# # # issue the electric hospital bed's alarm connector is damaged. # # # impact the bed alarm may not function properly, which could pose a safety hazard to the patient. # # # possible causes several factors can cause the alarm connector to fail, including : * * * physical damage : * * the connector may have been damaged during installation, transportation, or use. * * * electrical issues : * * there may be a problem with the electrical wiring or connections to the connector. * * * software issues : * * a software glitch or update may have caused the connector to malfunction. * * * age and wear : * * the connector may have simply worn out over time. # # # recommendations to resolve the issue and prevent future failures, the following recommendations are made : * * * inspect the connector : * * check the connector for any visible damage, such as cracks, breaks, or loose connections. * * * test the electrical connections : * * use a multimeter to test the electrical continuity and resistance of the connections to the connector. * * * update software : * * if a software update is available, install it to address any potential software issues. * * * replace the connector : * * if the connector is damaged or malfunctioning beyond repair, replace it with a new one. * * * regular maintenance : * * perform regular inspections and maintenance on the bed to prevent future failures. @topic:26


displays an ecg wave. the wave might be a flat line if no simulator is attached. safety tests safety tests are comprised of the following tests performed on the monitoring system : • protective earth resistance • equipment leakage current • applied part leakage current • system test ( if applicable ) safety test requirements are set according to international standards, their national deviations and specific local requirements. the safety tests detailed in this service guide are derived from international standards but may not be sufficient to meet local requirements. we recommend that you file the results of safety tests. this may help to identify a problem early particularly if the test results deteriorate over a period of time. each individual piece of equipment which has its own connection to mains or which can be connected or disconnected from mains without the use of a tool must be tested individually. the monitoring system as a whole must be tested according to the procedure described in ‘ ‘ system test ” on page 52. accessories which can affect the safety of the equipment under test or the results of the safety test must be included in the tests and documented. warnings, cautions, and safety precautions • these tests are well established procedures of detecting abnormalities that, if undetected, could result in danger to either the patient or the operator. • disconnect the device under test from the patient before performing safety tests. • disconnect the device under test from mains before performing safety tests. if this is not possible, ensure that the performance of these tests does not result in danger to the safety analyzer operator, patients or other individuals. • test equipment ( for example, a safety yinal ) j : ier ) is required to perform the safety tests. please refer to annex c of lec / en 62353 for exact requirements for the measurement equipment and for measurement circuits for protective earth resistance and leakage currents. refer to the 37 [ 3 testing and maintenance ] @topic:10


# # # issue - motor failure in the up - down adjustment of the electric bed. # # # impact - the bed cannot be adjusted to an optimal position for the patient, leading to discomfort or difficulty in providing care. # # # possible causes - electrical fault or malfunction in the motor - mechanical failure or wear and tear of the motor components - faulty wiring or connections between the motor and the control unit # # # recommendations - replace the faulty motor with a new one. - check and ensure proper electrical connections and wiring. - inspect the motor for any mechanical damage or wear, and replace any worn or damaged components. - test the bed's up - down adjustment after repair to verify its functionality. @topic:1


# # # issue : motor failure in huntleigh gynae 2 electric ob & gyn bed # # # impact : - the bed is inoperable, which can lead to patient discomfort or safety concerns. - delays in patient care or procedures. - additional costs for repair or replacement. # # # possible causes : - * * mechanical failure : * * excessive weight or force on the motor, causing it to break or malfunction. - * * electrical issues : * * power surge or fluctuations, causing damage to the motor's electrical components. - * * wear and tear : * * extended use or inadequate maintenance, leading to gradual motor degradation. - * * defective design or manufacturing flaws : * * weaknesses or imperfections in the motor's construction. # # # recommendations : - inspect the bed carefully to identify and address any contributing factors, such as uneven weight distribution or electrical problems. - perform regular preventative maintenance to keep the motor and other components in optimal condition. - consider upgrading to a more durable or robust motor if repeated failures occur. - ensure proper training for staff on handling and operating the bed correctly. - document and report the failure to the manufacturer or service provider for further investigation and potential design improvements. @topic:9


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 # # # impact - the medical cart is unable to open its drawers. # # # possible causes - solenoid is stuck. # # # recommendations - spray contact cleaner on the solenoid joints to loosen them. - test the function of the equipment to ensure that it is working properly. @topic:21


# # # issue - deterioration of ekg lead wires # # # impact - affects the accuracy and reliability of ekg monitoring # # # possible causes - prolonged use and wear and tear - improper handling or storage - exposure to extreme temperatures or humidity # # # recommendations - replace the ekg lead wires with new ones. - ensure proper handling and storage of the equipment. - calibrate the equipment regularly to maintain accuracy. - train staff on proper usage and maintenance of the equipment. @topic:18


pressure / volume loops. flow / volume to display volume / flow loops • press / flow to display pressure / flow loops.. if the source device only delivers two waves, or, in the loops window, select the setup device pop - up key to enter the setup window for the external device. 1 select wave 1 and select pressure, flow, or volume waves as required. repeat for wave 2. 2 the source device for the loops is indicated in the loops window title. select the setup device pop - up key to view the settings of the current source device. • if the source device is changed, all reference loops from a previous device are cleared from the reference list when the first loop from the new source device is captured. reconnecting the previous device recalls its reference list. documenting loops in the loops window, select the pop - up key print loop 1 from the list of available loops, select an individual loop, or select print all to print a report of alor each loop, the report prints 2 the currently - displayed loop, with the loop capture timestamp • up to six realtime numerics provided by the loop source device • • 401 34 respiratory loops 402 35 laboratory data can be entered manually at the information center or at the monitor. for details on manual entry at the monitor, see “ entering measurements manually " on page 46. selected laboratory data can be integrated on the monitor - values are then stored in the database and included in trends and reports and can be displayed as a numeric on the main screen. which data can be stored and used on the monitor in this way is selected in configuration mode. when new data has been received from the information center a new lab data received. check lab results window. message will appear with the arrival time. to view the data, select main setup then select lab results or the lab results smartkey. the lab results window shows the most @topic:17


##® es bed service manual ( man330 rev 4 ) 4. 26 batteries ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures 4. 26 batteries ( b model and newer beds ) tools required : t25 torx® 1 screwdriver removal 1. set the brakes. 2. raise the head section to the full up position. warning : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 3. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 4. remove the four screws ( a ) that attach the battery cover ( b ) to the power supply ( c ) ( see figure 4 - 35 on page 4 - 84 ). 5. remove the battery cover ( b ). 6. note the position of the battery cables ( d ). 7. disconnect the cables ( d ) from the batteries ( e ). 8. remove the batteries ( e ) from the power supply ( c ). 1. torx® is a registered trademark of acument intellectual properties, llc. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 83 4. 26 batteries ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures figure 4 - 35. batteries replacement 1. do the removal procedure in reverse order. 2. do the “ function checks ” on page 2 - 5. page 4 - 84 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 27 motor control p. c. board ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures 4. 27 motor control p. c. board ( b model and newer beds ) tools required : @topic:26


# # # issue - monitor readings are unstable. # # # impact - inaccurate patient data - improper medical care # # # possible causes - loose or damaged connector - malfunctioning sensor - software error # # # recommendations - inspect and tighten all connections. - replace the sensor or monitor. - update the software. @topic:20


# # # issue - unknown # # # impact - unknown # # # possible causes - lack of specific details about the failure observed. - insufficient information provided in the description to determine the true cause of failure. # # # recommendations - gather more detailed information about the failure, including any error messages or observed symptoms. - consult with the manufacturer's documentation or technical support for further troubleshooting guidance. - conduct a thorough inspection and testing of the device to identify potential issues or malfunctions. - consider replacing additional battery if necessary. @topic:11


# # # issue - the wall monitor is not displaying any readings. # # # impact - the medical staff cannot monitor the patient's vital signs. # # # possible causes - the monitor is not receiving a signal from the patient monitor. - the monitor is not set to the correct channel. # # # recommendations - check the cable connections between the monitor and the patient monitor. - make sure the monitor is set to the correct channel. - if the problem persists, contact the manufacturer for further assistance. @topic:2


# # # issue data vital signs not being received by the vsm system. # # # impact patients'vital signs may not be accurately recorded or monitored, which can lead to delays in diagnosis and treatment. # # # possible causes - * * equipment malfunction : * * the connex spot monitor may be malfunctioning and not sending data to the vsm system. - * * software error : * * the vsm system may be experiencing a software error that is preventing it from receiving data from the monitor. - * * network connectivity issue : * * the monitor or the vsm system may not be properly connected to the network, preventing data transfer. - * * incorrect settings : * * the monitor or the vsm system may not be configured correctly, resulting in data not being sent or received. - * * user error : * * a user may have inadvertently entered incorrect information or performed an action that prevented data transfer. # # # recommendations - * * verify equipment functionality : * * ensure that the connex spot monitor is properly connected and powered on, and that it is functioning correctly. - * * troubleshoot the vsm system : * * check for any software errors or network connectivity issues that may be preventing it from receiving data. - * * check network connectivity : * * verify that both the connex spot monitor and the vsm system are connected to the network and can communicate with each other. - * * review settings : * * double - check the settings on the monitor and the vsm system to ensure they are configured correctly for data transfer. - * * test data transfer : * * send test data from the monitor to the vsm system to verify that the data is being received and processed correctly. - * * document the issue and resolution : * * record the problem, troubleshooting steps taken, and resolution to ensure that the issue is @topic:22


# # # issue - scanner malfunction # # # impact - inability to use the medical cart for scanning purposes # # # possible causes - loose or damaged electrical connections - faulty scanner hardware - software issues # # # recommendations - ensure that all electrical connections are secure and undamaged - test the scanner hardware with a known - good device - update the software to the latest version - if the issue persists, contact the manufacturer for further assistance @topic:23


