# # # issue - cuff bp failure # # # impact - the cuff bp is unable to take accurate blood pressure readings. - this can lead to incorrect diagnosis and treatment. # # # possible causes - cuff bp is damaged. - cuff bp is not properly attached to the patient. - the patient is moving during the blood pressure reading. # # # recommendations - replace the cuff bp. - make sure the cuff bp is properly attached to the patient. - ask the patient to remain still during the blood pressure reading. @topic:3


# # # issue - equipment : electric bed ( bed, electric ) - band : universal quality ( universal quality ) - model : uq2000e - p - description : the bed's side rails are not locking properly. # # # impact - the patient could fall out of bed if the side rails are not locked in place. - the patient could be injured if they try to get out of bed without assistance. # # # possible causes - the locking mechanism is broken. - the side rails are not aligned properly. - the bed frame is bent or damaged. # # # recommendations - inspect the locking mechanism for damage. - realign the side rails. - inspect the bed frame for damage. - replace the locking mechanism if it is damaged. - realign the side rails if they are not aligned properly. - replace the bed frame if it is bent or damaged. @topic:6


# # output # # # issue - monitor not linking with central monitor # # # impact - inability to monitor patient's vital signs centrally # # # possible causes - incorrect ci address setting - loose or damaged cables - software issues - hardware failure # # # recommendations - * * verify ci address : * * ensure that the ci address set on the bedside monitor matches the address assigned in the central monitoring system. - * * inspect cables : * * check for any visible damage or loose connections in the cables connecting the bedside monitor to the central system. - * * troubleshoot software : * * check for any software updates or patches that may resolve the issue. - * * consider hardware failure : * * if all other possible causes have been eliminated, consider the possibility of a hardware failure in either the bedside monitor or the central monitoring system. @topic:16


# # # issue - the bed is not adjusting in height. # # # impact - the patient may be uncomfortable or at risk of injury if the bed is not at the correct height. # # # possible causes - the remote control is not working properly. - the bed's motor is not working properly. - the bed's hydraulic system is not working properly. - the bed's frame is damaged. # # # recommendations - replace the remote control. - replace the bed's motor. - replace the bed's hydraulic system. - repair the bed's frame. @topic:1


# # # issue - cuff bp not reading accurately # # # impact - inaccurate blood pressure readings - potential for incorrect diagnosis and treatment # # # possible causes - cuff bp leak - cuff bp too tight or too loose - equipment malfunction # # # recommendations - check cuff bp for leaks and replace if necessary - ensure cuff bp is properly inflated and deflated - calibrate equipment according to manufacturer's instructions @topic:3


# # # issue - equipment : bed, electric - band : huntleigh - model : contoura 360 - description : the bed cannot be adjusted due to a faulty remote control. - cause of failure : faulty remote control # # # impact - the bed cannot be adjusted to the desired height or position, which can make it difficult for patients to get in and out of bed or for caregivers to provide care. # # # possible causes - the remote control may be damaged due to physical impact, such as being dropped or knocked over. - the remote control may be malfunctioning due to electrical or electronic issues, such as a loose connection or a failed component. - the batteries in the remote control may be dead or low, which can prevent the remote control from sending signals to the bed. # # # recommendations - inspect the remote control for any visible damage, such as cracks or dents. - check the connections between the remote control and the bed to ensure that they are secure. - replace the batteries in the remote control. - if the remote control is still not working, contact the manufacturer for further troubleshooting and repair options. @topic:7


# # # issue - vital signs monitor cuff is deteriorated. # # # impact - the cuff's readings may be inaccurate. - this could lead to improper treatment decisions. # # # possible causes - the cuff may have been used for an extended period and has become worn or damaged. - the cuff may have been exposed to moisture or other environmental factors that have caused it to deteriorate. - the cuff may have been used on a patient with unusual body size or shape, which could have caused excessive wear or damage. # # # recommendations - the cuff should be replaced immediately. - the bme should inspect the cuff regularly for signs of wear or damage. - the bme should ensure that the cuff is being used correctly and on the appropriate patients. @topic:5


# # # issue - the bed's side rails are not adjustable. # # # impact - the patient may not be able to get out of bed safely. - the patient may be at risk of falling out of bed. # # # possible causes - the cause of failure for the bed's side rails not being adjustable is that the locking mechanism has failed. # # # recommendations - the technician should replace the locking mechanism. - the technician should test the side rails to ensure that they are working properly. @topic:6


# # # issue - knee motor not working # # # impact - patient may experience discomfort or pain due to the inability to adjust the bed's knee position. # # # possible causes - * * malfunctioning motor : * * the motor responsible for adjusting the knee position may have failed due to wear and tear, electrical damage, or mechanical issues. - * * faulty control box : * * the control box that receives commands from the remote control and sends signals to the motor may be defective, preventing the motor from responding correctly. - * * broken remote control : * * the remote control used to adjust the bed's position may have malfunctioned or lost connection with the control box, making it impossible to operate the motor. - * * loose wiring : * * connections between the motor, control box, and remote control may have become loose or damaged, disrupting the flow of signals and commands. # # # recommendations - * * replace motor : * * if the motor is confirmed to be faulty, it should be replaced with a new one to restore functionality. - * * inspect and repair control box : * * the control box should be examined for any signs of damage or loose connections. faulty components should be repaired or replaced if necessary. - * * verify remote control : * * the remote control should be checked for battery issues or any damage to the buttons or circuitry. if necessary, replace the remote control. - * * check wiring : * * all wiring connections between the motor, control box, and remote control should be inspected and tightened if necessary. any damaged wires should be replaced. @topic:9


# # # issue - inability to open drawers on the medical cart # # # impact - reduced functionality of the medical cart - difficulty accessing medical supplies and equipment # # # possible causes - misalignment or damage to the body of the medical cart - faulty drawer mechanisms - obstruction or blockage within the drawer tracks # # # recommendations - * * inspect the body of the medical cart : * * check for any visible signs of damage, misalignment, or warping. - * * examine the drawer mechanisms : * * ensure that all moving parts are functioning properly and there are no signs of wear or tear. - * * clear any obstructions : * * remove any items or debris that may be blocking the drawer tracks or preventing the drawers from opening smoothly. - * * realign or adjust the body : * * if necessary, carefully realign or adjust the body of the medical cart to ensure that the drawers are level and can open easily. - * * replace faulty components : * * if the drawer mechanisms or other components are damaged or faulty, replace them with original or compatible parts. - * * regular maintenance : * * implement a regular maintenance schedule to inspect and clean the medical cart, including the drawer mechanisms, to prevent future failures. @topic:21


# # # issue - battery failure # # # impact - device malfunction - patient safety risk - reduced productivity # # # possible causes - end of battery life - incorrect battery installation - battery damage due to mishandling or improper storage - electrical system malfunction # # # recommendations - replace the battery with a new one of the same type and voltage. - ensure correct battery installation according to the manufacturer's instructions. - store batteries in a cool, dry place away from extreme temperatures. - regularly inspect batteries for damage and replace them if necessary. - check the electrical system for any malfunctions that may have contributed to the battery failure. @topic:11


# # # issue - unable to adjust head position down # # # impact - limited functionality of the electric bed # # # possible causes 1. * * loose remote control cable : * * the remote control cable may have become loose, preventing communication between the remote and the bed. 2. * * faulty remote control : * * the remote control may be malfunctioning, preventing it from sending signals to the bed. 3. * * electrical issue : * * there may be an electrical issue within the bed or the remote control, preventing power from reaching the motor that adjusts the head position. 4. * * motor malfunction : * * the motor responsible for adjusting the head position may have failed, preventing it from responding to commands from the remote control. # # # recommendations 1. * * check remote control cable : * * ensure that the remote control cable is securely connected to both the remote control and the bed. 2. * * test remote control : * * replace the batteries in the remote control and test it on another compatible electric bed to confirm if it is functioning properly. 3. * * inspect electrical connections : * * check all electrical connections within the bed and the remote control for loose or damaged wires. 4. * * contact manufacturer : * * if the issue persists, contact the manufacturer of the electric bed for technical support and potential replacement of faulty components. @topic:1


# # # issue the telemetry ekg module ( m2601b ) is not functioning correctly after being reset to operate on central monitor 5r. # # # impact the telemetry ekg module is a critical piece of equipment for monitoring patient's heart activity. its failure can lead to delayed or incorrect diagnoses, which can have severe consequences for the patient's health. # # # possible causes - the telemetry ekg module may have been damaged during the reset process. - the settings may have been incorrectly configured, causing the device to malfunction. - there may be a problem with the central monitor 5r, which is preventing the telemetry ekg module from functioning correctly. # # # recommendations - inspect the telemetry ekg module for any signs of damage. - verify that the settings have been configured correctly according to the manufacturer's instructions. - test the telemetry ekg module on a different central monitor to rule out any issues with the current monitor. - if the problem persists, contact the manufacturer for further assistance. @topic:16


# # # issue - faulty spo2 probe cable # # # impact - spo2 readings may be inaccurate or unavailable. - the patient's oxygen saturation levels cannot be accurately monitored. # # # possible causes - * * mechanical damage : * * the cable may have been crushed, kinked, or excessively bent. - * * electrical failure : * * the cable may have a short circuit or open connection. - * * manufacturing defect : * * the cable may have been faulty from the start. # # # recommendations - * * replace the spo2 probe cable : * * the first step is to replace the faulty cable with a new one. - * * inspect the equipment : * * check the monitor and other components for any damage that may have caused the cable to fail. - * * maintain the equipment : * * follow the manufacturer's recommendations for regular maintenance and calibration to prevent future cable failures. @topic:4


