# # # issue - equipment is not functioning as intended. # # # impact - patients may not be able to receive proper treatment. - staff may be unable to perform their duties effectively. # # # possible causes - * * remote control is defective. * * - * * wiring is damaged. * * - * * motor is not working. * * # # # recommendations - troubleshoot the remote control by replacing the batteries or checking for loose connections. - inspect the wiring for damage and repair or replace as necessary. - test the motor by applying power directly to it. if the motor does not run, it will need to be replaced. @topic:7


##op was generated in a device other than the monitor ( for instance, in an mms or fms ), this source is specified at the end of the help text. • review alarms window the review alarms window contains a list of the most recent alarms and inops with date and time information. if configured to do so, each alarm is shown with the alarm limit active when the alarm was triggered and the maximum value measured beyond this limit. the review alarms window also shows when thmonitor was switched on ( after being switched off for longer than 1 minute ) and any actions related to switching device alarms on and off, entering or leaving standby mode, silencing alarms or changing the ecg source. when you select an item from the list, you can get additional information about that item. if you select a high or low limit alarm in the list, the graphical trends window will open to provide further data. if you select an alarm resulting from an event alarm notification, the event episode window for that event will open. if you select an alert other than a high or low alarm, a help text window opens with more information. this is the same as the help text window that opens in the alarm messages window. some items in the list are simply log items not related to a patient alert as such ( for example, alarms on or alarms off ). you cannot see any further information if you select one of these items. when ou close these windows you will return to the review alarms window. the information in the review alarms window is deleted when a patient is discharged, and when you leave demonstration mode. 71 3 alarms the review alarms window pop - up keys appear when the window is opened. if alarm pause extension is disabled, the pause pop - up keys are inactive. selecting the active alarms pop - up key window. the alarm latching setting for your monitor defines how the alarm indicators behave when you @topic:8


# # # issue * * * equipment : * * bed, electric * * * band : * * seers medical * * * model : * * sm3590 - 230t - 3wh * * * description : * * bed has loud noise. # # # impact * discomfort or pain for patients. * difficulty for healthcare professionals to provide care. * potential for patient falls or other accidents. # # # possible causes * * * lack of lubrication : * * it is not clear from the input whether lubrication was applied to all necessary parts of the bed. * * * defective parts : * * the bed may have defective parts that are causing the noise, such as worn - out gears or motors. * * * improper assembly : * * the bed may have been assembled incorrectly, which could lead to noise and other problems. * * * excessive weight : * * the bed may be supporting too much weight, which could strain the motors and other components and lead to noise. # # # recommendations * * * inspect the bed for any obvious signs of damage or wear. * * * * * apply lubrication to all necessary parts of the bed. * * * * * check the bed's assembly to ensure that it is correct. * * * * * reduce the weight on the bed if it is excessive. * * * * * if the noise persists, contact the manufacturer or a qualified technician for further troubleshooting. * * @topic:9


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - cause of failure : the device cannot open the drawer # # # impact - the device cannot be used to transport medical supplies and equipment. - this can delay patient care and lead to inconvenience. # # # possible causes - the drawer is jammed or blocked. - the drawer latch is broken or malfunctioning. - the motor that opens the drawer is not working properly. # # # recommendations - inspect the drawer for any obstructions or damage. - check the drawer latch to ensure that it is operating correctly. - test the motor that opens the drawer to verify that it is functioning properly. - if necessary, replace any damaged or malfunctioning parts. @topic:21


wh have to remove the blank cover first. to do this, remove the two screws and pud out the blank cover. 3 disconnect the speaker cable from the power switch / ecg sync out board. 4 remove the speaker cable from its guiding clasps. 5 remove the four screws from the loudspeaker housing. 144 5 repair and disassembly ) 6 remove the loudspeaker. replacing the ingress protection clamp in order to replace the ingress protection clamp, snap the white ingress protection clamp on to the metal chassis as shown below. removing the quick mount 1 remove the bottom housing as described in the section'‘ removing the bottom housing ” on page 142. 2 remove the four screws from the quick mount. 3 remove the quick mount. 145 [ 5 repair and disassembly ] separating the front and back of the monitor 1 remove the bottom housing as described in ‘ ‘ removing the bottom housing ” on page 142. 2 disconnect the two cables as shown below. 3 remove the two pins. 4 remove the two screws as shown below. 5 lift off the front from the back of the monitor. 146 5 repair and disassembly ) 6 reassemble the monitor by performing the above steps in reverse order. when reattaching the front to the back, the front must be positioned such that the latches snap into place. removing the short range radio board ( s ) ( mx400 ) 1 separate the front and back of the monitor as described in the section “ separating the front and back of the monitor ” on page 146. 2 disconnect the short range radio connector ( s ) from the panel adapter board 147 [ 5 repair and disassembly ] 4 lift out the short range radio board holder with the short range radio board ( s ). 5 disconne @topic:19


# # # issue * cuff deterioration # # # impact * inaccurate vital signs measurement # # # possible causes * normal wear and tear * prolonged use * improper storage * environmental factors ( e. g. heat, humidity ) # # # recommendations * regular cuff inspection and maintenance * avoid excessive use of the cuff * store the cuff in a dry and cool place * follow the manufacturer's instructions for proper use and storage @topic:5


# # # issue - the bed is not adjustable. # # # impact - the patient may not be able to get in or out of bed safely. - the patient may not be able to position themselves comfortably in bed. - the medical staff may not be able to access the patient easily. # # # possible causes - the power cord is not plugged in. - the power switch is not turned on. - the remote control is not working. - the control box is not connected to the bed. - the control box is defective. - the bed is defective. # # # recommendations - check to make sure that the power cord is plugged in and the power switch is turned on. - make sure that the remote control is working. - check the connection between the control box and the bed. - if the control box is not connected to the bed, reconnect it and make sure that the connection is secure. - if the control box is defective, it should be replaced. - if the bed is defective, it should be repaired or replaced. @topic:1


# # # issue - the lcd monitor is displaying an incorrect date and time. # # # impact - this could lead to inaccurate documentation of patient data and could have implications for patient care. # # # possible causes - the monitor's internal clock may have been reset. - a power outage may have caused the monitor to lose power. - settings may be incorrect. # # # recommendations - verify that the monitor's internal clock is set to the correct time and date. - ensure that the monitor is connected to a power source. - check the monitor's settings to ensure that they are correct. @topic:29


# # # issue - the vital signs monitor is displaying abnormally high temperature readings. # # # impact - incorrect temperature readings can lead to misdiagnosis and inappropriate treatment. # # # possible causes * * 1. sensor malfunction : * * the temperature sensor may be faulty or damaged, resulting in inaccurate readings. * * 2. probe placement : * * ensure the probe is placed correctly in the patient's mouth, axilla, or rectum. * * 3. environmental conditions : * * extreme temperatures or humidity can affect the accuracy of the readings. * * 4. software error : * * the monitor's software may contain a bug or fault that is causing the temperature readings to be incorrect. * * 5. electrical interference : * * nearby electrical devices or equipment may be interfering with the monitor's operation. # # # recommendations - * * replace the temperature sensor : * * if the sensor is suspected to be faulty, it should be replaced with a new one. - * * verify probe placement : * * check that the probe is inserted properly and in the correct location. - * * calibrate the monitor : * * ensure that the monitor is calibrated regularly to maintain accuracy. - * * update software : * * if available, install the latest software updates for the monitor. - * * identify and eliminate electrical interference : * * move any potential sources of electrical interference away from the monitor. - * * request manufacturer support : * * if the issue persists after following the above steps, contact the manufacturer for technical assistance. @topic:20


# # # issue * cuff deterioration # # # impact * inability to use the vital signs monitor to measure and display patient data # # # possible causes * cuff is old and / or worn out * cuff is not properly inflated or deflated * cuff is damaged * cuff is not the correct size for the patient # # # recommendations * replace the cuff with a new one * ensure that the cuff is properly inflated and deflated * inspect the cuff for damage and replace it if necessary * use the correct size cuff for the patient @topic:5


# # # * * issue * * * monitor displaying " no signal " message # # # * * impact * * * inability to display medical information on the monitor * delays in patient care and diagnosis # # # * * possible causes * * * incorrect input settings on the monitor * loose or disconnected signal cables * faulty signal cable * malfunctioning monitor * compatibility issues between monitor and signal source # # # * * recommendations * * * * * technical : * * * verify that the input settings on the monitor match the type of signal being sent from the source device. * check all signal cables for secure connections and any visible damage. * if possible, test the signal cable with another monitor to rule out a cable issue. * if all else fails, consider replacing the monitor. * * * communication : * * * inform the responsible healthcare professionals about the issue and any potential delays. * document the troubleshooting steps taken and any identified issues. @topic:2


# # # issue - cuff deterioration # # # impact - cuff is unable to provide accurate blood pressure readings. # # # possible causes - cuff wear and tear due to age and frequent use - cuff not properly inflated or deflated - cuff not placed correctly on the patient's arm - moisture or dirt inside the cuff # # # recommendations - regularly inspect the cuff for any signs of wear or damage and replace it as needed. - ensure the cuff is inflated and deflated properly. - place the cuff correctly on the patient's arm, ensuring it is snug but not too tight. - keep the cuff clean and dry. @topic:3


# # # issue - electric bed not adjusting # # # impact - patients may be unable to get into or out of bed - patients may be uncomfortable or in pain - staff may be unable to provide proper care for patients # # # possible causes - * * power failure * * - * * faulty wiring * * - * * mechanical failure * * - * * control board failure * * - * * programming error * * - * * battery failure * * # # # recommendations - * * check the power supply * * to make sure that the bed is plugged in and turned on - * * inspect the wiring * * for any damage or loose connections - * * check the mechanical components * * for any signs of wear or tear - * * inspect the control board * * for any damage or loose connections - * * check the programming * * to make sure that the bed is programmed correctly - * * replace the battery * * if it is dead or damaged @topic:1


