inspect the monitor, measurement accessories and cables for any damage. are they free of damage? power on power on the monitor. does it start up successfully without errors? do all alarm lamps light up during power up? after start up, the monitor sounds a tone, and you can see the monitoring main screen ( normally with measurement wave channels and numeric positions ). functionality test after power up, touch the battery status indicator in the bottom right of the screen. the battery status window should open. press the blue main screen key to close the window and return to the main screen. safety tests ( 1 ) to ( 4 ) | perform safety tests ( 1 ) to ( 4 ), as described in the testing and maintenance chapter, for standalone devices if required by local laws and regulations, and each time you combine equipment to form a system, or exchange system components. details of the safety tests and procedures are described in the testing and maintenance chapter. these safety tests are derived from international standards but may not always be sufficient to meet local requirements. perform the system test according to iec 60601 - 1 - 1, if applicable, after combining equipment to form a system ( see the testing and maintenance chapter ). 211 for test and inspection information regarding repairs, upgrades and all other service events, refer to the testing and maintenance chapter. configuration tasks you must configure these settings during installation in configuration mode. - line frequency - altitude - equipment label ( for wireless networked monitors, or when the information center is in flexible monitoring mode ). - ip address, subnet mask and default gateway ( for manual ip address configuration - only in service mode ) - ecg cable colors - height and weight units - igmp, ci mode, ci address, ci ttl ( for customer supplied clinical network ( cscn ) routed bedside configurations ) - only in service mode ) checking country - specific default settings some settings @topic:22


thus a physician must determine the clinical significance of the nbp information. measurements are impossible with heart rate extremes of less than 40 bpm or greater than 300 bpm, or. the measurement may be inaccurate or impossible : with excessive and continuous patient movement such as shivering or convulsions • if a regular arterial pressure pulse is hard to detect with cardiac arrhythmias • with rapid blood ressure changes • with severe shock or hypothermia that reduces blood flow to the peripheries ith obesity, where a thick layer of fat surrounding a limb dampens the oscillations coming frohe artery. on an edematous extremity. • the effectiveness of this sphygmomanometer has not been established in pregnant, including pre - eclamptic patients. when the accelerated measurement is used the minimum number of oscillations per deflation step is 1, instead of the 2 in the standard measurement. this allows a faster measurement result but requires that the patient keeps the limb in question still. the accelerated measurement is recommended for use when very few or no artifacts are expected, for example with sedated patients. you can see whether the accelerated measurement is in use by looking in the setup nbp menu. the accelerated msmt setting shows whether the accelerated measurement is off, on for manual measurements or on for all measurements. this setting is view - only in monitoring mode and can be changed in configuration mode. when the accelerated measurement is in use, no pulse rate is derived from nbp. measurement modes there are four modes for measuring nbp : manual measurement on demand. • auto continually repeated measurements ( between one minute and 24 hours adjustable interval ). • sequence - up to four measurement cycles which will run consecutively, with number of measurements and interval between them configurable for each cycle. • stat rapid series of measurements @topic:17


# # # issue - missing joint connector. # # # impact - the monitor may not be able to properly connect to the patient. - this could lead to inaccurate or incomplete data being collected, which could in turn lead to incorrect treatment decisions being made. # # # possible causes - the joint connector may have been lost or misplaced. - the joint connector may have been damaged. # # # recommendations - check to see if the joint connector is lost or misplaced. if it is, replace it with a new one. - if the joint connector is damaged, replace it with a new one. - inspect the joint connector regularly to ensure that it is in good condition. @topic:2


# # # issue : the telemetry ekg module is not capturing patient data and is displaying a flat line on the monitor. # # # impact : the inability to capture accurate patient data can compromise patient care and lead to delayed or incorrect diagnoses. # # # possible causes : * * 1. incorrect patient positioning : * * - the patient may not be positioned correctly, resulting in poor contact between the electrodes and the patient's skin. * * 2. electrode malfunction : * * - the electrodes may be damaged or loose, causing poor signal transmission. * * 3. cable damage : * * - the cable connecting the electrodes to the module may be damaged, causing signal loss. * * 4. module hardware failure : * * - the module itself may have a hardware malfunction, such as a faulty sensor or a damaged circuit board. # # # recommendations : * * 1. check patient positioning : * * - ensure that the patient is positioned correctly and that the electrodes have good contact with the skin. * * 2. inspect electrodes : * * - check the electrodes for damage or loose connections. replace any damaged or worn electrodes. * * 3. inspect cables : * * - check the entire length of the cable for any visible damage or loose connections. replace the cable if necessary. * * 4. test module hardware : * * - if the above steps do not resolve the issue, test the module hardware using a diagnostic tool or by connecting it to a known - good patient. * * 5. contact manufacturer : * * - if the issue persists or if the module hardware fails the diagnostic test, contact the manufacturer for further assistance or warranty replacement. @topic:18


# # # issue - spo2 cable is broken. # # # impact - patient monitoring is affected. # # # possible causes - the spo2 cable may have been damaged due to : - physical damage, such as being pinched or cut. - wear and tear over time. - improper handling or storage. # # # recommendations - replace the spo2 cable with a new one. - inspect the spo2 cable regularly for any signs of damage. - ensure that the spo2 cable is properly handled and stored to prevent damage. @topic:4


into account the recommendations given below ) or a disinfecting spray. • use a product that complies with standard en 14885 ( bactericide including tb, fungi and viruses, including hiv - 1 and hbv ).. chlorine ( 26, 000ppm ) solution that complies to en 13727 and en 13624 can be used, but has the risk of discoloration. non coated metal parts should be rinsed to prevent pitting corrosion. • formaldehyde, or phenol - based products and solvents of any kind ( toluene, xylene or acetone ). never use abrasives, cleaning powder or cleaning pads that may damage recommended cleaning and disinfection method always wipe downward, working from the cleanest to the dirtiest areas.. • keep wipes damp ( wet as many times as needed and do not wring out tomuch water ).. let product dry according to disinfectant manufacturer's recommendations to ensure maximum efficiency. • rinse if necessary : follow the recommendations of the disinfectant supplier. change wipes when cleaning the least contaminated areas to areas of • medium or to highly contaminated areas. •. [UNK] wipe away any traces of pharmaceutical solutions used for the patients to avoid damage to the surface. to remove tough stains, use standard household cleaners and a soft bristle brush. to loosen heavy, dried - on soil or excreta, you may first need to saturate the spot. steam cleaning these beds can be steam cleaned. however, in order to avoid any damage or deterioration caused by high pressure or abnormal surface temperature, the should be taken : avoid any excess water and use reduced steam pressure with microfiber support when cleaning electrical components ( control unit, actuators, lateracaregiver units, half - siderails with keypad @topic:9


# # # issue - device was in peditrics mode instead of adult mode. # # # impact - the device may not have been providing accurate readings. - the device may not have been able to be used for its intended purpose. # # # possible causes - the device may have been accidentally switched to peditrics mode. - the device may have been set to peditrics mode by a previous user. # # # recommendations - the technician should always check the device's settings to ensure that it is set to the correct mode for the patient. - the technician should train users on how to properly use the device and how to avoid accidentally switching it to the wrong mode. @topic:2


# # # issue - the cuff of the bedside physiologic monitor is damaged. - the air hose of the bedside physiologic monitor is leaking. # # # impact - the monitor may not be able to accurately measure patient vital signs. # # # possible causes - the cuff may have been damaged due to improper use or storage. - the air hose may have been damaged due to improper installation or use. # # # recommendations - replace the damaged cuff. - replace the damaged air hose. - inspect the monitor and all accessories for any other damage. - train staff on proper use and storage of the monitor and accessories. @topic:5


# # # issue - cuff not measuring correctly # # # impact - incorrect patient monitoring - potential for patient harm # # # possible causes - cuff is damaged or worn - cuff is not the correct size for the patient - cuff is not properly attached to the monitor - monitor is malfunctioning # # # recommendations - replace the cuff - ensure that the cuff is the correct size for the patient - properly attach the cuff to the monitor - test the monitor to ensure that it is functioning properly @topic:5


# # # issue - the bed's side rails cannot be lowered. # # # impact - the patient cannot get out of bed safely. - the bed cannot be used for patient care. # # # possible causes - the side rails are stuck due to a mechanical [UNK] [UNK]. - the side rails are not properly adjusted. - the side rails are blocked by an object. - the bed is not properly assembled. # # # recommendations - check the side rails for any mechanical [UNK] [UNK]. - adjust the side rails to the proper position. - remove any objects that are blocking the side rails. - check the bed assembly to make sure it is correct. @topic:6


# # # issue - defective cuff # # # impact - inability to accurately measure vital signs # # # possible causes - normal wear and tear - improper storage or handling - exposure to extreme temperatures or humidity # # # recommendations - regularly inspect and replace cuffs as needed - store cuffs in a cool, dry place - avoid exposing cuffs to extreme temperatures or humidity - ensure that cuffs are properly fitted to patients @topic:5


for exact requirements for the measurement equipment and for measurement circuits for protective earth resistance and leakage currents. refer to the documentation that accompanies the test equipment. only certified technicians should perform safety testing. - the consistent use of a safety analyzer as a routine step in closing a repair or upgrade is emphasized as a mandatory step to maintain user and patient safety. you can also use the safety analyzer as a troubleshooting tool to detect abnormalities of line voltage and grounding plus total current loads. - during safety testing, mains voltage and electrical currents are applied to the device under test. ensure that there are no open electrical conductive parts during the performance of these tests. avoid that users, patients or other individuals come into contact with touch voltage. - for europe and asia / pacific, the monitor complies with : iec60601 - 1 : 1988 + a1 : 1991 + a2 : 1995 = en60601 - 1 : 1990 + a1 : 1993 + a2 : 1995 iec60601 - 1 - 1 : 2000 for usa, the monitor complies with : ul60601 - 1 for canada, can / csa c22. 2 # 601. 1 - m90 - local regulations supersede the testing requirements listed in this chapter. - ifa non - medical electrical device is connected to a medical electrical device, the resulting medical electrical system must comply with iec / en 60601 - 1 - 1. - perform safety tests as described on the following pages. 37 safety test procedures use the test procedures outlined here only for verifying safe installation or service of the product. the setups used for these tests and the acceptable ranges of values are derived from local and international standards but may not be equivalent. these tests are not a substitute for local safety testing where it is required for an installation or a service event. if using an approved safety tester, perform the tests @topic:10


