# # # issue - blood pressure cuff damage # # # impact - unable to accurately measure blood pressure # # # possible causes - cuff age and wear - improper storage or handling - patient has been wearing the cuff too tightly # # # recommendations - replace the blood pressure cuff - store the cuff in a cool, dry place - instruct the patient to wear the cuff comfortably, not too tight @topic:3


# # # issue - the patient's blood pressure could not be measured. # # # impact - the patient's health could be compromised if their blood pressure is not monitored. # # # possible causes - the cuff was damaged or leaking. - the cuff was not properly attached to the patient. - the cuff was too loose or too tight. - the machine was not properly calibrated. - the patient has a condition that affects their blood pressure, such as hypertension or hypotension. # # # recommendations - the cuff should be inspected for damage or leaks. - the cuff should be properly attached to the patient. - the cuff should be inflated to the correct pressure. - the machine should be calibrated regularly. - the patient should be evaluated for any underlying conditions that could affect their blood pressure. @topic:3


# # # issue - equipment : monitors, patient transport - band : philips - model : intellivue x2 ( m3002a ) - issue : charger is not charging the device # # # impact - the device will not be able to be used if the battery is not charged. # # # possible causes - * * defective battery : * * the battery may be defective and not able to hold a charge. - * * faulty charger : * * the charger may be faulty and not able to provide power to the battery. - * * loose connection : * * there may be a loose connection between the charger and the device or between the charger and the electrical outlet. - * * defective electrical outlet : * * the electrical outlet that the charger is plugged into may be defective. # # # recommendations - * * replace the battery : * * if the battery is defective, it should be replaced with a new one. - * * replace the charger : * * if the charger is faulty, it should be replaced with a new one. - * * inspect the connections : * * inspect the connections between the charger and the device and between the charger and the electrical outlet. tighten any loose connections. - * * replace the electrical outlet : * * if the electrical outlet is defective, it should be replaced with a new one. @topic:11


# # # issue : * * motor failure in electric bed * * # # # impact : * * patient safety and comfort compromised. * * the bed is unable to adjust the patient's knee position, which can cause discomfort and inhibit proper medical care. # # # possible causes : - * * normal wear and tear : * * electric motors can become damaged over time due to repeated use and exposure to wear and tear. - * * overloading : * * the bed may have been carrying too much weight, putting excessive strain on the motor. - * * electrical issues : * * faulty wiring or other electrical problems can cause power issues to the motor. - * * mechanical defects : * * manufacturing defects or improper assembly can result in motor failure. # # # recommendations : - * * regular maintenance : * * the bed should be regularly inspected and maintained to identify and address potential issues early on. - * * load capacity : * * ensure that the bed is not overloaded and that the weight distribution is balanced. - * * electrical troubleshooting : * * inspect the wiring and electrical components of the bed to rule out any electrical issues. - * * replacement : * * if the motor is damaged beyond repair, it should be replaced with a new one. - * * documentation : * * thorough documentation of the cause of failure and repairs performed is essential for tracking maintenance history and improving future troubleshooting efforts. @topic:9


. 234 setting the tcgas barometric pressure 16 monitoring tcgas restarting the tcgas sitetimer to restart the site timer without recalibration ( for example, after the site time has elapsed ) : 1 in the setup tcgas menu, select site time. 2 enter and confirm your desired time. disabling the tcgas site timer depending on your monitor ’ s configuration, you might be able to disable the site timer. remember, this means that the transducer heats indefinitely while on a patient. 1 in setup tcgas menu, select site timer and switch this to disabled. 2 select the confirm popup key. setting the tcgas barometric pressure altitude and barometric pressure affect tcgas values. the monitor derives barometric pressure from its altitude setting. if you want to set the true barometric pressure you must do this before starting a calibration - changes after calibration do not influence tcgas values. the monitor remembers this pressure setting until you enter a new one. 1 in the setup tcgas menu, select ambient pressure. 2 enter the current barometric pressure reading indicated by your barometer. 3 select the confirm popup key. remembraning the tcgas transducer follow the instructions supplied with the transducer. new / dried out transducers remembrane all new or dried out transducers twice before using. after the first remembraning, unplug the transducer from the module and leave it for 24 hours with the cap on. remembrane again before calibrating. storing tcgas transducers if you need to store a sensor for more than 24 hours, protect it for up to 28 days by putting two drops of electrolyte solution into the cap. screw the cap on the sensor. remembrane if it dries out or after @topic:17


# # # issue - the biomedical engineer is unable to link the monitor to the patient transport system. # # # impact - the patient cannot be transported using the patient transport system. # # # possible causes - the monitor is not compatible with the patient transport system. - the monitor is not properly configured to link with the patient transport system. - the cable connecting the monitor to the patient transport system is damaged. # # # recommendations - check that the monitor is compatible with the patient transport system. - ensure that the monitor is properly configured to link with the patient transport system. - inspect the cable connecting the monitor to the patient transport system for damage. @topic:16


# # # issue - the bed, electric from hill - rom ( model : centuris p750 ) failed due to a faulty control panel and buttons. # # # impact - the failure of the control panel and buttons prevented the bed from being operated properly, which could have a negative impact on patient care. # # # possible causes - the control panel and buttons may have failed due to a manufacturing defect. - the control panel and buttons may have been damaged during shipping or installation. - the control panel and buttons may have been exposed to moisture or other environmental factors that caused them to fail. # # # recommendations - the control panel and buttons should be replaced with new ones. - the bed should be inspected for any other damage that may have been caused by the failure of the control panel and buttons. - the bed should be tested to ensure that it is operating properly before it is returned to service. @topic:9


monitoring protocols : * * implement regular checks and maintenance procedures to ensure the proper functioning of medical devices, including battery replacements. @topic:11


you how much time is left until the battery is charged to 90 %. if > 10 hrs is shown here, the battery may not charge completely when the monitor is in use. you can use the 865432 smart battery conditioner ( previously m8043a ) to charge the batteries externally. • checking battery charge to check the charge status of a battery, refer to the battery power gauge on the screen, or open the ndow. when battery lifetime is expired when the battery is aged, either after 3 years from manufacturing date or after 500 charge / discharge cycles, it is recommended to replace the battery. to remind you of this, a message will appear in the battery status window. this message will only be displayed at the appropriate time when the date and time on the monitor is correct. replacing a battery to replace the battery, 1 press on the battery compartment door and slide it to the right to open it. 2 pull gently on the canvas strap to move the battery towards you, then grasp the battery and pull it out fully. 3 slide the new battery into position, making sure that the battery contacts are facing in the correct direction, as outlined on the inside of the battery compartment door. close the battery compartment door. 4 407 the performance of rechargeable batteries may deteriorate over time. battery maintenance as recommended here can help to slow down this process. display brightness setting 1 in the main setup menu, select user interface, brightness, then optimum. this selects a level of brightness suitable for most monitoring locations that uses less battery power than brighter settings. 2 ensure that the current level of brightness is suitable for r monitoring lcharging a battery a battery can be charged in monitors used to monitor patients. charging is quicker in monitors which are switched off. you can also use the 865432 smart battery conditioner ( previously m8043a ) to 1 insert the battery into @topic:11


# # # issue the bedside fetal monitor is displaying abnormal lines, flickering, and blue bars on the screen. # # # impact this issue prevents healthcare professionals from accurately monitoring fetal heart rate and other vital parameters. # # # possible causes * * 1. loose display cable : * * the technician had recently adjusted the display cable, which could have caused it to become loose or disconnected. * * 2. faulty display panel : * * the display panel itself could be damaged or malfunctioning. # # # recommendations * * 1. check display cable : * * ensure that the display cable is securely connected to the monitor and the display panel. * * 2. test with different display : * * if possible, connect a different display panel to the monitor to isolate the issue to the panel or the monitor itself. * * 3. contact vendor : * * if the issue persists after checking the cable and display, contact the vendor ( philips ) for further troubleshooting and potential repair or replacement of the monitor. @topic:2


##essary. 5. off on there are two configuration modes : scan and manual. ress scan networks. 1. can netwonew profile select a profile in the list 2. nter the parameters3. rofile details a ) namename wifi 0 a. name ( name ) ssid sectype ( c ) ssido no - security b. ssid auth type eap type ( e ) none leap sec type ( sec type ) c. user name password ( f ) ( g ) username0 passwordpsk wifi 0 auth type ( auth type ) d. save scan cancel eap type ( eap type ) e. user name ( user name ) f. password ( password ) g. information on the maximum number of characters : name : 32 characters. • sid : 32 characters. user name : 32 characters. password : 64 characters. press save to save the settings 4 1. ress new prnew profile scan networks enter the parameters in the same way as for scan mode. 2. 3. press save to save the settings. activating a profile 1. select a profile from the list ( e. g., profile name? on wifi 1 ). rofile narofile name 2 rofile name 3 i new profile scan networks close the profile turns green2.? wifi on rofile name 1 i profile name 2 3. the profile is active. ch on wifi ol i profile name 1 i rofile name 2 profile name 3 check the wi - fi address data ( ip and mac ) by licking on the information icon. 4. ip : 192. 168. xx. xx mac : xxxxxxxxxxxx communication cable patient safety siderails the hill - rom 900 accella lit is fitted with built - in half - siderails. always ensure that there are no obstacles @topic:10


