# # # issue - the bed scale is not calibrating properly. # # # impact - the bed scale is not providing accurate weight measurements, which could lead to incorrect patient care decisions. # # # possible causes - * * the bed scale is not level. * * the bed scale must be level in order to calibrate properly. - * * the bed scale is overloaded. * * the bed scale has a maximum weight capacity, and exceeding this capacity can damage the scale and prevent it from calibrating properly. - * * the bed scale is not properly connected to the power supply. * * the bed scale must be connected to a power supply in order to operate and calibrate properly. - * * the bed scale is not properly calibrated. * * the bed scale must be calibrated on a regular basis in order to ensure accurate weight measurements. # # # recommendations - * * level the bed scale. * * use a level to ensure that the bed scale is level. - * * check the bed scale's weight capacity. * * make sure that the patient's weight does not exceed the bed scale's maximum weight capacity. - * * check the bed scale's power connection. * * make sure that the bed scale is properly connected to a power supply. - * * calibrate the bed scale. * * calibrate the bed scale according to the manufacturer's instructions. @topic:25


* * issue : * * battery failure * * impact : * * the bed, electric is unable to operate without a functioning battery. * * possible causes : * * * the battery may have reached the end of its lifespan. * the battery may have been damaged due to improper handling or storage. * the battery may not be making proper contact with the terminals in the device. * there may be a problem with the device's charging system. * * recommendations : * * * replace the battery with a new one. * ensure that the battery is properly installed and making good contact with the terminals. * check the device's charging system to ensure that it is functioning properly. * if the problem persists, contact the manufacturer for further troubleshooting assistance. @topic:9


. 5. wait for the display. 81 6. the value should be 200 mmhg + 5 mmhg. if the value is outside these tolerances, calibrate the invasive pressure measurement. if the measurement was calibrated with a dedicated reusable catheter, check the calibration together with this catheter. table 4 : expected test results invasive pressure performance test 200 mmhg + 5 mmhg temperature performance test this test checks the performance of the temperature measurement. tools required : patient simulator ( with 0. 1°c or 0. 2 ^ f ). 1. connect the patient simulator to the temperature connector. 2. configure the patient simulator to 40°c or 100°f. 3. the value should be 40°c + 0. 2? c or 100°f + 0. 4°f. table 2 : expected test results temperature performance test 40°c + 0. 2°c or 100 ^ f + 0. 4°f m3014a capnography extension performance tests the procedures below describe the mainstream and sidestream co2 performance tests for the m3014a capnography extension. mainstream co2 accuracy check tools required : - three airway adapters - 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 co ; 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 the monitor ’ s service mode. 82 4. using the sensor status provided in the m2501a serial protocol, wait for the m2501a @topic:17


# # # issue - temperature sensor failure # # # impact - inability to accurately measure patient temperature - potential for incorrect treatment decisions # # # possible causes - faulty temperature sensor - loose or damaged wiring - software or hardware malfunction # # # recommendations 1. replace the temperature sensor 2. inspect and repair any loose or damaged wiring 3. update the software or hardware as needed 4. calibrate the device to ensure accurate readings 5. monitor the device regularly for any signs of malfunction @topic:20


# # # issue - equipment : medical cart - brand : bdms - model : bdms 01 - description : wheels are stiff, making it difficult to move the cart. # # # impact - reduced mobility and efficiency of healthcare staff. - potential for patient safety concerns due to delayed or obstructed transport. # # # possible causes - lack of lubrication or excessive friction in the wheel bearings. - accumulation of debris or foreign objects within the wheel assembly. - misalignment or deformation of the wheel components. - faulty or worn - out wheel bearings. # # # recommendations - perform thorough inspection and cleaning of the wheels to remove any debris or obstructions. - apply appropriate lubricant to the wheel bearings and axel surfaces. - check for any misalignment or deformation of the wheel components and adjust or replace as necessary. - replace worn - out or faulty wheel bearings. - consider regular maintenance and lubrication schedules to prevent future issues. @topic:24


# # # issue - equipment failure due to damaged ekg lead wires. # # # impact - inability to accurately monitor patient's electrocardiogram ( ecg ) signals, potentially leading to delayed diagnosis or treatment. # # # possible causes - physical damage to the lead wires, such as : - cuts or tears in the insulation - broken or frayed conductors - loose or damaged connectors - electrical interference from other equipment or environmental factors - improper handling or storage of the lead wires # # # recommendations - * * inspect the lead wires regularly * * for any visible damage or signs of wear and tear. - * * handle and store the lead wires carefully * * to avoid kinking, crushing, or excessive bending. - * * ensure proper connections * * between the lead wires and the monitor. - * * use shielded lead wires * * in areas with high electrical interference. - * * replace damaged lead wires * * promptly to ensure accurate ecg monitoring. - * * train staff on proper handling and maintenance of biomedical equipment * *. @topic:18


# # # issue - monitor, patient transport not measuring o2sat # # # impact - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes - * * faulty o2sat cable : * * the cable connecting the o2sat sensor to the monitor may be damaged or defective. - * * faulty o2sat sensor : * * the sensor itself may be malfunctioning and not providing accurate readings. - * * incorrect settings : * * the monitor's settings may not be properly configured to measure o2sat. - * * loose connections : * * the o2sat cable may not be securely connected to the sensor or the monitor. # # # recommendations - * * inspect the o2sat cable : * * check the cable for any visible damage or kinks. replace the cable if necessary. - * * test the o2sat sensor : * * use a pulse oximeter to test the o2sat sensor independently of the monitor. if the pulse oximeter also fails to measure o2sat, replace the sensor. - * * check the monitor's settings : * * ensure that the monitor is configured to measure o2sat. consult the monitor's user manual for guidance. - * * tighten connections : * * ensure that the o2sat cable is securely connected to the sensor and the monitor. @topic:4


# # # issue - spo2 cable is broken # # # impact - the patient's spo2 levels cannot be monitored accurately. # # # possible causes - the cable may have been damaged during use. - the cable may have been pinched or cut. - the cable may have been exposed to excessive heat or cold. # # # recommendations - replace the spo2 cable. - inspect the cable for any damage and replace it if necessary. - store the cable in a cool, dry place. @topic:4


# # # issue : - bed adjustment malfunction # # # impact : - patient discomfort and potential harm from improper positioning - delays in patient care and treatment # # # possible causes : - mechanical failure of the bed frame or motors - electrical fault in the control system or wiring - software issue or corruption - user error or improper operation # # # recommendations : # # # # immediate actions : - check the bed's power supply and connections - manually adjust the bed to a safe and comfortable position for the patient - document the issue and notify the appropriate authorities # # # # further investigation and repair : - inspect the mechanical components of the bed for any visible damage or wear - test the electrical system using a multimeter or other diagnostic tools - check the software and firmware versions and update if necessary - consult the manufacturer's technical manual for troubleshooting and repair instructions - if the issue cannot be resolved on - site, arrange for a qualified technician to assess and repair the bed # # # # preventative measures : - establish a regular maintenance schedule for the bed and other medical devices - train staff on proper operation and handling of the bed - keep the bed and its environment clean and free of debris or obstructions @topic:9


# # # issue * key pad failure # # # impact * inability to operate the medical device # # # possible causes * worn - out or damaged key pad * electrical or mechanical failure * software glitch * user error # # # recommendations * replace the key pad with a new one * inspect the electrical and mechanical components for any damage or wear * check for software updates or glitches * train users on proper operation of the medical device @topic:27


6. 5 cm³ of dead - space. infant / neonatal flow sensor ( m2786a ) color : violet for intubated patients with endotracheal tube diameters ≤ 4 mm. adds lesthan 1 cm³ of dead - space. you can also use combined co2 / flow sensors. note that the m3014a capnography extension is required to measure co2. pediatric / adult combined co2 / flow sensor ( m2781a ). color : clear for intubated patients with endotracheal tube diameters > 5. 5 mm. add8 cm³ of dead - space. pediatric combined co2 / flow sensor ( m2783a ) : color : green for intubated patients with endotracheal tube diameters of 3. 5 - 6 mm. adds less than 4 cm³ of dead - space. infant / neonatal combined co2 / flow sensor ( m2782a ). color : violet for intubated patients with endotracheal tube diameters of 2. 5 - 4 mm. adds less than 1 cm³ of dead - space. if you are using a combined co2 / flow sensor, connect it to the co2 sensor head first. the airway adapter clicks into place when seated correctly. 1 2 click the connector into place in the flow sensor receptacle on the monitor before connecting to 256 15 monitoring airway flow, volume and pressure install the flow sensor or the combined co2 / flow sensor at the proximal end of the breathing circuit between the elbow and the ventilator y - piece. make sure that the spirometry sensor is in a horizontal position with its tubing pointing upwards. the correct position is also indicated by an arrow on some of the sensors. ( graphic shows combined co2 / flow sensors ). 3 2 3 @topic:17


# # # issue cuff of vital signs monitor is defected. # # # impact patients'vital sign data cannot be accurately measure, which may lead to incorrect diagnosis or treatment. # # # possible causes - normal wear and tear of the cuff - damage during cleaning or disinfection - manufacturing defect # # # recommendations - regularly inspect the cuff for any signs of damage. - clean and disinfect the cuff according to the manufacturer's instructions. - replace the cuff if it is damaged or worn out. - train staff on proper handling of the equipment to prevent damage. - consider using a cuffless blood pressure monitor as an alternative to reduce the risk of cuff - related issues. @topic:5


* * issue : * * - remode wire damage * * impact : * * - electrical malfunction of the bed, electric device * * possible causes : * * - wear and tear due to usage over time - improper handling or storage - voltage fluctuations or electrical surges * * recommendations : * * - regularly inspect and replace the remode wire as per the manufacturer's guidelines. - ensure proper handling and storage of the equipment to prevent damage. - use surge protectors or voltage regulators to minimize the impact of electrical fluctuations. @topic:32