# # # issue * the bed, electric ( huntleigh mb - acc73 ) is not functioning as intended. # # # impact * the malfunctioning equipment may hinder patient care and safety. # # # possible causes * the device may have malfunctioned due to : * electrical issues ( e. g., power surge, faulty wiring ) * mechanical issues ( e. g., broken components, loose connections ) * software glitches or user error * lack of maintenance or improper handling # # # recommendations * the biomedical engineer ( bme ) should perform a thorough investigation to determine the exact cause of failure. * the bme should repair or replace the faulty component or device, if necessary. * the bme should provide training and guidance to the staff on proper equipment usage and maintenance procedures. * the hospital should establish regular maintenance schedules and protocols to prevent future equipment failures. * the hospital should consider implementing a system for promptly reporting equipment malfunctions to ensure timely repairs. @topic:9


# # # issue the medical cart is not turning on. # # # impact the medical cart is not able to be used to transport patients or equipment. # # # possible causes the battery is dead. the power cord is not plugged in. the power switch is not turned on. the fuse is blown. the circuit board is damaged. # # # recommendations check the battery and make sure it is charged. check the power cord and make sure it is plugged in. turn on the power switch. replace the fuse. contact a biomedical engineer to repair the circuit board. @topic:13


# # # issue - monitor cannot adjust properly # # # impact - delay in patient monitoring # # # possible causes - damaged cable # # # recommendations - replace the damaged cable @topic:2


# # # issue monitor is not linking with the central monitoring system. # # # impact physiological data from the monitor cannot be transmitted to the central system for monitoring and analysis. # # # possible causes - incorrect ci address in the monitor - server issues in the central monitoring system - network connectivity issues # # # recommendations - verify and correct the ci address in the monitor - ensure that the server in the central monitoring system is functioning properly - check for any network connectivity issues and resolve them @topic:16


# # # issue - wood guard moved # # # impact - the bed may move unexpectedly, causing injury to the patient or caregiver. # # # possible causes - the plastic guard is worn out, allowing the wood guard to move. - the wood guard is not properly secured. # # # recommendations - replace the plastic guard. - ensure that the wood guard is properly secured. - inspect the bed regularly for any signs of wear or damage. @topic:6


# # # issue medical cart device from bdms ( model bdms 01 ) displays a black screen with the message " reboot and select proper boot device... " after bme inspection. # # # impact - inability to use the medical cart for patient care. # # # possible causes - failed solid state drive ( ssd ). # # # recommendations - consult with scg ( service company ) to determine the cause of the failure. - service company replaced the ssd. - device is now working properly. @topic:13


item and press the wheel to select it. press the up / down key to highlight an item and then press the select key to select it. scroll rotate the wheel to highlight the list and press the wheel. to scroll through the list, rotate the wheel. to select items in the list, press the wheel. press the up / down key to highlight the list and press the select key. to scroll through the list, press the up / down key. to select items in the list, press the select key. select or clear check boxes rotate the wheel to highlight the check box and press the wheel to select it. press the up / down key to highlight the check box and press the select key to select it. enter text rotate the wheel to highlight the field and press the wheel. rotate the wheel to select the text and press the wheel to save it. press the up / down key to highlight the field and press the select key. press the up / down key to select the text and press the select key to save it. overview suresigns vs2 * and vsi service guide 1 - 1 suresigns vs2 * and vsi documentation suresigns vs2 * and vsi documentation 1 - 2 suresigns vs2 * and vsi documentation includes : overview suresigns vs2 * and vsi installation and configuration guide : provides instructions for unpacking, installing, and connecting all hardware. includes initial testing and configuration procedures. also includes instructions for returning the monitor. suresigns vs2 * instructions for use : provides information for day to day operation of the vs2 * monitor. also includes safety information, monitor specifications, and a list of compatible accessories. suresigns vsi instructions for use : provides information for day to day operation of the vsi monitor. also includes safety information, monitor specifications, and a list of compatible @topic:10


# # # issue - battery level dropped to - 1 % # # # impact - medical cart may not be able to power up or function properly. - patient care may be delayed or disrupted. # # # possible causes - battery may be faulty or damaged. - charging system may not be working properly. - software bug may be causing the battery level to be incorrectly reported. # # # recommendations - replace the battery. - check the charging system. - update the software. @topic:13


##nc ( 19 ) co? sensor malfunction shut down and restart the monitor. if the problem persists, replace the co? module. see “ removing the suresigns vm8 c0 2 module ” on page 8 - 9. 851 ( 20 ) c0 2 equip malfunc ( 20 ) co? 15v voltage out of range replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 865 fpga fifo overrun temperature software problem shut down and restart the monitor. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 866 ( 21 ) temp probe error ( 21 ) the probe is operating in temperature conditions above 112°f / 43. 3°c. probe tip is defective : heater too close to thermistor. replace probe. if the problem persists, replace the suresigns vm4 temperature module. see " removing the suresigns vm4 temperature module ” on page 8 - 8. 866 ( 22 ) temp probe error ( 22 ) excessive heater energy. heater not working or it could have taken too long to predict. try another predict cycle. if the problem persists, replace the probe. 866 ( 32 ) temp probe error ( 32 ) thermistor pulled away from the tip or heater broken. try another predict cycle. if the problem persists, replace the probe. 866 ( 33 ) temp probe error ( 33 ) probe not responsive. probe not characterized / calibrated. replace probe. if the problem persists, replace the suresignsvm4 temperature module. see “ removing the suresigns vm4 temperature module ” on page 8 - 8. 866 ( 34 ) temp probe @topic:20


# # # issue - * * low vital signs readings * * # # # impact - * * delayed or incorrect medical diagnosis * * # # # possible causes - * * faulty sensor cable * * # # # recommendations - * * replace sensor cable * * @topic:2


# # # issue - the bed's legs cannot be adjusted. # # # impact - the patient cannot be positioned comfortably or safely. - the bed cannot be used for its intended purpose. # # # possible causes - the leg adjustment mechanism is faulty. - the bed's electrical system is malfunctioning. - the bed's software is not functioning properly. # # # recommendations - inspect the leg adjustment mechanism for any damage or wear. - test the bed's electrical system to ensure that it is functioning properly. - update the bed's software to the latest version. @topic:1


3 - 15. 819 ( 127 ) nbp equip malfunc ( 127 ) nbp module is not calibrated. contact the customer care center. 819 ( 138 ) nbp hose blocked ( 138 ) problem in pneumatic system. verify that all internal nbp hoses are connected. if the problem persists, shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the nbp module. see “ removing the nbp module ” on page 5 - 15. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 819 ( 139 ) nbp air leak ( 139 ) air leak or valve defect. verify that all internal nbp hoses are connected. if the problem persists, shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the nbp module. see “ removing the nbp module ” on page 5 - 15. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 833 ( 1 ) sp02 equip malfunc ( 1 ) spo, rom checksum error. replace the spo > board assembly. see “ removing the spo, board ” on page 5 - 22. 833 ( 2 ) spo2 equip malfunc ( 2 ) spo, ram test error. replace the spo, board assembly. see “ removing the spo, board ” on page 5 - 22. 833 ( 4 ) spo2 equip malfunc ( 4 ) spo, analog signal path self - test failed. replace the sp @topic:20


# # # issue - the spo2 probe is not providing accurate readings. # # # impact - the patient's oxygen saturation levels cannot be accurately monitored. # # # possible causes - the spo2 probe is damaged. - the spo2 probe is not properly connected to the monitor. - the patient's finger is not properly placed in the spo2 probe. - the patient is moving excessively. # # # recommendations - replace the spo2 probe. - ensure that the spo2 probe is properly connected to the monitor. - ensure that the patient's finger is properly placed in the spo2 probe. - ask the patient to remain still during the measurement. @topic:4


# # issue no cause of failure is provided in the input. # # impact unknown. # # possible causes unknown. # # recommendations - request the technician to provide the cause of failure. - check the medical device for any obvious defects or damage. - consult the manufacturer's documentation for troubleshooting information. - perform a more thorough inspection of the medical device to identify the cause of failure. @topic:12


# # # issue - the physiologic monitor is not capturing values correctly. # # # impact - inability to accurately monitor patient's vital signs, potentially leading to delayed diagnosis or treatment. # # # possible causes * * 1. faulty sensor : * * - the sensor connected to the patient may be damaged or malfunctioning, resulting in inaccurate readings. * * 2. cable connection issues : * * - loose or damaged cables connecting the sensor to the monitor can disrupt signal transmission and cause value capture failure. * * 3. electrical interference : * * - nearby electrical devices or electromagnetic fields can interfere with the monitor's sensors, affecting value accuracy. * * 4. improper patient placement : * * - if the sensor is not properly placed on the patient's body, it may not be able to detect values accurately. * * 5. software glitch : * * - a software malfunction in the monitor can lead to data processing errors and value inaccuracies. # # # recommendations * * 1. verify sensor condition : * * - inspect the sensor for any physical damage or loose connections. ensure it is properly placed on the patient's body. * * 2. check cable connections : * * - examine all cables connecting the sensor to the monitor for any loose connections or damage. replace cables as necessary. * * 3. reduce electrical interference : * * - keep the monitor away from electrical devices and electromagnetic fields. use shielded cables to minimize interference. * * 4. recalibrate monitor : * * - perform a recalibration of the monitor using a reference signal to ensure accurate value capture. * * 5. update software : * * - check for any available software updates for the monitor and apply them to resolve potential software glitches. * * additional recommendations : * * - consult the manufacturer's user manual for specific troubleshooting @topic:20


the percentage of time that the measurement values were in a specific range. this range is represented by the column ’ s position in the graphical trend gridlines. the arrow mark next to a column shows that the currently measured value is in the range covered by that column. if less than two - thirds of the samples are valid, the histogram will be replaced by a question mark. horizon view the horizon view presents trend information superimposed over a defined baseline or base range. this helps you visualize changes in your patient ’ s condition since the baseline was set. the horizon view is made up of : • a horizon, drawn in white, as a reference point or baseline to help you visualize changes in your patient ’ s condition. the horizon can be set to represent your patient ’ s current condition, or a target condition and can be a single value or a range. • a graphical trend, displaying patient data for the set trendtime ( 1 ). • a trend indicator arrow, indicating how the patient trend has developed in the set time period ( 10 minutes, 5 minutes or 2 minutes ) ( 2 ). • a deviation bar, showing how the currently measured value deviates from the set horizon ( 3 ). the height of the deviation bar is an indication of the extent of the change in your patient ’ s condition relative to the ( horizon ) baseline. your monitor may not be configured to show all elements of the screen trend horizon view. 281 21 trends screen trends setting the horizon the horizon is the reference value to which deviations in the measurements are compared. 1 to set the horizon, select the horizon trend 2 select - set high horizon to select the upper horizon value. if the high and low horizon values are the same, the horizon is a baseline - if the values are different the horizon is a range. - set low horizon to select the lower horizon value. - auto horizon to set @topic:8


