# # # issue : bed not adjusting # # # impact : - patient discomfort - difficulty providing care - increased risk of injury # # # possible causes : - faulty control box - broken or frayed wires - motor failure - power supply issues - software glitches # # # recommendations : - * * refer to the manufacturer's troubleshooting guide. * * - * * check power supply and connections. * * - * * inspect wires for damage and repair or replace as necessary. * * - * * test the motor by manually adjusting the bed. * * - * * update software if necessary. * * - * * if repairs are beyond the scope of the technician, contact the manufacturer or a qualified biomedical engineer. * * @topic:1


# # # issue - * * problem : * * bp not measuring # # # impact - incorrect bp readings, which can delay diagnosis and treatment # # # possible causes - * * defective module : * * the module issue mentioned in the description could be causing the bp measurement failure. - * * loose module : * * the loose module may not be making proper contact, preventing proper functioning of the measurement system. - * * software glitch : * * a software issue could be causing the monitor to malfunction, preventing it from measuring bp accurately. - * * hardware failure : * * a problem with the hardware components of the monitor, such as sensors or circuitry, could also lead to bp measurement failure. # # # recommendations - * * module replacement : * * replace the defective module with a new one to ensure proper functionality. - * * module securement : * * secure the loose module firmly to ensure proper contact and signal transmission. - * * software update : * * check for and install any available software updates to fix software - related issues. - * * troubleshooting : * * perform a comprehensive troubleshooting process to identify and resolve any hardware - related problems. - * * calibration : * * calibrate the monitor to ensure accurate readings are provided. @topic:15


# # # issue - equipment not powering on # # # impact - unable to use medical cart for patient care # # # possible causes - power cord not connected - power supply failure - battery failure - circuit board failure - software issue # # # recommendations - check power cord connection - verify power supply is functioning - test battery - inspect circuit board for damage - update software if necessary @topic:13


# # # issue - low cuff result # # # impact - inaccurate blood pressure measurements # # # possible causes - damaged cuff - loose cuff - incorrect cuff size - air leak in the cuff # # # recommendations - replace the cuff - ensure the cuff is properly secured - use the correct cuff size for the patient - inspect the cuff for any holes or tears @topic:3


surveillance option purchased for your monitor : basic event surveillance, advanced event surveillance, or neonatal event review ( ner ). this table lists the differences between the options. to determine which level of event surveillance your monitor has, select main setup then event surveill. followed by setup events and select the trigger group to see the available event groups. if the only event group listed is ner, your monitor has the neonatal event review option • if there is one event group and it is not ner, your monitor has the basic event surveillance option • if • basic event surveillance tion c06 neonatal event review ( ner ) ion c04 advanced event surveillance event functionality 6 ( one group can be configured ner to ner ) 1 vent group3 ( plus 1 for episode ecording ) 3 4 measurements per grou1 1 2 combined ( " at least two " ) rigger type333 26 event surveillance basic event surveillance tion c06 neonatal event review advanced event surveillance event functionality ( ner ) nnotation no es es averae t events ypes of event episodhigh resolents graphic and tabular event review window, graphic and tabular event episodindow graphwindow, graphic event ndow summary view, graphic and tabular event review window, graphic and tabular event de window event views 25 events r 8 hours 25 events fos for 8 hours atabase capabilit50 eventours no yes event notification no vent grouphe event groumonitors the patient's signals to detect event triggers • • defines which waveforms are recorded in the event data. in basic event surveillance only one event group can be active at a time, with advanced event surveillance all six groups can be active simultaneously. active event groups monitor for event triggers. event groups are defined in configuration mode. in monitoring mode the groups can be @topic:8


# # # issue * electric bed is unable to adjust up and down. # # # impact * patients may not be able to get in or out of bed comfortably. * nurses and other caregivers may have difficulty positioning patients in the bed. # # # possible causes * electrical issue * mechanical issue * software issue # # # recommendations * check the electrical connections to the bed. * inspect the mechanical components of the bed for any damage or wear. * update the software on the bed. * if the problem persists, contact the manufacturer for further assistance. @topic:1


# # # issue - the etco2 module ( module g 5 ) of the intellivue mp40 monitor is not able to measure etco2 values. # # # impact - inability to accurately monitor etco2 levels, which can lead to delayed detection and treatment of respiratory distress. # # # possible causes - incorrect connection of the etco2 sampling line to the monitor. - malfunction of the etco2 module within the monitor. - interference or damage to the etco2 sampling line or sensor. # # # recommendations - verify that the etco2 sampling line is properly connected to the designated port a on the monitor. - perform a test measurement of etco2 values to confirm functionality. - if the issue persists, contact the manufacturer for further troubleshooting and potential repair or replacement of the etco2 module. @topic:4


# # # issue : cuff leak in welch allyn 53000 bedside blood pressure monitor # # # impact : inaccurate blood pressure readings # # # possible causes : - worn or damaged cuff material - loose or disconnected cuff connection to the monitor - punctures or tears in the cuff # # # recommendations : - replace the cuff with a new one. - ensure that the cuff is properly connected to the monitor. - inspect the cuff for any punctures or tears and repair or replace as needed. @topic:3


# # # issue - the electric bed, huntleigh contoura 360, is not able to adjust its head position. # # # impact - this issue can prevent the bed from being used in a variety of clinical settings, such as intensive care units and operating rooms. # # # possible causes - the relay is stuck, which is preventing the bed from adjusting its head position. # # # recommendations - the relay should be replaced to resolve this issue. @topic:1


# # # issue - spo2 sensor cannot measure blood oxygen saturation levels. # # # impact - clinicians cannot accurately monitor patient's blood oxygen saturation levels. - this can lead to delayed or incorrect treatment decisions, which could have serious consequences for the patient. # # # possible causes - faulty spo2 sensor - loose connection between the sensor and the monitor - obstruction of the sensor by dirt or debris - patient movement causing the sensor to lose contact with the skin - software issues with the monitor # # # recommendations - inspect the spo2 sensor for any damage or defects. - ensure that the sensor is securely connected to the monitor. - clean the sensor and the patient's skin around the sensor site. - reposition the sensor to ensure that it is making good contact with the skin. - check the monitor's software for any updates or patches that may resolve the issue. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:4


160 bpm 200 bpm low limit 50 bpm 75 bpm 100 bpm alarms on alarm source auto auto ecg on qrs volume 1 primary lead ii secondary lead v analysis mode multi - lead lead placement standard mod. lead placment off filter monitor filter speed 25 mm / s auto filter off default ecg size xl color green asystole thresh 4. 0 sec 3. 0 sec a extrtachy 20 bpm tachy clamp 200 bpm 220 bpm 240 bpm a extrbrady 20 bpm brady clamp 40 bpm 50 bpm 40 bpm 60 bpm 80 bpm ecg al. off inop cyan fallback on alarms off enabled alarm source sel. enabled va lead v2 vb lead v5 syncpulse sensit medium syncpulse marker on pulsealarms tele enabled 460 ecg, arrhythmia, st and qt default settings 39 default settings appendix arrhythmia settings factory defaults h10 / h20 / h40 h30 ( deviations from hi0 / 20 / 40 ) adult pedi neo adult pedi neo arrhythmia on off off pause threshold 2. 0 sec 1. 5 sec vtach hr 100 120 150 vtach run 5 vent rhythm 14 svthr 180 200 210 svt run 5 pvcs / min 10 5 5 non - sustain on vent rhythm on run pvcs on pair pvcs on off r - on - t pvcs on off v. bigeminy on off v. trigeminy on off pvcs / min on off multif. pvcs on off pacer n. cap on pacer n. pac on pause on off missed beat on off svt on afib on irregularhr on off hr alarms short yellow timeout 1st 3 min timeout 2nd 10 min arrhy @topic:8


# # # issue - equipment out of service due to missing components # # # impact - patient care may be delayed or compromised due to unavailability of the equipment. # # # possible causes - the loan request may not have been processed or approved by bme. - the equipment may have been damaged or lost during the loan period. - the equipment may have been returned to bme but not yet checked in and made available for use. # # # recommendations - check with bme to confirm the status of the loan request. - track down the location of the equipment and retrieve it if possible. - if the equipment is damaged or lost, initiate the appropriate repair or replacement process. - ensure that equipment loaned to bme is properly documented and tracked to avoid future issues. @topic:12


# # # issue the cuff bp is leaking. # # # impact the cuff bp is an essential component of the intellivue mp20 ( m8001a ) monitor. a leaking cuff bp can lead to inaccurate blood pressure readings, which can have serious consequences for patient care. # # # possible causes the cuff bp can leak for a number of reasons, including : - damaged or worn - out fabric - loose or broken connections - malfunctioning valves # # # recommendations to prevent the cuff bp from leaking, it is important to : - inspect the cuff bp regularly for signs of damage or wear. - replace the cuff bp if it is damaged or worn out. - tighten or replace any loose or broken connections. - test the cuff bp regularly to ensure that it is functioning properly. by following these recommendations, you can help to ensure that the intellivue mp20 ( m8001a ) monitor is providing accurate blood pressure readings and that patients are receiving the best possible care. @topic:3


# # # issue - unable to accurately measure blood pressure. # # # impact - delayed or inaccurate diagnosis and treatment. # # # possible causes - incorrectly connected bp hose ( switched sides ). # # # recommendations - ensure proper connection of bp hose according to manufacturer's instructions. - regular maintenance and inspection of equipment to prevent future failures. @topic:14


# # # issue - the electric ob / gyn bed cannot be adjusted down. # # # impact - the inability to adjust the bed down prevents the patient from being positioned properly for medical procedures or for comfortable resting. # # # possible causes - faulty switch - broken or disconnected wiring - mechanical issue with the bed frame or motor # # # recommendations - replace the switch - inspect and repair or replace any damaged wiring - check the bed frame and motor for mechanical issues and repair or replace as necessary - test the bed to ensure that it is functioning properly before returning it to service. @topic:1


