# # # issue : lcd monitor colors are distorted and misaligned # # # impact : affects accurate visualization of medical images and data # # # possible causes : 1. * * faulty display panel : * * the lcd display panel may have manufacturing defects or internal damage that causes color distortions. 2. * * inaccurate color calibration : * * the monitor may not have been properly calibrated, leading to incorrect color rendering. 3. * * connection issues : * * loose or damaged cables connecting the monitor to the imaging equipment can disrupt color signals. 4. * * software glitch : * * the software controlling the monitor's color settings may have malfunctioned or become corrupted. 5. * * external interference : * * magnetic fields or electromagnetic radiation from nearby devices can interfere with the monitor's color output. # # # recommendations : 1. * * physical inspection : * * check the monitor for any visible damage or loose connections. 2. * * color calibration : * * calibrate the monitor using a color calibration tool to ensure accurate color reproduction. 3. * * cable replacement : * * replace any loose or damaged cables connecting the monitor to the imaging equipment. 4. * * software update : * * check for any available software updates for the monitor and imaging system and apply them as necessary. 5. * * environmental check : * * assess the surrounding environment for potential sources of electromagnetic interference and minimize their impact. @topic:2


# # # issue - broken basket # # # impact - equipment cannot be used for its intended purpose # # # possible causes - mishandling during transportation or storage - normal wear and tear - manufacturing defect # # # recommendations - handle equipment with care during transportation and storage - inspect equipment regularly for signs of wear and tear - replace broken basket as soon as possible @topic:24


# # # issue - the vital signs monitor, casmed model 740, is unable to measure blood pressure and displays an error. # # # impact - the monitor is unable to provide accurate blood pressure readings, which can delay or prevent appropriate medical care for patients. # # # possible causes - faulty sensor - loose connections - malfunctioning internal components # # # recommendations - inspect the sensor for damage or improper alignment. - check the connections between the sensor, monitor, and patient for any loose or disconnected wires. - perform a thorough inspection of the monitor's internal components, including the power supply, display, and processing unit. - consult the manufacturer's service manual for specific troubleshooting and repair procedures. - consider replacing the sensor or other malfunctioning components if necessary. - document the repair or replacement process for future reference and quality assurance purposes. @topic:15


# # # issue - cuff leak # # # impact - patient monitoring may be inaccurate. # # # possible causes - cuff is damaged # # # recommendations - replace the cuff. @topic:3


with the patient. you use monitored mode when a situation prevents accurate predictive measurement. monitored mode temperature circuitry processes a signal from a probe containing a thermistor component whose resistance is temperature - dependent. these resistance temperature detectors ( rtds ) measure temperatures because of the physical principle of the positive temperature coefficient of electrical resistance of metals. the hotter they become, the larger - or higher - the value of their electrical resistance. the advantage is stable outputs for long periods of time, ease of recalibration, and accurate readings over relatively narrow temperature spans. the monitor ’ s input circuitry conditions and processes the signal to drive the numeric display. etc0 2 the etco? module contains a : • c0 2 sensor assembly • flow system, including pump • signal processing pcb and peripherals • serial interface • power supply • frs to identify correct usage of a microstream filterline® • input gas connector with frs interface the suresigns vm8 patient monitor uses the microstream® sidestream etc0 2 method to measure carbon dioxide ( c0 2 ). the sidestream measurement method samples the respiratory gas with a constant flow from the patient ’ s airway and analyzes it with a remote c0 2 sensor built into the monitor. the c0 2 measurement produces : • a c0 2 waveform • an end tidal ( etc0 2 ) value : the c0 2 value measured at the end of the expiration phase • an inspired minimum c0 2 ( imc0 2 ) value : the smallest value measured during inspiration • an airway respiration rate ( awrr ) : the number of breaths per minute, calculated from the c0 2 waveform all infrared gas measuring instruments, including the c0 2 module, consist of a radiation source, a cell through which samples of gas flow and a detector that transmits a signal related to the intensity of the radiation @topic:17


# # # issue - telemetry ekg module failure # # # impact - patient monitoring may be compromised - delays in diagnosis and treatment - increased risk of adverse events # # # possible causes - hardware failure - software malfunction - user error - environmental factors ( e. g., temperature, humidity ) # # # recommendations - * * hardware failure : * * - inspect the device for any physical damage or loose connections - check the power supply and connections - replace any faulty components - * * software malfunction : * * - update the software to the latest version - reset the device to factory settings - contact the manufacturer for technische ondersteuning - * * user error : * * - ensure that the device is being used correctly - train users on proper operation and maintenance - * * environmental factors : * * - check the operating environment to ensure that it meets the manufacturer's specifications - if necessary, relocate the device to a more suitable environment @topic:16


# # # issue the mindray beneview t1 patient transport monitor is experiencing an issue with its blood pressure ( bp ) measurement. # # # impact the inability to accurately measure bp can have a significant impact on patient care. bp is a vital sign that is used to assess a patient's overall health and to make decisions about treatment. inaccurate bp measurements can lead to incorrect diagnoses and inappropriate treatment decisions. # # # possible causes there are several possible causes for the bp measurement issue, including : - a problem with the bp sensor - a problem with the bp cuff - a problem with the bp tubing - a problem with the monitor itself # # # recommendations to troubleshoot the issue, the biomedical engineer should : 1. check the bp sensor for any damage or debris. 2. check the bp cuff for any leaks or tears. 3. check the bp tubing for any kinks or blockages. 4. check the monitor for any loose connections or damaged components. 5. if the problem cannot be resolved by troubleshooting, the monitor should be sent to the manufacturer for repair. @topic:15


# # # issue - * * equipment malfunction due to faulty bed alarm jack. * * # # # impact - * * increased risk of patient falls and injuries. * * - * * interruption of patient care. * * - * * wasted resources and time spent on repairs. * * # # # possible causes - * * deterioration of the jack due to wear and tear. * * - * * defective design or manufacturing of the jack. * * - * * improper use of the jack, such as excessive force or bending. * * # # # recommendations - * * replace the faulty jack with a new one of appropriate quality and durability. * * - * * inspect the jack regularly for signs of damage or wear. * * - * * educate staff on proper use and handling of the jack. * * - * * consider using alternative methods of connecting the bed alarm, such as a wireless connection. * * @topic:26


# # # issue - the bed's safety bars cannot be lowered. # # # impact - the patient may be at risk of falling out of bed. - the patient may be unable to get out of bed. # # # possible causes - the safety bars are stuck. - the safety bar release mechanism is broken. - the bed is not level. # # # recommendations - check to see if the safety bars are stuck. if they are, try to gently pry them loose. - if the safety bars are not stuck, check the safety bar release mechanism. make sure that it is working properly. - if the bed is not level, level it. @topic:6


# # # issue - battery failure # # # impact - potential disruption of patient care - increased risk of adverse events # # # possible causes - battery reached end of life - improper charging practices - battery not properly seated # # # recommendations - replace battery immediately - review and update charging practices - ensure battery is properly seated @topic:11


# # # issue - timed - out bed adjust mechanisms. # # # impact - reduced patient comfort and safety. - delays in patient care. # # # possible causes - worn or damaged gears or motors. - loose or broken wiring. - faulty control panel. # # # recommendations - inspect the bed adjust mechanisms for any visible damage or wear. - test the motors and gears for proper operation. - check the wiring for any loose connections or breaks. - replace any damaged or worn components. - calibrate the control panel to ensure proper operation. @topic:1


main setup menu, select measurements. 2 in the setup atemp menu, select first temp. 3 label the measurement source as appropriate. 4 select second temp. 5 label the measurement source as appropriate. 186 12 monitoring invasive pressure warning measurements from an mms extension connected to an x2 are not available when the x2 is running on battery power. they are only available when the x2 is powered from ac mains, either when connected to a host monitor or the external power supply ( m8023a ). caution do not use the x2 in combination with monitors using an m1006a pressure module and the hp1290a pressure transducer. this may cause interference on the respiration or invasive pressure signals. you can measure pressure using an xi or x2 multi - measurement module ( mms ), one of the mms extensions or the pressure plug - in module. with the plug - in module you may see a wave channel before the pressure cable is plugged in - with the mms this will not be the case. setting up the pressure measurement 1 plug in the pressure cable. xi mms x2mms module 2 prepare the flush solution. 3 flush the system to exhaust all air from the tubing. ensure that the transducer and stopcocks are free of air bubbles. 187 12 monitoring invasive pressure setting up the pressure measurement warning if air bubbles appear in the tubing system, flush the system with the infusion solution again. air bubbles may lead to a wrong pressure reading. 4 connect the pressure line to the patient catheter. 5 if you are using an infusion pressure cuff with the pressure line, attach the pressure cuff to the fluid to be infused. inflate it according to your standard hospital procedure, then start the infusion. 6 position the transducer so that it is level with the heart, approximately at the level @topic:17


# # # issue - * * burned wires : * * the cause of failure in this case is that the wires in the medical device had a burnt smell. this could be due to several reasons, including : - overheating of the wires due to excessive current - poor connection between the wires and the equipment - damage to the insulation of the wires - exposure of the wires to corrosive substances # # # impact - * * device malfunction : * * burned wires can lead to device malfunction. this can be dangerous for patients, as it can delay or prevent them from receiving the necessary medical care. - * * electrical hazards : * * burned wires can also pose a fire hazard. if the wires are not properly repaired, they could ignite and cause a fire. # # # possible causes - * * excessive use : * * the medical device may have been used excessively, which could have caused the wires to overheat. - * * poor maintenance : * * the medical device may not have been properly maintained, which could have led to the wires becoming damaged or frayed. - * * defective equipment : * * the medical device may have been defective, which could have caused the wires to burn out. # # # recommendations - * * inspect the wires : * * the first step is to inspect the wires for any damage or fraying. if the wires are damaged, they should be replaced. - * * check the connections : * * the next step is to check the connections between the wires and the equipment. if the connections are loose, they should be tightened. - * * test the equipment : * * once the wires and connections have been checked, the equipment should be tested to ensure that it is working properly. - * * follow manufacturer's instructions : * * always follow the manufacturer's instructions for use and maintenance of the medical device. @topic:12


