# # # issue - co2 sensor is not providing a reading. # # # impact - inability to accurately monitor patient's co2 levels, which can lead to adverse health outcomes. # # # possible causes * * 1. hardware issues : * * - faulty co2 sensor or cable connection. - electrical interference or power fluctuations. * * 2. software issues : * * - software bugs or corruption in the monitor. - incompatibility between the monitor and the co2 sensor. * * 3. environmental factors : * * - excessive moisture or temperature variations. - exposure to chemicals or other contaminants. # # # recommendations * * 1. hardware troubleshooting : * * - inspect the co2 sensor and cable connections for damage or loose connections. - replace the co2 sensor or cable if necessary. - check for electrical interference and power fluctuations. * * 2. software troubleshooting : * * - update the monitor's software to the latest version. - check for any software patches or updates related to the co2 sensor. - reinstall the monitor's software if necessary. * * 3. environmental management : * * - ensure that the monitor is operating within the recommended temperature and humidity range. - minimize exposure to chemicals or other contaminants. * * 4. other considerations : * * - calibrate the co2 sensor according to the manufacturer's instructions. - consult with the equipment manufacturer or a biomedical engineer for further troubleshooting assistance. @topic:4


maintenance and usage to identify and address potential gaps. @topic:12


# # # issue monitor is not turning on. # # # impact critical care patients in the icu may not be able to be monitored properly, which could lead to adverse events. # # # possible causes - power supply is not connected or faulty. - internal component failure. - software glitch. # # # recommendations 1. check that the power supply is securely connected and that the outlet is providing power. 2. if the power supply is not the issue, contact the manufacturer for troubleshooting assistance. 3. update the software to the latest version if available. 4. if the issue cannot be resolved remotely, schedule a service call to have the monitor repaired or replaced. @topic:2


# # # issue - the medical cart's display is showing " cannot connect. " # # # impact - the medical cart may not be able to be used properly. # # # possible causes - the medical cart's display may be faulty or damaged. - the medical cart's display may not be properly connected to the computer. - the medical cart's computer may not be functioning properly. # # # recommendations - check the medical cart's display for any damage. if the display is damaged, it will need to be replaced. - check the medical cart's display connections. make sure that the connections are secure and that the cables are not damaged. - restart the medical cart's computer. if the computer is not functioning properly, this may resolve the issue. @topic:13


# # # issue the weight adjustment button on the hill - rom care assist es220 electric bed is not working properly. # # # impact the bed cannot be adjusted to the patient's desired weight, which could lead to discomfort or injury. # # # possible causes - the button is not receiving power. - the button is not making contact with the switch. - the switch is faulty. - the control board is faulty. # # # recommendations - check the power supply to the bed. - check the connections between the button and the switch. - replace the switch. - replace the control board. @topic:1


# # # issue - medical cart not functioning properly due to rebooting and freezing. # # # impact - interruption of medical procedures or treatments. - delays in patient care. - increased workload for healthcare professionals. # # # possible causes - * * ssd card failure : * * the solid state drive ( ssd ) is a critical component in the medical cart responsible for storing and retrieving data. if the ssd fails, it can lead to system instability and rebooting issues. - * * software issues : * * outdated or corrupted software can also cause system instability and rebooting. - * * hardware issues : * * other hardware components, such as the motherboard or power supply, can also malfunction and cause the medical cart to reboot. # # # recommendations - * * replace ssd card : * * replace the failed ssd card with a new one. - * * update software : * * ensure that the software on the medical cart is up - to - date and free of errors. - * * inspect hardware : * * inspect other hardware components, such as the motherboard and power supply, for any signs of damage or malfunction. - * * monitor system : * * monitor the medical cart's performance after repairs to ensure that the issue has been resolved and that the system is stable. @topic:13


# # # issue - damaged connector on nibp hose # # # impact - inaccurate or no blood pressure measurements # # # possible causes - physical damage to the connector, such as from mishandling or wear and tear - loose or broken connections - incompatible or faulty connector # # # recommendations - inspect the connector for any visible damage or loose connections. - ensure that the hose and connector are properly attached to the nibp monitor. - replace the damaged connector if necessary. - check for any other potential causes of failure, such as faulty wiring or a malfunctioning monitor. @topic:15


# # # issue - cuff of the sphygmomanometer is deteriorated. # # # impact - the sphygmomanometer may not be able to provide accurate blood pressure readings. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged by being over - inflated or by being used on a patient with a large arm circumference. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - do not over - inflate the cuff. - use a cuff that is the correct size for the patient's arm circumference. @topic:3


# # # issue - the electric hospital bed manufactured by huntleigh, model contour 360, is not functioning properly. # # # impact - the malfunctioning bed may hinder patient care and disrupt hospital operations. # # # possible causes - * * remote controller failure : * * the description mentions that the remote controller was damaged and then repaired. it is possible that the repair was not successful, or that the remote is still faulty. - * * mechanical issue with the bed : * * the bed itself may have mechanical issues, such as a problem with the motors or actuators that control its movement. - * * electrical fault : * * an electrical fault in the bed or its power supply could also cause it to malfunction. # # # recommendations - * * inspect the remote controller : * * the technician should check the remote controller to ensure that it is functioning properly. if it is faulty, it should be replaced. - * * examine the bed : * * the technician should inspect the bed for any signs of mechanical damage or wear and tear. any damaged components should be repaired or replaced. - * * check the electrical system : * * the technician should verify that the bed is properly connected to a power source and that there are no electrical faults. any electrical issues should be resolved to ensure safe and reliable operation of the bed. - * * consult the manufacturer : * * if the issue cannot be resolved through the above steps, the technician should contact the manufacturer of the bed for further assistance. @topic:9


# # # issue - constant alarm indicating the need to change the battery. - persistent beeping sound during operation. # # # impact - interruption of patient monitoring. - battery life may be reduced, leading to unexpected power failure. - alarm fatigue due to repetitive beeping. # # # possible causes - battery failure or low battery capacity. - faulty battery contacts or connections. - malfunction of the battery monitoring system. - software glitch or bug. # # # recommendations - * * battery replacement : * * replace the battery with a new or fully charged one. ensure the battery is compatible with the device. - * * contact inspection : * * check the battery contacts and connections for any loose connections or corrosion. clean and tighten if necessary. - * * battery monitoring system testing : * * test the battery monitoring system to verify its functionality. calibrate or replace if required. - * * software update : * * if applicable, check for software updates from the manufacturer. install any available updates that may address battery - related issues. - * * service request : * * if the issue persists after performing the above steps, consider contacting the manufacturer or a qualified medical equipment service technician for further diagnosis and repair. @topic:11


# # # issue - scanner malfunction during use, indicated by a green light. # # # impact - interruption of medical procedures or delayed patient care. # # # possible causes * * 1. usb connection failure : * * - loose or damaged usb cables connecting the scanner to the main unit. - malfunctioning usb ports on the scanner or host device. * * 2. scanner hardware malfunction : * * - faulty scanner components, such as the imaging sensor or scanning mechanism. - electrical issues within the scanner. * * 3. software errors : * * - bugs or glitches in the scanner's software. - corrupted data files or configuration settings. * * 4. user error : * * - improper handling or usage of the scanner. - failure to follow manufacturer's instructions. # # # recommendations * * 1. check usb connections : * * - inspect the usb cables and ports for any damage or looseness. - if necessary, replace or repair the usb components. * * 2. restart the scanner : * * - unplug the scanner from the power source and usb port. - wait a few minutes before plugging it back in and restarting the scanner. * * 3. update scanner software : * * - check for any available software updates for the scanner. - download and install the latest version to resolve potential bugs or software issues. * * 4. rescan patient : * * - if software updates do not resolve the issue, try rescanning the patient. - position the patient correctly and ensure proper alignment for optimal scanning results. * * 5. seek professional support : * * - if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:23


# # # issue * cuff bp deterioration # # # impact * inaccurate blood pressure measurements # # # possible causes * age of cuff bp * environmental conditions ( e. g., humidity, temperature ) * excessive use * improper cleaning and disinfection # # # recommendations * regular replacement of cuff bp according to manufacturer's guidelines * proper storage and handling of cuff bp * training staff on proper cleaning and disinfection procedures * monitoring cuff bp performance and replacing as needed @topic:3


# # # issue - borrowing the bed for use # # # impact - device not available for patient use # # # possible causes - lack of available beds in the hospital - need for a temporary replacement bed while the primary bed is being repaired or serviced # # # recommendations - improve inventory management to ensure adequate supply of beds - consider renting or purchasing additional beds to meet patient demand - establish clear protocols for borrowing and returning equipment to prevent unauthorized use @topic:9


note 1 : in addition to the m3001a multi - measurement server, the m3002a multi - measurement server is also supported. block diagram legend functional block description services operating system the operating system ( os ) provides a layer of isolation between the specific hardware implementation and the application software. the os performs system checks and allocates resources to ensure safe operation when the system is first started. this includes internal self - tests on several hardware modules and configuration checks for validity of configuration with the operating software. during normal operation, the os continues to run checks on system integrity. if error conditions are detected the os will halt monitoring operations and inform the operator about the error condition. 24 2 theory of operation ) functional block description system services the system services provide generic common system services. in particular : they use a real - time clock component to track time. they synchronize to network time sources and verify the accuracy of the system time information. they are also responsible for managing persistent user configuration data for all measurement servers and intellivue patient monitoring system software modules. user configuration data is stored in a non - volatile read / write storage device applications reports the reports service retrieves current and stored physiological data and status data to format reports for printing paper documentation. the following reports are supported : • vital signs report • graphical trend report • event review report • event episode report • egg report ( 12 lead / multi - lead ) • cardiac output report • calculations report ( hemodynamic / oxygenation / ventilation ) • calculations review report • wedge report • test report • other reports ( e. g. loops, review applications, drug report ) the reports service generates report data which can be printed on a local or a central printer. record the record service retrieves current and stored physiological data and status data to format a continuous strip recording. a recording can be triggered manually by the operator or automatically by an alarm condition @topic:10