# # # issue - remote does not adjust # # # impact - the device cannot be operated properly. # # # possible causes - the remote is not properly connected to the device. - the connection between the remote and the device is loose. - the remote is damaged. # # # recommendations - check the connection between the remote and the device. - tighten the connection between the remote and the device. - replace the remote if it is damaged. @topic:7


# # # issue test monitor displays an error when reading the module bis. # # # impact the technician is unable to perform the test on the module bis. # # # possible causes - the test monitor is not compatible with the module bis. - the module bis is faulty. - the cables connecting the test monitor to the module bis are faulty. - the software on the test monitor is not up to date. # # # recommendations - check that the test monitor is compatible with the module bis. - inspect the module bis for any damage. - replace the cables connecting the test monitor to the module bis. - update the software on the test monitor. @topic:22


# # # issue - the jack of the bed alarm broke. # # # impact - the bed alarm cannot be used properly. # # # possible causes - the jack was not properly connected. - the jack was damaged by excessive force. # # # recommendations - check the connection of the jack. - replace the jack if it is damaged. @topic:26


# # # issue - leaking cuff # # # impact - inaccurate blood pressure readings - delays in patient care - increased risk of patient harm # # # possible causes - defective cuff - worn or damaged cuff - improper placement of cuff - patient movement during blood pressure measurement # # # recommendations - replace the cuff with a new one from stock - inspect the cuff for any damage or wear - ensure that the cuff is placed correctly on the patient's arm - monitor the patient for movement during blood pressure measurement @topic:3


# # # issue - cuff bp ( blood pressure ) is deteriorated, with worn velcro that does not hold and worn fabric on the outer cuff bp. # # # impact - the cuff bp cannot be used properly on patients. # # # possible causes - the cuff bp may have been subjected to excessive wear and tear. - the cuff bp may have been exposed to extreme temperatures or moisture. - the cuff bp may have been improperly cleaned or maintained. # # # recommendations - replace the cuff bp with a new one. - inspect the new cuff bp regularly for signs of wear or damage. - clean and maintain the cuff bp according to the manufacturer ’ s instructions. @topic:3


# # # issue the physiologic monitor is unable to take accurate readings. # # # impact this can lead to incorrect patient data being recorded, which could have serious consequences for their care. # # # possible causes - faulty pump - loose or damaged cables - software issues - electrical problems # # # recommendations - replace the pump - check all cables for damage and ensure they are securely connected - update the software if necessary - contact the manufacturer for further assistance @topic:15


* * issue : * * cuff failure in nibp monitor * * impact : * * inaccurate blood pressure measurements, potentially leading to misdiagnosis and inappropriate treatment. * * possible causes : * * - * * damage to cuff tubing : * * the cuff tubing may have been damaged during use, leading to air leakage and inaccurate pressure readings. - * * defective cuff bladder : * * the cuff bladder may have developed a leak, resulting in air escaping and affecting the accuracy of the measurements. - * * incorrect cuff size : * * using an incorrect cuff size ( too large or too small ) can lead to inaccurate pressure readings. - * * improper cuff placement : * * the cuff may not have been properly positioned on the patient's arm, which can affect the accuracy of the measurements. - * * cuff wear and tear : * * over time, the cuff material may become worn or damaged, leading to air leakage and inaccurate pressure readings. * * recommendations : * * - * * inspect the cuff tubing and bladder : * * check for any visible damage or leaks. replace the cuff if necessary. - * * use the appropriate cuff size : * * refer to the manufacturer's instructions to determine the correct cuff size for the patient. - * * position the cuff correctly : * * place the cuff snugly on the patient's upper arm, ensuring that the arrow marking aligns with the brachial artery. - * * monitor cuff maintenance : * * regularly inspect the cuff for wear and tear and replace it as needed. - * * train staff on proper cuff handling : * * ensure that medical staff is trained on the correct use and maintenance of the cuff to prevent future failures. @topic:15


key start c. o. or pressing the start hardkey on the c. o. module, or pressing the remote start switch. if the measuring mode is set to auto the start c. o. key will also enable the automatic start of consecutive measurements. 2 when you hear the ready tone and see the message stable baseline, inject now!, inject the solution into the cvp catheter. 3 at the end of the measurement the thermodilution curve, cardiac output, index values, itbv and evlw values and any curve alerts are displayed and a message will appear wait before starting new measurement or in auto mode prepare for next injection or press stop. when you see the stable baseline, inject now! message, repeat the procedure until you have completed the measurements you want to perform. you can perform a maximum of 6 measurements before editing. if you perform more than 6 measurements without rejecting any, the oldest will automatically be deleted when a 7th curve is stored. 4 231 13 monitoring cardiac output it is important to identify and reject erroneous trials, as the monitor uses all the measurement trial values you do not reject to calculate the averaged cardiac output. review the trials. irregular trials or trials marked with a "? " should be reviewed carefully. consider the similarity of the values and the shape of the c. o. curve. a normal c. o. curve has one smooth peak and returns to the temperature baseline level after the peak. 1 reject unsatisfactory trials : use the select trial pop - up key to move between trials, then select the accept reject pop - up key to accept or reject trials. if you are using a touch screen you can accept or reject trials directly by tipping on the trial curve. discard conspicuously different values. the background of rejected trials is red and the background of accepted trials is green. the monitor recalcula @topic:17


# # # issue - drawer cannot close properly. # # # impact - medical equipment may not be able to be used properly. - medical equipment may be damaged. # # # possible causes - drawers are not lubricated properly. - drawers are misaligned. - drawers are overloaded. - drawers are damaged. # # # recommendations - lubricate the drawers with wd40. - realign the drawers. - reduce the load on the drawers. - replace the damaged drawers. @topic:21


level of the midaxillary line. warning if measuring intracranial pressure ( icp, ic1 or ic2 ) with a sitting patient, level the transducer with the top of the patient ’ s ear. incorrect leveling may give incorrect values. selecting a pressure for monitoring tell the monitor which pressure you want to monitor by selecting its pressure label. the label is a unique identifier for each type of pressure. when you choose a label, the monitor uses that label ’ s stored settings, for example color, wave scale and alarm settings. the label also determines which algorithm is used to process the pressure signal, so an incorrect label can lead to incorrect pressure values. 1 in the setup < press > menu, select label. 2 select the appropriate label from the list. label description label description abp arterial blood pressure p non - specific pressure label art arterial blood pressure ( alternative ) pap pulmonary artery pressure ao aortic pressure rap right atrial pressure cvp central venous pressure uap umbilical arterial pressure icp intracranial pressure uvp umbilical venous pressure lap left atrial pressure extended pressure label set the following additional labels are available if label set is set to full. this setting can only be changed in configuration mode. note that if your monitor is connected to an information center, the additional labels in the extended label set may not be correctly displayed. see the configuration guide for your monitor for more information. 188 zeroing the pressure transducer 12 monitoring invasive pressure label description bap brachial arterial pressure fap femoral arterial pressure ic1, ic2 alternative intracranial pressures pi, p2, p3, p4 alternative non - specific pressure labels zeroing the pressure transducer to avoid inaccurate pressure readings, the monitor requires a valid zero. zero the transducer in accordance with your hospital policy ( at least once per day @topic:17


# # # issue - * * equipment : * * bedside physiologic monitor ( nihon kohden pvm - 2701 ) - * * problem : * * spo2 sensor cable failed, resulting in no readings on the monitor # # # impact - inability to accurately monitor patient's oxygen saturation levels # # # possible causes - * * hardware failure : * * cable damage, faulty sensor, loose connections - * * software issue : * * incompatible software or firmware - * * environmental factors : * * excessive moisture, temperature fluctuations # # # recommendations - * * replace the cable : * * install the new spo2 sensor cable as per the manufacturer's guidelines. - * * check connections : * * ensure all cable connections are secure and free of corrosion. - * * update software : * * contact the manufacturer for any available software updates. - * * environmental monitoring : * * maintain optimal environmental conditions for the device. - * * regular maintenance : * * schedule periodic inspections and preventive maintenance to identify and address potential issues early on. @topic:4


# # # issue - the bed is not adjustable. # # # impact - the bed cannot be adjusted to the appropriate height for the patient. # # # possible causes - * * electrical malfunction : * * the bed's electrical system may not be functioning properly, preventing the bed from adjusting. - * * mechanical failure : * * the bed's mechanical components, such as the motors or gears, may be damaged or worn, preventing the bed from adjusting. - * * hydraulic failure : * * the bed's hydraulic system may not be functioning properly, preventing the bed from adjusting. - * * control panel failure : * * the bed's control panel may not be functioning properly, preventing the user from adjusting the bed. # # # recommendations - * * electrical malfunction : * * check the bed's electrical connections and wiring for any loose or damaged connections. if any loose or damaged connections are found, repair or replace them. - * * mechanical failure : * * inspect the bed's mechanical components for any damage or wear. if any damage or wear is found, repair or replace the damaged components. - * * hydraulic failure : * * check the bed's hydraulic system for any leaks or blockages. if any leaks or blockages are found, repair or replace the damaged components. - * * control panel failure : * * check the bed's control panel for any loose or damaged buttons or switches. if any loose or damaged buttons or switches are found, repair or replace them. @topic:1


