# # # issue - battery of medical cart is displaying - 1 % # # # impact - accurate monitoring of battery level is crucial for ensuring uninterrupted operation of the medical cart. - incorrect battery level readings can lead to unexpected downtime, potential patient safety risks, and increased maintenance costs. # # # possible causes - faulty battery sensor - software glitch in the medcart program - hardware issue with the battery or charging system - battery reaching the end of its lifespan # # # recommendations - * * inspect the battery : * * check for any physical damage, corrosion, or loose connections. - * * calibrate the battery sensor : * * use a calibration tool to ensure that the sensor is providing accurate readings. - * * update the medcart software : * * ensure that the latest software updates are installed to fix any known software bugs. - * * test the charging system : * * verify that the battery is charging correctly and that the charging cable is not damaged. - * * replace the battery : * * if troubleshooting fails to resolve the issue, consider replacing the battery with a new one. - * * monitor battery health : * * regularly check the battery level and performance to proactively identify any potential issues. @topic:13


# # # issue the issue is that the biomedical engineer ( bme ) found the connector to be damaged during the equipment checkup. # # # impact - the equipment may not be able to measure the patient's vital signs accurately. - this could lead to incorrect medical decisions being made, such as not giving the patient the correct medication or treatment. # # # possible causes - the connector may have been damaged during shipping or handling. - the connector may have been damaged by a patient or staff member. - the connector may have been damaged due to wear and tear. # # # recommendations - the bme should replace the damaged connector. - the bme should inspect the equipment for any other damage. - the bme should train the staff on how to properly handle the equipment. - the bme should develop a maintenance schedule for the equipment. @topic:2


# # # issue broken remote for electric bed # # # impact difficulty or inability to operate the bed, which could affect patient care and comfort. # # # possible causes - wear and tear from frequent use - accidental damage ( e. g., dropping or hitting the remote ) - malfunction of the remote's internal components # # # recommendations - replace the broken remote with a new or refurbished one. - inspect the bed and remote regularly for signs of damage or wear. - train staff on proper handling and storage of the remote to prevent breakage. - consider implementing a " spare remote " policy to ensure a replacement is readily available in case of failure. @topic:7


# # # issue mouse and keyboard are malfunctioning. # # # impact inability to use the ana record machine effectively. # # # possible causes the mouse and keyboard may not be properly connected or configured. the mouse and keyboard may be defective. the mouse and keyboard may be dirty or obstructed. # # # recommendations ensure that the mouse and keyboard are properly connected and configured. inspect the mouse and keyboard for any damage or defects. clean the mouse and keyboard to remove any dirt or obstructions. replace the mouse and keyboard if necessary. @topic:27


# # # issue cuff bp fails to measure blood pressure due to a cuff leak. # # # impact delayed or inaccurate blood pressure readings, which can affect patient care and treatment decisions. # # # possible causes - damaged or worn cuff - loose or improperly fitted cuff - kinked or blocked air hose - faulty pressure transducer - software or hardware malfunction # # # recommendations - replace the cuff with a new one. - ensure the cuff is properly fitted and secured to the patient. - check the air hose for any kinks or blockages. - calibrate the pressure transducer according to the manufacturer's instructions. - inspect the monitor for any signs of damage or malfunction. @topic:3


# # # issue - broken bed alarm cable # # # impact - bed alarm is not functional, which poses a safety risk to patients. # # # possible causes - * * mechanical failure : * * wear and tear, damage from mishandling or misuse. - * * electrical failure : * * short circuit, loose connections, or faulty components. - * * environmental factors : * * exposure to moisture, extreme temperatures, or corrosive substances. # # # recommendations - * * immediate action : * * - replace the broken bed alarm cable with a compatible new one. - * * preventive measures : * * - regularly inspect bed alarm cables for damage or wear. - ensure proper handling and storage of equipment to minimize damage. - establish a maintenance schedule to proactively identify and address potential issues. - train staff on proper use and handling of bed alarms. @topic:26


# # # issue * equipment : monitor, bedside, physiologic * band : philips * model : intellivue mp70 ( m8007a ) * * problem : * * device is not reading co2 values. # # # impact * inability to monitor patient's co2 levels, which can lead to delayed diagnosis and treatment of respiratory problems. # # # possible causes * faulty co2 sensor * loose or disconnected cables * miscalibration of the device * software malfunction # # # recommendations * * * verify co2 sensor : * * inspect the co2 sensor for damage or debris. if necessary, replace the sensor. * * * check cables and connections : * * ensure that all cables are securely connected, paying attention to the connections at the sensor, device, and power source. * * * calibrate the device : * * perform a calibration of the co2 sensor according to the manufacturer's instructions. * * * update software : * * check for and install any available software updates that may address co2 reading issues. * * * contact manufacturer : * * if the issue persists after the above steps, contact the manufacturer for technical support and potential repair. @topic:4


# # # issue - the electric bed is not adjustable. # # # impact - the bed cannot be adjusted to the optimal position for the patient, which can lead to discomfort and pain. - the bed cannot be adjusted to the optimal position for the caregiver, which can lead to fatigue and injury. # # # possible causes * * a. power supply * * - the bed is not plugged into an outlet. - the outlet is not providing power. - the power cord is damaged. * * b. bed controls * * - the bed controls are not functioning properly. - the bed controls are not set to the correct mode. * * c. bed motor * * - the bed motor is damaged. - the bed motor is not receiving power. - the bed motor is not properly connected to the bed frame. # # # recommendations * * a. power supply * * - check that the bed is plugged into an outlet. - check that the outlet is providing power. - inspect the power cord for damage. * * b. bed controls * * - check that the bed controls are functioning properly. - set the bed controls to the correct mode. * * c. bed motor * * - inspect the bed motor for damage. - check that the bed motor is receiving power. - check that the bed motor is properly connected to the bed frame. @topic:1


, select the other patients smartkey, if configured, or • in the main setup menu, select my patients. • use the my patients pop - up keys to navigate through the care groups : my unit lets you view a list of all the information centers in your care unit. select an information center to see a list of the monitors connected to it. select any monitor to see the other patient window for that bed. alarming beds lets you view a list of all beds in your care group with an unacknowledged alarm. the beds are listed in order of alarm severity. iic other units lets you view a list of all the care units in your care domain. select any care unit to view a list of the information centers connected to it. select an information center to see a list of the monitors connected to it. select any monitor to see the other bed window for that bed. other patients lets you search for a patient or step through lists by unit and bed label to selecnother patient. piic ix the other bed window lets you view a subset of the waveform and numeric information from anothebed on the same network. waves and numeric information from another bed are delayed. if configured, other bed information is displayed in color, using the colors defined by the information center. the other bed window can be configured to pop - up automatically when an alarm occurs at another bed. to avoid too many windows appearing ( for example, in large care groups ) and covering the monitor's own bed data on the screen, you can temporarily disable this automatic pop - up : 1 select main setup then network followed by auto window 2 select disabled when automatic pop - up is disabled in this way, an icon will appear as a reminder in the care group overview bar next to the monitor's own bed label automatic pop - up is disabled for five minutes or until et @topic:10


# # # issue battery failure in a hill - rom p1440a electric bed. # # # impact the malfunctioning bed may pose a safety risk to patients and healthcare professionals. it could hinder patient mobility, affect patient comfort, and disrupt hospital operations. # # # possible causes - * * battery depletion : * * the batteries may have reached the end of their lifespan and no longer provide sufficient power to the bed. - * * battery damage : * * the batteries may have been damaged due to overcharging, physical impact, or other factors. - * * battery compatibility issues : * * incorrect battery type or voltage may have been used, causing compatibility problems. - * * electrical fault : * * there may be an issue with the electrical system of the bed that is affecting the battery's performance. # # # recommendations - * * regular maintenance and inspection : * * implement a routine maintenance schedule to inspect batteries, connections, and electrical components. - * * battery quality control : * * ensure that only approved batteries are used and follow the manufacturer's guidelines for charging and replacement. - * * training and education : * * provide training to staff on proper battery handling, maintenance, and safety protocols. - * * consider alternative power sources : * * explore alternative power sources such as uninterruptible power supplies ( ups ) or generators to minimize the impact of battery failures. - * * investigate electrical system : * * if battery issues persist, thoroughly investigate the electrical system of the bed to identify potential faults and implement necessary repairs. @topic:9


# # # issue - unable to obtain accurate measurements. # # # impact - inaccurate blood pressure readings can lead to misdiagnosis and improper treatment. # # # possible causes - * * operator error : * * the cuff may not be the correct size for the patient, or it may not be placed correctly on the arm. - * * equipment malfunction : * * the monitor or blood pressure cuff may be faulty. - * * mode error : * * the monitor may not be set to the correct mode for the size of the cuff. # # # recommendations - * * ensure that the cuff is the correct size for the patient and that it is placed correctly on the arm. * * - * * check the equipment for any signs of damage or malfunction. * * - * * verify that the monitor is set to the correct mode for the size of the cuff. * * - * * replace the cuff and connector if necessary. * * - * * contact a qualified biomedical engineer if the problem persists. * * @topic:14


# # # issue - monitor not linking # # # impact - unable to use the monitor for patient care # # # possible causes - loose or damaged cables - incorrect settings on the monitor or other connected devices - software issues - faulty hardware # # # recommendations - check all cables and connections, ensuring they are secure and undamaged - verify that the monitor and other connected devices are set to the correct communication settings - restart the monitor and other connected devices - if the issue persists, contact the manufacturer for assistance @topic:16


# # # issue technician is unable to fix the medical device because it needs additional components. # # # impact the technician cannot complete the repair, and the medical device remains inoperable. # # # possible causes the technician does not have the necessary components in stock. the technician was not provided with the correct information about the components that are needed. the technician did not order the components in time. # # # recommendations the technician should order the necessary components and wait for them to arrive before attempting to repair the medical device. the technician should request a list of the necessary components from the manufacturer or from the hospital's purchasing department. the technician should order the components in a timely manner to ensure that they arrive before the scheduled repair date. @topic:12