# # # issue - battery failure # # # impact - inability to monitor vital signs accurately # # # possible causes - battery life expectancy exceeded - battery not charging properly - battery damaged # # # recommendations - replace battery - check battery charging system - inspect battery for damage @topic:11


##itossible causmessage sensor not the spo2 sensor is not connected connect spo2 sensor, if the problem is still present, replace the spo2 cable. if the problem is still present, verify the module functionality by replacing the sensor with an applicable spo2 tester. if the message persists, eplace the module. connected. clear to searchin0 none high spo2 intedetected. clear to 40400 the spo2 interference etected. reapply the sensor to the patient. very low if the problem is still present, replace the spo2 sensor. if the problem is still present, replace the cable. if the problem is still present, verify module functionality by replacing the sensor with an applicable spo2 tester. if the message persists, eplace the module. low spo2 perfusioindex. clear to retry. 040500 spo2 marginal pulse quality or reapply the sensor to the patient. very low if the problem is still present, replace the spo2 sensor. if the artifact problem is still present, replace service manual troubleshooting 189 ossible causlarm prioritmessage the cable. if the problem is still present, verify module functionality by replacing the sensor with an applicable spo2 tester. if the message persists, ce the module. 1pulse search is a normal part of operation and does not have an associated corrective action. temperature messages suretemp messages alarm riority possible cause message temperature not wacp message crc internal malfunction. if the problem mismatch on emperature modulinternal malfunction. if the problem persists, replace the module. temperature not funthis message is not implemented by the re modulinternal malfunction. if the problem persists @topic:20


# # # issue - equipment : beds, electric - band : huntleigh - model : contoura 360 # # # impact - the equipment is not functioning properly. # # # possible causes - the control box is faulty. # # # recommendations - the control box should be replaced. @topic:32


fields should contain values. if the rssi value is significantly lower, check the distance to the access point and the antenna orientation at the monitor. the antenna orientation should be vertical, but the physical placement of the monitor or other equipment within its vicinity as well as walls or other obstacles may influence the antenna orientation required to receive the best rssi value. 5 if this test fails, retry in a different physical area with a different access point. 6 perform the wireless switch test blocks as described in the philips intellivue 802. 11 a / g infrastructure installation and configuration guide. safety testing you are recommended to file the results of safety tests. this may help to identify a problem early particularly if the test results deteriorate over a period of time. warnings, cautions, and safety precautions • these tests are a proven means of detecting abnormalities that, if undetected, could prove dangerous to either the patient or the operator. 58 3 testing and maintenance safety testing • you can perform all tests using commercially available safety analyzer test equipment. you can perform basic measurements with widely available multifunction instruments such as the hp 3469a multimeter or equivalent. • the consistent use of a safety analyzer as a routine step in closing a repair or upgrade is emphasized as a mandatory step to maintain approval agency status. you can also use the safety analyzer as a troubleshooting tool to detect abnormalities of line voltage and grounding plus total current loads. • for europe and asia / pacific according to : iec60601 - 1 : 1988 + al : 1991 + a2 : 1995 = en60601 - 1 : 1990 + a1 : 1991 + a2 : 1995 for usa according to : ul2601 - 1 / ul60601 - 1 • additional tests may be required according to local regulations. • normally, a safety analyzer is used to perform these procedures. popular testers include the @topic:10


# # # issue the bed's side rail cannot be raised due to wear and tear. # # # impact - patient safety risk due to lack of fall prevention measures. # # # possible causes - deterioration of spring mechanism within the bed frame causing the side rail to become stuck. # # # recommendations - replace the spring mechanism to restore the bed's safety features. - regularly inspect and maintain the bed according to manufacturer's guidelines to minimize future failures. @topic:6


# # # issue - ekg lead wire degradation. # # # impact - inability to obtain accurate ekg readings. # # # possible causes - prolonged use and wear of the lead wire. - improper handling and storage of the lead wire. - damage to the lead wire's insulation. - corrosion or oxidation of the lead wire's contacts. # # # recommendations - regularly inspect lead wires for signs of damage or degradation. - properly store and handle lead wires when not in use. - ensure that lead wires are not subjected to excessive force or strain. - clean and disinfect lead wires as per manufacturer's instructions. - replace damaged or degraded lead wires promptly. - train staff on the proper use, handling, and maintenance of lead wires. @topic:18


# # # issue - battery failure # # # impact - the bed may not be able to be operated if the batteries are not replaced. # # # possible causes - the batteries may have reached the end of their lifespan. - the batteries may have been damaged due to improper use or storage. # # # recommendations - replace the batteries with new ones of the same type and size. - ensure that the batteries are installed correctly and that the terminals are not corroded. - store the batteries in a cool, dry place. @topic:32


# # # issue - the telemetric electrocardiography monitor by philips, model m2601b, failed to function properly due to an incorrect frequency setting. # # # impact - inability to accurately monitor a patient's electrocardiographic activity, potentially leading to delayed or incorrect diagnoses and treatment decisions. # # # possible causes - * * incorrect frequency setting : * * the device was operating on a frequency that was not compatible with the intended use or the receiving equipment. - * * malfunctioning frequency oscillator : * * the device's internal frequency oscillator may have malfunctioned, resulting in an incorrect frequency output. - * * external interference : * * another device in the vicinity may have emitted radio signals that interfered with the monitor's frequency, causing it to malfunction. # # # recommendations - * * verify frequency settings : * * ensure that the device is set to the correct operating frequency for the intended use and the receiving equipment. - * * check frequency oscillator : * * test the device's frequency oscillator to verify its functionality and make repairs or replacements as necessary. - * * minimize external interference : * * identify and eliminate any sources of potential radio frequency interference in the vicinity of the device. @topic:16


* * issue * * the bedside physiologic monitor is not displaying the bis ( bispectral index ) values. * * impact * * the medical team cannot accurately monitor the patient's level of consciousness. * * possible causes * * - the sensor is not properly attached to the patient. - the sensor is damaged. - the monitor is not properly configured. - there is a problem with the bis module. * * recommendations * * - ensure that the sensor is properly attached to the patient. - inspect the sensor for any damage. - verify that the monitor is properly configured. - contact the manufacturer if the problem persists. @topic:22


p ower assembly bolts 4. pull the ac power connector forward and disconnect the three connectors. 5. slide the ac power connector out of the mounting bracket. 8 - 36 repairing the monitor main pcb assembly / disassembly procedures removing the communications ( lan ) board to remove the communications board : 1. separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 8 - 10. 2. remove the main pcb assembly. see “ removing the main pcb assembly ” on page 8 - 15. 3. remove two torx t10 screws and washers holding the communications board to the main pcb assembly. repairing the monitor 8 - 37 main pcb assembly / disassembly procedures 4. pull the lan board away from the 26 - pin connector on the main pcb and remove it. removing the battery connector board to remove the battery connector board : 1. separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 8 - 10 2. remove the main pcb assembly. see “ removing the main pcb assembly ” on page 8 - 15. 8 - 38 repairing the monitor main pcb assembly / disassembly procedures 3. disconnect the battery board connector from the main pcb on the main pcb assembly. 4. remove two torx t10 screws and washers holding the battery connector board. repairing the monitor 8 - 39 main pcb assembly / disassembly procedures 8 - 40 repairing the monitor front case disassembly procedures front case disassembly procedures this section describes how to remove items in the front case assembly. you can replace these items : part part number vm4 / vm6 lcd assembly 4535 640 20361 vm8 lcd assembly 4535 640 24511 @topic:19


# # # issue the bed's side rails are difficult to lower. # # # impact the patient may be at risk of falling out of bed. # # # possible causes - the side rails are not properly lubricated. - the side rails are bent or damaged. - the side rails are not properly adjusted. - the side rails are obstructed by something. # # # recommendations - lubricate the side rails. - inspect the side rails for any damage. - adjust the side rails to the proper height. - remove any obstructions from the side rails. @topic:6


##enal mot adions cetificate confict unted root certification authorities enficates win actor secgon men adion general details certificatan path nteprise trut nated publishen ertificate informat ntrated cetfictes hird - paty root cenfication authorities this certificate is intended for the folowing purpose ) ted people proves your dertty to a remote conpute dares the denty of amote computer clert authentication es preview build rosts remote desktop cenficate enrolment request smat card truted rests sunted devices issued actor - c. com windows live 10 token er ised by : c vald from 1 / 12 / 2015 to 1 / 30 / 2020 enonal store contains 19. right - click the certificates folder under personal and choose all tasks > import. favorites window hep console root expiration date intended purposes 8 / 18 / 2025 8 / 18 / 2025 < all > < all > issued to adobe content certificate 10 - 5 dobe content certificate 10 - 6 issued by friendly name status certificates < all > - 5 - 6 adobe intermediate ca 10 - 3 adobe intermediate ca 10 - 4 request new certificate.. import.. < none > < all > < none > certificates trusted root > enterprise tru 8 / 4 / 2068 < all > < all > < none > all tasks 8 / 4 / 2068 < none smart card logon,.... client authentication client authentication < none > client authentication < nonex < none > < none > < none > 3 / 17 / 2022 view intermediate advanced operations 2 / 3 / 2020 m - organization - pccess ( 20... 6 / 3 / 2021 ms - organization - p2p - access [ 20... 9 / 9 / 2020 < none > new window from here @topic:10


# # # issue : - vital signs monitor is not charging # # # impact : - inability to monitor patient's vital signs accurately - potential delays in patient care - reduced patient safety # # # possible causes : - faulty power cord - malfunctioning charging port - circuit board issue - battery failure # # # recommendations : - check the power cord for damage and replace if necessary. - inspect the charging port for any loose connections or debris. clean or repair as needed. - contact the device manufacturer or a qualified biomedical engineer for further diagnosis and repair. - consider replacing the battery if it has reached its end of life. @topic:11


