channels to all monitors in a unit that should be used with srr connections, 1. identify unused srr channels. this can be done by using commercially available tools, such as airmagnet. 2. obtain a floor plan of the unit and identify where the monitors with srr interface are located. 3. determine srr groups. an srr group may contain a maximum of two monitors which share the same srr channel. monitors belonging to an srr group should be located close to each other. 4. foreach srr group, assign the same srr channel to all monitors belonging to a group. 219 srr channel restrictions with wlan, iit, and dect devices the following table and graphic show the restrictions of wlan, iit, or dect device usage together with srr. europe wlan p ll iit 2. 4 ghz ( smart hopping channels ) — — 22h : — channel 1 | | / channel6 | channel 11 2412 ghz | e | 2482 ghz j | | channel13 | li ec | — — europe 2472 ghz non - overlapping 802. 11 b / g phy north america srr channels 802. 15. 4 i2 4 ghz iit channels 2400 ghz me 2. 4835 ghz 220 “ ecg sync pulse 7 installation instructions for a successful srr deployment, the srr channels must be located in rf spectra where they are least likely to be interfered with. choosing appropriate channels after reviewing the spectrum analyzer date is critical. in hospitals, 802. 11 systems are most the likely source of interference with srr channels. the figures above show the relationship between 802. 11, iit, and dect devices. for example, if the site uses european 802. 11 channel 1 for wlan and has no iit or dect devices in the srr channels 15 or 16, these channels can be @topic:10


o board defective remove ah i / o boards and try to switch the monitor on again advanced system interface board defective remove advanced system interface board and check again iit defective wlan board defective panel adapter board defective recorder board defective rack board defective disconnect au cables and boards ( except power cable to the main board and to the standard system interface board and power switch cable ) : - iit - wlan - panel adapter - recorder - rack board then try to switch the monitor on again standard system interface board defective exchange standard system interface board. main board defective exchange main board. add boards in reverse order and try again with each board. red error led stays on external connected device defective disconnect au external cables ( except ac ) and switch the monitor on again continuously i / o board defective remove au i / o boards and switch the monitor on again. advanced system interface board defective remove advanced system interface board and check again. iit defective wlan board defective panel adapter board defective recorder board defective rack board defective disconnect ah cables and boards ( except power cable to the main board and power switch cable ) : - iit - wlan - panel adapter - recorder - rack board then try to switch the monitor on again standard system interface board defective replace standard system interface board main board defective exchange main board 108 4 troubleshooting symptoms possible causes of failure failure isolation and remedy power on / off led switches between red and hardware or software failure connect support tool directly to monitor with crossover cable and start ‘ ‘ search for defective devices ” yellow ( indicating that asw cannot be loaded ) if no device is detected, proceed as described above in section “ red error led stays on continuously ” software fault if the support tool can detect the device and it indicates the operating mode is ‘ boot ’, download and store the status log. reload software and re - clone the monitor. if this fixes the problem @topic:16


# # # issue - broken wheel on a medical device # # # impact - the medical device cannot be moved safely or effectively. - this could delay or prevent patient care. # # # possible causes - * * manufacturing defect : * * the wheel may have been defective when it was manufactured. - * * wear and tear : * * the wheel may have worn down over time due to normal use. - * * overuse : * * the wheel may have been overloaded or used in a way that it was not designed for. - * * environmental factors : * * the wheel may have been damaged by exposure to heat, cold, or moisture. # # # recommendations - * * inspect the equipment regularly. * * this will help to identify any potential problems early on. - * * replace worn or damaged parts immediately. * * this will help to prevent further damage to the equipment. - * * use the equipment properly. * * make sure to follow the manufacturer's instructions for use. - * * train staff on how to use the equipment properly. * * this will help to prevent accidents and damage to the equipment. @topic:24


diagram legend services operating system the operating system ( os ) provides a layer of isolation between the specific hardware implementation and the application software. the os performs system checks and allocates resources to ensure safe operation when the system is first started. this includes internal self - tests on several hardware modules and configuration checks for validity of configuration with the operating software. during normal operation, the os continues to run checks on system integrity. if error conditions are detected the os will halt monitoring operations and inform the operator about the error condition. system services the system services provide generic common system services. in particular : they use a real - time clock component to track time. they synchronize to network time sources and verify the accuracy of the system time information. they are also responsible for managing persistent user configuration data for all measurement parameters and intellivue patient monitoring system software modules. user configuration data is stored in a non - volatile read / write storage device applications reports the reports service retrieves current and stored physiological data and status data to format reports for printing paper documentation. examples of supported reports : vital signs report graphical trend report event review report event episode report ecg report ( 12 lead / multi - lead ) test report the reports service generates report data which can be printed on a central printer. 23 2 theory of operation monitor theory of operation the alarm service contains logic that prioritizes alarm conditions that are generated by intellivue patient monitoring system software modules. visual alarm signals ( messages ) are displayed at the top of the intellivue patient monitoring system display and alarm sounds are generated by a loudspeaker. alarm conditions may be generated when a physiological parameter exceeds preselected alarm limits or when a physiological parameter or any other software module reports an inoperative status ( technical alarm, for example, the ecg leads may have fallen off the patient ). the alarm service manages the alarm inactivation states @topic:10


# # # issue - solenoid of the medical cart drawer has come loose, preventing the drawer from opening properly. # # # impact - inability to access medical supplies and equipment stored in the drawer, which could delay or hinder patient care. # # # possible causes - * * mechanical failure : * * the solenoid may have become loose due to wear and tear, vibration, or improper handling. - * * electrical fault : * * the solenoid may not be receiving power or may have a faulty electrical connection. - * * software glitch : * * the medical cart's software may be malfunctioning, causing the solenoid to malfunction. # # # recommendations - * * tighten the solenoid : * * secure the solenoid firmly in place to ensure proper operation. - * * inspect electrical connections : * * check the wiring and connectors associated with the solenoid for any damage or loose connections. - * * update software : * * if necessary, update the medical cart's software to address any known software issues that may be causing the malfunction. - * * replace the solenoid : * * if the solenoid is damaged beyond repair, it should be replaced with a new one. - * * regular maintenance : * * conduct routine maintenance checks on the medical cart, including the solenoid, to prevent similar issues in the future. @topic:21


# # # issue : - failure of medical cart ( bdms 01 ) # # # impact : - inability to provide patient care and transport # # # possible causes : - * * electrical system malfunction : * * component failure, wiring issues, circuit breaker tripping, battery depletion - * * mechanical malfunction : * * broken wheels, loose handles, misaligned components, wear and tear - * * control system issues : * * software errors, keypad failure, display malfunctions - * * usage errors : * * improper handling, overloading, inadequate maintenance - * * environmental factors : * * extreme temperatures, moisture, dust, vibration # # # recommendations : - * * electrical system inspection : * * check for loose connections, damaged wires, faulty components, and test battery life. - * * mechanical examination : * * examine and tighten loose components, lubricate moving parts, and ensure proper alignment. - * * control system evaluation : * * update software, test keypad and display functions, inspect sensors and actuators. - * * usage review : * * educate users on proper handling and maintenance practices, establish weight limits and guidelines. - * * environmental assessment : * * ensure cart is operated in suitable conditions, monitor for temperature, moisture, and vibration levels. - * * regular maintenance : * * schedule routine inspections, clean and disinfect, replace worn parts, and perform software updates. - * * user training : * * provide comprehensive training to users on proper operation, troubleshooting, and safety procedures. @topic:30


* * issue : * * noisy bed * * impact : * * - patient discomfort - staff distraction * * possible causes : * * - loose or damaged bolts or screws - dry or insufficient lubrication - worn or damaged bearings or gears - electrical problems ( e. g., buzzing from a motor ) * * recommendations : * * - tighten or replace loose or damaged bolts or screws - lubricate the bed according to the manufacturer's instructions - inspect and replace worn or damaged bearings or gears - check for electrical problems and repair or replace components as necessary @topic:9


* * issue : * * bed not lowering head down * * impact : * * patient care and comfort may be compromised. * * possible causes : * * * * * motor failure : * * the motor responsible for lowering the bed's head may have failed, preventing it from performing its function. * * * electrical connection issues : * * loose or damaged electrical connections can disrupt power flow to the motor, hindering its operation. * * * control panel malfunction : * * a malfunctioning control panel may not send the correct signals to the motor, causing it to not respond or to malfunction. * * * mechanical obstruction : * * objects or debris may obstruct the bed's movement, preventing the head from fully lowering. * * * sensor issues : * * faulty sensors may provide incorrect information about the bed's position, leading to an inability to lower the head. * * recommendations : * * * * * inspect the motor : * * test the motor for proper function and replace if necessary. * * * check electrical connections : * * verify that all electrical connections are secure and undamaged. * * * inspect control panel : * * examine the control panel for any damage or loose components and repair or replace as needed. * * * clear mechanical obstructions : * * remove any objects or debris that may be hindering the bed's movement. * * * troubleshoot sensors : * * test the sensors for accuracy and replace any faulty ones. * * * reset the system : * * if all other troubleshooting steps fail, reset the bed's electrical system to potentially resolve any software glitches. @topic:1