# # # issue - failure to accurately measure vital signs due to improper cuff size or placement. # # # impact - incorrect patient data, leading to potential misdiagnosis or delayed treatment. # # # possible causes - incorrect cuff size used for the patient's arm circumference. - cuff not placed correctly on the patient's arm, affecting blood flow measurement. - cuff bladder not fully inflated or deflated, leading to inaccurate readings. # # # recommendations - ensure the correct cuff size is used based on the patient's arm circumference. - properly place the cuff on the patient's arm, aligning the arrow with the brachial artery. - fully inflate and deflate the cuff bladder according to the manufacturer's instructions. - monitor the cuff pressure gauge to ensure the correct pressure is applied. - regularly calibrate the monitor and perform routine maintenance to ensure accuracy. @topic:5


# # # issue - faulty extension cable resulting in loss of signal transmission. # # # impact - inability to monitor patient's vital signs accurately, potentially compromising patient care. # # # possible causes - physical damage to the extension cable ( e. g., cuts, breaks ) - loose or disconnected connectors - incompatible cable with the monitoring equipment - electrical interference from nearby devices # # # recommendations - inspect the extension cable thoroughly for any visible damage or loose connections. - ensure that the cable is compatible with the monitoring equipment. - check if the connectors are securely plugged into the appropriate ports. - test the cable using a different monitoring device to confirm its functionality. - consider using a shielded cable to minimize electrical interference. - replace the faulty extension cable with a new one if necessary. @topic:22


# # # issue - user unable to operate the biobeat monitor effectively # # # impact - delays in patient care - incorrect data collection - frustration for both users and patients # # # possible causes - incomplete or unclear initial training provided by bme - user not adequately familiar with the device and its functions - lack of ongoing support or refresher training # # # recommendations - provide comprehensive initial training that covers all aspects of the device's operation - offer regular refresher training sessions to reinforce usage and troubleshoot any issues - establish a dedicated support system for users to access assistance when needed - provide user manuals and online resources for easy reference and self - guided learning @topic:2


note 222 the following installation procedure describes how to install the wall installation cable kit when the x2 and the host monitor are not located at the same site. the kit consists of two connector boxes and a cable ( 15m or 25m ). for this procedure you need the insertion tool ( m3086 - 43801 ) and a small screwdriver. 1. draw the msl cable through the wall from the site of the monitor to the site of the measurement server. each msl face plate kit contains two connector boxes ; one in - going and one out - going. ( the us version contains an additional rectangular wall - mounting plate ). the installation procedure is the same for both connector boxes. this means you must perform steps 3 to 8 of this procedure twice. the connectors on each box are different, so you must ensure that the correct box is placed at the correct location. the dots on the plastic angled cover indicates at which site you should install the box : at monitor site symbols on cable connector at mms site connector box ( in ) cable connector box ( out ) symbols on cable at monitor site connector at measurement server site if there are no dots on the cover, symbols are used : symbol : ln is connector box ( in ) and must be placed at the monitor site. the correct connector cable ( m308 1 - 61601, m3081 - 61602 or m3081 - 61603 ) has the opposite symbol : symbol : is connector box ( out ) and must be placed at the measurement server site. 2. detach the pcb assembly ( in / out ) from the metallic mounting flange. 3. use the insertion tool ( m3086 - 43801 ) to position each wire on the pcb according the wiring schematic in, where each color corresponds to a number. 223 note the insertion tool should be @topic:19


# # # issue - * * battery is weak * * # # # impact - medical device cannot be used properly without a functioning battery. # # # possible causes - * * battery is not connected to ac power. * * - * * battery is old and needs to be replaced. * * - * * battery is not charging properly. * * # # # recommendations - * * connect the battery to ac power. * * - * * replace the battery with a new one. * * - * * troubleshoot the battery charging system to identify and resolve any issues. * * @topic:11


bed for an extended period may reveal underlying issues or accelerate component failure. # # # recommendations * * immediate actions : * * - * * isolating the bed : * * unplug the bed from the power supply to prevent further damage or injury. - * * assessment : * * visually inspect the bed for any obvious signs of damage or wear. - * * contacting biomedical engineering : * * report the issue and request assistance from a qualified technician. * * technical solutions : * * - * * repairs or replacement of components : * * faulty parts such as motors, gears, or electrical cables may need to be repaired or replaced. - * * electrical troubleshooting : * * inspecting wiring, connectors, and power supply to identify and resolve any issues. - * * lubrication and calibration : * * regular maintenance tasks can help prevent future breakdowns and ensure optimal performance. * * preventive measures : * * - * * regular inspections and maintenance : * * establish a schedule for periodic inspections, cleaning, and lubrication to detect and address potential problems early on. - * * user training : * * educate staff on proper bed use, weight limits, and troubleshooting basic issues. - * * proper inventory management : * * ensure sufficient backup beds are available to minimize the impact of equipment failures. @topic:9


# # # issue - the electric bed's side rails are difficult to adjust. # # # impact - the patient may be at risk of falling out of bed. - the patient may be uncomfortable if the bed is not in a comfortable position. - the nursing staff may have difficulty caring for the patient if the bed is not in a comfortable position. # # # possible causes - the side rails are not properly lubricated. - the side rails are bent or damaged. - the motor that powers the side rails is not working properly. - the control panel that operates the side rails is not working properly. # # # recommendations - lubricate the side rails. - inspect the side rails for damage. - test the motor that powers the side rails. - test the control panel that operates the side rails. - replace any damaged or malfunctioning components. @topic:6


# # # issue - unable to print graphs # # # impact - inability to monitor patient data and make informed decisions # # # possible causes - malfunctioning printer - software error - hardware problem with the central monitor # # # recommendations - check the printer and ensure it is properly connected and has paper. - restart the central monitor and check if the problem persists. - contact biomedical engineering for further troubleshooting and repair, if necessary. @topic:28


rate is extremely high ( over 150 bpm for adults and over 180 bpm for pediatrics and neonates ) qt will not be measured. when the heart rate changes, it can take several minutes for the qt interval to stabilize. for reliable qtc calculation it is important to avoid a region where the heart rate is changing. warning qt / qtc measurements should always be verified by a qualified clinician. selecting the qt leads for qt monitoring you can select one of the following three modes : • all leads mode - all available leads ( i, ii, iii, v, mcl, vi - v6 ) are used to produce a global qt measurement. for easi lead placement, directly acquired ai, as and es leads are used. • primary - lead mode - the primary lead will be used for qt measurement. if the original primary lead becomes unavailable or is changed, qt measurement will continue with the new primary lead. • single - lead mode - a single lead selected from all available leads ( except the augmented leads ) will be used for qt measurement. qt measurement will stop if the selected lead becomes unavailable. to select the mode, 1 select the qt numeric to enter the setup qt analysis window. 2 select qt lead and select all, primary lead or one of the available single leads. when using the all leads mode, make sure when you compare qt values that they are based on the same set of leads. 156 about qt / qtc interval monitoring 6 ecg, arrhythmia, st and qt monitoring changing the lead ( s ) used for qt measurements will not cause the baseline to be reset. qt view in the qt view window you can verify that the qt algorithm detects correct q and t points. the current waves are shown in the upper half of the window and the baseline @topic:8


zero requ'd numeric is replaced by a inop tone co 2 perform zero calibration for the c0 2 sensor. if the inop persists, contact your service personnel. c0 2 zero running co 2 wait until zero calibration is finished. cpp chk sources numeric is replaced by a cpp not all measurements or values required to perform the calculation are available. check the measurement sources. cpp chk units numeric is replaced by a cpp the monitor has detected a conflict in the units used for this calculation. check the unit settings.!! /!!! cuff not deflat numeric is displayed with a -? - severe yellow / red inop tone. during this inop, alarms cannot be paused or switched off. nbp remove the cuff from the patient. make sure that the tubing is not kinked or twisted and that the correct patient category is selected. try repeating the measurement. you can silence the inop, but the inop message remains visible until the next nbp measurement is started or the stop all smartkey is selected. [ adult or pediatric patients : the nbp cuff pressure has exceeded 15mmhg ( 2kpa ) for more than 3 minutes. neonatalpatients : the nbp cuff pressure has exceeded 5mmhg ( 0. 7kpa ) for more than 90 seconds. ]!! /!!! cuff overpress numeric displayed with -? - ; severe yellow / red inop tone. during this inop, alarms cannot be paused or switched off. nbp the nbp cuff pressure exceeds the overpressure safety limits. remove the cuff from the patient. make sure that the tubing is not kinked or twisted and that the correct patient category is selected. try restarting the measurement. you can silence this inop, but the in @topic:17


# # # issue - equipment malfunction due to damaged ac power cord. # # # impact - interruption of vital sign monitoring for patients. # # # possible causes - damage to the ac power cord during handling or storage. - physical wear and tear over time. - faulty manufacturing of the power cord. # # # recommendations - regular inspection and maintenance of medical devices, including ac power cords. - proper handling and storage of ac power cords to prevent damage. - use of high - quality power cords that meet industry standards. - training of staff on proper handling and maintenance of medical devices. @topic:12


procedures. hold technicians accountable for thorough inspections and documentation. @topic:12