##grade performance of the product. electromagnetic compatibility with surrounding devices should be assessed prior to using the product. fixed, portable, and mobile radio frequency communications equipment can also affect the performance of medical equipment. see your service provider for assistance with the minimum recommended separation distance between rf communications equipment and the product. the cables, sensors / transducers, and other accessories for which compliance is claimed are listed earlier in the instructions for use. e use of accessories, transducers, and cables other than those specified may result in increased emissions and / or decreased immunity of the suresigns vs2 * and vsi vital signs monitors. e the suresigns vs2 * and vsi vital signs monitors should not be used adjacent to or stacked with other equipment. if adjacent or stacked use is necessary, the monitor should be observed to verify normal operation in the configuration in which it is used. reducing electromagnetic interference the suresigns vs2 * and vsi vital signs monitors and associated accessories can be susceptible to interference from other rf energy sources and continuous, repetitive, power line bursts. examples of other sources of rf interference are other medical electrical devices, cellular products, information technology equipment, and radio / television transmission. if interference is encountered, as demonstrated dramatic variations in physiological parameter measurement values, attempt to locate the source. assess the following : e is the interference due to misplaced or poorly applied sensors? if so, re - apply sensors correctly according to directions in the product ’ s instructions for use. e is the interference intermittent or constant? + does the interference occur only in certain locations? e does the interference occur only when in close proximity to certain medical electrical equipment? e do parameter measurement values change dramatically when the ac line cord is unplugged? once the source is located, attempt to attenuate the interference by distancing the product from the source as much as possible. if @topic:10


up for use and the timer control knob is turned, gas is directed to the calibration chamber on the tcp0 2 / tcpc0 2 module ( philips m1018a ) for a period of up to 20 minutes. after this time the valve automatically closes. this section provides the necessary information for you to install and service the philips 1521 ob. calmod. tif unpacking the instrument if external damage to the shipping carton is evident, ask the carrier ’ s agent to be present when the unit is unpacked. initial inspection check the instrument for any external damage such as dents and scratches on panel surfaces. if the shipping carton is not damaged, check the cushioning material and note any signs of severe stress as an indication of rough handling in transit. retain the packaging material for possible repacking. 265 a philips 1521 ob calibration unit unpacking the instrument claims for damage if physical damage is evident when the calibration unit is received or the unit does not meet the specified operational requirements, please notify the carrier and the nearest philips sales / service office immediately. the sales / service office will arrange for repair or replacement without waiting for settlement of the claim against the carrier. repacking for shipment or storage if the calibration unit is to be shipped to a philips sales / service office, securely attach a tag showing the name and address of the owner, the model and serial number, and the repair required or symptoms of the fault. if available and reusable, the original shipping carton and packaging material should be used to provide adequate protection during shipping. the philips sales / service office will provide information and recommendations on materials to be used if the original material is not available or reusable. instrument identification philips uses a nine character sequence for instrument identification. the serial number is located on a plate attached to the rear panel of the @topic:17


# # # issue - blade overdued # # # impact - device failure # # # possible causes - lack of proper maintenance or preventive maintenance schedule - user / operator error - failure to follow manufacturer's instructions # # # recommendations - establish a regular preventive maintenance schedule and adhere to it strictly. - train users / operators on proper use and maintenance of the device. - refer to manufacturer's instructions for specific maintenance requirements. @topic:12


# # # issue - the bedside monitor's screen is not displaying anything. # # # impact - the bedside monitor is a critical piece of equipment for monitoring the patient's vital signs. without a functioning monitor, the staff will be unable to track the patient's condition and respond to any changes. # # # possible causes - power supply failure - faulty display - motherboard failure - software corruption # # # recommendations - check the power supply to the monitor. - inspect the display for any signs of damage. - contact the manufacturer for support. @topic:2


# # # issue bed alarm is not working properly. # # # impact patient safety is at risk if the bed alarm is not working properly. the patient may be able to get out of bed without assistance, which could lead to falls or other injuries. # # # possible causes * bed alarm is not set properly. * bed alarm is not working properly. * bed alarm is not connected properly. # # # recommendations * check the bed alarm settings and make sure that they are set correctly. * test the bed alarm to make sure that it is working properly. * make sure that the bed alarm is connected properly. @topic:26


# # # issue the nihon kohden bsm - 1763k bedside physiologic monitor is unable to measure blood pressure due to an air leak in the cuff. # # # impact the monitor is unable to provide accurate blood pressure readings, which can delay or compromise patient care. # # # possible causes * * * cuff leak : * * the cuff may be punctured or damaged, causing air to leak out. * * * faulty air pump : * * the air pump may not be functioning properly, resulting in insufficient air pressure in the cuff. * * * obstruction in the air line : * * a kink or blockage in the air line can prevent air from flowing properly. * * * software issue : * * a software glitch may interfere with the monitor's ability to detect and measure blood pressure. # # # recommendations * * * replace the cuff : * * if the cuff is damaged, it should be replaced with a new one. * * * inspect the air pump : * * the air pump should be inspected for any signs of damage or malfunction. * * * check the air line : * * the air line should be checked for kinks or blockages. * * * reboot the monitor : * * rebooting the monitor may resolve any software issues that may be causing the problem. * * * contact technical support : * * if the issue persists after trying the above steps, contact technical support for further assistance. @topic:15


# # # issue - electric bed not adjusting at the foot end # # # impact - patient discomfort - difficulty in positioning the patient - delays in patient care # # # possible causes - faulty remote control unit - loose or damaged wiring - malfunctioning foot motor - software glitch # # # recommendations 1. * * check the remote control unit. * * replace the batteries and ensure that it is sending a signal to the bed. 2. * * inspect the wiring. * * look for any loose or damaged connections. tighten any loose connections and replace any damaged wires. 3. * * test the foot motor. * * disconnect the motor from the bed and apply power directly to it. if the motor does not operate, it may need to be replaced. 4. * * reinstall the software. * * if the bed has recently been updated with new software, reinstall the software to see if it resolves the issue. 5. * * contact the manufacturer. * * if none of the above steps resolves the issue, contact the manufacturer for assistance. @topic:1


# # # issue - slow processing time for spo2 measurements - device has exceeded ecri recommended lifespan ( 7 years ) - current device age : 14 years # # # impact - potential for inaccurate or delayed spo2 measurements - increased risk of patient harm # # # possible causes - aging components - software issues - hardware malfunction # # # recommendations - replace the device with a newer model - consider preventive maintenance to extend the lifespan of the device - regularly monitor the device for any signs of deterioration @topic:4


# # # issue the bed, electric is not available for use in the ward6r due to it being loaned to the 5w department. # # # impact the lack of a bed in the ward6r has a negative impact on the patient's care, as they are not able to receive the necessary treatment. # # # possible causes the bed was loaned to the 5w department without the proper authorization or documentation. # # # recommendations ensure that a proper authorization and documentation process is in place for the loaning of medical equipment. @topic:9


# # # issue - the bed does not lock in place. # # # impact - this could lead to the patient falling out of the bed, which could cause serious injury. # # # possible causes - the locking mechanism may be malfunctioning. - the bed may not be properly assembled. - the bed may be defective. # # # recommendations - inspect the locking mechanism for damage or wear. - make sure that the bed is properly assembled. - test the bed to make sure that it locks in place securely. - if the problem persists, contact the manufacturer for assistance. @topic:6


* * issue : * * - broken lower arm locking pin in the huntleigh enterprise 8000 bed, electric * * impact : * * - the bed cannot be used safely, as the lower arm may not be securely locked in place. * * possible causes : * * - * * mechanical stress : * * the locking pin may have been subjected to excessive force or stress, causing it to break. this could be due to improper handling or use of the bed. - * * defective material : * * the locking pin may have been made of a defective material that was not strong enough to withstand the normal forces applied to it. - * * wear and tear : * * the locking pin may have worn down over time, reducing its strength and eventually causing it to break. * * recommendations : * * - * * inspect the bed thoroughly : * * check all other locking pins and mechanisms to ensure they are in good condition. - * * replace the broken locking pin : * * replace the broken locking pin with a new one from the manufacturer. - * * train staff on proper use : * * ensure that all staff who use the bed are trained on proper handling and maintenance. - * * perform regular maintenance : * * schedule regular maintenance checks to identify and address any potential issues with the bed before they cause failures. @topic:6


# # # issue - bedside monitor code bem043 is being used temporarily in icu2 because the monitor in room 17 is not working. # # # impact - the lack of a functioning monitor in room 17 could compromise patient care. # # # possible causes - the failure of the monitor in room 17 could be due to various reasons, such as : - technical issues within the device itself - power supply problems - improper maintenance or usage # # # recommendations - to address the issue, the following steps are recommended : - thoroughly troubleshoot the monitor in room 17 to identify the root cause of the failure. - repair or replace the faulty monitor as soon as possible to ensure optimal patient care. - establish a regular maintenance schedule for all medical devices to prevent future failures. - provide staff with proper training on the correct usage and maintenance of medical equipment. @topic:2


# # # issue - faulty remote control causing inability to adjust bed angle. # # # possible causes - * * remote control malfunction : * * internal electrical or mechanical failure within the remote control. - * * communication issue : * * poor wireless connection or interference between the remote control and the bed unit. # # # recommendations - * * replace remote control : * * replace the faulty remote control with a new or refurbished unit. - * * check wireless connection : * * ensure a strong and stable wireless connection between the remote control and the bed unit. - * * test communication : * * verify communication between the remote control and the bed unit using diagnostic tools or software. @topic:7


# # # issue - cuff bp has deteriorated. # # # impact - the patient's blood pressure cannot be measured accurately. # # # possible causes - the cuff bp has been used excessively. - the cuff bp has been exposed to moisture / detergent / heat. - the cuff bp has been damaged. # # # recommendations - replace the cuff bp. - inspect the cuff bp regularly for signs of wear or damage. - store the cuff bp in a dry, cool place. - use the cuff bp according to the manufacturer's instructions. @topic:3


# # # issue the rack module mounting kit is loose and damaged. # # # impact the monitor may not be able to connect to the rack module properly. this could lead to data loss or patient harm. # # # possible causes - the rack module mounting kit may have been installed incorrectly. - the rack module mounting kit may have become loose over time. - the rack module mounting kit may have been damaged. # # # recommendations - inspect the rack module mounting kit for damage. - replace the rack module mounting kit if necessary. - tighten the rack module mounting kit screws. - test the connection between the monitor and the rack module. @topic:12