# # # * * issue : * * spo2 not measuring correctly # # # * * impact : * * patient's oxygen levels cannot be accurately monitored, which could lead to serious health problems. # # # * * possible causes : * * - * * broken spo2 cable : * * this is the most common cause of spo2 failure. the cable can become damaged due to wear and tear, or it can be accidentally pulled out of the patient's finger. - * * faulty sensor : * * the sensor in the spo2 probe can become faulty over time, which can lead to inaccurate readings. - * * software glitch : * * the software in the spo2 monitor can sometimes glitch, which can cause the monitor to malfunction. - * * other factors : * * other factors that can affect spo2 accuracy include : - patient movement - poor circulation - bright light # # # * * recommendations : * * - * * inspect the spo2 cable : * * check the cable for any signs of damage, such as fraying or breaks. if the cable is damaged, it should be replaced. - * * clean the sensor : * * clean the sensor in the spo2 probe with a soft cloth. - * * restart the spo2 monitor : * * if the spo2 monitor is not working properly, restart it. - * * contact biomed : * * if the above steps do not resolve the issue, contact biomed for further assistance. @topic:4


# # # issue - the equipment is a bed, electric, brand hill - rom, model basic care, p1440a. - the bed is not able to adjust. # # # impact - the patient may not be able to get into or out of bed. - the patient may not be able to be positioned correctly for treatment. - the staff may not be able to access the patient easily. # # # possible causes - the ac power cord is loose. - the bed motor is not working. - the bed frame is damaged. - the bed controls are not working. # # # recommendations - check the ac power cord and make sure it is securely plugged into the outlet. - test the bed motor by pressing the up and down buttons. if the motor is not working, it may need to be replaced. - inspect the bed frame for any damage. if the frame is damaged, it may need to be repaired or replaced. - check the bed controls to make sure they are working properly. if the controls are not working, they may need to be replaced. @topic:9


* if the issue cannot be resolved through the above steps, contact the manufacturer for further troubleshooting and repair assistance. @topic:12


# # # issue - cuff of the patient transport monitor is degraded. # # # impact - the patient transport monitor may not be able to accurately measure the patient's vital signs. # # # possible causes - the cuff may have been used excessively. - the cuff may have been exposed to heat or moisture. - the cuff may have been damaged by chemicals. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - avoid exposing the cuff to heat or moisture. - store the cuff in a cool, dry place. @topic:5


page 5 - 22. 5 on monitors with the wireless option installed, remove the wireless board. see “ removing the wireless board ” on page 5 - 32. 6 disconnect the ribbon cable from the main board. ribbon cable : 02 em. repairing the monitor suresigns vs2 * and vsi service guide replacing the main board remove the five torx t10 screws from the main board. pa diina > 5 z oi f f f in morh \ 8 remove the main board from the front panel. 9 after you replace the main board and reassemble the monitor, you must perform the following procedures before use : e “ resetting the serial number ” on page 5 - 25. e “ setting the system configuration ” on page 5 - 27. repairing the monitor 5 - 24 suresigns vs2 * and vsi service guide replacing the main board resetting the serial number when you replace the main board, you must reset the monitor ’ s serial number. the serial number appears in a label ( marked [ 5xj ) on the back of the monitor as shown below. to reset the serial number : step 1 access the system diagnostics menu. for detailed information, see “ running system diagnostics ” on page 4 - 29. 2 select the maintenance > > button. 3 in the window that appears, enter the password, 1 - 2 - 9, as shown : please enter the password : 4 the complete system diagnostics menu, including the maintenance options, appears. system diagnostics nbp cycle count : 36 vs2 * lcd usage hours : 231 errors : 0 error log self test display test audio test battery info keys test network test nbp test reset s / n clear data repairing the monitor suresigns vs2 * and vsi service guide 5 - 25 replacing the main board select the reset s / n button. the reset serial @topic:19


# # # issue - scanner not working # # # impact - inability to scan medical records and images - delays in patient diagnosis and treatment # # # possible causes - malfunctioning scanner hardware - software issues - loose connections - power supply problems # # # recommendations - * * hardware inspection : * * check if the scanner is properly connected to the power supply and computer. inspect the cables and ports for damage. - * * software troubleshooting : * * restart the scanner and the computer. reinstall the software if necessary. check for any available software updates. - * * scanner cleaning : * * clean the scanner's glass platen and rollers to remove any debris or dirt that may interfere with scanning. - * * professional repair : * * if the issue persists, contact the manufacturer or a qualified biomedical engineer for further diagnosis and repair. @topic:23


##tart / stop nbp setup mentart / stop smartkeys start manual measurement tart auto series start / stop start nbp nbp stat stat ( for mms without pressure / temp measurement ) start stat measurement nbp stat start stat start / stop start / stop stop manual measurements start / stop 207 nbp setup menu smartkeytart / stop ms hardkeaction to be performed start / stop measurement start / stostart / stop start / stop start / stop stat ( for mms without pressure / temp measurement ) bp stat nbp stat top nstop autseries caution use clinical judgment to decide whether to perform repeated series of stat measurements because of the risk of purpura, ischemia and neuropathy in the limb with the cuff. enabling automatic mode and setting repetition time 1 2 for an automatic measurement, select repeat time and set the time interval between two easurements. enabling sequence mode and setting up the 1 in the setup nbp menu, select mode and select sequence from the pop - up menuselect setup sequence to open the setup sequence window. up to four measurement cycles can be setup which will run consecutively. for each cycle you can set the number of measurements and the interval between them. if you want to run less than four, you can set the number of measurements for one or more cycles to off. 208 select each sequence in turn and select the number of measurements and the time interval betweethe measurements. 3 to have measurements continue after the sequence, set the number of measurements for your last cycle to continuous and this cycle will run indefinitely. 4 caution be aware that, if none of the cycles are set to continuous, nbp monitoring will end after the last measurement of the cycle. when the nbp measurement mode is set to sequence, the repetition time for auto mode cannot be changed @topic:17


##guring the monitor resetting a serial number 13. rotate the wheel to highlight the apply button, then press the wheel. if you changed the ip address, a reboot window appears. select ok to reboot the system. resetting a serial number when you replace the main pcb, you must reset the unit ’ s serial number. the serial number appears in a label ( marked sn ) on the back of the monitor. to reset a serial number : 1. open the system admin section of the system menu. see “ accessing the system admin menu ’ ’ on page 5 - 2. 2. rotate the wheel until the diagnostics button is highlighted, then press the wheel. the system diagnostics menu appears. 3. select the maintenance » button and press the wheel. a password window appears. 4. enter 1 - 2 - 9 in the password window. 5. the complete system diagnostics menu, including maintenance, appears. 6. turn the wheel to highlight the reset s / n button, then press the wheel. the reset serial number menu displays. configuring the monitor 5 - 17 calibrating the monitor 7. rotate the wheel to the country menu, and push the wheel. 8. rotate the wheel to select either china ( cn ) or united states ( us ), then push the wheel to save the setting. 9. rotate the wheel to the serial number button, then push the wheel. a keyboard displays. 10. use the wheel to specify the serial number. press the key to backspace. cancel to close the keyboard without saving, or ok to save the changes. 11. click the apply button in the reset serial number window to save the change. a system reboot confirmation window appears. 12. in the confirmation window, rotate the wheel to select yes. calibrating the monitor if you replace the main pcb and / or front @topic:19


# # # issue : - the physiologic monitor ( bedside ) is not measuring co2. # # # impact : - the medical team will not be able to accurately monitor the patient's co2 levels. this can lead to incorrect treatment decisions and potential harm to the patient. # # # possible causes : - * * technical malfunction * * : the co2 sensor in the monitor may be malfunctioning. - * * incorrect calibration * * : the monitor may not have been properly calibrated for co2 measurement. - * * patient factors * * : the patient's co2 levels may be outside the range of the monitor's capabilities. - * * environmental factors * * : the monitor may be located in an environment that is not conducive to accurate co2 measurement. # # # recommendations : - * * check the co2 sensor * * : make sure that the co2 sensor is properly connected and functioning. - * * recalibrate the monitor * * : follow the manufacturer's instructions for recalibrating the co2 sensor. - * * assess the patient's co2 levels * * : use an alternative method to measure the patient's co2 levels, such as a blood gas analysis. - * * relocate the monitor * * : if the environment is not conducive to accurate co2 measurement, move the monitor to a different location. @topic:4


* * issue : * * - remote control malfunction, resulting in an inability to adjust the bed. * * impact : * * - limited control over bed positioning, potentially compromising patient comfort and safety. * * possible causes : * * - age - related degradation of the remote control, leading to reduced functionality. * * recommendations : * * - replace the faulty remote control with a new one. - consider implementing a regular maintenance schedule to identify and prevent future remote control issues. @topic:7


# # # issue - loose screw on the support pad # # # impact - the equipment may not be stable or secure, which could pose a safety hazard to the patient or healthcare provider. # # # possible causes - the screw may not have been properly tightened during assembly. - the screw may have become loose due to wear and tear or improper use. - the support pad may be damaged or missing, which could cause the screw to loosen. # # # recommendations - inspect the support pad and screw to ensure that they are intact and properly tightened. - replace the support pad or screw if they are damaged or missing. - follow the manufacturer's instructions for assembly and maintenance to prevent loosening of the screw. - regularly inspect the equipment for any signs of loose screws or other maintenance issues. @topic:26


