respiration detection level is automatically set higher to prevent the detection of cardiac overlay as respiration. in manual detection mode : cardiac overlay can in certain situations trigger the respiration counter. this may lead to a false indication of a high respiration rate or an undetected apnea condition. if you suspect that cardiac overlay is being registered as breathing activity, raise the detection level above the zone of cardiac overlay. if the resp wave is so small that raising the detection level is not possible, you may need to optimize the electrode placement as described in the section ’ ’ lateral chest expansion ”. changing the size of the respiration wave warning when monitoring in manual detection mode, make sure to check the respiration detection level after you have increased or decreased the size of the respiration wave. ♦ in the setup resp menu, select size up to increase the size of the wave or size down to decrease it. 167 8 monitoring respiration rate ( resp ) changing the speed of the respiration wave changing the speed of the respiration wave resp waveforms are usually viewed at a slower speed than other waveforms. for this reason, the resp measurement has its own speed control and is not affected by the wave speed settings of the other measurements. ♦ select the resp wave to enter the resp wave menu, then select change speed. choose the required speed from the pop - up list. this defines the speed at which the wave is drawn across the screen in millimeters per second ( mm / s ). using resp alarms resp alarms can be switched on and off and the high and low alarm limits can be changed just like other measurement alarms, as described in the alarms chapter. changing the apnea alarm delay the apnea alarm is a high priority red alarm used to detect apneas. the apnea alarm delay time defines the time period between the point where @topic:17


##601 - 1, en / iec 60601 - 1 - 2, en / iec 60601 - 1 - 1 ( as applicable ), en / iec 60601 - 2 - 30, en / tec 60601 - 2 - 49, iso 9919, en12470 - 5 : 2003 ( e ), astm e1965 - 98 protection class class i, internally powered equipment, per iec 60601 - 1 degree of protection type cf defibrillator - proof : per iec 60601 - 1 mode of operation continuous protection against hazards of equipment is not suitable for use in the presence of a flammable ignition of flammable anaesthetic mixture with air or oxygen or nitrous oxide, per iec anaesthetic mixtures 60601 - 1 suresigns vs4 service guide vii viii © suresigns vs4 service guide contents 1 overview intended! audicioni en waiaind dnb ina e aa e eee aoc bele a dintia dene e a n 1 - 1 navigation conttols : 2. ic03 esis e ae is ft e e aiden eb nit bee es 1 - 1 sure signs : v54 : doctitnentationc. ccocccsceeeceeeeen eee tence rise me 1 - 1 2 performing routine maintenance recommended frequency : c auone eva lesle tits sie e tee hie a cee a a a o 2 - 1 routine safety and operational checks......... [UNK] 2 - 1 cleaning and : disinfecting : the monitor siscei hed 23a cid medes asad aie hse mee a ete a i re e 2 - 1 maintaming the battery... e eeee eeee mac bas wade che cath oise @topic:10


# # # issue - equipment not powering on. # # # impact - inability to use medical cart for patient care. # # # possible causes - failed power supply. - loose connections in power cord or outlet. - internal electrical component failure. # # # recommendations - inspect power cord and connections for damage or looseness. test with a different power outlet. - check fuse or circuit breaker for power supply. - contact biomedical engineering for further troubleshooting and repair, if necessary. @topic:13


# # # issue - probe failure preventing spo2 monitoring # # # impact - inability to obtain accurate spo2 readings, which is crucial for patient monitoring. # # # possible causes - * * probe damage or breakage : * * the most likely cause is damage to the probe, either through physical or mechanical stress. - * * loose connection : * * a loose connection between the probe and the monitor can also cause signal loss. - * * software malfunction : * * in rare cases, software errors can interfere with the probe's functionality. # # # recommendations - * * inspect the probe : * * examine the probe for any visible damage, such as cracks or loose wires. - * * check the connection : * * ensure that the probe is properly connected to the monitor and that the connection is secure. - * * restart the monitor : * * if the monitor has a software issue, restarting it may resolve the problem. - * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for further troubleshooting and repair options. * * note : * * timely repair of the probe is essential to ensure continuous and accurate monitoring of patient vital signs. @topic:4


# # # issue the bedside physiologic monitor is not linking to the central monitor. # # # impact : - inability to monitor patient's vital signs from a central location. - increased risk of errors and delayed patient care. - frustration and inconvenience for healthcare professionals. # # # possible causes : - incorrect ci address - network configuration issues - cable damage - software malfunction # # # recommendations - * * check the ci address : * * the ci address is a unique identifier for the monitor. if the ci address is incorrect, the monitor will not be able to link to the central monitor. - * * check the network configuration : * * the monitor must be connected to the hospital network in order to link to the central monitor. make sure that the network cable is properly connected and that the network settings are correct. - * * check the cables : * * the cables connecting the monitor to the central monitor may be damaged. inspect the cables for any visible damage and replace them if necessary. - * * check the software : * * the monitor's software may be malfunctioning. update the software if necessary. - * * contact the manufacturer : * * if you are unable to troubleshoot the issue, contact the manufacturer of the monitor for technical support. @topic:16


on the tester. repeat the procedure for each thermometer and temperature to test. place the tester on a level surface away from sunlight, drafts, and other sources of heat or cold. the tester takes approximately 20 minutes to heat to the lowest set point. to expedite testing, welch allyn recommends the following practices : to eliminate waiting for the tester to heat to the next set point, use three testers, each set to one of three different set points. • when using only one tester to test several thermometers at all three temperatures, test all thermometers at one set point before proceeding to the next set point. to eliminate waiting for the tester to cool down, start at the lowest set point. because the tester does not have an internal fan, it requires more time to cool down than to heat up. change the 9600 plus set point to scroll from one set point to the next, press and hold the temperature selection button until a the new set point appears in the upper left corner of the display. the device's current temperature appears, flashes, and continues flashing until the cavity reaches equilibrium at the new set point. the 9600 plus beeps when the set point is reached. perform a suretemp temperature system test with the system power on and the temperature probe in the well, disconnect the probe cable put connector on the bottom of the device. 1. connect the calibration key to the temperature input connector. 2. remove the probe from the well. 3. 4. verify that the displayed temperature is 97. 3 ± 0. 2 °f ( 36. 3 ±0. 1 °c ). braun thermoscan pro 6000 thermometer test this explains how to perform a functional verification on the braun thermoscan pro 6000 thermometer using the 9600 plus calibration tester. @topic:17


# # # issue - the patient transport monitor is not functioning properly due to intermittent co2 parameter readings. # # # impact - the inaccurate co2 readings could lead to incorrect patient monitoring and treatment decisions. # # # possible causes - faulty fan causing insufficient cooling - loose or damaged electrical connections - software malfunction # # # recommendations - replace the faulty fan to ensure proper cooling. - inspect and tighten all electrical connections to eliminate any loose or damaged wires. - contact the manufacturer for software troubleshooting and updates. @topic:4


# # # issue - cuff bp is leaking. # # # impact - incorrect blood pressure readings. # # # possible causes - * * cuff is too small : * * the cuff may not be providing enough compression to seal the artery, causing air to leak out. - * * cuff is too large : * * the cuff may be too loose, allowing air to leak in and out. - * * cuff is damaged : * * the cuff may have a hole or tear, causing air to leak out. # # # recommendations - replace the cuff with a new one of the correct size. - ensure that the cuff is properly inflated to the correct pressure. - inspect the cuff regularly for any signs of damage. @topic:3


# # # issue - equipment : monitor, central station - band : hewlett packard - model : m3150a - description : bme has checked and found that the machine cannot open the program. xovic company has come to fix it. test is ok. # # # impact - the machine cannot be used for monitoring patients. # # # possible causes - software error - hardware error - user error # # # recommendations - check the software and hardware of the machine. - train the user on how to operate the machine correctly. @topic:16


# # # issue the propaq lt patient monitor is unable to measure blood pressure ( bp ). # # # impact this issue can prevent the accurate monitoring of a patient's vital signs, which could lead to delayed or incorrect treatment. # # # possible causes * faulty hardware in the monitor * damaged or loose cables * software issues * incorrect calibration * low battery # # # recommendations * inspect the hardware for any damage or loose connections. * check the cables for any damage or loose connections. * update the software to the latest version. * calibrate the monitor according to the manufacturer's instructions. * replace the battery if necessary. * if the issue persists, contact the manufacturer for further assistance. @topic:15


# # # issue * the sat cable of the philips suresigns vs2 monitor is broken. # # # impact * the monitor cannot accurately measure the patient's oxygen saturation levels. * this could lead to incorrect medical decisions being made. # # # possible causes * the cable could have been damaged during use. * the cable could have been faulty from the manufacturer. # # # recommendations * replace the sat cable with a new one. * inspect the cable regularly for any signs of damage. * contact the manufacturer if the cable fails again. @topic:4


# # # issue the spo2 cable is faulty and not transmitting data. # # # impact the patient's oxygen saturation levels cannot be accurately measured, which can lead to delayed or incorrect medical treatment. # # # possible causes * the spo2 cable is damaged. * the spo2 cable is not properly connected to the patient or the monitor. * the spo2 sensor is faulty. * the monitor is not functioning properly. # # # recommendations * replace the spo2 cable. * check the connections between the spo2 cable, the patient, and the monitor. * inspect the spo2 sensor for damage. * troubleshoot the monitor to identify any potential issues. @topic:4


# # # issue - cuff bp tube rupture # # # impact - inability to accurately measure blood pressure # # # possible causes - physical damage to the tube, such as kinking or puncture - material degradation due to repeated use or exposure to harsh chemicals - manufacturing defect # # # recommendations - regularly inspect the cuff bp tube for any signs of damage - avoid kinking or puncturing the tube during use - replace the tube if it shows any signs of wear or tear - follow the manufacturer's instructions for cleaning and maintenance of the cuff bp tube @topic:3


# # # issue - remote cable came loose. # # # impact - the bed cannot be operated using the remote control. # # # possible causes - the remote cable was not properly connected to the bed. - the remote cable was damaged. # # # recommendations - ensure that the remote cable is securely connected to the bed. - if the remote cable is damaged, replace it. @topic:7