# # # issue - faulty ekg cable # # # impact - inability to accurately monitor patient's electrocardiogram ( ecg ) - compromised patient care # # # possible causes - physical damage to the cable, such as cuts or tears - electrical malfunction within the cable - improper handling or storage of the cable # # # recommendations - inspect the ekg cable for any visible damage. - test the cable using a compatible patient simulator or ecg monitor to verify its functionality. - ensure the cable is handled and stored properly to prevent future damage. - replace the ekg cable if it is found to be faulty. - consider implementing a preventive maintenance schedule to regularly inspect and replace ekg cables as needed. @topic:18


# # # issue - scanner not working # # # impact - delayed or interrupted patient care - inaccurate medical diagnosis # # # possible causes - malfunctioning scanner component - loose or disconnected wiring - software or firmware issues - electrical power surge # # # recommendations - inspect the scanner for any visible damage or loose connections - check the power supply and ensure it is providing the correct voltage - update the software or firmware to the latest version - contact the manufacturer for further troubleshooting and repair assistance @topic:23


##om the iit adapter to the antenna connector plate is connected properly. 5. if this test fails, retry in a different physical area with a different access point. 93 error conditions : - the field mac instr. tele should show a value unequal to 0000 0000 0000. if it does not, there is a communication problem between the monitor and the iit adapter. - with an incorrect rf access code or an incorrect or defective antenna installation, the fields ip address, server ip, subnet mask, and rssi in the instrument telemetry service window will stay blank. the field conn. status will slowly toggle between / nactive and seeking. 6. perform the access point controller ( apc ) test blocks as described in the philips intellivue wireless network installation and configuration guide. short range radio ( srr ) performance test 1. make sure that the short range radio interface is configured as follows : srr on and appropriate channel selected. 2. assign a telemetry transceiver to the intellivue monitor according to the procedure described in the instructions for use of the patient monitor. 3. check that the following conditions are fulfilled : a. place the telemetry transceiver close to the monitor. b. the telemetry transceiver status is displayed on the monitor in the measurement selection window. c. waves or numerics from the telemetry transceiver are displayed on the monitor. there a re no dropouts or gaps in waves or numeric transmission. d. the battery status of the telemetry transceiver is displayed in the measurement selection window. e. the signal quality indicator shows at least 2 4. check that the data from the telemetry transceiver is transmitted to the monitor within a 1m radius and that there are no dropouts or gaps in waves or nu @topic:10


# # # issue - the telemetry electrocardiography monitor is not functioning and cannot be repaired. # # # impact - the hospital is unable to use the monitor to monitor patients'electrocardiograms. # # # possible causes - the monitor may have been damaged due to mishandling or improper use. - the monitor may have a manufacturing defect. # # # recommendations - the hospital should contact the manufacturer of the monitor to determine if it is under warranty. - if the monitor is not under warranty, the hospital should consider purchasing a new monitor. - the hospital should implement a policy for proper handling and use of medical devices to prevent future damage. @topic:16


# # # issue - equipment : neuro - acceleromyograph ( tof - watch ) - manufacturer : organon - model : tof - watch # # # impact - unable to measure and detect signals - equipment rendered inoperable # # # possible causes - failure of internal components due to prolonged use and wear and tear, resulting in an inability to establish a stable signal connection. # # # recommendations - * * inspection and repair : * * conduct a thorough inspection of the equipment to identify the specific component failure. if possible, replace the faulty component with an equivalent or compatible part. - * * firmware update : * * ensure that the equipment is running the latest firmware version, as software updates can sometimes address hardware issues. - * * replacement : * * if the repair is not successful or the equipment is no longer repairable, consider replacing it with a newer or refurbished unit from the same or a different manufacturer. - * * preventive maintenance : * * establish a regular preventive maintenance schedule to inspect and service the equipment, reducing the risk of future failures. this schedule should include : - regular cleaning and calibration - firmware updates as recommended by the manufacturer - inspection of cables, connectors, and other components for damage or wear @topic:2


# # # issue : medical device malfunction # # # impact : patient care may be affected. # # # possible causes : - * * human error : * * the technician may have made a mistake while repairing the device. - * * equipment malfunction : * * the device may have failed due to a manufacturing defect or wear and tear. - * * environmental factors : * * the device may have been damaged by exposure to extreme temperatures, humidity, or other environmental factors. - * * other : * * the cause of failure is not specified in the input. # # # recommendations : - * * investigate the cause of failure : * * the technician should thoroughly investigate the device to determine the cause of failure. - * * repair or replace the device : * * the technician should repair the device if possible, or replace it if necessary. - * * improve maintenance procedures : * * the hospital should review its maintenance procedures to ensure that all devices are properly maintained and inspected. - * * train technicians : * * the hospital should provide training to technicians to ensure that they are qualified to repair medical devices. - * * follow up with the patient : * * the technician should follow up with the patient to ensure that the device is working properly and that the patient is not experiencing any problems. @topic:12


# # # issue - telemetric electrocardiography monitor ( m2601b ) not functioning due to power failure. # # # impact - inability to monitor patient's electrocardiogram, potentially compromising patient care. # # # possible causes - * * power supply malfunction * * : the monitor's internal power supply or external power cord may be faulty, preventing the device from receiving power. - * * loose electrical connections * * : connections between the monitor, power outlet, or other components may be loose, causing intermittent or complete loss of power. - * * electrical surge or power outage * * : a recent power surge or outage could have damaged the monitor's electrical components, resulting in power failure. - * * battery depletion * * : if the monitor has a backup battery, it may have become depleted or disconnected, leading to power interruption. # # # recommendations - * * check power supply * * : inspect the power cord and connections for any visible damage or looseness. replace the cord or tighten connections as needed. - * * troubleshoot internal power supply * * : if the power cord and connections appear intact, the internal power supply may need to be tested or replaced by a qualified technician. - * * inspect electrical connections * * : ensure that all cables and connectors are securely attached to the monitor, power outlet, and any other connected devices. - * * check battery status * * : if the monitor has a backup battery, verify its charge level and replace it if necessary. - * * consider power surge protection * * : if power surges are a frequent occurrence, install a surge protector to prevent damage to the monitor and other medical equipment. @topic:2


# # # issue - * * device : * * monitor, bedside, physiologic - * * band : * * philips - * * model : * * intellivue mp70 ( m8007a ) - * * problem : * * the spo2 cable is degraded, causing the device to malfunction. # # # impact - the device is unable to provide accurate spo2 readings, which can compromise patient safety. # # # possible causes - the spo2 cable may be : - old and worn out - damaged due to mishandling or excessive use - inconsistent with the device model # # # recommendations - replace the degraded spo2 cable with a new one. - ensure that the new cable is compatible with the specific intellivue mp70 ( m8007a ) device. - train staff on proper handling and care of medical devices, including spo2 cables. @topic:4


* * issue * * : remote control failure * * impact * * : none, as the equipment is still fully functional. * * possible causes * * : * age and wear and tear of the remote control. * accidental damage or mishandling. * * recommendations * * : * replace the remote control with a new one, as requested by the department. * train staff on proper handling and maintenance of equipment to prevent future failures. @topic:7


# # # issue - can't adjust the head down. # # # impact - the user may not be able to properly position the equipment for patient care. # # # possible causes - the relay that controls the head movement is not functioning properly. - the motor that drives the head movement is not functioning properly. - the control panel that sends the signals to the relay is not functioning properly. - the wiring between the control panel, relay, and motor is loose or damaged. # # # recommendations - check the relay by manually operating it. if the relay does not operate, replace it. - check the motor by manually turning it. if the motor does not turn, replace it. - check the control panel by operating the buttons and switches. if the control panel does not respond, replace it. - check the wiring between the control panel, relay, and motor for loose or damaged connections. repair or replace the wiring as necessary. @topic:1


# # # issue : biomedical equipment failure due to cuff bp deterioration # # # impact : inability to accurately measure patient vital signs ( specifically blood pressure ) # # # possible causes : - cuff bp size is too large, leading to improper fit and inaccurate measurements - cuff bp material has deteriorated over time, affecting its ability to hold air and provide accurate pressure readings - cuff bp has been damaged due to improper handling or storage # # # recommendations : - use an appropriate cuff bp size for the patient's arm circumference to ensure a snug fit and accurate measurements - regularly inspect the cuff bp for signs of wear and tear, such as cracks, tears, or loose connections - store the cuff bp in a clean, dry environment to prevent damage - replace the cuff bp if it shows signs of deterioration or damage to ensure accurate blood pressure measurements @topic:3


wave. the signal at the ecg output on the intellivue patient monitors is delayed by a maximum of 30 ms. your biomedical engineer should verify that your ecg / defibrillator combination does not exceed the recommended maximum delay of 60 ms. computer client or hospital network connected to mx400 / 450 / 500 / 550 internal lan the computer client and network infrastructure devices typically are not classified as medical devices and must be located outside the patient vicinity. the patient vicinity is defined as an area within 5ft ( 1. 5m ) of the perimeter of the patient ’ s bed or within 8ft ( 2. 5m ) of the floor. if the computer client is installed in the patient vicinity and connected to the monitoring device, it must be correctly isolated from the mains power supply by an isolation transformer. if the computer client is installed in the patient vicinity and a network switch or hub is used to connect it to a monitoring device, it must be correctly isolated from the mains power supply by an isolation transformer. 271 [ 7 installation instructions ] warning all external devices in the patient vicinity must comply with lec 60601 - 1 : 1988 + a1 : 1991 + a2 : 1995 / en 60601 - 1 : 1990 + a1 : 1993 + a2 : 1995 ( ed. 2 ) or lec 60601 - 1 : 2005 / en 60601 - 1 : 2006 + a1 : 2012 ( ed. 3 ) including any national deviations. this applies also to ah signal connections, entering the patient vicinity. additional safety equipment, e. g. isolation transformers might be used. the installation procedures e. g. for electrical connections as documented in the instructions for use must be strictly followed. configuration tasks you must configure these settings during installation in configuration mode. • line frequency • printer • altitude • equipment label ( for wireless networked monitors, or when the @topic:10