# # # issue - medical cart cannot boot into windows operating system. # # # impact - the medical cart cannot be used for its intended purpose, such as transporting medical supplies or patient records. - the medical cart may not be able to access critical data or applications. - the medical cart may not be able to communicate with other medical devices or systems. # # # possible causes - * * hardware failure : * * a component of the medical cart's hardware, such as the motherboard, hard drive, or power supply, may have failed. - * * software failure : * * the medical cart's operating system or software may have become corrupted or damaged. - * * user error : * * the medical cart may have been improperly configured or used, leading to a boot failure. # # # recommendations - * * hardware troubleshooting : * * check the medical cart's hardware for loose connections, damaged components, or other signs of failure. - * * software troubleshooting : * * run diagnostic tests on the medical cart's operating system and software to identify any errors or corruption. - * * reinstall operating system : * * if the software troubleshooting does not resolve the issue, you may need to reinstall the operating system on the medical cart. - * * contact manufacturer : * * if you are unable to resolve the issue yourself, you may need to contact the manufacturer of the medical cart for assistance. @topic:13


# # # issue : medical cart is not functioning # # # impact : medical professionals are unable to provide optimal care to patients # # # possible causes : - domain failure # # # recommendations : join the domain again. if the issue persists contact it support @topic:13


. note when replacing the standard system interface board, the monitor must have the ( hardware ) serial number reloaded. support tool mark2 is required to perform this task. for details please refer to the support tool instructions for use. removing the main board 1 separate the front and back of the monitor as described in “ separating the front and back of the monitor ” on page 146. 2 remove the rear housing as described in “ removing the rear housing ” on page 169. 3 remove ah i / o boards as described in “ removing i / o boards ” on page 178. 4 remove the wlan board as described in “ removing the wlan board ” on page 174. 180 5 repair and disassembly ) 5 remove the seven screws securing the main board and remove the main board. note when replacing the main board, the monitor must have the ( hardware ) serial number reloaded. support tool mark2 is required to perform this task. for details please refer to the support tool instructions for use. removing the side usb connector 1 separate the front and back of the monitor as described in ‘ ‘ separating the front and back of the monitor ” on page 146. 2 remove the rear housing as described in “ removing the rear housing ” on page 169. 3 disconnect the side usb connector cable from the main board. 4 pull the latches of the side usb cover apart and remove the cover. 181 [ 5 repair and disassembly ] 5 pull out the side usb connector from the main metal chassis. plug - in modules the snap lock holds the plug - in module in the module rack. to remove the snap lock : 1 grip the module firmly in one hand and using your thumb, pull the front edge of the snap lock away from the plug - in module so that the lug on the snap lock clears the retaining edge of the module. 2 push on the rear edge of @topic:19


# # # issue : cover cracked # # # impact : - compromised device integrity - potential for further damage or malfunction # # # possible causes : - user mishandling or accidental damage - manufacturing defect # # # recommendations : - * * technical : * * - replace the cracked cover with a new or refurbished one. - inspect the device for any other damage or defects. - perform thorough testing to ensure device functionality and safety. - * * user : * * - educate users on proper device handling and storage. - provide clear instructions for device usage and maintenance. - * * maintenance : * * - schedule regular preventive maintenance checks to identify and address potential issues early on. - train maintenance personnel on proper device handling and repair procedures. - * * procurement : * * - consider purchasing devices with durable and impact - resistant covers. - establish clear specifications for device durability and reliability. @topic:12


# # # issue - * * defective remote control : * * the original remote control was faulty, potentially due to damaged wiring or internal components. # # # impact - * * impaired equipment functionality : * * the bed's inability to adjust up and down prevented its proper use for patient positioning and comfort. # # # possible causes - * * wire damage : * * the remote control's wiring may have become frayed or broken over time, leading to signal disruption and malfunction. - * * internal component failure : * * ageing, mishandling, or other issues may have damaged internal components, such as the control circuitry or receiver, causing the remote to fail. # # # recommendations - * * replace remote control : * * a new remote control was installed to restore the bed's functionality and provide the necessary adjustments for patient care. - * * regular maintenance and inspection : * * implement regular inspection and maintenance schedules to identify and address potential issues with the bed and its accessories, such as the remote control, to prevent future failures. - * * user training : * * train staff on proper handling and use of medical equipment, including the remote control, to minimize the risk of damage or misuse. @topic:7


# # # issue - medical cart cannot connect to wi - fi. # # # impact - the medical cart cannot be used for its intended purpose, which may delay patient care. # # # possible causes - the medical cart is not configured to connect to the wi - fi network. - the wi - fi network is not working properly. - the medical cart's wi - fi adapter is not working properly. - the medical cart's operating system is not up to date. # # # recommendations - check the medical cart's configuration to make sure it is set up to connect to the wi - fi network. - check the wi - fi network to make sure it is working properly. - check the medical cart's wi - fi adapter to make sure it is working properly. - update the medical cart's operating system to the latest version. @topic:13


# # # issue - motor failure in the bed frame, resulting in loss of adjustability. # # # impact - inconvenience and discomfort for patients who require bed adjustments for posture, comfort, or medical procedures. - potential delays in patient care due to the inability to adjust the bed quickly and efficiently. # # # possible causes - wear and tear on the motor over time, leading to mechanical failure. - electrical fault in the motor or its cabling, causing power loss or malfunction. - mechanical obstruction or damage to the motor or its linkages, preventing smooth operation. # # # recommendations - inspect the motor and its connections for any visible damage or wear. - test the electrical continuity of the motor and its cabling using a multimeter. - check for any mechanical obstructions or damage to the motor or its linkages, and clear or repair as necessary. - request a new motor from the manufacturer if the original motor is unrepairable. - perform regular maintenance and inspection of the bed frame to prevent future failures. @topic:9


# # # issue - bp cannot be measured on the bed 6 of the philips x2 monitor. # # # impact - delay or inaccurate blood pressure monitoring, which can lead to delayed diagnosis and treatment. # # # possible causes - loose or disconnected connection in the patient transport lead wire. - malfunctioning blood pressure transducer or sensor in the patient transport lead wire. - issue with the philips intellivue x2 ( m3002a ) monitor's hardware or software. # # # recommendations - check and tighten all connections in the patient transport lead wire, including the connection to the patient and the monitor. - if connections are secure, replace the patient transport lead wire with a known - good one. - if replacing the lead wire does not resolve the issue, contact the manufacturer's technical support for further troubleshooting or repair. @topic:15


# # # issue - the cause of failure is not clear in the input. # # # impact - the impact of the failure is not specified in the input. # # # possible causes - the technician may have not provided enough information about the cause of failure. - the technician may have not properly diagnosed the cause of failure. - the technician may have not properly communicated the cause of failure. # # # recommendations - the technician should provide more information about the cause of failure. - the technician should properly diagnose the cause of failure. - the technician should properly communicate the cause of failure. @topic:12


# # # issue - the bed is making a loud noise when the id code bmc08009 is pressed. # # # impact - the noise may be disruptive to patients and staff. # # # possible causes - the battery may be low. - the motor may be faulty. - the id code bmc08009 may be faulty. # # # recommendations - try charging the battery. - if the battery is charged, then it may be necessary to replace the motor or the id code bmc08009. @topic:9


# # # issue - electric bed is not adjustable # # # impact - patient discomfort - delay in patient care # # # possible causes - remote control is locked - electrical fault - mechanical failure # # # recommendations - check the remote control for loose connections or damage. if necessary, replace the remote control. - inspect the electrical connections and wiring for any damage or loose connections. repair or replace any damaged components as necessary. - inspect the mechanical components of the bed for any signs of wear or damage. lubricate or replace any worn or damaged components as necessary. @topic:1


# # # issue - medical cart is not turning on. # # # impact - the medical cart is essential for patient care, as it is used to transport medical equipment and supplies. - if the medical cart is not functioning properly, it can delay patient care and potentially lead to adverse outcomes. # # # possible causes - the most likely cause of the medical cart not turning on is a problem with the power supply. - other possible causes include a problem with the control panel, a loose wire, or a faulty component. # # # recommendations * * recommendation 1 : * * - check the power supply to the medical cart. - make sure that the power cord is securely plugged into an outlet and that the outlet is functioning properly. - if the power supply is functioning properly, then the next step is to check the control panel. * * recommendation 2 : * * - inspect the control panel for any loose connections or damaged components. - if there are any loose connections, tighten them. - if there are any damaged components, replace them. * * recommendation 3 : * * if the control panel is functioning properly, then the next step is to check the wiring. - inspect the wiring for any loose connections or breaks. - if there are any loose connections, tighten them. - if there are any broken wires, replace them. * * recommendation 4 : * * - if the wiring is functioning properly, then the next step is to check the components. - test each component to see if it is functioning properly. - replace any faulty components. @topic:13


# # # issue - cuff leak # # # impact - inaccurate blood pressure measurements # # # possible causes - cuff damaged due to wear and tear - cuff not properly inflated or deflated # # # recommendations - replace cuff - ensure cuff is properly inflated and deflated @topic:3


- 5429 power cord ( 902 ), 2 m portugal, korea, russia, south america, indonesia, west indies, libya 8120 - 1689 power cord ( 906 ), 2 m switzerland 8120 - 2104 power cord ( 917 ), 2 m india, south africa 8120 - 4211 power cord ( 901 ), 2 m australia 8120 - 4475 power cord ( 919 ), 2m israel 8120 - 5182 power cord ( 900 ), 2 m united kingdom, singapore, hong kong 8120 - 1351 power cord ( 920 ), 2 m europe 8120 - 6869 power cord ( 921 ), 4. 5 m argentina 8120 - 6980 replacement parts 9 - 9 exchange parts exchange parts exchange parts are parts returned to philips and reconditioned for use. exchange parts are in excellent condition and meet all philips standards. these parts offer considerable price advantage. the following table lists all parts available from the exchange unit. description exchange part number suresigns vm4 monitor 4535 640 24371 suresigns vm4 monitor with recorder 4535 640 21961 suresigns vm4 monitor with temperature module 4535 640 24401 suresigns vm4 monitor with recorder, temperature module 4535 640 21971 suresigns vm4 front end assembly 4535 640 24341 suresigns vm6 monitor 4535 640 24421 suresigns vm6 monitor with ibp 4535 640 24441 suresigns vm6 monitor with recorder 4535 640 22001 suresigns vm6 monitor with recorder, ibp 4535 640 22041 suresigns vm8 monitor with cot 4535 640 22081 suresigns vm8 monitor with ibp 4535 640 24461 suresi @topic:19