# # # issue * * problem : * * bed's head is not adjustable downward due to obstruction by bed boards # # # impact - inability to adjust the bed's head position to meet patient needs - potential discomfort or pain for the patient due to improper positioning # # # possible causes - * * * obstruction by bed boards : * * the bed boards may have shifted or become loose, causing them to interfere with the mechanism for adjusting the bed's head. - * * mechanical failure : * * the mechanism responsible for adjusting the bed's head may have malfunctioned, such as a broken gear or a loose connection. - * * electrical issue : * * an electrical fault may be preventing the motor or other components responsible for head adjustment from functioning properly. # # # recommendations - * * inspect the bed boards : * * check if the bed boards are properly aligned and secured. if they are loose or shifted, reposition and tighten them. - * * examine the mechanical components : * * look for any visible signs of damage, such as broken gears or loose connections. if any issues are found, replace or repair the affected components. - * * troubleshoot electrical connections : * * inspect the electrical connections and ensure they are tight and secure. check for any loose wires or damaged insulation. - * * lubricate moving parts : * * if the cause of the issue is not readily apparent, try lubricating the moving parts of the bed's head adjustment mechanism. - * * consult the manufacturer : * * if the problem persists, refer to the manufacturer's guidelines for further troubleshooting and repair instructions. @topic:1


restart the monitor. if the problem persists, replace the front end assembly and the suresigns vm4 temperature module. see “ removing the front end assembly ” on page 8 - 24 and “ removing the suresigns vm4 temperature module ” on page 8 - 8. 867 ( 67 ) temp module malfunc ( 67 ) problem reading / writing to the module ’ s eeprom. shut down and restart the monitor. if the problem persists, replace the front end assembly and the suresigns vm4 temperature module. see “ removing the front end assembly ” on page 8 - 24 and “ removing the suresigns vm4 temperature module ” on page 8 - 8. 867 ( 68 ) temp module malfunc ( 68 ) problem reading / writing to the module ’ s eeprom. shut down and restart the monitor. if the problem persists, replace the front end assembly and the suresigns vm4 temperature module. see “ removing the front end assembly ” on page 8 - 24 and “ removing the suresigns vm4 temperature module ” on page 8 - 8. 867 ( 69 ) temp module malfunc ( 69 ) problem reading / writing to the module ’ s eeprom. shut down and restart the monitor. if the problem persists, replace the front end assembly and the suresigns vm4 temperature module. see “ removing the front end assembly ” on page 8 - 24 and “ removing the suresigns vm4 temperature module ” on page 8 - 8. 867 ( 74 ) temp module malfunc ( 74 ) internal error. module is trying to initialize the eeprom if it detects that it has not been initialized before. shut down and restart the monitor. if the problem persists, replace @topic:22


102 ) | temp module malfunc ( 102 ) | tympanic temperature send the module for calibration. see module calibration error. “ tympanic temperature test ” on page 3 - 18. replace the tympanic temperature module. see “ removing the tympanic temperature module ” on page 5 - 10. 867 ( 103 ) | temp module malfunc ( 103 ) | the ambient temperature place the monitor in an environment with is below the minimum a temperature between 16°c and 33°c operating temperature ( 60. 8°f and 91. 4°f ). limit. 867 ( 104 ) | temp module malfunc ( 104 ) | the ambient temperature | place the monitor in an environment with is above the maximum a temperature between 16°c and 33°c operating temperature ( 60. 8°f and 91. 4°f ). limit. 868 temp error. the front end no data from temperature. | allow the monitor to reset. check the will now reset itself. temperature module and front end board connection cable. if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. 881 speaker malfunc ( 881 ) the speaker failed. to clear the message, perform the speaker test or clear the error log. see “ testing the speaker ” on page 4 - 33 or “ clearing patient data ” on page 4 - 37. if the problem persists, replace the speaker. see “ removing the fan and speaker ” on page 5 - 22. 882 wireless malfunc the wireless module replace the wireless module. see malfunctioned. “ removing the wireless module ” on page 5 - 50. 883 touch screen malfunc the touch screen replace the lcd. see “ removing the mal @topic:20


# # # issue : monitor's blood pressure pump is releasing air faster than normal. # # # impact : blood pressure measurements may be inaccurate. # # # possible causes : - faulty pump - leak in the blood pressure cuff # # # recommendations : - replace the blood pressure pump with a new one. - replace the blood pressure cuff with a new one. @topic:3


* * issue : * * medical cart shutting down due to overheating * * impact : * * interruption of medical procedures, delays in patient care, potential safety concerns * * possible causes : * * - * * heavy usage : * * prolonged or intensive use of the medical cart can lead to excessive heat buildup in the cpu. - * * outdated software : * * older software versions may not be optimized for the current hardware, leading to inefficiencies and overheating issues. * * recommendations : * * - * * check and adjust usage patterns : * * ensure that the medical cart is not being used excessively or for tasks that it is not intended for. - * * update software regularly : * * regularly check for and install software updates to ensure the latest optimizations and bug fixes are applied. - * * improve ventilation : * * ensure that the medical cart is placed in a well - ventilated area to allow for proper heat dissipation. - * * monitor cpu temperature : * * install monitoring software or use external temperature gauges to track the cpu temperature and identify potential overheating issues early on. - * * consider additional cooling measures : * * explore options such as adding cooling fans or using thermal paste to improve heat dissipation. @topic:13


# # # issue - the electric bed manufactured by huntleigh ( model 25800 e / l ) is not able to adjust its height. # # # impact - patients may not be able to get in or out of bed safely or comfortably. - the bed may not be able to be used for certain procedures or treatments. # # # possible causes - the control box may be faulty. - the motor that adjusts the height of the bed may be damaged. - the electrical wiring may be loose or damaged. # # # recommendations - check the control box for any loose connections or damage. - test the motor to see if it is functioning properly. - inspect the electrical wiring for any loose or damaged connections. - if the problem cannot be fixed by the technician, contact the manufacturer for assistance. @topic:1


# # # issue : - low blood pressure ( bp ) readings on a vital signs monitor # # # impact : - inaccurate patient monitoring, which could lead to delayed or incorrect treatment decisions # # # possible causes : - * * incorrect calibration : * * the monitor may not be properly calibrated, leading to inaccurate readings. - * * faulty sensor : * * the blood pressure sensor may be malfunctioning, resulting in low readings. - * * air leak in the cuff : * * an air leak in the blood pressure cuff can prevent it from inflating properly, leading to low readings. - * * excessive patient movement : * * excessive patient movement during the bp measurement can interfere with the accuracy of the reading. - * * pharmacological effects : * * certain medications, such as vasodilators, can lower blood pressure and affect bp readings. # # # recommendations : - * * verify calibration : * * ensure that the monitor is properly calibrated according to the manufacturer's specifications. - * * inspect sensor : * * check the blood pressure sensor for any visible damage or defects. - * * check for air leaks : * * inspect the blood pressure cuff and tubing for any leaks that could prevent proper inflation. - * * instruct patient on proper positioning : * * ensure that the patient is positioned correctly and remains still during the bp measurement. - * * consider pharmacological effects : * * consult with a healthcare professional to determine if any medications the patient is taking could be affecting bp readings. @topic:14


# # # issue - cuff 1 tube deterioration # # # impact - inaccurate blood pressure measurements - patient safety concerns # # # possible causes - prolonged use and wear - exposure to moisture or chemicals - kinking or pinching of the tube # # # recommendations - * * replace the cuff 1 tube : * * install a new, compatible cuff 1 tube to restore proper blood pressure measurement. - * * regular maintenance : * * conduct scheduled inspections and maintenance to detect and prevent deterioration of tubing and other components. - * * proper handling : * * train staff on the correct handling and storage of the equipment to minimize damage to the tubes. - * * environmental controls : * * ensure the operating environment is free from excessive moisture, heat, or chemical exposure. - * * consider tube quality : * * use high - quality, durable tubes designed for medical use to extend their lifespan. - * * monitor pressure readings : * * pay attention to unexpected or inconsistent pressure readings, as they may indicate a problem with the cuff 1 tube. @topic:3


# # # issue - the text provided does not specify any cause of failure for the nim eclipse device. # # # impact - the impact of the issue is not mentioned in the text. # # # possible causes - the text suggests that the cause of the issue is related to transporting the nim eclipse device from or3d to the or department in the bih building. however, the specific reason for the failure is not specified. # # # recommendations - to provide a more accurate and helpful response, additional information about the cause of failure would be necessary. @topic:12


# # # issue - the medical cart is unable to boot into windows due to a malfunctioning ssd. # # # impact - the medical cart cannot be used for its intended purpose, which may impact patient care. # # # possible causes - the ssd has failed due to age or wear and tear. - the ssd has been damaged due to physical shock or vibration. - the ssd is not properly connected to the motherboard. # # # recommendations - replace the faulty ssd with a new one. - ensure that the ssd is properly connected to the motherboard. - regularly back up the data on the ssd to prevent data loss in the event of a future failure. @topic:13


# # # issue - cause of failure is not specified. # # # impact - the technician cannot proceed with troubleshooting or repair. # # # possible causes - the technician may not have thoroughly checked the equipment. - the technician may not have the necessary training or experience to diagnose the cause of failure. - the equipment may have a complex issue that requires further diagnostic testing. # # # recommendations - the technician should perform a more thorough inspection of the equipment. - the technician should consult with a more experienced colleague or biomedical engineer. - the equipment may need to be sent to a repair center for further diagnosis and repair. @topic:12


# # # issue - equipment malfunction due to incorrect telemetry settings. # # # impact - inability to use the telemetry ekg module, potentially affecting patient monitoring capabilities. # # # possible causes - improper handling of the telemetry equipment by the technician. - misconfiguration of the telemetry settings. - incompatibility between the telemetry equipment and the 5r device. # # # recommendations - ensure proper training and supervision of technicians handling biomedical equipment. - establish clear protocols for telemetry setup and operation. - regularly inspect and calibrate telemetry equipment to prevent malfunctions. - test telemetry equipment before connecting it to patient monitoring systems. - use compatible telemetry equipment and accessories to avoid potential issues. - document all telemetry settings and configurations for traceability and troubleshooting purposes. @topic:16