# # # issue - unable to adjust the head of the electric bed # # # impact - patients may experience discomfort or pain due to inability to adjust the head of the bed - healthcare providers may have difficulty providing care to patients if the bed cannot be adjusted - the hospital may face legal or financial penalties if the bed is not functioning properly # # # possible causes - the bed is locked in the head position - the electrical system is malfunctioning - the motor that adjusts the head is not working - the remote control is not functioning properly # # # recommendations - unlock the bed in the head position - check the electrical system for any loose connections or faulty wires - replace the motor that adjusts the head - replace the remote control @topic:1


alarm priority for your facility. for more information, see the suresigns vs4 installation and configuration guide. alarms have been silenced. press the alarm silence key to end the audio off mode or audio pause mode. the phono connector is loose or broken. check the physical connection to the nurse call connector. the communications board malfunctioned. replace the communications ( lan ) board. see “ removing the communications ( lan ) board ” on page 5 - 41. the main board malfunctioned. replace the main board. see “ removing the main board ” on page 5 - 31. usb hub problems symptom possible cause action the usb hub does not work. the usb hub is disconnected from the monitor. ensure that all usb plugs are firmly connected into their ports. the hub ’ s usb ports are clean the usb hub. see the instructions for blocked by dust or dirt. use that came with the usb hub for cleaning instructions. the usb hub is broken. replace the usb hub. the lan ( i / o confirm that the lan ( i / o communications ) communications ) board is broken or not properly connected. board is properly connected to the main board. replace the main board. see “ removing the communications ( lan ) board ” on page 5 - 41. troubleshooting 4 - 10 suresigns vs4 service guide error codes error codes when the monitor detects an error condition ( depending on the type of error ), an error message appears on the screen or an error code is written to the error log. an error code is an indication that the monitor detected an error in operation and service may be required. an error code is a hexidecimal number that indicates the nature of the error. if an error occurs during monitoring, an audible alarm also sounds. press the alarm silence key to end the audible alarm. the following table lists the error codes that correspond to @topic:22


: - condition the battery only upon maintenance request prompt on display. - ifa battery shows damage or signs of leakage, replace it immediately. do not use a faulty battery in the mp2 / x2. - capabilities of integrated battery charger : 10. 8 v, 1 mah ( typ. ) actual current / voltage : depends on smart battery request and monitor configuration the approximate charging time is 2 hours with the monitor switched off and up to 12 hours or more during monitor operation, depending on the monitor configuration. checking the battery status when the mp2 / x2 is connected to the external power supply ( m80234a ), the battery charges automatically. the battery can be charged remotely from the mp2 / x2 by using the battery charger. use only the m8043a smart battery charger with the additional adapter. battery status ( level of charge ) is indicated in several ways : - led on the front panel of the monitor. - battery gauge. - display of battery time below gauge. - battery status window. - inop messages. the ac power led is only on when the power cord is connected and ac power is available to the monitor. in this case, the battery can be either charging or fully charged. the battery led can be yellow, or red depending on the following conditions : battery led colors if the mp2 / x2 is connected if the monitor is running on to a host monitor or battery power, this means external power supply, this means battery chargin [ vas e 0 |. < 10 minutes power remaining red, flashing battery or charger battery or charger red, flashes malfunction! ” malfunction! ” intermittentl l indicated by malfunction symbol and inop? for further details see troubleshooting section 99 battery status on the main screen [ nmm : jj 1 : 34 battery status information can be @topic:11


# # # issue - bed cannot be lowered # # # impact - inability to adjust patient's position for comfort or medical procedures # # # possible causes - obstruction ( e. g., monkey bar ) - electrical or mechanical failure - software malfunction # # # recommendations - clear obstruction - inspect electrical connections and mechanical components - update software if necessary - consult manufacturer or qualified technician for further troubleshooting @topic:1


# # # issue * no signal in all patient rooms # # # impact * inability to monitor vital signs of patients * delay in patient care # # # possible causes * failure of the central monitor or its connections * failure of the communication network between the central monitor and the bedside monitors * failure of the bedside monitors or their connections # # # recommendations * * troubleshooting steps : * * 1. check if the central monitor is turned on and functioning properly. 2. check the connections between the central monitor and the bedside monitors. 3. check the communication network between the central monitor and the bedside monitors. 4. check the bedside monitors and their connections. * * if the issue persists : * * * contact the manufacturer of the equipment for further troubleshooting. * schedule a service call with a qualified biomedical engineer. @topic:2


# # # issue beds, electric ( hill - rom, care assist es ) malfunction # # # impact the bed is not able to adjust properly. # # # possible causes - the power cord is damaged due to being pinched by the bed rail. # # # recommendations - wrap electrical tape around the damaged area of the power cord. - reposition the power cord so that it is not pinched by the bed rail. - test the bed to ensure that it is functioning properly. @topic:9


* * issue : * * cause of failure is not specified. * * impact : * * the lack of a specific cause of failure makes it difficult to determine the necessary repairs and prevent future failures. * * possible causes : * * * * * insufficient information : * * the technician may not have provided adequate notes or observations to identify the root cause of the failure. * * * incomplete diagnostic testing : * * the device may not have been thoroughly tested to pinpoint the exact cause of the malfunction. * * * subjective reporting : * * the technician may have used vague or imprecise language to describe the cause of failure. * * recommendations : * * * * * gather more information : * * request additional notes or observations from the technician who diagnosed the failure. * * * conduct thorough diagnostic testing : * * use appropriate tools and procedures to identify the specific component or system responsible for the malfunction. * * * document findings clearly : * * record the cause of failure in a precise and detailed manner, including any relevant observations or error codes. * * * consider external factors : * * investigate any external conditions that may have contributed to the failure, such as environmental factors or improper handling. * * * review maintenance history : * * check previous maintenance records to identify any patterns or recurring issues related to the device. @topic:12


# # # issue the medical cart cannot be turned on. # # # impact the medical cart cannot be used to transport or store medical supplies and equipment. this can lead to delays in patient care and inconvenience for staff. # # # possible causes - power supply issue : the medical cart may not be properly plugged into an outlet or the power cord may be damaged. - battery issue : the medical cart's battery may be dead or not properly connected. - software issue : the medical cart's software may be corrupted or outdated. - hardware issue : there may be a problem with the medical cart's hardware, such as a loose connection or a failed component. # # # recommendations - check the power supply : ensure that the medical cart is properly plugged into an outlet and that the power cord is not damaged. - check the battery : replace the medical cart's battery if it is dead or not properly connected. - update the software : contact the manufacturer of the medical cart to obtain the latest software update. - contact a qualified technician : if the above steps do not resolve the issue, contact a qualified technician to diagnose and repair the medical cart. @topic:13


# # output # # # issue - bed not adjusting # # # impact - patient discomfort - difficulty performing medical procedures # # # possible causes - electrical issues - mechanical failure - software malfunction - user error # # # recommendations - check electrical connections and power supply - inspect mechanical components for damage or wear - update software if available - train users on proper operation of the bed @topic:1


# # # issue - visual disturbances on the laparoscopic monitor. # # # impact - impaired surgical visualization and decision - making. # # # possible causes - * * damaged vga cable : * * the broken green vga cable interrupted the signal transmission, leading to visual distortions. # # # recommendations - * * cable replacement : * * replace the damaged vga cable with a new one to restore proper signal transmission. - * * regular maintenance : * * implement regular inspections and maintenance of cables and other components to prevent such issues in the future. @topic:2


# # # issue - remote control malfunctions are preventing the bed from being adjusted. # # # impact - the patient is unable to adjust the bed for comfort, which could lead to discomfort or pain. # # # possible causes - the remote control batteries may be dead. - the remote control may be damaged. - the receiver in the bed may be damaged. - the wiring between the remote control and the bed may be damaged. # # # recommendations - check the batteries in the remote control and replace them if necessary. - inspect the remote control for any damage and replace it if necessary. - inspect the receiver in the bed for any damage and replace it if necessary. - inspect the wiring between the remote control and the bed for any damage and repair or replace it if necessary. @topic:7


# # # issue calibration of philips m2601b telemetric electrocardiography monitor is not performed due to an error during work order creation. # # # impact delays in patient monitoring and treatment. # # # possible causes - work order was created incorrectly. - technician was not properly trained on the operation of the philips m2601b telemetric electrocardiography monitor. - equipment is not functioning properly. # # # recommendations - ensure that work orders are created correctly and include all necessary information. - provide additional training to the biomedical engineer on the operation of the philips m2601b telemetric electrocardiography monitor. - test the philips m2601b telemetric electrocardiography to rule out any equipment malfunctions. @topic:16


66 reviewing messages 66 reviewing window 67 selftest 69 silencing 59 sp02 high and low limits 174 sp02 specific 174 st 150 suspended symbol 60 sv02, behavior during measurement 243 switching on and off 60 temperature 185 testing 69 tone configuration 57 traditional 57 volume, changing 58 vuelink and external devices 353 yellow 55 alphabetical listing of alarms 71 alternating current symbol 403 analog interface symbol 404 analog output ecg 406 pressure 198 analog video out connector 409 annotating events 302 annotation recording strip 326 apnea alarm delay c02 224, 230 apnea alarm delay time ( resp ) 168 apnea alarms and resp detection modes 168 application server 43 arrhythmia aberrantly conducted beats 134 analysis, how it works 133 atrial fibrillation and flutter 134 beat labels 136 initiating learning 138, 139 intermittent bundle branch block 135 learning during ventricular rhythm 139 levels of analysis 130, 133 monitoring non - paced patients 134 monitoring paced patients 134 options 133 relearning 138 relearning and lead fallback 139 status messages 137 switching on / off 134 understanding the display 135 arrhythmia alarms 55, 139 adjusting alarm limits 140 all yellow on / off 140 chaining 142 latching 140 multiple 142 l pvc - related alarms 143 sinus and sv rhythm ranges 431, 435 switching on / off 140 timeout periods 141 arrhythmia monitoring and defibrillation 132 arrhythmia options 130 arrhythmia relearning with easi inop 129 arterial catheter constant ( picco ) 204 arterial pressure source 195, 196 arterial pulsation 171 arterial values 233 artifact suppression ( pressure ) 192 aspect medical systems inc 402 atrial fibrillation and flutter 134 audlatching ( arrhythmia alarms ) 140 auto alarm limits switching on / off 66 using 65 auto detection mode ( @topic:8