# # # issue - the medical cart does not boot up properly and displays a boot selection error. # # # impact - the medical cart cannot be used for patient care. # # # possible causes - the boot option is set incorrectly. - the hard drive is damaged. - the motherboard is damaged. # # # recommendations - check the boot option settings and ensure they are correct. - if the boot option settings are correct, test the hard drive for errors. - if the hard drive is not damaged, replace the motherboard. @topic:13


# # # issue - medical cart cannot be turned on. # # # impact - the medical cart is not available for use, which can impact patient care. # # # possible causes - the computer is overheating due to constant use. # # # recommendations - the biomedical engineering department should investigate the issue and take the following actions : - check the computer for any signs of overheating. - if the computer is overheating, it should be shut down and allowed to cool down. - once the computer has cooled down, it should be turned on again and tested. - if the computer continues to overheat, it should be replaced. @topic:13


# # # issue - the lcd monitor is having picture loss issue. # # # impact - the medical staff cannot monitor the patient's vital signs or medical images properly. # # # possible causes - the controller of the monitor was not enabled. - the video cable connecting the monitor to the signal source is damaged. - the monitor's power supply is not functioning properly. # # # recommendations - check if the controller of the monitor is enabled. if not, enable it. - inspect the video cable for any damage. replace the cable if necessary. - check if the monitor's power supply is providing the correct voltage to the monitor. replace the power supply if necessary. @topic:2


# # # issue - the bed cannot be adjusted in height. # # # impact - patients may be unable to get in or out of bed safely. - medical staff may be unable to access patients or perform medical procedures. # # # possible causes - * * control box failure * * : the control box is the brains of the bed and controls all of its functions. if the control box fails, the bed will not be able to adjust in height. - * * keypad failure * * : the keypads are used to operate the bed. if the keypads fail, the bed will not be able to adjust in height. - * * power outage * * : if there is a power outage, the bed will not be able to adjust in height. - * * damaged wiring * * : if the wiring that connects the control box to the keypads or to the bed frame is damaged, the bed will not be able to adjust in height. # # # recommendations - * * replace the control box * * : if the control box has failed, it will need to be replaced. - * * replace the keypads * * : if the keypads have failed, they will need to be replaced. - * * check the power * * : if there is a power outage, check to make sure that the power has been restored. - * * inspect the wiring * * : if there is no power outage, inspect the wiring that connects the control box to the keypads and to the bed frame for any damage. @topic:1


# # # issue - the central monitor does not display the ekg graph. # # # impact - the medical staff cannot monitor the patient's vital signs effectively, which can lead to delayed diagnosis and treatment. # # # possible causes - the ekg cables are not properly connected to the patient. - the ekg electrodes are not properly attached to the patient's skin. - the ekg amplifier is not functioning properly. - the ekg monitor is not functioning properly. # # # recommendations - check the ekg cables and electrodes to ensure they are properly connected and attached to the patient. - if the ekg cables and electrodes are properly connected and attached, then check the ekg amplifier and monitor to ensure they are functioning properly. - if the ekg amplifier and monitor are functioning properly, then replace the battery. @topic:18


# # # issue : - broken lead wire on the patient transport monitor # # # impact : - inability to accurately monitor the patient's vital signs # # # possible causes : - physical damage to the lead wire, such as cuts or tears - wear and tear over time - improper handling or storage of the equipment # # # recommendations : - inspect the lead wire for any visible damage or signs of wear and tear - handle and store the equipment carefully to prevent damage - replace the lead wire if it is damaged or worn - ensure that the lead wires are not tangled or kinked during use - regularly inspect and maintain the equipment to identify and address potential issues early on @topic:18


##8023a external power supply ( for m3002a ) interface specifications measurement link ( msl ) connectors male odu ( proprietary ) power 48 v output power sync. rs - 422 compliant output 78. 125 khz ( typical ) lan signals ieee 802. 3 10 - base - t compliant serial signals rs - 422 compliant output 78. 125 khz ( typical ) local signals not connected display specifications all displays sweep speeds 6. 25, 12. 5, 25 and 50 mm / s ; additional eeg sweep speeds 15 mm / s, 30 mm / s with ±5 % accuracy ( guaranteed only for integrated displays ) integrated svga display, mp20 / 30 resolution 800x600 refresh frequency 60 hz useful screen 211, 2 x 158, 4 mm pixel size 0. 264 x 0. 264 mm integrated svga display, mp40 / 50 resolution 800x600 refresh frequency 60 hz useful screen 246 x 184. 4 mm pixel size 0. 3075 x 0. 3075 mm integrated xga display, mp60 / 70 resolution 1024x768 refresh frequency 60 hz useful screen 304 x 228 mm ( 12 x 9 in ) pixel size 0. 297 x 0. 297 mm integrated qvga display, x2 ( m3002a ) resolution 320 x 240 refresh frequency 60 hz useful screen 72 x 54 mm ( 2. 8 x 2. 1 in ) pixel size 0. 22 x 0. 22 mm external xga display ( e. g. m8031b ), resolution 1024x768 refresh frequency 60 hz or 75 hz useful screen depends on size of display pixel size depends on size of display external sxga display ( e. g. m8033c ), mp80, mp90, d80 only resolution 1280x 1024 pixel refresh frequency 60 hz useful screen depends on size of display pixel @topic:19


# # # issue monitor detached from the crash cart. # # # impact - potential patient harm if the monitor falls and causes injury. - interruption of patient care if the monitor is unable to be used. # # # possible causes - * * loose or missing screws : * * the technician found that the monitor had detached from the crash cart due to loose or missing screws. this could have occurred due to : - normal wear and tear over time. - improper tightening of screws during assembly or maintenance. - * * defective screws : * * the screws may have been defective and failed to hold the monitor securely in place. - * * overloading of the crash cart : * * the crash cart may have been overloaded, causing the monitor to become dislodged. # # # recommendations - * * regular inspection and maintenance : * * crash carts should be inspected regularly for loose or damaged components. preventive maintenance should be performed to ensure that all screws are properly tightened. - * * use of high - quality screws : * * crash carts should be equipped with high - quality screws that are designed to withstand the rigors of daily use. - * * avoid overloading crash carts : * * crash carts should not be overloaded with equipment to prevent excessive weight and strain on the components. - * * training of staff : * * staff should be trained on the proper handling and use of crash carts to prevent damage to the equipment. @topic:12


# # # issue the issue is that the oxygen sensor is not pulsing. # # # impact the impact of this issue is that the patient's oxygen saturation levels cannot be accurately monitored. # # # possible causes - the sensor may be damaged. - the sensor may be disconnected. - the sensor may be obstructed. # # # recommendations to resolve this issue, the following recommendations can be made : - inspect the sensor for damage. - check the sensor connections. - clear any obstructions from the sensor. - replace the sensor if necessary. @topic:4


* * issue : * * * * bed not locking securely * * * * impact : * * * * patient safety hazard * * * * possible causes : * * - * * worn or damaged o - rings : * * o - rings are small, rubbery gaskets that create a seal between components, preventing leakage and ensuring proper operation. worn or damaged o - rings can compromise the seal, leading to a loss of locking ability. - * * corrosion or contamination : * * the locking mechanism may become corroded or contaminated over time, which can affect its performance and ability to lock securely. - * * misalignment of components : * * if the components of the locking mechanism are not properly aligned, it may not engage correctly, resulting in a failure to lock. - * * mechanical failure : * * internal components of the locking mechanism may have failed, such as springs or gears, affecting its ability to lock securely. * * recommendations : * * - * * inspect o - rings : * * regularly inspect the o - rings for signs of wear or damage. replace any worn or damaged o - rings to restore the seal and ensure proper locking. - * * clean and lubricate : * * regularly clean and lubricate the locking mechanism to prevent corrosion and contamination. this will help maintain its performance and ability to lock securely. - * * adjust alignment : * * check the alignment of the locking mechanism components to ensure they are properly aligned for correct engagement. - * * repair or replace failed components : * * if any internal components of the locking mechanism have failed, they should be repaired or replaced to restore its functionality. - * * regular maintenance : * * conduct regular maintenance on the bed, including inspecting and testing the locking mechanism, to ensure it is operating correctly and preventing any potential safety hazards. @topic:6


# # # issue - bed not adjustable in icu 6c # # # impact - patient care could be compromised due to the inability to adjust the bed to the desired position. # # # possible causes - * * electrical fault : * * damaged or loose wires or connections. - * * mechanical failure : * * worn or damaged components, such as motors or gears. - * * software malfunction : * * incorrect or corrupted software settings. - * * user error : * * bed was adjusted incorrectly or overloaded. - * * environmental factors : * * extreme temperatures or humidity can affect the performance of the equipment. # # # recommendations - * * electrical troubleshooting : * * - check power cords and connections for damage or looseness. - use a multimeter to test for continuity and proper voltage. - * * mechanical inspection : * * - examine motors, gears, and other mechanical components for wear or damage. - lubricate moving parts as needed. - * * software troubleshooting : * * - reset the bed controller or update the software if available. - check for error messages or codes that may indicate a software issue. - * * user training : * * - ensure that staff is properly trained on the operation of the bed. - provide clear instructions on how to adjust the bed safely. - * * environmental monitoring : * * - ensure that the bed is being used within the specified temperature and humidity range. @topic:9


set of 5 ) 272 appendix b intellivue product structure the following tables show the product option structure and available upgrades for all monitors of the intellivue family. intellivue family - product structure revision e. o mp20j mp20l mp20 mp30 mp40 mp50 mp60 mp70 mp80 mp90 m800ia m800ia m8001a m8002a m8003a m8004a m8005a m8007a m8008a m8010a # m20 # m21 required additional purchases waves # 3 waves a03 standard standard optional optional standard standard standard standard standard standard 4 waves a04 not offered not offered optional optional optional optional optional optional optional standard 6 waves a06 not offered not offered not offered not offered optional optional optional optional optional optional 8 waves a08 not offered not offered not offered not offered not offered not offered not offered optional optional optional 12 waves a12 not offered not offered not offered not offered not offered not offered not offered not offered not offered optional application areas # general / intensive care software h10 optional optional optional optional optional optional optional optional optional optional neonatal software h20 optional not offered optional optional optional optional optional optional optional optional anesthesia software h30 not offered not offered optional optional optional optional optional optional optional optional cardiac care software h40 not ottered not offered optional optional optional optional optional optional optional optional cables ( mandatory ) # remote speedpoint cable kit - 1. 5m hf2 not offered not offered not offered not offered not offered not offered not offered not offered optional optional remote speedpoint cable kit - 3. 0 m hf3 not offered not offered not offered not offered not offered not offered not offered not offered optional optional remote speedpoint cable kit - 10 m hf6 not offered not offered not offered not offered not offered not offered not @topic:10