# troubleshooting biomedical device * * issue : * * central monitor is not working, screen freezes. * * equipment : * * central monitor * * band : * * hewlett packard * * model : * * m3150a * * possible causes : * * - * * hardware failure : * * a hardware component, such as the display, graphics card, or motherboard, may have failed. this can cause the screen to freeze or display artifacts. - * * software issues : * * a software bug or corrupted files can also lead to a frozen screen. - * * overheating : * * if the monitor is overheating, it may cause the system to shut down or the screen to freeze. - * * power supply issues : * * a faulty power supply may not provide enough power to the monitor, causing it to freeze or not function properly. - * * loose connections : * * loose cables or connectors can disrupt the signal between the monitor and the computer, causing the screen to freeze. - * * display settings : * * incorrect display settings, such as a misconfigured resolution or refresh rate, can cause the screen to freeze or flicker. * * recommendations : * * - * * check hardware components : * * inspect the monitor for any visible damage or loose connections. ensure that all cables are securely connected and that the power supply is functioning properly. - * * update software : * * make sure that the monitor's firmware and drivers are up to date. check for any software updates or patches that may resolve the issue. - * * control temperature : * * ensure that the monitor is operating in a well - ventilated area and that there is no excessive heat buildup. - * * reset the monitor : * * try resetting the monitor to its factory settings. this may clear any software issues or incorrect display @topic:2


# # # issue - battery failure # # # impact - the monitor may not be able to function properly if the battery is not working. # # # possible causes - the battery may have reached the end of its lifespan. - the battery may have been damaged. - the battery may not be properly connected. # # # recommendations - replace the battery. - check the battery connections. - if the battery is damaged, contact the manufacturer. @topic:11


# # # issue the philips suresigns vs2 + monitor is not charging its battery. # # # impact the monitor cannot be used without a charged battery. this could lead to a disruption in patient care if the monitor is needed for critical monitoring. # # # possible causes - the battery is faulty. - the battery charger is faulty. - the circuit board that controls the battery charging is faulty. - a software issue is preventing the monitor from charging the battery. # # # recommendations - * * check the battery. * * if the battery is not faulty, replace it with a new one. - * * check the battery charger. * * if the battery charger is not faulty, replace it with a new one. - * * check the circuit board that controls the battery charging. * * if the circuit board is faulty, replace it with a new one. - * * update the software on the monitor. * * if a software issue is preventing the monitor from charging the battery, update the software to the latest version. @topic:11


: * * ensure batteries are fully charged or replace them if necessary. - * * replace electrodes : * * use new or well - maintained patient electrodes to ensure good signal contact. - * * troubleshoot telemetry equipment : * * test the telemetry transmitter and receiver to verify their proper functioning. - * * consult manufacturer : * * contact the equipment manufacturer for further troubleshooting assistance or technical support. @topic:16


# # # issue - spo2 readings are lower than expected # # # impact - inaccurate spo2 readings can lead to delayed or incorrect diagnosis and treatment. # # # possible causes - faulty spo2 cable # # # recommendations - replace the spo2 cable. @topic:4


# # # issue : battery depletion issue with nibp monitor # # # impact : affects the reliability and functionality of the device, potentially leading to inaccurate or delayed readings. # # # possible causes : - * * battery degradation due to aging or prolonged use : * * repeated charging and discharging cycles can reduce the battery's life and capacity. - * * defective battery : * * manufacturing defects or damage can result in premature battery failure. - * * improper charging practices : * * overcharging or undercharging can harm the battery's health. - * * increased device usage : * * frequent or prolonged use of the monitor can drain the battery faster than normal. - * * excessive power consumption : * * malfunctioning or poorly designed components can draw excessive power, resulting in rapid battery depletion. # # # recommendations : - * * replace the battery : * * install a new, compatible battery to restore full functionality. - * * calibrate the battery : * * ensure the battery gauge provides accurate readings. - * * monitor battery life : * * regularly check the battery level and replace it when necessary. - * * follow proper charging practices : * * use the recommended charger and charge time. - * * reduce device usage : * * optimize the monitor's usage to minimize battery drain. - * * inspect the device for power consumption issues : * * check for malfunctioning components or software errors that may be causing excessive power consumption. @topic:11


* * issue : * * electric bed remote control not adjusting * * impact : * * patients may not be able to adjust their bed to a comfortable or safe position. * * possible causes : * * * * * faulty remote control : * * the remote control may be defective, preventing it from sending signals to the bed. * * * loose or damaged wiring : * * the wiring connecting the remote control to the bed may be loose or damaged, disrupting the signal transmission. * * * power supply issues : * * the bed may not be receiving power, either due to a power outage or a faulty power supply. * * * bed control unit failure : * * the internal control unit within the bed may be malfunctioning, preventing it from receiving or interpreting signals from the remote control. * * recommendations : * * * * * inspect the remote control : * * check for visible damage or corrosion on the remote control buttons or wiring. * * * check the wiring : * * follow the wiring from the remote control to the bed and inspect for any loose connections or damage. ensure that the wiring is properly secured. * * * test the power supply : * * verify that the bed is receiving power by checking the electrical outlet and the bed's power cord. * * * contact the manufacturer : * * if the issue persists or the cause is not immediately identifiable, contact the manufacturer for assistance or replacement parts. @topic:7


# # # issue - broken cover on the back of the monitor # # # impact - potential for damage to internal components - reduced lifespan of the monitor # # # possible causes - the monitor was dropped or mishandled - the monitor was subjected to excessive force # # # recommendations - inspect the monitor for any other damage - replace the broken cover - handle the monitor with care - store the monitor in a safe place @topic:2


* * issue : * * patient data cannot be scanned * * possible causes : * * - * * defective scanner : * * the scanner used to read patient data may be malfunctioning or damaged. - * * outdated software : * * the software used to process the scanned data may be outdated and incompatible with the scanner. - * * misconfigured settings : * * the settings of the scanner or software may not be configured correctly to recognize patient data. - * * physical obstruction : * * there may be a physical obstruction blocking the scanner's ability to read the data, such as dust, debris, or a damaged label. - * * communication error : * * the scanner may not be properly connected to the system or the software, causing a communication error. * * recommendations : * * 1. * * inspect the scanner : * * check the scanner for visible damage or debris. clean the scanner head and ensure it is free of any obstructions. 2. * * update software : * * install the latest software updates for both the scanner and the software used to process the data. 3. * * verify settings : * * confirm that the scanner and software settings are configured correctly according to the manufacturer's instructions. 4. * * check connections : * * inspect the cables connecting the scanner to the system and the software. ensure that they are securely connected and undamaged. 5. * * contact manufacturer support : * * if the issue persists, contact the manufacturer of the scanner or the software for further troubleshooting and repair. @topic:23


##ambient temperature out of ange. clear to retry. 30821 the temperature module over ambient or 40 °c. if conditions are valid and th5 °c temp problem persists, replace the probe. if problem persists, replace the probe. ithe problem still persists, replace the module. ambient temperature out of ange. clear to retry. 30822 the temperaturmodule under mbient temp verify conditions are greater than 50 f very low or 10°c. if conditions are valid and the problem persists, replace the probe. if the problem still persists, replace the module. temperature not functional. 30823 he temperaturinternal malfunction. if the problem module has an invalid suretemlgorithm temperature not fuinternal malfunction. if the problem, replace the module. the temperature module is over mabattery volts temperature not functionalinternal malfunction. if the problem persists, replace the module. the temperature module is under min battery volts temperature not funinternal malfunction. if the problem persists, replace the module. the temperature module battery voltnot set temperature not functional. 30827 the temperature module predict algorithm is not set internal malfunction. if the problem s, replace the module. temperature not internal malfunction. if the problem s, replace the module. the temperature module ambient temp is not set probe malfunction. replace probe. if temperature not functionhe temperature module has a non - responsive probe. he thermistor has pulled away from the the problem persists, replace the module. broken. service manual troubleshooting 195 alarm riority ossible causmessage temperature not functional. 3082a probe malfunction. replace probe. if very low he temperaturthe problem persists, replace the module @topic:20


# # # issue * the cause of failure is the cpr lock coming loose. # # # impact * the cpr lock is a safety feature that helps to prevent the patient from falling out of the bed. * if the cpr lock is loose, the patient could be injured if they fall out of the bed. # # # possible causes * the cpr lock may have been installed incorrectly. * the cpr lock may have been damaged. * the cpr lock may have been loosened over time due to wear and tear. # # # recommendations * inspect the cpr lock to ensure that it is installed correctly and that it is not damaged. * tighten the cpr lock if it is loose. * if the cpr lock is damaged, replace it. @topic:6


* * issue : * * cuff degraded * * possible causes : * * * normal wear and tear over time * excessive use or mishandling * improper storage conditions ( e. g., extreme temperatures, humidity ) * poor maintenance ( e. g., infrequent calibration or cleaning ) * * recommendations : * * * replace the cuff with a new one. * establish a regular maintenance schedule for the monitor and its components. * train staff on proper handling and storage procedures. * consider using high - quality cuffs designed for extended use. * monitor inflation pressure and duration to avoid excessive stress on the cuff. @topic:5


# # # issue - headboard detached - remote malfunction # # # impact - patient safety and comfort compromised - interference with medical procedures - increased risk of injury to patients and staff # # # possible causes * * headboard detachment : * * - loose screws or bolts - structural damage - excessive force applied to the headboard * * remote malfunction : * * - battery failure - circuit board damage - interference from other electronic devices # # # recommendations * * headboard detachment : * * - inspect the headboard for loose or missing screws or bolts. - tighten or replace screws and bolts as needed. - examine the headboard for structural damage. - report any damage to the manufacturer or qualified service technician. * * remote malfunction : * * - replace the batteries and check if the remote functions properly. - clean the contacts on the remote and equipment. - check for any visible damage to the remote. - if the issue persists, contact the manufacturer or qualified service technician. @topic:7