# # # issue * inability to use lan cable on the philips suresings vm4 patient monitor. # # # impact * inability to transmit patient data over the network. * potential interruption of patient care. # # # possible causes * loose or disconnected lan cable. * faulty lan port on the monitor. * incorrect network configuration. * problem with the hospital's network infrastructure. # # # recommendations * check the lan cable connections at both the monitor and the network jack. * ensure that the lan cable is properly seated and locked in place. * if possible, try using a different lan cable. * verify the network settings on the monitor. * contact the hospital's it department for assistance with troubleshooting the network connectivity. @topic:16


caused by external main voltage on the applied part. each polarity combination possible shall be tested. this test is applicable for ecg measurement inputs. there is no exposed metal part or functional earth connector which can be used to attach a test lead. this safety test is based on iec / en 60601 - 1, iec / en 62353, ul2601 - 1 ed. 2 / ul60601 - 1 : 2003 and csa 601. 1 - m90. for measurement limits and test voltage, refer to test block safety ( 4 ), test and inspection matrix. report the highest value. ( x1 ). expected test results applied part leakage current test x1 < = 504a ( single fault condition - mains on applied part ) note all values for current and voltage are the root mean square ( r. m. s. ) values, unless otherwise stated. 61 system test after mounting and setting up a system, perform system safety tests according to iec / en 60601 - 1 - 1. what is a medical electrical system? a medical electrical system is a combination of at least one medical electrical piece of equipment and other electrical equipment, interconnected by functional connection or use of a multiple portable socket - outlet. - devices forming a medical electrical system must comply with iec / en 60601 - 1 - 1. - any electrical device such as it equipment that is connected to the medical electrical equipment must comply with iec / en 60601 - 1 - 1 and be tested accordingly. general requirements for a system after installation or subsequent modification, a system must comply with the requirements of the system standard iec / en 60601 - 1 - 1. compliance is checked by inspection, testing or analysis, as specified in the iec / en 60601 - 1 - 1 or in this book. medical electrical equipment must comply with the requirements of the general standard iec / @topic:10


# # # issue : bed adjustment failure # # # impact : - inability to adjust bed height for patient comfort and safety - difficulty in performing medical procedures - potential delays in patient care # # # possible causes : 1. * * faulty remote control : * * the remote control may have malfunctioned, preventing it from sending signals to the bed's adjustment mechanism. 2. * * electrical malfunction : * * a wiring issue or circuit fault could be interrupting power supply to the bed's motor. 3. * * mechanical failure : * * damage to the bed's height adjustment mechanism, such as broken gears or seized bearings, could prevent proper movement. 4. * * control unit issue : * * the control unit that processes signals from the remote and activates the adjustment mechanism could be faulty. # # # recommendations : 1. * * inspect remote control : * * check the remote control for any physical damage or loose connections. replace if necessary. 2. * * troubleshoot electrical circuitry : * * use a multimeter to check for continuity in the electrical circuit. repair or replace any damaged wiring or components. 3. * * mechanical inspection : * * disassemble the bed's adjustment mechanism to inspect for worn or damaged parts. replace or repair as needed. 4. * * test control unit : * * use a diagnostic tool to test the functionality of the control unit. replace if found faulty. 5. * * reset system : * * disconnect and reconnect the bed from the power source to reset the system. this may resolve minor glitches. 6. * * consult manufacturer : * * if the issue persists, contact the manufacturer of the bed for further assistance or replacement of the defective component. @topic:1


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : biomedical engineer ( bme ) encountered an error message " can't connect hardware " in the medcart program. # # # impact - limited functionality of the medical cart, potentially compromising patient care and efficiency. # # # possible causes - * * hardware issue : * * faulty hardware component or loose connection. - * * software issue : * * outdated drivers or corrupted program files. - * * physical obstruction : * * obstruction preventing proper connection between the computer and the hardware. # # # recommendations - * * hardware inspection : * * check for loose cables, damaged connectors, or malfunctioning components. reseat all connections securely. - * * software update : * * ensure the latest software drivers are installed and that the medcart program is up to date. - * * physical cleaning : * * remove any debris or obstructions that may hinder proper connection. - * * contact the manufacturer : * * if the issue persists, reach out to the manufacturer of the medical cart for technical support. @topic:13


# # # issue - the electric bed is alarming. # # # impact - the alarm can be disruptive to patients and staff. - the alarm may indicate a problem with the bed that needs to be addressed. # # # possible causes - the bed exit sensitivity mode is set incorrectly. - there is a problem with the bed's alarm system. - there is a problem with the bed's electrical system. # # # recommendations - check the bed exit sensitivity mode and adjust it if necessary. - test the bed's alarm system to make sure it is working properly. - inspect the bed's electrical system for any loose connections or damage. - if the problem cannot be resolved, contact the bed manufacturer for assistance. @topic:26


# # # issue - cuff size 25 - 35 cm is leaking. # # # impact - blood pressure cannot be measured accurately. # # # possible causes - cuff is damaged. - cuff is not properly inflated. - patient's arm is too large for the cuff. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly inflated according to the manufacturer's instructions. - use a larger cuff if the patient's arm is too large for the current cuff. @topic:3


# # # issue - motor for head elevation and descent is damaged. # # # impact - bed cannot be used. - patient discomfort and inconvenience. # # # possible causes - electrical fault in the motor. - mechanical failure in the motor. - power supply issues. - control system malfunction. # # # recommendations - remove the motor and send it for repair outside the hospital. - inspect the power supply and control system for any defects. - replace the motor if it cannot be repaired. - test the bed thoroughly before returning it to service. @topic:9


# # # issue ups central battery alarm replace # # # impact - the ups may not be able to provide backup power in the event of a power outage. - this could lead to a loss of data, damage to equipment, or even patient safety. # # # possible causes - the battery is old and has reached the end of its lifespan. - the battery has been damaged. - the battery is not properly connected. # # # recommendations - replace the battery with a new one. - inspect the battery and connections to ensure that they are in good condition. - test the ups to make sure that it is functioning properly. @topic:11


# # # issue - the relay on the electric bed is not working, preventing the bed from being adjusted. # # # impact - the bed cannot be adjusted to the appropriate height and position for patient care, which can impact comfort and safety. # # # cause of failure - the relay is not receiving power. - the relay is defective. - the wiring to the relay is damaged. # # # recommendations - check the power supply to the relay. - test the relay with a multimeter to verify its functionality. - inspect the wiring to the relay for any damage or loose connections. - replace the relay if necessary. @topic:1


# # # issue - the physiologic monitor physiologic monitor is not displaying spo2 values. # # # impact - inability to monitor patient's blood oxygen saturation levels. # # # possible causes - faulty spo2 sensor - loose or disconnected spo2 cable - problem with the monitor's spo2 processing circuitry - software issue in the monitor # # # recommendations - check the spo2 sensor for damage or contamination. - ensure the spo2 cable is securely connected to both the sensor and the monitor. - contact the manufacturer for further troubleshooting or repair. - update the monitor's software if necessary. @topic:4


# # # issue - foot switch failure # # # impact - inability to operate the ob & gyn bed # # # possible causes - electrical fault in the foot switch - physical damage to the foot switch - wear and tear over time # # # recommendations - replace the faulty foot switch - inspect and test the foot switch regularly - train staff on proper use and maintenance of the ob & gyn bed @topic:1


# # # issue - broken remote control for bed, electric # # # impact - inability to operate the bed remotely, affecting patient comfort and caregiver efficiency. # # # * * possible causes * * * * 1. component failure : * * - worn or damaged internal components within the remote control, such as buttons, switches, or circuit boards. * * 2. external damage : * * - physical impact, such as dropping or mishandling, causing damage to the remote's housing or internal components. * * 3. software malfunction : * * - software bugs or glitches in the remote's firmware, leading to incorrect functionality or failure. * * 4. battery issues : * * - weak or depleted batteries affecting the remote's power supply and functionality. # # # recommendations - * * test battery : * * replace the batteries in the remote control with new ones to rule out battery issues. - * * inspect remote : * * examine the remote control for any visible damage or loose connections. - * * run diagnostics : * * if the remote control appears intact, run diagnostic tests to identify any software or hardware malfunctions. - * * replace remote : * * if the diagnostic tests indicate a serious issue, replace the remote control with a new one. - * * train staff : * * instruct hospital staff on proper handling and maintenance of the remote control to prevent future damage. - * * establish maintenance schedule : * * implement a regular maintenance schedule for all medical devices, including remote controls, to identify and address potential issues early. @topic:7


top of the front end board. note — you may need to open the front and rear case assemblies to reattach the temperature module cable. see “ separating the front and rear case assemblies ” on page 5 - 12. _ adhesive foam tape reattach the temperature module cable to the front end board. be sure the gold leads of the temperature module cable are facing toward the back of the monitor. remove the paper backing from the adhesive tape on the temperature module. align the screw holes of the temperature module with the screw holes on the monitor. secure the temperature module to the monitor with two torx t10 screws. place the monitor on its side and then place a 10 lb to 15 ib - weight on the module and leave it in place for 15 minutes to ensure a strong bond. caution this step is crucial to ensure a secure bond. it takes 24 hours to attain full bonding. reattach the rear cover and temperature probe cover holder to the monitor. after you replace the temperature module, complete all necessary performance tests. for more information, see “ testing and inspection guidelines ” on page 3 - 1. repairing the monitor suresigns vs4 service guide 5 - 9 removing the tympanic temperature module removing the tympanic temperature module to remove the tympanic temperature module : step 1 disconnect the ac power cord from the rear of the monitor. 2 disconnect the temperature probe. 3 remove the battery from the monitor ( see “ removing the battery ” on page 5 - 3 ). 4 separate the front and rear cases. see “ separating the front and rear case assemblies ” on page 5 - 12. 5 remove the three torx t10 screws and washers from the bottom of the rear cover and remove the cover from the monitor case. 6 disconnect the temperature module cable from connector on the front end assembly board. 7 remove @topic:19


# # # issue - probe spo2 failure in two units # # # impact - inability to monitor oxygen saturation levels in patients # # # possible causes - damage to the probe cable or sensor - malfunction of the probe light - emitting diodes ( leds ) or photodetector - electrical interference from other medical devices - incorrect placement of the probe on the patient's finger # # # recommendations - inspect the probe cable and sensor for any visible damage. - check the leds and photodetector using a test light or multimeter. - ensure that the probe is placed correctly on the patient's finger and that there is no interference from other medical devices. - replace the probe if necessary. @topic:4


# # # issue - equipment : bed, electric - band : huntleigh - model : contoura 390 - problem : adjust head up and down function not working # # # impact - patient discomfort - difficulty in patient care - potential safety hazard # # # possible causes - loose control box cable - faulty control box - motor failure - power supply issue # # # recommendations - check and tighten loose cables. - inspect and test control box for proper function. - measure motor resistance and voltage to identify any faults. - verify power supply and connections. - replace faulty components as necessary. - perform thorough testing to ensure proper operation before returning the equipment to service. @topic:1