# # # issue - blood pressure ( bp ) values measured by the physiologic monitor ( bedside ) are highly inaccurate, with systolic bp readings exceeding 300 mmhg. # # # impact - inaccurate bp readings can lead to improper patient management, such as over - or under - treatment. - delays in obtaining accurate bp measurements can compromise patient care. # # # possible causes - * * faulty transducer or cuff : * * the transducer or cuff used to measure bp may be malfunctioning, causing erroneous readings. - * * sensor miscalibration : * * the sensor may not have been calibrated correctly, resulting in inaccurate measurements. - * * electromagnetic interference : * * external electromagnetic interference can disrupt the monitor's circuitry, affecting bp readings. - * * patient positioning or movement : * * incorrect patient positioning or excessive movement can interfere with proper bp measurement. - * * technical errors : * * other technical issues, such as software glitches or hardware defects, could also contribute to inaccurate bp readings. # # # recommendations - * * inspect and test transducer and cuff : * * check the integrity of the transducer and cuff. replace them if necessary. - * * calibrate sensor : * * ensure that the sensor is properly calibrated according to manufacturer specifications. - * * eliminate electromagnetic interference : * * identify any potential sources of electromagnetic interference and take steps to minimize their impact. - * * ensure proper patient preparation : * * position the patient correctly and instruct them to remain still during the bp measurement. - * * troubleshoot technical issues : * * examine the monitor for any obvious errors or defects. contact the manufacturer for support if needed. - * * consider other factors : * * explore other potential causes, such as patient medication or underlying medical conditions, that may affect bp readings. @topic:14


# # # issue - the electric bed is not able to adjust. # # # impact - patients may not be able to get in or out of bed safely. - patients may be uncomfortable if they are not able to adjust the bed to a comfortable position. - nurses and other staff may have difficulty providing care to patients if the bed cannot be adjusted. # # # possible causes - the bed's motor may be malfunctioning. - the bed's electrical system may be damaged. - the bed's control panel may be defective. - the bed's frame may be bent or damaged. # # # recommendations - the technician should inspect the bed's motor, electrical system, control panel, and frame for any damage or defects. - the technician should test the bed's functionality to ensure that it is working properly. - if the technician is unable to repair the bed, they should contact the manufacturer for assistance. @topic:1


# # # issue : the philips suresigns vs4 vital signs monitor is not recording patient data into the system. # # # impact : this issue can prevent accurate and timely patient monitoring, which can lead to delays in diagnosis and treatment. # # # possible causes : - * * software malfunction : * * a software glitch or bug may be preventing the monitor from recording data. - * * hardware failure : * * a faulty component within the monitor, such as the memory or data transmission module, may be causing the issue. - * * connectivity problems : * * the monitor may not be properly connected to the network or system, preventing it from transmitting data. - * * human error : * * the monitor may not have been properly configured or used, leading to data recording errors. # # # recommendations : 1. * * restart the monitor : * * restarting the monitor can often resolve software glitches and refresh the system. 2. * * check connections : * * ensure that the monitor is securely connected to the network and system, including cables and ports. 3. * * update software : * * if available, update the monitor's software to the latest version to address potential software bugs. 4. * * inspect hardware : * * if other troubleshooting steps fail, inspect the monitor's hardware for any visible damage or loose components. 5. * * contact technical support : * * if the issue persists or hardware damage is suspected, contact the manufacturer's technical support for further assistance. additionally, it is important to : - * * document the issue : * * keep a record of the date, time, and symptoms of the issue for troubleshooting and reporting purposes. - * * monitor the system : * * run regular checks on the monitor and system to ensure they are functioning properly and recording data accurately. - * * train @topic:22


* * issue : * * central monitor consistently displaying alarms * * possible causes : * * * * 1. battery issues : * * - weak battery in the transmitting device can cause data transmission interruptions, leading to alarms. * * 2. signal interference : * * - electrical interference from nearby equipment or cables can disrupt the communication between the transmitting device and central monitor. * * 3. software glitch : * * - an error in the central monitor software can cause it to interpret normal signals as alarms. * * 4. hardware defect : * * - a faulty component in the central monitor or transmitting device can prevent proper communication, resulting in continuous alarms. * * recommendations : * * * * 1. battery check : * * - replace or recharge the battery in the transmitting device to ensure optimal performance. * * 2. signal interference mitigation : * * - check for nearby sources of electrical interference and reposition or shield the equipment to minimize signal disruptions. * * 3. software updates : * * - contact the manufacturer for any available software updates that may address the issue. * * 4. hardware troubleshooting : * * - perform a thorough inspection of the central monitor and transmitting device for any obvious defects or loose connections. - consult the manufacturer's repair manual for specific troubleshooting steps or request their technical assistance. @topic:2


final actions ” on page 2 - 12. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 2 - 17 2. 4 knee section malfunction chapter 2 : troubleshooting procedures 2. 4 knee section malfunction 1. at least one of the other functions operates correctly. yes no x - d go to rap 2. 1. 2. do the following to make sure the controls operate correctly, a. connect a known good part. the controls operate correctly. yes no x — » go to step 4. 3. replace the affected control. 4. do the following to make sure knee section motor operates correctly. a. remove the power supply cover. b. swap the knee section and foot section motor connectors ( # 5 brown & # 2 green ) or connect a new knee section motor. c. press the foot up / down control to raise and lower the knee section. 5. the knee section operates correctly. yes no x — » replace the knee motor ( refer to procedure 4. 7 on page 4 - 23 ). if this solves the problem perform the “ final actions ” on page 2 - 12, otherwise contact hill - rom technical support. 6. replace the power supply ( a model beds ) ( refer to procedure 4. 3 on page 4 - 9 ) or motor control pc board ( b model and newer beds ) ( refer to procedure 4. 27 on page 4 - 85 ). this solves the problem. yes no x — > contact hill - rom technical support. 7. go to “ final actions ” on page 2 - 12. page 2 - 18 careassist® and careassist® es bed service manual ( man330 rev 4 ) 2. 5 head section malfunction ( excluding automatic contour ) chapter 2 : troubleshooting procedures 2. 5 head section malfunction ( @topic:9


# # # issue - bedside lights are flickering on both sides. # # # impact - patients may experience discomfort due to the flickering lights. - the flickering lights may interfere with medical procedures. # # # possible causes - control box failure - loose electrical connections - faulty wiring - power supply issues # # # recommendations - replace the control box. - check and tighten all electrical connections. - inspect the wiring for any damage or loose connections. - ensure that the power supply is stable and reliable. @topic:2


# # # issue * faulty spo2 cable # # # impact * inability to accurately monitor patient's spo2 levels * potential for inaccurate medical decisions * increased risk of patient harm # # # possible causes * physical damage to the cable * loose connections * electrical malfunction # # # recommendations * replace the faulty spo2 cable with a new one * ensure that the cable is securely connected to the monitor and the patient * inspect the cable regularly for any signs of damage * consider using a surge protector to protect the monitor from electrical surges * contact the manufacturer if the problem persists @topic:4


# # # issue - intermittent failure of nibp monitor to measure blood pressure # # # impact - inaccurate or delayed blood pressure readings, which can affect patient care # # # possible causes - faulty connector - loose connection - damaged cable - internal circuit board issue - software glitch # # # recommendations - replace or repair connector - inspect and tighten connections - replace cable if damaged - inspect and repair circuit board if possible - update software if available - calibrate the monitor according to manufacturer's instructions - monitor the performance of the device after repair to ensure reliability @topic:15


58. 4 mm ) table 1 - 3. environmental conditions for transport and storage condition range temperature - 40°f to 122°f ( - 40°c to 50°c ) relative humidity 95 % non - condensing pressure 50 kpa to 106 kpa nurse call connection requirements for information about the nurse call connection requirements, refer to the sidecom® com¬ munication system design and application manual ( ds059 ). mattress flammability the sleep surface mattress meets the following specifications : • cal tb - 117, requirements, test procedure and apparatus for testing the flame retardance of resilient filling materials used in upholstered furniture ( foam ) • 16 cfr 1632, standard for the flammability of mattresses and mattress pads • cal tb - 129, flammability test procedures for mattresses for use in public buildings ( models with fire barrier only ) • bfd ix - ii, boston fire department mattress fire test ( models with fire barrier only ) table 1 - 4. environmental conditions for use condition range temperature 32°f to 104°f ( 0°c to 40°c ) ambient tem¬ perature relative humidity range 30 % to 85 % non - condensing atmospheric pressure 70 kpa to 106 kpa page 1 - 4 careassist® and careassist® es bed service manual ( man330 rev 4 ) specifications chapter 1 : introduction electrical specification table 1 - 5. ac power requirements nominal power distribution voltage ( volts ) nominal power distribution frequency ( hertz ) maximum equipment current ( amps ) 120 60 6. 0 a 100 - 120 50 / 60 7. 5 127 50 / 60 6. 0 220 / 230 / 240 50 / 60 3. 5 a. north american power supply configuration. table 1 - 6. auxiliary outlet power specifications ( 120 v beds only ) ( beds with the optional auxiliary @topic:9


* * issue : * * cover rubber came off * * impact : * * machine malfunction * * possible causes : * * * worn or damaged cover rubber * improper installation or use of cover rubber * excessive force applied to the cover rubber * * recommendations : * * * replace the cover rubber with a new one * ensure proper installation and use of the cover rubber * avoid applying excessive force to the cover rubber @topic:24


# # # issue - the cause of failure is not clear from the provided information. # # # impact - the impact of the failure is not known. # # # possible causes - the bme may have made a mistake during the repair. - the bed may have been damaged before it was returned to the department. - the bed may have been used improperly by the department staff. # # # recommendations - the bme should investigate the cause of failure and take appropriate action to correct it. - the department staff should be trained on how to use the bed properly. @topic:9


# # # issue - the medical cart is unable to connect to the hardware. # # # impact - the medical cart cannot be used for patient care. # # # possible causes - the med driver is not running automatically. - the med driver is not installed correctly. - the hardware is not connected properly. - the hardware is faulty. # # # recommendations - restart the med driver. - reinstall the med driver. - check the hardware connections. - replace the hardware if necessary. @topic:13


# # # issue - the monitors, physiologic, vital signs equipment, model 740, manufactured by casmed, is experiencing a battery failure. # # # impact - the equipment is unable to provide accurate vital signs monitoring due to the depleted battery. # # # possible causes - battery life has expired - battery has not been properly maintained - battery has been damaged # # # recommendations - replace the battery with a new one - ensure that the battery is properly maintained according to the manufacturer's instructions - avoid exposing the battery to extreme temperatures or moisture @topic:11