# # # issue - spo2 cable breakage on the philips suresings vs2 vital signs monitor # # # impact - inability to accurately measure patient's oxygen saturation levels # # # possible causes - physical damage to the cable, such as : - cuts or tears - crimps or bends - loose connections - wear and tear due to prolonged use # # # recommendations - inspect the spo2 cable regularly for any signs of damage. - replace the cable immediately if any damage is detected. - handle the cable with care to avoid accidental damage. - ensure proper storage and transportation of the cable to prevent damage. @topic:4


# # issue the electric ob & gyn bed, model sm8563 from seers medical, is experiencing difficulty adjusting upwards, resulting in suboptimal functionality. # # impact this issue hinders the proper operation of the bed, affecting the patient's comfort and safety during medical procedures and examinations. moreover, it can lead to inefficiencies and delays in healthcare delivery. # # possible causes - * * malfunctioning motor : * * the electric motor responsible for adjusting the bed's height may be faulty or damaged, leading to reduced power and impaired movement. - * * electrical issues : * * faulty wiring, loose connections, or a malfunctioning electrical component could disrupt power supply to the motor, affecting its operation. - * * mechanical obstruction : * * obstructions or misalignment in the bed's mechanical components, such as gears or pulleys, can hinder the smooth movement of the bed frame. - * * software glitch : * * in some cases, a software glitch in the bed's operating system may cause errors in controlling the motor's functionality. - * * battery issues : * * if the bed is battery - operated, low battery power or a faulty battery can compromise the motor's ability to adjust the bed effectively. # # recommendations to effectively address this issue, the following recommendations are suggested : - * * troubleshooting and inspection : * * a thorough examination of the bed's electrical and mechanical components is essential to identify any visible defects, loose connections, or blockages. - * * motor diagnostics : * * specialized diagnostic tools can be utilized to assess the motor's functionality, including current draw, voltage levels, and torque output. - * * software updates : * * checking for software updates and applying appropriate patches can resolve software - related glitches that may interfere with @topic:1


# # # issue - the spo2 sensor is malfunctioning. # # # impact - the patient's oxygen saturation levels cannot be accurately monitored. - this could lead to delayed diagnosis and treatment of hypoxemia ( low blood oxygen levels ), which can cause serious health complications. # # # possible causes - * * faulty sensor : * * the spo2 sensor may be damaged or defective. - * * loose connections : * * the spo2 sensor may not be properly connected to the monitor. - * * calibration issues : * * the spo2 sensor may need to be calibrated. - * * interference from other devices : * * other devices in the patient's environment, such as cell phones or fluorescent lights, can interfere with the spo2 signal. # # # recommendations - * * inspect the spo2 sensor : * * check for any visible damage or defects. - * * ensure proper connections : * * make sure that the spo2 sensor is securely connected to the monitor. - * * calibrate the spo2 sensor : * * follow the manufacturer's instructions for calibrating the sensor. - * * check for electromagnetic interference : * * identify and eliminate any potential sources of interference in the patient's environment. @topic:4


replace the airway adapter, if excessive moisture or secretions are observed in the tubing or if the c0 2 waveform changes unexpectedly without a change in patient status. to avoid infection, use only sterilized, disinfected or disposable airway adapters. inspect the airway adapters prior to use. do not use if airway adapter appears to have been damaged or broken. observe airway adapter color coding for patient population. preparing to measure sidestream c0 2 1 plug the sensor cable into the monitor ’ s c0 2 input connector. allow the sensor two minutes warm up time 217 14 monitoring carbon dioxide measuring co 2 using m3014a or x2 2 connect the cannula, airway adapter, or sample line as appropriate, to the sensor. it will click into place when seated correctly. 3 to zero the sensor : - expose the sensor to room air and keep it away from all sources of co 2 including the ventilator, the patient ’ s breath and your own. - in the setup menu for the c0 2, select start zero cal. - when you see the message zero done at < date and time > on the status line, the zero calibration is finished and you can begin monitoring. 4 for intubated patients requiring an airway adapter : install the airway adapter at the proximal end of the circuit between the elbow and the ventilator y - section. for intubated patients with an integrated airway adapter in the breathing circuit. : connect the male luer connector on the straight sample line to the female port on the airway adapter. for non - intubatedpatients : place the nasal cannula onto the patient. for patients prone to mouth breathing use an oral - nasal cannula. for nasal or oral - nasal cannu @topic:17


# # # issue - cuff deterioration in physiologic monitor ( mobile ) # # # impact - monitor may not provide accurate blood pressure readings - may lead to delayed or incorrect diagnosis and treatment # # # possible causes - cuff may be worn out due to repeated use or age - may have been damaged during cleaning or storage # # # recommendations - replace the cuff with a new one as soon as possible - check the cuff regularly for signs of damage or wear # # additional notes - biomedical engineers should be familiar with the common causes of failure for medical devices - they should also be able to identify and resolve these issues quickly and efficiently - this information can help to ensure that medical devices are always functioning properly and providing the best possible care for patients @topic:5


only assignment of add equipment - allows assignment of other telemetry devices via manual pairing. monitors, telemetry devices and x2 mms. ( wmonitors, telemetry devices and x2 mms. ( with lan and wlan connection only ) remove equipment - allows only removal of | telemetry devices via unpair to mon. and remove equipment - allows removal of other emetry devices and x2 mms. select location - allows a temporary location to bshown when a patient is not in the unit. ( with laand wlan connection only ) ot availabselect caregiver - allows a caregiver to be assigned to a patient paced status unconfirmed is the initial setting before a paced status has been entered. unconfirmed will switch pace pulse rejection on but makes the user paced status has been selected. 132 ecg, arrhythmia, st and qonitoring the electrocardiogram ( ecg ) measures the electrical activity of the heart and displays it on the monitor as a waveform and a numeric. this section also tells you about arrhythmia monitoring ( see " about arrhythmia monitoring " on page 154 ), st monitoring ( see " about st monitoring " on page 164 ) and qt monitoring ( see " about qt / qtc interval monitoring ” on page 175 ). good electrode - to - skin contact is important for a good, noise - free ecg signal, as the skin is a pooconductor of electricity. 1 select sites with intact skin, without impairment of any kind. 2 clip or shave hair from sites as necessary. wash sites thoroughly with soap and water, leaving no soap residue3 we do not recommend using ether or pure alcohol, because this dries the skin and increases the resistance. 4 dry skin thoroughly. attach the clips or @topic:8


# # # issue equipment failure due to damaged board. # # # impact the equipment is non - functional and cannot be used for patient monitoring. # # # possible causes * * 1. power surge or electrical fault : * * a sudden increase in voltage or an electrical fault can damage the board and cause the equipment to fail. * * 2. overheating : * * continuous or excessive operation of the equipment can lead to overheating, which can damage the board. * * 3. physical damage : * * dropping or mishandling the equipment can cause physical damage to the board. # # # recommendations * * 1. regular maintenance : * * regular maintenance and inspections can help identify potential issues and prevent equipment failure. * * 2. proper usage : * * ensure that the equipment is used according to the manufacturer's instructions and not overloaded or operated continuously for extended periods. * * 3. surge protection : * * use surge protectors to protect the equipment from power surges and electrical faults. * * 4. training : * * provide adequate training to users on the proper handling and maintenance of the equipment. * * 5. replacement : * * if the board is damaged and cannot be repaired, the equipment should be replaced with a new one. @topic:12


* * issue : * * medical cart battery level drops to - 1 %. * * impact : * * medical cart may not be able to function properly or may shut down unexpectedly, interrupting patient care or causing delays. * * possible causes : * * * * * equipment overheating : * * as noted in the description, the technician identified that the medical cart was overheating, causing the battery to drain rapidly. this could be due to several factors, such as : * excessive use or prolonged use without cooling breaks * accumulation of dust or debris on the equipment, blocking airflow * malfunctioning cooling fans or vents * * * battery degradation : * * over time, batteries can degrade and lose their capacity to hold a charge. this is especially true if the battery is subjected to extreme temperatures or is not properly maintained. * * recommendations : * * * * * inspect and clean the equipment regularly : * * remove any dust or debris that may be blocking airflow. ensure that cooling fans and vents are functioning properly. * * * allow the equipment to cool down before use : * * if the equipment has been used for an extended period, allow it to cool down before using it again. this will help prevent overheating and battery damage. * * * consider replacing the battery : * * if the battery is degraded or has reached the end of its lifespan, it should be replaced. this will ensure that the medical cart has a reliable power source. * * * monitor battery usage : * * keep track of the battery level and charge it regularly to prevent it from draining completely. * * * train staff on proper equipment use : * * educate staff on the importance of following manufacturer guidelines for equipment use and maintenance. this will help prevent overheating and other potential issues. @topic:13


wi - fi module ad315a * * h general symbols anufacturer date of manufacture fr ( yyyy - mm - dd ) product reference n erial number general safety sign refer to the instructions type b equipment for use. do not bin, follow the ocal recyclindirect current regulations. anger do n - lternating curre - earth leakage circuireaker rating ian = 30ma otal weight authoduring moving bmi ≥17 patient weight ≥40 kg patient height ≥146 cm 240 kg ≥146 cm atmospheric pressurlimits % maximum patient weight safe working load ( swl ) protective earth do not store in the place o oxygen tents shown ce medical device conformity mark medical device onformity mark 0459 bed with a weigh systenf medical - lits ompliant cem zz 0071 compliant with directimedical lits nf178 - 01 / 01 www. lne. fr nf environment steam cleaning envimeublement ww. nf - environnement - ameublement. com compliant with the rohs china regulations urope regulations rohs udi md medical device # uty cycmodel function symbols headboard positiohead section cpr 159471 only cpr information page 25 nformation page 2do not sit or climb on the linen holder * do not sit or climb on the extension * = 15kinformation page 72 information page 26 patient helper position references of recommended mattresses np150 xray np50 np100 np150 information page 20 information page 34 caster control footboard lock label n information page 26 information page 81 earth continuity and earth leakage urrent 9. 999 continuitue a la terre / earth continiuty / dauererdschluss @topic:9