# # # issue - loose connection # # # impact - unable to measure blood pressure ( bp ) # # # possible causes - wear and tear - improper assembly - faulty components # # # recommendations - inspect and tighten loose connections - reassemble the equipment as per manufacturer's instructions - replace faulty components as necessary - perform regular preventive maintenance to minimize the risk of future failures @topic:14


# # # issue - equipment failure due to battery replacement. # # # impact - interruption of vital signs monitoring, which can affect patient care. # # # possible causes - incorrect battery replacement procedure. - defective battery. - battery not properly charged. # # # recommendations - ensure proper training and follow manufacturer's instructions for battery replacement. - use high - quality and compatible batteries. - charge the battery according to the specified time and procedures. @topic:11


patient. there are two modes for iso and j - point detection : auto and manual. in manual mode you can set the measurement points yourself. in auto mode the measurement points will be determined automatically. to set the detection mode, in the setup st analysis window, 1 select iso / j point. select auto or manual mode. 2 if the iso and j - point detection mode is set to manual, all three measurement points can be set. in auto mode, only the st point can be changed. to adjust the st measurement points, in the setup st analysis menu, 1 select adjust st points to open the adjust st points window. select a suitable ecg lead for st measurement, with a visible j - point and a visible p wave. use the up and down arrow keys to scroll through the st snippets for the other ecg leads. 2 169 6 ecg, arrhythmia, st and qt monitoring use the select point pop - up key to scroll through the points and activate the point you need to adjust, then use the left and right arrow keys to move the measurement point. each point is 3 0. 1 1 iso st 0. 1 0. 1 manual 2 0. 1 vr - 0. 1 3 avl 0. 0 avf 0. 1 4. v1 0. 0 v2 0. 2 6 v3 0. 3 v4 0. 2 v5 0. 2 v6 0. 1 t point j + 6iso point - 80 5 - 1 st label 2 current iso / j - point detection mode 3 1 mv calibration bar 4 cursor for adjusting iso points 5 highlighted iso point 6 all available st numerics for current snippet r the iso - point cursor ( 1 ) positions the isoelectric point relative to the r - wave peak. the relation is shown beside the iso - point in @topic:8


* * issue * * * loose nuts and bolts * * impact * * * malfunction of the equipment * inaccurate vital signs monitoring * potential harm to patients * * possible causes * * * improper assembly or maintenance * vibration or movement of the equipment * damage to the nuts and bolts * * recommendations * * * tighten all nuts and bolts securely * inspect the equipment regularly for any loose parts * ensure that the equipment is properly calibrated and maintained * train staff on proper assembly and maintenance procedures @topic:12


atrial fibrillation alarm 155 156 intermittent bundle branch block 156 understanding the arrhythmia display 156 arrhythmia relearning 159 160 about st monitorin164 165 understanding the st display 166 4 168 recording st segments 168 about the st measurement points 168 t alarms 171 ste alarms 171 viewing st maps 172 about qt / qtc interval monitoring s 175 178 179 181 181 181 182 182 8 monitoring respiration rate ( resp ) 185 lead placement for monitoring resp 185 understanding the resp display 186 186 changing the size of the respiration wave 187 changing the speed of the respiration wave 188 188 188 188 9 monitoring spo2 191 191 191 192 measuring spo2 192 spo2 signal quality indicator ( fast spo2 only ) 193 assessing a suspicious spo2 reading 194 194 194 pleth wave 200 perfusion numeric 200 perfusion change indicator 00 0201 201 201 203 introducing th03 205 5 207 enabling automatic mode and setting repetition time enabling sequence mode and setting up the sequence e nbp alarm source 208 208 209 209 assis210 210 11 monitoring temperature 211 11 212 213 213 215 217 217 217 217 217 non - physiological artifact suppression the pressure alarm source 218 218 calibrating reusable transducer cpj840j6 19 221 221 222 measuring pulmonary artery wedge pr222 223 identifying the pressure analog output connector 224 13 monitoring cardiac output 225 226 226 228 228 228 233 235 235 c. o. / cco curve alert messages 236 c. o. / cco prompt messages 238 c. o. / cco warning messages 238 239 241 easurement principle242 6 42 46 measuring microstream co2 using m3015a / b 248 250 252 255 256 zero calibration 258 utomatic purgin258 anual purgin59 as compensatio259 setting up spiro @topic:8


# # # issue - battery failure in philips suresigns vs2 vital signs monitor # # # impact - the monitor may not be able to display vital signs accurately, which could lead to incorrect medical decisions. # # # possible causes * * battery degradation * * : batteries have a limited lifespan and eventually need to be replaced. * * improper installation * * : the battery may not have been properly installed, causing it to fail. # # # recommendations 1. * * regular battery maintenance * * : regularly inspect and replace batteries as needed. 2. * * proper installation * * : ensure that the battery is properly installed according to the manufacturer's instructions. 3. * * use original batteries * * : use batteries that are recommended by the manufacturer to ensure compatibility and reliability. 4. * * monitor battery health * * : use tools or software to monitor battery health and identify potential issues before they cause failure. 5. * * train technicians * * : provide training to technicians on proper battery installation and maintenance procedures. @topic:11


* * issue : * * - the power button on the philips intellivue mp5 ( m8105a ) patient transport monitor is stuck and cannot be used to turn the device on or off. * * impact : * * - the device cannot be used to monitor vital signs and other patient data. - patient care may be compromised. * * possible causes : * * - the button may have become damaged due to physical impact or wear and tear. - there may be a problem with the electrical connections between the button and the circuit board. - software or firmware issues may be preventing the button from functioning properly. * * recommendations : * * - visually inspect the button for any signs of damage or wear. - check the electrical connections between the button and the circuit board. - update the software or firmware on the device. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:2


# # # issue - failure of the bed, electric due to a faulty replacement battery. # # # impact - the bed may not function properly, potentially affecting patient care and safety. # # # possible causes - defective replacement battery - incorrect installation of the battery - battery not compatible with the device # # # recommendations - verify the compatibility of the replacement battery with the device. - ensure proper installation of the battery according to the manufacturer's instructions. - test the equipment thoroughly before putting it back into service. - consider replacing the battery with a new one from a reputable supplier. @topic:9


# # # issue - keyboard is not functioning. # # # impact - inability to input data into the medical cart. # # # possible causes - keyboard is not connected to the correct channel. - keyboard is not receiving power. - keyboard is damaged. # # # recommendations - check that the keyboard is connected to the correct channel. - check that the keyboard is receiving power. - if the keyboard is still not functioning, replace it. @topic:27


# # # issue - damaged shelf on medical cart # # # impact - the damaged shelf may pose a safety hazard to patients and staff, as it could collapse and cause injury or damage to equipment. - the damaged shelf may also interfere with the proper functioning of the medical cart, making it difficult or impossible to use. # # # possible causes - the shelf was overloaded with equipment or supplies. - the shelf was not properly installed or secured. - the shelf was made of defective materials or was damaged during use. # # # recommendations - inspect the shelf for damage and replace it if necessary. - ensure that the shelf is properly installed and secured. - avoid overloading the shelf with equipment or supplies. - use caution when handling the medical cart to avoid damaging the shelf. @topic:31


# # # issue * the installed monitor is not compatible with the 4k bme system. # # # impact * the monitor cannot be used with the 4k bme system. # # # possible causes * the monitor is not the correct model for the 4k bme system. * the monitor is not properly configured for the 4k bme system. # # # recommendations * verify that the monitor is the correct model for the 4k bme system. * configure the monitor for the 4k bme system. * if the problem persists, contact the manufacturer for assistance. @topic:2


# # # issue - the physiologic vital signs monitor ( philips suresigns vs2 + ) is not taking accurate blood pressure readings. # # # impact - this issue can lead to incorrect blood pressure readings, which can have serious implications for patient care. # # # possible causes - * * damaged cuff * * : the cuff is responsible for inflating and deflating to measure blood pressure. if the cuff is damaged, it can cause incorrect readings. - * * loose or disconnected components * * : loose or disconnected components, such as cables or sensors, can also interfere with accurate blood pressure readings. - * * software issues * * : software issues can also cause the monitor to malfunction and give inaccurate readings. # # # recommendations - * * inspect the cuff * * : inspect the cuff for any damage, such as tears or holes. if the cuff is damaged, it should be replaced. - * * check connections * * : ensure that all cables and sensors are properly connected to the monitor. - * * update software * * : make sure that the monitor is running the latest software version. if a software update is available, it should be installed. - * * calibrate the monitor * * : calibrate the monitor according to the manufacturer's instructions to ensure that it is providing accurate readings. if the issue persists, the monitor may need to be repaired or replaced. @topic:15


# # # issue - the output does not explicitly state the issue. however, based on the provided information, it can be inferred that the issue is a * * faulty extension spo2 cable * *. # # # impact - the faulty cable prevents the monitor from reading and displaying accurate spo2 ( blood oxygen saturation ) measurements. this could potentially lead to incorrect patient monitoring and decision - making. # # # possible causes - the provided information does not explicitly mention the specific cause of failure. however, possible causes of a faulty extension spo2 cable include : - physical damage to the cable, such as cuts or breaks - loose or disconnected connectors - electrical interference # # # recommendations - * * replace the faulty extension spo2 cable with a new one * *. - ensure that the new cable is properly connected and secured to both the monitor and the patient. - * * test the new cable * * to verify that it is functioning correctly and providing accurate spo2 measurements. - * * regularly inspect * * all medical devices and cables for any signs of damage or wear and tear, and replace or repair them as needed. @topic:4


# # # issue - scanner is not functioning. # # # impact - the medical cart is unable to be used for scanning purposes. # # # possible causes - broken charging terminal at the base of the scanner. # # # recommendations - the charging terminal should be replaced. @topic:23


# # # issue - failure to measure spo2 # # # impact - incorrect or incomplete patient vital signs - potential for patient harm due to inaccurate monitoring # # # possible causes - faulty spo2 sensor or cable - miscalibration of the monitor - patient interference or movement - electronics problems with the monitor itself # # # recommendations - replace or repair the spo2 sensor or cable - recalibrate the monitor according to manufacturer's instructions - ensure the patient is still and not moving excessively - check for any loose connections or other electronic issues with the monitor @topic:4