# # # issue : cuff failure in philips suresigns vs2 + vital signs monitor # # # impact : - vital signs monitoring may be inaccurate or unavailable. - patient safety may be compromised. # # # possible causes : - cuff may be damaged or worn out and no longer able to provide accurate blood pressure readings. - cuff may not be properly connected to the monitor. - monitor may be malfunctioning. # # # recommendations : - replace the cuff with a new one. - make sure the cuff is properly connected to the monitor. - check the monitor for any signs of malfunction. - if the problem persists, contact the manufacturer for assistance. @topic:15


itemp the temperature value has dropped below the numeric flashes and low limit is low alarm limit. high - lighted, yellow alarm lamp, alarm tone * * < itemp label > low temp * missed beat ecg / arrhythmia no beat detected for > 1. 75 * ( the averaged r - r interval ), or no beat detected for > one second if hr 120 ( for non - paced patients only ). there is more than one physiological alarm of the corresponding severity active on the devices that monitor this patient. for details, check the information displayed at the information center. ther assigned evices numeric flashes, yellow alarm lamp, short yellow audible alarm other assignedevices * more alarms yellow or red alarm lamp and alarm * * more alarms * * * more alarm * multiform pvcs numeric flashes, yellow alarm lamp, short yellow audible alarm ecg / arrhythmia two different shaped vs detected, each occurring at least twice within the last 300 beats and at least once within the last 60 beats. the measured nbp value is above the high alarm limit. s, d, or or m after the label indicates whether the systolic, diastolic or mean pressure has crossed * nbp hignbp numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone * * nbp low the measured nbp value is below the low larm limit. numeric flashes and low limit is highlighted, yellow alarm lamp, nbp s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit. * non - sustain vt numeric flashes, yellow alarm lamp, short yellow audible alarm ecg / arrhythmia a run of pvcs < the v - tach run limit and ventricular heart rate > the v - @topic:8


# # # issue - the side rails of the bed cannot be retracted. # # # impact - the patient may be at risk of falling out of bed. # # # possible causes - the side rails may be jammed. - the side rails may be damaged. - the side rails may not be properly lubricated. - the electrical system may be malfunctioning. # # # recommendations - inspect the side rails for any damage. - lubricate the side rails with a silicone - based lubricant. - ensure the side rails are properly adjusted. - inspect the electrical system for any loose connections or frayed wires. - if the issue persists, it is recommended to replace the side rails. @topic:6


# # # issue - the philips suresigns vs2 + vital signs monitor is giving low blood pressure readings. # # # impact - this could lead to inaccurate patient monitoring and potentially incorrect treatment decisions. # # # possible causes - the blood pressure cuff may not be properly inflated or positioned. - the air hose may be leaking. - the transducer may be malfunctioning. - the software may be outdated or corrupted. # # # recommendations - check the blood pressure cuff for proper inflation and positioning. - inspect the air hose for leaks. - calibrate the transducer. - update or reinstall the software. @topic:15


averaging time configured, the longer the time needed until the numerical values reflect the physiological event. • the time between the displayed numerical values crossing an alarm limit and the alarm indication on the monitor. this delay is the sum of the alarm delay configured for the specific measurement plus the system alarm delay. the system alarm delay is the processing time the system needs for any alarm on the monitor to be indicated after the measurement has triggered the alarm. see the performance specifications in the specifications chapter for the system alarm delay specification. • the alarm delay configured for a specific measurement is normally a fixed time. for spo2 it is also possible to configure a smart alarm delay that is calculated using an intelligent algorithm. see " smart alarm delays " on page 195 in the spo2 chapter for more details. if more than one alarm is active, the alarm messages are shown in the alarm status area in succession. an arrow symbol next to the alarm message informs you that more than one message is active. the monitor sounds an audible indicator for the highest priority alarm. if more than one alarm condition is active in the same measurement, the monitor announces the most severe. your monitor may be configured to increase alarm indicator volume automatically during the time when the alarm is visual alarm indicators warning no alarms are available on an x2 when connected to a host monitor ( companion mode is indicated ). alarms become active again as soon as the x2 is disconnected from the host monitor. • alarm fields and other visual alarm indicators are disabled on an x2 when connected to a host monitor. the only visual alarm indication is provided by the alarm lamps, which are controlled by the host monitor. • larm messagan alarm message text appears in the alarm status area at the top of the screen indicating the source of the alarm. if more than one measurement is in an alarm condition, the message changes every two seconds, and has an arrow at the @topic:8


# # # issue - equipment : patient transport monitor - brand : philips - model : suresigns vs4 - description : trolly shelf is loose # # # impact - the trolly shelf is unstable and may fall off, causing injury to the patient or staff. # # # possible causes - the nuts securing the shelf have become loose. # # # recommendations - tighten the nuts securing the shelf. - inspect the shelf regularly for any signs of damage or loose nuts. @topic:31


# # # issue - the monitor failed to power on. # # # impact - inability to monitor patient vital signs. # # # possible causes - faulty power supply - damaged power cord - loose connections within the monitor # # # recommendations - check the power supply and ensure it is properly connected. - inspect the power cord for any damage and replace if necessary. - ensure all internal connections are secure and not loose. # # # additional notes - the report mentions that the monitor was initially found with a faulty power plug, which was replaced. however, the issue of the monitor not powering on persists, indicating a potential underlying issue beyond the power plug. - further troubleshooting and inspection of the monitor's internal components and circuitry may be necessary to determine the exact cause of the failure. @topic:2


# # recommendations # # # issue : - foot switch is broken and causing intermittent operation. # # # impact : - the ob / gyn electric bed may not be able to be operated properly, which could delay or prevent patient care. # # # possible causes : - excessive force applied to the foot switch. - foot switch is loose or damaged. - electrical connection to the foot switch is loose or damaged. # # # recommendations : - inspect the foot switch for any damage or loose connections. - tighten any loose screws or connections. - replace the foot switch if it is damaged or [UNK] 法 [UNK] [UNK]. - train staff on proper use of the foot switch to prevent future damage. @topic:1


# # # issue : bed unable to adjust # # # impact : patient discomfort, delayed treatment # # # possible causes : - faulty wiring - malfunctioning motor - loose connections # # # recommendations : - inspect wiring for any damage or loose connections - test motor function and replace if necessary - tighten any loose screws or bolts - re - calibrate the bed @topic:1


suresigns vm series patient monitors release a english philips part number 4535 640 40051 printed in usa 06 / 06 second edition lllllllllllllli philips stire signs vm series patient monitors service guide release a english philips philips proprietary notice this document and the information contained in it is proprietary and confidential information of philips medical systems ( “ philips ” ) and may not be reproduced, copied in whole or in part, adapted, modified, disclosed to others, or disseminated without the prior written permission of the philips legal department. use of this document and the information contained in it is strictly reserved for current philips personnel and philips customers who have a current and valid license from philips for use by the customer's designated in - house service employee on equipment located at the customer's designated site. use of this document by unauthorized persons is strictly prohibited. report violation of these requirements to the philips legal department. this document must be returned to philips when the user is no longer licensed and in any event upon philips'first written request. philips medical systems 3000 minuteman road andover, ma 01810 - 1085 ( 978 ) 687 - 1501 printed in the usa document number 4535 640 40051 copyright © 2006 koninklijke philips electronics n. v. all rights reserved printing history new editions of this document incorporate all material updated since the previous edition. update packages may be issued between editions and contain replacement and additional pages to be merged by a revision date at the bottom of the page. pages that are rearranged due to changes on a previous page are not considered revised. the documentation printing date and part number indicate its current edition. the printing date changes when a new edition is printed. ( minor corrections and updates that are incorporated at reprint do not cause the date to change. ) the document part number changes when extensive technical changes are incorporated. first edition.. second @topic:10


# # # issue extension cord steel connector terminal failed. # # # impact physiological monitor is inoperable. # # # possible causes - excessive force applied to the terminal during installation or use. - the cord may have become twisted or kinked, causing the terminal to fail. # # # recommendations - use a new extension cord, and take care not to twist or kink the cord during installation or use. - inspect the extension cord regularly for any damage. - handle the extension cord with care. @topic:2


# # # issue * * * vital signs monitor not displaying patient list. * * # # # impact * * * delay in patient care. * * * * * increased risk of patient harm. * * # # # possible causes * * * software glitch. * * * * * network issue. * * * * * hardware failure. * * * * * incorrect configuration. * * * * * user error. * * # # # recommendations * * * reset the vital signs monitor. * * * * * check the network connection. * * * * * inspect the monitor for any loose connections or damaged components. * * * * * verify that the monitor is properly configured. * * * * * train users on the proper operation of the monitor. * * @topic:2


10 pt readings troubleshooting, 7 - 10 r recorder installing, 8 - 15 removing, 8 - 15 testing, 7 - 28 index - 3 theory of operation, a - 7 troubleshooting, 7 - 13 recording test results, 6 ^ 1 repacking, 2 - 2 repacking components, 2 - 2 repairing monitors ac power connector, removing, 8 - 36 backlight board, removing, 8 ^ 15 battery connector board, removing, 8 - 38 bed rail hook assembly, 8 - 3 c0 2 module, 8 - 9 communications ( lan ) board, 8 - 37 disassembly, 8 - 2 faceplate, removing, 8 - 15 fan / speaker assembly, removing, 8 - 21 front end assembly cover, removing, 8 - 26 front end assembly, removing, 8 - 24 handle, removing, 8 - 22 installing battery, 8 - 5 lcd, removing, 8 - 41 navigation wheel assembly, 8 - 43 nbp filter, removing, 8 - 35 nbp module, removing, 8 - 33 pcb assembly, removing, 8 - 15 pcb, removing, 8 - 31 power connector fuse, 8 - 7 power supply, removing, 8 - 30 recorder, installing, 8 - 15 recorder, removing, 8 - 15 removing battery, 8 - 4 separating front and rear case, 8 - 10 sp0 2 board, removing, 8 - 28 tools required, 8 - 2 vm4 temperature module, 8 - 8 replacement parts, 9 - 2 respiration readings troubleshooting, 7 - 12 routine maintenance performing, 3 - 1 - 3 - 4 s safety verification test, 6 - 17 safety and operational checks, 3 - 2 self test running, 7 - 27 serial numbers resetting, 5 - 17 service returning monitor for, 3 - 3 service codes description, 7 - 15 service error codes description, 7 - 15 setting up, 2 @topic:19