print either all visiblewaves - prints all waves and hi - res trend waves currently displayed. all waves - prints realtime waves and hi - res trend waves for all currently - monitored measurements • hires waves - prints hi - res trend waves for the currently - monitored measurements • oxycrg waves - prints hi - res trend waves for btbhr, spo2, and resp. • for each hi - res trend wave, a maximum of six minutes of measurement data will be printed. see the " printing patient reports " chapter for more information on setting up reports. hi - res trend wave recordings the selection of waves in hi - res trend wave recordings and the recording speed are defined by the configured hirestrd recording template. see " recording " on page 357 for more information. to start a hi - res trend waves recording, 1 select the recor - dings smartkey, if configured, or select main setup then select recordings2 select the hires record ng pop - up key. 1 32 26 event surveillance events are electronic records of episodes in your patient's condition. you can trigger them manually, or set them to trigger automatically during pre - defined clinical situations. depending on the level of event surveillance available on your monitor, the information stored for each event episode can include : waveforms for up to four measurements of your choice ( depending on episode type, see " events pop - up keys " on page 335 for more details ). numeric vital signs for all the measurements monitored • any alarm conditions active when the event episode was triggered • any annotations connected with the event.. you can navigate through the event database to view events retrospectively, and you can document r report marked with the patient name, bed label, and the data and time. levels of event surveillance the appearance of the events windows and menus and the settings you can select for events depends on the event surveillance @topic:8


# # # issue * propaq no. 1 cannot measure blood pressure ( bp ). # # # impact * limited ability to monitor patient's vital signs. * compromised patient care. # # # possible causes * * * loose bp connector : * * the bp connector may not be properly secured, leading to air leakage and inaccurate bp readings. * * * damaged bp connector : * * the connector may be physically damaged, preventing it from forming a proper seal and causing air leakage. * * * malfunctioning air pressure sensor : * * the sensor that measures air pressure within the bp cuff may be faulty, resulting in incorrect readings or air leak alarms. * * * occluded bp tubing : * * blockages in the tubing connecting the bp cuff to the monitor can prevent proper pressure transmission, leading to inaccurate readings. * * * software or firmware issues : * * bugs or glitches in the monitor's software or firmware can cause bp measurement errors or air leak alarms. # # # recommendations * * * inspect and tighten the bp connector : * * ensure that the connector is firmly attached to both the bp cuff and the monitor. * * * replace the bp connector : * * if the connector is damaged, replace it with a new one to ensure a proper seal. * * * test the air pressure sensor : * * use a specialized testing device to assess the functionality of the air pressure sensor. if faulty, replace it. * * * check for occlusions in the bp tubing : * * inspect the tubing for any kinks, bends, or blockages. if found, clear the obstruction. * * * update software or firmware : * * contact the manufacturer or a qualified technician to update the monitor's software or firmware, if necessary. * * * calibrate the monitor : * * regularly perform @topic:15


##te information. your monitor can perform the following hemodynamic, oxygenation, and ventilation calculations. hemodynamic entilation oxygenation minute volume ( minvolcompliance ( comp ) dead space ( vd ) cardiac index ( c. i. ) arterial oxygen content ( cao2 ) venous oxygen content ( cvo2arteriovenous oxygen content ( cavo2 ) stroke volume ( sv ) stroke index ( si ) dead space / tidal volume ratio systemic vascular resistsystemic vascular resistance index ( svri ) pulmonary vascular resistance ( pvr ) pulmonary vascular resistance index alveolar ventilation ( alvent ) oxygen consumption ( vo2 ) oxygen consumption index ( vo2i ) oxygen extraction ratio ( o₂er ) alveolar - arterial oxygen difference aado2 ) left cardiac work ( lcw ) left cardiac work index ( lcwi ) percent arteriovenous shunt ( qs / qt ) left ventricular stroke work ( lvsw ) left ventricular stroke work index ( lvswi ) right cardiac work ( rcw ) right cardiac work index ( rcwi ) right ventricular stroke work ( rvsw ) right ventricular stroke work index ( rvswi ) extra vascular lung water index ( evlwi ) intrathoracic blood volume index ( itbvi ) global end diastolic volume index gedvi ) the hemodynamic calculations available depend on the cardiac output measurement method being used and the regulatory standards that apply for your hospital : see the " monitoring cardiac output " ails. 325 24 calculations 111. 1 select the calcs smartkey to open the calculations window. select the calc type field and select the required calculation type for display. calculations windows this example calculations window shows the hemodynamic calculations window. the ventilation ilar. 3 75 in 125. 0 lb height calculation @topic:17


# # # * * issue * * - scanner not working # # # * * impact * * - medical staff cannot use the scanner to scan patients, leading to delays in patient care # # # * * possible causes * * - battery of the scanner is drained and not charged - scanner is not plugged in - scanner is faulty # # # * * recommendations * * - check the battery level of the scanner and charge it if necessary - plug in the scanner - check the power cord for any damage - if the scanner is still not working, contact the manufacturer for further troubleshooting @topic:23


# # # issue - the connex spot monitor, a physiological vital signs monitor manufactured by welch allyn, displayed errors across all functions on the ear thermometer screen. # # # impact - inability to accurately measure and monitor patient's body temperature. # # # possible causes - exhausted or malfunctioning alkaline batteries. # # # recommendations - bme technician replaced the alkaline batteries and sent the rechargeable battery pack to the manufacturer for repair. - after receiving the repaired battery pack, the monitor was tested and found to be functioning normally. @topic:20


# # # issue - broken ecg cable # # # impact - the patient's ecg signal may not be accurately monitored. - this could lead to incorrect diagnosis or treatment. # # # possible causes - the ecg cable may have been damaged due to excessive bending or pulling. - the ecg cable may have been damaged by a sharp object. - the ecg cable may have been damaged by a liquid spill. # # # recommendations - inspect the ecg cable for any damage. - replace the ecg cable if it is damaged. - train staff on how to properly handle and care for ecg cables. @topic:18


# # # issue equipment malfunction due to a duplicate work order. # # # impact the device is not available for use, which could delay patient care or lead to adverse events. # # # possible causes - the work order was not properly closed after the device was previously repaired. - the device was not properly tested after the previous repair. - the device was damaged during transport or storage. # # # recommendations - ensure that all work orders are properly closed after the device is repaired. - test the device thoroughly after each repair. - handle the device with care during transport and storage. @topic:12


from pulsion medical systems. it must be placed in one of the bigger systemic arteries, for example, the femoral or the axillary artery. you must use the approved catheters and puncture locations. 2 set up the central venous line. 3 connect the injectate temperature probe housing to the venous line. 4 plug the c. o. interface cable into the c. o. module or measurement extension module and connect the following devices to the c. o. interface cable : - injectate temperature probe - thermistor connector - remote start switch ( if used ). follow your hospital standards to avoid unintentional extraction of the c. o. catheter. secure the cable using the mounting clip shipped with each c. o. interface cable. you may also find it helpful to loop the c. o. interface cable, tape the loop, and attach it to the undersheet of the patient's bed using a safety pin. c. o. module remote switch injectate syringe injectate temperature probe cvp injectate line temperature probe housing press module i face pulsion pressure transducer i pressure i adapter ■ cable r l thermistor i connection i cable thermistor connection pulsion arterial catheter 5 if you are measuring cco, set up the pressure measurement now. the cco measurement requires a minimally dampened invasive pressure setup. you must ensure that there are no air bubbles in the pressure line or dome and use only specified accessories. 6 check that the correct measurement method is selected. if a catheter is already connected to the cardiac output interface cable, the monitor automatically recognizes the method used. if not, in the setup c. o. menu, select method and then select transpulmonary. 7 check that you are using the correct probe - the m164 @topic:17


# # # issue - noisy wheels on nibp monitor # # # impact - difficult to manoeuvre the equipment - distraction for patients and staff - potential damage to the equipment or surroundings due to excessive noise # # # possible causes - worn or damaged wheels - lack of lubrication - loose wheel bearings # # # recommendations - replace or repair worn or damaged wheels - apply lubricant to the wheels and wheel bearings - tighten loose wheel bearings * * additional notes : * * - the original cause of failure, as indicated in the input, is " noisy wheels. " this is consistent with the issue identified above. - it is important to identify the root cause of the problem in order to prevent it from recurring in the future. - regular maintenance and inspection of medical devices, including nibp monitors, can help prevent issues such as noisy wheels from occurring. @topic:24


# # # issue - monitor not turning on # # # impact - device cannot be used for patient monitoring # # # possible causes - faulty power cord or connection - internal hardware failure - loose or damaged electrical connections - power supply failure # # # recommendations * * 1. check power cord and connection : * * - ensure that the power cord is securely plugged into both the monitor and the wall outlet. - inspect the power cord for any damage or fraying. - if possible, try using a different power cord to rule out any issues with the original one. * * 2. check internal hardware : * * - contact the manufacturer of the monitor to request technical assistance or consult the device manual for troubleshooting instructions. - if you have the necessary skills and expertise, you can attempt to diagnose and repair any internal hardware issues. * * 3. check electrical connections : * * - open the monitor housing and inspect all electrical connections. - ensure that all cables are securely connected and not loose. - if any connectors appear damaged or loose, clean them and reattach them firmly. * * 4. check power supply : * * - if the monitor has a separate power supply unit, ensure that it is functioning properly. - check if the power supply unit is receiving power and outputting the correct voltage. - if the power supply unit is faulty, it will need to be replaced. @topic:2


