##pxxxxxxxxx wifi on note : ng - 09 - 14 the patient name / date of birth are automatically given unverified status if the bed is in battery mode, or if the patient has left the bed for more than 24 hours. m. desbois robin [ 15698742 ] check identity locate close moving the bed out of the room for less than 1 minute in this case, the bed is automatically reconnected in the same room. moving the bed out of the room for more than 1 minute returning to the same room : 1. a. the screen on the bed shows the room where the bed was previously located. this bed was previously plugged in room : ng - 09 - 14 b. ress yes to confirm. do you confirm it is still the case? 1. different cancel room the screen on the bed shows the room where the bed was previously located. a. this bed was previously plugged in room : g - 09 - 14 b. press different room to select another do you confirm it is still the case? room. different room select the new room from the list. cancel yes c. if the room is already associated with an assigned bed, a screen opens. d. ng - 09 - 14 this room is already assigned to another bed. o you wish to continue? press continue to confirm this choice and the assignment process starts. e. this will send an alarm to the previous bed. different room continue the system then informs f. ng - 10 - 01 this room is no longer assigned to this bed. different room ok management of wi - fi connection profiles 1. press parameters on the gci. press technician access. 2. technician access enter the code 9004 and confirm by pressing ok. 3. press wifi profile management. 4. wifi profile management check that the wi - fi is active. activate if ecess @topic:10


# # # issue - the hospital bed's side rails are difficult to raise and lower due to friction. # # # impact - this can cause discomfort and inconvenience for patients, as well as make it difficult for healthcare professionals to provide care. # # # possible causes - possible causes of this issue include : - build - up of dirt and debris on the side rails - damage to the side rails or their mechanisms - application of inappropriate cleaning chemicals # # # recommendations - to resolve this issue, it is recommended to : - clean the side rails thoroughly with a mild soap and water solution - inspect the side rails and their mechanisms for any damage - if any damage is found, contact the manufacturer for repair or replacement - ensure that only appropriate cleaning chemicals are used on the side rails @topic:6


# # # issue - the propaq lt monitor displays a " system fault has occurred " error message when left on for an extended period. # # # impact - the monitor is unable to measure vital signs, which can delay or compromise patient care. # # # possible causes - faulty main board - failing battery # # # recommendations - replace the main board and battery. - consider regular maintenance and calibration to prevent future failures. @topic:2


* * issue : * * - connector on remote control is loose. * * impact : * * - bed cannot be adjusted. * * possible causes : * * - physical damage to the connector. - electrical failure in the connector. - improper or insufficient maintenance. * * recommendations : * * - inspect the connector for any visible damage or wear. - tighten or replace the connector as necessary. - perform regular maintenance and inspections of the bed and its components. @topic:7


# # # issue - cuff of the vital signs monitor has deteriorated. # # # impact - the vital signs monitor may not be able to accurately measure blood pressure. # # # possible causes - cuff is exposed to moisture over time. - cuff has been subjected to excessive use or wear and tear. - cuff was not properly inflated when taking blood pressure measurements, which can cause the cuff to stretch excessively and deteriorate. - cuff was not stored properly when not in use, which can lead to cracking or other damage. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear and replace it as needed. - ensure that the cuff is properly inflated when taking blood pressure measurements. - store the cuff properly when not in use. @topic:5


# # # issue - bed is unable to adjust the knee section. # # # impact - patient discomfort - delays in patient care - reduced patient satisfaction # # # possible causes - faulty remote control - mechanical failure in the knee adjustment mechanism - electrical issues within the bed # # # recommendations - replace the remote control. - inspect the knee adjustment mechanism for any visible damage or loose connections. - perform electrical diagnostics to check for any faults or short circuits. - if the problem persists, consult with a qualified biomedical engineer for further troubleshooting and repair. @topic:9


# # # issue - cuff on the bedside physiologic monitor is deteriorated and unable to take measurements. # # # impact - inability to accurately monitor patient's vital signs, such as blood pressure. # # # possible causes - * * cuff deterioration : * * the cuff may have become damaged or worn out over time, affecting its ability to inflate and deflate properly. - * * improper storage : * * the cuff may not have been stored properly, leading to damage or deterioration. - * * excessive use : * * the cuff may have been used excessively, resulting in wear and tear. # # # recommendations - * * replace the cuff : * * the deteriorated cuff should be replaced with a new one to ensure accurate measurements. - * * inspect other components : * * inspect other components of the monitor, such as the tubing and sensor, for any signs of damage or deterioration. - * * proper storage : * * store the cuff in a dry and protected environment to prevent damage. - * * monitor usage : * * limit excessive use of the cuff to prolong its lifespan. @topic:5


# # # issue - medical cart computer not powering on # # # impact - inability to use the medical cart for patient care # # # possible causes - power supply issue - hardware failure - software error # # # recommendations - check the power supply and ensure it is properly connected. - inspect the hardware for any loose connections or damaged components. - restart the computer and check if the issue persists. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:13


# # # issue - the biomedical engineer ( bme ) is unable to determine the cause of failure for the connex spot monitor. # # # impact - the monitor is unable to accurately measure vital signs, which could lead to patient harm. # # # possible causes - the monitor may be malfunctioning. - the patient may have a condition that is affecting the accuracy of the monitor's readings. - the bme may not have properly calibrated the monitor. # # # recommendations - the bme should troubleshoot the monitor to determine if it is malfunctioning. - the bme should assess the patient's condition to determine if it is affecting the accuracy of the monitor's readings. - the bme should recalibrate the monitor to ensure that it is reading accurately. @topic:22


# # # issue motor knee adjustment failure # # # impact inability to adjust the knee motor, which may affect the patient's comfort and treatment outcomes. # # # possible causes - faulty motor knee - problem with the control box - loose connections or wiring issues # # # recommendations - replace the motor knee with a new one. - check the control box for any damage or loose connections. - inspect the wiring and connectors for any faults or corrosion. @topic:9


# # # issue - lcd monitor display is too low # # # impact - difficult for users to view the monitor # # # possible causes - loose screws # # # recommendations - tighten the screws @topic:2


# # # issue central monitor malfunction. # # # impact patient monitoring is interrupted. # # # possible causes - the central monitor may have been moved and not properly reconnected. # # # recommendations - check the connections of the central monitor. - restart the central monitor. - if the problem persists, contact the manufacturer. @topic:16


##s, and classifies and labels beats to aid in rhythm analysis and alarm detection. • examines the ecg signal for ventricular fibrillation, asystole, and noise. arrhythmia options your monitor has either the basic or the enhanced arrhythmia option. both options provide rhythm and ectopic status messages and beat labelling. the number of rhythms being classified, events being detected, and alarms generated differs according to the option. the alarms available with the different options are listed in the section “ ecg and arrhythmia alarm overview ” on page 130, the rhythm and ectopic messages detected are listed in “ arrhythmia status messages ” on page 137. where can i find more information? see the application notes on st and arrhythmia supplied on your documentation dvd for detailed information on the arrhythmia algorithm and its clinical application. 133 6 ecg, arrhythmia, st and qt monitoring switching arrhythmia analysis on and off switching arrhythmia analysis on and off 1 in the setup arrhy menu, select arrhythmia to toggle between on and off. 2 select the confirm pop - up key which appears at the bottom of the screen. be aware that when arrhythmia analysis is switched off, - the message arrhythmia off appears beside the ecg wave, if configured to do so - only the hr - related alarms are detected ( the asystole alarm, the ventricular fibrillation / tachycardia alarm, the extreme tachycardia and extreme bradycardia alarms, the high heart rate and low heart rate alarms ) - hr high and hr low alarms behave like normal yellow alarms, no timeout periods are active. choosing an ecg lead for arrhythmia monitoring it @topic:8


# # # issue - malfunctioning wheels on the philips suresigns vs2 vital signs monitor. # # # impact - the equipment may not be able to provide accurate vital signs readings, which could lead to patient safety issues. - the noise could be a distraction for medical staff and patients. # # # possible causes - the wheels could be damaged, loose, or dirty, causing them to make noise when the monitor is being moved. - the bearings in the wheels could be worn out. - the wheels could be made of a material that is not suitable for use on the hospital floor. # # # recommendations - inspect the wheels for damage, looseness, or dirt. clean the wheels as necessary. - check the bearings in the wheels for wear and replace them if necessary. - if the wheels are made of a material that is not suitable for use on the hospital floor, replace the wheels with a more suitable material. - bme : biomedical engineer @topic:24


section actuator continues operating until it reaches its lower eot or its control is released. dining chair® position the dining chair® position function combines the movements of the bed frame sections and uses the intennediate internal microswitches of the knee section and foot section motors to control the interaction between these two sections. page 3 - 16 careassist® and careassist® es bed service manual ( man330 rev 4 ) electrical system ( b model and newer beds ) chapter 3 : theory of operation detection of bed connected to ac power but brakes not set the detection system operates by a normal on switch, mounted on the foot end crossbar and is activated by the brake / steer bar. the power supply unit controls an audible alarm if the following two elements occur together : ac power is present and the switch not activated. the audible alarm stops when the brake is applied or when the bed is unplugged from the power source. trendelenburg / reverse trendelenburg the trendelenburg / reverse trendelenburg is a fully electric function accessed by the caregiver. the function is enabled by the enable control on the caregiver siderail controls. the principle involves controlling the two hilow columns in opposing directions according to the position required, regardless of the initial height and position of the sleep surface. as long as one of the two controls remains pressed, the two columns continue to move until their internal eot is reached. the maximum inclination can be reached as long as ac power or battery backup is available. scale and bed exit systems — b model beds power is supplied to the scale / bed exit system from the siderail interface pc. board inside the power supply. the power supply supplies a regulated 8. 6 v dc referenced to signal gnd at 500ma max, 200ma typical. the gnd is common among all nodes in the bed. this is important to the @topic:9