# # # issue - spo2 cable failure # # # impact - patient monitoring may be inaccurate or unavailable. # # # possible causes - the cable may be damaged or frayed. - the cable may not be properly connected to the monitor or the patient. - the cable may be incompatible with the monitor or the patient. # # # recommendations - inspect the cable for damage or fraying. - ensure that the cable is properly connected to the monitor and the patient. - if the cable is damaged or frayed, replace it with a new cable. - if the cable is not properly connected, reconnect it. - if the cable is incompatible with the monitor or the patient, replace it with a compatible cable. @topic:4


longer displayed. during this hour, measurement values may be grayed out or disappear from the screen after a set time, if configured to do so. this avoids older numerics being misinterpreted as current data. the time can be set in configuration mode. in auto mode the measurement values may disappear more quickly ( to be replaced by new s ), if the repeat time is set to less than one hour. alarm sources if you have parallel alarm sources, the sources are displayed instead of the alarm limits. nbp measurement timestamp the time of the most recent nbp measurement, also known as the " timestamp ", or - the time until the next measurement in an automatic series, displayed with a graphic he remaining time, as shown here. : 51 the nbp timestamp will normally show the completion time of the nbp measurement. • 206 the cuff pressure is displayed instead of the units and the repeat time. an early systolic value gives you preliminary indication of the systolic blood pressure during measurement. a a when values measured are higher or lower than expected, check the following potential causes : solution possible cause the patient was talking or moving before or during the measurement. allow the patient to rest quietly, then try again after three to five minutes. check the cuff size, level, and position then repeathe measurement. the incorrect cuff size was used or the cuff was l the noninvasive blood pressure reference method check the reference method ( auscultation or intra - is set incorrectly. arterial ) in the setup nbp menu. if it is incorrect, have it changed in configuration mode. measurement limitations have not been taken into check the list in " measurement limitations " on account. use the setup menu, smartkeys or the mms hardkey to start and stop measurements. action to be performed mms hardketar @topic:17


test result : c. o. = 5 + / — 1 l / min. expected test results cardiac output performance test c. o. = 5 + / — 1 i / min 90 service tool procedure, version 1 this procedure applies for service tool m1012 - 61601 in combination with c. o. modules without option c10 and m3012a mms extensions with option c05. 1. in monitoring mode, connect the c. o. interface cable to the module. 2. connect one side of the service tool to the injectate receptacle of c. o. interface cable and the other side to catheter cable receptacle. 3. enterthe c. o. procedure window and check the results. the expected test result is : tblood = 37. 0°c + / - 0. 1°c expected test results cardiac output service tool tblood = 37. 0°c + / - 0. 1°c procedure version 1 service tool procedure, version 2 this procedure applies only for service tool m1012 - 61601 in combination with c. o. modules with option c10 and for the m3012a mms extension with option c10. 1. in monitoring mode, connect the c. o. interface cable to the module. 2. connect one side of the service tool to the injectate receptacle of the c. o. interface cable and the other side to the catheter cable receptacle. 3. enter c. o. procedure window and check results for : - method of measurement - arterial catheter constant - tblood the expected results are : - transpulmonary - 341 - tblood = 37. 0°c + / - 0. 1°c make sure the main alarms are switched on. disconnect the catheter cable rec @topic:17


# # issue rolling pump motor had a stuck shaft. # # impact the physiological vital signs monitor could not measure blood pressure. # # possible causes - the shaft may have become stuck due to lack of lubrication. - the shaft may have become stuck due to the presence of foreign objects, such as dust or debris. - the shaft may have become stuck due to wear and tear. # # recommendations # # # lubrication related - the shaft and bearing should be lubricated regularly to prevent it from sticking. - the appropriate type of lubricant should be used. - the lubrication process should be carried out at the specified intervals. # # # foreign objects - the device should be kept clean free from dust and debris. - the device should be regularly inspected for any foreign objects. - the device should be operated in a clean environment. # # # wear and tear - the shaft and bearing should be inspected regularly for any signs of wear and tear. - if the shaft or bearing is found to be worn or damaged, it should be replaced. - the device should be used according to the manufacturer's instructions. # # # maintenance strategy - the device should be inspected and maintained regularly according to the manufacturer's instructions. - the device should be calibrated regularly to ensure accuracy. - the device should be used by trained personnel only. @topic:9


* * issue : * * the physiologic vital signs monitor is not functioning due to a damaged hose at the distal end. * * impact : * * the device is unable to provide accurate and reliable measurements of vital signs, which can compromise patient care. * * possible causes : * * - physical damage to the hose, such as a kink, puncture, or cut - deterioration of the hose material over time, leading to cracks or leaks - incompatible hose or connections - faulty hose assembly * * recommendations : * * - inspect the hose for any visible damage or signs of wear and tear. - replace the damaged hose with a new one that is compatible with the device and meets the manufacturer's specifications. - ensure that the hose is securely connected to the device and patient. - conduct regular preventive maintenance checks to inspect and replace hoses as needed. - train staff on the proper handling and storage of the device to prevent damage to the hoses. @topic:5


# # # issue - intermittent loss of spo2 signal on intellivue mx550 bedside monitor. # # # impact - inability to accurately monitor patient's oxygen saturation levels, which can lead to delayed or incorrect treatment decisions. # # # possible causes - faulty spo2 sensor cable. - loose or damaged connection between the spo2 sensor and the monitor. - malfunctioning spo2 sensor. - electrical interference from other medical devices. # # # recommendations - replace the spo2 sensor cable. - inspect and tighten the connection between the spo2 sensor and the monitor. - check the spo2 sensor for damage or contamination. - move the monitor away from potential sources of electrical interference. @topic:4


##11 navigation wheel assembly pcb 4535 640 20381 vm4 / vm6 backlight pcb 4535 640 20241 vm8 backlight pcb 4535 640 31011 vm4 / vm6 lcd backlight cable 4535 640 20281 vm8 lcd backlight cable 4535 640 24561 vm4 / vm6 lcd signal in cable 4535 640 20301 vm8 lcd signal in cable 4535 640 24571 see chapter 9, replacement parts for a complete list ( including part numbers ) of spare parts. removing the lcd caution after replacing the lcd, you must reset the lcd usage hours. for more information on resetting the lcd usage hours, see “ tracking component usage ” on page 7 - 32. caution perform this procedure in a dust - free environment to avoid damage to the lcd display. to remove the lcd : 1. separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 8 - 10 repairing the monitor 8 - 41 front case disassembly procedures 2. remove six torx t10 screws that hold the display in place ; remove the grounding screw and washer ;. 3. use wire - cutters to cut the plastic zip tie securing the navigation wheel assembly wires to the display. note — when reassembling the lcd display and navigation wheel assemblies, the cables should be secured to the display with a new plastic zip tie. 4. gently peel the ribbon cable from the foam adhesive, and lift the display out of the front case. navigation wheel assembly wires 8 - 42 repairing the monitor front case disassembly procedures note — the following shows the suresigns vm8 lcd. removing the navigation wheel assembly board to remove the navigation wheel assembly board : 1. separate the front and rear monitor case assemblies. see “ separating @topic:19


# # # issue - malfunctioning spo2 cable # # # impact - inaccurate or unreliable spo2 readings - potential patient safety risks if oxygen saturation levels are not accurately monitored # # # possible causes - degradation of the cable material over time due to wear and tear - damage to the cable from mishandling or improper storage - loose or faulty connections at the cable ends - interference from external devices or sources # # # recommendations - regularly inspect spo2 cables for signs of damage or deterioration - replace cables promptly when any issues are identified - ensure proper storage and handling of cables to avoid damage - verify cable connections to ensure a secure and reliable connection - check for potential interference from other devices or sources and take appropriate measures to mitigate the issue @topic:4


# # # issue : - failure of medicine drawers to eject after scanning. # # # impact : - delays in medication dispensing - potential errors in medication administration - inconvenience for healthcare providers and patients # # # possible causes : - malfunctioning solenoid valves - blockage or misalignment of drawer rails - insufficient lubrication of moving parts - electrical connection issues - software or hardware errors - faulty scanner # # # recommendations : - * * lubricate moving parts : * * inject wd - 40 or similar lubricant into the drawer rails and solenoid valves. - * * inspect for blockages : * * check for any obstructions or misalignment in the drawer rails. - * * test solenoid valves : * * verify the functionality of each solenoid valve by manually actuating them. - * * check electrical connections : * * ensure that all electrical connections are secure and free of damage. - * * update software or firmware : * * if applicable, check for and install any pending software or firmware updates. - * * contact the manufacturer : * * if the problem persists, contact the manufacturer for further troubleshooting and potential repair. @topic:21


# # # issue - the physiologic monitor, philips model intellivue mp70 ( m8007a ), failed due to a loose nut. # # # impact - the failure of the physiologic monitor may have resulted in inaccurate or no patient data being displayed, which could have led to delayed or incorrect treatment decisions. # # # possible causes - the nut may have been loose due to improper installation or maintenance. - the nut may have been damaged or worn over time. # # # recommendations - ensure that all nuts and bolts are properly tightened during installation and maintenance. - regularly inspect all nuts and bolts for damage or wear. - replace loose or damaged nuts and bolts as necessary. @topic:2


# # # issue the icon medcart is missing and has been recovered. # # # impact the medical cart is unavailable for use, which may impact patient care. # # # possible causes the medical cart may have been : * stolen * misplaced * borrowed without permission # # # recommendations * check with other departments to see if they have the medical cart. * search the hospital for the medical cart. * contact the manufacturer of the medical cart to see if they can track its location. * install a tracking device on the medical cart to prevent future theft or loss. @topic:13