# # # issue - hilow mechanism failure leading to impaired bed adjustability. # # # impact - compromised patient comfort and safety during bed adjustments. - potential delays in patient care due to restricted bed mobility. # # # possible causes - * * mechanical wear and tear : * * extended use and frequent bed adjustments can lead to gradual deterioration of the hilow mechanism components, such as gears, motors, or electrical connections. - * * age - related degradation : * * over time, the materials used in the hilow system can become brittle or lose their elasticity, increasing the risk of failure. - * * improper maintenance : * * insufficient lubrication or servicing can contribute to premature wear and tear of the hilow mechanism. - * * overloading : * * excessive weight or improper use of the bed can put undue strain on the hilow system, potentially causing damage. # # # recommendations - * * regular maintenance : * * implement a scheduled maintenance program that includes lubrication, inspection, and testing of the hilow mechanism to minimize the risk of failure and extend its lifespan. - * * age - based replacement : * * establish a plan for preventive replacement of hilow components at appropriate intervals based on the manufacturer's guidelines or historical data. - * * proper usage : * * educate users on proper bed handling and weight limitations to prevent overloading and ensure safe operation. - * * monitoring and documentation : * * keep detailed records of maintenance and repairs performed on the hilow system to track its performance and identify any potential issues early on. @topic:9


# # # issue the nibp monitor, ge healthcare, carescape v100 model, is unable to take measurements. # # # impact patients may not be able to receive accurate blood pressure readings, which could delay or misinform diagnosis and treatment. # # # possible causes - loose or disconnected cables - faulty sensors - software malfunction - electrical issues # # # recommendations - check and tighten all cables and connections. - inspect sensors for damage or debris. - update software to the latest version. - contact the manufacturer for further troubleshooting assistance or repairs. @topic:15


# # # issue - defective extomnion spo2 line # # # impact - patient monitoring may be compromised due to inaccurate or unavailable data. # # # possible causes - physical damage to the line caused by mishandling or improper storage. - end - of - life failure of the line due to prolonged use or aging. # # # recommendations - regularly inspect the line for any signs of damage or wear and tear. - replace the line if it shows any signs of deterioration or if it has reached its recommended lifespan. - handle the line with care and store it properly when not in use. - ensure that the line is compatible with the physiologic monitor and welch allyn propaq lt model. - check the manufacturer's guidelines for proper usage and maintenance of the line. @topic:4


# # # issue - telemetry ekg module is not capturing signals. # # # impact - inability to monitor patient's heart activity. # # # possible causes - the device is not properly calibrated. - the device is not compatible with the patient's physiology. - there is a fault in the device's hardware or software. - the device is not connected properly to the patient. - the device is being used in an environment with excessive electrical noise. - the device is being used with incompatible accessories. # # # recommendations - calibrate the device according to the manufacturer's instructions. - ensure that the device is compatible with the patient's physiology. - inspect the device for any visible damage or faults. - check the device's connections to the patient and ensure that they are secure. - move the device to a location with less electrical noise. - use only compatible accessories with the device. @topic:18


# # # issue - broken black lead wire on the bedside physiologic monitor. # # # impact - the monitor may not be able to accurately display vital signs for the patient. # # # possible causes - the lead wire may have been damaged during handling or use. - the lead wire may have been improperly connected to the monitor or the patient. - the lead wire may have a manufacturing defect. # # # recommendations - inspect the lead wire for any visible damage. - ensure that the lead wire is properly connected to the monitor and the patient. - replace the lead wire if it is damaged or defective. - follow the manufacturer's instructions for handling and use of the lead wire. @topic:18


# # # issue - remote control for adjusting the hospital bed is not working ( i507 ) # # # impact - the hospital bed cannot be adjusted remotely, which can make it difficult for patients to get into and out of bed. # # # possible causes - the remote control is not properly connected to the bed. - the remote control is not receiving power. - the remote control is damaged. # # # recommendations - check the remote control connection to the bed and make sure it is secure. - check the remote control battery and make sure it is installed correctly. - if the remote control is damaged, it will need to be replaced. @topic:7


# # # issue - bed does not lock securely # # # impact - patient safety hazard - inconvenience for healthcare staff - potential for equipment damage # # # possible causes - loose bolts or nuts - worn or damaged locking mechanism - electrical fault - hydraulic fluid leak # # # recommendations - inspect and tighten all bolts and nuts. - examine the locking mechanism for any signs of wear or damage. - check electrical connections and wiring. - inspect hydraulic lines for leaks or damage. - if the problem persists, contact the manufacturer for further troubleshooting and repair. @topic:6


# # # issue - water leakage from ceiling - water droplets on floor # # # impact - potential damage to medical device - safety hazard for staff and patients # # # possible causes - leaking pipes or roof - condensation from air conditioning unit - damaged ceiling tiles # # # recommendations - contact maintenance to repair the leak and prevent further water damage. - move the medical device to a dry location. - ensure that the medical device is properly grounded to prevent electrical shock. - monitor the area for further water leakage and take appropriate action if necessary. @topic:12


* * issue : * * intidal co2 not entering monitor * * impact : * * patient monitoring is incomplete and inaccurate, which can lead to delayed or ineffective treatment. * * possible causes : * * * * * improper installation : * * the monitor may not be properly connected to the patient or the gas source. * * * damaged tubing : * * the tubing connecting the patient to the monitor may be damaged or kinked, preventing the co2 gas from reaching the monitor. * * * sensor malfunction : * * the sensor that measures co2 may be faulty or not calibrated. * * * settings error : * * the monitor may not be set to the correct settings to measure co2. * * * human error : * * the user may have entered incorrect information or performed an incorrect procedure. * * recommendations : * * * * * verify installation : * * ensure that the monitor is correctly connected to the patient and the gas source. * * * inspect tubing : * * check the tubing for damage or kinks and replace if necessary. * * * calibrate sensor : * * ensure that the co2 sensor is calibrated according to the manufacturer's instructions. * * * review settings : * * check the monitor settings to verify that they are correct for co2 measurement. * * * train user : * * provide proper training to the user to prevent future errors. * * * troubleshoot further : * * if the above steps do not resolve the issue, consult the manufacturer's instructions or seek assistance from a qualified technician. @topic:4


# # # issue : remote control malfunction # # # impact : inability to adjust the bed - inconvenience for patients and healthcare professionals - potential safety risks if the bed cannot be adjusted properly # # # possible causes : - faulty remote control hardware : - broken buttons or switches - malfunctioning circuit board - damaged wiring - software issues : - outdated or corrupted firmware - interference from other electronic devices - battery problems : - low or dead batteries - faulty battery connections - improper use or handling : - dropping or mishandling the remote - exposure to extreme temperatures or moisture # # # recommendations : - * * inspect the remote control : * * check for any visible damage or loose connections. - * * replace batteries : * * install new batteries to rule out any battery issues. - * * update firmware : * * contact the manufacturer to check for any available firmware updates. - * * check for signal interference : * * identify and eliminate any electronic devices that may be causing interference. - * * perform hardware diagnostics : * * use a multimeter or other diagnostic tools to identify any electrical faults. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer or a qualified biomedical engineer for further support and repair options. @topic:7


# # # issue - connector cuff bp is damaged. # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - the connector cuff bp may have been damaged during use or storage. - the connector cuff bp may have been manufactured with a defect. # # # recommendations - the connector cuff bp should be replaced. - the monitor should be inspected for any other damage. - the manufacturer should be notified of the issue. @topic:5


# # # issue - scanner malfunction. # # # impact - inability to scan medical data. # # # possible causes - accumulation of debris on the brass charging plate and charging dock. # # # recommendations - clean the brass charging plate and charging dock of debris. @topic:23


# # # issue - inability to establish lan connectivity on the philips suresigns vs2 + physiologic vital signs monitor. # # # impact - impaired patient monitoring and data transmission capabilities. # # # possible causes - * * technical support not available : * * the input does not specify if the it team was able to resolve the lan connectivity issue. it is possible that the issue persists and is preventing the monitor from functioning properly. # # # recommendations - * * troubleshoot network connectivity : * * verify that the lan cable is properly connected to both the monitor and the network jack. ensure that the network settings on the monitor are correct and that the network switch or router is functioning properly. - * * contact philips technical support : * * if the issue cannot be resolved internally, contact philips technical support for further assistance. they may be able to provide remote diagnostics or dispatch a technician to resolve the problem on - site. - * * consider alternative monitoring solutions : * * if the lan connectivity issue cannot be resolved promptly, consider using alternative patient monitoring solutions, such as wireless telemetry or bedside monitors, to ensure continuous patient monitoring. @topic:16


# # # issue - failed to send data to the vital signs monitor ( vsm ). # # # impact - the vsm will not receive updates on the patient's vital signs. - the medical staff may not be aware of any changes in the patient's condition. - the patient's health may be at risk. # # # possible causes - the equipment is not properly connected to the vsm. - the equipment is not properly configured. - the vsm is not functioning properly. # # # recommendations - check the equipment connections to the vsm. - check the equipment configuration to ensure that it is sending data to the vsm. - check the vsm to ensure that it is functioning properly. @topic:22