# # # issue - monitor does not link to the central system. # # # impact - the monitor cannot send patient data to the central system, which can delay or prevent timely medical interventions. # # # possible causes # # # # known cause - central monitor ip address miss matched with server ip address # # # # other possible causes - faulty network connection - incorrect network settings on the monitor - software or firmware issues on the monitor or central system - firewall or security settings blocking communication between the monitor and central system # # # recommendations - verify network connectivity by checking cables and network switches. - ensure that the monitor and central system have the correct network settings. - update the software or firmware on the monitor and central system, if necessary. - check firewall or security settings to ensure that communication between the monitor and central system is not being blocked. - contact the manufacturer for further troubleshooting assistance. @topic:16


# # # issue - rail guard difficult to adjust # # # impact - patient safety compromised due to ineffective bed guard function. # # # possible causes - loose rail guard - improper alignment of rail guard - worn or damaged rail guard components - insufficient lubrication # # # recommendations - tighten loose rail guard connections. - realign rail guard to ensure proper fit and function. - inspect and replace worn or damaged rail guard components. - apply lubricant to rail guard moving parts to reduce friction. @topic:6


old and weighing between 0. 5 - 4. 25 kg. seventy - nine ( 79 ) data samples were collected over a range of 70 - 100 % sao2 with a resultant accuracy of 2. 9 % spo2. 2 the masimo sensors have been validated for no motion accuracy in human blood studies on healthy adult male and female volunteers with light to dark skin pigmentation in induced hypoxia studies in the range of 70 - 100 % spo2 against a laboratory pulse oximeter and ecg monitor. this variation equals plus or minus one standard deviation. plus or minus one standard deviation asses 68 % of the population. 3 the masimo sensors have been validated for motion accuracy in human blood studies on healthy adult male and female volunteers with light to dark skin pigmentation in induced hypoxia studies in the range of 70 - 100 % spo2 against a laboratory co - oximeter and ecg monitor. this variation equals plus or minus one standard deviation which encompasses 68 % of the population. 4 the masimo set technology has been validated for low perfusion accuracy in bench top testing against a biotek index 2 simulator and masimo's simulator with signal strengths of greater than 0. 02 % and transmission of greater than 5 % for saturations ranging from 70 - 100 %. this variation equals plus or minus one standard deviation which encompasses 68 % of the population. 5 the masimo sensors have been validated for pulse rate accuracy for the range of 25 - 240 bpm in bench top testing against a biotek index 2 simulator. this variation equals plus or minus one standard deviation which encompasses 68 % of the population. 6 the following substances may interfere with pulse oximetry measurements : elevated levels of methemoglobin ( methb ) may lead to inaccurate spo2 measurements • elevated levels of carboxyhemoglobin ( cohb @topic:4


# # # issue * motor failure on huntleigh contoura 390 electric bed # # # impact * bed is unable to be adjusted, compromising patient comfort and safety # # # possible causes * malfunctioning motor * damaged wiring or connections * faulty electrical components * improper adjustment settings # # # recommendations * * * verify motor functionality : * * test the motor using a multimeter or other diagnostic tool. * * * inspect wiring and connections : * * ensure that all wires and connections are secure and free of damage. * * * check electrical components : * * examine the bed's circuitry and electrical components for any signs of damage or malfunction. * * * recalibrate adjustment settings : * * follow the manufacturer's instructions to ensure that the bed is properly calibrated and adjusted. * * * contact the manufacturer : * * if the issue persists, contact the manufacturer for technical support and guidance on further troubleshooting. @topic:9


# # # issue the equipment is not able to be registered. # # # impact the equipment cannot be used until it is registered. # # # possible causes - incomplete information is provided to the registration system. - missing documentation. - the registration system is not working properly. # # # recommendations - make sure that all the required information is provided to the registration system. - check to see if the missing documentation is available. - contact the registration system's help desk if you are having trouble registering the equipment. @topic:12


# # # issue - the philips intellivue mp5 ( m8105a ) patient monitor is experiencing intermittent power outages. # # # impact - the monitor is essential for monitoring patient vital signs, and its failure could lead to patient harm. - the hospital is also experiencing downtime costs while the monitor is being repaired. # # # possible causes - the monitor's power supply may be faulty. - the monitor's mainboard may be damaged. - the monitor's battery may be depleted. # # # recommendations - replace the monitor's power supply. - replace the monitor's mainboard. - replace the monitor's battery. - send the monitor to a qualified technician for further diagnosis and repair. @topic:2


# # # issue the cause of failure in the input to the biomedical engineer is likely due to a faulty oxygen saturation ( spo2 ) sensor cable. # # # impact the faulty sensor cable may result in inaccurate or unreliable spo2 measurements. this can lead to incorrect patient monitoring and potentially compromise patient safety. # # # possible causes * damaged or worn - out sensor cable * poor connection between the sensor and the monitor * issues with the sensor itself # # # recommendations * replace the faulty sensor cable with a new one. * ensure proper connection between the sensor and the monitor. * if the issue persists, consider replacing the sensor itself. * conduct regular preventive maintenance on the equipment to identify and address potential issues early on. * provide training to staff on proper handling and maintenance of the equipment to prevent future failures. @topic:4


# # # issue the remote control for the paramount bed ca - 39g electric bed has a frayed and damaged electrical cord. # # # impact * the damaged electrical cord poses a safety hazard as it could cause electrical shock or fire. * the bed cannot be adjusted properly without a functioning remote control, which can impact patient comfort and care. # # # possible causes * age and wear - and - tear * physical damage to the cord due to mishandling or repeated use * environmental factors, such as extreme temperatures or humidity # # # recommendations * * * replace the damaged remote control : * * the most immediate solution is to replace the damaged remote control with a new one from the manufacturer. this should resolve the safety hazard and restore the functionality of the bed. * * * inspect other electrical cords : * * check the electrical cords of other medical devices in the area to identify any potential hazards and prevent similar issues in the future. * * * implement regular maintenance schedule : * * establish a regular maintenance schedule for medical equipment to proactively identify and address any potential issues, including electrical cord damage. * * * train staff on proper handling : * * provide training to staff on the proper handling and care of medical equipment, including the importance of avoiding damage to electrical cords. * * * use protective covers : * * consider using protective covers or sleeves for electrical cords to minimize damage from external factors. @topic:7


# # # issue - bed electric movement failure # # # impact - inability to adjust bed height and position, which can affect patient comfort and safety. # # # possible causes - * * mechanical failure : * * - faulty motor or actuator - broken gears or cables - misalignment of components - * * electrical failure : * * - loose connections or wiring - faulty control board or power supply - * * software issue : * * - firmware errors or corrupted software - * * user error : * * - improper operation or excessive force # # # recommendations - * * troubleshooting : * * - verify power supply and check for loose connections. - inspect mechanical components for damage or misalignment. - test control board and power supply using diagnostic tools. - * * repairs : * * - replace faulty motors, actuators, or gears. - tighten loose connections or fix broken wiring. - update or reinstall software if necessary. - * * preventive maintenance : * * - regular inspection and lubrication of mechanical components. - software updates and electrical safety checks. - training for staff on proper operating procedures. @topic:9


# # # issue unable to adjust the trend settings to display vital signs and graphs every 5 minutes. # # # impact inability to monitor vital signs and graphs at the desired frequency. # # # possible causes - incorrect device settings - insufficient user permissions - software glitch # # # recommendations - verify that the device settings are correct by navigating to the main setup menu and adjusting the trend settings accordingly. - ensure that the user has the necessary permissions to make changes to the device settings. - contact the device manufacturer or a qualified biomedical engineer if the issue persists or if there is a suspected software glitch. @topic:22


# # # issue - the medical cart is measuring high temperature and humidity. # # # impact - this could lead to inaccurate readings and potentially compromise the safety of patients and medical staff. # # # possible causes - the temperature and humidity sensors may be malfunctioning. - the medical cart may be located in an area with high temperature and humidity. - the medical cart may not be properly calibrated. # # # recommendations - calibrate the medical cart according to the manufacturer's instructions. - ensure that the medical cart is located in an area with appropriate temperature and humidity. - if the problem persists, contact the manufacturer for further assistance. @topic:20


# # # issue * * equipment : * * monitor, physiologic, vital signs * * band : * * ge healthcare * * model : * * dinamap pro 300 * * cause of failure : * * calibration failure # # # impact * * description : * * - device may provide inaccurate vital signs measurements # # # possible causes - faulty sensor or transducer - loose connections or damaged cables - software / firmware issues - environmental factors ( e. g., temperature, humidity ) # # # recommendations - * * immediate : * * - isolate the device and remove it from patient use - contact the manufacturer or qualified biomedical engineer for evaluation - * * preventative : * * - implement regular calibration and maintenance schedules - ensure proper storage and handling of the device - train staff on correct device operation and troubleshooting - consider using a calibrated reference device to cross - check readings @topic:20


auscultatory measurements ( depending on the configuration ) in a representative patient population. for the auscultatory reference, the fifth korotkoff sound was used to determine the diastolic pressure. in neonatal mode, the blood pressure measurements determined with this device comply with the american national standard for electronic or automated sphygmomanometers ( ansi / aami sp10 - 1992 ) in relation to mean error and standard deviation, when compared to intra - arterial measurements in a representative patient population. the nbp measurement is suitable for use in the presence of electrosurgery and during the discharge of a cardiac defibrillator according to iec 601 - 2 - 30 : 1999 / en 60601 - 2 - 30 : 2000. a physician must determine the clinical significance of the nbp information. introducing the oscillometric nbp measurement oscillometric devices measure the amplitude of pressure changes in the occluding cuff as the cuff deflates from above systolic pressure. the amplitude suddenly increases as the pulse breaks through the occlusion in the artery. as the cuff pressure decreases further, the pulsations increase in amplitude, reach a maximum ( which approximates to the mean pressure ), and then diminish. studies show that, especially in critical cases ( arrhythmia, vasoconstriction, hypertension, shock ), oscillometric devices are more accurate and consistent than devices using other noninvasive measuring techniques. warning patient category : select the correct patient category setting for your patient. do not apply the higher adult inflation, overpressure limits and measurement duration to neonatal patients. intravenous infusion : do not use the nbp cuff on a limb with an intravenous infusion or arterial catheter in place. this could cause tissue damage around the catheter @topic:17