module 210 g ( 7. 4 oz ) 36 x 99. 6 x 97. 5 mm 1. 4 x 3. 9 x 3. 8 in m1034a bis interface module 215 g 7. 6 oz 36 x 99. 6 x 97. 5 mm 1. 4 x 3. 9 x 3. 8 in without cables bisx 499 g 1. 1 lb 95. 3 x 63. 5 mm ( diameter x height ) 3. 8 x 2. 5 in with pic plus cable ( 1. 22 m, 4 ft ) and cable to bis module - dsc digital signal converter 130 g ( 4. 6 oz ) ( without cabling ) 66 x 25 x 107 mm 2. 6 x 1. 0 x 4. 25 in with pic plus cable ( 1. 22 m, 4 ft ) - bis engine 170 g ( 6. 0 oz ) 43 x 93 x 95 mm 1. 7 x 3. 7 x 3. 7 in m1032a vuelink module 240 g ( 8. 4 oz ) 36 x 99. 6 x 97. 5 mm 1. 4 x 3. 9 x 3. 8 in 865115 intellibridge ec 10 module 200 g ( 7. 0 oz ) 36 x 99. 6 x 102. 5 mm 1. 4 x 3. 9 x 4. 0 in 865114 intellibridge ec5 module 35 g ( 1. 1 oz ) 35 x 17 x 57 mm 1. 4 x 0. 7 x 2. 1 in with d - sub 9 - pin male or female connector 25 g ( 0. 8 oz 21. 5 x 17 x 65 mm 0. 9 x 0. 7 x 2. 6 in without cable and strain relief m1116b thermal array recorder module 507. 5 g 17. 9 oz. 73 x 99. 6 x 97 mm 2. 9 x 3. 6 @topic:19


et it to open the other bed window, select the required bed label or patient name in the alarm status overview bar. if you are in a unit group with many beds, the my patients window may open for 129 5 managing patients and equipment bed33 doe, john f ↑ cpp hk sources * sp02 95160 90 1mv v1 ap سلس16 1mv % sp02 pap nbp hr 28 / 15 ( 21 ) 120 / 80 ( 90 ) tindx 2. qtc 0 95 vp ( 960 0 ore $ 9. 0 86. 0 tc 483 st - ii 0. 4 ulse 6st - v1 - 1. 0 t - v5 0. 7 от 480 more italalarming silence next wave next patient my patients use rms bed the other bed window may be configured to display embedded in a specially designed screen. to display the embedded other bed screen element, in the change screen menu, select a screen designed to show the other bed information permanently.. co 40 20 pap 30 bed33 doe, john f * k ↑ cpp chk sources * * spo2 95 96 hr 60 rap 30 60 1mv spo2 1 blood 4سال 95 1mv 120 / 70 ( 91 ) bp nbp 28. 0 - 40m c. o. 120 / 80 st - ii 0. tcore st - avf 0. 0 37. 0 cvp stindx tcpo₂ c. i. 80 ( 9 ) 1. 0 cpco₂ 4нь changing the screen may automatically change the bed shown in the other bed window. if you switch to a different screen, you should check that the correct other bed is displayed. 30 5 managing patients and equipment other bed pop - up keys select the other patients smartkey or the other bed window or embedded @topic:10


# # # issue - the philips suresigns vs4 vital signs physiologic monitor is not yet operational. # # # impact - the device cannot be used to monitor patients'vital signs. # # # possible causes - the device has not been properly configured for use with the hospital's vendor system. - the device is not receiving a strong enough signal from the hospital's wi - fi network. - the device is not compatible with the hospital's vendor system. # # # recommendations - the biomedical engineer should check the device's configuration and ensure that it is set up correctly to use the hospital's vendor system. - the biomedical engineer should check the strength of the wi - fi signal in the area where the device is located. - if the wi - fi signal is weak, the biomedical engineer should move the device to a different location with a stronger signal. - if the device is still not operational, the biomedical engineer should contact the manufacturer for further assistance. @topic:22


# # # issue unable to determine the cause of failure. # # # impact the equipment may not be able to perform its intended function, which could impact patient care. # # # possible causes - the equipment may have been damaged during transport. - the equipment may have been mishandled by the user. - the equipment may have a manufacturing defect. # # # recommendations - inspect the equipment for any signs of damage. - review the user manual for proper handling and operation procedures. - contact the manufacturer to troubleshoot the issue and determine if there is a manufacturing defect. @topic:12


drug is the only entry in the list of drugs, no drugs have been preconfigured for your monitor. drug calculations can be performed for non - specific drugs. you must have a support tool to add additional drugs to the drug calculator. about the rule of six if the rule of six has been enabled for use with individual drugs in your drug calculator, you can use the formula in crisis situations to quickly calculate the amount of a drug needed to yield a target dose for continuous infusion for neonatal or pediatric patients ( the drug amount is given in “ mg ”, the patient weight in “ kg ” ). the rule of six can only be used with the dose unit mcg / kg / min. caution jcaho recommends disabling the rule of six. the configuration is not jcaho - compliant if rule of six is enabled. the drug calculator uses the following formula for rule of six calculations, based on the patient ’ s weight : • for a target dose of 0. 1 mcg / kg / min, the drug calculator multiplies 0. 6 x patient weight to calculate the amount you need to add to the iv solution to equal a total of 100 ml. • for a target dose of 1. 0 mcg / kg / min, the drug calculator multiplies 6. 0 x patient weight to calculate the amount you need to add to the iv solution to equal a total of 100 ml. performing calculations for a non - specific drug drug calculator any drug x if a list of drugs has not been configured for your monitor, you can use the drug calculator to calculate drug doses for a single, generic drug called “ any drug ”. selecting the arrow beside the drug name in the drug calculator window shows that are no other drugs configured. 1 enter three of these four values : dose, @topic:17


# # # issue - faulty bed is reported in ward 7c - the bed is listed as loaned to ward 7c # # # impact - the bed is not available for use in the ward # # # possible causes - the bed was not returned after use in ward 7c - the bed was damaged while in use in ward 7c and not reported - the bed was moved to another ward without being properly documented # # # recommendations - the ward should be contacted to confirm if the bed is still in their possession - if the bed is located in ward 7c, it should be inspected for any damage - if the bed is damaged, it should be repaired or replaced - the hospital should implement a system to track the movement of all medical devices, including beds - the hospital should ensure that all medical devices are properly maintained and inspected regularly @topic:9


# # # issue plugged power cord caused device malfunction. # # # impact - the device was unable to function properly. - patient care may have been compromised. # # # possible causes - the damaged power cord could have caused a short circuit, which could have damaged the device's internal components. - the damaged power cord could have caused the device to lose power, which would have prevented it from functioning properly. # # # recommendations - the power cord should be replaced with a new one. - the device should be tested to ensure that it is functioning properly. - the power cord should be inspected regularly for damage. @topic:12


# # # issue - missing nibp cuff connector # # # impact - inability to perform accurate nibp measurements # # # possible causes - connector may have become detached during transport or handling - connector may have been misplaced or lost # # # recommendations - inspect nibp cuff and tubing for any signs of damage or missing components - replace missing connector with a new one - retrain staff on proper handling and storage of nibp equipment - implement regular maintenance and inspection schedule to ensure all components are present and functional @topic:15


# # # issue - cuff too loose to provide accurate blood pressure readings. # # # impact - incorrect blood pressure readings can lead to incorrect diagnosis and treatment. # # # possible causes - cuff size is too large for the patient's arm. - velcro straps are worn or damaged. # # # recommendations - use a cuff that is the correct size for the patient's arm. - replace worn or damaged velcro straps. @topic:3


# # # issue - vital signs monitor is not functioning properly. # # # impact - inability to accurately measure and monitor vital signs of patients. # # # possible causes - specific cause of failure not provided in the given information. - however, given the context of technician fixing medical devices, possible causes could include : - hardware failure ( e. g., faulty sensors, damaged circuitry ) - software issues ( e. g., bugs, glitches ) - battery problems ( e. g., low battery, battery not properly installed ) - connection issues ( e. g., loose cables, improper connections ) - user error ( e. g., incorrect settings, improper handling ) # # # recommendations - further investigation and troubleshooting is recommended to determine the precise cause of failure. - if the issue is due to a hardware or software malfunction, repairs or replacement may be necessary. - if the issue is related to battery, ensure proper installation and consider replacing batteries if they are old or damaged. - check and ensure all connections are secure and properly established. - consult with the equipment manufacturer or a qualified technician for guidance and support. - train users on proper operation and handling of the equipment to minimize user error. @topic:2


/ h20 / h40 h30 ( deviations from h10 / 20 / 40 ) adult pedi neo adult pedi neo extreme alarms disabled aextreme high 15 10 5 aextreme low 15 10 5 high clamp 190 / 100 ( 125 ) 140 / 80 ( 100 ) 105 / 75 ( 75 ) low clamp 80 / 45 ( 65 ) 60 / 35 ( 45 ) 45 / 15 ( 30 ) 65 / 45 ( 65 ) scale 150 100 100 speed 25 mm / s mean only no filter 12 hz mercury cal. yes artifact suppr. 60 sec unit mmhg color red cvp, rap, lap, uvp settings factory defaults h10 / h20 / h40 h30 ( deviations from hi0 / 20 / 40 ) adult pedi neo adult pedi neo alarms from mean high limit 14 / 6 ( 10 ) 10 / 2 ( 4 ) 10 / 2 ( 4 ) low limit 61 - 4 ( 0 ) 21 - 4 ( 0 ) 2 / - 4 ( 0 ) alarms on extreme alarms enabled aextreme high 5 5 5 aextreme low 5 5 5 high clamp 20 / 10 ( 15 ) 15 / 5 ( 10 ) 15 / 5 ( 10 ) low clamp 0 / - 5 ( - 5 ) 0 / - 5 ( - 5 ) 0 / - 5 ( - 5 ) scale 30 speed 25 mm / s mean only yes filter 12 hz mercury cal. yes artifact suppr. 60 sec unit mmhg color light blue ( cyan ) blue 466 invasive pressure default settings 39 default settings appendix pap settings factory defaults adult pedi neo alarms from dia. high limit 34 / 16 ( 20 ) 60 / 4 ( 26 ) 60 / 4 ( 26 ) low limit 10 / 0 ( 0 ) 24 / - 4 ( 12 ) 2 41 - 4 ( 12 ) alarms on extreme @topic:8