# # # issue - inability to adjust the head of the bed downwards # # # impact - patient discomfort or immobilization - difficulty with nursing care - potential safety hazard for patients and healthcare professionals # # # possible causes 1. * * electrical fault : * * - malfunctioning motor or wiring preventing power transmission to the head adjustment mechanism 2. * * mechanical fault : * * - damaged or obstructed gears, bearings, or hydraulic components [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] 。 3. * * remote control issue : * * - faulty buttons or circuitry in the remote control unit [UNK] [UNK] [UNK] 法 [UNK] [UNK] [UNK] [UNK] 信 [UNK] 。 4. * * power supply : * * - insufficient power supply or loose connections impeding the operation of the bed's adjustment system # # # recommendations - * * troubleshooting : * * - verify power supply and connections, inspect remote control and bed, and check for any visible damage or obstruction. - * * repairs : * * - replace the remote control, motor, or other faulty components as necessary. - * * maintenance : * * - regular inspection and preventive maintenance can help identify potential issues and prevent future failures. - * * user education : * * - instruct staff on proper use and care of the bed, including avoiding excessive weight or force on the head adjustment mechanism. @topic:1


# # # issue broken spo2 sensor cord # # # impact - inability to accurately monitor patient's vital signs, such as oxygen saturation and pulse rate. - delays in treatment due to unreliable data. - increased risk of patient complications. # # # possible causes - * * physical damage : * * the cord may have been accidentally cut, pulled, or pinched, causing the wires inside to break. - * * wear and tear : * * prolonged use can lead to fraying or cracking of the cord, eventually resulting in a break. - * * defective materials : * * the cord may have been manufactured with weak or faulty materials that are prone to failure. # # # recommendations - * * regular inspection : * * inspect the spo2 sensor cords regularly for any signs of damage, such as cuts, tears, or fraying. - * * proper handling : * * handle the cords with care, avoiding excessive bending or pulling. - * * use high - quality materials : * * choose spo2 sensor cords made from durable materials that are less likely to fail. - * * replace damaged cords promptly : * * if a cord is damaged, it should be replaced immediately to ensure accurate and reliable patient monitoring. @topic:4


# # # issue : - cuff failure, resulting in inaccurate blood pressure measurements. # # # impact : - inaccurate patient monitoring data, potentially leading to incorrect clinical decisions and compromised patient safety. # # # possible causes : - * * aging or damaged cuff : * * over time, the cuff's material can deteriorate, resulting in leaks or loss of elasticity, affecting its ability to measure blood pressure accurately. - * * improper cuff inflation or deflation : * * incorrect inflation or deflation procedures can put excessive strain on the cuff, leading to damage or premature failure. - * * kinking or pinching of the cuff tube : * * obstructions in the cuff's tubing can prevent proper inflation and deflation, affecting blood pressure measurements. # # # recommendations : - * * regular cuff inspection and maintenance : * * periodic visual inspections of the cuff for tears, leaks, or other damage are essential to detect any issues early on. - * * adherence to proper cuff handling techniques : * * ensure that the cuff is correctly inflated, deflated, and stored to minimize damage or premature failure. - * * proper cuff sizing and placement : * * the cuff should be appropriately sized and placed on the patient's arm to ensure accurate blood pressure measurement. - * * consideration of patient factors : * * factors such as patient skin condition, mobility, and potential allergies should be considered when selecting and using the cuff. - * * training and supervision : * * provide clear instructions and training on proper cuff usage to all staff handling the equipment. @topic:3


# # # issue - bed is unable to adjust. # # # impact - patients may not be able to get into or out of bed safely. - bed may not be able to be positioned properly for patient comfort or medical procedures. # # # possible causes - * * electrical issue : * * - plugs or wiring may be damaged or disconnected. - electrical outlets may not be working. - * * mechanical issue : * * - bed frame or motor may be malfunctioning. - controllers or buttons may be damaged or not working properly. # # # recommendations - * * electrical issue : * * - check plugs and wiring for damage or loose connections. - test electrical outlets with a multimeter to ensure they are working. - call an electrician if electrical repairs are necessary. - * * mechanical issue : * * - inspect the bed frame and motor for any visible damage or wear. - check controllers and buttons for proper functionality. - contact the manufacturer or a qualified technician for repairs if necessary. @topic:1


# # # issue - equipment : welch allyn propaq lt monitor - malfunction : alarms while charging # # # impact - incorrect patient monitoring - delays in patient care - safety concerns for both patients and healthcare professionals # # # possible causes - faulty battery - loose or dirty battery terminals - malfunctioning charging system # # # recommendations - inspect and replace the battery if necessary - clean the battery terminals using a non - abrasive cleaner - have the charging system evaluated by a qualified biomedical engineer - monitor the unit for proper operation after repairs are made - document all repairs and maintenance activities @topic:11


# # # issue the bed cannot be locked in place, which poses a safety hazard to patients. # # # impact - patients may fall out of bed, resulting in serious injury or death. - the bed may move unexpectedly, causing damage to equipment or the patient. # # # possible causes - the locking mechanism is broken or malfunctioning. - the wheels are worn or damaged. - the bed frame is bent or damaged. # # # recommendations - replace the locking mechanism. - replace the wheels. - repair or replace the bed frame. @topic:6


# # # issue - the central monitor ( hewlett packard m3150a ) is not functioning properly. # # # impact - the medical staff is unable to use the monitor to monitor patient data, which can lead to delayed diagnosis and treatment. # # # possible causes - the mouse is not properly connected to the monitor. - the mouse is defective. - the monitor's usb port is not functioning properly. - the monitor's software is not up to date. # # # recommendations - check the connection between the mouse and the monitor. - try a different mouse. - check the monitor's usb port for damage. - update the monitor's software. @topic:30


# # # issue - spo2 cable failure # # # impact - unable to monitor patient's oxygen saturation levels accurately # # # possible causes - damaged spo2 cable - faulty spo2 sensor - loose connection between the spo2 cable and the monitor # # # recommendations - replace the damaged spo2 cable - check the spo2 sensor for any damage or debris - ensure that the spo2 cable is securely connected to the monitor @topic:4


# # # issue - cuff leak # # # impact - inaccurate blood pressure readings # # # possible causes - defective cuff - loose connection between cuff and monitor - damaged connector # # # recommendations - replace the cuff - check and tighten the connection between the cuff and monitor - replace the connector @topic:3


# # # issue - defective spo2 cable # # # impact - inaccurate or intermittent spo2 readings - potential patient safety hazard # # # possible causes - physical damage to the cable - electrical malfunction - incorrect or improper use # # # recommendations - replace the defective cable with a new one. - inspect the cable for any visible damage or wear. - ensure that the cable is properly connected to both the monitor and the patient. - train staff on proper handling and use of the equipment. @topic:4


# # # issue - probe spo2 of physiologic monitor is malfunctioning. # # # impact - inability to monitor patient's oxygen saturation levels, which can lead to delayed detection of hypoxia. # # # possible causes - damage to the probe spo2 sensors. - loose connections between the probe spo2 and the physiologic monitor. - malfunction of the physiologic monitor's spo2 module. # # # recommendations - inspect the probe spo2 sensors for any visible damage. - check the connections between the probe spo2 and the physiologic monitor to ensure they are secure. - perform a diagnostic test on the physiologic monitor's spo2 module to identify any potential issues. - consider replacing the probe spo2 sensors or the physiologic monitor if necessary. @topic:4


# # # issue - wood rail of the bed cannot be locked # # # impact - patient safety is compromised as the wood rail may not be able to prevent the patient from falling off the bed. # # # possible causes - worn out or damaged wood rail - loose or damaged locking mechanism - misalignment between the wood rail and the locking mechanism # # # recommendations - replace the worn out or damaged wood rail. - tighten or replace the loose or damaged locking mechanism. - realign the wood rail and the locking mechanism. @topic:6


# # # issue monitor's internal rechargeable battery has reached the end of its useful life and needs to be replaced. # # # impact the monitor may not be able to hold a charge and could run out of power during patient transport, which could result in a patient's condition worsening or even becoming life - threatening. # # # possible causes the battery has reached the end of its life span, which is typically 3 - 5 years. the battery may have been damaged due to being overcharged, discharged too deeply, or exposed to extreme temperatures. # # # recommendations replace the battery with a new one that is compatible with the monitor. ensure that the battery is properly installed and charged before use. @topic:11


# # # issue - the electric bed cannot be adjusted. # # # impact - patients may not be able to be positioned comfortably or safely. - staff may have difficulty accessing patients or providing care. # # # possible causes - the bed is locked. - the motor is not working. - the electrical system is not working. # # # recommendations - check to see if the bed is locked. - check the motor and electrical system for any damage or malfunctions. - replace any damaged or malfunctioning parts. @topic:1


# # # issue - cuff is squeezing too tightly # # # impact - patient discomfort - false blood pressure readings # # # possible causes - nurse wrapped the cuff too tightly or loosely - incorrect cuff size - device is in automatic mode and has switched to high - pressure mode due to difficulty finding the patient's pulse # # # recommendations - ensure the nurse is wrapping the cuff correctly and using the correct cuff size - if the device is in automatic mode, consider switching it to manual mode to prevent the device from switching to high - pressure mode @topic:3


# # # issue mouse not working # # # impact unable to navigate or use the medical cart effectively # # # possible causes - mouse not connected via bluetooth - mouse battery is dead - mouse is damaged # # # recommendations - check if the mouse is connected via bluetooth and reconnect if necessary - replace the mouse battery - check the mouse for any damage and replace if necessary @topic:30


# # # issue - broken wheel # # # impact - compromised mobility of the bed # # # possible causes - wear and tear due to prolonged use - physical trauma or impact - improper handling or maintenance # # # recommendations - regular inspection and preventive maintenance of the bed, including wheel checks - proper handling and storage of the bed to avoid damage - replacement or repair of the damaged wheel by a qualified biomedical engineer - training of staff on proper use and maintenance of the bed @topic:9