# # # issue - equipment : physiologic monitor - brand : agilent - model : m1046b - description : faulty trunk cable and lead cable insulation sheath damaged, exposing copper wire. # # # impact - equipment malfunction or inaccurate readings - potential safety hazard due to exposed electrical wiring - interruption of patient monitoring and care # # # possible causes - normal wear and tear over time ( deterioration ) - physical damage to the cables ( e. g., cuts, punctures ) - poor handling or storage practices - environmental factors ( e. g., extreme temperatures, moisture ) # # # recommendations - replace faulty trunk and lead cables as per the provided parts list. - inspect all other cables for signs of damage or deterioration. - implement proper handling and storage protocols for cables to prevent future damage. - conduct regular preventive maintenance on the equipment to identify and address potential issues early. - ensure proper training for staff on the correct handling and maintenance of medical devices. @topic:22


# # # issue : ekg telemetry monitor malfunction # # # impact : inability to accurately measure ekg # # # possible causes : faulty module cable # # # recommendations : 1. replace the faulty module cable with a new one. 2. verify that the new cable is securely connected to the monitor. 3. test the monitor to ensure that the ekg signal is being accurately measured. @topic:18


# # # issue the cause of failure is not clear from the provided input. # # # impact the failure of the vital signs monitor may have a negative impact on the patient's care. # # # possible causes the following are some possible causes of the failure : - the battery was not properly installed. - the battery was not compatible with the monitor. - the battery was defective. - there is a problem with the monitor's power supply. # # # recommendations the following are some recommendations for troubleshooting the issue : - check the battery installation. - verify that the battery is compatible with the monitor. - replace the battery with a new one. - check the monitor's power supply. @topic:11


# # # issue - delayed response when adjusting the bed's height # # # impact - delay and inconvenience in patient care # # # possible causes - faulty electrical components - mechanical issues ( e. g., jammed motors ) - software malfunctions # # # recommendations - thoroughly inspect the electrical components for any loose connections or damaged wiring. - verify the proper functioning of the motors and other mechanical parts. - update or re - install the software to eliminate potential bugs or glitches. @topic:1


# # # issue battery failure in ge healthcare dinamap pro 300 nibp monitor # # # impact - inability to accurately measure blood pressure - potential for incorrect diagnosis and treatment # # # possible causes - battery age and usage - battery charging issues - electrical fault within the device # # # recommendations - replace the battery with a new 12v 4ah battery - inspect the battery charging system for any issues - test the device's electrical functionality after replacing the battery @topic:11


# # # issue - the medical cart's drug dispensing drawer cannot be opened. - the patient's name has disappeared from the cart. # # # impact - inability to dispense medication to patients in a timely manner. - potential for medication errors. - delay in patient care. # # # possible causes - mechanical failure of the drug dispensing drawer. - electrical malfunction of the cart. - software glitch. - patient name tag falling off. # # # recommendations - contact the manufacturer of the medical cart for troubleshooting and repair. - inspect the cart for any visible damage or loose connections. - check the software to ensure it is up to date and functioning properly. - attach a new patient name tag to the cart. - implement regular maintenance and inspection schedules for the cart to prevent future failures. @topic:13


# # # issue - the cause of failure for the lcd monitor ( model s5583p ) is not clearly stated. # # # impact - the lack of a clear cause of failure makes it difficult to determine the appropriate steps to take to repair the monitor or prevent future failures. # # # possible causes - insufficient information is provided to determine the possible causes of the failure. the description mentions that the biomedical engineer ( bme ) performed a test on the device after a case and found it to be functioning normally. however, it is not clear what specific tests were performed or what the results of those tests were. # # # recommendations - the technician should provide more information about the tests performed on the monitor and the results of those tests. this information will help in determining the possible causes of the failure and developing appropriate recommendations to repair the monitor and prevent future failures. @topic:2


( non - scale beds ) 8 71536 1 membrane switch, nurse call 71795 1 membrane switch, nurse call, blank 9 4214102 4 screw 10 131573 1 scale display, with bed exit, rh 128803 1 scale display, with bed exit, lh 131572 1 scale display, without bed exit, rh 131571 1 scale display, without bed exit, lh 138231 1 scale display, ppm, rh 138230 1 scale display, ppm, lh 138233 1 display, ppm only, rh 138232 1 display, ppm only, lh 11 131724 1 display axle, weldment, short, lh 129658 1 display axle, weldment, long, rh 12 129441 1 pivot insert 13 49199 1 spring 14 73004 1 cable assembly 15 133197 1 assembly, scale display p. c. board careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 65 head siderail — c model beds chapter 5 : parts list item number part number quantity description 16 71647 1 label, caregiver control, bed function, lh 131686 1 label, caregiver control, bed function and nurse call, lh 71538 1 label, caregiver control, bed function, bed exit, and nurse call, lh 71645 1 label, caregiver control, bed function, bed exit, lh 71646 1 label, caregiver control, bed function, rh 131687 1 label, caregiver control, bed function and nurse call, rh 71535 1 label, caregiver control, bed function, bed exit, and nurse call, rh 71644 @topic:26


# # # issue - cuff of the suresigns vs4 vital signs monitor was torn, resulting in inaccurate blood pressure measurements. # # # impact - inaccurate blood pressure measurements can lead to incorrect diagnosis and treatment, which can be detrimental to patient care. # # # possible causes - * * large cuff tear : * * this suggests that the cuff was likely damaged due to excessive pulling or stretching during use. - * * improper storage or handling : * * the cuff may have been stored incorrectly or handled roughly, leading to the tear. - * * manufacturing defect : * * although less likely, it is possible that the cuff had a manufacturing defect that weakened the material and made it prone to tearing. # # # recommendations - * * inspect cuffs regularly : * * biomedical engineers should routinely inspect cuffs for any signs of damage or wear. - * * train staff on proper use and handling : * * healthcare professionals should be trained on how to properly use and handle cuffs to prevent damage. - * * replace damaged cuffs promptly : * * torn or damaged cuffs should be replaced immediately to ensure accurate blood pressure measurements. - * * consider using reinforced cuffs : * * for patients with larger arms or who may be more likely to damage cuffs, reinforced cuffs can provide added durability. @topic:5


, amount, volume, and rate of the infusion solution. to enter values, select the correct unit, then select each value field and use the pop - up keypad to enter the correct value. 2 if you have chosen a weight - dependent dose unit, you must enter the patient weight now or choose a different unit. if available, the patient weight from the patient demographic window is entered automatically in the drug calculator window when the drug calculator is accessed. to change the dose 2 mg / min [UNK] | rate 480 ml / hour amount | 25 mg volume 100 ml concentr 0. 25 mg / ml 1 ml / hr 0. 004 mg / min weight 150 lb 344 performing drug calculations 28 using the drug calculator patient weight, select the weight key then use the on - screen keypad to enter the correct value. this will not change the patient weight stored in the patient demographic information. 3 when you have entered three values, the drug calculator automatically calculates the unknown fourth value and shows it in the highlighted field. standardized rate and concentration are also calculated. performing calculations for a specific drug 1 select the arrow beside any drug, then select the required drug from the list of drugs. this opens the drug calculator window for the selected 2 select the correct patient category for your patient. if you have a neonatal or pediatric patient, the rule of 6 choice may be available. select if required. 3 enter the patient weight, if necessary. if available, the patient weight from the patient demographic window is entered automatically in the drug calculator window. to change the patient weight, select the weight key then use the on - screen keypad to enter the correct value. this will not change the patient weight stored in the patient demographic information. select the weight unit shown to change between lb and kg. 4 when a specific drug is selected, the initial values @topic:17


# # # issue - spo2 cable failure # # # impact - patient monitoring may be inaccurate or unavailable. # # # possible causes - cable damage due to wear and tear - cable connection issues - sensor malfunction # # # recommendations - replace the spo2 cable - inspect the cable for damage and replace if necessary - ensure that the cable is properly connected to the monitor and sensor - test the spo2 sensor to ensure that it is functioning properly @topic:4


355 352 352 352 353 353 353 353 348 348 348 349 349 350 331 343 347 351 vii 355 timer setup pop - up keys 355 setting up timers 356 displaying a timer on the main screen 357 displaying a clock on the main screen 358 32 respiratory loops 359 viewing loops 359 capturing and deleting loops 360 showing / hiding loops 360 changing loops display size 361 using the loops cursor 361 changing loops type 361 setting up source device 361 documenting loops 362 33 laboratory data 363 viewing received data 363 34 care and cleaning 365 general points 365 cleaning the monitor 366 disinfecting the monitor 366 sterilizing the monitor 366 cleaning, sterilizing and disinfecting monitoring accessories 367 cleaning the s0 2 optical module 367 cleaning the recorder printhead ( ml 116b only ) 367 cleaning batteries and the battery compartment 368 35 using batteries 369 battery power indicators 370 checking battery charge 373 replacing a battery 374 optimizing battery performance 374 battery safety information 376 36 maintenance and troubleshooting 377 inspecting the equipment and accessories 377 inspecting the cables and cords 377 maintenance task and test schedule 378 troubleshooting 379 disposing of the monitor 379 disposing of empty calibration gas cylinders 379 37 accessories 38i ecg / resp accessories 381 nbp accessories 385 viii invasive pressure accessories 386 sp0 2 accessories 387 temperature accessories 393 cardiac output ( c. o. ) accessories 393 mainstream c0 2 accessories 394 sidestream c0 2 accessories 394 mainstream c0 2 accessories ( for m3016a ) 395 microstream c0 2 accessories 395 spirometry accessories 396 tcgas accessories 396 eec accessories 397 bis accessories 397 s0 2 accessories for ml021a 39 @topic:10