# # # issue the scanner on the medical cart is not functioning. # # # impact the medical cart cannot be used to transport and monitor patients. # # # possible causes - the scanner's battery is dead. - the scanner is not properly connected to the medical cart. - the scanner is damaged. # # # recommendations - check the scanner's battery and replace it if necessary. - ensure that the scanner is properly connected to the medical cart. - if the scanner is still not working, contact the manufacturer for service. @topic:23


# # # issue cuff of blood pressure monitoring device has deteriorated. # # # impact inaccurate blood pressure readings, which can lead to incorrect treatment decisions or patient harm. # # # possible causes * normal wear and tear over time. * excessive use or improper handling of the cuff. * exposure to moisture or other environmental factors. # # # recommendations * regular inspection and maintenance of blood pressure monitoring devices, including the cuff. * proper training of staff on the use and care of blood pressure monitoring devices. * replacement of deteriorated cuffs as needed to ensure accurate readings. @topic:3


# # # issue - unable to scan to open drawer # # # impact - inability to access contents of medical cart # # # possible causes - software glitch - hardware failure in the scanner - communication issue between the scanner and the cart - interference from external devices # # # recommendations - restart the medical cart - check for loose connections - ensure that there are no other devices transmitting signals in the vicinity - contact bdms technical support for further troubleshooting or repair @topic:23


# # # issue - monitor lcd screen is loose. # # # impact - potential for incorrect or missed patient data. - difficulty or inability to use the monitor. # # # possible causes - loose screws or bolts. - damaged or worn mounting bracket. - improper installation. # # # recommendations - check and tighten all screws and bolts. - inspect mounting bracket for damage or wear. - ensure monitor is properly installed and secured. @topic:2


# # # issue * touch screen not working # # # impact * inability to monitor patient's physiological parameters * delays in patient care * increased risk of patient complications # # # possible causes * * * hardware failure : * * * damaged touch screen * malfunctioning touch controller * * * software failure : * * * corrupted software * operating system issues * compatibility problems * * * environmental factors : * * * excessive heat or humidity * interference from electromagnetic devices * * * user error : * * * incorrect calibration * mishandling of the device # # # recommendations * * * verify hardware connections : * * ensure that the touch screen and controller are securely connected. * * * calibrate the touch screen : * * recalibrate the touch screen using the manufacturer's instructions. * * * update software : * * install the latest software updates to address bugs or compatibility issues. * * * inspect for environmental factors : * * check for sources of excessive heat or humidity and move the device to a more suitable location. * * * isolate electromagnetic interference : * * identify and remove sources of electromagnetic interference, such as nearby cell phones or microwaves. * * * train users : * * provide proper training on the handling and calibration of the device to prevent user errors. * * * consider replacement : * * if hardware failure is confirmed, replace the touch screen or the entire device as necessary. @topic:2


# # # issue - spo2 monitor not displaying values # # # impact - unable to monitor patient's oxygen saturation levels - delayed diagnosis and treatment - potential patient safety issues # # # possible causes - incorrect user input or configuration - sensor issues - hardware malfunction - software errors - environmental interference ( e. g., excessive light or electrical noise ) # # # recommendations * * troubleshooting steps : * * - * * verify proper user input and configuration : * * ensure the correct patient settings ( e. g., age, weight ) and probe placement are used. - * * inspect sensor : * * check the sensor for damage, kinks, or loose connections. replace the sensor if necessary. - * * power cycle the device : * * turn off the monitor and unplug it for a few minutes before restarting it. - * * check for software updates : * * install any available software updates from the manufacturer. - * * eliminate environmental interference : * * move the monitor away from sources of bright light or electrical interference. * * further investigation : * * - if the troubleshooting steps do not resolve the issue, contact the manufacturer's technical support line or a qualified biomedical engineer for further assistance. - perform a thorough assessment of the hardware and software to identify any underlying problems. - calibrate the monitor using a known reference source to ensure accuracy. @topic:4


# # # issue - bed not adjustable downwards # # # impact - patient comfort and safety compromised - difficulty in performing medical procedures - increased workload for healthcare providers # # # possible causes - faulty control box - damaged wiring - mechanical issue with motor or actuator - software glitch # # # recommendations - replace control box - inspect and repair wiring as needed - troubleshoot motor or actuator for mechanical problems - update software if necessary @topic:1


# # # issue the bed, electric, hill - rom, model 900b is not adjustable. # # # impact the patient may not be able to be positioned comfortably or safely. # # # possible causes - the remote control is not functioning properly. - the wiring harness is damaged. - the motor is not functioning properly. - the control board is not functioning properly. # # # recommendations - check the remote control for damage. if the remote control is damaged, replace it. - check the wiring harness for damage. if the wiring harness is damaged, replace it. - check the motor for damage. if the motor is damaged, replace it. - check the control board for damage. if the control board is damaged, replace it. @topic:1


# # # issue - solenoid of medical cart drawer came off the device, causing the drawer to remain open. # # # impact - impaired functionality of the medical cart, potentially compromising patient care and safety. # # # possible causes - excessive force applied when opening the drawer. - loose or damaged solenoid mounting. - wear and tear due to prolonged use. # # # recommendations - regular inspection and maintenance of the medical cart to prevent loose or damaged components. - training of staff on proper handling techniques to avoid excessive force on drawers. - use of high - quality solenoids and mounting hardware to ensure durability. @topic:21


# # # issue - drawer cannot be closed # # # impact - reduced functionality of the medical cart # # # possible causes - damaged drawer slides # # # recommendations - replace the damaged drawer slides @topic:21


# # # issue * the led monitor is freezing. # # # impact * the monitor may not be able to display patient data, which could delay or compromise patient care. # # # possible causes * the memory in the monitor is full. # # # recommendations * delete old data from the monitor to free up memory. @topic:2


caster tools required : 13 mm socket ratchet extension 10 mm hex key soft faced hammer medium screwdriver scissor jack removal note : the removal and procedure is the same for both the head and foot end casters. 1. set the brakes. 2. raise the bed to the highest position. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 3. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 4. depending on the caster to be replaced, remove the head or foot frame cover ( a ) from the bed ( b ) ( see figure 4 - 21 on page 4 - 45 ). 5. using the scissor jack, raise the bed high enough to remove the caster. 6. remove the two alignment bolts ( c ). 7. remove the nut ( d ) and bolt ( e ). 8. slide the caster ( f ) and socket ( g ) out. note : when the caster disengages from the brake bar hex rod, it will fall from the socket. 9. remove the caster ( f ) from the socket ( g ). page 4 - 44 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 13 caster chapter 4 : removal, replacement, and adjustment procedures figure 4 - 21. caster replacement note : brake / steer casters have a black washer on top. brake casters have a silver plated washer on top. 1. hold the new caster ( f ) so the window ( i ) with the cam ( h ) showing is towards the foot end of the bed. 2. insert the new caster ( f ) into the socket ( g ) so the window with the @topic:26


# # # issue - bed is not adjusting at the head # # # impact - patient discomfort - difficulty providing care # # # possible causes - malfunctioning motor - faulty wiring - broken gear - loose connection # # # recommendations - inspect the motor for any signs of damage or wear - check the wiring for any breaks or loose connections - inspect the gears for any damage or wear - tighten any loose connections - replace any damaged or worn parts * * additional notes : * * - the cause of failure is not explicitly stated in the input. the technician may need to perform further troubleshooting to determine the exact cause. - the technician should document the repair and any recommendations for future maintenance. - the technician should ensure that the bed is functioning properly and safely before returning it to service. @topic:1


of iec 60601 - 1 - 1 are exceeded, additional protective measures are required, e. g. a separation device or the connection of each device to separate mains. me device me device ( iec 60601 - 1 ) ( iec 60601 - 1 ) [ = i functional = m device inside or |. | connection e | inside or outside of fa n e i | outside of patient " sii dr | tin. " = patient vicinity | es 5 = “ < n j — — _ _ = : 35 " m vicinity patient vicinity separation device, if rlecessdry lin mmy nt multiple portable socket outlet | mains medically used room 70 for any it equipment ( iec60950 ) operated in patient vicinity ensure that the equipment leakage current does not exceed the limits described in iec 60601 - 1. use a separation device to ensure compliance. after installation of it equipment in patient vicinity, an enclosure leakage current test is required. me device it equipment ( iec 60601 - 1 ) ( iec 60950 ) | h3 — functional >. inside or | em i connection la a inside or outside of fa | e i outside of patient | mg oe ie — | fap | patient vicinity | ee 55 = ie “ sj — psi un cl vicinity j = outside of f ^ patient vicinity sepa lation dbvice, if rlecessdry multiple portable socket outlet medically used room t1 case 3 : medical device combined with a medical or non - medical device with one device ina non - medically - used room if you combine a medical device with a medical or non - medical device to form a medical electrical system according to iec60601 - 1 - 1 using a common protective earth connection and one of the devices is located in a non - medically used room, additional protective measures are required, @topic:10


# # # issue - the medical device is not able to accurately weigh patients. # # # impact - this could lead to incorrect treatment decisions being made. # # # possible causes - there is a foreign object ( coin ) obstructing the bed's scale. # # # recommendations - the foreign object should be removed and the bed should be tested to ensure that it is weighing patients accurately. @topic:25


# # # issue - jack for bed alarm was loose. # # # impact - bed alarm may not function properly. # # # possible causes - jack may have been knocked loose during transport or use. - jack may have been loose due to wear and tear. # # # recommendations - ensure that the jack is securely fastened. - inspect the jack regularly for signs of wear and tear. - if the jack is loose, replace it immediately. @topic:26