# # # issue - the medical cart cannot be turned on. # # # impact - delays in patient care, loss of data, and increased workload for healthcare professionals. # # # possible causes * * 1. electrical issues : * * - faulty power outlet or cord - damaged fuse or circuit breaker - internal wiring issues * * 2. software issues : * * - operating system corruption or errors - software bugs or glitches * * 3. mechanical issues : * * - broken or loose parts - misaligned components - obstructions in the power supply # # # recommendations - check the power outlet and cord for any damage or loose connections. - reset the fuse or circuit breaker if possible. - contact the manufacturer or a qualified technician for further troubleshooting and repair. - inspect the medical cart for any loose parts or obstructions. - update the software to the latest version if available. - consider replacing the medical cart if repairs are not feasible or cost - effective. @topic:13


# # # issue the medical cart is displaying a " can not connected " error message. # # # impact the medical cart is unable to be used for patient care. # # # possible causes - the power cord is not securely connected to the cart. - the usb serial port is not properly connected to the device manager. - the device driver for the usb serial port is not installed or is corrupted. # # # recommendations - ensure that the power cord is securely connected to the cart. - check that the usb serial port is properly connected to the device manager. - if the usb serial port is properly connected, try reinstalling the device driver. if the device driver is already installed, try updating it to the latest version. @topic:13


# # issue * knob on the monitor, bedside, physiologic from invivo research model 3150 mri is loose. # # impact * the loose knob may cause the monitor to malfunction or give inaccurate readings. * this could lead to delays in diagnosis or treatment, or even incorrect treatment. # # possible causes * the knob may have been over - tightened, causing it to become loose. * the knob may have been damaged, causing it to come loose. * the knob may not have been properly tightened during assembly. # # recommendations * the knob should be tightened to the correct torque. * the knob should be inspected for damage. * the monitor should be tested to ensure that it is functioning properly. @topic:2


: the red led does not switch on for about 1 second at power on : cabling not connected check cabling ecg out / alarm led board defective replace ecg out / alarm led board 100 troubleshooting guide 4 troubleshooting symptoms cause of failure failure isolation and remedy the red led switches on and remains on for more than 20 seconds : ecg out / alarm led board defective replace ecg out / alarm led board main board defective replace main board external electronic defects ecg out / alarm led board defective connect known good defib, defib cable mms and mms cable. check marker pulse and ecg out signal at defib again. if there is still no signal : replace ecg out / alarm led board main board defective replace main board no marker pulse is displayed on the monitor defib does not send marker check whether defib is able to send marker or check for internal electronic defects. docking station problems n ote before checking for further problems, make sure that the monitor is properly and firmly inserted into the docking station ( indicated by a click ). symptoms cause of failure failure isolation and remedy ac led on docking station does not light up ac connection not ok check that the ac - mains are powered and the power cord is properly connected. docking station or docking system interface board defective exchange the docking system interface board or the docking station. ac led on docking station lights up but ac led on monitor does not. monitor not docked correctly check whether the lever is in the right - hand position. check if the monitor ac led lights up when the monitor is connected directly to ac mains. if yes ; docking station defective exchange docking station monitor cannot be properly docked to the docking station docking interface board not correctly installed in the monitor make sure that docking interface board is installed in the monitor 101 4 troubleshooting troubleshooting guide symptoms cause of failure failure isolation and remedy monitor in docking station has ac @topic:16


# # # issue the temp genius2 probe is not displaying any results on the philips suresigns vs4 monitor screen. # # # impact the medical team will not be able to accurately monitor the patient's temperature. # # # possible causes - the probe is not properly connected to the monitor. - the probe is damaged. - the monitor is not turned on. - the monitor is not properly configured. # # # recommendations - check that the probe is properly connected to the monitor. - inspect the probe for any damage. - make sure that the monitor is turned on. - check that the monitor is properly configured. @topic:20


* * possible causes : * * - * * operator error : * * the technician may have made a mistake while testing the bed, leading to an incorrect diagnosis. - * * incomplete testing : * * the technician may not have tested all of the bed's functions, leading to a missed problem. - * * equipment malfunction : * * the testing equipment may have malfunctioned, providing incorrect results. * * recommendations : * * - * * retrain the technician : * * ensure that the technician understands the proper procedures for testing medical devices. - * * use calibrated equipment : * * ensure that the testing equipment is calibrated and in good working order. - * * perform a more thorough inspection : * * have the technician conduct a more thorough inspection of the bed, including all of its functions. - * * consult with the manufacturer : * * contact the manufacturer of the bed for guidance on troubleshooting and repair. @topic:9


# # # issue - the medical cart is not turning on. # # # impact - the medical cart cannot be used to transport patients or medical supplies. # # # possible causes - the machine is overheated. - the machine is not plugged in. - the power switch is not turned on. - the battery is dead. - the circuit breaker has tripped. # # # recommendations - * * check if the machine is overheated. * * if the machine is overheated, turn it off and allow it to cool down. - * * check if the machine is plugged in. * * if the machine is not plugged in, plug it in. - * * check if the power switch is turned on. * * if the power switch is not turned on, turn it on. - * * check if the battery is dead. * * if the battery is dead, replace it. - * * check if the circuit breaker has tripped. * * if the circuit breaker has tripped, reset it. @topic:13


page 7 - 4 careassist® and careassist® es bed service manual ( man330 rev 4 ) 7. 4 mattress pad extender — p734ea1 chapter 7. accessories 7. 4 mattress pad extender — p734ea1 tools required : none installation 1. extend the foot section ( a ) ( see figure 7 - 1 on page 7 - 5 ). figure 7 - 1. mattress pad extender m330 _ 121 2. insert the extender between the footboard and mattress. removal reverse the installation procedure to remove mattress pad extender. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 7 - 5 7. 5 mattress — p731ea3 chapter 7 : accessories 7. 5 mattress — p731ea3 tools required : none installation 1. lower all four siderails. 2. set the mattress on the sleep deck. removal reverse the installation procedure to remove the mattress. page 7 - 6 careassist® and careassist® es bed service manual ( man330 rev 4 ) 7. 6 traction frame support module — p1181b chapter 7 : accessories 7. 6 traction frame support module — p1181b tools required : 19mm wrench ratchet torque wrench, 5 to 75 ft - lb ( 7 to 102 n - m ) installation 1. set the brakes. 2. raise the bed to the full up position. shock hazard : failure to unplug the bed could cause personal injury or equipment damage. 3. unplug the bed from its power source. let the bed sit for 60 seconds to let the battery time out. 4. do as follows for each side : a. install one bolt ( a ) and washer ( f ) in the inner hole ( b ) of the module ( c ) ( ( see figure @topic:26


# # # issue - bed is not adjustable. # # # impact - patient discomfort - difficulty providing care - delays in treatment # # # possible causes - loose or disconnected wires - faulty remote control - mechanical failure # # # recommendations - inspect wires and connections for loose or damaged components. - replace remote control if necessary. - contact manufacturer for further troubleshooting and repair instructions. @topic:1


# # # issue - ec80 not linking # # # impact - inability to monitor patient's vital signs accurately # # # possible causes - faulty ec80 module - loose or damaged cable connections - software error # # # recommendations - replace the ec80 module - check and tighten all cable connections - update the software @topic:16


* * issue : * * biomedical equipment ( 53n00 vital signs monitor ) malfunctioning with intermittent oxygen saturation readings * * impact : * * inaccurate patient monitoring and delayed or missed diagnosis * * possible causes : * * - * * contamination of oxygen sensor pin connector : * * as described in the input, a bluish residue was found on the pin connector of the oxygen sensor. this contamination may interfere with electrical conductivity and cause unstable readings. - * * loose or damaged sensor connection : * * the oxygen sensor may not be securely connected to the monitor, leading to intermittent signal transmission. - * * faulty oxygen sensor : * * the sensor itself may be malfunctioning and unable to accurately measure oxygen saturation. - * * software or hardware issue : * * an internal software or hardware problem within the monitor could affect the processing and display of oxygen saturation data. - * * electromagnetic interference : * * external electromagnetic sources, such as nearby electronic devices or medical equipment, can interfere with the sensor signal and cause readings to fluctuate. * * recommendations : * * - * * clean and inspect the pin connector : * * thoroughly clean the pin connector and oxygen sensor interface to remove any contaminants. ensure proper alignment and secure connection. - * * check sensor connection : * * verify that the oxygen sensor is firmly and correctly attached to the monitor. replace the connection cable if necessary. - * * test oxygen sensor : * * utilize a known good oxygen sensor to test the monitor and isolate the issue. - * * troubleshoot monitor : * * perform diagnostic tests and consult the manufacturer's service manual to identify any software or hardware malfunctions. - * * mitigate electromagnetic interference : * * identify and eliminate potential sources of electromagnetic interference in the vicinity of the monitor. @topic:4


# # # issue - bed is unable to adjust # # # impact - patient is unable to be positioned comfortably - nursing staff is unable to provide proper care - risk of injury to patient or staff # # # possible causes - mechanical failure of bed components - electrical failure - software malfunction - user error # # # recommendations - troubleshooting : - check for any loose connections or wires - inspect bed frame and components for any damage - test electrical outlets and power cords - repair or replacement : - if mechanical failure is identified, contact the manufacturer for replacement parts - if electrical failure is identified, contact a qualified electrician for repair - if software malfunction is identified, contact the manufacturer for a software update - training : - ensure staff are properly trained on the use of the bed @topic:1