# # # issue the electric ob / gyn bed is making noise when it is raised or lowered. # # # impact the noise may be disruptive to patients and staff, especially in a quiet setting such as a hospital room. # # # possible causes - the bed's hydraulic system may need to be lubricated. - one of the bed's motors may be malfunctioning. - there may be a problem with the bed's electrical system. # # # recommendations a qualified technician should inspect the bed to determine the cause of the noise and make necessary repairs. @topic:9


# # # issue - monitor cannot lower the alarm sound. # # # impact - inability to adjust the alarm volume, which can be distracting or uncomfortable for patients and staff. # # # possible causes - volume settings incorrectly configured in the monitor's menu. - faulty or damaged volume control buttons. - software or hardware issue with the monitor's alarm system. # # # recommendations - check the monitor's settings to ensure that the volume is set to the desired level. - inspect the volume control buttons for any damage or malfunction. - contact the manufacturer for technical support or repairs if the issue persists. - refer to the user manual or technical documentation for specific troubleshooting steps. @topic:26


# # # issue - the connector cable of the bedside physiologic monitor is damaged. # # # impact - the monitor cannot be used to measure patient vital signs accurately. - the monitor may be unsafe to use and could pose a risk to the patient. # # # possible causes - normal wear and tear : the connector cable is constantly being plugged and unplugged, which can wear it out over time. - excessive force : if excessive force is used when plugging or unplugging the connector cable, it can damage the cable. - chemical damage : if the connector cable is exposed to chemicals or cleaning solutions, it can damage the cable. - physical damage : if the connector cable is dropped or crushed, it can damage the cable. # # # recommendations - inspect the connector cable regularly for signs of damage. - use caution when plugging and unplugging the connector cable. - avoid exposing the connector cable to chemicals or cleaning solutions. - store the connector cable in a safe place when it is not in use. - replace the connector cable if it shows signs of damage. @topic:2


printer. 375 29 printing patient reports printer status message possible causes and suggested action the printer queue is full and the monitor cannot accept another report request. wait until some more reports have been printed, then try again, or print job could not be queued ( insufficient resources ) print job could not be queued queue is full ) a report has been triggered that uses a paper size unavailable with the target printer. try another printer, if available, or change the paper size of the print print job could not be queued ( no matching printer found ) cancelling all print jobs delete all reps has been selected in the reports menu, or the operating mode has been changed from monitoring mode to demonstration or service mode. the current report is being canceled as the result of a user request. when a patient is discharged, all queued reports are canceled except those stored in the print database. cancelling the active print job cancelling print jobs due to the monitor has restarted and all report requests have been canceled except those stored in the print database. " # " is the number of : reports canceled. cancelling # print jobs due to hotstart a report has been triggered which has not been correctly set up. enter the setup menu for the printing failed : no report configured! a report is in progress, or the monitor is waiting for the central printer to accepthe print job. the chosen device is unavailable. check that the printer is properly connected and that paper is available. the requested report will start printing when the ailable. printer < printer name > unavailable - > job suspended print database full - > job suspended the requested report does not fit into the print database. you can select another printer to print the report ( see “ unavailable printer : re - routing reports " on page 374 ). alternatively you can delete another report from the reports job list ( using the delete report key ) to create space @topic:28


# # # issue - bed alarm not functioning properly # # # impact - patient safety risk - staff inconvenience # # # possible causes - incorrect bed alarm settings - loose connections - faulty switches # # # recommendations * * corrective actions : * * - check and adjust bed alarm settings as per manufacturer's guidelines. - inspect connections and tighten any loose wires. - replace faulty switches if necessary. * * preventive actions : * * - establish regular maintenance schedule for bed alarms to ensure optimal functionality. - provide training to staff on proper use and maintenance of bed alarms. - consider using a centralized monitoring system to monitor bed alarms and alert staff of any issues. @topic:26


# # # issue - loose lug nuts on locking wheels # # # impact - impaired mobility of the bed - increased risk of accidents due to the bed moving unexpectedly # # # possible causes - improper assembly or maintenance - excessive use or wear and tear - damage to the lug nuts or threads # # # recommendations - inspect the locking wheels regularly for loose lug nuts. - tighten the lug nuts to the manufacturer's specifications. - replace any damaged lug nuts or threads. - train staff on proper assembly and maintenance procedures. @topic:6


srr board 2 speaker power switch i board \ \ \ 1 1 1 z'side usb ecgout | i! 1 1 y y y bottom antenna t board i antenna 3 ~ | battery standard system if board lan video usb main board msl board rack board ■o * 2 ( d b ( d o x3 o o mms rear advanced system if board legerxj : board to board connection - cable connection mx500imx550 hardware building blocks 16 2 theory of operation ) compatible devices m3001a multi - measurement module ( mms ) m3002a inteuivue x2 m3012a mms extension 17 [ 2 theory of operation ] 18 2 theory of operation ) power supply the ac / dc converter transforms the ac power coming from the plug into 15v / 70w dc source and isolates the monitoring system from the ac power mains. the 15v is distributed via power bus either directly or over additional converters to ah components of the system : the battery charger is supplied with 15v and switches between ac / dc supply and battery depending on whether ac power cord is plugged or unplugged. the 48v dc power needed for the msl is created by an isolating dc / dc converter. the led backlight converter located on the panel adapter board is supplied with 9v - 12. 6v / 15v. the isolated interfaces are supplied with 2. 5v ac. the main board is supplied with 5v, 3. 3v, 1. 5v, 1. 4v and 1. 2v. additionally, for some infrastmctural functions 3. 6v is provided to the main board. main board the main board contains the cpu which includes the graphic processing unit and usb controller. the main memory, a system fpga, a system controller including watchdogs @topic:19


# # # issue - bed electric, huntleigh enterprise 8000, is not able to move up and down, the safety rail is stuck. # # # impact - the bed is not safe to use, patients cannot be transported or transferred. # # # possible causes - the safety rail is obstructed by something, such as bed linens or equipment. - the motor that moves the safety rail is not working. - the electrical connections to the motor are faulty. # # # recommendations - check the safety rail for obstructions and remove them. - test the motor by manually moving the safety rail up and down. - check the electrical connections to the motor and ensure they are secure. @topic:6


# # # issue - intermittent spo2 signal # # # impact - inaccurate or delayed monitoring of patient's oxygen saturation levels. # # # possible causes - faulty or damaged spo2 sensor or cable. - improper connection between sensor and monitor. - electrical interference from other medical devices. - patient movement or positioning. # # # recommendations 1. check the spo2 sensor and cable for any visible damage or loose connections. 2. ensure the sensor is properly placed on the patient's finger or toe, with good signal strength. 3. inspect the cables and connectors for any signs of damage or corrosion. 4. identify and eliminate any potential sources of electrical interference, such as nearby medical devices or power lines. 5. reposition the patient or adjust the sensor placement to minimize movement artifacts. 6. if the issue persists, replace the spo2 sensor or cable and verify proper functionality. @topic:4


# # # issue : electric bed ( seta ) malfunction # # # impact : patient care and safety may be compromised due to inoperable bed. # # # possible causes : 1. * * missing control box : * * the cause of the failure is likely due to the absence of the control box, which is a crucial component for operating the electric bed. without the control box, the bed cannot be adjusted or moved, which can significantly limit its functionality and hinder patient care. # # # recommendations : 1. * * retrieve missing control box : * * the immediate step is to locate and retrieve the missing control box. this can involve checking nearby storage areas, searching for lost or misplaced items, or contacting the manufacturer to inquire about a replacement. 2. * * install and test control box : * * once the control box is obtained, it should be properly installed and tested to ensure that the electric bed is fully functional. this may require the expertise of a qualified biomedical engineer or technician. 3. * * document and communicate : * * the incident and its resolution should be properly documented and communicated to relevant personnel, including the hospital's engineering department, maintenance staff, and medical staff. this helps track and prevent similar issues in the future. 4. * * consider preventive measures : * * to minimize the likelihood of such incidents in the future, it is recommended to establish a system for regularly checking and maintaining medical devices, including electric beds. this may involve periodic inspections, preventive maintenance schedules, and staff training. @topic:9


# # # issue - the electric bed cannot be adjusted. # # # impact - unable to provide optimal patient positioning for comfort, care, and treatment. - potential for patient injury or discomfort. - delays in patient care. # # # possible causes * * 1. control unit malfunction : * * - faulty control unit or its components ( e. g., buttons, switches, wiring ) - software or firmware issues * * 2. mechanical failure : * * - jammed or obstructed motor - broken or loose drive gears - faulty actuators * * 3. power supply issues : * * - loose or disconnected electrical connections - power outage or surge - incorrect voltage or current supply * * 4. environmental factors : * * - extreme temperatures or humidity - dust or debris accumulation * * 5. operator error : * * - immobilization function accidentally activated - incorrect operation or positioning # # # recommendations * * 1. control unit troubleshooting : * * - inspect and test control unit components - update software or firmware if necessary * * 2. mechanical inspection and maintenance : * * - clean and lubricate moving parts - check for obstructions or broken components - replace worn or damaged parts * * 3. electrical checks : * * - ensure secure electrical connections - verify correct voltage and current supply - use a voltmeter to test power source * * 4. environmental optimization : * * - maintain appropriate temperature and humidity levels - regularly clean and remove dust or debris * * 5. user education and training : * * - provide clear instructions on proper bed operation - train staff on immobilization function usage - emphasize the importance of following operating procedures @topic:9