# # # issue - medical cart has a faulty power plug. # # # impact - medical equipment may not be able to receive power, which could lead to a loss of functionality. # # # possible causes - the power plug may have been damaged by physical trauma, such as being dropped or crushed. - the power plug may have been exposed to moisture or other corrosive elements, which could have caused the contacts to rust or corrode. - the power plug may have been manufactured with a defect. # # # recommendations - the power plug should be replaced with a new one. - the medical cart should be inspected for other damage. - the power plug should be protected from physical trauma and exposure to moisture or other corrosive elements. @topic:13


# # # issue propaq : exam room - unable to remove the metal plug on the bp measurement line. # # # impact the device cannot be used to measure blood pressure. # # # possible causes - the metal plug may have been overtightened, causing the threads to become damaged. - the metal plug may have become corroded, making it difficult to remove. - the user may not have had the proper training or experience to remove the metal plug. # # # recommendations - check the threads on the metal plug and the bp measurement line for damage. if the threads are damaged, the metal plug will need to be replaced. - if the metal plug is corroded, it can be soaked in a penetrating lubricant to help loosen it. - ensure that the user has the proper training and experience to remove the metal plug. @topic:15


# # # issue the bed, electric unit is not adjusting up and down. # # # impact the patient cannot be positioned correctly for treatment or comfort. # # # possible causes - the power cord is not plugged in. - the circuit breaker or fuse for the unit has tripped. - the up / down switch is not functioning properly. - the motor that drives the up / down movement is not working. - the control board that operates the unit is not functioning properly. # # # recommendations 1. check that the power cord is plugged in and that the circuit breaker or fuse has not tripped. 2. inspect the up / down switch for any damage or loose connections. 3. test the motor by manually turning the up / down shaft. if the motor does not turn, it may need to be replaced. 4. if the motor turns but the unit does not adjust up and down, the control board may need to be replaced. @topic:1


# # # issue the monitor is displaying a " replace battery " message. # # # impact the monitor may not be able to provide accurate readings if the battery is not replaced. # # # possible causes - the battery is old and needs to be replaced. - the battery is not properly seated in the monitor. - there is a problem with the battery charging system. # # # recommendations - replace the battery. - ensure that the battery is properly seated in the monitor. - check the battery charging system. @topic:11


# # # issue the electrocardiogram ( ekg ) cable on the bedside physiologic monitor is faulty. # # # impact the faulty ekg cable prevents the monitor from accurately recording the patient's heart activity. this could lead to incorrect or delayed diagnoses, which could have serious consequences for the patient. # # # possible causes * the ekg cable may be damaged or frayed. * the connections between the ekg cable and the monitor or patient may be loose or corroded. * the ekg cable may be incompatible with the monitor or patient. # # # recommendations * replace the faulty ekg cable with a new one. * inspect the connections between the ekg cable and the monitor or patient and tighten or clean them as necessary. * ensure that the ekg cable is compatible with the monitor or patient. @topic:18


# # # issue - nibp monitor ( dinamap pro 300 ) is not powering on. # # # impact - delay in patient care due to inability to take blood pressure measurements. # # # possible causes - power supply issue - faulty internal components - software malfunction # # # recommendations - check the power source and ensure it is properly connected. - inspect the nibp monitor for any visible damage or loose connections. - reset the monitor by disconnecting it from the power source for a few minutes, then reconnecting it. - contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:15


# # # issue : - faulty spo2 cables # # # impact : - inaccurate or no spo2 readings # # # possible causes : 1. * * damaged cables : * * the cables may have been physically damaged, leading to breaks or shorts. 2. * * loose connections : * * improper connections between the cables and the monitor or patient can cause signal loss. 3. * * interference : * * electromagnetic interference from other devices can disrupt the signal transmission in the cables. 4. * * faulty sensor : * * the spo2 sensor itself may be defective, resulting in inaccurate or no readings. 5. * * oxygen saturation levels : * * if the patient's oxygen saturation levels are very low, it may be difficult for the sensor to obtain accurate readings. # # # recommendations : 1. * * inspect the cables : * * check for any visible damage, such as cuts, tears, or frayed wires. 2. * * secure connections : * * ensure that the cables are securely attached to the monitor, sensor, and patient. 3. * * eliminate interference : * * identify and remove any sources of electromagnetic interference near the patient. 4. * * test the sensor : * * use a calibration device to verify the accuracy of the spo2 sensor. 5. * * monitor oxygen saturation levels : * * pay attention to the patient's oxygen saturation levels and consider using alternative methods of monitoring if spo2 readings are unreliable. @topic:4


# # # issue - * * device : * * monitors, physiologic, vital signs - * * brand : * * philips - * * model : * * suresigns vs2 - * * problem : * * wheels are stiff # # # impact - the device may not be able to be moved easily, which could : - delay patient care - cause discomfort to the patient - damage the device or floor # # # possible causes - * * hair or debris : * * hair or other debris can get caught in the wheels, causing them to become stiff. - * * lack of lubrication : * * the wheels may not have been lubricated properly, causing them to become stiff. - * * damaged wheels : * * the wheels may be damaged, which could cause them to become stiff. # # # recommendations - * * inspect the wheels for hair or debris. * * if there is hair or debris, remove it and lubricate the wheels. - * * lubricate the wheels regularly. * * this will help to keep them moving smoothly. - * * if the wheels are damaged, replace them. * * @topic:24


# # # issue - the bed's side rail is bent. # # # impact - the patient could fall out of bed. - the patient could be injured if the side rail is not repaired. # # # possible causes - the side rail was bent during use. - the side rail was not properly installed. - the side rail was damaged during transport. # # # recommendations - the side rail should be repaired or replaced. - the side rail should be properly installed. - the side rail should be carefully handled during transport. @topic:6


# # # issue the medical cart's shelves are damaged. # # # impact the damaged shelves may cause the cart to be unstable, which could lead to injury if the cart tips over. the cart may also be difficult to use, as the shelves may not be able to hold the necessary medical supplies. # # # possible causes the shelves may have been damaged due to : - overloading - rough handling - exposure to harsh chemicals or cleaning agents # # # recommendations to prevent further damage and ensure the safe use of the medical cart, the following recommendations should be followed : - do not overload the cart. - handle the cart with care. - avoid exposing the cart to harsh chemicals or cleaning agents. - regularly inspect the cart for any signs of damage. - replace damaged shelves promptly. @topic:31


- ng - 09 - 16 available different assigned location cancel location if the room is not already associated with an available bed, the locating process looks for the selected room ( flashes ). d. ifon the server has identified the room and throom number appears. e. wifi on სა ng - 09 - 14 if the room is already associated with an assigned bed, a screen opens. f. ng - 10 - 01 this room is already assigned to another bed. do you wish to continue? press continue to confirm this choice and the assignment process starts. g. this will send an alarm to the previous bed. different continue room h. the system then informs the previously ng - 10 - 01 this room is no longer assigned to this bed. different ok room assignment of the patient id to the bed. check that the " patient id display " mode is active ( see " setting the wi - fi options " page 52 ). only applies to the hillrom digital health gateway. this procedure is only possible if the following three conditions are met : the bed has been located, the server proposes a patient name for this room and the patient is in the bed. press parameters on the gci. 1. patient the press connectivity technician connectivity access or press the status bar of the wi - fi and location information. 19 : 15 02 / 07 / 2020 > ) ng - 09 - 14 press check identity. 2. check identity locate close if the patient id3. please, confirm patient's identity : m. desbois robin [ 15698742 ] 6 / 18 / 1940 the date of birth is always displayed or is only provided when the identity is confirmed for the first time, if the " patient name encoding " function is active ( see " setting the wi - fi options " page 52 ). the patient identity is then associated with the bed. yes cancel 4. bed : hrp @topic:10


# # # issue knee adjustment not functioning # # # impact patient discomfort and impaired mobility during examination # # # possible causes - malfunction of the knee adjustment motor or sensors - damage to the motor's electrical connections or wiring - failure of the bed control system to receive or process signals from the motor # # # recommendations - inspect the knee adjustment motor and its connections for any signs of damage or disconnection - test the electrical continuity and functionality of the motor - check the bed control system for any error messages or abnormalities - if necessary, replace the knee adjustment motor or repair any damaged connections - update the bed control system software to the latest version to address any software - related issues @topic:9


# # # issue - cuff failure # # # impact - patient's blood pressure monitoring is compromised. # # # possible causes - cuff is physically damaged. - cuff is not properly attached to the monitor. - cuff is not the correct size for the patient. # # # recommendations - replace the cuff. - ensure that the cuff is properly attached to the monitor. - use the correct size cuff for the patient. @topic:3


# # # issue - the central monitor's screen does not display graphs. # # # impact - inability to monitor patient's vital signs and other essential data. # # # possible causes - * * loose lan cable : * * the loose lan cable may have caused intermittent data transmission, resulting in the screen not displaying graphs. # # # recommendations - ensure the lan cable is properly connected and secured. - test the lan connection to verify its functionality. - if the issue persists, consider replacing the lan cable. @topic:16