# # # issue - the cause of failure is not clearly stated. # # # impact - the impact of the failure is not known. # # # possible causes - the failure could be due to a number of factors, including : - hardware failure - software failure - user error - environmental factors # # # recommendations - the following recommendations are made to prevent similar failures from occurring in the future : - perform regular maintenance on all medical equipment. - train users on the proper use of medical equipment. - ensure that the environment in which medical equipment is used is clean and free of hazards. - have a plan in place for responding to equipment failures. @topic:12


# # # issue - physical damage to the nibp monitor # # # impact - inability to use the monitor to measure non - invasive blood pressure ( nibp ) - potential delays or errors in patient care # # # possible causes - accidental mishandling during maintenance - improper storage or transportation - environmental factors ( e. g., extreme temperatures, humidity ) # # # recommendations - handle equipment carefully and follow manufacturer's instructions - store and transport equipment securely - regularly inspect equipment for signs of damage - establish a preventative maintenance schedule to minimize equipment failure - provide training to staff on proper handling and maintenance of equipment @topic:15


# # # issue - the scenario describes a situation where a biomedical engineer ( bme ) has swapped the positions of a monitor and an ec80 box on a philips intellivue mp70 ( m8007a ) bedside physiologic monitor. # # # impact - the impact of this action is not explicitly stated in the provided context. however, it can be assumed that it could lead to potential issues with the proper functioning of the monitor or the ec80 box. # # # possible causes 1. * * human error : * * the bme may have inadvertently swapped the positions of the monitor and the ec80 box due to a lack of attention or a misunderstanding of the device's configuration. 2. * * incorrect documentation : * * if the proper placement of the monitor and ec80 box is not clearly documented, it could lead to confusion and incorrect positioning. 3. * * design issues : * * the design of the device or the workspace may not provide clear visual cues or physical barriers to prevent improper placement of components. # # # recommendations 1. * * clear documentation : * * establish clear and up - to - date documentation that outlines the proper placement and configuration of the monitor and ec80 box. 2. * * training : * * ensure that all bme technicians are adequately trained on the proper handling and configuration of the medical device. 3. * * visual cues : * * implement visual cues or physical barriers to prevent incorrect placement of components. for example, color - coding or shape - coding can help identify the correct positions. 4. * * regular inspections : * * conduct regular inspections to verify that the monitor and ec80 box are correctly positioned and functioning properly. 5. * * error - proofing : * * explore design modifications or automated processes to prevent the accidental swapping of components. @topic:2


# # # issue - monitor is not linked to the central monitor. # # # impact - this can prevent healthcare professionals from monitoring the patient's vital signs remotely, which can lead to delayed or missed diagnosis and treatment. # # # possible causes - the ci address is not correct. - the monitor is not properly connected to the network. - the central monitor is not properly configured. # # # recommendations - verify that the ci address is correct. - check that the monitor is properly connected to the network. - reconfigure the central monitor. @topic:16


# # # issue - failure of the primary monitor to display an image on the secondary monitor # # # impact - inability to use the secondary monitor for displaying medical images or data # # # possible causes - faulty dvi cable or connection - incorrect configuration of the secondary monitor's input settings - problem with the primary monitor's dvi output port - issue with the graphics card or video output of the primary monitor # # # recommendations - check and ensure that the dvi cable is securely connected to both the primary and secondary monitors. - verify that the secondary monitor's input settings are set to receive dvi input, specifically dvi - 2. - disconnect and reconnect the dvi cable at both ends to ensure a proper connection. - if the issue persists, try replacing the dvi cable with a new one. - if the primary monitor has multiple dvi output ports, try connecting the dvi cable to a different port on the monitor. - contact the manufacturer for further assistance or to schedule a service call if none of the above recommendations resolve the issue. @topic:2


##5308 name : dob : hn room no : dob : hn : room no : logout 2. 4 ed cart 10. 03 80 % admin admin most cat 1001 ward 7d1 name : nonymous anonymous ward 7d1 dob : hn : 0120013936 hn : en : 101200008572 keyboard light room no : 008 03 - 07 - 1902 room : 0703 confamiation are you sure you want to add anonymous anonymous? cancel [UNK] test middle name ins hn : 0193400206 en : 101200005308 name : dob : dob : hn : hn room no : room no : + dms bangkok dusit medical services 2. 6 [UNK] : [UNK] : dob : hn : [UNK] [UNK] ed cart 1. 0. 0. 3 80 % admin admin ogin : 31 - 07 - 2583 name : anonymous anonymous name : ward 7d1 dob : 03 - 07 - 1982 dob : hn : 0120013936 eyboard light room no : d703 room no : name : namedob : obhn : room no : room no : name : dob : nameob : nhn : room no : room no : logoot 7 dms banghok dusit medical services 3. 1 [UNK] [UNK] [UNK]. 1. 1 3. 1. 2 [UNK] [UNK] [UNK] cart 1. 0. 0. 3 x 80admin admin login : 31 - 07 - 2563 15 : 51 : 36 name : anonymous anonymous amob : 013 - 07 - 1982 ward 7d1 hn : 0120013936 keyboard light room no : d703 od ne emperature : 24. 00nabe doni rutim no ndin no @topic:19


# # issue - motor failure of the electric bed in room 19 of ward 6d. # # impact - the ward is unable to provide a functioning electric bed for patients. # # possible causes - * * electrical fault : * * a loose connection, short circuit, or other electrical issue could have caused the motor to fail. - * * mechanical failure : * * wear and tear, improper usage, or a manufacturing defect could have damaged the motor or its components. - * * overuse : * * excessive or prolonged use of the bed could have put undue stress on the motor, leading to its failure. - * * inadequate maintenance : * * lack of regular inspections, preventive maintenance, or proper cleaning could have contributed to the failure. # # recommendations - * * electrical inspection : * * inspect the electrical system of the bed, including wiring, connections, and fuses, to identify any electrical faults. - * * mechanical inspection : * * examine the motor and its components for signs of wear, damage, or misalignment. check for proper lubrication and assembly. - * * usage assessment : * * review the bed's usage logs to determine if it has been subject to excessive or inappropriate use. - * * maintenance schedule : * * establish a regular maintenance schedule for the electric bed to prevent future failures. this should include inspections, cleaning, lubrication, and repairs as needed. - * * staff training : * * provide training to staff on proper usage of the electric bed to minimize the risk of damage or overuse. - * * replacement or repair : * * if the motor failure cannot be repaired, the electric bed may need to be replaced or upgraded with a more reliable model. @topic:9


* * issue : * * leaking cuff ( cuff size 33 - 47 cm ) in philips suresings vs4 vital signs monitor. * * impact : * * inaccurate blood pressure readings, potential for patient harm. * * possible causes : * * * wear and tear over time * damage during handling or use * incorrect sizing of cuff * loose or damaged connection between cuff and monitor * * recommendations : * * * replace leaking cuff with new one of appropriate size. * inspect and replace any damaged or worn connections. * ensure correct cuff size and inflation technique is being used. * perform regular maintenance and calibration of the monitor to prevent future issues. @topic:14


# # # issue the nibp monitor from ge healthcare, model dinamap procare 100, is experiencing a failure where the pump is only able to reach a pressure of 50 mmhg. # # # impact this failure prevents the device from accurately measuring blood pressure, which could lead to incorrect diagnosis and treatment. # # # possible causes - * * defective pump : * * the pump may be malfunctioning due to a mechanical or electrical fault. - * * clogged tubing : * * the tubing connecting the pump to the cuff may be blocked, preventing the pump from generating sufficient pressure. - * * leaks : * * there may be a leak in the tubing or cuff, causing the pump to lose pressure. - * * software issue : * * a software glitch could be preventing the pump from operating correctly. - * * electrical issue : * * a loose connection or faulty component in the electrical system could be affecting the pump's performance. # # # recommendations - * * inspect the pump : * * check for any visible damage or loose connections. - * * replace the tubing : * * if the tubing is clogged or damaged, replace it with a new one. - * * check for leaks : * * fill the cuff and tubing with water and inspect for any leaks. - * * update the software : * * if a software update is available, install it to resolve any potential software issues. - * * troubleshoot the electrical system : * * use a multimeter to check for continuity and resistance in the electrical connections and components. - * * refer to the manufacturer's manual : * * consult the manual for specific troubleshooting and repair instructions. @topic:15


# # # issue - battery in the vital signs monitor is depleted. # # # impact - vital signs monitor is unable to operate continuously without external power supply. # # # possible causes - battery has reached the end of its lifespan. # # # recommendations - replace the battery with a new one of the same type and specifications. @topic:11


# # # issue : bp cuff failure # # # impact : inaccurate bp readings, delayed treatment # # # possible causes : - damaged cuff - loose connections - malfunctioning sensor - software glitch # # # recommendations : * * technical : * * - replace the cuff with a new one. - inspect and tighten all connections. - calibrate the sensor. - update the software if necessary. * * operational : * * - train staff on proper cuff placement and care. - establish a regular maintenance schedule for the equipment. - use a backup monitoring device if possible. @topic:3


# # # issue - blood pressure ( bp ) measurement function is not working. # # # impact - clinicians are unable to accurately monitor patient's blood pressure. - delayed or missed diagnosis and treatment of hypertension or hypotension. # # # possible causes - faulty blood pressure sensor - damaged cable or connectors - software malfunction - power supply issues # # # recommendations - inspect and test the blood pressure sensor - check for loose connections or damaged cables - update or reinstall the software - check the power supply and ensure it is stable @topic:15


# # # issue the bed continuously displays a red light and cannot be adjusted up or down. # # # impact the bed cannot be used for patient care. # # # possible causes * loose or disconnected wiring * faulty switch * problem with the bed's motor * software issue # # # recommendations * check the wiring for any loose or disconnected connections. * replace the switch if it is faulty. * contact the manufacturer for assistance if the bed's motor is not working properly. * update the bed's software if a software issue is suspected. @topic:1


# # # issue - cause of failure is not specified. # # # impact - the impact of the failure is unknown. # # # possible causes - the failure could be due to a number of factors, including : - hardware failure - software failure - human error - environmental factors # # # recommendations - to determine the cause of failure, the following steps should be taken : - inspect the device for any obvious damage. - test the device to determine if it is functioning properly. - review the device's maintenance history. - interview the staff who was using the device when it failed. - once the cause of failure has been determined, the appropriate repairs or replacements should be made. @topic:12