# # # issue - vital signs are not displayed correctly on the monitor. # # # impact - healthcare professionals may not be able to accurately monitor patient vital signs, which can lead to delayed or incorrect treatment. # # # possible causes - * * incorrect monitor settings : * * the monitor may not be configured to display the correct vital signs. - * * defective monitor : * * the monitor may be malfunctioning and unable to display vital signs correctly. - * * loose or damaged cables : * * cables connecting the monitor to the patient may be loose or damaged, preventing the monitor from receiving the correct vital signs data. # # # recommendations - * * check monitor settings : * * ensure that the monitor is configured to display the correct vital signs. - * * test monitor : * * perform a test to verify that the monitor is functioning correctly. - * * check cables : * * inspect cables for any loose connections or damage. replace any damaged cables. - * * contact manufacturer : * * if the issue cannot be resolved by troubleshooting, contact the manufacturer for technical support. @topic:2


battery : step 1 connect the battery cable. ensure that the cable is attached securely to the connector. insert the battery into the compartment with the cable closest to the case. replace the battery cover and the torx t10 screw. confirm that the battery is installed correctly by observing that the charging led is lit. repairing the monitor suresigns vs2 * and vsi service guide 5 - 5 removing the temperature module removing the temperature module 5 - 6 to remove the temperature module : step 1 remove the temperature probe and well. 2 remove the adhesive covers from the screw holes by inserting a sharp, pointed tool under the edge of the covers. screw covers 3 remove the three torx t20 screws from the temperature module. repairing the monitor suresigns vs2 * and vsi service guide removing the recorder faceplate slowly and gently pull the temperature module away from the monitor and disconnect the cable from the connector on the main board. connector caution after you replace the temperature module, perform the temperature accuracy test. for more information, see “ temperature test ” on page 3 - 16. removing the recorder faceplate for monitors without an optional recorder, remove the faceplate as follows : step 1 remove the battery. see “ removing the battery ” on page 5 - 3. repairing the monitor suresigns vs2 * and vsi service guide 5 - 7 removing the recorder faceplate 2 remove the plastic adhesive screw cover by inserting a sharp tool under it and lifting it up. 3 remove the two torx t10 screws and pull the faceplate straight away from the monitor. repairing the monitor 5 - 8 suresigns vs2 * and vsi service guide removing the optional recorder ( vs2 * only ) removing the optional recorder ( vs2 * only ) to remove the optional recorder : step 1 remove the battery. see “ removing the battery ” on page 5 @topic:19


# # # issue - spo2 sensor is not providing accurate readings. # # # impact - this could lead to inaccurate patient monitoring and potential harm. # # # possible causes - the spo2 sensor cable may be damaged or faulty. - the sensor may not be properly connected to the patient. - the sensor may be obstructed by something, such as a bandage or clothing. - the sensor may be malfunctioning. # # # recommendations - inspect the spo2 sensor cable for any damage or faults. replace the cable if necessary. - ensure that the sensor is properly connected to the patient. - remove any obstructions that may be blocking the sensor. - if the problem persists, the sensor may need to be replaced. @topic:4


# # # issue - the medical cart's screen is black. # # # impact - the cart cannot be used for its intended purpose. # # # possible causes - the cart's power supply is not working. - the cart's display is not working. - the cart's software is not working. # # # recommendations - check the cart's power supply. - check the cart's display. - check the cart's software. - if the above steps do not resolve the issue, contact the manufacturer for further assistance. @topic:13


* * issue : * * - ac power cord of the patient monitor is damaged * * impact : * * - the patient monitor cannot be powered and used * * possible causes : * * - physical damage to the cord, such as cuts or breaks - loose connections at the cord's terminals - electrical malfunction within the cord * * recommendations : * * - * * physical damage : * * inspect the cord for any visible damage. if damage is found, replace the cord immediately. - * * loose connections : * * ensure that the cord is securely connected to the monitor and power outlet. - * * electrical malfunction : * * if no visible damage or loose connections are found, have the cord tested by a qualified electrician or biomedical engineer to identify and repair any electrical faults. @topic:12


. undo the straps attaching the mattress to the bed frame. 4. fold in two at the head end. 5. remove the hard surface of the thigh section. 6. 7. disconnect the plug from the bed connector. remove the cable. 8. install the hard surface of the thigh section. 9. 10. unfold the mattress. 11. starting at the foot end of the bed, roll up the mattress slowly to allow any expelled. 12. close the deflation plug and close the zip fastener. 13. put the retaining strap back in place. 14. place the rolled up mattress in a plastic bag. 15. store the mattress in its original packaging or in a transport bag. settings settings choosing the language your bed is configured for the destination country. in this menu, you can gci. language 1. press settings. 2. 3. press language and select the language. press close to confirm. 4. in this menu, you can change the format of the date and time displayed on the bed. you can also set the time, for example when the date / time clocks go forwards or back ( dst ( daylight saving time ). press parameters on the gci. 1. press settings. 2. press date / time. 3. select the date format and use the arrows to set the time. 4. 5. ress save to confirm. 1. press parameters on the gci. volume press settings. 2. press volume. 3. use the + and - buttons to adjust the volume. 4. 5. press save to confirm. setting the length of the alert suspension mode 1. press parameters on the gci. suspend mode duration press settings. 2. press suspend mode duration. 3. select the duration. 4. press save to confirm. 5. setting the display / mask patient weight options weight display on the gci. 1. @topic:9


# # # issue - the bedside monitor experienced a failure due to a broken lead wire. # # # impact - the bedside monitor was unable to accurately display patient vital signs, which could have led to incorrect medical decisions. # # # possible causes - * * equipment wear and tear : * * the lead wire may have been damaged due to normal wear and tear over time. - * * rough handling : * * the lead wire may have been mishandled or subjected to excessive force, causing it to break. - * * electrical fault : * * a malfunction in the monitor or lead wire could have caused the wire to break. # # # recommendations - * * regular inspection : * * conduct routine inspections of medical devices to identify and replace worn or damaged components. - * * proper handling : * * train staff on the proper handling and storage of medical devices to minimize the risk of damage. - * * redundancy measures : * * consider implementing redundant monitoring systems to ensure patient safety in the event of a device failure. - * * equipment maintenance : * * schedule regular maintenance and calibration of medical devices to ensure optimal performance. - * * staff training : * * provide comprehensive training to staff on the proper operation and care of medical devices, including lead wire handling. @topic:18


# # # issue - bed remote lock button not functioning # # # impact - inability to adjust bed position or lock remote # # # possible causes - faulty remote lock button - electrical issue within the bed or remote - software issue with the bed's control system # # # recommendations - inspect and test the remote lock button for continuity and functionality - check electrical connections and wiring in both the bed and remote - update or reinstall the bed's control software if available @topic:7


# # # issue the biomedical engineer is unable to fix the bedside physiologic monitor because the bp connector is missing. # # # impact the monitor cannot be used to measure blood pressure, which is a critical vital sign. this could delay or prevent the diagnosis and treatment of medical conditions. # # # possible causes - the bp connector was not included with the monitor when it was purchased. - the bp connector was lost or damaged during use. - the bp connector was stolen. # # # recommendations - check the monitor's packaging to see if the bp connector is included. - if the bp connector is missing, contact the manufacturer to order a replacement. - if the bp connector is damaged, it should be repaired or replaced by a qualified technician. - take steps to prevent the bp connector from being lost or stolen, such as by storing it in a secure location. @topic:14


# # # issue - equipment not functioning properly # # # impact - delay in patient care - reduced patient comfort - increased risk of patient injury # # # possible causes - malfunctioning remote control - malfunctioning motor # # # recommendations - replace remote control - replace motor - perform regular maintenance on equipment @topic:24


# # # issue - vital signs monitor cuff deterioration # # # impact - inaccurate vital signs measurements - potential patient harm # # # possible causes - normal wear and tear - improper use or handling - environmental factors # # # recommendations - regularly inspect and maintain cuffs - provide user training on proper use and handling - consider using more durable cuff materials - monitor environmental conditions and make adjustments as necessary @topic:5


# # # issue the input indicates that the bed is unable to adjust its height, despite the technician having fixed the issue of the unplugged power cord. # # # impact this issue can pose a significant impact on patient care, as the inability to adjust the bed's height can affect the patient's comfort, mobility, and access to medical equipment. # # # possible causes - * * faulty motor : * * the motor responsible for adjusting the bed's height may be malfunctioning or damaged. - * * electrical issue : * * there could be an electrical fault in the wiring or connections within the bed, preventing power from reaching the motor. - * * mechanical issue : * * a mechanical component, such as a gear or shaft, may be damaged or obstructed, hindering the bed's movement. - * * control unit failure : * * the control unit that manages the bed's functions may be faulty, preventing it from sending signals to the motor to adjust the height. - * * software glitch : * * if the bed operates on software, a software glitch may be causing the height adjustment function to malfunction. # # # recommendations to resolve this issue, the technician should : - * * inspect the motor and electrical connections : * * check if the motor is functioning correctly and if the electrical connections are secure. - * * examine mechanical components : * * inspect gears, shafts, and other mechanical components for damage or obstructions. - * * test the control unit : * * verify if the control unit is functioning properly by testing other bed functions. - * * update software ( if applicable ) : * * if the bed uses software, check for updates and install them if necessary. - * * consult a manufacturer's representative : * * if the issue persists, contact the manufacturer's representative for further troubles @topic:1


# # # issue - cuff is deteriorated # # # impact - unable to take blood pressure accurately # # # possible causes - prolonged use of the cuff - exposure to extreme temperatures or humidity - improper storage or handling # # # recommendations - replace the cuff with a new one - inspect the cuff regularly for signs of wear and tear - store the cuff in a cool, dry place - handle the cuff with care @topic:3


# # # issue - user is unable to use biobeat # # # impact - user is unable to observe vital signs # # # possible cause - user did not receive proper training on how to use biobeat # # # recommendation - provide user with proper training on how to use biobeat @topic:2


# # # issue the program on the medical cart is displaying an error message stating " can't connect to hardware. " # # # impact the medical cart cannot be used as intended. # # # possible causes - the hardware is not properly connected to the cart. - the drivers for the hardware are not installed or are not functioning properly. - the software on the cart is not functioning properly. # # # recommendations - check that the hardware is properly connected to the cart. - restart the cart. - reinstall the drivers for the hardware. - contact the manufacturer of the cart for further troubleshooting assistance. @topic:13