# # # issue : medical cart model bdms 01 fails to function properly. # # # impact : the medical cart is essential for patient care, as it is used to transport medical equipment and supplies. a non - functioning medical cart can lead to delays in patient care and can put patients at risk. # # # possible causes : - hardware not connected : the drawer hardware may not have been properly connected during the installation process. - driver issues : the hardware driver may not be installed correctly or may be outdated. - software issues : the software that controls the medical cart may be malfunctioning. - electrical issues : there may be a problem with the electrical connection to the medical cart. - mechanical issues : the drawer mechanism may be jammed or broken. # # # recommendations : - check that all hardware is properly connected. - reinstall the hardware driver. - update the software that controls the medical cart. - check the electrical connection to the medical cart. - inspect the drawer mechanism for any damage or obstructions. - contact the manufacturer of the medical cart for further troubleshooting assistance. @topic:21


# # # issue - equipment : monitor, patient transport - band : philips - model : intellivue mp20 ( m8001a ) - cuff failure # # # impact - inability to monitor patient's blood pressure - delays in patient care - inaccurate patient monitoring # # # possible causes - cuff damaged or torn - cuff not properly inflated - cuff too tight or too loose - cuff not connected properly to the monitor - cuff bladder leak # # # recommendations - replace cuff as necessary - ensure cuff is properly inflated - ensure cuff is the correct size for the patient - check connections between cuff and monitor - test cuff for leaks @topic:14


* * issue : * * bp alarm at normal values * * impact : * * false alarms and inaccurate patient monitoring. * * possible causes : * * - incorrect alarm settings - faulty sensor - software error - interference from other devices * * recommendations : * * - verify alarm settings and adjust according to departmental protocols. - inspect and test the sensor for proper connections and functionality. - update software if necessary. - identify and eliminate any potential sources of interference. @topic:15


# # # issue * cuff bp not securing to the patient's arm # # # impact * accurate blood pressure readings cannot be obtained # # # possible causes * cuff bp is not the correct size for the patient * cuff bp is not inflated properly * there is a leak in the cuff bp * there is a problem with the connection between the cuff bp and the monitor # # # recommendations * ensure that the cuff bp is the correct size for the patient * inflate the cuff bp properly * check for any leaks in the cuff bp * check the connection between the cuff bp and the monitor @topic:3


* * issue : * * cuff failure * * impact : * * inability to accurately monitor patient's vital signs * * possible causes : * * - * * cuff degradation : * * over time, the cuff may become stretched or lose its elasticity, leading to inaccurate readings. - * * exposure to harsh chemicals : * * cleaning and disinfecting agents can damage the cuff material, causing it to wear out prematurely. - * * improper storage : * * storing the cuff in extreme temperatures or direct sunlight can also contribute to premature failure. * * recommendations : * * - * * regular maintenance : * * inspect cuffs regularly for signs of wear and tear, and replace them as needed. - * * proper handling : * * avoid overinflating the cuff or exposing it to sharp objects. - * * appropriate storage : * * store cuffs in a cool, dry place away from direct sunlight. - * * training : * * ensure staff is trained on proper cuff handling and maintenance procedures. @topic:5


# # # issue sensor failure on a philips intellivue mp40 ( m8003a ) patient monitor, resulting in no pulse oximetry readings. # # # impact inability to accurately monitor a patient's oxygen saturation levels, which is crucial for patient safety and well - being. # # # possible causes - defective spo2 sensor - damaged spo2 cable - malfunctioning spo2 module within the monitor # # # recommendations - replace the faulty spo2 sensor with a new one. - inspect the spo2 cable for any visible damage or loose connections. replace if necessary. - check the monitor's spo2 module for any error codes or indicators that may suggest a malfunction. contact the manufacturer for support or repairs if needed. - perform regular maintenance and calibration of the monitor according to the manufacturer's instructions to ensure optimal performance and reduce the risk of future failures. @topic:4


# # # issue no wave is displayed on the spo2 monitor. # # # impact unable to monitor patient's oxygen saturation levels, which can lead to delayed or incorrect treatment. # # # possible causes * * * damaged or loose cable : * * the cable connecting the spo2 sensor to the monitor may be damaged or loose, preventing the signal from being transmitted. * * * faulty sensor : * * the spo2 sensor itself may be malfunctioning or damaged, affecting its ability to measure oxygen saturation levels. * * * settings error : * * the monitor's settings may not be configured correctly for the specific spo2 sensor being used, leading to incorrect or no wave display. * * * interference : * * electrical interference from nearby devices or electromagnetic sources can disrupt the spo2 sensor's signal. # # # recommendations * * * inspect and replace the cable : * * the technician has already replaced the cable, which indicates that the issue may have been resolved. * * * test the sensor : * * check the sensor for any damage or debris and replace it if necessary. * * * review the monitor's settings : * * ensure that the monitor is set up correctly for the specific spo2 sensor being used. * * * eliminate interference : * * identify and remove any sources of electrical interference that could be affecting the spo2 sensor's signal. @topic:4


# # # issue - bed cannot be adjusted up or down. # # # impact - patient discomfort - difficulty with patient care # # # possible causes - electrical fault in the bed's motor or controller - mechanical failure in the bed's hydraulic system - software error in the bed's control system # # # recommendations - check the bed's power supply and fuses. - examine the bed's hydraulic system for leaks or blockages. - update the bed's software to the latest version. - refer to the bed's user manual for troubleshooting instructions. - if the above steps do not resolve the issue, contact the bed's manufacturer for assistance. @topic:1


# # # issue : probe is not reading values # # # impact : the monitor cannot accurately measure patient vital signs, which could lead to delayed or inaccurate treatment. # # # possible causes : 1. defective probe 2. loose or damaged cable connections 3. faulty sensor # # # recommendations : 1. replace the probe ( by replacing spo2 cord ) 2. inspect the cable connections and ensure they are secure 3. test the sensor to verify its functionality @topic:20


# # # issue - bed locking mechanism failure # # # impact - patient safety risk - increased workload for staff - reduced patient satisfaction # # # possible causes - * * mechanical failure : * * broken or loose components in the locking mechanism - * * electrical failure : * * faulty wiring or electrical components - * * improper use : * * the bed was not locked properly or was overloaded # # # recommendations - inspect the bed thoroughly for any visible damage or loose components. - test the locking mechanism to ensure it is functioning properly. - retrain staff on proper use of the bed. - schedule regular maintenance and inspections to prevent future failures. @topic:6


# # # issue - equipment : bedside physiologic monitors - band : philips - model : intellivue mx700 - description : the biomedical engineer ( bme ) received a report that the blood pressure ( bp ) measurement function was not working. upon contacting the service company, it was discovered that the pump was malfunctioning and had experienced a short circuit ( mms unplug ). # # # cause of failure - malfunctioning pump # # # impact - inability to accurately measure blood pressure, which is a critical parameter for patient monitoring. # # # possible causes - electrical malfunction - mechanical failure of the pump - software issue # # # recommendations - the service company has proposed replacing the faulty pump with a new one, which comes with a 90 - day warranty. the bme should consider the following recommendations : - approve the proposed replacement if the cost and warranty terms are acceptable. - investigate the root cause of the pump failure to prevent similar incidents in the future. - implement regular maintenance and testing procedures to ensure the proper functioning of the monitoring equipment. @topic:15


s extremities are warm and well - perfused. - * * consider using a different spo2 monitor : * * if the issue persists, try using a different spo2 monitor to rule out a problem with the original monitor. @topic:4


battery cover ( j ). c. open the fuse holder ( k ). note : the fuse holder is a twist type fuse holder. d. remove the fuse ( l ). page 4 - 102 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 34 fuses ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures figure 4 - 44. fuses m330 _ 2 _ 153 careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 103 4. 34 fuses ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures replacement 1. do the removal procedure in reverse order. 2. do the “ function checks ” on page 2 - 5. page 4 - 104 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 35 fifth wheel chapter 4 : removal, replacement, and adjustment procedures 4. 35 fifth wheel tools required : 13 mm wrench ratchet extension scissor jack removal 1. set the brakes. 2. raise the bed to its highest position. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 3. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 4. use the scissor jack to raise the bed high enough to remove the fifth wheel. 5. remove the screws ( a ), washers ( b ) and loc kn uts ( c ) from the fifth wheel ( d ). ( see figure 4 - 45 on page 4 - 106 ) warning : use correct lifting techniques. failure to do so can cause personal injury or equipment damage. 6. remove the fifth wheel ( d @topic:26


auxiliary outlet ) condition range auxiliary outlet 120 v ac, 60 hz, 8 a outlet, electrically iso¬ lated from the bed ’ s mains power. equipped with an 8 a, single - pole, resetable circuit breaker. table 1 - 7. fuse specifications condition range battery fuse 10 a, 32 v ~, ato mains fuse 2 each 2. 5 a, 250 v ~, 5 x 20 mm, ul 198g slo - blo® " or equivalent ( 220, 230, and 240 v beds ) 2 each 5 a, 250 v ~,. 25 " x 1. 25 ", ul 198g slo - blo® or equivalent ( 100 v through 127 v beds ) a. slo - blo® is a registered trademark of littleflise, inc. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 1 - 5 specifications chapter 1 : introduction regulation, standards, and codes table 1 - 8. regulation, standards, and codes the careassist® and careassist® es bed are designed and manufactured according to the following equipment classifications and standards : classification standard technical and quality assurance standards ul 60601 - 1 csa® 11 c22. 2 no. 601. 1 iec 60601 - 2 - 38 en 60601 - 1 iec 60601 - 1 - 2 eniso 9001 and en 13485 equipment classification per iec 60601 - 1 class i equipment, internally powered equipment degree of protection against electric shock type b degree of protection against ingress of water protection against spraying or splashing water - ipx4 degree of protection against the presence of flammable anaesthetic mixtures not for use with flammable anaesthetics. mode of operation continuous operation with intennittent loading, 3 minutes on / 27 minutes off sound level ( @topic:9