# # # issue the bedside physiologic monitor is not functioning properly due to a problem with the pressure sensor. the calibration process has failed, indicating that the sensor is not providing accurate readings. # # # impact the malfunctioning pressure sensor can lead to inaccurate patient data and compromise the quality of patient care. if the monitor is used to make critical decisions about a patient's condition, incorrect readings can lead to misdiagnosis, improper treatment, or even patient harm. # # # possible causes - * * faulty pressure sensor : * * the sensor itself may be defective or damaged, preventing it from accurately measuring blood pressure. - * * electrical issues : * * loose connections or other electrical problems can interfere with the communication between the sensor and the monitor. - * * software glitches : * * software errors or bugs can disrupt the calibration process or affect the functionality of the pressure sensor module. # # # recommendations - * * replace pressure sensor : * * if the sensor is faulty, it should be replaced with a new one to restore accurate pressure measurements. - * * check electrical connections : * * ensure that all wires and connectors are securely in place and that there are no breaks or damage. - * * update monitor software : * * install any available software updates to address potential bugs or improve the functionality of the monitor and the pressure sensor. - * * calibrate monitor regularly : * * regular calibration ensures that the pressure sensor is providing accurate readings and helps prevent future failures. - * * document all repairs : * * keep a record of all repairs performed on the monitor, including the date, description of the issue, and any parts replaced. @topic:15


# # # issue - central monitor not linking to the system # # # impact - inability to monitor patient's physiological parameters, leading to potential delays in diagnosis and treatment. # # # possible causes - loose lan cable connection - configuration errors - hardware or software malfunction # # # recommendations - ensure that the lan cable is securely connected to both the central monitor and the network. - verify the network configuration settings to ensure that the monitor is configured correctly. - contact the manufacturer for troubleshooting assistance if the issue persists. @topic:16


# # # issue - oxygen saturation ( spo2 ) sensor cable failure on philips suresigns vs2 vital signs monitor # # # impact - inaccurate or unavailable spo2 readings, which are essential for monitoring patient oxygenation levels. # # # possible causes - damaged or deteriorated sensor cable : the cable may have been physically damaged, frayed, or exposed to excessive heat or moisture. - loose or improper connections : the cable may not have been securely connected to the monitor or the sensor. - manufacturing defects : there may have been a flaw in the cable's design or production process. # # # recommendations - replace the damaged sensor cable with a new one. - ensure that all connections are secure and tight. - inspect the monitor and sensor for any other potential issues or damage. - consider using a different brand or model of spo2 sensor if the issue persists. - implement regular maintenance and inspection schedules to identify and address potential issues early on. @topic:4


only. toggle between on to display mean pressure value only, and off to display all pressure values ( systolic, diastolic and mean ). 1 select the label of the pressure wave whose scale you want to set to enter the setup < preslabel > menu. in the setup < press label > menu, ( for example abp ) select scale. 2 3 select a value from the pop - up list : a positive value sets the top gridline. the bottom gridline is set at zero. a negative value sets the bottom gridline. the middle gridline is set at zero. in the setup < press label > menu, select optimum scale to let the monitor select the best minimum and maximum scales for the current wave. when the pressure wave is selected, you can display a cursor in the wave. it appears as a white horizontal line in the wave. using the pop - up keys you can move the cursor up or down to the required position and store the corresponding value. the cursor value can be stored as a systolic, diastolic or mean pressure value, • as an iap ( intra - abdominal pressure ) value - for the waves p, p1 to p8, if iap is configured as a nually entered • as a pawp value - if the pressure wave is a pap wave • the stored value appears in the trend database as a manually entered value. to display and position the cursor select the pressure wave1 2 select activate cursor. use the pop - up arrow keys to position the cursor. 3 217 using the pop - up keys you can also change the scale or the speed for the wave, freeze the wave or start a printout or recording. non - physiological artifact suppression some clinical procedures may affect blood pressure, for example, a flush procedure or a blood sample @topic:17


# # # issue - the cause of failure is not specified. # # # impact - the impact of the failure is not known. # # # possible causes - the failure could be due to a number of factors, including : - hardware failure - software failure - user error - environmental factors # # # recommendations - the following recommendations may help to prevent or resolve the failure : - check the device for any loose connections or damage. - update the device software to the latest version. - train users on the proper use of the device. - ensure that the device is used in a clean, dry environment. @topic:12


# # # issue the philips intellivue trx telemetry ekg module is malfunctioning and does not transmit any signals. # # # impact the lack of signals from the ekg module prevents the monitoring of patients'heart activity, which can delay diagnosis and treatment. # # # possible causes * * 1. hardware failure : * * - faulty sensors - damaged cables or connections - malfunctioning internal components * * 2. software issue : * * - corrupted or outdated firmware - software bugs or glitches * * 3. configuration error : * * - incorrect settings or calibration - mismatched hardware or software components # # # recommendations * * 1. troubleshooting : * * - inspect the equipment for visible damage or loose connections. - check the cables and connectors for proper attachment. - reset the device and perform a factory reset if possible. * * 2. software updates : * * - check for available software updates and install them if necessary. - ensure that the device is running on the latest compatible firmware version. * * 3. hardware repair : * * - if troubleshooting and software updates do not resolve the issue, the device may require hardware repair. - contact the manufacturer or an authorized service provider for assistance. * * 4. calibration and configuration : * * - calibrate the device according to the manufacturer's instructions. - double - check the configuration settings to ensure accuracy. * * 5. preventive maintenance : * * - establish a regular preventive maintenance schedule to identify and address potential issues before they become significant failures. - perform routine inspections and cleaning to maintain optimal performance. @topic:18


# # # issue - the motor that adjusts the knee is not functioning properly. # # # impact - the patient cannot be properly positioned for surgery. - the surgery may need to be postponed or cancelled. # # # possible causes - the motor is faulty. - the wiring to the motor is loose or damaged. - the control board for the motor is not functioning properly. # # # recommendations - replace the motor. - check the wiring to the motor and tighten or replace any loose or damaged wires. - replace the control board for the motor. @topic:9


# # # issue - time is not accurate on the monitor. # # # impact - this could lead to inaccurate medical data being recorded, which could have serious consequences for patient care. # # # possible causes - the monitor's internal clock may be malfunctioning. - the monitor may not be receiving the correct time signal from the hospital's network. - the monitor's time settings may have been changed incorrectly. # # # recommendations - inspect the monitor's internal clock for any signs of damage or malfunction. - verify that the monitor is receiving the correct time signal from the hospital's network. - check the monitor's time settings to ensure that they are correct. - calibrate the monitor's clock if necessary. @topic:29


# # # issue the huntleigh 25800 e / l electric bed failed due to a broken remote control cable. # # # impact the failure of the remote control cable prevented the healthcare professional from adjusting the bed's position, which could have impacted the patient's comfort and safety. # # # possible causes the following are possible causes for the failure of the remote control cable : - * * physical damage : * * the cable could have been damaged due to excessive bending, twisting, or crushing. - * * manufacturing defect : * * the cable could have had a manufacturing defect that caused it to be more susceptible to damage. - * * wear and tear : * * the cable could have simply worn out over time due to regular use. # # # recommendations to prevent similar failures in the future, the following recommendations should be implemented : - * * regular inspection : * * the remote control cable should be inspected regularly for any signs of damage. - * * proper handling : * * the cable should be handled with care to avoid damage. - * * training : * * healthcare professionals should be trained on how to properly handle and use the remote control cable. - * * replacement : * * the cable should be replaced if it shows any signs of damage. @topic:7


not functioning 82 external display is blank ( slave display ) 83 external touch display not functioning 84 general monitor inop messages 84 remote alarm device 85 remote extension device 86 navigation point 86 keyboard / mouse not functioning 87 battery related problems 87 bedside network status icons 89 network related problems 89 wireless ethernet adapter ( proxim ) 90 iit - related problems 91 intellivue 802. 11 bedside adapter problems 92 multi - measurement server 93 msl - related problems 93 alarm issues 95 alarm lamps 95 alarm tones 95 alarm behavior 96 individual parameter inops 96 integrated 4 - slot rack 97 printer 97 recorder 98 mib / rs232 99 flexible nurse call relay 100 basic nurse call relay 100 troubleshooting the ecg out / alarm led 100 docking station problems 101 data flow marker in and ecg wave 102 status log 103 list of error codes 104 troubleshooting with the support tool 105 troubleshooting the individual measurements or applications 105 5 repair and disassembly 107 tools required 107 removing the i / o boards 108 removing the interface board 110 separating the front and back half of the monitor 111 exchanging the backlight tubes 113 removing the flex panel adapter 115 removing the touchscreen 118 removing the flat panel 121 6 removing the backlight inverter board 124 removing the silicon mat for the power switch and the leds 125 removing the navigation point assembly 126 removing the ecg out / alarm led board 128 removing the llandle 129 removing the main board 131 removing the msl board 134 removing the internal module rack 135 removing the power supply assembly 135 reassembling the power supply assembly 137 removing the loudspeaker 141 changing the serial number plate 143 exchanging the battery door 144 plug - in modules 146 plug - in module disassembly 146 tcp02 / tcpc02 calibration chamber kit 147 recorder module paper 148 multi - measurement server ( mms ) disassembly @topic:19


# # # issue - battery failure in philips suresigns vs4 vital signs monitor # # # impact - reduced or unreliable monitoring of patient's vital signs - potential delays in diagnosis and treatment # # # possible causes - aging and degradation of the battery over time - improper charging or maintenance of the battery - manufacturing defects or design issues # # # recommendations - regular preventive maintenance and inspection of the battery - replace the battery as per the manufacturer's recommended schedule - use the recommended charger and charging procedures - contact the manufacturer or authorized repair center if the issue persists or for further troubleshooting @topic:11


# # # issue the biomedical engineer is unable to identify the cause of failure for the medical device. # # # impact the medical device is not able to be used, which could impact patient care. # # # possible causes the technician may have entered the wrong information into the system. the system may not be working correctly. the cause of failure may not be known by the technician. # # # recommendations the technician should check the information that they entered into the system. the technician should contact the manufacturer of the medical device for assistance. the technician should escalate the issue to a supervisor or manager. @topic:12