# # # issue - vital signs monitor is not measuring accurately. # # # impact - inaccurate vital signs measurements can lead to incorrect medical decisions, delayed treatment, or even patient harm. # # # possible causes - the most likely cause of failure is a damaged oxygen and heart rate probe. the probe may be frayed, kinked, or otherwise damaged. - other possible causes include : - loose connections between the probe and the monitor - faulty monitor - improper calibration of the monitor - old or expired probe # # # recommendations - replace the damaged probe. - inspect the connections between the probe and the monitor to ensure that they are secure. - calibrate the monitor according to the manufacturer's instructions. - check the probe's expiration date and replace it if necessary. @topic:20


# # # issue - cuff leak # # # impact - blood pressure measurements may be inaccurate or unreliable, leading to incorrect patient care decisions. # # # possible causes - damaged or worn cuff - cuff not properly inflated or deflated - air leak in cuff tubing or connections # # # recommendations - inspect the cuff for any damage or tears. - replace the cuff if damaged or worn. - ensure the cuff is properly inflated and deflated according to the manufacturer's instructions. - check the cuff tubing and connections for leaks and tighten or replace as necessary. - calibrate the nibp monitor according to the manufacturer's instructions to ensure accurate readings. @topic:3


* * issue : * * device not releasing pressure after measurement * * impact : * * inaccurate blood pressure readings, potential harm to patient if not detected * * possible causes : * * * loose joint between the equipment and the cuff * * recommendations : * * * tighten the joint using tape or other appropriate method * test the device to ensure proper operation @topic:3


# # # issue * the physiologic monitor from welch allyn model propaq lt is not in warranty. * the connector is broken and has sunk into the machine. # # # impact * the machine is not functioning as expected. * the machine may not be safe to use. * impact on patient care is uncertain. # # # possible causes * the connector was not properly connected. * the connector was subjected to too much force. * the connector was damaged due to corrosion or other environmental factors. # # # recommendations * the connector should be replaced. * the machine should be inspected for other damage. * the machine should be tested to ensure it is functioning properly. * the machine should be used in accordance with the manufacturer's instructions. * the machine should be regularly inspected and maintained. @topic:2


# # # issue electric bed not adjusting. # # # impact inability to adjust the bed's height and position, compromising patient comfort and safety. # # # possible causes > * * remote control failure : * * the remote control may be defective, preventing it from sending signals to the bed. > * * malfunctioning electrical system : * * damage or loose connections within the bed's electrical system may inhibit the transfer of power and signals. > * * mechanical issues : * * jammed or broken mechanisms within the bed's frame or motor may hinder its smooth operation. # # # recommendations > * * remote control troubleshooting : * * check the remote's battery life and replace it if necessary. inspect the remote for any visible damage or loose components. > * * electrical system inspection : * * examine the bed's electrical connections and ensure they are secure. check for any frayed wires or damaged insulation that could disrupt the power supply. > * * mechanical assessment : * * identify any obstructions or mechanical defects that may impede the bed's adjustment. lubricate moving parts as needed and ensure the bed is properly assembled. > * * further diagnostics : * * if the above steps do not resolve the issue, it may require specialized diagnostic techniques, such as using a multimeter or diagnostic software, to pinpoint the exact cause of failure. @topic:1


# # # issue cannot log in to windows on the medical cart. # # # impact the medical cart cannot be used for patient care. # # # possible causes - the user's password has expired. - the user's account has been disabled. - the medical cart is not connected to the network. - the medical cart's operating system is corrupted. # # # recommendations - reset the user's password. - enable the user's account. - connect the medical cart to the network. - reinstall the medical cart's operating system. @topic:13


* * cause of failure : broken bed hinge * * * * issue : * * the bed hinge on the huntleigh enterprise 8000 electric bed is broken. * * impact : * * the bed is inoperable and cannot be used by patients. * * possible causes : * * * excessive weight on the bed * improper use of the bed * wear and tear over time * manufacturing defect * * recommendations : * * * replace the broken bed hinge with a new one. * inspect the bed regularly for any signs of wear or damage. * train staff on the proper use of the bed to prevent future damage. * contact the manufacturer to investigate any potential manufacturing defects. @topic:6


* * issue : * * blood pressure ( bp ) cuff failure * * impact : * * inaccurate or unavailable bp measurements, potentially leading to delayed or incorrect clinical decisions. * * possible causes : * * * cuff bp damage, such as leaks, tears, or kinks * malfunctioning valve or pressure sensor within the cuff * improper connection between the cuff and monitor * worn or damaged tubing * * recommendations : * * * regularly inspect bp cuffs for damage or wear * replace damaged cuffs promptly * ensure proper connection of the cuff and monitor * calibrate the monitor and cuff according to manufacturer's recommendations * consider using alternative methods of bp measurement, such as oscillometric devices or intra - arterial catheters, if necessary @topic:3


# # # issue - broken ekg lead wires # # # impact - inability to accurately measure patient's heart rate and rhythm, which can delay or compromise treatment. # # # possible causes - * * normal wear and tear : * * ekg lead wires are frequently moved and handled, which can cause them to fray or break over time. - * * improper handling : * * careless handling, such as pulling on the wires or bending them too sharply, can damage them. - * * manufacturing defects : * * rarely, ekg lead wires may have manufacturing defects that make them more susceptible to breakage. # # # recommendations - * * regular inspection and maintenance : * * regularly inspect ekg lead wires for signs of damage, such as fraying, cracks, or loose connections. - * * proper handling : * * train staff on proper handling techniques to minimize the risk of damage. - * * careful storage : * * when not in use, store ekg lead wires in a designated, protected area to prevent accidental damage. - * * planned replacement : * * implement a schedule for planned replacement of ekg lead wires based on their usage and the manufacturer's recommendations. - * * use high - quality lead wires : * * invest in high - quality ekg lead wires that are designed to withstand wear and tear and reduce the risk of breakage. @topic:18


# # # issue - * * lcd monitor color distortion and flickering. * * # # # impact - inaccurate display of patient information, which can lead to incorrect diagnosis and treatment decisions. - patient discomfort or distress. # # # possible causes - * * incorrect monitor settings. * * - * * faulty display panel. * * - * * loose or damaged signal cables. * * - * * malfunctioning graphics card. * * # # # recommendations - * * adjust monitor settings to correct color balance. * * - * * inspect and replace faulty display panel or signal cables as necessary. * * - * * test graphics card to ensure proper functionality. * * - * * calibrate monitor using a color calibration tool to ensure accurate color reproduction. * * - * * regularly perform preventive maintenance and calibration on all monitors to prevent future issues. * * @topic:2


# # # issue - motor gear loose # # # impact - bed unable to operate properly # # # possible causes - improper installation or maintenance - excessive use or wear and tear - faulty or defective motor # # # recommendations - inspect and tighten all motor gears regularly - perform preventive maintenance on the bed according to the manufacturer's recommendations - if the issue persists, contact the manufacturer or a qualified biomedical engineer for repair or replacement @topic:9


button test : 1. in the system diagnostics menu, rotate the wheel to highlight button test, then press the wheel. the buttons / rotary wheel test window appears with several of the system icon buttons in the right side of the window. 2. to test a system icon button, press a button on the monitor. if the button you press on the monitor is working properly, the corresponding icon in the test window lights with a black border for five seconds. 3. to test the monitor ’ s rotary wheel, turn the monitor wheel clockwise or counterclockwise. if the rotary wheel on the monitor is working properly, then the wheel icon draws red dots in the direction that you turn the wheel. 4. to test each small movement of the monitor ’ s rotary wheel, move the wheel by small increments. if the rotary wheel on the monitor is working properly, then the wheel icon displays a red dot for each small movement of the monitor wheel. 5. to end the test, press the monitor rotary wheel. 7 - 30 troubleshooting testing the display testing the display to test the display : 1. in the system diagnostics window, rotate the wheel to highlight the display test button, then press the wheel to start the test. the display test draws a sequence of patterns on the monitor screen. each pattern displays for five seconds. when the last pattern is drawn, the sequence starts again from the first pattern. the following describes the test patterns that are displayed. pattern description of screen horizontal bars alternating black and white horizontal bars, starting with white. this description is printed on top in red. horizontal bars ( inverse ) alternating black and white horizontal bars, starting with black. this description is printed on top in red. solid white painted white. the text “ white ” is drawn in black. the text moves across the screen. solid red painted red. the text “ red ” is drawn in black @topic:22


# # # issue the monitor is not linking to the icca ( integrated critical care analyzer ). # # # impact the monitor cannot be used to monitor the patient's vital signs and provide alerts if there are any changes. this could lead to a delay in treatment and could result in a negative outcome for the patient. # # # possible causes * the icca system is not turned on or is not working properly. * the monitor is not properly connected to the icca system. * the monitor is not set up to link to the icca system. # # # recommendations * check if the icca system is turned on and working properly. * check if the monitor is properly connected to the icca system. * check if the monitor is set up to link to the icca system. @topic:16


# # # issue - monitor film is peeling due to a fault. the device is in the x - ray ct scan room ( 1a ). # # # impact - the monitor film peeling may cause visual problems and affect the accuracy of the readings. # # # possible causes - high humidity and temperature levels in the ct scan room may contribute to the peeling of the monitor film. - exposure to certain chemicals or cleaning agents may also damage the film. - the monitor may have been subjected to physical damage, such as scratches or impacts. # # # recommendations - maintain proper environmental conditions in the ct scan room to minimize the risk of monitor film peeling. - use recommended cleaning agents and avoid exposing the monitor to harsh chemicals. - handle the monitor with care to prevent physical damage. - regularly inspect the monitor for signs of damage and replace the film if necessary. @topic:2