* * issue : * * co2 reading not available * * impact : * * inability to monitor patient's respiratory status accurately * * possible causes : * * * faulty co2 sensor * occluded co2 sampling line * gas analyzer malfunction * software error * * recommendations : * * * * * check the co2 sensor : * * inspect the sensor for any physical damage or contamination. ensure that it is properly connected and calibrate it if necessary. * * * inspect the co2 sampling line : * * check for kinks, obstructions, or leaks. ensure that the line is properly attached to the patient and the monitor. * * * troubleshoot the gas analyzer : * * run a diagnostics test on the gas analyzer to identify any potential issues. ensure that the analyzer is properly configured and calibrated. * * * update the software : * * check for any available software updates for the monitor. software updates may include bug fixes or enhancements that could resolve the issue. * * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for technical support or repair. @topic:4


# # # issue - the spo2 cable is not measuring values correctly. # # # impact - the patient's oxygen saturation levels cannot be accurately monitored, which could lead to incorrect or delayed treatment decisions. # # # possible causes - damaged spo2 cable - loose connection between the spo2 cable and the monitor - faulty spo2 sensor - incorrect settings on the monitor - interference from other devices # # # recommendations - replace the spo2 cable with a new one. - check the connections between the spo2 cable and the monitor to ensure they are secure. - inspect the spo2 sensor for any damage or debris. - verify that the settings on the monitor are correct for the patient's age and condition. - check for any other devices in the vicinity that could be interfering with the spo2 signal, such as cell phones or other wireless devices. @topic:4


# # # issue - broken siderail on right hand side # # # impact - patient safety hazard due to potential for fall - inconvenience to patient and staff # # # possible causes - wear and tear over time - excessive force or improper use - manufacturing defect # # # recommendations - replace broken siderail immediately - inspect all siderails regularly for signs of wear or damage - train staff on proper use of siderails - monitor patient activity to prevent falls @topic:6


# # # issue battery failure in philips intellivue mp5 patient monitor # # # impact the patient monitor cannot be used to accurately measure a patient's vital signs, which could lead to delays in diagnosis and treatment. # # # possible causes * the battery is old and has reached the end of its life cycle. * the battery has been damaged due to physical impact or exposure to extreme temperatures. * the battery is not compatible with the patient monitor. * a problem with the patient monitor is causing the battery to drain prematurely. # # # recommendations * replace the battery with a new one that is compatible with the patient monitor. * inspect the patient monitor for any damage or loose connections that could be causing the battery to drain. * if the problem persists, consult with a qualified biomedical engineer. @topic:11


# # # issue - medical cart drawer is stuck open. - keyhole is visible on the front of the drawer. # # # impact - the drawer cannot be closed properly. # # # possible causes - the locking mechanism is not working properly. - the drawer is overloaded. - the drawer is not aligned properly. - a foreign object is blocking the drawer from closing. # # # recommendations - check the locking mechanism and make sure it is working properly. - reduce the weight of the drawer. - adjust the drawer so that it is aligned properly. - remove any foreign objects that may be blocking the drawer from closing. @topic:21


# # # issue - battery degradation # # # impact - inability to provide continuous vital signs monitoring # # # possible causes - extended use of the device without proper maintenance - exposure to extreme temperatures or humidity - defective battery # # # recommendations - regular maintenance checks to ensure battery health - replacement of batteries as needed - proper storage and handling of the device to prevent battery damage @topic:11


# # # issue - installation of bed alarm has led to a failure of the medical device. # # # possible causes - the technicians did not follow the correct installation procedure for the bed alarm. - the bed alarm is not compatible with the medical device. - the bed alarm was damaged during installation. # # # recommendations - the technician should check the installation procedure for the bed alarm and ensure that all steps have been followed correctly. - the technician should check that the bed alarm is compatible with the medical device. - the technician should check the bed alarm for any damage that may have occurred during installation. @topic:26


* * issue : * * bed does not adjust up or down. * * impact : * * patient discomfort, delayed care, increased risk of pressure ulcers. * * possible causes : * * * * * mechanical failure : * * broken or damaged motor, gears, or other mechanical components. * * * electrical failure : * * faulty wiring, damaged electrical components, or power supply issues. * * * software error : * * software glitch or bug preventing the bed from adjusting properly. * * * user error : * * improper operation or misuse of the bed's controls. * * * environmental factors : * * excessive wear and tear, exposure to fluids or chemicals, or inadequate maintenance. * * recommendations : * * * * * inspect mechanical components : * * check for any visible signs of damage or wear and tear. * * * test electrical components : * * use a voltmeter or other diagnostic tool to identify any electrical faults. * * * update software : * * ensure the bed is running the latest software version and install any necessary updates. * * * train staff : * * provide proper training on the correct operation and maintenance of the bed. * * * schedule regular maintenance : * * perform preventive maintenance checks to identify and address potential issues before they cause failure. @topic:9


# # # issue : bp pump on bedside physiologic monitor not working consistently. # # # impact : inaccurate blood pressure measurements, which can affect patient care decisions. # # # possible causes : * * 1. faulty bp pump module : * * the bp pump module may be defective, causing it to intermittently fail to pump. * * 2. electrical connection issues : * * loose or damaged electrical connections between the pump module and the monitor can disrupt pump operation. * * 3. software malfunction : * * a software glitch or bug in the monitor's operating system can prevent the pump from functioning properly. # # # recommendations : * * 1. replace bp pump module : * * the most likely fix is to replace the faulty pump module with a new one. * * 2. check electrical connections : * * inspect the electrical connections between the pump module and the monitor for any loose or damaged wires. tighten or replace any loose connections as necessary. * * 3. update monitor software : * * if possible, check for any available software updates for the monitor and install them. software updates can resolve bugs and improve device performance. @topic:15


# # # issue - cuff of the vital signs monitor is deteriorated. # # # impact - the monitor may not be able to accurately measure blood pressure and other vital signs. # # # possible causes - the cuff may have been damaged by exposure to moisture, heat, or chemicals. - the cuff bladder may have developed a leak. - the hose tubing connecting the cuff to the monitor may be kinked or damaged. # # # recommendations - request a new cuff from the manufacturer. - replace the cuff bladder if it has developed a leak. - inspect the hose tubing and replace it if it is kinked or damaged. - train staff on proper use and maintenance of the monitor to prevent future damage. @topic:5


# # # issue - base mount nut loose # # # impact - unstable monitor # # # possible causes - technician did not tighten the nut sufficiently during assembly - nut loosened over time due to vibration or movement - damaged or worn nut # # # recommendations - tighten the nut to the manufacturer's specifications - regularly inspect the base mount for loose nuts - replace the nut if it is damaged or worn @topic:12


and maintenance of medical equipment to prevent mishandling and accidental damage. @topic:12


# # # issue : remote control lock failure # # # impact : inability to adjust the bed remotely. # # # possible causes : - faulty remote control - electrical connection issue - software malfunction # # # recommendations : - replace the remote control - check electrical connections - update software or restart the device @topic:7


# # # issue motor of the electric bed is making noise. # # # impact the bed may not function properly, which could pose a safety hazard to patients. # # # possible causes - the motor may be worn out or damaged. - the motor may not be properly lubricated. - there may be a problem with the electrical connections to the motor. - the motor may be overloaded. # # # recommendations - inspect the motor for signs of wear or damage. - lubricate the motor if necessary. - check the electrical connections to the motor. - reduce the load on the motor. @topic:9


# # # issue - loose bed wheel locking pin # # # impact - the bed wheel cannot be locked, which can lead to the bed moving unexpectedly. this can be a safety hazard for the patient and staff. # # # possible causes - the locking pin may have been loosened due to wear and tear, or it may have been improperly tightened. # # # recommendations - tighten the locking pin to the manufacturer's specifications. - inspect the locking pin regularly for signs of wear and tear. - train staff on how to properly use and maintain the bed. @topic:6


# # # issue - the philips suresigns vs4 vital signs monitor is not functioning properly and is unable to accurately measure blood pressure ( bp ). # # # impact - inability to accurately monitor bp readings, which can compromise patient safety and lead to delayed or incorrect diagnoses. # # # possible causes * * 1. hardware failure : * * - faulty sensors or transducers - malfunctioning power supply - loose or damaged cables * * 2. software malfunction : * * - corrupted or outdated software - configuration errors * * 3. user error : * * - incorrect calibration or setup - improper patient positioning or cuff placement * * 4. environmental factors : * * - extreme temperatures - humidity - electrical interference # # # recommendations - * * check connections : * * ensure that all cables and connectors are securely fastened and not damaged. - * * calibrate monitor : * * follow the manufacturer's instructions to calibrate the bp measurement components. - * * update software : * * if software updates are available, install them to ensure the monitor is running the latest version. - * * restart monitor : * * shut down and restart the monitor to potentially resolve software glitches. - * * inspect sensors and transducers : * * visually inspect the bp sensor and transducer for any signs of damage or wear and tear. - * * rule out user error : * * verify that the patient is positioned correctly and the cuff is properly placed. - * * check power supply : * * ensure that the monitor is connected to a reliable power source and that the power supply is adequate. - * * contact manufacturer : * * if the issue persists despite troubleshooting, contact the manufacturer for technical support or replacement parts. @topic:15


# # # issue - bed is not adjusting # # # impact - patient discomfort - difficulty providing care - potential injury to patient or staff # # # possible causes - faulty motor - damaged control panel - loose or disconnected wiring - software glitch - user error # # # recommendations - inspect the motor for any visible damage or signs of wear. - check the control panel for any loose connections or damaged buttons. - inspect the wiring for any breaks or loose connections. - update the software to the latest version. - train staff on the proper use of the bed. @topic:1


# # # issue the bed is unable to adjust. # # # impact patients may be unable to get into or out of bed, which can lead to discomfort and falls. # # # possible causes - power outage - loose or damaged electrical connections - faulty motor - broken gears - bent frame # # # recommendations - check the power supply and ensure that the bed is plugged in. - inspect the electrical connections for any signs of damage or looseness. - listen for any unusual noises coming from the motor. - check the gears for any signs of wear or damage. - inspect the frame for any bends or cracks. - if the problem cannot be resolved by the above steps, contact a qualified biomedical engineer. @topic:1


