practices 98 about the battery 98 checking the battery status 99 battery status on the main screen 100 battery status window 101 checking battery charge 103 replacing a battery 103 optimizing battery performance 104 battery safety information 108 after installation, testing or repair 108 4 troubleshooting 109 introduction 109 how to use this section 109 who should perform repairs 109 replacement level supported 110 software revision check 110 software compatibility matrix 110 compatibilty with mms 111 compatibility with information center 111 obtaining replacement parts 111 troubleshooting guide 112 checks for obvious problems 112 checks before opening the instrument 112 troubleshooting tables 114 status log 130 list of error codes 131 troubleshooting with the support tool 131 troubleshooting the individual measurements or applications 131 5 repair and disassembly 133 who should perform repairs 133 tools required 133 removing the battery 134 removing the handle 134 removing the side cover 135 removing the display / exchanging the srr board 136 reassembly of the display 138 removing the nbp pump assembly 138 reassembling the nbp pump chassis 140 exchanging the nbp pump 142 exchanging the nbp airguide / iit or wlan assembly 145 reassembly procedure 147 exchanging the loudspeaker 150 reassembly procedure 151 removing the power board 152 reassembly procedure 154 removing the ecg sync pulse out connector 155 removing the main board 157 removing the rear housing 158 removing the measurements 160 exchanging the main housing 161 exchanging the silicon pads 162 mms extensions - exchanging the top cover, msl flex cable and the dual link bar 165 exchange procedures 166 disassembly procedures for the m3015a mms extension ( hw rev. a ) 177 removing the front cover 177 refit procedures for the mms extension 181 smart battery charger lg1480 ( m8043a ) 183 cleaning the air filter mats 183 replacing the fan 183 6 parts 187 exchange and replacement parts 189 mms @topic:19


# # # issue - mismatched accessories # # # impact - inability to use the medical device # # # possible causes - * * incompatibility of equipment : * * the medical device ( propaq lt ) is only compatible with a specific brand of spo2 cable ( masimo ) while the supplied cable is from a different brand ( nellcor ). # # # recommendations - * * verify compatibility : * * before using any accessories with medical devices, ensure compatibility to prevent misalignment issues. - * * procurement of compatible accessories : * * procure the correct accessories that are compatible with the medical device to ensure proper functionality. - * * training and awareness : * * educate staff on the importance of using compatible accessories and the potential consequences of misalignment. @topic:20


# # # issue - display screen freezes # # # impact - inability to monitor vital signs ( bp, spo2 ) - compromised patient care # # # possible causes - software malfunction - hardware issue ( e. g., loose connection, damaged display ) - power supply interruption # # # recommendations - * * troubleshooting : * * - attempt a soft reset ( e. g., power cycling ) - check for any loose connections or damaged components - * * repair : * * - if troubleshooting fails, contact the manufacturer or a qualified biomedical engineer for repair - * * maintenance : * * - conduct regular preventive maintenance checks to identify and resolve potential issues early on - ensure a stable power supply to the device @topic:2


# # # issue the monitor, central station is not functioning properly. # # # impact - the monitor, central station is a critical piece of equipment in the hospital. its failure could have a negative impact on patient care. - the failure of the monitor, central station could also result in the loss of data or patient information. # # # possible causes - the technician from xovic may not have properly cleaned the equipment. - the technician from xovic may have damaged the equipment while cleaning it. - the technician from xovic may have not properly reassembled the equipment after cleaning it. - the equipment may have a manufacturing defect. # # # recommendations - the technician from xovic should be contacted to reinspect the equipment. - the equipment should be tested by a qualified biomedical engineer to ensure that it is functioning properly. - the equipment should be regularly maintained and cleaned by a qualified biomedical engineer. @topic:2


# # # issue - cuff leak # # # impact - inaccurate blood pressure readings - potential patient harm - wasted time and resources # # # possible causes - cuff is old and worn - cuff is damaged - cuff is not properly inflated # # # recommendations - replace cuff - inspect cuff regularly for damage - ensure cuff is properly inflated @topic:3


# # issue - insufficient information provided to determine the cause of failure. # # impact - unable to determine the reason for the failure of the central monitor. # # possible causes - missing or incomplete description of the failure. - lack of technical details regarding the specific issue encountered. # # recommendations - provide a more detailed description of the failure, including any error messages or symptoms observed. - include technical information such as the specific component or module that failed. - consult with the manufacturer or a qualified biomedical engineer for further troubleshooting and diagnostic assistance. @topic:12


# # # issue adjusting the locking legs is not possible. # # # impact the device cannot be positioned correctly for patient use. # # # possible causes * worn or damaged leg locking mechanism * obstruction in the leg locking mechanism * incorrect assembly of the device # # # recommendations * inspect the leg locking mechanism for signs of wear or damage and replace if necessary. * remove any obstructions in the leg locking mechanism. * check that the device is assembled correctly according to the manufacturer's instructions. @topic:6


# # # issue - loose screw # # # impact - equipment malfunction # # # possible causes - improper tightening of screw during assembly - screw may have loosened over time due to wear and tear # # # recommendations - ensure screw is properly tightened during assembly - regularly inspect equipment for loose screws and tighten as necessary @topic:24


# # # issue - * * medical equipment : * * electric hospital bed - * * manufacturer : * * hill - rom - * * model : * * p1440a - * * problem : * * inability to adjust the bed's height and angle ( stuck in an inclined position ). # # # impact - * * patient care : * * difficulty in providing comfortable and appropriate positioning for patients. - * * staff safety : * * potential strain or injury to staff when attempting to manually adjust the bed. # # # possible causes - * * mechanical failure : * * - dislodged latch on the bed's tilt adjustment mechanism. - * * electrical malfunction : * * - faulty wiring or motor issue. # # # recommendations * * diagnosis : * * - inspect the bed's tilt adjustment mechanism for any loose or damaged components. - check the electrical connections and motor to identify any potential issues. * * repair : * * - replace or secure the dislodged latch on the tilt adjustment mechanism. - repair or replace any faulty electrical components as necessary. * * prevention : * * - regular inspections and maintenance checks to identify any potential issues early on. - proper training for staff on the safe and correct operation of the bed. - use of high - quality and reliable equipment from reputable manufacturers. @topic:1


# # # issue - the electric bed, model 900b from hill - rom, is not able to adjust its height. # # # impact - the inability to adjust the bed's height can compromise patient comfort and safety, making it difficult for healthcare providers to perform certain procedures or provide care. # # # possible causes - faulty control box - electrical issues - mechanical problems # # # recommendations - * * replace the control box : * * the control box is a critical component that manages the bed's height adjustment. if the control box is faulty, it should be replaced with a new or refurbished unit. - * * troubleshoot electrical issues : * * check the power supply, wiring, and electrical connections to ensure they are functioning correctly. any loose or damaged wires should be repaired or replaced. - * * inspect for mechanical problems : * * examine the bed's frame, motors, and hydraulic system for any signs of damage or wear. if any issues are identified, they should be repaired or replaced as necessary. @topic:1


* * issue : * * broken connector on physiologic monitor * * impact : * * inability to accurately measure patient vital signs ( e. g., blood pressure, heart rate ) * * possible causes : * * * physical damage during handling or transportation * wear and tear over time * poor connector design or manufacturing defect * short circuit or other electrical fault * * recommendations : * * * * * replacement : * * replace the damaged connector with a new one from the manufacturer or a compatible aftermarket source. * * * repair : * * if possible, repair the connector by resoldering loose connections or replacing damaged components. * * * inspection : * * regularly inspect patient monitors and other medical devices for loose or damaged connectors to prevent future failures. * * * training : * * provide training to staff on proper handling and care of medical devices to minimize the risk of connector damage. * * * evaluation : * * consider reviewing the device's design or manufacturing process to identify potential issues that may lead to connector failures. @topic:2


# # # issue remote is not working # # # impact inability to control the bed # # # possible causes - remote wire loose - damaged remote - software issue # # # recommendations - check the remote wire and tighten any loose connections - replace the remote if it is damaged - update the software if available @topic:7


# # # issue - the monitor is not displaying any image on the lcd screen. # # # impact - the monitor cannot be used to display patient data or other information. # # # possible causes - the hdmi splitter box was not turned on. - the hdmi splitter box is not plugged into a power outlet. - the hdmi splitter box is not connected to the monitor. - the hdmi splitter box is not connected to the source device ( e. g. computer, camera ). # # # recommendations - turn on the hdmi splitter box. - check if the hdmi splitter box is plugged into a power outlet. - check if the hdmi splitter box is connected to the monitor. - check if the hdmi splitter box is connected to the source device ( e. g. computer, camera ). @topic:2


the leds 1 separate the front and back half of the monitor as described above. 2 remove the two screws securing the power switch and the led board and pull out the board. the board and the screws are part of the flex panel adapter cable. reassembly note : the screws securing this board are self - cutting - turn in opposite direction first when re - inserting them 3 pull out the silicon mat ( for power switch and leds ). 125 5 repair and disassembly removing the navigation point assembly removing the navigation point assembly 1 separate the front and back half of the monitor as described above. 2 remove the two screws at the back of the navigation point assembly and remove the connector from the main board by pulling it towards front. then pull off the navigation point assembly. note to remove the flat ribbon cables with red connectors ( e. g. navigation point cable ) simply pull directly on the cable. 126 removing the navigation point assembly 5 repair and disassembly reassembly note : when reinserting the connector insert the protruding nose at the top reassembly note : when re - inserting the input device, make sure the spring is inserted into the hole in the plastic housing. note the screws securing the navigation point assembly are self - cutting - turn in opposite direction first when re - inserting them. 127 5 repair and disassembly removing the ecg out / alarm led board removing the ecg out / alarm led board 1 separate the back and front half of the monitor as described above and lay the back half of the monitor on its back. 2 remove the flat ribbon connector of the ecg out / alarm led board from the main board and remove the 3 screws that hold the board and lightpipes. note to remove the flat ribbon cables with red connectors ( e. g. navigation point @topic:19