# # # issue the bed's footrest is not adjustable. # # # impact the patient may not be able to get into or out of bed comfortably. the patient may also be at risk for pressure ulcers if they are unable to move their legs. # # # possible causes - the bed's motor may be malfunctioning. - the bed's control panel may be malfunctioning. - the bed's power supply may be interrupted. - the bed's battery may be dead or not properly connected. # # # recommendations - check the bed's motor for any signs of damage or malfunction. - check the bed's control panel for any loose connections or damaged wires. - check the bed's power supply to make sure that it is properly connected and that the voltage is correct. - check the bed's battery to make sure that it is properly connected and that it is fully charged. - if the problem persists, contact the manufacturer for assistance. @topic:1


##2 - opener 4 orange r3 - closure 5 yellow r3 - middle 6 green r3 - opener 7 blue n / a 8 purple n / a 9 gray n / a 10 white n / a 11 pink r1 - closure 12 light green r1 - middle 13 black / white r1 - opener 14 brown / white n / a 15 red / white n / a 16 orange / white n / a 17 blue / white r _ failure _ clo sure 18 purple / white r _ failure _ middle 19 green / white r _ failure _ opener 20 red / black n / a the nurse call relay functions as follows : • during standard operation rl, r2, r3 _ opener are closed ; r1, r2, r3 _ closure are open. • during alarm condition — r1, r2, r3 _ opener are open ; rl, r2, r3 _ closure are closed. tools required : ohmmeter. 1 plug an m8087 - 61001 cable into the nurse call relay connector. 2 connect the ohmmeter and measure the pins as indicated in the diagram and table. 3 the relay contacts should behave as described above. the behavior may vary depending on configuration choices. see the configuration guide for details on alarm relay settings. 4 the expected test results depend on the relay contact used. please check that the correct relay activity is initiated during alarm condition. test expected test results multi - port nurse call connector test correct relay activity is initiated during alarm condition ( pass / fail ) 86 3 testing and maintenance ] msl assurance test visually inspect all msl connector sockets ( cable / monitor / mms ). 1 make sure that the pins of the connectors are not jolted. 2 make sure that no pin is bent inwards or outwards. 3 exchange connectors that show any evidence of damage or breakage examples of damaged connectors test expected @topic:10


# # # issue - the monitor cannot be turned on due to a lack of power. # # # impact - the monitor cannot be used to monitor patient vital signs. # # # possible causes - the batteries are dead. - the power adapter is not connected. - the power switch is not turned on. - there is a problem with the monitor's power supply. # # # recommendations - check the batteries and replace them if necessary. - check the power adapter and make sure it is connected properly. - turn on the power switch. - if the problem persists, contact a qualified biomedical engineer. @topic:11


# # issue - monitor not connecting to the system # # impact - inability to monitor patient data and deliver appropriate care # # possible causes - faulty control unit - loose connections - software issues # # recommendations - replace the control unit - inspect and tighten all connections - update software to the latest version @topic:16


# # # issue - the nerve stimulator does not turn on consistently. # # # impact - the surgeon cannot use the device to perform the surgery. # # # possible causes - the device is defective. - the battery is dead. - the power cord is not properly connected. - there is a loose connection in the device. # # # recommendations - check the device for any visible damage. - replace the battery. - make sure that the power cord is securely connected to the device and to the outlet. - inspect the device for any loose connections. - if the problem persists, contact the manufacturer for assistance. @topic:2


# # # issue - cuff is deteriorated. # # # impact - the monitor may not be able to accurately measure the patient's vital signs. # # # possible causes - the cuff may be old and worn out. - the cuff may have been exposed to moisture or chemicals. - the cuff may have been used incorrectly. # # # recommendations - inspect the cuff for signs of deterioration. - replace the cuff if it is deteriorated. - ensure that the cuff is used correctly. @topic:5


# # # issue - scan cannot be performed. # # # impact - the medical cart is unable to perform scans, which can delay patient care. # # # possible causes - the scan head is not properly connected to the medical cart. - the scan head is damaged. - the software on the medical cart is not functioning properly. - the power supply to the medical cart is not functioning properly. # # # recommendations - check the connection between the scan head and the medical cart. - inspect the scan head for damage. - update the software on the medical cart. - check the power supply to the medical cart. @topic:23


# # # issue - equipment failure # # # impact - disruption of patient care - potential safety hazard for patients # # # possible causes - * * loose screws : * * the loose screw caused the bed rail to become unstable, posing a safety hazard to patients. # # # recommendations - * * tighten all screws : * * ensure that all screws holding the bed rail in place are properly tightened. - * * regular maintenance : * * conduct regular inspections and maintenance to identify and address potential issues before they become major problems. @topic:6


# # # issue the electric bed cannot be adjusted to lower positions. # # # impact the patient may be uncomfortable or unable to get out of bed safely. # # # possible causes * the bed's motor may be malfunctioning. * the bed's control panel may be defective. * the bed's wiring may be damaged. # # # recommendations * inspect the bed's motor for any signs of damage or malfunction. * test the bed's control panel to ensure that it is functioning properly. * check the bed's wiring for any signs of damage or loose connections. * if the problem cannot be identified or resolved, contact the bed's manufacturer for further assistance. @topic:1


# # # issue - the spo2 sensor on the propaq lt monitor is not functioning properly. # # # impact - the inability to measure spo2 can compromise patient care, as this parameter is essential for monitoring vital signs and detecting respiratory distress. # # # possible causes - * * faulty spo2 sensor : * * the spo2 sensor may be defective or damaged, preventing it from accurately detecting oxygen saturation levels. - * * loose sensor connection : * * the spo2 sensor may not be securely connected to the monitor, leading to intermittent or unreliable readings. - * * environmental interference : * * external factors such as bright light or electromagnetic interference can affect the accuracy of spo2 measurements. - * * software or hardware malfunction : * * a software glitch or hardware issue within the monitor may be causing the spo2 sensor to malfunction. # # # recommendations - * * replace spo2 sensor : * * the most likely cause of failure is a faulty spo2 sensor. replace the sensor with a new one to resolve the issue. - * * check sensor connection : * * ensure that the spo2 sensor is properly connected to the monitor. inspect the cable for any damage or loose connections. - * * optimize environmental conditions : * * minimize bright light or electromagnetic sources near the monitoring area to avoid interference with spo2 readings. - * * perform software or hardware troubleshooting : * * if the issue persists despite replacing the sensor and optimizing environmental conditions, consult the manufacturer's guidelines for troubleshooting software or hardware problems. consider updating the monitor's software or replacing affected components as necessary. @topic:4


loadebackwards. try reloading the paper. 5 aution when the recorder is disabled ( for example, door open, or out of paper ), any alarm recordings will be sent to the central station recorder, if there is one. if no recorder is available, alarm recordings may be lost during the time the recorder is disabled. the message no alarm recording available will be displayed. this message is not shown if printer is configured as the alarm recording destination. 64 28 recording recorder status messages recorder status messages explanation the named recording is currently running. or examplelocal alarm recording running no central alarm recording available no local alarm recording available no alarm recording can be made on the selected recorder. try selecting another recorder. if a local recorder was selected, the monitor will try to reroute the recording to a central recorder. recordings configured to a central recorder cannot be rerouted to a local recorder. alarm recordings may be lost. try configuring printer as the alarm recording destination. no recorder available. alarm recordings will be lost. try configuring printer as the alarm recording destination. central recorder out of paper local recorder out of paper central recorder door open local recorder door open < recorder type > not supportethe named recorder is out of paper. the door of the specified recorder is open. the m1116a recorder is not supported. connect a m1116b / c plug - in recorder. electronic recording electronic recording allows alarm - triggered reports to be captured electronically in the monitor database. they can then be printed when a printer is available. the printer can be locally connected at the usb interface, a central printer connected to the information center or the xds printing service that is part of the intellivue xds application. with an xds print server, the reports can be printed to a standard off - the - shelf printer and can also be stored as files ( e. @topic:10


# # # issue * the bed cannot adjust its position, specifically, the foot section. * the bed gets stuck when trying to lower or raise the foot section. # # # impact * patient discomfort due to inability to adjust the bed to a comfortable position. * potential safety hazard if the bed cannot be adjusted for medical procedures or emergencies. # # # possible causes * * * mechanical failure : * * * broken or damaged gears, motors, or cables involved in the foot adjustment mechanism. * obstructions or misalignment of moving parts. * * * electrical failure : * * * faulty wiring or connections. * malfunctioning control panel or buttons. * * * software glitch : * * * bugs or errors in the software that controls the bed's movement. * * * battery issue : * * * weak or depleted batteries may provide insufficient power for the motors to operate smoothly. * * * user error : * * * improper or excessive force applied during adjustment attempts. # # # recommendations * * troubleshooting and repair : * * * check for any visible signs of damage or obstructions in the foot adjustment mechanism. * inspect the wiring and connections for any loose or broken wires. * test the control panel and buttons to ensure they are functioning properly. * if possible, update the software to its latest version. * replace the batteries with new ones to ensure adequate power supply. * * preventive maintenance : * * * regularly clean and lubricate the bed's moving parts to reduce friction and prevent wear and tear. * inspect the electrical components periodically for any signs of damage. * train staff on proper operation and maintenance procedures to avoid user errors. * * additional considerations : * * * if the issue persists after troubleshooting and repair, consider seeking assistance from the manufacturer or a qualified biomedical engineer. * ensure that the patient is in a safe and comfortable position @topic:1


# # # issue - the screen of the medical cart is not turning on, even after restarting the device. # # # impact - the medical cart cannot be used for patient care, which can delay or disrupt medical procedures. # # # possible causes - power supply issue - loose or damaged cables - faulty screen - software issues # # # recommendations - check the power cord and connections to ensure that the medical cart is receiving power. - inspect the cables connecting the screen to the main unit for any damage or loose connections. - if the screen is physically damaged, it may need to be replaced. - check for any software updates or glitches that may be causing the screen to malfunction. if necessary, contact the manufacturer for support. @topic:13


# # # issue the provided information does not specify any failure of the medical device. the device was tested and found to be functional. # # # possible causes n / a # # # recommendations n / a @topic:12