* * issue : * * charge not entering * * impact : * * device cannot be used wirelessly * * possible causes : * * * loose battery connection due to disconnected wire * faulty battery * damaged charging port * software malfunction * * recommendations : * * * inspect battery connections and ensure proper fit * replace battery if necessary * check charging port for damage or debris * contact manufacturer for software troubleshooting @topic:11


# # # issue - cuff failure in philips suresigns vs2 + # # # impact - inaccurate blood pressure measurements - potential for delayed or incorrect treatment # # # possible causes - cuff is old or damaged - cuff is not the correct size for the patient - cuff is not properly inflated - there is a leak in the cuff or tubing # # # recommendations - replace the cuff with a new one - ensure that the cuff is the correct size for the patient - properly inflate the cuff according to the manufacturer's instructions - check the cuff and tubing for any leaks @topic:15


# # # issue - faulty cuff on the physiological vital signs monitor # # # impact - inaccurate vital signs readings - delayed or incorrect diagnosis and treatment - patient safety concerns # # # possible causes - * * natural wear and tear : * * cuffs are subjected to repeated use and can become damaged over time. - * * improper storage : * * cuffs stored in a humid or dusty environment may deteriorate faster. - * * patient factors : * * patients with excessive sweat or movement may put excessive strain on the cuff. - * * manufacturing defects : * * in rare cases, cuffs may have inherent defects that can lead to failure. # # # recommendations - * * regular maintenance : * * perform routine inspections of cuffs to check for any signs of damage or wear. - * * proper storage : * * store cuffs in a clean, dry environment. - * * patient education : * * inform patients about the importance of avoiding excessive strain on the cuff. - * * use of durable materials : * * consider using cuffs made from durable materials that can withstand repeated use. - * * regular replacement : * * establish a schedule for replacing cuffs based on usage and manufacturer's recommendations. * * additional note : * * the specific cause of failure in this case was identified as cuff deterioration. this could have been due to natural wear and tear, improper storage, or patient factors. to prevent similar failures in the future, it is essential to implement comprehensive maintenance and testing protocols, as well as provide training to staff and patients on the proper use and care of medical equipment. @topic:5


. 3. pull on the left strap to extract the cassette support. 4. lift the cassette retaining bar and insert the cassette in the landscape or portrait direction, as required. 5. check that the retaining bar locks the cassette in position. 6. 7. for portrait images, pull the retaining bar upwards to lock the cassette. 8. 9. adjust the position of the cassette using the right and left straps so that the retaining bar is positioned on the edge of the mattress. 10. adjust the cassette positioning buckle. wind the right strap around the mattress and put the buckle on the upper edge of the mattress. once it has been adjusted using the right and left straps, this buckle is used to position the top of the cassette as required. 11. position the patient on the bed with their hips by the marker on the siderail. 12. adjust the height of the sleep surface and incline the head section as required. 13. adjust the position of the cassette as required. 1. pull on the left strap to extract the cassette support. raise the retaining bar and take out the cassette. pull on the right strap to insert the cassette support. hook the buckle of the right strap on its storage hook. 2. 3. 4. movement / transfer brake and steer system casters are available with two dimensions : 0125 or 0150 ( mm ). 0125 casters are not intended to transfer patients but to move the bed for housekeeping purposes. always put the brake in the " stop " position, except during transport. once the brakes have been applied, push and pull the bed to make sure that it does not move. the brake bar, located at the foot of the bed, or the bilateral pedals at the head end, simultaneously control all four casters, including one steering caster. it has three positions : " stop " to prevent the bed from moving, • " neutral " to move @topic:26


# # # issue - the blood pressure cuff of the bedside physiologic monitor is damaged. # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged by mishandling. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of damage. - use the correct size cuff for the patient. - train staff on how to properly handle and use the cuff. @topic:5


# # # issue * bed is not adjusting # # # impact * patient discomfort * delays in patient care * increased workload for staff # # # possible causes * electrical fault * mechanical failure * software issue * user error # # # recommendations * inspect the bed for any visible damage or loose connections. * check the power supply and ensure that the bed is properly plugged in. * test the bed's functionality using the controls on the handset or side rails. * if the bed is still not adjusting properly, contact a qualified technician for further troubleshooting and repair. * ensure that all staff are properly trained on how to use the bed correctly. @topic:1


obstacles ( patient's limb, objects, accessories, etc. ) before raising, lowering folding or unfolding a siderail. they are not designed to restrain or immobilize the patient. restraining straps or other devices must not be fastened to the siderails. a evaluate patients for entrapment risk according to protocol, and monitor patients appropriately. ensure that all siderails are fully latched when in the raised siderails are intended to show patients where the edges of the bed are. they are not patient - restraining devices. when appropriate, hill - rom recommends that medical personnel determine the proper methods necessary to ensure a patient remains safely in a do not place accessories ( respiratory or other medical devices ) on the siderail in a manner that could prevent the siderail from being lowered when emergency access to the patient is required. the siderails must be handled according to the instructions in the user manual. when fully raised and locked, siderails aims to reduce the risk of falls. siderail in low position. 60 - 00 siderail in high position 1 half - siderail position indicator * the half - siderails can be equipped with sensors to indicate the raised or lowered position. this information can be sent to the duty nurse if the bed is connected to a hospital network with a compatible information system. space filler panel ( ad288a ) * * in order to mitigate the risks incurred by patient egress through the gaps at the foot of the bed, between the half - siderails and the foot panel, hill - rom has developed a kit of two detachable panels, one for each side, designed to block this gap. installing the panels 2 1 3 the panels are not designed to restrain or immobilize the patient in cs900b check that the panels are correctly installed. the authorized medical personnel must consider the use of siderails @topic:6


# # # issue - broken ac ground wire on vital signs monitor # # # impact - monitor cannot be used - patient safety may be compromised # # # possible causes - physical damage to the wire - loose or faulty connection - power surge # # # recommendations - replace the ac wire with a new one - inspect the monitor for any other damage - test the monitor to ensure it is functioning properly @topic:2


or in the eeg impedance / montage 3 attach the reference electrode first. 4 5 place the electrodes on the patient's head according to the selected montage. use electrode gel if you are not using pre - gelled electrodes. remember to select a site whconnect the electrode connector end to the trunk cable. 6 279 8 monitoring echeck the electrode - to - skin impedance in the eeg impedance / montage window. 7 for good signal quality, keep all lead wires together and away from other electric devices and metallic bodies. 8 using the eeg impedance / montage window to open the window, in the setup eeg menu, select show montage, or select the eeg montage smartkey. the window may be configured to look slightly different on your monitor. 2 eeg impedance / montage ontage a fp2 fp1 5kohm eeg1 fp1 - t3 eeg2 fp2 - t4 fp1 t3 t4 fp2 t3 eeg1 ref 2 kohm eeg2 2 2 2 electrode locations on the patient's head. the symbols represent the electrode - to - skin impedance. 1 2 wiring and impedance values for the selected montage. choosing an eeg electrode montage 1 to activate one of the five pre - configured electrode montages, select the arrow beside the label in the eeg impedance / montage window and choose a montage from the list. 2 attach the electrodes as illustrated in the eeg impedance / montage window. the five default electrode montage configurations can be modified and renamed in configuration eg1 + label1 eg2 - abel2 eg2 + fp1 - t3 fp1 t3 fp2 t4 fp2 - t4 01 t3 01 @topic:8


# # # issue knob on medical device is not functional. # # # impact patient monitoring may be compromised due to inability to adjust device settings. # # # possible causes - knob is not properly seated or connected. - knob mechanism is damaged or worn. - electrical fault in the device. # # # recommendations - ensure that the knob is properly seated and connected to the device. - inspect the knob mechanism for any damage or wear and replace if necessary. - perform electrical testing to identify and repair any faults in the device. - train staff on proper use and maintenance of the device to prevent future failures. @topic:12


dee eg ot rd ee : 3 - 12 poweron self test cas rmn aaa a dic este cists looeeaseiuteteia aut aut svt eae sh iat sree uke epee th soe esate 3 - 12 alarms testas ai earen i apie sidan jee en eh a eee ita i te ies di ie ee eea 3 - 13 oe e a e ea ee e e ete s ote acs tab a e ee evan eke ea ta ceth abd abe e htt elke te cakes seetiokes 3 - 13 nbp : teste ooe iriiri gea i a e eter tn e re ds tape r n e ns pee e iik 3 - 14 ansi cat etea anene ert eeen e en e ae eene a e tree 3 - 14 nbp : calibration procedure ’. s. 20. 2. 32 ude niceties bis cae r 3 - 16 pneumatic leakage testis : ac : eciiares heen nea ee eee te aes gees 3 - 17 predictive temperature test : iscc : :. cccisccc. cs. etecicsescceedeceestiiesccsee dies ee dues asin ee e e e e a r ts 3 - 18 tympanic temperature testis tersien a e e ea ee oe e eo da yboesundesvorugeeasuicvecs eves 3 - 18 contents - 1 suresigns vs4 service guide safety k a ee e eae eee eth em, eee gr eee ee, eck at ee he ad 3 - 19 enclosure : leakage sv c : cise. ccccccsdesccss @topic:10