# # # issue - malfunctioning blood pressure ( bp ) monitor # # # impact - inability to accurately monitor patient's bp, which is crucial for diagnosis and treatment decisions. # # # possible causes # # # # * * 1. faulty air hose * * - as identified in the input, a damaged air hose can prevent accurate bp measurement. the air hose connects the monitor to the patient's cuff, and any leaks or blockages in the hose can affect the pressure readings. # # # # * * 2. malfunctioning cuff * * - the bp cuff may be improperly sized, damaged, or misaligned, leading to incorrect pressure measurements. # # # # * * 3. electrical issues * * - loose connections, faulty wiring, or power supply problems can interfere with the monitor's operation. # # # # * * 4. sensor malfunction * * - the sensor within the monitor that detects the pressure changes may be malfunctioning, leading to inaccurate readings. # # # recommendations # # # # * * 1. check and replace air hose * * - verify that the air hose is securely connected at both ends and free of any visible damage. if necessary, replace the air hose with a new one. # # # # * * 2. examine bp cuff * * - ensure that the bp cuff is appropriate for the patient's size and is correctly positioned on the upper arm. inspect the cuff for any defects or damage. # # # # * * 3. troubleshoot electrical issues * * - check all connections and cables to ensure they are secure and undamaged. verify that the power supply is providing adequate voltage. # # # # * * 4. inspect sensor * * - if possible, visually inspect the sensor to look for any obvious defects or contamination. consider consulting with the manufacturer or qualified service personnel for further @topic:14


# # # issue - bed is not adjustable # # # impact - patients cannot be positioned properly - nurses and staff cannot access patients easily - increased risk of patient falls # # # possible causes - faulty electrical components - mechanical failure - user error # # # recommendations * * electrical components * * - check the power cord and connections for damage or loose connections. - inspect the control panel for any loose wires or burnt - out components. - test the electrical system using a multimeter to identify any faults. * * mechanical failure * * - examine the bed frame and joints for any signs of wear or damage. - lubricate all moving parts to reduce friction and improve operation. - check the hydraulic system for leaks or blockages. * * user error * * - ensure that the bed is properly assembled and all locking mechanisms are engaged. - train staff on proper operation and maintenance of the bed. - display clear instructions for patients and staff. * * additional recommendations * * - consult the manufacturer's instructions for specific troubleshooting and repair procedures. - keep a maintenance log to track inspections, repairs, and any issues encountered. - consider replacing the bed if repairs are extensive or the issue persists after troubleshooting. @topic:1


# # # issue - equipment is old and rusty - rails are rusty - not suitable for patient use # # # impact - equipment cannot be repaired - equipment is tagged as defective # # # possible causes - * * age of equipment * * : the bed is old and has not been properly maintained. this has caused the metal to rust. - * * environmental factors * * : the bed has been exposed to moisture and humidity, which has caused the metal to rust. - * * lack of maintenance * * : the bed has not been properly cleaned and lubricated, which has caused the metal to rust. # # # recommendations - * * replace the equipment * * : the bed is old and beyond repair. it should be replaced with a new one. - * * maintain the equipment * * : the new bed should be properly maintained to prevent it from rusting. this includes cleaning and lubricating the bed regularly. - * * inspect the equipment regularly * * : the bed should be inspected regularly for signs of rust. if any rust is found, it should be cleaned and treated immediately. @topic:6


# # # issue - the electric bed is not able to adjust its levels. # # # impact - the patient may not be able to get into or out of bed safely. - the patient may not be able to adjust the bed to a comfortable position. - the bed may not be able to be used for its intended purpose. # # # possible causes - the remote control may not be working properly. - the bed's motor may not be working properly. - the bed's electrical system may not be working properly. # # # recommendations - check the remote control to make sure it is working properly. - check the bed's motor to make sure it is working properly. - check the bed's electrical system to make sure it is working properly. - if the remote control, motor, or electrical system is not working properly, it will need to be repaired or replaced. @topic:1


# # # issue - battery cannot be charged # # # impact - the device cannot be used wirelessly. # # # possible causes - the battery is damaged. - the battery charger is damaged. - the connection between the battery and the battery charger is faulty. # # # recommendations - replace the battery. - replace the battery charger. - check the connection between the battery and the battery charger. @topic:11


# # # issue - battery failure in vital signs monitor - equipment is not functioning properly # # # impact - inability to accurately monitor patient vital signs - delay in patient care - increased risk of patient harm # # # possible causes - battery life expectancy expired - battery not properly seated - battery terminals corroded - battery charger malfunction # # # recommendations - replace the battery with a new one - clean the battery terminals - ensure that the battery is properly seated - replace the battery charger if necessary @topic:11


# # # issue - equipment malfunction due to physical damage. # # # impact - vital signs monitoring may be inaccurate or unavailable. - patient safety may be compromised due to lack of accurate monitoring. # # # possible causes - excessive force applied to the device during handling or use. - dropping or impact to the device. # # # recommendations - train staff on proper handling and use of the device. - provide clear instructions on the maximum force that can be applied to the device. - inspect the device regularly for signs of damage. - replace the device if it is damaged or if there is any concern about its integrity. @topic:12


this service guide contains technical details for the intellivue mp2 patient monitor and the intellivue x2. this guide provides a technical foundation to support effective troubleshooting and repair. it is not a comprehensive, in - depth explanation of the product architecture or technical implementation. it offers enough information on the functions and operations of the monitoring system so that engineers who repair them are better able to understand how it works. who should use this guide this guide is for biomedical engineers or technicians responsible for installing, troubleshooting, repairing, and maintaining philips ’ patient monitoring systems. how to use this guide this guide is divided into eight sections. navigate through the table of contents at the left of the screen to select the desired topic. links to other relevant sections are also provided within the individual topics. in addition, scrolling through the topics with the page up and page down keys is also possible. responsibility of the manufacturer philips only considers itself responsible for any effects on safety, emc, reliability and performance of the equipment if : - assembly operations, extensions, re - adjustments, modifications or repairs are carried out by persons authorized by philips, and - the electrical installation of the relevant room complies with national standards, and - the instrument is used in accordance with the instructions for use. to ensure safety and emc, use only those philips parts and accessories specified for use with the monitor. if non - philips parts are used, philips is not liable for any damage that these parts may cause to the equipment. this document contains proprietary information which is protected by copyright. all rights reserved. reproduction, adaptation, or translation without prior written permission is prohibited, except as allowed under the copyright laws. philips medizin systeme boblingen gmbh hewlett - packard str. 2 71034 boblingen, germany the information contained in this document is subject to change without notice. philips makes no warranty of @topic:10


# # issue - lack of clear information about the cause of failure in the medical device. # # impact - difficulty in determining the appropriate repair or maintenance actions. # # possible causes - insufficient inspection or testing procedures during the equipment check. - inadequate documentation or communication of the inspection findings. # # recommendations - improve the inspection and testing process to ensure thorough assessment of the equipment's functionality. - enhance documentation and communication to clearly record the inspection findings and identify any potential areas of concern. - provide additional training to technicians to ensure they have the necessary knowledge and skills to properly inspect and test medical devices. @topic:12


# # # context a biomedical engineer is troubleshooting a failure in a hospital bed. the bed is a hill - rom century electric bed. the engineer has determined that the cause of failure is a loose plug on the ac power cord. the engineer has reattached the plug and the bed is now functioning normally. # # # issue the plug on the ac power cord was loose. this caused the bed to lose power and become inoperable. # # # impact the patient was unable to use the bed. this could have caused discomfort or pain for the patient. # # # possible causes the plug may have become loose due to : - - vibration - - movement of the bed - - improper installation # # # recommendations the engineer should : - inspect the ac power cord and plug for any damage. - - tighten the plug on the ac power cord. - - ensure that the bed is properly installed. @topic:9


# # # issue - cuff of the bedside physiologic monitor is leaking. # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may be damaged or defective. - the cuff may not be properly attached to the monitor. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly attached to the monitor. - verify that the cuff is the correct size for the patient. @topic:3


# # # issue - short signal cable # # # impact - unable to extend the work area to accommodate the case # # # possible causes - the signal cable connected to the second monitor is too short, causing it to pull on the image processing machine. # # # recommendations - replace the short signal cable with a longer one to allow for proper extension of the work area. @topic:2


# # # issue - drawer stuck and unable to open # # # impact - affects usability of the medical cart - may hinder access to essential supplies or equipment stored in the drawer # # # possible causes - friction due to misalignment or debris in the drawer rails - worn - out or damaged drawer rails - misalignment of the drawer within the cart frame # # # recommendations - inspect and clean the drawer rails to remove any obstructions or debris - lubricate the drawer rails with appropriate lubricants, such as wd40 - check the alignment of the drawer and adjust if necessary - if the issue persists, contact the medical equipment manufacturer for further assistance or repairs @topic:21


dominant frequency ( mdf ) : the mdf is the mean value of the frequency which dominates the measured eeg. peak power frequency ( ppf ) : the ppf is the frequency with the highest measured amplitude. total power ( tp ) : the tp numeric indicates the power in the measured frequency band. percentage of total power in each frequency band : - alpha waves ( 8 to 13 hz ) - beta waves ( 13 to 30 hz ) - theta waves ( 4 to 8 hz ) - delta waves ( 0. 3 to 4 hz ). 249 18 monitoring eeg eeg monitoring setup eeg monitoring setup 1 plug the trunk cable into the eeg module in the flexible module rack. 2 prepare the patient ’ s skin prior to placing the electrodes. good electrode - to - skin contact is important for a good eeg signal, as the skin is a poor conductor of electricity. - shave hair from sites, if necessary. - wash sites thoroughly with soap and water. we do not recommend using ether or pure alcohol, because this dries the skin and increases the resistance. - use a skin preparation paste to remove skin cells and oil before placing the electrodes. 3 select the desired electrode montage in the setup eeg menu or in the eeg impedance / montage window. 4 attach the reference electrode first. 5 place the electrodes on the patient ’ s head according to the selected montage. use electrode gel if you are not using pre - gelled electrodes. remember to select a site where the signal will not be interfered with by muscle artifacts. 6 connect the electrode connector end to the trunk cable. 7 check the electrode - to - skin impedance in the eeg impedance / montage window. 8 for good signal quality, keep all lead wires together and away from other electric devices and metallic bodies. using the eeg impedance / montage window @topic:8