# # # issue - electric bed head plug is shorted. # # # impact - the bed may not be able to be used. # # # possible causes - the plug may have been damaged. - the wires in the plug may have become loose. - the plug may not be properly seated in the outlet. # # # recommendations - inspect the plug for damage. - tighten the wires in the plug. - ensure that the plug is properly seated in the outlet. - replace the plug if necessary. @topic:9


# # # issue the input indicates that the bed scale is not functioning properly. # # # impact the inability of the bed scale to function properly can have a significant impact on patient care. accurate weight measurements are essential for proper diagnosis and treatment planning for all patients, and they are particularly critical for critically ill and obese patients. # # # possible causes the input does not provide any specific information about the cause of the failure. however, several possible causes could include : - mechanical problems : the bed scale may have a mechanical problem, such as a broken or jammed part. - electrical problems : the bed scale may have an electrical problem, such as a loose wire or a faulty sensor. - software problems : the bed scale may have a software problem, such as a corrupted file or a faulty program. # # # recommendations to resolve this issue, the following steps are recommended : 1. * * check the bed scale for mechanical problems. * * ensure that there are no loose or damaged parts that could be preventing the scale from functioning properly. 2. * * check the bed scale for electrical problems. * * ensure that the bed scale is securely connected to the power outlet and that there are no loose or damaged wires. 3. * * check the bed scale for software problems. * * if the bed scale has a display panel, check for error messages that may indicate a software problem. 4. * * contact the manufacturer of the bed scale. * * if you are unable to resolve the issue by following the steps above, contact the manufacturer of the bed scale for assistance. @topic:25


71085 1 handle, siderail 13 ca0015 1 siderail mount, painted 14 71436 1 cover, head 15 ca0016 1 head siderail mounting bracket, painted 16 72991 2 assembly spring guide, head 17 72791 1 spring, siderail dampening, head 18 ca0009 1 siderail center arm assembly, painted 19 s10953b 1 pivot pin, center ann, lower 20 vi0601a 6 screw careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 49 foot siderail — b model beds chapter 5 : parts list page 5 - 50 careassist® and careassist® es bed service manual ( man330 rev 4 ) foot siderail — b model beds chapter 5 : parts list table 5 - 18. foot siderail — b model beds item number part number quantity description 1 s10953b 1 pivot pin, center ann, lower 2 ca0017 1 foot siderail mounting bracket, painted 3 rm74803a 6 e - clip 4 72990 2 spring guide, assembly 5 72862 3 screw hilow 6 71087 1 cover, center ann 7 s10952b 1 pivot pin, center arm, upper 8 ca0009 1 assembly, siderail center arm assembly 9 s10951b 1 pivot pin, outer arm, upper 10 s10956b 2 pivot pin 11 71086 1 enclosure, center arm 12 71085 1 handle, siderail 13 ca0014 2 siderail arm, painted 14 rm74478a 2 washer, nylon 15 ca0008 1 foot siderail mechanism 16 vi0601a 6 screw 17 ca0015 1 siderail mount, painted 18 71436 1 cover, head 19 71018 1 side @topic:26


# # # issue - cuff bp adult ( blood pressure cuff ) is damaged and worn out. # # # impact - the vital signs monitor cannot accurately measure blood pressure. - this can lead to incorrect medical decisions being made, which could have serious consequences for the patient. # # # possible causes - the cuff may have been overinflated, causing it to stretch and become damaged. - the cuff may have been exposed to excessive heat or moisture, which can also damage the material. - the cuff may have been used too frequently, which can wear it out over time. # # # recommendations - replace the cuff with a new one. - train staff on how to properly use and care for the cuff. - regularly inspect the cuff for signs of damage. @topic:3


# # # issue - monitor, central station is not linking # # # impact - unable to monitor patients'vital signs and other essential data # # # possible causes - faulty lan connection - damaged or loose lan cable - misconfigured network settings # # # recommendations - check and reseat the lan cable connections at both the monitor and central station - replace the lan cable if it is damaged or loose - verify that the network settings are configured correctly - contact the equipment manufacturer or a qualified it technician for further assistance @topic:16


# # # issue - cuff degradation # # # impact - inability to accurately measure blood pressure - delayed or incorrect medical treatment # # # possible causes - normal wear and tear - excessive use - improper storage or handling # # # recommendations - replace the cuff with a new one - regularly inspect and calibrate the monitor to ensure accuracy - store the monitor and cuff in a clean, dry environment when not in use - train staff on proper use and handling of the monitor @topic:3


# # # issue - module is not able to lock into place on the monitor. # # # impact - the module may become detached from the monitor, which could lead to data loss or equipment damage. # # # possible causes - broken lock # # # recommendations - replace the lock. @topic:2


# # # issue - equipment : philips suresigns vs2 + vital signs monitor - issue : monitor is not charging # # # impact - inability to use the monitor to obtain vital signs from patients, which could delay or compromise patient care. # # # possible causes - faulty charging cable - damaged charging port on the monitor - internal electrical issue within the monitor # # # recommendations 1. * * verify the charging cable : * * ensure that the charging cable is securely connected to both the monitor and the power outlet. inspect the cable for any visible damage, such as cuts or tears. if the cable is damaged, replace it with a new one. 2. * * inspect the charging port : * * examine the charging port on the monitor for any debris, damage, or corrosion. clean the port with a soft cloth or compressed air. if the port appears damaged, contact a qualified biomedical engineer or manufacturer for repair. 3. * * troubleshoot the monitor : * * if the charging cable and port are in good condition, the issue may be internal. contact a qualified biomedical engineer to diagnose and repair the monitor. 4. * * consider preventive maintenance : * * regular preventive maintenance can help identify potential issues with medical devices and minimize the risk of failures. establish a schedule for routine inspections and maintenance of all biomedical equipment. @topic:11


# # # issue - battery failure # # # impact - loss of vital signs monitoring during surgery - potential for patient harm # # # possible causes - * * battery not properly installed * * - battery life exceeded - battery defective # # # recommendations - ensure battery is properly installed according to manufacturer's instructions - regularly check battery life and replace as needed - use only approved batteries from the manufacturer - use a battery tester to check battery health @topic:11


# # # issue - battery failure due to excessive heat buildup. # # # impact - loss of functionality of the medical cart. # # # possible causes - continuous use of the medical cart without breaks, leading to overheating. - faulty battery or charging system. - environmental factors, such as high temperature or humidity. # # # recommendations - limit continuous usage of the medical cart and allow for cool - down periods. - check the battery and charging system regularly for any signs of damage or malfunction. - ensure the medical cart is operated in a cool and dry environment. - replace the battery if it is found to be faulty. @topic:13


# # # issue - spo2 not displaying values # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - * * faulty spo2 sensor : * * the spo2 sensor may be damaged or malfunctioning, leading to inaccurate readings or no readings at all. - * * loose connection : * * the spo2 cable may be loose or disconnected from the monitor or the patient's finger, causing intermittent or no signal. - * * software glitch : * * a software issue in the monitor may be preventing the spo2 data from being processed or displayed correctly. - * * damaged monitor : * * the monitor itself may be damaged or malfunctioning, affecting its ability to receive and process spo2 signals. # # # recommendations - * * inspect the spo2 sensor : * * check the sensor for any visible damage or debris. clean or replace the sensor if necessary. - * * check connections : * * ensure that the spo2 cable is securely connected to both the monitor and the patient's finger. tighten any loose connections. - * * restart the monitor : * * turn off and restart the monitor to reset any software glitches. - * * contact a biomedical engineer : * * if the issue persists after following the above steps, contact a qualified biomedical engineer to further troubleshoot and repair the equipment. @topic:4


# # # issue : - battery failure in patient transport monitor ( intellivue mp40 ) # # # impact : - interruption of patient monitoring during transport - potential safety risks for patients without proper monitoring # # # possible causes : - * * battery degradation over time : * * batteries have a limited lifespan and gradually lose their capacity to hold a charge. - * * excessive use or charging : * * overusing or overcharging a battery can shorten its lifespan. - * * manufacturing defects : * * occasionally, batteries may have manufacturing defects that lead to premature failure. - * * external factors : * * extreme temperatures, humidity, or other environmental conditions can affect battery performance. # # # recommendations : - * * regular maintenance : * * conduct scheduled battery checks and replacements as recommended by the manufacturer. - * * proper usage practices : * * avoid overusing or overcharging batteries. - * * battery testing : * * use battery testing equipment to assess the condition of batteries and identify any potential issues. - * * use genuine batteries : * * opt for original or compatible batteries recommended by the device manufacturer to ensure optimal performance and longevity. - * * train staff : * * educate staff on proper battery handling and maintenance practices to prevent premature failure. @topic:11


# # # issue - the bed alarm of the electric bed is not functioning properly. # # # impact - patients may not be able to get the attention of hospital staff if they need assistance. - the bed alarm may not alert staff to potential dangers, such as a patient falling out of bed. # # # possible causes - the bed alarm may be faulty. - the wiring to the bed alarm may be damaged. - the bed alarm may not be properly calibrated. # # # recommendations - inspect the bed alarm for any visible damage. - test the bed alarm to ensure that it is functioning properly. - check the wiring to the bed alarm for any damage. - calibrate the bed alarm according to the manufacturer's instructions. - if the bed alarm is still not functioning properly, contact the manufacturer for assistance. @topic:26


measurement start auto series start / stop • < j > start / stop start / stop start nbp start stat measurement nbp stat • ■■■■ 1 timt nbp stat stat ( for mms without pressure / temp measurement ) • mi 1 start stat stop manual measurements start / stop • o svml® start / stop start / stop stop nbp stop current auto measurement start / stop • < s > start / stop start / stop stop nbp 180 enabling automatic mode and setting repetition time 10 monitoring nbp action to be performed nbp setup menu smartkeys mms hardkey stop current stat measurement and end series start / stop • a ivmi @ start / stop start / stop nbp stat ^ im 1 i it nbp stat stat ( for mms without pressure / temp measurement ) stop nbp stop auto, manual or stat measurement and series stop all liil® stop all caution use clinical judgement 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 in the setup nbp menu, select mode and select auto from the pop - up menu. 2 for an automatic measurement, select repeat time and set the time interval between two measurements. enabling sequence mode and setting up the sequence 1 in the setup nbp menu, select mode and select sequence from the pop - up menu. 2 select 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 cycles in a sequence, you can set the number of measurements for one or more cycles to off. 3 select each sequence in turn and select the number @topic:17