# # # issue - the bed, electric is not adjustable. # # # impact - the patient cannot be positioned comfortably or safely. - the healthcare provider cannot perform the necessary procedures. # # # possible causes - the remote control is locked. - the remote control is not working properly. - the bed is not responding to the remote control. - the bed is not plugged in. - the bed is not properly assembled. # # # recommendations - check the remote control to make sure it is not locked. - replace the remote control if it is not working properly. - check the bed to make sure it is responding to the remote control. - make sure the bed is plugged in. - check the bed to make sure it is properly assembled. @topic:1


# # # possible causes - error in the design of the bed frame or the side rails. - the bed frame or the side rails may have been damaged. - the bed may have been overloaded. - the bed may have been used in an inappropriate manner. - the bed may have been improperly assembled. - the bed may have been inadequately maintained. # # # recommendations - the bed frame and the side rails should be inspected for damage. - the bed should be tested to ensure that it is functioning properly. - the bed should be used in accordance with the manufacturer's instructions. - the bed should be assembled according to the manufacturer's instructions. - the bed should be maintained according to the manufacturer's instructions. @topic:6


philips. selecting the primary and secondary ecg leads the monitor uses the primary and secondary lead to compute hr and to analyze and detect cardiac arrhythmias. they are also available for recordings and for display on the information center. the secondary lead is only used if your monitor is configured for multi - lead ( instead of single - lead ) arrhythmia analysis. you should choose a lead as primary or secondary lead that has the following characteristics : • the qrs complex should be either completely above or below the baseline and it should not be biphasic • the qrs complex should be tall and narrow • the p - waves and t - waves should be less than 0. 2 mv to select a lead as primary or secondary lead : ♦ in the setup ecg menu, select primary lead or secondary lead, then select the appropriate lead. you can assign any available lead whether it is currently displayed or not. checking paced status it is important to set the paced status correctly when you start monitoring ecg. ♦ to change the paced status in the setup ecg menu, select paced to toggle between yes or no. warning pace pulse rejection must be switched on for paced patients by setting “ paced ” to yes. switching pace pulse rejection off for paced patients may result in pace pulses being counted as regular qrs complexes, which could prevent an asystole event from being detected. when changing profdes, and at admission / discharge, always check that paced status is correct for the patient. some pace pulses can be difficult to reject. when this happens, the pulses are counted as a qrs complex, and could result in an incorrect hr and failure to detect cardiac arrest or some arrhythmias. make sure that pace pulses are detected correctly by checking the pace pulse markers on the display. keep pacemaker patients under close observation. understanding the ecg display your display may be configured to look @topic:8


# # # issue - the ac plug was loose. # # # impact - the bed was not operational. # # # possible causes - the ac plug was not properly inserted. - the ac plug was damaged. # # # recommendations - insert the ac plug properly. - replace the ac plug if it is damaged. @topic:9


# # issue the input lacks the actual cause of failure for the medical device. # # impact without knowing the root cause of the failure, it is difficult to determine the appropriate solution to prevent future occurrences. # # possible causes # # # human error - incorrect operation or handling of the device. - inadequate training or supervision of operators. # # # device malfunction - manufacturing defects or design flaws. - component failure or deterioration over time. # # # environmental factors - exposure to extreme temperatures, humidity, or vibration. - contamination or corrosion. # # # user - modifiable settings - improper configuration or calibration of device settings. - unauthorized modifications or repairs. # # # other - age of the device and end - of - life issues. - lack of preventive maintenance or regular servicing. - external factors such as accidents or power surges. # # recommendations 1. * * thorough investigation : * * conduct a comprehensive assessment of the device, including its history, user logs, and maintenance records. 2. * * root cause analysis : * * identify the underlying condition or event that led to the failure. 3. * * corrective action : * * implement measures to address the root cause, such as : - rewiring or replacing faulty components. - establishing clear operating procedures and training programs. - improving preventive maintenance schedules. 4. * * preventive measures : * * develop strategies to mitigate future risks, including : - regular inspections and testing. - user education and awareness. - collaboration with manufacturers and service providers for updates and support. 5. * * documentation : * * accurately record the cause of failure, corrective actions, and preventive measures to facilitate future troubleshooting and quality improvement efforts. @topic:12


# # # issue bed not adjusting # # # impact patient discomfort, delays in patient care, increased workload on staff # # # possible causes - faulty motor or actuator - broken or frayed wiring - sensor malfunction - control panel failure - software glitch # # # recommendations - inspect motor, actuator, and wiring for damage or wear - test sensors using a multimeter - check control panel for loose connections or damaged components - update software if necessary - consult with the manufacturer or a qualified technician for further troubleshooting and repair. @topic:1


amount of c02 present during inhalation ( imc02 ), and the respiratory rate. the displayed etc02 is the maximum etc02 over the previous peak - picking interval as defined by the max hold setting ( configuration mode ). it can be set to no peak picking ( ofq, 10 seconds and 20 seconds. test method for respiration rate range a breath simulator system combined with c02 and n2 gases was used to simulate respiration rates covering the specified range. the resulting end tidal c02 values were compared to the expected value. differences between actual and expected end tidal c02 values were within the limits of the specified accuracy for the respective respiration rate, i. e. there was no effect of the respiration rate on the end tidal c02 values beyond those limits. how does the support tool work with the monitor the support tool mark2 is a windows application typically installed on the laptop of a customer engineer or a biomedical engineer working in the customer ’ s own service department. the purpose of the support tool mark2 is to upgrade, configure and diagnose all monitoring components ( modules, measurement servers, and monitors ) in the system over the network. the tool allows access to internal service information and to serial numbers. it can be remote - controlled, for example via a dial - up connection from a response center, provided the proper infrastructure is in place. for details see the instructions for use for the support tool mark2. 23 [ 2 theory of operation ] monitor software block diagram mx400 / mx450 / mx500 / mx550 architecture design chart interface device * inteifacea interface uanagers operating syaleiru appucatlont interface uanager * interface * interface * interface / uonhoring uanagers operatlrtg system ptrysiological algorithms signal acqulamon note @topic:17


# # # issue - the backup battery of the electric bed has failed. # # # impact - the bed may not be able to be adjusted in the event of a power outage. - the patient may be at risk if the bed cannot be adjusted quickly in an emergency. # # # possible causes - the battery may have reached the end of its lifespan. - the battery may have been damaged by a power surge or other electrical event. - the battery may not have been properly installed. # # # recommendations - replace the backup battery with a new one of the same type. - ensure that the battery is properly installed. - test the bed to ensure that it is functioning properly. - monitor the battery regularly to ensure that it is still functioning properly. @topic:9


* * issue : * * * bed alarm jack malfunction * * possible causes : * * * broken or damaged bed alarm jack * * recommendations : * * * replace the bed alarm jack with a new one to ensure proper functioning of the alarm system. @topic:26


# # output # # # issue - faulty keyboard on medical cart # # # impact - inability for medical professionals to operate the device effectively, leading to potential delays in patient care or incorrect treatment administration # # # possible causes - wear and tear from frequent use - damage from accidental drops or collisions - electrical malfunction - software glitches # # # recommendations - regular maintenance and inspection of the device to identify any potential issues early on - use of protective covers or cases to prevent accidental damage - proper training of medical professionals to avoid overloading or misusing the device - collaboration with the equipment manufacturer to address any design flaws or recall notices - procurement and stocking of spare parts, such as keyboards, to ensure prompt repairs when necessary @topic:27


# # # issue - insufficient battery power # # # impact - the equipment may not function properly or may fail to operate. # # # possible causes - only one battery is installed in the equipment. - the installed battery is depleted or faulty. - the equipment's battery charging system is malfunctioning. # # # recommendations - ensure that the equipment has the correct number of batteries installed. - check the batteries for any damage or corrosion. - test the equipment's battery charging system to ensure that it is functioning properly. - replace any faulty batteries or components. @topic:11


# # # issue : - central monitor is not displaying any image. # # # impact : - inability to monitor patient's vital signs and physiological parameters. - delays in patient care and decision - making. - potential safety risks for the patient. # # # possible causes : - * * faulty monitor display : * * internal hardware failure within the monitor itself, such as a malfunctioning display panel or backlight. - * * connection issue : * * loose or damaged cables connecting the monitor to the main unit or power source. - * * power supply failure : * * insufficient or unstable power supply to the monitor. - * * software glitch : * * minor software errors or bugs that may interfere with the monitor's functionality. # # # recommendations : - * * check connections : * * inspect all cables and connections between the monitor, main unit, and power source for any loose or damaged components. ensure that they are securely plugged in. - * * power cycle : * * turn off and unplug the monitor for a few minutes, then turn it back on to reset any minor software glitches. - * * inspect monitor : * * examine the monitor for any physical damage, such as cracks or scratches, that may have affected its functionality. - * * contact manufacturer support : * * if the issue persists, contact the manufacturer of the monitor for technical assistance and potential repair options. @topic:2


* * issue : * * - monitor not sending signals * * impact : * * - inability to monitor patient's vital signs accurately * * possible causes : * * - faulty wiring or connections - malfunctioning sensors or transducers - software or firmware issues - damage to the monitor or its components * * recommendations : * * - check and secure all wiring and connections. - inspect sensors and transducers for physical damage or malfunction. - update or reinstall software / firmware if available. - contact the manufacturer or authorized service provider for further troubleshooting and repair. @topic:2