# # # issue - bp ( blood pressure ) function is intermittent, sometimes working and sometimes not. # # # impact - accurate bp monitoring is crucial for patient care and treatment decisions. - intermittent bp function can lead to inaccurate readings, delayed diagnosis, and potential harm to the patient. # # # possible causes - * * damaged or faulty sensor : * * the sensor responsible for measuring bp could be malfunctioning or have loose connections. - * * software or hardware issues : * * the monitor's software or hardware could be experiencing glitches or errors that affect the bp function. - * * electrical connection issues : * * loose or damaged electrical connections can interfere with the bp sensor or monitor's operation. # # # recommendations - * * inspect the bp sensor : * * check the sensor for any visible damage or loose connections. - * * update software and firmware : * * ensure that the monitor's software and firmware are up - to - date. - * * inspect electrical connections : * * check all electrical connections between the sensor and the monitor, as well as the power source. - * * perform diagnostic tests : * * run diagnostic tests to identify any specific hardware or software issues that may be causing the bp function to fail intermittently. - * * consider replacing the device : * * if the cause of failure cannot be identified and resolved, it may be necessary to replace the entire monitor. @topic:14


# # # issue - spo2 cable is damaged. # # # impact - patient monitoring may be inaccurate or unavailable. # # # possible causes - the spo2 cable may have been : - damaged during use - crimped or kinked - exposed to excessive heat or moisture # # # recommendations - replace the spo2 cable with a new one. - inspect the spo2 cable for damage regularly. - avoid crimping or kinking the spo2 cable. - protect the spo2 cable from excessive heat or moisture. @topic:4


# # # issue electric bed unable to adjust head down # # # impact patient discomfort and potential safety hazard # # # possible causes - loose or dirty connections in the remote control - damaged or malfunctioning electrical components in the bed frame - software glitch in the bed's control system # # # recommendations - clean and tighten connections in the remote control - inspect and test electrical components in the bed frame - update or reset the bed's software if necessary @topic:1


# # # issue the cuff of the vital signs monitor is leaking. # # # impact the monitor will not be able to accurately measure blood pressure. # # # possible causes - the cuff may be punctured or damaged. - the cuff may be the wrong size for the patient. - the cuff may not be properly attached to the monitor. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. - properly attach the cuff to the monitor. @topic:3


* * issue : * * spo2 sensor failure * * impact : * * inaccurate or unavailable spo2 measurements, potentially compromising patient monitoring and care. * * possible causes : * * * * * defective sensor : * * faulty manufacturing or damage during installation or use. * * * loose connection : * * improper seating of the sensor or damaged cable. * * * interference : * * electromagnetic interference ( emi ) from nearby devices or improper grounding. * * * patient - related factors : * * motion artifacts, dark skin tone, or decreased perfusion. * * * software glitch : * * malfunction in the monitor's software. * * recommendations : * * * replace the spo2 sensor with a new one. * ensure proper seating of the sensor on the patient's finger. * check cable connections and replace damaged cables. * minimize emi by moving the monitor away from potential sources of interference. * use patient - specific settings ( e. g., appropriate skin tone mode ) to optimize signal acquisition. * update the monitor's software to the latest version. * calibrate the monitor according to the manufacturer's instructions. @topic:4


# # # issue - cuff of the vital signs monitor is deteriorated, leading to malfunction. # # # impact - inaccurate readings of vital signs ( e. g., blood pressure, heart rate, oxygen saturation ). - false alarms or missed detections of critical events. - compromised patient safety and decision - making by healthcare professionals. # # # possible causes - * * wear and tear : * * cuffs can deteriorate over time due to repeated use, exposure to moisture, or improper handling. - * * physical damage : * * cuffs can be damaged by puncture, cutting, or excessive stretching. - * * material degradation : * * the material of the cuff ( e. g., rubber, plastic ) can deteriorate due to exposure to chemicals, heat, or aging. # # # recommendations - * * regular maintenance and inspection : * * bioclinical engineers should regularly inspect cuffs and replace them if any signs of deterioration are observed. - * * proper storage : * * cuffs should be stored in a dry, climate - controlled environment to prevent damage. - * * training for healthcare staff : * * educate medical personnel on proper cuff handling and maintenance to extend their lifespan. - * * use of high - quality, durable cuffs : * * invest in cuffs made from durable materials and designed to withstand repeated use. - * * consider wireless cuffs : * * wireless cuffs eliminate the need for physical connections, potentially reducing wear and tear and increasing longevity. @topic:5


* * issue : * * central monitor not displaying accurate time * * impact : * * inability to accurately track patient vital signs and administer timely interventions * * possible causes : * * - * * clock battery failure : * * the internal battery that powers the clock may have died or become disconnected. - * * software malfunction : * * a software glitch or bug could be preventing the clock from updating correctly. - * * incorrect time synchronization : * * the monitor may not be properly synchronized with a time server or external timekeeping device. - * * hardware failure : * * a component or module within the monitor responsible for maintaining time may have failed. * * recommendations : * * - * * replace clock battery : * * check the battery and replace it if necessary. - * * restart the monitor : * * power cycling the monitor can sometimes resolve software issues. - * * check time synchronization : * * ensure that the monitor is correctly connected to a time server or other timekeeping source. - * * inspect hardware : * * if the above steps fail, inspect the monitor for any visible damage or loose connections. consider contacting the manufacturer for assistance. @topic:29


# # # issue - the bed is not adjustable. # # # impact - the patient may not be able to get into or out of bed comfortably. - the patient may not be able to position themselves in bed for optimal comfort or treatment. # # # possible causes - the remote control is not working properly. - the electrical connections are loose or damaged. - the motor is not functioning properly. # # # recommendations - check the remote control and replace it if necessary. - check the electrical connections and tighten or replace them if necessary. - test the motor and replace it if necessary. @topic:1


numeric is replaced by -? - inop tone. tcgas no transducer is connected to the tcpc ^ / tcpcc ^ module. silencing the alarm switches off the measurement. tcp0 2 ( or tcpc0 2 or tcgas ) stabilizing numeric is displayed with a? tcgas the transducer has not yet reached the selected temperature and / or skin hyperemization is not yet finished. this inop will disappear within three minutes. 96 technical alarm messages ( inops ) 4 patient alarms and inops inop message, indication source what to do tcp0 2 ( or tcpc0 2 or tcgas ) unplugged numeric is replaced by -? - inop tone. tcgas the measurement is switched on but the module is unplugged. the measurement automatically disappears from the display. silencing this inop switches off the measurement. tele config unsupp inop tone monitor telemetry device not supported ( companion mode )!! /!!! tele disconnect inop tone telemetry telemetry transceiver was disconnected or short range radio link was lost. for cable connections ; check telemetry interface, cable connection and setup. for short range radio connections : if the telemetry transceiver has not moved out - of - range, check for interference sources close to the monitor ( bluetooth devices, dect phones, cellular phones, microwaves, etc. ) if this inop persists, ask your service personnel to survey the interference sources. tele equip malf inop tone monitor the telemetry device has a malfunction. disconnect and reconnect the telemetry device. if the inop reappears, replace the telemetry device. tele incompatible monitor srr - enabled teleme @topic:10


* * issue : * * bed does not adjust * * impact : * * - patient discomfort - inability to perform medical procedures - increased risk of falls * * possible causes : * * - loose ac plug - malfunctioning motor - broken gears or cables - electrical fault * * recommendations : * * - check and tighten ac plug - inspect motor and gears for signs of wear or damage - test electrical connections - contact medical equipment supplier for service or repair @topic:1


# # # issue - equipment : bed, electric, ob & gyn - band : huntleigh - model : a9932 / 8 / 3fs - description : the footrest does not lock into place. # # # impact - the footrest not locking into place may prevent the patient from being properly positioned for surgery or other procedures. # # # possible causes - loose screws or bolts - damaged or worn gears or other components - misalignment of components # # # recommendations - inspect the footrest and surrounding area for any loose screws or bolts. tighten any loose hardware as necessary. - if the footrest is still not locking into place, inspect the gears and other components for any damage or wear. replace any damaged or worn components as necessary. - if the footrest is still not locking into place, check the alignment of the components. make sure that the footrest is properly aligned with the frame of the bed. @topic:6


detected. • qt view window - shows current wave and baseline wave with q and t points marked so that you can verify that the qt algorithm detects correct q and t points. usb interface a new usb interface allows use of usb printers, bar code readers and input devices such as a keyboard or mouse. what ’ s new in release f. o? x2 multi - measurement module ( m3002a ) you can connect the new x2 to an intellivue patient monitor, where it acts as a multi - measurement module ( mms ), providing measurements, trends and patient information to the mp20 / 30, mp40 / 50 and mp60 / 70 / 80 / 90. you can also use the x2 as a stand - alone, highly portable monitor with a display and alert capabilities, running on a rechargeable battery or mains power from the optional external power supply ( m8023a ). with these two use modes the x2 provides an ideal transport solution - changing its function from mms to transport monitor and back to mms as required. name changes for mms, fms, etc. in the process of introducing the x2 the naming for the multi - measurement servers and associated equipment has been changed. the following table shows the new names and the abbreviations used - the abbreviations have been kept as they were to ease the change : 46 what ’ s new in release f. o? 2 what ’ s new? previous name new name abbreviations product number and name multi - measurement server multi - measurement module mms m3001ax1 m3002ax2 measurement server extension mms extension m3012a, m3014a, m3015a, m3016a, flexible module server flexible module rack fms m8048a measurement server link measurement link msl - protocol watch the ssc sepsis protocol @topic:10