# # # issue - cuff is damaged # # # impact - monitor may not be able to accurately measure patient's vital signs. # # # possible causes - cuff may have been damaged during cleaning or handling. - cuff may have been used on a patient who was too large or too small for the cuff. - cuff may have been exposed to excessive heat or moisture. # # # recommendations - inspect the cuff for any damage. - replace the cuff if it is damaged. - use the appropriate size cuff for the patient. - avoid exposing the cuff to excessive heat or moisture. @topic:5


# # # issue - keyboard not functioning # # # impact - inability to input data or control the medical cart # # # possible causes - keyboard is not in the correct mode ( 2. 4g ) - bluetooth interference - faulty keyboard - software issue # # # recommendations - ensure the keyboard is in the correct mode ( 2. 4g ) - check for bluetooth interference and eliminate potential sources - replace the keyboard if necessary - update or troubleshoot any software issues @topic:27


# # # issue - equipment failure : monitor lcd # # # impact - unable to monitor patient's vital signs and other medical data # # # possible causes - faulty display panel - damage to internal components - loose connections - software glitches # # # recommendations - inspect the display panel for cracks or other damage - check the internal components for any loose connections or damage - update the software to the latest version - contact the manufacturer for further troubleshooting and repair options # # # additional information : - the equipment was transferred to another hospital, indicating that the failure may have occurred during transportation. - the hospital should have a system in place to ensure proper handling of equipment during transfers to prevent damage. @topic:2


# # # issue - monitor is not linking to the central monitor. # # # impact - the central monitor will not be able to receive data from the monitor. # # # possible causes - the ci address of the monitor is set to manual instead of multicast. # # # recommendations - set the ci address of the monitor to multicast. - test the link between the monitor and the central monitor. @topic:16


# # # issue : - equipment failure # # # impact : - patient monitoring may be compromised. - patient transport may be delayed. # # # possible causes : - cuff is not inflating properly. - cuff is leaking air. - cuff is worn or damaged. # # # recommendations : - inspect the cuff for any signs of wear or damage. - if the cuff is damaged, it should be replaced. - if the cuff is not inflating properly, the air pump may need to be checked. - if the cuff is leaking air, the leak should be identified and repaired. @topic:5


earth medically used room 74 me device ( iec 60601 - 1 ) | functional | connection outside of patieft vici id me device ( iec 60601 - 1 ) non - medically used room device inside or outside of patient vicinity protective earth, with different potential voltage me device it equipment ( iec 60601 - 1 ) ( iec 60950 ) zi b | functional device | b. functiona | = g inside or device : | = | connection | 48 / outside of inside or | * | wee pe. t | o : | atient pes » " t — r em dc pp! equipment vicinity = s outside of | i patient vicinily separation dbvice, if | rlecessdry proctective earth x protective earth, with different potential voltage medically used room non - medically used room system test procedure if the medical electrical device has already been tested as a standalone device e. g. during factory safety testing, an equipment leakage current test must only be performed once the device is connected to the lan network. if the medical electrical system has not been tested as a standalone device, the device has to be tested as a standalone device ( without connection to the system ) and as part of the system ( with connection to the system ). connect the detachable power cord of the device under test to the safety analyzer's test mains port. connect the enclosure test lead of the safety analyzer to the enclosure of the device under test, e. g. to the equipotential connector. refer to the documentation that accompanies the safety analyzer for further details on how to set up the test. expected test results equipment leakage current test sys ] < = 100ua ( normal condition ) equipment leakage current test sys2 < = 300ua ( single fault condition ) 15 after the testing @topic:10


# # # cause of failure : cuff deterioration # # # possible causes : - prolonged use of the cuff - exposure to excessive moisture or humidity - improper cleaning or disinfection - physical damage to the cuff # # # recommendations : - inspect the cuff regularly for signs of wear or damage. - replace the cuff if it shows signs of deterioration. - follow proper cleaning and disinfection procedures as recommended by the manufacturer. - use the appropriate cuff size for the patient. - store the cuff in a cool, dry place when not in use. # # # note : - the patient transport monitor is a philips intellivue mp20 ( m8001a ). - the cuff was replaced by the bme ( biomedical engineer ). - the device is now in working order. @topic:5


# # # issue the bed is unable to measure weight. # # # impact patients may not receive accurate weight measurements, which could affect their treatment. # # # possible causes * the weight scale is not calibrated correctly. * the weight scale is not connected properly to the bed. * the weight scale is damaged. * the software that controls the weight scale is not functioning properly. # # # recommendations * calibrate the weight scale according to the manufacturer's instructions. * check the connections between the weight scale and the bed. * inspect the weight scale for any damage. * update the software that controls the weight scale, if necessary. @topic:25


# # # issue - bed not functioning properly # # # impact - patient discomfort - delays in patient care - increased workload for staff # # # possible causes - equipment malfunction - user error - environmental factors # # # recommendations - inspect the bed for damage or loose connections. - check that the bed is plugged in and the power switch is turned on. - ensure that the bed is not overloaded. - train staff on proper use of the bed. @topic:9


# # # issue - equipment not adjusting - rusty bed rails # # # impact - patient safety and comfort may be compromised # # # possible causes - faulty control box - rusted bed rails # # # recommendations - replace control box - replace bed rails @topic:9


# # # issue - the nibp monitor is alarming for low battery. # # # impact - the nibp monitor may not be able to accurately measure blood pressure if it is not properly powered. this could lead to incorrect treatment decisions. # # # possible causes - the battery in the nibp monitor may be low. - the battery may not be properly connected to the nibp monitor. - the nibp monitor may be damaged. # # # recommendations - replace the battery in the nibp monitor. - ensure that the battery is properly connected to the nibp monitor. - if the nibp monitor is still alarming for low battery, contact ge healthcare for service. @topic:11


board cable. 12. remove the batteries ( k ). 13. remove the power supply ( d ) from the bed ( see figure 4 - 3 on page 4 - 9 ). page 4 - 10 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 3 power supply ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures replacement 1. do the removal procedures in reverse order. for cable connections, refer to table 4 - 1 on page 4 - 11. table 4 - 1. power supply connections connector number marking color identification 0 # 0 red not used la # la gray right hand siderail lb # lb gray left hand siderail 2 # 2 green foot section motor 3 # 3 blue head section motor 4 # 4 yellow foot hilow column 5 # 5 brown knee section motor 6 # 6 yellow head hilow column 2. check the dates shown on the batteries and replace them if they are older than three years. 3. check that the earth continuity of the accessible metal parts is correct ( see “ leakage current ” on page 6 - 8 in the preventive maintenance schedule ). shock hazard : an abnormally high leakage current is symptomatic of a degradation within the ac power cable and the power supply. personal injury could result if the value of the leakage current is above 500 microamperes. 4. check that the leakage current of the bed is compliant ( see “ leakage current ” on page 6 - 8 in the preventive maintenance schedule ). 5. to make sure the careassist® bed operates correctly, do the “ function checks ” on page 2 - 5. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 11 4. 4 battery ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures 4 @topic:26


# # # issue - motor not working # # # impact - bed cannot be adjusted # # # possible causes - motor failure - electrical issue - mechanical issue # # # recommendations - inspect motor and electrical connections - check for mechanical damage or obstructions - replace motor if necessary - consider consulting with the manufacturer for further troubleshooting assistance @topic:9


# # # issue - telemitry is not connected. # # # impact - the central station cannot receive data from the monitor. # # # possible causes - the telemitry antenna is not transmitting a signal. - the telemitry receiver in the central station is not receiving a signal. - the telemitry cable is damaged. - the telemitry software is not working properly. # # # recommendations - check the telemitry antenna and make sure it is transmitting a signal. - check the telemitry receiver in the central station and make sure it is receiving a signal. - check the telemitry cable for damage. - check the telemitry software and make sure it is working properly. - if the problem cannot be resolved, contact the manufacturer of the telemitry equipment. @topic:16


service center for repair. the tools required to repair the monitor are listed in “ tools required for service ” on page 5 - 2. if you open the case for a repair, you then must perform specific tests after reassembly. for detailed information about these tests, see chapter 3, “ performance verification testing. ” the philips parts center stocks board level assemblies and mechanical parts. chapter 6, “ replacement parts and assembly drawings, ” lists these parts and assemblies. service notes announce the availability of additional spare parts. for information about returning the monitor for repair, see “ clearing patient data ” on page 4 - 37 and the suresigns vs2 * and vsi installation and configuration guide. when you cannot correct a problem the information in this chapter is intended to help you resolve most problems that may occur with your monitor. if you still cannot isolate a problem after using the information in this chapter, call the philips customer care center or your local representative. troubleshooting suresigns vs2 * and vsi service guide 4 - 1 viewing system information viewing system information you can view monitor information, such as the hardware id and the software version, in the system information window. to view the system information window : step 1 select the system button. the system menu appears with the current settings displayed. system menu vs2t only a recorder speed : 25. 0 mm / s waveform print : 20 seconds date format : mm / dd / yyyyy display time : yes default patient type : monitor name : us00200041 save patient records shutdown system info system admin 2 select the system info button. the system information window appears. system information serial number : us10101040 hardware id : 3 - 0 - dc software version : b. 01. 33 lan mac address : 00 - 20 - cb - ff - 13 - e1 lan ip address : 0. @topic:22