# # # issue - broken caster on bed rail # # # impact - compromised patient safety due to potential for bed rail to fall off # # # possible causes - * * defect in caster material : * * the caster may have been made of a weak or brittle material that was not able to withstand the weight of the bed rail. - * * overloading : * * the bed rail may have been overloaded with weight, causing the caster to break. - * * wear and tear : * * the caster may have been subjected to excessive wear and tear over time, causing it to weaken and break. # # # recommendations - * * inspect casters regularly : * * regularly inspect the casters on all bed rails for signs of wear or damage. replace any casters that are cracked, loose, or otherwise damaged. - * * use appropriate casters : * * ensure that the casters used on bed rails are appropriate for the weight of the bed and the intended use. - * * avoid overloading : * * do not overload bed rails with weight. follow the manufacturer's recommendations for maximum weight capacity. - * * train staff on proper use : * * train staff on the proper use of bed rails, including how to safely load and unload patients. - * * consider using alternative bed rails : * * if casters on bed rails continue to be a problem, consider using alternative bed rails that do not require casters. @topic:6


cm aami saint pierre and miquelon 60 ib in aami saint vincent and the grenadines 50 k g cm aami samoa 60 ib in aami san marino 60 ib in aami sao tome and principe 60 lb in aami saudi arabia 50 k g cm aami senegal 50 k g cm iec serbia 50 k g cm iec serbia & montenegro 50 k g cm iec seychelles 60 ib in aami sierra leone 50 k g cm iec singapore 50 k g cm iec slovakia 50 k g cm iec slovenia 50 k g cm iec solomon islands 60 lb in aami somalia 50 k g cm iec south africa 60 ib in aami south georgia and the south sandwich islands 60 ib in aami spain 50 k g cm iec sri lanka 60 ib in aami sudan 50 k g cm iec suriname 60 k g cm aami svalbard and jan mayen 60 lb in aami swaziland 60 lb in aami sweden 50 k g cm iec switzerland 50 k g cm iec syrian arab rep 50 k g cm aami taiwan, province of china 60 k g cm aami tajikistan 60 ib in aami tanzania, united republic of 60 lb in aami thailand 50 k g cm aami timor - leste 60 lb in aami togo 60 ib in aami tokelau 60 ib in aami tonga 60 ib in aami trinidad and tobago 60 ib in aami tunisia 50 k g cm iec 457 country - specific default settings 39 default settings appendix turkey 50 k g cm iec turkmenistan 60 lb in aami turks and caicos islands 60 k g cm aami tuvalu 60 lb in aami uganda 60 lb in aami ukraine 60 ib in aami uk 50 k g cm iec united arab emirates 50 k g cm aami united kingdom 50 k g cm iec united states 60 ib in aami united states minor outlying islands 60 lb in aami uruguay 50 k g @topic:19


# # # issue - equipment failure : electric bed is not adjustable. # # # impact - patient discomfort and inconvenience. - delay in patient care. - increased workload for healthcare staff. # # # possible causes - loose or disconnected electrical connections. - malfunctioning motor or control unit. - damaged or worn parts. - power supply issues. # # # recommendations - * * check electrical connections : * * ensure that all electrical cords and plugs are securely connected to the bed and power outlet. - * * inspect motor and control unit : * * examine the motor and control unit for any visible damage or loose connections. test the motor by manually adjusting the bed. - * * examine parts for wear and tear : * * inspect the bed frame, mattress platform, and moving parts for any signs of wear, damage, or misalignment. - * * verify power supply : * * check the power outlet and ensure that it is providing adequate voltage and amperage. - * * contact manufacturer or service technician : * * if the issue cannot be resolved through basic troubleshooting, contact the equipment manufacturer or a qualified service technician for assistance. @topic:1


# # # issue - unable to adjust bed # # # impact - inability to position patient comfortably or perform medical procedures - increased risk of patient discomfort or injury # # # possible causes - failure of remote control or communication between remote and bed - malfunction of bed motor or electrical system - physical obstruction or damage to bed mechanism - insufficient lubrication or maintenance # # # recommendations - replace or repair remote control - inspect and test bed motor and electrical system for any faults - clear any physical obstructions or damage - lubricate and maintain the bed mechanism as per manufacturer's instructions - train staff on proper operation and maintenance of the bed - consider investing in a remote control cover or case to prevent damage @topic:7


# # # issue - monitor not linking with central monitor # # # impact - inability to monitor patient's vital signs and other physiological data centrally # # # possible causes - incorrect ip address or clinical address ( cl address ) configuration on the monitor # # # recommendations - verify and correct the ip address and cl address configuration on the monitor to match the central monitor's ip address - consult with the device manufacturer or service provider for guidance on proper configuration - ensure that the network connection between the monitor and central monitor is stable and functioning properly - perform a system reboot after making any configuration changes to ensure they take effect @topic:16


# # # issue the remote control for the huntleigh contoura 360 electric bed is loose and non - functional. # # # impact the patient cannot adjust the bed's position, which can lead to discomfort, pressure sores, and other health problems. # # # possible causes * loose connections in the remote control * faulty remote control * damaged wiring in the bed # # # recommendations * check the connections in the remote control and tighten any loose screws. * test the remote control with another bed to rule out a fault in the remote control itself. * inspect the wiring in the bed for any damage and repair or replace as necessary. * consult the manufacturer's instructions for further troubleshooting and repair recommendations. @topic:7


# # # issue - scanner malfunction # # # impact - inability to use the medical cart for patient care # # # possible causes - dirty scanner contacts # # # recommendations - regularly clean the scanner contacts to prevent dirt and debris from interfering with the connection. @topic:23


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# # # issue - touchscreen malfunction on philips intellivue mp70 ( m8007a ) physiologic monitor. # # # impact - inability to use touchscreen interface for patient monitoring and data input. # # # possible causes - * * hardware failure : * * - physical damage to the touchscreen panel, such as cracks or scratches. - electronic component failure within the touchscreen assembly. - * * software issue : * * - firmware or operating system issues that affect touchscreen functionality. - * * environmental factors : * * - extreme temperatures or humidity that degrade touchscreen performance. - * * user error : * * - improper cleaning or handling of the touchscreen panel, resulting in damage. # # # recommendations - * * diagnostics : * * - examine the touchscreen panel for any visible damage or defects. - run diagnostic tests to identify any hardware or software issues. - * * repair : * * - replace the touchscreen panel if physical damage is present. - update the firmware or operating system if software issues are identified. - * * preventive maintenance : * * - regularly clean and inspect the touchscreen panel as per manufacturer's guidelines. - maintain a stable operating environment with appropriate temperature and humidity levels. - provide user education on proper handling and cleaning of the touchscreen. - * * contingency plan : * * - consider using an alternative input device, such as a speed point, in case of touchscreen failure. - ensure regular device backups to prevent data loss in case of prolonged downtime. @topic:2


# # # issue loose bolt # # # impact - malfunctioning of the bed - potential safety hazard for patients and staff # # # possible causes - improper installation - wear and tear over time - insufficient maintenance # # # recommendations - regular inspection and maintenance of the bed to ensure that all bolts are properly tightened - use of lock nuts or other locking mechanisms to prevent bolts from loosening - training of staff on proper installation and maintenance procedures @topic:6


# # # issue : * stuck bed rails # # # impact : * patient safety hazard * inconvenience for patients and staff * potential for falls and injuries # # # possible causes : * loose or damaged screws or bolts * bent or misaligned rails * accumulation of dirt or debris * failed electrical components * mechanical wear and tear # # # recommendations : * inspect the rails for any loose or damaged hardware and tighten or replace as needed. * check for any bent or misaligned rails and adjust or replace if necessary. * clean the rails thoroughly to remove any dirt or debris that may be causing friction. * test the electrical components of the bed to ensure they are functioning properly. * lubricate the rails regularly to reduce friction and prevent wear and tear. * conduct regular maintenance checks to identify and address potential issues early on. @topic:6


# # # issue * cuff of the vital signs monitor is damaged. # # # impact * accurate blood pressure readings cannot be obtained. # # # possible causes * cuff is old and worn. * cuff is not properly inflated. * cuff is not the correct size for the patient. * cuff has been damaged by the patient or staff. # # # recommendations * replace the cuff with a new one. * ensure that the cuff is properly inflated. * use the correct size cuff for the patient. * train staff on how to properly use and care for the cuff. @topic:5


# # # issue - faulty ecg lead # # # impact - inaccurate or unreliable ecg readings - delayed diagnosis and treatment - patient safety risks # # # possible causes - physical damage to the lead ( e. g., cuts, tears, fraying ) - loose connections - faulty sensors or wiring - electrical interference # # # recommendations - inspect the ecg lead for any visible damage or loose connections. - replace the ecg lead if it is damaged or defective. - ensure proper connection between the lead and the patient and the monitor. - check for electrical interference from nearby devices and eliminate potential sources. - regularly calibrate and maintain the ecg monitor to ensure accuracy. @topic:18


92 9 monitoring spo2 during measurement, ensure that the application site : 2 has not changed in its thickness ( for example, due to edema ), causing an improper fit of the sensor. warning for fully conscious pediatric or adult patients, who have a normal function of perfusion and e : • to ensure skin quality and correct optical alignment of the sensor, inspect the application site when the measurement results are suspicious or when the patient complains about pressure at the application site, but at least every 24 hours. correct the sensor alignment if necessary. move the sensor to another site, if the skin quality changes. or all other patients • inspect the application site every two to three hours to ensure skin quality and correct optical alignment. correct the sensor alignment if necessary. if the skin quality changes, move the injected dyes such as methylene blue, or intravascular dyshemoglobins such as methemoglobin and carboxyhemoglobin may lead to inaccurate measurements. • inaccurate measurements may result when the application site for the sensor is deeply pigmented or deeply colored, for example, with nail polish, artificial nails, dye or pigmented cream. interference can be caused by : • • high levels of ambient light ( including ir warmers ) or strobe lights or flashing lights ( such as al. ) another spo2 sensor in close proximity ( e. g. when more than one spo2 measurement is performed on the same patient ). always cover both sensors with opaque material to reduce - cross - interference. electromagnetic interference, especially at perfusion indicator values below 1. 0 or signal excessive patient movement and vibration. spo2 signal quality indicator ( fast spo2 only ) the spo2 numeric is displayed together with a signal quality indicator ( if configured and enough space is available ) which gives an indication of the reliability of the displayed values. the @topic:4