# # # issue * bed not adjusting up and down # # # impact * patient discomfort * difficulty for healthcare providers to provide care # # # possible causes * loose connection in remote control * malfunctioning remote control * problem with the bed motor # # # recommendations * check and tighten connections in the remote control * replace the remote control if necessary * contact the manufacturer for further troubleshooting and repair @topic:1


# # # issue - bed is not able to adjust # # # impact - patient comfort and safety may be compromised - nursing staff may be unable to properly care for patients - hospital may lose revenue due to decreased patient satisfaction # # # possible causes - mechanical failure of the bed frame or components - electrical failure of the motor or control system - software glitch in the bed's computer - user error # # # recommendations - inspect the bed frame and components for any signs of damage or wear and tear - check the electrical connections and wiring for any loose or damaged wires - restart the bed's computer and test its functionality - calibrate the bed's sensors and actuators - train staff on proper use and maintenance of the bed - contact the manufacturer for support if the problem cannot be resolved @topic:1


# # # issue - raws of the bed cannot be adjusted # # # impact - patient safety and mobility may be compromised - caregivers may experience difficulty accessing the patient or providing care # # # possible causes - the locking mechanism for the rails is malfunctioning - the motor or actuator that powers the rail adjustment is faulty - the control panel or wiring harness is damaged # # # recommendations - inspect the locking mechanism for any damage or wear - test the motor or actuator to ensure it is functioning properly - check the control panel and wiring harness for any loose connections or damage - if any components are found to be faulty, they should be replaced or repaired - perform a thorough functional test after any repairs or replacements to ensure the bed is operating properly @topic:1


# # # issue : - sensor is intermittently disconnecting. # # # impact : - patient monitoring is interrupted. - false alarms or inaccurate readings may occur. # # # possible causes : - loose or damaged sensor connection. - faulty sensor or sensor cable. - interference from other electronic devices. - skin irritation or motion artifact affecting sensor signal. # # # recommendations : - inspect the sensor and cable for damage or loose connections. - replace the sensor if necessary. - check for nearby electronic devices that may be causing interference. - ensure the sensor is properly applied to the patient's skin. - consider using a different sensor type or placement to minimize motion artifact. @topic:2


# # # issue - bed not able to lower # # # impact - patient care may be affected as the bed cannot be adjusted to a comfortable position for the patient. - staff may have to manually adjust the bed, which can be difficult and time - consuming. # # # possible causes - the mattress pads may have gotten stuck, preventing the bed from lowering. - the bed's motor or other mechanical components may have failed. - the bed's control panel may not be functioning properly. - the bed's power supply may be interrupted. # # # recommendations - check the mattress pads for any obstructions and make sure they are properly aligned. - inspect the bed's motor, gears, and other mechanical components for any damage or wear. - test the bed's control panel to ensure it is functioning properly. - check the bed's power supply to ensure it is connected and functioning properly. - if the problem cannot be resolved by following these recommendations, contact the bed's manufacturer or a qualified technician. @topic:1


# # # issue - suresigns vs4 physiological vital signs monitor from philips has a defective spo2 sensor and a non - functional cuff. # # # impact - accurate monitoring of vital signs, including oxygen saturation levels, is compromised. # # # possible causes - spo2 sensor failure : - faulty sensor - damaged cable - sensor misalignment - cuff failure : - punctured or torn cuff - worn - out cuff material - cuff bladder malfunction # # # recommendations - replace the spo2 sensor with a new, functional one. - inspect and replace the cuff with a new, properly inflated one. - ensure proper alignment of the spo2 sensor on the patient's finger or toe. - regularly calibrate and maintain the vital signs monitor according to the manufacturer's instructions. - if the issue persists after replacing the sensor and cuff, further investigation may be necessary to identify and address any underlying electrical or software problems. @topic:15


# # # issue * remote control is broken. # # # impact * the medical device cannot be operated remotely. * this can lead to delays in treatment or patient care. # # # possible causes * the remote control was dropped or damaged. * the remote control is not compatible with the medical device. * the batteries in the remote control are dead. # # # recommendations * inspect the remote control for damage. * if the remote control is damaged, replace it with a new one. * if the remote control is not compatible with the medical device, contact the manufacturer of the medical device for a compatible remote control. * if the batteries in the remote control are dead, replace them with new batteries. @topic:7


long as the ecg is being measured with the telemetry device there will be no ecg signal available at the ecg analog output. direct connection - automatic pairing the following direct connections are possible : • an mp5 or x2, declared as a telemetry device, and connected with an msl cable to a monitor ( mp20 - 90 ). warning • when ecg is being measured with a telemetry device directly connected to the monitor, there will be no ecg signal available at the ecg analog output or ecg sync pulse output and no synchronization marks on the ecg wave. a no ecg out message will appear in the ecg wave channel. • when a telemetry device is connected to the monitor, arrhythmia relearning is initiated, and again when the telemetry device is disconnected. 266 functions available when the telemetry data window is displayed 20 assigning two devices to one patient • controls on the telemetry device ( e. g. nurse call ) will be inactive when the device is directly connected to the monitor except in the case when the monitor has no network connection and data are transferred via the telemetry device. see the " enhancing telemetry monitoring with the monitor " chapter. pairing an x2 or mp5 with a telemetry interface to a host monitor an x2 multi - measurement module or an mp5 using an intellivue instrument telemetry interface will be automatically paired when it is connected to a host monitor and it has been declared as a “ telemetry device ” at the information center. when the x2 or mp5 is disconnected from the host monitor it will remain paired and the measurement data will appear at the host monitor in the telemetry data window. after the x2 or mp5 is disconnected from the monitor it may take over 15 seconds @topic:10


# # # issue - cuff not deflating after patient measurement # # # impact - incorrect blood pressure readings - patient discomfort - potential for injury # # # possible causes - air leak in the cuff or tubing - defective cuff bladder - obstruction in the cuff release valve - problem with the pump or its settings - cuff not properly attached to the patient # # # recommendations - check for any air leaks by listening for hissing sounds or by submerging the cuff in water. - replace the cuff bladder if it is damaged or shows signs of wear. - inspect the cuff release valve for any obstructions and clean or replace it if necessary. - verify that the pump is functioning properly and that its settings are correct. - ensure that the cuff is properly attached to the patient and that the tube is not kinked or obstructed. - calibrate the device according to the manufacturer's instructions. @topic:3


# # # issue - loose connector on the left side of the patient's bed, resulting in the bed being unable to adjust. # # # impact - the patient may not be able to get in or out of bed safely or comfortably. - the patient may not be able to be positioned properly for medical procedures. # # # possible causes - the connector may not have been properly tightened. - the wiring may be too tight, causing strain on the connector. - the connector may be faulty. # # # recommendations - tighten the connector. - loosen the wiring to reduce strain on the connector. - replace the connector if it is faulty. @topic:1


# # # issue - * * equipment : * * patient monitor - * * make : * * philips - * * model : * * suresings vs2 - * * description : * * probe failure # # # impact - the monitor will be unable to accurately measure patient vital signs. # # # possible causes - the probe may be damaged or defective. - the probe may not be properly connected to the monitor. - the probe may be sensing interference from other devices. # # # recommendations - inspect the probe for any damage or defects. - ensure that the probe is properly connected to the monitor. - check for any other devices that may be interfering with the probe's signal. - replace the probe if it is damaged or defective. @topic:20


# # # issue - slings detached from the bedside # # # impact - potential patient injury due to falling from the bed - inconvenience for healthcare staff to reposition or transfer patients # # # possible causes - wear and tear of slings or locking mechanism - user error during installation or removal of slings - insufficient training or maintenance of equipment # # # recommendations - regular inspection and maintenance of equipment by qualified biomedical engineers - proper installation and removal of slings following manufacturer's instructions - comprehensive training for healthcare staff on the safe operation of the bed - improved design or materials for slings and locking mechanisms to prevent detachment @topic:6


# # # issue : - medical cart's screen is not turning on. # # # impact : - the medical cart cannot be used for its intended purpose, such as transporting medical supplies or equipment. - this can disrupt patient care and lead to delays in treatment. # # # possible causes : - the power button on the medical cart may not be pressed fully - the medical cart may not be properly plugged into an electrical outlet - the power cord for the medical cart may be damaged - there may be a problem with the screen itself - there may be a problem with the motherboard or other internal components of the medical cart - the medical cart may have been dropped or damaged in some other way # # # recommendations : - ensure that the power button is pressed fully - make sure that the medical cart is properly plugged into an electrical outlet - inspect the power cord for any damage - restart the medical cart - contact a qualified biomedical engineer if the above steps do not resolve the issue @topic:13


# # # issue - cuff of vital sign monitor is detached. # # # impact - the vital sign monitor cannot measure blood pressure accurately. # # # possible causes - the cuff is not properly attached to the patient. - the cuff is too loose or too tight. - the cuff is damaged. # # # recommendations - check the cuff and make sure it is properly attached to the patient. - adjust the cuff to the appropriate size. - replace the cuff if it is damaged. @topic:3


# # # issue - cuff bp leak # # # impact - the leak in the blood pressure cuff may lead to inaccurate blood pressure readings, which could delay or misguide medical decisions. # # # possible causes - damaged or aged blood pressure cuff - improper cuff placement - loose connections in the cuff or tubing - defectiveness in the cuff's material # # # recommendations - inspect the cuff for any damage or signs of aging. - ensure proper placement of the cuff on the patient's arm, aligning the arrow with the brachial artery. - check all connections in the cuff and tubing for any looseness. - if the cuff continues to leak, consider replacing it with a new one. - train staff on the proper use and maintenance of blood pressure cuffs. - establish a regular schedule for cuff inspection and replacement as needed. @topic:3