# # # issue - vital signs monitor is not able to measure blood pressure ( bp ). # # # impact - inability to accurately monitor a patient's bp. # # # possible causes - faulty or damaged cuff # # # recommendations - replace the cuff. @topic:14


# # # issue - equipment : none - band : - - model : - - description : unable to adjust bed # # # impact - patient discomfort - delays in patient care # # # possible causes - loose or disconnected power cord - faulty bed controls - mechanical issue with the bed # # # recommendations - ensure that the power cord is securely plugged into the control box. - inspect the bed controls for any damage or loose connections. - contact a biomedical engineer to assess and repair any mechanical issues with the bed. @topic:1


# # # issue - bed cannot be adjusted # # # impact - patient discomfort and safety concerns - delay in patient care # # # possible causes - motor failure - electrical fault - mechanical issue - software glitch # # # recommendations - * * assess motor function : * * check for proper connection, power supply, and functionality. - * * inspect electrical system : * * examine wiring, connectors, and switches for loose connections, shorts, or damage. - * * examine mechanical components : * * check for any obstructions, misalignment, or wear and tear in the bed's frame or adjustment mechanisms. - * * update software : * * if the bed has electronic controls, ensure the latest software updates are installed. @topic:1


# # # issue - the electric bed is not adjusting properly. # # # impact - patients may be uncomfortable or unable to use the bed. - staff may have difficulty working with the patient. # # # possible causes - the remote control is not working properly. - the bed control unit is not functioning correctly. - the bed motor is not working properly. # # # recommendations - replace the remote control. - inspect the bed control unit for any loose connections or damaged components. - test the bed motor to ensure it is functioning properly. @topic:1


# # # issue : bed is unable to adjust # # # impact : patient discomfort, delayed treatment, increased workload for staff # # # possible causes : - * * electrical fault : * * the electrical system of the bed may be malfunctioning, preventing the motor from receiving power or operating correctly. - * * mechanical failure : * * the bed's mechanical components, such as gears, pulleys, or hydraulics, may be damaged or worn, causing the bed to become stuck in one position. - * * control system failure : * * the electronic control system that operates the bed's adjustments may be faulty, preventing the bed from responding to commands from the remote or user interface. - * * software glitch : * * a software error or bug in the bed's control system may be preventing it from functioning correctly. - * * power supply issue : * * the electrical outlet or power cord connected to the bed may be faulty, resulting in an insufficient power supply to operate the motor. - * * overload : * * the bed may be overloaded with excessive weight, causing the motor to strain or fail. # # # recommendations : 1. * * check electrical connections : * * ensure that the bed is properly connected to a working power outlet and that the power cord is not damaged. 2. * * inspect mechanical components : * * visually examine the bed's mechanical components for any visible damage or wear. listen for unusual noises or grinding sounds that may indicate a mechanical issue. 3. * * troubleshoot control system : * * verify that the remote or user interface is functioning correctly and communicating with the bed's control system. reset the system if necessary. 4. * * check software updates : * * contact the manufacturer or authorized service provider to inquire about any available software updates that may address the issue. 5. * * adjust weight @topic:1


# # # issue - faulty fetal probe # # # impact - inability to accurately monitor fetal heart rate and other vital signs - potential for adverse outcomes for the fetus and mother # # # possible causes - physical damage to the probe, such as dropping or mishandling - electrical malfunction within the probe - software issues with the monitor or probe # # # recommendations - handle the probe with care and avoid dropping or mishandling - regularly inspect the probe for any signs of damage - ensure that the probe is properly connected to the monitor - update the monitor and probe software to the latest versions - consider using a different probe if the issue persists @topic:20


# # # issue - equipment not receiving power - battery level decreasing rapidly # # # impact - medical cart cannot be used - loss of data or power failure during procedures # # # possible causes - loose wiring - faulty power board - battery not properly connected - battery not holding a charge # # # recommendations - ensure all wires are securely connected - inspect and test the power board - check battery connections and replace if necessary - monitor battery level regularly and replace when needed @topic:13


# # # issue - leak detected at the cuff joint between the device and the tubing. # # # impact - inability to obtain accurate vital sign measurements. # # # possible causes - damaged or improperly connected cuff joint. # # # recommendations - replace the cuff joint with a new one. - ensure that the cuff joint is properly connected and tightened. @topic:5


# # # issue - the monitor is not linking with the central monitor. # # # impact - the medical staff cannot monitor the patient's vital signs remotely. # # # possible causes - the ci address in the monitor is incorrect. - the server is experiencing problems. # # # recommendations - check the ci address in the monitor and correct it if necessary. - contact the it department to troubleshoot the server issues. @topic:16


* * issue : * * spo2 measurement failure on philips suresigns vs4 vital signs monitor * * impact : * * impaired patient monitoring and potential delay in detecting changes in oxygen saturation levels * * possible causes : * * - * * faulty spo2 sensor cable : * * the provided description indicates that the failure is due to a deteriorated spo2 sensor cable. the cable may have become damaged or worn over time, affecting the transmission of spo2 readings. * * recommendations : * * - * * replace the spo2 sensor cable : * * the biomedical engineer ( bme ) has already taken the appropriate action by replacing the deteriorated cable. this should resolve the issue and restore normal spo2 measurement. * * additional possible causes ( if the issue persists after cable replacement ) : * * - * * malfunctioning spo2 sensor : * * the spo2 sensor itself may be faulty or have become disconnected from the monitor. - * * faulty monitor : * * there may be an internal issue with the monitor's spo2 measurement circuitry. - * * loose connections : * * loose connections between the sensor cable, sensor, and monitor can also lead to measurement failures. - * * software error : * * occasionally, software glitches can affect spo2 measurement accuracy. - * * patient factors : * * certain factors related to the patient, such as poor circulation or skin pigmentation, can interfere with spo2 readings. @topic:4


# # # issue - cuff degradation # # # impact - inaccurate blood pressure measurements - patient safety concerns # # # possible causes - age and wear of the cuff - exposure to extreme temperatures or moisture - improper storage or handling # # # recommendations - replace the cuff with a new one of the same size and type - store the cuff in a cool, dry place when not in use - inspect the cuff regularly for signs of wear or damage - train staff on proper cuff use and maintenance @topic:3


# # # issue - equipment not working properly # # # impact - patient care may be delayed or interrupted - staff may be frustrated or unable to perform their jobs effectively - hospital may lose revenue if patients are unable to be treated # # # possible causes - equipment failure - user error - environmental factors # # # recommendations - inspect the equipment to identify the source of the failure - repair or replace the failed component - train users on how to properly operate the equipment - monitor the environment to ensure that it is within the specified operating range @topic:12


# # # issue - patient is unable to measure vital signs # # # impact - health professional cannot see important vital signs to monitor patient's condition # # # possible causes - problems with probe / sensor of nibp monitor - software error on connected gauges / machines - possible electrical shortage - improper application of equipment to the patient # # # recommendations - check the probe and cable for any damage or disconnects - restart the nibp monitor and other connected devices - ensure the equipment is properly connected to the patient as specified by the manufacturer @topic:15


# # # issue - cuff of the vital signs monitor was found to be defective. # # # impact - the vital signs monitor was not able to accurately measure blood pressure. # # # possible causes - the cuff could have been : - damaged - not properly inflated - the wrong size for the patient # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly inflated. - use the correct size cuff for the patient. @topic:5


# # # issue - bed alarm cable is severed. # # # impact - the bed alarm will not function properly, which could lead to patient safety issues. # # # possible causes - the cable could have been damaged during use or [UNK] [UNK]. - the cable could have been chewed by rodents. - the cable could have been pinched or crushed. # # # recommendations - replace the damaged cable. - inspect the bed alarm system for any other damage. - train staff on how to properly use and maintain the bed alarm system. @topic:26


# # # issue - pump is not pumping properly # # # impact - patient may not receive proper treatment - patient may be injured # # # possible causes - cuff is leaking - cuff is the wrong size # # # recommendations - replace the cuff - make sure the cuff is the correct size @topic:3


# # # issue - power board failure # # # impact - unable to charge the medical cart - potential for the medical cart to become inoperable # # # possible causes - faulty power board - loose connections - electrical surge # # # recommendations - replace the power board - inspect and tighten all connections - check the electrical system for any surges or other problems @topic:13


# # # issue - user is unable to log in to the medical cart. # # # impact - the medical cart cannot be used for patient care. - delays in patient care. - increased risk of patient harm. # # # possible causes - the software version is old and needs to be updated. - the user's credentials are incorrect. - the system is experiencing a technical issue. - the user is not properly trained on how to use the system. # # # recommendations - update the software to the latest version. - verify the user's credentials with the hospital's it department. - contact the vendor's technical support for assistance. - provide additional training to the user on how to use the system. @topic:13