# # # issue the beds, electric, huntleigh, contoura 390 is not adjustable down. # # # impact the patient may not be able to get into or out of bed safely. the patient may also be uncomfortable if the bed is not at the correct height. # # # possible causes * * 1. * * the power supply to the bed may be interrupted. * * * possible solution : check the power cord and make sure it is plugged into a working outlet. if the power cord is damaged, replace it. * * 2. * * the motor that controls the bed's up and down movement may be malfunctioning. * * * possible solution : contact a qualified technician to repair or replace the motor. * * 3. * * the control panel may be malfunctioning. * * * possible solution : contact a qualified technician to repair or replace the control panel. * * 4. * * the bed's frame may be damaged. * * * possible solution : contact a qualified technician to repair or replace the bed's frame. # # # recommendations * * 1. check the power supply to the bed. * * * * 2. if the power supply is ok, contact a qualified technician to repair or replace the motor, control panel, or bed's frame. * * @topic:1


# # # issue - ekg lead wire failure due to breakage and corrosion # # # impact - inaccurate or missing ekg data - potential for patient harm due to delayed or incorrect diagnosis # # # possible causes - improper handling or storage of lead wires - excessive use or wear - exposure to moisture or chemicals # # # recommendations - handle lead wires with care and avoid kinking or crimping - inspect lead wires regularly for damage or corrosion - replace lead wires promptly when damage is identified - ensure lead wires are stored in a clean and dry location - train staff on proper handling and care of lead wires @topic:18


# # # issue cuff failure # # # impact - vital signs monitoring may be inaccurate. - patient care may be compromised. # # # possible causes - cuff damage - cuff leakage - cuff неправильное использование # # # recommendations - replace the cuff. - check the cuff for leaks. - ensure that the cuff is used correctly. @topic:5


# # # issue - the philips suresigns vs4 monitor is experiencing a battery failure. # # # impact - the monitor may not be able to function properly without a working battery. - this could pose a risk to the patient's safety if the monitor is unable to accurately monitor vital signs. # # # possible causes - the battery may be old and have reached the end of its lifespan. - the battery may have been damaged, either physically or chemically. - the battery may not be properly seated in the monitor. # # # recommendations - replace the battery with a new one. - inspect the battery contacts to ensure that they are clean and free of debris. - ensure that the battery is properly seated in the monitor. @topic:11


# # # issue - external damage # # # impact - unknown, pending further evaluation # # # possible causes - mishandling during transport or storage - accidental impact # # # recommendations - request documentation from the manufacturer to determine if the damage affects the performance of the device. - if the damage does not affect performance, document the condition and continue to monitor the device for any changes. - if the damage does affect performance, follow the manufacturer's instructions for repair or replacement. @topic:12


# # # issue - the hospital bed is unable to adjust its head. # # # impact - patients may be uncomfortable or unable to get into or out of bed. - nursing staff may have difficulty providing care to patients. # # # possible causes - remote batteries are dead, - remote is defective. - bed motor is not functioning properly. - bed frame is damaged. # # # recommendations - replace remote batteries. - replace remote. - repair or replace bed motor. - repair or replace bed frame. @topic:1


# # # issue the ups battery in the central station physiologic monitor is failing. # # # impact the monitor may not be able to provide power to the connected medical devices in the event of a power outage. # # # possible causes * the battery is old and has reached the end of its lifespan. * the battery has been damaged due to a power surge or other electrical fault. * the battery is not properly connected to the monitor. # # # recommendations * replace the ups battery. * inspect the monitor and power cord for any damage. * ensure that the battery is properly connected to the monitor. @topic:11


# # # issue - worn or damaged cuff. # # # impact - inaccurate blood pressure readings. - discomfort for the patient. # # # possible causes - repeated use and wear. - improper storage or handling. - manufacturing defect. # # # recommendations - regularly inspect the cuff for any signs of wear or damage, such as cracks, tears, or fraying. - replace the cuff if it shows any signs of wear or damage. - follow the manufacturer's instructions for proper storage and handling of the cuff. - if the cuff is suspected to be defective, contact the manufacturer for a replacement. @topic:3


# # # issue - n / a # # # impact - failure to adjust the head section of the bed. # # # possible causes - broken hinge nuts on the right side of the headboard. # # # recommendations - replace the broken nut. @topic:1


# # # issue - spo2 cable failure in a bedside physiologic monitor. # # # impact - inability to monitor patient's oxygen saturation levels, potentially leading to adverse outcomes. # # # possible causes - damage to the spo2 cable due to mishandling or wear and tear. - loose connections between the spo2 cable and the monitor or patient. - malfunction of the spo2 sensor within the cable. - electrical interference from nearby medical equipment. # # # recommendations - replace the damaged spo2 cable with a new one. - ensure secure connections between the cable, monitor, and patient. - inspect the spo2 sensor for any signs of damage or contamination. - check for potential electrical interference from other equipment and take necessary measures to mitigate it. - train staff on proper handling and maintenance of spo2 cables. - establish a regular maintenance schedule for all biomedical equipment, including spo2 cables. - consider using more durable or wireless spo2 cables to reduce the risk of damage. @topic:4


in the full detail available in the printed and on - line guidelines. the ssc sepsis protocol is not a diagnostic or therapeutic tool and is not intended to replace the competent judgment of a clinician. the ssc sepsis protocol consists of three separate consecutive phases : severe sepsis screening - measurement values and patient status are compared to the severe sepsis screening criteria. when these criteria have been met, the clinician confirms the presence of infection and sepsis - related organ dysfunction and can authorize entering the sepsis resuscitation bundle. sepsis resuscitation bundle - the recommendations for sepsis resuscitation are listed and can be checked off as they are implemented. after achievement of all the sepsis resuscitation goals, or at the latest after 6 hours, the sepsis resuscitation bundle is completed and the sepsis management bundle begins. 349 27 protocolwatch sepsis management bundle - the recommendations to maintain patient status are listed and can be checked off as they are implemented. the sepsis management bundle ends when 24 hours have passed since the sepsis resuscitation bundle began. the ssc sepsis protocol may have been configured, to customize it for the specific treatment measures used in your facility. this can include changes to limits for measured or manually entered values, changes to the severe sepsis screening criteria, and changes to the recommendations in the sepsis resuscitation bundle and the sepsis management bundle. if configuration changes have been ade, your screens may not exactly match the screens shown here. depending on the option your monitor has, it may be that only the severe sepsis screening phase is implemented. if, at the end of this phase sepsis has been confirmed, and the patient is transferred for treatment in the resuscitation and management phases, you can transfer the current state, the settings and the log from the ssc @topic:8


effective pulse duration ( td ) medium and low priority : 125 - 250 ms rise time ( tr ) 10 - 20 % of td fall time¹ ( t + ) f≤ts - tr note the range of the relative sound pressure level of the harmonic components should be between a minimum of at least 53 dba and a maximum of at least 80 dba at the pulse requency. 1prevents overlap of pulses service manual attery specifichours of use 2 cell battery specifications¹ continuous run time ( nellcor ) 5. 22 6 patients / hour - 41 patient cycles ( nellcor ) 6. 83 8 patients / hour - 54 patient cycles ( nellcor ) 6. 78 8 patients / hour - 55 patient cycles ( nonin ) 6. 90 acute care continuous 10 minute cycles - 49 patient cycles - bp, temp, spo2, no radio, no scanner ( nellcor ) 8. 22 acute care continuous 10 minute cycles - 50 patient cycles - bp, temp, spo2, no radio, no scanner ( nonin ) 8. 37 acute care continuous 10 minute cycles - 49 patient cycles - bp, temp, spo2, no radio, no scanner ( masimo ). 29 acute care continuous 10 minute cycles - 41 patient cycles - bp, temp, spo2, er ( nellcor ) 6. 84 acute care continuous 10 minute cycles - 41 patient cycles - bp, temp, spo2, radio, scanner ( nonin ) 6. 96 acute care continuous 10 minute cycles - 41 patient cycles - bp, temp, spo2, radio, scanner ( masimo ) 6. 90 1 nellcor is the default for these examples. mobile stand specifications mobile stand maximum limit mobile stand basket / bins maximum limit 22 lb / 10 kg 2. 0 lb / 0. 9 kg 7000 - ms3 front bin : @topic:8


is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's spo2 rebooting. 043600 a malfunction is detected. there very low re two possible causes of these there is a problem with the istor failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's board. a malfunction is detected. there very low spo2 rebooting. 043700 there is a problem with the spo2 led current failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's there is a problem with thspo2 preamp spo2 rebooting. 043800 a malfunction is detected. there very low failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be eplaced, and if problem is still 186 troubleshooting welch [UNK] connex® spot monitor ossible causlarm prioritmessage present replathe spo2 module receivebad packet spo2 rebooting. 04 @topic:20