# # # issue : - remote malfunction # # # impact : - inability to adjust the bed # # # possible causes : - loose or damaged wires - faulty remote buttons - battery issues - software glitches # # # recommendations : - inspect and tighten all electrical connections. - check and replace any damaged buttons on the remote. - ensure that the remote has fresh batteries or is fully charged. - contact the manufacturer for remote repair or software updates. @topic:7


especially useful to clinicians ( for instance, when photodynamic therapy is performed ) 480 40 specifications spo2 performance specifications ulse oxim70 % to 100 % calibration rangspo2 alarm specifications adjustment range adult : 50 to 100 % % steppedi / neo : 30 to 100 % adult : 50 % to low alarm limit pedi / neo : 30 % to low alarm limi30 to 300 bpm % stepdesat adult : pulse 1 bpm steps ( 30 to 45 bpm steps ( 40 to 300 bpm ) pedi / neo : 5 bpm steps ( 50 to 300 bpm ) difference to high limit 0 to 50 bpm bpm steptachycardia clamping at 150 to 300 bpm difference to low limit 0 to 50 bpm clamping at 30 to 100 bpm bpm stepbpm stepbradycardia bpm stepsmart alarm delay ( alternative to standard alarm delay ) spo2 alarspecifications ( cont. ) tandard delashort mode medium mode 0 to 30 seconds ( adjustable in 1 second steps ) + system alarm ay¹ spo2 high 10 to 25 seconds + 10 to 50 seconds system alarm delay 10 to 100 seconds + alarm delay 0 to 30 seconds ( adjustable in 1 second steps ) + system alarm delay desat not supported 10 seconds system alarm delay pulse 10 seconds system alarm delay achycardia 10 seconds system alarm delay bradycardia 1. refer to " monitor performance specifications " on page 464 for system alarm delay specification. spo2 smart alarm delay - detailed specifications deviation from violated larm limit onmedium short 00 sec maximum delay0 se5 se1 % ( maximum delay ) ( maximum delay ) 0 se5 se2 se2 % 3 se6 se0 se3 % 5 se0 se2 se4 % 0 se0 se0 @topic:8


# # # issue the medical cart is not charging its battery. # # # impact the medical cart cannot be used while it is not charging. this can lead to delays in patient care. # # # possible causes - the battery is not making proper contact with the charging terminals. - the charging terminals are damaged. - the battery is faulty. - the charger is faulty. # # # recommendations - check the battery terminals and make sure they are clean and making good contact. - inspect the charging terminals for any damage. - replace the battery if it is faulty. - replace the charger if it is faulty. @topic:13


# # # issue : relay failure leading to inability to adjust the head of the electric bed. # # # impact : * limited patient comfort and mobility. * potential safety hazards, such as falls or pressure sores. # # # possible causes : * * * electrical fault : * * faulty wiring or loose connections within the relay circuit. * * * mechanical damage : * * physical damage to the relay components, such as broken contacts or a jammed actuator. * * * overload : * * the relay may have been subjected to an excessive current, causing it to fail. * * * environmental factors : * * exposure to extreme temperatures, vibration, or moisture can affect relay performance. * * * age and wear : * * relays have a finite lifespan and may deteriorate over time, leading to failure. # # # recommendations : * inspect the relay circuit for any visible damage or loose connections. * replace the faulty relay with a new one of the same type and specifications. * ensure that the electrical connections are secure and the wiring is not pinched or damaged. * check the load connected to the relay to ensure it does not exceed the relay's rated capacity. * monitor the operating environment to ensure it is within the recommended temperature and humidity range. * consider using relays with surge protection or a higher lifespan to enhance reliability. * regularly schedule maintenance and testing of the electric bed to prevent similar failures in the future. @topic:1


# # # issue the medical cart failed to boot normally. # # # impact the medical cart cannot be used for patient care. # # # possible causes - the boot option in the bios was set to disable. # # # recommendations - enable the boot option in the bios. @topic:13


planning the location of the various system components. environment : confirming and correcting, as necessary, the environment of the proposed installation site ( s ). system capabilities : explaining the possibilities for system expansion. mounting : referencing the mounting hardware information website for the listing of suitable mounting hardware recommended for use with the various system components, and all details on the available mounts and accessories. cabling : identifying the requirements for the cabling, conduiting and faceplates for connecting the various system components. roles & responsibilities this section describes the procedures necessary to prepare a site for a system installation. the procedures are grouped into two parts : procedures that local staff or contractors are responsible for, and procedures that philips personnel are responsible for. site preparation responsibilities local staff • ensure that all safety, environmental and power requirements are met. 289 [ 8 site preparation ] • provide power outlets. • prepare mounts. • pull cables, install conduit, install wallboxes. • terminate network cables if a philips clinical network is in use. • it may be necessary to certify the network cable plant, see philips clinical network installation manual for details. philips personnel • provide the customer with the safety, environmental and power requirements. • assemble mounts. • prepare monitor remote cabkng. procedures for local staff the following tasks must be completed before the procedures for philips personnel may be started. • providing power outlets one power outlet for each display and for any peripheral device ( for example, a printer or slave display ) is required by the system. provide a power outlet in the vicinity ( 1 m or 3 ft ) of each component that requires power. warning only the power cables provided with the system may be used. for reasons of safety, power ( mains ) extension cables or adapters shah not be used. • preparing mounts where ceiling, wau, or shelf mounts are required for mounting the equipment, the customer is responsible for the @topic:19


single fault condition ( optional ) * 62 s ( 4 ) applied part leakage current - mains on applied part * 63 safety * 10 safety information batteries * 111 safety requirements ° 229 safety test adapter cable - schematics ° 42 safety test procedures * 35, 39 safety tests « 37 performance tests ° 211 power on test e 211 system e 211 visual inspection * 211 service tool procedure, version 1 * 94 service tool procedure, version 2 * 94 setting altitude, line frequency, ecg cable colors and height & weight units ° 213 setting the date and time * 215 settings default « 239 short range radio * 218 short range radio ( srr ) performance test * 97 short range radio interface problems * 128 258 ixodd ] sidestream co2 accuracy check * 86 sidestream co2 flow check ¢ 87 sidestream co2 performance test ° 88 site planning * 225 site preparation * 225 site preparation responsibilities * 226 smart battery charger lg1480 ( m8043a ) * 184 smart battery charger part numbers * 197 software compatibility matrix * 114 software revision check * 114 space requirements ° 228 spare parts obtaining * 114 spo2 performance test ° 81 srr channel settings configuration implications * 219 status log * 133 storing a battery * 110 symbols battery * 103 system boundaries * 14 system example * 65 system installation requirements * 67 system interfaces * 18 system test * 37, 64 system test procedure * 78 t telemetry device related problems ( taap ) ¢ 127 temperature * 228 temperature performance test e 85 terminology and definitions * 30 test blocks, how to perform * 211 testing * 178 testing and maintenance * 29 testing sequence * 35 theory of operation * 13 time counters resetting * 93 time, setting ° 215 tools required * 137 touch operation not functioning * 119, 122 transport brightness setting * 107 troubleshooting * 113 troubleshooting guide * 115 troubleshooting tables * 118 troubleshooting the ec @topic:19


# # # issue - head of the bp cup is missing and unable to measure the pressure ( bed monitor 8 ). # # # impact - inability to accurately measure blood pressure for patient monitoring. # # # possible causes - the head of the bp cup may have been : - lost or misplaced during transport or storage. - accidentally detached or damaged during use. - deteriorated or worn out over time. # # # recommendations - inspect the monitor and accessories for any loose or damaged components. - check if the bp cup head is available in inventory or order a replacement. - ensure proper handling and storage of the monitor and accessories to prevent future loss or damage. - train staff on proper use and maintenance of the equipment to minimize the risk of damage. @topic:14


# # # issue - cuff is not sticking due to a damaged velcro strap. # # # impact - the patient's blood pressure cannot be accurately measured, which could lead to incorrect treatment decisions. # # # possible causes - the velcro strap is old and worn out. - the velcro strap has been damaged by improper cleaning or handling. - the velcro strap is not properly attached to the cuff. # # # recommendations - replace the damaged velcro strap with a new one. - ensure that the velcro strap is properly attached to the cuff. - clean the velcro strap regularly according to the manufacturer's instructions. @topic:3


# # # issue - torn upholstery on the huntleigh gynae 3 ob / gyn electric bed. # # # impact - compromised patient safety and comfort. - potential for infection if the upholstery is not cleaned or replaced promptly. - reduced functionality of the bed, affecting patient care. # # # possible causes - excessive or improper use of the bed. - poor maintenance or lack of regular inspections. - manufacturing defects or design flaws. - accumulation of wear and tear over time. - exposure to harsh chemicals or cleaning agents. # # # recommendations - * * immediate action : * * - remove the damaged upholstery and clean the affected area thoroughly. - contact an authorized service provider to repair or replace the upholstery. - * * preventive measures : * * - establish and follow a regular maintenance schedule for all medical equipment. - train staff on the proper use and handling of the bed. - inspect the bed regularly for signs of wear or damage. - use protective covers or pads when necessary to minimize wear on the upholstery. - consider upgrading to a newer model of bed with more durable upholstery materials. @topic:9