# # # issue - bp pump leak - bp measurement malfunction ( loud noise and stuck reading ) # # # impact - inaccurate bp measurements - potential patient safety risk # # # possible causes - faulty bp pump - air leak in bp tubing or cuff - malfunctioning monitor ( xds ) - electrical or software issues with the monitor - monitor bed 1 specifically affected # # # recommendations - replace faulty bp pump with a calibrated spare - check bp tubing and cuff for leaks and replace if necessary - calibrate the monitor ( xds ) and perform a comprehensive system check - investigate potential electrical or software issues with the monitor - send the device with attached accessories ( bp line, standard cuff ) for further evaluation and repair @topic:15


##hg ±5 % isopropanol 0. 1 ±1 mmhg ±5 % acetone 0. 1 ±1 mmhg ±5 % methane 1. 0 ±1 mmhg ±5 % spirometry the following specifications apply for 760 mmhg ambient pressure and patient gas : room air at 35°, unless otherwise noted spirometry performance specifications flow wave ( awf ) range ±25 1 / min ( neonatal ) ±100 1 / min ( pediatric ) ±180 1 / min ( adult ) accuracy ±3 % or 0. 125 1 / min ( neonatal ) 0. 25 1 / min ( pediatric ) 0. 5 1 / min ( adult ) scales ±10, ±20, ±40, ±60, ±80, ±100, ±120, ±150 1 / min scale default ±20 1 / min ( neonatal ±100 1 / min ( pediatric ) ±150 1 / min ( adult ) volume wave ( awv ) range 0 to 100 ml ( neonatal 0 to 400 ml ( pediatric ) 0 to 3000 ml ( adult ) accuracy ±5 % or ±3 ml ( neonatal ) ±12 ml ( pediatric ) ±90 ml ( adult ), whichever is greater scales 50, 100, 200, 600, 800, 1000, 2000, 3000 ml scale default 50 ml ( neonatal 200 ml ( pediatric ) 800 ml ( adult ) pressure wave ( awp ) range - 20 to 120 cit 1 h 2 o accuracy ±2 % or ±0. 5 cmh 2 0 whichever is greater scales 10, 20, 40, 60, 80, 100, 120 cmh 2 0 scale default 20 cmh 2 0 ( neonatal 40 cmh 2 0 ( pediatric ) 40 cmh 2 0 ( adult ) respiration rate range 2 to 120 breaths / min numeric ( rrspir ) resolution 1 breath / min inspired @topic:17


# # # issue - electric bed not functioning # # # impact - inability to adjust patient positioning - discomfort and potential harm to patient # # # possible causes - loose electrical connection - faulty power cord - internal electrical fault # # # recommendations - check and tighten all electrical connections - inspect power cord for damage and replace if necessary - contact manufacturer for further troubleshooting and repair @topic:9


* * issue : * * nibp ( non - invasive blood pressure ) readings are abnormally high. * * impact : * * inaccurate blood pressure measurements can lead to incorrect diagnoses and treatment decisions. * * possible causes : * * * * * faulty nibp module : * * the nibp module responsible for measuring blood pressure may be malfunctioning. * * * defective cuff : * * the inflatable cuff used to measure blood pressure may have a leak or be worn out, leading to inaccurate readings. * * * positioning error : * * the patient's arm or cuff may not be positioned correctly, resulting in incorrect measurements. * * * external interference : * * electrical or magnetic interference from nearby devices can affect nibp readings. * * recommendations : * * * * * inspect the nibp module : * * verify that the module is properly connected and functioning correctly. * * * examine the cuff : * * check for any leaks or damage. replace the cuff if necessary. * * * ensure proper positioning : * * ensure that the patient's arm is positioned at heart level and that the cuff is snugly fitted but not too tight. * * * check for interference : * * remove any sources of electrical or magnetic interference from the vicinity of the patient. * * * consider other factors : * * investigate if the patient has any conditions or medications that could affect blood pressure readings. @topic:15


# # # issue | boot windows does not start up | # # # impact | failure to use the device as intended | # # # possible causes | hard disk drive ( hdd ) failure | mainboard failure | # # # recommendations | replace the hdd and mainboard | install xds software on the new computer | @topic:13


# # # issue - equipment malfunction : the bedside physiologic monitor is not functioning properly due to an issue with the cuff. # # # impact - delayed patient care : the malfunctioning monitor may prevent healthcare professionals from accurately monitoring the patient's vital signs, leading to delayed diagnosis and treatment. - reduced patient safety : incorrect or unreliable vital sign readings can compromise patient safety and lead to adverse events. # # # possible causes - * * damaged cuff : * * the cuff used with the monitor may be damaged or defective, causing inaccurate readings. the damage could have occurred during shipping, handling, or use. - * * improper cuff size : * * the cuff size used may not be appropriate for the patient. an improperly sized cuff can result in inaccurate blood pressure readings. - * * loose cuff connection : * * the cuff may not be properly connected to the monitor, leading to poor signal transmission and inaccurate readings. - * * equipment malfunction : * * there may be a technical issue with the monitor itself, including electrical or mechanical problems. # # # recommendations - * * inspect the cuff : * * examine the cuff for any signs of damage or wear and tear. replace or repair the cuff if necessary. - * * use the appropriate cuff size : * * determine the correct cuff size based on the patient's arm circumference. use the appropriate size to ensure accurate blood pressure readings. - * * secure cuff connection : * * ensure that the cuff is properly connected to the monitor. tighten the connection if necessary. - * * troubleshoot the monitor : * * if the issue persists, follow the manufacturer's instructions for troubleshooting the monitor. contact technical support if necessary. @topic:14


# # # issue - electric bed unable to adjust its height # # # impact - patient discomfort - increased workload for staff - potential safety hazards # # # possible causes - pinched or damaged power cord - faulty wiring or circuitry - mechanical failure of the adjustment mechanism - software malfunction # # # recommendations - inspect the power cord for any damage or pinching - check the wiring and circuitry for any loose connections or shorts - examine the adjustment mechanism for any signs of wear or damage - update the software if necessary - contact the manufacturer for further assistance @topic:1


# # # issue - keypad on electric bed is loose. # # # impact - the electric bed may not be able to be used properly. - the patient may be at risk of injury if the bed is not able to be adjusted properly. # # # possible causes - the keypad may have been damaged. - the keypad may not have been properly attached to the bed. - the bed may have been dropped or bumped, causing the keypad to become loose. # # # recommendations - inspect the keypad for damage. - reattach the keypad to the bed securely. - test the bed to ensure that it is working properly. - if the keypad is damaged, it will need to be replaced. @topic:25


# # # issue - cuff is deteriorated. # # # impact - patient may not receive accurate blood pressure readings. - the monitor may not be able to detect changes in blood pressure. # # # possible causes - the cuff may be old and worn out. - the cuff may have been exposed to harsh chemicals or environments. - the cuff may have been punctured or torn. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - store the cuff in a cool, dry place. - do not expose the cuff to harsh chemicals or environments. @topic:3


# # # issue : - broken bed rails # # # impact : - patient safety hazard - potential for falls and injuries # # # possible causes : - defective equipment - mishandling by staff or patients - wear and tear over time # # # recommendations : - inspect bed rails regularly for signs of damage - replace or repair damaged bed rails promptly - train staff on proper handling of bed rails - encourage patients to use bed rails when getting in or out of bed @topic:6


# # # issue the electric bed is unable to adjust its height. # # # impact - patients may be unable to get into or out of bed safely. - patients may be uncomfortable or in pain if the bed is not at the correct height. - staff may be injured if they have to lift patients out of bed. # # # possible causes - * * electrical fault * * in the control box or motor - * * mechanical fault * * in the bed frame or lifting mechanism - * * software glitch * * in the bed's computer system - * * user error * * ( e. g., overloading the bed, using it incorrectly ) # # # recommendations - * * electrical fault : * * inspect the control box and motor for any loose connections or damaged wires. test the continuity of the electrical circuits. - * * mechanical fault : * * inspect the bed frame and lifting mechanism for any broken or worn parts. lubricate all moving parts. - * * software glitch : * * update the bed's software to the latest version. reset the bed to its factory settings. - * * user error : * * ensure that the bed is not overloaded and that it is being used correctly. train staff on the proper operation of the bed. @topic:1


# # # issue - mainfram of the central monitor is not responding to control inputs. # # # impact - the central monitor cannot be used to monitor patient data. # # # possible causes - the mainfram is not properly connected to the control panel. - the mainfram is not receiving power. - the mainfram is not functioning properly due to a software or hardware issue. # # # recommendations - check the connection between the mainfram and the control panel. - ensure that the mainfram is receiving power. - contact the manufacturer of the central monitor for further troubleshooting assistance. @topic:2


# # # issue the server used to receive patient data is experiencing issues, resulting in a " communication error with host. 1a0000 " warning. # # # impact - inability to access or display patient data - potential delays or errors in patient care # # # possible causes - system bugs or glitches - server hardware or software issues - network or connectivity problems - firewall or security settings blocking communication # # # recommendations - * * contact the it team : * * inform them of the issue and request assistance in troubleshooting and resolving the server issues. - * * check network connectivity : * * ensure that the device is properly connected to the network and can communicate with the server. - * * review firewall settings : * * check if the firewall or security settings are preventing communication between the device and the server. - * * update device firmware : * * if possible, update the firmware on the device to ensure compatibility with the latest server software. - * * test and monitor : * * once the server issue has been resolved, test the device to confirm that it can successfully access patient data. continue to monitor the system for any further issues. @topic:16


# # # issue - cuff nibp code bem043 expired # # # impact - unable to measure blood pressure accurately # # # possible causes - cuff has been used beyond its expiration date # # # recommendations - replace the cuff with a new one that is not expired. @topic:15


# # # issue : no information provided for equipment, band, model, description, or cause of failure. # # # impact : technician cannot diagnose or repair medical device without this information. # # # possible causes : - the technician did not document the necessary information. - the equipment is not labeled properly. - the manufacturer did not provide adequate documentation. # # # recommendations : - the technician should request the necessary information from the staff or the manufacturer. - the hospital should implement a policy requiring that all medical devices be labeled properly. - the manufacturer should provide more comprehensive documentation for their products. @topic:12