# # # issue physiological monitor ( mobile ) is displaying abnormal low blood pressure readings. # # # impact inaccurate blood pressure readings can lead to incorrect medical decisions and potentially compromise patient safety. # # # possible causes - * * malfunctioning pressure transducer : * * the pressure transducer is the component responsible for converting blood pressure into an electrical signal. a faulty transducer can lead to inaccurate readings. - * * leaking or kinked tubing : * * leaks or kinks in the tubing connecting the pressure transducer can affect the pressure readings. - * * calibration error : * * the physiological monitor may require regular calibration to ensure its accuracy. if calibration is not performed correctly or is overdue, it can lead to inaccurate readings. - * * electronics failure : * * the monitor's internal electronics may have failed, affecting the accuracy of the blood pressure readings. # # # recommendations - * * check the pressure transducer : * * inspect the transducer for any visible damage or leaks. ensure it is properly connected to the monitor and tubing. - * * examine the tubing : * * inspect the tubing for leaks or kinks. replace any damaged or suspect tubing. - * * verify calibration : * * ensure the physiological monitor has been recently calibrated and that the calibration certificate is up - to - date. if not, perform calibration as per manufacturer's instructions. - * * troubleshoot electronics : * * if other steps have not resolved the issue, consider the possibility of electronics failure. consult with a qualified biomedical engineer or the manufacturer for further troubleshooting and repair. @topic:15


# # # issue - bed is not adjustable # # # impact - patients may not be able to be positioned comfortably or safely - nurses and other caregivers may have difficulty providing care # # # possible causes - user error ( e. g., pressing the wrong button ) - mechanical failure ( e. g., a broken motor ) - electrical failure ( e. g., a blown fuse ) - software issue ( e. g., a corrupted file ) # # # recommendations - check the user manual to ensure that the bed is being operated correctly. - inspect the bed for any visible damage or loose connections. - test the bed's electrical system to ensure that there are no problems. - contact the manufacturer if the problem cannot be resolved. @topic:1


# # # issue - the cause of the failure in the given input is a faulty mounting bracket. # # # impact - the faulty mounting bracket could lead to the module becoming loose or detaching from the monitor, which could result in inaccurate monitoring of patient data. # # # possible causes - the mounting bracket may have been damaged during shipping or handling. - the mounting bracket may have been improperly installed. - the mounting bracket may have been made of defective materials. # # # recommendations - inspect the mounting bracket for any damage or defects. - ensure that the mounting bracket is properly installed according to the manufacturer's instructions. - replace the mounting bracket if it is damaged or defective. - use high - quality materials for the mounting bracket to prevent future failures. @topic:2


# # # issue - battery failure in physiological vital signs monitor. # # # impact - impaired monitoring of patient's vital signs. # # # possible causes - battery degradation over time. # # # recommendations - replace the battery with a new one. - fully charge the device for 8 hours before use. @topic:11


# # # issue - module used to measure etco2 is in standby mode. - parameter values are not displayed on the monitor screen. # # # impact - inability to monitor etco2 levels, which can lead to patient safety issues. # # # possible causes - incorrect connection of the signal cable between the monitor and the module. # # # recommendations - ensure that the signal cable is properly connected between the monitor and the module. - test the device to ensure that it is functioning properly. @topic:4


# # # issue : - improper use of medical equipment. # # # impact : - device can become damaged or rendered inoperable. - patient safety can be compromised. # # # possible causes : - equipment being used for a purpose it was not designed for ( e. g., using a hospital bed as a couch ). - equipment being operated by untrained personnel. - lack of proper maintenance or calibration. # # # recommendations : - ensure that medical equipment is being used for its intended purpose only. - provide proper training to personnel operating the equipment. - establish a regular maintenance and calibration schedule for all medical equipment. @topic:12


# # # issue - central monitor not linking with the system # # # impact - patient monitoring data is not being transmitted to the central system, which can delay or prevent timely treatment. # # # possible causes - * * central monitor ip address is incorrect : * * the central monitor may not be able to communicate with the system if its ip address is incorrect. - * * firewall settings : * * firewall settings on the central monitor or system may be blocking communication between the two devices. - * * network issues : * * network problems, such as slow or intermittent connections, can prevent the central monitor from linking with the system. - * * hardware failure : * * a hardware failure in the central monitor or system can prevent communication between the two devices. # # # recommendations - * * verify central monitor ip address : * * check the ip address of the central monitor and ensure that it is correct and matches the settings on the system. - * * check firewall settings : * * review the firewall settings on the central monitor and system to ensure that communication is not being blocked. - * * troubleshoot network issues : * * use network diagnostic tools to identify and resolve any network problems that may be affecting communication between the central monitor and system. - * * contact technical support : * * if the above steps do not resolve the issue, contact technical support from the manufacturer of the central monitor or system for further assistance. @topic:16


# # # issue - scanner is not functional. # # # impact - inability to scan patients or documents. # # # possible causes - * * loose battery contacts : * * the battery may not be making proper contact with the terminals, causing the device to lose power. - * * damaged scanner head : * * the scanner head may be damaged or misaligned, preventing it from properly capturing images. - * * software malfunction : * * the software that controls the scanner may have a bug or error, causing it to malfunction. - * * hardware failure : * * a hardware component within the scanner may have failed, causing the device to stop working. # # # recommendations - * * check battery contacts : * * ensure that the battery is securely connected to the terminals. if necessary, clean the contacts with a cotton swab and rubbing alcohol. - * * inspect scanner head : * * examine the scanner head for any damage or misalignment. if necessary, adjust the head according to the manufacturer's instructions. - * * update software : * * check if there are any software updates available for the scanner. install the updates to resolve any known bugs or errors. - * * contact manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer or a qualified technician for further diagnosis and repair. @topic:23


. 6. for the thigh section, grip the section ( b ) on either end and remove it from the bed. 7. for the seat section, perform the following : a. make sure the head section ( d ) is in the full up position. b. grip the seat section ( c ) on either end and remove it from the bed. 8. for beds equipped with bed exit, remove the tape switches ( refer to procedure 4. 20 ). 9. for the head section ( d ), perfonn the following : a. using the cpr release, raise the head section ( d ) to the full up position. b. remove the seat section ( c ). c. mark the cpr cables ( g ) as left or right for installation later. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 3 4. 1 sleep deck chapter 4 : removal, replacement, and adjustment procedures figure 4 - 1. sleep deck page 4 - 4 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 1 sleep deck chapter 4 : removal, replacement, and adjustment procedures d. remove the screw ( e ) securing the cpr handle ( f ) to the cpr mount bracket ( i ). e. remove the cpr handle ( f ) from the cpr cable ( g ). f. foosen, do not remove, the jam nut ( h ) securing the cpr cable ( g ) to the cpr mount bracket ( i ). g. repeat step d through step f for the other side. h. remove the e - ring ( f ) from one side of the lower hinge point ( m ). i. remove the plastic washer ( n ) from the lower hinge point ( m ). j. repeat step h and step @topic:26


0 kpa : 0. 1 kpa 32 to 100 mmhg : 2 mmhg 4. 2 to 13 kpa : 0. 2 kpa 105 to 195 mmhg : 5 mmhg 13. 5 to 26 kpa : 0. 5 kpa intravascular oxygen saturation performance specifications o2, svo2, s10 % to 100 % range ccuracy resolution range. 1 % stability ( system ) drift < 2 % over 24 hours 5 seconds 1 the accuracy specification for edwards lifesciences'philips - compatible catheters has been verified in the saturation range 40 % - 95 %. alarm specifications djustmedelay range 10 % to 100 % 1 % exceeds the set limit rangeg complies with iec 60601 - 2 - 26 : 1994 / en 60601 - 2 - 26 : 1994. eeg performance specifications < = 10 ma @ 110 vac mvp - input signal range differential input impedance 15 μω @ 10 hz max. dc input offset voltage + 320 mv against defibrillation ( 5 kv ) and electrosurgery common mode rejection noise > 105 db @ 5 k2 imbalance and 60 hz < 0. 4 µvrms ( 1 to 30 hz ) electromagnetic susceptibility electrode impedance angmeasurement accuracy + 1 κω 493 40 specifications eeg performance specifications 0. 5 hz to 50 hz ( - 3 db ) andwidt0. 5, 1. 0, 2. 0, and 5. 0 h ( 12 db / octave ) 15 hz ( 65 db / octave ) 30 hz ( 75 db / octave ) 50 hz ( 85 db / octave ) low filter cut - off frequencies high filter cut - off frequencies bis bis performance specifications bispectral index ( bis ) range - 10signal quality index ( sqi ) range 0 - 100 % mg rang @topic:8


the main pcb, you must reset the monitor serial number, reconfigure the system, and recalibrate the monitor. for information on resetting the serial number, see “ resetting a serial number ” on page 5 - 17. for information on configuring the system, see “ setting the system configuration ” on page 5 - 21. for information on calibrating the monitor, see “ calibrating the monitor ” on page 5 - 18. to remove the main pcb : 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 the front end assembly. see “ removing the front end assembly ” on page 8 - 24. 4. remove five t10 screws holding the main pcb. repairing the monitor 8 - 31 1 [ \ r i a > main pcb assembly / disassembly procedures removing the nbp module caution after replacing the nbp module, you must reset the nbp cycle count. for more information on resetting the nbp cycle count, see “ tracking component usage ” on page 7 - 32. to remove the nbp module : 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 the front end assembly. see “ removing the front end assembly ” on page 8 - 24. 4. remove two torx t10 screws and washers from the metal bracket holding the nbp module assembly to the bottom of the main pcb. repairing the monitor 8 - 33 @topic:19


# # # issue - the patient transport monitor is not linking to the central system # # # impact - patient data cannot be transferred to the central system - reduced efficiency in patient care # # # possible causes - network connectivity issues - incorrect network configuration - misconfigured monitor settings - hardware failure # # # recommendations 1. * * check network connectivity * * : ensure that the monitor is connected to the hospital network. test the network connection using a ping test. 2. * * verify network configuration * * : check the ip address and subnet mask settings on the monitor. ensure that they are correct and that the monitor is assigned to the correct network segment. 3. * * configure monitor settings * * : review the monitor's settings to ensure that it is configured to link to the central system. 4. * * inspect for hardware damage * * : if the above steps do not resolve the issue, check for any visible damage to the monitor's network port or cabling. 5. * * contact vendor support * * : if the problem persists, contact the vendor's technical support team for assistance. @topic:16