# # # issue : missing connector and deteriorated cuff # # # impact : malfunctioning of the physiologic bedside monitor # # # possible causes : - connector was not properly installed or secured, leading to its detachment. - cuff's material may have degraded over time, resulting in its deterioration. # # # recommendations : - * * connector : * * - ensure a secure connection of the connector to prevent detachment. - perform regular inspections to detect any loose connections or damage. - replace the connector if damaged or not functioning properly. - * * cuff : * * - regularly inspect the cuff for signs of wear or damage. - replace the cuff if it shows signs of deterioration to ensure accurate measurements. - calibrate the monitor after replacing the cuff to maintain measurement accuracy. @topic:5


yrgyzsta60 in kg 50 iec cm republic atvia 50 kg cm 04 41 default settings appendix ountry - descriptioine frequencunits units ecg cable color height weight 0 / 60 [ hzn, cebanon kg aami 50 cm esotho 50 iec cm liberia 50 ec cm | libyan arab jamahiriya lb 60 aami in lb liechtenstein 60 aami in lithuania 50 iec cm iec luxembourg 50 kg cm macao 50 iec cm 50 iec ugoslavian republic of adagascar 50 iec cm malawi 50 iec cm malaysia 50 kg iec cm maldives lb aami 60 in iemali 50 cm malta 50 kg iec cm marshall islands lb aami 60 in martinique kg 660 60 60 iec cm auritania 650 iec cm auritilb aami 60 in mayotte 60 lb aami in aami mexico 60 kg cm aami 60 lb in oldova, republic of lb aami 60 in monaco 60 aami lb in mongolia 60 lb aami in iemontenegro 50 cm aami montserrat cm morocco 50 kg iec cm iec ozambique 50 kg cm aami lb myanmar 60 in namibia 50 kg iec cm lb nauru aami 60 in nepal 50 ec cm netherlands 0 iec cm netherlands antilles 50 aami cm 505 41 default settings appendix ine frequenccountry - description nits units ecg cable color weight height 0 / 60 [ hzn, cew caledolb aami 60 in ew zealaami 50 cm nicaragua aami 60 in niger 50 ec cm nigeria 50 kg iec niue 60 lb aami in norfolk islands lb aami 60 in aami northern mariana islands 60 lb in norway iec 50 cm oman 50 aami cm 50 pakistan kg iec cm lb palau 60 aami in alestinian territoraami 50 kg cm lb aami panama 60 in lb @topic:19


# # # issue monitor cuff failure # # # impact patient monitoring may be inaccurate or interrupted. # # # possible causes - cuff wear and tear : the cuff is a critical component of the monitor as it is responsible for inflating and deflating to measure blood pressure. over time, the cuff can become worn and tear, leading to leaks or inaccuracies. - electrical issues : electrical issues within the monitor or the cuff itself can also cause the cuff to fail. these issues can range from faulty wiring to malfunctioning components. - software errors : software errors within the monitor can also lead to cuff failure. these errors can cause the monitor to malfunction and prevent the cuff from inflating or deflating properly. # # # recommendations - regularly inspect and replace the cuff : to prevent cuff failure, it is important to regularly inspect the cuff for wear and tear. if any damage is found, the cuff should be replaced immediately. - proper use and storage : ensure that the cuff is used and stored properly. avoid over - inflating the cuff and do not store it in extreme temperatures or humidity. - software updates : regularly check for and install software updates for the monitor to ensure that it is functioning properly and to address any potential software issues. - training : provide proper training to staff on the correct use, maintenance, and troubleshooting of the monitor and its components, including the cuff. - preventive maintenance : schedule regular preventive maintenance check - ups to identify and address any potential issues with the monitor and its components, including the cuff, before they lead to failure. - redundancy : consider having a backup cuff available to minimize downtime in the event of a cuff failure. @topic:5


# # # issue - the drawer status ( for dispensing medication ) was inactive. # # # impact - the patient is not able to access medication, which can have serious consequences. # # # possible causes # # # # user error - * * incorrect code entry : * * the user may have entered an incorrect code when attempting to access the drawer. # # # # technical issue - * * faulty drawer : * * the drawer may be malfunctioning due to a technical issue, preventing it from opening even with the correct code. # # # # system issue - * * software error : * * there may be a software error that is preventing the drawer from opening. # # # recommendations # # # # user error - * * verify code entry : * * ensure that the correct code is being entered by double - checking with the user or verifying the code in the system. - * * train users : * * provide proper training on the correct code entry procedure to prevent future incidents. # # # # technical issue - * * inspect drawer : * * check the drawer for any visible damage or signs of malfunction. - * * test drawer : * * attempt to open the drawer using a known working code to confirm if the issue is with the drawer itself. # # # # system issue - * * contact vendor : * * report the issue to the vendor for their assistance in diagnosing and resolving the software error. - * * update software : * * if a software update is available, install it to potentially resolve the issue. @topic:21


# # # issue loose brake caliper bolt on the hospital bed. # # # impact the loose bolt could cause the brake caliper to become loose and the bed to move when it should not. this could lead to a patient falling out of the bed or being injured in another way. # # # possible causes the bolt may have come loose due to : - * * improper installation : * * the bolt may not have been tightened properly during the initial assembly of the bed. - * * wear and tear : * * the bolt may have loosened over time due to normal use of the bed. - * * vibration : * * the bolt may have loosened due to vibration from the bed motor or other sources. - * * damage : * * the bolt may have been damaged, causing it to loosen. # # # recommendations - * * inspect the bolt regularly : * * the bolt should be inspected regularly for signs of loosening. - * * tighten the bolt if necessary : * * if the bolt is found to be loose, it should be tightened immediately. - * * replace the bolt if it is damaged : * * if the bolt is damaged, it should be replaced with a new one that is the correct size and type. - * * use a thread locker : * * a thread locker can be used to help keep the bolt from loosening. - * * train staff on proper installation : * * staff should be trained on how to properly install and tighten the bolt. @topic:6


# # # issue - bed is not adjustable # # # impact - patient discomfort - difficulty providing care # # # possible causes - remote is not working - keypad is damaged - board is malfunctioning # # # recommendations - replace the remote and keypad - repair or replace the board @topic:32


# # # issue - telemetric ekg ( electrocardiography ) monitor shows intermittent signal loss. # # # impact - intermittent signal loss can lead to inaccurate ekg readings, potentially delaying diagnosis and treatment. # # # possible causes - obstruction of the signal path by a foreign object ( e. g., plastic ) # # # recommendations - remove the plastic obstruction to restore the signal path. - regularly inspect the equipment for any obstructions or loose connections. - check the manufacturer's specifications to ensure the equipment is used in optimal conditions. @topic:18


# # # issue - * * equipment : * * monitors, patient transport - * * band : * * welch allyn - * * model : * * propaq lt - * * description : * * deterioration of spo2 cable and ekg cable - * * impact : * * unable to obtain accurate measurements - * * possible causes : * * - wear and tear from frequent use - improper handling or storage - electrical faults # # # recommendations - * * planned maintenance : * * - establish a regular maintenance schedule to inspect and replace cables as needed. - train staff on proper handling and storage procedures. - * * preventative measures : * * - inspect cables regularly for signs of damage or wear and replace them promptly. - use cable protectors or strain relief devices to minimize stress on cables. - handle cables with care, avoiding sharp bends or excessive tension. - * * spare parts management : * * - maintain an adequate inventory of spare cables to ensure timely replacement when needed. - consider bulk purchasing cables to reduce unit costs and improve availability. - * * vendor support : * * - consult with the manufacturer or vendor for recommended maintenance intervals and best practices for cable care. - consider obtaining extended warranties or service contracts for added support and peace of mind. - * * staff training : * * - provide training to staff on the importance of proper equipment maintenance and the consequences of neglecting it. - emphasize the role of regular inspections and timely replacements in ensuring accurate measurements and patient safety. @topic:20


# # # issue the given input is missing the actual cause of failure for the medical device. # # # impact not having the actual cause of failure makes it difficult for the biomedical engineer to diagnose and repair the device. this can lead to delays in patient care and increased costs. # # # possible causes the following are some possible causes of the failure : - the device was not properly maintained. - the device was misused or abused. - the device was damaged during transport or storage. - the device is defective. # # # recommendations the following are some recommendations for preventing and addressing the issue of missing cause of failure : - ensure that the device is properly maintained according to the manufacturer's instructions. - train users on how to properly use and care for the device. - inspect the device regularly for damage. - report any defects or problems with the device to the manufacturer immediately. - ensure that the reported cause of failure is clear and specific. @topic:12


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 # # # impact - the scanner on the medical cart is not able to charge. # # # possible causes - the bme ( biomedical engineer ) found that the scanner was not charging. - the bme cleaned the board and tested it, which resolved the issue. - the bme received a report that the scanner was not working. # # # recommendations - the bme should continue to monitor the scanner to ensure that it continues to function properly. - the bme should provide training to the staff on how to properly use and maintain the medical cart. - the bme should work with the vendor to identify and address any potential design or manufacturing defects that could lead to similar issues in the future. @topic:23


# # # issue the monitor, patient transport device is not showing the diastolic value during blood pressure measurement. # # # impact the inability to obtain an accurate diastolic value can lead to incorrect blood pressure readings, which can have serious consequences for patient care. # # # possible causes - loose module : the module may not be properly seated in the device, causing the device to fail to read the value. - faulty module : the module itself may be defective, preventing it from accurately reading the value. - software error : a software error in the device may be preventing it from displaying the correct value. # # # recommendations - check the module to ensure it is properly seated in the device. - replace the module if it is found to be defective. - contact the manufacturer for technical support if the issue persists. @topic:15