# # # issue - drawer not ejecting # # # impact - difficulty in accessing supplies or equipment stored in the drawer # # # possible causes - broken or misaligned drawer mechanism - obstructed drawer rails - faulty drawer latch # # # recommendations - inspect the drawer mechanism for damage or misalignment. repair or replace as needed. - clean and lubricate the drawer rails to ensure smooth movement. - examine the drawer latch to ensure it is properly engaging and releasing. adjust or replace the latch as necessary. @topic:21


# # # issue - broken cable on the spo2 sensor # # # impact - inaccurate oxygen saturation readings - potential for patient harm if not detected and corrected # # # possible causes - physical damage to the cable - wear and tear over time - manufacturing defect # # # recommendations - replace the spo2 cable with a new one - regularly inspect the cable for any damage or wear - follow the manufacturer's guidelines for maintenance and calibration - ensure that the cable is properly connected and secured to prevent future breakage @topic:4


, • if the monitor has measured values which meet the screening criteria, and • for all signs and symptoms which cannot be measured by the monitor. check the box if you can confirm that this sign or symptom is present and new. if the patient is mechanically ventilated, the mechanically ventilated box must be checked. if you have manually measured temperature or respiration rate, you can enter the values using the enter rr and enter temp keys. select confirm when the check boxes reflect the current patient status. select remind 15 min if you want to delay filling out this screen. ( when you enter the screen manually this key will be a cancel key, as no action is required in this case. ) changing conditions the window reappears if : • a previously fulfilled criteria is again fulfilled • a new hr or rr criteria is fulfilled, • the hr or rr value which previously fulfilled the criteria now triggers a * * high alarm or a tachy alarm, • after 8 hours ( configurable to 12 hours ) if at least one infection sign is still present. 312 ssc sepsis protocol 25 protocolwatch two or more infection signs or symptoms confirmed if you have confirmed two or more infection signs in the first severe sepsis screening window, a new pop - up window appears : inactive | screening | resuscitation | management | ssc standby is the patient history suggestive of a new infection protocolwatch r protocol log show details yes no remind 15 min r if you select yes, the next screen appears requesting a lactate measurement. if you select no, the screening phase continues and the first severe sepsis screening window reappears in the situations described in changing conditions above. lactate measurement protocolwatch protocol enter remind log lact 15 min to enter the lactate value, select the enter lact key. if the value entered is > 4 mmol / 1 the check box @topic:8


* * issue : * * - propaq lt no. 1 / er cannot measure blood pressure due to a faulty hose. * * impact : * * - the patient's blood pressure cannot be accurately measured, which can lead to incorrect treatment decisions. * * possible causes : * * - the hose may have been damaged during use or handling. - the hose may have been improperly connected. - the hose may be old and worn out. * * recommendations : * * - inspect the hose for any visible damage. - ensure that the hose is properly connected to both the monitor and the patient. - replace the hose if it is damaged or old. - train staff on the proper use and handling of the equipment. - establish a regular maintenance schedule for the equipment to identify and address potential issues before they cause failures. @topic:14


details see " meaning of the wi - fi connection information on the gci " page 3 - 54. 19 : 15 02 / 07 / 2020 ) ) ) [UNK] [UNK] ng - 09 - 14 to go to the wi - fi menu : press parameters on the gci. • then press connectivity. connectivity • or press the status bar of the wi - fi and location information. ng - 09 - 14 9 : 15 02 / 07 / 2020 connectivity bed : hrpxxxxxxxxx patient id status off button on / off wifi on ng - 09 - 14 m. de bois robin [ 15 98742 ] check identity close locate status on / ofstatus wi - fi status status bed location server connection bed - locating procedure check that the " manual location " mode is active ( see " setting the wi - fi options " page 52 ). only applies to the hillrom digital health gateway. if the architecture by floors used to record the location of the beds is modified to the extent that the room numbers are changed, then the beds linked to rooms will no longer be located. in this case, a new locating procedure is necessary. the wi - fi is not active : 1. ress the button to switch on the wi - fi connection. a. wifi wait for the connection with b. the wi - fi connection is activated. on he server the wi - fi is active and connected to the server : 2. press locate. a. select the location of the room in the facility ( up to four levels, including the oom, e. g., building, ward, etc. ). b. ssigned rooms ng - 09 - 08 g - 09 - 1ng - 09 - 12 ng - 09 - 13 select the room number ( e. g., ng - 09 - 14 ) or another location by pressing different location. c. g - 09 - @topic:10


# # # issue the philips suresigns vm4 patient transport monitor is displaying incorrect oxygen saturation ( spo2 ) measurements after calibration. # # # impact this issue could lead to inaccurate spo2 readings, which could delay or misguide medical interventions and potentially compromise patient safety. # # # possible causes several factors could contribute to the incorrect spo2 readings : - faulty sensor or cable : the sensor used to measure spo2 may be defective or the cable connecting the sensor to the monitor may be damaged. - incorrect calibration : the monitor may not have been calibrated properly, resulting in inaccurate spo2 measurements. - interference from other devices : electromagnetic interference from nearby devices, such as defibrillators or surgical equipment, can affect the accuracy of spo2 readings. - patient factors : certain patient conditions, such as low perfusion or poor circulation, can interfere with accurate spo2 measurements. # # # recommendations the following steps are recommended to troubleshoot and resolve the issue : - check the sensor and cable : ensure the sensor is properly attached to the patient and the cable is in good condition. replace the sensor or cable if necessary. - recalibrate the monitor : perform a thorough calibration of the monitor according to the manufacturer's instructions. - eliminate electromagnetic interference : if possible, move the monitor away from other devices that may be causing interference. - assess patient factors : consider any patient conditions that may affect spo2 readings and take appropriate measures, such as repositioning the sensor or using a different monitoring method. - contact technical support : if the issue persists, contact the manufacturer's technical support team for further assistance. @topic:4


# # # issue the bed's left - hand side railing cannot be lowered. # # # impact the patient may be at risk of falling out of bed or being injured if they try to climb over the railing. # # # possible causes - the locking mechanism for the railing may be broken or damaged. - the tracks for the railing may be obstructed or damaged. - the railing may be bent or deformed. # # # recommendations - check the locking mechanism for the railing. if it is broken or damaged, it will need to be replaced. - check the tracks for the railing. if they are obstructed or damaged, they will need to be cleared or repaired. - check the railing for any bends or deformations. if it is bent or deformed, it will need to be replaced. @topic:6


##elink device interface ( m1032a ) • intellibridge ec 10 • eec ( m1027a ) • bispectral index - bis ( m1034a ) • spirometry ( ml014a ) you can plug and unplug modules during monitoring. insert the module until the lever on the module clicks into place. remove a module by pressing the lever upwards and pulling the module out. reconnecting a module to the same monitor restores its label and measurement settings, such as alarms limits. if you connect it to a different monitor, the module remembers only its label. the connector socket on the front of each module is the same color as the corresponding connector plug on the transducer or patient cable. press the setup key on the module ’ s front to display the measurement ’ s setup menu on the monitor screen. when the setup menu is open, a light appears above the key. some modules have a second key. on the pressure module, for example, it initiates a zeroing procedure. example module ( pressure ) 1 module name 2 setup key led 3 setup key to enter setup menu of measurement modules or external device data window 4 connector socket for patient cable / transducer 5 second module - specific key, for example zero v _ _ _ j 10 devices for acquiring measurements 1 basic operation xi multi - measurement module ( m3001 a ) the xi multi - measurement module ( mms ) can simultaneously monitor 3 -, 5 -, 6 - or 10 - lead ecg ( including arrhythmia and st monitoring ), respiration, spc ^, nbp and either invasive pressure or temperature. depending on the monitor model, you can connect it to the monitor via a cable or mount it either on the left side of the fms or on the back of the monitor, as shown here. m3001a connector @topic:10


manufacturer of the device for technical support and repair options. @topic:12


press label > overrangumeric is replaced by -? - nop tone make sure that the measurement has been properly prepared and zeroed, and that the transducer is level with the heart. if this inop persists, try another transducer. possible causes are a measured pressure outside the allowed pressure range, or a broken wire to the transducer. increase the scale for the pressure wave. < press label > reduce size < press label > unplugged a pressure measurement label has been deactivated, either by unplugging a module, or by deactivatinnop tone the label in the measurement selection window. the label in the measurement selection window. the measurement automatically disappears from the display. to switch the measurement on again, either replug the module or reactivate the measurement label in the measurement selection window. < press cal perform a zero and check the calibration of the transducer. numeric is replaced by -? - see < press label > inops rap inops uap inops see < press label > inops uvp inops see < press label > inops co2 inops what to do inop message, indication co2 auto zero numeric is replaced by -? - the automatic zero calibration is in progress. this typically takes 10 seconds. during this time the co2 values may not be updated, or they may be replaced by -? -. wait until the zero calibration is complete to resume monitoring. if the autozero lasts > 15 sec, inop tone sounds. o2 cal failed make sure that the cal cell was changed between cal1 and cal2. repeat the calibration. if the inop reappears, try another transducer. if the inop persists, contact your service personnel. numeric is replaced by -? inop tone @topic:17