* * issue : * * remote keypad is broken or missing. * * impact : * * the bed cannot be operated remotely, which can be inconvenient for patients and staff. * * possible causes : * * * accidental damage : the remote keypad may have been dropped or knocked off the bed. * malfunction : the remote keypad may have malfunctioned due to electrical or mechanical issues. * theft : the remote keypad may have been stolen. * * recommendations : * * * inspect the remote keypad and surrounding area for any signs of damage or tampering. * test the electrical connections and functionality of the remote keypad. * secure the remote keypad to the bed or in a safe location to prevent accidental damage or theft. * consider purchasing a replacement remote keypad if necessary. * train staff on the proper handling and care of medical devices to prevent future accidents. @topic:25


* * issue : * * spo2 cable failure * * impact : * * the patient's oxygen saturation levels cannot be accurately measured, which can lead to incorrect treatment decisions. * * possible causes : * * * physical damage to the cable, such as cuts or breaks * connector problems * sensor malfunction * * recommendations : * * * inspect the cable for any visible damage and replace it if necessary. * inspect the cable connectors and clean them if necessary. * test the sensor to ensure that it is functioning properly. @topic:4


# # # issue - loose locking nut on the side of the bed # # # impact - malfunctioning bed - potential safety hazard for patients and staff # # # possible causes - the locking nut was not properly tightened during assembly or maintenance. - the locking nut has worn or loosened over time due to heavy use. - the locking nut was damaged or stripped. - external force applied in the locking nut, like kicking or bumping. # # # recommendations - tighten the locking nut to the specified torque using a torque wrench. - inspect the locking nut for damage or wear and replace it if necessary. - regularly check the tightness of the locking nut and other critical components of the bed frame. - prevent any external force on the locking nut and properly train staff on the correct use of the bed. @topic:6


# # # issue - bp cuff failure # # # impact - inaccurate blood pressure measurement - potential delays in patient care # # # possible causes - cuff bp wear and tear - incorrect cuff size - improper cuff maintenance # # # recommendations - regular inspection and maintenance of cuff bp - use proper cuff size - follow manufacturer's guidelines for cuff usage and maintenance @topic:3


# # # issue - broken footrest on a hill - rom affinity 4 ( p3700 ) hospital bed # # # impact - patient discomfort or safety concerns - inconvenience for hospital staff - potential delays in patient care # # # possible causes - excessive force applied to the footrest - defective materials or workmanship - wear and tear over time - previous repair attempts that weakened the footrest # # # recommendations - inspect the footrest for any visible signs of damage or defects. - check the tightness of the screws or bolts holding the footrest in place. - contact the manufacturer or a qualified medical equipment technician for repairs or replacement. - consider using a footboard or other support to prevent excessive stress on the footrest. @topic:1


# # # issue - the cause of failure for the bed, electric, huntleigh, enterprise 8000 is not listed in the provided information. # # # impact - the impact of the failure is not known. # # # possible causes - the possible causes of the failure could be anything from a loose connection to a faulty component. # # # recommendations - recommend the technician to further investigate the issue and determine the cause of failure. - recommend the technician to repair or replace the faulty component as necessary. @topic:9


to create a y - tube. cut a 4500 - 30 blood pressure hose approximately 6 inches from the connector that connects 1. 2. split the end of the dual - lumen hose to create two separate hoses. make sure not to puncture either hose. insert one end of the y - type fitting into each end of the hose. 3. nibp tests for the nibp leak test, overpressure test, or accuracy check, connect the test equipment according to the test setup diagram for your configuration presented earlier in this section. connect the manifold to the volume repair fixture as indicated by the service tool or the test procedure. nibp leak test ( standard unlicensed edition ) the nibp leak test is performed automatically using the service tool. the leak test pressurizes the system with a start pressure ( ps ) of 250 mmhg ± 10 mmhg. after 15 seconds ( t + ) the end pressure ( p ) is measured. the leak rate is calculated using the formula l = ( ps - pe ) / tt. the test fails if the leak rate exceeds 5 mmhg in 15 seconds. perform an nibp leak test 1. set up the test equipment. launch the service tool on the pc. 2. if the simplified interface is active, choose the service option. 3. 4. log on with your user id and password or with admin as the user id and leave the password field blank. power on the device. 5. select the device you want to test from the device list. 6. 7. click nibp sensor under the device information tab. service manual functional verification and calibration overview 113 click leak test in the nibp sensor pane on the right side of the window. 8. follow the prompts until the test completes. 9. 10. click close. 11. to view the results, open the @topic:17


1. 5m cable ) for patients between 4kg and 15 kg. any finger except thumb. yes no m1196a adult clip sensor ( 3m cable ) for patients over 40 kg. any finger except thumb. yes no m1191t adult sensor ( 0. 45m cable ), for patients over 50 kg. any finger, except thumb. yes no requires ml943 ( 1 m ) or m1943al ( 3 m ) adapter cable m1192t small adult, pediatric sensor ( 0. 45m cable ) for patients between 15 kg and 50 kg. any finger except thumb. yes no m1193t neonatal sensor ( 0. 9m cable ) for patients between 1kg and 4 kg. hand or foot. yes no m1196t adult clip sensor ( 0. 9m cable ) for patients over 40 kg. any finger except thumb. yes no ml 191anl special edition ( se ) adult sensor ( 3m cable ), for patients over 50 kg. any finger, except thumb. yes yes no adapter cable required. m1192an special edition ( se ) small adult, pediatric sensor ( 1. 5m cable ) for patients between 15 kg and 50 kg. any finger except thumb. yes yes m1193an special edition ( se ) neonatal sensor ( 1. 5m cable ) for patients between 1kg and 4 kg. hand or foot. yes yes 388 sp0 2 accessories 37 accessories product number description compatible with : comments opt. a01 opt. a02 m1194an special edition ( se ) ear sensor ( 1. 5m cable ) for patients over 40 kg. yes yes no adapter cable required. m1193an special edition ( se ) infant sensor ( 1. 5m cable ) for patients between 4 kg and 15 kg. any finger except thumb. yes yes @topic:8


# # # issue the electric bed in the medical examination room is not able to be adjusted up or down. # # # impact this issue prevents the bed from being used for medical examinations, which can interrupt patient care. # # # possible causes - * * power supply issues : * * the bed may not be receiving power, or the power supply may be interrupted. - * * electrical component failure : * * one or more electrical components in the bed may have failed, preventing the bed from adjusting. - * * mechanical issues : * * the bed's mechanical components may be jammed or obstructed, preventing it from adjusting. - * * hydraulic system issues : * * the bed's hydraulic system may have a leak or other problem, preventing it from generating the necessary pressure to adjust the bed. - * * software issues : * * the bed's software may have a bug or other issue that is preventing it from controlling the bed's movements. # # # recommendations to troubleshoot this issue, the following steps can be taken : - * * check the power supply : * * ensure that the bed is plugged into a working power outlet and that the power cord is not damaged. - * * inspect the electrical components : * * look for any loose connections, damaged wires, or burned - out components. - * * check the mechanical components : * * check for any obstructions or jams in the bed's mechanical components. - * * inspect the hydraulic system : * * check for any leaks or other problems in the bed's hydraulic system. - * * update the software : * * if the bed has software, check for any available updates and install them. - * * contact the manufacturer : * * if the issue cannot be resolved by the above steps, contact the bed's manufacturer for support. @topic:1


example, while you are washing a patient or carrying out a procedure. only extend the alarm pause time when you are sure that clinical personnel are available to monitor the patient's condition closely. 66 3 alarms to extend the alarm pause time to five or 10 minutes, select one of the alarm fields. this calls up the alarm messages window. 1 select either the pop - up key pauseal. 5 min or the pop - up key pauseal. 10 min. each time select one of these pop - up keys, the alarm pause time is reset to five ( or 10 ) minutes. 2 you alarm settings for unattended monitoring when monitoring patients that are not continuously attended, use appropriate alarm settings to optimize monitoring : always leave alarms switched on when the patient is unattended. • recommended configuration : use one of the temporary settings for the alarms off setting, not infinite, and make sure that the alarmoffreminder and the alarm reminder are switched on ( these settings are made in configuration mode ).. set alarm limits so that alarms will be triggered for those changes in the patient condition that you want to be advised of. setting limits to very high or low values can render the alarm system useless. use available notification routes, such as a nurse call system or the connection to an information center, or at least select an appropriate alarm volume to ensure that alarms are recognized. • alarm limits the alarm limits you set determine the conditions that trigger yellow and red limit alarms. for some measurements ( for example, bis and spo2 ), where the value ranges from 100 to 0, setting the high alarm limit to 100 switches the high alarm off, or setting the low alarm limit to 0 switches it off. in these cases, the alarms off symbol is not displayed. warning be aware that the monitors in your care area may each have different alarm settings, to suit different patients. always check that the @topic:8


# # # issue * bed electric is not locking and unable to be adjusted. # # # impact * patient safety is compromised as the bed may move or collapse when in use. # # # possible causes * corrosion of the locking mechanism due to contact with moisture or fluids. * mechanical failure of the locking components. * electrical fault in the locking system. # # # recommendations * inspect the locking mechanism for signs of corrosion and clean or replace as necessary. * lubricate the locking components to reduce friction and ensure smooth operation. * check the electrical connections to the locking system and repair or replace any damaged wires or connectors. @topic:6


# # # issue - the electric bed cannot be adjusted upwards. # # # impact - the patient may not be able to get into or out of bed safely. - the patient may not be able to be positioned comfortably for medical procedures. # # # possible causes - the electrical motor that drives the bed may be faulty. - the wiring to the motor may be damaged. - the control panel may be malfunctioning. - the battery may be dead. # # # recommendations - check the electrical motor and wiring for any damage. - check the control panel for any loose connections or damaged components. - replace the battery if necessary. - if the problem persists, contact a qualified biomedical engineer for further assistance. @topic:1