# # # issue - device failure due to broken cable head # # # impact - inability to monitor patient's electroencephalography ( eeg ) and level of consciousness ( loc ) during surgery # # # possible causes - * * improper handling of equipment : * * overbending or pulling on the cable can damage the head. - * * wear and tear : * * over time, the cable head can weaken and become brittle. - * * manufacturing defect : * * a faulty connection or insufficient insulation can lead to cable head breakage. # # # recommendations * * prevention : * * - handle cables carefully, avoiding kinks or excessive bending. - inspect cables regularly for signs of damage or wear. - follow manufacturer's guidelines for proper handling and maintenance. * * maintenance : * * - if a cable head becomes damaged, replace the entire cable immediately. - if possible, use cables with shrouded or reinforced heads for increased durability. - adhere to established protocols for equipment setup and transportation to minimize cable strain. * * troubleshooting : * * - check all cable connections to ensure they are secure and not damaged. - if a new cable does not resolve the issue, the problem may lie elsewhere in the equipment or monitoring system. contact the manufacturer or a qualified biomedical engineer for assistance. @topic:22


# # # issue - cuff is not sticking ( adhering ) properly to the patient's arm or leg # # # impact - inaccurate blood pressure readings - discomfort or pain for the patient - delays in patient care # # # possible causes - worn - out or damaged cuff - cuff is not the correct size for the patient - cuff is not being applied correctly - medical device is not functioning properly # # # recommendations - inspect the cuff for any signs of wear or damage. replace the cuff if necessary. - ensure that the cuff is the correct size for the patient. - apply the cuff according to the manufacturer's instructions. - check the medical device for any signs of malfunction. contact the manufacturer for service if necessary. @topic:3


# # # issue - lead ekg malfunctioning # # # impact - inaccurate or missing ekg readings - reduced patient monitoring capabilities # # # possible causes - damaged or loose lead wires - faulty connectors - electronic failure in the lead # # # recommendations - inspect lead wires for damage or loose connections - replace lead wires as needed - check connectors for corrosion or damage - contact the manufacturer for troubleshooting and repair options @topic:18


# # # issue - electrical bed in ob & gyn department is not functioning properly, with the footplate detaching. # # # impact - safety hazard for patients and staff. - disruption of patient care. - increased repair costs. # # # possible causes - loose or missing nuts securing the footplate to the bed frame. - damage to the footplate or bed frame. - malfunction of the electrical components controlling the footplate. # # # recommendations - inspect the bed frame and footplate for loose or missing nuts and bolts. tighten or replace as necessary. - examine the footplate and bed frame for any signs of damage or wear. replace damaged components if necessary. - test the electrical components of the bed, including the motor and control unit. repair or replace faulty components as needed. - train staff on proper use and maintenance of the bed, including regular inspection and tightening of fasteners. @topic:1


# # # issue : - spo2 cable breakage # # # impact : - inaccurate or disrupted monitoring of patient's oxygen saturation levels, potentially leading to delayed or missed interventions. # # # possible causes : - wear and tear due to repeated bending or pulling - physical damage from mishandling or accidental contact with sharp objects - manufacturing defects or material fatigue # # # recommendations : - regularly inspect spo2 cables for any signs of damage or wear. - handle cables carefully to avoid excessive bending or pulling. - secure cables properly to prevent accidental damage. - replace damaged cables promptly to ensure accurate monitoring. - consider using durable or reinforced cables to increase longevity. - train staff on proper handling and storage of medical equipment. @topic:4


choose on or off ( you must use on if your patient has a pacemaker ). with piic ix there is a third choice : unconfirmed. when the paced mode is unconfirmed, the paced patients will be used. height : enter the patient's height. weight : enter the patient's weight. - bsa : the monitor calculates the body surface area automatically. date of birth : enter the patient's date of birth, in the form dd / mmm / yyyy. - age : the monitor calculates the patient age automatically. gender : choose male or female. notes ( 1 ) / notes ( 2 ) : enter any extra information about the patient or treatment. when admission is complete, the patient's on the monitor info line at thscreen. when a patient is already admitted if the patient monitor already has a patient admitted, the admit patient key is replaced by the nepatient key. when you select new patient, the monitor is freed. all settings are reset to the defaults, all patient data and trend data are deleted, and monitoring at the information center may stop for monitors designated as transport monitors. depending on your equipment configuration, selecting new patient may transfer the currently admitted patient out of the bed. a message will appear requiring your confirmation of these actions. after selecting new patient, you can admit your patient as described in " when no patient is admitted " above. piic ix you can use the find patient key to search for patient data in the information center and any connected hospital information systems. the search will look for currently admitted or previously admitted patients matching the search data you enter. 0 5 managing patients and equipment to search for patient data : select the find patient key. 1 a window opens with an on - screen keyboard. 2 type in the last name or an id, or a part of it, and select enter on the keyboard. the @topic:10


# # # issue - medical cart has a battery level of - 1 % - cannot connect to hardware # # # impact - medical cart may not be able to function properly - may cause delays in patient care # # # possible causes - battery may be faulty - hardware may be damaged - med cart driver service may not be running # # # recommendations - replace the battery - check the hardware for damage - restart the med cart driver service @topic:13


* * issue : * * * equipment : nerve stimulator * manufacturer : organon * failure description : device is not working. * * possible causes : * * * * * power supply issues : * * faulty battery, damaged power cord, power surge. * * * hardware failures : * * short circuit, broken wires, electronic component malfunction. * * * software issues : * * firmware corruption, software glitches. * * * environmental factors : * * temperature extremes, moisture, dust accumulation. * * * user error : * * improper handling, accidental damage. * * recommendations : * * * * troubleshooting : * * * * * check power supply : * * ensure proper voltage and amperage, test battery or power cord. * * * inspect equipment : * * look for visible damage, loose connections, or debris. * * * perform functional tests : * * use test equipment to evaluate device's operation. * * * review service history : * * check previous repairs and documentation. * * repair : * * * * * identify and replace faulty components : * * locate and replace damaged hardware, such as fuses, resistors, or capacitors. * * * update firmware : * * flash the device with the latest software version. * * * calibrate equipment : * * ensure accurate readings and function. * * prevention : * * * * * regular maintenance : * * establish a schedule for cleaning, inspection, and calibration. * * * proper storage and handling : * * protect equipment from environmental hazards and user mishandling. * * * user training : * * educate staff on proper use and maintenance procedures. * * * establish clear reporting mechanisms : * * encourage staff to report any malfunctions or concerns promptly. * * impact : * * * * * patient care : * * delays or @topic:2


# # # issue - cuff deterioration # # # impact - inaccurate blood pressure measurements # # # possible causes - age and usage of the cuff - exposure to extreme temperatures or humidity - improper storage or handling # # # recommendations - regular inspection and maintenance of the cuff - replacement of the cuff if it shows signs of deterioration - proper storage and handling of the cuff to prevent damage @topic:3


# # # issue - ecg cable fail # # # impact - ecg signal may not be displayed or recorded accurately. - this could lead to incorrect diagnosis or treatment. # # # possible causes - the ecg cable may be damaged or loose. - the cable may be incompatible with the monitor. - the cable may be improperly connected. # # # recommendations - replace the ecg cable with a new one. - ensure that the cable is properly connected. - verify that the cable is compatible with the monitor. @topic:18


# # # issue - no link to central monitor # # # impact - the medical staff cannot remotely monitor the patient's vital signs. # # # possible causes - ci address not properly configured in the monitor - server issues on the central monitor system - network connectivity issues # # # recommendations - verify that the ci address is correctly configured in the monitor. - check the server status on the central monitor system. - test the network connectivity between the monitor and the central monitor system. @topic:16


# # # issue bed, electric, paramount bed, model ka - 64000, is not working. # # # impact the bed cannot be used to treat patients. # # # possible causes - the bed is not plugged in. - the bed's power cord is damaged. - the bed's control panel is not working. - the bed's motor is not working. - the bed has a mechanical problem. - the bed was borrowed by department 16 and not returned. # # # recommendations - check if the bed is plugged in. - inspect the bed's power cord for damage. - check if the bed's control panel is working. - check if the bed's motor is working. - inspect the bed for mechanical problems. - contact department 16 to return the bed. @topic:9


the international standards iec 60601 - 1, iec 60601 - 1 - 1 and iec 62353. - medical system : a medical electrical system is a combination of at least one medical electrical device and other electrical equipment, interconnected by functional connection or use of a multiple portable socket - outlet. - patient vicinity : any area in which intentional or unintentional contact can occur between the patient and parts of the medical system or between the patient and other persons who have had contact with parts of the medical system. the patient vicinity is defined anywhere within 1. 5m ( 5 feet ) of the perimeter of the patient's bed and 2. 5m ( 8. 2 feet ) from the floor. - separation device / transformer : a component or arrangement of components with input parts and output parts that, for safety reasons, prevent a transfer of unwanted voltage or current between parts of a medical system. - multiple portable socket - outlet : a combination of two or more socket - outlets intended to be connected to or integrated with flexible cables or cords, which can easily be moved from one place to another while connected to the power mains. - functional connection : an electrical connection for transfer of signals and / or power. - tests : safety or performance assurance test procedures which may consist of several steps. 28 recommended frequency 3 testing and maintenance recommended frequency perform the procedures as indicated in the suggested testing timetable. these timetable recommendations do not supersede local requirements. table 1 : suggested testing timetable. i nbp performance once every two years, or more often if preventive maintenance specified by local laws. microstream co ; calibration once a year or after 4000 hours of continuous use and following any instrument repairs or the replacement of any instrument parts. visual inspection before each use. other regular tests power on test ecg / resp performance once every two years, or if you suspect the measurement is @topic:10


# # # issue - rung of the bed is broken off. # # # impact - patient safety may be compromised. # # # possible causes - the rung may have been weakened by wear and tear. - the rung may have been damaged by improper use. # # # recommendations - replace the broken rung. - inspect the other rungs for damage. - educate staff on proper use of the bed. @topic:6