# # # issue - equipment not working properly - unable to start up or function as intended # # # impact - delays in patient care - inconvenience to medical staff - reduced efficiency in healthcare delivery # # # possible causes * * hardware issues : * * - circuitry or component malfunction - physical damage - power supply issues * * software issues : * * - corrupted software - operating system errors - driver conflicts * * user error : * * - incorrect setup or configuration - improper handling - accidental damage # # # recommendations * * troubleshooting : * * - check power supply and connections - inspect for physical damage - run diagnostics tests to identify specific hardware or software issues * * repair and maintenance : * * - replace faulty components - update or reinstall software - perform regular maintenance and calibration * * user training : * * - provide instructions on proper equipment use and maintenance - ensure staff is familiar with safety protocols * * additional considerations : * * - consult with the equipment manufacturer for support - establish a preventive maintenance schedule - monitor equipment performance and address issues promptly @topic:12


# # # issue - the electric bed is unable to measure weight accurately. # # # impact - inaccurate weight measurements can lead to incorrect dosage calculations, nutritional assessments, and treatment plans for patients. # # # possible causes 1. * * faulty weight sensors : * * the sensors that measure weight may be malfunctioning or damaged. 2. * * improper calibration : * * the bed may not have been calibrated properly, resulting in inaccurate weight readings. 3. * * mechanical issues : * * the bed's weighing mechanism may have mechanical issues, such as worn - out gears or loose connections. 4. * * electrical problems : * * electrical problems, such as loose wires or faulty circuits, can interfere with the bed's weight measurement system. 5. * * environmental factors : * * extreme temperatures or humidity can affect the accuracy of weight sensors. # # # recommendations 1. * * inspect and clean weight sensors : * * check the weight sensors for any visible damage or debris. clean the sensors according to the manufacturer's instructions. 2. * * calibrate the bed : * * perform a proper calibration of the bed's weight measurement system following the manufacturer's guidelines. 3. * * check mechanical components : * * inspect the bed's weighing mechanism for any loose connections, worn - out gears, or other mechanical issues. 4. * * troubleshoot electrical issues : * * if electrical problems are suspected, consult with an electrician to inspect wires, circuits, and power sources. 5. * * consider environmental factors : * * ensure that the bed is operated in an environment within the recommended temperature and humidity range. @topic:25


# # # issue a bedside physiologic monitor exhibited a loose connection between the display and the module housing the ekg, oxygen saturation, and blood pressure sensors. # # # impact the loose connection prevented the monitor from accurately displaying patient vital signs and transmitting them to the central monitoring system. this could have led to delayed or missed interventions by healthcare providers. # # # possible causes - * * age and wear * * : the monitor was an older model, and the plastic locking mechanism had become brittle over time. - * * excessive force * * : the monitor may have been subjected to excessive force when being moved or adjusted, causing the locking mechanism to break. - * * manufacturing defect * * : there may have been a defect in the design or manufacture of the locking mechanism. # # # recommendations - * * regular maintenance * * : monitor all medical devices regularly to identify and address any potential issues before they escalate into failures. - * * proper handling * * : train staff on proper handling techniques to prevent accidental damage to the monitor. - * * use of high - quality components * * : use replacement parts of the same or better quality than the original components to ensure reliable operation and longevity of the monitor. @topic:2


* * issue : * * bed not adjusting upwards * * impact : * * patient discomfort and potential safety hazard * * possible causes : * * * * * mechanical failure : * * * faulty motor or gearbox * worn or damaged gears * broken or loose cables * * * electrical failure : * * * malfunctioning relay or contactor * open circuit in wiring harness * corroded or loose electrical connections * * * software issue : * * * glitch in control system software * misconfiguration of system parameters * * recommendations : * * * * * mechanical inspection : * * * check for loose or broken components * lubricate moving parts as needed * tighten bolts and screws * * * electrical troubleshooting : * * * verify power supply to the motor * test continuity of wiring harness * clean and tighten electrical connections * * * software diagnostics : * * * run diagnostic tests on the control system * reset or reprogram the software if necessary @topic:1


# # # issue - cannot connect hardware # # # impact - the medical cart is unable to function properly. # # # possible causes - loose or disconnected cables - faulty hardware - software issues # # # recommendations - check all cables and connections. - inspect the hardware for any damage. - restart the medical cart. - update the software. - contact bdms for further assistance. @topic:13


# # # issue - monitor is not powering on. # # # impact - patient monitoring cannot be performed. # # # possible causes - power supply issue - faulty wiring - internal component failure - user error ( e. g., incorrect power connection ) # # # recommendations - check the power supply and wiring connections. - if the issue persists, contact the manufacturer or a qualified technician for further diagnosis and repair. @topic:2


# # # issue - central monitor screen malfunction # # # impact - inability to monitor patient vital signs and other critical information # # # possible causes - * * panel failure : * * defective or damaged display panel - * * backlight failure : * * malfunctioning or dim backlight causing poor visibility - * * graphics card issues : * * faulty graphics card rendering images incorrectly on the screen - * * loose connections : * * disconnected or loose cables between the monitor and the central unit # # # recommendations - * * panel replacement : * * replace the defective display panel - * * backlight repair : * * repair or replace the backlight system - * * graphics card diagnostic : * * test and replace the graphics card if necessary - * * connection check : * * ensure all connections are secure and undamaged @topic:2


##ing suresigns vs2 * and vsi service guide 4 - 33 testing the optional recorder ( vs2 * monitor only ) testing the optional recorder ( vs2 * monitor only ) to test the optional recorder : step 1 in the system diagnostics menu, select the recorder test button to start the test. the recorder prints a test pattern similar to the following : 2 use the pattern to identify the recorder problem. for example, a faulty print head or motor. testing the charging led to test the charging led : e inthe system diagnostics menu, select the led test button. the expected led behavior during the test is displayed. if the charging led is working properly, it does the following : — lights in yellow for five seconds — lights in green for five seconds — flashes in yellow for five seconds — flashes in green for five seconds the ac power led remains green during the test. if the leds do not function as expected, see “ power problems ” on page 4 - 6. troubleshooting 4 - 34 suresigns vs2 * and vsi service guide viewing and resetting tracked parameters viewing and resetting tracked parameters the monitor tracks the usage of some of its parameters, which is useful in diagnosing problems with the monitor. the monitor tracks the following parameters : parameter description lcd usage hours the number of hours that the lcd screen has been on. nbp cycle count the number of nbp measurements taken on the monitor. errors the number of errors recorded by the monitor. for more information about tracked errors, see “ viewing, exporting, and printing ( vs2 * monitor only ) the error log ” on page 4 - 36. resetting parameters caution you must always reset a tracked parameter after replacing the associated part. to reset a tracked parameter : step 1 access the maintenance options. 2 select the reset button to the right of the parameter to reset. a confirmation window @topic:22


* if the above troubleshooting steps do not resolve the issue, it is recommended to contact the manufacturer for further support and guidance. @topic:12


# # # issue the probe of the physiologic monitor is faulty. # # # impact the patient's vital signs may not be accurately monitored, which could lead to a delay in diagnosis or treatment. # # # possible causes * the probe may have been damaged during use. * the probe may have been exposed to moisture or extreme temperatures. * the probe may have been connected to the incorrect port on the monitor. # # # recommendations * inspect the probe for any visible damage. * replace the probe if it is damaged. * ensure that the probe is properly connected to the monitor. * calibrate the monitor according to the manufacturer's instructions. @topic:20


# # # issue - motor failure in the foot section of the bed, electric # # # impact - the bed may not be able to be adjusted properly, which could affect the patient's comfort and care. # # # possible causes - the motor may have been damaged due to overuse or improper use. - the motor may have been faulty from the factory. # # # recommendations - replace the motor. - inspect the bed for any other damage. - retrain staff on proper use of the bed. @topic:9


# # # issue after installing the beacon lcd monitor on the icg station, the icg unit is not functioning properly. # # # impact the icg unit is essential for monitoring patients during cardiac catheterization procedures. its failure could lead to delays or errors in diagnosis and treatment. # # # possible causes * the beacon lcd monitor is not compatible with the icg unit. * the beacon lcd monitor is not properly installed. * the icg unit is not properly connected to the beacon lcd monitor. * the icg unit is faulty. # # # recommendations * verify that the beacon lcd monitor is compatible with the icg unit. * ensure that the beacon lcd monitor is properly installed. * check that the icg unit is properly connected to the beacon lcd monitor. * if the issue persists, contact the icg unit manufacturer for support. @topic:16


# # # issue - bed not adjusting # # # impact - inability to position patient for procedures or comfort - increased risk of patient injury # # # possible causes - broken or loose wires - faulty motor or actuator - defective control panel - software glitch # # # recommendations - inspect wires and connections for damage or looseness - test motor and actuator for proper function - replace control panel if necessary - update software if available @topic:1


# # # issue - the medical cart's screen is not turning on. # # # impact - the medical cart cannot be used to transport or monitor patients. # # # possible causes - the power cord is not plugged in. - the power switch is not turned on. - the screen is damaged. - the motherboard is damaged. # # # recommendations - check that the power cord is plugged in and that the power switch is turned on. - if the screen is damaged, it will need to be replaced. - if the motherboard is damaged, the medical cart will need to be repaired or replaced. @topic:13


# # # issue - inability to adjust the medical device. # # # impact - inability to use the device for its intended purpose. # # # possible causes - broken remote control wire. # # # recommendations - replace the broken wire. @topic:7


# # # issue - the medical cart is not turning on. # # # impact - the medical cart cannot be used to transport patients or equipment. # # # possible causes - the battery is dead. - the power cord is not plugged in. - the power switch is not turned on. - the circuit breaker has tripped. - the electrical outlet is not working. - the motherboard is damaged. # # # recommendations - check the battery and replace it if necessary. - check the power cord and make sure it is plugged into a working electrical outlet. - turn on the power switch. - reset the circuit breaker. - test the electrical outlet with a different device. - contact a qualified technician to repair the motherboard. @topic:13