# # # issue - cuff leakage - missing connector # # # impact - inaccurate patient monitoring - potential for patient injury # # # possible causes - ageing and degradation of cuff material - physical damage to cuff or connector - improper storage or handling of equipment # # # recommendations - regular maintenance and inspection of equipment - replacement of worn or damaged cuffs and connectors - proper storage and handling of equipment to prevent damage - training of staff on proper use and maintenance of equipment @topic:5


troubleshoot network connectivity or integration issues. * * 6. contact manufacturer support : * * - if the issue cannot be resolved through troubleshooting, contact the manufacturer's technical support for further assistance. @topic:16


# # # issue the patient monitor cannot be used without being plugged in. # # # impact the patient cannot be monitored without the monitor being plugged in. # # # possible causes - the battery is not charged. - the battery is not properly connected. - the monitor is not properly configured. - the monitor is defective. # # # recommendations - check the battery level and charge it if necessary. - reseat the battery. - check the monitor's configuration settings. - contact the manufacturer for support. @topic:11


# # # issue - the spo2 sensor on the casmed 740 monitor is malfunctioning due to a broken spring. # # # impact - the monitor cannot accurately measure spo2 levels. # # # possible causes - the spring in the sensor may have been damaged due to excessive force or wear and tear. # # # recommendations - replace the spo2 sensor with a new one. - inspect the sensor for any other damage and replace if necessary. - calibrate the monitor after replacing the sensor to ensure accuracy. @topic:4


# # # issue - battery failure in nibp monitor # # # impact - inability to accurately measure blood pressure # # # possible causes - battery has reached its end of life - battery was not properly installed - electrical fault in the battery or charging circuit # # # recommendations - replace the battery - ensure that the battery is properly installed - test the battery and charging circuit for any electrical faults @topic:11


# # # issue - scanner ( bmc17143 ) failure on the medical cart # # # impact - inability to scan medical records or images # # # possible cause - battery degradation in scanner ( bmc17143 ) # # # recommendations - replace the degraded battery in scanner ( bmc17143 ) or replace the scanner unit with a functional one, such as scanner ( bmc17154 ). @topic:23


# # # issue - ekg lead v1 cable is broken or damaged. # # # impact - the patient's ekg signal may not be accurately recorded. - this could lead to incorrect diagnosis or treatment. # # # possible causes - the cable may have been pulled or stretched too far. - the cable may have been pinched or cut. - the cable may have been exposed to moisture or other corrosive substances. # # # recommendations - inspect the cable for any signs of damage. - if the cable is damaged, replace it with a new one. - ensure that the cable is not pulled or stretched too far. - avoid pinching or cutting the cable. - protect the cable from moisture and other corrosive substances. @topic:18


# # # issue - cuff of the bedside physiologic monitor is deteriorated. # # # impact - the monitor may not be able to accurately measure patient's vital signs, such as blood pressure, heart rate, and respiration rate. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged by improper use or storage. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear or damage. - use the cuff only for its intended purpose. - store the cuff in a cool, dry place. @topic:5


# # # issue - cuff bp ( blood pressure ) is torn and unable to secure around the patient's arm. # # # impact - accurate blood pressure readings cannot be obtained. # # # possible causes - aging or wear of the cuff material - mishandling or excessive force during use - exposure to sharp objects or chemicals # # # recommendations - replace the cuff bp with a new one. - regularly inspect the cuff for signs of damage or deterioration. - handle the cuff carefully to avoid tearing or ripping. - keep the cuff away from sharp objects or corrosive substances. @topic:3


* * issue : * * cover of the equipment is loose. * * impact : * * the equipment may not be able to function properly or may pose a safety hazard to the user. * * possible causes : * * - the cover may not have been properly attached during assembly. - the cover may have been loosened due to wear and tear. - the cover may have been damaged. * * recommendations : * * - check the attachment mechanism for the cover and tighten any loose screws or bolts. - inspect the cover for any damage and replace it if necessary. - regularly inspect the cover to ensure that it is properly attached and in good condition. @topic:24


of recording using a preconfigured recordings template, ♦ select the recordings smartkey and then select the pop - up key of the recording type you want to start. ♦ 322 alternatively, you can select the main setup smartkey, select recordings, then select the recording type. overview of recording types 26 recording to quickstart a delayed recording, ♦ select the smartkey delayed record to immediately start a delayed recording. m1116b ♦ you can also start a delayed recording by pressing the run / cont key on the recorder module. only extending recordings timed ( non - continuous ) recordings stop when their runtime is over. continuous recordings continue until stopped manually or by an inop condition. m1116b only ♦ to extend an ongoing recording by its runtime, reselect its start pop - up key once. ♦ to make an ongoing recording continuous, reselect its start pop - up key twice within 5 seconds. ♦ you can also make an ongoing recording continuous by pressing the run / cont key on the recorder module. stopping recordings recordings stop automatically when the preset runtime is over, when the recorder runs out of paper, when you open the recorder door or when the recorder has an inop condition. ♦ to manually stop a recording, select the recordings smartkey and then select the pop - up key stop all recordng. m1116b ♦ you can also stop a recording by pressing the stop key on the recorder module. only recording without a template to record without a preconfigured template, selecting the waves you require, 1 either : select the recordings smartkey then select the pop - up key select waves. or : select the smartkey record waves. 2 use the pop - up keys to choose up to three measurement waves to be printed on the recording. if you want fewer than three waves on the recording, select the waves you want then select @topic:8


# # # issue - the battery of the philips suresings vs2 monitor was replaced. # # # impact - the monitor is now operational, but it needs to be charged for 8 hours. # # # possible causes - the original battery was exhausted. # # # recommendations - the battery should be replaced regularly to ensure that the monitor remains operational. - the battery should be charged for at least 8 hours before use. @topic:11


# # # issue : cuff is damaged * * impact : * * device cannot measure blood pressure accurately * * possible causes : * * - cuff wear and tear - cuff not properly inflated or deflated - patient with an unusually shaped arm # # # recommendations : - replace the cuff - ensure that the cuff is inflated and deflated correctly - calibrate the device regularly - use a cuff that is appropriate for the patient's arm size @topic:3


# # # issue - nibp monitor is not functioning properly. # # # impact - accurate monitoring of blood pressure is not possible. - patient care may be compromised if blood pressure cannot be accurately monitored. # # # possible causes - faulty o2 sensor cable # # # recommendations - replace the faulty o2 sensor cable. - ensure that the replacement cable is compatible with the nibp monitor. - calibrate the nibp monitor after replacing the cable. @topic:15


data that the monitor needs for safe and accurate operation. for example, the patient category setting determines the algorithm the monitor uses to process and calculate some measurements, the safety limits that apply for some measurements, and the alarm limit ranges. note it is strongly recommended that the same patient data fields be configured to be mandatory at the monitor and the information center. to admit a patient, 1 select the patient name field or select the admit / dischrge smartkey to open the patient demographics window. 101 5 managing patients admitting a patient 2 clear any previous patient data by selecting the dischrge patient or end case pop - up key and then confirm. if you do not discharge the previous patient, you will not be able to distinguish data from the previous and current patients, for example, in the trend database. 3 select admit patient. 4 enter the patient information : select each field and use the on - screen keyboard or choose from the pop - up list of alternatives to input information. if a conventional keyboard or a barcode scanner is connected to the monitor you can use this to enter patient information. - last name : enter the patient ’ s last name ( family name ), for example smith. - first name : enter the patient ’ s first name, for example joseph. - middle name ( if configured to appear ) : enter the patient ’ s middle name. - lifetime id, encounter id : whether these fields appear and how they are labelled can be configured for your hospital. one or both fields may be displayed and the labels may read : mrn, case id, visit id, etc. enter the appropriate data for the fields displayed. - patient cat : choose the patient category, either adult, pediatric, or neonatal. - paced : choose yes or no ( you must use “ yes ” if your patient has a pacemaker ). - height : enter the patient ’ s height. - weight : enter @topic:8


# # # issue - equipment : bed, electric - brand : hill - rom - model : 900 accella * * problem : * * the bed is not adjusting. # # # impact - the patient may not be able to get into or out of bed. - the patient may not be able to be positioned comfortably. - the patient may be at risk of injury. # # # possible causes - the bed's power cord is not plugged in. - the bed's circuit breaker has tripped. - the bed's motor is not working. - the bed's control panel is not working. - the bed's limit switches are not working. - the bed's hydraulic system is not working. # # # recommendations - check the bed's power cord to make sure it is plugged in. - reset the bed's circuit breaker. - test the bed's motor by manually moving the bed up and down. - test the bed's control panel by pressing the buttons. - test the bed's limit switches by moving the bed to the end of its range of motion. - test the bed's hydraulic system by manually pumping the bed up and down. # # # cause of failure - the bed's control panel is not working. @topic:1


for the previous patient ( with dischrge patient, remove monitor, end case or new patient ) before starting monitoring for a new patient, even if your previous patient was not admitted. failure to do so can lead to data being attributed to the wrong patient. the discharge function is only available when the patient is monitored centrally at an information center. a discharge transfers the patient out of the bed and frees all devices used for the patient. thdischarge function may be disabled at a monitor designated as a transport monitor, to ensure that a atient cannot be accidentally discharged from the system when the transport monitor is used for nother patient. dischargeclears the patient demographics erases all patient measurement data ( such as trend, event, and calculation data ) from the monitor, measurement modules and information center. this ensures that data from a previous patient are not mixed with data from a new patient. - 09 5 managing patients and equipment resets all monitor and measurement settings as well as the active screen to the settings defined in the default profile make sure that you have printed out any required reports before discharging. check that a functioning select the patient name field or select the patient demogr. smartkey to open the patient demographics window and associated pop - up keys. 1 elect the pop - up key fo2 end case - to print any configured end case reports or vital signs recording, discharge the patient and clear the patient database, then enter standby mode. if an end case smartkey is configured for your monitor, you can also select this instead and then confirm. to see which end case reports are set up for your monitor, select main setup, reports, then auto reports. for each auto report, if end case report is set to on, this report will be printed when you select end case. see " setting up auto reports " on page 372 for information on setting up end case reports. @topic:10