rpm steps over 20 rpm : 5 rpm steps max. 14 seconds low adult / pedi : 0 to 95 rpm neo : 0 to 145 rpm under 20 rpm : 1 rpm steps over 20 rpm : 5 rpm steps for limits from 0 to 20 rpm : max. 4 seconds for limits above 20 rpm : max. 14 seconds apnea alarm 10 to 40 seconds 5 second steps 432 measurement specifications 38 installation and specifications sp0 2 unless otherwise specified, this information is valid for sp0 2 measured using the m3001a and m3002a multi - measurement modules and the m1020b measurement module. complies with en iso 9919 : 2005 ( except alarm system ; alarm system complies with iec 60601 - 2 - 49 : 2001 ). measurement validation : the sp0 2 accuracy has been validated in human studies against arterial blood sample reference measured with a co - oximeter. pulse oximeter measurements are statistically distributed, only about two - thirds of the measurements can be expected to fall within the specified accuracy compared to co - oximeter measurements. display update period : typical : 2 seconds. maximum : 30 seconds. maximum with nbp inop suppression on : 60 seconds. 433 38 installation and specifications measurement specifications sp0 2 performance specifications sp0 2 the specified accuracy is the root - mean - square ( rms ) difference between the measured values and the reference values range 0 to 100 % option # a01 accuracy philips reusable sensors : m1191a, m1191al, m1191anl, m1191b, m1191bl, m1192a, ml 192an = 2 % ( 70 % to 100 % ) m1193a, ml 193an, m1194a, m1194an, m1195a, m1195an, ml 196a = 3 % ( 70 % to 100 % @topic:17


# # # issue - bme found that the number 1 key on the medical cart's keyboard was not working. # # # impact - the user could not input numbers using the keyboard. - this could delay the user's work. # # # possible causes - the keyboard key was dirty. - the keyboard key was damaged. - the keyboard was not properly connected to the medical cart. # # # recommendations - bme cleaned the keyboard key and reset the keyboard. - bme checked the keyboard connection and ensured that it was properly connected. - if the problem persists, bme will need to replace the keyboard. @topic:27


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : the wheels of the medical cart are damaged, rendering it unable to be pushed. the bme ( biomedical engineer ) replaced the wheels and tested the cart, confirming that it is now functioning normally. # # # impact - the damaged wheels prevented the medical cart from being used for its intended purpose, potentially impacting patient care. # # # possible causes - the wheels may have been damaged due to : - excessive wear and tear - impact or collision - manufacturing defect # # # recommendations - regular inspection and maintenance of medical carts to identify and address any potential issues early on. - proper handling and storage of medical carts to minimize the risk of damage. - training for staff on the proper use and care of medical carts. @topic:24


# # # issue the central monitor cannot display patient names. # # # impact the inability to display patient names can result in incorrect patient treatment or misidentification. # # # possible causes 1. keyboard malfunction 2. software error 3. communication issue with the patient database # # # recommendations 1. check the keyboard for any physical damage or loose connections. 2. update the software to the latest version. 3. verify the network connection between the monitor and the patient database. 4. contact the manufacturer for further troubleshooting and support. @topic:16


# # # issue - equipment malfunction # # # impact - inability to monitor patient's vital signs accurately # # # possible causes - faulty or damaged ecg lead wires # # # recommendations - replace the ecg lead wires @topic:18


##ation rings, contact fluid ) 989803151961 1 calibration gas - 6 gas bottles 15210 - 60010 calibration gas - 6 gas bottles ( europe and japan only ) 15210 - 64010 replacement tubing ( 5 tubes ) m2205a calibration unit 15210b radiometer tcc3 calibration unit ( available from radiometer ) n / a 1. may not be available in all countries due to pending regulatory clearance eeg accessories description part no. trunk cable 2. 7m m2268a trunk cable, 1. 0 m m2269a reusable 80 - cm - long 5 - lead cables with 10mm silver / silverchloride leadwired cup electrodes ( adult ) ml 931a reusable 80 - cm - long 5 - lead cables with 6mm silver / silverchloride leadwired cup electrodes ( pediatric / neonatal ) m1932a reusable 80 cm 5 - lead cables with clip m1934a disposable eeg electrodes m1935a ec2™ electrode cream ( conductive paste ) m1937a bis accessories use only aspect bis sensors with the bis module or bis interface board ( mp20 / mp30 ). the sensor is a silver / silverchloride electrode array that uses aspect ’ s patented zipprep technology and a proprietary connector. the sensor / electrodes are for single patient use only. check shelf - life before use. the patient interface cable ( philips ordering no. m1034 - 61630, aspect part no. 186 - 0131 ) has an estimated lifetime of one year. do not scrap it when disposing of the bis sensor. the sensor cable from the semi - reusable sensor is re - usable but has a maximum number of uses, the electrodes are single patient use only @topic:8


##mp, portuguese not shown m3015 - 44175 453563402691 m3015a front bezel without press / temp, greek not shown m3015 - 44177 453563402701 m3015a front bezel without press / temp, russian not shown 201 6 parts measurement server extension parts ( m3012a, m3014a, m3015a and m3016a ) part number 12nc part no. description item m3015 - 44180 453563402711 m3015a front bezel without press / temp, polish not shown m3015a pump kit and mounting pin m3015 - 29303 453563332261 m3015a pump kit ( including c0 2 scrubber ) not shown 5041 - 8114 453563100081 mounting pin for m3015a 2a m3016a # a01 ( press / temp with mainstream c0 2 ) m3016 - 44131 453563332441 m3016a front bezel, english ( also for french, danish, traditional chinese and simplified chinese ) not shown m3016 - 44133 453563332451 m3016a front bezel, german not shown m3016 - 44134 453563332461 m3016a front bezel, dutch not shown m3016 - 44135 453563332471 m3016a front bezel, spanish not shown m3016 - 44136 453563332481 m3016a front bezel, italian not shown m3016 - 44137 453563332491 m3016a front bezel, norwegian not shown m3016 - 44138 453563332501 m3016a front @topic:19


end board. see “ removing the front end assembly ” on page 8 - 24. the respiration readings are unreliable there has been some external interference. ensure that all respiration reading requirements are met and that the patient is not moving excessively. ensure that the correct ecg leadset is being used. see the suresigns vm series patient monitors instructions for use. 7 - 12 troubleshooting troubleshooting charts recorder problems symptom possible cause action the recorder paper is jamming the paper is not installed correctly. remove paper and reinstall correctly. the recorder is using improper paper. use only the recommend recorder paper. the recorder has a mechanical problem. replace the recorder module. see “ removing the faceplate or optional recorder ” on page 8 - 15. the recorder does not print the paper is out and / or the recorder door is open. install a new paper supply. open the recorder door, then close it again. the recorder configuration is not enabled or is wrong. check the configuration settings for the recorder in the administrator section of the system menu. see “ accessing the system admin menu ” on page 5 - 2. make sure that the system is configured to show a recorder by opening the system diagnostics window. see “ setting the system configuration ” on page 5 - 21. the system does not recognize the recorder. check the recorder ’ s physical connections. see “ removing the faceplate or optional recorder ” on page 8 - 15. the recorder module has malfunctioned. replace the recorder module. see “ removing the faceplate or optional recorder ” on page 8 - 15. the main board has malfunctioned. replace the main board. see “ removing the main pcb ” on page 8 - 31. troubleshooting 7 - 13 error codes error codes when the monitor detects an error condition ( depending on the type of error ) an error message @topic:22


. 6 inflate the balloon when the monitor prompts you : ready for balloon inf lation. the waveform changes from the pap to the pawp wave. the measurement takes approximately 12 seconds. on completion, the monitor stores the pawp waveform display and prompts you to deflate the balloon. if the monitor cannot detect a wedging waveform you must use store trace to store the wedge and two reference waves manually. 7 deflate the balloon when the monitor prompts you : ready for balloon deflation and verify that the waveform returns to pulmonary artery shape. 8 if you need to start a new measurement, select restart wedge. editing the wedge 1 select the edit wedge pop - up key to see the stored waveforms. 2 the monitor displays a cursor in the waveform at the pawp mean value. it also displays any previously stored value and the time it was stored. 3 select change speed if you want to change the speed ( resolution ) of the displayed wave. 4 move the cursors up, down, right and left to set them on the correct wedge position. 5 select store wedge to store the pawp value. 6 select print wedge to print the pawp waveform and any reference waves or record wedge to record them. while recording or printing, you cannot perform any more wedge tasks. warning prolonged inflation can cause pulmonary hemorrhage, infarction or both. inflate the balloon for the minimum time necessary to get an accurate measurement. if the pulmonary artery flotation catheter drifts into the wedge position without inflation of the balloon, the pulmonary artery pressure waveform assumes a wedged appearance. take appropriate action, in accordance with standard procedures, to correct the situation. 197 12 monitoring invasive pressure identifying the pressure analog output connector if the pawp ( mean ) is greater than the pap ( systolic ), @topic:17


* * issue : * * cuff bp not measuring, always squeezing * * impact : * * patient's blood pressure cannot be accurately monitored. * * possible causes : * * * cuff leakage * faulty pressure sensor * problem with inflation / deflation mechanism * electrical malfunction * * recommendations : * * * replace cuff if leakage is detected. * calibrate pressure sensor or replace if faulty. * inspect and repair inflation / deflation mechanism. * check electrical connections and wiring for any damage or loose contacts. * consult manufacturer's technical support or seek assistance from a qualified biomedical engineer. @topic:3