% of reading tcp0 2 test signal 60 mmhg ( 8. 0 kpa ) tcp0 2 drift, including transducer typically 1. 25 % / h tcp0 2 response time, including transducer typically 30 s 445 38 installation and specifications measurement specifications tcgas performance specifications tcpc0 2 range 5 to 200 mmhg ( 0. 7 to 26. 7 kpa ) resolution 1 mmhg ( 0. 1 kpa ) overall accuracy ( incl. transducer ) 5 to 76 mmhg ( 0. 7 to 10. 1 kpa ) better than ±5 mmhg ( ±0. 7 kpa ) above 76 mmhg ( 10. 1 kpa ) better than + 10 % of reading tcpc0 2 test signal 40 mmhg ( 5. 3 kpa ) tcpc0 2 drift, including transducer typically 2. 5 % / h tcpc0 2 response time, including transducer typically 60 s warm - up time < 3 minutes site timer 0. 5, 1, 1. 5, 2, 2. 5, 3, 4, 5, 6, 7, or 8 hours. change site alarm when site time is expired and configurable automatic heating switch - off transducer heating available temperatures - 37. 0°c, 41. 0 to 45°c in steps of 0. 5°c tcgas alarm specifications range adjustment alarm delay tcp0 2 10 to 745 mmhg 10 to 30 mmhg : 1 mmhg 10 seconds after the 1. 0 to 99. 5 kpa 1. 0 to 4. 0 kpa : 0. 1 kpa 32 to 100 mmhg : 2 mmhg 4. 2 to 13 kpa : 0. 2 kpa 105 to 745 mmhg : 5 mmhg 13. 5 to 99. 5 kpa : 0. 5 @topic:17


information received from the mdse interface manager, the alarm service or other intellivue patient monitoring system modules • screen presentation of operating controls ( control windows ) • processing of operating control commands received from hif control interface. the module verifies and interprets the received commands and forwards them to other software modules of the intellivue patient monitoring system display unit or measurement servers • sound generation ( issues audible alarm signals and generates audible information signals, for example qrs and sp02 tones, operator audible feedback ) labdata / manual data the laboratory data / manual data entry interface manager allows acquisition of laboratory data ( e. g. acquired by the central station from a laboratory information system ). it also allows to manually enter measurement data to make additional, manually acquired measurements available to internal applications and to the system. wireless measurement manager ( wmm ) the wmm interface manager provides connectivity to the srr interface. it establishes communication between srr enabled devices and the asw module that manages the data provided by the device interfaces lan the lan interface implements the physical layer of ieee 802. 3, electrical isolation, and bsd protection. electronically separated interfaces are used for communication to the measurement servers and to the network. wlan the wlan interface is a network interface that provides access to an ieee 802. 11 wireless local area network. the configuration of this interface is done by an os service. 28 2 theory of operation ) functional block description display controller the display controller is integrated into the cpu. the video ram is shared with the main memory the display controller processes the high level display commands ( character and graphic generation, wave drawing ) and translates them into pixels, which are written into the video ram, where the display controller generates the video synchronization signals and the pixel stream for the internal and external display hif control the hif ( human interface control ) interface scans the human interface devices for operator @topic:10


# # # issue - propaq lt in exam 1 room is experiencing issues with : 1. bp measurement accuracy 2. o2 saturation cable breakage # # # impact - inaccurate bp measurements could lead to incorrect patient diagnosis and treatment. - broken o2 saturation cable could result in interrupted patient monitoring and delayed intervention in critical situations. # # # possible causes * * bp measurement issues : * * - faulty or damaged bp sensor - loose or disconnected sensor tubing - software malfunction in the propaq lt device * * o2 saturation cable breakage : * * - physical damage to the cable caused by mishandling or excessive pulling - corrosion or loose connections due to improper maintenance # # # recommendations 1. * * verify the bp sensor : * * - ensure that the bp sensor is securely connected and undamaged. - calibrate the sensor according to manufacturer's instructions. 2. * * inspect the bp tubing : * * - check for any leaks or loose connections in the tubing. - replace any damaged tubing. 3. * * troubleshoot software issues : * * - update the software on the propaq lt device to the latest version. - contact welch allyn technical support for further assistance. 4. * * inspect the o2 saturation cable : * * - examine the cable for any visible damage or loose connections. - replace the cable if necessary, ensuring proper handling and storage practices. 5. * * regular maintenance and inspection : * * - implement a regular maintenance schedule for all medical equipment, including the propaq lt. - train staff on proper handling and maintenance procedures to prevent future issues. @topic:4


# # # issue - railing of the bed is damaged. # # # impact - patient safety hazard. - inconvenience to patients and staff. # # # possible root causes - normal wear and tear. - improper use or maintenance. - manufacturing defect. # # # recommendations - replace the damaged railing. - inspect and maintain the bed regularly to prevent further damage. - train staff on proper use and maintenance of the bed. - if the damage is due to a manufacturing defect, contact the manufacturer for warranty support. @topic:6


# # # issue - loose dc power connector # # # impact - the arthroscope system - monitor lcd may not receive power and will not function properly. # # # possible causes - the nut securing the connector may have loosened over time due to vibration or other factors. - the connector may have been accidentally knocked loose. # # # recommendations - tighten the nut securing the connector. - inspect the connector for any damage and replace it if necessary. - secure the cable so that it is not likely to be knocked loose again. @topic:2


# # # issue - missing spo2 cable # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - cable disconnected or damaged - cable misplaced or lost # # # recommendations - replace the missing cable with a new one - secure the cable to prevent disconnection - track the location of the cable to prevent loss @topic:4


* * issue : * * equipment time and date were incorrect. * * impact : * * incorrect time and date could lead to inaccurate medical records, medication errors, or delayed treatment. * * possible causes : * * * * * power outage : * * a power outage can reset the equipment's time and date. * * * system glitch : * * a software or hardware malfunction can cause the equipment to display incorrect time and date. * * * user error : * * the technician or user may have accidentally adjusted the time and date incorrectly. * * recommendations : * * * * * validate the equipment : * * ensure the equipment's time and date are accurate by comparing it to a reliable time source, such as a wall clock or smartphone. * * * check for power issues : * * verify that the equipment is properly connected to a power outlet and that there are no power fluctuations. * * * perform a system reset : * * if a system glitch is suspected, perform a system reset by following the manufacturer's instructions. * * * educate users : * * train users on how to adjust the time and date correctly and remind them to check the settings periodically. * * * consider a time synchronization system : * * implement a time synchronization system to ensure that all medical devices in the hospital display the same accurate time and date. @topic:29


# # # issue - the bedside physiologic monitor's blood pressure ( bp ) pump has failed. # # # impact - the monitor cannot accurately measure the patient's blood pressure. # # # possible causes - defective bp pump - loose or damaged electrical connections - software glitch # # # recommendations - replace the bp pump with a new one ( sn : de71953147 ). - inspect and tighten all electrical connections. - perform a software update if necessary. @topic:15


# # # issue - battery failure # # # impact - inability to power the monitor during patient transport # # # possible causes - battery reaching end of life - battery not properly charging - battery not appropriate for the device # # # recommendations - replace the battery with a new one of the same specification ( 10. 8v 6ah ) - ensure the battery is properly charged before use - verify the battery is compatible with the device @topic:11


# # # issue - cuff is deteriorated # # # impact - patient monitoring may be inaccurate or unreliable. # # # possible causes - cuff is old and worn out. - cuff is not properly inflated. - cuff is not the correct size for the patient. - cuff is damaged. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly inflated. - ensure that the cuff is the correct size for the patient. - inspect the cuff for any damage. @topic:5


emg numeric reflects the electrical power of muscle activity and high frequency artifacts. emg < 55 db : this is an acceptable emg emg < 30 db : this is an optimal emg ( note that the minimum possible emg is approximately 25 db ). suppression ratio ( sr ). the sr is the percentage of time over the last 63 - second period during which the eeg is considered to be in a suppressed state. spectral edge frequency ( sef ). the sef is the frequency below which 95 % of the total power is measured. total power ( tp ). the tp numeric indicates the power in the frequency band 0. 5 to 30 hz. the useful range is 30 - 100 db. bursts ( bisx module used with the extend sensor only ). the bursts numeric helps you quantify suppression by measuring the number of eeg bursts per minute, where an eeg burst is defined as a period of activity followed and preceded by inactivity ( at least 0. 5 second ). 257 19 monitoring bis bis monitoring setup bis monitoring setup there are two bis solutions available for use with the m1034a bis module : using the dsc and bis engine or using the bisx. monitoring bis using the dsc and bis engine aspect bis engine 185 - 0111 bis module bis engine cable v o / c * aspect digital signal converter 185 - 0124 aspect patient interface cable 186 - 0131 r - o ■a " aspect bis sensor if you are monitoring bis with the dsc and bis engine, a. connect the bis engine to the bis module using the bis engine cable. b. connect the digital signal converter ( dsc ) to the digital signal converter port on the front of the bis engine. use the attachment clip to secure the digital signal converter near, but not above the patient ’ s head. c. attach the patient @topic:8


* * issue : * * rail detached from bed * * impact : * * - patient safety hazard - reduced bed functionality * * possible causes : * * - defective lock mechanism - loose or damaged bolts or screws - worn - out or broken rail components * * recommendations : * * * * immediate action : * * - secure the detached rail temporarily to prevent further movement. - isolate the bed from use until repairs can be made. * * long - term solutions : * * - inspect the lock mechanism, bolts, screws, and other rail components for damage or wear. - replace any defective or worn components. - lubricate the lock mechanism according to manufacturer's recommendations. - regularly monitor the bed's functionality, including the security of the rails. @topic:6


# # # issue - calibration error # # # impact - inaccurate patient weight measurements - patient safety concerns # # # possible causes - faulty calibration sensor - loose or damaged wiring - software malfunction - power supply issues - user error # # # recommendations - verify that the calibration sensor is functioning properly. - inspect the wiring connections for any loose or damaged wires. - update or reinstall the software if necessary. - ensure that the bed is receiving the correct power supply. - provide training to users on proper calibration procedures. - establish a regular maintenance schedule to prevent future calibration errors. @topic:25


* * issue : * * - equipment is not receiving power. * * impact : * * - the bed cannot be used for patient care. * * possible causes : * * - faulty power supply - loose connections in the power cord or outlet - tripped circuit breaker or blown fuse - internal electrical fault in the bed * * recommendations : * * - check the power supply and ensure that it is providing the correct voltage and current. - ensure that the power cord and outlet are securely connected. - reset the circuit breaker or replace the blown fuse. - if the issue persists, contact a qualified biomedical engineer to diagnose and repair the internal electrical fault. @topic:9