* * issue : * * monitors unable to take blood pressure. * * impact : * * patients may not receive accurate blood pressure readings, which could lead to incorrect diagnoses and treatment. * * possible causes : * * * * * battery failure : * * the batteries may be dead or malfunctioning, causing the monitor to lose power. * * * cuff damage : * * the cuff may be torn, punctured, or otherwise damaged, preventing it from inflating properly and taking accurate measurements. * * * electrical issues : * * there may be loose connections, faulty wiring, or other electrical problems that are preventing the monitor from functioning correctly. * * * software glitches : * * the monitor's software may have experienced a glitch or bug that is causing it to malfunction. * * * user error : * * the monitor may not have been used correctly, such as not being calibrated or used with the wrong cuff size. * * recommendations : * * * * * check battery life : * * replace batteries if they are dead or low. * * * inspect cuff : * * examine the cuff for any damage and replace it if necessary. * * * troubleshoot electrical issues : * * inspect wires and connections, and consult an electrician if necessary. * * * update software : * * check for and install any available software updates. * * * train users : * * ensure that users are properly trained on how to use the monitor. * * * perform regular maintenance : * * conduct regular inspections and maintenance to identify and address potential issues before they cause failures. @topic:15


# # # issue - the capnograph machine does not turn on. # # # impact - the medical staff cannot monitor the patient's respiratory status. # # # possible causes - the power adapter is not connected properly. - the power adapter is faulty. - the power supply to the electrical outlet is interrupted. - the internal fuse of the capnograph machine has blown. - the internal wiring of the capnograph machine is damaged. # # # recommendations 1. check if the power adapter is connected properly to both the capnograph machine and the electrical outlet. 2. if the power adapter is properly connected, try using a different power adapter. 3. check if the electrical outlet is providing power by plugging in another device. 4. if the power supply to the electrical outlet is interrupted, contact the hospital's maintenance department. 5. if the internal fuse of the capnograph machine has blown, replace the fuse with one of the same amperage rating. 6. if the internal wiring of the capnograph machine is damaged, contact the manufacturer for repairs. @topic:2


# # # issue : bed cannot adjust leg elevation # # # impact : patient discomfort, delayed treatment, increased risk of injury # # # possible causes : - knob locking the leg in place is engaged - mechanical failure in the leg adjustment mechanism - electrical fault in the control system # # # recommendations : 1. check if the knob locking the leg in place is engaged and release it if necessary. 2. inspect the leg adjustment mechanism for any signs of damage or wear. 3. check the electrical connections and wiring for any loose or damaged components. 4. if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:1


# # # issue - the remote control cable of the bed, electric, huntleigh, contoura 390 is broken. # # # impact - the bed cannot be operated remotely, which may cause inconvenience to patients and staff. # # # possible causes - the remote control cable may have been damaged due to excessive bending or pulling. - the remote control cable may have been chewed by rodents or other animals. - the remote control cable may have been damaged due to a manufacturing defect. # # # recommendations - replace the remote control cable with a new one. - inspect the remote control cable regularly for damage and replace it if necessary. - store the remote control cable in a safe place to avoid damage. - train staff on the proper use and care of the remote control cable. @topic:7


# # # issue - the electric bed is not functioning properly. # # # impact - the patient may not be able to receive proper care. - the staff may have to manually move the patient, which can be difficult and time - consuming. # # # possible causes - the bed may not be plugged in. - the power cord may be damaged. - the control panel may be malfunctioning. - the bed may be overloaded. - the bed may be damaged. # # # recommendations - check if the bed is plugged in. - inspect the power cord for damage. - check the control panel for any damage or loose connections. - ensure that the bed is not overloaded. - if the bed is damaged, contact a biomedical engineer for repairs. @topic:9


# # # issue : propaq monitor ( no. 2 ) in er department experiencing slow processing time # # # impact : - delays in patient monitoring and diagnosis - potential for inaccurate or delayed patient care # # # possible causes : - * * aging equipment : * * the propaq monitor is 14 years old, exceeding the recommended lifespan of 7 years by ecri - * * hardware or software malfunction : * * the monitor may have developed internal components or software issues that are causing the slow processing time # # # recommendations : - * * replace the monitor : * * as the equipment is well past its recommended lifespan and exhibiting performance issues, it is recommended to replace the monitor with a newer model. - * * investigate underlying cause of failure : * * conduct a thorough investigation to determine the root cause of the slow processing time. this will help prevent similar failures in the future. - * * establish regular maintenance schedule : * * implement a regular maintenance schedule for all medical equipment to ensure optimal performance and longevity. @topic:2


# # # issue - battery drain faster than usual # # # impact - inability to use the device in the event of a power outage - battery may explode or catch fire if overcharged # # # possible causes - battery is old and needs to be replaced - battery is not properly seated in the device - device is drawing too much power # # # recommendations - replace the battery - ensure that the battery is properly seated in the device - inspect the device for any signs of damage or corrosion @topic:11


# # # issue - monitor cannot measure blood pressure ( bp ). # # # impact - inability to accurately monitor patient's vital signs. # # # possible causes - * * faulty blood pressure cuff or tubing : * * the cuff or tubing may be damaged or leaking, preventing accurate pressure readings. - * * malfunctioning blood pressure transducer : * * the transducer may be malfunctioning, resulting in incorrect bp measurements. - * * software or hardware issues : * * the monitor's software or hardware may be experiencing errors that interfere with bp readings. - * * electrical issues : * * faulty electrical connections or power supply can disrupt the monitor's operation. # # # recommendations - * * inspect blood pressure cuff and tubing : * * check for any damage or leaks and replace if necessary. - * * test blood pressure transducer : * * connect the monitor to a known - accurate blood pressure simulator to verify the transducer's functionality. - * * update software or hardware : * * if necessary, update or replace the monitor's software or hardware. - * * check electrical connections : * * ensure that the power cord and other electrical connections are securely connected and not damaged. - * * consult manufacturer's support : * * contact the manufacturer for further troubleshooting assistance or if the issue persists. @topic:15


# # # issue - faulty nbp line # # # impact - the philips intellivue mx700 bedside physiologic monitor is unable to accurately measure blood pressure due to a faulty nbp line. this can lead to incorrect patient data and potentially impact patient care decisions. # # # possible causes - damage to the nbp line, such as a broken connector or kinked hose - malfunctioning pressure sensor - software issues with the monitor # # # recommendations - replace the nbp line - inspect the pressure sensor and connectors for damage or loose connections - update the monitor software to the latest version - calibrate the monitor according to the manufacturer's instructions - ensure that the patient is in a comfortable position for accurate blood pressure measurement @topic:15


place arm electrodes on the inside of each arm, between the wrist and the elbow. - place leg electrodes inside of each calf, between the knee and the ankle. chest electrodes : vi - on the 4th intercostal space at the right sternal border v2 - on the 4th intercostal space at the left sternal border v3 - midway between the v2 and v4 electrode positions v4 - on the 5th intercostal space at the left midclavicular line v5 - on the left anterior axillary line, horizontal with the v4 electrode position v6 - on the left midaxillary line, horizontal with the v4 electrode position 127 6 ecg, arrhythmia, st and qt monitoring capture 12 - lead modified 12 - lead ecg 1 - la 2 - vi - v6 3 - ll 4 - rl 5 - ra 6 - angle of lewis if your institution uses modified 10 lead ecg electrode placement ( the mason - likar lead system ), place the four limb electrodes close to the shoulders and lower abdomen. the six v electrodes are placed on the chest in the same position as the conventional 12 - lead placement. choosing standard or modified electrode placement if your institution uses modified 10 lead ecg electrode placement ( the mason - likar lead system ), you must switch mod. lead placment to on in the monitor. to do this, ♦ in the setup ecg menu, select mod. leadplacment to toggle between on and off. - when mod. lead placment is set to on, 12 lead ecg reports will be labelled 12 lead ecg report ( mason - likar ), and captured 12 - lead ecgs will be labelled mason - likar to the right of the bandwidth annotation at the information center. - when mod. leadplacment is set @topic:8


# # # issue - remote control for hospital bed is not operational. # # # impact - inability to adjust bed settings, which can compromise patient comfort and safety. - potential delays in patient care due to the need to manually adjust the bed. # # # possible causes - * * defective remote control : * * faulty electronic components, damaged wiring, or physical damage can lead to malfunction. - * * battery issues : * * low or dead batteries can prevent the remote from communicating with the bed. - * * compatibility issues : * * use of an incompatible remote with the specific bed model. - * * software glitches : * * software errors or firmware updates may interfere with the remote's functionality. - * * other electrical issues : * * loose connections, power surges, or electromagnetic interference can disrupt remote operation. # # # recommendations - * * inspect and test the remote control : * * - check for physical damage and ensure proper battery connections. - use a multimeter or other diagnostic tools to verify component functionality. - * * replace the remote control : * * - if the remote is confirmed to be defective, order a replacement that is compatible with the bed model. - ensure the new remote is programmed correctly for the specific bed. - * * troubleshoot electrical issues : * * - check for loose connections, frayed wires, or tripped circuit breakers. - perform electrical tests to identify any power supply or grounding problems. - * * update software : * * - contact the equipment manufacturer to inquire about any available firmware updates that may address software glitches. - * * consult a qualified biomedical engineer : * * - if the issue persists despite the above troubleshooting steps, seek assistance from a biomedical engineer who specializes in medical device repair and maintenance. @topic:7


water displaced in 60 seconds should be 8ml ( 4 / - 2ml ) for the 15210 - 64010 gas cylinder or 12ml ( + 4 / - 2ml ) for the 15210 - 60010 gas cylinder. if the displacement is within the appropriate one of these ranges, the supply of gas in within specification. if the gas flow is less that the permitted minimum, remove the calibration unit cover ( see cover removal in the next section ) and look for an occlusion or leakage. if the gas flow is greater than the permitted maximum, follow the procedure below : 1 replace the gas cylinder with a new cylinder. 2 turn the gas flow adjuster screw on the underside of the unit to reduce the gas flow ( see next figure to locate the gas flow adjuster ). 269 a philips 1521 ob calibration unit disassembly figure 34 calibration unit viewed from underneath 3 repeat the gas flow performance check described above. if the gas flow is still significantly greater than the permitted maximum, remove the cover following the procedure ( cover removal ) below. 4 remove the flow restriction by pulling the tubing off ( see figure 3 - 4 ), select a new restriction from the set of restriction pieces ( part number 13210 - 68703 ) and fit in the unit. 5 reassemble the unit and repeat the gas flow performance check. 6 turn the gas flow adjuster screw as necessary. 7 if the gas flow is still greater that the specified rate, repeat the above steps, inserting a longer restriction. disassembly tools required : pozidrive screwdriver, size gn1, normal screwdriver, size 1 / 7, hex - key ( allen - key ), size sw 3mm. 1 cover removal a. remove the gas cylinder from the calibration unit. b. remove the four screws on @topic:17