# # # issue - solenoid on the med cart is jammed, preventing the med cart from being opened. # # # impact - medical staff may not be able to access medications or supplies stored in the med cart. - this could lead to delays in patient care. # # # possible causes - the solenoid may be dirty or damaged. - the solenoid may not be receiving enough power. - the solenoid may be faulty. # # # recommendations - clean the solenoid. - inspect the solenoid for damage. - replace the solenoid if necessary. @topic:21


# # # issue cuff of monitor is broken. # # # impact monitor cannot measure patient's vital signs accurately. # # # possible causes - cuff size is too small for the patient's arm. - cuff is not properly inflated or deflated. - cuff is damaged. # # # recommendations - use a cuff that is the correct size for the patient's arm. - inflate and deflate the cuff properly according to the manufacturer's instructions. - inspect the cuff for any damage and replace it if necessary. @topic:5


# # # issue * cuff leakage, resulting in inaccurate blood pressure measurements. # # # impact * false readings, leading to incorrect medical decisions and potential harm to patients. * increased workload for healthcare professionals due to the need for repetitive monitoring. * reduced patient confidence in device accuracy. # # # possible causes * aging and deterioration of the cuff material, leading to cracks or leaks. * improper cuff placement or tightening, causing pressure leaks. * damage to the cuff tubing or connections. * failure of the cuff inflating mechanism. # # # recommendations * regular inspection and replacement of the cuff as per manufacturer guidelines. * proper training of healthcare professionals on correct cuff placement and inflation techniques. * use of high - quality cuffs designed for extended durability. * monitoring and troubleshooting cuff inflation systems to prevent malfunctions. * consideration of alternative blood pressure monitoring methods if cuff - based readings are unreliable. @topic:3


# # # issue - the medical cart equipment from bdms with model bdms 01 experienced a failure where the screen displayed a " reboot " message. # # # impact - the medical cart was unable to function properly, potentially affecting its ability to provide necessary medical services. # # # possible causes - * * software glitch : * * a temporary or permanent error in the software running on the medical cart, causing it to display the " reboot " message. - * * hardware malfunction : * * a failure or malfunction in a hardware component, such as a faulty motherboard or power supply, could prevent the medical cart from booting up properly. - * * electrical issues : * * fluctuations or interruptions in the electrical power supply could trigger the " reboot " message and cause the medical cart to shut down. - * * physical damage : * * accidental damage or mishandling of the medical cart, such as dropping or excessive vibration, could result in hardware issues that prevent it from opening. # # # recommendations - * * restart the device : * * if possible, try restarting the medical cart by pressing the power button or unplugging and replugging it. - * * check cables and connections : * * inspect all cables and connections to ensure they are properly seated and functioning. - * * contact technical support : * * reach out to the manufacturer's technical support team for assistance in troubleshooting and repairing the medical cart. - * * perform a software update : * * updates may include bug fixes or improvements to stability, which could resolve the " reboot " issue. - * * monitor the device : * * if the issue persists, further monitoring may be necessary to identify any patterns or potential underlying causes. @topic:13


# # issue - the medical cart's drawer is not bouncing back. # # # impact - the medical cart cannot be used to store medical supplies or equipment. - this can lead to delays in patient care or even patient harm. # # # possible causes * * 1. drawer track is obstructed * * - food or other debris may have entered the drawer tracks, preventing the drawer from moving smoothly * * 2. drawer is overloaded * * - the drawer may be overloaded with supplies, causing it to stick or bind when opened or closed * * 3. drawer glides are worn or damaged * * - the drawer glides may be worn or damaged, causing them to bind or stick when the drawer is opened or closed * * 4. drawer is not properly aligned * * - the drawer may not be properly aligned with the cabinet, causing it to bind or stick when opened or closed * * 5. latch is not properly adjusted * * - the latch may not be properly adjusted, causing it to not secure the drawer in the closed position. # # # recommendations 1. inspect the drawer track for obstructions and remove any debris. 2. check the drawer for overloading and remove any excess supplies. 3. inspect the drawer glides for wear or damage and replace them if necessary. 4. check the drawer alignment with the cabinet and adjust it as necessary. 5. adjust the latch to ensure that it secures the drawer in the closed position. @topic:21


# # # issue - bed would not lower headrest # # # impact - patient discomfort and inability to perform proper patient care # # # possible causes - loose or broken back support plate # # # recommendations - replace the back support plate @topic:1


# # # issue - the bed is not able to adjust. # # # impact - the patient is unable to be positioned comfortably. - the caregiver is unable to access the patient for care. # # # possible causes - the remote control is not functioning properly. - the bed motor is not functioning properly. - the bed frame is damaged. - the bed is not properly plugged in. - the battery in the remote control is dead. # # # recommendations - check the remote control batteries and replace them if necessary. - inspect the bed motor and bed frame for any damage. - ensure that the bed is properly plugged in. - if the problem persists, contact a qualified biomedical engineer for further troubleshooting and repair. @topic:7


# # # issue * the hospital canceled the work order for the bed. # # # impact * the bed is not available for use by patients. # # # possible causes * the bed is being used as a spare bed for another unit. # # # recommendations * check if there is a spare bed available for use. * if there is not a spare bed available, contact the hospital's biomedical engineering department to request a new bed. @topic:9


# # # issue the bed, electric medical device from universal quality, model uq2000e - p, cannot be adjusted down. # # # impact the inability to adjust the bed down can have several negative impacts : - patient discomfort : patients may not be able to get into or out of bed comfortably or may not be able to find a comfortable sleeping position. - increased risk of injury : patients who are unable to get out of bed may be at risk of falling or other injuries. - difficulty with care : nurses and other caregivers may have difficulty providing care to patients who cannot adjust the bed down. # # # possible causes the most likely cause of this issue is a mechanical problem, such as : - a broken or damaged gear or motor - a loose or disconnected wire or connection - a problem with the remote control # # # recommendations to resolve this issue, the following steps are recommended : - * * inspect the bed : * * check for any visible damage to the bed, such as broken or loose parts. - * * check the remote control : * * make sure that the remote control is functioning properly and that the batteries are fresh. - * * inspect the wiring : * * look for any loose or disconnected wires or connections. - * * test the motor : * * try to adjust the bed up and down using the remote control or manual controls. if the motor does not respond, it may be damaged and need to be replaced. - * * contact a qualified technician : * * if you are unable to resolve the issue yourself, contact a qualified biomedical engineer or technician for assistance. @topic:1


# # # issue - scanner is not charging # # # impact - the scanner cannot be used to scan patients. # # # possible causes - there is a foreign object ( in this case, a staple ) stuck in the charging port. - the charging port is damaged. - the scanner's battery is dead. # # # recommendations - remove the foreign object from the charging port. - if the charging port is damaged, it will need to be repaired or replaced. - if the scanner's battery is dead, it will need to be charged. @topic:23


# # # issue - bed is [UNK] [UNK] and unable to adjust its height. # # # impact - patients may be unable to use the bed comfortably or safely. - medical staff may have difficulty accessing patients or performing procedures. # # # possible causes - the bed may be locked. - there may be a problem with the electrical system. - there may be a problem with the hydraulic system. # # # recommendations - check if the bed is locked and unlock it if necessary. - inspect the electrical system for any loose connections or damaged wires. - inspect the hydraulic system for any leaks or blockages. - if the problem persists, contact the manufacturer or a qualified technician for further assistance. @topic:1


# # # issue - broken hi - low column # # # impact - the bed cannot be adjusted in height, which can make it difficult for patients to get in and out of bed, and for caregivers to provide care. # # # possible causes - the hi - low column may have been damaged due to : - excessive weight being placed on the bed - the bed being dropped or bumped - normal wear and tear # # # recommendations - the hi - low column should be replaced as soon as possible. - the bed should be inspected regularly for any signs of damage. - the bed should be used according to the manufacturer's instructions. @topic:1


do!! cuff not deflat!!! cuff not deflat numeric is displayed with a -? - severe yellow / red inop tone during this inop, alarms cannot e paused or switched off. remove the cuff from the patient. make sure that the tubing is not kinked or twisted and that the correct patient category is selected. try repeating the measurement. you can silence the inop, but the inop message remains visible until the next nbp measurement is started or the stop all smartkey is selected. [ adult or pediatric patients : the nbp cuff pressure has exceeded 15 mmhg ( 2 kpa ) for more than 3 minutes. neonatal patients : the nbp cuff pressure has exceeded 5 mmhg ( 0. 7 kpa ) for more than 90 seconds. ] the nbp cuff pressure exceeds the overpressure safety limits. remove the cuff from the patient. make sure that the tubing is not kinked or twisted and that the correct patient category is selected. try restarting the measurement.!! cuff overpress!!! cuff overpress numeric displayed with a -? - severe yellow / red inop tone during this inop, alarms cannobe paused or switched off. you can silence this inop, but the inop message remains visible until the next measurement is started or the stop all smartkey is selected. the nbp measurement label in the measurement device has been deactivated by deactivating the label in the measurement selection window. the measurement automatically disappears from the display. to switch the measurement on again, reactivate the measurement label in the measurement selection window. nbp deactivated inop tone remove the cuff from the patient. the nbp hardware is faulty. contact your service personnel. you can silence this inop, but the inop message remains visible until the next measurement is started @topic:15


# # # issue - frequent error messages on the schiller argus csm physiologic monitor. # # # impact - interruption of patient monitoring, leading to delays in diagnosis and treatment. - increased workload for healthcare professionals due to frequent troubleshooting and recalibration. - potential risk to patient safety if errors are not addressed promptly. # # # possible causes * * hardware failure : * * - malfunctioning sensors or components - loose connections or damaged wiring - power supply issues * * software bugs : * * - software updates or patches that introduce errors - compatibility issues between software and hardware - corrupted software files * * environmental factors : * * - extreme temperatures or humidity - electrical interference or power surges - physical damage due to mishandling or accidental drops # # # recommendations * * troubleshooting and repair : * * - perform a thorough visual inspection for loose connections or damage. - check power supply and connections. - run diagnostic tests to identify faulty components. - update software to the latest version. - contact the manufacturer for technical support and repair instructions. * * preventive maintenance : * * - schedule regular preventive maintenance to identify and address potential issues early on. - train staff on proper handling and storage of the equipment. - ensure proper environmental conditions for the monitor. * * monitoring and follow - up : * * - monitor the monitor regularly for any persistent errors or performance issues. - keep a log of all repairs and maintenance activities. - provide feedback to the manufacturer to identify common problems and improve future updates or designs. @topic:2