# # # issue - printer not functioning # # # impact - inability to print patient records, test results, and other important documents # # # possible causes - printer hardware malfunction - software issues - communication problems between the printer and the monitor or central station - insufficient toner or ink - paper jam # # # recommendations - check printer connections and ensure they are secure - restart the printer and the monitor or central station - update printer software and drivers - replace toner or ink cartridges if necessary - clear any paper jams - contact the device manufacturer or a qualified biomedical engineer if the problem persists @topic:28


# # # issue - spo2 sensor not reading # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - damaged spo2 sensor lead - faulty sensor probe - loose connection between sensor and monitor - incorrect placement of sensor on patient's finger # # # recommendations - check the spo2 sensor lead for damage or fraying. if damaged, replace the lead. - inspect the sensor probe for any visible damage. if damaged, replace the probe. - ensure the sensor is securely connected to the monitor. - place the sensor correctly on the patient's finger, ensuring that the sensor light is facing the patient's skin. @topic:4


# # # issue the cause of failure is not specified in the given input. # # # impact the impact of the failure is not specified in the given input. # # # possible causes - the equipment may have been damaged during transport. - the equipment may have been used incorrectly. - the equipment may have been tampered with. - the equipment may be defective. # # # recommendations - the equipment should be inspected by a qualified biomedical engineer to determine the cause of failure. - the equipment should be repaired or replaced as necessary. - the equipment should be used according to the manufacturer's instructions. - the equipment should be stored in a safe and secure location. @topic:12


speed, changing 34 measurement link cable 9 measurement link connection symbol 404 measurement module extension m3012a 18 m3015a 16 m3016a 16 measurement modules 10 setting up 41 measurement points, st 148 measurement selection window 38 measurement settings 30 mechanical damage 41 merging patient data 110 methemoglobin ( sp02 ) 173 mib connector 407, 408, 409 microstream capnography 16 microstream c02 221 accessories 221 maintenance, calibration 378 measuring 221 minimize 43 mismatch patient data, resolving 109 mms connecting to fms 11 connecting to monitor 11 patient cable connector 410 using for patient transfer 107 modified 12 - lead ecg 127 modified screen history 28 modifying screens 28 module connecting 10 reconnecting 10 removing 10 setup key 10 setup menu 10 tcgas 233 unplugging 10 vuelink 347, 351 vuelink type a and type b 351 modules 10 setting up 41 monitor inspecting before use 41 starting monitoring 42 switching on 41 monitor ( ecg filter setting ) 122 monitor defaults 453 monitor revision how to find 40 monitor settings 30 changing 39 monitoring preparation 41 monitoring bis 257 monitoring eeg 249 monitoring mode 27 mouse using 22 mouse connection symbol 403 mouse connector 409 mp20 2 mp20 junior 2 mp20 mp30 major parts and keys 3 screen menus 20 mp20junior 2 mp20l 2 mp30 2 mp40 4 mp40 mp50 major parts and keys 4 screen menus 20 mp50 4 mp60 5 mp70 5 msl cable 9 msl, additional connector 410 multi - lead st alarming 150 multi - measurement module ecg connector 117 multi - measurement module ( mms ) 11 n n20 correction c02 223 narrow alarm limits 65 navigating 19 mouse 22 permanent keys 22 smartkeys 23 trackball 22 navigation point 22 nbp adult cuffs 386 alarm source 182 ansi / aami @topic:8


# # # issue the cause of failure in the given input to biomedical engineer is : - ds 3 is unstable. # # # impact ds 3 is a critical component of the monitor and its instability can lead to incorrect readings. this can have a direct impact on patient care and safety. # # # possible causes the instability of ds 3 could be due to several factors, including : - faulty hardware - software errors - loose connections - power issues # # # recommendations to fix the issue, the biomedical engineer should : - inspect the hardware for any signs of damage. - check the software for any errors or outdated versions. - ensure that all connections are properly tightened. - verify that the monitor is receiving the correct power supply. @topic:2


# # # issue physiological monitor's spo2 ( oxygen saturation ) cable issue # # # impact unable to get spo2 measurement # # # possible causes - faulty spo2 cable - damaged cable connector - loose cable connection - malfunctioning spo2 sensor # # # recommendations - replace the spo2 cable - inspect and ensure the cable connector is not damaged - secure the cable connection - check the spo2 sensor for damage or malfunction @topic:4


# # # issue * cuff bp does not release pressure correctly or at all. # # # impact * patient discomfort or pain. * incorrect blood pressure measurements. * delay in diagnosis and treatment. # # # possible causes * faulty cuff or connector / tubing * malfunctioning pressure sensor or valve * software bug or calibration issue # # # recommendations * * troubleshooting : * * * inspect the cuff, connector, and tubing for damage or leaks. * run a test with a different cuff to isolate the issue. * recalibrate the device and check the pressure sensor / valve functionality. * * corrective actions : * * * replace the faulty cuff or other components as needed. * contact the manufacturer for technical support or software updates. * ensure proper training and maintenance of the device. * * preventive measures : * * * regular inspection and maintenance of the device and its components. * establish clear operating procedures for use and troubleshooting. * train staff on proper cuff placement and device operation. @topic:3


# # # issue remote wire is exposed # # # impact - electrical shock hazard to patient or staff - malfunction of equipment # # # possible causes - physical damage to wire - wear and tear - improper maintenance # # # recommendations - replace exposed wire with new wire - inspect equipment regularly for signs of damage - follow recommended maintenance schedule @topic:12


# # # issue - equipment not powering on. # # # impact - inability to monitor fetal vital signs during labor and delivery. # # # possible causes - faulty power supply. - damaged or loose electrical connections. - internal component failure ( e. g., power supply, motherboard ). # # # recommendations * * note : * * repairs should only be performed by qualified biomedical engineers following the manufacturer's guidelines. * * troubleshooting : * * 1. check if the equipment is properly plugged into a working power outlet. 2. inspect the power cord for any visible damage or loose connections. 3. open the equipment housing ( with proper esd precautions ) and inspect the internal electrical connections for any damage or looseness. * * repairs : * * 1. if the power cord is damaged, replace it with a new one of the same type and specifications. 2. tighten any loose electrical connections. 3. if an internal component has failed, it may need to be replaced by a qualified repair technician. 4. once the repairs are complete, thoroughly test the equipment to ensure it is functioning properly before returning it to service. @topic:2


be trained on the proper operation of the bed to avoid errors. @topic:9


# # # issue - the control board for the weight scale is damaged and requires excessive force to operate. # # # impact - patients and staff may experience difficulties accurately measuring weight, leading to potential health concerns or medication errors. # # # possible causes - * * wear and tear : * * over time, the control board components may have become worn or degraded due to frequent use or aging. - * * improper use : * * the equipment may have been subjected to excessive force or mishandling, causing damage to the control board. - * * electrical issues : * * electrical surges or power fluctuations may have damaged the control board's internal circuitry. - * * manufacturer defect : * * the control board may have had a pre - existing defect or malfunction that caused its failure. # # # recommendations - * * replace the control board : * * install a new control board to restore the weight scale's functionality and ensure accurate weight measurements. - * * preventive maintenance : * * establish a regular maintenance schedule to inspect and service the weight scale, including the control board, to minimize future failures. - * * train staff on proper use : * * provide training to staff on the correct use and handling of the weight scale to prevent damage or premature wear. - * * consider equipment upgrade : * * if the weight scale is frequently experiencing control board failures, explore the possibility of upgrading to a more durable or reliable model. @topic:25


# # # issue - computer reboots spontaneously. # # # impact - interruption of workflow - potential loss of data - inconvenience to users # # # possible causes - hardware : - faulty power supply - overheating - loose connections - software : - corrupted operating system - malware infection - incompatible drivers - user error : - incorrectly installed software - improper shutdown procedures # # # recommendations - hardware : - check power supply and connections - monitor temperature of the computer - reseat components ( e. g., ram, video card ) - software : - run antivirus and malware scans - check for and install operating system updates - update or reinstall drivers - user error : - ensure proper installation and use of software - follow correct shutdown procedures - other : - consider environmental factors ( e. g., power surges, humidity ) - contact the manufacturer or a qualified technician for further assistance @topic:13


# # # issue the propaq lt patient monitor is displaying a " system failure " message when attempting to measure non - invasive blood pressure ( nibp ) in exam room 4. # # # impact the failure of the patient monitor to accurately measure nibp could lead to : - delays in patient care - incorrect or missed diagnoses - patient discomfort or distress # # # possible causes the following are some possible causes of the " system failure " message : - malfunctioning sensor or transducer - loose or damaged cables or connections - software glitch or bug - hardware defect # # # recommendations to troubleshoot and resolve the issue, the technician should : 1. * * inspect the nibp sensor and transducer : * * ensure that the sensor is properly attached to the patient's arm and that the transducer is securely connected to the monitor. 2. * * check the cables and connections : * * inspect the ekg monitor cable, bp cable, and o2sat monitor cable for any damage or loose connections. ensure that all cables are securely plugged into the monitor and the appropriate patient accessories. 3. * * restart the monitor : * * turn the monitor off and then back on to reset the software. 4. * * update the monitor software : * * if the issue persists, check for available software updates for the monitor and install them if necessary. 5. * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the monitor for technical assistance. @topic:15


