot be resolved. @topic:11