* * issue : * * physiologic monitor ( bedside ) welch allyn propaq lt has a power failure. * * impact : * * the device is unable to monitor patients'vital signs. * * possible causes : * * - faulty power supply - damaged electrical cord - loose connections - faulty circuit board - power surge or outage * * recommendations : * * - verify that the power supply is functioning properly. - inspect the electrical cord for any damage. - ensure that all connections are tight and secure. - inspect the circuit board for any visible damage or corrosion. - check if there was a recent power surge or outage. if so, reset the device or contact the manufacturer. @topic:2


# # # issue - no graph is displayed on the screen. # # # impact - inability to monitor vital signs. # # # possible causes - faulty power supply board - malfunctioning nibp pump # # # recommendations - replace the power supply board. - inspect and test the nibp pump. if necessary, replace the pump. - check for any loose connections or damaged cables. - ensure that the monitor is properly calibrated and configured. - if the issue persists, contact the manufacturer for further support. @topic:2


# # # issue - mouse not functioning # # # impact - inability to use the monitor and central station effectively # # # possible causes - defective mouse - loose connection between mouse and computer - software or driver issues # # # recommendations - replace the mouse - check the connection between the mouse and computer - update or reinstall the mouse driver @topic:30


# # # issue - alarm battery # # # impact - the device may not be able to alert the user to critical events. # # # possible causes - the battery is not properly seated in the device. - the battery is defective. - the battery charger is not functioning properly. # # # recommendations - check that the battery is properly seated in the device. - replace the battery. - check that the battery charger is functioning properly. @topic:11


# # # issue - broken bp air hose # # # impact - inability to accurately measure blood pressure # # # possible causes - physical damage to the hose - natural wear and tear - improper storage or handling # # # recommendations - inspect the bp hose regularly for damage. - replace the hose if it is damaged. - store and handle the hose properly to prevent damage. - train staff on the proper use and care of the bp hose. @topic:3


# # # cause of failure : loaned to another department # # # issue : - the bed is not available for use in its original location. # # # impact : - patients may have to wait longer for a bed. - staff may have difficulty accessing the bed for patient care. # # # possible causes : - the bed was loaned to another department without proper documentation or coordination. - the bed was not needed in its original location. - the bed was damaged or broken and was loaned to another department for use as a spare. # # # recommendations : - establish a clear policy for loaning medical equipment between departments. - ensure that there is a proper documentation and tracking system for loaned equipment. - consider the impact of loaning equipment on patient care and staff efficiency. - train staff on the proper use and care of medical equipment. @topic:9


# # # issue - equipment not powering on - error message " e13 " displayed # # # impact - inability to monitor vital signs - delay in patient care # # # possible causes - loose ac adapter connection - faulty ac adapter - internal electrical fault # # # recommendations * * immediate actions : * * - ensure that the ac adapter is securely connected to the device. - replace the ac adapter with a known good one. * * troubleshooting : * * - inspect the ac adapter for any physical damage or loose connections. - measure the output voltage of the ac adapter using a voltmeter to ensure it is providing the correct voltage. - check the power cord for any breaks or damage. - if the issue persists, further investigation by qualified biomedical engineering personnel may be required to determine the root cause of the fault. * * preventative measures : * * - establish regular maintenance schedules to inspect and clean electrical connections. - store and handle equipment carefully to avoid damage to the ac adapter. - train staff on proper equipment handling and maintenance procedures. @topic:11


# # # issue bed footrest not adjusting # # # impact patient discomfort and potential for injury # # # possible causes - electrical fault in the motor or control unit - mechanical fault in the adjustment mechanism - faulty power supply # # # recommendations - inspect the motor and control unit for any visible damage or loose connections - test the adjustment mechanism for smooth operation - check the power supply to ensure it is providing the correct voltage and amperage - if the problem persists, consult with a qualified biomedical engineer or the manufacturer for further assistance @topic:1


remove the plastic labels covering the three screw holes. repairing the monitor 5 - 10 suresigns vs4 service guide removing the tympanic temperature module 8 remove the three torx t10 screws and washers from the temperature module. 9 gently pull the temperature module cable out of the monitor and remove the temperature module from the monitor. repairing the monitor suresigns vs4 service guide 5 - 11 separating the front and rear case assemblies separating the front and rear case assemblies to install internal replacement parts, you must first separate the front and rear case assemblies. to separate the front and rear case assemblies : warning the metal edges on the inside of the front case assembly are sharp. use extreme caution when handling the separated monitor assemblies. step 1 disconnect the ac power cable from the back of the monitor. 2 disconnect all external cables from the monitor. 3 remove the battery from the monitor ( see “ removing the battery ” on page 5 - 3 ). 4 remove the usb hub ( if attached ) from the rear cover. 5 remove the two torx t20 screws from the top of the rear case. caution cables run between the front and rear case assemblies. repairing the monitor 5 - 12 suresigns vs4 service guide separating the front and rear case assemblies 6 remove the two torx t20 screws from the bottom of the rear case. 7 separate the front and rear case assemblies by pulling the lower edge of the front case assembly and slowly lifting it up over the handle. repairing the monitor suresigns vs4 service guide 5 - 13 separating the front and rear case assemblies 8 carefully disconnect the ribbon cable and the navigation wheel assembly board cable from the main board. navigation wheel assembly cable repairing the monitor 5 - 14 suresigns vs4 service guide separating the front and rear case assemblies disconnect the cable from the touch screen board. i @topic:19


# # # issue - the medical cart turns off when the power plug is removed. # # # impact - interruption of patient care - loss of data or settings - damage to the medical cart or its components # # # possible causes - loose or damaged power connection - faulty battery or charging system - software or firmware issue # # # recommendations - inspect the power cord and connection for any damage or loose connections. - replace the battery if it is faulty. - check the charging system to ensure it is functioning properly. - update the software or firmware if necessary. @topic:13


mean ). changing the pressure wave scale 1 select the label of the pressure wave whose scale you want to set to enter the setup menu. 2 in the setup < press > menu, ( for example abp ) select scale. 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. optimizing the waveform ♦ in the setup < press > menu, select optimum scale to let the monitor select the best minimum and maximum scales for the current wave. 191 12 monitoring invasive pressure using the wave cursor using the wave cursor 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 and if the pressure wave is a pap wave it can also be stored as a pawp value. the stored value appears in the trend database as a manually entered value. to display and position the cursor 1 select the pressure wave. 2 select activate cursor. 3 use the pop - up arrow keys to position the cursor. 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. your monitor may be configured to suppress these non - physiological artifacts for a specified duration ( artifact suppression is configured to 30, 60, or 90 seconds ). during artifact suppression, the @topic:17


on the module until the light above the key comes on and wait ( three - 20 minutes ) for the completion message to appear on the monitor. alternatively, in the setup tcgas menu, select startcalibration. to save gas on 15210b, if the timer control dial is not in the start position when the monitor displays the completion message, turn the dial counter - clockwise to the start position. for tcc3, if the green light is still flashing when inop < tcgas label > cal running disappears, press the reen arrow button again. 4 66 16 monitoring tcgas calibration failure if calibration fails, the monitor displays < tcgas label > transducer or cal. unit malfunction and the < tcgas label > cal failed inop for the measurement. perform each of the following steps, in order, until calibration is successful. 1 check the calibration unit, then recalibrate, remembering to turn on the gas supply on the calibration unit. if the pressure indicator reading is in the out of gas zone, there is insufficient in the cylinder. connect the gas tubing firmly to the calibration unit and to the module's calibration chamber. gas if step 1 fails, check whether you need to activate the transducer ( necessary if the electrolyte has dried out or if you have a new transducer ). remembrane the transducer, removing the old membranes, and cleaning the transducer head thoroughly. 2 calibrate a second time. 3 if step 2 is unsuccessful, calibrate again. this calibration may be required to stabilize the electrochemical system in the transducer. 4 5 only if the above steps are unsuccessful ( you have activated and remembraned the transducer and calibration has still failed twice ), replace the @topic:17


* * issue : * * bed is not adjusting properly. * * impact : * * patient discomfort and safety concerns, delays in patient care, increased workload for healthcare staff. * * possible causes : * * * * * mechanical malfunction : * * broken or worn gears, cables, or motors. * * * electrical faults : * * wiring issues, power supply problems, or damaged electrical components. * * * hydraulic system failure : * * leaks, blockages, or faulty valves. * * * control system malfunction : * * faulty sensors, software issues, or communication problems. * * * improper assembly or installation : * * misaligned components or incorrect setup. * * * operator error : * * bedienungsanleitung not followed correctly. * * recommendations : * * * * * perform thorough inspection : * * check for any visible damage, loose connections, or leaks. * * * test electrical components : * * use a multimeter to check for continuity, short circuits, and proper voltage levels. * * * examine mechanical parts : * * inspect gears, cables, belts, and linkages for wear or damage. * * * check hydraulic system : * * look for leaks, blockages, or damaged components. * * * review control system : * * check for software updates, reset error codes, and recalibrate sensors. * * * verify proper assembly : * * ensure all components are properly aligned and secured. * * * provide operator training : * * train staff on proper operation and maintenance procedures. * * * consider preventive maintenance : * * schedule regular inspections and maintenance sessions to prevent future failures. @topic:1