##nulas with oxygen delivery, place the cannula on the patient as shown then attach the oxygen supply tubing to the oxygen delivery system and set the prescribed oxygen flow. warning always connect the airway adapter to the sensor before inserting the airway adapter into the breathing circuit. in reverse, always remove the airway adapter from the breathing circuit before removing the sensor. caution always disconnect the cannula, airway adapter or sample line from the sensor when not in use. using the sidestream sensor holder the holder delivered with the sensor can be used to clamp the sensor onto an iv pole or a shelf. 218 measuring mainstream co 2 using m3016a 14 monitoring carbon dioxide 1 push the sensor into the holder until it clicks into position. 2 clamp the holder onto an iv pole, a shelf or another appropriate location. to remove the sensor from the holder, release the clip and pull the sensor out of the holder. removing exhaust gases from the system warning anesthetics : when using the sidestream c0 2 measurement on patients who are receiving or have recently received anesthetics, connect the outlet to a scavenging system, to avoid exposing medical staff to anesthetics. use an exhaust tube to remove the sample gas to a scavenging system. attach it to the sidestream sensor at the outlet connector. measuring mainstream c0 2 using m3016a the m3016a mainstream c0 2 extension measures partial pressure of carbon dioxide in a patient ’ s expired gas using the mainstream method. when using the appropriate accessories you can use the mainstream c0 2 measurement with ventilated adults, pediatric and neonatal patients. warning infra - red radiation : do not expose the airway adapter or m1460a transducer to infra - red radiation during use. this may cause incorrect readings. preparing to measure @topic:17


# # # issue : cuff bp is measuring incorrect values or no values are displayed. # # # impact : - incorrect blood pressure measurements can lead to improper diagnosis and treatment plans. - delayed or inaccurate diagnosis due to unreliable blood pressure readings. # # # possible causes : 1. * * defective cuff bladder : * * the cuff bladder may have developed a leak or tear, preventing it from inflating or deflating correctly. 2. * * faulty pressure transducer : * * the pressure transducer responsible for measuring the blood pressure may be malfunctioning, resulting in inaccurate or no readings. 3. * * loose connections : * * connections between the cuff, tubing, and monitor may have become loose, leading to poor signal transmission. 4. * * software issues : * * software glitches within the monitor may affect the cuff's functionality. 5. * * improper user technique : * * incorrect placement or inflation of the cuff can result in inaccurate readings. # # # recommendations : 1. * * replace cuff bladder : * * inspect the cuff bladder for leaks or damage, and replace it if necessary. 2. * * troubleshoot pressure transducer : * * check the connections and functionality of the pressure transducer to ensure it is working correctly. 3. * * inspect and tighten connections : * * verify that all connections between the cuff, tubing, and monitor are secure to prevent signal loss. 4. * * restart monitor : * * power cycle the monitor to reset any software issues that may be affecting the cuff's operation. 5. * * retrain staff on cuff usage : * * provide proper training to staff on the correct technique for cuff placement and inflation. @topic:14


co2 ( microstream ) 438 accessories 242, 256 ecg 134 nbp 206 resp 186 combi - events 340 lead layout 371 st 166 display settings 3ecg safety information 152 ecg source tracking 124 trends database 319 ecg wave 136 autosize 137 parts and accessories 417 documenting events 342 dosemeter ( drug calculator ) 384 calibration bar 137 conflict 44. label 44 ectopic status messages ( aconnecting bis accessories 286 connecting temperature probe 211 connection direction symbol 445 editing c. o. measurements ( picco ethod ) 232 drip table ( drug calculator ) 385 drug calculator 381 dual spo2 201 editing c. o. measurements ( rh ethods ) 235 continuous cardiac output 225 eeg continuous impedance check ( bis ) 288 conventional 12 - lead ecg 143 correcting the nbp measurement 205 ounting events 340 dual temp measurement 212 dyshemoglobins 192 intravascular ( spo2 ) 192 accessories 242, 256 monitor configuration and upgrade 28eeg monitoring changing filter frequencies 283 e changing wave scachanging wave speed 283 electrode - to - skin impedance 281 283 cpap ( resp ) 186 nbp 206 cuff 205, 206 ressureasi 138, 14pressure, nselection, nbp 205 ctivating impedance quality insafety information 152, 188, 239 setting report buffer time 284 r time 282 ecg monitoring 145 lead placement 138, 185 st map 172 easi ecg lead labels 139 curve alert messages ( c. o. ) 236 525 extension 27 hemodynamic parameters 226 high filter ( eeg ) 283 high pass filter ( bis ) 290 high resolution recording 360 high - res trend event episodes 334 high - res trend waves 331 about 41 oxycrg 331 high - res waves 332 exhaust gases, removing 246, @topic:8


# # # issue : - patient transport monitor displays inaccurate blood pressure ( bp ) readings. # # # impact : - inaccurate bp readings can lead to improper diagnosis and treatment decisions, potentially compromising patient safety. # # # possible causes : - * * deteriorated air hose : * * the air hose, a crucial component for transmitting pressure during bp measurement, had become damaged, affecting its integrity and accuracy. # # # recommendations : - * * replacement of air hose : * * the technician replaced the damaged air hose with a new one, ensuring a proper and secure fit. this addressed the root cause of the issue, resulting in accurate bp readings upon testing. @topic:14


# # # issue - yellowish display on lcd monitor # # # impact - inaccurate display of patient data and medical images # # # possible causes - incorrect white balance settings # # # recommendations - white balance the monitor using the appropriate calibration tool to restore accurate color display @topic:2


##s 63 pace filler panel ( ad264 fittings for the restraining strap handleselectrical function management.. bed not in lowered position indicator. 66 67 68 68 68 night light. 68 cpr.... 69 70 quipotential cable ( a70 urse call. 70 help with care 194412 ( 13 ) - hill - rom 900 accella bed - instructions for use age ii fixed iv pole ( ad294a - 263627 ) * *. 71 telescopic iv pole ( ad298a - ad299a ) * * 71 inen holder * 72 73 oxygen cylinder holder ( ac959a - ad101a - ad102a ) * * 73 monitor stand ( ad244b ) * *. 74 76 traction frame 76 iv line manager & support ( ad286a ) * *. 77 77 80 label holder ( ad325a ) * * 80 adapteur support tete ( 214557 ) 80 ovements / trbrake and steer system. 81 ecuring the pow84 removable frame ( ad270b ) * * 84 8885 899910 10 10 22 91 985 85 recommendations... 85 recommendations for cleaning and disinfection 86 90 90 90 preventive maintenance end - of - life equipment.. 91 decontaminating / servicing the combined accella therapy mattress * 92 ppendi93 compliance... 93 e conformity mar93 94 electromagnetic emissions compliance. 94 compliance with electromagnetic immunityrecommended separation distances.. wireless connectivity. 96 99 99 age iv introduction, specifications the structure of the instructions for use installation movement ease of use comfort patient caregiver well being independence help witcare afety for every type of use, hillrom beds provide patients with optimal comfort and greater independence for a feeling of well - being that is condu @topic:9


# # # issue user is unable to log in to the medical cart equipment. # # # impact the user is unable to use the medical cart equipment. # # # possible causes - the user is not logged in as a ward user. - the user is entering the incorrect password. - the windows operating system is not functioning properly. # # # recommendations - ensure that the user is logged in as a ward user. - verify that the user is entering the correct password. - contact the it department to troubleshoot the windows operating system if necessary. @topic:13


°f 38. 4 °c to 38. 6 °c °f or °c 105. 8 °f ( 41. 0 °c ) 105. 6 °f to 106. 0 °f 40. 9 °c to 41. 1 °c braun thermoscan pro 6000 test ctual readintemperature tested specification ± 0. 4 °f ( ±0. 2 °c ) asfail 96. 8 °f ( 36. 0 °c ) 96. 4 °f to 97. 2 °f 35. 8 °c to 36. 2 °c °f or °c 101. 3 °f ( 38. 5 °c ) °f or °c 100. 9 °f to 101. 7 °f 38. 3 °c to 38. 7 °c 105. 8 °f ( 41. 0 °c ) °f or °c 105. 4 °f to 106. 2 °f 40. 8 °c to 41. 2 °c @topic:17


# # # issue - unable to obtain temperature readings due to a malfunctioning temperature probe. # # # impact - compromised patient monitoring and timely detection of fever or hypothermia. # # # possible causes - * * faulty temperature probe : * * internal damage or disconnection of the probe, leading to inaccurate or no temperature readings. - * * malfunctioning control board : * * the electronic board responsible for processing and displaying temperature data may be [UNK] [UNK], resulting in incorrect or absent temperature measurements. - * * software glitch : * * a defect in the software responsible for controlling the temperature probe or displaying data may cause incorrect readings or system failures. - * * outdated or unsupported equipment : * * the device may be using obsolete technology or components that are no longer supported by the manufacturer, leading to malfunction or repair difficulties. # # # recommendations - * * verify probe connections : * * check if the temperature probe is properly connected and seated correctly. - * * test temperature probe : * * use a separate thermometer or device to confirm if the temperature probe is faulty. - * * examine control board : * * inspect the control board for any visible damage or loose connections. - * * consider software update : * * if applicable, check for software updates that may address the issue. - * * contact manufacturer or service provider : * * if the device is under warranty or supported by a service contract, contact the manufacturer or service provider for assistance. - * * explore alternative monitoring methods : * * implement alternative methods to monitor patient temperature, such as axillary or rectal thermometers, until the issue is resolved. - * * plan for equipment replacement : * * if repair is not feasible or cost - effective due to obsolete parts or discontinued support, consider replacing the device with a newer model. @topic:20


# # # issue - equipment not available for department use due to loan. # # # impact - delay in patient care or procedures. # # # possible causes - equipment is loaned out and not available for use. # # # recommendations - request equipment in advance to allow for sufficient lead time to locate and obtain the necessary equipment. - explore the use of alternative equipment or resources to minimize the impact on patient care. - consider establishing clear policies and procedures for equipment loan requests to ensure timely availability. @topic:12


# # # issue the cause of failure for the bed, electric, huntleigh, contoura 360 is listed as " test. " this indicates that the device failed during testing. # # # impact the impact of this failure is likely minimal, as the device was only being tested and not used in a clinical setting. # # # possible causes there are several possible causes for this failure, including : - * * user error : * * the technician may have made a mistake while testing the device. - * * software error : * * the device's software may have malfunctioned. - * * hardware error : * * the device's hardware may have failed. # # # recommendations to prevent this type of failure from happening again, the following recommendations are made : - * * train technicians properly on how to test devices. * * - * * use up - to - date software on devices. * * - * * regularly maintain and inspect devices. * * @topic:9