# # # issue - equipment : physiologic monitor - manufacturer : universal quality - model : uq2000b # # # impact - the equipment is not providing accurate readings, which could lead to incorrect diagnosis and treatment decisions. # # # possible causes - * * loose or damaged cables * * - * * faulty sensors * * - * * software glitches * * # # # recommendations - check all cables and connections to ensure they are secure and not damaged. - inspect the sensors for any signs of damage or malfunction. - run diagnostic tests on the equipment to identify any software issues. - update the equipment software as necessary. - calibrate the equipment according to the manufacturer's instructions. - replace any faulty components as needed. - train staff on proper use and maintenance of the equipment. @topic:20


# # # issue the nbp ( non - invasive blood pressure ) module of the philips suresigns vs3 physiological vital signs monitor is reading values incorrectly. # # # impact this issue can lead to inaccurate blood pressure readings, which can impact patient care decisions. # # # possible causes * damaged cuff : the cuff used to measure blood pressure may be damaged, resulting in incorrect readings. * sensor malfunction : the sensor used to measure blood pressure may be malfunctioning, leading to inaccurate readings. * software glitch : a software glitch in the monitor may be causing it to read blood pressure values incorrectly. # # # recommendations * * * inspect and replace the cuff : * * check the cuff for damage and replace it if necessary. * * * troubleshoot the sensor : * * test the sensor to ensure it is functioning properly. replace the sensor if it is defective. * * * update the software : * * check for and install any available software updates for the monitor. * * * perform a full system test : * * once the issue has been resolved, perform a full system test to ensure the monitor is functioning correctly. @topic:15


# # # issue - loose lamp # # # impact - inability to use the device for its intended purpose # # # possible causes - the lamp was not properly tightened during installation or maintenance. - the lamp socket is worn or damaged. - the lamp is defective. # # # recommendations - inspect the lamp and socket for damage or wear. - if the lamp is loose, tighten it securely. - if the socket is damaged, replace it. - if the lamp is defective, replace it. @topic:12


# # # issue - equipment : bed, electric - band : huntleigh - model : contoura 360 - description : nut on the bed leg came loose. the issue was resolved by tightening the nut back into place. the equipment was then tested and found to be functioning normally. # # # impact - the loose nut could have caused the bed to become unstable, which could have led to a patient falling out of bed. # # # possible causes - the nut may have come loose due to : - manufacturing defect - wear and tear - improper assembly # # # recommendations - inspect the bed regularly for any loose nuts or bolts. - tighten any loose nuts or bolts immediately. - if a nut or bolt cannot be tightened, contact the manufacturer for assistance. @topic:6


move the bed in all directions, • " steering " for easier movement in a straight line. label stop neutral steering using the bar in the steering position without 5th wheel ( basic version ) : • three wheels turn freely ( neutral ) and one wheel steers ( it no longer swivels ). n on [UNK] with 5th wheel with controlled release * : when the brake and steer bar is in the steering position, the 5th wheel automatically switches to the steering position as soon as the bed moves forwards or backwards. the wheel can be released by returning the brake bar to the " neutral " position. ead foot note : before moving the bed sideways, check that the brake and steer bar is in the " neutral " position. " bed connected to power mains, brake not applied " detection * when the bed is plugged into the mains and the brakes are not applied, a continuous alarm sounds until the brakes are applied or the bed is disconnected from the mains. before moving the bed, perform the following checks : if there is a patient in the bed, ensure that the siderails are raised and locked nt from falling. • position the sleep surface so the top of the footboard is at the most suitable height for transporting the bed ( approximately 12 hi - low ) and with the foot section horizontal. • disconnect the general power cable and the power cable of the electric accessories ( e. g., air mattress, etc. ) and hook them to the bed as described in paragraph " securing the power cable " on page 76. • check that the bed or accessories ( e. g., patient helper, wall stop ) cannot hit door frames or other obstacles ( e. g., lights ). • place the control pendant in its holder near the cpr handle to prevent andamage to the control pendant or cable ( e. g., catching on doorways, etc @topic:9


# # # issue - equipment not functioning properly. # # # impact - patient care may be delayed or compromised. - staff may be unable to perform necessary tasks. # # # possible causes - the equipment may be defective. - the equipment may have been damaged. - the equipment may not be properly calibrated. - the equipment may be being used incorrectly. - the equipment may not be suitable for the patient's needs. # # # recommendations - inspect the equipment to identify any obvious defects or damage. - calibrate the equipment according to the manufacturer's instructions. - review the equipment's user manual to ensure that it is being used correctly. - consult with the manufacturer or a qualified technician if the problem cannot be resolved. @topic:12


# # # issue - the cause of failure is not clearly stated. # # # impact - the device may not be functioning properly, which could affect patient care. # # # possible causes - the device may have been damaged during transport or installation. - the device may have been used incorrectly. - the device may have reached the end of its useful life. # # # recommendations - inspect the device for damage. - review the device's operating instructions to ensure that it is being used correctly. - contact the manufacturer for troubleshooting assistance. @topic:12


, class 7m3. test procedure according to iec / en 60068 - 2 - 6 ( acceleration up to amplitude 2 g ). - bump test according to iec / en60068 - 2 - 29 ( peak acceleration 15 g, 1000 bumps ). - free fall test according to en1789 ( covers also iec tr 60721 - 4 - 7 and class 7m3 ). test procedure according to en 60068 - 2 - 32 ( height 0. 75 m ). - specification for degrees of protection provided by enclosures according to iec / en 60529 : ip 32 - en 1789 + a1 : 2003 medical vehicles and their equipment - road ambulances ( chapter 6 - medical devices ). note in order to be compliant with en 1789 + a1 : 2003, the appropriate mounting device must be used. - radiated susceptibility 20 v / m according to en iso 9919 ( spo ; ) and en iso 21647 ( co2 ). - altitude range from - 500 to 3000 m operating and - 500 to 4600 m storage and transportation. - extended radiated susceptibility tests the mp2 patient monitor with its out - of - hospital parameter set provides a general immunity level of 20 v / m with only few restrictions. details are as listed below : the x2 multi - measurement module / patient monitor with its out - of - hospital parameter set provides a general immunity level of 20 v / m with only few restrictions. details are as listed below : - gsm 900 : immunity at 900 mhz ( uplink mobile phone ), 20 v / m ( ecg : 10v / m ), duty cycle 1 : 8 - gsm 1800 : immunity at 1800 mhz ( uplink mobile phone ), 20 v / m, duty cycle 1 : 8. - dect : immunity at 1800 mhy ( digital cordless phone ), @topic:10


# # # issue - cuff of vital signs monitor is not working properly. # # # impact - patient's vital signs cannot be accurately measured. # # # possible causes - cuff is old and worn out. - cuff is not properly attached to the monitor. - cuff is not the correct size for the patient. - monitor is not functioning properly. # # # recommendations - replace the cuff with a new one. - make sure the cuff is properly attached to the monitor. - use the correct size cuff for the patient. - check the monitor to make sure it is functioning properly. @topic:5


# # # issue - monitor is not displaying an image. # # # impact - inability to monitor patient's vital signs. - delay in diagnosis and treatment. # # # possible causes - loose or damaged power cable. - faulty monitor display. - incorrect monitor settings. - software issue. # # # recommendations - check and secure the power cable connection. - inspect the monitor for any physical damage. - adjust the monitor settings according to the manufacturer's instructions. - update the monitor software if necessary. @topic:2


# # # issue - bed adjustment is not functioning ( up and down ) # # # impact - patient discomfort and potential risk to patient safety # # # possible causes - battery discharge # # # recommendations - recharge the battery @topic:1


# # # issue - parameter qtc from wave ecg is missing on the bedside monitor. # # # impact - clinicians may not be able to accurately assess the patient's cardiac rhythm and make appropriate treatment decisions. # # # possible causes - * * loose or disconnected socket : * * the socket connecting the ecg cable to the monitor may not be securely connected, causing the qtc parameter to be lost. - * * damaged ecg cable : * * the ecg cable itself may be damaged, preventing the qtc parameter from being transmitted to the monitor. - * * software glitch : * * a software glitch in the monitor may be causing the qtc parameter to be lost. # # # recommendations - * * check socket connections : * * ensure that all socket connections between the ecg cable and the monitor are secure. - * * inspect ecg cable : * * examine the ecg cable for any visible damage or loose connections. replace the cable if necessary. - * * restart monitor : * * power cycle the monitor to clear any software glitches that may be causing the issue. - * * contact manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for technical support. @topic:18


# # # issue : cuff failure on physiologic monitor ( bedside ) from welch allyn, model propaq lt # # # impact : inability to accurately measure vital signs, such as blood pressure. # # # possible causes : - * * cuff deterioration : * * the cuff may have become cracked, stretched, or otherwise damaged over time, affecting its ability to seal around the patient's limb and provide accurate pressure measurements. # # # recommendations : - * * regular inspection and replacement of cuffs : * * implement a preventative maintenance schedule to regularly inspect and replace cuffs as needed, preventing deterioration and ensuring accurate readings. - * * proper storage and handling : * * ensure cuffs are stored properly to prevent damage and stored away from harsh conditions like extreme temperatures or moisture. - * * training for healthcare providers : * * provide training to healthcare professionals on the importance of using properly fitting cuffs and avoiding overinflation. @topic:5