precautions for transport and storage.. technical specifications. 10 vervie13 general symbols. 14 function symbols.. 15 installing the patient 222222222222 19 22223 2224 2222before placing the patient on the bed.. accessories and peripheral equipments.. attress * * 19 20 20 recommended traction frame. 23 recommended accessories * *. 23 recommended additional parts 24 recommended patient lifts.. 24 recommended bed dining tables. 24 endboards... 25 25 footboard fastening system. bed frame extension * 26 26 mobilizing the patient 27 22≈≈≈≈∞∞222222 228 28 29 332 32 32 electrical functions controls.. 27 27 patient half - siderail controls. 27 control pendant * 27 bilateral hilow pedal with caregiver mode *. 28 28 raising / lowering the head and thigh section29 30 chair position... 32 lace sleep surface fla32 bed exit aid. 32 age mechanical adjustable foot section 33 patient helpers * *. 33 36 home screen... 36 bed exit alerts * 36 backrest ( head ) angle alert. 39 lert suspension m40 scale ( weigh system ) *. 41 weigh the patient.. 44 add / remove parts on the bed 45 weighed / unweighed parts.. 45 combined accella therapy mattress * 46 46 46 47 48 maximum inflation mode ( p - max ) 48 mcm * 48 cpr.. 49 49 49 50 disconnecting and storing the mattress 50 51 wi - fi connection.. 53 smartcare system * 55 navicare system * 55 smartsync * or hillrom digital health gateway wi - fi connection module ( wcm ) - ad315a * * locating the bed manually with the gci. management of wi - fi connection profiles.. ommunication cable... 55 56 58 61 62 patient safety siderails @topic:9


* * issue : * * hardware timer error 2902 * * impact : * * the monitor may not be able to accurately measure and display patient vital signs. * * possible causes : * * - defective or damaged hardware component in the monitor's timer circuit - software issue or corruption - electrical interference or power fluctuations - temperature or humidity issues affecting the monitor's performance * * recommendations : * * * * troubleshooting : * * 1. * * restart the monitor : * * power down the monitor completely and then power it back on. this may resolve temporary software glitches or errors. 2. * * check connections : * * inspect all cables and connections to ensure they are secure and not damaged. 3. * * environmental check : * * ensure the monitor is operating within the specified temperature and humidity ranges. * * repair or replacement : * * 1. * * contact the manufacturer or service provider : * * if the troubleshooting steps do not resolve the issue, contact the manufacturer's support team or an authorized service provider. they can diagnose the problem and provide repair or replacement options. 2. * * consider component replacement : * * if the timer circuit is identified as the faulty component, it may need to be replaced by a qualified technician. * * preventive maintenance : * * 1. * * regular equipment checks : * * perform periodic checks of all medical equipment to identify potential issues early on. 2. * * software updates : * * install any recommended software updates to address known bugs or vulnerabilities. 3. * * proper handling : * * use the equipment according to the manufacturer's instructions to prevent damage or premature failure. @topic:2


# # # issue - the electric bed is not adjustable. # # # impact - the bed cannot be used for patient care. # # # possible causes - power supply issue - faulty motor - broken or loose wiring - control panel malfunction - software issue # # # recommendations - check the power supply and ensure that the bed is properly plugged in. - inspect the motor for any signs of damage or wear. - check the wiring for any breaks or loose connections. - test the control panel to ensure that it is functioning properly. - update the software if necessary. @topic:1


# # # issue - cuff bp of the bedside physiologic monitor was not able to measure values. # # # impact - inability to accurately monitor patient's blood pressure. # # # possible causes - * * cuff bp is faulty or damaged * * : this may be due to physical damage, wear and tear, or a malfunction in the internal components of the cuff. - * * connection issues * * : the cuff may not be properly connected to the monitor or the connection may be loose. - * * software bugs or internal hardware issues * * : there may be software bugs in the monitor's operating system or hardware issues that are preventing the cuff from functioning correctly. # # # recommendations - * * replace the cuff bp * * : the faulty cuff bp should be replaced with a new one to ensure accurate blood pressure readings. - * * check connections * * : ensure that the cuff bp is properly connected to the monitor and that the connection is secure. - * * contact biomedical engineering for further diagnosis and repair * * : if replacing the cuff bp and checking connections does not resolve the issue, it may be necessary to contact biomedical engineering for further diagnosis and repair of the monitor. @topic:14


or touch : use the right / left arrow keys to move the vertical cursor. the vertical cursor moves through the time axis and the current value is displayed next to the cursor. 3 use the up / down arrow keys to activate and move the horizontal cursor. the horizontal cursor measures the wave value, which is displayed above the cursor line. if the wave is a pressure wave, the cursor value can be stored as a systolic, diastolic or mean pressure value and if the pressure wave is a pap wave it can also be stored as a pawp value. the stored value appears in the trend database as a manually entered value. changing the wave speed lowering the wave speed compresses the wave and lets you view a longer time period. increasing the speed expands the waveform, giving you a more detailed view. to change the wave speed : 1 select the frozen wave. 2 select change speed. 3 select a speed from the list. updating the frozen wave to update the wave, that is freeze the current wave : 1 select the frozen wave. 2 select freeze again. releasing frozen waves to release frozen waves, 1 select a frozen wave. 2 select unfreeze waves. all frozen waves are released. 35 1 basic operation using labels using labels you can measure multiple invasive pressures, temperatures, and sp0 2 simultaneously. the monitor uses labels to distinguish between them. the default settings defined in the profile ( such as measurement color, wave scale, and alarm settings ) are stored within each label. when you assign a label to a measurement, the monitor automatically applies these default settings to the measurement. the labels assigned are used throughout the monitor, in reports, recordings, and in trends. about label sets your monitor may be configured to use a restricted or full label set. the full label set provides extra labels for pressure and te @topic:8


the intelligent display. check the msl coupling cable then contact your service personnel. 87 4 patient alarms and inops technical alarm messages ( inops ) inop message, indication source what to do intell. dsp missing display the monitor has lost contact with the connected intelligent display contact your service personnel. intell. dsp unsupp. display the monitor does not support the connected intelligent display. the monitor software is incompatible. internal. comm. maif inop tone monitor there is a problem with i2c bus communication in the monitor. contact your service personnel. invalid leadset telemetry la lead off numeric is replaced by for 10 seconds ; inop tone. ecg the la electrode has become detached from the patient or the lead set has been changed. reattach the electrode or select new lead setup in the setup ecg menu to confirm the new lead set. lap inops press see < pressure label > inops ( under pressure ). leadset unplugged telemetry the leadset has been unplugged from the telemetry device. ll lead off numeric is replaced by for 10 seconds ; inop tone. ecg the ll electrode has become detached from the patient or the lead set has been changed. reattach the electrode or select new lead setup in the setup ecg menu to confirm the new lead set. mcc reversed inop tone monitor the msl coupling cable is reversed. connect the end with the grey connector to the intelligent display. mcc unsupported inop tone monitor an msl coupling cable has been connected to a device which does not support msl coupling. meas. deactivated an x2 or mp5 has been connected to a host monitor ( companion mode ) and all derived measurements have been deactivated and / or measurements with a label conflict. the measurements can only be reactivated by disconne @topic:22


# # # issue - display flickering / color distortion on lcd monitors. # # # impact - impaired visualization of medical data and images, potentially affecting patient diagnosis and treatment. # # # possible causes - * * test procedure after color adjustment and new signal cable connection : * * - incorrect display setup or configuration. - faulty signal transmission due to cable issues. - interference from electromagnetic sources. - hardware malfunction within the monitor. # # # recommendations - * * troubleshooting : * * - reconnect signal cables and ensure proper connections. - verify display settings and adjust as necessary. - check for loose or damaged components within the monitor. - * * further investigation : * * - consult with the equipment manufacturer for specific troubleshooting procedures. - use diagnostic tools to identify potential hardware failures. - * * preventive measures : * * - implement regular maintenance and calibration schedules. - use high - quality cables and connections. - shield the display from electromagnetic interference. @topic:2


# # # issue - the vital signs monitor is not functioning properly. # # # impact - accurate and timely monitoring of patient vital signs is critical for patient safety. a malfunctioning monitor could result in delayed or missed detection of critical changes in a patient's condition, leading to adverse outcomes. # # # possible causes - * * loose or disconnected cables : * * cables connecting the monitor to the patient and the network may be loose or disconnected, preventing the transmission of vital signs data. - * * software glitches : * * the monitor's software may have encountered a glitch or bug, causing it to malfunction. - * * hardware failure : * * a faulty component within the monitor, such as a sensor or display, could be preventing it from functioning properly. - * * network issues : * * if the monitor is connected to a network, problems with the network connectivity could be preventing it from sending and receiving data. - * * incorrect configuration : * * the monitor may not have been properly configured, such as incorrect settings for the patient's age or medical condition. # # # recommendations - * * check cables : * * inspect the cables connecting the monitor to the patient and the network for any loose or disconnected connections. tighten or reconnect any loose cables as necessary. - * * restart the monitor : * * unplug the monitor from the power outlet and plug it back in after a few seconds. this may clear any software glitches and reset the monitor's settings. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the monitor for technical support. they may be able to provide troubleshooting steps or arrange for a repair or replacement. - * * consider alternative monitoring devices : * * if the vital signs monitor remains malfunctioning, consider using an alternative monitoring device, such as @topic:2