# # # issue the oxygen saturation ( spo2 ) values measured by the philips suresigns vm4 patient monitor are inconsistent. # # # impact - patients may receive inaccurate spo2 readings, which could lead to incorrect medical decisions and adverse patient outcomes. - the reliability of the patient monitor is compromised. # # # possible causes * * hardware : * * - faulty spo2 probe or cable - defective battery - internal electronic malfunction * * software : * * - software bug or glitch - incorrect calibration * * user error : * * - incorrect placement of the spo2 probe - improper patient positioning # # # recommendations - * * hardware : * * - inspect the spo2 probe and cable for any damage or defects. - replace the battery if it is not holding a charge or is defective. - contact a qualified biomedical engineer to troubleshoot any internal electronic malfunctions. - * * software : * * - check for software updates and apply them if necessary. - recalibrate the patient monitor according to the manufacturer's instructions. - * * user error : * * - ensure the spo2 probe is placed correctly on the patient's finger or toe. - proper patient positioning can help ensure accurate spo2 readings. @topic:4


# # # issue - base for securing the trolley is loose # # # impact - decreased stability and safety of the medical device - potential for equipment damage or injury # # # possible causes - loose screws or bolts - wear or damage to the base # # # recommendations - tighten any loose screws or bolts - inspect the base for wear or damage and replace if necessary - ensure proper handling and storage of the medical device to minimize the risk of damage to the base @topic:24


# # # issue * bed is not adjustable # # # impact * patient discomfort * difficulty providing care # # # possible causes * mechanical failure ( e. g., broken motor, damaged gears ) * electrical failure ( e. g., faulty wiring, blown fuse ) * software glitch ( e. g., corrupted firmware ) * user error ( e. g., incorrect operation ) # # # recommendations * inspect the bed for any obvious mechanical or electrical damage. * check the wiring and fuses for any faults. * reset the bed by unplugging it from the power source and then plugging it back in. * contact the manufacturer for technical support if the issue persists. @topic:1


# # # issue - the philips intellivue x2 ( m3002a ) patient monitor in room 1 is not linking properly with the display screen. # # # impact - inability to accurately monitor patient vital signs, which can compromise patient safety. # # # possible causes - loose or disconnected cable connection. - problem with the monitor's software or hardware. - incompatibility between the monitor and the display screen. # # # recommendations - * * check and tighten all cable connections : * * ensure that the cables connecting the monitor to the display screen are securely plugged in. - * * restart the monitor : * * turn off the monitor, wait for a few seconds, and then restart it. - * * inspect the monitor's software and hardware : * * check for any error messages or physical damage to the monitor. contact the manufacturer's technical support if necessary. - * * verify compatibility : * * ensure that the monitor and the display screen are compatible with each other. check the manufacturer's specifications or contact their technical support. # # # additional notes - the issue may have been temporarily resolved by reconnecting the cables, but it is important to determine the underlying cause to prevent recurrence. - ensure that the biomedical engineering team is properly trained on the maintenance of this specific monitor model. @topic:2


# # # issue - ekg lead wire insulation breakdown # # # impact - inability to accurately monitor patient's electrocardiogram ( ecg ) # # # possible causes - excessive bending or twisting of the lead wire - exposure to sharp objects or chemicals - prolonged use or improper storage # # # recommendations - regularly inspect lead wires for damage or wear - handle lead wires with care, avoiding excessive bending or twisting - store lead wires properly in a cool, dry place - replace lead wires as needed @topic:18


# # # issue - bed, electric, huntleigh, model 25800 e / l has been repaired but is still not adjustable. # # # impact - the patient cannot be positioned properly in the bed, which may affect their comfort and care. # # # possible causes - the repair was not performed correctly. - there is another underlying issue with the bed that was not identified during the repair. - the bed is not compatible with the patient's weight or size. # # # recommendations - the technician should re - inspect the bed to identify any potential issues that may have been missed during the initial repair. - if no issues are found, the technician should consult with the manufacturer to determine if the bed is compatible with the patient's weight or size. - the technician should also check the bed's history to see if there have been any previous issues with it. @topic:1


# # # issue * * k * * eyboard * * i * * s * * n * * ot * * u * * sable # # # impact - medical staff may not be able to enter patient data or interact with the medical cart. - this can lead to delays in patient care and potential errors. # # # possible causes - the technician who replaced the batteries may have inadvertently damaged the keyboard connection. - the keyboard itself may be faulty. - there may be a problem with the computer motherboard or software. # # # recommendations - inspect the keyboard connection to ensure it is secure. - if the connection is secure, replace the keyboard. - if replacing the keyboard does not resolve the issue, check the computer motherboard and software for any problems. @topic:27


# # # issue - broken cable on icp monitor ( icp express ) # # # impact - inability to accurately monitor intracranial pressure ( icp ). # # # possible causes - physical damage to the cable ( e. g., kink, crush ). - ageing or deterioration of the cable material. - defective manufacturing. # # # recommendations - replace the broken cable with a new one. - inspect the cable regularly for signs of damage. - use proper cable management techniques to prevent kinks or crushes. - handle the cable with care during transport and storage. - ensure that the cable is not exposed to excessive heat or moisture. @topic:22


##cks protecting the weigh system have been removed from their housing ( see " preparing the bed for a reset / tare operation * or initializing the bed exit alerts system * " page 42 ). all persons authorized to use the bed's functions must be capable of doing so in a safe and controlled manner. in case of doubt, the bed's functions must be locked. accessories and peripheral equipments using accessories and peripheral equipments other than those recommended by hill - rom may incur risks of damage or accidents to users. mattress * * for the hill - rom 900 accella bed, hill - rom recommends the hillrom mattresses listed below, which are compatible with the safety recommendations ( see " risk prevention " attress labnp150 np100 np150 np50 xray [UNK] folding mattress clamp when installing a mattress extension cushion, the clamp must be folded to avoid any ower limbs. 2 adjustable mattress clamp the position of the clamps must be adjusted according to the width of the mattress in order to center and secure the mattress. ref 201638 hill - roms900bwww > 2018 - jun - 01 cs901a a to avoid creating entrapment zones, make sure that the mattress is centered and secured on the sleep surface by the folding clamp at the foot of the bed, with the adjustable clamps in the l or s position. other mattresses may be used, but the manufacturer must always be consulted to make sure that the bed / mattress / siderail combination does not affect the bed's performance, its suitability for use or its safety characteristics. a users must check the compatibility of the patient's weight and the accessories placed on the bed and the mattress system in view of the specifications of the medical bed and the mattress system. a for beds made after june 1, 2018, it is imperative to use hard surfaces @topic:9


# # # issue - blank screen # # # impact - patient monitoring is impaired. # # # possible causes - defective lcd screen # # # recommendations - replace lcd screen @topic:2


required to be entered : hb [ g / dl ], hb [ mmol / 1 ] or hct. 1 in the setup s0 2 menu, select hb / hct entry. 2 select your preferred lab value and unit. 247 17 monitoring intravascular oxygen saturation further information for both modules further information for both modules checking suspicious values if you have any doubts about the correctness of the measurement value, take a blood sample and have it analyzed using standard laboratory procedures. calculating oxygen extraction oxygen extraction is the difference between the measured sp0 2 and sv0 2 values. if you are monitoring sp0 2 and sv0 2, the monitor can calculate this value and display it as a numeric. ♦ to switch oxygen extraction calculation on or off, in the setup sp - v0 2 menu, select sp - v0 2 and toggle between on and off. ♦ if more than one sp0 2 value is available, you must choose which value is used in the calculation. in the setup sp - v0 2 menu, select sp0 2 source and select the required source. if one of the calculation sources becomes unavailable, the monitor displays the inop sp - v0 2 chk sources for one minute. after this time, the calculation automatically switches off. if the missing source becomes available again, the calculation automatically switches on again. 248 18 l monitoring eeg the electroencephalograph ( eeg ) module monitors the patient ’ s cerebral function by measuring the electrical activity of the brain. it provides the monitor with two channels of realtime eeg waves, eeg trend information in the form of compressed spectral arrays ( csa ), and up to eight of the following numerics : spectral edge frequency ( sef ) : the sef is the frequency below which a defined percentage of the total power lies. the percentage is set in configuration mode. mean dominant @topic:17


# # # issue - cuff of the monitor is broken. # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may have been damaged during use. - the cuff may have been improperly inflated. - the cuff may be too small or too large for the patient. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly inflated. - use a cuff that is the appropriate size for the patient. @topic:3


recordings 2 select the hires recording pop - up key. 290 24 event surveillance events are electronic records of episodes in your patient ’ s condition. you can trigger them manually, or set them to trigger automatically during pre - defined clinical situations. depending on the level of event surveillance available on your monitor, the information stored for each event episode can include : • waveforms for up to four measurements of your choice ( depending on episode type, see table on page 294 for more details ) • numeric vital signs for all the measurements monitored • any alarm conditions active when the event episode was triggered • any annotations connected with the event. you can navigate through the event database to view events retrospectively, and you can document events on a recording or report marked with the patient name, bed label, and the data and time. when an mp5 is connected to a host monitor, event surveillance will be disabled. no new events will be detected and no existing events will be deleted. there is no data exchange between the host monitor and the mp5 for event surveillance. when the mp5 is disconnected from the host monitor event surveillance will resume and new events will be detected. levels of event surveillance the appearance of the events windows and menus and the settings you can select for events depends on the event 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 - > event surveill. - > 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 you see six event groups, your monitor has the advanced @topic:8


# # # issue - ekg and o2 sat are not displayed on the monitor. # # # impact - patient monitoring is compromised. # # # possible causes - monitor is not connected to the central monitor. - monitor or cable is faulty. - software issue. # # # recommendations - check the connection between the monitor and the central monitor. - if the connection is secure, replace the monitor or cable. - contact the manufacturer to troubleshoot the software issue. @topic:20