# # # issue - knob missing from monitor. # # # impact - inability to adjust monitor settings. # # # possible causes - knob was not properly tightened. - knob was damaged during use. - knob was stolen. # # # recommendations - ensure that the knob is properly tightened before use. - inspect the knob for damage before and after use. - report any missing knobs to the appropriate personnel. @topic:2


# # # issue : - equipment malfunction due to interference from ac # # # impact : - patient monitoring may be inaccurate or interrupted - patient safety may be compromised # # # possible causes : - faulty grounding of the equipment - electrical interference from nearby devices - damaged bis module # # # recommendations : - * * verify grounding : * * ensure the equipment is properly grounded to eliminate ac interference. - * * inspect nearby devices : * * identify and eliminate sources of electrical interference from other devices. - * * inspect bis module : * * check the bis module for damage or malfunction and replace if necessary. - * * monitor performance : * * regularly monitor the equipment to ensure it is operating within specifications and address any issues promptly. - * * train staff : * * train biomedical staff on proper equipment maintenance and troubleshooting to minimize the risk of such failures. @topic:12


# # # issue - motor deterioration leading to unusual noises when adjusting the bed's headboard and footboard. # # # impact - impaired bed functionality, affecting patient comfort and nursing care. - potential safety hazard if the bed malfunctions during patient use. # # # possible causes - wear and tear due to extended usage. - electrical issues within the motor or control system. - improper lubrication or maintenance of the motor. - manufacturing defects. # # # recommendations 1. * * replace motor : * * order and install a new motor for both the headboard and footboard as per the vendor's recommendation. 2. * * electrical inspection : * * conduct a thorough electrical inspection of the bed's wiring, connections, and control system to identify any potential issues. 3. * * lubrication and maintenance : * * ensure proper lubrication and adherence to manufacturer - specified maintenance schedules to prevent premature motor failure. 4. * * monitor performance : * * regularly observe the bed's functionality and address any unusual noises or performance issues promptly to prevent further deterioration. @topic:9


# # # issue - telemetry ekg module is not capturing signals # # # impact - inability to monitor patient's heart activity, leading to potential delays in diagnosis and treatment # # # possible causes - device malfunction due to hardware or software issues - loose or disconnected electrodes - interference from other electrical devices - patient movement or position # # # recommendations 1. * * inspect the device : * * check for any physical damage or loose connections. ensure that the power supply is stable and adequate. 2. * * examine the electrodes : * * verify that the electrodes are properly attached to the patient's skin and that the contact is secure. 3. * * eliminate interference : * * move the patient away from potential sources of electrical noise, such as cell phones or monitors. 4. * * reposition the patient : * * ensure that the patient is in a comfortable and stable position that minimizes movement. 5. * * restart the device : * * shut down and restart the telemetry ekg module to reset any potential software glitches. 6. * * calibrate the device : * * perform a calibration procedure to ensure accurate signal acquisition. 7. * * contact the manufacturer : * * if the issue persists, reach out to the device manufacturer for technical assistance or a replacement module. @topic:18


* * issue : * * - broken spo2 extension cable * * impact : * * - inability to monitor patient's oxygen saturation levels * * possible causes : * * - * * aging and wear : * * the extension cable had exceeded its expected lifespan. - * * environmental factors : * * exposure to heat, moisture, or chemicals can degrade the cable material. - * * physical damage : * * the cable may have been stretched, kinked, or stepped on. * * recommendations : * * - * * regular maintenance : * * conduct periodic inspections and testing to identify any potential damage or deterioration. - * * use of high - quality cables : * * invest in durable and reliable extension cables that are designed for medical use. - * * proper handling and storage : * * store cables safely to prevent damage during transport or storage. - * * timely replacement : * * replace cables regularly according to manufacturer guidelines or when signs of degradation are observed. @topic:4


# # issue the electric bed, model 4325, manufactured by maquet, is unable to adjust the head position. # # impact patients may experience discomfort or pain due to the inability to adjust the bed's position. this can also hinder medical staff's ability to provide proper care. # # possible causes - * * faulty remote control : * * the remote control may be malfunctioning, preventing signals from being sent to the bed's control unit. - * * damaged wiring or connections : * * loose or damaged wiring connections between the remote control, bed frame, and control unit can disrupt signal transmission. - * * internal control unit error : * * a malfunction within the bed's control unit can prevent it from responding to commands from the remote control. - * * mechanical obstruction : * * foreign objects or debris may be blocking the bed's gears or motors, preventing movement. - * * damaged actuators : * * the actuators responsible for adjusting the bed's position may be defective or broken. # # recommendations - * * inspect and test remote control : * * ensure the remote control is operational by testing its buttons and batteries. if faulty, replace the remote control. - * * check wiring and connections : * * inspect the wiring and connections throughout the system, ensuring they are secure and intact. repair or replace any damaged components. - * * reset control unit : * * if the control unit is suspected to be faulty, perform a power reset by unplugging the bed and plugging it back in. this may resolve software glitches. - * * clear obstructions : * * remove any foreign objects or debris that may be hindering the bed's movement. - * * diagnose and repair actuators : * * if the actuators are suspected to be damaged, consult a qualified technician to dia @topic:1


# # # issue remote control is malfunctioning. # # # impact the bed may not be able to be operated properly, which could lead to patient discomfort or injury. # # # possible causes - the remote control may be damaged. - the batteries in the remote control may be dead. - there may be a loose connection between the remote control and the bed. # # # recommendations - inspect the remote control for any damage. - replace the batteries in the remote control. - check the connection between the remote control and the bed. - if the problem persists, contact the manufacturer of the bed. @topic:7


# # # issue - remote control failure # # # impact - inability to operate the bed - inconvenience to patients and staff # # # possible causes - physical damage to the remote control ( e. g., dropped, crushed ) - electrical malfunction ( e. g., loose connections, faulty components ) - software issues ( e. g., firmware corruption ) # # # recommendations - replace the remote control with a new one - inspect the remote control for any physical damage or loose connections - verify the firmware version and update if necessary - test the remote control thoroughly before returning it to service @topic:7


calculation time 1. 80 m² weight - bsa 8. 00 l / min 4. 44 l / min / m² c. o. c. i. 0 bpsv 100. 0 ml 55. 6 ml / mhr si abps 510 ds / cm5 80 ds / cm5 918 dsm2 / cm5 svri abpd pvri 144 dsm / cm5. 7 kg - abpm. 6 kg - m / mlcwi 8. 5 g - 2. 5 g - m / maps lvswi. 74 kg - 0. 97 kg - m / m² apd rcwi 1. 76 g - 2. 09 g - m / mpapm rvswi pawp 2 mmh4 mmhcvpm 4 5 1 2 calculation time 3 4 calculations input values 5 6 indexed calculation values calculations pop - up keydepending on the calculations group you choose, a selection of pop - up keys will navigate through the stored events and carry out calculations - related tasks. ppear oselecting this pop - up key lets you.... pop - up keys use the most recent monitored values. resampling sets the calculation time to the current time, and displays the corresponding values for the previous second. 26 24 calculations selecting this pop - up key lets you.... pop - up keys perform calc perform the displayed calculation using the currently - input values and store the calculation in the calculations database print / recotetime toggle between showing the date and time or the units for the calculation input values. on / off ranges toggle between showing the normal ranges or the units for the calculation cardiac output access the c. o. procedure window. hemo review open the ventilation calculations review window. vent review to enter the calculations review window, select the oxygen review, vent review, or hemo review the review window lists all the input @topic:17


most recent set of data received. the data is grouped into categories : blood gases. electrolytes • hematology • metabolites • chemistry. • coagulation • urine diagnostics • if no results are available for a particular category, that category will not be shown. values which were entered manually at the information center will be marked with an asterisk ( * ). 403 5 laboratory data 04 36 mx400 / the lithium ion batteries used in your monitor store a large amount of energy in a small package. this mx450 / allows reliable battery - operated monitoring but also requires care in use and handling of the batteries. mx500 / follow the instructions in this chapter and refer for further details to the service guide. mx550 one philips m4605a rechargeable lithium ion battery must be inserted into the battery compartment on the right side of the monitor to use the monitor with battery power. 1 1 battery compartmenyou can switch between battery - powered and mains - powered ( ac ) operation without interrupting monitoring. the battery recharges automatically when the monitor is connected to mains power. the battery led and battery status information on the main screen, in combination with inop messages and prompts, help you keep track of the battery power status. the indicators always show the remaining capacity in relation to the battery's actual maximum capacity, which may lessen as the battery ages. you can see the actual capacity in the battery status window. 405 the battery led on the front panel of the monitor is indicated by a battery symbol. 1 1 if the monitor is running on battery power, this means if the monitor is connected to mains power, this means green battery charging ( battery powe < 90 % ) yellow less than 10 minutes power ing red, flashing the status of the battery is shown, with the battery power remaining and, when the battery is @topic:11


# # # issue - printer is not working. # # # impact - unable to print data from the monitor or central station. # # # possible causes - printer cable is loose or disconnected. - printer is old and needs to be replaced. - printer driver is not installed or is outdated. - printer is jammed or has a paper jam. - printer is not turned on or is not connected to power. # # # recommendations - check the printer cable and make sure it is securely connected to the monitor or central station and to the printer. - replace the printer if it is old or damaged. - install or update the printer driver. - clear any paper jams or remove any obstacles that may be preventing the printer from operating properly. - turn on the printer and make sure it is connected to power. @topic:28


# # # issue : - battery failure in nibp monitor # # # impact : - interruption of patient monitoring - inaccurate blood pressure readings # # # possible causes : - battery life has expired - battery has been improperly charged or stored - battery terminals are damaged or corroded # # # recommendations : - replace the battery with a new one - ensure that the battery is properly charged and stored - inspect the battery terminals for damage or corrosion. clean the terminals if necessary @topic:11


# # # issue the bed's leg cannot be adjusted down. # # # impact the bed cannot be lowered to a height that is comfortable for the patient, which can cause discomfort and difficulty with mobility. # # # possible causes - the control box is faulty. - the electrical connections between the control box and the leg motors are faulty. - the leg motors are faulty. # # # recommendations - replace the control box. - check the electrical connections between the control box and the leg motors. - replace the leg motors. @topic:1