# # # issue - keyboard failure of a medical cart. # # # impact - impaired functionality of the medical cart. - potential disruption of patient care and workflow. # # # possible causes - manufacturing defect in the keyboard. - wear and tear due to extended use or improper handling. - liquid spills or other environmental factors. # # # recommendations - replace the faulty keyboard with a new one. - inspect and test the replacement keyboard thoroughly to ensure proper functionality. - implement regular maintenance and cleaning procedures to prevent future keyboard failures. - consider investing in durable and spill - resistant keyboards for medical applications. - staff training on proper handling and care of medical equipment to minimize accidental damage. @topic:27


# # # issue the newly installed physiologic monitor is not functioning as expected. # # # impact the inability to use the physiologic monitor could delay or compromise patient care, as it is used to monitor vital signs such as heart rate, blood pressure, and oxygen saturation. # # # possible causes 1. * * incorrect installation : * * the physiologic monitor may not have been installed correctly, resulting in loose connections or improper configuration. 2. * * faulty equipment : * * there might be a manufacturing defect or damage to the physiologic monitor that prevents it from functioning properly. 3. * * software issues : * * the software on the physiologic monitor may be outdated or corrupted, causing it to malfunction. 4. * * incompatibility issues : * * the physiologic monitor may not be compatible with other equipment or systems in the hospital, leading to connectivity problems or data transfer issues. 5. * * environmental factors : * * extreme temperatures, humidity, or electromagnetic interference could affect the performance of the physiologic monitor. # # # recommendations 1. * * verify proper installation : * * ensure that the physiologic monitor is connected securely and configured according to the manufacturer's instructions. 2. * * inspect for equipment damage : * * examine the physiologic monitor for any physical damage or signs of misuse. if any damage is found, contact the manufacturer for repair or replacement. 3. * * update software : * * check if there are any software updates available for the physiologic monitor. install the updates to ensure the latest firmware is running. 4. * * resolve compatibility issues : * * verify the compatibility of the physiologic monitor with other equipment and systems in the hospital. consult with the manufacturers @topic:22


# # # issue - the bed's locking mechanism is not working properly. # # # impact - the patient could fall out of bed if the lock fails. # # # possible causes - the lock is broken. - the springs in the lock are too weak. - the lock is not properly lubricated. # # # recommendations - replace the lock if it is broken. - adjust the springs in the lock to make them stronger. - lubricate the lock to make it work more smoothly. @topic:6


# # # issue - cuff of the monitor is damaged. # # # impact - the monitor cannot accurately measure vital signs. # # # possible causes - the cuff may have been punctured or torn. - the cuff may have been overinflated or underinflated. - the cuff may have been used on a patient who was too large or too small. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. - ensure that the cuff is not overinflated or underinflated. - inspect the cuff regularly for signs of damage. @topic:5


# # # issue - malfunctioning bed barrier # # # impact - patient safety hazard, as patients may fall out of bed. - inconvenience for patients and staff, as the bed cannot be used safely. # # # possible causes - wear and tear on the barrier mechanism. - damage to the barrier mechanism. # # # recommendations - check the barrier mechanism for any signs of damage or wear. - replace the barrier mechanism if necessary. - ensure that the bed is regularly inspected and maintained to prevent future failures. @topic:6


# # # issue - the bed, electric from hill - rom ( model 405, p1140b ) is not able to be adjusted up or down. # # # impact - the inability to adjust the bed's height can make it difficult for patients to get in and out of bed, as well as for healthcare providers to provide care. # # # possible causes - the cause of the failure is likely due to a loose nut, which is preventing the bed from being adjusted. # # # recommendations - the technician should tighten the loose nut to resolve the issue. @topic:1


# # # issue * laparoscopic monitor ( laparoscopic - monitor ) malfunctioned during surgery. # # # impact * surgery had to be stopped or delayed. * patient safety may have been compromised. # # # possible causes * * * defective signal cable : * * the original signal cable may have been damaged, causing the monitor to lose connection. * * * loose connections : * * the replacement signal cable may not have been properly connected to the monitor or other equipment. * * * power surge / outage : * * an unexpected fluctuation in power could have caused the monitor to shut down. * * * software glitch : * * a software error in the monitor could have led to the malfunction. * * * electromagnetic interference ( emi ) : * * interference from nearby medical devices or other electronic equipment could have disrupted the monitor's functioning. # # # recommendations * * * verify cable connections : * * ensure that the signal cable is securely connected to the monitor and other devices. * * * inspect cable for damage : * * examine the signal cable for any visible damage or wear and tear. replace the cable if necessary. * * * check power supply : * * confirm that the monitor is receiving stable electrical power. * * * update software : * * install any available software updates for the monitor. * * * isolate from emi sources : * * identify and minimize sources of emi interference within the operating room. * * * consider a redundant monitor : * * use a backup monitor in case the primary monitor fails during surgery. * * * regular maintenance : * * schedule regular inspections and maintenance of all medical devices to prevent future failures. @topic:2


# # # issue - failure of oxygen saturation ( spo2 ) measurement # # # impact - inability to accurately monitor patient's oxygen levels, potentially compromising patient safety. # # # possible causes - * * damaged or faulty spo2 sensor or cable : * * malfunction of the sensor or cable can result in unreliable or absent spo2 readings. - * * incorrect sensor placement : * * improper positioning of the sensor on the patient's finger can lead to inaccurate readings. - * * interfering light sources : * * bright or strong light sources can interfere with the sensor's ability to detect changes in light absorption, resulting in inaccurate readings. # # # recommendations 1. * * inspect and test the spo2 sensor and cable : * * replace any damaged or faulty components to ensure proper function. 2. * * check the sensor placement : * * ensure the sensor is correctly positioned on the fingertip and not exposed to excessive movement. 3. * * avoid interfering light sources : * * move the patient to a location with minimal ambient light or cover the sensor with a light - blocking material if necessary. 4. * * consider alternative methods : * * if spo2 measurement is essential, explore alternative monitoring techniques, such as pulse oximetry or transcutaneous oxygen measurement. 5. * * document the issue and corrective actions : * * note the cause of failure, any troubleshooting steps taken, and the resolution of the problem for future reference. @topic:4


# # # issue - cuff is damaged # # # impact - blood pressure readings may be inaccurate or unavailable # # # possible causes - cuff is old and worn - cuff is not the correct size for the patient - cuff is not properly inflated # # # recommendations - replace cuff with a new one - use the correct cuff size for the patient - properly inflate the cuff @topic:3


# # # issue the vital signs monitor ( philips suresigns vs4 ) failed to scan patients into the hospital system. # # # impact patients could not be properly admitted or tracked within the hospital system, potentially delaying or compromising their care. # # # possible causes - hardware malfunction : the scanner may be malfunctioning due to a hardware issue, such as a faulty sensor or a loose connection. - software error : the software controlling the scanner may have encountered a bug or glitch, preventing it from functioning properly. - network connectivity issues : the scanner may not be able to connect to the hospital's network, preventing it from accessing the patient database. - human error : the user may have improperly operated the scanner or failed to follow the correct scanning procedures. # # # recommendations - * * hardware troubleshooting : * * check the scanner for any physical damage or loose connections. clean the scanner head and ensure that the cables are securely connected. - * * software updates : * * contact the manufacturer to check if there are any available software updates for the scanner. install the updates as needed. - * * network connectivity : * * verify that the scanner is properly connected to the hospital's network and that the network is functioning correctly. - * * user training : * * provide adequate training to users on the proper operation and maintenance of the scanner. - * * regular maintenance : * * perform regular maintenance and calibration of the scanner as per the manufacturer's instructions to prevent future failures. @topic:22


* * issue : * * - electric bed is unable to adjust the footrest. * * impact : * * - patients may experience discomfort or difficulty getting in and out of bed. - staff may have difficulty accessing the patient for care. * * possible causes : * * - mechanical failure of the footrest motor or gears. - electrical fault in the power supply or wiring. - software issue in the bed's control system. - user error, such as incorrect operation or overloading the bed. * * recommendations : * * - * * check for user error : * * ensure that the patient is not intentionally or unintentionally blocking the footrest movement. - * * inspect the footrest assembly : * * examine the motor, gears, and other mechanical components for damage or wear. - * * test the power supply : * * verify that the bed is receiving adequate power and that the wiring is secure. - * * update or troubleshoot software : * * if software updates are available, install them and check for any error messages. if applicable, consult the manufacturer's instructions for troubleshooting steps. - * * replace faulty components : * * if the inspection reveals any damaged or malfunctioning components, replace them according to the manufacturer's specifications. - * * calibrate the bed : * * ensure that the bed is properly calibrated to allow for smooth and efficient footrest adjustment. - * * provide training : * * educate staff and patients on proper bed operation and safety procedures to prevent future failures. @topic:1


the dempsey 232d, or for use in europe, testers like the rigel, metron or gerb. follow the instructions of the instrument manufacturer. if the dempsey is used for an extended length of time, it could be damaged by the high amp current draw of the system. • any device with mains connection that is connected to the medical device must comply with iec60601 - 1 if within patient vicinity and be separately tested at the same intervals as the monitor. • any device with mains connection that is connected to the medical device must comply with iec60601 - 1 - 1 if outside patient vicinity and be tested accordingly. safety test procedures use the test procedures outlined here only for verifying safe installation or service of the product. the setups used for these tests and the acceptable ranges of values are derived from local and international standards but may not be equivalent. these tests are not a substitute for local safety testing where it is required for an installation or a service event. if using the metron safety tester, perform the tests in accordance with your local regulations, for example in europe use iec60601 - 1 / iec60601 - 1 - 1 and in the us use ul2601 - 1. the metron report should print results with the names listed below, together with other data. n ote for any system with external displays : disconnect the display from the medical device and perform s ( l ) and s ( 2 ) on each device with a mains cable. if both pass the tests reconnect the display and proceed with normal use. 59 3 testing and maintenance safety testing s ( l ) part 1 : system enclosure leakage current - nc ( normal condition ) medical electrical system l ( n ) 1 n ( l ) s4 ( * ) pe md & © instrument under test signal parts in - and / or'output | [ applied @topic:10