# # # issue - loose spo2 connector extension cable, requiring movement to obtain readings. # # # impact - intermittent or inaccurate spo2 measurements. # # # possible causes - wear and tear on the cable, leading to loose connections. - improper handling or storage of the cable. - manufacturing defects in the cable or connectors. # # # recommendations - replace the spo2 connector extension cable with a new one to ensure reliable readings. - inspect all spo2 cables regularly for any signs of damage or wear. - store and handle spo2 cables carefully to prevent damage. - consider using a higher quality spo2 cable that is more durable and less prone to failure. @topic:4


##ing guide problems with the monitor are separated into the categories indicated in the following sections and tables. check for obvious problems first. if further troubleshooting instructions are required refer to the troubleshooting tables. taking the recommended actions discussed in this section will correct the majority of problems you may encounter. however, problems not covered here can be resolved by calling philips response center or your local representative. checks for obvious problems when first troubleshooting the monitor, check for obvious problems by answering basic questions such as the following : 1 is the power switch turned on? 2 is the ac power cord connected to the instrument and plugged into an ac outlet? 3 is the msl cable connected correctly? 4 are the mms and, if present, the mms extension connected correctly? 5 are the parameter modules plugged into the 3 - slot rack correctly? 104 4 troubleshooting checks before opening the instrument you can isolate many problems by observing indicators on the instrument before it is necessary to open the instrument. checks with the instrument switched off • ac connected, without battery : - ac power led is on ( green ). • ac connected, with battery : — ac power led is on ( green ). — battery led is green if battery is fully loaded, yellow if battery is being charged. - battery led red and blinking signals battery or charger malfunction. see battery - related problems. • no ac connected, with battery : — all leds are off checks with the instrument switched on, ac connected, without battery when the monitor is first switched on the ac power led switches on and stays on. the power on / error led lights up red and then switches to green and stays on. checks with the instrument switched on, ac connected, with battery when the monitor is first switched on the ac power led switches on and stays on. the power on / error led lights up red and then switches to green and @topic:16


# # # issue * battery failure. # # # impact * the device cannot be used without a functioning battery. * patient monitoring may be interrupted. # # # possible causes * the battery is old and has reached the end of its lifespan. * the battery has been damaged. * the battery charger is not functioning properly. # # # recommendations * replace the battery with a new one. * check the battery charger to make sure it is functioning properly. * if the problem persists, contact the manufacturer of the device. @topic:11


# # # issue - the bedside cannot be unlocked. # # # impact - this can prevent the patient from being moved safely or from accessing the equipment they need. # # # possible causes - the locking mechanism is broken. - the locking mechanism is jammed. - the locking mechanism is not properly lubricated. # # # recommendations - inspect the locking mechanism for damage or jamming. - lubricate the locking mechanism. - replace the locking mechanism if it is broken. @topic:6


* * test the spo2 processing unit : * * use a test device or consult the monitor's user manual to test the functionality of the spo2 processing unit. * * patient : * * - * * ensure a strong pulse : * * check the patient's pulse and ensure it is strong and steady. - * * minimize patient movement : * * ask the patient to remain still during the spo2 measurement to avoid motion artifacts. - * * remove fingernail polish or obstructions : * * remove any fingernail polish or obstructions covering the fingertip to ensure proper contact between the spo2 sensor and the skin. @topic:4


# # # issue - bed's wooden protection bar is loose. # # # impact - patient safety is compromised as they may fall out of bed or get injured by the loose bar. # # # possible causes - * * manufacturing defect : * * the bar may not have been properly secured during manufacturing. - * * wear and tear : * * over time, the screws holding the bar in place may have loosened due to repeated use or aging. - * * improper assembly : * * the bar may not have been installed correctly during initial setup or after maintenance. - * * patient tampering : * * the patient may have intentionally or unintentionally loosened the bar. # # # recommendations - * * inspection : * * regularly inspect the bed to ensure that all components, including the wooden protection bar, are secure and in good condition. - * * maintenance : * * schedule preventive maintenance to tighten any loose screws or bolts and replace worn or damaged parts as necessary. - * * proper assembly : * * ensure that all components are properly tightened and secured during installation or maintenance. - * * patient education : * * inform patients of the importance of keeping the protection bar in place and to report any loose components to the appropriate staff. @topic:6


# # # issue * shelf is damaged. # # # impact * the medical cart is not able to store medical supplies and equipment safely. * this could lead to delays in patient care. # # # possible causes * the shelf may have been overloaded. * the shelf may have been struck by a heavy object. * the shelf may have been damaged by water or other liquids. * the shelf may have been made of a defective material. # # # recommendations * inspect the shelf for damage. * if the shelf is damaged, replace it. * make sure that the medical cart is not overloaded. * store the medical cart in a dry place. * use care when handling the medical cart. @topic:31


# # # issue - remote control not working # # # impact - inability to adjust bed settings and positions # # # possible causes - loose or disconnected wiring from the hand remote to the bed - battery issues in the hand remote - software issues with the remote or bed - mechanical failure within the remote # # # recommendations - ensure all wiring is secure and connected - replace batteries - inspect the remote and bed for any physical damage - update software or firmware if necessary - contact the manufacturer for further assistance @topic:7


# # # issue - unable to adjust the footrest downward # # # impact - patient discomfort or inability to use the equipment # # # possible causes - excessive upward pressure on the footrest - malfunctioning locking mechanism - incorrect assembly or misalignment # # # recommendations - inspect the footrest for any obstructions or damage - check the locking mechanism for proper function and alignment - ensure that the footrest is assembled correctly and that there is no misalignment - adjust the footrest gradually to prevent excessive upward pressure @topic:1


# # # issue * broken bed # # # impact * patient safety hazard * inconvenience for patients and staff * increased workload for biomedical engineers # # # possible causes * mechanical failure due to excessive weight or force * structural weakness or damage * improper assembly or maintenance # # # recommendations * inspect beds regularly for signs of wear and tear * follow manufacturer's instructions for assembly and maintenance * use appropriate lifting techniques to avoid damage to beds * report any damage or concerns to the biomedical engineering department immediately @topic:9


“ removing the front end assembly ” on page 5 - 24. 4 remove the front end assembly cover. see “ removing the front end assembly cover ” on page 5 - 26. repairing the monitor 5 - 28 suresigns vs4 service guide removing the spo, z board remove the two plastic phillips screws on the front end assembly. sv - 2 ao ) ee = a poet. 04 : ooetsoozz wi — fy e * is. 2. ee ae ~ ae + e met ceee ] wo 220 - 0513 - 00 remove the two connectors and separate the spo, board from the front end assembly board. repairing the monitor suresigns vs4 service guide 5 - 29 removing the power supply removing the power supply 5 - 30 to remove the power supply : step 1 separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 5 - 12. 2 remove the main board assembly. see “ removing the main board assembly ” on page 5 - 18. 3 disconnect the 2 - pin and 6 - pin power supply connectors from the back of the main board assembly. caution when you reconnect the power supply, connect the white 6 - pin connector cable to the power supply and the black connector on the end of the cable to the main board. if you reverse the connectors, the monitor will not power up. repairing the monitor suresigns vs4 service guide removing the main board 4 remove the three torx t10 screws and washers, use pliers to release the plastic stand - off pin, and then remove the power supply from the assembly. plastic stand - off pin $ q - + e removing the main board caution before you replace the main board, export the current configuration settings. for more information, see the “ export settings ” section of the suresigns @topic:19


# # # issue - wooden bed rails not locking # # # impact - patient safety hazard # # # possible causes - loose hardware - damaged lock mechanism # # # recommendations - tighten loose hardware - replace damaged lock mechanism @topic:6


# # # issue - potential airway leak in main board # # # impact - inability to pump blood pressure ( bp ) # # # possible causes - potentially broken wiring in main board due to deterioration of plastic # # # recommendations - replace damaged parts to ensure proper functioning of the device @topic:15


# # # issue * remote control is defective * bed is making a loud noise # # # impact * inability to operate the bed * patient discomfort due to noise # # # possible causes * * * remote control : * * * battery failure * internal component failure * damage to the remote control housing * * * bed : * * * worn or damaged gears * loose or missing bolts * motor malfunction # # # recommendations * * * remote control : * * * replace the batteries * inspect the remote control for any visible damage * if damage is present, replace the remote control * * * bed : * * * lubricate the gears * tighten any loose bolts * inspect the motor for any signs of damage * if necessary, replace the motor @topic:7


, select the table contents pop - up key and choose from the list of available parameters. ♦ to view the currently - used temperature unit, see the “ grayed - out ” setting temperature unit in the setup c. o. menu. this setting can only be changed in configuration mode. ♦ the cardiac output screen element may be configured to display permanently on a specially designed screen. selecting the screen element opens the cardiac output pop - up keys. 201 13 monitoring cardiac output accessing the setup c. o. and setup cco menus accessing the setup c. o. and setup cco menus c. o. settings can be changed in the setup c. o. menu. to access this menu, ♦ press the c. o. hard key on the c. o. module ♦ select any of the discontinuous c. o. numerics ( for example, c. o., c. i. ) on the screen. cco / cci settings can be changed in the setup cco menu. to access this menu, ♦ select any of the continuously measured hemodynamic numerics ( cco, cci. ) on the screen. entering the hemocalc window ♦ from the c. o. procedure window, select the pop - up key hemocalc to open the hemocalc window. measuring c. o. using the picco method the picco method combines transpulmonary thermodilution and pulse contour analysis on the blood pressure waveform. a fluid with a known volume and temperature is injected into the right atrium through a cvp catheter. the injectate bolus mixes with the blood in the heart and the change in blood temperature is measured with a thermistor at the distal end of an arterial catheter placed in one of the bigger systemic arteries, for example, the femoral @topic:17