# # # issue - the philips intellivue x2 ( m3002a ) patient transport monitor is unable to measure blood pressure. # # # impact - the monitor cannot provide accurate blood pressure readings, which can affect patient care and safety. # # # possible causes - * * damaged blood pressure sensor : * * the sensor used to measure blood pressure may be damaged, preventing it from accurately detecting pressure changes. - * * faulty cable or connection : * * the cable connecting the sensor to the monitor may be damaged or loose, causing intermittent or no readings. - * * monitor malfunction : * * the monitor itself may be malfunctioning, preventing it from interpreting sensor data and displaying blood pressure readings. # # # recommendations - * * inspect the blood pressure sensor : * * check for any visible damage or disconnections. replace the sensor if necessary. - * * test the cable and connections : * * ensure that the cable is securely connected to both the sensor and the monitor. if the cable is damaged, replace it. - * * calibrate the monitor : * * use a certified blood pressure calibration device to ensure the monitor is providing accurate readings. - * * refer to technical documentation : * * consult the manufacturer's instructions for troubleshooting and repair procedures specific to the model. - * * contact technical support : * * if the issue persists after following the above recommendations, contact philips technical support for further assistance. @topic:15


# # # issue - cuff bp ( blood pressure ) has deteriorated. - velcro is damaged. - the outer fabric is rotten. - the cuff cannot hold the patient's arm properly. # # # impact - inaccurate blood pressure readings. - potential for harm to the patient if the cuff is not able to hold the arm securely. # # # possible causes - normal wear and tear. - improper use or storage of the cuff. - age of the cuff. # # # recommendations - replace the cuff bp with a new one. - replace the velcro straps. - inspect the outer fabric for any signs of damage and replace if necessary. @topic:3


* * issue : * * wood guard on the left side of the bed cannot be adjusted down. * * impact : * * patient safety hazard, as the wood guard may not be able to properly protect the patient from falling out of bed. * * possible causes : * * - damaged or missing locking pin. - damaged or misaligned wood guard. - mechanical failure of the adjustment mechanism. * * recommendations : * * - inspect the locking pin and replace if necessary. - inspect and align the wood guard, ensuring that it is properly secured. - check the adjustment mechanism for any obstructions or damage. consult the manufacturer's service manual for specific repair instructions. @topic:6


# # # issue - cuff of the bedside physiologic monitor is not working. # # # impact - the monitor cannot accurately measure blood pressure. # # # possible causes - the cuff is damaged. - the cuff is not properly connected to the monitor. - the monitor is not properly calibrated. # # # recommendations - replace the cuff. - check the connection between the cuff and the monitor. - calibrate the monitor. @topic:3


# # # issue - jack bed alarm faulty # # # impact - patient safety is at risk - interruption of patient care - loss of patient data # # # possible causes - damage to the cable - loose connections - faulty jack # # # recommendations - replace the jack bed alarm cable - tighten the connections - test the jack to ensure it is functioning properly @topic:26


# # # issue - non - functioning blood pressure monitor # # # impact - inability to accurately measure patient's blood pressure - potential for delayed or incorrect diagnosis and treatment # # # possible causes - * * faulty blood pressure cuff : * * the cuff may be leaking air, preventing the device from obtaining an accurate reading. - * * malfunctioning pressure sensor : * * the sensor may not be responding properly to changes in air pressure, resulting in inaccurate readings. - * * electrical circuit problems : * * interruptions in the electrical circuit can prevent the device from functioning properly. - * * software glitches : * * bugs or errors in the software controlling the device can lead to incorrect readings or device failure. - * * user error : * * the device may not be used or maintained correctly, such as using an incorrect cuff size or not properly inflating the cuff. # # # recommendations - * * inspect the blood pressure cuff : * * check for leaks or damage that could prevent proper inflation. - * * test the pressure sensor : * * use a calibrated manometer to verify the accuracy of the sensor. - * * troubleshoot electrical connections : * * ensure all wires and connections are secure and intact. - * * update software : * * check for any available software updates that may resolve known issues. - * * train users : * * provide proper instruction and training on the correct use and maintenance of the device. - * * consult with the manufacturer or a qualified biomedical engineer : * * seek professional assistance if the issue cannot be resolved through basic troubleshooting. @topic:14


# # # issue - equipment system error spo2 over flow. # # # impact - the patient's vital signs cannot be accurately monitored, which could lead to a delay in diagnosis or treatment. # # # possible causes - the spo2 sensor is not properly connected to the patient's finger. - the spo2 sensor is damaged. - the machine's software is not up to date. - the machine's hardware is faulty. # # # recommendations # # # # immediate actions : - * * reconnect the spo2 sensor. * * - * * replace the spo2 sensor. * * - * * restart the machine. * * - * * check the machine's software for updates. * * # # # # long term actions : - * * regularly inspect the spo2 sensor for damage. * * - * * schedule regular maintenance for the machine. * * - * * train staff on the proper use of the machine. * * - * * replace the machine if necessary. * * # # # # other considerations : - if the patient's vital signs are unstable, move the patient to a more critical care setting. - consult with a physician to determine the best course of action for the patient. @topic:4


* * issue : * * cuff not staying on * * impact : * * patient's blood pressure cannot be accurately measured * * possible cause : * * velcro on the cuff is damaged * * recommendation : * * replace the velcro on the cuff * * additional notes : * * - this issue could also be caused by the cuff being too small or too large for the patient's arm. - the cuff should be snug but not too tight. - if the cuff is too small, it will not be able to provide an accurate reading. - if the cuff is too large, it will not be able to stay on the patient's arm. @topic:3


# # # issue - equipment failure : bed, electric # # # impact - unusable equipment, affecting patient care and workflow # # # possible causes - faulty wiring or connection between the battery and the device # # # recommendations - * * immediate : * * - inspect the wiring and connections between the battery and the device. - ensure proper seating of the battery terminals and tighten any loose connections. - * * preventative : * * - regularly inspect and maintain the wiring and connections to prevent future failures. - consider using a battery tester to check the battery's health and replace it if necessary. - * * additional considerations : * * - verify that the battery is compatible with the device model. - ensure that the device is powered off before disconnecting or reconnecting any wiring or batteries. @topic:11


# # # issue - the physiologic vital signs monitor ( model 740 ) is not measuring oxygen saturation ( o2 sat ) accurately. # # # impact - incorrect o2 sat readings can lead to delayed or incorrect treatment decisions, which can have serious consequences for the patient. # # # possible causes - defective detector - loose or damaged cables - software error - interference from other devices # # # recommendations - replace the defective detector - check the cables for damage and ensure they are securely connected - update the software to the latest version - identify and eliminate any sources of interference @topic:4


# # # issue * monitor no link # # # impact * unable to monitor patient vital signs. * delays in patient care. * increased risk of adverse events. # # # possible causes * * * loose or damaged cables : * * the cables connecting the monitor to the patient transport system may be loose or damaged, causing a loss of connection. * * * faulty monitor : * * the monitor itself may be faulty, preventing it from establishing a connection with the patient transport system. * * * software glitch : * * a software glitch in the monitor or patient transport system may be causing the connection issue. * * * electrical interference : * * electrical interference from other devices in the vicinity may be disrupting the monitor's ability to communicate with the patient transport system. * * * incompatible software versions : * * the monitor and patient transport system may not be running the same software versions, causing compatibility issues. # # # recommendations * * * check cables : * * inspect the cables connecting the monitor to the patient transport system for any loose connections or damage. * * * restart monitor : * * restart the monitor to reset its software and establish a fresh connection. * * * update software : * * ensure that both the monitor and patient transport system are running the latest software versions. * * * eliminate electrical interference : * * identify and remove any sources of electrical interference in the vicinity of the monitor. * * * contact manufacturer : * * if the issue persists, contact the manufacturer of the monitor or patient transport system for further assistance. @topic:16


* * issue : * * equipment failure * * impact : * * patient monitoring and transport may be compromised. * * possible causes : * * * * * defective hardware : * * the equipment may have malfunctioning components, such as faulty sensors or wiring. * * * software errors : * * software glitches or bugs can cause the equipment to behave unexpectedly. * * * electrical problems : * * power surges or fluctuations can damage the equipment. * * * improper maintenance : * * lack of regular cleaning, calibration, or repairs can lead to equipment failure. * * * operator error : * * misuse or mishandling of the equipment by staff can cause damage. * * recommendations : * * * * * troubleshooting : * * perform a thorough investigation to identify the root cause of the failure. * * * repair : * * replace or repair any damaged components or software. * * * calibration : * * ensure the equipment is properly calibrated to provide accurate readings. * * * preventive maintenance : * * establish a regular maintenance schedule to identify potential issues and prevent failures. * * * staff training : * * train staff on proper handling and maintenance of the equipment. * * * redundancy : * * consider having backup equipment available in case of failures. @topic:12


# # # issue the bed's side rails are wobbling. # # # impact this could pose a safety hazard to patients, as they could fall out of bed if the side rails are not secure. # # # possible causes - loose screws or bolts - damaged side rail brackets - worn - out side rail pads # # # recommendations - inspect the side rails for any loose screws or bolts. - check the side rail brackets for any damage. - replace the side rail pads if they are worn out. - if the problem persists, contact the manufacturer for further assistance. @topic:6