# # # issue - the telemetry ekg module is not turning on. # # # impact - patients cannot be monitored using the telemetry ekg module. # # # possible causes - the power supply to the module is not working. - the module is not properly connected to the patient. - the module is defective. # # # recommendations - check the power supply to the module. make sure that the power cord is plugged into a working outlet and that the power switch is turned on. - check the connections between the module and the patient. make sure that the electrodes are properly attached to the patient's skin and that the cables are not damaged. - if the power supply and connections are working properly, the module may be defective. contact the manufacturer for further assistance. @topic:16


indicating the weight and bmi of the patient. a wi - fi communication system * ( compliant with directive 2014 / 53 / eec ) • • prevent and treat phase i, ii, iii and iv pressure ulcers in low to very high - risk adult patients intended users the hill - rom 900 accella beds are designed to be used by qualified staff. patients and visitors can also use the hill - rom 900 accellamedical beds depending on authorization aff. irst usbefore using the bed, it is essential to have a thorough understanding of this instructions for use. this instructions for use contains instructions for general use and maintenance and guarantees improved safety. caregivers must have access to this nstructions for use. caregivers must be informed of the risks that may be encountered in the use of electric beds. the many sources and types of accessories, hardware, or medical devices that may be used together with this bed do not enable hill - rom to guarantee both the safety and conformity of all the combinations thus created. the operator who creates these device combinations must therefore ensure that security and conformity requirements are met. use of accessories, transducers and cables other than those specified or provided by hill - rom could result in increased electromagnetic emissions or decreased electromagnetic immunity of this equipment and result in improper operation. waste packaging ( plastic, cardboard, metal, wood, etc. ) must follow suitable recovery circuits with a view to being recycled. page 4 before installing the bed for the first time or after bringing the bed and its accessorieut of storage : ensure that the bed and its various parts are at room temperature. • only connect the bed to a mains electric power supply with earth protection ( se " electrical safety " page 7 ), the power plug must be accessible to disconnect the bed, • wait 12 hours until the battery is fully charged before using the bed without @topic:9


##ythmia - related patient conditions. the heart rate alarms ( high hr and low hr ) can be configured as short yellow or standard yellow alarms. when they are standard yellow alarms they exist independently of the other arrhythmia alarms and no timeout periods apply. warning when arrhythmia analysis is on, all yellow ecg and arrhythmia alarms are short yellow alarms ( one - star ). this means that the yellow alarm lamp and the tones are active for six seconds only, after which the blinking numeric and the alarm message remain for up to three minutes. the only exception to this are the hr high and low alarms which can be configured as standard yellow alarms. red alarms behave as usual. 60 6 ecg, arrhythmia, st and qt monitoring arrhythmia alarms and latching when using arrhythmia analysis, visual latching and audible latching should be on for red alarms, or at least visual latching should be on. because of the transient nature of arrhythmia alarms, many arrhythmia conditions may go unnoticed if alarm latching is off. this setting can only be changed in de. switching individual arrhythmia alarms on and off some arrhythmia alarms can be individually switched on or off : non - sustain, vent rhythm, run pvcs, pair pvcs, r - on - t pvcs, v. bigeminy, v. trigeminy, multif. pvcs, pacer n. cap, pacer n. pac, pause, svt, irregularhr, missed beat, pvcs / min and afib. to switch individual alarms on or off, in the setup arrhy menu, select the alarm from the list to switch between on and off. depending on your configuration, some alarms may not be available @topic:8


# # # issue : defective shelf # # # impact : - impaired functionality of medical cart - potential safety hazard for patients and staff - reduced efficiency in medical procedures # # # possible causes : - * * overloading : * * the shelf may have been subjected to excessive weight. - * * improper handling : * * rough handling during transportation or storage may have caused damage. - * * material defect : * * the material used for the shelf may have been faulty. - * * stress over time : * * prolonged use and gradual wear and tear may have weakened the shelf. - * * accidents : * * the shelf may have been damaged in an accidental collision or impact. # # # recommendations : - * * inspection : * * conduct regular inspections of the medical cart to identify any damage or defects. - * * proper handling : * * ensure that the medical cart is handled with care and not overloaded. - * * regular maintenance : * * perform periodic maintenance on the medical cart to detect and address any potential issues. - * * replacement : * * if the shelf is severely damaged, it should be replaced with a new one to ensure optimal functioning of the medical cart. - * * training : * * provide training to staff on proper handling and maintenance of medical devices. @topic:31


# # # issue - failure to measure blood pressure # # # impact - inaccurate or incomplete patient monitoring. # # # possible causes - faulty nibp ( non - invasive blood pressure ) cuff or tubing. - loose connections or damaged wiring. - malfunctioning pressure sensor. - incorrect device settings or calibration. - user error. # # # recommendations * * troubleshooting * * - verify that the nibp cuff and tubing are intact and properly connected. - check for loose connections or damaged wiring. - calibrate the pressure sensor according to manufacturer's instructions. - ensure correct device settings and calibration. - rule out user error by observing a trained operator. * * repair * * - if the nibp cuff or tubing is damaged, replace it. - repair or replace faulty wiring or connections. - replace a malfunctioning pressure sensor. * * prevention * * - establish regular maintenance and inspection schedules. - train users on proper device handling and maintenance. - use high - quality equipment and accessories. @topic:15


# # # issue - the spo2 cable is damaged. # # # impact - the patient's oxygen saturation levels cannot be measured accurately. # # # possible causes - the cable may have been kinked or crushed. - the cable may have been exposed to excessive heat or moisture. - the cable may have been damaged by a sharp object. # # # recommendations - replace the damaged cable with a new one. - inspect the cable regularly for any signs of damage. - store the cable in a cool, dry place. - avoid kinking or crushing the cable. @topic:4


# # # issue - faulty spo2 extension connector # # # impact - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes - damaged or loose connection between the spo2 sensor and the extension connector. - internal malfunction within the extension connector itself. - incompatibility between the spo2 sensor and the extension connector. # # # recommendations - inspect the connection between the spo2 sensor and the extension connector for any damage or loose connections. - replace the extension connector if it is damaged or if the connection issue persists after tightening. - ensure that the spo2 sensor and the extension connector are compatible with each other. - calibrate the spo2 monitoring system to ensure accurate readings. - document the issue and any corrective actions taken in the device maintenance log. @topic:4


# # # issue - damaged ac plug on display screen # # # impact - interruption of monitoring display # # # possible causes - wear and tear - accidental damage - insufficient maintenance # # # recommendations - regular inspection and maintenance of medical equipment - ensure proper handling and storage of devices - have qualified technicians perform repairs and replacements - consider using surge protectors or uninterruptible power supplies ( ups ) to prevent damage from power fluctuations @topic:2


not calibrated. cco / cci cannot be calculated. make sure that the pressure chosen in the setup cco menu under cco from matches the pressure measured with the arterial catheter for cco measurement. a pressure from an external device cannot be used. select another pressure label, either abp, ao, art, bap, fap, or uap. 95 4 patient alarms and inops what to do inop message, indication occo no press cco / cci cannot be calculated. make sure that the pressure chosen in the setup cco menu under cco from matches the pressure measured with the arterial catheter for cco measurement. a pressure from an external device cannot be used. select another pressure label, either abp, ao, art, t information center cco not supported a catheter for transpulmonary c. o. measurements has been unplugged and replaced with a right heart c. o. catheter, or the measurement mode has been changed manually. silencing this inop switches the measurement off. numeric is replaced by -? inop tone cco overrange cci overrange umeric is replaced by -? inop tone the measured cco or cci value is not within the specified range for cco / cci measurement. the arterial pressure selected for pulse contour calculation for cco is available but currently invalid. make sure the pressure transducer is connected and the zero calibration is valid. at information center cco < press label > invalinumeric is replaced by -? - inop tone may sound cco pressoverrange numeric is replaced by -? - inop tone the arterial pressure selected for pulse contour calculation for cco is available but currently invalid. ransducer is connected and the zero calibration is valid @topic:17


# # # issue - cuff deteriorated with damaged velcro, unable to stay attached. - spo2 sat cable unable to detect saturation. # # # impact - affects patient's vital signs monitoring and accuracy. - delays or impacts patient care and treatment decisions. # # # possible causes - * * cuff deterioration : * * - prolonged use and wear and tear over time. - improper storage or handling of equipment. - * * spo2 sat cable malfunction : * * - loose connections or damaged wires. - faulty sensor or receiver unit. # # # recommendations - * * cuff replacement : * * - regularly inspect and replace cuffs as per manufacturer's recommendations. - ensure proper storage and handling to prolong lifespan. - * * spo2 sat cable troubleshooting : * * - check connections and ensure they are secure. - inspect wires for damage or breaks. - if necessary, replace the cable or consult with the manufacturer for further diagnostics. - * * additional measures : * * - implement regular preventive maintenance schedules to inspect and identify potential issues early on. - train staff on proper equipment handling and maintenance practices. @topic:4


according to the manufacturer's instructions. ensure that all components are properly aligned and secured. 5. * * train users on proper operation : * * provide thorough training to users on the correct way to adjust the bed's height using the wooden barriers. emphasize the importance of following the intended usage guidelines. @topic:6