# # # issue * * keyboard not functioning due to mode lock * * # # # impact * inability to enter data or navigate medical cart * delays in patient care or procedures * potential safety hazards if essential functions cannot be accessed # # # possible causes * accidental activation of 2. 4g mode lock * faulty keyboard or internal component * software glitch or configuration issue # # # recommendations * * * immediate action : * * confirm that the keyboard is in the correct mode and unlocked. try restarting the device if necessary. * * * troubleshooting : * * if the issue persists, perform a thorough physical examination of the keyboard for any damage or loose connections. inspect internal components if possible. * * * software update : * * check for any available software updates or patches that may address the issue. * * * contact manufacturer : * * if the problem cannot be resolved locally, contact the manufacturer of the medical cart for technical support. * * * consider preventative measures : * * implement procedures to prevent accidental mode activation, such as user training and regular device maintenance. @topic:27


# # # issue : bed not adjusting up or down # # # impact : patient discomfort, delayed care, staff inefficiency # # # possible causes : - faulty control box - damaged wiring - broken motor - software error # # # recommendations : - replace control box - inspect and repair wiring - replace motor - update software @topic:1


in step 9 in this procedure onwards. 5 disconnect the 5 % calibration gas and connect the 10 % calibration gas. 6 calculate the expected measurement value and tolerance in mmhg as follows : 0. 1 x ( ambient pressure ) = value mmhg ±0. 07 x ( value mmhg ) = tolerance for example 0. 1 x 737 mmhg = 73. 7 mmhg ( with an ambient pressure of 737 mmhg ) ±0. 07 x 73. 7 mmhg = ±5. 16 mmhg tolerance 7 open the valve on the flow regulator to allow 10 % c0 2 gas to flow into the extension. allow the value to stabilize. 8 check that the value on the instrument ( x8 ) matches the calculated mmhg value within the calculated tolerance. if so, the measurement extension is correctly calibrated. if the value is outside the tolerance, calibrate as follows. 9 if not already connected, connect the 5 % calibration gas. 10 select cal. c0 2. 11 select the value for the calibration gas. ( the default value is 5. 0 %. ) 12 open the valve on the calibration gas to allow c0 2 gas to flow into the extension. allow the value to stabilize before the start of the calibration. leave the valve open until the instrument gives a prompt that gas can be removed. 13 the extension calibrates and prompts when calibration is successful. calibration verification 1 reopen the 5 % gas valve and allow the value to stabilize. 2 check that the value displayed on the monitor is correct within the tolerance ( see step 2 above ). 3 disconnect the 5 % calibration gas and connect the 10 % calibration gas. 4 open the valve on the flow regulator to allow 10 % c0 2 gas to flow into the extension. allow @topic:17


* * issue : * * - cuff is worn out and needs to be replaced. * * impact : * * - patient's blood pressure cannot be measured accurately. * * possible causes : * * - cuff is made of poor quality material that wears out quickly. - cuff is not properly inflated or deflated. - cuff is not properly sized for the patient. - cuff is stored in a way that damages it. * * recommendations : * * - replace the cuff with a new one of good quality. - ensure that the cuff is properly inflated and deflated. - select the proper size cuff for the patient. - store the cuff in a way that prevents damage. @topic:3


# # # issue - inability to adjust the footrest of the bed. # # # impact - reduced patient comfort and mobility - difficulty performing certain medical procedures - increased risk of pressure sores # # # possible causes - * * remote control malfunction : * * the remote control used to adjust the bed may be faulty, preventing the footrest from moving. - * * wiring issues : * * electrical wiring within the bed or remote control may be damaged or loose, interrupting the signal between the two components. - * * mechanical failure : * * the mechanism responsible for adjusting the footrest may be jammed or broken, preventing movement. # # # recommendations - * * inspect the remote control : * * check the remote control for any visible damage or loose buttons. replace it with a new one if necessary. - * * examine wiring : * * inspect the electrical wiring throughout the bed and remote control for any damage or loose connections. tighten any loose wires and replace damaged ones. - * * troubleshoot the footrest mechanism : * * manually check the footrest mechanism for any obstructions or damage. lubricate any moving parts and make sure they are operating smoothly. if necessary, disassemble the mechanism and inspect it for any broken or worn components. @topic:1


# # # issue - no data loss as equipment was offline # # # impact - the patient could not have their vital signs monitored by the device while it was offline. # # # possible causes - the cuff was not changed correctly. - the cuff was not the correct size for the patient. - the device was not properly calibrated. # # # recommendations - ensure that the cuff is changed correctly by following the manufacturer's instructions. - use the correct size cuff for the patient. - calibrate the device according to the manufacturer's instructions. @topic:5


# # # issue - keypad malfunctioning # # # impact - inability to operate the bed, potentially delaying patient care # # # possible causes - physical damage to the keypad buttons or circuitry - electrical fault or loose connections - software glitch or firmware issue - wear and tear due to prolonged use # # # recommendations - inspect the keypad for any visible damage or debris - clean the keypad buttons and connections using a non - abrasive cloth - check for loose wires or connections in the keypad assembly - update the bed's firmware if a software issue is suspected - replace the keypad if necessary @topic:25


# # # issue - the locking pin of the bed rail has come loose. # # # impact - the bed rail cannot be used, which could pose a safety hazard to the patient. # # # possible causes - the locking pin was not properly tightened. - the locking pin is worn out or damaged. - the bed frame is bent or damaged. # # # recommendations - tighten the locking pin. - replace the locking pin if it is worn out or damaged. - inspect the bed frame for any damage and repair or replace it as necessary. @topic:6


# # # issue - the bed electric's wooden barrier is not adjustable. # # # impact - patients may be at risk of falling out of bed. - staff may be unable to properly position patients. # # # possible causes - the wooden barrier is not properly attached. - the wooden barrier is damaged. - the wooden barrier is blocked by something. - the motor that adjusts the wooden barrier is not working. # # # recommendations - inspect the wooden barrier to ensure that it is properly attached. - if the wooden barrier is damaged, replace it. - if the wooden barrier is blocked by something, remove the obstruction. - if the motor that adjusts the wooden barrier is not working, contact a qualified technician. @topic:1


# # # issue - scanner malfunction # # # impact - delay in patient care - loss of patient data - increased workload for healthcare professionals # # # possible causes - loose battery connection - damaged scanner hardware - software glitch - power surge # # # recommendations 1. * * ensure the battery is securely connected. * * this can be done by checking the battery contacts and tightening any loose connections. 2. * * inspect the scanner hardware for any damage. * * look for any cracks, dents, or other signs of damage. if any damage is found, the scanner should be replaced. 3. * * restart the scanner. * * this can be done by turning the scanner off and then back on again. 4. * * contact the scanner manufacturer for support. * * if the above steps do not resolve the issue, the scanner manufacturer may be able to provide additional troubleshooting assistance. @topic:23


# # # issue - cuff of the vital signs monitor is degraded. # # # impact - the vital signs monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - check the cuff for any damage. - make sure the cuff is the correct size for the patient. @topic:5


# # # issue - probe sensor spo2 nellco dsi002 broke # # # impact - the nibp monitor may not be able to accurately measure blood pressure. - the patient may not be able to receive adequate medical care. # # # possible causes - the probe sensor may be damaged due to : - wear and tear - mishandling - incorrect storage - the probe sensor may be incompatible with the nibp monitor. - the probe sensor may be defective. # # # recommendations - replace the probe sensor with a new one. - ensure that the probe sensor is compatible with the nibp monitor. - inspect the probe sensor for any signs of damage. - store the probe sensor in a clean, dry place. @topic:4


# # # issue - the upholstery on the bed is torn. # # # impact - the torn upholstery could cause discomfort or injury to patients. - the appearance of the bed could be affected, making it less appealing to patients. # # # possible causes - the upholstery could have been damaged by wear and tear. - the upholstery could have been damaged by chemicals or cleaning agents. - the upholstery could have been damaged by patients or staff. # # # recommendations - replace the torn upholstery. - inspect the bed regularly for damage. - clean the bed according to the manufacturer's instructions. - train staff on how to properly use and care for the bed. @topic:9


# # # issue * * * device not powering on * * # # # impact * inability to monitor patient's vital signs. # # # possible causes * * * battery depletion or malfunction : * * the device may not be receiving adequate power due to a depleted or malfunctioning battery. * * * power supply issues : * * the device may not be properly connected to a power source or there may be issues with the power supply itself. * * * hardware failure : * * internal components such as the power switch or circuitry may have malfunctioned, preventing the device from powering on. # # # recommendations * * * check the battery : * * ensure the battery is fully charged and properly connected to the device. replace the battery if necessary. * * * inspect the power supply : * * verify that the device is connected to a reliable power source and check for any loose connections or damage to the power cord. * * * perform troubleshooting steps : * * refer to the device's user manual for specific troubleshooting steps related to power issues. * * * contact technical support : * * if the issue persists, contact the device's manufacturer or a qualified biomedical engineer for further assistance. @topic:11