# # # issue - cuff of the patient transport monitor is deteriorated and worn out. # # # impact - the monitor may not be able to accurately measure the patient's vital signs, which could lead to incorrect treatment decisions. # # # possible causes - the cuff may have been used excessively or not properly maintained. - the cuff may have been exposed to harsh chemicals or other environmental factors that have caused it to deteriorate. # # # recommendations - replace the cuff with a new one that is the correct size for the patient. - inspect the cuff regularly for signs of deterioration and replace it as needed. - follow the manufacturer's instructions for cleaning and maintaining the cuff. @topic:5


information, see “ upgrading the software ” on page 3 - 7. enabling demo mode warning do not connect a patient to a monitor running in demo mode. values represented in demo mode do not represent measurements from a patient connected to the monitor, and may lead to incorrect diagnoses. demo mode is used for demonstrating the monitor without monitoring parameters. demo mode simulates all patient parameters and generates alarms when alarm settings are exceeded. by default, the check box is cleared. caution entering demo mode clears the patient data. note — you cannot access the system diagnostics menu when the monitor is in demo mode. to put the monitor in demo mode : step 1 open the system admin menu. see “ accessing the system admin menu ” on page 3 - 5. 2 select the demo mode check box. 3 select the return button. performance verification testing 3 - 6 suresigns vs4 service guide upgrading the software step 4 select yes. the monitor enters demo mode and clears all patient data. * * demo * * appears on the screen as shown. ow o — atient / type date time hr 8655677364 a 07 / 17 / 08 12 : 44 : 00 70sp02 — d st 8655677364 = - ~ - ) e 8655677364 = = id unknown ) - - id unknown 99 36. 8 6177642666 7 [ 67 ] 99 36. 9 6152925123 : 100 36. 9 [ ea ] 9786592674 / | | ef aa al 0672172010 03 : 31 : 00 | 5 to exit demo mode, press the on / standby key to turn off the monitor. the monitor clears all simulated patient data. upgrading the software use the following procedure to upgrade the system software with a usb flash drive. when you upgrade the software @topic:22


# # # issue - the bed's knee adjustment is not functioning. # # # impact - the bed cannot be adjusted to the patient's desired position, which can cause discomfort or pain. # # # possible causes - * * mechanical failure : * * the motor or gears that control the knee adjustment may have failed. - * * electrical failure : * * the electrical wiring or connections that power the knee adjustment may have become damaged. - * * software error : * * the software that controls the knee adjustment may have become corrupted or malfunctioned. - * * operator error : * * the bed may not have been properly operated, which could have caused damage to the knee adjustment mechanism. # # # recommendations - * * inspect the mechanical components : * * check the motor, gears, and other mechanical components for any signs of damage or wear. replace any damaged or worn components. - * * check the electrical wiring and connections : * * ensure that all electrical wires and connections are properly connected and in good condition. repair or replace any damaged or loose connections. - * * update the software : * * check for any available software updates that may address the issue with the knee adjustment. install the updates as necessary. - * * retrain the operators : * * ensure that all operators are properly trained on how to operate the bed, including how to adjust the knee. @topic:9


# # # issue - the vsm ( vital signs monitor ) is not displaying the patient list. # # # impact - this can impact the ability of the medical staff to quickly and easily access patient information, which can delay or hinder patient care. # # # possible causes - * * software glitch : * * a software glitch in the vsm could be preventing it from displaying the patient list. this could be due to a bug in the software or a corrupted data file. - * * hardware failure : * * a hardware failure, such as a faulty motherboard or display, could also prevent the vsm from displaying the patient list. - * * network issue : * * a network issue, such as a loose connection or a problem with the hospital's network, could prevent the vsm from communicating with the central server and accessing the patient list. - * * user error : * * it is possible that the user has accidentally changed a setting on the vsm that is preventing it from displaying the patient list. for instance, the list might be filtered to only show patients meeting certain criteria. # # # recommendations - * * restart the vsm : * * this can help clear any software glitches that may be preventing the vsm from displaying the patient list. - * * check the network connection : * * ensure that the vsm is properly connected to the hospital's network. - * * check the vsm settings : * * verify that the vsm is configured to display the patient list. - * * contact the manufacturer : * * if the problem persists, contact the manufacturer of the vsm for technical support. @topic:22


# # # issue - vital signs monitor is displaying inaccurate spo2 values and no blood pressure readings are visible on the screen. # # # impact - incorrect spo2 readings can lead to incorrect diagnoses and treatment decisions. - lack of blood pressure readings prevents proper monitoring of patient's cardiovascular status. # # # possible causes - * * spo2 sensor malfunction : * * a faulty spo2 sensor may provide inaccurate readings. - * * blood pressure cuff issue : * * a loose or damaged blood pressure cuff can result in incorrect or no readings. - * * monitor settings error : * * incorrect settings in the monitor's menu can affect the accuracy of readings. # # # recommendations - inspect and clean the spo2 sensor for any debris or damage. replace the sensor if necessary. - ensure that the blood pressure cuff is properly secured and inflated to the correct pressure. - check the monitor's menu settings and make sure that they are set to the correct values. - calibrate the monitor according to the manufacturer's instructions. - if the issue persists, contact the manufacturer's technical support for further assistance. @topic:4


# # # issue - electric bed, model enterprise 8000 by huntleigh, is not adjustable. # # # impact - the bed cannot be used to provide proper care to patients in the icu3 unit. # # # possible causes - the bed's electrical system is malfunctioning. - the bed's mechanical components are not working properly. - the bed's software is not functioning correctly. # # # recommendations - the bed should be inspected by a qualified biomedical engineer to determine the cause of the failure. - the bed should be repaired or replaced if necessary. - the bed should be thoroughly tested before being put back into service. @topic:1


# # # issue - broken bed alarm cord # # # impact - inability to use the bed alarm, posing a safety risk to patients # # # possible causes - wear and tear from regular use - accidental damage - manufacturing defect # # # recommendations - replace the broken cord with a new one as per the attached quote ( 90 - day warranty included ) @topic:26


# # # issue - vital signs monitor, philips suresigns vs4, is experiencing a failure. - the temperature probe is not powering on. # # # impact - inability to accurately monitor patient's temperature. - potential delay in diagnosis and treatment of temperature - related conditions. # # # possible causes - * * defective temperature probe : * * the temperature probe may be malfunctioning or damaged. - * * faulty connection : * * the connection between the temperature probe and the monitor may be loose or damaged. - * * electrical issue : * * there may be an electrical fault within the monitor that is preventing the temperature probe from powering on. # # # recommendations - * * verify the temperature probe : * * ensure that the temperature probe is properly connected to the monitor and that it is not damaged. - * * test the temperature probe : * * use a multimeter or other diagnostic tool to test the continuity of the temperature probe. - * * inspect the electrical connections : * * check the electrical connections between the temperature probe and the monitor for any signs of damage or loose connections. - * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for further troubleshooting and potential replacement of the temperature probe or monitor. @topic:20


* * issue : * * * medical cart shutting down due to overheating * * impact : * * * interruption of medical procedures and patient care * potential delays and inconvenience for patients and healthcare providers * * possible causes : * * * * * excessive use : * * heavy workload on the medical cart, leading to overheating * * * battery issues : * * low battery life, causing the cart to shut down unexpectedly * * * cooling system malfunction : * * insufficient ventilation or cooling mechanisms, preventing the cart from dissipating heat effectively * * * electrical faults : * * short circuits or other electrical issues that can lead to overheating * * * mechanical problems : * * worn or damaged components that may hinder proper cooling or function * * recommendations : * * * * * monitor usage : * * optimize the workload on the medical cart to prevent overheating. * * * maintain batteries : * * regularly check and replace batteries to ensure optimal performance. * * * inspect cooling system : * * ensure adequate ventilation and cooling mechanisms are functioning properly through regular maintenance. * * * troubleshoot electrical issues : * * identify and address any short circuits or other electrical faults that may contribute to overheating. * * * repair mechanical problems : * * replace or repair any worn or damaged components that may impair cooling or function. @topic:13


# # # issue the locking mechanism of the module in the philips intellivue mp70 ( m8007a ) bedside physiologic monitor is broken. # # # impact the broken locking mechanism may prevent the module from being securely attached to the monitor, which could lead to the module becoming dislodged and interrupting patient monitoring. # # # possible causes * * * mechanical failure : * * the locking mechanism may have been damaged due to excessive force or improper handling. * * * age and wear : * * the locking mechanism may have worn out over time due to repeated use. * * * manufacturing defect : * * the locking mechanism may have been faulty from the time of manufacturing. # # # recommendations * replace the broken locking mechanism with a new one. * inspect the module and ensure that it is securely attached to the monitor. * perform regular maintenance and inspections of the monitor to identify and address any potential issues. * handle the monitor with care to avoid damaging the locking mechanism or other components. @topic:2


# # # issue * * remote control failure * * # # # impact * * inability to adjust the bed * * # # # possible causes * * 1. hardware failure : * * - faulty components in the remote control, such as buttons, circuitry, or wiring. - physical damage, such as drops or impact. * * 2. software failure : * * - bugs or glitches in the software that controls the remote control's functionality. * * 3. power supply issues : * * - weak batteries or other power supply problems. * * 4. rf interference : * * - interference from other devices using the same radio frequency ( rf ) as the remote control, such as wi - fi routers or cordless phones. # # # recommendations * * 1. troubleshooting : * * - check if the batteries are new and properly inserted. - ensure that there are no visible signs of damage to the remote control. - try using the remote control from different locations to eliminate potential rf interference. * * 2. repair or replacement : * * - if troubleshooting does not resolve the issue, the remote control may need to be repaired or replaced. - contact the manufacturer or an authorized service center for assistance. * * 3. preventive maintenance : * * - regularly inspect and clean the remote control to prevent dust and debris buildup. - replace batteries promptly when they start to weaken. @topic:7


# # # issue - the head of the bed cannot be raised or lowered. # # # impact - the patient cannot be positioned properly for comfort or medical procedures. # # # possible causes - the backrest is pushing down on the actuator. - the actuator is not connected to the head of the bed. - the actuator is faulty. # # # recommendations - check that the backrest is not pushing down on the actuator. - check that the actuator is connected to the head of the bed. - test the actuator to see if it is faulty. @topic:1


# # # issue - the medical cart's screen displays a black screen and the " reboot " window. # # # impact - the medical cart cannot be used for patient care. # # # possible causes - the medical cart's display driver is not functioning properly. - the medical cart's power supply is not functioning properly. - the medical cart's motherboard is not functioning properly. # # # recommendations - the biomedical engineer should check the medical cart's display driver and power supply to ensure that they are functioning properly. - if the medical cart's display driver and power supply are functioning properly, the biomedical engineer should replace the medical cart's motherboard. @topic:13