# # # issue bed's safety rail cannot be locked. # # # impact patient safety is compromised as they may be at risk of falling out of bed. # # # possible causes 1. the locking mechanism is faulty. 2. the locking mechanism is not properly engaged. 3. the locking mechanism is obstructed by debris. # # # recommendations 1. inspect the locking mechanism for any damage or wear. 2. ensure that the locking mechanism is properly engaged. 3. clean the locking mechanism to remove any debris. @topic:6


# # # issue - ekg cable failure # # # impact - inability to monitor patient's heart activity - delayed diagnosis and treatment # # # possible causes - physical damage to cable ( e. g., cuts, tears ) - loose connections - faulty manufacturing # # # recommendations - inspect cable for any visible damage - ensure connectors are secure and not corroded - replace cable if necessary - follow manufacturer's guidelines for cable maintenance and use - train staff on proper cable handling techniques - establish a regular inspection schedule for cables @topic:18


# # # issue - remote control wire is exposed # # # impact - potential for electrical shock or fire # # # possible causes - physical damage to the wire, such as cuts or abrasions - wear and tear over time - improper handling or storage # # # recommendations - inspect wires regularly for damage and replace as needed - handle and store equipment carefully to avoid damage - ensure proper training of staff on the use and care of equipment @topic:7


- - - # # # issue - monitor power outlet not receiving power # # # impact - unable to use monitor # # # possible causes - loose electrical connection - faulty power outlet - tripped circuit breaker # # # recommendations - check electrical connections and ensure they are secure. - test power outlet with a different device to confirm functionality. - reset tripped circuit breaker if necessary. @topic:11


the labels assigned are used throughout the monitor, in reports, recordings, and in trends. changing measurement labels ( e. g. pressure ) to change a measurement label of a measurement with multiple labels ( e. g. invasive pressure or enter the wave menu of the measurement. 1 select label. 2 3 choose a label from the list. the monitor automatically applies the scale, color, etc. settings stored in the profile for the label select. you can change scale settings in monitoring mode, but color can only be changed in the monitor's configuration mode. you any labels already being used in the monitor are shown " grayed - out " in the list and cannot be selected. about label sets your monitor may be configured to use a restricted or full label set. the full label set provides extra labels for pressure and temp. see the sections on pressure and temperature in these instructions for use for more information. if you connect an mms from a monitor using a full label set to an intellivue monitor using a restricted label set or an m3 / m4 monitor, any additional labels switch to labels available in the target monitor. this may cause a label conflict with other monitored measurements. be aware that connecting a monitor using the full label set to an information center with certain software revisions may affect the availability of measurement information from the additional labels on the information center. see the information center documentation and your monitor's configuration guide for information on label set compatibility. each label must be unique, that is, it can only be assigned once. you cannot monitor two pressures labeled " icp " at the same time. if you need to use two identical pressures, you must assign different labels to them, for example, p and icp. measurement labels are stored in the measurement device ( module or mms ). if you try to use two measurement devices that have identical labels, this causes a label conflict in @topic:17


# # # issue - the bed is not adjusting # # # impact - the patient cannot be positioned comfortably - the patient may be at risk of injury # # # possible causes - the control system is not working properly - the motor is not working properly - the bed frame is damaged - the bed is not properly assembled # # # recommendations - check the control system for any loose connections or damage - check the motor for any signs of damage - inspect the bed frame for any cracks or damage - ensure that the bed is properly assembled according to the manufacturer's instructions - replace any damaged parts as necessary - if the problem persists, contact the manufacturer for assistance @topic:1


correct a patient mismatch where both sets of patient data are correct might occur if you admit a new patient at the monitor ( or information center ) before the patient arrives at your unit and then connect the mms that was used during the patient transport to the monitor. ♦ select same patient if the patient information is different, but you are sure it is the same patient. this merges the demographics and updates them in the information center, monitor, and mms, according to this table. be aware that your monitor may be configured to merge trend data from the mms and the monitor, and to upload measurement settings from the mms to the monitor. patient information this information is taken from... patient name the monitor, if the patient was admitted there. for centrally - admitted patients, this information is taken from the information center. patient ids screen notes 110 care groups 5 managing patients patient information this information is taken from... patient category date of birth height weight gender the multi - measurement module, if connected, otherwise the data is taken from the monitor. paced status paced status is always set to yes where there is a mismatch in patient information. trend data if there is newer trend data stored in the mms, it is uploaded to the monitor. automatically resolving patient mismatch your monitor can be configured to automatically resolve mismatches in one of two ways. • continue using the patient in the mms, and delete the old data in the monitor. this is suitable for transport monitors. • continue with the patient in the monitor, and delete the data in the mms. care groups if your monitor is connected to an information center, you can group bedside monitors into care groups. this lets you : • view information on the monitor screen from another bed in the same or in a different care group. • be notified of yellow or red alarm conditions at the other @topic:10


# # # issue - cuff is damaged # # # possible causes - the cuff may have been damaged due to improper use, such as being over - inflated or not being properly secured to the patient. - the cuff may have been damaged due to a defect in the materials used to manufacture it. # # # recommendations - the cuff should be replaced with a new one. - the technician should inspect the cuff regularly for signs of damage and replace it if necessary. - the technician should train the staff on how to properly use the cuff to prevent damage. @topic:5


# # # issue - the battery in the philips suresigns vs2 + patient monitor is depleted. # # # impact - the monitor may not be able to power on or function properly. # # # possible causes - the battery may have reached the end of its life cycle. - the battery may have been damaged or improperly stored. # # # recommendations - replace the battery with a new one. - ensure that the battery is properly stored and maintained according to the manufacturer's instructions. @topic:11


# # # issue - defective spo2 cable. # # # impact - inability to monitor patient's oxygen saturation levels accurately. # # # possible causes - physical damage to the cable - electrical malfunction - software issues # # # recommendations - replace the defective cable with a new one. - inspect the cable for any physical damage. - check the electrical connections and ensure they are secure. - update the software if necessary. - train staff on proper handling and care of spo2 cables. @topic:4


# # # issue - monitor not measuring a - line and c - line values # # # impact - inability to monitor blood pressure and cardiac function accurately. # # # possible causes - faulty a - line or c - line transducers - loose or disconnected cables - damage to the monitor's input circuitry - software malfunction # # # recommendations - check the a - line and c - line transducers for any visible damage or loose connections. - ensure that the cables connecting the transducers to the monitor are securely plugged in. - inspect the monitor's input circuitry for any signs of damage or loose connections. - if the issue persists, perform a software reset on the monitor. @topic:15


# # # issue * remote control is missing. # # # impact * inability to operate the medical device. # # # possible causes * the remote control was lost or misplaced. * the remote control was damaged or destroyed. * the remote control was not properly connected to the medical device. # # # recommendations * search for the missing remote control. * if the remote control is damaged or destroyed, replace it with a new one. * ensure that the remote control is properly connected to the medical device. @topic:7


. note use this procedure with the welch allyn service tool version 1. 8. 0 and later. caution before the test, place thermometers and tester in the same room for approximately 30 minutes so that they adjust to the ambient temperature. a for more information, see the welch allyn 9600 plus calibration tester directions for use. service manual functional verification and calibration overview 119 perform a braun thermoscan pro 6000 functional verification test complete the preliminary checks as described in step 1, then test each thermometer at the low, medium, and high set points on the tester. after placing the thermometer in calibration mode, repeat the procedure from step 4 for each thermometer and temperature to be tested. 1. before testing the thermometer verify the following : a. the sensor ( probe tip ) is functional. check the position of the sensor with a magnifying glass if necessary. if the sensor is displaced, the unit is damaged and must be replaced. there should be no visible gap between the bezel and the lens. the sensor is clean. clean the sensor using a q - tip lightly moistened with isopropyl alcohol, using a minimum amount of pressure to avoid displacing the sensor. use a dry q - tip to remove any excess alcohol. allow 5 minutes for any remaining alcohol to evaporate. b. the room temperature is within the range of 65. 0 °f ( 18. 3 °c ) to 80. 0 °f ( 26. 7 °c ). c. the thermometer is allowed to reach the ambient room temperature. remove the thermometer from the product packaging and wait at least 30 minutes before beginninthe test. d. e. the thermometer is fully charged. place the thermometer from sleep mode into calibration ( cal ) mode as follows : 2 @topic:20


that it is providing accurate and consistent pi readings. @topic:17


# # # issue - equipment not functioning properly # # # impact - equipment is unable to perform its intended function, which could impact patient care # # # possible causes - loose ac cord # # # recommendations - inspect the ac cord for any loose connections or damage. if the cord is loose, tighten the connection or replace the cord. - if the cord is damaged, replace the cord immediately. @topic:12


trend in tabular form. the measured values and their timestamps are shown, with the measurement label. the trend time for tabular screen trends depends on the space available on the screen. up to 30 easurements or 12 hours information can be shown. hr 240 200 120 80 - 4 h - 3h the histogram view presents a combination of graphical trend and histogram. the histogram is on the right hand side in a horizontal presentation with vertical gridlines representing 25 %, 50 %, 75 % and 100 %. each column shows the percentage of time that the measurement values were in a specific range. this range is represented by the column's position in the graphical trend gridlines. the arrow mark next to a column shows that the currently measured value is in the range covered by that column. if less than two - thirds of the samples are valid, a question mark will be displayed with the histogram, except when the histogram consists of intermittently measured data. 321 3 trends horizon view hr 240 140 40 e - 30min 1 2 3 the horizon view presents trend information superimposed over a defined baseline or bashelps you visualize changes in your patient's condition since the baseline was set. range. this the horizon view is made up of : a horizon, drawn in white, as a reference point or baseline to help you visualize changes in your patient's condition. the horizon can be set to represent your patient's current condition, or a target condition and can be a single value or a range. • a trend indicator arrow, indicating how the patient trend has developed in the set time period ( 10 minutes, 5 minutes or 2 minutes ) ( 2 ). • a deviation bar, showing how the currently measured value deviates from the set horizon ( 3 ). the height of the deviation bar is an indication of the extent of @topic:8