# # # issue the medical cart is unable to boot into the windows operating system. # # # impact the medical cart is not functional and cannot be used to provide medical care. # # # possible causes - the boot options in the bios are not set correctly. - the hard drive containing the windows operating system is failing. - the motherboard is failing. # # # recommendations - verify that the boot options in the bios are set correctly. - run a diagnostic test on the hard drive to check for errors. - if the hard drive is failing, replace it with a new one. - if the motherboard is failing, replace it with a new one. @topic:13


# # # issue the blood pressure cuff on the philips suresigns vs2 vital signs monitor is not inflating. # # # impact patients may not be able to have their blood pressure accurately measured, which could delay or prevent appropriate medical treatment. # # # possible causes * the cuff is not properly connected to the monitor. * the cuff is damaged. * the monitor is not functioning properly. * the patient's blood pressure is too low to inflate the cuff. # # # recommendations * check that the cuff is properly connected to the monitor. * inspect the cuff for any damage. * test the monitor with a different cuff. * if the issue persists, consult with a biomedical engineer or the manufacturer of the monitor. @topic:15


# # # issue - displaying green and distorted images # # # impact - compromised patient monitoring due to distorted vital signs and waveforms - difficulty interpreting patient data and making informed decisions # # # possible causes - loose ribbon cable on the board - oxidized connector pins # # # recommendations - securely reconnect the ribbon cable to the board - clean the contact pins on the connector to remove oxidation - test the device to confirm that the green and distorted image issue has been resolved @topic:2


dns query status. touch ok. 4. service manual advanced settings 25 do one of the following : 5. to continue in advanced settings, touch another tab. • to exit advanced settings and return to the home tab, touch exit. review the open source software disclosure in advanced settings, touch the general > open source tabs. 1. read welch allyn's disclosure about its use of " free " or " open source " software. 2. do one of the following : 3. to continue in advanced settings, touch another tab. to exit advanced settings and return to the home tab, touch exit. parameters tab specify advanced nibp settings 1. in advanced settings, touch the parameters > nibp tabs. 2. specify settings. action / description setting default view select default primary and secondary views. select the nibp unit of measure for display. unit of measure ube typselect the number of tubes that are connected to the nibp cuff that is used with this monitor. if you select 1 tube, the device sets the algorithm to step, disabling other options. select the default algorithm used to determine nibp measurements. enter a default cuff inflation pressure for each typf patient. uff inflation targedo one of the following : 3. to continue in advanced settings, touch another tab. to exit advanced settings and return to the home tab, touch exit. specify advanced temperature settings 1. in advanced settings, touch the parameters > temperature tabs. 2. specify settings. 1. action / description etting unit of measure select primary units of measure for the temperature e home tab enable to display primary units of measure and secondary units of measure for the temperature n the home tab. do one of the following : 3. to continue in advanced settings, touch another tab. to exit advanced settings and return to the home tab, touch exit. d @topic:17


# # # issue - the electric bed is not adjustable. # # # impact - patients may be unable to get out of bed or may be uncomfortable in bed. # # # possible causes - the remote control is locked. - the bed motor is not working. - the bed frame is damaged. # # # recommendations 1. check the remote control to make sure that it is not locked. 2. if the remote control is not locked, check the bed motor to make sure that it is working. 3. if the bed motor is working, check the bed frame to make sure that it is not damaged. 4. if the bed frame is damaged, replace the bed. @topic:1


* * issue : * * remote control has issues * * impact : * * difficulty in operating the bed * * possible causes : * * * * * defective buttons : * * buttons on the remote control may be malfunctioning due to wear and tear or damage. * * * electrical fault : * * electrical connections within the remote control may have become loose, causing intermittent or complete failure. * * * battery issues : * * the remote control batteries may be depleted or making poor contact, resulting in insufficient power for operation. * * * signal interference : * * other wireless devices or electronic equipment in the vicinity may be causing signal interference, disrupting the communication between the remote control and the bed. * * * software glitch : * * an internal software error in the remote control may be preventing it from functioning properly. * * recommendations : * * * * * inspect the buttons : * * examine the remote control buttons for any physical damage or signs of wear and replace if necessary. * * * check electrical connections : * * disassemble the remote control and inspect the electrical connections for loose wires or corrosion. tighten or repair as needed. * * * replace batteries : * * install new batteries of the correct type and ensure they make secure contact within the remote control. * * * eliminate interference : * * identify and remove any potential sources of wireless interference in the area. * * * reset remote control : * * try resetting the remote control by following the manufacturer's instructions. this may resolve any software glitches. * * * contact manufacturer : * * if the above measures do not resolve the issue, contact the manufacturer for further assistance. @topic:7


temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. 866 ( 46 ) temp probe error ( 46 ) measurement above verify conditions at 50°f. if conditions are allowable temperature values and far above the high ambient and / or patient limits. valid and problem persists, replace the temperature probe. if the problems, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. troubleshooting suresigns vs4 service guide 4 - 19 error codes code description possible cause action 866 ( 52 ) | temp probe error ( 52 ) probe not replace the probe. characterized / calibrated. if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. 866 ( 63 ) | temp probe error ( 63 ) probe well missing or not | reseat or replace the well. installed properly. if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. 866 ( 70 ) | temp probe error ( 70 ) error reading the probe's shut down ( see “ shutting down the eeprom. monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature probe. 866 ( 75 ) | temp probe error ( 75 ) error reading the probe's shut down ( see “ shutting down the eeprom correctly or the | monitor ” on page 5 - 2 ) and restart the probe was not factory monitor. tested. if the problem persists, replace the temperature probe. 866 ( 78 ) | temp module malfunc ( 78 ) the probe ’ s non - volatile shut down ( see “ shutting @topic:20


# # # issue - the bed's side rails cannot be adjusted. # # # impact - patient safety is compromised. - nursing staff cannot provide adequate care. # # # possible causes - damaged side rail motor - loose or disconnected wires - faulty control panel - software malfunction # # # recommendations - inspect the side rail motor for any damage. - check all wires and connections for looseness or disconnections. - inspect the control panel for any signs of damage or malfunction. - update the software if necessary. - if the problem cannot be resolved, contact the manufacturer for further assistance. @topic:6


# # # * * issue * * - lcd monitor not turning on in one of the operating rooms # # # * * impact * * - inability to monitor patient vitals and provide necessary medical care # # # * * possible causes * * - faulty adapter - loose connections - damage to the monitor's internal components # # # * * recommendations * * - check the power adapter and ensure it is securely connected to both the monitor and the power outlet. - inspect the monitor's cables and connections for any signs of damage or loose connections. - if the issue persists, contact a qualified biomedical engineer or the manufacturer for further troubleshooting and possible repair. @topic:2


# # # issue loud noise when the bed is adjusted # # # impact * patient discomfort * potential for electrical hazard * interference with other medical devices # # # possible causes * faulty motor * loose or damaged gears * electrical short * worn bearings # # # recommendations * replace the motor * inspect and tighten gears * check for electrical shorts * replace worn bearings * ensure the bed is properly maintained and inspected regularly @topic:9


# # # issue - the cause of failure is not provided in the input. # # # impact - the impact of the failure is not known. # # # possible causes - the equipment may have a hardware or software issue. - the equipment may have been damaged during use. - the equipment may have been improperly calibrated. # # # recommendations - the equipment should be sent to a qualified technician for repair. - the equipment should be recalibrated after repair. - the equipment should be used according to the manufacturer's instructions. @topic:12


# # # issue - signal not displayed on monitor screen # # # impact - inability to monitor patient's vital signs - delay in diagnosis and treatment # # # possible causes - loose cable connections - faulty cable or connector - defective monitor - software issue # # # recommendations - ensure all cables are securely connected - replace any damaged cables or connectors - test monitor with another device to rule out monitor failure - contact manufacturer for software troubleshooting assistance @topic:2


ear ) mode, the absolute temperature measurement without adjustment is displayed. in other modes, the tympanic measurement is adjusted to compensate for the average difference in temperature at each of the measurement sites. the following table shows the calculations used to adjust the displayed temperature : mode calculation oral ( orl ) ear mode measurement + 0. 60°c core ( core ) ear mode measurement + 1. 04°c rectal ( rec ) ear mode measurement + 1. 16°c wireless module a - 8 the wireless module includes a radio board and an antenna. the module provides wireless connectivity for the monitor. the radio board interfaces with the main board through a 20 - pin connector. the antenna interfaces with the radio board through a mmcx ( micro - miniature coaxial ) connector. the module supports all 802. 1 1a, 802. 11b, and 802. 11g data rates and automatically adjusts data rates and operational modes based on various environmental factors. theory of operation suresigns vs4 service guide b electromagnetic compatibility this appendix lists the tests and compliance levels that make the suresigns vs4 vital signs monitor suitable for use in the specified electromagnetic environment according to iec 60601 - 1 - 2 : 2001. instructions for use warning medical electrical equipment can either generate or receive electromagnetic interference. this product has been evaluated for electromagnetic compatibility ( emc ) with the appropriate accessories according to iec 60601 - 1 - 2, the international standard for emc for medical electrical equipment. this iec standard has been adopted in the european union as the european norm, en 60601 - 1 - 2. radio frequency ( rf ) interference from nearby transmitting devices can degrade performance of the product. electromagnetic compatibility with surrounding devices should be assessed prior to using the product. fixed, portable, and mobile radio frequency communications equipment can also affect the performance of medical equipment. see your service provider for assistance with @topic:10


# # # issue - bed alarm not functioning correctly # # # impact - inability to alert staff to patient needs in a timely manner # # # possible causes - faulty bed alarm - damaged or worn jack - loose or disconnected wiring # # # recommendations - replace the bed alarm - replace the jack - check and tighten all wiring connections - consider using a 90 - degree head for the bed alarm to prevent future damage @topic:26