# # # issue - defective clamp on the spo2 probe # # # impact - inaccurate spo2 readings - patient safety concerns # # # possible causes - wear and tear - improper handling - manufacturing defect # # # recommendations - replace the defective clamp with a new one - inspect the probe regularly for any signs of damage - train staff on proper handling of medical devices @topic:4


# # # issue - the backup battery of the bed was replaced. # # # impact - this may have caused the bed to lose power and become inoperable. # # # possible causes - the backup battery may have been depleted or damaged. - the backup battery may have been improperly installed. # # # recommendations - ensure that the backup battery is regularly inspected and replaced as needed. - ensure that the backup battery is properly installed. - consider using a battery monitoring system to track the health of the backup battery. @topic:9


# # # issue - cuff adult is deteriorated. # # # impact - the deteriorated cuff may provide inaccurate blood pressure measurements. # # # possible causes - normal wear and tear over time. - exposure to extreme temperatures or moisture. - improper storage or handling. # # # recommendations - regularly inspect and replace cuffs as per the manufacturer's guidelines. - properly store and handle cuffs to prolong their lifespan. - use appropriate cuff sizes to ensure accurate measurements. - train staff on proper cuff maintenance and replacement procedures. @topic:3


# # # issue - the philips suresigns vs3 vital signs monitor is not able to measure blood pressure due to a defective cuff. # # # impact - the monitor cannot accurately measure blood pressure, which is a critical vital sign. - this could lead to incorrect treatment decisions or delays in diagnosis. # # # possible causes - the cuff may be torn or damaged. - the cuff may be the wrong size for the patient. - the cuff may not be properly inflated. - the cuff may be connected to the monitor incorrectly. - the monitor may be malfunctioning. # # # recommendations - check the cuff for any damage or tears. - ensure that the cuff is the correct size for the patient. - make sure that the cuff is properly inflated. - check that the cuff is connected to the monitor correctly. - if the problem persists, contact a biomedical engineer to further troubleshoot the issue. @topic:15


# # # issue - sensor cable failure # # # impact - failure of equipment to monitor patient's oxygen saturation levels # # # possible causes - physical damage to the sensor cable, such as cuts or tears - loose connection between the sensor cable and the equipment - electrical malfunction in the sensor cable # # # recommendations - inspect the sensor cable for any physical damage. if damage is found, replace the cable. - ensure that the sensor cable is properly connected to the equipment. - if the cable is not damaged and the connection is secure, contact the manufacturer for further troubleshooting assistance. @topic:4


# # # issue - failure to link to the central bme system # # # impact - monitors cannot be monitored and controlled remotely - limited functionality and data collection - potential for patient safety risks # # # possible causes - * * central server issue : * * problems with the server hosting the central bme system can prevent monitors from linking. - * * incorrect ci address : * * the ci ( central interface ) address in the monitor may be incorrectly set, causing it to fail to connect to the central bme system. # # # recommendations - * * troubleshooting server issue : * * check the server for any errors or maintenance activities. contact it support if necessary. - * * verifying ci address : * * double - check the ci address setting in the monitor. ensure it matches the correct ip address or hostname of the central bme server. - * * restarting monitor : * * restarting the monitor can sometimes resolve connectivity issues. - * * contacting biomedical engineering ( bme ) support : * * if all else fails, contact bme support for further assistance. @topic:16


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# # # issue - equipment not functioning properly - unable to adjust head of bed, electric # # # impact - patient discomfort and inconvenience - delay in treatment or diagnosis - loss of revenue for hospital # # # possible causes - defective relay - problem with the head motor or control system - software glitch # # # recommendations - inspect the relay and replace if necessary - check the head motor and control system for any damage or loose connections - update the software to the latest version - monitor the equipment closely after repairs to ensure it is functioning properly @topic:1


# # # issue - faulty spo2 cable # # # impact - intermittent or inaccurate spo2 readings - patient safety concerns # # # possible causes - damaged or worn cable - loose connections - sensor malfunction # # # recommendations - * * replace the spo2 cable with a new one. * * - * * inspect the cable and connections regularly for any signs of damage. * * - * * calibrate the spo2 sensor according to the manufacturer's instructions. * * - * * monitor spo2 readings closely and report any unusual or inaccurate readings to the appropriate personnel. * * @topic:4


# # # issue - the nibp monitor is unable to measure blood pressure. # # # impact - the patient's blood pressure cannot be accurately monitored. # # # possible causes - the cuff bp is damaged. # # # recommendations - the cuff bp should be replaced. @topic:15


# # # issue - machine turns off by itself and cannot be turned back on # # # impact - inability to monitor patients'vital signs - delays in patient care # # # possible causes - faulty battery - loose connections - software glitch # # # recommendations - replace the battery - check connections - update software @topic:11


.. never use a different oxygen cylinder model from the model that is specified above ( danger of dropping the cylinder r interfering with various operations ould occur ). prevent any impact when moving a • bed equipped with a cylinder holder ( especially doorways ).. the bed to go through a doorway, otherwise place it and the cylinder on the mattress ( remember to put the holder in its normal position after moving the bed ). 1. the safe working load specifications allow for a substantial safety margin. monitor stand ( ad244b ) safe working load : 15 kg ( 1 ) the monitor stand fits into the sockets at the foot of the bed. when fitting the monitor, ensure that the olded table is located on the outer edge of the bed. the table must be folded away when moving the bed. if the bed is in trendelenburg or reverse trendelenburg, any devices must be placed n the monitor stand. to fit a monitor stand : 1. the safe working load specifications allow for a substantial safety margin. syringe - driver holder ( ac963a ) safe working load : 15 kg ( " ) a do not position the accessory facing inwards, particularly under the when it is raised, so as to prevent any risk of the accessory obstructing the head section or siderail when being handled. this accessory is designed to accept a syringe - driver and is fitted at the head end of the bed in the sockets provided. hold the tablet and loosen the knob, • position the tablet as required and then tighten the knob. • 2 3 line manager & support ( ad286a ) * * [UNK] please refer to the fitting instructions provided with the accessory when fitting the accessory. a line manager is on each side of the head end of the bed. the line manager helps to keep lines ( such as iv lines, suction lines, etc. ) togetherand @topic:9


# # # issue - loss of blood pressure ( bp ) monitoring capability # # # impact - inability to accurately monitor patient's blood pressure - potential for delayed or incorrect treatment decisions - increased risk of patient harm # # # possible causes - loose or disconnected bp cuff connector # # # recommendations - * * immediate action : * * - verify that the bp cuff connector is securely attached to the monitor and the patient. - if the connector is loose or damaged, replace it immediately with a new one. - * * long - term : * * - regularly inspect and maintain all equipment connections to prevent similar failures. - establish a preventative maintenance schedule to ensure that all equipment is functioning properly. - provide training to staff on proper equipment handling and maintenance procedures. @topic:5


# # # * * issue * * * faulty signal converter in the intellivue mp70 ( m8007a ) bedside physiologic monitor. # # # * * impact * * * may result in inaccurate or unreliable patient data, delayed or inappropriate patient care, and potential patient harm. # # # * * possible causes * * * * * electrical malfunction : * * power surge, short circuit, or other electrical issues can damage the signal converter. * * * mechanical damage : * * physical impact, vibration, or mishandling can cause the signal converter to malfunction. * * * component failure : * * ageing, wear and tear, or manufacturing defects can lead to the failure of internal components of the signal converter. # # # * * recommendations * * * * corrective actions : * * * replace the faulty signal converter with a new one. * test the monitor thoroughly to ensure proper functionality before returning it to service. * * preventive actions : * * * regular maintenance and calibration of the monitor to identify and address potential issues early. * proper handling and storage of the monitor to minimize mechanical damage. * electrical surge protection to safeguard the monitor from power surges. * inspection and replacement of aging components as recommended by the manufacturer. * training of staff on proper use and handling of the monitor. @topic:22


# # # issue - bed adjustment malfunction # # # impact - patient discomfort and mobility issues - difficulty in providing care # # # possible causes - faulty electrical wiring in the remote control - damage to the bed's electrical components - mechanical issues with the bed's lifting mechanism # # # recommendations - thoroughly inspect the remote control and bed wiring for any signs of damage or wear. - check for loose connections or frayed wires. - test the bed's electrical components using a voltmeter or other appropriate diagnostic tool. - if electrical issues are ruled out, consider mechanical problems with the bed's lifting mechanism. - consult with a qualified biomedical engineer to assess the severity of the issue and recommend appropriate repair options. @topic:7


# # # issue - missing cuff connector. # # # impact - the monitor, patient transport device cannot be used to measure patient vital signs. # # # possible causes - the cuff connector was not properly secured and became detached during use. - the cuff connector was lost or stolen. # # # recommendations - ensure that the cuff connector is properly secured before each use. - keep track of the cuff connector when not in use. - replace the cuff connector if it becomes lost or damaged. @topic:5


# # # issue - bed is not adjustable. # # # impact - patient discomfort and potential harm due to prolonged immobilization. - difficulty in providing care and medical procedures. # # # possible causes - motor failure - remote control failure - electrical issues - mechanical issues ( e. g., damaged gears, loose connections ) # # # recommendations - replace or repair the faulty motor. - replace or repair the remote control. - inspect and troubleshoot the electrical system, including power supply and connections. - examine the mechanical components for any damage or misalignment. - ensure proper lubrication and maintenance of the bed. - consider upgrading or replacing the bed if necessary to address recurring issues. @topic:1


# # # issue - medical cart battery is not charging. # # # impact - the medical cart cannot be used to transport patients or equipment. - this can lead to delays in patient care and increased risk of infection. # # # possible causes - battery is not properly connected. - battery is defective. - charger is defective. - electrical outlet is not working. # # # recommendations - check the battery connections. - replace the battery. - replace the charger. - check the electrical outlet. @topic:13