# # # issue - * * bed alarm cable failure * * # # # impact - * * reduced patient safety : * * inability to monitor patient's physiological parameters accurately, increasing the risk of undetected changes. - * * delayed or missed interventions : * * failure to receive alarms promptly can result in delayed or missed interventions, potentially affecting patient outcomes. # # # possible causes - * * physical damage : * * cable breakage due to improper handling, accidental pulling, or excessive movement. - * * age and wear : * * deterioration of cable materials over time, leading to insulation cracks and reduced conductivity. - * * electrical fault : * * short circuit or loose connections in the cable or connectors. - * * defect : * * manufacturing defects or poor - quality materials used in cable construction. - * * accidental disconnection : * * human error, such as accidentally unplugging the cable or disconnecting the plug from the bed. # # # recommendations - * * regular inspection and maintenance : * * conduct periodic inspections of cables and connectors to identify potential defects or damage. - * * proper cable management : * * ensure cables are routed and secured properly to prevent accidental pulling or bending. - * * training and awareness : * * educate staff on the importance of proper cable handling and maintenance to reduce the risk of damage. - * * use of durable and high - quality cables : * * invest in cables designed for medical use that are resistant to wear and tear. - * * regular testing : * * perform routine testing of bed alarms and cables to ensure proper functionality and early detection of issues. @topic:26


# # # issue - cuff of vital signs monitor is damaged. # # # impact - inaccurate or unavailable vital signs measurements. - delays in patient care. - potential patient harm. # # # possible causes - wear and tear - improper use or handling - manufacturing defect # # # recommendations - inspect and replace cuffs regularly according to manufacturer's recommendations. - train staff on proper use and handling of equipment. - contact the manufacturer for any suspected manufacturing defects. @topic:5


# # # issue - * * blood pressure ( bp ) cuff has deteriorated. * * # # # impact - * * inaccurate bp readings. * * # # # possible causes - * * normal wear and tear. * * - * * improper storage or handling. * * - * * exposure to extreme temperatures or humidity. * * - * * chemical spills or cleaning agents. * * - * * over - inflation or under - inflation of the cuff. * * # # # recommendations - * * replace the bp cuff. * * - * * ensure proper storage and handling. * * - * * protect the cuff from extreme temperatures and humidity. * * - * * avoid chemical spills or cleaning agents. * * - * * follow proper inflation and deflation procedures. * * @topic:3


# # output # # # issue - battery failure # # # impact - device cannot function without a working battery - interruption of patient care # # # possible causes - battery degradation due to age - improper charging or maintenance practices - external damage to the battery or charging system # # # recommendations - regular inspection and replacement of batteries according to manufacturer's recommendations - proper charging and handling of batteries - if the charging system is damaged, it should be inspected and repaired by a qualified technician - avoid using unauthorized or aftermarket battery replacements @topic:11


# # # issue : - telemetric electrocardiography monitor ( philips m2601b ) malfunction due to a faulty ekg cable. # # # impact : - inability to accurately monitor a patient's electrocardiogram ( ecg ) signals. - delays in diagnosis and treatment. # # # possible causes : - * * faulty ekg cable ( tw20121029008 ) * * : physical damage to the cable or its connectors, internal wire breakage, or poor electrical connections. - * * defective cable connection : * * loose or improper connection between the cable and the monitor or ecg electrodes. - * * monitor port issue : * * malfunctioning port on the monitor that receives the ekg signals. # # # recommendations : * * immediate action : * * - replace the faulty ekg cable with a known - good one. - ensure secure and proper cable connections. * * preventive measures : * * - establish regular maintenance and inspection schedules for medical devices. - train staff on proper handling and storage of medical equipment. - consider using durable and high - quality cables and connectors. - monitor cable usage and replace aging or damaged cables promptly. - invest in redundant monitoring systems to mitigate the impact of equipment failure. @topic:18


# # # issue - * * broken sat cable * * and * * defective sat sensor * * in the philips suresigns vs2 vital signs monitor. # # # impact - inability to accurately measure oxygen saturation levels and blood pressure. - delay in patient care and potential risk to patient safety. # # # possible causes - physical damage to the sat cable or sensor during handling. - electrical malfunction or software glitch. - inadequate maintenance or calibration. # # # recommendations - * * immediate action : * * - replace or repair the faulty sat cable and sensor to restore functionality. - * * preventive measures : * * - implement regular maintenance schedules, including calibration and safety inspections. - train staff on proper handling and usage techniques. - consider investing in durable equipment and accessories to minimize damage. - * * communication : * * - inform relevant personnel ( e. g., nurses, doctors, ward staff ) about the issue and corrective actions taken. - document the failure and repair in the equipment's maintenance records. - * * follow - up : * * - once repairs are complete, test the equipment thoroughly to ensure proper functionality before returning it to service. @topic:4


# # # issue - nibp monitor is not working properly. # # # impact - the nibp monitor is not able to accurately measure blood pressure. # # # possible causes - the extension cord is damaged. # # # recommendations - replace the extension cord. @topic:15


# # # issue - the battery of the vital signs monitor is degrading. # # # impact - the monitor may not be able to accurately measure vital signs. - the monitor may not be able to be used in emergency situations. # # # possible causes - the battery is old and has reached the end of its lifespan. - the battery is not being properly charged. - the battery is damaged. # # # recommendations - replace the battery with a new one. - ensure that the battery is being properly charged. - inspect the battery for damage and replace it if necessary. @topic:11


# # # issue - the bed is not adjustable. # # # impact - the patient may not be able to get into or out of bed safely. - the patient may not be able to be positioned comfortably in bed. # # # possible causes - electrical fault - mechanical fault - software fault - user error # # # recommendations - check the electrical connections. - check the mechanical components for damage. - check the software for updates. - train the user on how to use the bed properly. @topic:1


# # # issue - cuff on patient transport monitor is damaged # # # impact - patient may not receive accurate blood pressure readings - clinicians may not be able to make informed decisions about patient care # # # possible causes - cuff may have been damaged during transport - cuff may have been damaged by a patient - cuff may have been damaged by staff # # # recommendations - inspect the cuff for damage before each use - replace the cuff if it is damaged - train staff on how to properly use and care for the cuff @topic:5


# # # issue - cuff of the philips intellivue mp40 ( m8003a ) patient transport monitor is damaged. # # # impact - the monitor may not be able to accurately measure blood pressure, which could lead to incorrect treatment decisions. # # # possible causes - the cuff may have been damaged during cleaning or disinfection. - the cuff may have been damaged by a patient. - the cuff may have reached the end of its useful life. # # # recommendations - replace the damaged cuff with a new one. - inspect the cuff regularly for signs of damage. - clean and disinfect the cuff according to the manufacturer's instructions. - train staff on how to properly use and care for the cuff. @topic:5


# # # issue the device is set to measure in cycles, which is not the correct setting for this type of device. # # # impact the device will not be able to provide accurate readings. # # # possible causes the technician may have accidentally set the device to the wrong setting. # # # recommendations the technician should change the device's setting to the correct one. @topic:2


# # # issue - screen goes black on the medical cart. # # # impact - healthcare professionals may not be able to access patient information or use the cart to provide care. - delays in patient care and treatment. # # # possible causes - * * overheating * * : the medical cart may have been in use for an extended period without being properly cooled, causing internal components to overheat and shut down. - * * power issues * * : the power supply to the medical cart may be faulty or interrupted, causing the screen to black out. - * * software issues * * : a software glitch or malfunction can cause the screen to go black. - * * hardware failure * * : a faulty or damaged component, such as the display panel or graphics card, can cause the screen to black out. # # # recommendations * * troubleshooting steps : * * - * * check the power supply * * : ensure that the medical cart is properly connected to a power outlet and that the power switch is turned on. - * * allow the cart to cool down * * : if the cart has been in use for an extended period, turn it off and let it cool down for a few minutes before turning it back on. - * * restart the software * * : if the cart is running any software, restart it to see if the issue resolves. if restarting the software does not resolve the issue, try updating the software to the latest version. - * * contact the manufacturer * * : if the troubleshooting steps do not resolve the issue, contact the manufacturer of the medical cart for further assistance. * * preventive measures : * * - * * regular maintenance * * : perform regular maintenance on the medical cart to prevent overheating and other issues. this may include cleaning the fans and vents to ensure proper airflow, and checking @topic:13


# # # issue - programed error # # # impact - unable to use the medical cart # # # possible causes - * * - medadmin cannot connect * * : this error message suggests that the medical cart is unable to connect to the medadmin server. - this could be due to a network issue, a software issue, or a hardware issue. - it could also be due to a problem with the medadmin server itself. # # # recommendations - * * check the network connection * * : ensure that the medical cart is properly connected to the network. - * * restart the medical cart * * : this may resolve any software issues that may be causing the error. - * * contact the manufacturer * * : if the issue persists, contact the manufacturer of the medical cart for assistance. - * * check the medadmin server * * : ensure that the medadmin server is running and that it is accessible from the medical cart. @topic:13


# # # issue bed cannot be adjusted upwards # # # impact patients may be unable to get into or out of bed safely caregivers may have difficulty providing care # # # possible causes - faulty control box. - damaged electrical components. - mechanical issues with the bed frame. # # # recommendations - replace the control box. - inspect and repair or replace any damaged electrical components. - inspect and lubricate the bed frame and moving parts. @topic:1


isolation and remedy measurement server does not start up ( no leds active ), no inop or prompt displayed no power check msl cable and replace if necessary replace srl board ’ standard connector board or main board. measurement server does not start but leds are normal communication lines in msl cable or msl connector broken check msl cable and msl connectors cable between msl board and main board not connected correctly check connection between msl board and main board. msl board or main board defective check msl board and replace if necessary. if problem persists, replace main board. 123 [ 4 troubleshooting ] symptoms possible causes of failure failure isolation and remedy msl power high inop is issued note : if this condition persists for longer than 15 minutes, the inop msl power off win appear ( see below ) attached devices drawing too much power from the monitor. too many mms connected to the monitor reduce to a limit of one mms connected to the monitor. msl power off inop is issued attached devices drawing too much power from the monitor. too many mms connected to the monitor disconnect ah mms from the monitor cycle power to restore power to the msl devices. if the message disappears, reconnect mms one at a time, waiting 15 minutes between each device to see if message reoccurs. if yes, the respective mms is faulty. see ‘ ‘ multi - measurement module ” on page 123 for troubleshooting tasks. if no, add front - end modules one at a time, waiting 15 minutes between each module to see if message reappears. replace module if faulty. note : if an individual defective device is connected the msl power high or msl power overload inops wh appear initially. the msl power off inop win not occur for at least 15 minutes. msl power overload @topic:16