# # # issue spo2 sensor cable failure on an intellivue mp20 patient monitor. # # # impact - inability to accurately monitor patient's blood oxygen saturation levels. - potential for delayed or inaccurate diagnosis and treatment. # # # possible causes - physical damage to the cable, such as cuts, crimps, or fraying. - improper handling or storage of the cable. - manufacturing defects or material fatigue. # # # recommendations - inspect the cable regularly for any signs of damage. - store the cable properly when not in use. - use only oem cables or cables that are specifically approved for use with the monitor. - ensure that the cable is not subjected to excessive stress or strain. - if the cable fails, replace it immediately. @topic:4


st snippets and baselines, in the st baseline window, select the pop - up key record st. about the st measurement points the st value for each beat complex is the vertical difference between the iso point and the st point, as shown in the diagram below. the isoelectric ( iso ) point provides the baseline, the st point is at the midpoint of the st segment. the j point is where the qrs complex changes its slope ; as it is a fixed distance away from the st point, it can be useful to help you position the st point correctly. caution the st measurement points need to be adjusted when you start monitoring, and if the patient's heart rate or ecg morphology changes significantly, as this may affect the size of the qt interval and thus the placement of the st point. artifactual st segment depression or elevation may occur if the isoelectric point or the st point is incorrectly set. always ensure that st measurement points are appropriate for your patient. adjusting st measurement points depending on your monitor ’ s configuration, the st point can be positioned either 148 about the st measurement points 6 ecg, arrhythmia, st and qt monitoring • relative to the j - point. in the adjust st points window, the pop - up keys iso point, j point and st point are visible and can be adjusted, or • directly by selecting a numeric value for the st point. in the adjust st points window, you can adjust the iso and st point. the st uses setting can only be changed in configuration mode. to adjust the st measurement points, 1 in the setup st analysis menu, select adjust st points to open the adjust st points window. alternatively, you can use the adjust st points pop - up key in the st baseline window. 2 select a suitable ecg lead for st measurement, with a visible j - point and @topic:8


##9a reusable 80 - cm - long 5 - lead cables with 10 mm silver / silverchloride leadwired cup electrodes m1931a ( adult ) reusable 80 cm 5 - lead cables with 6 mm silver / silverchloride leadwired cup electrodes ( pediatric / neonatal ) 1932a reusable 80 cm 5 - lead cables with clip m1934a m1935a ec2tm electrode cream ( conductive paste ) m1937a bis accessories to re - order sensors, contact covidien llc. bis sensors are not available from philips. so2 accessories for m1021a contact your local hospira representative for information on accessories. they are not available from philips. description al modul50131 hospira opticath® catheter family ( svo2, scvo2 ) contact hospira for part numbers of compatible catheters 440 39 accessories so2 accessories for m1011a contact your local pulsion or edwards representative for information on accessories. they are noavailable from philips. product number ( order number ) 989803151591 description pulsion : cevox fiberoptic probe family ( scvo2 ) contact pulsion for part numbers of compatible probes contact edwards for part numbers of compatible catheters edwards : philips - compatible versions of the presep catheter ( scvo2 ) or swan - ganz oximetry catheter nmt accessories product number ( order number ) description intellivue nmt patient cable ( reusable ) 989803174581 symbols on the accessory packaging the following symbols can be printed on the accessory packaging : eaninsymbol temperature limitations for storage °c humidity limitations for storage contents of the packaging are not sterile. non sterile contents of the packaging are not made with natural @topic:8


all other options on the menu are described in the suresigns vs2 * and vsi installation and configuration guide. option description demo mode demo mode allows you to demonstrate the monitor without actually monitoring parameters. for more information, see “ enabling demo mode ” on page 3 - 6. service allows access to the following functions : + diagnostics — opens the system diagnostics menu. monitoring is suspended while this menu is open. note — this button is unavailable when the monitor is running in demo mode. for more information, see “ performing verification tests ” on page 3 - 9. * upgrade software — opens the upgrade software menu. for more information, see “ upgrading the software ” on page 3 - 7. return returns the monitor to the system menu. performance verification testing suresigns vs2 * and vsi service guide 3 - 5 accessing the system admin menu enabling demo mode warning do not connect a patient to a monitor running in demo mode. values represented in demo mode do not represent measurements from a patient connected to the monitor, and may lead to incorrect diagnoses. demo mode is used to demonstrate the monitor without monitoring parameters. demo mode simulates all patient parameters and generates alarms when alarm settings are exceeded. by default, the demo mode check box is cleared. caution entering demo mode clears the patient data. to put the monitor in demo mode : step 1 open the system admin menu. see “ accessing the system admin menu ” on page 3 - 4. 2 select the demo mode check box. 3 select the return button. 4 in the window that appears, select the yes button. the monitor enters demo mode and clears all patient data. a demo banner appears on the screen. 7 ( a oe 5 to exit demo mode, press the on / standby key to turn off the monitor. the monitor clears all simulated patient data. performance verification testing 3 - 6 @topic:10


# # # issue - equipment : monitor, physiologic, vital signs - band : philips - model : suresigns vs3 - cause of failure : the machine does not turn on # # # impact - the machine cannot be used to monitor patients'vital signs. - this could lead to a delay in diagnosis and treatment, which could have serious consequences for the patient. # # # possible causes - the battery is dead. - the power cord is not plugged in. - the power switch is not turned on. - the machine is not receiving power from the outlet. - there is a problem with the machine's internal circuitry. # # # recommendations - check the battery and replace it if necessary. - make sure the power cord is plugged in and the power switch is turned on. - try plugging the machine into a different outlet. - if the machine still does not turn on, contact a qualified technician to troubleshoot the problem. @topic:11


# # # issue the cause of failure in this case is a faulty spo2 cable. the cable was found to be severed, preventing the monitor from accurately detecting the patient's oxygen saturation levels. # # # impact the faulty cable could have a significant impact on patient care. without accurate oxygen saturation readings, the healthcare team may not be able to make informed decisions about the patient's condition or treatment. # # # possible causes the following are some possible causes of a faulty spo2 cable : - physical damage to the cable - loose or damaged connectors - electrical interference - software issues # # # recommendations to prevent future cable failures, the following recommendations should be followed : - regularly inspect spo2 cables for damage. - replace any cables that show signs of wear or tear. - ensure that connectors are properly secured. - minimize electrical interference by routing cables away from other electrical equipment. - update software regularly to resolve any issues that could affect cable performance. # # # troubleshooting steps 1. verify that the spo2 cable is securely connected to the monitor and the patient. 2. inspect the spo2 cable for any visible damage. 3. try using a different spo2 cable. 4. if the issue persists, contact the manufacturer for further troubleshooting assistance. @topic:4


# # # issue - battery failure # # # impact - inability to use the device in case of power outage. - shortened battery life, leading to more frequent charging or replacement. # # # possible causes - * * battery age * * : batteries have a limited lifespan, and their capacity decreases over time. the suresigns vs3 monitor's battery is rated for 2 years of use, but the device in question had been in use for 7 years. - * * battery usage * * : the battery's lifespan can be shortened by factors such as extreme temperatures, overcharging, and deep discharging. - * * manufacturing defect * * : in rare cases, batteries may fail due to manufacturing defects. # # # recommendations - * * replace the battery * * : the old battery should be replaced with a new one of the same type. - * * inspect the battery compartment * * : ensure that the battery compartment is clean and free of corrosion. - * * monitor battery health * * : regularly check the battery's charge level and replace it when it reaches the end of its lifespan. @topic:11


inop persists, try another optical module. silencing this inop switches the measurement off. < s0 2 label > optmod malf so 2 the optical module memory is faulty, and calibration data cannot be stored for transport or during power failure. if this capability is needed, use another optical module. < s0 2 label > pre - ins cal numeric displays -? - inop tone so 2 the pre - insertion calibration is running. this typically takes one minute. during this time alarms are switched off. wait until the calibration is complete. < s0 2 label > unplugged numeric displays -? -. inop tone so 2 measurement switched on and so 2 / svo 2 module unplugged from the rack. s0 2 upgrade inop tone so 2 the s0 2 module is currently in upgrade mode. monitoring is not possible in this mode. < s0 2 label > warmup numeric is displayed with? so 2 the optical module has not yet reached the operating temperature. wait a few minutes until warm - up is finished. some ecg alrms off arrhythmia this message appears ( if configured to do so ) when the on / off settings of the yellow arrhythmia alarms differ from the current profile. speaker malfunct. inop tone monitor contact your service personnel to check the speaker and the connection to the speaker. spiro malfunction spirometry module failure detected. contact your service personnel. spiro incompatible spirometry module revision not compatible with the host monitor software revision. contact your service personnel. spiro upgrade spirometry the module is running a firmware upgrade. wait until upgrade is completed before resuming monitoring. spiro cannot meas spirometry measurement is at its limit, e. g. ambient pressure out of range. @topic:17


# # # issue error : patient name does not match the ward # # # impact patient information error # # # possible causes - discrepancy between the patient's medical record and the device's label # # # recommendations - verify patient information against medical record - ensure correct labeling of the device - check for any software or system updates that may have caused the error - if necessary, consult with the device manufacturer for further assistance @topic:12


# # # issue - equipment malfunction : the central monitor is not displaying any data. # # # impact - inability to monitor patient vital signs and make informed clinical decisions. - interruption of patient care and potential delays in treatment. # # # possible causes - * * loose plus ac : * * the plus ac connection, responsible for powering the control unit of the monitor, has become loose. this has disrupted the power supply, causing the monitor to shut down. # # # recommendations - * * tighten plus ac connection : * * inspect the plus ac connection and ensure it is securely tightened. this should restore power to the control unit and resolve the issue. * * additional considerations : * * - * * check power supply : * * verify that the monitor is connected to a reliable power source and that the voltage is within the specified range. - * * inspect cables and connections : * * examine all cables and connections for any loose fittings or breaks that may disrupt power or data transmission. - * * reset the monitor : * * if the issue persists after tightening the plus ac connection, attempt to reset the monitor by turning it off and back on. - * * contact manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for further technical assistance or replacement parts. @topic:2


# # # issue the bed is not adjustable # # # impact patients may be unable to get into or out of bed, or may be uncomfortable if the bed is not in the correct position. # # # possible causes - power outage, loose wire connections, circuit board failure, motor failure, hand control failure # # # recommendations - check that the bed is plugged in and that the power switch is turned on. - inspect the wire connections between the bed and the hand control. make sure that the connections are tight and that there is no damage to the wires. - if the wire connections are secure, then the circuit board may be faulty. contact a qualified technician to replace the circuit board. - if the circuit board is not faulty, then the motor may be faulty. contact a qualified technician to replace the motor. - if the motor and circuit board are not faulty, then the hand control may be faulty. contact a qualified technician to replace the hand control. @topic:1