hi hillrom.. hill - rom 900 accella bed instructions for use 1900b4 194412 en rev. 13 * 1 9 4 4 1 2 [UNK] hillrom is a part of baxter baxter hill - rom s. a. s.. i. du talho56330 pluvigner - france tel : + 33 ( 0 ) 2 97 50 92 12 hillrom. com edition 13 : december 2022 first printing 2017 the information contained in this manual is confidential and may not be reproduced or divulged in any form or by any means without the prior written permission of hill - rom. the product images and labels are provided for information only. the actual product and labels may differ. baxter, accella, autocontour, accumax quantum, boost, clinactiv, duo, golvo, graphical caregiver interface ( gci ), hillrom, hill - rom, hill - rom, lowbase, mcm, navicare, primo, sabina, smartcare, smartsync et viking are trademarks of baxter international inc. or its subsidiaries. fusion hybrid is a registered trademark of talley group limited. hill - rom reserves the right to make changes to the design, characteristics and models without prior notice. the only warranty hill - rom makes is the express written arranty extended on the sale or rental of its products. to order copies of this instructions for use, contact your national hill - rom representative go to hillrom. com and order the article with the part number 194412. 11 specificationintroductiontable of contents introduction, specifications the structure of the instructions for use finitions... 1 bed model and country of use. safety and usage tips ntended use contraindications. features intended users. irst usrisk prevention electrical safety. general precautions for the place of use precautions @topic:9


patients. read and keep the instructions for use that come with any accessories, as these contain important information about care and cleaning that is not repeated here. this guide describes all features and options. your monitor may not have all of them ; they are not all available in all geographies. your monitor is highly configurable. what you see on the screen, how the menus appear and so forth, depends on the way it has been tailored for your hospital and may not be n this guidea warning alerts you to a potential serious outcome, adverse event or safety hazard. failure to observe a warning may result in death or serious injury to the user or patient. • a caution alerts you to where special care is necessary for the safe and effective use of the product. failure to observe a caution may result in minor or moderate personal injury or damage to the product or other property, and possibly in a remote risk of more serious injury. mx400 / whenever a monitor's identifier appears to the left of a heading or paragraph, it means that the mx450 information applies to that monitor only. where the information applies to all models, no distinction is made. for installation, repair, testing and troubleshooting instructions, refer to the service guide for your monitor model. rx only : u. s. federal law restricts this device to sale by or on the order of a physician. 13 1 introduction the following warnings apply to the monitors in general. warnings that apply to specific measurements or procedures can be found in the corresponding chapters. electrical hazards and interference warning grounding : to avoid the risk of electric shock, the monitor must be grounded during operation. if three - wire receptacle is not available, consult the hospital electrician. never use a three - wire to two - wire adapter. electrical shock hazard : do not open the monitor or measurement device. contact with @topic:10


# # # issue - intermittent power failure # # # impact - inaccurate or disrupted monitoring of vital physiological parameters ( e. g., heart rate, oxygen saturation ) # # # possible causes - faulty wiring or power supply - loose connections - internal component failure - software glitch # # # recommendations - check and tighten all power connections - replace any damaged or frayed wires - ensure that the equipment is plugged into a reliable power source - perform a software update or reset - consult a qualified technician or manufacturer for further troubleshooting and repair @topic:2


# # # issue - defective oximetry sensor cable - deteriorated blood pressure cuff # # # impact - inaccurate or unavailable patient monitoring data # # # possible causes - * * oximetry sensor cable : * * - physical damage ( e. g., tears, cuts ) - electrical malfunction - * * blood pressure cuff : * * - age - related wear and tear - exposure to moisture or chemicals - incorrect sizing # # # recommendations 1. * * replace defective components : * * replace the faulty oximetry sensor cable and blood pressure cuff with new ones that meet the device specifications. 2. * * regular maintenance and inspection : * * implement a regular maintenance schedule to inspect and test all components, including cables and cuffs, to identify potential issues early on. 3. * * proper storage and handling : * * ensure proper storage and handling practices are followed to prevent damage to sensitive equipment and accessories. 4. * * training for staff : * * provide training to staff on the proper use and care of medical devices, including handling and storage guidelines. 5. * * consider investing in higher - quality components : * * explore the use of more durable and reliable cables and cuffs to reduce the risk of premature failure. @topic:3


# # # issue - fetal probe is not working # # # impact - inability to monitor fetal heart rate and other physiological parameters # # # possible causes - loose connection between the transducer and the monitor - faulty transducer - damaged cable # # # recommendations - check the connection between the transducer and the monitor. ensure that the cable is securely plugged into the monitor and the transducer is properly connected to the cable. - if the connection is secure, replace the transducer. - if the transducer is replaced and the problem persists, contact the manufacturer for further troubleshooting. @topic:22


##heter, check the calibration together with this catheter. sp0 2 performance test this test checks the performance of the sp0 2 measurement. tools required : none 1 connect an adult sp0 2 transducer to the sp0 2 connector on the mms. 2 measure the sp0 2 value on your finger ( this assumes that you are healthy ). 3 the value should be between 93 % and 100 %. measurement validation the sp0 2 accuracy has been validated in human studies against arterial blood sample reference measured with a co - oximeter. in a controlled desaturation study, healthy adult volunteers with saturation levels between 70 % and 100 % sa0 2 were studied. the population characteristics for those studies were : • about 50 % female and 50 % male subjects • age range : 18 to 45 • skin tone : from light to black note a functional tester cannot be used to assess the accuracy of a pulse oximeter monitor. however, it can be used to demonstrate that a particular pulse oximeter monitor reproduces a calibration curve that has been independently demonstrated to fulfill a particular accuracy specification. m3014a capnography extension performance tests the procedures below describe the mainstream and sidestream c0 2 performance tests for the m3014a capnography extension. mainstream co2 accuracy check tools required : • three airway adapters 49 3 testing and maintenance tests • verification gas m2506a • gas cylinder regulator m2505a you also need a local barometric pressure rating received from a reliable local source ( airport, regional weather station or hospital weather station ) which is located at the same altitude as the hospital. procedure : 1 attach the m2501a c0 2 sensor to the patient monitor. attach an airway adapter to the sensor. make sure that the sensor is disconnected from the patient circuit. 2 switch on the patient monitor. 3 enter @topic:17


# # # issue electric bed cannot be adjusted. # # # impact patients may be uncomfortable or unable to get in or out of bed, and staff may be unable to move or position patients. # # # possible causes - * * faulty remote control : * * the remote control may not be sending the correct signals to the bed. - * * damaged wiring : * * the wiring between the remote control and the bed may be damaged or loose. - * * malfunctioning motor : * * the motor that adjusts the bed may be malfunctioning. - * * control board issue : * * the control board that receives the signals from the remote control and sends them to the motor may be faulty. # # # recommendations 1. * * check the remote control : * * inspect the remote control for any damage or loose buttons. replace the remote control if necessary. 2. * * inspect the wiring : * * check the wiring between the remote control and the bed for any damage or loose connections. repair or replace the wiring as needed. 3. * * test the motor : * * disconnect the motor from the wiring and test it with a multimeter to ensure that it is functioning properly. replace the motor if necessary. 4. * * check the control board : * * inspect the control board for any damage or loose components. replace the control board if necessary. @topic:7


. to delete patient data from the monitor, see “ clearing patient data ” on page 5 - 21. 3 - 4 performing routine maintenance 4 networking and interfacing overview suresigns vm series patient monitors include data export capability. the monitor can export data in hl7 format via tcp / ip over ethernet links to third party servers. the server stores the data or can forward it to the hospital electronic medical record ( emr ) system. you use the ethernet port on the back of the monitor for ethernet connections. the following figure shows an example of a typical ethernet configuration. in this chapter • interfacing. 4 - 2 • configuring network settings. 4 - 2 networking and interfacing 4 - 1 interfacing interfacing you can specify the interval in which the monitor attempts to connect to the server to export data. when a connection is established, the monitor displays a connection icon in the upper left corner of the screen, the monitor exports the following : • the most recent record from the trending database while in monitoring mode • all new spot check records from the spot check database that have not been exported • all new alarm records from the trending database that have not been exported you can also encrypt the exported data using the algorithm and encryption key. this encryption key must be the same. details about the hl7 output and related interfacing information are contained in the suresigns vm series patient monitor hl7 parameter data interface programmer's guide. if you need a copy of this guide, contact your philips representative. configuring network settings you configure the network settings with the system admin menu. the menu lets you configure the ip addresses used for hl7 data exchange, data export interval, and encryption keys. for information on using the system admin menu to configur @topic:10


# # # issue - cuff of the patient transport monitor is deteriorating. # # # impact - inability to accurately measure patient's blood pressure. - can lead to incorrect treatment decisions. # # # possible causes - incorrect cuff size ( cuff size 25 - 35 cm ) - improper cuff placement - wear and tear due to frequent use - exposure to moisture or heat - damage to the cuff bladder or tubing # # # recommendations - use the correct cuff size for the patient's arm circumference. - ensure proper cuff placement and secure the cuff snugly. - regularly inspect the cuff for signs of wear and tear. - replace the cuff if it is damaged or deteriorated. - keep the cuff dry and away from heat sources. @topic:5


# # # issue * beds, electric ; hill - rom ; care assist es cannot adjust the head section # # # impact * patient discomfort and / or safety issues * decreased efficiency and productivity for healthcare staff # # # possible causes * * * mechanical failure : * * * broken or damaged motor * faulty wiring or connections * malfunctioning control panel * * * electrical failure : * * * power supply issues * circuit breaker tripped * * * software failure : * * * software glitch or bug * incompatible software update * * * user error : * * * improper operation of the device * incorrect settings or configurations # # # recommendations * * * inspection : * * * visually inspect the device for any physical damage or loose connections. * * * electrical testing : * * * use a multimeter to check for electrical continuity and power supply. * * * software troubleshooting : * * * reset the device or perform a software update. * * * mechanical repair : * * * replace or repair any damaged components, such as the motor or control panel. * * * user training : * * * ensure that staff are properly trained on the operation and maintenance of the device. * * * regular maintenance : * * * schedule regular inspections and maintenance checks to prevent future failures. @topic:9