# # # issue the bed is unavailable for use due to it being on loan to another unit ( 4i ). # # # impact - the hospital may not have enough beds available for patients. - patients may have to wait longer for a bed. - the hospital may lose revenue if it is unable to admit patients due to a lack of beds. # # # possible causes - the bed was not properly inventoried when it was loaned to 4i. - the bed was not returned to the original unit when it was no longer needed. - the bed was damaged while it was on loan to 4i. # # # recommendations - implement a system for tracking loaned equipment to ensure that it is returned to the original unit when it is no longer needed. - establish a policy for the use of loaned equipment to prevent it from being damaged or lost. - train staff on the importance of properly inventorying and returning loaned equipment. @topic:9


# # # issue - printer connected to the central is unable to print # # # impact - inability to obtain printouts from the connected device - delay in patient care or documentation - potential loss of critical patient information - frustration for healthcare professionals # # # possible causes - printer is not properly connected to the central via cables or network - printer software is not installed or is outdated on the central - paper jam or paper tray is empty in the printer - printer settings are incorrect or misconfigured - central station software or firmware is not up - to - date or is experiencing a glitch - system overload or network congestion, causing delays in print jobs - faulty printer hardware or components # # # recommendations * * immediate actions : * * - check physical connections between the printer and central, ensuring they are secure and undamaged. - verify that the printer software is installed and up - to - date on the central. - inspect the printer for paper jams and ensure the paper tray is loaded. - reset the printer by turning it off and on again or by performing a factory reset. * * further troubleshooting : * * - update the central station software or firmware to the latest version. - monitor the network for congestion or errors that may be causing delays. - contact the equipment manufacturer or it support for assistance with any complex issues or hardware failures. - consider implementing a backup printer or alternative documentation methods to minimize downtime in case of future failures. @topic:28


# # # issue - cuff bp deterioration # # # impact - patients may not receive accurate blood pressure readings - this could potentially lead to misdiagnosis or mistreatment # # # possible causes - cuff bp may be old and worn out - cuff bp may not be the correct size for the patient - cuff bp may not be properly inflated # # # recommendations - replace cuff bp with a new one - make sure the cuff bp is the correct size for the patient - properly inflate the cuff bp @topic:3


# # # issue - incorrectly attached connector # # # impact - damaged connector - device malfunction # # # possible causes - improper handling of equipment - misalignment of connector - use of incorrect connector # # # recommendations - ensure proper training on equipment handling - follow manufacturer's instructions for connector attachment - inspect connectors regularly for damage - use only compatible connectors @topic:12


# # # issue - cuff leak on suresings vs4 monitor # # # impact - blood pressure measurements may be inaccurate or unreliable # # # possible causes - puncture or tear in the cuff material - loose or damaged cuff connection - malfunctioning pressure sensor # # # recommendations - replace the cuff with a new one - inspect the cuff for any damage or tears - ensure the cuff is properly connected to the monitor - calibrate the monitor and test the blood pressure measurement accuracy @topic:3


# # # issue - equipment is not functioning properly. # # # impact - the patient may not be able to receive the necessary care. - the hospital may lose revenue. - the hospital's reputation may be damaged. # # # possible causes - the equipment may have been damaged during transport or use. - the equipment may have been improperly maintained or calibrated. - the equipment may have reached the end of its useful life. # # # recommendations - the equipment should be inspected and repaired or replaced as necessary. - the equipment should be properly maintained and calibrated on a regular basis. - the equipment should be used in accordance with the manufacturer's instructions. @topic:12


folder browse network policy server certificate password confirm password generate network policy server certificate package load select existing package c : \ certs \ waclientcert. pim browse load network policy server certificate 9. click load network policy server certificate to load the certificate to the device radio. a message box displays the installation progress. the process should take a maximum of three minutes. note if the process moves past the 6 - minute mark, disconnect the device from usb, reboot it and begin again. 10. if the message box displays the message : server certificate is successfully loaded on device, click ok. service manual connex direct 235 sh change device configuration settings serial number network policy server certificate bluetooth device configuration device software rollback first boot settings generate select certificate folder installation status network policy server certificate password server certificate is successfully loaded on device ok confirm password enerate hetwork policy server certificate packanye load select existing package browse load network policy server certificate close 11. close the welch allyn service tool application. 12. disconnect the usb connection. 3. restart the devicyou can now configure the device to use certificates on the wireless network. import / install an active directory server certificate on the active directory server these instructions apply to active directory servers with windows server 2012 os and above : 1. press the windows key + r to bring up the run command. 2. type mmc and press enter to open the microsoft management console. run type the name of a program, folder, document, or internet resource, and windows will open it for you. open : mmc ok cancel browse... 3. click the file menu and then select add / remove snap - in.... select certificates from the list of snap - ins, and click add. 4. welch [UNK] connex® spot monitor 236 connex direct add or remove snap @topic:18


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# # # issue - the remote control for the huntleigh gynae 3 electric bed is not functioning and the attached cables are severed. # # # impact - healthcare professionals are unable to adjust the bed's settings, impacting patient care and comfort. # # # possible causes - broken or frayed cables due to wear and tear or mishandling. - damage to the remote control's internal components. - electrical faults within the bed's circuitry. # # # recommendations - inspect the cables for visible damage and replace if necessary. - examine the remote control for signs of internal damage and consider repair or replacement. - check the bed's electrical system for loose connections or component failures. - train staff on proper handling of medical equipment to prevent similar issues in the future. - establish a regular maintenance schedule to identify and address potential problems before they cause significant failures. @topic:7


# # # issue - unable to obtain blood pressure readings # # # impact - inability to accurately monitor patient's blood pressure, which can lead to delayed or incorrect treatment decisions. # # # possible causes - * * hardware failure : * * malfunctioning sensors, faulty wiring, or damaged components within the nibp monitor. - * * calibration issues : * * improper calibration or misalignment of the pressure cuff or sensors. - * * software problems : * * bugs or glitches in the monitor's firmware or software. - * * user error : * * incorrect placement of the pressure cuff, inadequate cuff size, or improper cuff inflation technique. - * * environmental factors : * * extreme temperatures, high humidity, or electromagnetic interference can disrupt the monitor's operation. # # # recommendations - * * troubleshooting : * * - verify that the pressure cuff is correctly placed and inflated. - check for any loose connections or damaged components. - run a self - test or diagnostic routine to identify hardware or software errors. - * * calibration : * * - ensure that the monitor is calibrated according to the manufacturer's specifications and using the appropriate equipment. - recalibrate the monitor after any maintenance or repairs. - * * software updates : * * - check for available software updates and install them if necessary. - * * user training : * * - provide training to staff on proper cuff placement, inflation technique, and troubleshooting procedures. - * * maintenance : * * - perform regular maintenance and inspections of the nibp monitor to prevent future issues. - contact the manufacturer or a qualified technician for repairs or replacement if necessary. @topic:15


# # # issue - leg rest of the bed is stiff. # # # impact - the bed may not be able to be used properly, which could lead to patient discomfort or injury. # # # possible causes - loose screws from use. # # # recommendations - tighten the screws. @topic:6


# # # issue the medrad veris 8600 mri physiologic monitor ( bedside ), sn : 0076997, exhibited rapid battery depletion in its ekg module. # # # impact the rapid battery depletion rendered the ekg module inoperable, potentially affecting the accurate monitoring of a patient's electrocardiographic activity. # # # possible causes * * 1. defective battery : * * * the installed battery may have a manufacturing defect that causes it to drain rapidly. * * 2. excessive power consumption : * * * the ekg module may be experiencing a hardware or software issue that is causing it to draw excessive power. * * 3. environmental factors : * * * extreme temperatures or humidity can affect battery performance and lead to rapid depletion. # # # recommendations * * 1. battery replacement : * * * replace the current battery with a new one of the same specifications. * * 2. hardware / software diagnostics : * * * perform thorough diagnostics on the ekg module to identify any underlying hardware or software issues that may be contributing to the excessive power consumption. * * 3. environment control : * * * ensure that the device is operated within the recommended temperature and humidity ranges to maintain optimal battery performance. @topic:11


# # # issue - the bedside physiologic monitor is not transmitting data, rendering the monitor ineffective. # # # impact - inability to monitor patient's physiological parameters, such as heart rate, respiration, and blood pressure. - compromised patient safety and hindered medical decision - making. # # # possible causes - * * hardware failure : * * malfunctioning of the wireless transmitter within the monitor. - * * software issues : * * bugs or glitches in the monitor's software, leading to communication problems. - * * interference : * * external factors, such as electromagnetic interference from nearby devices, disrupting wireless connectivity. # # # recommendations - * * repair / replacement : * * if hardware failure is confirmed, the faulty wireless transmitter should be repaired or replaced. - * * software update : * * install the latest software updates to address any bugs or compatibility issues. - * * signal optimization : * * assess and optimize the signal strength by repositioning the monitor or minimizing interference from other devices. - * * regular maintenance : * * conduct periodic inspections and preventive maintenance to identify and address potential issues early on. @topic:16


# # # issue - the electric bed is not adjustable. # # # impact - patient discomfort - difficulty performing patient care - potential safety hazard # # # possible causes * * component failure * * : - malfunctioning motor - faulty actuator - damaged wiring * * power supply issues * * : - loose or damaged power cord - power outage - insufficient power supply * * control system issues * * : - malfunctioning control panel - software glitch - loose or damaged connections # # # recommendations * * troubleshooting * * : - visually inspect the bed for any loose connections or damage. - check the power cord and ensure it is securely connected to the power outlet and the bed. - try resetting the control panel by turning the power off and back on again. * * repair * * : - if the issue persists, a qualified biomedical engineer should be called to diagnose and repair the problem. this may involve : - replacing the motor or actuator - repairing or replacing the wiring - reprogramming the software * * maintenance * * : - to prevent future failures, regular maintenance should be performed on the bed. this includes : - inspecting the bed for any signs of wear or damage - cleaning the bed and lubricating moving parts - regularly testing the bed's functionality and safety features @topic:1