# # # issue - scanner is set to " enter after scan " instead of " tab after scan " # # # impact - scanned patient hn does not trigger drawer to open # # # possible causes - technician error during scanner setup # # # recommendations - set scanner to " tab after scan " @topic:23


# # # issue - scanner not scanning # # # impact - delay in patient diagnosis and treatment # # # possible causes - failed scanner component - loose or damaged wiring - software malfunction # # # recommendations - check the scanner components for any damage or wear. - inspect the wiring for any loose connections or damage. - update or reinstall the software to the latest version. @topic:23


# # # issue - the cause of failure is not clear. # # # impact - the medical device may not be functioning properly. # # # possible causes - the battery may not have been replaced correctly. - the battery may be defective. - there may be another issue with the medical device. # # # recommendations - re - install the battery. - test the medical device to ensure it is functioning properly. - if the medical device is still not functioning properly, contact the manufacturer or a qualified technician. @topic:11


# # cause of failure analysis # # # issue the cause of failure is not clearly stated in the given input. # # # impact the impact of the failure is unknown. # # # possible causes * * based on the available information, the possible causes of the failure could be : * * - * * improper use of the equipment : * * the equipment may have been used incorrectly, which could have caused it to fail. - * * mechanical failure : * * a mechanical component of the equipment may have failed, which could have caused the entire equipment to fail. - * * electrical failure : * * an electrical component of the equipment may have failed, which could have caused the entire equipment to fail. - * * software failure : * * the equipment may have software that is not functioning properly, which could have caused it to fail. - * * environmental factors : * * the equipment may have been exposed to environmental factors, such as extreme heat or cold, which could have caused it to fail. # # # recommendations * * to prevent similar failures in the future, the following recommendations could be implemented : * * - * * train staff on proper use of equipment : * * ensure that staff are properly trained on how to use the equipment correctly. - * * regularly inspect and maintain equipment : * * regularly inspect and maintain the equipment to prevent mechanical or electrical failures. - * * update software regularly : * * ensure that the equipment software is up to date to prevent software failures. - * * control environmental conditions : * * ensure that the equipment is not exposed to extreme heat or cold. - * * implement a preventive maintenance program : * * implement a preventive maintenance program to regularly check and service the equipment to prevent failures. @topic:12


# # # issue - unable to log in to the program on the medical cart. # # # impact - the medical cart cannot be used for its intended purpose. # # # possible causes - the medical cart is not connected to the wi - fi network. - the wi - fi network is not working properly. - the program is not installed on the medical cart. - the user does not have the correct credentials to log in to the program. # # # recommendations - check that the medical cart is connected to the wi - fi network. - check that the wi - fi network is working properly. - check that the program is installed on the medical cart. - check that the user has the correct credentials to log in to the program. @topic:13


# # # issue - monitors not linking with the central station # # # impact - the monitors cannot transmit patient data to the central station, which can delay or prevent medical staff from accessing critical patient information. # # # possible causes - network connectivity issues : the network cable may be loose, damaged, or disconnected. - hardware problems : the monitor or the central station may have a hardware problem that is preventing them from communicating. - software problems : the monitor or the central station may have a software problem that is causing them to not communicate properly. # # # recommendations - check the network connectivity : ensure that the network cable is securely connected to the monitor and the central station. if the cable is damaged, replace it. - check the hardware : if the network connectivity is good, check the hardware of the monitor and the central station. reset the devices by unplugging them from the power outlet and plugging them back in. - check the software : if all else fails, check the software of the monitor and the central station. update the software if there are any updates available. @topic:16


# # # issue - low print quality due to faded ink. # # # impact - inability to obtain clear and legible printouts. - delays in diagnosis and treatment due to incomplete or inaccurate information. # # # possible causes - the ink cartridge in the central monitor is depleted. # # # recommendations - replace the ink cartridge in the central monitor. @topic:28


# # # issue the electric hospital bed, model enterprise 8000, manufactured by huntleigh, cannot be adjusted. # # # impact patients may not be able to get into or out of bed, or may not be able to adjust the bed to a comfortable position. this can lead to discomfort, pain, and injuries. # # # possible causes * faulty motor * broken or damaged gears * electrical problems * software issues # # # recommendations * inspect the motor and gears for any damage or wear and tear * check the electrical connections and wiring for any loose or damaged connections * update the software to the latest version * contact the manufacturer for assistance if the problem cannot be resolved @topic:1


* * issue : * * defective monitor lead ( ekg lead ) with broken plastic leg on the green connector. * * impact : * * - inability to accurately record electrocardiograms ( ecgs ) - disruption of patient monitoring and diagnosis - potential risk to patient safety if ecg data is not available or accurate * * possible causes : * * - physical damage to the lead, such as being stepped on or pulled on - wear and tear over time, leading to weakened plastic components - manufacturing defect * * recommendations : * * - replace the defective lead with a new one - inspect other monitor leads for signs of damage or wear - handle and store leads carefully to prevent damage - train staff on proper handling and storage techniques - consider using more durable leads or leads with reinforced connectors - monitor leads regularly for signs of wear and tear - establish a preventative maintenance program to identify and address potential issues before they cause failures @topic:18


# # # issue - the bed's remote control is locked on all four sides, preventing the bed from being adjusted. # # # impact - the bed cannot be adjusted to the patient's desired position, which can lead to discomfort and pain. - the bed cannot be moved, which can make it difficult to clean or access the patient. # # # possible causes - the remote control is defective. - the bed's control unit is defective. - the bed's wiring is damaged. - the bed's battery is dead. # # # recommendations - check the remote control's batteries and replace them if necessary. - inspect the bed's control unit for any loose connections or damage. - inspect the bed's wiring for any damage. - replace the bed's battery if it is dead. @topic:7


# # # issue - equipment : monitor, patient transport - band : invivo research - model : precess - description : intermittent spo2 waveform. # # # impact - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes - faulty spo2 sensor - loose or damaged cable connection - malfunctioning fingertip probe - interfering with other medical devices - electromagnetic interference - software issue - internal component failure # # # recommendations - verify that the spo2 sensor is properly attached to the patient's finger and that the cable is securely connected to the monitor. - replace the fingertip probe if it is damaged or malfunctioning. - check for any other medical devices that may be causing interference and move them away from the monitor. - update the software on the monitor to the latest version. - contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. * * additional notes : * * the technician mentioned that a new signal pole was installed, but it is unclear if this was related to the spo2 issue. further investigation may be necessary to confirm the cause of the failure. @topic:4


##3564212481 453564212481 iv2 - rc remote control 453564212401 453564212401 iv2 - rc plast holder for remote control 453564212411 453564212411 iv2 - rc cbl usb cable for remote control 453564262641 453564262641 iv2 - rc cbl tethering cable multi - measurement module ( mms ) parts the primary support strategy for the multi - measurement module is a unit exchange. however, some exchange parts are available. in order to determine which exchange parts need to be ordered check the serial number and the option string of the mms as described below. m3001a multi - measurement module mms part number overview and identification identify the correct mms part number by checking the serial number prefix and the option string on the label on the rear of the mms housing. the following picture shows the label of an m3001a. use the table below to determine the hardware revision and the required exchange part. m3001a ref 862442 225 [ 6 parts ] option m3001a option description # a01 phihps fast spo ^ # a02 nellcor oximax compatible ( obsolete ) # a03 masimo set technology # a04 nellcor oximax technology ( # c00 ) standard # c06 add pressure / temp # c12 add 12 lead egg ( only older revisions - see table below ( # c18 ) ( add pressure / temp and 12 lead egg ) old with rel. g. o option # c18 is split into # c06 # c12. mms software option # a02 is obsolete and replaced by # a04. hardware revisions a / b are out of support. if an mms with hw rev. @topic:19


# # # issue bedside physiologic monitor is displaying an inaccurate blood pressure ( bp ) reading. # # # impact inaccurate bp readings can lead to incorrect diagnosis and treatment decisions. # # # possible causes * cuff bladder is deteriorated and unable to hold pressure. * cuff is not the correct size for the patient's arm. * cuff is not properly inflated. * tubing is kinked or obstructed. * monitor is not properly calibrated. # # # recommendations * inspect the cuff bladder for deterioration and replace if necessary. * ensure the cuff is the correct size for the patient's arm. * properly inflate the cuff according to the manufacturer's instructions. * check the tubing for kinks or obstructions and replace if necessary. * calibrate the monitor according to the manufacturer's instructions. @topic:14


cable to the iit antenna board 6. secure the nbp pump assembly with two screws. for adjustment reasons, start with the screw on the battery side. exchanging the nbp pump 1. remove the battery as decribed above. remove the handle as described above. remove the display as described above. remove the nbp pump assembly as described above. le xu a = 9 detach the flex holder from the metal chassis by pushing it down as shown below. 142 6. remove the pump from the metal chassis. 7. remove the flex holder from the nbp flex cable by pressing down the cable with your thumb and then pulling it out. the flex cable is fixed by a small plastic latch on the flex holder. by pressing down the flex cable, the mechanism is released. 8. insert the new pump and / or flex holder. bend the nbp flex cable as shown in the picture. remove the silicon tubes from the pump for later assembly. 143 9. insert the pump into the metal chassis. start with the flex as it is shown in the picture. 144 12. make sure the silicon tubes are still attached to the airguide and that they are seated correctly. 13. reassemble the nbp pump assembly as described above. exchanging the nbp airguide / iit or wlan assembly 1. remove the battery as described above. remove the handle as described above. remove the display as described above 2 3 4. remove the nbp pump assembly as described above. 5. remove the iit or wlan antenna from the iit or wlan antenna board. 6 position the antenna as shown below. 145 7. remove the entire airguide cage. separate the two halves of the airguide cage for later reassembly. 8. open the plastic cage. disassemble the boards if iit or wlan is @topic:19