# # # issue - the base of the monitor is loose. # # # impact - the monitor may not be securely attached to the bed or table, which could pose a safety hazard. - the monitor may not be able to function properly if it is not securely attached. # # # possible causes - the base of the monitor was not properly tightened when it was installed. - the base of the monitor has become loose over time due to wear and tear. - the base of the monitor was damaged during transport or storage. # # # recommendations - tighten the base of the monitor according to the manufacturer's instructions. - inspect the base of the monitor regularly for any signs of wear or damage. - if the base of the monitor is damaged, it should be replaced by a qualified technician. @topic:12


# # # issue the bed cannot be lowered after being raised to an inclined position. # # # impact * patients may experience discomfort or pain if they cannot be lowered to a comfortable position. * nursing staff may have difficulty providing care to patients who cannot be lowered to a level that allows for safe and efficient access. # # # possible causes * broken or loose wiring in the remote control cable. * malfunctioning switch or button on the remote control. * electrical problem within the bed's motor or control system. * mechanical problem with the bed's lifting mechanism. # # # recommendations * inspect the remote control cable for any visible damage or loose connections. * replace the remote control if any damage or malfunction is found. * check the bed's electrical connections and fuses to ensure they are secure and functioning properly. * test the bed's motor and control system for any electrical faults or malfunctions. * lubricate and inspect the bed's lifting mechanism for any mechanical problems or obstructions. @topic:1


# # # issue the test monitor failed to read the module bis. # # # impact the failure of the test monitor to read the module bis prevented the technicians from accurately assessing the patient's condition. this could lead to delayed or incorrect treatment, which could have serious consequences for the patient. # # # possible causes there are several possible causes for the test monitor failure to read the module bis, including : - equipment malfunction - incorrect settings on the test monitor - damaged cable or connectors - interference from other medical devices # # # recommendations to troubleshoot the issue, the technicians should : 1. check the test monitor and module bis for any signs of damage. 2. verify that the test monitor is set to the correct mode and settings. 3. inspect the cable and connectors for any damage or loose connections. 4. move the test monitor and module bis away from any other medical devices that could be causing interference. 5. if the issue persists, contact the manufacturer of the test monitor for further assistance. @topic:22


# # # issue battery failure in philips intellivue mp40 ( m8003a ) patient transport monitor due to reaching the end of its lifespan. # # # impact - interruption of patient monitoring during transport or emergency situations. - inaccurate or unreliable patient data, potentially leading to delays in diagnosis and treatment. # # # possible causes - * * end of battery lifespan : * * lithium - ion batteries in the intellivue mp40 have a specified lifespan and must be replaced regularly as per manufacturer's guidelines. in this case, the battery has reached its end of life ( 10. 8 v lithium ion ), leading to failure. # # # recommendations - * * regular battery replacement : * * adhere to the manufacturer's recommended schedule for battery replacement. in this case, the battery should have been replaced annually. - * * battery management and maintenance : * * implement battery maintenance practices, such as proper charging and storage, to extend battery life and prevent premature failure. - * * equipment inspection and monitoring : * * conduct regular inspections of biomedical equipment, including battery status checks, to identify potential issues before they cause failures. - * * redundant battery system : * * consider implementing a redundant battery system in critical applications to ensure uninterrupted monitoring in case of battery failure. - * * training and staff education : * * train staff on the importance of battery maintenance and replacement, as well as the consequences of battery failure on patient care. @topic:11


# # # issue - cuff leak # # # impact - inaccurate blood pressure readings - delay in patient care - increased risk of adverse events # # # possible causes - damaged cuff - incorrect cuff size - loose cuff connection # # # recommendations - replace the cuff with a new one of the correct size. - ensure that the cuff is properly connected to the monitor. - inspect the cuff for any damage or leaks. - calibrate the monitor according to the manufacturer's instructions. @topic:3


# # # issue - connector is loose. # # # impact - inaccurate blood pressure readings. # # # possible causes - the connector was not properly tightened during assembly. - the connector has become loose due to wear and tear. # # # recommendations - tighten the connector according to the manufacturer's specifications. - replace the connector if it is damaged or worn. * * additional information * * - the technician should also check the integrity of the cable and the sensor. - the nibp monitor should be recalibrated after the connector has been tightened. @topic:15


# # # issue - the philips intellivue mp70 ( m8007a ) bedside physiologic monitor is not measuring values correctly. # # # impact - the clinical team will not be able to accurately monitor the patient's vital signs. # # # possible causes - the cable connecting the monitor to the patient is damaged. - the monitor is not properly calibrated. - the monitor is not receiving power. # # # recommendations - replace the cable connecting the monitor to the patient. - calibrate the monitor according to the manufacturer's instructions. - check that the monitor is receiving power. @topic:22


# # # issue - keypad malfunction # # # impact - inability to use the device to monitor vital signs - potential for inaccurate or incomplete patient data - increased workload for healthcare staff - reduced patient safety # # # possible causes - keypad damaged due to physical impact or chemical exposure - electrical malfunction in the keypad circuit - firmware or software issues affecting keypad functionality - age - related wear and tear or manufacturing defects # # # recommendations - * * immediate actions : * * - isolate the device and label it as " inoperable ". - notify the responsible medical staff about the issue. - contact the manufacturer or authorized service provider for technical support. - * * troubleshooting and repair : * * - perform visual inspection of the keypad for any visible damage or debris. - check electrical connections and replace any loose or damaged components. - update firmware or software if applicable. - replace the keypad if necessary. - * * preventive measures : * * - handle the device with care to prevent physical damage. - regularly clean and inspect the keypad to remove debris and prevent contamination. - ensure that the device is protected from extreme temperatures and humidity. - perform regular maintenance and calibration to prevent age - related failures. - consider purchasing extended warranties or service contracts to cover unexpected repairs. @topic:25


# # # issue - equipment is not displaying graphs # # # impact - clinicians cannot monitor patient's vital signs # # # possible causes - loose connection between cable and module # # # recommendations - ensure that the cable is securely connected to the module. @topic:2


# # # issue - mouse is not working # # # impact - user cannot interact with the monitor or central station # # # possible causes - mouse is not properly connected to the device - mouse is defective - mouse driver is not installed or is corrupted - there is a problem with the usb port on the device # # # recommendations - check that the mouse is properly connected to the device and that the usb cable is not damaged - if the mouse is still not working, try a different mouse - if a different mouse also does not work, the usb port on the device may be defective and will need to be repaired or replaced - if the usb port is not defective, the mouse driver may need to be reinstalled or updated @topic:30


# # # issue : loose nbp tubing resulting in failure to measure blood pressure # # # impact : interruption of vital sign monitoring, potential for delayed or inaccurate treatment decisions # # # possible causes : - * * improper connection : * * the nbp tubing may not have been properly connected to the monitor or the patient - * * damaged tubing : * * the nbp tubing may have been damaged or kinked, preventing the flow of air or fluid - * * defective equipment : * * the nbp monitor or tubing may be defective, preventing accurate measurements # # # recommendations : - * * inspect connections : * * verify that the nbp tubing is securely connected to the monitor and the patient - * * check tubing : * * inspect the nbp tubing for any damage or kinks. replace if necessary - * * test equipment : * * perform a full system check of the nbp monitor to ensure proper functionality - * * document maintenance : * * document all maintenance and repairs performed on the nbp system for future reference @topic:15


# # # issue - broken remote cable # # # impact - inability to use the bed's remote control functions # # # possible causes - wear and tear - accidental damage - loose connections # # # recommendations - replace the broken cable - inspect the bed for any other potential issues - ensure proper maintenance and handling of the bed to prevent future failures @topic:7


# # # issue - the bedside blood pressure monitor is not charging or inflating the cuff. # # # impact - the monitor cannot be used to accurately measure blood pressure. # # # possible causes - the power cord is not properly connected. - the battery is not properly installed. - the charging port is damaged. - the air pump is not functioning properly. # # # recommendations - check the power cord connection and ensure that it is securely plugged into both the monitor and the power outlet. - remove and reinstall the battery, ensuring that it is properly seated. - inspect the charging port for any damage or debris. - contact the manufacturer or a qualified technician to diagnose and repair the air pump. @topic:15


* * issue : * * * remote control of the bed, electric, huntleigh, contoura 390 equipment is faulty. * bedside rails are stiff and difficult to operate. * * impact : * * * inability to remotely control the bed's functions, such as height adjustment and mattress articulation. * difficulty in accessing the patient or moving them safely. * * possible causes : * * * * * remote control : * * * physical damage to the remote ( e. g., dropped, crushed ) * battery failure * electrical malfunction * * * bedside rails : * * * accumulation of debris or foreign objects in the rail tracks * misalignment or damage to the rail mechanism * wear and tear due to frequent use * * recommendations : * * * * * remote control : * * * replace the faulty remote with a new one. * check the batteries and replace them if necessary. * contact the manufacturer or a qualified technician to diagnose and repair any electrical issues. * * * bedside rails : * * * clean the rail tracks thoroughly to remove any obstructions. * inspect the rail mechanism for any misalignment or damage and repair or replace as needed. * lubricate the rails to ensure smooth operation. @topic:7


* * issue : * * co2 sensor not reading fico2 correctly * * impact : * * inaccurate monitoring of patient's respiratory status * * possible causes : * * - * * faulty sensor : * * the co2 sensor itself may be malfunctioning. - * * calibration error : * * the sensor may not have been properly calibrated, leading to incorrect readings. - * * gas leak : * * a leak in the gas line could introduce ambient air into the system, affecting the fico2 measurement. - * * patient breathing patterns : * * patients with irregular breathing patterns or high airway resistance can affect the accuracy of co2 measurements. * * recommendations : * * 1. * * recalibrate the sensor : * * ensure that the sensor is properly calibrated according to the manufacturer's specifications. 2. * * check for gas leaks : * * inspect the gas lines for any leaks or damage. 3. * * monitor patient's breathing : * * observe the patient's breathing patterns and ensure that there are no obstructions or irregularities that could affect co2 readings. 4. * * replace the sensor : * * if other troubleshooting measures do not resolve the issue, consider replacing the co2 sensor. @topic:4