# # # issue the monitor is unable to measure blood pressure. # # # impact the patient's vital signs cannot be monitored accurately, which could lead to delayed or incorrect treatment. # # # possible causes - the blood pressure cuff is not connected properly. - the blood pressure tubing is kinked or blocked. - the transducer is malfunctioning. - the monitor is not calibrated properly. - the patient has a low blood pressure. # # # recommendations - check the blood pressure cuff connection. - check the blood pressure tubing for kinks or blockages. - replace the transducer. - calibrate the monitor. - check the patient's blood pressure with a manual sphygmomanometer. @topic:14


# # # issue - cuff failure # # # impact - inaccurate vital signs measurements # # # possible causes - cuff damage - cuff size mismatch - patient movement during measurement # # # recommendations - replace the cuff with a new one. - ensure the cuff is the correct size for the patient. - instruct the patient to remain still during measurement. @topic:5


# # # issue - ekg lead wires showing a failure of 4 leads. # # # impact - the loss of 4 leads of ekg signal can result in delayed diagnosis of cardiac ischemia or arrhythmias. clinicians may miss critical information in managing a critically ill patient. # # # possible causes - damage to the lead wires. - loose connection between the lead wires and the patient. - loose connection between the lead wires and the monitor. - failure of the monitor. # # # recommendations - inspect the lead wires for any visible damage. - ensure that the lead wires are securely connected to the patient and the monitor. - test the monitor to ensure that it is functioning properly. - if the problem persists, contact the manufacturer for further troubleshooting. @topic:18


# # # issue - inability to adjust the bed's height # # # impact - impeded patient care and comfort # # # possible causes - malfunctioning remote control - wiring issues - mechanical failure within the bed's height adjustment mechanism # # # recommendations - * * inspection and testing of the remote control : * * ensure that the remote control's buttons, wiring, and batteries are functioning correctly. - * * electrical testing of the wiring : * * use a multimeter to check for continuity in the wiring connecting the remote control to the bed. ensure that there are no broken wires or loose connections. - * * mechanical inspection of the bed : * * check for any visible damage or obstructions to the bed's height adjustment mechanism. ensure that the motors and gears are functioning properly. @topic:7


# # # issue : - failure of spo2 cable # # # impact : - inability to accurately monitor patient's oxygen saturation levels # # # possible causes : - physical damage to the cable - loose connections - faulty sensor # # # recommendations : - replace the spo2 cable with a new one - ensure proper connections between the cable and the monitor - test the new cable to verify proper functionality @topic:4


| issue | impact | possible causes | recommendations | | - - - | - - - | - - - | - - - | | drawer is not closing | medication administration error | - solenoid malfunction | - replace solenoid | | - mechanical obstruction | - clean and lubricate the drawer | | - misalignment | - adjust the drawer | @topic:21


* * issue : * * description of the failure is not in english. * * impact : * * troubleshooting the issue and determining the appropriate repair may be delayed. * * possible causes : * * * the technician who reported the issue may not have been able to provide a clear description in english. * the device may have been manufactured or purchased from a non - english - speaking country. * * recommendations : * * * ensure that the technician who reports issues is able to provide a clear description of the problem in english. * if the device is manufactured or purchased from a non - english - speaking country, work with the manufacturer to obtain an english translation of the failure description. * use a translation tool to convert the description into english, but be aware of the potential for inaccuracies. @topic:12


# # # issue - closed drawers can't be locked # # # impact - equipment can't be used to full potential # # # possible causes - drawer lock mechanism is broken or damaged - drawer lock solenoid is not functioning properly - drawer lock control circuit is not working # # # recommendations - inspect the drawer lock mechanism for visual damage, inspect drawer lock solenoid, take drawer lock control circuit measurement @topic:21


# # # issue - cable connection issue due to bent connector pins. # # # impact - inability to connect the cable to the port, resulting in malfunction of the device. # # # possible causes - * * bent connector pins : * * this can occur due to rough handling, accidental impact, or improper storage. # # # recommendations - * * inspect the cable connector : * * ensure that the pins are straight and not bent. - * * proper cable handling : * * avoid bending or twisting the cable excessively. - * * proper storage : * * store the cable in a protected and organized manner to prevent damage. - * * consider cable replacement : * * if the connector pins are severely bent, it may be necessary to replace the cable to ensure reliable connectivity. @topic:2


# # # issue the bed is not adjustable. # # # impact the patient cannot be properly positioned for treatment or comfort. # # # possible causes 1 ) the bed's power supply is not working. 2 ) the bed's motor is not working. 3 ) the bed's control panel is not working. 4 ) the bed's frame is damaged # # # recommendations 1 ) check the bed's power supply. 2 ) check the bed's motor. 3 ) check the bed's control panel. 4 ) check the bed's frame. 5 ) replace any damaged parts 6 ) recalibrate the bed @topic:1


# # # issue - battery failure - bp readings inaccurate # # # impact - patient monitoring may be compromised - delays in diagnosis and treatment # # # possible causes - battery degradation over time - battery not properly connected - battery not compatible with the device # # # recommendations - replace the battery with a new one compatible with the device - ensure the battery is properly connected - regularly inspect and test the battery to ensure proper function @topic:11


# # # issue - failure to use oem ( original equipment manufacturer ) parts # # # impact - potential safety hazards - reduced device reliability - warranty voidance # # # possible causes - use of non - oem parts that do not meet specifications - lack of training on proper maintenance procedures - cost - cutting measures # # # recommendations - use only oem parts specifically designed for the medical device - ensure technicians are properly trained on maintenance procedures - prioritize safety and device reliability over cost considerations @topic:12


# # # issue * remote lock button is not functioning. # # # impact * the bed cannot be locked or unlocked remotely, which can be inconvenient for patients and staff. # # # possible causes * the remote lock button is faulty. * the wiring between the remote lock button and the bed is damaged. * the bed's control unit is malfunctioning. # # # recommendations * replace the remote lock button. * inspect the wiring between the remote lock button and the bed for any damage. * if the wiring is damaged, replace it. * if the bed's control unit is malfunctioning, replace it. @topic:7


# # # issue - defective ac line cord # # # impact - device may not receive power - device may not function properly # # # possible causes - damage to ac line cord - loose connection between ac line cord and device - faulty ac line cord # # # recommendations - replace ac line cord - ensure ac line cord is securely connected to device - test device to ensure proper operation @topic:12


# # # issue - monitor is intermittently not reading values from the bis module. # # # impact - patient may not be monitored properly. - treatment decisions may be delayed or incorrect. # # # possible causes - rack is reading values slowly or intermittently. - bis module is not properly connected to the rack. - bis module is malfunctioning. # # # recommendations - clean the rack with a cleaning agent. - check the connection between the bis module and the rack. - test the bis module to ensure it is functioning properly. - if the issue persists, contact the manufacturer for support. @topic:22


is persists, replace the module. not set. internal malfunction. if the problem ersists, replace the module. he temperature module error log icorrupt. temperature not functionery low internal malfunction. if the problem ersists, replace the module. temperature not funa hardware malfunction on the temperature module has been detected. temperature not functional. 30518 internal malfunction. if the problem persists, replace the module. the temperature module power rail is oo low. temperature not functioninternal malfunction. if the problem persists, replace the module. the temperature module power rail itoo high. temperature not functionalinternal malfunction. if the problem ersists, replace the module. the temperature module referencdetected to be under ambient temperature out of ange. clear to retry. 30801 the temperaturmodule verify conditions are greater than 50 °f very low or 10 °c. if conditions are valid and the service manual troubleshooting 191 alarm riority ossible causmessage problem persists, replace the probe. if the problem still persists, replace the module. measurement is below the allowable temperature values and beyond the low ambient or patient limits. ambient temperature out of ange. clear to retry. 30802 he temperaturmodule verify conditions are less than 104 °f or 40 °c. if conditions are valid and the problem persists, replace the probe. if the problem still persists, replace the module. measurement is above the allowable temperature values and beyond the high ambient or patient imits. internal malfunction. if the problem, replace the module. the temperature module internal calibration resisto30803 ( rcal ) on the board contaminated ( pulse too long ). he temperature module internal calibration resistor internal mal @topic:20


* * issue : * * medical cart drawer issue. * * impact : * * drawer does not open properly, affecting access to medical supplies and equipment. * * possible causes : * * * solenoid spring failure : the solenoid, which controls the opening and closing of the drawer, may have a worn or damaged spring. * solenoid malfunction : the solenoid itself may have electrical or mechanical issues, preventing it from functioning properly. * mechanical obstruction : there may be obstacles or debris preventing the drawer from opening smoothly. * software glitch : if the medical cart has software or electronic controls, a glitch or bug may interfere with the proper functioning of the drawer. * * recommendations : * * * * * replace solenoid spring : * * inspect the solenoid spring for wear or damage. if necessary, replace the spring to restore proper tension and ensure the drawer opens smoothly. * * * test and replace solenoid : * * disconnect the solenoid and check for continuity using a multimeter. if the solenoid fails the test, replace it with a new one. * * * check for obstructions : * * remove any visible obstructions or debris that may be hindering the drawer's movement. * * * reset software or controls : * * if there is a suspected software or electronic issue, reset the medical cart by powering it down and back on. contact the manufacturer for assistance if the issue persists. @topic:21


the radio error 35002c appears. a mac address text field appears on the radio status tab approximately three to four minutes after the error message. contact welch allyn for assistance in entering the correct mac address in this field. 1. in advanced settings, touch the service > general tabs. service manual advanced settings 33 touch and enter up to 20 characters in the following data fields to support device 2. identification : sset ta. device location device location id if desired, select allow display lock. 3. the display lock prevents clinician input, which may be useful when cleaning the display. if desired, select disable usb ports. 4. touch ok and repeat for each data field. 5. the general vertical tab appears. note you can enter general device information in the welch allyn service tool as well. to calibrate your touchscreen, touch start in the right pane and follow the onscreen promptshe home tab appears. 6. to synchronize with the service monitor, touch sync now. 7. if the software version is 1. 30 or greater, the screen displays information about the connection and whether a new configuration or firmware is available. 8. touch close. to verify the nibp pressure valve accuracy, touch close valve. 9. the pressure displays in the nibp pressure verification field. if the software version is 1. 33 or greater, you can check the functionality of nibp accuracy on the device without use of the welch allyn service tool. 10. to stop the accuracy test, touch open value or navigate away from the screen. review and update configuration information 1. in advanced settings, touch the service > config file tabs. note loading the config file sets the initial configuration. however, manually changing settings on the device, overrides the configuration file settings. 2. in the left pane, review @topic:22


checking the power supply for any loose connections or damage. - * * training * * : provide proper training to healthcare professionals on how to use the medical cart correctly and to avoid overloading it. - * * use surge protectors * * : use surge protectors to protect the medical cart from power fluctuations. - * * keep software up to date * * : regularly update the software on the medical cart to fix bugs and improve performance. @topic:13