# # # issue - the remote control cable of the huntleigh enterprise 8000 electric bed is damaged. # # # impact - the patient may not be able to control the bed's functions, such as adjusting the height, tilt, or position of the bed. this could lead to discomfort, pain, or injury. # # # possible causes - the cable may have been damaged due to wear and tear, improper handling, or a manufacturing defect. # # # recommendations - replace the damaged cable with a new one. - inspect the bed and other equipment regularly for signs of damage or wear. - train staff on proper handling and maintenance of medical devices. - consider purchasing a spare cable to have on hand in case of future failures. @topic:7


# # # issue - unable to measure oxygen saturation ( o2sat ) using the philips intellivue mp70 ( m8007a ) bedside physiologic monitor. # # # impact - delays in patient care, as accurate o2sat readings are essential for monitoring patient status and determining appropriate interventions. # # # possible causes - * * damaged o2sat cable : * * the equipment input notes that the o2sat cable was found to be damaged, which could result in the monitor failing to detect and measure oxygen saturation levels accurately. # # # recommendations - * * replace the damaged o2sat cable : * * obtain a new o2sat cable and connect it to the monitor to resolve the issue and ensure accurate o2sat measurements. - * * verify correct cable connection : * * check that the o2sat cable is securely connected to both the monitor and the patient to ensure proper signal transmission. - * * inspect the monitor : * * if replacing the cable does not resolve the issue, further inspection of the monitor may be necessary to identify any internal damage or malfunctions. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer for technical support and guidance on troubleshooting and repairs. @topic:4


##tremity of the cuffed limb for normal color, warmth and sensitivity. if the skin quality changes, or if the extremity circulation is being affected, move the cuff to another site or stop the blood pressure measurements immediately. check more frequently when making automatic or stat measurements. correcting the measurement if limb is not at heart level to correct the measurement if the limb is not at heart level, to the displayed value add 0. 75 mmhg ( 0. 10 kpa ) for each centimeter higher or deduct 0. 75 mmhg ( 0. 10 kpa ) for each centimeter lower or deduct 1. 9 mmhg ( 0. 25 kpa ) for each inclower. add 1. 9 mmhg ( 0. 25 kpa ) for each inch higher. 05 0 monitoring recommendations for measurements used in diagnosis of hypertension to make a measurement for use in the diagnosis of hypertension, follow the steps below : 1 ensure the patient is comfortably seated, with their legs uncrossed, feet flat on the floor and bacand arm supported. ask the patient to relax and not talk before and during the measurement. 2 if possible, wait 5 minutes before making the first measurement. 3 larm sourc1 3 2 measurement mode 2 ut15 : 58 sys 3 timestamp / timer 160 90 mean ressure 4 6 5 diastolic 5 systolic 6 alarm limits 7 depending on the nbp numeric size, not all elements may be visible. your monitor may be configured to display only the systolic and diastolic values. if configured to do so, the pulse from nbp will display with the nbp numeric. the measured nbp value, together with the corresponding pulse rate if this is switched on, will be displayed for one hour. after that the values are regarded as invalid and are no longer @topic:17


service information. http / https port : 443 ip : 12. 38. 86. 181 used to activate the service tool and enable device feature licenses. tcp port : 5094 ( this ip address does not respond to ) used by customers to receive software / device firmware upgrades from cumulocity. partnerconnect software servicehub. iot. hillrom. com ip : 52. 224. 38. 138 http / https port : 443 inbound used by customers to receivsoftware / device firmware upgrades. outbound - used by customers to send device service information. connex server ip : 52. 224. 38. 138 ( via windows service called partnerconnect ) http / https port : 443 servicehub. iot. hillrom. com used by welch allyn service personnel to access a customer's machine ( with customer's consent / permission ) to address device issues. teamviewer host ip : multiple depending on geographic location default tcp port : 80 / 443 ( can be configured to use tcp port 5938 ) servicehub. iot. hillrom. com used by customers to view the status of their devices and deploy firmware upgrades and device configurations. the portal requires prior account setup. welch allyn service hub ip : 40. 76. 153. 225 ( inbound ) ip : 52. 224. 38. 138 ( outboundhttp / https port : 443 ile outbound type. log,. xml,. zip,. txt 256 service software it setup welch [UNK] connex® spot monitor required outbound networdomain name installed welch allyservice component service feature description ip address or. tar. gz,. tar,. seq,. wsf,. pim,. xml, *. txt,. pdf ile inbound @topic:10


# # # issue : - spo2 signal intermittently drops out # # # impact : - inaccurate or incomplete patient monitoring # # # possible causes : - faulty spo2 sensor ( e. g., intermittent light source ) - loose or damaged spo2 cable connection # # # recommendations : - replace the spo2 sensor with a new one - inspect and tighten the spo2 cable connections - ensure proper alignment and positioning of the sensor on the patient's finger or toe - check the compatibility between the sensor and the monitoring equipment - calibrate the monitoring equipment according to the manufacturer's instructions - perform regular maintenance and inspection of the monitoring system to prevent future issues @topic:4


# # # issue : - broken ekg lead wire # # # impact : - inability to accurately monitor patient's electrocardiogram - potential for inaccurate diagnosis and treatment decisions # # # possible causes : - physical damage to the lead wire, such as kinking or pinching - wear and tear over time - electrical interference from other devices - loose connections # # # recommendations : * * immediate actions : * * - replace the broken lead wire with a new one. - ensure that the lead wire is securely connected to the monitor and patient. - test the lead wire to ensure proper functionality. * * preventive measures : * * - handle lead wires with care to avoid damage. - regularly inspect lead wires for signs of wear or damage. - store lead wires in a protected area when not in use. - train staff on proper handling and maintenance of medical devices. @topic:18


to select a value from the menu. 3. press the wheel to save the data. 4. rotate the wheel to offset and then press the wheel and rotate it to select a value from the menu. 5. press the wheel to save the data. 6. after adding calibration values for both gain and offset, rotate the wheel to select apply and press the wheel. a confirmation window appears advising that the system will reboot. 7. in the confirmation window, rotate the wheel to select yes. 5 - 20 configuring the monitor clearing patient data clearing patient data resetting the system clears all of memory and patient data, except for calibration and hardware configuration data. when you reconfigure a system, you should reset the system first. to reset the system data : 1. in the system diagnostics menu, rotate the wheel to highlight the clear data button, then press the wheel. a confirmation window confirms that the system is about to clear all patient data and restart the system. 2. rotate the wheel to select yes, and press the wheel. the monitor reboots and resets the system. setting the system configuration when the monitor performs a self test, it first checks its system configuration. if you replace the main pcb in the unit, then you must reprogram the system configuration. you can configure the monitor for any of these items : • ibp • temperature module ( suresigns vm4 only ) • recorder • large screen • c0 2 ( suresigns vm8 only ) caution the system configuration settings must match the hardware installed on the monitor. incorrect settings may result in damage to the monitor. to reset the system configuration : 1. in the system diagnostics menu, rotate the wheel to highlight the configuration button, then press the wheel. configuring the monitor 5 - 21 performing a hard @topic:10


# # # issue - cuff is deteriorated. # # # impact - the blood pressure 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 by being stretched or punctured. - the cuff may have been exposed to chemicals or other environmental factors that have caused it to deteriorate. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - avoid exposing the cuff to chemicals or other environmental factors that could cause it to deteriorate. @topic:3


# # # issue the medical cart could not be logged into due to it being disconnected from the domain. # # # impact the medical cart could not be used until it was reconnected to the domain. # # # possible causes - the medical cart was disconnected from the network. - the domain controller was down. - the medical cart was not properly configured to join the domain. # # # recommendations - the bme reconnected the medical cart to the network. - the bme contacted it to join the domain again. - the bme tested the medical cart to ensure that it was working properly. @topic:13


x np100 - sw dual - density foam mattress ( 198 x 90 x 14 cm ), uk and italy only, with handles ass025 np100 - wd dual - density foam mattress ( 198 x 85 x 14 cm ), excluding uk and italy, with handles ss030 x x np100 - wd dual - density foam mattress ( 198 x 90 x 14 cm ), xcluding uk and italy, with handles ass032 np100 - wd dual - density foam mattress ( 198 x 85 x 14 cm ), uk and italy only, without handles np100 - wd dual - density foam mattress ( 198 x 90 x 14 cm ), uk and italy only, without handles ass035 ass036 np150 - wd viscoelastic foam mattress ( 198 x 85 x 14 cm ), xcluding uk and italy ass033 x np150 - wd viscoelastic foam mattress ( 198 x 90 x 14 cm ), excluding uk and italy ass034 np150 - wd viscoelastic foam mattress ( 198 x 85 x 14 cm ), uk and italy only [UNK] ass004 x np150 - wd viscoelastic foam mattress ( 198 x 90 x 14 cm ), uk and italy only x np150 x - ray viscoelastic foam mattress ( 198 x 90 x 15 cm ) accumax quantum tm vpc ad mattress ( 203 x 89 x 18 cm ) p280 mrs mattress base ( 198 x 85 x 17 cm ) [UNK] [UNK] ass099 ah005010180 - 1 [UNK] [UNK] p005987a x p280 overlay ( 203 x 90 x 10 cm ) according to p005856a main mattress according to np140 overlay ( 197 x 86 x 8 cm ) uph023 main mattress accessories a using accessories that are not @topic:9