# # # issue - bed cannot be angled. # # # impact - patient discomfort and potential harm. - increased risk of healthcare - associated infections ( hais ). # # # possible causes - * * faulty motor : * * one of the two motors responsible for adjusting the bed's angle may have failed. - * * electrical issues : * * there may be a problem with the electrical connection between the motors and the bed's power supply. - * * mechanical issues : * * the gears or other mechanical components responsible for angling the bed may be worn or damaged. # # # recommendations - * * inspect the motors : * * check the continuity of the motors using a multimeter. if a motor is faulty, it will need to be replaced. - * * check the electrical connections : * * ensure that the motors are securely connected to the power supply and that there are no loose wires. - * * examine the mechanical components : * * inspect the gears and other mechanical components for wear or damage. if any issues are found, the components will need to be repaired or replaced. @topic:1


# # # issue - central monitor time is incorrect # # # impact - inaccurate data recording and display, potentially leading to diagnostic and treatment delays or errors. # # # possible causes - incorrect time synchronization with the hospital network - malfunctioning internal clock or timekeeping module - software or firmware bugs # # # recommendations - * * verify network synchronization : * * ensure that the central monitor is properly connected to and synchronized with the hospital network's time server. - * * inspect hardware : * * check the internal clock or timekeeping module for any physical damage or loose connections. replace if necessary. - * * update software / firmware : * * contact the manufacturer to check for any available software or firmware updates that may address timekeeping issues. - * * reset settings : * * reset the monitor to its default settings and reconfigure the time. this may resolve software or firmware glitches. - * * calibrate clock : * * use an external time source, such as an atomic clock, to calibrate the monitor's internal clock. - * * replace monitor : * * if all other troubleshooting steps fail, consider replacing the faulty monitor with a new one. @topic:29


# # # issue - electric bed cannot be adjusted. # # # impact - patients may not be able to get in or out of bed safely. - patients may be uncomfortable in bed. - staff may have difficulty providing care to patients. # # # possible causes - electrical fault - mechanical fault - hydraulic fault # # # recommendations - inspect the bed for any obvious damage. - check the electrical connections. - check the hydraulic system. - if the fault cannot be identified, contact the manufacturer. @topic:1


# # # issue - the central monitor turned off due to a fan malfunction. # # # impact - the central monitor is critical equipment in the hospital, and its failure can impact patient care. for example, the central monitor may be used to track a patient's vital signs, such as heart rate and blood pressure. if the central monitor fails, the medical staff may not be able to monitor the patient's condition as closely, which could lead to a delay in diagnosis or treatment. # # # possible causes - the fan malfunctioned due to rust on the fan bearings. rust is a common cause of fan failure, as it can cause the bearings to seize up and prevent the fan from rotating. # # # recommendations - the technician cleaned the fan bearings and tested the fan to ensure that it was working properly. - the technician should also inspect the other fans in the central monitor to ensure that they are not also at risk of failure. @topic:2


" mode. if the head section is not raised to the required angle, an alert sounds. maintenance staff can adjust the 5 or 10 minute settings ( see 00 : 00 : 26 resume disarm " setting the length of the alert suspensioode " page 51 ). resume : switches the detection back on immediately. • disarm : switches the detection off. you can change the volume of the alert by replacing the default value with a higher or a lower volume ( three levels available ) ( see " setting the alerts volume " page 51 ). age 40 " awaiting patient " mode in this mode, the bed exit alerts ( bed exit alerts ) are deactivated until the patient returns. the monitoring system can be completely deactivated by pressing disarm. bed waiting for patient disarm when the patient returns to the bed, the system reactivates the alerts. note : rming.. if the system is unable to reactivate itself after a time, the bed exit alert sounds. scale ( weigh system ) * in the scales screen of the gci, you can reset the scales, weigh in a range from 10 to 250 kg with a resolution of 500 g in all positions authorized by the system ( + / - 2° from the horizontal ), increase the resolution to 100 g temporarily and display a difference in weight in comparison with an initial weight and the patient's bmi. description of the scale screen information on the weighed / access to the weight weight easured nweighed zdifference data ndication of the e = 0, 5kg - min 10kg - max 250kg eight at date of the last reset / tare operation last zero / tare : 01 / 07 / 2018 - 02 : 35 + 0 / t - 100 g magnification add / remove items zero / tare ( ) @topic:25


# # # issue - electrical sparking within the vital signs monitor # # # impact - potential safety hazard to the operator or patient - equipment malfunction or failure # # # possible causes - loose electrical connections - faulty components - damaged wiring - power surge # # # recommendations - inspect and tighten all electrical connections - replace any faulty components or damaged wiring - check for any power supply issues or grounding problems - regularly perform preventative maintenance to identify potential issues early on - ensure that qualified personnel handle the repair or maintenance of the equipment @topic:2


if the labels on the rear case are not legible, replace the rear case. if the serial number label is not legible, contact the philips customer care center or your local philips representative to return the monitor for label replacement. check for any obstructions to mechanical parts. the expected test result is that the system has no obvious signs of damage or obstruction. note — philips employees record this value as v : p or v : f. power - on self test to perform the power - on self test : step 1 connect the monitor to an ac power source. 2 press the on / standby key to power up the monitor. make sure that the monitor powers up successfully as described in the following sequence : ¢ the screen displays color bars for about five seconds. ¢ the lcd turns off for three seconds, and the charging led lights. e the philips screen appears for one second, and a startup tone sounds. ¢ the main screen appears. the expected result is that the monitor starts up and displays the main screen. for detailed information about the start - up and power sequences, see “ start - up and power sequences ” on page 4 - 2. if the leds do not function as expected, see “ power problems ” on page 4 - 4. if the display does not function as expected, see “ power problems ” on page 4 - 4 or “ display problems ” on page 4 - 6. if you do not hear a startup tone, or the monitor displays the speaker malfunc error message, see “ error codes ” on page 4 - 11. note — philips employees record this value as po : p or po : f. performance verification testing 3 - 12 suresigns vs4 service guide alarms test alarms test the following test allows you to verify that the visual and audio alarms are working. to perform this test, you need an nbp cuff and hose. to test the alarms : @topic:22


limit to set the low alarm limit. 2 select a value between 2 and 9. 3 if you also have monitors with earlier software revisions than j. 0, the ipi low alarm will not be generated after a transfer to one of these monitors, or when a monitor / mms with the ipi functionality is connected to one of these monitors in companion mode. in this case, do not rely only on the ipi low alarm but leave the individual alarms switched on ( etco2, awrr, pulse rate and spo2 ) so that these alarms can be generated in such situations. understanding the ipi numeric the index is modeled on normal healthy patients ( asa physical status value of 1 according to the asa physical status classification system ). patients with asa physical status values of 3 or higher are expected to have low ipi values by definition. therefore, for patients with an asa physical status value of 3 or higher, the index may have no added value. the value of the integrated pulmonary index given in the ipi numeric is associated with the patient patient status ipi normal 10 - within normal angclose to normal range ; requires attention 7 252 atient staipi 5 - 6 requires attention and may require intervention on 3 - 4 1 - 2 note the interpretation of the patient's ipi score may change in different clinical environments. for example, patients with specific respiratory difficulties ( in contrast to normally healthy patients who are being monitored during sedation or pain management ) may require a lower ipi low alarm threshold to reflect their impaired respiratory capacity. the ipi is available for all three groups of pediatric patients ( 1 - 3 yearsor adult patients. 3 - 6 years, and 6 - 12 years ), and warning ensure that the patient category and date of birth are set correctly before monitoring a patient's ipi. an incorrect patient category or date of birth could produce incorrect ipi @topic:8


# # # issue - the bed's side rails are not locking properly. # # # impact - patients may be at risk of falling out of bed. # # # possible causes - the spring - loaded locking mechanism may be damaged or malfunctioning. - the side rails may be misaligned or damaged. - the bed frame may be damaged or bent. # # # recommendations - inspect the locking mechanism for damage or wear. - check the alignment of the side rails and bed frame. - test the locking mechanism to ensure it is functioning properly. - if any damage is found, replace the damaged parts or adjust the alignment as needed. @topic:6


##s, montage information and impedance values depends on format selected. in the setup eeg menu, select print report. eg reporselect the ecg report a or ecg report b smartkeys, cg reportif configured, or the print reports smartkey followed by ecg report a or ecg report b. in an active 12 - lead application window, select the prinreport pop - up key 2 - lead reporcaptured ecg waves, measurement values, st map ( optional ) and analysis results from the information center ( piic ix only ) st data in a transversal and / or horizontal multi - in the st map ( current ) or st map ( trend ) windowaxis diagram, select print. st map report cardiac output report in the cardiac output ( right heart ) or cardiac output ( transpulmonary ) window, select the pop - up cord. trial curves and numerics in the wedge window, select the print wedge pop - up key. wedge report wedge numerics and reference wave hemodynamic, oxygenation, or venalculations reporin the calculations windows, select the print / record in the titration table window, select the print drug calculator report titration table in the drip table window, select the print drip tbl larm limits reporlimits select the realtime report smartkey, if configured. realtime reports, including oxycrreports patient data and numerics, and either : all displayed waves or all measured waves or all measured rt waves or all measured hires waves, or oxycrg waves ( rt waves : ecg primary lead, pleth, resp ; hires waves : btbhr, hires spo2, hires resp ) individual loops diagram with timestamp, urrently measured numerics in the loops @topic:8