# # # issue - cuff not inflating # # # impact - accurate blood pressure readings cannot be obtained # # # possible causes - cuff is damaged or worn out - air leak in cuff or tubing - problem with the pump or inflation system # # # recommendations - replace the cuff if it is damaged or worn out - check for air leaks in the cuff and tubing and repair as necessary - inspect the pump and inflation system for any problems and repair or replace as necessary @topic:3


and hold the main screen key to re - enable touchscreen operation. touchscreen functionality has been permanently disabled in service mode, select main setup - > user interface and change the ‘ ‘ touch enable ” selection to “ yes ”. external touch cable not connected check cable connection from external touch to dual mib 1 / o board or rs232 / 5v interface on advanced connector board. external touch driver configuration check mib / rs232 configuration : 1. enter main setup menu 2. select monitor 3. select hardware 4. reconfigure mib / rs232 drivers 5. if problem persists, proceed to the next step dual mib i / o board or advanced connector board defective replace mib i / o board or advanced connector interface board external touch defective replace external touch standard connector board defective replace standard connector board main board defective replace main board touch position invalid touch not calibrated perform touch calibration : 1. enter main setup menu 2. select hardware 3. select touch calibration 113 [ 4 troubleshooting ] general monitor inop messages inop message possible causes of failure failure isolation and remedy checkinternvoltage check monitor func problem with too low voltages ( 5v, - 6v ) in the monitor. alarm lamps, display or interfaces may not function correctly ecg does not function properly remove au i / o boards, recorder board and advanced system interface board, and put them back in and reconnect cables one at a time to isolate any defective board. if this does not resolve the problem, replace the main board check monitor temp the temperature inside the monitor is too high check the environment for possible causes monitor ventilation obstructed clean the monitor ventilation internally and then cool monitor down for 8 hours main board defective replace main board settings malfunction problem during cloning process. redone configuration file memory space in which the settings are @topic:2


* * issue : * * fetal monitor ( toitu mt - 325 ) failure * * impact : * * inability to monitor fetal heart rate and uterine contractions * * possible causes : * * * defective transducer cable * * recommendations : * * * replace the transducer cable with a new one. * test the fetal monitor after replacing the cable to ensure proper functionality. * monitor the fetal monitor regularly for any further signs of failure. @topic:22


rag & drop files add certificate to client library ca root certi done elect an optional ca root selected ca root certificate back save and continue click add certificate to client library. 8. 9. navigate to the. pem file, or. der file, location using your computer's windows file explorer window. ( the sample screen shows a. pem file type. ) cacert. peclient. p12 3 / 19 / 2018 1 : 53 pm 3 / 19 / 2018 1 : 53 pm pem file personal inf aso rive file name : cacert. pem all files ( *. * ) cancel open select the file and click open. 10. select done. ca root certificate selection welch ally ca root certificate must be in pem or der formats failure to abide by these restrictions will cause the certificate to be ignored by the device. list configurations available ca root certificate onfiguration nacert crag & drce fles add certificate to client library ca certifica 1. cacert. pem ca root certi abort elect an optional ca root selected ca root co done save and continue back 11. click save and continue. active directory - setup details ( best practices ) prerequisites set up the active directory and the dns servers and ensure that your version supports this feature. the following sections describe how to configure and use the device's active directory feature for clinician authentication. 228 connex direct welch [UNK] connex® spot monitor configuration support for the active directory install required certificates for the device to connect to active directory, you need to include the active directory ca ( certificate authority ) root certificate in the device configuration. note the connection to active directory server might fail because of : a missing ca root certificate on the device, an incorrect format certificate on the device ( cacert. cer @topic:18


# # # issue - base weight loss # # # impact - the monitor may not be stable and could fall, causing injury to the patient or staff. # # # possible causes - the base weight may not have been properly secured. - the base weight may have been damaged. # # # recommendations - check the base weight to ensure that it is properly secured. - if the base weight is damaged, it should be replaced. - train staff on the proper way to secure the base weight. @topic:12


# # # issue - monitor not linking with system # # # impact - inability to monitor patient's electrocardiography # # # possible causes - * * water damage : * * the monitor may have been exposed to water, causing damage to the internal components. - * * faulty connection : * * the cables or connectors may be damaged, preventing the monitor from communicating with the system. - * * software error : * * the monitor's software may have malfunctioned, preventing it from linking with the system. # # # recommendations - * * check for water damage : * * inspect the monitor for any signs of water damage, such as corrosion or rust. if water damage is suspected, contact the manufacturer for repair or replacement. - * * inspect cables and connectors : * * check the cables and connectors for any damage, such as cuts or fraying. replace any damaged cables or connectors. - * * restart the monitor : * * turn off the monitor and unplug it from the power source. wait a few minutes and then plug it back in and turn it on. this may clear any software errors that are preventing the monitor from linking with the system. - * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for further assistance. @topic:16


# # # issue - remote control not functioning properly # # # impact - inability to adjust bed settings, which can affect patient comfort and safety. # # # possible causes - broken remote control cable # # # recommendations - * * verified fix : * * replace the broken remote control cable and test to ensure proper functionality. - * * additional recommendations : * * - regularly inspect the remote control cable for signs of wear or damage. - ensure proper handling of the remote control to prevent accidental damage. - train staff on correct usage and maintenance of the bed and remote control. @topic:7


##g signal available at the ecg analog output. visual alarm status information in the own patient overview window if individual measurement alarms are switched off at any of the devices in use for the patient, a crossed alarm symbol on a white background is shown beside the • if all alarms are switched off or paused for one of the devices in use for the patient, a crossed alarm symbol on a dark gray background is shown beside all affected measurement numerics ( if so configured ). if all red and yellow alarms are switched off / paused, the crossed alarm symbol is red. if only yellow alarms are switched off / paused, the crossed alarm symbol is yellow. you can change ecg settings for the current ecg source from the patient monitor. 1 select the own patient overview window. 2 select the setup equipm. pop - up key. a setup menu will appear with the settings available for the current ecg source. if it is a telemetry transmitter or patient monitor connected to the information center via lan or wlan, the following settings are available : adjust hr alarms, relearn arrhythmia, select primary / secondary ecg lead, select arrhythmia analysis mode, change primary / secondary ecg lead size. piic ix only : if the current ecg 123 5 managing patients and equipment source is a patient monitor connected to the information center via intellivue instrument telemetry setting is available. when other devices are assigned to the patient, alarms from those devices will also be indicated on the monitor, in addition to the main indication at the information center. if configured, a generic alarm message will appear in the alarm status area with standard alarm tones. the alarm message will have the color and * or! coding corresponding to the severity of the alarm. the specific alarm message ( for example * * hr low ) will appear in the own patient overview window. if configured @topic:8


# # # issue cuff bp ( blood pressure cuff ) is damaged. # # # impact the patient's blood pressure cannot be accurately measured. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged by a sharp object. - the cuff may have been over - inflated, causing the bladder to rupture. - the cuff may not be the correct size for the patient. # # # recommendations - replace the damaged cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - do not over - inflate the cuff. - use the correct size cuff for the patient. @topic:3


##2a m1191a / b with longer cable ( 3 m ) small adult, pediatric sensor ( 1. 5 m cable ) for patients between 15 kg and 50 kg. any er except thumb. es no es no neonatal sensor ( 1. 5 m cable ) for patients between 1 kg and 4 kg. hand or foot. m1193a es no ear sensor ( 1. 5 m cable ) for patients over 40 kg. m1194a es no infant sensor ( 1. 5 m cable ) for patients between 4 kg and 15 kg. any finger excepthumb. m1195a es no o ou adult clip sensor ( 3 m cable ) for patientover 40 kg. any finger except thumb. adult clip sensor ( 2 m cable ) for patientover 40 kg. any finger except thumb. adult sensor ( 0. 45 m cable ), for patients over 50 kg. any finger, except thumb. m1196a no 1196s no 1191t requir ( 1 m ) or m1943al ble es no small adult, pediatric sensor ( 0. 45 m cable ) yes for patients between 15 kg and 50 kg. any cept thumb. 1192t no neonatal sensor ( 0. 9 m cable ) for patients between 1 kg and 4 kg. hand or foot. m1193t yes no adult clip sensor ( 0. 9 m cable ) for patients over 40 kg. any finger except thumb. m1196t yes no 430 39 accessories product number description comments identical to oximax maxn es es m1943a or m1943al 1902bdentical to oximax es eidentical to oximax maxp es es option a02 : must us1943nl adapter identical to oximax maxa yes cable. adult / pediatric finger sensor, 0. 45 m cable yes patient size @topic:8


or invasive ( intra¬ arterial ). for further information, see the application note on nbp supplied on the monitor documentation cd - rom. in adult and pediatric mode to check the current setting, select main setup - > measurements - > nbp, and check whether the reference setting is set to auscultatory or invasive. this setting can only be changed in configuration mode. in neonatal mode, to comply with safety standards, invasive is always used as the reference method. this setting cannot be changed and is not visible in any operating mode. preparing to measure nbp 1 connect the cuff to the air tubing. 178 preparing to measure nbp 10 monitoring nbp 2 plug the air tubing into the red nbp connector. avoid compression or restriction of pressure tubes. air must pass unrestricted through the tubing. 3 make sure that you are using a philips - approved correct sized cuff and that the bladder inside the cover is not folded or twisted. a wrong cuff size, and a folded or twisted bladder, can cause inaccurate measurements. the width of the cuff should be in the range from 37 % to 47 % of the limb circumference. the inflatable part of the cuff should be long enough to encircle at least 80 % of the limb. 4 apply the cuff to a limb at the same level as the patients heart. if it is not, you must use the measurement correction formula to correct the measurement. the marking on the cuff must match the artery location. do not wrap the cuff too tightly around the limb. it may cause discoloration, and ischemia of the extremities. inspect the application site regularly to ensure skin quality and inspect the extremity of the cuffed limb for normal color, warmth and sensitivity. if the skin quality changes, or if the extremity circulation is being affected, move the @topic:17


# # # issue cuff deterioration # # # impact - inability to accurately measure vital signs - potential for delayed or incorrect diagnosis and treatment # # # possible causes - cuff age and wear - improper storage or handling - prolonged or excessive use - exposure to moisture or chemicals # # # recommendations - replace cuff regularly as per manufacturer's recommendations - store cuff in a dry, cool place - avoid over - inflating or over - tightening the cuff - clean cuff periodically with a mild detergent and water @topic:5