# # # issue battery replacement due to end of service life. # # # impact the device may not be able to function properly without a functioning battery. # # # possible causes - battery life has expired and needs to be replaced. # # # recommendations - replace the battery with a new one of the same specifications ( 10. 8v 6ah x 2 ). @topic:11


= supraventricular beat, v - ventricular beat ) fibrillatory waveform ( sinusoidal wave between - 10 hz ) for 4 consecutive seconds. cg numeric flashes, yellow alarm lampshort yellow audible alarm umeric flashes, red alarm lamp, larm tone * * vent fib / tacecg * vent rhythecg / arrhythmia numeric flashes, yellow alarm lamp, short yellow audible alarm a dominant rhythm of adjacent vs > the vent rhythm limit and ventricular heart rate < the v - tach hr limit. * vent rhyth * vent trigeminecg / arrhythmia a dominant rhythm of n, n, v, n, n, v ( n = upraventricular beat, v = ventricular beat ). numeric flashes, yellow alarm lampshort yellow audible alarm numeric flashes, red alarm lamp, larm tone = * * vtaca run of pvcs ≥ the v - tach run limit and eart rate the v - tach hr limit. ecg, arrhythmia * * vuelink alarm * * * vuelink alarat information center ( on monitor ) yellow or red lamp ; the alarm text is defined by the vuelink device driver vuelink a yellow ( * * ) or red ( * * * ) patient alarm is present on the vuelink module. check the monitor display for more detailed alarm information. 80 4 patient alarms and inops technical alarm messages ( inops ) if an inop interrupts monitoring and alarm detection, the measurement numeric will be replaced by -?. if an inop may lead to unreliable measurement values, a? appears next to the numeric. the measurement labels and abbreviations for pressure, temperature, spo2, and vuelink inop es @topic:8


# # # issue - keyboard failure on hewlett packard m3150a monitor and central station # # # impact - inability to input commands and data, affecting the operation and monitoring of the equipment. # # # possible causes - defective keyboard component ( e. g., keysticking, broken contacts ) - software malfunction or driver conflict causing keyboard to become unresponsive # # # recommendations - * * immediate actions : * * - restart the device to clear any temporary software issues. - if restarting does not resolve the issue, replace the keyboard with a known - good unit. - * * further investigation : * * - if replacing the keyboard does not solve the problem, check for any software updates or driver issues that may be causing keyboard malfunctions. - inspect the keyboard for any physical damage or loose connections. - * * preventive measures : * * - regularly clean and maintain the keyboard to prevent dust accumulation and debris buildup. - ensure proper training on correct handling and care of the equipment to minimize the risk of damage. @topic:27


# # # issue - broken spo2 clip sensor cable # # # impact - impaired patient monitoring capabilities # # # possible causes - wear and tear - accidental damage - manufacturer defect # # # recommendations - replace the faulty cable immediately. - inspect the cable regularly for signs of damage or wear. - handle the cable with care to prevent damage. - contact the manufacturer if the cable fails prematurely or repeatedly. - consider using a more durable cable or protecting the cable with a protective sleeve. @topic:4


# # # issue * monitor not sending signals # # # impact * inability to accurately monitor patient's electrocardiogram ( ecg ) # # # possible causes * loose or disconnected lead wires * incorrectly placed lead wires * faulty lead wires * faulty monitor # # # recommendations * check lead wire connections and ensure they are secure. * verify that lead wires are placed in the correct channels on the monitor. * inspect lead wires for any visible damage or breaks. * if lead wires appear to be damaged, replace them with new ones. * if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:18


# # # issue - electric bed is unable to adjust. # # # impact - patient discomfort and immobility. - difficulty in providing patient care. - delays in treatment and recovery. # # # possible causes - loose remote control cable. - electrical fault in the bed or remote control. - software malfunction. # # # recommendations - inspect the remote control cable and ensure it is properly connected. - perform electrical tests on the bed and remote control to identify any faults. - update the bed's software or consult the manufacturer for troubleshooting assistance. @topic:7


# # # issue - broken remote frame - loose bed rails # # # impact - difficulty operating the bed - patient safety hazard # # # possible causes - accidental damage - wear and tear - manufacturing defect # # # recommendations - replace the remote - tighten the bed rails - inspect the bed regularly for any signs of damage @topic:7


' s usage patterns to identify potential issues or areas for improvement. * * * plan for redundancy : * * have a backup machine available in case the primary machine experiences a failure. @topic:12


# # # issue : bed alarm not functioning properly. # # # impact : this issue has the potential to impact patient safety. if the alarm is not working, it may not be able to alert the staff to a potential problem, such as a patient falling out of bed or a medical emergency. # # # possible causes : - the alarm may be defective. - the alarm may not be properly connected to the bed. - the alarm may be turned off. # # # recommendations : - check the alarm to make sure that it is not defective. - check the alarm to make sure that it is properly connected to the bed. - check the alarm to make sure that it is turned on. - check the bed to make sure that it is not in a position that would prevent the alarm from sounding. - contact the manufacturer of the alarm for further troubleshooting assistance. @topic:26


# # # issue - the cuff of the welch allyn 53000 vital signs physiological monitor is damaged. # # # impact - the monitor cannot accurately measure blood pressure. # # # possible causes - the cuff may have been damaged during use or storage. - the cuff may be the wrong size for the patient. - the cuff may not be properly inflated. # # # recommendations - replace the damaged cuff with a new one. - ensure that the cuff is the correct size for the patient. - properly inflate the cuff according to the manufacturer's instructions. @topic:5


# # # issue the philips intellivue mp40 ( m8003a ) patient transport monitor is not displaying agent gas desflurane values. # # # impact this issue can lead to inaccurate monitoring of the patient's anesthetic gas levels, which can have serious consequences. # # # possible causes - loose connection between the agent gas desflurane sensor and the monitor. - faulty agent gas desflurane sensor. - software issue in the monitor. # # # recommendations 1. * * check the connection between the agent gas desflurane sensor and the monitor. * * ensure that the connector is fully seated and that there are no loose wires. 2. * * replace the agent gas desflurane sensor. * * if the connection is secure, the sensor may be faulty and need to be replaced. 3. * * contact philips technical support. * * if the above steps do not resolve the issue, contact philips technical support for further assistance. @topic:20


# # # issue the philips intellivue mx450 bedside physiologic monitor is not linking to the central bme system. # # # impact the impact of this issue is that the monitor cannot be used to send data to the central bme system, which can result in the following problems : - data cannot be recorded and stored in the central bme system. - data cannot be used to generate reports on patient vital signs. - data cannot be used to track patient trends and identify potential problems. # # # possible causes the possible causes of this issue include : - the ci address in the monitor is incorrect. - the server is not responding. - the network is down. # # # recommendations the following recommendations can be made to resolve this issue : - check the ci address in the monitor and make sure it is correct. - check the server to make sure it is responding. - check the network to make sure it is up. # # # cause of failure the cause of failure in this case was that the ci address in the monitor was incorrect. the bme technician was able to resolve the issue by setting the correct ci address in the monitor. @topic:16


# # # issue - device ( suresigns vs4 ) is disconnected from the server # # # impact - vital signs monitoring is interrupted. # # # possible causes - loose cable connection - server malfunction - software glitch # # # recommendations - inspect cable connections and ensure they are secure. - check if the server is operational and restart it if necessary. - update device software to the latest version. - contact the device manufacturer for further assistance if the issue persists. @topic:22


# # # issue - the cause of failure is not clearly stated. # # # impact - the technician is unable to determine the root cause of the issue and may not be able to fix it effectively. # # # possible causes - the technician may have not performed the necessary tests to diagnose the issue properly. - the technician may not have the necessary documentation or training to understand the device and its potential causes of failure. - the technician may have not consulted with the manufacturer or other experts to gather more information about the issue. # # # recommendations - the technician should perform a thorough examination of the device to identify any visible signs of damage or malfunction. - the technician should consult the manufacturer's documentation or contact the manufacturer for technical assistance. - the technician should gather any relevant data from the device's logs or other sources to aid in diagnosis. - the technician should consider seeking assistance from other biomedical engineers or experts in the field. @topic:12


# # # issue - the medical cart's scanner is malfunctioning. # # # impact - the medical cart cannot be used to transport patients or medical supplies. - patient care may be delayed or compromised. # # # possible causes - the scanner is damaged. - the scanner is not properly calibrated. - the scanner is not compatible with the medical cart. - the scanner is not receiving power. # # # recommendations - replace the scanner. - calibrate the scanner. - ensure that the scanner is compatible with the medical cart. - check the power supply to the scanner. @topic:23


# # # issue - monitor cannot link with central monitor. # # # impact - physiological data from the bedside monitors will not be available on the central monitor, which can delay the identification of critical events and impact patient safety. # # # possible causes - incorrect configuration of the monitor's ip address. - firewall or network connectivity issues. - issues with the central monitor software or hardware. # # # recommendations - verify the monitor's ip address is correct and matches the network configuration. - check for any firewall or network connectivity issues that may be blocking the connection between the monitor and the central monitor. - contact the manufacturer of the central monitor for support if the issue persists. @topic:16


# # # issue - unable to send data from the vital signs monitor to the vsm ( vital signs monitor ) system # # # impact - the vsm system will not receive vital signs data from the monitor - this could result in inaccurate or incomplete patient data - it could also lead to delays in patient care # # # possible causes - the vsm system may not be configured properly - the network connection between the monitor and the vsm may be down - the monitor may be malfunctioning # # # recommendations - check the configuration of the vsm system - check the network connection between the monitor and the vsm system - troubleshoot the monitor to identify any potential malfunctions @topic:22


# # # issue - cuff leak # # # impact - unable to measure vital signs accurately # # # possible causes - damaged or worn cuff - loose connection between cuff and monitor # # # recommendations - replace cuff - tighten connection @topic:5