# # # issue * * broken electrical cord * * # # # impact - inability to use the medical device until repaired. - potential for electrical shock or fire. # # # possible causes - * * broken electrical cord due to physical damage * * - overuse or improper storage - pulling or bending the cord excessively - exposure to sharp objects or chemicals - * * faulty electrical cord * * - manufacturing defect - degradation of materials over time # # # recommendations - * * inspect electrical cords regularly for damage. * * - look for cuts, abrasions, or loose connections. - * * handle electrical cords with care. * * - avoid pulling or bending cords excessively. - store cords properly to prevent damage. - * * replace damaged electrical cords immediately. * * - electrical cords should be replaced by qualified technicians. - * * use electrical cords designed for the intended use. * * - ensure that the cord is rated for the voltage and amperage requirements of the device. - * * follow manufacturer's instructions for maintenance and use of electrical cords. * * - this may include specific instructions on how to store and handle the cord. @topic:12


# # # issue - the bed is not adjustable. - the error code d16 - 09 is displayed. # # # impact - the patient cannot be positioned comfortably. - the bed cannot be used for procedures that require adjustments. # # # possible causes - the remote control is faulty. - the control panel on the bed is not functioning properly. - the motor that controls the bed's adjustments is not working. - there is a problem with the electrical wiring in the bed. # # # recommendations - replace the remote control. - check and repair the control panel on the bed. - inspect and repair the motor that controls the bed's adjustments. - check and repair the electrical wiring in the bed. @topic:1


report to the printers in the order they are listed, you must make sure that all the printers above the new target printer are disabled. if the target device of the print job was set to a specific printer, re - routing is not possible. checking report status and printing manually a list of all print requests which are waiting, printing or stored can be viewed in the reports job list. to view the list, in the reports menu, select reports job list. the following information is displayed for each print request : • patient name ( except for system reports ) • • • • job status : preparing, printing, waiting, in database, in companion, retry, cancelling, errorindividual reports can be deleted from the list with the delete report key, and all reports with the delete all repts key. • caution the reports job list includes privacy information, in the form of the patient name with the related report title and date. it is advisable to provide controlled access to this data to ensure confidentiality. if an x2 is connected to a host monitor, all print requests which are stored in the print database are shown " grayed out " on the reports job list and will not be deleted with the delete all repts key. printing manually those jobs shown in black will be printed automatically when a matching printer is available. if the auto print dbs setting is host only or never, some or all reports will not be printed automatically and will be shown in gray. any jobs shown in gray must be printed manually ; to do this, in the reports job list, select the required report 1 2 select print report. selecting print all reps will send all reports to the printer. rinter status messageprinter status messagpossible causes and suggested action print job queued for < printer name > the report has been placed in the queue for the named printer @topic:28


see “ co? gas measurement calibration check ” on page 6 - 14. if the problem persists, replace the co? module. see “ removing the suresigns vm8 c0 2 module ” on page 8 - 9. 851 ( 2 ) c0 2 equip malfunc ( 2 ) co? equipment flow malfunction check flow in line. if the problem persists, replace the co? module. see “ removing the suresigns vm8 co? module ” on page 8 - 9. 851 ( 3 ) c0 2 equip malfunc ( 3 ) co? occlusion in gas input line check flow in line. if the problem persists, replace the co? module. see “ removing the suresigns vm8 co? module ” on page 8 - 9. 851 ( 16 ) c0 2 equip malfunc ( 16 ) co? main board error replace the co? module. see “ removing the suresigns vm8 co? module ” on page 8 - 9. 851 ( 17 ) c0 2 equip malfunc ( 17 ) c0 2 equipment malfunction shut down and restart the monitor. if the problem persists, replace the co? module. see “ removing the suresigns vm8 c0 2 module ” on page 8 - 9. 7 - 18 troubleshooting error codes code description possible cause action 851 ( 18 ) c0 2 equip malfunc ( 18 ) c0 2 scrubber, pump error shut down and restart the monitor. if the problem persists, replace the co? module. see “ removing the suresigns vm8 c0 2 module ” on page 8 - 9. 851 ( 19 ) c0 2 equip malfunc @topic:20


# # # issue - * * device not able to measure spo2 ( oxygen saturation ) * * # # # impact - * * inability to monitor patient's oxygen levels * * # # # possible causes - faulty sensor - loose or damaged cable - software error - interference from other devices # # # recommendations - * * check the sensor and cable for any damage or loose connections * * - * * restart the device * * - * * update the software if available * * - * * check for any interference from other devices, such as cell phones or wi - fi routers * * @topic:4


# # # issue - broken latch lock # # # impact - bed cannot be locked in place, posing a safety hazard to patients. # # # possible causes - * * manufacturing defect : * * the latch lock may have been defective from the factory. - * * excessive force : * * the latch lock may have been subjected to excessive force, causing it to break. - * * wear and tear : * * over time, the latch lock may have worn down and become brittle, making it more susceptible to breaking. - * * improper installation : * * the latch lock may not have been properly installed, causing it to not engage correctly and break under pressure. # # # recommendations - * * inspect the latch lock regularly : * * check for any signs of damage or wear and tear. - * * use the latch lock properly : * * avoid applying excessive force when locking the bed. - * * replace the latch lock if necessary : * * if the latch lock is damaged or worn, replace it with a new one. - * * train staff on proper use : * * ensure that all staff who use the bed are trained on how to properly lock it. @topic:6


# # # issue - equipment not functioning properly # # # impact - patient care may be delayed or compromised # # # possible causes - faulty component - user error # # # recommendations - inspect the equipment for any loose connections or damaged components. - refer to the manufacturer's manual for troubleshooting instructions. - if the problem persists, contact a qualified technician. @topic:12


# # # issue - the electrical bed's end is not adjustable. # # # impact - patients may be unable to get in or out of bed, or may be uncomfortable if the bed is not in the correct position. # # # possible causes - the motor that controls the end of the bed may be faulty. - the wiring to the motor may be damaged. - the control panel may be malfunctioning. # # # recommendations * check the motor for any signs of damage or wear. * check the wiring to the motor for any breaks or shorts. * check the control panel for any loose connections or damaged components. * if the problem cannot be resolved, replace the motor, wiring, or control panel as necessary. @topic:1


and safety requirements254 remote displays ( m8031b ) 254 space requirements254 environmental requirements254 electrical and safety requirements255 remote displays - m8033a255 247 10 space requirements255 environmental requirements255 electrical and safety requirements255 remote displays - m8033b255 space requirements255 environmental requirements256 electrical and safety requirements256 remote displays - m8033c256 space requirements256 environmental requirements256 electrical and safety requirements257 cabling options and conduit size requirements257 touch cable258 remote alarm devices258 space requirements258 mounting258 cabling options and conduit size requirements258 remote extension device259 space requirements259 mounting259 cabling options and conduit size requirements259 input devices260 local printer260 philips medical lan261 rs232 / mib / lan interface261 nurse call relay interface262 ecg out interface262 9 gas analyzers 263 a philips 15210b calibration unit 265 unpacking the instrument265 initial inspection265 claims for damage266 repacking for shipment or storage266 instrument identification266 specification266 operating environment266 operating information266 fitting the gas cylinders267 storage of gas cylinders267 disposal of used gas cylinders267 routine maintenance267 changing the gas cylinders267 care and cleaning267 theory of operation268 11 gas flow performance check268 test procedure268 action if outside specification269 disassembly270 parts list272 b intellivue product structure 273 upgrade options274 12 1 d introduction this service guide contains technical details for the intellivue mp40 and mp50 patient monitor, the measurement modules, the multi - measurement server ( mms ), and the measurement server extensions. this guide provides a technical foundation to support effective troubles @topic:10


# # # issue - the nonius adjustment came off. # # # impact - the monitor cannot be adjusted properly. # # # possible causes - the screw that holds the nonius adjustment in place came loose. # # # recommendations - tighten the screw that holds the nonius adjustment in place. @topic:12


# # # issue - missing medcart icon on the desktop. # # # impact - user is unable to access the medcart program. # # # possible causes - the medcart program was not installed correctly. - the medcart program was uninstalled. - the medcart program icon was deleted from the desktop. - user does not have permission to access the medcart program. - antivirus software is blocking the medcart program. # # # recommendations - check that the medcart program is installed correctly. - reinstall the medcart program, if necessary. - restore the medcart program icon to the desktop. - grant user permission to access the medcart program. - disable antivirus software to check if it is blocking the medcart program. @topic:13


# # issue - the electric bed cannot be adjusted up or down. # # impact - the patient cannot be positioned comfortably in the bed. - the bed cannot be moved to a different location. # # possible causes - the remote control is not working. - the control panel on the bed is not working. - the motor that adjusts the bed is not working. - the power supply to the bed is not working. # # # recommendations - check the remote control for any damage or loose connections. - check the control panel on the bed for any damage or loose connections. - check the motor that adjusts the bed for any damage or loose connections. - check the power supply to the bed for any damage or loose connections. @topic:1