# # # issue - electric bed is not adjustable # # # impact - patient discomfort and inability to receive proper care - delays in patient treatment, resulting in longer hospital stays - increased workload for healthcare staff # # # possible causes - faulty power cord ( verified by technician ) - malfunctioning motor or actuator - damaged wiring or electrical components - software malfunction or programming errors - improper assembly or maintenance # # # recommendations - replace the damaged power cord ( already done ) - conduct thorough testing and inspection of the motor, actuator, and electrical components - check for any loose connections or damaged wires - update or reprogram the software if necessary - ensure proper assembly and maintenance according to manufacturer's guidelines - implement regular maintenance and inspection schedules to prevent future failures @topic:9


* * issue : * * - the philips suresigns vs4 vital signs monitor is displaying elevated temperature readings and unstable values. * * impact : * * - inaccurate temperature readings can compromise patient care decisions and monitor effectiveness. * * possible causes : * * - * * faulty temperature sensor : * * the sensor may be malfunctioning or miscalibrated, leading to incorrect readings. - * * electrical interference : * * external sources, such as nearby equipment or power fluctuations, can interfere with the sensor's signals. - * * software issue : * * a software glitch or update can cause the monitor to incorrectly process temperature measurements. - * * damaged wiring or connections : * * loose or broken wires or connectors within the monitor can disrupt the temperature sensor's communication. * * recommendations : * * - * * calibrate the monitor : * * the bme ( biomedical engineer ) should perform a calibration on the monitor to ensure the sensor is providing accurate readings. - * * check for electrical interference : * * identify and eliminate potential sources of interference, such as grounding issues or other nearby equipment. - * * update software : * * install any available software updates to resolve any known issues or bugs. - * * inspect wiring and connections : * * check all wires and connections within the monitor for damage or loose connections. - * * replace faulty components : * * if necessary, replace the temperature sensor or other malfunctioning components to restore proper operation. @topic:20


service guide b - 3 b - 4 table b - 3 electromagnetic immunity ( rf radiated and conducted ) immunity iec 60601 compliance electromagnetic environment - test test level level guidance portable and mobile rf communications equipment should be used no closer to any part of the suresigns vs4 vital signs monitor, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. recommended separation distance conducted rf | 3 v 3v es n d = pe ] ; 0. 150 mhz to 80 mhz iec 0. 15 mhz to 3 61000 - 4 - 6 80 mhz outside ism bands radiated rf 3 v / m 3 v / m d = [ * 2 ; 80 mhz to 800 mhz iec 80 mhz to 3 61000 - 4 - 3 2500 mhz d = bg - 800 mhz to 2500 mhz where p is the maximum output power rating of the transmitter in watts ( w ) according to the transmitter manufacturer and d is the recommended separation distance in meters ( m ). field strengths from fixed rf transmitters, as determined by an electromagnetic site survey,! should be less than the compliance level in each frequency range. ” interference may occur in the vicinity of equipment marked with the following ( > ) electromagnetic compatibility suresigns vs4 service guide table b - 3 electromagnetic immunity ( rf radiated and conducted ) immunity test iec 60601 test level compliance level electromagnetic environment - guidance'field strengths from fixed transmitters, such as base stations for radio ( cellular / cordless ) telephones and land mobile radios, amateur radio, am and fm radio broadcast and tv broadcast cannot be predicted theoretically with accuracy. to assess the electromagnetic environment due to fixed rf transmitters, an electromagnetic site survey should be considered. if the measured field strength in the location in which the suresigns vs3 vital signs monitor is used exceeds the applicable rf compliance level above, the suresigns vs3 vital signs monitor @topic:10


• nbp equip malf • < pressure label > equip malf • resp equip malf • sp0 2 equip malf • sp0 2 transduc malf • sv0 2 equip malf • tcp0 2 ( or tcpc0 2 ) equip malf • < temp label > equip malf • vuelnk equ. malf • bis equip malf • eeg equip malf 96 troubleshooting guide 4 troubleshooting integrated 4 - slot rack symptoms cause of failure failure isolation and remedy prompt message “ unrecognized measurement module in slot m ” is issued an unsupported module has been plugged into the integrated module slot unplug the unsupported module. prompt message “ measurement module in slot n is currently ignored ” is issued too many modules of the same kind have been plugged into the integrated module slot unplug module in slot n inserted module leds behave normally but modules not recognized by monitor the monitor software version does not support measurement modules check software version and options label conflict see msl - related problems inserted module does not function connector damaged replace integrated module slot internal connection defective replace integrated module slot. printer symptoms cause of failure failure isolation and remedy prompt message “ print job could not be queued ” is issued. no print device is found. printer is disabled in the setup printers menu paper size of printer does not match paper size of report enable the correct printer in the setup printers menu change paper size of the printer in the setup printers menu or change paper size of the report in the setup reports menu. status message “ print device local 1 ( local 2 ) unavailable ” is issued. printer job is stalled. printer not switched on printer paper tray empty cabling not connected correctly i / o board defect switch on printer power fill @topic:28


# # # issue - electric bed cannot be adjusted. # # # impact - patients may not be able to get into or out of bed comfortably or safely. - nurses and other healthcare providers may have difficulty positioning patients in the bed. # # # possible causes - remote control cable is broken. # # # recommendations - replace the remote control cable. @topic:1


# # # issue : - patient data not being transferred to vsm system # # # impact : - lack of complete patient data in vsm system, potentially leading to gaps in patient care and compromising patient safety. # # # possible causes : - automatic purge of data from ibe system before being transmitted to vsm system - issues with data transmission between ibe and vsm systems # # # recommendations : - investigate and confirm if the data purge feature is activated and disable it if necessary. - check and troubleshoot data transmission pathways between ibe and vsm systems, ensuring stable and reliable data transfer. - conduct regular system checks and monitoring to prevent future data loss incidents. - implement data backup and recovery mechanisms to minimize the impact of potential data loss. - communicate with the it team from philips to ensure ongoing support and assistance in resolving the issue. @topic:16


# # # issue * the bed's knee adjustment feature is not working. # # # impact * patients may not be able to get into or out of bed comfortably. * patients may be at risk of injury if they fall out of bed. # # # possible causes * the motor that controls the knee adjustment may be faulty. * the electrical connections to the motor may be loose or damaged. * the control panel for the bed may be malfunctioning. # # # recommendations * replace the motor that controls the knee adjustment. * check the electrical connections to the motor and tighten or repair any loose or damaged connections. * test the control panel for the bed to make sure that it is functioning properly. @topic:9


# # # issue - motor head not adjusting down # # # impact - the bed cannot be adjusted to the desired height for the patient. this can make it difficult for the patient to get in and out of bed, and can also lead to discomfort and pain. # # # possible causes - the motor is not working properly. - the wiring to the motor is damaged. - the control panel is not sending the correct signal to the motor. # # # recommendations - test the motor to see if it is working properly. - check the wiring to the motor for any damage. - check the control panel to see if it is sending the correct signal to the motor. - if the motor is not working properly, replace it. - if the wiring is damaged, repair it. - if the control panel is not sending the correct signal, replace it. @topic:1


# # # issue - the spo2 cable is defective. # # # impact - the capnograph is not able to accurately measure the patient's spo2 levels. # # # possible causes - the spo2 cable may be damaged or loose. - the spo2 sensor may be malfunctioning. # # # recommendations - replace the spo2 cable. - inspect the spo2 sensor for any damage or loose connections. - if the problem persists, contact the manufacturer for further troubleshooting. @topic:4


# # # issue > bed's head section is unable to adjust up and down. # # # impact > inability to adjust the head of the bed can cause discomfort or difficulty for the patient, especially when they need to sit up or be positioned for certain medical procedures. # # # possible causes > * * * electrical malfunction : * * a faulty electrical connection or component could prevent the head section of the bed from adjusting. > * * * mechanical failure : * * issues with the bed's gears, motors, or other mechanical components could cause it to become stuck or unable to move. > * * * loose or damaged parts : * * if the bed's components are loose or damaged, it could prevent the head section from adjusting properly. > * * * user error : * * incorrect operation or handling of the bed could potentially lead to issues with its functionality. # # # recommendations > * * * inspect electrical connections : * * check all electrical connections for loose or damaged wires or terminals. > * * * examine mechanical components : * * inspect the bed's gears, motors, and other mechanical components for any signs of wear, damage, or misalignment. > * * * tighten or replace loose or damaged parts : * * if any loose or damaged parts are identified, they should be tightened or replaced to ensure proper functionality. > * * * review user instructions : * * refer to the bed's user instructions to ensure that it is being operated correctly. > * * * contact a qualified technician : * * if the issue persists or if you are unable to identify the cause of the failure, contact a qualified biomedical engineer or technician for further assistance. @topic:1