# # # issue - the nibp monitor is not reading blood pressure values. - the patient * * cannot * * be monitored properly. - the cause of the failure is * * unknown. * * - the issue is * * critical * * because it affects the patient's safety. # # # impact - the patient's blood pressure cannot be monitored, which can lead to * * incorrect * * treatment decisions. - the patient may * * not * * receive the correct medication or treatment. # # # possible causes - the nibp monitor is not * * calibrated * * properly. - the nibp monitor is * * not * * connected properly to the * * patient. * * - the nibp monitor is * * defective * *. - the patient has a * * condition * * that is affecting the blood pressure reading. # # # recommendations - calibrate the nibp monitor according to the manufacturer's instructions. - check the connections between the nibp monitor and the patient. - replace the nibp monitor if it is defective. - consult with a doctor to rule out any medical conditions that may be affecting the blood pressure reading. @topic:15


* * issue : * * - lcd monitor screen blackout and freezing upon restart * * impact : * * - inability to access and monitor patient data displayed on the monitor * * possible causes : * * - * * hardware issue : * * - faulty lcd panel - damaged display cables or connections - * * software issue : * * - corrupted operating system or software - firmware bug or glitch - * * power supply issue : * * - fluctuating power source - malfunctioning power supply unit - * * other factors : * * - excessive heat or humidity - physical damage to the monitor * * recommendations : * * 1. * * hardware inspection : * * - check the lcd panel for any visible damage or discoloration. - inspect the display cables and connections for loose or broken contacts. 2. * * software troubleshooting : * * - restart the monitor and ensure the latest firmware is installed. - check for any software updates or patches that may resolve the issue. 3. * * power supply check : * * - verify the power source is stable and within the specified range. - inspect the power supply unit for any damage or malfunction. 4. * * environmental control : * * - ensure the monitor is operated within the recommended temperature and humidity levels. - avoid excessive heat or moisture in the environment. 5. * * further investigation : * * - if the above measures do not resolve the issue, consider the following : - contact the manufacturer for technical support. - send the monitor to an authorized repair center for diagnostic testing and repair. @topic:2


the monitor either switches off the transducer heating or continues monitoring, depending on its configuration. although you can reuse the transducer for up to two hours after the heating is switched off, without making a new calibration, you are recommended to recalibrate before applying it to a patient. after two hours without heat, you must recalibrate. during the initial few minutes of use, the monitor eliminates false alarms by temporarily suppressing tcgas alarms. it displays the < tcgas label > stabilizing inop. after you apply the transducer to the skin, the instrument reading slowly assumes a steady value. the reading stabilizes when the measurement site is warm and local hyperemization is complete. this takes 10 to 20 minutes for the cpo2 reading and three to seven minutes for tcpco2. 264 16 monitoring tcgas to restart the site timer without recalibration ( for example, after the site time has elapsed ) : in the setup tcgas menu, select site time. 1 enter and confirm your desired time. 2 depending on your monitor's configuration, you might be able to disable the site timer. remember, this means that the transducer heats indefinitely while on a patient. 1 elect the confirm pop - up key2 setting the tcgas barometric pressure altitude and barometric pressure affect tcgas values. the monitor derives barometric pressure from its altitude setting. if you want to set the true barometric pressure you must do this before starting a calibration - changes after calibration do not influence tcgas values. the monitor remembers this ure setting until you enter a new one. in the setup tcgas menu, select ambient pressure. 1 2 enter the current barometric pressure reading indicated by your barometer. 3 select the confirm pop - up keyfollow the instructions supplied with the transducer @topic:17


# # # issue - bp n * * o * * t l * * o * * ose # # # impact - accuracy of the blood pressure measurement may be affected # # # possible causes - the n * * o * * ts that secure the bp cuff to the device may have become l * * o * * ose # # # recommendations - tighten the n * * o * * ts that secure the bp cuff to the device @topic:3


contact your service personnel. c0 2 pump off numeric is replaced by a co 2 the pump has been switched off for fifteen minutes. to switch it on again, select pump on in the setup c0 2 menu. 84 technical alarm messages ( inops ) 4 patient alarms and inops inop message, indication source what to do c0 2 purging numeric is replaced by a inop tone. co 2 the filterline is being purged to remove an occlusion in the line or airway adapter. if the occlusion is removed, the inop will disappear. if not, the inop c0 2 occlusion is displayed. c0 2 sens. warmup numeric is displayed with a -? - microstream c0 2 : inop tone. mainstream c0 2 : no inop tone co 2 wait until the sensor reaches operating temperature and the inop disappears. c. o. unplugged numeric is replaced by inop tone. c. o. plug in the c. o. module. silencing this inop switches off the measurement. c0 2 update fw numeric is replaced by a inop tone. co 2 the software in the measurement extension does not match the software in the mms. contact your service personnel. c0 2 wait cal2 numeric is replaced by a -? - co 2 calibration on the first calstick cell is complete. place the transducer on the other calstick cell and start the cal2 calibration cycle. c0 2 zero failed numeric is replaced by a -? - inop tone. co 2 an error occurred during the last zero calibration. check the airway adapter and clean, if necessary. perform another zero calibration. if the inop persists, contact your service personnel. c0 2 zero @topic:17


# # # issue - the bed is not adjusting. # # # impact - the patient cannot be positioned properly for treatment or comfort. # # # possible causes - loose plug - faulty wiring - damaged motor - control panel malfunction # # # recommendations - check the plug and make sure it is securely connected. - inspect the wiring for any damage. - test the motor by manually adjusting the bed. - if the problem persists, contact a qualified technician. @topic:1


# # # issue - faulty screw feet # # # impact - monitor may move or fall, causing injury or damage. # # # possible causes - excessive wear and tear - loose screws - poor maintenance # # # recommendations - inspect screw feet regularly and tighten if loose. - replace screw feet if worn or broken. - follow manufacturer's guidelines for proper handling and storage. @topic:12


# # # issue - the cause of failure is not clearly specified. # # # impact - the lack of a clear cause of failure makes it difficult to determine the appropriate corrective action. # # # possible causes - the cardiac imaging department may have borrowed the monitor, patient transport device without following the proper checkout procedure. - the device may have been damaged during transport or use by the cardiac imaging department. - the device may have been improperly stored or maintained by the cardiac imaging department. # # # recommendations - the biomedical engineer should investigate the cause of failure by reviewing the checkout procedure, inspecting the device for damage, and checking the storage and maintenance records. - the biomedical engineer should provide training to the cardiac imaging department on the proper use and care of the device. - the biomedical engineer should develop a policy for the checkout and return of medical devices to ensure that they are properly handled and maintained. @topic:12


* * issue : * * the philips suresigns vs4 monitor is unable to measure spo2 ( oxygen saturation ). * * impact : * * the inability to measure spo2 can compromise patient safety, as it is a critical parameter for monitoring respiratory function. * * possible causes : * * 1. * * defective spo2 sensor : * * the spo2 sensor may be faulty or damaged, preventing accurate readings. 2. * * loose connections : * * the spo2 sensor may not be properly connected to the monitor, resulting in signal loss. 3. * * software malfunction : * * a software issue may be preventing the monitor from correctly processing spo2 data. 4. * * patient factors : * * factors such as poor circulation, low oxygen levels, or movement artifacts can interfere with spo2 measurement. * * recommendations : * * 1. * * replace the spo2 sensor : * * replace the sensor with a new, functional one. 2. * * check connections : * * ensure that the spo2 sensor is securely connected to the monitor. 3. * * troubleshoot the monitor : * * perform diagnostic tests or consult the manufacturer's troubleshooting guide to identify any software issues. 4. * * monitor patient factors : * * address any underlying medical conditions or patient movements that could affect spo2 measurement. @topic:4


# # # issue - vital sign monitor cuff is not deflating after inflation. # # # impact - inaccurate blood pressure readings - patient discomfort - potential for harm if blood pressure is not accurately monitored # # # possible causes - cuff bladder leak - air leak in tubing - faulty pressure sensor - software glitch # # # recommendations - check cuff bladder for leaks by inflating and listening for air escaping. - check tubing for leaks by squeezing and listening for air escaping. - test pressure sensor by inflating cuff and monitoring pressure reading. - update software if available. @topic:3


check if the connection works without the concentrator the mib / rs232 board is in a wrong slot ( slot has been changed after software configuration or an additional board has been plugged in ) verify correct placement of the i / o boards the mib / rs232 board is defective check board and replace if necessary detailed protocol problem consult the data export protocol document. 131 [ 4 troubleshooting ] rs232 / 5v interface on advanced system interface board symptoms cause of failure failure isolation and remedy gas analyzer connected to rs232 / 5v port not functioning the rs232 / 5v port is not configured for a gas analyzer check configuration of the rs232 / 5v port in configuration mode the wrong cable is being used use straight - through pinning cable the cable between the gas analyzer and the monitor is not connected correctly or defective check cable connection, replace cable if necessary the advanced system interface board is defective check board and replace if necessary external device not receiving data the rs232 / 5v port is not configured for data export check configuration of the rs232 / 5v port in configuration mode the wrong cable is being used. choose cross - over cable ( or use an adapter ) the wrong data export protocol driver is configured in the monitor check the export protocol required by the attached device and configure the monitor accordingly the cable between the external device and the monitor is not connected correctly or defective check cable and replace if necessary the external device does not support the version of the data export protocol used in the monitor check if the device supports the version of the data export protocol. upgrade device or monitor if necessary ( if matching versions exist ). a terminal concentrator is used in between the device and the monitor and a protocol with dynamic speed negotiation is used some terminal concentrators do not support changing the transmission speed ( baud rate ) dynamically. @topic:16


# # # issue - abnormal blood pressure readings # # # impact - incorrect patient diagnosis and treatment - delay in patient care - patient discomfort or injury # # # possible causes - faulty air hose - loose connections - damage to the sensor # # # recommendations - replace the air hose. - ensure all connections are tight and secure. - inspect the sensor for damage and replace if necessary. @topic:14