# # # issue - touch screen not working # # # impact - inability to use the monitor for patient monitoring and other functions # # # possible causes - faulty touch screen - loose or damaged cable connection - software issue - power supply issue # # # recommendations - check the cable connection between the touch screen and the monitor. ensure that it is securely connected and not damaged. - if the cable is secure and not damaged, try restarting the monitor. this may resolve any software issues. - if the monitor still does not work, contact the manufacturer for further assistance. @topic:2


# # # issue * bed alarm malfunction # # # impact * inability to monitor patient safety and prevent falls # # # possible causes * loose or damaged wiring * faulty control board * software glitch # # # recommendations * inspect wiring for damage or loose connections * replace control board if necessary * update software to address any bugs @topic:26


# # issue - the bed, electric, hill - rom, care assist es is displaying an error code 1. # # impact - the bed may not be functioning properly, which could pose a safety hazard to patients. # # possible causes - the error code 1 could be caused by a number of factors, including : - a problem with the electrical system - a problem with the mechanical system - a problem with the software - a problem with the user interface # # recommendations - the bme should troubleshoot the issue to determine the cause of the error. - once the cause of the error has been determined, the bme should repair or replace the affected component. - the bme should also test the bed to ensure that it is functioning properly before returning it to service. @topic:9


# # # issue - central monitor not displaying graphs # # # impact - inability to monitor patient's vital signs accurately - delays in diagnosis and treatment # # # possible causes - faulty hub - loose connections between central monitor and hub - software issues within the central monitor or hub # # # recommendations - * * restart the hub. * * - * * inspect and tighten connections * * between the central monitor and hub. - * * check for software updates * * for the central monitor and hub. - if the issue persists, * * contact the manufacturer for further troubleshooting and repair * *. @topic:2


# # # issue - equipment malfunction # # # impact - patient monitoring may be compromised - interruption of patient care - potential for patient harm # # # possible causes - incorrect installation of the monitor - misalignment of the ec80 box - loose connections # # # recommendations - verify that the monitor is properly installed and aligned - ensure that all connections are secure and tight - test the equipment to ensure that it is functioning properly @topic:2


# # # issue faulty ekg lead wire on a philips intellivue mp70 bedside physiologic monitor. # # # impact the faulty lead wire could result in inaccurate or unreliable ekg readings, which could potentially lead to misdiagnosis or delayed treatment. # # # possible causes - * * normal wear and tear : * * ekg lead wires are subjected to repeated bending and flexing, which can eventually cause the wires to become damaged. - * * exposure to chemicals or moisture : * * exposure to harsh chemicals or excessive moisture can also damage the lead wires. - * * manufacturing defects : * * in some cases, lead wires may be defective from the manufacturer. # # # recommendations - * * regular inspection and replacement : * * ekg lead wires should be inspected regularly for signs of damage, such as cracks or fraying. damaged lead wires should be replaced immediately. - * * proper handling and storage : * * lead wires should be handled carefully and stored in a dry, protected environment. - * * use high - quality lead wires : * * it is recommended to use high - quality lead wires from reputable manufacturers. - * * monitor for signs of failure : * * clinicians should monitor the ekg signal for any signs of intermittent or unreliable readings that could indicate a failing lead wire. - * * train staff on proper use and maintenance : * * staff should be trained on the proper use and maintenance of ekg lead wires to prevent damage and ensure optimal performance. @topic:18


* * issue : * * broken head of bed on electric treatment bed in room 16 * * impact : * * inability to use the bed for patient care * * possible causes : * * * * * incorrect locking of the head of the bed : * * if the locking mechanism is not properly engaged, it could put stress on the head of the bed, causing it to break. * * * malfunctioning locking mechanism : * * the locking mechanism may fail due to wear and tear, corrosion, or improper maintenance. * * * defective materials or manufacturing defects : * * the head of the bed may have been made of defective materials or may have manufacturing defects that weakened it. * * * excessive force : * * excessive force applied to the head of the bed while adjusting it could damage the locking mechanism or the head itself. * * * abrupt movement : * * if the bed was moved abruptly while the head was unlocked, it could cause the head to strike against something and break. * * recommendations : * * * * * thoroughly inspect the locking mechanism : * * check for any signs of wear, corrosion, or damage. replace any defective components. * * * properly lock the head of the bed : * * ensure that the locking mechanism is fully engaged before moving the bed. * * * use caution when adjusting the bed : * * avoid applying excessive force or making abrupt movements. * * * regular maintenance : * * schedule regular maintenance to inspect and lubricate the locking mechanism. * * * replace defective parts promptly : * * if the head of the bed is broken or the locking mechanism is malfunctioning, replace the defective parts as soon as possible. * * * consider upgrading to a bed with a more robust locking mechanism : * * if the current bed is prone to failure, consider upgrading to a model with a more durable locking system. @topic:9


bed. the braking is correct. yes no ■l — > replace the caster ( s ) ( refer to procedure 4. 13 on page 4 - 44 ), then go to “ final actions ” on page 2 - 12. 3. this solves the problem. yes no ■i — » contact hill - rom technical support. 4. go to “ final actions ” on page 2 - 12. page 2 - 28 careassist® and careassist® es bed service manual ( man330 rev 4 ) 2. 12 steering malfunction chapter 2 : troubleshooting procedures 2. 12 steering malfunction 1. set the brake / steer bar to the brake position. check that the screws or supports are not damaged, loose or missing from the caster attachments. all the supports and screws are secure and not damaged. yes no ■i — > replace the missing parts, and then go to “ function checks ” on page 2 - 5. 2. check the steering function. set the brake / steer bar to the steer position, push the bed lengthways, and check that the foot left caster locks in the lengthways direction of the bed. the caster locks in the lengthways direction. yes no ■i — > replace the caster ( refer to procedure 4. 13 on page 4 - 44 ). if this solves the problem perform the “ final actions ” on page 2 - 12, otherwise contact hill - rom technical support. 3. this solves the problem. yes no ■i — > contact hill - rom technical support. 4. go to “ final actions ” on page 2 - 12. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 2 - 29 2. 13 scale error 0 chapter 2 : troubleshooting procedures 2. 13 scale error 0 yes i do the function checks @topic:9


# # # issue no signal from telemetry ekg module. # # # impact patient monitoring is compromised. # # # possible causes - loose or disconnected cable - faulty telemetry ekg module - interference from other electrical devices # # # recommendations - check the cable connection between the telemetry ekg module and the patient. - replace the telemetry ekg module if necessary. - identify and eliminate the source of interference. @topic:18


# # # issue - fault in bed's adjustment mechanism # # # impact - patient discomfort and safety concerns - reduced bed functionality - delay in patient care # # # possible causes * * electrical : * * - faulty power supply or wiring - malfunctioning control panel or switches - damaged electrical components within the bed's mechanism * * mechanical : * * - worn or damaged gears, shafts, or bearings - misalignment of components - obstruction or debris in the adjustment system * * hydraulic / pneumatic : * * - leaking or faulty hydraulic / pneumatic system - insufficient pressure or fluid levels - damaged valves or cylinders # # # recommendations * * troubleshooting and repair : * * - inspect electrical connections and components for loose contacts, damage, or corrosion. - check for any obstructions or debris in the adjustment mechanism. - diagnose and replace faulty electrical or mechanical components as needed. - ensure proper alignment and lubrication of all moving parts. * * maintenance and prevention : * * - regular preventive maintenance to inspect and clean the bed's adjustment system. - timely replacement of worn or damaged components. - training for staff on proper handling and usage of the bed. @topic:9


* * issue : * * the bed's side rails were loose. * * impact : * * this could be a safety hazard for patients, as they could fall out of the bed if the rails were not securely in place. * * possible causes : * * - the rails were not properly tightened during assembly. - the rails were damaged or worn out. - the bed frame was damaged or bent. * * recommendations : * * - the bed should be inspected regularly to ensure that the rails are properly tightened and in good condition. - the bed frame should also be inspected for any damage or bending. - if any damage is found, the bed should be repaired or replaced as necessary. @topic:6


# # # issue * loose connectors * cuff does not stay attached # # # impact * inaccurate vital sign readings * patient discomfort # # # possible causes * wear and tear * manufacturing defects * improper handling # # # recommendations * inspect connectors and cuff regularly * replace worn or damaged parts * handle equipment carefully * train staff on proper use and maintenance @topic:5


. ssl generic names for csm, cvsm, and ciws. vitals device an x. 509 certificate is a digital certificate that uses the widely accepted international x. 509 public key infrastructure ( pki ) standard to verify that a public key belongs to the user, computer or service identity contained within the certificate. x. 509 certificate 220 connex direct welch [UNK] connex® spot monitor architecture welch [UNK] connex® pot monitor welch [UNK] connex® vital signs monitor welch allyn connex® integrated wall system 5 6 4 active directorserver ntp emr server dns server server optional required server emr server patient query hl7 ( qry ^ a19 ) aes - 128 * 1 patient demographics hl7 ( rspak22 ) aes - 128 * 2 vitals hl7 ( oru ^ r01 ) aes - 128 * 3 dns server dns looku4 active directory server 5 clinician authentication ntp server date / time synchronization 6 service manual connex direct 221 technical specifications ports a single tcp / ip listening server ) needs to be available to receive connections ices. computer requirements the ntp host solution ( s ) must be capable of processing time synchronization requests every 36 seconds ( see ids for calculation details ). ntp message frequency the host solution ( s ) must be capable of processing clinician authentication requests every 36 seconds ( see ids for calculation details ). active directory message frequency the host solution ( s ) must be capable of processing patient lookup requests every 1. 2 seconds ( see ids for calculation details ). network an internet connection may be required depending on how ntp is configured. if ntp is configured to use an external time server ( e. g., time. nist. gov ), then the device must @topic:10