# # # issue * * equipment : * * bed, electric * * band : * * hill - rom * * model : * * 900b * * description : * * the bme ( biomedical engineer ) checked and found that the remote control showed a lock warning. the bme reset it and it is now working normally. the test was successful. # # # impact the bed was locked and could not be adjusted. # # # possible causes * faulty remote control * issue with the bed's locking mechanism * software glitch # # # recommendations * inspect the remote control for any damage or malfunction. * check the bed's locking mechanism for any obstructions or mechanical issues. * update the bed's software if necessary. * if the issue persists, consult a qualified biomedical engineer for further troubleshooting and repairs. @topic:7


is allowed. note connections to the remote interface board must be made as follows : the remote alarm device must be connected to the upper port and the remote input device to the lower port of the board. the following table shows possible configurations for the mp40 / 50 patient monitors : 229 7 installation instructions installing the monitor ( m8003a or m8004a ) i / o board possible configurations name possible i / o slots 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 802. 11 bedside adapter 02, 03 02 02 02 02 02 input device interface 02, 03 03 - 02 02 02 02 - - - remote device ilnterface 02, 03 x 03 03 02 02 02 parallel printer interface 02, 03 x x 03 x 03 03 02 nurse call relay 02, 03 x x x 03 - x x 03 x 03 03 02 mib / rs232 ( 2x ) 02, 03 x x x x 03 x x x 03 x x 03 x 03 03 2nd mib / rs232 ( 2x ) 02, 03 x x x x x x x x x x x x x 02 this board is assumed to not be required for this configuration “ x ” this board cannot be assigned in this configuration note ensure that the board removal tool is snapped properly into place inside the battery compartment door after each use. if you have installed # j35 ( intellivue 802. 11 bedside adapter ) please attach the approval label or the wlan label for japan ( country specific ) and the antenna and connect the cable from the 802. 11 bedside adapter to the wireless port as shown below. note the installation of # j35 requires a wireless system interface board. 230 installing the docking station 7 installation instructions connection of devices via the mib / rs232 interface the configuration of a specific mib / rs232 port can be viewed in @topic:19


# # # issue - cuff of physiologic monitor ( bedside ) philips intellivue mp70 ( m8007a ) is not working. # # # impact - the monitor cannot accurately measure patient's vital signs, such as blood pressure, pulse rate, and oxygen saturation. - this can lead to delayed diagnosis and treatment, which can have serious consequences for the patient. # # # possible causes - the cuff may be damaged or punctured. - the cuff may be the wrong size for the patient. - the cuff may not be properly connected to the monitor. - the monitor may be malfunctioning. # # # recommendations - inspect the cuff for damage or punctures. if the cuff is damaged, replace it. - ensure that the cuff is the correct size for the patient. - properly connect the cuff to the monitor. - if the cuff is still not working, the monitor may need to be repaired or replaced. @topic:14


reduced. increase injectate volume and / or lower injectate temperature following the guidelines given in the section “ guidelines for picco c. o injectate " on 5. high etvi, use cold injectate inj. volume disturbed injection the injection should be performed quickly and with a steady pressure. shaking, unsteady pressure, or injections that take longer than six seconds may cause this message to appear ; you should bear this in mind if you are using a large injectate volume ( > 10 ml ). the recorded tinj signal is uncharacteristic for the m1646 injectate temperature probe. an incorrect probe type may have been used. and thermal baseline drift. check injectate temperature probe type unsteady baseline caused by faulty injection technique. multiple peaks abnormal decay time may be caused by low cardiac output. calculated value for c. o. may not be accurate. 237 13 monitoring cardiac output c. o. / cco curve alert messages possible causes the decay time of the curve is longer than 15 seconds. very long curve decay time of the curve is less than 0. 5 seconds. if there is a noisy baseline, part of the baseline may have been mistaken for a thermodilution curve. calculated value for c. o. may not be very short curve accurate. any combination of curve alert messages. irregular curve injection is given more than 15 seconds after start c. o. is selected. calculated value for c. o. may not be accurate. delayed injection if you have followed all of these guidelines, your measurement values should be valid, even if you still see a curve alert message. ensure that at least three subsequent measurements within the current series do not differ by more than 15 %. if the difference exceeds 15 %, use your clinical judgment to determine the appropriate intervention.. o. / cco prompt messagec. o @topic:17


# # # issue - ekg monitor display has lines # # # impact - inability to accurately monitor patient's ekg # # # possible causes - damaged display panel - loose connections - software issues - power supply issues - environmental factors ( e. g., extreme heat, moisture ) # # # recommendations - inspect the display panel for any visible damage. - check all connections to ensure they are secure. - update the software if any updates are available. - check the power supply and ensure it is providing the correct voltage and amperage. - ensure the monitor is operating in a suitable environment. - contact the manufacturer or a qualified technician for further troubleshooting and repair. @topic:2


* * issue : * * ekg lead failure * * impact : * * inability to accurately monitor patient's electrocardiogram ( ecg ) * * possible causes : * * * * * damaged ekg lead : * * * physical damage ( e. g., broken wires, cuts ) * corrosion or oxidation of electrical contacts * failure of internal components * * * loose connections : * * * disconnected cables or connectors * poor contact between lead and patient's skin * * * software or firmware issues : * * * malfunctioning of the physiological monitor or its software * incompatible or outdated lead drivers * * recommendations : * * * * * inspect the ekg lead thoroughly : * * check for physical damage, loose connections, or signs of corrosion. * * * clean electrical contacts : * * use isopropyl alcohol to clean the electrical contacts on the lead and the physiological monitor. * * * secure connections : * * ensure that all cables and connectors are securely attached. * * * test the lead : * * use a lead tester or the physiological monitor's self - test function to verify the lead's functionality. * * * consider lead replacement : * * if the lead is damaged beyond repair or if the issue persists despite troubleshooting, replace the ekg lead with a new one. * * * update software or firmware : * * consult the manufacturer's documentation for any available software or firmware updates that may address the issue. * * * calibrate the monitor : * * perform a calibration procedure to ensure the accuracy of the physiological monitor's ecg measurements. @topic:18


box is automatically checked. select confirm when a value has been entered. what follows depends on the lactate value : • if lactate is > 4 mmol / 1 : the value meets the criteria for severe sepsis and a window appears recommending authorized clinician review before entering the sepsis resuscitation bundle. • if lactate is < 4 mmol / 1 : a further window appears requiring your input to determine on the basis of blood pressure values whether the patient meets the criteria for severe sepsis. hypotension evaluation if the lactate value was not above 4 mmol / 1, the next window asks whether the patient has persistent hypotension. 313 25 protocolwatch ssc sepsis protocol inactive | screening | resuscitation | managementjstandby does the patient have persistent hypotension? protocolwatch r protocol log show details yes no remind 15 min r the ssc sepsis protocol defines hypotension as : • sbp < 90mmhg ( 12. 0kpa ), or • map < 65mmhg ( 9. 0kpa ), or • sbp decrease > 40mmhg ( 5. 0kpa ) below baseline. you can see this definition in the window by selecting show details. if the patient has persistent hypotension as defined, select yes. this acknowledges that the patient meets the criteria for severe sepsis and a final window appears recommending authorized clinician review before entering the sepsis resuscitation bundle. if the patient does not have persistent hypotension, select no. after an hour the following screen appears. protocolwatch - severe sepsis screening inactive | screening resuscitation management ssc standby is the previously acknowledged infection still present? protocolwatch r protocol log show details yes no cancel r protocolwatch protocol show no cancel log details if you @topic:8


# # # issue - equipment : monitors, physiologic, respiraton / exhaled carbon dioxide / pulse oximetry, bedside - band : medtronic - model : capnostream 35 - description : water clog in the filter of the etco2 set, resulting in abnormal etco2 measurement values. # # # impact - inability to obtain accurate etco2 measurements, which can affect patient monitoring and management. # # # possible causes - blockage of the filter in the etco2 set with water or other substances. # # # recommendations - inspect the etco2 set for any blockages or obstructions. - replace the etco2 set with a new one to resolve the issue. - regularly check and maintain the etco2 set to prevent future blockages. @topic:4


# # # issue defective blood pressure ( bp ) cuff # # # impact inaccurate bp readings, which can lead to incorrect diagnosis and treatment # # # possible causes * worn or damaged cuff * mismatched cuff size * improper cuff placement * cuff not properly connected to the monitor # # # recommendations * inspect the cuff for any signs of damage, such as cracks, tears, or loose connections * ensure that the cuff is the appropriate size for the patient * position the cuff correctly on the patient's arm, with the arrow pointing at the brachial artery * make sure that the cuff is inflated and deflated properly * replace the cuff if it is damaged or defective @topic:3


# # # issue the bed is not adjusting. # # # impact the bed cannot be used to care for patients. # # # possible causes - the bed's motor is not working. - the bed's power supply is not working. - the bed's remote control is not working. - the bed's software is not working. # # # recommendations - check the bed's motor. - check the bed's power supply. - check the bed's remote control. - check the bed's software. @topic:1


# # # issue the medical cart is displaying a key icon on the screen. # # # impact the medical cart cannot be used until the issue is resolved. # # # possible causes - the sensor is not properly aligned. - the sensor is faulty. - the control board is faulty. # # # recommendations - realign the sensor. - replace the sensor. - replace the control board. @topic:27


# # # issue - drawer cannot be closed # # # impact - inconvenience to medical staff - potential safety hazard if the drawer opens unexpectedly # # # possible causes - loose solenoid nuts # # # recommendations - tighten solenoid nuts as per manufacturer's specifications - regularly inspect and maintain the medical cart to prevent future issues @topic:21