# # # issue - defective remote control units # # # impact - inability to operate the electric bed properly, leading to inconvenience for patients and healthcare staff. # # # possible causes - malfunction of the remote control units themselves - damage to the remote control units due to mishandling or improper storage - interference with the signal between the remote control units and the bed - software or firmware errors in the remote control units or the bed's control system # # # recommendations - replace the defective remote control units with new or refurbished ones. - inspect the bed's control system and wiring for any damage or loose connections. - check for any potential sources of interference, such as other wireless devices or electromagnetic fields. - update the software or firmware of the remote control units and the bed's control system if necessary. - train staff on the proper use and handling of the remote control units. - establish a regular maintenance schedule to identify and address potential issues before they cause failures. @topic:7


# # # issue - lens fogging # # # impact - impaired visibility of patient data and waveforms - potential for diagnostic and treatment errors # # # possible causes - condensation buildup due to temperature fluctuations or humidity changes - improper cleaning or disinfection of the lens - damage to the lens or its protective coating # # # recommendations - ensure adequate ventilation and temperature control in the patient care area - clean and disinfect the lens regularly using recommended methods and materials - inspect the lens for damage and replace it if necessary @topic:12


# # # issue - cuff is damaged. # # # impact - blood pressure cannot be measured accurately. # # # possible causes - cuff may have been punctured or torn. - cuff may have been over - inflated. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for damage. - do not over - inflate the cuff. @topic:3


# # # * * issue : * * raws of the bed is not adjustable # # # * * impact : * * patient may fall or discomfort due to the non - adjustable raw. it also difficult for medical staff to move the patient. # # # * * possible causes : * * - the motor that controls the raw adjustment is not working properly. - the cable that connects the motor to the control panel is damaged. - the control panel is not sending the correct signals to the motor. - the locking mechanism that holds the raw in place is not working properly. # # # * * recommendations : * * - inspect the motor, cable, and control panel for damage. - test the motor to see if it is working properly. - replace the damaged parts if necessary. - adjust the locking mechanism to ensure that it is working properly. @topic:1


* * issue : * * inability to adjust the equipment * * impact : * * compromised functionality and potential patient discomfort * * possible causes : * * * * * faulty remote control : * * the technician's report indicates that they replaced the remote control, suggesting that the original remote was malfunctioning and preventing adjustments. * * * faulty wiring or connections : * * the technician mentions that they found a damaged wire in the remote control, indicating potential electrical issues within the equipment. loose or damaged connections can also prevent adjustments. * * * software malfunction : * * the equipment may have experienced a software glitch or corruption that affects its ability to respond to adjustment commands. * * * mechanical malfunction : * * internal mechanical components, such as gears or switches, may have become worn or damaged, hindering adjustments. * * recommendations : * * * * * thorough inspection : * * the technician should conduct a thorough inspection of the equipment, including the remote control, wiring, and any relevant circuitry. * * * functional testing : * * perform comprehensive testing of the adjustment controls using proper diagnostic tools to pinpoint the exact source of the issue. * * * software update or repair : * * if necessary, update the equipment's software or repair any software - related issues. * * * mechanical repair or replacement : * * in case of mechanical malfunctions, the technician may need to repair or replace the affected components. * * * proper documentation : * * ensure that all diagnostic tests and repairs are properly documented for future reference and troubleshooting. @topic:7


# # # issue - spo2 cable failure # # # impact - patient monitoring may be interrupted or inaccurate - delays in patient care - potential for patient harm # # # possible causes - physical damage to the cable - loose or damaged connections - incorrect installation # # # recommendations - inspect the cable for any visible damage - ensure that all connections are secure - verify that the cable is correctly installed - replace the cable if necessary @topic:4


# # # issue : cuff failure in nibp monitor # # # impact : patient monitoring may be inaccurate or unavailable. # # # possible causes : - cuff may be excessively worn or damaged. - cuff may not be properly seated on the patient's arm. - cuff line may be kinked or obstructed. - air leak in the cuff or cuff line. - pressure sensor malfunction. # # # recommendations : - * * inspect the cuff for damage and replace if necessary. * * - * * ensure the cuff is properly seated on the patient's arm. * * - * * check the cuff line for kinks or obstructions. * * - * * test the air leak by inflating the cuff and listening for any leaks. * * - * * calibrate the pressure sensor according to the manufacturer's instructions. * * @topic:15


gray holder to the left and the paper guide to the right. 3 lift up the paper guide on the left side and remove it. assembly of the roller 1 assemble both parts by performing the above steps in reverse order. 2 make sure that all parts click into place. disassembly of the snap lock note do not use snap locks other than the snap lock kit 453564456791 for the ml 116c recorder. using any other snap lock wiu result in the recorder door not being able to be opened anymore. 1 turn the recorder upside down, with the snap locks facing upwards. 184 5 repair and disassembly ) 2 lift the release lever up a few millimeters. 3 while lifting up, push the snap lock once with your thumb in the direction of the door in order to release it from its rail. then slide it all the way out. 4 lift the snap lock up in order to remove it. assembly of the snap lock 1 hold the new snap lock perpendicular to the recorder, as shown in the pictures below. 2 3 lay the snap lock down on its guiding rail and push into its position. slide until you hear a click that indicates a proper fit. 185 [ 5 repair and disassembly ] multi - measurement module ( mms ) disassembly please follow the disassembly and reassembly steps below closely. do not disassemble the mms past the point described in the procedures below. tools required • thin - bladed screwdriver • allen wrench ( size 6 ) • bsd mat and wrist strap warning • do not open the mms while it is connected to a monitor. • parts inside the instrument may be contaminated with bacteria. protect yourself from possible infection by wearing examination gloves during this procedure. removing / exchanging the nbp inlet 1 position the mms as in the @topic:19


with the host monitor but is assigned to the mp5 or x2 - the mp5 or x2 must have no equipment label the different variations require different configuration settings ; refer to the configuration guide for details. note if a telemetry transceiver is directly connected to an x2 or mp5 that is connected ( via companion mode ) to a host monitor with revision f software, a tele config unsupp inop will appear as this combination is not supported. 270 21 trends trends are patient data collected over time and displayed in graphic, tabular or histogram form to give you a picture of how your patient ’ s condition is developing. trend information is stored in the trends database for continuously - monitored measurements, such as ecg, as well as for aperiodically - measured parameters, such as cardiac output. viewing trends trend information can be viewed embedded as a screen element on specially - designed screens, or you can open a trend window over the current screen. ♦ to view trends embedded as a screen element, select the screen name in the monitor info line to enter the change screen menu, then select a screen designed to show an embedded trend window. ♦ to open the tabular trends window over the current screen, select the vitals trend smartkey. ♦ to open the graphic trends window over the current screen, select the graph trend smartkey. ♦ to open the histogram trend window over the current screen, select main setup > trends > histogram, or select the histogram smartkey.. the trend windows open displaying the most recent data and are updated as new data is stored. a timescale along the bottom of the screen shows you where you are in the trends database. the preview column on the right - hand side shows the latest available measurement value. the preview column is updated every five minutes or whenever an nbp or other ape @topic:8


# # # issue - the physiologic monitor is not showing the central venous pressure ( cvp ) module. # # # impact - the inability to monitor cvp can lead to inaccurate readings, ineffective treatment plans, and patient harm. # # # possible causes - * * software error : * * the latest software update may not have been properly installed or is corrupted. - * * hardware issue : * * a hardware component related to cvp monitoring may be faulty or damaged. - * * connection error : * * the cvp module may not be properly connected to the monitor or to the patient. - * * sensor failure : * * the cvp sensor itself may be malfunctioning. # # # recommendations - * * verify software installation : * * confirm if the software update was completed successfully and check for any software errors. - * * inspect hardware : * * examine the cvp module, cables, and connections for any visible damage or loose connections. - * * check sensor : * * replace the cvp sensor to isolate any potential sensor issues. - * * contact manufacturer : * * if the issue persists after following these steps, contact the manufacturer for further troubleshooting and repair. @topic:15


# # # issue - scanner is unable to scan barcodes. # # # impact - delay or disruption in patient care. - interference with inventory management. # # # possible causes - damaged or misaligned scanner head. - dirty or obstructed scanner window. - interference from other electronic devices. - faulty electrical connection. - software malfunction. # # # recommendations - * * inspect the scanner head : * * check for any physical damage or misalignment. clean the scanner window with a soft cloth and ensure there are no obstructions. - * * check for electrical connections : * * verify that the scanner is securely connected to the power source and that there are no loose or damaged wires. - * * restart the scanner : * * turn the scanner off and back on. this may resolve any temporary software glitches. - * * update software : * * if available, check for any software updates for the scanner and install them. - * * contact manufacturer support : * * if the issue persists, contact the manufacturer of the scanner for further technical support. @topic:23


# # # issue - lcd monitor does not turn on ( room 2, monitor 1 ) # # # impact - inability to monitor patient's vital signs or other critical information # # # possible causes - loose adaptor cable # # # recommendations - ensure that the adaptor cable is securely connected to both the monitor and the power outlet. @topic:2


* * issue : * * no signal * * impact : * * the patient's vital signs cannot be monitored accurately, which could lead to delays in diagnosis and treatment. * * possible causes : * * * faulty cable or connection * problem with the monitor or sensor * interference from other medical devices * power outage * * recommendations : * * * check the cables and connections between the monitor, sensor, and patient. * test the monitor and sensor with a known good signal. * identify and eliminate any sources of interference. * check if the power supply is functioning properly. @topic:2