# # # issue the medical cart cannot boot up. # # # impact the medical cart cannot be used for patient care. # # # possible causes - the power supply is not connected. - the power supply is not delivering enough voltage. - the bios settings are incorrect. - the hard drive is not properly seated. - the hard drive is damaged. - the operating system is corrupted. # # # recommendations - check the power supply connections. - check the power supply voltage. - reset the bios settings to default. - reseat the hard drive. - test the hard drive. - reinstall the operating system. @topic:13


to talk to, wired monitor cannot hear anything on its lan connection ) yes yes central - outline only " unsupported lan ” ( after 1 minute ) monitor ha a lan connection but does not have an ip address assignment ( wireless monitor has found an access point to talk to, wired monitor hears traffic on the lan ) ( iff no no central - outline only “ no central monitoring ” monitor is connected to the lan and has an ip address assignment, but the bed is not being monitored at the central 1. monitor is not assigned to a sector 2. there is another monitor on the network with the same “ equipment label ” m s no no central - solid box - normal operation - monitor assigned to a sector and is being monitored by a central u s no no central - solid box, network line extended ■ normal operation - monitor assigned to a sector and is being monitored by a central this monitor also has overview functionality on other beds zi ■ no yes central - solid box " wireless out of range ” wireless monitor that currently is being monitored by a central is losing contact with the access point and cannot find another to talk to yes yes central - outline only, line for broken connection to central " no central monitoring ” monitor lost connection to the information center : 1. lan cable was disconnected 2. information center was disconnected 3. network infrastructure failure ( switch, etc. ) 4. out of range ( wireless monitor ) ■ network related problems symptoms possible causes of failure failure isolation and remedy prompt message “ no central assigned to this bed ” is issued the monitor label is not set in the monitor ( if the beds are “ monitor labeled ” in the philips information center ) set monitor label in config mode problem with the philips information center to switch communication ( if the beds are “ port mapped ” in the philips information center check pic to switch communication, switch configuration and firmware status inop “ unsupported @topic:16


communications ( lan ) board, 5 — 41 disassembly, 5 — 1 faceplate, removing, 5 — 16 fan / speaker assembly, removing, 5 — 22 front end assembly cover, removing, 5 — 26 front end assembly, removing, 5 — 24 handle o - ring, removing, 5 - 24 installing battery, 5 — 4 lcd, removing, 5 — 44 navigation wheel assembly, 5 — 47 nbp filter, removing, 5 - 38 nbp module, removing, 5 - 36 power connector fuse, 5 - 5 power supply, removing, 5 — 30 reconditioning the battery, 2 — 4 recorder, installing, 5 — 16 recorder, removing, 5 — 16 replacing battery, 5 - 3 separating front and rear case, 5 — 12 spo, board, removing, 5 - 28 tools required, 5 — 2 touch screen board, removing, 5 — 50 wireless module, removing, 5 - 50 replacement parts, 6 — 1 replacing battery, guidelines, 2 — 4 routine checks, 2 — 1 s safety and operational checks, 2 — 1 safety, verification test, 3 — 19 selecting and clearing check boxes, 1 - 1 self test, running, 4 — 29 serial number, resetting, 5 — 34 shutdown, hard, performing, 5 — 2 software upgrade, performing, 3 — 7 spare parts, 6 — 1 speaker testing, 4 - 33 theory of operation, a - 5 spo board, removing, 5 - 28 measurements, troubleshooting, 4 - 8 processing, theory of operation, a — 7 verification test, 3 — 13 start up and power sequences, 4 — 2 suresigns monitor, overview, 1 - 1 system admin menu accessing, 3 — 5 options, 3 — 6 system configuration, setting, 5 - 35 system diagnostics menu, 3 — 11 system information, viewing, 4 - 1 @topic:19


# # issue - the cause of failure is not specified. # # impact - the impact of the failure is not known. # # possible causes - the failure could be due to a number of factors, including : - mechanical failure - electrical failure - software failure - the failure could also be due to user error. # # recommendations - the following recommendations should be considered : - inspect the equipment for any signs of damage. - test the equipment to verify that it is functioning properly. - consult with the manufacturer for guidance on troubleshooting and repair. - train users on the proper use of the equipment. - establish a regular maintenance schedule for the equipment. @topic:12


max - n adult finger or neonatal foot / hand sensor ( patient size > 40 kg or < 3 kg ) yes yes 389 37 accessories sp0 2 accessories product number description compatible with : comments opt. a01 opt. a02 max - fast forehead sensor no yes must use m1943nl adapter cable. oximax max - r adult nasal sensor no yes oximax sc - a adult softcare sensor no yes oximax sc - neo neonatal softcare sensor no yes oximax sc - pr preterm infant softcare sensor no yes oxisensor ii d - 25 adult sensor ( patient size > 30kg ) yes no must use m1943a or ml943 al adapter cable oxisensor ii d - 20 pediatric sensor ( patient size 10 - 50 kg ) yes no oxisensor ii 1 - 20 infant sensor ( patient size 3 - 20 kg ) yes no oxisensor ii n - 25 neonatal sensor ( patient size < 3 kg or > 40 kg ) yes no oxicliq a see oximax max - a yes yes option a01 : use adapter cable m1943a or m1943al together with oc - 3 adapter cable. option a02 : must use adapter cables m1943nl and oc - 3 adapter cable. oxicliq p see oximax max - p yes yes oxicliq i see oximax max - i yes yes oxicliq n see oximax max - n yes yes oxiband oxi - a / n adult / neonatal sensor no yes must use m1943nl adapter cable oxiband oxi - p / i pediatric / infant sensor no yes durasensor ds100a adult finger clip sensor no yes dura - y d - ys y - sensor no yes extension / @topic:8


# # # issue - touch screen not responding properly # # # impact - inability to accurately monitor patient vital signs - delay in patient care - increased risk of patient harm # # # possible causes - faulty touch screen - software glitch - hardware malfunction # # # recommendations - inspect the touch screen for any visible damage or debris. - restart the device to clear any software glitches. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:2


# # # issue - replacement of backup battery for the electric bed. # # # impact - the electric bed may not function properly in the event of a power outage. # # # possible causes - the backup battery may have failed. - the backup battery may not have been properly installed. - the backup battery may not be compatible with the electric bed. # # # recommendations - inspect the backup battery for any damage or loose connections. - replace the backup battery with a new one that is compatible with the electric bed. - ensure that the backup battery is properly installed according to the manufacturer's instructions. @topic:9


# # # issue - capnograph ( bci capnocheck plus ) is displaying high co2 values. # # # impact - inaccurate co2 monitoring can lead to delayed treatment or incorrect treatment decisions. # # # possible causes - faulty sensor - improper calibration - airway obstruction - patient hyperventilation - underlying medical condition ( e. g., metabolic acidosis ) # # # recommendations - check the sensor for damage or contamination. - calibrate the device according to the manufacturer's instructions. - inspect the patient's airway for any obstructions. - monitor the patient's respiratory rate and pattern. - consider underlying medical conditions that may be contributing to high co2 levels. @topic:4


# # # issue - unable to adjust the wheels of the electric bed. # # # impact - the bed cannot be moved or repositioned as needed, which can impact patient care and safety. # # # possible causes - broken or damaged wheels - faulty wheel adjustment mechanism - obstruction or blockage in the wheel assembly - misalignment of the bed frame or wheels - electrical or mechanical failure in the bed's control system # # # recommendations - inspect the wheels for any visible damage or wear and tear. - check the wheel adjustment mechanism for proper functionality and any loose connections. - remove any obstructions or blockages in the wheel assembly. - ensure that the bed frame and wheels are properly aligned. - troubleshoot the bed's electrical and mechanical systems to identify any potential failures. - contact the manufacturer or a qualified technician for further assistance if necessary. - schedule regular maintenance and cleaning to prevent future issues. @topic:9


# # # issue failure to return borrowed medical device # # # impact - inconvenience to the department that originally borrowed the device - potential delay in patient care if the device is not returned promptly - damage to the device if it is not properly handled or stored # # # possible causes - miscommunication between departments - lack of clear guidelines for borrowing and returning devices - insufficient inventory tracking # # # recommendations - establish clear guidelines for borrowing and returning medical devices - implement an inventory tracking system to ensure that devices are accounted for - designate a responsible person for coordinating the borrowing and returning of devices - train staff on the proper handling and storage of devices @topic:12


the mms connector. there might be a resistance due to the rubber sealing. remove the cover slowly, without hitting or touching the inside of the mms. removing the dc / dc board n ote the hw rev c mms ( s / n prefix de610xxxxx ) does not have a separate dc / dc board anymore. the dc / dc board is connected to the main board. loosen the pin connection to the main board and remove the dc / dc board by gently lifting it up. avoid touching the surface of the board. set it aside where it is esd protected. 151 5 repair and disassembly multi - measurement server ( mms ) disassembly removing the msl flex assembly 1 after the dc / dc board is removed, lift up the msl frame connector to which the msl flex is attached. at the beginning there might be resistance due to the special fixing mechanism shown in the picture below. 2 lift up the flex connector carefully. do not bend the connector pins on the main board. 152 multi - measurement server ( mms ) disassembly 5 repair and disassembly reassembling the msl flex assembly 1 insert the msl flex layer into the frame connector as shown below by moving it into the appropriate dove tail. 2 to insert the msl flex into the mms, it has to be bent carefully. bend the msl flex in a 180 degree angle as shown below. do not crease the flex. 3 the second bend has to be done as shown below. to be able to connect the msl flex to the main board afterwards, the flex has to be bent in a 90 degree angle as shown in the picture. do not crease the flex. 153 5 repair and disassembly multi - measurement server ( mms ) disassembly 4 insert the frame @topic:19