# # # issue the cuff on the philips intellivue mx700 bedside physiologic monitor has deteriorated, resulting in inaccurate measurements. # # # impact incorrect patient vital signs measurements, which can lead to delayed or incorrect diagnosis and treatment. # # # possible causes - normal wear and tear - improper storage or handling - excessive use # # # recommendations - regularly inspect cuffs for signs of damage or deterioration. - properly store and handle cuffs according to manufacturer's specifications. - limit excessive use of cuffs to prevent premature wear. @topic:5


supply cover. 8. disconnect the head hilow column cable from the power supply pc. board. 9. remove the screw ( a ) securing the hilow column ground wire ( b ) to the hilow column ( l ). 10. remove the head end base frame cover ( c ) ( see figure 4 - 17 on page 4 - 32 ). careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 31 4. 9 head hilow column ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures figure 4 - 17. head hilow column a -. h m330 080 11. remove the four screws ( d ) and washers ( e ) securing the hilow column ( h ) to the frame ( g ). 12. slide the hilow column ( h ) towards the head end of the bed to remove it from the guide rails ( f ). 13. remove the hilow column ( h ) from the bed. frame ( g ). 14. remove and retain the two plastic bearings ( i ). replacement 1. position the new hilow column ( h ) on the bed frame ( g ) with the cable facing the foot end of the bed. 2. install the two plastic bearings ( i ) onto the new column. 3. connect the cable to the power supply pc. board ( connector 6 ). 4. disconnect the foot hilow column from the power supply p. c. board. 5. plug the bed into an appropriate power source. page 4 - 32 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 9 head hilow column ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures 6. use the bed hilow control, to raise the hilow column to the @topic:26


# # # issue the medical cart is unable to enter the med cart program. # # # impact the medical cart cannot be used for its intended purpose, which is to transport and store medical supplies and equipment. this can lead to delays in patient care and increased risk of infection. # # # possible causes * the software on the medical cart is not up to date. * the medical cart is not properly connected to the network. * there is a hardware issue with the medical cart. # # # recommendations * update the software on the medical cart. * check the connections between the medical cart and the network. * contact the manufacturer of the medical cart for assistance. @topic:13


# # # issue the physiologic monitor ( bedside ), a philips intellivue mp40 ( m8003a ) model, has only one battery. # # # impact this issue may cause the monitor to function improperly or cease to function if the single battery fails. # # # possible causes the monitor was not equipped with the necessary number of batteries at the time of installation. # # # recommendations ensure that the monitor has the correct number of batteries installed. refer to the manufacturer's instructions for the specific battery requirements for the device. @topic:11


# # # issue the bed is not able to raise the head portion of the bed. # # # impact the patient may not be able to be positioned comfortably or safely in the bed. # # # possible causes - faulty delay mechanism - faulty control box - faulty wiring # # # recommendations - replace the delay mechanism - replace the control box - check the wiring and replace any damaged wires @topic:1


are cleared • asystole, vfib, and hr alarms ( when there are enough beats to compute the hr ) are active. no other alarms are active. • initiating arrhythmia relearning manually to initiate relearning manually, in the setup arrhy menu, select relearn arrhy. while the monitor is learning, the delayed arrhythmia wave displays the beat label l and the rhythm status message learning ecg. next, the monitor determines the dominant rhythm. the beats are labeled n, and the rhythm earning rhythm. after relearning is complete, you should check the delayed arrhythmia wave to ensure that the algorithm is labeling the beats correctly. if beats are still not classified correctly, check that the ecg is optimized for arrhythmia monitoring. you may need to select a different lead or change the electrodes or electrode positions if there is excessive noise, unstable voltage, low amplitude, or large p - or t - waves. automatic arrhythmia relearn arrhythmia relearning is initiated automatically whenever : ecg monitoring is switched on • the ecg lead or lead label of the primary / secondary lead is changed manually, or wheallback occurs • a leads off inop condition ( that has been active for > 60 seconds ) ends. • if you are monitoring multi - lead arrhythmia and there is a change in one lead only, relearning happens only in the affected lead. during this learning phase, the system will continue monitoring using the other lead. therefore, the delayed arrhythmia wave is not labeled l and there is no learning ecg rhythm status message. in addition, alarm timeout periods are maintained, stored arrhythmia templates are maintained for the operative lead, and all @topic:8


# # # issue - bed, electric brand huntleigh model contoura 390 is unable to adjust. # # # impact - the bed is not able to be used to adjust the patient's position, which can lead to discomfort and increased risk of injury. # # # possible causes - the remote control is not properly connected to the bed. - the remote control is not functioning properly. - the bed's motor is not functioning properly. - the bed's electrical system is not functioning properly. # # # recommendations - check the connection between the remote control and the bed. - replace the remote control. - check the bed's motor for any signs of damage or wear. - check the bed's electrical system for any signs of damage or wear. @topic:1


##02 accuracy check 50 sidestream c02 flow check 51 spirometry performance tests 51 equipment required 51 flow test 51 leakage test 51 barometer check 52 cardiac output performance test 52 service tool procedure, version 1 52 service tool procedure, version 2 52 bis performance test 53 pic / dsc test 53 nurse call relay performance test 53 phone jack type connector test ( traditional nurse call ) 53 multi - port nurse call connector test ( flexible nurse call ) 54 4 ecg sync performance test 55 docking station performance test 55 vuelink performance test 56 iit communication test 56 intellivue 802. 11 bedside adapter communication test 58 safety testing 58 warnings, cautions, and safety precautions 58 safety test procedures 59 battery handling, maintenance and good practices 62 about the battery 62 checking the battery status 62 battery status on the main screen 64 battery status window 66 viewing individual battery status 66 documenting battery status 67 battery implications 67 conditioning a battery 67 what is battery conditioning? 67 why is battery conditioning necessary? 67 when should battery conditioning be performed? 67 what causes the conditioning message on the monitor? 68 conditioning batteries 68 battery conditioning in the monitor 68 battery conditioning with an external charger 69 touchscreen calibration 69 disabling / enabling touch operation 71 printer test report 71 4 troubleshooting 73 introduction 73 how to use this section 73 who should perform repairs 73 replacement level supported 73 software revision check 74 software compatibility matrix 74 obtaining replacement parts 75 troubleshooting guide 75 checks for obvious problems 75 checks before opening the instrument 75 checks with the instrument switched off 76 checks with the instrument switched on, ac connected, without battery 76 checks with the instrument switched on, ac connected, with battery 76 checks with the instrument switched on, ac not connected, with battery 76 initial instrument boot phase 77 troubleshooting tables 79 how to use the troubleshooting tables 79 5 boot phase failures 80 integrated display is blank 82 integrated touch display not @topic:10


# # # issue - motor malfunction causing inability to adjust knee position # # # impact - delays patient assessment and treatment - compromises patient comfort and recovery - may pose safety hazards if the bed cannot be safely positioned # # # possible causes - equipment : - manufacturing defects or wear and tear in the knee motor - electrical faults or loose connections in the motor circuit - usage : - excessive or improper use of the bed knee adjustment mechanism - unstable power supply or voltage fluctuations # # # recommendations - * * immediate action : * * - check electrical connections and ensure stable power supply. - if the issue persists, request a replacement motor from the manufacturer. - * * preventive maintenance : * * - regularly inspect the knee motor and gear system for any signs of damage or wear. - perform periodic electrical testing to identify potential faults. - provide clear operating instructions to users to prevent excessive or improper usage. - * * training : * * - train technicians on proper handling and troubleshooting of electric bed equipment. - * * replacement : * * - if the motor cannot be repaired or replaced, consider purchasing a new bed. @topic:9


# # # issue : - the philips intellivue mp5 ( m8105a ) monitor experiences spontaneous shutdowns after being powered on for 45 - 60 minutes. # # # impact : - interrupts critical patient monitoring. - requires extensive troubleshooting and repair. # # # possible causes : - * * faulty motherboard : * * the manufacturer has identified the motherboard as a potential cause of the issue. - * * power supply issues : * * an unstable or insufficient power supply can lead to system instability and shutdowns. - * * overheating : * * excessive heat buildup within the monitor can trigger protective mechanisms that shut down the device. - * * software bugs : * * software glitches or corrupted software can interfere with system operation and cause unexpected shutdowns. # # # recommendations : - * * contact manufacturer : * * engage with philips technical support to confirm the diagnosis and obtain further guidance. - * * replace motherboard : * * if the motherboard is determined to be faulty, replace it with a new one. - * * check power supply : * * ensure that the power supply is providing stable and adequate voltage. - * * upgrade firmware : * * consult with philips to determine if any firmware updates are available and apply them as necessary. - * * monitor temperature : * * keep the monitor in a well - ventilated area to prevent overheating. - * * regular maintenance : * * schedule regular maintenance and inspections to detect potential issues early and prevent future failures. @topic:2


replace the vm4 temperature module. see “ removing the suresigns vm4 temperature module ” on page 8 - 8. 7 - 22 troubleshooting error codes code description possible cause action 867 ( 78 ) temp module malfunc ( 78 ) the probe ’ s non - volatile error detection mechanism detected an error. shut down and restart the monitor. if the problem persists, replace the front end assembly and the suresigns vm4 temperature module. see “ removing the front end assembly ” on page 8 - 24 and “ removing the suresigns vm4 temperature module ” on page 8 - 8. 867 ( 79 ) temp module malfunc ( 79 ) the module ’ s non - volatile error log memory error detection mechanism detected an error. shut down and restart the monitor. if the problem persists, replace the front end assembly and the suresigns vm4 temperature module. see “ removing the front end assembly ” on page 8 - 24 and “ removing the suresigns vm4 temperature module ” on page 8 - 8. 867 ( 80 ) temp module malfunc ( 80 ) software is trying to turn off the probe heater, but the heater feedback signal says it is still on. shut down and restart the monitor. if the problem persists, replace the vm4 temperature module. see “ removing the suresigns vm4 temperature module ” on page 8 - 8. 867 ( 81 ) temp module malfunc ( 81 ) software is trying to turn on the probe heater, but the heater feedback signal says it is still off. shut down and restart the monitor. if the problem persists, replace the vm4 temperature module. see “ removing the suresigns vm4 temperature module ” on page 8 - 8. 867 @topic:22