# # # issue - defective spo2 extension cable # # # impact - intermittent or inaccurate spo2 readings - patient safety concerns # # # possible causes - wear and tear - physical damage - manufacturing defect # # # recommendations - replace the defective spo2 extension cable with a new one to ensure accurate spo2 monitoring and patient safety. @topic:4


sure there is no friction or abnormal noises and that no audible overload indication can be heard during the movement. repair as necessary. page 6 - 8 careassist® and careassist® es bed service manual ( man330 rev 4 ) preventive maintenance chapter 6 : general procedures function procedure plastic sleep deck fully raise and lower the head section. check for binding during the head section movement. make sure the hard surface and its drive system are in good condition. make sure there is no friction or abnormal noises. replace any damaged parts. remove each hard surface ( except the head section ) and check its condition. replace if necessary. cpr release inspect the handles, cables and cpr mechanism on the head motor. make sure the screws are present and fully tightened. make sure the two cpr release handles, cable and cpr mechanism on the head motor are in good condition. raise the head section to the high position, then activate one of the cpr releases. make sure t the head section lowers. adjust the cpr cable as necessary. do the same tests on the other side of the bed. release the cpr handles and make sure the mechanism locks correctly by operating the head up control for a few seconds. the elevation movement must be observed. replace the head section motor as necessary. head section gas springs inspect the assembly of the gas springs. check that the screws are present and fully tightened. make sure there is no oil on its shaft. fully raise the head section. activate the cpr function. make sure the head section lowers rapidly to the intermediate position then gradually to the low position. replace as necessary. knee section motor inspect the knee section motor. make sure the pins and retaining clips are not missing. fully raise and lower knee section, make sure there is no friction or abnormal noises and that no audible overload indication can be heard during the movement. replace as necessary. @topic:9


* * issue : * * equipment failure of a huntleigh enterprise 5000 bed due to a faulty remote control cable. * * impact : * * - potential patient discomfort or safety concerns due to inability to adjust bed functionality. - interruption of hospital operations and patient care. * * possible causes : * * - degradation of cable insulation over time, leading to electrical shorts or open circuits. - physical damage to the cable during handling or use. - compatibility issues between the cable and the bed or remote control. - manufacturing defects in the cable. * * recommendations : * * - replace the faulty remote control cable with a compatible replacement. - inspect the remaining cables and connections for signs of damage or wear. - train staff on proper handling and use of medical equipment, including handling of cables. - establish a regular maintenance schedule for medical devices to prevent future failures. @topic:7


# # # issue - cuff of the vital signs monitor is deteriorated and not suitable for use. # # # impact - inaccurate or unreliable vital signs readings. - delay in patient care. - increased risk of patient harm. # # # possible causes - prolonged use and wear and tear. - improper storage or handling. - poor maintenance or calibration. - use of incompatible or non - original cuffs. # # # recommendations - inspect cuffs regularly for signs of deterioration, such as cracks, tears, or leaks. - replace cuffs as recommended by the manufacturer or when they show signs of wear. - store and handle cuffs properly according to the manufacturer's instructions. - calibrate and maintain vital signs monitors regularly to ensure accurate readings. - use original or compatible cuffs to ensure proper fit and performance. @topic:5


# # # issue - unable to connect to hardware # # # impact - inability to use medical cart for patient care # # # possible causes - loose or damaged hardware connections - incompatibility between medical cart and hardware device - software or configuration issues # # # recommendations - check and tighten all hardware connections - verify compatibility between medical cart and hardware device - reinstall or update software - contact the manufacturer for further troubleshooting and support @topic:13


# # # issue : monitor not displaying image on one screen # # # impact : - inability to monitor patient's vital signs - delays in patient care - increased risk of adverse events # # # possible causes : 1 ) faulty rs - 232 port 2 ) loose or damaged cable connections 3 ) malfunctioning monitor hardware # # # recommendations : 1 ) inspect and clean the rs - 232 port on the monitor and the connecting cable 2 ) ensure that the cables connecting the monitor to the central station are securely fastened 3 ) replace the monitor if the issue persists 4 ) contact the manufacturer for further troubleshooting and repair @topic:2


# # # issue : adjustable feet malfunction # # # impact : impaired patient positioning and comfort # # # possible causes : - loose remote control plug connection - faulty remote control or receiver - electrical wiring issues within the bed frame - mechanical failure in the bed's adjustment mechanism # # # recommendations : - ensure that the remote control plug is securely connected. - inspect the remote control and receiver for any visible damage or loose connections. - check the electrical wiring within the bed frame for any loose or frayed wires. - contact the manufacturer or a qualified biomedical engineer to troubleshoot and repair any mechanical issues with the bed's adjustment mechanism. @topic:1


# # # issue - noisy wheels on the vital signs monitor. # # # impact - the noisy wheels could be a distraction to patients and staff. - the noise could also interfere with the accurate monitoring of vital signs. # # # possible causes - the wheels could be worn or damaged. - the wheels could be misaligned. - the bearings in the wheels could be worn or damaged. # # # recommendations - inspect the wheels for wear or damage. - align the wheels correctly. - replace the bearings in the wheels if they are worn or damaged. @topic:24


# # # issue - ekg cable damage # # # impact - the patient's ekg signal may not be accurately recorded or displayed. - this could lead to a delay in diagnosis or treatment, which could have serious consequences for the patient. # # # possible causes * frequent use of the ekg cable * improper handling of the ekg cable * exposure to harsh chemicals or environments # # # recommendations * replace damaged ekg cable with a new cable. * inspect ekg cables regularly for signs of damage. * handle ekg cables with care to avoid damage. * store ekg cables in a safe, dry place when not in use. @topic:18


# # # issue - machine requires maintenance and calibration. # # # impact - machine may not be functioning properly, which could lead to inaccurate readings or even patient harm. # # # possible causes - machine has been in use for an extended period of time without maintenance or calibration. - machine has been damaged or mishandled. - machine is not being used in accordance with the manufacturer's instructions. # # # recommendations - schedule regular maintenance and calibration for the machine. - ensure that the machine is being used in accordance with the manufacturer's instructions. - train staff on the proper use and maintenance of the machine. @topic:12


# # # issue the bed, electric band huntleigh model contoura 360 is not adjustable. # # # impact the patient may not be able to be positioned comfortably or safely. # # # possible causes - the remote control is not working properly. - the bed motor is not working properly. - the bed frame is damaged. # # # recommendations - replace the remote control. - check the bed motor for any damage. - inspect the bed frame for any damage. @topic:1


# # # issue - the locking mechanism on the hospital bed is not working properly. # # # impact - the bed may not be able to be locked in place, which could pose a safety hazard to the patient. # # # possible causes - the brake pedal may not be connected properly to the locking mechanism. - the brake pedal is loose and not applying enough pressure to the locking mechanism. - the locking mechanism is damaged. - the brake pedal is not being pressed down far enough to engage the locking mechanism. # # # recommendations - check the connection between the brake pedal and the locking mechanism. - tighten the brake pedal. - repair or replace the locking mechanism. - ensure that the brake pedal is being pressed down far enough to engage the locking mechanism. @topic:6


# # # cause of failure - faulty or damaged motor or actuator - mechanical obstruction in the knee joint - electrical or wiring fault - software or firmware issue in the control system @topic:9


diagram, in the st map window, select print. cardiac output report trial curves and numerics in the cardiac output window, select the pop - up key print / record wedge report wedge numerics and reference wave in the wedge window, select the print wedge pop - up key calculations report hemodynamic, oxygenation, or ventilation review in the calculations windows, select the print / record pop - up key drug calculator report titration table in the titration table window, select the print titr. tbl pop - up key drip table in the drip table window, select the print drip tbl pop - up key alarm limits report graphic and numeric report of all current alarm limits in the alarm limits window, select print limits realtime reports, including oxycrg reports ( neonatal event review ) patient data and numerics, and either : all displayed waves or all measured waves or all measured rt waves or all measured hires waves, or oxycrg waves ( rt waves : ecg primary lead, pleth, resp ; hires waves : btbhr, hires sp0 2, hires resp ) select the realtime reports smartkey, if configured loops report individual loops diagram with timestamp, currently measured numerics in the loops window, select print loop battery report battery serial numbers, information on the currently - measured and potential charge status of the battery or batteries in the battery status window, select print status. central report a / b / c these are reports configured at the information center. mp20 / 30 / 40 and mp50 monitors connected via the intellivue instrument telemetry wireless network can have these reports available. in the main setup select reports then central report a, b or c. stopping reports printouts ♦ to stop reports printing, in the reports menu, select - delete report to stop the current print job @topic:8


# # # issue - equipment : bedside physiologic monitor, philips intellivue mx700 - description : spo2 cable failure # # # impact - patient monitoring data may be inaccurate or unavailable due to a faulty spo2 cable. # # # possible causes - physical damage to the cable, such as cuts, tears, or excessive bending. - corrosion or oxidation of cable connectors. - loose or intermittent connections between the cable and the monitor or patient. - defects in the cable's manufacturing or materials. # # # recommendations - regularly inspect spo2 cables for signs of damage or wear and replace them if necessary. - ensure proper handling and storage of cables to prevent physical damage. - clean and disinfect cables regularly to prevent corrosion or oxidation. - tighten and secure cable connections to ensure a stable signal. - use high - quality cables and connectors from reputable manufacturers to minimize manufacturing defects. @topic:4


* * issue : * * - torn extention pulse oximeter cable * * impact : * * - compromised patient monitoring - inability to accurately measure pulse oximetry readings * * possible causes : * * - * * physical damage : * * the cable may have been accidentally torn or damaged during use. - * * wear and tear : * * excessive usage or prolonged exposure to wear and tear can weaken the cable. - * * defective material : * * manufacturing defects or substandard materials may contribute to the cable's failure. * * recommendations : * * - * * inspect cables regularly : * * periodically check all cables for signs of damage or wear. - * * handle with care : * * avoid excessive bending or stretching of cables. - * * use cable management systems : * * proper cable management can prevent cables from becoming entangled or damaged. - * * consider wireless alternatives : * * wireless monitoring systems can eliminate the need for cables, reducing the risk of damage. - * * order a new cable : * * replace the damaged cable with a new one from the manufacturer or an authorized vendor. - * * train staff on proper handling : * * ensure that staff is trained on proper handling and maintenance techniques for medical devices. - * * establish a preventive maintenance program : * * regularly scheduled preventive maintenance can identify and address potential issues before they lead to failure. @topic:4


* * possible causes : * * - defects in the manufacturing process - wear and tear from regular use - physical damage to the tele column ( e. g., from collisions or falls ) - electrical faults or surges - software glitches or firmware bugs * * recommendations : * * - regular maintenance and inspection of the tele column to identify and address potential issues early on. - proper training for medical staff on the safe and proper operation of the equipment. - use of surge protectors to safeguard against electrical fluctuations and power surges. - regular firmware updates to ensure optimal performance and address potential bugs. - consider purchasing a spare tele column for quick replacement in case of sudden failures. @topic:12