# # # issue * bed alarm in beds, electric, hill - rom, 900 accella is malfunctioning. # # # impact * patients may not be alerted in the event of an emergency. * increased risk of patient falls and injuries. * decreased patient safety. # # # possible causes * * * electrical fault : * * a loose wire, blown fuse, or damaged circuit board could cause the bed alarm to malfunction. * * * mechanical failure : * * a stuck or faulty sensor could prevent the bed alarm from triggering. * * * software glitch : * * a software bug could cause the bed alarm to malfunction intermittently or not at all. * * * user error : * * the bed alarm may not have been properly configured or used. # # # recommendations * * * inspect the bed alarm : * * check for any loose connections, damaged wires, or physical damage. * * * test the bed alarm : * * activate the bed alarm to verify its functionality. * * * update software : * * if available, update the bed alarm software to the latest version. * * * check user manual : * * refer to the user manual for proper configuration and use of the bed alarm. * * * contact the manufacturer : * * if the bed alarm cannot be repaired on - site, contact the manufacturer for technical support and replacement parts. * * * replace the bed alarm : * * if necessary, replace the faulty bed alarm with a new one to ensure patient safety. @topic:26


them on the system diagnostics menu. this can be helpful in diagnosing problems with the monitor. the monitor tracks the following parameters : parameter description nbp cycle count the number of nbp measurements taken by the monitor. lcd usage hours the number of hours that the lcd screen has been on. errors the number of errors recorded by the monitor. for more information about tracked errors, see “ viewing, printing, and exporting the error log ” on page 4 - 36. troubleshooting 4 - 34 suresigns vs4 service guide viewing and resetting tracked parameters resetting parameters caution you must always reset a tracked parameter after replacing the associated part. to reset a tracked parameter : step 1 open the maintenance options of the system diagnostics menu. see “ accessing maintenance options ” on page 3 - 11. when maintenance options are available, a reset button appears next to each tracked parameter. select the reset button to the right of the parameter to reset. a confirmation window appears before the parameter is cleared. in the confirmation window, select yes to reset the parameter to 0. repeat step 2 and step 3 to reset any other parameter. select the return button. the system admin menu appears. select the return button. the system menu appears. select the shutdown button. a confirmation window asks if you want to shut down the system. in the confirmation window, select yes. the monitor shuts down. troubleshooting suresigns vs4 service guide 4 - 35 viewing, printing, and exporting the error log viewing, printing, and exporting the error log 4 - 36 when the monitor detects a system error, it displays a message in the message area and saves the error to the error log. the log includes a timestamp that indicates when the error occurred. to clear the error count and log, see “ resetting parameters ” on page 4 - 35. @topic:22


alarm limit. numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone. * * st < n > high ecg / st the st elevation in lead < n > is higher than the limit. numeric flashes and high alarm limit is highlighted, yellow alarm lamp, alarm tone. * * st < n > low ecg / st the st depression in lead < n > is lower than the limit. numeric flashes and low alarm limit is highlighted, yellow alarm lamp, alarm tone. * * st multi < n >, < n > ecg / st the st depression or elevation is outside of the limit in two or more leads < n > and < n > numeric flashes, yellow alarm lamp, alarm tone * * st multi at information center ecg / st the st depression or elevation is outside of the limit in two or more leads. check on the monitor for more details about which leads are affected. ( on monitor ) numeric flashes, yellow alarm lamp, alarm tone * / * * svt ecg / arrhythmia a run of supraventricular beats greater than the svt run limit has been detected and the hr has exceeded the svt hr limit. numeric flashes, yellow alarm lamp, alarm tone. * * * tachy / p xxx > yyy or * * * tachy xxx > yyy press, sp0 2 the heart rate from the pulse signal has exceeded the tachycardia limit, xxx denotes the highest measured value ; yyy is the tachycardia limit. numeric flashes, alarm limit is highlighted, red alarm lamp, alarm tone. * * tblood high c. o. the blood temperature value has exceeded the high alarm limit. numeric flashes, high alarm limit is highlighted, yellow alarm lamp, alarm tone. * * tblood @topic:8


# # # issue the hill - rom care assist es220 electric bed in room 9 is not able to weigh patients, although it can still adjust its position normally. # # # impact the patient's family wants to weigh the patient every morning, so a new bed ( code : bmc14740 ) of the same model was brought from room 5b to replace the faulty one. # # # possible causes - faulty weighing scale : the bed's built - in weighing scale may be malfunctioning due to a variety of reasons, such as loose connections, damaged sensors, or a software issue. - power supply problems : the bed may not be receiving proper power supply, which can affect the functionality of its weighing scale. - mechanical issues : there may be mechanical issues with the bed's weighing mechanism, such as misalignment or worn - out components. # # # recommendations 1. * * inspect the weighing scale : * * check the connections, sensors, and wiring of the weighing scale to ensure they are secure and undamaged. 2. * * check the power supply : * * verify that the bed is connected to a stable power source and that the voltage is within the required range. 3. * * perform a mechanical inspection : * * examine the bed's weighing mechanism for any visible damage or misalignment. 4. * * contact the manufacturer : * * if the above steps do not resolve the issue, reach out to the manufacturer for technical support and guidance on further troubleshooting or repairs. @topic:25


# # # issue : - cuff failure in bedside physiologic monitor. # # # impact : - inaccurate blood pressure readings. - patient safety risk due to incorrect monitoring. # # # possible causes : - cuff damage or wear - and - tear. - improper cuff attachment or inflation. - defective cuff material or manufacturing defect. # # # recommendations : - inspect the cuff regularly for any visible damage or leaks. - replace the cuff if it is visibly worn or damaged. - ensure proper cuff inflation by following manufacturer's guidelines. - use high - quality cuffs that meet industry standards. - regularly calibrate the monitor to ensure accurate readings. - train staff on proper cuff handling and maintenance procedures. @topic:3


# # # issue - cuff of the vital signs monitor is deteriorated. # # # impact - inaccurate or unreliable vital signs measurements. - patient safety may be compromised. # # # possible causes - normal wear and tear due to frequent use. - exposure to harsh chemicals or cleaning agents. - improper storage or handling. # # # recommendations - replace the cuff with a new one. - regularly inspect the cuff for signs of wear and tear. - clean and store the cuff according to the manufacturer's instructions. - train staff on proper cuff handling and maintenance. - calibrate the monitor regularly to ensure accuracy. @topic:5


# # # issue - equipment : bed, electric - band : universal quality - model : uq2000b - issue : bed is not adjustable # # # impact - inability to adjust the bed, which may affect patient comfort and care. # # # possible causes - faulty remote control - electrical problems - mechanical issues with the bed's adjustment mechanism # # # recommendations - replace the remote control ( as mentioned in the input ). - inspect electrical connections and components. - check for any mechanical obstructions or damage to the bed's adjustment mechanism. - if the issue persists, further troubleshooting or repairs may be necessary, such as : - replacing faulty electrical components - adjusting or repairing the bed's adjustment mechanism - consulting with the equipment manufacturer or a qualified biomedical engineer @topic:1


# # # issue - monitor is not linked to central monitor. # # # impact - patient monitoring data may not be transmitted to the central monitor, which could lead to delayed or incorrect treatment decisions. # # # possible causes - incorrect ip address configuration on the monitor. - incorrect ip address configuration on the central monitor. - firewall or other network security settings blocking communication between the monitor and the central monitor. - physical network connectivity issues, such as a damaged or disconnected cable. # # # recommendations - check the ip address configuration on the monitor and ensure it matches the ip address of the central monitor. - check the ip address configuration on the central monitor and ensure it is correct. - check firewall and other network security settings to ensure they are not blocking communication between the monitor and the central monitor. - check the physical network connectivity, including cables and connectors, to ensure there are no issues. - consult with the manufacturer of the monitor or the central monitor for additional troubleshooting assistance. @topic:16


# # # issue - cuff of the monitor is damaged. # # # impact - the monitor may not be able to accurately measure blood pressure or other physiological parameters. - this could lead to incorrect medical decisions. # # # possible causes - the cuff may have been used too many times. - the cuff may have been exposed to extreme heat or cold. - the cuff may have been damaged by another device. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of damage. - avoid exposing the cuff to extreme heat or cold. - do not use the cuff with other devices that could damage it. @topic:3


# # # issue - the philips suresigns vs4 vital signs monitor cannot be used due to not avaiable vsm scan. # # # impact - the monitor is not able to perform its intended function, which is to monitor patient vital signs. this could have a negative impact on patient care. # # # possible causes - the vsm scan is not available due to a software error. - the vsm scan is not available due to a hardware error. - the vsm scan is not available due to a network error. - the vsm scan is not available due to a user error. # # # recommendations - check the software version of the monitor and update if necessary. - check the hardware of the monitor for any loose connections or damaged components. - check the network connection of the monitor and make sure it is working properly. - make sure that the user is trained on how to use the monitor properly. @topic:22


# # # issue - medical cart was not working properly # # # impact - the medical cart is a critical piece of equipment in the hospital, so its failure could have a significant impact on patient care. # # # possible causes - the cause of the failure was determined to be a faulty power plug. # # # recommendations - the bme replaced the faulty power plug and tested the medical cart to ensure that it was working properly. @topic:13


the computer screen is displaying a " reboot " message, restart the computer to see if the issue resolves. 5. * * check software updates : * * investigate any recent software updates or installations that may have caused the issue. consider uninstalling or rolling back any suspicious software. 6. * * contact manufacturer support : * * if the issue persists, contact the manufacturer of the medical cart for further troubleshooting assistance. @topic:13


# # # issue the remote control for the huntleigh contoura 390 electric bed was damaged. # # # impact the bed could not be operated without a functioning remote control. this could have a negative impact on patient care, as the bed is used to position patients for various procedures and treatments. # # # possible causes the remote control may have been dropped, stepped on, or otherwise damaged. # # # recommendations the remote control should be replaced as soon as possible. in the meantime, the bed can be operated manually using the controls on the bed frame. @topic:7


# # # issue - equipment : bed, electric - band : huntleigh - model : enterprise 8000 - description : - after inspection, it was found that the power was not connected. - the technician fixed the control plug and checked the operation. # # # impact - the bed cannot be adjusted. # # # possible causes - the power cord is not connected properly. - the control plug is faulty. - the bed's electrical system is malfunctioning. # # # recommendations - ensure that the power cord is securely connected to both the bed and the power outlet. - inspect the control plug for any damage and replace it if necessary. - if the problem persists, contact a qualified technician to diagnose and repair the electrical system of the bed. @topic:1