# # # issue - electric bed, model uq2000b, manufactured by universal quality, is not able to fully elevate the head of the bed. # # # impact - patients may not be able to be positioned properly for procedures or rest. # # # possible causes - * * switch failure : * * the switch that controls the head elevation may be malfunctioning. - * * motor failure : * * the motor that raises and lowers the head of the bed may be faulty. - * * mechanical obstruction : * * there may be an obstruction preventing the bed from fully elevating the head. # # # recommendations - * * test the switch : * * check if the switch is functioning properly by using a multimeter to measure continuity. - * * inspect the motor : * * check if the motor is receiving power and is running smoothly. - * * clear any obstructions : * * ensure that there are no objects or debris that are preventing the bed from fully elevating the head. @topic:1


# # # issue - cuff malfunction # # # impact - inaccurate vital sign readings - patient discomfort - delays in diagnosis and treatment # # # possible causes - cuff damaged or worn - cuff not properly attached to the device - cuff too tight or too loose - patient movement during measurement # # # recommendations - replace the cuff with a new one - ensure that the cuff is properly attached to the device - adjust the cuff to the correct size and tightness for the patient - instruct the patient to remain still during measurement @topic:5


# # # issue - probe spo2 unable to work. # # # impact - delay in patient care due to inability to monitor oxygen saturation levels. # # # possible causes - * * defective probe : * * the probe could be damaged or malfunctioning due to wear and tear or manufacturing defects. - * * incorrect connection : * * the probe may not be properly connected to the monitor or patient, leading to signal loss. - * * software issues : * * software glitches or updates may interfere with the probe's functionality. - * * loose connections : * * loose connections between the probe, cables, or monitor can disrupt signal transmission. - * * environmental factors : * * extreme temperatures, humidity, or electromagnetic interference can affect probe performance. # # # recommendations - * * check probe connections : * * ensure that the probe is securely connected to the monitor and patient. - * * inspect probe : * * visually inspect the probe for any damage or deterioration. replace the probe if necessary. - * * update software : * * verify if there are any available software updates for the monitor that may address probe compatibility issues. - * * tighten connections : * * secure all connections between the probe, cables, and monitor to eliminate loose connections. - * * review environmental conditions : * * adjust environmental factors, such as temperature or humidity, to optimize probe performance. @topic:4


# # # issue - motor failure resulting in inability to adjust bed height # # # impact - compromised patient safety and comfort - increased workload for healthcare staff # # # possible causes - electrical malfunction in the motor - mechanical wear and tear - overuse or improper handling # # # recommendations - replace the faulty motor with a functional one - conduct regular maintenance and inspections to prevent similar failures - train staff on proper equipment handling and maintenance protocols @topic:9


# # # issue program issue # # # impact - inability to use the central monitor effectively for patient monitoring. - delays in diagnosis and treatment. - potential safety risks to patients. # # # possible causes - software corruption or damage. - missing or outdated software files. - hardware malfunction ( e. g., faulty memory or storage device ). # # # recommendations 1. * * restart the device : * * this may resolve minor software glitches and allow the program to run properly. 2. * * check software updates : * * ensure that the latest software version is installed on the device. run any available updates to address any known software issues. 3. * * reinstall the software : * * if updates do not resolve the issue, reinstall the software to replace any damaged or missing files. 4. * * check hardware components : * * inspect the memory and storage devices for any physical damage or loose connections. replace or repair faulty components as necessary. 5. * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the device for technical support and further troubleshooting guidance. @topic:2


one led is lit, 2596 or less charge is left. replacing a battery to replace the battery, 1. press the battery eject button. this releases the battery. tf am, ” philips 103 the inop!! insert battery is suppressed for 15 seconds, allowing you sufficient time to load a new battery. 2. remove the battery from the compartment. slide the new battery into position with the contacts facing downwards. it should ‘ click ’ into position when it is fully inserted. philips optimizing battery performance the performance of rechargeable batteries may deteriorate over time. battery maintenance as recommended here can help to slow down this process. display brightness setting ^ inthe main setup menu, select user interface - > brightness - > optimum this selects a level of brightness suitable for most monitoring locations that uses less battery power than brighter settings. satisfy yourself that this level of brightness is suitable for your monitoring location. note that your monitor may be configured to dim or brighten the display brightness automatically when you disconnect from power, to suit the most common transport scenario ( " transportbrightn " setting ). 104 charging a battery a battery can be charged in a monitor during monitoring. you can also use the m8043a smart battery charger to charge batteries. 1. insert the battery into an mp2 / x2 connected to a host monitor or the external power supply ( m8023a ) that is connected to mains power. 2. charge the battery until it is full, the battery led goes out, and the battery power gauge is filled. in certain situations, internal temperature conditions may mean that the battery will not charge. this is sometimes necessary to protect the battery from damage, and does not indicate a malfunction. in this case you must use the m8043a smart battery charger to charge the battery. to charge the battery in the smart battery charge @topic:11


# # # issue - the philips suresigns vs2 + physiological vital signs monitor is exhibiting a leak. # # # impact - the monitor may not be providing accurate readings, which could lead to incorrect patient care decisions. # # # possible causes - faulty cuff - loose or damaged connections # # # recommendations - replace the cuff with a new one. - check all connections for tightness and damage. - if the problem persists, contact a qualified biomedical engineer for further troubleshooting. @topic:14


user of the monitor 0 % ut ( 60 % dip in ut ) fo5 cycles 40 % ut ( 60 % dip in ut ) fo5 cycles requires continued operation during power mains interruptions, it is recommended that the monitor is equipped with an internal battery or is powered from an 70 % ut ( 30 % dip in ut ) fo5 cycles 70 % ut ( 30 % dip in ut ) fo5 cycles < 5 % ut ( > 95 % dip in ut ) for < 5 % u ( > 95 % dip in ut ) for uninterruptible power supply. sese96 40 specifications ec 60601 - 1 - 2 mmunity test power frequency ( 50 / 0 hz ) magnetic field 3 a / m 3 a / m power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial and / or hospital environment iec 61000 - 4 - 8 in this table, ut is the a. c. mains voltage prior to application of the test level. recommended separation distance warning this equipment generates, uses and radiates radio - frequency energy, and if it is not installed and used in accordance with its accompanying documentation, may cause interference to radio ommunications. • the monitor, equipped with a wireless network interface, intentionally receives rf electromagnetic energy for the purpose of its operation. therefore, other equipment may cause interference, even. in the following table, p is the maximum output power rating of the transmitter in watts ( w ) according to the transmitter manufacturer and d is the recommended separation distance in meters ( m ). the values given in brackets are for respiration and bis. portable and mobile rf communications equipment should be used no closer to any part of the monitor, including cables, than the recommended separation distance calculated from the equation ncy of the transmitter. field strengths from fixed rf transmitters, as determined by an electromagnetic site @topic:10


# # # issue - sensor is flickering and not reading oxygen saturation ( spo2 ). # # # impact - inability to accurately monitor patient's vital signs, leading to potential delays in diagnosis and treatment. # # # possible causes - * * faulty reusable spo2 adaptor cable : * * the cable connects the sensor to the monitor and transmits data. a damaged or malfunctioning cable can prevent the sensor from communicating with the monitor, resulting in inaccurate readings. # # # recommendations - * * replace the spo2 adaptor cable : * * as stated in the input, the biomedical engineer ( bme ) has already replaced the faulty cable with a new one ( sn 2131020120130617001 ). - * * inspect the sensor and monitor connections : * * ensure all connections are secure and free of any damage or debris. - * * calibrate the monitor : * * perform a calibration procedure to ensure the monitor is displaying accurate readings. - * * consider other possible causes : * * if replacing the cable and inspecting connections do not resolve the issue, consider other potential causes, such as a faulty sensor itself, software malfunctions, or electrical interference. @topic:4


# # # issue - bme 9 detected that the ecg lead cable was not measuring values. # # # impact - the patient's ecg data could not be accurately measured. # # # possible causes - the ecg lead cable was faulty. - the ecg lead cable was not properly connected to the monitor. - the monitor was not properly configured to receive ecg data. # # # recommendations - replace the ecg lead cable. - ensure that the ecg lead cable is properly connected to the monitor. - check the monitor's configuration to ensure that it is properly receiving ecg data. @topic:18


# # # issue : - remote control for patient use not functioning. # # # impact : - patient cannot control the bed's functions remotely. - inconvenience and potential safety concerns for the patient. # # # possible causes : - * * remote control malfunction : * * the remote control may have a hardware or software issue, causing it to stop working. - * * connection issues : * * there may be a problem with the connection between the remote control and the bed. - * * battery failure : * * the remote control's batteries may be depleted or damaged. # # # recommendations : - * * check connection : * * verify that the remote control is properly paired with the bed and that there are no loose cables or connections. - * * replace batteries : * * change the batteries in the remote control. - * * reset remote : * * if the above steps do not resolve the issue, reset the remote control by following the manufacturer's instructions. - * * contact the manufacturer : * * if the remote control still does not function, contact the manufacturer or a qualified biomedical engineer for further assistance. @topic:7


# # # issue - equipment : monitors lcd - band : sony - model : lmd - 3251mt - description : the monitor is flickering. # # # impact - the monitor cannot be used to display patient data. - this could lead to delays in patient care. # # # possible causes - loose signal cable - faulty monitor # # # recommendations - check the signal cable and make sure it is securely connected. - if the signal cable is secure, then the monitor may need to be replaced. @topic:2


# # # issue - remote control failure # # # impact - inability to operate the electric bed remotely, which may inconvenience patients and nurses. # # # possible causes - remote control damage ( e. g., broken wires, loose connections ) - malfunctioning of the receiver unit within the bed - interference with wireless signals ( if applicable ) # # # recommendations - * * check and repair remote control : * * inspect the remote control for any physical damage or loose connections. replace or repair damaged components as necessary. - * * inspect receiver unit : * * locate the receiver unit in the bed and verify its proper functionality. if damaged, replace the receiver. - * * rule out interference : * * if the remote control and receiver are functioning properly, check for potential sources of wireless interference in the area, such as other medical equipment or electronic devices. @topic:7