# # # issue - saturation of oxygen ( spo2 ) readings are below 90 % when using the philips intellivue mp20 ( m8001a ) patient monitor. # # # impact - inaccurate spo2 readings can lead to delayed or incorrect treatment decisions, potentially compromising patient safety. # # # possible causes - faulty spo2 sensor or cable - miscalibration of the patient monitor - interference from other medical devices # # # recommendations - inspect the spo2 sensor and cable for any damage or loose connections. - calibrate the patient monitor according to the manufacturer's instructions. - check for any nearby medical devices that may be causing interference, such as defibrillators or electrocautery units. @topic:4


# # # issue - cuff bp ( blood pressure ) deterioration # # # impact - inaccurate blood pressure measurements - potential for incorrect medical decisions - patient safety risk # # # possible causes - prolonged use - exposure to extreme temperatures or humidity - physical damage to the cuff # # # recommendations - regular inspection and maintenance of cuff bp - proper storage and handling of the device - replacement of the cuff bp when necessary - training of staff on proper cuff bp usage and maintenance @topic:3


# # # issue - beds, electric, skin malfunction # # # impact - the bed is not safe or comfortable for patients, and may cause injury. # # # possible causes - the bed may have a manufacturing defect, or it may have been damaged during use. # # # recommendations - the bed should be taken out of service and inspected by a qualified technician. - the technician should determine the cause of the malfunction and recommend a repair or replacement. @topic:9


# # # issue - cuff is damaged # # # impact - the blood pressure monitor may not be able to accurately measure blood pressure. - this could lead to incorrect treatment decisions being made. # # # possible causes - the cuff may have been punctured or torn. - the cuff may have been over - inflated. - the cuff may be the wrong size for the patient. - the cuff may be old and worn out. # # # recommendations - replace the cuff with a new one. - make sure that the cuff is the correct size for the patient. - do not over - inflate the cuff. - inspect the cuff regularly for signs of damage. @topic:3


# # # issue - the bed's head cannot be adjusted. # # # impact - the patient may not be able to be positioned comfortably or safely. # # # possible causes - the remote control is faulty. - the bed's motor is not working properly. - the bed's wiring is damaged. # # # recommendations - replace the remote control. - inspect the bed's motor and wiring for damage. - if the motor or wiring is damaged, replace it. @topic:1


##rail controls n [UNK] central brake and steering wheel f bea interface half - siderail controls control g head section " cpr " control p 0150 double - band casters " head section angle indicator bilateral hilow pedal with h q night light hrp and identification labels r age general symbols الmanufacturer production date n ref product reference serial number general safety sigrefer to the user type b equipment manual. do not bin, follow the ocal recyclinregulations. direct current - - earth leakage circuit breaker rating ¡ an = 30ma total weight authorized during moving bmi ≥17 patient weight ≥40 kg patient height 2146 cm 240 kg 146 catmospheric pressure % ( d ) limits maximum patient weight safe working load ( swl ) do not store in the place o oxygen thow ce bed compliant with directive 93 / 42 / eec bed compliant with em zz 0071 directive 2014 / 31 / eec nf medical - lits ital beds " nf environnement bed compliant meublement medical lits nf178 - 01 / 01 www. ine. fr www. ef - environnement ameublement. com steam cleaninunction symbolheadboard position head section cpr 159471 only cpr 176774 only information page 33 information page 33 siderail assembly lock * siderail lock * ad271b clic 3 a clic ad272b nformation page 5information page 55 siderail release * electric functions lockout * 8. 2 - 8 - information page 7 information page 54 do not sit or climb on the linen do not sit or climb on the extension * holder * a - = 15kg δ information page 34 nformation page 6patient helper position references of recommended attressinformation page 27 and page 29 information page @topic:9


# # # issue : - cuff is loose - history button is not functioning # # # impact : - inaccurate blood pressure measurements - inability to review historical blood pressure data # # # possible causes : - cuff bladder is not properly inflated - cuff is not the correct size for the patient - cuff hose is kinked or damaged - history button is defective # # # recommendations : - inspect the cuff bladder for leaks or damage - ensure the cuff is the correct size for the patient - check the cuff hose for kinks or damage - test the history button with a known - good device @topic:3


##2 120 current heart rate 3 80 st - ii 1. 2 1 - st - v 2. 5 st - avr - 3. 0 st numerics up to 12 st numerics plus the st index can be displayed on the monitor screen. they can be configured to show beside the measurement numerics, beside the ecg wave, or beside the st snippet. a positive st value indicates st segment elevation ; a negative value indicates depression. st numerics are displayed in the order in which you select st leads for analysis. if there is additional space in the field assigned to st numerics, the monitor will display extra numerics in the order in which they appear in the list in setup st leads, in the setup st analysis menu. any st leads switched on for analysis that do not fit in the assigned numerics field are shown in succession in place of the last st numeric. st index the st index numeric ( stindx ) is the sum of the absolute values for the st leads v2, v5, avf. because it is based on absolute values, it is always a positive number. if you haven't selected one of the leads v2, v5, and avf for st analysis, the st index numeric will display a question mark "? ". to switch the st index numeric on or off for display, in the setup st analysis menu, select st - index t snippetst snippets show a one second wave segment for each measured st lead. the most recent snippet is drawn in the same color as the ecg wave, usually green, superimposed over the stored baseline snippet, drawn in a different color. the comparison shows any deviation in the measurement since the baseline snippet was stored, for example as a result of a procedure carried out on the @topic:8


once a year or after 4, 000 hours continuous use and following any instrument repairs or the replacement of any instrument parts. • c0 2 pump / c0 2 scrubber replacement • once every three years or after 13 000 operating hours performance tests required : once every two years, or if you • temperature accuracy suspect the measurement is incorrect, except mainstream c0 2 accuracy check and • ecg / resp performance sidestream c0 2 accuracy check and flow • invasive pressure performance • sp0 2 performance • mainstream c0 2 accuracy check • sidestream c0 2 accuracy check and flow check • spirometry accuracy test • eeg performance • c. o. performance • bis performance • sv02 performance • tcgas performance • vuelink performance • nurse call relay performance * • ecg sync performance * * only when in use as part of hospital protocols check - required once a year. safety tests ( in accordance with iec 60601 - 1 ) required : once every two years and after • system enclosure leakage current repairs where the unit has been opened ( front and back separated ) or the monitor has been • protective earth • patient leakage current damaged by impact. 38 tests when performing... 3 testing and maintenance tests when performing... installation service event test blocks required ( when performing...... complete these tests ) installation of monitor with no display connected to the vga output perform visual and power on test blocks installation of monitor with a display connected to the video output perform visual, power on and safety ( 1 ) test blocks installation of monitor with intellivue instrument telemetry ( iit ) perform power on and safety test blocks and iit communication test installation of monitor with intellivue 802. 11 bedside adapter perform power on and safety test blocks and intellivue 802. 11 bedside adapter communication test installation of a monitor with docking @topic:10


# # # issue battery failure # # # impact the failure of the battery in the vital signs monitor can lead to the following issues : - inability to accurately monitor vital signs, such as heart rate, blood pressure, and temperature - loss of data if the monitor is not able to store data - increased risk of patient harm if vital signs are not accurately monitored # # # possible causes the following are some of the possible causes of battery failure in the vital signs monitor : - normal wear and tear - overcharging or undercharging the battery - exposure to extreme temperatures - battery manufacturing defects # # # recommendations the following are some recommendations for preventing and addressing battery failure in the vital signs monitor : - regularly inspect the battery for signs of wear and tear, bulging, or leaking. - charge the battery according to the manufacturer's instructions. - store the battery in a cool, dry place. - replace the battery when it no longer holds a charge or when it shows signs of wear and tear. @topic:11


* * issue : * * electrical shock hazard * * impact : * * potential risk of serious injury or death to patients and staff * * possible causes : * * * * * defective wiring or components : * * damaged or loose wires, faulty switches, or other electrical components can create a shock hazard. * * * improper grounding : * * the equipment may not be properly grounded, allowing electrical current to flow through the patient or staff. * * * environmental factors : * * moisture, excessive heat, or vibration can damage electrical components, increasing the risk of shock. * * * lack of maintenance : * * failure to perform regular inspections and maintenance can lead to electrical hazards. * * recommendations : * * * * * inspect and test the equipment regularly : * * visual inspections, electrical safety tests, and insulation resistance checks should be performed by a qualified technician. * * * ensure proper grounding : * * verify that the equipment is correctly grounded using a grounding tester. * * * use surge protectors : * * install surge protectors to protect the equipment from power surges. * * * follow manufacturer's instructions : * * adhere to the manufacturer's guidelines for installation, operation, and maintenance. * * * train staff on electrical safety : * * educate staff on the risks of electrical shock and on how to work safely with medical devices. * * * replace faulty parts immediately : * * if any electrical components are found to be defective, they should be replaced promptly by a qualified technician. @topic:12


# # # issue - equipment : bed, electric - band : huntleigh - model : enterprise 8000 - description : - found that the locking pin was loose - replaced the locking pin - the device is now functional # # # impact - the device was not functioning properly due to this issue, and it could have led to patient or staff injury. # # # possible causes - the locking pin may have become loose due to wear and tear, or it may not have been properly secured in the first place. # # # recommendations - inspect the locking pin regularly to ensure that it is properly secured. - replace the locking pin if it becomes loose or damaged. - train staff on how to properly secure the locking pin. @topic:6


# # # issue - base locking nut came loose # # # impact - monitor may not be stable or secure - monitor may fall and cause injury or damage # # # possible causes - nuts not tightened properly during installation - nuts loosened over time due to vibration or movement - threads on nuts or bolts stripped # # # recommendations - check and tighten all nuts and bolts regularly - use lock nuts or thread sealant to prevent nuts from loosening - replace any nuts or bolts that are damaged or stripped @topic:12