* * issue : * * bed is not adjusting * * impact : * * patient cannot be positioned correctly, which can lead to discomfort or injury. * * possible causes : * * * power cord is not properly connected to the control box. * control box is not functioning properly. * motor is not funcionando properly. * mechanical obstruction is preventing the bed from adjusting. * * recommendations : * * * check if the power cord is securely connected to the control box. * inspect the control box for any damage or loose connections. * test the motor by manually adjusting the bed. * check for any obstructions that may be preventing the bed from moving smoothly. @topic:1


# # # issue - the cause of failure is not clearly explained in the input. # # # impact - unable to determine the exact reason for the equipment malfunction. # # # possible causes - the cause of failure is not stated in the input, so it is difficult to determine the possible causes. # # # recommendations - it is recommended to have a more detailed description of the cause of failure in the input to facilitate troubleshooting and repair. additionally, providing specific error codes or messages from the equipment could help identify the underlying issue more accurately. @topic:12


# # # issue - monitor alarm no central # # # impact - the monitor may not be able to send alarms to the central monitoring station. this could result in delayed or missed alarms, which could lead to patient harm. # # # possible causes - the battery in the signal transmitter is low or dead. - the signal transmitter is not properly connected to the monitor. - the monitor is not properly configured to send alarms to the central monitoring station. - there is a problem with the central monitoring station. # # # recommendations - replace the battery in the signal transmitter. - check the connections between the signal transmitter and the monitor. - configure the monitor to send alarms to the central monitoring station. - contact the manufacturer of the central monitoring station if there is a problem with the system. @topic:2


# # # issue - thermometer on the monitor is not functioning. # # # impact - inability to accurately measure patient's temperature. # # # possible causes - malfunctioning thermometer - loose wiring - software glitch # # # recommendations - replace the thermometer. - inspect and tighten wiring connections. - update software to the latest version. @topic:20


# # # issue - spo2 value cannot be measured # # # impact - inability to monitor patient's oxygen saturation levels, a crucial parameter in patient care. # # # possible causes - loose battery # # # recommendations - tighten the battery by securing it properly in its designated compartment. - check if the battery is fully charged or replace it with a new one if necessary. - inspect the battery terminals for any corrosion or damage and clean them if required. - verify the connection between the spo2 sensor and the patient by ensuring it is secure and properly placed on the patient's finger. - calibrate the spo2 sensor according to the manufacturer's instructions to ensure accurate readings. @topic:4


due to the limited information provided, the cause of failure cannot be determined. @topic:12


on the intellivue patient monitors is delayed by a maximum of 30 ms. your biomedical engineer should verify that ecg / defibrillator combination does not exceed the recommended maximum delay of 60 ms. ou152 6 ecg, arrhythmia, st and qt monitoring when using electrosurgical ( es ) equipment, never place ecg electrodes near to the grounding plate of the es device, as this can cause a lot of interference on the ecg signal. general : when you are connecting the electrodes or the patient cable, make sure that the connectors never come into contact with other conductive parts, or with earth. in particular, make sure that all of the ecg electrodes are attached to the patient, to prevent them from contacting conductive parts or earth. during surgery : use the appropriate orange electrode ecg safety cable, or lead cable with an orange connector, for measuring ecg in the operating room. these cables have extra circuitry to protect the patient from burns during cautery, and they decrease electrical interference. this also reduces the hazard of burns in case of a defective neutral electrode at the hf device. these cables cannot be used for measuring respiration. acemaker failure : during complete heart block or pacemaker failure to pace / capture, tall p - waves ( greater than 1 / 5 of the average r - wave height ) may be erroneously counted by the monitor, resulting in missed detectioof cardiac arrest. patients exhibiting intrinsic rhythm : when monitoring paced patients who exhibit only intrinsic rhythm, the monitor may erroneously count pace pulses as qrs complexes when the algorithm first encounters them, resulting in missed detection of cardiac arrest. the risk of missing cardiac arrest may be reduced by monitoring these patients with low heart rate limit at or slightly above the basic / demand pacemaker rate. a low heart rate alarm alerts you when the patient ' @topic:8


# # # issue - bed not adjusting # # # impact - patient discomfort - difficulty in performing medical procedures - increased workload for healthcare staff # # # possible causes - loose wiring - faulty motor - software glitch # # # recommendations - inspect and tighten all wiring connections - test motor functionality - check for software updates - consult with manufacturer for further troubleshooting @topic:1


17 ) all of these functions are integrated into a complex programmable logic device ( cpld ). patient pendant the patient pendant controls operate at 3. 3 v dc supplied by the motor control pc. board and integrate three main principles : • filtering and amplification of inputs for electrostatic protection and signal formatting • multiplexing for the management of the controls • demultiplexing for the control of the indicators data from the controls and indicators are transmitted in series ( link type - spi ) so as to reduce the number of wires. the clock signal that starts these exchanges is controlled by the motor control pc board. all the data is sent in tens of milliseconds. when the system is in stand - by mode, the power is cut off and the clock signal is no longer controlled. the battery control is therefore directly wired so as to have continuous operation. motor characteristics table 3 - 10. motor characteristics and dimensions description hilow column motor head motor knee motor foot motor power 96 w ( x2 ) 120 w 84 w 84 w voltage 18 to 40 vdc 18 to 40 vdc 18 to 40 vdc 18 to 40 vdc intermittent service 10 % 3 min / 30 min 10 % 2 min / 18 min 10 % 6 min / 60 min 10 % 6 min / 60 min actuator / column travel 400 mm ±5 mm ( 15. 75 " ) 239 mm ± 2 mm ( 9. 4 " ) 60 mm ± 2 mm ( 2. 36 " ) 45 mm ±2 mm ( 1. 77 " ) retracted rod / center distance 445 mm ± 2mm ( 17. 5 " ) 310 mm ± 2mm ( 12. 2 " ) 325 mm ± 2mm ( 12. 8 " ) careassist® and careassist® es bed service manual ( man330 rev 4 ) page 3 - 15 electrical system ( b model and newer beds @topic:9


# # # issue - broken remote control for the contoura 360 electric hospital bed # # # impact - inability to control the bed's functions, such as adjusting the height, position, and other settings, which could affect patient comfort, safety, and care. # # # possible causes - physical damage : accidental drop, impact, or excessive force applied to the remote control. - electrical malfunction : short circuit, loose connections, or faulty components within the remote control. - battery failure : remote control may not have enough power to function properly due to low or dead batteries. - interference : wireless interference from other devices or electromagnetic fields can affect the remote control's signal transmission. - software glitch : firmware or operating system issues within the remote control can cause unexpected behavior or failure. # # # recommendations to prevent or address this failure in the future : - handle the remote control with care to avoid physical damage. - regularly inspect the remote control for signs of wear, damage, or loose connections. - replace batteries as needed to ensure sufficient power. - identify and minimize potential sources of wireless interference in the vicinity of the bed. - update the remote control's firmware or software if any updates are available from the manufacturer. - consider using a wired remote control or alternative control method as a backup in case of remote control failure. @topic:7


# # # issue - monitor not displaying ekg waveform # # # impact - inability to monitor patient's cardiac activity - delayed diagnosis and treatment decisions # # # possible causes - faulty ekg cable or connections - problem with the ekg module in the monitor - software glitch # # # recommendations - check and ensure that the ekg cable is properly connected to both the patient and the monitor. - inspect the ekg cable for any damage or wear. - restart the monitor. - contact a qualified biomedical engineer for further troubleshooting and repair. @topic:18


# # issue - medical cart battery level dropped to - 1 %. # # impact - the medical cart may not be able to function properly. - this could potentially lead to delays in patient care. # # possible causes - the medical cart battery may not be charging properly. - the medical cart may be using too much power. - the medical cart battery may be at the end of its lifespan. # # recommendations - check the medical cart battery and make sure that it is charging properly. - if the medical cart is using too much power, try to identify which devices are using the most power and turn them off when not in use. - if the medical cart battery is at the end of its lifespan, replace it with a new battery. @topic:13


# # # issue - monitor lcd screen is sagging # # # impact - impaired visibility of patient data and vital signs # # # possible causes - * * age and usage : * * lcd screens can degrade over time, especially with heavy use. - * * incorrect installation or handling : * * faulty installation or mishandling during transportation or use can cause stress on the screen and lead to sagging. - * * loose mounting bolts : * * the bolts that secure the screen to the mounting bracket may have become loose over time, allowing the screen to sag. - * * defective screen : * * in rare cases, the lcd screen itself may be defective, causing it to lose its shape and sag. # # # recommendations - * * tighten mounting bolts : * * first, check if the bolts securing the screen to the mounting bracket are loose. if so, tighten them to secure the screen. - * * reinstall screen : * * if tightening the bolts does not resolve the issue, consider reinstalling the screen to ensure proper alignment and secure mounting. - * * contact manufacturer : * * if the above steps do not rectify the problem, contact the manufacturer or a qualified technician for further diagnosis and repair. @topic:2


# # # issue - machine shutdown without warning. # # # impact - interruption of patient monitoring. - potential loss of patient data. - increased patient risk. # # # possible causes - power failure - loose power cord - faulty battery - internal system error # # # recommendations - ensure that the power cord is securely plugged into the outlet. - check the battery status and replace if necessary. - test the system to ensure that it is functioning properly. - contact the manufacturer for further troubleshooting or repairs if the problem persists. @topic:11


# # # issue - the blood pressure cuff on the vital signs monitor is deteriorating. # # # impact - vital signs monitoring may be inaccurate. # # # possible causes - the cuff is old or damaged. - the cuff is not the correct size for the patient. # # # recommendations - replace the cuff with a new one. - make sure that the cuff is the correct size for the patient. @topic:5


# # # issue : - equipment : medical cart - band : bdms - model : bdms 01 - description : equipment reboots, but does not turn on. # # # impact : - device is unavailable for patient care. # # # possible causes : - power supply issue - software malfunction - hardware failure # # # recommendations : - check power supply and ensure it is properly connected. - update software if available. - contact manufacturer for further troubleshooting and repair. @topic:13